Podcasts about hld

In this episode of the ASC Podcast with John Goehle, we cover the latest updates from the ASC industry, discuss recent ASC issues and survey experiences, review a recent survey by Avanza, discuss high level disinfection issues and in our focus segment, we interview Jennifer Cantrell with AMSURG during the New Jersey ASC Associations recent conference where she discussed Patient Engagement and how OAS-CAPHS can provide valuable information for improving patient satisfaction.         This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies.   Notes and Resources from this Episode: Resources from AHS, ASC Central and the ASC Podcast with John Goehle ASC Podcast website - http://ascpodcast.com ASC Central website - http://conferences.asc-central.com Ambulatory Healthcare Strategies, LLC - http://ah-strategies.com Contact John Goehle at 585-594-1167 for more information. AJIC literature review- endoscope HLD failures https://www.ajicjournal.org/article/S0196-6553(25)00290-1/fulltext 6th Annual Hospital Leadership ASC Survey: https://avanzastrategies.com/wp-content/uploads/2025/05/6th-Avanza-Intelligence-Hospital-Leadership-ASC-Survey.pdf Chemical Risk Assessment: https://www.osha.gov/chemical-hazards INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central, a sister site to http://ascpodcast.com provides a link to all of our bootcamps, educational programs and membership programs! https://conferences.asc-central.com/ Join one of our Membership Programs! Our Patron Program: Patron Members of the ASC Podcast with John Goehle have access to ASC Central - an exclusive membership website that provides a one-stop  ASC Regulatory and Accreditation Compliance, Operations and Financial Management resource for busy Administrators, nurse managers and business office managers.  More information and Become Member The ASC-Central Premium Access Program A Premium Resource for Ambulatory Surgery Centers including access to bootcamps, education programs and private sessions More Information and Become a Premium Access Program Members Today! Important Resources for ASCs: Conditions for Coverage: https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150 Infection Control Survey Tool (Used by Surveyors for Infection Control) https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf Updated Guidance for Ambulatory Surgical Centers - Appendix L of the State Operations Manual (SOM) https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som Policy & Memos to States and Regions CMS Quality Safety & Oversight memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices. https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions Other Resources from the ASC Podcast with John Goehle: Visit the ASC Podcast with John Goehle Website Books by John Goehle Get a copy of John's most popular book - The Survey Guide - A Guide to the CMS Conditions for Coverage & Interpretive Guidelines for Ambulatory Surgery Centers

Woche: 10. Februar bis 15. Februar 2025 Christine Hubka macht sich Gedanken zu den Evangelien der Wochentage. Sie ist evangelische Pfarrerin im Ruhestand, Gefängnisseelsorgerin und Autorin. Vor kurzem ist ein neues Buch von ihr erschienen: „Mein Papa ist kein Mörder: Erzählerisches, graphic-novel-artiges Sachbuch über Gefängnis und alles drumherum“. Illustriert von Lukas Vogl und herausgegeben im Tyrolia-Verlag. Montag, 10. Februar 2025Der erotischste Satz der Bibel.Hld 8, 6–7 Dienstag, 11. Februar 2025„Gott sah, dass es gut war“.Gen 1, 20 – 2, 4a Mittwoch, 12. Februar 2025Was unsere Gemeinschaft schützt.Mk 7, 14-23 Donnerstag, 13. Februar 2025Am Anfang war die Ebenbürtigkeit.Gen 2, 18-25 Freitag, 14. Februar 2025Ich spüre mich, ich spüre dich.Lk 10, 1-9 Samstag, 15. Februar 2025Gott, der Schneidermeister.Gen 3, 9-24 Einen Link zu den Texten finden Sie hier.

Woche: 10. Februar bis 15. Februar 2025 Christine Hubka macht sich Gedanken zu den Evangelien der Wochentage. Sie ist evangelische Pfarrerin im Ruhestand, Gefängnisseelsorgerin und Autorin. Vor kurzem ist ein neues Buch von ihr erschienen: „Mein Papa ist kein Mörder: Erzählerisches, graphic-novel-artiges Sachbuch über Gefängnis und alles drumherum“. Illustriert von Lukas Vogl und herausgegeben im Tyrolia-Verlag. Montag, 10. Februar 2025Der erotischste Satz der Bibel.Hld 8, 6–7 Dienstag, 11. Februar 2025„Gott sah, dass es gut war“.Gen 1, 20 – 2, 4a Mittwoch, 12. Februar 2025Was unsere Gemeinschaft schützt.Mk 7, 14-23 Donnerstag, 13. Februar 2025Am Anfang war die Ebenbürtigkeit.Gen 2, 18-25 Freitag, 14. Februar 2025Ich spüre mich, ich spüre dich.Lk 10, 1-9 Samstag, 15. Februar 2025Gott, der Schneidermeister.Gen 3, 9-24 Einen Link zu den Texten finden Sie hier.

Woche: 10. Februar bis 15. Februar 2025 Christine Hubka macht sich Gedanken zu den Evangelien der Wochentage. Sie ist evangelische Pfarrerin im Ruhestand, Gefängnisseelsorgerin und Autorin. Vor kurzem ist ein neues Buch von ihr erschienen: „Mein Papa ist kein Mörder: Erzählerisches, graphic-novel-artiges Sachbuch über Gefängnis und alles drumherum“. Illustriert von Lukas Vogl und herausgegeben im Tyrolia-Verlag. Montag, 10. Februar 2025Der erotischste Satz der Bibel.Hld 8, 6–7 Dienstag, 11. Februar 2025„Gott sah, dass es gut war“.Gen 1, 20 – 2, 4a Mittwoch, 12. Februar 2025Was unsere Gemeinschaft schützt.Mk 7, 14-23 Donnerstag, 13. Februar 2025Am Anfang war die Ebenbürtigkeit.Gen 2, 18-25 Freitag, 14. Februar 2025Ich spüre mich, ich spüre dich.Lk 10, 1-9 Samstag, 15. Februar 2025Gott, der Schneidermeister.Gen 3, 9-24 Einen Link zu den Texten finden Sie hier.

Woche: 10. Februar bis 15. Februar 2025 Christine Hubka macht sich Gedanken zu den Evangelien der Wochentage. Sie ist evangelische Pfarrerin im Ruhestand, Gefängnisseelsorgerin und Autorin. Vor kurzem ist ein neues Buch von ihr erschienen: „Mein Papa ist kein Mörder: Erzählerisches, graphic-novel-artiges Sachbuch über Gefängnis und alles drumherum“. Illustriert von Lukas Vogl und herausgegeben im Tyrolia-Verlag. Montag, 10. Februar 2025 Der erotischste Satz der Bibel. Hld 8, 6–7 Dienstag, 11. Februar 2025 „Gott sah, dass es gut war“. Gen 1, 20 – 2, 4a Mittwoch, 12. Februar 2025 Was unsere Gemeinschaft schützt. Mk 7, 14-23 Donnerstag, 13. Februar 2025 Am Anfang war die Ebenbürtigkeit. Gen 2, 18-25 Freitag, 14. Februar 2025 Ich spüre mich, ich spüre dich. Lk 10, 1-9 Samstag, 15. Februar 2025 Gott, der Schneidermeister. Gen 3, 9-24 Einen Link zu den Texten finden Sie ⁠hier⁠.

Woche: 10. Februar bis 15. Februar 2025 Christine Hubka macht sich Gedanken zu den Evangelien der Wochentage. Sie ist evangelische Pfarrerin im Ruhestand, Gefängnisseelsorgerin und Autorin. Vor kurzem ist ein neues Buch von ihr erschienen: „Mein Papa ist kein Mörder: Erzählerisches, graphic-novel-artiges Sachbuch über Gefängnis und alles drumherum“. Illustriert von Lukas Vogl und herausgegeben im Tyrolia-Verlag. Montag, 10. Februar 2025Der erotischste Satz der Bibel.Hld 8, 6–7 Dienstag, 11. Februar 2025„Gott sah, dass es gut war“.Gen 1, 20 – 2, 4a Mittwoch, 12. Februar 2025Was unsere Gemeinschaft schützt.Mk 7, 14-23 Donnerstag, 13. Februar 2025Am Anfang war die Ebenbürtigkeit.Gen 2, 18-25 Freitag, 14. Februar 2025Ich spüre mich, ich spüre dich.Lk 10, 1-9 Samstag, 15. Februar 2025Gott, der Schneidermeister.Gen 3, 9-24 Einen Link zu den Texten finden Sie hier.

