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Poetin en Trump lijken nog steeds met elkaar te bellen over vrede tussen Rusland en Oekraïne. Maar of de inzet van beide partijen echt vrede is, is nog maar de vraag. Ander nieuws uit The Daily Move: In de Tweede Kamer groeit de steun voor dat plan van Kamerlid Agnes Joseph. De Partij voor de Dieren heeft zich vandaag achter het plan geschaard, waarmee een meerderheid in zicht komt. Als ook DENK vóór stemt, is er een meerderheid. De eerste Top van de EU en het VK na Brexit is een feit. Er komt een historische reset van de relatie tussen het Verenigd Koninkrijk en de Europese Unie en daar is de Britse premier Keir Starmer blij mee. De hacker die begin dit jaar het systeem van de TU Eindhoven aanviel, had al dagen toegang tot het systeem. Dat staat in een onderzoeksrapport van cyberveiligheidsbedrijf Fox-IT, in opdracht van de universiteit. Daarin staat ook dat de Universiteit volgens het boekje handelde. See omnystudio.com/listener for privacy information.
In dieser fesselnden Episode vom CULTiTALK begrüßt Georg Wolfgang die beeindruckende Jennifer Seidel, Head of People and Culture bei Foxit, um einen tiefen Einblick in die facettenreiche Welt der Unternehmenskultur zu geben. Jennifer bringt ihre vielfältigen Erfahrungen aus der Hotellerie und ihrer jetzigen Rolle in der HR-Abteilung ein, um die Bedeutung einer dynamischen und lebendigen Unternehmenskultur hervorzuheben.Gemeinsam betonen Georg und Jennifer, dass eine diverse Teambildung und die Reflexion auf unterschiedliche Perspektiven zentral für die strategische Zukunftsplanung eines Unternehmens sind. Es wird diskutiert, dass Leitbilder nicht nur an der Wand hängen sollten, sondern aktiv gelebt werden müssen. Hierbei kommt zur Sprache, dass Unternehmenskultur kein statisches Konzept sein kann; vielmehr verlangt sie stetige Überprüfung und Anpassung.Jennifer erläutert ausführlich, warum regelmäßiger Austausch und Dialog – häufiger als jährliche Mitarbeitendenbefragungen – erforderlich sind, um die Unternehmenswerte aufrechtzuerhalten und ihre Relevanz zu sichern. Ein Schwerpunkt liegt darauf, wie wichtig es ist, dass Führungskräfte als Vorbilder agieren und die Unternehmenskultur aktiv und sichtbar fördern.Die beiden sprechen auch über die Herausforderungen der Personalentwicklung und wie mangelndes Training für Führungskräfte die Umsetzung einer positiven Unternehmenskultur erschweren kann. Jennifer und Georg plädieren für mehr Mut seitens der Führungskräfte, Veränderungen einzufordern und aktiv an einem lebendigen Kulturwandel zu arbeiten.Besondere Beachtung findet der Trendance Award, der herausragende HR-Projekte auszeichnet, und unterstreicht, wie wichtig es ist, positive Beispiele in der Unternehmenswelt sichtbar zu machen. Abschließend betonen beide die Notwendigkeit, dass Unternehmenskultur ein kontinuierlicher und partizipativer Prozess ist, an dem alle aktiv beteiligt sein sollten. Mit praktischen Beispielen und inspirierenden Anekdoten vermittelt diese Episode eindrucksvoll, warum Kultur im Unternehmen allgegenwärtig und von unschätzbarem Wert für den langfristigen Erfolg ist. Alle Links zu Jennifer Seidel:LinkedIn: https://www.linkedin.com/in/jennifer-seidel-48290289/Unternehmen: https://www.foxit.com Alle Links zu Georg und dem Culturizer:Georg: https://www.linkedin.com/in/georg-wolfgangCulturizer: https://culturizer.appCULTiTALK: https://cultitalk.de
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In deze aflevering van onze podcast duiken we in de fascinerende wereld van IT-security met Alan Lucas, de huidige CISO van Home Fashion Group en voormalig medewerker van FOX-IT. Alan is van jongs af aan al gepassioneerd door IT en staat bekend om zijn innovatieve manier van denken. Als grap maakte hij ooit een stukje malware voor een vriend, maar zijn visie op IT gaat veel verder dan alleen techniek.Alan benadrukt het belang van context binnen een organisatie. Hij gelooft dat je een bedrijf pas echt begrijpt als je alle rollen binnen de organisatie kent en begrijpt. Daarom heeft hij nog net niet zelf tuinsets in elkaar gezet, enkel en alleen om de processen van zijn bedrijf beter te doorgronden.In deze aflevering deelt Alan zijn visie op bedreigingen en hoe organisaties deze beter kunnen begrijpen. Volgens hem is het essentieel om gezamenlijk informatie te delen. Criminelen doen dit ook, en om hen effectief te bestrijden, moeten wij dit eveneens doen.Ondanks de vooruitgang in cyberverdediging, wordt de ketenveiligheid vaak over het hoofd gezien, waarschuwt Alan. Criminelen vinden uiteindelijk altijd een zwakke schakel om binnen te komen. In zijn rol als CISO blijft hij daarom nauw in contact met de tech-experts van de DIVD, van wie hij veel energie krijgt.Wil je meer weten over Alan's unieke kijk op IT-security en zijn ervaringen? Luister dan nu naar de volledige aflevering!
“I think that's why there is so much discussion about this because it is not the numbers. It is the attitudes. It's the opinions. It's just trying to make sure that you have an aligned vision with your provider and with your hospital.” One of the most important things you can do during pregnancy is to find a provider who loves and believes in VBAC. Dr. Fox is back today giving more tips on how to know if an OB is VBAC-supportive and why there is so much variation out there in how practices feel about it.Dr. Fox answers questions like: Why do some providers refuse to induce VBACs? Why do some providers require it? Are routine cervical exams necessary for VBAC? Does a uterine window in my operative report mean my uterus will rupture during my VBAC?Additional LinksNeeded WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello, guys. This is The VBAC Link. Welcome back or if you are new to the show, welcome. We are so happy that you are here. My name is Meagan and I am so excited to have a returning guest with us today.We have Dr. Nathan Fox who is a board-certified obstetrician and gynecologist with a sub-specialty in maternal-fetal medicine. He is here answering your guys' questions. This community is amazing and every time we reach out and say, “Hey, what are your VBAC questions?” We do. We get a ton. I love bringing on guests, especially within the medical world, OBs and midwives talking about these things with you and what they are seeing and what the evidence says. It's always fun to get a different provider's perspective and get a better idea on what really the research is showing. Review of the WeekSo welcome back, Dr. Nathan Fox. But of course, we have a Review of the Week so I wanted to quickly get into that and then get into these amazing questions. By the way, they are questions about induction– when or is it really necessary? Can I be induced with a VBAC? We are going to talk a little bit more about uterine rupture and the risk which is, of course, a burning question that everyone always has. We are going to talk about maybe if a provider has told you that they have seen something like a uterine window, dehiscence, or even a niche. We are going to talk a little bit more about those so definitely stay with us because this is going to be a really great episode. This review is by Elizabeth Herrera. Hopefully, I did not botch that. She actually sent us an email. If you didn't know, we love getting reviews in emails as well. You can leave us a review on social media. On Instagram, you can message it on that. You can email us at info@thevbaclink.com or you can leave us a review on Spotify or Apple Podcasts. You can even Google “The VBAC Link” and leave us a review there. All of your reviews help Women of Strength just like you find us and find these incredible stories and these incredible episodes like today's episode with these providers to learn more about their options for birth after Cesarean. Elizabeth says, “Thank you so much for creating this whole community. After my emergency C-section in 2019, I looked up everything possible about being able to VBAC. This led me to your wonderful podcast and blog. I devoured everything. I owe my knowledge to you all and my doulas. I'm happy to say that I had my VBAC on March 31st and it was the most magical experience ever. Thank you so much for all of the materials that you have provided which all helped me succeed. I hope to one day share my story on your podcast. Many, many thanks.”That was in 2022 so a couple of years ago she left that review. So hopefully, Elizabeth, you are still with us and listening to all of these amazing stories. We would love to share your story which also leads me to remind you that we are always looking for submissions. You can submit your story on our website at thevbaclink.com/share.Dr. Nathan FoxMeagan: Okay, you guys. We have Dr. Fox back on the show today with us. How cool is that that he has come on now twice with us to talk about VBAC and answer your guys' questions? Dr. Fox, welcome to the show again, and thank you again for being here. Dr. Fox: Back on VBAC. Meagan: Back on VBAC. Back talking about VBAC. Tell me what you think about this VBAC topic and how VBAC looks for OBs. I think a lot of the time, OBs and midwives and providers in general can get some backlash honestly, even from us here at The VBAC Link where we are like, “Oh, that's not a good, supportive provider.” I think there is a lot from the community that we really don't take into account on where a provider is coming from maybe with what they've seen or what they've gone through. Maybe they want to support VBAC but their location doesn't support it. Can we talk about VBAC from an OB's standpoint? What does VBAC look like for an OB?Dr. Fox: Yeah, listen. It's a great question. Thanks for having me again. I'm always happy to come on. I really like this topic medically, but also, it's just very interesting because there is so much that comes up with VBAC in terms of the medicine surrounding it. It's also a really good paradigm for how people look at risk. By people, I mean doctors. I mean nurses. I mean hospitals. I mean women who are pregnant, thinking of being pregnant, their families, and their friends because there isn't a ton of disagreement about the numbers. What is the risk percentage-wise? We have that worked out pretty well. I mean, there are some things that are maybe a little bit more nebulous. There are those situations, but most people agree on what the actual numbers are. The issue is what do you do about that when someone has a small risk of a big problem? Right? Meagan: Right. Dr. Fox: What do you do? That personality comes into that. I think that's part of the reason that there is so much variation in VBAC practices, VBAC attitudes, and VBAC rules. It's risk. I talk to people about this all of the time in other contexts like with genetic screening. I tell people, “All your genetic tests are normal. All of the screening tests were normal that we did. Everything is fine which means that your risk of having a baby with a genetic condition now is 1%.” I'll tell them that. Some people hear that and say, “That's awesome,” and then they walk out. Other people go, “Oh my god. 1%. That's unbelievably horrible,” then they sign up and do a CVS and amnio. Neither of them are wrong. 1% is 1%. It's 1 in 100. People are going to look at that differently based on their understanding of math, based on their personal experiences, based on the stories they've heard, based on their own anxieties, based on who is in their family. All of these things contribute to someone's opinion about a risk that is low. Take VBAC for example. If everything is otherwise ideal– a healthy woman who had a prior C-section that was standard with nothing crazy about it. Pregnancy is going fine and she is deciding whether to attempt a VBAC or whether to do a repeat Cesarean, people are going to talk to her about the risk of uterine rupture. That risk is a ballpark of 1%. Whatever. It's about 1%. Okay. It's the same thing. How does everyone look at 1%? I could look at it and say, “Well, 1% is pretty low. It's only 1 in 100. I really want a vaginal birth because I want it or because it's going to give me an easier recovery potentially or because I'm afraid of a C-section” or whatever. Or they can look at it and say, “Holy crap. 1%. I don't want any part of that risk and I'm just going to do a repeat C-section.” I don't think any of those opinions are unreasonable. I think they are both reasonable based on how you look at it. So if you have a situation where everyone's aligned– the doctor thinks it is reasonable, the patient, the woman thinks it's reasonable, and the hospital thinks it's reasonable, then it's not a big discussion. Okay, we talk about it and the VBAC happens. Where I practice, that's the culture in my practice and in my hospital amongst my patient population. We talk about it. Many people want to do a VBAC. They want it. We are supportive. The hospital is supportive. The nurses are supportive. Great. Some patients don't want to have it. Fine. We're supportive of a C-section. The hospital is supportive. All is good. I think the issue comes up when there is a disconnect like the patient wants it. The doctor thinks it's too risky for the patient and the doctor thinks it's fine, but the hospital thinks it is too risky or whatever. There are all of these situations. Meagan: Yes. Dr. Fox: Since doctors are humans and patients are humans and even though the hospitals are buildings, they are run by humans, you are going to have a lot of humanity and humans and all of our fallabilities and flaws and quirks come into this. That's a very long-winded answer to your question, but I think that's why there is so much discussion about this because it is not the numbers. It is the attitudes. It's the opinions which is why so much about VBAC is not trying to figure out your number. It's just trying to make sure that you have an aligned vision with your provider and with your hospital. Meagan: Right. I love that you pointed that out. It's the perspective on this number. We know the number is say 1%, but to some people, that 1% may be 60% in their mind. It might as well be 60. Do you know what I mean? I love that you talked about being aligned. That is something that we talk about here a lot is really being aligned with your team. Find your team because your team is super important. The mom, the doctor, the hospital, the location, and the nurses, everything is aligned so that maybe we don't have to fight so hard. I feel like this community ends up feeling like they have to fight for their birthing right. Dr. Fox: Yeah. Meagan: Like the way they want to birth, they feel like they literally have to come in with punching gloves and punch their way through to get this vaginal birth. That's where it is just so hard. We are so vulnerable as pregnant women. Dr. Fox: Yep. That's an unfortunate reality. It's obviously a reality, but I would not counter it because I don't disagree with it. I would advise that instead of coming in with gloves up ready to fight, you need a different provider. I'm not saying this to disparage a provider who is less pro-VBAC. They are humans. Whatever it is. Maybe the doctor had a really bad outcome once with a VBAC and they are scarred from it. Meagan: Exactly. Exactly. Dr. Fox: Maybe where they were trained, the attitude is very anti-VBAC so they are just not used to it. Maybe they would be okay with it, but they practice in an environment where the hospital is not so happy with it or the nurses aren't. Whatever it might be, if your provider is telling you, “I am not a big fan of VBAC,” they are telling you this. Listen to them. Okay, that doesn't mean they are a bad person. It doesn't mean they are a bad doctor. It just means that's who they are. So if you have an opportunity, seek someone who is more aligned with you. And again, obviously, that is easier said than done. It requires some work. It requires some legwork. It requires asking around, going on message boards, and finding people. If you have a prior C-section and you're interested in a VBAC, if the doctor says that he or she is uncomfortable, I would first ask why. If they give you, “Listen, normally I am in favor of VBAC, but since you had a classical C-section, it's too dangerous.” All right, that's a very reasonable explanation that pretty much everyone is going to tell you, and switching around is probably not going to help you. But if they say, “I just don't do VBACs or my hospital just doesn't do them,” they are telling you that for a reason. Say, “Thank you. Have a good day,” then try to ask around and find someone or some hospital or someplace that is in favor of them as opposed to trying to convince someone to do something they are not comfortable with. Meagan: Absolutely. Dr. Fox: That ends up being a combative relationship and ends poorly for everyone. It would be great if all doctors were totally supportive. It would be great if all hospitals were totally supportive. There are sometimes logistical issues meaning since VBAC has the potential for an emergency, hospitals need to have 24/7 anesthesia. They need to have a blood bank. They need to have certain things in place in order to safely offer a VBAC. Some hospitals are just too small to do that. It's not an attitude. It's, “Logistically, we just can't do this.” Fine. Again, try to go to a major medical center that does a lot of VBACs. Most major medical centers are comfortable with VBAC. Most doctors who practice in those centers are comfortable with VBAC. So I think if you do the legwork, you can probably, not always, but probably find someone who is a better match for your VBAC as opposed to trying to convince someone to do something they are not comfortable doing. Meagan: Yes. I love that, so we don't have to try to convince. That's why listeners, when you are with your provider– OB, midwife, or whoever it may be– talk to them. Have that discussion. Ask that question. Don't be scared to ask them why. For me, with my second, I had this feeling that maybe he wasn't as on board for VBAC as I wanted him to be. I was scared to leave or scared to hurt his feelings. But I think that it probably would have been better for both of us in the end to have found a different provider that was more on board and comfortable versus me trying to go in and push and try and make him do something that again, he wasn't comfortable with. He wasn't comfortable with that and that's okay. For a long time, I had a lot of anger, and a lot of our community has harbored anger, but I'd like to drop a message to our community. Try not to harbor the anger. My provider is a great guy and a great doc and all of these things. He just wasn't the doc for me, so find the doc for you. Dr. Fox: Right. Listen, obviously, there are a lot of doctors in the world and I'm sure that there are bad doctors or mean doctors or people who aren't good people out there. I'm sure they exist. But I would say in my experience that most doctors are good people who are trying to do right by their patients. It's too much work to go into medicine and train to go into it to dislike patients. It just doesn't make any sense. My experience is that most people are trying to do right by their patients. But we are all human. We all look at risks differently. We all have different experiences. That happens. Humans are varied. It's part of the reason it's wonderful to be a human. We are all different. That's all great. But it's not complicated to get this answer from your doctor. I think it just requires some preparation meaning ask these questions very early either before you get pregnant or early in pregnancy. Again, they are not complicated questions. I would say the first question you should ask is something related to the numbers. Say, “What is my risk if I try a VBAC? Me, personally?” If they say, “Well, your risk of it is a uterine rupture,” say, “What is the number risk?” The risk is uterine rupture and if they say, “Well, it's probably about 1%,” okay. That is the number. If they say it is much higher than 1%, well why? Is it because I have had a classical C-section or I have had three prior C-sections, okay, but get the number. Then the second question is very open-ended. Nonjudgmental. Say, “What are your thoughts or opinions about VBAC?” That's it. Open-ended. They will tell you. Right? No one's going to hide it from you. They will tell you overtly and say, “I love it. It's awesome. I'm all over it. This is great. I hope you try it.” Or they'll say, “Not a big fan. I don't really like it. It's not my thing. We don't do it. I haven't done it in 20 years,” okay. Or potentially, they will be somewhere in the middle and say, “I kind of like it,” but you'll know. You'll know right away what their thoughts are. Then the second question is, assuming they are supportive, about the hospital where you deliver. What's the attitude there about VBAC? If they say, “You know, I am really in favor of it, but the hospital is awful. They torture me every time there is a VBAC. They make me be there the entire time. They always make me do C-sections. It's just a terrible environment–”Meagan: Maybe not right. Dr. Fox: Right. Either of those two reasons is probably a reason to look elsewhere but if they tell you, “I'm on board. The hospital is on board,” it doesn't mean you will have a VBAC, but you have a plan in place and you are ready to go. If they tell you, “I don't like that. I don't do that,” then turn around and say, “Okay, I really appreciate that. Thank you for your perspective. Thank you for your honesty. I am really interested in VBAC. I might be seeking a different doctor or a different hospital. Please don't take that personally.” They will probably say, “Thank you.” Meagan: Yeah, exactly. Dr. Fox: Doctors don't want a situation where they have a combative relationship. That is horrible. We hate that. It's awful. That is what keeps us up at night. Do it at the very beginning and no one is going to have hard feelings over that. I would say it's unusual that people are going to try to convince you to stay for the money. Doctors don't want that. They would rather have you go to someone else than go to them and want something that they don't want you to have. That's just how doctors are. Meagan: I love that you just made that point because it is hard to leave. You get worried about hurt feelings and all of that, so thank you so much for saying that. Dr. Fox: Yeah. InductionMeagan: Okay, so let's shift gears a little bit and talk about induction because this is a really hot topic when it comes to someone wanting to TOLAC or have a VBAC. I guess the question is when is it really necessary? What is the evidence on induction and VBAC? Because just like support, it varies all around where some people are absolutely no induction. You have to go into spontaneous labor. Some are like, “Yeah, cool. No problem. You can be induced.” Some are like, “You have to be induced.” Then when it comes to induction, that also ranges. Maybe we can't do a Foley or a Cook or we can't use Pit and we can only break your water and all of these things. Can we talk about the evidence specific to VBAC? Induction can be necessary. There are a ton of reasons for induction, but when is it really necessary? Dr. Fox: Right. Instead of talking about when it is really necessary, I think the question is why is it even a question? The reason is that the best evidence we have– it's not perfect evidence, but the best evidence we have is that for someone who is undergoing VBAC who has induced labor, her risk of uterine rupture is about 1.5 to 2x as high as if she went into labor on her own. For example, if your risk was about 1% for a uterine rupture and you get induced, your risk is now about 2%. 