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What happens when cancer treatment becomes the greatest catalyst for sovereignty?In this episode, I speak with Jocelyn, a Tennessee mother who walked away from conventional medicine after surviving thyroid cancer and having her thyroid removed at 25 years old.That experience changed everything. Jocelyn made a vow: never again would she hand her body over to the system. She carried that fierce sovereignty into motherhood, choosing to walk the sovereign path in her pregnancy and birth.She speaks to the comfort of finding the perfect sovereign birth witness and how being around animal birth her whole life helped her understand what she needed to do.Inside this episode:How surviving thyroid cancer led Jocelyn to question everything she'd been taughtThe moment in the hospital that made her vow never to surrender her body againWhat a wild pregnancy looked like day-to-day, with no tests, scans, or appointmentsWhat it takes to hold the line with family and community when your choices challenge the normTimestamps:[00:00] Introduction[03:23] Facing thyroid cancer and the trauma of a life-threatening hospital experience[11:25] Regrets about rushed surgery instead of looking into alternative treatments[29:41] Disappointment with midwives leading to the discovery of freebirth[37:52] Finding trust and support through The Lighthouse and connecting with a birth keeper[41:03] Jocelyn's freebirth storyResources Mentioned:Veda Revival | WebsiteThe Complete Guide to Freebirth | CourseThe Lighthouse | WebsiteFind more from Emilee on Instagram, YouTube and the Free Birth Society website.Disclaimer: Free Birth Society, LLC of North Carolina shares personal and educational stories and experiences related to freebirth and holistic care. This content is not medical advice, and we are not a licensed midwifery practice. Testimonials reflect individual experiences; results may vary. For services or scheduling, contact info@freebirthsociety.com. See full disclaimer at freebirthsociety.com/youtubeterms.
As vascular surgeons, we all use various pieces of equipment and technology in our day jobs. Everything from the hand-held Doppler to complex ultrasound machines, CT and MRI scanners. Every time we treat vascular disease we use some form of technology, be it an angioplasty balloon, stent or a vascular graft. We are surrounded by technology and use it all the time, but how many of us actually have any clue as to how it works? In this series of podcasts, we will take a slightly light-hearted look at the biomedical engineering involved in some of the pieces of kit that most of us take for granted. Nothing too overwhelming, but enough to explain the science behind the machine.In the first episode, we will take a look at the humble hand-held Doppler machine and explain how this frequently used machine does what it does. We will explain how the Doppler and piezoelectric effects combine to make an essential tool for clinicians and allied healthcare professionals in the field of vascular surgery.Presented by Justin Woolgar.
Today's rerun episode features the incredible Professor Hannah Dahlen, an Australian midwife, researcher, and international leader in maternity care. Hannah has published over 100 papers, spoken at more than 100 conferences, and appeared in documentaries and major media worldwide.In this conversation, Hannah shares:Her powerful journey into midwifery, growing up in Yemen alongside her mother, a practicing midwife.The art of holding space in birth, and why it's often misunderstood as “doing nothing.”Stories of humility, intuition, and the delicate balance between action and inaction in midwifery.Her vision for shifting the global understanding of midwifery alongside obstetrics.We're also thrilled to announce the launch of the Midwifery Wisdom Fellowship. Christie Davis and I created this mentorship to help future leaders step into advanced practice with confidence, build sustainable careers, and truly change the culture of midwifery for good.And here's the best part — to celebrate, we're hosting a giveaway! One lucky midwife will win a complete starter kit valued at over $500 — everything from a Doppler and neonatal stethoscope, to a scale, instruments, NRP kit, blood pressure cuff and more. PLUS, a gorgeous handmade Patchwork Carpet Bag from St. Clair Designs to carry it all in.More details on our website www.midwiferywisdom.com
gmischtersatz.rocks Nr.144: Wickerl fand Ostende westlich von Antwerpen und hörte im südlich gelegenen Brüssel Tote Hosen in einem Zug singen. Erich hörte Blasmusik in der Mitte von Österreich im Homeoffice-Bierzelt umgeben von Bierzelt-Grillhänderln mit dem schönsten Notdurft-Panorama-Blick.Fritten und Bier bestimmen den ersten Teil des Reiseberichts voller Lobbyisten und den ErInder des Atomiums.Autobahnbenutzung in Belgien kann gefährlich sein, sie gelten als die unsichersten in Europa."Des is so Resopal", die etwas andere, liebevolle Lokalbeschreibung einer Neuübernahme eines Traditions-Wirten in Meidling - das Bretschneider wo der Schankwein noch aus dem Doppler kommt.Eisenstadt im Ausnahmezustand - Hornbach hat eröffnet mit einem eigenen Weg-Weg-Bringer von der Autobahn.Was passiert wenn Pensionisten streiken? In Österreich geht nichts mehr! Keine Kinderbetreuung, Hausaufgaben werden nicht gemacht und die Küche bleibt kalt.Wien ist Tram-Weltmeister und wir lernen das f was für Amateure und ph den Profis vorbehalten ist. Der ph-Wert in der Sprache sinkt - Zitat Mike Hornik von 88,6.Die Kandidaten für das Jugendwort 2025 sind bekannt gegeben und die generisch Plaudertasche analysiert die Auswirkungen.Es war wieder wunderschmäh mit weinzigartigen Einsatz und freuen uns über Feedback unter gmischtersatz.rocks@gmail.com. Wickerl und Erich#gmischtersatz #Bierzelt #Brüssel #Tram Wir freuen uns über Feedback unter gmischtersatz.rocks@gmail.com Wickerl und Erich
Gavin breaks down the Doppler effect, the apparent change in frequency caused by motion between a sound source and a listener, and why it matters for creators and engineers. From sirens and passing cars to bats, ultrasounds, GPS, and even cell networks, you'll learn the core equations, the speed of sound (~343 m/s at room temp), what changes when the observer is moving, and practical takeaways for monitoring, mic technique, and creative sound design.Video By: More Than Media - https://www.morethan.media/Instagram: https://www.instagram.com/morethan.media/TikTok: https://www.tiktok.com/@morethan.mediaYouTube: https://www.youtube.com/@morethanmedia_The S.O.U.N.D. Project Podcast:Apple Podcasts: https://podcasts.apple.com/us/podcast/the-sound-project/id1680525959Spotify: https://open.spotify.com/show/6dkk1s642VFjZGsdYGyxBPGoogle: https://podcasts.google.com/feed/aHR0cHM6Ly9hbmNob3IuZm0vcy9kZTBiZGNlOC9wb2RjYXN0L3JzcwFull episodes playlist: https://www.youtube.com/playlist?list=PLghfvh2wd7A9MnVKr44jtPEg0qcZ1esTFKeep up with us on our Socials:- YouTube: https://www.youtube.com/@haverstickdesigns- Instagram: https://www.instagram.com/haverstickdesigns/- Facebook: https://www.facebook.com/HaverstickDesigns- TikTok: https://www.tiktok.com/@haverstickdesigns- LinkedIn: https://www.linkedin.com/company/haverstick-designs/- Linktree: https://linktr.ee/haverstickdesigns- Website: https://www.haverstickdesigns.com/#TheSOUNDProject #DopplerEffect #Acoustics #AudioEngineering #PhysicsOfSound #FrequencyShift #Mixing #StudioMonitoring #RecordingTips #SoundDesign #Ultrasound #Echolocation #Radar #GPS #CellTowersTimestamps00:00 Intro & what is Doppler00:30 Everyday examples (sirens, cars)01:10 Core equation & speed of sound01:50 Source vs. observer motion02:40 Real-world applications (ultrasound, bats, radar)03:30 GPS & cell networks04:10 Creative recording ideas04:40 Monitoring & mix-position tips05:10 Outro
Topics: First up, exploring the rise of Riot Culture, a movement powered by fast-building, “vibe coding,” AI agents, and meme-driven experimentation Next, diving into how platforms like @virtuals_io, Doppler, and others are accelerating this new creative economy. and Finally, why capital is now tied directly to culture, and how the Internet Capital Market thesis is maturing in real time. Please like and subscribe on your favorite podcasting app! Sign up for a free newsletter: www.theblockrunner.com Follow us on: Youtube: https://bit.ly/TBlkRnnrYouTube Twitter: bit.ly/TBR-Twitter Telegram: bit.ly/TBR-Telegram Discord: bit.ly/TBR-Discord
Following our discussion in 2023, we thought it would be a good time to catch up with Adam Conn and chat about how his use of colour Doppler for bovine reproductive ultrasonography has evolved.Known to many as The Vet on the Coast 19 for his superb educational content and showcasing the best of Northern Ireland's coastline, Adam Conn is an experienced farm animal vet specialising in dairy herd health and an IMV imaging brand ambassador.Listen in as we discuss how Adam uses the the Easi-Scan:Go to maximise the information gained from his routine ultrasound examinations, tips for getting started with bovine ultrasound, and the challenges of keeping a Tamagotchi alive!Got a question or suggestion? We would love to hear from you, and you can contact us using learning@imv-imaging.com. You can also check out our other learning resources on our Website and our CPD courses via our Academy education platform.
Flight demonstrations help push tipping point technologies.
