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CardioNerds (Dr. Jenna Skowronski [Heart Failure Council Chair], Dr. Shazli Khan, and Dr. Josh Longinow) are joined by renowned leaders in the field of AHFTC (Advanced Heart Failure and Transplant Cardiology) and mechanical circulatory support, Dr. Jeff Teuteberg and Dr. Mani Daneshmand to continue the discussion of advanced heart failure therapies by taking a deep dive into the world of durable LVADs (Left Ventricular Assist Devices). In this episode, we will review the history of ventricular assist devices, the basics of LVAD function, selection criteria for LVAD therapy, and surgical nuances of LVAD implantation. Audio Editing by CardioNerds intern, Joshua Khorsandi. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Heart Success Series PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls There have been significant advances in the field of MCS/LVAD therapy since the first implanted LVAD in the 1960s, to the first FDA approved device in the early 2000's, to now the HM3 LVAD, with the most important change being a centrifugal flow/magnetically levitated design that led to minimized hemocompatibility-related adverse events (HRAE's) (MOMENTUM 3 trial comparing HM2 and HM3). The REMATCH trial in 2001 was a pivotal trial for LVAD therapy, demonstrating that in a population of patients with advanced HF (70% IV inotrope dependent), LVAD therapy significantly improved survival at both 1 and 2 years as compared to medical therapy alone. MOMENTUM 3 trial was a landmark trial for the HM3 device, showing that in a population of end stage HF patients (86% inotrope dependent, 32% INTERMACS 1-2, and 60% DT strategy), 5-year survival with HM3 was 58% and HM3 had lower HRAE's compared with HM2. There are both patient-specific factors and surgical considerations when it comes to candidacy for LVAD therapy. RV function prior to LVAD is a key determinant for success post-LVAD Many patients being considered for LVAD may not have robust RV function, however, predicting RV failure after LVAD is exceedingly difficult. In general, it doesn’t matter how bad the RV may look on imaging; we care more about the pre-LVAD hemodynamics (look at the PAPi and RA/wedge ratio). What happens in the OR may be the most important determinant of how the RV will do with the LVAD! Notes Notes drafted by Dr. Josh Longinow. 1. Historical background of heart pumps and LVADs LVAD Evolution FDA approval year 2001 2008 2012 2017 Pump HeartMate XVE HeartMate II Heartware HVAD HeartMate III Flow/Design Features Pulsatile Technology Continuous flow Axial design Continuous flow Centrifugal design Continuous flow Full MagLev + Centrifugal design The 1960's ushered in the first ‘LVADs', when the first air-powered ‘LVAD' was implanted. It kept the patient alive for four days before the patient expired. The first generation of LVADs were pulsatile pumps The first nationally recognized, FDA approved LVAD was the HeartMate XVE (late 1990s to early 2000s, REMATCH trial). The XVE pump used compressed air (pneumatically driven) to power the pump. Prior to the XVE, OHT was the standard of care for patients with advanced, end-stage heart failure. The second and third generations of LVADs were non-pulsatile, continuous flow devices and included the HVAD, HM2, and HM3 devices. MOMENTUM 3 was a landmark trial for the HM3 device, showing that in a population of sick patients with end stage HF (86% inotrope dependent, 32% INTERMACS 1-2, and 60% DT strategy), 5-year survival with HM3 was 58% and HM3 had lower HRAE's compared with HM2. The only pump that is currently FDA approved for implant is the HM3, although other pumps are in clinical trials (BrioVAD system, INNOVATE Trial). 2. What are LVADs, and how do they work? In simplest terms, the LVAD is a heart pump comprised of several key mechanistic components: Inflow cannula Mechanical pump Outflow cannula Driveline Controller/Power source The HM3 differs from its predecessors (HM2 and HVAD) in several key ways; HM3 is placed intrapericardial whereas the HM2 was placed pre-peritoneal. Perhaps most importantly, the HM3 is a fully magnetically levitated, centrifugal flow pump, whereas the HM2 is an axial flow device. Axial flow pumps are not magnetically levitated, leading to more friction produced between the ruby bearing's contact with the pump rotors, and higher rates of hemocompatibility related adverse events (HRAEs, i.e. pump thrombosis) and the HM2 was ultimately discontinued in favor of the HM3 (MOMENTUM 3 trial). 