Podcasts about doras

Asylum-seekers who are working should have to contribute to the cost of their accommodation in direct provision centre. With more on this we heard from CEO of Doras, John Lannon and Independent TD for Cork North-Central, Ken O'Flynn.

A MidWest Migrants Rights Association says there's been a significant escalation in incidents of racism, harassment and verbal abuse towards its service users in Clare. It follows an incident in Limerick City this week in which a migrant man in his 30's was hospitalised following an assault stemming from what Gardaí have confirmed to be "unfounded allegations". There are currently 985 International Protection Applicants living in Clare Doras CEO John Lannon says there's been a disproportionate number of reported hate incidents.

My conversation with Matthew Walker, PhD on faculty at UC Berkeley where he is a professor of neuroscience and psychology, the founder and director of the Center for Human Sleep Science, and has a long history of seminal contributions on sleep science and health. Audio File (also downloadable at Apple Podcast and Spotify)“Sleep is a non-negotiablebiological state required for the maintenance of human life . . . our needsfor sleep parallel those for air, food, and water.”—Grandner and FernandezEric Topol (00:07):Hello, it's Eric Topol with Ground Truths, and I am really delighted to welcome Matt Walker, who I believe has had more impact on sleep health than anyone I know. It's reflected by the fact that he is a Professor at UC Berkeley, heads up the center that he originated for Human Sleep Science. He wrote a remarkable book back in 2017, Why We Sleep, and also we'll link to that as well as the TED Talk of 2019. Sleep is Your Superpower with 24 million views. That's a lot of views here.Matt Walker:Striking, isn't it?Eric Topol:Wow. I think does reflect the kind of impact, you were onto the sleep story sooner, earlier than anyone I know. And what I wanted to do today was get to the updates because you taught us a lot back then and a lot of things have been happening in these years since. You're on it, of course, I think you have a podcast Sleep Diplomat, and you're obviously continued working on the science of sleep. But maybe the first thing I'd ask you about is in the last few years, what do you think has been, are there been any real changes or breakthroughs in the field?What Is New?Matt Walker (01:27):Yeah, I think there has been changes, and maybe we'll speak about one of them, which is the emergence of this brain cleansing system called the glymphatic system, but spreading that aside for potential future discussion. I would say that there are maybe at least two fascinating areas. The first is the broader impact of sleep on much more complex human social interactions. We think of sleep at maybe the level of the cell or systems or whole scale biology or even the entire organism. We forget that a lack of sleep, or at least the evidence suggests a lack of sleep will dislocate each other, one from the other. And there's been some great work by Dr. Eti Ben Simon for example, demonstrating that when you are sleep deprived, you become more asocial. So you basically become socially repellent. You want to withdraw, you become lonely. And what's also fascinating is that other people, even they don't know that you sleep deprived, they rate you as being less socially sort of attractive to engage with.Matt Walker (02:35):And after interacting with you, the sleep deprived individual, even though they don't know you're sleep deprived, they themselves walk away feeling more lonely themselves. So there is a social loneliness contagion that happens that a sleep deprived lonely individual can have almost a viral knock on effect that causes loneliness in another well-rested individual. And then that work spanned out and it started to demonstrate that another impact of a lack of sleep socially is that we stop wanting to help other people. And you think, well, helping behavior that's not really very impactful. Try to tell me of any major civilization that has not risen up through human cooperation and helping. There just isn't one. Human cooperative behavior is one of our innate traits as homo sapiens. And what they discovered is that when you are insufficiently slept, firstly, you don't wish to help other people. And you can see that at the individual level.Matt Walker (03:41):You can see it in groups. And then there was a great study again by Dr. Eti Ben Simon that demonstrated this at a national level because what she did was she looked at this wonderful manipulation of one hour of sleep that happens twice a year to 1.6 billion people. It's called daylight savings time at spring. Yeah, when you lose one hour of sleep opportunity. She looked at donations across the nation and sure enough, there was this big dent in donation giving in the sleepy Monday and Tuesday after the clock change. Because of that sleep, we become less willing to empathetically and selflessly help other individuals. And so, to me I think it's just a fascinating area. And then the other area I think is great, and I'm sorry I'm racing forward because I get so excited. But this work now looking at what we call genetic short sleepers and sort of idiots like me have been out there touting the importance of somewhere between seven to nine hours of sleep.Matt Walker (04:48):And once you get less than that, and we'll perhaps speak about that, you can see biological changes. But there is a subset of individuals who, and we've identified at least two different genes. One of them is what we call the DEC2 gene. And it seems to allow individuals to sleep about five hours, maybe even a little bit less and show no impairment whatsoever. Now we haven't tracked these individuals across the lifespan to truly understand does it lead to a higher mortality risk. But so far, they don't implode like you perhaps or I would do when you are limited to this anemic diet of five hours of sleep. They hang in there just fine. And I think philosophically what that tells me, and by the way, for people who are listening thinking, gosh, I think I'm probably one of those people. Statistically, I think you are more likely to be struck by lightning in your lifetime than you are to have the DEC2 gene. Think about what tells us, Eric. It tells us that there is a moment in biology in the evolution of this thing called the sleep physiological need that has changed such that mother nature has found a genetic way to ZIP file sleep.Matt Walker (06:14):You can essentially compress sleep from seven to nine hour need, down to five to six hour need. To me, that is absolutely fascinating. So now the race is on, what are the mechanisms that control this? How do we understand them? I'm sure much to my chagrin, society would like to then say, okay, is there a pill that I can take to basically ZIP file my own sleep and then it becomes an arms race in my mind, which is then all of a sudden six hours becomes the new eight hours and then everyone is saying, well, six hours is my need. Well I'll go to four hours and then it's this arms race of de-escalation of sleep. Anyway, I'm going on and on, does that help give you a sense of two of the what I feel the more fascinating areas?Eric Topol (07:01):Absolutely. When I saw the other recent report on the short sleep gene variant and thought about what the potential of that would be with respect to potential drug development or could you imagine genome editing early in life that you don't need any sleep? I mean crazy stuff.Matt Walker (07:19):It was amazing.Glymphatics and Deep Sleepfor more, see previous Ground Truths on this topic Eric Topol (07:22):No, the mechanism of course we have to work out and also what you mentioned regarding the social and the behavior engagement, all that sort of thing, it was just fascinating stuff. Now we touched on one thing early on to come back to the glymphatics these channels to get rid of the waste metabolites from the brain each night that might be considered toxic metabolites. We've learned a lot about those and of course there's some controversy about it. What are your thoughts?Matt Walker (07:55):Yeah, I think there's really quite comprehensive evidence suggesting that the brain has this cleansing system like the body has one the lymphatic system, the brain has one the glymphatic system named after these glial cells that make it up. And I think there's been evidence from multiple groups across multiple different species types, from mouse models all the way up to human models suggesting that there is a state dependent control of the brain cleansing system, which is a fancy way of saying if you are awake in light NREM, deep NREM or perhaps you're just quiet and you are resting in your wakefulness, the glymphatic system is not switched on at the same rate across all of those different brain states. And I think the overwhelming evidence so far using different