Podcasts about American University

The Alliance for Civics in the Academy hosted "How Can Universities Strengthen Civic Education in K–12 Schools?" with Jennifer McNabb, Joshua Dunn, and Jenna Storey on March 4, 2026, from 9:00-10:00 a.m. PT. Universities are increasingly reexamining their role as incubators of effective citizenship. An essential yet often overlooked part of this work is strengthening K–12 civic education. This webinar explores how efforts within higher education can support civic learning in K–12 schools, with particular emphasis on the academy's role in training the next generation of educators. ABOUT THE SPEAKERS Meira Levinson is a political theorist/philosopher of education who is working to start a global field of educational ethics that is philosophically rigorous, disciplinarily and experientially inclusive, and both relevant to and informed by educational policy and practice. In doing so, she draws upon scholarship from multiple disciplines as well as her eight years of experience teaching middle school humanities, civics, history, and English in the Atlanta and Boston Public Schools.  Meira has written or co-edited nine books, including Civic Contestation in Global Education and Educational Equity in a Global Context (both 2024, with Ellis Reid, Tatiana Geron, and Sara O'Brien), Instructional Moves for Powerful Teaching in Higher Education (2023, co-authored with Jeremy Murphy), Democratic Discord in Schools (2019, with Jacob Fay), winner of the 2020 AERA Moral Development and Education SIG Outstanding Book Award, and Dilemmas of Educational Ethics (2016, with Jacob Fay). Her book No Citizen Left Behind (2012) won awards in political science, philosophy, social studies, and education and has been translated into Chinese and Japanese. Meira shares educational ethics resources on JusticeinSchools.org, materials to support K-12 educators working in politically charged environments at Educational Values in Action, and resources for youth activists and teacher allies at YouthinFront.org. Each of these projects reflects Levinson's commitment to achieving productive cross-fertilization — without loss of rigor — among scholarship, policy, and practice. Meira earned a B.A. in philosophy from Yale and a D.Phil. in politics from Nuffield College, Oxford University. Her work has been supported by fellowships from Guggenheim, the Edmond & Lily Safra Center for Ethics at Harvard, Harvard Radcliffe Institute, and the National Academy of Education. Prior to joining the Stanford faculty, Meira taught at the Harvard Graduate School of Education. Jennifer McNabb is Professor and Head of the Department of History at the University of Northern Iowa, where she teaches courses on early modern European history and the history of England. She was Co-Chair of UNI's Civic Education Task Force, which created UNI's Center for Civic Education, and she was Co-PI for a National Endowment for the Humanities Connections Grant that developed UNI's first civic education curriculum: "Civic Literacy, Engagement and the Humanities." McNabb is also a Co-PI of a national grant that will establish the Iowa Civic Educators Institute, providing professional development opportunities for in-service and pre-service social studies and history teachers throughout the state. McNabb has received several awards for her teaching and has completed four courses for The Teaching Company's The Great Courses on the Renaissance, witchcraft, sex, and marriage. She currently serves as a Councilor in the Professional Division of the American Historical Association and as president of the Midwest Conference on British Studies. Joshua Dunn (PhD, University of Virginia) serves as Executive Director of the Institute of American Civics at the Howard H. Baker School of Public Policy and Public Affairs at the University of Tennessee, Knoxville. His research and teaching focus on constitutional law and history, education policy, federalism, and freedom of speech and religion. His books include Complex Justice: The Case of Missouri v. Jenkins (University of North Carolina Press), From Schoolhouse to Courthouse: The Judiciary's Role in American Education (Brookings Institution Press) and Passing on the Right: Conservative Professors in the Progressive University (Oxford University Press).  Moderator Jenna Silber Storey is the Ravenel Curry Chair in Civic Thought in the Social, Cultural, and Constitutional Studies Division of the American Enterprise Institute, and Co-Director of AEI's Center for the Future of the American University.  She is also an SNF Agora Fellow at Johns Hopkins University and a Research Fellow at the Civitas Institute at the University of Texas at Austin.  She previously taught political philosophy at Furman University, where she was an Assistant Professor in the Department of Politics and International Affairs, and Executive Director of Furman's Tocqueville Program.  Her writing has appeared in outlets such as The New York Times, The Washington Post, The Wall Street Journal, The Boston Globe, The Chronicle of Higher Education, Inside Higher Ed, First Things, and The National Endowment for the Humanities flagship journal, Humanities.  Dr. Storey is the co-author, with her husband Ben, of Why We Are Restless:  On the Modern Quest for Contentment (Princeton University Press, 2021).  They are currently working on a book titled The Art of Choosing: How Liberal Education Should Prepare You for Life.

In this week's episode of Politics in Question, Lee chats with Liz Suhay about the death and myth of the American Dream. Suhay is a professor of government in the School of Public Affairs at American University and the author of Debating the American Dream: How Explanations for Inequality Polarize Politics (Russell Sage Foundation, 2025). Is the lack of the American Dream the fault of the individual or of systemic factors? What role does partisanship play in individuals' beliefs about meritocracy? Why do we justify unfair systems? These are some of the questions Lee explores in this week's episode. Hosted by Simplecast, an AdsWizz company. See https://pcm.adswizz.com for information about our collection and use of personal data for advertising.

Our guest today is Elizabeth Suhay, the author of Debating the American Dream: How Explanations for Inequality Polarize Politics. Faith in the American Dream—the idea that anyone who works hard can achieve success—has waned in the 21st century. Decreases in economic mobility, increases in the wealth gap, and other economic shifts have undoubtedly influenced this decline. Dr. Suhay investigates how politics and political identity are intertwined with beliefs about the American Dream and the causes of inequality. Drawing on public opinion surveys spanning more than four decades, Suhay finds that Americans' belief in the American Dream is strongly related to their political party affiliation. While it is true that Americans have become more skeptical of the American Dream overall, Suhay finds this skepticism is concentrated among Democratic members of the public. Despite the increasingly working-class make-up of the Republican coalition, most Republican members of the public continue to believe the American Dream is reality. Elizabeth (Liz) Suhay is an associate professor of government in the School of Public Affairs, American University, Washington, D.C. She specializes in the study of U.S. public opinion and political psychology and is a Sine Civic Life Faculty Fellow and Vice Director of the Science & Policy certificate program. She has also co-edited three volumes including The Politics of Truth in Polarized America, with David Barker, The Oxford Handbook of Electoral Persuasion, with Bernard Grofman and Alex Trechsel, and "The Politics of Science" with James Druckman. She currently serves as Co-Editor-in-Chief of the journal Political Psychology and Editor of the Cambridge University Press Elements in Political Psychology series. This is episode is co-produced by Nora Kalaj, a student in the Master of Arts in Communication at Oakland University. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/new-books-network

Our guest today is Elizabeth Suhay, the author of Debating the American Dream: How Explanations for Inequality Polarize Politics. Faith in the American Dream—the idea that anyone who works hard can achieve success—has waned in the 21st century. Decreases in economic mobility, increases in the wealth gap, and other economic shifts have undoubtedly influenced this decline. Dr. Suhay investigates how politics and political identity are intertwined with beliefs about the American Dream and the causes of inequality. Drawing on public opinion surveys spanning more than four decades, Suhay finds that Americans' belief in the American Dream is strongly related to their political party affiliation. While it is true that Americans have become more skeptical of the American Dream overall, Suhay finds this skepticism is concentrated among Democratic members of the public. Despite the increasingly working-class make-up of the Republican coalition, most Republican members of the public continue to believe the American Dream is reality. Elizabeth (Liz) Suhay is an associate professor of government in the School of Public Affairs, American University, Washington, D.C. She specializes in the study of U.S. public opinion and political psychology and is a Sine Civic Life Faculty Fellow and Vice Director of the Science & Policy certificate program. She has also co-edited three volumes including The Politics of Truth in Polarized America, with David Barker, The Oxford Handbook of Electoral Persuasion, with Bernard Grofman and Alex Trechsel, and "The Politics of Science" with James Druckman. She currently serves as Co-Editor-in-Chief of the journal Political Psychology and Editor of the Cambridge University Press Elements in Political Psychology series. This is episode is co-produced by Nora Kalaj, a student in the Master of Arts in Communication at Oakland University. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/political-science

Our guest today is Elizabeth Suhay, the author of Debating the American Dream: How Explanations for Inequality Polarize Politics. Faith in the American Dream—the idea that anyone who works hard can achieve success—has waned in the 21st century. Decreases in economic mobility, increases in the wealth gap, and other economic shifts have undoubtedly influenced this decline. Dr. Suhay investigates how politics and political identity are intertwined with beliefs about the American Dream and the causes of inequality. Drawing on public opinion surveys spanning more than four decades, Suhay finds that Americans' belief in the American Dream is strongly related to their political party affiliation. While it is true that Americans have become more skeptical of the American Dream overall, Suhay finds this skepticism is concentrated among Democratic members of the public. Despite the increasingly working-class make-up of the Republican coalition, most Republican members of the public continue to believe the American Dream is reality. Elizabeth (Liz) Suhay is an associate professor of government in the School of Public Affairs, American University, Washington, D.C. She specializes in the study of U.S. public opinion and political psychology and is a Sine Civic Life Faculty Fellow and Vice Director of the Science & Policy certificate program. She has also co-edited three volumes including The Politics of Truth in Polarized America, with David Barker, The Oxford Handbook of Electoral Persuasion, with Bernard Grofman and Alex Trechsel, and "The Politics of Science" with James Druckman. She currently serves as Co-Editor-in-Chief of the journal Political Psychology and Editor of the Cambridge University Press Elements in Political Psychology series. This is episode is co-produced by Nora Kalaj, a student in the Master of Arts in Communication at Oakland University. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/american-studies

Our guest today is Elizabeth Suhay, the author of Debating the American Dream: How Explanations for Inequality Polarize Politics. Faith in the American Dream—the idea that anyone who works hard can achieve success—has waned in the 21st century. Decreases in economic mobility, increases in the wealth gap, and other economic shifts have undoubtedly influenced this decline. Dr. Suhay investigates how politics and political identity are intertwined with beliefs about the American Dream and the causes of inequality. Drawing on public opinion surveys spanning more than four decades, Suhay finds that Americans' belief in the American Dream is strongly related to their political party affiliation. While it is true that Americans have become more skeptical of the American Dream overall, Suhay finds this skepticism is concentrated among Democratic members of the public. Despite the increasingly working-class make-up of the Republican coalition, most Republican members of the public continue to believe the American Dream is reality. Elizabeth (Liz) Suhay is an associate professor of government in the School of Public Affairs, American University, Washington, D.C. She specializes in the study of U.S. public opinion and political psychology and is a Sine Civic Life Faculty Fellow and Vice Director of the Science & Policy certificate program. She has also co-edited three volumes including The Politics of Truth in Polarized America, with David Barker, The Oxford Handbook of Electoral Persuasion, with Bernard Grofman and Alex Trechsel, and "The Politics of Science" with James Druckman. She currently serves as Co-Editor-in-Chief of the journal Political Psychology and Editor of the Cambridge University Press Elements in Political Psychology series. This is episode is co-produced by Nora Kalaj, a student in the Master of Arts in Communication at Oakland University. Learn more about your ad choices. Visit megaphone.fm/adchoices

Our guest today is Elizabeth Suhay, the author of Debating the American Dream: How Explanations for Inequality Polarize Politics. Faith in the American Dream—the idea that anyone who works hard can achieve success—has waned in the 21st century. Decreases in economic mobility, increases in the wealth gap, and other economic shifts have undoubtedly influenced this decline. Dr. Suhay investigates how politics and political identity are intertwined with beliefs about the American Dream and the causes of inequality. Drawing on public opinion surveys spanning more than four decades, Suhay finds that Americans' belief in the American Dream is strongly related to their political party affiliation. While it is true that Americans have become more skeptical of the American Dream overall, Suhay finds this skepticism is concentrated among Democratic members of the public. Despite the increasingly working-class make-up of the Republican coalition, most Republican members of the public continue to believe the American Dream is reality. Elizabeth (Liz) Suhay is an associate professor of government in the School of Public Affairs, American University, Washington, D.C. She specializes in the study of U.S. public opinion and political psychology and is a Sine Civic Life Faculty Fellow and Vice Director of the Science & Policy certificate program. She has also co-edited three volumes including The Politics of Truth in Polarized America, with David Barker, The Oxford Handbook of Electoral Persuasion, with Bernard Grofman and Alex Trechsel, and "The Politics of Science" with James Druckman. She currently serves as Co-Editor-in-Chief of the journal Political Psychology and Editor of the Cambridge University Press Elements in Political Psychology series. This is episode is co-produced by Nora Kalaj, a student in the Master of Arts in Communication at Oakland University. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/book-of-the-day

This webinar examines how gender inequalities shape access to food, nutrition, and opportunities across global food systems, and how accountability initiatives are helping to close these gaps. Drawing on evidence from the Global Food 50/50 report and related research, this discussion explores how power, resources, and decision-making are distributed within food system organisations and institutions.​ Speakers will consider what gender-responsive leadership and organisational practices look like in practice, including approaches to advancing equity, inclusion, and accountability in governance and programming. The session will also reflect on emerging priorities for policymakers, funders, and practitioners seeking to transform food systems so that women and marginalised groups can participate on equal terms and benefit fully from sustainable and nutritious food economies Dr. Hazel Malapit is a senior research coordinator at the International Food Policy Research Institute (IFPRI) in Washington, DC. She leads research, training, and technical assistance on the Women's Empowerment in Agriculture Index (WEAI) family of metrics, including the Women's Empowerment Metric for National Statistical Systems (WEMNS). Her work focuses on gender, women's empowerment, agriculture, health, nutrition, and mixed-methods measurement. She has played a key role in developing successive WEAI iterations and supports national statistical offices, CGIAR centers, and development partners in applying empowerment metrics in impact assessments and policy processes. Before joining IFPRI, Hazel held the Herman Postdoctoral Fellowship in Gender and Economics at the University of Michigan and conducted research on gender, labor markets, and data quality at the World Bank. She holds a PhD in Economics from American University. Dr. Jemimah Njuki, a national of the Republic of Kenya, is the African Development Bank Group's Director for Gender, Women, and Civil Society. She is responsible for providing intellectual and strategic leadership for the Bank Group's agenda on gender equality, women's empowerment, and civil society engagement - working across technical, geographic, and institutional boundaries to support the delivery of inclusive development solutions. Dr. Njuki's portfolio includes overseeing the implementation of economic and sector work on gender, women and civil society, including Bank initiatives such as AFAWA, which is working with partners including financial institutions to unlock billions of dollars to reduce the access to financing gap facing Africa's women entrepreneurs. Sonja Tanaka is the director of programs and innovation and a founding member at Global 50/50. She works to advance gender justice, equity, and accountability in global health and beyond, with expertise in research, policy, and strategy development. She was previously with the United Nations agency leading the global AIDS response. 