3. What do the terms ‘Destination Therapy' (DT) or ‘Bridge to Transplant' (BTT) mean when it comes to LVADs? When LVADs first came on the stage, EVERYONE was a BTT; these early pumps weren't designed for long term use (I.e. REMATCH Trial, Heartmate XVE) Destination therapy means the LVAD was placed in leu of transplant because there are contraindications to transplant REMATCH trial brought about the concept of “Destination therapy”, comparing outcomes in patients (with contraindications for transplant) who received an LVAD vs optimal medical therapy Bridge to transplant means we are placing the LVAD in a patient who may not be a transplant candidate at this moment in time (is too sick, or conversely, not sick enough), but may be down the line Bridge to recovery is another term used when the LVAD is being placed for a patient we think may have a recoverable cardiomyopathy 4. What are some factors we should consider when assessing a patient’s candidacy for LVAD, in general, and from a surgical perspective? Patient factors Older age might push us towards thinking LVAD rather than transplant In general, age > 70 is the cutoff for transplant, but this is not a hard cut off and varies institution to institution In general, think about things that help predict recovery after a major surgery; Frailty and Nutritional status are important, we try to optimize these prior to LVAD implant Right ventricular function remains the Achilles heel of LV support We know that needing temporary RV support post LVAD puts you on a different survival curve than patients who don’t need RVAD support Studies have not been able to successfully predict who will develop RV failure after LVAD implantation What happens in the time between when the patient goes to the OR and when they get back to the ICU is an important determinant who might develop RV failure post LVAD Surgical techniques such as implanting the HM3 in the intra-thoracic cavity, rather than intra-pericardial may help maintain LV/RV geometry to help optimize the RV post LVAD Surgical considerations for LVAD candidacy Small, hypertrophied LV: HM3 inflow cannula is small, but small hypertrophied ventricles tend towards chamber collapse during systole causing suction, needing to run slower with lower flow rates Chest size/diameter: pumps have gotten so small now, that for adults, these have become less of a consideration BMI: low BMI used to be more of a concern with the older pumps due to where they were placed, and the relative size of the pump itself, not so much now with the smaller HM 3 pumps Calcified LV apex: would increase risk of stroke, bleeding Driveline tunneling becomes a concern in the super obese population, higher risk for driveline infections (might tunnel these driveline's shorter, and to a less fatty region of the abdomen, could even tunnel out the thoracic cavity in the super obese to limit skin motion) 5. Is there a role for MCS (i.e. temporary LVAD such as Impella) in pre-habilitation of patients prior to LVAD surgery? The theory of being able to improve systemic perfusion, decongest the organs, and make the patient feel better prior to surgery makes sense, but becomes problematic due to the lack of a hard end point/time for prehabilitation which might risk delays in surgery More likely that it can lead to delay in the surgery, with less-than-optimal benefit; you don't want to prolong the wait for surgery and increase the risk for complications prior to surgery An Impella 5.5 is currently FDA approved for 2 weeks of support, not 2 months so timing is important to keep in mind It’s unlikely that you will take a patient and convert them from a malnourished, cachectic person in 2 weeks’ time 6. Is there a role for LVAD therapy in the younger patient population? Should we be thinking of LVAD up front for these patients, with the goal of transplanting down the line? Recovery may be more likely in certain populations, particularly younger females with smaller LV's; in those populations, perhaps bridge to recovery should be the focus, optimizing them on GDMT etc. The replacement of transplant, with MCS (LVAD) in young patients has become a topic of discussion, because these