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Welcome to another episode of the ACP! We are happy to have a friend of the show, Sandeep from the Cricket Slouch podcast joining us. Games Covered ENG v SA: T20I series. IRE v ENG: T20I series. ZIM v NAM: T20I series. Asia Cup: Road to super-4s. INDw v AUSw: ODI series. Other news NED's Kingma banned for 3 months after testing positive for a recreational drug. ACE sues USAC over wrongful termination of long term agreement. Apollo Tyres bag IND's jersey rights for INR 579 Crores. ______________________________________________________________________________ Listen to us and get in touch: On Spotify On Apple podcasts On Podbean On Pocket Casts On RadioPublic Via Twitter Via E-mail Please do subscribe to our podcast and let us know what you think in the comments section of the podcasting app, via mail or on social media. Leave us a 5-star rating on any platform or app (like apple podcasts) you use to listen to us. Thanks! Learn more about your ad choices. Visit podcastchoices.com/adchoices
Contributors: Travis Barlock MD, Jeffrey Olson MS4 Feel free to use the cases below for your own practice. All of the scenarios are completely made up and designed to hit several teaching points. Case 1 25 M, presents to the ED with chest pain. Stabbing, started a few hours ago, substernal. Thinks it is GERD. After 2-3 minutes, pain worsens and radiates to the back. VS: BP 125/50 (Right arm 190/110). HR 120. RR of 18. Sat 98% on RA. Additional VS: Temp of 37.2, height of 6'5”, BMI of 18. PMH: None, doesn't see a doctor. Meds: None FH: Weird heart thing (Mitral Valve Prolapse), weird lung thing (spontaneous pneumothorax), tall family members with long fingers and toes Physical Exam: Cards: Diastolic decrescendo at the RUSB, diminished S2. UE pulses are asymmetric, LE pulses are asymmetric, carotid pulses are asymmetric, BP is asymmetric MSK: Knees, elbows, and wrists are hypermobile. Imaging: CXR #1 normal, #2 widened mediastinum (no read yet but shows widened mediastinum), POCUS shows small effusion CTA/MRA doesn't come back until after the case. ECG: Sinus Tach Labs: NT-proBNP 500 pg/mL D-Dimer: 7000 ng/L CBC: Hemoglobin: 13.5 g/dL, WBC: 20,000/µL, Platelets: 250,000/µL Chem 7: Na 138, K, 5.7, Cl 102, Bicarb 17, BUN 45, Creatinine: 3.5 mg/dL, Glucose: 180 LFTs: Albumin 2.4, Total protein 5.5, ALP: 140, AST: 3500, ALT: 2800, TBili: 3.2, DirectBili: 2.4, Ca: 7.8 LDH: 2200 PT: 20.5, INR: 2.2, Fibrinogen: 170 5th gen High-Sensitivity Troponin:
Lyssa Rome is a speech-language pathologist in the San Francisco Bay Area. She is on staff at the Aphasia Center of California, where she facilitates groups for people with aphasia and their care partners. She owns an LPAA-focused private practice and specializes in working with people with neurogenic communication disorders. She has worked in acute hospital, skilled nursing, and continuum of care settings. Prior to becoming an SLP, Lyssa was a public radio journalist, editor, and podcast producer. In this episode, Lyssa Rome interviews Liz Hoover about group treatment for aphasia. Guest info Dr. Liz Hoover is a clinical professor of speech language and hearing sciences and the clinical director of the Aphasia Resource Center at Boston University. She holds board certification from the Academy of Neurologic Communication Disorders and Sciences, or ANCDS, and is an ASHA fellow. She was selected as a 2024 Tavistock Trust for Aphasia Distinguished Scholar, USA and Canada. Liz was a founding member of Aphasia Access and served on the board for several years. She has 30 years of experience working with people with aphasia and other communication disorders across the continuum of care. She's contributed to numerous presentations and publications, and most of her work focuses on the effectiveness of group treatment for individuals with aphasia. Listener Take-aways In today's episode you will: Describe the evidence supporting aphasia conversation groups as an effective interventions for linguistic and psychosocial outcomes. Differentiate the potential benefits of dyads versus larger groups in relation to client goals. Identify how aphasia severity and group composition can influence treatment outcomes. Edited transcript Lyssa Rome Welcome to the Aphasia Access Aphasia Conversations Podcast. I'm Lyssa Rome. I'm a speech language pathologist on staff at the Aphasia Center of California and I see clients with aphasia and other neurogenic communication disorders in my LPAA-focused private practice. I'm also a member of the Aphasia Access Podcast Working Group. Aphasia Access strives to provide members with information, inspiration and ideas that support their aphasia care through a variety of educational materials and resources. I'm today's host for an episode that will feature Dr. Elizabeth Hoover, who was selected as a 2024 Tavistock Trust for Aphasia Distinguished Scholar, USA and Canada. Liz Hoover is a clinical professor of speech language and hearing sciences and the clinical director of the Aphasia Resource Center at Boston University. She holds board certification from the Academy of Neurologic Communication Disorders and Sciences, or ANCDS, and is an ASHA fellow. Liz was a founding member of Aphasia Access and served on the board for several years. She has 30 years of experience working with people with aphasia and other communication disorders across the continuum of care. She's contributed to numerous presentations and publications, and most of her work focuses on the effectiveness of group treatment for individuals with aphasia. Liz, welcome back to the podcast. So in 2017 you spoke with Ellen Bernstein Ellis about intensive comprehensive aphasia programs or ICAPs and inter professional practice at the Aphasia Resource Center at BU and treatment for verb production using VNest, among other topics. So this