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Guest: Dr. Adrianne Rahde Bischoff Clinical Assistant Professor of Pediatrics-Neonatology Neonatal Hemodynamics Specialist University of Iowa, Stead Childrens Hospital CEU objectives for this episode: Describe two differences between a TNE (Targeted Neonatal Echo) performed by NICU staff and a Cardiac Ultrasound performed by an Echo Tech Explain at least one way that hemodynamic measurements obtained during a TNE might change the clinical management of a baby in the NICU List two or more treatment options for a PDA This episode is eligible for CEUs. Visit https://handtohold.org/resources/podcasts/nicu-heroes/ to complete the questionnaire. It is the sole responsibility of the individual to verify if this credit is valid and eligible for use in your State and/or for your discipline for licensure or certification renewal.
[Part 3] Underage Workers, Millions Of Dollars And Trucks Full Of Dead Chickens — Inside The Business Of Killing In Response To Bird Flu In the third part of this article learn about huge payouts companies receive for killing their birds as well as one of the cruelest possible methods to kill them that's banned elsewhere and supposed to only be used in “constrained circumstances”, but is used commonly. Written by John McCracken, InvestigateMidwest.org. Part 3 of 3. #vegan #plantbased #plantbasedbriefing #avianflu #birdflu #depopulation #culling #indemnitypayments #animalcruelty #vsd+ #heatstroke ============================ Original post: https://investigatemidwest.org/2025/04/30/underage-workers-millions-of-dollars-and-trucks-full-of-dead-chickens-inside-the-business-of-killing-in-response-to-bird-flu/ ============================ Related Episodes: 991: [Part 1] How U.S. Taxpayers Bailed Out the Poultry Industry, and Helped Entrench Avian Flu https://plantbasedbriefing.libsyn.com/991-part-1-how-us-taxpayers-bailed-out-the-poultry-industry-and-helped-entrench-avian-flu-by-grey-moran-at-sentientmediaorg 992: [Part 2] How U.S. Taxpayers Bailed Out the Poultry Industry, and Helped Entrench Avian Flu https://plantbasedbriefing.libsyn.com/992-part-2-how-us-taxpayers-bailed-out-the-poultry-industry-and-helped-entrench-avian-flu-by-grey-moran-at-sentientmediaorg 973: Why Big Meat Has an Ugly Human Rights Problem https://plantbasedbriefing.libsyn.com/973-why-big-meat-has-an-ugly-human-rights-problem-by-charlotte-pointing-at-vegnewscom 785: Bird Flu Infects Dairy Cows And Farm Worker In The US https://plantbasedbriefing.libsyn.com/770-bird-flu-infects-dairy-cows-and-farm-worker-in-the-us-by-claire-hamlett-at-plant-based-news-posted-at-all-creaturesorg 728: When Tyson ‘Depopulates' Chickens, Taxpayers Are Left Footing the Bill https://plantbasedbriefing.libsyn.com/728-when-tyson-depopulates-chickens-taxpayers-are-left-footing-the-bill-by-grace-hussain-at-sentientmediaorg 476: ‘Censorship Concerns' & ‘Veterinary Profession Should Not Condone Killing Animals by Heatstroke(VSD+)' https://plantbasedbriefing.libsyn.com/476-censorship-concerns-veterinary-profession-should-not-condone-killing-animals-by-heatstrokevsd-by-barry-kipperman-dvm-at-ourhonororg 393: The Use of Chickens in Agricultural Research: An Eye-Opening Look at Unspeakable Cruelty https://plantbasedbriefing.libsyn.com/393-the-use-of-chickens-in-agricultural-research-an-eye-opening-look-at-unspeakable-cruelty-by-karen-davis-at-upc-onlineorg ============================ Investigate Midwest (previously The Midwest Center for Investigative Reporting) is an independent, nonprofit newsroom. Our mission is to serve the public as a watchdog over influential corporations and institutions through in-depth and data-driven investigative journalism. Started in 2009 by journalist Mike Sherry, Investigate Midwest provides training and education for students, professional journalists and citizens to better understand agribusiness and its impact locally, regionally and globally. Investigate Midwest uses both traditional and innovative digital tools and techniques to analyze data about agribusiness and distribute the results. ============================== FOLLOW THE SHOW ON: YouTube: https://www.youtube.com/@plantbasedbriefing Spotify: https://open.spotify.com/show/2GONW0q2EDJMzqhuwuxdCF?si=2a20c247461d4ad7 Apple Podcasts: https://podcasts.apple.com/us/podcast/plant-based-briefing/id1562925866 Your podcast app of choice: https://pod.link/1562925866 Facebook: https://www.facebook.com/PlantBasedBriefing LinkedIn: https://www.linkedin.com/company/plant-based-briefing/ Instagram: https://www.instagram.com/plantbasedbriefing/
[Part 2] Underage Workers, Millions Of Dollars And Trucks Full Of Dead Chickens — Inside The Business Of Killing In Response To Bird Flu In the second part of this article learn about the underage labor used in the physically and emotionally dangerous jobs of killing infected flocks, and learn about the issues caused with the one-conttractor system the government has put in place. Written by John McCracken, InvestigateMidwest.org. Part 2 of 3. #vegan #plantbased #plantbasedbriefing #avianflu #birdflu #depopulation #culling #indemnitypayments #animalcruelty ============================ Original post: https://investigatemidwest.org/2025/04/30/underage-workers-millions-of-dollars-and-trucks-full-of-dead-chickens-inside-the-business-of-killing-in-response-to-bird-flu/ ============================ Investigate Midwest (previously The Midwest Center for Investigative Reporting) is an independent, nonprofit newsroom. Our mission is to serve the public as a watchdog over influential corporations and institutions through in-depth and data-driven investigative journalism. Started in 2009 by journalist Mike Sherry, Investigate Midwest provides training and education for students, professional journalists and citizens to better understand agribusiness and its impact locally, regionally and globally. Investigate Midwest uses both traditional and innovative digital tools and techniques to analyze data about agribusiness and distribute the results. ============================== FOLLOW THE SHOW ON: YouTube: https://www.youtube.com/@plantbasedbriefing Spotify: https://open.spotify.com/show/2GONW0q2EDJMzqhuwuxdCF?si=2a20c247461d4ad7 Apple Podcasts: https://podcasts.apple.com/us/podcast/plant-based-briefing/id1562925866 Your podcast app of choice: https://pod.link/1562925866 Facebook: https://www.facebook.com/PlantBasedBriefing LinkedIn: https://www.linkedin.com/company/plant-based-briefing/ Instagram: https://www.instagram.com/plantbasedbriefing/
Nuo liepos 7 dienos įsigalios pakeitimas, kad automobiliai su suklastotais ridos duomenimis nebegalės gauti teigiamos techninės apžiūros išvados. Ką daryti tokiems vairuotojams?„Aktualaus klausimo“ rubrikoje klausime, kur esate suplanavę po Lietuvą pakeliauti jūs, ką norėtumėt patirti, pamatyti, o gal rekomenduoti kitiems.Kaip estai jaučia rusijos grėsmę, ypač po pastarųjų įvykių Baltijos jūroje, kai saugodama savo nelegalų tanklaivį rusija pakėlė kovinį naikintuvą.Po paviešinto LRT tyrimo apie rusijos finansuotus įvairius visuomenės veikėjus ir jų advokatus, Lietuvos advokatūra pradėjo vidinį tyrimą dėl trijų teisininkų, kurie minimi šiame tyrime. Tuo metu VSD vadovas Žinių radijui komentavo, kad rusijos specialiųjų tarnybų kontroliuojamo fondo pinigus gavę Lietuvoje veikiantys asmenys bus įvertinti teisine prasme. Kas toliau?Nerimą bei stresą patiria kas ketvirtas 5-11 klasės moksleivis. Tokius duomenis pateikė Lietuvos sveikatos mokslų universitetas, atlikęs tyrimą. O pastaraisiais metais, artėjant egzaminams vis daugiau jaunuolių jaučia ir nerimą, ir nuovargį, ir psichologinį spaudimą. Kaip nugalėti baimes ir susidoroti su stresu prieš egzaminus?Ved. Liuda Kudinova
Du Seimo nariai „Nemuno aušros“ atstovai Remigijus Žemaitaitis ir Dainoras Bradauskas negavo leidimų susipažinti su slapta informacija. Kai kurie parlamentarai tvirtina, kad tai rodo jų nepatikimumą, todėl jie negali eiti atsakingų pareigų.Seimo pirmininkas Saulius Skvernelis bando tokį draudimą įtvirtinti Seimo Statute, tačiau jo iniciatyva kol kas stringa. Premjeras Gintautas Paluckas situacijos nesureikšmina ir sako, kad valstybė nėra valdoma saugumo pažymomis.Ar nepatikimi Seimo nariai gali eiti atsakingas pareigas?Laidoje dalyvauja Seimo pirmininkas Saulius Skvernelis, Seimo nariai Remigijus Motuzas, Arvydas Anušauskas, Vitalijus Gailius, buvęs VSD direktorius Gediminas Grina.Ved. Liepa Želnienė
Vaccination is one of the best ways to prevent diseases. Over the past 50 years, essential vaccines saved at least 154 million lives (1). During the same period, vaccination has reduced infant deaths by 40%. Together with governments, vaccine manufacturers, scientists and medical experts, WHO's vaccine safety program is constantly helping monitor the safety of vaccines. This helps ensure that vaccines are safe for you and your family. In the United States, a number of safeguards are required by law to help ensure that the vaccines we receive are safe. Because vaccines are given to millions of healthy people—including children—to prevent serious diseases, they're held to very high safety standards. Every authorized or approved vaccine goes through safety testing, including: Testing and evaluation of the vaccine before it's licensed by the Food and Drug Administration (FDA) and recommended for use by the Centers for Disease Control and Prevention (CDC) Monitoring the vaccine's safety after it is recommended for infants, children, or adults Before a vaccine is ever recommended for use, it's tested in labs. This process can take several years. FDA uses the information from these tests to decide whether to test the vaccine with people. During a clinical trial, a vaccine is tested on people who volunteer to get vaccinated. Clinical trials usually start with 20 to 100 volunteers, but eventually include thousands of volunteers. These tests can take several years and answer important questions like: Is the vaccine safe? What dose (amount) works best? How does the immune system react to it? Throughout the process, FDA works closely with the company producing the vaccine to evaluate the vaccine's safety and effectiveness. All safety concerns must be addressed before FDA licenses or authorizes a vaccine. Once a vaccine is approved or authorized, it continues to be tested. The company that makes the vaccine tests batches to make sure the vaccine is: Potent (It works like it's supposed to) Pure (Certain ingredients used during production have been removed) Sterile (It doesn't have any outside germs) FDA reviews the results of these tests and inspects the factories where the vaccine is made. This helps make sure the vaccines meet standards for both quality and safety. Once a vaccine is recommended for use, FDA, CDC, and other federal agencies continue to monitor its safety. The United States has one of the most advanced systems in the world for tracking vaccine safety. Each of the systems below supplies a different type of data for researchers to analyze. Together, they help provide a full picture of vaccine safety. Vaccine Adverse Events Reporting System (VAERS): VAERS is an early warning system managed by CDC and FDA that is designed to find possible vaccine safety issues. Patients, health care professionals, vaccine companies, and others can use VAERS to report side effects that happen after a patient received a vaccine. Some side effects might be related to vaccination while others might be a coincidence (happen by chance). VAERS helps track unusual or unexpected patterns of reporting that could mean there's a possible vaccine safety issue that needs further evaluation. The Vaccine Safety Datalink (VSD): VSD is a collaboration between CDC and several health care organizations across the nation. VSD uses databases of medical records to track vaccine safety and do research in large populations. By using medical records instead of self-reports, VSD can quickly study and compare data to find out if reported side effects are linked to a vaccine. Post-licensure Rapid Immunization Safety Monitoring System (PRISM), links to an external website, opens in a new tab: PRISM is part of the Sentinel Initiative, which is FDA's national system for monitoring medical products after they're licensed for use. PRISM focuses on vaccine safety—it uses a database of health insurance claims to identify and evaluate possible safety issues for licensed vaccines. Clinical Immunization Safety Assessment Project (CISA): CISA is a collaboration between CDC and a national network of vaccine safety experts from medical research centers. CISA does clinical vaccine safety research and—at the request of providers—evaluates complex cases of possible vaccine side effects in specific patients. Biologics Effectiveness and Safety (BEST) System: A system that uses multiple data sources and rapid queries to detect or evaluate adverse events or study specific safety questions. Additional research and testing: The Department of Defense (DoD), the U.S. Department of Veterans Affairs (VA), and the Indian Health Service (IHS) have systems to monitor vaccine safety and do vaccine safety research. The National Institutes of Health (NIH) and the Office of Infectious Disease and HIV/AIDS Policy (OIDP) also support ongoing research on vaccines and vaccine safety. During emergencies, such as the COVID-19 pandemic, additional safety activities are utilized to help evaluate the data in quickly and with special populations. For example, a new smartphone tool called V-safe uses text messaging and surveys to check in with COVID-19 vaccine recipients after vaccination. (CREDITS)
