Podcasts about cmr

This episode covers: Cardiology This Week: A concise summary of recent studies The role of cardiac magnetic resonance in myocardial disease Air pollution and heart disease Statistics Made Easy: Quasi-experimental study designs Host: Rick Grobbee Guests: Carlos Aguiar, Steffen Petersen, Mark Miller Want to watch that episode? Go to: https://esc365.escardio.org/event/1806 Disclaimer: ESC TV Today is supported by Bristol Myers Squibb and Novartis. This scientific content and opinions expressed in the programme have not been influenced in any way by its sponsors. This programme is intended for health care professionals only and is to be used for educational purposes. The European Society of Cardiology (ESC) does not aim to promote medicinal products nor devices. Any views or opinions expressed are the presenters' own and do not reflect the views of the ESC. Declarations of interests: Stephan Achenbach, Rick Grobbee, Nicolle Kraenkel and Mark Miller have declared to have no potential conflicts of interest to report. Carlos Aguiar has declared to have potential conflicts of interest to report: personal fees for consultancy and/or speaker fees from Abbott, AbbVie, Alnylam, Amgen, AstraZeneca, Bayer, BiAL, Boehringer-Ingelheim, Daiichi-Sankyo, Ferrer, Gilead, GSK, Lilly, Novartis, Pfizer, Sanofi, Servier, Takeda, Tecnimede. Davide Capodanno has declared to have potential conflicts of interest to report: Bristol Myers Squibb, Daiichi Sankyo, Sanofi Aventis, Novo Nordisk, Terumo. Steffen Petersen has declared to have potential conflicts of interest to report: consultancy for Circle Cardiovascular Imaging Inc. Calgary, Alberta, Canada. Emma Svennberg has declared to have potential conflicts of interest to report: Abbott, Astra Zeneca, Bayer, Bristol-Myers, Squibb-Pfizer, Johnson & Johnson.

Host: Rick Grobbee Guest: Steffen Petersen Want to watch that extended interview? Go to: https://esc365.escardio.org/event/1806?r Disclaimer: ESC TV Today is supported by Bristol Myers Squibb and Novartis. This scientific content and opinions expressed in the programme have not been influenced in any way by its sponsors. This programme is intended for health care professionals only and is to be used for educational purposes. The European Society of Cardiology (ESC) does not aim to promote medicinal products nor devices. Any views or opinions expressed are the presenters' own and do not reflect the views of the ESC. Declarations of interests: Stephan Achenbach, Rick Grobbee and Nicolle Kraenkel have declared to have no potential conflicts of interest to report. Carlos Aguiar has declared to have potential conflicts of interest to report: personal fees for consultancy and/or speaker fees from Abbott, AbbVie, Alnylam, Amgen, AstraZeneca, Bayer, BiAL, Boehringer-Ingelheim, Daiichi-Sankyo, Ferrer, Gilead, GSK, Lilly, Novartis, Pfizer, Sanofi, Servier, Takeda, Tecnimede. Davide Capodanno has declared to have potential conflicts of interest to report: Bristol Myers Squibb, Daiichi Sankyo, Sanofi Aventis, Novo Nordisk, Terumo. Steffen Petersen has declared to have potential conflicts of interest to report: consultancy for Circle Cardiovascular Imaging Inc. Calgary, Alberta, Canada. Emma Svennberg has declared to have potential conflicts of interest to report: Abbott, Astra Zeneca, Bayer, Bristol-Myers, Squibb-Pfizer, Johnson & Johnson.

Programa "CMR coaching de mujeres radio" - Lunes 12 de mayo.

Programa "CMR coaching de mujeres radio" - Lunes 5 de Mayo.

Programa "CMR coaching de mujeres radio" - Lunes 28 de Abril. 

Programa "CMR coaching de mujeres radio" - Lunes 21 de Abril.

Programa "CMR coaching de mujeres radio" - Lunes 14 de Abril.

Rincón de la Victoria celebra una nueva edición de los Paseos Primaverales, organizado por el Área de Sostenibilidad Medioambiental a través de Greencón, junto al Club de Montaña Rincón de la Victoria, con cuatro rutas, la primera de ellas, el próximo 12 de abril. El concejal de Sostenibilidad Medioambiental, Borja Ortiz (PP), ha destacado el éxito de participación de la iniciativa celebrada el pasado año con más de 200 personas de todas las edades. Se trata, añade el edil, “de concienciar sobre la conservación del medio ambiente, fomentar la práctica del senderismo responsable, y dar a conocer nuestro amplio y variado ecosistema”. El alcalde de Rincón de la Victoria, Francisco Salado (PP), ha valorado la importancia de la iniciativa “que promociona la vida saludable disfrutando de una forma atractiva y didáctica de nuestros paisajes naturales para sensibilizarnos sobre la importancia de conservar y proteger nuestro entorno natural y patrimonial”. En este sentido, el presidente del CMR, José Carlos Cañas, ha explicado que “serán paseos guiados para unas 50 personas por salida programada, de una duración aproximada de unas cinco horas, con itinerarios y localizaciones cargadas de belleza e historia”. Todas las personas interesadas en participar de esta actividad podrán inscribirse de forma gratuita en la sede del CMR en Calle Ronda, 44 (local 1D), en el siguiente horario: de 09.00 a 14.00 y de 16.00 a 20.00 horas de lunes a viernes. De igual forma, también podrán inscribirse en los siguientes correos electrónicos: medioambiente@rincondelavictoria.es/ secretaria@cmrincon.org / o llamando a los siguientes números de teléfono: 952 07 50 84 / 683 28 21 93 Programa Paseos Primaverales Los paseos comenzarán el domingo 12 de abril. Todas las salidas serán a las 09.00 horas desde las localizaciones siguientes: -Domingo 12 de abril: Día Internacional de los Bosques. Ruta Cañada Los González. Salida desde el Pabellón Rubén Ruzafa. 09.00 horas. -Domingo 27 de abril: Día Internacional de La Madre Tierra. Ruta Cortijo del Holgado. Salida desde C/ Primavera nº36. 09:00 horas. -Domingo 4 de mayo: Día Internacional de la Diversidad Botánica. Ruta Alique-Los Rubios. Salida desde antiguo restaurante Arias. 09:00 horas. -Domingo 25 de mayo: Día Internacional del Medioambiente. Ruta Puerta de la Axarquía. Salida desde Arroyo Santillán. 09:00 horas

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La Concejalía de Sostenibilidad Medioambiental en colaboración con la Asociación CMR ha organizado una programación de talleres medioambientales que se desarrollarán durante este año en el municipio. Se trata del taller de orquídeas, que se celebrará el próximo 6 de abril, el taller de kokedamas previsto para el 14 de junio, así como el taller de plantas culinarias y medicinales que se llevará a cabo en el mes de octubre. El edil de Área, Borja Ortiz (PP), ha explicado que, “se trata de acciones formativas muy esperadas y de gran aceptación en el municipio, y que tienen como finalidad difundir valores medioambientales a través de las actividades teóricas y prácticas impartidas por profesionales”. El alcalde de Rincón de la Victoria, Francisco Salado (PP), ha destacado “la importancia de estas iniciativas de sensibilización, educación medioambiental y concienciación en economía verde abiertas a la participación, que suponen una oportunidad única para conocer de cerca las especies autóctonas, sus secretos ecológicos y las claves para su conservación y cultivo”. El primer taller `Las orquídeas de Andalucía: conocimientos y cuidados´ se celebrará el domingo 6 de abril y será impartido por el curator internacional y una de las voces más autorizadas en el mundo de las orquídeas, Manuel Lucas. El presidente de la Asociación CMR, José Carlos Cañas, ha indicado que “en este taller los participantes aprenderán los mejores trucos para mejorar el estado de salud de la orquídea; cómo realizar mezclas de sustratos, limpieza de raíces y trasplantes, qué entorno es el más adecuado para que prosperen o trucos para inducir la floración”. El segundo taller será sobre Kokedamas, previsto para el 14 junio. “Se trata del cultivo de planta sin necesidad de macetas tradicionales para fomentar el reciclaje de materiales naturales como el musgo y la tierra de jardín”, indica el concejal. Por último, se celebrará en el mes de octubre el taller de plantas culinarias y medicinales, que abordará el beneficio de incorporar las plantas frescas a una alimentación saludable. Los talleres están dirigidos a personas adultas para un máximo de 20 plazas por acción formativa. Las inscripciones pueden realizarse en la web: medioambiente@rincondelavictoria.es Las actividades se llevarán a cabo en las instalaciones del Centro Medioambiental de Rincón de la Victoria en calle Ronda, 44, Local 1D.