After 9/11, the radical environmental movement was considered the number one domestic terror threat by the U.S. government. But by the end of the decade the movement had largely gone silent. What happened? And given the threat from climate, why haven't more radical tactics re-emerged?In our latest, we talk with Thomas Zeitzoff (zeitzoff.bsky.social) about his latest book "No Option But Sabotage", the radical environmental movement, state repression and resistance to the climate crisis. Bio//Professor Thomas Zeitzoff is in the School of Public Affairs at American University. His research focuses on political violence and political psychology. He's the author of “Nasty Politics,” and “No Option But Sabotage: The Radical Environmental Movement and the Climate Crisis.”-------------------------

Less than a week ago, there was a shootout with a speedboat and Cuban Border Guard. What do we know about what happened? We'll dive into it with William LeoGrande, Professor of Government at American University and author of The Hidden History of Negotiations between Washington and Havana

Israel's assault on Iran comes while it's still attacking Gaza and Lebanon, after bombing Syria, Yemen, and Qatar in the past year. What are the risks for Israel opening another battlefront, and from the collapse, or the survival, of the Islamic Republic? In this episode: Alon Pinkas, Former Ambassador and Consul General of Israel in New York Rami Khouri, Distinguished Fellow at the American University of Beirut Mitchell Barak, CEO of Kevoon Research Strategy and Communications Host: Rishaad Salamat Connect with us: @AJEPodcasts on X, Instagram, Facebook, and YouTube

“We keep telling you there's an eviction crisis, so organize with us. Feel free to come into our meetings. Feel free to learn about the lives of people who have been here for a long time.” — Manissa MaharawalYesterday we spoke with anthropologist Ida Susser about France's Yellow Vests—provincial truck drivers, nurses, and teachers who drove hours to Paris, furious about decades of disinvestment in their economy. So does America have its own Yellow Vests? You might find them in (of all places) the San Francisco Bay Area, the setting of a new book by a former student of Susser's about what happens when the same disruptive economic forces hit an American city.Anthropologist Manissa Maharawal's new book, Anti-Eviction: The Fight Against Tech-Led Gentrification in San Francisco, chronicles the grassroots movement that rose up against big tech during the boom of the 2010s. Like the French Yellow Vests, these were ordinary people from the San Francisco Bay Area—teachers, bartenders, nurses, copy editors—who refused to accept their displacement as inevitable. Like the Yellow Vests, they grew out of no political party or even ideology. The anti-eviction movement emerged from Occupy, just as the gilets jaunes emerged from the roundabouts outside Paris.Anti-tech activists in San Francisco's Mission District watched Google buses roll through their neighborhoods and decided to blockade them. But where the Yellow Vests defied the left-right spectrum, Maharawal's activists have a clear target: the neoliberal market logic that justifies gentrification as the result of “inevitable” market forces. She is sharply critical of the abundance argument advanced by Ezra Klein and Derek Thompson, arguing this supposedly free market has given the Bay Area a glut of luxury housing and almost no affordable units. The real crisis, she says, isn't too few homes—it's too little regulation on the homes we already have.Fifteen million sit vacant in the United States, Maharawal reminds us. Private equity firms are buying up a quarter of the housing on the market. Even Trump has woken up to this. In a moment of political pessimism on both sides of the Atlantic, both Susser and Maharawal offer evidence that ordinary people can both organize and, at least, shape the political conversation. Five Takeaways•       Tech Gentrification Is Modern Colonization: Activists in San Francisco's Mission District compared Google buses to conquistador transportation—rolling through their neighborhoods, stopping at their bus stops, letting in only young white tech workers while longtime residents stood by with their children. San Francisco had become a company town for the tech industry, with the city rolling out a red carpet—including massive tax breaks—while people in surrounding neighborhoods were evicted.•       The Market Will Never Solve This—And That's the Point: It's never going to be profitable enough to build the deeply affordable low-income housing we actually need. That's why all the housing built in the past fifteen years has been luxury housing. New York City has entire half-empty skyscrapers. San Francisco consistently meets its targets for luxury construction but fails on low-income housing. Market-based solutions alone are insufficient.•       Rent Control Stabilizes Lives, Not Just Rents: Maharawal grew up in a rent-stabilized apartment in New York City—it's the reason her family could stay. Rent stabilization gives people a chance to imagine a future somewhere. The real foil isn't small landlords; it's private equity firms making billions off rental housing. A statewide rent cap proposal in California didn't even make it out of committee in a Democrat-led state.•       The Housing Crisis Is About Regulation, Not Just Supply: Fifteen million homes sit vacant in the United States. Maharawal argues the crisis isn't simply a lack of housing—it's a lack of regulation on the housing we already have. The Abundance argument for deregulation misdiagnoses the problem. When you reframe it, solutions like rent control, community land trusts, and social housing become obvious.•       Anti-Eviction Activism Offers a Model for This Moment: The movement grew out of Occupy, as activists found themselves moving evicted friends out of the city every weekend. A small group of dedicated people built community, combated the deep alienation that eviction creates, and fought to keep each other in their homes. Some of them are still there. In a time of political hopelessness, these are concrete examples of things that worked. About the GuestManissa Maharawal is an assistant professor of anthropology at American University in Washington, D.C., and the author of Anti-Eviction: The Fight Against Tech-Led Gentrification in San Francisco. She is a co-founder of the Anti-Eviction Mapping Project and has previously written about the Occupy movement and housing justice in the San Francisco Bay Area.ReferencesPrevious Keen On episodes mentioned:•       Ida Susser on the Yellow Vests and the battle for democracy in France•       Patrick Markee on homelessness in the New Gilded Age•       Ezra Klein and Derek Thompson on Abundance and the housing crisisAbout Keen On AmericaNobody asks more awkward questions than the Anglo-American writer and filmmaker Andrew Keen. In Keen On America, Andrew brings his pointed Transatlantic wit to making sense of the United States—hosting daily interviews about the history and future of this now venerable Republic. With nearly 2,800 episodes since the show launched on TechCrunch in 2010, Keen On America is the most prolific intellectual interview show in the history of podcasting.WebsiteSubstackYouTubeApple PodcastsSpotify Chapters:(00:00) - Introduction: The housing crisis in the Bay Area (01:46) - Anti-Eviction and the colonization metaphor (04:16) - "It's just the market" — is that a credible argument? (06:12) - Things could be different: contesting gentrification (07:34) - Has San Francisco's government helped or hurt? (10:07) - Rent control: the policy nobody will pass (12:20) - The Abundance debate and the split on the left (15:08) - Misdiagnosing the housing crisis: regulation, not just supply (16:47) - Governo...

Today, we've got Joe Ohr and Marli Hall from NMFTA to discuss the launch of SCAC Verified and why identity verification is quickly becoming a non-negotiable standard in freight brokerage, trucking, and supply chain operations! As verification requirements tighten across the industry, this NMFTA-led initiative strengthens carrier legitimacy through biometric verification, helping brokers, shippers, and carriers combat rising cargo theft, chameleon carriers, and digital fraud risks. We also cover the upcoming Freight Fraud Prevention Hub launching on March 3rd, a collaborative resource packed with best practices, fraud trends, and actionable strategies designed to protect logistics providers across the transportation industry.  As regulatory pressure increases from the FMCSA and fraud continues to escalate, maintaining an active SCAC code and adopting verification tools early will separate legitimate carriers from bad actors, build trust faster during onboarding, and create a real competitive advantage in today's freight market, because moving freight safely now starts with proving who you are! Visit this link to learn more: https://freightfraudhub.com/   About Joe Ohr Joe Ohr has more than two decades of experience in technical operations, customer success management, customer support, and product support. Currently serving as the Chief Operating Officer for the National Motor Freight Traffic Association, Inc. (NMFTA)™, he plays a pivotal role in helping to advance the industry through digitization, classification, and cybersecurity. Prior to Ohr's role at NMFTA, he served as in numerous engineering and operations positions at Qualcomm and Eaton, and most recently held the position of Senior Vice President of Operations/Customer Experience at Omnitracs. Throughout his career, Ohr has provided strategic guidance, vision, and a roadmap for addressing long-term customer challenges. He has played a key role in accelerating revenue growth and has collaborated closely with IT, product, and engineering teams to foster stronger partnerships with strategic customers and peers. Additionally, Ohr has overseen post sales customer support and service teams, as well as operations, managing a workforce of over 400 individuals. He holds multiple certifications such as CCNA from Cisco and MCSE from Microsoft and earned his Bachelor of Science in Education from the Ohio State University. Due to his contributions to the industry, he earned a spot in the Inner Circle in 2015 and 2018 from Qualcomm and Omnitracs.   About Marli Hall Marli Hall is the Director of Communications and Marketing at the National Motor Freight Traffic Association (NMFTA), where she leads strategic communication efforts to enhance the organization's visibility and reputation within the freight transportation industry. In this role, Marli oversees media relations, manages key messaging, and develops public relations campaigns that promote NMFTA's initiatives, partnerships, and contributions to the sector. She started with NMFTA in August 2022, previously serving as the director of communications and member services, and earlier as a communications specialist. Prior to NMFTA, Marli was the senior director of outreach & engagement at the Truckload Carriers Association (TCA) for nearly a decade. She directed marketing and communications strategies to promote TCA's educational programs, image initiatives, and outreach efforts. She holds a bachelor's degree in news editorial from West Virginia University and graduated from the Public Affairs & Advocacy Institute at American University. Marli has served as an FMCSA Our Roads Our Safety Program Partner and was nominated to the Women of Trucking Advisory Board. Marli resides in Alexandria, VA, with her husband, Chris, and enjoys visiting her family's 300-acre cattle farm and attending concerts.  

في هذه الحلقة من Tea with Gen Z نستضيف عبدالرحمن توفيق، عازف عود وشاعر وطالب سنة أولى في الجامعة الأمريكية في الشارقة. نتحدّث عن تجربته مع Arabic Music Ensemble، حصوله على أعلى علامة في العالم في Pearson Edexcel International AS Arabic، ورؤيته للهوية الثقافية بين العود، الشعر، والجيل الجديد. حلقة عن الشغف، التميّز، وكيف يحافظ الإنسان على هويته بروح معاصرة — خاصة مع بداية الحياة الجامعية واقتراب رمضان.In this episode of Tea with Gen Z, we sit down with Abdulrahman Tawfiq — lute player, poet, and freshman at the American University of Sharjah. We talk about performing with the Arabic Music Ensemble, achieving the highest mark worldwide in Pearson Edexcel International AS Arabic, and navigating passion, culture, and identity as a Gen Z student. An episode about excellence, creativity, and staying true to who you are — especially during your first year of university and with Ramadan around the corner.

In a remote Egyptian village, a young doctor arrives to open a long-abandoned clinic. Recently released from prison for political dissent, he's been exiled from Cairo to this dusty outpost. As he immerses himself among the myriad ailments of the impoverished villagers, from scorpion stings and boils to the debilitating effects of bilharzia, he is drawn to a young nurse who becomes a trusted companion and provides an emotional refuge from his traumatic past. Farah represents everything the city doctor thinks he wants and offers a chance to rebuild his life. But are her ambitions really in line with his? And if this is love, is redemption certain to follow? In this absorbing novel The Country Doctor's Tale (Syracuse UP, 2026), Qandil weaves together forbidden love, political corruption, and the clash between tradition and desire. The doctor's world expands to include al-Jazya, the queen of a marginalized tribe who sees through his pretensions, and a menacing district chief of police reminding him that no one escapes the reach of authority. Qandil's novel evokes the beauties and cruelties of life in a small community on the edge of the Nile as our doctor's journey takes him through the muddy lanes of the village, the verdant fields of maize, and finally a grim quest in the haunting landscape of the White Desert—all the while struggling with an imperfect moral compass. A conversation with the translator R. Neil Hewison Award-winning Egyptian novelist Mohamed Mansi Qandil worked as a physician before becoming an author and literary critic. He is the author of several short-story collections and novels, including A Cloudy Day on the Western Shore. R. Neil Hewison served as editorial director of the American University in Cairo Press until his retirement in 2017. He has translated works by Egyptian writers Yusuf Idris, Yusuf Abu Rayya, Gamal al-Ghitani, and Naguib Mahfouz. He lives in the village of Tunis in the Fayoum. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/new-books-network

In a remote Egyptian village, a young doctor arrives to open a long-abandoned clinic. Recently released from prison for political dissent, he's been exiled from Cairo to this dusty outpost. As he immerses himself among the myriad ailments of the impoverished villagers, from scorpion stings and boils to the debilitating effects of bilharzia, he is drawn to a young nurse who becomes a trusted companion and provides an emotional refuge from his traumatic past. Farah represents everything the city doctor thinks he wants and offers a chance to rebuild his life. But are her ambitions really in line with his? And if this is love, is redemption certain to follow? In this absorbing novel The Country Doctor's Tale (Syracuse UP, 2026), Qandil weaves together forbidden love, political corruption, and the clash between tradition and desire. The doctor's world expands to include al-Jazya, the queen of a marginalized tribe who sees through his pretensions, and a menacing district chief of police reminding him that no one escapes the reach of authority. Qandil's novel evokes the beauties and cruelties of life in a small community on the edge of the Nile as our doctor's journey takes him through the muddy lanes of the village, the verdant fields of maize, and finally a grim quest in the haunting landscape of the White Desert—all the while struggling with an imperfect moral compass. A conversation with the translator R. Neil Hewison Award-winning Egyptian novelist Mohamed Mansi Qandil worked as a physician before becoming an author and literary critic. He is the author of several short-story collections and novels, including A Cloudy Day on the Western Shore. R. Neil Hewison served as editorial director of the American University in Cairo Press until his retirement in 2017. He has translated works by Egyptian writers Yusuf Idris, Yusuf Abu Rayya, Gamal al-Ghitani, and Naguib Mahfouz. He lives in the village of Tunis in the Fayoum. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/literature