techniques in different species from different groups is that sleep is a preferential time. It's not an exclusive time, it's a preferential time when that brain cleansing system kicks into gear because as some people have, I think argued, and you could say it's hyperbolic, but wakefulness is low level from a biochemicals perspective, it's low level brain damage and sleep is therefore your sanitary salvation that combat that biochemical cascade.Matt Walker (09:15):So in other words, a better way of putting it would be, sleep is the price that you pay for wakefulness in some ways. And I think there was a recent controversial study that came out in 2022 or 2023, and they actually suggested quite the opposite. They said using their specific imaging methods, they found that the sort of clearance, the amount of cerebral spinal fluid, which is what washes through the brain to cleanse the toxins, the rate of that flow of cerebral spinal fluid was highest during wakefulness and lowest during deep NREM sleep, the exact opposite of what others have found. Now, I think the defendants of the glymphatic sleep dependent hypothesis pushed back and said, well, if you look at the imaging methods. Firstly, they're nonstandard. Secondly, they were measuring the cerebral spinal flow in an artificial way because they were actually perfusing solutions through the brain rather than naturally letting it flow and therefore the artificial forcing of fluid changed the prototypical result you would get.Matt Walker (10:27):And they also argued that the essentially kind of the sampling rate, so how quickly are you taking snapshots of the cerebral spinal fluid flow. Those were different and they were probably missing some of the sleep dependent slow oscillations that seemed to sort of drive that pulsatile flow. Honestly, I think that paper was still very well done, and I still think there is right now, I would still cleave to the majority of overwhelming evidence considering it's not just from one group in one species, but across multiple species, multiple groups. And I think it's nevertheless a weight of burden that has pushed back. And my sense right now, I used to think and cleaves to the notion that it was a sleep expressly selective process. Now I don't think that that's the case anymore. I think that the glymphatic system is a dynamic system, but it's always looking for the opportunity to go into cleansing mode. And you can kind of go into almost like a low battery mode when you are awake, but in quiet rest. And I think that can drive some already early clearance from the brain and then when you go into sleep, it's like powering your phone off entirely. It truly gets the chance to cleanse and reboot the biochemical system. But I think it's really interesting. I think there's a lot of work still yet to be done. It's not quite as case closed as we used to think.Eric Topol (12:03):Yeah, I mean first of all, it's great that you straighten out the controversy because that's exactly what I was referring to. And secondly, as you also pointed out, the weight of the evidence is that it's a sleep dependent phenomena, particularly during flow wave deep sleep is at least what I've seen.Matt Walker (12:21):Yes.Eric Topol (12:22):What's also interesting, your point about it being dynamic, which fascinating, there was a paper in my field of cardiology, people with atrial fibrillation had less active glymphatic, less clearance which was really interesting. And then the other finding that's also noteworthy was that Ambien made things worse. What do you think about that?We Are An Embodied OrganismMatt Walker (12:45):I think it's really interesting, and just to come back to your point about the AFib paper, what we know is that this cleansing system in the brain does seem to track the big slow brainwaves of deep slow wave sleep, but it's not only tracking the big slow brainwaves. If anything, there's something to do with the cardiorespiratory cycle, the respiration rate and the cardiac signal that may actually sink with the brainwaves. And it's essentially a cardiorespiratory neurophysiological coupling, which is a lot of ways, which is to say heart, lungs and brain coupled together. And it's the coupling of the cardiorespiratory slow oscillations that drive these pulsatile fluid mechanical, it's literally a hydro mechanical, hydro meaning cerebral spinal fluid push and pull in and out of the system drawing those metabolites out. So ago, if you have a disrupted either cardiac or respiratory or neurophysiological signal, no wonder the glymphatic system isn't going to work as efficiently.Matt Walker (14:00):I think that's a beautiful demonstration of the hemineglect that people like me who study sleep largely from the neck upwards would miss. But if you think about sleep is not just for the brain, it's for the body and it's not just for the body, it's for the brain. And we're an embodied organism. We study the organism in silos, neurology, psychiatry, cardiology, respiratory, but they all interact. And so, I think what's lovely about your example is the reminder that if you don't study the body in this study of the glymphatic system, you could miss out a profound explanation that possibly accounts for the head scratching, I don't know why we're getting this result. So that's a long way to come back to it. But the same group that was the pioneer in the discovery of the glymphatic system led by Maiken Nedergaard at the University of Rochester.In SUPER AGERS, p. 57. SRI-sleep regulatory indexSleep MedicationsMatt Walker (15:01):She has gone on to then look to say, well, if this is a sleep dependent process of brain cleansing during deep sleep, what about sleeping pills because so many people are either taking or are addicted to sleeping pills. And we've gone through, we're in the era of web 3.0 with sleeping pills, we started off web 1.0 which were the benzos, the kind of temazepam, diazepam, lorazepam. Then we went to web 2.0, which was sort of the Ambien (zolpidem), Lunesta, Sonata. And what was common about those two classes of drugs is that they both went after something called the GABA receptor in the brain, which is this major inhibitory receptor in the brain. And essentially, they were called sedative hypnotics because they sedated your cortex. And when you take an Ambien and not going to argue you're awake. You're clearly not awake, but to argue you're a naturalistic sleep, if you look at this, physiology is an equal fallacy.Matt Walker (16:01):They made this interesting experimental hypothesis that when you take Ambien, you sleep longer and based on how you score deep sleep, it would seem as though Ambien increases the amount of minutes that you spend in deep sleep. But if you look at the electrical signature during that “increased deep sleep” it's not the same. Ambien takes a big bite. There's a big dent out of the very slowest of the slow brainwaves, and it's the slowest of the slow brainwaves that drive the glymphatic system. So what they found was that when you take Ambien or you give mice Ambien. Yes, they sleep longer, they seem to have more deep sleep, but the brain cleansing mechanism seem to be reduced by anywhere between 30-40%, which is counterintuitive. If you are sleeping more and you're getting more deep sleep and the glymphatic system is active during deep sleep, you should get greater cleansing of the brain.Matt Walker (17:05):Here they found, yes, the drug increased sleep, particularly deep sleep, but it empowered the cleansing of the brain system. Now, have we got evidence of that in humans yet? No, we don't. I don't think it's far away though, because there was a counter study that brings us onto web 3.0. There's a new class of sleep medications. It's the first class of medications that have actually been publicly advocating for, they're called the DORAs drugs, and they are a class of drugs and there's three of them that are FDA approved right now. DORA stands for dual orexin receptor antagonists, which means that these drugs go in there and they block the action of a chemical called orexin. What is orexin? Orexin is the volume button for wakefulness. It dials at wakefulness, but these drugs come into your system and unlike the sedative sort of baseball bat to the cortex, which is Ambien, these drugs are much more elegant.Matt Walker (18:11):They go down towards the brainstem and they just dial down the volume on wakefulness and then they step back, and they allow the antithesis of wakefulness to come in its place, which is this thing called naturalistic sleep. And people sleep longer. So as a scientist, you and I perhaps skeptics would then say, well, so you increase sleep, and I have four words for you. Yes, and so what. Just because you increase sleep, it doesn't mean that it's functional sleep. It could just be like the old notion of junk DNA, that it's epiphenomenal sleep. It's not functional sleep. There was a study out of WashU and they took 