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The Lincoln Memorial Centennial Exhibition: The Lincoln Memorial Illustrated at the Norman Rockwell Museum highlights the work of illustrators and artists who have incorporated the Lincoln Memorial into their art as a symbolic element – an instantly-recognizable icon upon which to build meaning. Approximately fifty historical and contemporary artworks by noted illustrators and cartoonists will be featured, as will archival photographs, sculptural elements, artifacts, and ephemera. We welcome Norman Rockwell Museum Director Laurie Norton Moffatt and Curator Stephanie Plunkett.

On Monday, February 9th, 2004, 21-year-old University of Massachusetts nursing student, Maura Murray, crashed her vehicle into a snowbank in Haverhill, New Hampshire. A neighbor called 911, while another neighbor stopped to offer help. Maura, appearing uninjured, declined help, and the neighbor drove off. Approximately 7 minutes later, when police arrived, Maura had disappeared. She has never been seen or heard from since. 18 years later, the disappearance of Maura Murray has turned into one of the greatest debated mysteries in the world of true crime. There are countless theories, questions, and arguments that all ultimately end in two very important questions: where was Maura driving that night and where is she now? Want access to our first 45 episodes? Grab em here! We've made them available for free to anyone who signs up! Remember, these episodes were recorded when we had no idea what we were doing, so just keep that in mind. The audio isn't the quality we would want to put out now, but the cases are on point! Visit killerqueens.link/og to download and binge all the archived episodes today! Hang with us: Follow Us on Instagram Like Us on Facebook Join our Case Discussion Group on Facebook Get Killer Queens Merch Bonus Episodes Support Our AMAZING Sponsors: The Pill Club: Right now, when you go to heyfavor.com/QUEENS, Favor is offering a $10 donation to Bedsider.org for every Killer Queens: A True Crime Podcast listener who becomes a patient. Your donation will help low-income individuals get access to birth control through Bedsider.org. Hello Fresh: Go to HelloFresh.com/killerqueens16 and use code killerqueens16 for up to 16 free meals AND 3 free gifts! Prose: Take your FREE in-depth hair consultation and get 15% off your first order today! Go to Prose.com/QUEENS. © 2021 Killer Queens Podcast. All Rights Reserved Audio Production by Wayfare Recording Music provided by Steven Tobi Logo designed by Sloane Williams of The Sophisticated Crayon

Approximately 8 million appraisals were conducted in the US last year. By contrast, there are only 40,000 active real estate appraisers. So, it's no surprise that Fannie Mae and Freddie Mac are exploring appraisal modernization initiatives like the desktop appraisal option.   But to make these alternatives to the traditional appraisal work, we need data in the form of an accurate floor plan. And we need it at scale.   Jeff Allen is EVP of Innovation Labs Clear Capital, a leading property valuation tech company, and President of CubiCasa, an easy-to-use app for automating the creation of real estate floor plans. On this episode of Listing Bits, Jeff explains how the barrier to entry to become an appraiser has sparked a total transformation of the industry.   He discusses his work helping GSEs test alternatives to the traditional appraisal, describing why floor plans are an essential part of ‘bringing the house to the appraiser' and how he discovered the CubiCasa technology that automates the process. Listen in for Jeff's insight on the copyright dispute over real estate floor plans and learn how to support the creative partnerships necessary for CubiCasa to scale.   What's Discussed:     How Clear Capital serves large financial institutions in the realm of property valuation How the barrier to entry to become an appraiser has sparked a total transformation of the industry Jeff's work helping GSEs test alternatives to the full traditional appraisal Why floor plans are essential in ‘bringing the house to the appraiser' How Jeff discovered the CubiCasa tech for automating floor plans and how it works The creative partnerships necessary for CubiCasa to achieve scale (e.g.: real estate photographers) How the desktop appraisal option supports CubiCasa's efforts to scale The other major appraisal modernization initiatives coming from Fannie and Freddie Jeff's take on the current copyright dispute over real estate floor plans   Connect with Jeff:   CubiCasa  Email: jeff [at] cubicasa [dot] com Jeff on LinkedIn Clear Capital   Resources:   10K Research and Marketing Appraisal Subcommittee Dodd-Frank Desktop Appraisals Vendor Alley FloPlan App Greg's Post on FloPlan Copyright Dispute Over Real Estate Floor Plans Designworks Homes v. Columbia House of Brokers Realty CMLS's Amicus Brief on the Floor Plan Copyright Dispute NAR's Amicus Brief on the Floor Plan Copyright Dispute   Our Sponsor:   Cloud CMA for Brokers

Approximately 91% of realtors never contact the client again after completing a deal. In today's episode of The Real Estate Sales Podcast, Jimmy is joined by real estate professional Heidi Harris to discuss how she keeps up that communication (and yields fantastic client retention as a result.) What keeps her clients supporting the brand? She does three “friends and family” events each year (note: it's not called customer appreciation: The events are a Girl's Night Out, Family Picture Day, and Pie Day for past clients. These events keep her in contact with people in her database and target key groups to maintain positive relationships. Girl's Night: This event invites women to come with two bottles of wine. One is to taste, and the other is given as a prize. The women taste the available wines, and whoever gets the most correct wins the bottles at the end. The event is women-only specifically to target women (who are more likely to make a real estate decision.) This past year, she had 150 women come with a guest, costing $14,600 and covered by sponsors. It used to be a mail invitation, but now it's by email invitation. Email works better, is cheaper, and serves as an excellent reminder for people. Family Photo Event: Paying an hourly rate for a photographer, Heidi sends out an invitation to schedule a block of time for their family to get their picture via SignUpGenius. The event also has ice cream for kids, sponsored by local businesses. Before the event, she emails her entire database outlining the event and how to schedule a time. Pre-Thanksgiving Pie Day: Exclusive to past clients, Heidi emails her database and offers a thirty-minute pickup window to get a free pie at her home. She sets out signage leading to her cul-de-sac. Some people get out and chat; some people just pull through. This in-and-out event style is very successful, especially if COVID is a concern. There are always people who can't go that day, and she handles those instances on a client-by-client basis. How does she approach sponsors? The first sponsor was her mortgage lender, and he simply offered to sponsor an event. When she took him up on that offer, she ensured he got over-the-top sponsorship.  For new sponsors, she stresses that it isn't a cash grab; it's an opportunity to build a community. There are always awkward conversations in the beginning, but the worst they can say is no! Other Engagement Tactics: Heidi sends postcards with the pie recipe after Thanksgiving and dresses up for Halloween. Her team has a Google sheet where they plan for the year ahead. On social media, Heidi's mentality is to add value and show her face each day. She finds ways to introduce behind-the-scenes content that intrigues and interests people. Heidi's daily “Power Hour”: Makes sure she's meeting new people or spending time in her sphere. For more great information from Heidi (or to buy or sell a home), find her via the contact information below: @homesweetheidi on Instagram and Facebook Email: heidi@homesweetheidi.com Phone Number: 919-946-3292 Do you have a video or content idea that is perfect for your business? Share it with Jimmy! Connect with Jimmy Burgess on LinkedIn and Facebook and his YouTube channel.  If you like what you heard today, we'd love it if you'd share a rating or review and then subscribe to the podcast and tell others about it as well. You can find The Real Estate Sales Podcast on Apple Podcasts, Google Podcasts, Spotify, Audible, and our website, The Real Estate Sales Podcast.

When it comes to allergies, the number of affected individuals in the United States alone is staggering. Approximately 20 million adults and 6 million children in the US are affected by seasonal allergies, and roughly 32 million Americans struggle with a myriad of food allergies. Seasonal allergies have been front-of-mind for many Americans, especially with the Spring season in full effect. The struggles people with seasonal allergies face have no doubt worsened with the introduction of longer and more severe pollen seasons, as well concerning levels of air pollution recorded across the country that were detailed in the latest State of the Air Report by the American Lung Association. In this wide-ranging interview for DocTalk, Christine Rauscher, MD, member of the Allegheny Health Network and Assistant Professor of Medicine at Drexel University, offered an overview of some of the most common allergies in the US as well as what could be done to prevent severe allergic reactions among adult and pediatric populations.

Bad air, toxic household products, and everyday materials that we take for granted could be making us and our loved ones sick. And they are. Approximately 25 million Americans have asthma today; that's about 1 in 13 Americans. Studies reveal the average pillow contains millions of fungal spores, with four to 16 different species per pillow tested. While that's enough to make anyone's skin crawl, our guest today is going to help us sleep more soundly and safely. Robin Wilson is a U.S. lifestyle brand, author, designer, a two-time #1 Amazon bestselling author, and was named to the Inc. magazine Female Founders 100 List in 2020. Robin has created a protocol for wellness with protective coverings and cotton textiles in bed and bath. Her life mission is to help the 60 million Americans who suffer from allergies or asthma via her Clean Design protocol to educate consumers about hypoallergenic, sustainable, and eco-friendly lifestyle options. Robin shares The Rule of 3's when it comes to our bedroom, what a CLEAN DESIGN HOME® sleep experience means, whether the type of pillow you sleep on matters depending on what type of sleeper you are (back, side, stomach) and what makes her packaging eco-conscious. Robin leaves listeners with simple steps to sleep better and breathe easier. You can find Robin's Clean Home Design line now in Macy's at 168 stores and online. 

On Monday, February 9th, 2004, 21-year-old University of Massachusetts nursing student, Maura Murray, crashed her vehicle into a snowbank in Haverhill, New Hampshire. A neighbor called 911, while another neighbor stopped to offer help. Maura, appearing uninjured, declined help, and the neighbor drove off. Approximately 7 minutes later, when police arrived, Maura had disappeared. She has never been seen or heard from since. 18 years later, the disappearance of Maura Murray has turned into one of the greatest debated mysteries in the world of true crime. There are countless theories, questions, and arguments that all ultimately end in two very important questions: where was Maura driving that night and where is she now? Want access to our first 45 episodes? Grab em here! We've made them available for free to anyone who signs up! Remember, these episodes were recorded when we had no idea what we were doing, so just keep that in mind. The audio isn't the quality we would want to put out now, but the cases are on point! Visit killerqueens.link/og to download and binge all the archived episodes today! Hang with us: Follow Us on Instagram Like Us on Facebook Join our Case Discussion Group on Facebook Get Killer Queens Merch Bonus Episodes Support Our AMAZING Sponsors: Audible: Listen on Audible at audible.com/themirandaobsession. Best Fiends: Download your new favorite getaway, BEST FIENDS, for FREE today on the App Store or Google Play. You'll even get $5 worth of in-game rewards when you reach Level 5. Simplisafe: You can customize the perfect system for your home in just a few minutes at SIMPLISAFE.com/killerqueens. Go today and claim a free indoor security camera plus 20% off with Interactive Monitoring. Betterhelp: Give it a try and see if online therapy can help lower your stress. Killer Queens listeners get 10% off their first month at BetterHelp.com/queens. © 2021 Killer Queens Podcast. All Rights Reserved Audio Production by Wayfare Recording Music provided by Steven Tobi Logo designed by Sloane Williams of The Sophisticated Crayon

