Podcasts about ACR

On this week's show we have an essay from one of our listeners on why he wants to stick with his DVR over streaming. We also take a deep dive into Automatic Content Recognition and how to turn it off on your smart TVs. As usual we also read your emails and take a look at the week's news. News: Disney pulls channels from YouTube TV as carriage deal expires DIRECTV now offering the Disney Bundle free to select customers TV Set-Top Box Losing Market Dominance Please support Movember and enter to win great prizes from Bright Side Home Theater Movember Raffle — Bright Side Home Theater Swimming against the Stream - An essay from Jorge Beltran  I know I will sound old and swimming against current, but I would like to go back to my world where we had our cable subscriptions, DVR and Netflix.  Simple, vs having to manage 5-7 subscriptions to watch what we want at a cost we can pay. The proliferation of streaming services is turning out to be a way for content owners to extract more value from customers and significantly increase the amount of work customers have to do to find and track the content we want to watch.  Even sports.  Furthermore, it has backfired to content producers, with less opportunity to monetize content, driving them to look for economies of scale again.  I follow or used to follow La Liga, Premier League Soccer, ski, college football, and formula 1 racing. Back in the day I knew what channel carried all of these sports on my cable line up, would set it to record on my DVR and done.  I could watch it when I wanted and where I wanted since I could access my DVR from anywhere but the plane.  Netflix was just growing and buying "older" content from the major networks and allowed us to binge watch old series we had missed.  Some new exclusive content was coming out and that made paying the 10 - 12 $/mo a good value. Fast forward to today: The best games of Premier League have been taken off the over the air or regular cable channels are now behind a Paramount or someone else's paywall.  Why am I going to pay for access to content that is mostly CBS that I can get over the air?.  Worst of all, you can not skip commercials when you stream this content nowadays.  You can't DVR the content and skip the commercials. I have lost track of who is now airing La Liga, but last time I checked was behind some other streamer.  Fubo has a lot of soccer but is now super expensive too.   Conclusion:  I have stopped following La Liga and Premier League.  My enthusiasm for good Futbol has gone down tremendously.  I turned my eyes to college football and Formula 1.  The worst part is that now I fear the same is going to happen with College Football, moving from free over the air or in basic cable channels to some exclusive need-to-pay streaming service.  You guys praised Formula 1 going to Apple.  I dread it!!! I do not pay for Apple TV(plus or not plus) and I catch Formula 1 over ESPN.   Does it mean I will have to drop ESPN, that gives me other content and add AppleTV?  If I were an NFL fan I would have lost it. Some content is on Amazon, other in the different networks or streamers.  I do not know how much you have to pay to be able to watch the NFL consistently.  Call me old school.  I still have a cable service that gives me the right to HBO, ESPN, Fox, and the likes.  I can watch and record all the related content in Hulu from the major networks. I only keep paying for Netflix that I see as a premium channel (like paying for HBO back in the day).  Rationale - we get a lot of exclusive content there.  I only keep the Disney/Hulu bundle cause it comes free with my wireless bill. And Amazon Prime (now with commercials) free for the shipping.  But I barely watch Primer or Hulu cause I can't stand the commercials! In a world with many streamers, the economies of scale enjoyed by bundling content in cable packages have been lost and thus it costs more per viewer for content owners to create and distribute given the less # of eyeballs.  Yes, it sounds counter intuitive, but that translates into higher bills for consumers, through different bills but when you add it all up, it has to be more expensive, no way around it.  The positive is more content and innovation for sure.  You can definitely find more quality content.  But I foresee more partnerships coming to allow the industry to benefit from economies of scale and be able to distribute the cost of expensive content through more subscribers / viewers.  Or they will have to continue to increase our subscription bills.  I listened to an interview recently with a Hollywood producer detailing how cost efficient they have to be nowadays to be able to turn a profit on content produced given the lower number of ultimate viewers. This is a good thing, do not get me wrong.  But my point is we are coming full circle and a lot of inefficiencies have been introduced in the content value chain and made the experience more time consuming and difficult for viewers in the process.  I think the industry has shot itself on the foot.  Content that used to be free over the air is now behind a paywall and ALSO with commercials.   Apologies from my broken record Long live my DVR! Jorge What is Automatic Content Recognition (ACR)? Automatic Content Recognition (ACR) is built into most smart TVs (Samsung, LG, Vizio, Roku, Fire TV) and silently identifies everything you watch via your smart TV or any attached device via HDMI. It monitors your streaming, cable, and physical media.  It will even identify any ads you watch. It grabs screen samples, sends them online, and feeds data to manufacturers, streamers, and advertisers for recommendations, targeted ads, and ratings.  Usually on by default, it needs the internet to work. Privacy groups like the EFF warn it tracks your habits without clear ongoing notice. How Does ACR Collect Data from Your TV Viewing? ACR operates passively and continuously (or at set intervals) while the TV is on and tuned to a channel or app.  Here's a step-by-step breakdown of the process: Content Sampling: The TV's built-in software periodically "grabs" a short clip or snapshot of the audio, video, or both from what's currently displayed on the screen. This could be every few seconds or minutes, creating a digital "fingerprint" rather than storing full video. For example: Video fingerprinting: Analyzes pixels, colors, or scene changes (similar to how Shazam identifies songs). Audio fingerprinting: Listens for sound patterns in the broadcast. Watermarking: Detects invisible digital markers embedded in content by broadcasters or studios. This sampling works even for non-smart inputs, like cable or gaming consoles, because it captures whatever is output to the screen. Local Processing: The TV processes the sample on-device to generate a compact fingerprint. Raw clips aren't stored long-term on the TV itself—the data is anonymized to protect bandwidth and privacy (though critics argue these can still be re-identified when combined with other data like your location or device ID). Database Matching: The fingerprint is sent to the manufacturer's cloud servers where it's compared against a massive reference database. This database is built by: Monitoring live TV broadcasts in real-time via data centers. Cataloging known content like shows, movies, ads, and even timestamps for commercials. Matches reveal details such as the program title, channel, duration watched, and ad exposures. Data Aggregation and Transmission: Matched data is aggregated with metadata like your TV's IP address, viewing time, and household size. It's then used or shared: Internally for features like "fewer repetitive ads" or recommendations. With third parties like advertisers and Nielsen for ratings and for cross-device targeting which means you'll see the same ad on your phone after TV exposure. The entire process is designed to be invisible and efficient, running without impacting TV performance noticeably. Why Is This Data Collected? Personalization: To suggest shows/movies based on what you've watched. Advertising: Measures ad views for pricing, retargets viewers across devices, and optimizes campaigns. Measurement: Provides device-specific viewership stats, replacing outdated panel-based surveys. TV Manufacturers Using Automatic Content Recognition (ACR) for Data Collection Manufacturer ACR Usage Details How to Disable (General Steps) Samsung Uses built-in ACR on Tizen OS smart TVs to track viewing behavior, including programs, ads, OTT apps, and gaming. Data supports ad retargeting and is used internally for recommendations. Go to Settings > General > System Manager > Samsung Account > Privacy > Viewing Information Services > Toggle off. (10-37 clicks; also opt out via Samsung account online.) LG Integrates ACR on webOS TVs to fingerprint video/audio for viewing history and ad targeting. Captures screenshots every 10 milliseconds in some models. Settings > All Settings > General > System > Additional Settings > Live Plus > Toggle off. (Buried in menus; check privacy controls.) Vizio Owns Inscape, which licenses ACR data from its SmartCast TVs. Historically sold data to third parties; now requires opt-in after 2017 FTC settlement. Settings > Privacy & Security > Smart Home > Viewing Data > Limit Ad Track > Toggle off. (Opt out during setup or later.) Sony Employs ACR on Google TV/Android TV models to collect viewing data for personalization and ads, often via third-party integrations like Samba TV. Settings > Privacy > Automatic Content Recognition > Toggle off. (Varies by model; check Google account privacy if linked.) Roku (powers TVs from TCL, Hisense, Philips, Sharp) "Smart TV Experience" feature uses ACR on Roku OS to track content across linear TV, streaming, and devices. Data shared for ads and measurement. Settings > Privacy > Advertising > Smart TV Experience > Toggle off. (11-24 clicks; not on Roku sticks, only TVs.)  

In this episode, Dr. Slanetz joins Ted Burnes to discuss her leadership role with the ACR's Advocacy Curriculum in her capacity as the Chair of the ACR's Commission on Publications and Lifelong Learning.

