Podcasts about firs

We unravel the rise & fall of Rahul Yadav's 4B Networks. Uncovering Info Edge's ₹288 crore write-off, proptech's insolvency, multiple FIRs & lessons for founders!

This week, host Anmol Pritam is joined by Newslaundry's Shivanarayan Rajpurohit, independent journalists Ashfaque EJ and Saurabh Kumar. Shivnarayan talks about his report that uncovers how an Adani subsidiary gained access to its controversial power plant site in Uttar Pradesh's Mirzapur through a forest department road – without obtaining the required forest clearance that would precede such arrangements. “Experts say that the project and road leading up to it will cause a lot of damage to the surrounding flora and fauna,” he says.Saurabh and Ashfaque's documentary follows five of the 18 anti-CAA activists accused of orchestrating violence during the 2020 Delhi riots.“Through our documentary, we wanted to show that the Delhi police, to cover up its inefficiency in containing the violence during the 2020 Delhi unrest, booked these activists,” says Saurabh. He adds that the FIRs against the activists is not based on “concrete proof” and has “several loopholes”.Tune in. Hosted on Acast. See acast.com/privacy for more information.

In this week's episode of the Rich Habits Podcast, Robert Croak and Austin Hankwitz answer your questions!---

This week on our Mafia series we take a look at two more acting bosses while actual boss Vic Amuso is in prison. Firs up, we will profile Joseph DeFede who became acting boss after Alphonse D'Arco. When DeFede went to prison, and ultimately turned informant, he was replace by Steven Crea who held the position up until his imprisonment.  Subscribe to our YouTube! https://www.youtube.com/@bangdangnetworkBecome a supporter of this podcast: https://www.spreaker.com/podcast/outlaws-gunslingers--4737234/support.

This is the Catchup on 3 Things by The Indian Express and I'm Flora Swain.Today is the 3rd of March and here are the headlines.Influencer Ranveer Allahbadia has asked the Supreme Court to allow him to continue airing his shows, calling it his "only source of livelihood." This request comes as the court hears pleas to consolidate FIRs linked to the ‘India's Got Latent' controversy. The court granted him interim protection from arrest but ordered him to surrender his passport and seek approval before leaving India. The controversy began when Allahbadia made controversial remarks about parents on comedian Samay Raina's show, sparking public outrage and multiple FIRs.The BJP criticized Congress on Monday after INC spokesperson Shama Mohamed's now-deleted X post fat-shamed Indian cricket captain Rohit Sharma. Bhandari, BJP national spokesperson, condemned Congress for targeting Sharma, saying, “Shame on Congress! Are they expecting Rahul Gandhi to play cricket after his political failures?” Mohamed's post, which criticized Sharma's weight during the India vs New Zealand Champions Trophy match, called him “fat for a sportsman” and questioned his capabilities as captain. The post quickly garnered backlash before being deleted.Jammu and Kashmir Lt Governor Manoj Sinha reaffirmed his government's commitment to restoring full statehood for the union territory. Speaking at the opening of the Budget Session, he acknowledged the emotional and political significance of statehood to the people of J&K and emphasized ongoing efforts to engage stakeholders. Sinha stated that the government is working to address the people's desires while ensuring peace, stability, and progress. His remarks come as political activity in J&K intensifies, with opposition parties challenging the government on sensitive issues like Article 370.Ukraine's President Volodymyr Zelenskyy expressed readiness to sign a minerals deal with the United States, despite not finalizing it during his visit to Washington. Zelenskyy acknowledged the challenges of his meeting with US President Donald Trump but reaffirmed Ukraine's openness to constructive dialogue. He emphasized that Ukraine's position needs to be heard. The minerals deal was seen as a step towards strengthening security ties between the two nations. However, tensions over peace talks with Russia have led to growing frustrations between the US and Ukraine.The 97th Academy Awards celebrated the best in filmmaking, with “Anora” emerging as the biggest winner of the night. The romantic comedy-drama from Sean Baker took home five Oscars, including Best Picture, Best Director, and Best Actress for Mikey Madison. Adrien Brody won Best Actor for his role in “The Brutalist.” “Emilia Pérez” led nominations with 13, but it was “Anora” that dominated the evening. The ceremony also featured memorable moments, including the award for Best Film Editing and Best Original Screenplay for “Anora.”This was the Catch Up on 3 Things by the Indian Express.

The popular YouTube show ‘India's Got Latent' has sparked controversy after criminal proceedings were initiated against its creators and participants over allegedly obscene remarks in one of its episodes. On February 18, 2025, the Supreme Court granted interim protection from arrest to podcaster Ranveer Allahbadia, one of the participants named in the FIRs. This has reignited the debate on whether stringent criminal sanctions are justified for contentious speech. Is there a right to take offence? Here we discuss the question. Guests: Justice Gautam Patel, former judge of the Bombay High Court; Dushyant Dave, senior advocate based in Delhi Host: Aaratrika Bhaumik You can now find The Hindu's podcasts on Spotify, Apple Podcasts and Stitcher. Search for Parley by The Hindu. Write to us with comments and feedback at socmed4@thehindu.co.in

First, in light of multiple FIRs being filed against YouTuber Ranveer Allahbadia, including charges of “obscene acts,” The Indian Express' Ajoy Sinha Karpuram explains what actually constitutes obscenity and how laws surrounding it have evolved over the years.Next, The Indian Express' Brendan Dabhi discusses scientists' groundbreaking efforts to produce a "lab-grown baby" using only stem cells. (14:08)Finally, The Indian Express' Aditi Raja tells us about a municipality in Gujarat that transformed a massive amount of single-use plastic into a valuable civic amenity. (21:02)Hosted and written by Shashank BhargavaProduced by Shashank Bhargava and Ichha SharmaEdited and mixed by Suresh Pawar

*Recorded in advance of the Los Angeles Wildfires, we're welcoming actress, singer, mother and entrepreneur Ashley Tisdale. The triple threat has been working in entertainment since she was just three years old, notably as “Sharpay Evans” in High School Musical and as “Maddie Fitzpatrick” in Disney Channel's The Suite Life of Zack and Cody. As the nostalgia Queen expands her accessible, clean, lifestyle brand – Being Frenshe – into haircare, we get the scoop on the difference-making self-care practices that Ashley abides by as part of her daily routine, the tools that help to best manage her anxiety and what creative projects Ashley is planning next.Plus, you'll hear about:Plastic surgery – How Ashley really feels about her breast explant surgery nowStory time! Why the star's daughter thinks that Zac Efron might be her dad?! Celebrity secrets! The beloved skincare musts on Ashley's topshelf… and the *one* discontinued mascara that she wishes would come backEntrepreneurship real talk. Why a previous failed business venture had her thinking twice before diving in a second timeSupport our LA community! Join us in helping those affected by the 2025 California Wildfires by visiting redcross.org, calling 1-800-RED CROSS (800-733-2767) or texting the word CAWILDFIRES to 90999 to make a donation. Watch this episode on our YouTube channel and SubscribeGet social with us and let us know what you think of the episode! find us on Instagram, Tiktok, Twitter. Join our private Facebook group. Or give us a call and leave us a voicemail at 1-844-227-0302. Sign up for our newsletter here For any products or links mentioned in this episode, check out our website: https://breakingbeautypodcast.com/episode-recaps/ Related episodes like this: Hailey Bieber on What She'll Glaze Next, Nail Secrets and The One Thing That No One Knows About HerKate Hudson's Secrets to Glowing From The Inside-Out Tracee Ellis Ross Shares Her Ageless Skincare Secrets, Deets On The New Hair Tales Documentary and The Skincare That's on her Top Shelf PROMO CODES: When you support our sponsors, you support the creation of Breaking Beauty Podcast! QuipThe new Quip 360 Oscillating Toothbrush literally revolves around you. Just for Breaking Beauty listeners, Quip is offering 20% off sitewide and a FREE travelcase and countertop stand at Getquip.com/beauty Firs​​t Aid Beauty​​Visit firstaidbeauty.com/beauty to get 20% off our First Aid Beauty favourites, like the Facial Radiance Pads, The KP Bump Eraser Body Scrub and more. NutrafolNutrafol is the #1 dermatologist-recommended hair growth supplement brand, trusted by over 1 million people. For a limited time, Nutrafol is offering our listeners $10 off your first month's subscription and free shipping when you go to Nutrafol.com and enter the promo code BREAKING. *Disclaimer: Unless otherwise stated, all products reviewed are gratis media samples submitted for editorial consideration.* Hosts: Carlene Higgins and Jill Dunn Theme song, used with permission: Cherry Bomb by Saya
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To kick off season three, Maurice and Chris explore a poem by Tennyson, two ancient chants - including a performance every bit as live as it is ill-advised - and a column by Mark Twain. Look forward to discussions of naivete, new year's resolutions, the development of polyphany and - as per usual - unnecessary oversharing. Firs recorded on 9th January 2025.