1.5-2%. If your risk was a little bit lower because maybe you have had a vaginally delivery before so if you have had a vaginal delivery before, your risk isn't 1%. It's closer to .5%, it will raise it to maybe 1%. Again, I say it's the best data available because the studies that were done, there is a little bit of a flaw in them because they are not randomized, but it seems to be correct that inducing increases your risk likely. The one exception is if you induce with misoprostol, the risk seems to be much higher so pretty much no one induced with misoprostol if there is a prior C-section. That's usually something that nobody does, but the other ways of inducing whether that's breaking the water, whether it's Pitocin, whether it's a Foley balloon, and all of these things seem to increase the risk slightly. Again, it's the same thing as before. If now I have a risk in someone whose risk isn't 1% but 2%, how do I view that? How does the hospital view it? How does the patient view it? Obviously, 1% and 2% are not hugely different from each other, but you could also look at it and say, “It's double.” You can think of it in two different ways. Based on that, there are definitely doctors or hospitals who would say, “I'm comfortable with VBAC, but I'm not comfortable with inducing labor in someone who is a VBAC.” In our practice, that is not our position. We will induce someone's labor. We tell them, “Your risk is a little bit higher. It's 2% versus 1%,” or something like that, but again, if there is a reason not to, we would induce someone's labor but different people look at it differently. So again, another question to ask to your doctor is, “Not only how are you with VBAC, but how are you with inductions and VBAC?”If they say, “Well, I'm okay with VBACs if you go into labor on your own, but I'm not okay with VBAC if you have to be induced,” does that mean you have to switch doctors? Well, it just means you have a potential limitation. Meagan: A potential roadblock in the end. Dr. Fox: Right, a potential one. Again, it depends on the circumstances. Obviously, each case might be unique. So that's number one. Number two, there is some data that when you induce labor in a VBAC, your success rate is lower. That data is weaker and it's a little bit complicated because the data in non-VBACs is that if you induce labor, the success rate is not lower meaning it does not increase your risk of C-section. Whether it's different for someone who had a VBAC has not been studied appropriately to know for sure. It either has no effect like in everyone else, or we can use the older data that is flawed and say it does increase the risk of needing a C-section, but that's really more related to the chance of success not so much related to the risk.Now, some people will use in order to make a decision about VBAC, they are weighing the risk versus the chance of success so it may impact the balance of the scales, but that's really the concern with induction. Now, the only reason that I can think of that someone would insist that someone who is having a VBAC be induced always is only because they are concerned about them laboring at home and they want to have their entire labor watched in a hospital. That's not the strategy we use, but again, it depends geographically on how far people live from the hospital. Meagan: We talked about that on our last episode. Dr. Fox: Yeah, do they typically wait forever to come to the hospital? Again, is it worth a slight increase in risk of 1% to induce as opposed to having them go into labor and wait four hours before they get to the hospital? That's a strategic decision that is going to be very individualized obviously, but that would be as far as I can think of off of the top of my head the only reason one would say, “You need to be induced because it's a VBAC specifically.” There are reasons to be induced all over the place obviously obstetrically, but as someone we are talking about here, if someone needs to be induced then they need to be induced and there is a decision about that. When I counsel people about VBAC, essentially they fall into three groups. Again, assuming it's a safe option for them. Option one is, “I want a VBAC.” Option two is, “I don't want a VBAC. I want a C-section,” and option three is, “I want a VBAC, but only if I go into labor on my own. I don't want to be induced.” That's based on again, the risk, the chance of success, the experience, all of those things, and those are sort of the three places that people land. That's fine and obviously, you can switch from one group to another over the course of pregnancy based on how things are evolving, but that's really the decision that someone is going to make. “I'm trying for a VBAC.” “I want nothing to do with VBAC,” or “I'm into it, but only if I go into labor on my own.” That's something you want to make sure to see what your doctor thinks about that as well. Meagan: Yeah, okay. I love that so much because yeah. Like we said, there are so many reasons why like preeclampsia and all of these things, but yeah. Just wondering why you would have to be induced in order to VBAC. Cervical ExamsOkay, so let's talk about cervical exams. This is also a hot topic in our community about routine cervical exams or having a cervical exam prior to even labor beginning to determine the likelihood or the success of a VBAC. Can we talk about the evidence of cervical exams during labor in general, right? In physiological birth, everyone is like, “We just don't want to be touched. We just want birth to happen,” but when we come to hospitals, sometimes it's a little bit more routine where they want to know the data of what's happening with the cervix and everything like that. What is the evidence on actually determining someone's success rate before labor even begins based off of where they are dilated? Dr. Fox: Those are two totally separate reasons why we would check the cervix. In terms of someone in labor, there is a tremendous amount of variation in the frequency of cervical exams in labor based on the provider, based on the culture, based on the patient, and so there isn't one way to do it, but the reason one would have their cervix checked in labor is just to assess how the labor is progressing. Everybody does it. Doctors do it. Midwives do it. Home birth attendants do it. The question is not do you check the cervix? It's how frequently do I check the cervix and what do I do about it? That's going to vary greatly across everything. The evidence is actually that it's not harmful. Again, I'm not saying it's not painful or annoying or uncomfortable certainly if you don't have an epidural. I'm not talking about that. I'm just talking about the risk involved. There are people who say that more cervical exams increase the risk of an infection. The data on that is actually pretty weak amazingly. When we do the exams, we wear gloves. These are sterile conditions, number one. Number two, some of the data that indicates more cervical exams are associated with more infection is really just that more cervical exams are a marker for a longer labor. The longer you are in labor, the more cervical exams you are going to have and a longer labor is definitely a risk factor for infection. So it's not exactly clear in that sense and also, if anything, if it's ever going to be a risk, it's only once your waters are already broken. If your waters are not broken, there is no reason to think that it should increase your risk of an infection or there is at least no good data to support that. I would say in labor, there is a lot of variation in that. Again, it's hard to say. There isn't one way of doing it, but the reason to do it is just to assess how labor is progressing to make decisions like do I need to get Pitocin or not? Do I need to do a C-section or not? Is this someone who I want to break their water or not? Is this someone who we can tell, ‘You know what? Just rest and I'm going to go home and come back in the morning' or not? All of those things, when is she going to deliver? Fine. Before labor, examining someone's cervix in the office or before we do anything in labor, the data on that is originally meant to give a prediction of when someone's going to go into labor on their own meaning if you examine someone, the term we use which is kind of crude is “ripe”. If the cervix is ripe versus unripe– for some reason, doctors love to compare things to foods, specifically fruits. I don't know, whatever. Maybe we grew up in a tree-based society. I'm not sure, but whatever. It's crude, but that's the term that is out there. The thought is if the cervix is ripe and the components of that are a little bit open, it's short, it's soft, it's what we call anterior meaning in front of the head versus all the way behind the head and the head is low, the likelihood that person is going to go into labor on her own in the next week or so is higher than if her cervix is unripe. That's why it was invented. I personally have found that to be mostly useless because okay. If someone's chance is, let's say 40% versus 20%, what does that mean? Nothing. You can have a very unripe cervix and go into labor that night and you could be 3 centimeters dilated and not go into labor for 2 weeks. What's the difference if your chance is 40 versus 20%? What are you going to do about that? Nothing. In our office, in our practice, we don't routinely check the cervix before 38 weeks and then after 38 weeks, we offer it as an option. A lot of people want to know what's going on with their cervix. There is a lot of curiosity out there. If someone doesn't want to know, that's fine. We're not going to do it. But one of the reasons it might be helpful practically might– I'm not saying definitely– let's say someone called me at night. It's 3:00 in the morning and they are like, “I'm having some cramping. I'm having some contractions. They're not so bad. They're this. They're that. I live 2 hours away,” and I saw her that day in the office and her cervix was long and closed, I may feel differently than if I saw her and her cervix was already 4 centimeters dilated. So, okay. There is some practical information that is to be gleaned, but it's not always that useful. When you're inducing someone's labor, it does give you a sense of the likelihood of success and what agent you're going to use or not use, so that's the reason you'll do it either on admission to labor and delivery for induction or maybe in the office just before to sort of plan the induction because what we do is based on the cervix. For VBAC specifically, it's not like it needs to be done, but obviously, my thoughts about someone who is trying to VBAC are going to be different if, at 38 weeks, she's 3 centimeters dilated, the cervix is soft, and her head is low versus her cervix is long and closed and firm and the head is way up near her nose. I'm just going to think about it a little differently and then I' going to counsel her a little bit differently and then it may be practical. It may, but it's not usually tremendously helpful clinically is what I would say. Meagan: Okay. So for our listeners, kind of what you were saying is that you can get the information, but it doesn't mean that you're not going to be able to have a VBAC or you're no longer a good candidate if at 38, we'll say 38 weeks, you have a long, hard, posterior cervix. It doesn't mean– you might just have different counsel or have a different discussion. Dr. Fox: Right. Yeah. Again, it might be that. It might slightly change your odds one way or another, but it's not usually something that we use as a decision-making tool about whether you should or shouldn't VBAC. Again, let's say– I'll give you an example where it might be useful. Let's say we have a situation where someone has a prior C-section. They're thinking about VBAC or they're interested in it, but they have some concerns, right? Like most people, they're interested but they have some concerns. They're 38 weeks and let's say the baby is measuring a little bit small and her blood pressure is a little bit high. I say, “We need to deliver you. We need to induce. We need to deliver you.” At that point, there isn't an option of being in spontaneous labor. It's either I induce her and if I don't induce her, we have to do a C-section. Those are the two options on the table because waiting is not a safe option anymore. Fine. It's possible that my counseling will be different if when I do her cervical exam, it's long and firm and the head is high versus the head is low and the cervix is dilated and soft because I'll tell her, “Listen, inducing your labor in one situation is likely going to take a long time. Your success rate is a little bit lower” versus “It's going to be a shorter time, again, likely not definitively and your success rate is going to be higher.” It's possible that she might say, “All right. I don't want an induction if my cervix looks like this” or “I do want an induction if my cervix looks like this.” It's part of decision-making potentially, but that's usually if I'm about to induce her labor versus do a C-section. If she's going home either way, if it's just the Tuesday and it's 38 weeks and there's nothing wrong and I'm just sending her home and she will either come back in labor or come back in a week, then it's not going to matter much if her cervix is open or closed on that day. It's really if I have to make a decision about delivery that I'll be more practical. Meagan: That's something that I love about you is just that–Dr. Fox: Oh, all right. Meagan: I do. It's like, “Let's talk about this.” You offer counsel. I don't know. You just offer more. It's not just like, “You have.” It's the way you talk anyway. I mean, I've never been a patient in your clinic so I'm talking very broadly of what I feel like I love about you, but it doesn't seem like you're black or white. It's, “Hey, this is what we have. This is what we're showing. This is where baby is or where you are and it's no longer safe to be pregnant for you or for baby. Here are the options and based on that person as an individual, it might be different versus the lady that you had four or five years ago is now the standard for every person that walks into your clinic. Dr. Fox: Right. Right. I mean, listen. Medicine– there's a lot of balance here. On the one hand, there is this push to be very standardized and that everybody should be the same. There are advantages to standardization. Less mistakes, it's more clear, everybody has rules versus individualization which has its advantages as well because you can personalize medicine. You can tailor things to the individual. They are not a conflict, but there are two sides to the coin. On the one hand, you want things to be standardized and on the other hand, you want things to be individualized. One of the arts of medicine is knowing which way to lean and that's where people differ. Experience gets involved. There is also, I would say, this idea in medicine where there are certain times where the doctor is supposed to say to the patient, “This is what you should do,” to be very directive, right? There are other times where the doctor is supposed to say, “Here is option A. Here is option B. Here is option C. Here are the pros and cons of all of those. What do you want to do?” Right? The problem is you don't want a doctor who is always telling you what to do because that's authoritative and it's very–Meagan: It doesn't feel good. Dr. Fox: Right and it's also usually not appropriate, but you also don't want a doctor who can't make up his or her goddamn mind. You see the problems. When we're training young doctors, we always talk about patient autonomy, patient autonomy, which is correct. Patients should have autonomy to make decisions for themselves, but you also have a duty as a doctor and as a professional that if you believe one option is better than the other, tell them and tell them why. If my plumber said to me, “Well, I could use the copper pipe or I could use the steel pipe. Which one do you want?” I'd be like, “I don't know which one I want. Which one is better?” Meagan: Which one is best? Dr. Fox: Right. If he said to me, “Listen, you should absolutely have the copper pipe because they are better,” I would say, “Fine, do that.” But if he said to me, “Well, there are pluses and minuses. The copper is a little bit better but costs a lot more,” then I have to make a decision and that's appropriate. The same is true in medicine. If I have a patient with pneumonia and I said to her, “Well, you could have antibiotics. You could not have antibiotics,” then I'm an idiot. I should be saying to her, “You have pneumonia. You need antibiotics,” because this is why I trained, why I went to medical school, to tell you, “You need antibiotics. This is the one you should have.” Fine. That's appropriate. But in a VBAC, I don't think it's necessarily appropriate to say that. I say, “Okay. You have a 1% risk of uterine rupture. On the one hand, you could try a VBAC. Here are the advantages. Here are the disadvantages. Here are the risks. On the other hand, you could have a C-section. Here are the advantages. Here are the disadvantages. Here are the risks. I think they are both reasonable. Do you have a preference and which risk scares you more?” That is appropriate. I would say for people who are trying out figure out, do you have a good doctor? Do you have a good midwife? It's not just, “Are they kind?” You want them to be kind. It's not just, “Are they smart?” You want them to be smart. It's not just, “Does their office run on time?” You want their office to run on time. It's also, do you get a sense that they have a good balance between when it's appropriate to tell you what they think is correct and when they give you options and have you participate in your healthcare decision-making? If they are always telling you what to do, it's probably too much on one end. If they never tell you what to do, it's probably too much on the other end. You need to strike a good balance. Getting back to what you said about the reason you love me, I definitely have situations where I tell people, “VBAC is not a good option for you. You shouldn't do it. It's a bad idea. I'm telling you it's a bad idea.” Again, we're not the police. I can't force someone to do something. I'm not going to tie someone down and do a C-section, but I will tell them, “This is a bad idea.” I would say that's the exception. Most of the time, it's, “All right. Here are the options. Here's what we are doing.” It's not that we always tell people, “Here are your options,” and it's sort of touchy-feely, we do that when it's appropriate. It's frequently appropriate, but sometimes, we have to tell people, “It's a bad idea. This is why it's a bad idea. You should not choose this option because of A, B, and C.” I'm very comfortable telling someone that, but I usually just don't have to. Uterine Window, Dehiscence, and NicheMeagan: Yeah. I love that. Awesome. Well, we're going to go into the very last topic. I know we are kind of running out of time, but this is one where we're going to get stuff like that or we're going to be like, “You shouldn't do this” or the other opposite where it's like, “We could do this. We could see how this goes.” It's uterine rupture. We talked about uterine rupture, but more specifically to uterine window, lots of people are “diagnosed” or told that they had a uterine window maybe in their first Cesarean or multiple Cesareans later and that they shouldn't VBAC or that they can't VBAC or my specific provider told me that I would for sure rupture. He said those words– for sure, guaranteed.Then we have dehiscence which is chalked up into a full uterine rupture, but we know it's not. Anyway, there is some stickiness in there. So can we talk about that? If someone was told or if it was put in an op report that they had a uterine window or a slight dehiscence, as an OB in your practice, what would you suggest or how would you counsel moving forward? Dr. Fox: Right. Right. I will give you the short answer and the long answer. The short answer is if I have someone who I think has a uterine window, I would tell them not to VBAC because I think the risk of rupture is too high. I would never tell someone, “You are for sure going to rupture,” because that is not true with anybody. Meagan: You can't predict that. Dr. Fox: Even in the worst-case scenario. Someone who has had a prior classical C-section, they have a 10% risk for rupture. Someone who has a prior uterine rupture is not even 100%. I don't think it's 100%, but it's usually too high for comfort. The problem is not so much me making the recommendation, “Don't VBAC if you have a uterine window,” it's how do you make that diagnosis? I think that's part of the trickiness. Some of the confusion is that there is different terminology and some of the reason is we don't have definitive definitions. So for example, uterine rupture is very clear. That's when you are in labor and the entire uterus opens up internally and the baby and the placenta come out. It's exactly what you would think a rupture is. That is pretty clear. The terms dehiscence and window are used interchangeably and what they basically mean is the muscle of the uterus is separated, but the very thinnest outside layer of the uterus, what we call the serosa, which is like a saran-wrap layer on top of the uterus did not open, so the baby did not protrude through this defect in the uterus. Meagan: It didn't go through all of the layers. Dr. Fox: But it basically went through all of the muscular layers which is basically like one step short of a rupture. Now, we don't know how many of those people would go on to rupture if you continued laboring then in that labor or in the next pregnancy. No one knows because no one's really tried it. No one has really pushed that envelope because they are too afraid to. It's hard. It's very unusual to be diagnosed with a window on your first C-section because usually, it's not going to happen unless you've already had an incision in a C-section. Usually, it's someone who has had a C-section, then on their second C-section, when someone goes in to make the incision whether they tried to VBAC or didn't try to VBAC, they see this and then they are talking about the next pregnancy. Most people are not going to recommend VBAC because the risk of rupture is too high in that circumstance. I fall into that camp as well. I am humble enough to say it doesn't mean someone will rupture, but I think that risk is too high and I'm not really willing to test it out on someone because I think it's probably not safe. Now, sometimes, someone may have been told they had a window and they really don't. It's hard to know. There's another situation that is different which is when someone is not pregnant and they have an ultrasound of their uterus and they see some form of a defect in their prior C-section. So someone had one C-section, had the baby, they're not pregnant. They come to my office and they do an ultrasound. I looked at the area of the scar and it looked like it wasn't healed perfectly, so instead– Meagan: Properly.Dr. Fox: Well, it's not proper or improper, it just frequently doesn't heal to full thickness. Let's say the uterus is a centimeter thick and I see that only half of the centimeter is closed and the other half of the centimeter is open, right? We call that sometimes a uterine niche. We sometimes call that a uterine defect. Some people call that a window, though it's not technically a window. The question is A) What does that mean? and B) What do you do about it? The answer is nobody knows. That's the problem. Meagan: Yeah. That's the hard thing. Dr. Fox: Nobody knows exactly what you would do to allow VBAC, not allow VBAC, this or that, generally, what a lot of people will do is if they have only had one C-section, they'll usually let them VBAC, but there is some data that if it's less than 3 millimeters remaining of closed, the risk of rupture is somewhat higher. Again, that data itself is pretty weak. No one knows for sure. Should you use that? Should you not use that criteria? It's very, very difficult and you're going to see a lot of variation out there. In our practice, we don't use that test so much to decide whether someone should VBAC or not after their first C-section because the data doesn't support that. What we use it for is someone who has had multiple C-sections and they are already not planning to VBAC, but we are trying to figure out if is it safe to get pregnant at all. Do we need to fix this during pregnancy or if they get pregnant, do we need to deliver them at a different time? That's a much more complicated discussion, but that's how we use it practically. If someone has had one C-section, I don't generally recommend doing that test to check the thickness and then making decisions based on that because it's not clear that your decision-making is going to be any better with that information than without that information. So I don't use it personally, but definitely, people will find it out there. They measure the thickness and they say it's too thin. That data is all over the place, unfortunately. Maybe one day, we will work it out, but it hasn't been worked out yet. Meagan: Yeah. So you can technically fix a niche? Dr. Fox: You can technically fix it, but that doesn't necessarily mean they are safe to deliver vaginally the next time. Meagan: Because that's a uterine procedure. Dr. Fox: Yeah. These are all new questions that are being sorted out. It may take a very long time to sort it out, but I would say for the more typical person who has had one C-section that was basically fine, it went well, and she is trying to decide to VBAC or not, the current data does not support measuring the thickness of the scar routinely either prior to pregnancy or in pregnancy and then making decisions about VBAC or not. There are people who do it and I'm not saying it's wrong, but the data to support that is pretty weak so it's not something that is universally recommended to do. It's a different situation if someone had a C-section and then someone saw with their own eyes there is something wrong with this uterus or if someone has had multiple C-sections and then they see it, those are different clinical situations where it might come in handy. Meagan: Okay. Great answers. Awesome. Thank you seriously so much. It's just such a pleasure to have you. I do. I just enjoy talking with you. I think it's awesome and I think this community is just going to keep loving these episodes. Dr. Fox: It's my pleasure. It's your wonderful Salt Lake City disposition. Meagan: Yes. Next time you are in Salt Lake, come say hi. Dr. Fox: Love it. We'll do it. I love Salt Lake City. Good stuff. Meagan: Yes. I love it here except for the cold. Dr. Fox: Except for the cold. I hear ya. I grew up in Chicago which is where my pleasant disposition comes from, but yes. It's also cold in the winter. Meagan: That's a whole different cold. Dr. Fox: We don't get the skiing. We get the cold, but not the skiing so at least you get the mountains so you did it right. Meagan: Yes, we did. Awesome. Well, thank you so, so much. Dr. Fox: My pleasure. Thanks for having me. Always a pleasure. ClosingWould you like to be a guest on the podcast? Tell us about your experience at thevbaclink.com/share. For more information on all things VBAC including online and in-person VBAC classes, The VBAC Link blog, and Meagan's bio, head over to thevbaclink.com. Congratulations on starting your journey of learning and discovery with The VBAC Link. Support this podcast at — https://redcircle.com/the-vbac-link/donationsAdvertising Inquiries: https://redcircle.com/brands
Na een onderhandelingsmarathon van 37 uur is 'ie er eindelijk: de Europese AI-act. Europa is hiermee het eerste werelddeel dat kunstmatige intelligentie op grote schaal reguleert. Tot een akkoord komen was echter niet makkelijk. De techlobby vanuit de VS, maar zeker ook uit Europese landen, verzette zich hevig tegen enkele onderdelen van de wet. Zo waren het Frankrijk en Duitsland, elk met hun eigen AI-startups, die bang waren dat innovatie teveel aan banden werd gelegd. Gezichtsherkenning door AI was ook onderdeel van discussie tussen het Europees Parlement en de lidstaten. Alles rondom deze nieuwe wet bespreken we europarlementariër Kim van Sparrentak. Zij zat als onderhandelaar maanden lang dicht op het vuur en bereikte afgelopen vrijdag dan eindelijk een akkoord. Het recht op reparatieJe laat je smartphone vallen en het scherm is kapot. Tegenwoordig ben je, zeker met een nieuwer model, al snel een paar honderd euro verder. Dat moet veranderen, vinden regelgevers in de VS en de EU. Met wetgeving rond de 'right to repair' moeten smartphonefabrikanten gedwongen worden om hun product beter repareerbaar te maken. Of dat gaat lukken, met name bij Apple en Samsung, vragen we aan Donovan Kerssenberg, redacteur mobile bij TweakersOude rot keert terug in de cybersecurityCybersecurity is lang niet meer het ondergeschoven kindje dat het ooit was. Inmiddels neemt ieder bedrijf cyberdreiging serieus en worden er ook bij de overheid vele miljoenen vrijgemaakt in de strijd tegen landen met een offensief cyberprogramma. Wat zijn nu de belangrijkste trends om op te letten? Kunnen die vele cybersecurity-bedrijven nog wel geschikte mensen vinden? En hoe zit het met de kosten per werkplek? Dat hoor je van Menno van der Marel, ooit oprichter van Fox-IT en nu investeerder en Chief Strategy Officer bij Nedscaper Meer podcasts over tech? Luister dan naar Nexus, de Cryptocast, All in the Game, De Technoloog en de Tech Update.See omnystudio.com/listener for privacy information.
Wednesday, December 13th We’re talking comics for the week including DC’s ‘Twas the ‘Mite Before Christmas #1, Batman Robin Lives!, Daredevil Gang War #1, Spider-Gwen Smash #1, Space Usagi #1, The Bloody Dozen #1, Masterpiece #1, Beneath the Trees Where Nobody Sees #1-2, Batman/Santa Claus Silent Knight #2, Batman Where The Body Was HC, Nightwing... Read more » The post 444: Fox It! appeared first on Rogues Gallery Comics + Games, Round Rock, TX.