Join Doctor Sofia Ramiro and Professors Janet Pope and Atul Deodhar, as they review and discuss key data from ACR 2025 across RA, PsA, and axSpA, focusing on implications for clinical practice.

Após a queda de Troia, um homem carrega o passado nos ombros e o futuro pela mão. Esse homem é Enéias, o herói que escapa da destruição com a missão mítica de fundar algo muito maior: um ideal civilizatório a ser plasmado no futuro: Roma. O Professor e voluntário de Nova Acrópole, Matheus Breno, comenta o mito narrado por Virgílio nesta obra atemporal "Eneida". Nesta aula, conheça o mito de Enéias e compreenda seus significados filosóficos: a superação do caos, o sentido do dever, a continuidade entre passado, presente e futuro, e a construção interior que sustenta toda civilização. “Buscar a verdade é também honrar a memória dos mitos.”

Join Doctor Sofia Ramiro as she summarises her top abstracts, posters, and presentations from Day 4 of ACR 2025 (Wednesdsy, 29th of October)

Esta semana suenan: AMAIA MIRANDA – Amak dio ULLS SECS – No sé qui soc DELTA – Bebertentera MIRAGÜANO – Huellas HERMANO SALVAJE – Mis besos son veneno para ti EL NIÑO ERIZO – Acróbata LOS TELEPÁTICOS – Autostop RUÏNOSA Y LAS STRIPPERS DE RAHOLA – Una llamada de Satanás ZERO AZÚCAR – Otro sol MOURN – Dormir tarde ANNAPURNA – Miniatura nº15 BUM MOTION CLUB – Bandera blanca DORK & HOLLOW EMPTY MINDS – Lavanda HOLLOW EMPTY MINDS – Friend/Foe JOAQUÍN FÉNIX – Ya lo dijo Dina DOPLERS – Antes de tiempo LOS CHIVATOS – Tron LA MILAGROSA & BIELA – Si tu corazón fuera para mí XSAKARA – Yepa! ---------- Cara B "Entre lo alternativo y lo emergente, en eso andamos". Programa emitido en Mozoilo Irratia, la radio de Galdakao, en la 97.5fm para toda Bizkaia y online en mozoiloirratia.eus/play. Escúchanos en directo cada miércoles de 20h a 21h.

Join Doctor Sofia Ramiro as she summarises her top abstracts, posters, and presentations from Day 3 of ACR 2025 (Tuesday 28th of October)

Join Doctor Sofia Ramiro as she summarises her top abstracts, posters, and presentations from Day 2 of ACR 2025 (Monday, 27th of October)

In this episode, we sit down with Dr. Kristin to discuss her session at ACR Convergence on taking a personalized approach to pulmonary hypertension in connective tissue diseases. She shares why now is the critical moment for this shift and how “personalized” care extends beyond biomarkers and imaging to encompass clinical nuances, patient-reported symptoms, and multidisciplinary collaboration. We explore the key challenges in detecting pulmonary hypertension early, the promise of emerging technologies like AI-assisted imaging and molecular diagnostics, and the subtle red flags clinicians should recognize in at-risk patients. Dr. Kristin also reflects on her unique dual training in rheumatology and pulmonology, the defining moments that shaped her career, and how mentorship continues to drive innovation and compassion in the care of patients with connective tissue lung disease. 

Join Doctor Sofia Ramiro as she summarises her top abstracts, posters, and presentations from Day 1 of ACR 2025 (Sunday, 26th of October)

In this episode, we explore RheumCode, a groundbreaking new initiative from the American College of Rheumatology (ACR) designed to build a common digital language for rheumatology. RheumCode aims to ensure that data means the same thing wherever it lives—whether in an EHR, a clinic, or a registry—enabling systems to seamlessly communicate and make better use of the medical information already being documented. We discussed how RheumCode began, the collaboration behind its development, and its potential to transform the way clinicians practice; researchers study disease, and patients experience their care.  This episode was sponsored by Pfizer  

Dr. Jack Cush reviews the news and info reports the day before ACR 2025.

[História] Resenha do livro “How to fit all of ancient Greece in an elevator: an epically short history” (tradução livre: “Como fazer toda a história da Grécia Antiga caber em um elevador: uma história epicamente curta”), de Theodore Papakostas. O texto escrito está nesse link.Imagine um arqueólogo preso no elevador com um homem aleatório. O homem pergunta o que ele faz da vida e imediatamente começa uma aula sobre a Antiguidade Clássica, que termina só quando os dois são resgatados.Tem muita informação técnica, mas separei para compartilhar apenas as curiosidades que achei mais interessantes. Vem ouvir!Comprei esse livro no aeroporto a caminho de Atenas; se você quer saber mais sobre a Acrópole, o Parthenon e a Ágora, com fotos e tudo, leia o post clicando nesse link.E quer saber a melhor parte? Encontrei a versão em português desse livro na Amazon do Brasil. É só clicar aqui e garantir o seu por menos de R$ 20!

Join Professors Peter Nash, Janet Pope and Atul Deodhar as they preview what they are most looking forward to this ACR, introducing some of the top chosen abstracts and posters in RA, AxSpA and PsA so that you can better plan your time at what will be a busy and exciting congress. #ACR2025

Welcome to ACR Convergence 2025 in Chicago! Here, Dr. Hausmann delivers a quick update on what our podcasts will cover while the meeting is in session. Don't forget to tune in to ACR on Air and ACR Journals on Air each morning, starting this Saturday, to catch up on the latest in Rheumatology

Por primera vez en veinte años, . Los soportes de metal que los trabajadores pusieron hace veinte años para han sido quitados. Esto significa que por primera vez desde que el trabajo comenzó. El Partenón fue construido hace más de 2.400 años y está en la parte alta de una colina ⛰️ llamada la Acrópolis. El famoso Partenón de Grecia finalmente libre de equipos de construcción Read More » Read the full Article: El famoso Partenón de Grecia finalmente libre de equipos de construcción

Neste episódio, apresento a leitura de Um Distúrbio de Memória na Acrópole (1936), a célebre carta de Freud ao escritor Romain Rolland, escrita quando Freud já estava idoso e fragilizado, mas ainda capaz de transformar uma lembrança pessoal em uma profunda reflexão psicanalítica.Ele narra uma viagem a Atenas, feita com o irmão, e o estranho sentimento que o tomou ao subir à Acrópole: “Então tudo isso existiu realmente, tal como aprendemos na escola.” — um pensamento banal à primeira vista, mas que se revela, sob análise, uma chave para o inconsciente.Freud investiga o episódio como se fosse um de seus pacientes, transformando o próprio espanto em objeto de estudo. Descobre ali um conflito interno entre prazer e culpa — a sensação de “ter ido longe demais”, de ter superado o pai e transgredido um interdito antigo. “Há algo errado nisso, algo proibido desde sempre. É como se o essencial do êxito fosse chegar mais longe que o pai.”O texto é um dos últimos em que Freud fala de si com tanta lucidez e humanidade. Nele, encontramos o teórico e o homem, o cientista e o filho — reunidos na lembrança de um instante em que o real e o simbólico se confundem sob o sol da Acrópole.

In this episode, Dr. Shaun Jackson uses a compelling patient case to illuminate the complex mechanisms of immune tolerance and autoimmunity. He explains how B cells learn to avoid targeting the body's own tissues through central and peripheral tolerance—and how these safeguards can fail. The discussion covers the roles of germinal centers, T cells, and rare genetic disorders in shaping immune regulation, with Alport's syndrome and post-transplant Goodpasture's disease serving as striking examples. Dr. Jackson also reflects on emerging directions in autoimmune research and shares his journey from medical training in South Africa to leading a research program in Seattle, offering valuable insights for future physician-scientists. 

Drs. Ruby Patel and Rajdeep Pooni present Grand Rounds using a 12-year-old case to illustrate pediatric systemic lupus erythematosus and class IV lupus nephritis, covering presentation, biopsy findings, and pathology. The talk explains diagnostic criteria and typical lab features. They summarize current management including 2024 ACR guidance on induction therapies (steroids, mycophenolate, cyclophosphamide, and biologics), monitoring for complications and medication side effects, vaccination precautions for immunocompromised patients, and the pediatrician's role in long-term coordination of care.

This is the exclusive audio breakdown section for episode 288 - Chatea como Nativo con Acrónimos Parte II | Chat Like a Native Using Acronyms Part IIGet access to the full interactive transcript, quizzes, and more for this and every episode by joining our community, La Escala, at spanishandgo.com/community.

