Podcasts about HF

Chemical cardioversion in the ED, HF monitoring, weight loss in AF, and surgical LAA excision are the topics John Mandrola, MD, discusses in this week's podcast. This podcast is intended for healthcare professionals only. To read a partial transcript or to comment, visit: https://www.medscape.com/twic I Chemical Cardioversion of AF in the ED: The FLECA-ED Trial FLECA-ED Rationale paper https://pmc.ncbi.nlm.nih.gov/articles/PMC10299428/ FLECA-ED ESC Slides https://esc365.escardio.org/presentation/321209 Review on Flecainide Use Despite CAST https://doi.org/10.1016/j.hrthm.2025.08.034 RACE 7 ACWAS Trial https://www.nejm.org/doi/full/10.1056/NEJMoa1900353 II Heart Failure Monitoring – The ALLEVIATE-HF Trial ALLEVIATE-HF Trial https://doi.org/10.1016/j.jacc.2026.03.075 CHAMPION Trial https://doi.org/10.1016/S0140-6736(11)60101-3 GUIDE HF Trial https://doi.org/10.1016/S0140-6736(21)01754-2 ALLEVIATE-HF Editorial: Alerts Are Not Treatment https://doi.org/10.1016/j.jacc.2026.04.014 Steve Stiles Medscape report on CHAMPION https://www.medscape.com/viewarticle/755189 III A Negative Weight Loss Study in AF LOSE-AF Trial https://jamanetwork.com/journals/jama/fullarticle/2849335 IV Surgical LAA Excision OPINION Trial https://doi.org/10.1093/eurheartj/ehaf674 LAAOS 3 trial https://www.nejm.org/doi/full/10.1056/NEJMoa2101897 You may also like: The Bob Harrington Show with the Stephen and Suzanne Weiss Dean of Weill Cornell Medicine, Robert A. Harrington, MD. https://www.medscape.com/author/bob-harrington Questions or feedback, please contact news@medscape.net

SUBSCRIBE for weekly episodes every Tuesday!! Welcome & welcome back!!In today's episode, we're talking about what to do when you feel lost, directionless, and unsure of what you want from life.A lot of advice assumes you already have a goal and just need motivation—but what if you don't even know where to begin?I'm sharing what helped me move from feeling stuck, isolated, and uninspired to feeling more aligned, confident, and purposeful. We discuss the importance of structure, getting outside your comfort zone, taking action before you feel ready, creating a vision for your ideal self, and why waiting for clarity often keeps us stuck.Plus, I'm answering your questions on loneliness during a level-up era, healing after a breakup, getting started in the gym, self-care when you're overwhelmed, and sharing some of my current book recommendations.♡ Apply for 1:1 Coaching:https://forms.gle/s3zprpWj8VE5Bkvm8 ♡ Follow me:Instagram: instagram.com/stellaraeTikTok: tiktok.com/@stellaraeherself enjoy & dont forget to tweet/ig story me a screenshot of you listening!10% off PROZIS with code stellarae10 !! http://prozis.com/1LMJGDove clinical care deodorant! https://lvnta.com/lv_1SaEokXx3ya3xlutqADove serum oil body wash!! https://lvnta.com/lv_83ptsalBXfgItvrPFfGet $1000 off the mindbodygreen health coach certification program with code STELLACOACHING !! their new cohort starts June 16, you must apply/sign up by June 12!! https://www.shareasale.com/u.cfm?d=1281553&m=96296&u=1030263 Use my code HF-0449 for up to 10 free meals plus free breakfast for life from HelloFresh!! https://www.filify.co/SHBn0Get $1000 off the health coach certification program I'm doing with promo code STELLACOACHING https://www.shareasale.com/u.cfm?d=1281553&m=96296&u=1030263I edit using Riverside! https://www.riverside.fm/?utm_campaign=campaign_5&utm_medium=affiliate&utm_source=rewardful&via=stella-holtshop my new glo up merch!! https://stellarae.myspreadshop.com/instagram http://instagram.com/stellaraepodcastlisten to and/or support the podcast: https://anchor.fm/stella-raetiktok: http://tiktok.com/@stellaraeherselftwitter: http://twitter.com/stellaraegoodreads: https://www.goodreads.com/user/show/10449999-stella-raemy fav books/products/health: https://www.amazon.com/shop/stellaraejoin my patreon for ad-free episodes, early access, merch discounts, behind the scenes, & more! https://www.patreon.com/stellaraepodlisten on spotify: https://open.spotify.com/show/2DMbeh7EqiqgROIjvW0sI9listen on apple podcasts: https://podcasts.apple.com/us/podcast/the-stella-rae-podcast/id125561818200:00 Intro + what if you don't know what you want in life?02:13 How I felt lost after the pandemic04:24 Structure, routine & socializing changed everything06:46 Why staying home too much keeps you stuck08:00 Prozis sponsor08:55 Do you need to add more to your life—or remove things?10:07 Looking back at childhood passions for clues12:10 Why I hate the "5-year plan" question13:20 Creating a vision for your ideal self15:50 Action creates clarity17:12 Becoming the character you want to be18:55 The power of talking to strangers20:34 The Domino Park bathroom story

Hello and Welcome to the DX Corner for your weekly Dose of DX. I'm Bill, AJ8B. The following DX information comes from Bernie, W3UR, editor of the DailyDX, the WeeklyDX, and the How's DX column in QST. If you would like a free 2-week trial of the DailyDX, your only source of real-time DX information, just drop me a note at thedxmentor@gmail.com  I have some details on the CP7DX DXpedition to Bolivia. They are QRV from Tarija until June 6, including the CQ WW WPX CW weekend. The rest of the time they will do SSB, CW and FT8, 160-6M and EME on 144 and 432 MHz. QSL direct to LU1FM and Club Log OQRS too.  WA7RAR, Chris, is QRV from Bonaire as PJ4CB until June 8, SSB and CW, 20-10M and from POTA sites on the island.   Alain, F8FUA, will be in Kigali, Rwanda, operating holiday style as 9X5KM from June 4 to 13. There will be activity on CW, SSB and Digital on all HF bands, and depending on local conditions, possibly 160 meters. QSO will be uploaded to LoTW and LoTW, but no OQRS. QSL direct or via the bureau to F8FUA.  OH1LEG and OH1MN, Juha and Markus, will again activate OJ0Z and OJ0MN respectively from Market Reef, until June 6. It will be the same gear as previously, a pair of IC-7300 radios and dipoles and other wire antennas. Modes will be SSB and FT8.  Juha says they do four meters down to 160 meters and “I like more low bands.”  They will not do Logbook of the World or eQSL.  3G0Z became QRV from Juan Fernandez using 17m SSB and FT8 with a single-element Delta Loop antenna. Felipe was still installing additional antennas and planned to bring a linear amplifier online to expand capabilities. Weather on the island was cool but manageable—around 15°C (59°F) with clouds, light rain, and mild wind. The antenna site, about 40 meters above sea level, offers strong propagation toward Europe, Africa, and the central U.S. The operation is expected to last about 20 days.  Mac, KC8CPK, is a flight nurse on temporary duty at Kwajalein Atoll, Marshall Islands,  doing Medevac work and is operating as V7/KC8CPK while awaiting his Marshallese license. Because the ham shack and antennas are shared with DARPA and NASA, he can only operate when the equipment is not otherwise in use, though he is trying to get on the air as often as possible. He expects to remain for about three more weeks. Current equipment is an IC-7300 with an M² 7/10/30LP antenna, and 40 meters seems to be the best band for that setup. There are also experimental fan dipoles for lower bands, possibly including 60 meters, but 80 meters is not available.  VR2XAN, Alberto, will be on as XX9TXN from Macao June 2-9, SSB, CW and FT8, all bands 160-6, “with a special focus on North America.” He says he will attempt SSB on 80M “and maybe 160.” QSL to IV3SKB.  ZL3IO, Holger is back in Waitangi, Chatham Islands, using the callsign ZL7IO, today to June 4, including the CQ WPX CW weekend, a single operator all band. QSL to DK7AO.  VP0/H – South Shetland Islands SQ4O, Rafal Mazur, says “If everything goes well, I plan to start broadcasting at the end of May” as HF0PAS from the Polish Antarctic Station Arctowski on King George Island. He has installed a Yagi for 20, 15 and 10 meters as well one for 6 meters. Rafal still has plans to install a dipole for 80 and 40 meters. He is expected to be there until October.  TF1OL, Ólafur, and his wife will be on Boa Vista Island, Cape Verde, from June 12 to June 23 for a 10-day stay. During this time, he will be active on FT8 and FT4 on 80 through 6 meters under the callsign D4OL.   If you have questions or need information, just drop me a note at thedxmentor@gmail.com  Until next week, this is Bill, AJ8B saying 73 and thanks to my XYL Karen for her love and support. I Hope to hear you in the pileups! Have a great DX week! 

We're officially halfway through 2026 and this is your reminder that there is still SO much time to become the person you want to be

Hello and Welcome to the DX Corner for yourweekly Dose of DX. I'm Bill, AJ8B.The Southwest Ohio DX Association (SWODXA)announced its 2025/26 DXpeditioner of the Year Award at the SWODXA DX DinnerFriday night of Hamvention, recognizing an operator who made an exceptionalcontribution to the DX community. The award was given to YL2GM, YurisPetersons, for his solo ZS8W operation from Marion Island. His expeditionlogged 31,672 QSOs and helped activate an entity that moved from #11 to #25 inranking. SWODXA praised the effort as well-organized and successfully carriedout under very challenging conditions. SWODXA alsoannounced the 2025/26 DXpedition of the Year Award honoring excellence inplanning and execution from Most Wanted entities. The award went to the RussianDXpedition Team for their 9U1RU expedition to Burundi, which logged 179,831QSOs and moved the entity from #60 to #106 in ranking. SWODXA recognized theteam for a well-organized operation carried out in a challenging environment.  The following DX informationcomes from Bernie, W3UR, editor of the DailyDX, the WeeklyDX, and the How's DXcolumn in QST. If you would like a free 2-week trial of the DailyDX, your onlysource of real-time DX information, just drop me a note at thedxmentor@gmail.com ZC4 - UK Sovereign Base Areas on Cyprus - G4WXJ, Dave, willoperate as ZC4RH from Dhekelia (KM64ux) between May 24 and 30, using 100watts with Yaesu 857D and Xiegu X6100 radios. He will be active on CW,SSB, FT8, and FT4 modes across 40 to 6 meters, using dipoles andEFHW antennas. 3B9 - Rodrigues I - UR9IDX, Ivan, isQRV until June 1st, as 3B9IDX from Rodrigues Island. His operationswill focus on HF bands, primarily using CW and some SSB, but not FT8. QSLdirect only to his address in Madeira Island, Portugal. 6Y – Jamaica - KQ4PGV, Bill, istraveling to Jamaica from May 31 to June 8 for an anniversary trip and willoperate as KQ4PGV/6Y on the radio when possible. Although experienced with POTAand SOTA, he is new to DXing and will be using an IC-705, tuner, and an amp(either 100W or 50W). He plans to activate parks for POTA using FT8 and Ham2kPortable Logger. CP – Bolivia - Team CP7DX hasreleased some details of the upcoming DXpedition. They plan to be QRV fromTarija May 26 to June 6, including the CQWW WPX CW weekend. The rest of the timethey will do SSB, CW and FT8, 160-6M and EME on 144 and 432 MHz. QSL direct toLU1FM and Club Log OQRS too. PJ4 – Bonaire - WA7RAR, Chris, asPJ4CB will be there again May 27 to June 8, SSB and CW, 20-10M and from POTAsites on the island. For a QSL it's  F8FUA,Alain Esquirol, will be in Kigali, Rwanda, QRV holiday style as 9X5KM from June4 to 13. There will be activity on CW, SSB and Digital on all HF bands, and dependingon local conditions, possibly 160 meters. QSO will be uploaded to LoTW andLoTW, but no OQRS. QSL direct or via the bureau to F8FUA. OH1LEGand OH1MN, Juha and Markus, will again activate OJ0Z and OJ0MN respectivelyfrom Market Reef, from May 30 to June 6, as they hope for good weather forlanding and the one week there.  It willbe the same gear as previously, a pair of IC-7300 radios and dipoles and otherwire antennas. Modes will be SSB and FT8. Juha says they do four meters down to 160 meters and “I like more lowbands.”  They will not do Logbook of theWorld or eQSL. Thisweek, the DX Mentor Podcast will feature an update of the CQ Marathon programby Mark, WC3W. Check them out and let me know what you think.             If you have questions or needinformation, just drop me a note at thedxmentor@gmail.com

durée : 00:00:47 - France Travail propose plusieurs postes H/F dans le bâtiment ! On cherche un couvreur-zingueur H/F pour une entreprise à Terrasson et on recrute un plombier-électricien à Nontron. Vous aimez ce podcast ? Pour écouter tous les épisodes sans limite, rendez-vous sur Radio France

durée : 00:00:34 - Le magasin Weldom à Sarlat recherche un vendeur en électricité H/F et un EHPAD à Lanouaille recrute un aide-soignant H/F pour un remplacement maladie d'un mois renouvelable. Vous aimez ce podcast ? Pour écouter tous les épisodes sans limite, rendez-vous sur Radio France