Updates from the 2024 ESC and AHA Scientific Statements on Cardiac Sarcoidosis   Guest: Leslie T. Cooper Jr., M.D. Host: Kyle W. Klarich, M.D.   Cardiac sarcoidosis is a systemic, chronic inflammatory disorder characterized by non-caseating, epithelioid cell granulomas that may involve many tissues and organs. The Heart Rhythm Society criteria for diagnosis of cardiac sarcoidosis require a biopsy-proven diagnosis of extra-cardiac sarcoidosis. If extra-cardiac sarcoidosis is confirmed, CS is highly probable when there is evidence of the following: (a) rhythm abnormalities in either ECG or Holter monitoring such as advanced AVB (Mobitz type II second-degree or third-degree AVB), sustained VT, and (b) LV dysfunction on echocardiography or CMR (LVEF

William H. Sauer, MD, FHRS, CCDS, Brigham and Women's Hospital, is joined by Arif Elvan, MD, PhD, Klinikum Braunschweig, and Usha B. Tedrow, MD, MS, FHRS, Brigham and Women's Hospital, to discuss if Voltage mapping could identify the conducting channels potentially responsible for ventricular tachycardia (VT). Standard thresholds (0.5–1.5 mV) were established using bipolar catheters. No thresholds have been analyzed with high-density mapping catheters. In addition, channels identified by cardiac magnetic resonance (CMR) have been proven to be related to VT. https://www.hrsonline.org/education/TheLead https://doi.org/10.1016/j.hrthm.2024.04.074 Host Disclosure(s): W. Sauer: Honoraria/Speaking/Consulting: Biotronik, Biosense Webster, Inc., Abbott, Boston Scientific, Research: Medtronic   Contributor Disclosure(s): A. Elvan: Honoraria/Speaking/Consulting: Abbott Medical U. Tedrow: Honoraria/Speaking/Consulting/Teaching: Medtronic, Biosense Webster, Inc., St. Jude Medical, Thermedical, Boston Scientific, Baylis Medical Company   This episode has .25 ACE credits associated with it. If you want credit for listening to this episode, please visit the episode page on HRS365: https://www.heartrhythm365.org/URL/TheLeadEpisode95

Myocarditis: What's New in 2025   Guest: Leslie T. Cooper Jr., M.D. Host: Kyle W. Klarich, M.D.   After this episode of Mayo Clinic's cardiovascular podcast series “Interviews With the Experts,” the listener will be able to identify the novel 2024 ACC Expert Care Decision Pathway (ECDP) 4-stage classifications of myocarditis. Hear today's expert discuss pivotal tests in the diagnosis of myocarditis, such as cardiac magnetic resonance (CMR) imaging and endomyocardial biopsy (EMB) are considered. Finally, learn more about the indications for genetic testing for myocarditis in your patients.   Topics Discussed: What percentage of adult patients with myocarditis presenting as heart failure with reduced ejection fraction or ventricular arrhythmias have a pathogenic or likely pathogenic cardiomyopathic gene variant? Which of the following are criteria to consider endomyocardial biopsy in the setting of acute myocarditis? Identify Stage B myocarditis based on clinical presentation and testing.   Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV and @MayoCVservices. LinkedIn: Mayo Clinic Cardiovascular Services Cardiovascular Education App: The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today! No CME credit offered for this episode. Podcast episode transcript found here.

This week we step back in time 3 years ago to review an important cardiac MRI report on Fontan geometry and hemodynamics as measured by computational fluid dynamic analysis. How do factors like Fontan geometry or 'power loss' relate to quality of life for the Fontan young adult patient? How do these data inform imaging in the operating room during these palliations? We speak with the first author of this work, Associate Professor of Pediatrics at U. Penn, Dr. Laura Mercer-Rosa about this important and intriguing work. https://doi.org/10.1016/j.athoracsur.2022.01.017

On January 25th, Pete Hegseth was sworn in as the 29th Secretary of Defense. He promised to eradicate wokeness from the military and has as his mission to revive the warrior ethos and restore trust in the military and to rebuild it by matching threats to capabilities and reestablish deterrence by defending the homeland. Returning to Crosstalk to discuss this issue was Elaine Donnelly. Elaine is president of the Center for Military Readiness, an independent, nonpartisan public policy organization that reports on and analyzes military/social issues. Since its founding in 1993, CMR has advocated for high, uncompromised standards in all forms of military training and sound priorities in the making of military/social policies.Elaine began by noting that the Biden administration made it clear from day one that they were going to pursue a very liberal social agenda/experiment in the military. They would take the transgender agenda to extremes that weren't even seen under President Obama.This brought the word "woke" to our vocabularies. She defined this as taking progressivism to extremes and posing it with coercion, even if it hurts the institution.Elaine brought her opinions concerning the Pete Hegseth confirmation hearings, how he's been doing on the job thus far, military readiness (including women in the military), Christian and pro-life groups targeted by the Army, access to the military by those with gender dysphoria, and much more including calls from listeners.

On January 25th, Pete Hegseth was sworn in as the 29th Secretary of Defense. He promised to eradicate wokeness from the military and has as his mission to revive the warrior ethos and restore trust in the military and to rebuild it by matching threats to capabilities and reestablish deterrence by defending the homeland. Returning to Crosstalk to discuss this issue was Elaine Donnelly. Elaine is president of the Center for Military Readiness, an independent, nonpartisan public policy organization that reports on and analyzes military/social issues. Since its founding in 1993, CMR has advocated for high, uncompromised standards in all forms of military training and sound priorities in the making of military/social policies.Elaine began by noting that the Biden administration made it clear from day one that they were going to pursue a very liberal social agenda/experiment in the military. They would take the transgender agenda to extremes that weren't even seen under President Obama.This brought the word "woke" to our vocabularies. She defined this as taking progressivism to extremes and posing it with coercion, even if it hurts the institution.Elaine brought her opinions concerning the Pete Hegseth confirmation hearings, how he's been doing on the job thus far, military readiness (including women in the military), Christian and pro-life groups targeted by the Army, access to the military by those with gender dysphoria, and much more including calls from listeners.