#AskDrJohnWattsRenowned Hyderabad dermatologist and trichologist Dr John Watts commends the Telangana State Medical Council (TSMC) for its action against illegal hair transplant centers operated by unqualified practitioners and quacks.

This is segment II from a 6-hour sound capture we took earlier this year at Kielder Forest in Northumberland. Recorded in spring, the environment is rich with birdsong, mainly willow warblers whose song is a short and very cheerful descending scale. We'd been walking along one of the rough paths that thread through the forest below the Kielder Observatory and had found exactly what we'd travelled up to this specific area to record. The hushing sound of wind in tall fir trees.  Of course these are no ordinary trees. They are Grandis Firs. Vertically vast. Each the size of a 15 storey tower block, with huge drooping boughs draped in billions of tiny pine needles. Every needle catches in the wind and converts the energy into audible sound. Individually it's hard to imagine one could hear anything produced from one needle at all, but heard altogether, the sound is powerful. Deeply moving. Akin even to a spiritual experience. After finding a suitable tree to rest the Lento box against, we left it behind in the forest to record the scene alone, hoping the wind would not die down.  The wind continued to blow in slow undulating waves. And the willow warblers continued to sing their lovely droopy songs, no doubt perched on the droopy boughs of the giant firs. But the trees and the birds were not the only aural presences in this part of the forest. There's a rushing stream, flowing from left to right of scene. It issues its own fresh bright sound to the interior space of the forest, as it rushes down into the valley to join the city-sized reservoir below.  * At 18 minutes into this segment a plane flies over, but don't worry, it's relatively soft and gentle, flying high up above the clouds. It may initially be hard to tell whether the white noise is from the stream or wind in the firs in this recording. Over time, and as your ears adjust to the aural environment, the distinct qualities of the stream and the wind in the firs may resolve out. Both are highly spatial and texturally different. They often blend into one another, then part, like vails woven from different fabrics, billowing together in currents of air. ** Follow us on Bluesky or Ko-fi to keep up with Lento news. We recently celebrated a big Lento milestone!

#280. “The turkey goes ‘gobble gobble' and then he gets his head chopped off. Whack!” That, believe it or not, is a weird Thanksgiving song. Weird and Thanksgiving gatherings can also overlap on the dinner table. Dillon goes through a list of odd dishes as we play “smash or pass,” and we would love to hear some of YOUR highs and lows from that list via the LinkTree below! On the back half, we enter Christmas decorating mode and discuss tree traditions, the possibility of those traditions shifting, and do a headcount of Christmas trees in our homes. Then it's on to streaming. This week we're watching Orange is the New Black, Return of the King: The Fall and Rise of Elvis Presley, An Idiot Abroad, and Game 7. Enjoy! Until next time, be kind to each other.FTM Merch! - https://www.teepublic.com/user/fromthemiddleLinkTree - https://linktr.ee/fromthemidpodVOICE MAIL! Comment, ask a question, suggest topics - (614) 383-8412Artius Man - https://artiusman.com​​​​​​​​​​​​​​ use discount code "themiddle"

Bongani Bingwa speaks to Ken Varejes  about the Whiskey Live festival taking place from 7- 9 November at The Firs in Rosbank. See omnystudio.com/listener for privacy information.

In this episode, Kolawole and Mrs. Omoigui-Okauru tackle the Nigerian "Anyhowism" sub-culture, discussing its impact on society and exploring how this mindset affects daily life. Tune in for a thought-provoking conversation on cultural attitudes and social behavior.

The thought of taking a mammogram is often scary for women, but it's a highly important medical exam, and one we should bear in mind in the context of Breast Cancer Awareness Month. Like with any type of cancer, the earlier breast cancer is detected, the better the patient's chances of recovery. And a mammogram can detect abnormalities that are too difficult to spot by only sight and touch. Why are mammograms recommended for women over the age of 50? Can women with breast implants or small breasts do the examination? We answer all your questions in under 3 minutes! To listen to the latest episodes, click here: Why were the queen's bees told of her death? Is sex without feelings ever a good idea? How can I improve my concentration at work? A Bababam Originals podcast, written and produced by Joseph Chance. Firs broadcast : 12/10/2022 Learn more about your ad choices. Visit megaphone.fm/adchoices

Fir trees don't have what you might call normal leaves. Their leaves are needles. Each tree possesses many needles, too many to count. Especially when the height of these trees ranges from 12 to 23 stories high. Concentrated in these myriad tiny needles, is a wonderful and special power. Position yourself deep within a fir forest, with even the slightest of breezes blowing high above, and you'll feel it.  You'll notice it first as a sound in your ears, but that is only where it starts. The softest, the most velvety, the most spatially rich sound imaginable. Without realising it, the sound passes from your ears to become a sigh In your chest and lungs. Further it flows, permeating through your whole body. The more you tune yourself into the sound of the fir trees, the more you still your own motion, the more you detach from the need to think of anything else, the more the waves of relief flow. The sensation is real, a palpable response to the aural awe diffusing down into the  spaces beneath the firs. Fir trees we feel create such powerful and yet enchantingly delicate sounds, that since experiencing them high in the hills of Dentdale last summer we knew we had to try to capture more. More fir trees in more different contexts, across more ground. That meant we had ultimately to go to the Kielder Forest, the largest fir plantation in England.  This sound capture is from a location in the Kielder Forest called Forest Drive. After reaching the area and then following rough tracks cut through the forest over several miles, we reached a place where a huge section of plantation was visible processing down the valley. Row, after row, after row of tall fir trees. The effect was enchanting, and fixed us to the spot. As we stood looking the wind began to rise in the treetops. The sound came. Velvet brown waves, of physically rejuvenating sound. It took our breaths away.  If you are able to find a quiet and still spot to listen to this episode with a pair of good headphones or Airpods with noise cancellation, the Lento microphones have managed to faithfully capture quite a lot of the aural perfection that existed inside this huge forest, on that warm and blowy spring day earlier this year. 