85-year olds and above and they gave them one of these DORAs drugs. It's a drug called Belsomra, it's a play on good sleep or beautiful sleep, chemical named suvorexant and randomized placebo control. What they found is that when they took the drug, yes, these older adults slept longer, they had more deep sleep, but then what they did was clever. Before and after the night of sleep, they drew blood because we can now measure markers of β-amyloid and tau protein circulating in the bloodstream, which are these two markers of Alzheimer's disease.Matt Walker (19:28):Why is that relevant to the glymphatic system? It's relevant because two of the pieces of metabolic detritus that the cleansing system washes away at night, β-amyloid and tau. I'm sure enough of what they found was that not only did the adults sleep longer with these sleeping medications, they also had a greater clearance of β-amyloid and tau within the bloodstream. So this was the exact opposite of the Ambien study, which was where they were seeing an impairment in the glymphatic activity. Here in humans was a study with the web 3.0 sleep medications. Suvorexant, not only did it increase sleep, but it seemed to increase. Well, the assumption was that it was increasing glymphatic clearance because at least as the end outcome product, there was greater clearance of β-amyloid and tau protein in the blood. It wasn't just junk sleep, it was functional sleep. So for the first time I'd seen a sleeping medication that increased sleep more naturalistically, but that increased sleep made you the organism function better the next day as a consequence. Does that make any sense?Eric Topol (20:38):Absolutely. And it's interesting that we may have a sleep medicine finally or a class that actually is doing what is desired. This is one of the other things I was going to ask you about is that as you pointed out, this is an interaction throughout the organism, throughout the human being, and we've seen studies about how sleep disrupts metabolism and through that of course, and even separately, can take down our immune system or disrupt that as well. And so, one of the questions I guess is your thoughts about these other effects because you mentioned of course the potential of looking at things like p-Tau217 markers or other markers that would denote the status of your ultimate risk for moving on to Alzheimer's disease. But there's these other factors that also play a role with lack of adequate sleep and perhaps particularly sleep quality. I wonder if you could just comment about this because there's so many different systems of the body that are integrated here, and so the sanitary effect that you just described with the ability to potentially see less, at least biomarkers for what would be considered risks to ultimately develop Alzheimer's, there's also these other very important effects when we talk about high quality sleep, I guess, right? And maybe you could comment about that.Matt Walker (22:21):Yeah, I think quantity is what we've been talking about in some ways, but quality has also come onto the radar as absolutely essential. And what we find is that the quality of your sleep is as if not more predictive of both all-cause mortality, cardiovascular mortality, metabolic mortality, and in some regards, cancer mortality as well. And when I say quality of sleep, what we're really referring to here is at least one of two things. One is the continuity of your sleep. So you could be sleeping for eight and a half hours according to your sleep tracker, but maybe you are getting eight and a half hours by spending ten hours of time in bed because you are awake so much throughout the night and your sleep is very sort of punctured and littered with all of these awakenings across the night. That's sufficient quantity of sleep eight and a half hours, but it's poor quality of sleep because you are spending too much time awake.Matt Walker (23:30):And so, our measure of quality of sleep typically is what we call sleep efficiency. Of the time that you are in bed, what percent of that time are you asleep? And we like to see some measure of at least 85% or above because once you get less than 85% in terms of your sleep quality or your sleep efficiency, then you start to see many of these unfolding system-wide impairments. You seem to have high risk of diabetes, high risk obesity, high risk, as we said, cardiovascular disease. Also, hormonal changes both in men and in women. We see upstairs in the brain with poor quality of sleep, much more so than quantity of sleep. Poor quality of sleep is a more powerful predictor of mood disturbances and psychiatric conditions. And in fact, I think if you look at the data, at least in my center in the past 23 years, we've not been able to discover a single psychiatric condition in which sleep is normal, which to me is a stunning revelation. And what that tells us is that in many of those conditions they do seem to be getting not too bad of quantity of sleep. What is the marker of psychiatric sleep disturbance is not short quantity, it's poor quality of sleep. So I think it's a wonderful important point that I don't think we pay enough attention to, which is the quality.Eric Topol (25:05):Yes. And the other thing that you've emphasized, and I just want to reiterate to people listening or watching that is the regularity story, just like you said with quality. The data and I'll put the figure in that shows the link between regularity and cardiovascular, neurodegenerative, cancer, that regularity thing. A lot of people don't understand how important that is as well.Matt Walker (25:30):Stunning study from data from the UK Biobank, and this is across thousands and thousands of individuals and they tracked quantity and they tracked regularity and they split people up into the quartiles, those who were most regular and those who were least regular. And as you'll see in those sort of the figure that you flash up, those people who were in the upper quartile of regularity, de-risk all-cause mortality, cancer mortality, cardiovascular mortality, it was stunning. And then they did a cute little experiment of a statistical test where they took quantity because they had it in these individuals and regularity and they kind of put them in the same statistical bucket and did a sort of a Coke Pepsi challenge to see which one won out. And what it seemed to be was that regularity almost beat out quantity in terms of predicting all-cause mortality. Now that's not to say that you can get away with saying, well, I sleep four hours a night, but I sleep very regularly, consistently four hours a night. No, you need both, but regularity. I was someone who based on my remarkably vanilla and pedestrian personality, I've always been quite regular in my regard. But goodness me, even when I read that paper, I thought I'm doubling down on regularity. It's so important. That tells us, I think something that is in some ways a story not about sleep. It's a story about your circadian rhythm.Matt Walker (27:02):We speak a lot, or I speak a lot about sleep, and I think I've probably done a mis service to the other aspect of the sleep wake rhythmicity, which is called your 24 hours circadian rhythm. Now your sleep pressure, the drive to sleep is independent of your circadian rhythm, but they often work beautifully in harmony with each other, and you fall asleep, and you stay asleep. But I think the circadian system is critical because, excuse me, and what the circadian rhythm also regulates, sneezing right at the inopportune moment when you are recording a podcast. But nevertheless, what that tells me is that when you feed your brain signals of wake sleep consistency, which is to say wake, sleep, timing, regularity, there is something about feeding the brain signals of regularity that anchor your 24-hour circadian rhythm and as a consequence, it improves the quantity and the quality of your sleep. They're intertwined.What About Sleep Trackers?Eric Topol (28:09):That's a terrific explanation for what I think a lot of people don't appreciate it's importance. Now, last topic about tracking. Now we understand how important sleep is. It is the superpower I am with you on that really brought that to light in so many ways. But of course, now we can track it with rings with smart watches and we get these readouts things like efficiency as part of the Oura score and other rings and deep sleep or NREM, REM, the works, you can see your awake times that you didn't know you're awake and the whole bit. Do you recommend for people that aren't getting great sleep quality beyond that they should try to establish a regular schedule that they should track to try to improve it and of course how would they improve it? Or are these things like having a cold mattress temperature that is controlled? What are the tricks that you would suggest for trying to improve your sleep through tracking? Or do you think tracking