Rail 101 with Ian Jefferies Ian Jefferies and Joe Lynch discuss Rail 101. Ian is the President and Chief Executive Officer of the Association of American Railroads (AAR) which is the world's leading railroad policy, research, standard setting, and technology organization that focuses on the safety and productivity of the U.S. freight rail industry. About Ian Jefferies Ian Jefferies is the President and Chief Executive Officer of the Association of American Railroads. (AAR). Jefferies advocates for and works with member railroads to ensure the continued viability of America's railroad industry. Before joining the AAR, Jefferies cultivated more than a decade of experience working within government. From 2009 to 2013, Jefferies served as a senior policy advisor to the Chairman of the U.S. Senate Committee on Commerce, Science and Transportation. In this role, Jefferies provided policy guidance on a host of transportation issues, including railroad economic regulation, rail safety and passenger rail. Jefferies also led the successful development, negotiation and reauthorization of major infrastructure legislation and managed the successful conference of Committee legislation relating to the 2012 surface transportation reauthorization law, MAP 21. Jefferies began his career in government serving as a Senior Advisor to the Mayor of Lexington, Kentucky, before transitioning to the federal government. Prior to serving in the United States Senate, he worked for the U.S. Department of Transportation, Office of the Inspector General and the U.S. Government Accountability Office. In these roles, Jefferies led program reviews on a variety of issues including infrastructure development, international trade, major weapon systems acquisition and federal contracting. Education. Jefferies received his Master of Science in public policy and management from Carnegie Mellon University in Pittsburgh, PA and his Bachelor of Science in economics from the University of Kentucky in Lexington, KY. About Association of American Railroads America's freight railroads operate the safest, most efficient, cost-effective and environmentally sound freight transportation system in the world — and at the Association of American Railroads (AAR) we are committed to keeping it that way. Operating over a private, 140,000 mile network stretching across the far reaches of North America, AAR members include the major freight railroads in the United States, Canada and Mexico, as well as Amtrak. Working with elected officials and leaders in Washington, D.C. on critical transportation and related issues, AAR ensures that the freight rail industry will continue to meet America's transportation needs today and tomorrow. As the standard setting organization for North America's railroads, AAR is also focused on improving the safety and productivity of rail transportation. AAR helps advance these goals through its two subsidiaries, the Transportation Technology Center Inc.(TTCI) and the Railinc Corp. TTCI is the world's leading research, development and testing facility, and develops next-generation advancements in safety and operation efficiency. Railinc serves as the rail industry's leading resource for rail data, information technology and information services, and uses one of the world's largest data networks to track customer shipments. AAR also supports the Railroad Research Foundation (RRF), a world-class policy research organization dedicated to sustaining a safe, secure and technologically advanced rail network. Key Takeaways: Rail 101 Ian Jefferies is the President and CEO of the Association of American Railroads (AAR) which is the world's leading railroad policy, research, standard setting, and technology organization that focuses on the safety and productivity of the U.S. freight rail industry. In the podcast interview, Ian provides an overview of the railroad industry for people not familiar with the rail business – Rail 101. Investing in Tomorrow America's freight railroads are the most productive and cost-effective in the world — and they are getting even better through strategic investments. Railroads are evolving, providing customers a competitive edge in the global economy of the future. America's freight railroads are almost entirely privately owned and operated. Unlike trucks and barges, freight railroads operate overwhelmingly on infrastructure that they own, build, maintain and pay for themselves. Approximately 630 freight railroads operate across the nearly 140,000-mile U.S. freight rail network. The seven “Class I” railroads — railroads with 2019 revenue of at least $505 million — account for around 68% of freight rail mileage, 88% of employees, and 94% of revenue. Each Class I railroad operates in multiple states over thousands of miles of track. Non-Class I railroads (also known as short line and regional railroads) range in size from tiny operations handling a few carloads a month to multi-state operations close to Class I size. AAR represents the entirety of the rail industry – Class Is, short lines, suppliers and passenger railroads. AAR focuses primarily on freight rail. AAR ultimately serves their members and works to be their unified voice – particularly in Washington Learn More About Rail 101 Ian's LinkedIn AAR LinkedIn AAR website AAR Twitter The Logistics of Logistics Podcast If you enjoy the podcast, please leave a positive review, subscribe, and share it with your friends and colleagues. The Logistics of Logistics Podcast: Google, Apple, Castbox, Spotify, Stitcher, PlayerFM, Tunein, Podbean, Owltail, Libsyn, Overcast Check out The Logistics of Logistics on Youtube

Heather Blanchard, Executive Director of Court Appointed Special Advocates of South Louisiana ("CASA") joins Discover Lafayette to discuss their mission to help children and families when there has been abuse or neglect. Heather is a passionate spokesperson for CASA, having first served the organization in her first job after college, then served on its board for six years, and returning to lead as Executive Director. CASA of South Louisiana is now partnered with the United Way of Acadiana and housed in its office to more effectively leverage its resources. "CASA volunteers are the eyes and ears for the judge. They work with the families, the teachers, and the counselors. Ultimately they write a report to the judge on what is happening in the child's life and recommend where they should be permanently placed." CASA works to break the cycle of child abuse and neglect. Through its volunteers, CASA advocates for safe, permanent, and nurturing homes for children who through no fault of their own have been removed from their homes and must rely upon the court to decide their future. CASA of South Louisiana works within the 15th Judicial District Court which encompasses Lafayette, Acadia, and Vermilion Parishes. The Louisiana Children's Code lays out the responsibilities of CASA and its trained volunteers who provide independent, third-party, objective assessments of what they see. Funding is provided by the Louisiana Supreme Court CASA Assistance Program, Victims of Crime Act Funding, the Louisiana Children's Trust Fund, and grants. Volunteers go through thirty hours of training, serve without compensation, and are appointed by the court exercising juvenile jurisdiction.  The judge of the court will verify the volunteer's qualifications, training, and ability to serve as a CASA volunteer, including the ability to represent and advocate for the best interest of the children assigned to him.  No volunteer is assigned until a comprehensive criminal background check has been conducted. When asked who the 'best' volunteers are, Heather jokingly said, "Our best volunteers are retired teachers. They've seen and worked with all different walks of life so they are very understanding." A CASA Volunteer spends time with their assigned child or sibling group getting to know the child while also gathering information from the child's family, teachers, doctors, caregivers, and others involved in the child's life. Approximately every six months, a report is prepared for the judge (with help from an assigned Supervisor) sharing recommendations for the child's care. Learn more about volunteering with CASA of SoLA at casaofsola.org. Heather stressed that nine times out of ten, a child is better off with their family of origin. When they enter the foster care system, the first goal is always reunification with their family. Children aren't normally removed from their families unless there is harm involved, as removing a child from their home is very traumatic. In some cases, CASA volunteers assist in the family home to monitor circumstances and provide resources. Heather gave one example of a mom who had her children taken away because at meal time she would throw potato chips on the floor. "She didn't know better. That is how she was raised. She needed training and support. She loved her children but didn't know better." The Louisiana Department of Children and Family Services ("DFCS") which oversees foster care services has lots of turnover and is short-staffed. CASA provides much-needed resources to help families meet the requirements to get their lives back on track. A study showed that only about 23% of families had the necessary resources to meet the requirements placed upon them by the court to be able to emerge from the system. CASA helps parents sign up for classes, arrange childcare so they can attend court-ordered classes, or provide food for the family for those times that the parent must be away.

Atrial fibrillation is the most common abnormal heart rhythm and has tripled in prevalence of the last 50 years. Approximately 20% of patients with atrial fibrillation may not even know that they have the arrhythmia. This podcast episode will provide insight into the importance of undiagnosed atrial fibrillation and will give practical tips to the pharmacist interested in developing a screening program for identifying undiagnosed atrial fibrillation. To learn more, visit www.ashpadvantage.com/nvaf The information presented during the podcast reflects solely the opinions of the presenter. The information and materials are not, and are not intended as, a comprehensive source of drug information on this topic. The contents of the podcast have not been reviewed by ASHP, and should neither be interpreted as the official policies of ASHP, nor an endorsement of any product(s), nor should they be considered as a substitute for the professional judgment of the pharmacist or physician.

Anna Leonarda is a nine-year breast cancer survivor who struggled with endometriosis, painful intercourse, and lack of libido for many years. Approximately eight years after diagnosis, she got divorced. Traditional dating apps didn't cater to people with sexual limitations so she created a dating app for individuals with sexual dysfunction/limitations. 01:39: How did you get diagnosed?  03:12: When I got the diagnosis, I was in shock. 05:19: I had a one-sided mastectomy.  07:16: I lost all my hair, and the side effects weren't horrible. 09:06: I'll join support groups on Facebook with 17,000 women that have vaginismus. 11:25: My mom had breast cancer, and she lived a good 10 years. 13:30: My chest looked yellow and brown.  15:38: What about the deep flap?  16:56: Did you end up doing that surgery? 20:06: What was your worst moment?  21:59: What is the one thing you wish you had known at the beginning of your cancer journey? 22:42: If you could only do one thing to improve health care in the U.S., what would it be and why? 23:56: Thriver Rapid Fire Questions.  25:11: Aside from Cancer U, what is one resource that you would recommend for cancer patients and caregivers?  27:24: If you're using this app, it means that intercourse is not a possibility.   Resources Anna on LinkedInAnna's dating websiteAnna on FacebookAnna on InstagramAnna on Twitter

Approximately 13 million adopted pets have found their way into homes over the course of the pandemic. While we've taken in our lovable new fur babies over the last two years, many of us are heading back into the working world leaving our pets behind (and alone) for the very first time. In dog years, that's over a decade and a half of their life! Mental health isn't simply something humans are dealing with; our four legged children will be coping with their own new levels of anxiety. Enter the team at Petco and Chief Marketing Officer Katie Nauman. On this episode of the podcast, Katie and I discuss Petco's shifting business to provide more holistic solutions for our pets and their owners. We chinwag on all the pet people working for the company and discuss how the idea of “bring a pet to work” is a year round ordeal in their culture. And, if you ever wanted to know how to go from an $8 an hour job to the Chief Marketing Officer at Petco, then this is the episode for you.

Today, the American Lung Association released the 23rd annual “State of the Air” report, which detailed the nationwide exposure to ozone and particle pollution in the United States in 2022. The new report revealed that approximately 9 million more people were affected by particle pollution since last year's report, with more reported days with “very unhealthy” and “hazardous” air quality than ever published in the 2-decade history of the “State of the Air”. The “State of the Air” report functions as a “report card” of sorts, one that tracks and grades exposure to levels of short-term spikes in particle pollution across the country. Additionally, the report is defined by 2 grades for particle pollution including “short-term” and “year-round”. Regarding short-term pollution, the 2022 report found that roughly 63.2 million people lived in counties with an “F” grade for unhealthy spikes in particle pollution, with 4 of the top 4 most polluted cities located in California. Additionally, more than 20.3 million people were reported to live in 1 of 21 counties where year-round particle pollution levels were worse than the national air quality limit, with all of the top 5 most polluted cities being located in California. The report also noted that 122.3 million people reside in counties with failing grades for ozone pollution. Despite being 860,000 fewer people than last year's report, the numbers remain alarming. Once again, the “State of the Air” report detailed the staggering affect of climate change on air quality in the US. For this episode of DocTalk, Managing Editor Kevin Kunzmann spoke with Stephanie Lovinsky-Desir, MD, MS, Volunteer Medical Spokesperson for the American Lung Association, who further elucidated the data found in the report. As a pediatric pulmonologist, Lovinsky-Desir details the notable burden that air pollution has on children. She also speaks to the associations between air quality and cardiovascular disease, the influence of Clean Air Act on better air quality, informing patients on how to avoid certain pollutants, and what can be done to reduce carbon footprints on both personal and communal levels. “Ultimately, I think the goal is for clean, healthy air, and I think we all as Americans deserve to breathe clean, healthy air,” Lovinsky-Desir said. “So advocating for that on multiple levels, and making sure that we are partnering with the people who are most likely contributing to the emissions, I think is going to be the key. It's a multi-pronged approach. It's not just one specific group that is responsible for making this change.”

