Podcasts about hi def

The government both creates and runs on data. Given that agencies spend hundreds of billions of dollars on goods and services the more procurement data it has, the better it can understand trends and 'manage' procurement. That's the idea behind a data source effort known as Hi-Def. It got more from GSA's assistant commissioner for the office of strategic innovation, Charlotte Phalen. Learn more about your ad choices. Visit podcastchoices.com/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

The government both creates and runs on data. Given that agencies spend hundreds of billions of dollars on goods and services the more procurement data it has, the better it can understand trends and 'manage' procurement. That's the idea behind a data source effort known as Hi-Def. It got more from GSA's assistant commissioner for the office of strategic innovation, Charlotte Phalen. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Hosted by Dr. Zach Smith, DPT, (@ZachThePT) the HIDEF Performance Podcast dives deep into the world of physical therapy, strength training, and performance optimization. Whether you're an athlete, coach, or just passionate about moving better, this podcast offers actionable insights on injury rehab, optimizing performance, and mastering the fundamentals of strength. Expect expert advice, real-world case studies, and tips that go beyond the clinic to help you move and feel your best. Join Zach as he unpacks his years of experience working with high-level athletes and everyday movers, tackling everything from low back pain recovery to advanced training techniques. If you're ready to elevate your performance, tune in weekly and discover how HIDEF can help you reach your potential. Visit www.hidefuniversity.com for more resources and in-depth courses. --- Support this podcast: https://podcasters.spotify.com/pod/show/hidef/support

In this new episode, Rick sits down with Zach Smith to talk about how he doubled his multi-million dollar clinic in a year by optimizing his website, successful recruitment, and reducing treatment times. Zach is a doctor of physical therapy and co-owner of HIDEF Physical Therapy located in Washington, which has a 5-star rating on Google with over 130 reviews. In this conversation, Rick and Zach discuss topics, such as: HIDEF's Revenue Growth in 2023 vs. 2022 Reducing Treatment Times from 60 min to 45 min Strategies on Optimizing your Website Importance of Community Backlinks & Google Reviews How to Successfully Recruit Clinicians How to Get New Patients Implementing Inside and Outside Projects Attracting Clinicians Through Social Media Productive Meeting Rhythms with your Team Follow Zach: Instagram: https://www.instagram.com/zachthept/ Watch the episodes on Youtube: https://www.youtube.com/c/RickLauCallHero Follow me: Instagram: https://www.instagram.com/thericklau/ Linkedin: https://www.linkedin.com/in/rick-lau-75453021/?originalSubdomain=ca Sponsors: Callhero: https://mycallhero.com/ Clinic Accelerator: https://clinicaccelerator.com/

https://4dadjsradio.com/home PLAYLIST- 01. DJ R DUB L – 4DaDJS Radio Dubtro 02. The Knockaz , Ziz, I9ON, Nivek B - Bar-Barianz (R Dub L Remix) (Prod. by Joey Violin) 03. Black Silver ( The Navigator ) - Let's Get It feat. Ras Kass & Tash 04. The Doppelgangaz - Living Nightmare 05. Tru Trilla - Sun Rays feat. Reks & Lakim Shabazz (produced by LG Roc) 06. Leaf Dog feat. Big Pun - Invincible 07. Shark & DAS feat. The Magnificent - The Magnificent 08. Vinnie Paz Feat. Saigon - Peace Means Violence (Prod. By Stu Bangas) 09. Blaq Poet – Hit You With The Raw (Prod by MistaSweet) 10. Shark & DAS feat. B1 The Architect & Eddy Jones - Quasar 11. Eric Bobo Feat. Ruste Juxx & Psycho Les – The Dominator (Prod by Stu Bangas) 12. Nyce Da Future - W.O.L.F. Pt. 2 feat. Joey Majors, Un Kasa & Eto 13. Drill Kid Productions - The Recital feat. Street Da' Villan, G Fam Black, I.N.F & Mr. Scratch Hook 14. BrownLucci feat. Ghostface Killah - Robbery 15. AZ – In Italian (Prod by World Be Free) 16. AWOL One & Kool Keith feat. Myka 9 & Xzibit - The Ratchet Format 17. Nam Nitty & Pillz Feat. John Jigg$, Rah Sun & Tone Spliff - Fresh Dressed 18. Dan-e-o - ... (feat. Masta Ace & Xentury) 19. Estee Nack & HiDEF- 4 Mics, 1 DOOM feat. Westside Gunn, Raz Fresco & Mike Shabb 20. BoFaatBeatz x Sha-Elemantal - Van Peoples feat. Dirt Rustle, Mickey Bourbon & LEN DOR 21. DJ Flipcyide feat. DMX - Forever X (DMX Tribute) Prod. by Anno Domini 22. Bozak Morris feat. Raz Fresco - Millennium Falcon 23. Alias Molombo Ciphurpace feat. KRS One & A-F-R-O - Boom Bap 16 24. Shark & DAS feat. Es - Fuck Rhymin 25. G Fam Black feat. P-Ro & DJ Decepta - Above The Law 26. Mic Gutz Feat. Mic North & DJ Mercilless - Duel Of The Iron Mic 27. NIVEK.B - ROLE MODELS - STARRING VIC MONROE X NIVEK.B 28. Tame One - Molly feat. Aesop Rock & Breeze Brewin 29. Recognize Ali feat. D-Styles - Neighborhood Grim Reaper 30. Mister Mike Ft. berner, Casper marcus. DJ R DUB L & CTrick – Succe$$ (Prod by BBA KING) 31. Pyraminds - Now You Know feat. Lord Goat, Copywrite & Starvin B 32. Raz Fresco - Culture Pusher (R DUB L Remix) 33. Omen44, Shadow The Great & Raz Fresco - Culture Pusher 34. DJ R DUB L Ft. GEE Wunder Feat. Mad Child - Pressure bust Pipes (Prod XzayViaHBeatz) 35. Mic Gutz Feat. Lotus James - Mic & Cus 36. Team Demo - Do You Believe feat. Wais P & Sauce Money 37. Sean Pane - G Ceremony op 38. Chubs & Farmabeats feat. WateRR - 13th Apostle 39. Irie-1 - Style Warz feat MC Eiht, DJ R DUB L & Pro The Leader

https://4dadjsradio.com/home PLAYLIST- 01. DJ R DUB L – 4DaDJS Radio Dubtro 02. The Knockaz , Ziz, I9ON, Nivek B - Bar-Barianz (R Dub L Remix) (Prod. by Joey Violin) 03. Black Silver ( The Navigator ) - Let's Get It feat. Ras Kass & Tash 04. The Doppelgangaz - Living Nightmare 05. Tru Trilla - Sun Rays feat. Reks & Lakim Shabazz (produced by LG Roc) 06. Leaf Dog feat. Big Pun - Invincible 07. Shark & DAS feat. The Magnificent - The Magnificent 08. Vinnie Paz Feat. Saigon - Peace Means Violence (Prod. By Stu Bangas) 09. Blaq Poet – Hit You With The Raw (Prod by MistaSweet) 10. Shark & DAS feat. B1 The Architect & Eddy Jones - Quasar 11. Eric Bobo Feat. Ruste Juxx & Psycho Les – The Dominator (Prod by Stu Bangas) 12. Nyce Da Future - W.O.L.F. Pt. 2 feat. Joey Majors, Un Kasa & Eto 13. Drill Kid Productions - The Recital feat. Street Da' Villan, G Fam Black, I.N.F & Mr. Scratch Hook 14. BrownLucci feat. Ghostface Killah - Robbery 15. AZ – In Italian (Prod by World Be Free) 16. AWOL One & Kool Keith feat. Myka 9 & Xzibit - The Ratchet Format 17. Nam Nitty & Pillz Feat. John Jigg$, Rah Sun & Tone Spliff - Fresh Dressed 18. Dan-e-o - ... (feat. Masta Ace & Xentury) 19. Estee Nack & HiDEF- 4 Mics, 1 DOOM feat. Westside Gunn, Raz Fresco & Mike Shabb 20. BoFaatBeatz x Sha-Elemantal - Van Peoples feat. Dirt Rustle, Mickey Bourbon & LEN DOR 21. DJ Flipcyide feat. DMX - Forever X (DMX Tribute) Prod. by Anno Domini 22. Bozak Morris feat. Raz Fresco - Millennium Falcon 23. Alias Molombo Ciphurpace feat. KRS One & A-F-R-O - Boom Bap 16 24. Shark & DAS feat. Es - Fuck Rhymin 25. G Fam Black feat. P-Ro & DJ Decepta - Above The Law 26. Mic Gutz Feat. Mic North & DJ Mercilless - Duel Of The Iron Mic 27. NIVEK.B - ROLE MODELS - STARRING VIC MONROE X NIVEK.B 28. Tame One - Molly feat. Aesop Rock & Breeze Brewin 29. Recognize Ali feat. D-Styles - Neighborhood Grim Reaper 30. Mister Mike Ft. berner, Casper marcus. DJ R DUB L & CTrick – Succe$$ (Prod by BBA KING) 31. Pyraminds - Now You Know feat. Lord Goat, Copywrite & Starvin B 32. Raz Fresco - Culture Pusher (R DUB L Remix) 33. Omen44, Shadow The Great & Raz Fresco - Culture Pusher 34. DJ R DUB L Ft. GEE Wunder Feat. Mad Child - Pressure bust Pipes (Prod XzayViaHBeatz) 35. Mic Gutz Feat. Lotus James - Mic & Cus 36. Team Demo - Do You Believe feat. Wais P & Sauce Money 37. Sean Pane - G Ceremony op 38. Chubs & Farmabeats feat. WateRR - 13th Apostle 39. Irie-1 - Style Warz feat MC Eiht, DJ R DUB L & Pro The Leader