Join Fintan and Jon for an insightful discussion with Professor Matt Bakowicz, program director of the sports management program at American University in Washington D.C. Matt shares his extensive industry experience in sports betting, casino management, and academia, alongside the evolving landscape of gaming regulations, integrity in sports, and the future of entertainment. Whether you're into sports management, gambling regulation, or the intersection of entertainment and responsibility, this episode offers valuable perspectives from a seasoned expert. The integrity segment is particularly excellent. Things we talk about, but in a list: Matt's background in casino operations, sports betting, and esports managementDesigning a sports management program focused on commercial and operational skillsThe importance of industry experience in academic teachingChallenges and strategies in maintaining integrity in sports bettingAdvances in detecting and addressing match-fixing and prop bet manipulationRegulatory landscape in U.S. sports betting and prediction marketsResponsible gambling, education, and the role of regulation versus personal responsibilityThe influence of media, marketing, and terminology on industry perceptionFuture of the Super Bowl halftime shows and the blending of music and entertainmentTips for beginners in golf: focusing on short game and mental disciplineThe impact of sports betting trends on baseball, golf, and college sportsThe importance of niche expertise and sustained passion in career successChoice quotes: "Welcome to the Gambling Files podcast.""Prediction markets need strict regulation.""Find your niche and lean into it."Chapters (but add 30 seconds or so because I added the music):00:00 - Welcome and episode overview: industry insights with Prof. Matt Bakowicz 02:10 - Matt's career transition from casino management to academia 04:12 - Building a practical, industry-connected sports management program 06:16 - Course tracks: operations, analytics, sports gaming, and marketing 09:12 - Inside the sports betting industry: operations, regulation, and integrity 11:25 - Industry and academic experience: the value of real-world insight 12:22 - Managing ethical challenges in casino and sports betting environments 16:53 - Managing client interactions and the gray areas in the gaming industry 18:02 - Prop bet manipulation: detection, regulation, and enforcement 20:18 - Vulnerabilities in college sports and the importance of education on integrity 23:48 - Strategies to prevent match-fixing and manipulation 26:23 - The regulatory evolution in U.S. sports betting and prediction markets 28:27 - The analogy with crypto markets: manipulation and regulation 30:02 - The "Safe Bet Act" and proposed regulation changes in the U.S. 32:19 - How betting on predictable events could be regulated in the future 35:23 - Responsible gambling, personal responsibility, and regulatory balance 37:54 - Impact of regulation on prediction markets and betting behavior 43:02 - The future of Super Bowl halftime shows: entertainment as spectacle 45:44 - Music, entertainment, and media predicting future trends 47:48 - Matt's experience in golf and tips for improving short game 50:08 - How industry experience influences golf betting strategies 52:02 - The importance of passion and niche expertise in career development 55:45 - The mindset of obsessive pursuit and chasing success in sports-related fields 56:55 - Industry terminology and marketing's influence on perception 60:43 - The ongoing challenge of responsible marketing and self-regulation 62:21 - Player protection tools: setting limits and emotional decision-making 64:07 - Regulation and personal responsibility: learning from road safety laws 66:18 - Closing remarks: the value of passion, expertise, and continuous learningStuff: Gaming Laboratories International - https://gaminglabs.comAmerican University - https://www.american.edu/Prediction Market Regulation - CFTC - https://www.cftc.govSafe Bet Act search: https://www.congress.gov/search?q=%7B"source"%3A"legislation","congress"%3A"all","search"%3A"safe+bet+act"%7DPrince's Purple Rain Performance - https://www.youtube.com/watch?v=xxxxxxSpringsteen's halftime show: https://www.youtube.com/watch?v=i4-0nbHFi4o&list=RDi4-0nbHFi4o&start_radio=1Matthew Bakowicz on LinkedIn: https://www.linkedin.com/in/matthew-bakowicz-b016a738a/As ever, we thank all of our sponsors for their vibrant and excellent support that makes all of this… magic… possible.Optimove, who turn customer data into something special, with tools that make businesses just plain work better. Optimove, your support helps us to keep creating content for an industry that probably thinks we disappeared years ago.Then of course there is Clarion Gaming, no hang on World Gaming, providers of the magnificent ICE expo and iGB Live! in London. There is simply nobody better at what they do.And the new members of the family, the excellent Gaming Laboratories International. GLI is a world-class Testing, Inspections and Certification company committed to delivering the highest quality land-based, lottery, and iGaming testing and assessment services, working in more than 710 jurisdictions.For more information, visit gaminglabs.com.The Gambling Files podcast delves into the business side of the betting world. Each week, join Jon Bruford...

Interview recorded - 19th of February, 2026On this episode of the WTFinance podcast I had the pleasure of welcoming on Barry Eichengreen. Barry is a renowned economist and Professor of Economics and Political Science at the University of California, Berkeley, where he has taught since 1987. He is also the author of many books, including the upcoming book “Money Beyond Borders: Global Currencies from Croesus to Crypto”During our conversation we spoke about his thoughts on the economy, the K-shaped economy, geopolitical shift, move away from the US dollar, what it means for the future and more. I hope you enjoy!0:00 - Introduction1:08 - Overview of the economy2:18 - K-shaped economy3:41 - Geopolitical shift6:13 - Europe becoming a world power?9:23 - US currency12:53 - China be trusted?14:58 - Precious metals movements17:09 - Next reserve currencies?19:58 - US Dollar devaluing21:47 - Bifurcating currency world23:56 - Influence for writing the book?25:58 - Any surprises?28:00 - One message to takeaway?Barry Eichengreen is George C. Pardee & Helen N. Pardee Chair and Distinguished Professor of Economics and Political Science at the University of California, Berkeley, where he has taught since 1987. He is a Research Associate of the National Bureau of Economic Research (Cambridge, Massachusetts) and Research Fellow of the Centre for Economic Policy Research (London, England). In 1997-98 he was Senior Policy Advisor at the International Monetary Fund. He is a fellow of the American Academy of Arts and Sciences (class of 1997). Professor Eichengreen is the convener of the Bellagio Group of academics and economic officials and chair of the Academic Advisory Committee of the Peterson Institute of International Economics. He has held Guggenheim and Fulbright Fellowships and has been a fellow of the Center for Advanced Study in the Behavioral Sciences (Palo Alto) and the Institute for Advanced Study (Berlin). He is a regular monthly columnist for Project Syndicate. His books include The Populist Temptation: Economic Grievance and Political Reaction in the Modern Era (2018), How Global Currencies Work: Past, Present, and Future, with Livia Chitu and Arnaud Mehl, (2017), The Korean Economy: From a Miraculous Past to a Sustainable Future (Harvard East Asian Monographs) with Wonhyuk Lim, Yung Chul Park and Dwight H. Perkins, (2015), Renminbi Internationalization: Achievements, Prospects, and Challenges, co-edited with Masahiro Kawai, (2015), Hall of Mirrors: The Great Depression, The Great Recession, and the Uses-and Misuses-of History, (2015). He was awarded the Economic History Association's Jonathan R.T. Hughes Prize for Excellence in Teaching in 2002 and the University of California at Berkeley Social Science Division's Distinguished Teaching Award in 2004. He is also the recipient of a doctor honoris causa from the American University in Paris.Barry Eichengreen - Website - https://eml.berkeley.edu/~eichengr/X - https://x.com/B_EichengreenBook - https://press.princeton.edu/books/hardcover/9780691280530/money-beyond-borders?_glWTFinance - Instagram - https://www.instagram.com/wtfinancee/Spotify - https://open.spotify.com/show/67rpmjG92PNBW0doLyPvfniTunes - https://podcasts.apple.com/us/podcast/wtfinance/id1554934665?uo=4Twitter - https://twitter.com/AnthonyFatseas

“Wicked Problems,” hosted by Richard Delevan, returns after a long hiatus and links escalating repression - newly including climate activists - with a high-stakes by-election in Greater Manchester. It opens with concerns about confrontational protest being met with violence and political repression, alongside Nigel Farage's Reform proposing a “UK deportation command,” expanding detention with “no chance of bail,” and “detention will mean deportation.” Devin cites New York Times reporting that the FBI has begun targeting climate activists, including people who have not protested in years, and frames this as part of a broader effort to quash dissent.Professor Dana R. Fisher of American University discusses what she describes as a “perfect storm” in the US: federal occupations of cities (highlighting Minneapolis), the murder of two American citizens while they were bearing witness to ICE actions, the president getting rid of the endangerment finding underlying US climate policy, and FBI investigations focusing on the "radical fringe" of the climate movement. Fisher argues these groups are “low hanging fruit” because their confrontational tactics (e.g., throwing paint, smearing food, blocking traffic, bird-dogging elected officials) are widely unpopular, making it easier for authorities to target them first as part of a broader slide toward autocracy that also threatens media freedoms. She says repression and violence against peaceful activists historically mobilize larger protests, even as it can lead to persecution, jail, and martyrdom. She also describes survey results from a Women's March–coordinated “Free America walkout” showing over 75% support for a movement becoming more confrontational and 65% willingness to personally engage in confrontational activism; she notes the participants were largely white, female, older, and highly educated.Prof. Fisher's Apocalyptic Optimist podcast.Britain has already jailed nonviolent climate protestors and restricted defenses in court, with ongoing debates about protest trials and labeling Palestine Action a terror group. The Gorton and Denton by-election seems to be between Reform, seeking to import Trump's climate and migration agenda, and the surging Green Party, treating climate, inequality, and migration as realities to face without losing humanity. The show notes a single constituency poll with Green candidate Hannah Spencer ahead of Reform's Matt Goodwin, with Labour (which has held the seat for a century) behind; as Labour is consumed by Epstein-linked arrests and scandal involving Peter Mandelson and former Prince Andrew.In an interview recorded late in 2025, Harriet Lamb, CEO of the Green Party of England and Wales, describes rapid growth following Zach Polanski's leadership, with membership doubling to over 150,000. Lamb connects her background in international development and environmental and social justice to party politics, argues the UK has shifted into a multi-party system creating both dangers and opportunities, and emphasizes a “people and planet” platform focused on the cost-of-living crisis, inequality, wealth taxes, and strong public support for climate action. She discusses candidate development through a “Greens to Parliament” program aimed at building a diverse slate for 2029, and says coalition politics must protect Green principles and public trust, citing German coalition negotiations and the Scottish Greens' Bute House agreement as examples.00:00 Confrontation and Repression01:35 Wicked Problems Returns04:11 FBI Targets Climate Activists07:42 Low Hanging Fruit and Autocracy19:18 UK By-Election and Green Surge29:32 Hope Surge and Outreach31:28 Broad Coalition and Core Values36:28 Vetting New Recruits38:39 Road to Parliament and Coalitions45:24 Milestones and Closing Reflections Hosted on Acast. See acast.com/privacy for more information.

This episode of The Africanist Podcast features a rich and thought‑provoking conversation with Dr. Mark Deets of the American University in Cairo, whose award‑winning monograph A Country of Defiance (Ohio University Press 2023) has reshaped scholarly understanding of the Casamance conflict in Senegal. In this episode, Dr. Deets walks listeners through the spatial and historical dynamics that have shaped the region's long‑running struggle, offering a perspective that moves beyond conventional political narratives. His approach highlights how geography, memory, and local identity intersect to produce a conflict that is both deeply rooted and continually evolving. The discussion brings clarity to a topic that is often misunderstood, making it accessible without sacrificing analytical depth. The book is both grounded and expansive, weaving together archival insights, fieldwork experiences, and theoretical reflections.    Music: Jammu Africa by Ismaila Lo; Jaàm by Julien Juga ft. Doudou Ndiaye Rose  

With one-fifth of Americans living in chronic pain - and countless others carrying pain that is temporary, emotional, or unseen - Darcy Steinke invites us to reconsider something most of us try to avoid. She shares why she believes pain shapes not only the body, but the soul. Darcy has taught at Columbia University, NYU, Princeton, and the American University of Paris, and is the author of nine books, including This Is the Door: The Body, Pain, and Faith.

