Podcasts about Graft

John Seabrook's new book is about a family business—not a mom-and-pop store, but a huge operation run by a ruthless patriarch. The patriarch is aging, and he cannot stand to lose his hold on power, nor let his children take over the enterprise. This might sound like the plot of HBO's drama “Succession,” but the story John tells in “The Spinach King” is about a real family: the Seabrooks, of Seabrook, New Jersey. His grandfather C.F. Seabrook built a frozen-food empire in the farmland of South Jersey, which produced one third of the nation's frozen vegetables at its height. The P.R. was about a hard-working and innovative farm family, but the business, behind the scenes, advanced with political corruption and violence against organized labor. Then C.F. destroyed his business and his family rather than cede control to his sons. John—a staff writer who has covered many subjects for The New Yorker, most notably music—talks with David Remnick about the consequences of inherited wealth, and overcoming a family legacy of suspicion and emotional abuse.

In Part 2 of this empowering and relatable conversation, Lisa Graft returns to unpack the how behind living authentically. After revealing in Part 1 how people-pleasing and perfectionism led her to burnout, Lisa opens up in this episode about what healing actually looks like — and how she's taking small, brave steps toward the life she was created to live. Lisa serves as Executive Director of Roots & Wings, a nonprofit equipping women to walk in their legacy with fearless generosity. She's also a creative powerhouse, storyteller, speaker, mom of two, and the VP of the Roots & Wings Board. In this episode, she and Nadine talk about learning to set healthy boundaries, the difference between transparency and authenticity, and how your inner dialogue shapes your entire experience. Lisa reminds us: the journey to authenticity is an inside job. And you don't have to walk it alone. Follow Lisa at @lisagraft and explore more of Lisa's work at rootsandwings.org (https://www.rootsandwingslegacy.org/) Support the mission of safe, authentic community through Purposeful Living by making a donation today at purposefullivinginc.org (https://www.purposefullivinginc.org/)

Welcome to Overtime with the Sports Docs! On each of these mini episodes, we chat about a new article or new surgical technique in the field of sports medicine. We'll give you our quick take on the most recent data and how this data will be impacting our practice.Today, we're talking about posterior cruciate ligament injuries – specifically, surgical treatment; including reconstruction technique and graft choice. We'll be reviewing an article published this month in AJSM titled, “Single-Bundle Autografts Outperform Single-Bundle Achilles Allograft in PCL Reconstruction in Terms of Posterior Tibial Translation and Clinical Outcomes, but No Differences Exist Between Double-Bundle Grafts.”LaPrade PCL Stress Test: https://drrobertlaprademd.com/pcl-stress-radiograph-technique-edina-egan-mn/

Follow-ups: From Macca909one on Reddit We don't do prayer @0:43 Announcements: Gov Track @8:21 Politics: SCOTUS split @9:40 While we're in OK @15:17 But SCOTUS other rulings on Independent Agencies @18:45 DOGE discovery @23:05 Hegseth prayer @26:23 Doug Wilson @29:52 News: Meme coin dinner @37:56 Trump wants us to forget Jan 6th @43:33 MAHA's first report @46:41 Health/Medicine/Science: Silencing the CDC @53:14 Milwaukee lead poisoning @56:32 Quackwatch @57:24 Florida water fluoridation. FDA to ban fluoride prescription drugs Propaganda on homeopathy. Hydration and infusion clinics. TX vaccinations @1:06:01 Final Stories: Oz's ostriches @1:07:30

In this heartfelt and vulnerable episode, Lisa Graft — creative storyteller, mom, speaker, Marketing Coordinator at Thrivent and Executive Director of Roots & Wings — opens up about her struggle with people pleasing and how it kept her from living authentically. With raw honesty and deep reflection, Lisa walks us through the pressures of public storytelling, the exhaustion of trying to be everything for everyone, and the breakthrough moment when she realized she had a boundary problem, not a million different problems. Using powerful metaphors like being a Lazy Susan and a circus performer, Lisa paints a picture many women will find deeply relatable — one of hiding, burnout, and longing for more. Her story reminds us that it's never too late to rediscover who we are and set boundaries that protect the person God made us to be. Lisa also serves as Vice President of the Roots & Wings Board, a nonprofit dedicated to helping women pursue legacy through fearless generosity in their time, talent, and treasure. You can explore their resources and learn more at rootsandwings.org. To learn more about Lisa and her work, follow her at @lisagraft and explore Roots & Wings at rootsandwingslegacy.org (https://www.rootsandwingslegacy.org/).

Ray White speaks to Dr. Nasiphi Moya, Mayor of Tshwane, about a corruption crackdown that’s turning heads. The city has uncovered a staggering R11.7 billion in irregular spending so far this year, a massive jump from last year’s R1.2 billion , and is on track to push that figure to R12.7 billion. With over 85 officials already dismissed for fraud, sexual misconduct, and other offenses, and more than 900 cases before the financial disciplinary board, Tshwane’s message is clear: corruption won’t be tolerated. Eight companies are also facing blacklisting, and controversial stadium tenders are finally under the microscope. 702 Breakfast with Bongani Bingwa is broadcast on 702, a Johannesburg based talk radio station. Bongani makes sense of the news, interviews the key newsmakers of the day, and holds those in power to account on your behalf. The team bring you all you need to know to start your day Thank you for listening to a podcast from 702 Breakfast with Bongani Bingwa Listen live on Primedia+ weekdays from 06:00 and 09:00 (SA Time) to Breakfast with Bongani Bingwa broadcast on 702: https://buff.ly/gk3y0Kj For more from the show go to https://buff.ly/36edSLV or find all the catch-up podcasts here https://buff.ly/zEcM35T Subscribe to the 702 Daily and Weekly Newsletters https://buff.ly/v5mfetc Follow us on social media: 702 on Facebook: https://www.facebook.com/TalkRadio702 702 on TikTok: https://www.tiktok.com/@talkradio702 702 on Instagram: https://www.instagram.com/talkradio702/ 702 on X: https://x.com/Radio702 702 on YouTube: https://www.youtube.com/@radio702 See omnystudio.com/listener for privacy information.

This episode features "Exorcism" by Cassandra Khaw (©2025 by Cassandra Khaw) read by Justine Eyre, and "Notes From the Graft Failure" by R. Diego Martinez (©2025 by R. Diego Martinez) read by Paul Boehmer. Learn more about your ad choices. Visit megaphone.fm/adchoices

This episode was a long time coming. For those that don't know, Rich is the owner of various Crossfit competitions: Arnold Fitness Games, Battle for middle ground, Rep it out & Castle Games to name a few.As well as that, he owns Graft gym in Halifax, West Yorkshire. In December last year Rich captained a team of 4 who took on the world's toughest row. Which was 3000 miles across the Atlantic Ocean from La Gomera to Antigua.This podcast episode reveals everything that happened during the row, including some key motivators and real emotional moments..