Dr. Nathan Fox is a practicing OB/GYN and Maternal Fetal Medicine provider in New York City. Two of his children were also VBAC babies! He joins Meagan on the podcast today where they discuss topics in depth to help listeners make more informed decisions about their VBACs. Topics today include where to find evidence-based information, how to interpret it, the risks of uterine rupture, VBAC and COVID-19, induction, scar thickness, due dates, and third-trimester ultrasounds. Additional LinksHealthful Woman WebsiteMFM, High-Risk Pregnancy New York City WebsiteNeeded WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello, hello. You guys, it's November. How are we at the end of 2023? It is crazy how fast this year has gone. We have a special guest today. It's Dr. Nathan S. Fox. He is so amazing to come on today to talk to us about a couple of topics that I don't know if we've actually ever talked about on the podcast. We're going to be talking about scar thickness. We're going to talk about third-trimester ultrasounds. We're going to be talking a little bit about COVID and is it really best to induce at 39 weeks? We've had COVID. What does it mean with our placenta? We know we've been hearing it out there where our placentas are not doing well. So you guys, get ready. Buckle up. It's going to be great. I want to tell you a little bit about Nathan Fox first. He is a board-certified OB/GYN and he is also certified in MFM which is Maternal Fetal Medicine. In his clinic, he sees a lot of higher risk and unique situations. He did his residency at Mount Sinai. He has an amazing podcast that really dials in on helping people know the evidence and then also understanding the evidence in English because if you are like me, you'll know that it is kind of hard to break down some of these studies sometimes and it's hard to understand what the evidence is even saying and then how to apply it. He has this podcast and it is Healthful Woman. We are going to make sure that it is linked. You guys, he has so many incredible guests on there talking about a wide range of things. It's not VBAC-specific, but it definitely has a wide range of topics and things that you're probably going to love. Definitely check that out. We'll have it in the show notes. Dr. Fox, seriously, we are so grateful for you today. We can't wait to have you on. We'll be right back. Dr. Nathan FoxMeagan: All right, I need to pull up those questions really fast. There are a lot. Literally, we do not have to get to all of them. Dr. Fox: I'll come back if you want. Don't worry about it. Meagan: Yeah, we'll have to do a part two. You are so sweet to take the time out of your busy life, I'm sure. Dr. Fox: We are mission-aligned as they say in the fancy world. It's about getting good education, and good information out to people so they don't have to hear crazy stuff on the World Wide Web and get terrified. Meagan: Right. That's why we started this podcast even just to share stories of people who are having VBACs so people can hear and learn through those VBACs and also know it is an option and it is possible. I have a question. You said before we started recording that you have two VBAC babies. Dr. Fox: Yeah. Meagan: How was that journey as an OB and MFM? Was your wife getting information that you were like, “Wait, that's not true,” or were you like, “Actually, we need to think about this”? How was that journey as someone in the field?Dr. Fox: Full disclosure, I was getting into the field. I have four kids. My first two are twins and they were born when I was a medical student so I knew very little. I guess more than nothing, but closer to nothing than where I am now. They were born by C-section. Both of them were breech. Thank God, both of them did great. All was well. With the next one, my wife was pregnant when I was a second to third-year resident in OB/GYN. For most of her pregnancy, I was a second-year, then she was born a month after I became– not even. She was born July 17th so 16 days after starting my third year. Meagan: Right after, yeah. Dr. Fox: I knew a little bit more then. That was our first VBAC. Then my fourth was born when I was an MFM fellow. I like to say that I had kids in all of my points in training. Honestly, we didn't think much about VBAC in terms of being this grand decision and conversation. I would say mostly because the OB my wife was seeing was on board with it and didn't make it into a big deal and she was delivering at a hospital at Mount Sinai where I trained and where I now practice where VBAC is commonly done. There was a conversation about it. It wasn't like we were blind to it, but it was part of the normal culture in that hospital on the labor floor so we didn't think much about it. My wife said, “Why would I want a repeat C-section if I can try and do it vaginally?” It worked out fine, thank God for both of them. The third was also actually a forceps. We're like a textbook of obstetrics, my wife. But yeah. It wasn't dramatic. Let's put it that way, the VBAC process.Meagan: Wow. Yeah. I love hearing about it that it was just a thing. It didn't have to be a big deal. She was just going in and wanted to have a baby. She didn't want to have a C-section.Dr. Fox: Yeah, again, I think it is something that should be discussed. People should understand and not even everyone understands that it is a thing meaning people don't even realize why you wouldn't. Meagan: Why you would not, yeah. Dr. Fox: There is risk, but ultimately, if it is an option, the risk of a VBAC– again, in the right person– is not markedly higher than the risk of a C-section. So it's a conversation. Which risk would you prefer or which risk would you least prefer? So that conversation was very straightforward. “Would you want a repeat C-section? Would you want a VBAC?” She was like, “I want a VBAC.” Fine, so that was done. It wasn't like she had to meet with an attorney to go over everything and sign a waiver or anything like that which sometimes happens. Meagan: Yeah. I love hearing that. Well, I am so excited that you are here with us today. I know that we have so many questions to dive into. They're kind of all over the place. With the first one, I think a lot of our community members– we have a Facebook community, a forum, and one of the most common posts in there is looking for a provider that is supportive because they were with a provider and then they found out that the provider that was seemingly supportive is not supportive anymore. It all seems to focus around things with evidence-based information and they're getting all of the different things. One of the questions is why is it so hard to find evidence-based information on VBAC, VBAMC, and uterine rupture– because we have some providers that are saying you have a 60% chance of uterine rupture and then some saying you have a 0.4-1% chance. Those are very dramatic numbers. The range of answers is just so wide. I'm just wondering why do you think it's so hard and where can we find this information. Where would you suggest our listeners go? Let's talk about your podcast being one of those places. It's not just VBAC-specific. Your podcast isn't VBAC-specific but it's very, very good at a whole, wide range. But yeah, can we talk about where to find evidence-based information about birth in general but especially about VBAC? Dr. Fox: I mean, yeah. That's really the million-dollar question. I think that both the problem and solution are essentially that we have access to all of the information that's ever been available ever. There was a great Simpson's thing where Homer Simpson said, “Beer. The cause of and the solution to all of my problems.” Information is the same way. On the one hand, it is unbelievable how much information we have access to and that's a great thing. It's not hidden. It's not only amongst the elite that have the information. Everyone can have the same information so that's the good part. The bad part is it's very difficult to sift through all of that information and find a) what's correct or b) what's applicable to me. So for example, let's say I'm someone who has a prior C-section and I have a friend who is also someone who has a prior C-section, but one of us has a prior low transverse C-section and one of us has a prior classical C-section. How do we know that we have different percent risks? It's a high level in a certain sense. So sometimes the websites or the podcasts or whatever will spell it out for you and explain it very clearly, but other times, you just get a list like, “Okay, the risk is this, this, this, and this.” You can't really apply it appropriately. One of the things we try to do in our podcasts is to be much more user-friendly and to really explain it and what would apply to you, what wouldn't in certain situations, and what questions to ask, but I would say for people trying to find information, usually it's a shotgun approach. You Google something and find a website then find a list. You have to be very cautious and make sure that this applies to me and my unique circumstances. Hopefully, you have a doctor or a midwife who can help you with that. You might not. It's possible that you may not. The other part is sometimes, it's hard to interpret data. Understanding medical literature is a science. It's something that we train to do. We practice it. I do a weekly journal club with the OB/GYN residents. This is the top of the food chain. These are the smartest of the smart. They got into a great undergraduate. They got into medical school. They got into residency. These are really, really smart people. It's not always intuitive when you read a study or several studies on how to interpret it and apply what is and isn't applicable. It's very difficult stuff. I would say don't be dismayed if you are not understanding the information out there or seeing such variation because you are in the same boat as all of us. It's hard. It's hard to get the right information out there. Meagan: It is. Yeah. Even when I'm reading through studies or things, it's even hard for me to just understand what it's saying and what the relevance is of it and all of it, so yeah. It's really hard. I think what you said, “Don't be dismayed,” it can be really frustrating when we're out there and we're like, “Okay, I have a special scar or not a normal low, transverse incision. What does this mean for me? What does this mean for my future? What does this mean for right now?” It's really hard.I think you nailed it where one friend can have this and one friend can have this. You can both have similarities in your risks, but they also don't apply because there are other things going on in addition. Dr. Fox: There are facts like what is the truth? What is the true fact? There are always some brackets around those numbers because different studies will find different things. Let's say one study finds 1% and one study finds 4%. Is it 1? Is it 4? Is it the average of the two? Is it a range from 1-4? There are some nuances in that. But then there is also trying to sift through the interpretation of the fact. A lot of that is why sometimes you'll see different doctors feel differently about something. For example, let's say the risk of uterine rupture is– let's just do very rounded, broad numbers. Don't hold me to it. Let's say the risk of uterine rupture is 1% and if you've had two C-sections, let's say it's 2%. Let's say those are the true numbers and you can argue about those. Those are the numbers. I could describe those very differently. I could say to somebody, “All right, you've had one C-section. Your risk of rupture is 1%. You've had two. It's a little bit higher. You need to know that it's now 2%. Maybe your chance of a successful VBAC is a little bit lower.” Okay. I could say it that way or I could say, “Whoa, your risk of uterine rupture where the baby could die is doubled.” Right? Meagan: Yeah. That just gave me the chills. Dr. Fox: That's the same number. I've said the same thing in two very different ways. One person hears it and says, “It doesn't sound like a big deal. My doctor said it's fine.” Another person said, “My doctor said that my baby is going to die.” Meagan: Doubled and die, yeah. Dr. Fox: It's understandable because the doctors and midwives, people who are pregnant are all humans. Humans are complicated beings. We have emotions. We have fears. We have experiences. We have anxieties. We have all of these things that come into our heads and it colors how we view risk and how we describe it to other people. So I would say that another lesson is when you are getting information, try to differentiate the numbers and the hard facts from the interpretation of the number or the feeling about the number. That's why you always have to be very cautious when someone says increased, higher, or doubled. That's a relative risk, right? The risk of something is increased. Well, by how much? Is it increased a lot or a little? If the number was very, very low, is it still very, very low but a little bit higher?I always give people an example. If I walk across the street, there's a certain chance that someone moving a piano is going to fall on my head. If I look up every time I cross the street, I'm going to lower that risk but it doesn't matter. The risk is so low to begin with that it doesn't have any practical application to me. It's sort of the same thing. You can talk about something increasing or decreasing your risk, but if the risk is still very, very low anyway, it may not matter to the person practically. Trying to get that from a provider is sometimes difficult because they may not know themselves the actual numbers. They may just know increased or doubled or this. They may be so colored by it that they have a hard time talking about it just as numbers or vice versa. They might just give you hard numbers and you want to know how they feel about it and they're not giving it to you. It is hard, but that's one thing to try to think about or differentiate. Meagan: I love that. I love that. Okay, this can be a very political topic. Dr. Fox: Oh, all right. You're not going to mention Trump. Are we going to talk about Trump?Meagan: We are not talking about Trump. Dr. Fox: Everyone in New York talks about Trump. We like him. We hate him. We hate him. We like him. It's all we talk about. Meagan: I bet. I bet in New York, it's really hot. Maybe in New York, this is even a hot topic but we're going to talk a little bit about COVID-19. Dr. Fox: Oh okay. Meagan: We have a lot of moms who had babies during COVID-19. It was a really hard time for everyone involved. Giving birth as a provider, as a nurse, and everybody in life. This whole world of ours. Dr. Fox: It was unpleasant. Meagan: It was and that's putting it nicely, I think, in a lot of ways. Dr. Fox: I still have scars on my face from wearing my N-95 for six straight months. Meagan: I bet. I bet. It is. It was a very traumatic time. Dr. Fox: Yeah. Meagan: We're interested to see if you felt like COVID-19 had an impact on the C-section rate and if you saw more inductions happening and things like that. But right now, we have a lot of our moms being told even today, that if they had COVID-19 during their pregnancy from the time of conception to the end, they have to give birth by 39 weeks. Dr. Fox: By 39 weeks or after? Meagan: By 39 weeks. What they're being told is that their placentas will just crap out. They're just done. So it can be really hard in the VBAC community when they're being told this and then we may have a provider who doesn't want to induce. Dr. Fox: Yeah, yeah. For sure. Meagan: We have providers all over the world who are not comfortable inducing. We have VBAC moms who are like, “I want to have a VBAC. I had COVID when I was 20 weeks. I'm fine. All is well, but now I have to have a baby at 39 weeks. Here I am and my body's not doing it.” Dr. Fox: Yeah. There is a lot there to unpack. No, it's okay. You're throwing fastballs at me. I like it. You're throwing heat. I'm ready. I knew it was coming. Whether COVID increases the risk of things like the placenta crapping out so to speak is itself a controversial question. The data on that is mixed. It seems that there are some people who COVID has a negative impact on their placenta that manifests as the baby is not growing well. It can manifest as the baby getting preeclampsia. The worst-case scenario is that it can manifest as a stillbirth. However, you wouldn't expect the stillbirth to come out of nowhere. You would expect there to be multiple things leading up to it like the baby not growing well, the blood pressure going up, the fluid dropping, and a lot of things instead of a sudden stillbirth. Meagan: Right, warning signs. Dr. Fox: Now, that is different from someone with COVID who is in the midst of a very severe COVID infection. That is very dangerous to the mother and potentially the baby but we're talking about someone who got COVID and recovered or someone who just found out they had COVID and are fine, that type of thing. A) the data is questionable and B) what to do about it is also questionable. Let's say you're over the age of 35. You also have a slightly increased risk of all of those things if you had IVF. There is a whole list of things that put you at increased risk of your placenta crapping out so to speak and what to do about it is also more of a philosophical question than a hard-data question. Whether someone has to be delivered– I wouldn't say before but usually at 39 weeks– because they had COVID, I'm not doing that personally in my practice. We do follow up and do an ultrasound to make sure the baby is growing well, but if someone had COVID at 20 weeks and is otherwise doing well later in pregnancy, we don't say they need to be induced at a certain point. That's not something I'm doing. I'm not aware of anybody in professional societies like ACOG, American College of OB/GYN, or the Society for Maternal Medicine who actually recommended that or advocated that, but again, some individual doctors are very uncomfortable with any risk. I think the other part of this that is really coloring a lot of these discussions nowadays is there was a study called the ARRIVE trial that got published a few years ago. It's a very, very good study. The study was essentially designed to test if inducing everybody– these are low-risk, first-time pregnant moms. The lowest, lowest risk whether inducing everybody at 39 weeks improved outcomes or worsened outcomes. The outcome they really looked at was the death of the baby. It did not have any impact on that in either direction. What they also learned was that the rate of C-sections did not go up by getting induced. That was the biggest, I don't want to say surprised because medically, we actually thought that would happen, but in the community, that was a surprise because everyone was always told that if you get induced, you have an increased risk of C-section so the study did not show that. It showed a slightly lower risk of getting higher blood pressure which makes sense because the longer you are pregnant, the more it goes. The way I look at that study is if I want to induce someone or if a patient wants to be induced at 39 weeks, there's an upside. There's a downside, but the downside does not include an increased risk of C-section. The downside could be longer labor. It takes more time. It's not as pleasant. Okay, fine. That's how I look at the study. Some people took the study and interpreted it to say, “Since there's no risk of C-section, you should induce everyone at 39 weeks. That's the optimal thing to do.” Meagan: And it's happening a lot.Dr. Fox: Yes. There are definitely people interpreting it. I don't think it's an unreasonable interpretation because you could say, “Listen, if I'm delivering you, there's no chance for a stillbirth in the next two weeks,” I get it. But I don't think it's the only interpretation and it's also a very impractical interpretation because if you induce someone, the amount of time they are in the labor room is on average 18 hours. 12-24 hours they are in a labor room. A common labor on their own, the average is let's say 6-12 hours or something like that. So if you induce everyone, you need twice as many labor rooms. I don't think every hospital in the country plans to double their labor floor so now, you just can't do it practically. This is a very, very long answer to your question. I think what's happened is that you have a new risk factor which is COVID which is very prevalent. Everybody got COVID basically at some point and you have a new fact that inducing at 39 weeks does not seem to increase the risk of C-section so there are some people concluding, “Well, I have a risk factor, and inducing at 39 weeks isn't ‘bad' so I'm going to affirmatively recommend it on everybody.” That's tough. I don't usually recommend it. If they want it, I think it's an option but I think that that's again, hard to know when you sign up with somebody who has provided prenatal care what their philosophy is. These are questions you probably want to ask very, very early on in prenatal care. Again, the things that really matter. So for example, if it very much matters to you not to have an episiotomy, you should ask very early, “Do you perform routine episiotomies?” Most OBs these days will say no, but if your OB says, “Yeah. I do them on everybody,” and you don't want that, get the hell out. Switch. Meagan: Yeah. It's probably not your provider. Dr. Fox: Yeah, and again, if it doesn't matter to you, then don't ask that question. Or for example, let's talk specifically about VBAC. Very early on, just ask, “What are your thoughts on VBAC?” They're not going to lie to you. They're going to tell you. If they don't tell you, you're going to be able to tell right away. If they say, “VBAC is awesome. I love it. I love it when I can help someone with a VBAC. It's so satisfying. It's rewarding. There are some risks and we can talk about that. I think it's great.” Versus they could tell you, “I don't do them.” Or they say, “Yeah, I'm okay with that but I don't know.” They're telling you. They're telling you that it's okay, but they're clearly not a fan of it. Meagan: They're not gungho about it. Dr. Fox: Or the question is if they're gung-ho, you can say, “What's the culture in your hospital like?” So if they say, “I'm gung-ho, but the labor nurses think it's a stupid thing to do and the hospital is trying to get us to stop doing it because they have a lawsuit and this,” you may have a great doctor or midwife but they may be practicing in a place that isn't supportive. That's also an issue. Again, I guess there are some people who would lie to you because they “want your business”, but most OBs aren't like that because if they don't want to do it, it's because a) they think it's wrong, b) they sort of thing it's okay, but they don't want to get into a lawsuit, or c) they're just afraid. So why would they want to hide that from you? It's the opposite. They would want to tell you upfront. I think if you ask very blunt questions very early, they will tell you. If you have a provider who is uncomfortable, you don't want to be with them for your VBAC. It's not a good match. Meagan: We talk to our community members about that a lot. Don't just say, “Do you support VBAC, yes or no?” It's, “How do you feel about VBAC?” I love the question of, “What is the culture in your labor and delivery unit?” I love, love that. Dr. Fox: Usually, this is a good time when open-ended questions are best.Meagan: Yep, yeah. Dr. Fox: Let them talk. Let them cook. They will tell you their thoughts and you can read it very quickly. Meagan: Their body language, yeah. So circling back to this whole induction thing by 39 weeks, you're saying that there's not really any organization that is hard-core supporting this evidence for someone who has had COVID has to have a baby by 39 weeks. Dr. Fox: I have not heard that of anybody. Usually, if someone said that, it usually wouldn't be by 39 weeks. It's a big thing not to induce people before 39 weeks unless there is a very good reason. Meagan: Yeah, and that's what they're doing. They're inducing at 39 weeks or as soon as possible after but I don't know that anyone is recommending that specifically because of COVID. Again, I'm sure there's someone who might but I don't know. Personally, what I would do is if they had COVID, again, I would just check that everything is okay with the placenta. Usually, in later pregnancy, it's just with an ultrasound and then if everything is fine, I wouldn't. If there is a concern, then it would be based on the concern. There are people who I recommend to get induced at 39 weeks but there is a reason and COVID has not been one of them. Meagan: Okay, that's so good to know. We kind of dabbled into the ARRIVE trial. Can we talk about the 40-week mark? We have seen ever since ARRIVE came out that things have moved up. It's like 40 weeks is really 39 weeks. 