Podcasts about Graft

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

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

Send us a textDr. Kilian Kelly, Ph.D. is Chief Executive Officer and Managing Director of Cynata Therapeutics ( https://cynata.com/ ), a stem cell and regenerative medicine company that is known for its proprietary Cymerus platform, for the scalable and consistent production of mesenchymal stem cell (MSC)-based therapies.Unlike traditional MSC therapies that rely on multiple donors, the Cymerus manufacturing process ensures that cells for therapeutic use can be produced in virtually limitless quantities from a single donor – making the opportunities endless and attractive from a manufacturing standpoint. The company has completed Phase I studies for Graft vs Host disease & Diabetic Foot Ulcers and have a number of Phase II, and even have a Phase III clinical trial, in progress.Dr. Kelly has over 20 years' experience in biopharmaceutical research and development, including almost 15 years focused on the development of mesenchymal stem cell (MSC) based therapies. He joined Cynata in March 2014, initially as Vice President, Product Development, then Chief Operating Officer from May 2019, and since July 2023 has been CEO & MD. At Cynata, he has overseen all stages of the development of the Cymerus induced pluripotent stem cell (iPSC)-derived MSC technology, including the first completed clinical trial of any iPSC-derived product worldwide.Dr. Kelly previously held positions at Biota Pharmaceuticals, Mesoblast Limited, Kendle International, Amgen and AstraZeneca. Dr. Kelly holds a Masters in Pharmacy degree from the Robert Gordon University, Aberdeen, a Ph.D. in Pharmaceutical Sciences from Strathclyde University, Glasgow, and he is a Graduate of the Australian Institute of Company Directors (AICD), Melbourne. He is a member of the International Society for Cell and Gene Therapy (ISCT), the International Society for Stem Cell Research (ISSCR), the Royal Pharmaceutical Society and the AICD.Dr. Kelly also serves on the ISCT Asia-Pacific Industry Committee, the ISSCR Best Practices Working Group for the Development of PSC-Derived Therapies and the Industry Interface Committee of the Center for Commercialization of Regenerative Medicine (CCRM) Australia.#KilianKelly #CynataTherapeutics #InducedPluripotentStemCells #MesenchymalStemCells #Immunomodulation #Immunoregulation #Mesenchymoangioblasts #GraftVersusHostDisease #GVHD #MSC #iPSC #IschaemicHeartDisease #Osteoarthritis #AcuteRespiratoryDistressSyndrome #ARDS #Inflammation #Secretome #Paracrine #RegenerativeMedicine #DiabeticWounds #KidneyTransplantation #ProgressPotentialAndPossibilities #IraPastor #Podcast #Podcaster #ViralPodcast #STEM #Innovation #Technology #Science #ResearchSupport the show

"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.