Part two of our acronym series explores the explicit, slang-filled world of texting in Spanish. From ALV and MVV to NMM, we explain what these phrases mean, how locals use them, and when not to use them. Even if you never plan to say these words yourself, understanding them will help you catch the nuances of real Mexican Spanish and sound more culturally fluent.Key Takeaways:Learn the meaning and context behind Mexico's most common swear acronyms.Understand when these phrases are acceptable (and when they're definitely not).Gain insight into real, unfiltered Mexican Spanish to boost your cultural awareness.Relevant Links And Additional Resources:279 – Chatea Como Nativo con Acrónimos | Chat Like a Native Using Acronyms275 – El Chingonario | The Chingonary086 – Las Groserías Mexicanas con Mextalki | Mexican Swear Words with MextalkiLevel up your Spanish with our Podcast MembershipGet the full transcript of each episode so you don't miss a wordListen to an extended breakdown section in English going over the most important words and phrasesTest your comprehension with a multiple choice quizSupport the show

Conheça, à luz do I Ching (Yì Jīng), como Yin-Yang, os 8 trigramas (Ba Gua) e o centro (Tài Jí) ajudam a compreender 9 tendências de temperamento humano. Falamos de princípios, ciclos da natureza (estações, dia/noite), Cinco Elementos (água, madeira, fogo, terra, metal) e aplicações práticas para o autoconhecimento.

In this first episode of 2023, the ACR Government Relations staff recaps the 2022 year-end activities of Congress and ACR's advocacy priorities as the 118th session of Congress gets underway.

In this episode, we preview ACR Convergence 2025 in Chicago this October with Dr. Greg Gardner, Chair of the Annual Meeting Planning Committee (AMPC). We'll explore key topics like emerging therapies, AI in rheumatology, and highlights such as the Practice Innovation Summit, Ultrasound Course, and Fellows In Training (FiT) Program. Dr. Gardner also discusses highlights such as, CAR T-cell therapies, new non-renal lupus guidelines, a Live Journals Club focused on Big Data and why this year's meeting is earlier on the calendar. Tune in for a sneak peek at what's to come! 

In the latest episode of The Radiology Report, host Daniel Arnold sits down with Dr. Dana Smetherman, CEO of the American College of Radiology (ACR), for an in-depth conversation on leadership, policy, and the future of radiology. Dr. Smetherman, a Breast Imager and former Chair of Radiology and Associate Medical Director at Ochsner Medical Center, shares her journey from neurology residency to national leadership at the ACR. Her journey reflects a willingness to step back, assess, and pursue the areas where she could make the greatest impact on patients and the profession. Key Takeaways from the Episode: 1️⃣ Her Career Path Dr. Smetherman opens up about transitioning from neurology to radiology and eventually into leadership, demonstrating the importance of finding the right clinical and professional fit. 2️⃣ Why Advocacy Matters Under her leadership, the ACR has helped reclaim $1.4 billion in Medicare reimbursement for radiologists (2021–2024). 3️⃣ Legislative Insights She explains how policies like the ROOT Act and Appropriate Use Criteria can help reduce unnecessary imaging and address radiologist burnout and workforce shortages. 4️⃣ The Power of Membership Dr. Smetherman emphasizes how ACR dues fund lobbying and economic initiatives, making membership a key tool for securing radiology's future. 5️⃣ AI in Radiology Learn how ACR tools like ARCH-AI and Assess-AI are helping practices implement AI responsibly, measure performance, and ensure quality care. 6️⃣ Capitol Hill Advocacy Hear how a simple act, encouraging radiologists to wear white coats to congressional meetings, made an outsized impact in radiology advocacy.

El chileno Enrico Tosti-Croce, de 77 años, ha presumido toda la vida ante sus de la piedra del Acrópolis de Atenas que tenía de decoración en el salón. La había heredado de su padre, que había visitado Grecia en los años 30 como miembro de la Armada Italiana. 9 décadas después Enrico ha decidido que es buen momento para que este pedacito de la historia vuelva a su lugar. Nos lo ha contado la periodista de Chilevisión Noticias, Ivonne Bastías.

In this episode, we review the Arthritis & Rheumatology manuscript, “Diagnosis and Treatment of Castleman Disease,” with Drs. Luke Chen and David Fajgenbaum. The discussion (which provides an essential, up-to-date overview of a rare but critical disease) highlights the clinical subtypes of Castleman Disease, its overlap with autoimmune and autoinflammatory syndromes, and current diagnostic and treatment strategies. Dr. Chen offers a hematologist's perspective on disease classification, pathology, and practical management tips, while Dr. Fajgenbaum shares insights from his personal experience as a patient and his work advancing research through the Castleman Disease Collaborative Network and Every Cure. 

This webinar will review the ACR and EULAR guidelines on interstitial lung disease, with a focus on ‘where are we now and where are we going?' in regards to treatment strategies and emerging therapies in ILD care. Panelists: Sindhu Johnson, MD Shane Shapera, MD Scott Matson, MD Jack Cush, MD - Moderator https://youtube.com/live/Viexwyv0sxs?feature=share

In recognition of Rheumatic Disease Awareness Month this September, this episode explores the critical yet often underutilized role of exercise in the management of rheumatic diseases. We examine how structured movement—ranging from step counts to resistance training—can significantly alter the trajectory of pain, function, and overall disease progression. Our discussion offers practical strategies for helping patients integrate physical activity into their daily routines, with a focus on starting gradually and maintaining consistency. We also address the heightened cardiovascular risks associated with rheumatoid arthritis and how targeted exercise interventions can mitigate these risks. Finally, we delve into fall prevention tactics and the use of technology and interdisciplinary care teams to set achievable, patient-centered goals that physical therapists can effectively support.   

On today's episode we're focusing on wearable technology for athlete performance, recovery and injury prevention with Dr. Jacob Calcei, an orthopedic surgeon at University Hospitals in Cleveland and team physician for the Cleveland Browns. We'll start off our discussion today with an article titled “Wearable Performance Devices in Sports Medicine” from the January 2016 issue of Sports Health. The authors review the rapid rise of wearable sensor technologies in athletics, highlighting their ability to track real-time physiologic and movement data for optimizing performance and reducing injury risk. These tools can provide valuable insights into workloads, biomechanics, and fatigue, supporting tailored training programs and early injury prevention strategies. While wearable devices have shown promise, evidence for their effectiveness in professional sports remains limited, and further research is needed to validate accuracy, develop standardized training protocols, and address practical challenges such as reliability and usability.Then, from the January 2020 issue of Sports Heath, we review an article titled “Does Overexertion Correlate With Increased Injury? The Relationship Between Player Workload and Soft Tissue Injury in Professional American Football Players Using Wearable Technology.” This study investigates whether sudden increases in training load, as measured by wearable GPS and accelerometry technology, are associated with higher rates of soft tissue injury in professional American football players.  The authors analyzed two NFL seasons and found that injured players experienced significantly greater spikes in workload during the week of injury compared to the prior month. Specifically,  they found that those exceeding an acute-to-chronic workload ratio (ACR) of 1.6 being 1.5 times more likely to sustain an injury. The effect was particularly pronounced in the preseason, when workloads were higher and hamstring injuries were most common. The findings suggest that rapid workload increases predispose athletes to soft tissue injury, while consistent training loads may offer a protective effect. The authors conclude that monitoring player workload with wearable technology could help medical and training staff design safer, more individualized training regimens to reduce injury risk.We are joined today by Dr. Jacob Calcei, a board-certified orthopedic sports medicine physician and shoulder surgeon at University Hospitals and an assistant professor of Orthopedic Surgery at Case Western Reserve University School of Medicine. He is a team physician for the Cleveland Browns as well as several local high schools. Dr. Calcei has published extensively on a variety of sports medicine topics, has a particular interest in injury prevention and finding ways that we can make sports safer while optimizing athlete performance. So, we're very excited to have him join us today.

In this episode of ACR Journals on Air, host Dr. Vicki Shanmugam speaks with Dr. Alain Sanchez-Rodriguez about a new study from the Lupus Midwest Network (LUMEN), published in Arthritis Care & Research. They explore how patients with systemic lupus erythematosus (SLE) experience delays and disparities in care, the types of physicians involved in diagnosis, and what the data reveals about access to specialized treatment. Dr. Sanchez-Rodriguez also shares his research journey and insights on improving equity in rheumatology. 