GPS is essential these days. We use it for everything, from a hunter figuring out where the heck they are in the backcountry, to a delivery truck finding a grocery store, to keeping clocks in sync.But our reliance on GPS may also be changing our brains. Old school navigation strengthens the hippocampus, and multiple studies suggest that our new reliance on satellite navigation may put us at higher risk for conditions like dementia.In this episode (first released in 2024), we map out how GPS took over our world—from Sputnik's Doppler effect to the airplane crash that led to its widespread adoption—and share everyday stories of getting lost and found again.Featuring Dana Goward, M.R. O'Connor, Christina Phillips, Michelle Liu, Julia Furukawa, and Taylor Quimby.Produced by Nate Hegyi. For full credits and transcript, visit outsideinradio.org. LINKSIn 2023, Google Maps rerouted dozens of drivers in Los Angeles down a dirt road to the middle of nowhere to avoid a dust storm. Maura O'Connor traveled from rural Alaska to the Australian bush to better understand how people navigate without GPS—and sometimes even maps. Here's the peer-reviewed study, published in the journal Nature, that found that young people who relied on GPS for daily driving had poorer spatial memories. Another study out of Japan found that people who use smartphone apps like Google Maps to get around had a tougher time retracing their steps or remembering how they got to a place compared to people who use paper maps or landmarks.
Guest: Dr. Barb Mayes BousteadWhen we talk about climate change, the conversation is often full of data, models, and projections, but sometimes, the most powerful insights come from stories. Long before satellites and Doppler radar, Laura Ingalls Wilder was documenting the weather in her own way: through her vivid accounts of prairie blizzards, scorching droughts, and the struggle to survive it all. In a brand new book connecting Wilder's writings to the realities of climate change, author Dr. Barb Boustead shows us that the past doesn't just inform the present—it can shape how we care for the future. Today on Weather Geeks, we're talking about the intersection of literature, climate memory, and what we choose to protect when nature pushes back.Chapters00:00 The Power of Stories in Climate Change11:58 Resilience in the Face of Unpredictable Weather23:34 Lessons from Laura Ingalls Wilder's Experiences35:19 Connecting Literature and Climate PreparednessSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
How can we tell what distant stars and planets are made of—without ever touching them? In this episode of the OYLA podcast, we explore the fascinating history and science of spectral analysis, from Newton's prism to the discovery of helium in the Sun. Learn how light reveals the secrets of the universe and how the Doppler effect revolutionized modern astronomy. A story of color, sound, and cosmic detective work! This episode was prepared with the help of AI, and the content is written by OYLA authors. For subscription, please visit: oyla.us, oyla.uk, oyla.au, oyla.eu, oyla.co.in to check it out!
At 34 weeks pregnant, I'm sharing all the latest on our home build, pregnancy with baby #9, and what life is like in this full season. Even though progress on the house feels slow, I'm finding peace in the extra time to make intentional decisions, and we are loving how our unique vision is coming to life. I talk about chimney brick, roofing surprises, and the proportions that make it feel like an old homestead. I also reflect on how textbook this pregnancy has been compared to my others and answer a few listener questions about storm windows and monitoring during labor. In this episode, we cover: Slow building progress continues, but the slower pace has allowed for more thoughtful, intentional decisions Finalized historic design elements like trim profiles, wall materials, and appliance choices— finding excitement in the progress even if it's gradual Chimneys are now bricked and the garage is roofed with wide-seamed metal that perfectly fits the historic vibe— a happy surprise with no overthinking! Main house will feature cedar shake roofing, while the porches and additions have metal to embrace the “old house with add-ons” story Reflections on how proportions, window placement, and overall structure are beautifully bringing to life the original vision of a “new old house” Pregnancy update at 34 weeks: similar symptoms and baby position as past pregnancies, feeling confident and ready Choosing minimal prenatal interventions— tracking iron and glucose at home, keeping midwife visits sparse Sharing our personal approach to open windows with no screens or storm doors for an indoor-outdoor connection Thoughts on Doppler use in labor and delivery— balancing caution with practical monitoring when needed View full show notes on the blog + watch this episode on YouTube. Thank you for supporting the sponsors that make this show possible! RESOURCES MENTIONED Check out my last episode with Lana of Girl, Teach me Listen to Jennifer Pepito's previous appearances on the podcast: Episode 233: Bringing Our Homes to Life through Sacred Rhythms Episode 160: Overcoming Fear in Motherhood Listen to this recent episode for all the house updates Join my FREE masterclass to learn my 4-step framework for making money on YouTube Master the rhythm of sourdough with confidence in my Simple Sourdough course Gain the sewing knowledge and skills every homemaker needs in my Simple Sewing series Turn your content creation dreams into a profitable business with my YouTube Success Academy Keep all my favorite sourdough recipes at your fingertips in my Daily Sourdough cookbook CONNECT Lisa Bass of Farmhouse on Boone | Blog | YouTube | Instagram | TikTok | Facebook | Pinterest Do you have a question you'd like me to answer on the podcast? A guest you'd like me to interview? Submit your questions and ideas here: bit.ly/SFLquestions.
Big winds will whip across the state as another weather system dials up on Chris Shaffer's Doppler radar. The WCCO TV Chief Meteorologist talked with Tom Hauser about the the forecast today on The WCCO Morning news
Big winds will whip across the state as another weather system dials up on Chris Shaffer's Doppler radar. The WCCO TV Chief Meteorologist talked with Tom Hauser about the the forecast today on The WCCO Morning news
XRP: Ready to Explode? | Ripple's $1.25B DeFi Play Could Unlock Trillions Ripple's massive move — acquiring prime broker Hidden Road in a $1.25B deal that could reshape institutional crypto forever. Brad Garlinghouse breaks it down in “Crypto in One Minute,” but here's what the XRP Army really needs to know: this isn't just another acquisition — it's a DeFi power play that could unlock trillions in trade volume, transform TradFi clearing, and position XRP and RLUSD at the heart of institutional adoption. ✅ Ripple's global prime brokerage strategy ✅ How XRP + RLUSD enable cross-margining ✅ Doppler's new RLUSD use case ✅ XRP charts: 21 EMA and bullish crossover incoming ✅ 39% of U.S. crypto holders already spending crypto ✅ FireAid scandal – $100M missing? ✅ Trump, Nvidia, Powell & the AI race
Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper on Bifid-E Wave: A Novel Doppler Marker of Advanced Mitral Prolapse and Disproportionate Left Ventricular Enlargement.
Many expecting parents consider using a home Doppler to listen to their baby's heartbeat between prenatal appointments. While this can seem like a simple way to ease anxiety and feel more connected to your baby, there are important considerations to keep in mind. This episode offers a closer look at how Dopplers work, the factors that can affect their accuracy, and what the research reveals about their safety. Explore the potential benefits and drawbacks of using a Doppler at home, including why some healthcare providers may advise caution. If you decide to purchase a home Doppler, hear tips for shopping for a device and using a home Doppler more responsibly. Thank you to our sponsor Zahler goes above and beyond to use high-quality bioavailable ingredients like the active form of folate, bioavailable iron, and omega 3s. The Zahler Prenatal +DHA is my #1 recommendation for a high-quality prenatal vitamin. Save 20% off the Zahler Prenatal +DHA on Amazon with the code PREPOD20. You can always see the details and the current promo code for the Zahler prenatal vitamin here. Read the full article and resources that accompany this episode. Join Pregnancy Podcast Premium to access the entire back catalog, listen to all episodes ad-free, get a copy of the Your Birth Plan Book, and more. Check out the 40 Weeks podcast to learn how your baby grows each week and what is happening in your body. Plus, get a heads up on what to expect at your prenatal appointments and a tip for dads and partners. For more evidence-based information, visit the Pregnancy Podcast website.
Menschen die das gesagte Wort und sogar ganze Sätze wiederholen im Gespräch!
In this thought-provoking episode, Martin Willis sits down with Mitch Randall, a groundbreaking inventor, engineer, and AI consultant, whose career spans decades of cutting-edge innovation in radar, wireless technology, and artificial intelligence. From building weather radars for NCAR and chasing tornadoes with the legendary Doppler on Wheels (DOW) trucks, to developing passive radar systems and wireless charging tech featured in TIME Magazine's Best Inventions of 2007, Mitch's story is one of relentless curiosity and transformative ideas. Now a key member of Harvard's Galileo Project, Randall has turned his focus toward AI and space surveillance, helping advance the boundaries of scientific exploration.Check out: https://ascendantai.com Topics covered include: How artificial intelligence is reshaping science and society The early days of Software Defined Radio and its impact Wireless power, passive radar, and tech that changed industries His current work on SkyWatch for the Galileo Project Ethical and philosophical implications of advanced AI Whether you're fascinated by storm chasing, deep tech, or the mysteries of the universe, this interview is a must-watch.Become a supporter of this podcast: https://www.spreaker.com/podcast/podcast-ufo--5922140/support.