Dans les années 90, Skin Graft s'impose comme l'un des labels les plus emblématiques de l'underground américain, aux côtés de géants comme Dischord, Touch And Go, Amphetamine Reptile ou Sub Pop. Ce label, véritable symbole de musique audacieuse et innovante, est aussi reconnu pour la qualité irréprochable de ses productions. Acquérir un disque SKiN GRAFT, c'est bien plus que découvrir un univers sonore unique, c'est aussi posséder un objet soigneusement conçu, original, et résolument décalé. Avec une identité forte et des choix artistiques audacieux, Skin Graft est devenu une référence incontournable, à la hauteur des groupes qu'il signe, tels que Melt-Banana, Dazzling Killmen, Zeni Geva, Mount Shasta ou Arab On Radar. Skin Graft est né de la collaboration entre Mark Fischer et Rob Syers, tous deux passionnés de punk hardcore et d'arts visuels. En 1986, ils lancent le fanzine Skin Graft Comix, tiré à 500 exemplaires, qu'ils diffusent lors de concerts et dans les boutiques de disques. Ce fanzine pose les bases de l'esthétique unique qui définira plus tard le label. Fischer, déjà passionné de dessin avant même d'apprendre à écrire, quitte sa ville natale pour Chicago après le lycée, où il apprend l'impression offset. Cette technique, qui consiste à transférer l'image d'une plaque métallique à un rouleau en caoutchouc puis sur du papier, offre une impression de haute qualité et une grande précision. Il met cette compétence à profit pour la pochette de la première sortie du label en 1991, un split de Dazzling Killmen et Mother's Day. Si le fanzine était un projet commun, le label devient rapidement une aventure personnelle pour Fischer, qui choisit désormais seul les groupes à signer. Rob Syers, de son côté, apporte sa touche à l'identité visuelle du label en créant des pochettes et en travaillant sur des projets comme la compilation Sounds to Make You Shudder. Très vite, Skin Graft s'impose comme un acteur majeur de l'underground américain. Comme beaucoup d'autres labels, Skin Graft a dû faire face à d'importants défis de production, surtout avec l'allongement des délais de fabrication des disques depuis la pandémie.Malgré ces difficultés, Skin Graft continue d'explorer différents formats, en adaptant ses artworks pour chaque support. Fischer accorde une attention particulière à la conception des pochettes, jouant sur les contraintes et les possibilités offertes par les digipacks, les vinyles et les cassettes. Il adapte chaque artwork en fonction du format, en exploitant au mieux les spécificités de chacun, comme avec l'album Turbo Mattress des Chinese Stars, qui est sorti exclusivement en CD sous la forme d'un shuriken. Skin Graft reste un label dynamique et créatif. Mark Fischer, fidèle à l'esprit du label, continue d'innover tout en explorant de nouveaux horizons. Pour sa 150e référence, le label a sorti en 2023 une compilation d'Halloween, Sounds to Make You Shudder. Une véritable occasion pour Fischer de rassembler des contributions exclusives d'artistes comme Lovely Little Girls et Upright Forms, avec en prime une introduction de David Yow (The Jesus Lizard). Avec cette sortie, Skin Graft prouve qu'il demeure une référence incontournable dans la scène underground américaine. Dazzling Killmen/Bone Fragments Point Line Plane/Adult contempt Cheer Accident/Done Melt-Banana/Plot in a Pot U.S. Maple/Letter to ZZ Top Terms/Long Dead Fog Lovely Little Girls/Shadow of Bees Arab On Radar/Number Five Xaddax/Lives On Nerves Made In Mexico/Solanas Buñuel/Drug Burn

A sermon on Luke 19:11-27 from our series in Luke's gospel. The sermon was preached by Jamie Maguire on the Lord's Day 23rd March 2025 AD. Listen to a podcast of the sermon …

#AskDrJohnWattsPatients often have numerous questions regarding baldness, hair grafts, hair loss, hair transplant procedures, post-transplant care, and medical treatments for hair loss. This is true for followers of Dr John Watts, who frequently inundate his popular channel with queries on these hair-related topics.Among the common questions are concerns about the condition of hair grafts and their behaviour following a hair transplant procedure. How fragile are hair grafts immediately after the procedure? What should one do if a hair graft becomes dislodged? What precautions are necessary after a hair transplant?In this educational video session, Dr John Watts — a renowned dermatologist, trichologist, and one of Hyderabad's top hair transplant surgeons — provides detailed answers and insights on these topics.Paramsiva 124 asks: “Sir, I want to know how fragile are hair grafts after a hair transplant procedure? Please explain.”Post hair transplant, it's essential to understand that the first 1–2 days are critical for the newly implanted hair grafts. During this period, the grafts are particularly delicate as they begin to bond with the scalp. Proper care during this initial phase is crucial to ensure the success of the transplant.Dr John Watts, a specialist in hair restoration, emphasizes the importance of adhering to specific post-transplant care instructions. He advises that patients should avoid touching or combing the newly implanted grafts. Any form of contact can disrupt the delicate bonding process between the grafts and the scalp. Additionally, patients should resist the urge to scratch or itch the transplanted area, as this can also interfere with the healing process.To maintain the health of the transplanted hair grafts, regular spraying of saline water is recommended. This helps keep the grafts moist and prevents them from drying out, which can be detrimental to their survival and integration with the scalp.However, if a large portion of grafts is affected, the situation may be more complex. In such cases, the team might not be able to reimplant the damaged grafts, and the patient may need to wait until the transplant's results are fully visible before considering corrective procedures.In conclusion, adhering to post-transplant care instructions is vital for achieving optimal results from a hair transplant. By avoiding unnecessary contact with the grafts, keeping them moist, and promptly reporting any issues to the hair transplant team, patients can significantly enhance their chances of a successful outcome.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.

 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.