Friday Focus provides listeners with a focused, half-hour masterclass on the big issues, events and trends driving the news and current events. The show features Janice Gross Stein, the founding director of the Munk School of Global Affairs and bestselling author, in conversation with Rudyard Griffiths, Chair and moderator of the Munk Debates. On this week's Friday Focus episode Janice joins Rudyard from Riyadh, Saudi Arabia, where Trump made his first state visit since taking office in January. Trump's next stop was to Qatar which came with news of a gift to the President from the small oil rich country: a $400 million dollar private jet for Air Force One, which comes on the heels of Eric Trump's $5.5 billion dollar development deal with Qatar (this is the same country that has been funding Hamas to the tune of hundreds of millions of dollars). Next up on Trump's tour was the United Arab Emirates, which announced it will be using up to $2 billion in Trump's meme coin to fund a crypto exchange. The graft and bribery on display is like nothing we have witnessed before. As Janice points out, this is how Kleptocracies are born. In the second half of the show Rudyard and Janice turn to Israel and the release this week of Israeli-American hostage Edan Alexander. Janice believes Netanyahu is dragging on the war in Gaza to serve his own political interests even though 75% of Israelis want the war to end. It is becoming apparent that Donald Trump and Steve Witkoff are losing patience with Bibi and in the next few weeks we could see them force Netanyahu's hand to agree to a ceasefire. To support the Friday Focus podcast consider becoming a donor to the Munk Debates for as little as $25 annually, or $.50 per episode. Canadian donors receive a charitable tax receipt. This podcast is a project of the Munk Debates, a Canadian charitable organization dedicated to fostering civil and substantive public dialogue. More information at www.munkdebates.com.

ACL surgery has come a long way since the early days of acute open repair to modern-day ACL reconstruction. Still, in spite of our advancements in knowledge, technique, and technology, graft rupture as well as contralateral ACL injury remain a concern for patients and their Sports Medicine providers. Well-renowned for her body of work in ACL research, Dr. Kate Webster, PhD from La Trobe University joins us to discuss her team's recent study on the long-term survival of ACL autografts and contralateral ACL ruptures over a 10-year follow up period. These ACL re-injury rates illustrate that, while we have made great strides over the decades, there is still room for improvement.

It's time for the Match Verdict! Aaron Stokes assesses Newcastle United's 2-0 win over Chelsea at St James' Park. It wasn't pretty... but it's three huge points! *** NORD VPN: https://nordvpn.com/toon Learn more about your ad choices. Visit megaphone.fm/adchoices

NEWS: Ex-Pagcor chief convicted of graft | May 12, 2025Visit our website at https://www.manilatimes.netFollow us:Facebook - https://tmt.ph/facebookInstagram - https://tmt.ph/instagramTwitter - https://tmt.ph/twitterDailyMotion - https://tmt.ph/dailymotionSubscribe to our Digital Edition - https://tmt.ph/digitalSign up to our newsletters: https://tmt.ph/newslettersCheck out our Podcasts:Spotify - https://tmt.ph/spotifyApple Podcasts - https://tmt.ph/applepodcastsAmazon Music - https://tmt.ph/amazonmusicDeezer: https://tmt.ph/deezerStitcher: https://tmt.ph/stitcherTune In: https://tmt.ph/tunein#TheManilaTimes Hosted on Acast. See acast.com/privacy for more information.

Peculiar story of Abraham; Ur to Haran; Hebrew language - written to be read; Latin; Covetousness = idolatry; Family lineage; Name changes; Graft and corruption; Moneychangers; Sacrifice; "Leaven"; Cain and Abel; Altar purposes; Atheists?; Terah the organizer; Alexander the great; Genghis Kahn; Patterns of government; God's way; Gen 17:1; aleph-nun-yod; "walk" = hey+tav+hey-lamad-kof; Jacob walking in the spirit/faith; Covenant with God; Living by faith; Following false Christs; Welfare snares; Minutemen for each other; Choosing your way; "Perfect" offerings; Deut 18:13; Caring for neighbor; Deut 25:15; Dreams; Lk 6:4 Perfect as his master; Laying down your life; Learning to be Israel; Covenant = beit-resh-yod-tav+yod; Spirit and Truth; Daily ministration; Gen 17:4 Explaining to Abram; +hey+mem = Abraham (Father of many nations); "Kings"; Gen 17:7 Establishing the covenant; "Canaan" those following Nimrod; "Samad" destroyer?; "Give" nun-tav-nun - continuous; Repentance; "Seed" vav-lamad-zayin-resh yod kof; aleph-tav = relationship between God and man in faith; Possessing the land; Circumcision; Lev 10:16; of the heart; Knowing what to believe; Moving in Spirit; Divine spark; "token" of the covenant; Sarai to Sarah; Barak - biet-resh-kof = Blessing; Getting back to the light; Sarah model; Understanding bible meaning; "Thummim"; Tav-mem(+yod)-mem faith; Completeness; Abraham's laugh; Knowing by fruits; Physical token; Abraham's new societal structure; Ex 28:30; Double faith; "Urim" light and fire; Awakening; Gathering in tens, hundreds and thousands; What is your corruption?; "Perfect"; Bondage of Egypt; Discovering the solution; Being fruitful; Draw near to God.

#AskDrJohnWattsPatients often have numerous questions about baldness, hair grafts, hair loss, hairlines, hair transplant procedures, post-transplant care, and medical treatments for hair loss. This is especially true for followers of Dr. John Watts, who frequently inundate his popular channel with queries on these hair-related topics.In this educational video, Dr. John Watts addresses whether the extraction of donor hair grafts from the back of the scalp leaves an empty patch after a hair transplant procedure. Is it true, or is there a technique that ensures no visible change in the donor region even after the extraction of hair grafts? Why do celebrities not show an empty donor patch after graft extraction? Do ordinary people undergo a different type of hair transplant?Dr. John Watts—a renowned dermatologist, trichologist, and one of Hyderabad's top hair transplant surgeons—provides detailed answers and insights into these questions.YOHIdac 5951 asks: "Sir, I am curious to know if the extraction of donor hair grafts from the back of the scalp creates an empty patch after a hair transplant procedure. You mentioned in one of your earlier videos that donor hair does not grow back after hair grafts are harvested. Why do celebrities not look different even after donor hair grafts are extracted from the back of the scalp? Did I misunderstand your point? Please explain."In hair transplant procedures, donor hair grafts are typically extracted from the back of the scalp. This area is preferred because the hair here is resistant to dihydrotestosterone (DHT), a hormone linked to genetic baldness. DHT-resistant hair from the donor site ensures it will continue to grow even after being transplanted to areas affected by hair loss.Dr. Watts explains that patients should not be concerned about the appearance of empty patches following donor hair extraction. While the extraction process does create a temporary gap in the donor area, the technique used is designed to minimize noticeable effects.Hair transplant surgeons do not extract grafts from a single location. Instead, they collect the grafts randomly across the donor site. Typically, about 25-30 donor hair grafts are extracted from every 100 available grafts in the donor region. This randomized approach ensures that the surrounding hair remains dense enough to cover any gaps created by the extraction.Addressing YOHIdac's concern that extraction might leave noticeable empty patches, Dr. Watts reassures that this is unlikely due to the strategic extraction process. By removing grafts from multiple locations rather than concentrating on one spot, the hair in the donor area naturally regrows and covers the previously extracted sites, maintaining a uniform appearance.Conclusion: The process of extracting donor hair grafts for hair transplants is carefully managed to prevent visible gaps in the donor area. The randomized extraction technique and the natural regrowth of hair ensure that the donor site remains aesthetically pleasing and that patients do not need to worry about unsightly patches. Proper planning and technique make hair transplantation a reliable solution for restoring hair without compromising the appearance of the donor area.Trichos provides state-of-the-art treatment for various hair loss conditions and offers advanced hair transplant solutions. Call us today for a life-changing experience.