On this week's episode of The Professional Noticer, Andy unveils the groundbreaking methods behind his coaching program, Creating Measurable Results (CMR), and explains why his results—though extraordinary—are entirely predictable. You'll learn: Why focusing on the 128 hours employees spend outside of work can transform workplace performance. How CMR's approach goes beyond traditional training programs to create lasting change. The secret to building loyalty so strong that employees won't leave—even for higher pay. How investing in people—not just processes—leads to stronger teams, skyrocketing revenue, and unmatched success. The butterfly effect of coaching employees to become better people at work, at home, and in their communities. Andy explains how CMR's coaching addresses the overlooked connections between personal lives and professional performance. Learn how his proprietary curriculum inspires employees to exceed expectations, builds unbeatable company culture, and attracts top talent from competitors. Learn more at YourCMR.com

SASSARI (ITALPRESS) - finanzieri del Gruppo Sassari hanno individuato e controllato numerose attività commerciali del capoluogo, accertando la detenzione, ai fini della vendita, di circa 2.000 prodotti “cosmetici” di marchi nazionali e internazionali, dannosi per la salute. In particolare, gli articoli individuati, costituiti da una vasta gamma di prodotti di uso quotidiano (creme, emulsioni, lozioni, gel, olii per la pelle, saponi, deodoranti, profumi, bagnoschiuma, shampoo e salviette profumate per neonati), contenevano in miscela la sostanza Buthylphenyl Methylpropional, più comunemente chiamata “Lilial”, censita fra le sostanze “CMR” (sostanze e preparati cancerogeni, mutageni e tossici per la riproduzione) e per questo vietata all'interno di prodotti cosmetici.(ITALPRESS)gtr/trl

SASSARI (ITALPRESS) - finanzieri del Gruppo Sassari hanno individuato e controllato numerose attività commerciali del capoluogo, accertando la detenzione, ai fini della vendita, di circa 2.000 prodotti “cosmetici” di marchi nazionali e internazionali, dannosi per la salute. In particolare, gli articoli individuati, costituiti da una vasta gamma di prodotti di uso quotidiano (creme, emulsioni, lozioni, gel, olii per la pelle, saponi, deodoranti, profumi, bagnoschiuma, shampoo e salviette profumate per neonati), contenevano in miscela la sostanza Buthylphenyl Methylpropional, più comunemente chiamata “Lilial”, censita fra le sostanze “CMR” (sostanze e preparati cancerogeni, mutageni e tossici per la riproduzione) e per questo vietata all'interno di prodotti cosmetici.(ITALPRESS)gtr/trl

– Acerca de la ponente, María Silvina Lendaro – Es Contadora Pública y Master en Gestión de Riesgos EALDE Business School Madrid España, así como también posee la certificación Profesional de Leadership in Ethics & Compliance IAE Business School. Integrante activa de MED Online 10 Mujeres en Decisión de la Fundación Flor Argentina. Actualmente es Docente Universitaria en UADE Universidad Argentina de la Empresa y Tutora en el MBA Online Módulo de Gestión de Riesgos & Compliance en IAE Business School e Instructora de la Especialización de Riesgos en el IAIA Instituto de Auditores Internos de Argentina. Durante 15 años se desempeñó en el Grupo Falabella como Gerente de Auditoria Interna Corporativa ARG & URU en Falabella S.A. - Encargada de Prevención de Delitos Programa Integridad y Líder del proceso de Run OFF para los negocios de Falabella – CMR & Seguros Argentina para la Gestión de Riesgos y Auditoria Integral, hasta Abril de 2022.

With the nomination of the pro-crypto Paul Atkins to be the next SEC chair, the crypto industry is potentially facing a 180 from the agency. As co-chair of The Digital Chamber's Token Alliance initiative and a board member of Securitize, Atkins is not only pro-crypto, but also against the type of “regulation by enforcement” strategy of current Chair Gary Gensler.  In this episode, Cody Carbone, president at The Digital Chamber, explains why Atkins is likely to start reassessment of the agency's lawsuits against crypto firms, why Trump might break with protocol to fill one of the commissioner seats that would typically be filled by a Democrat, and who he thinks might make for a good “crypto czar.”  Show highlights: Why Cody that Atkins leading the SEC would be a massive transformational shift  What can be expected from Atkins given his prior experience What crypto cases might be dropped under his leadership Whether Atkins could provide rulemaking before Congress passes legislation Cody's hard criticism of Gary Gensler's modus operandi Why Cody thinks Trump could surprise people when it comes to replacing Democratic Cmr. Jaime Lizárraga How long it could take for Congress to confirm Atkins Why Cody believes that Atkins will support Hester Peirce's Safe Harbor proposal Whether the CFTC will be the primary regulator of the crypto industry in a Trump administration Whether the U.S. will have a crypto czar and who it could be What crypto legislation Cody thinks is likely to be passed in 2025 Visit our website for breaking news, analysis, op-eds, articles to learn about crypto, and much more: unchainedcrypto.com Thank you to our sponsors! Polkadot iYield Guest Cody Carbone, President at The Digital Chamber Links Trump's Office Picks:  Unchained:  Trump Taps Paul Atkins for Next SEC Chair, Making Good on His Crypto Promises Democratic SEC Commissioner Is Stepping Down, but That Doesn't Mean Trump Will Get 2 Outright Picks  Trump Taps Hedge Fund Manager Scott Bessent to Be Treasury Secretary Trump's Plans for a ‘Crypto Czar' and a Crypto Advisory Council: Here's What We Know  A Degen Administration? Why the Crypto Czar May Be Allowed to Own Tokens Tracking Trump's Cabinet and Staff Nominations  Congressional Results John Reed Stark's tweet:“current SEC Chair Gary Gensler is quietly working behind the scenes to lead the SEC from the grave” Buckley LLP Infobytes Blog: SEC commissioner proposes cryptocurrency safe harbor Fox Business: Perianne Boring among contenders to lead agency involved with crypto in Trump admin Timestamps: 00:00 Intro 02:19 Why Cody believes Atkins would be a transformational SEC chair 03:13 Insights from Atkins' past experience and what it means for crypto 07:19 SEC/crypto cases likely to be dropped under Atkins' leadership 14:31 Potential for SEC rulemaking before Congress passes legislation 18:19 Cody's critique of Gary Gensler's regulatory approach 21:13 Why Trump might break with protocol to replace Democratic commissioner Jaime Lizárraga 23:27 Expected timeline for Congress to confirm Atkins 26:52 Support for Cmr. Hester Peirce's Safe Harbor proposal 28:18 An expanded role for the CFTC in crypto regulation? 31:37 Speculation on the potential for a U.S. crypto czar 35:03 Key crypto legislation to watch for in 2025 38:24 Crypto News Recap Learn more about your ad choices. Visit megaphone.fm/adchoices

If you work across time zones, borders, and cultures, this is the show for you. Today, we explore the divide between China and the United States and its global repercussions.   The world is increasingly dividing between the U.S. and China. No government or company is immune to the escalating tensions between these two superpowers.   - China's old growth playbook relying on real estate for growth is damaged. What are the new productive forces to drive growth?   - Some analysts argue that Vietnam or India is the next China. This is also part of the diversification of supply chains, the China Plus One strategy. Can Vietnam or India really be the next China?   If you're looking for more, check out the subscriber-only feed. For the cost of one cup of coffee per month, you'll gain access to the full archive and bonus subscriber-only episodes, in addition to regular episodes. Subscribe here.   Joining Leonardo today we have Shaun Rein. He is the Founder and Managing Director of the China Market Research Group (CMR), the world's leading strategic market intelligence firm focused on China. He works with boards, billionaires, heads of states, CEOs and senior executives of Fortune 500 & leading Chinese companies, private equity firms, SMEs and long/ hedge funds to develop their China growth, political and investment strategies.   Rein authored the international best-sellers "The War for China's Wallet: Profiting from the New World Order," "The End of Cheap China” & "The End of Copycat China".  His latest book is “The Split: Finding Opportunities in China's Economy in the New World Order”  Rein is regularly featured in the Wall Street Journal and The Financial Times. His op-eds have appeared in the New York Times. He frequently appears on CBS, CNN, BBC, CNBC, PBS and MSNBC. Rein formerly taught executive education classes for London Business School and was a weekly columnist for CNBC and Forbes. He also wrote a column for Bloomberg BusinessWeek. Rein is one of the most sought out keynote speakers focused on innovation, consumer trends and the economy in China. He served on the Board of Trustees for St. Paul's School and was a member of the Investment Committee. He can be booked via speaker bureaus or directly through CMR. If you work across time zones, borders, and cultures, come on the show to share your story.     - Connect with the host Leonardo Marra    - Subscribe to the LinkedIn Newsletter

