Podcasts about EF

In this episode, Dr. Austin Rupp and I try to answer the following questions:Should patients with provoked VTE be offered long term anticoagulation if they have persistent risk factors, like obesity? Does coffee make atrial fibrillation worse (or better??)? Is age-adjusted d-dimer safe to use in DVT? Should we prescribe beta blockers after acute MI if the EF is normal?Does fish oil improve cardiovascular outcomes in patients on dialysis?What's the best approach for dialysis in patients with acute kidney injury?The articles:Extended Apixaban for Provoked VTE (HI-PRO)Coffee and Atrial Fibrillation (DECAF)Age-Adjusted D-dimer for DVT (ADJUST-DVT)Beta-blockers after MI with normal EFFish Oil in Dialysis Patients (PISCES)Conservative Dialysis in AKI (LIBERATE-D)Music from Uppbeat (free for Creators!): https://uppbeat.io/t/soundroll/dope License code: NP8HLP5WKGKXFW2R

(28 de febrero: Aniversario de la Batalla de Cúcuta) «Las peleas entre miembros de una misma familia suceden muchas veces. Hermanos que no se hablan. Suegras que detestan a los yernos. Cuñados a punto de matarse. Padres que desheredan a algunos hijos. Primos que ni se miran. Y sucede con más frecuencia de lo que uno se imagina», escribe el historiador colombiano Gustavo Gómez Ardila en su obra titulada Cúcuta para reírla (Escenas de su historia). «En política también sucede. Sé de hermanos que militan en grupos políticos diferentes.... Y por lo menos durante el tiempo de campaña, las relaciones fraternales se marchitan. »Simón Bolívar y Ramón Correa, respectivos comandantes de los ejércitos patriota y español, que se enfrentaron en la Batalla de Cúcuta, eran hermanos de leche. Habían [sido amamantados por la misma nodriza].... Eso dicen. Otros dicen que eran cuñados. Hermanos políticos. Que la mujer de Correa era la que había [sido amamantada por la misma nodriza] que Bolívar. »Por aquellas cosas del destino, resultaron en bandos contrarios, pero consta que no eran enemigos personales. De modo que no es raro que la noche del 27 de febrero se hubieran llamado por celular para saludarse y desearse suerte al otro día», dice jocosamente Gómez Ardila. «“Nos vemos en la Loma mañana, hermano”», debió decirle el uno al otro.... «... Lo cierto es que los ejércitos se enfrentaron ese domingo, 28 de febrero. Correa estaba en Cúcuta y Bolívar venía de Urimaco. El zafarrancho se armó desde temprano, pues Correa le salió al paso a Bolívar que, en silencio y sin prender ni un fósforo, había llegado la noche anterior a una de las lomas del occidente de la ciudad. Un poco más de dos horas duró el combate. Los realistas comenzaron ganando, pero, como sucede en los partidos de fútbol, no siempre el que abre el marcador es el vencedor final. Vino el empate y, sin necesidad de meterle tiempo adicional ni de ir a tiros penales, Bolívar se alzó con la victoria cuando ordenó atacar por los flancos a bayoneta calada.»1 ¡Qué graciosa esa imagen anacrónica de los comandantes contrarios hablando por teléfono móvil la que nos pinta el escritor colombiano! ¿Qué tal si, como Gómez Ardila, le damos alas a nuestra imaginación, y nos imaginamos a Dios mismo hablando por teléfono, primero con el uno, y después con el otro? ¿Qué pudo haberles dicho Dios? ¿Les habría preguntado si estaban listos para encontrarse con Él cara a cara como su Creador, ya que ninguno de los dos tenía la certeza de que saldría con vida de la batalla que iba a librar el día siguiente? (Ese día murieron dos soldados patriotas y veinte soldados españoles.2) ¿Les habría recordado que envió al mundo a su Hijo Jesucristo para morir por los pecados de ellos, de modo que pudieran disfrutar de vida plena y eterna? Lo cierto es que Dios habría tenido muy presente ese sacrificio supremo que hizo por cada comandante y cada soldado raso, a fin de que todos pudieran llegar a ser hijos adoptivos suyos y, por consiguiente, verdaderos hermanos de Jesucristo.3 Carlos ReyUn Mensaje a la Concienciawww.conciencia.net 1 Gustavo Gómez Ardila, «Nos hacemos pasito», Cúcuta para reírla (Escenas de su historia) En línea 27 agosto 2019. 2 Ibíd. 3 Jn 1:12-13; 3:16; Ro 8:14-19,29; 9:26; 2Co 6:18; Gá 3:26; 4:4-7; Ef 1:5; 1Jn 3:1-2

En este mensaje tratamos el caso de un hombre que «descargó su conciencia» de manera anónima en nuestro sitio www.conciencia.net y nos autorizó a que lo citáramos, como sigue: «Somos una familia de cinco hermanos y mi padre y mi madre. Ella ha sido una buena madre.... Hace como mes y medio, mi padre empezó a beber licor. Como consecuencia, lo golpearon y casi lo matan, y ahora tiene mucha ira. Maltrata a mi mamá y dice que nosotros, como hijos, no servimos. »Nosotros hemos pagado deudas contraídas por mi padre, y siempre le hemos ayudado.... Durante nuestra niñez, nos maltrató.... ¿Está mal si, cuando él maltrata a mi mamá, le decimos que lo que hace está mal? ... ¿Qué nos dice la Biblia respecto a honrar a los padres?» Este es el consejo que le dio mi esposa: «Estimado amigo: »¡Cuánto sentimos la manera como su padre los ha estado maltratando a usted, a su mamá y a sus hermanos, tanto ahora como cuando usted era niño! Todos ustedes han sido víctimas de su padre a pesar de haberlo tratado bien a él y de haberse esforzado por honrarlo. »Siempre es difícil saber cómo proceder cuando hay más de una enseñanza bíblica que pudiera aplicarse a determinada situación. Usted quiere saber lo que dice la Biblia acerca de honrar a nuestros padres. Uno de los Diez Mandamientos que Dios le dio a Moisés nos ordena que honremos a padre y madre,1 pero el honrar a su padre no quiere decir que usted tiene que estar de acuerdo con sus palabras o sus acciones, o que usted debe permitir que él los maltrate a usted y a su mamá. Ni quiere decir que usted tiene que aprobar las decisiones de su padre o proporcionarle dinero para librarlo de las consecuencias naturales de sus acciones. »Otra enseñanza bíblica que se aplica a su situación la dio el apóstol Pablo. Él enseñó que “el amor debe hacernos decir siempre la verdad, para que en todo lo que hagamos nos parezcamos cada vez más a Cristo, que es quien gobierna la iglesia”.2 Con eso San Pablo estaba diciendo que la manera de llegar a ser más como Jesucristo es seguir su ejemplo de decir la verdad con amor. Por lo tanto, nuestra respuesta a su primera pregunta es sí, usted debe, con todo respeto, decirle a su padre que lo que él está haciendo está mal. Por supuesto, él no lo va a aceptar ni lo va a admitir, pero no deje que eso impida que usted le diga la verdad con amor. »Sin embargo, si su padre está maltratando a su mamá, entonces lo correcto también es que usted la proteja a ella físicamente de ese maltrato. Recuerde que el amor nunca protege el pecado; protege más bien a las personas. Así que usted debe proteger a su mamá con amor, aunque su padre no esté de acuerdo y esté enojado con todos ustedes. Es probable que él diga todo tipo de cosas malas que se le ocurran a fin de manipularlos y de justificar su propio comportamiento. Pero recuerde que Dios está de parte de ustedes y que, según el salmista David, “El Señor es un refugio para los oprimidos, un lugar seguro en tiempos difíciles”.3» Con eso termina lo que recomienda Linda, mi esposa. Este caso y este consejo pueden leerse e imprimirse si se pulsa la pestaña en www.conciencia.net que dice: «Casos», y luego se busca el Caso 883. Carlos ReyUn Mensaje a la Concienciawww.conciencia.net 1 Éx 20:12 2 Ef 4:15 (TLA) 3 Sal 9:9 (NTV)

(28 de febrero: Aniversario de la Batalla de Cúcuta) «Desde 1940 se venía hablando de que la ciudad [de Cúcuta, Colombia,] debía levantarle una estatua al Libertador —escribe Gustavo Gómez Ardila, miembro de la Academia de Historia de Norte de Santander y de la Sociedad Bolivariana de San José de Cúcuta en su obra titulada Cúcuta para reírla (Escenas de su historia)—. Las autoridades destinaron, entonces, para tal fin, la plazuela... conocida como el parque de la Bola... pero oficialmente llamada Plazuela del Libertador. »El presidente Eduardo Santos vino, ese año (1940), a poner la primera piedra. Pero no hubo segunda piedra, ni tercera, ni cuarta, ni monumento, ni estatua, ni nada. ¡Qué piedra!... »[Cuatro décadas después,] alguien dijo que Simón José Antonio de la Santísima Trinidad Bolívar y Palacios, con un nombre tan largo y tanta gloria encima, merecía para su estatua un sitio más amplio.... Por fortuna existía el parque Bolívar, en el barrio Colsag, que llenaba las especificaciones requeridas: amplio, sombreado, con jardines y lejos del centro para que no se llenara de vendedores ambulantes, ni de culebreros ni de estatuas humanas.... El trabajo [de la estatua ecuestre] se lo encargaron al escultor Martín Toledo [de la hermana República de Venezuela] que, en Caracas, hizo jinete y caballo. »Por fin, el 28 de febrero de 1982 Cúcuta tuvo estatua del Padre de la Patria.... »Los que miran con detenimiento a Bolívar a caballo deben recordar aquel poema de María Mercedes Carranza:1 Allí, sentado, de pie, a caballo, en bronce, en mármol, llovido por las gracias de las palomas y llovido también por la lluvia, en cada pueblo, en toda plaza, cabildo y alcaldía estás tú. Marchas militares con coroneles que llevan y traen flores. Discursos, poemas, y en tus retratos el porte de un general que, más que charreteras, lucías un callo en cada nalga de tanto cabalgar por estas tierras.... Los niños te imitan con el caballo de madera y la espada de mentira.... Te han vuelto estatua, medalla, estampilla y hasta billete de banco.»2 En realidad, no exagera la autora bogotana María Mercedes Carranza, en este poema suyo titulado «De Boyacá en los campos», al dar a entender que se han erigido un asombroso número de estatuas de Bolívar en las ciudades y los parques de una nación tras otra. Eso lo hemos constatado quienes hemos tenido la oportunidad de viajar a lo largo y ancho de Iberoamérica. De modo que no debiera asombrarnos que se pensara que hacía falta una estatua más en Cúcuta, donde en 1813 el Libertador venció las tropas invasoras españolas. Tampoco debiera extrañarnos que, con esa multitud de estatuas, bustos y monumentos de su figura heroica, Carranza haga hincapié en que los niños lo imitan. Quiera Dios que, así como muchos imitamos de niños al Padre de la Patria, que obviamente no era perfecto, nos empeñemos en imitar, con mayor razón, al Padre del cielo. Pues nuestro Padre celestial sí es perfecto, así como es perfecto el amor con que nos ama como hijos suyos.3 Carlos ReyUn Mensaje a la Concienciawww.conciencia.net 1 Gustavo Gómez Ardila, Cúcuta para reírla (Escenas de su historia), «Un callo en cada nalga» En línea 22 mayo 2019. 2 María Mercedes Carranza, «De Boyacá en los campos», citado por Gómez Ardila. 3 Mt 5:48; Ef 5:1