Want to learn more SQLite? Check out my SQLite course: https://highperformancesqlite.com In this episode, Carl Sverre and I discuss why syncing everything is a bad idea and how his new project, Graft, makes edge-native, partially replicated databases possible. We dig into SQLite, object storage, transactional guarantees, and why Graft might be the foundation for serverless database replicas. SQLSync: https://sqlsync.dev Stop syncing everything blog post: https://sqlsync.dev/posts/stop-syncing-everything Graft: https://github.com/orbitinghail/graft Follow Carl: Twitter: https://twitter.com/carlsverre LinkedIn: https://www.linkedin.com/in/carlsverre Website: https://carlsverre.com/ Follow Aaron: Twitter: https://twitter.com/aarondfrancis LinkedIn: https://www.linkedin.com/in/aarondfrancis Website: https://aaronfrancis.com - find articles, podcasts, courses, and more. Chapters: 00:00 - Intro and Carl's controversial blog title 01:00 - Why “stop syncing everything” doesn't mean stop syncing 02:30 - The problem with full database syncs 03:20 - Quick recap of SQL Sync and multiplayer SQLite 04:45 - How SQL Sync works using physical replication 06:00 - The limitations that led to building Graft 09:00 - What is Graft? A high-level overview 16:30 - Syncing architecture: how Graft scales 18:00 - Graft's stateless design and Fly.io integration 20:00 - S3 compatibility and using Tigris as backend 22:00 - Latency tuning and express zone support 24:00 - Can Graft run locally or with Minio? 27:00 - Page store vs meta store in Graft 36:00 - Index-aware prefetching in SQLite 38:00 - Prefetching intelligence: Graft vs driver 40:00 - The benefits of Graft's architectural simplicity 48:00 - Three use cases: apps, web apps, and replicas 50:00 - Sync timing and perceived latency 59:00 - Replaying transactions vs logical conflict resolution 1:03:00 - What's next for Graft and how to get involved 1:05:00 - Hacker News reception and blog post feedback 1:06:30 - Closing thoughts and where to find Carl

In this week's episode we'll learn about the role of interleukin-1 signaling in the bone marrow microenvironment in the development of myelodysplastic syndromes, the immune checkpoint regulator VISTA as a potential target for preventing graft-vs-host disease, and epcoritamab plus gemcitabine and oxaliplatin in transplant-ineligible relapsed/refractory diffuse large B-cell lymphoma.Featured Articles:IL-1R1 and IL-18 signals regulate mesenchymal stromal cells in an aged murine model of myelodysplastic syndromesTargeting cell-surface VISTA expression on allospecific naïve T cells promotes toleranceEpcoritamab plus GemOx in transplant-ineligible relapsed/refractory DLBCL: results from the EPCORE NHL-2 trial

"The Green Hornet" radio series, originating in 1936, featured Britt Reid, a masked vigilante, and his partner Kato fighting crime. Britt Reid, related to the Lone Ranger as his grandnephew, used a secret passage in his apartment to access the "Black Beauty" car for their night missions. The series showcased a dynamic partnership between Britt Reid and Kato, with Reid exuding charisma as a businessman and Kato as a skilled martial artist. Together, they embarked on thrilling missions, utilizing their resourcefulness and the iconic "Black Beauty" to outwit adversaries. The series also featured a rich cast of supporting characters and villains, including Lenore "Casey" Case, Black Mask, and Miss X. "The Green Hornet" captivated audiences with its adventures, compelling characters, and timeless themes of justice and heroism, leaving an indelible mark on popular culture.

Ultra-low Profile, Fully Retractable, and Repositionable Transaxillary Endovascular Graft for Infrarenal Aortic Aneurysm Repair

OPINION: $5.6B F-16 purchase plan, a harebrained idea, huge graft plot or both? | April 4, 2025Visit our website at https://www.manilatimes.netFollow us:Facebook - https://tmt.ph/facebookInstagram - https://tmt.ph/instagramTwitter - https://tmt.ph/twitterDailyMotion - https://tmt.ph/dailymotionSubscribe to our Digital Edition - https://tmt.ph/digitalSign up to our newsletters: https://tmt.ph/newslettersCheck out our Podcasts:Spotify - https://tmt.ph/spotifyApple Podcasts - https://tmt.ph/applepodcastsAmazon Music - https://tmt.ph/amazonmusicDeezer: https://tmt.ph/deezerStitcher: https://tmt.ph/stitcherTune In: https://tmt.ph/tunein#TheManilaTimesVisit our website at https://www.manilatimes.netFollow us:Facebook - https://tmt.ph/facebookInstagram - https://tmt.ph/instagramTwitter - https://tmt.ph/twitterDailyMotion - https://tmt.ph/dailymotionSubscribe to our Digital Edition - https://tmt.ph/digitalSign up to our newsletters: https://tmt.ph/newslettersCheck out our Podcasts:Spotify - https://tmt.ph/spotifyApple Podcasts - https://tmt.ph/applepodcastsAmazon Music - https://tmt.ph/amazonmusicDeezer: https://tmt.ph/deezerStitcher: https://tmt.ph/stitcherTune In: https://tmt.ph/tunein#TheManilaTimes Hosted on Acast. See acast.com/privacy for more information.

Trachoma, the contagious eye infection, was a serious complication for Germans attempting to immigrate here from Russia. I've already talked about the cases of Magdalena Klipfel of Ashley and Benedict Fried of Richardton in the early 1900s. Germans from Russia were not the only ones affected by public fears of trachoma among immigrants.

J. Michael Waller, Senior Analyst for Strategy at the Center for Security Policy, is no desk pilot. He has been on the ground in some of the most intense situations the US was ever involved in, both officially and unofficially, from supporting the contras in Nicaragua to aiding the mujahideen during the Soviet invasion of Afghanistan. He watched the USSR collapse from the grounds of the Kremlin itself. And he saw for himself the good work that USAID once accomplished as a tool to spread the ideals of liberty and democracy abroad. But once the Cold War ended, the agency quickly devolved into a slush fund for Beltway ideological factions to promote their own agendas instead of the nation's. Now, with the second Trump administration taking a figurative chainsaw to fiscally irresponsible projects, Waller details his dealings with the project and why this austerity policy is necessary to refocus USAID, and the government as a whole, on its proper policy targets.

