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Une simple rayure sur une voiture de location peut-elle justifier que le loueur conserve votre caution ? Dans quels cas une retenue est-elle légale, quelles preuves le professionnel doit-il apporter et comment contester un prélèvement que vous jugez injustifié ? Au micro de Sara Kemacha, Me Emma Leoty répond à ces questions dans cette nouvelle Règle d'Or !Hébergé par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.
Southwest Michigan's Morning News podcast is prepared and delivered by the WSJM Newsroom. For these stories and more, visit https://www.wsjm.com and follow us for updates on Facebook. See omnystudio.com/listener for privacy information.
Southwest Michigan's Morning News podcast is prepared and delivered by the WSJM Newsroom. For these stories and more, visit https://www.wsjm.com and follow us for updates on Facebook. See omnystudio.com/listener for privacy information.
WSJM Afternoon News for 07-16-26See omnystudio.com/listener for privacy information.
WSJM Afternoon News for 07-16-26See omnystudio.com/listener for privacy information.
Based on a 148 tweet thread (that is partially based on a true story), Zola is a film about a Detroit stripper named Zola (portrayed by Taylour Paige) who meets a woman named Stefani (portrayed by Riley Keough) and decides to take a road trip down to Florida to dance in a club down south. Things quickly go awry when Zola realizes X (portrayed by Colman Domingo), the man driving the car, has other intentions in mind. The A24 Rocks crew discusses one of the first films to be made from a viral internet story. Also of interest: Zola was almost made by James Franco before his sexual misconduct allegations surfaced, and Janicza Bravo took over the production. Caution: movie spoilers.Buy us a coffee- https://buymeacoffee.com/a24otr.Intro- 0:00 to 2:15.Film Discussion- 2:15 to 1:06:43.Film Ratings/Outro- 1:06:43 to End.
CardioNerds co-chairs Dr. Dinu Balanescu and Dr. Billy Joe Mullinax, along with FIT lead Dr. Shiavax Rao, discuss the evolving landscape of randomized controlled trials in pulmonary embolism with Dr. Jay Giri, interventional cardiologist, Associate Professor of Medicine, and Director of the Cardiovascular Catheterization Laboratories at the Hospital of the University of Pennsylvania. This episode examines the historical evidence behind systemic thrombolysis, the emergence of catheter-directed therapies and mechanical thrombectomy, and the landmark RCTs – STORM-PE, PEERLESS, HI-PEITHO, and PEERLESS II – that are reshaping intermediate-risk PE management. The discussion highlights challenges in PE trial design, the critical importance of clinical deterioration as an endpoint, and why this era represents an unprecedented wave of evidence generation in PE. Audio editing for this episode was performed by CardioNerds Intern, Dr. Julia Marques Fernandes. Dr. Dinu Balanescu and Dr. Billy-Joe Mullinax are Co-chairs for the CardioNerds PE Series, developed in collaboration with the PERT Consortium. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Pulmonary Embolism PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls: Systemic thrombolysis in intermediate-risk PE reduces hemodynamic decompensation but at the cost of ~1.5–2% intracranial hemorrhage risk – a near-zero net benefit that has driven the search for safer catheter-based alternatives. “Focus on clinical deterioration, not mortality” – Due to crossover design in contemporary PE RCTs, control-arm patients who decompensate are rescued with advanced therapies, biasing mortality toward the null. Clinical deterioration is the most informative endpoint to watch in HI-PEITHO, PRAGUE-26, and PEERLESS II. HI-PEITHO is the first large RCT to demonstrate that catheter-directed fibrinolysis plus anticoagulation significantly reduces the composite of PE-related death, cardiorespiratory decompensation, or PE recurrence versus anticoagulation alone (RR 0.39; 95% CI 0.20–0.77; P=0.005), with no intracranial hemorrhage in either arm. The four major upcoming/recently reported PE RCTs (HI-PEITHO, PRAGUE-26, PEERLESS II, PE-TRACT) enroll progressively different risk populations – from the most enriched (HI-PEITHO) to the most permissive (PE-TRACT, which includes intermediate-low risk patients) – enabling a nuanced understanding of which patients benefit most from intervention. PE device clearance follows a fundamentally different FDA pathway than structural heart devices (single-arm safety/efficacy studies vs. mandated RCTs), yet market forces and clinical need have ultimately driven industry and government to sponsor large-scale RCTs – a lesson in how evidence development can evolve organically alongside regulatory frameworks. Notes: Notes drafted by Dr. Shiavax Rao. Question #1: What is the current evidence behind advanced PE therapies? Systemic thrombolysis: Sixteen RCTs over 40 years (1972–2014) enrolling nearly 2,000 patients have studied systemic thrombolysis in intermediate-risk PE. The landmark PEITHO trial (n=1,006) showed that tenecteplase reduced the composite of death or hemodynamic collapse (2.6% vs. 5.6%; P=0.015), driven primarily by reduced hemodynamic decompensation (1.6% vs. 5.0%; P=0.002). However, this came at the cost of increased major bleeding (6.3% vs. 1.5%; P
*For our Summer week off, we're replaying some of our favorite RHOC recaps to celebrate the upcoming Season 20 premiere. Enjoy, and we will see you next week!This episode originally dropped July 2024 Real Housewives of Orange County returns for Season 18 and Shannon Beador is ready for bottle after her man dumped her, the car betrayed her, and her kids moved away. Caution: breakdown ahead. Find bonus episodes at patreon.com/watchwhatcrappens and follow us on Instagram @watchwhatcrappens @ronniekaram @benmandelker Hosted on Acast. See acast.com/privacy for more information.