Host: Charles Turck, PharmD, BCPS, BCCCP Guest: Miguel-Angel Perales, MD Guest: Anna Sureda, MD, PhD Unfortunately, the treatment paradigm for acute graft-versus-host disease (aGVHD) has not changed for a couple of decades as steroids remain the first-line treatment.1 However, steroids are not a targeted therapy, and they have many side effects that are not well tolerated by patients, including life-threatening infections.1-3 Given these risks, it is important to know how to manage infections related to immunosuppression and optimize the care of patients with aGVHD. Joining Dr Charles Turck to discuss the current landscape of aGVHD management are Dr Miguel-Angel Perales and Dr Anna Sureda. Dr Miguel-Angel Perales is the Chief of the Adult Bone Marrow Transplantation Service at Memorial Sloan Kettering Cancer Center in New York, and Dr Sureda is the Head of Clinical Hematology at the University of Barcelona in Spain. 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 Cell Ther. 2022;28(10):707.e1-707.e7. doi:10.1016/j.jtct.2022.04.014 Sullivan PW, Ghushchyan VH, Globe G, Sucher B. Health-related quality of life associated with systemic steroids. Qual Life Res. 2017;26(4):1037-1058. García-Cadenas I, Rivera I, Martino R, et al. Patterns of infection and infection-related mortality in patients with steroid-refractory acute graft versus host disease. Bone Marrow …

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

Welcome to the second installment of an exclusive 8-part ASTCT Talks series, supported by an educational grant from Sanofi US. In this series, ASTCT President Dr. Corey Cutler speaks with authors from each article in the latest Graft versus Host Disease and Late Effects Following Allogeneic Transplantation Journal collection. In this episode, Dr. Cutler is joined by Dr. Nathaniel S. Treister, a recognized expert in oral medicine, to discuss the intricacies of oral chronic GVHD and its impact on oral health following allogeneic hematopoietic cell transplantation. They explore the diagnostic criteria, effective management strategies, and long-term care considerations for patients, highlighting the importance of both supportive care and multidisciplinary collaboration. For further insights, read Dr. Treister's article, “Oral Chronic Graft-versus-Host Disease and Oral Health after Allogeneic Hematopoietic Cell Transplantation — What the Care Team Needs to Know”, and stay tuned as Dr. Cutler and authors continue to provide a comprehensive guide on cGVHD management through this supplement series.

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...

JACC Associate Editor Marc P. Bonaca, MD, FACC, speaks with author Subodh Verma, MD, PhD, and A. Michael A. Lincoff, MD, FACC, about this brief report published in JACC and presented at AHA. Following CABG surgery there remains a markedly high risk of persistent ischemic events, heart failure, and mortality. Semaglutide consistently reduced all cardiovascular outcomes in this population.

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.

Axford is determined to get the scoop on a land deal putting plenty of money into the pockets of crooked politicians. --- Support this podcast: https://podcasters.spotify.com/pod/show/iloveoldtimeradio/support

Professor Thuli Madonsela was South Africa's Public Protector from 2009 to 2016. She's famous for taking on former president Jacob Zuma over his misuse of public money. She received death threats for doing her job. Abideen Olasupo, is Nigerian and belongs to the next generation of anti-corruption activists who believe Artificial Intelligence will empower young people to hold those in public office accountable. He's developed ‘My AI Factchecker', a tool which allows people to verify the factual accuracy of information. They were brought together at the recent One Young World summit in Montreal, Canada. So what can the new generation of corruption activists learn from someone like Thuli Madonsela? And is AI going to be a help or hindrance for the next generation? They answered these questions and more in a discussion with Africa Daily's Mpho Lakaje.

Award-winning artist Edra Soto has an ongoing series of installations based on rejas, wrought iron screens frequently seen outside homes in Puerto Rico. Graft is the latest installation and is on view at Doris C. Freedman Plaza in Central Park through August 2025. Soto joins us to discuss her work as part of a commission through the Public Art Fund.

Independent investigative journalism, broadcasting, trouble-making and muckraking with Brad Friedman of BradBlog.com

In this special Girls with Graft episode, we're spotlighting Fire Prevention Week with Phoenix Partner Summit Fire & Security! Rachel sits down with Steve Rice, a seasoned expert with years of experience as the Operations Manager of the Installation Department at Summit Fire & Security, to discuss all things commercial fire safety. Steve shares practical information on how Summit Fire & Security works with commercial spaces to design, install, and maintain fire systems. He provides valuable insights on prevention systems, the importance of routine safety checks, and what you need to know to stay safe in commercial spaces. Whether at work, staying at a hotel, or going out to eat, this episode equips you with critical information to help you be prepared and protect what matters most.Fire Prevention Week 2024This year's FPW campaign, “Smoke alarms: Make them work for you!™” strives to educate everyone about the importance of having working smoke alarms in the home. Learn more about FPW and how to keep you and your family safe by visiting: https://www.nfpa.org/events/fire-prevention-week