Welcome back yall!! In today's episode of the pod, we're talking about the REAL process of locking in, leveling up, and becoming your ideal self this summer. I'm breaking down the mindset shifts, habits, routines, and uncomfortable truths that helped me finally stop self-sabotaging and start feeling aligned, disciplined, confident, and motivated in my everyday life.We get into:✨how to stop letting fear and anxiety hold you back✨the “ideal self” mindset that changed everything for me✨overcoming perfectionism & imposter syndrome✨fitness, glow ups, and why confidence comes from action✨why comfort zones keep people stuck✨my honest thoughts on current fitness trends✨how I've changed over the last 6 months✨quitting alcohol & staying locked in✨emotional regulation, discipline, purpose, and self-growthI also share wellness favorites, tanning products, SPF recs, books that changed my mindset, and practical steps you can use to create sustainable habits and real momentum this summer.interested in taking your lock-in to the next level?! fill out my form for 1:1 coaching!! https://forms.gle/s3zprpWj8VE5Bkvm8 enjoy & dont forget to tweet/ig story me a screenshot of you listening!MY CVS STOREFRONT and all my tanning & SPF favs!! https://creators.cvs.com/mypage/stellarae Books mentioned:Relentless by Tim Grover https://amzn.to/4dA4IQ1W1nning by Tim Grover https://amzn.to/4dtiuDHThe Way of Excellence: A Guide to True Greatness and Deep Satisfaction in a Chaotic World by Brad Stulberg https://amzn.to/4tFUqUmLearned Excellence: Mental Disciplines for Leading and Winning from the World's Top Performers by Eric Potterat https://amzn.to/4dvELki 10% off PROZIS with code STELLARAE10 http://prozis.com/1LMJG$60 FREE Groceries + 30% OFF 1st order from Thrive Market!! https://shop.thrivemarket.com/stella6wiUse my code HF-0449 for up to 10 free meals plus free breakfast for life from HelloFreshhttps://www.filify.co/SHBn0Get $1000 off the health coach certification program I did with promo code STELLACOACHING https://www.shareasale.com/u.cfm?d=1281553&m=96296&u=1030263Follow me!!instagram http://instagram.com/stellaraepodcastlisten to and/or support the podcast: https://anchor.fm/stella-raetiktok: http://tiktok.com/@stellaraeherselftwitter: http://twitter.com/stellaraegoodreads: https://www.goodreads.com/user/show/10449999-stella-raemy fav books/products/health: https://www.amazon.com/shop/stellarae00:00 — entering a new level of the lock-in01:05 — welcome back + summer mindset shift01:42 — my self-tan routine & CVS beauty favorites04:40 — getting clear on your ideal vision05:45 — overcoming gym anxiety & imposter syndrome07:10 — the mindset of top performers & excellence09:38 — becoming your ideal self through action10:18 — Thrive Market sponsor10:55 — the gym flood story & speaking up for yourself12:15 — why perfectionism keeps people stuck13:05 — the “obstacle is the way” mindset explained16:25 — comfort zones, dopamine & modern distractions17:05 — breaking goals into smaller habits18:40 — creating systems, schedules & accountability20:10 — why staying mentally sharp matters20:48 — Prozis sponsor21:15 — “the faster i walk, the more money i make”23:50 — why you can't care what people think25:10 — social conditioning, literacy & thinking for yourself27:20 — leading by example like Michael Jordan29:10 — emotional regulation & self-control30:18 — HelloFresh sponsor31:15 — excellence vs happiness32:50 — purpose, fulfillment & avoiding empty distractions33:40 — six months without alcohol update35:25 — how to ACTUALLY lock in this summer37:55 — answering your questions from IG38:20 — my honest thoughts on fitness trends39:00 — pilates, lifting weights & celebrity fitness culture40:20 — getting into running & recovery41:10 — favorite SPF products for summer42:30 — final thoughts + summer glow up energy#StellaRaePodcast

Started late and still broke into Investment Banking. In this video, Liam shares how he caught up, navigated recruiting, and landed a real Investment Banking offer at Truist. If you feel behind in finance recruiting or internships, this story shows what it actually takes to break into Wall Street. Chapters 0:00 - Intro 1:21 - Unclear Direction 2:09 - Turning Point 3:16 - Late Start 3:58 - Catching Up 4:41 - Application Results 4:56 - Doubt Phase 6:08 - Interview Process 7:16 - Post Interview Thoughts 10:27 - The Offer 10:53 - Advice 11:29 - Handling Pressure -----------------------------------------------------------------------------------------------------

Send us Fan MailA robot gets sworn in as a monk, NASA supposedly drops 12,000 Artemis II photos that are strangely hard to track down, and scientists argue over how fast the universe is expanding. That's the kind of headline mix we can't ignore, so we talk it through the only way we know how: one topic at a time, with questions, a little humor, and a strong urge to separate facts from hype. Before the “crazy news,” we catch up on the real world stuff that shapes everything else: allergies, mowing season, and a full ham radio update from the backyard. Bruce breaks down an HF antenna rebuild attempt, why noise can ruin an otherwise decent SWR reading, and why an off center fed dipole can be a practical win when conditions get frustrating. We also nerd out on podcast audio, including SM58 mic tweaks, EQ adjustments, and a windscreen experiment aimed at a deeper, cleaner sound. Then we get to our earthquake report and weather check, share a new baseline method for tracking weekly seismic activity, and talk simple preparedness like keeping extra water and food on hand. We close with infrasound research that may explain paranormal experiences, reactions to UFO file releases, and concerns about data centers and the bigger AI infrastructure buildout, plus a reminder to stay prayerful and positive even when the news feels heavy. If any of this hits a nerve, listen through, share the episode with a friend, and leave us a review or message so we know what you want us to dig into next.Support the show I hope you enjoy the show!  If you find value in our show,Come back, and tell a friend. Sharing the podcast with someone is a very good way for us to grow.Pray for us.Contact Us. Email: theuglyquackingduck@gmail.com.  Send us Fan Mail: Under our description you will find a link you can text us or record a message. It is so easy a duck can do it. Just letting us know you are out there listening is a big boost!Help us with ideas, technology, art work, etc.Support us financially. The equipment, the Podcast hosting, the web page all costs.  “Support the Podcast”Anyway you can support us is very much appreciated! Thank You. Until Next time.73 and may the Father's love go with you.Bruce  Email:          theuglyquackingduck@gmail.comWebsite:     https://theuglyquackingduck.com/

Discover how dual sodium-glucose cotransporter 1/2 (SGLT1/2) inhibition can improve outcomes for your patients across the heart failure (HF) spectrum. Credit available for this activity expires: 05/15/27 Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/beyond-sglt2-emerging-role-dual-sglt1-2-inhibition-heart-2026a1000es7?ecd=bdc_podcast_libsyn_mscpedu

Send us Fan MailA robot gets sworn in as a monk, NASA supposedly drops 12,000 Artemis II photos that are strangely hard to track down, and scientists argue over how fast the universe is expanding. That's the kind of headline mix we can't ignore, so we talk it through the only way we know how: one topic at a time, with questions, a little humor, and a strong urge to separate facts from hype. Before the “crazy news,” we catch up on the real world stuff that shapes everything else: allergies, mowing season, and a full ham radio update from the backyard. Bruce breaks down an HF antenna rebuild attempt, why noise can ruin an otherwise decent SWR reading, and why an off center fed dipole can be a practical win when conditions get frustrating. We also nerd out on podcast audio, including SM58 mic tweaks, EQ adjustments, and a windscreen experiment aimed at a deeper, cleaner sound. Then we get to our earthquake report and weather check, share a new baseline method for tracking weekly seismic activity, and talk simple preparedness like keeping extra water and food on hand. We close with infrasound research that may explain paranormal experiences, reactions to UFO file releases, and concerns about data centers and the bigger AI infrastructure buildout, plus a reminder to stay prayerful and positive even when the news feels heavy. If any of this hits a nerve, listen through, share the episode with a friend, and leave us a review or message so we know what you want us to dig into next.Support the show I hope you enjoy the show!  If you find value in our show,Come back, and tell a friend. Sharing the podcast with someone is a very good way for us to grow.Pray for us.Contact Us. Email: theuglyquackingduck@gmail.com.  Send us Fan Mail: Under our description you will find a link you can text us or record a message. It is so easy a duck can do it. Just letting us know you are out there listening is a big boost!Help us with ideas, technology, art work, etc.Support us financially. The equipment, the Podcast hosting, the web page all costs.  “Support the Podcast”Anyway you can support us is very much appreciated! Thank You. Until Next time.73 and may the Father's love go with you.Bruce  Email:          theuglyquackingduck@gmail.comWebsite:     https://theuglyquackingduck.com/

durée : 00:00:26 - On recrute un psychologue H/F pour un CDI en temps partiel à l'ESAT Brousse Saint-Christophe qui appartient à l'association Les Papillons Blancs de Bergerac. Vous aimez ce podcast ? Pour écouter tous les épisodes sans limite, rendez-vous sur Radio France

Hello and Welcome to the DX Corner for yourweekly Dose of DX. I'm Bill, AJ8B.The following DX information comes from Bernie, W3UR, editor of the DailyDX, the WeeklyDX, and the How's DXcolumn in QST. If you would like a free 2-week trial of the DailyDX, your only source of real-time DX information, just drop me a note at thedxmentor@gmail.comXT - Burkina Faso – Harald, DF2SWO,goes again to Burkina Faso using the callsign XT2AW, until May 19.  Harald plans to be on HF and the QO-100 satellite and he welcomes skeds.   CN – Morocco - CN2NQV is the call for F8NQV who is QRV until July 11.  The QTH is the town of Sidi Rahal Chatai, on the Atlantic Ocean, 70 kilometers south of Casablanca.   Pascal's gear runs 100 watts to a Diamond vertical on the rooftop, about 15 meters above ground level. 5Z - Kenya  - 5Z4/MM0ZBH is QRV Holiday Style until June 15, with 100 watts and wire antennas.  QSL via the MM0ZBH home QTH, but his first choice is Logbook of the World foryour request.  Direct is SAE, no USD or IRC needed.  Paul says"I am happy to pay return postage." A6 - United Arab Emirates (UAE) - Many A60PE/##calls will be on the air as part of a national campaign of pride,"Proud of the Emirates."  Flag Day and Union Day (National Day) are popular national pride days.  The current event goes through May 31.  A3 – Tonga - JH3QFL, Takio, will operate as A31AA from Tongatapu Island, Tonga between May 14–22, 2026, onthe 80m–6m bands. QSL cards are available via SASE, and QSOs will be uploaded to LoTW. T8 – Palau - T88IL, T88JH and T88KY will be an operation May 21-24, ops JF3PLF, JR3QFB and JA1MFR, from Koror.  Masa, Yoshi, and Masa will be on 160-6M SSB, CW and digital. QSL details are on QRZ.com.  ZC4 - UK Sovereign Base Areas on Cyprus - G4WXJ, Dave, will operate as ZC4RH from Dhekelia (KM64ux) between May 24 and 30, using 100 watts with Yaesu 857D and Xiegu X6100 radios. He will be active on CW, SSB, FT8, and FT4 modes across 40 to 6 meters, using dipoles and EFHW antennas. 3B9 - Rodrigues I - UR9IDX, Ivan, is QRV until June 1st, as 3B9IDX from Rodrigues Island. His operations will focus on HF bands, primarily using CW and some SSB, but not FT8. QSLdirect only to his address in Madeira Island, Portugal. JW – Svalbard - G1VAQ, Tom, will be briefly operating as JW/G1VAQ from Svalbard in May, using portable QRP (5W)CW on 20 meters. He asks for patience with his CW and notes that QSOs will be confirmed via LoTW and QRZ.com after his return to the UK. OX – Gree nland - OZ1DJJ, Bo, will be active as OX3LX from Aasiaat Island until May 22nd. This activity is part of a work trip, not a DXpedition, so limited radio contacts are expected. 6Y – Jamaica - KQ4PGV, Bill, is traveling to Jamaica from May 31 to June 8 for an anniversary trip and will operate as KQ4PGV/6Y on the radio when possible. Although experienced with POTA and SOTA, he is new to DXing and will be using an IC-705, tuner, and an amp (either 100W or 50W). He plans to activate parks for POTA using FT8 and Ham2kPortable Logger. CP – Bolivia - Team CP7DX has released some details of the upcoming DXpedition. They plan to be QRV from Tarija May 26 to June 6, including the CQ WW WPX CW weekend. The rest of the time they will do SSB, CW and FT8, 160-6M and EME on 144 and 432 MHz. QSL direct to LU1FM and Club Log OQRS too. PJ4 – Bonaire - WA7RAR, Chris, as PJ4CB will be there again May 27 to June 8, SSB and CW, 20-10M and from POTAsites on the island.  4K – Azerbaijan - The first ever POTA activation from Absheron National Park, AZ-0004 is May 28. The 4K0T“DXpedition and Contest Team” is going, joined by the ARAS, the Azerbaijan Radio Amateurs Society. They say the park is remarkable, on the Caspian Sea. It is grid LN50eg. They plan HF SSB and will have live updates, photos, logs and QSL info as things unfold.