22 DE FEVEREIRO DE 2026 - DOMINGORef.: Isaías 9.2-4, Isaías 50.10, João 8.12, 2 Samuel 22.29, João 12.46, 1 João 1.5, Efésios 5.13, Salmo 19.8, Salmo 119.105, Salmo 36.9, 1 João 2.8

The EF publishes Ethereum Protocol Priorities for 2026. Base moves from the OP Stack. OpenAI introduces EVM Bench. And Privacy Pools supports the BOLD stablecoin. Read more: https://ethdaily.io/886 Borrow against ETH at the lowest fixed rates in DeFi. Liquity V2 lets you use ETH as collateral to mint BOLD, the Ethereum native dollar. Learn more at liquity.org Disclaimer: Content is for informational purposes only, not endorsement or investment advice. The accuracy of information is not guaranteed.

Tonight on the Carolina Weather Group, we open our archives for a special encore presentation covering three major weather anniversaries in the Carolinas.❄️ The "Granddaddy" of Them All: The Great Southeastern Snowstorm of 1973 (Original Air Date: 2023)First, we look back 50+ years to February 1973, when a historic storm dropped up to 24 inches of snow on South Carolina. Frank Strait and Melissa Griffin from the South Carolina State Climatology Office join us to discuss the records set by this event, including a verified blizzard in Florence, SC. We discuss the impacts, from thousands of stranded travelers on I-95 to thunder snow reported by cooperative observers.

Tema – Os cinco elos que nos unem a Deus. Quarta – Feira 18/02/2026 Pregador : Ap. Miguel Ângelo Neste episódio, estudamos Romanos 8:29-30 e explicamos a predestinação bíblica, o chamado eficaz e a segurança eterna da salvação. Você pode perder a salvação? O que significa “aos que de antemão conheceu”? Deus escolhe quem será salvo? Neste estudo profundo sobre os cinco elos da salvação — conhecimento prévio, predestinação, chamado, justificação e glorificação — entendemos que a salvação é obra da graça de Deus e não depende do esforço humano. Se você deseja compreender: • Predestinação segundo a Bíblia • Segurança eterna do cristão • Doutrina da graça • Salvação pela graça em Efésios 2:8 • Soberania de Deus na salvação Este episódio é para você. Aula 14 Módulo – 68 Seminário: Construindo uma casa sobre a Rocha

The Ethereum Protocol Studies program returns. Rocket Pool activates the Saturn 1 upgrade. The EF introduces a new Platform Team. And Geth issues a critical security release. Read more: https://ethdaily.io/885 Earn 10% real yield on your dollars, fully onchain. Hold $BOLD, the only decentralized stablecoin rated A- by stablecoin agency, Bluechip. No vaults, no middlemen, no RWAs. Learn more on liquity.org/earn Disclaimer: Content is for informational purposes only, not endorsement or investment advice. The accuracy of information is not guaranteed.  

47 Tipos y figuras de Cristo, El tipo #42 La Gran Luz (Isa. 9:2; Mt. 4:16; Jn. 12:46; He. 1:3; Jn. 12:36; 8:12; 1:5). Tipo #43 La Luz de las Naciones (Isa. 42:6; Lc. 2:32; Ef. 2:12). 17/2/26

Árið 2024 tóku 48 einstaklingar líf sitt á Íslandi og voru 35 þeirra karlar. Þessi háa tala er ástæða þess að augum er beint að körlum í meistaraprófsrannsókn sem Kristjana Atladóttir geðheilbrigðisfræðingur gerði í geðheilbrigðisfræði við Háskólann á Akureyri og kynnti nýlega niðurstöður úr. Rannsóknin er sú fyrsta hér á landi sem skoðar sérstaklega reynslu ungra karla sem hafa reynt að taka líf sitt en mun færri karlar en konur leita til heilbrigðiskerfisins eftir sjálfsvígstilraun. Sameiginlegur þráður karlana sem rætt var við, var sú upplifun að hafa ekki stjórn á eigin lífi, vera lítils virði og hafa viðvarandi sjálfsásakanir. Þessar upplifanir samræmast kenningum um áhrif áfalla á sjálfsmynd einstaklinga. Kristjana Atladóttir sagði okkur betur frá rannsókninni í þættinum í dag. Verkefnið Léttir er leiklistarsmiðjur og námskeið fyrir börn foreldra sem sótt hafa um alþjóðlega vernd hér á landi. Markmiðið er að efla sjálfstraust, félagsfærni og leikgleði barnanna og notast er við áfallamiðaða nálgun því börnin hafa oft upplifað áföll eins og stríð, aðskilnað frá fjölskyldu og fleira. Þetta er samstarfsverkefni Barnaheilla og Borgarleikhússins og Tótla I. Sæmundsdóttir, framkvæmdastjóri Barnaheilla og Eva Halldóra Guðmundsdóttir, yfirkennari í Leiklistarskóla Borgarleikhússins komu til okkar í dag. Svo kom Edda Olgudóttir til okkar í vísindaspjallið. Í þetta sinn sagði hún frá rannsókn sem sýnir að það eru ekki tengsl milli covid bólusetningar og taugaþroskaskerðingar, né einhverfu. Tónlist í þættinum í dag Eitt af blómunum / Páll Óskar (Benni Hemm Hemm og Páll Óskar) Heimahöfn / Fjallabræður (Hákon Guðni Hjartarson Halldór Gunnar Pálsson) Bolludagur! Sprengidagur! Öskudagur! / Ingibjörg Þorbergs (Ingibjörg Þorbergs) Leyndarmál / Bubbi (Bubbi Morthens) (Hvert er hægt að leita? Ef þú eða einhver sem þú þekkir glímir við sjálfsvígshugsanir eða sjálfskaðandi hegðun má alltaf hafa samband við Píeta-samtökin, pieta.is og í síma 552-2218. Þá er hjálparsími Rauða krossins opinn allan sólarhringinn í síma 1717 og netspjall á heimasíðunni 1717.is) UMSJÓN: GUÐRÚN GUNNARSDÓTTIR OG GUNNAR HANSSON

Você já se pegou falando uma frase idêntica à do seu pai ou fazendo um gesto igualzinho ao da sua mãe? É inevitável: nós imitamos quem amamos e com quem convivemos. Mas a pergunta que realmente importa é: quando o assunto é o que você faz com seu dinheiro, como você lida com sua sexualidade e o que sai da sua boca, quem você está imitando?Nesta mensagem, mergulhamos em Efésios 5 para encarar dois "elefantes na sala" quando olhamos para nossa cultura e a fé cristã: a ganância e a imoralidade. Quer saber mais? Escute ou assista essa mensagem!VEM COM A GENTE!O vídeo dessa mensagem está disponível também no nosso canal do Youtube: https://youtu.be/iHYP5FbZWVAPara acompanhar tudo o que está acontecendo no Luzeiro, acesse nosso site! https://somosluzeiro.com.brSe quiser contribuir com a gente, a chave PIX é contato@somosluzeiro.com.br, e os outros dados para contribuições estão disponíveis neste link: https://qrfacil.me/QCl5ZuEZ #somosluzeiro

Exposição Bíblica em Efésios 4.17-29 realizada pelo Evangelista Márcio Serbella.

METs and VA Disability Ratings — What Veterans Should Know About Heart ClaimsHosted by: Leah Bucholz, Founder & CEO of Prestige Veteran Medical Consulting

47 Tipos y figuras de Cristo, El tipo #41 El esposo amado, Parte 1 (Isa. 54:5; 62:5; Jer. 2:2; Gn. 1:26, 27; 2:7; Isa. 43:7; Ef. 2:10; 5:25-32). 15/2/26

47 Tipos y figuras de Cristo, El tipo #41 El esposo amado, Parte 2 (Isa. 54:5; 62:5; Jer. 2:2; Gn. 1:26, 27; 2:7; Isa. 43:7; Ef. 2:10; 5:25-32). 16/2/26

Studium biblijne (sezon 60) z 21 lutego 2026 r., pt. „Pierwszeństwo Chrystusa”. Jest to swobodna dyskusja na podstawie kwartalnika „Lekcje Biblijne 1/2026: Zjednoczenie nieba i ziemi - Chrystus w Liście do Filipian i Liście do Kolosan”. Tytuł oryginału: „Adult Sabbath School Bible Study Guide 1/2026: Uniting Heaven and Earth: Christ in Philippians and Colossians” autorstwa Clintona Wahlena. ▶️ STUDIUM BIEŻĄCEGO ODCINKA: Rdz 1,26-27; Kol 1,13-19; J 1,1-3; Ef 1,22; 1 Kor 12,12-27; 1 Kor 4,9; Rz 6,3-4. ▶️ TEKST PRZEWODNI: „On jest obrazem Boga niewidzialnego, pierworodnym wszelkiego stworzenia, ponieważ w nim zostało stworzone wszystko, co jest na niebie i na ziemi, rzeczy widzialne i niewidzialne, czy to trony, czy panowania, czy nadziemskie władze, czy zwierzchności; wszystko przez niego i dla niego zostało stworzone. On też jest przed wszystkimi rzeczami i wszystko na nim jest ugruntowane” (Kol 1,15-17). ▶️ W STUDIUM BIORĄ UDZIAŁ: Konrad Pasikowski (prowadzący), Mateusz Krzesiński, Adam Grześkowiak. Zarejestrowano staraniem Kościoła Adwentystów Dnia Siódmego w RP, zbór w Podkowie Leśnej, 27 stycznia 2026 r. w Wyższej Szkole Teologiczno-Humanistycznej (WSTH) im. Michała Beliny-Czechowskiego, w koprodukcji z WSTH oraz Hope Media Polska (telewizja). Copyright © 2026 www.nadzieja.tv. Creative Commons Attribution, BY-NC-ND 4.0 PL, https://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.pl.