In this episode, Chris and Alisa Grace explore the importance of family traditions, especially during the holiday season. They discuss how traditions create bonding, foster a sense of belonging, and adapt over time as families grow and change. Joined by CMR staff members Jane Locke and Tatum Munivez, they share personal stories and offer practical insights into navigating traditions in the face of life changes like marriage, moving, or loss. Whether you're celebrating with your parents, kids, in-laws, or friends, this episode offers meaningful ways to build relationships and honor the deeper reasons for the season.Resources Mentioned:"23 of the Best Christmas Traditions Ever" Blog - A list of diverse holiday traditions for every life stage, from singles to families with grown children. Holiday Resources from the CMR - Insights, Tips, and Tools to Enjoy a Meaningful Holiday Season.Connect with Us:Website: cmr.biola.eduFacebook: facebook.com/biolacmrInstagram: instagram.com/biolacmrYouTube: www.youtube.com/@biola-cmrJoin the Conversation:Subscribe to The Art of Relationships Podcast to never miss an episode.Leave a review on [Apple Podcasts/Spotify/Your platform] to help others discover the show.Share this episode with someone who could benefit from these relationship insights.Sign up for weekly updates and resources from the Center for Marriage and Relationships! http://eepurl.com/bgsuQvAbout the Hosts:Chris Grace, Ph.D., and Alisa Grace are passionate about helping people build and sustain healthy relationships. As leaders of the Biola University Center for Marriage and Relationships, they combine the wisdom of Scripture with scholarly research to offer practical advice and insights. Learn more about their work at cmr.biola.edu.

Ever wonder how to support students who are home or hospital bound? Join Abby, Robin and Angela as they discuss how to provide educational services to students who are confined to the home or a hospital setting.MA DESE Q&A (603 CMR 28.03(3)(c)Physician's Affirmation of Need for Temporary Home or Hospital Education for Medically Necessary ReasonsBrilliant Beaver Guidebook - Audio VersionEngage kids aged 6-9 with fun, screen-free activities from the world of scoutingPlease tell us how you found us by completing this surveyEmail us at ASTALPodcast@gmail.comFollow us on Instagram @astalpodcast

Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper on AI-derived left ventricular mass from noncontrast cardiac CT including a correlation with contrast CT angiography and CMR.

CMR Surgical is one of the most exciting businesses in the UK, but you probably haven't heard its story. Until now. Dr Mark Slack, the co-founder and chief medical officer, guides us through how CMR built a robot to do keyhole surgery and became a business valued at more than $3bn (£2.3bn), backed by investment giants like SoftBank and Tencent. It is a story that involves a failed athletics career, military service and a meeting of minds in Cambridge akin to The Beatles getting together... Hosted on Acast. See acast.com/privacy for more information.

In this episode, Simon answers a listener's question about cash allocation strategies in today's unpredictable market environment. We explore key questions you should ask when deciding how to allocate cash, such as your liquidity needs and time horizons. But that's not all. We shift focus to what's been working in 2024 so far, with a rundown of companies and sectors that have delivered incredible returns, including mega-cap companies with an average YTD performance of 36%. Braden also reflects on his 2023 market outlook, reinforcing the importance of staying invested through volatility. Lastly, we dive into rising savings rates and the increase in consumer debt in Canada, exploring what it means for Canadians' financial health as they face higher interest rates, mortgage pressures, and increasing delinquencies.  Tickers of Stocks & ETF discussed: CMR.TO, ZMMK.TO, CBIL.TO, UBIL-U.TO, XGB.TO, SHY, TLT, TLH Equifax Canadian consumer report Check out our portfolio by going to Jointci.com Our Website Canadian Investor Podcast Network Twitter: @cdn_investing Simon's twitter: @Fiat_Iceberg Braden's twitter: @BradoCapital Dan's Twitter: @stocktrades_ca Want to learn more about Real Estate Investing? Check out the Canadian Real Estate Investor Podcast! Apple Podcast - The Canadian Real Estate Investor  Spotify - The Canadian Real Estate Investor  Web player - The Canadian Real Estate Investor Sign up for Finchat.io for free to get easy access to global stock coverage and powerful AI investing tools. Register for EQ Bank, the seamless digital banking experience with better rates and no nonsense.See omnystudio.com/listener for privacy information.

“Exterior building maintenance is crucial for preventing mold from growing inside a building” - Jerry Parker, CEIC, CMRTwenty-five percent of people appear to be susceptible to mold toxicity - a surprisingly common cause of brain symptoms, including brain fog, fatigue, depression, anxiety, mood swings, OCD, panic, and psychosis. Many chronic physician health conditions can result as well. In my experience, mold toxicity is the most common cause of mast cell activation. Mold toxicity should also be considered when there are new-onset mental health issues in college students exposed to mold in their dorms or apartments.Jerry Parker is a Certified Indoor Environmental Consultant (CIEC) and Certified Microbial Remediator (CMR). Jerry has been helpful to me personally and professionally and has taught me a great deal about the environmental aspects of mold. Jerry owns Environmental Solutions Group, LLC, which has served residential and commercial clients for the last twenty years. He is about to launch an educational and consulting platform, 4 Indoor Air Quality LLC.In this newsletter and podcast, Jerry and I discuss:* why mold prevention isn't just about keeping water out; it's also about moving water away from the foundation* ways to ensure rainwater is moving away from our home and its foundation * landscaping and vegetation* gutters and downspouts* roof and siding integrity* chimneys* cantilever fireplaces and bay windows* doors and window sealing* siding and deck attachment* the importance of regular self-assessmentsAt a later date, Jerry and I will discuss mold prevention with a focus on the interior of our homes.Let us know if you have any questions or comments on mold prevention (exterior or interior).Have a good week,CourtneyTo contact Jerry Parker CIEC, CMR: email - info.4IAQ.com 4IAQ.comRelated Content:* Mold Toxicity: Depression, Anxiety, Brain Fog & Fatigue (free)* Mold Toxicity & the Brain (free)* Mold & Candida in the Brain (paid)* Environmental Mold Myths (paid) This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit courtneysnydermd.substack.com/subscribe

There's Contrarian Trading and then there's Consistent Contrarian Trading. Can you really make money by consistently going against the crowd? Does it take a certain type of personality to be able to trade this way? Jason Shapiro was featured in “Unknown Market Wizards” by Jack Schwager and he returns to Chat With Traders for an update after two years since we last spoke with him.  We delve deeper into his countertrend trading philosophy, learning about how he identifies overcrowded trades, and how market positioning and sentiment, rather than price, guide his trades, and focusing on the underlying mechanics that drive market moves. About Jason Shapiro: Jason has over 30 years of trading experience, navigating various markets including the 90s rallies, the 2000s tech bubble, the 2008 crash, and recent volatility in the last few years. His contrarian approach has made him a successful hedge fund manager, and he was featured in one of Jack Schwager's recent Market Wizards books. He has managed money ranging from a few million to several hundred million dollars, gaining extensive knowledge of futures markets. Jason currently runs a one-man hedge fund using the CMR process. Learn more about your ad choices. Visit megaphone.fm/adchoices

This week we delve into the world of the single ventricle when we speak with Dr. David Hoganson, Assistant Professor of Surgery at Harvard Medical School about a recent work he co-published with investigators from Boston Children's Hospital on computational fluid dynamic modeling in the planning of the Fontan operation. Single ventricle heterotaxy patients with interrupted IVC are at enhanced risk for the development of pulmonary AVM's due to flow maldistribution to the pulmonary arteries from the hepatic veins in a Fontan. Can a computational fluid dynamic model predict which operative approach would result in the most balanced hepatic venous flow distribution? Can this reduce the incidence of pulmonary AVM's? How well did the models predict the actual pulmonary flow measured after surgery on CMR? Who beyond the heterotaxy patient might benefit from this approach? Dr. Hoganson offers us a peek into the world of personalized surgery in this week's exciting episode.         DOI: 10.1016/j.jacadv.2024.101057

Dr. Valentin Fuster evaluates a deep learning model designed to predict left and right ventricular dysfunction and dilation in congenital heart disease patients using ECG and CMR data. The research demonstrated that AI ECG can reliably identify significant cardiovascular issues, though future work should focus on refining thresholds and validating the model across diverse populations and healthcare settings.

