Podcasts about Jans

Commune in Pays de la Loire, France

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Jans

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CTSNet To Go
The Beat With Joel Dunning Ep. 160: Shifting Healthcare Policy in Surgery

CTSNet To Go

Play Episode Listen Later Jun 11, 2026 34:46


This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Nikki Stamp, a cardiothoracic surgeon at Mount Private Hospital in Perth, Western Australia, who also serves as an Adjunct Clinical Senior Lecturer at Curtin University, Australia, about shifting healthcare policy in surgery.   Chapters  00:00 Intro  01:45 ESTS 2026  02:01 Presidential Address  02:52 Keynote, Emerging Surgical Technologies  05:21 Segmentectomy vs Lobectomy  10:18 Other Key Presentations  11:34 JANS 1, Propensity Score Analysis  12:30 JANS 2, FILONEX Hemodiafiltration  13:21 JANS 3, Transplant Surgery at Night  14:29 Video 1, Aortic Dissection Presentations  15:36 Video 2, Endoscopic AV & AA Replacement  16:45 Video 3, Tetralogy Repair in an Infant  18:12 Dr. Stamp, Health Media & Policy  33:46 Career Center  34:03 Closing  They begin by discussing Dr. Stamp's professional background, including her experiences working with the media and the lessons she learned from it. They also explore the positive effects of social media for surgeons, such as networking and learning from peers. Additionally, they identify areas for improvement in aortic surgery and transplants. Dr. Stamp then shares her vision for the future of cardiothoracic surgery, emphasizing the need to reduce fragmentation of care and encourage professionals to focus their efforts on their specific specialties.   Joel also highlights recent JANS articles on a propensity score matching analysis on the risk of sternal wound infection in bilateral skeletonized internal thoracic artery in coronary artery bypass grafting, a prospective, randomized controlled pilot safety study evaluating the addition of hemodiafiltration to EVLP in marginal donor lungs, mechanical load inhibits cancer growth in mouse and human hearts, and outcomes of lung transplantation surgery performed at night  In addition, Joel explores totally endoscopic aortic valve and ascending aorta replacement, tetralogy repair in an infant, and a presentation from the 2026 Society for Cardiothoracic Surgery in Great Britain and Ireland Annual Meeting on aortic dissection.  Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  Risk of Sternal Wound Infection in Bilateral Skeletonized Internal Thoracic Artery in Coronary Artery Bypass Grafting: A Propensity Score Matching Analysis FILONEX—A Prospective, Randomized Controlled Pilot Safety Study Evaluating the Addition of Hemodiafiltration to EVLP in Marginal Donor Lungs Mechanical Load Inhibits Cancer Growth in Mouse and Human Hearts Outcomes of Lung Transplantation Surgery Performed at Night CTSNet Content Mentioned  SCTS 2026 | Aortic Dissection   Totally Endoscopic Aortic Valve and Ascending Aorta Replacement   Tetralogy Repair in an Infant   Other Items Mentioned  Career Center  CTSNet Events   Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

Dick En Daniël Geloven Het Wel
#249 Jan Poortman sprak op de EO Jongerendag, en moest dat van de Gereformeerde Gemeenten herroepen

Dick En Daniël Geloven Het Wel

Play Episode Listen Later Jun 5, 2026 50:35


Met Jan Poortman (82) en Joram Kaat, voor de tiende keer presentator van de EO Jongerendag. Die bestaat vijftig jaar – en zaterdag stromen er weer 15.000 tieners Ahoy in Rotterdam binnen. Voor hele generaties christenen een onvergetelijke ervaring. Maar voor Jan Poortman betekende het feest ook een ander verhaal. Het zijn de jaren tachtig. Jan is lid van de Gereformeerde Gemeenten, maar zit ook in het bestuur van de EO. In 1986 staat hij drie minuten op het podium: geschminkt, 15.000 paar ogen op zich gericht. God zorgt als een vader voor je, is zijn boodschap aan de jongeren voor hem. Dat zijn gevaarlijke, misleidende woorden volgens zijn eigen kerkverband. Hij moet ze herroepen in het landelijke kerkblad. Dat weigert Jan. Met zijn gezin moet hij noodgedwongen vertrekken uit zijn kerk. Vriendschappen worden beëindigd. En zijn vrouw staat alleen op het schoolplein. Joram Kaat luistert verbijsterd naar Jans verhaal. Voor hem is de EO Jongerendag juist een dag van samen je geloof vieren. Hij presenteert de dag voor de tiende keer. Thema dit jaar: Fearless Generation – over angst, onzekerheid en God die groter is. Dick en Daniël bespreken ook de toekomst van de Jongerendag. Een kaartje kost slechts 20 euro – terwijl een festival tegenwoordig moeilijk onder de honderd euro blijft. Dat lukt alleen dankzij donaties van oud-bezoekers die willen dat hun kinderen hetzelfde kunnen meemaken als zij. En Jan? Die is er - ondanks zijn 82 jaar - zaterdag gewoon weer bij.See omnystudio.com/listener for privacy information.

CTSNet To Go
The Beat With Joel Dunning Ep. 159: Aortic Root Enlargement

CTSNet To Go

Play Episode Listen Later Jun 4, 2026 38:07


This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Bo Yang, a cardiovascular and thoracic surgeon at the University of Michigan Health in Ann Arbor, Michigan, USA, about aortic root enlargement.   Chapters 00:00 Intro 02:37 JANS 1, WhatsApp for Patients 08:27 JANS 2, DCD Heart Transplant 11:07 JANS 3, TIGHT K Trial 13:18 JANS 4, RecoverHeart Calculator 15:57 Video 1, Self Constructed Valve 18:52 Video 2, MVR Sandwich Technique 20:43 Video 3, Distal Coronary Anastomosis Podcast 23:04 Dr. Yang, Annular Enlargement 36:31 Upcoming Events 37:26 Closing They explored Dr. Yang's participation in a debate regarding the use of aortic root enlargement for the majority of patients, addressing the opposing views against root enlargement and discussing the percentage of patients who undergo this procedure. The conversation also covered important topics such as the mean gradient dropping and the lifelong management of aortic valve disease. They emphasize the importance of maximizing the initial valve size for optimal outcomes. Additionally, Dr. Yang shared insights on his Y-incision technique, highlighting its advantages and effectiveness. They also examined whether this technique increases the length of the surgical procedure.   Joel also highlights recent JANS articles on exploring the use of instant messaging groups in the postoperative period for pectus excavatum patients, a multicenter retrospective study comparing DCD heart transplantation in Europe and the United States, six-month outcomes of a trial of potassium supplementation thresholds after cardiac surgery, and determining the individualized probability of myocardial recovery.  In addition, Joel explores self-constructed tubular heart valve using bovine pericardium for surgical treatment of tricuspid valve endocarditis, mitral valve repair using the sandwich technique for symmetrical bileaflet prolapse, and an episode of The Atrium podcast featuring host Dr. Alice Copperwheat speaking with Dr. Elan Burton about distal coronary anastomosis.    Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  Exploring the Use of Instant Messaging Groups in the Postoperative Period for Pectus Excavatum Patients A Comparison of DCD Heart Transplantation in Europe and the United States: A Multi-Centre, Retrospective Study Six-Month Outcomes of a Trial of Potassium Supplementation Thresholds After Cardiac Surgery Determining the Individualized Probability of Myocardial Recovery: The Multicenter RecoverHeart Calculator  CTSNet Content Mentioned  Self-Constructed Tubular Heart Valve Using Bovine Pericardium for Surgical Treatment of Tricuspid Valve Endocarditis  Mitral Valve Repair Using the Sandwich Technique for Symmetrical Bileaflet Prolapse   The Atrium: Distal Coronary Anastomosis  Other Items Mentioned  Career Center  CTSNet Events    Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

Abgefahrn-Podcast - Wohnmobile, Camping, Reisen
Tour de Hansestädte – Von roten Rosen, Schiffshebewerken und Hamburger Nächten

Abgefahrn-Podcast - Wohnmobile, Camping, Reisen

Play Episode Listen Later May 30, 2026 67:35


In dieser Episode dreht sich alles um Jans jüngsten Trip Richtung Küste. Eigentlich war der Arbeitstitel "Nord-Nordost", aber am Ende wurde eine Tour de Hansestädte daraus. Jan berichtet Axel und Thomas von seiner Route, die ihn vo NRW über ostwestfälische Städte bis mitten in den Hamburger Hafen geführt hat. Wir schnacken über kostenlose Stellplätze, warum man in Lüneburg plötzlich im Fernsehen landen kann und weshalb das Miniatur Wunderland auch nachts um eins noch flasht. Link zum Blogpost der Episode: https://www.abgefahrn-podcast.de/tour-de-hansestadte/ Link zu den Bildern: https://www.jandrea.com/womo-tour-im-april-2026 Grober Inhalt der Reise Jan ist mit dem Womo Richtung Nord-Nord-Ost gestartet. Die Route führte über: Rietberg: Ein spontaner Stop an der Ems mit einem überraschend guten (und kostenlosen!) Stellplatz. Lüneburg & Scharnebeck: Wo man als Statisten bei "Rote Rosen" durch Kamerabild laufen kann und am Schiffshebewerk dicke Pötte beim Fahrstuhlfahren beobachtet haben. An der Elbe entlang: Radtouren im ehemaligen Grenzgebiet – beklemmend und beeindruckend zugleich. Schwerin: Camping mit Wasserblick und einem Schloss in der Sonne. Wismar & Insel Poel: Frische Meeresbrise, Karstadt-Historie und schroffe Steilküsten. Hamburg: Das große Finale in Ovelgönne. Zwischen Musical-Besuch (Michael Jackson), einer privaten Stadtführung durch die "Greeter" und einer Nachtschicht im Miniatur Wunderland. Was nimmt man mit aus dieser Folge? Erstens: Sag in Hamburg niemals "Moin Moin", das ist Gesabbel! Zweitens: Wer im Norden mobil sein will, braucht ein Fahrrad (und wetterfeste Klamotten, Stichwort: Beanie unterm Helm). Jan gibt uns wertvolle Tipps für Stellplätze: Vom "Schulhof" in Rietberg bis zum exklusiven Parkplatz am Museumshafen Ovelgönne. Ein echtes Highlight war der "Perspektivwechsel" in Hamburg durch die Greeter und die Erkenntnis, dass Fischbrötchen und Franzbrötchen die wichtigsten Grundnahrungsmittel für jeden Camper im Norden sind. Links & Stellplätze aus der Sendung Stellplätze & Camping: ttps://park4night.com/de/place/341851 Scharnebeck: Stellplatz am Schiffshebewerk (einfach, aber spektakulär nah am Technik-Denkmal). https://park4night.com/de/place/70741 Lauenburg: direkt an der Elbe https://park4night.com/de/place/35369 Zarrentin: am Schaalsee https://park4night.com/de/place/52889 Schwerin: schnell mit dem Rad am Schloss https://park4night.com/de/place/177620 Wismar: Wohnmobilstellplatz am Hafen https://park4night.com/de/place/11247 Hamburg: Parkplatz am Museumshafen Ovelgönne (Reservierung Pflicht!) https://park4night.com/de/place/216433 Sehenswertes & Erlebnisse: Schiffshebewerk Scharnebeck: Infos zum Museum & Besichtigung Hamburg Greeter: Kostenlose, ehrenamtliche Stadtführungen Miniatur Wunderland Hamburg: Die größte Modelleisenbahn der Welt Musical: MJ – Das Michael Jackson Musical Und wie immer zum Schluss: Wir wünschen euch eine Handbreit Luft zwischen den Rädern und der Wasserkante 2 handbreit Franzbrötchen und Fischbrötchen in der Vorratskammer Sand unter dem Campingstuhl! Macht's gut und bis zum nächsten Mal beim abgefahren Podcast!

CTSNet To Go
The Beat With Joel Dunning Ep. 158: JACC: Case Reports

CTSNet To Go

Play Episode Listen Later May 28, 2026 36:43


This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Gilbert Tang, Editor-in-Chief of Journal of the American College of Cardiology (JACC): Case Reports, professor in the Department of Cardiovascular Surgery at the Icahn School of Medicine at Mount Sinai, surgical director of the Structural Heart Program at Mount Sinai Health System, and the director of Structural Heart Education at the Mount Sinai Fuster Heart Hospital in New York, NY, USA. They were joined by Drs. Mateo Marin-Cuartas, associate editor of JACC: Case Reports, CTSNet JANS Editor, and cardiac surgeon at Leipzig Heart Center, Germany, and Tsuyoshi Kaneko, Chair of American College of Cardiology (ACC) Cardiac Surgery Member Section and Chief of Cardiac Surgery at Washington University in St. Louis, MO, USA, to discuss JACC: Case Reports. Chapters 00:00 Intro 01:45 Instructional Video Competition 05:30 JANS 1, Lung Cancer Metastasis 09:08 JANS 2, Uncorrected Pectus 11:29 JANS 3, Ambulatory VV Life Support 13:38 JANS 4, EuroSCORE II 14:28 Video 1, TAVR Removal Double Patch 16:09 Video 2, ROK Procedure AF 17:46 Video 3, RATS Lobectomy 19:11 JACC Case Reports 35:28 Upcoming Events 36:03 Career Center They discussed the mission of the journal and the types of submissions it receives. They also covered the types of cases accepted and the various categories within the journal has, such as the "How We Did It" section. Additionally, they talked about the upcoming partnership between JACC: Case Reports and the ACC, as well as past collaborations that JACC has undertaken. Dr. Marin-Cuartas shared insights about his role as an associate editor and highlighted the most interesting case he has encountered in JACC: Case Reports. Furthermore, Dr. Kaneko discussed being the Chair of the ACC Cardiac Surgery Member Section. Joel also highlights recent JANS articles on the evolutionary characterization of lung cancer metastasis, the impact of severe uncorrected pectus excavatum on outcomes after aortic surgery in Marfan syndrome, determining an optimal central cannulation strategy for ambulatory veno-venous extracorporeal life support, and refitting EuroSCORE II for 120-day mortality after coronary artery bypass grafting using nationwide registry data. In addition, Joel explores complex imaging TAVR removal double patch double valve, RATS extended left upper lobectomy with intrapericardial vascular control and bronchoplasty, and ROK procedure for the treatment of atrial fibrillation. Before closing, Joel highlights upcoming events in CT surgery.   JANS Items Mentioned Evolutionary Characterization of Lung Cancer Metastasis Impact of Severe Uncorrected Pectus Excavatum on Outcomes After Aortic Surgery in Marfan Syndrome Determining an Optimal Central Cannulation Strategy for Ambulatory Veno-Venous Extracorporeal Life Support Refitting EuroSCORE II for 120-Day Mortality After Coronary Artery Bypass Grafting Using Nationwide Registry Data CTSNet Content Mentioned Complex Imaging TAVR Removal Double Patch Double Valve RATS Extended Left Upper Lobectomy With Intrapericardial Vascular Control and Bronchoplasty ROK Procedure for the Treatment of Atrial Fibrillation Other Items Mentioned JACC: Case Reports 2026 Instructional Video Competition Winners Career Center CTSNet Events   Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

Bern einfach
Parmelin gegen Jans, Beamtenferien, Geteilter Rösti, Ukrainer, gefährliche Muslime

Bern einfach

Play Episode Listen Later May 27, 2026 27:20 Transcription Available


Bundesrat Guy Parmelin widerspricht Beat Jans betreffend Personenfreizügigkeit. Die Beamten ab 60 erhalten weniger Ferien, einen Tag weniger. Bundesrat Albert Rösti ist «teilweise» physisch anwesend. Ukrainer sollen mehr arbeiten. Muslime neighen zu Islamismus.