Send us a textIn dieser speziellen deutschsprachigen Episode von 'Herz zu Herz mit Anna' spricht Jodi Alderfel mit Marina Lohri, die mit Trikuspidalatresie, ASD und VSD geboren wurde und eine modifizierte Fontan-Operation überlebte. Marina teilt ihre lebenslange Reise, von ihrer Herzoperation als Baby bis hin zu ihrer Karriere bei atHeart Medical, einem Unternehmen, das Geräte zur Behandlung von ASD entwickelt. Die Episode erörtert auch Marinas Erfahrungen mit Vorhofflimmern und einer Ablation im Jahr 2018. Marinas persönliche und berufliche Erfahrungen bieten wertvolle Einblicke für andere Patienten mit angeborenen Herzfehlern und zeigen, wie sie durch Mut und Entschlossenheit ein sinnvolles Leben führt.(Besonderer Dank geht an Jodi Alderfel, die uns in dieser Folge als Gastmoderatorin zur Seite stand.)In this special German-language episode of 'Heart to Heart with Anna,' Jodi Alderfel speaks with Marina Lohri, who was born with tricuspid atresia, ASD, and VSD and survived a modified Fontan procedure. Marina shares her lifelong journey, from her heart surgery as a baby to her career at atHeart Medical, a company developing devices to treat ASD. The episode also discusses Marina's experience with atrial fibrillation and an ablation in 2018. Marina's personal and professional experiences offer valuable insights for other patients with congenital heart disease and show how she leads a meaningful life through courage and determination.Here is a link to Marina's episode in English with Anna: https://tinyurl.com/Marina-LohriSheri Turner is our newest Defender Patron and she also serves as a HUG Volunteer. Thank you so much for your generosity and all you do, Sheri!Support the showAnna's Buzzsprout Affiliate LinkBaby Blue Sound CollectiveSocial Media Pages:Apple PodcastsFacebookInstagramMeWeTwitterYouTubeWebsite
Konstitucinis Teismas konstatavo, kad draudimas pasinaudoti pagalbiniu apvaisinimu vienišoms moterims ir nesusituokusioms poroms prieštarauja Konstitucijai. Šis sprendimas įsigalios po metų.Druskininkų merui Ričardui Malinauskui vadinamoje teisėjų korupcijos byloje už piktnaudžiavimą skirta 60 tūkst. eurų bauda.VMI pripažino, kad Seimo narys, Remigijaus Žemaitaičio pavaduotojas ir vienas artimiausių bendražygių Robertas Puchovičius vengė mokesčių pardavinėdamas brangius kotedžus.Šiaulių teismas paskelbė nuosprendį šnipinėjimu Rusijai kaltinamam Eduardui Manovui. Jam skirti aštuoneri su puse metų kalėjimo.Aplinkosaugininkai sako, kad Vyriausybė nesilaiko savo programoje išdėstytų miškų saugojimo politikos pažadų.Seimas pritarė Remigijaus Bridikio kandidatūrai į Valstybės saugumo departamento vadovus. Bridikį skirti naujuoju VSD vadovu pasiūlė prezidentas Gitanas Nausėda. Remigijus Bridikis pareigose pakeis dvi kadencijas departamentui vadovavusį Darių Jauniškį.Visos profesinio mokymo įstaigos vienu metu rengia atvirų durų dienas.Ved. Agnė Skamarakaitė
Quels sont les messages et présages que la vie et la nature peuvent nous adresser ?Pour en parler, j'ai le plaisir de recevoir Florence Belkacem, écrivaine et journaliste. Elle débute sa carrière à la radio – Europe 1, France Inter, RTL – puis rejoint TF1 où elle présente son propre talk-show. Elle devient chroniqueuse aux côtés de Thierry Ardisson et de Laurent Ruquier avant d'interviewer plus de huit cents personnalités pour le magazine VSD. Enfin elle crée et anime l'émission Une certaine idée de la France sur Radio Classique jusqu'en 2018. Son premier livre, Coccinelle, édité en 2020, a touché plus de 25 000 lecteurs.Son troisième roman Cueilleuse de signes - Peut-on échapper à son destin ? paru aux éditions Guy Tredaniel, nous invite à prêter attention aux messages et aux présages que la vie et la nature nous adressent. Mêlant émotion, humour, poésie et références philosophiques, Cueilleuse de signes traite de la destinée et de l'intranquillité comme du désenchantement du monde. Le roman marque aussi une incursion inédite dans le fantastique avec un clin d'œil au « réalisme magique ». Entre quête intime et ouverture sur l'inconnu, le livre explore la puissance des signes comme source de sens, de résilience et d'émerveillement.Vous pouvez retrouver Florence Belkacem :- Instagram : https://www.instagram.com/florencebelkacem/@Crédit photo : Céline NieszawerBonne écoute !------------------------------------------------------------------------------------------------------------------------------------------Si vous avez apprécié cet épisode, et que vous souhaitez soutenir gratuitement le podcast, n'hésitez pas laisser 5 étoiles et un commentaire sur Apple podcast
Donaldas Trumpas skelbia pauzę muitų kare. Po šios žinios, pasaulio akcijų rinkos šovė į viršų.Šiaulių teismas skelbs nuosprendį šnipinėjimu Rusijai kaltinamam Eduardui Manovui. Prokurorai prašo jam skirti 9-erius metus kalėjimo.Seimas pritarė Remigijaus Bridikio kandidatūrai į Valstybės saugumo departamento (VSD) vadovus.VSD direktorių penkerių metų kadencijai Seimo pritarimu skiria ir atleidžia prezidentas.Aplinkosaugos koalicijos teigimu, Vyriausybė nesilaiko pažado saugoti miškus.Visos Lietuvos profesinio mokymo įstaigos, vienu metu rengia atvirų durų dieną. Įgyti profesinę kvalifikaciją kviečiami ne tik jaunuoliai, bet ir suaugusieji.Šalies mokykloms tampa vis sunkiau tramdyti rūkančius paauglius. Dėl to Akmenė svarsto imtis drastiškų priemonių ir visą rajoną paskelbti nerūkymo zona.Ved. Andrius Kavaliauskas
Lietuvos kariuomenė ir gelbėjimo tarnybos tęsia keturių dingusių JAV karių paiešką.„Amber Grid“ vadovas Nemunas Biknius LRT Radijui sako, kad vietoje, kurioje vykdoma amerikiečių karių paieška, esantis dujotiekis įkastas maždaug metro gylyje. Pasak jo, dar vakar uždarius šią dujotiekio atkarpą vykdyti paieškos darbus tapo visiškai saugu. Bikniaus teigimu, šis dujotiekis nebuvo pačioje poligono teritorijoje, prie jo buvo draudžiama karinių pratybų veikla, bet galimas judėjimas. Dujotiekis, „Amber Grid“ vadovo teigimu, buvo tinkamai pažymėtas.Gamtininkas Andrejus Gaidamavičius pasakoja apie vietovę, kurioje įvyko incidentas, kas būdinga aukštapelkei.Parlamentarai pritarė Dariaus Jauniškio atleidimui iš Valstybės saugumo departamento (VSD) direktoriaus pareigų. Naujuoju VSD vadovu prezidentas Gitanas Nausėda siūlo skirti šiuo metu direktoriaus pavaduotojo pareigas šioje institucijoje einantį Remigijų Bridikį. Seimas dėl R. Bridikio kandidatūros į VSD vadovus apsispręs vėliau.Nacionaliniame mokinių pasiekimų patikrinime kiek daugiau nei 13 proc. aštuntokų nepasiekė patenkinamo matematikos lygio.Seimui pritarus, kad nuo kitų metų visi elektrinių mikrojudumo priemonių vairuotojai privalės dėvėti šalmus, paspirtukus nuomojantys verslai sako, kad šie pakeitimai itin komplikuos jų veiklą. Anot verslininkų, pavyzdžiai Europoje rodo, kad priėmus tokius sprendimus šios paslaugOOs miestuose gali apskritai nelikti. Ar toks likimas laukia ir Lietuvoje?Ved. Agnė Skamarakaitė
Pokalbiai tarp Jungtinių Amerikos Valstijų ir Ukrainos delegacijų Džidoje truko aštuonias valandas. Po jų pranešta, kad Ukraina sutinka mėnesiui nutraukti ugnį. Jungtinės Valstijos savo ruožtu nedelsiant atnaujina karinę paramą ir dalijimąsi žvalgybos duomenimis su Ukraina. “Dabar kamuoliukas Rusijos pusėje”, sako Markas Rubijas. Pasak jo, Donaldas Trumpas tikisi, kad Rusija sutiks su siūlomomis paliaubomis, ir tik tada esą galės prasidėti tikros derybos.Ar galimos 30 dienų paliaubos Rusijos kare prieš Ukrainą? Ką jos duotų?Laidoje dalyvauja Nepriklausomybės Akto signataras Albinas Januška, LRT bendradarbis Alvydas Medalinskas, VU TSPMI profesorė Dovilė Jakniūnaitė, buvęs VSD direktorius Gediminas Grina.Ved. Liepa Želnienė
Get ad-free episodes, early release, and bonus shows What lurks at the bottom of Georgia's haunted Lake Lanier? In this episode, Elizabeth Grimes & Erica Daugherty, hosts of the Spirits Uncorked podcast, have an answer! Elizabeth also owns and operates Lanier Ghost Tours, which takes guests out on the water to give them ghost stories, history, and an upclose look at the lake itself. Our musical guest on this episode is Vampire Step-Dad, with "In Pursuit", the second single from his upcoming album, "Night Shift II: Canine Cop". If you want to be among the first to hear that new album, drop in on VSD's listening party on Bandcamp, Wednesday, March 12th @ 8pm EST. Brennan will be in the chat, so come on by and say hi! This episode is brought to you by BetterHelp. Give online therapy a try at betterhelp.com/GhostStoryGuys and get on your way to being your best self. Learn more about your ad choices. Visit megaphone.fm/adchoices
Lietuvos žvalgyba skelbia: diplomatinė karo Ukrainoje baigtis – mažai tikėtina, o Rusija turi ambicijų po trejų-penkerių metų žengti į NATO teritoriją. Valstybės saugumo departamentas (VSD) ir Antrasis operatyvinių tarnybų departamentas (AOTD) visuomenei pristatė jau dešimtąjį Grėsmių nacionaliniam saugumui vertinimą.Saugumo ekspertai: europiečiams turėtų kilti klausimų kuo pakeisti ginklus iš JAV.Teismui perduota Marijampolės mero Povilo Isodos „čekiukų“ byla.Tyrimo duomenimis, P. Isoda, eidamas Marijampolės savivaldybės tarybos nario ir mero pareigas, galimai suklastojo tikrus dokumentus, juose įtvirtindamas tikrovės neatitinkančius duomenis apie nepatirtas telefo-no ryšio, interneto ryšio, transporto išlaidas, kaip susijusias su tarybos nario veikla.Po puspenkto mėnesio, praleisto Ramiajame vandenyne, Australijos krantus pasiekė keliautojas Aurimas Mockus. Irkline valtimi vandenyną bandęs perplaukti klaipėdietis kelionę baigė kovo antrąją, kai patekęs į Koralų jūroje siaučiantį cikloną, išsikvietė pagalbą. Keletą parų jam vis tiek dar teko praleisti bangų talžomoje valtyje „Kuršis“, kol prie jo pavyko priplaukti Australijos karinio laivyno kariams ir išgelbėti keliautoją. Apie gelbėjimo operaciją ir savo savijautą jis papasakojo išskirtiniame interviu LRT.Vilniuje prasideda tris dienas truksianti Kaziuko mugė. Šiemet ji vadinama žaliuoju virsmu, nes Vilnius tapo Europos žaliąja sostine.Ved. Darius Matas
Prieš dešimt metų Valstybės saugumo departamento vadovu tapęs Darius Jauniškis sakė mesiąs šį darbą, jei politikai neatsižvelgs į žvalgybos siūlymus. Tačiau nemetė ir tapo ilgiausiai VSD direktoriaus pareigas ėjusiu žmogumi Lietuvoje. Per tą laiką saugumo situacija smarkiai pasikeitė, Europoje kilo plataus masto karas, o Valstybės saugumo departamentas pats buvo kaltinamas politikavimu.Kaip baigdamas antrąją kadenciją Darius Jauniškis mato saugumo situaciją LietuvojeVed. Liepa Želnienė
Send us a textAfter facing the heart-wrenching loss of a beloved family matriarch to a once-benign heart condition, I am reminded of the fragile nature of life and the critical importance of heart health. Join me as we explore these deeply personal connections to heart disease and the heartfelt stories of families who navigate these challenges with resilience and love. This episode kicks off with a touching account of a family who urged me to share their loss hoping it might help another family living with a chronic, untreated heart condition to maintain consistent monitoring, and the efforts of "And Mama Too: a Dash of Love," a non-profit dedicated to supporting postpartum heart and NICU moms.During this episode, you'll meet the inspiring Kate Doherty-Schmeck, Executive Director of Global ARCH, who shares her dedication to transforming outcomes for childhood-onset heart diseases. Kate's insights into the power of global collaboration underscore the immense impact of organizations advocating for improved healthcare access. From the emotional encounter in a Guatemalan hospital to powerful events in Barcelona and Washington, D.C., discover how communities are coming together to fight disparities and ensure that every child receives the care they deserve.As the episode unfolds, I offer encouragement and resources for those touched by congenital heart disease. Whether it's through volunteering with Global ARCH or becoming an empowered advocate, there are myriad ways to contribute to this vital cause. More than just stories, these narratives serve as a clarion call for action, reminding us all of the strength found in community and the enduring spirit of advocacy. Remember to tune in every Tuesday for new episodes filled with heartwarming stories and invaluable insights.Global ARCH link: https://global-arch.org/&Mamatoo: A Dash of Love: https://www.andmamatoo.com/homeSupport the showAnna's Buzzsprout Affiliate LinkBaby Blue Sound CollectiveSocial Media Pages:Apple PodcastsFacebookInstagramMeWeTwitterYouTubeWebsite
This week on The Beat, CTSNet Editor-in-Chief Joel Dunning pays tribute to the late-cardiac surgeon Albert Starr. He discusses Dr. Starr's personal and professional life, his accomplishments, and the Starr-Edwards valve. He also discusses the background of CTSNet, provides a quick statistics review of CTSNet, and the CTSNet career center. Joel also reviews recent JANS articles on heart surgeons performing the world's first combined robotic AVR and CABG, the prevalence of invasive lung cancer in pure ground glass nodules less than 30 mm, external validation of EuroSCORE I and II in patients with infective endocarditis, and totally endoscopic coronary artery bypass graft. In addition, Joel explores robotic-assisted tracheobronchoplasty, spontaneously closed VSD presenting as an Iatrogenic Gerbodie defect, and single leaflet neocuspidization for aortic regurgitation due to infective endocarditis in adult congenital heart disease. Before closing, he highlights upcoming events in CT surgery. JANS Items Mentioned 1.) Heart Surgeons Perform World's First Combined Robotic AVR and CABG 2.) Prevalence of Invasive Lung Cancer in Pure Ground Glass Nodules Less Than 30 mm: A Systematic Review 3.) External Validation of EuroSCORE I and II in Patients With Infective Endocarditis: Results From a Nationwide Prospective Registry 4.) Totally Endoscopic Coronary Artery Bypass Graft: Systematic Review and Meta-Analysis of Reconstructed Patient-Level Data CTSNET Content Mentioned 1.) Robotic-Assisted Tracheobronchoplasty: A Quick Way to Fix the Airway 2.) Spontaneously Closed VSD Presenting as an Iatrogenic Gerbodie Defect 3.) Single Leaflet Neocuspidization for Aortic Regurgitation Due to Infective Endocarditis in Adult Congenital Heart Disease Other Items Mentioned 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.
