Podcasts about BNP

Bangladesh is at a critical political turning point under a BNP-led government. In this episode, we explore what the return of the Bangladesh Nationalist Party under Tarique Rahman means for political stability, governance, and institutions. We also examine India–Bangladesh relations, regional dynamics, and key economic challenges including inflation, reserves, and growth pressures. Guest: Avinash Paliwal, Author Host: Smriti Sudesh Edited and published by Sharmada Venkatasubramanian Learn more about your ad choices. Visit megaphone.fm/adchoices

Vårt ekonomiska system är byggt för evig tillväxt på en ändlig planet, vilket gör kollapsen mer eller mindre inbyggd i systemet. I detta avsnitt möter du Tove Blomgren, Creative Director på framtidslabbet Sally hos EY Doberman. Framtidslabbet har tagit sig an utmaningen att helt omformulera vad vår ekonomi ska handla om. Istället för tillväxt ligger fokus på livskvalitet, rättvisa och fungerande ekosystem. Vi pratar om att man får det man mäter, att BNP aldrig var tänkt att användas som det gör och varför dagens pensionssystem kan vara dömt att haverera. Vi pratar också om hur medborgarlön, lokala matekonomier och nya sätt att mäta värde skulle kunna bli grunden för nästa ekonomiska system.

Sat, 06 Jun 2026 10:47:00 +0000 https://jungeanleger.podigee.io/3164-zertifikate-party-osterreich-volker-meinel-der-hebel-und-sekundarmarkt-titelverteidiger-noch-5-tage-bis-zum-20-zertifikate-award-2026 f4c996ab4dbadf5008c672e6e5ca36d8 Zertifikate Party Österreich mit dem Zertifikate Award Austria Countdown: Noch 5 Tage bis zum 20. Zertifikate Award 2026, heute ist Volker Meinel, Marketing Manager bei BNP Paribas, zu Gast. Wir haben uns am Samstag ausgetauscht, aber wir haben Erfahrung mit Weekend/Feiertag, am Ostermontag durfte ich bei BNPs "Rendezvous mit Harry" zu Gast sein. Volker ist seit Beginn der 10er-Jahre bei BNP und durfte sich zuletzt über Seriensiege bei den Hebelprodukten und auch in der Sekundärmarktkategorie freuen. Es geht auch um das GC und Tennis. https://derivate.bnpparibas.com Youtube-Kanal BNP Paribas Zertifikate: https://www.youtube.com/c/BNPParibasZertifikate Volker im Börsepeople-Podcast: https://audio-cd.at/page/podcast/3334 Der komplette Countdown unter http://www.audio-cd.at/zertifikate Bisherige Folgen des Countdowns: Christian Scheid, Publikumswahl Final Call, Ronald Nemec, Judith Pap Gründungsstory, Robert Gillinger, Alexandra Baldessarini, Marianne Kögel, Heinz Karasek, Heiko Geiger, Bernhard Grabmayr, Frank Weingarts, Thomas Rainer, Philipp Arnold, Lars Reichel, Peter Bösenberg, Volker Meinel Fanboy-Buch mit Zertifikate-Content: http://www.christian-drastil.com About: Structures are my best Friends. In Kooperation mit dem Zertifikate Forum Austria (ZFA) und presented by Raiffeisen Zertifikate, Erste Group, BNP Paribas, Societe Generale, UBS, Vontobel, dad.at, gettex, wikifolio und Börse Frankfurt Zertifikate gibt es Podcasts zum Zertifikate-Markt in Österreich. Und freilich zum Award wieder eine grosse Print-Sondernummer. Heuer besonders gross. Ganz besonders gross. 20 Seiten Zertifikate im Börsejahrbuch 2025: https://boerse-social.com/pdf/magazines/boersehandbuch_24_25 Risikohinweis: Die hier veröffentlichten Gedanken sind weder als Empfehlung noch als ein Angebot oder eine Aufforderung zum An- oder Verkauf von Finanzinstrumenten zu verstehen und sollen auch nicht so verstanden werden. Sie stellen lediglich die persönliche Meinung der Podcastmacher dar. Der Handel mit Finanzprodukt en unterliegt einem Risiko. Sie können Ihr eingesetztes Kapital verlieren. Und: Bewertungen bei Apple (oder auch Spotify) machen mir Freude: http://www.audio-cd.at/apple http://www.audio-cd.at/spotify . Du möchtest deine Werbung in diesem und vielen anderen Podcasts schalten? Kein Problem!Für deinen Zugang zu zielgerichteter Podcast-Werbung, klicke hier.Audiomarktplatz.de - Geschichten, die bleiben - überall und jederzeit! 3164 full no Christian Drastil Comm. (Agentur für Investor Relations und Podcasts)

Historiskt höga substansrabatter i de noterade fastighetsbolagen leder till flera nyheter om återköp. På transaktionsmarknaden ger affärer värderingsstöd för substanserna. Även makrobilden med stigande inflation och stabil BNP ger stöd för bättre tider för sektorn i stort. Studion gästas av Arvid Lindqvist förvaltare FCG.

På hemmaplan haglar korruptionsanklagelserna mot personer i Sanchez närhet - samtidigt som tusentals spanjorer skanderar på gatorna om hans avgång. Hur länge kommer en av de få socialdemokratiska rösterna i Europa att hålla sig kvar vid makten? Lyssna på alla avsnitt i Sveriges Radios app. Spaniens premiärminister Pedro Sanchez utmanar både EU-kollegorna och USA:s president på ett självsäkert sätt. Men på hemmaplan har han kanske inte fog för att vara lika självsäker. För snygg, för slug och för kaxig säger kritikerna.Pedro Sanchez har sagt ett tydligt nej till EU:s stränga migrationspolitik, han var en av de första att högljutt fördöma anfallen mot Iran och sa nej när USA ville använda baser på spansk mark. Och när Natoländerna för snart ett år sedan kom överens om att satsa på försvaret, och att höja försvarsutgifterna till 5 % av BNP - då sa Sanchez återigen nej. Medverkande:Andreas Liljeheden, BrysselkorrespondentCecilia Blomberg, SydeuropakorrespondentProgramledare Catarina Spåre GustafssonProducent Lena Bejerot

Her får du en smakebit av en annen podkast fra E24, Penger, pølser og politikk, som kommer hver mandag etter lunsj. Denne uken bankes det offisielt gjennom at det blir utvidet skjenking under fotball-VM og vi spør oss om hvordan dette vil påvirke norsk produktivitet og BNP. Og så venter vi fortsatt på en ny avtale mellom USA og Iran, vil den komme på plass før den travle kjøresesongen begynner i USA? Og apropos USA: Det nærmer seg børsnotering av Elon Musk sitt SpaceX, hvor ambisjonen er en koloni med datasentre på mars. Vil det norske Oljefondet ta del i denne mulige høytsvevende børsnoteringen?

Qatar är ett av världens rikaste länder per capita. Det är ett litet land med omkring 300 000 invånare – resten är gästarbetare. Samtidigt har de ett BNP som motsvarar cirka en tredjedel av Sveriges BNP. Uppskattningsvis använder de tiotals miljarder kronor per år till att sprida sin politiska och religiösa agenda, som ligger nära Muslimska brödraskapets. Detta gör de via gåvor till universitet, moskébyggen och medial påverkan. Många ser de tre stora statliga subversiva hoten mot Sverige som Ryssland, Kina och Iran. Men går lilla Qatar under radarn, fast de är relativt potenta för sin storlek när det kommer till att sprida radikal islam i väst? Det samtalar vi om i veckans Hotspot.Gäst i programmet är Aron Flam, komiker och samhällsdebattör.Tittartips: Disinformation: The Secret Strategy to Destroy the West – https://youtu.be/LF9-xdj_8oQ?si=yM6UJ9blmrFUaCnESe programmet på Youtube: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@varldenidagplay⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Vill du hjälpa oss att göra fler program? Stöd gärna vårt arbete genom att swisha en gåva till: 123 396 94 17Prova Världen idag en månad gratis: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://prova.varldenidag.se

Vi har nu de officielle børspapirer for SpaceX, der børsnoteres den 12. juni på teknologibørsen Nasdaq i New York i verdenshistoriens største notering med en samlet markedsværdi på op mod 2.000 milliarder dollars. Vi kigger også på techgiganten Nvidia, der netop har aflagt et regnskab, der nok engang slog analytikernes forventninger. I Danmark går det også fremragende: Nye bnp-tal viser, at dansk økonomi er den hurtigst voksende i Europa og slår både Kina og USA i vækst. Men kritikerne siger, at BNP-tallene mudres af regnskabsteknik og reelt ikke kan bruges til tage temperaturen på dansk økonomi. Hvorfor? Og hvis ikke bnp giver mening, hvad skal politikerne så stile efter og økonomerne holde øje med? Ti lsidst snakker vi om de knap 3.700 aktiehandler, som præsident Trump har foretaget i første kvartal af 2026. De er dybt mistænkelige og tyder på, at præsidenten bruger embedet til simpel berigelse. Trump købte f.eks. Nvidia-aktier for op mod 1 million dollars blot en uge før, at hans handelsministerium tillod Nvidia at eksportere avancerede mikrochips til Kina. I studiet: Magnus Barsøe og Mikael Milhøj. See omnystudio.com/listener for privacy information.

USA fortsätter att utklassa EU ekonomiskt. Tillväxten är högre, vinsterna större och börserna går starkare. Kriget drabbar också européer mer än amerikaner men är det hela bilden? Lyssna på alla avsnitt i Sveriges Radios app. Börsrekord och vinstlyftDe senaste veckorna har börsbolagen på båda sidor om Atlanten presenterat sina kvartalsvinster – och de amerikanska krossar de europeiska. ”Det är en trend som pågått under många år”, säger Emanuel Sidea, USA-korrespondent för Dagens industri.AI driver påBakom börsrekorden och BNP-tillväxten finns en stor motor i form av den kraftiga AI-utbyggnaden. Den konservative ekonomen och tidigare Trump-rådgivaren Stephen Moore menar att AI-investeringarna fungerar som raketbränsle för resten av ekonomin. Neil Irwin, ekonomikorrespondent för Axios, håller med om att AI:s betydelse för börsen och BNP är enorm. Men säger att ”man kan inte äta BNP”. För vanliga amerikaner spelar de stigande priserna en mycket större roll.Olika mått ger olika verkligheterVad svaret blir på frågan; hur står sig Europa mot USA, beror till stor del på vilket mått man använder. Och hur det blir framöver är oklart. Det finns de som varnar för att riskerna med ett utdraget krig och en förlängd energikris spelas ner och att en större finanskrasch kan vara på ingång.Programledare och producent:Hanna MalmodinMedverkande och röster i programmet:Emanuel Sidea, USA-korrespondent Dagens industriKnut Kainz Rognerud, ekonomikommentator EkotJens Magnusson, chefsekonom SEBStephen Moore, konservativ ekonomKevin Hassett, rådgivare Vita husetNeil Irwin, ekonomikorrespondent Axiosekonomiekotextra@sverigesradio.se

