Podcasts about calculations

In this episode you will discover: Math IS Language - It's in Our Wheelhouse Math has syntax (order of operations), semantics (number meanings), and involves memory and executive function - all areas SLPs already assess and treat. If you can help with language, you have transferable skills for math therapy. Start Simple with What You Have You don't need special materials or extensive math training. Use a deck of cards, dice, and real-life examples like restaurant receipts. Make numbers "friendly" (round $18.72 to $20) and let clients show you multiple ways to solve problems. Address Your Own Math Anxiety First Most SLPs feel uncomfortable with math, but clients need this support for life participation (paying bills, calculating tips, telling time). Acknowledge your discomfort, start with basics you DO know, and remember - if you avoid it, you can't help your clients who want to work on it. If you've ever felt your palms get sweaty when a client asks for help with numbers, this conversation is for you. Welcome to the Aphasia Access Aphasia Conversations Podcast. I'm Katie Strong, a faculty member at Central Michigan University where I lead the Strong Story Lab. I'm today's host for an episode that might just change how you think about math anxiety - both your own and your clients'. We're featuring Tami Brancamp and Dave Brancamp, who are doing pioneering work at the intersection of aphasia and mathematics. Before you hit pause because you're having flashbacks to algebra class, stay with me! This research shows us that the language of math is exactly that - language - which puts it squarely in our wheelhouse as SLPs. We'll explore how to support our clients with aphasia who are struggling with everyday math tasks like counting change, telling time, or balancing a checkbook. And yes, we'll tackle the elephant in the room: addressing our own math insecurities so we can show up confidently for our clients. Let me tell you about our guests. Tami Brancamp is an associate professor at the University of Nevada, Reno School of Medicine and founder of the Aphasia Center of Nevada. Her research focuses on identity in aphasia and rehabilitating everyday math skills. Dave Brancamp spent over 15 years as a junior high math teacher and later became Director of Standards at the Nevada Department of Education. Together, they co-founded Aphasia + Math, where they're exploring how language and mathematics intersect for people with aphasia. Okay now let's get this Aphasia + Math conversation started! Katie Strong: Tami and Dave, welcome to the podcast. I'm so excited for you to be here today.   Dave Brancamp: Thank you.   Tami Brancamp: We are both super excited to have a chance to talk about things that are different, right?   Katie Strong: Right. I do have to say, I don't know if it was a rash, but I did get a little bit nervous coming into the conversation, because I think I may be one of those SLPs that feel a little bit uncomfortable with math.   Tami Brancamp: Well, this SLP also is uncomfortable with math, so we can be uncomfortable together. And we'll let the math dude guide us through some of the things.   Dave Brancamp: And it will be fun. By the time you're done, I want to see that smile that you have on your face.   Katie Strong: Well, let's jump in and have you share a little bit about how you came to researching aphasia and math.   Tami Brancamp: Well, I have loved working with people who have aphasia since the beginning of my graduate studies. And then probably, like most of us, there's a few clients who've really hit your heart. One of them, I don't recall her name, and that's okay, but she had a stroke, had aphasia. She had had great recover physically, and her language was quite good, some anomia. But she's a banker, and she could not process numbers, and she was angry. I'm a newbie, I didn't understand the emotional piece of stroke survivor, aphasia. can't do my job well. But she was angry, and I felt so helpless. I didn't know what to do to help her. You know, I could pull a workbook off the shelf or something, but it didn't feel right. You know, she could do calculations, but couldn't do her job. And I always felt so very, very helpless over the years.   And the other part that came to start looking at this was teaching in a speech pathology program, undergrad and grad. And in class, maybe we're doing an averaging or something to get a score. I'm not sure if we start talking math, and I would see these students, and their eyes would just like, pop up, like, “Oh my gosh, she's asking me to do math.” And like, deer in the headlights. So I'm like, “What is this?” Every semester, I would do kind of an informal survey when we would do a little bit of math, and I say, “Okay, so how many of you don't do math? Raise your hand or are afraid of math?” And it would be at least two thirds to three quarters of the class every single semester, and I'm like, “Okay, there's something here.” Like, if I'm afraid of math, how am I going to help my clients remediate that in an efficient way? Right? I'm going to avoid it. If I can, I'll go do other things that are important.   So those were, like, the two big things, and then happened to be married to a math dude. And I wondered why are we not combining our skill sets? Because I would come home and I would share with Dave. I'm like “Dave, the majority of my students are afraid to do math or uncomfortable doing math.” And it's not complicated math. We're not talking quadratic equations or things I don't even know what they mean anymore. And we would talk about it a little bit, and we talk about math attitudes and perceptions and how we develop our math skills. And I'm like, “There's something here.”But I was never taught, how do you remediate number processing? Calculations? right? But yet, I would have multiple clients say, “Hey, Tammy, I can't do numbers.” “Yeah, how do I do this?” And there really wasn't anything the literature that told me how to do it. So, I would talk to Dave, and then, just over the years, I'm like, “Okay, we need to do something with this. We really do.” And I don't know what that means, because I'm not most comfortable with math, it is not my passion. We're very opposite. I think I shared like, Dave has math and fun in the same language, and then in the same sentence, I'm like, “they don't go together in my brain.” So we're very, very opposite. But you know, you can speak for yourself how you grew up and you had to learn how to embrace math, and having good teachers helped when we were younger, and having poor teachers or teachers with different attitudes also left a lasting impression. But when you think about it, whether it's, you know, cooking, driving, banking, living, going to grocery store, restaurants, everything we do all the time, it all involves numbers to some impact, you know, to some effect. And our folks with aphasia, again, not everybody, but the majority of them, will still have an impact with acalculia, difficulty processing numbers and calculating and transcoding, you know, saying, saying the numbers. So, we started to look at it.   I did have a had a gift of time with Audrey Holland. So that was my beautiful, like, for many of us, a mentor, you know, she had her three-pronged stool, like the different parts of aphasia. And Dave and I started dividing it up, like, what were the parts we thought involve, you know, aphasia and numbers. And we did think about the math and language math skills, making it fun, but also those influencing elements, like attitudes and perceptions. So, we started just like, “How do we look at this?” Because it's really overwhelming just from the beginning, you know, and just pulling that workbook off the shelf didn't do it for me. You're allowed to speak on that. (Laughter)   Dave Brancamp That's one of my passions, obviously, the whole math side. But pulling a workbook is an unfortunate because if someone starts to practice something wrong, they'll repeat that practice, and now it's very difficult to get them to correct a habit, basically that you've formed. And sometimes it's like that nails on a chalkboard? That's what it feels like to me when I hear it. I'm like, “Oh, don't do that.” Because if they're doing it wrong, like, 20 times, 10 times, even then it performs a habit that's real hard for them to go, “Well, but I thought I got them all right.”   Katie Strong: Yeah.   Dave Brancamp: Because I think we can all go back to math and you come up unless it was something really, really difficult in at least in our early years of math. We all came up with an answer. And that's how it feels on a worksheet that might have like just adding single digit numbers, if you make an error, you won't know until someone either corrects it or asks you, “How did you get there?” And to me, that's where it became more important. And then I had to learn how to do what do you call it? aphasia friendly language, you know? So, math folks usually speak in short sentences, so that helps. But we'll run a whole bunch of sentences together. If I give you the best example. I know we're going to talk a little bit about that math perception quiz, the difference between us on that question, I think it says “I would prefer to do an assignment in math rather than write an essay.” I'm the person to give me that math assignment. 100%. Tammy is like, give me the essay!   Katie Strong: And I have to say I'm right there with Tammy.   Tami Brancamp I think so, as speech pathologists, we learned about the pedagogy of language and language development. We can analyze it. We can treat it. We can assess it. And then I talked to Dave, and he goes, “Well, there's this whole math I know there's a math pedagogy, and there's this whole developmental progression of how we learn math.” But “Really, okay, well, I've never learned that, right?” “No, you learn this before you learn that.” We lived it, we just weren't overtly taught it. Or how you know, if there's an error in a calculation, that means that there's some challenges in this part of your developmental math abilities. Like, “Huh, okay, well, that kind of sounds like language to me, a little bit.” They do go together.   Katie Strong: Yeah, yeah. So, I love to maybe ask a little bit about this. As we've pretty clearly stated, many SLPs feel uncomfortable with math and their own math skills.   Tami Brancamp: Yeah.   Katie Strong: And we, probably many of us, have avoided it in our own education.   Tami Brancamp: Yeah.   Katie Strong: So I love this idea that there's the language of math, and I was wondering if you could talk a little bit about that and why it should fit right within our scope of practice as SLPs.   Tami Brancamp: A long time ago, I remember how many years ago I came across an article by Seron 2001 in Aphasiology. And he or she, I actually don't know, stated that math should be part of the SLPs practice. I started looking at 20 years later, and it still wasn't (a part of our practice). So, something's really amiss. What are we missing? When we talk about the language, there is a syntax in math. Dave calls it order of operations. And I don't even know what the PEMDAS.   Dave Brancamp: PEMDAS.   Tami Brancamp: PEMDAS, right?   Dave Brancamp: You what scares most people about that? Parentheses, exponents, multiplication, division, addition, subtraction. The left to right. I mean, that's the part people left off.   Tami Brancamp: But, ah, yeah, that kind of sounds familiar, doesn't it?   Katie Strong It does. It's ringing a very faint bell.   Dave Brancamp: It's like, oh no, we're not going to do that.   Tami Brancamp So there is a syntax. There's an order of operations, how we put mathematical equations together. Just like how we put sentences together. There's semantics, right? There's word meaning. We have a little sign for you. It won't translate audio, but we'll talk about it. So, in math, and you use the word or the number, the orthographic representation 2, right? Yes. And then we spell it TWO. We also spell it TO and TOO. And then, if you say, “Okay, we also have a two in the number 12, right?” They have to be able to transcode that and a two in the number 20, the two zero. The two in all those locations has different meaning, right? So, it does have semantics.   The other parts, I think, were important, was memory and executive function. Executive function permeates mathematics in so many ways. So, when we think about our stroke survivors, those are areas that are and can be impacted. Information processing. How much can they hold in memory of being presented with language, and in this case, language and numbers.   So, I think for me, it just, it really is integrated. I also thought, too, when we were looking, I was looking at the neuroscience of it, and there's some shared neuro space that works for math and language. They're not fully disassociated, so I found that really fascinating as well.   Katie Strong Yeah, it really is, as I've been thinking about our conversation and just looking into things a little bit, it really makes sense. And even just thinking about just thinking about a word problem in math, certainly, there's that language component that may be a little less intimidating for SLP clinicians that aren't typically working in practice. But I so appreciate you both bringing this conversation out into the light and doing this work, because I can think of a significant number of clients that I've worked with that have also expressed challenges in all sorts of different ways of math. And sometimes I've been able to maybe support it a little bit, and other times I haven't. And I, you know, whether it's me just avoiding it and saying, “Oh, we could work on all of these other things or we can work on this math thing”  or, you know, it's just frustrating, I think, to not have really the tools to be able to know how to support it.   Our podcast, really focuses on the Life Participation Approach to Aphasia, which really emphasizes a person-centered approach. Like I'm the client I want to choose what I want in my life and what I want to work on. And so, I'm just wondering if you might be able to talk through a little bit about how math skills fit into LPAA framework.   Tami Brancamp: Yeah, we were talking about that, and there's one particular client who has multiple PhDs before his stroke. He has family, adult children. And he's like, “Tammy.” And we were Dave and I were piloting some work together. And he's like, “Guys, I want to take my family to dinner. I want to pay the bill and the tip.” I'm like, “Okay, dude, I got an app for that.” And he's like, “No, I want to do it myself.” So that, to me, is life participation. If a person is fine with an app, let's make it so and work on something else.   Katie Strong: Yeah. Tami Brancamp: But his case, it was so important to him. I'm like, “Okay, here we go.” How do we how do we work on figuring out the tip? Now, does it have to be an exact percent? No, Dave likes to teach it more like there's some more strategies to get to the tip.   Another client I wanted to share, and sometimes too, when we think about assumptions. So, the data on how many people with aphasia also have math difficulties, numeracy difficulties is wide ranging. It's so big. So you can't even really say what percent. But I also had an assumption. I have a gentleman who I've worked with off and on for a very long time. He's nonfluent aphasia and also has apraxia of speech, and so we're working a lot on his language and his speech. And I said, “So how's your math?” “It's fine. You know, I own my own business and I have somebody help, but it's fine.” I'm like, in my head, hmm, I don't think so. I wonder, because the severity of his aphasia and his ability to transcode so like, see a number and then say the name or say the numbers he wants to say, was really impacted. So, we were doing a pilot study during the pandemic online, and so Dave and I were working with this one gentleman. And I think you why don't you do the story because I don't remember you gave him homework or something. A home program.   Dave Brancamp: There's a math game called Krypto.   Tami Brancamp: Oh, Krypto.   Dave Brancamp: So you put five cards down. And each one has its value, you know. And so your listeners just so they know, like when the Jack would fall, that would be 11, and so the Ace automatically took a one, the Queen would be, you know, 12, and the King 13. So five cards different values, or they could be the same value didn't matter, and then one more card became like a target. You had to figure out an equation. So, some big, nice math term there to that you'd add, subtract, multiply, divide to equal this last card.   Now they could do with just two cards, three cards, four cards or five would be ideal. So, they had some room for success. And this gentleman, we had some hard numbers that were there. And, you know, he had done a couple, and was rolling right through. And I kept looking over at Tami and I am like, "He's got his math. His math is really good.”   Tami Brancamp: His ability to calculate.   Dave Brancamp: And then we hit one that was really hard, and we're both looking (each other). And the next thing, you know, this gentleman, not to scare anybody, but makes a complex fraction, making a fraction over another fraction to solve. And you can see right now, right Tammy. Tammy is like, “What are you doing?” I'm like, “Yeah, yeah, no, let's go for it. Let's go for it.” And next thing you know, we were able to solve it by doing two complex fraction with another number. And he solved the problem. And I looked at Tammy said, “This man has no math problems.” Tami Brancamp:  And I said, “Boys, I'm out. I'm out. You all just continue playing with your numbers. Have a good time.” That's not a comfort zone for me. It's also not the focus we're doing with aphasia in math. But it was something he was capable to do, and I also could see within him, he was super excited that he could do this.   Katie Strong: Yeah   Dave Brancamp: And he wanted to show his wife. He wanted to show other people, he was like, “Look at this. Look at this.” You know, I was like, “Yeah, there's a lot happening.”   Tami Brancamp: But he could not read the equation. Okay, so there's the aphasia language issue.   Katie Strong: Right.   Tami Brancamp: Transcoding. He could do the calculations without difficulty.   Katie Strong: Amazing.   Tami Brancamp: But those are the those are really fascinating. And while we were piloting, we had a group of, I don't know, five or six people with aphasia, and each one had their own. They're all on the non-fluent side, but everybody had their own combination of language difficulty and number processing difficulty. We did notice what one client we worked with who had more cognitive impairment along with language and hers, her processing was much more different than pure aphasia and the acalculia issues. So, it's really interesting to see. It's definitely not cookie cutter, right? Just like aphasia therapy.   Katie Strong: Right.   Tami Brancamp: Every person's got their unique strengths and challenges. And I'm going to say similarly, I think with the math. Where in the brain was the injury? What is their background? What are their interests and passions? All of that plays in just like in aphasia.   Katie Strong: I love bringing up though their prior experience with math too is so important. We think about that from a language standpoint, but we really don't consider that. Or I will speak for myself, I don't typically consider that when I'm learning about somebody and their strengths.   Tami Brancamp: Yeah.   Dave Brancamp: You think like to go back to your language, like the word “sum” S-U-M, is what we'd use in math for adding, but it has the same sounding as “some” S-O-M-E and so right there, there's some language difficulty that could come out. So often we will have flash cards with the plus symbol so that they and can associate words and just so that you feel better on it, too.   Most of us, when we'd heard subtraction probably used an unfortunate phrase of what's called “takeaway”.  Well, that's not what happens from a mathematical point. So, us in the math side, cringe and are like, “Oh well, the numbers don't get taken away. They're still there.” They got, you know, replaced is what we would call them. And so the word of difference, you know, where you live in a different town than we do, so that's what we associate but difference is how we do subtraction. So those little, simple nuances that I had to also remember too because I taught junior high, which most of them were fairly comfortable with their, you know, at least their basic skills. And I'd heard those terms where suddenly, you know, Tammy would bring up to me, “You're gonna have to help us out with that” because that it's easy for you to say that it's causing a problem and that makes us then, you know, have those moments of pause that you're like, “Oh yeah, you're right. I've got to do that.”   Tami Brancamp: Just a little aside on that with we just finished a pilot study with two groups of people doing online intervention. So that background of knowledge, you know, say you got 10 people in a group, and you could see the people who go, “Oh yeah, I remember that. I remember that math language.” You're getting, the nodding like, “Oh yeah, that's right.” And then there's others who have like, “I don't understand what he's saying.” The look. So, it's really fascinating to make sure that we pay as much attention to that background as we do in language.   Katie Strong: Yeah. Interesting, interesting.   Dave Brancamp: I don't know if you want to go down that path, but like when we hit time, you know, which is an element that folks aphasia really want to work with, right? And yet, it's a whole different concept mathematically, because we are used to in almost all the countries we work with of things from, you know, basically what we call base 10 or zero to 100 zero to 10, we can play time is in elements of 12. And so, like you might say it's a quarter past, you know, like one, that's not a 25 it's written as 1:15. And you know, what does that mean? And, oh, I don't know. I don't know how I'm supposed to be at the bus stop or the doctor appointment or whatever they may be going to.   Katie Strong: Right, right.   Dave Brancamp: And a lot of our groups found that to be a huge help, you know. And as much as we all laugh, you probably at least most of us remember when we were in elementary school having little clocks that we might play with.   Katie Strong: Right   Dave Brancamp:  We call them our Judy clocks from when we were as teachers. But it's like, as simple as those are, those are what you need to bring back and go, “Let's take a look at what you know, because it's a quarter of the circle, and that's where it got its name from.”   Tami Brancamp: But it's one over four, like 1/4 one quarter.   Dave Brancamp: But that's not how we'd write it in time. It's actually whatever the hour is and the 15, and you're like, “Where'd that come from?” So, it was very fascinating to watch, and especially when we did some work with some of the clinicians, are just like, “Oh, you're kidding. I didn't even think about that.” It's because we knew it. we transition it naturally and not thinking, “Oh my gosh, my brain now has to re-picture this”. So.   Katie Strong: It is fascinating.   Tami Brancamp: And that you can see how much language is involved.   Tami Brancamp: Huge. Huge.   Katie Strong: Yeah, well, I'm excited to talk about the projects and research that you've been doing. You gave us kind of a teaser about these online groups. Should we start there?   Tami Brancamp: Maybe, we aren't there. We haven't analyzed all the data…   Katie Strong: I'm curious.   Tami Brancamp: Yeah, that'll be a teaser. We are working with our partner, Carolyn Newton. She's in London, and she is at University College London. She's done some work in mathematics and aphasia, and also her doc students, so we're working with them. They did all the assessment with my students. And then Dave and I did intervention. We had two groups. We had, like, a Level 1 and a Level 2. Everybody had aphasia. And we did group intervention primarily because Dave and I have been working with Lingraphica and Aphasia Recovery Connections Virtual Connections.   Katie Strong: Yep.   Tami Brancamp: Since March of 22, we've been doing it every single month.   Katie Strong: Amazing.   Tami Brancamp: We had some time off. Yeah, but you know, what's so crazy is that we average about 38 people who come on to do the session.   Katie Strong: Wow!   Tami Brancamp: Oh, I know, with a range like 19 to 50 people.   Katie Strong: That is amazing, but such a testament that people are interested in this topic.   Tami Brancamp: That's what made us keep pushing forward. Because if that many people show up, there's an interest and there's a need.   Katie Strong: Right.   Tami Brancamp: You know? But how do we how do we help is the challenge. We are in the process of analyzing, did we could that group in the way that we did it, like twice a month over three months? Would that impact change? They could hold it at the end of the treatment. And then we also did 30 days later, so we'll see. And then we also did some we did the math, attitudes and perceptions.   Katie Strong: I took it so maybe give people a little bit of background on what this is.   Tami Brancamp: Yeah. So this is a we looked at a lot of different tools, and this one is called, what is it called Attitudes Toward Mathematics Inventory. And it was designed for adults, college age, students and adults. There's a lot for children. But this is like, really, you know, what do you think about math in terms of you like it, you don't like it. Is it important? Not important. And so there is a lower number means that you are less confident, less familiar.   Dave Brancamp: You might not like it. You might not like it as much.   Katie Strong: And it might give you a rash.   Tami Brancamp: (Laughs) It might give you a rash!   Dave Brancamp: I'm sorry.   Tami Brancamp:  Right, all the things that it does. It's up to a point of 200 Do you want to share what your score was?   Katie Strong: Well, I didn't calculate it. I just did the ABCDE, but I'm gonna guess it's in the lower like 25th. Tami Brancamp: Yeah.   Dave Brancamp: So let me ask you, what was your last math class?   Katie Strong: It was a statistics class in my PhD program.   Dave Brancamp: And how did that class make you feel? Were you like, “Oh, I'm so excited to go!” or like, “Oh my gosh, I just got to get this done.”   Katie Strong: I wanted to get out of there as quickly as I could. I tried hard, and I just kept, I think I kept telling myself it was hard and I couldn't do it, and it just and it was.   