All the Episodes of the Heidelcast Subscribe to the Heidelcast! Browse the Heidelshop! On X @Heidelcast On Insta & Facebook @Heidelcast Subscribe in Apple Podcast Subscribe directly via RSS Call The Heidelphone via Voice Memo On Your Phone The Heidelcast is available wherever podcasts are found including Spotify. Call or text the Heidelphone anytime at (760) 618-1563. Leave a message or email us a voice memo from your phone and we may use it in a future podcast. Record it and email it to heidelcast@heidelblog.net. If you benefit from the Heidelcast please leave a five-star review on Apple Podcasts so that others can find it. Please do not forget to make the coffer clink (see the donate button below). SHOW NOTES How To Subscribe To Heidelmedia The Heidelblog Resource Page Heidelmedia Resources The Ecumenical Creeds The Reformed Confessions The Heidelberg Catechism The Heidelberg Catechism: A Historical, Theological, and Pastoral Commentary (Lexham Academic) Recovering the Reformed Confession (P&R Publishing, 2008) Why I Am A Christian What Must A Christian Believe? Heidelblog Contributors Support Heidelmedia: use the donate button or send a check to: Heidelberg Reformation Association 1637 E. Valley Parkway #391 Escondido CA 92027 USA The HRA is a 501(c)(3) non-profit organization
New "Iron Hodag" sculpture to be unveiled in Rhinelander Friday, carbon monoxide a concern for festival campers, Wisconsin residents responding positively to a new option for buying state park passes
All the Episodes of the Heidelcast Subscribe to the Heidelcast! Browse the Heidelshop! On X @Heidelcast On Insta & Facebook @Heidelcast Subscribe in Apple Podcast Subscribe directly via RSS Call The Heidelphone via Voice Memo On Your Phone The Heidelcast is available wherever podcasts are found including Spotify. Call or text the Heidelphone anytime at (760) 618-1563. Leave a message or email us a voice memo from your phone and we may use it in a future podcast. Record it and email it to heidelcast@heidelblog.net. If you benefit from the Heidelcast please leave a five-star review on Apple Podcasts so that others can find it. Please do not forget to make the coffer clink (see the donate button below). SHOW NOTES How To Subscribe To Heidelmedia The Heidelblog Resource Page Heidelmedia Resources The Ecumenical Creeds The Reformed Confessions The Heidelberg Catechism The Heidelberg Catechism: A Historical, Theological, and Pastoral Commentary (Lexham Academic) Recovering the Reformed Confession (P&R Publishing, 2008) Why I Am A Christian What Must A Christian Believe? Heidelblog Contributors Support Heidelmedia: use the donate button or send a check to: Heidelberg Reformation Association 1637 E. Valley Parkway #391 Escondido CA 92027 USA The HRA is a 501(c)(3) non-profit organization
All the Episodes of the Heidelcast Subscribe to the Heidelcast! Browse the Heidelshop! On X @Heidelcast On Insta & Facebook @Heidelcast Subscribe in Apple Podcast Subscribe directly via RSS Call The Heidelphone via Voice Memo On Your Phone The Heidelcast is available wherever podcasts are found including Spotify. Call or text the Heidelphone anytime at (760) 618-1563. Leave a message or email us a voice memo from your phone and we may use it in a future podcast. Record it and email it to heidelcast@heidelblog.net. If you benefit from the Heidelcast please leave a five-star review on Apple Podcasts so that others can find it. Please do not forget to make the coffer clink (see the donate button below). SHOW NOTES How To Subscribe To Heidelmedia The Heidelblog Resource Page Heidelmedia Resources The Ecumenical Creeds The Reformed Confessions The Heidelberg Catechism The Heidelberg Catechism: A Historical, Theological, and Pastoral Commentary (Lexham Academic) Recovering the Reformed Confession (P&R Publishing, 2008) Why I Am A Christian What Must A Christian Believe? Heidelblog Contributors Support Heidelmedia: use the donate button or send a check to: Heidelberg Reformation Association 1637 E. Valley Parkway #391 Escondido CA 92027 USA The HRA is a 501(c)(3) non-profit organization
Send us Fan MailToday on The Prather Point LIVE at 2 pm ET on:https://rumble.com/v7c5com-americas-25oth-celebration-optimism-and-caution.htmlSIR JOHN GLUB'S FATE OF EMPIRES AT 250!ISRAEL'S PALESTINIAN RESERVATIONS! TUCKER ANNOUNCES THIRD PARTY!LUNA'S HEARINGS ON MK ULTRA!UNVAXED SINGLES DATING APP!OUR CHRISTIAN FOUNDERS!INESA VS CONGRESS!: METHODICAL ILLUSION!
Ep 240 This week, comedian and black belt level Salsa dancer, Eryn Guyvette joins the show. Eryn and Peter discuss salsa dancing, must see movies, dead dads, dating and so much more. It's quite possible, there are more subjects covered in this episode, than in any other podcast in the history of podcasts. follow Eryn at https://www.instagram.com/erynguyvette?igsh=NTc4MTIwNjQ2YQ==
The Real Truth About Health Free 17 Day Live Online Conference Podcast
Meat-Derived Toxins Accelerate Brain Inflammation; Processed Meats Pose Greatest Risk to Brain Health; Meeting Calorie Needs Without Protein Excess; Success Story: Regaining Function After Diet Change; Mucuna Pruriens as a Natural Dopamine Source; Mucuna Water Extract Offers Gentler Delivery; Caution on Switching from Levodopa to Mucuna; Neuroscience Nutrition Foundation's Research Focus; Lewy Bodies and Dementia Risk in Parkinson's; Skullcap Herb Calms and Protects Dopamine Neurons; Resveratrol Clears Lewy Bodies and Boosts Energy; Turmeric Protects Brain and Enhances Motor Skills; Tea Reduces Parkinson's Risk and Lewy Bodies; Inflammatory Foods Linked to Parkinson's Progression #Parkinsons #BrainHealth #NeuroNutrition #HealthTalks
Send us Fan MailIn today's episode, I interview Ran Jing, director of the short film “Imprint,” a look at how topics like immigration, class, and advancing technology can all be intertwined.Listen to hear about the genesis for the story out of a conversation she had with a friend, how the film addresses the common fear of falling behind in our society, and the challenge of casting a young actor who needed to cover a wide array of talents in the film.Books mentioned in this episode include:Gone with the Wind by Margaret MitchellOur Missing Hearts by Celeste NgThe City and Its Uncertain Walls by Haruki MurakamiA Guardian and a Thief by Megha MajumdarFilms and TV shows mentioned in this episode include:“Imprint” directed by Ran JingThe Matrix directed by Lana and Lilly WachowskiGone with the Wind directed by Victor FlemingThe Nightmare Before Christmas directed by Henry SelickLust, Caution directed by Ang LeeAmélie directed by Jean-Pierre JeunetMy Neighbor Totoro directed by Hayao MiyazakiFollow Ran on Instagram @ranjing0108.Support the show
Fluent Fiction - Dutch: A Day Among the Tulips: A Lesson in Friendship and Caution Find the full episode transcript, vocabulary words, and more:fluentfiction.com/nl/episode/2026-07-04-22-34-01-nl Story Transcript:Nl: Onder de heldere blauwe hemel van Lisse, verspreidden de tulpenvelden zich zover het oog reikte.En: Under the bright blue skies of Lisse, the tulip fields stretched as far as the eye could see.Nl: Kleurige bloemen dansten zachtjes in een warme zomerbries.En: Colorful flowers danced gently in a warm summer breeze.Nl: Bram, Maartje en Lieke wandelden samen door dit kleurrijke paradijs.En: Bram, Maartje, and Lieke walked together through this colorful paradise.Nl: Het was de Amerikaanse Onafhankelijkheidsdag, en hoewel ze zich niet ver van huis bevonden, kozen ze ervoor om de dag met een vrolijke uitstap door te brengen.En: It was American Independence Day, and although they were not far from home, they chose to spend the day on a cheerful outing.Nl: Bram, altijd voorzichtig, hield een oogje in het zeil op Maartje.En: Bram, always cautious, kept an eye on Maartje.Nl: Ze was avontuurlijk en onbekommerd, ook nu ze dichterbij de tulpen wilde komen.En: She was adventurous and carefree, especially now as she wanted to get closer to the tulips.Nl: "Maartje, misschien moeten we hier blijven," waarschuwde Bram, "de pollen zouden problematisch kunnen zijn."En: "Maartje, maybe we should stay here," warned Bram, "the pollen could be