In this Wicked Problems – Climate Tech Conversations, we're joined by Gaia Vince, author of Nomad Century, a landmark work on climate-driven migration. From the existential realities of climate displacement to the politics of denial and adaptation, it's about what happens when we stop pretending everyone will stay where they are.It BadLast week, a catastrophic flood hit Kerr County, Texas. 30 cm of rain—four months' worth—fell in hours. The Guadalupe River rose 8 metres in under an hour, swamping the area around Camp Mystic. Over 90 are dead, many of them young girls at the camp. Some are still missing.Cue the blame game. Officials who refused to fund early warning systems claimed the event was unpredictable. Trump-era cuts had gutted the National Weather Service, yet some still pointed fingers at the agency. Others called it karmic justice or MAGA-targeted weather warfare. Conspiracy theorists went further, blaming imaginary geoengineering attacks. Marjorie Taylor-Greene tweeted: “We must end the dangerous and deadly practice of weather modification and geoengineering.”Right-wing extremists, already attacking Doppler radar sites, turn tragedy into paranoia. In past hurricanes, conspiracy-fueled threats forced rescue crews to withdraw.Rapid attribution studies confirm what should be obvious: climate change makes these once-rare floods far more likely.OK DoomerIn a now-notorious quote, Canadian environmentalist David Suzuki said “it's too late.” Critics pounced, accusing him of defeatism. But, as we discuss with Gaia Vince, the real issue isn't optimism vs pessimism—it's whether we're brave enough to face what's actually happening.After decades in media and PR, I can tell when people are dodging the truth—even for good reasons. In climate comms, there's a lot of that. But we try something different here: saying what we think is true, even if it's hard to hear.On the MoveGaia Vince has been writing about climate and migration for over a decade. In Nomad Century, she argues:Migration is a natural response to climate change—always has been.By 2070, up to 3 billion people may need to move as habitable zones shrink.Governments that prepare for this now will fare better than those that deny it.The book isn't dystopian; it's clear-eyed and pragmatic. It insists we have a choice: chaos, or planned adaptation.In This Conversation01:54 Climate Change's Global Reach04:24 The Reality of Climate Migration09:24 Political Responses to Climate Change10:44 Economic Implications and Adaptation21:57 Innovative Solutions and Future Outlook26:10 Australia and Tuvalu27:06 UN, Sovereignty, and Vanishing Nations29:00 Climate Refugees30:05 Early Agreements30:56 Adaptation and Relocation34:21 Facing the Climate Reality46:55 Can Global Governance Step Up?Get the BookNomad Century: How to Survive the Climate Upheaval remains one of the most honest, practical guides to climate adaptation out there. Listen to the conversation—and get the book.Tips, Bribes, and AbuseGuest idea? Want to help us do more of this? Or just dying to tell us how crap we are? Reach out on Bluesky or email us at info@wickedproblems.uk—and maybe stand us a pint. Hosted on Acast. See acast.com/privacy for more information.
Salud para Todos ¿Sabías que un estudio Doppler puede detectar problemas circulatorios antes de que aparezcan síntomas graves? En este episodio, los doctores Laura Salgado y David Velásquez, ambos residentes del Posgrado de Radiología, nos amplían sobre “Doppler Venoso y Doppler Arterial”, en qué consiste este estudio, cuándo se recomienda; eso y más te contamos. #SaludParaTodos #PodcastMédico #Doppler #Ecografía #SaludVascular #Radiología #MedicinaParaTodos #PodcastSalud
"POCUS Spotlight: Transcranial Doppler" From ASRA Pain Medicine News, May 2025. See the original article at www.asra.com/may25news for figures and references. This material is copyrighted. Support the show
Hey Mama! Welcome back to Pregnancy Unpacked with Trish, your pregnancy bestie. We're diving into weeks 22-24, where your baby's hitting papaya size and your bump's stealing the show! Trish breaks down baby's big developments, your body's changes, and the emotional weight of this in-between season. You're carrying a lot, but you're not alone - let's unpack it together!What's Happening with BabySize: Baby's about the size of a papaya (~11-12 inches, ~1.5 pounds).Development: Lungs are producing surfactant, key for breathing at birth. Eyelids are opening, eyelashes are forming, and baby's hearing is sharp—reacting to your voice or loud noises. Movements are getting stronger, with a unique rhythm starting to emerge.Cool Moment: Trish shares a sweet memory of her son Grayson startling during an ultrasound—proof of that magical connection!What's Happening with YouPhysical Changes: Your uterus is ~2 cm above your belly button, stretching ligaments and causing round ligament pain, lower back aches, or sciatica. Braxton Hicks might be noticeable (see Episode 105 for details). Shortness of breath, increased discharge (normal unless foul-smelling), and insane hunger are common.Digestive Issues: Bloating, gas, or reflux? Try papaya enzymes, stay hydrated, and eat balanced meals. Check with your provider for gas pain relief.Sleep Struggles: Feeling tired but not sleeping? Grab a pregnancy pillow (linked in Trish's Amazon shop below).Emotional & Mental Load: Feeling resentful, touched out, or like you're carrying it all? It's normal. Have those hard convos with your partner or support systemAppointments & What to ExpectMonthly provider visits include fundal height checks, Doppler heartbeat monitoring, blood pressure, urine tests, and swelling checks. Discuss cramps, movements, or preterm labor signs.If you have cramping, backaches, or pelvic pressure, your provider may run a fetal fibronectin test or refer you to a maternal-fetal medicine specialist. Always call for fluid leaks, bleeding, or intense pressure - you're advocating, not annoying!Action Steps for Weeks 22-24:Prep questions for your next provider visit.Track anything weird and call your provider if needed.Observe baby's movements - get curious, no formal kick counts yet.Start your postpartum support plan (it's not too early!).Check in with your partner or support person about your emotional and physical needs.You're growing a human and showing up for life—that's superhero stuff, mama! More from this episode:Listen to Episode 105: Here's How to Understand Real Labor vs False Labor ContractionsTrish's Amazon Shop for pregnancy pillows and second-trimester must-havesMore from Pregnancy Unpacked:Pregnancy Unpacked Weeks 20-22: Halfway There, But Still In It | 178Pregnancy Unpacked Weeks 18-20: Anatomy Scan & The Truth About Bonding | 176Pregnancy Unpacked Weeks 16-18: Baby Bumps, Tests, &...
In this extended interview from April 29, 2015, the Carolina Weather Group closes out Severe Weather Awareness Month with a true icon in meteorology: Gary England, the legendary Oklahoma broadcaster who revolutionized how America prepares for tornadoes.For decades, Gary was the face of Oklahoma City's severe weather coverage, becoming a household name through his calm presence during some of the nation's most destructive tornado outbreaks. In this episode, he sits down with us to reflect on his storied career—from his time serving in the Navy, to earning his meteorology degree, to becoming the first on-air meteorologist to use commercial Doppler radar to issue life-saving tornado warnings.
Austin Adams, founder of Whetstone and creator of Doppler, joins to discuss the next evolution in token launches. We explore why the world needs more tokens—not fewer—and how Doppler enables creators, apps, and DAOs to build highly customized launchpads using modular tooling. We cover token market design, dynamic bonding curves to prevent sniping, and how this infrastructure could unlock more meaningful, value-connected tokens—from meme coins with DAOs to public market IPOs on-chain. ------
Aarti Sarwal, MD, FAAN, FNCS, FCCM, professor of neurology at Virginia Commonwealth University Health System, explores the nuanced intersection of neurology and critical care, offering practical insights for clinicians across disciplines. Dr. Sarwal shares her perspective on the unique challenges of managing neurocritically ill patients, particularly when impairment presents challenges in administering a neurologic examination. She emphasizes that “the brain is the barometer of critical illness,” urging clinicians to prioritize daily neurologic evaluations and integrate neuromonitoring even in non-neurologic ICU populations. Listeners will gain an overview of tools such as continuous EEG, transcranial Doppler, emboli monitoring, and multimodal neuromonitoring platforms, including the role of neuro-ultrasound in expanding point-of-care capabilities. This episode also highlights the need for multidisciplinary collaboration and a shared decision-making model that extends across the continuum of care—from early ICU admission to post-discharge recovery. Listeners will appreciate Dr. Sarwal's reflections on neuroprognostication and the ethical dimensions of care withdrawal, particularly the danger of therapeutic nihilism in patients whose outcomes are uncertain. Referencing a 2023 review she coauthored (Crit Care Med. 2023;51:525-542), Dr. Sarwal outlines a practical framework for neuromonitoring that integrates structural, electrical, vascular, and metabolic insights. This conversation provides a timely and inclusive look at the future of neurocritical care—where technology, teamwork, and training converge to support better patient outcomes.
“What happens when a tornado warning collides with the American Idol finale—and the city of Climax is caught in the middle?”In this hilariously chaotic episode of The Ben and Skin Show, Ben Rogers, Jeff “Skin” Wade, Kevin “KT” Turner, and Krystina Ray dive headfirst into the storm—literally and figuratively. The crew unpacks the social media firestorm surrounding WFAA's chief meteorologist Pete Delkus, who interrupted the American Idol finale to deliver urgent tornado warnings. The result? Viewers were furious, Idol fans were left hanging, and Pete was—quite literally—out of breath and out of patience.From the absurdity of a Texas town named Climax to the debate over which weather channel had the better Doppler radar, this episode is packed with laugh-out-loud moments, sharp commentary, and a surprising amount of storm science.