Dave Brancamp: So, if you think about that, for us as adults, right? Or anybody, even kids. Take our kids. Whatever your last class is, it sits with us. It's a memory we carry. And then math has its unique way of, kind of building on itself. And then it can bridge to a couple different areas and what have you, but it builds. And if your last class wasn't the most pleasant. You didn't score well, or you didn't have a teacher that you could relate with, or whatever it was, you probably don't have a real fun feeling of math. So that leads to our perceptions, right? And it's and you know, using this we've done this with some of your students as they go through soon to be clinicians, and as soon as they took it and then had us talk, they you almost want to say, “Let's take it again”, because our feeling is of that last class. But when you find out, what we'll probably do is adding, subtracting, multiplying, maybe division, not likely. But what we call basic life skills, it may change how you took the test or take the inventory, because, you know, like for me, it's still, it will never change the fact of giving a math problem over an essay. I'll give you guys the essay. I'll take the math problem. But it's just, you know, is it important your everyday life? Well, how often do you do your statistics on an everyday life? That was your last class right? Not a lot, maybe some. But it's, you know, it's becomes an interesting whatever sitting with us probably has a feeling. If we come in with a bad attitude toward what we're going to teach or share with you, no matter whether they have aphasia or if it's just us in a general setting, they're going to know you don't like this, then why should I spend time with it so we that's the My purpose is make it so that they enjoy even if it's difficult, we're going to enjoy it so that otherwise, you know, I'm already behind because you don't like it. So why should I like it?   Katie Strong: And I love that because, I mean, I know that, like hard work can be fun. I mean, in a therapy situation, hard work can be fun, but thinking about this from a math standpoint really is kind of a game changer for me.   Tami Brancamp:  One of the things, and I think we'll come back to the research a little bit. But Dave likes gamification. I don't really like to play games, right?   Dave Brancamp: You're getting better! Tami Brancamp: But you have to, you know.   Dave Brancamp: I will pick up like dice. We try to do things that we figure our folks could find rather easily. You know whether you have dice from a Yahtzee game where you can go pick them up and a deck of cards. Almost everything I do with them are one of those two. It might take a little more looking, but I'll we often use what are called foam dice so they don't make all that noise, because sometimes too much noise can be very bothersome. And then using, like, the whiteboard or something to write with helps so they can see, because sometimes you'll be playing a game and they'll have no idea of the math that's involved and why there might have been, like, a strategy or so on.   Tami Brancamp: When we do work with people using cards and dice to generate the numbers, we have activities we do and we make it aphasia friendly, but we'll also discuss, maybe after the fact, “All right, so how did you do? Where was it difficult? I want you to recognize that you were working on executive function here. You were giving it strategies and thinking and multiple steps ahead.” So that they can recognize it isn't a kid game.   Katie Strong: Yeah, just a game.” Yeah.   Tami Brancamp: It's not just a game. It's making it fun and a little bit more lighthearted. If we can lighten it, but still make it skilled intervention, I'm not in there to play games and win. But having a give and take, a little competition, some laughter, some humor, while we're doing the intervention. To me, that's a lovely session.   Dave Brancamp: One of the things Katie, we found, too, is there's not a lot of good tests out there for math to diagnose the problem. You can find out by taking the different tests, and you and Tammy know the exact names, but they'll say, “Well, Dave has a problem doing math.” But now where do I start? Is a whole different game, because they build, as we said earlier, and if I don't start at the right spot the building block, I get a sense of failure immediately, because I can't do it, whereas you need to just keep backing up, just like you do in language, you keep backing up till you find my starting point. And that's one of the areas we'll maybe talk about later, is those things we're trying to figure do we work on finding a better way to assess the math, to truly know what's Dave or your client or whoever, whatever they're doing, because sometimes it could be simply the language, like we had with the one gentleman who has great math skills.   Katie Strong: Right.   Dave Brancamp: And others could be I can't even tell the difference between these two numbers, which is larger or smaller. And so now we have to start back at what we call basic number sense. It can be anywhere in that game, and it's like, well, they can't add. Well, do we know they can't add? Or do they just not recognize that six is smaller than eight.   Tami Brancamp:  Or how did you let them tell you the answer. If you only get a verbal response versus writing response, or, you know, selecting from four choices, you know. All of those give us different information when you're when you're having to blend a language disorder and a numeracy disorder.   Dave Brancamp: Because that one gentleman, he struggles immensely with anything with a two in it, so 20s, just…so you could easily say, “Wow, there's no way this man has math skills.” I mean he's doing complex fractions. He just couldn't tell you it's one over two. It was be like, I don't know what that is called.   Katie Strong: Fascinating.   Dave Brancamp: We enjoy the game part. And one of the pieces in this last research we did that was a new thing, right? We didn't even think of it prior was what we call a home program. Taking the game we did, putting it in friend aphasia friendly language with pictures so they could practice them.   Katie Strong: Okay.   Dave Brancamp:  Because we would not see them for like a two they was every two weeks. So, some could practice. I would say our Level 1 -  our folks working on foundational sets practiced more than are more advanced. Which was very fascinating.   Tami Brancamp: What we were doing in this research, the most recent one, we would encourage people to, you know, take a photo, take a screenshot of the work we're doing. But we also did it too, and then we put it into a page with an explanation, and then we would send it so that they could, ideally practice with a family member or a friend, or by themselves. You know, that's also a variable for people, right?   Dave Brancamp: And what we found in it, they needed more pictures. In our first attempt, we didn't put as many. So we would ask them, “since you wanted this, did that help?” “Not really.” They're honest.   Katie Strong: Yeah.   Dave Brancamp: We appreciate that. And they're like, Well, what? Why didn't it like, well, it, even though we tried to make it as aphasia friendly language, it was just too much word   Tami Brancamp:  Too many words.   Dave Brancamp: Too many words. So then we started asking, “well would more pictures help?” “Yes.” So we did that. So they helped us. It was amazing to watch.   Tami Brancamp: So that research project will we can get to down the road once we figure out what was going on. What we did share with you was the survey that we did with speech language pathologists from the United States and the United Kingdom. So we thought, well, Carolyn's there, and we kind of look at math a little bit similarly. So we had 60 participants who completed the study. We want to know, like, do you treat people with aphasia who also have math difficulties? If so, what are you doing? Dave and I still wanted to look at the attitudes and perception, because I still believe that's an influencing factor. But we also wanted to get a good sense, like when you are working with people with aphasia, who have number difficulties, what difficulties are you seeing? And then what are you doing? What do you use to assess?  And what are some of the barriers? So it gave us a nice overview, and that one's out for review currently. Anywhere from like, how many of you work on numeracy difficulties? About 35% responded with rarely, and 40% responded with occasionally, and 17 said frequently. And also, there was no difference between the countries.   Katie Strong: Oh, interesting.   Tami Brancamp: Yeah, I thought so too.   Katie Strong: But I also think too, you know, I mean, there really isn't a lot out there instructing SLPs on how to do this work in an evidence-based manner. So that makes a little bit of sense.   Tami Brancamp: It did, because I still felt the same way for myself, like, “Where do I go to learn how to do this?” Okay. I'm married to a math teacher, so I'm learning right? It's a lot of give and take. And Carolyn, our partner, she's very good about when we're talking about this she's like, “But not everybody has a Dave on their shoulder.” Like, “No, they do not.” Because even today, I'm still a little cautious, like if I had to go do all this solo, I have some holes that I want, and those are the things I want to help us create for future training opportunities and education continuing ed that would help clinicians who really want to do this and they have a client who wants to work with it, right?   Katie Strong: I hope that's a large number of people, because I think, you know, I think that this is really a significant challenge that I hear so often from support group members or people that I work with who have aphasia.   Tami Brancamp: I really think that's why we keep going, because we hear it from our we hear it from our clients.   Katie Strong: Yeah.   Tami Brancamp: We're not hitting it as much in acute care, for sure, rehab, you might get a little sample that is going on, but it's usually that outpatient. And then the longer term, like the they have some of the big needs met. And then we've got time to maybe look at math. But for some people, math should have been math and language together could have been hit earlier. But who's to say, you know?   Dave Brancamp: Well, you would know it best because I've asked when we first started this there would be like one, Tammy would give me one of her classes, and I would talk to them about math and absolutely deer in the headlight looks, “Oh my gosh, what are you going to do?” to by the end realizing “We're going to make this as fun as we can. We're going to use dice and cards, and we're going to do pretty much what we call foundational adding subtracting skills that they were welcome”, but you already have so much in your course to do that we just don't even have time. So that becomes this very interesting, because, you know, one of the big questions Tammy always asked me is, “Well, how can I know this pedagogical, or the reason behind?” I know they'll be able to hear but, I mean, I've done this now for 30 plus years, so there's a lot in my head that I have to figure out, how do we do this? So I can see this is the problem by how they addressed it without them having to take a whole other set of courses.   Tami Brancamp: Yeah, we can't. There is surely not room for whole courses. So it's got to be embedded in existing coursework, or continuing ed opportunities after training.   Katie Strong: Or both, right?   Tami Brancamp: Yeah, I think both. Some of those barriers that we found people saying was, you know, there's not training on it, which I agree.   Dave Brancamp: There's not the resources.   Tami Brancamp: Yes, there's not the resources. And are the tests that people use. They have some sampling of math. But my question always is, “Okay, so I give this little bit of math in my aphasia test or something else like and now, what? Well, I know what they can't do, but what does that mean? And how might I support them for relearning?” I found it more helpful to look at it from a developmental perspective. I'm going to learn a, b, c, d, and I'm going to learn x, y, z, and then it helps me understand, like, “Where might I start?” Because I don't have to go down to counting dots, right? That number sense larger, less than visually. If that's not where the client needs to be. But learning where they need to be, we need better assessments for that. I don't know if that's something we're going to be able to tackle or not. I mean, Dave spent quite a big part of his professional career, developing assessments. So, it would be logical. But there's so many pieces to do.   Katie Strong: Right? It's a big it's a big undertaking. Dave Brancamp: Well, there's so much that you gain by finding out from the client how you did the problem. It could be four plus six is what? and they write two. Well, I need to know why you think it's two. So did you think that was subtraction? Because they just didn't see the plus symbol. Well, you know? Well, then they have some good math. There's some good math there. They did the math correctly if they subtracted it. It's not the answer I'm looking for. And so could they say, you know, when you asked it if you were a person and he's like, “Katie, so if I gave you six things and gave you four more, how many your total?” Do you know what that even meant to do? These things that just gives us clues to where your math might be and for unfortunately, for a lot of us, which makes it hard for me, I feel bad that they didn't have the experience is ones and zeros have some very powerful meanings in math that unfortunately, scare a lot of folks.   Katie Strong: Yeah, right.   Tami Brancamp: I never learned the fun stuff of math, you know. There's some tricks and some knowledge and some skills that I, you know, good math teachers will teach you, and I just didn't really learn those. So, Dave's teaching me just because I were doing this together? I don't know. I kind of was thinking like what we talked a little bit about, what does the intervention look like?   Katie Strong: Yeah.   Tami Brancamp: Gamification, making it fun, not using workbooks. We're hoping that we could utilize some of the home programs that we've created, and share those as part of the teaching.   Dave Brancamp: And like the game. I think I told you that we did with that one gentleman with Krypto. It could simply be like a target number or something of that nature, but it's fun to have when we did with our both groups with Virtual Connections, or our research groups, other people could find out, like, you could solve it one way, Katie. Tammy could do it a different way, and I could do it a completely different way. And it was fascinating to watch the groups, like, I had no idea you could do it there. And that's what we need to hear So that people go, “Oh, you don't have to do it just one way.” Because I, unfortunately, and some are my colleagues, they forced, “I need you to do it x way.” It's like, “Well, okay, maybe to start. But now let's open the door to all these other ways you can, like, add a number or whatever.” And because it always fascinates me when we do, is it multiplication or subtraction? Now I forget, but one way Tammy is, like, “I never learned it that way. I always…” and, you know, it was just how she grew up. It was what you were taught.   Tami Brancamp: Well, like multiplication. When I'm multiplying multiple numbers, it's like, I'm kind of just adding multiples of things. So, how I get to the answer is very different than how Dave does, yeah, and we've had experiences with care partners, who we were doing some of the pilot work, who felt very strong that their way was the only way. Is this some generational differences? I suspect there's some of that, but it's also just, it's personality. This is how I know how to do it, and this is how it should be done. Well, not necessarily.   Katie Strong: It really mind blowing for me to be thinking about. I mean, I know that, like, you can teach things in different ways, but I just didn't really think about it from a math standpoint, because, probably because I know how to do things one way. If I know how to do it, it's probably one way, versus having more versatility in “If this doesn't work, try something else.”   Dave Brancamp: But like on a deck of cards at least the ones we use, they'll have, like a seven of diamonds. There's seven little diamonds on that card. Well, nothing else. Put your finger to them. There's nothing wrong with counting 1 2 3 4 5 6 7. Now, when you move over to the three, go 8 9 10, and there's your answer. They're like, “I can do that?” “I'm like, sure you can!” I can use my fingers? You know, it's, it's those, it's those little things that, unfortunately, probably for a lot of us and a lot of our clients, went through, at least in my experience, in math as we went through school, we took away those, what we call manipulatives in math, that you learn it right, bringing them back now, so that they're like, “Oh, I can do this”” So they can see it, or they can write it in a different way, or, you know, whatever it takes to help them. That's one of the pieces that's so amazing.   Tami Brancamp: We definitely support a multi modal approach. Not just one way.   Katie Strong: Which, I think the clinicians who are listening to this conversation will feel like, “Oh, I do a multi modal approach in all of the other things that I do in my interventions.” And so, you know, that makes sense.   Dave Brancamp: And that's where we saw that piece of saying that we're trying to unite math and language. The two of those do play together. You know, it's like because you just said you spend weeks and weeks with all your future clinicians training them on all these skills and language, so many of those will play out just as well in math, except to do it in a different way.   Katie Strong: Mmm. So we've talked about what the intervention might look like, and we'll be excited to see what comes out from your projects that you're in the process of analyzing but looking ahead, what excites you most about where this field could go?   Dave Brancamp: Oh my, that's the question!   Tami Brancamp: There's a lot of work to be done. It actually is…it's fun. We are wondering, you know, how might it be if it's on a one on one, a more traditional model, right for our outpatient settings, versus small groups. Katie Strong: I'll say this. I should have said it earlier, but for those of you listening, I'll put in a link to Virtual Connections and if you're interested in seeing Tammy and Dave's math Aphasia + Math.   Dave Brancamp: Yeah, it's aphasia plus math. It would be Level 1 or 2. They can come watch the whole thing. It's fascinating to watch them how they work.   Tami Brancamp: They are best teachers, yep, without a doubt.   Dave Brancamp: To your last question, “So that's with the clients?” But you know, there's been and we've talked on and we've touched on, like, “how do we help our clinicians?” And then the unfortunate side of that stool that sometimes gets forgotten is, what could we do for our caregivers? Does this help? Because we've all been taught differently. so sometimes you might look at one of the gamifications we did and went, “Oh, I can't do that. That's not how I add.” We have a very set format, or do they understand the language? Do we make it clear enough. So, you know, we're I think that's a great question, because then we get torn to just time in the day to say, “But I want to still work with my clients, but we need to help clinicians so they can help us, and don't forget the caregiver in there.” I know it's not an easy answer. It's not the it's nothing nice and smooth, but it's kind of the one that we've been really what is to what are we doing.   Katie Strong: And probably also why it this hasn't, there aren't tons of resources already developed, right? That it is complex.   Dave Brancamp: Well, and I will tie back to our attitudes. What we found, we were fortunate enough to do….     Tami Brancamp: IARC. The International Aphasia Rehab Conference. we presented there.   Dave Brancamp: So some of our beginning there's an awful lot of interest out of Australia and Europe. But Australia and Europe, and I'm not trying to sound bad or negative, but they take look at math very differently than like England and the United States for sure does. That's a natural like thought, we don't accept the term. “I don't do math well.” They don't like to say that. There's an increased interest, at least in those two areas of the world, to when we but we gotta strengthen this, this is important. So, we've found that very fascinating, that some of our folks who've drawn an interest and set out of this come out of the main countries of Europe, or from Australia, because they don't mind talking about a subject that we often go, “I'm good at this, right? Let Dave solve it.” And it's like, well, but I don't have the skill set that all of you SLPs have.   Tami Brancamp: In our earlier conversations, we touch on the fact that United States, it's okay for me to say, you know, “I don't do math, right?” It's okay, and it's sort of accepted in some cases, it's kind of a badge of honor in some ways. But if I were to say, “Oh, I can't read” you know, that's we one. We want to help if somebody admits it. But there's a personal sense of shame attached. So, in our country, I believe the perceptions are different. You have the person who's had the stroke, has survived the stroke, has the aphasia, and now also has the math difficulties. That's a lot to navigate, and I respect in our in our world, as a clinician, I can't address all of it. So following that Life Participation Approach, we're going to let our clients be our guide. Support, train, and look at where their priorities are. And it's never enough. There's never enough therapy, never enough opportunity to be in a group environment, because not everybody has access to that, you know, but I think, “Where can I make a difference?” Like, that's probably my question. Like, I can't fix the world, so let me keep backing it down, backing it down, backing it down. And if I can make a difference with 5, 10, 15, 20, people, Hey, and then let those ripples go as they go out and make a difference and learn. I think that, in itself, is powerful.   Katie Strong: Beautiful, and certainly is conjuring up Audrey here. Well, I've got one last question for you as we wrap it up. But you know, what would you say to an SLP, who's listening right now and thinking, I want to help my clients with math, but I don't know where to start.   Tami Brancamp:  So one of, I think one thing for me is you do know basic math. You know everyday math. You do know how to do this.  So one just start. You can get a little assessment. You can use the existing ones that are out there with our aphasia batteries or the Numerical Activities for Daily Living.   Dave Brancamp: I would say, a deck of cards are not hard, you know, hopefully they have or some dice, yeah, and use those to generate the numbers. Or bring in, like, when they want to do tips, we would often just bring in receipts of anything and just say, “Let's say something cost $18.72. Round it up to 20 and make it a friendly number.” So it's around 20, So it's a little bit easier for them to grab onto and hold, and it's okay to say, because we've done it in our own sets going through, “Oh, wait a minute, six plus six is not 13. Look at what I did here. I let me, let's check this and add it.” Because sometimes you'll hear just even, you know, like when any of us are doing something, you look and go, oops, I made a mistake.   Tami Brancamp: Okay, right?   Dave Brancamp: It's all right, hey, to make mistakes and say, that's what we all do. And then, you know, but I mean to me, it's if we can get, like, if you want to use one or two problems off a worksheet, use it as a driver to start discussion and say, “So what can we do?” And see if they can do anything. Because sometimes it's amazing what we'll find out is just knowing that 16 is a bigger number than just 12 is let them and then what's the difference between right there, you could figure out subtraction if they know it or not. And we often will in if they have a chance to look on the website or any of this stuff, we'll take out, like all the face cards, we'll take out the 10. Keep moving it down to numbers that they're comfortable with, like dice will only be the numbers one to six, yeah, but if I use two dice, I could make some interesting two digit numbers, right, that are in that range. So it's just things that make it so they can grab on. And then you can start adding and changing rules and some of the math games they may have seen, they just adjust them so that they have access points. The true rules of Krypto is, you must use all five cards in order to get a point. Well, we just change it usually is two, right?   Tami Brancamp: Like we do for everything we can modify.   Katie Strong: I love this. And I mean, I'm thinking, most clinics have a deck of cards and dice.   Tami Brancamp: In most households in general, not but in general, you're going to have access to those tools. We didn't want people to have to go buy crazy stuff. I think there's one challenge I do want to think about and put out there. So, our new clinicians who are graduating, let's say they're in their mid-20s, and I know there's a range they are doing online banking. How are they going to support an older adult?   Katie Strong: Oh, right.   Tami Brancamp: Very structured and rigid in their checking account. I think we have to think about some again, different ways. None of the students that I teach today, and even our own son, they don't have a checkbook. Yeah, they don't write checks. So that's gonna introduce another variable down the road, but in the meantime, cards, dice, numbers, gamification, simplifying, watching language, thinking about executive function, number of steps, how we how we speak, the instructions. Give the directions. It's language.   Dave Brancamp: And ask the client what they think or what they might have heard, because it's interesting what they would have, what we've learned from them as well.   Katie Strong: Thank you so much for being a part of our conversation today, and for the listeners, I'll have some links in the show notes for you to check out for some info on Aphasia + Math. Thank you.   Tami Brancamp: Thanks for having us.   Dave Brancamp: And thanks for playing with us too. Thank you. Katie Strong: On behalf of Aphasia Access, thank you for listening. For references and resources mentioned in today's show please see our show notes. They're available on our website, www.aphasiaaccess.org.There you can also become a member of our organization, browse our growing library of materials and find out about the Aphasia Access Academy. If you have an idea for a future podcast episode, email us at info@aphasiaaccess.org. For Aphasia Access Conversations, here at Central Michigan University in the Strong Story Lab, I'm Katie Strong.   Resources Aphasia + Math focuses on strategies for the rehabilitation of everyday mathematics in people with aphasia. Tami and Dave focus on four pillars to support this work: Influencing Elements (math literacy, learning environment, aphasia severity); Math and Language (receptive & expressive language, cognition including executive function and  memory); Foundational Math Skills (use of linguistic and numerical symbols, lexicon, syntax, semantics); and Aphasia Friendly Math Activities (gamification in learning,  understanding math language, opportunities for communication). Their goal is to unite math and language. Contact Tami tbrancamp@med.unr.edu   Join the Aphasia + Math Facebook Community Join an Aphasia + Math session on Virtual Connections   Brancamp, T. & Brancamp, D. (2022). Exploring Aphasia + Math. Aphasia Access 24-Hour Virtual Teach-In. https://www.youtube.com/watch?v=2mGSOJzmBJI   Girelli, L. & Seron, X. (2001). ) Rehabilitation of number processing and calculation skills. Aphasiology, 15(7), 695-71. https://doi.org/10.1080/02687040143000131 https://www.researchgate.net/publication/32888331_Rehabilitation_of_number_processing_and_calculation_skills#fullTextFileContent   Tapia, M. (1996). Attitudes toward mathematics inventory. https://www.academia.edu/29981919/ATTITUDES_TOWARD_MATHEMATICS_INVENTORY  

