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Débat présidentiel entre Trump et Harris : les faits saillants | Couverture en direct

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CouvertureEn directLes éléments de la web page suivante peuvent changer d’ordre, et d’autres peuvent être retirés ou ajoutés au second de la mise à jour.

Les échanges sur l’économie, l’avortement et l’immigration ont été particulièrement vifs.

Donald Trump et Kamala Harris, lors du débat, le 10 septembre 2024

Photograph : Getty Pictures / Win McNamee

  • Donald Trump et Kamala Harris, qui ne se sont jamais adressé la parole, ont débattu pendant 90 minutes à Philadelphie, dans l’État de la Pennsylvanie.

  • Les deux candidats sont passés d’emblée à l’offensive lors du débat, cherchant à prendre l’ascendant alors que les deux candidats sont donnés au coude-à-coude dans les intentions de vote.

  • Peu après la fin de sa confrontation avec sa rivale démocrate, Donald Trump a assuré n’avoir jamais aussi bien débattu, accusant également les modérateurs de parti pris.

  • Kamala Harris a quant à elle mis au défi son rival républicain Donald Trump de débattre une deuxième fois, selon un communiqué de son équipe de campagne.

  • La chanteuse Taylor Swift a apporté son soutien à Kamala Harris pour l’élection présidentielle américaine de novembre, dans une annonce effectuée sur les réseaux sociaux dès la fin du débat.

Aujourd’hui

  • Les provocations de Harris mettent Trump sur la défensive

    Plus dynamique que le précédent, le deuxième débat de la campagne présidentielle américaine, organisé par le réseau ABC, a illustré le revirement apporté à la course et a été marqué par des échanges souvent tendus.

    Arrivée dans la course il y a sept semaines, la candidate démocrate, Kamala Harris, a saisi l’event de ce premier et peut-être distinctive débat contre Donald Trump, mardi, pour mettre son rival républicain sur la défensive.

    Vous ne faites pas campagne contre Joe Biden, vous faites campagne contre moi, a-t-elle lancé dans un phase au cours duquel l’ancien président critiquait son successeur.

    Lisez le compte rendu de notre journaliste Sophie-Hélène Lebeuf.

Hier

  • Trump guarantee n’avoir jamais aussi bien débattu et accuse les modérateurs de parti pris

    Peu après sa confrontation avec Kamala Harris, Donald Trump a assuré n’avoir jamais aussi bien débattu. Il a aussi accusé les deux modérateurs du réseau ABC de parti pris. J’ai pensé que c’était mon meilleur débat […], d’autant plus que c’était à trois contre un!, a-t-il déclaré sur sa plateforme Reality Social.

    Agence France-Presse

  • Taylor Swift annonce sur Instagram soutenir Kamala Harris à l’élection présidentielle

    Je voterai pour Kamala Harris et Tim Walz lors de l’élection présidentielle de 2024. […] Je pense qu’elle est une dirigeante solide et douée et je crois que nous pouvons accomplir beaucoup plus dans ce pays si nous sommes dirigés par le calme et non par le chaos. J’ai été très encouragée et impressionnée par le choix de son colistier, Tim Walz, qui défend depuis des décennies les droits des personnes LGBTQ+, la fécondation in vitro et le droit des femmes à disposer de leur propre corps, a-t-elle écrit sur le réseau social.

  • L’équipe de campagne de Kamala Harris souhaite un débat présidentiel en octobre

    Un porte-parole de l’équipe de campagne de Kamala Harris, candidate démocrate à l’élection présidentielle, a déclaré le 10 septembre qu’elle souhaitait un débat en octobre.

    Reuters

  • Qui a gagné le débat présidentiel?

    Selon l’analyste politique Michel C. Auger, Kamala Harris a été la « gagnante claire » de ce débat. Je ne crois pas qu’il y ait un électeur indécis qui a vu la efficiency de Trump et qui s’est dit qu’il était convaincu de voter pour lui, a-t-il affirmé à l’émission spéciale animée par Patrice Roy sur ICI RDI.

    Sans aucun doute, Harris a mis Trump sur la défensive, a soutenu Catherine Loubier, ancienne déléguée générale du Québec à New York.

    Kamala Harris s’est révélée et a gagné son pari, a estimé de son côté la correspondante à Washington Azeb Wolde-Giorghis.