pumps have become better and better, with the thinking that an LVAD could bridge a patient for 10 years or so, and they could get a transplant later It is still a big unknown, but several concerns exist Patients who get LVADs might end up with complications that become contraindication to transplant down the line (stroke, sensitization etc) Patients and providers are more hesitant because of the more recent iteration for the UNOS criteria for OHT listing which no longer gives patients with an uncomplicated LVAD higher priority, and therefore they could end up waiting a longer time for a heart after undergoing LVAD References Rose EA, Gelijns AC, Moskowitz AJ, et al. Long-term use of a left ventricular assist device for end-stage heart failure. N Engl J Med. 2001;345(20):1435-1443. doi:10.1056/NEJMoa012175 Mehra MR, Uriel N, Naka Y, et al. A Fully Magnetically Levitated Left Ventricular Assist Device – Final Report. N Engl J Med. 2019;380(17):1618-1627. doi:10.1056/NEJMoa1900486 Mancini D, Colombo PC. Left Ventricular Assist Devices: A Rapidly Evolving Alternative to Transplant. J Am Coll Cardiol. 2015;65(23):2542-2555. doi:10.1016/j.jacc.2015.04.039 Mehra MR, Goldstein DJ, Cleveland JC, et al. Five-Year Outcomes in Patients With Fully Magnetically Levitated vs Axial-Flow Left Ventricular Assist Devices in the MOMENTUM 3 Randomized Trial. JAMA. 2022;328(12):1233-1242. doi:10.1001/jama.2022.16197 Rose EA, Moskowitz AJ, Packer M, et al. The REMATCH trial: rationale, design, and end points. Randomized Evaluation of Mechanical Assistance for the Treatment of Congestive Heart Failure. Ann Thorac Surg. 1999;67(3):723-730. doi:10.1016/s0003-4975(99)00042-9 Kittleson MM, Shah P, Lala A, et al. INTERMACS profiles and outcomes of ambulatory advanced heart failure patients: A report from the REVIVAL Registry. J Heart Lung Transplant. 2020;39(1):16-26. doi:10.1016/j.healun.2019.08.017 Mehra MR, Netuka I, Uriel N, et al. Aspirin and Hemocompatibility Events With a Left Ventricular Assist Device in Advanced Heart Failure: The ARIES-HM3 Randomized Clinical Trial. JAMA. 2023;330(22):2171-2181. doi:10.1001/jama.2023.23204 Mehra MR, Nayak A, Morris AA, et al. Prediction of Survival After Implantation of a Fully Magnetically Levitated Left Ventricular Assist Device. JACC Heart Fail. 2022;10(12):948-959. doi:10.1016/j.jchf.2022.08.002 Bhardwaj A, Salas de Armas IA, Bergeron A, et al. Prehabilitation Maximizing Functional Mobility in Patients With Cardiogenic Shock Supported on Axillary Impella. ASAIO J. 2024;70(8):661-666. doi:10.1097/MAT.0000000000002170
On this episode of JHLT: The Podcast, the Digital Media Editors invite first author Ahmet Bilgili, from the University of Florida's Congenital Heart Center, and senior author Eric I. Jeng, MD, from the University of Florida's MCS program. Bilgili and Dr. Jeng discuss their paper, “Optimal pretransplant duration with HeartMate III left ventricular assist device: A contemporary analysis.” The discussion explores: Prior gaps in the literature regarding contemporary HM3 outcomes in relation to transplantation—and the study's potential influence on policy Which length of HM3 support influenced better post-transplant outcomes—and which ages were most influenced How these findings might change standard practice For the latest studies from JHLT, visit www.jhltonline.org/current, or, if you're an ISHLT member, access your Journal membership at www.ishlt.org/jhlt. Don't already get the Journal and want to read along? Join the International Society of Heart and Lung Transplantation at www.ishlt.org for a free subscription, or subscribe today at www.jhltonline.org.
La nueva presa de Santolea ya ha comenzado las pruebas de carga. Los regantes confían en que los 81,75 hectómetros cúbicos de agua que se pueden almacenar, junto con la presa del Puente se consigue una capacidad de 104,84 Hm3, más del doble del volumen que permite almacenar el actual embalse de Santolea, reviertan la situación de sequía de las últimas campañas. Las organizaciones profesionales agrarias aragonesas han convocado una concentración este lunes por la mañana ante la sede comarcal de Valdejalón, ubicada en La Almunia de Doña Godina. bajo el lema ‘Por la seguridad de nuestros pueblos'. Conoceremos también las últimas cotizaciones de las mesas del ovino, vacuno, almendra y porcino en la Lonja del Ebro.