GB2RS News Sunday, the 17th of May 2026 The news headlines: The RSGB releases a new set of mock exam papers Which RSGB Convention workshop will you take part in? Listen to Milton Keynes Hospital radio for an interview with the RSGB National Radio Centre Coordinator The RSGB Exams Team is pleased to publish new mock exam papers for Foundation and Intermediate levels. There are three for each level, and you can find them on the RSGB website at rsgb.org/mock-exams. These take into account all the changes to the syllabus and exam question bank which have been made since the last sets of mock exam papers were published. The Exams Team will not be publishing new mock papers for the Full level as the entire Full licence question bank is now available online. Candidates and Trainers can create their own full-level mock papers using the questions at rsgb.org/exam-questions The RSGB is running a practical and thought-provoking workshop for radio amateurs, makers, and home constructors, who want to understand what AI really is, what it is good at, where it can go wrong and why it matters. The session will run during the RSGB Convention on both Saturday, the 10th and Sunday, the 11th of October. It will use plain English and real examples from personal projects and will show how large language models can act as useful thinking partners for learning, writing, coding and building. At only £15 for a two-hour session, this is an opportunity not to be missed. As well as this, the Society is running an additional workshop on Friday, the 9th of October. In this six-hour workshop, you will learn how to use the NanoVNA effectively, understand its practical limitations and apply it confidently in your shack. You will also learn to calibrate the device correctly and complete hands-on exercises using your own NanoVNA. This RSGB member-only workshop costs £50 and includes lunch and refreshments. Both workshops are filled on a first-come, first-served basis and are limited to 20 people per session. Book now at rsgb.org/convention Listen out for RSGB National Radio Centre Coordinator Martyn Baker, G0GMB on Milton Keynes Hospital radio tomorrow, Monday the 18th of May. Martyn met presenter Sophie at the Hospital Broadcasting Association's annual conference in March, when NRC volunteers spoke with attendees about amateur radio. During the interview, you'll hear Martyn talking about a range of topics, from why amateur radio can be an exciting and rewarding hobby to his work at the Centre and the role of the RSGB. He will also explain how amateur radio can contribute to mental well-being and prevent social isolation. You can listen to the broadcast from 1 pm by going to mkhrs.org.uk  and selecting ‘click to listen' in the top right-hand corner. Today, Sunday the 17th of May, is the last day of Mental Health Awareness week, and this year's campaign looks at taking action to support good mental health. The RSGB highlights some of the small actions that radio amateurs can do that can have a big impact. This includes showing kindness to one another, listening to each other and taking a few extra minutes to engage in a conversation. Over four days in May and June, Humber Fortress DX Amateur Radio Club is playing its part in raising awareness for men's mental health. Club members will be operating special call sign GB0MMH, and they are inviting radio amateurs to make contact. As the club says, let's break the silence one transmission at a time. Find out more on QRZ.com  and support this great initiative. If you have a story you'd like to share that relates to amateur radio and mental health, please email comms@rsgb.org.uk Please send details of all your news and events to radcom@rsgb.org.uk. The deadline for submissions is 10 am on Thursdays before the Sunday broadcast each week.   And now for details of rallies and events Today, Sunday the 17th, Dunstable Downs Radio Rally is taking place at Stockwood Park in Luton. The boot sale is open to traders from 7.30 am and to visitors from 9 am. The entrance fee, which includes car parking, is £4 per vehicle. Find out more at dunstabledownsradioclub.org/bootsale Durham and District Amateur Radio Society Radio Rally will take place on Sunday, the 24th of May at Bowburn Community Centre, Bowburn, Co Durham, DH6 5AT. The doors will be open from 10.10 am to 2.30 pm, with disabled visitors gaining access at 10 am. The entry fee is £3. There will be a bring-and-buy sale, trade stands, special interest groups and an RSGB bookstall. Catering will be available on site. For more information, contact Michael Wright, G7TWX, on 07826 924 192 or email dadars@gmx.com Now the Special Event news The Cornish Radio Amateur Club is active from Pendennis Point in Cornwall until the end of May with special event callsign GB1SOS in support of SOS Radio month. Look out for activity each Sunday on the 40 and 20m bands using SSB. Special event station SP100CVO is active to mark the 100th anniversary of the birth of Ludomir Mączka, SP1CVO. Mączka was an outstanding Polish geologist, sailor and amateur radio operator. His legendary vessel ‘Maria' was the first Polish yacht to circumnavigate the globe twice, crossing the Atlantic, Indian and Pacific Oceans multiple times. For more information, including details of awards that are available for working the station, visit QRZ.com The Salamis radio team in Greece is active with special callsign SX85CB to mark the 85th anniversary of the Battle of Crete during the Second World War. More details are available via QRZ.com Now the DX news Harald, DF2WO, is active as XT2AW from Ouagadougou, Burkina Faso, until Tuesday, the 19th of May. He operates using CW, SSB and FT modes on various HF bands and via the QO-100 satellite. QSL via OQRS. Pascal, F8NQV, is active as CN2NQV from Morocco until the 11th of July. The station has been spotted recently on the 20, 17 and 15m bands using SSB. Now the contest news The RSGB 144MHz May Contest started at 1400UTC yesterday, the 16th, and ends at 1400UTC today, Sunday the 17th of May. Using all modes on the 2m band, the exchange is signal report, serial number and locator. UK stations also send their postcode. Today, the 17th of May, the RSGB 1st 144MHz Backpackers Contest runs from 1000 to 1400UTC. Using all modes on the 2m band, the exchange is signal report, serial number and locator. UK stations also send their postcode. Tomorrow, the 18th of May, the RSGB FT4 Series Contest runs from 1900 to 2100UTC. Using FT4 on the 80 to 10m bands, where contests are permitted, the exchange is your report. On Tuesday, the 19th of May, the RSGB 1.3GHz UK Activity Contest runs from 1900 to 2130UTC. Using all modes on 1.3GHz frequencies, the exchange is signal report, serial number and locator. On Wednesday, the 20th of May, the RSGB 80m Club Championship runs from 1900 to 2030UTC. Using data modes on the 80m band, the exchange is signal report and serial number. On Thursday, the 21st of May, the RSGB 70MHz UK Activity Contest runs from 1900 to 2130UTC. Using all modes on the 4m band, the exchange is signal report and serial number. On Sunday, the 24th of May, the RSGB 10GHz Trophy runs from 0800 to 1400UTC. Using all modes on 10GHz frequencies, the exchange is signal report and serial number. Also, on Sunday, the 24th of May, the UK Microwave Group High Band Contest runs from 0800 to 1700UTC. Using all modes on 5.7 and 10GHz frequencies, the exchange is signal report and serial number. Now the radio propagation report, compiled by G0KYA, G3YLA and G4BAO on Thursday the 14th of May 2026 We hate to start the report on a negative note, but we are about to experience unsettled geomagnetic conditions over the next few days. The culprit is a large coronal hole on the Sun, which rotated into an Earth-facing position on Thursday, the 14th of May. This large coronal hole, an area with open magnetic field lines, has already been responsible for an increase in the solar wind speed to more than 420 kilometres per second. We can expect it to get worse as the weekend progresses. The hole spans the solar equator, so it is ideally placed to create maximum disruption to Earth. If the Bz interplanetary magnetic field swings south, we could see the Kp index rise and maximum usable frequencies, or MUFs, decline. If this happens, expect poor conditions until tomorrow, Monday, the 18th of May. Meanwhile, the solar flux index declined to 103 on Thursday, the 14th of May, which starts to put us in a difficult spot. Usually, we say that a solar flux index of 100 or more is needed for the 10m band to open. So it may be that you'll need to move lower in frequency for reliable HF openings. DX to be worked next week includes 3B9IDX from Rodrigues Island, T31TTT on Kanton Island, the last few days of XT2AW from Burkina Faso, and FO/F6BCW in French Polynesia. The Propagation Studies Committee's space weather station at Baldock identified a solar flare on Sunday, the 10th of May. The Doppler Flash, or Sudden Frequency Deviation, was triggered by an M5.7 solar flare that began at 1319UTC. While ‘Flash' is a good term for the fast-rising edge, the GB0PSC receiver has captured fine detail on the 20MHz signal from the WWV station in Colorado, showing multiple oscillations over a few minutes. X-ray radiation from the flare quickly increased absorption in the D region, reducing signal levels into the noise after ten minutes. But those minutes are crucial as they provide data to test whether X-rays or extreme UV from the flare were responsible for the Doppler shift and propagation anomaly. Next week, NOAA predicts that the solar flux index could rise to be in the 120 to 130 range, which puts us back in the fun zone. Unfortunately, and for the reasons mentioned earlier, we can expect to see a Kp index of 5 this weekend, but it will eventually decline to perhaps 2 or 3 as the week progresses. And now the VHF and up propagation news from G3YLA and G4BAO The background pattern of unsettled weather remains with us for a while over the UK as a whole, but subtle changes from a cold northerly to a warmer southerly wind will bring higher temperatures back again.   To end the previous week, the cold northerly has brought some heavy showers with hail and thunder in places, and the GHz bands will have seen some rain scatter opportunities. The transition to a more southerly origin of the air will be taking place over this weekend, and although high pressure develops later in the week, we may have to wait until after midweek for any chance of tropo. The next few weeks encompass a couple of minor meteor showers, the Tau Herculids and daytime Arietids, to add to the random background input. There should be something to interest those looking for meteor scatter activity, and of course, it all contributes to the ‘fuel' for Sporadic-E, which is largely comprised of meteor ionisation.  The solar activity has recently been offering a few minor enhancements of the Kp index, but no great results on the aurora front.  Sporadic-E has been producing results on 6m digital modes, where there have been brief openings to VK, XT, DU2 and the USA for those lucky enough to catch them. The usual technique of checking during the two main activity windows of mid-morning and late afternoon should improve your chances. If you get an opportunity to look at the jet stream patterns, it can be worthwhile trying paths that cross these since it's believed they are good sources of atmospheric gravity waves that can reach the E region to aid the production of Sporadic-E. EME now: with maximum declination, the period of longest moon windows, now almost coinciding with perigee, the period of lowest path loss, conditions are at their best for the northern hemisphere. Moon declination is positive, reaching maximum tomorrow, Monday, the 18th of May. Path losses are at their lowest as we reach perigee today, the 17th. The 144MHz sky temperature is low all week. And that's all from the propagation team this week.

The landscape of faith-based learning has shifted dramatically in recent years. What was once a choice between traditional private schools and homeschooling has expanded into a vibrant ecosystem of micro schools, co-ops, and hybrid models. In this episode, we sit down with Jonathan Edmondson from the Herzog Foundation to explore the post-COVID boom in Christian education. Jonathan shares how the “modern one-room schoolhouse” is making a comeback and why parents are more empowered than ever to shape their children’s learning environments. Whether you are a parent looking for better options or an educator with a dream to start something new, this conversation provides the roadmap and the resources to make it happen.   IN THIS EPISODE, YOU WILL LEARN: The Post-COVID Shift: Why Christian education is experiencing unprecedented growth and how the “new normal” favors parental involvement. The Rise of Micro Schools: Understanding how these intimate, flexible learning environments offer a “modern one-room schoolhouse” experience. Empowering Parents & Educators: How the Herzog Foundation is removing the barriers to entry for starting new faith-based programs. Practical Steps to Start: Insights into the Herzog Foundation’s free eight-step online training process for school startups. A Shared Mission: Why the future of Christian education depends on community-driven, innovative solutions.   RESOURCES MENTIONED: Herzog Foundation TTD365 Membership– Were you not able to join us at TTD this year? Don’t miss out on the encouragement. Listen to all sessions through our membership!    ABOUT THE GUEST:  Jonathan Edmondson is the administrator of the SchoolBox and HF Homeschool programs at the Herzog Foundation, which have supported over 500 Christian school and homeschool launches in the past three years. A product of Christian education himself, Jonathan is a believer and advocate of a child's education including Christian morality and discipleship, in addition to rigorous academic standards.   PODCAST SPONSOR: Hey homeschool families! I want to tell you about HF Homeschool. It's a free, online guide to help you start a Christian homeschool group or co-op. You can go at your own pace, and if you finish the coursework, HF will even fund a mentor—a free coach to help your homeschool thrive. They're also sponsoring the Teach Them Diligently conference, packed with workshops, resources, and fellowship with other Christian homeschool families. It's a great way to connect, learn, and be encouraged in your homeschool journey. Check it out and sign up today at hfhomeschool.com!  

Hello and Welcome to the DX Corner for yourweekly Dose of DX. I'm Bill, AJ8B.The following DX information comes from Bernie, W3UR, editor of the DailyDX, the WeeklyDX, and the How's DXcolumn in QST. If you would like a free 2-week trial of the DailyDX, your only source of real-time DX information, just drop me a note at thedxmentor@gmail.comXT - Burkina Faso – Harald, DF2SWO, goes again to Burkina Faso using the callsign XT2AW, until May 19. Harald plans to be on HF and the QO-100 satellite and he welcomesskeds.  CE0 - Juan Fernandez - 3G0Z is the call for XQ7IR, Felipe, when he goes later this month.  His call will be XR0Z when he's on Alejandro Selkirk Island, SA-101, a possible side trip for 24-36 hours.  His gear has been sent ahead successfully, from Valparaiso to Juan Fernandez Island. CN – Morocco - CN2NQV is the call for F8NQV who is QRV until July 11.  The QTH is the town of Sidi Rahal Chatai, on the Atlantic Ocean, 70 kilometers south of Casablanca.Pascal's gear runs 100 watts to a Diamond vertical on the rooftop, about 15 meters above ground level. 5Z - Kenya  - 5Z4/MM0ZBH is QRV Holiday Style until June 15, with 100 watts and wire antennas.  QSL via the MM0ZBH home QTH, but his first choice is Logbook of the World foryour request.  Direct is SAE, no USD or IRC needed.  Paul says"I am happy to pay return postage." A6 - United Arab Emirates (UAE) - Many A60PE/##calls will be on the air as part of a national campaign of pride,"Proud of the Emirates."  Flag Day and Union Day (National Day) are popular national pride days.  The current event goes through May 31.  TF – Iceland - TF/WE9G, Rikk,will again be traveling, this time to Borg, Iceland, May 10-19, IOTA EU-021 and grid HP94ob.  He will have three radios on, a pair of IC-7300 radios and an IC-705, to a homebrew vertical, a tunable vertical, and a G5RV-E.  He will do 160-6, mostly FT8/4/2 "with some SSB and CW."  A Park on the Air, POTA, is a possibility, depending on his local transportation there.  QSL direct or bureau to WE9G and TF/WE9G on Club Log OQRS, QRZ and LoTW.  He plans real time log uploads and also Club Log livestream.    T8 – Palau - T88IL, T88JH and T88KY will be an operation May 21-24, ops JF3PLF, JR3QFB and JA1MFR, from Koror.  Masa, Yoshi, and Masa will be on 160-6M SSB, CW and digital. QSL details are on QRZ.com.  ET – Ethiopia - DL9WVM, Ulli, says he has two more weeks in Addis, and is QRV on CW from ET3AA as time permits.  He is there visiting family.  W9XY, Bob, say he may do some remote operating from that station, when DL9WVM is not operating.  K4ZW, Ken, will also be there, next weekend.  QSLs for K4ZW operations will go to N2OO as usual. ZC4 - UK Sovereign Base Areas on Cyprus - G4WXJ, Dave, will operate as ZC4RH from Dhekelia (KM64ux) between May 24 and 30, using 100 watts with Yaesu 857D and Xiegu X6100 radios. He will be active on CW, SSB, FT8, and FT4 modes across 40 to 6 meters, using dipoles and EFHW antennas. TK – Corsica - F4FTV, Fabrice, will operate as TK/F4FTV from Porto-Vecchio, Corsica, from May 9 to 16, using SSB and digital modes. QSL is available via F4FTV and LoTW after three months.OX – Greenland - TF1OL, Olafur, plans to be QRV from Nuuk, Greenland from May 10 to 17. 3B8 - Mauritius & 3B9 - Rodrigues I - UR9IDX, Ivan, recently operated from Reunion Island (FR/UR9IDX, Mayotte (FH/UR9IDX)  and Comoros (D60DX), is QRV as 3B8IDX until May 16 from Mauritius and as 3B9IDX (May 18-June 1) from Rodrigues Island. His operations will focus on HF bands, primarily using CW and some SSB, but not FT8. QSL direct only to his address in Madeira Island, Portugal.