Es geht in die nächste Runde mit unserer Serie “Verbände der Fitnessbranche”. In diesem Monat stellen wir Euch den VSD e.V. vor, den Verband für Sportökonomie und Sportmanagement in Deutschland. Deren Vorstandsvorsitzender Stephan Peters spricht in dieser Folge über die Entstehung des Verbands, die Zielgruppe, was der Verband für die eigenen Mitglieder erreicht hat und viel mehr. Viel Spaß bei Folge 137 von Hashtag Fitnessindustrie! Weiterführende Infos und Links Abonniere den Podcast auf Apple Podcasts, Deezer, Google Podcasts, SoundCloud und Spotify: https://linktr.ee/hashtagfitnessindustrie Folge uns auf Facebook, Instagram, LinkedIn und Twitter. Kontakt zu Andreas: https://www.linkedin.com/in/andreasmbechler/ Tritt der Hashtag Fitnessindustrie-Community auf Facebook bei und diskutiere über die Fitnessbranche mit: https://www.facebook.com/groups/309945713288355 Kontakt zu Stephan: https://www.linkedin.com/in/stephan-peters-2b03762b/ VSD e.V.: https://vsd-online.de Folge 22 - WOW-Effekte in Sport & Fitness - mit Stephan Peters: https://hashtag-fitnessindustrie.de/folge-22-wow-effekte-in-sport-fitness/
Vilniuje nukritus krovininiam orlaiviui „Boeing“, tiriama, kas galėjo lemti aviakatastrofą. Svarstoma, kad tai galėjo būti ir techninis gedimas ar piloto klaida, tačiau neatmetamas ir teroro akto scenarijus. Lėktuvas gabeno DHL siuntas, kaip ir tada, kai suveikė sprogstamosios medžiagos. Kol vyksta tyrimai, įvykio aplinkybės išlieka mįslingosKas galėjo lemti orlaivio katastrofą Vilniuje?Laidoje dalyvauja „Oro navigacijos“ Operacinės veiklos departamento vadovas Tomas Montvila, Vilnius TECH Antaino Gustaičio aviacijos instituto lektorius Vincas Šnirpūnas, aviacijos ekspertas Artūras Stankevičius, Transporto kompetencijų agentūros Civilinės aviacijos departamento patarėjas Alvydas Šumskas, buvęs VSD vadovas Gediminas Grina.Ved. Marius Jokūbaitis
On this week's Dads with Daughters podcast, we spoke with Kevin Baker, a certified life coach and father of three. Known affectionately as "Coach Kevin," he offers unique insights into parenting through his personal and professional experiences. This episode delved into various aspects of fatherhood, particularly focusing on raising resilient daughters amidst challenges. Whether you're a new dad or a seasoned parent, the lessons and strategies discussed provide valuable takeaways for all. The Initial Joy and Unexpected Challenges The Joy of Fatherhood Kevin Baker's journey into fatherhood was initially marked by joy and excitement—emotions that many of us can relate to. Upon learning that he would be having a daughter, his initial thoughts mirrored those of countless new dads: excitement quickly followed by planning. From due dates to potential weather conditions, Kevin and his wife wanted to be prepared for every scenario. Navigating Health Challenges However, their plans changed dramatically when their daughter was diagnosed with Tetralogy of Fallot, a congenital heart condition. This unexpected news threw Kevin and his wife into a whirlwind of medical appointments and surgeries. Through three open-heart surgeries, they learned an invaluable lesson about the unpredictability of life: planning is essential, but flexibility and emotional resilience are paramount. Facing Parenthood Fears Head-On Common Fears Like many fathers, Kevin faced immense fears, particularly concerning his daughter's future independence given her medical challenges. His fear extended into other areas, such as her social and emotional well-being. These fears initially overshadowed his joy but evolved over time. Kevin's story is a testament to the fact that all parents, regardless of their child's health, share common anxieties about their child's future. Overcoming Fear Kevin emphasized the importance of addressing these fears constructively. He learned to channel his anxiety into positive, actionable steps. "Letting go of expectations," he said, allowed him to focus on being present, loving, and patient. This mindset not only alleviated his fears but also enabled his daughter to thrive despite her challenges. Reprogramming the Parental and Child Scripts Resetting as Parents Resetting parental expectations begins with a broad perspective on life. Kevin and his wife realized that life's journey is long and unpredictable. They practiced zooming out to see the bigger picture, understanding that daily worries shouldn't overshadow long-term happiness and success. This perspective shift provided them with emotional stability and resilience, enabling them to navigate their daughter's health issues with greater ease. Empowering Their Daughter For their daughter, reprogramming her mindset involved instilling tools for self-empowerment. Kevin shared how they focused on open communication, consistent encouragement, and helping her develop critical life skills. A significant part of this was educating her about the reality of social media, debunking the myths of perfection that it often portrays. They reinforced her self-worth and capabilities, allowing her to combat negative thoughts effectively. Coaching Tweens and Teens: A Broader Perspective Understanding Teen Angst Working with teens and tweens, both professionally and as a father, has given Kevin unique insights into the adolescent mind. He emphasizes the importance of understanding the thoughts and feelings that teens experience daily. Many teens struggle with feelings of inadequacy, anxiety, and a lack of direction, often exacerbated by societal pressures. Strategies for Parents Kevin's primary advice for parents is to focus on connection and communication. Instead of pressing for immediate answers, he advises listening attentively—considering both words and body language—before responding thoughtfully. He acknowledges that parents might not always be the best confidants for their teens, suggesting the involvement of other trusted adults, like extended family members or professional coaches. Resources and Final Thoughts Kevin's experiences and advice emphasize the importance of patience, understanding, and clear communication in parenting. One resource he recommends is Tara Brach's book, "Radical Acceptance," which advises parents to pause and breathe before reacting. This practice empowers both parent and child to make better decisions. Closing Insights To summarize, Kevin Baker's journey offers invaluable lessons for all parents. His emphasis on patience, flexibility, and emotional resilience can guide us all in raising strong, independent children. Resources like "Radical Acceptance" and coaching can also provide valuable support as we navigate the challenges of parenthood. For those looking to explore more about Kevin's perspectives or seek personalized guidance, he is available through his website, lifecoachkevin.com, and various social media channels. Fatherhood is an ever-evolving role, and by embracing lessons from leaders like Kevin Baker, we can strive to be the best dads we can be. TRANSCRIPT (Unedited transcript created with CASTMAGIC) Dr. Christopher Lewis [00:00:05]: Welcome to dads with daughters. In this show, we spotlight dads, resources, and more to help you be the best dad you can be. Dr. Christopher Lewis [00:00:16]: Welcome back to the Dads with Daughters podcast where we bring you guests to be active participants in your daughters' lives, raising them to be strong, independent women. Really excited to have you back again this week. I love being able to sit down, talk to you, work with you as we are working to be the best dads that we can be and to be able to raise those strong independent women that we all want our daughters to become. And that being said, as I've said in the past, and I'll say it again, I know it is so important that you're here today because that means that you're willing to learn, you're willing to listen, and you're willing to do what it takes to be able to get to that endpoint that you want for yourself and for your family. And to do that, you have to be willing to be open to listening, to learning, and to take it all in, and to figure out what works, and to figure out what works best for you and your family. Everything that you're gonna be hearing today may not work exactly for your family. And that's okay. Because each of us is going to father in different ways. Dr. Christopher Lewis [00:01:15]: There's not one right way to father, and there's no one playbook to follow to be able to know how best to be a father to your kids. There are so many different ways that you can do that. And what's most important though, is that you're willing to know and you're willing to learn and find some of those other tools that you can add to your own toolbox to put into place and to be able to try some of those out. Because you know what? You might learn something new about yourself and something new that you can put into place to help you be that dad that you wanna be. And that's why in every episode, I love being able to bring you different guests, different people with different experiences, different dads coming from different walks of life, and as well as other experts, other people that can help you to be that father that you wanna be. And this week, we have another great guest with us. This week, we have Kevin Baker joining us or otherwise known as coach Kevin. And coach Kevin's gonna be talking with us about his own experience as a father of 3, as well as Kevin is a certified life coach who works with families and teams and helps individuals to be able to build the best version of themselves. Dr. Christopher Lewis [00:02:26]: We're gonna be talking about that as well. So I'm really excited to have him here. Kevin, thanks so much for joining us today. Kevin Baker [00:02:32]: Oh, thanks for having me, Chris. It's a pleasure to be here. And I look forward to getting some insights from you too. This is great. Dr. Christopher Lewis [00:02:37]: I really appreciate you being here today. And one of the things that I love to do, 1st and foremost, is turn the clock back in time. And I know you've got 3 kids, 1 daughter, and 2 sons. And I wanna turn the clock all the way back. I know you've got a 14 year old daughter, so let's go back. Maybe it's 13 years, maybe it's 14 years, you never know. But talk to me about that first moment, that first reaction that you had when you found out that you were going to be a father to a daughter? Kevin Baker [00:03:02]: Oh, pure excitement and just so much joy. Overwhelming amount actually of excitement. And it quickly turned into, okay, what do I have to do next? What's the next step? What do we do? So a little bit of anxiety being a plan. We started to make arrangements, figure out this is the due date. Kevin Baker [00:03:18]: What's it going to be like? What's the weather going to be like? Where are we going to go? What are we going to do? How are we going to do it? And so we had this great plan. And then fast forward 8 months, final checkup at the doc, they said, We're seeing something with a heart and we want to get you guys over to the hospital to check it out. And 4 days later, our daughter was born and she was diagnosed in utero with a heart condition called Tetralogy of Fallot that would require intervention at some point, which was like a total shock to us. We did not expect this. We had these plans, but what about our plans? And so we very quickly learned that it's great to have plans, but you could pretty much throw those out the window. And that has been the MO for my daughter ever since for the last 14 years. And it's been great. What a great learning experience. Kevin Baker [00:04:01]: What a great way to what a great introduction into parenting is that it's great to have expectations and it's great to have plans, but really it's all out of your control. So don't stress too much about it when things deviate from what your perfect plan was. But fast forward 14 years, she's had 3 open heart surgeries. She had 2, her 1st year of life where they corrected the ASD and the VSD in the heart and fixed one of her valves and also fixed the bundle of tissue that was sort of in the way of things. But she just recently on May 2nd, had her 3rd open heart surgery and is fully recovered from that. And she's been swimming in the lake all summer. So it's been fantastic. And we live right outside of Boston, which is probably one of the best places in the world to have that sort of thing happen. Kevin Baker [00:04:38]: So we're grateful and we're blessed that we've been through it. And it's been a rollercoaster of feelings, ups and downs and but we know life is a long journey and we are giving her all the tools we possibly can for her toolbox to be strong and happy and successful whatever that means to her moving forward in life. So that is the short version of becoming a parent for me. Dr. Christopher Lewis [00:04:59]: Now, every father that I've talked to talks about fear, and your fears may be very different than some other dads, especially with some of these surgeries that your daughter has had to have in her first 14 years of life. But I'm gonna ask you the question anyways. As you entered into fatherhood, and as you've gone through these 14 years, what's been the biggest fear that you've had in raising a daughter? Kevin Baker [00:05:23]: You know, that's a great question. The biggest fear that I've had, just because my daughter has had so many challenges I would say that she's had to overcome and she still does. She's got some communication issues, you know, some social emotional stuff happening, you know, which a lot of kiddos do. But I think my biggest fear is that she wouldn't be prepared for life outside of the house when it's time for her to be independent. And that was a fear of mine. However, it's not a fear of mine anymore. And I have been able to take all those thoughts and all those fears that I've had and let them go and sort of let go of all my expectations about what she's going to do when she gets older, who she's going to be when she grows up and just know in my heart and in my soul that we're are doing the best job that we possibly can to help this kiddo figure out who she wants to be on her own. And she's learning and she's doing great. Kevin Baker [00:06:12]: And that all gets reinforced to us through parent teacher conferences or speaking with other adults that help out along the way to raise our family and when I'm able to let go of the fears and let go of the expectations and just know that everything's going to be okay because we have the tools to deal with it, then we're all a lot happier for it. And so, I try to not be afraid of anything because that doesn't serve anyone. Dr. Christopher Lewis [00:06:39]: You're not the only father that has had to have those fears and has not had a child that has had to have all of those challenges within her life and that they've had to deal with in their life. But not every father has had to also deal with those. And sometimes things can change. Things can get thrown through a loop, and you've definitely had to deal with that. I guess as I think about that and what you just said, I've got 2 questions. 