shouldn't be done?Matt Walker (29:16):Oh gosh, it's such a wonderful question and as with wonderful questions, the answer is usually it's complicated and I have to be careful because for someone who's currently wearing three different sleep trackers, it's going to be hard for me to answer this question completely in the negative. And there are three different sleep trackers. But I would say that for the most part, I like the idea of sleep tracking if you are sleeping well, meaning if as long as you're not suffering from insomnia. The reason is because sleep unlike those two other critical of health, which is diet and exercise, is very difficult to subjectively estimate. So if I were to ask you, Eric, how many times have you worked out in the past week, you'd be able to tell me how cleanly or how poorly have you been eating in the past week. You could tell me.Matt Walker (30:09):But if I was to say to you, Eric, how much deep sleep did you get last Tuesday? And if you don't have a sleep tracker, you'd say, I don't know. And so, there's something useful about tracking, especially a non-conscious process that I think is meaningful to many. And often medicine we say what gets measured gets managed, and there is that trite sort of statement. I do think that that's still true for sleep. So many people I've spoken to have, for example, markedly reduced the amount of alcohol consumption because they've been seeing the huge impact that the alcohol consumption in the evening has on their ring smart ring data as a consequence. So overall, I think they're pretty good. When people ask me what's the best sleep tracker, I usually say it's the one that you wear most frequently because if I come up with a band, headband, chest straps, all sorts of different things and it's a hundred percent accurate, but after three uses of it, you stop using it, that's a useless sleep tracker. So I like to think about sleep trackers that are low friction and no friction. When we go to sleep, we take things off, we don't put things on. That's why I liked things like the ring. For example, I think that's a non-intrusive way. I think the mattress may be as if not better because it's a completely friction less device. You don't have to remember to charge it. You don't have to put it on, you just fall into bed, and it tracks your sleep.Matt Walker (31:40):One form factor, I like to think about sleep trackers is the form factor itself. But then the other is accuracy. And I think right now if you look at the data, probably Oura is winning the ring kind of wars. If you look at all wristband wars, I think it's probably the most accurate relative to something like Fitbit or Apple Watch or the Whoop Band. But they're all pretty close. I think Oura is probably the leader in class right now at least. Keep in mind that I used to be an advisor for Oura. I want to make that very clear. So take what I say with a grain of salt in that regard. I think to your question, well, I'll come back to mattresses in just one second.Matt Walker (32:34):For people who are struggling with sleep, I think you've got to be very, very careful with sleep trackers because they can have the counterproductive effect where I gave you the example of alcohol or eating too late. And these sleep trackers help you modify your behaviors to improve your sleep. Well, there are places where these trackers can actually do you a disservice. When you get so hyper focused on your data and your data not looking good each and every day, it becomes a self-fulfilling prophecy of a negative spiral. And we now have a condition in sleep medicine called orthosomnia. So ortho in medicine typically means straightened. So you've heard of orthodontic straightening teeth, orthopedic straightening bones, orthosomnia is about getting so obsessed with getting your sleep perfect and your sleep straight that it causes an insomnia like syndrome. Now, I don't know, I think the press has made more of this than there is.Matt Walker (33:30):It probably is about 5-7% of the population. I would say at that moment in time, do one of two things. Either take the ring off entirely and just say, I'm going to get my sea legs back underneath me, get some cognitive behavioral therapy for insomnia. And when I'm confident I'll put the ring back on. Or don't throw the baby out with the bath water, keep wearing the ring. Try to say to yourself only on let's say a Sunday afternoon, will I open up the app and look historically what's been happening during the past week so that you keep getting your data, but you don't get the angiogenic daily sort of repetition of reinforcement of I'm not sleeping well. I should also note by the way that I think sleep trackers are not a substitute for either a sleep recording laboratory, but also, they're not a substitute for ultimately telling you entirely how good your sleep is.Matt Walker (34:24):Don't forget, you should always keep in mind how do I feel the next day? Because I think a lot of people will see their readiness score as 92 and they feel miserable. They just feel rough. And then another day, my readiness score was 62 and I just went out and I just ran my fastest five mile that I've done in the past six months. So don't forget that subjective sense of sleep is just as important as objective measures of sleep. The final thing I would say to your point about the mattresses, I actually do think that they are a really great vehicle for sleep augmentation because these smart mattresses, they're filled with sensors, things like Eight Sleep, and they will assess your physiology, they will track your sleep just like a sleep tracking ring. But what's also good is that because they can manipulate temperature and your sleep is so thermoregulatory sensitive that they create this kind, it's almost like this bent arc of thermal story throughout the night because you have to warm up at the surface to cool down at the core to fall asleep, then you have to stay cool to stay asleep, then you have to warm up to wake up and they take you through that natural change.Matt Walker (35:41):But they do it intelligently because they're measuring your sleep minute to minute. And then they're saying, I'm tweaking temperature a little bit. Has sleep improved? Has it become worse? Oh, it's become better. Let's lean into that. Let's get them even colder. Oh, wait a second, it's getting worse. Let's warm it back up a little bit. It's like a staircase method, like a Richter shock. And gradually they find your sweet spot and I think that is a really elegant system. And now they're measuring snoring. Snoring perturbations, and they can augment the bed and raise the angle of the bed up just a little bit so that the gravity doesn't have as much of a hold on your airway because when you're lying on your back, the airway wants to collapse down to gravity, and when you raise back up again, it will change that. And so, I think that there's lots of new advantages in, I think mattress technology that we'll see coming out into the future. I think it's a great vehicle for sleep augmentation.Eric Topol (36:37):That's terrific. Well, this has been for me, very educational, as I would've predicted, if anybody's up on everything in this area, it would be you. So thank you, Matt. It's a really brilliant discussion, really enlightening. We could talk some more hours, but I think we've encapsulated some of the big things. And before we finish up, is there anything else you wanted to say?Matt Walker (37:05):No, I think just to thank you for both your work in general in terms of science communication, your offer here specifically to allow me to try to be a very poorly communicated voice of sleep, and also just what you've done in general for I think the accuracy of science communication out into the public. Please never stop, continue to be a shining light for all of us. You are remarkable. Thank you, Eric.Eric Topol (37:31):Oh, you're very kind. And I look forward to the next chance we get to visit in person. It's been too long, Matt. And all the best to you. Thanks for joining today.************************************************A quick pollI cover much about sleep and healthy aging in SUPER AGERS, which has been on the NYT Bestseller list for 3 weeks. I'm very grateful to many of you for being one of the book's readers.And thanks for reading and subscribing to Ground Truths.If you found this interesting please share it!That makes the work involved in putting these together especially worthwhile.All content on Ground Truths—its newsletters, analyses, and podcasts, are free, open-access.Paid subscriptions are voluntary and all proceeds from them go to support Scripps Research. They do allow for posting comments and questions, which I do my best to respond to. Many thanks to those who have contributed—they have greatly helped fund our summer internship programs for the past two years Get full access to Ground Truths at erictopol.substack.com/subscribe