Red Rover, Will Anyone come over? A sexual assault survivor's point of view.  CONTENT WARNING One in 5 women experience sexual assault. Every 68 seconds an American is being raped. Approximately 70% of rape or sexual assault victims experience moderate to severe distress, a larger percentage than for any other violent crime.  How do we recover from this trauma? Trauma that bleeds into all aspects of our lives. Our song, Red Rover reveals a woman's painful life long journey of coming terms with the shame, guilt and body disassociation she feels as a result of being raped. “Six months for you? A Life sentence for me.” In honor of sexual assault awareness month, we interview co-founder Of Paige Denim, Paige Geller Adam's, about how she has processed the trauma of being raped and began her healing journey from surviving to thriving.  Make sure to watch this video on consent: https://www.youtube.com/watch?v=oQbei5JGiT8 Connect with us: Listen to Women of Tomorrow Insta : @laurabellbundy insta : @sheasheacarter Produced by Dori Berinstein and Alan Seales. A proud member of the Broadway Podcast Network. Learn more about your ad choices. Visit megaphone.fm/adchoices

Today's guest, Kate Swenson, shares her honest, difficult, but inspiring journey of raising a son with severe autism. We can learn a lot about autism through her story, and I think we can all relate to facing unexpected challenges in parenting.   Approximately 1/54 kids in America are diagnosed with autism, and I know many of you are affected in one way or another by this diagnosis. Kate shares candidly about the pain and isolation she has experienced, her divorce -- and remarriage (a story of its own!) and the and how she has ultimately found joy and purpose in her journey to “find Cooper's voice.”  Be sure to share this episode with those you know who might be encouraged by Kate's story!   www.monicaswanson.com/episode-154   Podcast page (for all episodes) www.monicaswanson.com/podcast

News Reversing hearing loss with regenerative therapy | MIT News (01:28) Approximately 15% of American adults (37.5 million) aged 18 and over report some trouble hearing. The biotechnology company Frequency Therapeutics is seeking to reverse hearing loss — not with hearing aids or implants, but with a new kind of regenerative therapy.Using small molecules to program progenitor cells – a descendant of stem cells in the inner ear — to create the tiny hair cells that allow us to hear. In more detail, progenitor cells reside in the inner ear and generate hair cells when humans are in utero, but they become dormant before birth and never again turn into more specialized cells such as the hair cells of the cochlea. Frequency's drug candidate is designed to be injected into the ear to regenerate these cells within the cochlea.already improved people's hearing as measured by tests of speech perception The company has dosed more than 200 patients to date and has seen clinically meaningful improvements in speech perception in three separate clinical studies. MIT Institute Professor Robert Langer talked on the study results: “Some of these people [in the trials] couldn't hear for 30 years, and for the first time they said they could go into a crowded restaurant and hear what their children were saying … It's so meaningful to them. Obviously more needs to be done, but just the fact that you can help a small group of people is really impressive to me.” One company founder, Jeff Karp believes Frequency's work will advance researchers' ability to manipulate progenitor cells and lead to new treatments down the line.“I wouldn't be surprised if in 10 or 15 years, because of the resources being put into this space and the incredible science being done, we can get to the point where [reversing hearing loss] would be similar to Lasik surgery, where you're in and out in an hour or two and you can completely restore your vision … I think we'll see the same thing for hearing loss.” Engineered bacteria could help protect “good” gut microbes from antibiotics | Big Think (07:01) Following antibiotic treatment, some patients are at risk of developing inflammation or opportunistic infections.Antibiotics are indiscriminate with their attacks on bacteria, so they end up harming the beneficial microbes that live in the human gut. In an effort to reduce those risks, MIT engineers have developed a new way to help protect the natural flora of the human digestive tract. Beta-lactams make up about 60 percent of the antibiotics prescribed in the United States. Took a bacteria (Lactococcus lactis) safe for humans, and engineered it to produce enzymes that break down a class of antibiotics called beta-lactams (i.e. ampicillin, amoxicillin, etc.) It protects the microbiota in the gut but allows the levels of antibiotics circulating in the bloodstream to remain high. After the bacteria's job is finished, the engineered bacteria are excreted through the digestive tract. Andres Cubillos-Ruiz PhD talks on the effects of medication and diet can have on the gut microbiome:“Throughout your life, these gut microbes assemble into a highly diverse community that accomplishes important functions in your body … The problem comes when interventions such as medications or particular kinds of diets affect the composition of the microbiota and create an altered state, called dysbiosis. Some microbial groups disappear, and the metabolic activity of others increases. This unbalance can lead to various health issues.” To test their approach, the researchers gave the mice two oral doses of the engineered bacteria for every injection of ampicillin.In those mice, the researchers found that the amount of ampicillin circulating the bloodstream was as high as that in mice who did not receive the engineered bacteria. In the gut, mice that received engineered bacteria maintained a much higher level of microbial diversity compared to mice that received only antibiotics.  The researchers now plan to begin developing a version of the treatment that could be tested in people at high risk of developing acute diseases that stem from antibiotic-induced gut dysbiosis.   Wireless camera tool could make intubation safer and easier | Futurity  (12:40) Intubation is the process of inserting a tube into the mouth or nose and then into the airway to help move air in and out of the lungs. used to support breathing during surgery or an emergency A team of Rice University bioengineering students designed a new handheld, 3D-printed device with a miniature wireless camera, which could make intubation easier and safer. Kenneth Hiller, an anesthesiologist in private practice, who initiated the project, discusses the current practice:“Current state-of-the-art devices have limitations … Placing an endotracheal tube can be challenging in a significant number of patients' airways. For years, I've mulled over what I'd like in a device that can simplify the process and improve patient safety.” Hiller, who approached the team of engineers at the university, knew what he wanted to build but didn't know how to build it himself. Had a model with popsicle sticks and metal. One of the engineering students, Victoria Kong, explains the two different scope types:“There are two main types of laryngoscopes: with straight blades and with curved blades, and all of the video laryngoscopes on the market are in the curved blade format. While that's great for compressing the tongue to get it out of the way, it has a very high displacement volume. It takes up a lot of room in the mouth …  The straight blade gives you a more direct line of sight. We wanted to combine the stabilization afforded by curved blades and a straight-blade profile, and we did that by tapering our blade.” The project is looking at a wireless camera, since current market scopes have wired cameras that makes it bulky and reduces the amount of people in the room at one time. A wireless camera will allow doctors to view it on a smaller screen (i.e. tablet) while not being in the room during the process. “Having the video accessible on a tablet means a doctor in another room can watch and give feedback about technique to the airway manager performing the actual procedure,” according to Rebecca Franklin, who was a part of the design team. The students say they anticipate future refinements to include stainless steel construction for durability. They also see uses for the device beyond the clinic.   A massive "space cannon" can shoot payloads into space at hypersonic speeds  | Interesting Engineering (16:31)  An alternative rocket launch firm called Green Launch is developing a system to send small launch vehicles into space using a massive gas cannon.  With a 54-foot (16.5-meter) launch tube, the company was able to fire a payload into the stratosphere at a velocity exceeding Mach 3. A little taller than the length of a Semi-Truck trailer.  If the company is able to scale the system, the explosive method has the potential to massively reduce the cost and carbon footprint of small satellite launches.BIG IF! The concept of an artillery gun used as a low-cost method for sending payloads into space dates back to the U.S. Army's High Altitude Research Project (HARP) of the 1960s.HARP set a record in 1966 by firing a projectile above the 100-kilometer Kármán Line —  considered by many to be the line between Earth and space. Then HARP transitioned to the SHARP program (S = super) developed the hydrogen impulse launcher, which features a long thin barrel filled with hydrogen mixed with helium and oxygen. Sounds familiar!The SHARP program's 400-foot (122-m) impulse launcher broke records in the 90s by launching payloads at speeds of up to Mach 9. Now, Green Launch wants to leverage that technology to disrupt the booming small satellite launch sector.Green Launch says its "proof of concept" impulse launch will allow it to attempt to send a projectile past the Kármán Line later this year.  The company believes its method could also eventually be scaled to reach hypersonic speeds as high as Mach 20.  Green Launch CTO Dr. John Hunter talks about the process:“The trick is using a light gas like hydrogen, which has a very low molecular weight … You can get very high velocities that aren't possible with railguns or other systems. This has zero carbon emission and will allow us to revolutionize access to space and open the solar system to manned exploration." Green Launch will eventually have to build a launch vehicle that fires a small amount of propellant for course correction and placement once in orbit.  If its upcoming launch tests prove successful, Green Launch says it first aims to deploy its system to send atmospheric sampling devices to space to collect data for climatologists.  A new heat engine with no moving parts is as efficient as a steam turbine | MIT News  (22:54) Engineers at MIT and the National Renewable Energy Laboratory (NREL) have designed a heat engine with no moving parts. Converts heat to electricity with over 40 percent efficiency — a performance better than that of traditional steam turbines. On average, steam turbines reliably convert about 35 percent of a heat source into electricity, with about 60 percent representing the highest efficiency of any heat engine to date.  The heat engine is a thermophotovoltaic (TPV) cell, similar to a solar panel's photovoltaic cells, that passively captures high-energy photons from a white-hot heat source and converts them into electricity.Generates electricity from a heat source of between 1,900 to 2,400 degrees Celsius, or up to about 4,300 degrees Fahrenheit. The researchers plan to incorporate the TPV cell into a grid-scale thermal battery. Would absorb excess energy from renewable sources such as the sun and store that energy in heavily insulated banks of hot graphite. When the energy is needed, such as on overcast days, TPV cells would convert the heat into electricity, and dispatch the energy to a power grid. As of right now, the new TPV cell, the team has now successfully demonstrated the main parts of the system in separate, small-scale experiments. They are working to integrate the parts to demonstrate a fully operational system.  They have hopes to scale up the system to replace fossil-fuel-driven power plants and enable a fully decarbonized power grid, supplied entirely by renewable energy. For a grid-scale thermal battery system, The TPV cells would have to scale up to about 10,000 square feet (about a quarter of a football field). Operate in climate-controlled warehouses to draw power from huge banks of stored solar energy. Robert N. Noyce Career, professor at MIT, states: “Thermophotovoltaic cells were the last key step toward demonstrating that thermal batteries are a viable concept … This is an absolutely critical step on the path to proliferate renewable energy and get to a fully decarbonized grid.”  

Approximately 55% of Americans suffer from driving anxiety. This  anxiety can manifest in a variety of ways, leaving some sufferers unable to drive at all. Dr. David Shanley, a psychologist specializing in  anxiety and OCD, talks with Dr. Liz about his work with those suffering with anxiety and common practices in treating driving anxiety. Key Takeaways from Liz's chat with Dr. Shanley:• Learn about Dr. Shanley's background and treatment modalities• Hear what driving anxiety really is• Discover what can trigger driving anxiety• Find out more about the impact of driving anxiety on sufferers• Learn some quick tips for dealing with your own anxiety while drivingAll of this and more, on this episode of Calm, Cool and Connected.Learn more about Dr. Shanley on his website: drdavidshanley.com For more information on Dr. Elizabeth Fedrick, visit her website: evolvecounselingaz.comConnect with Dr. Fedrick on Instagram: @drelizabethfedrickWatch the video interview on our Facebook PageHave a question you'd like answered on the show? Leave us a voicemail here: https://www.speakpipe.com/CalmCoolConnectedFor more great Calm, Cool and Connected content, don't forget to subscribe to the podcast on Apple Podcasts, Google Podcasts, Overcast, Spotify, and all the popular podcasting platforms. (RSS)  https://3cstvshow.buzzsprout.comAlready subscribed? Please take a moment to rate and review the podcast so that we can reach as many people that need the help as we can: https://3cstvshow.buzzsprout.com DISCLAIMER: THE CONSULTATIONS OR INTERACTIONS OFFERED ARE NOT MENTAL HEALTH THERAPY. THE CONSULTATION IS FOR EDUCATIONAL PURPOSES ONLY AND NOT STRUCTURED IN A WAY TO PROVIDE MENTAL HEALTH COUNSELING/PSYCHOTHERAPY/THERAPY/ DIAGNOSING OF ANY KIND. YOU UNDERSTAND THAT CALM COOL AND CONNECTED IS NOT PROVIDING INFORMATION AS YOUR TREATING MENTAL HEALTH COUNSELOR, PHYSICIAN, ATTORNEY, LEGAL COUNSEL, EMPLOYER, MEDICAL PROFESSIONAL. We offer no guarantees or promise of results from event nor assume liability for any information provided.