Timo Schwarzmeier Tennispodcast
40null – Tennis ab 40: Jans Weg, Visionen und Herausforderungen

Timo Schwarzmeier Tennispodcast

Play Episode Listen Later May 22, 2026 50:15 Transcription Available


In dieser Folge spreche ich mit Jan, dem Kopf hinter 40null – Tennis ab 40. Wir sprechen darüber, was ihn mit dem Projekt antreibt und warum er mit seinem Projekt speziell Spieler ab 40 anspricht. Du erfährst, welche Herausforderungen Jan selbst als ambitionierter Tennisspieler erlebt, was er sich von Trainern, Tennisschulen und Verbänden für diese Altersgruppe wünscht und wo er 40null in fünf Jahren sieht. Wenn du selbst über 40 bist, Tennis liebst und dein Spiel trotz Job, Familie und weniger Zeit weiterentwickeln willst, ist diese Folge für dich gemacht.

Jan Thomas og Einar blir venner
En liten happening på rådhuset

Jan Thomas og Einar blir venner

Play Episode Listen Later May 21, 2026 58:52


Jan og Harlem har endelig giftet seg etter en sermoni på rådhuset. Det er ikke det eneste som peker i Jans retning: Han er i studio før Einar, og har skrevet sesongens første vårdic(k)t. Einar har opplevd 17. mai på sitt mest hektiske, og quizzer Jan (og seg selv) i forskning.nos quiz.Produsert av Martin Oftedal, PLAN-B Hosted on Acast. See acast.com/privacy for more information.

CTSNet To Go
The Beat With Joel Dunning Ep. 157: Failed Bioprostheses—The REPEAT Trial

CTSNet To Go

Play Episode Listen Later May 21, 2026 34:56


This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Enoch Akowuah, an academic consultant cardiothoracic surgeon at Newcastle University and South Tees NHS Foundation Trust, UK, and Dr. Matthias Raschpichler, a cardiac surgeon at Leipzig Heart Center, Germany, about the REPEAT trial. Chapters 00:00 Intro 02:21 JANS 1, NOBLE Trial 07:14 JANS 2, Ischemic Mitral Regurg MVR 08:58 JANS 3, Pregnancy Outcomes AVR 11:19 JANS 4, MCS LVAD Candidates 13:06 Video 1, Thoracoplasty 14:58 Video 2, Nuss Procedure After Ravitch 16:42 Video 3, Traumatic Right Main Bronchus 19:04 REPEAT Trial, Bioprostheses 32:22 Upcoming Events 32:46 Closing They discussed the trial's objectives, including what it is, why it is needed, and its overall goals. The setup of the trial was also examined, covering aspects such as funding, composite outcome, and follow-up procedures. Additionally, they addressed the target number of patients required for recruitment and the efforts involved in recruiting patients and centers to participate in the trial. They emphasized the overall significance of the trial, outlining what is necessary for its success and highlighting the importance of collaboration among heart teams. Joel also highlights recent JANS articles on percutaneous coronary intervention vs coronary artery bypass grafting for unprotected left main stenosis, a two-decade experience on the outcomes of mitral valve repair in ischemic mitral regurgitation, maternal, valvular and fetal outcomes of pregnancy following aortic valve replacement, and temporary mechanical circulatory support in left ventricular assist device candidates with right ventricular dysfunction. In addition, Joel explores if forgotten techniques of thoracoplasty with latissimus dorsi myoplasty are relevant today, the Nuss procedure after previous Ravitch operation, and uniportal VATS repair of traumatic right main bronchus transection following blunt chest injury. Before closing, Joel highlights upcoming events in CT surgery.   JANS Items Mentioned Percutaneous Coronary Intervention Versus Coronary Artery Bypass Grafting for Unprotected Left Main Stenosis: 10-Year Final Results From the Randomised, Open-Label, Non-Inferiority NOBLE Trial Outcomes of Mitral Valve Repair in Ischemic Mitral Regurgitation: A Two-Decade Experience Maternal, Valvular and Foetal Outcomes of Pregnancy Following Aortic Valve Replacement  Temporary Mechanical Circulatory Support in Left Ventricular Assist Device Candidates With Right Ventricular Dysfunction: Acuity Without Long-Term Futility CTSNet Content Mentioned Are the Forgotten Techniques of Thoracoplasty With Latissimus Dorsi Myoplasty Relevant Today?  Nuss Procedure After Previous Ravitch Operation  Uniportal VATS Repair of Traumatic Right Main Bronchus Transection Following Blunt Chest Injury  Other Items Mentioned The REPEAT Trial Career Center CTSNet Events Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

Weltwoche Daily
Jans, Baume-Schneider und Co.: Fake News ohne Grenzen – Weltwoche Daily CH

Weltwoche Daily

Play Episode Listen Later May 20, 2026 21:17


⭐️ Weltwoche daily ohne externe Video-Werbung geniessen? Werden Sie Abonnent! ▶️ https://weltwoche.ch/abonnemente/ Themen in diesem Video: Jans, Baume-Schneider und Co.: Fake News ohne Grenzen. Merz lässt Parmelin im Stich. Stahlstreit: Willkür statt Rechtssicherheit in der EU Kostenlos informiert:

Jan Bahmann Wohlfühlfigur Podcast
#468 - Ich kann's immer noch nicht begreifen.. So funktioniert Jans Methode

Jan Bahmann Wohlfühlfigur Podcast

Play Episode Listen Later May 17, 2026 47:57


Tanja war 55, wog über 85 kg bei 1,60m und hatte nach jahrelangen gescheiterten Diäten aufgegeben. "Ich habe mich als Versagerin gefühlt", erzählt sie.Nach unzähligen Radikaldiäten, von Suppendiät bis Low-Carb, kamen die Kilos immer zurück. Sie dachte, der Zug sei abgefahren. Dann passierte etwas, das alles veränderte.In diesem Interview erfährst du, wie Tanja innerhalb von 10 Monaten 30 kg abnahm und seit über 6 Monaten mühelos hält. Ohne Verzicht, ohne Hungern, ohne typischen Jojo-Effekt.Was sind deine absoluten Gamechanger? Kannst du dich in Tanjas Geschichte wieder erkennen? Was nimmst du mit? Schreib es in die Kommentare!Support the show

Bern einfach
Jans in der Arena, die neuste Kampagne der Gegner, Xi und Trump, Österreichs Regierung

Bern einfach

Play Episode Listen Later May 15, 2026 25:24 Transcription Available


Beat Jans schlägt sich gut in der Arena. Chinas Xi und US-Präsident Trump verstehen sich – besser als befürchtet. Österreich hat eine stabile Koalition – aus Angst vor der rechten FPÖ.

CTSNet To Go
The Beat With Joel Dunning Ep. 156: Ascending Stent Graft—ARISE III Trial

CTSNet To Go

Play Episode Listen Later May 14, 2026 34:57


This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Brad Leshnower, Director of Aortic Surgery at Emory University Hospital in Atlanta, GA, USA, about the first implantation of the Gore Ascending Stent Graft in the ARISE III trial for the treatment of an acute type A dissection. Chapters 00:00 Intro 02:26 New CTSNet Website 03:31 JANS 1, Thromboendarterectomy Fellowship 05:28 JANS 2, Sodium-Glucose Cotransporter 2 Inhibitor 07:36 JANS 3, Type A Acute Aortic Dissections 09:51 JANS 4, Asymptomatic Aortic Stenosis at 10 Years 11:46 Video 1, Nuss Procedure w Chrondrotomies 13:08 Video 2, Cardiac Redo Surgery 14:52 Video 3, Uniportal Lobectomy Bronchial Reimplantation 16:13 Dr. Leshnower, Ascending Stent Grafts 32:51 Career Center 33:52 Closing They discussed Dr. Leshnower's experience with this groundbreaking implantation, including the case details such as the patient's medical history, the assessment of the patient's high-risk status, and the criteria for determining their suitability for the procedure. Imaging techniques and the contributions of the other surgeons involved in the case were also highlighted. Furthermore, they delved into the use of the stent in previous ARISE trials and what Dr. Leshnower learned from those early experiences. The conversation also covered topics such as proximal placement, the innominate artery, and the preoperative planning required for the trial. Dr. Leshnower also shared what he learned from this case and discussed the future of the stent graft and this technique. Joel also highlights recent JANS articles on the safety and efficacy of a dedicated pulmonary thromboendarterectomy fellowship, sodium-glucose cotransporter 2 inhibitor use and outcomes after surgical aortic valve replacement, association between surgical timing and postoperative outcomes in type A acute aortic dissection, and early surgery or conservative care for asymptomatic aortic stenosis at 10 years. In addition, Joel explores the Nuss procedure with midline chrondrotomies in severe pectus excavatum, redo surgery for failed MVr, iatrogenic ASD, tricuspid valve regurgitation, and aorta replacement, and uniportal VATS left lower sleeve lobectomy with upper lobe bronchial reimplantation for typical carcinoid tumor. Before closing, Joel highlights upcoming events in CT surgery.   JANS Items Mentioned Safety and Efficacy of a Dedicated Pulmonary Thromboendarterectomy Fellowship: The UK Experience at a High-Volume Center Sodium-Glucose Cotransporter 2 Inhibitor Use and Outcomes After Surgical Aortic Valve Replacement Association Between Surgical Timing and Postoperative Outcomes in TypeAAcute Aortic Dissection Early Surgery or Conservative Care for Asymptomatic Aortic Stenosis at 10 Years  CTSNet Content Mentioned The Nuss Procedure With Midline Chrondrotomies in Severe Pectus Excavatum  Redo Surgery for Failed MVr, Iatrogenic ASD, Tricuspid Valve Regurgitation, and Aorta Replacement  Uniportal VATS Left Lower Sleeve Lobectomy With Upper Lobe Bronchial Reimplantation for Typical Carcinoid Tumor  Other Items Mentioned ARISE III Trial of Gore Ascending Stent Graft Begins Enrollment How to Navigate the New CTSNet Website Career Center CTSNet Events Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

Ask A Death Doula
A Mother's Day Reflection on Caregiving, Community, and Bringing End-of-Life Wisdom Back Home

Ask A Death Doula

Play Episode Listen Later May 12, 2026 20:40


In this deeply emotional Mother's Day episode, Suzanne B. O'Brien RN shares one of the most sacred callings many of us will ever experience: walking our mothers home at the end of life. As daughters, mothers, caregivers, nurses, and women in community, we are so often the ones called forward to care for those we love through aging, illness, and the final transition. Yet most families today are trying to navigate end-of-life care without the knowledge, preparation, or support that once was naturally handed down from grandmother to grandchild. And the result is heartbreaking. Families are overwhelmed. Terrified. Exhausted. Grieving while caregiving. Trying to do the most important work of their lives without the skills or understanding to feel grounded and empowered. In this episode, Suzanne speaks openly about: The truth behind the current hospice model Why families provide 98% of the hands-on care, even with hospice involved How hospice shifted after becoming a Medicare benefit Why most people enter hospice very late, often already in crisis The devastating impact fear of death has on quality of life, caregiving, grief, and bereavement Why presence and time are the greatest medicines we have at the end of life The sacred role of “mothering our mothers” as they age and transition across the veil How learning end-of-life skills transforms fear into peace, empowerment, grounded presence, and love Suzanne also shares a heartfelt call for women everywhere to rise into a new era of compassionate caregiving and conscious community support — bringing back the sacred human wisdom that once guided families through life, death, grief, and love. Because this moment is asking us to remember: Community takes care of community. And when we learn how to show up for one another with presence, compassion, and practical skills, everything changes. This is the heart of Doulagivers Institute: To return end-of-life education and caregiving skills back to the hands and hearts of families. The free Doulagivers Level 1 End-of-Life Doula Family Caregiver Training is now available globally in 15 languages and has helped transform the lives of hundreds of thousands of people around the world. This free 90-minute live training includes: A downloadable workbook Practical end-of-life caregiving education Understanding the three phases of end of life Emotional, spiritual, and physical comfort measures Guidance for families and caregivers A new way of approaching life and death with peace instead of fear And the impact has been profound. What Participants Are Saying “My sweet sister passed away last night after fighting Multiple Myeloma for almost five years. Because of your EOLD training I was able to be fully present with no fear. Thank you from the bottom of my heart.” — Cathy S. “I am a retired nurse with an extensive background in oncology, critical and palliative care. That was the BEST 90 minutes of clear comprehensive education on end-of-life care I have ever heard. Excellent!” — Jan S. “The Doulagivers Level 1 Training was life changing for me! Had the BEST night of sleep in over 30 years!” — Ruth Moss “I was drawn to the Doulagivers Level 1 Training in search of help with grief. I had tried grief counseling, therapists, and workshops, but nothing helped. This training changed everything for me. I can now see how deeply connected end-of-life education is to healing grief and loss. I feel very connected here.” — Kristen O. “When my son died, I felt broken when he kept saying he wanted to go home. I replied that he was home. I get it now. He was telling his momma he was ready to go. Thank you.” — Theresa H. “Thank you! Thank you! Thank you! I feel healed from my parents' death issues that I have carried for over 40 years. Your compassion comes through every word.” — Viv H. This training is more than education. It is healing. It is empowerment. It is remembering who we are for one another. Join the Free Global Training One training can truly change your life. Grab your seat for the next free Doulagivers Level 1 End-of-Life Doula Family Caregiver Training and share it with those you love. https://www.doulagivers.com/monthly-free-class-register Because this is how we change the world: One family, one community, one heart at a time. About Suzanne B. O'Brien RN Suzanne B. O'Brien RN is an oncology and hospice nurse, founder of Doulagivers Institute, international bestselling author of The Good Death, and a global leader in end-of-life education and conscious living. She has trained over 400,000 people worldwide in compassionate end-of-life care and believes that death is not a medical experience — it is a human one. #EndOfLifeCare #MothersDay #Caregiving #Hospice #DeathDoula #Doulagivers #TheGoodDeath #FamilyCaregiver #ConsciousLiving #GriefSupport #AgingWell #CommunityCare #LifeAndDeath #SacredCaregiving

Weltwoche Daily
Fake News auf allen Kanälen: Propaganda gegen die SVP-Initiative – Weltwoche Daily CH

Weltwoche Daily

Play Episode Listen Later May 4, 2026 25:18


⭐️ Weltwoche daily ohne externe Video-Werbung geniessen? Werden Sie Abonnent! ▶️ https://weltwoche.ch/abonnemente/ Themen in diesem Video: Fake News auf allen Kanälen: Propaganda gegen die SVP-Initiative. Jans, Baume-Schneider: Skandalöse Volksbelügung. Migros-Chef kritisiert und profitiert (was er verschweigt). Elisabeth Schneider-Schneiter jammert über Beleidigungen Kostenlos informiert:

Luonto-Suomi
Linnunlaulujen aamu

Luonto-Suomi

Play Episode Listen Later May 3, 2026 88:08


Ainakin yksi kevätaamu kannattaa valvoa lintujen konserttia kuunnellen. Keväisessä yössä valvovat tällä kertaa lintuasiantuntija Jan Södersved Birdlifesta, tutkijatohtori Patrik Lauha, Asko Hauta-aho ja Minna Pyykkö. Varhaisimmat linnut, rastaat ja punarinnat, ovat olleet äänessä jo pimeässä. Vähitellen aamukonserttiin on liittynyt mukaan yhä uusia laulajia. Yhä uudet nokat ovat avautuneet auringon nousun aikaan kertoakseen reviirien rajoista ja omasta kelpoisuudesta puolisoina – tai mistä linnut nyt sitten ikinä laulavatkaan. Ohjelman äänisuunnittelusta vastaa Viktor Sevrjugin. Linnunlaulujen aamun viimeinen osuus on kuultavissa Minna Pyykön maailma -ohjelmassa.