La Junta ha anunciado hoy, desde la Cumbre del Clima de Naciones Unidas, un nuevo plan para la plantación de más un millón y medio de árboles en los montes públicos andaluces con la intención de que capturen 300.000 toneladas de CO2 en los próximos 30 años. Es el último anuncio del gobierno andaluz en esta COP29 en la que está defendiendo el agua como política de Estado. El presidente, Juanma Moreno, ha apelado también a la colaboración de las empresas en la lucha contra el cambio climático. Las lluvias de la última semana que hacen que los embalses andaluces llegan esta semana al 34% de su capacidad. Las lluvias de los últimos siete días han hecho subir el agua almacenada en los embalses andaluces 63 Hm3. La reserva hídrica actual es un 15% más que hace justo un año.Sobre el cambio climático y sus efectos hablamos en nuestra entrevista con Javier Cabello, catedrático de Biodiversidad y Ecosistemas de la Universidad de Almería y director del Centro Andaluz para el Cambio Global (Engloba), que nos cuenta que muchos expertos hablan ya de "catástrofe climática".Todos pendientes del Palacio de los Deportes Martín Carpena de Málaga, donde a las 17 horas comienza la Copa Davis de tenis con Rafa Nadal abriendo los cuartos de final en el torneo que supondrá su despedida de la competición. El segundo partido será para el murciano Carlos Alcaraz.Escuchar audio
El Trasvase Tajo-Segura sigue igual. Van pasando los años y los gobiernos nacionales, autonómicos y locales, y todo sigue igual. Mismas propuestas, mismos problemas, mismas sentencias. Y lo peor es que el Tajo y el Mar Menor siguen igual, lo último es la salud de los ecosistemas.Referencias:El Gobierno de España ofrece a los regantes del trasvase subvencionar el agua desalada durante 10 años https://www.encastillalamancha.es/medio-ambiente-cat/el-gobierno-de-espana-ofrece-a-los-regantes-del-trasvase-subvencionar-el-agua-desalada-durante-10-anos/ El Tajo-Segura tiene pérdidas de agua de casi 30 Hm3 al año https://www.latribunadeciudadreal.es/noticia/z2e8c9c2b-faea-03c3-db7bf9a981f8a8d8/202402/el-tajo-segura-tiene-perdidas-de-agua-de-casi-30-hm3-al-ano Luchas por un agua que no existe, con Stefan Nolte | Actualidad y Empleo Ambiental #67 https://www.podcastidae.com/actualidad-y-empleo-ambiental/luchas-por-un-agua-que-no-existe-con-stefan-nolte-actualidad-y-empleo-ambiental-67/
In this episode "The Publisher" Mr. Kelly Cole sits down with Horace McClarin III to discuss his new best selling book "Stretch Your Mind: Powerful Quotes That Lead To Success". Stretch Your Mind is a collection of original, yet powerful quotes that will help redirect your mindset and lead you on a path to becoming successful in life. Horace McClarin III, affectionately known as HM3, is a native of Atlanta, Georgia. He was raised in Fulton County, in the residential community of Bankhead. He is the founder and CEO of the Sports Round Table (SRT) Live Radio Broadcasting, which is a weekly sports discussion platform that engages listeners on all the hot sports topics. He is a premier motivational speaker and mentor, who inspires others to live their most rewarding and authentic life. As this book highlights, every experience in life is valuable; therefore, it is up to you to maximize every moment. These nuggets are designed to open your mind to the wonderous possibilities that life has to offer. So trust the process, so you can find your authentic self and experience an abundant life. See you inside. For more info about Horace McClarin III and his new best selling book "Stretch Your Mind: Powerful Quotes That Lead To Success", please visit https://amzn.to/468IC1p The Books For Athletes Podcast Is Available Now On Apple Podcast, Spotify, Google Podcast, Anchor, YouTube & more! Just search Books For Athletes To Schedule A VIP Day Shoot Me a DM on IG @mrkellycole "The Publisher" Mr. Kelly Cole - http://mrkellycole.com Free Training: "Former Pro Athletes, College Athletes and Sports Coaches Discover How To Create A Best-Selling Book In 30 Days Or Less (even if you hate writing and don't know where to start.)" Go Here: http://www.booksforathletes.com If you want to book Mr. Kelly Cole for an event or if interest in getting your book published email booksforathletes@gmail.com Please Subscribe on YouTube, Follow Us On Apple Podcast, Spotify, Google, Podcast & Instagram!