This episode is jam-packed with interesting insights and a deep dive into how Baldivis stacks up for investment. Today, I am answering some of the interesting questions getting asked on our Perth Property Investment Facebook Group. I dive into how to make the most of your equity in investment properties. I talk about the tax implications of using equity for personal purposes, like paying down home debt, and why it’s crucial to have a strategic plan. I also explore whether buying a holiday home with equity is a smart move or if other investments might be a better option. I also tackle the tricky decision of choosing the right property manager. I explain why it’s important to work with people who treat your property as their own and have an investment mindset. Plus, I take a deep dive into Baldivis, breaking down its growth, housing supply, and what the future holds for investors.. Finally, I share my Trifecta criteria for evaluating properties and some of the things I consider when assessing growth potential over short, medium, and long-term outlook. Having a clear strategy is key to staying ahead in the property game. Let’s go inside! Resource Links: Get your Strategic Portfolio Plan and our help with Buying Your Next Perth Property (https://www.investorsedge.com.au/invest-in-perth-property/) Get email updates about suburb intelligence reports and exclusive invites to our webinars, events, and workshops. Join (investorsedge.com.au/join) Join the Perth Property Investment Facebook Group (https://www.facebook.com/groups/perthpropertyinvestors) Join Jarrad Mahon’s Property Investor Update (https://www.investorsedge.com.au/join) For more info on our award-winning and highly rated Property Management services that give you guaranteed peace of mind (https://www.investorsedge.com.au/perth-property-management-specialists/) For more info on how our Property Sales services can ensure you get the best selling price while handling all the stress for you (https://www.investorsedge.com.au/selling-your-perth-property/) Episode Highlights: Intro [00:00] Discussion on Equity Usage and Holiday Home Investment [02:40] Choosing a Property Manager: Local vs. Reviews [06:49] Using Equity for Home Purchase and Debt Restructuring [10:30] Handling Tenant Damages and Property Management Issues [14:45] Calculations for Property Investment and Trifecta Criteria [17:24] Deep Dive into Bellivers: Population Growth and Infrastructure [20:59] Market Trends and Future Growth Predictions [23:14] Land Supply and Long-Term Investment Considerations [31:57] Economic Advantages and Disadvantages of Bellivers [34:32] Thank you for tuning in! If you liked this episode, please don’t forget to subscribe, tune in, and share this podcast. Connect with Perth Property Insider: Subscribe on YouTube: https://www.youtube.com/@InvestorsedgeAu Like us on Facebook: https://www.facebook.com/investorsedge See omnystudio.com/listener for privacy information.