devocional Efésios Filhos, em nome da vossa fé no Senhor, obedeçam aos vossos pais, pois assim é que deve ser. O primeiro dos mandamentos acompanhado de uma promessa é: Honra o teu pai e a tua mãe. E a promessa é esta: Assim serás feliz e gozarás de uma longa vida sobre a terra. Pais, não irritem os vossos filhos. Mas eduquem-nos com disciplina e equilíbrio, em nome do Senhor. Efésios 6.1-4 Uma das incontáveis virtudes que o evangelho propõe é a excelência nos relacionamentos. Um dos destaques vai para a desejável elevação no trato entre pais e filhos. Uns e outros desafiados a promover a arte do respeito mútuo. A descendência pugnando pela obediência aos progenitores, de molde a fazer jus às directivas do Senhor. Sim, mais do que um desejo, Deus ordena que pai e mãe sejam honrados pela sua prole, seja por palavras ou actos. O amor quer-se dito e visto. Para lá de propagandeado, demonstrado. Espelhado na gentileza dos gestos. Transbordando gratidão por aqueles que foram canal de vida. Respeitando a beleza das suas cãs. Absorvendo conselhos. Interiorizando o alcance da promessa de Deus: “Para que te vá bem, e vivas muito tempo sobre a terra.” Abençoados pais que Deus me deu, pois sempre primaram por me educar segundo o pulsar do Seu coração. Peço a Deus igual porção de sabedoria para continuar a ensinar os meus filhos na “doutrina e admoestação do Senhor.” Também eu desejo perpassar às gerações futuras o encanto da firmeza fundada no amor. - Jónatas Figueiredo Oramos para que este tempo com Deus te encoraje e inspire. Dá a ti próprio espaço para processar as tuas notas e a tua oração e sai apenas quando te sentires preparado.

The Daily Gwei Refuel gives you a recap every other week day on everything that happened in the Ethereum and crypto ecosystems - hosted by Anthony Sassano. Timestamps and links to topics discussed: https://daily-gwei-links.vercel.app/recent 00:00 Introductory song 00:10 Tomasz steps down as Co-ED of the EF https://x.com/tkstanczak/status/2022315368430067847 https://ethereum.foundation/assets/ef-org-chart.png https://x.com/aerugoettinea/status/2022318885047779576 https://x.com/devanshmehta/status/2022780807493067129 15:57 First L1-zkEVM breakout call https://x.com/ladislaus0x/status/2021961042348163181 17:54 The case for quick slots in Hegota https://x.com/CarlBeek/status/2021265384989491702 22:41 Uniswap teams up with BlackRock https://x.com/Uniswap/status/2021586380212613218 26:36 Robinhood chain public testnet now live https://x.com/RobinhoodApp/status/2021399303722258575 28:34 The changing winds of crypto This episode is also available on YouTube: https://youtu.be/aLMd0txYOMY Subscribe to the newsletter: https://thedailygwei.substack.com/ Subscribe on YouTube: https://www.youtube.com/channel/UCvCp6vKY5jDr87htKH6hgDA/ Follow Anthony on Twitter: https://twitter.com/sassal0x Follow The Daily Gwei on Twitter: https://twitter.com/thedailygwei Join the Discord Channel: https://discord.gg/4pfUJsENcg DISCLAIMER: All information presented across all of The Daily Gwei's communication channels is strictly for educational purposes and should not be taken as investment advice.

Efésios 3:20 Ora, àquele que é poderoso para fazer tudo muito mais abundantemente além daquilo que pedimos ou pensamos, segundo o poder que em nós opera.

devocional Efésios As mulheres obedeçam aos seus maridos como ao Senhor. Pois assim como Cristo é cabeça para a igreja, também o marido o é para a mulher. Cristo é o salvador do corpo, que é a igreja. Ora, assim como a igreja obedece a Cristo, também as mulheres devem obedecer em tudo aos seus maridos. Os maridos devem amar as suas mulheres como também Cristo amou a igreja e deu a sua vida por ela. Fez isto para a santificar e purificar lavando-a com a água da sua palavra. Quis assim preparar a igreja para ser a sua esposa cheia de beleza, sem mancha nem defeito ou coisa semelhante, mas santa e sem pecado. É desse modo que o marido deve amar a sua mulher, como se ela fosse o seu próprio corpo. Quem ama a sua mulher ama-se a si mesmo. Ora, ninguém despreza o seu próprio corpo. Muito pelo contrário, alimenta-o e rodeia-o de todos os cuidados, assim como Cristo faz com a igreja. E todos nós fazemos parte do seu corpo. Como diz a Sagrada Escritura: O homem deixará o seu pai e a sua mãe para viver com a sua mulher e os dois se tornarão um só corpo. Há aqui um grande mistério. É que isto realiza-se plenamente no amor que Cristo tem pela igreja. Mas deve realizar-se também em vós. Por isso o marido ame a sua mulher como a si mesmo, e a mulher respeite o seu marido. Efésios 5:22-33 É imperativo que o princípio do temor a Deus conduza à sujeição recíproca no seio familiar. Olhando para Cristo, cada cônjuge é desafiado a entregar-se sem reservas ao seu par. Tomando Jesus como referencial, não há que recear qualquer tipo de abuso ou extrapolação de poder. A fidelidade mescla-se de tal maneira com o amor que se torna em chão gracioso para o casamento. A tirania do controlo é rechaçada, privilegiando-se a solicitude. A sensibilidade de Cristo é expressa nos actos de cuidado mútuo. Mulher e homem, nas suas assumidas diferenças, tratando-se com a dignidade que Deus igualmente lhes confere. Amando-se até à exaustão. Dispostos, sob a capa da dignidade, a tudo o que honre o companheiro e engrandeça Deus. Contribuindo em sintonia para o refinamento do parceiro. Um e outro, com as mãos e as mentes entrelaçadas, experienciando a harmonia desenhada por Deus: “E serão dois numa carne.” Renunciando ao egoísmo para dar lugar ao altruísmo, dando, assim, passos intencionais rumo à maturidade. - Jónatas Figueiredo Oramos para que este tempo com Deus te encoraje e inspire. Dá a ti próprio espaço para processar as tuas notas e a tua oração e sai apenas quando te sentires preparado.

En este episodio me tomo un café con Emi Ceacero, maestra de primaria y de educación física, que le encantan las aulas temáticas. Apúntate a la Liga Saldudable de Plátano de Canarias con tu alumnado, toda la información en este enlace. 

TEMPO DE REFLETIR 01676 – 15 de fevereiro de 2026 Efésios 4:25 – Cada um de vocês deve abandonar a mentira e falar a verdade ao seu próximo. Começavam nas lojas dos Estados Unidos os lançamentos de primavera. Quatro garotas alunas de um colégio chegaram atrasadas porque decidiram que, antes das aulas, passariam pelo shopping para ver as novidades. Por isso, perderam uma prova que tinha sido dada nos primeiros períodos da manhã. As meninas foram falar com a professora, pedindo que ela fosse gentil e lhes permitisse a realização da prova. Argumento: “Professora, o pneu furou. Não havia socorro por perto e não deu para chegar antes. Eu sei que a senhora entende. Podemos fazer a prova? Por favor, prô, a senhora é boazinha! Sem problemas?” A professora admitiu e disse: “Sentem-se cada uma num canto da sala. A prova de vocês vai ter apenas uma pergunta: Qual pneu furou: dianteiro ou traseiro, e de que lado?” Quantas vezes nos colocamos em encrencas porque não tivemos a coragem de ser honestos e de falar a verdade? Esse é um assunto ao qual devemos dedicar vigilância e cuidado porque a mentira tem sua esfera de atuação não apenas naquilo que falamos. Dessa forma, qualquer coisa que eu disser ou fizer com a intenção de enganar, é mentira. Sem perceber, podemos passar uma ideia ou dar uma impressão que não seja a verdadeira. Por que não podemos mentir uma ou outra vez para evitar uma situação embaraçosa, se não vamos prejudicar ninguém, e não há perigo de que a mentira seja descoberta? Quantos nomes usamos para justificar a falsidade? Mentira branca, meia verdade, mentira social, etc. Assim, há filhos que mentem para seus pais. Há esposos que mentem para as esposas e vice-versa. Há outros que mentem para os vizinhos e colegas de trabalho. E na vida pública existem aqueles que mentem diante das câmeras de televisão, sem gaguejar nem enrubescer. A mentira pode tomar sutilmente várias formas: fazer citações deturpadas, tirando palavras e frases do contexto; fazer generalizações exageradas de pessoas ou situações … Ellen White complementa: “A intenção de enganar é o que constitui falsidade. Por um relance de olhos, por um movimento da mão, uma expressão do rosto, pode-se dizer falsidades tão eficazmente como por palavras” (Patriarcas e Profetas, p. 309) Reflita sobre isso no dia de hoje e ore comigo agora: Pai, nossa oração hoje é a mesma do salmista: Que tudo aquilo que eu falar e pensar seja agradável a Ti, ó Senhor, minha rocha e redentor [Salmo 19:14]. Em nome de Jesus, amém! Saiba como receber as mensagens diárias do Tempo de Refletir: -> No celular, instale o aplicativo MANAH. -> Para ver/ouvir no YouTube, inscreva-se neste Canal: youtube.com/AmiltonMenezes7 -> Tenha os nossos aplicativos em seu celular: https://www.wgospel.com/aplicativos -> Para receber pelo WhatsApp, adicione 41 99893-2056 e mande um recadinho pedindo os áudios. -> Participe do nosso canal no TELEGRAM: TELEGRAM AMILTON MENEZES . -> Participe do nosso canal no WhatsApp: WHATSAPP CHANNEL Amilton Menezes . -> Instagram: https://www.instagram.com/amiltonmenezes7/ -> Threads: https://www.threads.net/@amiltonmenezes7 -> X (Antigo Twitter): https://x.com/AmiltonMenezes -> Facebook: facebook.com/AmiltonMenezes

15/02/2026 | Efésios 5:15-20 | Marcelle Freitas | Culto Manhã

Wij zijn aangekomen bij de laatste tijdsperiode ‘De Kerk’, waar wij tijd spenderen met de eerste christenen. Vandaag lezen we Handelingen 27, Ef. 4-6 en Spreuken 29, 22-24.