    Trump est allé au bout de la folie, a affirmé le chercheur associé à la Chaire Raoul-Dandurand Rafael Jacob, en faisant référence à Donald Trump qui a évoqué lors du débat une rumeur selon laquelle des immigrants mangeaient des chats et des chiens. Je ne crois pas que les électeurs indécis ont vu la prestation de Trump et se sont dit : “C’est mon homme”.

  • Déclarations finales

    Nous avons deux visions différentes pour le pays. L’une est basée sur le passé et l’autre sur l’avenir, a-t-elle déclaré d’emblée lors de son allocution de fermeture, tout en ajoutant qu’elle allait créer une économie d’opportunité si elle était élue.

    Elle est à la Maison-Blanche depuis trois ans et demi, mais pourquoi n’a-t-elle pas déjà agi? […] Nous ne pouvons pas sacrifier notre pays pour ces mauvaises visions de l’avenir, a de son côté commencé Trump.

  • Vous ne faites pas campagne contre Joe Biden, vous faites campagne contre moi, dit Harris

    Dans un phase sur la guerre en Ukraine, Donald Trump a offert une réponse critiquant entre autres Joe Biden.

    Où est notre président?, a-t-il dit, soutenant que les démocrates l’avaient éjecté de la campagne comme un chien. Nous avons un président qui ne sait pas qu’il est en vie.

  • Trump dit qu’il pourra résoudre la guerre en Ukraine en 24 heures

    C’est dans l’intérêt des États-Unis que la guerre soit terminée, a dit Trump, sans toutefois préciser s’il souhaitait que le conflit soit gagné par l’Ukraine ou la Russie.

    La candidate démocrate a ainsi déploré la relation entre Donald Trump et Vladimir Poutine. « Si Trump était président, Poutine serait à Kiev », a déclaré Harris, tout en ajoutant que Poutine ne ferait qu’une bouchée de Trump.

  • « Les dirigeants étrangers rient de Donald Trump », lance Harris

    Des gens regardent le premier débat présidentiel entre Donald Trump et Kamala Harris, à Nashville, au Tennessee, le 10 septembre 2024.

    Photograph : afp by way of getty photos / SETH HERALD

    La candidate démocrate a lancé plusieurs pointes à son rival républicain, tentant visiblement de le provoquer pour l’amener à tenir des propos controversés.

    Donald Trump a répliqué que le premier ministre de la Hongrie, Viktor Orban, qui a affaibli les establishments démocratiques de son pays, avait dit que les États-Unis avaient besoin de Trump comme président. Il est la personne la plus respectée, la plus crainte.

    Les dictateurs savent qu’ils peuvent vous manipuler avec des flatteries et des faveurs, a aussi lancé Kamala Harris.

Pratiques journalistiques

Okla. faith leaders talk Trump, Project 2025 on national film tour stop

About 500 folks gathered at B’nai Emunah Synagogue on Monday to display a movie about Christian nationalism and listen to from group leaders.

“Dangerous Religion” is a movie that traces in about an hour and a half the historical past of Christian nationalism in the US. It finally connects present Republican presidential candidate Donald Trump to a community of evangelical activists which are in search of to eradicate the federal authorities.

A couple of dozen Oklahoma church buildings co-sponsored the occasion to precise their help. Screenings of the movie are at present scheduled round the US till the top of October.

Elizabeth Caldwell

/

KWGS Information

A listing of occasion sponsors is seen.

Attendee and up to date transplant to Tulsa Stacey Paisner mentioned she skilled “an epiphany” about Trump whereas watching the movie.

“I’ve been racking my mind making an attempt to determine how this disgusting, untrue, dishonest, mendacity man received all these evangelicals behind him. And it’s as a result of he’s the puppet to get them what they need,” mentioned Paisner.

A panel moderated by Brian Silva with Individuals United for the Separation of Church and State convened after the displaying. Audio system included Tulsa Rabbi Dan Kaiman, Oklahoma Metropolis Reverend Shannon Fleck, and Columbia College scholar Anne Nelson.

Nelson, who’s from Stillwater, described a virtually 900-page doc produced by Trump’s backers often called Venture 2025. Although Trump has tried to distance himself, Venture 2025 is taken into account a blueprint for his second time period ought to he win November’s election.