41 weeks is 40. Dr. Fox: 39 is the new 40? Meagan: 39 is the new 40, yes. It seems to be happening, not everywhere, but it's happening. We talk about uterine rupture after 40 weeks. Our original 40-week, here we are, we know ACOG suggests or supports going past it, but can we talk about the risk of uterine rupture the further into pregnancy that we go?Dr. Fox: So there are two risks. Part of the reason for the shift going earlier is not because of the risk of uterine rupture. It's more of the risk of stillbirth. As you get more pregnant, if you look at just for the baby- I don't want to say this and be recorded but forget about the mom. Meagan: Let's not think about the mom. Dr. Fox: For this question, we're going to forget about the mom. Mother first, baby second but for this question, you're just looking at the health of the baby and you look at the timing of delivery. Generally, things get better and better for the baby as you get closer to 39 weeks meaning your baby born at 37 does better than at 36 weeks. A baby born at 38 does better than 37 and at 39 does generally better than 38. Once you hit 39, it plateaus and then it starts to diminish meaning that the optimal time for a baby is sometime between 39-41 weeks. As you get past that, it goes down. Part of that is because of stuff after birth like meconium or this and some of it is because some of these babies unfortunately will have stillbirths inside. That's very, very rare and I'm not saying this to scare anybody, but it happens. As you go past your due date further and further, the risk seems to go up. With that said, is it worth inducing because of that? Generally, for a typical, low-risk, healthy person, the difference between 39-41 weeks is very minuscule in terms of the baby. So I don't typically tell people that if you are low risk, then you need to be induced at 39 or 40. I tell people that 39-41 seems to be very similar for the baby or have very, very slight differences and I leave it to people's preferences. If there's someone who wants to get the hell out of pregnancy as soon as possible because they are uncomfortable and they have family coming in town or whatever it might be or they are worried about stillbirth, fine. We can go closer to 39 weeks versus if there's someone who really wants to go into labor on their own, then you wait towards 41 weeks. After 41 weeks, the risk really starts going up so there are people who– I don't really let them– I am okay with them staying past 41 weeks, but generally when we get to 42, pretty much everyone recommends inducing at 42 weeks and pretty much at 41. That's all because of the baby. Now, in that conversation for someone with VBAC, there is a second risk on top of that which is okay, that's for the baby, but what about for uterine rupture? So there doesn't seem to be a huge difference between 39, 40, or 41 weeks for uterine rupture. It's slightly higher if the baby is bigger and it's slightly higher if you induce. So you're sort of balancing, is it better to induce and have a slightly smaller baby or is it better to wait and go into labor on your own and have a slightly bigger baby also knowing that if you don't go into labor on your own, now I'm inducing with a slightly bigger baby? That's part of the risk that you may end up in a situation that is worse. And that again, there isn't a right or a wrong answer. It's a conversation. For people whose doctors or midwives won't induce them, out of principle, the hospital won't allow it, they won't allow it, then yeah. You wait as long as they will let you until it's unsafe for the baby and hope to go into labor on your own. In our practice, we do induce people with a prior C-section. It's a conversation. There are risks that are discussed. They decide, “Is it better to do it earlier? Is it better to do it later?” That's again, a conversation based on taking on all of the risks. The risk of inducing, probably ballpark adds another 1% so if your risk was 1%, it probably makes it 2%. Again, I could tell you that makes it doubled or I could tell you it makes it 2%. But you know, it increases a little bit. Not so much if they've had prior vaginal deliveries. That's more so if they've never had a vaginal delivery. The risk of waiting an extra two weeks is also probably less than 1%. These are very small numbers and I don't want to say pick your poison because neither is really poison, but whichever is sort of more palatable, that's the one you'll do. But again, you have to have someone where both options are on the table and for some people, the option to induce is not on the table. Meagan: So for someone who is really worried about uterine rupture, going to 41 weeks and maybe not getting induced or trying to go into spontaneous labor at 41 weeks, we shouldn't be feeling that we have passed that 41 weeks so our chance of uterine rupture just skyrocketed. Dr. Fox: No. The chance of uterine rupture doesn't really go up markedly the more pregnant you get. If you get induced, it goes up a little bit. You have a risk to the baby of waiting.Meagan: Or a bigger baby. Dr. Fox: But the rupture risk is not markedly changed by your gestational age of delivery. Maybe there are slight differences, but nothing crazy. Meagan: Okay, that's good to know for the audience because they ask that a lot. Dr. Fox: Right. But a lot of people or some of the doctors want a “controlled setting”. It also depends on what the situation is. Again, I practice in an area where people can usually get to the hospital very quickly if they go into labor. But if you are practicing somewhere where someone has– I actually just had someone. She actually was 2 hours away. She comes to our practice because we are a high-risk practice and she doesn't want to go somewhere local, fine. She is someone who has two prior C-sections and this. That does play into this because she's not someone who when she goes into labor is going to be monitored right away. She's 2-3 hours. Meagan: She's far away. Dr. Fox: Yeah, so that is sometimes a factor in these discussions. What you do about it depends but that may be a reason that someone might prefer to have you induced rather than going into labor on your own if they are worried about time to get to the hospital or something like that. Again, usually not relevant for me but sometimes. Meagan: More of a controlled setting.Dr. Fox: Yeah. Meagan: You have a lot of knowledge in imaging and testing and all of these things. We're going to take a little bit of a turn from due dates and all of those things and talk about tests that happen during pregnancy. This is kind of something that comes up a lot. We've got early, middle, and late tests that are happening. A couple that is happening in the early stages is genetic testing. It's becoming a lot more popular and a lot of people are wondering, does this impact my chance of VBAC at all? Does this increase my chance of Cesarean? Can genetic testing impact the mode of birth? Is there anything that you feel that our community should know about that early-on test ritual? Dr. Fox: It shouldn't. It really shouldn't impact anything about the mode of birth. For genetic testing, fortunately, if you get to the point where you are 10, 11, 12, 13 weeks when this is done whether it's a blood test or an ultrasound, if it's a screening test or an invasive test like an amnio, again, fortunately, high 90% of people have a baby with no genetic issues whatsoever, thank God. We are very fortunate. For the few people who unfortunately have a baby with one of those genetic conditions, genetic screening and testing is information. It's just to find out before birth. Now obviously, some people get results and choose to terminate pregnancies. Other people get results and choose not to terminate pregnancies. It's just information they want before birth. That's also another political discussion, obviously. But ultimately, at the end of the day, none of that really impacts the mode of delivery. Occasionally, it impacts the timing of delivery. Sometimes with certain genetic things if there are associated anomalies, then occasionally. So I don't think it really impacts. It would have to be a very rare case where genetic testing would then somehow preclude someone from a VBAC. Meagan: That they would have to have a C-section. Dr. Fox: Again, if it precludes someone from having a VBAC, it would also preclude someone from having a vaginal delivery with their first delivery. There are some abnormalities in babies where they are better off being born by C-section but then it has nothing to do with VBAC. That's just the case. But they are also pretty unusual. Even babies with certain abnormalities can usually be born vaginally safely. But occasionally, there are some that they shouldn't. But again, not specific to VBAC. That's just anybody. So yeah. I think if they want to know more about their baby's genetics, they should do it. They should feel comfortable and if for some reason, they don't want to know, fine. That's okay, too but it should not impact VBAC. Genetics is the most complicated part of all of prenatal care for patients, for doctors, for everybody. We have 6 hours of podcasting on this and it's just scratching the surface because it's complex. It is growing. It's expanding. So definitely try to get educated on that, but the short answer, it should not affect VBAC. Meagan: Yeah, it's seeming like it's growing. Dr. Fox: Huge, huge. Meagan: It's a popular topic. Dr. Fox: We know nothing more about labor than we did 100 years ago, but we know a bajillion times more about genetic testing than we did 100 years ago.Meagan: Well, and if anyone wants to find out more about genetic testing, then we will make sure to link your podcast or one of the episodes and they can filter through. Dr. Fox: Definitely, they're free. Meagan: Okay, so another one, and this is usually done through ultrasound, is the scar thickness. Dr. Fox: Mmm, yeah. Meagan: What is the evidence? What do you have to say about the scar thickness? We have some providers that are like, “Ope, it's too thin. You cannot, will not, absolutely will rupture.” They are making very big comments like that. Dr. Fox: I just did a consultation for someone on this two days ago. Well, today is Tuesday. Friday, three days ago, whatever it was. Here's the issue. When you have a C-section, you're essentially cutting open the uterus, taking out the baby, taking out the placenta, and sewing it back together. If the uterus healed perfectly, exactly the same as before you cut it open, then fine. You don't have a risk of uterine rupture any more than anyone else in the world who is having a baby. But when you cut things open and sew them back together, we know that the integrity of that tissue is always diminished compared to before. That's true in every part of the body. So when you're laboring, you are contracting and squeezing and all of that stuff, there is a chance that it would open up. Fortunately, we've learned that for people who have this low transverse type of incision, while that is true, the risk of it is pretty low– 1% or less. There are times when it is higher like if you make a different type of incision on them. So the question is are there ways to further quantify this risk or to find who is that 1%? Can we predict who that 1% is or is it just pure luck? So someone came up with an idea that, “All right. If I look at the area of the scar where I made the incision and sewed it together either before pregnancy or during pregnancy and I measure it, I can measure the thickness of the muscle.” You're taking a muscle and sewing it back together. If it's very thick, the implication is that it's stronger whereas if it is very thin, the implication is that it's weaker. I would say that is probably true that the thicker it is, the stronger it is and the thinner it is, the weaker it is, but the question is how do you use that practically? Right? Is there a cutoff where I could say, “Okay, if it's this thickness or greater, the risk of rupture is less than 1% whereas if it's this thickness and thinner, the risk is more than 1%. It's 2%. It's 5%. It's 10%. It's 50%.” The problem is that we've never been able to identify a good cutoff meaning let's say a lot of people use 2 or 3 millimeters. Under that number, it is a higher risk. If it's over that number, it's a lower risk. The problem with that is that there are enough people whose uteruses rupture despite being over 3 millimeters and there are enough people who don't rupture despite being under 3 millimeters that it doesn't seem to be any practical or useful cutoff. Most of the studies that have looked at– for example, there is a study where they said, “All right, I'm going to take 1000 women or whatever the number was who have had a prior C-section, and in half of them, I'm going to measure the thickness and do this exercise where if it's this thick, I will have them VBAC or if it's this thick, I won't have them VBAC. And then the other 500, I'm not going to even measure. I'm not going to look.” If you look at those two groups, neither one did better. It sort of indicates that this exercise of measuring the thickness of the incision doesn't seem to be fruitful. I'm sure there is somebody on Earth who you measure the thickness, you see it's then, you don't have them VBAC, and you save them a bad outcome, but there are also probably a lot of people who you then said couldn't VBAC when they would have a perfectly fine VBAC. So the short answer is that nobody knows. There isn't one standard and that is something that some people use in their practice and some people don't. In our practice, we don't formally measure the thickness and make decisions about it. If we see something that looks remarkably unusual, then we have a discussion about it. It depends on your circumstances, but we don't do that ourselves. There are those that do it. Whether they are helping the world or harming the world, I have no idea. Nobody knows. That's the problem. Now, there's a different situation where you measure the thickness before pregnancy. Meagan: That's what I was just going to ask. Is there a situation where, “Okay. We're done. We're not even pregnant and we measure.” Dr. Fox: That is something that is an emerging field of research. We do that on certain people who have had multiple C-sections. It's not often because I want to know if they should VBAC or not. It's usually if I'm worried about something called a Cesarean scar pregnancy where their pregnancy implants there or if they're at risk of uterine rupture during pregnancy. There are different cutoffs used. You have to have a very specific test called a saline sonohysterogram where we squirt water into your uterus and measure the thickness of the scar. What to do about it, you need surgery to repair that and then what do those people do in pregnancy? This is definitely not standardized and different people do it differently ranging from not doing it at all to doing it very religiously. You still don't know what is the optimal method for this. Again, we don't do this test on everybody who has had a C-section between pregnancies. We do it on certain people, but a lot of it is about planning for the pregnancy more than deciding about VBAC or not is what I would say. Meagan: If they can or cannot. Okay, that is good to know. And then in the same area, we have some people talking about adhesions. We get adhesions after we have C-sections. If we have really dense adhesions and we're having issues, does our risk– and we're seeing this on these ultrasounds– of rupture go up with adhesions? Dr. Fox: Adhesions are generally scar tissue in your belly. That's either between the uterus and other parts of your belly or between layers of your abdominal wall. Number one, we don't think that they have any impact on the risk of rupture. They make a C-section harder on your surgeon but we don't usually see them on ultrasound. That's actually not correct. Meagan: People are saying that they are told that. Dr. Fox: Adhesion just means that two things are stuck together. Meagan: It's just scar tissue, right? Dr. Fox: Yeah. It's hard to tell if two things are stuck together versus just sitting next to each other on ultrasound. If I showed you a picture of my hands together, you would have no way of knowing if they are superglued together or not unless I tried to pull them apart. So it's the same thing. On ultrasound, we rarely– sometimes, you'll see that the uterus is tilted in a really weird way and you know it must be scarred or this or that. That's also prepregnancy. During pregnancy, your uterus grows very, very large and you can't typically tell who is and who is not going to have scar tissue. It does not usually impact VBAC. Also, you rarely have a lot of scar tissue after only one or two C-sections. Usually, it's if you've had three or four or five and we're not doing VBACs on people who have had three, four, or five C-sections and no vaginal births and so it doesn't really come into play practically. Meagan: Okay, yeah. That's good to know because people are being told that in these scar thickness visits that, “Oh, and you have a lot of adhesions so your chance of rupture is increased.” Dr. Fox: Listen, I don't have the skill myself to recognize adhesions on ultrasound. I'm not sure if anyone does. I'm not sure if they're telling people that because maybe– I guess the only way you would know is say someone has had two prior C-sections and they want a VBAC and the person who did their second C-section saw a lot of scar tissue from their first C-section, then they would say, “Listen, I did your second C-section. It's a mess in there. You're not a good candidate for VBAC because if you needed an emergency C-section in labor, it would take a long time to do it.” That is a very reasonable discussion to say, “Listen, part of doing your VBAC is having the capability of doing an emergency C-section if it goes wrong or if something bad happens or there is a concern over that.” If you know in advance, I can't do a C-section easily, then it makes it more difficult. For example, that happened to someone who we know has scar tissue, or let's say someone who had multiple surgeries. Let's say someone had a tummy tuck which has a lot of scar tissue or they have Crohn's disease and they had three other surgeries. Let's say because of the size of the person themselves if they are much larger, then it is harder to do a C-section quickly, then that is a very reasonable concern over VBAC. Listen, if the VBAC goes well, great. But if I have to do a C-section in labor and I have to do it quickly, I can't do it quickly. That's sort of the reason why hospitals don't have VBACs because they're like, “Listen, we don't have an anesthesiologist 24/7. If you need a C-section, I need 30-60 minutes to get a team in place. That may not be safe.” That's one of the reasons why smaller community hospitals don't allow VBACs. It's not because they're mean. It's because they don't have the proper staffing to address an emergency. Now, anybody can have emergency labor, so it's a problem for everyone, but it's more common that if you have a prior C-section, then you may have to do something emergently. Meagan: Okay, and one of the last and most famous ultrasounds in our community is the third-trimester ultrasound to check baby's size. In our community, we have a lot of people doubting their body's ability to give birth because they are told that their babies are too large or their pelvis is too small. La dee dah, we could go on for a long time about that, or that their fluid is too low. We're getting these third-trimester ultrasounds. One, the question is, is it absolutely necessary? Can someone turn it down? Is it a bad idea to turn it down? And two, if they're told, “You're baby is too large. Your fluid is too low,” is it possible to increase their fluid somehow? Is it really possible to know exactly how big that baby is? Dr: Fox: To answer that question fully, we need more than the 5 minutes that we have left. I can come back, but the short answer is whether it's a good idea or not to have that ultrasound is debatable. In our practice, we do it but we have a higher-risk population typically. And I am pretty confident that we interpret the results appropriately. The issue isn't so much the ultrasound. It's the interpretation of it. Low fluid is a legitimate concern and that's a concern for the health of the baby because low fluid could indicate a non-functioning placenta or as we said earlier, that your placenta is crapping out. That could be a sign of that. That's real. That's legit. If the baby is measuring too small, most of them are fine, but the concern is maybe it means that your placenta is crapping out. The baby being too big, there are two issues with that. One is that, especially with big babies, they are less accurate. With smaller babies, we tend to be more accurate. Bigger babies, we tend to be more inaccurate. We may be right that the baby is big, but how big, we're not that precise. And what to do about that. Like you said, most people having a baby can deliver a big baby and everyone's going to be fine. But yes, there are risks that go up as the baby gets bigger. There is a risk of injury to the baby. There is a risk of injury to the mother and there is a risk of uterine rupture because a) the baby is bigger and b) the labor is likely going to be longer and more difficult which increases the risk. Now, whether that should be used as a criterion to prohibit VBAC, again, is debatable. There isn't a perfect answer to this. I would be less comfortable managing a VBAC if the estimated weight of the baby is 10 pounds over 8 pounds. Do I have to be so uncomfortable that I wouldn't allow it? It depends on the circumstances, obviously. It is a legitimate concern that the baby is measuring big, but again, how confident are we? Those are difficult details. Our ability to assess the size of the pelvis is even worse because the pelvis changes in labor. It's part of our assessment, but we have the humility to know that we are frequently wrong about that. It's tough. Listen, if someone had a prior C-section and their story is, “I pushed for 4 hours and this 6-pound baby didn't come out and they did a C-section,” then in the next pregnancy, I'm estimating a 10-pound baby and the pelvis does not feel so great and the baby is very high, I'm certainly a lot less gungho about it than if they said the opposite. “I pushed for 4 hours for a 10-pound baby,” in the next pregnancy, the pelvis feels really roomy and great and the baby is measuring 6 pounds. That's legitimate. I could be wrong, but that's information that might be helpful to me. But again, this has to be individualized. There isn't a perfect answer to this. I wish we could be more scientific. People have tried a lot of different things. There used to be routine X-rays and to see the size of the pelvis and the size of the baby's head. It didn't help. The baby's head changes shape in labor and the pelvis changes shape in labor so we are not precise with this, unfortunately. Meagan: No, I love that you said it's all unique. We're all individuals. We're all different and even from one baby to another, we need to remember that it's always different. Dr. Fox: Yeah. Yeah. Meagan: Well, I know that we could dive into so much more. There are so many topics, but I really wanted to just thank you so much for taking the time today. I know you've got quite the schedule and spent this hour with us answering these questions. Dr. Fox: My pleasure. Thank you for inviting me. Thanks for doing what you're doing. I think it's great and hopefully, we can continue getting people better information and making good choices. Meagan: Yes. We will make sure to link everything to your podcast and your website so people can read more about you. In New York, people can find you. Sometimes, it can be that VBAC people are looking for doctors all of the time. Dr. Fox: If you are in New York City, at our practice, we do VBACs so come on over. If we don't think it's a good idea, we'll tell you but if it's a good idea, we're on board. Meagan: And you do VBAC after two C-sections, you said? Dr. Fox: We do. It depends on the exact circumstances, but we don't prohibit it because of two C-sections. Obviously, there are some people in that category who think it is a better idea than others, but it's not a hard rule or anything like that. Meagan: Okay, good to know. Okay, well thank you so much. Have a wonderful day. Dr. Fox: You too. Thank you very much, I appreciate it.Meagan: Okay, bye. ClosingWould you like to be a guest on the podcast? Tell us about your experience at thevbaclink.com/share. For more information on all things VBAC including online and in-person VBAC classes, The VBAC Link blog, and Meagan's bio, head over to thevbaclink.com. Congratulations on starting your journey of learning and discovery with The VBAC Link.Support this podcast at — https://redcircle.com/the-vbac-link/donationsAdvertising Inquiries: https://redcircle.com/brands
Er gaat iets mis in je IT-omgeving, er is een incident. Op basis van enkele logs zegt je gevoel dat er sprake is van een cyberincident. Wat doe je? De meeste IT-afdelingen gaan op onderzoek uit en proberen meer bewijs of aanwijzingen te vinden. Het beste is om tijdig te escaleren, voordat het incident serieuze vormen aanneemt. Dus voordat je hele omgeving is versleuteld en je een ransomware-melding ontvangt. De vraag is: wat is tijdig escaleren en hoe ga je hiermee om? Daar praten we over met Willem Zeeman, incident handler bij Fox IT.Bij Fox-IT worden ze helaas vaak gebeld als het cyberincident al volledig uit de klauwen is gelopen. Als geen enkel werkstation meer toegankelijk is en de criminelen de complete IT-omgeving hebben overgenomen. Of wanneer het incident al de hele week gaande is en men op vrijdagmiddag om 16:00 denkt, laten we toch maar externe hulp inroepen want dit kan niet wachten tot na het weekend.In deze aflevering van Techzine Talks staan we stil bij incident response. Hoe ga je om met een cyberincident, maar ook wat kan je doen aan preventie? Wat is aan te bevelen voor elke organisatie? Tot hoever kan je hierin gaan, als je een grote organisatie bent en echt cruciale informatie of infrastructuur te beschermen hebt? Dit en meer in deze aflevering met Coen en Sander.
[Referências do Episódio] - Stealer for PIX payment system, new Lumar stealer and Rhysida ransomware - https://securelist.com/crimeware-report-gopix-lumar-rhysida/110871/ - VMware - VMSA-2023-0021 - https://www.vmware.com/security/advisories/VMSA-2023-0021.html - VMware Aria Operations for Logs CVE-2023-34051 Technical Deep Dive and IOCs - https://www.horizon3.ai/vmware-aria-operations-for-logs-cve-2023-34051-technical-deep-dive-and-iocs/ - Citrix Bleed: Leaking Session Tokens with CVE-2023-4966 - https://www.assetnote.io/resources/research/citrix-bleed-leaking-session-tokens-with-cve-2023-4966 - Thread da Fox-IT sobre ataques contra dispositivos Cisco - https://twitter.com/foxit/status/1716472673876730149 - Cyber attacks in the Israel-Hamas war - https://blog.cloudflare.com/cyber-attacks-in-the-israel-hamas-war/ - Ciberataques causam interrupção dos serviços de Internet em provedores do Sul - https://teletime.com.br/23/10/2023/ciberataques-tem-causado-interrupcao-dos-servicos-de-internet-em-provedores-do-sul/ Roteiro e apresentação: Carlos Cabral Edição de áudio: Paulo Arruzzo Narração de encerramento: Bianca Garcia
It's Week 8 of the college football season, and yes, Ellie, “yay, feetball” indeed. It's here. The weekend that Carla and Crappy have been anticipating since … oh, the end of last season. Penn State. Ohio State. Drew Allar. Kyle McCord. Nick Singleton and Kaytron Allen. TreVeyon Henderson and Miyan Williams and Marvin Harrison Jr. And … Daequan Hardy? (Who?) But before we get completely lost in that game, there are other matters at hand. Carla gleefully explains the Stanford Postulate (it lives!) and recaps an Oregon/Washington game that absolutely lived up to the hype. Crappy, meanwhile, offers his thoughts on USC/Notre Dame and takes some time to recap his (chilly and soggy) trip to Ithaca to watch Cornell (and, more importantly, starting RB Drew Powell) last weekend. The Big Red Bears host Brown this Saturday (Noon ET, ESPN+). Then, AJ joins us with an absolutely loaded #GroupOfFiveAfterDark report that begins on Thursday and continues nearly non-stop through late Saturday night, including an after-dark FCS game that's absolutely worth caffeinating for. (Shout out, Big Sky!) And then … to the games at hand. But not that one. We'll save that one for last. No. 17 Tennessee at No. 11 Alabama (3:30 ET, CBS): Bama is absolutely mortable this year … but the Vols haven't been great on the road. No. 16 Duke at No. 4 Florida State (7:30 ET, ABC): If this game was in Durham, we might have different opinions. Also, the line is real silly here. No. 14 Utah at No. 18 USC (8 ET, FOX): They have a fantastic defense, but without Cam Rising, the Utes just aren't quite the same team. USC might be done nationally, but not this week. Finally … No. 7 Penn State at No. 3 Ohio State (The Biggest of Nude Saturdays, FOX): It goes without saying that Carla and Crappy have lots of thoughts about this one. Carla's pleased with her Nits' confidence entering the Shoe, while Crappy boasts about his Bucks' play last weekend against Purdue. The Fun Index on this game is silly low … but it might be on point. All we know for sure? One of us is going to be quite unhappy next week. To wrap things up, Carla offers a reason to be interested in No. 2 Michigan at Michigan State (7:30 ET, ABC). Crappy's too amped to have a final thought. Yep, really. That's how big this game is. So, here we go. Enjoy the “feetball” this weekend … and come back next week to see whether or not we're speaking to each other. (Ha!) Cheers, yinz!
De Algemene Rekenkamer vraagt politieke partijen om hun verkiezingsprogramma's eenvoudig en uitvoerbaar te maken. En: cyberbeveiliger Fox-IT reorganiseert en gaat op in Britse eigenaar NCC Group, waarmee Nederlandse staatsgeheimen wederom een stukje verder van huis belanden. Is dat een probleem? Panelleden Presentator Thomas van Zijl gaat in gesprek met het lobbypanel, dat deze keer bestaat uit: - Mark van den Anker, mede-eigenaar van Wepublic - Sybrig van Keep, directeur van Issuemakers Abonneer je op de Podcast Ga naar de pagina van het Lobbypanel en abonneer je op de podcast, ook te beluisteren via Apple Podcast, Spotify en elke woensdag live om 13:00 uur in BNR Zakendoen.See omnystudio.com/listener for privacy information.
In de podcastserie Hack van de Dam gaat het over de technische aspecten van cybersecurity; het integreren van cybersecurity in bedrijfsprocessen en het belang van security awareness. Het rapport Cybersecuritybeeld Nederland 2022 van de Nationaal Coördinator Terrorismebestrijding en Veiligheid was voor ons aanleiding om Inge Bryan, directeur van Fox-IT, uit te nodigen om bij ons aan te schuiven. In HVDD #19 gaat het om de informatie die in het rapport te vinden is. Hoe groot is de digitale dreiging eigenlijk? Hoe goed werken organisaties en/of brancheverenigingen samen om die dreiging het hoofd te bieden? Hoe staat het met het delen van dreigingsinformatie door de publieke sector met de private sector? Inge zorgt samen met Jasper en Martijn voor de antwoorden op deze (en meer) vragen.