Tomasz Stańczak stepped down as co-ED from the EF. Peer releases its embedded crypto onramp extension. The Ethereum Institutional Privacy Taskforce builds private bonds on Aztec. And TheDAO publishes a governance proposal. Read more: https://ethdaily.io/883 Sponsor: Arkiv is an Ethereum-aligned data layer for Web3. Arkiv brings the familiar concept of a traditional Web2 database into the Web3 ecosystem. Find out more at Arkiv.network Disclaimer: Content is for informational purposes only, not endorsement or investment advice. The accuracy of information is not guaranteed.

EBD 2025 - Paulo aos Efésios - Aula 11 by IPP

EBD 2025 - Paulo aos Efésios - Aula 12 by IPP

EBD 2025 - Paulo aos Efésios - Aula 13 by IPP

EBD 2025 - Paulo aos Efésios - Aula 14 by IPP

Episode 212: Managing HFpEFHyo Mun and Jordan Redden (medical students) explain how to manage HFpEF with medications and touch some basics about nonpharmacologic treatments. Dr. Arreaza asks insightful questions to guide the discussion. Written by Hyo Mun, MSIV, American University of the Caribbean; and Jordan Redden, MSIV, Ross University School of Medicine. Comments by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Treatment of HFpEFArreaza: Mike, if you had to name the one therapy everyone with HFpEF should be on, what is it?Mike: That's easy! SGLT-2 inhibitors. This is the one slam-dunk we have in HFpEF. Empagliflozin (Jardiance) or dapagliflozin (Farxiga) should be started in essentially every patient with HFpEF, and it doesn't matter if they have diabetes or not.Jordan: And that's worth repeating, because people still think of these as “diabetes drugs.” They're not anymore. In HFpEF, SGLT-2 inhibitors reduce heart-failure hospitalizations, improve symptoms, improve quality of life, and even reduce cardiovascular death.Dr. Arreaza: They're also simple. Empagliflozin 10 mg daily or dapagliflozin 10 mg daily. No titration, no drama. The effectiveness of these meds was established around 2019 with DAPA-HF and later with DELIVER. These were trials thatdemonstrated that dapagliflozin reduces worsening heart failure and cardiovascular events across the full spectrum of heart failure, from reduced to preserved ejection fraction, independent of diabetes status.Mike: And the number needed to treat is about 28 to prevent one heart-failure hospitalization. That's excellent for a disease where we historically had almost nothing that worked.Jordan: They're also safe in chronic kidney disease down to an eGFR of about 25, which makes them even more useful in this population.Dr. Arreaza: Alright. We got SGLT-2 inhibitor, what's next?Mike: Volume management. Loop diuretics are still the backbone of symptom control in HFpEF. If the patient is volume overloaded, you diurese, and you diurese aggressively.Jordan: The goal is euvolemia. Dry weight, no edema, no orthopnea, no waking up gasping for air. A lot of these patients end up needing chronic oral loop diuretics to stay there.Dr. Arreaza: Something to remember: HFpEF patients don't tolerate congestion well, and being “a little wet” is not benign. Let's move into RAAS inhibition. Where do ARBs and ACE inhibitors fit in?Mike: Between ARBs and ACE inhibitors, ARBs are the winners in HFpEF. They actually reduce heart failure hospitalizations—drugs like candesartan, losartan, valsartan. ACE inhibitors? Not so much. They showed minimal benefit in older HFpEF patients, which is why we go with ARBs instead.Jordan: But a lot of clinicians get nervous about ACE inhibitors and ARBs because of kidney function, so it's worth talking through how these drugs actually work in the kidney.Dr. Arreaza: Yes, misunderstanding may lead to unnecessary drug discontinuation.Jordan: Under normal conditions, the afferent arteriole brings blood into the glomerulus, and the efferent arteriole is constricted by angiotensin II. That constriction keeps pressure high in the glomerulus and maintains filtration.Mike: Here's what happens with an ACE inhibitor: you block angiotensin II, the efferent arteriole relaxes, glomerular pressure drops, and GFR dips slightly. Creatinine bumps up a little, and that scares people, but that's actually the whole point—that's how you get kidney protection long-term.Jordan: High intraglomerular pressure causes hyperfiltration injury and scarring over time. Lowering that pressure protects the kidney long-term. The short-term GFR drop is the price you pay for long-term benefits.Dr. Arreaza: So let's talk about CKD, because this is where people panic.Mike: Right. ACE inhibitors and ARBs are not contraindicated in chronic kidney disease. In fact, they're recommended even in advanced stages. They reduce progression to kidney failure by about a third.Jordan: The key is how you use them. Start low. Check creatinine and potassium one to two weeks after starting, then periodically. A creatinine rise up to 30% from baseline is acceptable. That's not kidney injury, that's physiology.Dr. Arreaza: And what about potassium creeping up?Mike: You adjust the dose or add a potassium binder. You don't just automatically stop the drug.Dr. Arreaza: Now there is one absolute contraindication everyone needs to know about! (board exam test)Jordan: Bilateral renal artery stenosis. This is the big one. In these patients, the kidneys are completely dependent on angiotensin II–mediated efferent constriction to maintain GFR. Take that away, and GFR collapses.Mike: Creatinine can jump dramatically within days. If you see a creatinine rise of 20% or more shortly after starting an ACE inhibitor, you should be thinking about bilateral renal artery stenosis and stopping the drug immediately.Dr. Arreaza: After revascularization, though, many patients can tolerate ACE inhibitors again, so this isn't always permanent. What about cardiorenal syndrome? That's where things get uncomfortable.Mike: It is uncomfortable, but cardiorenal syndrome isn't a contraindication. These patients have severe heart failure and kidney disease, and their mortality is actually higher than patients with heart failure alone.Jordan: ACE inhibitors still reduce mortality and slow kidney disease progression in this group. Studies show that stopping ACE inhibitors during acute heart-failure admissions increases in-hospital mortality three- to four-fold.Dr. Arreaza: So we are cautious, but we don't avoid it.Mike: Exactly. Start low, titrate slowly, monitor labs closely, accept up to a 30% creatinine rise. You only stop if kidney function keeps worsening, or potassium gets dangerously high.Dr. Arreaza: Alright. Let's move on. What about mineralocorticoid receptor antagonists… MRA?Jordan: Spironolactone or eplerenone might reduce hospitalizations in HFpEF, but the data is mixed. This is more of a “select patients” situation.Mike: And you have to watch potassium and kidney function carefully, especially if they're already on an ACE inhibitor or ARB.Dr. Arreaza: What about sacubitril-valsartan, also known as Entresto®?Mike: Entresto may help patients with mildly reduced EF roughly in the 45 to 57% range. It's not first-line for HFpEF, but in select patients, it's reasonable.Dr. Arreaza: Now let's clarify one of the biggest sources of confusion: beta blockers.Jordan: Beta blockers are not a treatment for HFpEF itself. They're only indicated if the patient has another reason to be on them, like coronary disease or atrial fibrillation.Mike: And timing really matters here. You absolutely do not start beta blockers during acute decompensated heart failure. Their negative inotropic effects can make things worse when patients are volume overloaded.Jordan: But, and this is critical, you also don't stop them if the patient is already taking one. Abrupt withdrawal causes a sympathetic surge and dramatically increases mortality.Dr. Arreaza: If a patient is admitted on a beta blocker, what do we do?Mike: Continue it at the same dose or reduce it slightly if they're really unstable. Once they're euvolemic and stable, you can carefully titrate up.Jordan: And watch for chronotropic incompetence. HFpEF patients often rely on heart-rate response to exercise, and beta blockers can worsen exercise intolerance.Dr. Arreaza: Beyond medications, HFpEF is really about treating comorbidities. Aerobic activity can be an initial strategy to improve exercise intolerance and has evidence of improving aerobic function and quality of life. Sodium restriction: improves symptoms, does not decrease risk of death or hospitalizations.Mike: Hypertension control is huge. For diabetes, the SGLT-2 inhibitors will perform double duty. For obesity, weight loss improves symptoms, and GLP-1 agonists like semaglutide are absolute gamechangers.Jordan: Don't forget sleep apnea, atrial fibrillation, and lifestyle. Exercise improves the quality of life, even if it doesn't change hard outcomes. Lifestyle is the main treatment. Dr. Arreaza: And when should you refer to cardiology?Mike: You should refer when the diagnosis isn't clear; symptoms are not responding to treatment, difficult volume management, end-organ dysfunction, or if you are concerned about advanced heart failure.Dr. Arreaza: So, it has been a great discussion. What is the takeaway?Mike: HFpEF treatment isn't about one magic drug -- it's about volume control, SGLT2 inhibitors, smart use of RAAS blockade, and aggressive management of comorbidities.Jordan: And it's understanding the physiology, so you don't withhold life-saving therapies out of fear.Dr. Arreaza: Well said. If you found this helpful, share it with a friend or colleague and rate us wherever you listen. This is Dr. Arreaza, signing off.Jordan/Mike: Thanks! Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Barzin A, Barnhouse KK, Kane SF. Heart Failure With Preserved Ejection Fraction. Am Fam Physician. 2025;112(4):435-440.Heidenreich PA, Bozkurt B, Aguilar D, et al. 2022 AHA/ACC/HFSA guideline for the management of heart failure. Circulation. 2022;145(18):e895-e1032.Kittleson MM, Panjrath GS, Amancherla K, et al. 2023 ACC expert consensus decision pathway on management of heart failure with preserved ejection fraction. J Am Coll Cardiol. 2023;81(18):1835-1878.Anker SD, Butler J, Filippatos G, et al. Empagliflozin in heart failure with a preserved ejection fraction. N Engl J Med. 2021;385(16):1451-1461.Solomon SD, McMurray JJV, Claggett B, et al. Dapagliflozin in heart failure with mildly reduced or preserved ejection fraction. N Engl J Med. 2022;387(12):1089-1098.Pitt B, Pfeffer MA, Assmann SF, et al. Spironolactone for heart failure with preserved ejection fraction. N Engl J Med. 2014;370(15):1383-1392.Yusuf S, Pfeffer MA, Swedberg K, et al. Effects of candesartan in patients with chronic heart failure and preserved left-ventricular ejection fraction. Lancet. 2003;362(9386):777-781.Solomon SD, McMurray JJV, Anand IS, et al. Angiotensin-neprilysin inhibition in heart failure with preserved ejection fraction. N Engl J Med. 2019;381(17):1609-1620.Kosiborod MN, Abildstrøm SZ, Borlaug BA, et al. Semaglutide in patients with heart failure with preserved ejection fraction and obesity. N Engl J Med. 2023;389(12):1069-1084.Xie Y, Xu E, Bowe B, Al-Aly Z. Long-term cardiovascular outcomes of COVID-19. Nat Med. 2022;28(3):583-590.Puntmann VO, Carerj ML, Wieters I, et al. Outcomes of cardiovascular magnetic resonance imaging in patients recently recovered from COVID-19. JAMA Cardiol. 2020;5(11):1265-1273.Basso C, Leone O, Rizzo S, et al. Pathological features of COVID-19-associated myocardial injury. Eur Heart J. 2020;41(39):3827-3835.Nalbandian A, Sehgal K, Gupta A, et al. Post-acute COVID-19 syndrome. Nat Med. 2021;27(4):601-615.Badve SV, Roberts MA, Hawley CM, et al. Effects of angiotensin-converting enzyme inhibitors and angiotensin receptor blockers in adults with estimated GFR less than 60 mL/min per 1.73 m². Ann Intern Med. 2024;177(8):953-963.Navis G, Faber HJ, de Zeeuw D, de Jong PE. ACE inhibitors and the kidney: a risk-benefit assessment. Drug Saf. 1996;15(3):200-211.Textor SC, Novick AC, Tarazi RC, et al. Critical perfusion pressure for renal function in patients with bilateral atherosclerotic renal vascular disease. Ann Intern Med. 1985;102(3):308-314.Hackam DG, Spence JD, Garg AX, Textor SC. Role of renin-angiotensin system blockade in atherosclerotic renal artery stenosis and renovascular hypertension. Hypertension. 2007;50(6):998-1003.Ronco C, Haapio M, House AA, et al. Cardiorenal syndrome. J Am Coll Cardiol. 2008;52(19):1527-1539.Prins KW, Neill JM, Tyler JO, et al. Effects of beta-blocker withdrawal in acute decompensated heart failure. JACC Heart Fail. 2015;3(8):647-653.Jondeau G, Neuder Y, Eicher JC, et al. B-CONVINCED: Beta-blocker CONtinuation Vs. INterruption in patients with Congestive heart failure hospitalizED for a decompensation episode. Eur Heart J. 2009;30(18):2186-2192.Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.