dgutspodcast.com/docs-point-of-view dgutsapparel.com https://soundcloud.com/usailorwillis/ Patreon: https://patreon.com/dgutspodcast Facebook: Don't Give Up The Ship Podcast / Apparel Instagram: @dgutspodcast / @dgutsapparel Youtube: https://www.youtube.com/c/DontGiveUpTheShipPodcast Email: docspovpodcast@gmail.com Store: dgutspodcast.com/shop Substack: https://dguts.substack.com Reddit: r/dgutspodcast u/dgutspodcast Discord: @dgutspodcast Doc's Point of View, Episode 11 – The Right Career Path Doc chats with an HM3 who went from a blue side clinic to a green side sea duty, to then get selected for a C School. To any first term Corpsman out there, this is a good path to take! If you want to engage with Trey, you can email him at docspovpodcast@gmail.com. He would love to answer any questions or simply discuss what's on your mind. DISCLAIMER: The views expressed by the speaker and all guests are not those of the Department of Defense, United States Navy or any other government agency. They are strictly those of the speakers who do not speak for any other organization or entity. DISCLAIMER: The speaker(s) are NOT mental health professionals and do not intend any of the content of this podcast as mental health advice. If you need professional mental health advice, please seek out your closest military or civilian mental health providers immediately.
Here are several education resources targeting community clinicians / first responders:This is the link to the current PDF version of the EMS field guide document: https://www.mylvad.com/sites/default/files/EMS%20Field%20Guides/2021%20Field%20Guides/ICCAC_Emergency_Guides_20_21-1.pdfThe Emergency care of a HM3 is a pamphlet created by the manufacturer.The MedStar ED LVAD Job Aid has the on call coordinator pager number. It is a challenge to use in the field if the scene is noisy. The call is “answered” by a computer that says, “enter your numeric message”. The action required is that the responder uses the phone key pad to put in the 10 digit phone number you want the vad coordinator to call. Turn around time is 2 – 3 minutes. We have patients and caregivers practice paging. If you or someone on your team would like to practice so the first time using the system is not during an emergency, please do so but say quickly when we answer that it is just a test.
La Albufera de Valencia está en peligro. Son alarmantes el descenso de los caudales (de los 500 Hm3 de los años 70 a los apenas 200 Hm3 de la actualidad) y el de la calidad del agua. La existencia de una gran cantidad de sedimentos en el fondo y en los canales de comunicación con el mar, además, han reducido considerablemente el calado y generado problemas de navegación, de circulación del agua, y de movimiento de la fauna piscícola. Por otra parte, la gestión de la paja del arroz supone un conflicto entre arroceros, ambientalistas y pescadores, pues si no se retira o quema, y permanece en los tancats, provoca putrefacción y anoxia, generando elevados índices de mortalidad de la fauna. Del presente y, sobre todo, del futuro de la Albufera hablamos en este nuevo Revisado por pares, en el que participan Miguel Jover, catedrático de la Universitat Politècnica de València e investigador del Instituto de Ciencia y Tecnología Animal, y Herminio Boira, profesor emérito de la Universitat Politècnica de València e investigador del Instituto Agroforestal Mediterráneo. -- "Revisado por pares" es un programa en el que investigadores de la Universitat Politècnica de València (UPV) pasan por nuestros estudios para comentar, de dos en dos, la actualidad científica. Una agradable conversación para estar al día de los avances en el mundo de la investigación académica. Con la colaboración de la Fundación Española para la Ciencia y la Tecnología (FECYT) del Ministerio de Ciencia e Innovación.
Thanks for listening to another great episode by Sports Round Table and SRT Crew
Thanks for listening to another great episode by Sports Round Table and SRT Crew
Thanks for listening to another great episode by Sports Round Table and SRT Crew
Thanks for listening to another great episode by Sports Round Table and SRT Crew
Thanks for listening to another great episode by Sports Round Table and SRT Crew
Thanks for listening to another great episode by Sports Round Table and SRT Crew
Thanks for listening to another great episode by Sports Round Table and SRT Crew
Thanks for Listening to another Great Episode Sports Round Table!!!