Our guest today is heroic. Not in the mud defending your country from oligarchic fascist kind of way, but no less important and no less difficult. Sara is an old friend whom we met in Mysore, India, back in 2005. Approximately five years after this first trip to Mysore, she gave birth to her oldest child, who is now just over 12 years old. All was typically normal… in a typical new mom, “this is insanely impossible” kind of way. But, then Rocco developed symptoms of autism. Doctors informed her that he was “nonverbal” and may never interact in an understandable way. Sara, of course, will be the first to tell you that her child makes himself perfectly clear and has breezed past many thresholds that were once deemed impossible. It's one thing to manage your own life, and another to do it in an emotionally intelligent, and self regulated way; Even more so, to embody the spirit of the bodhisattva, to serve and lead other parents through their own journey with Neurodiverse children. Sara is someone all can learn from. We believe you will love hearing her story and you may even take away some gems for how you can manage, cope, and thrive as a parent. Sara Intonato (Level 2 Authorized Ashtanga Yoga Teacher) has been committed to a daily yoga practice in 2001 as a means of coping with debilitating anxiety attacks. Just 20 years old, yoga provided Sara with the tools to manage her anxiety attacks and a renewed sense of clarity in her life. Instead of working on Wall Street or applying to law school, the recent college graduate embarked on the journey of entrepreneurship and began freelance work as a yoga teacher. Last year, Sara launched her consulting practice for Autism families. She used to worked diligently to keep her two worlds as a mom and yoga teacher separate, carefully curating different social media channels and podcasts for each audience. But she started to realize, if yoga can help the average person to live a better life, why can't it also help people with Autism (including non verbal individuals), to do the same? Of course it can! You simply need to teach them differently. Join Harmony Saturday April 30th FINDING HARMONY RETREAT - Online - harmonyslater.com/findingharmonyretreat FIND OUT MORE ABOUT SARA INTONATO INSTAGRAM I YOGA IG I TOOLS FOR PARENTS The Finding Harmony Podcast is hosted, edited and produced by Harmony Slater and co-hosted by Russell Case. A big heart of thanks to our friends, family, and students from around the world, who've generously supported this podcast through your comments, sharing, and financial donations. If you've enjoyed today's podcast, please consider supporting our future episodes by making a donation. Every little bit goes a long way and we are immensely grateful for any and all of your support. Make A Donation - harmonyslater.com/donate

Garlic: While garlic contains phytonutrients similar to those found in onions, it also possesses selenium, a substance that, according to some studies, offers protection against various cancers and against the deterioration of the body caused by free radicals. Different studies have looked at and remarked on its ability to both guard against heart disease and arterial calcification (hardening of the arteries), and to reduce cholesterol and blood pressure. Since it is a source of the flavonoid quercetin, it contains antibiotic properties that empower it to fight colds, stomach viruses, and yeast infections.   Ginger: Ginger is already widely employed throughout the world by anyone who wants to cure dyspepsia (stomach upsets), reduce gastrointestinal gases, and to relieve nausea that arises from pregnancy, seasickness, and even from chemo drugs used in cancer and other medical therapies. Ginger is largely composed of fragrant essential oils, which give it a distinctive aromatic flavor. One of these oils, gingerol, makes it a natural sedative for calming the gastrointestinal tract. This oil also provides some protection from pathogenic bacteria that upset the stomach. All in all, ginger is rich in antibiotic properties that combat the GI infections that bring on diarrhea and dehydration. Beyond this, new evidence suggests ginger helps lower cholesterol, a boon that provides protection from cardiovascular disease. Folk medicine has long honored ginger. Bear in mind, by the way, that while some scientists look down on folk medicine, numerous modern pharmaceuticals have been derived from folk remedies, suitably renamed and price-tagged. This folk science, now supported by modern science, has seen ginger as a mild immune booster, which wards off colds and flus, sinus congestions, and coughs. There have also been some preliminary findings in animal studies suggesting that ginger may help to treat diabetes. This is an exciting new perspective.   Goji Berry: The goji berry, a fruit with many health-giving properties, has sometimes been traduced by more unscrupulous food companies by being sold in such things as (to imagine a name) “Goji Power Plus Bars,” which are actually low on goji as an ingredient and high on unrefined sugar. Now let's look at the value of goji, which has caused such companies to try to trade on its good name. Also known as wolfberry in its native Europe, the plant is found through much of Asia, where it appears in exotic (to Westerners) Tibetan and Himalayan descriptions. The word goji is actually a               Westernization of the Chinese word for the berry, which can be transliterated as “gouqi.” The berry is a common ingredient in traditional Chinese medicine, dating back thousands of years in its use. The oblong red goji berry has no problem fulfilling the requirements to be designated a super food. It has a high concentration of phytochemicals, amino acids, vitamins B and C, and beta-carotene. Additionally, it contains 11 essential and 22 trace dietary minerals, is moderately high in alpha-linolenic acid, and an outstanding source of the antioxidant lycopene. One can look to the goji berry for extra protein, dietary fibers, calcium, zinc, and selenium. With all these nutrients found in it, the goji will obviously have many health-lifting effects, and these include protection from cardiovascular and inflammatory diseases as well as from age-related vision disorders (such as glaucoma and macular degeneration). Studies have pointed to its neuro-protection, positive immunomodulatory, and anti-cancer properties. This last benefit has been underscored by a study published in the Chinese Journal of Oncology, which indicated cancer patients responded better to treatment while on a diet that included goji. However, the study recommended that individuals on blood-thinning medications avoid eating goji berries, which may interfere with the drugs. Last but far from least, it offers liver protection and can improve sexual function.   Green Tea: The ingredient in tea—in green tea particularly—that has stirred the most scientific interest is catechin. Approximately 25 percent of a dry tea leaf is catechin. Although traces of catechin are also found in chocolate, wine, and other fruits and vegetables, it is tea that offers the greatest amount of this super nutrient. The multi-tasking catechin not only has been shown to reduce the plaque buildup that is part of atherosclerosis, but it gives protection against infectious bacteria, and reduces oxidative stress. In our polluted world, tea catechins are especially needed due to another of its curative features, which is that it can improve DNA replication and protect against genetic damage from environmental toxins. Studies in recent years have noted its inflammatory properties and suggested it can play a role battling against cancer. Other scientific examinations note that green tea can improve bone density and cognitive function, reduce the risk of developing kidney stones, and strengthen heart function. There is also some evidence showing that green tea's polyphenols protect against the brain cell death that is associated with Parkinson's and Alzheimer's diseases. I remember reading about the traditional Chinese dental hygiene procedure of brushing with tea. At the time, years ago, I thought it was humorous, but I realize now, that like many folk practices, it is rooted in real insight. Even if brushing with tea doesn't prevent cavities, it is full of other health enhancer. videos: 1. WEF Advisor Yuval Harari On How Technology is Creating a Class of ‘Meaningless, Worthless' People (1:58) 2. Yuval “WEF” Harari – There is no God, Humans are Useless & Transhumans are the only Future

As another Tax Day approaches in the United States, your thoughts are probably on how much you hate Tax Day. It's understandable. Approximately 100% of Americans do not enjoy paying income taxes. We cannot avoid paying  ALL taxes, so let's stop complaining about it and start looking for ways to pay less. Believe it or not, there are ways. You just have to know where to look. In this episode, we share some simple strategies we've used to help clients lower, or even eliminate, taxes.

My friend and fellow student of money codenamed "Lester" joins me for a multi-episode conversation exploring the excellent book "The Twilight of Gold" by Melchior Palyi. Be sure to check out NYDIG, one of the most important companies in Bitcoin: https://nydig.com/ GUESTLester's Twitter: https://twitter.com/ProgrammableTxTwitter Thread Reference: https://twitter.com/naturalmoneybtc/status/1361036765293735937BOOKThe Twilight of Gold: https://archive.org/details/twilightofgold190000paly/PODCASTPodcast Website: https://whatismoneypodcast.com/Apple Podcast: https://podcasts.apple.com/us/podcast/the-what-is-money-show/id1541404400 Spotify: https://open.spotify.com/show/25LPvm8EewBGyfQQ1abIsE?si=wgVuY16XR0io4NLNo0A11A&nd=1RSS Feed: https://feeds.simplecast.com/MLdpYXYITranscript: OUTLINE00:00:00 “What is Money?” Intro00:00:08 Looking at Liquidity Principles in the Bitcoin Era00:04:34 Considering Global Base Money is Approximately 29.3 Trillion00:08:11 If There Was a Massive Unwind in Debt…00:13:51 There is Plenty of Sats in the Bitcoin Sea00:18:47 The Difference Between Money Supply and Purchasing Power00:21:09 NYDIG00:22:17 “It is Interest Being Bought With Money and Not Money Being Rented With Interest”00:29:52 Credit Should Incentivize and Not Hamper Productivity in Borrowers00:34:53 There Is No Need for a Planned Interest Rate00:39:14 Policy Manipulates Interest Rate Levers00:44:45 How Homes are Kept Unaffordable00:48:12 Pain Now or Pain Later: Delaying the Crippling Interest Structure00:53:42 Acknowledging Differing Viewpoints on Banking Schools00:55:30 “What is Money?” OutroSOCIALBreedlove Twitter: https://twitter.com/Breedlove22WiM? Twitter: https://twitter.com/WhatisMoneyShowLinkedIn: https://www.linkedin.com/in/breedlove22/Instagram: https://www.instagram.com/breedlove_22/TikTok: https://www.tiktok.com/@breedlove22?lang=enAll My Current Work: https://linktr.ee/breedlove22 WRITTEN WORKMedium: https://breedlove22.medium.com/Substack: https://breedlove22.substack.com/ WAYS TO CONTRIBUTEBitcoin: 3D1gfxKZKMtfWaD1bkwiR6JsDzu6e9bZQ7Sats via Strike: https://strike.me/breedlove22Sats via Tippin.me: https://tippin.me/@Breedlove22Dollars via Paypal: https://www.paypal.com/paypalme/RBreedloveDollars via Venmo: https://venmo.com/code?user_id=1784359925317632528The "What is Money?" Show Patreon Page: https://www.patreon.com/user?u=32843101&fan_landing=true RECOMMENDED BUSINESSESWorldclass Bitcoin Financial Services: https://nydig.com/Join Me At Bitcoin 2022 (10% off if paying with fiat, or discount code BREEDLOVE for Bitcoin): https://www.tixr.com/groups/bitcoinconference/events/bitcoin-2022-26217Automatic Recurring Bitcoin Buying: https://www.swanbitcoin.com/breedlove/Buy Bitcoin in a Tax-Advantaged Account: https://www.daim.io/robert-breedlove/Buy Your Dream Home without Selling Your Bitcoin with Ledn: https://ledn.io/en/?utm_source=breedlove&utm_medium=email+&utm_campaign=substack