EBD 2025 - Paulo aos Efésios - Aula 09 by IPP

A supervisor leads a team of very needy CAT adjusters! Over the course of the year, the supervisor fields many questions as it comes up in their claims. Was there hail on X date? Was there lightning in the area? This hurricane is coming soon, where can I get news about it? Winter weather caused a slip and fall!! Where can I find information on wildfire perimeters and California evacuations? For help herding all these cats, we'll head to PLRB.org.   Notable Timestamps [ 00:00 ] - The episode introduces a scenario where a supervisor fields constant weather-related questions from cat adjusters, highlighting the need for a centralized, reliable source for hail, lightning, hurricanes, wildfires, and more. [ 02:15 ] - The team previews multiple scenarios—winter storms, hail, lightning, power outages, tornadoes, hurricanes, and wildfires—showing the breadth of searchable weather data available to support claim investigations. [ 03:16 ] - Using a winter slip-and-fall in Iowa City, Iowa, the report pulls verified storm data from the National Weather Service, including freezing rain reports and hourly observations to validate conditions on the date of loss. [ 07:42 ] - For hail damage in Illinois, radar-derived data and verified hail reports allow adjusters to map proximity, estimated hail size, and associated severe thunderstorm warnings tied to a specific date and address. [ 09:53 ] - Lightning reports provide daily probability percentages and satellite detection data, helping assess commercial equipment claims while noting limits in resolution and cloud-to-cloud versus cloud-to-ground distinctions. [ 12:25 ] - Power outage searches archive data every ten minutes via PowerOutage.us, identifying outage timing, affected customers, and likely storm causes—critical for business interruption investigations. [ 14:09 ] - A tornado case study of the Mayfield event demonstrates wind reports, damage points, and EF-scale path polygons, enabling precise analysis of storm track and intensity relative to a property. [ 17:31 ] - Wildfire tools include historical perimeters like the Garnett Fire, evacuation zones, thermal hotspots, smoke analysis from National Oceanic and Atmospheric Administration data, and hurricane spaghetti models—underscoring a single portal for comprehensive weather intelligence. [ 17:49 ] - Dylan summarized upcoming PLRB Weather/CATs developments. Your PLRB Resources Weather/CATS Hub - https://members.plrb.org/weather-cat/ Employees of member companies also have access to a searchable legal database, hundreds of hours of video trainings, building code materials, weather data, and even the ability to have your coverage questions answered by our team of attorneys (https://www.plrb.org/ask-plrb/) at no additional charge to you or your company. Subscribe to this Podcast Your Podcast App - Please subscribe and rate us on your favorite podcast app YouTube - Please like and subscribe at @plrb LinkedIN - Please follow at "Property and Liability Resource Bureau" Send us your Scenario! Please reach out to us at 630-509-8704 with your scenario! This could be your "adjuster story" sharing a situation from your claims experience, or a burning question you would like the team to answer. In any case, please omit any personal information as we will anonymize your story before we share. Just reach out to scenario@plrb.org.  Legal Information The views and opinions expressed in this resource are those of the individual speaker and not necessarily those of the Property & Liability Resource Bureau (PLRB), its membership, or any organization with which the presenter is employed or affiliated. The information, ideas, and opinions are presented as information only and not as legal advice or offers of representation. Individual policy language and state laws vary, and listeners should rely on guidance from their companies and counsel as appropriate. Music: "Piece of Future" by Keyframe_Audio. Pixabay. Pixabay License. Font: Metropolis by Chris Simpson. SIL OFL 1.1. Icons: FontAwesome (SIL OFL 1.1) and Noun Project (royalty-free licenses purchased via subscription). Sound Effects: Pixabay (Pixabay License) and Freesound.org (CC0).

47 Tipos y figuras de Cristo, El tipo #38 La Luz del Templo (Job 8:9; Jn. 17:3; Sal. 36:8-9; Ef. 5:14; Jn. 8:12). 6/2/26.

47 Tipos y figuras de Cristo, El tipo #39 El lugar de la Morada de Dios, Parte III (1 Cor. 3:16-17; 2 Cor. 6:16-18; Ef. 2:21; Jn. 1:14; 14:15-23; Ex. 25 y 35). 10/2/26

Dr. Alanna Morris-Simon, Senior Medical Director for US Medical Affairs at Bayer, describes the symptoms and diagnostics used to classify heart failure and the key at-risk populations for this condition. The rapidly evolving landscape of heart failure treatments now includes the Bayer drug KERENDIA, a non-steroidal MRA approved to reduce cardiovascular death and heart failure in adults with an ejection fraction of 40% or more. This drug is part of an emerging trend to treat multiple related conditions simultaneously  and could prevent the onset of heart failure and treat established heart failure. Alanna explains, "At a basic level, heart failure is a clinical syndrome, and that's important. I'm actually a heart failure cardiologist as well. And so this is important because patients have to have signs and symptoms. And those signs and symptoms really result from the heart being unable to either fill with blood properly or squeeze that blood out in a way that meets the body's demands. Either way, patients experience the same symptoms, and those include symptoms like swelling and weight gain, shortness of breath, either at rest or with activity, fatigue, abdominal swelling and bloating, loss of appetite, as well as other symptoms."   "If a doctor or a clinician suspects a diagnosis of heart failure, 99.99% of the time, they'll start by ordering an echocardiogram or a heart ultrasound. Of course, the guidelines tell us to get a chest X-ray, get labs, those sorts of things. But really, we make the diagnosis for the most part based on the results of an echocardiogram because that echocardiogram allows us to visualize how the heart is pumping. It allows us to classify the type of heart failure so that if we see that the squeeze of the heart is impaired, we call that heart failure with reduced ejection fraction. And that's when the ejection fraction or EF is 40% or less. If the EF is in the 41 to 49% range, we classify that as heart failure with mildly reduced ejection fraction. And if patients have an ejection fraction of 50% or greater, we call that heart failure with preserved ejection fraction or HFpEF."   "And we were excited that the FDA actually granted a priority review for KERENDIA because this really only occurs when the FDA recognizes that a treatment can fill a significant unmet need for a disease or a population of patients. And lo and behold, in July of 2025, finerenone was approved by the FDA under the trade name KERENDIA to reduce the risk of cardiovascular death, hospitalization for heart failure, and urgent heart failure visits in adults with an ejection fraction of 40% or more." #Bayer #Finerenone #Pharma #HeartFailure #HFpEF #HFmrEF #MRA #UnmetNeed #Cardiology #KERENDIA #FDA #CardiovascularHealth #MedicalBreakthrough #PatientCare #Innovation Bayer.com Download the transcript here