On this week’s show, we talk about the new Minnesota state record sturgeon that was caught last week. This leads us down a rabbit hole of proper sturgeon handling practices and just how well the population is doing in MN. We also talk about new legislation that could ban some use of Forward-Facing Sonar in Minnesota. Joel Nelson from onX Fish joins us as well and talks about how their app can help you this weekend for the fishing opener and the rest of the season. Dan goes on a rant about hot tubs. Make sure you're “following” us on your favorite podcast streaming platform so you never miss a show, and if you like what you're hearing, leave us a rating and a review. We'd love to hear from you, and it helps us more than you know! Read the livescope bill we talked about: https://www.revisor.mn.gov/bills/94/2026/0/HF/5111/versions/0/pdf/ Get our new HATS: https://fishhuntforever.myshopify.com/ Save 20% on a new OnX HUNT Membership with the code “SJR20” https://www.onxmaps.com/hunt/app/east https://fishhuntforever.com Find us on Spotify: https://open.spotify.com/show/5OVGMvd5vMvETdClc6ks6q?si=5bfeed6989d04b23 Find us on APPLE PODCASTS: https://podcasts.apple.com/us/podcast/fish-hunt-forever/id1248475232 Find us on FACEBOOK: https://www.facebook.com/fishhuntforever Follow us on INSTAGRAM: https://www.instagram.com/fish.hunt.forever/ Follow BRET on Instagram: https://www.instagram.com/bret.amundson/?hl=en Follow DAN on Instagram: https://www.instagram.com/dan_amundson/?hl=en Find us on TIKTOK: https://www.tiktok.com/@fishhuntforever Follow DAN on TIKTOK: https://www.tiktok.com/@dan.amundson Follow BRET on TIKTOK: https://www.tiktok.com/@bretamundson Get a NEW BOAT: https://www.raysmarinealex.com/ Take a trip to LAKE OF THE WOODS: https://lakeofthewoodsmn.com/ Take a trip to DEVILS LAKE: https://www.haybaleheights.com/index.html Get in on the Rainy River/Lake of the Woods FISH MIGRATION: https://riverbendresort.com/ Learn more about SPACE TRAILERS: https://spacetrailers.com/?srsltid=AfmBOooboQSOhbWZ18_wMvVzkAIZx0uGsJiClXI22XCheqrdD8SEIUHn Learn more about CHEF ROBERTS: https://chefroberts.com/ https://fishhuntforever.com/feed/podcast/ The post Week 713: State Record Sturgeon, Potential Livescope Ban, and Fishing Opener!! appeared first on Fish Hunt Forever.

welcome back yall!! in this episode, i'm talking about choosing to be child-free, the pressure to get married in your late 20s, and the reality behind dating, relationships, and societal expectations for women.we get into: why i'm leaning toward not having kids tbh the truth about “biological clock” pressure marriage, dating, and red flags no one talks about narcissistic patterns in relationships & how to stay grounded, why being single can actually be more freeing than you think. the loneliness of being “locked in” on your glow-uphow to stay aligned when your lifestyle starts changingthis episode is for anyone feeling pressure to follow a traditional path, navigating dating in their late 20s, or trying to build a better life for themselves without losing their identity.you're not behind. you're not missing out. you're choosing your life intentionally.enjoy & dont forget to tweet/ig story me a screenshot of you listening!Check out Bloom Pop prebiotic soda on Amazon! #giftedbybloom #bloompop https://amzn.to/3P6jaH9HELLOFRESH! Get up to 10 free meals plus free breakfast for life with my code HF-0449 https://www.filify.co/SHBn0Get $1000 off the health coach certification program I did with promo code STELLACOACHING , their next cohort starts in June!! https://www.shareasale.com/u.cfm?d=1281553&m=96296&u=1030263I edit using Riverside! https://www.riverside.fm/?utm_campaign=campaign_5&utm_medium=affiliate&utm_source=rewardful&via=stella-holtshop my new glo up merch!! https://stellarae.myspreadshop.com/instagram http://instagram.com/stellaraepodcastlisten to and/or support the podcast: https://anchor.fm/stella-raetiktok: http://tiktok.com/@stellaraeherselftwitter: http://twitter.com/stellaraegoodreads: https://www.goodreads.com/user/show/10449999-stella-raemy fav books/products/health: https://www.amazon.com/shop/stellaraemy current filming set up:camera: https://amzn.to/4cEQiLOmicrophone: https://amzn.to/3Z2A5gctripod: https://amzn.to/3AEmxgKring light: https://amzn.to/3XxZrShbox lights: https://amzn.to/4e1Q1Ubportable light for phone: https://amzn.to/3XxZspjjoin my patreon for ad-free episodes, early access, merch discounts, behind the scenes, & more! https://www.patreon.com/stellaraepodlisten on spotify: https://open.spotify.com/show/2DMbeh7EqiqgROIjvW0sI9listen on apple podcasts: https://podcasts.apple.com/us/podcast/the-stella-rae-podcast/id125561818200:00 intro: why i'm leaning child-free01:30 the pressure to get married + have kids03:00 why people actually want kids (vs what they say)05:00 romanticizing babies vs reality of raising humans06:50 dating experiences & why women are opting out08:30 freedom of being single & child-free10:00 societal conditioning & history behind expectations12:30 choosing your own path vs following the default14:50 hello fresh ad break16:00 influencer relationship tea + warning signs19:30 narcissists, “soul connections” & manipulation22:00 why you need to stay grounded in reality when dating24:00 love bombing vs real connection26:00 dating advice trends & why they don't always work28:00 why being single is actually a blessing30:00 mindbodygreen ad break30:20 loneliness during your glow-up / lock-in era32:00 how to not feel lonely while leveling up34:00 friendships changing when you change35:30 outgrowing people & staying aligned37:00 summer loneliness, comparison & social media39:00 final thoughts: choosing yourself & your life#StellaRaePodcast

Join me on an epic road trip adventure: renting a camper van and touring stunning national parks while activating POTA (Parks on the Air) for ham radio!In this video, I rent a comfortable camper van and hit the open road to explore breathtaking national parks, combining outdoor adventure, camping, scenic drives, and portable amateur radio operations. Watch as I set up my ham radio gear in beautiful park locations to activate multiple POTA entities—making contacts worldwide via HF, CW, SSB, and digital modes while enjoying nature at its finest. Whether you're into ham radio portable ops, POTA activations, van life travel, national park exploration, or just love combining hobbies with adventure, this vlog has it all: camper van tips, park highlights, radio setup walkthroughs, pileups, scenic views, and the thrill of hitting those POTA hunter contacts from remote spots.Today's video is sponsored by Bioenno Batteries. Get yours here - https://geni.us/LfawM7BBecome a supporter of this podcast: https://www.spreaker.com/podcast/ham-radio-2-0--2042782/support.

The MN DFL wants a full ban of guns, political violence deters some politicians, the next Governor of the state, Mike Amery from American Experiment was an in-studio guest, Santana, Staurber's mining ban bill details, and some details of HF 3832 proposed by Rep. Natalie Zeleznikar...See omnystudio.com/listener for privacy information.

From having no experience, no network, and starting late to landing a Wells Fargo Investment Banking offer — this is Lucius' full journey. In this student testimonial, Lucius shares how he went from feeling completely behind to breaking into investment banking by taking massive action — sending 3000 emails, completing 85 networking calls, and pushing through rejection after rejection. ------------------------------------------------------------------------------------------------------

Heart failure (HF) affects more than 64 million individuals worldwide, and 20% to 30% of patients with HF and systolic dysfunction have cardiac dyssynchrony due to conduction system disease. JAMA Review author Mihail Chelu, MD, PhD, of Baylor College of Medicine discusses cardiac resynchronization therapy with JAMA Associate Editor David Simel, MD, MHS. Related Content: Cardiac Resynchronization Therapy Leadless Ultrasound-Based Cardiac Resynchronization System in Heart Failure

Taylan returns for another HF outing and wastes no time getting to it. From the swinging diplomacy of Embassy Of Swing to the wonky brilliance of Captain Wallop, this one's a proper showcase of the underground doing what it does best - groovy, weird, and utterly addictive. There's UKG flavour from Jeremy Sylvester and James McKenzie, bass-heavy mischief from Malps, and a deep house closer from Cristi Cons and Leyah via Nervous Records. Sandwiched in between? A Bakey bootleg of a certified UK classic, Oldboy doing their thing on Swingers, and INSTINCT's essential remix of Trimmers by Frankel & Harper tying things up. If you like your house music with personality and a wink, this is the one. Tracklisting Embassy Of Swing - Movement Correct [Swingers] Garrett .50 Cal - Dean & Gary's Intervention Captain Wallop - Papi's House [Ba Dum Tish] Jeremy Sylvester, James McKenzie - Love Drug [Urban Dubz Music] Garrett .50 Cal - The Road to Diamond Malps - Home Wrecker [Heavy Hitters] Captain Wallop - I'm an Addict [Wheelspin Records] Scon - Run Captain Wallop - Cuz I Like It [Ba Dum Tish] Malps - Luv Rat [Heavy Hitters] Oldboy - 30 Seconds to Win [Swingers] DJ Bigga G - Mind, Body & Soul (Bakey Bootleg) Cristi Cons, Leyah - Rhythm of Your Heart (Christopher Ledger Remix) [Nervous Records] Frankel & Harper - Trimmers (INSTINCT Remix) [Council Work] Credits: Mixed by Taylan Post-production, artwork and distribution by Unstyled Studios House Finesse is available on all major podcast platforms - find us @housefinesse Support House Finesse by contributing to their tip jar: https://tips.pinecast.com/jar/housefinesse

Today's EM Morning Brief covers the continued federal response to Super Typhoon Sinlaku in Guam and the CNMI, where U.S. Coast Guard operations press northward and ports at Saipan, Tinian, and Rota remain closed. Michigan's statewide emergency has expanded to Ann Arbor, Kalamazoo, and 38 counties as flooding and dam concerns persist at the Cheboygan Lock and Dam Complex. Cleanup continues across Wisconsin, Illinois, and Minnesota after Friday's EF-3 and EF-2 tornado outbreak, and the National Interagency Fire Center reports national preparedness at PL 2 with fire activity running at roughly 200 percent of the 10-year average. NOAA's Space Weather Prediction Center reports G2 moderate geomagnetic storm levels, and USGS recorded a M4.7 earthquake near Reno, Nevada, and a small M3.0 offshore event near Charlotte Amalie, U.S. Virgin Islands. EM Morning Brief is your concise daily update on national and state-by-state emergency management news. Produced by Sitch Radio, an EOC Voices podcast.Key Takeaways• Typhoon Sinlaku response: USCG operations continue in Guam and CNMI; ports at Saipan, Tinian, and Rota remain closed as federal and territorial partners restore power, water, and road access.• FEMA Hawaii Kona Low: Residents of Hawai'i, Maui, and Honolulu counties can apply for Individual Assistance under DR-4909-HI through June 7, 2026.• Michigan state of emergency: 38 counties plus Ann Arbor and Kalamazoo now covered; Cheboygan Lock and Dam Complex remains at Level 2 with evacuation preparation in effect.• Midwest tornado outbreak recovery: EF-3 in Marathon County, WI (approximately 75 homes damaged); EF-2 tornadoes confirmed in Lena, IL and Marion Township, MN; Ann Arbor, MI debris removal began April 20.• NIFC IMSR: National preparedness level is PL 2; 992 personnel assigned to uncontained large fires; YTD acreage is approximately 200 percent of the 10-year average.• Texas Neon White Fire: 1,259 acres and 90 percent contained near Dickens as of April 19.• Space weather: NOAA SWPC reports G2 (Moderate) geomagnetic storm; minor grid, HF radio, and satellite impacts possible at high latitudes.• Seismic activity: USGS M4.7 near Reno, Nevada (April 19) and M3.0 offshore USVI near Charlotte Amalie (April 20); no damage reported.SourcesFEMA• FEMA — President Trump Approves Emergency Declaration for Guam (April 17, 2026)• FEMA — President Trump Approves Emergency Declaration for the Commonwealth of the Northern Mariana Islands (April 17, 2026)• FEMA — Residents of Maui, Hawaii and Honolulu Counties Impacted by March Kona Low Can Apply for Assistance (April 17, 2026)• FEMA — DR-4909-HI Hawaii Kona Low Weather Systems• FEMA — Disasters and Other Declarations (index)NIFC / Wildfire• NIFC — Incident Management Situation Report, Sunday April 19, 2026 (PDF)• NIFC — Fire InformationNOAA / NWS / SWPC• NOAA SWPC — G2 (Moderate) Geomagnetic Storm Levels Reached• NOAA SWPC — Homepage (3-day forecast and alerts)• NWS Quad Cities — April 17, 2026 event summary (updated April 19)USGS• USGS — Latest Earthquakes map• USGS Earthquake Hazards ProgramUSCG / Typhoon Sinlaku• Maui Now — USCG recovery intensifies, support continues in Guam following Super Typhoon Sinlaku (April 19, 2026)• NPR Marianas (Isla Public) — FEMA assesses damage after Super Typhoon Sinlaku made landfall in the CNMI (April 19, 2026)Hawaii• Office of the Governor Josh Green — FEMA Affirms Presidential Major Disaster Declaration for Hawai'i• Hawaii News Now — FEMA affirms Major Disaster Declaration for Hawaii (April 16, 2026)Illinois• Shaw Local / Sauk Valley — Multiple tornadoes sweep through northern Illinois; EF-2 tornado destroys homes in Lena (April 19, 2026)• NWS Quad Cities — April 17, 2026 event summary (updated April 19)Michigan• Michigan MSP/EMHSD — 2026 Statewide Flooding• Michigan MSP/EMHSD — 2026 Cheboygan Lock and Dam Complex• City of Ann Arbor — Ann Arbor was hit hard by a severe storm. Here's what residents should know• Click On Detroit — Whitmer declares state of emergency for Ann Arbor after EF-1 tornado (April 18, 2026)Minnesota• FOX 9 Minneapolis — 6 tornadoes confirmed in southeastern Minnesota and western Wisconsin (Olmsted County storm damage)• Post Bulletin — Storm cleanup near Marion Road Southeast on April 18, 2026Nevada• EarthquakeList.org — Shallow M4.7 earthquake near Reno, Nevada (April 19, 2026)Texas• Wikipedia — 2026 Texas wildfires (Neon White Fire details)• NIFC — IMSR April 19, 2026 (national context)Wisconsin• Wausau Pilot & Review — EF-3 tornado that tore through Weston and Ringle packed winds up to 145 mph (April 19, 2026)• Wisconsin DNR — Flood Waters Begin To Recede At Portage; Road Closures Remain, Well Water Testing Offered• Ready Wisconsin — April 2026 Severe Storms and FloodingGuam / CNMI• FEMA — Emergency Declaration for Guam (April 17, 2026)• FEMA — Emergency Declaration for the Commonwealth of the Northern Mariana Islands (April 17, 2026)• Maui Now — USCG recovery intensifies, support continues in Guam (April 19, 2026)U.S. Virgin Islands• USGS — Latest Earthquakes map (M3.0 offshore Charlotte Amalie, April 20, 2026) This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit emnetwork.substack.com/subscribe

Choosing a career in finance isn't as straightforward as it seems. In this video, we break down the realities of finance careers, what students often misunderstand, and how to think more clearly before committing to a path. This is a practical conversation for anyone considering roles in investment banking, consulting, asset management, or corporate finance, especially early in their career journey. We cover: 00:00 – Intro 00:45 – Why Finance Careers Are Often Misunderstood 03:10 – What Finance Jobs Actually Look Like 06:30 – Common Misconceptions About Finance 10:05 – Investment Banking vs Other Finance Roles 13:40 – How to Know If Finance Is Right for You 17:20 – Personality vs Career Fit in Finance 21:00 – The Reality of Day-to-Day Work 24:30 – Lifestyle & Work-Life Balance in Finance 28:10 – Long-Term Career Growth in Finance 32:00 – Mistakes Students Make When Choosing Careers 36:20 – How to Approach Finance Recruiting 40:10 – Skills That Actually Matter in Finance 44:00 – Dealing With Uncertainty Early in Your Career 48:10 – Advice for Students & Career Switchers 52:20 – Final Thoughts on Choosing the Right Path 56:00 – Key Takeaways & Closing If you're trying to figure out whether finance is the right career — or which path within finance makes sense — this will help you think more strategically. ------------------------------------------------------------------------------------------------------

Signe Lindkvist er for ung og har for dårlige karakterer til at komme ind på HF, så i stedet bliver hun castet til et børneprogram på DR. Hun får jobbet sammen med den otte år ældre Casper Christensen, og har ingen idé om, at det her er begyndelsen til et helt liv i tv-branchen. Og i en børneverden. Hun er med til at skabe Ramasjang og Cirkus Summarum, men der er også job, hun ikke får, fordi hun ikke har det helt rigtige udseende. Vært: Anne Sofie Kragh Klipper: Leo Peter Larsen Redaktør: Christian Stemann Research: Sarah BechSee omnystudio.com/listener for privacy information.