problematic."Nl: Maar Maartje lachte het weg.En: But Maartje laughed it off.Nl: "Kom op, Bram.En: "Come on, Bram.Nl: Het is prachtig hier!"En: It's beautiful here!"Nl: zei ze blij en stapte verder het veld in, gefascineerd door de kleuren.En: she said happily and stepped further into the field, fascinated by the colors.Nl: Lieke liep aan Bram's zijde.En: Lieke walked by Bram's side.Nl: Ze kende Maartjes dappere geest en voelde zich verantwoordelijk als hun vriendin.En: She knew Maartje's brave spirit and felt responsible as their friend.Nl: "Misschien moeten we wat voorzichtiger zijn," zei ze, maar ze wilde ook dat Maartje gelukkig was.En: "Maybe we should be a bit more careful," she said, but she also wanted Maartje to be happy.Nl: Terwijl de zon hoger klom en de bloemen schitterden, begon Maartje plotseling te hoesten.En: As the sun climbed higher and the flowers glistened, Maartje suddenly started coughing.Nl: Haar ogen traanden en ze greep naar haar keel.En: Her eyes watered as she clutched her throat.Nl: "Oh nee..." fluisterde ze benauwd.En: "Oh no..." she whispered anxiously.Nl: Bram zag de paniek in haar ogen.En: Bram saw the panic in her eyes.Nl: "Maartje!"En: "Maartje!"Nl: riep hij, terwijl zijn gedachten naar mogelijke noodsituaties sprongen.En: he called out, while his mind raced through potential emergencies.Nl: Onmiddellijk besloot hij hulp in te roepen en greep zijn telefoon.En: He immediately decided to call for help and grabbed his phone.Nl: Lieke reageerde snel.En: Lieke reacted quickly.Nl: "Ik heb een antihistamine," zei ze en haalde de pil uit haar tas.En: "I have an antihistamine," she said and took the pill out of her bag.Nl: Ze gaf het Maartje, die nu steeds moeilijker kon ademen.En: She handed it to Maartje, who was now struggling more and more to breathe.Nl: Met de pil in haar hand, nam Maartje het in en hoopte op verlichting.En: With the pill in her hand, Maartje took it and hoped for relief.Nl: Lieke sprak kalmerende woorden terwijl Bram hen uit het tulpenveld leidde, richting de veiligheid van hun auto.En: Lieke spoke calming words as Bram led them out of the tulip field towards the safety of their car.Nl: Langzaam begon Maartje's ademhaling te kalmeren.En: Slowly, Maartje's breathing began to calm.Nl: De spanning week van haar gezicht en ze voelde de dankbaarheid voor haar vrienden.En: The tension faded from her face, and she felt grateful for her friends.Nl: "Bedankt," zei ze zachtjes, beseffend hoe dicht ze bij een gevaarlijke situatie was geweest.En: "Thank you," she said softly, realizing how close she'd been to a dangerous situation.Nl: Terug in de auto, veilig weg van de bonte zee van tulpen, beloofde Maartje voorzichtiger te zijn.En: Back in the car, safely away from the colorful sea of tulips, Maartje promised to be more cautious.Nl: Bram voelde een nieuwe zekerheid in zichzelf.En: Bram felt a new assurance in himself.Nl: Hij wist dat hij in tijden van nood kon handelen, en dat zorgde voor een vredig gevoel.En: He knew he could act in times of emergency, and that brought a sense of peace.Nl: De zon ging langzaam onder, en ze reden rustig terug naar huis.En: The sun slowly set, and they drove quietly back home.Nl: De dag had hen een belangrijke les geleerd over vriendschap en voorzichtigheid.En: The day had taught them an important lesson about friendship and caution.Nl: Lisse's tulpenvelden bloeiden hevig, maar voor Maartje, Bram en Lieke was het de zorg voor elkaar die die dag de mooiste bloei liet zien.En: Lisse's tulip fields bloomed brightly, but for Maartje, Bram, and Lieke, it was their care for each other that showed the most beautiful bloom that day. Vocabulary Words:skies: hemelfields: veldenstretched: verspreiddenbreeze: briescheerful: vrolijkecautious: voorzichtigcarefree: onbekommerdwarned: waarschuwdepollen: pollenlaughed it off: lachte het wegfascinated: geïnteresseerdbrave: dapperglisten: schitterdencoughing: hoestenclutched: greepanxiously: benauwdpotential: mogelijkeemergencies: noodsituatiesreacted: reageerdeantihistamine: antihistaminebreathe: ademenrelief: verlichtingcalming: kalmerendegrateful: dankbaarheidpromise: beloofdeassurance: zekerheidtension: spanningdangerous: gevaarlijkepeace: vredigbloom: bloei
Lee Ryder joins Andrew Musgrove to discuss Newcastle United's chase for Johan Manzambi, the imminent arrival of Bazoumana Toure, and the impact of Sandro Tonali's depature. ---- Download SAILY in your app store and use our code EIBAW at checkout to get an exclusive 15% off your first purchase! For further details go to https://saily.com/eibaw *** EXCLUSIVE NordVPN Deal ➼ https://nordvpn.com/toon Try it risk-free now with a 30-day money-back guarantee
This week's energy is calling you into leadership whether you feel ready or not — and the cards are giving you exactly what you need to show up for it.The cards are highlighting:A collective energy that feels big, fast, and emotionally charged — don't get swept upWhy your wisest, most grounded self is the most important version of you this weekFast moving information coming from every direction — how to sort truth from noisePeople falling away or stepping back — and why that's actually in your favorThe difference between reacting and responding this week could change everythingYou get to decide who you are in this energy. Choose wisely.#weeklyreading #tarotreading #energyupdate #spiritualguidance #joyfulmediumGet Joy's Free "Sign Magnet" 3 Day Mini Course HERE https://www.joyfulmedium.com/sign-magnetJoy's Website: www.joyfulmedium.comInstagram: @JoyfulMediumTikTok: @JoyfulMediumFacebook: @JoyfulMediumFacebook Group: Joy's Soul SpaYouTube: Psychic Medium Joy Giovanni
Erik Lundh highlights his expectations for the June jobs report, along with the headwinds he sees should weakness appear on that side of the Fed's dual mandate. He shares concern in how consumers will feel the pinch from rising inflation. Erik then talks about Fed Chair Kevin Warsh's ECB forum speech and why he doesn't see interest rate changes for 2026 and tentatively 2027. ======== Schwab Network ========Empowering every investor and trader, every market day.Subscribe to the Market Minute newsletter - https://schwabnetwork.com/subscribeDownload the iOS app - https://apps.apple.com/us/app/schwab-network/id1460719185Download the Amazon Fire Tv App - https://www.amazon.com/TD-Ameritrade-Network/dp/B07KRD76C7Watch on Sling - https://watch.sling.com/1/asset/191928615bd8d47686f94682aefaa007/watchWatch on Vizio - https://www.vizio.com/en/watchfreeplus-exploreWatch on DistroTV - https://www.distro.tv/live/schwab-network/Follow us on X – https://twitter.com/schwabnetworkFollow us on Facebook – https://www.facebook.com/schwabnetworkFollow us on LinkedIn - https://www.linkedin.com/company/schwab-network/About Schwab Network - https://schwabnetwork.com/about
Psychic Debbie will be giving you the best days and Cautious days for the Month of July 2026 for Prosperity, economy, health , love and spirituality. Psychic Debbie is NOT a financial advisor or DR. If you enjoyed this video and would like to make a donation, please use the following link. Thank You. https://psychicdebbie.com/donations/ ENTERTAINMENT ONLY Debbie's Links= https://linktr.ee/psychicdebbiegriggs email= photopsychicdebbie@gmail.com email= ghosthuntinggrandmas@gmail.com June To December 2026 Global Predictions Purchase: https://psychicdebbie.podia.com/ Debbie's P.O. Box: P.O. Box 5882, Oxnard, CA 93031, or for street addressing: 1961 N. C Street, #5882, Oxnard, CA 93031
False Positive is a 2021 psychological horror film starring Ilana Glazer, Justin Theroux, and Pierce Brosnan. It's about a woman named Lucy who's having trouble conceiving with her husband Adrian. They go to a fertility doctor named Dr. John Hindle who promises Lucy that she will become pregnant. Little does she know, this will turn into the pregnancy from hell. The A24 Rocks crew debates the wide-ranging themes of the film, including misogyny in healthcare and living in a patriarchal society. Caution: movie spoilers.Buy us a coffee- https://buymeacoffee.com/a24otrIntro- 0:00 to 2:55.Film Discussion- 2:55 to 59:28.Film Ratings/Outro- 59:28 to End.