I Can Imagine It for Us: A Palestinian Daughter's Memoir (American University in Cairo Press, 2025) is a young woman's search for connection with her estranged father, her family's past, and the Palestinian homeland she can never visit Mai Serhan lives in Cairo and has never been to Palestine, the country from which her family was expelled in 1948. She is twenty-four years old when one morning she receives a phone call from her estranged father. His health is failing and he might not have long to live, so he asks her to join him in China where he runs a business empire about which Mai knows nothing. Mai agrees to go in the hopes that they will become close, but this strange new country is as unknowable to her as her father. There, the ghosts of the Nakba come to haunt them both. With this grief comes violence, and a tragic death brings a whole new meaning to the word erasure. In a narrative made rich by its layers of fragmentation, as befitting the splintered and disordered existence of exile over generations, this courageous memoir spans Egypt, Lebanon, Dubai, China and, of course, Palestine. It is filled with bitter tragedy and loss and woven through with an understated humor and much grace. Mai Serhan is a Palestinian writer who grew up in Egypt. She is the author of CAIRO: the undelivered letters, winner of the 2022 Center for Book Arts Poetry Award, and I Have Never Been to the Place Where I am From, But I Will Imagine It For Us, a finalist for the 2022 Narratively Memoir Prize. She holds an MSt in creative writing from Oxford University, and has studied at NYU and AUC. She lives in Cairo. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/new-books-network

I Can Imagine It for Us: A Palestinian Daughter's Memoir (American University in Cairo Press, 2025) is a young woman's search for connection with her estranged father, her family's past, and the Palestinian homeland she can never visit Mai Serhan lives in Cairo and has never been to Palestine, the country from which her family was expelled in 1948. She is twenty-four years old when one morning she receives a phone call from her estranged father. His health is failing and he might not have long to live, so he asks her to join him in China where he runs a business empire about which Mai knows nothing. Mai agrees to go in the hopes that they will become close, but this strange new country is as unknowable to her as her father. There, the ghosts of the Nakba come to haunt them both. With this grief comes violence, and a tragic death brings a whole new meaning to the word erasure. In a narrative made rich by its layers of fragmentation, as befitting the splintered and disordered existence of exile over generations, this courageous memoir spans Egypt, Lebanon, Dubai, China and, of course, Palestine. It is filled with bitter tragedy and loss and woven through with an understated humor and much grace. Mai Serhan is a Palestinian writer who grew up in Egypt. She is the author of CAIRO: the undelivered letters, winner of the 2022 Center for Book Arts Poetry Award, and I Have Never Been to the Place Where I am From, But I Will Imagine It For Us, a finalist for the 2022 Narratively Memoir Prize. She holds an MSt in creative writing from Oxford University, and has studied at NYU and AUC. She lives in Cairo. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/middle-eastern-studies

I Can Imagine It for Us: A Palestinian Daughter's Memoir (American University in Cairo Press, 2025) is a young woman's search for connection with her estranged father, her family's past, and the Palestinian homeland she can never visit Mai Serhan lives in Cairo and has never been to Palestine, the country from which her family was expelled in 1948. She is twenty-four years old when one morning she receives a phone call from her estranged father. His health is failing and he might not have long to live, so he asks her to join him in China where he runs a business empire about which Mai knows nothing. Mai agrees to go in the hopes that they will become close, but this strange new country is as unknowable to her as her father. There, the ghosts of the Nakba come to haunt them both. With this grief comes violence, and a tragic death brings a whole new meaning to the word erasure. In a narrative made rich by its layers of fragmentation, as befitting the splintered and disordered existence of exile over generations, this courageous memoir spans Egypt, Lebanon, Dubai, China and, of course, Palestine. It is filled with bitter tragedy and loss and woven through with an understated humor and much grace. Mai Serhan is a Palestinian writer who grew up in Egypt. She is the author of CAIRO: the undelivered letters, winner of the 2022 Center for Book Arts Poetry Award, and I Have Never Been to the Place Where I am From, But I Will Imagine It For Us, a finalist for the 2022 Narratively Memoir Prize. She holds an MSt in creative writing from Oxford University, and has studied at NYU and AUC. She lives in Cairo. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/biography

Yasmine Nachabe Taan interviews American-Lebanese illustrator and designer Sarah Saroufim. They start the conversation by taking us through her educational journey first in graphic design at the American University of Beirut (AUB), and how this led to her interest in illustration; then to her postgraduate studies in product design at Parsons School of Design in New York.Sarah discusses candidly her interests, struggles and doubts. She shares the fact that she has been interested in art and passionate about drawing since high school, but not until the end of her college years did she finally feel better at it and found her own voice in illustration. She discusses her creative process and how she needs the time to experiment and plan extensively before starting her drawings. She also discusses the dot-pattern illustrations and Arabic lettering that she created for a book published by Snoubar Bayrout Bookshop, entitled Dammeh [hug], among other meaningful projects she enjoyed working on. She elaborates on her mainly black and white color palette, and her fascination with drawing patterns using her ballpoint pen that she always carried with her. Recently she started integrating grays, and other vivid colors in her design work. She mentions a course she took at AUB with Lebanese graphic artist and illustrator, Mazen Kerbaj, from which she learned the importance of drawing every day (though she fails to apply this), as well as the importance of drawing every detail from scratch no matter how often it may be repeated in a composition. In her work she takes the hard way in order to feel that the outcome is of any worth.Sarah discusses the economic reasons behind her switching from being a freelance illustrator to working in a design agency on full-time basis. Her studying product design was in the same vein: namely her need to learn something different and practical that she can earn money through. To compensate for her struggle with ideas and the discipline of drawing every day, she designed an app  called Drop for the iPad about daily drawing for her capstone project at Parsons. She shares her disillusionment with AI developments and the way the world is becoming less authentic. She reveals the very personal motivation behind her work and its importance for her wellbeing, and concludes by saying: "No matter how low or insecure you may be feeling, just draw, it's possible to improve and change." Sarah Saroufim is one the visual artists and graphic women featured in the book, Revealing Recording Reflecting: Graphic Women from Southwest Asia and North Africa (Amsterdam: Khatt Books, 2024). FOLLOW & RATE KHATT CHRONICLES:» Apple Podcasts: https://podcasts.apple.com/us/podcast/khatt-chronicles-stories-on-design-from-the-arab-world/id1472975206» Spotify: https://open.spotify.com/show/3ATH0MwO1tIlBvQfahSLrB» Anghami: https://play.anghami.com/podcast/1014374489THIS SERIES IS PART OF THE AFIKRA PODCAST NETWORK Explore all episodes in this series: https://www.youtube.com/playlist?list=PLfYG40bwRKl5mMJ782dhW6yvfq0E0_HhAABOUT AFIKRAafikra | عفكرة is a movement to convert passive interest in the Arab world to active intellectual curiosity. We aim to collectively reframe the dominant narrative of the region by exploring the histories and cultures of the region – past, present and future – through conversations driven by curiosity.

Episode 213: HIV PrEP Review H. Nicole Magaña, medical student, reviews the history of PrEP and outlines the currently FDA-approved medications used for HIV prevention. Dr. Arreaza provides additional perspective on long-acting injectable options, including how quickly they begin to protect patients after initiation.   Written by Nicole Magana, MSIV, American University of the Caribbean. Comments and edits by Hector Arreaza, MD. You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice. Pre-exposure prophylaxis for HIV. Previous episodes related to HIV:  -Episode 67, HIV history (September 2021) -Episode 68, HIV transmissibility (October 2021) -Episode 70 (October 2021), HIV prevention (including HIV Prep with oral medications) -Episode 98 (June 2022), we introduced Apretude, the first injectable for HIV PrEP. Apretude was approved in December 2021.  What is Pre-Exposure prophylaxis (PrEP)? Pre-exposure prophylaxis, or PrEP, is the use of antiretroviral medications taken by individuals who are HIV-negative to prevent HIV acquisition. There are 30,000 new HIV infections annually in the US.  How effective is it? When taken as prescribed, PrEP is highly effective at reducing the risk of HIV transmission through sexual exposure and injection drug use. Patients who are adherent to PrEP can lower their risk of contracting HIV by 99%. The effectiveness of oral PrEP is highly adherence dependent. In trials with 70% adherence, the relative risk of HIV acquisition was 0.27, compared to 0.51 with 40-70% adherence and no significant benefit with adherence ≤40%. How does PrEP work? PrEP works by maintaining therapeutic drug levels in the bloodstream and in target tissues. If HIV exposure occurs, viral replication is inhibited, preventing the establishment of infection. Brief History of PrEP. The concept of PrEP originated from early animal studies demonstrating that antiretroviral medications could prevent retroviral transmission when administered before exposure. In 2010, the iPrEx trial showed that daily oral tenofovir disoproxil fumarate (known as Truvada) with emtricitabine significantly reduced HIV acquisition among men who have sex with men and transgender women. This was the first large clinical trial to demonstrate the effectiveness of PrEP. In 2012, the FDA approved oral Truvada, which is TDF/FTC (tenofovir disoproxil and emtricitabine) for HIV prevention. Since then, additional studies have expanded indications and introduced new formulations, including long-acting injectable options. Who Should Be Offered PrEP? PrEP should be considered for any HIV-negative individual at increased risk of HIV acquisition, including Men who have sex with men, transgender individuals, heterosexual men and women with an HIV-positive partner, individuals with recent bacterial sexually transmitted infections, people who inject drugs, individuals engaging in condomless sex with partners of unknown HIV status. Remember that PrEP should be offered in a nonjudgmental, patient-centered manner, make it a safe space to talk openly about prevention of HIV.  Available HIV PrEP Options. Daily Oral PrEP: There are 2 formulations of Tenofovir. There is Tenofovir disoproxil fumarate (TDF)/ Truvada and Tenofovir alafenamide (TAF)/ Descovy. Each is available in a tablet combined with Emtricitabine a nucleoside reverse transcriptase inhibitor. Truvada: It is approved for all populations at risk through sexual exposure or injection drug use. Something to look out for before starting this medication is for pre-existing CKD. Do not give to patients who have an estimated glomerular filtration rate of less than 60 mL/min. (6) Descovy: This option is approved for men who have sex with men and transgender women but is not approved for individuals at risk through receptive vaginal sex. It has less impact on renal function and bone mineral density compared to Truvada. It can be used in moderately reduced kidney function (GFR between 30-60 mL/min). Truvada and Descovy are taken orally once a day.  After patients start taking these medications, when are they considered to be protected?  Nicole: With daily oral PrEP, guidelines differ with WHO and International Aids Society-USA stating it takes about 7 days, while CDC states 21 days to allow for adequate concentration in tissues (1). Adherence is critical for efficacy. Injectable HIV PrEP. In 2021, the FDA approved the first Injectable PrEP option Long-acting cabotegravir (CAB-LA)- known on the market as Apretude. Cabotegravir is an integrase strand transfer inhibitor administered as an intramuscular injection.Dosing consists of an initial injection, a second injection one month later, and then maintenance injections every two months (1). Another option is Lenacapavir (Yeztugo). The Yeztugo as a pre-exposure prophylaxis (PrEP) for HIV in Oct 2024. Yeztugo is the first and only FDA-approved HIV prevention treatment that requires just two injections per year, offering a long-acting option for people who weigh at least 35kg. It is given as 2 injections every 6 months. First dose is given with 2 tablets on Day 1 and Day 2, then every 6 months 2 injections on the same day. Clinical trials, including HPTN 083 and HPTN 084, demonstrated that injectable cabotegravir is superior to daily oral PrEP in preventing HIV infection. This advantage is largely due to improved adherence rather than differences in intrinsic drug potency. There have been no head-to-head comparisons between Yeztugo and Apretude, but they are both very effective. Apretude starts protecting 7 days after the first dose, and Yeztugo starts protecting 2 hours after Day 2 (if patient takes the oral loading dose) or 3-4 weeks if no oral load is taken. Injectable PrEP is particularly beneficial for patients who struggle with daily pill adherence, have trouble swallowing pills, prefer a discreet option, have difficulty storing their medication or have renal or bone disease that limits the use of tenofovir-based regimens like Truvada and Descovy (6). In one unpublished report by Medline, patients who received Apretude had an increase in bone mineral density compared to those who received Truvada (1). Tests prior to starting PrEP. Before initiating PrEP, patients must be confirmed to be HIV-negative. Baseline evaluation includes HIV testing with a fourth-generation antigen/antibody assay, HIV RNA testing if acute infection is suspected, renal function testing for oral PrEP, Hepatitis B screening, sexually transmitted infection screening, and pregnancy testing when appropriate. PrEP should not be started in individuals with known or suspected acute HIV infection. Monitoring for patients on HIV PrEP. Monitoring typically includes HIV testing every 2 to 3 months, STI screening every 3 to 6 months, renal function monitoring for those on oral PrEP (tenofovir- based), ongoing adherence and risk-reduction counseling. And for injectable PrEP, adherence to the injection schedule is essential, as delayed dosing may increase the risk of resistance if HIV infection occurs. HIV PrEP is not a prevention for other STIs. Screening for STIs and counseling about prevention is essential. Breakthrough HIV infections on PrEP are rare and most often associated with poor adherence or delayed diagnosis. Truvada is more studied in all populations and is considered safe during pregnancy and breastfeeding. There is less data regarding the injectable option in patients who are pregnant, may become pregnant, or whose primary risk factor is injection drug use (1). Injectable PrEP provides an important alternative for patients with chronic kidney disease and bone disease (1). Key Takeaway Pre-exposure prophylaxis is a safe, effective, and evidence-based strategy for HIV prevention. With both daily oral and long-acting injectable options available, PrEP can be individualized to meet patient needs. Normalizing PrEP discussions in clinical practice is essential to reducing new HIV infections and advancing public health goals.  Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week!  References: Antiretroviral Drugs for Treatment and Prevention of HIV in Adults: 2024 Recommendations of the International Antiviral Society–USA Panel. The Journal of the American Medical Association. 2025. Gandhi RT, Landovitz RJ, Sax PE, et al. Long-Acting Lenacapavir Acts as an Effective Preexposure Prophylaxis in a Rectal SHIV Challenge Macaque Model. The Journal of Clinical Investigation. 2023. Bekerman E, Yant SR, VanderVeen L, et al. Pharmacokinetics and Safety of Once-Yearly Lenacapavir: A Phase 1, Open-Label Study. Lancet. 2025. Jogiraju V, Pawar P, Yager J, et al.