Sodium-glucose cotransporter 2 (SGLT2) inhibitors transformed HF care. Meet SGLT1, a transporter that may unlock even greater CV protection. Credit available for this activity expires: 4/10/27 Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/science-sglt1-and-sglt2-unpacking-dual-inhibition-heart-2026a1000axj?ecd=bdc_podcast_libsyn_mscpedu

Hello and Welcome to the DX Corner for yourweekly Dose of DX. I'm Bill, AJ8B.The following DX information comes from Bernie, W3UR, editor of the DailyDX, the WeeklyDX, and the How's DX column in QST. If you would like a free 2-week trial of the DailyDX, your only source of real-time DX information, justdrop me a note at thedxmentor@gmail.com3B9 - Rodrigues Island - VU3OPT, aka OM0GA, Suvarna, is QRV as 3B9N from Port Mathurin, Rodrigues until May 20. FO - French Polynesia - On Monday, FO/F6BCW, Didier, reported that the island's internet network had been down for approximately 1.5 hours and may remain unavailable until Tuesday. Severe weather, including heavy squalls and violent thunderstorms with lightning, caused significant damage to temporary antenna setups. The 30m and 40mbands are currently unusable, and the Vertical Dipole Arrays (VDA) nearly collapsed. The main station itself remains operational. Monitoring of beacons showed zero EU signals, and no European opening was expected Monday.  -4W - Timor-Leste – On April 1st, VK4MAP, Darren, arrived in Temor-Leste and on April 5 got on the air with the 4W6DA callsign, "holiday style." He should now be QRV from AtauroIsland in the East Timor Coastal Islands Group.  He willhave callsign 4W6DA/P then.  Darren says he will mostly be on 10M but also 80, 40, 20, 15 and 12, and it is "voice only."  He hasan ICOM IC-7300, two wire  antennas to choose from, and 100 watts.  QSL via VK4MAP with 4 USD or 4 EURO to cover the postage. D6 - Comoros - After completing his FH/UR9IDX operation from Mayotte Ivan will continues his journey in the Indian Ocean with a month-long stop in the Comoros as D60DX. Listen for him on CW and SSB S0 - Western Sahara – Naama, S01A, and Azman, S01AH, Azman, will be QRV as S09S until May 31st, operating from the Sahrawi Republic, to celebrate the 50th anniversary of the Sahrawi Republic. They are running 100 watts to dipole antennas and multiband beams. They will be operating QO-100, from several grids. Look for S09S to also be QRV during the CQ WPX CW Contest, May 30-31. QSL via Club Log and LoTW. A little bit in the future, we will see 3XFSG, the Republic of Guinea, activated by Elvira, IV3FSG, from April 11 to the 25. She will operate HF and 6M, “all modes,” with two “lowerpower” stations and vertical antennas. Elvira expects a couple of daily power outages that will force her off the air.TN - Congo - "Father Darek", HF3GD,  is now in Brazzaville on a new "pastoral and humanitarian mission."  In West Africa he also has the callsigns TJ1GD, TL8GD, and TT1GD.  In The Congo he will be TN8GD, HF and 6, "FT modes," CW and SSB.  He is waiting for his Logbook of the World certificate.  Darek is also hoping  to set up remote operation capability when the infrastructure there can support that.  QSL using Club Log OQRS or direct to SP3EOL.8R – Guyana - 8R1TM is QRV until May 10, weekdays between 2300-0300Z on 160-6M CW, SSB, digital and satellite.  PY1SAD, Aldir, says on the weekends it's "full time" on 160-6, the same modes. OX – Greenland- OZ1DJJ, Bo, is QRV as OX3LX again from Aasiaat Island (NA-134), Greenland until April 25th. Heis there on a work assignment and will  be QRV in his spare time.VK9/C - Cocos (Keeling) - VK9BSA, Mark, and VK9DEE, Deena, QRV from Cocos-Keeling. Band conditions are currently not favorable, and Mark will mainly be operating on weekends and some evenings. There is no fixed operating schedule yet. FO/M - Marquesas Islands- The TX9W team heading to the Marquesas Islands report they will depart in eleven days.They plan to be active from Hiva Oa, Marquesas Islands on April 19. This week, the DX Mentor YouTube episode will feature CE3/N5NU & K0MD discussing POTA and DXing from Chile. Give it a watch and let me know what you think. 

We often think of books as part of education—but what if they're actually one of our most powerful tools for discipleship? In this episode, Leslie Nunnery sits down with Korrie Johnson of Good Book Mom to explore how the books our children read are shaping far more than academic skills—they're forming worldview, discernment, and faith.   From navigating the public library with confidence to using read-aloud time as a springboard for meaningful, gospel-centered conversations, this episode offers practical encouragement for parents who want to be more intentional.   You'll also hear how to think wisely about challenging genres like mythology and Shakespeare—and why engaging them thoughtfully may better equip your children for the world they'll face.   If you've ever felt unsure about what your children are reading—or how to guide them—this conversation will give you clarity, confidence, and a renewed vision for discipleship through literature. And if this topic resonates with you, join us in Pigeon Forge, where you can hear Korrie speak live and continue the conversation in person.   IN THIS EPISODE, YOU WILL LEARN: Why many Christian families feel overwhelmed or intimidated by the library How simply using the library can influence what stays on the shelves Practical first steps for engaging with your library (even from home) Why classics still matter—and how they anchor discernment The discipleship power of reading aloud as a family How to ask questions that build biblical thinking without turning reading into a lecture Navigating challenging genres like mythology and Shakespeare Equipping kids to engage a hostile world with confidence and clarity Why literature plays a significant role in shaping long-term faith decisions   RESOURCES MENTIONED: Good Book Mom — GoodbookmomHome – Follow Good Book Mom on Instagram & Facebook Newly Released Book: Stories Woven in Silver    CONNECT: Teach Them Diligently Guests: Korrie Johnson   ABOUT THE GUEST: Korrie Johnson is a follower of Jesus, a wife, mom, and the owner of Good Book Mom- a website that reviews children’s books from a Christian perspective. Good Book Mom offers a membership filled with curated book lists, as well as a Biblical alternative to Scholastic book order and fairs for Christian schools, co-ops, and other groups.   PODCAST SPONSOR: Hey homeschool families! I want to tell you about HF Homeschool. It's a free, online guide to help you start a Christian homeschool group or co-op. You can go at your own pace, and if you finish the coursework, HF will even fund a mentor—a free coach to help your homeschool thrive. They're also sponsoring the Teach Them Diligently conference, packed with workshops, resources, and fellowship with other Christian homeschool families. It's a great way to connect, learn, and be encouraged in your homeschool journey. Check it out and sign up today at hfhomeschool.com!

In this episode we talk about portable HF antennas for POTA / SOTA / travel and general operating in the great outdoors !  The HRWB team is very active in portable operating.  We all have our favorite antennas and provide advice for the ham radio operator new to portable operating.  

In this episode, we discuss the most important annual updates in the American Diabetes Association Guidelines, Standards of Care 2026, particularly focusing on changes in pharmacotherapy recommendations and the supporting evidence. Key Concepts A few existing agents now have ASCVD risk reduction data in patients with existing ASCVD or high indicators for ASCVD. They are: oral semaglutide and tirzepatide.  SGLT2is are still first-line in patients with diabetes and HF including HFpEF, but SC semaglutide and tirzepatide are now recommended for those with symptomatic HFpEF and obesity due to positive outcomes in this population. The GLP-1RA and dual GLP-1/GIP RA are the preferred agents for weight management in patients with T2DM, but use of GLP-1RA can be considered for weight loss in patients with T1DM. The guideline also better defines recommendations for medication-induced hyperglycemia from immune checkpoint inhibitors, PI3Kɑ (phosphoinositidylinositol 3-kinase α) inhibitors, mTOR inhibitors, and steroids.  References American Diabetes Association. Standards of care in diabetes—2026. Diabetes Care. 2026;49(suppl 1):S1-S377. SOUL study. Darren K. McGuire, Marx N, Mulvagh SL, et al. Oral semaglutide and cardiovascular outcomes in high-risk type 2 diabetes. N Engl J Med. 2025;392(20):2001-2012. doi:10.1056/NEJMoa2501006. SURPASS-CVOT. Nicholls SJ, Pavo I, Bhatt DL, et al. Cardiovascular outcomes with tirzepatide versus dulaglutide in type 2 diabetes. N Engl J Med. 2025;393(24):2409-2420. doi:10.1056/NEJMoa2505928. SUMMIT. Packer M, Zile MR, Kramer CM, et al. Tirzepatide for heart failure with preserved ejection fraction and obesity. N Engl J Med. 2025;392(5):427-437. doi:10.1056/NEJMoa2410027. STEP-HFpEF. Kosiborod MN, Abildstrom SZ, Borlaug BA, et al. Semaglutide in patients with heart failure with preserved ejection fraction and obesity. N Engl J Med. 2023;389(12):1069-1084. doi:10.1056/NEJMoa2306963. STEP-HFpEF DM. Kosiborod MN, Petrie MC, Borlaug BA, et al. Semaglutide in patients with obesity‑related heart failure and type 2 diabetes. N Engl J Med. 2024;390(15):1394‑1407. doi:10.1056/NEJMoa2313917.

In this episode, the second installment of a two-part series, Bert Jennings, owner of Jennings Materials Consulting in Spring, Texas, rejoins co-hosts Heather Allain and Marc Cook to continue their discussion on hydrofluoric acid (HF) and anhydrous hydrogen fluoride (AHF) service. Building on Part 1, the conversation shifts to detection, materials, and real-world application. Bert outlines key NDE techniques for identifying cracking and hydrogen blistering, then dives into weld practices and the importance of proper stress relief in carbon steel systems. The group also explores alternative materials, including austenitic stainless steels, ceramics, and glass, along with a “learn from failures” story that highlights the consequences of small oversights. The episode wraps with insights on nickel alloys, welding challenges, and the role of FRP and fluoroplastics—reinforcing that success in HF service depends on both material selection and execution.   This episode is sponsored by Tricor Metals and Rolled Alloys.   Show Notes   Related reference for MTI members: MS-4 Materials Selector for Hazardous Chemicals: Hydrogen Fluoride and Hydrofluoric Acid    Non-members: Visit the MTI bookstore.     Corrosion Chronicles is produced by Association Briefings.

We discuss the diagnosis and treatment of one of EM's paradoxes: High-Output Heart Failure. Hosts: Nicolas Gonzalez, MD Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/HOHF.mp3 Download Leave a Comment Tags: Cardiology Show Notes Core EM Modular CME Course Maximize your commute with the new Core EM Modular CME Course, featuring the most essential content distilled from our top-rated podcast episodes. This course offers 12 audio-based modules packed with pearls! Information and link below.  Course Highlights: Credit: 12.5 AMA PRA Category 1 Credits™ Curriculum: Comprehensive coverage of Core Emergency Medicine,  with 12 modules spanning from Critical Care to Pediatrics. Cost: Free for NYU Learners $250 for Non-NYU Learners Click Here to Register and Begin Module 1 1. Core Definition & Hemodynamic Profile Clinical Paradox: Congestive symptoms (pulmonary edema, JVD, peripheral edema) in the setting of a hyperdynamic, supranormal cardiac function. Hemodynamic Criteria: Cardiac Index (CI): >4.0 L/min/m2. Cardiac Output (CO): >8 L/min. Systemic Vascular Resistance (SVR): Pathologically low (vasodilated or shunted state). The “Warm” Phenotype: Unlike standard HFrEF/HFpEF (often “Cold and Wet”), HOHF presents as “Warm and Wet” due to low SVR and bounding pulses. 2. Pathophysiology: The Hemodynamic Paradox Primary Insult: Decreased SVR (either via peripheral vasodilation or arteriovenous shunting). Effective Arterial Blood Volume: Paradoxically low despite high total CO. Neurohormonal Cascade: Activation of Renin-Angiotensin-Aldosterone System (RAAS). Increased Sympathetic Nervous System tone. Increased Antidiuretic Hormone (ADH) secretion. Resultant State: Avid renal salt and water retention leading to massive plasma volume expansion. Cardiac Response: Chronic volume overload → eccentric remodeling → chamber dilation → eventual secondary myocardial failure/dilated cardiomyopathy. 3. Differential Diagnosis: Etiological “Buckets” Category A: Increased Metabolic Demand (Systemic) Hyperthyroidism/Thyrotoxicosis: Direct T3 effects: increased chronotropy/inotropy. Indirect effects: metabolic byproduct accumulation causing peripheral vasodilation. Myeloproliferative Disorders: High cell turnover and increased oxygen consumption drive compensatory CO increase. Sepsis (Hyperdynamic Phase): Cytokine-mediated global vasodilation. Note: Often transient; may transition to sepsis-induced myocardial depression. Category B: Peripheral Vascular Effects (Shunting/Vasodilation) Arteriovenous Fistulas (AVF) / Malformations (AVM): Most Common Cause: Iatrogenic AVF for Hemodialysis (ESRD population). Bypasses high-resistance capillary beds, dumping arterial blood directly into venous circulation. Chronic Liver Disease (Cirrhosis): Formation of “spider angiomata” and internal AV shunts. Impaired clearance of endogenous vasodilators (e.g., Nitric Oxide). Thiamine Deficiency (Wet Beriberi): Accumulation of pyruvate/lactate → systemic vasodilation. Histopathology: Vacuolation, myofiber hypertrophy, and interstitial edema. Chronic Lung Disease: Hypoxia/Hypercapnia-driven systemic vasodilation. Concomitant pulmonary HTN (RV remodeling) but preserved/high LV output. Others: Paget's disease of bone (extensive micro-shunting), Carcinoid syndrome, Mitochondrial diseases, Acromegaly, Erythroderma. 4. Special Focus: Hemodialysis Access-Induced HOHF Physiologic Phases of AVF Creation: Acute Phase: Immediate ↓ SVR. ↑ Stroke volume and Heart Rate (SNS-mediated). Endothelial shear stress → Nitric Oxide release → further arterial dilation. Subacute Phase (Days to 2 Weeks): RAAS-driven volume expansion. ↑ Right Atrial, Pulmonary Artery, and LV End-Diastolic Pressures (LVEDP). Natriuretic peptide surge (BNP/ANP) peaks around Day 10. Chronic Phase (Weeks to Months): Adaptive hypertrophy. Decompensation occurs when dilation exceeds contractility limits. 5. Point-of-Care Physical Exam & Maneuvers Nicoladoni-Branham Sign (Pathognomonic for Shunt-driven HOHF): Maneuver: Manually compress the AVF (or inflate cuff to >50 mmHg above SBP) for 30 seconds. Positive Result: Reflexive bradycardia or a transient rise in systemic BP. Significance: Confirms the shunt is a major contributor to the cardiac workload. Peripheral Pulse Assessment: Water Hammer Pulses: Rapid upstroke and collapse. Quincke's Pulse: Visible capillary pulsations in the nail beds. Traube's Sign: “Pistol-shot” sounds auscultated over the femoral arteries. Volume Status: Rales, S3 gallop, peripheral edema (standard HF signs). 6. Diagnostic Workup (Technical Targets) POCUS / Echocardiography: Left Ventricle: Hyperdynamic function; EF typically >60%. Left Atrium: Significant dilation (Left Atrial Volume Index >34 mL/m2; Case study noted 72 mL/m2). IVC: Plethoric with minimal respiratory variation. Doppler: High flow velocities across the AV access if applicable. Laboratory Evaluation: BNP/NT-proBNP: Often markedly elevated (e.g., >70,000 in severe cases), though mean values in literature hover around 700–800 pg/mL. Hematology: CBC to evaluate for severe anemia (trigger for HOHF if Hgb7–8 g/dL to reduce demand. Beriberi: High-dose IV Thiamine (100–500 mg). Thyrotoxicosis: Beta-blockers (Propranolol) + Antithyroid meds (PTU/Methimazole). Phase 3: Surgical/Interventional Salvage (Refractory AVF Cases) Closure of Accessory Sites: If multiple fistulas exist, close the non-dominant/unused sites. Flow Reduction (Banding): Surgical narrowing of the fistula to target flow