BANG! @southernvangard #radio Ep390! We're a mere TEN episodes away from Episode 400 - if our rudimentary math calculations are correct, we're hitting four hundo around mid-April. Spring time will be a fun time here at the best underground rap show on the planet. Come on - what show do you know wraps up with one of it's co-hosts rocking out to the J Geils Band? The answer - NO ONE. YOU WAAAAALCOME!!!!! #SmithsonianGrade #WeAreTheGard #YouWaaaaalcome // southernvangard.com // @southernvangard on all platforms #undergroundhiphop #boombap #DJ #mixshow #interview #podcast #ATL #WORLDWIDE #RIPCOMBATJACK Recorded live February 5, 2024 @ Dirty Blanket Studios, Marietta, GA southernvangard.com @southernvangard on all platforms #SmithsonianGrade #WeAreTheGard twitter/IG: @southernvangard @jondoeatl @cappuccinomeeks Pre-Game Beats - Selections from Boom Bap Crew Vol. 1 Talk Break Inst. - "Finger Tips" - Kuartz "The Lesson" - Emskee x MiLKCRATE ft. DJ Jon Doe "Pedal To The Floor" - Tha God Fahim & Cookin Soul "More Of The Raw" - Da Flyy Hooligan (prod. DJ Rhettmatic) "Move " - Crotona P x Sinamatik ft. Rico Blox "Hero" - Masta Ace & Marco Polo ft. Inspectah Deck Talk Break Inst. - "Forget About Me" - Kuartz "Murderers' Row" - Reef The Lost Cauze ft. Dillon, Miggs Sonny, Saleem Oxygeen & DJ Skipmode "Late 90's (DK Remix)" - PR Dean ft. Copywrite, Heleos, King Nova & Messiah Kaine "Molly" - Tame One & Parallel Thought ft. Aesop Rock & Breeze Brewin "Man Down" - Napsndreds "Talk Is Cheap" - Crisis ft. Eto Talk Break Inst. - "Stay" - Kuartz "Macys Lo Section" - Jay Royale feat. Nym Lo (prod. Crown, cuts DJ Eclipse) "Must Don't Know" - IamGAWD & Clypto ft. Rufus Sims "Blood In Blood Out" - Bozack Morris ft. Asun Eastwood & Lex Talionis "Mystery Science Theater" - HiDEF x Estee Nack ft. Raz Fresco "Washed Ashore" - Waterr X Wavy Da Ghawd "Dwayne Johnson" - Chuck Chan x Squeegie Oblong "Lion Vs. Panther" - Crimeapple & Preservation "Whats Today Math?" - Al.Divino "1 Way Ticket" - Forever Pavot & XP The Marxman Talk Break Inst. - "Ain't No Way" - Kuartz "Love Stinks" - The J. Geils Band "Big Beat" - Billy Squier

BANG! @southernvangard #radio Ep389! Yeah - we're late this week, Vangardians - real late. Doe had a biz trip this week and spaced taking the tools he needed to get the show out the door on Tuesday. We sincerely apologize. Alright, let's get on with the show. WORLD EXCLUS were on deck this week from BAD SEED, L.I.F.E. LONG and our own EDDIE MEEKS, and of course the usual trash talk from best duo of the game. Last but not least - we're trying our best to stay away from the weirdos - so NO THAAAAANK YAAAA to the weirdo ish and YOU WAAAAALCOME!!!!! #SmithsonianGrade #WeAreTheGard #YouWaaaaalcome // southernvangard.com // @southernvangard on all platforms #undergroundhiphop #boombap #DJ #mixshow #interview #podcast #ATL #WORLDWIDE #RIPCOMBATJACK /------/ Recorded live January 28, 2024 @ Dirty Blanket Studios, Marietta, GA southernvangard.com @southernvangard on all platforms #SmithsonianGrade #WeAreTheGard twitter/IG: @southernvangard @jondoeatl @cappuccinomeeks /------/ Pre-Game Beats - Oddisee Talk Break Inst. - "The World Is Changing" - Str8 Bangaz "Stand On It" - Bad Seed (prod. Nottz) "P.P.E." - Masta Ace & Marco Polo "Double Gloved" - Snook Da Crook "Don't Mention It" - Crimeapple & Preservation ft. Sadat X "Rushing Yards" - Mickey Diamond (Oh Jay Remix) "Product Is Raw" - Kable The Don & DJMIKEC Talk Break Inst. - "Gwening" - Str8 Bangaz "Crazy" - DJ Robert Smith & BambuDeAsiatic "Word Born (Wildelux Remix)" - Wildelux ft. D Strong, Aarophat & DJ Robert Smith "Don't Get Me Started" - Leaf Dog ft. Starang Wondah "Back Again" - Benny The Butcher ft. Snoop Dogg (prod. Hit-Boy) "Hardaway 6" - Bad Seed ft. Juxx Diamondz, Substance 810 (prod Team Demo) ** WORLD EXCLUSIVE ** "Sweet Life" - Yamin Semali ft. Auburn Ave "How To Make A Pyramid" - Yamin Semali "One Question" (Jim Sharp Remix) - Schmiddlfinga & DJ Robert Smith ft. Slimkid 3 Talk Break Inst. - "David Ruffin" - Str8 Bangaz "No Gun Control" - L.I.F.E. Long ** WORLD EXCLUSIVE ** "Turkaloo" - Bad Seed ft. Honey Dinero, Terror Van Poo (prod. CJ Dove) ** WORLD EXCLUSIVE ** "Missing No Meals" - Primo Jab (prod. Chuck Chan) "Fluff" - Al.Divino ft. Datkidbravo & ??? aka The Hidden Character "Trophy Empires" - Waterr X Wavy Da Ghawd ft. Eddie Kaine "Junior High" - Che Noir ft. Your Old Droog & Evidence (prod. Playa Haze) "4 Mics, 1 DOOM" - HiDEF x Estee Nack ft. Westside Gunn, Raz Fresco & Mike Shabb "Petey Piano (Rough Mix)" - Eddie Meeks (prod. DJ Jon Doe) ** WORLD EXCLUSIVE **

This week on Checkpoint Chat, we journey to lush space jungles in Avatar: Frontiers of Pandora, avoid deadly Clickers in The Last of Us Part II Remastered's new No Return roguelite mode, and ponder the possibility of Elden Ring's DLC being out within the next month. Follow Checkpoint Chat on... Twitter: https://twitter.com/CheckpointChat​​ Facebook: https://www.facebook.com/CheckpointChat Instagram: https://www.instagram.com/checkpointchat YouTube: https://www.youtube.com/checkpointchat Want to listen to more gaming goodness, on other platforms? Subscribe to the podcast on Apple, Google, Spotify, and more right here: https://podcasters.spotify.com/pod/show/checkpointchat -- SHOW NOTES -- 00:00:00​ - Nandos is far too fancy in the UK 00:13:13 - Avatar: Frontiers of Pandora sure is pretty 00:25:58 - The Last of Us Part II Remastered is a neat upgrade 00:43:50 - Games out this week 00:52:53- All the latest gaming news 01:26:50 -Listener questions #gamingpodcast #gaming #gamingreview #gamingnews

This onshore breeze. A pleasant one, will not cuff too much against your ears. It'll flutter. Like a dark brown feather quivers, on a current of moving air. It'll be steady too. As a pleasant onshore breeze is. As the horizon is, from whence it came. Rising, at its centre. And falling away, almost imperceptibly either side of its farthest edges. A constant. And a consistent presence that lets your skin know just how endless the space is. Out there.   A strange thing though. Worth noting. Worth remembering, for next time. How an onshore breeze is unchanging. While it comes from out there, from the wide open endless sea, and while it lands upon the shore just as the incoming waves do, it does no advancing or receding, like the waves do. No hauling back of the shingle. No pulling away making you feel your love is about to be lost only, seconds later, to be found again. No. Because with the onshore breeze, you always know where you are. It's constant. Cool yet convivial. Makes the time spent on the beach feel real. Right. Restorative.  * We took this 30 minute sound photograph on Chesil Beach by Portland last April. Its the second take of the beach from a different location to episode 163 but taken shortly afterwards on the same day. Placing the Lento sound camera pointing directly out to sea, about fifteen yards from the breaking waves, the scene captures not only the steady on-shore breeze, but the deep visceral and spatial sound of the receding waves as they haul back huge quantities of the smooth, very heavy kind of shingle, that this section of Chesil Beach is made of.

Are Replika's Erotic Bots spouse material? New Brain Imagining tech improves on MRIs by 64 Million times, Big Batterie Breakthroughs, Billionaire AI Economic Boom Prediction, New Twitter CEO, and much much more as we bring you the Singularity Report, a weekly live show that documents and informs the journey as humanity marches inevitably toward the Technological Singularity. Financially Support the Show with Super Chats or Patreon: patreon.com/thesingularitylab Follow Us: Follow Michael Mataluni: https://linktr.ee/michaelmataluni​ Follow Brooks Lopez: https://twitter.com/StrivinToThrive Follow Randy: https://twitter.com/randolphmorley

RING A DING DING TIMECOME FLY WITH ME by Frank Sinatra (Capitol, 1958)This is my 100th episode, and it seems appropriate to end the Captain Billy series here with Frank Sinatra. The practice of going through my 8 track collection and luxuriating in the music of my youth has been a tonic, getting me through a season of grief and isolation. And, now, as I pack up my house of 26 years, parsing through and divesting myself of some weighty possessions, I sense that it may also be time to move on to other occupations. My partner, Richie B, has always been a devotee of Blue Eyes, - (he's been lobbying for Frank's induction into the Rock n Roll Hall of Fame for years) - and when I started collecting 8 tracks by amassing large lots of unidentified carts, there were more Sinatra tapes appearing at my door than by any other artist. This album is from the jazzy, Rat-Pack period Frank, my favorite Sinatra era by far. The early, crooning, Bobby-Soxer's Dreamboat never did it for me. But these piquant Capitol recordings have it all: the swing, the manly heartbreak, and winking sexy fun of America's all time greatest male interpreter of popular song, during the time that that form dominated American culture.Arranged by the jaunty Billy May, everything about this “concept” album - (a musical trip around the world) - shows The Chairman of the Board at his ring a ding ding best. Dig those syncopated horn pops and flirty flutes as they insinuate themselves around Frank's relaxed articulations. Here, Sinatra is perfecting his ability to mine deeper layers of meaning from lyrical phrases by stopping and bending time. It is an art exhibition, by a master of communication, at the pinnacle of his craft. One more thing - For the past 20 years I have been fortunate to have worked at an Acting school situated directly across the street from the iconic Capitol Records building - the edifice that Frank built, and I have some wonderful memories of teaching in a classroom of windows, with blinds raised, so we could watch that cylindrical building of legend be bathed in a rosy Hollywood sunset. So, I salute you, home of my heroes, the Beatles, and of Richie's - Frank Sinatra. That's all, folks.