Series: N/AService: WednesdayType: InvitationSpeaker: Tyler Cain
Shout out to our leaders! Let's take a peek at some important conversations Pam and Kim have had over the years, just for you. Talking Points: Ep 65: The power of shared math and teaching experiencesEp 104: What is Math Is Figure-Out-Able?Ep 165: Caution with manipulativesEp 201: Are algorithms bad?DMR Registration Link Pam's BooksMath is FigureOutAble BlogCheck out Pam's social mediaTwitter: @PWHarrisInstagram: Pam Harris_mathFacebook: Pam Harris, author, mathematics educationLinkedin: Pam Harris Consulting LLC
Here's your local news for Monday, June 29, 2026:We hear the long history of flax textiles in Wisconsin,Find out how hidden algorithms are driving up rideshare prices,Get some tips to stay safe during this week's extreme heat,Take a closer look at Wisconsin's fake elector case,Share the story of a mass, retaliatory deportation in 1936,Teach you how to mix up a "Fuzzy Navel" cocktail,Review a new television series,And much more.
The Rebbe writes about the need for extra caution when using radiation treatments, noting that their outcomes are less predictable than other therapies. He encourages the recipient to see himself as a shliach to spread Chassidus and its teachings in his environment, empowered with the necessary strengths. https://www.torahrecordings.com/rebbe/igroskodesh/012/005/4121
00:00 Chant Human Kingdom 01:00 Introduction 02:19 Today's Lesson 02:49 The up-to-date DIVINE plan 04:18 The Kingdom of Heaven is within you 05:31 The four stages of work 10:34 A Caution 13:18 Supplication 14:48 Next lesson 16:00 Announcements 16:52 Chant Human Kingdom Announcements: In-person courses available in Aachen, Germany, July 6-10, 2026. Registration at https://www.namasyouniversity.org NAMAS ARTISTS Exhibition at the ATELIER Martina Violetta Jung, July 4-5, 2026, 10:00am-3:00pm. Link https://www.ateliermartinaviolettajung.com Our website:- https://www.namasyouniversity.org/ The "Portal" is your gateway to studying at Earth's Spiritual University New books:- Dragon's World: Higher Dimensional Portals – Exhibition Catalogue (Portal Art Book 4) by Martina Violetta Jung (Author), Susan Jack (Narrator) https://a.co/d/0dQWcmc0 The SANAT KUMARA: Sun Diamond DNA and Soul on the Journey of Return by Martina Violetta Jung (Author) (The SANAT KUMARA Speaks Book 11), https://a.co/d/0csJkWIx AMAYA Speaks: Words and Paintings by MOTHER EARTH by Katharina Adari (Author) (AMAYA's World Book 1) https://a.co/d/00ewrgFz Volume 1 The Chronicles of SANAT KUMARA: I Am Ready https://www.amazon.com/Chronicles-Sanat-Kumara-Am-Ready-ebook/dp/B08QNMM3CH/ref=sr127?xpid=0ShsSBhOYsS4e#detailBulletsfeaturediv Volume 2 The Chronicles of SANAT KUMARA : God's Station in Aachen https://www.amazon.com/Chronicles-SANAT-KUMARA-Station-Cathedral-ebook/dp/B0BHKY57XT/ref=sr117?xpid=0ShsSBhOYsS4e Volume 3 The Chronicles of SANAT KUMARA: Unity at the Vatican https://www.amazon.com/Chronicles-SANAT-KUMARA-Unity-Vatican-ebook/dp/B0CQPBYCKS/ref=sr11?nsdOptOutParam=true Volume 4 The Chronicles of SANAT KUMARA: Integrate and Heal" by Martina Violette Jung. https://a.co/d/bfM2tzj NATURE TALKS: Portals for a Personal Conversation (Sense Beyond what you See Book 1) by Deborah Lee Flynn (Author) Book 1 of 1: Sense Beyond what you See https://www.amazon.com/NATURE-TALKS-Portals-Personal-Conversation-ebook/dp/B0GKQCNT8M#detailBulletsfeaturediv Buddha's World Today: Multidimensional Art Portals for Our Time (Portal Art Book 3) by Martina Violetta Jung (Author) Book 3 of 3: Portal Art https://a.co/d/hdZPQyS "A TRIANGLE OF THREE: Merging At Merrymount Nature Station" by Donald Flynn https://a.co/d/9rHXo5S More study material on our website.
CAUTION... love ya
Avec : Frédéric Hermel, journaliste RMC. Yael Mellul, ancienne avocate. Et Jacques Legros, journaliste. - Accompagnée de Charles Magnien et sa bande, Estelle Denis s'invite à la table des français pour traiter des sujets qui font leur quotidien. Société, conso, actualité, débats, coup de gueule, coups de cœurs… En simultané sur RMC Story.