Wednesday, 13 April 2022   ‘And the nation to whom they will be in bondage I will judge,' said God, ‘and after that they shall come out and serve Me in this place.' Acts 7:7   The previous verse referred to the dwelling of Israel in a foreign land, being brought into bondage, and the time frame – four hundred years – in which this would occur. With that stated, Stephen now continues quoting the Lord, saying, “And the nation to whom they will be in bondage.”   This is referring to Egypt. Approximately half of the period referred to will be in Egypt. And for a period of that time while in Egypt, they were brought into bondage –   “Now there arose a new king over Egypt, who did not know Joseph. 9 And he said to his people, ‘Look, the people of the children of Israel are more and mightier than we; 10 come, let us deal shrewdly with them, lest they multiply, and it happen, in the event of war, that they also join our enemies and fight against us, and so go up out of the land.' 11 Therefore they set taskmasters over them to afflict them with their burdens. And they built for Pharaoh supply cities, Pithom and Raamses. 12 But the more they afflicted them, the more they multiplied and grew. And they were in dread of the children of Israel. 13 So the Egyptians made the children of Israel serve with rigor. 14 And they made their lives bitter with hard bondage—in mortar, in brick, and in all manner of service in the field. All their service in which they made them serve was with rigor.” Exodus 1:8-14   As can be seen, the bondage was not the entire span of four hundred years. Only a part of the time was spent in Egypt. Further, only a part of the time in Egypt was a time of bondage. With the reference understood, Stephen's words continue, quoting God and saying of this nation, “I will judge,' said God.”   That is explicitly stated in Genesis 15 –   “Now when the sun was going down, a deep sleep fell upon Abram; and behold, horror and great darkness fell upon him. 13 Then He said to Abram: ‘Know certainly that your descendants will be strangers in a land that is not theirs, and will serve them, and they will afflict them four hundred years. 14 And also the nation whom they serve I will judge; afterward they shall come out with great possessions. 15 Now as for you, you shall go to your fathers in peace; you shall be buried at a good old age. 16 But in the fourth generation they shall return here, for the iniquity of the Amorites is not yet complete.'” Genesis 15:12-16   So far, as long as the proper reference is understood, the words of Stephen have followed the narrative logically and without any real difficulty. But, as with the previous verse, there is debate about the next words. Stephen finishes verse 7 saying, “and after that they shall come out and serve Me in this place.”   It is not uncommon for scholars to change the reference here from Abraham and Canaan to Moses and Mount Sinai. This is because Stephen's words closely match the words of Exodus when Moses spoke with the Lord on Sinai –   “So He said, ‘I will certainly be with you. And this shall be a sign to you that I have sent you: When you have brought the people out of Egypt, you shall serve God on this mountain.'” Exodus 3:12   This is problematic, however, because the reference immediately returns to Abraham in Stephen's next words of verse 7:8. As such, this is not speaking of Moses and Mount Sinai at all. Rather, it is still referring to the conversation between the Lord and Abraham. That is found later in Genesis 15 –   “And it came to pass, when the sun went down and it was dark, that behold, there appeared a smoking oven and a burning torch that passed between those pieces. 18 On the same day the Lord made a covenant with Abram, saying: ‘To your descendants I have given this land, from the river of Egypt to the great river, the River Euphrates— 19 the Kenites, the Kenezzites, the Kadmonites, 20 the Hittites, the Perizzites, the Rephaim, 21 the Amorites, the Canaanites, the Girgashites, and the Jebusites.'” Genesis 15:17-21   By the Lord giving the land to Abraham's descendants after they are brought out of Egypt, it implies that they will serve the Lord in Canaan (“this place”), rather than on Sinai (“this mountain”). Stephen's terminology varies from both Genesis 15 and Exodus 3. As such, determining which is the proper reference must be done apart from direct quotes. In this case, the reference being Abraham has not changed, and Stephen's words – though not a direct quote – are implied in (and fully supported by) the text.   Life application: There are difficulties in Scripture that are easy to simply pass over with the most expedient explanation. We hear it, it sounds ok, and so we move on. But this only confuses the narrative. Thus, it is better to consider that the first, and easiest, explanation may not be the correct one. Unless the issue is clear and without any controversy, we should consider all of the options we can think of or refer to.   By doing this, we will keep things in their proper context. As noted above, Abraham was the reference in the text, and Abraham will continue to be the reference in the text. Thus, contemplating the difficulty in the intervening words, and considering them from Stephen's perspective, will eventually lead to what was on his mind.   On the other hand, there was a difficulty in the previous verse where both Canaan and Egypt were being referred to, while certain words only applied to Egypt. Then, in this verse, only Egypt is the reference. As such, it is expedient to just say, “everything is referring to Egypt.” However, in doing this, the timeline of the actual Genesis narrative is then completely botched up.   Real care needs to be taken concerning this precious word. Let us be willing to spend the time to make sure that what we are presenting is actually properly aligned with what God has already presented.   Glorious God, Your word is big, difficult at times, and filled with things that take a lot of mental exertion to figure out. But it is worth the effort. At the end of the day, may we say, “I have done my very best to properly and rightly divide this sacred treasure.” To Your glory! Amen.  

Approximately 400,000 individuals are buried at Arlington National Cemetery. Perhaps the most famous of those are soldiers whose names are not known. The Tomb of the Unknown Solider is the final resting place for a group of servicemen who remain unidentified. The Tomb is guarded 24-7 by a detail of solders who stand long hours and conduct specific rituals. Matt Kreeb served served as a Tomb guard for over three years. His service was interrupted in a surprising way. He says his experiences at the Tomb resonate with him even today.

Globally, over 240 million children under five years of age suffer from malnutrition. Approximately 85% of these children are undernourished, manifesting as underweight, wasting, stunting and micronutrient deficiencies or insufficiencies. Under-nutrition contributes to about 45% of deaths in children under five years of age. Children in low-income and resource poor communities and nations are at the greatest risk. Healthcare providers in these communities play a central role in limiting the effects of under-nutrition in this vulnerable population, through early identification, prompt and appropriate care and referral. In this session we will review evidence-based approaches to developing sustainable preventive and early intervention strategies to combat the leading underlying cause of childhood morbidity and mortality in resource limited communities.

In this episode of the podcast, we sit down with John Haehnel of Tree Tech Inc, and discuss the value of the CTSP Credential for both him and the company he works for.John began working as a teenager with his uncle and father while learning tree work/equipment operation. He then joined the United States Marine Corps in 1991 and served four proud years in the Infantry until 1995. After leaving the Marine Corps, John found himself wanting to return to tree work and operating machinery. His path brought him to Tree Tech, where he has spent many years gaining experience working in the field in just about all areas of the industry. He began on the ground and worked diligently to improve his skills to progress through the ranks. His skills include groundman, climber, bucket operator, equipment operation, utility line clearance, and crane operator.  Approximately four years ago, John accepted the role of Director of Safety and Training at Tree Tech. With that role, he has brought forth many years of knowledge and experience from his time on-the-job, as well as from his CTSP continuing education.Our sponsor for this episode is PlanIt Geo.

Digital assets have been reported on by WGSN for many years now but we're seeing a significant rise in the engagement across markets, regions, categories and consumer cohorts. Approximately 70% of Gen Z and Gen X global consumers rate their digital identity as important, meanwhile 65% rate digital ownership as important and more than 50% are interested in purchasing a digital asset in the next 12 months. In this conversation, WGSN Prints and Graphics Strategist Kraggy is joined by Nell Lloyd-Malcolm CEO and Co-Founder of XYdrobe, Oliver Royce who is head of apparel and digital goods at Fnatic and Creative Technologist and leading figure in the augmented reality space, Ommy Akhe to discuss what the implications of these new rules are, and how fashion companies can authentically engage in this space.

The countdown is on to the start of the Invictus Games that are taking place this year at The Hague in the Netherlands.  The opening ceremony and a few sporting events take place on Easter Saturday, continuing thereafter up to the closing ceremony on Friday April 22nd, 2022. The Invictus Games, founded by Prince Harry and based on the US Warrior Games,  are designed for wounded, injured and sick servicemen and women, both serving and veterans. The idea is to use the power of sport to inspire recovery, support rehabilitation and to generate a wider public understanding, acceptance and respect for those servicemen and women who are injured while serving their country. Meghan Markle accompanied Harry to the Sydney Games in 2018. We have heard that she will be travelling with Harry to the Hague Games this year. The Games will take place in the existing Zuiderpark or South Park in the Hague, an area established in the city in 1936,  where recreational, sporting events and outdoor concerts are often held. Approximately 700 volunteers will be helping out during the week-long Games. So, what can you expect to see at the event? There will be the more traditional athletics, powerlifting, cycling, and swimming as well as wheelchair rugby, sitting volleyball, and one of my favourites the indoor rowing. This year,  they have added a Land Rover Driving Challenge that sees competitors drive through a series of  obstacles in the right order from start to finish – a bit like a horse-jumping event but using Land Rovers. Ticket prices to watch the competitions are modestly priced,  with free access to other parts of the park and a Fanzone where the public can listen to music or take part in other side activities,  all geared to accommodate people with disabilities.Dutch Royalty are also taking part. Princess Margriet is honorary chairman of the Committee of Recommendation of the Invictus Games The Hague 2020,  and she will be present at the one and a half-hour opening ceremony, which includes the flag parade similar to what takes place at the opening ceremony at the Olympics. King Willem-Alexander will attend the closing ceremony.This will Meghan's first official trip outside of the United States since she and Harry stepped back as senior working royals.  According to media reports she and Harry will be joined by a Netflix documentary crew.  This makes perfect sense as we know from Meghan and Harry's Archewell website that their Archewell Production company is producing a documentary series called "Heart of Invictus," which will showcase stories about the Games, the competitors,  and will follow some of the competitors on their journey leading up to and including taking part at The Hague 2020.It will be great to see Meghan and Harry back in action. Please keep listening for future podcasts on all things Meghan, Harry, Archie and Lili. Reach out to me through my blog at https://www.kindthoughtsformeghanmarkle.com/ and on twitter https://twitter.com/JeanetteSongolo

Approximately six to ten percent of the population has dyspraxia.

This week on Legally Speaking with Michael Mulligan:Unlike criminal cases, where there is always a next appearance date scheduled in court until a case is completed, civil cases are generally moved along by the plaintiff. The case discussed on the show involved a civil claim resulting from an apparently defective drop-side crib. The issue was identified in 2009 and resulted in the crib manufacturer recalling the cribs. Several proposed class actions were also filed in different provinces.In BC, a proposed class action was filed one day after the recall of the cribs was announced. A couple of years after the BC case was commended, the plaintiff asked the court to be replaced as the proposed representative plaintiff because of family and work time commitments. The judge managing the case denied the application to change plaintiffs, in part because the original plaintiff still had the crib, which the defendants wanted to have examined by an engineer. Approximately 8 years then passed without any meaningful steps being taken by the plaintiff to move the case forward. The defendant crib manufacturer eventually applied to have the case dismissed for “want of prosecution”. The test when this kind of application is made involves consideration of the length of the delay, explanations for the delay, an assessment of whether the defendants suffered prejudice and finally the judge deciding if the balance of justice requires the action to be dismissed. The case discussed was dismissed both because of the amount of time that had passed and the fact that the crib in question had inexplicably been lost, before it was examined by the defendants. Also, on the show, the lawyer for an accused person in a criminal contempt prosecution relating to the alleged blocking of a driveway at a “tank farm” in Burnaby, contrary to an injunction prohibiting interference with the Trans Mountain Pipeline, asked the judge to take judicial notice that the activity occurred on “unceded indigenous territory” or “indigenous territory”. In criminal cases, ordinarily, evidence of an alleged fact needs to be called if a party wants a judge to take it into consideration.  Judges can, however, take judicial notice of facts that are clearly uncontroversial without requiring evidence.To take judicial notice of something a judge must be satisfied that a fact is either: 1) so notorious or generally accepted as not to be the subject of debate among reasonable persons or 2) capable of immediate and accurate demonstration by resort to readily accessible sources of indisputable accuracy. While the judge agreed that it's obvious that indigenous people occupied some parts of BC before Europeans arrived, the assertion that the driveway in question was either “unceded” or “indigenous territory” was not a notorious fact. The judge rejected the claim that the territorial acknowledgements often used by politicians could be the basis for taking judicial notice of the alleged fact: “In any event, I hardly think that statements by politicians, which may be made for any number of reasons and not for the purpose of court proceedings, can be taken as a readily accessible source of indisputable accuracy.”While it's unclear that the claim the driveway in question was unceded indigenous territory will have any relevance to the criminal contempt trial, if the defendant wishes to rely on this assertion, they will need to call evidence to establish it. Finally, on the show, courts in BC have announced that many of the COVID safety protocols that were put in place at courthouses will be removed as of April 11, 2022. Follow this link for a transcript of the show and links to the cases discussed

Natasha Drapeau is the Executive Vice President of BioSig Technologies, pioneers in advanced biomedical signal processing solutions that will unlock the future of bioelectronic medicine, starting with the PURE EP™ System and their work on common and complex cardiac arrhythmia. Approximately more than half of patients diagnosed with this heart rhythm disorder have AFib. The BioSig noninvasive technology works with all the systems generating data to get an entire cardiac picture for diagnosis and performing a cardiac ablation procedure. Natasha explains, "What we're focusing on with our technology is really to prevent that signal distortion. That's happening both through our different hardware architecture and the software algorithms. We focus on delivering a much cleaner, more detailed cardiac picture displayed to the physician in real-time." "But also, we're uncovering a lot of diagnostic data that was simply not there before. We have side-by-side comparisons because we have other technology in support at the same time as PURE EP. I believe we have an opportunity there to give that better, more comprehensive cardiac picture to physicians, and that could lead to a transformation of care." @BioSig_Tech #MedTech #MedicalTechnology #Afib #AtrialFibrillation #AfibAwareness #Electrophysiology #Epeeps #GlobalEP #AF #Ablation #Cardiology #CardioTwitter #HeartHealth #BioelectronicMedicine BioSig.com Listen to the podcast here

Natasha Drapeau is the Executive Vice President of BioSig Technologies, pioneers in advanced biomedical signal processing solutions that will unlock the future of bioelectronic medicine, starting with the PURE EP™ System and their work on common and complex cardiac arrhythmia. Approximately more than half of patients diagnosed with this heart rhythm disorder have AFib. The BioSig noninvasive technology works with all the systems generating data to get an entire cardiac picture for diagnosis and performing a cardiac ablation procedure. Natasha explains, "What we're focusing on with our technology is really to prevent that signal distortion. That's happening both through our different hardware architecture and the software algorithms. We focus on delivering a much cleaner, more detailed cardiac picture displayed to the physician in real-time." "But also, we're uncovering a lot of diagnostic data that was simply not there before. We have side-by-side comparisons because we have other technology in support at the same time as PURE EP. I believe we have an opportunity there to give that better, more comprehensive cardiac picture to physicians, and that could lead to a transformation of care." @BioSig_Tech #MedTech #MedicalTechnology #AFib #AtrialFibrillation #AfibAwareness #Electrophysiology #Epeeps #GlobalEP #AF #Ablation #Cardiology #CardioTwitter #HeartHealth #BioelectronicMedicine BioSig.com Download the transcript here

Nebraska will welcome fans to Memorial Stadium on Saturday afternoon for the annual Red-White Spring Game presented by FNBO. Approximately 46,500 tickets have been sold for the spring game with tickets still available. Below is information for fans attending Saturday's Red-White contest, with kickoff set for 1:05 p.m.