Join CardioNerds EP Council Chair Dr. Naima Maqsood and Episode Lead Dr. Jeanne De Lavallaz as they discuss the results of the ARREST-AF Trial with expert faculty Dr. Prashanthan Sanders and Dr. Mehak Dhande. The ARREST-AF trial enrolled 122 patients with a BMI of 27 kg/m2 or greater and at least one cardiovascular risk factor with either paroxysmal or persistent AF and were scheduled to undergo de novo AF ablation. They were randomized to an intensive risk factor management (RFM) program versus usual care. The RFM program addressed obesity, sleep apnea, HTN, HLD, tobacco, and alcohol abuse, whereas the usual care arm had a discussion of risk factors but without an extensive risk factor modification or follow-up program. The study population had a mean age of 60 years, a mean BMI of 33 kg/m2, and 56-60% of patients with persistent AF. A third of the study population was female. The trial showed a significant improvement in the primary endpoint of the percentage of patients free from atrial fibrillation after ablation in those receiving the intensive lifestyle RFM program. At the end of the 12.3-month follow-up period, 66% percent of patients in the RFM group were free from AF compared to 42% in the usual care group (HR 0.53, p = 0.03). The RFM group also showed significant improvement in AF symptom severity, decline in body weight, systolic blood pressure, glycemic control, and exercise capacity. On average, patients in the RFM arm lost 9 kg of weight compared to 1 kg in the control group. Similarly, systolic blood pressure decreased by 13.1 mmHg in the RFM group but increased by four mmHg in the control group. This episode was planned in collaboration with Heart Rhythm TV with mentorship from Dr. Daniel Alyesh and Dr. Mehak Dhande. CardioNerds Journal Club PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! References - The SUMMIT Trial Pathak, Rajeev K., et al. "Aggressive Risk Factor Reduction Study for Atrial Fibrillation and Implications for the Outcome of Ablation: The ARREST-AF Cohort Study." Journal of the American College of Cardiology, vol. 64, no. 21, 2014, pp. 2222–2231.

If you're a wildlife or birding photographer, you know the magic of capturing rare encounters from afar. Get an OM-1 Mark II, a 150-600mm F5.0-6.3 IS, the MC-20 2x Teleconverter, and the HLD-10 Battery Grip for just $4,499.96 – that's a savings of $1,380! Don't miss out! This amazing offer expires on January 5, 2025! Discover more at http://explore.omsystem.com/petapixel or at your local OM SYSTEM retailer. -- Do you ever get tired of manually organizing, searching for, tagging, and culling your images? We do, too - and that's where Excire can help! To purchase an Excire lifetime license or to download a 14-day free trial, visit www.excire.com/en/shop! PetaPixel viewers can receive 15% off their purchase with the special discount code PETAPIXEL. -- We are proud to announce the results of the fourth-annual PetaPixel Awards where we are able to honor the best new photography products released in the last year. 2024 was a heck of a year for photography and the results showed that: it was the closest batch of voting in the awards' history. Support Chris and Jordan directly with a PetaPixel Membership and check out PetaPixel Merch. We use Riverside to record The PetaPixel Podcast in our online recording studio. We hope you enjoy the podcast and we look forward to hearing what you think. If you like what you hear, please support us by subscribing, liking, commenting, and reviewing! Every week, the trio go over comments on YouTube and here on PetaPixel, but if you'd like to send a message for them to hear, you can do so through SpeakPipe. -- In This Episode: 00:00 - Into (explaining all our upcoming gear shows) 08:24 - Samyang announced a new 35mm f/1.4 P lens (and brought a 12mm f/2 lens to Canon RF mount APS-C) 13:22 - Microsoft discontinues the Surface Studio 2+ 18:48 - Canon USA brought back Rudy Winston 21:07 - The PetaPixel Awards (About, Methodology, Categories) 26:00 - Accessory of the Year 29:27 - Desktop Software of the Year 21:11 - Smartphone App of the Year 33:51 - Computer of the Year 35:18 - Smartphone of the Year 41:13 - Zoom Lens of the Year 47:36 - Prime Lens of the Year 56:48 - Camera of the Year, People's Choice Award 59:47 - Camera of the Year 1:07:36 - Photo Company of the Year 1:09:51 - What have you been up to? 1:12:14 - Tech Support 1:29:56 - Feel good story of the week

In seinem Gedicht „Der Pfad, den ich nicht nahm,“ schreibt Robert Frost „Zwei Pfade teilten sich in einem Wald und ich – ich nahm den weniger begangenen Pfad, und das machte den ganzen Unterschied.“ Heute ist leider die Ehrlichkeit in kleinen und gro-ßen Dingen der weniger begangene Weg. Laut Psychology Today geben 70% der Oberschüler und fast die Hälfte der Studenten zu, dass sie schwindeln. USA Today sagte, dass 91% der Amerikaner regelmäßig lügen. Unsere Kultur sagt: „Wenn du vorankommen willst, musst du einige Regeln brechen.“ Aber die Bibel warnt, es sind „die kleinen Füchse, die den Weinberg verwüsten“ (Hld 2,15 NLB). Es sind die klei-nen Sünden, die unseren Appetit wecken, unsere Werte verbiegen und zu größeren Sünden führen. Matthew Henry schreibt: „Es schien nur eine kleine Sünde zu sein, als Adam die verbotene Frucht aß, aber sie öffnete die Tür zur größten.“ Bist du ver-sucht, deinen Charakter zu verbiegen? Deine Mitschüler zu betrügen? Ein kleines, “unschuldiges” Techtelmechtel einzugehen? Charles Finney sagte: „Jemand, der in kleinen Dingen unehrlich ist, ist im allem nicht wirklich ehrlich.“ Wenn die kleinen, ge-heimen Bereiche deines Lebens nicht von deinen Überzeugungen bestimmt werden, sind diese der Gefahr der Korruption ausgesetzt. Die Bibel verheißt: „Gut so… In kleinen Dingen bist du treu gewesen, darum werde ich dir Großes anvertrauen (Mt 25,21 HFA). Hüte deine Gedanken, sie werden deine Taten. Hüte deine Taten, sie formen deinen Charakter. Hüte deinen Charakter, er bestimmt deine Zukunft.

If you're a wildlife or birding photographer, you know the magic of capturing rare encounters from afar. To bring your vision to life, OM SYSTEM has curated the ultimate telephoto kit designed for those who demand precision, durability, and exceptional image quality. Get an OM-1 Mark II, a 150-600mm F5.0-6.3 IS, the MC-20 2x Teleconverter, and the HLD-10 Battery Grip for just $4,499.96 – that's a savings of $1,380! Don't miss out! This amazing offer expires on January 5, 2025! Discover more at explore.omsystem.com/petapixel or at your local OM SYSTEM retailer. -- Tamron's holiday savings are live! Don't miss out on huge savings on lenses for Sony E-mount, Nikon Z-mount, and Fujifilm X-mount mirrorless cameras from Tamron's impressive range of stellar optics. Mix the high-quality, fast performance with the company's 6-year warranty which ensures long-lasting reliability. Save up to $200 on a wide selection of lenses at tamron-americas.com/petapixel It's time! Our annual tradition continues with our BOLD PREDICTIONS for 2025! This year, we're joined by Becca Farsace and PetaPixel's Jeremy Gray to make our predictions for what the camera industry will see in the next calendar year. It's time to get bold! Support Chris and Jordan directly with a PetaPixel Membership Check out PetaPixel Merch. We use Riverside to record The PetaPixel Podcast in our online recording studio We hope you enjoy the podcast and we look forward to hearing what you think. If you like what you hear, please support us by subscribing, liking, commenting, and reviewing! Every week, the trio go over comments on YouTube and here on PetaPixel, but if you'd like to send a message for them to hear, you can do so through SpeakPipe

Join the waitlist for Anatomy of a Leader events: https://form.typeform.com/to/eDtmkFff Hannah Holland is the founder and CEO of HLD Talent. She's here to spill insider secrets on how to dominate the digital, podcast, and broadcast space. If you want to understand social media better, or are trying to get a talent agency to notice you, then this episode is for you. Timestamps: 00:00 - Introduction 05:42 - Deciding to Start HLD 09:39 - What Made HLD Successful? 11:33 - Youthful Naivety 14:27 - Convincing People to Believe in You 15:40 - Becoming GK Barry's Manager 18:33 - What Makes a Great Talent Manager? 20:28 - Selecting Talent 22:00 - Get Noticed by a Talent Manager 29:26 - Developing the Hiring Process 30:53 - Managing a Crisis 34:06 - Matching Talent With the Right Brand 37:52 - Influencing Isn't Easy 43:08 - Advice for Content Creators 45:20 - How Long Does it Take to Go Viral? 47:29 - Build Follower Engagement 49:42 - The Best Social Media Platform 53:08 - Future of Social Media 54:54 - The Future of HLD Talent In 2019, Hannah started HLD Talent - an entertainment agency representing diverse leaders in digital, broadcast and podcast talent - at only 24 years old. HLD has quickly become a leading talent management company in London, known for developing commercial and PR talent, and building lasting media careers. Their roster features broadcast and digital talent, including podcasts like Saving Grace and Girls Know Nothing. Before HLD, Hannah worked as a marketing manager for SIXTY6MAG, and moved onto managing people at S66MGMT, where her charges included model Demi Rose Mawby and TV personality Megan Barton-Hanson. Hannah Holland: LinkedIn: https://www.linkedin.com/in/hannah-holland-2a6906b8/ Instagram: https://www.instagram.com/hannahroseholland/?hl=en TikTok: https://www.tiktok.com/@hldtalent Website: https://hldtalent.com/ Maria Hvorostovsky: LinkedIn: https://www.linkedin.com/in/mariahvo/ Instagram: https://www.instagram.com/mariahvo/ TikTok: https://www.tiktok.com/@maria_hvo X: https://twitter.com/mhvorostovsky HVO Search: https://www.hvosearch.com Podcast filmed, edited and produced by: https://www.londonbeautyphotographer.com Need help HIRING – http://www.hirewithmaria.com LEAVE A REVIEW: If you're listening on Apple Podcasts make sure to Follow, Rate, and leave a REVIEW.