Ekspertpanelet Jes, Karsten, Otto og Mia kigger i dag på forslag til en ny beskatning i EU af energisektoren, som begrundes med de ekstraordinære profitter hos energiproducenterne. Men skatten risikerer også at få konsekvenser langt ud over det umiddelbare provenu. Eksperterne ser nærmere på, hvordan forslaget vil svække et i forvejen udfordret energisystem  og undergrave EU-traktatens krav om enstemmighed på skatteområdet. Herefter vender vi blikket mod sygefraværet i det offentlige. Hvor meget kunne man egentlig spare, hvis det offentlige sygefravær kom på niveau med det private?  Og dernæst diskuterer vi, hvordan man kan håndtere, at Danmark har udsyn til lavvækst så langt øjet rækker. Til sidst er der selvfølgelig Ugens Skævert og Lyspunkt. Eksperterne ser bl.a., hvordan Mohammed Rona har givet sit indspark til identitetsdebatten.   Dagens emner:   00:00: Mere skat på “ekstraordinære profitter” vil svække et svagt energisystem  13:50: Ordentlig syg offentlig sektor  27:25: Hvad vil det koste at løfte BNP til 2 pct. om året i 2035? 48:10: Ugens Skævert:   55:45 Ugens Lyspunkt:           Links:   https://radio4.dk/podcasts/radio4-debat/bliver-man-syg-af-at-v-re-offentligt-ansat  https://eavis.berlingske.dk/titles/berlingske/280/publications/6702/pages/24/articles/2523590/24/1  https://www.euronews.com/my-europe/2026/04/04/letter-to-eu-from-five-member-states-tax-extra-profits-of-energy-companies?utm_source=chatgpt.com  https://www.berlingske.dk/indland/derfor-skal-aeldre-have-linser-og-maa-undvaere-hakkeboef-det-er-lige-praecis-den-generation-der-har-svinet-allermest-lyder-kritikken?  https://www.berlingske.dk/politik/i-gymnasiet-blev-han-kaldt-kokosnoed-nu-bliver-der-saaet-tvivl-om-hans-danskhed-men-mohammad-rona-vil-ikke-finde-sig-i-det  https://cepos.dk/artikler/arbejdspapir-78-skattepolitikken-op-i-gear/  

I Sverige görs den största upprustningen sedan kalla kriget. Försvarets budget ska upp till 3,5 procent av BNP. Få ifrågasätter den prioriteringen. Men hur stärker vi beredskapen på bästa sätt? Leder krigsekonomin till den starka statens återkomst, med storskaliga beredskapslager och höjda skatter? Eller kan vi lita på omvärldens marknader och den globala handeln?   I detta samtal medverkar Camilla Eriksson, forskare FOI,  Anders Lindberg, politisk chefredaktör Aftonbladet, Elisabeth Lindberg, ekonom och utredare Katalys, Daniel Suhonen, chef Katalys och PM Nilsson, vd Timbro.    Samtalet ägde rum under Bokmässan 2025 och var ett samarrangemang mellan Katalys och Timbro förlag.

Chính quyền Trump hôm 20/04/2026 bắt đầu tiếp nhận đơn của các công ty nhập khẩu Hoa Kỳ đòi hoàn trả 166 tỷ đô la đã phải nộp cho chính phủ từ một năm qua. Tối Cao Pháp Viện Mỹ bác bỏ thẩm quyền của tổng thống áp đặt các các hàng rào thuế quan với toàn thế giới nhưng chiến tranh thương mại do Nhà Trắng khai mào chưa tới hồi kết. Washington thất bại trên ba mục tiêu : kiềm tỏa xuất khẩu Trung Quốc, thu hẹp thâm hụt mậu dịch của Hoa Kỳ và đưa nước Mỹ trở lại trung tâm bàn cờ công nghiệp thế giới. Thay đổi duy nhất là trật tự thương mại quốc tế đã rẽ sang một khúc quanh mới.     Chuyển biến trong một năm, từ Ngày Giải Phóng nước Mỹ 02/04/2025. Đúng hai tháng sau phán quyết ngày 20/02/2026 của Tối Cao Pháp Viện, các công ty nhập khẩu của Mỹ bắt đầu có thể đòi Sở Quan Thuế và Biên Phòng (CBP) hoàn trả 166 tỷ đô la mà họ đã phải nộp từ khi ông Donald Trump ban hành biện pháp thuế đối ứng 02/04/2025. Hiện tại, hơn 330.000 công ty nhập khẩu của Mỹ, đã có 56.500 đòi CBP bồi hoàn. Thủ tục đòi lại tiền thuế cho các doanh nghiệp Mỹ sẽ không đơn giản. Nhìn từ góc độ của người tiêu dùng, câu hỏi quan trọng nhất là liệu các công ty nhập khẩu của Mỹ có hoàn trả lại cho các khách hàng khoản thuế hải quan « không hợp pháp » mà họ đã thu vào từ một năm nay hay không. Trong Vườn Hồng của Nhà Trắng cách nay hơn một năm tổng thống Donald Trump tuyên bố : « Mồng 2 tháng Tư năm 2025 sẽ mãi mãi được khắc khi trong ký ức như một ngày công nghiệp của Hoa Kỳ hồi sinh, ngày để chinh phục lại vận mệnh của nước Mỹ và là ngày đòi lại tài sản cho Hoa Kỳ ». Lập tức thuế hải quan đánh vào hàng nhập khẩu vào Mỹ tăng 10 rồi 50 %. Trong đợt đầu tiên này, Việt Nam bị lãnh mức thuế 46 %. Cam Bốt và Lào là 49 và 47 %. Cả thế giới, từ Liên Hiệp Châu Âu, Anh Quốc, Thụy Sĩ … đến Nhật Bản, Hàn Quốc hối hả đến Washington đàm phán với hy vọng thuyết phục được chính quyền Trump về thiện chí thu hẹp thặng dư mậu dịch với Mỹ. Các nền kinh tế Đông Nam Á không là một ngoại lệ. Sau nhiều vòng đàm phán, tháng 7/2025 Việt Nam cuối cùng đạt được thỏa thuận để hàng xuất khẩu sang Mỹ chịu mức thuế 20 % (thuế 40 % nếu là hàng hóa trung chuyển). Liên Hiệp Châu Âu, Nhật Bản và Hàn Quốc bằng lòng với mức thuế hải quan 15 %. Ấn Độ, Brazil, là những nhà đàm phán không dễ vâng lời. Riêng Trung Quốc là một ngoại lệ : Chẳng những Bắc Kinh không vội vàng thương lượng với Nhà Trắng mà còn tung đòn đáp trả, chuyển từ thế thủ sang thế tấn công đúng nghĩa « ăn miếng trả miếng » để rồi đôi bên tuyên bố « tạm ngừng ». Tháng 10/2025 tổng thống Donald Trump và chủ tịch Tập Cận Bình gặp nhau tại Hàn Quốc và trên nguyên tắc trong hai tuần nữa (tháng 5/2026) nguyên thủ Mỹ công du Bắc Kinh. Thương mại vẫn là trọng tâm thượng đỉnh Mỹ-Trung Cuộc chiến còn dài Tháng 2/2026, gần một năm « Giải Phóng nước Mỹ » với đòn thuế đối ứng, tổng thống Trump phẫn nộ trước phán quyết của Tối Cao Pháp Viện. Ông cho rằng phán quyết này cho phép các đối tác nước ngoài tiếp tục « bòn rút » tài nguyên của Hoa Kỳ. Vào lúc mà các công ty nhập khẩu Mỹ bắt đầu đòi « hoàn trả » 166 tỷ đô la đã nộp « oan uổng » cho chính phủ, thì cũng ông Trump cảnh báo, ông sẽ « để bụng » những doanh nghiệp nào dám đòi được hoàn trả thuế hải quan. Những công ty đó, không « thông minh » và không « yêu nước ». Nhà kinh tế Denis Ferrand giám đốc công ty tư vấn Rexecode-Paris, trên đài phát thanh France Info hôm 21/02/2026 ghi nhận : « Đối với Donald Trump phán quyết của Tối Cao Pháp Viện là một vố đau, bởi vì ông luôn coi thuế quan là cột trụ trong chính sách của mình. Ngay nhiệm kỳ đầu tổng thống Mỹ đã sử dụng lá bài này, nhưng chỉ là để đối đầu với Trung Quốc. Rồi Washington và Bắc Kinh đã liên tục đàm phán … Trong nhiệm kỳ 2 Trump lại đem chiêu bài này ra nhưng là để áp đặt với toàn thế giới. Ông coi đây là một công cụ để đạt được những mục tiêu đã đề ra, thậm chí là công cụ để gây áp lực, để đòi các đối tác thương mại của Hoa Kỳ đầu tư trên đất Mỹ, làm sống lại nền công nghiệp của Hoa Kỳ, để rồi Mỹ lại đóng vai trò đầu tàu dẫn dắt thế giới ». Nhưng tổng thống Mỹ không chịu buông tay. Ngay sau phán quyết của Tối Cao Pháp Viện, Donald Trump lập tức ban thêm một đợt thuế mới 15 % (ban đầu là 10 %) có hiệu lực trong vòng 150 ngày. Cho đến tuần này, lãnh đạo Nhà Trắng vẫn dùng đòn thuế quan, công cụ ông yêu thích nhất, để đòi phạt các đối tác không ủng hộ Mỹ trong cuộc chiến chống Iran, không giúp Hoa Kỳ mở cửa eo biển Hormuz đang bị Iran phong tỏa. Cần lưu ý rằng phán quyết hôm 20/02/2026 của Tối Cao Pháp Viện Mỹ không liên quan đến một số trường hợp như thuế đánh vào nhôm, thép (vẫn là 50 %) và xe hơi (vẫn là 25 %) của nước ngoài bán sang thị trường Mỹ. Nói cách khác, cuộc chiến thuế quan Donald Trump khởi xướng chưa tới hồi kết. Thuế đối ứng, gánh nặng đối với Hoa Kỳ Trong 12 tháng qua, các nạn nhân đầu tiên từ chính sách này là người tiêu dùng ở Mỹ. Isabelle Méjean chuyên gia về thương mại quốc tế trường Khoa Học Chính Trị Paris giải thích trên kênh truyền hình Pháp Public Sénat :  « Người tiêu dùng Mỹ trả giá cho các đòn thuế quan đó. Hơn nữa chính sách này đã không cho phép khởi động lại đầu tư vào các nhà máy công nghiệp ở Hoa Kỳ như từng hứa hẹn, và cũng không đem lại việc làm cho người lao động. Trong năm qua kinh tế và chứng khoán phát triển nhờ những khoản đầu tư rất lớn vào công nghệ trí tạo thông minh (…) Cả thế giới lập tức lao vào một cuộc chạy đua với thời gian để đàm phán với Washington, mong được giảm mức thuế khi xuất khẩu hàng sang Hoa Kỳ, để tránh phải trực diện lao vào một cuộc đối với chính quyền Trump. Do vậy có thể nói về phương diện ngoại giao, Donald Trump đã ghi được một bàn thắng khi củng cố vị trí của nước Mỹ ». Bộ Tài Chính Mỹ thu tiền của dân Mỹ Kinh tế trưởng của ngân hàng Pháp BNP, Nathalie Benatia phân tích thêm :   « Rất rõ ràng là người tiêu dùng Mỹ gánh chịu các khoản chi phí phụ trội. Thành công duy nhất là khi tăng thuế hải quan, bởi đây là một hình thức thu thuế, nên tiền mà chính quyền liên bang thu vào được nhiều hơn, ước tính là đã thu thêm được khoảng 264 tỷ đô la trong năm 2025. Để so sánh, hồi 2024 khoản thu vào từ thuế hải quan này chỉ là 80 tỷ đô la. Nhưng chỉ cần đặt câu hỏi, ai đã chuyển số tiền 264 tỷ đó vào công quỹ Nhà nước thì câu trả lời hiển nhiên là người dân Mỹ, là người tiêu dùng ở Mỹ. Có điều với quyết định của Tòa Án Tối Cao hôm 20/02/2026 thì 2 phần ba khoản bội thu 264 tỷ vừa nói, có thể sẽ phải hoàn trả lại cho các công ty nhập khẩu của Hoa Kỳ, nếu có yêu cầu, để rồi số này phải trả lại cho khách hàng … » Theo nghiên cứu của viện nghiên cứu của Đức, Kiel Institute, 96 % thuế hải quan mà tổng thống Trump ban hành là do các công ty và người tiêu dùng ở Mỹ gánh chịu, 4 % còn lại đè nặng lên các nhà sản xuất và xuất khẩu muốn chen chân vào thị trường Hoa Kỳ. Báo cáo của đại học Yale chỉ ra rằng trong năm 2025, trung bình mỗi hộ gia đình ở Mỹ phải chi thêm 1.751 đô la vì các biện pháp thuế quan nói trên. Điều đó cũng có nghĩa là vì loại thuế này mà lạm phát ở Mỹ tăng lên thêm trong năm qua. Giá tiền ga tăng 11 % (trước khi nổ ra chiến tranh Trung Đông), tiền điện tăng thêm 6,7 %. Thất bại 3 KHÔNG  Về câu hỏi thuế đối ứng của Mỹ có cho phép Hoa Kỳ thu hẹp nhập siêu với các bạn hàng hay không thì câu trả lời là không. Báo cáo Brookings Papers on Economic Activity công bố tháng 3/2026 kết luận « chính sách thuế quan của ông Trump khiến 2025 trở thành một năm đặc biệt có nhiều biến động về kinh tế ». Trung Quốc cũng như châu Âu không phải là những bên gánh chịu nặng nhất thuế hải quan của ông Trump. Theo Cục Dự Trữ Liên Bang Hoa Kỳ, thâm hụt mậu dịch của Mỹ trong năm 2025 tăng thêm 2 % so với hồi 2024 và đạt ngưỡng kỷ lục 1.240 tỷ đô la. Trong khi đó ngành xuất khẩu của Trung Quốc vẫn an toàn : xuất khẩu sang Mỹ giảm 20 % năm ngoái nhưng lại tăng mạnh tại châu Âu (+28 %)  và nhất là sang các nước Đông Nam Á (+29 %). Thuế hải quan có thôi thúc các nhà sản xuất quốc tế ồ ạt đầu tư vào Mỹ để phát triển mạng lưới công nghiệp của Hoa Kỳ hay không, câu trả lời là không. Trong năm 2025 công nghiệp Mỹ sa thải 100.000 nhân viên. 15 hiệp định tự do mậu dịch, Mỹ đứng ngoài  Tuần báo kinh tế Anh The Economist ghi nhận, chính sách thương mại của Hoa Kỳ mang nặng màu sắc bảo hộ nói trên là động lực thúc đẩy cộng đồng quốc tế ký kết 15 thỏa thuận thương mại quan trọng trong năm vừa qua. Từ tháng 5 đến tháng 12/2025 tổng trao đổi mậu dịch giữa Anh, Canada Liên Âu, Nhật Bản, Hàn Quốc và Thụy Sĩ tăng thêm 5 %. Theo thống kê của hải quan Trung Quốc công bố tháng 1/2026, trong năm 2025, thặng dư mậu dịch nước này lên tới 1.189 tỷ đô la - tương đương với GDP của quốc vương dầu hỏa Ả Rập Xê Út, tăng thêm 20 % so với tài khóa 2024. Ông Trump thất bại trong việc kiềm tỏa các nhà xuất khẩu của đối thủ thương mại lớn nhất và nguy hiểm nhất trong mắt Hoa Kỳ.  Có điều trong một năm qua tổng thống Hoa Kỳ đã làm đảo lộn trật tự thế giới trên bàn cờ thương mại, như Erwan Benazet của báo Le Parisien ghi nhận : « Chúng ta đang đứng trước một chuyển biến, thay đổi cục diện thương mại toàn cầu, một bước ngoặt trong giao thương quốc tế từ hơn 50 năm qua. Trong thời gian gần đây, cụm từ thường được nhắc đến nhiều nhất là ‘chủ quyền', là ‘tự chủ'. Các nền kinh tế càng lúc càng tìm cách đa dạng hóa các nguồn cung ứng và tìm kiếm thêm những thị trường thay thế ». Công cụ thuế quan của chính quyền Donald Trump không phân biệt « các nước bạn và thù » mà điển hình là Canada hay Mêhicô sát cạnh đều lãnh búa rìu của Nhà Trắng. Trong tinh thần đó hơn bao giờ hết, Canada đã thắt chặt thêm quan hệ với Liên Âu. Du khách Canada thăm Mỹ vắng dần. Theo hiệp hội du lịch USA Travel Association, ngành lịch Mỹ thất thu 4 tỷ đô la năm ngoái do lượng du khách Canada giảm 20 %.