Minna Pyykön maailma
Linnunlaulujen aamu Lohjalla

Minna Pyykön maailma

Play Episode Listen Later May 3, 2026 30:05


Mitkä linnut olivat äänessä Lohjalla sunnuntaiaamuna? Kuultiinko tällä kertaa vihellysten, pärinöiden, räpätysten, lurittelujen ja sirkutusten lomassa myös pulloon puhaltelua tai kavioiden kopsetta? Minna Pyykkö oli lintuasiantuntija Jan Södersvedin, tutkijatohtori Patrik Lauhan ja luontotoimittaja Asko Hauta-ahon kanssa Vaanilanlahden rannassa raportoimassa suorana kuluneen yön ja aamun tunnelmista. Aamussa oli mukana myös Rory Cobbe Irlannin radiosta RTEstä, jonka legendaarisessa Dawn Chorus- ohjelmassa lohjalaiset linnut konsertoivat myös aamun mittaan.

mitk jans dawn chorus aamu lohjalla aamussa asko hauta
CTSNet To Go
The Beat With Joel Dunning Ep. 154: The Heart Sapling Program and Minimally Invasive Surgery in China

CTSNet To Go

Play Episode Listen Later Apr 24, 2026 36:08


This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Zhi Lin, Chief Director of Cardiovascular Surgery Division 1 at Xiamen Cardiovascular Hospital of Xiamen University in Xiamen, China, and Dr. Oscar A. Flores Flores, a cardiothoracic surgeon at Hospital Civil de Guadalajara Fray Antonio Alcalde in Guadalajara, Mexico, about The Heart Sapling Visiting Scholar Program. Chapters 00:00 Intro 02:22 AATS, UAE Conference, King Faisal 05:28 JANS 1, LAA Closure vs Therapy AF 09:53 JANS 2, Thrombus-Free LAA Occlusion 11:49 JANS 3, Immunosuppression & Retransplantation 13:06 JANS 4, Biomarkers & Outcomes Isolated CABG 15:18 Video 1, Rheumatic MV Reconstruction 17:02 Video 2, Morgagni Hernia 18:07 Video 3, Robotic Excision Anterior Mediastinal 19:35 Lin Zhi & Oscar Flores, Chinese Fellowship & Surgery 34:25 Upcoming Events 35:13 Closing Dr. Flores discusses what the program entails, sharing his experience as a fellow and the opportunities he gained from it. Dr. Lin then outlines the program's goals and the various procedures that can be learned at Xiamen Cardiovascular Hospital of Xiamen University, which hosts the program. They also cover how to join the program and the application process. Furthermore, they discuss minimally invasive procedures in China and how this approach is growing in popularity. Joel also highlights recent JANS articles on left atrial appendage closure or medical therapy in atrial fibrillation, long-term thrombus-free left atrial appendage occlusion via magnetofluids, implications of immunosuppression and retransplantation for donor-derived cell-free DNA associated with increased risk of chronic lung allograft dysfunction and mortality, and immunosenescence biomarkers and outcomes in isolated coronary artery bypass grafting.  In addition, Joel explores rheumatic mitral valve reconstruction, tips for the surgical management of a Morgagni hernia, and right robotic excision of anterior mediastinal mass. Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  1. Left Atrial Appendage Closure or Medical Therapy in Atrial Fibrillation  2. Long-Term Thrombus-Free Left Atrial Appendage Occlusion Via Magnetofluids  3. Donor-Derived Cell-Free DNA Associated With Increased Risk of Chronic Lung Allograft Dysfunction and Mortality: Implications of Immunosuppression and Retransplantation  4. Immunosenescence Biomarkers and Outcomes in Isolated Coronary Artery Bypass Grafting  CTSNet Content Mentioned  1. Rheumatic Mitral Valve Reconstruction  2. Tips for the Surgical Management of a Morgagni Hernia  3. Right Robotic Excision of Anterior Mediastinal Mass  Other Items Mentioned  1. Endoscopic Cone Repair in an Adult Patient With Ebstein Anomaly    2. CTSNet Website Redesign: Important Updates and Transition Details   3. Career Center   4. CTSNet Events Calendar  Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

Bathina – en podcast
409. Jan Söderqvist - Därför offrades Birgitte Bonnesen

Bathina – en podcast

Play Episode Listen Later Apr 22, 2026 62:50


I dagens avsnitt gästar författaren och journalisten Jan Söderqvist. Vi pratar om hans nya bok Avrätta, om fallet Birgitte Bonnesen, hur ett mediedrev kan växa sig större än sanningen och varför förtroendet för både journalistik och myndigheter har fått sig en rejäl törn. Produceras av More Than Words

jans avr more than words produceras birgitte bonnesen
CTSNet To Go
The Beat With Joel Dunning Ep. 152: Utilizing AI in Cardiothoracic Surgery

CTSNet To Go

Play Episode Listen Later Apr 16, 2026 32:13


This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Zain Khalpey, an assistant attending surgeon at NewYork-Presbyterian/Columbia University Irving Medical Center, NY, USA, adjunct assistant professor of surgery at Columbia University Irving Medical Center, NY, USA, and Chief Medical AI Officer, Chair of Applied Clinical AI, and Director of Applied Translational Artificial Research Institute (ATARI), AZ, USA, about utilizing artificial intelligence (AI) in cardiothoracic surgery. Chapters 00:00 Intro 01:42 Upcoming CTSNet Activities 03:01 Website Transition 03:54 JANS 1, Mech vs Bio AVR in 50–70 YO 08:16 JANS 2, Abnormal Bleeding in OR 10:26 JANS 3, Intraop Assessment RV Function 11:54 JANS 4, Laser Anastomosis System CABG 14:49 Video 1, RAMT AVR Hemiarch Replacement 16:23 Video 2, Big Cyst & Small Incisions 17:33 Video 3, Left VATS Pneumonectomy 19:55 Dr. Khalpey, AI in CT Surgery 30:28 Upcoming Events 31:48 Closing They discuss the importance of ethical AI being and address risk scores. The conversation also covers the application of AI in preoperative, intraoperative, and postoperative settings, as well as predictive algorithms and the benefits of integrating AI within cardiothoracic surgery. Additionally, they emphasize that there will always be a need for surgeons, as AI cannot replace human expertise.   Joel also highlights recent JANS articles on a systematic review and meta-analysis on mechanical vs biological aortic valve replacement in patients aged 50-70 years, an observational study of inter-rater reliability between anesthetists and surgeons on abnormal bleeding in the cardiac operating room, advancing intraoperative assessment of right ventricular function, and the excimer laser assisted non-occlusive anastomosis (ELANA) anastomotic system surgical technique to construct distal anastomoses using a novel device in coronary artery bypass grafting.  In addition, Joel explores a right anterior minithoractomy aortic valve replacement, ascending aorta, and hemiarch repair, thoracoscopic resection of a large mediastinal cyst, and left VATS pneumonectomy in pediatric pulmonary mucoepidermoid carcinoma. Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  1. Mechanical Versus Biological Aortic Valve Replacement in Patients Aged 50-70 Years: A Systematic Review and Meta-Analysis  2. Abnormal Bleeding in the Cardiac Operating Room: An Observational Study of Inter-Rater Reliability Between Anesthetists and Surgeons  3. Echocardiographic Correlates of Pressure-Volume-Derived Indices: Advancing Intraoperative Assessment of Right Ventricular Function  4. The Excimer Laser Assisted Non-Occlusive Anastomosis (ELANA) Anastomotic System Surgical Technique to Construct Distal Anastomoses Using a Novel Device in Coronary Artery Bypass Grafting  CTSNet Content Mentioned  1. Right Anterior Minithoractomy Aortic Valve Replacement, Ascending Aorta, and Hemiarch Repair   2. When Size Is Not a Limitation: Thoracoscopic Resection of a Large Mediastinal Cyst   3. Left VATS Pneumonectomy in Pediatric Pulmonary Mucoepidermoid Carcinoma   Other Items Mentioned  1. Website Blackout Notice!  2. Career Center   3. CTSNet Events Calendar  Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

Jan Thomas og Einar blir venner
SnikkSnakk: Jans "utdrikningslag"

Jan Thomas og Einar blir venner

Play Episode Listen Later Apr 13, 2026 17:15


Jan avslører sine planer for utdrikningslaget, som står til stryk i Einars definisjon av konseptet, som inneholder både "drikke" og "lag".Produsert av Martin Oftedal, PLAN-B Hosted on Acast. See acast.com/privacy for more information.

Les chemins de la philosophie
Jésuites vs jansénistes : clash sur la grâce !

Les chemins de la philosophie

Play Episode Listen Later Apr 8, 2026 58:16


durée : 00:58:16 - Avec philosophie - par : Géraldine Mosna-Savoye, Nassim El Kabli - Pascal interroge le rôle de Dieu dans la destinée humaine. Pour lui, l'homme oscille entre liberté et dépendance divine, confronté à ses limites et à sa finitude. Mais alors, comment penser la tension entre providence divine et responsabilité humaine ? - réalisation : Nicolas Berger - invités : Anne Régent-Susini Professeure de littérature française du XVIIe siècle à l'Université Sorbonne-nouvelle; Laurent Thirouin Professeur de littérature française du XVIIe siècle à l'Université Lumière Lyon 2

atomar audio | Techno Podcast
atomar audio -297- JANSØ

atomar audio | Techno Podcast

Play Episode Listen Later Apr 7, 2026 60:09


Podcast 297 of atomar audio, featuring cutting edge techno artists. This week we present you JANSØ from Detroit, United States. JANSØ: @soyjanso IG: instagram.com/soy.janso atomar audio: www.facebook.com/atomar.audio www.instagram.com/atomaraudio/

Jan Thomas og Einar blir venner
Litt om livet, litt om døden

Jan Thomas og Einar blir venner

Play Episode Listen Later Apr 2, 2026 39:58


I anledning skjærtorsdag har dagens episode passende nok en mer bibelsk ramme enn vanlig. Det reflekteres over livet, over døden, Johannes 3:16 (i anledning episode 316) og kommunale begravelser. Men frykt ikke; vi får også høre om Jans siste forsøk på å være folkelig, og Einars utfordringer med en innkjøpt stakemaskin. Produsert av Martin Oftedal, PLAN-B Hosted on Acast. See acast.com/privacy for more information.

CTSNet To Go
The Beat With Joel Dunning Ep. 151: Percutaneous CABG Technique—The VECTOR Procedure

CTSNet To Go

Play Episode Listen Later Apr 2, 2026 43:22


This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Adam Greenbaum, an Associate Professor of Medicine at Emory School of Medicine and Co-director of the Emory Structural Heart and Valve Center, Atlanta, GA, USA, about the groundbreaking percutaneous coronary artery bypass graft procedure he developed called the ventriculo-coronary transcatheter outward navigation and reentry (VECTOR) procedure. Chapters 00:00 Intro 02:46 FDA Device Recall 03:52 JANS 1, CDC WONDER Aortic Stenosis 06:10 JANS 2, Free vs In-Situ RIMA-CABG 08:04 JANS 3, AF Worsens Outcome of MVR 09:52 JANS 4, EXCEL Trial 12:29 New Website 13:43 Video 1, Ross Procedure Technique 16:16 Video 2, Total Arch Replacement 18:38 Video 3, Pleural Sepsis Podcast 20:51 Dr. Greenbaum, VECTOR Procedure 40:34 Upcoming Events 41:18 Career Center 41:43 Closing They delved into the development and rationale behind this innovative technique, which aims to provide a solution for patients with no other options, particularly those with narrow sinuses or low-lying coronaries. Additionally, they discussed other leaflet modification methods and the criteria for patient selection for the VECTOR procedure. The conversation also covered the technical steps involved in the procedure, along with specific cases in which it has been utilized, as well as the challenges faced and troubleshooting done by the surgeons. Finally, they explored the future of this procedure.   Joel also highlights recent JANS articles on concerning trends seen in aortic stenosis-related mortality, a meta-analysis on free vs in-situ right internal mammary artery as a conduit in coronary artery bypass surgery, if atrial fibrillation worsens outcome of mitral valve repair for degenerative mitral regurgitation, and the EXCEL trial on spontaneous myocardial infarction after left main revascularization.  In addition, Joel explores the Ross procedure with annular stabilization, interposition graft, and loose-jacket technique, total arch replacement with a novel dual stent device, and an episode of The Atrium podcast featuring host Dr. Alice Copperwheat speaking with Professor Eric Lim about pleural sepsis. Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  1. ‘Concerning' Trends Seen in Aortic Stenosis-Related Mortality: CDC WONDER  2. Free vs In-Situ Right Internal Mammary Artery as a Conduit in Coronary Artery Bypass Surgery: A Meta-Analysis  3. Atrial Fibrillation Worsens Outcome of Mitral Valve Repair for Degenerative Mitral Regurgitation: Long-Term Follow-Up of 959 Patients  4. Spontaneous Myocardial Infarction After Left Main Revascularization: The EXCEL Trial  CTSNet Content Mentioned  1. Ross Procedure With Annular Stabilization, Interposition Graft, and Loose-Jacket Technique   2. Total Arch Replacement With a Novel Dual Stent Device   3. The Atrium: Pleural Sepsis   Other Items Mentioned  1. Percutaneous Aorto-Coronary Bypass Graft to Prevent Coronary Obstruction Following TAVR: First Human VECTOR Procedure  2. Website Blackout Notice!  3. Career Center   4. CTSNet Events Calendar  Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