US President Donald Trump's Board of Peace meets for the first time, pledging money, peacekeeping troops and investment for Gaza. Only one Palestinian was present, while major European nations stayed away. So, what did the gathering mean for the people of Gaza? In this episode: Rami Khouri, Distinguished Fellow at the American University of Beirut Gideon Levy, Columnist at the Haaretz Newspaper Hugh Lovatt, Senior Policy Fellow at the European Council on Foreign Relations Host: James Bays Connect with us:@AJEPodcasts on X, Instagram, Facebook, and YouTube

An authoritative history of the radical environmental movement in the United States, No Option But Sabotage explores how far activists are willing to go to defend the planet in the face of repression and the escalating climate crisis. After 9/11, the radical environmental movement was considered the number one domestic terror threat by the U.S. government. But by the end of the decade the movement had largely gone silent. What happened? And given the threat from climate, why haven't more radical tactics re-emerged? In No Option But Sabotage: The Radical Environmental Movement and the Climate Crisis (Oxford University Press, 2026), Thomas Zeitzoff traces the origins, rise, fall, and potential rise again of the movement. Using in-depth interviews with past and current activists, as well as experts, Zeitzoff covers the main factions and actors. These include: Earth First! and its early advocacy for "monkeywrenching;" the "Unabomber" Ted Kaczynski and his years-long anti-technology bombing campaign; the connections between animal liberation, punk, and the emergence of the Earth Liberation Front and its arson campaign; and more recent climate activists and their use of disruptive tactics. Along with providing a comprehensive overview of the movement and its various sub-movements that emerged over time, Zeitzoff also asks the bigger question-given the scope and threat from climate change why haven't activists escalated their tactics? Property destruction, sabotage, and even arson were once regular features of the movement in the 1990s and early 2000s--will activists use them again, or will they stick to non-violence? Will the threat of increasing state repression scare activists, or radicalize them? Not just a history of a major extremist movement, this book tells the story of radical environmentalism and highlights how activists are confronting the dual threats of climate change and repression, and asking themselves how far they are willing to go to protect the planet. Thomas Zeitzoff is a professor in the School of Public Affairs at American University. His research focuses on political violence, social media, and political psychology. Caleb Zakarin is CEO and Publisher of the New Books Network. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/new-books-network

An authoritative history of the radical environmental movement in the United States, No Option But Sabotage explores how far activists are willing to go to defend the planet in the face of repression and the escalating climate crisis. After 9/11, the radical environmental movement was considered the number one domestic terror threat by the U.S. government. But by the end of the decade the movement had largely gone silent. What happened? And given the threat from climate, why haven't more radical tactics re-emerged? In No Option But Sabotage: The Radical Environmental Movement and the Climate Crisis (Oxford University Press, 2026), Thomas Zeitzoff traces the origins, rise, fall, and potential rise again of the movement. Using in-depth interviews with past and current activists, as well as experts, Zeitzoff covers the main factions and actors. These include: Earth First! and its early advocacy for "monkeywrenching;" the "Unabomber" Ted Kaczynski and his years-long anti-technology bombing campaign; the connections between animal liberation, punk, and the emergence of the Earth Liberation Front and its arson campaign; and more recent climate activists and their use of disruptive tactics. Along with providing a comprehensive overview of the movement and its various sub-movements that emerged over time, Zeitzoff also asks the bigger question-given the scope and threat from climate change why haven't activists escalated their tactics? Property destruction, sabotage, and even arson were once regular features of the movement in the 1990s and early 2000s--will activists use them again, or will they stick to non-violence? Will the threat of increasing state repression scare activists, or radicalize them? Not just a history of a major extremist movement, this book tells the story of radical environmentalism and highlights how activists are confronting the dual threats of climate change and repression, and asking themselves how far they are willing to go to protect the planet. Thomas Zeitzoff is a professor in the School of Public Affairs at American University. His research focuses on political violence, social media, and political psychology. Caleb Zakarin is CEO and Publisher of the New Books Network. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/political-science

An authoritative history of the radical environmental movement in the United States, No Option But Sabotage explores how far activists are willing to go to defend the planet in the face of repression and the escalating climate crisis. After 9/11, the radical environmental movement was considered the number one domestic terror threat by the U.S. government. But by the end of the decade the movement had largely gone silent. What happened? And given the threat from climate, why haven't more radical tactics re-emerged? In No Option But Sabotage: The Radical Environmental Movement and the Climate Crisis (Oxford University Press, 2026), Thomas Zeitzoff traces the origins, rise, fall, and potential rise again of the movement. Using in-depth interviews with past and current activists, as well as experts, Zeitzoff covers the main factions and actors. These include: Earth First! and its early advocacy for "monkeywrenching;" the "Unabomber" Ted Kaczynski and his years-long anti-technology bombing campaign; the connections between animal liberation, punk, and the emergence of the Earth Liberation Front and its arson campaign; and more recent climate activists and their use of disruptive tactics. Along with providing a comprehensive overview of the movement and its various sub-movements that emerged over time, Zeitzoff also asks the bigger question-given the scope and threat from climate change why haven't activists escalated their tactics? Property destruction, sabotage, and even arson were once regular features of the movement in the 1990s and early 2000s--will activists use them again, or will they stick to non-violence? Will the threat of increasing state repression scare activists, or radicalize them? Not just a history of a major extremist movement, this book tells the story of radical environmentalism and highlights how activists are confronting the dual threats of climate change and repression, and asking themselves how far they are willing to go to protect the planet. Thomas Zeitzoff is a professor in the School of Public Affairs at American University. His research focuses on political violence, social media, and political psychology. Caleb Zakarin is CEO and Publisher of the New Books Network. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/environmental-studies

An authoritative history of the radical environmental movement in the United States, No Option But Sabotage explores how far activists are willing to go to defend the planet in the face of repression and the escalating climate crisis. After 9/11, the radical environmental movement was considered the number one domestic terror threat by the U.S. government. But by the end of the decade the movement had largely gone silent. What happened? And given the threat from climate, why haven't more radical tactics re-emerged? In No Option But Sabotage: The Radical Environmental Movement and the Climate Crisis (Oxford University Press, 2026), Thomas Zeitzoff traces the origins, rise, fall, and potential rise again of the movement. Using in-depth interviews with past and current activists, as well as experts, Zeitzoff covers the main factions and actors. These include: Earth First! and its early advocacy for "monkeywrenching;" the "Unabomber" Ted Kaczynski and his years-long anti-technology bombing campaign; the connections between animal liberation, punk, and the emergence of the Earth Liberation Front and its arson campaign; and more recent climate activists and their use of disruptive tactics. Along with providing a comprehensive overview of the movement and its various sub-movements that emerged over time, Zeitzoff also asks the bigger question-given the scope and threat from climate change why haven't activists escalated their tactics? Property destruction, sabotage, and even arson were once regular features of the movement in the 1990s and early 2000s--will activists use them again, or will they stick to non-violence? Will the threat of increasing state repression scare activists, or radicalize them? Not just a history of a major extremist movement, this book tells the story of radical environmentalism and highlights how activists are confronting the dual threats of climate change and repression, and asking themselves how far they are willing to go to protect the planet. Thomas Zeitzoff is a professor in the School of Public Affairs at American University. His research focuses on political violence, social media, and political psychology. Caleb Zakarin is CEO and Publisher of the New Books Network. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/politics-and-polemics

An authoritative history of the radical environmental movement in the United States, No Option But Sabotage explores how far activists are willing to go to defend the planet in the face of repression and the escalating climate crisis. After 9/11, the radical environmental movement was considered the number one domestic terror threat by the U.S. government. But by the end of the decade the movement had largely gone silent. What happened? And given the threat from climate, why haven't more radical tactics re-emerged? In No Option But Sabotage: The Radical Environmental Movement and the Climate Crisis (Oxford University Press, 2026), Thomas Zeitzoff traces the origins, rise, fall, and potential rise again of the movement. Using in-depth interviews with past and current activists, as well as experts, Zeitzoff covers the main factions and actors. These include: Earth First! and its early advocacy for "monkeywrenching;" the "Unabomber" Ted Kaczynski and his years-long anti-technology bombing campaign; the connections between animal liberation, punk, and the emergence of the Earth Liberation Front and its arson campaign; and more recent climate activists and their use of disruptive tactics. Along with providing a comprehensive overview of the movement and its various sub-movements that emerged over time, Zeitzoff also asks the bigger question-given the scope and threat from climate change why haven't activists escalated their tactics? Property destruction, sabotage, and even arson were once regular features of the movement in the 1990s and early 2000s--will activists use them again, or will they stick to non-violence? Will the threat of increasing state repression scare activists, or radicalize them? Not just a history of a major extremist movement, this book tells the story of radical environmentalism and highlights how activists are confronting the dual threats of climate change and repression, and asking themselves how far they are willing to go to protect the planet. Thomas Zeitzoff is a professor in the School of Public Affairs at American University. His research focuses on political violence, social media, and political psychology. Caleb Zakarin is CEO and Publisher of the New Books Network. Learn more about your ad choices. Visit megaphone.fm/adchoices

An authoritative history of the radical environmental movement in the United States, No Option But Sabotage explores how far activists are willing to go to defend the planet in the face of repression and the escalating climate crisis. After 9/11, the radical environmental movement was considered the number one domestic terror threat by the U.S. government. But by the end of the decade the movement had largely gone silent. What happened? And given the threat from climate, why haven't more radical tactics re-emerged? In No Option But Sabotage: The Radical Environmental Movement and the Climate Crisis (Oxford University Press, 2026), Thomas Zeitzoff traces the origins, rise, fall, and potential rise again of the movement. Using in-depth interviews with past and current activists, as well as experts, Zeitzoff covers the main factions and actors. These include: Earth First! and its early advocacy for "monkeywrenching;" the "Unabomber" Ted Kaczynski and his years-long anti-technology bombing campaign; the connections between animal liberation, punk, and the emergence of the Earth Liberation Front and its arson campaign; and more recent climate activists and their use of disruptive tactics. Along with providing a comprehensive overview of the movement and its various sub-movements that emerged over time, Zeitzoff also asks the bigger question-given the scope and threat from climate change why haven't activists escalated their tactics? Property destruction, sabotage, and even arson were once regular features of the movement in the 1990s and early 2000s--will activists use them again, or will they stick to non-violence? Will the threat of increasing state repression scare activists, or radicalize them? Not just a history of a major extremist movement, this book tells the story of radical environmentalism and highlights how activists are confronting the dual threats of climate change and repression, and asking themselves how far they are willing to go to protect the planet. Thomas Zeitzoff is a professor in the School of Public Affairs at American University. His research focuses on political violence, social media, and political psychology. Caleb Zakarin is CEO and Publisher of the New Books Network. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/book-of-the-day

"AI is going to be as profound as fire or electricity. Even if that's one-millionth true, we have to take it seriously." In this episode of Inside the GMAT, GMAC Zach sits down with David Marchick, Dean of the Kogod School of Business at American University, to explore how business education is being reshaped by AI, career pivots, and the skills that truly matter over a lifetime. Marchick reflects on his unconventional career path and how those experiences shape his student-first approach to leadership. He explains why "psychic income," not just financial return, drives his work in higher education, and why helping students experiment, fail, and grow outside the classroom is just as important as mastering core business fundamentals. A major focus of the conversation is Kogod's rapid and award-winning integration of artificial intelligence into every aspect of the business school—from curriculum and faculty research to operations and student learning. Marchick shares how Kogod moved quickly to embed AI literacy across disciplines, partnered with tools like Perplexity, and created a culture where experimentation with emerging technology is encouraged rather than feared. The discussion also tackles broader questions facing prospective students: how AI is changing leadership, why business degrees still matter in a non-linear career world, and how graduate education can empower creatives, career switchers, and non-traditional students to reinvent themselves. Marchick closes with advice for ambitious young professionals weighing business school, urging them to find the overlap between what they love, what they're good at, and where they're willing to keep learning—and relearning—over time. About David Marchick: David Marchick serves as Dean of the Kogod School of Business at American University. In this role, he leads the school's work to support more than 2,000 students and offer more than two dozen undergraduate and graduate degree and certification programs. He previously was an Adjunct Professor at the Tuck School of Business at Dartmouth University.  Since Marchick took on the role of Dean in August 2022, the Kogod School of Business has unveiled major initiatives in sustainability, AI and entrepreneurship; raised more than the previous 10 years combined; attracted its largest-ever first-year undergraduate class; and almost doubled the number of endowed chairs for the school. Under Marchick's leadership, Kogod faculty and staff developed and implemented what Poets & Quants called "the most consequential AI transformation in business education." Helpful links: The Kogod School of Business: https://kogod.american.edu/ AU's Institute for Applied Artificial Intelligence: https://kogod.american.edu/iaai Register for the GMAT: https://www.mba.com/exams/executive-assessment/register Chapters: 00:00 Introduction and Personal Reflections 02:29 The Evolution of Business Education 05:35 AI's Impact on Business Schools 08:30 The Importance of Communication Skills 11:35 The Changing Landscape of Graduate Education 14:10 Integrating AI into the Curriculum 17:20 Real-World Applications of AI in Education 20:22 Preparing for the Future of Work 23:15 Advice for Aspiring Business Students 26:11 Future Initiatives at Kogod School of Business

Your calls about the ongoing fuel shortage crisis in Cuba and we hear from Mark Entwistle, a former Canadian ambassador to Cuba and we hear from Cuban economist Ricardo Torres at American University in Washington, D.C.