NO BERLINNIGEL LIVED by Murray Head (Columbia 1973)Concept (with a capital C) album Nigel Lived was released in the same year as Lou Reed's Berlin, and although neither one was deemed acceptable radio fare, and both are theatrically based, playing on disturbing subject matter, they are light years apart. Berlin has been recognized as a masterpiece, a gut-wrenching portrait of abuse, co-dependence, and addiction, and Nigel Lived….? Well, frankly it's hard to tell what it's about. We've been told it concerns a starry eyed young musician who comes to the big city, experiences disillusionment, and takes to heroin. However, even after a close listen with the lyrics at my side, (link included below) I had a hard time following the thread.The original release came with a “found diary” of lyrics, but the lush production by Nick DeCaro is so deeply layered, it's almost impossible to discern a consistent story line beneath the baroque atmosphere. Often the compelling vocal stylings of Murray Head are mixed too low or at odds with an increasingly chaotic arrangement.  This is ambition run riot.Its existence went unheralded, and Mr. Head, a successful musical stage and film performer (Jesus Christ Superstar; Chess, Sunday Bloody Sunday) never performed the songs in public - until now. Intervention records has recently remastered the Phil Brown engineered recording on 180gram vinyl, and that release was very successful, leading Mr. Head to reconsider reopening the Nigel Lived song cache and sharing it live with the world. As a sympathetic thespian I applaud him. Parts of the opus are delightful listening, and rendered live without the added filigree, this dynamic performer has a shot at making his original concept comprehensible. https://www.karaoke-lyrics.net/lyrics/head-murray/pacing-on-the-station-88213

JUST PLAIN BILL?JUST AS I AM by Bill Withers (Sussex, 1971)Bill Withers was uncategorizable. Was he a soul artist? A folk musician? A blues singer? He certainly was no pop star. He picked a nylon string guitar, for God's sakes! But, even so, he was one of the most covered songwriters who ever plied the craft. His appeal was universal. There hasn't been any aspiring singer, of any genre, who hasn't tried to put over Lean on Me or Ain't No Sunshine. Bill belonged to all of us. Just As I Am was Bill's debut album, produced by one of the premier soul artists, Booker T Jones, but in it he covers folk avatar Fred Neil's Everybody's Talkin', and Paul McCartney's Let it Be.  Listen to Grandma's Hands and you can hear the guitar of rock icon Steven Stills. The MG's Duck Dunn plays some of the bass parts, but so does Chris Etheridge of The Flying Burrito Brothers.Withers narrates part of his story himself in the cut Do it Good. The son of a miner from Slab Fork, West Virginia, Bill worked as a machinist for Douglas Aircraft, IBM, and Ford - all the while sending out demo tapes until Clarence Avant signed him to Sussex, where he hit it with Ain't No Sunshine at the age of 32 - way over the hill by pop star standards. He's pictured on the label holding his lunch pail, dressed in a t shirt and jeans - and when he first hit pay dirt, he refused to quit his job, saying that the music business was “fickle”. Is it ever! The common touch was always part of Bill's magic. And, of course, an uncanny talent and instinct, not to mention a warm baritone that poured like honey out of America's car radios.When he was inducted into the Rock n Roll Hall of Fame in 2015 he was characteristically understated when he said: “I don't think I've done bad for a guy from Slab Fork, West Virginia.” Neither do we.

In this episode, we dive deep into the world of sports physical therapy with Dr. Zach Baker, PT, DPT,SCS. Board-Certified in Sports Physical Therapy and Sports Residency Director for Rehab 2 Perform. With his extensive experience and commitment to excellence, Dr. Baker provides valuable insights into effective PT practices and strategies for overcoming common challenges. We kick off our discussion by introducing Dr. Baker and learning about his role at Rehab 2 Perform, where he oversees the Frederick and Mt. Airy clinics. As an expert in his field, Dr. Baker shares details about the upcoming Blueprints course on May 6-7 ⁠https://r2p-academy.mykajabi.com/blueprints-HIDEF, an educational opportunity designed for physical therapists looking to enhance their skills and knowledge. Dr. Baker then delves into the topic of programming in physical therapy, sharing his perspective on periodization and how Rehab 2 Perform stands out among other clinics in this regard. We also explore the keys to successful ACL rehab and discuss the critical elements often missing from the majority of cases. Weighing in on the debate between residency and structured mentorship, Dr. Baker emphasizes the importance of mentorship for new grads, particularly those with less than three years of experience.He also shares his thoughts on the PT profession as a whole, addressing common criticisms and misconceptions. Finally, we touch on the vital issue of burnout in the PT profession. Dr. Baker offers recommendations for preventing burnout and maintaining passion for one's work. Don't miss this enlightening conversation with one of the top experts in sports physical therapy! Check out Dr. Zack Baker and Rehab 2 Perform Below. https://rehab2perform.com/zach-baker/

WHAT A CONCEPT!OGDENS' NUT GONE FLAKE by Small Faces (1968, Immediate)You recognize the famous, round, Victorian, snuff tobacco tin cover? It was designed by Nick Twedell and Pete Brown, and announced to Acid heads everywhere that this album was going to be a trip to be reckoned with, and it did not disappoint. Thought by many to be the first Rock n Roll concept record, Ogdens' Nut Gone Flake was the premier British, hot house musical flower from that psychedelic garden, mixing British Music Hall with rocking blues - a recipe that also worked marvelously for Ray Davies and The Kinks. The Artful Dodger-esque ditty Lazy Sunday, brayed by future Humble Pie frontman Steve Marriott, became the big hit, and the album went to #1 in the UK. Side two is dedicated to a single, 19 minute, fairy tale opus, “Happiness Stan”, narrated by comedian Stanley Unwin in his own nonsense language. It recounts the story of a boy named Stan who goes looking for the other half of the moon when it's on the wane.  He rescues a house fly that grows to enormous size, able to transport Stan to the place where he learns the meaning of life. Fanciful? But, of course, and delivered in an insouciant Cockney manner, abetted by processed vocals, keyboards, and guitars. Captain Billy has already covered The Faces with Rod Stewart, which showcases them as an unparalleled R and B outfit, but this thing was the apex of psychedelic “High” Art” - but, never taking itself too seriously. Ps: There was some controversy stirred up by genius entrepreneur manager-producer Andrew Loog Oldham, when he published an ad for the record which parodied The Lord's Prayer - just another aspect of its hallucinogenic conception.

NO ONE HIT WONDERFULFILLINGNESS FIRST FINALE by Stevie Wonder (Tamla, 1974)Thank the Lord for Stevie Wonder! He's always been with me, energizing me with ecstatic revelations. His joyful music got me through adolescence and young manhood, providing spiritual sustenance and joy.  His massive cultural contribution cannot be done justice in a short essay - only obeisance. And, of course I'm hardly alone in that opinion. In 1975, at the 17th Grammy Awards, he was given his second consecutive Album of the Year prize for this record, which had topped the LP and Tapes charts, as well as the Soul.Fulfillingness First Finale is the fourth of five recordings regarded as products of his “classic” period, starting with Music of My Mind, and culminating with Songs in the Key of Life. I distinctly remember the first time I heard TMOMM, and the phrase: “my woman wants to be a super-woman, but is that really in her mind?” Perhaps he was paying tribute to the indomitable Syreeta Wright, his life (briefly) and work partner (for 2 decades), whom he married in 1970 at the age of 20, and divorced 18 months later. But this “marriage of true minds” coincided with Stevie's discovery of the synth - the instrument he turned into a household appliance.Another thing to celebrate about Stevie and Syreeta is how they fought for and gained autonomy from Motown, the institution that had steered Stevie's career since childhood, in 1971, with the album Where I'm Coming From. Musical restlessness and social consciousness drove them to tour with the Rolling Stones in ‘72, and embrace wider audiences across the musical spectrum. Listen to “Heaven is 10 Zillion Lightyears Away” with its folk rock chordings, and you feel the confluence of universal soul pouring out to embrace you.One thing that blew my mind was to learn that, following a near-fatal auto accident which put Stevie into a coma - he created this monumental work. It makes sense that it has been noted to be a more reflective, personal statement. This is what artists do: convert the raw experiences of life into catharsis. 

AUSTIN CONSIGLIEREOLD NO. 1 by Guy Clark (RCA, 1975)Guy Clark's farmhouse was ground zero for a whole generation of America's finest songwriters. Check out the scene in the “Outlaw Country” doc, Heartworn Highways, with the babyfaced Steve Earle, Rodney Crowell, and Guy harmonizing and trading songs and stories at the kitchen table. This was a summit meeting of Towne Van Zandt's Gospel spreaders keeping the flame of devotion burning- and Guy, Towne's best friend, was John the Baptist. Or, watch that David Letterman clip, 24 years later, with Guy, Jerry Jeff Walker, Jimmie Dale Gilmore, Nanci Griffith, Steve, and Rodney standing up there like Mount Rushmore, singing “Desperadoes Waiting for a Train”, and you realize that the gospel seeds that had been spread in the 70's had flowered across the nation. Well, that signature song appears on this, Guy's debut album, and it's like encountering the Dead Sea Scrolls - the original rendition. Add to this the elegiac, definitive version of L.A. Freeway - the song Jerry Jeff made into a folk-rock hit - (with my high school buddy, Jon Simons on harp), and you begin to intuit that you're listening to history being made - and, oddly, it still sounds brand new.To quote the liner notes in Apple Music, a Guy Clark song…”isn't as loose as Walker, or as poetic as Townes Van Zandt, but his songs were the best built.” In 2006, this professional luthier put out the album “Workbench Songs” who's title characterizes his steady carpenter's hand. It was nominated for best Contemporary Folk/Americana Grammy. By this time the much covered consigliere of Austin was a universally acknowledged master and national treasure. In 2019 Steve Earle recorded an album of his mentor's songs and I made the pilgrimage to Amoeba Records to get my copy signed and my picture taken with the man who knew the man who wrote these songs. 

CHEERFULLY MORBIDGILBERT O'SULLIVAN HIMSELF by Gilbert O'Sullivan (MAM/London, 1971)This unique artist scored a monster mega-hit with a song about suicide - “Alone Again (Naturally)” - How many times has that been done? The melody was so darn poppy and melodic that the tragic story outlines were impossible not to sing along with: “In a little while from now, If I'm not feeling any less sour, I promise myself to treat myself and visit a nearby tower, And climbing to the top will throw myself off, In an effort to make it clear to whoeverwants to know what it's like when you're shattered” Tra-La-La…..Wow. And, this ditty went to #1 and sold 2 million copies, intimating that the American taste for the morbid runs deeper than our “Never Say Die” attitude may suggest. Raymond Edward O'Sullivan, who fashioned his “Newsies” look after 1920s film characters, had other hits before and since, but never any with the impact that this odd anomaly created. “Himself” is a strong album, featuring a range of virtuosity in percussive piano style - (self-taught), and original writing chops. He's been compared to Paul McCartney and Randy Newman, but is definitely his own man. Maybe he's a hybrid of the two: with the sweet melodic sense of Paul and the biting irony of Randy.And, at 78 he's still at it: He retains a loyal fanbase in Japan, and in 2022 he put out a new album entitled “Driven”. Indeed, he must be.  And, re-listening to this album 50 years later, his approach seems fresher and less coy that I remembered.  He may be due for a late-career resurgence, similar to Yusuf Cat Stevens.  I mused over the content of this song a lot at the time, and even though mortality wasn't on my mind back then, Alone Again's example of greater, more complex subject matter in songwriting raised my consciousness. 