Anthony Isacco, PhD is program director, professor, and head of clinical research in the new MS in clinical psychology program at Saint Mary's University of Minnesota. He is a licensed psychologist and is the principal of Puritan Psychological Services, a small private practice focused on helping clergy, seminarians, and women religious live healthy, holy, and happy lives in their vocations. Dr. Anthony is a generalist, with areas of expertise in the psychology of men and masculinity, fatherhood, psychological assessment, and religious/spiritual integration in psychology. He is a Fellow of the St. John Paul II Foundation. Dr. Isacco lives in Pittsburgh, PA with his wife and four daughters. Among his many endeavors, Dr. Anthony studies addictions, especially regarding young men. He recently wrote a commentary entitled “Digital Sports Betting Fuels a New March Madness” for the National Catholic Register. We are pleased to have Dr. Anthony on our podcast. In this episode you will find answers to the following questions about Dr. Anthony: - How do his endeavors integrate faith? - How did he become interested in sports betting? - Is gambling inherently wrong? - How did a 2018 Supreme Court decision affect sports betting? - What makes sports gambling so accessible these days? - How can an activity like betting on a sports game that brings people together and fosters camaraderie become an addiction? - Why does addictive behavior seem to affect men more than women? - What is the neuroscience of addiction? - What does he say about Adam and Eve and Saints Peter and Paul? What do these biblical figures have to do with sports betting addiction? - What are the three A's? - What's a “prop bet”? - Are there any programs that can help those who find themselves addicted to sports betting? - What can family and friends do for a loved one who they feel might be spiraling into sports gambling addiction? - Can recently canonized St. Giorgio Frassati and/or St. Carlo Acutis help someone with an addiction? - How does physical exercise help a person? - He ends the podcast with some meaningful words of wisdom. If a person integrates some (or all) of these suggestions, how might a life be enhanced? Links: Digital Sports Betting Fuels a New March Madness| National Catholic Register 16-476 Murphy v. National Collegiate Athletic Assn. (05/14/2018) Wild at Heart | Wild At Heart In the Footsteps of Saints: Carlo Acutis and Pier Giorgio Frassati| National Catholic Register Online Clinical Psychology Master's Program | Saint Mary's #catholicsports, #sportsbetting, #sportsbettingaddiction, #sportsbettinghelp
Clare County Fire and Rescue Service is appealing to residents and landowners of uplands parts of the county to exercise extreme caution amid a high fire risk. The Department of Agriculture, Food and the Marine has put a Condition Orange notice in place nationwide until 6pm on Saturday. The notice warning applies to all areas but especially those where there's live vegetation that could catch fire such as dead grasses, heather and gorse. Clare Senior Assistant Chief Fire Officer Cormac Falvey has been telling Clare FM's Seán Lyons any forest fire is "very difficult" to extinguish in conditions like these.
We have an investing recommendation for you: patience and caution! We discussed current market conditions and why markets have largely moved sideways despite strong gains earlier in the year. We examined the highly anticipated SpaceX IPO, debating whether its valuation justifies the excitement and highlighting the risks of buying high-profile stocks at elevated prices. We also explore market concentration in technology and semiconductors, the challenges facing software companies, and the growing influence of AI on corporate spending and investment decisions. We talk why investors should avoid chasing performance or making decisions based on FOMO, nuclear energy, and considered how changing market dynamics, valuations, and AI-driven trends may impact investment returns going forward. We discuss... Why patience and caution remain important as markets have moved largely sideways over the past month. The SpaceX IPO and whether its valuation justifies the excitement surrounding the stock. Why great companies can still be poor investments if purchased at the wrong price. The risks of chasing market trends and investing based on FOMO. The concentration of market gains in technology and semiconductor stocks. The growing divergence between semiconductor companies and the broader software sector. Whether massive AI spending will ultimately generate returns that justify the investment. How AI is changing the business models and cash flow profiles of major technology companies. AI adoption may be advancing faster than its practical economic benefits. Why shorting expensive stocks can be extremely risky despite lofty valuations. The long-term investment case for nuclear energy and the growing power demands of AI data centers. The recent strength of the U.S. dollar despite widespread predictions of its decline. The importance of staying within your circle of competence when making investment decisions. How market valuations may impact expected returns over the next decade. Why diversification remains critical in an environment dominated by a handful of technology stocks. Why investors should focus on risk management rather than trying to predict market outcomes. Today's Panelists: Kirk Chisholm | Innovative Wealth Phil Weiss | Apprise Wealth Management Follow on Facebook: https://www.facebook.com/moneytreepodcast Follow LinkedIn: https://www.linkedin.com/showcase/money-tree-investing-podcast Follow on Twitter/X: https://x.com/MTIPodcast For more information, visit the full show notes at https://moneytreepodcast.com/investing-recommendation-827
The Prostate Cancer Foundation is warning people to avoid home testing kits, saying they can lead to unnecessary anxiety for some and false reassurance for others. It says it's seen an increase in marketing for home kits, which can cost between $20 and $50, and are advising people to head to the GP if they are concerned or need a test. The Foundation's CEO, Peter Dickens spoke to John Campbell.
Keith Leonard, National Director of the National Directorate for Fire and Emergency Management, outlines the safety advice issued ahead of the warm weather forecast.
The RNLI is urging Clare people heading to waterways for this week's hot spell to observe extreme caution to prevent the risk of drownings. Crowds have been flocking to this county's coastal areas since the early hours of this morning, as temperatures are expected to exceed 28 degrees. 80 people lost their lives in drowning incidents nationwide last year and authorities are today urging members of the public to swim within their depth at lifeguarded locations to reduce incidents. Those heading to bathing spots for the fine weather are also being urged not to consume alcohol prior to entering the water, always have a means of communication available, to never leave children unsupervised and to seek local knowledge about the area when going for a swim in a new location. Kilrush RNLI Helmsman and PRO Charlie Glynn says that if you see a friend in difficulty in the water, throw them a floatation device and talk to them to keep them calm, but to avoid going in after them, as it can lead to further casualties. Among the locations, thronged with crowds today is Cappagh Pier in Kilrush. During the Pandemic, Imelda Bourke and Hilary O'Donovan co-founded the 'Mermaids & Buoys' group and have been going for daily social swims since. Imelda says there's nothing better in the fine weather. Temperatures are expected to exceed 28 degrees in parts of the county today, while a yellow weather warning for high temperatures remains in effect until Friday morning. These women at Cappagh Pier have been telling there favourite thing to do when the sun comes out.
Billionaire Frank Stronach is guilty on charges of sexual assault and indecent assault. The Crown was unable to get convictions on other charges. The incidents date back nearly 50 years.Also: Buyer beware. Personal accounts from people who bought resale tickets to events like the FIFA World Cup… only to find out the tickets never arrived and they were out thousands of dollars.And: It's either feast or famine these days for several whale species on the west coast. Whale watchers are seeing more of some species than usual. We'll tell you why.Plus: Israel-Hezbollah ceasefire, U.K. by-election result could threaten British Prime Minister, Alberta separation rumblings divide the already divided city of Lloydminster, water restrictions inequity in B.C., and more.
The A24 Rocks crew reviews another "American Dream" story in Minari, a film about a Korean family that moves to rural Arkansas while Jacob (the dad, portrayed by Steven Yeun) tries to make it as a farmer growing Korean vegetables. The family adjusts to this new life in Arkansas while Jacob and his wife Monica struggle with their relationship. When Grandma Soonja moves in, she brings pieces of home with her, that perfectly resembles the old world blending with the new. What will these film reviewers think of one of the most acclaimed films of 2021? Caution: movie spoilers. https://buymeacoffee.com/a24otrIntro- 0:00 to 2:53.Film Discussion- 2:53 to 1:04:42.Film Ratings/Outro- 1:04:42 to End.