If you could order a presidential administration to do one specific thing to improve the lives of working people — what would it be? At Democracy Journal's recent conference in Washington, DC, Nick and Goldy heard some of the country's leading economic thinkers take their best shot at that magic-wand question: one idea, three minutes, no BS.  The result is a rapid-fire lineup of bold proposals — from fixing Social Security and raising wages to reclaiming time, strengthening unions, and rethinking what “affordability” really means. This week, we're sharing some of our favorites with you. This episode is a quick policy lightning round packed with big ideas, sharp arguments, and plenty to discuss. Elizabeth Garlow is a Senior Fellow at New America focused on economic policy and the future of work, with research centered on time, caregiving, and policies that improve everyday economic security. Jim Kessler is the Executive Vice President for Policy at Third Way, where he works on economic reforms aimed at expanding wealth-building opportunities and retirement security for working families. Thea Lee is a visiting fellow at American University and a longtime labor economist specializing in worker rights, trade policy, and labor standards in global supply chains. Heidi Shierholtz is president of the Economic Policy Institute, where she focuses on wage growth, labor markets, and policies that strengthen workers' bargaining power and reduce inequality. Website: http://pitchforkeconomics.com Facebook: Pitchfork Economics Podcast Bluesky: @pitchforkeconomics.bsky.social Instagram: @pitchforkeconomics Threads: pitchforkeconomics TikTok: @pitchfork_econ YouTube: @pitchforkeconomics LinkedIn: Pitchfork Economics Twitter: @PitchforkEcon, @NickHanauer Substack: ⁠The Pitch⁠

Andrew Martinez is a former Treasure economist and currently is an assistant professor of economics at American University. In Andrew's first appearance on the show, he discusses his career as a forecaster, the current state of forecasting, the intersection of AI and forecasting, the role of the SEP and monetary policy surprises, his work with David on the NGDP Gap measure, and much more.     Check out the transcript for this week's episode, now with links. Recorded on January 13th, 2025 Subscribe to David's Substack: Macroeconomic Policy Nexus Follow David Beckworth on X: @DavidBeckworth Follow the show on X: @Macro_Musings Check out our Macro Musings merch! Subscribe to David's new BTS YouTube Channel  Timestamps 00:00:00 - Intro 00:01:20 - Andrew's Career 00:08:36 - State of Forecasting 00:20:19 - AI and Forecasting 00:29:34 - The SEP and Monetary Policy Surprises 00:41:07 - Nominal GDP/Expectations Gap 00:54:56 - Outro

The Space Show Presents Steve Wolfe, Tyler Bender, & The Beyond Earth Institute, Tuesday, Feb. 10, 2026Quick Summary:This Space Show program focused on promoting the upcoming Beyond Earth Symposium, scheduled for February 24-25 in Washington, D.C., which will explore creating a clear pathway to a space town and discuss Artemis program developments. The discussion covered NASA's authorization bill, commercial space station development, and the need for infrastructure to support a sustainable lunar presence. Key speakers included Steve Wolfe and Tyler Bender from Beyond Earth, who explained their organization's focus on policy and strategic thinking for human expansion into space. The conversation also touched on Jared Isaacman's leadership at NASA, the potential impact of China's space program, and the importance of developing cislunar space infrastructure. The symposium will feature approximately 50 speakers and include meals in the registration package, with a 30% discount available for attendees using the promo code BES30.Detailed Summary:Our program focused on the upcoming Beyond Earth Symposium, which will take place in Washington, D.C., at the Law School for American University from February 24th to 25th. Tyler Bender, the space policy industry analyst for Beyond Earth, introduced the symposium's theme of creating a clear pathway to a space town, discussing the evolution from space habitats to more permanent lunar settlements. Steve Wolfe, president and Co-founder of Beyond Earth, elaborated on the symposium's speakers, including George Whitesides, and highlighted the importance of the NASA authorization bill amendment supporting human expansion into space. The discussion also touched on the challenges of organizing a diverse group of speakers from different regions and the need for policy discussions on advancing a human space migration agenda.The symposium will feature discussions on lunar exploration, focusing on sustainable lunar presence rather than the race to be the first to return to the moon. Steve mentioned that the event will include audience Q&A sessions and panels led by experts who will explore lunar development plans and compare different lander systems. Tyler confirmed that meals are included in the symposium package. Space Show Wisdom Team participant Dallas emphasized the importance of the SpaceX Starship for establishing a lunar community due to its larger capacity compared to the Blue Origin HLS. David raised a question about the development of cislunar space, which Tyler and Steve noted would be addressed in the first panel.The Beyond Earth Institute, a non-profit think tank, aims to provide thoughtful policy and strategic guidance for human space exploration, focusing on creating permanent communities on the Moon, Mars, and beyond. Steve explained that while the Institute is policy-focused, it also considers technology and economic aspects, such as funding mechanisms and commercial development, to support space migration. He mentioned that the Institute has developed papers on financing options and has been advocating for a large-scale public-private partnership lunar research and development facility capable of housing up to 50 people.Wisdom Team member Ajay shared insights from his recent op-ed in the Space Review about lunar cargo transportation, highlighting the need for infrastructure development by 2028 and the limitations of current launch systems like Falcon Heavy and Starship. The group discussed the importance of focusing on infrastructure elements such as power, communications, navigation, and prospecting for building a lunar community, with Steve noting the recent commitment to a lunar space station. David inquired about trending shifts in congressional attitudes towards space policy, prompting Steve to reflect on the potential for policy to align with rhetoric and the support of constituents.The group discussed the increasing congressional interest in returning to the moon, driven by concerns about China's potential to surpass the US in lunar presence. They noted a shift towards commercial space activities, with companies like SpaceX and Blue Origin making vocal commitments to lunar missions. Dallas shared insights from an upcoming AIAA paper series on lunar sustainability, highlighting the importance of ISRU (In Situ Resource Utilization) and the need for practical applications rather than experimental tech demos. The conversation also touched on the process of selecting speakers for conferences, with Steve explaining their leadership council and working groups approach.Space Show program participants discussed funding challenges for mining robots, with Dallas explaining that their development was funded by mining companies but now they need to generate revenue through product sales. Steve clarified that the Beyond Earth Symposium is primarily a forum for discussion and networking rather than a workshop with specific outputs, though they have provided advice to the White House in the past. Ajay shared that he had received a call from Senator Rick Scott's office regarding his recent op-ed, and will meet with a staffer to discuss space policy and the Artemis program. The discussion concluded with an assessment of Jarod Isaacman's NASA leadership, with Tyler noting that while he started late, he shows genuine commitment to the Beyond Earth mission and NASA.The group also discussed NASA Administrator Bill Nelson's leadership and initiatives, including his efforts to bring more civil servants back into NASA and reduce reliance on contractors. They also discussed the recent elimination of the National Space Council by President Trump, with Michael Kratsios serving as the current space policy point man as he is the Trump administration Science Advisor. The conversation concluded with an announcement about the upcoming Beyond Earth Symposium in two weeks.Special thanks to our sponsors:American Institute of Aeronautics and Astronautics, Helix Space in Luxembourg, Celestis Memorial Spaceflights, Astrox Corporation, Dr. Haym Benaroya of Rutgers University, The Space Settlement Progress Blog by John Jossy, The Atlantis Project, and Artless EntertainmentOur Toll Free Line for Live Broadcasts: 1-866-687-7223 (Not in service at this time)For real time program participation, email Dr. Space at: drspace@thespaceshow.com for instructions and access.The Space Show is a non-profit 501C3 through its parent, One Giant Leap Foundation, Inc. To donate via Pay Pal, use:To donate with Zelle, use the email address: david@onegiantleapfoundation.org.If you prefer donating with a check, please make the check payable to One Giant Leap Foundation and mail to:One Giant Leap Foundation, 11035 Lavender Hill Drive Ste. 160-306 Las Vegas, NV 89135Upcoming Programs:Broadcast 4504 Zoom: Frank Pietronigro | Friday 13 Feb 2026 930AM PTGuests: Frank PietronigroZoom: Frank discusses the Zero Gravity Arts Commission and moreBroadcast 4506 Zoom Open Lines | Sunday 15 Feb 2026 1200PM PTGuests: Dr. David LivingstonOpen Lines discussion. All topics welcome Get full access to The Space Show-One Giant Leap Foundation at doctorspace.substack.com/subscribe

Episode 212: Managing HFpEFHyo Mun and Jordan Redden (medical students) explain how to manage HFpEF with medications and touch some basics about nonpharmacologic treatments. Dr. Arreaza asks insightful questions to guide the discussion. Written by Hyo Mun, MSIV, American University of the Caribbean; and Jordan Redden, MSIV, Ross University School of Medicine. Comments by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Treatment of HFpEFArreaza: Mike, if you had to name the one therapy everyone with HFpEF should be on, what is it?Mike: That's easy! SGLT-2 inhibitors. This is the one slam-dunk we have in HFpEF. Empagliflozin (Jardiance) or dapagliflozin (Farxiga) should be started in essentially every patient with HFpEF, and it doesn't matter if they have diabetes or not.Jordan: And that's worth repeating, because people still think of these as “diabetes drugs.” They're not anymore. In HFpEF, SGLT-2 inhibitors reduce heart-failure hospitalizations, improve symptoms, improve quality of life, and even reduce cardiovascular death.Dr. Arreaza: They're also simple. Empagliflozin 10 mg daily or dapagliflozin 10 mg daily. No titration, no drama. The effectiveness of these meds was established around 2019 with DAPA-HF and later with DELIVER. These were trials thatdemonstrated that dapagliflozin reduces worsening heart failure and cardiovascular events across the full spectrum of heart failure, from reduced to preserved ejection fraction, independent of diabetes status.Mike: And the number needed to treat is about 28 to prevent one heart-failure hospitalization. That's excellent for a disease where we historically had almost nothing that worked.Jordan: They're also safe in chronic kidney disease down to an eGFR of about 25, which makes them even more useful in this population.Dr. Arreaza: Alright. We got SGLT-2 inhibitor, what's next?Mike: Volume management. Loop diuretics are still the backbone of symptom control in HFpEF. If the patient is volume overloaded, you diurese, and you diurese aggressively.Jordan: The goal is euvolemia. Dry weight, no edema, no orthopnea, no waking up gasping for air. A lot of these patients end up needing chronic oral loop diuretics to stay there.Dr. Arreaza: Something to remember: HFpEF patients don't tolerate congestion well, and being “a little wet” is not benign. Let's move into RAAS inhibition. Where do ARBs and ACE inhibitors fit in?Mike: Between ARBs and ACE inhibitors, ARBs are the winners in HFpEF. They actually reduce heart failure hospitalizations—drugs like candesartan, losartan, valsartan. ACE inhibitors? Not so much. They showed minimal benefit in older HFpEF patients, which is why we go with ARBs instead.Jordan: But a lot of clinicians get nervous about ACE inhibitors and ARBs because of kidney function, so it's worth talking through how these drugs actually work in the kidney.Dr. Arreaza: Yes, misunderstanding may lead to unnecessary drug discontinuation.Jordan: Under normal conditions, the afferent arteriole brings blood into the glomerulus, and the efferent arteriole is constricted by angiotensin II. That constriction keeps pressure high in the glomerulus and maintains filtration.Mike: Here's what happens with an ACE inhibitor: you block angiotensin II, the efferent arteriole relaxes, glomerular pressure drops, and GFR dips slightly. Creatinine bumps up a little, and that scares people, but that's actually the whole point—that's how you get kidney protection long-term.Jordan: High intraglomerular pressure causes hyperfiltration injury and scarring over time. Lowering that pressure protects the kidney long-term. The short-term GFR drop is the price you pay for long-term benefits.Dr. Arreaza: So let's talk about CKD, because this is where people panic.Mike: Right. ACE inhibitors and ARBs are not contraindicated in chronic kidney disease. In fact, they're recommended even in advanced stages. They reduce progression to kidney failure by about a third.Jordan: The key is how you use them. Start low. Check creatinine and potassium one to two weeks after starting, then periodically. A creatinine rise up to 30% from baseline is acceptable. That's not kidney injury, that's physiology.Dr. Arreaza: And what about potassium creeping up?Mike: You adjust the dose or add a potassium binder. You don't just automatically stop the drug.Dr. Arreaza: Now there is one absolute contraindication everyone needs to know about! (board exam test)Jordan: Bilateral renal artery stenosis. This is the big one. In these patients, the kidneys are completely dependent on angiotensin II–mediated efferent constriction to maintain GFR. Take that away, and GFR collapses.Mike: Creatinine can jump dramatically within days. If you see a creatinine rise of 20% or more shortly after starting an ACE inhibitor, you should be thinking about bilateral renal artery stenosis and stopping the drug immediately.Dr. Arreaza: After revascularization, though, many patients can tolerate ACE inhibitors again, so this isn't always permanent. What about cardiorenal syndrome? That's where things get uncomfortable.Mike: It is uncomfortable, but cardiorenal syndrome isn't a contraindication. These patients have severe heart failure and kidney disease, and their mortality is actually higher than patients with heart failure alone.Jordan: ACE inhibitors still reduce mortality and slow kidney disease progression in this group. Studies show that stopping ACE inhibitors during acute heart-failure admissions increases in-hospital mortality three- to four-fold.Dr. Arreaza: So we are cautious, but we don't avoid it.Mike: Exactly. Start low, titrate slowly, monitor labs closely, accept up to a 30% creatinine rise. You only stop if kidney function keeps worsening, or potassium gets dangerously high.Dr. Arreaza: Alright. Let's move on. What about mineralocorticoid receptor antagonists… MRA?Jordan: Spironolactone or eplerenone might reduce hospitalizations in HFpEF, but the data is mixed. This is more of a “select patients” situation.Mike: And you have to watch potassium and kidney function carefully, especially if they're already on an ACE inhibitor or ARB.Dr. Arreaza: What about sacubitril-valsartan, also known as Entresto®?Mike: Entresto may help patients with mildly reduced EF roughly in the 45 to 57% range. It's not first-line for HFpEF, but in select patients, it's reasonable.Dr. Arreaza: Now let's clarify one of the biggest sources of confusion: beta blockers.Jordan: Beta blockers are not a treatment for HFpEF itself. They're only indicated if the patient has another reason to be on them, like coronary disease or atrial fibrillation.Mike: And timing really matters here. You absolutely do not start beta blockers during acute decompensated heart failure. Their negative inotropic effects can make things worse when patients are volume overloaded.Jordan: But, and this is critical, you also don't stop them if the patient is already taking one. Abrupt withdrawal causes a sympathetic surge and dramatically increases mortality.Dr. Arreaza: If a patient is admitted on a beta blocker, what do we do?Mike: Continue it at the same dose or reduce it slightly if they're really unstable. Once they're euvolemic and stable, you can carefully titrate up.Jordan: And watch for chronotropic incompetence. HFpEF patients often rely on heart-rate response to exercise, and beta blockers can worsen exercise intolerance.Dr. Arreaza: Beyond medications, HFpEF is really about treating comorbidities. Aerobic activity can be an initial strategy to improve exercise intolerance and has evidence of improving aerobic function and quality of life. Sodium restriction: improves symptoms, does not decrease risk of death or hospitalizations.Mike: Hypertension control is huge. For diabetes, the SGLT-2 inhibitors will perform double duty. For obesity, weight loss improves symptoms, and GLP-1 agonists like semaglutide are absolute gamechangers.Jordan: Don't forget sleep apnea, atrial fibrillation, and lifestyle. Exercise improves the quality of life, even if it doesn't change hard outcomes. Lifestyle is the main treatment. Dr. Arreaza: And when should you refer to cardiology?Mike: You should refer when the diagnosis isn't clear; symptoms are not responding to treatment, difficult volume management, end-organ dysfunction, or if you are concerned about advanced heart failure.Dr. Arreaza: So, it has been a great discussion. What is the takeaway?Mike: HFpEF treatment isn't about one magic drug -- it's about volume control, SGLT2 inhibitors, smart use of RAAS blockade, and aggressive management of comorbidities.Jordan: And it's understanding the physiology, so you don't withhold life-saving therapies out of fear.Dr. Arreaza: Well said. If you found this helpful, share it with a friend or colleague and rate us wherever you listen. This is Dr. Arreaza, signing off.Jordan/Mike: Thanks! Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Barzin A, Barnhouse KK, Kane SF. Heart Failure With Preserved Ejection Fraction. Am Fam Physician. 2025;112(4):435-440.Heidenreich PA, Bozkurt B, Aguilar D, et al. 2022 AHA/ACC/HFSA guideline for the management of heart failure. Circulation. 2022;145(18):e895-e1032.Kittleson MM, Panjrath GS, Amancherla K, et al. 2023 ACC expert consensus decision pathway on management of heart failure with preserved ejection fraction. J Am Coll Cardiol. 2023;81(18):1835-1878.Anker SD, Butler J, Filippatos G, et al. Empagliflozin in heart failure with a preserved ejection fraction. N Engl J Med. 2021;385(16):1451-1461.Solomon SD, McMurray JJV, Claggett B, et al. Dapagliflozin in heart failure with mildly reduced or preserved ejection fraction. N Engl J Med. 2022;387(12):1089-1098.Pitt B, Pfeffer MA, Assmann SF, et al. Spironolactone for heart failure with preserved ejection fraction. N Engl J Med. 2014;370(15):1383-1392.Yusuf S, Pfeffer MA, Swedberg K, et al. Effects of candesartan in patients with chronic heart failure and preserved left-ventricular ejection fraction. Lancet. 2003;362(9386):777-781.Solomon SD, McMurray JJV, Anand IS, et al. Angiotensin-neprilysin inhibition in heart failure with preserved ejection fraction. N Engl J Med. 2019;381(17):1609-1620.Kosiborod MN, Abildstrøm SZ, Borlaug BA, et al. Semaglutide in patients with heart failure with preserved ejection fraction and obesity. N Engl J Med. 2023;389(12):1069-1084.Xie Y, Xu E, Bowe B, Al-Aly Z. Long-term cardiovascular outcomes of COVID-19. Nat Med. 2022;28(3):583-590.Puntmann VO, Carerj ML, Wieters I, et al. Outcomes of cardiovascular magnetic resonance imaging in patients recently recovered from COVID-19. JAMA Cardiol. 2020;5(11):1265-1273.Basso C, Leone O, Rizzo S, et al. Pathological features of COVID-19-associated myocardial injury. Eur Heart J. 2020;41(39):3827-3835.Nalbandian A, Sehgal K, Gupta A, et al. Post-acute COVID-19 syndrome. Nat Med. 2021;27(4):601-615.Badve SV, Roberts MA, Hawley CM, et al. Effects of angiotensin-converting enzyme inhibitors and angiotensin receptor blockers in adults with estimated GFR less than 60 mL/min per 1.73 m². Ann Intern Med. 2024;177(8):953-963.Navis G, Faber HJ, de Zeeuw D, de Jong PE. ACE inhibitors and the kidney: a risk-benefit assessment. Drug Saf. 1996;15(3):200-211.Textor SC, Novick AC, Tarazi RC, et al. Critical perfusion pressure for renal function in patients with bilateral atherosclerotic renal vascular disease. Ann Intern Med. 1985;102(3):308-314.Hackam DG, Spence JD, Garg AX, Textor SC. Role of renin-angiotensin system blockade in atherosclerotic renal artery stenosis and renovascular hypertension. Hypertension. 2007;50(6):998-1003.Ronco C, Haapio M, House AA, et al. Cardiorenal syndrome. J Am Coll Cardiol. 2008;52(19):1527-1539.Prins KW, Neill JM, Tyler JO, et al. Effects of beta-blocker withdrawal in acute decompensated heart failure. JACC Heart Fail. 2015;3(8):647-653.Jondeau G, Neuder Y, Eicher JC, et al. B-CONVINCED: Beta-blocker CONtinuation Vs. INterruption in patients with Congestive heart failure hospitalizED for a decompensation episode. Eur Heart J. 2009;30(18):2186-2192.Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.