July 21, 2024 Pastor Nathan Lee Revelation 2: 1-7

Tout est dans le titre ! Au cours de notre premier live, nous avons annoncé cet qui sera certainement notre plus grand projet à date et notre plus gros évènement jamais organisé : la première cérémonie des FIRST PRINT AWARDS, un évènement IRL qui aura lieu le 6 décembre. Au programme : Un jury spécial Un jury de libraires pour un prix des librairesUn prix du publicUn artiste parrainDes animations au long de la soiréeOn vous donnera plus de détails au cours des prochains mois, mais il y a déjà une date à bloquer sur votre calendrier !Hébergé par Ausha. Visitez ausha.co/politique-de-confidentialite pour plus d'informations.

In Hour 2, Hollywood, Alex Donno, and Trevor continue the celebration of the Stanley Cup Final. Callers call in as they celebrate of the Cup for the Florida Panthers. Firs

Welcome to Skin, Spirit, and Sacred, a place to claim your beauty, pleasure, and experience joy in the body. I am so happy you're here to go on a sacred journey from skin to spirit with me.Firs, to clarify, Marianne Williamson is not part of this podcast (yet). The reason her name is in the title is because during the launch weekend of GROUND & BE FREE my book was on par with Marianne's new release The Mystic Jesus: The Mind of Love (at one point we were #1, and #2 in New Release in Spirituality). A moment of awe, and star-struck gratitude for me.A Weekend of Joy! (00:26)I am coming out of an incredibly potent weekend of launching and milestones for my own personal life and business life. I am honored and really elated to be here with you, and also tired because the energetic and intentional output that just went into birthing what I have put out into the world was immense.Today I talk to you a little bit about the experience of launching a book, some incredible aha moments I've had, and then take you on a journey of experiencing grounding.Becoming a #1 Bestseller (06:10)I was winding down for the day last Sunday and I went to see how the statistics are going and I was floored when I saw book Ground & Be Free being number one bestseller in energy healing.It's just astounding!It has been such a potent and miraculous journey for me as a self-published author, it only happened with the blessings and the direction of Spirit.There's just no other way this would have come out the way it did from the moment I started writing it, from the energy that I had to produce it, and what has transpired this weekend during the launch.The energy, the need for the information, the vibrational frequencies, the grounding frequencies that are part of the book is what is needed by the world, by you. Thank you.Your Turn to Ground (19:22)Now it is your turn to ground. Now it is your turn to enjoy more of your sovereignty. And I'm really honored that you're here with me. So let's go into the practice, let's go into the experience, let's go into the moment of being.Thank you for joining me in this grounding practice. Remember, you can return to this exercise whenever you need to feel centered and rooted. Blessings to you on your journey of grounding and being free.With love & gratitude, Merina x Discover and Indulge in MAHALO Skin Care: https://mahalo.care/ Join Merina's Skin • Spirit • Sacred Retreat in Glastonbury on August 3rd 2024: https://mahalo.care/england/ Follow Merina on IG: www.instagram.com/mahalo.care/ New Book OUT NOW: www.mahalo.care/book/

Hey, y'all! Welcome to episode 61 of the Roots and Refuge Podcast. In today's episode I'm sharing my best gardening advice for both new and experienced gardeners alike. Since spring has sprung where I live, and I know it's just around the corner for you northern folks, I thought this was the perfect time of year to give a highlight reel of the key lessons I've learned as a gardener. Whether you're just starting out or you just need a bit of a reminder after years of gardening, these tips are sure to get you excited about this season's potential.  Firs thing I want to explore is the importance of considering the value of your harvest beyond just dollars. What you grow has a huge impact on how long you stick with it! Why are you growing it? What are your plans for using it when it's ready to harvest? I also love talking about how I've 'debunked' the companion planting myth in my own garden. Ultimately, if you're planting diversely you'll probably succeed by creating a balanced ecosystem. But don't stress too much about it, balancing your gardens ecosystem is a years long goal that comes from focusing on good stewardship.  Finally we talk all about the crucial role of soil health and the benefits of feeding and covering your soil to create that balanced ecosystem in your soil that fosters robust plant growth. Don't miss out on this episode packed with essential gardening wisdom! And be sure to check out the mentioned blog post on how to make compost tea for even more valuable insights. Thanks so much for listening. If you'd like to join our Patreon page, you can get early access to all our podcast episodes and monthly live Q&As with Miah and me (including past lives). Visit our Patreon Page to learn more and check out past episodes of the podcast on the website.

We have two great guests on the episode of the #ReadingWithYourKids #Podcast. Firs we speak with teenage author Mmanasi Vegnesna about her debut #ChildrensBook Maya's Tiny Warriors. Manasi tells us Tiny Warriors is a children's book on immunology. She believes it is important for STEM education and health awareness. Timo Kuilder is on the podcast to celebrate his #PictureBook Pablo Dreams Of Cats, a fun & funny story about a dog who loves to paint cats. Click here to visit our website - www.readingwithyourkids.com 

This week on A Novel Console, Chris and Thrak tackle the classic First Person Shooters, Halo: Combat Evolved and Halo 2. They talk about the games being influential, but terrible at the same time. How some elements are interesting, but the main character being a wet fart. They praise and complain about the games in this very funny episode.You can contact us at:anovelconsole@gmail.comFacebook.com/anovelconsoleTwitter.com/anovelconsoleInstagram: @anovelconsolePatreon.com/anovelconsoleOther Streaming Platforms:anovelconsole.carrd.coFrame By Frame: https://framebyframe.buzzsprout.com/The 3DO Experience: https://linktr.ee/ThebarberwhogamesSupport the show

After decades of being dominated by men, both young and old, Punjab's drug crisis is now increasingly impacting the women of the state. An analysis by The Indian Express of all 11,156 FIRs filed under the NDPS Act reveals how girls as young as 19 and even matriarchs in their 50s face charges related to both drug consumption and trafficking. Along with women's participation in the drug trade, the investigation also unveils a surge in the misuse of pharmaceutical drugs, and the administration's focus on apprehending end users.In this episode, we speak to Indian Express' Manraj Grewal Sharma, who headed the investigation, about what its findings reveal.Hosted by Shashank BhargavaWritten and Produced by Shashank BhargavaEdited and Mixed by Suresh PawarYou can read the investigation here: https://indianexpress.com/article/express-exclusive/untold-story-in-punjabs-drug-crisis-steady-uptick-in-number-of-women-booked-9078271/

By Engineer Muhammad Ali --- Send in a voice message: https://podcasters.spotify.com/pod/show/muhammad-imran984/message

In the October edition of the Tax Recap Series, Ochuwa Alegeh and Seun Adu, Partner, Transfer Pricing discuss the Country by Country Reporting Regulations 2018 and a TAT ruling between Checkpoint Technologies BV versus FIRS.