CardioNerds (Drs. Teodora Donisan, Jenna Skowronski, and Johnny Hourmozdi) discuss Cardiomyopathies with Dr. Steve Ommen. Through a case-based discussion, we review the diagnostic evaluation of suspected restrictive cardiomyopathy, and Dr. Ommen shares his expertise in the nuances of caring for patients with hypertrophic cardiomyopathy, from counseling to pharmacologic, device, and septal reduction therapies. We cover the foundations of diagnosis and management that will be helpful to CardioNerds preparing to encounter hypertrophic cardiomyopathy on the boards or on the wards. Dr. Johnny Hourmozdi drafted notes. The audio was engineered by Dr. Atefeh Ghorbanzadeh. The CardioNerds Beyond the Boards Series was inspired by the Mayo Clinic Cardiovascular Board Review Course and designed in collaboration with the course directors Dr. Amy Pollak, Dr. Jeffrey Geske, and Dr. Michael Cullen. CardioNerds Beyond the Boards SeriesCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls and Quotes - Cardiomyopathies The presence of an S4 and a rapid y-descent in the jugular venous pulsation on exam should clue you to the presence of a restrictive filling pattern. Restrictive filling doesn't necessarily mean restrictive cardiomyopathy and is more commonly due to dilated or ischemic cardiomyopathy. The five main topics of counseling that every hypertrophic cardiomyopathy (HCM) patient should understand: (1) Prognosis, (2) Family Screening, (3) Risk of Sudden Death, (4) Treatments, and (5) Physical Activity. Remember 1/3: In clinical trials of cardiac myosin inhibitors for HCM (mavacamten), about a third of patients had a tremendous improvement in symptoms, another third had some improvement, and the final third had no improvement or had to discontinue the drug due to negative inotropy. When counseling patients about septal reduction therapy, consider the patient's age. For younger patients, surgical myectomy at an experienced center offers a higher success rate and greater durability with lower rates of pacemaker placement when compared to alcohol septal ablation. Historically, the conclusion that it was higher risk to be an athlete with HCM was unfortunately generalized to mean that it was high risk to exercise for patients with HCM. “And we turned a generation of HCM patients into HCM cardiometabolic syndrome patients, which is actually a worse combination.” Notes - Cardiomyopathies What is the initial approach to evaluating a patient with new or suspected cardiomyopathy, including hypertrophic cardiomyopathy (HCM)? A history and physical exam, including a thorough past medical and family history, is always the first step and helps determine the patient's risk for potential underlying etiologies, including genetic cardiomyopathies, hypertrophic cardiomyopathy, or those related to treatments of previous cancer. In terms of ECG findings, pay attention to QRS voltage (high or low) and the presence of any arrhythmias. TTE should be obtained in all patients and is often sufficient to diagnose many underlying cardiomyopathies, including HCM. Cardiac MRI (CMR) is helpful as an adjunct when TTE alone is inconclusive or imaging quality is poor. CMR can help provide a better idea of chamber sizes and wall thickness, and late gadolinium contrast enhancement (LGE) can also be helpful if present in a specific pattern, though often HCM patients may have non-specific patterns of LGE. Invasive hemodynamics assessment is reserved for patients with discordance between non-invasive testing and the clinical impression. It can also be useful to guide the management of heart failure, especially in advanced disease. How do you treat patients with hypertrophic obstructive cardiomyopathy (HOCM)? In patients with HCM and LVOT obstruction (defined a...

Two of the eponymous diseases in this episode are transmitted through incredibly casual exposure. The third requires more prolonged, direct contact with someone who is acutely ill, but can still spread really rapidly in certain conditions.  Research: Breman, Joel G et al. “Discovery and Description of Ebola Zaire Virus in 1976 and Relevance to the West African Epidemic During 2013-2016.” The Journal of infectious diseases vol. 214,suppl 3 (2016): S93-S101. doi:10.1093/infdis/jiw207 Center for Disease Control "Morbidity and mortality weekly report, Vol. 25, no. 32, August 20, 1976" vol. 25, no. 32, 1976 Centers for Disease Control and Prevention (U.S.) "Morbidity and Mortality Weekly Report, Vol. 25, no. 30, August 6, 1976" vol. 25, no. 30, 1976 Centers for Disease Control and Prevention (U.S.) "Morbidity and Mortality Weekly Report, Vol. 25, no. 31, August 13, 1976" vol. 25, no. 31, 1976 Centers for Disease Control and Prevention (U.S.) "Morbidity and Mortality Weekly Report, Vol. 25, no. 34, September 3, 1976" vol. 25, no. 34, 1976 Centers for Disease Control and Prevention (U.S.) "Morbidity and Mortality Weekly Report, Vol. 26, no. 2, January 18, 1977; special issue : Follow-up on respiratory illness - Philidelphia" vol. 26, no. 2, 1977 Communicable Disease Center (U.S.) "MMWR Weekly Report, Vol. 17, no. 47, Week ending November 23, 1968" vol. 17, no. 47, 1968 Dance, Amber. “Norovirus: The perfect pathogen.” Knowable. 9/11/2017. https://knowablemagazine.org/content/article/health-disease/2017/norovirus-perfect-pathogen Dolin, Raphael et al. “Transmission of Acute Infectious Nonbacterial Gastroenteritis to Volunteers by Oral Administration of Stool Filtrates.” Journal of Infectious Diseases. Vol. 123, No. 3. March 1971. Feldmann, H., Jones, S., Klenk, HD. et al. Ebola virus: from discovery to vaccine. Nat Rev Immunol 3, 677–685 (2003). https://doi.org/10.1038/nri1154 Lucero Y, Matson DO, Ashkenazi S, George S, O'Ryan M. Norovirus: Facts and Reflections from Past, Present, and Future. Viruses. 2021 Nov 30;13(12):2399. doi: 10.3390/v13122399. PMID: 34960668; PMCID: PMC8707792. Markel, Howard. “How a hotel convention became ground zero for this deadly bacteria.” PBS. 7/23/2018. https://www.pbs.org/newshour/health/how-a-hotel-convention-became-ground-zero-for-this-deadly-bacteria McDevitt, Dawn. “Case Investigations: Lessons Learned from the 1976 Philadelphia Legionellosis Outbreak.” Indiana Epidemiology Newsletter. Third quarter 2015. https://www.in.gov/health/files/2015_EpiNews_3Q.pdf Robilotti E, Deresinski S, Pinsky BA. Norovirus. Clin Microbiol Rev. 2015 Jan;28(1):134-64. doi: 10.1128/CMR.00075-14. PMID: 25567225; PMCID: PMC4284304. WHO/International Study Team. “Ebola haemorrhagic fever in Sudan, 1976.” Bulletin of the World Health Organization ,56 (2): 247-270 (1978). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2395561/pdf/bullwho00439-0090.pdf Winn, Washington C. “Legionnaires Disease: Historical Perspective.” Clinical Microbiology Reviews. January 1988. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC358030/pdf/cmr00055-0072.pdf See omnystudio.com/listener for privacy information.