In a bleak, stormy landscape where the remnants of civilization eke out their existence in deep, canyon-worn refuges, the story plunges readers into the lives of a resilient colony struggling against the decay of both infrastructure and hope. The narrative paints a vividly harsh world where power is scarce and survival depends on ingenuity—from salvaging precious batteries amid ruins to the daily ritual of powering essential systems with human effort. The reader is invited to witness not just the physical battles against nature, but also the emotional and communal struggles that tie the survivors together.At the heart of the tale are characters whose lives are interwoven with the very fabric of their battered environment. Whether it's a determined tinkerer engineering life-saving devices, or a reluctant caretaker balancing memories of lost innocence with the present need to sustain life, each individual's story illuminates both the burdens and unexpected moments of beauty in a transformed world. Their interactions blend sorrow with the spark of tenacity, hinting at deeper mysteries and a shared hope that even in the direst conditions, human spirit can prevail.With its immersive blend of gritty survival, inventive adaptation, and poignant reflections on what it means to be human, this story offers a rich, atmospheric journey into a future where the past's losses and the promise of tomorrow collide. The narrative masterfully avoids clean resolutions, instead leaving readers to grapple with the moral ambiguities of existence in a world stripped to its bare essentials—a world where every innovation is a lifeline, and every moment is a testament to the courage required to simply keep going.batteries solar panels cooling units aeroponics system hand crank flywheel generator power sippers AR glasses BritLights cool suits microbe engineering equipment DNA writer sequencer incubators protein printer pedal-powered generator bike respirators quantum computer Bose-Einstein condensate gravity sensor Stirling engine heat pump air filtershand crank wand canal links GM microbe mix bug trap system battery recharge station mining robotplasma drill graphene tube wiring hydraulic cylinders from a blimp enzyme welder temp shielding aerogel carb-core disks camshafts composite beams quantum simulationradio transmitter hume linking devices mycelium fabric garments mycelium filter sheets Doppler cooling laserMany of the characters in this project appear in future episodes.Using storytelling to place you in a time period, this series takes you, year by year, into the future. From 2040 to 2195. If you like emerging tech, eco-tech, futurism, perma-culture, apocalyptic survival scenarios, and disruptive science, sit back and enjoy short stories that showcase my research into how the future may play out. The companion site is https://in20xx.com These are works of fiction. Characters and groups are made-up and influenced by current events but not reporting facts about people or groups in the real world. This project is speculative fiction. These episodes are not about revealing what will be, but they are to excited the listener's wonder about what may come to pass.Copyright © Cy Porter 2025. All rights reserved.
Foundations of Amateur Radio Since becoming a licensed amateur in 2010, I have spent a good amount of time putting together my thoughts on a weekly basis about the hobby and the community surrounding amateur radio. As you might know, my interest is eclectic, some might say random, but by enlarge, I go where the unicorns appear. Over a year ago I mentioned in passing a community called HamSCI. The label on the box is "Ham Radio Science Citizen Investigation", which gives you a sense of what this is all about. It was started by amateur radio scientists who study upper atmospheric and space physics. More formally, the HamSCI mission is the "Continuation and extension of the amateur's proven ability to contribute to the advancement of the radio art." If you visit the hamsci.org website, and you should, you'll discover dozens of universities and around 1,300 people, many of whom are licensed radio amateurs, who are asking questions and discovering answers that matter to more than just our amateur community. For the eighth time the HamSCI community held an annual "workshop", really, an opportunity to get together and share ideas, in person and across the internet, a conference by any other name. Under the banner theme of "HamSCI's Big Year", over two days, 56 people representing 27 different organisations across 61 sessions, tutorials, discussions, tours, posters and demonstrations, explored topics all over our hobby, from the Personal Space Weather Network, capable of making ground based measurements of the space environment, to the Whistler Catcher Pi, a project to record the VLF spectrum to 48 kHz using a Raspberry Pi. You'll find research into HF antennas for the DASI or Distributed Array of Small Instruments project and associated NSF grants, exploring measurements of HF and VLF, combined with GPS and magnetometer across 20 to 30 stations. There's discussions on how to explore Geospace Data, such as information coming from the Personal Space Weather Station network, or PSWS, using the OpenSpace project and dealing with the challenges of visualising across a wide scale, all the way up to the entire known universe. Did I mention that there's work underway to add PSWS compatible receivers to Antarctica? There reports on observations and modelling of the ionospheric effects of the April 2024 solar eclipse QSO party, including Doppler radio, HF time differences, and Medium Wave signal enhancements, not to mention planning and promoting future meteor scatter QSO parties. There's, post-sunset sporadic-F propagation, large scale travelling ionospheric disturbances, GPS disciplined beacons, the physical nature of sporadic-E propagation and plenty more. As you might have heard me say at one time or another, the difference between fiddling and science is writing it down. It means that you'll find every session has accompanying documentation, charts, graphics and scientific papers. Remember, there's eight years of reading to catch up with, or learn from, or play with. The publications and presentations section on the hamsci.org website currently has 526 different entries. You might not be interested in the impact of radio wave and GPS scintillation, or rapid fluctuation in strength, caused during the G5 geomagnetic storm that occurred on the 10th of May 2024, or a statistical study of ion temperature anistropy using AMISR, or Advanced Modular Incoherent Scatter Radar data .. or you might. In case you're curious, "anistropy" is the property of being directionally dependent, in other words, it matters in which direction you measure, which might have some relevance to you if you consider that we think of the ionosphere and radio paths being reciprocal. If it reminds you of isotropy, that's because they're opposites. The point being, that amateur radio is a great many things to different people. If you're a scientist, budding, graduate or tenured, there's a home for you within this amazing hobby. I'm Onno VK6FLAB
====================================================SUSCRIBETEhttps://www.youtube.com/channel/UCNpffyr-7_zP1x1lS89ByaQ?sub_confirmation=1==================================================== DEVOCIÓN MATUTINA PARA JÓVENES 2025“HOY ES TENDENCIA”Narrado por: Daniel RamosDesde: Connecticut, USAUna cortesía de DR'Ministries y Canaan Seventh-Day Adventist Church===================|| www.drministries.org ||===================06 de MayoEl efeto doppler«Jesucristo es el mismo ayer, hoy y siempre». Hebreos 13:8Si alguna vez te has encontrado en una intersección bulliciosa, habrás notado como el sonido de una bocina varía dependiendo de si el vehículo que la emite se acerca o se aleja de ti. Este fenómeno se conoce como el efecto Doppler, que es simplemente el cambio en la frecuencia aparente de una onda causado por el movimiento relativo entre la fuente y el observador. Este efecto tiene aplicaciones prácticas, como en el funcionamiento de algunos radares, y también se utiliza en astronomía para medir la velocidad a la que las estrellas y galaxias se alejan o se acercan a la Tierra.Ahora bien, ¿te sorprendería saber que en el ámbito espiritual también existe un fenómeno parecido al efecto Doppler? Aunque la Biblia declara que «Jesucristo es el mismo ayer, hoy y siempre» (Hebreos 13: 8), nuestra percepción de Cristo, de su poder y de su amor dependerá de si nos acercamos o alejamos de él.En tiempos de Isaías, los israelitas sentían que Dios no los escuchaba y que su poder no tenía ningún efecto en sus vidas. ¿Los había abandonado el Señor? No, era el pueblo el que se había alejado de Dios (ver Isaías 1: 4). Su percepción daba evidencias no tanto lo que había pasado con Dios, sino de lo que pasaba con ellos. Isaías declara: «La mano del Señor no es corta para salvar, ni es sordo su oído para oír. Son las iniquidades de ustedes las que los separan de su Dios. Son estos pecados los que lo llevan a ocultar su rostro para no escuchar» (Isaías 59: 1-2, NVI).Al igual que el efecto Doppler se emplea en astronomía para determinar si una galaxia se acerca o se aleja, así como para calcular la velocidad de dicho movimiento, mi percepción de Dios, su poder y su amor puede indicarme si me estoy acercando al Creador o alejándome de él, así como la velocidad a la que esto ocurre. No obstante, cabe destacar que, sin importar la dirección que tomemos, Dios nunca se aparta de nosotros. Él permanece en el mismo lugar, llamándonos y esperándonos. Pablo escribió que «si no somos fieles, él sigue siendo fiel, porque no puede negarse a sí mismo» (2 Timoteo 2:13). ¿¿Te estás acercando o alejando de Dios? Hoy detente, escucha con atención y sabrás la respuesta.