Want to BOOST your personal brand for less than the price of a coffee a day? Check out the new GET KLOWT platform to unleash the potential of your personal brand, here: https://get.klowt.com/membership/This week I am joined by Forbes 30 Under 30 recipient and founder of HLD Talent - Hannah Holland.In this episode, Hannah shares the realities of working in the influencer industry, how she learned how to stop caring about what other people think, monetising a social media following, and more!Hannah was on the first-ever episode of Branded and so it was great to see how far Hannah and HLD have come over the last few years. If you enjoyed this episode, please give us a follow and share it with someone who might also find it useful and subscribe over on YouTube where you can watch full video versions of the podcast and check out more of my content.You can find more of my content below:LinkedIn - Amelia SordellInstagram - @AmeliaSordell / @TheBrandedPodcastTikTok - @AmeliaSordellYouTube - Amelia SordellX / Twitter - @AmeliaSordellTimestamps: (00:00) - Quick-fire questions.(14:34) - What has changed in the last two years?(19:05) - How to be authentic online?(24:58) - How creators monetise their following in 2024.(35:29) - The mindset of a successful entrepreneur.(42:17) - How to innovate your business and see consistent growth.(46:24) - How to stop caring about what other people think.(58:05) - How I relaunched my business.(1:04:45) - The reality of the influencer industry,(1:07:47) - The future of influencer marketing & the impact of AI(1:12:10) - Why your employees need to build their personal brands.(1:16:52) - How to successfully date online.(1:28:57) - The future for Hannah Holland and HLD Talent.

It's only been a year and Maddie's addicted to mobile games. Has it been a while? It's been a long time. 53yo M w PMH of HTN, HLD, DM2 p/w NSTEMI w CP. Check out Binging with Bbirchtats on YouTube: https://www.youtube.com/watch?v=i6djKQIviwk Ride on the magic council! I went to the school to get the D. Dimothy? Doug Dimmidome? Drubder? YOU DON'T HAVE PARENTS! This anime is trash and I'm Oscar THE FUCKING GROUCH. This dying thing is sick... Triggering all chemists. Say hello to GUMBO, THE DESTROYER OF WORLDS. Has Jim been uploading to YouTube for us?? We know our FBI guy is at least named ..... Eddd.... Wurddd? He knows at least 3 of the 5 guys! The milkman, the paper boy, THE EVENING TV. Gariel and Angelo, the cats who love you.   If you'd like to request us to cover YOUR favorite anime on My Favorite Anime, then donate on Ko-fi or Patreon https://ko-fi.com/myfavoriteanime https://www.patreon.com/mfanime Merch is back up (with some exclusive patreon merch soon): https://animate-station.creator-spring.com/listing/tanks-are-for-girls-my-favor Links to the podcast: https://open.spotify.com/show/0AV1raD6J16xjX5sVTuqNR?si=s1174woBQMSAlEAdZZqKgQ https://pca.st/BA5s https://podcasts.apple.com/us/podcast/my-favorite-anime/id1448147787

In the first episode of Branded Moments, I look back at my conversation with the Founder of HLD - a London-based entertainment agency representing diverse leaders in digital, broadcast and podcast talent.Hannah shares her experiences as a young female Founder in a male-dominated space, responding to people copying her business ideas, and how dropping out of university ended up being one of the best decisions she has ever made.Hannah and I also talk about the demonisation of "hustle culture" and how people have forgotten the value of hard work, especially when trying to grow a successful business. If you want to watch my full episode with Hannah, you can listen to it on all podcast platforms or watch the entire video on YouTube.

von Tanja Mühlan Joh 10,9; Joh 8,36; 1Kor 13,2; Mt 19,16-22; Spr 4,23; Ps 139,23; 1Joh 4,19; Hebr 12,2; Phil 1,6; Ps 42,2; Hld 8,6; Jes 49,16

von Joel Walterscheid Eph 1,4; Joh 8,2-10; Hebr 1,1-3; Röm 5,5; 1Kor 13,1-3; Joh 4,24; Joh 3,35; Röm 8,29; Joh 14,9; Jes 40,12; Joh 15,13; Mt 24,12; 1Kor 2,2; Nah 1,1-7; Joh 3,16; Mt 27,51-53; Lk 15,7; Jer 18,1-4; Jes 10,15; Joh 20,21; Joh 1,10-12; Kol 1,16; Phil 3,20; Mt 18,14; Mk 16,15-16; 2Mo 28,6-14; Mt 5:23-24; Joh 17,11; Joh 17,22-23; Joh 13,35; 1Kor 16,14; Hld 8,6-7; Eph 3,17-19

von Tanja Mühlan Lk 2,25-33; Eph 1,18; Mt 16,15-17; Lk 24,15-16; Lk 24,31-32; Joh 16,12-14; Jes 9,5-6; Joh 20,29; Hebr 11,1; Hld 4,7; Ps 124,7; Hebr 12,1-2; Röm 8,26; Röm 8,34; Spr 4,20-22; Ps 119,18

This episode of the I Save That Podcast is supported by Parker Laboratories.  AVA has been in the middle of the debate regarding low, intermediate, and high-level disinfection of ultrasound probes used for vascular access procedures for a very long time. In this episode, Judy discusses a new product that just recently was awarded FDA clearance for HLD of US Probes. Judy discusses Tristel's products ULT and Duo. ULT was just recently approved for use in the United States.Ash McMaster and Mathieu Frateur met with Judy a few months back, and then just last week, Neal Buchalter joined in to discuss the recent FDA approval of Tristel's ULT, High-Level Disinfection. 0:00 – 5:26 Introductions, Tristel Duo, Compatibility with probes5:27 - 6:51 A word from our sponsor6:52 – 8:26 Low-level disinfection versus high-level disinfection8:26 – 9:10 A word from our sponsor9:11 – 20:09 Neal Buchalter discusses new HLD claim for Tristel ULT20:10 – 21:06 Closing remarksSupport the show

Join us this week on Beyond Clean as Jason Minutillo, Regional Director of Quality for HLD and Sterilization at UC Health, takes us on a tour into the intricate data ecosystem of Sterile Processing staffing. From unraveling crucial keywords like FTEs to detailing the nuances between productive and non-productive hours, Jason provides insights that will help you take a fresh look at your department's staffing strategies. Learn how strategic data plays a pivotal role in everything from recruiting to  handling PTO requests without hampering department efficiency. As we explore valuable lessons from Jason's experiences, we also speak to the future of data analytics in Sterile Processing and its transformative impact on staffing approaches. Season 21 of Beyond Clean is released under the 1 Episode = 1 CE delivery model. After tuning in, secure your 1 CE credit by taking the short quiz linked below each episode. For access to 350+ other free CE credits, check out our CE Credit Hub at beyondclean.net/ce-credit-hub.

Hld 5, 3-6

Dr. Herrmann speaks on HLD and cardiovascular RR

Effective endoscopy cleaning is one of the greatest challenges of modern instrument reprocessing. Superbugs and healthcare acquired infections (HAI) are lurking in unseen channels and studies are showing many of our current cleaning practices are still missing the mark.  Joining us for this Beyond Clean Vendor Spotlight™ is Jason Minutillo, Director of Quality for SPD and HLD for UCHealth, to speak to the critical role that manual cleaning in general, and effective brushing in particular, plays in taking these medical devices from dirty to clean so that they can be dependably disinfected or sterilized. Learn about the evidence the PULL THRU™ team use to support their belief that the PULL THRU™ Cleaning Brush is the most beneficial single-pass cleaning brush on the market today. Tune in to hear more!  If you enjoy what you hear on today's Vendor Spotlight™, contact PULL THRU™ or your local distributor for a demo pack – containing a short length of channel and a PULL THRU brush.  Dip one end of the tube into a cup of cold coffee and see how well the PULL THRU brush works (but don't drink the coffee afterwards!)  You can also visit PULL THRU™ on their website at pullthru.net.nz  Email them at info@pullthru.net.nz  Or follow them on LinkedIn and Twitter (@Pull_Thru_Brush) #PullThru #Brushes #FlexibleScopes #Lumens #Cannulas #Education #SterileProcessing #OperatingRoom #Endoscopy #VendorSpotlight #BeyondClean #WeFightDirty 