This week we review a recent report assessing LV function and properties in the Ebstein's anomaly patient using CMR. How often is LV dysfunction observed in the Ebstein's patient who is about to undergo surgical Cone repair? How often did the echo underestimate LV dysfunction in comparison to the 'gold standard' CMR? How often is LV non-compaction observed when using strict criteria in this disease? Can CMR assessment of LV function preoperatively predict postoperative ICU course? These are amongst the questions posed to the first author of this week's work, advanced imaging fellow at U. Pittsburgh, Dr. Aditi Gupta. https://doi.org/10.1007/s00246-024-03585-8

BUFFALO, NY- July 15, 2024 – A new #research paper was #published in Oncotarget's Volume 15 on June 20, 2024, entitled, “Comparison of FDG-PET/CT and CT for evaluation of tumor response to nivolumab plus ipilimumab combination therapy and prognosis prediction in patients with unresectable malignant pleural mesothelioma.” Malignant pleural mesothelioma (MPM) is an aggressive neoplasm and affected patients have low survival rates. In this new retrospective study, researchers Kazuhiro Kitajima, Kozo Kuribayashi, Toshiyuki Minami, Hiroyuki Yokoyama, Akifumi Nakamura, Masaki Hashimoto, Takashi Kijima, Seiki Hasegawa, Hayato Kaida, and Koichiro Yamakado from Hyogo Medical University and Kindai University Faculty of Medicine examined the effectiveness of fluorodeoxyglucose positron emission tomography (FDG-PET) criteria, i.e., immunotherapy-modified PET response criteria in solid tumors (imPERCIST), with morphological computed tomography (CT) criteria, i.e., modified response evaluation criteria in solid tumors (mRECIST), to evaluate patients with unresectable MPM undergoing nivolumab plus ipilimumab combination therapy as first-line treatment regarding response and prognosis prediction. “Results for malignant pleural mesothelioma (MPM) patients following first-line treatment with nivolumab plus ipilimumab obtained with immunotherapy-modified PERCIST (imPERCIST), shown by [18F] (FDG-PET/CT), and modified RECIST (mRECIST), shown by CT, were compared for response evaluation and prognosis prediction.” Twenty-six patients (23 males, 3 females; median 73.5 years) with histologically proven MPM and no curative surgery received nivolumab plus ipilimumab combination therapy. FDG-PET/CT and diagnostic CT scanning at the baseline, and after 2–4 cycles (2 in three, 3 in 17, 4 in six patients) were performed. Therapeutic response findings evaluated using imPERCIST and mRECIST were compared. PFS and OS analyses were done using log-rank and Cox methods. Results: imPERCIST indicated nine progressive metabolic disease (PMD), eight stable metabolic disease (SMD), four partial metabolic response (PMR), and five complete metabolic response (CMR) cases. mRECIST showed nine with progressive disease (PD), nine stable disease (SD), seven partial response (PR), and one complete response (CR). Although high concordance was noted (κ = 0.827), imPERCIST correctly judged a greater percentage with CMR (15.4%). Following a median 10.0 months, 15 patients showed progression and eight died from MPM. With both, progression-free survival (PFS) and overall survival (OS) were significantly longer in patients without progression (CMR/PMR/SMD, CR/PR/SD, respectively) as compared to PMD/PD patients (imPERCIST p < 0.0001 and p = 0.015, respectively; mRECIST p < 0.0001 and p = 0.015, respectively). “For unresectable MPM patient examinations, FDG-PET and CT provide accurate findings for evaluating tumor response and also prognosis prediction following first-line nivolumab plus ipilimumab immunotherapy (approximately three cycles).” DOI - https://doi.org/10.18632/oncotarget.28594 Correspondence to - Kazuhiro Kitajima - kazu10041976@yahoo.co.jp Video short - https://www.youtube.com/watch?v=7ZRTRwig60Y About Oncotarget Oncotarget (a primarily oncology-focused, peer-reviewed, open access journal) aims to maximize research impact through insightful peer-review; eliminate borders between specialties by linking different fields of oncology, cancer research and biomedical sciences; and foster application of basic and clinical science. To learn more about Oncotarget, please visit https://www.oncotarget.com. MEDIA@IMPACTJOURNALS.COM

Tricia Foley, Author and Principal of Tricia Foley Design in New York, which specializes in all aspects of home design and restoration https://www.triciafoley.com/  Stephen Moranis B.Comm, MBA, FRI, CMR, Real Estate Strategist & Columnist, Financial Post I Haider-Moranis Bulletin, Former President of the Toronto Real Estate Board (TREB), Former Director of the Canadian Real Estate Association (CREA) https://hmbulletin.com/See omnystudio.com/listener for privacy information.

Elaine Donnelly is president of the Center for Military Readiness, an independent, nonpartisan public policy organization that reports on and analyzes military-social issues. Since its founding in 1993, CMR has advocated for high, uncompromised standards in all forms of military training and sound priorities in the making of military-social policies. Elaine has published articles on military personnel issues in numerous newspapers and magazines nationwide.--Under consideration in Congress is the National Defense Authorization Act for 2025 -NDAA-. A number of positive initiatives are part of the House version. However, the Senate version comes with a very controversial mandate. It would require that for the first time in U.S. history, young women would be required to register with selective service for a possible future draft.--Elaine began by commenting on the state of readiness within our military, how women play into the solution and the mindset behind it. She indicated that although retention has been holding steady, we've had a recruiting crisis taking place for several years. With so many trouble-spots in the world, she's not confident that the current administration understands how serious these threats are. Plus, they are misdirecting millions of dollars of resources to -woke- priorities and actually alienating people.--One example she gave was that of Critical Race Theory -CRT-. She believes that the more we teach CRT, both in civilian schools and the military, it only makes the recruiting crisis much worse, therefore she sees our all-volunteer force as being very much at risk.--Another factor is Diversity, Equity and Inclusion -DEI- policies.

Elaine Donnelly is president of the Center for Military Readiness, an independent, nonpartisan public policy organization that reports on and analyzes military-social issues. Since its founding in 1993, CMR has advocated for high, uncompromised standards in all forms of military training and sound priorities in the making of military-social policies. Elaine has published articles on military personnel issues in numerous newspapers and magazines nationwide.--Under consideration in Congress is the National Defense Authorization Act for 2025 -NDAA-. A number of positive initiatives are part of the House version. However, the Senate version comes with a very controversial mandate. It would require that for the first time in U.S. history, young women would be required to register with selective service for a possible future draft.--Elaine began by commenting on the state of readiness within our military, how women play into the solution and the mindset behind it. She indicated that although retention has been holding steady, we've had a recruiting crisis taking place for several years. With so many trouble-spots in the world, she's not confident that the current administration understands how serious these threats are. Plus, they are misdirecting millions of dollars of resources to -woke- priorities and actually alienating people.--One example she gave was that of Critical Race Theory -CRT-. She believes that the more we teach CRT, both in civilian schools and the military, it only makes the recruiting crisis much worse, therefore she sees our all-volunteer force as being very much at risk.--Another factor is Diversity, Equity and Inclusion -DEI- policies.