Ally Rudd, Gregor Robertson and James Restall join Tom Clarke on Mondays edition of The Game.After reflecting on another one-sided Manchester derby they move on to who can win the title. Spurs fans are dreaming, and Ange is happy they are…but can it last. And what of Liverpool, three off the top, getting better and with players returning to form. After the break a quick look at Calvert Lewin's form and finally who is the most exciting ever young English player? Gazza, Rooney, Owen, Bellingham? Timeline:Manchester derby2' Man Utd had average plan A, no plan B.6' Mason Mount only had 14 touches. No balance in midfield. 9' Who is at fault, poor signings, signings not performing, or a club with a poor culture.12' no identity, and doesn't have the players to create the identity Ten Hag wants.17' Will Haaland win the Ballon' D'or. Or is it Mesi all the wayCan they win the league…20' Can Spurs win the title? They're adaptable, tough, confident and no longer flakey. Big strong team. In short, it's not impossible. 24' They believe they can win it. That's half the battle. Son been amazing.28' outstanding centre halves, decent squad depth. 32' The coaching improvement is impressive. Liverpool Forest36' City's biggest challengers. Very creative midfield, not as reliant on fullbacks.38' very good signings. Dominik Szoboszlai could be a special player. Firs the club very well.44' Forest had a tough start, individual mistakes, but Cooper probably happy…for now.44' Got a good structure, hard to breakdown. A platform to build from.Everton and Calvert Lewin46' Is he in the fight to be Kane's understudy?48' great goal, good for Dyche.49' Ally met Kenwright.Best ever young English young player55' Gregor played against Rooney, a shuddering experience. Bellingham will have impact but not the same shocking impact. Others…Owen, Walcott, Gazza.59' With Kane and Bellingham, can England win the euro's… Hosted on Acast. See acast.com/privacy for more information.

In this episode we pay tribute to TV's first Lois Lane, Phyllis Coates, we discuss the UK premiere of "My Adventures With Superman," identify all the covers on the "Superman: Legacy" art department wall display, pay tribute to Keith Giffen, talk about your favorite Superman stickers, the latest Superman comic books, and much more.

This week, host Basant Kumar is joined by Shreegireesh Jalihal of The Reporters' Collective and Avdhesh Kumar of Newslaundry.Shreegireesh talks about his latest investigation on the union coal ministry over-riding the environment ministry and its experts to allow mining activities in the country's densest forest areas. He also delves into the operations of the mining lobby in India. Avdhesh discusses the police action on a Madhya Pradesh journalist after he reported on a viral video featuring a BJP minister. The reporter was named in 11 FIRs within four days, and was subsequently arrested.Tune in.Timecodes00:00:00 - Introduction00:02:30 - Union Coal ministry opens up mining in dense forest areas00:23:40 - Madhya pradesh journalist faces 11 FIRs and his eventual arrest00:40:45 - RecommendationsRecommendationsShreegirishInfinite JestCoal Reformes UnderminedAvdheshLove Kills: Shabnam aur Saleem - Amroha Hatyakand My Daughter Joined A CultBasantThe Trap: India's Dedliest ScamFraud, intimidation, suicide: BBC documentary exposes the murky world of Chinese loan apps Hosted on Acast. See acast.com/privacy for more information.

Season 20 Episode 15 Annihilation Party - Silver Firs Up - Girl Ray Hold Tight - Girl Ray Alison - Strawberry Runners Look Like This - Strawberry Runners King of Wands - Housewife らりらりらん (Rari Rariran) - Never Young Beach 帰ろう (rentrer chez soi) - Never Young Beach You're So?! - The Hannah Barberas Happy Winter - The Hannah Barberas Darling We've Got Time - Copeland James Girl Supreme - Σtella This episode features a clip from HBO's Real Time with Bill Maher, where panelist Sarah Isgur of ABC News and other things (I'd never heard of her, but apparently, she's a conservative of some sort?) makes some good points about the unexpected effects of the increase of small donors in the political sphere.

*Trigger Warning* Discussion of GBV Barrister Haya Emaan Zahid, CEO of the Legal Aid Society. Haya comes on The Pakistan Experience to discuss the Pakistan Legal System, Delays in cases, The Legal Aid Society, Fatima's case, GBV, Recordings of FIRs, Cases of Assault, and how they are dealt with, Jails, and Legal Reform. (The Camera stopped recording my angle after 25-30 minutes so we only have one angle for this podcast. Apologies for the mishap) Haya Emaan Zahid is a Barrister-at-Law with more than 13 years of experience working as a legal empowerment professional. She is nominated by the Government of Sindh as a legal expert for the Committee for the Welfare of Prisoners ( a committee that has been providing legal aid, assistance and empowerment to prisoners in Sindh since 2004). She has been working within the prison landscape both at the grass roots and policy level having made key contributions to reforming prison legislation in Sindh in 2019. Haya has worked as a special assistant/ co-opted member for federal government committees notified to improve the situation of prisoners across Pakistan. Haya has remained a member of the Sindh Public Safety and Police Complaints Commission , National Commission on the Status of Women and is currently serving as Board Member of the Legal Aid and Justice Authority. She is a founding member of the Legal Aid Society where her she oversees programming on legal empowerment, strengthening the state's response to sexual and gender based violence, protection of minorities and building resilience in flood affected communities. The Pakistan Experience is an independently produced podcast looking to tell stories about Pakistan through conversations. Please consider supporting us on Patreon: https://www.patreon.com/thepakistanexperience To support the channel: Jazzcash/Easypaisa - 0325 -2982912 Patreon.com/thepakistanexperience And Please stay in touch: https://twitter.com/ThePakistanExp1 https://www.facebook.com/thepakistanexperience https://instagram.com/thepakistanexpeperience The podcast is hosted by comedian and writer, Shehzad Ghias Shaikh. Shehzad is a Fulbright scholar with a Masters in Theatre from Brooklyn College. He is also one of the foremost Stand-up comedians in Pakistan and frequently writes for numerous publications. Instagram.com/shehzadghiasshaikh Facebook.com/Shehzadghias/ Twitter.com/shehzad89 Chapters: 0:00 Introduction 3:30 Legal Journey of Haya Emaan Zahid 9:00 Legal Aid and the journey of Legal Aid Society 19:00 Police stopping people and the role of Freedom 23:20 The Fatima case, Delaying Tactics and Issues in the System 33:50 Litigation against the State and Protection of Religious Minorities 42:00 Floods and The priorities of the State 49:30 Opportunities for reform and hope in the system for change 1:00:00 Pakistanis losing hope and time for the system to change 1:07:00 How other provinces can use the Legal Aid model 1:11:00 Delays in cases and Frivolous Litigation 1:18:00 Recording of FIRs and Cases of GBV 1:23:00 Trigger Warning: Cases of Assault 1:35:30 Building consensus in the system around issues 1:39:30 Trigger Warning: System, Punishment and Deterrence 1:44:00 Audience Questions