1st, tell me about what you and your significant other had to do to be able to reset that mindset. I'm gonna say maybe programming. Reset the script that you had in your brain about how things were going to be versus how they were? And then, 2, how have you had to work to help your own daughter to reset her script about the way in which she had to see this for herself? Kevin Baker [00:07:34]: The first an the answer to the first question is that, you know, we really in order to reset the script as parents, we had to zoom way out on life and realize that, you know, life is a long journey. And, you know, everybody goes through stuff day to day that gets you emotional. It gives you different thoughts that you have to work through and overcome. There's a lot of worry. The world is a busy, hectic and anxiety inducing place when you think about all the things that could happen in life. But being able to zoom out and know that, yeah, some days are really, really hard. But if you think about it the right way and you know that tomorrow's another day and it's all going to be fine and we have the tools and we have the for instance, the greatest medical professionals, some of the greatest medical professionals in the world here to help us deal with some of this stuff and know that we are smart and capable adults that can work through any problem that presents itself to us. All we have to do is breathe and reason and have the resources that we were taught to use growing up, that we're going to get through it and it's going to be okay. Kevin Baker [00:08:33]: And yeah, there are a lot of nights where there's anxiety about what's going to happen. Is she going to be okay? Is she going to be able to play on the playground? Is she going to have restrictions? Is she going to be able to get a job one day? Is she going to be able to drive? All these things that us as parents we worry about. But really, if we just focus on being present and showing love and having patience, then we have everything we need to be the best parents we can be and taking the anxiety and the worry about the future out of it and just focus on the present and do the best we can. That's how we get by day to day. And yes, some days are hard, but we get through it. We keep our positive mindset and we get through it and you know it gets better. And once you know it the next day when you tell yourself it's all going to be fine, it actually is. And how has my daughter been able to reset? We've given her a lot of tools and she's developed a lot of tools to be able to keep up with her classmates and her peers and to be able to communicate as effectively as possible with her teachers and her other trusted adults. Kevin Baker [00:09:32]: And we tell her that she's doing a great job and we congratulate her and we're her cheerleader and we keep an open and transparent relationship so we can communicate and try and figure out what thoughts are you having and how can we help you with whatever you're dealing with? And just to keep that open dialogue and communication and let her know that everything's going to be okay. And now that she's 14, a lot of the reset is trying to impress upon her that what some of the stuff she might see online or on social media isn't really the whole truth. And some of these folks may be just showing you the top 1%, all the good stuff that's happening in their life. And maybe you don't have the fear of missing out on that because that might not be a 100% real. So bringing that all back down to reality, is a really important aspect of keeping that reset in play. Dr. Christopher Lewis [00:10:15]: It is such an important thing. I've seen it in my own daughters, and I know that so many parents do, especially in those tween and teen years. And I mentioned the fact that you had a lot of opportunity over your career to be able to work with teens and tweens, to be able to really look at who they want to be, but also how they want to get there, and helping people and helping teens in that way. Kevin Baker [00:10:42]: You know, the number one thing that I hear from kiddos all the time, and one of the things that we work through, because I think it's the most important thing to work through with them, is what is going on in their mind, and what thoughts are they having when they're put in certain situations that are causing the feelings and emotions that they're having that are causing the actions or non action that they're taking, which is leading to results that are either what they're looking for or not what they're looking for. So digging into what issue are they having? Is it an issue about friends? Is it academic performance? Is it something happened to do with anxiety? Or is it a lack of motivation? All these things that the parents see as red flags for instance, when they are, you know, spending too much time on the computer or not getting good grades or not socializing with too many friends or not finding interest in things that are happening in and around their life. And so, what we talk about right off the bat is what are the thoughts that you're having? And a lot of them are having thoughts that they're not good enough or they're never going to make it or, you know, they'll never be, you know, rich and famous or they don't know what they want to do with their life or they're wasting time or, you know, all these negative, deconstructive, limiting beliefs that they've had through inputs from parents, teachers and you know, there's a saying, it's parents, teachers, and preachers that really influence the belief systems that we have and parents influence their kiddos with beliefs without even knowing that they're actually programming the mind of their child. So digging into really what are those beliefs? What are those thoughts you're having? And why are you having that thought that you're not good enough? And how did that come to be? And then dissecting it. And then giving them an opposite, more empowering, constructive thought like actually, you know, with practice, I will be good enough and I could actually be one of the best or I am going to make it. You know, with hard work and persistence, I am going to make it and I'm going to be one of the best. And give them that mindset that when they have one of those negative thoughts and they have a thought that they know is not a fact to analyze that, and they come up with a new thought that empowers them. And when they have the ability to change that, to recognize that they are not their thoughts and the thoughts are just an internal narrative that's happening, everybody has it. Kevin Baker [00:12:53]: It's a voice in their head and everybody has it, but when you can control it so that it tells you so that it doesn't hold you back and it actually pushes you forward so you can get through whatever's holding you back without talking yourself out of it, that's where we want to be with the kiddos. You know, we want to give them the ability to empower themselves when a situation arises so that when they start to feel negative or they have an experience and, you know, they think they're not good enough, that they tell themselves like, hold up, you are good enough, you got this, Just do it. Dr. Christopher Lewis [00:13:22]: And one of the things that can get really challenging in those teen and tween years is that your your children are going to are going through this transition, are going through this transition that all of us went through as kids, where they begin to test the waters even more and test the values and the family mores that have been put into place and that they've been growing up with to try to identify who do they, who are they, who do they wanna be, who are they, to try to identify who they are and who they want to be. And that can be really challenging for parents in many different ways. So I guess I'd love to have you talk to me a little bit about the work that you've done with tweens and teens. And as you're working with them as individuals from their perspective, what are you hearing from them? What are some of the things that they're saying to you? And I know you're trying to work with the parents as well because sometimes parents just don't understand as they're trying to parent these kids through what they're going through. So are there things that they can do to be able to reconnect and be able to understand their kids in a different way? Kevin Baker [00:14:28]: Well, that's a great question, and and it's it's almost a trick question because when you're a parent asking those questions and trying to understand your kiddo, they don't always respond, and it doesn't work. Parents, it doesn't work when you're trying to do that with your kiddo. That's why it takes a village, and you need to have other trusted people in your circle that can work with you and your kiddo to get to the bottom of it because they're not gonna be as open with you no matter what. You could be the you could have the closest relationship. Like this kind of stuff doesn't work with my kids. It works great with everybody else's but, you know, there's a thing. We have a limit on what we can do. So and it's just because they see us 20 hours a day or whatever it is. Kevin Baker [00:15:07]: You know, it's because we're there. We have all these other roles and responsibilities that sometimes prevents us from cracking the code with our own kiddos. But I would say that letting your kiddo know that, Hey, I'm here for you if you need anything, like if you want to talk. And really the first thing to do is connect. Like find the one thing that you can do to really connect with your child because it might be sitting down and watching them play a video game and asking them questions about it and then see what conversation comes from that. But showing them that you're there and you care, and then making that judgment as a parent, it's like, Is there something going on? And what can we do to help you get through some of this stuff? And they might have an aunt or uncle that they respect that's not the parent that can come in and open them up a little bit and get into that conversation. Or before you go to therapy, I always say triage with coaching because, you know, a lot of the stuff can be talked through. And when we focus on the positive with coaching, sometimes people don't need to go to therapy. Kevin Baker [00:16:08]: Sometimes they do need to go to therapy. But parents start with connection and communicating and letting them know that you're there and you care is the number one thing. Dr. Christopher Lewis [00:16:15]: So listening to what you just said, one question that still comes to my mind is if your child is having those thoughts, if you're noticing it, where's the best place to start in having these conversations with them, to engage with them, and to try to help them understanding that we may not understand completely what's going on as well? Doctor. Robert Whitfield Kevin Baker [00:16:33]: (zero forty five:fifty four): And people change along the way. Parents change along the way. I've had 3 kids, and I think that they each have sort of had a different version of me as their father, as I've become a better dad or not, depending on which kid you ask. But we learn, and we get new tools, And I have become a better father. Over the 14 years, you know, you learn as you go, and the kiddos change drastically. Dr. Christopher Lewis [00:16:53]: I love that concept because I think that sometimes parents get themselves into a situation where they're racking their brains, and they're trying to figure out how can I connect with them better? How can I do something to be able to reconnect? And it doesn't always happen. Now, I am making a generalization because every child is different. And as you inevitably probably either have heard or will hear, older people are always saying to newer parents, oh, you know, just wait until those teenage years. Well, the teenage years are not always going to be challenging. They may be, but they're not always going to be. So you have to realize that every child is different. And when you have multiple kids, each of your children may be different when it comes to how they go through their tween and teenage year experiences for themselves. So as you're going through this with your kids and you're realizing that each of your children are going to be different, sometimes you have kids that are going through this at the same time, and you have to have a different approach. Dr. Christopher Lewis [00:17:53]: And you have to have a different approach to working with your children. It's not always a rinse, wash, and repeat. What do you say to parents when it comes to parenting multiple tween or teens during the same period? Because we know that each of them are not going to be able to go through the same process together. Kevin Baker [00:18:12]: Yeah. I think it's important to know that all kids are different. And, yes, they all come from you, but they are all very, very much different. And they all have their own vision. They all have their own vision, their own subconscious, and, and they all need to be treated similarly, but they're all gonna have different needs. And so trying to identify, I guess, what each kiddo needs that's different from one another is something you have to really be aware of. And that comes from listening. And when your child's talking to you, not racking your brain, thinking about what you're gonna say back to them, but to actually just listen, like to all the words and how they're saying it