Elaine Donnelly is president of the Center for Military Readiness, an independent, nonpartisan public policy organization that reports on and analyzes military-social issues. Since its founding in 1993, CMR has advocated for high, uncompromised standards in all forms of military training and sound priorities in the making of military-social policies. Elaine has published articles on military personnel issues in numerous newspapers and magazines nationwide.--Under consideration in Congress is the National Defense Authorization Act for 2025 -NDAA-. A number of positive initiatives are part of the House version. However, the Senate version comes with a very controversial mandate. It would require that for the first time in U.S. history, young women would be required to register with selective service for a possible future draft.--Elaine began by commenting on the state of readiness within our military, how women play into the solution and the mindset behind it. She indicated that although retention has been holding steady, we've had a recruiting crisis taking place for several years. With so many trouble-spots in the world, she's not confident that the current administration understands how serious these threats are. Plus, they are misdirecting millions of dollars of resources to -woke- priorities and actually alienating people.--One example she gave was that of Critical Race Theory -CRT-. She believes that the more we teach CRT, both in civilian schools and the military, it only makes the recruiting crisis much worse, therefore she sees our all-volunteer force as being very much at risk.--Another factor is Diversity, Equity and Inclusion -DEI- policies.

Elaine Donnelly is president of the Center for Military Readiness, an independent, nonpartisan public policy organization that reports on and analyzes military/social issues. Since its founding in 1993, CMR has advocated for high, uncompromised standards in all forms of military training and sound priorities in the making of military/social policies. Elaine has published articles on military personnel issues in numerous newspapers and magazines nationwide.Under consideration in Congress is the National Defense Authorization Act for 2025 (NDAA). A number of positive initiatives are part of the House version. However, the Senate version comes with a very controversial mandate. It would require that for the first time in U.S. history, young women would be required to register with selective service for a possible future draft.Elaine began by commenting on the state of readiness within our military, how women play into the solution and the mindset behind it. She indicated that although retention has been holding steady, we've had a recruiting crisis taking place for several years. With so many trouble-spots in the world, she's not confident that the current administration understands how serious these threats are. Plus, they are misdirecting millions of dollars of resources to "woke" priorities and actually alienating people.One example she gave was that of Critical Race Theory (CRT). She believes that the more we teach CRT, both in civilian schools and the military, it only makes the recruiting crisis much worse, therefore she sees our all-volunteer force as being very much at risk.Another factor is Diversity, Equity and Inclusion (DEI) policies.

Elaine Donnelly is president of the Center for Military Readiness, an independent, nonpartisan public policy organization that reports on and analyzes military-social issues. Since its founding in 1993, CMR has advocated for high, uncompromised standards in all forms of military training and sound priorities in the making of military-social policies. Elaine has published articles on military personnel issues in numerous newspapers and magazines nationwide.--Under consideration in Congress is the National Defense Authorization Act for 2025 -NDAA-. A number of positive initiatives are part of the House version. However, the Senate version comes with a very controversial mandate. It would require that for the first time in U.S. history, young women would be required to register with selective service for a possible future draft.--Elaine began by commenting on the state of readiness within our military, how women play into the solution and the mindset behind it. She indicated that although retention has been holding steady, we've had a recruiting crisis taking place for several years. With so many trouble-spots in the world, she's not confident that the current administration understands how serious these threats are. Plus, they are misdirecting millions of dollars of resources to -woke- priorities and actually alienating people.--One example she gave was that of Critical Race Theory -CRT-. She believes that the more we teach CRT, both in civilian schools and the military, it only makes the recruiting crisis much worse, therefore she sees our all-volunteer force as being very much at risk.--Another factor is Diversity, Equity and Inclusion -DEI- policies.

Elaine Donnelly is president of the Center for Military Readiness, an independent, nonpartisan public policy organization that reports on and analyzes military/social issues. Since its founding in 1993, CMR has advocated for high, uncompromised standards in all forms of military training and sound priorities in the making of military/social policies. Elaine has published articles on military personnel issues in numerous newspapers and magazines nationwide.Under consideration in Congress is the National Defense Authorization Act for 2025 (NDAA). A number of positive initiatives are part of the House version. However, the Senate version comes with a very controversial mandate. It would require that for the first time in U.S. history, young women would be required to register with selective service for a possible future draft.Elaine began by commenting on the state of readiness within our military, how women play into the solution and the mindset behind it. She indicated that although retention has been holding steady, we've had a recruiting crisis taking place for several years. With so many trouble-spots in the world, she's not confident that the current administration understands how serious these threats are. Plus, they are misdirecting millions of dollars of resources to "woke" priorities and actually alienating people.One example she gave was that of Critical Race Theory (CRT). She believes that the more we teach CRT, both in civilian schools and the military, it only makes the recruiting crisis much worse, therefore she sees our all-volunteer force as being very much at risk.Another factor is Diversity, Equity and Inclusion (DEI) policies.

This week DT, S1ap, Rusty, Ben, and returning guest CMR talk loose cans, air circulation, pre-civil war rumblings, and album covers.

Melanie Turner, Interior Designer and the author of "Inviting Interiors: A Fresh Take on Beautiful Rooms" https://www.melanieturnerinteriors.com/  Stephen Moranis B.Comm, MBA, FRI, CMR, Real Estate Strategist & Columnist, Financial Post I Haider-Moranis Bulletin, Former President of the Toronto Real Estate Board (TREB), Former Director of the Canadian Real Estate Association (CREA) https://hmbulletin.com/ See omnystudio.com/listener for privacy information.

CardioNerds, Dr. Richard Ferraro and Dr. Dan ambinder join Dr. Li Pang, Dr. Emily Hendricks, and Dr. Bei Jiang from West Virginia University to discuss the following case that features apical obliteration with biventricular thrombus. Dr. Christopher Bianco provides the Expert CardioNerd Perspectives & Review (E-CPR) for this episode. Audio editing by CardioNerds Academy Intern, student doctor Tina Reddy. A 37-year-old Caucasian man with a history of tobacco smoking and hypertension who presented with chest pain and elevated troponin was admitted for non-ST elevation myocardial infarction (NSTEMI). Ischemic evaluation with an invasive coronary angiogram was negative. He was treated as NSTEMI and scheduled for outpatient cardiac MRI (CMR). The patient came back 2 months later with right arm weakness and confusion and was found to have an embolic stroke. Labs showed positive troponin with a flat trend and hypereosinophilia. Transthoracic echocardiogram (TTE) showed obliteration of LV and RV apex with thrombus and reduced LV systolic function. CMR was consistent with myocarditis with biventricular thrombus. The patient was started on corticosteroids and warfarin. Hypereosinophilia workup was positive for PDGFRA alpha rearrangement. He was diagnosed with primary hypereosinophila syndrome. Imatinib was initiated. The patient was followed up with the hematology clinic, achieved a complete hematologic response with normalized cell count, and remained free from any cardiovascular event at the 8-month follow-up. US Cardiology Review is now the official journal of CardioNerds! Submit your manuscript here. CardioNerds Case Reports PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Case Media Pearls - Apical Obliteration with Biventricular Thrombus Cardiac MRI is a valuable test for patients presenting with myocardial infarction with non-obstructive coronary arteries (MINOCA). Obliterated apex with apical thrombus on TTE with hypereosinophilia should raise high suspicion for eosinophilic myocarditis. Initiation of corticosteroids is the first-line treatment for eosinophilic myocarditis, which is associated with lower mortality in patients with myocarditis. For other potential complications, such as heart failure, intracardiac thrombus, arrhythmia, and pericardial effusion, the standard of care for each disorder is recommended. Hypereosinophilia can be seen in parasitic infections, vasculitis, asthma, allergy, hematological malignancies, and as a primary disorder. Show Notes - Apical Obliteration with Biventricular Thrombus What is the differential diagnosis for patients with elevated troponin and nonobstructive CAD? The occurrence of acute myocardial infarction (AMI) without significant CAD was reported 80 years ago. However, the term MINOCA (myocardial infarction with non-obstructive coronary arteries) has only been used recently to describe these patients. It involves ischemic and nonischemic etiologies. First, overlooked ischemic etiologies need to be ruled out by reconciling the angiogram images such as spontaneous coronary artery dissection (SCAD) and plaque disruption. Intracoronary imaging, such as intravascular ultrasound (IVUS) or optical coherence tomography (OCT), may be applied to evaluate for SCAD and subtypes of plaque disruption when indicated.  The investigation continues with nonischemic causes such as stress cardiomyopathy, myocarditis, pulmonary embolism, demand ischemia from sepsis, anemia, chest trauma, heart failure exacerbation, arrhythmia, and stroke. The diagnosis of MINOCA is established when it fulfills the following criteria: First, it is AMI by the Fourth Universal Definition; Second, less than 50% of stenotic lesion on angiogram; Third, there is no alternate diagnosis.