Hey mama! In this short and sweet episode Trish breaks down everything you need to know about second trimester pregnancy testing. Get ready to feel educated, empowered, and like the queen you are as you navigate your pregnancy with confidence.Join the Calm Mama Membership: labornursemama.com/cmsLeave a review and include your Instagram username for a chance to win our monthly raffle!What You'll Learn:Second Trimester Visits: Expect weight checks, blood pressure monitoring, urine tests, and hearing your baby's magical heartbeat with the Doppler. Plus, fundal height measurements to track baby's growth.Fetal Movement: Those fluttery kicks start between 18-22 weeks, signaling your baby's thriving.Multiple Marker Screening (Triple/Quad Screen): Done at 16-18 weeks, this blood test checks for Down Syndrome, Trisomy 18, and neural tube defects. 20-Week Anatomy Scan: The big ultrasound! It measures baby's organs, bones, and more, plus reveals the gender (if you want to know). Be prepared for a long appointment!Glucose Tolerance Test (GTT): Between 24-28 weeks, you'll drink the dreaded glucola to screen for gestational diabetes. STI Screening & Emotional Check-Ins: High-risk mamas may get STI tests, and your provider will check on your mental health. Be honest—there's zero shame in needing support.Walk into every appointment informed and ready to advocate for you and your baby. It's your body, mama!More from this episode:Comment "#second" on any @labor.nurse.mama Instagram post for Second Trimester Prep PackGrab the First Trimester Prep PackGrab the Third Trimester Prep PackListen to Navigating Your 20-Week Anatomy Scan with Confidence | 150Listen to 11 Things to Do During the Second Trimester of Pregnancy | 82Connect with the Gestational Diabetes Nurse 00:53 Second Trimester Overview01:51 Routine Checkups and Measurements03:05 Important Tests and Screenings04:10 Emotional Well-being and Support04:37 The 20-Week Anatomy Scan05:54 Glucose Tolerance Test (GTT)06:40 Gestational Diabetes Management07:53 Empowerment and ResourcesResources: First Trimester Secret Podcast
Dune. Star Wars. Alien. Science fiction movies love alien worlds, and so do we. But how do scientists find planets outside our solar system in real life? One way is by looking for the stars that wiggle. Historically, astronomers have measured those wiggles via the Doppler method, carefully analyzing how the star's light shifts. Thanks to new data from the GAIA telescope, scientists have a much better picture of distant stars' wiggles — and the exoplanets that cause them.Want to hear more about exoplanet discoveries? Send us an email at shortwave@npr.org. Listen to every episode of Short Wave sponsor-free and support our work at NPR by signing up for Short Wave+ at plus.npr.org/shortwave.Learn more about sponsor message choices: podcastchoices.com/adchoicesNPR Privacy Policy
Banjou Music courtesy of Banjo HangOut, Civil War Medley -- used with permission.Here's the problem —- not only tornado warnings, flash flood warnings, and severe thunderstorm warnings, and these don't even include those previous warnings, known as “watches”.Here's the difference — “a watch” means that condition is “possible”, supposedly a “warning” means “probable” or likely, and a lot depends on their interpretation of our friend Dopler Radar…Take it away Wikipedia -- "A Doppler radar is a specialized radar that uses the Doppler effect to produce velocity data about objects at a distance.[1] It does this by bouncing a microwave signal off a desired target and analyzing how the object's motion has altered the frequency of the returned signal."
National Weather Service meteorologists issued a tornado warning just before 2:30 Tuesday afternoon after Doppler radar indicated that a passing storm was beginning to rotate.
Contributor: Aaron Lessen, MD Educational Pearls: Point-of-care ultrasound (POCUS) is used to assess cardiac activity during cardiac arrest and can identify potential reversible causes such as pericardial tamponade Ultrasound could be beneficial in another way during cardiac arrest as well: pulse checks Manual palpation for detecting pulses is imperfect, with false positives and negatives Doppler ultrasound can be used as an adjunct or replacement to manual palpation for improved accuracy Options for Doppler ultrasound of carotid or femoral pulses during cardiac arrest: Visualize arterial pulsation Use color doppler Numerically quantify the flow and correlate this to a BP reading - slightly more complex Doppler ultrasound is much faster than manual palpation for pulse check Can provide information almost instantaneously without waiting the full 10 seconds for a manual pulse check The main priority during cardiac arrest resuscitation is to maintain quality compressions If pulses are unable to be obtained through Doppler within the 10-second window, resume compressions and try again during the next pulse check References Cohen AL, Li T, Becker LB, Owens C, Singh N, Gold A, Nelson MJ, Jafari D, Haddad G, Nello AV, Rolston DM; Northwell Health Biostatistics Unit. Femoral artery Doppler ultrasound is more accurate than manual palpation for pulse detection in cardiac arrest. Resuscitation. 2022 Apr;173:156-165. doi: 10.1016/j.resuscitation.2022.01.030. Epub 2022 Feb 4. PMID: 35131404. Summarized by Meg Joyce, MS1 | Edited by Meg Joyce & Jorge Chalit, OMS3 Donate: https://emergencymedicalminute.org/donate/
Darth Chris makes an appearance, Niléane has an exclusive first look at…checks notes… the iPhone 16 Pro, Matt insists on talking about MacWhisper even more, and the crew actually all followed the rules in this week's challenge (a miracle!). Weekly Topics iPhone 16 Pro MacWhisper Other Things Discussed Niléane's Nomad case Doppler music app Stephen Hackett's macOS wallpaper collection Keyboard Maestro Chris's automated wallpaper Calendar and Reminder Wallpaper shortcut GeekTool Follow the Hosts Chris on YouTube Matt on Birchtree Niléane on Mastodon Comfort Zone on Mastodon Comfort Zone on Bluesky
Audionautic | Covering the Latest in Music Production, Marketing and Technology
In this age of consumerism, sometimes the coolest things come from the crowfunders and the will of the people! Artium Instruments have completed their kickstarter for 'Doppler' a desktop FM synth that looks to lean into unbridled exploration where you find a unique sound at every knob turn. We're checking out the press release to see what's up. In the Round Robin, we're looking to the release of Serum 2 and asking ourselves what is it in our studios that unequivocally requires that financial investment and why. Join us for an hour of synth nerding.Audionautic Records' latest release, Fields of Few - First Land Encounterhttps://fieldsoffew.bandcamp.com/album/first-land-encounterGrab tickets for Eonlake's London Show here:https://skiddle.com/e/40699373Help Support the Channel:Patreon: www.patreon.com/audionauticThanks to our Patrons who support what we do:Audionauts: Abby, Bendu, David Svrjcek, Josh Wittman, Paul Ledbrook, Matt Donatelli, Coraline Ada Ehmke, Jaycee Lewis and Stephen SetzepfandtLars Haur - Audionaut ProducerJonathan Goode - Audionaut ProducerJoin the conversation:
If you are luckier than a hundred million dollar power ball winner you will see your space rock as a meteor streaking across the sky, fall to the ground, and land in a place where can you walk over and pick it up. On the other hand, with more persistence than luck you can find a space rock where it has been waiting for you on the surface of planet Earth . First you need a place to look. Dry lake beds have few surface rocks and can be a great place to find meteorites. There are strewn fields from known celestial falls that you can check out. On private land will you need the owner's permission. If you live near BLM land you can collect up to 10 lbs of meteorites a year without a special permit. Train your eye by looking at photos of meteorites and/or make a visit to a museum to view the real thing. A dark fusion crust is a clue. Thumbprint like surface features is another. A powerful magnet will tell you if your candidate has a high iron content consistent with meteorites An exciting new way to find freshly fallen space rocks involves the use of Doppler weather RADAR to track pieces of an exploding fireball on their way to Earth. There are web sites which can alert you to places to travel to and search.
In this week's issue:Widefield OCTA reveals significant choroidal and optic disc alterations in thyroid eye disease, particularly in dystrophic optic neuropathy, highlighting its potential for improved disease monitoring and management.1 year of suppressive treatment with valacyclovir may help reduce pain in herpes zoster ophthalmicus patients with postherpetic neuralgia.Doppler ultrasound shows promise in predicting retinoblastoma response to intra-arterial chemotherapy, with vascular indices correlating with tumor size and treatment outcomes, but further studies are needed for validation.
Tonight's Guest WeatherBrain is a retired meteorologist with thirty-five years of experience at the NWS. That includes twenty-six years as a SOO, and he's been a leader with forecaster training, mesoscale analysis and radar interpretation, which helps NWS offices improve proving warning decision-making and lead times for severe weather hazards. Pete Wolf, welcome to WeatherBrains! Also, Bruce Jones joins us to discuss the importance of NOAA Weather Radio and its integration in order to save lives. Welcome back, Bruce! Our email officer Jen is continuing to handle the incoming messages from our listeners. Reach us here: email@weatherbrains.com. Critical Fire Danger for several areas around the country (05:15) Petersburg, VA F4 tornado/outbreak on August 6th, 1993 (9:45) Key changes seen with Doppler radar/Warning systems since the early 1990s (13:45) WoFS (Warn on Forecast System) (15:25) Appreciating the important tools of hodographs and soundings (18:00) SW Oklahoma sounding analysis (Live on 03/03/25) (21:15) Reconciling SRH in QLCS situations (28:00) Tools needed to downscale warnings (43:15) No relation between VIL (Vertically Integrated Liquid) and tornado formation (56:15) Least-understood radar signatures by meteorologists (01:09:00) Improving efficiency of operations in the NWS (01:13:30) AI-generated weather broadcasters and battling automation (01:20:00) NOAA banned from having its own app (01:29:00) The Astronomy Outlook with Tony Rice (No segment this week) This Week in Tornado History With Jen (01:35:22) E-Mail Segment (01:37:00) National Weather Round-Up and more! Web Sites from Episode 998: Midland Weather Radio My Monster Storms/Pete Wolf on X Monster Storms Main Page Picks of the Week: Bruce Jones - "But Wait ... There's More!: Tighten Your Abs, Make Millions, and Learn How the $100 Billion Infomercial Industry Sold Us Everything But the Kitchen Sink" James Aydelott - Forecast Sounding From SWOK Jen Narramore - NWS Louisville on X: Final Forecast Discussion from Meteorologist in Charge John Gordon Rick Smith - Out Troy Kimmel - Roswell, NW extreme winds Kim Klockow-McClain - SPC Severe Thunderstorm Forecasting Video Lecture Series Bill Murray - Foghorn James Spann - Director of NWS Louisville retires after nearly four decades The WeatherBrains crew includes your host, James Spann, plus other notable geeks like Troy Kimmel, Bill Murray, Rick Smith, James Aydelott, Jen Narramore and Dr. Kim Klockow-McClain. They bring together a wealth of weather knowledge and experience for another fascinating podcast about weather.