and what their body language is telling you while they say it. Kevin Baker [00:18:52]: And then take all that information in and determine what your response is going to be. And to not react right away, but to give it time and pause and let everything they're saying go through the emotional part of processing and give it a minute and then reply with a reasoned response is the best way to try and figure out who each one of your kiddos is individually. And then let them know that they have such special characteristics and, you know, they have this unique identifier that is them and their personality and what you love about it to help foster that sense of individuality and to build up their self confidence and their self esteem and their self-concept because they all need to have, they all need to know their important qualities and their characteristics and their values. Like you might have a kiddo who's very sensitive and empathetic and caring and loving and really cherishes family and friendships. And you might have another kiddo who is a little bit, I don't know, more outgoing. Maybe they're a jokester. You know, maybe they are the life of the party. You know, maybe they were always the ones doing magic tricks growing up, trying to be the center of attention. Kevin Baker [00:20:00]: You know, so all kids are different, and they all have their different qualities in trying to foster that so that your kiddos grow up with their own sense of self-concept which will carry them through life. And that's the thing that on the hard days when they get faced with an issue with friends or something academically that they can say like, You know what? I'm really smart and I can do this. Or, I am super friendly and no matter what that person says, like, I know I'm me and I am a great person and I can do this and I can make these friends or whatever the case may be, but giving them that sense of self. Dr. Christopher Lewis [00:20:30]: Now, I know that you've worked with a lot of not only tweens and teens but also parents. And as you work with these individuals, are there any resources that you encourage parents or fathers to refer to as they're going through this period of time with their teen and tweens? Kevin Baker [00:20:45]: I mean, there are some great podcasts out there, this being one of them. There's so many different resources for parents to dig in and to really spend time paying attention to. I think one of the authors that I think is really hitting the nail on the head is her name is Tara Brach. Tara Brach wrote and really the essence of it is to when you are faced with a situation with your kiddo and you don't know what to do, and maybe you're having an argument, maybe you want them to do some chores that they are procrastinating on. Maybe there's something you need them to do that they're not doing it and you're about to get really with them, but to pause and breathe. The book is called Radical Acceptance. And in essence, it is, you know, accept that your kiddo is their own person and they know the right answers in their subconscious. They know what to do and they want to please their parents. Kevin Baker [00:21:36]: And if we pause and we breathe and we give them a chance to do that without intervening, kids will make the right decisions. And to be able to practice that and then actually see it happen, like right before you knock on your kiddo's door, after you've asked them to come down for dinner half a dozen times and they're still up there playing Fortnite or whatever it is, just walk away and don't nag them anymore and let them make the decision and let them make the choice and have the consequence because it's all a learning experience. And reading that book, Radical Acceptance, was a game changer for me in parenting and I'm happy to share that resource with whoever's interested. Dr. Christopher Lewis [00:22:10]: Now, we always finish our interviews with what I like to call our fatherhood 5, where I ask you 5 more questions to delve deeper into you as a dad. Are you ready? Kevin Baker [00:22:18]: Yep. Ready. Dr. Christopher Lewis [00:22:18]: In one word, what is fatherhood? Kevin Baker [00:22:20]: Patience. Dr. Christopher Lewis [00:22:21]: When was the time that you finally felt that you succeeded at being a father to a daughter? Kevin Baker [00:22:25]: When she made the honor roll. Dr. Christopher Lewis [00:22:26]: Now, if I was to talk to your 3 kids, how would they describe you as a dad? Kevin Baker [00:22:30]: Maybe cringey. A little bit cringe. It's a new term that when I tell my dad jokes, they don't sometimes they don't find them funny, they find them cringey. But I'd say fun, most of the time. Dr. Christopher Lewis [00:22:38]: Who inspires you to be a better dad? Kevin Baker [00:22:40]: Let's say my father. Dr. Christopher Lewis [00:22:41]: Now, you've given a lot of piece of advice today, things that every dad can think about. What's one piece of advice you'd wanna give to every dad? Kevin Baker [00:22:47]: I would say breathe. Breathe. When it gets tough, just breathe and let the emotion pass because emotions change. You might have an emotion of anger or being overwhelmed or being anxious about a certain situation your kid may or may not be faced with. But I think breathing is the most important thing we can do. Dr. Christopher Lewis [00:23:03]: Well, Kevin, I just wanna say thank you for helping teens and tweens, and thank you for being here today for sharing your wisdom on working with those teens and tweens, and for telling us more about your experience as a father. If people wanna find out more about you, where should they go? Kevin Baker [00:23:17]: Sure. They can go to life coach Kevin.com. So on Instagram at life coach Kevin and on Facebook at teen life coach. Happy to have consultation calls with anyone that's seen some red flags. If you're frustrated or confused with what's going on with your kiddo, feel free to sign up for a call, and we can chat through it and see if working together might be the right fit. Dr. Christopher Lewis [00:23:33]: I really appreciate you being here today, and I wish you all the best. Kevin Baker [00:23:37]: Same here, Chris. Thanks a lot. Dr. Christopher Lewis [00:23:38]: If you've enjoyed today's episode of the Dads with Daughters podcast, we invite you to check out the fatherhood insider. The fatherhood insider is the essential resource for any dad that wants to be the best dad that he can be. We know that no child comes with an instruction manual and most dads are figuring it out as they go along, and the fatherhood insider is full of resources and information that will up your game on fatherhood. Through our extensive course library, interactive forum, step by step road maps, and more, you will engage and learn with experts, but more importantly, dads like you. So check it out at fathering together dot org. If you are a father of a daughter and have not yet joined the dads with daughters Facebook community, there's a link in the notes today. Dads with Daughters is a program of fathering together. We look forward to having you back for another great guest next week, all geared to helping you raise strong empowered daughters and be the best dad that you can be. We're all in the same boat, and it's full of tiny screaming passengers. We spend the time, We give the lessons. We make the meals. We buy them presents and bring your a game. Because those kids are growing fast. The time goes by just like a dynamite blast. Calling astronauts and firemen, carpenters, and muscle men, get out and be the world to them. Be the best dad you can be.
Du lundi au vendredi, Julien Pichené fait le point sur l'actualité des médias. Aujourd'hui, Philippe Bouvard n'a pas été en mesure de livrer sa chronique intitulée "Bouvardages" à VSD ce mois-ci, du nouveau concernant l'affaire Muriel Robin et le tournage de "Lol Qui Rit Sort" et deux voix emblématiques d'Europe 1 seront dimanche sur le canapé rouge de Michel Drucker.
Du lundi au vendredi, Julien Pichené fait le point sur l'actualité des médias. Aujourd'hui, Philippe Bouvard n'a pas été en mesure de livrer sa chronique intitulée "Bouvardages" à VSD ce mois-ci, du nouveau concernant l'affaire Muriel Robin et le tournage de "Lol Qui Rit Sort" et deux voix emblématiques d'Europe 1 seront dimanche sur le canapé rouge de Michel Drucker.
Du lundi au vendredi, Julien Pichené fait le point sur l'actualité des médias. Aujourd'hui, Philippe Bouvard n'a pas été en mesure de livrer sa chronique intitulée "Bouvardages" à VSD ce mois-ci, du nouveau concernant l'affaire Muriel Robin et le tournage de "Lol Qui Rit Sort" et deux voix emblématiques d'Europe 1 seront dimanche sur le canapé rouge de Michel Drucker.
Today, I learned about a new tool in therapy and AAC, speaking with guests Dr. David McNaughton and Dana Patenaude, who collaborated on the research article "Using Visual Scene Displays With Young Children: An Evidence-Based Practice Synthesis," published in the Journal of Special Education Technology.Visual Scene Displays (VSDs) are interactive visual representations, such as photos or images, that depict scenes, objects, or events. They allow users to engage with elements within the image, providing a more immersive and interactive communication experience. VSDs can be used with Augmentative and Alternative Communication (AAC) tools, offering a more contextual and personalized way for users to communicate. This is not an either/or tool but a powerful resource that can be combined with other AAC methods.This study found that VSDs are an evidence-based practice. Their use can be personalized with meaningful photos, tailored to individual interests. Children can even participate in creating and selecting "hot spots," giving them real-time language engagement with the parts of the scene that interest them most. There are also ways to create video VSDs or VSDs that incorporate literacy.VSDs can be used for shared storybook reading, setting/environment photos, culturally responsive elements, and more! David and Dana do a great job of breaking down this comprehensive research and explaining how effective VSDs can be across various settings. Be sure to check out the links provided to access this open article and find resources on getting started with VSD apps.#autism #speectherapyWhat's Inside:What are VSDs?How can VSDs be used alongside AAC?How to engage in shared storybook reading with VSDs?How to create culturally responsive and individualized Visual Scene Displays?Mentioned In This Episode:Patenaude, D., McNaughton, D., & Liang, Z. (2024). Using Visual Scene Displays With Young Children: An Evidence-Based Practice Synthesis. Journal of Special Education Technology, 01626434241263061. Video Visual Scene Displays (provides information on other studies that used video visual scene displays, including links to videos of research participants and links to apps that support VSDs and video VSDs)Join us in the ABA SPEECH Connection MembershipRose Griffin (@abaspeechbyrose) on Instagram
Send us a textMeet Marina Lohri, a true trailblazer in the world of congenital heart defects (CHDs). Born with tricuspid atresia, a ventricular septal defect, and an atrial septal defect, Marina's journey from a life-saving C-section to being among the first in Switzerland to undergo a modified-Fontan procedure at just 11 months old is nothing short of miraculous. In our conversation, Marina unfolds her inspiring story and shares her passion for working at atHeart Medical, where she is dedicated to promoting innovative solutions for those with similar heart conditions.Navigating the complexities of living with Atrial Fibrillation (AFib) and congenital heart defects is no small feat. Marina opens up about her personal experiences with rapid heart rates and the profound decision to undergo an ablation. As she contemplates the intricate considerations surrounding pregnancy with a congenital heart condition, we delve into the evolving medical advice she received and the diverse perspectives of healthcare professionals. Marina's story is a testament to the importance of specialized care and the expertise found at top hospitals in Switzerland.From finance to the medical field, Marina's career journey is a testament to aligning work with personal values and health needs. As she shares her transition to atHeart Medical, a startup focused on congenital heart defects, Marina highlights the rewards of working in a supportive environment that truly understands the challenges of living with CHD. Her advocacy extends beyond her professional life, as she continues to inspire others with similar heart conditions to pursue their passions and find purpose in their careers. Marina's resilience shines through as she navigates life's challenges with a positive attitude and a commitment to the CHD community.Helpful Links:atHeart Medical website: https://atheartmedical.comSupport Organizations:Mended Hearts: https://mendedhearts.org(In German)Herznetz: https://www.herznetz.ch/Fontanherzen: https://fontanherzen.ch/Swiss Heart: https://swissheart.ch/Thanks to our newest HUG Patron, Ayrton Beatty and long-standing Patrons: Laura Redfern, Pam Davis, Michael Liben, Nancy Jensen, Alicia Lynch, Deena Barber, Carlee McGuire, Carter & Faye Mayberry, and Frank Jaworski. We appreciate you!Support the showAnna's Buzzsprout Affiliate LinkBaby Blue Sound CollectiveSocial Media Pages:Apple PodcastsFacebookInstagramMeWeTwitterYouTubeWebsite
In this episode of The Tragedy Academy Podcast, host Jay Hicks welcomes Chris Hunt, known as the Florida Bushman. This episode explores Chris's journey from living with a congenital heart defect and a stroke to becoming a source of laughter and positivity through his unique pranks and social media content. Chris shares his personal story, struggles with medical issues, and how humor has been a constant thread in connecting with people. They discuss mindfulness's impact, authenticity's power, and the profound effects of bringing smiles to others. Chris also discusses his experiences, fan interactions, and plans, including a month-long family vacation and continued pranking adventures.