It's been over two decades since the American College of Rheumatology (ACR) last released comprehensive treatment guidelines for systemic lupus erythematosus (SLE), and much has changed. In this episode, we're joined by Dr. Lisa Sammaritano to discuss the forthcoming 2025 ACR Guidelines for the Treatment of SLE. These updated recommendations reflect a significant evolution in our approach to lupus care, from the growing range of therapeutic options to a stronger emphasis on patient engagement and minimizing steroid toxicity. We'll dive into how the guidelines tailor treatment across diverse organ systems and patient populations, and what clinicians need to know to effectively incorporate these updates into their practice. 

Healthcare payments consume between $650 billion and $1 trillion annually in billing and insurance-related costs—an amount comparable to the entire U.S. Defense Department budget. At the heart of this staggering inefficiency lies a fundamental problem: when patients receive care, nobody actually knows in real-time whether the insurance will pay for it. Mike Desjadon, CEO of Anomaly, spent nearly two decades in healthcare payments before building a company to solve this core issue. In this episode, we explore how Anomaly is creating "payment assurance" for healthcare—bringing the same real-time payment certainty that exists everywhere else in commerce to an industry desperately in need of it. Topics Discussed: The massive scale of healthcare billing costs and why precision is impossible at this scale How the complex coding system (ICD, CPT, revenue codes) creates a "ridiculous Rubik's Cube" of payment determination Why healthcare lacks payment assurance while every other industry has real-time payment certainty The fundamental information asymmetry between providers and insurers that drives administrative waste Anomaly's approach to using AI and machine learning to predict payment outcomes early in the care process The strategic decision to focus exclusively on providers rather than serving both sides of the market   GTM Lessons For B2B Founders: Avoid "Annual Curiosity Revenue" in favor of deep customer relationships: Mike warns against chasing what he calls "ACR" - contracts driven by curiosity about new technology rather than real value. Instead of racing to accumulate surface-level customers, Anomaly focuses on 1-5 anchor customers where they forward-deploy engineers and dedicate leadership attention. As Mike explained, "I'd rather take a much smaller amount of those trusted pitches... find me 10 of the right conversations, don't find me a hundred surface level conversations." In healthcare's 14-month sales cycles, shallow relationships burn runway without building sustainable growth. Match your go-to-market strategy to industry realities, not investor expectations: Healthcare's long sales cycles and conservative nature require a fundamentally different approach than traditional SaaS growth models. Mike structured Anomaly's capital and hiring strategy around 14-month sales cycles rather than trying to compress them. "If you know that it's a 14 month sales cycle... being realistic about those timeframes and those capital structures, you just make sure your plan on burn matches your plan on strategy." This meant hiring customer success and engineering talent before traditional sales roles, aligning team composition with the actual customer adoption process. Segment ruthlessly based on transformation readiness: Not every healthcare organization is ready for transformative technology. Mike emphasizes the critical need to identify whether prospects are "looking for transformation" versus "looking to automate an isolated process." He shares that distinguishing between these segments determines the entire sales approach. Organizations seeking transformation are willing to work through implementation complexity for substantial outcomes, while those seeking automation want predictable, incremental improvements. Misreading this distinction leads to failed sales cycles and misaligned product development. Use forward-deployed engineering as a competitive advantage: Rather than traditional customer success managers, Anomaly deploys engineers directly to customers during implementation. This approach proves particularly valuable in AI/ML applications where the technology is rapidly evolving and customer needs aren't fully defined. Mike notes, "Having engineers in that has been hugely valuable for us because we're able to really quickly deliver value, very quickly deliver outsized value." This strategy enables rapid iteration, builds deeper technical trust, and often leads to expanded contracts through demonstrated capability rather than traditional sales pitches. Build category credibility through case studies, not connections: In healthcare, having impressive investors or warm introductions matters far less than demonstrating proven results with known organizations. Mike emphasizes, "What you need in healthcare is slapping six case studies down the desk... show me the six organizations that I know that you work with that are going to tell me I should work with you." This insight drives Anomaly's entire early-stage strategy—prioritizing customer success and measurable outcomes over rapid customer acquisition, building the credibility foundation needed for future sales acceleration.     //   Sponsors: Front Lines — We help B2B tech companies launch, manage, and grow podcasts that drive demand, awareness, and thought leadership. www.FrontLines.io The Global Talent Co. — We help tech startups find, vet, hire, pay, and retain amazing marketing talent that costs 50-70% less than the US & Europe.  www.GlobalTalent.co   //   Don't Miss: New Podcast Series — How I Hire Senior GTM leaders share the tactical hiring frameworks they use to build winning revenue teams. Hosted by Andy Mowat, who scaled 4 unicorns from $10M to $100M+ ARR and launched Whispered to help executives find their next role. Subscribe here: https://open.spotify.com/show/53yCHlPfLSMFimtv0riPyM 

This episode explores the ARChiVe Registry, a longitudinal database for pediatric vasculitis, with guest Dr. Sam, a pediatric rheumatologist and bioinformatician. The discussion covers the registry's design, patient selection, and key outcomes, including remission rates, hospitalization, and damage scores (pVDI) across treatment strategies. Dr. Sam highlights how these findings inform clinical practice and discusses the challenges of observational data. The episode also touches on his unique background in social pediatrics and health informatics, emphasizing the evolving role of clinicians as both diagnosticians and data stewards in rheumatology research. 

A recent article on ZDNet talks about how modern TVs monitor your viewing habits using ACR (automatic content recognition) and why that could be a problem for you. The article also explains how to disable ACR in various makes of TVS, but the instructions don't always match the TV's menu system. Scott Wilkinson talks about this important issue. Host: Scott Wilkinson Download or subscribe to Home Theater Geeks at https://twit.tv/shows/home-theater-geeks Want access to the ad-free video and exclusive features? Become a member of Club TWiT today! https://twit.tv/clubtwit Club TWiT members can discuss this episode and leave feedback in the Club TWiT Discord.