Justice Minister Jim O’Callaghan is rejecting the view that the government’s new asylum process is cruel. Women and children were among 39 people who were deported to Georgia last night. John Lannon is CEO of Doras which works to support and promote the rights of migrants.

On today's show:  9am-10am Tributes to Dunmore MacHales and Galway 3-in-a-row legend Tommie Keenan Refugee rights organisation Doras raises concerns over proposed new International Protection Legislation We look at bone health and how women can take proactive steps to prevent, diagnose and treat osteoporosis

The State is more likely than ever to reject International Protection applications, with 81% refused at first instance this year, compared to 52% rejected in 2017.To discuss further on the show was John Lannon, CEO of Doras and Peadar Toibín, Leader of Aontú to discuss.

The State is more likely than ever to reject International Protection applications, with 81% refused at first instance this year, compared to 52% rejected in 2017.To discuss further on the show was John Lannon, CEO of Doras and Peadar Toibín, Leader of Aontú to discuss.

A MidWest Migrants Rights Group claims the government has failed in its duty to provide adequate accommodation and care for those seeking asylum in Ireland. A new HIQA report has found most IPAS centres require considerable improvement with refugees living in "very cramped environments". Meanwhile, 41% of residents of IPAS centres had received refugee status but remained living in IPAS accommodation due to a lack of alternative. Doras CEO, John Lannon, says the state's failings are particularly evident on Clare's doorstep.

Ennis Scouts Hall is the venue for a special upcoming event, to mark International Women's Day. The exhibition, called Women, Rights and Peace, will take place on Saturday, the 8th of March, from 11am to 4pm. To find out more, Alan Morrissey was joined by Chair of the Clare Immigrant Support Centre, Eoin Tynan-O'Mahony, Trisha Rainsford, Author, Co-Ordinator of the Irish Baha'i Office of Public Affairs and one of the creators of the Women, Rights and Peace Exhibition, Chairman of the Board at Doras. Alan was also joined by Neda Shahidyazdani, local organiser, Iranian refugee & human rights lawyer and advocate currently working in the field of community building in Ennis. Photo(C): Clare FM

Matt Walker welcomes Dr. Ranji Varghese back to the podcast today to complete the whole sleeping pill story by discussing newer sleeping pills, beyond benzos and Z-drugs. Together, they explore Melatonin receptor agonists (like Ramelteon) that signal sleep preparation, unlike sedating GABAergics. They also detail how DORAs inhibit the wakefulness-promoting orexin, how off-label options (ex. trazodone, low-dose doxepin) affect histamine,  the risks and benefits of each.Dr. Varghese goes on to explain the mechanisms and side effect profile for each sleeping pill, including over the counter options. He stresses that all medications carry risk and require careful use, noting that sleeping pills are tools not cures, and that CBTI is preferred for chronic insomnia. Our duo finish up by reminding listeners that open communication with your doctor is vital for safe, short-term medication use. Please note that Matt is not a medical doctor, and none of the content in this podcast should be considered medical advice in any way, shape, or form, nor prescriptive in any way.One of our sponsors this week is the biochemical electrolyte drink company LMNT, and they are very kindly offering eight free sample packs when you purchase any one of their orders at drinklmnt.com/mattwalker. LMNT is an electrolyte sports drink that I can get behind - it's created from the basis of science, and it has no sugar, no coloring, and no artificial ingredients – all qualities that are so important to maintaining your blood biochemical balance. If you want to give LMNT a try, just head on over to drinklmnt.com/mattwalker and get your eight free samples with your first purchase. Matt will be the first to tell you that launching his sleep-related merchandise sales was incredibly smooth, thanks to our new sponsor Shopify and their integrated sales and inventory system. And now, just for you,  Shopify is generously offering an exclusive trial at shopify.com/mattwalker. Whether it's online or in-person sales, Shopify simplifies it all. So, be sure to stop in at shopify.com/mattwalker to start your exclusive journey now! Matt's good friend Dr. Peter Attia has helped develop David, a revolutionary new protein bar, and a sponsor of today's episode! 28g of protein, 0g sugar, only 150 calories – the best ratio EVER! Amazing taste, six flavors, incredibly satiating, and a great source of the protein that helps build muscle, manage metabolic health, and keep you full. Visit davidprotein.com/mattwalker now for an amazing deal: Buy 4 cartons, and get a 5th FREE! . Hurry! Your new favorite protein bar awaits!As always, if you have thoughts or feedback you'd like to share, please reach out:Matt: Instagram @drmattwalker, X @sleepdiplomat, YouTube https://www.youtube.com/@sleepdiplomatmattwalker9299Dr. Varghese:LinkedIn: https://www.linkedin.com/in/ranji-varghese-md-3591665a/Minnesota Regional Sleep Disorders Center:https://www.hennepinhealthcare.org/specialty/minnesota-regional-sleep-disorders-center/Institute for Integrative Therapies: @iit-mn.comSociety of Behavioral Sleep Medicine: https://www.behavioralsleep.org/Instagram: https://www.instagram.com/docvarghese/?hl=enX: https://x.c

Today on the show - Will the introduction of a Housing Tsar help tackle the housing crisis in Ireland - Labour's Ged Nash gave us his opinion on the issue. Dr Michael McCorry of the DkIT told us about his involvement in the revamping of the Garda Recruit Fitness test and John Lannon of Doras spoke with us on the 3rd anniversary of the war in Ukraine & about what life is like for Ukrainians still living in Ireland. Hosted on Acast. See acast.com/privacy for more information.