Hvis en uge nogensinde skal navngives ”Superugen”, så er kommende uge én af topkandidaterne!Ud over den fortsatte nyhedsstrøm fra Mellemøsten, så kommer der regnskab fra fem af verdens største selskaber, mens rentemøder i både Fed, ECB og BoE også står som højintense events – og som om dette ikke var nok krydres det hele med første kvartals BNP-estimater og forbrugerpriser fra både USA og Eurozonen.Ja, markederne skal i den grad testes ift. effekter af krigen i Mellemøsten samt AI-appetitten i løbet af ugen.

Polskie banki i bankowość pozostają innowacyjne, ale przewaga nad zagranicznymi instytucjami nie jest już tak duża jak kiedyś – podkreśla prezes BNP Paribas Bank Polska, Przemek Gdański. O miejscu, w którym znalazł się polski sektor bankowy, zyskach, kredytach, dywidendach i podatkach rozmawiamy w najnowszym odcinku podcastu Procent Składany.

There is no secret formula to get wisdom and understanding. And there are certain tests to help you determine if someone is wise. Scripture read from the World English Bible.All of the Bible News Press recordings are hosted on The Happy Homeschool website. For links mentioned, please go to: https://thehappyhomeschool.com/delving-into-proverbs-chapter-9-fellowship-summary-for-4-19-2026/To sign up for the BNP email newsletter go here: https://thehappyhomeschool.com/edify-one-another

At the 19th World Congress of the Societies of Anaesthesiologists (WCSA 2026) in Marrakesh, TopMedTalk welcomes Desiree Chappell back alongside Kate Leslie to interview Professor Palesa Motshabi-Chakane, Associate Professor and Head of Anaesthesiology at the University of the Witwatersrand and her colleague, Dr Mullai Slave a PhD candidate at University of the Witwatersrand. They discuss a study of 629 women undergoing cesarean section with spinal anesthesia at Chris Hani Baragwanath Hospital, where 23–33% are HIV positive. Using standard monitoring plus BD APM noninvasive continuous hemodynamic monitoring, they compared HIV-positive and HIV-negative patients and found higher hypotension incidence in HIV-positive women (68% vs 64%), with lower heart rate and lower cardiac index over 60 minutes. Additional testing included echocardiography with speckle tracking, pro-BNP, and autonomic assessments, with HIV-positive patients showing stiffer ventricles; Apgar scores did not differ. They discuss replication, multicenter research, and potential machine-learning tools to predict hypotension risk, and describe BD Advanced Patient Monitoring grant support enabling equipment, sensors, staffing, and training (~200 staff) to complete data collection in about six months. Edwards Lifesciences is now known as Becton Dickinson Advanced Patient Monitoring (BD APM). Desiree Chappell, former Co Editor in Chief of TopMedTalk, is now Director, Medical Science Liaison, Medical Affairs, BD Advanced Patient Monitoring. The views expressed on this program are her own and not those of her employers. We mention Adrian Gelb, if you'd like to hear his recent conversation with us go here: https://topmedtalk.libsyn.com/professor-adrian-gelb-on-patient-safety-and-essential-medicines-in-anaesthesia -- Join us at Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London. Be part of a global conversation as clinicians from around the world gather between 7-9th July at the British Library in London. Three days of evidence-based perioperative medicine, global insights, and expert debate—featuring speakers including Michael Marmot and Ken Rockwood. Register here - https://ebpom.org/product/ebpom-world-congress-2026/  

Contributor: Aaron Lessen, MD Educational Pearls: Patients with pulmonary embolism (PE) are divided into three risk categories Low risk (non-massive PE): patients are stable Treatment: prescribe anticoagulants and discharge home Intermediate risk (submassive PE): patients are stable but display evidence of clot burden such as elevated troponin, elevated BNP, and/or right heart strain Treatment is controversial High risk (massive PE): patients are unstable with hypotension, hypoxia, and/or respiratory distress Treatment: IV thrombolysis to prevent decompensation A recent randomized controlled trial evaluated treatment of intermediate risk PE patients Patients were randomized to receive either thrombectomy with anticoagulation or anticoagulation alone The primary outcome evaluated changes in right ventricular enlargement at 48 hours A controversial primary outcome because it does not speak to mortality or incidence of other necessary aggressive interventions Low clinical significance The study found that thrombectomy significantly reduced right ventricular enlargement faster than anticoagulation alone. However, there was no statistical difference in mortality or need for other treatments Treatment for intermediate risk PE patient remains controversial The same study will have second follow-up at 90 days to see if there are other benefits References Lookstein RA, Konstantinides SV, Weinberg I, Dohad SY, Rosol Z, Kopeć G, Moriarty JM, Parikh SA, Holden A, Channick RN, McDonald B, Nagarsheth KH, Yamada K, Rosovsky RP; STORM-PE Trial Investigators. Randomized Controlled Trial of Mechanical Thrombectomy With Anticoagulation Versus Anticoagulation Alone for Acute Intermediate-High Risk Pulmonary Embolism: Primary Outcomes From the STORM-PE Trial. Circulation. 2026 Jan 6;153(1):21-34. doi: 10.1161/CIRCULATIONAHA.125.077232. Epub 2025 Nov 3. PMID: 41183181. Summarized by Meg Joyce, MS2 | Edited by Meg Joyce & Jorge Chalit, OMS4 Donate: https://emergencymedicalminute.org/donate/

When you consider Paul's statement about our bodies being earthly tents, it makes you consider the Feast of Tabernacles differently, not simply as an ancient or Jewish feast, but as something that pertains to our lives and the promises we look forward to. All of the Bible News Press recordings are hosted on The Happy Homeschool website. For links mentioned, please go to: https://thehappyhomeschool.com/following-the-feast-of-tabernacles-through-the-bible/To sign up for the BNP email newsletter go here: https://thehappyhomeschool.com/edify-one-another

Nous commençons l'émission par Haïti, où les viols se sont multipliés avec l'extension du domaine des bandes armées qui contrôlent 80% de Port-au-Prince, elles ont multiplié les crimes sexuels pour imposer la peur et leur domination. Les femmes et les enfants y sont exposés. En 2è partie, l'islam radical aurait pu remporter les élections au Bangladesh en février 2026, mais finalement Jamaat-e-Islami a fait mentir les sondages et le souffle de la jeunesse aux espoirs démocratiques l'a emporté.  Violées par les gangs en Haïti, parole aux survivantes Port-au-Prince : la capitale d' Haïti. Les gangs y sont omniprésents et avec leur avancée, le nombre de viols a considérablement augmenté ces dernières années. Si ces crimes sexuels ne sont pas nouveaux, les bandes armées qui contrôlent 80% de la ville, sont de plus en plus violentes, pour imposer la peur et leur domination. Les femmes de tout âge et les enfants y sont exposés.  Nos envoyés spéciaux à Port-au-Prince ont rencontré celles qui ont survécu, et qui tentent de surmonter le traumatisme. Un Grand reportage d'Achim Lippold et Justine Fontaine (avec la collaboration d'André Paultre). Entretien avec Jacques Allix. Le Bangladesh face à son destin : entre soif de renouveau et risque sécuritaire Le Bangladesh a renoué avec des élections libres, le 12 février 2026. Un souffle démocratique balaie ce géant asiatique de plus de 150 millions d'habitants après quinze ans d'autoritarisme. Le triomphe massif du BNP de Tarique Rahman a déjoué les pronostics. Malgré une identité musulmane profonde, les électeurs ont rejeté les ambitions théocratiques du Jamaat-e-Islami.  Tout un peuple exige désormais une transformation radicale, sous la pression d'une « Génération Z » dont le soulèvement a fait tomber le régime de fer de Sheikh Hassina. Un Grand reportage d'Abdoollah Earally qui s'entretient avec Jacques Allix.