 March 14, 2025 Scott, Mark, and Ray discuss three coding questions from the PRS Community and the Thriving Urology Practice Facebook group. My question is regarding G2211. Is there a time frame for the follow-up that needs to be dictated. My doctor has been putting return to clinic in a year in the notes and billing G2211. Wondering if this is ok, or if the follow up must be sooner?Our new urologist started placing an amniotic tissue membrane graft around the urethral anastomosis during a laparoscopic robotic radical prostatectomy. Would this be included in the 55866 or is there a CPT code for this? I was looking at 15275 but not sure if that is correct either. I am a coder with questions.Would you be so kind to give me your opinion on 50548 for robotic radical nephroureterectomy versus using 50545 for that surgery?Free Kidney Stone Coding CalculatorDownload NowPRS Billing and Other Services - Book a Call with Mark Painter or Marianne DescioseClick Here to Get More Information and Request a Quote Join the Urology Pharma and Tech Pioneer GroupEmpowering urology practices to adopt new technology faster by providing clear reimbursement strategies—ensuring the practice gets paid and patients benefit sooner.https://www.prsnetwork.com/joinuptp Click Here to Start Your Free Trial of AUACodingToday.com   The Thriving Urology Practice Facebook group.The Thriving Urology Practice Facebook Group link to join:https://www.facebook.com/groups/ThrivingPractice/ 

Gaming hosts Josh and Ryan are joined by Harebrained Studios Mike and Chris to chat Graft!  Graft is a cyberpunk survival horror with a very promising future! Join us as we chat the BANGER of a trailer, how they came up with the idea, the challenges of indie game development and learn the difference between a Creative Director and Executive Producer when it comes to gaming. It's another video game packed episode from the Video Gamers Podcast! Make sure you Wishlist Graft here: https://store.steampowered.com/app/3141390/GRAFT/ Thanks to our MYTHIC Supporters: Redletter, Ol' Jake, Disratory and Gaius Connect with the show: Support us on Patreon: patreon.com/videogamerspod Join our Gaming Community: https://discord.gg/Dsx2rgEEbz Follow us on Instagram: https://www.instagram.com/videogamerspod/  Follow us on X: https://twitter.com/VideoGamersPod  Subscribe to us on YouTube: https://www.youtube.com/channel/UCU12YOMnAQwqFZEdfXv9c3Q   Visit us on the web: https://videogamerspod.com/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Brandon K.K. Fields speaks with Dr. Jennifer Holter-Chakrabarty about her groundbreaking research on fluorine-18 fluorothymidine (FLT) PET in the imaging of gastrointestinal graft-versus-host disease (GVHD) after allogeneic stem cell transplantation. Together, they explore a potential future role for FLT-PET in detection of early and/or subclinical GVHD, which may serve to guide future treatment strategies for transplant patients in years to come. 18F-FLT PET and Blood-based Biomarkers for IdentifyingGastrointestinal Graft versus Host Disease after Allogeneic CellTransplantation. Holter-Chakrabarty and McNally et al. Radiology: Imaging Cancer 2025; 7(1):e240096. 

Host: Charles Turck, PharmD, BCPS, BCCCP Guest: Yi Bin Chen, MD Guest: Olaf Penack, MD For the past several decades, standard treatment for acute graft-versus-host disease (aGVHD) has been systemic high-dose steroids.1 While essential in some ways to initially control aGVHD, steroids are not beneficial in the long run due to the immunosuppression and toxicities associated with high cumulative doses.1,2 So what can be done moving forward to improve first-line steroid response and minimize cumulative steroid exposure? Joining Dr Charles Turck to discuss the potential of nonimmunosuppressive steroid-sparing agents for the first-line treatment of aGVHD are Drs Yi Bin Chen and Olaf Penack. Dr Chen is the Director of the Hematopoietic Cell Transplant and Cell Therapy Program at Massachusetts General Hospital, and Dr Penack is a senior physician and principal investigator within Hematology and Oncology at Charité Berlin. References: Bell EJ, Yu J, Bhatt V, et al. Healthcare resource utilization and costs of steroid-associated complications in patients with graft-versus-host disease. Transplant and Cell Ther. 2022;28(10):707.e1-707.e7. Martin PJ, Rizzo JD, Wingard JR, et al. First- and second-line systemic treatment of acute graft-versus-host disease: recommendations of the American Society of Blood and Marrow Transplantation. Biol Blood Marrow Transplant. 2012;18(8):1150-1163. © 2025 CSL BehringCMD-964-0016-JAN25

Truly high quality design is timeless... but that doesn't mean it's AGEless. Mobile Suit Gundam AGE is a widely reviled entry in the beloved series, and while I'm not here to argue that its plot and characters are any good, I am here to tell you that Kanetake Ebikawa knows how to f---in' cook. You can find a video version of this podcast for free on Scanline Media's Patreon! If you want to find us on Twitter, Dylan is @lowpolyrobot and Six is @sixdettmar. Our opening theme is the Hangar Theme from Gundam Breaker 3, and our ending theme for this episode is Kimi no Naka no Eiyuu by Minami Kuribayashi from Mobile Suit Gundam AGE. Our podcast art is a fantastic piece of work from Twitter artist @fenfelt. Want to see a list of every unit we've covered from every episode, including variants and tangents? It's right here. Units discussed: AGE-3 Gundam AGE-3 Normal AGE-3F Gundam AGE-3 Fortress AGE-3O Gundam AGE-3 Orbital AGE-3L Gundam AGE-3 Laguna AGE-3 Gundam AGE-3 Tangram AGE-3 Gundam AGE-3 Graft

Stephen Grootes speaks to Wayne Duvenage, CEO at Organisation Undoing Tax Abuse about whether ongoing corruption and rising taxes could spark widespread revolt.See omnystudio.com/listener for privacy information.