Lt. Col. Nichole “Vapor” Ayers '11 joins us from orbit! SUMMARY From cadet to astronaut, she shares how the U.S. Air Force Academy prepared her for life aboard the International Space Station, the lessons space learned in the space program about leadership and how viewing Earth from 250 miles up re-shapes one's call to serve.   SHARE THIS EPISODE LINKEDIN  |  FACEBOOK   COL. AYERS' TOP 10 LEADERSHIP TAKEAWAYS  - Seeing Earth from space changes your perspective on leadership.  - The fragility of Earth inspires a desire to protect it.  - A lifelong dream of becoming an astronaut requires hard work and dedication.  - Teamwork at the Air Force Academy prepared me for life in space.  - Daily routines on the ISS are structured and focused on science and maintenance.  - Astronauts are normal humans, not just heroes in space.  - Quick thinking and calm leadership are crucial during space missions.  - Community support is vital for success in unconventional paths.  - Inspiring the next generation is a key part of my mission.  - Curiosity and exploration should be fostered in young people.   CHAPTERS 00:00 Journey to the Stars: Becoming an Astronaut 03:32 Life Aboard the ISS: Daily Routines and Responsibilities 07:23 Lessons in Leadership: Quick Thinking in Space 10:54 Observations from Above: Humanity and Resilience 12:10 Inspiring the Next Generation: A Sense of Purpose 13:17 The Long Blue Line: Community and Support     ABOUT NICHOLE BIO U.S. Air Force Lt. Col. Nichole Ayers is a trailblazing pilot, leader, and astronaut whose journey began at the United States Air Force Academy, where she graduated in 2011 with a degree in mathematics. An accomplished F-22 Raptor pilot, Ayers is one of the few women ever to fly the world's most advanced stealth fighter—and she's one of even fewer to command them in formation for combat training missions. Col. Ayers earned her wings through years of training and operational excellence, logging over 200 flight hours in combat and playing a critical role in advancing tactical aviation. Her exceptional performance led to her selection in 2021 by NASA as a member of Astronaut Group 23, an elite class of 10 chosen from among 12,000 applicants. As a NASA astronaut candidate, Col. Ayers completed intensive training at Johnson Space Center, which included spacewalk preparation, robotics, survival training, systems operations, and Russian language. Now qualified for spaceflight, she stands on the threshold of a new chapter that led her to the International Space Station. Throughout her career, Col. Ayers has exemplified the Academy's core values of Integrity First, Service Before Self, and Excellence in All We Do. Her journey from cadet to combat aviator to astronaut is a testament to resilience, determination, and a passion for pushing boundaries.   LEARN MORE ABOUT NICHOLE NASA Astronaut Nichole Ayers     ALL PAST LBL EPISODES  |  ALL LBLPN PRODUCTIONS AVAILABLE ON ALL MAJOR PODCAST PLATFORMS   TRANSCRIPT SPEAKERS Guest, Lt. Col. Nichole "Vapor" Ayers '11  |  Host, Lt. Col. (ret.) Naviere Walkewicz '99   NASA  00:00 Station, this is Houston. Are you ready for the event?   Lt. Col. Nichole Ayers  00:05 Houston, Station, I'm ready for the event.   NASA Air Force Academy, this is Mission Control, Houston. Please call Station for a voice check.   Naviere Walkewicz  00:13 Station, this is Lt. Col. Naviere Walkewicz. How do you hear me?   Lt. Col. Nichole Ayers  00:17 Hi, ma'am. I've got you loud and clear. Welcome to the International Space Station.   Naviere Walkewicz  00:20 Welcome to a special presentation of the US, Air Force Academy, Association and Foundation's, Long Blue Line Podcast Network. I'm Naviere Walkewicz, Class of '99. I was honored recently to speak with a true pioneer, United States Air Force Academy graduate, accomplished fighter pilot, 2022 Young Alumni Excellence Award recipient and now NASA astronaut, Lieutenant Colonel Nicole “Vapor” Ayers, Class of 2011, Vapor joined us from the International Space Station orbiting about 250 miles above Earth. Her journey from Cadet to astronaut embodies the pursuit of excellence and the spirit of exploration that distinguishes the Long Blue Line. For this conversation Vapor and I explored what it means to be a human in the vastness of space, how one's perspective shifts when Earth shows up as a distant blue marble, and what her journey can tell us about courage, connection and the Future. Lieutenant Colonel Ayers, this is such an honor. So excited. Seeing Earth from space forever changes your perspective. How was the experience for you? And how has it changed the way you view your role as a leader?   Lt. Col. Nichole Ayers  01:32 Yeah, you know, I think for everybody, the experience is slightly different. For me, seeing the earth from the Dragon window for the first time was one of the most amazing things I've ever seen. And then seeing the Earth every day from the cupola and then the lab window that we have here, you know, you don't see country or state lines on the Earth, right? There's not like each state has a different solid color, right? There's just geography and just terrain. And so you get to learn the world all over again in terms of colors and textures and geography and water. You know, there's so much water on this earth, and it's hard to put it into perspective until you're actually looking at the Earth, and it's, it's something that has really hit me, because the Earth is so fragile. You know, we see these beautiful auroras, we see thunderstorms, we see different natural disasters, and it's really kind of made me want to take better care of this earth. And you know, when I get home, I want to just do things a little bit better and just take that extra step, to take my make my part in taking good care of this earth.   Naviere Walkewicz  02:38 That makes amazing sense. And, you know, I think it takes us to kind of your path to becoming an astronaut. Can you walk us through what that was like?   Lt. Col. Nichole Ayers  02:47 Yeah, sure. So, you know, I was, I've been saying that I wanted to be an astronaut since I was little kid. And, you know, I always had an affinity for space and for the sky. And growing up in the Shuttle era, you know, as soon as I learned that you could fly the shuttle be the pilot. I was like, “Ooh, that's what I want to do.” And so, the very serious little Nichole set my goals really high and started working towards that path. And, you know, grew up right there in Colorado Springs, watched the Air Force Academy graduation, you know, and the Thunderbirds fly over every year. And it just kind of seemed like a natural path for me to go to the Air Force Academy, become a pilot and try to pursue the astronaut dream from the pilot's perspective. So you know, I worked really hard, set my goals really high, and never got bumped off that path and was able to apply and actually get selected. And now here I am talking to you from the International Space Station.   Naviere Walkewicz  03:36 And it's pretty incredible being able to see you weightless there, and you're here in its full glory. It's pretty amazing. Can you, talk about your time at the Air Force Academy? Specifically, what foundational experiences would you say have really kind of played a part with your life in space right now?   Lt. Col. Nichole Ayers  03:54 Yeah you know, I think the Air Force Academy, for me, the biggest part was just being on teams. You know, I played volleyball there. And, you know, I would say every Squadron is its own little team. And you know, as a four degree, you're there with all of your classmates, and you're going through training sessions together. And so being on these teams in different environments, and some austere environments and high pressure situations, and learning how to take care of other people in those moments, I think, has been huge in my path to getting here. You know, those, all those words speak truth here on the International Space Station, you know, we're in an austere environment. Sometimes we're under pressure situations, and it's just a few of us up here working together with the ground to make this International Space Station stay in orbit, to execute all of the science and the maintenance and keep it running and continue to learn everything we possibly can, both about space and about Earth in order to inform how we do life on Earth and how we get to the moon and Mars.   Naviere Walkewicz  04:47 Thank you. So maybe, can you share with us what your daily routine aboard the ISS is like...   Lt. Col. Nichole Ayers  04:53 Yeah, you know, it's not unlike yours. Potentially. You know, our schedule is pretty set to the ground team figures out about, you know, what science and what maintenance needs to be done, and who's going to go do it. We are scheduled from about 7:30 in the morning to 7:30 in the evening, and we get, you know, two to two and a half hours of exercise time so that we can maintain our bone and muscle and cardiovascular health up here. And then when we're not working out, we're, like, I said, executing science. You know, I'm surrounded just here in this module, every single rack has some sort of payload or science experiment going on, so we just kind of follow the schedule. We work with the ground team to figure out where the things are that we need, and the procedures and all of that. But it's not unlike life on Earth...   Naviere Walkewicz  05:37 Maybe a little bit different. What's the biggest misconception people have about life on the ISS, you think? And what's something that surprised you while you're being there?   Lt. Col. Nichole Ayers  05:48 Man, you know, I've been asked this question before. I'm not sure if I know the biggest misconception. You know, I think that often people kind of put astronauts up on a pedestal, but, you know, we're just humans who like to do, like the work that we do. We're really passionate about what we do. We're good teammates. So we're just normal humans, and it's not the most glamorous job, you know, we do, you know, often wear diapers, or we're working really hard, or things like that. So, you know, just normal humans up here. I think one of the things that surprised me the most, I'll see if I can do this without bumping the Astrobee off the wall here. But for me, it took my brain a while to, you know, get used to seeing people on the wall, or, you know, our treadmills on the wall, or seeing people upside down, and there's no up and down in space. And so it took a while for me to get used to that, and for my brain to kind of remap what I consider up, down, left and right in space. And you know that people are just floating, and we get a float every day, I can let go the mic and talk to you.   Naviere Walkewicz  06:46 So we have a lot of cadets and young officers that listen to us. What advice would you give them in the dream of following in your footsteps?   Lt. Col. Nichole Ayers  06:56 Yeah, that's a great question. You know, I love to preach hard work and teamwork. You know, find something that you really enjoy doing. You know, NASA needs, I studied math, right? I'm a pilot, but we need doctors. We need scientists, we need engineers. So figure out what you really enjoy doing, work really hard at that thing, and then go find a team you can be on, and figure out how to take care of other people, and figure out how, how you mesh in this world, and how you can and thrive in these small environments or austere environments with other people. So I love to just say, you know, work hard, be a good teammate, and everything will work out in your favor. I think.   Naviere Walkewicz  07:30 Can you share if you've received any valuable insights or advice from other Air Force Academy grads who were astronauts?   Lt. Col. Nichole Ayers  07:37 Oh, yeah, I think tons, is what I would say, you know, Eric Kjell, and specifically Nick and Roger, who just recently flew and came back, you know, I think that there's been a ton of advice just in terms of of how we do life here on the International Space Station and how, you know, we're going to continue to explore on the Moon and Mars, and how we can share our story, and how we can share all of the science that we're doing. But I think one of the most practical things that I got was from Nick during the handover, when we, we had a couple days up here together, and he said, “Don't forget, you're still squishy.” You know, we're surrounded by a bunch of metal up here. Nothing is very soft. And so if you, if you get moving too quick, or you get too confident, it's very easy to stub a toe or hit something. And so we're still just squishy humans. And you know, if you take that one step further metaphorically, I think, you know, we're still just humans, and we make mistakes, and that's okay, as long as you can bounce back, and as long as you're not going too fast when you hit a handrail too hard.   Naviere Walkewicz  08:31 Absolutely. Well, you talked a little bit about the austere environment. What do you hope your mission and your story inspiring the next generation of Academy grads, especially those who feel called to serve in bold and unconventional ways.   Lt. Col. Nichole Ayers  08:46 Yeah, you know, I think the bold and unconventional part really hits me, because, you know, growing up during the shuttle era, and then I was at the Air Force Academy when the last shuttle flight flew. And you know, as you grow up, you say you want to be an astronaut, people often say like, Wow, that's awesome. And then when you become an adult, sometimes you don't quite get the same response, you know, sometimes you get a laugh. And so, you know, I would say that even if people don't believe you, or they don't necessarily support what you want to do, if you've got a goal or a dream, just continue to, like I said, work hard at it, you know, put your nose to the grinder. Get really good at whatever it is that you want to go do, and don't let the naysayers get you. You know, there will always be someone there who thinks it's silly, but you will always find someone who supports you. My old commander, Robin, again, he was the one who supported me and got me here, and he said, “Are you silly?” Like, why would you ever think that's silly, or hesitate to tell me what you want to do? So, keep talking about your goals, keep working towards it. And yeah, like I said, maybe someday you could be up here with us.   Naviere Walkewicz  09:44 Absolutely bold and unconventional, for sure. And speaking of such space missions demand precision under pressure. Can you share a moment, whether in training or on the ISS where quick thinking and calm leadership made a difference for you?   Lt. Col. Nichole Ayers  09:57 Yeah, definitely. I think that I.... Actually, a great example is our space walk that Anne McClain and I did about a month and a half ago. You know, right in the middle of the space walk, the priorities changed and the game plan changed. And if you were just an onlooker watching, sitting at home watching, you may not have even noticed that. And I think that's a huge testament to our ground team and our flight director, Deanna Trujillo, for the day, you know, her ability to lead that ground team and change the game plan on the fly, and then get those words up to us through some calm loss and some other hardships that we were working through, and then for us, for Anna and I, to work together, both just the two of us out outside the space station and the vacuum of space, but also us with the ground to make that all look very seamless. We're very proud of how that space walk went, and our ability to kind of change the plan on the fly, execute, come up with new ways of doing things, and figuring out how we're going to leave the station in a good state, and also achieve all those objectives. So think that was we're actually really proud of the way that we, you know, manage all of those changes, and hopefully to the onlooker like yourself. It looks seamless.   Naviere Walkewicz  11:04 Absolutely and it kind of talks a little bit to what you said earlier about, you know, seeing Earth from a different vantage point and wanting to protect it. I'd like to actually ask you more about that. So can you share, from your vantage point what you've observed about humanity and the resilience as you, as you look on it, from us, from our perspective here on Earth, and you being up there,   Lt. Col. Nichole Ayers  11:24 Yeah, you know, I think that one of the biggest things that, you know, I mentioned the natural disasters that we see and, you know, and I feel a sense of duty to photograph and to try to document the things that just humans endure on a daily basis. You know, I talked about thunderstorms or landslides, forest fires, all sorts of things. You know, we see it from such a different vantage point up here. And, you know, knowing that there are people down there who are trying to survive, and knowing that those people will survive, and that we have an entire community that's going to rally around those people in those instances. And you know, just trying to do our part from up here and give, you know, that unique vantage point and give as much data and as much help as we possibly can. I think that's one of the biggest things that our world does well, is, you know, helping each other when we're in need.   Naviere Walkewicz  12:09 And Lieutenant Colonel Ayres, maybe you can share what's been the impact of this mission on your sense of purpose, and how do you think it will shape your next chapter when you come back on Earth?   Lt. Col. Nichole Ayers  12:22 This is a great question. I've done a lot of thinking about this, you know, you know, finally achieving your childhood dream. What's next? You know, what do you do next? And I think for me, the biggest thing that I want to continue to do is just inspire the next generation. You know, all those little kids who say they want to be astronauts, and then they get laughed at as adults. You know, I think that's it's so important to just foster that curiosity and foster that sense of exploration. And really, you know, encourage the next generation to go do what they're passionate about, because we will always need someone in that niche thing that you're passionate about. And so helping people get there is, is really what I want to do next. And, you know, helping the next youth get to their dreams and their goals and continue to just build this society that continues to explore and as you know, especially as we go to the moon and onto Mars and we commercialize low earth orbit, I think there's so much that we can do. And it's I feel, again, a sense of duty to help the next generation do that?   Naviere Walkewicz  13:21 Well, we talk about the next generation and the long blue line being enduring. Is there anything else you'd want to share with Air Force Academy grads in general?   Lt. Col. Nichole Ayers  13:30 Yeah, you know, I think it might be a dead horse that I'm beating at this point, but the teamwork is so important. You know, just, just take care of the people around you. Make sure that you're always looking out for each other. You know, the long blue line is a very special thing to be a part of. And, you know, like yourself, you know, I met you a couple years ago, and it feels like I could just go, you know, hang out with you, have dinner, and we could pick up like old friends. And that's what the long blue line is all about. You know, having friends all over the world who can help you. You know, I got to hang out with Nick Hague in space, another member of the long blue line who told me I was going to be squishy. You know, things like that are just the unique moments that we have as Academy grads. You know, there's always going to be someone there who supports you and who loves you and who wants to see you be successful,   Naviere Walkewicz  14:15 Wonderful. Thank you so much for this time. There's probably so many more questions we could ask you, but I think the biggest one is just, you know, we would leave you with it's such an honor and a privilege to see you out there. We're proud of everything that you're doing, and we can't wait to see more of what you're able to accomplish while you're in space and when you come back.   Lt. Col. Nichole Ayers  14:34 Thank you so much. Like I said, so excited to talk to you today and to just share the experience and also, you know, have a have an influence on the AOG. I'm excited that the AOG is interested in space and interested in all of us who are out here. You know, again, the Long Blue Line is a really cherished and unique group to be a part of. So honored and proud to be a part of that group, and excited that I got to share a little bit of what we do up here with you guys today.   Naviere Walkewicz  15:02 Thank you so much for the time. Naviere Walkewicz  Well, before I close, I'd like to share what happened after the podcast. My cell phone rang, and I had a call from government, and I said, “Who could be calling me?” Well, I answered, and wouldn't you know 250 miles above the Earth, Vapor Ayers was calling me on my cell phone just to say what an amazing conversation we had. What technology we have, that she sounded like she was next door. It was an incredible opportunity for us to talk a little bit more about the podcast and highlight what you might hear in an upcoming Checkpoints article. So for now, I'll sign off. I'm Naviere Walkewicz, Class of '99. Thank you for listening. This has been a special presentation of the US, Air Force Academy, Association and Foundation's Long Blue Line Podcast Network. You can listen to this and all our podcast network programming at LongBlueLinePodcast.org once more, that's LongBlueLinePodcast.org   NASA  16:03 Station, this is Houston. ACR, thank you. That concludes our event.   KEYWORDS NASA, astronaut, International Space Station, Air Force Academy, leadership, resilience, teamwork, space exploration, inspiration, Earth       The Long Blue Line Podcast Network is presented by the U.S. Air Force Academy Association & Foundation      