God and Guns Podcast GNG 366 - Remembering Chuck Norris   Intro: Welcome back to Episode 366 of the God and Guns Podcast . I'm your host, Troy. (Doug) And I'm your other host Doug. (Troy) We use this podcast to talk about  God, guns, and the responsible Christian gun owners' interests. On this week's God and Guns Podcast we will be remembering Chuck Norris.   Want to thank our sponsors:  Bandwidth Sponsor:   Firearms Radio Network - Other Shows - Content   Patriot Patch Co   This Week's God and Gun activities: Doug: God: Church Sundays, sportsman daily devotional   Guns: EDC . Been working long hours this week as we kicked off a huge project at work. Truck is in the shop since monday. May get it back next week. Got a rental car and they gave me a chevy malibu. Now I know why I am a truck guy.  Cant do any ham radio since my radio is in the truck and haven't been on HF at all this week.   Troy: God: Daily Bible Reading, Church, Church Security   Guns: ordered and received some more Magpul AR-15 Mags from PSA  and some Black Hill's 5.56 77gr ammo, Also more 300BO 220gr Subsonic.    Family: girls bath remodeled We are waiting for them to wrap up so we can return to KY.    Farm: Not much right now   Ham: Heading to Stuart Hamfest tomorrow. Reprogrammed my SharkRF M1KE EDC Check: Troy: Shadow Systems XR920n a Crossbreed Super-Tuck Holster, using a STOG Enhanced Life Saver, Sof-T Tourniquet, steam light    Doug:  Sig P365 with Romeo Zero optic . Hornady critical duty ammo. Benchmark OTF.    Feedback:  ITunes   Comedy Best Chuck Norris jokes and sayings Chuck Norris doesn't wear a watch. He decides what time it is. Chuck Norris cannot turn left, because he is always right. Chuck Norris doesn't read books. He stares them down until he gets the information he wants. Chuck Norris doesn't tip the waiter. The waiter tips him. Chuck Norris' tears cure cancer. Too bad he has never cried. Chuck Norris does not own a stove, oven or microwave, because revenge is a dish best served cold. If rock beats scissors, scissors beats paper, and paper beats rock, what beats all 3 at the same time? Chuck Norris. Time waits for no man, unless that man is Chuck Norris. When Chuck Norris left home, he told his father: "Your the man of the house now." Chuck Norris destroyed the periodic table, because Chuck Norris only recognizes the element of surprise. Chuck Norris doesn't do a push up. He pushes the world down. Chuck Norris has to sleep with the lights on because the dark is afraid of him. When the bogeyman goes to sleep, he checks under his bed for Chuck Norris. When Chuck Norris goes swimming, sharks get out of the ocean. Clouds don't rain. They sweat when they see Chuck Norris. Chuck Norris doesn't worry about high gas prices. His vehicles run on fear. When Chuck Norris cooks, he makes the onion cry. Chuck Norris can sneeze with his eyes open. When Chuck Norris looks in a mirror, the mirror shatters. Because not even glass is dumb enough to get in between Chuck Norris and Chuck Norris Ghosts tell Chuck Norris stories at the campfire. Chuck Norris counted to infinity. Twice.  Outer space exists because it's afraid to be in the same planet with Chuck Norris. Chuck Norris beat the sun in a staring contest. Once a cobra bit Chuck Norris' leg. After five days of excruciating pain, the cobra died. Chuck Norris can divide by zero. Chuck Norris' calendar goes straight from March 31 to April 2. No one fools Chuck Norris. There is no theory of evolution, just a list of creatures Chuck Norris allows to live. Chuck Norris can start a fire by rubbing two ice cubes together. If you spell Chuck Norris in Scrabble, you win. Forever. Chuck Norris can do a wheelie on a unicycle. Chuck Norris can fold a fitted sheet. When Chuck Norris makes a mistake, the mistake apologizes. Fire doesn't burn Chuck Norris. Chuck Norris burns fire. Chuck Norris doesn't need a keyboard. He tells the computer to write something and it does. Chuck Norris has already been to Mars. That's why there are no signs of life. Chuck Norris doesn't get sun burnt. That would be a foolish thing for the sun to do. There is no chin underneath Chuck Norris's beard. There is only another fist. The sun rises and sets according to Chuck Norris's sleep schedule. Chuck Norris got pulled over by police once. He let the cop go with a warning. Chuck Norris doesn't have to mow his lawn. The grass is afraid to grow. The only time Chuck Norris was wrong was when he thought he made a mistake. When Chuck Norris looks in the mirror there's no reflection, because there's only one Chuck Norris. Chuck Norris had a stunt double. He was used for crying scenes. Chuck Norris didn't dial the wrong number. You picked up the wrong phone. They once named a street after Chuck Norris, but they had to change the name because nobody crosses Chuck Norris and lives to tell about it. Chuck Norris built the hospital he was born in. Chuck Norris caught COVID-19. Now the virus has to quarantine. How many push-ups can Chuck Norris do? All of them. Legends live forever. Chuck Norris lives longer. Chuck Norris didn't die. Death finally had the courage to meet him. Honorable mentions: Nevada-related Chuck Norris jokes Chuck Norris once played blackjack in Reno. The cards folded themselves before he even sat down. Area 51 doesn't hide aliens from the public. The aliens hide there from Chuck Norris. Before Chuck Norris went to Virginia City, it was just called the Bucket Saloon. The Hoover Dam doesn't hold back water. It holds back Chuck Norris's disappointment. Chuck Norris has walked through several Nevada towns. Now they're “ghost towns.” Via Reno Gazette-Journal   On this day in History: 1727 Sir Isaac Newton died in London at the age of 40. Newtonian physics   Bible Verse 2 Corinthians 4:16-18 ESV So we do not lose heart. Though our outer self is wasting away, our inner self is being renewed day by day. For this light momentary affliction is preparing for us an eternal weight of glory beyond all comparison, as we look not to the things that are seen but to the things that are unseen. For the things that are seen are transient, but the things that are unseen are eternal.   Main Topic Remembering Chuck Norris   Carlos Ray "Chuck" Norris was born on March 10, 1940, in Ryan, Oklahoma. He was a renowned martial artist, actor, and author, famous for his roles in action films and the television series "Walker, Texas Ranger," and he also founded his own martial arts system called Chun Kuk Do.  Oklahoma Historical Society Wikipedia Early Life Carlos Ray "Chuck" Norris was born on March 10, 1940, in Ryan, Oklahoma. He was the eldest of three brothers. His father, Ray Norris, served in World War II and later worked various jobs, while his mother, Wilma, had Irish ancestry. At age 12, Norris moved to Torrance, California, where he later joined the United States Air Force in 1958.   Martial Arts Career Norris began training in martial arts while stationed in South Korea, where he learned Tang Soo Do. He became a successful martial artist, winning numerous championships, including the World Professional Middleweight Karate title for seven consecutive years. In 1990, he made history as the first American to achieve the rank of 8th Degree Black Belt Grand Master in Taekwondo.   Acting Career Norris made his film debut in "The Wrecking Crew" (1968) and gained fame through action films like "Way of the Dragon" (1972) alongside Bruce Lee, and the "Missing in Action" series starting in 1984. He starred in the popular television series "Walker, Texas Ranger" from 1993 to 2001.   Personal Life and Legacy Norris has been married twice and has five children. He is a devout Christian and has written several books on martial arts, philosophy, and self-help. He became a cultural icon with the "Chuck Norris facts" internet meme, which humorously exaggerated his toughness. Norris passed away on March 19, 2026, at the age of 86, leaving behind a legacy as a martial artist, actor, and author.   Show Sponsor: Patriot Patch   How you can help out the show: Patches and Stickers Using the following links help support our show. Subscribestar GodandGuns you have to set up for repeat donation if you want it monthly. www.subscribestar.com/god-and-guns Powertac Lights - godandguns Crossbreed Holsters - GNG Armed Citizen Armed Citizen® Today On Jan. 23 in St. Petersburg, Fla., around dinnertime, two men were sitting in a vehicle when two other men approached and reportedly tried to rob them at gunpoint. The robbery victims were also armed, however, and one or both of them responded by shooting at the alleged assailants. One of the robbery suspects died and the other was critically wounded. Police detained all involved but said the incident appeared to be self-defense. (fox13news.com, Tampa Bay, Fla., 1/24/26)   From the Armed Citizen® Archives – January 1989 An 89-year-old Ft. Wayne, Ind. woman was talking on the phone when the line went dead. Later, she heard noises and thought someone was trying to break in. So she headed out the door to a neighbor's house to call the police. But, as she opened the door, a man wearing a black hood pushed her back into the house. Her 91-year-old husband heard the commotion and grabbed a shotgun. The hooded man told the husband to get back, but when the resident continued to advance, the hooded man fled. “The gun saved us,” the woman said. “Boy, did he run.” (The News Sentinel, Fort Wayne, Ind.)     Wrap Up: -Send feedback to GodandGunsTV@gmail.com -Please tell your friends about us,

TX5EU - update March 14 - We finally made it to our new TX5EU QTH on Austral Island Raivavae and started setting up antennas and equipment. So far, 5 of 9 antennas are already set up: VDAs 20m, 15m, 12m, the DX Commander, and the 40m vertical. The rest will follow tomorrow morning after sunrise (and a quick coffee...). Operation will start around 6 a.m. GMT (at our far end of the world, it is still the evening of March 13...). Watch out for our first signals! 73 from TX5EU   T31 - Central Kiribati - The Rebel DX Group say their upcoming T31TTT activity (Starting around March 25) on Kanton Island will likely be their last operation for "some considerable time," similar to their 3D2/C Conway Reef ops.  They say they are joining government officials and a ministry of fishery and environmental delegation, and note the rules there are changing soon, including likely a lockdown of access for visitors for environmental protection reasons.  We have a second update - The Rebel DX Group's upcoming T31TTT operation, scheduled to start around March 25, the update:  Preparations are complete with their ship loaded with supplies, fuel, and generators.  They are now leaving Fiji for Samoa, to be joined by seven Kiribati government officials who will part of the trip to Kanton Atoll.   HR – Honduras - KN2P, N7VZ and W7UM have gotten their callsign for their Honduras DXpedition,  from the new government and new commissioner for telecoms there.  The callsign is HQ9UM and the dates are March 24-31.  They will be on 160-10 SSB, CW and FT8 and use LoTW for QSLing.  And they have the HQ9X callsign for the CQ WPX SSB weekend.  Otherwise, they will be holiday style.  3B8 - Mauritius - G3TXF, Nigel, will participate in the RSGB Commonwealth Contest as 3B8XF on March 14-15 and continue CW activity on HF until March 25. G3WVG, Ian, now 3B8VV, will also be active on HF for a week until March 19. Both are operating from a small islet previously used by the successful 3B8M contest team.  9J – Zambia - DM7XX, Robert, will be operating as 9J2RO from the Fountain Gate Crafts & Trades School from March 16 to 30, participating in the CQ WPX SSB Contest  (March 28-29)    YJ – Vanuatu - VK2YUS, Chris Ayres, plans an operation, YJ0CA.  He will be at Port Vila March 18 to April 2, SSB only, the same gear as previously, an IC-7300 to small amplifier, and simple wire antennas, 40-10.  He says his main operating times will likely be between 2100-1000Z.  Chris logs on to paper and then has "a high quality physical card for confirmation."  Cards will be sent out air mail in  April from Australia.  Check QRZ.com for the details on QSL address, etc.  YJ - Vanuatu  JK1JXZ, Aki, will operate as YJ1JXZ from Port Vila, Vanuatu, between March 15  and April 3, active on 80-6 meter bands after 5 PM (local time) on weekdays  and all day on weekends.    FJ - St. Barthelemy –Andreas, DK6AS, is now active from St. Barts as FJ/DK6AS for the month of March. He is QRV on CW, FT4 and FT8 on 3.5 through 50 MHz, including participation in the ARRL International DX CW Contest. QSL via DK6AS either direct or via the bureau.  VP2E – Anguilla – Jack, M0PLX, SP9FIH and SQ2RAD, will be QRV from Anguilla until March 22nd. They will use the callsigns VP2ELX, VP2EWE, and VP2EAD, respectively. Their activities will cover the 160-6 meter bands, with each operator focusing on specific frequencies; Jack will concentrate on 15m, 40m, and 80m SSB. Operations will take place on SSB and CW, utilizing multiple transceivers, amplifiers, and both vertical and directional antennas. During the three-week stay, Jack also plans short sightseeing and possible radio activities from St. Maarten (FS), Saba (PJ6), and St. Barthelemy (FJ).  V5 - Namibia – Gunter, DK2WH, is currently operating as V51WH from a farm near Omaruru, Namibia, and will remain active until March 24, covering frequencies from 160 to 6 meters, including 60 meters. 