Southasiasphere is our roundup of news events and analysis of regional affairs, now out every two weeks. If you are a member, you will automatically receive links to new episodes in your inbox. If you are not yet a member, you can still get episode links for free by signing up here. In this episode, we talk about the G20 summit in Delhi and allegations in a recent documentary by the UK's Channel 4 News about government involvement in Sri Lanka's 2019 Easter Sunday bombings. In “Around Southasia in 5 minutes” we talk about ransomware attacks impacting Tamil Nadu and Sri Lankan government data, the rollout of Bhutan's digital identification system, outbreaks of dengue in Bangladesh and of the Nipah virus in Kerala, new remittance rules impacting migrant workers in Myanmar, the Editors Guild of India's fact-finding report on Manipur and FIRs against the guild filed by the Manipur police, and former Pakistani prime minister Nawaz Sharif's imminent return to the country ahead of elections. For “Bookmarked”, we talk about Hindi action-thriller Jawan, starring Shah Rukh Khan and directed by Atlee. Episode notes: Sri Lanka's Easter bombing verdict is reshaping politics and power: https://www.himalmag.com/srilanka-easter-bombing-verdict-politics-and-power/ Nepal's biometric future: https://www.himalmag.com/biometric-future-identification-nepal-2022/ Unpacking Digital Bangladesh: https://www.himalmag.com/unpacking-digital-bangladesh-2021/ What's really behind Jammu and Kashmir's new family ID?: https://www.himalmag.com/behind-jammu-and-kashmir-new-family-id-surveillance/ Climate change in Bangladesh is driving a dengue outbreak in winter: https://www.himalmag.com/climate-change-dengue-outbreak-in-winter-bangladesh/ Election season in the Maldives and Pakistan, economic boycotts in Haryana, increased pressure on Pushpa Kamal Dahal and more: https://www.himalmag.com/pakistan-national-elections-2023-nuh-violence-jaranwala-incident-ceylon-electricity-board-manipur-internet-ban-pushpa-kamal-dahal/ The political fallout of violence in Manipur, Bangladesh's economic crisis, the crackdown on PTI supporters and more: https://www.himalmag.com/violence-manipur-bangladesh-economic-crisis-crackdown-pti-supporters/ Violence in Manipur, Imran Khan's arrest, the Karnataka elections and more: https://www.himalmag.com/violence-in-manipur-imran-khans-arrest-adani-myanmar-karnataka-election/ ‘Jawan' treads with caution in an India on edge: https://www.himalmag.com/jawan-shah-rukh-khan-atlee-politics-gender-modi-india-pathaan/

Have you ever wondered what's it like working for an MSP or multiple service provider?  what are the career advancement opportunity and what is the day-to-day job's responsibility like? Well, today's guest is the Director of Technology with Cinch I.T. – one of the fastest-growing franchise I.T. service providers in the U.S. and today we are going to break down everything you need to know about working for an MSP. Find more information about @CinchITTV  : https://cinchit.com/The Code of Entry PodcastThe Code of Entry Podcast, hosted by the insightful Greg Bew, delves deep into the...Listen on: Apple Podcasts SpotifySupport the show

This week Charlotte Greenway looks ahead to some of the Group 1 action in Europe this weekend as well as getting the latest from the trainer of one of the hot favourites at Ascot's Shergar Cup meeting. Firs up connections of two of the leading fancies for the Group 1 Phoenix Stakes over six furlongs, Bucanero Fuerte and Givemethebeatboys. Then onto the Dubai Duty Free Shergar Cup at Ascot on Saturday where Jessica Harrington and Ian Williams discuss their chances before looking ahead to the Prix Jacques le Marois with Kevin Ryan who runs Queen Anne winner, Triple Time, as well as dual Guineas placed Hi Royal.

La portada de este episodio de La Ruleta Rusa fue el nuevo proyecto del batería compositor bosnio Srdjan Ivanovic, Xénos, recientemente publicado este 2023. Después algo de neo progressivo de la mano de los suizos Metamorphosis y su último trabajo hasta la fecha, de 2021, titulado I’m not a hero. Descubrimos el estupendo sonido de este dúo neoyorkino que se hacían llamar Tall Firs, de los que escuchamos su segundo largo de estudio, Too Old To Die Young, de 2008. Continue reading La Ruleta Rusa 27.2023. Srdjan Ivanovic. Metamorphosis. Tall Firs. Hawkwind. at La Ruleta Rusa Radio Rock.

Ben Criddle talks BYU sports every weekday from 3 to 7 pm.Today's Co-Hosts: Ben Criddle (@criddlebenjamin)Subscribe to the Cougar Sports with Ben Criddle podcast:Apple Podcastshttps://itunes.apple.com/us/podcast/cougar-sports-with-ben-criddle/id99676

It's the second episode of KaiJUNE and we're met with a familiar voice we all know and love but haven't heard enough of in awhile, JOSH! Also Jesse returns, to help talk about the 2006 Kaiju inspired movie The Host!Before the two hosts can talk the Host there are three trailers that have caught their attention. Firs ton deck is the trailer for the Cocaine Bear inspired flick, Crack Coon! Will it surpass the decent bar that Cocaine Bear laid out for drugged up animal movies?Then everyone that listens regularly to the podcast knows that Josh is a Stallone fan, so a 4th Expendables film should be able to at least grab his attention. But can it still do that when it's a handing over of the reigns to Statham as the lead?Finally we get a Nicolas Cage freak out for two minutes of trailer with Sympathy for the Devil. Can an uncaged Cage ever look bad?After the three trailers the hosts dig into the The Host and will let you all know the answer to the most important questions of all; is The Host... A BLOODY GOOD FILM!?and remember... KEEP IT BLOODY BUDDIES!......#BloodyGoodFilm #BloodyGoodFilmPodcast #Podcast #FilmPodcast #MoviePodcast #Film #Movie #Movies #Action #Horror #ActionFilm #ActionMovie #ActionMovies #HorrorFilm #HorrorFilms #HorrorMovie #HorrorMovies #ActionPodcast #HorrorPodcast #Slasher #80s #80sHorror #NewPodcast #TheHost #BongJoonHo #Parasite #Snowpiercer

First, Indian Express' Jignasa Sinha gives us the details of the sexual harassment allegations that the wrestlers have made against WFI chief and BJP MP Brij Bhushan Sharan Sign in their FIRs. Second, Indian Express' Rupsa Chakraborty discusses what an RTI reveals about the condition of Sakhi centres in Maharashtra which were established to help the survivors of sexual violence. (11:46)And in the end, we give you a quick update on the case against women's rights activist Rehana Fathima in Kerala who was charged under POCSO Act for circulating a video where she was seen posing semi-nude, allowing her minor children to paint on her body. (24:14)Hosted by Rahel Philipose Produced and scripted by Utsa Sarmin and Shashank BhargavaEdited and mixed by Suresh Pawar

#cuttheclutter The allegations in the 2 FIRs against WFI chief and BJP MP Brij Bhushan Sharan Singh indicate a certain pattern to the alleged harassment — much of it centred on the wrestlers' dependence on the federation for supplements and opportunities. In Ep 1244 of Cut The Clutter, Editor-in-Chief Shekhar Gupta examines the facts in public domain now, explains why questions are being raised on the “powerful” Brij Bhushan's continued freedom despite the FIRs, and discusses why even champion wrestlers can often be vulnerable. -------------------------------------------------------------------------------------------- #CutTheClutter EP|1240 : https://youtu.be/fsJKyMBVTOY --------------------------------------------------------------------------------------------- Dawood, Babri, TADA: Brij Bhushan Singh's escapes from law and what makes the WFI chief so powerful: https://theprint.in/opinion/dawood-babri-tada-brij-bhushan-singhs-escapes-from-law-and-what-makes-the-wfi-chief-so-powerful/1607691/ --------------------------------------------------------------------------------------------- Read articles by Apoorva Mandhani here: 1. https://theprint.in/india/left-our-rooms-in-groups-to-avoid-being-alone-with-him-what-firs-against-brij-bhushan-allege/1606612/ 2. https://theprint.in/judiciary/brij-bhushan-booked-for-aggravated-sexual-assault-but-still-free-what-pocso-act-says-on-arrest/1606213/ --------------------------------------------------------------------------------------------- XI Asian Games: Indian athletes performed miserably but officials stole the show: https://www.indiatoday.in/magazine/special-report/story/19901031-xi-asian-games-indian-athletes-performed-miserably-but-officials-stole-show-813165-1990-10-30  