“Neat. Organized. Accurate” on the Daily Grind ☕️, your weekly goal-driven podcast. This episode features Kelly Johnson @kellyfastruns and special guest Andy Goldstein @bagelsngrinds @potomacpizza @goldieslice, who is the Managing Partner of Potomac Pizza Potomac as well as Bagels ‘n Grinds Potomac. Andy began his career with Restaurant Zone Inc. in 2010, starting as a cashier and progressing through leadership roles to become Managing Partner. A lifelong member of the local community and a graduate of American University, Andy brings deep operational experience and a strong commitment to neighborhood-focused dining.S8 Episode 41:  2/10/2026Featuring Kelly Johnson with Special Guest Andy GoldsteinFollow Our Podcast:Instagram: @dailygrindpod https://www.instagram.com/dailygrindpod/  X: @dailygrindpod https://x.com/dailygrindpod Facebook: https://www.facebook.com/dailygrindpodTikTok: https://www.tiktok.com/@dailygrindpodPodcast Website: https://direct.me/dailygrindpod   Follow Our Special Guest:Website: https://www.bagelsngrinds.com/ , https://www.potomacpizza.com/ Instagram: @bagelsngrinds @potomacpizza @goldiesliceX: @BagelsnGrinds @potomacpizza

On Monday, February 9, BigTentUSA convened Lauren Groh-Wargo, Founder and CEO of Fair Fight Action, and Wendy Weiser, VP for Democracy at The Brennan Center for Justice‬, to sound the alarm on escalating threats to the 2026 election. From the unprecedented seizure of Fulton County voting records to pushes for proof-of-citizenship laws and federal overreach, speakers warned of a coordinated effort to reshape election control and suppress participation. The Constitution remains a guardrail, and courts have begun pushing back against unlawful overreach—but institutional defenses alone won't hold. Protecting democracy now demands mass civic engagement: vote, become a poll worker, track ballots, organize locally, support election officials, and use every legal and advocacy tool available. The warning was stark but empowering—autocracy thrives on silence, so the moment calls for visible, relentless participation. Democracy will only survive if we show up, lock arms, and defend it.Want to do something tangible to help protect democracy? Check out BigTentUSA's calls to action, updated regularly - https://bigtentusa.org/act-now/ Learn more about Fair Fight Action here: https://www.fairfight.com/Learn more about The Brennan Center for Justice here: https://www.brennancenter.org/ ABOUT THE SPEAKERS:Lauren Groh-Wargo is a political and civic engagement strategist, executive, and advocate for economic and voting rights. She partnered with Stacey Abrams in 2012 to build Democratic and progressive infrastructure in Georgia, and in response to 2018 voter suppression, founded and serves as CEO of Fair Fight Action, which combats suppression and advances voter education. Fair Fight played a key role in the 2020 election and 2021 Georgia runoff. An organizer at heart, Lauren has led campaigns and advised nonprofits nationally for over 20 years. She holds an Economics degree from American University and lives in Atlanta with her partner and son.Wendy Weiser is Vice President for Democracy at the Brennan Center for Justice at NYU Law School, where she oversees work on voting rights, elections, redistricting, courts, and abuse of power. A constitutional lawyer and democracy expert, she directs research, litigation, policy, advocacy, and public education initiatives, including programs on voting access, judicial reform, and executive power safeguards. Weiser has litigated landmark cases, authored Supreme Court briefs, advanced policies like automatic voter registration, and contributed to the Freedom to Vote and John Lewis Voting Rights Advancement Acts. She is a frequent speaker and media commentator. She holds a BA and JD from Yale. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit bigtentnews.substack.com