This week on Episode 37 of the Announcer Schedules Podcast, Mike Gill and Phil de Montmollin pay tribute to Tim McCarver who called 24 World Series and worked for all four major networks. The podcast also dives into several MLB news items, a look back at the NBA All-Star Weekend, XFL's innovative formula, and the anniversary of the 1980 Lake Placid “Miracle on Ice.” Throughout the show, a multitude of announcers from past and present are mentioned with an array of topics discussed including: *** Tim McCarver's legacy *** McCarver's great calls *** McCarver's broadcast partners *** McCarver as a player *** Four broadcasting giants lost in last 14 months *** Brandon Gaudin to Braves *** Retirement of DBacks radio voice *** Reported changes at Apple TV+ *** Phillies broadcasting news *** NBA All-Star review, upcoming NBA *** NHL Stadium series *** College Hoops upcoming *** XFL innovations *** The Anniversary of “Do You Believe in Miracles” ***Gus Johnson documentary on FOX It's all part of the latest "Announcer Schedules Podcast" and make sure to follow/subscribe to the Last Word on Sports Media feed on Apple Podcasts, Spotify, Google, etc.!! And, you can find us at LastWordOnSports.com/Podcasts Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
This week on Episode 37 of the Announcer Schedules Podcast, Mike Gill and Phil de Montmollin pay tribute to Tim McCarver who called 24 World Series and worked for all four major networks. The podcast also dives into several MLB news items, a look back at the NBA All-Star Weekend, XFL's innovative formula, and the anniversary of the 1980 Lake Placid “Miracle on Ice.” Throughout the show, a multitude of announcers from past and present are mentioned with an array of topics discussed including: *** Tim McCarver's legacy *** McCarver's great calls *** McCarver's broadcast partners *** McCarver as a player *** Four broadcasting giants lost in last 14 months *** Brandon Gaudin to Braves *** Retirement of DBacks radio voice *** Reported changes at Apple TV+ *** Phillies broadcasting news *** NBA All-Star review, upcoming NBA *** NHL Stadium series *** College Hoops upcoming *** XFL innovations *** The Anniversary of “Do You Believe in Miracles” ***Gus Johnson documentary on FOX It's all part of the latest "Announcer Schedules Podcast" and make sure to follow/subscribe to the Last Word on Sports Media feed on Apple Podcasts, Spotify, Google, etc.!! And, you can find us at LastWordOnSports.com/Podcasts Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Welcome to Cyber Briefing, a short newsletter that informs you about the latest cybersecurity advisories, alerts and incidents every weekday. First time seeing this? Please subscribe. Cyber Alerts Backdoor malware found on hundreds of servers after exploit of ConnectWise vulnerability Cybersecurity company Fox-IT has discovered that an attack targeting the ZK Java framework of ConnectWise's R1Soft Server Backup Manager software has led to hundreds of servers being infiltrated with backdoors. While ConnectWise warned customers of the vulnerability back in October 2022, the flaw - a form of authentication bypass - has continued to be exploited, with Fox-IT finding evidence of it being used to gain server access since late November of that year. Fox-IT has now released indicators of compromise (IoCs) to help organizations determine whether they have been targeted using the vulnerability. Hydrochasma: A New Threat Actor Using Open-Source Tools for Intelligence-Gathering Campaigns Shipping companies and medical laboratories in Asia are being targeted in an intelligence-gathering campaign by a new threat actor, Hydrochasma, using open-source tools exclusively. Although no data exfiltration has been observed, the tools deployed could potentially allow for remote access and data exfiltration. The campaign, which began in October 2022, targets industries that may be involved in COVID-19 treatments or vaccines. Over 15,000 Spam Packages Flood Open Source NPM Repository To Distribute Phishing Links A recent report by Checkmarx warns of a massive campaign that deployed over 15,000 spam packages in the NPM repository to distribute phishing links. The attackers used automated processes to create the packages with descriptions and names that closely resembled one another. The rogue packages were designed to trick users into downloading them and clicking on the links to the phishing sites that promised increased followers on social media platforms.
Screens are everywhere. Today we talk about bringing a screen, purposefully, into our homeschool environment as a learning tool and a one-stop-shop to aid the educator. With a tablet, we can take our books on the go, reference our curriculum, teach, and enrich all from a single device. It's not the totality of our homeschool, but it can do just about everything. Let's talk about how you can build a purposeful tablet-based learning platform. Why a tablet For the Educator Apps for the Educator For the learner Apps for the learner Things to remember Touring The World Resource Guides Check out our country resource guides to help you with your around the world journey: https://gumroad.com/homeschooltogether Consider Leaving Us A Review If you have a quick moment please consider leaving a review on iTunes - https://podcasts.apple.com/us/podcast/homeschool-together-podcast/id1526685583 Show Notes Trello - https://trello.com/ Notion - https://www.notion.com/ Apple Calendar - https://www.icloud.com/calendar Microsoft One Drive - https://play.google.com/store/apps/details?id=com.microsoft.skydrive&hl=enUS&gl=US&pli=1 Dropbox - https://www.dropbox.com/ PDF Expert - https://pdfexpert.com/ Foxit - https://play.google.com/store/apps/details?id=com.foxit.mobile.pdf.lite&hl=enUS&gl=US Libby - https://libbyapp.com/ Kindle Reader - https://play.google.com/store/apps/details?id=com.amazon.kindle&hl=enUS&gl=US BlueFire Reader - https://www.bluefirereader.com/bluefire-reader.html EverNote - https://evernote.com/ Canva - https://play.google.com/store/apps/details?id=com.canva.editor&hl=enUS&gl=US Goodnotes - https://www.goodnotes.com/ Strides - https://www.stridesapp.com/ MinimaList - https://apps.apple.com/us/app/minimalist-to-do-list-widget/id993066159 YouTube - https://www.youtube.com/ Khan Academy - https://www.khanacademy.org/downloads Duolingo - https://www.duolingo.com/ Google Maps - https://www.google.com/maps Google Earth - https://earth.google.com/web/ Procreate - https://procreate.com/ ArtFlow - http://artflowstudio.com/ Notability - https://notability.com/ Calligraphy Handbook - https://apps.apple.com/us/app/calligraphy-handbook/id830584075 Filmic Pro - https://www.filmicpro.com/ PowerDirector - https://play.google.com/store/apps/details?id=com.cyberlink.powerdirector.DRA14022501&hl=enUS&gl=US Stop Motion Studio - https://www.cateater.com/ Simply Piano - https://www.hellosimply.com/ Moodscaper - https://www.moodscaper.com/ Audible - https://play.google.com/store/apps/details?id=com.audible.application&hl=enUS&gl=US Downcast - https://www.downcastapp.com/ Podbean - https://www.podbean.com/podcast-app-iphone-android-mobile Spotify - https://open.spotify.com/ Wikipedia App - https://play.google.com/store/apps/details?id=org.wikipedia&hl=enUS&gl=US AllTrails - https://www.alltrails.com/mobile Seek - https://www.inaturalist.org/pages/seekapp Google Arts and Culture - https://play.google.com/store/apps/details?id=com.google.android.apps.cultural&hl=enUS&gl=US Connect with us Website: http://www.homeschool-together.com/ Store: https://gumroad.com/homeschooltogether Youtube: https://www.youtube.com/c/homeschooltogether Facebook: www.facebook.com/groups/homeschooltogetherpodcast/ Instagram: www.instagram.com/homeschooltogetherpodcast Twitter: https://twitter.com/hs_together The Gameschool Co-Op: https://www.facebook.com/groups/gameschoolcoop/ Email: homeschooltogetherpodcast@gmail.com
Ronald Prins, a.k.a. ‘de machtigste nerd van Nederland', is de bekendste hack expert van Nederland. Eentje die graag grenzen opzoekt. Hij was van jongs af aan bezig met computers en heeft Wiskunde gestudeerd in Delft. Vroeger luisterde hij al voor de lol politie en justitie af, en later mocht hij voor zijn baan bij hen aan de slag. Nadat hij vijf jaar voor de AIVD werkte was hij het een beetje zat: te veel regels en te weinig hacken. Hij begon daarom in ‘99 met zijn compagnon Menno het cybersecurity bedrijf Fox-IT, waarmee ze grote klanten zoals NASA, FBI en de Nederlandse overheid binnenhaalden. Ze waren pionier in cybersecurity in Nederland. In 2015 werd dit bedrijf aan het Engelse NCC Group verkocht voor 133 miljoen, en in 2017 stopte Prins bij Fox-IT als CEO. Maar stilzitten doet hij niet: sinds 2020 heeft hij het nieuwe bedrijf Hunt & Hackett. Met het toenemende belang van internetveiligheid is Prins door de jaren heen ook steeds vaker als expert te zien op TV.
De oorlog in Oekraïne bestaat niet alleen uit tanks, raketten en vuurgevechten op land. Ook in het digitale domein speelt er een hoop. Wat is de rol van onze eigen Militaire Inlichtingen en Veiligheidsdienst (MIVD)? Hoe werken NAVO-landen samen en wat voor schade kan Rusland digitaal aanrichten in Oekraïne en andere landen? Luister vooral ook de reguliere aflevering van BNR Eyeopeners over cyberspionage. In deze extra aflevering van BNR Eyeopeners spreken met plaatsvervangend directeur van de MIVD Sebastian Reyn over impact van de oorlog in Oekraïne op onze MIVD. Wat kunnen we digitaal zien en hoe blijven we beschermd tegen Russische hackers? We spreken met Sebastian op de ochtend nadat er raketten over de grens in Polen belandde. Hij legt uit hoe de MIVD daarop reageerde. In deze aflevering spreken we ook met Ronald Prins, cybersecurity expert en mede-oprichter van cybersecurity bedrijf Fox-IT. Hij ziet een verrassend verloop van de oorlog, ten opzichte van zijn eigen verwachtingen. Ook Lokke Moerel, professor Global ICT aan de Tilburg University, volgt de oorlog op de voet. Zij ziet een belangrijke rol voor de private sector in Oekraïne. Wat kunnen we leren van het verloop van de oorlog? Over BNR Eyeopeners In dit programma praat Nina van den Dungen wekelijks met drie gasten over slimme technologische innovaties die een grote rol zullen gaan spelen in de duurzame toekomst. Er komen veel onderwerpen aan bod: zoals het realiseren van slimme energienetwerken, de mogelijkheden (en gevaren) van gezichtsherkenning, de nieuwste ontwikkelingen met betrekking tot remote working én de laatste innovaties op het gebied van cybersecurity. Nina bespreekt de impact van deze ontdekkingen, maar vooral ook de praktische toepasbaarheid ervan voor bedrijven en consumenten. Als podcast en op FM BNR Eyeopeners verschijnt elke week als podcast. Klik hier om je gratis te abonneren, zodat elke nieuwe aflevering automatisch in je favoriete podcast-app verschijnt. Ook is Eyeopeners elke donderdagavond om 19:00 uur te beluisteren op BNR Nieuwsradio. Redactie: Stijn GoossensSee omnystudio.com/listener for privacy information.
De spion van tegenwoordig is niet meer zomaar zoals James Bond. In de digitale wereld zijn het de 'nerds' die het belangrijke inlichtingenwerk doen. Hoe zorgt Nederland ervoor dat we goed voorbereid zijn op cyberspionage van buitenaf? En hoe spioneren onze inlichtingendiensten zelf? Ook in Oekraïne speelt cyberdreiging een belangrijke rol, maar wat merken we daarvan? In deze aflevering van BNR Eyeopeners hebben we het over cyberspionage en de impact op bedrijven, overheden en burgers. Wat is er te halen voor landen als China en Rusland? Hoe reageerde de MIVD op de raketten die over de grens in Polen terecht kwamen?Luister daarvoor de EXTRA aflevering van BNR Eyeopeners deze week, over de rol van cyberspionage gedurende de oorlog in Oekraïne. Te gast in deze aflevering: Sebastian Reyn, plaatsvervangend directeur bij de MIVD, de Militaire Inlichtingen en Veiligheidsdienst. Sebastian stond aan de wieg van de belangrijke Joint Sigint Cyber Unit. Een samenwerking tussen de AIVD en MIVD op het gebied van cyberspionage en het afluisteren van communicatienetwerken. Ronald Prins, mede-oprichter en voormalig CEO van Fox-IT. Ronald heeft een blauwe maandag bij de AIVD gewerkt, maar begon al snel zijn eigen Fox-IT, dat tegenwoordig een belangrijke speler is op het gebied van cyberveiligheid. Inmiddels heeft Ronald een nieuw cybersecurity-bedrijf: Hunt & Hackett. Lokke Moerel, professor global ICT law aan Tilburg University en tevens lid van de Cyber Security Raad. Vanuit die raad adviseert ze het Nederlandse kabinet over de strategische ontwikkelingen voor cyberveiligheid. Over BNR Eyeopeners In dit programma praat Nina van den Dungen wekelijks met drie gasten over slimme technologische innovaties die een grote rol zullen gaan spelen in de duurzame toekomst. Er komen veel onderwerpen aan bod: zoals het realiseren van slimme energienetwerken, de mogelijkheden (en gevaren) van gezichtsherkenning, de nieuwste ontwikkelingen met betrekking tot remote working én de laatste innovaties op het gebied van cybersecurity. Nina bespreekt de impact van deze ontdekkingen, maar vooral ook de praktische toepasbaarheid ervan voor bedrijven en consumenten. Als podcast en op FM BNR Eyeopeners verschijnt elke week als podcast. Klik hier om je gratis te abonneren, zodat elke nieuwe aflevering automatisch in je favoriete podcast-app verschijnt. Ook is Eyeopeners elke donderdagavond om 19:00 uur te beluisteren op BNR Nieuwsradio. Redactie: Stijn GoossensSee omnystudio.com/listener for privacy information.
The TeacherCast Podcast – The TeacherCast Educational Network
In this episode of the TeacherCast Podcast, we celebrate our 11th Anniversary! If you are a new listener to TeacherCast, we would love to hear from you. Please visit our http://teachercast.net/contact (Contact Page) and let us know how we can help you today! About our Interview Guests Ripple Effects John Ray-Keil, CEO / Heidi Raykeil, Chief Product Officer Founded in 1997 by child advocate/media creator Alice Ray and technology innovator and producer Sarah Berg, Ripple Effects is a multi-award winning, social enterprise (WMBE) dedicated to using emerging technologies to prevent social injury and promote school and life success for all youth The company provides trauma-informed, culturally responsive, personalized, evidence-based digital programs for delivery of social-emotional-behavioral supports and training for PreK-12 students and staff. In 2022, its program, Ripple Effects for Teens, was designated by CASEL as a Promising Program for social and emotional learning, meeting or exceeding most of CASEL's criteria for high-quality SEL programming. The Ripple Effects Digital Suite of preK-12 Programs: Ripple Effects' personalized digital programs and educator tools help preK-12 students address risk factors, mental health, trauma, inequity, behavior issues, SEL skill deficits and everyday challenges: Bouncy's Ready to Learn Resilience program – Early Learners (PK-1) Ripple Effects for Kids – Elementary (2-5) Ripple Effects for Teens – Secondary (6-12) Educator Ally – Professional Development for Educators Links of Interest Website: https://rippleeffects.com/ (https://rippleeffects.com/) Twitter: https://twitter.com/changehappening (https://twitter.com/changehappening) Facebook: https://www.facebook.com/changehappening/ (https://www.facebook.com/changehappening/) YouTube: https://www.youtube.com/channel/UCJlOzUi4vBKPgOSHEBcvgOA/videos (https://www.youtube.com/channel/UCJlOzUi4vBKPgOSHEBcvgOA/videos) Linkedin: https://www.linkedin.com/company/ripple-effects (https://www.linkedin.com/company/ripple-effects) Wacom Erin Winer, Director of Marketing / Larry Torri, Director of Sales Wacom is the leading manufacturer of pen tablets and interactive pen displays. Its multiple partnerships including Foxit, Pear Deck and Explain Everything, and Kami, provide endless ways for teachers to integrate Wacom into the classroom. Wacom is doing a giveaway of a classroom set at ISTE. Wacom is expending Chromebook compatibility for its products, bringing intuitive and natural pen technology to the fast-growing number of Chromebook users. Links of Interest Website: https://www.wacom.com (https://www.wacom.com) Twitter: http://twitter.com/wacom (http://twitter.com/wacom) Facebook: http://www.facebook.com/wacom (http://www.facebook.com/wacom) YouTube: http://youtube.com/wacom (http://youtube.com/wacom) LinkedIn: https://www.linkedin.com/company/wacom-americas (https://www.linkedin.com/company/wacom-americas) Epson Remi Del Mar, K12 Product Manager Epson is focused on making it easier for teachers to integrate projection technology into their classrooms with its BrightLink GoBoard and its BrightLink Academy eLearning courses. With GoBoard, teachers can connect up to 30 student devices and bring the interactivity down to the student devices. Teachers can also tie video websites and more into lessons with the software. Projection technology provides teachers with flexible display options that fit varied teaching styles. Epson's projectors can be used as traditional displays, or for collaborative group work, or for distance learning. Epson's displays have an advantage over flat panels in that they provide big, bright images that can be seen even from the back of the classroom, and also save wall space which many teachers see as a big benefit. Links of Interest Website: https://epson.com/usa...
Cryptografie zorgt ervoor dat wij veilig op het internet kunnen opereren. Denk aan het betalingsverkeer of het checken van je email, Maar het zorgt er ook voor dat defensie en inlichtingendiensten gegevens geheim kunnen houden voor de vijand. Hoe werkt die versleuteling? Paul van Liempt stelt jouw vragen aan zijn gasten. Wil je ook een vraag stellen? Stuur dan een tweet naar @BNRdewereld. Te gast zijn opnieuw: - Harmen Dikkers, COO van Fox-IT en directeur van Fox Crypto. - Ronald Cramer, hoogleraar cryptologie verbonden aan de Universiteit Leiden en het Centrum Wiskunde & Informatica in Amsterdam. Over deze podcast De Strateeg is een podcast van BNR in samenwerking met het Den Haag Centrum voor Strategische Studies (HCSS). Abonneer je via bnr.nl/destrateeg om geen enkele aflevering te missen. Host: Paul van Liempt Redactie: Michaël Roele Tips, vragen of andere opmerkingen over De Strateeg? Stuur dan een mailtje naar roele@bnr.nl.See omnystudio.com/listener for privacy information.
In deze aflevering van "Band om onze harten" ontvangt Bert van Aalten Laarder Pim Volkers. De man achter het internet fraude onderzoeksbureau Fox-IT, Het eerste nederlandse niet overheidsgebonden DNA laboratorium, Wildlife fotograaf en directie lid van WildAtLive.Ev
Whatsappen, internetbankieren, of gewoon iets lezen op een website. Dit alles is veilig alleen maar mogelijk dankzij cryptografie. Oftewel, informatiebeveiliging. Bij inlichtingendiensten en in oorlogen is dit minstens zo belangrijk. Je wilt immers niet dat je tegenstander weet waar jij mee bezig bent. Door nieuwe technologieën wordt cryptografie steeds uitgebreider en nog belangrijker. Maar die nieuwe technologieën maken ons ook kwetsbaar. Want de manier waarop informatie nu versleuteld wordt is in de toekomst misschien wel achterhaald. Zeker met de eventuele komst van een kwantumcomputer. Welke gevaren en uitdagingen liggen er en hoe worden we strategisch autonoom op dit gebied? Dat ga je in deze aflevering horen van: - Harmen Dikkers, COO van Fox-IT en directeur van Fox Crypto. - Ronald Cramer, hoogleraar cryptologie verbonden aan de Universiteit Leiden en het Centrum Wiskunde & Informatica in Amsterdam. Luister ook | Hoe kan de NAVO toekomstbestendig blijven? Over deze podcast De Strateeg is een podcast van BNR in samenwerking met het Den Haag Centrum voor Strategische Studies (HCSS). Abonneer je via bnr.nl/destrateeg om geen enkele aflevering te missen. Host: Paul van Liempt Redactie: Michaël Roele Tips, vragen of andere opmerkingen over De Strateeg? Stuur dan een mailtje naar roele@bnr.nl. See omnystudio.com/listener for privacy information.
Met de dreiging uit Rusland staat cyberveiligheid bij veel mensen op het netvlies. Maar zijn Nederland en Nederlandse bedrijven wel voldoende voorbereid? Topvrouw Inge Bryan van Fox-IT is te gast in BNR Zakendoen. Kees de Kort Elke dag, even over twaalf, bespreekt presentator Thomas van Zijl met macro-econoom en commentator Kees de Kort de economische stand van zaken. Boardroompanel Ahold Delhaize is een nieuw slachtoffer in de klauwen van Milieudefensie. En Russische 'sigarettenkoning' en wapenfabrikant Igor Kesajev stalt €1 miljard in Nederland. Dat en meer bespreken we in het Boardroompanel met Tanja Nagel, bestuursvoorzitter bij DSI, en Jeroen Vercauteren, specialist op het gebied van overnames en fusies Luister hier | Boardroompanel Inzichtgesprek De Europese Unie heeft het veevoeradditief Bovaer van voedingsingrediëntenfabrikant DSM goedgekeurd voor gebruik. Het middel moet de methaan uitstoot van de melkproductie reduceren. Te gast: Dennis Rijnders, commercieel directeur voor onder andere Bovaer van voedingsingrediëntenfabrikant DSM. Zakenpartner De zakenpartner deze week is Caroline van der Lande van zakenlunchverzorger de Buurtboer. Contact en Abonneren BNR Zakendoen zendt elke werkdag live uit van 12:00 tot 14:30 uur. Je kunt de redactie bereiken via e-mail en Twitter. Abonneren op de podcast van BNR Zakendoen kan via bnr.nl/zakendoen, of via Apple Podcast en Spotify. See omnystudio.com/listener for privacy information.
Is het Nederlandse bedrijfsleven voorbereid op een Russische cyberaanval? In ‘De Top van Nederland' een uitgebreid gesprek met Inge Bryan, topvrouw van cyberveiligheidsbedrijf Fox-IT. Abonneer je op de Podcast Ga naar ‘De Top van Nederland' en abonneer je op de podcast, ook te beluisteren via Apple Podcast en Spotify. See omnystudio.com/listener for privacy information.