First, Indian Express' Nihal Koshie joins us to talk about the protesting wrestlers in Delhi being detained and being charged with rioting and unlawful assembly.Next, Indian Express' Anonna Dutt tells us why the recommendations made by the National Medical Commission for persons with disabilities are receiving a mixed response (09:06).And in the end, Indian Express' Amrita Nayak Dutta explains why 40 Army officers are being posted to the Air Force and Navy establishments (21:16).Hosted by Shashank BhargavaProduced by Shashank Bhargava and Utsa SarminEdited and mixed by Suresh Pawar

This week, host Basant Kumar is joined by The Quint's reporter Himanshi Dahiya, founder of Main Media Tanzil Asif and senior journalist from ETV Bihar Umesh Pandey. In view of the World Press Freedom Day, the panel discusses the state of media in India, and the challenges staring it. The conversation is stirred by an acknowledgement of the recent decline in India's press freedom ranking and the government's subsequent denial on the subject. Himanshi takes us through her experiences as a mediaperson and emphasises that media spaces only have a faint presence of women, while men still dominate the landscape. “The male gaze and dominance are still pervasive in the media.” Tanzil shares his experience of doing hyper-local journalism, and its hazards in contrast with the mainstream media. He recounts the fears that accompany matters involving local representatives, who often pressure journalists. While Tanzil talks about the onslaught on press freedom, Umesh explains his circumstances as a local journalist in Bihar and how his ground reports led to the filing of FIRs against him. This and a lot more, Tune in! Timecodes00:00:00 - Introduction00:02:36 - Press Freedom 01:02:42 - RecommendationsRecommendationsHimanshiNCERT textbook revision: Why it happens every few years & what makes it controversialUmesh14 साल बाद भी 38 हजार घरों में नहीं पहुंचा शुद्ध गंगाजल, 2009 में ट्रीटमेंट प्लांट का हुआ था शिलान्यासTanzilबांग्ला भाषा का मतलब ‘घुसपैठ' कैसे हो गया दैनिक जागरण?BasantDelhi riots: Inside the ‘Kattar Hindu' WhatsApp group that planned, executed murdersUmar Khalid Arrested: What Delhi Riot Charge Sheets Say About HimNo Nation for Women: Journalist Priyanka Dubey on her searing reportage on rape in IndiaHow Varun Gandhi Silenced The SystemProduced by Tehreem Roshan, recorded by Anil Kumar, and edited by Umrav Singh. Hosted on Acast. See acast.com/privacy for more information.

First, Indian Express' Asad Rehman joins us to talk about the FIRs filed against hundreds of people in Uttar Pradesh for offering namaz on the streets during Eid. Second, Indian Express' Gayathri Mani tells us about the controversy involving the CEO of Delhi Jal Board and his newly-constructed official bungalow which replaced a 15th-century monument. (08:10)Third, Indian Express' Harikishan Sharma discusses India's first water body census and what the report reveals about the country's ponds, tanks, lakes, and reservoirs. (13:07)Hosted by Rahel Philipose Produced and scripted by Utsa Sarmin, Rahel Philipose, Anwiti Singh, and Shashank BhargavEdited and mixed by Suresh Pawar

First, Indian Express' Mohamad Thaver tells us how, under the Eknath Shinde government, FIRs are being filed against their political rivals. Next, Indian Express' Anonna Dutt explains why the US is investigating an Indian over-the-counter eye drop, and its manufacturing unit. (11:56)And in the end, Indian Express' Sweety Kumari talks about India's first underwater metro line project. (20:25)Hosted by Shashank BhargavaProduced by Shashank Bhargava, Anwiti Singh, and Utsa SarminEdited and mixed by Suresh Pawar

Firs things first - Amogh calls this Episode 212 in the intro. It's not. It's Episode 211. The original Episode 211 was lost to the ether of the internet last week. He's still traumatised. Amogh and Mukesh get down to discussing Arsenal's worrisome drop in form and the stakes involved in this midweek's Arsenal vs City fixture! Plus, they also discuss the FA Cup semi finals, Wrexham's promotion into League 2 and Todd Boehly bein...Todd Boehly. Follow us on Instagram and Twitter @cornerflagpod Visit us on www.thecornerflag.in Subscribe to us on Apple Podcasts, Spotify or wherever you get your podcasts and don't forget to give us a 5 star review!

The Country of the Pointed Firs

The Indian To-day: The Past and Future of the First American

1. HOY… Si el río suena, es que tendremos noticias de Apple. Todo sobre la nueva gama de Macs2. Además… Fast Company reconoce a Jüsto como una de las empresas más innovadoras de América Latina este 20233. Y también… estuvimos en Monterrey para conocer FIRST® Robotics Competition 20234. Y para terminar…: Sony presenta la nueva gama de televisores BRAVIA XR 2023.Todo esto y más en el podcast del día de hoy…Yo soy LuisGyG, y sin más preámbulos… comenzamos.

State police and central agencies have traded FIRs on murder, criminal conspiracy, and more in last few weeks. Experts blame ‘political control', warn it's weakening the steel frame.