Endelig kan vi puste lettet ut nå som premieren på Doras nye show er over - og GIKK SÅ BRA! Detaljer i dagens episode. Og spørsmålet: "... har dere noen tips til å prokrastinere mindre i hverdagen? Alt fra å begynne med oppgaver, til å gå med søpla."

This is a limited release bonus episode from our Patreon. Sign up today to get unlimited access to all bonus episodes. In this episode, the guys review the controversial Star Wars Holiday Special... and boy, was it special in many ways! To reach out to us or follow Star Lores on social media, here is the rest of our links: Doras.to/starlores  

Midwest Migrants Rights Group, Doras, says migrant workers are more likely to flag issues within a workplace directly to them rather than taking legal measures. It follows the publication of a report from the Economic and Social Research Institute that indicates fears of unemployment and deportation has exposed migrant workers to exploitation. The ESRI says that efforts have been made to improve employment law, but that a lack of work permit inspections have lead to migrants being exposed to incredibly poor working conditions. CEO of Doras, John Lannon, says in extreme situations, human trafficking has occurred to facilitate workplace exploitation.

Join Matt today as he explores the fascinating intersection of sleep, metabolism, and weight management, delving into the science of dual orexin receptor antagonists (DORAs). This episode dissects a groundbreaking study on suvorexant (Belsomra), an FDA-approved insomnia medication, and its potential to enhance fat burning during sleep. Matt unpacks the role of orexin, a neuropeptide crucial for wakefulness, and explains how DORAs work by targeting orexin receptors to promote natural sleep. This preliminary research, conducted on healthy young men, reveals suvorexant's intriguing ability to not only improve sleep quality, but also increase fat oxidation while preserving muscle mass. While these initial findings are promising, Matt emphasizes the importance of cautious optimism and the need for further research in more diverse groups. He explores the implications for weight management and metabolic health, highlighting the potential of suvorexant as a novel approach to weight loss. However, Matt underscores that a holistic approach, including diet, exercise, and good sleep hygiene, remains essential for long-term success. Tune in today to gain valuable insights into the complex relationship between sleep and metabolism, and how scientific advancements may pave the way for innovative solutions in weight management.Please note that Matt is not a medical doctor, and none of the content in this podcast should be considered medical advice in any way, shape, or form, nor prescriptive in any way.Are sleep troubles keeping you up at night? Matt used to be a skeptic about meditation, but 7 years ago, he tried it using a fantastic meditation app called ‘Calm', and it transformed his sleep! Now, he meditates for 10 minutes before bedtime every night! He's also partnered with Calm who have been generous enough to offer his podcast listeners an exclusive 40% discount on their premium subscription! All you have to do is go to calm.com/mattwalker and take advantage of this incredible deal! Head on over now and improve your sleep today!Another great sponsor of the show is AG1, a comprehensive nutritional drink trusted by thousands worldwide, including Matt! For nearly four years and counting, he has relied on AG1 to fuel his post-workout routine with its powerhouse blend of over 75 essential minerals, vitamins, probiotics, and prebiotics, meticulously crafted to support your daily nutritional needs. AG1 is registered and approved by the Therapeutic Goods Administration, boasting GMP badges for quality assurance. As a special offer for our listeners, when you try AG1, you'll receive a complimentary one-year supply of both Vitamin D and K2, and with your first subscription, you'll also receive five free AG1 travel packs! Visit AG1 to explore AG1's range of offerings and claim your exclusive offer.As always, if you have thoughts or feedback you'd like to share, please reach out to Matt on Instagram.Matt: Instagram @drmattwalker or on X @sleepdiplomat

Kevin Byrne, former Lieutenant Colonel in the Irish Air Corps; John Lannon, CEO of Doras; Emer Higgins, Minister of State for Business, Employment & Retail; Mairéad Farrell, Sinn Féin TD for Galway West; Richard Boyd Barrett, People Before Profit TD for Dun Laoghaire

“Homelessness numbers are heavily impacted by the fact we are seeing many people seek protection in our country”.That's the comment from Taoiseach Simon Harris which has sparked much controversy in recent days. But, what are the facts behind the rhetoric?Kieran is joined by Kitty Holland, Social Affairs Correspondent of The Irish Times and John Lannon, CEO of Doras, to discuss.

A MidWest Migrants Rights Group is urging the government to reconsider a proposal to ask asylum seekers to make a financial contribution towards their costs. Taoiseach Simon Harris confirmed the Government is considering the move based on the people's circumstances and incomes, describing the move as a 'common sense approach'. Doras has criticised the move, however, claiming it's not feasible due to uncertainty surrounding work permits and employment retention for those in the system. CEO John Lannon believes following through on the proposal would be very unfair due to the fact many asylum seekers arrive to Ireland with nothing to begin with.

Today on the show - We discussed Govt's allocation of an additional 100m to housing with Fr Peter McVerry, the GRA describe the increase to the training allowance as "a paltry crumb" and DORAS spoke with us about Govt proposals to make asylum seekers pay towards the State services they receive Hosted on Acast. See acast.com/privacy for more information.

The Poem of the Man God is a retelling of the Gospel of Jesus of Nazareth as told in the private revelations of Maria Valtorta. In this episode we see Peter speaks to Doras' peasants about the Love which is salvation.

John Lannon, CEO of Doras, a refugee and migrant rights organisation, discusses the reaction of migrants here to the disturbances seen outside accommodation centres such as in Coolock in Dublin this week.

Today is World Refugee Day. Each year on the 20th of June, the world celebrates the strength and courage of people who have been forced to flee their home country to escape conflict or persecution. Given the war in Ukraine and global geopolitics more generally, it is a pertinent time to be discussing the topic of refugees. For more on this, Alan Morrissey was joined by John Lannon, the CEO of Doras.