In HVDD #15 is Sanne Maasakkers te gast bij Jasper en Martijn. De cybersecurityspecialist en ethisch hacker maakte begin 2022 de overstap van het bedrijfsleven (Fox-IT) naar de overheid om bij te dragen aan de nationale digitale veiligheid. Sanne constateert dat het neutraliseren van digitale dreigingen steeds vaker op de voorgrond treedt. Dat maakt het extra belangrijk om te weten wat je moet doen wanneer jouw organisatie door een cyberaanval wordt getroffen. “Dat moet je oefenen”, vindt zij. Daar is Martijn het helemaal mee eens. “We doen al brand- en ontruimingsoefeningen. Dit is minstens zo belangrijk.” Verder gaan ze uitgebreid in op de crisisoefening ISIDOOR, waarin onder meer de samenwerking tussen verschillende disciplines wordt getest. Kijk en luister!
This episode I interview 417 Fox Michael Johnson about starting his journey on making his dash products and starting his YouTube journey. If you like Foxbody Mustang's you want to listen to this Podcast for sure! "FoxIt" 417 Fox is on many social media outlets check him out. FoxbodyFX Facebook - https://www.facebook.com/profile.php?id=100074686572974 Instagram - https://www.instagram.com/foxbodyfx/ YouTube - https://www.youtube.com/channel/UC8J1keu0ufh-xUIHgg7uvWA Email foxbodyfx@gmail.com for any inquires or being on the Podcast as a guest. Thank You for listening you ROCK!! Lance FoxbodyFX
It's here. The 2021 college football season is upon us, and Carla and Crappy are just a wee bit excited to get things underway. (And no, that's not just because we're celebrating a big anniversary of this here show, but that certainly doesn't hurt.) Our first "official" show of the season kicks off with a discussion on conference expansion and this thing called the "Alliance," which sounds official but apparently is still super secretive. (As in, no one really knows what it is yet.) Then, as is tradition, we pick our College Football Playoff Final Four teams. (Spoiler alert: There aren't a lot of surprises here.) We also hear from our friend AJ, who returns for another season of frivolity and silliness in his #GroupOfFiveAfterDark report. And then, after what seems like an eternity, we dive into what should be a spectacular Week 1 of football. (Did we mention that we're excited?) No. 19 Penn State at No. 12 Wisconsin (Big Nude Saturday, FOX): It seems only appropriate that our first game of the year is on Big Nude ... and once again has Carla very nervous. Bucky brings back a lot of talent; Penn State hopes to erase the memory of the 2020 season. No. 1 Alabama vs. No. 14 Miami (3:30 ET Saturday, ABC): Alabama has a new QB, new RB, and mostly new receivers ... but we're not sure any of that is going to matter. We are excited about watching D'Eriq King again, though. No. 17 Indiana at No. 18 Iowa (3:30 ET Saturday, Big Ten Network): Indiana arguably overachieved in 2020, while Iowa started last year very slowly before rattling off six-straight wins. We're both very intrigued by this one. No. 23 Louisiana at No. 21 Texas (4:30 ET Saturday, FOX): Welcome back to head coaching, Steve Sarkisian. Here's a trap game for you. Louisiana is a very good team. Can the Cajuns pull off the upset? No. 5 Georgia vs. No. 3 Clemson (7:30 ET Saturday, ABC): DJ U has already shown that he might be an even better QB than Trevor Lawrence (which is saying something). With a solidified offensive unit behind JT Daniels, is this finally Georgia's year? Honorable mentions go to Boise State at UCF (7 ET Thursday, ESPN), Michigan State at Northwestern (9 ET Friday, ESPN), Stanford at Kansas State (Noon ET Saturday, FS1), and Syracuse at Ohio (7 ET Saturday, CBSSN). Our advice: If you made plans this Labor Day Weekend, cancel them. Instead, spend five days enjoying the wonder that is Week 1 of the college football season. Yep, we're excited. Cheers, yinz.
De vrouw die met Fox-IT onze staatsgeheimen beschermt, is tegelijk kritisch op de overheid. Er moeten volgens haar heel veel tandjes bij gezet worden op het gebied van onze nationale cybersecurity. Hoe krijgt zij overheid, bedrijfsleven en burger in beweging?
Sebastiaan Brommersma vertelt over zijn onderzoek naar de handel en wandel van cybersecuritybedrijf Fox-IT. Zij probeerden een aantal jaar geleden voet aan de grond te krijgen in het Midden-Oosten en zijn daar weinig spraakzaam over.
Sebastiaan Brommersma vertelt over zijn onderzoek naar de handel en wandel van cybersecuritybedrijf Fox-IT. Zij probeerden een aantal jaar geleden voet aan de grond te krijgen in het Midden-Oosten en zijn daar weinig spraakzaam over.
This week in the Security News: From a stolen laptop to inside the company network, the essential tool for hackers called "Discord", fixin' your highs, hacking DEF CON, an 11-year-old can show you how to get an RTX 30 series, broadcasting your password, to fuzz or not to fuzz, a real shooting war, evil aerobics instructors, the return of the PunkSpider, No Root for you, & more! Visit https://www.securityweekly.com/psw for all the latest episodes! Show Notes: https://securityweekly.com/psw704
This week in the Security News: From a stolen laptop to inside the company network, the essential tool for hackers called "Discord", fixin' your highs, hacking DEF CON, an 11-year-old can show you how to get an RTX 30 series, broadcasting your password, to fuzz or not to fuzz, a real shooting war, evil aerobics instructors, the return of the PunkSpider, No Root for you, & more! Visit https://www.securityweekly.com/psw for all the latest episodes! Show Notes: https://securityweekly.com/psw704
01:13 In de media: bol.com en Colonial Pipeline Je zult maar twee keer dezelfde (forse) rekening moeten betalen. Het overkwam bol.com, dat de stellig meende dat alle facturen aan Brabantia waren betaald. Het geld was alleen naar oplichters overgemaakt. Kassa voor de cybercriminelen en een strop van 750.000 euro voor de webwinkel, die het geld nog een keer moest overmaken. En wat te denken van de hack bij een oliepijplijn in de USA? Maatschappelijke ontwrichting door brandstoftekort, hamstergedrag door consumenten en miljoenen dollars losgeld die Colonial Pipeline betaalde om de dienstverlening te kunnen hervatten. 04:54 ‘Er verandert veel in het aanvalslandschap…' Aanvallen met ransomware worden steeds problematischer voor organisaties. Maar e-mail hacks zijn ook nog steeds populair onder cybercriminelen. Bij een succesvolle hack kunnen ze heimelijk activiteiten in een netwerkomgeving ontplooien, inzicht krijgen in de gang van zaken in een organisatie en daardoor ‘slimmer' een daadwerkelijke aanval uitvoeren, bijvoorbeeld met ransomware die meer en meer wordt toegespitst op specifieke organisaties en soms zelfs op bepaalde medewerkers in een organisatie. Tip van het securitytrio: ‘Maak het ze niet te makkelijk om binnen te komen. Gebruik in elk geval multifactor authenticatie om de toegang tot jouw IT-omgeving moeilijker te maken.' 14:43 ‘De telefoon gaat. En dan?' De meldingen die Fox-IT wekelijks binnenkrijgt, zijn lastig te categoriseren. ‘Het verschilt van “we denken dat er iets niet goed zit” tot “help, de zaak ligt plat”', vertelt Willem Zeeman. In alle gevallen volgt een onafhankelijk onderzoek om de situatie objectief te kunnen beoordelen. In het gunstigste geval kan een cyberaanval mogelijk worden voorkomen door kwetsbaarheden te identificeren. ´Het is een kwestie van goed doorvragen en vooral weten hoe een organisatie werkt. Daaruit halen we informatie die voor ons belangrijk is. En het kan zo zijn dat we dan adviseren om de stekker er tijdelijk uit te trekken.' 26:42 Techniek vertalen naar besluitvorming Uit forensisch IT-onderzoek blijkt dat een organisatie nog niet getroffen is door een ransomware aanval, maar dat de kans levensgroot aanwezig is dat die op korte termijn wel gaat plaatsvinden. Dan draait niet alles meer om techniek, maar zijn meerdere factoren van belang. Daarom is het belangrijk om in zo'n situatie een multidisciplinair crisisteam samen te stellen, waarin de rollen duidelijk verdeeld zijn en zaken als interne en externe communicatie goed zijn geborgd. Het onderzoek levert feiten op; beslissingen over vervolgstappen worden door het team genomen. Jammer genoeg hebben getroffen organisaties vaak niet over zo'n structuur nagedacht. 36:02 ‘Een duivels dilemma…' Jouw organisatie is getroffen door een ransomware aanval; de systemen liggen plat. Moet je de cybercriminelen dan wel of niet betalen om weer aan het werk te kunnen gaan? ‘Wij adviseren om het niet te doen, maar hebben er begrip voor wanneer een organisatie besluit om het wel te doen', zegt Willem Zeeman. ‘Tegelijk heb je geen garantie dat alles dan weer werkt zoals het hoort; het blijven natuurlijk wel criminelen.' ‘Aan de andere kant hebben professionele cybercriminelen soms zelfs een servicedesk die je helpt om de zaak te herstellen', weet Martijn. ‘Het is een duivels dilemma', vat Jasper de discussie samen.
This week, we continue our Big Ideas in Education Technology series for 2021. Our guest is Jenny Li, the President of the Education Business Unit at FoxIt Software. FoxIt is a leading PDF software provider that specializes in creating digital document solutions for K-12 schools. Ryan and Sarah talk to Jenny about the future of digital document software for schools and how digital document innovations are being used to supplement, and not replace, current document-based learning activities by teachers and students. You can find out more about our guest’s work by visiting www.foxitsoftware.com.Hosts: Sarah Boulos Fye (@readwithfye); Ryan Kairalla (@ryankair)
De Cyberheld van deze week is een echte heldin. Gina Doekhie is na 7 jaar als forensisch onderzoeker bij Fox-IT overgestapt als cybercrime specialist bij de politie. Door haar onderzoek zijn Gulen aanhangers weer vrijgelaten in Turkije. Ze vertelt passioneel hoe ze nu op cybercriminelen jaagt en dat ze nog heel wat collega's kan gebruiken.
The US Administration continues to prepare its response to Holiday Bear’s romp through the SolarWinds supply chain. Congress is asking for details on what was compromised in the incident, and why the Department of Homeland Security failed to detect the intrusion. The UN offers some recommendations on norms of conduct in cyberspace. Ben Yelin on a New Jersey Supreme Court ruling that phone passcodes are not protected by 5th amendment. Our guest is Frank Kettenstock from FoxIT on the security of PDF files. Developments in ransomware, including Exchange Server exploitation, credible extortion, and attempts to enlist customers against victims. For links to all of today's stories check out our CyberWire daily news brief: https://www.thecyberwire.com/newsletters/daily-briefing/10/60
Government agencies have been trying to reduce their reliance on paper for decades. While Congress moved to speed up this process when it passed the 21st Century Integrated Digital Experience Act in 2018, agencies are still processing millions of paper forms a year. One of the many challenges agencies continue to face is that these processes also require new infrastructure, website updates and digital services to streamline the customer experience. Foxit's DeeDee Kato says there are challenges surrounding government's ability to digitize documents, however, there are alternatives to traditional PDF software that offer friendlier licensing terms and editing tools. Sponsored by Foxit. Guest: DeeDee Kato, Senior Director, Marketing, Foxit Software Host: Wyatt Kash, SVP, Content Strategy, Scoop News Group Look for more coverage of “IT Modernization in Government” on www.fedscoop.com/listen
Recent attacks by SVR against US targets have mostly been written up under the moniker of the “SolarWinds campaign”. In our view, that’s inaccurate. The defining characteristic of this campaign wasn’t the SolarWinds supply chain stuff, it’s was the abuse of Microsoft cloud services. My understanding of how contemporary cloud services work isn’t actually as good as it should be. And that got me thinking – if my understanding isn’t that great, then there’s probably a lot of other people out there who don’t quite grok this stuff, particularly on the policy side. So, I set out to prepare a primer on Microsoft cloud security. Our guest in this podcast is Dirk-Jan Mollema. He works at Fox-IT in the Netherlands and is one of their core researchers on Azure AD and Active Directory Security. What you’re about to listen to, essentially, is me picking his brain so I can wrap my own head around this stuff. The hope is that some of you will learn along with me!
SANS Internet Stormcenter Daily Network/Cyber Security and Information Security Stormcast
Zyxel Exploitation Under Way https://isc.sans.edu/forums/diary/Scans+for+Zyxel+Backdoors+are+Commencing/26954/ Fortinet Patches https://www.fortiguard.com/psirt?date=01-2021 Foxit PhantomPDF Patches https://www.foxitsoftware.com/support/security-bulletins.html Firefox Android Updates https://www.mozilla.org/en-US/security/advisories/mfsa2021-01/
SANS Internet Stormcenter Daily Network/Cyber Security and Information Security Stormcast
Zyxel Exploitation Under Way https://isc.sans.edu/forums/diary/Scans+for+Zyxel+Backdoors+are+Commencing/26954/ Fortinet Patches https://www.fortiguard.com/psirt?date=01-2021 Foxit PhantomPDF Patches https://www.foxitsoftware.com/support/security-bulletins.html Firefox Android Updates https://www.mozilla.org/en-US/security/advisories/mfsa2021-01/
Inbrekers uit auto's trekken, de AIVD ongezien op het internet krijgen, en zorgen dat de politie de hackbevoegdheid krijgt. Allemaal gedaan door mijn eerste gast in de podcast serie CyberHelden: Inge Bryan. Begin deze maand is ze begonnen als managing director van Fox-IT dus een mooi moment om met haar een extra lange eerste uitzending te maken.
Ronald Prins is de godfather van Nederlandse cybersecurity industrie. Hij heeft zijn strepen verdiend als oprichter van Fox-IT. Na de verkoop daarvan aan NCC heeft hij diverse publieke functies bekleed, onder andere als lid van de Toetsingscommissie Inzet Bevoegdheden (TIB). Maar ook als lid van de kiesraad, dat toeziet op Nederlandse verkiezingen. Onlangs kondigde hij uit weer de private sector in te stappen, met de nieuwe startup Hunt & Hackett. Dat zal hem desondanks niet weerhouden van zijn grote passie voor zeilen.
The Darkest Hour Is Just Before Dawn. President Trump has shown the way. The Staying Power of the MAGA Agenda. Lou Dobbs advises cowardly Establishment Republicans to "stand with this President or the Republican Party is watching its death knell." An emotional caller to Rush Limbaugh captures the national mood. Brutuses Galore. Foxit. The importance of understanding Establishment Dynamics. Peaceful overthrow possible for our corrupt Ruling Class? Lt. Gen. Thomas McInerney on the "hammer and sickle." A glimpse into the abyss. Sampling the wise counsel of Cardinal Newman: "Be not dispirited; be not afraid; keep a good heart; be bold; draw not back; you will be carried through." With Listener Calls & Music via Chris Stapleton and Johnny Cash. Sacred Song from Dwight Yoakam and Ralph Stanley. See omnystudio.com/listener for privacy information.
Sanne is pentester / ethical hacker bij Fox IT. Ze test netwerken en applicaties op beveiligingszwakheden en adviseert organisaties om die op te lossen. Dat schept een band met Wesley en Rik en dus een basis voor een goed gesprek! Over de Twitter hack, het werk als pentester, purpleteaming, andere hobby's, en natuurlijk over SIGNAL DANIEL VERLAAN!
Dirk-jan Mollema, hacker, teamer and researcher at Fox-IT, talks about red teaming, his ROADtools exploration framework for Azure AD, the privexchange bug he discovered last year, Microsoft BlueHat and his work with Microsoft's Security and Response Center, and his view on Microsoft Defender ATP.
Kwaadwillenden kunnen bij verschillende Nederlandse organisaties nog altijd bij hun interne netwerken binnenkomen. Dat blijkt uit onderzoek van beveiligingsbedrijf Fox-IT. Zij zien dat - ondanks dat er is 'gepatcht' - criminele hackers of spionagegroepen nog altijd toegang hebben tot 39 Nederlandse Citrix-servers.
Krijgen we allemaal een covid-app op onze telefoon? En zo ja, hoe zou die technologisch in elkaar moeten steken? En is Zoom nou wel veilig of niet? We praten erover met Ronald Prins, door Geenstijl ooit gedoopt tot “schaduwminister voor IT-security”. Ronald was voorheen eigenaar van Fox-IT, een cybersecuritybedrijf van wereldklasse, is nu lid van allerlei raden, waaronder de kiesraad en de toetsingscommissie Inzet Bevoegdheden van de inlichtingen- en veiligheidsdiensten. Een man op first name basis met ministers, dus we horen ook heel graag van hem hoe kwetsbaar Nederland nu is, en wat we daaraan kunnen doen (sowieso gaan preppen).
Jayson: Welcome to this week's episode of The Ankylosing Spondylitis Podcast. I'm very lucky today to have on Dr. David Fox. Dr. Fox is one of the co-chairs of the University of Michigan's Autoimmune Center of Excellence. Dr. Fox has been a rheumatologist for a number of years, a member of the medical school faculty since 1985, Dr. Foxx is a professor of Internal Medicine, and from 1990 to 2018 was the chief of the Division of Rheumatology with the University of Michigan's medical school. You've gotten your undergrad from Massachusetts Institute of Technology and your Doctorate from Harvard Medical School. So fantastic training as you then jumped up to University of Michigan, Where you work through all the different wonderful areas that the University of Michigan's medical school has to offer. So, Dr. Fox, glad to have you here and welcome. Dr. Fox: Jayson, thank you very much. I'm very pleased to be chatting with you this morning. Jayson: Something that I find very interesting that you're involved in is this Autoimmunity Center of Excellence. As we discussed prior to the conversation, there's about 12 or 11 of those centers around the US at different universities and hospitals. And what is the basic premise of an Autoimmunity Center of Excellence? Dr. Fox: It's a group of investigators that are conducting research in the treatment of autoimmune diseases and also trying to understand causes of autoimmune diseases. And these include forms of arthritis, other rheumatologic diseases like Lupus and Scleroderma, and autoimmune diseases that are in other areas of medicine, like for instance, Multiple Sclerosis, which affects the brain. Different centers have specific projects and clinical trials that they're working on. But a very important part of this Autoimmunity Center of Excellence or Ace program, as it's called, is that the different centers have a chance to meet a few times a year and interact with each other and have what are called collaborative projects where we get to work together with an experts at other institutions and benefit from their knowledge and hopefully they benefit from ours. Jayson: Now what I find interesting and these Autoimmunity Centers of Excellence, the ones we're talking about that you're involved with are all in the United States. Is there cross-country collaboration, like do you as doctors and researchers work with folks say in England or Australia or Canada, anything of that nature? Dr. Fox: Yes, we do. Not necessarily directly within the framework of this Ace program, but in other aspects of our research. We certainly work with physicians in other countries. One way that that occurs is in some of the clinical trials, particularly in our scleroderma program. Many of these trials are international trials. It's a rare disease. So we may need quite a few centers to Join up in a clinical trial to recruit the number of patients needed for you know, useful study. So we have collaborations with our colleagues in Europe and in Canada and occasionally other parts of the world. Jayson: Interesting. Your background, I know you've really focused on Rheumatoid Arthritis and the Scleroderma. Dr. Fox: Yes. Jayson: When we look at those diseases, how do they cross over into fields of say, like research for Ankylosing Spondylitis? Or can something that happens in Rheumatoid Arthritis say; oh, wow, this may or may not work for AS let's try it on AS patients. Dr. Fox: Yes. So there are similarities and also differences between these various diseases and sometimes we find out more about where the similarities and differences are by trying new treatments and seeing what works. So for instance, if you look at TNF blockers, so these are biologics that inhibit the action of a molecule called TNF (tumor necrosis factor) Those TNF blockers are useful not only in Rheumatoid Arthritis, but in Ankylosing Spondylitis as well. There are other biologics that may be... Support this podcast
In deze aflevering bespreken we het rapport over de ransomwarebesmetting bij de Universiteit Maastricht Door: Lex Borger en Wouter Schoot | 12 februari 2020 Rapport ransomwarebesmetting Universiteit Maastricht Reactie Universiteit Maastricht op rapport Fox-IT 05–02–2020 De... Het bericht Unimaas rapport verscheen eerst op Tesorion.
Operation Wocao (我操, “Wǒ cāo”, is a Chinese curse word) is the name that Fox-IT uses to describe the hacking activities of a Chinese based hacking group. We are joined by Fox-IT's Maarten van Dantzig who shares his insights into their new report entitled "Operation Wocao: Shining a light on one of China’s hidden hacking groups". The Research can be found here: Operation Wocao: Shining a light on one of China’s hidden hacking groups The CyberWire's Research Saturday is presented by Juniper Networks. Thanks to our sponsor Enveil, closing the last gap in data security.
Operation Wocao (我操, “Wǒ cāo”, is a Chinese curse word) is the name that Fox-IT uses to describe the hacking activities of a Chinese based hacking group. We are joined by Fox-IT's Maarten van Dantzig who shares his insights into their new report entitled "Operation Wocao: Shining a light on one of China’s hidden hacking groups". The Research can be found here: Operation Wocao: Shining a light on one of China’s hidden hacking groups
Presentatie Exxact Jongerencafé: Florian Pronk en Sebastiaan van Mill Exxact Jongerencafé over online veiligheid BARENDRECHT – ‘Hoe veilig ben jij online?!’ is het thema tijdens de liveuitzending van het Exxact Jongerencafé komende woensdagavond 22 januari. Tussen 19.00 en 21.00 uur wordt het programma vanaf de Cascade in Het Kruispunt weer uitgezonden.Marjolein Bonthuis schuift namens het platform ECP aan over dit onderwerp. Het ECP is een landelijk, neutraal platform waar kennis rondom onze digitale samenleving wordt uitgewisseld met verschillende organisaties, zoals de overheid of het bedrijfsleven. Christian Boertje zal namens De Gezonde Digitale Organisatie (DGDO) meer vertellen over welke rol bewustwording speelt in het voorkomen van onveilige situaties online. Frank Groenewegen is als Chief Security Expert het technische geweten bij cyberbeveiligingsbedrijf Fox-IT. Hij informeert ons over de laatste ontwikkelingen. Robert Schmidt van Ares IT schuift aan om te vertellen over ethisch hacken.Debatten door het jongerenpanel en presentatie in handen van Florian Pronk en Sebastiaan van Mill.De uitzending wordt dit keer ook met beeld en geluid via sociale media, de website van Exxact Barendrecht en op Exxact Barendrecht TV via Ziggo digitale tv-kanaal 36 (Mediabox) of kanaal 329 (DVB-C) live uitgezonden. De videoregistratie is in handen van het videoteam van Tristan Hoogendoorn.Het Exxact Jongerencafé is elke vierde woensdag van de maand tussen 19.00 en 21.00 uur te beluisteren op Exxact Barendrecht: 106.4 FM in de regio, 105.9 FM (kabel) en via exxact.nl, TuneIn en livestream van Exxact Barendrecht. Het programma is te volgen via Instagram en Facebook op @exxactjongerencafeVoorgaande uitzendingen zijn hier te vinden. De volgende uitzending van Exxact Jongerencafé is op woensdag 19 februari.