Jerry Rees (Director/Writer/Animator) joins hosts Aljon Go and Dave Bossert once again for a chat about Disney's The Brave Little Toaster as well as his time at Cal-Arts. The team also chats about the latest movie, streaming, and pop-culture news! Learn more about Jerry Rees at jerryrees.com. PRE-ORDER - Tim Burton's The Nightmare Before Christmas Visual Companion (Commemorating 30 Years) (Disney Editions Deluxe) Hardcover by Dave Bossert using our Amazon Affiliate Link - ⁠⁠https://amzn.to/3E51hyR⁠⁠. - The Skull Rock Podcast is brought to you by the generosity of the following companies: Shure and their ⁠⁠MV7 - Podcast Microphone Kit (shure.com)⁠⁠ Sound Extraordinary | ⁠⁠The Old Mill Press - “Publishing beautifully crafted books that illuminate our world.” To learn more visit theoldmillpress.com⁠⁠ - and listeners like you. Follow us ⁠⁠Skull Rock Podcast | Facebook⁠⁠⁠⁠ ⁠⁠- ⁠⁠Aljon Go (@aljongo) • Instagram ⁠⁠- Aljon's pop-culture podcasts - ⁠⁠The Disney List Podcast⁠⁠ - ⁠⁠Dining at Disney Podcast⁠⁠ - E-mail: aljon@skullrockpodcast.com || ⁠⁠Dave Bossert (@dave_bossert) • Instagram ⁠⁠- dave@skullrockpodcast.com. For more great behind-the-scenes stories and articles visit ⁠⁠davidbossert.com⁠⁠. Shop using our Amazon affiliate link - ⁠⁠https://amzn.to/3uld8or⁠⁠ - Thanks to you, the Skull Rock Podcast is on the list of the ⁠⁠Best Disney Podcasts You Must Follow (feedspot.com)⁠⁠. - Outro music "The Pirate King" composed by Jared Rehnquist/Untold Journey - Creative Commons Attribution 4.0 International License. Jerry Rees trained at the California Institute of the Arts, Jerry Rees is a Director of live-action, animation, and live/CGI films. In addition to theatrical features, he has directed a record-setting 15 multi-media Disney Theme Park attractions in Florida, Paris, and Anaheim and aboard the Disney Cruise Line. His projects span many formats, including Showscan, Hi-Def and in-theater illusions, and interactive media. He has had the pleasure of directing a broad range of actors, from Steve Martin, Robin Williams, Martin Short, and Drew Carey to Kim Basinger, Julie Delpy, Goldie Hawn, and Illeanna Douglas. He has even played director to the likes of George Lucas and Michael Eisner. In addition to being a member of the DGA and WGA, Jerry is an animator, sculptor, and fine artist, dedicated to the use of computer technology in opening new storytelling possibilities. Jerry Rees - Biography - IMDb --- Send in a voice message: https://podcasters.spotify.com/pod/show/skullrockpodcast/message Support this podcast: https://podcasters.spotify.com/pod/show/skullrockpodcast/support

MARRY ME, LAURA!GONNA TAKE A MIRACLE by Laura Nyro with Labelle  (1971, Columbia)When I was in high school, dating Cindy, every time The Fifth Dimension's Wedding Bell Blues came on the radio, with it's repeating plea - “MARRY ME, BILL!” -her family would tease us mercilessly. I couldn't escape the power of that record. Later, I realized that that song was created by the ultimate singer-songwriter's singer-songwriter, Laura Nyro, who's other familiar hit compositions include Eli's Coming (3 Dog Night), and And When I Die (Blood, Sweat, and Tears). Laura herself, however, remained a cult attraction. The benighted Nyro (born Nigro, the child of Russian-Polish parents in the Bronx) died young, like her mother, of ovarian cancer at the age of 49. Prior to the ordeals that characterized her later life, the musical atmosphere of that borough bathed the budding songsmith - (as it did Dion DiMucci) - in deep, resonating waves of doo-wop, soul, R&B, and pop. This album of covers is a trembling masterwork of tribute to those influences, assisted by the one and only Patti Labelle, who had become a sort of caretaker for the fragile Nyro. On the tour that preceded this recording Labelle would cook for her friend. Laura's love life was fraught, her careerist stumbles are the stuff of legend: (Best friend David Geffen was heartbroken when she re-signed with Columbia, instead of joining him on his fledgling Asylum label), but her music remained pure, and timeless. This recording has always been my favorite of mine - a time traveler's dream, since I first heard it. R&B titans Gamble and Huff oversaw the production from their seat of soul, in Philadelphia - (although, reputedly, Laura was the one fully in charge throughout the proceedings). However it came to be, GONNA TAKE A MIRACLE is a true miracle. Every cut brings tears to my eyes, and delight to my ears. 

University of Colorado-Boulder professors Jeff York and Brad Werner distill entrepreneurship research into actionable insights. CREATIVE DISTILLATION Jeff York | Associate Professor | Research Director
jeffrey.york@colorado.edu Brad Werner | Instructor | Teaching Director
walter.werner@colorado.edu Deming Center for Entrepreneurship | CU Leeds School of Business
303.492.9018 | deming@colorado.edu -- EPISODE 41: Cristina Ward, Co-Founder, HiDef Brewing, Downtown Los Angeles (LA Road Trip!) For the next edition from our LA road trip, Brad is back with us, joining Jeff at HiDef Brewing in Downtown LA to speak with brewery co-founder Cristina Ward about the collective action aspect of the brewing community, how brewing evolved from her husband's midlife hobby to an actual brewing business, and the most important lessons gleaned from opening a brewery. We're also owned by USC Social Entrepreneurship Conference co-presenters, Jill Kickul (USC) and Sophie Bacq (Indiana). Enjoy and cheers! Learn more about HiDef Brewing and order merch at: https://hidefbrewing.com -- Learn more about CU's Deming Center for Entrepreneurship: https://deming.colorado.edu Comments/criticism/suggestions/feedback? We'd love to hear it. Drop us a note at CDpodcast@colorado.edu. Thanks for listening. -
An Analog Digital Arts Production for the Deming Center for Entrepreneurship
Produced, recorded and edited by Joel Davis "Whiskey Before Breakfast" [Traditional] performed by Jeffrey York and Brad Werner. Recorded, mixed and mastered by George Figgs.

This weeks guest is the legend Tim Gabbett! Dr Tim Gabbett has 25 years experience working as an applied sport scientist with athletes and coaches from a wide range of sports. From progressively overloading rehabilitation and training programs, ensuring athletes' skills are maintained under pressure and fatigue, and preparing athletes for the most demanding passages of play, Tim's research and training programs are practical, coach-friendly, and applicable to anyone with a desire to be the best. Tim's common-sense approach to high performance, and his ability to communicate scientific principles simply to coaches and athletes, sets him apart from many other practitioners in the field. He continues to be in demand as a sport science consultant and advisor for several professional teams around the world. We discuss how to train smart and hard, Developing the unbreakable athlete, and Tim's thoughts on Load management. We are also lucky to say we're hosting Tim's workshop in October! Link here to sign up Want to work with HIDEF? https://www.hidefpt.com/

WANNA KNOW WHAT IT WAS LIKE BACK IN THE DAY?LIVE AT LEEDS by The Who (Decca, 1970)The Who was one of the greatest live bands of all time, bar none, and this document proves it. In 1970 they were at the height of their powers, having just pulled off the coup of creating the first “Rock Opera” Tommy. They followed that miracle up with a massive US tour with the intention of recording the performances in order to put out a killer live album next. However, a burnt out Pete Townshend was reportedly not in the mood to be sorting through all those recordings to choose the best cuts, so he regrettably told the engineer to “burn all the tapes”. As a compensatory gesture, it was decided to schedule a two night gig in northern England, at The University of Leeds, to record those concerts (without audience noise), and release the results. And, wow. This momentous outing, combining their hit singles, cuts from Tommy, and old rockabilly has been preserved for the ages, a portrait of the original lineup of one of Rock's most exciting combos at their absolute pinnacle. The original 1970 release distilled the results into 6 supersonic cuts, culminating in a scorching 16 minute collage of “My Generation.” For my generation this record, with its sly facsimile of a stamped bootleg cover, captivated every nerve ending in our bodies. All during my freshman year at the University of Iowa Pete Townshend's power chords, leaping off of his SG Gibson, in “Summertime Blues,” reverberated throughout my dorm hallway, day and night. Every fledgeling guitar player, dreaming dreams of Rock n Roll glory, tried to jam on that riff, as we had, 4 years earlier, on the Trogg's “Wild Thing” or Van Morrison's “Gloria.”Although those halcyon springtime days of youth are long past, those power chords still resonate with the same immediacy - forever fresh, forever torrid. 

CAN YOU DIG IT?SHAFT by Isaac Hayes (Enterprise, 1971)As a 19 year old, I didn't realize that history was being made, but when I saw Isaac Hayes on the Oscars, bedecked in chain-mail, at the keyboard, being wheeled onstage in a cloud of dry ice to sing The Theme From Shaft, I knew something was up. The chicka-chicka of the wah-wah guitar riff had already surgically implanted in my head by AM radio, along with Haye's chilled delivery of “That Shaft is a baaaad Mutha…” Together, these elements excited the entire country in new and electric ways. Richard Roundtree said years later that he had an instinct that John Shaft would certainly be the best role of his career -  (Hayes was considered, but Gordon Parks wisely persuaded The Black Moses to create the indelible ambience instead) - but, he couldn't have prepared for the seismic impact that this film would deliver. Director Parks wanted to make a “fun” picture with a Black Action Hero, but Shaft transcended all that. All the creatives and many of the crew were also black; it was filmed largely in Harlem, and tapped into the prevailing Black Power aesthetic zeitgeist, and the film changed the “Blaxploitation” genre forever. Before Shaft, MGM had been struggling, but the studio was rescued by the film, which made 13 million from a half a mil budget. The soundtrack, with it's laid back, jazz infused arrangements by Johnny Allen, and bolstered by Haye's compatriots at Stax, The Bar-Kays, went platinum. In 2014 it was entered into The Library of Congress list of essential recordings. I coveted a black leather coat like the one that Shaft wore - but the closest I could get was a brown bomber jacket. Nobody was as cool as Shaft or Isaac Hayes - nobody could be. “Damn Straight!”