With John Lannon, CEO of DORAS

From worms and maggots in food to rooms shared with nine other men, the latest report from Doras paints a shocking picture of the harsh realities faced by Ukrainian refugees in State-provided accommodation. Speaking to Ciara was John Lannon, CEO of Doras to discuss the findings.

An ESRI analysis has found a lack of pathways for refugees hoping to access affordable housing along with overburdened frontline support workers in local authorities and homeless charities to be among the greatest barriers. In Clare at present, there are over 1,100 households availing of HAP, while last month the local authority was supporting 118 people here in emergency accommodation. But the a MidWest Migrant Rights Centre claims a lack of communication between IPAS and county councils is creating serious difficulties for refugees hoping to access housing. Doras CEO John Lannon says the situation is having a serious impact on the well-being of new arrivals and their families.

with John Lannon, CEO of DORAS, Limerick based human rights and migrant support group

John Lannon, CEO of Doras and Enterprise, Trade and Employment minister Peter Burke react on the means testing of IPAS allowances

Over 600 free beds previously used by Ukranians in Ireland have been earmarked for International Protection applicants. Would this be a good idea? Or should they be used for something else?To discuss, Kieran is joined by John Lannon, the CEO of Doras and Paul Treyvaud, TV Chef and Proprietor of Treyvaud's Restaurant in Killarney.

The government is being urged to "get its house in order" on immigration. It comes amid a dispute with the UK over returning asylum seekers to Britain, with Ireland working to close the loophole to send refugees back to the UK if they cross the border. The Cabinet has approved proposals from Minister for Justice Helen McEntee to quickly draft legislation so that the UK can again be designated as a safe country to return people seeking asylum. To discuss this further, Alan Morrissey was joined by Donnacha Ó Beacháin, a Newmarket on Fergus native, Professor of Politics at the School of Law and Government at Dublin City University, and John Lannon, CEO of Doras.

9am - 10am  Brendan Kennelly of Voices4Care speaks about an opportunity for volunteers to contribute to the future of palliative care services.  Áine Uí Fhoghlú on a nationwide event for the children of Gaza tonight.  Moninne Griffith of Belong to sheds a light on a recent report into the mental health of LGBTQI+ people John Lannon of Doras discusses the latest developments in the migration situation in Ireland  'Galway Talks with John Morley' broadcasts every weekday morning from 9am on Galway Bay FM.

This is episode 2 of a 6-part special series on sleep with Dr. Matthew Walker, Ph.D., a professor of neuroscience and psychology and founder of the Center for Human Sleep Science at the University of California, Berkeley. We discuss basic and advanced tools for improving sleep and explain how sleep quality is affected by temperature, light and dark, caffeine, alcohol, cannabis, nutrition, meal timing, and different medications.  Dr. Walker also provides strategies for coping with a poor night of sleep, wind-down routines, technology in the bedroom, insomnia, visualizations, and building sleep “confidence.”  We also discuss the current status of sleep research for developing advanced techniques to optimize sleep.  This episode provides numerous zero-cost behavioral protocols for improving sleep quality and restorative power, which can benefit daytime mood, energy, performance, and overall health.  The next episode in this special series explores napping, caffeine, and additional protocols to improve sleep. For show notes, including referenced articles and additional resources, please visit hubermanlab.com. Thank you to our sponsors AG1: https://drinkag1.com/huberman Helix Sleep: https://helixsleep.com/huberman WHOOP: https://join.whoop.com/huberman Waking Up: https://wakingup.com/huberman InsideTracker: https://insidetracker.com/huberman Momentous: https://livemomentous.com/huberman Timestamps (00:00:00) Improving Sleep (00:01:16) Sponsors: Helix Sleep, WHOOP & Waking Up (00:05:30) Basics of Sleep Hygiene, Regularity, Dark & Light (00:12:05) Light, Day & Night; Cortisol, Insomnia (00:18:45) Temperature; “Walk It Out”; Alcohol & Caffeine (00:26:05) Sleep Association, Bed vs. Sofa (00:29:43) Tool: Falling Asleep; Meditation, Breathing (00:35:23) Sponsor: AG1 (00:36:37) Alcohol & Sleep Disruption (00:40:01) Food & Sleep, Carbs, Melatonin (00:49:25) Caffeine; Afternoon Coffee, Nighttime Waking (00:55:52) Caffeine Metabolism & Sleep, Individual Variation (01:01:19) Sponsor: InsideTracker (01:02:04) Cannabis: THC vs. CBD, REM Sleep, Withdrawal (01:12:03) Sleep Hygiene Basics (01:16:08) Tool: Poor Sleep Compensation, “Do Nothing” (01:20:23) Tool: Sleep Deprivation & Exercise (01:24:11) Insomnia Intervention & Bedtime Rescheduling, Sleep Confidence (01:32:58) Wind-Down Routine; Mental Walk; Clocks & Phones (01:41:29) Advanced Sleep Optimization, Electric Manipulation (01:50:07) Temperature Manipulation, Elderly, Insomnia (01:58:57) Tool: Warm Bath Effect & Sleep, Sauna (02:04:36) Acoustic Stimulation, White Noise, Pink Noise (02:13:30) Rocking & Sleep, Body Position (02:24:17) Enhance REM Sleep & Temperature; Sleep Medications (02:28:35) Pharmacology, DORAs & REM Sleep; Narcolepsy & Insomnia (02:34:12) Acetylcholine, Serotonin, Peptides; Balance (02:40:45) Zero-Cost Support, Spotify & Apple Reviews, Sponsors, YouTube Feedback, Momentous, Social Media, Neural Network Newsletter Disclaimer

The cost of providing asylum seekers with accomodation over the next twenty years has been put at 5 billion euros. Last week, Integration Minister Roderick O'Gorman committed to building accommodation consisting of 14,000 beds in State owned facilities by 2028. For reaction John Lannon, CEO of Doras.

Minister of State, Neale Richmond has said he wants asylum seekers to be able to work after two months of arriving in the country. John Lannon, CEO of Doras joined Shane on Newstalk Breakfast to discuss...

John Lannon, Chief Executive of migrant support organisation Doras and Barry Ward, Fine Gael Senator

You'll have to listen to the end to hear about Doras "accident" ...... and Palworld :)

A Midwest migrants' rights group fears accomodation for refugees won't improve in 2024. Clare has hosted approximately 850 international protection applicants this year in Ennis, Tulla, Meelick, Inch, Lisdoonvarna and Scariff. This is on top of the over 5,000 Ukrainian refugees have now made their home in the county which is the 6th sixth highest amount in Ireland. Chief Executive Officer of Doras, John Lannon says there is more available accomodation across the country that could be used.