Episode 115: Erectile Dysfunction Diagnosis.  Discussion about the diagnosis of erectile dysfunction with Andrew, Adriana, and Dr. Arreaza. Causes, labs, and physical exam is briefly discussed. Written by Andrew Kim, MSIV, Western University of Health Sciences, College of Osteopathic Medicine of the Pacific. Comments by Adriana Rodriguez, MS3, Ross University School of Medicine; and Hector Arreaza, MD.September 22, 2022.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.In episode 39 o erectile dysfunction, Dr. Ihejirika gave us an overview, but today we will be more detailed about the diagnosis of ED. Definition.The American Urological Association (AUA) published an erectile dysfunction guideline in May 2018, which is available online at no cost. Based on that guideline, erectile dysfunction can be defined as “the consistent or recurrent inability to attain and/or maintain penile erection sufficient for sexual satisfaction, including satisfactory sexual performance.” Comment: This guideline provides 25 principles for diagnosing and treating ED. Diagnosis.Getting a good history is important when diagnosing erectile dysfunction. The patient should be asked about the onset of symptoms, severity, how much it hinders his sexual performance, whether the patient can get and maintain an erection, psychological factors, social factors, and presence of morning erections. One can use different questionnaires: the five-question International Index of Erectile Function (IIEF-5) or a single-question self-assessment. Single-question self-assessment:Impotence means not being able to get and keep an erection that is rigid enough for satisfactory sexual activity. How would you describe yourself?Not impotent: always able to get and keep an erection good enough for sexual intercourse.Minimally impotent: usually able to get and keep an erection good enough for sexual intercourse.Moderately impotent: sometimes able to get and keep an erection good enough for sexual intercourse.Completely impotent: never able to get and keep an erection good enough for sexual intercourse.Comment: Basically, the single-question self-assessment is a self-diagnosis of erectile dysfunction; the patient is giving you the severity of his condition. This questionnaire seems to be very subjective. International Index of Erectile Function (IIEF-5):IIEF-5 asks five questions, and the patient answers on a scale of 1 to 5 (1 is the worst, 5 is the best)How do you rate your confidence that you could get and keep an erection?When you had erections with sexual stimulation, how often were your erections hard enough for penetration?During sexual intercourse, how often were you able to maintain your erection after you had penetrated your partner?During sexual intercourse, how difficult was it to maintain your erection to completion of intercourse?When you attempted sexual intercourse, how often was it satisfactory for you?Diagnosis can be made based on the total score. 1 to 7: severe ED, 8 to 11: moderate ED, 12 to 16: mild-moderate ED, 17 to 21: mild ED, and 22 to 25: no ED.This is a self-reported questionnaire, and the score should be interpreted in a clinical context. Answers will likely be biased if, for example, the questionnaire is asked by a female medical assistant. Causes of ED:It is important to assess for medical conditions, psychological conditions, and medications because ED can be caused by vascular, neurological, psychological, and hormonal problems.  Cardiovascular: Some common conditions related to ED are cardiovascular disease (PAD, CAD) and HTN.Endocrine: DM, HLD, obesity, testosterone deficiency (hypogonadism), hyperprolactinemia, thyroid disorder, metabolic syndrome.Neurologic: Neurologic conditions (multiple sclerosis, stroke, spine injury), trauma, and venous leakage.Lifestyle causes: sedentary lifestyle, tobacco use.Psychological: Performance anxiety, relationship issues, anxiety, depression, and stress are common psychological causes.Medications and substances: Alcohol, illicit drugs, and nicotine are important causes of ED, but some medications also cause or worsen ED: opiates, diuretics (spironolactone), antifungals (azoles), anticonvulsants, antidepressants (SSRIs), antihistamines, H2 blocker (cimetidine) antihypertensives, nasal decongestants, and antipsychotics. Remember to ask about over-the-counter medications and supplements.Physical exam: Measure blood pressure, BMI, and a complete exam, especially a genital exam. A comprehensive genitourinary exam should include the inspection of the testicles (atrophy, varicocele, signs of hypogonadism). The penis should be inspected and palpated (look for scar tissue and Peyronie's plaques) and assessment of penile stretch/flaccid length (it is done by stretching the penis. An elastic penis is a healthy penis). Dr. Winter's expert opinion: consider a prostate exam in older patients presenting with ED.Labs: Following physical examination, some lab tests can be ordered to further evaluate possible causes of ED. -A1C and glucose levels can be ordered to look for diabetes. -Lipid panel for hyperlipidemia.-TSH should be checked for thyroid function and to rule out hypothyroidism. -Testosterone deficiency can be assessed by measuring morning serum total testosterone level, which is defined as total testosterone < 300 with signs and symptoms. -Prolactin (perform pituitary MRI in any degree of hyperprolactinemia. In patients taking medications that cause hyperprolactinemia, get MRI if prolactin is above 100) Why is it important to diagnose ED?ED can be linked to organic causes.- Glucose: ED is linked to increased fasting serum glucose levels (diabetes). People with PMH of DM are 3 times more likely to develop ED. The longer the patient had diabetes, the stronger association with ED. Fasting glucose levels are associated with the highest risk of ED. The probability of having undiagnosed DM is 1/50 in the age group 40 to 59 without ED but increases to 1/10 for those with ED.- Testosterone and obesity: Low serum testosterone levels can contribute to the link between metabolic syndrome and ED. In men with obesity, the adipose tissue enzyme aromatase is more prevalent and can convert testosterone into estradiol to cause hypogonadism. Furthermore, adipocytes can cause inflammation and recruit inflammatory cytokines, leading to impaired endothelial function and ED. - Cardiovascular disease: ED and CVD have some common risk factors: older age, HTN, dyslipidemia, smoking, obesity, and DM. ED is related to an increased risk of CVD, CAD, and stroke. Usually, it is thought that ED arises two to five years prior to CAD. If a patient develops signs and symptoms of ED before CAD, the patient can be counseled and educated to make lifestyle modifications to prevent CAD.Furthermore, men with ED are more likely to experience angina, MI, stroke, TIA, CHF, and cardiac arrhythmias when compared to their counterparts without ED. A study from 2003 suggested that patients with ED have a 75% increased risk of developing peripheral vascular disease. Studies suggest ED can predict silent CAD, and one study concluded that the incidence of CAD in men below 40 years of age with ED was seven times higher than that of the control population without ED. It is important to diagnose ED because it can be used as a marker for assessing cardiovascular risk.ED can be linked to many causes, and we as clinicians should be able to identify those causes to prescribe a more specific treatment. Not all ED will respond to “the blue pill”. We will talk about treatment in another episode. Conclusion: Now we conclude episode number 115, “Erectile Dysfunction Diagnosis.” Male sexual health sometimes can be taboo, and patients may not fully disclose personal issues like erectile dysfunction. Andrew and Adrianna explained that an open discussion about erectile dysfunction can help you diagnose underlying conditions, including cardiovascular disease. Dr. Arreaza reminded us that the diagnosis of erectile dysfunction should prompt a deeper investigation in most cases before you attribute it to psychological factors. This week we thank Hector Arreaza, Andrew Kim, Adriana Rodriguez, and Fiona Axelsson. Audio edition by Adrianne Silva. Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! ___________________________________________________References:Burnett AL, Nehra A, Breau RH, et al. Erectile Dysfunction: AUA Guideline. Journal of Urology. 2018;200(3):633-641. doi:10.1016/j.juro.2018.05.004. https://www.auajournals.org/doi/epdf/10.1016/j.juro.2018.05.004.Rew KT, Heidelbaugh JJ. Erectile Dysfunction. American Family Physician. 2016;94(10):820-827. Accessed September 19, 2022. https://www.aafp.org/pubs/afp/issues/2016/1115/p820.html.Khera M. Evaluation of male sexual dysfunction. UpToDate. www.uptodate.com. Last updated: April 28, 2020. Accessed September 19, 2022. https://www.uptodate.com/contents/evaluation-of-male-sexual-dysfunction.Abrams H, Winter A, Williams PN, Watto MF. “#317 Erectile Dysfunction”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list. January 24, 2022.Royalty-free music used for this episode: Gushito, Burn Flow. by Videvo, downloaded on May 06, 2022, from https://www.videvo.net/royalty-free-music-track/good-vibes-alt-mix/1017292/

The TWiP team solves the case of the Woman From Hawaii With Allodynia and abdominal pain, bilateral hip and leg pain, dizziness, and diffuse hyperesthesia. Hosts: Vincent Racaniello, Dickson Despommier, Daniel Griffin, and Christina Naula Subscribe (free): Apple Podcasts, Google Podcasts, RSS, email Links for this episode Use coupon code MicrobeTV when purchasing a spike t-shirt from Vaccinated.us Accidental host (TWiP 207) Hero: Dan Colley Letters read on TWiP 209 Become a patron of TWiP Case Study for TWiP 209 Man in his early 70s with PMH sig for HTN, DM-II, HLD, BPH is admitted to the hospital after coming from Guatemala to visit his son. He feels faint with standing and is noted to have a HR in the 40s and does not feel well when he stands. He is also noted to have diarrhea, but this has been going for an unclear period of time. On EKG he is noted to have a RBBB. PMH  HTN, DM-II, HLD, BPH PSH neg Allergies NKADR Social -no toxic habits reported, reports living in Guatemala City but grew up in the rural areas. Enjoys fruit juice FH-noncontrib Exam: slow heart rate, orthostatic A number of blood and stool tests are collected and he is referred to a tertiary care center for implantation of a cardiac pacemaker. At the tertiary care center the patient is seen by an Infectious Disease Specialist and a number of tests are ordered by the Infectious Disease Consultant but they are canceled by Cardiologist who writes in their note “no concern for an infectious process”. Now one of the tests collected at the first hospital returns with an interesting result that is later confirmed by a second test. Send your case diagnosis, questions and comments to twip@microbe.tv

Welcome back to Girls Know Nothing!