Living The Next Chapter: Authors Share Their Journey
E692 - Sandra Freels - Anneke Jans in the New World - an ordinary woman who lived an extraordinary life

Living The Next Chapter: Authors Share Their Journey

Play Episode Listen Later Mar 27, 2026 47:01


Send us Fan MailEPISODE 692 - Sandra Freels - Anneke Jans in the New World - an ordinary woman who lived an extraordinary lifeOriginally from Indiana, Sandra Freels majored in Russian at Indiana University and then completed a PhD in Slavic Languages and Literatures at Stanford University. The author of three textbooks, for many years she headed the Russian Program at Portland State University. An interest in genealogy led Sandra to the Council Records of New Netherland and the delicious stories of the people who once lived there. She claims descent from Anneke Jans and sixteen other major and minor characters in her debut novel, Anneke Jans in the New World. Sandra at present lives in Portland, Oregon, with her husband Joel and their two cats.COMING JANUARY 6, 2025Timed perfectly to publish just as New York celebrates its 400th birthday, a riveting story of a spirited young mother who faces the unknowns of seventeenth-century New Amsterdam after fleeing the Old World in search of a better life.It's 1630, and Anneke Jans has just arrived in the fledgling colony of New Netherland with her husband, Roelof, and their two young daughters to create a new life for herself and her family. One of very few women in the colony, Anneke quickly realizes that she will need to make her own rules if she is to survive.When Roelof dies, Anneke marries Everardus Bogardus, the flamboyant minister of the Dutch Reformed Church. With this marriage, Anneke joins the elites of the colony—but when the colony's new director provokes war with the region's American Indians and her new husband emerges as the head of the anti-war opposition, she also finds herself in the midst of political turmoil. As difficulties mount, she must rely more than ever on her quick wits to protect herself and her growing family.Based on real events, Anneke Jans in the New World tells the story of an ordinary woman who lived an extraordinary life.https://sandrafreels.com/Support the show___https://livingthenextchapter.com/podcast produced by: https://truemediasolutions.ca/Coffee Refills are always appreciated, refill Dave's cup here, and thanks!https://buymeacoffee.com/truemediaca

Weer een dag
#909 - RON JANS ÍS GEEN KEUKENROL - donderdag 26 maart 2026

Weer een dag

Play Episode Listen Later Mar 26, 2026 23:23


mona keijzer / henk vermeer / straat van hormuz / speurhond monster / arvo pärt productie: meer van ditmuziek: keez groentemanwil je adverteren in deze podcast? stuur een mailtje naar: adverteerders (direct): adverteren@meervandit.nl(media)bureaus: adverteren@bienmedia.nl Hosted on Acast. See acast.com/privacy for more information.