“They need to ban the phrases reproductive well being from all federal paperwork, they need to forestall the CDC from recommending vaccinations for college youngsters, they need to shut down the Division of Schooling and the Environmental Safety Company, and permit the oil firms to proceed and drill wherever they need to with no security measures,” unhappy Nelson. “It’s a radical, radical doc.”

Panelists promoted voting and political involvement for these involved about Venture 2025. Fleck inspired attendees to signal a letter from the Oklahoma Religion Community she goals to ship to lawmakers and faculty boards.

Kaiman emphasised community-based options and sharing values whereas constructing relationships. He championed 2022 state laws round instructing the Holocaust that synagogue members have been instrumental in finalizing.

“Properly, positive, the place to begin is with Holocaust schooling. However let’s comply with it with laws about instructing the Tulsa Race Bloodbath, about in search of the historical past of Indigenous peoples in our state. There’s loads we are able to do, and it’s potential,” mentioned Kaiman.

The following displaying of “Dangerous Religion” is deliberate in Lexington, North Carolina on Tuesday. It would present once more in Oklahoma on Sept. 15 in OKC at New Covenant Church, 1200 N. Rockwell Ave.

Germany is reportedly introducing temporary Controls at all Land Borders

German Inside Minister Nancy Faeser will announce non permanent border controls at the entire nation’s land borders on Monday to curb irregular migration and defend the general public from Islamist extremism, a authorities supply informed Reuters.

Faeser, which was purported to maintain a press convention on the bundle of safety measures at 4:30 p.m., will inform the European Fee in regards to the plans, the supply stated.

The German authorities has consulted the principle opposition get together, the Christian Democratic Union (CDU), on methods to curb migration after a lethal knife assault by a Syrian-born asylum seeker within the city of Solingen final month.

The anti-immigrant Different for Germany (AfD) get together received final week’s election within the federal state of Thuringia and completed second in Saxony.

Minister Faeser‘s Social Democrats face elections in Brandenburg in two weeks, the place the get together guidelines in coalition with the Greens and the Christian Democrats.

Germany has a 3,700 kilometer lengthy border with Denmark, the Netherlands, Belgium, Luxembourg, France, Switzerland, Austria, the Czech Republic and Poland.

Final yr, Berlin introduced tighter controls at its land borders with Poland, the Czech Republic and Switzerland in response to a surge in asylum purposes.

Dave Grohl reveals he had a baby “born outside of my marriage” – 98KUPD – Arizona’s Real Rock

Rock Information

ABC/Travis Bell

Dave Grohl has revealed that he’s had a child with somebody aside from his spouse.

In an Instagram publish, the Foo Fighters frontman writes, “I’ve lately change into the daddy of a brand new child daughter, born exterior of my marriage.”

“I plan to be a loving and supportive father or mother to her,” Grohl continues. “I like my spouse and my kids, and I’m doing all the pieces I can to regain their belief and earn their forgiveness. We’re grateful on your consideration towards all the youngsters concerned, as we transfer ahead collectively.”

Grohl and his spouse, Jordyn Blum, have been married since 2003. They’ve three daughters.

Copyright © 2024, ABC Audio. All rights reserved.

Why is Germany imposing more restrictions on its borders? | Migration News

Germany’s centre-left authorities has determined to impose short-term land border restrictions geared toward controlling irregular migration within the wake of a knife assault and electoral positive aspects made by a far-right get together.

The brand new curbs, introduced by the federal government on Monday, come days after the anti-immigration Different for Germany (AfD) received elections to the jap state of Thuringia and got here an in depth second within the neighbouring state of Saxony. These elections have been held within the shadow of a knife assault, allegedly carried out by a Syrian asylum seeker, that killed three folks within the western metropolis of Solingen.

Right here’s extra on the most recent measures adopted by the nation – the European Union’s largest financial system – and the context behind the choice:

(Al Jazeera)

What are Germany’s plans?

Inside Minister Nancy Faeser introduced on Monday that the controls will begin on September 16 and initially final for six months with the choice of being renewed.

Non permanent controls are to be imposed at land borders with France, Luxembourg, the Netherlands, Belgium and Denmark.

It will add to restrictions already in place for Austria, the Czech Republic, Poland and Switzerland – the opposite 4 of the 9 nations with which Germany shares its greater than 3,700km-long (2,300-mile-long) border – to examine arrivals of immigrants.