Lori Myers, shares her experience living with VSD and Tetralogy of Fallot, which caused her to be born as a "blue baby" and have various health issues throughout her life. After multiple surgeries and diagnoses, she was eventually told she had pulmonary arterial hypertension (PAH). Despite the prognosis, Lori is now in her tenth year since the diagnosis. She emphasizes the importance of listening to one's own body and following medical advice. Lori finds strength in her family, particularly her grandchildren. Learn more about pulmonary hypertension trials at www.phaware.global/clinicaltrials. Follow us on social @phaware Engage for a cure: www.phaware.global/donate #phaware Share your story: info@phaware.com
In this deeply moving episode of Our Forever Smiles, host Laura Arroyo sits down with Melissa Foreman, a courageous mother who shares her heartfelt journey of navigating her son's medical challenges. Melissa's son was born with both a heart condition and a cleft lip, presenting a unique set of obstacles for their family. Now, after enduring the complexities of cleft surgery, Melissa opens up about the emotional rollercoaster they've faced and the profound impact it has had on their lives. Listeners will hear Melissa's candid account of the highs and lows, from the initial shock of the diagnosis to the countless doctor's appointments and surgeries. Through Melissa's words, we gain insight into the resilience of a mother and her unwavering determination to ensure her son receives the best possible care. As Melissa recounts the milestones and setbacks along the way, Laura guides the conversation with empathy and understanding, creating a space for raw honesty and vulnerability. Together, they explore the complexities of parenting a child with medical needs and the profound moments of connection and growth that arise from adversity. Join us for this powerful episode as Melissa Foreman shares her story of strength, love, and the boundless capacity of the human spirit to overcome life's greatest challenges. Visit cleftlipwarriors.org to learn more about how you can support families along their cleft lip journey. Want to share your story? Email us at ourforeversmiles@gmail.com. Want to be a show sponsor? Email us at ourforeversmiles@gmail.com Follow us @ourforeversmiles on social platforms We know you will have questions! Join our FB Community to discuss the weekly episode and speak directly to our guests. https://www.facebook.com/groups/1081522212884073/ _______________________________________________________________________________ This podcast is completely free for you, but if you'd ever consider supporting the show, we truly appreciate it. One way you can do that is by using our affiliate links. These are links to products we've mentioned on the show, and if you make a purchase through one of them, we might earn a small commission at no extra cost to you. It's a great way to show your love for the podcast and help us keep creating content that educates, empowers, and strengthens the cleft lip and palate community! First Bottle to Purchase After Palate Repair - Post Palate Repair Straw Trainer Juselle's Cleft Palate Bottle - Pigeon Bottle Specialty Feeder Sippy Cup for Pre Palate Repair Prep - Munchkin 360 Weigh your Baby at Home - Weighted Feeds Scale Squeezable Straw Training Bottle - Honey Bear Straw Cup Free Flow Cup for Pre palate Repair Prep - Reflo Smart Cup Pacifiers that have Worked for Cleft Lip and Palate Babies - Itzy Ritzy Pacifiers that have Worked for Cleft Lip and Palate Babies - MAM Pacifiers that have Worked for Cleft Lip and Palate Babies - Itzy Ritzy Scar Cream Recommended by Alexis Garcia, Cleft Lip Mom - bioCorneum - Pricey**
In this episode of The Tragedy Academy Podcast, host Jay Hicks welcomes Chris Hunt, known as the Florida Bushman. This episode explores Chris's journey from living with a congenital heart defect and a stroke to becoming a source of laughter and positivity through his unique pranks and social media content. Chris shares his personal story, struggles with medical issues, and how humor has been a constant thread in connecting with people. They discuss mindfulness's impact, authenticity's power, and the profound effects of bringing smiles to others. Chris also talks about his experiences, interactions with fans, and future plans, including a month-long family vacation and continued pranking adventures.
In this episode of The Tragedy Academy Podcast, host Jay Hicks welcomes Chris Hunt, known as the Florida Bushman. This episode explores Chris's journey from living with a congenital heart defect and a stroke to becoming a source of laughter and positivity through his unique pranks and social media content. Chris shares his personal story, struggles with medical issues, and how humor has been a constant thread in connecting with people. They discuss mindfulness's impact, authenticity's power, and the profound effects of bringing smiles to others. Chris also discusses his experiences, fan interactions, and plans, including a month-long family vacation and continued pranking adventures.
This week, our hosts travel to the annual American Veterinary Medical Association (AVMA) convention in Austin, Texas. Discover the heated debates and critical updates on veterinary medical ethics arising from the AVMA's House of Delegates approval of a recently revised Principles of Veterinary Medical Ethics (PVME). Join hosts Dr. Ernie Ward and Becky Mosser, MPA, RVT, as they delve into some of the changes to the PVME that they believe will affect many veterinary professionals. Our duo starts by discussing the newly-introduced ethical usage by veterinarians of the term “veterinary technician,” some significant changes to the ethical definition of “evidence-based medicine,” why the omission of a single one matters to them, and the controversial topic of animal depopulation and ventilation shutdown (VSD+) receives an ethical okay from the AVMA HOD. Viewfinders, we hope these conversations continue to propel our profession forward. We want to thank our colleagues at the AVMA Executive Board and HOD for their work, regardless of their opinions, and welcome the opportunity to share different perspectives on the issues that affect the veterinary profession. If you enjoy our podcast, please leave us a 5-star review on Apple Podcasts or your preferred platform. Your support helps us connect with more veterinary colleagues! We'd love to hear your thoughts on this topic! Please share them with us on Facebook or Instagram at @VeterinaryViewfinder or VeterinaryViewfinder@gmail.com. To read the revised AVMA PVME, click here: https://www.avma.org/sites/default/files/2024-05/2024S_Resolution8_PVME_attch-1.pdf
Seimas pritarė VSD pranešėjo komisijos išvadoms, prezidentas Gitanas Nausėda jomis pripažintas pažeidžiamu dėl buvusių jo patarėjų ryšių su baltarusiškų trąšų verslo, Rusijos, Baltarusijos specialiųjų tarnybų atstovais.Prezidentas Gitanas Nausėda į Lietuvos kariuomenės vadus teikia brigados generolo Raimundo Vaikšnoro. Jis dabar tarnauja Sąjungininkų pajėgų Europoje vyriausiosios vadavietės štabo viršininko pavaduotoju kariniam rengimui. Krašto apsaugos ministras Laurynas Kasčiūnas giria Vaikšnorą ir sako, kad jis puikus kandidatas, kurį pats teikė Prezidentui.Prasidėjo išankstinis balsavimas Europos Parlamento rinkimuose. Balsuoti galima bet kurioje išankstinio balsavimo vietoje nuo 7 iki 20 valandos. Balsuojantieji turi turėti asmens dokumentą, kuriame yra nuotrauka ir asmens kodas.Indijoje baigiami skaičiuoti didžiulės apimties rinkimų rezultatai, o ministro pirmininko Narendros Modžio beveik neabejotinai laukia triumfas.Vis daugiau Jungtinės Karalystės ligoninių gydo pacientus koridoriuose, nes palatose trūksta lovų. Kodėl?Ved. Agnė Skamarakaitė
Send us a Text Message.Amy Milz opens her heart to us—quite literally—in a candid recount of her life as a congenital heart defect survivor. With grace and vulnerability, she takes us through the paces of her medical odyssey, from the relentless advocacy of her mother to her personal victories in the operating room. Each scar tells a story of resilience and the boundless possibilities of medical science, epitomized by a groundbreaking trial stent that reshaped her destiny. As Amy divulges the critical moments of her surgeries and trials, we are reminded of the strength found in the support of loved ones and the fortitude of the human spirit.The second act of Amy's tale is as colorful and textured as her artwork, a reflection of a journey through shadows into the light of self-discovery. Her transition from a myriad of jobs to pursuing an art education encapsulates a dance with purpose, one that illustrates the transformative power of embracing one's true calling. Amy's artwork, a series born out of navigating the complexities of Congenital Heart Disease (CHD), is more than a visual narrative; it's a testament to the therapeutic power of creative expression. Her experiences, which extend to the intimacy of her marriage and the importance of self-advocacy, are woven into a larger canvas of life lessons that resonate with all who face their own battles. Amy Milz, through her perseverance and passion, paints a picture of hope and reminds us of the beauty that can emerge from life's most challenging trials.Become a subscriber: https://www.buzzsprout.com/62761/supportWe appreciate it when people support Hearts Unite the Globe podcasts. Thank you to our newest supporters -- Annie Ulchak (Patreon) and Judy Miller (Buzzsprout)!We appreciate it when people support Hearts Unite the Globe podcasts. Thank you to our newest supporters -- Annie Ulchak (Patreon) and Judy Miller (Buzzsprout)!Support the Show.Anna's Buzzsprout Affiliate LinkBaby Blue Sound CollectiveSocial Media Pages:Apple PodcastsFacebookInstagramMeWeTwitterYouTubeWebsite
#TiekŽinių Trečiadienį (kovo 27 d.) Tiek Žinių vedėja Eglė papasakos apie Darbo partijos būstinėje apsilankiusią teisėsaugą, karštą Nausėdos priešinimąsi VSD komisijos išvadoms, protestą Budapešte, karą Ukrainoje ir daugiau svarbių dienos aktualijų. Svarbiausios dienos naujienos kiekvieną pirmadienį-ketvirtadienį čia ir „Laisvės TV“ YouTube kanale: https://youtu.be/YL1fPkLn_VA
#TiekŽinių Antradienį (kovo 26 d.) Tiek Žinių vedėja Silvija pasakoja apie skandalingą VSD pranešėjo tyrimo komisijos išvadą, teroristinio išpuolio maskvoje dėlionę, naują xuilo planą, Sinkevičiaus ir Žemaitaičio teismus bei ministrą Kasčiūną. Svarbiausios dienos naujienos kiekvieną pirmadienį-ketvirtadienį čia ir „Laisvės TV“ YouTube kanale: https://youtu.be/tM9bvCM90P8
Guest: Dr. Daniel Penny Chief, Pediatric Cardiology Professor and Chief of Pediatric Cardiology, Baylor College of Medicine Co-Director, Texas Children's Heart Center Professor and Chief of Pediatric Cardiology, Baylor College of Medicine In this episode: List at least one reason why neonates are more susceptible to congenital heart defects. Name two advancements in pediatric cardiac care in the last decade. Explain the most common symptoms of two of the three heart conditions: PDA, VSD or HLHS. This episode is eligible for CEUs. Visit https://handtohold.org/resources/podcasts/nicu-heroes/ to complete the questionnaire. It is the sole responsibility of the individual to verify if this credit is valid and eligible for use in your State and/or for your discipline for licensure or certification renewal.