Le Bangladesh a renoué avec des élections libres, le 12 février 2026. Un souffle démocratique balaie ce géant asiatique de plus de 150 millions d'habitants après quinze ans d'autoritarisme. Le triomphe massif du BNP de Tarique Rahman a déjoué les pronostics. Malgré une identité musulmane profonde, les électeurs ont rejeté les ambitions théocratiques du Jamaat-e-Islami.  Tout un peuple exige désormais une transformation radicale, sous la pression d'une « Génération Z » dont le soulèvement a fait tomber le régime de fer de Sheikh Hassina.   « Le Bangladesh face à son destin : entre soif de renouveau et risque sécuritaire », un Grand reportage d'Abdoollah Earally. 

Episode 215: Meth-associated HFrEF.   Abishak and Zat (medical students) explain the cardiotoxic effect of methamphetamine and the diagnosis and treatment of heart failure with reduced ejection fraction (HFrEF). Dr. Arreaza adds insight into the reversibility of meth-associated HFrEF.   Written by Abishak Govindarajan, MSIV and Zat Akbar Shaw. American University of the Caribbean. Edits and comments by Hector Arreaza, MD. Welcome Dr. Arreaza: Welcome to Rio Bravo qWeek. My name is Hector Arreaza, family physician, faculty and associate program director of the Clinica Sierra Vista/Rio Bravo Family Medicine Residency Program. Today we will explore heart failure with reduced ejection fraction, a high-yield and clinically relevant topic in medicine. We will discuss the role of methamphetamine use in the development of HFrEF. This is a pressing issue because about 0.8% of the population 12 and older in the US reported using methamphetamine within the past 12 months in 2024 (National Survey on Drug Use and Health, NSDUH), that's about ≈2.4 million people!We are joined by two aspiring physicians who will help explore this topic. By the way, we will refer to methamphetamine in this episode as “meth”. [Abishak and Akbar introduce themselves] Abishak: [Introduce yourself] The role of meth in HFrEF Dr. Arreaza: Meth is a growing problem in many places, including Bakersfield, where we live. Meth is also known as Meth Crystal, Poor man's cocaine, Ice, Glass, Crank, Speed, Chalk, and Tina. How does meth contribute to the development of HFrEF? Abishak: So, first, let's understand how methamphetamine works. It has a chemical structure similar to dopamine and norepinephrine, and it gets taken up through the neuron transporter proteins. Once it enters the synaptic vesicles (storage sacs for neurotransmitters), it displaces and forces the release of large amounts of dopamine, norepinephrine, and serotonin into the synapse (the space between neurons). Additionally, meth blocks the reuptake of those neurotransmitters into the neuron, ensuring they remain in the synapse for a prolonged period. All this causes a downstream effect of increased sympathetic pathways in the body. Diagnosis Dr. Arreaza: The diagnosis starts with collecting a good history and performing a complete physical exam, and then we confirm with an echocardiogram.  Abishak: Yes, diagnosis requires both symptoms consistent with heart failure and objective evidence of reduced ejection fraction. Echocardiography is the primary diagnostic tool. We also measure BNP. In certain cases, cardiac MRI is used to evaluate myocardial fibrosis and exclude infiltrative or inflammatory etiologies. Coronary angiography may be performed if ischemic disease is suspected.Guideline-Directed Medical Therapy Dr. Arreaza: GDMT Guideline-Directed Medical Therapy started around 1987 when ACE inhibitors were proven to improve mortality in patients with heart failure. Then, during the following decades, many medications have been added to GDMT. Until around 2019–2022 we came out with the main 4 groups of medications that we know as GDMT. Let's talk about GDMT. Akbar: There are four core pillars in GDMT. First, an angiotensin receptor-neprilysin inhibitor, such as sacubitril with valsartan (Entresto), is preferred over ACE inhibitors when tolerated. This medication reduces mortality and heart failure hospitalizations. Second, evidence-based beta blockers including carvedilol, metoprolol succinate, or bisoprolol are used to reduce sympathetic overactivity and improve ventricular remodeling. Third, mineralocorticoid receptor antagonists such as spironolactone or eplerenone reduce fibrosis and improve survival. The Fourth pillar is SGLT2 inhibitors such as dapagliflozin or empagliflozin, which provide significant reductions in heart failure hospitalizations and cardiovascular mortality, regardless of diabetes status. Abishak: Other main parts of the treatment are diuretics, which are used for symptom control but do not reduce long-term mortality. Dr. Arreaza: As a recap: The current 4 pillars of GDMT are: ARNI/ACEi + β-blocker + MRA + SGLT2i)  Beta Blocker Considerations Dr. Arreaza: Sometimes we may be concerned about using beta blockers in active meth users. What did you read about it? Abishak: Historically, there was concern about unopposed alpha stimulation. However, in chronic heart failure, beta blockers remain essential. Carvedilol is often favored because it provides both alpha and beta blockade. Careful titration and close monitoring are critical.Reversibility and Remodeling Dr. Arreaza: Regarding meth-associated HFrEF, we have good news for meth users. Tell us about how reversible this condition is.  Akbar: It can be reversible. One of the most important aspects of this condition is that significant reverse remodeling may occur if the patient stops methamphetamine use and adheres to medical therapy. The Left ventricular ejection fraction can improve substantially and, in some cases, normalize. On the other end of the spectrum, continued meth use may lead to progressive fibrosis, ventricular dilation, and potentially irreversible damage, leading to death.Complications of meth-associated HFrEF Abishak: These patients are at increased risk for ventricular arrhythmias, sudden cardiac death, left ventricular thrombus formation, and progressive pulmonary hypertension. If the ejection fraction remains below 35 percent after at least three months of optimized therapy, implantable cardioverter-defibrillator (known as ICD) placement should be considered for primary prevention.Addiction Treatment as Core Therapy Dr. Arreaza: It sounds like GDMT cannot be done without talking about meth use disorder treatment. Akbar: Absolutely. Treating the myocardium without addressing the substance use disorder is ineffective. Primary care providers can be trained to manage addictions, but if resources are available, you can place a referral to addiction medicine, psychiatric support, behavioral therapy, and social support services. This is an essential part of the treatment. Sustained abstinence is the single most powerful predictor of recovery.Prognosis Abishak: Prognosis is highly dependent on abstinence. Patients who stop using methamphetamine often experience meaningful improvement in EF and even return to normal.  Dr. Arreaza: Yes, the key factor is complete abstinence, plus standard heart failure treatment. If the damage is mostly functional and inflammatory, recovery is possible. If there is extensive fibrosis (scar) recovery is less likely. Observational studies have shown that patients with meth-associated cardiomyopathy who stop using meth have significant improvement in EF over 3–12 months, fewer hospitalizations, and lower mortality. Akbar: Absolutely. Not all meth-associated cardiomyopathy behaves the same way. The extent of fibrosis determines recovery potential. Cardiac MRI with late gadolinium enhancement can help us estimate scar burden. Patients with minimal fibrosis often have better improvement with abstinence and medical therapy. Dr. Arreaza: So, MRI can actually help us determine the prognosis. Abishak: Yes, very much so. If MRI shows extensive fibrosis, the likelihood of full EF recovery is lower. That information helps us counsel patients more accurately. Akbar: Another key issue is right ventricular involvement. Methamphetamine can affect both ventricles. When the right ventricle fails, patients may develop severe peripheral edema, ascites, and hepatic congestion. Right ventricular dysfunction also worsens prognosis significantly. Dr. Arreaza: And pulmonary hypertension can also worsen the whole picture.  Akbar: That's correct. Meth is associated with pulmonary arterial hypertension independently of left-sided heart failure. In some patients, you may see a combined picture of both pulmonary vascular disease and right ventricular dysfunction. That can make management more complicated because pulmonary pressures may remain elevated even after EF improves. Dr. Arreaza: Tells us about the role of BNP in monitoring these patients.  Abishak: Serial BNP levels can help track response to therapy. Additionally, troponin may be elevated at times in meth users due to myocardial injury. Monitoring renal function is critical because many heart failure medications affect kidney function and potassium levels. Akbar:Other lifestyle modifications include sodium restriction, regular follow-ups, vaccination, and avoidance of other cardiotoxic substances such as alcohol or cocaine. Sleep disorders, especially OSA, should be evaluated because untreated OSA worsens heart failure outcomes. Dr. Arreaza: WhatIs there any role for wearable devices or remote monitoring? Abishak: Yes, increasingly so. Remote weight monitoring, blood pressure tracking, and symptom reporting can reduce hospitalization. In select patients, implantable hemodynamic monitors may help detect rising filling pressures before symptoms occur. Dr. Arreaza: It was a great discussion. Thank you, Abishak and Akbar for bringing all that valuable information to us. Let's wrap it up.     