Tired of feeling like your summer bod isn't quite *beach* ready? Don't worry, Dr. Katzen and Ariel have got you covered! Listen to our new podcast episode to learn all about VASER hi-Def Liposuction, and take advantage of our special while you can! Board-certified plastic surgeon Timothy Katzen is one of the most well-known and well-respected surgeons. Specialized and experienced in aesthetic and reconstructive plastic surgery, he is fully qualified and highly skilled in performing the most popular types of plastic surgery, as well as the more obscure, complex cases, such as the removal of raw silicone injections. Follow me on: Instagram/Snapchat: @DrKatzenMD Twitter/TikTok/FB: @TimothyKatzenMD Youtube: www.youtube.com/timothykatzenmd Realself: www.realself.com/dr/j-timothy-katzen-beverly-hills-ca

Our first episode of the monthly PT squared segment! This will be a monthly segment we do with Luka Hocevar all about how Personal Training and Physical Therapy work together successfully for patients and in business. This week we discussed: -Why having a Physical Therapist in your back pocket as a Trainer is so beneficial -The importance of preventative care and going to Physical Therapy before you need it -Maximizing free space in your gym by finding a PT -How to build brand and why its so important -The 4 Principles of Excellence Any questions you want us to answer on the next episode? DM @hidefpt or @lukahocevar Want to work with Luka? https://vigorgroundfitness.com/ Want to work with HIDEF? https://www.hidefpt.com/contact-us

This weeks guest is Dr. Keith Cummings, DO! Dr. Keith Cummings is a non-operative sports medicine physician who treats acute and overuse musculoskeletal injuries. He emphasizes optimal biomechanics and exercise-based treatments for musculoskeletal problems, minimal medication use, and ultrasound or flouroscopic guided procedures when necessary to help people stay healthy and active. He has advanced training in musculoskeletal ultrasound for both diagnosis and performing procedures, orthobiologic injections such as platelet rich plasma, as well as fluoroscopic spine and joint procedures. Dr. Cummings received his BS in biology from Saint Martin's University in Lacey, Washington and then his doctorate from Western University of Health Sciences College of Osteopathic Medicine of the Pacific (Northwest Campus). He completed his medical training at the University of Utah where he subspecialized in sports medicine after finishing residency in physical medicine & rehabilitation (PM&R) and serving as chief resident. Because of Utah's location, Dr Cummings was able to regularly care for athletes participating in many unique sports such as alpine skiing, climbing, and trail running as well as traditional team sports such as football, basketball, soccer, and cross country. He has provided sideline coverage for all levels of competition including division one college football, the NBA, professional cycling, club hockey and rugby, Olympic level bobsled and skeleton sled, amateur and master's judo, and a variety of high school sports. This enables him to partner with active patients of all skill levels to help them return to the activities they love. Dr. Cummings served as team captain of his track team in high school, participating in several state qualifying relay teams. When he is not working, he enjoys hiking, skiing, and running in the beautiful mountains of the Pacific Northwest as well as watching sports and playing guitar. Dr Cummings was born and raised in Olympia, Washington. He is happy to be back in the area closer to family and friends where he can enjoy all the Pacific Northwest has to offer. Want to work with Keith? https://www.posm.com/physician/keith-cummings-do/ Want to work with HIDEF? www.hidefpt.com

In this weeks episode, we're talking about the new "miracle" weight loss drug everyone is taking and also trying mocktails on air. We then get into Goggins new book, "Never Finished" and all our thoughts around that. Enjoy! Want to work with HIDEF?- https://www.hidefpt.com/contact-us

In this episode we sit down with Jeff Moore, CEO of ICE Physio, Partner with Onward Physio, and Professor at South College! This episode is jam packed with tips and tricks on how to become a next level physical therapist. We discuss everything you'll learn from the ICE courses and also the keys to avoiding burnout as a clinician. More from Jeff: @jeffmooredpt @icephysio @onwardphysio More from HIDEF: https://www.hidefpt.com/

Hear. This solitude. This real captured quiet. This authentic air. From horizon to horizon. Near empty of human-made noise. Aural solitude. Rare? Becoming rarer? It is there though. It does exist. Out there. And can be found. You can find it here, like we did, at this deserted beach. An uplifting stretch of land half way between Winchelsea and Rye Harbour. It's a place where you can sit down upon the beach, and listen to the sound, of time passing. With nobody about. Nobody and nothing, to blur the pristinely detailed sounds that ocean waves make as they sweep and break over shallow shingle slopes. Break, and bend and quiver the air pockets, that occupy the spaces beneath the waves. A spacious sound landscape, made of soft rounded stones, and natural white noise. 

In this episode we address all the issues you may face with Physical Therapy before, during and after your plan of care. If this helps you, please share with a friend! Work with HIDEF - https://www.hidefpt.com/contact-us Follow @hidefpt

Vigor Life Podcast · EP125:The Power Of Communication, Connection & Coaching In Training & PT w/Dr.Michael Mash & HIDEF This is a comeback episode for the Vigor Life Podcast and I couldn't be more excited to bring it back and share my own knowledge, experience and insights again, as well as bring on the best guests to educate, entertain, and inspire. This first episode I sat down with Dr. Michael Mash of Barbell Rehab, as well as our partners Zach and Mitch from HIDEF Physical Therapy. We were hosting Michael for the Barbell Certification at Vigor Ground this weekend with over 40 attendees. Barbell Rehab was created by Dr. Michael Mash, Physical Therapist and Barbell Coaching Expert to help fitness and rehab professionals improve their management of clients with pain or mobility limitations. He received his Doctor of Physical Therapy in 2016 from Duquesne University and his Bachelor of Science in Biology from Saint Vincent College in 2014. In this episode we go over training limitations for clients and how to adjust for them, biggest issues we see when it comes to coaching, and then we dig deep into the power of communication when it comes to results, collaboration of coaches and physical therapists, the future of integration with training and PT facilities, and much more. IN THIS EPISODE YOU'LL LEARN: => What are the biggest reasons people beat up their joints when they train and how does that need to improve. => Why the devil is in the dosage and one of the MAIN reasons for injuries and nagging pains. => What are the obstacles when it comes to rehab and physical therapy, of getting someone back to high performance rather than just out of pain. => The art of finding the right variation for the client is a superpower. => How to increase your value as a coach by collaborating with physical therapists. => Learning the skillset of eliminating “threat” with clients that had injuries and are afraid of certain patterns. => Why you should listen to “whispers” of your body so they don't become “screams.” => The future of physical therapy is proactive and not reactive, and the integration of training and PT in any business. => Changing the fear of physical therapists loading their clients when they are rehabbing and coming back to action. => How to use trust, communication, and safety to improve your clients performance - with specific examples. => Why sales and marketing will make you a much better coach and physical therapist. = > How ONE set can cause a big psychological adaptation for your clients, do this! => The “Hospitality Reflex” in personal training and physical therapy and why it's what the top 1% do. => How to build trust as a trainer or PT and not only face to face, but also through social media, organically, in your community to build a referral machine. => Why you MUST hunt for feedback with your business, and constantly strive to improve. LINKS AND RESOURCES: Barbell Rehab https://barbellrehab.com/ HIDEF Physical Therapy https://www.hidefpt.com/ Vigor Ground Fitness and Performance Gym www.VigorGroundFitness.com Vigor Life Podcast (iTunes)  https://itunes.apple.com/us/podcast/vigor-life-podcast/ Luka Hocevar YouTube Channel https://www.youtube.com/channel/UCQ29YcBh-g6onRujX3wD_XA?view_as=subscriber Luka Hocevar Instagram https://www.instagram.com/lukahocevar/ Thanks so much for joining me this week. Have some feedback that you'd like to share? Leave me a review on iTunes.

VASER high-definition arm liposuction is the best option for men and women looking to define their upper arms. Unfortunately, losing biceps and triceps fat is very difficult. In addition, fat upper arms respond very slowly to diet and exercise. VASER high-definition arm liposuction is a revolutionary procedure that melts upper arm fat and tightens the arm skin. The results are two-fold: 1) permanent elimination of arm fat and 2) shrink-wrapping of the overlying arm skin to expose the underlying biceps and triceps. The result is a contoured arm profile. Follow me on: Instagram/Snapchat: @DrKatzenMD Twitter/TikTok/FB: @TimothyKatzenMD Youtube: www.youtube.com/timothykatzenmd Realself: www.realself.com/dr/j-timothy-katzen-Beverly-hills-ca

Mitch Harb(@hidefmitch) and Zach Smith(@zachthept) talk about what they've been up to since they originally started the podcast and the lessons they've learned along the way. www.hidefpt.com @hidefpt

WARNING: may feel like running through a brick wall after listening to this!! Are you ready to be pushed to become the person you've always wanted to be? Are you ready for all the frameworks, strategy and tactics you could ever need to get there? The legend Luka Hocevar is here to bring you that fire! Luka is a former Pro Basketball player and one of the best Coaches out there, who also owns one of the best gyms out there. He's coached literally thousands of people and gives you all his secrets on how to create lasting change in this episode. Don't just give this podcast a listen... PLEASE take action on what you hear. For more from Luka, check out his IG @lukahocevar and his youtube channel For more from HIDEF, hit our website