Dr. Alanna Morris-Simon, Senior Medical Director for US Medical Affairs at Bayer, describes the symptoms and diagnostics used to classify heart failure and the key at-risk populations for this condition. The rapidly evolving landscape of heart failure treatments now includes the Bayer drug KERENDIA, a non-steroidal MRA approved to reduce cardiovascular death and heart failure in adults with an ejection fraction of 40% or more. This drug is part of an emerging trend to treat multiple related conditions simultaneously  and could prevent the onset of heart failure and treat established heart failure. Alanna explains, "At a basic level, heart failure is a clinical syndrome, and that's important. I'm actually a heart failure cardiologist as well. And so this is important because patients have to have signs and symptoms. And those signs and symptoms really result from the heart being unable to either fill with blood properly or squeeze that blood out in a way that meets the body's demands. Either way, patients experience the same symptoms, and those include symptoms like swelling and weight gain, shortness of breath, either at rest or with activity, fatigue, abdominal swelling and bloating, loss of appetite, as well as other symptoms."   "If a doctor or a clinician suspects a diagnosis of heart failure, 99.99% of the time, they'll start by ordering an echocardiogram or a heart ultrasound. Of course, the guidelines tell us to get a chest X-ray, get labs, those sorts of things. But really, we make the diagnosis for the most part based on the results of an echocardiogram because that echocardiogram allows us to visualize how the heart is pumping. It allows us to classify the type of heart failure so that if we see that the squeeze of the heart is impaired, we call that heart failure with reduced ejection fraction. And that's when the ejection fraction or EF is 40% or less. If the EF is in the 41 to 49% range, we classify that as heart failure with mildly reduced ejection fraction. And if patients have an ejection fraction of 50% or greater, we call that heart failure with preserved ejection fraction or HFpEF."   "And we were excited that the FDA actually granted a priority review for KERENDIA because this really only occurs when the FDA recognizes that a treatment can fill a significant unmet need for a disease or a population of patients. And lo and behold, in July of 2025, finerenone was approved by the FDA under the trade name KERENDIA to reduce the risk of cardiovascular death, hospitalization for heart failure, and urgent heart failure visits in adults with an ejection fraction of 40% or more." #Bayer #Finerenone #Pharma #HeartFailure #HFpEF #HFmrEF #MRA #UnmetNeed #Cardiology #KERENDIA #FDA #CardiovascularHealth #MedicalBreakthrough #PatientCare #Innovation Bayer.com Listen to the podcast here

ENS says it will deploy ENSv2 on Ethereum L1. The EF releases the Trillion-Dollar Security Dashboard. And Vitalik donates to Shielded Labs. Read more: https://ethdaily.io/878 Sponsor: Arkiv is an Ethereum-aligned data layer for Web3. Arkiv brings the familiar concept of a traditional Web2 database into the Web3 ecosystem. Find out more at Arkiv.network Content is for informational purposes only, not endorsement or investment advice. The accuracy of information is not guaranteed.

(Antevíspera del Día Mundial del Matrimonio) «Arroz con leche, me quiero casar, con una señorita de San Nicolás. Que sepa coser, que sepa bordar, que sepa abrir la puerta para ir a jugar. »Yo soy la viudita del barrio del rey. Me quiero casar y no sé con quién. Con esta sí, con esta no, con esta señorita me caso yo. »Capitán de buque me mandó un papel a ver si quería casarme con él. Yo le contesté, en otro papel, que hombre sin dinero no era menester. »De tanto andar el joven con ese papel, hasta mi mamita lo llegó a saber. —Ven acá, mi hijita, dime la verdad, si con ese joven te piensas casar. —No, no, mi mamita, no lo piense usted, que con ese joven no me casaré.»1 Estas populares rimas infantiles sobre los requisitos que debían cumplir los futuros cónyuges de niños y niñas fueron publicadas por Juan Alfonso Carrizo en su Cancionero de Catamarca en 1926 y en su Cancionero de Salta en 1933. Gracias a Dios, en el siglo veintiuno reconocemos mucho más que en los siglos anteriores los principios bíblicos que establecen la igualdad entre los hombres y las mujeres. «Juan Alfonso Carrizo fue un estudioso argentino que... se dedicó... a... la búsqueda y el hallazgo de los cantares tradicionales del pueblo.... [Logró] recorrer personalmente, palmo a palmo, cinco provincias [argentinas], recolectar cerca de treinta mil cantares y publicarlos anotados con la mayor erudición», escribe la eminente doctora e investigadora argentina Olga Fernández Latour de Botas en 1995 con motivo del centenario del nacimiento de Carrizo. «Recuerdo que mi padre, don Enrique Fernández Latour, decía haberlo conocido en las tardes en que, desde una mesa de la confitería más céntrica de la ciudad de San Miguel de Tucumán, recitaba a quien quisiera oírlo coplas y cantares que fluían de sus labios con toda la belleza, la gracia y la sabiduría de la tradición viva. Él los había descubierto, documentado y “salvado” del olvido.... »Con la Fe como guía iba buscando todo lo que las gentes dicen cantando, cuando cuentan, o ríen, o están llorando. »Me tocó a mí, por indicación [de Carrizo mismo] —alentada o tal vez inducida por mi maestro... el profesor [Bruno Cayetano] Jacovella... [que] ha sido el mejor biógrafo de Carrizo— proseguir con trabajos referidos al cancionero. »... Había en Carrizo un atavismo luminoso que... lo conducía por el sendero de la fidelidad al Evangelio y de la permanente manifestación de su gracia.... »“En esta vida emprestada el bien vivir es la llave. Aquel que se salva, sabe, y el que no, no sabe nada”. »Esta cuarteta anotó don Juan Alfonso Carrizo, y con esa llave abrió la puerta del paraíso.»2 Sólo nos queda aclarar que, según San Pablo, lo que sabe el que se salva es que la salvación no es por obras sino por la gracia de Dios, y que se obtiene mediante la fe como su regalo inmerecido.3 Carlos ReyUn Mensaje a la Concienciawww.conciencia.net 1 Juan Alfonso Carrizo, «Rimas infantiles», Antiguos cantos populares argentinos (Cancionero de Catamarca) (Buenos Aires: Impresores Silla Hermanos, 1926), pp. 235-36 En línea 15 agosto 2025; Juan Alfonso Carrizo, Cancionero popular de Salta (Buenos Aires: A. Baioco y Cia. Editores, 1933), p. 18 En línea 15 agosto 2025. 2 Olga Fernández Latour de Botas, «En el centenario de Juan Alfonso Carrizo», Cuadernos Hispanoamericanos, núm. 545 (noviembre 1995), pp. 127-137 En línea 15 agosto 2025. 3 Ef 2:8-9