Approximately half of marriages wind up in divorce, so Liza chats with Open Space Mediation professional Liz Merrill to uncover the secret to navigating the often high conflict world of divorce mediation. Like the show? Rate Enemies 5-Stars on Apple Podcasts and let us know who your enemies are by calling 323-677-1943 or emailing enemiesthepodcast@gmail.com Follow Liza Treyger: Twitter: @glittercheese  Instagram: @glittercheese and @enemiespodcast Follow Liz Merrill:  Instagram: @openspacemediation   Advertise on Enemies via Gumball.fm   See omnystudio.com/listener for privacy information.

SaaS Capital - I have always loved that name and followed their B2B SaaS Research for many years.Todd Gardner was a founder at SaaS Capital, which helped lead the early days of "Debt Lending" for SaaS companies. Most recently, Todd is now the principal at SaaS Advisors assisting both SaaS companies and SaaS investors during the financing process.During Todd's career, he has reviewed thousands of SaaS income statements and balance sheets which positions Todd very well for the business and financial impact of Usage-Based Pricing (UBP) for B2B SaaS companies.The first topic we discussed was "What is Usage-Based Pricing"? The concept is pretty basic, aligning pricing to the value received by the customer. This concept has been used in other consumption-based industries, such as gas, water, and cellular phone bills.How does UBP impact the traditional use of subscriptions? Approximately 50% of SaaS companies using a Usage-Based pricing model also include an annual subscription as part of the pricing structure....a hybrid model. One interesting aspect when using a UBP + Subscription model is what is included in the subscription versus being purely usage-based charges?One of the challenges of a Usage-Based Pricing model is the increased challenge of revenue forecasting - which was one of the benefits of the traditional SaaS subscription model. Todd highlighted there is a trade-off in pricing between simplicity and value alignment. By having a hybrid Usage-Based Pricing model, there can still be the predictability of the subscription model while still having the opportunity to increase revenue as value increases for the customer.Is there a history of Usage-Based Pricing in a software subscription model? In the spirit of all things being circular, the original use of UBP was in time-sharing, which was a popular software application usage model in the 1980s. One of the challenges in that phase of subscription software was once usage increased to make the monthly cost-prohibitive or after a couple of unexpected large invoices from higher than normal/expected charges. Todd highlighted that with the introduction of the Customer Success organization, coupled with the use of product analytics, a SaaS vendor can stay in front of sustained "larger than expected" invoices and even use increased usage to re-structure the agreement to either "cap" overage usage and/or decrease the per-unit cost in consideration of a larger commitment.Todd recently conducted research that identified 6 product attributes or leverage points that suggest considering a Usage-Based Pricing model:1. Lower in the technology stack products (infrastructure, databases, tools, platforms, etc.)2. Application products that have a high Cost of Goods Sold basis 3. Use of the product is directly linked to business value (payments, eCommerce)4. Self-provisioning products (think Product-Led Growth)5. Growth and intensity of usage (high growth, heavy usage-based products)6. Value is driven by automation - such as integration/API based productsTodd has a unique perspective on the SaaS industry, informed by reviewing and lending to 1,000's of SaaS companies, and his recent research on Usage-Based Pricing across the SaaS industry is the basis for an information-packed conversation.

Liver disease is much more common than people realize! Approximately 25% of adults and 10% of kids have non-alcoholic fatty liver disease (NAFLD), the most common condition affecting liver function.... but, there is GOOD NEWS! Liver disease is completely reversible! (before scarring, or cirrhosis, takes place) Liver disease does not just come out of nowhere (except in rare circumstances of acute toxicity, most often from pharmaceuticals). Liver function becomes sluggish over months, years, and decades of “toxic buildup” from a suboptimal diet/lifestyle.Toxicity and nutritional deficiency set the stage for a sluggish liver which then has innumerable consequences when it comes to each and every system and function in your body.Last week, in Episode 289, we talked about “Staying Toxin-Free.” This is hugely important for liver health, but there is so much more.This week, we dive deeper to understand the amazing design and function of the liver and how to optimize its performance to keep us healthy in this crazy and toxic world.Spoiler alert... one amazingly loving thing your can do for your liver is a Seasonal Cleanse - such as the upcoming Alter Health Cleanse! Learn more at www.alter.health/cleanse If you'd like to join these conversations live, be sure to Subscribe to the Alter Health YouTube Channel! https://www.youtube.com/alterhealth Some highlights from today's MM episode...The primary roles of the liver - 500 incredible functions, including detoxificationSome common signs of sluggish liver function (pre-NAFLD diagnosis)The 5 big obstacles that contribute to liver diseaseHow your body is like a bucket and what can go wrong that causes it to overflow (express symptoms )9 powerful lifestyle practices that reverse liver disease (including Alter Health Cleanse, of course!)Links to some more good stuff-  Join Alter Health on Locals: https://alterhealth.locals.com/- Cleanse with Us during the next Alter Health Cleanse: https://www.alter.health/cleanse- Work with us in the Thrive on Plants program: https://www.alter.health/thrive-on-plants- ATTN Health Practitioners! Learn more and apply to the Plant Based Mind Body Practitioner Program: https://www.alter.health/pbmb-practitionerPeace and Love.

Approximately 1 in 5 individuals in the United States alone will experience depression during their lifetime. Current guidelines suggest that monotherapy may be used as initial therapy for major depressive disorder, but what evidence exists suggesting that starting dual anti-depressant therapy may have better outcomes? Join your host, Geoff Wall as he discusses a recent meta-analysis regarding dual therapy in depression.   The GameChanger:  For initial therapy or patients who are non-respondent to previous treatment, dual anti-depressant therapy may have a small, but significant impact on treatment outcomes, specifically treatment efficacy.   Show Segments 00:00 – Introductions 01:19 – Dual Therapy in Depression 11:57 – Which Anti-Depressant Combination? 15:27 – The GameChanger 18:37 – Closing Remarks   Host: Geoff Wall, PharmD., BCPS, FCCP, CGP Professor of Pharmacy Practice, Drake University Internal Medicine/Critical Care, UnityPoint Health  References and resources: Combining Antidepressants vs Antidepressant Monotherapy for Treatment of Patients With Acute Depression: A Systematic Review and Meta-analysis  Redeem your CPE or CME credit here! Pharmacist members CME Need a membership? Join for CPE Credit  Join for CME Credit  Continuing Education Information: Learning Objectives: Describe which two classes of antidepressants had the highest remission rate when used together in this study  Discuss the pros and cons of this meta-analysis including the studies' heterogeneity  Dr. Wall is a member of the Janssen Speaker's Bureau. 0.05 CEU | 0.5 Hrs ACPE UAN: 0107-0000-22-143-H01-P Initial release date: 04/4/22 Expiration date: 04/4/2023 For more information https://www.ceimpact.com/podcast 

Will writes "A childhood friend and I were scouting places to conceal a turkey blind in a very inaccessible location in northwest Alabama. Having taken a 4 wheel drive in, then unloading 4 wheelers, and then again having to abandon those to walk where we wanted to be gives you an idea how deep we decided to go. Approximately 2 miles in on foot a large rock landed directly between my friend and I. We both looked at each other thinking the same thing, someone is messing with us. However the we also thought the other unnerving thing, no one knows we're here and no one is anywhere close. Approximately 30 minutes later and about another mile in I caught the second rock in mid air out of my periphery before it hit. I immediately turned my head in the direction I thought it came and there that big bastard was. Only 70-80 feet away, no more than 30 yards."