Friend of the show Kris Graft joins Ash and Brandon diving into the rest of 2024's games, from GOTY contenders to Soccer 2: The Even More Beautiful Game. Hosted by Brandon Sheffield, with Ash Parrish and Kris Graft. Edited by Esper Quinn, original music by Kurt Feldman. Watch episodes with full video on YouTube Discuss this episode in the Insert Credit Forums SHOW NOTES: 1: Dragon Age: The Veilguard (03:48) Dragon Age: The Veilguard Dragon Age series Football Manager series 2: Helldivers II (12:03) Helldivers II 3: S.T.A.L.K.E.R. 2: Heart of Chornobyl (15:04) Balatro Indiana Jones and the Great Circle Warhammer 40,000: Space Marine II Stellar Blade S.T.A.L.K.E.R. 2: Heart of Chornobyl Sam Barlow Dear Esther Legend of Zelda: Breath of the Wild 4: Arranger: A Role-Puzzling Adventure (19:15) Arranger: A Role-Puzzling Adventure 5: Senua's Saga: Hellblade II (20:48) Senua's Saga: Hellblade II Indika 6: Marvel vs. Capcom Fighting Collection: Arcade Classics (23:50) Marvel vs. Capcom Fighting Collection: Arcade Classics Capcom vs. SNK 2: Mark of the Millennium 7: The Legend of Zelda: Echoes of Wisdom (25:04) The Legend of Zelda: Echoes of Wisdom 8: Mario & Luigi: Brothership (26:29) Mario & Luigi: Brothership 9: Palworld (27:36) Metaphor: ReFantazio Persona series Palworld Pokémon universe Rust DayZ 10: Ace Attorney Investigations Collection (30:03) Ace Attorney Investigations Collection Ace Attorney / Gyakuten Saiban series Shu Takumi Ghost Trick: Phantom Detective 11: Banishers: Ghosts of New Eden (32:12) Banishers: Ghosts of New Eden DON'T NOD Entertainment SARL Life is Strange series Vampyr 12: Tokyo Xtreme Racer (37:25) Prince of Persia: the Lost Crown Animal Well Tokyo Xtreme Racer Tokyo Xtreme Racer / Shutokō Battle series Gran Turismo series 13: The Rogue Prince of Persia (41:17) The Rogue Prince of Persia Dead Cells Hades II 14: Dubio (43:23) Dubio 15: Cruel (45:18) Cruel 16: Hades II (46:31) Hades II 17: GranBlue Fantasy: Relink (49:23) GranBlue Fantasy: Relink GranBlue Fantasy: Versus 18: Marvel Rivals (52:52) Marvel Rivals Overwatch 19: Thronefall (55:41) Thronefall 20: Tales of Kenzera: Zau (56:42) Caves of Qud Dwarf Fortress Tales of Kenzera: Zau Abubakar Salim 21: Arco (59:55) Arco The Last of Us 22: South Park the Pinball Machine (01:02:30) South Park Pindigo 23: Princess Peach: Showtime! (01:05:28) Princess Peach: Showtime! Super Princess Peach Super Mario Odyssey 24: Unicorn Overlord (01:07:11) Unicorn Overlord Fire Emblem: Engage Advance Wars 1+2: Re-Boot Camp Triange Strategy Final Fantasy XII 25: Tomb Raider I•II•III: Remastered (01:11:57) Tomb Raider I•II•III: Remastered GameFAQs 26: Penny's Big Breakaway (01:14:57) Black Myth: Wukong Penny's Big Breakaway Insert Credit Gaiden #10 - Brandon in Tokyo, 2024 Freedom Planet Sonic X Shadow Generations Sonic Superstars NiGHTS into Dreams… 27: Pepper Grinder (01:18:58) Pepper Grinder Celeste Drill Dozer 28: Castaway (01:20:40) Castaway 29: The Crush House (01:22:00) The Crush House 30: Read Only Memories: Neurodiver (01:23:38) Read Only Memories: Neurodiver Snatcher Demonschool Hyper Gunsport 31: SCHiM (01:25:17) SCHiM 32: Sonic X Shadow Generations (01:26:55) Sonic X Shadow Generations Sonic Generations Sonic Frontiers Balan Wonderworld 33: Black Myth: Wukong (01:30:20) Black Myth: Wukong Wuxia Stellar Blade Infinity Nikki 34: Rise of the Rōnin (01:37:08) Rise of the Rōnin Nioh Tenchu series Dynasty Warriors: Origins Trek to Yomi Wo Long: Fallen Dynasty Ninja Gaiden Black 35: Manor Lords (01:40:24) Manor Lords Age of Empires series Sid Meier's Civilization series Dune II: The Building of a Dynasty Command & Conquer series Final Fantasy XII: Revenant Wings LIGHTNING ROUND: Brandon's Remaining Games (01:43:17) Eiyuden Chronicle: Hundred Heroes Metal Slug Tactics Slitterhead Shadow of the Ninja: Reborn The First Descendant Kill Knight Call of Duty: Black Ops 6 Shadows of Doubt Wizardry Another Crab's Treasure Nintendo World Championships: NES Edition This week's Insert Credit Show is brought to you by patrons like you. Thank you. Subscribe: RSS, YouTube, Apple Podcasts, Spotify, and more!