Thanks for tuning in to another hot Episode. This week @Maceojr was in Studio with the SRTCrew. We Brokedown Ga Notre Dame, and Mich Wisconsin. DW called in with Falcons Report. DQ on the hottest seat possible? Braves Pre Playoff talk. Don't forget to follow Sports Round Table on social media @srtradio
Thanks for listening to another Hot episode with the SRT Crew!!! Shout out to Maceo Heard from the Crush Sports Talk for coming thru and Choppin it up. #CFB #NFL #Braves #Falcons
make sure you listen and enjoy Sports Round Table as we talk 1st week of CFB and what to expect from NFL this coming week. follow us @SrtRadio
Thanks for listening to Sports Round Table. This week we had Reignman with picks of the week and Falcons Report by DW of the Falcoholic. NFL is Back some impressed and some didn't.
Sports Round Table with the SRT Crew, Living Legend Walter Banks Joined the Crew
Great Sports Talk with the SRT Crew. Kee&WIll Joined the Show.
Thanks for listening to another great episode for Sports Round Table with SRT Crew!!!Tonight Hancock back in the studio. and we talked about how Tim Duncan making a return back to the NBA.also we talked Tyreke Hill. Will Zeke hold out? Round table discussion we broke down NFC South and East with our predictions. Make sure to continue to follow us on Social Media @srtradio website srtradio.com
Thanks for listening once again to another great episode. Tonight me, Smoove, and G are here while Hancock is on a cruise. Tonight we talked about how a couple of Falcons got paid, along with this guy in Philly who will not shoot the ball. Why is RIch Paul in the news this week? We also touched on some CFL and NFL talk. Make sure to listen to our Podcast on SRTradio.com
Thanks for listening to another great episode. On this episode, we talked KD going to Brooklyn and playing with Kyrie. We are also waiting on Kawhi and he is holding the NBA hostage with his free-agent decision. We do talk about other Free agent moves. We also talked Around the Diamond with some Baseball talk as Bryce or Manny didn't make the All-Star team. SRT Fun Bag is Back !!!! Make sure you check that out. Continue to follow SRT on Social Media @srtradio and website srtradio.com
Thanks again listening to another high energy episode, with guest Raphael Haynes Mr. Controvesy. Tonight we talked about How did Clippers pull this off, as well as are they the Big Dawg in LA? Talking much more on other Free Agents. What's going on with Westbrook? How did you like what the Home town Hawks do? This is an episode you don't wanna miss. Make sure to check out Podcast on srtradio.com Make sure to continue to follow us on Social Media. @srtadio
Thanks for listening again to Sports Round Table. This Episode we will discuss the NBA Draft after effect. NBA Awards, and also does KD and GS have a riff? We Had my Guy D-Will come on to tell us his thoughts. We have some G's extra Credit. Finally, our Round Table Discussion we talk about the most interesting Story to follow during this NBA offseason. Continue to follow Sports Round Table @srtradioWebsite: srtradio.comYoutube: srtsportstalkradioFBlive: : srtsportstalkradio
Thanks again for listening and supporting SRT. this week we did our Famous Best of SRT show. you will hear some our best segments thru out the year. We talked Kyler Murray, Lebron James, and more much. Make sure to continue to follow us @srtradio
Thanks for tunning into another great Episode with Sports Round Table. on the Episode, KD has gone down...... Raptors will have a chance to finish off Golden State. we will also be predicting the NBA offseason Free agents and where they might land. Hott News, Around the Diamond, also will be discussed. make sure you continue to follow us on social media @srtradio
Thanks for Don from DNA SPorts for stopping thru. we had a blast tonight.We Talked about how Bucks lost 4 straight to Raptors. We did talk about NBA finals Steph vs Kawhi. Baseball talk in full effect and Mr. Austin Riley continues his hot Hitting. Make sure to tune into Sports Round Table each Wednesday 7-9 pm est. follow us on Social media @srtradio
The SRT crew Back in the Studio. Thanks for tunning into another great episode. on tonight Episode we broke down NBA Playoff Basketball. D-will called in to get something off his chest. our Round Table Discussion most interesting offseason for teams like Lakers, Celtics, Warriors, and Sixers. Make sure to continue following SRT on social media @srtradio
Thanks for listening to another great show. Tonight we talked NFL Draft and NBA Playoffs. we also mixed in some around the Diamond Baseball talk. Yes Hancock, Smoove, G-Money, and H-O were in the building with plenty of energy. We even had DOn from DnA Sports called in to talk Tiger with our resident Golf guy Hancock. please make sure you follow us on social media @srtradio.