Episode 88: EVALI. Nugdeep and Jeffrey present E-cigarette and Vaping Associated Lung Injury (EVALI), including symptoms, diagnosis, and treatment. Introduction includes a word of advice for matching and not matching students in 2022.  Introduction: The Match 2022 is over.  By Hector Arreaza, MD. Read by Valeri Civelli, MD. Another Match season is behind us. It's time to celebrate and prepare for a new stage of your career. As an interesting fact, the American Association of Family Physicians announced that in 2022 the highest number of family medicine residents matched.Positions for family medicine residencies have been steadily growing for the last 13 years in a row. There are 756 family medicine categorical and combined residency programs, that's 15 more programs than in 2021. Also, in 2022, osteopathic medical schools had the historic highest number of students matching into family medicine, to be exact 1,496 DO seniors matched to family medicine this year, that's 58 more students than 2021.During this season, the number of U.S. medical grads matching into family medicine “did not increase despite a larger number of positions available.”[1]If you did not match this year, the Match can also be a time of reflection and goal setting as you prepare with optimism for the next season. To increase your chances to match next year, Dr. Margarita Loeza advised in an AMA article[2] to stay in touch with your medical school, find a job in a clinical setting, take Step 3, and try a new approach during next season. For example, you may consider applying to a higher number of programs or even more than one specialty. Residency training is the primary way to get licensed to see patients, but there are hundreds of alternative ways to pursue your passion for medicine. Do not give up on your goals. “Never give up on something that you can't go a day without thinking about.” ―Winston Churchill.This is Rio Bravo qWeek, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California. Our program is affiliated with UCLA, and it's sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. Page BreakEVALI.By Nugdeep Singh, MS4; and Jeffrey Nguyen, MS4. Ross University School of Medicine. Participated in the discussion: Hector Arreaza, MD. N: Good afternoon listeners. My name is Nugdeep Singh, and I am a fourth-year medical student. J: Hello, and I'm Jeffrey Nguyen, also a fourth-year medical student. Thank you for having us today Dr. Arreaza. N: Today we will be talking about E-cigarette and vape-associated lung injury (EVALI), also known as vaping-associated pulmonary injury (VAPI). But, before we get into the medical pathology of E-cigarettes and vapes, why don't we give a little background on them.Arreaza: EVALI and VAPI sound like another Indian holiday or an Italian dessert, but EVALI and VAPI are certainly no joke. J: Sure, let's get started. So, E-cigarettes are battery-operated devices that heat liquids containing nicotine to produce an aerosol that the user inhales. Long-term health effects and whether they help an individual quit smoking has been controversial, as there has not been much research on it. These E-cigarettes have raised public health concerns on smoking prevalence and their potential use by children. In 2019, over 5 million children and adolescents were using 3-cigarettes. This represented an increase in e-cigarette use by high school students from 12% in 2017 to 28% in 2019. In fact, Massachusetts legislation bans the sale of all flavored tobacco products starting in June 2020. Nicotine is the main ingredient in the liquid, however, there are other constituents that are carcinogenic potential. Nugdeep, can you go over some of these ingredients? N: Yea, let's start with nicotine. The level of nicotine varies between 0 to 36mg/mL, though it can be higher in some. Nicotine salt is another variant that can provide a different sensation in a user's throat. Next is propylene glycol, which are humectants, and they are the main component of most E-cigarette liquids. Arreaza: When you mentioned proPYlene glycol, I immediately thought of “PEG”. PolyEthylene Glycol, does it ring a bell? Yes, it's a common laxative, but besides that it's used in the mRNA COVID-19 vaccines. Having allergy to PEG is one of the few contraindications of the COVID-19 vaccine. But you are not talking about PEG, you are talking about propylene glycol, which is a lightly sweet substance used in e-cigarettes, which can cause chemical conjunctivitis or respiratory irritation.  The consequences of chronic inhalation of propylene glycol are still unknown.N: Finally, there are flavorings and there are about 7000 flavors available. Some examples include candy, fruits, sodas, and alcohol flavors. J: Can I add something real quick? N: Yea, of course. J: Although these flavorings do add taste to the experience, it attracts E-cigarettes in the youths, especially those who do not already smoke. So, kids, don't start smoking these just because of the different flavors. Sorry for interrupting you, you can continue. N: It's all good. To continue where I left off, metals such as tin, lead, nickel, chromium, and arsenic have also been found in these liquids. In addition to these, people can also use aerosolized THC or cannabinoid oils with these E-cigarettes. J: Wow, there are so many ingredients found in these liquids that the public is not aware of. Now that we know a little more about E-cigarettes, let's talk about how they affect the lungs. N: Yea, let's get to it. E-cigarette and Vape Associated Lung Injury was first recognized in the summer of 2019 and to date, there are more than 2800 cases that have been reported to CDC as of February 2020. Among those, 68 deaths have been recorded.  Approximately 66% are male users and nearly 80% are under the age of 35. Unfortunately, 22% of the patients have underlying asthma. J: Currently, we still don't fully understand how E-cigarettes affect the lungs. Reported cases have hypothesized that lung diseases are associated with acute eosinophilic pneumonia, diffuse alveolar hemorrhage, acute and subacute hypersensitivity pneumonitis, respiratory bronchiolitis-associated pneumonitis, and interstitial lung disease, suggesting that more than one mechanism of injury may be involved. It is important to understand that there is no evidence of an infectious etiology. N: One interesting fact is that when they took fluid samples from the lungs (called bronchoalveolar lavage) from patients with lung injury from E-cigarettes, they noticed that the sample contained THC and/or Vitamin E acetate. Of course, other additives were included, however, these two were in the majority of fluid samples. In fact, the product Juul® was recently found to have a strong association with EVALI. Arreaza: JUUL was a commercial success, compared to Uber and Airbnb, but it has been involved in a lot of controversies around the world. J: Vitamin E acetate? But isn't that found in many other products that we use on a daily basis? N: Definitely, Vitamin E is found in many foods including vegetable oils, cereals, meats, fruits, and vegetables. It is also available as dietary supplements and is in cosmetic products such as skin creams. There are no known harms when Vitamin E acetate is ingested or applied to the skin, however, research suggests that it interferes with normal lung functions. J: Interesting, who knew something as simple as Vitamin E can cause harm to the lungs when used differently. To continue, let's talk about symptoms that patients present with. Respiratory symptoms include shortness of breath, cough, chest pain, pleuritic chest pain, and hemoptysis. Patients may have subjective fever and chills. GI symptoms include abdominal pain, nausea, vomiting, and diarrhea. Vital signs can be remarkable for tachycardia, tachypnea, and hypoxemia that may progress to respiratory failure. Nugdeep, are there any criteria to meet the diagnosis of E-cigarette and Vape Associated Lung Injury? N: Before I talk about how to make the diagnosis, I want to mention that CDC recommends obtaining detailed information on the type of vaping device used, type of substance used, frequency of vaping, and where these devices were obtained. To answer your question, in order to make the diagnosis, you need:Use of e-cigarettes in the past 90 days.Chest x-ray or CT chest showing lung opacities without any signs of lung infection.Negative influenza PCR, respiratory viral panel, and other respiratory infections like urine antigen test for legionella. (COMMENT: COVID-19?) Once the diagnosis has been made, what are the treatment options? J: Since this is a new and upcoming problem, there are no known treatments to date. The most important thing is to rule out infectious processes, such as community-acquired pneumonia. However, patients diagnosed with EVALI can be started on antibiotics empirically to cover pathogens of community-acquired pneumonia. Systemic glucocorticoids have been used; however, the efficacy has not been formally studied. The decision to initiate systemic glucocorticoids is challenging due to various presentations, but it has been suggested to initiate systemic glucocorticoids for patients who meet the criteria for EVALI and have progressively worsening symptoms and hypoxemia. So, what does supportive care entail?N: 95% of patients with this diagnosis will require hospitalization for supportive care, such as supplemental oxygen with a target pulse oxygen saturation of 88-92%. If hypoxemia worsens, management follows that for acute respiratory distress syndrome. In order to discharge a patient, it is important to ensure vital signs, oxygen saturation and exercise tolerance are stable for 24-48 hours prior to discharge. Jeffrey, to conclude this podcast, can you talk about the prognosis of EVALI? J: Sure. When comparing fatal vs nonfatal cases of EVALI, the proportion of fatal cases was higher among patients over the age of 35 and those with a history of asthma, cardiac or mental health conditions. Case reports among adolescents suggest residual lung dysfunction, like short-term diffusion abnormalities. However, it remains unclear whether abnormalities persist in the long term. We would need to wait while they do more research about this condition. Arreaza: E-cigarette use is increasing, and we need to be aware of the signs and symptoms of E-cigarette and vape-associated lung injury (EVALI) to start treatment appropriately. Remember to include e-cigarettes and vaping when you ask questions about smoking. ____________________________Now we conclude our episode number 87 “EVALI.” EVALI stands for E-cigarette and vape-associated lung injury. The medical community has been increasingly concerned about the safety and health consequences of e-cigarettes and vaping. When you encounter a patient with respiratory complaints, remember to ask about any form of tobacco use, including e-cigarettes and vaping. If you suspect a patient has EVALI, confirm the diagnosis with a chest x-ray or CT scan and rule out any infectious etiology. Consider hospital admission if symptoms are severe, for example, if the patient has shortness of breath or requires oxygen. Even without trying, every night you go to bed being a little wiser.Thanks for listening to Rio Bravo qWeek. If you have any feedback about this podcast, contact us by email at RioBravoqWeek@clinicasierravista.org. This podcast was created for educational purposes only. Visit your primary care physician for additional medical advice. This week we thank Hector Arreaza, Valerie Civelli, Nugdeep Singh, and Jeffrey Nguyen. Audio edition: Suraj Amrutia. See you next week! _____________________References:Mitchell, David, Family Medicine Welcomes Largest Class of Residents Ever, American Association of Family Physicians, aafp.org, March 18, 2022, https://www.aafp.org/news/education-professional-development/2022-match-day.html. Smith, Timothy M., What if you don't match? 3 things you should do, American Medical Association (ama-assn.org), https://www.ama-assn.org/residents-students/match/what-if-you-don-t-match-3-things-you-should-do. Kaplan, Sheila, Andrew Jacobs, and Choe Sang-Hun, The World Pushes Back Against E-Cigarettes and Juul, The New York Times, nytimes.com, March 30, 2020 https://www.nytimes.com/2020/03/30/health/vaping-juul-international.html.

Pennsylvanians suffer while pharmacy middlemen profit By Suzanna Masartis Pennsylvanians are getting crushed by the costs they face at their neighborhood pharmacy counter. The situation has grown so bad that a shocking one in five Keystone State residents report they are unable to take their medications as prescribed due to the cost burden.[1] As a lawmaker and an advocate who speaks to patients in Pennsylvania every day with liver disease, diabetes and other chronic conditions, I am convinced more strongly than ever that we need to reform the prescription drug supply chain. To understand how we got here we need to understand what's driving increasing costs. A new report found that, in 2020, manufacturers of brand-name and generic medications received only 37 cents of each dollar of the more than $680 billion spent on medications. If you look exclusively at manufacturers of brand-name medications, the drug makers are taking in just under 50 cents on the dollar. So where is the money going? Turns out that it's little-known middlemen corporations, Pharmacy Benefit Managers (PBMs), that are taking a bigger and bigger share of the pie.[2] PBMs were created to negotiate with insurers and drug manufacturers and establish which prescription drugs are covered by a health plan. In reality, they demand steep discounts from drug makers off of the original list price as a condition to include those drugs on the approved list of medications – and then keep the savings for themselves. But here's the real rip-off: Patients at the pharmacy counter still face co-insurance charges based on the list price -- not the discounted price insurers actually pay. In other words, PBMs are enriching themselves while hiking prices for the rest of us. {3} Worse still, PBMs manipulate their powerful market position to reduce the availability of prescription medications by excluding them from formularies. PBMs make their money when they demand exorbitant rebates from drugmakers and charge patients full cost, meaning they prefer to include drugs with higher list prices on their formulary over an equally effective drug with a lower list price. As a result, a number of drugs are excluded from formularies because PBMs can't make as much money from them. In 2020, the three largest PBMs excluded 846 FDA-approved drugs, denying patients access to more medications than ever before. This market manipulation has disastrous results for patients. A study published last year found that these practices, called “drug utilization management,” can lead patients to abandon their prescribed medications and delay treatment. Approximately 20% of prescriptions in the U.S. are never filled, according to the study.[4] This outcome is simply unacceptable, and our leaders need to take action. Congress needs to ensure that any attempt to rein in out-of-pocket prescription drug costs includes taking a close and hard look at PBMs. Doing so would go a long way toward ensuring every patient and healthcare consumer in our state can access and afford to take their medications as prescribed by their doctor. Suzanna Masartis of Pittsburgh is the CEO of the Community Liver Alliance. [1]https://www.healthcarevaluehub.org/advocate-resources/publications/pennsylvania-residents-worried-about-high-drug-costs-support-range-government-solutions [2]https://ecommunications.thinkbrg.com/44/2328/uploads/brg-pharmaceutical-supply-chain-2022.pdf?intIaContactId=24HydQaSTYqd85tTztTDcQ%3d%3d&intExternalSystemId=1 [3] https://www.fiercehealthcare.com/payer/study-drug-utilization-costs-health-industry-93b-a-year-patients-bearing-most-cost [4] https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2021.00036 Learn more about your ad choices. Visit megaphone.fm/adchoices

Ruby-throated hummingbirds are common and much beloved summer visitors to yards and gardens throughout the eastern U.S. and Canada. In this episode of the Backyard Ecology podcast, we talk about ruby-throated hummingbirds, their northward migration, and how to make our yards more hummingbird friendly. We are joined in this conversation by Cyndi Routledge who is the CEO of Southeastern Avian Research (SEAR). When people think about attracting hummingbirds to their yards, the most common reaction is to put up a hummingbird feeder. However, making your yard more attractive to hummingbirds goes way beyond just putting up a feeder. Approximately, 80% of a ruby-throated hummingbird's diet consists of soft-bodied insects. Hummingbirds also prefer natural nectar sources over sugar-water while they are nesting and raising young. Water sources and places to build nests or find shelter from storms are also important factors that hummingbirds look for when choosing their territories. Cyndi and I spend a significant amount of time discussing what makes good hummingbird habitats and how we can use this knowledge to make our yards more attractive to ruby-throated hummingbirds. Cyndi also shares with us the proper way to maintain our feeders if we choose to put up hummingbird feeders. As she points out, hummingbird feeders are for our enjoyment, not the hummingbirds' survival. So, if we choose to put out feeders, then it is our responsibility to make sure that they aren't going to inadvertently harm the birds. Other topics in our conversation include the ruby-throated hummingbird's migration north, some common myths and folktales that we often hear, how hummingbirds are adapted to survive cold temperatures, the different roles of the male and female hummingbirds, and much more. Links: Southeastern Avian Research: Website: https://southeasternavianresearch.org/ Facebook: https://www.facebook.com/southeasternavianresearch/ Backyard Ecology's website: https://backyardecology.net Related Backyard Ecology episodes: Winter Hummingbirds in the Eastern U.S.: https://www.backyardecology.net/winter-hummingbirds-in-the-eastern-u-s/ My email: shannon@backyardecology.net Episode image: Ruby-throated hummingbird drinking nectar from an obedient plant flower. Photo credit: USFWS Midwest Region, public domain