Seimo biudžeto ir finansų komitetas tarsis ar reikia didinti azartinių lošimų dalyviams amžiaus cenzą iki dvidešimt vienerių metų. Šiuo metu azartinių lošimų įstatymas nustato dvi amžiaus ribas, leidžiančias dalyvauti azartiniuose lošimuose: 18 ir 21 metų amžių. Pavyzdžiui, į lošimo automatų ir bingo salonus, lažybų ir totalizatorių punktus gali patekti jaunesni nei 18 metų asmenys.Nuo Naujųjų metų Lietuvos gyventojai turi rūšiuoti maisto atliekas. Kol ginčijamasi, kur geriau rūšiuoti maisto atliekas į specialius konteinerius ar maišelius, dalis savivaldybių džiaugiasi, kad gyventojai rūšiuoja atsakingai ir tvarkingai. Ar jūs rūšiuojate maisto atliekas?Po visą Lietuvą keliaujančios dvi psichologės, pasivadinusios Tetomis, padeda vaikams ir paaugliams atsakyti į juos dominančius klausimus apie save, santykius, lytiškumą ar nerimą. Kokių netikėtų klausimų turi vaikai ir kas rūpi paaugliams? Apie tai „Versle iš širdies“.Šiandien Pasaulinė radijo diena. Radijas tebėra populiariausia žiniasklaidos priemonė, kurio reikšmė dar labiau išauga karo ar konfliktų metu. Kokia radijo reikšmė Ukrainoje vykstant karui?VSD grėsmių vertinimo ataskaitose ne kartą minėta pedagogė Ela Kanaitė iki šiol yra Tautinių bendrijų tarybos narė. Taryba veikia kaip patariamoji Tautinių mažumų departamento institucija. Tarybos sudėtį patvirtino tautinių bendrijų departamento vadovė V.Montvydaitė. Ji sako neturėjusi argumentų, kodėl E.Kanaitės narystę taryboje reikėtų stabdyti arba atšaukti iš pareigų. Be to, esą ji atsižvelgė į Kanaitės sveikatą, o vasario 15 d. bus skelbiami naujos tarybos rinkimai.Ved. Rūta Kupetytė
When Tyson ‘Depopulates' Chickens, Taxpayers Are Left Footing the Bill by Grace Hussain at SentientMedia.org Original post: https://sentientmedia.org/tyson-depopulates-chickens-taxpayers-footing-bill/ Related Episodes: 393: The Use of Chickens in Agricultural Research: An Eye-Opening Look at Unspeakable Cruelty 476: ‘Censorship Concerns' & ‘Veterinary Profession Should Not Condone Killing Animals by Heatstroke(VSD+)' 684: CEW's Smear Campaign Against Animal Protection Groups Sentient Media is a nonprofit news organization that is changing the conversation around animal agriculture across the globe. They seek to create and sustain a sense of global urgency about the agriculture industry's impact on the climate crisis, extraction of natural resources and systematic exploitation of the fringes of society. They're doing this through critical commentary, investigative journalism, creating resources, strengthening the journalist and advocate community, partnering with publishers and holding the media accountable when it fails to report on the most pressing issues of our time. How to support the podcast: Share with others. Recommend the podcast on your social media. Follow/subscribe to the show wherever you listen. Buy some vegan/plant based merch: https://www.plantbasedbriefing.com/shop Follow Plant Based Briefing on social media: Twitter: @PlantBasedBrief YouTube: YouTube.com/PlantBasedBriefing Facebook: Facebook.com/PlantBasedBriefing LinkedIn: Plant Based Briefing Podcast Instagram: @PlantBasedBriefing #vegan #plantbased #plantbasedbriefing #avianflu #h1n1 #culling #VSD+ #ventilationshutdown #eggprices #governmentbailout #depopulate
In this replay episode from 5 years ago in 2018, we enter into the world of cardiac morphology and speak with Professor Leo Lopez of Stanford University about a recent work he wrote with the International Society for Nomenclature of Pediatric and Congenital Heart Disease regarding proper nomenclature for VSD's. Is it defect geography or borders that are most important in naming these structures? How was agreement forged between such disparate super-hero experts in cardiovascular medicine and congenital heart disease? Is Dr. Lopez using these designations at the present time? What's next for the nomenclature group? Dr. Lopez shares his insights this week.As a special treat, Dr. Lopez also sings as the musical coda to today's program. A very special treat indeed and certainly worth replaying! Hoping that all enjoy! doi: 10.1016/j.athoracsur.2018.06.020
#26 Host Boots Knighton invites guest Jacque Avalon, a nurse, to share her inspiring story of thriving post open heart surgery. Jacque's journey began when she went to the emergency room with chest pain, which turned out to be a rare condition called double chambered right ventricle. It took some advocacy and prompting from Jacque's primary care physician for a full work to be completed. This led to the discovery of her Double Chambered Right Ventricle, and other structural challenges with her heart. Jacque underwent open heart surgery and was surprised by a few things along the way. She took these struggles in stride. You'll be thrilled to learn the impressive feat she accomplished a year after open heart surgery. It was something she dared not attempt pre-surgery, and was able to do once her heart was repaired. Its a testament to the fact that it's possible to aim even higher when congenital heart constraints have been resolved..Jacque's story emphasizes the importance of perseverance and resilience after undergoing major heart surgery. There were intense moments on her path, when things were incredibly challenging, but there was also another side.If you are looking for something specific - here's where you'll find it:[06:20] Stressors were taking a toll. And the chest pain wasn't going away.[11:25] Results from the TEE (transesophageal echocardiogram): Rare adult condition: DCRV, VSD, PFO.[15:44] Preparing for Open Heart Surgery- who will make your health decisions if you can't? [22:43] Anesthesia slows blood circulation. Your options to prevent blood clots.[26:44] Unbearable pain, unforgettable feeling.[35:35] Value of attending Women Heart and the reflections it brought to the surface.[36:17] Coming to terms with the changes - a physical scar in a day and at an age with such an emphasis on appearances.[41:29] Advice to others facing open heart surgery.Links mentioned in this episodeWomen Heart - www.womenheart.orgSmidt Heart Institute at Cedars-Sinai in LA - www.cedars-sinai.org/programs/heart.htmlA Little More About Today's GuestJacque Avalon is a 31-year-old registered nurse based in Los Angeles CA. She was born with a congenital heart disease that was left untreated until September 2020. She had open heart surgery at the age of 28 after finding out that she had a rare congenital heart defect among adults called DCRV (double-chambered right ventricle).How to connect with JacqueInstagram: @apple.jacqs**I am not a doctor and this is not medical advice. Be sure to check in with your care team about all the next right steps for you and your heart.**How to connect with BootsEmail: Boots@theheartchamberpodcast.comInstagram: @openheartsurgerywithboots or @boots.knightonLinkedIn: linkedin.com/in/boots-knightonBoots KnightonIf you enjoyed this episode, take a minute and share it with someone you know who will find value in it as well. You can share directly from this platform or send them to:
CardioNerds (Dr. Josh Saef, Dr. Agnes Koczo) join Dr. Iva Minga, Dr. Kifah Hussain, and Dr. Kevin Lee from the University of Chicago - NorthShore to discuss a case of unrepaired congenital heart disease that involves D-TGA complicated by Eisenmenger syndrome. The ECPR was provided by Dr. Michael Earing. Audio editing by Dr. Akiva Rosenzveig. A 25-year-old woman with an unknown congenital heart disease that was diagnosed in infancy in Pakistan presents to the hospital for abdominal pain and weakness. She is found to be profoundly hypoxemic, and an echocardiogram revealed D-transposition of the great arteries (D-TGA) with a large VSD. As this was not repaired in childhood, she has unfortunately developed Eisenmenger syndrome with elevated pulmonary vascular resistance. She is stabilized and treated medically for her cyanotic heart disease. Unfortunately given the severity and late presentation of her disease, she has limited long-term options for care. CardioNerds discuss the diagnosis of D-TGA and Eisenmenger's syndrome, as well as long-term management and complications associated with this entity. US Cardiology Review is now the official journal of CardioNerds! Submit your manuscript here. CardioNerds Case Reports PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Case Media - Unrepaired Congenital Heart Disease Pearls - Unrepaired Congenital Heart Disease Early diagnosis of cyanotic congenital heart disease is paramount for treatment and prevention of future complications. Adult congenital heart disease requires a multi-disciplinary team for management in consultation with an adult congenital cardiology specialist. Eisenmenger syndrome is related to multiple systemic complications and has a high rate of mortality. Advancement in PAH medical management can offer noninvasive treatment options for some patients. Transthoracic echocardiography is the cornerstone for diagnosis. Other modalities (e.g. cardiac CT, cardiac MRI, invasive catheterization) can aid in diagnosis and management. Show Notes - Unrepaired Congenital Heart Disease Cyanotic congenital heart disease is often diagnosed in infancy and timely treatment is paramount. As these diseases progress over time, pulmonary over-circulation often pulmonary hypertension (PH), elevated pulmonary vascular resistance, and Eisenmenger syndrome will develop, which preclude definitive treatment. For D-TGA, before PH develops, there are surgical options such as the arterial switch procedure that can treat the disease. Unfortunately, once Eisenmenger syndrome develops, there are multiple systemic complications including hyperviscosity, thrombosis, bleeding, kidney disease, iron deficiency, arrhythmias, etc. that can occur. Management requires a multi-disciplinary team including an adult congenital cardiology specialist, but mortality rates remain high, with median survival reduced by 20 years, worse with complex cardiac defects. Bosentan is a first line treatment for patients with Eisenmenger syndrome, with PDE-5 inhibitors as a second line either by themselves or in combination with bosentan. Data are currently limited for latest-generation PH treatments in Eisenmenger syndrome and further study is still underway. References Ferencz C. Transposition of the great vessels. Pathophysiologic considerations based upon a study of the lungs. Circulation. 1966 Feb;33(2):232-41. Arvanitaki A, Gatzoulis MA, Opotowsky AR, Khairy P, Dimopoulos K, Diller GP, Giannakoulas G, Brida M, Griselli M, Grünig E, Montanaro C, Alexander PD, Ameduri R, Mulder BJM, D'Alto M. Eisenmenger Syndrome: JACC State-of-the-Art Review. J Am Coll Cardiol. 2022 Mar 29;79(12):1183-1198. Earing MG, Webb GD. Congenital heart disease and pregnancy: maternal and fetal risks. Clin Perinatol.
In this episode, retired Assistant Director of the FBI Victim Services Division (VSD), Kathryn Turman reviews the VSD, the victim service specialist position, and the major cases and crisis events her staff has deployed to, providing assistance and support to victims around the world. Selected for the position by FBI Director Robert Mueller, she developed and led the FBI's response to 9/11 victims, victims of more than 100 acts of terrorism overseas, and to more than 35 terrorism and mass violence events across the U.S. Victim services professionals at the FBI inform, support, and assist victims in navigating the aftermath of crime and the criminal justice process with dignity and resilience. Kathryn Turman served in the FBI for 20 years. Check out episode show notes, photos, and related articles. https://jerriwilliams.com/297-kathryn-turman-victim-services-assistance-and-support/ Buy me a coffee - https://www.buymeacoffee.com/JerriWilliams Join my Reader Team to get the FBI Reading Resource - Books about the FBI, written by FBI agents, the 20 clichés about the FBI Reality Checklist, and keep up to date on the FBI in books, TV, and movies via my monthly email. Join here. http://eepurl.com/dzCCmL Check out my FBI books, non-fiction and crime fiction, available as audiobooks, ebooks and paperbacks wherever books are sold. https://jerriwilliams.com/books/
CardioNerds co-founder Dr. Amit Goyal and episode leads Dr. Jaya Kanduri (FIT Ambassador from Cornell University) and Dr. Jenna Skowronski (FIT Ambassador from UPMC) discuss Complications of acute myocardial infarction with expert faculty Dr. Jeffrey Geske. They discuss various complications of acute MI such as cardiogenic shock, bradyarrythmias, left ventricular outflow tract obstruction, ruptures (papillary muscle rupture, VSD, free wall rupture), and more. Show notes were drafted by Dr. Jaya Kanduri. Audio editing by CardioNerds Academy Intern, student doctor Tina Reddy. The CardioNerds Beyond the Boards Series was inspired by the Mayo Clinic Cardiovascular Board Review Course and designed in collaboration with the course directors Dr. Amy Pollak, Dr. Jeffrey Geske, and Dr. Michael Cullen. CardioNerds Beyond the Boards SeriesCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls and Quotes - Complications of Acute Myocardial Infarction Sinus tachycardia is a “harbinger of doom”! The triad for RV infarction includes hypotension, elevated JVP, and clear lungs. These patients are preload dependent and may need fluid resuscitation despite having an elevated JVP. Bradyarrythmias in inferior MIs are frequently vagally mediated. The focus should be on medical management before committing to a temporary transvenous pacemaker, such as reperfusion, maintaining RV preload and inotropy, avoiding hypoxia, and considering RV-specific mechanical circulator support (MCS). Worsening hypotension with inotropic agents (e.g., dobutamine, epinephrine, dopamine, norepinephrine) after a large anterior-apical MI should raise suspicion for dynamic left ventricular outflow tract obstruction due to compensatory hyperdynamic basal segments. The myocardium after a late presentation MI is as “mushy as mashed potatoes”! Need to look out for papillary muscle rupture, VSD, and free wall rupture as potential complications. Papillary muscle rupture can occur with non-transmural infarcts, and often presents with flash pulmonary edema. VSDs will have a harsh systolic murmur and are less likely to present with pulmonary congestion. Free wall rupture can present as a PEA arrest. All of these complications require urgent confirmation on imaging and early involvement of surgical teams. Notes - Complications of Acute Myocardial Infarction How should we approach cardiogenic shock (CS) in acute myocardial infarction (AMI)? Only 10% of AMI patients present with CS, but CS accounts for up to 70-80% of mortality associated with AMI, usually due to extensive LV infarction with ensuing pump failure. Physical examSinus tachycardia is considered a “harbinger of doom”, when the body compensates for low cardiac output by ramping up the heart rateThe presence of sinus tachycardia and low pulse and/or blood pressure in a patient with a large anterior MI should raise suspicion for cardiogenic shockBe wary of giving IV beta blockers in this situation as negative inotropes can precipitate cardiogenic shock (Commit Trial) When interpreting a patient's blood pressure in the acute setting, it is helpful to know their baseline blood pressure and if they have a significant history of hypertension. Patients
1.06 Systolic Heart Murmurs Cardiovascular system review for the USMLE STEP 1 Exam Heart murmurs are caused by turbulent blood flow in the heart There are 4 different types of systolic murmurs: ventricular septal defect (VSD), patent ductus arteriosus (PDA), aortic stenosis, and mitral or tricuspid regurgitation PDA produces a constant, machine-like murmur VSD produces a harsh holosystolic murmur Aortic stenosis produces a crescendo-decrescendo systolic ejection murmur Mitral and tricuspid regurgitation produce a holosystolic high pitched "blowing" murmur Mitral valve prolapse produces a mid-systolic click followed by a late systolic murmur Aortic regurgitation produces a decrescendo diastolic murmur Mitral stenosis produces a rumbling diastolic murmur
The way our email inboxes operate has changed dramatically with the evolution of the internet and increased awareness and caution around email scams. Email security and privacy have become a top priority for users, resulting in enhanced protection measures and more stringent regulations.With so many changes happening in the email deliverability world, several factors could be affecting your success metrics as an email marketer or a content creator. Email strategies need to be adapted according to the sender's needs and their intended audience.In this episode, Alyssa and Melissa cover how various factors impact deliverability, including email privacy protection, automatic clicks, link shorteners, VSDs, and DMARCs.Key Takeaways [03:50] - Are clicks impacted by Apple Mail Privacy Protection? [09:19] - What should I do if my clicks are inflated from non-human interactions? [11:36] - How do I reduce automatic clicks? [12:07] - Should I use link shorteners? [14:10] - Should I use a VSD (verified sending domain)? [19:00] - Should I set up a DMARC? [24:51] - What is my deliverability reputation score? [26:47] - What can I learn from Gmail's Postmaster Tools? Quotes[11:32] - “Here are a few recommendations we give to reduce automatic clicks. 1) Always use HTTPS links, not HTTP links. 2) Keep your sender reputation healthy. Make sure you're cleaning your list and listening to engaged subscribers. 3) Encourage replies to your emails. 4) Pay attention to the content of your message — make sure that itdoesn't look spammy, and that the links in your emails are not suspicious.” ~ @alyssa_dulin[13:19] - “As far as trying to reduce automatic clicks, using something like Bitly is not going to help you do that. In fact, it's probably just going to increase your chance of having automatic clicks in your email because it's not a trusted domain.” ~ @mel_lambert_ [29:45] - “These small pieces individually might not be overwhelming, but how they all work together in order to help people be the best sender possible gets tricky. So if you feel like deliverability is overwhelming or you just don't know where to start, know you're not alone. It's very understandable.” ~ @mel_lambert_ Links ConvertKit Creator Network Subscribe to the weekly Deliverability Dispatch Newsletter! Subscribe to the monthly Deliverability Defined newsletter! Postmaster Tools – Google Bitly Connect with our hosts Alyssa Dulin Melissa Lambert Stay in touch Apple Podcasts Spotify Twitter Facebook Instagram Deliverability Defined Website Try ConvertKit's deliverability in actionIt's now free to use ConvertKit with an audience of 1,000 subscribers or less! Start building your audience and reaching their inboxes: convertkit.com/pricing.