U.S. President Donald Trump has confirmed that he has signed the U.S.-Iran peace deal, signaling that the deal has been completed despite a signing ceremony on Friday. The crypto market extended its gains on the back of this development, with Bitcoin breaking above the psychological $67,000 level. ~This episode is sponsored by Uphold~ Uphold Exa Credit Card ➜ https://bit.ly/UpholdExa 00:00 intro 00:10 Sponsor: Uphold 01:00 Deal details 03:30 JD Vance: Post 60 days 05:00 Mohamed El-Erian: We might have dodged a bullet 07:00 Rate hike odds 07:50 SpaceX rug 09:20 Jim Chanos: Is SpaceX Enron 2.0? 11:20 CLARITY Act dead (for now)? 13:45 MiCA pumping ETH 14:40 Tom Lee launches BMNP 15:30 STRC Dividend Day 16:00 STRC vs BMNP 16:45 Jack Mallers : I don't understand it 17:50 BlackRock launches new BITA ETF #Crypto #bitcoin #ethereum ~Iran Peace Deal Rallies Crypto Market!
Part 2 of our Overcoming Series! Don't forget to subscribe to our newsletter to receive our NEW KIY Magazine! Part 2 4. Fear is caused By Temperament traits By Childhood experiences Basic needs aren't met Love Understanding Acceptance Overprotective parents Dominating parents By a traumatic experience By Anger By Sin A guilty conscience By lack of Faith Unbelief is failing to trust God Unbelief is also trusting in something besides God Ultimately by Selfishness - the basic cause of fear Shyness (an expression of fear) - is a focus on self 5. Fear is sometimes good There is a good "fear" Recognize that there is a "fear" that is different from what we are talking about here Fear God Proverbs 1:7 In this passage fear is referring to having an awareness and a reverence for God Recognize that caution can be helpful, but is different from the fear we are talking about here: Caution leads an airline pilot to check the instruments carefully Caution can lead a pharmacist to check and recheck the medication he is giving Remember that Jesus told us to fear in Matthew 10:28 Fear the one who can destroy soul and body in hell Fear that which is deadly or trying to hurt you
Markets are a chaotic mess right now.Volatility has returned as numerous headwinds & tailwinds compete to pull stocks in opposite directions.What should investors do in such an environment?Michael and I discuss his current outlook, plus the SpaceX IPO, Bitcoin, quantum computing, bond yields, inflation, oil prices and Michael's firm's latest trades.For everything that mattered to markets this week, watch this week's Market Recap.WORRIED ABOUT THE MARKET? SCHEDULE YOUR FREE PORTFOLIO REVIEW with Thoughtful Money's endorsed financial advisors at https://www.thoughtfulmoney.com#spacexipo #volatility #inflation _____________________________________________ Thoughtful Money LLC is a Registered Investment Advisor Promoter.We produce educational content geared for the individual investor. It's important to note that this content is NOT investment advice, individual or otherwise, nor should be construed as such.We recommend that most investors, especially if inexperienced, should consider benefiting from the direction and guidance of a qualified financial advisor registered with the U.S. Securities and Exchange Commission (SEC) or state securities regulators who can develop & implement a personalized financial plan based on a customer's unique goals, needs & risk tolerance.All the details on Thoughtful Money's relationship with the financial advisors it endorses, many of whom regularly appear on this program, can be found in the following documents. We highly recommend you review these documents as they cover the terms that will apply should you choose to work with one of these firms at any time after watching this video.Thoughtful Money Disclosure Document: https://thoughtfulmoney.com/wp-content/uploads/2023/12/Thoughtful-Money-Disclosure-Document-12.6.23.pdf?pid=227Thoughtful Money Agreement: https://thoughtfulmoney.com/wp-content/uploads/2024/11/Thoughtful-Money-Agreement-Agreement.docx?pid=227IMPORTANT NOTE: There are risks associated with investing in securities.Investing in stocks, bonds, exchange traded funds, mutual funds, money market funds, and other types of securities involve risk of loss. Loss of principal is possible. Some high risk investments may use leverage, which will accentuate gains & losses. Foreign investing involves special risks, including a greater volatility and political, economic and currency risks and differences in accounting methods.A security's or a firm's past investment performance is not a guarantee or predictor of future investment performance.Thoughtful Money and the Thoughtful Money logo are trademarks of Thoughtful Money LLC.Copyright © 2026 Thoughtful Money LLC. All rights reserved.
The long-term bullish narratives surrounding precious metals are hitting a massive wall of technical resistance, while the broader equity markets are staging a quiet...
In this Huberman Lab Essentials episode, I discuss science-supported tools to improve sleep by supporting a healthy circadian rhythm using key behaviors and environmental cues. I explain specific morning, afternoon and evening behaviors that will increase daytime alertness and support deeper, more consistent sleep at night. I also cover sleep supplements, the effects of caffeine, alcohol and THC on sleep, as well as practical strategies for managing jet lag and shift work. Read the episode show notes at hubermanlab.com. Thank you to our sponsors AG1: https://drinkag1.com/huberman LMNT: https://drinklmnt.com/huberman Eight Sleep: https://eightsleep.com/huberman Timestamps (00:00:00) Sleep Toolkit (00:00:21) Optimal Cortisol Rhythms, Tool: View Morning Sunlight (00:03:44) Morning Sunlight Guide, Artificial Light, Cloudy Days (00:08:04) Sponsor: Eight Sleep (00:09:22) Morning & Body Temperature, Tools: Deliberate Cold Exposure, Exercise (00:11:38) Morning: Caffeine Timing (00:13:22) Morning: Meal Timing & Alertness (00:15:36) Circadian Clock; 3 Daily Critical Periods (00:17:10) Afternoon: Caffeine, Naps, Exercise (00:19:34) Tool: Late Afternoon/Evening Sunlight (00:21:41) Sponsor: AG1 (00:23:00) Evening Tools: Artificial Lights; Hot Tub/Sauna, Bedroom Temperature (00:26:40) Alcohol, THC & Effects on Sleep (00:27:39) Sleep Supplements: Magnesium Threonate, Apigenin & Theanine (00:31:03) Caution for Melatonin Supplementation (00:31:41) Sponsor: LMNT (00:33:13) Weekends, Tool: Consistent Sleep Schedule (00:34:00) Jet Lag, Tool: Temperature Minimum (00:37:41) Shift Work, Tool: Red Light (00:38:30) Recap Disclaimer & Disclosures Learn more about your ad choices. Visit megaphone.fm/adchoices
Suze Orman's Women & Money (And Everyone Smart Enough To Listen)
On this Ask KT and Suze Anything episode, Suze answers your questions about the must-have docs and special circumstances, retirement accounts, smart ways to invest and so much more. Learn more about the Ultimate Scam Protection here: SuzeOrman.com Watch Suze’s YouTube Channel Jumpstart financial wellness for your employees: https://bit.ly/SecureSave Protect your financial future with the Must Have Docs: https://bit.ly/3Vq1V3GGet your savings going with Alliant Credit Union: https://bit.ly/3rg0YioGet Suze’s special offers for podcast listeners at suzeorman.com/offerJoin Suze’s Women & Money Community for FREE and ASK SUZE your questions which may just end up on the podcast. Download the app by following one of these links: CLICK HERE FOR APPLE: https://apple.co/2KcAHbHCLICK HERE FOR GOOGLE PLAY: https://bit.ly/3curfMISee omnystudio.com/listener for privacy information.