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Some Auckland ratepayers have been getting nasty surprises when opening their newest bills for the year. The Herald has identified a number of properties who've been overcharged, including a $3.9 million multi-unit property with an incorrect $444,766 - 11.4 percent - rates bill. Auckland Council Group chief financial officer Ross Tucker says they process the rates bills for a huge volume of properties in Auckland. "The best information we've got is - we think it's quite isolated...the four properties where there's been some issues are not just a single property, single house, it's ones where there's multi-units. That's one rates bill that covers multiple units." LISTEN ABOVESee omnystudio.com/listener for privacy information.

Hello and welcome to the Monday Breakfast show for the 4th of August 2025. On today's show: Headlines: Palestine rallies in Naarm/Melbourne and Gadigal/Sydney show up in the thousands. Harmful algal bloom off the SA coast threatens ocean and marine ecosystems.A recent ruling from the Federal Court means that the Federal Government will need to recalculate more $4BN worth of debts owed to the Dept. of Social Services. The ruling from the case Chaplin V Secretary, Dept Social Services declared that the previous method to calculate said debts known as income apportionment used since the early 1990s, was unlawful. To help us understand the ruling and its implications, the Monday Breakfast show was joined by Tom Studans, a welfare rights advocate whose independent coverage has been recognised by the Robodebt Royal Commission. Following a Big Canopy Campout with the Bob Brown Foundation in Tasmania's Central Highlands, a forest protest has happened with community members rallying to challenge native forest destruction in logging areas. In efforts to stop logging, staunch activist Moggy has locked on to a gate and machinery and halted logging for three days. Ed spoke with them about the effort. We hear an excerpt from the Doin' Time show, which airs on Mondays from 4 - 5pm. Listen back to more episodes here. Host Marisa speaks with Ilo Diaz about the shooting of Abdifatah Ahmed in Footscray. The interview begins with information about Ilo and the centre against racial profiling. It's important in that it provides some excellent context in the racist violence that led to Abdifatah Ahmed's death. Ilo Diaz from the centre against racial profiling has worked directly with communities experiencing human rights abuses in 'melbourne', South America and Palestine. His background is in human righgtsn observing in areas of conflict. Ilo also volunteers withy melbourne activist legal support providing his expertise to legal observer teams that observe police actions in protest. Stay updated with the Centre Against Racial Profiling on instagram.   We then hear Tiny Sparks and Turning Points, a bulletin from our good friends at the Commons Social Change Library. Today, they'll bring us some radical events over the years that changed this continent. This feature is looking at the month of August over our collective history, and will come to listeners on the first Monday of every month, at 8AM.It is a good example of why we need to remember our history in order to build a better future.For now, a big thank you to our friends at The Commons Social Change Library. You can find their work at www.commonslibrary.org & read more radical history events on this page compiled by TCSCL here. The show ends with an interview with a community activist/comrade regarding locking on at demolition of public towers which has taken place today at Flemington and at other public housing towers across Naarm.  SONGS PLAYED:The Revolution Will Not Be Televised - Gil Scott-HeronRebel Girl - Bikini Kill

Nefesh Hachaim

Hamas' senior leadership are said to be closely studying details of a US ceasefire proposal - even as scores more people are killed in Gaza. The Times' Israel Correspondent, Gabrielle Weiniger analyses the calculations going on within Hamas and explains why the group is more likely to accept a deal now than it has been previously. The World in 10 is the Times' daily podcast dedicated to global security. Expert analysis of war, diplomatic relations and cyber security from The Times' foreign correspondents and military specialists. Watch more: www.youtube.com/@ListenToTimesRadio Read more: www.thetimes.com Photo: Getty Images Hosted on Acast. See acast.com/privacy for more information.

To enable future lunar settlements, researchers are pursuing ways to construct needed devices on the moon to save the expense of shipping them from Earth. In this podcast episode, MRS Bulletin's Laura Leay interviews Felix Lang from the University of Potsdam, Germany about his group's development of perovskite solar cells that utilize the moon's regolith for the substrate. The researchers achieved power conversion efficiency of ~10%, with some device architectures leading to improved efficiencies of ~12%. Calculations show that using resources from the moon resulted in a power-to-weight ratio that outclassed other technologies, even with the low efficiency. Future work will look to improve this efficiency by considering tandem solar cells. This study was published in a recent issue of Device.

Master The NEC | Episode 26  is about the importance of Pull Calculations in medium to large scale projects where the owners, such as the Amazon's of the world, and the electrical contractor and electrical design professional want a third part to do pull calculations to ensure the utmost accuracy of the pull by reducing the risk of conductor damage during the pull but also long term.Remember, the product is only successful if the conductors or cable are not damaged. A code compliant installation of raceways do not always mean the conductors will go into the raceway system without damage to the installation. We provide specific Check Lists to every pull based on our analysis of each individual pull. The newest trend is to asign this assurance to the experts and our PullSPEC™ services provides that extra level of assurance. All pull calculations and analysis reports are confirmed by wire and cable experts with over 11 years of dedicated service to that industry as well as nearly 40 years of NEC expertise.Listen as Paul Abernathy, CEO, and Founder of Electrical Code Academy, Inc., the leading electrical educator in the country, discusses electrical code, electrical trade, and electrical business-related topics to help electricians maximize their knowledge and industry investment.If you are looking to learn more about the National Electrical Code, for electrical exam preparation, or to better your knowledge of the NEC then visits https://fasttraxsystem.com for all the electrical code training you will ever need by the leading electrical educator in the country with the best NEC learning program on the planet.Become a supporter of this podcast: https://www.spreaker.com/podcast/master-the-nec-podcast--1083733/support.

Master The NEC | Episode 26  is about the importance of Pull Calculations in medium to large scale projects where the owners, such as the Amazon's of the world, and the electrical contractor and electrical design professional want a third part to do pull calculations to ensure the utmost accuracy of the pull by reducing the risk of conductor damage during the pull but also long term.Remember, the product is only successful if the conductors or cable are not damaged. A code compliant installation of raceways do not always mean the conductors will go into the raceway system without damage to the installation. We provide specific Check Lists to every pull based on our analysis of each individual pull. The newest trend is to asign this assurance to the experts and our PullSPEC™ services provides that extra level of assurance. All pull calculations and analysis reports are confirmed by wire and cable experts with over 11 years of dedicated service to that industry as well as nearly 40 years of NEC expertise.Listen as Paul Abernathy, CEO, and Founder of Electrical Code Academy, Inc., the leading electrical educator in the country, discusses electrical code, electrical trade, and electrical business-related topics to help electricians maximize their knowledge and industry investment.If you are looking to learn more about the National Electrical Code, for electrical exam preparation, or to better your knowledge of the NEC then visits https://fasttraxsystem.com for all the electrical code training you will ever need by the leading electrical educator in the country with the best NEC learning program on the planet.Become a supporter of this podcast: https://www.spreaker.com/podcast/electrify-electrician-podcast--4131858/support.

Are you navigating the stormy seas of menopause? Wondering how to tackle bloating and breakthrough bleeding? Curious about the mysteries of hormone therapy and why traditional treatments may not work for everyone? This second-part Q&A episode is packed with real-life stories and expert advice to answer your questions! Ever wondered how hormone levels, thyroid function, and gut health intertwine during menopause? What about the innovative strategies that can help with weight loss resistance? Discover why personalized solutions are key to thriving through hormonal shifts and learn how to biohack your way to better health. From managing stress-induced hormone fluctuations to the unexpected role of melatonin, this episode has it all. What adjustments can you make to your hormone replacement therapy during stressful times? And how can peptides help in your weight loss journey? Dive into these topics and more! In this episode, we uncover: How hormone imbalances can cause bloating, plus how to address them effectively. Why personalized hormone therapy is crucial for women with unique health challenges. How innovative peptides can help overcome weight loss resistance and enhance results. Why adjusting hormone therapy during stress is vital for managing menopause symptoms. How melatonin plays a multifaceted role in menopause beyond just aiding sleep. Don't miss out on these transformative insights. Tune in now to empower your journey through menopause and discover solutions that truly work for you!     Sponsors Get our Estro Vitality and Progest Sleep Hormone Oils and get 25% off. Coupon KM20 to get 20% off your order of Vitali Skin Care! Use my link to save 20% at GETKION.COM/HORMONE     Are you in peri or post menopause and looking to optimize your hormones and health? At Hormone Solutions, we offer telemedicine services and can prescribe in every U.S. state, as well as in British Columbia, Alberta, and Ontario in Canada.   Visit karenmartel.com to explore our comprehensive programs: Bioidentical Hormone Replacement Therapy Individualized Weight Loss Programs  Peptide Therapy for weight loss    Interested in our NEW Peptide Weight Loss Program? Join today and get all the details here.   Join our Women's Peri and Post Menopause Group Coaching Program, OnTrack, TODAY!   To our nursing audience members, our podcasts qualify for nursing CE @ RNegade.pro. Provide # CEP17654.   Your host: Karen Martel Certified Hormone Specialist, Transformational Nutrition Coach, & Weight Loss Expert   Karen's Facebook Karen's Instagram

After 12 days of exchanging intense strikes and counter-strikes, Israel and Iran have reportedly agreed to a ceasefire. The ceasefire was first announced by President Donald Trump on social media. The war was initiated by Israel with the tacit approval of the US, to achieve certain objectives. Were those objectives achieved? What prompted them to initiate the ceasefire? Why did Iran agree to the ceasefire? With Israel's attacks on Gaza continuing, will this ceasefire last? Guest: Mehmet Ozturk, senior Turkish journalist and political commentator Host: G Sampath, Social Affiars Editor, The Hindu Edited by Jude Francis Weston Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of Did You Know?, Clifton welcomes Russ King of Kwik Model 3D to break down one of HVAC's most critical and misunderstood practices—load calculations. Together, they tackle why proper system sizing is non-negotiable, especially with today's high-performance heat pumps and evolving building standards.From real-world pitfalls in residential construction to the game-changing potential of digital tools and 3D modeling, Russ shares insights from decades in the field, plus why training, visualization, and design-based diagnostics are the keys to the industry's future.If you've ever skipped a load calc or sized a system based on a hunch—this episode is your wake-up call.

First, we talk to The Indian Express' Udit Mishra about the GDP or the Gross Domestic Product calculation for India. He shares that the base year for the calculation of the GDP is being revised, how the base year is chosen and how important it is for the GDP calculation process.Next, we talk to The Indian Express' Amitabh Sinha about the Israel Iran conflict. Since Israel attacked the nuclear facilities in Iran, there has been a speculation regarding the nuclear materials and weapons going off or of a radiation leak happening. But is that a possibility? Amitabh explains. (14:35)Lastly, we discuss the latest yearbook released by the Stockholm International Peace Research Institute regarding the nuclear warheads owned by different countries and where does India stand. (24:32)Hosted by Niharika NandaProduced and written by Shashank Bhargava and Niharika NandaEdited and mixed by Suresh Pawar

The Georgia Fruit and Vegetable Growers Association and others are seeking detailed information about how the USDA calculates the Adverse Effect Wage Rate, and the EU says it's open to lowering tariffs on U.S. fertilizer imports.

For this episode, let's revisit a Case Interview & Management Consulting classic where we look at how to make estimations when calculating smaller values or working with enclosed spaces like restaurants, the importance of sensitivity analyses and a new limitation of demand-driven cases. This is a very important technique which can significantly improve accuracy and efficiency in case math.   Here are some free gifts for you:   Overall Approach Used in Well-Managed Strategy Studies free download: www.firmsconsulting.com/OverallApproach   McKinsey & BCG winning resume free download: www.firmsconsulting.com/resumepdf   Enjoying this episode? Get access to sample advanced training episodes here: www.firmsconsulting.com/promo