The extra checks for the border with Austria are at the moment in place till November whereas measures for Switzerland, Poland and the Czech Republic are slated to stay in power till not less than December.

Germany has knowledgeable the European Fee and the neighbouring nations, that are all a part of the Schengen Space, the Europe-wide free motion zone, about its plans to impose tighter controls.

The principles for the 29 Schengen nations stipulate that “reintroduction of border management on the inner borders should be utilized as a final resort measure, in distinctive conditions, and should respect the precept of proportionality”.

Faeser stated the federal government has drawn up plans to permit native authorities to instantly reject and switch away migrants on the borders, a measure that would show controversial and will face authorized challenges. The inside minister didn’t present any particulars.

German Chancellor Olaf Scholz, below stress from the far proper, has steadily been sharpening his rhetoric on immigrants. He has promised to deport immigrants accused of committing critical crimes.

Germany deported 28 Afghan nationals charged with felony acts on August 30, the primary time it restarted the follow after the 2021 return of the Taliban to energy in Afghanistan following a withdrawal by america.

What’s the reasoning?

Faeser stated Germany goes past the European Union’s controls and tightening up safety internally to be higher ready in opposition to “irregular migration” and what she known as “Islamist terrorism and critical crime”.

“We’re doing every little thing we are able to to raised shield folks in our nation in opposition to this,” she stated.

The refrain of voices against immigration has significantly grown in Germany because the nation of 84 million folks mechanically granted asylum to about a million Ukrainians fleeing Russia’s 2022 invasion because it confronted vitality and financial challenges.

Practically 10 years in the past, Germany was hailed by many as a beacon of empathy for taking in additional than 1,000,000 refugees, many from Syria, below former Chancellor Angela Merkel. However Germany additionally has an financial rationale for encouraging immigration: Consultants stated the nation wants about 1.5 million immigrants annually as its workforce declines due to an ageing society and flat inhabitants progress.

What’s modified?

Driving on a cocktail of financial and cultural grievances throughout a value of dwelling disaster, the far-right AfD has typically accused the federal government of being delicate on immigrants. Its win in regional elections this month marked the primary victory for a far-right get together in Germany since World Struggle II.

Immigration is a significant situation within the state of Brandenburg as effectively, the place elections are due in two weeks. Federal elections shall be held subsequent yr. The centre-left Social Democratic Occasion (SPD) of Scholz and Faeser shall be combating to retain management in Brandenburg in a take a look at earlier than the nationwide vote.

In 2023, the variety of folks making use of for asylum in Germany rose to greater than 350,000, signalling a rise of a bit of greater than 50 p.c in contrast with a yr earlier. The most important variety of asylum seekers got here from Syria, adopted by Turkey and Afghanistan.

ISIL (ISIS) claimed accountability for the stabbing assault in Solingen final month, an incident that analysts stated is anticipated to feed into anti-immigrant and anti-Muslim xenophobia in Germany.

What’s subsequent?

This altering context and particularly the looming elections may push Germany in direction of much more restrictions on asylum seekers, based on Hannes Schammann, head of the Migration Coverage Analysis Group on the College of Hildesheim in northern Germany.

“All democratic events concern the rise of right-wing populism. Therefore, we are going to witness lots of completely different approaches to forestall refugees from reaching Germany,” he instructed Al Jazeera.

The professor of migration coverage evaluation stated the strikes may spark “extreme authorized challenges”, even probably culminating in abolishing the article of the German structure that ensures the suitable of asylum.

“This could possibly be a turning level for the self-image of post-Nazi Germany as the house of human rights. This won’t cease at migration coverage,” he stated.

In line with Schammann, Germany’s neighbours may also react by closing or proscribing their borders, which may reinforce the so-called Fortress Europe – a time period originating from World Struggle II that has been used to confer with the continent’s controls over its borders and immigration.

Austrian Inside Minister Gerhard Karner emphasised after Berlin’s measures on Monday – which additionally included an announcement that 30,000 folks have been turned away since Germany carried out partial border controls in 2023 – that his nation wouldn’t soak up any migrants rejected by Germany.

“There’s no room for manoeuvre there,” he stated.

“Europe will attempt to preserve unity at the price of violating worldwide conventions,” Schammann stated, including that almost all migration stress shall be directed in direction of these coming from the Center East and North Africa as immigration numbers will not be anticipated to fall.