This inaugural episode of the CardioNerds Pulmonary Embolism (PE) Series explores the evolution of acute PE care. Dr. Ibrahim Zahid, Dr. Dinu Balanescu, and Dr. Billy Joe Mullinax join guest expert Dr. Kenneth Rosenfield to discuss the shifting landscape of PE management. Pulmonary embolism (PE) remains a leading cause of cardiovascular mortality and a frequent diagnostic challenge, often masquerading as myocardial infarction or a benign illness. Over the past decade, PE care has evolved from anticoagulation-only strategies to nuanced, risk-stratified, multidisciplinary management. Modern approaches integrate hemodynamics, biomarkers, and advanced imaging to guide therapy, including catheter-directed interventions and large-bore thrombectomy. The Pulmonary Embolism Response Team (PERT) model addresses historical gaps by coordinating rapid, multispecialty decision-making and standardizing care pathways. The PERT Consortium further advances PE care through education, research, and the world's largest PE registry, while fostering leadership and research opportunities for trainees. Despite advances, long-term outcomes and post-PE syndromes remain important areas for future investigation. Audio editing by CardioNerds Academy intern, student doctor, Pace Wetstein. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Pulmonary Embolism PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls PE is a “master masquerader”—maintain suspicion for atypical presentations like myocardial infarction, heart failure, flu, or anxiety. Multidisciplinary management mediated through pulmonary embolism response teams improves outcomes and standardizes care. Risk stratification integrates hemodynamics, biomarkers, and imaging. Advanced therapies have expanded beyond anticoagulation. Long‑term follow‑up and post‑PE syndrome need more research. Notes Notes: Notes drafted by Dr. Ibrahim Zahid. 1. How has the clinical approach to PE changed over the past decade? PE is the third leading cause of cardiovascular death and historically under‑recognized. Symptoms mimic MI, HF, asthma, syncope, and more.PE is a silent killer, and it should be recognized more as a cause of spontaneous cardiac arrest. Where life threatening disease like stroke which is owned by neurological specialists and MI is primarily managed by cardiac specialists, PE is an entity without a professional home. The PERT Consortium brings the specialties together for PE care. 2. Ten years ago, a 58-year-old patient with a large bilateral PE, RV dilation, and positive biomarkers might have been managed with anticoagulation and close observation alone. Today, with evolving—but still uneven—data on advanced therapies, PE care feels far more nuanced and highly dependent on where you practice. What are the major gaps in traditional PE management that clinicians should recognize, and what care pathways should they be aware of across different hospital systems? Care has shifted from anticoagulation‑only to multidisciplinary approaches like catheter directed thrombectomy. Risk‑based pathways and the use of CT angiogram has improved early recognition. Risk stratification tools must be used as tools for early recognition of intermediate risk PE. Untreated PE leads to chronic complications like chronic thromboembolic disease and chronic thromboembolic pulmonary hypertension, which requires long term clinic follow up. 3. What is the role of risk stratification tools such as PeSI, sPeSI scores, cardiac biomarkers, and imaging findings in PE, and how do they guide treatment decisions in real world practice? Integrate vitals (blood pressure and heart rate), biomarkers (troponin, pro-BNP), RV/LV ratio assessment, acid‑base status, and scores. Tools include PESI, sPESI, BOVA, HESTIA, FAST, Geneva, NEWS, shock index. Vitals, lactate, acid-base status, and tools like NEWS or shock index track clinical evolution. PESI/sPESI estimate 30-day mortality and help identify low-risk patients who may be candidates for early discharge or outpatient therapy. Clinical judgment matters—scores don't fully capture clot burden, trajectory, or bleeding risk. 4. How was the pulmonary embolism response team created, and since its creation, what evidence or outcome data became available to support the PERT model? Originated after a sentinel case at MGH: A young, pregnant woman in her 30s, who collapsed at home, underwent thrombectomy, and had to be on ECMO for a few days. The case brought cardiology, cardiac surgeons and critical care physicians together for planning and improvement in her health, which was rewarding. Thereby, it was decided to bring specialties involved in PE care together to create a response team. The name of the team, Pulmonary Embolism Response Team (PERT), was coined by Richard Channick in the first meeting. Posters were set up all over the hospital to call a centralized line when an acute PE is recognized A meeting was held to present the concept of putting together a consortium, with development of action items and a PERT database. Enabled rapid multidisciplinary input using early teleconferencing tools. 5. Given concerns about having too many ‘cooks in the kitchen' during the initial PE call—especially with rotating teams—how can institutions reconcile workflow complexity with standardized pathways in a way that meaningfully supports and justifies the added burden on frontline clinicians? Every hospital's PERT is different, catering to their needs and workflow At least two disciplines are needed to make a PERTData is currently being collected to guide further on how the workflow can be standardized Most importantly, the team brings in resources that were not available prior to PERT formation. 6. What are the main goals of the PERT consortium, and how does it support clinicians and institutions involved? To improve care and improve outcomes for patients with PE Expand education, refine algorithms, standardize care with Centers of Excellence. Maintain the largest PE registry for research and outcomes improvement. 7. Beyond global networking, shared learning from successful systems, and the pathway toward Center of Excellence designation, what additional benefits can clinicians and health systems gain by participating in the PERT Consortium? The ability to learn from other systems, the ability to share experiences. Allow people to develop their professional careers like leadership experience, becoming a member of the trainee council Initiate projects and receive funding for your ideas 8. For trainees interested in pulmonary embolism care, how can a trainee be a champion at their institution? Does PERT provide assistance and how can they really contribute meaningfully even before becoming a fellow/attending? Medical students and residents interested in PE should reach out to the consortium and the consortium will hook you up with the correct mentors who can nurture you along. Listen to the podcasts. Participate with your local PERT team PERT wants involvement of people who are social media savvy to help spread the word on PE. Top three take-away points from this episode Acute PE care has advanced and multiple treatment modalities for acute PE including catheter directed therapy, large bore thrombectomy, are becoming standard of care. Multidisciplinary models like PERT improve coordination and outcomes. Trainees play a vital role in advancing PE care through involvement, research, and education References Konstantinides SV, Meyer G, Becattini C, Bueno H, Geersing GJ, Harjola VP, Huisman MV, Humbert M, Jennings CS, Jiménez D, Kucher N, Lang IM, Lankeit M, Lorusso R, Mazzolai L, Meneveau N, Ní Áinle F, Prandoni P, Pruszczyk P, Righini M, Torbicki A, Van Belle E, Zamorano JL; ESC Scientific Document Group. 2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS). Eur Heart J. 2020 Jan 21;41(4):543-603. doi: 10.1093/eurheartj/ehz405. PMID: 31504429. https://pubmed.ncbi.nlm.nih.gov/31504429/ Rosovsky R, Zhao K, Sista A, Rivera-Lebron B, Kabrhel C. Pulmonary embolism response teams: Purpose, evidence for efficacy, and future research directions. Res Pract Thromb Haemost. 2019 Jun 9;3(3):315-330. doi: 10.1002/rth2.12216. PMID: 31294318; PMCID: PMC6611377. https://pmc.ncbi.nlm.nih.gov/articles/PMC6611377/ Rosenfield K, Bowers TR, Barnett CF, Davis GA, Giri J, Horowitz JM, Huisman MV, Hunt BJ, Keeling B, Kline JA, Klok FA, Konstantinides SV, Lanno MT, Lookstein R, Moriarty JM, Ní Áinle F, Reed JL, Rosovsky RP, Royce SM, Secemsky EA, Sharp ASP, Sista AK, Smith RE, Wells P, Yang J, Whatley EM; Pulmonary Embolism Research Collaborative (PERC) Attendees. Standardized Data Elements for Patients With Acute Pulmonary Embolism: A Consensus Report From the Pulmonary Embolism Research Collaborative. Circulation. 2024 Oct;150(14):1140-1150. doi: 10.1161/CIRCULATIONAHA.124.067482. Epub 2024 Sep 12. PMID: 39263752; PMCID: PMC11698503. https://pubmed.ncbi.nlm.nih.gov/39263752/ Sharifi M, Awdisho A, Schroeder B, Jiménez J, Iyer P, Bay C. Retrospective comparison of ultrasound facilitated catheter-directed thrombolysis and systemically administered half-dose thrombolysis in treatment of pulmonary embolism. Vasc Med. 2019 Apr;24(2):103-109. doi: 10.1177/1358863X18824159. Epub 2019 Mar 5. PMID: 30834822. https://pubmed.ncbi.nlm.nih.gov/30834822/ Pandya V, Chandra AA, Scotti A, Assafin M, Schenone AL, Latib A, Slipczuk L, Khaliq A. Evolution of Pulmonary Embolism Response Teams in the United States: A Review of the Literature. J Clin Med. 2024 Jul 8;13(13):3984. doi: 10.3390/jcm13133984. PMID: 38999548; PMCID: PMC11242386. https://pubmed.ncbi.nlm.nih.gov/38999548/ Rivera-Lebron B., McDaniel M., Ahrar K., Alrifai A., Dudzinski D.M., Fanola C., Blais D., Janicke D., Melamed R., Mohrien K., et al. Diagnosis, Treatment and Follow Up of Acute Pulmonary Embolism: Consensus Practice from the PERT Consortium. Clin. Appl. Thromb. Hemost. 2019;25:1076029619853037. doi: 10.1177/1076029619853037.https://pubmed.ncbi.nlm.nih.gov/31185730/

Why did Matthew Hayden go to Bellandur? Why will the Wankhede Stadium be filled with Zimbabwe fans for the India v England semifinal? Why should Hardik Pandya stop not looking at the ball, and start looking after his watch carefully? Was Sanju Sehwag's smashathon his best innings in India colours? A few answers, a lot more questions and plenty of laughs, hopefully, in the latest BnP with Iman, Max, PDP and Knittins.

Internationella bedrägeriföretag med bas i Sydostasien omsätter mer än flera länders BNP. Vilka är offer och förövare, i den här växande industrin? Lyssna på alla avsnitt i Sveriges Radios app. Medverkande: Johan Lindström, företagare som driver ett hockeyutbildningsföretag i Stenungsund, Björn Seth, polisens nationella bedrägericentrum, Mech Dara, frilansjournalist, Winston Casio, talesperson för The Presidential Anti-Organized Crime Commission (PAOCC), Jacob Sims, expert på Harvard universitetets Asiencenter, Lin, tjej från centrala Kina som letar efter sin försvunne bror, ”Herr Guo”, bonde från centrala Kina som letar efter sin försvunne son, John Wojcik, senior analytiker på cybersäkerhetsföretaget Infoblox, Monika Steffens från Katrineholm och Violet Petersson från Orust, som båda utsatts för varsitt romansbedrägeri, och som efter det har startat en föreningen för att hindra att fler utsätts.Programledare: Kajsa Boglindkajsa.boglind@sr.seReportrar: Axel Kronholm, Johanna Sjöqvist Harland, Moa KärnstrandTekniker: Rasmus HåkansProducent: Ulrika Bergqvistulrika.bergqvist@sr.se

In interview to Bangla paper, Shahabuddin slams previous Yunus administration, including student leaders who led July Uprising, alleges ‘conspiracies' to remove him, thanks BNP & army.----more----https://theprint.in/world/multiple-plots-to-overthrow-me-bangladesh-president-says-yunus-govt-created-constitutional-vacuum/2861302/

METs and VA Disability Ratings — What Veterans Should Know About Heart ClaimsHosted by: Leah Bucholz, Founder & CEO of Prestige Veteran Medical Consulting

ဘင်္ဂလားဒေ့ရှ်မှာရွေးကောက်ပွဲနိုင် BNPပါတီခေါင်းဆောင် တာရစ်ရာမန်ဝန်ကြီးချုပ်သစ်ဖြစ်လာပြီ

The global ship recycling market saw another shift in Week 7 of 2026 as key fundamentals moved in different directions across the sub-continent. The Baltic Dry Index declined by 0.6 percent, mainly due to weaker Capesize and Panamax performance, while Supramax rates improved. Oil prices held near USD 62.8 per barrel as markets continued to monitor U.S. and Iran tensions. In this week's episode, Ingrid and Henning discuss how the U.S. Dollar strengthened against most recycling nation currencies, with India being the exception as the Rupee improved to around INR 90.6. Steel plate prices reversed course in India, falling nearly USD 10 per ton, while Pakistan maintained the strongest fundamentals in the region with plate prices holding near USD 594 per ton. Bangladesh reached a political milestone as the BNP secured a more than two-thirds majority in the general elections. The result is expected to support long-delayed infrastructure projects and could improve domestic steel demand in the months ahead. The country also adopted the International Ready for Recycling Certificate framework, aligning with regional compliance requirements under the Hong Kong Convention. Steel plate prices in Bangladesh remained flat near USD 494 per ton, while the Taka weakened slightly. Pakistan continued to lead pricing tables, supported by firm steel levels, stable currency performance near PKR 279.6, and rising anchorage activity totaling nearly 30,000 LDT across multiple bulk carriers. India's anchorage activity also remained active with more than 47,000 LDT present, despite softer steel prices. Turkey remained quiet, with limited activity in Aliaga and the Lira weakening toward TRY 44. This episode covers demolition pricing direction, steel and currency movements, port activity in Alang, Chattogram, and Gadani, and the ongoing shortage of recycling candidates. The discussion is intended for shipowners, cash buyers, recyclers, brokers, and maritime professionals following developments in the global demolition market

भारत-पाकिस्तान मैच से पहले स्टेडियम में सुरक्षा बढ़ाई गई, राजनाथ सिंह बेंगलुरु में फ्रांस की मंत्री कैथरीन वॉत्रिन के साथ वार्षिक रक्षा संवाद की सह-अध्यक्षता करेंगे, इमैनुएल मैक्रों भारत दौरे पर प्रधानमंत्री मोदी से मुलाकात करेंगे, लखनऊ में नसीमुद्दीन सिद्दीकी ने कांग्रेस छोड़ समाजवादी पार्टी जॉइन की, एनवीडिया के सहयोग से देश की पहली AI यूनिवर्सिटी स्थापित की जाएगी, बांग्लादेश में BNP नेता तारीक रहमान 17 फरवरी को प्रधानमंत्री पद की शपथ लेंगे, ईरान ने परमाणु समझौते पर बातचीत की इच्छा जताई और यूरोप के पांच देशों ने पुतिन पर एलेक्सी नवलनी को जहर देने का आरोप लगाया, सिर्फ़ 5 मिनट में सुनिए शाम 4 बजे तक की बड़ी ख़बरें

Prime Minister Mark Carney and federal opposition leaders travel to Tumbler Ridge for a community vigil. RCMP identify victims killed in Tumbler Ridge, BC mass shooting. BNP scored landslide victory in Bangladesh election. Global leaders gather for the Munich Security Conference amid warnings of "wrecking ball" politics. Canada's military police watchdog says the handling of a sexual assault investigation, where the suspect took his own life, was flawed. EV sales have fizzled. Could what's on offer at The Toronto Auto Show re-spark the market?