When it comes to flexible endoscopes, the most important stop along the reprocessing workflow is the Automated Endoscope Reprocessor (known as an AER). A failure or oversight here can lead to dangerous and deadly consequences to patients who undergo procedures with a contaminated device. On this final episode of our record breaking Season 17 "Power to Process", we speak with Frank Daniels, Director of High-Level Disinfection & Sterilization for VCU Health and Beyond Clean Advisory Group member, to discuss this critical piece of equipment and what you need to know as a frontline clinical user. How do you build an AER training process that creates confident technicians and documented compliance? What should you consider when purchasing a new AER or designing a new reprocessing space? How do you ensure you don't miss the small stuff that leads to big risk? We cover all that and more with one of the most innovative HLD leaders in the industry today. Tune in and join us as we teach you how to #FightDirty with your AERs!  Season 17 episodes are individually approved for 1 CE, so once you finish this interview, you can download your CE certificate immediately by passing the short quiz linked below each week. For access to this CE quiz and over 300 other free CE credits, visit our CE Credit Hub: http://www.beyondclean.net/ce-credit-hub #BeyondClean #SterileProcessing #Podcast #CE #PowerToProcess #Equipment #Season17 #WeFightDirty #WeEducateDifferently

In this episode I chat about how Healing Lifestyle Design came to be and the guiding principles of HLD.

Dr. William Cromwell specializes in the diagnosis and management of lipid (cholesterol and triglyceride) and metabolic disorders. In addition to 30 years of clinical practice experience, his career includes 14 years of service as Medical Director / Division Chief of Lipoprotein and Metabolic Disorders at multiple institutions, 6 years as Chief Medical Officer of one of the world's most innovative lipoprotein diagnostic companies, LipoScience, and 4 years as Strategic Director / Discipline Director of Cardiovascular Disease at LabCorp. Throughout this journey, his motivation has been to create strategies that optimize patient-specific care. This is a significant challenge in the current health care environment. Find Dr. Cromwell: https://precisionhealthreports.com/bio/wcromwell Timestamps 00:00 Lipoproteins 04:09 Atherogenic lipoproteins, APO-B 06:52 Cholesterol not a good marker of cardiovascular risk 19:11 Plaques in young adults 23:03 Low-carb diets not making a difference in some people 25:13 LDL-skeptic 29:48 APO-B, APO-A relationship 33:34 HLD vs LDL 34:39 Glycation damage 37:50 Different types of plaque and thrombosis 41:29 CAC score pros and cons 48:06 APO-B better measure than LDL 50:29 Genetic vs therapeutic answer 56:11 PCSK-9 function 59:01 Precision Health Reports See open positions at Revero: https://jobs.lever.co/Revero/ Join Carnivore Diet for a free 30 day trial: https://carnivore.diet/join/ Book a Carnivore Coach: https://carnivore.diet/book-a-coach/ Carnivore Shirts: https://merch.carnivore.diet Subscribe to our Newsletter: https://carnivore.diet/subscribe/ . ‪#revero #shawnbaker #Carnivorediet #MeatHeals #HealthCreation #humanfood #AnimalBased #ZeroCarb #DietCoach #FatAdapted #Carnivore #sugarfree ‪ Dr. William Cromwell specializes in the diagnosis and management of lipid (cholesterol and triglyceride) and metabolic disorders. In addition to 30 years of clinical practice experience, his career includes 14 years of service as Medical Director / Division Chief of Lipoprotein and Metabolic Disorders at multiple institutions, 6 years as Chief Medical Officer of one of the world's most innovative lipoprotein diagnostic companies, LipoScience, and 4 years as Strategic Director / Discipline Director of Cardiovascular Disease at LabCorp. Throughout this journey, his motivation has been to create strategies that optimize patient-specific care. This is a significant challenge in the current health care environment. Find Dr. Cromwell: https://precisionhealthreports.com/bio/wcromwell Timestamps 00:00 Lipoproteins 04:09  Atherogenic lipoproteins, APO-B 06:52 Cholesterol not a good marker of cardiovascular risk 19:11 Plaques in young adults 23:03 Low-carb diets not making a difference in some people 25:13 LDL-skeptic 29:48 APO-B, APO-A relationship 33:34 HLD vs LDL 34:39 Glycation damage 37:50 Different types of plaque and thrombosis 41:29 CAC score pros and cons 48:06 APO-B better measure than LDL 50:29 Genetic vs therapeutic answer 56:11 PCSK-9 function 59:01 Precision Health Reports See open positions at Revero: https://jobs.lever.co/Revero/ Join Carnivore Diet for a free 30 day trial: https://carnivore.diet/join/ Book a Carnivore Coach: https://carnivore.diet/book-a-coach/ Carnivore Shirts: https://merch.carnivore.diet Subscribe to our Newsletter: https://carnivore.diet/subscribe/ . ‪#revero #shawnbaker #Carnivorediet #MeatHeals #HealthCreation   #humanfood #AnimalBased #ZeroCarb #DietCoach  #FatAdapted #Carnivore #sugarfree  ‪

Hld 2, 15 Der Beitrag Kompromisslos leben – aber wie? – Marcel Fischer erschien zuerst auf WUNDERWERK WIEN.

Joh 15, 13 | Ps 16, 11 | Spr 8, 29-32 | Spr 9, 5 | Hld 2, 4 | Ps 81, 11 | Hld 5, 1 | Lk 15, 31 | Hld 4, 10 | Hld 6, 4-5 | Neh 8, 10 - Dies ist der 5. Teil einer Reihe, die während einer Jugendmitarbeiterschulung aufgezeichnet wurde.

Cultura Deportiva Sábado 7 de mayo 2022 Edición 322 LA NUEVA 106.9FM Cambios entre los equipos de LIDOM MLB: Los mejores dominicanos en el mes de Abril Jugadores de Posición Destacados Francisco Mejía C, Tampa Bay Rays AVG .348, SLG .652, 5 R, 1 2B, 2 HR, 10 RBI, Vladimir Guerrero Jr. 1B, Toronto Blue Jays AVG .286, SLG .545, 12 R, 2 2B, 6 HR, 16 RBI Jonathan Villar 2B - Util, Chicago Cubs AVG .283, SLG .321, 8 R, 2 2B, 8 RBI, SB José Ramírez 3B, Cleveland Guardianes AVG .342, SLG .722, 12 R, 7 2B, 3B, 7 HR, 28 RBI Wander Franco SS, Tampa Bay Rays AVG .313, SLG .578, 14 R, 8 2B, 3B, 4 HR, 13 RBI, 3 SB Marcell Ozuna OF, Atlanta Braves AVG .256, SLG .453, 8 R, 5 2B, 4 HR, 10 RBI Jesús Sánchez OF, Miami Marlins AVG .282, SLG .493, 10 R, 2 2B, 2 3B, 3 HR, 12 RBI Starling Marte OF, New York Mets AVG .224, SLG .318, 12 R, 2 2B, 2 HR, 15 RBI, 4 SB Notables Manny Machado 3B, San Diego Padres AVG. 386, SLG .614, 20 R, 7 2B, 4 HR, 15 RBI, 4 SB, 10 BB Willy Adames SS, Milwaukee Brewers AVG. 226, SLG .464, 15 R, 5 2B, 5 HR, 14 RBI, 11 BB Lanzadores Abridores Destacados Sandy Alcántara SP, Miami Marlins 25.1 IP, 2 W, 0 L, 1.78 ERA, 1.18 WHIP, 20 K, 7.11 K/9 Luis Severino SP, New York Yankees 19 IP, 2 W, 0 L, 3.32 ERA, 1.21 WHIP, 19 K, 9.00 K/9 Notable Frankie Montás SP, Oakland Athletics 29.2 IL, 2 W, 2 L, 4.25 ERA, 0.98 WHIP, 31 K, 9.40 K/9 Lanzadores Relevistas Destacados Gregory Soto RP, Detroit Tigres 7 IP, W, L, 3 SV, 1.29 ERA, 1.29 WHIP, 5 K, 6.43 K/9 Dany Jiménez, RP, Oakland Athletics 9 IL, W, L, 4 SV, 0.00 ERA, 1.11 WHIP, 9 K, 9.00 K/9 Rafael Montero, RP, Seattle Mariners 9.1 IP, W, 0 L, SV, 2 HLD, 0.96 ERA, 0.96 WHIP, 15 K, 14.46 K/9 Hansel Robles RP, Boston Red Sox 9.2 IL, W, L, SV, 4 HLD, 0.93 ERA, 0.83 WHIP, 9 K, 8.38 K/9 Héctor Neris RP, Houston Astros 10.1 IL, W, L, 3 HLD, 0.87 ERA, 0.68 WHIP, 10 K, 8.71 K/9 Novatos Destacados Rafael Montero, RP, Seattle Mariners 9.1 IP, W, 0 L, SV, 2 HLD, 0.96 ERA, 0.96 WHIP, 15 K, 14.46 K/9 Jeremy Peña SS, Houston Astros AVG .222, SLG .458, 13 R, 3 2B, 3B, 4 HR, 10 RBI Jhoan Duran, RP, Minnesota Twins 11 IL, 0 W, 0 L, 3 HLD, 3.27 ERA, 0.91 WHIP, 18 K, 14.73 K/9