“If Germany and in flip Europe reject their accountability in refugee reception, it will destabilise belief within the worldwide order worldwide.”

Why Kamala Harris Won’t Ban Fracking

Throughout a heated presidential debate on Tuesday evening, former President Donald Trump repeatedly claimed that Kamala Harris would ban hydraulic fracturing (fracking) if she turned president. He asserted, “If she received the election, fracking in Pennsylvania will finish on day one.”

In response, Harris clarified, “I can’t ban fracking. I’ve not banned fracking as Vice President of america. In truth, I used to be the tie-breaking vote on the Inflation Discount Act, which opened new leases for fracking.”

Trump’s declare wasn’t solely with out foundation, as Harris had beforehand said throughout her 2019 presidential marketing campaign, “There’s no query I’m in favor of banning fracking.”

Nonetheless, the fact is extra nuanced, as I defined in a 2019 article, Why A Ban On Fracking Will By no means Occur. In that piece, I identified that Harris, together with Senators Elizabeth Warren and Bernie Sanders, had expressed help for a fracking ban.

Even Joe Biden campaigned on “no new fracking” earlier than adjusting his place to acknowledge the need of fracking as a part of an power transition, which I detailed in Joe Biden Shifts To A Life like Fracking Stance.

The reality is, political candidates typically make statements to enchantment to their base. Whether or not Harris was pandering or genuinely believed at one level that fracking ought to be banned, there’s at present no sensible option to cease it.

Fracking, which dates again to the late Nineteen Forties, sparked a U.S. oil and gasoline manufacturing growth when mixed with horizontal drilling about 20 years in the past. This surge in manufacturing has made the U.S. the world’s main producer of each oil and pure gasoline.

Most of this manufacturing occurs on non-public land, that means that, even when Trump believes in any other case, Harris would don’t have any authority to finish fracking in Pennsylvania on her first day in workplace.

New legal guidelines can be required to halt fracking, and given its vital position in U.S. power manufacturing, it is extremely unlikely Congress would move such a legislation.

In consequence, it is a moot level. As I wrote in 2019, I nonetheless don’t imagine a ban on fracking will ever occur.

Former Golden Knight Max Pacioretty Reportedly Set To Join The Toronto Maple Leafs

On this very day six years in the past the Vegas Golden Knights made a giant splash by buying Max Pacioretty from the Montreal Canadiens.

The Knights acquired the Habs former captain in a blockbuster deal sending Tomas Tatar, Nick Suzuki and a 2nd rd decide within the 2019 draft to the Canadiens. Quick ahead six years to at present, it seems as if Max Pacioretty will as soon as once more be heading again to Canada, this time to play for the Toronto Maple Leafs. Whereas it’s unknown at the moment whether or not Pacioretty can be heading to the Leafs on a PTO or a SPC(normal participant contract) the expectation is that he can be a Toronto Maple Leaf in keeping with the Each day Faceoffs’ Frank Seravalli.

Pacioretty spent 4 seasons with the Golden Knights the place he was an essential top-six contributor for the group. His greatest seasons got here throughout the 2019-2020 season when his 32 objectives and 66 factors led the group in each classes and throughout the covid-19 shortened season of 2020-2021 when he was over a point-per-game, scoring 51 factors in 48 video games performed. Pacioretty would play yet another yr in Vegas throughout the 2021-2022 season when he was restricted to simply 39 video games performed however nonetheless managed to attain 37 factors.

Through the ensuing low season the Golden Knights have been in a little bit of a wage cap crunch that resulted within the group dealing the ultimate yr of Paciorettys’ contract to the Carolina Hurricanes for future concerns.

Associated: Knights Will Want Massive Contributions From Victor Olofsson, Alexander Holtz To Exchange Misplaced Manufacturing.

Since leaving Vegas Pacioretty has had a troublesome time staying wholesome. Through the low season earlier than even enjoying a recreation for his new group within the Carolina Hurricanes, Pacioretty suffered a torn achilles whereas coaching for the upcoming season. Pacioretty underwent surgical procedure on August tenth of 2022 to restore his achilles tendon which delayed his Hurricanes debut till his return on January fifth of 2023 in a recreation towards the Nashville Predators.

Pacioretty managed to attain 3 objectives in first 5 video games again since returning and seemed to be getting again to kind till catastrophe struck. On January nineteenth of 2023 in a recreation towards the Minnesota Wild, Pacioretty would tear his achilles for the 2nd time, ending his season and his stint with the Carolina Hurricanes.