On Episode 18 of the Stroke Alert Podcast, host Dr. Negar Asdaghi highlights two articles from the July 2022 issue of Stroke: “Impact of Shunting Practice Patterns During Carotid Endarterectomy for Symptomatic Carotid Stenosis” and “Socioeconomic Inequalities in Reperfusion Therapy for Acute Ischemic Stroke.” She also interviews Dr. Magdy Selim about his article “Effect of Deferoxamine on Trajectory of Recovery After Intracerebral Hemorrhage: A Post Hoc Analysis of the i-DEF Trial.” Dr. Negar Asdaghi:         Let's start with some questions. 1) Is deferoxamine mesylate yet another failed agent for treatment of patients with intracerebral hemorrhage, or is deferoxamine getting us closer than ever to an approved therapy for this deadly form of stroke? 2) Are different strokes happening to different folks due to their disadvantaged socioeconomic status? 3) And finally, how does a surgeon's personal practice preference to either routinely or selectively use carotid shunting during carotid endarterectomy impact the recurrent risk of stroke or death in patients with symptomatic carotid disease? We'll tackle these questions and a lot more in today's podcast as we continue to cover the cerebrovascular world's latest and greatest because, without a doubt, this is the best in Stroke. Dr. Negar Asdaghi:         Welcome back to the July issue of the Stroke Alert Podcast. My name is Negar Asdaghi. I'm an Associate Professor of Neurology at the University of Miami Miller School of Medicine and your host for the monthly Stroke Alert Podcast. The July 2022 issue of Stroke contains a range of really interesting papers that I'd like to highlight here. As part of our Cochrane Corner articles, giving us short summaries of the long systematic review of a given topic, we have two short articles, one on the issue of local versus general anesthesia for carotid endarterectomy, where we learn that based on the current evidence, there's no convincing difference between local versus general anesthesia in the risk of stroke and death within 30 days after the procedure. In the second Cochrane Corner article, titled "Information Provision for Stroke Survivors and Their Carers," we learn that stroke survivors and their caregivers routinely report dissatisfaction with information provided to them by their clinicians about their condition and how active approaches to information provision is superior to its passive forms in improving patients' involvement in their care, their satisfaction, and, ultimately and not surprisingly, their stroke outcome. Dr. Negar Asdaghi:         As part of our original contributions in this issue of the journal, we have an important paper titled "The Risk of Early Versus Later Rebleeding From Dural AV Fistulas With Cortical Venous Drainage." We are reminded in this paper that cranial dural arteriovenous fistulas are classified based on their venous drainage into those with or those without cortical venous drainage, or CVD. Dural AV fistulas without CVD rarely cause intracranial bleeding, while those with CVD may cause hemorrhage. In this study, the authors show that the risk of rebleeding of dural AV fistulas with CVD presenting with hemorrhage is increased in the first two weeks after ICH, emphasizing the importance of early detection of these malformations by vascular imaging and early treatment of AV fistulas with cortical drainage. This paper is another analysis from the CONDOR registry. Our devoted Stroke Alert listeners recall that we covered this registry in more detail when we interviewed Dr. Amin-Hanjani last October on the outcomes of intracerebral hemorrhage patients found to have dural AV fistulas. I encourage you to review these articles in addition to listening to our podcast today. Dr. Negar Asdaghi:         Later in the podcast, I have the distinct honor of interviewing Dr. Magdy Selim from Harvard Medical School on a critical analysis from i-DEF trial to examine the long-term outcome of patients with ICH who were randomized to receive deferoxamine versus placebo. As an expert in the field of intracerebral hemorrhage and a member of the recently published American Heart Association Guidelines Committee, Dr. Selim was not fazed at all about the neutral results of the trial. "The future of ICH is bright," he says, and in the interview, he tells us why. But first, with these two articles. Dr. Negar Asdaghi:         Since its first reported successful surgery in 1953, carotid endarterectomy, or CEA, has become a common surgical procedure to prevent ischemic stroke in patients with carotid disease. CEA requires a temporary clamping of the carotid artery that is being worked on. During this time, the ipsilateral hemisphere is, of course, dependent on collateral flow from the posterior circulation or from the contralateral anterior circulation to maintain its perfusion pressure. Intraoperatively, various methods are used to monitor cerebral perfusion, and the risk of clamping-induced hypoperfusion is obviously variable for each patient depending on the patient's specific anatomy, their collateral status, and other risk factors. One way to protect the brain against possible clamp-induced ischemia is to do carotid shunting. The problem is that carotid shunting also comes with its own set of risks and problems. There's the risk of causing carotid dissection, embolization of pieces of the plaque during shunt insertion, or the risk of causing air embolism. Dr. Negar Asdaghi:         There are also other shunt-related local complications that should be noted, such as possibility of causing injuries to the cranial nerves or development of neck hematoma related to the more extensive surgical exposure required for shunting. So, it's not surprising that the practice patterns with regards to shunting is quite variable amongst different surgeons. There are surgeons that are considered routine shunters, and those who are considered selective shunters, meaning that the shunt is inserted only in cases with a particular indication. The question is whether the surgeon's preference for shunting can impact the CEA outcomes. In the current issue of the journal, we have an interesting study led by Dr. Randall DeMartino from the Division of Vascular and Endovascular Surgery at Mayo Clinic, Rochester, where the authors look at the impact of shunting practice patterns during carotid endarterectomy on the following post-CEA outcomes: number one, in-hospital stroke and in-hospital death rates, and number two, combined stroke and death in patients with a recent symptomatic carotid disease, that is, carotid stenosis associated with a history of either ipsilateral stroke or TIA within the past 14 days of endarterectomy. Dr. Negar Asdaghi:         So, the data for the study came from the ongoing Vascular Quality Initiative database, which comprises a network of more than 600 North American academic and community hospitals, and collects data on 12 different vascular procedures, one of which is CEA. The study included over 13,000 carotid endarterectomies performed from 2010 to 2019 for symptomatic carotid patients. This number came after they applied their exclusion criteria to all CEAs performed in the database during this timeframe, importantly excluding any asymptomatic carotid surgeries or those in whom surgery was performed after the two-week mark post qualifying TIA or stroke. Now, before we go over the results, let's go over some definitions used in the study. They had to classify surgeons to be able to do the study into two categories of routine versus selective shunters. So, what they did was to analyze all consecutive CEAs, whether they were done on symptomatic or asymptomatic carotids, in this database, aggregated at the surgeon level. Surgeons routinely shunting in over 95% of their procedures were gauged as routine shunters. Otherwise, they were classified as selective shunters. Dr. Negar Asdaghi:         Now, coming to each case included in this study, each surgical case was, in turn, classified into four categories based on whether or not a shunt was actually used for that particular case: category one, no shunt used; category two, shunt used as a routine procedure; number three, shunt used for a preoperative, mostly anatomical indication; number four, shunt was used for an intraoperative indication, which, as we mentioned before, these are mostly intraoperative hemodynamic compromised situations. And here are the results: In total, 3,186 of surgeries, that is 24% of surgeries, were performed by routine shunters versus 76% by selective shunters. So, most surgeons were selective shunters in this study. The demographic of patients operated by the routine versus selective shunters were more or less similar with regards to the age of the patients, most of their vascular risk factors, and the degree of ipsilateral or contralateral carotid stenosis or occlusion, with a few notable exceptions, in that patients undergoing surgery by routine shunters were more likely White, more likely to have had a prior CABG, more likely to undergo the operation while taking a P2Y12 inhibitor antiplatelet agent, and these patients were more likely to have had a TIA rather than a stroke as their qualifying event, which probably explains why they were more likely to be operated on within 48 hours of symptom onset as well. So, the authors accounted for these differences when they did their multivariate analysis. Dr. Negar Asdaghi:         The other thing to note was that overall, routine shunters used a shunt in 98.1% of their cases, whereas selective shunters used them in 46% of their cases. Now, in terms of their study outcomes, the shunting practice pattern did not impact the primary outcomes of in-hospital stroke or death, or a combination of these two outcomes, or even the odds of development of cranial nerve injuries or hemorrhage in the adjusted model, which is really good news here. But interestingly, in the final adjusted model, whether or not an actual shunt was placed during surgery did significantly increase the risk of postoperative stroke, with the odds ratio of 1.29, an effect that was entirely driven by the use of shunt by a surgeon classified as a selective shunter in this study. Dr. Negar Asdaghi:         So, in simple terms, if a shunt was placed during CEA, it did increase the risk of stroke only if that surgeon was a selective shunter. Another interesting association was that amongst selective shunters, placing a shunt for a patient with a very recent ischemic event, that is, TIA or stroke within the past 48 hours prior to surgery, and placing a shunt for an intraoperative indication, meaning shunt placement was not pre-surgically planned, also significantly increased the risk of postoperative stroke. So, what we learned from the study is that, though a surgeon's shunting practice pattern did not have an impact on the overall postoperative risk of stroke or death, the placement of a shunt did indeed increase the risk of postoperative stroke only if it was placed by a surgeon who is a selective shunter, especially for an intraoperative indication in a patient with a recent ischemic event. Dr. Negar Asdaghi:         So, shunts can be tricky, especially if they're done by a surgeon who doesn't place them routinely. So, my take-home message is that ultimately, like every other procedure in medicine, clinical outcomes are as much operator dependent as they are patient dependent, and for every procedure, it's fair to say that practice makes perfect. Dr. Negar Asdaghi:         It is now more than 25 years since intravenous thrombolytic therapy has been approved for treatment of patients with acute ischemic stroke and more than seven years since randomized control trials demonstrated the efficacy of mechanical thrombectomy to improve clinical outcome in ischemic stroke patients with large vessel occlusions. To date, reperfusion therapies are the only available acute treatments for select patients with ischemic stroke. What do we mean by "select"? "Select" meaning that not all patients will benefit from these therapies, making it absolutely necessary for clinicians to be up to date with various indications and contraindications to use these therapies. Needless to say that the criteria for reperfusion therapies do not and should not consider the socioeconomic status of patients, but sadly, socioeconomic inequalities seem to impact the use of reperfusion therapies. Dr. Negar Asdaghi:         In this issue of the journal, in the study titled "Socioeconomic Inequalities in Reperfusion Therapy for Acute Ischemic Stroke," Dr. Øgendahl Buus from Aarhus University Hospital in Denmark and colleagues studied the impact of the socioeconomic status of stroke patients on the odds of receiving reperfusion therapies in the large nationwide Danish Stroke Registry, or DSR. Now a bit about the registry: DSR contains prospectively collected nationwide data on all stroke patients admitted to Danish hospitals. It's interesting to note that in Denmark, stroke patients are exclusively admitted to public hospitals, and all departments treating stroke patients are obligated to report data to DSR. Now, for this study, they included over 63,000 stroke patients from 2013 to 2018. After excluding hemorrhagic stroke, TIAs, and other exclusion criteria of the study, they arrived at their sample size of 37,187 patients that were included in this study. Dr. Negar Asdaghi:         Now, a few definitions. The socioeconomic status of each patient was determined based on three parameters. Parameter number one, their educational level. It was categorized into three levels of low, medium, or high levels of education. Category number two, income level. This was calculated based on the average family equivalent disposable income, or FED income, during five years prior to stroke onset, again classified into three categories of high, medium, or low income. And the third factor was the employment status of the patient during the calendar year prior to the stroke onset, also categorized into three categories of employed, unemployed, and retired. And, of course, the authors used various definitions to be able to fit special situations into these categories. For instance, a person who is temporarily unemployed due to illness or other special situation was still categorized under the employed category. So, that gave them, in total, nine groups to analyze across these three categories. Dr. Negar Asdaghi:         And here are their findings. The median age of total stroke patients in the cohort was 73.2 years, 44.1% were women, 41% categorized under low educational level, 68% retired, and 33.3% had low income levels. Not surprisingly, patients and hospital characteristics varied tremendously across these nine groups of education, employment, and income, and a univariate analysis in general, low socioeconomic status was associated with more severe strokes, living alone, living at an assisted living residency, having had prior stroke, high comorbidity index score, hypertension, and late hospital arrival. So, they accounted for these differences in their multivariate analysis. Dr. Negar Asdaghi:         Now, overall, the treatment rates of IV thrombolysis was 17.6%, which is actually considered a very high percentage as compared to other registry-based studies, but the percentage of IV thrombolytic use dramatically varied based on the different socioeconomic designation. So, let's look at this. In the univariate analysis, for education, intravenous thrombolysis rates were 19.3% among patients with high educational level compared to 16.2% among patients with low educational level. Let's look at income. For income, IV thrombolytic treatment rates reach 20.7% for high-income patients compared to 14.8% for low-income patients. For employment status, thrombolytic rates were 23.7% among employed patients compared to 15.7% for unemployed patients. In their fully adjusted models, unemployed patients were less likely to receive IV lytics as compared to their employed counterparts. Dr. Negar Asdaghi:         Now, for thrombectomy, socioeconomic gradients were also noted for these three categories. For education, thrombectomy rates were 4.5% among patients with high education level compared to 3.6% among patients with low educational level. For income, treatment rates were 3.2% among low-income patients compared to 4.7% among high-income patients. But arguably, the most robust differences were noted again across the category of employment. Employed patients were nearly twice more likely to receive thrombectomy as compared to unemployed patients, rates being 5.1% versus 2.8%, respectively. Now, when they adjusted their analysis to only those patients presenting within the reperfusion time windows in the fully adjusted models, unemployment and low income remain significant negative predictors of receiving both of these reperfusion therapies. So, what we learned from this study is that stroke patients who were unemployed, earned a relatively low income, or had fewer years of formal education were less likely to receive life-saving reperfusion therapies despite potentially being eligible for these treatments. Dr. Negar Asdaghi:         Now, let's take a moment to really understand that data presented here are in the context of a tax-funded, universal healthcare offered across Denmark, where we can at least make the assumption that financial constraints potentially preventing access to therapies are likely minimized. There are many countries around the globe where patients or family members have to pay for these therapies before even receiving them. So, these findings from the current study from Denmark are alarming in that they point to possibly more robust inequalities across the globe in other healthcare systems. Dr. Negar Asdaghi:         Intracerebral hemorrhage, or ICH, is an aggressive form of stroke, typically carrying a higher morbidity and mortality than its ischemic counterpart. Yet much of the research in the field of intracerebral hemorrhage has followed the ischemic stroke footsteps, including defining the optimal primary outcome for the randomized trials of ICH. For ischemic stroke, the 90-day functional outcome, as