✨ Go to my sponsor https://trylco.com/stellarae and use code stellarae to get 20% off select tests - Get the insights you need to live a healthier life spring is the real new year, and this season is the perfect time to reset your mindset, your habits, and the direction of your life.in today's episode of the stellaray podcast, i'm talking about how to actually step into alignment this spring and why mindset, action, and intuition all have to work together if you want to create real change.i also open up about one of the hardest periods of my life after moving to new york, how i got out of a toxic and abusive relationship, and the mindset shifts that helped me rebuild my confidence and move forward.if you're trying to reset your life, level up this spring, or get out of a difficult situation, this episode is for you.subscribe to the podcast if you want more episodes about mindset, self-growth, wellness, relationships, and becoming your best self.enjoy & dont forget to tweet/ig story me a screenshot of you listening!✨Get up to 10 free meals and free breakfast for LIFE with HelloFresh! Use code HF-0449 https://www.filify.co/SHBn0 ✨Get 20% off LabCorp tests with code stellarae https://trylco.com/stellarae ✨Get a free 10 pack of manuka honey sticks from Manukora with code STELLA https://manukora.com/STELLAMY NEW WEBSITE!! Shop merch, sign up for my newsletter, book a coffee chat, & more: http://stellaraeherself.comGet $1000 off the health coach certification program I'm doing with promo code STELLACOACHING https://www.shareasale.com/u.cfm?d=1281553&m=96296&u=1030263I edit using Riverside! https://www.riverside.fm/?utm_campaign=campaign_5&utm_medium=affiliate&utm_source=rewardful&via=stella-holtinstagram http://instagram.com/stellaraepodcastlisten to and/or support the podcast: https://anchor.fm/stella-raetiktok: http://tiktok.com/@stellaraeherselftwitter: http://twitter.com/stellaraegoodreads: https://www.goodreads.com/user/show/10449999-stella-raemy fav books/products/health: https://www.amazon.com/shop/stellaraemy current filming set up:camera: https://amzn.to/4cEQiLOmicrophone: https://amzn.to/3Z2A5gctripod: https://amzn.to/3AEmxgKring light: https://amzn.to/3XxZrShbox lights: https://amzn.to/4e1Q1Ubportable light for phone: https://amzn.to/3XxZspjlisten on spotify: https://open.spotify.com/show/2DMbeh7EqiqgROIjvW0sI9listen on apple podcasts: https://podcasts.apple.com/us/podcast/the-stella-rae-podcast/id125561818200:00 why the real new year starts in spring01:05 using every experience as energy for growth02:10 the mindset shift that changes everything02:45 why people are so flaky today04:00 the real reason we avoid things we want05:30 pushing through discomfort and anxiety06:50 feminine energy vs discipline (you need both)08:20 how the universe aligns opportunities09:10 staying locked in with food10:30 how i ended up in a dark place after moving to new york11:20 being in an abusive relationship and losing myself12:20 the moment i knew i had to leave13:10 why toxic relationships can feel addictive14:00 how friends and family helped me get out15:10 rebuilding confidence and energy after leaving16:00 the biggest lesson i learned from that time17:00 trusting your intuition and aligning with your values18:00 recognizing opportunities and taking action19:10 how living in new york changed my mindset20:20 easy health testing21:10 encouragement if you're going through a hard time21:45 spring lock-in habits and wellness routines22:40 love story on hulu recap + relationship dynamics24:00 the problem with people pleasing in relationships25:00 why the show feels like a cautionary tale#StellaRaePodcast

Listener feedback, urgent AF ablation, AF ablation as a stroke-reducing therapy, implantable loop recorder accuracy, and HF management in the setting of serious disease are the topics John Mandrola, MD, discusses in this week's podcast. This podcast is intended for healthcare professionals only. To read a partial transcript or to comment, visit: https://www.medscape.com/twic I Urgent AF ablations Urgent vs Elective AF Ablation in the US  https://www.jacc.org/doi/10.1016/j.jacep.2025.12.030 II AF Ablation Is Not Likely a Good Therapy for Stroke Reduction STABLED Trial https://jamanetwork.com/journals/jamaneurology/fullarticle/2845745 Catheter Ablation for AF Associated With Lower Incidence of Stroke https://doi.org/10.1093/eurheartj/ehw087 III Loop Recorders ILR Accuracy - Multicenter, Multidevice Comparison https://doi.org/10.1016/j.jacep.2025.12.039 IV Heart Failure Therapy when there is Cancer EMPATICC Trial https://doi.org/10.1093/eurheartj/ehaf705 You may also like: The Bob Harrington Show with the Stephen and Suzanne Weiss Dean of Weill Cornell Medicine, Robert A. Harrington, MD. https://www.medscape.com/author/bob-harrington Questions or feedback, please contact news@medscape.net

This inaugural episode of the CardioNerds Pulmonary Embolism (PE) Series explores the evolution of acute PE care. Dr. Ibrahim Zahid, Dr. Dinu Balanescu, and Dr. Billy Joe Mullinax join guest expert Dr. Kenneth Rosenfield to discuss the shifting landscape of PE management. Pulmonary embolism (PE) remains a leading cause of cardiovascular mortality and a frequent diagnostic challenge, often masquerading as myocardial infarction or a benign illness. Over the past decade, PE care has evolved from anticoagulation-only strategies to nuanced, risk-stratified, multidisciplinary management. Modern approaches integrate hemodynamics, biomarkers, and advanced imaging to guide therapy, including catheter-directed interventions and large-bore thrombectomy. The Pulmonary Embolism Response Team (PERT) model addresses historical gaps by coordinating rapid, multispecialty decision-making and standardizing care pathways. The PERT Consortium further advances PE care through education, research, and the world's largest PE registry, while fostering leadership and research opportunities for trainees. Despite advances, long-term outcomes and post-PE syndromes remain important areas for future investigation. Audio editing by CardioNerds Academy intern, student doctor, Pace Wetstein. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Pulmonary Embolism PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls PE is a “master masquerader”—maintain suspicion for atypical presentations like myocardial infarction, heart failure, flu, or anxiety. Multidisciplinary management mediated through pulmonary embolism response teams improves outcomes and standardizes care. Risk stratification integrates hemodynamics, biomarkers, and imaging. Advanced therapies have expanded beyond anticoagulation. Long‑term follow‑up and post‑PE syndrome need more research. Notes Notes: Notes drafted by Dr. Ibrahim Zahid. 1. How has the clinical approach to PE changed over the past decade? PE is the third leading cause of cardiovascular death and historically under‑recognized. Symptoms mimic MI, HF, asthma, syncope, and more.PE is a silent killer, and it should be recognized more as a cause of spontaneous cardiac arrest. Where life threatening disease like stroke which is owned by neurological specialists and MI is primarily managed by cardiac specialists, PE is an entity without a professional home. The PERT Consortium brings the specialties together for PE care. 2. Ten years ago, a 58-year-old patient with a large bilateral PE, RV dilation, and positive biomarkers might have been managed with anticoagulation and close observation alone. Today, with evolving—but still uneven—data on advanced therapies, PE care feels far more nuanced and highly dependent on where you practice. What are the major gaps in traditional PE management that clinicians should recognize, and what care pathways should they be aware of across different hospital systems? Care has shifted from anticoagulation‑only to multidisciplinary approaches like catheter directed thrombectomy. Risk‑based pathways and the use of CT angiogram has improved early recognition. Risk stratification tools must be used as tools for early recognition of intermediate risk PE. Untreated PE leads to chronic complications like chronic thromboembolic disease and chronic thromboembolic pulmonary hypertension, which requires long term clinic follow up. 3. What is the role of risk stratification tools such as PeSI, sPeSI scores, cardiac biomarkers, and imaging findings in PE, and how do they guide treatment decisions in real world practice? Integrate vitals (blood pressure and heart rate), biomarkers (troponin, pro-BNP), RV/LV ratio assessment, acid‑base status, and scores. Tools include PESI, sPESI, BOVA, HESTIA, FAST, Geneva, NEWS, shock index. Vitals, lactate, acid-base status, and tools like NEWS or shock index track clinical evolution. PESI/sPESI estimate 30-day mortality and help identify low-risk patients who may be candidates for early discharge or outpatient therapy. Clinical judgment matters—scores don't fully capture clot burden, trajectory, or bleeding risk. 4. How was the pulmonary embolism response team created, and since its creation, what evidence or outcome data became available to support the PERT model? Originated after a sentinel case at MGH: A young, pregnant woman in her 30s, who collapsed at home, underwent thrombectomy, and had to be on ECMO for a few days. The case brought cardiology, cardiac surgeons and critical care physicians together for planning and improvement in her health, which was rewarding. Thereby, it was decided to bring specialties involved in PE care together to create a response team. The name of the team, Pulmonary Embolism Response Team (PERT), was coined by Richard Channick in the first meeting. Posters were set up all over the hospital to call a centralized line when an acute PE is recognized A meeting was held to present the concept of putting together a consortium, with development of action items and a PERT database. Enabled rapid multidisciplinary input using early teleconferencing tools. 5. Given concerns about having too many ‘cooks in the kitchen' during the initial PE call—especially with rotating teams—how can institutions reconcile workflow complexity with standardized pathways in a way that meaningfully supports and justifies the added burden on frontline clinicians? Every hospital's PERT is different, catering to their needs and workflow At least two disciplines are needed to make a PERTData is currently being collected to guide further on how the workflow can be standardized Most importantly, the team brings in resources that were not available prior to PERT formation. 6. What are the main goals of the PERT consortium, and how does it support clinicians and institutions involved? To improve care and improve outcomes for patients with PE Expand education, refine algorithms, standardize care with Centers of Excellence. Maintain the largest PE registry for research and outcomes improvement. 7. Beyond global networking, shared learning from successful systems, and the pathway toward Center of Excellence designation, what additional benefits can clinicians and health systems gain by participating in the PERT Consortium? The ability to learn from other systems, the ability to share experiences. Allow people to develop their professional careers like leadership experience, becoming a member of the trainee council Initiate projects and receive funding for your ideas 8. For trainees interested in pulmonary embolism care, how can a trainee be a champion at their institution? Does PERT provide assistance and how can they really contribute meaningfully even before becoming a fellow/attending? Medical students and residents interested in PE should reach out to the consortium and the consortium will hook you up with the correct mentors who can nurture you along. Listen to the podcasts. Participate with your local PERT team PERT wants involvement of people who are social media savvy to help spread the word on PE. Top three take-away points from this episode Acute PE care has advanced and multiple treatment modalities for acute PE including catheter directed therapy, large bore thrombectomy, are becoming standard of care. Multidisciplinary models like PERT improve coordination and outcomes. Trainees play a vital role in advancing PE care through involvement, research, and education References Konstantinides SV, Meyer G, Becattini C, Bueno H, Geersing GJ, Harjola VP, Huisman MV, Humbert M, Jennings CS, Jiménez D, Kucher N, Lang IM, Lankeit M, Lorusso R, Mazzolai L, Meneveau N, Ní Áinle F, Prandoni P, Pruszczyk P, Righini M, Torbicki A, Van Belle E, Zamorano JL; ESC Scientific Document Group. 2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS). Eur Heart J. 2020 Jan 21;41(4):543-603. doi: 10.1093/eurheartj/ehz405. PMID: 31504429. https://pubmed.ncbi.nlm.nih.gov/31504429/ Rosovsky R, Zhao K, Sista A, Rivera-Lebron B, Kabrhel C. Pulmonary embolism response teams: Purpose, evidence for efficacy, and future research directions. Res Pract Thromb Haemost. 2019 Jun 9;3(3):315-330. doi: 10.1002/rth2.12216. PMID: 31294318; PMCID: PMC6611377. https://pmc.ncbi.nlm.nih.gov/articles/PMC6611377/ Rosenfield K, Bowers TR, Barnett CF, Davis GA, Giri J, Horowitz JM, Huisman MV, Hunt BJ, Keeling B, Kline JA, Klok FA, Konstantinides SV, Lanno MT, Lookstein R, Moriarty JM, Ní Áinle F, Reed JL, Rosovsky RP, Royce SM, Secemsky EA, Sharp ASP, Sista AK, Smith RE, Wells P, Yang J, Whatley EM; Pulmonary Embolism Research Collaborative (PERC) Attendees. Standardized Data Elements for Patients With Acute Pulmonary Embolism: A Consensus Report From the Pulmonary Embolism Research Collaborative. Circulation. 2024 Oct;150(14):1140-1150. doi: 10.1161/CIRCULATIONAHA.124.067482. Epub 2024 Sep 12. PMID: 39263752; PMCID: PMC11698503. https://pubmed.ncbi.nlm.nih.gov/39263752/ Sharifi M, Awdisho A, Schroeder B, Jiménez J, Iyer P, Bay C. Retrospective comparison of ultrasound facilitated catheter-directed thrombolysis and systemically administered half-dose thrombolysis in treatment of pulmonary embolism. Vasc Med. 2019 Apr;24(2):103-109. doi: 10.1177/1358863X18824159. Epub 2019 Mar 5. PMID: 30834822. https://pubmed.ncbi.nlm.nih.gov/30834822/ Pandya V, Chandra AA, Scotti A, Assafin M, Schenone AL, Latib A, Slipczuk L, Khaliq A. Evolution of Pulmonary Embolism Response Teams in the United States: A Review of the Literature. J Clin Med. 2024 Jul 8;13(13):3984. doi: 10.3390/jcm13133984. PMID: 38999548; PMCID: PMC11242386. https://pubmed.ncbi.nlm.nih.gov/38999548/ Rivera-Lebron B., McDaniel M., Ahrar K., Alrifai A., Dudzinski D.M., Fanola C., Blais D., Janicke D., Melamed R., Mohrien K., et al. Diagnosis, Treatment and Follow Up of Acute Pulmonary Embolism: Consensus Practice from the PERT Consortium. Clin. Appl. Thromb. Hemost. 2019;25:1076029619853037. doi: 10.1177/1076029619853037.https://pubmed.ncbi.nlm.nih.gov/31185730/

Get up to 10 free meals and free breakfast for life from HelloFresh with my code HF-0449 https://www.filify.co/SHBn0 If you've been feeling like January was just the warm-up… you're not wrong.In this episode, I'm breaking down why spring is the real new year — astrologically, energetically, and spiritually — and how to use this season to finally get everything you want.We're talking about:✨Manifestation vs. delusion✨Law of attraction + discipline (the real combo)✨Getting out of your comfort zone✨Trusting your intuition (even the “mystical” vibes)✨Speaking what you want into existence✨Feminine energy + masculine drive✨Why presence and mindfulness change everything✨And yes… my thoughts on Love Story on Hulu and what it reveals about relationships, ego, and standardsThis is your reminder that you are powerful. Spring is about blooming, stepping into your confidence, and raising your standards — in your goals, your habits, and your relationships.If you're ready for a glow up that's actually grounded and aligned, this one's for you.Don't forget to subscribe and share with a baddie who's leveling up this season