This is the exclusive audio breakdown section for episode 279 - Chatea Como Nativo con Acrónimos | Chat Like a Native Using Acronyms.Get access to the full interactive transcript, quizzes, and more for this and every episode by joining our community, La Escala, at spanishandgo.com/community.

Leitura Bíblica Do Dia: ATOS 17:24-32 Plano De Leitura Anual: SALMOS 35–36; ATOS 25  Já fez seu devocional hoje? Aproveite e marque um amigo para fazer junto com você! Confira:  Visitei recentemente a cidade de Atenas, na Grécia. Caminhando pela antiga Ágora, o mercado onde os filósofos ensinavam e os atenienses adoravam, encontrei altares para Apolo e Zeus, todos à sombra da Acrópole, onde um dia ficava a estátua de Atena. Podemos não nos curvar a Apolo ou Zeus hoje, mas a sociedade não é menos religiosa. O romancista David Foster Wallace exortou: “Todo mundo adora alguma coisa. Se você adora dinheiro e bens, nunca terá o suficiente. Se adora seu corpo e beleza você sempre se sentirá feio. Se adorar seu intelecto acabará se sentindo estúpido”. Nossa era secular tem seus próprios “deuses”, e eles não são bondosos. Paulo disse ao visitar a Ágora: “vejo que em todos os aspectos vocês são muito religiosos” (ATOS 17:22). O apóstolo então descreveu o único Deus verdadeiro como o Criador de todos (vv.24-26) que deseja ser conhecido (v.27) e que se autorrevelou por meio da ressurreição de Jesus (v.31). Diferentemente de Apolo e Zeus, Deus não é feito por mãos humanas. Adorá-lo não nos arruinará; ao contrário, adorar o dinheiro, aparência ou inteligência, sim. O nosso “deus” é aquilo em que confiamos para nos dar propósito e segurança. Felizmente, quando todos os deuses terrenos falham conosco, o único Deus verdadeiro está pronto para ser encontrado (v.27).  Por: SHERIDAN VOYSEY 

In this episode of ACR Journals on Air, Dr. Jason Knight joins us to discuss his recent Arthritis & Rheumatology review on antiphospholipid syndrome (APS), an autoimmune disease marked by complex thromboinflammatory processes. We explore the evolving understanding of APS pathogenesis, the role of antiphospholipid antibodies, Beta-2 glycoprotein I, and NETosis, as well as current and emerging treatment strategies. Dr. Knight also shares insights from his research career and reflects on the personal and professional journey behind his work. A must-listen for clinicians and researchers focused on autoimmunity and translational science. 