En este episodio vamos a hablar del estudio Defibrillation Strategies for Refractory Ventricular Fibrillation (Estrategias de Desfibrilación para Fibrilación Ventricular Refractaria, DOSE VF) que demostró que los pacientes que reciben un desfibrilación en secuencia doble y/o un cambio en el vector, tienen mayor probabilidad de éxito cuando tienen fibrilación ventricular refractaria. Decimos que algo es "refractario" a tratamiento cuando no responde a las medidas estándares. En el caso de la fibrilación ventricular refractaria, nos referimos a los pacientes que persisten en fibrilación ventricular a pesar de haber recibido varias descargas y medicamentos dirigidos a ayudar a convertir el ritmo. ¿Qué hacer cuando las recomendaciones tradicionales no funcionan para revertir el paciente en fibrilación ventricular refractaria? Estudio DOSE VF Población de pacientes Recibieron terapia estándar (epinefrina, amiodarona y están intubados) Un mínimo de 3 descargas eléctricas Siguen en fibrilación ventricular o TV sin pulso Intervención Desfibrilación en secuencia doble (antero-lateral + antero-posterior) Desfibrilación con cambio de vector (antero-posterior) https://youtu.be/NmoERV9EmG0 https://youtu.be/E4UWZ_X3XnI Comparación Desfibrilación estándar (antero-lateral) Resultados esperados Resultado primario Sobrevivencia al egreso del hospital Resultados secundarios Terminación de la fibrilación ventricular Retorno de circulación espontánea Escala Modificada de Ranking (MRS) ≤ 2 ¿Qué encontraron? El estudio reclutó 405 pacientes en Canadá con fibrilación ventricular refractaria. Para el resultado primario de sobrevivencia a egreso del hospital, los hallazgo de tratamiento estándar, cambio de vector y desfibrilación en secuencia doble fueron: 13.3% vs. 21.7% vs. 30.4% (p = 0.009). Para los resultados secundarios, en el mismo orden: Terminación de la fibrilación ventricular: 67.6% vs. 79.9% vs. 84.0% Retorno de circulación espontánea: 26.5% vs. 35.4% vs. 46.4% Puntuación MRS ≤2: 11.2% vs. 16.2% vs. 27.4% La desfibrilación en secuencia doble tuvo un efecto positivo en todos los resultados tanto primarios como secundarios para pacientes con fibrilación ventricular refractaria. El cambio en el vector fue positivo para todos los resultados excepto para egreso con un estado neurológico de igual o menos de 2 en la Escala Modificada de Rankin. Lógica detrás de la descarga doble y el cambio en vector Para que una descarga eléctrica sea exitosa en terminar la fibrilación ventricular (desfibrilar el corazón), la descarga tiene que cubrir la totalidad del ventrículo. Quizás muchos tenemos la idea de que la descarga cubre una gran cantidad de territorio de la cavidad toracica. Por ejemplo, estamos acostumbrados a oir la orden de alejarnos para no recibir la descarga, etc. Pero la realidad del caso es que la energía viaja en dirección de un electrodo al otro en línea recta, y las zonas que están más lejos de esa línea recta no reciben la misma cantidad de energía. La realidad del caso es que el ventrículo necesita que la energía viaje a través de todo el ventrículo. Tiene que haber corriente presente en todo el miocardio. Según el Dr. Dorian, cuando la desfibrilación falla, ocurre porque falla en la región donde hay menor gradiente o densidad de voltaje, el área que está más lejos de una línea recta entre los dos parchos. Los electrofisiólogos han utilizado exitosamente la estrategia de cambio de vector y descargas simultáneas para las cardioversiones de fibrilación atrial. Aunque la fibrilación ventricular no es lo mismo que la fibrilación atrial, y la descarga en el laboratorio de electrofisiología no es lo mismo que la descarga fuera del hospital, la teoría detrás de cambiar la posición de los parches está bien fundamentada. La técnica de desfibrilación en secuencia doble data desde mediados de los años 2000 cuando los doctores José Cabañas y Brent Myers en Wake County EMS comenzaron a probarlo y lo propusieron como terapia alternativa en el 2015. 50% de RCE solamente con SVB/BLS Debido a que el estudio incluyó proveedores de soporte vital básico, no todos los pacientes recibieron soporte vital avanzado de inicio. De 31 pacientes que solamente recibieron SVB/BLS, los resultados de la terapia estándar, cambio de vector, y desfibrilación en secuencia doble son: Terminación de la fibrilación (total 87.1%) 83.3% - Estándar 80.0% - Cambio de vector 93.3% - Secuencia doble Retorno de circulación espontánea (total 58%) 50.0% - Estándar 30.0% - Cambio de vector 80.0% - Secuencia doble Sobrevivencia (total 50%) 50.0% - Estándar 22.2% - Cambio de vector 66.7% - Secuencia doble Puntuación MRS ≤2 (total 92.9%) 100.0% - Estándar 100.0% - Cambio de vector 88.9% - Secuencia doble ¿Por qué esos resultados están tan bonitos? ¿Po que, po que, po que? Desde hace mucho tiempo sabemos que el éxito del manejo del paro cardiaco es multi-factorial y desproporcionadamente inclinado a favor de llevar a cabo la técnica de RCP casi a la perfección. La edad promedio fue 64 y el 84% fueron hombres. Un 68% de los paros cardiacos fueron presenciados y el 58% recibió RCP por testigos. Tiempo medio de llamada a primera descarga 10.2 min - Estándar 10.4 min - Cambio de vector 10.2 min - Secuencia doble Pausa pre-descarga 6.5 seg - Estándar 6.1 seg - Cambio de vector 6.4 seg - Secuencia doble Pausa pos-descarga 4.8 seg - Estándar 5.2 seg - Cambio de vector 4.5 seg - Secuencia doble Frecuencia de las compresiones 109.8 por minuto - Estándar 111.1 por minuto - Cambio de vector 111.7 por minuto - Secuencia doble Profundidad de las compresiones 6.0 cm - Estándar 5.9 cm - Cambio de vector 5.7 cm - Secuencia doble Fracción de compresión torácica 83.1% - Estándar 80.8% - Cambio de vector 79.1% - Secuencia doble Tiempo medio desde llegada hasta RCE 14.8 min - Estándar 15.8 min - Cambio de vector 14.0 min - Secuencia doble Tiempo medio desde llegada hasta salida de la escena 25.0 min - Estándar 27.5 min - Cambio de vector 26.5 min - Secuencia doble Epinefrina administrada 94.9% - Estándar 92.4% - Cambio de vector 85.6% - Secuencia doble Anti-arrítmico administrado 80.9% - Estándar 73.6% - Cambio de vector 73.6% - Secuencia doble Intubación prehospitalaria 38.2% - Estándar 50.0% - Cambio de vector 42.4% - Secuencia doble Del dicho al hecho hay un gran trecho. No es fácil decirlo y mucho menos hacerlo. RCP de alta calidad a nivel individual Deficiencias de la simulación crean cicatrices por el adiestramiento Colocación incorrecta de los electrodos RCP simulada Incorporar las herramientas guías (metrónomos, guía del monitor, etc.) No usarlas en la clase y esperar que de forma mágica la sepan usar. Coreografía entre los integrantes del equipo de trabajo Estar certificado no es lo mismo que estar credencializado. Si no tienes la coreografía correcta, se pierde todo el beneficio. No se trata de cómo tú lo haces individualmente, sino de cómo el equipo completo lo ejecuta al unísono. Este es un ejemplo de la importancia de una dirección médica efectiva. Podemos asumir que todos los proveedores del sistema estén certificados en BLS y ACLS. Eso no es suficiente para lograr esto. El curso es el primer paso necesario para poder validar las competencias a través de prácticas destinadas a dominar la coreografía. El curso puede lograr mucho si se lleva a cabo apropiadamente, o puede ser una pérdida de tiempo si no incluye nada de esto. ¿Un problema auto-infligido? Existe data que dice que la posición de electrodos antero-lateral es igual de efectiva que la posición antero-posterior. Esta es la base para que las guías del 2010 de la AHA digan que pueden usarse ambas. No obstante, hay una diferencia importante entre lo que dice el papel y lo que se enseña y se practica. El parcho que va en el ápice del corazón debe ir cerca de la linea axilar media o axilar posterior. Por vagancia o desconocimiento, muchos proveedores colocan los parches mucho más cerca de la línea axilar anterior, o incluso midclavicular, lo que sugiere una desfibrilación anterior-anterior que es mucho menos efectiva porque deja la parte posterior del corazón descubierta y el ventrículo izquierdo del corazón queda predominantemente posterior. Esto puede representar que más del 50% del corazón no se desfibrile con la descarga. Por lo tanto, la colocación de los parches es crucial y tiene que ser practicada hasta el punto en que sea dominada. Cómo implementar secuencia doble y cambio en el vector Aunque este tema se está experimentando desde hace más de 15 años, todavía no habíamos tenido un estudio tan importante como este. Por tal razón, todavía no está en las guías. Al momento de este episodio, estamos todavía en el proceso de que ILCOR lo publique como recomendación en su próximo consenso sobre ciencia y luego los diferentes concilios, incluyendo la American Heart Association, decidir si adoptarlo o no. ¿Dos desfibriladores? No hay que tener dos desfibriladores en una ambulancia. No obstante, no sería inusual que dos desfibriladores estén presentes si dos unidades responden. En adición, se puede usar un DEA y un desfibrilador manual. En áreas rurales donde no cuenten con un DEA y solamente tengan un solo desfibrilador, la mejor alternativa sería realizar un cambio del vector. Descarga en secuencia doble no es lo mismo que simultánea A diferencia de otros protocolos, la administración en secuencia doble no es simultánea. Tiene un breve retraso de fracción de un segundo, quizás no más de 2 segundos en total. Esto es un dato importante por dos razones. En primer lugar, no hubo ningún reporte de quemaduras en la piel de los pacientes por niveles altos de energía. Segundo, no daña los equipos de desfibrilación y sus garantías. Tercero, de acuerdo con uno de los autores del estudio, el cardiólogo electrofisiólogo Paul Dorian potencialmente provee un mecanismo donde la primera descarga altera el ritmo subyacente de tal forma que permite que la segunda descarga sea más efectiva. De la célula a los sistemas Aunque la célula es la unidad funcional más pequeña que lleva a cabo todas las funciones de un ser viviente, la célula no logra mucho si no está unida a otras que hacen lo mismo. Muchas células iguales hacen un tejido. Diferentes tejidos, con funciones específicas, hacen órganos. Varios órganos combinados entre sí componen sistemas. Los sistemas son los que nos permiten vivir. De igual forma, cada proveedor es la unidad funcional más pequeña, pero por sí solo no logra el éxito del manejo de estos pacientes. Desde el punto de vista del sistema, es necesario que la dirección médica se asegure que el personal está debidamente adiestrado y eso puede requerir llevar a cabo adiestramientos adicionales. Los sistemas deben incorporar un protocolo de activación que le de prioridad a los casos donde se sospeche que hay un paro cardiaco y: Proveer instrucciones pre-arribo de RCP usando solo las manos y uso de un DEA Activar de inicio más de un recurso (los paros cardiacos requieren mucho personal y equipos) Usar un récord médico electrónico que permita adquirir data en tiempo real sobre las intervenciones para poder tener una bitácora confiable La adquisición de data sobre las ejecutorias es crucial. No todos los sistemas pueden tener esos números. A veces, por más que se esfuercen, es realmente difícil. Eso fue lo que ocurrió con el estudio DOSE VF al final. La reducción y desgaste del personal hizo que hubieran retrasos significativos en los tiempos de respuesta. Esto provocó que, en esencia, estuvieran comparando la intervención estándar contra la misma intervención estándar, por lo que se decidió suspender el estudio. Aunque esto ha sido señalado como una limitación del estudio que pudo haber enmascarado el que haya un resultado positivo. El hecho de que, en efecto, hubo un resultado positivo a pesar de la limitación de haber tenido que terminar tempranamente el estudio es un punto importante. ¿Y ahora qué ante la fibrilación ventricular refractaria? El estudio DOSE VF no dice que debemos comenzar a realizar desfibrilación en secuencia doble o cambio en el vector desde la primera descarga. Simplemente dice qué debemos hacer cuando la terapia inicial ha fallado (3 intentos fallidos). Lo primero que tenemos que hacer es asegurarnos que no se afecte la calidad de la RCP intentando cualquier terapia (desfibrilación, intubación de la vía aérea durante el paro cardiaco, medicamentos, y otros distractores). Lo segundo que tenemos que hacer es asegurarnos que estamos desfibrilando adecuadamente. Si los electrodos están colocados erróneamente, es más probable que la descarga falle. Hay evidencia que dice que la desfibrilación antero-lateral es igual de efectiva... si se hace correctamente. Lo tercero que debemos comenzar a hacer desde ya es a entender que no debemos fallar en lo mismo una, otra y otra vez sin implementar un cambio en la estrategia o la táctica. Esto aplica no solamente para la desfibrilación sino también para la intubación en el paro cardiaco. El estudio DOSE VF cambia la práctica de qué hacer cuando el paciente no convierte luego de 3 descargas. En un futuro, queda por verse cuál de las dos técnicas es superior: desfibrilación en secuencia doble versus cambio en vector. Este estudio no midió esto, y el número de pacientes en el estudio dificulta este análisis. https://youtu.be/wtosfwCKHA4 https://youtu.be/1mrSYvdSp6c Referencias Cabañas JG, Myers JB, Williams JG, De Maio VJ, Bachman MW. Double Sequential External Defibrillation in Out-of-Hospital Refractory Ventricular Fibrillation: A Report of Ten Cases. Prehosp Emerg Care. 2015 January-March;19(1):126-130. doi: 10.3109/10903127.2014.942476. Epub 2014 Sep 22. PMID: 25243771. Cheskes S, Dorian P, Feldman M, McLeod S, Scales DC, Pinto R, Turner L, Morrison LJ, Drennan IR, Verbeek PR. Double sequential external defibrillation for refractory ventricular fibrillation: The DOSE VF pilot randomized controlled trial. Resuscitation. 2020 May;150:178-184. doi: 10.1016/j.resuscitation.2020.02.010. Epub 2020 Feb 19. PMID: 32084567. Morgenstern, J. Dose VF: A double sequential defibrillation game changer?, First10EM, November 8, 2022. Available at: https://doi.org/10.51684/FIRS.128926 Webinar con los autores