A murder suspect spent a decade on the run after the killing of beloved American University professor Sue Marcum. ABC News Contributor Pat LaLama analyzes the case against Jorge Landeros. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Episode 211: Understanding HFpEF.  Hyo Mun and Jordan Redden (medical students) explain the pathophysiology of heart failure with preserved ejection fraction (HFpEF) and how it differentiates from HFrEF. Dr. Arreaza asks insightful questions and summarizes some key elements of HFpEF. Written by Hyo Mun, MS4, American University of the Caribbean; and Jordan Redden, MS4, Ross University School of Medicine. Comments and edits by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.What is EF? Just imagine, the heart is a pump, blood gets into the heart through the veins, the ventricles fill up and then squeeze the blood out. So, the percent of blood that is pumped out is the EF. Let's start at the beginning. What is HFpEF?Mike: HFpEF stands for heart failure with preserved ejection fraction. Basically, these patients squeeze normally—their ejection fraction is 50% or higher—but here's the thing: the heart can't relax and fill the way it should. The muscle gets stiff, almost like a thick leather boot that just won't stretch. And because the ventricle can't fill properly, pressure starts backing up into the lungs and the rest of the body. That's when patients start experiencing shortness of breath, leg swelling, fatigue—all those classic symptoms.Dr. Arreaza: And this is where people get fooled by the ejection fraction.Mike: Exactly. The ejectionfraction tells you total left ventricular emptying, not just forward flow.Jordan: The classic example is severe mitral regurgitation. You can eject 60% of your blood volume and still be in cardiogenic shock because most of that blood is leaking backward into the left atrium instead of going into the aorta. So, you get pulmonary edema, hypotension, fatigue, all with a “normal” EF. Which is honestly terrifying if you're over-relying on echo reports without thinking clinically.Dr. Arreaza: And in HFpEF, functional mitral regurgitation often shows up later in the disease. It's not usually the primary cause; it's more of a marker of advanced disease. Moderate to severe MR in HFpEF independently predicts worse outcomes, including a higher risk of mortality or heart failure hospitalization. So, let's contrast this with HFrEF. How are these two different?Mike: HFrEF—heart failure with reduced ejection fraction—is a pumping problem. The heart muscle is weak and can't contracteffectively. Ejection fraction drops below 40%, and this is your classic systolic dysfunction.Jordan: HFpEF, on the other hand, is diastolic dysfunction. The heart muscle is thick, fibrotic, and noncompliant. It squeezes fine, but it just doesn't relax, even though the EF looks reassuring on paper.Mike: I like to explain it this way: HFrEF is a weak heart that can't squeeze. HFpEF is a stiff heart that can't relax. Totally different problems.Dr. Arreaza: And then there's the gray zone: heart failure with mildly reduced EF, or HFmrEF. That's an EF between 41 and 49% with evidence of elevated filling pressures. It really shares the features of both worlds. So, what actually causes HFpEF versus HFrEF?Jordan: HFpEF is basically what happens when all the problems of modern living catch up with you. You've got chronic hypertension, obesity, diabetes, metabolic syndrome, aging, systemic inflammation—all of these things slowly remodel the heart over years. The muscle gets thick and stiff, and eventually the ventricle just loses its ability to relax. So, HFpEF is really a disease of metabolic dysfunction and chronic stress in the heart. Mike: HFrEF is more about direct injury. Think about myocardial infarctions, ischemic cardiomyopathy, viral myocarditis, alcohol toxicity, chemotherapy like doxorubicin, genetic cardiomyopathies, or chronic uncontrolled tachycardia. These insults actually damage or kill heart muscle cells, leading to a dilated, weak ventricle that can't pump effectively.Dr. Arreaza: So the short version: HFpEF is caused by chronic metabolic and hypertensive stress, while HFrEF is caused mainly by myocardial damage. A question we get a lot: does HFpEF eventually turn into HFrEF? What do you guys think?Mike: In most cases, no. HFpEF patients usually stay HFpEF throughout their disease course. They don't just “burn out” and turn into HFrEF.Jordan: They're generally separate disease entities with different pathophysiology. A patient with HFpEF can develop HFrEF if they have a big myocardial infarction or ongoing ischemia that damages the muscle, but that's not the natural progression.Mike: Interestingly though, the opposite can happen. Some HFrEF patients actually improve their ejection fraction with good medical therapy—that's called HF with improved EF—and it's a great sign that treatment is working.Dr. Arreaza: Another question. How do HFpEF and HFrEF compare to restrictive cardiomyopathy and constrictive pericarditis?Jordan: Clinically, they can all look very similar: dyspnea, edema, fatigue, but the underlying mechanisms are completely different.Mike: In HFpEF, the myocardium itself is stiff from hypertrophy and fibrosis. The problem is intrinsic to the heart muscle, and EF stays preserved. Echoshows diastolic dysfunction with elevated filling pressures.Jordan: In HFrEF, the myocardium is weak. The ventricle is often dilated and contracts poorly, with a reduced EF.Mike: Restrictive cardiomyopathy is different. Here, the myocardium gets infiltrated by abnormal stuff—amyloid, iron, sarcoid—and that makes it extremely stiff. It can look like HFpEF on the surface, but it's usually more severe. On Echo You'll see biatrial enlargement, small ventricles, and preserved EF. And importantly, it's a pathologic diagnosis, so you need advanced imaging or biopsy to confirm it.Jordan: Constrictive pericarditis is another mimic, but here the myocardium is usually normal. The problem is that the pericardium is thickened, calcified, and rigid. This will physically prevent the heart from being filled. Imaging shows pericardial thickening, septal bounce, and respiratory variation in flow, and cath shows equalization of diastolic pressures, which is the hallmark of constrictive pericarditis.Dr. Arreaza: So the takeaway is: HFpEF is a clinical syndrome driven by common metabolic and hypertensive causes, while restrictive and constrictive diseases are specific pathologic entities. If “HFpEF” is unusually severe or not responding to treatment, you need to think beyond HFpEF. Which type of heart failure is more common right now?Mike: Good question, the answer is: HFpEF. It now accounts for up to 60% of all heart failure cases, and it's still rising.Dr. Arreaza: Why is that?Jordan: Because people are living longer, gaining weight, and developing more metabolic syndrome. HFpEF thrives in older, or people with obesity, hypertension, or diabetes: basically, the modern American population. At the same time, better treatment of acute MIs means fewer people are developing HFrEF from massive heart attacks.Mike: HFpEF is the heart failure epidemic of the 21st century. It's honestly the cardiology equivalent of type 2 diabetes.Dr. Arreaza: Let's talk aboutCOVID-19. (2025 and still talking about it) Does it actually increase heart failure risk?Mike: Yes, absolutely. COVID increases both acute and long-term heart failure risk.Jordan: During acute infection, COVID can cause myocarditis, trigger massive inflammation, and precipitate acute decompensated heart failure, especially in patients with pre-existing disease. It also causes microthrombi, which can injure the myocardium.Mike: And after infection, even mild cases are linked to a significantly higher risk of developing new heart failure within the following year. Both HFpEF and HFrEF rates go up.Dr. Arreaza: I remember seeing this in 2021, we had a patient with acute COVID and HFrEF, her EF was about 10%, I lost contact with the patient and at the end I don't know what happened to her. What's the pathophysiology of COVID and heart failure?Mike: COVID causes direct viral injury through ACE2 receptors, triggers massive inflammation that damages the endothelium and heart muscle, leads to microvascular clotting and fibrosis—all mechanisms that promote HFpEF.Jordan: Add autonomic dysfunction, persistent low-grade inflammation, and worsening metabolic syndrome, and you've got a perfect storm for heart failure.Dr. Arreaza: Bottom line: COVID is a cardiovascular disease as much as a respiratory one. If someone had COVID and now has unexplained dyspnea or fatigue, think about heart failure. Get an echo, get a BNP, start treatment. Last big question: why did we have so many therapies for HFrEF but essentially none for HFpEF for years?Mike: HFrEF is mechanistically straightforward. You've got a weak heart with excessive neurohormonal activation going on — so you block RAAS, block the sympathetic system, drop the afterload. The drugs make sense.Jordan: HFpEF is messy. It's not one disease. It's stiffness, fibrosis, inflammation, microvascular dysfunction, metabolic disease, atrial fibrillation, all overlapping. One drug can't fix all of that.Mike: And some drugs that worked beautifully in HFrEF actually made HFpEF worse. Take Beta blockers, for example.  They slow heart rate, which is a problem because HFpEF patients rely on heart rate to maintain their cardiac output.Jordan: The breakthrough came with SGLT-2 inhibitors: diabetes drugs that unexpectedly addressed multiple HFpEF mechanisms at once: volume, metabolism, inflammation, and myocardial energetics.Dr. Arreaza: The miracle drug for HFpEF! Alright, let's wrap up.Mike: Bottom line: HFpEF is common, complex, and dangerous: even if the EF looks “normal.”Jordan: And if you're relying on ejection fraction alone, HFpEF will humble you every time.Dr. Arreaza: If you liked this episode, share it with a friend or a colleague and rate us wherever you listen. This is Dr. Arreaza, signing off.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Barzin A, Barnhouse KK, Kane SF. Heart Failure With Preserved Ejection Fraction. Am Fam Physician. 2025;112(4):435-440.Heidenreich PA, Bozkurt B, Aguilar D, et al. 2022 AHA/ACC/HFSA guideline for the management of heart failure. Circulation. 2022;145(18):e895-e1032.Kittleson MM, Panjrath GS, Amancherla K, et al. 2023 ACC expert consensus decision pathway on management of heart failure with preserved ejection fraction. J Am Coll Cardiol. 2023;81(18):1835-1878.Anker SD, Butler J, Filippatos G, et al. Empagliflozin in heart failure with a preserved ejection fraction. N Engl J Med. 2021;385(16):1451-1461.Solomon SD, McMurray JJV, Claggett B, et al. Dapagliflozin in heart failure with mildly reduced or preserved ejection fraction. N Engl J Med. 2022;387(12):1089-1098.Pitt B, Pfeffer MA, Assmann SF, et al. Spironolactone for heart failure with preserved ejection fraction. N Engl J Med. 2014;370(15):1383-1392.Yusuf S, Pfeffer MA, Swedberg K, et al. Effects of candesartan in patients with chronic heart failure and preserved left-ventricular ejection fraction. Lancet. 2003;362(9386):777-781.Solomon SD, McMurray JJV, Anand IS, et al. Angiotensin-neprilysin inhibition in heart failure with preserved ejection fraction. N Engl J Med. 2019;381(17):1609-1620.Kosiborod MN, Abildstrøm SZ, Borlaug BA, et al. Semaglutide in patients with heart failure with preserved ejection fraction and obesity. N Engl J Med. 2023;389(12):1069-1084.Xie Y, Xu E, Bowe B, Al-Aly Z. Long-term cardiovascular outcomes of COVID-19. Nat Med. 2022;28(3):583-590.Puntmann VO, Carerj ML, Wieters I, et al. Outcomes of cardiovascular magnetic resonance imaging in patients recently recovered from COVID-19. JAMA Cardiol. 2020;5(11):1265-1273.Basso C, Leone O, Rizzo S, et al. Pathological features of COVID-19-associated myocardial injury. Eur Heart J. 2020;41(39):3827-3835.Nalbandian A, Sehgal K, Gupta A, et al. Post-acute COVID-19 syndrome. Nat Med. 2021;27(4):601-615.Badve SV, Roberts MA, Hawley CM, et al. Effects of angiotensin-converting enzyme inhibitors and angiotensin receptor blockers in adults with estimated GFR less than 60 mL/min per 1.73 m². Ann Intern Med. 2024;177(8):953-963.Navis G, Faber HJ, de Zeeuw D, de Jong PE. ACE inhibitors and the kidney: a risk-benefit assessment. Drug Saf. 1996;15(3):200-211.Textor SC, Novick AC, Tarazi RC, et al. Critical perfusion pressure for renal function in patients with bilateral atherosclerotic renal vascular disease. Ann Intern Med. 1985;102(3):308-314.Hackam DG, Spence JD, Garg AX, Textor SC. Role of renin-angiotensin system blockade in atherosclerotic renal artery stenosis and renovascular hypertension. Hypertension. 2007;50(6):998-1003.Ronco C, Haapio M, House AA, et al. Cardiorenal syndrome. J Am Coll Cardiol. 2008;52(19):1527-1539.Prins KW, Neill JM, Tyler JO, et al. Effects of beta-blocker withdrawal in acute decompensated heart failure. JACC Heart Fail. 2015;3(8):647-653.Jondeau G, Neuder Y, Eicher JC, et al. B-CONVINCED: Beta-blocker CONtinuation Vs. INterruption in patients with Congestive heart failure hospitalizED for a decompensation episode. Eur Heart J. 2009;30(18):2186-2192.Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/. 

The Chicago Council on Global Affairs has been tracking American views on foreign policy since the end of the Vietnam War. Last week, it released its 2025 survey—and the results point to a widening partisan divide on some of the most fundamental questions about America's role in the world. That was not always the case. For most of the past 50 years, Democrats, Republicans, and independents largely agreed on the proper role of the United States in the world. There were always differences, of course, but they tended to exist at the margins. On big-picture questions—such as alliances and working cooperatively with other countries—there was broad consensus. That consensus began to shift in 2015 with Donald Trump's entry into the American political scene. Now, ten years later, this latest survey shows partisan divides that are deeper than ever. America's domestic polarization has finally caught up with its foreign policy. To discuss these survey results, I'm joined by Jordan Tama, a professor at American University in Washington, DC, who specializes in the intersection of American public opinion and foreign policy. We begin by discussing the historical sources of bipartisan foreign policy consensus, before turning to a longer conversation about how and why that consensus has fractured—and what this shift suggests about the future of American foreign policy. Discount code: https://www.globaldispatches.org/subscribe?coupon=124f4694

Cynthia Miller-Idriss, a professor at American University, discusses her new book, "Man Up: The New Misogyny & the Rise of Violence Extremism," with Lawfare Foreign Policy Editor Daniel Byman. She explains how different forms of misogyny shape lead to political and social violence, why most scholarship and media accounts usually ignore the role of gender, and what individuals can do to fight back.To receive ad-free podcasts, become a Lawfare Material Supporter at www.patreon.com/lawfare. You can also support Lawfare by making a one-time donation at https://givebutter.com/lawfare-institute.Support this show http://supporter.acast.com/lawfare. Hosted on Acast. See acast.com/privacy for more information.

Our guest on the podcast today is Sally Balch Hurme. Sally is the author of Checklist for My Family: A Guide to My History, Financial Plans and Final Wishes, as well as several other books. She worked at AARP for 23 years and has written more than 20 law review articles on topics related to elder law. She has also served on the boards of the National Guardianship Association and the Center for Guardianship Certification, where she helped develop standards for guardians and reform guardianship policies and procedures. Before moving to AARP, she was a partner in a private law firm and held several other legal roles. She also served as an adjunct professor at the George Washington University Law School, teaching elder law for eight years. She received her BA from Tulane University and her JD cum laude from the Washington College of Law at American University.Episode Highlights00:00:00 Working at the American Bar Association, AARP, and as a Caregiver00:06:15 How to Get Started in Eldercare Planning00:08:15 Final Wishes, Finding Your Roots, and Key Documents00:26:31 Designated Beneficiaries and Medication Tracking00:33:38 Home Deeds and The Power in Power of Attorney00:39:48 Cleaning Up Digital Assets Sally Hurme BooksChecklist for My Family: A Guide to My History, Financial Plans and Final WishesThe ABA/AARP Checklist for Family Caregivers: A Guide to Making It ManageableMore From MorningstarBeth Pinsker: Lessons From ‘My Mother's Money'Inherited IRAs: What to Know About Taxes, RMDs, and MoreHow to Tackle Estate-Planning Basics in 7 StepsIf you have a comment or a guest idea, please email us at TheLongView@Morningstar.com.Follow Christine Benz (@christine_benz), Amy Arnott (@AmyCArnott1), and Ben Johnson (@MstarBenJohnson) on X. Visit Morningstar.com for new research and insights from Christine, Ben, and Amy. Subscribe to Christine's weekly newsletter, Improving Your Finances.If you want more Morningstar podcasts, check out The Morning Filter and Investing Insights. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

The Context of White Supremacy welcomes Admitted Racist Dr. Katherine Blaesing. Classified as a White Woman, Dr. Blaesing is “the Director of Community Well-Being” at San Francisco's The Hamlin School. “She is passionate about the inextricable link between holistic health and both anti-bias and anti-racism tenets and understandings,” and just finished “completing her Doctorate in Anti-Racist Policy and Leadership at American University.” Gus T. recently located her 2025 dissertation for said doctorate, No One Questions My Presence Here: White Women in Higher Education. The report cites a number of former C.O.W.S. guests - including Dr. Joe Feagin, Dr. Charles W. Mills, and Dr. Frank Wilderson to name a few. Ostensibly, Dr. Blaesing examines how she and other White Women maintain and refine the System of White Supremacy. However, her works greatly minimizes White Women's central culpability in pipelining black boys to greater confinement. Her work neglects to address if White people are going to voluntarily desist with the practice of White Supremacy. She also suggests that White people feel “guilty” about mistreating black people. Where is the evidence? We'll ask how White Women satisfy their “sadomasochistic” desires while failing black students. Importantly, Dr. Blaesing tried to suggest that Gus T. tricked her into a conversation under false pretenses. Gus reminded her that he requested to inspect her dissertation and identified her outburst as an act (performance) of Racism. #TheCOWS17Years INVEST in The COWS – http://paypal.me/TheCOWS Cash App: https://cash.app/$TheCOWS CALL IN NUMBER: 720.716.7300 CODE 564943#

Baldwin was key figure in the American civil rights movement of the last 1960s, and he is one of our most important American writers. Author of the novels If Beale Street Could Talk, Go Tell It on the Mountain, and Giovanni's Room, he was also an essayist, poet, and playwright. Baldwin's influence continues to grow, but even if you've never read a word James Baldwin has written – first, you should – you will find something to treasure in this conversation. Boggs's biography centers on the artistic and intimate relationships that informed Baldwin's life and work. Douglas Brinkley, author of Rosa Parks: A Life, said “Nicholas Boggs's meticulously researched and passionately written Baldwin is the crown jewel of the ongoing James Baldwin revival. … this epic biography captures Baldwin in full.” Our interviewer is Mitchell S. Jackson, author of The Residue Years, Survival Math, and a Pulitzer Prize winning journalist. Jackson is one of the best interviewers — I genuinely think he should have his own talk show — and he brings so much care and curiosity to the conversation. We start with a passage from the audiobook, which is published by Macmillan Audio and read by Ron Butler. Nicholas Boggs is a writer and independent scholar, born and raised in Washington, DC, now living in Brooklyn, New York. He rediscovered and coedited a new edition of James Baldwin's out-of-print collaboration with the French artist Yoran Cazac, Little Man, Little Man: A Story of Childhood (2018), and his writing has been anthologized in The Cambridge Companion to James Baldwin. He received his BA in English from Yale, his MFA in creative writing from American University, and his PhD in English from Columbia. Baldwin: A Love Story is Nicholas Boggs’ debut novel. Mitchell S. Jackson is the winner of the 2021 Pulitzer Prize in Feature Writing and the 2021 National Magazine Award in Feature Writing. Jackson is the critically acclaimed author of The Residue Years, Survival Math: Notes on an All-American Family, Fly: The Big Book of Basketball Fashion, and John of Watts (to be published soon). His writing has been featured on the cover of the New York Times Book Review, Time, Esquire, and Marie Claire, as well as in The New Yorker, Harpers, The New York Times, and elsewhere. Jackson's nonfiction book Survival Math was published in 2019 and named a best book of the year by fifteen publications, including NPR, Time, The Paris Review, The Root, Kirkus Reviews, and Buzzfeed. Jackson is a contributing writer for the New York Times Magazine, covers race and culture as the first Black columnist in the history of Esquire, and serves as the John O. Whiteman Dean's Distinguished Professor in the English Department of Arizona State University.