Si el Gran Premio de Austria dejó una estela de emoción y debate, de cara al próximo fin de semana, la Fórmula 1 se prepara para llegar a uno de sus escenarios más emblemáticos: Silverstone, cuna del campeonato, que además este año celebra el 75.º aniversario del primer GP puntuable de la historia, lo que le da un aire especial al evento y para lo que nos preparan en el segundo episodio de la semana del Podcast Técnica Fórmula 1. Austria nos deja buen sabor de boca y ganas de más. Y es que el fin de semana pasado nos gustó especialmente por la intensa lucha entre los McLaren y la estrategia maestra de Alonso, que volvió a brillar con una sola parada y movimientos muy inteligentes. Lo que no nos gustó nada fue la pobre imagen de Williams, con ambos coches abandonando, uno sin tomar la salida y el otro en la vuelta 17. Silverstone de aniversario. Se cumplen 75 años del primer Gran Premio (puntuable) disputado en la historia y, en honor a este aniversario, Pirelli ha lanzado una gorra de edición limitada y ha optado por compuestos más blandos (C2, C3 y C4), con lo que buscan – veremos si lo consiguen – una mayor variedad estratégica en carrera. Silverstone, con sus 5,861 km y 18 curvas, es uno de los trazados más rápidos y exigentes del calendario. Se caracteriza por zonas de alta velocidad, como el complejo Maggots-Becketts-Chapel, y un clima inglés siempre cambiante que puede alterar cualquier previsión. A pesar de ser poco exigente con los frenos, el circuito premia el equilibrio aerodinámico y la valentía del piloto. Es un circuito de los que más gustan a los aficionados y suele dar unas excelentes carreras. En cuanto a las previsiones, todo apunta a una carrera emocionante, con incertidumbre meteorológica y muchos equipos en forma. Y eso nos encanta a estas alturas de la temporada. WRC: Tänak firma una obra maestra en un Acrópolis demoledor. Por otro lado, el Rally Acrópolis volvió a hacer honor a su fama de ser uno de los más duros del calendario. Este año no fue la excepción: los problemas mecánicos y los pinchazos (qué mala impresión de los Hankook), marcaron la pauta de una prueba, como siempre, muy exigente. Eso sí, el rally tuvo un rey incontestable, que fue Tanak, quien nos dejó la mejor de las impresiones, batiendo de largo a Ogier y dando, por fin, la primera victoria esta temporada para Hyundai. Esperemos que esto los aliente para no irse del Mundial. Lo que nos espera este fin de semana. Hablando de Fórmula 1, volvemos a un fin de semana con horario europeo y formato tradicional, donde tendremos entrenamientos libres el viernes a las 13:30h y a las 17:00h del viernes ya las 12:30h del sábado. La clasificación dará comienzo el sábado a las 16:00h y el domingo podremos disfrutar de la carrera a partir de las 16:00h. Si el fin de semana pasado fue brutal (las 36 últimas vueltas de la Nascar en Atlanta fueron de lo mejor que se ha visto en años), el horizonte del automovilismo se abre con otro fin de semana que no pinta nada mal con la F1 llegando a la meca de este deporte, Silverstone: tal y como están las cosas, carrerón a la vista en una pista mítica. Además, tenemos a la Indy en Mid-Ohio, un rutero: ¿qué más podemos pedir? Escucha el episodio completo en la app de iVoox, o descubre todo el catálogo de iVoox Originals

In this episode, we take the leap from the structured world of rheumatology fellowship into the dynamic, often unpredictable landscape of private practice. Dr. J. Thomas Berry shares his personal journey, offering an honest and insightful look at the transition. From the practical differences between academic and private settings to the business learning curve, patient care dynamics, and how he stays clinically sharp, this conversation is a must-listen for fellows preparing to enter independent practice 

A pesar de que el fin de semana pasado no tuvimos Fórmula, pudimos disfrutar, y mucho, del deporte del motor. Excelente carrera de la Indy en Road America, con una victoria hiper-trabajada de Palou. Y, si nos quedábamos con ganas de más, teníamos MotoGP, que también nos dio dos carreras (la sprint del sábado y la larga del domingo) que nos volvieron locos por su acción en pista. Pero en el Podcast Técnica Fórmula 1 toca hablar de coches, de los que vimos en Wisconsin y de los que veremos en Austria y en Grecia el próximo fin de semana. Qué podemos esperar en Austria. La Fórmula 1 regresa a Europa en Austria, en el Red Bull Ring, un trazado rápido, técnico y de corta duración, en el que la estrategia de neumáticos y la climatología serán factores determinantes. Se espera una carrera competitiva en un circuito que, pese a su sencillez aparente, exige precisión milimétrica. Y que nos encanta por sus cambios de elevación. Este año, por otra parte, volvemos al formato tradicional en Austria, que había visto sus últimas carreras disputarse con el formato sprint. Así, tendremos entrenamientos libres el viernes a las 13:30h y a las 17:00h; así como el sábado a las 12:30h. También el sábado podremos disfrutar de una siempre entretenida clasificación en Spielberg, a las 16:00h. El domingo, la carrera dará comienzo a las 15:00h. Road America: Palou vuelve a la victoria. El pasado fin de semana, en la Indycar, Álex Palou volvió a demostrar su clase imponiéndose en una carrera caótica y estratégica, sumando su sexta victoria en nueve pruebas y consolidándose como líder indiscutible del campeonato 2025. Road América es uno de nuestros circuitos favoritos, por la belleza del entorno, pero también por lo exigente. Palou partía segundo con neumáticos duros, y cayó al séptimo lugar en la primera vuelta, pero supo mantener la calma y avanzar con inteligencia. Aprovechó errores y accidentes de rivales como Kirkwood, Power, McLaughlin o Newgarden, para escalar posiciones y situarse en cabeza entre quienes seguían la estrategia convencional. La carrera vio un montón de ‘caution’, que hicieron que muchos pilotos tuvieran que cambiar la estrategia inicial escogida por sus equipos. Algunos, como Dixon o O’Ward, optaron por una estrategia alternativa que no acabó de funcionar. Otros, como Kirkwood o Lundgaard, intentaron alargar su permanencia en pista para evitar una cuarta parada. Palou, sin embargo, mantuvo su ritmo, ejecutó una estrategia impecable y supo adaptarse a las circunstancias con maestría. Bueno, en realidad, lo que lleva haciendo toda la temporada. El podio lo completaron Felix Rosenqvist, que logró su mejor resultado del año, y Santino Ferrucci, que remontó desde la 18ª posición, dedicó el podio a Marlyne Sexton, recientemente fallecida, y protagonizó una simpática escena con los aficionados, tras la carrera. Kirkwood y Armstrong cerraron el top 5. Dixon fue noveno tras liderar brevemente, mientras que el equipo Penske vivió una jornada desastrosa, con Power, McLaughlin y Newgarden lejos de los puestos de honor. O’Ward, por su parte, fue 17º y pierde terreno en la clasificación general. Con esta victoria, Palou lidera el campeonato con 93 puntos de ventaja sobre Kirkwood, seguido por Dixon y Rosenqvist. La próxima cita será en Mid-Ohio, dentro de dos semanas, donde Palou buscará acercarse aún más a un título que parece tener bien encaminado. WRC, en la nubes del Acrópolis. Llegamos este fin de semana, al Rally Acrópolis, una de las pruebas más duras (y más vistosas) del calendario WRC. Y vuelve con sus tramos polvorientos, técnicos y de alta exigencia mecánica. Las altas temperaturas y las pistas de tierra con grandes rocas suponen un desafío tanto para los pilotos como para las máquinas. La resistencia, saber cuidar - dentro de lo posible - del coche y la elección de neumáticos serán claves, en una prueba que pondrá a prueba tanto el temple de los favoritos como la fiabilidad de sus equipos. Así, con la Indy ofreciendo unos espectáculos soberbios, y con la F1 y el WRC listos para volver al ruedo, el verano automovilístico ya está aquí y promete no dar tregua. Escucha el episodio completo en la app de iVoox, o descubre todo el catálogo de iVoox Originals