Friend of the show Kris Graft joins Ash and Brandon diving into the rest of 2024's games, from GOTY contenders to Soccer 2: The Even More Beautiful Game. Hosted by Brandon Sheffield, with Ash Parrish and Kris Graft. Edited by Esper Quinn, original music by Kurt Feldman. Watch episodes with full video on YouTube Discuss this episode in the Insert Credit Forums SHOW NOTES: 1: Dragon Age: The Veilguard (03:48) Dragon Age: The Veilguard Dragon Age series Football Manager series 2: Helldivers II (12:03) Helldivers II 3: S.T.A.L.K.E.R. 2: Heart of Chornobyl (15:04) Balatro Indiana Jones and the Great Circle Warhammer 40,000: Space Marine II Stellar Blade S.T.A.L.K.E.R. 2: Heart of Chornobyl Sam Barlow Dear Esther Legend of Zelda: Breath of the Wild 4: Arranger: A Role-Puzzling Adventure (19:15) Arranger: A Role-Puzzling Adventure 5: Senua's Saga: Hellblade II (20:48) Senua's Saga: Hellblade II Indika 6: Marvel vs. Capcom Fighting Collection: Arcade Classics (23:50) Marvel vs. Capcom Fighting Collection: Arcade Classics Capcom vs. SNK 2: Mark of the Millennium 7: The Legend of Zelda: Echoes of Wisdom (25:04) The Legend of Zelda: Echoes of Wisdom 8: Mario & Luigi: Brothership (26:29) Mario & Luigi: Brothership 9: Palworld (27:36) Metaphor: ReFantazio Persona series Palworld Pokémon universe Rust DayZ 10: Ace Attorney Investigations Collection (30:03) Ace Attorney Investigations Collection Ace Attorney / Gyakuten Saiban series Shu Takumi Ghost Trick: Phantom Detective 11: Banishers: Ghosts of New Eden (32:12) Banishers: Ghosts of New Eden DON'T NOD Entertainment SARL Life is Strange series Vampyr 12: Tokyo Xtreme Racer (37:25) Prince of Persia: the Lost Crown Animal Well Tokyo Xtreme Racer Tokyo Xtreme Racer / Shutokō Battle series Gran Turismo series 13: The Rogue Prince of Persia (41:17) The Rogue Prince of Persia Dead Cells Hades II 14: Dubio (43:23) Dubio 15: Cruel (45:18) Cruel 16: Hades II (46:31) Hades II 17: GranBlue Fantasy: Relink (49:23) GranBlue Fantasy: Relink GranBlue Fantasy: Versus 18: Marvel Rivals (52:52) Marvel Rivals Overwatch 19: Thronefall (55:41) Thronefall 20: Tales of Kenzera: Zau (56:42) Caves of Qud Dwarf Fortress Tales of Kenzera: Zau Abubakar Salim 21: Arco (59:55) Arco The Last of Us 22: South Park the Pinball Machine (01:02:30) South Park Pindigo 23: Princess Peach: Showtime! (01:05:28) Princess Peach: Showtime! Super Princess Peach Super Mario Odyssey 24: Unicorn Overlord (01:07:11) Unicorn Overlord Fire Emblem: Engage Advance Wars 1+2: Re-Boot Camp Triange Strategy Final Fantasy XII 25: Tomb Raider I•II•III: Remastered (01:11:57) Tomb Raider I•II•III: Remastered GameFAQs 26: Penny's Big Breakaway (01:14:57) Black Myth: Wukong Penny's Big Breakaway Insert Credit Gaiden #10 - Brandon in Tokyo, 2024 Freedom Planet Sonic X Shadow Generations Sonic Superstars NiGHTS into Dreams… 27: Pepper Grinder (01:18:58) Pepper Grinder Celeste Drill Dozer 28: Castaway (01:20:40) Castaway 29: The Crush House (01:22:00) The Crush House 30: Read Only Memories: Neurodiver (01:23:38) Read Only Memories: Neurodiver Snatcher Demonschool Hyper Gunsport 31: SCHiM (01:25:17) SCHiM 32: Sonic X Shadow Generations (01:26:55) Sonic X Shadow Generations Sonic Generations Sonic Frontiers Balan Wonderworld 33: Black Myth: Wukong (01:30:20) Black Myth: Wukong Wuxia Stellar Blade Infinity Nikki 34: Rise of the Rōnin (01:37:08) Rise of the Rōnin Nioh Tenchu series Dynasty Warriors: Origins Trek to Yomi Wo Long: Fallen Dynasty Ninja Gaiden Black 35: Manor Lords (01:40:24) Manor Lords Age of Empires series Sid Meier's Civilization series Dune II: The Building of a Dynasty Command & Conquer series Final Fantasy XII: Revenant Wings LIGHTNING ROUND: Brandon's Remaining Games (01:43:17) Eiyuden Chronicle: Hundred Heroes Metal Slug Tactics Slitterhead Shadow of the Ninja: Reborn The First Descendant Kill Knight Call of Duty: Black Ops 6 Shadows of Doubt Wizardry Another Crab's Treasure Nintendo World Championships: NES Edition This week's Insert Credit Show is brought to you by patrons like you. Thank you. Subscribe: RSS, YouTube, Apple Podcasts, Spotify, and more!

More to come

Welcome to the third episode of ASTCT Talks' exclusive 8-part series, supported by an educational grant from Sanofi US. In this series, ASTCT President Dr. Corey Cutler sits down with authors from the latest Graft-versus-Host Disease and Late Effects Following Allogeneic Transplantation journal collection to discuss their research and its implications for patient care.In this episode, Dr. Cutler is joined by Dr. Steven Z. Pavletic, the GVHD and Late Effects Section and Myeloid Malignancies Program Director at the NIH in Bethesda, Maryland. Widely recognized as a titan in chronic GVHD research, Dr. Pavletic explores an emerging yet often overlooked area in transplantation medicine—lifestyle medicine.Together, they discuss the role of lifestyle interventions, including nutrition, exercise, sleep, and stress management, in improving long-term outcomes for patients with chronic GVHD. Dr. Pavletic highlights the growing body of evidence supporting these approaches and the urgent need for more research and clinical guidelines to help providers counsel patients effectively.Tune in for an eye-opening conversation on how small, practical changes can make a significant impact on quality of life and post-transplant recovery. To dive deeper into this topic, read Dr. Pavletic's full article here.

On each of these mini episodes, we chat about a new article or new surgical technique in the field of sports medicine. We'll give you our quick take on the most recent data and how this data will be impacting our practice.Today, we're talking about graft choice for anterior cruciate ligament reconstruction, and specifically how that impacts psychological readiness to return to play. Now, we've spoken extensively about ACL injury on this podcast.On our first ever episode with Dr. Mary Mulcahey was two-part segment all about ACL tears. Since then, we have gone on to discuss risks factors for ACL tears, ACL reconstruction, augmentation with lateral extra-articular tenodesis, revision ACL surgery and more! We also did an entire Game Plan episode on ACL graft choice and an Overtime episode “update” on ACL graft choice – the latter is episode #81 if you want to check it out.We also touched upon psychological readiness to return to play after ACL reconstruction in episode #16. Musculoskeletal injuries, in particular ACL injuries, can take a tremendous psychological toll on our athletes. Depression, a common experience for injured athletes, has been associated with worse patient- reported outcomes, higher levels of pain, and increased rates of postop complications.Unfortunately, caring for the mental side of the injured athlete remains a huge gap in our field of orthopedics and sports medicine. For this reason, Catherine and her colleague Emily Perrin created The Unbroken Athlete – a resource containing comprehensive mental and physical programs for athletes to enhance their recovery journey and performance. Catherine will speak a bit more about this during the episode.Our paper today is titled “Association Between Autograft Choice and Psychological Readiness to Return to Sport After ACL Reconstruction.” This level 3 retrospective cohort study was performed at the Mayo Clinic in Arizona. It sought to evaluate the relationship between an athlete psychological readiness to return to sport, as defined by the ACL-RSI score, and autograft choice – either quadriceps tendon, hamstring tendon or bone-patellar-tendon-bone.

HEADLINES: Graft case filed vs House leaders | February 11, 2025Subscribe to The Manila Times Channel - https://tmt.ph/YTSubscribe Visit our website at https://www.manilatimes.net Follow us: Facebook - https://tmt.ph/facebook Instagram - https://tmt.ph/instagram Twitter - https://tmt.ph/twitter DailyMotion - https://tmt.ph/dailymotion Subscribe to our Digital Edition - https://tmt.ph/digital Check out our Podcasts: Spotify - https://tmt.ph/spotify Apple Podcasts - https://tmt.ph/applepodcasts Amazon Music - https://tmt.ph/amazonmusic Deezer: https://tmt.ph/deezer Stitcher: https://tmt.ph/stitcherTune In: https://tmt.ph/tunein #TheManilaTimes#KeepUpWithTheTimes Hosted on Acast. See acast.com/privacy for more information.