CardioNerds (Dr. Jenna Skowronski [Heart Failure Council Chair], Dr. Shazli Khan, and Dr. Josh Longinow) are joined by renowned leaders in the field of AHFTC (Advanced Heart Failure and Transplant Cardiology) and mechanical circulatory support, Dr. Jeff Teuteberg and Dr. Mani Daneshmand to continue the discussion of advanced heart failure therapies by taking a deep dive into the world of durable LVADs (Left Ventricular Assist Devices). In this episode, we will review the history of ventricular assist devices, the basics of LVAD function, selection criteria for LVAD therapy, and surgical nuances of LVAD implantation. Audio Editing by CardioNerds intern, Joshua Khorsandi. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Heart Success Series PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls There have been significant advances in the field of MCS/LVAD therapy since the first implanted LVAD in the 1960s, to the first FDA approved device in the early 2000's, to now the HM3 LVAD, with the most important change being a centrifugal flow/magnetically levitated design that led to minimized hemocompatibility-related adverse events (HRAE's) (MOMENTUM 3 trial comparing HM2 and HM3).  The REMATCH trial in 2001 was a pivotal trial for LVAD therapy, demonstrating that in a population of patients with advanced HF (70% IV inotrope dependent), LVAD therapy significantly improved survival at both 1 and 2 years as compared to medical therapy alone.    MOMENTUM 3 trial was a landmark trial for the HM3 device, showing that in a population of end stage HF patients (86% inotrope dependent, 32% INTERMACS 1-2, and 60% DT strategy), 5-year survival with HM3 was 58% and HM3 had lower HRAE's compared with HM2.  There are both patient-specific factors and surgical considerations when it comes to candidacy for LVAD therapy.  RV function prior to LVAD is a key determinant for success post-LVAD  Many patients being considered for LVAD may not have robust RV function, however, predicting RV failure after LVAD is exceedingly difficult.   In general, it doesn’t matter how bad the RV may look on imaging; we care more about the pre-LVAD hemodynamics (look at the PAPi and RA/wedge ratio).   What happens in the OR may be the most important determinant of how the RV will do with the LVAD!  Notes Notes drafted by Dr. Josh Longinow.  1. Historical background of heart pumps and LVADs  LVAD Evolution   FDA approval year  2001  2008  2012  2017  Pump  HeartMate XVE   HeartMate II  Heartware HVAD  HeartMate III  Flow/Design Features  Pulsatile Technology   Continuous flow Axial design  Continuous flow  Centrifugal design  Continuous flow   Full MagLev + Centrifugal design  The 1960's ushered in the first ‘LVADs', when the first air-powered ‘LVAD' was implanted. It kept the patient alive for four days before the patient expired.   The first generation of LVADs were pulsatile pumps   The first nationally recognized, FDA approved LVAD was the HeartMate XVE (late 1990s to early 2000s, REMATCH trial). The XVE pump used compressed air (pneumatically driven) to power the pump.   Prior to the XVE, OHT was the standard of care for patients with advanced, end-stage heart failure.   The second and third generations of LVADs were non-pulsatile, continuous flow devices and included the HVAD, HM2, and HM3 devices.   MOMENTUM 3 was a landmark trial for the HM3 device, showing that in a population of sick patients with end stage HF (86% inotrope dependent, 32% INTERMACS 1-2, and 60% DT strategy), 5-year survival with HM3 was 58% and HM3 had lower HRAE's compared with HM2.   The only pump that is currently FDA approved for implant is the HM3, although other pumps are in clinical trials (BrioVAD system, INNOVATE Trial).  2. What are LVADs, and how do they work?   In simplest terms, the LVAD is a heart pump comprised of several key mechanistic components:   Inflow cannula  Mechanical pump   Outflow cannula  Driveline  Controller/Power source  The HM3 differs from its predecessors (HM2 and HVAD) in several key ways;   HM3 is placed intrapericardial whereas the HM2 was placed pre-peritoneal.   Perhaps most importantly, the HM3 is a fully magnetically levitated, centrifugal flow pump, whereas the HM2 is an axial flow device.  Axial flow pumps are not magnetically levitated, leading to more friction produced between the ruby bearing's contact with the pump rotors, and higher rates of hemocompatibility related adverse events (HRAEs, i.e. pump thrombosis) and the HM2 was ultimately discontinued in favor of the HM3 (MOMENTUM 3 trial).  3. What do the terms ‘Destination Therapy' (DT) or ‘Bridge to Transplant' (BTT) mean when it comes to LVADs?   When LVADs first came on the stage, EVERYONE was a BTT; these early pumps weren't designed for long term use (I.e. REMATCH Trial, Heartmate XVE)  Destination therapy means the LVAD was placed in leu of transplant because there are contraindications to transplant   REMATCH trial brought about the concept of “Destination therapy”, comparing outcomes in patients (with contraindications for transplant) who received an LVAD vs optimal medical therapy  Bridge to transplant means we are placing the LVAD in a patient who may not be a transplant candidate at this moment in time (is too sick, or conversely, not sick enough), but may be down the line   Bridge to recovery is another term used when the LVAD is being placed for a patient we think may have a recoverable cardiomyopathy  4. What are some factors we should consider when assessing a patient’s candidacy for LVAD, in general, and from a surgical perspective?   Patient factors   Older age might push us towards thinking LVAD rather than transplant  In general, age > 70 is the cutoff for transplant, but this is not a hard cut off and varies institution to institution    In general, think about things that help predict recovery after a major surgery; Frailty and Nutritional status are important, we try to optimize these prior to LVAD implant   Right ventricular function remains the Achilles heel of LV support  We know that needing temporary RV support post LVAD puts you on a different survival curve than patients who don’t need RVAD support  Studies have not been able to successfully predict who will develop RV failure after LVAD implantation  What happens in the time between when the patient goes to the OR and when they get back to the ICU is an important determinant who might develop RV failure post LVAD   Surgical techniques such as implanting the HM3 in the intra-thoracic cavity, rather than intra-pericardial may help maintain LV/RV geometry to help optimize the RV post LVAD   Surgical considerations for LVAD candidacy  Small, hypertrophied LV: HM3 inflow cannula is small, but small hypertrophied ventricles tend towards chamber collapse during systole causing suction, needing to run slower with lower flow rates  Chest size/diameter: pumps have gotten so small now, that for adults, these have become less of a consideration  BMI: low BMI used to be more of a concern with the older pumps due to where they were placed, and the relative size of the pump itself, not so much now with the smaller HM 3 pumps  Calcified LV apex: would increase risk of stroke, bleeding   Driveline tunneling becomes a concern in the super obese population, higher risk for driveline infections (might tunnel these driveline's shorter, and to a less fatty region of the abdomen, could even tunnel out the thoracic cavity in the super obese to limit skin motion)    5. Is there a role for MCS (i.e. temporary LVAD such as Impella) in pre-habilitation of patients prior to LVAD surgery?   The theory of being able to improve systemic perfusion, decongest the organs, and make the patient feel better prior to surgery makes sense, but becomes problematic due to the lack of a hard end point/time for prehabilitation which might risk delays in surgery   More likely that it can lead to delay in the surgery, with less-than-optimal benefit; you don't want to prolong the wait for surgery and increase the risk for complications prior to surgery    An Impella 5.5 is currently FDA approved for 2 weeks of support, not 2 months so timing is important to keep in mind  It’s unlikely that you will take a patient and convert them from a malnourished, cachectic person in 2 weeks’ time   6. Is there a role for LVAD therapy in the younger patient population? Should we be thinking of LVAD up front for these patients, with the goal of transplanting down the line?   Recovery may be more likely in certain populations, particularly younger females with smaller LV's; in those populations, perhaps bridge to recovery should be the focus, optimizing them on GDMT etc.   The replacement of transplant, with MCS (LVAD) in young patients has become a topic of discussion, because these pumps have become better and better, with the thinking that an LVAD could bridge a patient for 10 years or so, and they could get a transplant later   It is still a big unknown, but several concerns exist  Patients who get LVADs might end up with complications that become contraindication to transplant down the line (stroke, sensitization etc)   Patients and providers are more hesitant because of the more recent iteration for the UNOS criteria for OHT listing which no longer gives patients with an uncomplicated LVAD higher priority, and therefore they could end up waiting a longer time for a heart after undergoing LVAD  References Rose EA, Gelijns AC, Moskowitz AJ, et al. Long-term use of a left ventricular assist device for end-stage heart failure. N Engl J Med. 2001;345(20):1435-1443. doi:10.1056/NEJMoa012175  Mehra MR, Uriel N, Naka Y, et al. A Fully Magnetically Levitated Left Ventricular Assist Device – Final Report. N Engl J Med. 2019;380(17):1618-1627. doi:10.1056/NEJMoa1900486  Mancini D, Colombo PC. Left Ventricular Assist Devices: A Rapidly Evolving Alternative to Transplant. J Am Coll Cardiol. 2015;65(23):2542-2555. doi:10.1016/j.jacc.2015.04.039  Mehra MR, Goldstein DJ, Cleveland JC, et al. Five-Year Outcomes in Patients With Fully Magnetically Levitated vs Axial-Flow Left Ventricular Assist Devices in the MOMENTUM 3 Randomized Trial. JAMA. 2022;328(12):1233-1242. doi:10.1001/jama.2022.16197  Rose EA, Moskowitz AJ, Packer M, et al. The REMATCH trial: rationale, design, and end points. Randomized Evaluation of Mechanical Assistance for the Treatment of Congestive Heart Failure. Ann Thorac Surg. 1999;67(3):723-730. doi:10.1016/s0003-4975(99)00042-9  Kittleson MM, Shah P, Lala A, et al. INTERMACS profiles and outcomes of ambulatory advanced heart failure patients: A report from the REVIVAL Registry. J Heart Lung Transplant. 2020;39(1):16-26. doi:10.1016/j.healun.2019.08.017  Mehra MR, Netuka I, Uriel N, et al. Aspirin and Hemocompatibility Events With a Left Ventricular Assist Device in Advanced Heart Failure: The ARIES-HM3 Randomized Clinical Trial. JAMA. 2023;330(22):2171-2181. doi:10.1001/jama.2023.23204  Mehra MR, Nayak A, Morris AA, et al. Prediction of Survival After Implantation of a Fully Magnetically Levitated Left Ventricular Assist Device. JACC Heart Fail. 2022;10(12):948-959. doi:10.1016/j.jchf.2022.08.002  Bhardwaj A, Salas de Armas IA, Bergeron A, et al. Prehabilitation Maximizing Functional Mobility in Patients With Cardiogenic Shock Supported on Axillary Impella. ASAIO J. 2024;70(8):661-666. doi:10.1097/MAT.0000000000002170 

Get up to 10 free meals & free breakfast for lifeee from HelloFresh with my code HF-0449 https://www.filify.co/SHBn0 !!!The winter arc was cute… but it's almosttt officially step our swag up spring.In this episode, I'm breaking down what “swag” actually means (hint: it's confidence, clarity, and being solution-oriented) and why so many of us feel stuck, bored, or low-energy when we're not actively working toward something meaningful.We talk about:✨why confidence comes from having a mission✨how your comfort zone is secretly holding you back✨what elite athletes understand about mindset and perseverance✨why most people live in a victim mindset (and how to shift out of it)✨being solution-oriented instead of reactive✨mindfulness, discipline, and leveling up your daily habits✨spring cleaning your space (and your energy)I share lessons from reading Eleven Rings by Phil Jackson, watching The Last Dance, and diving into that relentless, high-performance mindset, but applying it to real life, self-growth, and becoming your most confident self.This is your reminder that:every day mattersevery moment is an opportunityand swag is built through small daily decisions fr frLet's step our swag up this spring yallEnjoy & dont forget to tweet/ig story me a screenshot of you listening!Eleven Rings by Phil Jackson https://amzn.to/3MZRhPURelentless by Tim Grover https://amzn.to/4azkTg4W1nner by Tim Grover https://amzn.to/4azkTg4MY NEW WEBSITE!! Shop merch, sign up for my newsletter, book a coffee chat, & more: http://stellaraeherself.comGet $1000 off the health coach certification program I'm doing with promo code STELLACOACHING https://www.shareasale.com/u.cfm?d=1281553&m=96296&u=1030263I edit using Riverside! https://www.riverside.fm/?utm_campaign=campaign_5&utm_medium=affiliate&utm_source=rewardful&via=stella-holtshop my new glo up merch!! https://stellarae.myspreadshop.com/instagram http://instagram.com/stellaraepodcastlisten to and/or support the podcast: https://anchor.fm/stella-raetiktok: http://tiktok.com/@stellaraeherselftwitter: http://twitter.com/stellaraegoodreads: https://www.goodreads.com/user/show/10449999-stella-raemy fav books/products/health: https://www.amazon.com/shop/stellaraemy current filming set up:camera: https://amzn.to/4cEQiLOmicrophone: https://amzn.to/3Z2A5gctripod: https://amzn.to/3AEmxgKring light: https://amzn.to/3XxZrShbox lights: https://amzn.to/4e1Q1Ubportable light for phone: https://amzn.to/3XxZspjjoin my patreon for ad-free episodes, early access, merch discounts, behind the scenes, & more! https://www.patreon.com/stellaraepodlisten on spotify: https://open.spotify.com/show/2DMbeh7EqiqgROIjvW0sI9listen on apple podcasts: https://podcasts.apple.com/us/podcast/the-stella-rae-podcast/id1255618182#StellaRaePodcast

Problems with the PREVENT score, a breakthrough in lipid-lowering therapy, a surprising benefit in stroke care, and more thoughts on statins and preventive care of heart disease are the topics John Mandrola, MD, discusses in this week's podcast. This podcast is intended for healthcare professionals only. To read a partial transcript or to comment, visit: https://www.medscape.com/twic I PREVENT Score PREVENT Equations in Young Adults https://doi.org/10.1016/j.jacc.2025.12.019 Hospital Readmission Reduction Program for HF https://pmc.ncbi.nlm.nih.gov/articles/PMC7664458/ II A New Breakthrough in LDL-C Management With an Oral PCSK9 Inhibitor https://www.medscape.com/viewarticle/time-overcome-pcsk9i-inertia-new-data-future-options-2025a1000wf8 CORALreef Trial https://www.nejm.org/doi/full/10.1056/NEJMoa2511002 CORALreef Outcomes Trial https://clinicaltrials.gov/study/NCT06008756 III A Win for the Factor XI Inhibitor Asundexian – OCEANIC Stroke Trial https://www.medscape.com/viewarticle/first-clear-win-factor-xia-inhibitors-stroke-reduced-2026a10003t0 OCEANIC-STROKE Slide deck https://clinicaltrialresults.org/wp-content/uploads/2026/02/26-02-02_ISC_OCEANIC-STROKE-primary.pdf OCEANIC-AF Study Stopped Early https://www.bayer.com/media/en-us/oceanic-af-study-stopped-early-due-to-lack-of-efficacy/ IV Statin Side Effects Assessment of AEs Attributed to Statins -- Meta-analysis https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(25)01578-8/fulltext N-of-1 Trial to Assess AEs of Statins https://www.nejm.org/doi/full/10.1056/NEJMc2031173 When to Start a Statin Is a Decision About Preference -- Editorial https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.117.029808 V Heart Disease Statistics CV Statistics in the US, 2026 https://www.jacc.org/doi/10.1016/j.jacc.2025.12.027 You may also like: The Bob Harrington Show with the Stephen and Suzanne Weiss Dean of Weill Cornell Medicine, Robert A. Harrington, MD. https://www.medscape.com/author/bob-harrington Questions or feedback, please contact news@medscape.net