Andrea Malagodi, CTO of Sonar, discusses how the company successfully transitioned from on-premise to SaaS, leveraging AWS partnership and maintaining focus on developer-centric code quality and security solutions.Topics Include:Andrea Malagodi is CTO of Sonar, guest on podcastSonar founded 16+ years ago by three software engineersFounders wanted to help developers understand code quality issuesFocus on giving developers precise, actionable insights for improvementProducts include SonarQube Server, Cloud, and IDE versionsRecent acquisitions: ACR, Tidelift, and Structure 101 companiesSaaS journey began seven years ago with SonarQube CloudInitially targeted individual developers, then expanded to enterprisesNow multi-region with comprehensive enterprise features availableSeven million developers rely on Sonar's solutions globally400,000 organizations and 28,000 enterprise customers use SonarStarted SaaS to test market demand, not assumptionsEngaged customers early to understand migration requirements neededRecommends alpha versions with design customers for feedbackFree tier for open-source code enables quick trialEnterprise certifications (ISO 27001, SOC 2) build trustAWS partnership includes enterprise support and technical resourcesUsed CDK for infrastructure-as-code, experienced early adoption challengesMulti-region strategy should be considered from the beginningAWS Learning partnership certified all engineers in cloudCloud enables faster development cycles than traditional infrastructureRecommends avoiding architectural one-way doors during transitionConsider data residency requirements for global customer baseAI-generated code creates productivity gains but needs validationSonar provides deterministic rules for AI-generated code reviewWorking on MCP protocol and AI code quality solutionsSecurity approach is "start left" not "shift left"Advanced Security offering includes dependency scanning and vulnerabilitiesAvailable on sonarsource.com and AWS MarketplaceFree tier offers 50,000 lines of code analysisParticipants:Andrea Malagodi – Chief Technical Officer, SonarFurther Links:Website: www.sonarsource.comSonar in the AWS MarketplaceSee how Amazon Web Services gives you the freedom to migrate, innovate, and scale your software company at https://aws.amazon.com/isv/

In this episode of ACR Journals on Air, host Dr. Vicki Shanmugam returns to the mic and dives into the CLASS Project—an ambitious international study on anti-synthetase syndrome recently published in Arthritis & Rheumatology. Joined by Drs. Sara Faghihi-Kashani, Akira Yoshida, and Giovanni Zanframundo, she explores the clinical characteristics, antibody profiles, and skin and lung manifestations of this complex autoimmune condition. The conversation covers everything from global collaboration challenges to nuanced antibody testing and rare clinical features like hikers' feet. With insightful perspectives from each guest, this episode sheds light on the evolving understanding of anti-synthetase syndrome and the future directions of the CLASS initiative. 

Después de una semana de descanso y de haber hecho un viaje express a Canadá, la Fórmula 1 vuelve a Europa y en el Podcast Técnica Fórmula 1 toca prepararse para uno de los Grandes Premio más vistosos de la temporada: el de Austria en el precioso Red Bull Ring. Pero no sólo de Fórmula 1 vive el aficionado, así que habrá que hablar de otra cita importante el próximo fin de semana - el Acrópolis en el WRC - y de la increíble carrera en Road America, el pasado fin de semana. El Red Bull Ring y sus características únicas. El Gran Premio de Austria se celebra en el Red Bull Ring, un trazado conocido por lo corto de su trazado, sus pendientes y sus frecuentes cambios meteorológicos, factores que prometen emociones y desafíos técnicos. Después de tres años con formato Sprint, en 2025 se regresa al formato tradicional: dos sesiones de libres el viernes, una el sábado, clasificación por la tarde y carrera el domingo. Desde el punto de vista técnico, el circuito se caracteriza por su asfalto abrasivo, el bajo número de curvas (10) y un diseño que alterna fuertes aceleraciones con frenadas intensas, generando gran estrés térmico en los neumáticos. Por ello, Pirelli ha optado por los compuestos C3, C4 y C5, los mismos que el año pasado. El control del sobrecalentamiento, especialmente en el eje trasero, será clave. Además, la meteorología puede cambiar rápidamente debido a su ubicación en las montañas de Estiria. Diseños y estrategias. En términos de estrategia, el año pasado dominó la estrategia a dos paradas, y los compuestos medios y duros fueron los más utilizados, con escasa aparición de los blandos salvo para buscar la vuelta rápida. En cuanto al diseño del circuito, se divide en tres sectores diferenciados: el primero es una preciosa y espectacular subida con dos rectas, el segundo inicia con una frenada fuerte y desciende hasta la curva 7, y el tercero combina subidas y bajadas con curvas rápidas, lo que unido a las tres zonas DRS asegura acción constante. Desde el punto de vista mecánico, los frenos sufren una exigencia media según Brembo, similar a la del circuito de Budapest. Aun así, el sistema de frenado está sometido a cargas elevadísimas: hasta 177 kg de presión sobre el pedal, 62 toneladas acumuladas en toda la carrera y deceleraciones de hasta 5,5 G, especialmente en la curva 1. Comparado con MotoGP (que también corre aquí con una chicane añadida), las diferencias de frenado son abismales, destacando la precisión y eficiencia de los monoplazas. Con la vuelta de la máxima competeción a Europa, esperamos un fin de semana muy intenso, donde la estrategia, la climatología y el control de las gomas serán factores decisivos. La pista, corta pero técnica, puede ofrecer sorpresas, y con una parrilla tan ajustada como la actual, las predicciones son inciertas. ¿Volverá Verstappen a imponerse en su “jardín de casa” o veremos a algún equipo plantar cara en uno de los escenarios más espectaculares del Campeonato? Escucha el episodio completo en la app de iVoox, o descubre todo el catálogo de iVoox Originals

In this episode, we examine Behcet's Disease—a rare, multisystem inflammatory disorder that continues to challenge traditional frameworks of autoimmunity and vasculitis. Dr. Johannes Nowatzky joins us to discuss the disease's hallmark features, including recurrent mucocutaneous ulcers and ocular involvement, as well as its geographic distribution and genetic associations. We explore the diagnostic difficulties posed by its heterogeneous presentation and symptom overlap with other conditions, and the rationale behind individualized, often multidisciplinary treatment strategies. This conversation offers valuable insights into a condition that remains as enigmatic as it is clinically significant. 

Donnie and Ducky preview the first streamed final table of the 2025 World Series of Poker, discuss the $25,000 Heads Up Championship, catch up with Jeremy Becker, and more. Enter the PokerGO Podcast Dream Seat Giveaway: bit.ly/gleampod25.Enter the PokerGO/PGT Dream Seat Competitions: http://pgt.com/dream-seatFollow Donnie on Twitter: @Donnie_PetersFollow Tim on Twitter: @Tim__DuckworthFollow PokerGO on Twitter: @PokerGO Subscribe to PokerGO today to receive 24/7 access to the world's largest poker content library, including the WSOP, High Stakes Poker, No Gamble, No Future, and more. Use the promo code PODCAST to receive $20 off your first year of a new annual subscription. Join today at PokerGO.com.Play free poker against real players anytime, anywhere on PlayPokerGO. Build your path to poker mastery for free with Octopi Poker.Become a supporter of this podcast: https://www.spreaker.com/podcast/pokergo-podcast--5877082/support.

Dr. Laura Plantinga joins us to discuss her recent work on the APPEAL study, which examines how lupus affects activities of daily living using patient-reported outcomes and validated measures such as IADLs, BADLs, SLAQ, and PROMIS. We explore her methodological approach, key findings, and implications for clinical practice—particularly how physicians can better support patients in managing functional limitations. Dr. Plantinga also shares insights on translating epidemiologic data into actionable strategies and maintaining scholarly productivity in academic medicine.