The Bangladesh Nationalist Party, under chairman Tarique Rahman, has won the 13th National Parliamentary Election. 'Now, with the BNP coming to power and the Jamaat decisively defeated, India and Bangladesh can hope to begin again and reset the Delhi-Dhaka ties', argues ThePrint Columnist & Author Deep Halder. 

Local media declares the BNP winner of Bangladesh's first election since the ousting of Hasina, the U.S. House votes to disapprove of Trump's Canada tariffs, Kim Jong Un's daughter is reportedly named his successor-designate, the White House announces the end of ICE's Operation Metro Surge in Minnesota, Switzerland schedules a vote on capping the population at 10 million, the U.S. House passes a Trump-backed bill to create new voting rules, a principal dies after being shot during a school siege in Thailand, a Ukrainian athlete is disqualified from the Winter Olympics for refusing not to wear a helmet deemed to violate rules on political expression, a study links reading and writing to a 38% decreased risk of Alzheimer's, and Gallup ends its 90-year tradition of publishing presidential polls. Sources: Verity.News

बांग्लादेश आम चुनाव में BNP को स्पष्ट बहुमत मिला है और तारीक रहमान के प्रधानमंत्री बनने की राह लगभग साफ है, प्रधानमंत्री मोदी ने तारीक रहमान को जीत पर बधाई दी, PM आज नए पीएम ऑफिस ‘सेवा तीर्थ' का उद्घाटन करेंगे, राहुल गांधी संसद में किसानों से मुलाकात करेंगे, सोना-चांदी की कीमतों में बड़ी गिरावट दर्ज हुई, इलाहाबाद हाईकोर्ट ने जाति पर अहम टिप्पणी की, गाजियाबाद में बीजेपी नेता के घर पर लगी आग, इमरान खान की सेहत पर बड़ा अपडेट, किम जोंग उन ने अपनी 13 साल की बेटी को अपना उत्तराधिकारी चुना और टी20 वर्ल्ड कप में भारत ने नामीबिया को 93 रन से हराया. सिर्फ 5 मिनट में सुनिए सुबह 10 बजे तक की बड़ी ख़बरें.

सदन 9 मार्च तक स्थगित, पीएम मोदी नए पीएमओ ‘सेवा तीर्थ' में शिफ्ट होंगे, पप्पू यादव की जमानत पर आज सुनवाई होगी, अल फलाह यूनिवर्सिटी केस में ED को नोटिस जारी हुआ, असम में कांग्रेस की परिवर्तन यात्रा मामले में CID ने नेताओं को समन भेजा, यूपी में फॉर्म-7 के कथित दुरुपयोग पर सुप्रीम कोर्ट सुनवाई करेगा, विक्रम भट्ट को सुप्रीम कोर्ट से ज़मानत मिली, शेयर बाजार में सेंसेक्स 850 अंक गिरा, बांग्लादेश चुनाव में BNP को बहुमत मिला और टी-20 वर्ल्ड कप में ऑस्ट्रेलिया-जिम्बाब्वे का मुकाबला, सिर्फ़ 5 मिनट में सुनिए दोपहर 1 बजे तक की बड़ी ख़बरें

पीएम मोदी ने नए PMO का किया उद्घाटन, पीएम मोदी ने BNP नेता तारिक रहमान को फोन कर दी जीत की बधाई, लाल किले ब्लास्ट मामले में जांच की समय-सीमा बढ़ी, तमिलनाडु में TVK की रैली के दौरान एक व्यक्ति की मौत पर AIADMK ने एक्टर विजय पर कसा तंज़, सचिन तेंदुलकर ने ज़िम्बाब्वे को दी जीत पर बधाई, चीन की यात्रा पर जाएंगे अमेरिकी राष्ट्रपति डोनाल्ड ट्रंप और T-20 वर्ल्डकप मैच में UAE ने कनाडा को 5 विकेट से हराया, सिर्फ 5 मिनट में सुनिए शाम 7 बजे तक की बड़ी खबरें.

9 मार्च तक के लिए स्थगित संसद की कार्यवाही, प्रधानमंत्री नरेंद्र मोदी ने BNP नेता तारिक रहमान से फोन पर बातचीत की, प्रधानमंत्री नरेंद्र मोदी ने आज 'सेवा तीर्थ' नामक नए PMO कॉम्प्लेक्स का उद्घाटन किया, सोने-चांदी के दाम में आज लगातार दूसरे दिन गिरावट और सचिन तेंदुलकर ने T-20 वर्ल्ड कप मैच में ज़िम्बाब्वे की टीम को ऑस्ट्रेलिया के ख़िलाफ़ जीत पर बधाई दी. सुनिए रात 9 बजे तक की बड़ी ख़बरें सिर्फ़ 5 मिनट में

====================================================SUSCRIBETEhttps://www.youtube.com/channel/UCNpffyr-7_zP1x1lS89ByaQ?sub_confirmation=1==================================================== LECCIÓN DE ESCUELA SABÁTICA         I TRIMESTRE DEL 2026Narrado por: Eddie RodriguezDesde: Guatemala, GuatemalaUna cortesía de DR'Ministries y Canaan Seventh-Day Adventist ChurchMIÉRCOLES 11 DE FEBREROPIENSEN EN ESTO La paz que sobrepasa todo entendimiento también “guardará sus corazones y sus pensamientos en Cristo Jesús” (Fil. 4:7). Nuestra vida interior necesita protección. Curiosamente, Filipenses 4:7 conecta la paz de Dios con una metáfora militar. El verbo griego froureō se usa para describir una guarnición de soldados que protegen una ciudad contra una invasión (2 Cor. 11:32; comparar con Hech. 9:24). Otro aspecto muy importante de la paz interior implica vivir en armonía con la voluntad de Dios. “Mucha paz gozan los que aman tu ley, y no hay para ellos tropiezo” (Sal. 119:165). Lee Filipenses 4:8, 9. ¿Qué acciones específicas se recomiendan aquí? Pablo introduce Filipenses 4:8 y 9 con la expresión “por lo demás” y una lista de seis virtudes, seguida de un sucinto resumen de ellas y de una exhortación a imitar su ejemplo. Esta exhortación final armoniza con el entorno grecorromano de Filipos, ya que enfatiza la virtud y el ejemplo. Curiosamente, sin embargo, se centra en ciertas virtudes bíblicas específicas, lo que resulta obvio por la omisión paulina de las cuatro virtudes cardinales griegas (prudencia, justicia, templanza y valentía). 1. No es casual que la lista comience con la virtud bíblica cardinal: lo verdadero, reiteradamente enfatizada por Jesús –quien solía decir: “Les aseguro...”– y por todo el Nuevo Testamento (ver, por ejemplo, Hech. 26:25; Rom. 1:18; 1 Cor. 13:6; 2 Cor. 4:2; Efe. 4:15; 1 Tim. 3:15; Sant. 1:18; 1 Ped. 1:22; 1 Juan 2:21). 2. Honorable. La palabra griega así traducida se refiere a una virtud personal (comparar sus otros usos en 1 Tim. 3:8, 11; Tito 2:2, donde se traduce como “respetable” en la NVI). 3. Justo. Esta virtud es una de las características distintivas de Dios (comparar su uso en Fil. 1:7). 4. Puro. La palabra se refiere al pensamiento puro y a las acciones de esa misma naturaleza que fluyen de la justicia de Dios recibida por la fe en ocasión de la justificación (ver 1 Juan 3:3). 5. “Agradable” (DHH). El término designa una belleza estética como la atestiguada ampliamente en la Creación de Dios. 6. De buen nombre. Otras versiones traducen esta última virtud como “digno de admiración” (NVI): “honorable” (LBLA), “loable” (BNP), etc.Pablo hace dos salvedades más, para que no se atribuya un matiz pagano a ninguna de estas virtudes: “Si hay virtud alguna, si algo digno de alabanza” (Fil. 4:8), debemos pensar en estas virtudes celestiales. Luego, para despejar toda duda y evitar cualquier equívoco, el apóstol exhorta a los creyentes a practicar lo aprendido, recibido, oído y visto en su propio ejemplo (Fil. 4:9). 

Bangladesh will have its general elections on February 12. Nearly 2,000 candidates will contest on 300 seats of the Jatiya Sangsad. Alongside the parliamentary vote, electors will also vote in a referendum – on whether or not to adopt the July National Charter.  Bangladesh has two major legacy parties -- the Bangladesh National Party (BNP) and the Awami League. With the Sheikh Hasina-led Awami League banned from contesting, the two main players are the BNP, which is contesting from 288 seats, and the Jamaat-e-Islami, which is seeking 224 seats. There is also the student-led National Citizens Party (NCP), which will contest in 32 seats, as part of an alliance with the BNP. What are the main issues in this election? What's at stake for the minorities in Bangladesh? What are the prospects for the non-legacy parties? Guest: Kallol Bhattacharjee from The Hindu's Delhi bureau, who joins us from Dhaka. Host: G Sampath Producer: Jude Weston Learn more about your ad choices. Visit megaphone.fm/adchoices

Fascism has never really gone away—but it has changed shape. From the street-level racism and open organising of the British National Party in 1990s East London to today's globalised far right, this episode traces how authoritarian politics have moved from the margins to the mainstream.Host Nick Dearden draws on personal experience of anti-fascist organising, and is joined by Seema Syeda from the Joint Council for the Welfare of Immigrants and co-author of Creeping Fascism, and Luke Cooper, author of Authoritarian Contagion and academic at the London School of Economics. Their conversation explores how the far right has built international networks, institutions, and narratives that now feel disturbingly normal. They dig into why “fascism” remains a contested term on the left, what's genuinely new about the current moment, and what can still be done to resist it.In This Episode The rise and fall of the BNP, street fascism, and the mass anti-racist movements that defeated it Debates about whether “fascism” is the right label for today's authoritarian politics Key similarities and differences between past and present far-right movements What a Reform government might actually look like in power, and whether figures like Nigel Farage and Tommy Robinson represent fundamentally different threats The “Unite the Kingdom” rally and what it reveals about the current far right Featured Organisation: No to HassockfieldNo To HassockfieldFacebook: The No to Hassockfield CampaignInstagram: @no2hassockfieldTwitter/X: @No2HassockfieldLinks to things we discussedCreeping Fascism by Neil Faulkner with Samir Dathi, Phil Hearse and Seema Syeda.Authoritarian Contagion by Luke CooperA Town Within: Visiting Baqa'a Refugee Camp by Madihah KarimWhat happened when I met my Islamophobic troll by Hussein KesvaniThe law of the jungle by Nick DeardenPraxis: The essential guide for changing minds on migrationUNRWA: United Nations Relief and Works Agency for Palestine refugeesTime For Change: The evidence-based policies that can actually fix the immigration systemMake a donation to COUNTER•POWERABOUT THE PODCASTCOUNTER•POWER is brought to you by Stop Trump Coalition, Another Europe Is Possible and Global Justice Now, three organisations at the centre of the new global resistance. This podcast isn't just about chatting and conversation — it's about turning ideas into action and building real community power. That's why we have a simple pledge to you, our audience. On every single episode we'll leave you with something you can do to catalyse change. Whether it's the latest big ideas or the movements you need to check out, you'll find them on COUNTER•POWER. But we need your help to launch this project. We need £8,000 to catapult COUNTER•POWER into the podcasting sphere with the aim of making it self-sustaining in the future.The funds will cover high-quality production – including sound and visuals – as well as consistent editorial quality, all of which are essential to creating the kind of impactful podcast we're aiming for.Any donation – big or small – can help us get there. Thank you for your support.DONATE HEREFollow Us Instagram@anothereuropeispossible@globaljusticenow @ukstoptrumpTikTok@global.justice.now@uk.stop.trump.coaTwitter / X @Another_Europe@GlobalJusticeUK@UKStopTrumpMusic(cc): Intro R&B instrumental loop, Mcgrogo (Freesound.org)