Pacioretty grew to become a UFA for the primary time in his NHL profession on July 1st, 2023 and regardless of nonetheless rehabbing from his harm, Pacioretty signed a one-year $2M greenback contract with the Washington Capitals. Pacioretty made his Capitals debut on January third of 2024 towards the New Jersey Devils, nearly a full calendar yr between his final recreation. Pacioretty went on to play in simply 47 video games for the Caps, scoring 4 objectives and 23 factors.

Now on the age of 35, Pacioretty will look to show that he can nonetheless be a productive top-six participant with the Toronto Maple Leafs. The Leafs will search for Pacioretty to offer some wanted secondary scoring behind their high offensive gamers in new group captain Auston Matthews, Mitch Marner, William Nylander and John Tavares.

In 902 profession video games between the Montreal Canadiens, Vegas Golden Knights, Carolina Hurricanes and Washington Capitals, the native of New Canaan, CT has amassed 330 objectives, 338 assists and 668 factors.

STEEER-AF Assessment Finds Shockingly Low Adherence to ESC Atrial Fibrillation Guidelines

Picture Credit score: lenets_Mikolay

Guideline adherence is remarkably poor amongst sufferers with atrial fibrillation (AF), an goal evaluation of the STEEER-AF trial decided. Fortuitously, a brief on-line intervention for healthcare professionals was in a position to improve affected person adherence to rhythm management suggestions.

“Though we all know that adherence to tips and affected person schooling enhance outcomes in sufferers with AF, we wouldn’t have stable proof relating to the precise adherence to ESC tips,” outlined Dipak Kotecha, MRCP, MBChB, PhD, from the College of Birmingham, in UK1. The STEEER-AF trial (NCT04396418) assessed guideline adherence and examined an academic intervention to enhance guideline adherence.

The investigators measured the adherence to class I and sophistication III suggestions for stroke prevention and rhythm management amongst 1,732 sufferers with AF from France, Germany, Italy, Poland, Spain and the UK. Moreover, 70 therapy facilities have been randomly assigned 1:1 to an intervention group or a usual-care group. Within the intervention group, the accountable healthcare professionals adopted an internet instructional program on enhancing affected person adherence within the AF inhabitants.

Baseline adherence to all related class I and III ESC guideline suggestions have been low for stroke prevention (61.0%) and abysmal for rhythm management (21.0%). On the intense facet, the intervention was related to a 51% improve in adherence to rhythm management guideline suggestions (21.4% to 33.9%), considerably outperforming the management arm (20.5% to 22.9%). For stroke prevention, the corresponding ends in the intervention arm have been 63.4% at baseline to 67.5% at follow-up; within the management arm, the adherence price went from 58.6% to 60.9%. The distinction between the 2 research arms didn’t attain statistical significance.

Copyright ©2024 Medicom Medical Publishers

Tom Brady finally nears partial purchase of Las Vegas Raiders as he begins broadcasting career

“We undergo a really thorough course of on all preliminary transfers,” Goodell mentioned in March on the Annual League Assembly, “so we’re simply going via that course of.”

Raiders proprietor Mark Davis instructed NFL.com, “I’ve no remark right now” earlier than expressing his pleasure for the Raiders’ regular-season opener on Sunday on the Los Angeles Chargers.

Sources with direct information of this case mentioned that most of the points such because the valuation and Brady’s position as a FOX broadcaster have been addressed and labored via — and at the moment are in a a lot better place. All sides are presupposed to be proud of the authorised valuation of Brady’s stake, which explains why it is set to maneuver from the finance committee to the general possession vote, the place it requires three-fourths for approval.

In the meantime, Brady will purchase a chunk of the Raiders figuring out that it limits his skill for entry to do his job broadcasting for FOX. Brady’s restrictions embrace not being allowed to be in one other crew’s facility, not watching apply and no participation in manufacturing conferences. His complete manufacturing crew could be within the conferences, nevertheless.

Typically, the manufacturing conferences are the place coloration analysts get perception from groups. Brady can be barred from criticizing officers, although what’s criticism and what’s evaluation could be open to interpretation.

Whereas he waited a yr to start calling video games on FOX, Brady has labored privately on his craft, calling numerous video games to arrange for what must be probably the most extremely anticipated announcer debut in years.