Presentatie Exxact Jongerencafé: Florian Pronk en Sebastiaan van Mill Exxact Jongerencafé over online veiligheid BARENDRECHT – ‘Hoe veilig ben jij online?!’ is het thema tijdens de liveuitzending van het Exxact Jongerencafé komende woensdagavond 22 januari. Tussen 19.00 en 21.00 uur wordt het programma vanaf de Cascade in Het Kruispunt weer uitgezonden.Marjolein Bonthuis schuift namens het platform ECP aan over dit onderwerp. Het ECP is een landelijk, neutraal platform waar kennis rondom onze digitale samenleving wordt uitgewisseld met verschillende organisaties, zoals de overheid of het bedrijfsleven. Christian Boertje zal namens De Gezonde Digitale Organisatie (DGDO) meer vertellen over welke rol bewustwording speelt in het voorkomen van onveilige situaties online. Frank Groenewegen is als Chief Security Expert het technische geweten bij cyberbeveiligingsbedrijf Fox-IT. Hij informeert ons over de laatste ontwikkelingen. Robert Schmidt van Ares IT schuift aan om te vertellen over ethisch hacken.Debatten door het jongerenpanel en presentatie in handen van Florian Pronk en Sebastiaan van Mill.De uitzending wordt dit keer ook met beeld en geluid via sociale media, de website van Exxact Barendrecht en op Exxact Barendrecht TV via Ziggo digitale tv-kanaal 36 (Mediabox) of kanaal 329 (DVB-C) live uitgezonden. De videoregistratie is in handen van het videoteam van Tristan Hoogendoorn.Het Exxact Jongerencafé is elke vierde woensdag van de maand tussen 19.00 en 21.00 uur te beluisteren op Exxact Barendrecht: 106.4 FM in de regio, 105.9 FM (kabel) en via exxact.nl, TuneIn en livestream van Exxact Barendrecht. Het programma is te volgen via Instagram en Facebook op @exxactjongerencafeVoorgaande uitzendingen zijn hier te vinden. De volgende uitzending van Exxact Jongerencafé is op woensdag 19 februari.
Tervetuloa Jaettujen Salaisuuksien alppimajalle. Tämä on Herrasmieshakkerit-äänijulkaisun erikoisjakso, jossa käymme läpi mitä tapahtui tietoturvakentällä viimeisen vuosikymmenen aikana. Wiralliset wanhukset nostavat esille oman kokemuksena perusteella vuosien 2010 - 2019 merkittävimmät tapahtumat ja perustelevat miksi juuri kyseinen tapahtuma ansaitsi päästä tälle listalle. Äänijulkaisun lähdeluettelo: 2010 Operaatio Aurora, Wikipedia https://en.wikipedia.org/wiki/Operation_Aurora Operaatio Aurora, Mikon kirjoittama artikkeli 2010 https://archive.f-secure.com/weblog/archives/00001854.html Beyond Corp https://www.beyondcorp.com/ Beyond Corp @ Google https://cloud.google.com/beyondcorp/ Stuxnet, Mikon kommentit 2010 https://archive.f-secure.com/weblog/archives/00002040.html To Kill A Centrifuge, Langner Associates https://www.langner.com/to-kill-a-centrifuge/ Stuxnet kirja-arvostelu, An Unprecedented Look at Stuxnet, Wired https://www.wired.com/2014/11/countdown-to-zero-day-stuxnet/ Stuxnet-elokuva, IMDB https://www.imdb.com/title/tt5446858/ 2011 LulzSec, Wikipedia https://en.wikipedia.org/wiki/LulzSec Parmy Olsonin kirja LulzSecista https://www.amazon.com/We-Are-Inside-LulzSec-Insurgency/dp/0316213527 BBC:n erikoislähetys LulzSecista, Mikon haastattelu 2011 https://www.bbc.com/news/av/technology-22526025/lulzsec-hacker-internet-is-a-world-devoid-of-empathy DigiNotar, Wikipedia https://en.wikipedia.org/wiki/DigiNotar Mikon blogikirjoitus DigiNotarista, lopussa lista väärennetyistä sertifikaateista https://archive.f-secure.com/weblog/archives/00002228.html How a 2011 Hack You’ve Never Heard of Changed the Internet’s Infrastructure, Slate https://slate.com/technology/2016/12/how-the-2011-hack-of-diginotar-changed-the-internets-infrastructure.html Fox-IT:n Loppuraportti DigiNotarista https://www.rijksoverheid.nl/binaries/rijksoverheid/documenten/rapporten/2011/09/05/diginotar-public-report-version-1/rapport-fox-it-operation-black-tulip-v1-0.pdf Fox-IT:n visualisointi DigiNotarin uhreista https://www.youtube.com/watch?v=wZsWoSxxwVY 2012 Flame, Wikipedia https://en.wikipedia.org/wiki/Flame_(malware) Mikon kolumni Wiredissa - Why Antivirus Companies Like Mine Failed to Catch Flame https://www.wired.com/2012/06/internet-security-fail/ 2013 Edward Snowden, Wikipedia https://en.wikipedia.org/wiki/Edward_Snowden The Snowden Saga: a Shadowland of Secrets and Light, Vanity Fair https://www.vanityfair.com/news/politics/2014/05/edward-snowden-politics-interview Snowden -elokuva https://snowdenfilm.com 11 Steps Attackers Took to Crack Target, CIO online https://www.cio.com/article/2600345/11-steps-attackers-took-to-crack-target.html Target Hackers Broke in Via a ventilation Company https://krebsonsecurity.com/2014/02/target-hackers-broke-in-via-hvac-company/ 2014 Sony Pictures hack, Wikipedia https://en.wikipedia.org/wiki/Sony_Pictures_hack Elokuva, The Interview, IMDB https://www.imdb.com/title/tt2788710/ Heartbleed http://heartbleed.com/ Tarina Heartbleedin logosta https://abcnews.go.com/Business/curious-business-naming-security-bug/story?id=23280245 2015 DD4BC, Armada Collective, and the Rise of Cyber Extortion, Recorded Future https://www.recordedfuture.com/dd4bc-cyber-extortion/ Suspected members of Bitcoin extortion group DD4BC arrested, ZDNet https://www.zdnet.com/article/suspected-members-of-bitcoin-extortion-group-dd4bc-arrested/ Ukrainan sähköverkon katkaisu, Youtube https://www.youtube.com/watch?v=Iqh7fpsL3HY 2016 SWIFT banking hack, Wikipedia https://en.wikipedia.org/wiki/2015%E2%80%932016_SWIFT_banking_hack Bangladesh Bank Attackers Hacked SWIFT Software https://www.bankinfosecurity.com/report-swift-hacked-by-bangladesh-bank-attackers-a-9061 Democratic National Committee cyber attacks, Wikipedia https://en.wikipedia.org/wiki/Democratic_National_Committee_cyber_attacks Shadow Brokers, Wikipedia https://en.wikipedia.org/wiki/The_Shadow_Brokers 2017 WannaCry ransomware attack, Wikipedia https://en.wikipedia.org/wiki/WannaCry_ransomware_attack Yksi ensimmäisistä lunnastroijalaisista, ICPP Copyright Trojan https://archive.f-secure.com/weblog/archives/00001931.html EternalBlue, Wikipedia https://en.wikipedia.org/wiki/EternalBlue Paysafecard https://www.paysafecard.com/fi-fi/ Paysafecard -kuitti vuodelta 2011 https://imgur.com/a/6tOzoI4 2018 Cambridge Analytica, Wikipedia https://en.wikipedia.org/wiki/Cambridge_Analytica Cambridge Analytica: The Great Hack, Netflix https://www.netflix.com/fi-en/title/80117542 Meltdown & Spectre https://meltdownattack.com/ Deep Dive: Introduction to Speculative Execution Side Channel Methods, Intel https://software.intel.com/security-software-guidance/insights/deep-dive-introduction-speculative-execution-side-channel-methods 2019 How a ransomware attack cost one firm £45m, BBC https://www.bbc.com/news/business-48661152 Travelex: Travel money services still down after cyber-attack, BBC https://www.bbc.com/news/business-51097470 Travelex Hack Questions and Answers https://www.travelex.com/customer-faqs/
Zeker twee Nederlandse bedrijven zijn getroffen door dezelfde gijzelsoftware waar GWK Travelex mee te maken heeft. Dat zegt beveiligingsbedrijf Fox-IT. In beide gevallen zou bovendien het geëiste losgeld zijn betaald.
It's Week 11 of the college football season ... and we're getting down to business. After last week's Group of Five frivolity, there are some serious games on the books this weekend. Which means we're getting all serious-like on the #CnCShow. (OK, so maybe it's also because one of us had to work on Election Night. But we're going to roll with it.) Because we recorded earlier than usual this week, we begin by making our College Football Playoff ranking predictions. So listen to see how close we were! (Because, honestly, we were pretty close.) And then: Three gigantic games. Let's go. No. 4 Penn State at No. 17 Minnesota (Noon ET, ABC): The Golden Gophers have rowed the boat all the way to an 8-0 record, controlling their own destiny in the B1G West. Penn State suddenly finds itself right in the thick of the Playoff picture, but needing a win to remain there. The Nits have better wins on the year thus far; it might snow in Minnesota this weekend. Buckle up. No. 2 LSU at No. 3 Alabama (3:30 ET, CBS): Just because these teams aren't No. 1 and No. 2 respectively doesn't make this any less important of a game. Both secondaries will get a workout facing these power offenses. How is Tua? We'll find out Saturday afternoon. No. 18 Iowa at No. 13 Wisconsin (4 ET, FOX): It's been a rough couple of weeks for Bucky. A win at home against the Hawkeyes could be just what the doctor ordered. After being bottled up by Ohio State, will Jonathan Taylor find his way through the also-really-good Iowa run defense? Enjoy the games, yinz guys.
On the newest episode of the Main Event, "Core Four" alumnus Jordan Duncan joins the Trinity to talk about the past two weeks of programming. How did AEW Dynamite do in two weeks? Did NXT keep up? What about Smackdown on Fox? It's covered. They also do the next and probably most offensive edition of the TNA Classic PPV Recap. So sit back and enjoy the newest episode of the Main Event! Follow us on Facebook: @PTBNMainevent
Met het Engelse NCC wil Fox-IT de belangrijkste cyberbeveiliger van Europa worden. Hoe de gezamenlijke groeiplannen er vier jaar na de overname voorstaan, vertelt topman Erik Ploegmakers live vanaf het hoofdkantoor van PCI Nederland in Lijnden, vlak bij Amsterdam.
A daily look at the relevant information security news from overnight.Episode 167 - 04 October 2019MacOS DDoS - https://www.zdnet.com/article/macos-systems-abused-in-ddos-attacks/Ransomware wiper - https://www.bleepingcomputer.com/news/security/lost-files-data-wiper-poses-as-a-windows-security-scanner/WhatsApp GIF - https://www.scmagazine.com/home/security-news/vulnerabilities/whatsapp-bug-allows-access-to-content-users-should-update/Foxit flaws - https://threatpost.com/foxit-pdf-reader-vulnerable-to-8-high-severity-flaws/148897/Android zero-day - https://www.zdnet.com/article/google-finds-android-zero-day-impacting-pixel-samsung-huawei-xiaomi-devices/
SANS Internet Stormcenter Daily Network/Cyber Security and Information Security Stormcast
Latest Emotet News https://isc.sans.edu/forums/diary/A+recent+example+of+Emotet+malspam/25378/ SANS Ouch! Newsletter https://www.sans.org/security-awareness-training/resources/four-simple-steps-staying-secure XPdf and Foxit Updates https://www.foxitsoftware.com/support/security-bulletins.php https://forum.xpdfreader.com/viewtopic.php?f=3&t=41885 eFax Malspam https://www.heise.de/security/meldung/Achtung-Angebliches-eFax-birgt-Trojaner-4544386.html Office 365 Idle Timeout https://docs.microsoft.com/en-us/sharepoint/sign-out-inactive-users https://www.microsoft.com/en-us/microsoft-365/roadmap?filters=&searchterms=55183
SANS Internet Stormcenter Daily Network/Cyber Security and Information Security Stormcast
Latest Emotet News https://isc.sans.edu/forums/diary/A+recent+example+of+Emotet+malspam/25378/ SANS Ouch! Newsletter https://www.sans.org/security-awareness-training/resources/four-simple-steps-staying-secure XPdf and Foxit Updates https://www.foxitsoftware.com/support/security-bulletins.php https://forum.xpdfreader.com/viewtopic.php?f=3&t=41885 eFax Malspam https://www.heise.de/security/meldung/Achtung-Angebliches-eFax-birgt-Trojaner-4544386.html Office 365 Idle Timeout https://docs.microsoft.com/en-us/sharepoint/sign-out-inactive-users https://www.microsoft.com/en-us/microsoft-365/roadmap?filters=&searchterms=55183
Deze week in Buitenhof: Revolte in de ECB na de aankondiging van nieuwe maatregelen om de Europese economie verder te stimuleren. De rente wordt verder verlaagd en de geldkraan gaat open. Onder meer DNB-president Klaas Knot nam in ongebruikelijk harde bewoordingen afstand van de maatregelen van scheidend ECB-president Draghi. Wat wil Draghi met zijn maatregelen bereiken en wat zijn de gevolgen voor de eurozone? Hoogleraar Financiële markten Arnoud Boot is te gast. 'Het is oorlog, maar niemand die het ziet': Volkskrant-journalist Huib Modderkolk beschrijft in zijn boek een wereld van cybercrime en onderlinge digitale spionage waar maar een enkeling bekend mee is. Wat kunnen we verwachten? Modderkolk gaat in debat met Inge Philips, partner bij Deloitte, en Frank Groenewegen, chief security expert bij Fox-IT. En: weinig mensen worden geboren als politicus, maar bij CDA-fractievoorzitter Pieter Heerma was dit zeker het geval. Toch bleef hij tot nu toe redelijk onzichtbaar. Op de zondag voor Prinsjesdag licht hij bij Buitenhof voor het eerst uitgebreid zijn visie op de koers van zijn partij toe. Presentatie: Jort Kelder
Deze week in Buitenhof: Revolte in de ECB na de aankondiging van nieuwe maatregelen om de Europese economie verder te stimuleren. De rente wordt verder verlaagd en de geldkraan gaat open. Onder meer DNB-president Klaas Knot nam in ongebruikelijk harde bewoordingen afstand van de maatregelen van scheidend ECB-president Draghi. Wat wil Draghi met zijn maatregelen bereiken en wat zijn de gevolgen voor de eurozone? Hoogleraar Financiële markten Arnoud Boot is te gast. 'Het is oorlog, maar niemand die het ziet': Volkskrant-journalist Huib Modderkolk beschrijft in zijn boek een wereld van cybercrime en onderlinge digitale spionage waar maar een enkeling bekend mee is. Wat kunnen we verwachten? Modderkolk gaat in debat met Inge Philips, partner bij Deloitte, en Frank Groenewegen, chief security expert bij Fox-IT. En: weinig mensen worden geboren als politicus, maar bij CDA-fractievoorzitter Pieter Heerma was dit zeker het geval. Toch bleef hij tot nu toe redelijk onzichtbaar. Op de zondag voor Prinsjesdag licht hij bij Buitenhof voor het eerst uitgebreid zijn visie op de koers van zijn partij toe. Presentatie: Jort Kelder
Coming up in this week's episode of the GDPR Weekly Show: Facebook data breach potentially exposes UK phone numbers of 18 million users, Tavistock and Portman NHS Trust Data Breach when gender reassignment clinic misuses cc in emails, Monster Recruitment applicant data breach after data sold to 3rd party recruitment company, Google secret web tracking pages uncovered, Privacy Policy - Thoughts on best practice, Foxit PDF Reader suffers data breach
A daily look at the relevant information security news from overnight.Episode 144 - 03 September 2019Foxit PDF breached - https://www.zdnet.com/article/company-behind-foxit-pdf-reader-announces-security-breach/Astaroth by Cloudflare - https://www.bleepingcomputer.com/news/security/astaroth-trojan-uses-cloudflare-workers-to-bypass-av-software/Brazil selling off data - https://www.zdnet.com/article/brazilian-citizen-data-under-threat-with-sale-of-national-tech-firms/WordPress hackers create admins - https://www.zdnet.com/article/wordpress-sites-under-attack-as-hacker-group-tries-to-create-rogue-admin-accounts/Sodinokibi via WordPress - https://www.bleepingcomputer.com/news/security/sodinokibi-ransomware-spreads-via-fake-forums-on-hacked-sites/
De #1 Podcast voor ondernemers | 7DTV | Ronnie Overgoor in gesprek met inspirerende ondernemers
Festivaltickets, tickets voor events of kaarten voor een exclusief feest: vroeger lag je nog in een slaapzak voor de deur voor een entreebewijs. Nu bestel je tickets online en ontvang je een e-mail met PDF. Dat kan beter, toch? Het Nederlandse Close wil de voorpret terugbrengen bij het kopen van tickets voor concerten en andere events. Ronnie Overgoor gaat in deze 7DTV-aflevering in gesprek met Kiliaan Toorenaar (co-founder Close) over zijn tech scale-up Close. Hoe kan de live-eventindustrie met data de customer journey van bezoekers optimaliseren? En op die manier de doelgroep langer aan zich binden? Toorenaar ontwikkelde, samen met compagnons Wiebe Weikamp (medeoprichter van zoekmachine Ilse) en industrieel ontwerper Chris Gruijters, een marketingplatform om bezoekers van een concert, sportevent, museum of restaurant ook vóór en ná het event de maximale beleving te geven. Om de groei van het platform te versnellen, haalt het bedrijf uit Amsterdam een investering van 3 miljoen euro op bij Disruptive Technology Ventures, een investeringsfonds van onder meer Ad Scheepbouwer (ex-CEO KPN) en Fox-IT-oprichters Ronald Prins en Menno van der Marel. Kiliaan Toorenaar, voormalig commercieel directeur van Marktplaats, heeft Close opgericht. Een mobiel marketingplatform voor organisatoren in de eventbranche samen met CTO Wiebe Weikamp (zoekmachine Ilse) en Chris Gruijters. Het bedrijf houdt kantoor in Amsterdam en heeft inmiddels een team van 20 medewerkers. Benieuwd geworden naar het verhaal van oud-directeur Marktplaats Kiliaan Toorenaar? Bekijk dan de hele aflevering!
Festivaltickets, tickets voor events of kaarten voor een exclusief feest: vroeger lag je nog in een slaapzak voor de deur voor een entreebewijs. Nu bestel je tickets online en ontvang je een e-mail met PDF. Dat kan beter, toch?Het Nederlandse Close wil de voorpret terugbrengen bij het kopen van tickets voor concerten en andere events. Ronnie Overgoor gaat in deze 7DTV-aflevering in gesprek met Kiliaan Toorenaar (co-founder Close) over zijn tech scale-up Close. Hoe kan de live-eventindustrie met data de customer journey van bezoekers optimaliseren? En op die manier de doelgroep langer aan zich binden? Toorenaar ontwikkelde, samen met compagnons Wiebe Weikamp (medeoprichter van zoekmachine Ilse) en industrieel ontwerper Chris Gruijters, een marketingplatform om bezoekers van een concert, sportevent, museum of restaurant ook vóór en ná het event de maximale beleving te geven. Om de groei van het platform te versnellen, haalt het bedrijf uit Amsterdam een investering van 3 miljoen euro op bij Disruptive Technology Ventures, een investeringsfonds van onder meer Ad Scheepbouwer (ex-CEO KPN) en Fox-IT-oprichters Ronald Prins en Menno van der Marel.Benieuwd geworden naar het verhaal van oud-directeur Marktplaats Kiliaan Toorenaar? Bekijk dan de hele aflevering!
Dat er binnen bedrijven en overheidsinstanties soms schrijnend weinig kennis over IT en beveiliging is, is geen nieuws. Veel bedrijven lopen dan ook regelmatig tegen problemen aan waarbij hulp van professionals nodig is. Gina Doekhie is zo'n expert. Met haar team is ze de 'digitale brandweer' om bedrijven die getroffen zijn door hackers of anderssoortige digitale fraude weer uit de brand te helpen.Dat niet alleen: Gina is sinds enkele maanden opgenomen in het Nederlands Register Gerechtelijk Deskundigen als forensisch computer- en netwerkexpert. Dat betekent dat zij door rechters ingeschakeld kan worden om hen van onafhankelijk advies te voorzien. De Nerds duiken met Gina de wereld van CEO-fraude en aansprakelijkheidszaken in.Dan is er nog even aandacht voor een wat minder serieus onderwerp, want Game of Thrones begint dit weekend weer. Het laatste seizoen van de bekende televisieserie van HBO moet gaan uitwijzen wie de Iron Throne weet op te eisen en of de White Walkers verslagen zullen worden. Spanning en sensatie verzekerd, waarbij Jurian en Randal nog wel wat ideeën hebben over wat er dit seizoen gaat gebeuren. Dat, en natuurlijk de gebruikelijke vragen en tips, hoor je in deze aflevering van Met Nerds om Tafel!Tijdschema0:00:00 Start0:01:24 Jingle0:02:16 Gina de gerechtelijk security-deskundige0:05:41 Floris is soms onnavolgbaar0:07:11 Wat doet Gina bij Fox-IT?0:13:01 Bedrijven bellen Fox-IT te laat0:19:22 De onveilige, digitale wereld0:25:11 Veel voorkomend: CEO-fraude0:30:41 Securitytips0:34:57 Gina in de rechtbank0:48:43 Game of Thrones is terug!0:50:59 Speculeren over hoe GoT verder gaat0:54:57 Vragen van de luisteraars1:04:03 Tips1:16:39 Afkondiging1:17:44 EindeTipsJurOut-of-context Eredivisie (Twitteraccount @OOCEredivisie)RandalHypnobirthing'The Trouble with Facebook' van Making Sense (podcast)Geen tip maar een vraag: moet ik hackintoshen, of niet?GinaLees het blog van Fox-ITFlorisCercle: mooie beelden artiest FKJ op een gigantische zoutvlakte (YouTube)
Vier Russische hackers probeerden in april in te breken bij de Organisatie voor het Verbod op Chemische Wapens (OPCW) in Den Haag. Ze werden door de Militaire Inlichtingen- en Veiligheidsdienst (MIVD) opgepakt en Nederland uitgezet, zo maakte de MIVD vorige week bekend.Deze week kreeg dat verhaal een staartje, toen beveiligingsbedrijf Kaspersky bekendmaakte dat er ook hackers uit andere landen actief zijn in Nederland. Kaspersky vond zeker negen verschillende hackersgroepen die de afgelopen jaren voor verdacht verkeer zorgden.In De Week van NUtech praten we daar deze week over na met Jornt van der Wiel van Kaspersky en met Frank Groenewegen van beveiligingsbedrijf Fox IT. Want wie zijn die hackers, hoe plannen ze hun aanvallen en waar komen ze vandaan? De antwoorden op die vragen blijken nog niet zo gemakkelijk.