This moment in the labor market looks stable on the surface, but underneath it's driven by caution and constrained choices. Workers are holding on rather than moving on. My guests are Matt Terry from The Economist Enterprise and Brendan McCarthy from Nuveen.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
As artificial intelligence becomes more common in homeopathic practice, questions about the future of traditional repertory books are becoming harder to ignore. In this conversation, I'm joined by Hilery Dorrian, Marcus Fernandes, Marco Ruggeri, and Jay Carter, each bringing a distinct perspective on the relationship between technology, education, and clinical practice. Together, we discuss whether digital tools and AI strengthen or weaken critical thinking, how learning from books differs from learning from screens, and what may be gained—or lost—as homeopathy becomes increasingly digital. While opinions differ, everyone agrees on one essential point: technology can be a valuable tool, but sound judgment, deep learning, and human connection remain at the heart of good homeopathic practice. Episode Highlights: 05:14 - Why Repertory Books Still Matter 06:30 - benefits of digital repertorization software 12:03 - AI and its implications for homeopathy practice 14:39 - Impact of technology on critical thinking 19:03 - The Role of Human Judgment 21:06 - The Importance of Human Connection 25:54 - The Value of Books in Learning 29:02 - The Future of Homeopathy and AI 33:04 - Caution with Technology 40:46 - Role of AI and software as tools to enhance, not replace, the practice of homeopathy About my Guests: Marco Ruggeri is a classical homeopath, registered practitioner with the Society of Homeopaths, founder of the Similia digital homeopathy platform, and former software developer who combines his expertise in technology and homeopathy to provide personalized consultations and innovative tools for practitioners worldwide. Hilery Dorrian, an esteemed practitioner based in the United Kingdom, brings over 35 years of experience in homeopathy to her work. With a foundation in acupuncture, she offers a distinctive perspective on the integration of homeopathy and traditional Chinese medicine for holistic health. Hilery has been a pivotal figure in education, having taught at The Centre for Homeopathic Education for two decades and the College of Integrated Nutrition and Homeopathy. Renowned internationally, she is a frequent contributor to esteemed journals and magazines in the field. At the forefront of her profession, Hilery continues to impart her vast knowledge through lectures, workshops, and conferences, sharing over 12 hours of invaluable insights tailored for homeopaths, students, and healthcare practitioners alike. With a bustling practice, seeing upwards of 50 patients weekly, Hilery remains deeply committed to enhancing wellness through her profound expertise in homeopathy. Marcus Fernandez is a British homeopath, educator, author, and founder of the Centre for Homeopathic Education, one of the largest accredited homeopathy colleges in the UK, with more than three decades of experience teaching and practicing homeopathy worldwide, and is also the author of Homeopathy at Home and host of the Homeopathy at Home podcast. Jaylon Carter works at the intersection of artificial intelligence, education, and digital strategy, helping individuals and organizations apply emerging technologies in practical and responsible ways. With a background in product development, project management, digital marketing, and communications, he has led AI-focused workshops, webinars, and academic lectures, including guest presentations at Juntendo University in Tokyo. As an advocate for the thoughtful integration of AI into healthcare and learning, Jaylon has explored the application of artificial intelligence in homeopathy, including the development of tools and systems that enhance access to homeopathic knowledge and clinical resources. A published author, TEDx speaker, and technology educator, he combines strategic, creative, and technical expertise to help professionals leverage AI effectively while maintaining a balanced understanding of its opportunities and limitations. Find out more about the Lotus Health Institute program https://www.lotushealthinstitute.com/ If you would like to support the Homeopathy Hangout Podcast, please consider making a donation by visiting www.EugenieKruger.com and click the DONATE button at the top of the site. Every donation about $10 will receive a shout-out on a future episode. Join my Homeopathy Hangout Podcast Facebook community here: https://www.facebook.com/groups/HelloHomies Follow me on Instagram https://www.instagram.com/eugeniekrugerhomeopathy/ Here is the link to my free 30-minute Homeopathy@Home online course: https://www.youtube.com/watch?v=vqBUpxO4pZQ&t=438s Upon completion of the course - and if you live in Australia - you can join my Facebook group for free acute advice (you'll need to answer a couple of questions about the course upon request to join): www.facebook.com/groups/eughom
A new MP3 sermon from Students of the Bible is now available on SermonAudio with the following details: Title: The Caution Given to the Christian Minister Part 1 Subtitle: 2 Timothy Study Speaker: Joe Arthur Broadcaster: Students of the Bible Event: Sunday - PM Date: 5/16/2004 Bible: 2 Timothy 3 Length: 60 min.
Takeaways We've had price movement down, which is great for roasters. Caution is warranted in the current market. We have very smart people here at Covoya. It's very frustrating for everyone involved with tariffs. Coffee will be exempt from new tariffs...for now. Hope is not a strategy for pricing decisions. Look at the market through your operating budget. Start looking at the market through the lens of your business. Part of The Covoya Coffee Podcasting Network TAKE OUR LISTENER SURVEY Visit and Explore Covoya!
We have officially reviewed and watched 100 A24 films! Hooray! On this long, strange journey, we meet a familiar foe: a horror film about a woman with mental health issues. Saint Maud is about a Roman Catholic woman named Maud (portrayed by Morfydd Clark) with a traumatic past who comes to nurse for a woman named Amanda (Jennifer Ehle). Maud has hallucinations and constantly feels the presence of God, but are her hallucinations real or psychosis? The A24 Rocks crew discusses this heavily Catholic film, on their 100th A24 episode. Caution: movie spoilers.Watch Eric's latest Firelake Media documentary- The Labadie Collection- Why U-M Has the Largest Collection of Anarchist Ephemera in the U.S.Buy us a coffee.Intro- 0:00 to 3:30.Film Discussion- 3:30 to 1:00:16.Film Ratings/Outro- 1:00:16 to End.
(Caution: sad testimony shared by this guest) He is a goalie for the Lake Michigan College Red Hawks, having also played club soccer for the (Premier 1) Force Shockwave. In high school he not only was a two-year varsity starter but two-time team captain, two-time Team MVP, two-time 1st Team All-Conference, and also earned 1st Team All-County and 1st Team All-Region honors. Along the way he set the school record for most saves in a game and most saves in a career. He was also a part of the football and basketball teams in high school.