18WT 049:  On this episode we discussed Heart Health Month and over 20 different ways to a healthier heart. We feel that heart health month should be something everyone should think about all year long. Below are 20 plus different ways to get started to a healthier heart. Stop smoking - no ifs, ands, or butts   and stay away from secondhand smoke.  There are many steps you can take to help protect your health and blood vessels. Avoiding tobacco is one of the best. Control your cholesterol and blood pressure. Slim down - If you're carrying extra fat around your middle, it's time to slim down.  Then stay at a healthy weight Have sex - having sex can be good for your heart!  lower frequency of sexual activity is associated with higher rates of cardiovascular disease. Engage in hobbies - that are relaxing too! Put your hands to work to help your mind unwind. Read a book, make something ~ cooking, baking, woodworking, knitting, sewing, ect… Eat fiber -  a diet rich in soluble fiber can help lower your level of low-density lipoprotein, or “bad cholesterol.  salsa offers a delicious and antioxidant-rich snack. Consider mixing in a can of black beans for an added boost of heart-healthy fiber. Listen to music -  dancing makes for a great heart-healthy workout. Like other forms of aerobic exercise, it raises your heart rate and gets your lungs pumping. It also burns up to 200 calories or more per hour Eat fish -  Many fish, such as salmon, tuna, sardines, and herring, are rich sources of omega-3 fatty acids. Try to eat fish at least twice a week, suggests the AHA Trusted Source. If you're concerned about mercury or other contaminants in fish, you may be happy to learn that its heart-healthy benefits tend to outweigh the risks for most people. Laugh - laughing can lower stress hormones, decrease inflammation in your arteries, and raise your levels of high-density lipoprotein (HLD), also known as “good cholesterol.” Stretch - Yoga can help you improve your balance, flexibility, and strength. It can help you relax and relieve stress. As if that's not enough, yoga also has potential to improve heart health. Drink alcohol in moderation - Moderate consumption of alcohol can help raise your levels of HDL, or good cholesterol. It can also help prevent blood clot formation and artery damage. According to the Mayo Clinic, red wine in particular may offer benefits for your heart. That doesn't mean you should guzzle it at every meal. The key is to only drink alcohol in moderation. Avoid salt - Processed and restaurant-prepared foods tend to be especially high in salt. So think twice before filling up on your favorite fast-food fix. Consider using a salt....Full Podcast Show Notes Available Here:  www.18wheeltalk.com/e49C4 Energy - Performance energy drinks. The performance energy drink that doesn't compromise.Instacart - Groceries delivered in as little as 1 hour. Free delivery on your first order over $35.Allswell - Your Dream Bed Starts Here Free delivery on your first order over $35.Buzzsprout - Let's get your podcast launched! Start for FREEDisclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.Support the show (https://www.patreon.com/18wheeltalk)

Roger and Sukhdeep breakdown and discuss some of the key plays and officiating decisions from Super-Bowl LVI! A show not to be missed. Description: Q1 1:32 Ramsey beat deep - was it DPI? https://clips.clippit.tv/dbvvqv/360.mp4 Q2 12:51 Field goal goes wrong https://clips.clippit.tv/qmwwel/360.mp4 Q2 2:10 Bengals get penalised for fashion error - INT https://clips.clippit.tv/qnzzvx/360.mp4 Q3 14:48 Ramsey Facemask/OPI on TD play https://streamable.com/ty2ejf Q3 14:13 Donald QB push OOB and 'afters' https://clips.clippit.tv/pkzzvv/360.mp4 Q4 14:55 Contrast - Bengals penalised for push to the face https://clips.clippit.tv/dkzzgm/360.mp4 Q4 1:47 False start and def hold https://streamable.com/6468ww Q4 1:38 offsetting fouls, HLD and UOH (live/dead) https://clips.clippit.tv/vkppbr/360.mp4 Q4 1:38 Apple DPI in the EZ https://streamable.com/c4xgn8 --- Send in a voice message: https://anchor.fm/4thandinchesuk/message

SEA penalty for hug https://twitter.com/i/status/1454915231226814467 Bill B challenges HLD https://clips.clippit.tv/lxybad/360.mp4 CIN/NJY 4:43 Q4, sideline tightrope walk. https://twitter.com/i/status/1454899556047638536 UOH Cin/NYJ 1:53 Q4, two fouls? https://streamable.com/0bub6l PIT/CLE 1:38 Q2 fake field goal https://streamable.com/wc2qug Eagle/CAR 4:38 Q1 two flags to nothing. https://streamable.com/7cbd9p Kelce Face Mask Penalty https://streamable.com/siiixn --- Send in a voice message: https://anchor.fm/4thandinchesuk/message

Nếu có dịp đi ngang qua CJ Greenfield Hall trên đường Freeman, Durack, Brisbane vào mỗi sáng thứ Bảy, Chủ Nhật, quý vị sẽ được nhìn thấy những bước nhảy nhịp nhàng với giai điệu vui tươi, trong không khí thật ấm cúng, thân thiện của lớp học HLD, tức Hue's Line Dancing.

Within the world of GI endoscope reprocessing there exists a debate on whether or not sterile water should be used during procedures versus tap water.  Running parallel to that debate is whether the industry should move to the sterilization of flexible scopes, continue with high level disinfection (HLD), or consider conversion to single use disposable endoscopes that have recently entered the market.  Following up on our recent Transmission Control interview with Dr. Raman Muthusamy regarding the Multi-Society Guidelines for Reprocessing Flexible GI Scopes, we take a deeper dive with Jim Collins, BS, RN, CNOR of the Cleveland Clinic to walk through the addition of population-based guidelines which are at the heart of all of these debates. On this episode we explore the advantages of population-based practices against the potential complexities of introducing two or more standards of care.  Tune in to hear Jim's perspectives on facility risk assessments and take a look back at how the pandemic altered the world of GI endoscope reprocessing. #TransmissionControl #Podcast #Education #PublicHealth #InfectionControl

Mike and Tanner hold down the fort on The Sports Buffoons today! We talk about Crypto and the tanking that has ensued. We chat about the Kansas City Royals and what to expect within the next week! Kansas City Chiefs Rookie Camp conversation and who should be our starting line! Pro Football Focus(PFF) came out with their top 32 QBS and we dive into this list to see just how dumb it is. Finally, the NBA Play-In Tourney has begun and we talk about what is to come from these games! Come Check it out! 00:00 - Intro 02:22 - Crypto($Doge, $HLD) 07:40 - Kansas City Royals discussion 17:35 - Kansas City Chiefs Discussion 44:35 - NBA Play in Tourney MAW ENERGY Affiliate link: https://drinkmaw.com/?rfsn=5274685.b6b447 -- 10% off and 1st can is FREE if you are new to MAW! All commission goes towards the channel! Join Robinhood with my link and we'll both get free stock

Guest:  Cheryl A. Weisbrod, M.S., R.N.   Host: Timothy Morgenthaler, M.D. @DrTimMorg Failure to correctly perform high-level disinfection, or HLD, places patients at risk for exposure to and infection with pathogens, some of which are multi-drug resistant.  It is challenging for perioperative personnel to keep up with the new evidence and guidelines aimed at improving safe practice.  The Joint Commission also clearly highlights high-level disinfection as an area for improvement.  The question we aim to answer via this podcast is: how can we improve our disinfection practices to ensure patient safety? Information is also shared on how Mayo Clinic responds to this question and approaches the issue. Find out more about Mayo Clinic's Quality program at https://www.mayoclinic.org/about-mayo-clinic/quality/. Connect with us on Twitter or Facebook using #mayokeyintoquality or at https://www.facebook.com/MayoClinic https://twitter.com/MayoClinic

In Episode 38, featured guest Betty McGinty covers the topic of high-level disinfection (HLD) in Sterile Processing, while also sharing details about her fascinating career path. She discusses the various instruments that require HLD and the challenges of education and understanding the processing modalities within the HLD process. Additionally, she speaks to the centralization and standardization processes, ensuring competency and maintaining departmental quality. Following the interview with Betty, host Jon Wood tells the tales of the more "haunting" side of the 2021 IAHCSMM Conference and Expo host city, Columbus, Ohio. Earn a certificate of completion worth 0.5 CE at the end of the presentation by filling out our online completion form. Earn CE Now

Join me with special guest Livia Mastriani as we discuss what its like to run a business while starting from the ground up.  In this episode Livia shares her story of how she came to be the proud owner of Happy Leo Designs a tomboy based clothing company as well as an online coaching consultant.  She shares her steps to success and offers her advice on how aspiring business people can take the right steps to succeed - especially in these uncertain times we live in currently! You can find Livia here: Instagram: https://www.instagram.com/hld.light/ HLD store: https://hldlight.com If you enjoyed the episode be sure to check out more here: Linktree: https://linktr.ee/Comingoutlesbian  Our website: https://comingoutlesbianpod.com  Instagram: https://www.instagram.com/comingoutlesbian/  This episode aired originally on a previous date and has been re-uploaded here. Some topics in the podcast episode may not line up with the publish date!