SANS Internet Stormcenter Daily Network/Cyber Security and Information Security Stormcast
How to Write Yara Rules https://isc.sans.edu/forums/diary/Developing+YARA+Rules+a+Practical+Example/24158/ GhostDNS DNS Changer Malware https://blog.netlab.360.com/70-different-types-of-home-routers-all-together-100000-are-being-hijacked-by-ghostdns-en/ Foxit PDF Reader Vulnerabilities https://www.foxitsoftware.com/support/security-bulletins.php Apple Laptops Shipped With CPU in Manufacturing Mode http://blog.ptsecurity.com/2018/10/intel-me-manufacturing-mode-macbook.html
SANS Internet Stormcenter Daily Network/Cyber Security and Information Security Stormcast
How to Write Yara Rules https://isc.sans.edu/forums/diary/Developing+YARA+Rules+a+Practical+Example/24158/ GhostDNS DNS Changer Malware https://blog.netlab.360.com/70-different-types-of-home-routers-all-together-100000-are-being-hijacked-by-ghostdns-en/ Foxit PDF Reader Vulnerabilities https://www.foxitsoftware.com/support/security-bulletins.php Apple Laptops Shipped With CPU in Manufacturing Mode http://blog.ptsecurity.com/2018/10/intel-me-manufacturing-mode-macbook.html
Wat klinkt er cooler dan ‘Security Specialist’? Juist, hacker natuurlijk! Sanne Maasakkers is het allebei en kan ons daarom als geen ander laten zien hoe je iemand hackt maar ook hoe je jezelf ertegen kunt verdedigen. In haar dagelijks leven werkt Sanne Maasakkers bij Fox-IT, een Nederlands bedrijf dat computers en netwerken beveiligt. In die hoedanigheid is zij soms te zien in de media om recente hacks uit te leggen en te vertellen hoe zij zich staande houdt in een mannenwereld. = Tips voor de luisteraar Sanne: Grumpy Cat’s Worst Game Ever Randal: Caliphate van the New York Times Daniel: Fantasyland aflevering over slokdarmkanker Daniel: Senna-documentaire uit 2010 + de Top Gear aflevering daarover Floris: The Adventure Zone Floris: Brooklyn Nine-Nine = Tijdschema 00:00:00 Voorpraat 00:01:29 Welkom Sanne Maasakkers 00:18:31 Live Hackdemo in de studio! 00:38:58 De Opsec van een echte hacker 00:41:16 Het PGP-lek 00:48:05 Gaan Memes verdwijnen? 00:58:04 Vraag van Irmo 01:02:05 Mystery
0:00 Russische hackers proberen wereldwijd in te breken op miljoenen internet-apparaten. Met die waarschuwing kwamen de Amerikaanse en Britse veiligheidsdiensten deze week. Cyberveiligheid-expert Frank Groenewegen van Fox-IT vertelt wat de risico's zijn. 14:23 Lootboxes in games zijn in sommige gevallen illegaal, heeft de kansspelautoriteit geoordeeld. Zij hebben 10 populaire spellen onderzocht, 4 ervan overtreden de Nederlandse regels. 25:35 Deze week is Tess gelanceerd, da's de nieuwste planetenspeurder van de NASA die in het heelal gaat zoeken naar hele verre broertjes en zusjes van de aarde.
Inlichtingendiensten als de AIVD, MIVD, maar ook banken en de FBI, hebben hun cyberbeveiliging in handen van Fox-IT hebben gelegd. Daarmee werd het bedrijf relevanter dan Ronald Prins ooit kon dromen toen hij het oprichtte.
Bitcoin is de eerste technologische vernieuwing die de consument geen geld kost, maar geld kan opleveren. Het instapniveau is laag. Peter de Ruiter schreef het boek 'Bitcoins beter begrijpen'. In deze podcast laat hij de luisteraar kennismaken met mensen die winnen en verliezen, met deskundigen die cryptovaluta aanbevelen of die waarschuwen en met cryptobedrijven die een kijkje gunnen in hun keuken. INHOUD - Muziek van bitcoins (0.00) - De basics van bitcoins door enkele niet-willekeurig gekozen voorbijgangers (1.40) - Alles verkopen en investeren (7.10) - Wie belegt er? Reg van Steen van Kantar (voorheen NIPO) (8.45) - Vincent Everts, trendwatcher, organisator Crypto Investment Summit (14.30) - David (14), belegger (17.30) - Cordelia Addison, belegger, en haar zoon Lucien (12), belegger (21.15) - Vragenuur wisselkantoor Bitmymoney (24.50) - Vincent Everts,wanneer verkopen? (28.10) - Robert-Reinder Nederhoed, oprichter Bitmymoney (28.40) - Hoe vaak kijk jij? Bij Crypto 070 in Den Haag (38.35) - David (38), belegger, geluk - Martin Bylsma, ICOheadstart, het bedrijf van Dirk Scheringa (48.55) - De funding van ICO’s, funny money (55.40) - Je eigen coin. Mark Noorlander van Flashboys (57.45) - David (38), belegger, pech (1.00.15) - Kees van der Vlies, Fox-IT, over veiligheid (1.05.00) - Mining, de servers bij Bit.nl (1.14.10) - Sven Römer, Cryptivities, mining apparatuur en hosting (1.15.40) - Cloud mining (1.25.40) - Justin Bons van cryptofonds Cyber Capital (1.27.20) - Bob tipt Iconomi (1.34.30) - Reinier Jonkers, advocaat, over wetgeving (1.38.30) - Bernard Devilee, ministerie van Financiën (1.40.40) - Reinier Jonkers cont’d (1.41.41) - Robert Nederhoed, de regels voor een bitcoinbedrijf (1.47.05) - Bitcoins en Peter de Ruiter bij Kassa! (1.54.05) - Conclusie (1.59.00) PixelPerfect Publications | december 2017 | isbn 9789491833465
TechByter Worldwide (formerly Technology Corner) with Bill Blinn
Apple has announced 3 new phones, 2 of which will be available almost immediately, while 1 won't ship until later in the year. There's also an updated Apple watch and improvement to Apple TV. How do you hold a smart phone when you're capturing video? There's a good chance that you're holding it the "wrong" way, but what's the "right" way and why? So many utility download sites display misleading download links and load up their downloads with extras you don't want that it was refreshing to find one that doesn't. It was even better when I learned about a hidden special feature. Picking up after the Equifax breach may include freezing your credit report at the four credit reporting agencies, so I'll explain how. In Spare Parts (only on the website): As handy as jargon is within an industry, it can be a serious impediment when you're trying to communicate with outsiders. • Foxit has a new tool for PDFs that makes the documents more usable for those who need to use a screen reader. • We'll find out what a digital pumpkin is and why you might want to work in one.
PROFILE - Presentator Paul van Riessen noemt hem de levende nachtmerrie van spionnen, activisten en hackers. Ook de titel 'Machtigste Nerd van Nederland' valt. Ronald Prins (oprichter Fox-IT) beaamt niet direct dat deze titel hem op het lijf geschreven is, wel geeft hij toe dat technische nerds steeds machtiger lijken te worden anno 2017. Minister-president Mark Rutte kan ongestoord én veilig bellen door Fox-IT? Prins: 'Een van de dingen die wij leveren zijn bijzondere telefoons die door bewindspersonen gebruikt worden.' Prins heeft in de media gezegd dat de volgende oorlog een digitale oorlog zal zijn. Prins: 'We gaan daar nog redelijk naïef mee om, maar ik merk ook dat er nu gehoor wordt gegeven uit de politiek. Cyber lijkt steeds serieuzere aandacht te krijgen. Hoe dat eruitziet? In het ergste geval wordt de elektriciteit uitgeschakeld of wordt langdurig het betaalverkeer platgelegd. We realiseren het ons misschien nog niet, maar er zijn nog maar weinig mensen die echt contact geld op zak hebben.' Het bedrijfslevenPolitieke instanties hebben inmiddels wel door dat ze niet zonder een bedrijf als Fox-IT kunnen. Hoe naïef zijn bedrijven: zijn zij zich bewust van alle gevaren van cybercrime? Prins: 'Ik denk dat ze steeds bewuster zijn, maar ze weten nog niet hoe ze het goed moeten aanpakken. Dat gaat over de governance in je organisatie. Vaak laten ze het IT oplossen, maar ik zie dat het security-probleem eerder bij een CFO moet liggen. Zij maken de juiste inschatting als het gaat om de commerciële risico's.'
De #1 Podcast voor ondernemers | 7DTV | Ronnie Overgoor in gesprek met inspirerende ondernemers
PROFILE - Presentator Paul van Riessen noemt hem de levende nachtmerrie van spionnen, activisten en hackers. Ook de titel 'Machtigste Nerd van Nederland' valt. Ronald Prins (oprichter Fox-IT) beaamt niet direct dat deze titel hem op het lijf geschreven is, wel geeft hij toe dat technische nerds steeds machtiger lijken te worden anno 2017. Minister-president Mark Rutte kan ongestoord én veilig bellen door Fox-IT? Prins: 'Een van de dingen die wij leveren zijn bijzondere telefoons die door bewindspersonen gebruikt worden.' Prins heeft in de media gezegd dat de volgende oorlog een digitale oorlog zal zijn. Prins: 'We gaan daar nog redelijk naïef mee om, maar ik merk ook dat er nu gehoor wordt gegeven uit de politiek. Cyber lijkt steeds serieuzere aandacht te krijgen. Hoe dat eruitziet? In het ergste geval wordt de elektriciteit uitgeschakeld of wordt langdurig het betaalverkeer platgelegd. We realiseren het ons misschien nog niet, maar er zijn nog maar weinig mensen die echt contact geld op zak hebben.' Het bedrijfslevenPolitieke instanties hebben inmiddels wel door dat ze niet zonder een bedrijf als Fox-IT kunnen. Hoe naïef zijn bedrijven: zijn zij zich bewust van alle gevaren van cybercrime? Prins: 'Ik denk dat ze steeds bewuster zijn, maar ze weten nog niet hoe ze het goed moeten aanpakken. Dat gaat over de governance in je organisatie. Vaak laten ze het IT oplossen, maar ik zie dat het security-probleem eerder bij een CFO moet liggen. Zij maken de juiste inschatting als het gaat om de commerciële risico's.'
De #1 Podcast voor ondernemers | 7DTV | Ronnie Overgoor in gesprek met inspirerende ondernemers
PROFILE - Presentator Paul van Riessen noemt hem de levende nachtmerrie van spionnen, activisten en hackers. Ook de titel 'Machtigste Nerd van Nederland' valt. Ronald Prins (oprichter Fox-IT) beaamt niet direct dat deze titel hem op het lijf geschreven is, wel geeft hij toe dat technische nerds steeds machtiger lijken te worden anno 2017. Minister-president Mark Rutte kan ongestoord én veilig bellen door Fox-IT? Prins: 'Een van de dingen die wij leveren zijn bijzondere telefoons die door bewindspersonen gebruikt worden.' Prins heeft in de media gezegd dat de volgende oorlog een digitale oorlog zal zijn. Prins: 'We gaan daar nog redelijk naïef mee om, maar ik merk ook dat er nu gehoor wordt gegeven uit de politiek. Cyber lijkt steeds serieuzere aandacht te krijgen. Hoe dat eruitziet? In het ergste geval wordt de elektriciteit uitgeschakeld of wordt langdurig het betaalverkeer platgelegd. We realiseren het ons misschien nog niet, maar er zijn nog maar weinig mensen die echt contact geld op zak hebben.' Het bedrijfslevenPolitieke instanties hebben inmiddels wel door dat ze niet zonder een bedrijf als Fox-IT kunnen. Hoe naïef zijn bedrijven: zijn zij zich bewust van alle gevaren van cybercrime? Prins: 'Ik denk dat ze steeds bewuster zijn, maar ze weten nog niet hoe ze het goed moeten aanpakken. Dat gaat over de governance in je organisatie. Vaak laten ze het IT oplossen, maar ik zie dat het security-probleem eerder bij een CFO moet liggen. Zij maken de juiste inschatting als het gaat om de commerciële risico's.'
“Joss Whedon keeps creating these zeitgeist-grabbing, fun, brilliant shows that then Fox — It’s like he hands them over to an angry punk that throws them against the wall and ruins them.” - Patton Oswalt Without further ado, Here’s part 2 of TBC’s trip into the black that is Firefly/ Serenity. For the fans, there is always hope of revival, that somehow Joss Whedon’s space western crew will fly again. And yet, although cancelled prematurely by the executive at FOX, Firefly/ Serenity remains now and foreverfanboy legend. #IfIeverkillyouyoullbeawakeyoullbefacingmeandyoullbearmed #Shestornupplentybutshellflytrue
This week, Mr. Boettcher found himself with an interesting conundrum concerning what happened when he converted a Windows DOCX file to a PDF using a popular #PDF converter software. We discuss what happened, how Software Restriction Policy in Windows kept him safe from a potential malware infection, and about the logging that occurred. After that, we discuss some recent vulnerabilities, like the BlackNurse Resource Exhaustion vulnerability and how you can protect your infrastructure from a DDoS that can occur from someone sending your firewall 300 packets a second... which anyone can do. We discuss Robert Graham's recent run-in with a new surveillance camera and how it was pwned in less time than you think. And learn about the 'buenoware' that has been released that 'patches' IoT and embedded devices... But does it do more harm than good, and is it legal? All that and more this week on Brakeing Down Security Podcast! Check out our official #Slack Channel! Sign up at https://brakesec.signup.team Next Book Club session is 29 November 2016. Our current book for study is 'Software Security: Building Security In' by Dr. Gary McGraw https://www.amazon.com/Software-Security-Building-Gary-McGraw/dp/0321356705 (ebook is available of Safari books online) BlackNurse https://nakedsecurity.sophos.com/2016/11/17/blacknurse-revisited-what-you-need-to-know/ http://researchcenter.paloaltonetworks.com/2016/11/note-customers-regarding-blacknurse-report/ http://www.netresec.com/?page=Blog&month=2016-11&post=BlackNurse-Denial-of-Service-Attack Recent tweet from @boettcherpwned about infected docx with macros and we discuss why Foxit PDF runs the macros and open_document: https://twitter.com/boettcherpwned/status/799726266693713920 Brakesec Podcast about Software Restriction Policy and Application Whitelisting on Windows: http://traffic.libsyn.com/brakeingsecurity/2016-018-software_restriction_policy-applocker.mp3 Rob Graham @errataBob: new camera pwned by #Mirai botnet and others within 5 minutes: https://twitter.com/newsyc200/status/799761390915424261 #BlackNurse https://nakedsecurity.sophos.com/2016/11/17/blacknurse-revisited-what-you-need-to-know/ http://researchcenter.paloaltonetworks.com/2016/11/note-customers-regarding-blacknurse-report/ http://www.netresec.com/?page=Blog&month=2016-11&post=BlackNurse-Denial-of-Service-Attack ICMP Type 3, Code 3 (Destination Port unreachable) http://www.faqs.org/rfcs/rfc792.html #SHA1 deprecated on website certs by Chrome on 1 January 2017 http://www.darkreading.com/operations/as-deadline-looms-35-percent-of-web-sites-still-rely-on-sha-1/d/d-id/1327522 #Benevolent #malware (buenoware) https://isc.sans.edu/diary/Benevolent+malware%3F+reincarnaLinux.Wifatch/21703 #Atombombing http://blog.ensilo.com/atombombing-a-code-injection-that-bypasses-current-security-solutions https://breakingmalware.com/injection-techniques/atombombing-cfg-protected-processes/ http://www.pandasecurity.com/mediacenter/malware/atombombing-windows-cybersecurity/ Direct Link: http://traffic.libsyn.com/brakeingsecurity/2016-046-Black_Nurse_buenoware_IoT_pwnage.mp3 iTunes: https://itunes.apple.com/us/podcast/2016-046-blacknurse-buenoware/id799131292?i=1000378076060&mt=2 Youtube: https://www.youtube.com/watch?v=w-FEJuWGXaQ #RSS: http://www.brakeingsecurity.com/rss #Google Play Store: https://play.google.com/music/podcasts/portal/#p:id=playpodcast/series&a=100584969 #SoundCloud: https://www.soundcloud.com/bryan-brake Comments, Questions, Feedback: bds.podcast@gmail.com Support Brakeing Down Security #Podcast on #Patreon: https://www.patreon.com/bds_podcast #Twitter: @brakesec @boettcherpwned @bryanbrake #Facebook: https://www.facebook.com/BrakeingDownSec/ #Tumblr: http://brakeingdownsecurity.tumblr.com/ #Player.FM : https://player.fm/series/brakeing-down-security-podcast #Stitcher Network: http://www.stitcher.com/s?fid=80546&refid=stpr #TuneIn Radio App: http://tunein.com/radio/Brakeing-Down-Security-Podcast-p801582
How do you manage the security of documents around individual applications on a mobile device? Richard talks to Simon May about Microsoft InTune Mobile Application Management (MAM). MAM allows IT folks to specify security privileges on an app-by-app and document-by-document basis. The identity role is handled by Azure Active Directory, and the entire Office 365 suite is supported - but so are products from Adobe, FoxIt, SAP and more. Documents can be time-limited (very spy novelish!) and even have individual parts of a document (like a paragraph) have different privileges. This looks to be a lighter-weight way to allow bring-your-own-device to protect corporate documents while leaving personal content alone. Check it out!
Het bedrijf FOX-IT uit Delft speelt een cruciale rol bij de beveiliging van geheime overheidsinformatie. Zo is het bedrijf verantwoordelijk voor de versleuteling van telefoongesprekken van ministers en hoge ambtenaren. Onlangs werd FOX-IT overgenomen door de Britse NCC Group, een bedrijf dat nauwe banden heeft met de Britse afluisterdienst GCHQ. Zijn de Nederlandse staatsgeheimen nog wel in goede handen? Een onderzoek van Argos en OneWorld.
Wie aan oorlog denkt, denkt aan soldaten, wapens en bommen. Maar de nieuwe dreiging komt vanuit een hele andere hoek: oorlog door middel van hackers en digitale wapens. In de VS maakt men zich al grote zorgen om deze nieuwe manier van oorlogvoering, waarbij infrastructuur, zoals energiecentrales en kernreactoren, maar ook ziekenhuizen en - in Nederland - de dijken, gevaar lopen. Hoe reëel is deze dreiging? En hoe kan Nederland zelf deze digitale wapens inzetten? We praten er in het Geobureau over met Paul Ducheine, Nederlands eerste hoogleraar Cyber Warfare, en met Ronald Prins van het beveiligingsbedrijf Fox-IT.
If it sounds too good to be true, it probably is. Cyber experts warn if you find a deal for DiRT 3 Steam Codes on eBay or places similar, just to keep moving. At least one million and as many as three million Steam codes for a free copy of Codemaster’s DiRT 3 were leaked onto the web, reportedly by hackers. Law officers are looking into the possible hacking of Iranian Gmail accounts. About 300,000 accounts were reportedly compromised and read by hackers according to Fox-IT. That is a forensics firm that investigated the theft of hundreds of digital certificates from a Dutch company. The Sony Corporation hopes some leadership from a former U.S. Homeland Security official will prevent another major hacking like over the summer. The company announced it has hired Philip Reitinger to take the role of chief information security officer. Also, check out the job of the day!
CampNation #4: The one where we have our first guest Show Notes – CampNation – Episode 4 Links http://directory.fsf.org/ Wink.com/Pipl.com (Travis adds: http://spock.com) Gary Forster’s camping newsletter www.istockphoto.com News/Discussion Camp Conferences Pick of the Week Dan – “The Five Dysfunctions of a Team” by Patrick Lencioni. Joe – http://moodle.org/ Travis – Fill in PDF forms on a Mac – http://code.google.com/p/formulatepro/downloads/list or Foxit reader for windows http://www.foxitsoftware.com/pdf/reader/ Gab – Peter Katz Re-mastered version of the Camp Song: www.peterkatz.org/camp.html Kam – “Super Staff SuperVision” by Michael Brandwein. Your Hosts: Dan Weir – Frost Valley YMCA (New York) http://twitter.com/danlovescamp Kam Kobeissi – Frost Valley YMCA (New York) http://twitter.com/leaderkam Gabrielle Raill – Camp Ouareau (Quebec) http://twitter.com/gabrielleraill Joe Richards – Pearce Williams Christian Centre (Ontario) http://twitter.com/yoyojoer Travis Allison – Our Kids Media http://twitter.com/zoic
Diggs and Burke talk to Carlos from RCadvisor.com. Thinking this is just another RC calculator is like saying the combustion engine is just another horse. Learn how and why a powerful tool can aid the plane guys as well as the heli guys.Follow Carlos on twitter for updates: @creyes123 Watch the SEFF 08 DVD from HPP. Another great HPP Production. The Katfish gets a bath by Bikini Clad ladies. Surf and Turf DVD report coming next.Mentions:BoneDoc's 3D ClinicHigherplaneproductionsRCadvisor PDF info (use Foxit because Adobe Reader suxz) Watch the SEFF 08 DVD. Another great HPP Production. The Katfish gets a bath by Bikini Clad ladies. Surf and Turf DVD report coming next.
Diggs and Burke talk to Carlos from RCadvisor.com. Thinking this is just another RC calculator is like saying the combustion engine is just another horse. Learn how and why a powerful tool can aid the plane guys as well as the heli guys.Follow Carlos on twitter for updates: @creyes123 Watch the SEFF 08 DVD from HPP. Another great HPP Production. The Katfish gets a bath by Bikini Clad ladies. Surf and Turf DVD report coming next.Mentions:BoneDoc's 3D ClinicHigherplaneproductionsRCadvisor PDF info (use Foxit because Adobe Reader suxz) Watch the SEFF 08 DVD. Another great HPP Production. The Katfish gets a bath by Bikini Clad ladies. Surf and Turf DVD report coming next.