"It's getting worse and worse, week in, week out," the organisation's co-founder Becky Joyce says in the cold February air.
The problem compounds in pipelines. Each TransformStream adds another layer of promise machinery between source and sink. The spec doesn't define synchronous fast paths, so even when data is available immediately, the promise machinery still runs.
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In 2024-25, there were 80,196 gallbladder operations carried out by the NHS in England, compared to 69,745 in 2023-24, which is a 15% increase, and also the highest number in the past decade.
The government said it had "taken action" to clean up rivers, lakes and seas. Southern Water has been approached for comment.
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