Listen to ASCO's Journal of Clinical Oncology Art of Oncology article, "A Whipple of Choice” by Dr. Carl Forsberg, who is an Assistant Professor of Strategy and History at Air Force War College. The article is followed by an interview with Forsberg and host Dr. Mikkael Sekeres. Dr Forsberg shares his experience with an uncommon cancer treated by a new therapy for which no directly relevant data were available. Transcript Narrator: A Whipple of Choice, by C. W. Forsberg, PDH I sat across from a hepatobiliary surgeon on a gray October afternoon. “To be frank,” he told me, “we don't know what to recommend in your case. So we default to being conservative. That means a Whipple surgery, even though there are no data showing it will improve your outcome.” The assessment surprised me, diverging from my expectation that doctors provide clear recommendations. Yet the surgeon's willingness to structure our conversation around the ambiguity of the case was immensely clarifying. With a few words he cut through the frustrations that had characterized previous discussions with other physicians. I grasped that with an uncommon cancer treated by a novel therapy with no directly relevant data, I faced a radical choice. My situation that afternoon was worlds away from where I was 5 months earlier, when I was diagnosed with presumed pancreatic cancer at the age of 35. An early scan was suspicious for peritoneal metastasis. The implications seemed obvious. I prepared myself for the inevitable, facing my fate stoically except in those moments when I lingered next to my young son and daughter as they drifted to sleep. Contemplating my death when they were still so vulnerable, I wept. Then the specter of death retreated. Further tests revealed no metastasis. New doctors believed the tumor was duodenal and not pancreatic. More importantly, the tumor tested as deficient mismatch repair (dMMR), predictable in a Lynch syndrome carrier like me. In the 7 years since I was treated for an earlier colon cancer, immune checkpoint inhibitor (ICI) immunotherapy had revolutionized treatment of dMMR and high microsatellite instability tumors. One oncologist walked me through a series of recent studies that showed extraordinary responses to ICI therapy in locally advanced colon and rectal tumors with these biomarkers.1-4 He expressed optimism that my cancer could have a similar response. I embarked on a 24-week course of nivolumab and ipilimumab. After 6 weeks of therapy, a computed tomography (CT) scan showed a significant reduction in tumor size. My health rebounded as the tumor receded. This miraculous escape, however, was bound by the specter of a Whipple surgery, vaguely promised 6 months into my treatment. At the internationally renowned center where I was diagnosed and began treatment with astonishing efficiency, neither oncologists nor surgeons entertained the possibility of a surgery-sparing approach. “In a young, healthy patient like you we would absolutely recommend a Whipple,” my first oncologist told me. A second oncologist repeated that assessment. When asked if immunotherapy could provide a definitive cure, he replied that “if the tumor disappeared we could have that conversation.” My charismatic surgeon exuded confidence that I would sail through the procedure: “You are in excellent health and fitness—it will be a delicious surgery for me.” Momentum carried me forward in the belief that surgery was out of my hands. Four months into treatment, I was jolted into the realization that a Whipple was a choice. I transferred my infusions to a cancer center nearer my home, where I saw a third oncologist, who was nearly my age. On a sunny afternoon, 2 months into our relationship, he suggested I think about a watch-and-wait approach that continued ICI therapy with the aim of avoiding surgery. “Is that an option?” I asked, taken aback. “This is a life-changing surgery,” he responded. “You should consider it.” He arranged a meeting for me with his colleague, the hepatobiliary surgeon who clarified that “there are no data showing that surgery will improve your outcome.” How should patients and physicians make decisions in the absence of data? My previous experience with cancer offered little help. When I was diagnosed with colon cancer at the age of 28, doctors made clear recommendations based on clear evidence. I marched through surgery and never second-guessed my choices. A watch-and-wait approach made sense to me based on theory and extrapolation. Could duodenal tumors treated by ICIs behave that differently from colorectal cancers, for which data existed to make a watch-and-wait approach appear reasonable? The hepatobiliary surgeon at the regional cancer center told me, “I could make a theoretical argument either way and leave you walking out of here convinced. But we simply don't know.” His comment reflects modern medicine's strict empiricism, but it foreclosed further discussion of the scientific questions involved and pushed the decision into the realm of personal values. Facing this dilemma, my family situation drove me toward surgery despite my intuition that immunotherapy could provide a definitive cure. The night before I scheduled my Whipple procedure, I wrote in my journal that “in the face of radical uncertainty one must resort to basic values—and my priority is to survive for my children. A maimed, weakened father is without doubt better than no father at all.” To be sure, these last lines were written with some bravado. Only after the surgery did I viscerally grasp that the Whipple was a permanent maiming of the GI system. My doubts lingered after I scheduled surgery, and I had a final conversation with the young oncologist at the cancer center near my home. We discussed a watch-and-wait approach. A small mass remained on CT scans, but that was common even when tumors achieved a pathological complete response.5 Another positron emission tomography scan could provide more information but could not rule out the persistence of lingering cancer cells. I expressed my low risk tolerance given my personal circumstances. We sat across from one another, two fathers with young children. My oncologist was expecting his second child in a week. He was silent for moments before responding “I would recommend surgery in your situation.” Perhaps I was projecting, but I felt the two of us were in the same situation: both wanting a watch-and-wait approach, both intuitively believing in it, but both held back by a sense of parental responsibility. My post-surgery pathology revealed a pathological complete response. CT scans and circulating tumor DNA tests in the past year have shown no evidence of disease. This is an exceptional outcome. Yet in the year since my Whipple, I have been sickened by my lack of gratitude for my good fortune, driven by a difficult recovery and a sense that my surgery had been superfluous. Following surgery, I faced complications of which I had been warned, such as a pancreatic fistula, delayed gastric emptying, and pancreatic enzyme insufficiency. There were still more problems that I did not anticipate, including, among others, stenoses of arteries and veins due to intraabdominal hematomas, persistent anemia, and the loss of 25% of my body weight. Collectively, they added up to an enduringly dysfunctional GI system and a lingering frailty. I was particularly embittered to have chosen surgery to mitigate the risk that my children would lose their father, only to find that surgery prevented me from being the robust father I once was. Of course, had I deferred surgery and seen the tumor grow inoperable or metastasize between scans, my remorse would have been incalculably deeper. But should medical decisions be based on contemplation of the most catastrophic consequences, whatever their likelihood? With hindsight, it became difficult not to re-examine the assumptions behind my decision. Too often, my dialogue with my doctors was impeded by the assumption that surgery was the obvious recommendation because I was young and healthy. The assumption that younger oncology patients necessarily warrant more radical treatment deserves reassessment. While younger patients have more years of life to lose from cancer, they also have more years to deal with the enduring medical, personal, and professional consequences of a life-changing surgery. It was not my youth that led me to choose surgery but my family situation: 10 years earlier, my youth likely would have led me to a watch-and-wait approach. The rising incidence of cancer among patients in their 20s and 30s highlights the need for a nuanced approach to this demographic.  Calculations on surgery versus a watch-and-wait approach in cases like mine, where there are no data showing that surgery improves outcomes, also require doctors and patients to account holistically for the severity of the surgery involved. Multiple surgeons discussed the immediate postsurgical risks and complications of a pancreaticoduodenectomy, but not the long-term challenges involved. When asked to compare the difficulty of my prior subtotal colectomy with that of a pancreatoduodenectomy, the surgeon who performed my procedure suggested they might be similar. The surgeon at the regional cancer center stated that the Whipple would be far more difficult. I mentally split the difference. The later assessment was right, and mine was not a particularly bad recovery compared with others I know. Having been through both procedures, I would repeat the subtotal colectomy for a theoretical oncologic benefit but would accept some calculated risk to avoid a Whipple. Most Whipple survivors do not have the privilege of asking whether their surgery was necessary. Many celebrate every anniversary of the procedure as one more year that they are alive against the odds. That I can question the need for my surgery speaks to the revolutionary transformation which immunotherapy has brought about for a small subset of patients with cancer. The long-term medical and personal consequences of surgery highlight the urgent stakes of fully understanding and harnessing the life-affirming potential of this technology. In the meantime, while the field accumulates more data, potentially thousands of patients and their physicians will face difficult decisions on surgery verses a watch and- wait approach in cases of GI tumors with particular biomarkers showing exceptional responses to ICI therapy.7,8 Under these circumstances, I hope that all patients can have effective and transparent conversations with their physicians that allow informed choices accounting for their risk tolerance, calculations of proportionality, and priorities.  Dr. Mikkael Sekeres: Hello, and welcome to JCO's Cancer Stories: The Art of Oncology, which features essays and personal reflections from authors exploring their experience in the oncology field. I'm your host, Dr. Mikkael Sekeres. I'm Professor of Medicine and Chief of the Division of Hematology at the Sylvester Comprehensive Cancer Center at University of Miami. Today, we are so happy to be joined by Dr. Carl Forsberg, Assistant Professor of Strategy and History at the Air Force War College. In this episode, we will be discussing his Art of Oncology article, "A Whipple of Choice." At the time of this recording, our guest has no disclosures. Carl, it is such a thrill to welcome you to our podcast, and thank you for joining us. Dr. Carl Forsberg: Well, thank you, Mikkael, for having me. I'm looking forward to our conversation. Dr. Mikkael Sekeres: So am I. I wanted to start, Carl, with just a little bit of background about you. It's not often we have a historian from the Air Force College who's on this podcast. Can you tell us about yourself, where you're from, and walk us through your career? Dr. Carl Forsberg: Sure. I was born and raised in Minnesota in a suburb of Minneapolis-St. Paul and then went to undergraduate on the East Coast. I actually started my career working on the contemporary war in Afghanistan, first as an analyst at a DC think tank and then spent a year in Kabul, Afghanistan, on the staff of the four-star NATO US headquarters, where I worked on the vexing problems of Afghanistan's dysfunctional government and corruption. Needless to say, we didn't solve that problem. Dr. Mikkael Sekeres: Wow. Dr. Carl Forsberg: I returned from Afghanistan somewhat disillusioned with working in policy, so I moved into academia, did a PhD in history at the University of Texas at Austin, followed by postdoctoral fellowships at Harvard and Yale, and then started my current position here at the Air Force War College. The War Colleges are, I think, somewhat unusual, unique institutions. Essentially, we offer a 1-year master's degree in strategic studies for lieutenant colonels and colonels in the various US military services. Which is to say my students are generally in their 40s. They've had about 20 years of military experience. They're moving from the operational managerial levels of command to positions where they'll be making strategic decisions or be strategic advisors. So we teach military history, strategy, international relations, national security policy to facilitate that transition to a different level of thinking. It really is a wonderful, interesting, stimulating environment to be in and to teach in. So I've enjoyed this position here at the War College quite a lot. Dr. Mikkael Sekeres: Well, I have to tell you, as someone who's been steeped in academic medicine, it sounds absolutely fascinating and something that I wouldn't even know where to start approaching. We have postdoctoral fellowships, of course, in science as well. What do you do during a postdoctoral fellowship in history and strategy? Dr. Carl Forsberg: It's often, especially as a historian, it's an opportunity to take your dissertation and expand it into a book manuscript. So you have a lot of flexibility, which is great. And, of course, a collegial environment with others working in similar fields. There are probably some similarities to a postdoc in medicine in terms of having working groups and conferences and discussing works in progress. So it was a great experience for me. My second postdoc occurred during the pandemic, so it turned out to be an online postdoc, a somewhat disappointing experience, but nevertheless I got a lot out of the connections and relationships I formed during those two different fellowships. Dr. Mikkael Sekeres: Well, there are some people who used the pandemic as an excuse to really just plow into their writing and get immersed in it. I certainly wrote one book during the pandemic because I thought, “Why not? I'm home. It's something where I can use my brain and expand my knowledge base.” So I imagine it must have been somewhat similar for you as you're thinking about expanding your thesis and going down different research avenues. Dr. Carl Forsberg: I think I was less productive than I might have hoped. Part of it was we had a 2-year-old child at home, so my wife and I trying to, you know, both work remotely with a child without having childcare really for much of that year given the childcare options fell through. And it was perhaps less productive than I would have aspired for it to be. Dr. Mikkael Sekeres: It's terrifically challenging having young children at home during the pandemic and also trying to work remotely with them at home. I'm curious, you are a writer, it's part of your career, and I'm curious about your writing process. What triggers you to write a story like you did, and how does it differ from some of your academic writing? Dr. Carl Forsberg: Yeah. Well, as you say, there is a real difference between writing history as an academic and writing this particular piece. For me, for writing history, my day job, if you will, it's a somewhat slow, painstaking process. There's a considerable amount of reading and archival work that go into history. I'm certainly very tied to my sources and documents. So, you know, trying to get that precision, making sure you've captured a huge range of archival resources. The real narrative of events is a slow process. I also have a bad habit of writing twice as much as I have room for. So my process entailed a lot of extensive revisions and rewriting, both to kind of shorten, to make sure there is a compelling narrative, and get rid of the chaff. But also, I think that process of revision for me is where I often draw some of the bigger, more interesting conclusions in my work once I've kind of laid out that basis of the actual history. Certainly, writing this article, this medical humanities article, was a very different experience for me. I've never written something about myself for publication. And, of course, it was really driven by my own experiences of going through this cancer journey and recovering from Whipple surgery as well. The article was born during my recovery, about 4 months after my Whipple procedure. It was a difficult time. Obviously kind of in a bad place physically and, in my case, somewhat mentally, including the effects of bad anemia, which developed after the surgery. I found it wasn't really conducive to writing history, so I set that aside for a while. But I also found myself just fixating on this question of had I chosen a superfluous Whipple surgery. I think to some extent, humans can endure almost any suffering with a sense of purpose, but when there's a perceived pointlessness to the suffering, it makes it much harder. So for me, writing this article really was an exercise, almost a therapeutic one, in thinking through the decisions that led me to my surgery, addressing my own fixation on this question of had I made a mistake in choosing to have surgery and working through that process in a systematic way was very helpful for me. But it also, I think, gave me- I undertook this with some sense of perhaps my experience could be worthwhile and helpful for others who would find themselves in a situation like mine. So I did write it with an eye towards what would I like to have read? What would I like to have had as perspective from another patient as I grappled with the decision that I talk about in the article of getting a Whipple surgery. Dr. Mikkael Sekeres: So I wonder if I could back up a little bit. You talk about the difficulty of undergoing a Whipple procedure and of recovery afterwards, a process that took months. And this may come across as a really naive question, but as, you know, as an oncologist, my specialty is leukemia, so I'm not referring people for major surgeries, but I am referring them for major chemotherapy and sometimes to undergo a bone marrow transplant. Can you educate us what makes it so hard? Why was it so hard getting a Whipple procedure, and what was hard about the recovery? Dr. Carl Forsberg: Yeah, it was a long process. Initially, it was a 14-day stay in the hospital. I had a leaking pancreas, which my understanding is more common actually with young, healthy patients just because the pancreas is softer and more tender. So just, you know, vast amount of pancreatic fluid collecting in the abdominal cavity, which is never a pleasant experience. I had a surgical drain for 50-something days, spent 2 weeks in the hospital. Simply eating is a huge challenge after Whipple surgery. I had delayed gastric emptying for a while afterwards. You can only eat very small meals. Even small meals would give me considerable stomach pain. I ended up losing 40 lb of weight in 6 weeks after my surgery. Interestingly enough, I think I went into the surgery in about the best shape I had been in in the last decade. My surgeon told me one of the best predictors for outcomes is actual muscle mass and told me to work out for 2 hours every day leading up to my surgery, which was great because I could tell my wife, "Sorry, I'm going to be late for dinner tonight. I might die on the operating table." You can't really argue with that justification. So I went in in spectacular shape and then in 6 weeks kind of lost all of that muscle mass and all of the the strength I had built up, which just something discouraging about that. But just simply getting back to eating was an extraordinarily difficult process, kind of the process of trial and error, what worked with my system, what I could eat without getting bad stomach pains afterwards. I had an incident of C. diff, a C. diff infection just 5 weeks after the surgery, which was obviously challenging. Dr. Mikkael Sekeres: Yeah. Was it more the pain from the procedure, the time spent in the hospital, or psychologically was it harder? Dr. Carl Forsberg: In the beginning, it was certainly the physical elements of it, the difficulty eating, the weakness that comes with losing that much weight so quickly. I ended up also developing anemia starting about two or 3 months in, which I think also kind of has certain mental effects. My hemoglobin got down to eight, and we caught it somewhat belatedly. But I think after about three or 4 months, some of the challenges became more psychological. So I started to physically recover, questions about going forward, how much am I going to actually recover normal metabolism, normal gastrointestinal processes, a question of, you know, what impact would this have long-term. And then, as I mentioned as well, some of the psychological questions of, especially once I discovered I had a complete pathological response to the immunotherapy, what was the point to having this surgery? Dr. Mikkael Sekeres: And the way you explore this and revisit it in the essay is absolutely fascinating. I wanted to start at the- towards the earlier part of your essay, you write, "The surgeon's willingness to structure our conversation around the ambiguity of the case was immensely clarifying." It's fascinating. The ambiguity was clarifying to you. And the fact that you appreciated the fact that the surgeon was open to talking about this ambiguity. When do you think it's the right thing to acknowledge ambiguity in medicine, and when should we be more definitive? When do you just want someone to tell you, “Do this or do that?” Dr. Carl Forsberg: That's a great question, which I've thought about some. I think some of it is, I really appreciated the one- a couple of the oncologists who brought up the ambiguity, did it not at the beginning of the process but a few months in. You know, the first few months, you're so as a patient kind of wrapped up in trying to figure out what's going on. You want answers. And my initial instinct was, you know, I wanted surgery as fast as possible because you want to get the tumor out, obviously. And so I think bringing up the ambiguity at a certain point in the process was really helpful. I imagine that some of this has to do with the patient. I'm sure for oncologists and physicians, it's got to be a real challenge assessing what your patient wants, how much they want a clear answer versus how much they want ambiguity. I've never obviously been in the position of being a physician. As a professor, you get the interesting- you start to realize some students want you to give them answers and some students really want to discuss the ambiguities and the challenges of a case. And so I'm, I imagine it might be similar as a physician, kind of trying to read the patient. I guess in my case, the fact was that it was an extraordinarily ambiguous decision in which there wasn't data. So I think there is an element, if the data gives no clear answers, that I suppose there's sort of an ethical necessity of bringing that up with the patient. Though I know that some patients will be more receptive than others to delving into that ambiguity. Dr. Mikkael Sekeres: Well, you know, it's an opportunity for us to think holistically about our patients, and you as a patient to think holistically about your health and your family and how you make decisions. I believe that when we're in a gray zone in medicine where the data really don't help guide one decision versus the next, you then lean back towards other values that you have to help make that decision. You write beautifully about this. You say, "In the face of radical uncertainty, one must resort to basic values, and my priority is to survive for my children. A maimed, weakened father is without doubt better than no father at all." That's an incredibly deep sentiment. So, how do you think these types of decisions about treatment for cancer change over the course of our lives? You talk a lot about how you were a young father in this essay, and it was clear that that was, at least at some point, driving your decision. Dr. Carl Forsberg: Yeah, I certainly have spent a lot of time thinking about how I would have made this decision differently 10 years earlier. As I mentioned the article, it was interesting because most of my physicians, honestly, when they were discussing why surgery made sense pointed to my age. I don't think it was really my age. Actually, when I was 23, I went off to Afghanistan, took enormous risks. And to some extent, I think as a young single person in your 20s, you actually have generally a much higher risk tolerance. And I think in that same spirit, at a different, earlier, younger stage in my life, I would have probably actually been much more willing to accept that risk, which is kind of a point I try to make, is not necessarily your age that is really the deciding factor. And I think once again, if I were 70 or 60 and my children, you know, were off living their own lives, I think that also would have allowed me to take, um, greater risk and probably led me to go for a watch-and-wait approach instead. So there was a sense at which not the age, but the particular responsibilities one has in life, for me at least, figured very heavily into my medical calculus. Dr. Mikkael Sekeres: It's so interesting how you define a greater risk as watch and wait, whereas a surgeon or a medical oncologist who's making recommendations for you might have defined the greater risk to undergo major surgery. Dr. Carl Forsberg: And I thought about that some too, like why is it that I framed the watch and wait as a greater risk? Because there is a coherent case that actually the greater risk comes from surgery. I think when you're facing a life and death decision and the consequence, when you have cancer, of course, your mind goes immediately to the possibility of death, and that consequence seems so existential that I think it made watch and wait perhaps seem like the riskier course. But that might itself have been an assumption that needed more analysis. Dr. Mikkael Sekeres: Do you think that your doctor revealing that he also had young children at home helped you with this decision? Dr. Carl Forsberg: I think in some ways for a doctor it's important to kind of understand where your patient is in their own life. As a patient, it was interesting and always helpful for me to understand where my physicians were in their life, what was shaping their thinking about these questions. So I don't know if it in any way changed my decision-making, but it definitely was important for developing a relationship of trust as well with physicians that we could have that mutual exchange. I would consider one of my primary oncologists, almost something of a friend at this point. But I think it really was important to have that kind of two-way back and forth in understanding both where I was and where my physician was. Dr. Mikkael Sekeres: I like how you frame that in the sense of trust and hearing somebody who could make similar considerations to you given where he was in his family. One final question I wanted to ask you. You really elegantly at the end of this essay talk about revisiting the decision. I wonder, is it fair to revisit these types of decisions with hindsight, or do we lose sight of what loomed as being most important to us when we were making the decisions in real time? Dr. Carl Forsberg: That's a great question, one that is also, I think, inherent to my teaching. I teach military history for lieutenant colonels and colonels who very well may be required, God willing not, but may be required to make these sort of difficult decisions in the case of war. And we study with hindsight. But one thing I try to do as a professor is put them in the position of generals, presidents, who did not have the benefit of hindsight, trying to see the limits of their knowledge, use primary source documents, the actual memos, the records of meetings that were made as they grappled with uncertainty and the inherent fog of war. Because it is, of course, easy to judge these things in hindsight. So definitely, I kept reminding myself of that, that it's easy to second guess with hindsight. And so I think for me, part of this article was trying to go through, seeing where I was at the time, understanding that the decision I made, it made sense and with what I knew, it was probably the right decision, even if we can also with hindsight say, "Well, we've learned more, we have more data." A lot of historical leaders, it's easy to criticize them for decisions, but when you go put yourself in their position, see what the alternatives were, you start to realize these were really hard decisions, and I would have probably made the same disastrous mistake as they would have, you know. Let's just say the Vietnam War, we have our students work through with the original documents decisions of the Joint Chiefs in 1965. They very frequently come to the exact same conclusions as American policymakers made in 1965. It is a real risk making judgments purely on the basis of hindsight, and I think it is important to go back and really try to be authentic to what you knew at the time you made a decision. Dr. Mikkael Sekeres: What a great perspective on this from a historian. Carl Forsberg, I'd like to thank you, and all of us are grateful that you were willing to share your story with us in The Art of Oncology. Dr. Carl Forsberg: Well, thank you, and it's yeah, it's been a, it's a, I think in some ways a very interesting and fitting place to kind of end my cancer journey with the publication of this article, and it's definitely done a lot to help me work through this entire process of going through cancer. So, thank you. Dr. Mikkael Sekeres: Until next time, thank you for listening to JCO's Cancer Stories: The Art of Oncology. Don't forget to give us a rating or review, and be sure to subscribe so you never miss an episode. You can find all of ASCO's shows at asco.org/podcasts. Until next time, thank you so much. The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement.   Show notes:Like, share and subscribe so you never miss an episode and leave a rating or review.  Guest Bio: Dr. Carl Forsberg is a Assistant Professor of Strategy and History at the Air Force War College.