Welcome to Mysteries to Die For.I am TG Wolff and am here with Jack, my piano player and producer. This is a podcast where we combine storytelling with original music to put you in the heart of a mystery. All stories are structured to challenge you to beat the detective to the solution. Jack and I perform these live, front to back, no breaks, no fakes, no retakes.The rules for law and order create the boundaries for civil co-existence and, ideally, the backdrops for individuals, families, and companies to grow and thrive. Breaking these rules puts civil order at risk. And while murder is the Big Daddy of crimes, codified ordinances across municipal divisions, counties, states, and countries show the nearly endless ways there are to create mayhem. This season, we put our detective skills to the test in new and creative way. This is Season 8, Anything but Murder. This is Episode 3, jewel theft is the featured crime. This is THE LAST DIAMOND by Kathleen Marple KalbDeliberation Detective Connie Mercado has landed a gem of a case and needs our help. Miss Susan Sawyer was about to auction her prized diamond when she discovered the ring in the vault was a fake. Here is a list of the people Miss Sawyer reported had access to the ring:Allison Boatwright, assistant at the auction house, sheltered, pampered, rudderlessEverett Goodwin, auction house director, butt kissing twerpDana Jones-Stann, accountant, keeper of the safe deposit box keysABOUT Kathleen Marple KalbKathleen Marple Kalb describes herself as an Author/Anchor/Mom…not in that order. An award-winning weekend anchor at New York's 1010 WINS Radio, she's the author of short stories and novels including the Old Stuff and Ella Shane series, and, as Nikki Knight, the Grace the Hit Mom and Vermont Radio series. Her stories, under both pen names, have been in Alfred Hitchcock's Mystery Magazine, Black Cat Weekly, and many anthologies, and short-listed for Derringer and Black Orchid Novella Awards. Active in writer's groups, she's served as Vice President of the Short Mystery Fiction Society and Co-VP of the New York/Tri-State Sisters in Crime Chapter. She, her husband, and son live in a Connecticut house owned by their cat.https://kathleenmarplekalb.com/ABOUT Diamond TheftFrom the pages of History.com and The True Crime Database comes one of the most audacious thefts. Antwerp, Belgium, February 2003. The Antwerp Diamond Center was an impregnable fortress in the diamond capital…until it wasn't. Thieves disabled the vaults heat and motion sensors and got around and/or through Doppler radar, a lock with 100 million combinations, and 2-ft thick metal doors that signaled the police if pulled apart. The industrious thieves had 4-5 hours in the vault, leaving with diamonds, gems, and cash valued at $100mil at the time and more like $160mil today. On their exit, they took the security footage. They would have gotten away cleanly…if they had only cleaned up after themselves. The bags of trash they left in the woods along the highway provided the clues that led to the arrest and conviction of Leonardo Notarbartolo, a career criminal who posed as a diamond merchant to case the diamond center, and several of his compatriots. During the trial, Notarbartolo denied being the mastermind and argued the value was a fraction of what was claimed. He served 5 years of his 10 years sentence, was paroled, and then some years later violated the parole and returned to prison to finish the sentence. Little of loot was ever found. The scale and skill of the heist captured imaginations. The Antwerp heist was featured on the first episode of The History Channel's “History's...
It's been on my list for a while now to create an episode about cranial osteopathy, some of the myths and stigmas and some of the cold hard truths of the matter. Hopefully you might utilize this episode as a resource and a vector to challenge some of our conceptions about things like the CRI (cranial rhythmic impulse) or the primary respiratory mechanism . I've done my best to keep everything as grounded as possible in the fundamentals of anatomy and physiology and I hope this content equips us all to start challenging some of the dogma we're taught in medical school and seek out axiomatic truth. -- Basic Concepts of Brain Pathophysiology and Intracranial Pressure Monitoring-- Neurological Influences of the Temporomandibular Joint-- Cranial Rhythmic Impulse related to the Traube-Hering-Mayer Oscillation: comparing laser-Doppler flowmetry and palpation.Dr. Jordan Little D.O. - jordanlittle.do@gmail.comONMM Podcast -onmmpodcast@gmail.com
New year, new show! Not really, don't worry, it's the same. Well, Andrew is gone, but still mostly the same. Martin and Jason talk new year, media, stickers, and everything adjacent! Reset or Speed Bump? 00:00:00 Hi Andrew?
Guest: Dr. Christian de Virgilio is the Chair of the Department of Surgery at Harbor-UCLA Medical Center. He is also Co-Chair of the College of Applied Anatomy and a Professor of Surgery at UCLA's David Geffen School of Medicine. He completed his undergraduate degree in Biology at Loyola Marymount University and earned his medical degree from UCLA. He then completed his residency in General Surgery at UCLA-Harbor Medical Center followed by a fellowship in Vascular Surgery at the Mayo Clinic. Resources: Rutherford Chapters (10th ed.): 174, 175, 177, 178 Prior Holding Pressure episode on AV access creation: https://www.audiblebleeding.com/vsite-hd-access/ The Society for Vascular Surgery: Clinical practice guidelines for the surgical placement and maintenance of arteriovenous hemodialysis access: https://www.jvascsurg.org/article/S0741-5214%2808%2901399-2/fulltext KDOQI Clinical Practice Guideline for Vascular Access: 2019 Update: https://pubmed.ncbi.nlm.nih.gov/32778223/ Outline: Steal Syndrome Definition & Etiology Steal syndrome is an important complication of AV access creation, since access creation diverts arterial blood flow from the hand. Steal can be caused by multiple factors—arterial occlusive disease proximal or distal to the AV anastomosis, high flow through the fistula at the expense of distal arterial perfusion, and failure of the distal arterial networks to adapt to this decreased blood flow. Incidence and Risk Factors The frequency of steal syndrome is 1.6-9%1,2, depending on the vessels and conduit choice Steal syndrome is more common with brachial and axillary artery-based accesses and nonautogenous conduits. Other risk factors for steal syndrome are peripheral vascular disease, coronary artery disease, diabetes, advanced age, female sex, larger outflow conduit, multiple prior permanent access procedures, and prior episodes of steal.3,4 Long-standing insulin-dependent diabetes causes both medial calcinosis and peripheral neuropathy, which limits arteries' ability to vasodilate and adjust to decreased blood flow. Patient Presentation, Symptoms, Grading Steal syndrome is diagnosed clinically. Symptoms after AVG creation occurs within the first few days, since flow in prosthetic grafts tend to reach a maximum value very early after creation. Native AVFs take time to mature and flow will slowly increase overtime, leading to more insidious onset of symptoms that can take months or years. The patient should have a unilateral complaint in the extremity with the AV access. Symptoms of steal syndrome, in order of increasing severity, include nail changes, occasional tingling, extremity coolness, numbness in fingertips and hands, muscle weakness, rest pain, sensory and motor deficits, fingertip ulcerations, and tissue loss. There could be a weakened radial pulse or weak Doppler signal on the affected side, and these will become stronger after compression of the AV outflow. Symptoms are graded on a scale specified by Society of Vascular Surgery (SVS) reporting standards:5 Workup Duplex ultrasound can be used to analyze flow volumes. A high flow volume (in autogenous accesses greater than 800 mL/min, in nonautogenous accesses greater than 1200 mL/min) signifies an outflow issue. The vein or graft is acting as a pressure sink and stealing blood from the distal artery. A low flow volume signifies an inflow issue, meaning that there is a proximal arterial lesion preventing blood from reaching the distal artery. Upper extremity angiogram can identify proximal arterial lesions. Prevention Create the AV access as distal as possible, in order to preserve arterial inflow to the hand and reduce the anastomosis size and outflow diameter. SVS guidelines recommend a 4-6mm arteriotomy diameter to balance the need for sufficient access flow with the risk of steal. If a graft is necessary, tapered prosthetic grafts are sometimes used in patients with steal risk factors, using the smaller end of the graft placed at the arterial anastomosis, although this has not yet been proven to reduce the incidence of steal. Indications for Treatment Intervention is recommended in lifestyle-limiting cases of Grade II and all Grade III steal cases. If left untreated, the natural history of steal syndrome can result in chronic limb ischemia, causing gangrene with loss of digits or limbs. Treatment Options Conservative management relies on observation and monitoring, as mild cases of steal syndrome may resolve spontaneously. Inflow stenosis can be treated with endovascular intervention (angioplasty with or without stent) Ligation is the simplest surgical treatment, and it results in loss of the AV access. This is preferred in patients with repetitive failed salvage attempts, venous hypertension, and poor prognoses. Flow limiting procedures can address high volumes through the AV access. Banding can be performed with surgical cutdown and placement of polypropylene sutures or a Dacron patch around the vein or graft. The Minimally Invasive Limited Ligation Endoluminal-Assisted Revision (MILLER) technique employs a percutaneous endoluminal balloon inflated at the AVF to ensure consistency in diameter while banding Plication is when a side-biting running stitch is used to narrow lumen of the vein near the anastomosis. A downside of flow-limiting procedures is that it is often difficult to determine how much to narrow the AV access, as these procedures carry a risk of outflow thrombosis. There are also