Tiger WOO!!!! Yeah, Baby, Sports Round Table has it all for you in how Tiger Woods won the Masters. the full break down on Tiger's masterful win at the Masters, SRT Crew gave it to you like no other. DangeRus is his name. as Russell Wilson is now the Richest NFL player in the league after signing for $140 million $107 guaranteed and $65 Signing Bonus. 4year deal. We also Talked NBA Playoffs and will KD get out of Jail? Around the Diamond, as we jump into some Baseball to get you caught up on the beginning of the season. continue to support SRT on social media @srtradio.
Thanks for tunning into another great episode for SPorts Round Table. This week Final 4 Baby we break down all three games and explain why Virginia won. In the NBA Magic Steps down as Laker President, he was quoted saying he wanted to have fun again. Also, a Poll came out stating that Draymond and Westbrook are the two most overrated players in the NBA voted by the peers. Hmmmm We will give our Salute to D-Wade and Dirk and make sure you continue to follow SRT @srtradio on social media.
Great show tonight as the whole crew back at it. Final 4 talk along with Did Ronald Acuna get cheated? What has been your thoughts on NBA season this year?Who is your COY for NBA? Lastly, AAF folded!!!! Continue to support the SRT crew
Great Episode with my Guy Raphael filling in for Hancock. We talked #Marchmadness along with #NBA plenty of fun. make sure to go to SRTradio.com for the Podcast and follow us on Social Media @Srtradio
Thanks again for listening to another great show. the whole crew in the house and we were full of energy talking #MarchMadness!!!! We did Discuss Mike Trout and his $430 deal and yeah we spoke about what Clyde said about LeBron. We gave out Final 4 picks and we broke down Sixers and how OKC has fallen. Continue to follow and support SRT.
Thanks for Tuning into another great episode with Sports Round Table. Special Guest in Studio Marquis KeKe Hicks came thru and blessed us. Great conversation about NBA and College Basketball. Continue to Support and follow Sports Round Table.
Thanks for tuning into another great show. D-Will was in studio tonight and Hancock was out. Man what a show, tonight we chopped it up about the NFL Combines and how much does it really mean? We also touched on Kyler Murray and his shot at being #1 Pick. #NBABounce we talked Power Ranking for the 5 teams and made a case for Harden, Jokic and Giannis to win MVP!!! Other news we did talk NFL Players who got Franchised, and especially Grady Jarrett!!!!Our Round Table discussion really simple : Is Lebron a coach Killer? you saw nothing but smoke during this segment lol. thanks for supporting SRT and follow us on the social @srtradio.
Man..... what a show. Jasen Harris drop by studio to reunite with SRT Crew. We also had D-Will who called in with some smoke. Make sure you listen to what he thinks about Jalen Hurts winning the Heisman. We did offer our thoughts on the Man Child Zion Williamson about his status. Our Round Table discussion was who has bigger issue Lakers or Celtics? Wow what a show. Make sure you continue to follow us on Social Media Platform @srtradio
Great show!!! tonight we talked #Kaep and his situation, along with Manny signing for $300 million. Our NBA Bounce Segment talking Top 5 teams along with top 3 MVP's. We did talk NBA All-Star weekend in our Round Table Discussion. VibeTV President David Guthrie called in to give away 30 day free trial. Continue to follow and support Sports Round Table. @srtradio
Shout out to Studio Guest Raphael Haynes for coming in to chop up some NBA, and my Guy Deshaun Tate called in to give us his College Basketball Expertise. He also apologize to me for saying Virginia would be Duke. Tonight we jump all over the Kyler Murray situation. We also gave our thoughts on where AB may land. Shout out to Tracie for Vibing with SRT winning a 3 day free trial with Vibetvapp. We did discuss the All-Star Rosters for this weekend in Charlotte. Lastly we talked who could win the East when all said and done after all trades that went on. continue to follow us and support @srtradio.