time, I thought we could focus on some of your recent research with Gayle DeDe and others on conversation group treatment. Liz Hoover Sounds good. Lyssa Rome All right, so my first question is how you became interested in studying group treatment? Liz Hoover Yeah, I actually have Dr. Jan Avent to thank for my interest in groups. She was my aphasia professor when I was a graduate student doing my masters at Cal State East Bay. As you know, Cal State East Bay is home to the Aphasia Treatment Program. When I was there, it preceded ATP. But I was involved in her cooperative group treatment study, and as a graduate student, I was allowed to facilitate some of her groups in this study, and I was involved in the moderate-to-severe group. She was also incredibly generous at sharing that very early body of work for socially oriented group treatments and exposing us to the work of John Lyons and Audrey Holland. Jan also invited us to go to a conference on group treatment that was run by the Life Link group. It's out of Texas Woman's University, Delaina Walker-Batson and Jean Ford. And it just was a life changing and pivotal experience for me in recognizing how group treatment could not be just an adjunct to individual goals, but actually be the type of treatment that is beneficial for folks with aphasia. So it's been a love my entire career. Lyssa Rome And now I know you've been studying group treatment in this randomized control trial. This was a collaborative research project, so I'm hoping you can tell us a little bit more about that project. What were your research questions? Tell us a little bit more. Liz Hoover Yeah, so thank you. I'll just start by acknowledging that the work is funded by two NIDCD grants, and to acknowledge their generosity, and then also acknowledge Dr. Gayle DeDe, who is currently at Temple University. She is a co- main PI in this work, and of course it wouldn't have happened without her. So you know, Gayle and I have known each other for many, many years. She's a former student, doctoral student at Boston University, and by way of background, she and I were interested in working together and interested in trying to build on some evidence for group treatment. I think we drank the Kool Aid early on, as you might say. And you know, just looking at the literature, there have been two trials on the evidence for this kind of work. And so those of us who are involved in groups, know that it's helpful for people with aphasia, our clients tell us how much they enjoy it, and they vote with their feet, right? In that they come back for more treatments. And aphasia centers have grown dramatically in the last couple of decades in the United States. So clearly we know they work, but what we don't know is why they work. What are those essential ingredients, and how is that driving the change that we think we see? And from a personal perspective, that's important for me to understand and for us to have explained in the literature, because until we can justify it in the scientific terms, I worry it will forever be a private-pay adjunct that is only accessible to people who can pay for it, or who are lucky enough to be close enough to a center that can get them access—virtual groups aside, and the advent of that—but it's important that I think this intervention is validated to the scientific community in our field. So we designed this trial. It's a randomized control trial to help build the research evidence for conversation, group treatment, and to also look at the critical components. This was inspired by a paper actually from Nina Simmons Mackie in 2014 and Linda Worrell. They looked at group treatment and showed that there were at least eight first-tier elements that changed the variability or on which we might modify group conversation treatment. And so, you know, if we're all doing things differently, how can we predict the change, and how can we expect outcomes? Lyssa Rome So I was hoping you could describe this randomized, controlled trial. You know, it was collaborative, and I'm curious about what you and your collaborators had as your research questions. Liz Hoover So our primary aims of the study were to understand if communication or conversation treatment is associated with changes in measures of communicative ability and psychosocial measures. So that's a general effectiveness question. And then to look in more deeply to see if the group size or the group composition or even the individual profile of the client with aphasia influences the expected outcome. Because if you think about group treatment, the size of the group is not an insignificant issue, right? So a small group environment of two people has much more… it still gives you some peer support from the other individual with aphasia, but you have many opportunities for conversational turns and linguistic and communication practice and to drive the saliency of the conversation in a direction that's meaningful and useful and informative. Whereas in a large group environment of say, six to eight people with aphasia and two clinicians, you might see much more influence in the needed social support and vicarious learning and shared lived experience and so forth, and still have some opportunity for communication and linguistic practice. So there's conflicting hypotheses there about which group environment might be better for one individual over another. And then there's the question of, well, who's in that group with you? Does that matter? Some of the literature says that if you have somebody with a different profile of aphasia, it can set up a therapeutic benefit of the helper experience, where you can gain purpose by enabling and supporting and being a facilitator of somebody else with aphasia. But if you're in a group environment where your peers have similar conversation goals as you, maybe your practice