surgical treatments focused on reroute arterial inflow. The distal revascularization and interval ligation (DRIL) procedure involves creation of a new bypass connecting arterial segments proximal and distal to the AV anastomosis, with ligation of the native artery between the AV anastomosis and the distal anastomosis of the bypass. Reversed saphenous vein with a diameter greater than 3mm is the preferred conduit. Arm vein or prosthetic grafts can be used if needed, but prosthetic material carries higher risk of thrombosis. The new arterial bypass creates a low resistance pathway that increases flow to distal arterial beds, and interval arterial ligation eliminates retrograde flow through the distal artery. The major risk of this procedure is bypass thrombosis, which results in loss of native arterial flow and hand ischemia. Other drawbacks of DRIL include procedural difficulty with smaller arterial anastomoses, sacrifice of saphenous or arm veins, and decreased fistula flow. Another possible revision surgery is revision using distal inflow (RUDI). This procedure involves ligation of the fistula at the anastomosis and use of a conduit to connect the outflow vein to a distal artery. The selected distal artery can be the proximal radial or ulnar artery, depending on the preoperative duplex. The more dominant vessel should be spared, allowing for distal arterial beds to have uninterrupted antegrade perfusion. The nondominant vessel is used as distal inflow for the AV access. RUDI increases access length and decreases access diameter, resulting in increased resistance and lower flow volume through the fistula. Unlike DRIL, RUDI preserves native arterial flow. Thrombosis of the conduit would put the fistula at risk, rather than the native artery. The last surgical revision procedure for steal is proximalization of arterial inflow (PAI). In this procedure, the vein is ligated distal to the original anastomosis site and flow is re-established through the fistula with a PTFE interposition graft anastomosed end-to-side with the more proximal axillary artery and end-to-end with the distal vein. Similar to RUDI, PAI increases the length and decreases the diameter of the outflow conduit. Since the axillary artery has a larger diameter than the brachial artery, there is a less significant pressure drop across the arterial anastomosis site and less steal. PAI allows for preservation of native artery's continuity and does not require vein harvest. Difficulties with PAI arise when deciding the length of the interposition graft to balance AV flow with distal arterial flow. 2. Ischemic Monomelic Neuropathy Definition Ischemic monomelic neuropathy (IMN) is a rare but serious form of steal that involves nerve ischemia. Severe sensorimotor dysfunction is experienced immediately after AV access creation. Etiology IMN affects blood flow to the nerves, but not the skin or muscles because peripheral nerve fibers are more vulnerable to ischemia. Incidence and Risk Factors IMN is very rare; it has an estimated incidence of 0.1-0.5% of AV access creations.6 IMN has only been reported in brachial artery-based accesses, since the brachial artery is the sole arterial inflow for distal arteries feeding all forearm nerves. IMN is associated with diabetes, peripheral vascular disease, and preexisting peripheral neuropathy that is associated with either of the conditions. Patient Presentation Symptoms usually present rapidly, within minutes to hours after AV access creation. The most common presenting symptom is severe, constant, and deep burning pain of the distal forearm and hand. Patients also report impairment of all sensation, weakness, and hand paralysis. Diagnosis of IMN can be delayed due to misattribution of symptoms to anesthetic blockade, postoperative pain, preexisting neuropathy, a heavily bandaged arm precluding neurologic examination. Treatment Treatment is immediate ligation of the AV access. Delay in treatment will quickly result in permanent sensorimotor loss. 3. Perigraft Seroma Definition A perigraft seroma is a sterile fluid collection surrounding a vascular prosthesis and is enclosed within a pseudomembrane. Etiology and Incidence Possible etiologies include: transudative movement of fluid through the graft material, serous fluid collection from traumatized connective tissues (especially the from higher adipose tissue content in the upper arm), inhibition of fibroblast growth with associated failure of the tissue to incorporate the graft, graft “wetting” or kinking during initial operation, increased flow rates, decreased hematocrit causing oncotic pressure difference, or allergy to graft material. Seromas most commonly form at anastomosis sites in the early postoperative period. Overall seroma incidence rates after AV graft placement range from 1.7–4% and are more common in grafts placed in the upper arm (compared to the forearm) and Dacron grafts (compared to PTFE grafts).7-9 Patient Presentation and Workup Physical exam can show a subcutaneous raised palpable fluid mass Seromas can be seen with ultrasound, but it is difficult to differentiate between the types of fluid around the graft (seroma vs. hematoma vs. abscess) Indications for Treatment Seromas can lead to wound dehiscence, pressure necrosis and erosion through skin, and loss of available puncture area for hemodialysis Persistent seromas can also serve as a nidus for infection. The Kidney Disease Outcomes Quality Initiative (KDOQI) guidelines10 recommend a tailored approach to seroma management, with more aggressive surgical interventions being necessary for persistent, infected-appearing, or late-developing seromas. Treatment The majority of early postoperative seromas are self-limited and tend to resolve on their own Persistent seromas have been treated using a variety of methods-- incision and evacuation of seroma, complete excision and replacement of the entire graft, and primary bypass of the involved graft segment only. Graft replacement with new material and rerouting through a different tissue plane has a higher reported cure rate and lower rate of infection than aspiration alone.9 4. Infection Incidence and Etiology The reported incidence of infection ranges 4-20% in AVG, which is significantly higher than the rate of infection of 0.56-5% in AVF.11 Infection can occur at the time of access creation (earliest presentation), after cannulation for dialysis (later infection), or secondary to another infectious source. Infection can also further complicate a pre-existing access site issue such as infection of a hematoma, thrombosed pseudoaneurysm, or seroma. Skin flora from frequent dialysis cannulations result in common pathogens being Staphylococcus, Pseudomonas, or polymicrobial species. Staphylococcus and Pseudomonas are highly virulent and likely to cause anastomotic disruption. Patient Presentation and Workup Physical exam will reveal warmth, pain, swelling, erythema, induration, drainage, or pus. Occasionally, patients have nonspecific manifestations of fever or leukocytosis. Ultrasound can be used to screen for and determine the extent of graft involvement by the infection. Treatments In AV fistulas: Localized infection can usually be managed with broad spectrum antibiotics. If there are bleeding concerns or infection is seen near the anastomosis site, the fistula should be ligated and re-created in a clean field. In AV grafts: If infection is localized, partial graft excision is acceptable. Total graft excision is recommended if the infection is present throughout the entire graft, involves the anastomoses, occludes the access, or contains particularly virulent organisms Total graft excision may also be indicated if a patient develops recurrent bacteremia with no other infectious source identified. For graft excision, the venous end of the graft is removed and the vein is oversewn or ligated. If the arterial anastomosis is intact, a small cuff of the graft can be left behind and oversewn. If the arterial anastomosis is involved, the arterial wall must be debrided and ligation, reconstruction with autogenous patch angioplasty, or arterial bypass can be pursued. References 1. Morsy AH, Kulbaski M, Chen C, Isiklar H, Lumsden AB. Incidence and Characteristics of Patients with Hand Ischemia after a Hemodialysis Access Procedure. J Surg Res. 1998;74(1):8-10. doi:10.1006/jsre.1997.5206 2. Ballard JL, Bunt TJ, Malone JM. Major complications of angioaccess surgery. Am J Surg. 1992;164(3):229-232. doi:10.1016/S0002-9610(05)81076-1 3. Valentine RJ, Bouch CW, Scott DJ, et al. Do preoperative finger pressures predict early arterial steal in hemodialysis access patients? A prospective analysis. J Vasc Surg. 2002;36(2):351-356. doi:10.1067/mva.2002.125848 4. Malik J, Tuka V, Kasalova Z, et al. Understanding the Dialysis access Steal Syndrome. A Review of the Etiologies, Diagnosis, Prevention and Treatment Strategies. J Vasc Access. 2008;9(3):155-166. doi:10.1177/112972980800900301 5. Sidawy AN, Gray R, Besarab A, et al. Recommended standards for reports dealing with arteriovenous hemodialysis accesses. J Vasc Surg. 2002;35(3):603-610. doi:10.1067/mva.2002.122025 6. Thermann F, Kornhuber M. Ischemic Monomelic Neuropathy: A Rare but Important Complication after Hemodialysis Access Placement - a Review. J Vasc Access. 2011;12(2):113-119. doi:10.5301/JVA.2011.6365 7. Dauria DM, Dyk P, Garvin P. Incidence and Management of Seroma after Arteriovenous Graft Placement. J Am Coll Surg. 2006;203(4):506-511. doi:10.1016/j.jamcollsurg.2006.06.002 8. Gargiulo NJ, Veith FJ, Scher LA, Lipsitz EC, Suggs WD, Benros RM. Experience with covered stents for the management of hemodialysis polytetrafluoroethylene graft seromas. J Vasc Surg. 2008;48(1):216-217. doi:10.1016/j.jvs.2008.01.046 9. Blumenberg RM, Gelfand ML, Dale WA. Perigraft seromas complicating arterial grafts. Surgery. 1985;97(2):194-204. 10. Lok CE, Huber TS, Lee T, et al. KDOQI Clinical Practice Guideline for Vascular Access: 2019 Update. Am J Kidney Dis. 2020;75(4):S1-S164. doi:10.1053/j.ajkd.2019.12.001 11. Padberg FT, Calligaro KD, Sidawy AN. Complications of arteriovenous hemodialysis access: Recognition and management. J Vasc Surg. 2008;48(5):S55-S80. doi:10.1016/j.jvs.2008.08.067