measured by the modified Rankin Scale, is commonly used as a primary outcome in clinical trials. There are many reasons for this selection, including the ease of use and the fact that the majority of functional recovery post-ischemic stroke occurs during the first 90-day time period. But time to maximum recovery and, importantly, the trajectory of recovery may be different in hemorrhagic as compared to ischemic stroke. Defining the long-term outcomes and longitudinal trajectory of recovery in ICH is, therefore, important to better understand its prognosis and, of course, selecting the appropriate primary outcome measure for future randomized trials of ICH. Dr. Negar Asdaghi:         In the recent years, the safety and efficacy of various agents to improve ICH outcomes have been tested. Deferoxamine mesylate, an iron-chelating agent, is one such agent that was recently studied as part of the i-DEF multicenter randomized trial, and the main results of the study were published in Lancet Neurology in 2019. In the current issue of the journal, in the study titled "Effect of Deferoxamine on Trajectory of Recovery After Intracerebral Hemorrhage," we learn about the results of a post hoc analysis of i-DEF that looks at the trajectory of functional outcome in patients enrolled in the trial with a special attention on their continued recovery after the 90-day post-ICH mark. Dr. Negar Asdaghi:         Joining me now is the senior author of this paper, Dr. Magdy Selim, who's also one of the primary investigators of i-DEF trial. Dr. Selim is a Professor of Neurology at Harvard Medical School and Chief of Stroke Division at Beth Israel Deaconess Medical Center in Boston. He's a world renowned researcher in the field of cerebrovascular disorders with special focus on treatment of patients with intracerebral hemorrhage. Dr. Selim has led and currently leads multiple National Institutes of Health-funded clinical trials of intracerebral hemorrhage, including the ongoing SATURN trial. I'm delighted to welcome him to our podcast today. Good afternoon, Magdy. Thank you for joining us today. Dr. Magdy Selim:             Thank you, Dr. Asdaghi. It's really my pleasure to be here with you, and I'm certainly honored to do this today. Dr. Negar Asdaghi:         That's great. Thank you. So, let's start with some background on deferoxamine and the literature supporting the use of deferoxamine before i-DEF. Dr. Magdy Selim:             So, as you mentioned, deferoxamine is an iron chelator; it binds to iron and removes excess iron from the body. The unique thing about it is that it has other neuroprotective properties, which are good for hemorrhagic stroke and ischemic stroke. It also has anti-inflammatory and anti-apoptotic effects. It even lowers the blood pressure, which we know sometimes is helpful in intracerebral hemorrhage. The rationale behind this or why this would be effective really comes from animal studies. After you have a hemorrhage, there is hemolysis of the red blood cells, there is a release of hemoglobin degradation products, in particular, iron, and the accumulation of iron in the hematoma and the surrounding tissue triggers a cascade of molecular and cellular events that lead to what we call secondary injury, characterized by inflammation, hydroxyl radical formation, and cell death. And many animal studies, animal models of intracerebral hemorrhage, whether in pigs or in rats, young or aged rats, have shown that treatment with deferoxamine can reduce iron in the brain after intracerebral hemorrhage and also results in improved performance on behavioral tests. And that was the reason why we moved into clinical testing. Dr. Negar Asdaghi:         So, a lot of encouraging data before the trial. Can we hear a little bit about the trial, its design, and inclusion criteria, please? Dr. Magdy Selim:             Sure. So i-DEF was a phase 2 study, and actually it started as Hi-DEF, which was high dose deferoxamine, and then became i-DEF, which intermediate dose deferoxamine. So, it's a randomized, double blind, placebo control trial. We used something called futility design, which is actually sort of new in the stroke field. And we had 294 patients who had supratentorial hemorrhage that were randomized within 24 hours to either get placebo or deferoxamine. And deferoxamine initially was given at 62 mg per day for three days, but then we ran into some safety issues with this high dose, and that's why we lowered it to 32, and that became the intermediate dose, or the i-DEF. So, the only kind of thing unique about inclusion/exclusion criteria was that there was an age cutoff, patients had to be 80 or younger. They needed to have some deficit on the exam, so their NIH Stroke Scale had to be 6 or greater, and their GCS had to be greater than 6, and their modified Rankin before the onset of the hemorrhage had to be less than 1. Dr. Negar Asdaghi:         And so, what were the primary and secondary outcomes in i-DEF? Dr. Magdy Selim:             The primary outcome was twofold actually. One of them was safety. One of the issues we ran into with the high dose is that the drug is associated with increased risk for adult respiratory distress syndrome, ARDS. So, we wanted to make sure that this lower dose was safe, and it does not increase the instance of ARDS. The second thing was, as I said, we used something called the futility design, and we wanted to compare the outcome of patients treated with deferoxamine versus placebo to determine whether it's futile to move to a large phase 3 trial or not. And what we were looking at is a difference in outcome and modified Rankin 0 to 2 at 90 days, and the difference would be at least 12% in favor of deferoxamine in order for us to move forward. You asked about the secondary outcomes as well? Dr. Negar Asdaghi:         Yes. Dr. Magdy Selim:             So, actually, the secondary outcomes, they're relevant because they're relevant to the study that we just published. So, the secondary outcomes was also to look at modified Rankin 0 to 3, instead of 0 to 2, at 90 days and the difference between the two treatment groups. We wanted to look at the ordinal distribution of the Rankin at the same time point. And we also wanted to look at all the outcomes at six months, 180 days. And that came a little bit later in the course of the study because there was some evidence emerging at that time that maybe assessment of outcome later in intracerebral hemorrhage would be more accurate than assessing it early on. Dr. Negar Asdaghi:         So, I want to come back to the secondary outcome, of course, that's sort of the topic of your current paper in this issue of the journal, but can you just briefly tell us, please, the primary outcome and the sort of results of what was published in 2019 with i-DEF before we move on to the current paper? Dr. Magdy Selim:             Yeah. So, as I said, the primary outcome was the difference in the proportion of patients that achieved modified Rankin 0 to 2 at 90 days, and what we wanted to see is a difference of around 12%. Unfortunately, the primary outcome was neutral, we did not see that. But what we saw actually, almost all the secondary outcomes were positive, except for the primary outcome. So, when we looked at the secondary outcome using modified Rankin 0 to 3, instead of 0 to 2, the difference was 12.1%. When we looked at the difference in the modified Rankin 0 to 2 at six months, the difference was 15.6% in favor of deferoxamine, but these were secondary outcomes and not the primary outcomes. Dr. Negar Asdaghi:         So, the trial is almost positive. It just depends on how you define the primary outcome, which is really a nice segue to your current study. In the current study, you looked at this secondary outcome in a longitudinal way and looked at the mRS of 0 to 2 at six months from ICH. Can you please tell us about this current paper? Dr. Magdy Selim:             Yeah. So, one of the things that we did with i-DEF is that we were checking the modified Rankin at different time points for all the patients. So, we had it after one week, after one month, after two months, after three months, and after six months. And what we wanted really was a couple of things, just in patients with intracerebral hemorrhage without any treatment, what's the natural course of recovery? And the interesting thing we found out is that patients actually continue to improve over time, and that's what you expect, but what we didn't expect is that they even continue to improve after 90 days. Dr. Magdy Selim:             We always used to think that maximum recovery is around 90 days from ischemic stroke literature, but we saw a lot of patients getting better after 90 days. And this turns out to be also the case with deferoxamine, but the interesting thing is that the percentage of patients that had a good outcome, modified Rankin 0 to 2, was higher with deferoxamine at day seven, at day 30, at day 60, not at 90 days, but again at six months. So, actually, it was higher at all time points except our primary endpoint. Dr. Negar Asdaghi:         So, Magdy, you've already answered my next question, which is exactly what you alluded to, deferoxamine seemed to have improved the outcomes at all of those time points, except for the 90 day, which was the primary outcome of your trial. Why do you think the magic was lost at 90 days? Dr. Magdy Selim:             This is really the million-dollar question. I think we obviously struggled over this. And we went back, we thought maybe there was misrating of the modified Rankin in some of the patients. We tried to correct for this. The difference was bigger, but still not significant. So, we don't really have a good reason to tell you why, at this particular time point, we didn't see the difference except bad luck, I think. But I mean, there are reasons, I think, the question that people actually ask me is the opposite, is why do you think a drug that you give for three days early on is going to make a difference after six months? And I think there are biological reasons to explain this. Dr. Magdy Selim:             So, what happened is that those hemorrhage patients have a lot of other problems. They have increased ICP, they have hydrocephalus, they have intraventricular hemorrhage, and actually iron has been implicated in the development of hydrocephalus in chronic white matter injury. So, my explanation is that you start early on with the treatment, it does help, but it takes a while for it to kick in and for this kind of medical complication to resolve until actually you see the true effect of the drug. And maybe that's why you see the unmasking at the end between the two groups. Dr. Negar Asdaghi:         Yeah, I think I want to recap this for our listeners. Very important to, again, think about those things that some of the acute therapies that we offer the patients may not have a measurable improvement outcome difference early on, certainly with intravenous thrombolysis, we saw that, whereas we saw measurable outcome difference at 90 days, or maybe in this case at six months, but not quite early on. So, it doesn't mean that they don't work. We just are unable to measure that difference and improvement early on. So, what do you think the future holds for deferoxamine? Are we going to see another trial? Dr. Magdy Selim:             Well, I certainly hope so. We're working on some few ideas for that. A lot of people think that maybe we should just do the same thing, but look at six months as the primary outcome. But I think we're actually, that's probably not our primary thinking at this point in time. So, we have published other papers, other analysis, to show that the effect of deferoxamine actually relates to the volume of the hemorrhage. So, if the hemorrhage is very small, there is very minimal benefit. If the hemorrhage is very large, also there is very minimal benefit. And that's really to get kind of the big bang for your buck. You really want people who have mild-to-moderate size hemorrhages. So, we're thinking of a couple of ways to go about deferoxamine with this, whether alone or in combination with other interventions. So, hopefully, we'll have some stuff to share with you in the coming few years, two or three. Dr. Negar Asdaghi:         We'll definitely look forward to reading about those or being involved in the trials as a site, but there's a great way of just actually talking about my next question. It's just completely different than the current paper. I wanted to digress a bit and talk about the recently published intracerebral hemorrhage guidelines, which just published a few months ago. You were part of the guidelines committee. Can you give us a little bit of your point of view of what are the top two most important updates from the guidelines in ICH treatment? Dr. Magdy Selim:             Actually, the guidelines, for the first time this year, in the first page, they have the top 10 take-home messages or top 10 new ones. So, in my opinion, the most important ones, we usually tell you what to do, but here we tell you what not to do because we think it's not good for the patients. So, for example, using steroids just as a prophylactic therapy is actually not recommended. The same thing, we see a lot of people put patients with hemorrhage on hypertonic saline, hyperosmolar therapy, just prophylactically. I don't think there's any benefit that this helps as well, and the same thing for antiepileptic drugs. So, that was one important point. The second one was blood pressure lowering, and there is emphasis now that whatever you use to lower the blood pressure, you want to make sure that the blood pressure variability is very minimal and that there is a smooth kind of control over blood pressure that has been shown to be actually important in terms of help. I'm going to make them three, not two, because I think the third one is important. Dr. Negar Asdaghi:         Okay. I'll give you one more then. Dr. Magdy Selim:             Which is the first time we include this in the guideline, and with emphasis on the role of the home caregiver for hemorrhage patients and the psychological support, the education that they need, and the training that they need to actually care for these patients and how to improve their quality of life. So, I think that's an important aspect that we didn't touch upon before, and obviously very important. Dr. Negar Asdaghi:         Very important points. Let me just review them again for our listeners. So, don't do steroids, hypertonics, and preemptive antiepileptic therapies. They don't work. The second point that you raise is reduction of blood pressure, important to keep that in mind, but paying attention to blood pressure variability. And the third one, the importance of social aspect of care of patients with intracerebral hemorrhage. That's great for us. Let me just end with one last question. Magdy, thank you so much for all of this wonderful take-home messages from the current study from i-DEF and also the guidelines. There's been a lot of excitement in the field of ischemic stroke with the success of reperfusion therapies, and yet not much for intracerebral hemorrhage. What is your hope in terms of future therapies for ICH? Dr. Magdy Selim:             So, I happen to be one of the people who is very optimistic about the future of ICH. I think it's just a matter of time. But I think we need to make some changes. We need to really treat ICH as an emergency, so time is really important. And I think right now, you see a hemorrhage patient, they just put them on the side because they think that there's nothing to do. But the way I see the future evolving, and probably the breaking point to be, is that we can diagnose ICH in the field. You immediately lower the blood pressure, reverse coagulopathy if you can, and even kind of use hemostatic agents, if the FASTEST trial shows evidence to support that, and then you take them to the hospital where there might be some role for hematoma reduction using minimally invasive therapy and some other treatments like deferoxamine, or there are a lot of other agents to target the secondary injury at the same time. So, I think it's going to be a combination of things, and they need to happen in tandem and continuously, but we need to start quickly on these patients. Dr. Negar Asdaghi:         Dr. Magdy Selim, it's been a pleasure interviewing you on the podcast. We look forward to having you back and covering more of your work. Thank you for joining us. Dr. Magdy Selim:             Thank you very much for having me. Dr. Negar Asdaghi:         And this concludes our podcast for the July 2022 issue of Stroke. Please be sure to check out this month's table of contents for a full list of publications, including a series of Focus Updates on the very topic of, you guessed it, intracerebral hemorrhage. These updates are great complements to the newly published American Heart Association guidelines for the management of patients with spontaneous intracerebral hemorrhage in May 2022. Dr. Negar Asdaghi:         And with this, we end our July podcast and draw inspiration from one particular July story, which unfolded on July 20. In 1969, on this day, Commander Neil Armstrong and lunar module pilot Buzz Aldrin landed on the moon, and Armstrong became the first person to walk on the moon. The crew of Apollo 11 changed the course of history, landing humanity on another celestial body for the first time and later safely returning everyone back to earth. Armstrong, an experienced naval aviator, a test pilot, a decorated veteran, astronaut, and university professor, passed away in 2012 from complications of coronary artery disease, reminding us that every step we take in understanding, diagnosing, and treating vascular disorders is truly part of that giant leap to save the mankind. And what better way to do this than to stay alert with Stroke Alert. Dr. Negar Asdaghi:         This program is copyright of the American Heart Association, 2022. The opinions expressed by speakers in this podcast are their own and not necessarily those of the editors or of the American Heart Association. For more, visit AHAjournals.org.