Ce mardi 16 février, Sandra Gandoin a présenté le Journal de l'économie dont voici les premiers sujets : Photonis a enfin trouvé un acheteur, le groupe d'investissement HLD. Dans deux semaines, le gouvernement a prévu de durcir les règles du chômage partiel. Puis Ursula von der Leyen a annoncé le lancement du programme "Hera incubator" par la Commission européenne, pour étudier les variants de la Covid-19. Retrouvez l'émission du lundi au vendredi et réécoutez la en podcast.

Ce mardi 16 février, Sandra Gandoin et Christophe Jakubyszyn ont reçu Elisabeth Borne, ministre du Travail, de l'Emploi et de l'Insertion, Jean-Pierre Mustier, cofondateur de Pegasus Europe, Cédric Chateau, président du Comité d'Investissement de HLD,et Jean-Baptiste Bouvier, cofondateur de Monisnap, dans l'émission Good Morning Business sur BFM Business. Retrouvez l'émission du lundi au vendredi et réécoutez la en podcast.

Cédric Chateau, président du Comité d'Investissement de HLD, était l'invité de Christophe Jakubyszyn dans Good Morning Business, ce mardi 16 février. Il nous a expliqué les finalités du rachat de Photonis par HLD Europe sur BFM Business. Retrouvez l'émission du lundi au vendredi et réécoutez la en podcast.

La « pépite » française de la vision nocturne, Photonis, a enfin trouvé un repreneur tricolore. Bercy s’était opposé à son rachat par un groupe américain, au nom de la souveraineté économique, la nouvelle doctrine en cours au gouvernement. Un engagement qui a trouvé un nouveau terreau propice avec la pandémie de Covid-19. La pénurie de masques a choqué l’opinion et relancé le débat sur le besoin de maîtriser la production de certains produits vitaux, et plus généralement de reprendre la main sur le sort de l'économie française dans un monde globalisé. En décembre, le gouvernement a donc retoqué l’offre faite par l’américain Teledyne sur Photonis alors que l'acheteur avait accepté toutes les conditions posées par l’État. Il y a quinze jours c’est Carrefour qui a dû refuser le rapprochement amical proposé par le québécois Couche-tard à cause du veto de Bercy. De gauche à droite, toute la classe politique applaudit, et pour cause, le souverainisme économique est devenu un thème de campagne. Sa résurgence est quasi automatique en situation de crise. Est-ce qu’il y a des bonnes raisons économiques de protéger les entreprises françaises? C’est parfois dans l’intérêt des salariés, souvent maltraités dans les rachats, comme l’a démontré la reprise de la branche énergie d’Alstom par l’américain General Electric. Un rachat qui avait alors été approuvé par Emmanuel Macron quand il était à Bercy. C’est aussi justifié par la crainte de voir un savoir-faire disparaître ou copié, ce qui dégraderait un peu plus le tissu industriel. C'est le cas avec Photonis dont les applications sont très recherchées par l'industrie militaire. En 2020, 270 sociétés se sont senties menacées par des prédateurs extérieurs. La plupart sont des petites entreprises. Cela fait quinze ans que la France s’est dotée d’un arsenal pour bloquer les investissements étrangers susceptibles de mettre en péril ces entreprises de la défense, et de la sécurité. Puis de l’énergie, des télécom, de l’eau et de la sécurité alimentaire. Beaucoup d’États ont des dispositifs défensifs similaires. C’est le cas du Royaume-Uni, des États-Unis bien sûr qui ont une palette d’armes juridiques bien rôdées. Comment la protection, ou le veto de l'État, est-il perçu par les entreprises visées par ces rachats étrangers? C’est plutôt rassurant quand l'entreprise va mal, encore faut-il pouvoir trouver une alternative française. Les Chantiers de l’Atlantique devaient être repris par l’italien Fincantieri, l’accord longtemps soutenu par le président Hollande puis par Macron a finalement échoué, au grand soulagement des salariés qui redoutaient la casse sociale et les ambitions de l’investisseurs chinois présent au capital de Fincantieri. Ils ont trouvé un sauveur français il y a quelques jours, le fondateur de Bricorama Jean-Claude Bourrelier est candidat avec le soutien d'acteurs publics pour cette entreprise à 80% aux mains de l'État. En revanche, Carrefour qui espérait financer sa rénovation grâce à l'offre de Couche-tard doit maintenant trouver d’autres investisseurs Et cela dans un périmètre qui se réduit désormais à l'Hexagone. Le manque de fonds propres disponibles pour l'investissement est une faiblesse du capitalisme français. Et explique en partie la présence parfois appréciée des investisseurs étrangers. Cela fait bientôt une année que Photonis, une entreprise de taille intermédiaire qui a besoin de capitaux stables pour se développer cherche un repreneur puisque son propriétaire le fonds français Ardian est vendeur. C'est finalement la société d'investissement HLD qui va la racheter, à un prix bien moindre que celui proposé par Teledyne. EN BREF Les consommateurs européens portent plainte contre le réseau TikTok Ils accusent l'application chinoise d'exploiter les droits et les données des utilisateurs. Les associations de consommateurs à l'origine de la plainte déposée auprès de la commission estiment que les jeunes, les principaux clients de cette plateforme de vidéo, ne sont pas assez protégés, leurs publications peuvent être modifiées ou reproduites à leur insu.

Ce mardi 16 février, le rachat de Photonis par HLD a été abordé par Nicolas Doze dans la chronique Le debrief, dans l'émission Good Morning Business présentée par Sandra Gandoin et Christophe Jakubyszyn sur BFM Business. Retrouvez l'émission du lundi au vendredi et réécoutez la en podcast.

In this episode, Fran meets Heidi Latsky, a professional dancer and she shares the highs and lows of a lifetime of experience in the dance world. Heidi Latsky Dance is NYC’s largest physically-integrated, contemporary dance company whose mission is to redefine beauty through performance and discourse. HLD has incorporated performers with disabilities and other unique attributes to create provocative, diverse dance. Continuing to embrace the virtual world we now live in, Heidi Latsky Dance presents Suspended Disbelief, featuring disabled artist Erin Ball, the film highlights profound moments of intimacy and beauty. Join the special screening at https://heidilatskydance.org/ starting Tuesday, February 16, 2021 at 5:30 pm ET. Contact Frances Cadora if you are interested in participating in this podcast, or if you have any questions about being a badass bitch: lookatusnowpodcast@gmail.com www.studiofran.com  - and go check out her jewelry while you're at it. www.lookatuspodcast.com Instagram: https://www.instagram.com/francescadora/?hl=en Facebook: https://www.facebook.com/frances.cadora/ And if you liked what you heard here, please share the show and leave a review! Look at Us Now music provided by Hannah Stokes: www.hannahstokesmusic.com Look at Us Now is produced by Chickedits: www.chickedits.com

Episode 93 is a love letter to Hyper Light Drifter, a game that unexpectedly perfects the "super hard post-apocalyptic ambient hack and slash" genre that has rose to prominence on the strength of games like Dark Souls, Breath of the Wild and Nier. Joined by returning guest Justin, we break down how HLD delivers on the promise of those games in a way that is more fun and emotionally resonant while also delivering an amazing aesthetic experience. Also discussed: buying a GPU at a Burger King, the fear of death, difficulty in games and soundtrack recommendations

CardioNerds (Amit Goyal and Daniel Ambinder) discuss diabetes mellitus with Dr. Dennis Bruemmer. This is a must-listen for anyone engaged in the case of the cardiovascular patient. Given the alarming obesity epidemic, we anticipate a rising worldwide tide of diabetes mellitus and ensuing cardiovascular disease. Here we discuss the epidemiology and approach to diabetes management, with emphasis on what CardioNerds need to know. Dr. Bruemmer is board-certified in both cardiology and endocrinology, and is the director of the Center for Cardiometabolic Health in the section of Preventive Cardiology and Rehabilitation at the Cleveland Clinic. Episode graphic by Dr. Carine Hamo Cardionerds Cardiovascular Prevention PageCardioNerds Episode PageSubscribe to our newsletter- The HeartbeatSupport our educational mission by becoming a Patron! Show notes Why should CardioNerds pay attention to diabetes mellitus (DM)? As a cardiovascular risk equivalent, DM is a key CVD risk factor, associated with a 2-4 fold increased risk. 70% of ACS patients have DM. Cardiologists will see more patient with DM given the rising prevalence of obesity, subsequent diabetes and ensuing CVD.  Only 6% of patients with DM and cardiovascular disease (CVD) get appropriate care for DM and CVD. Historically, hypoglycemic agents improved microvascular outcomes (retinopathy, nephropathy, neuropathy), but not macrovascular outcomes (MI, CVA, PAD). However, this has changed with the advent of mandatory cardiovascular safety trials with positive data for GLP1 agonists and SGLT2 inhibitors! There aren't enough endocrinologists! They only see ~5% of DM patients. In 2012 the US generated 280 endocrinologists versus  100 million patient with DM or pre-DM. Primary care physicians are key allies in the care of these patients.  So as CardioNerds, let's get over this therapeutic inertia and take ownership of our patients' DM as we already do for their HTN and HLD; in collaboration with a multidisciplinary team including the PCP, dietician, pharmacist, DM educators, +/- behavioral therapist, +/- endocrinologist, +/- metabolic surgeon.  What is your global approach to the patient with DM? Optimize the non-DM CVD risk factors with lifestyle intervention and medical management: CVD risk factors are very common in patients with DM (sedentary lifestyle, unhealthy weight, HTN, HLD).  The Steno-2 Study (Gaede et al., NEJM 2008) showed that in patients with T2DM & microalbuminuria, intensive intervention with multiple drug combinations and behavioral modification was better with regards to: vascular complications, death from any cause, and death from CV causes.     Emphasize a healthy lifestyle -  use a patient-centered approach with motivational interviewing and shared decision making, provide education, set realistic goals, identify barriers (socioeconomic, etc), engage family and a multidisciplinary team (nutritionist, exercise physiologist), utilize behavioral interventions. Pharmacologic intervention - medical weight loss for BMI > 27 and DM (enjoy upcoming Ndumele episode), anti-HTN (enjoy upcoming Laffin episode), and anti-HLD (enjoy the Navar-Shah episode). NOTE that statins have been shown to have a small effect on increasing incident or worsening DM, but the effect size is small and overcome by the benefit in whom statins are indicated.                Treat the Hyperglycemia itself! Let's discuss this deeper…  What is your approach to non-insulin DM management? First-line agents: US guidelines: in addition to lifestyle intervention, start with metformin as the first line agent. European guidelines: now give preference to GLP1 agonists and SGLT2 inhibitors in patients with or at risk for cardiovascular disease. Sulfonylureas: increase pancreatic insulin secretion. Dr. Bruemmer feels they obsolete for the preventive cardiologist from the standpoints of safety, efficacy, and cardiovascular disease. There is no efficacy data past 4 years and no cardiovasc...