Episode 211: Understanding HFpEF.  Hyo Mun and Jordan Redden (medical students) explain the pathophysiology of heart failure with preserved ejection fraction (HFpEF) and how it differentiates from HFrEF. Dr. Arreaza asks insightful questions and summarizes some key elements of HFpEF. Written by Hyo Mun, MS4, American University of the Caribbean; and Jordan Redden, MS4, Ross University School of Medicine. Comments and edits by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.What is EF? Just imagine, the heart is a pump, blood gets into the heart through the veins, the ventricles fill up and then squeeze the blood out. So, the percent of blood that is pumped out is the EF. Let's start at the beginning. What is HFpEF?Mike: HFpEF stands for heart failure with preserved ejection fraction. Basically, these patients squeeze normally—their ejection fraction is 50% or higher—but here's the thing: the heart can't relax and fill the way it should. The muscle gets stiff, almost like a thick leather boot that just won't stretch. And because the ventricle can't fill properly, pressure starts backing up into the lungs and the rest of the body. That's when patients start experiencing shortness of breath, leg swelling, fatigue—all those classic symptoms.Dr. Arreaza: And this is where people get fooled by the ejection fraction.Mike: Exactly. The ejectionfraction tells you total left ventricular emptying, not just forward flow.Jordan: The classic example is severe mitral regurgitation. You can eject 60% of your blood volume and still be in cardiogenic shock because most of that blood is leaking backward into the left atrium instead of going into the aorta. So, you get pulmonary edema, hypotension, fatigue, all with a “normal” EF. Which is honestly terrifying if you're over-relying on echo reports without thinking clinically.Dr. Arreaza: And in HFpEF, functional mitral regurgitation often shows up later in the disease. It's not usually the primary cause; it's more of a marker of advanced disease. Moderate to severe MR in HFpEF independently predicts worse outcomes, including a higher risk of mortality or heart failure hospitalization. So, let's contrast this with HFrEF. How are these two different?Mike: HFrEF—heart failure with reduced ejection fraction—is a pumping problem. The heart muscle is weak and can't contracteffectively. Ejection fraction drops below 40%, and this is your classic systolic dysfunction.Jordan: HFpEF, on the other hand, is diastolic dysfunction. The heart muscle is thick, fibrotic, and noncompliant. It squeezes fine, but it just doesn't relax, even though the EF looks reassuring on paper.Mike: I like to explain it this way: HFrEF is a weak heart that can't squeeze. HFpEF is a stiff heart that can't relax. Totally different problems.Dr. Arreaza: And then there's the gray zone: heart failure with mildly reduced EF, or HFmrEF. That's an EF between 41 and 49% with evidence of elevated filling pressures. It really shares the features of both worlds. So, what actually causes HFpEF versus HFrEF?Jordan: HFpEF is basically what happens when all the problems of modern living catch up with you. You've got chronic hypertension, obesity, diabetes, metabolic syndrome, aging, systemic inflammation—all of these things slowly remodel the heart over years. The muscle gets thick and stiff, and eventually the ventricle just loses its ability to relax. So, HFpEF is really a disease of metabolic dysfunction and chronic stress in the heart. Mike: HFrEF is more about direct injury. Think about myocardial infarctions, ischemic cardiomyopathy, viral myocarditis, alcohol toxicity, chemotherapy like doxorubicin, genetic cardiomyopathies, or chronic uncontrolled tachycardia. These insults actually damage or kill heart muscle cells, leading to a dilated, weak ventricle that can't pump effectively.Dr. Arreaza: So the short version: HFpEF is caused by chronic metabolic and hypertensive stress, while HFrEF is caused mainly by myocardial damage. A question we get a lot: does HFpEF eventually turn into HFrEF? What do you guys think?Mike: In most cases, no. HFpEF patients usually stay HFpEF throughout their disease course. They don't just “burn out” and turn into HFrEF.Jordan: They're generally separate disease entities with different pathophysiology. A patient with HFpEF can develop HFrEF if they have a big myocardial infarction or ongoing ischemia that damages the muscle, but that's not the natural progression.Mike: Interestingly though, the opposite can happen. Some HFrEF patients actually improve their ejection fraction with good medical therapy—that's called HF with improved EF—and it's a great sign that treatment is working.Dr. Arreaza: Another question. How do HFpEF and HFrEF compare to restrictive cardiomyopathy and constrictive pericarditis?Jordan: Clinically, they can all look very similar: dyspnea, edema, fatigue, but the underlying mechanisms are completely different.Mike: In HFpEF, the myocardium itself is stiff from hypertrophy and fibrosis. The problem is intrinsic to the heart muscle, and EF stays preserved. Echoshows diastolic dysfunction with elevated filling pressures.Jordan: In HFrEF, the myocardium is weak. The ventricle is often dilated and contracts poorly, with a reduced EF.Mike: Restrictive cardiomyopathy is different. Here, the myocardium gets infiltrated by abnormal stuff—amyloid, iron, sarcoid—and that makes it extremely stiff. It can look like HFpEF on the surface, but it's usually more severe. On Echo You'll see biatrial enlargement, small ventricles, and preserved EF. And importantly, it's a pathologic diagnosis, so you need advanced imaging or biopsy to confirm it.Jordan: Constrictive pericarditis is another mimic, but here the myocardium is usually normal. The problem is that the pericardium is thickened, calcified, and rigid. This will physically prevent the heart from being filled. Imaging shows pericardial thickening, septal bounce, and respiratory variation in flow, and cath shows equalization of diastolic pressures, which is the hallmark of constrictive pericarditis.Dr. Arreaza: So the takeaway is: HFpEF is a clinical syndrome driven by common metabolic and hypertensive causes, while restrictive and constrictive diseases are specific pathologic entities. If “HFpEF” is unusually severe or not responding to treatment, you need to think beyond HFpEF. Which type of heart failure is more common right now?Mike: Good question, the answer is: HFpEF. It now accounts for up to 60% of all heart failure cases, and it's still rising.Dr. Arreaza: Why is that?Jordan: Because people are living longer, gaining weight, and developing more metabolic syndrome. HFpEF thrives in older, or people with obesity, hypertension, or diabetes: basically, the modern American population. At the same time, better treatment of acute MIs means fewer people are developing HFrEF from massive heart attacks.Mike: HFpEF is the heart failure epidemic of the 21st century. It's honestly the cardiology equivalent of type 2 diabetes.Dr. Arreaza: Let's talk aboutCOVID-19. (2025 and still talking about it) Does it actually increase heart failure risk?Mike: Yes, absolutely. COVID increases both acute and long-term heart failure risk.Jordan: During acute infection, COVID can cause myocarditis, trigger massive inflammation, and precipitate acute decompensated heart failure, especially in patients with pre-existing disease. It also causes microthrombi, which can injure the myocardium.Mike: And after infection, even mild cases are linked to a significantly higher risk of developing new heart failure within the following year. Both HFpEF and HFrEF rates go up.Dr. Arreaza: I remember seeing this in 2021, we had a patient with acute COVID and HFrEF, her EF was about 10%, I lost contact with the patient and at the end I don't know what happened to her. What's the pathophysiology of COVID and heart failure?Mike: COVID causes direct viral injury through ACE2 receptors, triggers massive inflammation that damages the endothelium and heart muscle, leads to microvascular clotting and fibrosis—all mechanisms that promote HFpEF.Jordan: Add autonomic dysfunction, persistent low-grade inflammation, and worsening metabolic syndrome, and you've got a perfect storm for heart failure.Dr. Arreaza: Bottom line: COVID is a cardiovascular disease as much as a respiratory one. If someone had COVID and now has unexplained dyspnea or fatigue, think about heart failure. Get an echo, get a BNP, start treatment. Last big question: why did we have so many therapies for HFrEF but essentially none for HFpEF for years?Mike: HFrEF is mechanistically straightforward. You've got a weak heart with excessive neurohormonal activation going on — so you block RAAS, block the sympathetic system, drop the afterload. The drugs make sense.Jordan: HFpEF is messy. It's not one disease. It's stiffness, fibrosis, inflammation, microvascular dysfunction, metabolic disease, atrial fibrillation, all overlapping. One drug can't fix all of that.Mike: And some drugs that worked beautifully in HFrEF actually made HFpEF worse. Take Beta blockers, for example.  They slow heart rate, which is a problem because HFpEF patients rely on heart rate to maintain their cardiac output.Jordan: The breakthrough came with SGLT-2 inhibitors: diabetes drugs that unexpectedly addressed multiple HFpEF mechanisms at once: volume, metabolism, inflammation, and myocardial energetics.Dr. Arreaza: The miracle drug for HFpEF! Alright, let's wrap up.Mike: Bottom line: HFpEF is common, complex, and dangerous: even if the EF looks “normal.”Jordan: And if you're relying on ejection fraction alone, HFpEF will humble you every time.Dr. Arreaza: If you liked this episode, share it with a friend or a colleague and rate us wherever you listen. This is Dr. Arreaza, signing off.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Barzin A, Barnhouse KK, Kane SF. Heart Failure With Preserved Ejection Fraction. Am Fam Physician. 2025;112(4):435-440.Heidenreich PA, Bozkurt B, Aguilar D, et al. 2022 AHA/ACC/HFSA guideline for the management of heart failure. Circulation. 2022;145(18):e895-e1032.Kittleson MM, Panjrath GS, Amancherla K, et al. 2023 ACC expert consensus decision pathway on management of heart failure with preserved ejection fraction. J Am Coll Cardiol. 2023;81(18):1835-1878.Anker SD, Butler J, Filippatos G, et al. Empagliflozin in heart failure with a preserved ejection fraction. N Engl J Med. 2021;385(16):1451-1461.Solomon SD, McMurray JJV, Claggett B, et al. Dapagliflozin in heart failure with mildly reduced or preserved ejection fraction. N Engl J Med. 2022;387(12):1089-1098.Pitt B, Pfeffer MA, Assmann SF, et al. Spironolactone for heart failure with preserved ejection fraction. N Engl J Med. 2014;370(15):1383-1392.Yusuf S, Pfeffer MA, Swedberg K, et al. Effects of candesartan in patients with chronic heart failure and preserved left-ventricular ejection fraction. Lancet. 2003;362(9386):777-781.Solomon SD, McMurray JJV, Anand IS, et al. Angiotensin-neprilysin inhibition in heart failure with preserved ejection fraction. N Engl J Med. 2019;381(17):1609-1620.Kosiborod MN, Abildstrøm SZ, Borlaug BA, et al. Semaglutide in patients with heart failure with preserved ejection fraction and obesity. N Engl J Med. 2023;389(12):1069-1084.Xie Y, Xu E, Bowe B, Al-Aly Z. Long-term cardiovascular outcomes of COVID-19. Nat Med. 2022;28(3):583-590.Puntmann VO, Carerj ML, Wieters I, et al. Outcomes of cardiovascular magnetic resonance imaging in patients recently recovered from COVID-19. JAMA Cardiol. 2020;5(11):1265-1273.Basso C, Leone O, Rizzo S, et al. Pathological features of COVID-19-associated myocardial injury. Eur Heart J. 2020;41(39):3827-3835.Nalbandian A, Sehgal K, Gupta A, et al. Post-acute COVID-19 syndrome. Nat Med. 2021;27(4):601-615.Badve SV, Roberts MA, Hawley CM, et al. Effects of angiotensin-converting enzyme inhibitors and angiotensin receptor blockers in adults with estimated GFR less than 60 mL/min per 1.73 m². Ann Intern Med. 2024;177(8):953-963.Navis G, Faber HJ, de Zeeuw D, de Jong PE. ACE inhibitors and the kidney: a risk-benefit assessment. Drug Saf. 1996;15(3):200-211.Textor SC, Novick AC, Tarazi RC, et al. Critical perfusion pressure for renal function in patients with bilateral atherosclerotic renal vascular disease. Ann Intern Med. 1985;102(3):308-314.Hackam DG, Spence JD, Garg AX, Textor SC. Role of renin-angiotensin system blockade in atherosclerotic renal artery stenosis and renovascular hypertension. Hypertension. 2007;50(6):998-1003.Ronco C, Haapio M, House AA, et al. Cardiorenal syndrome. J Am Coll Cardiol. 2008;52(19):1527-1539.Prins KW, Neill JM, Tyler JO, et al. Effects of beta-blocker withdrawal in acute decompensated heart failure. JACC Heart Fail. 2015;3(8):647-653.Jondeau G, Neuder Y, Eicher JC, et al. B-CONVINCED: Beta-blocker CONtinuation Vs. INterruption in patients with Congestive heart failure hospitalizED for a decompensation episode. Eur Heart J. 2009;30(18):2186-2192.Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/. 