This week, Meghan Henry flies solo, and welcomes Meghan Fountain, Assistant Vice President—Claims at Velocity Risk Underwriters, LLC

What is the relationship between Torah and secular disciplines such as astronomy mathematics? In a pithy and cryptic teaching, Rabbi Elazar Chisma – a Sage who excelled in both – offers an insightful perspective. This Ethics Podcast was originally released on the Ethics Podcast on Sep 1, 2019 – – – – – – – […]

Unlock the Full Power of Spotlight Search in macOS Sequoia Mikah Sargent takes you on a comprehensive tour of Spotlight, macOS Sequoia's built-in search powerhouse that does far more than just find files. Learn how to access, customize, and troubleshoot this essential Mac feature to boost your productivity.-Accessing Spotlight - Three different ways to open Spotlight: clicking the magnifying glass in the menu bar, using Command+Space keyboard shortcut, or pressing the dedicated Spotlight key (F4) on many Mac keyboards. -Search capabilities - Spotlight displays results organized by category including files, websites, images, music, and more, with indicators showing which results will take you to web sources. -Navigation tricks - Use arrow keys to move through results, double-click to open items, and hold down the Command key to reveal a file's location in Finder. -Settings searches - Search for system settings like "VoiceOver" to quickly access specific preference panes without navigating through menus. -Quick actions - Spotlight offers contextual actions for certain searches, like sending an email when you search for an email address. -File management - Drag files directly from Spotlight results to the desktop or Finder windows, and use "Search in Finder" for more specific file searches. -Calculations and conversions - Instantly perform math calculations, convert temperatures, currencies (like yen to USD), and measurements (feet to inches) right in the search field. -Time zone lookups - Quickly check local time in different cities around the world. -Customizing search categories - Control which categories appear in results by adjusting Spotlight preferences in System Settings. -Privacy options - Turn off Siri suggestions or disable location services to limit Spotlight's scope, and use Search Privacy settings to exclude specific folders or drives from searches. -Troubleshooting Spotlight - Fix problems by rebuilding the Spotlight index through a simple but effective technique involving temporarily excluding your entire hard drive. Search for anything with Spotlight on Mac - Apple Support - https://support.apple.com/guide/mac-help/search-with-spotlight-mchlp1008/mac Choose suggestion categories for Spotlight on Mac - Apple Support - https://support.apple.com/guide/mac-help/choose-suggestion-categories-for-spotlight-mchl3e00eae9/15.0/mac/15.0 Prevent Spotlight searches in files on Mac - Apple Support - https://support.apple.com/guide/mac-help/prevent-spotlight-searches-in-files-mchl1bb43b84/15.0/mac/15.0 Turn off Siri Suggestions for Spotlight on Mac - Apple Support - https://support.apple.com/guide/mac-help/turn-off-siri-suggestions-for-spotlight-mchl62db64f5/15.0/mac/15.0#apdd1e1b05619144 These show notes have been truncated due to length. For the full show notes, visit https://twit.tv/shows/hands-on-mac/episodes/181 Host: Mikah Sargent

Unlock the Full Power of Spotlight Search in macOS Sequoia Mikah Sargent takes you on a comprehensive tour of Spotlight, macOS Sequoia's built-in search powerhouse that does far more than just find files. Learn how to access, customize, and troubleshoot this essential Mac feature to boost your productivity.-Accessing Spotlight - Three different ways to open Spotlight: clicking the magnifying glass in the menu bar, using Command+Space keyboard shortcut, or pressing the dedicated Spotlight key (F4) on many Mac keyboards. -Search capabilities - Spotlight displays results organized by category including files, websites, images, music, and more, with indicators showing which results will take you to web sources. -Navigation tricks - Use arrow keys to move through results, double-click to open items, and hold down the Command key to reveal a file's location in Finder. -Settings searches - Search for system settings like "VoiceOver" to quickly access specific preference panes without navigating through menus. -Quick actions - Spotlight offers contextual actions for certain searches, like sending an email when you search for an email address. -File management - Drag files directly from Spotlight results to the desktop or Finder windows, and use "Search in Finder" for more specific file searches. -Calculations and conversions - Instantly perform math calculations, convert temperatures, currencies (like yen to USD), and measurements (feet to inches) right in the search field. -Time zone lookups - Quickly check local time in different cities around the world. -Customizing search categories - Control which categories appear in results by adjusting Spotlight preferences in System Settings. -Privacy options - Turn off Siri suggestions or disable location services to limit Spotlight's scope, and use Search Privacy settings to exclude specific folders or drives from searches. -Troubleshooting Spotlight - Fix problems by rebuilding the Spotlight index through a simple but effective technique involving temporarily excluding your entire hard drive. Search for anything with Spotlight on Mac - Apple Support - https://support.apple.com/guide/mac-help/search-with-spotlight-mchlp1008/mac Choose suggestion categories for Spotlight on Mac - Apple Support - https://support.apple.com/guide/mac-help/choose-suggestion-categories-for-spotlight-mchl3e00eae9/15.0/mac/15.0 Prevent Spotlight searches in files on Mac - Apple Support - https://support.apple.com/guide/mac-help/prevent-spotlight-searches-in-files-mchl1bb43b84/15.0/mac/15.0 Turn off Siri Suggestions for Spotlight on Mac - Apple Support - https://support.apple.com/guide/mac-help/turn-off-siri-suggestions-for-spotlight-mchl62db64f5/15.0/mac/15.0#apdd1e1b05619144 These show notes have been truncated due to length. For the full show notes, visit https://twit.tv/shows/hands-on-mac/episodes/181 Host: Mikah Sargent

Unlock the Full Power of Spotlight Search in macOS Sequoia Mikah Sargent takes you on a comprehensive tour of Spotlight, macOS Sequoia's built-in search powerhouse that does far more than just find files. Learn how to access, customize, and troubleshoot this essential Mac feature to boost your productivity.-Accessing Spotlight - Three different ways to open Spotlight: clicking the magnifying glass in the menu bar, using Command+Space keyboard shortcut, or pressing the dedicated Spotlight key (F4) on many Mac keyboards. -Search capabilities - Spotlight displays results organized by category including files, websites, images, music, and more, with indicators showing which results will take you to web sources. -Navigation tricks - Use arrow keys to move through results, double-click to open items, and hold down the Command key to reveal a file's location in Finder. -Settings searches - Search for system settings like "VoiceOver" to quickly access specific preference panes without navigating through menus. -Quick actions - Spotlight offers contextual actions for certain searches, like sending an email when you search for an email address. -File management - Drag files directly from Spotlight results to the desktop or Finder windows, and use "Search in Finder" for more specific file searches. -Calculations and conversions - Instantly perform math calculations, convert temperatures, currencies (like yen to USD), and measurements (feet to inches) right in the search field. -Time zone lookups - Quickly check local time in different cities around the world. -Customizing search categories - Control which categories appear in results by adjusting Spotlight preferences in System Settings. -Privacy options - Turn off Siri suggestions or disable location services to limit Spotlight's scope, and use Search Privacy settings to exclude specific folders or drives from searches. -Troubleshooting Spotlight - Fix problems by rebuilding the Spotlight index through a simple but effective technique involving temporarily excluding your entire hard drive. Search for anything with Spotlight on Mac - Apple Support - https://support.apple.com/guide/mac-help/search-with-spotlight-mchlp1008/mac Choose suggestion categories for Spotlight on Mac - Apple Support - https://support.apple.com/guide/mac-help/choose-suggestion-categories-for-spotlight-mchl3e00eae9/15.0/mac/15.0 Prevent Spotlight searches in files on Mac - Apple Support - https://support.apple.com/guide/mac-help/prevent-spotlight-searches-in-files-mchl1bb43b84/15.0/mac/15.0 Turn off Siri Suggestions for Spotlight on Mac - Apple Support - https://support.apple.com/guide/mac-help/turn-off-siri-suggestions-for-spotlight-mchl62db64f5/15.0/mac/15.0#apdd1e1b05619144 These show notes have been truncated due to length. For the full show notes, visit https://twit.tv/shows/hands-on-mac/episodes/181 Host: Mikah Sargent

fWotD Episode 2924: Guandimiao Welcome to Featured Wiki of the Day, your daily dose of knowledge from Wikipedia's finest articles.The featured article for Wednesday, 7 May 2025, is Guandimiao.Guandimiao (Chinese: 关帝庙遗址; pinyin: Guāndìmiào yízhǐ; lit. 'Guandi temple ruins') is a Chinese archaeological site 18 km (11 miles) south of the Yellow River in Xingyang, Henan. It is the site of a small Late Shang village that was inhabited from roughly 1250 to 1100 BCE. Located 200 km (120 miles) from the site of the Shang dynasty capital at Yinxu in Anyang, the site was first studied as a part of excavations undertaken between 2006 and 2008 in preparation for the nearby South–North Water Transfer Project. Excavation and study at Guandimiao has significantly broadened scholars' understanding of rural Shang economies and rituals, as well as the layout of rural villages, which had received comparatively little attention compared to urban centers like Yinxu and Huanbei.Calculations derived from the number of graves and pit-houses at Guandimiao suggest a maximum population of around 100 individuals at the site's peak during the early 12th century BCE. The presence of 23 kilns suggests large-scale regional exports of ceramics from the village. Residents used bone tools, including many that were locally produced, as well as sophisticated arrowheads and hairpins likely imported from Anyang, where facilities produced them en masse. Local ritual practice is evidenced by the presence of locally produced oracle bones used in pyromancy and large sacrificial pits where mainly cattle had been buried, alongside a smaller number of pigs and (rarely) humans. Over 200 graves were found at the site. Apart from an almost complete absence of grave goods beyond occasional cowrie shells and sacrificed dogs, they generally resemble shaft tombs found elsewhere in ancient China.This recording reflects the Wikipedia text as of 00:58 UTC on Wednesday, 7 May 2025.For the full current version of the article, see Guandimiao on Wikipedia.This podcast uses content from Wikipedia under the Creative Commons Attribution-ShareAlike License.Visit our archives at wikioftheday.com and subscribe to stay updated on new episodes.Follow us on Mastodon at @wikioftheday@masto.ai.Also check out Curmudgeon's Corner, a current events podcast.Until next time, I'm standard Geraint.