The Uptime Wind Energy Podcast
Aerones Robots Scale LEP Repairs Across the US

The Uptime Wind Energy Podcast

Play Episode Listen Later Mar 26, 2026 31:30


Dainis Kruze and Janis Putrams, co-founders of Aerones, welcome Allen to their new Denton, Texas facility to discuss robotic spray-coat LEP repairs, third-generation internal blade crawlers, and their US-made inspection drone that eliminates Chinese components. Sign up now for Uptime Tech News, our weekly newsletter on all things wind technology. This episode is sponsored by Weather Guard Lightning Tech. Learn more about Weather Guard’s StrikeTape Wind Turbine LPS retrofit. Follow the show on YouTube, Linkedin and visit Weather Guard on the web. And subscribe to Rosemary’s “Engineering with Rosie” YouTube channel here. Have a question we can answer on the show? Email us! Welcome to Uptime Spotlight, shining light on Wind. Energy’s brightest innovators. This is the Progress Powering Tomorrow. Allen Hall: Dainis and Janis, welcome back to the program.  Dainis Kruze: Thank you, Alan, for visiting us, uh, in, in our new facility.  Allen Hall: Yeah. Is a great new facility. We’re in Denton, Texas, which is just north of Dallas. Uh, and you move from. Lake Dallas area. Mm-hmm. And we had visited that facility a year or so ago. This new facility is amazing. It’s what, probably four times the size. Yeah. Maybe a little bit bigger. And it is, uh, indicative of the growing business that Aeros has in the United States. And that’s wonderful. Uh, and I’m glad I could catch you in Texas ’cause I know you, you guys are running around the world all the time. Uh, I think the last time I was at. A facility with both of you was over in Riga?  Dainis Kruze: Yes.  Allen Hall: Uh, probably two years ago now. Oh,  Dainis Kruze: yeah.  Allen Hall: So I saw the Riga operation and, and now we’re seeing [00:01:00]the, the Denton US operation. You have facilities in other places too, right?  Dainis Kruze: A small one in Australia, but, but yeah, the main facilities in Riga and the second biggest one here in, in Dallas. Allen Hall: A lot of technology changes since Rose Riga. Uh. Leading edge being the big one, leading edge protection materials. And when I talk to US operators, even operators in Australia, we’re just there. They love the idea and the application of a robot for leading edge repairs.  Dainis Kruze: Oh yeah,  Allen Hall: it makes total sense. It’s one of those areas that, uh, Rons has shown you can do this with a robot much more consistently. Has that business grown quite a bit since you first started it?  Dainis Kruze: Oh yeah. Oh yeah. We did more than 500 turbines last year, so we. The plan for this season is about one and a half thousand turbines, so it is growing quite a lot.  Allen Hall: So the, the speed and the quantity of robots here in the United States is must have grown considerably. Dainis Kruze: Oh, yeah. Uh, one team now gets [00:02:00] up to 15 turbines a month. So if it’s category one or two turbine, uh, leading edge, uh, erosion, it’s about one day to do one turbine category three. Uh, one turbine is being done in two days, and we are talking about like 12 meter repair. It’s not a spot repair, it’s a full repair, like  Allen Hall: full repair. Okay.  Dainis Kruze: Yeah.  Allen Hall: And the robot technology and the, the amount of technology on the robot is behind us has grown quite a bit. Uh oh. Yeah. You’re learning as you’re going. Obviously. I looked at a number of robots in at the Denton facility. Smarter robots. More data, more consistency. Particularly because the leading edge protection materials require a lot more care than rope technicians can generally create on site. Right. Walk us through what this robot is doing, why it’s doing what it’s doing, and, and like the, the quality you get coming out of it. ’cause what I see behind me is really nice. Better than, than [00:03:00] what I’ve seen typically coming out of a factory.  Janis Putrams: Yeah. So multiple things actually we’ve been. Kind of what we’ve been hearing sometimes is that, um, that material’s good, the application seems good, but then it comes off after some time and you don’t understand what’s what happened, right? Yeah. So we understood to, to make it right. We need to make sure that both the kind of, we take the full ownership for the, for the whole process, for the application. And so we’ve been investing quite a lot in our lab to, to actually understand what the material needs, how the surface needs to be, be prepared. How do we measure it? How do we make sure the process is right? So actually what we saw is that, yeah, making sure adhesion, uh, is, is right, is is very important part. Also, when you go out there, there’s a quite a spectrum of the weather forecast, like information. You have humidity, you have temperatures, and you need to be able to guarantee the, the, yeah, the output in all of that spectrum. So yeah, we’ve done quite a lot on, [00:04:00] uh, on those. And  Allen Hall: so from a technology perspective, you’re incorporating all those measurements actually into the robot. So you know what the temperature was when the application was made, you know what the humidity was, you know what the mixture was exactly. Remember the temperature of the, the ingredients that went into make the, the LEP material. That’s remarkable. And now it’s, uh, I think a lot of people think of LEP as being something you would apply with a, you see it still, you see it with rollers and sort of. Basic human tools. You’re spray coating today. Yes.  Janis Putrams: Yes.  Allen Hall: And the, the smoothness of that coating is remarkable.  Janis Putrams: Yeah. For example, I dunno if you, if you know in factories where the cars are made Yeah. You don’t see people rolling the car. Yeah. So, because the, the spraying technology, it enables us to actually guarantee the robot when it moves, it moves in a constant speed. It’s not manually, it’s kind of on a cruise control. So it’s, it’s moving in a constant speed [00:05:00] and the spraying is constant. And so yeah, the, the thickness is, is, is always the same. And also it kind of nicely tempers off on the, on the sides. So there’s no vortexes, kind of, no aerodynamics loss. Uh, so yeah, it, it comes out very, very nice and  well.  Allen Hall: That’s the thing about when you put a leading edge coating on, a lot of times there’s a taped edge or a hard edge there. And then they gotta come back and try to fill it. Or maybe they don’t fill it and the filler doesn’t stay. It may. I’ve seen all varieties of that. So when you spray coat it, not only do you get a very smooth finish, aerodynamically, you lose the step on the backside. Right. So the, the entire assembly is, is just more aerodynamic. And that’s the reason you’re doing in the first place. Mm-hmm. It’s not just we’re recovering this shape. Yes, you’re recovering the shape, but you’d like to get some more power outta your, your turbines. That makes sense to me. When you’re, uh, cleaning the blade too. There’s a lot of technology about just getting the blade prepped because we’ve seen so many times where a leading edge coating’s been applied to a very [00:06:00] poorly prepped blade surface, and it just doesn’t stick. A year later, you’re out doing it again. Describe what you’re doing on the prep side.  Janis Putrams: Yeah, so what we also see, uh, saw that, um, if there’s some damaged material, it’s very important to get it off. If you put it on top of the damaged material, it’s just not gonna hold. So we have one of those robots, it has quite a powerful kind of belt sanding tool, uh, where you can truly take it off. And then the second tool prepares the surface and also the tool kind of makes sure that it’s not up to the, to the operator to choose which point to, to prepare, but just the tool goes in, in a single step and prepares all of it so we can kind of. Be sure that nothing’s missed. And then when you, when you put it on, uh, then, then what’s gonna, it’s gonna hold. Dainis Kruze: And to develop that tool. We have a laboratory where two chemical engineers are actually working and testing and doing pulley tests and surface, uh, adhesion tests [00:07:00] and, uh, to get the result, the best result possible. Because, as Ian said, we’re taking, we, we are giving guarantee, uh, of our work. Uh, and we don’t do that. Oh yeah, it peeled off because the material was bad. We, we, we take the guarantee of application and materials that it’s gonna be stick, uh, is gonna stick and it’s gonna stay there.  Allen Hall: I think there’s a lot into that. And having been to the Riga facility, I understand you have a lot of capabilities there. When we talk to. Independent service providers and they’re applying materials. They’re not doing all the research. Oh, yeah. That aone is doing. You, you are actually looking at material properties, you’re looking at surface conditions, you’re looking at the chemical reactions that are happening. You’re doing the mechanical pull test. You’re putting engineering behind it. Oh, yeah. Which, which has to happen. We’re still early in this leading edge protection world. We have, we don’t have 50 years of experience. We have two or three really good years, and we’re still learning and there’s a lot of different materials being proposed right now. That mechanical testing and evaluation [00:08:00] laboratory really raises the bar.  Dainis Kruze: Oh  Allen Hall: yeah. I think in terms of just what you’re expecting to get out and, and EC saying, you back up what you do. Oh yeah. Which is completely different than the rest of the industry. De describe what that means to an operator that chooses their owns to do leading edge protection. Dainis Kruze: Yeah, it’s a turnkey, uh, solution, right? So, uh, you won’t get in a situation when, um, somebody comes, supplies the material and after a year it peels off and then you, um, have months and months of debating and negotiating, right? Uh, whom to blame, right? So who will take care of that? Um, and in the end, basically, you don’t know either that was a material or that was a applicator. Um, that’s it, but. The result is not met. Right. So the the, yeah, the the still, the, the blade is not protected. In our case, we take full responsibility, full accountability. If the material is gonna put peel, uh, peel off, we are gonna come and fix it.  Allen Hall: Because I think a EP loss from leading edge erosion is one thing.[00:09:00] A EP loss from a bad leading edge protection material that’s peeling off is exponentially worse from what I have seen. It just gets very draggy. Yes. And that material just starts to. Actually create massive drag. So you need to get that bad material off. And I think a lot of operators that have used other services probably won’t be calling you this year to go, we need to sand that off and put on something with robot. Dainis Kruze: Oh yeah.  Allen Hall: Does that then change the dynamic because of the, the amount of robotics, uh, applications you can do in a year where before when we talked to operators, us Europe, robots are nice. But we don’t see the ROI.  Dainis Kruze: Mm-hmm.  Allen Hall: Has that flipped on its head now where the robots are just so much faster than rope technicians, that it just makes sense to do it with robots? Dainis Kruze: I still, we even have systems in our portal where customers can see, um, at which category, how much of efficiency they’re losing, uh, during the year. Yeah. So what is the a a p loss and roughly speaking, it’s like three, four years of return of investment just [00:10:00] on AP loss. If you’re not fixing it at category three, you’re gonna lose in two, three years. Same amount of money as on investing on, on repairing that. Yeah. So the return of investment is two, three years, uh, worst cases for four years. Um, as we see, um, and not even speaking about, uh, when the erosion happens to, to category four and five, your repair cost is just like at least double or triple. So you don’t want to do that in category fours and fives. It’s lot smarter to do that at category two, three.  Allen Hall: Oh, that makes a lot of sense. However, I would say that a lot of operators worldwide let it get to three plus. Mm-hmm. Before they start to worry about it. Alright, so the, then the question becomes, am I gonna put a bunch of technicians up on ropes anyway to go fix this? Or is there a robotic solution that I can fix those leading edge, uh, where the, the, the glue has been eaten away by leading a rosn. Can I fix that without putting technicians on ropes?  Janis Putrams: Right. So currently we are [00:11:00] doing categories like 1, 2, 3.  Allen Hall: Yeah.  Janis Putrams: Um, if we have category four repair, we would cooperate with a rope technicians. They come and laminate, and then the robot does, does everything else. But there’s a, yeah, there’s a new, uh, new technology that we are working on, which is kind of a reinforced, uh, yeah. Application on the leading edge, uh, where we can be able to actually repair category for. Uh, for as well.  Intro: Mm-hmm.  Janis Putrams: Yeah. This, and it’s, um, it’s a uv uh, UV curable solution, uh, which is also great because you can apply it in, in, in, in, in humid environments, in, in colder environments. Um, and then, and then of course the, the, yeah, the, the leading kind of protection that we put on would go, go on there as well. And, and this is actually quite a, um, amazing, uh, uh, yeah, sample. So for those who don’t know this, this goes into rain erosion, uh, kind of machine test machine. And [00:12:00] uh, and then they get kind of the spin and, and, and rain droplets are, are falling. And, and, and then you measure how long it lasts. And, and this has been in there for 200 hours and we actually had to stop the test because it was becoming just outrageously expensive. But it’s, it’s like a lifetime, like the, the turbine would not experience this amount of erosion in lifetime, so we thought it was  Dainis Kruze: 130 meters, uh, per second. Uh, speed. Speed. Um, but, and yeah, as Ian said, like we also have a system in our portal where you can look up your, any wind park in us, and it’ll tell how many hours per year you have this severe, uh, rain, which would be like compatible with, uh. Close to this, uh, speed tip speed and, and the rain. And basically there is no wind park in the world, uh, where the erosion would happen, uh, where the rain would be like 200 hours, like, uh, in, in, in lifetime of the turbine in 25 years. Hmm. So basically [00:13:00] it’s in most of the cases it’s like four or 5, 6, 7 hours a year, which means like basically it’s gonna last for 30 years, um, like in, in a, on the rain erosion test,  Allen Hall: but really only if the application is good.  Dainis Kruze: Only if the application is good. Yeah.  Allen Hall: That which is the key, right? Yeah. So you can have the best material in the world, you can have the best lab results in the world, but if you can’t repeat it out of the world Yeah. Then it’s just a waste of time.  Dainis Kruze: Yeah.  Janis Putrams: Yeah,  Dainis Kruze: exactly.  Janis Putrams: There’s another interesting aspect that we, we saw when we, because we, we did a lot of those tests and what we noticed is that the surface smooth smoothness, uh, actually is also very important because like if it’s more like an orange peel, you get those cavities and when the rain droplets hit. They kind of, they, they creates more like a stress concentrations there just  Allen Hall: a  Janis Putrams: pull. We’ve seen like, like about the performance kind of getting into half. If the, if the surface is not, not, not smooth.  Allen Hall: And that’s what you see in the field when they apply it by hand. It’s not nearly as smooth as what I see on the spray version here with the robot. Janis Putrams: Mm-hmm. And [00:14:00] once it finds a place where the erosion can start, then it just grows.  Allen Hall: That’s the magic. Right. I, I know a lot of operators don’t think about all those little details. Mm-hmm. But because roads has the ability to do the work, to do the manual motion testing, to do the lab testing, to look at the materials and apply it. Like it should be that that’s a game changer.  Dainis Kruze: Yeah. And, and scale it. Right. So when we do this with robots, like, uh, like most of the job is done by the semi-autonomous robot. So it’s not again, um, a bottleneck of how many good technicians you have,  Allen Hall: right?  Dainis Kruze: Like it’s, it’s, uh, it’s about technology which is doing the job. And you will have a consistent result, whether it’s Australia, US, or Europe, you will have exactly the same result, uh, because it was done by exactly the same robot.  Allen Hall: Well, speaking of robots, uh, the latest gen three internal crawler is remarkable. Uh, Yana should give me the details of all the cool features that are on it. I’ve seen it in video. I haven’t seen it out in the world live [00:15:00] inside of a blade yet, but I will this year. I think there’s a lot of technology in there from your first gen robot to, uh, this third gen. The pictures that I’ve seen downstream are really good. Because it matters and, and because there’s lot of the defects you can’t see on the outside. You need to be on the inside.  Janis Putrams: Mm-hmm.  Allen Hall: Uh, core, uh, bonding, most of them. Well, that’s true then. That’s totally true. No, the industry, you’re right. I do, I do think we started off on the outside because that’s what we could do. Mm-hmm. Not realizing that probably we should be on the inside should sort of started there first. But the robot now is so much better at taking pictures. And if you, if you can take pictures, but the pictures are not so good, why are you wasting your time even taking them?  Janis Putrams: Right.  Allen Hall: Explain what’s all in that robot to take high quality images and to focus on the defects that you find.  Janis Putrams: Right. So kind of, we’ve done a lot of inspections with our previous generation crawler and, and then we, we got a lot of feedback also, and we, we do [00:16:00] ourselves the, the inspections of the, the data, uh, and give, give information to customers. So we worked our way back. And also not just that, uh, when you go out and do it on a big scale. You get feedback, like, for example, from the technicians, uh, what’s easy for them, like different blade models, maybe some specific blade models have some obstruction in there that you need to drive around. So, so those kind of small details when, when you gather and, and, and, and even just manufacturability to make sure that, uh, yeah, it’s easy and faster to manufacture, easy to maintain. Um, so, but that’s, yeah, that’s, that’s the kind of, uh, the part on. On the, on the inspection itself, uh, of course it has a improved 360, uh, kind of inspection. So we gather everything. Uh, there’s additional camera for, uh, much detailed kind of areas. For example, the, the root zone, you would want to, to have the kind of the top part inspected [00:17:00] in higher resolution, but also it has like a smart feature where you can tell that, for example, particular area in the blade, if you want that in a higher resolution. So when it gets there, it, it would point and, and, and take that particular area because maybe there’s a serial defect and you would want it in a much, much higher, uh, higher resolution. Also, what we got feedback from, from customers is that for them, it’s very important that, for example, if there’s a defect, you want to know exactly the size of the defect, and you want to know exactly the distance to the root. And maybe you want to, you might need to open the blade from the outside and you don’t want to be off by even a half meter. So we’ve been working a lot to, to improve that. But it’s like centimeter precision  Allen Hall: because a lot of the defects are actually happening closer to the root. I, I think lightning company, which is what we are, we get a lot of defects kind of further towards the tip, but the manufacturing defects that really matter are closer to the root [00:18:00] and they tend to, if you think about the root that’s. The largest diameter part of the blade. So you need to be able to take really good images where the rover is not right next to the damage that matters. Mm-hmm. So you’re looking for megapixels, you’re looking for light intensity, you’re looking for exposures right to be right so that you can actually measure it, track it. So even if you notice there’s a crack talking to operators, there’s a crack. Okay. But is it propagating yes or no? If you can’t measure it, actually, you can’t tell if it’s growing or not, which is ultimately. What you need. So those improvements are gonna be a, a massive improvement in terms of the operators buying in because we talk to operators all the time, you need to be doing internal inspections. And they say, yeah, sure. Like, no, no, no, no. You don’t understand. You need to do a set up internal inspections so you understand what’s going on inside your blades because there are a lot of like kind of serial defect things or uniqueness things that happening, or wind, wind specific events that are happening and are causing issues with your [00:19:00] blade. And that gets me to outside the blade. So, uh, once you’ve done the internal inspections and you should be doing some external inspections, particularly for lightning and some other issues. Question in America right now is you can’t use a drone that has Chinese components in it. There owns drone image. Those are all Chinese free, ready to go right now to take high resolution images. And there’s actually more technology. Yeah. And this drone that I’ve seen in, in previous versions.  Dainis Kruze: Oh yeah.  Allen Hall: Tell me about that.  Dainis Kruze: Yeah, it’s us made, uh, so we, uh, are, are compliant, um, with, with the rule, uh, regulations that you can’t use the Chinese, uh, parts. That’s one thing. Another thing is like how the technology works. So, um, we have very sophisticated system how the drone flies and scans the blade, uh, the blades and the turbine itself. So we don’t need to put the blades in particular angles like you. [00:20:00] Whatever the blades are being stopped, the drone is gonna be capable of doing that inspection. Um, that saves time, uh, time and makes it easier. Also, you don’t need to navigate, like if you take the drone and do the inspections yourself, you just push start and the drone does, uh, all the jobs. So you don’t need to fly to point it at the tip of the blade or whatever it’s gonna do. 100% of the jobs is gonna be by, by, by itself. Um, and also like we have, um, a. Bigger angle, like variety, how we can put the camera. So we always will take the picture from the best angle. It’s not gonna be, look, you’re not gonna look at the crack under an angle. You will look at the, uh, crack directly, uh, onto it and it actually, it actually moves the needle. It, it, it’s very, very important when you’re reviewing the data.  Janis Putrams: Yeah. So basically what you want to do is like, if you want to take a picture of this. You want to be looking perpendicular to it.  Dainis Kruze: Mm-hmm.  Janis Putrams: And, and if the turbine is like this, you, you want like, you want want to look like this and if the blade kind of, you go from the top, you [00:21:00] want to look like this. So this drone was built, it wasn’t adapted, it was built particularly for wind turbine inspection. So the kind of, it was taken account that it can do all these angles Exactly as, as they need for, for, for blades. So to, to get the, the, the best, uh, inspection data.  Allen Hall: I’m always surprised at the lack of quality of inspection images for cracks. I see a lot of them because we get sent a lot of lightning damage mm-hmm. Inspections to go through and, but we see the cracks. Also, when I look at the crack, it’s always at an angle and I think, how do those engineers even have a sense of what the scale of that is? Because I can barely see it in this really poor drone image. Having something that’s actually 90 degrees to the damage is. A game changer because now again, going back to there’s a crack, but what do I do about it? If it’s not growing, I may just live with it. Mm-hmm. But you can’t measure it if you don’t have a good, consistent image of it, which everyone’s thinks about. Right.  Dainis Kruze: Not only image, but also a 3D model of the blade. So because we are scanning [00:22:00] it with the lighters, we actually have a 3D model of that blade. So we can actually physically measure, we understand what we are seeing, uh, and we can measure, uh, with high precision. So both the internal crawlers and the drones are by far the best, uh, robotic technology for wind turbine inspections, uh, in the industry by far. Like, uh, yeah. Uh, nothing comparable in the, in, in the industry.  Janis Putrams: Yeah. What Dyna says, it’s that the precision is also important for another aspect, because when you have a drone inspection from the outside, an internal inspection on the inside, and you have this precision, what you get is that, for example, there’s something on the inside of Blade. And you want to see what’s on the outside. You can flip in, in our portal, you can just flip and look at it from the outside and you say, oh yeah, there’s something on the outside and what’s on the inside. It gives you much better understanding what the defect to release. Is it just on the inside or is it already propagating on the outside? Dainis Kruze: Yeah, and it’s one click. It’s not reviewing two reports, uh, trying to understand, uh, going back [00:23:00] and forth. It’s just one click you and you get outside.  Allen Hall: Well, let’s talk about the software platform. There is a software platform. It is called the  Dainis Kruze: your Owns platform. Okay.  Allen Hall: You guys gotta  Dainis Kruze: work  Allen Hall: on a name?  Dainis Kruze: Yeah, we, we haven’t blocked on, on the name. Yeah, we should. We should.  Allen Hall: But the, the Eros platform is a useful platform because you can have all the images you want, but they’re not really useful unless you can correlate it back to what the blade design is and then figure out where. The the crack or the DA or whatever this is going on. Where it is on the blade. Exactly. So then you can assess whether you need to have a response to it. Do you need to derate the turbine, shut down the turbine, or just let her run? Those are big, important decisions to make because it has to do with profits at the end of the day. That platform allows every the engineers to do that. You’re seeing more adoption of that platform by the Oh yeah, by the operators.  Dainis Kruze: We are stepping up. Me and Jans, we actually graduated, uh, computer science. So we are software developers by [00:24:00] education, not the mechanical engineers. Uh, uh, and we, we, for, for all of these years, we, we’ve worked more on the robotic technology, how to get the data, how to get the best quality picture, how to, uh, get the, uh, best quality data. Um, and now we have stepped up on the portal development and, uh, again, uh, in, in, we’ve built the best portal in the industry, like seamless review of the data of internals and externals and lightning protection system tests. Um, and, uh, yeah, the easiness, how to you, you can use the, the system, uh, review the data, uh, navigate, see the. Um, different kind of analytics and, and help from our blade engineers on decision making, um, is again, the best in the industry now.  Allen Hall: Well, you mentioned lightning protection resistance measurements because it’s something you’ve done for a number of years now, and I run into a lot of operators that say we’ve, we’ve had our drones do the LPS resistance measurements. They should still be doing those. I think there’s, because Aeros has done it [00:25:00] so well and has a, a nice data set with it. Operators are thinking, I don’t I need to do it anymore.  Dainis Kruze: Yeah. It’s a, uh, it’s  Allen Hall: a conflict, isn’t it? It, it, it’s, you get so good at one thing that, that it changes the dynamic of the industry. Dainis Kruze: Oh, yeah. I, I think, I think that we are a bit, we, we need a bit more data on understanding, um, how much these lightning damages actually cost. Yep. Comparing to what would cost, uh, like a proper inspection campaign.  Allen Hall: Yeah.  Dainis Kruze: So kind of in a, in a way, you know, like these lighting damages are not there yet.  Allen Hall: Yeah. Dainis Kruze: Why should I test anything? Yeah. And when you get that lighting damage and you lose a blade and it have a fire it to fire. Yeah. Or have a fire and you have, uh, hundreds of thousands, if not millions in losses, it’s already too late. It is. Yeah. It’s, uh, and, and that’s, and that’s an issue of the. Chicken and egg. Uh, yeah, I think in the industry. Uh, but, but I see that the industry [00:26:00]is improving and we do more and more of these lighting protection system tests. Um, customers are becoming smarter on this and, and, uh, I hope, uh, that it’s, it’s, yeah, it’s gonna, and it’s gonna get to the right place.  Janis Putrams: Also, what we saw is that sometimes we, we would give reports to the customer that, for example, for this Blade lightning protection is not working. So they are asking like, okay, what’s next? Yeah, what do I do with this data? Right, right. So we developed a kind of a tool which helps to actually track exactly where that damage is, where that cable is, is kind of connection is lost. Uh, so it’s kind of like a, I dunno, same as you would kind of, uh, look for, I dunno, golden coins or something. So it’s kind of a similar technology. The robot goes up and it kind of, uh, slides, kind of scans, uh, very closely to the blade. And when you find the, where the cable problem is, it has actually like a red marker and it can make a mark on the blade. Uh, so [00:27:00] actually if the rob guys, if they need to go up and, and open up the blade to fix the cable, they know exactly where, where to look. So it’s not, again, you’re not doing it half a meter away or, or you can open up and then fix it.  Dainis Kruze: We call it open circuit finder. For, at least for that, we have the name. Allen Hall: It’s a very useful thing though. I think the, the more that you get out to site, the more you realize what the problems are, what the priorities are, and design solutions around those. The linet protection one is obviously, is massive, right? Mm-hmm. You just kind of see it everywhere in, uh, particularly United States and Southern United States. You see leading erosion being the, the number one. And then lightning damage being number two, when you see a lot of operators going after both of those things simultaneously to save money, that’s a massive improvement than five years ago. The, you guys have really changed the industry. There’s, everybody’s starting to think a little bit differently about how they approach the repair [00:28:00] season that, uh, owns, has extended the repair season. So a lot wider window than it was. It’s not just March to October. Yeah, almost a full year at this point because of the technology the robot brings and the amount of data.  Dainis Kruze: Mm-hmm.  Allen Hall: Now everybody can react because they have something to base their decisions on. That’s, oh yeah. That’s impressive. It’s hard. I know you guys have a hard time seeing that because you’re in the day-to-day of Yeah. Of trying to run a company has paced in, in Riga and you got places in Australia and America, so it’s a lot. But I do think deep breath, take a look back. You really have influenced the industry in the positive in a lot of ways. Thank you. Congratulations on that. It’s impressive. It really is. And uh, you know, when we talk next time in a year from now, probably you’ll have more done out in the field and you’ll have done several thousand turbines leading edge protection and you’ll have that history and you’ll have that data. That’s [00:29:00] remarkable. Now your season. Your calendar is getting pretty full with a lot of operators calling you, saying, I need you out here to do leading edge protection and a variety of other tasks. Is there any room in your schedule right now to get on it and, and how do they, how do they get on your schedule? Dainis Kruze: Oh yeah, there is room because we are building 30 additional, uh, leading edge repair robots. So it’s, it’s quite a lot. Like one robot is actually doing, um, up to 150 repairs a year. So it’s, it’s, it’s quite a big capacity. So yeah, we’re building more and more robots. Demand is there. Um, and, and the wind industry is gonna generate more clean energy because of that. Right. So because bleeding edge erosion affects the efficiency and, and we are fixing that.  Allen Hall: Improving the profitability of all these operators.  Dainis Kruze: Oh yeah.  Allen Hall: Which is what we should be doing. So if you haven’t contacted our owns, just Google our own’s website and go to it. There’s a a lot of information there. You can get a hold of Dyna, you can get ahold of Giannis via LinkedIn. It’s [00:30:00] really easy to get a hold of these guys and at least start the process. Start thinking about how robots can improve your operation, how it can save you money. Generate more revenue on the production side. Save money on the repair side. So at the end of the day, uh, your management is happy.  Dainis Kruze: Oh, yeah. Oh yeah. We even help to do the calculations of return of investment, so it’s easier to justify, uh, with the management and so on.  Allen Hall: Oh, it’s wonderful. Wonderful. Well, Dynas and Giannis, thank you so much for spending some time with me today and showing us around this Denton facility is quite oppressive and congratulations. And yeah, we’ll, we’ll see you on the road at some point.  Dainis Kruze: Thank you for stopping by.