Episode 211: Understanding HFpEF.  Hyo Mun and Jordan Redden (medical students) explain the pathophysiology of heart failure with preserved ejection fraction (HFpEF) and how it differentiates from HFrEF. Dr. Arreaza asks insightful questions and summarizes some key elements of HFpEF. Written by Hyo Mun, MS4, American University of the Caribbean; and Jordan Redden, MS4, Ross University School of Medicine. Comments and edits by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.What is EF? Just imagine, the heart is a pump, blood gets into the heart through the veins, the ventricles fill up and then squeeze the blood out. So, the percent of blood that is pumped out is the EF. Let's start at the beginning. What is HFpEF?Mike: HFpEF stands for heart failure with preserved ejection fraction. Basically, these patients squeeze normally—their ejection fraction is 50% or higher—but here's the thing: the heart can't relax and fill the way it should. The muscle gets stiff, almost like a thick leather boot that just won't stretch. And because the ventricle can't fill properly, pressure starts backing up into the lungs and the rest of the body. That's when patients start experiencing shortness of breath, leg swelling, fatigue—all those classic symptoms.Dr. Arreaza: And this is where people get fooled by the ejection fraction.Mike: Exactly. The ejectionfraction tells you total left ventricular emptying, not just forward flow.Jordan: The classic example is severe mitral regurgitation. You can eject 60% of your blood volume and still be in cardiogenic shock because most of that blood is leaking backward into the left atrium instead of going into the aorta. So, you get pulmonary edema, hypotension, fatigue, all with a “normal” EF. Which is honestly terrifying if you're over-relying on echo reports without thinking clinically.Dr. Arreaza: And in HFpEF, functional mitral regurgitation often shows up later in the disease. It's not usually the primary cause; it's more of a marker of advanced disease. Moderate to severe MR in HFpEF independently predicts worse outcomes, including a higher risk of mortality or heart failure hospitalization. So, let's contrast this with HFrEF. How are these two different?Mike: HFrEF—heart failure with reduced ejection fraction—is a pumping problem. The heart muscle is weak and can't contracteffectively. Ejection fraction drops below 40%, and this is your classic systolic dysfunction.Jordan: HFpEF, on the other hand, is diastolic dysfunction. The heart muscle is thick, fibrotic, and noncompliant. It squeezes fine, but it just doesn't relax, even though the EF looks reassuring on paper.Mike: I like to explain it this way: HFrEF is a weak heart that can't squeeze. HFpEF is a stiff heart that can't relax. Totally different problems.Dr. Arreaza: And then there's the gray zone: heart failure with mildly reduced EF, or HFmrEF. That's an EF between 41 and 49% with evidence of elevated filling pressures. It really shares the features of both worlds. So, what actually causes HFpEF versus HFrEF?Jordan: HFpEF is basically what happens when all the problems of modern living catch up with you. You've got chronic hypertension, obesity, diabetes, metabolic syndrome, aging, systemic inflammation—all of these things slowly remodel the heart over years. The muscle gets thick and stiff, and eventually the ventricle just loses its ability to relax. So, HFpEF is really a disease of metabolic dysfunction and chronic stress in the heart. Mike: HFrEF is more about direct injury. Think about myocardial infarctions, ischemic cardiomyopathy, viral myocarditis, alcohol toxicity, chemotherapy like doxorubicin, genetic cardiomyopathies, or chronic uncontrolled tachycardia. These insults actually damage or kill heart muscle cells, leading to a dilated, weak ventricle that can't pump effectively.Dr. Arreaza: So the short version: HFpEF is caused by chronic metabolic and hypertensive stress, while HFrEF is caused mainly by myocardial damage. A question we get a lot: does HFpEF eventually turn into HFrEF? What do you guys think?Mike: In most cases, no. HFpEF patients usually stay HFpEF throughout their disease course. They don't just “burn out” and turn into HFrEF.Jordan: They're generally separate disease entities with different pathophysiology. A patient with HFpEF can develop HFrEF if they have a big myocardial infarction or ongoing ischemia that damages the muscle, but that's not the natural progression.Mike: Interestingly though, the opposite can happen. Some HFrEF patients actually improve their ejection fraction with good medical therapy—that's called HF with improved EF—and it's a great sign that treatment is working.Dr. Arreaza: Another question. How do HFpEF and HFrEF compare to restrictive cardiomyopathy and constrictive pericarditis?Jordan: Clinically, they can all look very similar: dyspnea, edema, fatigue, but the underlying mechanisms are completely different.Mike: In HFpEF, the myocardium itself is stiff from hypertrophy and fibrosis. The problem is intrinsic to the heart muscle, and EF stays preserved. Echoshows diastolic dysfunction with elevated filling pressures.Jordan: In HFrEF, the myocardium is weak. The ventricle is often dilated and contracts poorly, with a reduced EF.Mike: Restrictive cardiomyopathy is different. Here, the myocardium gets infiltrated by abnormal stuff—amyloid, iron, sarcoid—and that makes it extremely stiff. It can look like HFpEF on the surface, but it's usually more severe. On Echo You'll see biatrial enlargement, small ventricles, and preserved EF. And importantly, it's a pathologic diagnosis, so you need advanced imaging or biopsy to confirm it.Jordan: Constrictive pericarditis is another mimic, but here the myocardium is usually normal. The problem is that the pericardium is thickened, calcified, and rigid. This will physically prevent the heart from being filled. Imaging shows pericardial thickening, septal bounce, and respiratory variation in flow, and cath shows equalization of diastolic pressures, which is the hallmark of constrictive pericarditis.Dr. Arreaza: So the takeaway is: HFpEF is a clinical syndrome driven by common metabolic and hypertensive causes, while restrictive and constrictive diseases are specific pathologic entities. If “HFpEF” is unusually severe or not responding to treatment, you need to think beyond HFpEF. Which type of heart failure is more common right now?Mike: Good question, the answer is: HFpEF. It now accounts for up to 60% of all heart failure cases, and it's still rising.Dr. Arreaza: Why is that?Jordan: Because people are living longer, gaining weight, and developing more metabolic syndrome. HFpEF thrives in older, or people with obesity, hypertension, or diabetes: basically, the modern American population. At the same time, better treatment of acute MIs means fewer people are developing HFrEF from massive heart attacks.Mike: HFpEF is the heart failure epidemic of the 21st century. It's honestly the cardiology equivalent of type 2 diabetes.Dr. Arreaza: Let's talk aboutCOVID-19. (2025 and still talking about it) Does it actually increase heart failure risk?Mike: Yes, absolutely. COVID increases both acute and long-term heart failure risk.Jordan: During acute infection, COVID can cause myocarditis, trigger massive inflammation, and precipitate acute decompensated heart failure, especially in patients with pre-existing disease. It also causes microthrombi, which can injure the myocardium.Mike: And after infection, even mild cases are linked to a significantly higher risk of developing new heart failure within the following year. Both HFpEF and HFrEF rates go up.Dr. Arreaza: I remember seeing this in 2021, we had a patient with acute COVID and HFrEF, her EF was about 10%, I lost contact with the patient and at the end I don't know what happened to her. What's the pathophysiology of COVID and heart failure?Mike: COVID causes direct viral injury through ACE2 receptors, triggers massive inflammation that damages the endothelium and heart muscle, leads to microvascular clotting and fibrosis—all mechanisms that promote HFpEF.Jordan: Add autonomic dysfunction, persistent low-grade inflammation, and worsening metabolic syndrome, and you've got a perfect storm for heart failure.Dr. Arreaza: Bottom line: COVID is a cardiovascular disease as much as a respiratory one. If someone had COVID and now has unexplained dyspnea or fatigue, think about heart failure. Get an echo, get a BNP, start treatment. Last big question: why did we have so many therapies for HFrEF but essentially none for HFpEF for years?Mike: HFrEF is mechanistically straightforward. You've got a weak heart with excessive neurohormonal activation going on — so you block RAAS, block the sympathetic system, drop the afterload. The drugs make sense.Jordan: HFpEF is messy. It's not one disease. It's stiffness, fibrosis, inflammation, microvascular dysfunction, metabolic disease, atrial fibrillation, all overlapping. One drug can't fix all of that.Mike: And some drugs that worked beautifully in HFrEF actually made HFpEF worse. Take Beta blockers, for example.  They slow heart rate, which is a problem because HFpEF patients rely on heart rate to maintain their cardiac output.Jordan: The breakthrough came with SGLT-2 inhibitors: diabetes drugs that unexpectedly addressed multiple HFpEF mechanisms at once: volume, metabolism, inflammation, and myocardial energetics.Dr. Arreaza: The miracle drug for HFpEF! Alright, let's wrap up.Mike: Bottom line: HFpEF is common, complex, and dangerous: even if the EF looks “normal.”Jordan: And if you're relying on ejection fraction alone, HFpEF will humble you every time.Dr. Arreaza: If you liked this episode, share it with a friend or a colleague and rate us wherever you listen. This is Dr. Arreaza, signing off.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Barzin A, Barnhouse KK, Kane SF. Heart Failure With Preserved Ejection Fraction. Am Fam Physician. 2025;112(4):435-440.Heidenreich PA, Bozkurt B, Aguilar D, et al. 2022 AHA/ACC/HFSA guideline for the management of heart failure. Circulation. 2022;145(18):e895-e1032.Kittleson MM, Panjrath GS, Amancherla K, et al. 2023 ACC expert consensus decision pathway on management of heart failure with preserved ejection fraction. J Am Coll Cardiol. 2023;81(18):1835-1878.Anker SD, Butler J, Filippatos G, et al. Empagliflozin in heart failure with a preserved ejection fraction. N Engl J Med. 2021;385(16):1451-1461.Solomon SD, McMurray JJV, Claggett B, et al. Dapagliflozin in heart failure with mildly reduced or preserved ejection fraction. N Engl J Med. 2022;387(12):1089-1098.Pitt B, Pfeffer MA, Assmann SF, et al. Spironolactone for heart failure with preserved ejection fraction. N Engl J Med. 2014;370(15):1383-1392.Yusuf S, Pfeffer MA, Swedberg K, et al. Effects of candesartan in patients with chronic heart failure and preserved left-ventricular ejection fraction. Lancet. 2003;362(9386):777-781.Solomon SD, McMurray JJV, Anand IS, et al. Angiotensin-neprilysin inhibition in heart failure with preserved ejection fraction. N Engl J Med. 2019;381(17):1609-1620.Kosiborod MN, Abildstrøm SZ, Borlaug BA, et al. Semaglutide in patients with heart failure with preserved ejection fraction and obesity. N Engl J Med. 2023;389(12):1069-1084.Xie Y, Xu E, Bowe B, Al-Aly Z. Long-term cardiovascular outcomes of COVID-19. Nat Med. 2022;28(3):583-590.Puntmann VO, Carerj ML, Wieters I, et al. Outcomes of cardiovascular magnetic resonance imaging in patients recently recovered from COVID-19. JAMA Cardiol. 2020;5(11):1265-1273.Basso C, Leone O, Rizzo S, et al. Pathological features of COVID-19-associated myocardial injury. Eur Heart J. 2020;41(39):3827-3835.Nalbandian A, Sehgal K, Gupta A, et al. Post-acute COVID-19 syndrome. Nat Med. 2021;27(4):601-615.Badve SV, Roberts MA, Hawley CM, et al. Effects of angiotensin-converting enzyme inhibitors and angiotensin receptor blockers in adults with estimated GFR less than 60 mL/min per 1.73 m². Ann Intern Med. 2024;177(8):953-963.Navis G, Faber HJ, de Zeeuw D, de Jong PE. ACE inhibitors and the kidney: a risk-benefit assessment. Drug Saf. 1996;15(3):200-211.Textor SC, Novick AC, Tarazi RC, et al. Critical perfusion pressure for renal function in patients with bilateral atherosclerotic renal vascular disease. Ann Intern Med. 1985;102(3):308-314.Hackam DG, Spence JD, Garg AX, Textor SC. Role of renin-angiotensin system blockade in atherosclerotic renal artery stenosis and renovascular hypertension. Hypertension. 2007;50(6):998-1003.Ronco C, Haapio M, House AA, et al. Cardiorenal syndrome. J Am Coll Cardiol. 2008;52(19):1527-1539.Prins KW, Neill JM, Tyler JO, et al. Effects of beta-blocker withdrawal in acute decompensated heart failure. JACC Heart Fail. 2015;3(8):647-653.Jondeau G, Neuder Y, Eicher JC, et al. B-CONVINCED: Beta-blocker CONtinuation Vs. INterruption in patients with Congestive heart failure hospitalizED for a decompensation episode. Eur Heart J. 2009;30(18):2186-2192.Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/. 

Vitalik proposes a solution for hyper-scaling Ethereum state. The EF launches a PhD fellowship program. ENS releases an alpha version of its new explorer. And Blockscout releases a Tor-native explorer. Read more: https://ethdaily.io/877 Sponsor: Arkiv is an Ethereum-aligned data layer for Web3. Arkiv brings the familiar concept of a traditional Web2 database into the Web3 ecosystem. Find out more at Arkiv.network Content is for informational purposes only, not endorsement or investment advice. The accuracy of information is not guaranteed.

Tema – Ideias equivocadas sobre Eleição e Predestinação. Quarta – Feira 02/02/2026 Pregador : Ap. Miguel Ângelo Neste poderoso sermão, o Apóstolo Miguel Ângelo aprofunda o ensino bíblico sobre a eleição e a predestinação, confrontando ideias equivocadas que muitos carregam sobre a soberania de Deus. Com base em Romanos 9, Efésios 2 e João 10, aprendemos que a salvação não é fruto de esforço humano, mérito ou decisão pessoal, mas um dom gracioso concedido por Deus segundo Sua vontade eterna. O apóstolo ensina que Deus é o Oleiro e nós somos a massa, e que questionar Seus desígnios é desconhecer Sua santidade e justiça. A mensagem traz segurança espiritual, revelando que as ovelhas de Cristo foram conhecidas antes da fundação do mundo e jamais serão arrancadas de Suas mãos. Um ensino profundo, libertador e cheio de revelação para quem deseja compreender o verdadeiro evangelho da graça. Aula 10 Módulo – 68 Seminário: Construindo uma casa sobre a Rocha