Send us a textThis is a revised, expanded, and re-recorded version of an episode that was originally released in 2020.William "Big Bill" Thompson was a larger-than-life character who served as Chicago mayor for three terms and is viewed as one of the most corrupt politicians this great city has ever seen.Robert Loerzel's piece on Eugene Williams in the August 2019 Chicago Magazine:https://www.chicagomag.com/city-life/August-2019/Searching-for-Eugene-Williams/Further reading (purchasing these items through these links help support our efforts at no additional cost to you):City of Scoundrels: The 12 Days of Disaster That Gave Birth To Modern Chicago by Gary KristPaperback - https://amzn.to/42sfVyaKindle - https://amzn.to/40KwjZhBig Bill of Chicago by Lloyd Wendt and Herman KoganPaperback - https://amzn.to/4ggZOqeBig Bill Thompson, Chicago, and The Politics of Image by Douglas Bukowski Paperback - https://amzn.to/4hvIMG1Al Capone's Beer Wars: A Complete History of Organized Crime in Chicago During Prohibition by John J. BinderHardcover - https://amzn.to/4aSKXB7Chicago History Podcast (chicagohistorypod AT gmail.com):Chicago History Podcast Art by John K. Schneider (angeleyesartjks AT gmail.com) Academy Award® Nominee for Best Original Screenplay, SEPTEMBER 5 is now on Digital.Based on true events at the 1972 Olympics and the hostage crisis that changed media coverage forever.Starring Peter Sarsgaard, John Magaro, Ben Chaplin, and Leonie Benesch. BUY OR RENT SEPTEMBER 5 on Fandango at Home NOW! Rated PG. From Paramount Pictures.Support the show

Gerry knows gin from his time behind the bar and from sipping his favorite tipple from the other side of the stick.But he found his perfect gin, though he could imagine just how it would taste, a taste he finally captured in his now award-winning Jawbox Gin.Join us as Gerry tells us how the idea for creating a gin just wouldn't let him go, the Belfast stories behind the Jawbox name and striking logo design, how he managed to time the Jawbox launch just as the gin category was taking off, how The brand has soared through “Graft & Craft,” the origin of his signature Belfast Swerve—plenty of ice, a generous measure of Jawbox, a wedge of lime, all topped with a key ingredient Gerry proudly says was invented in Belfast.He talks about the steady progress he sees in his city, how his hometown is becoming a “must-visit” city for tourists, the warmth they feel from the people of Belfast, and the “lovely new buzz in the city.”Our juniper-forward friend from the Falls Road closes with his ”Seamus Plug” for Belfast's amazing chefs and dedicated purveyors of fresh local food that have ignited Belfast's dining scene.All music to the ears of the folks at Tourism Ireland who helped make our “Irish Stew Gets Lost in Belfast Road Trip” possible! Chart your course to Belfast and beyond at https://discovernorthernireland.comLinks:Jawbox GinWebsiteXInstagramFacebookGerry WhiteXInstagramFacebookLinkedInEpisode Details: Season 7, Episode 3; Total Episode Count: 106

Section 1: Introduction (0:00 - 5:30) Dr. Valentin Fuster introduces a special issue on Prevention, covering societal and individual prevention aspects and key cardiovascular risk factors. He highlights issues like medication adherence, obesity, and the need for better education and healthcare systems. Section 2: Prevention in Society (5:30 - 35:30) Adherence to Medications The PURE trial shows low medication adherence (31% at follow-up) across 17 countries, despite technological advancements in diagnostics. Barriers include low health literacy and inadequate healthcare systems. Social Determinants of Health Social deprivation leads to worse cardiovascular outcomes, especially among sexual minorities in the U.S. The editorial calls for more equitable healthcare access and anti-stigma efforts. Environmental Factors: Aircraft Noise Higher aircraft noise exposure is linked to worse heart health, urging noise reduction policies for vulnerable populations. Section 3: Prevention in Individuals (35:30 - 55:30) Sedentary Behavior Even with exercise, high sedentary time (over 10.6 hours a day) increases cardiovascular risk. Reducing sedentary time can significantly lower heart disease risk. Intensive Lifestyle Interventions for Diabetes Weight loss and lifestyle changes improve cardiac biomarkers and reduce cardiovascular risk in type 2 diabetes patients. Section 4: Risk Factor Impacts (55:30 - 1:10:00) Hyperlipidemia & Obesity Hyperlipidemia and obesity management, including medications like semaglutide, play key roles in preventing cardiovascular disease. The 2024 ESC hypertension guidelines are also crucial in risk reduction.

Biesler, Jörg www.deutschlandfunk.de, Kultur heute

A stem cell transplant for blood cancer is just the beginning – what may come next for the patient can… The post Beyond the Transplant: Navigating Graft-vs-Host Disease (GVHD) first appeared on The Bloodline with LLS.

For Maggie Mackellar, writing was never in her plans. She initially wanted to be a vet or mountain climber before eventually settling into a career as an academic. Mackellar’s love for writing came while studying a PhD in history at the University of Sydney. Now, as a writer and historian living on the east coast of Tasmania, Maggie writes the much-loved newsletter The Sit Spot and is the author of five books, including ‘Graft’, which was shortlisted for the Prime Minister’s Literary Awards and longlisted for the Stella Prize in 2024. Joining Georgina Godwin during Adelaide Writer’s Week 2024, she speaks about her upbringing, motherhood and her career so far. See omnystudio.com/listener for privacy information.

In this episode of ASTCT Talks, Dr. Taha Al-Juhaishi welcomes Dr. Lori Muffly, Associate Professor in the Division of Blood and Marrow Transplantation-Cellular Therapies at Stanford University, to discuss groundbreaking advancements in graft selection and manipulation in hematopoietic cell transplantation. They explore the evolution of graft engineering strategies aimed at improving patient outcomes, with a focus on Orca-T, an innovative cell therapy designed to reduce graft-versus-host disease while maintaining graft-versus-leukemia effects. Dr. Muffly provides insights into the clinical development of this promising therapy, its impact on patient recovery, and the future of transplantation. Tune in to learn about the latest research and what it means for the future of cellular therapy.

In this interview, Drs. Scali and Spratt discuss how the historical norms are being challenged for connective tissue disease patients (CTD) and endovascular repair.

AP correspondent Karen Chammas reports on a new prison sentence for already imprisoned former Pakistani PM Imran Khan.

Listen to a soundcast of the 12.18.2024 FDA approval of Ryoncil (remestemcel-L-rknd) for steroid-refractory acute graft versus host disease in pediatric patients.

A new petition to make Bourbon Street pedestrian-only now has more than 5,000 signatures. The petition comes after the deadly attack on New Year's Day when a driver rammed an SUV down Bourbon Street, killing 14 and injuring more than 30 others. Chris Olsen, French Quarter resident and owner of the vintage stores Vice and Graft and Swamp Rags, started this petition on Change.org. He joins us for more on the efforts to make the area safer.Last week, Bogalusa mayor Tyrin Truong was arrested as part of a multi-agency drug trafficking investigation. The Democrat was elected at just 23 years old, becoming the youngest mayor in the city's history, ushering in a wave of hope and modernity to a community in decline. Now he's facing charges for drug offenses and soliciting sex workers. Reporter for the Picayune Item Alex Moraski joins us with the latest on this investigation and what's next for Bogalusa.The new city of St. George is taking shape. After seceding from Baton Rouge in April of last year, the city now has an approved tax to fund its budget and upcoming leadership elections. But there's some tension surrounding big proposed salaries for the city's leadersPatrick Sloan-Turner has been covering the development of St. George for the Baton Rouge Advocate. He joins us with the latest updates.___Today's episode of Louisiana Considered was hosted by Karen Henderson. Our managing producer is Alana Schrieber. We receive production and technical support from Garrett Pittman, Adam Vos and our assistant producer, Aubry Procell. You can listen to Louisiana Considered Monday through Friday at noon and 7 p.m. It's available on Spotify, the NPR App and wherever you get your podcasts. Louisiana Considered wants to hear from you! Please fill out our pitch line to let us know what kinds of story ideas you have for our show. And while you're at it, fill out our listener survey! We want to keep bringing you the kinds of conversations you'd like to listen to.Louisiana Considered is made possible with support from our listeners. Thank you!