On Tuesday, March 29, 2022, communities around the U.S. will pay tribute to Vietnam veterans and their families on National Vietnam War Veterans Day. U.S. involvement in Vietnam started slowly with an initial deployment of advisers in the early 1950s, grew incrementally through the early 1960s and expanded with the deployment of full combat units in July 1965. The last U.S. personnel were evacuated from Vietnam in April 1975. Approximately 9 million Americans served during the Vietnam era (Nov. 1, 1955, to May 15, 1975). More than 6 million are still alive. The Vietnam War Veterans Recognition Act of 2017 established March 29 as the day to pause and commemorate, remember, recognize and honor Vietnam Veterans, former Prisoners of War, those listed as Missing in Action and their families. March 29 was chosen for several reasons. It was on this date 49 years ago that the last combat troops departed Vietnam. It was also on this day, nearly half a century ago, that Hanoi freed the remaining prisoners of war the Republic of Vietnam was willing to acknowledge.https://39238b20c00c2e3c88c8778205f8a4e8.safeframe.googlesyndication.com/safeframe/1-0-38/html/container.html As part of the national observance, the Vietnam War Commemoration is interviewing Vietnam Veterans and their families and archiving these oral history interviews on the commemoration website and via the Library of Congress Veterans History Project. To learn more about this program visit www.vietnamwar50th.com or visit their Facebook page at www.facebook.com/VietnamWar50th. Our previous Vietnam veteran guests: Steve Ritchie Lee Ellis Doc Weaver Bill Driscoll Steven Bennett Larry Freeland Ralph Wetterhahn Manny Montes Vic Vizcarra John Borling Charlie Plumb Robert Shumaker Smitty Harris Randy Larsen John Morrissey Ric Hunter Charles Doryland Jim Badger George Hardy Robin Olds Russ Goodenough Don Mrosla Ed Cobleigh Dave Scheiding Don Shepperd Patrick Brady John Fairfield Lynn Damron Lawrence Chambers Bob Gilliland Brian Settles Mark Berent Dick Jonas Merrill McPeak John Swanson Dale Stovall Walt Fricke Bill Straw Son Tay Raiders Lance Sijan

Approximately one in every 2000 individuals has narcolepsy and most patients exhibit symptoms in their childhood or teenage years. Most times it could take severals years for proper diagnosis for these young patients because the symptoms need to be established. In this episode, join me as we dive further on narcolepsy in our kids and how we can help them navigate through this condition.    Key Takeaways: Early symptoms of Narcolepsy for children and teens How Narcolepsy affects a child's learning and behavior  Possible causes and symptoms Available treatments for children and teens with Narcolepsy Narcolepsy is a lifetime condition that requires continuous assessment and monitoring. Earlier diagnosis is critical in establishing controls to make life more normal for our kids and teens with Narcolepsy.    Our Partner Products: www.ocushield.com (use code DASSANI at checkout for 40% savings!) www.sleepphones.com www.aeroscena.com    Dr. Meghna Dassani is passionate about promoting healthy sleep through dental practices. In following the ADA's 2017 guideline on sleep apnea screening and treatment, she has helped many children and adults improve their sleep, their breathing, and their lives. Her books and seminars help parents and practitioners understand the essential roles of the tongue, palate, and jaw in promoting healthy sleep.   Learn more about Dr. Meghna Dassani Website: www.meghnadassani.com; www.dassanidentistry.com   Facebook: Meghna Dassani; Dassani Dentistry  Instagram: @healthysleeprevolution; @dassanidentistry LinkedIn: Meghna Dassani  Get a copy of Airway is Life: www.airwayislife.com

Approximately 750,000 people gathered on Sunday morning in central Israel for Rabbi Kanievsky's funeral making it the largest funeral in Israel's history. The leaders of Judea and Samaria refused to meet with Defense Minister Benny Gantz. Isaac Herzog and Emanuel Macron held a diplomatic meeting in France, and a fun fact for the day.    This and much more right here on today's show!

I was involved in delivering a substantial training program together with another training provider recently.   Approximately 122 people to train.   Three training modules were to be delivered remotely to groups of 9-10.   It looked straightforward on the surface. The client was happy with the content.   But problems began when two things happened.   1. The client didn't take our advice on positioning the training program internally   2. They questioned the order of the training modules   The results? People complained that they had no idea why they were on the program.   Secondly, the flow of learning didn't make sense.   Against our better judgement, we agreed to their changes to our recommendations.   In the end, the client took our advice but some damage has been done. Feedback was disappointing.   What's the lesson here?   It's really important that you don't just show confidence in your training - but in the process in which your product is delivered.   In today's episode:   Why your training process matters What to do stand your ground professionally How having the confidence to push back matters   Check it out now! 

Approximately 3/4 of people don't know about the local pregnancy resources in their communities. These resource centers are equipped to TRULY support women & families in need, but they cannot do that if nobody knows they exist. The abortion industry on the other hand has done a great job marketing to their target audience and positioning themselves within walking distances of college campuses. They are preying on these unsuspecting women all in the name of "healthcare" and "empowerment." But we know that REAL healthcare means providing life-saving care. Listen in to this week's special guest Scott Baier, CEO of Community Pregnancy Clinics, as he shares with us his advice for how we can do a better job of bridging the gap between women in need & their free, local, and life-affirming options.

Approximately 6.3 million pets end up in shelters each year in the United States. Grace Kay, Founder and President of Their Lives Matter, joins us today to discuss how Their Lives Matter is helping to tackle the problem. Their Lives Matter is a 501c3 non-profit organization dedicated to saving the lives of unwanted animals through adoption and fostering, and reducing overpopulation through spay and neuter programs.Topics Include:- How Grace got into animal welfare- The therapeutic benefits of animals- Dealing with social media critics- Rescue during the pandemic- Compassion when dealing with owner surrenders- And other topics…Resources Mentioned:https://theirlivesmatter.org/CUDDLY Blog: https://bit.ly/3LLRPUaWant to connect with us? Follow us on social media!Email – podcast@cuddly.comInstagram @welovecuddlyTwitter @welovecuddlyFacebook @welovecuddlyhttps://cuddly.com

Approximately 1.1 million runners complete a marathon each year, which is roughly 0.01 percent of the world's population, according to the International Institute for Race Medicine (IIRM). Eric Spitz firmly finds himself amongst this population. He's a former collegiate cross country and track athlete with a love for marathon running and traveling. He's spent the past 7+ years combining those two passions with the goal of running a marathon in all 50 states. Eric is a member of the 50 States Marathon Club with 15 states knocked off my list, and I don't plan on slowing down until I hit 50. “I've been writing about my experience of running in each state on my blog, Juxtaposed Journeys. Juxtaposed Journeys is also a podcast, where I interview other individuals who are following their passions in life. I have a love for deep and meaningful conversations about the things that make life worth living. He joined me this week to tell me more. For more information: https://www.juxtaposedjourneys.com/ Facebook: @JuxtaposedJourneys LinkedIn: @EricSpitz Instagram: @juxtaposedjourneys Listen: https://podcasts.apple.com/us/podcast/juxtaposed-journeys/id1556577563 Twitter: @ericwiththehair Connect: @EricSpitz

Hello everyone and welcome back to the show. The Criminal Justice Podcast is a top-ranked show because of YOU! Thank you for the continued support, and if you would give us that 5-Star Rating and Review on Apple Podcasts we sure would appreciate it. A big thanks to YOU, the criminal justice professional for putting everyone on the line to serve and protect every-day. Remember you are honored, cherished and loved. The majority of people support you! Please be safe. Approximately 39% of criminal justice professionals suffer from addiction, mental health problems or both. This is an astonishing statistic and sadly is probably much higher. I want you to know that there is help for you or someone you love and care about. FHE – Health – Shatterproof Program for First Responders. This program is the only one of its kind in the country offering many services and treatment for our first responders. This is the same amazing program that I attended last year and I highly recommend FHE Health - The Shatterproof Program for First Responders. #lawenforcement #firstresponders #mentalhealth FHE Health is a Florida based healthcare institution that delivers quality, medically integrated personalized treatment for those suffering from Behavioral Health Disorders. They specialize in addictive disorders and other behavioral health diagnoses such as mood disorders, depression, anxiety, and trauma-induced disorders. FHE Health is licensed by both the Department of Children and Families (DCF) and the Agency for Healthcare Administration (AHCA). First responders protect and serve everyday often at a high cost both physically and mentally. Let's get them the treatment they need. Please reach out to me for more information. You can check out the Shatterproof Link on the website or reach out to me directly: Patrick Fitzgibbons: 303-960-9819   One of the greatest honors of my life was being able to teach, coach and mentor the next generation of criminal justice professionals. My next guest is also doing that and he is going to talk about educating future criminal justice professionals. Dr. Michael Pittaro is on the show. Mike is a full-time faculty member at American Military University in The School of Security and Global Studies. Dr. Pittaro is an education advocate, challenging students to push the boundaries of their capabilities and achieve successful careers in Criminal Justice. Leveraging over 30 years of career experience in leadership, criminal justice and criminology, he has used his wealth of information to develop seasoned professionals. As an experienced criminal justice scholar practitioner and Subject Matter Expert (SME) in Criminal Justice, he has taught thousands of undergraduate students in reaching their career goals. His real-world experience has helped my students to be more equipped to handle crisis situations by applying their critical thinking, interpersonal communication skills to the organizations they work with. An informative and educational show. Connect with Dr. Pittaro here: https://www.linkedin.com/in/drmichaelpittaro/ https://www.psychologytoday.com/us/contributors/michael-pittaro-phd https://www.youtube.com/watch?v=6TlTSR21kK4     Stay tuned for more great episodes on The CJEvolution Podcast.   www.cjevolution.com   Patrick.  

As Ukrainian Refugee Crisis Becomes Historic In Size, Elements of Media Coverage Criticized For Ahistoric Framing As the Russian invasion of Ukraine and subsequent war enters its second week, the size and scope of the refugee crisis has spiraled into a full-scale disaster of historic proportion. The humanitarian situation in Ukraine has grown dire as reports of the targeting of civilians and civilian infrastructure have grown into nearly indisputable evidence of war crimes. However, certain media outlets' framing of the conflict in juxtaposition to the Middle East has raised eyebrows and drawn criticism for “normalizing” violence in non-Western countries. Additionally, while the generosity of European countries taking in refugees should be lauded, international observers have criticized reports that suggest discrimination of ethnic minorities and non-Ukrainian nationals at border crossings. Read more ➝   Crypto-Donations To Ukraine Surpass $80 Million As the world watches in horror at the atrocities and suffering in Ukraine, cryptocurrency donations have topped over $80 million, according to Yahoo News. Approximately $44 million of those dollars have gone directly to the Ukrainian government. Interestingly, the report finds that donors are more willing to give to established organizations and entities like the Ukrainian government and organizations like the Come Back Alive foundation as opposed to DAOs. Ethereum was the most donated currency, topping Bitcoin. Read more ➝ Summary What 10 Nonprofits Are Doing to Aid Ukraine and Its Refugees They Came to Help Migrants. Now, Europe Has Turned on Them Nonprofit Civica Plans to Deliver Low-Cost Insulin

Truck driving in America remains in crisis. There are 80,000 fewer drivers on the road than needed, according to the American Trucker's Association.This dearth is having a ripple effect on the supply chain crisis. Approximately 71 percent of all freight moved across the United States was carried by trucks last year.What challenges are truck drivers facing today and what does the future of the industry look like?Want to support 1A? Give to your local public radio station and subscribe to this podcast. Have questions? Find us on Twitter @1A.