In this episode Brian and Jeff discuss 6 calculations many people get wrong and what to do with your 1040 form. 

Discover essential utility apps that solve everyday problems with your Apple devices! Hosts Mikah Sargent and Rosemary Orchard walk you through a collection of must-have apps that address common pain points throughout your day. From document scanning to printing solutions, they demonstrate how the right apps can make your digital life significantly easier. Simple Scan by Agile Tortoise - A powerful document scanning app that lets you choose your destination (email, messages, files) and quality settings, making it easy to digitize paper documents and manuals. Yoink - A clever "shelf" app that serves as a temporary holding place for files you need for a short time but don't want to save permanently. Printer Apps (Canon PRINT, HP, etc.) - Manufacturer-specific printer apps can help troubleshoot connection issues, perform maintenance, and sometimes succeed at printing when AirPrint fails. PDF Expert - The free version offers scaling options for printing that aren't available in most standard print dialogs, allowing you to adjust document size to fit perfectly on different paper sizes. PCalc- Goes beyond basic calculations to offer extensive conversion capabilities for length, area, currency, cooking measurements, and much more. Soulver 3 - A powerful math app for "back of the envelope" calculations with annotations, perfect for budget planning or working through complex math problems. Drafts - An incredibly versatile text capture tool that works via widgets, serves as a digital post-it system, and helps clean up long URLs from sites like Amazon before sharing. News iPadOS Updates Coming - Mark Gurman of Bloomberg reports that Apple plans to make iPadOS more like macOS at WWDC this year, focusing on productivity, multitasking, and app window management. Hosts: Mikah Sargent and Rosemary Orchard Contact iOS Today at iOSToday@twit.tv. Download or subscribe to iOS Today at https://twit.tv/shows/ios-today Want access to the ad-free video and exclusive features? Become a member of Club TWiT today! https://twit.tv/clubtwit Club TWiT members can discuss this episode and leave feedback in the Club TWiT Discord.

Discover essential utility apps that solve everyday problems with your Apple devices! Hosts Mikah Sargent and Rosemary Orchard walk you through a collection of must-have apps that address common pain points throughout your day. From document scanning to printing solutions, they demonstrate how the right apps can make your digital life significantly easier. Simple Scan by Agile Tortoise - A powerful document scanning app that lets you choose your destination (email, messages, files) and quality settings, making it easy to digitize paper documents and manuals. Yoink - A clever "shelf" app that serves as a temporary holding place for files you need for a short time but don't want to save permanently. Printer Apps (Canon PRINT, HP, etc.) - Manufacturer-specific printer apps can help troubleshoot connection issues, perform maintenance, and sometimes succeed at printing when AirPrint fails. PDF Expert - The free version offers scaling options for printing that aren't available in most standard print dialogs, allowing you to adjust document size to fit perfectly on different paper sizes. PCalc- Goes beyond basic calculations to offer extensive conversion capabilities for length, area, currency, cooking measurements, and much more. Soulver 3 - A powerful math app for "back of the envelope" calculations with annotations, perfect for budget planning or working through complex math problems. Drafts - An incredibly versatile text capture tool that works via widgets, serves as a digital post-it system, and helps clean up long URLs from sites like Amazon before sharing. News iPadOS Updates Coming - Mark Gurman of Bloomberg reports that Apple plans to make iPadOS more like macOS at WWDC this year, focusing on productivity, multitasking, and app window management. Hosts: Mikah Sargent and Rosemary Orchard Contact iOS Today at iOSToday@twit.tv. Download or subscribe to iOS Today at https://twit.tv/shows/ios-today Want access to the ad-free video and exclusive features? Become a member of Club TWiT today! https://twit.tv/clubtwit Club TWiT members can discuss this episode and leave feedback in the Club TWiT Discord.

Discover essential utility apps that solve everyday problems with your Apple devices! Hosts Mikah Sargent and Rosemary Orchard walk you through a collection of must-have apps that address common pain points throughout your day. From document scanning to printing solutions, they demonstrate how the right apps can make your digital life significantly easier. Simple Scan by Agile Tortoise - A powerful document scanning app that lets you choose your destination (email, messages, files) and quality settings, making it easy to digitize paper documents and manuals. Yoink - A clever "shelf" app that serves as a temporary holding place for files you need for a short time but don't want to save permanently. Printer Apps (Canon PRINT, HP, etc.) - Manufacturer-specific printer apps can help troubleshoot connection issues, perform maintenance, and sometimes succeed at printing when AirPrint fails. PDF Expert - The free version offers scaling options for printing that aren't available in most standard print dialogs, allowing you to adjust document size to fit perfectly on different paper sizes. PCalc- Goes beyond basic calculations to offer extensive conversion capabilities for length, area, currency, cooking measurements, and much more. Soulver 3 - A powerful math app for "back of the envelope" calculations with annotations, perfect for budget planning or working through complex math problems. Drafts - An incredibly versatile text capture tool that works via widgets, serves as a digital post-it system, and helps clean up long URLs from sites like Amazon before sharing. News iPadOS Updates Coming - Mark Gurman of Bloomberg reports that Apple plans to make iPadOS more like macOS at WWDC this year, focusing on productivity, multitasking, and app window management. Hosts: Mikah Sargent and Rosemary Orchard Contact iOS Today at iOSToday@twit.tv. Download or subscribe to iOS Today at https://twit.tv/shows/ios-today Want access to the ad-free video and exclusive features? Become a member of Club TWiT today! https://twit.tv/clubtwit Club TWiT members can discuss this episode and leave feedback in the Club TWiT Discord.

Discover essential utility apps that solve everyday problems with your Apple devices! Hosts Mikah Sargent and Rosemary Orchard walk you through a collection of must-have apps that address common pain points throughout your day. From document scanning to printing solutions, they demonstrate how the right apps can make your digital life significantly easier. Simple Scan by Agile Tortoise - A powerful document scanning app that lets you choose your destination (email, messages, files) and quality settings, making it easy to digitize paper documents and manuals. Yoink - A clever "shelf" app that serves as a temporary holding place for files you need for a short time but don't want to save permanently. Printer Apps (Canon PRINT, HP, etc.) - Manufacturer-specific printer apps can help troubleshoot connection issues, perform maintenance, and sometimes succeed at printing when AirPrint fails. PDF Expert - The free version offers scaling options for printing that aren't available in most standard print dialogs, allowing you to adjust document size to fit perfectly on different paper sizes. PCalc- Goes beyond basic calculations to offer extensive conversion capabilities for length, area, currency, cooking measurements, and much more. Soulver 3 - A powerful math app for "back of the envelope" calculations with annotations, perfect for budget planning or working through complex math problems. Drafts - An incredibly versatile text capture tool that works via widgets, serves as a digital post-it system, and helps clean up long URLs from sites like Amazon before sharing. News iPadOS Updates Coming - Mark Gurman of Bloomberg reports that Apple plans to make iPadOS more like macOS at WWDC this year, focusing on productivity, multitasking, and app window management. Hosts: Mikah Sargent and Rosemary Orchard Contact iOS Today at iOSToday@twit.tv. Download or subscribe to iOS Today at https://twit.tv/shows/ios-today Want access to the ad-free video and exclusive features? Become a member of Club TWiT today! https://twit.tv/clubtwit Club TWiT members can discuss this episode and leave feedback in the Club TWiT Discord.

Discover essential utility apps that solve everyday problems with your Apple devices! Hosts Mikah Sargent and Rosemary Orchard walk you through a collection of must-have apps that address common pain points throughout your day. From document scanning to printing solutions, they demonstrate how the right apps can make your digital life significantly easier. Simple Scan by Agile Tortoise - A powerful document scanning app that lets you choose your destination (email, messages, files) and quality settings, making it easy to digitize paper documents and manuals. Yoink - A clever "shelf" app that serves as a temporary holding place for files you need for a short time but don't want to save permanently. Printer Apps (Canon PRINT, HP, etc.) - Manufacturer-specific printer apps can help troubleshoot connection issues, perform maintenance, and sometimes succeed at printing when AirPrint fails. PDF Expert - The free version offers scaling options for printing that aren't available in most standard print dialogs, allowing you to adjust document size to fit perfectly on different paper sizes. PCalc- Goes beyond basic calculations to offer extensive conversion capabilities for length, area, currency, cooking measurements, and much more. Soulver 3 - A powerful math app for "back of the envelope" calculations with annotations, perfect for budget planning or working through complex math problems. Drafts - An incredibly versatile text capture tool that works via widgets, serves as a digital post-it system, and helps clean up long URLs from sites like Amazon before sharing. News iPadOS Updates Coming - Mark Gurman of Bloomberg reports that Apple plans to make iPadOS more like macOS at WWDC this year, focusing on productivity, multitasking, and app window management. Hosts: Mikah Sargent and Rosemary Orchard Contact iOS Today at iOSToday@twit.tv. Download or subscribe to iOS Today at https://twit.tv/shows/ios-today Want access to the ad-free video and exclusive features? Become a member of Club TWiT today! https://twit.tv/clubtwit Club TWiT members can discuss this episode and leave feedback in the Club TWiT Discord.

View this video at https://macmost.com/17-ways-to-do-calculations-on-your-mac.html. There are many ways you can perform math calculations on your Mac. Some are quick and easy, some are for special situations, and others are can be combined with automations.

Light mode? Dark mode? Scott and Wes break down the best ways to implement theme switching in CSS, from prefers-color-scheme to manual overrides. Plus, tips on handling shadows, icons, and the dreaded flash of dark mode! Show Notes 00:00 Welcome to Syntax! 01:05 Brought to you by Sentry.io. 02:06 Light and dark mode, things to consider. 02:31 Light and dark mode from scratch. drop-in.css. 04:41 Calculations vs assigned color. 05:32 color-mix and relative color. 08:15 Foreground and background variables. –tint-or-shade: color-mix(in oklab, var(–fg), transparent 95%); –tint-or-shade-harder: color-mix(in oklab, var(–fg), transparent 90%); 09:13 Setting color scheme. 12:38 light-dark function in CSS. 15:48 Manually setting dark mode. 18:43 The challenges with shared caching. 19:33 Tailwind CSS implementation. Tailwind dark-mode. 19:52 Shoehorning in dark mode. 22:25 Other things to consider. 22:28 Color contrast. Lea Verou contrast-color. 24:39 Logos. 25:22 Icons and images. 26:20 Accessibility. Polypane. Hit us up on Socials! Syntax: X Instagram Tiktok LinkedIn Threads Wes: X Instagram Tiktok LinkedIn Threads Scott: X Instagram Tiktok LinkedIn Threads Randy: X Instagram YouTube Threads

Aiden answers your questions about conceptualization and making the adult brain better at Chess. Send your questions to @AidenAtDontMove on Twitter, or aiden@dontmoveuntilyousee.it Read the series about mantras and taming your intuition here: https://dontmoveuntilyousee.it/your-enthusiastic-friend To learn more about Don't Move Until You See It and get the free 5-day Conceptualizing Chess Series, head over to https://dontmoveuntilyousee.it/conceptualization

Black holes are creeping up on us. A space telescope has discovered several black holes in recent years that are much closer than any found before. The closest is just 1,560 light-years away – right in our cosmic back yard. The black hole is a member of a binary system known as Gaia BH1. Gaia is a European space telescope that’s been looking at more than a billion stars. It’s plotting the distances to those stars with amazing accuracy. And that’s how it found BH1. Gaia was watching a star that’s a near-twin to the Sun. But the star showed a big “wiggle” – it was being pulled by the gravity of an unseen companion. Calculations showed that the companion is almost 10 times the mass of the Sun, but it produces no energy. That means the companion must be a black hole. The star and black hole are separated by a little more than the distance from Earth to the Sun. That’s too far for the black hole to pull gas from the star. So the black hole is dormant – it’s not feeding on anything. Eventually, though, the star will reach the end of its prime phase of life. It will swell to dozens of times its current diameter. That should allow the black hole to roar to life – as it feasts on a dying companion. Gaia BH1 is in Ophiuchus. The serpent bearer is high in the south at first light. Its outline looks like a giant coffee urn. BH1 is inside the urn – a black hole lurking close to Earth. Script by Damond Benningfield

Welcome to "Grinding The Edge," the ultimate podcast for fantasy football enthusiasts, hosted by Koopa. In each episode, Koopa dives deep into the strategies and tools that can give you the edge in your fantasy leagues. This week, Koopa covers how the WoRP calculation works and how you can apply that knowledge to know where you can apply WoRP.Get the South Harmon WoRP tool at worp.life!Get your Draft Guide at draftguide25.com!Sponsored by Ultimate AutographsDon't miss out on an exclusive offer from our sponsor, Ultimate Autographs. Enhance your collection with authentic, signed memorabilia. Visit signedsh.it and use code Harmon15 to get 15% off your order. Elevate your game with Ultimate Autographs!