CTSNet To Go
The Beat With Joel Dunning Ep. 150: Concerning Trends Seen in Aortic Stenosis Related-Mortality

CTSNet To Go

Play Episode Listen Later Mar 26, 2026 33:30


This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Sameer Hirji, an associate surgeon at Brigham and Women's Hospital in Boston, MA, USA, about a paper he presented on at the 62nd Society of Thoracic Surgeons Annual Meeting titled “Concerning Trends Seen in Aortic Stenosis-Related Mortality: CDC WONDER.” Chapters 00:00 Intro  02:38 JANS 1, Female CT Surgeons NYT Article  04:38 JANS 2, Biopros vs Mech SAVR >65 YO  07:32 JANS 3, Fissure Last Tech, Randomized Trial  09:58 JANS 4, Ozaki Procedure, Perf & Durability  12:46 Video 1, MI Left Atrial Myxoma Resection  14:43 Video 2, Conduction System-Sparing Modified AVR  16:42 Video 3, RCAA w Coronary SF  18:55 Dr. Hirji, CDC WONDER Aortic Stenosis  31:40 Upcoming Events  32:11 Closing They discussed the study itself, including its overall results, as well as the demographic factors analyzed—such as race, gender, and location—and the results related to these demographics. They also addressed the limitations of the data used and explored possible reasons for the observed results, such as intervention strategies, underdiagnosis, and the prevalence of asymptomatic patients. The conversation further emphasized the importance of patient selection and the heart team.  Joel also highlights recent JANS articles on female cardiothoracic surgeons, unlocking the male fortress, bioprosthetic versus mechanical surgical aortic valve replacement in patients ≥65 years of age, results from a prospective randomized controlled trial on if the fissure last technique really reduces postoperative air leak after lung resection, and mid-term valve performance and durability of the Ozaki procedure in patients on chronic dialysis.  In addition, Joel explores a minimally invasive left atrial myxoma resection, safety and efficacy of a cardiac conduction system-sparing modified aortic valve replacement, and a surgical approach to right coronary artery aneurysm with coronary sinus fistula. Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  1. Female Cardiothoracic Surgeons, Unlocking the Male Fortress  2. Bioprosthetic Versus Mechanical Surgical Aortic Valve Replacement in Patients ≥65 Years of Age  3. Does the Fissure Last Technique Really Reduce Postoperative Airleak After Lung Resection? Results From a Prospective Randomized Controlled Trial   4. Mid-Term Valve Performance and Durability of the Ozaki Procedure in Patients on Chronic Dialysis  CTSNet Content Mentioned  1. Minimally Invasive Left Atrial Myxoma Resection   2. Safety and Efficacy of a Cardiac Conduction System-Sparing Modified Aortic Valve Replacement   3. Surgical Approach to Right Coronary Artery Aneurysm With Coronary Sinus Fistula   Other Items Mentioned  1. ‘Concerning' Trends Seen in Aortic Stenosis-Related Mortality: CDC WONDER   2. Career Center   3. CTSNet Events Calendar    Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

CTSNet To Go
The Beat With Joel Dunning Ep. 149: Female CT Surgeons—Unlocking the Male Fortress

CTSNet To Go

Play Episode Listen Later Mar 19, 2026 38:12


This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Shanda Blackmon, a thoracic surgeon and Professor of Surgery, as well as the Director of the Lung Institute at Baylor College of Medicine, Houston, TX, USA, about an article from The New York Times in which she was featured, titled “Female CT Surgeons, Unlocking the Male Fortress.” Chapters 00:00 Intro  01:35 JANS 1, Fractured Sternal Wires Post-Surgery  05:21 JANS 2, ERAS Protocols in Spain, Consensus Study  07:00 JANS 3, Preserving Native MVs in VSD & MR Patients  09:53 JANS 4, Sternal Closure After Norwood  12:15 Video 1, LIMA Harvest, Robotic Harmonic Scalpel  13:55 Video 2, Butterfly Resection for MV Leaflets  15:26 Video 3, Bidirectional Glenn via Axill Thorac  17:18 Dr. Blackmon, Women in CT Surgery  33:17 Upcoming Events  35:13 Closing  They discussed her experience working with The New York Times and the goal of the article. Key highlights included the pay disparity, with women cardiothoracic surgeons receiving lower pay than their male counterparts, as evidenced by the Society of Thoracic Surgeons (STS) compensation survey. Additionally, they addressed the rewarding aspects of cardiothoracic surgery, the challenges surgeons face, and the initiatives that women cardiothoracic surgeons are starting to tackle, such as the pay equity and leadership opportunities.   Joel also highlights recent JANS articles on a cross-sectional study examining wire configurations, sternal locations, and breakage sites for fractured sternal wires post-coronary surgery, a Delphi consensus study on the standardized recommendations for the implementation of enhanced recovery protocols in thoracic surgery in Spain, surgical strategy for preserving native mitral valves in infants with ventricular septal defects and mitral regurgitation, and routine primary sternal closure after the Norwood procedure.  In addition, Joel explores robotic-assisted left internal mammary harvest with the robotic harmonic scalpel, butterfly resection for prolapsed posterior mitral valve leaflets, and minimally invasive bidirectional Glenn via vertical right axillary thoracotomy. Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  1.) Fractured Sternal Wires Post-Coronary Surgery: A Cross-Sectional Study Examining Wire Configurations, Sternal Locations, and Breakage Sites  2.) Standardized Recommendations for the Implementation of Enhanced Recovery Protocols in Thoracic Surgery in Spain: A Delphi Consensus Study  3.) Surgical Strategy for Preserving Native Mitral Valves in Infants With Ventricular Septal Defects and Mitral Regurgitation  4.) Routine Primary Sternal Closure After the Norwood Procedure  CTSNet Content Mentioned  1.) Robotic-Assisted Left Internal Mammary Harvest With the Robotic Harmonic Scalpel​   2.) Butterfly Resection for Prolapsed Posterior Mitral Valve Leaflets   3.) Pushing Boundaries in Pediatric Cardiac Surgery: Minimally Invasive Bidirectional Glenn Via Vertical Right Axillary Thoracotomy   Other Items Mentioned  1.) Female Cardiothoracic Surgeons, Unlocking the Male Fortress  2.) Instructional Video Competition     3.) Career Center   4.) CTSNet Events Calendar  Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

Weltwoche Daily
Bundesrat Jans, wieviele Menschen verträgt die Schweiz? 12 Millionen?

Weltwoche Daily

Play Episode Listen Later Mar 16, 2026 0:36


Weltwoche daily ohne externe Video-Werbung geniessen? Werden Sie Abonnent! Digital nur CHF 9.- im ersten Monat. https://weltwoche.ch/abonnemente/Aktuelle Ausgabe der Weltwoche: https://weltwoche.ch/aktuelle-ausgabe/KOSTENLOS: Täglicher Newsletter https://weltwoche.ch/newsletter/App Weltwoche Schweiz https://tosto.re/weltwocheDie Weltwoche: Das ist die andere Sicht! Unabhängig, kritisch, gut gelaunt.Weltwoche-Redaktor David Biner: Herr Jans, wieviele Menschen verträgt die Schweiz? 12 Millionen?Hinweis: Die deutsche Untertitel-Übersetzung wurde automatisch generiert.Die Weltwoche auf Social Media:Instagram: https://www.instagram.com/weltwoche/Twitter: https://twitter.com/WeltwocheTikTok: https://www.tiktok.com/@weltwocheTelegram: https://t.me/Die_Weltwoche Facebook: https://www.facebook.com/DIE.WELTWOCHE Hosted on Acast. See acast.com/privacy for more information.

Mediano Håndbold
Frivillighed nu og i fremtiden (Optaget live på Foreningsfestival 2026 – DanskHåndbold Øst 1/4 )

Mediano Håndbold

Play Episode Listen Later Mar 14, 2026 41:05


Aldrig har der været så mange frivillige der engagerer sig i civilsamfundet. Men i Håndbold adresserer foreningerne manglen på frivillige, som en af de største udfordringer. Samtidig ved vi at håndbold er en af de idrætsgrene der efterspørger flest frivillige pr aktive udøvere. Frivillighed spiller en essentiel og uundværlig rolle i den daglige drift af foreningerne. Hvad er det der motiverer til frivillighed og hvordan motiverer vi til frivillighed nu og i fremtiden? Moderator: Esben Danielsen – Direktør Kulturens analyseinstitut. Paneldeltagere: Mette Vestergaard – Næstformand DanskHåndbold, tidligere formand i HIK og landsholdspiller, Karin Mortensen - tidligere landsholdsspiller - Frivillig GVI Håndbold, Jan Sørensen - Formand Boldklubben Skjold, Mads Johansen – næstformand i Fuglede IF.

CTSNet To Go
The Beat With Joel Dunning Ep. 148: Six-Year Outcomes After TAVR vs SAVR in Low-Risk Patients

CTSNet To Go

Play Episode Listen Later Mar 12, 2026 46:07


This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. John Forrest, a cardiologist and Director of both Interventional Cardiology and the Structural Heart Disease Program at Yale Medicine, New Haven, CT, USA, about a paper he authored titled “Six-Year Outcomes After Transcatheter vs Surgical Aortic Valve Replacement in Low-Risk Patients With Aortic Stenosis,” published by the Journal of the American College of Cardiology. Chapters 00:00 Intro  02:38 TAVR vs SAVR Context  03:54 CDC WONDER Data, TAVR SAVR  05:37 JANS 1, TAVR vs SAVR 5-Year Outcomes  07:31 JANS 2, Temporary MCS Devices Landscape  09:17 JANS 3, Pulm Resection Post-CABG  10:23 JANS 4, PRE-HIIT Randomized Trial  12:36 Career Center  13:10 Video 1, Redo MVR After VIV TAVR  15:37 Video 2, Repair After Acute Intramural Hematoma  18:01 Video 3, Acute Severe MR Repair  19:36 Dr. Forrest, 6-Year TAVR vs SAVR  44:49 Upcoming Events  45:33 The Lifeline Podcast  They explored other randomized trials involving high-risk and intermediate-risk patients with aortic stenosis and examined the specific goals of this low-risk trial. The discussion then delved into the trial's results, highlighting that there was no significant difference in the composite endpoint of all-cause mortality or disabling stroke. However, a noteworthy finding was that the transcatheter aortic valve replacement (TAVR) arm experienced a higher reintervention rate compared to surgery, primarily due to an increased incidence of aortic regurgitation. They also addressed factors such as valve dilation, stents, and various reasons for surgical valve failure. Additionally, they examined the similarities between this trial and other partner trials and the future for low-risk patients with aortic stenosis.   Joel also highlights recent JANS articles on the updated five-year outcomes of transcatheter versus surgical aortic valve replacement in patients with severe aortic stenosis at low- to intermediate-surgical risk, a United States nationwide analysis on the changing landscape of temporary mechanical circulatory support devices in the new heart allocation system, pulmonary resection post-coronary artery bypass grafting, and a randomized controlled trial on the preoperative exercise to improve fitness in patients undergoing complex surgery for cancer of the lung or esophagus (PRE-HIIT).  In addition, Joel explores redo mitral valve replacement after previous valve-in-valve mitral TAVR, aortic repair after acute intramural hematoma, and repair of acute severe mitral regurgitation due to iatrogenic papillary muscle rupture. Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  1.) Updated 5-Year Outcomes of Transcatheter Versus Surgical Aortic Valve Replacement in Patients With Severe Aortic Stenosis at Low- to Intermediate-Surgical Risk  2.) The Changing Landscape of Temporary Mechanical Circulatory Support Devices in the New Heart Allocation System—A United States Nationwide Analysis  3.) Pulmonary Resection Post-Coronary Artery Bypass Grafting: Feasible, but Right-Sided Procedures Demand Caution  4.) Preoperative Exercise to Improve Fitness in Patients Undergoing Complex Surgery for Cancer of the Lung or Esophagus (PRE-HIIT): A Randomized Controlled Trial  CTSNet Content Mentioned  1.) Redo Mitral Valve Replacement After Previous Valve-in-Valve Mitral TAVR  2.) Aortic Repair After Acute Intramural Hematoma   3.) Repair of Acute Severe Mitral Regurgitation Due to Iatrogenic Papillary Muscle Rupture  Other Items Mentioned  1.) Six-Year Outcomes After Transcatheter vs Surgical Aortic Valve Replacement in Low-Risk Patients With Aortic Stenosis  2.) The Lifeline: End-Tidal Carbon Dioxide Monitoring in Cardiac Surgical Emergencies  3.) Instructional Video Competition     4.) Career Center   5.) CTSNet Events Calendar  Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

Tagesgespräch
Cloé Jans: Wie das Weltgeschehen die Schweizer Abstimmungen prägt

Tagesgespräch

Play Episode Listen Later Mar 9, 2026 25:02


Gerade in den aktuellen Krisenzeiten seien die Ergebnisse der Abstimmungen vom Sonntag ein klares Vertrauensvotum und ein Bekenntnis zum politischen System in der Schweiz und unseren Institutionen. Das sagt Politologin Cloé Jans von GfS Bern. Erfolg für Bundesrat und Parlament: Die Individualbesteuerung erhält überraschend viel Zustimmung. Die SRG- und die Klimafonds-Initiative werden deutlich verworfen. Auch die Bargeld-Initiative fällt durch, während der Gegenvorschlag angenommen wird. Politikwissenschaftlerin Cloé Jans analysiert die Resultate des Abstimmungssonntags. Sie ist Mitglied der Geschäftsleitung beim Forschungsbüro GFS Bern und zu Gast bei David Karasek.