CardioNerds Dr. Joseph Kassab, Dr. Mariana Garcia-Arango, and Dr. Christopher Mason explore the technological revolution of Coronary CT Angiography (CCTA) with expert faculty Dr. Michael Gallagher. The discussion details how CCTA has evolved into a frontline diagnostic and preventive tool, moving beyond simple anatomy to incorporate physiology via CT-FFR and biology through AI-driven plaque quantification. The episode reviews landmark evidence like the SCOT-HEART and PROMISE trials, the nuances of CAD-RADS 2.0 reporting, and the emerging role of AI in monitoring treatment response and personalizing cardiovascular care. Critically, they also discuss some of the assumptions and limitations of these techniques. Stay tuned for a matching review article to be submitted to US Cardiology Review, the official Journal of CardioNerds. This episode was supported by an independent medical education grant from HeartFlow. All CardioNerds education is planned, produced, and reviewed solely by CardioNerds. Enjoy this Circulation Paths to Discovery article to learn more about the CardioNerds mission and journey. US Cardiology Review is now the official journal of CardioNerds! Submit your manuscripts here. CardioNerds Multimodality Cardiovascular Imaging PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll Pearls Shift in Paradigm: CCTA is no longer just an anatomic test; with some key limitations, it can provide anatomy, physiology (CT-FFR), and plaque biology (AI-CPA) in a single non-invasive scan. The “Power of Zero” vs. Plaque: While a normal CCTA has a >95% negative predictive value, future MIs often arise from non-obstructive plaque that traditional stress tests might miss. CAD-RADS 2.0 Utility: The addition of plaque burden modifiers (P1–P4) is a “game changer,” allowing clinicians to identify high-risk patients who need aggressive lipid-lowering despite having only mild stenosis. CT-FFR as a Virtual Stress Test: CT-FFR uses computational fluid dynamics to simulate blood flow, potentially reducing unnecessary invasive catheterizations by approximately 61% without sacrificing safety. Seeing the Invisible: AI-based quantitative plaque analysis (QCPA) can identify “subvisual” plaque and low-attenuation (lipid-rich) components that are the primary drivers of acute coronary syndromes. Show Notes How has the role of CCTA changed compared to traditional functional testing? Historically, stress testing answered “is there ischemia today?”, which often reflects late-stage disease. CCTA identifies disease across the entire spectrum, asking “is there atherosclerosis and how much plaque is present?”. Landmark evidence: SCOT-HEART showed a 41% relative risk reduction in MI at 5 years attributed to intensified preventive therapies, and PROMISE showed CCTA was better at selecting patients who truly needed invasive angiography. Diagnostic CCTA imaging depends on the protocol, contrast timing, heart rate, heart rhythm, breathholding, scanner quality, and several patient factors (obesity, prior stents, heavy calcification, complex bypass anatomy, and motion artifact all may limit imaging). “CCTA is exceptional for the right patient, with the right scanner, and the right team.” What are the key modifiers introduced in CAD-RADS 2.0, and why do they matter? CAD-RADS 2.0 moved beyond stenosis severity to include plaque burden (P0 to P4), high-risk plaque (HRP) features, and the presence of ischemia based on CT-FFR. It serves as a clinical decision support tool: a patient with mild (25-49%) stenosis but “extensive” (P4) plaque burden is considered high risk and warrants aggressive risk factor modification. How is CT-FFR calculated, and when is it most useful in clinical practice? CT-FFR uses resting CCTA data and computational fluid dynamics to create a 3D model of coronary flow during simulated maximal hyperemia. It is often used for intermediate lesions (40–90% stenosis) to predict if they are ischemia-producing, guiding the decision whether to proceed with invasive angiography. The assumptions necessary for this computational modeling may not apply well to patients with microvascular dysfunction, significant myocardial scar or prior infarction, or ventricular hypertrophy. Still, data indicate that CT-FFR performs similarly to PET in predicting hemodynamically significant lesions. CT-FFR performs well at the extremes (either clearly normal or clearly abnormal). Accuracy dips, however, in the intermediate range (~0.75-0.80), where decision-making is most critical. In this grey zone, additional factors can help guide the approach, including the amount of myocardium supplied, translesional gradient, and plaque features. CT-FFR has not been validated in distal segments, stented segments, heavily calcified coronary arteries, or in patients with severe aortic stenosis. Caution with CT-FFR should be utilized in very calcified coronary segments. What is AI-based quantitative plaque analysis (QCPA), and what metrics are ready for clinical use? This is potentially a paradigm shift, moving away from stenosis-centric thinking to a more disease burden and plaque biology focus. QCPA uses deep learning algorithms to automatically segment the vessel wall and quantify plaque volume in mm³. Ready for “prime time” metrics include: Total Plaque Volume (TPV), non-calcified plaque volume, and Low-Attenuation Plaque (LAP) burden. Can serial CCTA be used to monitor the effectiveness of medical therapies like statins? While not yet a routine guideline-driven practice, trials like PARADIGM and EVAPORATE show that therapies can stabilize plaque; notably, CCTA is better for monitoring than CAC scores, which can be misleading as statins often increase plaque calcification as part of the stabilization process. There are no randomized trials that serial CCTAs improve outcomes. Cost and radiation exposure will be notable limitations. Serial scan timing, scan acquisition and interpretation standardization would be key. Dr. Gallagher notes that we are moving toward a world in which plaque burden may become a “treatment biomarker,” similar to tumor burden in oncology. References 1. Coronary Computed Tomography Angiography From Clinical Uses to Emerging Technologies: JACC State-of-the-Art Review. Abdelrahman KM, Chen MY, Dey AK, et al. Journal of the American College of Cardiology. 2020;76(10):1226-1243. doi:10.1016/j.jacc.2020.06.076. 2. Non-Invasive Imaging in Coronary Syndromes: Recommendations of the European Association of Cardiovascular Imaging and the American Society of Echocardiography, in Collaboration With the American Society of Nuclear Cardiology, Society of Cardiovascular Computed Tomography, and Society for Cardiovascular Magnetic Resonance. Edvardsen T, Asch FM, Davidson B, et al. Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography. 2022;35(4):329-354. doi:10.1016/j.echo.2021.12.012. 3. 2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guideline for the Evaluation and Diagnosis of Chest Pain: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Gulati M, Levy PD, Mukherjee D, et al. Journal of the American College of Cardiology. 2021;78(22):e187-e285. doi:10.1016/j.jacc.2021.07.053. 4. Contemporary, Non-Invasive Imaging Diagnosis of Chronic Coronary Artery Disease. van der Bijl P, Gulati M, Saraste A, et al. Lancet (London, England). 2025;406(10519):2577-2587. doi:10.1016/S0140-6736(25)01586-7. 5. State of the Art: Evaluation and Medical Management of Nonobstructive Coronary Artery Disease in Patients With Chest Pain: A Scientific Statement From the American Heart Association. Slipczuk L, Blankstein R, Bucciarelli-Ducci C, et al. Circulation. 2025;152(23):e443-e466. doi:10.1161/CIR.0000000000001394. 6. Diagnostic Performance of Fractional Flow Reserve Derived From Coronary CT Angiography: The ACCURATE-CT Study. Li C, Hu Y, Jiang J, et al. JACC. Cardiovascular Interventions. 2024;17(17):1980-1992. doi:10.1016/j.jcin.2024.06.027. 7. Clinical Outcomes Based on Coronary Computed Tomography-Derived Fractional Flow Reserve and Plaque Characterization. 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