TEE probe cleaning and handling is a hot topic of conversation, especially as more and more Sterile Processing professionals continue to reach out to clinics to standardize and automate the reprocessing of these devices. Decreasing the manual effort also decreases the manual error and on this episode of the Beyond Clean Vendor Spotlight Series we speak with Kendall Ashe, VP and General Manager of CS Medical about a solution for creating a safer and more efficient reprocessing and use cycle of TEE probes. From cleaning and disinfecting to storage and transportation, the ROI on these products is clear. How you take care of your equipment has a large impact on your repair budget and we learn more about the TEEClean® Automated TEE Probe Cleaner Disinfector, CleanShield® TEE Probe Storage Cabinet, and TPorter® TEE Probe Procedure Case which offer risk mitigation associated with reprocessing TEE probes. Tune in now! Find out more about CS Medical TEE Complete Care suite of products, download white papers about the relationship between cleaning and HLD, experience live product demos, and more by visiting www.TEEcompletecare.com. #CSMedical #TEECompleteCare #CompleteProbeReprocessing #TransesophagealEchocardiogram #TEE #Cleaning #Disinfection #Storage #Transportation #TEEClean #CleanShield #TPorter #InfectionControl #SterileProcessing #BeyondClean #WeFightDirty #SPD #CS #MDR #SPS #Surgery 

Joey and Nick get dropped into the world of HLD and have to find their way out. With slashes. And dashes. and BULLETS. Collect all the purple duritos!    Follow us: @leafeator // @adventnick  patreon.com/cybergarbage

Hld 8,6 Denn die Liebe ist gewaltsam wie der Tod, hart wie der Scheol ihr Eifer; ihre Gluten sind Feuergluten, eine Flamme Jahs.

In healthcare, one of the best ways to be compliant is to be confidently compliant. Compliance with The Joint Commission's standards on infection control can be difficult to navigate and in this release of the Beyond Clean Vendor Spotlight series, we talk to Eric Einwalter, Sr. Product Manager, High Level Disinfection for CIVCO Medical Solutions, to learn how CIVCO products strengthen and empower SPD professionals by providing solutions for an easy and compliant disinfection process of ultrasound probes. From automated high-level disinfection systems for TEE and vaginal/rectal probes, storage systems that provide a safe and clean storage environment for reprocessed transducers, to transport trays that prevent cross-contamination of HLD and LLD parts of probes, CIVCO has the products that will solve your ultrasound compliance problems. Listen to the end to find out how you can receive discounts on a CIVCO ASTRA automated probe reprocessor and free samples of certain high-level disinfection accessories! Follow Civco Medical Solutions on LinkedIn, visit their website @ https://www.civco.com/, or send them an email -> info@civco.com #VendorSpotlight #ConfidentCompliance #CIVCO #UltrasoundProbes #HighLevelDisinfection #TJC #SterileProcessing #BeyondClean #WeFightDirty #SPD #CS #MDR #SPS #Surgery   

Dr. Oo MD and Ryan Long PA-C DHSc talk about hyperlipidemia!

High-density lipoprotein or HDL is one of the most important of the lipoproteins in most species and there is evidence that points towards a role of HDL in normal immune function.  A paper appearing in the May 2019 issue of Clinical Chemistry tested the hypothesis that concentrations of HLD cholesterol are associated with risk of autoimmune disease. That study from the Copenhagen General Population Study and the Copenhagen City Heart Study included over 100,000 individuals.  We are pleased to have the senior author of that paper with us today, Dr. Borge Nordestgaard. 

Das "Hohelied der Liebe" in Hld 8 beginnt mit dem Wunsch, wie ein Siegelring am Herzen des Geliebten zu sein. Liebe ist unzertrennlich, exklusiv. Jesu Liebe ist so - deine auch?

Speakers: - Louise Dembry, MD, MS, MBA - Christopher Beebe, RPh, MBA - Lisa Waldowski, DNP, APRN, CIC - David Pegues, MD Summary: This podcast will discuss how Infection Control is required and expected to provide oversight of major areas of hospital, including Pharmacy, OR, Sterilization, HLD, Material Management, and Environmental Services. Learning Objectives: - What is oversight responsibility - Pharmacy 797 / 800 standards - OR, Sterilization and HLD oversight - Role in Materials management - Environmental services oversight

  This week’s guest: Rich Vreeland, AKA Disasterpeace, the composer of the music behind games such as Fez, Hyper Light Drifter, Mini Metro, and more! Topics discussed: Designing music for games such as Fez and Hyper Light Drifter The art of seizing an opportunity Maintaining motivation and inspiration in your work over time Negotiating pay […]

Dnes vám nabízím mojí praktickou zkušenost s novým ultra širokoúhlým objektovem pro APS-C čipy Tamron 10-24mm se stabilizací a novými HLD motory. Objektiv jsem testoval při svých cestách 3 týdny a až na několik drobností se opravdu povedl. Pro koho je vhodný a jaké od něj můžete čekat výsledky?

von Thorsten Moll http://www.vatershaus.de/ Eph 4,1; Eph 3,17-21; Gal 2,19-20; Joh 14,23-24; Mt 7,22-23; Röm 8,32; Offb 2,2-5; Joh 15,9; Hld 1,2; Mt 24,12

in which i talk about my experience playing Hyper Light Drifter and Shovel Knight (among other games)... things referenced: Hyper Light Drifter - http://www.heart-machine.com/ Shovel Knight - http://yachtclubgames.com/shovel-knight/ articles about HLD and Alex Preston: http://www.theskinny.co.uk/tech/gaming/alex-preston-on-hyper-light-drifter https://www.rockpapershotgun.com/2013/11/07/how-a-lifetime-of-heart-disease-birthed-hyper-light-drifter/ https://www.theguardian.com/technology/2016/jun/02/hyper-light-drifter-heart-disease-inspired-alex-preston Arin's Sequelitis episodes: Zelda - https://www.youtube.com/watch?v=XOC3vixnj_0 Mega Man - https://www.youtube.com/watch?v=8FpigqfcvlM

Heidi Latsky joined us for Episode 13 and brought along a special guest in the form of her dancer, assistant and all-around “muse,” Jerron Herman! We were fascinated to learn about Heidi’s company, HLD, and her work with dancers who have disabilities and non-traditional dance bodies. We discussed how both Heidi and Jerron discovered dance […]

von Lukas Knieß http://www.hdg-stgeorgen.de/ Mt 24,14; Offb 5,9; Mal 1,11; Apg 1,11; Apg 1,19; Jes 62,1-7; Hld 3,11; Mt 22,2; Ps 27,4; Phil 3,8; Phil 3,12; Ps 132,1-5; Offb 22,17; Fasten- und Gebetswoche vom 20.-25. Januar 2014 Teil 6

von Tanja Mühlan Ps 84,2-13; Joh 4,23; Lk 1,41; Lk 1,67; Lk 2,25; Apg 2,4.11; Ps 50,14-15; Hld 2,4; 1Sam 30,6; Ps 63,2; Hiob 7,14-17; Eph 5,18-24; 1Kor 14,15.26

von Gert Scharf Eph 1,4-6; Jes 57,8; Jes 43,4; Hos 2,18; Joh 13,1; Ps 8,5-7; Jes 62,4; Hld 8,6-7; Joh 14,2-3; Jer 31,13; Offb 19,6-7

von Diethelm K., Mimi K. Joh 13,10; Ps 126; Mt 6,19-20; Offb 19,7; Off 21,2.9; Off 22,17; Hld 6,3-4; Zef 3,17; Sach 8,2; eng/ger