CTSNet To Go
The Beat With Joel Dunning Ep. 147: Updated 5-Year TAVR vs SAVR Outcomes in Low-Risk Patients

CTSNet To Go

Play Episode Listen Later Mar 5, 2026 39:57


This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Drs. Mateo Marin-Cuartas, CTSNet JANS Editor and cardiac surgeon at the University Department of Cardiac Surgery at Leipzig Heart Centre University Hospital in Leipzig, SN, Germany; and Samuel Heuts, a cardiothoracic surgeon in the Department of Cardiothoracic Surgery at Maastricht University Medical Center in Maastricht, LI, about a paper they authored titled “Updated 5-Year Outcomes of Transcatheter Versus Surgical Aortic Valve Replacement in Patients With Severe Aortic Stenosis at Low- to Intermediate-Surgical Risk,” published in Heart, a journal produced by the British Medical Journal. Chapters 00:00 Intro 01:51 JANS 1, 6-Year Outcomes TAVR vs SAVR 06:45 JANS 2, Evolut THV Postdilation 09:22 Video 2, TAVI in SAVR Explantation 11:10 JANS 3, High Risk Increasing Adoption of DCD 13:17 JANS 4, Lobar Quantitation for Assessment 15:16 Video 1, Narayana Robotic AVR 17:23 Video 3, Extended Resections Podcast 18:30 Dr. Marin-Cuartas & Heuts, TAVR vs SAVR 36:42 Upcoming Events 37:32 Instructional Video Competition 38:55 Career Center They discussed the motivations behind the creation of this paper and provided insights into its Bayesian hierarchical design. Key findings included the five-year all-cause mortality rates and the risk of stroke associated with the procedures. They also referenced other studies with similar findings, such as a recently published paper from the Journal of the American College of Cardiology on the “Six-Year Outcomes After Transcatheter vs Surgical Aortic Valve Replacement in Low-Risk Patients With Aortic Stenosis.” Finally, they explored the future of transcatheter aortic valve implantation and surgical aortic valve replacement.   Joel also highlights recent JANS articles on the six-year outcomes after transcatheter vs surgical aortic valve replacement in low-risk patients with aortic stenosis, postdilation of Evolut transcatheter heart valves, insights into current practices in the United States regarding increasing adoption of donation after circulatory death in high-risk heart transplant recipients, and the value of V/Q SPECT/CT lobar quantitation for pre-treatment assessment of lung malignancy.  In addition, Joel explores robotic-assisted aortic valve replacement, TAVI in SAVR explantation, and an episode of The Atrium podcast featuring host Dr. Alice Copperwheat speaking with Dr. Maninder Kalkat about extended resections. Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  1.) Six-Year Outcomes After Transcatheter vs Surgical Aortic Valve Replacement in Low-Risk Patients With Aortic Stenosis  2.) Postdilation of Evolut Transcatheter Heart Valves: Insights From Bench Testing  3.) Increasing Adoption of Donation After Circulatory Death in High Risk Heart Transplant Recipients: Insights Into Current Practices in the United States  4.) The Value of V/Q SPECT/CT Lobar Quantitation for Pre-Treatment Assessment of Lung Malignancy  CTSNet Content Mentioned  1.) Robotic-Assisted Aortic Valve Replacement   2.) TAVI in SAVR Explantation: A Two-Step Technique for Successful Removal   3.) The Atrium: Extended Resections   Other Items Mentioned  1.) Updated 5-Year Outcomes of Transcatheter Versus Surgical Aortic Valve Replacement in Patients With Severe Aortic Stenosis at Low- to Intermediate-Surgical Risk  2.) The Lifeline  3.) Instructional Video Competition     4.) Career Center   5.) CTSNet Events Calendar  Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

CTSNet To Go
The Beat With Joel Dunning Ep. 146: Insights Into the Innovations Journal

CTSNet To Go

Play Episode Listen Later Feb 26, 2026 32:46


This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Niv Ad, Editor-in-Chief of the journal Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery and professor of surgery at Johns Hopkins University School of Medicine in Baltimore, Maryland, USA, about the journal. Chapters 00:00 Intro 02:04 JANS 1, Adverse Effects Statin Therapy 06:21 JANS 2, Mortality & Reintervention, Robotic MR 09:15 JANS 3, Balloon vs Self Expanding Transcath Valves 11:41 JANS 4, Transcath Aortic Valve in MV Replacement 13:54 Career Center 14:33 Video 1, Endo Cone Repair w Ebstein Anomaly 16:26 Video 2, Retrograde Cardioplegia Cath Placement 17:19 Video 3, Standardized Strategy, Rheumatic MV Disease 20:31 Dr. Ad, Innovations Journal 31:05 Upcoming Events 31:38 New Podcast, The Lifeline 32:15 Closing They discussed the main topics and procedures covered by Innovations, highlighting its double-blind peer-review process and the special feature section. Additionally, they provided tips for those interested in submitting to the journal.   Joel also highlights recent JANS articles on a meta-analysis of double-blind randomized controlled trials for the assessment of adverse effects attributed to statin therapy in product labels, mortality and reintervention after robotic mitral repair in the United States, the three-year results of the LYTEN trial on balloon- vs self-expanding transcatheter valves for failed small surgical aortic, and the first-in-human study on transcatheter aortic valve-in-mechanical valve replacement.  In addition, Joel explores an endoscopic cone repair in an adult patient with Ebstein anomaly, an alternative cannulation site for the placement of a retrograde cardioplegia catheter, and a standardized surgical management strategy for rheumatic mitral valve disease. Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  1.) Assessment of Adverse Effects Attributed to Statin Therapy in Product Labels: A Meta-Analysis of Double-Blind Randomised Controlled Trials  2.) Mortality and Reintervention After Robotic Mitral Repair in the United States  3.) Balloon- Versus Self-Expanding Transcatheter Valves for Failed Small Surgical Aortic Bioprostheses: 3-Year Results of the LYTEN Trial  4.) Transcatheter Aortic Valve-in-Mechanical Valve Replacement: A First-in-Human Study   CTSNet Content Mentioned  1.) Endoscopic Cone Repair in an Adult Patient With Ebstein Anomaly   2.) Placement of a Retrograde Cardioplegia Catheter: An Alternative Cannulation Site  3.) Standardized Surgical Management Strategy for Rheumatic Mitral Valve Disease  Other Items Mentioned  1.) Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery  2.) The Lifeline  3.) Career Center   4.) CTSNet Events Calendar  Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

Ptám se já
Ukrajinci si jezdí pro dávky a naši staří lidé nemají na léky, říká poslanec SPD

Ptám se já

Play Episode Listen Later Feb 25, 2026 35:59


Ministr zdravotnictví Adam Vojtěch se naplno pustil do razantních systémových změn. Pod reformními tlaky nyní padl i dlouholetý šéf VZP. Jak teď Vojtěcha hodnotí poslanci SPD, pro které byl ještě v létě jako ministr nepřijatelný?Hostem Ptám se já byl místopředseda sněmovního výboru pro zdravotnictví Jan Síla (SPD).Po výměnách vedení několika fakultních nemocnic a obměně jmen ve správní radě Všeobecné zdravotní pojišťovny (VZP) ministr zdravotnictví Adam Vojtěch (za ANO) v pondělí odvolal ředitele této největší tuzemské zdravotní pojišťovny. Zdeněk Kabátek skončil v čele VZP po 13 letech, ve funkci ho nahradil dosavadní náměstek Ivan Duškov. Podle ministra Kabátek ztratil jeho důvěru, odkazoval přitom zejména na opakované zásahy policie v pojišťovně. Zástupci opozičních stran odvolání dlouholetého šéfa VZP kritizují a označují tento krok za chybu a personální přešlap vládní koalice ANO, SPD a Motoristů. Dosavadní změny personálií jsou součástí širších reforem zdravotnictví, které se vláda chystá prosadit. Resort, který je pro premiéra Andreje Babiše (ANO) jedním z klíčových, připravuje celou řadu systémových opatření. Mimo jiné reformu zdravotního pojištění, rozšiřování kompetencí nelékařů nebo posílení prevence. Vědělo SPD jako vládní hnutí o konci šéfa Všeobecné zdravotní pojišťovny předem? Jaké priority by měl mít ministr zdravotnictví? A co ze svého programu SPD prosadila?  --Podcast Ptám se já. Rozhovory s lidmi, kteří mají vliv, odpovědnost, informace.Sledujte na Seznam Zprávách, poslouchejte na Podcasty.cz a ve všech podcastových aplikacích.Archiv všech dílů najdete tady. Své postřehy, připomínky nebo tipy nám pište prostřednictvím sociálních sítí pod hashtagem #ptamseja nebo na e-mail: audio@sz.cz.

Living Full Out Show
When You Focus On Helping Others You Are Living Full Out 

Living Full Out Show

Play Episode Listen Later Feb 21, 2026 52:52 Transcription Available


Episode: 2026.12.08The Living Full Out Show with Nancy Solari explores what it means to lead your life through service and connection. When life feels overwhelming, it can be easy to become frustrated. But sometimes our purpose can be found in showing up for someone else. Through small acts of empathy and support, we can create connections with others that go beyond ourselves. Leadership starts internally, but only grows when we begin to uplift those around us. Join Nancy as she discusses the importance of helping others in our lives. Our first caller wonders how to stay consistent with his workout routine with the demands of school. As a college student, he has found himself overwhelmed by his schedule, feeling like he's ‘running out of time'. Nancy validates this pressure, encouraging him to acknowledge the emotions he is feeling. She emphasizes the importance of utilizing the time you have and trying not to get caught up in stress, especially as a young student. Tune in to hear how honoring your feelings and choosing yourself can help you regain momentum.Our inspirational guest, Jan Jones Blackhurst, continued to strive even when life challenged her most. Known as a trailblazer, Jan was no stranger to breaking down barriers in her professional career. However, in the middle of a successful mayoral run, she received the life-altering news that she had been diagnosed with breast cancer. Despite the challenge of the situation, Jan stayed resilient and only months after her diagnosis, entered the running for Nevada state Governor. Tune in to hear how Jans' focus on being there for others helped her through life's challenges. Perhaps you've found yourself wanting to help out & be there for others, but don't know where to begin. Try starting with small acts of kindness or simply try to be more present.  These actions may seem small, but they can make the biggest changes in a person's day. Choosing compassion is the heart of what it means to live full out.Become a supporter of this podcast: https://www.spreaker.com/podcast/living-full-out-show--1474350/support.

New Books Network
Sandra Freels, "Anneke Jans in the New World (She Writes Press, 2026)

New Books Network

Play Episode Listen Later Feb 20, 2026 29:25


With the 250th anniversary of the founding of the United States of America fast approaching, a small flood of novels set in the early days of colonization and statehood seems likely. Anneke Jans in the New World (She Writes Press, 2026) stands out because, rather than focus on the Puritans or the revolution and the founding of the nation, it explores the life of the author's ancestor, who joined the fledgling Dutch colony known as Fort Amsterdam between 1630 and 1663. This is New York City as you can't imagine it, an outpost on the mighty Hudson, surrounded by forest and mountains, with not a skyscraper or even a paved street to be seen. Anneke crosses the ocean with her husband, Roelof Jans, under the auspices of the Dutch West India Company, which in the seventeenth century was expanding across the globe. Roelof, a former sailor, sees the opportunity to settle down as a landowner in the New World, and Anneke joins him at the urging of her mother—who both wants to see her daughter settled and establish a beachhead for herself as a future midwife to the new colony. Eventually, the whole family emigrates, and the novel follows Anneke through numerous personal upheavals and joys amid the gradual disintegration of Fort Amsterdam's relationship with the Native American nations surrounding the fort. This is classic historical fiction in its focus on one central character and the many evolving relationships that define her life. It works because Anneke herself is such a well-thought-out and appealing person, and that—as well as the richly portrayed and, to me, relatively unfamiliar world that surrounds her—kept me turning pages as fast as I could. After a long career in academe, an interest in genealogy led Sandra Freels, a specialist in Russian language and literature, to the Council Records of New Netherland and the delicious stories of the people who once lived there. She claims descent from Anneke Jans and sixteen other major and minor characters in her debut novel, Anneke Jans in the New World.  C. P. Lesley is the author of two historical fiction series set during the childhood of Ivan the Terrible and four other novels. Her latest book, Song of the Steadfast, appeared in 2025. Sandra's website here. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/new-books-network

New Books in Literature
Sandra Freels, "Anneke Jans in the New World (She Writes Press, 2026)

New Books in Literature

Play Episode Listen Later Feb 20, 2026 29:25


With the 250th anniversary of the founding of the United States of America fast approaching, a small flood of novels set in the early days of colonization and statehood seems likely. Anneke Jans in the New World (She Writes Press, 2026) stands out because, rather than focus on the Puritans or the revolution and the founding of the nation, it explores the life of the author's ancestor, who joined the fledgling Dutch colony known as Fort Amsterdam between 1630 and 1663. This is New York City as you can't imagine it, an outpost on the mighty Hudson, surrounded by forest and mountains, with not a skyscraper or even a paved street to be seen. Anneke crosses the ocean with her husband, Roelof Jans, under the auspices of the Dutch West India Company, which in the seventeenth century was expanding across the globe. Roelof, a former sailor, sees the opportunity to settle down as a landowner in the New World, and Anneke joins him at the urging of her mother—who both wants to see her daughter settled and establish a beachhead for herself as a future midwife to the new colony. Eventually, the whole family emigrates, and the novel follows Anneke through numerous personal upheavals and joys amid the gradual disintegration of Fort Amsterdam's relationship with the Native American nations surrounding the fort. This is classic historical fiction in its focus on one central character and the many evolving relationships that define her life. It works because Anneke herself is such a well-thought-out and appealing person, and that—as well as the richly portrayed and, to me, relatively unfamiliar world that surrounds her—kept me turning pages as fast as I could. After a long career in academe, an interest in genealogy led Sandra Freels, a specialist in Russian language and literature, to the Council Records of New Netherland and the delicious stories of the people who once lived there. She claims descent from Anneke Jans and sixteen other major and minor characters in her debut novel, Anneke Jans in the New World.  C. P. Lesley is the author of two historical fiction series set during the childhood of Ivan the Terrible and four other novels. Her latest book, Song of the Steadfast, appeared in 2025. Sandra's website here. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/literature