We compiled our favorite clips on developer tools and developer experience (DevX). We discuss why DevX has become essential for developer-focused companies and how it drives adoption to grow your product. Learn what makes developers a unique and discerning customer base, and hear practical strategies for designing exceptional tools and platforms. Our guests also share lessons learned from their own experiences—whether in creating frictionless integrations, maintaining a strong feedback culture, or enabling internal platform adoption. Through compelling stories and actionable advice, this episode is packed with lessons on how to build products that developers love. Playlist of Full Episodes from This Compilation: https://www.youtube.com/playlist?list=PL31JETR9AR0FV-46VR4G_n6xi4WdXEx-2 Inside the episode... The importance of developer experience and why it's a priority for developer-facing companies. Key differences between building developer tools and end-user applications. How DevX differs from DevRel and the synergy between the two. Metrics for measuring the success of developer tools: adoption, satisfaction, and revenue. Insights into abstraction ladders and balancing complexity and power. Customer research strategies for validating assumptions and prioritizing features. Stripe's culture of craftsmanship and creating “surprisingly great” experiences. The importance of dogfooding and feedback loops in building trusted platforms. Balancing enablement and avoiding gatekeeping in internal platform adoption. Maintaining consistency and quality across APIs, CLIs, and other resources. Mentioned in this episode Stripe Doppler Heroku Abstraction ladders Developer feedback loops Unlock the full potential of your product team with Integral's player coaches, experts in lean, human-centered design. Visit integral.io/convergence for a free Product Success Lab workshop to gain clarity and confidence in tackling any product design or engineering challenge. Subscribe to the Convergence podcast wherever you get podcasts including video episodes to get updated on the other crucial conversations that we'll post on YouTube at youtube.com/@convergencefmpodcast Learn something? Give us a 5 star review and like the podcast on YouTube. It's how we grow. Follow the Pod Linkedin: https://www.linkedin.com/company/convergence-podcast/ X: https://twitter.com/podconvergence Instagram: @podconvergence
Space Nuts #472 Q&A Edition: Titan's Mysteries and Cosmic CuriositiesJoin Andrew Dunkley and Professor Fred Watson in this intriguing Q&A episode of Space Nuts, where they delve into the mysteries of our solar system and beyond, addressing questions from their curious audience. From the unique atmosphere of Titan to the hypothetical existence of Planet Nine, this episode is filled with captivating discussions and astronomical insights.Episode Highlights:- Titan's Atmospheric Enigma: Explore the origins of Titan's thick nitrogen atmosphere and its ability to retain it, unlike Mars. Discover the role of comets and organic chemistry in shaping this unique moon's environment.- Tidal Locking Explained: Understand the gravitational phenomenon of tidal locking and why proximity and size matter. Learn about the differences in how natural and man-made satellites maintain their orientation.- Planet Nine Hypothesis: Dive into a speculative theory about Planet Nine and its potential impact on Uranus and Mercury. Discuss the ongoing search for this elusive celestial body.- Triton's Dwarf Planet Status: Uncover the history of Neptune's moon Triton and its possible past as a dwarf planet. Examine the characteristics that make Triton a fascinating world in its own right.- Distinguishing Doppler Effects: Differentiate between Doppler shifts caused by relative motion and the redshift due to the universe's expansion. Explore how these phenomena are used to study cosmic objects.For more Space Nuts, including our continually updating newsfeed and to listen to all our episodes, visit our website. Follow us on social media at SpaceNutsPod on facebook, X, YouTube, Tumblr, Instagram, and TikTok. We love engaging with our community, so be sure to drop us a message or comment on your favourite platform.For more Space and Astronomy News Podcasts, visit our HQ at www.bitesz.com.Become a supporter of this podcast: https://www.spreaker.com/podcast/space-nuts/supportor visit our Support page for more options: https://spacenutspodcast.com/aboutStay curious, keep looking up, and join us next time for more stellar insights and cosmic wonders. Until then, clear skies and happy stargazing.00:00 - This is a Q and A episode and we will be doing some homework01:17 - How come Titan can retain an atmosphere when Mars cannot07:23 - Why is tidal locking a function of proximity of bound objects11:00 - Ash Brisbane proposes that Planet Nine once existed on elliptical orbit14:43 - Nigel from Brisbane Australia asks hypothetical question about Neptune's Triton18:59 - Triton may have been formed much further out in the solar system21:17 - Nigel asks where the word asteroid came from23:24 - Fred answers question from Robert McCowan about Doppler effect✍️ Episode ReferencesKelly Millerhttps://www.swri.orgSpace.com articlehttps://www.space.com/saturn-moon-titan-makes-own-atmosphere.html3--- Southwest Research Institutehttps://www.swri.orgiHeartRadiohttps://www.iheart.comApple Podcastshttps://www.apple.com/apple-podcasts/Spotifyhttps://www.spotify.combitesz.comhttps://www.bitesz.com
From Navy SEAL to AI Innovator: Protecting Kids Online with Josh Thurman In this week's Team Never Quit Podcast, Marcus and Melanie sit down with Navy SEAL veteran and tech entrepreneur Josh Thurman. As the co-founder and Chief Operating Officer of Angel Kids AI, Josh is at the forefront of using artificial intelligence to create a safer, age-appropriate internet experience for children. Josh shares insights into his 12+ years of service as a SEAL officer, where he completed 11 overseas deployments in support of the Global War on Terror and was awarded three Bronze Stars, a Defense Meritorious Service Medal, Two Joint Commendation Medals, Three Navy Commendation Medals, a Navy Achievement Medal, a Presidential Unit Citation, and a Joint Meritorious Unit Award as well as multiple combat and valorous distinctions. Following his transition to civilian life in 2018, Josh applied the leadership and problem-solving skills he honed in the military to the tech world. His groundbreaking platform, Angel Kids AI, empowers parents to protect their children online by enforcing parental guidelines across the digital landscape. In this episode, Josh talks about the challenges of building a tech startup, the future of AI in safeguarding children, and his personal journey from the battlefield to the boardroom. Tune in to hear about his incredible story, the vision behind Angel Kids AI, and how he's making the internet a safer place for kids. In This Episode You Will Hear: • Riding my bike home; car doesn't see me. Pulls out and we crash at 20 mph. I fly over the hood, my right leg hits, immense pain. I had broken my hip. But now I'm starting to think about the military. I crutch my way to the recruiter's office. • Every generation, since the beginning of America has fought to preserve our freedom. • [Marcus] When you're checking into BUDS, check in on Friday after 4:30pm. • Always choose the hard things because even if you fail, you're gonna learn a ton. • Things are gonna hit you in life that you have almost no control over, and you're gonna want to have those experiences that you build up doing the things you chose to be hard, so you can survive those moments. • My wife's a nurse practitioner, she's tracking the baby on the Doppler. As she's laboring, our son passes away. Been through all this stuff: Training, deployments… I'm grateful for those things, because they all sort of prepared me for this thing that happened in life that I had no control over. •There's suffering to be dealt with and that loss – you've gotta get through it, assigning meaning to that suffering. I'm not suffering for nothing, I'm suffering for something. • [Marcus] A lot of times, you just go though it with them, and not talk ‘em through it. • Recognize that God gives us that pain to keep us close to that person so that we don't forget ‘em. • I always knew I wanted to be an entrepreneur. In many ways, I wanted to serve as long as I could, as hard as I could, but I knew on the other side this is what I wanted to do. • You may have thousands of followers on whatever platform it, but do you have someone you can call to move a couch? • Social media is a democracy killing force. It wields way too much power in our lives. • Technology should be a tool to help us fulfill the dreams of our lives. It's totally inverted right now. • AI has been working for big tech, it serves their purposes. It serves up products to advertisers. This is the big machine. Frankly, we're getting played by it. • If you want this incredible thing called America to persist, you've gotta be part of the solution. • We're all getting played, and the house always wins. • There's value in getting information, organizing, shopping, people finding love on line. But it shouldn't be massively destructive. • Kids have access to this online virtual world all the time that's terrible for their mental health. It's teaching them that the most important things in life is how many likes and followers you get. • The surgeon general put out a warning: If kids are spending 3 or more hours on social media, they're 50% more likely to be depressed. • At Angel Kids, our mission is to use AI to make the internet safe for kids. Socials: - IG: jpthurman - https://www.angelkids.ai/ - IG: team_neverquit , marcusluttrell , melanieluttrell , huntero13 - https://www.patreon.com/teamneverquit Sponsors: - Navyfederal.org - Tonal.com [TNQ] - PXG.com/TNQ - GoodRX.com/TNQ - greenlight.com/TNQ - PDSDebt.com/TNQ - drinkAG1.com/TNQ - ghostbed.com/TNQ [TNQ] - Shadyrays.com [TNQ] - qualialife.com/TNQ [TNQ] - Hims.com/TNQ - Shopify.com/TNQ - Aura.com/TNQ - Moink.com/TNQ - Policygenius.com - TAKELEAN.com [TNQ] - usejoymode.com [TNQ] - Shhtape.com [TNQ] - mackweldon.com/utm_source=streaming&utm_medium=podcast&utm_campaign=podcastlaunch&utm_content=TNQutm_term=TNQ