Thanks for tuning into another great episode with SRT Crew. The Super Bowl is now behind us, as Brady wins his 6th ring. Shout out to my City Atlanta for an outstanding host job. We did recap the Super Bowl game as the defensive battle ended with Gilmore sealing game with Pick. We had Eddie Powell E-Dub from @HawksBeat to come on to talk Hawks Basketball and how the season is going.We gave away 30 day Free Trial for VibeTV. In our Round Table discussion we talked #NBATrade deadline as well as The Lebron Impact and how it is affecting the Lakers. Thanks for continued Support for Sports Round Table. Make sure to follow us on Social Media @srtradio
What an Awesome show. We had Dawn Peek Founder/ Director of my sister's keeper.The Super Bowl is one of the most targeted event for #SexTrafficking. We talked #Sextraffic and #SexAssault along with the effects from those things. Shout out to Dawn Peek for coming into Studio. Now, on to the Sports. We Talked Anthony Davis in the Hott News Segment and where he may go and he has ask for a trade. We also talked NBA All-Star Starters. Our Round Table discussion was Super Bowl breakdown and how Rams winning can be over reaction with young coach theme. Congrats to Dez Robinson for winning our free Fire Stick giveaway tonight. Shout out to Vibe TV Thanks to all the loyal Tenants for another great week in Sports Talk Radio.
Great show tonight as we gave away Firestick Congrats to Vanessa!!! Onto the sports, We talked NFL thinking of Reviewing PI's after of course the miss call in New Orleans this past week. Can anyone beat Golden State with Boogie being back? we did have DW calling in with Falcons Report as he gave some very goof info about off season. Our Round Table discussion was Yes NFL Playoff breakdown, did another opponent let Brady off hook again? Is Todd Gurley Hurt? Did Saints miss their window? Continue to follow Sports Round Table @srtradio Make sure you check out Vibetvapp.com for your TV streaming experience use Promo Code SRT
What a Show!!! thanks to #VibeTV for the Love and Partnership. Sports Round Table feels honored and privileged. Shout out to Ari Gosa for being selected as the 1st winner in our weekly SRT/VibeTv give-away. winning a 30 day trial to Stream on VibeTV. We did touch on Kyler Murray and his interesting decision. along with Jalen transferring to OU. D-Will called in about the Bama loss and explained how coaching turnover has a lot to do with it. We broke down #NFLPlayoffs and how Run game and Line of scrimmage continues to be big. Deshaun Tate was in studio with high energy talking College Basketball and how this is Virginia's Yr. and openly admitting that Michigan is one of the best teams in Nation. Thanks to all that follow us and tuned in tonight to Spring board this Partnership with VibeTV. We had a great time and wonderful night. Don't just watch TV VibeTV !!!#SRT #weknowsports
Great Show thanks to our Guest/Sponsor Bo Bell for coming into Studio to hang out with us. We break the CFB Championship game down. We went into great details and listen to find out the difference. We also talked NFL Playoffs the Trend was Line of scrimmage. #Falcons has a new OC Dirk Koetter familiar face for Matt Ryan. 2nd half of show we Got Bo Bell to tell us about Trae vs Doncic fair or unfair? Top 3 NBA MVP thus far. Make sure you check out the Replay Show on srtradio.com thanks, and continue to follow us @srtradio
Great Show tonight, Sports Round Table Started 2019 with a bang. We had DW call in to give the Falcons Report, and inside look at how Falcons ended season. We talked about Black Monday in the NFL. Reignman called in with his picks of the week, make sure to listen to replay show to get the info. We also got into NFL Playoff preview which starts this weekend. Lastly in the NBA James Harden MVP and why did Rockets pay Paul $40 mill? continue to follow @srtradio and listen to Sports Round Table.
La Opinión, Lamuerte del rio Ebro por EdmundoFayanás - Profesor de historia. El Ebro se está muriendo y la sociedad española no es consciente del difícil futuro que nos espera. El agua es vida, pero el Ebro cada día lleva menos agua. Veamos datos: En el año 2015, el agua que aportó al Mediterráneo fue de 8.700 Hm3, que son menos de la mitad que la aportaba al Mediterráneo en la década de 1990-2000. Entre 1900 y 1920 la media del agua que el Ebro aportaba al mar era de 20.000 Hm3. Debemos saber que a finales de agosto y septiembre, Ochogavia (valle de Salazar) en plenos Pirineos navarros era abastecida de agua por camiones. Bastantes afluentes del Ebro están en situación catastrófica....