A Midwest migrants' rights charity has labelled the EU's new migration laws as "a step in the wrong direction" for refugees. The European Union's reform of its asylum laws will result in faster vetting of irregular arrivals, the establishment of border detention centres and expedited deporation of rejected asylum seekers. Also included is a 'solidarity mechanism' which allows particularly burdened countries to slow the flow of migrants across their borders. While Taoiseach Leo Vardakar has hailed the overhaul as "good progress", Oxfam has described the legislation as "a dangerous dismantling of the key principles of human rights and refugee law". Doras CEO John Lannon has been telling Clare FM's Seán Lyons the new measures could be detrimental to the safety and survival of thousands seeking shelter.

A Midwest migrants' rights group has criticised the Government for "abandoning to the streets", people who came to this country seeking safety and protection. It follows confirmation from the Department of Integration that it can no longer house newly arrived international protection applicants. A spokesperson for the Department said tents and sleeping bags will be provided to people, where required, due to a severe shortage of available accommodation, although women and children will still be accommodated. Chief Executive Officer of Doras, John Lannon says forcing people to sleep in tents in subzero conditions is a worrying development.

There is a suggestion that we could run out of accommodation for asylum seekers later this week. How likely is this?John Lannon, Chief Executive of DORAS, and Marian Harkin, Independent TD for Sligo-Leitrim, joined The Last Word to discuss.Listen by pressing the 'Play' button on this page.

A Midwest migrants' rights group is calling on the government to show "responsible leadership" to ensure those seeking refuge in Ireland can feel safe and secure. Senior government sources have indicated there are "serious concerns" that international protection applicants will soon have to live in tents or sleep rough, with accommodation spaces likely to run out by the end of this week. As of the end of October, this county is hosting approximately 850 international protection applicants in Ennis, Tulla, Meelick, Inch, Lisdoonvarna and Scariff. Doras CEO John Lannon says it's vital the government stand up for victims of "hate and intolerance" so that non-nationals don't have to look over their shoulders.

A Ukrainian native living in Clare believes the Taoiseach should be doing more to bring the war in her country to an end. It follows comments this week from Leo Varadkar, who's said Ireland needs to 'slow the flow of refugees and Asylum Seekers' arriving in the country. Since the Russian invasion in February of last year, 4,947 Ukrainian refugees have arrived in Clare, the sixth highest total per head of population in the country. Coupled with this, at the end of October, the county was also hosting around 850 International Protection Applicants across Ennis, Tulla, Meelick, Inch, Lisdoonvarna and Scariff. Comments from the Taoiseach this week suggests change is afoot though. According to Leo Varadkar, Ireland needs to slow the flow of refugees and ensure the supports offered here are aligned with other countries. However Ennis resident Mariya Nikashanova, who's originally from Irpin, believes the Taoiseach could eliminate the problem at the source, by exerting his influence on the international stage, and ensuring sanctions on Russia are effective in bringing the conflict to an end. Currently, all Ukrainian arrivals to Ireland are entitled to standard social protection supports, such as the maximum jobseeker's allowance payment of €230 per week. This compares to a monthly citizens income of €510 per month in Germany, while in Italy, after 90 days, refugees are expected to source their own accommodation. A MidWest Refugee Support Centre believes, however, that Ireland's focus should be on delivering medium term accommodation, rather than deterring an influx of future arrivals. John Lannon from Doras says strategic local taskforces need to be formed to ensure any changes to current policy do not compound the homeless crisis.

There have been reports of Cabinet disagreement over Equality Minister Roderic O'Gorman's proposals to limit the offer of state-provided accommodation for Ukrainian refugees to 90 days. Kieran was joined by John Lannon, CEO of Doras and Michael McNamara, Independent TD for Clare...

On Monday's Morning Focus, Alan Morrissey was joined by John Lannon, CEO of Doras and Bulelani Mfaco MASI Spokesperson to discuss The Irish Refugee Council, calling for people in direct provision to be given child benefit. Currently adults are entitled to 38 euro 80 cent per week and 29 euro 80 per child. However, they are not entitled to the 140 euro monthly child benefit payment. A new survey published by the refugee council has found nearly 90 per cent of those in the system find the daily allowance isn't enough to cover basic needs. Those in the system are entitled to food and shared accommodation in centers, and access to education and healthcare. Picture (c) by Getty Images via Canva

John Lannon, Chief Executive of Doras, reacts to the Taoiseach's comments in Spain yesterday regarding Ireland's possible response to the EU Migration Pact.

We talk to John Lannon from Doras in Limerick who's been working with international protection applicants in Knocknalisheen and Linda Loughnane of the Laois Integration Network who's at Stradbally where 367 people are in tents.

John Lannon, Chief Executive of Doras, on the number of refugees who will have to be moved out of student accommodation and rehoused in the coming weeks.

Is there a DORA to be explored in Shelby's future?: https://www.richlandsource.com/news/is-there-a-dora-to-be-explored-in-shelbys-future/article_46c20bfe-255f-11ee-ae5e-b7a13a9aec42.html Today - Shelby is grappling with the possibility of introducing Designated Outdoor Refreshment Areas, or DORAs, into its downtown.Support the show: https://www.sourcemembers.com/See omnystudio.com/listener for privacy information.

The CEO of Doras believes a new government initiative aimed at expediting the Asylum Seeker application process won't result in a surge of new arrivals to the county. The International Protection Modernisation Programme has been published this week and sets out to deliver an additional 250 first instance decisions per month by the spring of 2024. At the end of June, Clare County Council's monthly management report noted that over 800 International Protection Applicants were residing here, with that figure increasing monthly. Doras Midwest CEO John Lannon believes the state need to place the emphasis on enhancing community resources.

2/23/23. Five Minutes in the Word scriptures for today: Acts 9:39-41. When Peter arrived in Joppa is is taken the the corpse of Doras. Her life is restored after he prayed for her. Resources: enduringword.com; Matthew Henry Complete Commentary; logos.com; and Life Application Study Bible. #Podchaser list of "60 Best Podcasts to Discover for November 2021" #MinutesWord; @MinutesWord; #dailydevotional #christianpodcast #MinutesWord #christianpodcaster Listen, like, follow, share! Available on Spotify and most podcast apps! #prayforukraine #voiceofthemartyrs #prayforTurkey #prayforSyria

John Lannon, CEO of Doras, an organisation promoting the rights of migrants, on Government proposals to improve accommodation for refugees.