CTSNet To Go
The Beat With Joel Dunning Ep. 145: Thoracic Surgery in the UAE

CTSNet To Go

Play Episode Listen Later Feb 19, 2026 25:36


This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Puja Khaitan, thoracic consultant at Sheikh Shakhbout Medical City, Abu Dhabi, UAE, and Founder and Congress Chair of the Emirates International Thoracic Surgery Congress, about thoracic surgery in the United Arab Emirates (UAE). Chapters 00:00 Intro 02:35 JANS 1, Therapy & Risk in Idiopathic Pulm Fibrosis 04:18 JANS 2, Sex-Related Treatment Effects 06:03 JANS 3, Endoscopic vs Open RAH in CABG 08:14 JANS 4, Textbook Outcome in MV Surgery 11:16 Career Center 12:08 Video 1, AMDS to FET Conversion 13:13 Video 2, Constrictive Pericarditis & Pericardiectomy 14:42 Video 3, Right Axillary Thoracotomy 16:17 Dr. Khaitan, Thoracic Surgery in the UAE 23:46 Upcoming Events 24:46 Instructional Video Competition They discussed her professional background and training, as well as the differences in cases between the UAE and United States. They also delved into research in the UAE, the state of thoracic hospitals, general surgical residency programs, and the future of fellowships in the country.   Joel also highlights recent JANS articles on a large retrospective propensity-weighted cohort study on antifibrotic therapy and lung cancer risk in patients with idiopathic pulmonary fibrosis, sample size considerations to assess sex-related treatment effects, endoscopic or open radial artery harvest in coronary artery bypass surgery, and results from the Netherlands Heart Registration on mitral valve surgery.  In addition, Joel explores a safe and reproducible redo aortic surgery approach on AMDS to frozen elephant trunk conversion, an approach to constrictive pericarditis and pericardiectomy from diagnosis to definitive surgical, and right axillary thoracotomy. Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  1.) Antifibrotic Therapy and Lung Cancer Risk in Patients With Idiopathic Pulmonary Fibrosis: A Large Retrospective Propensity-Weighted Cohort Study  2.) Sample Size Considerations to Assess Sex-Related Treatment Effects  3.) Endoscopic or Open Radial Artery Harvest in Coronary Artery Bypass Surgery  4.) Textbook Outcome in Mitral Valve Surgery—Results from the Netherlands Heart Registration  CTSNet Content Mentioned  1.) AMDS to Frozen Elephant Trunk Conversion: A Safe and Reproducible Redo Aortic Surgery Approach    2.) From Diagnosis to Definitive Surgical Therapy: An Approach to Constrictive Pericarditis and Pericardiectomy  3.) Right Axillary Thoracotomy: A Minimally Invasive Gateway to Multiple Defects  Other Items Mentioned  1.) Emirates International Thoracic Surgery Congress  2.) Instructional Video Competition   3.) Career Center   4.) CTSNet Events Calendar  Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

Jan Thomas og Einar blir venner
SnikkSnakk: Sannheten om Tafse-Truls

Jan Thomas og Einar blir venner

Play Episode Listen Later Feb 16, 2026 14:29


Einar forklarer hvordan myten om Tafse-Truls oppstod, før vi blir kjent med hvordan Einar forklarer hjerne til Harlem (eller noe sånt), og hvorfor man trenger seks personer til å håndtere Jans vinterhud.Produsert av Martin Oftedal, PLAN-B Hosted on Acast. See acast.com/privacy for more information.

Out Of The Bubble
Why Hot Flash is the talk of Yorkshire right now, with Jan Birley.

Out Of The Bubble

Play Episode Listen Later Feb 15, 2026 32:50


“Hot Flash” is the talk of Yorkshire right now. It isn't just a romantic comedy about menopause… it actually feels like a real shift in seeing midlife women being seen on screen. Because how many times have we seen women at this stage of life properly represented on screen? Writer and producer Jan Birley has created something that feels real. Real women. Real stories. Not glossy. Not pretending. Jan shares her journey of creating the film, the importance of representation in the film industry, and the unique challenges faced in bringing this project to life.Hot Flash is a romantic comedy celebrating Yorkshire grit and wit. A failed menopausal hairdresser is sacked from her job. Needing to fund her son's school trip, she discovers the only way to true success is to be true to herself. Even amidst brutal brain fog...One of Yorkshire's favourite actors Gaynor Faye will be taking the lead and our very own Primed For Life, Christine Talbot will be featuring as herself. You may even spot a few more familiar faces appearing too!Jans own story of how she's stepped out of her comfort zone to make this film happen is another example of how its never too lat to follow your dreams and you just don' t know what it may lead to.I had the pleasure of attending the press day and took a sneaky peak behind the scenes. The energy on set is amazing, you can tell there is so much passion and love for this film, I can't wait to see come to life.We need more of this. More stories that show women as funny, complicated, visible, not fading into the background. Chapters00:00 Introduction to 'Hot Flash' and Its Significance04:36 The Protagonist's Journey and Relatability07:46 The Importance of Representation in Film10:33 Challenges in Film Production13:35 Yorkshire as a Cultural Backdrop16:36. The Role of Music in Film19:38. Personal Journey and Motivation22:29 Anticipation for Filming and Future Plans25:21.Collaboration and Creative ControlGo and follow @hotflash.film to keep up to date with their progress.If this conversation resonated with you:Subscribe to Liberté – Free to BeLeave a rating or reviewShare it with a woman who might need to hear it todayThe more women who find this podcast, the more confidence, courage, and permission we can spread.✨ See you next week for another inspiring conversation.Keep being fabulousRachel xmenopause, women in film, Hot Flash, Yorkshire filmmakers, representation, comedy, women's stories, film industry, personal journey,

FC Afkicken
Jordi Cruijff geeft openheid van zaken, Melvin Boel moet vrezen voor zijn baan en Ron Jans kraakt de NEC code! | FCA Daily | S08E145

FC Afkicken

Play Episode Listen Later Feb 12, 2026 43:24


In de FC Afkicken Daily van donderdag februari bespreken Lars van Velsum, Stan Wagtman en Rypke Bakker het laatste voetbalnieuws! Zo kraakte Ron Jans met FC Utrecht de code van Dick Schreuder en zijn NEC, moet Melvin Boel vrezen voor zijn baan bij Go Ahead Eagles na een nieuwe nederlaag en sprak Jordi Cruijff zich uit tijdens zijn grote mediadag! Coach van het JaarInschrijven voor onze FC Afkicken subleague bij Coach van het Jaar?Dat kan via: https://www.coachvanhetjaar.nl/app/RØDEBen je zelf op zoek naar de beste podcast apparatuur voor in de studio of onderweg? Check: https://rode.com/en-nlSee omnystudio.com/listener for privacy information.

CTSNet To Go
The Beat With Joel Dunning Ep. 144: Catheters as a Language—Status of Cardiovascular Treatment

CTSNet To Go

Play Episode Listen Later Feb 12, 2026 49:24


This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Hani Shennib, a Clinical Professor of Vascular and Cardiothoracic Surgery at the University of Arizona College of Medicine, Phoenix, USA, about catheters as a language. Chapters 00:00 Intro 02:48 UK Thoracic Forum 06:11 JANS 1, Detecting AF Using Watch 07:44 JANS 2, End-to-End Anastomotic Stapler 09:24 JANS 3, Improving Patient Selection NSCLC 12:05 JANS 4, 5-Year Women Outcomes TAVR vs SAVR 13:30 Video 1, MVR Tips & Tricks 14:43 Video 2, Ruptured SVA w Hemi-Yacoub Remodeling 16:32 Video 3, Modified Inclusion, Autograft in a Vest 18:04 Dr. Shennib, Catheters as a Language 48:25 Upcoming Events 48:52 Career Center They explore the importance of making catheters a language by learning, speaking, and practicing it daily. They also discuss how cardiac surgeons have lost the role of “gatekeepers,” with cardiologists now controlling more of the decision-making process. Dr. Shennib emphasizes the need for surgeons to be involved in decision-making from diagnosis to treatment and highlights the significance of patient-centered decision-making and the human aspect of these choices. They also compare coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI), examining which procedure is more appropriate in different circumstances. Furthermore, they explore the reasons behind the shrinking cardiac specialty and discuss how to save it. Finally, they discuss the future of cardiac surgery.   Joel also highlights recent JANS articles on a randomized controlled trial on the enhanced detection and prompt diagnosis of atrial fibrillation using an Apple watch, the results of a human cadaver study on a novel aortic end-to-end anastomotic stapler device, improving patient selection for minimally invasive lobectomy or stereotactic ablative radiotherapy based on clinical characteristics, and a systematic review and meta-analysis on the five-year outcomes of transcatheter versus surgical aortic valve replacement in women.  In addition, Joel explores tips and tricks for mitral valve repair from a Brussels experience, treatment of ruptured sinus valsalva aneurysm with hemi-Yacoub remodeling technique, and a Ross procedure with modified inclusion technique. Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  1.) Enhanced Detection and Prompt Diagnosis of Atrial Fibrillation Using Apple Watch: A Randomized Controlled Trial  2.) A Novel Aortic End-to-End Anastomotic Stapler Device—Results of a Human Cadaver Study  3.) Stage I Non-Small Cell Lung Cancer: Improving Patient Selection for Minimally Invasive Lobectomy or Stereotactic Ablative Radiotherapy Based on Clinical Characteristics  4.) Five-Year Outcomes of Transcatheter Versus Surgical Aortic Valve Replacement in Women: A Systematic Review and Meta-Analysis   CTSNet Content Mentioned  1.) Mitral Valve Repair—Tips and Tricks From Brussels Experience: 2025 London Core Review Cardiothoracic Surgery Course   2.) Treatment of Ruptured Sinus Valsalva Aneurysm With Hemi-Yacoub Remodeling Technique   3.) Ross Procedure With Modified Inclusion Technique: An Autograft in a Vest  Other Items Mentioned  1.) Instructional Video Competition   2.) Career Center   3.) CTSNet Events Calendar  Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

VI Podcast
Utrecht-Feyenoord is do or die voor Van Persie én Jans

VI Podcast

Play Episode Listen Later Feb 5, 2026 26:36


Cijferman Bart Frouws vertelt je in Scorebordjournalistiek wat er opvalt richting speelronde 22 van de Eredivisie. Samen met Sjoerd Keizer bespreekt hij deze keer Utrecht-Feyenoord, FC Volendam en FC Groningen. See omnystudio.com/listener for privacy information.

Reiki Lifestyle® Podcast
Reiki, Shamanism, and Manifestation with Jan Engels-Smith

Reiki Lifestyle® Podcast

Play Episode Listen Later Feb 2, 2026 105:05


In this collaborative episode of the Reiki Lifestyle Podcast, Colleen and Robyn Benelli welcome Jan Engels-Smith, founder of LightSong School of 21st Century Shamanism, and Colleens shamanic teacher, for a grounded and expansive conversation on Reiki, shamanic practice, and conscious manifestation. Jan brings decades of experience as a teacher, author, and ceremonial leader, sharing how spiritual practice becomes meaningful when it is lived, embodied, and applied with integrity. Together, the conversation explores how Reiki and shamanism support clarity, alignment, and discernment, especially when working with intention, healing, and creation in everyday life. This episode speaks to the relationship between spiritual awareness and practical action. Jan offers insight into how manifestation develops through presence, responsibility, and relationship with the natural and spiritual worlds. The discussion weaves together Reiki energy, shamanic worldview, and lived wisdom, offering listeners a deeper understanding of how these paths complement one another. This is a collaborative episode focused on shared values, spiritual maturity, and honoring diverse traditions while staying rooted in personal experience. In this episode, you will hear about: How Reiki and shamanism intersect as conscious spiritual practices Manifestation through awareness, responsibility, and relationship Spiritual discernment in daily life and decision making Teaching from experience rather than theory Creating a grounded spiritual path that supports clarity and purpose Jans bi-monthly Manifest Miracles community  Colleen and Robyn Benelli at Reikilifestyle.com. Follow Reiki Lifestyle on Instagram, Facebook, YouTube, and your favorite podcast  Jan Engels-Smith LightSong.net  Manifesting Miracles : https://lightsong.wufoo.com/forms/manifesting-miracles Thank you for being part of the Reiki Lifestyle community! **DISCLAIMER** This episode is not a substitute for seeking professional medical care but is offered for relaxation and stress reduction, which support the body's natural healing capabilities. Reiki is a complement to and never a replacement for professional medical care. Colleen and Robyn are not licensed professional health care providers and urge you to always seek out the appropriate physical and mental help professional health care providers may offer. Results vary by individual.

FC Afkicken
AZ - AJAX! Twente wint, Jans stelt teleur en Brabantse derby | FCA Daily | S08E126

FC Afkicken

Play Episode Listen Later Jan 14, 2026 37:24


In de FC Afkicken Daily van woensdag 14 januari bespreken Mart ten Have, Alex Mazereeuw en Mounir Boualin het laatste voetbalnieuws! Met vandaag: De bekerwinst van Twente op Utrecht en een deceptie voor Ron Jans, de bekerwedstrijd van woensdag en wie er bondscoach moet worden van Oranje! (00:00) Intro (02:18) Twente bekert verder (10:30) Ron Jans in mineur (14:20) Woensdagavond bekeravond (17:40) AZ - Ajax (23:40) Overige wedstrijden vanavond (25:45) Bellingham reageert op ontslag Alonso (28:35) Trainersnieuws Man Utd. en Oranje Deze aflevering is gemaakt in samenwerking met PassaVoetbal. Op PassaVoetbal vind je alles wat je nodig hebt voor jouw voetbalambities: met de Shoefinder vind je jouw perfecte voetbalschoenen, bestel je shirts met officiële spelersbedrukking en daarnaast heeft PassaVoetbal het beste assortiment, topservice en al je favoriete merken. We praten over iconische rugnummers, de eerste WK-shirts én hoe je de perfecte voetbalschoen vindt.

NOS Voetbalpodcast
#495 - 'Geen saté met Ron Jans na flauwe vraag'

NOS Voetbalpodcast

Play Episode Listen Later Jan 9, 2026 54:32


De eredivisie wordt hervat en dus is ook de NOS Voetbalpodcast terug uit een diepe winterslaap. En er is een hoop te bespreken. Dat doen Jeroen Elshoff, Ragnar Niemeijer en Arman Avsaroglu bij presentator Thierry Boon. Met een speciale boodschap van kersverse Lazio-speler Kenneth Taylor en een smakelijke anekdote van de afscheid nemende Ron Jans.  P.S. Wil jij op maandag 26 januari met ons de 500ste Voetbalpodcast in het theater vieren? Mail dan naar voetbalpodcast@nos.nl voor meer informatie. 

mail wil geen lazio vraag jans jeroen elshoff nos voetbalpodcast
Cyclone Fanatic
DAILY CLONE: A Buchanan breakout, Lipsey talks freshmen, Chris Jans on Iowa State

Cyclone Fanatic

Play Episode Listen Later Nov 11, 2025 6:59


On Tuesday's Daily Clone, Jake Brend dives into Blake Buchanan's breakout performance against Mississippi State, Tamin Lipsey shares what impresses him about the freshmen and Mississippi State head coach Chris Jans talks about what makes Iowa State so hard to prepare for. Presented by Whiskey River in the Northwest Bank Studios. Learn more about your ad choices. Visit megaphone.fm/adchoices