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

Send us a textAt the age of eight, Gertrude Simmons Bonnin (later known by her pen name Zitkála-Šá) left her Yankton Dakota reservation to attend a missionary boarding school for Native Americans, a harsh and abusive experience about which she eventually wrote a series of articles published in The Atlantic Monthly. Jessi Haley, editorial director of Cita Press (which just published a free anthology of the author's work) joins Yankton Dakota poet Erin Marie Lynch to discuss how Zitkála-Šá's sense of cultural displacement impacted her life and literary output.Mentioned in this episode:Free edition of Planted in a Strange Earth: Selected Writings of Zitkála-Šá by Cita PressCita Press's Substack newsletter on Zitkála-ŠáRemoval Acts by Erin Marie LynchZitkála-ŠáElla Cara DeloriaStanding Rock Sioux TribeYankton Dakota peopleSugarcane 2024 documentaryAir/Light magazineJoe Biden's October 2024 federal apology to Indigenous AmericansCarlisle Indian Industrial SchoolRichard Henry PrattEarlham CollegeThe Sun Dance OperaPBS's “Unladylike” documentary episode on Zitkála-ŠáKillers of the Flower Moon by David Grann “Oklahoma's Poor Rich Indians: An Orgy of Graft and Exploitation of the Five Civilized Tribes, Legalized Robbery” by Zitkála-ŠáP. Jane Hafen's Support the showFor episodes and show notes, visit: LostLadiesofLit.comDiscuss episodes on our Facebook Forum. Follow us on instagram @lostladiesoflit. Follow Kim on twitter @kaskew. Sign up for our newsletter: LostLadiesofLit.com Email us: Contact — Lost Ladies of Lit Podcast

In today's episode of Girls with Graft, we're honored to feature Alexi Pyles—a burn survivor, Licensed Professional Clinical Counselor (LPCC), and Certified Rehabilitation Counselor (CRC). Alexi's journey began halfway around the world when she was just six months old, and her experiences have fueled a lifelong passion for helping others.Join us as we dive into Alexi's career as a therapist, her invaluable advice for fellow survivors considering therapy, and her reflections on what it truly means to be "healed." We also explore her love for stunts and gymnastics, her expertise in Dialectical Behavior Therapy (DBT), and how creativity plays a vital role in the healing process.  ⭐️ Enjoyed the show? Tell us by leaving a 5-star review and sharing on social media using hashtag #GirlswithGrafts and tagging Phoenix Society for Burn Survivors!   Meet Our Guest Alexi Pyles is a child burn survivor. She was burned at six months old with second and third degree scald burns on her neck and chest. Alexi was abandoned by her parents shortly after the incident. She stayed in an orphanage until the age of two when she was adopted by a single parent mother who brought her back to the states. Alexi doesn't have any memories of her burns, other than what was told. She received extensive burn care from the ages of three to her teens. Due to the lack of immediate care, Alexi did not have the typical burn treatment like skin grafts, expanders, or spending time in a hyperbaric chamber. She had steroidal injections, pressure garments, stitching, and lasers. Today, Alexi is a licensed professional clinical counselor (LPCC) and certified rehabilitation counselor (CRC) with a speciality in DBT therapy modality and trauma informed care. She has worked in many mental health settings including residential, IOP/PHP, hospital, and low acuity outpatient. She currently works for Kaiser Permanente as a psychiatric social worker focusing on their high acuity cases by connecting them to higher levels of care. During her free time, Alexi likes to do stunts and acting, gymnastics, going on hikes especially the beaches and anything creative.  Links Learn more about DBT therapy.Sign up for Phoenix Society's virtual support group.Explore all of Phoenix Society's support offerings.Read “Painting Through the Darkness,” Painting Through the Darkness.Read “Controlling the Internal Flames,” written by Alexi Pyles.Read “Tackling Self-Sabotage,” written by Alexi Pyles.Podcast Sponsor Today's podcast is powered by the National Fire Protection Association! NFPA is a nonprofit that seeks to save lives and reduce loss with information, knowledge, & passion. Learn more about fire safety and explore their educational resources by visiting www.nfpa.org.  Sponsor Girls with Grafts  Interested in becoming a sponsor of the show? Email us at info@phoenix-society.org.  

Dr. Paul Alexander Liberty Hour – Can the choices/picks be the medicine that America needs now? This is left to be seen, but I do have confidence in RFK Jr. in stopping the corrupted, conflicted reach that Big Pharma has into the alphabet health agencies; we must hold ALL agency heads to the fire at the FDA, CDC, NIH, and NIAID...

Unlocking the Harmony of Wine and Music with Femi OyediranWelcome to another exciting episode of The Hilltop Glove Podcast! We're thrilled to have a true wine connoisseur, Femi Oyediran, joining us. As the co-owner of a successful wine shop, Graft, and a renowned sommelier, Femi brings a passion for music that rivals his love for wine. His remarkable journey began at the Charleston Grill, where he quickly ascended through the ranks, mastering the first three levels of the Court of Master Sommeliers in just two years—an impressive feat! With numerous accolades, including a feature in Wine Enthusiast Magazine's '40 Under 40' list and the title of 'Sommelier of the Year' from Food and Wine Magazine, Femi has made a significant impact in the industry.In this episode, we'll explore Femi's experiences in the wine world, his distinctive approach to blending music with wine, and his philosophy on hospitality. Whether you're a wine enthusiast, a music lover, or simply curious about the fascinating intersection of these two realms, this conversation is not to be missed. So, pour yourself a glass and tune in!Graft Wine ShopTHG Season 5 Intro Drops as of 10/20/24. Support the showMake sure to subscribe to us on ⁠Spotify⁠, ⁠Apple Podcasts⁠, and ⁠YouTube⁠. Also follow us on ⁠Instagram⁠ and ⁠Facebook⁠ @hilltopglove. Sponsored by: ⁠@lynxrecording @asylumdigital @celebstudio_ @the_dollarsto @trubrilliance_ . Become a member of our ⁠Patreon⁠ channel to get access to full video episodes, early premieres, and bonus content! Stay tuned for Amplifying Voices: Carolina Storytellers series.