Tracie Webster has two amazing kids. One of those is her daughter, Ciara, who shared her story with us on Episode #110 of A Frayed Knot. You can hear her story there. Her younger child, her son Tanner, we will talk about today. Tracie shares with us that Tanner was born with Transposition of the Great Arteries, VSD, ASD, and Pulmonary Stenosis; he basically had four major heart defects which were unknown until he was born. He had to have a series of surgeries, the first being when he was about 6 months old, which lasted 14 hours! Add to that, she and her husband, Darby, had just moved out of state and had 5-year-old Ciara at the time, too! Tracie shares today that she feels she is the narrator of the story God wrote for their family. This has been a lot for them, and especially forTanner, to carry through their lives, but they've done it with such grace and faith. It is inspiring! Tracie tells us that God's plan always prevails, and He is always with us...even on a cold floor of a hospital bathroom. Deuteronomy 31:6 Psalm 139 #afrayedknotpodcast #congenitalheartdisease #airembolism #timestop
It's another session of CardioNerds Rounds! In these rounds, Dr. Karan Desai (Formerly FIT at University of Maryland Medical Center and currently faculty at Johns Hopkins School of Medicine) joins Dr. Dan Burkhoff (Director of Heart Failure, Hemodynamics and MCS Research at the Cardiovascular Research Foundation) to discuss mechanical circulatory support options through the lens of pressure-volume loops! Dr. Burkhoff is the author of Harvi, an interactive simulation-based application for teaching and researching many aspects of ventricular hemodynamics. Don't miss this wonderfully nerdy episode with a world-renowned expert in hemodynamics and MCS! Audio editing by CardioNerds Academy Intern, student doctor Chelsea Amo Tweneboah. This episode is supported with unrestricted funding from Zoll LifeVest. A special thank you to Mitzy Applegate and Ivan Chevere for their production skills that help make CardioNerds Rounds such an amazing success. All CardioNerds content is planned, produced, and reviewed solely by CardioNerds. Case details are altered to protect patient health information. CardioNerds Rounds is co-chaired by Dr. Karan Desai and Dr. Natalie Stokes. Challenging Cases - Atrial Fibrillation with Dr. Hugh Calkins CardioNerds Rounds PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Show notes - Hemodynamics and Mechanical Circulatory Support Case Synopsis: Case SynopsisWe focused on one case during these rounds. A man in his mid-50s presented to his local community hospital with 3 days of chest pain, nausea, and vomiting. He appeared ill in the emergency room with HR in the 150s, BP 90/70s and ECG demonstrating inferior ST elevations. He was taken emergently to the catheterization lab and received overlapping stents to his right coronary artery. Over the next 24 hours, he developed a new harsh systolic murmur heard throughout his precordium and progressed to cardiogenic shock. Echocardiogram demonstrated a large basal inferoseptum ventricular septal rupture. From this point, we discussed the hemodynamics of VSR and MCS options. Case Takeaways Dr. Burkhoff took us through the hemodynamics of VSR with pressure-volume loops to better understand the pathology and impact of various MCS options. Of note, there are no MCS devices specifically approved to treat acute ventricular septal rupture. In regards to the acute hemodynamic effects of a VSR (an abrupt left to right shunt), there are several aspects to note. First, the effective LV afterload is reduced; however, there is less “forward flow” as well and as a consequence, decreased left-sided cardiac output (“Qs”) and blood pressure. At the same time, flow through the pulmonary artery increases (the “Qp”). Additionally, due to the abrupt shunt flow, there is increased RV “loading” with increasing central venous pressure and pulmonary artery pressure. The hemodynamic priorities in treating patients with cardiogenic shock and VSR are to normalize blood pressure, cardiac output, and oxygen delivery, while attempting to minimize shunt flow to allow healing. However, medications and MCS are unlikely to completely normalize hemodynamics. For instance, if the patient was placed on peripheral VA ECMO, while total CO and BP may increase, flow across the VSR could also increase at high ECMO flows (e.g., by introducing more LV afterload). In patients with persistent cardiogenic shock and VSR, short-term MCS to divert flow away from the shunt can be an effective strategy. LV-to-aorta or LA-to-arterial MCS may provide the best single-device hemodynamic profiles by decreasing shunt flow, reducing pulmonary capillary wedge pressure, and improving blood pressure. Surgical and percutaneous VSD repair are the definitive treatment options. If able to stabilize patients and pursue delayed repair,
Minter Dialogue with Anne-Elisabeth Moutet Anne-Elisabeth Moutet is a French journalist who has worked with some of the most prestigious titles, including VSD, France Soir, The Sunday Times, The Sunday Telegraph and Elle. Today, she's a regular commentator on television (including on the BBC, Arte, France24, C'est dans l'Air...) and a columnist for The Telegraph, UnHerd, The New York Post, CapX and TWS. In this conversation, we discuss her career as a journalist, the evolutions and state of journalism today, freedom of speech, her preferred sources and outlets, and how to manage one's public online profile (i.e. social media) in light of today's divisive environment. If you've got comments or questions you'd like to see answered, send your email or audio file to nminterdial@gmail.com; or you can find the show notes and comment on minterdial.com. If you liked the podcast, please take a moment to rate/review the show on RateThisPodcast. Otherwise, you can find me @mdial on Twitter.
Congenital heart disease is the most common birth defect, affecting 1 in 100 babies. Amongst these ventricular septal defects are very common with the majority of patients living into adulthood. In this episode we will be reviewing key features of VSDs including embryologic origin, anatomy, physiology, hemodynamic consequences, clinical presentation and management of VSDs. Dr. Tommy Das (CardioNerds Academy Program Director and FIT at Cleveland Clinic), Dr. Agnes Koczo (CardioNerds ACHD Series Co-Chair and FIT at UPMC), and Dr. Anu Dodeja (Associate Director for ACHD at Connecticut Children's) discuss VSDs with expert faculty Dr. Keri Shafer. Dr. Shafer is an adult congenital heart disease specialist at Boston Children's Hospital, and an assistant professor of pediatrics within Harvard Medical School. She is a medical educator and was an invited speaker for the inaugural CardioNerds Sanjay V Desai Lecture, on the topic of growth mindset. Script and notes were developed by Dr. Anu Dodeja. Audio editing by CardioNerds Academy Intern, Shivani Reddy. The CardioNerds Adult Congenital Heart Disease (ACHD) series provides a comprehensive curriculum to dive deep into the labyrinthine world of congenital heart disease with the aim of empowering every CardioNerd to help improve the lives of people living with congenital heart disease. This series is multi-institutional collaborative project made possible by contributions of stellar fellow leads and expert faculty from several programs, led by series co-chairs, Dr. Josh Saef, Dr. Agnes Koczo, and Dr. Dan Clark. The CardioNerds Adult Congenital Heart Disease Series is developed in collaboration with the Adult Congenital Heart Association, The CHiP Network, and Heart University. See more Disclosures: None Pearls • Notes • References • Guest Profiles • Production Team CardioNerds Adult Congenital Heart Disease PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls - Ventricular Septal Defects Most common VSDs: Perimembranous VSD The shunt volume in a VSD is determined largely by the size of the defect and the pulmonary vascular resistance. VSDs cause left to right shunt. The long-term effects are left sided chamber dilation, as is the case with PDAs (post-tricuspid shunts) VSDs can be associated with acquired RVOTO, double chamber right ventricle, LVOTO/sub aortic membrane formation, and aortic regurgitation from aortic valve prolapse. Eisenmenger syndrome results from long-term left-to-right shunt, usually at higher shunt volumes. The resulting elevated pulmonary artery pressure is irreversible and leads to a reversal in the ventricular level shunt, desaturation, cyanosis, and secondary erythrocytosis. Endocarditis prophylaxis is not indicated for simple VSD. It is required for 6 months post VSD closure, in patients post VSD closure with a residual shunt and in Eisenmenger patients with R—>L shunt and cyanosis. Show notes - Ventricular Septal Defects Notes (developed by Dr. Anu Dodeja): What are types OF VSD? (Please note that there are several nomenclatures) Perimembranous VSDMost common type of VSD - 80% of VSDsOccurs in the membranous septum and can be associated with inlet or outlet extensionLocated near the tricuspid and aortic valves, often time can be closed off by tissue from the septal leaflet of the tricuspid valve and associated with abnormalities in the septal leaflet of the tricuspid valve secondary to damage from the left to right shuntCan be associated with acquired RVOTO, double chamber right ventricle, LVOTO/sub aortic membrane formation On TTE, the parasternal short axis view at the base demonstrates this type of VSD at the 10-12 o'clock position. Muscular VSDSecond most common VSD - 15-20% of VSDsCompletely surrounded by muscle,
This week we review a recent report from China on transcatheter closure of peri-membranous VSD's with the Amplatzer ADO II device. Reported results are outstanding and this week's report is one of several from China demonstrating efficacy and safety to this approach. Despite this, this procedure is rarely performed in the west. Why might that be? Do we need 'local data' to adopt an approach or can we proceed based upon data from another location where procedural indications may be different? We speak with the director of the cardiac catheterization laboratory at Cincinnati Children's Hospital, Dr. Shabana Shahanavaz about this question based upon her editorial on this impressive Chinese work. doi: 10.1161/JAHA.121.022651 and doi: 10.1161/JAHA.122.024963
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