Artificial Intelligence, artificial ingredients, artificial Christmas trees... Where do we draw the line?! Come along with me down the rabbit hole, as I explore the capabilities of new technologies, such as: Lensa, the A.I. portrait app, OpenAI's GPT3, and artificial Christmas trees from big box retailers. Does creating "art" require sentience from the artist? If a computer can create beauty beyond human capabilities, but has no concept of what that even means, does it still hold the same creative value? If a flawless artistic masterpiece is painted by A.I., is it the creative equivalent of a plastic Christmas tree? Can we even call it art? Is A.I. art hollow like a dead log? Does it inspire and bring life or does it lack the critical zest of a human touch? Are we doomed to a future filled with new pictures, but lacking true art? Will A.I. improve until it rivals the scriptures and eventually even has heart?Humans are masterful creators; almost god-like in our ability to bring something from the world of thought into the world of 3D reality. We are made in God's own image. Creation is what we do, and until now, no other animal species in the history of this planet has done it better. But if we handover our creative tasks to A.I. are we destined to be a species of uncultured swine doomed to walk this Earth void of purpose beyond our roles as valued consumers. Should we be purists when it comes to culture and traditions so that we aren't at-risk of losing them to the passage of time?If we allow technology to dilute our culture with fake art and fake Christmas trees, what's next? Will we lose the very essence of what it means to be human? Will we still advance as a species if we try to outsource the powers of invention? Only time will tell...Please click subscribe/follow on your podcast player!If you enjoy the show, please be a pal and leave us a 5 star rating and a nice review. It REALLY helps the show get to more people. Thank you so much for listening!Keywords: Artificial intelligence; A.I.; Christmas; Dall-E 2; OpenAI; Mid journey; Stable Diffusion; Metaverse; GPT3; ChatGPT; Lensa; Contrastive; generative art; machine learning; algorithm; SEO; Christmas cultural traditions; cultural heritage; end of days. Ramble by the River Links:WebsitePatreonFacebookInstagram TwitterEpisode catalogueBusiness: ramblebytheriver@gmail.comMusic:Exits, Felix Johansson Carne.Paradigm Shift, Gavin Luke.Luv, Bomull.Still Fly, Revel Day.Dead Bells, Heyson.Time on Our Side, Ten Towers.Rested, Heyson.Slippers, Frook.Lovey Dovey Christmas, Damma Beats.Naughty List, Heyson.Magic Day, Loving Caliber.Unceasing Snow, Placidic.Baptized and Buried, Will Harrison.Riverboat Rambler, Bo the Drifter.Xmas is Coming, Sure Zetterberg.