No episódio “O Paciente Congesto” da série Tomada de Decisão, o diretor médico da Afya e editor-chefe do Whitebook, Dr. Ronaldo Gismondi, discute um caso clássico da prática clínica: um paciente idoso com edema importante, dispneia, ascite e sinais de congestão sistêmica.Ao longo da conversa, o episódio explora o raciocínio por trás das decisões-chave no manejo da congestão: quando iniciar diurético, o papel do POCUS à beira do leito, como interpretar BNP, exames de imagem e diferenciar insuficiência cardíaca de outras causas de edema, como cirrose e síndrome nefrótica.Um conteúdo prático e essencial para estudantes e médicos em formação que querem aprimorar sua tomada de decisão na clínica médica e no ambiente hospitalar.#TomadaDeDecisão #CasosClínicos #PacienteCongesto #InsuficiênciaCardíaca #ICC #RaciocínioClínico #ClínicaMédica #POCUS #Medicina #Afya #Whitebook #ResidênciaMédica #MedStudent #EmergênciaMédica #PráticaMédica

In this episode of El Niño Speaks, José Niño sits down with Mark Collett, veteran British nationalist and leader of Patriotic Alternative, to dissect the collapse of the BNP, Brexit's betrayal, the accelerating Great Replacement, and the Zionist power structure. Follow him here:Odysee: https://odysee.com/@MarkCollett:6?view=contentRumble: https://rumble.com/c/MarkCollett?e9s=src_v1_cmdTelegram: https://t.me/markacollett If you liked the show, feel free to continue supporting my work. Buy Me A Coffee: https://buymeacoffee.com/joseninoPayPal: https://www.paypal.com/paypalme/joseALNinoVenmo: https://venmo.com/u/Jose-Nino-14 This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit www.josealnino.org/subscribe

Cựu Thủ tướng kiêm lãnh đạo đảng đối lập chính Bangladesh Nationalist Party (BNP), bà Begum Khaleda Zia, đã qua đời ở tuổi 80. Cuộc đối đầu giữa bà Zia và cựu lãnh đạo Sheikh Hasina, đã chi phối nền chính trị Bangladesh trong nhiều thập niên. Đảng BNP được xem là ứng cử viên hàng đầu, trong cuộc bầu cử quốc hội, dự trù diễn ra vào tháng Hai.

Send us a textlove doves, seal sleuths and puffin punks, welcome back to Barbarian Noetics! i'm back in the saddle after a lengthy hiatus, slingin thoughts, notions, ideas and even some dead reckonings. i start things off by giving an update as to why i'm just happy to be alive. tune in for the tale. next up i share some thoughts around honoring migrants, respecting the undocumented, and how immigrants build nations. finally i speak about the importance of earning respect rather than simply expecting it, especially as a person of privilege. i'm laying off the background music for a while, but the outro is me attempting to sing Baltimore by the great Nina Simone acapella. one love, lr kerkawwwwMalcolm X Scholar: Professor Kehinde AndrewsSupport the showTip me in Solana:Address: 9XPHpqH7GawTGtPgZAzfXFU6oPWTpSua1QXwRYAWVh9y Find me on IG: barbarian_noetics Direct Donate on PayPal @barbarian.noetics@proton.me Cash App@ $BarbarianRavenbuymeacoffee.com/noetics.Spread the word and tell a friend. Remember to set the BNP on Auto Download after you subscribe. I appreciate you all. Section 107 of the Copyright Act of 1976 allows for “fair use” for purposes such as criticism, comment, news reporting, teaching, education and research.

In exile for 17 years, BNP acting chairman & Bangladesh former PM Khaleda Zia's son, Tarique Rahman returned to the country today. He attacked Sheikh Hasina & unveiled his party's electoral campaign in a speech in Dhaka. #CutTheClutter Ep 1776 looks at why these developments are a positive step in the lead up to February elections. ThePrint Editor-In-Chief Shekhar Gupta also explains the challenges that remain for Tarique Rahman, his party, & the complex politics of Bangladesh.

This week we made our way through twenty rolls of ‘Word a Day' toilet paper – not (entirely) because of tummy trouble, but in order to impress one of the world's greatest wielders of words, copywriting legend Tim Delaney. An advertiser who made all of advertising try harder with their adverts, Tim is of course the founder of the famous Leagas Delaney agency as well as being one of the all-time great copywriters.  You'll no doubt have spent much time gawping at and/or weeping over some of his most iconic work – including some extraordinary campaigns for Harrods, Adidas and Nationwide. He's also the creative brain behind the unforgettable ‘Perfect Day' film for the BBC – giving the world the briefest sniff of what a Bowie/Boyzone collaboration might have been. Wildly successful in both the building of an agency and the writing of copy, Tim is also one of advertising's most compelling talkers of sense – with a philosophy built around strategic thinking, disciplined work and a healthy appreciation for the value of intuition. In a chat where we skid quickly and wildly away from what we laughably called ‘the agenda', Tim takes us on an entertaining and eye-opening journey through one of the most remarkable lives in the creativity game.   This episode is proudly dedicated to Tom Harrington. Follow Tim on LinkedIn   ///// Timestamps   04:40 - First Job in Advertising 06:45 - Transitioning to Copywriting 09:40 - Early Days in Advertising 12:49 - The Band Experience 14:03 - From Music to Advertising 19:07 - Climbing the Advertising Ladder 22:11 - The Role of Creativity in Advertising 29:03 - Challenges at BNP 30:41 - Understanding Advertising's Mystique 34:08 - The Impact of Technology on Advertising 39:39 - Enthusiasm for Newcomers 43:53 - Advice for Junior Copywriters

Möt ekonomipristagaren Philippe Aghion om forskningen bakom ekonomipriset och hur nya idéer ersätter gamla och hur samhällen kan främja innovation. Lyssna på alla avsnitt i Sveriges Radios app. Ekonomisk tillväxt är mer än siffror i BNP – den handlar om idéer som ersätter gamla strukturer och skapar nya möjligheter. Teorin om kreativ förstörelse beskriver hur innovation driver utveckling, men också varför konkurrenspolitik och starka institutioner är avgörande för att processen ska fungera.Forskningen bakom årets ekonomipris har förändrat synen på tillväxt och varför en helt avreglerad marknad riskerar att bromsa innovation. Här diskuteras också hotet från korruption, behovet av ett gemensamt europeiskt ekosystem för riskkapital och hur AI kan accelerera förändring – samtidigt som arbetsmarknaden ställs inför stora utmaningar.Frågan om grön tillväxt och tillväxt med kvalitet lyfts som en central framtidsfråga.Reporter: Knut Kainz Rognerudknut.rognerud@sr.seProducent: Lars Broströmlars.brostrom@sr.seTekniker: Nils Lundinnils.lundin@sr.se

En mai 2014, un événement inédit a secoué le monde bancaire : BNP Paribas, première banque française, a accepté de payer une amende colossale de 8,97 milliards de dollars au gouvernement américain. Le motif ? La banque avait contourné les embargos imposés par les États-Unis à Cuba, l'Iran et le Soudan entre 2004 et 2012. Ces pays étaient considérés par Washington comme des États soutenant le terrorisme ou violant les droits humains.Quels faits étaient reprochés exactement ? BNP Paribas avait réalisé, via certaines filiales, des transactions en dollars pour le compte de clients liés à ces pays. Or, toute opération en dollars transitant à un moment donné par le système financier américain est soumise à la législation des États-Unis. Cela signifie que même une banque étrangère peut être poursuivie à partir du moment où elle utilise la monnaie américaine. C'est l'un des points clés de ce dossier.La banque a reconnu avoir non seulement effectué ces paiements, mais parfois mis en place des procédures visant à masquer l'identité des clients ou l'origine réelle des fonds pour éviter les contrôles américains. Sur le plan du droit américain, la sanction était donc légale : la banque avait violé les règles de l'Office of Foreign Assets Control (OFAC), qui encadre les embargos.Là où le dossier devient explosif, c'est sur le plan du droit international. Beaucoup d'experts et de gouvernements ont dénoncé une sanction « extraterritoriale ». Autrement dit, les États-Unis appliquent leurs lois à des entités étrangères, opérant hors de leur territoire, simplement parce qu'elles utilisent la monnaie américaine ou un serveur situé aux États-Unis. Pour nombre de juristes, cela revient à imposer au reste du monde la politique étrangère américaine.Les critiques soulignent que BNP Paribas n'a pas violé le droit français ni le droit international, et que les embargos américains n'engageaient que les États-Unis. Pourtant, Washington a considéré que l'utilisation du dollar suffisait à justifier son intervention. Ce type de sanction a depuis été utilisé contre de nombreuses entreprises européennes, provoquant un réel malaise diplomatique.L'affaire BNP a ainsi mis en lumière un rapport de force : les États-Unis disposent d'une arme économique puissante — le contrôle du dollar — qui leur permet d'étendre leur influence bien au-delà de leurs frontières. Elle a également relancé le débat sur la souveraineté européenne et la capacité du continent à protéger ses entreprises des pressions américaines.Une sanction financière, donc, mais aussi un choc géopolitique. Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.

This episode dives into two of the most common cardiac labs you'll see in both clinical and classroom settings: BNP and troponin. Hit play on this episode and you'll learn: What BNP and troponin measure How to recognize normal vs abnormal values What it means when they're elevated Clinical examples of how nurses use these labs to guide care Whether you're prepping for your med-surg exam, starting clinicals, or just trying to give better SBAR, this episode will help you confidently interpret these two essential cardiac labs. ___________________ Full Transcript - Read the article and view references FREE CLASS - If all you've heard are nursing school horror stories, then you need this class! Join me in this on-demand session where I dispel all those nursing school myths and show you that YES...you can thrive in nursing school without it taking over your life! Study Sesh - Change the way you study with this private podcast that includes dynamic audio formats including podquizzes, case studies and drills that help you review and test your recall of important nursing concepts on-the-go. Free yourself from your desk with Study Sesh!  Med Surg Solution - Are you looking for a more effective way to learn Med Surg? Enroll in Med Surg Solution and get lessons on 57 key topics and out-of-this-world study guides.  Crucial Concepts Bootcamp - Start nursing school ahead of the game, or reset after a difficult first semester with my nursing school prep course, Crucial Concepts Bootcamp. Learn key foundation concepts, organization and time management, dosage calculations, and so much more. Dosage Calculations Guide - Kick math anxiety to the curb and learn the basics of how to set up and perform dosage calculations using dimensional analysis with this FREE guide. Includes 10 free practice questions! Straight A Nursing App - Study on-the-go with the Straight A Nursing app! Review more than 5,000 flashcards covering a wide range of subjects including Fundamentals, Pediatrics, Med Surg, Mental Health, Maternal Newborn, and more! Available for free in the Apple App Store and Google Play Store. Pharmacology Success Pack - Want to get a head start on pharmacology? Download the FREE Pharmacology Success Pack.  Clinical Success Pack - One of the best ways to fast-track your clinical learning is having the right tools. This FREE pack includes report sheets, sheets to help you plan your day, a clinical debrief form, and a patient safety cheat sheet.  20 Secrets of Successful Nursing Students – Learn key strategies that will help you be a successful nursing student with this FREE guide! New Nursing Student Checklist - Get prepped and ready for your nursing school program with this free checklist!