On this episode: Vic, Chris, Kvsha & Rashad's weekly recap includes some OJ stuff, Unemployment woes, & the infamous CMR. The cast discusses the feedback from last week's bombshell episode & joined by a special guest. Chris shares a valuable lesson from the Tom & Jerry cartoon. Plus a quick update on Emancipation Day, Boilers Rd. & a Snapchat predator, this & much more! Support the show

Starting on April 22, I will be speaking at a wonderful online summit called My Healthy Home.  Hosted by Caroline Blazovsky, there will be over 40 experts in the multi-faceted "healthy home" space, to discuss all aspects of this incredibly important topic.  Caroline is my guest on this episode of NTE live to tell us more about the summit and to discuss why this is so important to her and should be to all of us. Caroline Blazovsky has over 20 years experience with specialized training in residential homes. She has CMR certification (Certified Microbial Remediatior) and CIE (Certified Indoor Environmentalist) training through the American Council for Accredited Certification (ACAC). Ms. Blazovsky has completed a Sustainable Design education from Boston Architectural College. Ms. Blazovsky's work has been featured by Martha Stewart, Jenny McCarthy, Ronald Hoffman M.D., SiriusXM, Shape and Reader's Digest, as well as hundreds of podcasts, radio, and print interviews. She is also certified as a Healthy Home Specialist through the National Environmental Health Association. In her spare time, Caroline studies public health at the University of Southern California.   My Healthy Home Summit Sign up here for FREE

Case Discussion 107 Answer: SCD risk and CMR in HCM

CardioNerds co-founder Dr. Dan Ambinder, series chair Dr. Teodora Donisan, and Dr. Sukriti Banthiya discuss cardiac tumors with Dr. Juan Lopez-Mattei, a nationally recognized expert in the fields of cardio-oncology and the director of cardiac imaging at the Lee Health Heart Institute. Here, we explore the topic of cardiac tumors, with a focus on distinguishing between primary and secondary tumors. We delve into the symptoms, diagnostic methods, and treatment options. Show notes were drafted by Dr. Sukriti Banthiya and episode audio was edited by CardioNerds Intern and student Dr. Diane Masket. This episode is supported by a grant from Pfizer Inc. This CardioNerds Cardio-Oncology series is a multi-institutional collaboration made possible by contributions of stellar fellow leads and expert faculty from several programs, led by series co-chairs, Dr. Giselle Suero Abreu, Dr. Dinu Balanescu, and Dr. Teodora Donisan.  CardioNerds Cardio-Oncology PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls and Quotes - Cardiac Tumors Keep it simple when approaching an intracardiac mass; start with transthoracic echocardiography (TTE) and use transesophageal echocardiography (TEE) or cardiac magnetic resonance (CMR) based on the clinical context. Use TEE when suspecting valvular vegetations or thrombi & CMR for intracavitary cardiac masses. Cardiac tumors can manifest with a variety of symptoms; however, they are more commonly diagnosed as an incidental finding! When faced with the dilemma of selecting the most suitable imaging modality for evaluating a cardiac mass, consider the following hierarchy: begin with TTEas the first choice, followed by CMR. If the patient cannot undergo CMR, the next step is cardiac computed tomography (CT) or Fluorodeoxyglucose F18 positron emission tomography (FDG-PET). TEE is especially useful for the evaluation of small, highly mobile cardiac masses! Imaging cannot substitute a tissue diagnosis of cardiac masses. However, in cases of advanced malignancy, it may not always be necessary. Show notes - Cardiac Tumors Segment One: A big “picture” Approach to Cardiac Tumors Let's start with an overview of cardiac masses Neoplastic vs non-neoplasticNeoplastic lesions can be further classified into Primary Cardiac Tumors (PCT's) & Secondary Cardiac Tumor (SCT's)A majority of PCTs are benign (up to 90%!); however, rarely, they may be malignant. SCTs are more common than PCTs, and, by definition, they are malignant tumors. Now, let's look at the tools you can use to aid with the diagnosis of cardiac masses… Step 1: Investigate the cardiac mass initially with TTE. Step 2: Collect clues through history-taking & examination.If suspecting valvular vegetations (as in infective endocarditis!) or left atrial appendage thrombus, characterize the mass further with TEE.Consider the possibility of metastatic cardiac tumors in patients with a known malignancy, as they are more common than primary cardiac tumors. In cases where it is uncertain if the mass is a cardiac tumor or thrombus, use CMR to differentiate the two entities. Some findings on TTE that support the presence of a thrombus include left ventricular dysfunction with segmental wall motion abnormalities and/or apical aneurysm as these result in local pockets of stasis (think: Virchow's triad) Step 3: Put it all together! Think about whether a tissue biopsy will be needed. If yes, determine whether a negative margin or open biopsy will be required. Segment Two: Symptoms, Symptoms, Symptoms! Cardiac tumors may be symptomatic and present in the 3 key ways as outlined below (Think COD

Episode SummaryHave you ever paused long enough to consider why you continue pursuing the spiritual path? After all the scandals, abuse, religious trauma, and oppressive theology, why are you still here?This same question hit me last week during church and I didn't have a profound answer. For whatever reason, I just can't quit my search for the Sacred.I bet you've asked a similar question, or at least had the honesty to wonder just what the hell you are still doing in a movement that has caused you so much heartache. If eternal punishment is off the table, why even bother? I believe our latest episode on Holy Heretics provides an answer.According to today's guest, spirituality isn't about escaping the fire of hell, it is about your personal transformation. In short, you must become fully human in order to become fully divine. Sounds like the historical Jesus doesn't it? A closer look at ancient Christianity reveals a novel truth—what Jesus was attempting to create was not a path to heaven but the revelation of the Way to birth a fully divine human race, a people as radically alive, compassionate, and enlightened as he is himself.What Jesus lived into and enacted was a new life of “kingdom consciousness,” available now to every person willing to claim their divine inheritance. The invitation is clear: you can walk the same road Jesus walked and attain the same deification he attained. The point to all your spiritual seeking isn't to sin a little less, or ensure your spot in heaven, it is to become like Jesus himself. That, my friends, is the point.In today's episode with monk and mystic Father Brendan E. Williams, we attempt to show you how to walk that road, what spiritual tools you will need along the way, and how to begin the practice of daily contemplation and meditation in our modern world. If you are seeking a more contemplative pilgrimage back to God, if you are ultimately wondering why to continue the spiritual journey, this conversation will provide a more mystical pathway forward, allowing you to discover the divine secret within you.Bio:The Rev. Father Brendan E. Williams, CMR is a monk and a priest of the Episcopal Church, and serves as Prior of the Episcopal monastic order, The Communion of the Mystic Rose. He also serves in chaplaincy, parochial ministry, and retreat leadership. Father Brendan is a scholar of religion and mystical theology, a yogī, a professional spiritual director and meditation instructor. He frequently writes and offers teaching in comparative religion, ascetical theology, contemplative practices, Indo-Tibetan and native Gaelic traditions. He can be found online at: www.brendanelliswilliams.com.Please follow us on social media (use the buttons below) and help us get the word out! (Also, please don't hesitate to use any of these channels or email to contact us with any questions, concerns, or feedback.)If you enjoyed this episode, please leave us a rating and a review