A way to boost cold email response rates using hi-def cold emails.

Check out this awesome interview with Steph from HiDef Brewing Co. in LA

Recorded live in Hi Def.Search our data bass herehttps://www.tale-teller.club/100-free-sound-effectsHow to get this free loop/sampleyou can download it from www.tale-teller.club and the Spreaker app.Check out our own story www.tale-teller.club#loops #reels #shorts #youtube #tiktok #sound #soundeffects #specialeffects #free #logicpro #taleteller #taletellerclub #soundrecordings #ASMR #recordings #studio #creators #creatortools #soundtracks #postedit #freedownloads #audio #audiotools #audiorecording #podcaster #podcasttools #gamedesigners #musicians #filmmakers #juicysounds #free-lessons #digital-music-school #digi-mus #ads #advertising #voiceover #vocals#music #musicpodcasts #musician #composer #digitalmusic #arranger #performer, #classical #classicallytrained #contemporarymusic #recordingartists #††ç #TTC ##sound #soundeffects #specialeffects #free #logicpro #taleteller #taletellerclub #soundrecordings #ASMR #recordings #studio #creators #creatortools #soundtracks #postedit #freedownloads #audio #audiotools #audiorecording #podcaster #podcasttools #gamedesigners #musicians #filmmakers #juicysounds #free-lessons #digital-music-school #digi-mus #ads #advertising #voiceover #vocals

In this Episode The Compas hit up Retrofest at Hidef brewery in Downtown LA! we have some special guest on the Pod! Olympus Mons, Elevation Medication, Danny Retro historian ,Monica (Movies on weed) Jason From Trustworthy Brewery, Things of Twins, Miss B.I.G And Carrot Top from Radioactive Chickenheads! --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app

Dr. Hector Salazar shares his unique expertise with HD Lipo, a specialized liposuction technique for sculpting the body in incredible detail following the natural lines of your musculature. He covers the full HD Lipo experience, including BMI range requirements and exceptions, typical recovery and post-op pain management, and the importance of compression garments. Find out how the artistry of the surgeon impacts your results and learn: Why you can't safely combine HD Lipo with a tummy tuck in the same surgery How HD lipo eliminates the need for a tummy tuck in some patients Why we include 4 lymphatic drainage massage therapy treatments and why it's so important Links Follow Dr. Salazar on Instagram at @drsalazarlajollacosmetic (https://www.instagram.com/dr_salazar_la_jolla_cosmetic/) See a male patient's HD lipo results on Instagram (https://www.instagram.com/p/B-gD3KSD7hf/?utm_source=ig_web_copy_link) Read about HD lipo on the LJC website (https://www.ljcsc.com/body/hd-lipo-san-diego/) and see our HD lipo before and after photos (https://www.ljcsc.com/photo-gallery/?proc=high-definition-liposuction). Take a screenshot of this podcast episode with your phone and show it at your consultation or appointment, or mention the promo code PODCAST to receive $25 off any service or product of $50 or more at La Jolla Cosmetic. La Jolla Cosmetic is located just off the I-5 San Diego Freeway at 9850 Genesee Ave, Suite 130 in the Ximed building on the Scripps Memorial Hospital campus. To learn more, go to ljcsc.com (https://www.ljcsc.com/) or follow the team on Instagram at @ljcsc (https://www.instagram.com/ljcsc/) The La Jolla Cosmetic Podcast is a production of The Axis. (http://www.theaxis.io/) Special Guest: Hector Salazar-Reyes, MD, FACS.

In order to watch the upcoming Super Bowl on a high-definition television, Doug hatches a plan to have his sister Stephanie Ricki Lake) date Carrie's wealthy boss (Alex Skuby).

Does the US need a divorce? We decided to play a thought experiement for the 36th iteration of On the Rocks Politica. Using the July 16 article by graduate student and blogger Andrew Tanner entitled, 'Fourth America is Almost Over-America Wants a Divorce', we consider the pros and cons of a divided US spliting into any nubmer of new governmental bodies. Would it be a two way split or numerous factions?  What positive outcomes could there be for a re-constituted regional confederation or multiple republics? Read about the state of our democracy from Bright Line. The US has always had a fluid way of experiencing unity.  From the Articles of Confederation, to the first 50 years of the US Constitution; from the Hartford Convention, to Abolition, the Civil War to the turmoil of the Great Depression. We took a look at some of the more likely scenarios such as the formalizing of a Trans-Pacific Confederation between British Columbia, WA, OR and Northern Califronia known for some time as Cascadia.  Don't laugh, there are serious economic and social reasons that this has been consdiered in the recent past. Our point with all this?  By talking through what a 'divorced' United States could be, we realized the ways in which we might be stronger together....and better people for it. Now, if we could stop divorcing oursleves from the very real responsibility we each have to each other for being the best engaged citizens we know we can all be.

Charlie and Zealeus are back to give you this week's show once again in two different places. They go over a series of different topics that have been submitted, and here's a few of the main ones Twitch Adds New Tools for Streamers Dealing With DMCA Strikes Xbox's Auto HDR support comes to Windows PC LittleBigPlanet Servers Are Still Down Following DDoS Attack Gen Con to be in Person in September Gamescom 2021 Will Be Hybrid Physical and Digital Event Sony Buys EVO Twitter: https://twitter.com/alteredconfusio Facebook: https://www.facebook.com/AlteredConfusion/ YouTube: https://www.youtube.com/AlteredConfusionLLC Instagram: https://www.instagram.com/alteredconfusion/ Patreon: https://www.patreon.com/AlteredConfusion

I'm bringing another epic episode to you today! I've brought in Human Design Expert Sara Bacon to enlighten us into the world of Human Design. I found Human Design last year and was enthralled immediately! I discovered and understood so much more about myself and have loved being able to research and gain so much extra knowledge around it. Human Design is a great tool to use for self discovery, if you love learning more about yourself! Sara is a 1/3 Manifesting Generator with Emotional Authority, answers to the nickname “Glitter," loves fancy dinners and dive bars equally, and believes that becoming our most whole and alive selves is the very best gift we can offer the world. Links: Instagram: @go.hi.def Website: Hi Def Humans Learn more about Human Design here Grab the "Do This Next" freebie I talked about in my Freebie Library here Did you love this episode? Leave a review by clicking here! Instagram: @conscioussexuality Facebook: Conscious Sexuality Website: www.conscioussexuality.com.au

Emily and Andrea talk with one of our long-time domestic host partners, Shiloh NYC. Director Ryan French and Assistant Director Angela Elem talk about the last 20 years of working together for the Mission of God: the ways Shiloh has influenced our students here at Lipscomb and the ways in which Shiloh serves their communities year round in New York City and Bridgeport Connecticut. Find out more about Shiloh at shilohnyc.org.