47 Tipos y figuras de Cristo, El tipo #36 Las grosuras de La Casa de Dios (Sal. 36:8; Ef. 3:8). 03/2/26

In this episode of the Executive Function Brain Trainer Podcast, host Dr. Erica Warren is joined by Diane Randall, an executive functioning coach with extensive experience in pediatric occupational therapy. The discussion delves into the significant benefits of executive functioning training for occupational therapists (OTs), offering unique insights and strategies for integrating cognitive and motor skills. Diane shares her journey through an executive functioning course and highlights the creativity and holistic approach essential in occupational therapy. The conversation underscores the importance of intrinsic motivation, kinesthetic learning, and play in developing executive functioning skills, both in children and adults. The episode is a treasure trove of strategies, tools, and compelling stories, designed to help educators, therapists, and parents better support their clients and students.Links:Executive Functioning Coaching Course: ⁠https://www.learningspecialistcourses.com/courses/teaching-EF-and-study-strategies⁠Executive Functioning Resources: ⁠⁠⁠https://goodsensorylearning.com/collections/executive-functioning-skills-training⁠⁠⁠Executive Functioning Assessments:⁠⁠⁠⁠ https://goodsensorylearning.com/search?type=product&q=EFCA⁠⁠⁠⁠Continuing Education for Mental Health, Rehab and Healthcare Professionals: www.pesi.comSensational Brain -Executive Functions Consultant Micro Credential (School-based): www.sensationalbrain.comCEU Courses for OT's: www.occupationaltherapy.comHow to Teach Executive Functions in Grades 1-6: ⁠⁠https://goodsensorylearning.com/blogs/news/how-to-teach-executive-functioning-to-elementary-and-middle-school-students-and-make-it-fun⁠⁠Inner Voice:⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠https://goodsensorylearning.com/blogs/news/inner-voice-app⁠⁠EF Student Coaching with Erica:⁠⁠⁠⁠ https://learningtolearn.biz/⁠⁠⁠⁠EF Adult Coaching with Erica:⁠⁠⁠⁠ https://dropintoyourbestself.com/coaching⁠⁠⁠⁠EF Coaching with Diane: diane.randall.efcoaching@gmail.comEF Student Processing Inventory (SPI): https://goodsensorylearning.com/search?q=Student+Processing+Inventory Spot it: https://amzn.to/45uZEcl Mini Luk: https://amzn.to/4qDZaZR Taco Cat Goat Cheese Pizza: https://amzn.to/4abJyqJ Blokus: https://amzn.to/45SoGCz Brought to you by:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://ivvi.app⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://goodsensorylearning.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://learningspecialistcourses.com⁠⁠⁠⁠https://goodsensorylearning.com/products/executive-functioning-coaching-assessment⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Guest Nixo Rokish Panelists Eriol Fox | Victory Brown Show Notes In this live episode of Sustain from Devconnect in Buenos Aires, host Eriol Fox and co-host Victory Brown sit down with Nixo Rokish, Protocol Support Lead at the Ethereum Foundation, to unpack how Ethereum's deeply decentralized governance actually works in practice. They dive into the nuts and bolts of coordinating 100+ core contributors across 11+ client teams, why neutral facilitation is crucial, how Ethereum's upgrade and EIP process avoids “single maintainer” failure modes, and what lessons other open source projects can steal to make their own governance more sustainable. The episode concludes with Nixo promoting the EthStaker project focused on decentralized staking. Hit download now to hear more! [00:00:38] Nixo explains Ethereum as a rare example of truly decentralized governance and she describes the Protocol Coordination team. [00:02:25] Why does this governance model matter for sustainability? Nixo says most projects rely on 1-2 key people and if they leave, the project can stall or die. [00:04:09] Eriol asks if anyone resists this decentralized, community-led governance model. Nixo says active participants are mostly enthusiastic about the process and the main friction from VCs wanting more control and social media “ship faster” pressure. [00:05:51] Eriol talks about money and influence entering open source projects and Nixo shares that core devs are motivated by building systems for many people, not concentrating profit. [00:08:00] Nixo walks through the Ethereum Improvement Proposal (EIP) process. [00:11:38] Victory asks how they manage consensus with so many people and companies involved. Nixo explains 11+ client times, only one is within EF, other are independent companies/nonprofits. [00:13:36] Eriol reacts to how impressive it is that devs can reach consensus via facilitation and asks Nixo for advice for smaller open source projects that want to adopt similar practices. Her key advice is to have a neutral facilitator. [00:16:13] Nixo shares where you can find her on the internet and she spotlights a project she used to work at called, EthStaker. Links podcast@sustainoss.org richard@sustainoss.org SustainOSS Discourse SustainOSS Mastodon SustainOSS Bluesky SustainOSS LinkedIn Open Collective-SustainOSS (Contribute) Richard Littauer Socials Eriol Fox X Victory Brown X Nixo Rokish X Devconnect-Buenos Aires, Argentina 2025, 17-22 November Ethereum Ethereum Foundation Institute of Forecasting & Planning EthStaker Credits Produced by Richard Littauer Edited by Paul M. Bahr at Peachtree Sound Show notes by DeAnn Bahr Peachtree Sound Logistical support by Tina Arboleda from Digital Savvies Special Guest: Nixo Rokish.

AlabamaQualifying for 2026 elections is over and slate of candidates now confirmedGOP primary candidate Ken McFeeters to challenge Tuberville's residency qualificationsJohn Wahl officially launches his campaign for Lt. Governor of ALSen. Tuberville to be part of senate committee task force to root out fraudSoutheast Director of the AHSAA resigns from position over two issuesChurch in Huntsville has security overhaul after employee arrested for sex abuse of childrenNWS reports an EF-2 tornado hit downtown area of Geneva on SundayNationalPresident Trump to talks about Border Czar Homan in Minnesota,  demands certain actions from State leaders and says DHS Secretary Noem is stayingAnti-ICE agitators get mad at governor for complying with Trump admin.CNN reports Alex Pretti had melee with ICE week before his fatal shooting VA nurse now on admin. leave for posting videos on how to hurt ICE agentsRetired General calls MN violence an insurgency effort that will spreadBest selling author Troy Anderson talks about his book "Designated Disruptor" and revival ongoing in the US.

Muito bem (3x), está no ar mais um Comentário Bíblico Vida, uma parceria Bibotalk e Editora Vida! Neste episódio, Bibo e Luiz entram no coração de Efésios 6.10–20 para tratar de um tema muitas vezes mal compreendido, mas central para a vida cristã: a batalha espiritual. Longe de leituras sensacionalistas ou reducionistas, o texto paulino […] O conteúdo de Batalha Espiritual – Comentário Bíblico Vida 012 é uma produção do Bibotalk - Teologia é nosso esporte!.

Muito bem (3x), está no ar mais um Comentário Bíblico Vida, uma parceria Bibotalk e Editora Vida! Neste episódio, Bibo e Luiz entram no coração de Efésios 6.10–20 para tratar de um tema muitas vezes mal compreendido, mas central para a vida cristã: a batalha espiritual. Longe de leituras sensacionalistas ou reducionistas, o texto paulino […] O conteúdo de Batalha Espiritual – Comentário Bíblico Vida 012 é uma produção do Bibotalk - Teologia é nosso esporte!.

What if students' “attention problems” were really a mismatch between how the brain works and how we structure learning?In this episode of Aspire to Lead, Joshua Stamper talks with first grade teacher, cognitive science scholar, and author Sarah Oberle about what executive functions actually are, core and higher order cognitive processes like working memory, inhibition, and cognitive flexibility, and why they are so often misunderstood as behaviors in schools.​Sarah describes how explosive development in these skills during the K–3 years should shape our pedagogy, from how we orient attention and chunk directions to how we design routines, structure independent work, and set up the physical and acoustic environment so students can think instead of just “look busy”. Drawing from her upcoming book with Mitch Weathers, she shares concrete classroom moves—mini check ins, EF informed routines, visual and sound management, and tools like dividers and voice recorders—that any teacher can use to promote self regulation and learning without adding another program to their plate.About Sarah Oberle Sarah Oberle is an educator, writer, and professional learning designer with 18 years of experience as a primary classroom teacher. Her work centers on helping educators understand how learning happens and how that understanding shapes daily instructional decisions. Beyond the classroom, Sarah designs and facilitates evidence-informed professional learning for teachers and school leaders, both in person and virtually. She works with national and international organizations to ensure professional learning is research-informed, practical, and responsive to the realities of teaching. Her work focuses on attention, memory, and executive functions, with an emphasis on pedagogy rather than programs. Follow Sarah Oberle Website: sarahoberle.com Twitter (X): S_Oberle Linkedin: www.linkedin.com/in/drsarahoberle Pre-Order "Executive Functions for Every K-3 Classroom: Promoting Self-Regulation for a Strong Start": https://organizedbinder.com/books/ — NEW Aspire to Lead Cohort: Join the March 1st Launch Ready to move from teacher to administrator? The Aspire to Lead Cohort is a monthly leadership program designed for educators pursuing administrative roles. Get expert training, peer accountability, interview prep, and a clear roadmap to advance your career. December 1st cohort launching soon. Limited spots available. READY TO JOIN? Apply for the Aspire to Lead Cohort: https://bit.ly/47xWzIu Limited spots available. Next cohort starts 12/1/25

In this episode, we explore effective practices for supporting students with homework. Join us as we discuss strategies to foster a productive & stress-free homework environment. We cover the importance of EF, the advantages and challenges of traditional homework, & how to address post-COVID implications. Also, we share insights on balancing homework with students' SEL, creative engagement techniques, & practical communication tips for accommodations.01:14 Supporting Learners at Home02:20 The Role of Executive Functioning in Homework05:27 Creative Homework Approaches09:01 Simplifying Homework for Better Engagement10:32 Flexible and Individualized Homework Strategies19:24 Creating a Productive Homework Environment25:28 Understanding Executive Functioning in Children26:07 Dealing with Meltdowns and Connection Issues27:37 Empathy and Minimal Help Strategies28:07 Middle School Homework Challenges29:28 Reaching Out to Teachers for Support29:58 Effective Homework Breaks and Routines36:55 Positive Feedback and Encouragement43:52 The Role of Parents in Homework Success44:22 Reading Logs and Encouraging Curiosity46:59 Research on Homework Benefits48:18 Conclusion and ResourcesRECOMMENDED RESOURCES RELEVANT TO THE EPISODE:Reading Rockets: What the Research Says About the Value of HomeworkUnderstood.org Homework Challenges & Strategies11 Tips for Helping Your Child Manage HomeworkWhy Nov. is Hard For Students and 7 Ways Parents Can HelpInfographic: How Does Homework Actually Affect Students?Stanford Research Shows Pitfalls of HomeworkCopy of Mary's  EmailScripts to Use When Requesting Support Effective Practices for Homework5 Homework Strategies for Working with Students with Learning Disabilities Tips for Parents Timer * affiliateSupport the show Get Literacy Support through our Patreon Bonus Episodes access through your podcast app Bonus episodes access through Patreon Buy us a coffee Get a FREE Green Chef box using our link