Calls for Transparency as RTMC Refuses to Disclose Transaction Fee Calculations by Radio Islam

Have you ever walked into a building and felt too hot, too cold, or just plain uncomfortable even though the HVAC system is running? If so, the problem might not be the thermostat but the way the system was designed. In this episode of the Smart Buildings Academy Podcast, our instructors, Joe & Matt, break down what HVAC load calculations are, why they matter, and how they impact comfort, efficiency, and cost. Whether you work in building automation, HVAC design, or facility management, understanding load calculations is key. This discussion will help you recognize common mistakes, ask the right questions, and optimize system performance without getting lost in the math. What You'll Learn: The science behind HVAC load calculations and how they shape building performance Why oversizing and undersizing HVAC equipment can create big problems How occupancy, lighting, and air changes impact system design The role of ASHRAE standards in ensuring efficiency and comfort Practical strategies for improving energy efficiency while maintaining indoor air quality If you are serious about optimizing HVAC systems and building performance, you will not want to miss it. Tune in and gain the insights to keep your buildings running at peak efficiency.

List of kings who governed entire world, calculations and miscalculations of the 70 year exile (Babylonia and Persia Mede)

In this episode, Paul will talk about voltage drop and the requirements of VD as provided by Articles 647 and 695. However, what about the mandates in the International Energy Conservation Codes (IECC) C405.10 where it mandates an overall 5%.Well, in this episode we talk about it and break it down. Listen as Paul Abernathy, CEO, and Founder of Electrical Code Academy, Inc., the leading electrical educator in the country, discusses electrical code, electrical trade, and electrical business-related topics to help electricians maximize their knowledge and industry investment.If you are looking to learn more about the National Electrical Code, for electrical exam preparation, or to better your knowledge of the NEC then visits https://fasttraxsystem.com for all the electrical code training you will ever need by the leading electrical educator in the country with the best NEC learning program on the planet.Become a supporter of this podcast: https://www.spreaker.com/podcast/master-the-nec-podcast--1083733/support.

In this episode:00:45 An elusive, cosmic neutrino with a record-breaking energyAn enormous array of detectors, deep under the Mediterranean Sea, has captured evidence of the highest-energy neutrino particle ever recorded, although researchers aren't sure exactly where in the cosmos it originated. Calculations revealed this particle had over 30 times the energy of previously detected neutrinos. The team hopes that further study and future detections will help reveal the secrets of high-energy phenomena like supernovae.Research Article: The KM3NeT Collaboration11:34 Research HighlightsHow bonobos adjust their communication to account for what other individuals know, and the discovery of a huge collection of beads adorning the attire of the powerful Copper Age women in Spain.Research Highlight: Bonobos know when you're in the know ― and when you're notResearch Highlight: Record-setting trove of buried beads speaks to power of ancient women14:15 US judge puts NIH grant cuts on holdA judge has blocked a policy that would have slashed billions of dollars of funding for US research institutions, which come as part of President Donald Trump's controversial crackdown on government spending. We discuss the reasoning behind the proposed cuts and the impacts they may have if enacted. We also look at the effects that President Trump's executive orders targeting diversity, equity and inclusion (DEI) policies and funding are having across the US.Nature: ‘Devastating' cuts to NIH grants by Trump's team put on hold by US judgeNature: Have Trump's anti-DEI orders hit private funders? HHMI halts inclusive science programmeNature: Scientists globally are racing to save vital health databases taken down amid Trump chaos25:50 Briefing ChatWhy the latest odds on asteroid 2024 YR4's chance of impacting Earth are so hard to calculate, and how the latest version of DeepMind's AlphaGeometry AI has reached the gold-medal level in geometry.New York Times: Why the Odds of an Asteroid Striking Earth in 2032 Keep Going Up (and Down)Nature: DeepMind AI crushes tough maths problems on par with top human solversSubscribe to Nature Briefing, an unmissable daily round-up of science news, opinion and analysis free in your inbox every weekday. Hosted on Acast. See acast.com/privacy for more information.

Join us, as we unravel the heartbreaking case of Ashley Smylie, a devoted mother and beloved teacher whose life was cut brutally short.  You'll hear how a normal day, just like any other, was shattered in the blink of an eye and how even the most brilliant minds can harbor unfathomable darkness. How to connect: Website Instagram Facebook Twitter Please check out our sponsors and help support the podcast: Hers - Start your initial free online visit today at forhers.com/MADNESS Ancient Nutrition - Right now, Ancient Nutrition is offering 25% off your first order when you go to AncientNutrition.com/MADNESS Shopify - Sign up for a one-dollar-per-month trial period at shopify.com/madness Nutrafol - Start your hair growth journey with Nutrafol. For a limited time, Nutrafol is offering our listeners ten dollars off your first month's subscription and free shipping when you go to Nutrafol.com and enter the promo code MADNESS Apostrophe - Get your first visit for only five dollars at Apostrophe.com/MADNESS when you use our code: MADNESS. Acorns - Head to acorns.com/madness or download the Acorns app to start saving and investing for your future today! Quince - Upgrade your wardrobe with pieces made to last with Quince. Go to Quince.com/madness for free shipping on your order and 365-day returns. Zocdoc - Go to zocdoc.com/MADNESS and download the Zocdoc app for FREE. Then find and book a top-rated doctor today. Many are available within 24 hours. Lumen - If you want to take the next step in improving your health, go to lumen.me/MADNESS to get 15% off your Lumen. MasterClass - MasterClass always has great offers during the holidays, sometimes up to as much as 50% off. Head over to masterclass.com/MADNESS for the current offer. Research & Writing: Ryan Deininger Editing: Aiden Wolf Sources: LIVE: Twisted Teen Murder Trial — MS v. Carly Gregg — Day 1 LIVE: MS v. Carly Gregg - Day 2, Deadly Daughter Murder Trial LIVE: MS v. Carly Gregg - Day 3, Deadly Daughter Murder Trial LIVE: MS v. Carly Gregg - Day 4, Deadly Daughter Murder Trial LIVE: MS v. Carly Gregg, Day 5 - VERDICT | Deadly Daughter Murder Trial Court Transcript Northwest Rankin High School feels loss of teacher Carly Gregg's Father Speaks Out Ashley Smylie Obituary The Independent The Clarion-Ledger Newsweek WLBT WDBD NY Post WAPT

Exodus 19 tells us that it was on the third new moon of the year that the Israelites arrived at Sinai, to worship God as Moses had been told in Exodus 3. Calculations reveal that the 10 commandments were given 50 days after the Passover (hence the New Testament name for the Feast for this occasion, Pentecost). In verses 4-6 Yahweh reminds Israel of His might exercised on their behalf and His care for His people. He was like a mother eagle: Deuteronomy 32 verses 5-13. Israel were called to holiness; to be a kingdom of priests to bring the nations to the God of Israel. The same is true for believers now (1 Peter 2verses 5-6).Verses 7-15 tell us that the waiting Israelites must reverently prepare for the coming awesome occasion when God would deliver the ten commanding words to His people. They were terrified by the prospect. But were even more disturbed by the events of that day. The writer to the Hebrews described these events in chapter 12 verses 18-21, but we also find by contrast the wonderful situation for faithful believers in Christ Jesus (Verses 22-28). The drama of the day when the Law was first given is captured by the build up reconstructed in verses 16-24. So terror struck were the people that they pleaded for Moses to speak with God in order that they die not.Chapter 20 enumerated the Ten Commandments. They started with those which outlined their responsibilities to God and concluded with those duties to their fellow human beings (Matthew 22 verses 34-40). The first is our priority – God must be first in our lives (Interestingly the 10th teaches us the same lesson – “You shall not covet”. Anything which takes our love away from God; anything which reduces our service to Him is an idol Colossians 3:1-5, emphasis on verses 5; Luke 12 verses13-21;and 1 John 5 verses 19-21. Interestingly the second commandment in verse 4 of Exodus 20 is “You shall not make graven images” is omitted in the Catholic Bible, which breaks the tenth commandment into two in that version. This is unsurprising as nearly all Catholic Churches are filled with icons and images which they worship. The fourth commandment's principles have been important from the beginning of creation; but, also interestingly enough, is the only commandment to not be reiterated in the New Testament. The fifth commandment also is unique in that it is the only command with a blessing that accompanies its observance – “Honour your father and your mother, that your days may be long on the earth”: Ephesians 6verses 1-4. Paul tells us that God places great importance on this command, and therefore we ought to take great care to carry it out. Commandments 6-10 appear to be negative don't do this, don't do that. But consider the import of what they taught to the spiritually minded – Romans 12 verses12-21;James 2:8-13. So, although the Law of Moses given to the Israelites at Sinai is not binding on believers in the Lord Jesus Christ, the principles of the Ten Commandments are enduring and teach us how we should live in this present evil world; as we await the coming of our King. For those commandments were written by “the finger of God”: Exodus 31 verse18. Verses 22 to the end of Exodus 20 describe the construction of, and worship at, altars. They were to be made from whole stones shaped by God without human embellishments – speaking of Christ,our altar: Hebrews 13 verses10-16. No flesh was to be exposed by any worshipper, telling us of the devotion and reverence needed when drawing near to our God.

Adam and McKenna discuss the first sermon of our Kingdom Calculations series!

In this episode I discuss power calculations using the R package PowerTOST. I gave an introduction to power calculations and the statistical premise. I reviewed bioequivalence study designs that are commonly used for generic drug development, food effect evaluation, and drug-drug interaction studies. Links discussed in the show: PowerTOST R package PowerTOST instructions (scroll down to the Read Me information) Example R code (Change the filetype to .R after downloading) Statistical Power Statistical approaches to establishing Bioequivalence from FDA Calculation of CV You can connect with me on LinkedIn and send me a message Send me a message Sign up for my newsletter Copyright Teuscher Solutions LLC All Rights Reserved

In this episode, we address Joe's question about how claiming Social Security benefits early can reduce withdrawals from retirement accounts and potentially lead to greater long-term growth. Joe shares his calculation comparing the cumulative Social Security benefit difference with the investment growth of withdrawals saved by filing early. Is he onto something, or is there a missing piece? Tune in to explore how Social Security timing fits into a Big Picture retirement strategy and hear our take on Joe's approach. If you're thinking, "I love the Big Picture Retirement podcast!” please consider rating and reviewing this show! This helps us support more people -- just like you -- move toward a confident retirement. Just scroll down to the “ratings and reviews” section, tap to rate with five stars, and select “Write a Review.” Then be sure to let us know what you loved most about the episode! Also, if you haven't done so already, follow the podcast. We add new content every week, and if you're not following, you'll likely miss out. Follow now!  Don't miss the Big Picture Retirement Planning Cheat Sheet. We've distilled the essential brackets, thresholds, and rules of retirement into an easy-to-digest, three-page summary. https://www.carrolladvisory.com/pl/2148282517  Want to ask Devin or John your question? Just visit https://www.bigpictureretirement.com/ and click on the “Ask A Question” menu selection.  Although this show does not provide specific tax, legal, or financial advice, you can engage Devin or John through their individual firms.  Contact Devin's team at https://www.carrolladvisory.com/  Contact John's team at https://www.rossandshoalmire.com/   

For this episode, let's revisit a Case Interview & Management Consulting classic where we look at how to make estimations when calculating smaller values or working with enclosed spaces like restaurants, the importance of sensitivity analyses and a new limitation of demand-driven cases. This is a very important technique which can significantly improve accuracy and efficiency in case math.   Here are some free gifts for you:   Overall Approach Used in Well-Managed Strategy Studies free download: www.firmsconsulting.com/OverallApproach   McKinsey & BCG winning resume free download: www.firmsconsulting.com/resumepdf   Enjoying this episode? Get access to sample advanced training episodes here: www.firmsconsulting.com/promo

Today we are chatting with an intern who has saved up an emergency fund. He is only 4 months into residency and he has built up enough to cover two months of expenses. We love these smaller milestones that show starting small and getting on the right track now will set you up for success when you become an attending. This doc is going to hit the ground running and we are certain he will grow his wealth quickly. After the interview we are going to talk about year end calculations for Finance 101. Resolve is the #1 rated physician contract team, reviewing 1000+ physician contracts every year. They empower physicians with location specific compensation data which leads to unparalleled leverage during the physician contract negotiation process. A physician contract lawyer is included and can negotiate on your behalf – alleviating the stress that can go along with reviewing complex legal terms. Flat-rate pricing and flexible schedules are designed for a physician's schedules. Visit https://WhiteCoatInvestor.com/Resolve and use code WHITECOAT10 for 10% off! The White Coat Investor has been helping doctors with their money since 2011. Our free financial planning resource covers a variety of topics from doctor mortgage loans and refinancing medical school loans to physician disability insurance and malpractice insurance. Learn about loan refinancing or consolidation, explore new investment strategies, and discover loan programs specifically aimed at helping doctors. If you're a high-income professional and ready to get a "fair shake" on Wall Street, The White Coat Investor channel is for you! Be a Guest on The Milestones to Millionaire Podcast: https://www.whitecoatinvestor.com/milestones  Main Website: https://www.whitecoatinvestor.com  Student Loan Advice: https://studentloanadvice.com  YouTube: https://www.whitecoatinvestor.com/youtube  Facebook: https://www.facebook.com/thewhitecoatinvestor  Twitter: https://twitter.com/WCInvestor  Instagram: https://www.instagram.com/thewhitecoatinvestor  Subreddit: https://www.reddit.com/r/whitecoatinvestor  Online Courses: https://whitecoatinvestor.teachable.com  Newsletter: https://www.whitecoatinvestor.com/free-monthly-newsletter 

Free Copy of My Book: Building Wealth In the TSP: Your Road Map To Financial Freedom as A Federal Employee: https://app.hawsfederaladvisors.com/free-tsp-e-book FREE WEBINAR: "The 7 Biggest FERS Retirement Mistakes": https://app.hawsfederaladvisors.com/7biggestmistakeswebinar Want to schedule a consultation? Click here: https://hawsfederaladvisors.com/work-with-us/ Submit a question here: https://app.hawsfederaladvisors.com/question-submission I am a practicing financial planner, but I'm not your financial planner. Please consult with your own tax, legal and financial advisors for personalized advice.

In the summer of 1940 following the victories of the Third Reich in Poland, Norway, the Low Countries and France, Hitler turned his attention to Great Britain. The Nazi leader was determined to force Britain out of the war one way or another and recognised that the British would never seek terms from Germany. This podcast episode explores the Luftwaffe's preparations for invasion and Hitler's overall strategic thinking. Key Topics:Luftwaffe vs RAF: Battle plans and capabilitiesOperation Sea Lion planning stagesGerman intelligence failures about RAF strengthHermann Göring's role in air strategyBased on Richard Overy's 'The Bombing War' I will be running a livestream Q&A for students on Wednesday November 20th. You can access it here, subscribe to the channel to get your reminder.https://youtube.com/live/knBuNLBD-bU?feature=share (in case the link doesn't work)Help the podcast to continue bringing you history each weekIf you enjoy the Explaining History podcast and its many years of content and would like to help the show continue, please consider supporting it in the following ways:If you want to go ad-free, you can take out a membership hereOrYou can support the podcast via Patreon hereOr you can just say some nice things about it here Become a member at https://plus.acast.com/s/explaininghistory. Hosted on Acast. See acast.com/privacy for more information.