ESC 2024: Mass AF screening via ECG plus heart failure biomarker does not prevent stroke in older patients


Mass screening for atrial fibrillation (AF) utilizing electrocardiography (ECG) along with a coronary heart failure biomarker doesn’t forestall ischaemic stroke or systemic in older adults—aged 75–76 years—over 5 years of follow-up. Nonetheless, the biomarker in query might enhance the prediction of which people have a low danger for ischaemic stroke and systemic embolism past single-lead ECG in older adults present process mass screening for AF.

That’s in response to late-breaking analysis introduced on the latest European Society of Cardiology (ESC) congress (30 August–2 September, London, UK).

“Our findings don’t assist this fashion of systematic screening for AF in older adults, however they point out that it could be secure to not focus screening efforts at these people with low ranges of NT-proBNP [N-terminal pro-B-type natriuretic peptide]—though this wants affirmation in additional research,” mentioned Katrin Kemp Gudmundsdottir (Karolinska Institute, Stockholm, Sweden), lead writer for the STROKESTOP II research. “People with a low biomarker stage ran a decrease danger of each creating AF through the five-year follow-up in addition to stroke or systemic embolism in comparison with each the management group and people with larger biomarker ranges.”

Internationally, most AF tips at present advocate ‘opportunistic screening’ for AF in folks aged 65 years and older, and oral anticoagulant therapy for these at excessive stroke danger. The ESC additionally recommends systematic ECG screening to detect AF in sufferers aged 75 years or older, or these at excessive stroke danger. Additionally it is believed that including biomarkers might improve screening accuracy, and analysis suggests NT-proBNP—a marker of cardiovascular well being—to be a robust predictor of incident AF and stroke.

In 2020, the baseline screening outcomes of the STROKESTOP II trial confirmed that NTproBNP may be helpful as a stratifying device for screening of AF, and that these with elevated NTproBNP would possibly profit from extra intensive screening.

STROKESTOP II—a mass screening programme of all 75–76-year-olds within the Stockholm area of Sweden—enrolled 28,712 folks born between 1940 and 1941 to look at whether or not being invited for screening would cut back the chance of thromboembolic occasions in comparison with a management group of sufferers not invited for screening. Analyses of these invited for screening included adults who got here for screening in addition to those that didn’t attend.

Contributors have been randomised in a 1:1 ratio to both be invited for AF screening (13,905 sufferers) or to the management group (13,884)—after excluding those that died or emigrated. Of these invited to screening, 6,843 (49%) accepted the invitation. Some 53% of those sufferers have been discovered to be girls.

Contributors with out beforehand identified AF had blood samples taken and NT­proBNP ranges analysed, and have been then stratified into high-risk (≥125 ng/L NT­proBNP) and low-risk (<125ng/L) teams. They have been then screened, primarily based on NT-proBNP stage, to both one-time (low-risk group) or extra intense (high-risk group) screening. Within the high-risk group (3,743 sufferers; 60%), screening was finished at residence with a handheld, single-lead ECG gadget 4 instances per day for 2 weeks, whereas, in low-risk contributors (2,545 sufferers; 40%), a single episode of screening was carried out with a single­-lead ­ECG however with out the 2 weeks of intensive screening.

In the end, new AF was detected in 2.4% (165 out of 6,843) of all contributors, who have been provided oral anticoagulant therapy—as per end result knowledge collected from nationwide Swedish registries. As well as, after a median follow-up of 5 years, no distinction was famous within the danger of any stroke or clotting occasion between the intervention group (together with invited contributors that each did and didn’t attend screening) and the management group.

Additional subanalyses discovered that the chance of stroke or blood clots was 41% decrease amongst contributors with low ranges of the guts failure marker NT­proBNP in comparison with the management group (0.61 vs 1.03 occasions per 100 years in danger). Within the high-risk group consisting of these with elevated ranges of NT­proBNP, people had greater than double the chance of creating new AF within the 5 years, and the chance of ischaemic stroke or systemic embolism was 57% larger than within the low-risk group (0.95 vs 0.61 occasions per 100 years).

“Participation within the screening research was decrease than anticipated and this might have hampered the outcomes,” Kemp Gudmundsdottir concluded. “Additional research are wanted, and it appears cheap to pay attention screening efforts on these at highest danger and probably decrease the incident of preventable strokes.”

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