turns, and your ability to learn vicariously from their conversation turns is greater. So again, two conflicting theories here about what might be best. So we decided to try and manipulate these group environments and measure outcomes on several different communication measures. We selected measures that were linguistic, functional, and psychosocial. We collected data over four years. The first two years, we enrolled people with all different kinds of profiles of aphasia. The only inclusion criteria from a communication perspective, as you needed some ability to comprehend at a sentence level, so that you could process what was being said by the other people in the group. And in year one, the treatment was at Boston University and Temple University, which is where Gayle's aphasia center is housed. In year two, we added a community site at the Adler Aphasia Center and Maywood, New Jersey, so we had three sites going. The treatment conditions were dyad, large group, and then a no treatment group. So this group was tested at the same time, didn't get any other intervention, and then we gave them group treatment once the testing cycle was over. So we call that a historical control or a delayed-treatment control group. And then in years three and four, we aim to enroll people who had homogeneous profiles. So the first through the third cycle was people with moderate to severe profiles. And then in the final, fourth cycle, it was people with mild profiles with aphasia. This allowed us to collect enough data in enough size to be able to look at overall effectiveness and then effects of heterogeneity or homogeneity in the group, and the influence of the profile of aphasia, as well as the group size. And across the four years, we aim to enroll 216 participants, and 193 completed the study. So it's the largest of its kind for this particular kind of group treatment that we know of anyway. So this data set has allowed us to look at overall efficacy of conversation group treatment, and then also take a look at a couple of those critical ingredients. Does the size of the group make a difference? And does the composition of your group make a difference? Lyssa Rome And what did you find? Liz Hoover Well, we're not quite done with all of our analysis yet, but we found overall that there's a significant treatment effect for just the treatment conditions, not the control group. So whether you were in the dyad or whether you were in a large treatment group, you got better on some of the outcome measures we selected. And the control group not only didn't but on a couple of those measures, their performance actually declined. And so showing significantly that there's a treatment effect. Did you have a question? Lyssa Rome Yeah, I wanted to interrupt and ask, what were the outcome measures? What outcome measures were you looking at? Liz Hoover Yeah. So we had about 14 measures in total that aligned with the core outcome set that was established by the ROMA group. So we had as our linguistic measure the Comprehensive Aphasia Test. We had a primary outcome measure, which was a patient reported measure of functional communication, which is the ACOM by Will Hula and colleagues, the Aphasia Communication Outcome measure, we had Audrey Holland and colleagues' objective functional measure, the CADL, and then a series of other psychosocial and patient reported outcome measures, so the wall question from the ALA, the Moss Social Scale, the Communication Confidence Rating Scale in Aphasia by Leora Cherney and Edie Babbitt. Lyssa Rome Thank you. When I interrupted you to ask about outcome measures. You were telling us about some of the findings so far. Liz Hoover Yeah, so our primary outcome measures showed significant changes in language for both the treatment conditions and a slightly larger effect for the large group. And then we saw, at a more micro level, the results pointing to a complex interaction, actually, between the group size and the treatment outcome. So we saw changes on more linguistic measures. like the repetition sub scores of the CAT and verb naming from another naming subtest for the dyad group, whereas bigger, more robust changes on the ACOM the CADL and the discourse measure from the CAT for the large group. And then diving in a little bit more deeply for the composition, these data are actually quite interesting. The papers are in review and preparation at the moment, but it looks like we are seeing significant changes for the moderate-to-severe group on objective functional measures and patient reported functional measures of communication, which is so exciting to see for this particular cohort, whose naming scores were zero, in some cases, on entrance, and we're seeing for the mild group, some changes on auditory comprehension, naming, not surprisingly, and also the ACOM and the CADL. So they're showing the same changes, just with different effect sizes or slightly different ranges. And once again, no change in the control group, and in some cases, on some measures, we're seeing a decline in performance over time. So it's validating that the intervention is helpful in general. What we found with the homogeneous groups is that in a homogeneous large group environment, those groups seem to do a little better. There's a significant effect over time between the homogeneous and the heterogeneous groups. So thinking about why that might have taken place, we wonder if the shared lived experience of your profile of aphasia, your focus on similar kinds of communication, or linguistic targets within the conversation environment might be helping to offset the limited number of practice trials you get in that larger group environment. So that's an interesting finding to see these differences in who's in the group with you. Because I think clinically, we tend to assign groups, or sort of schedule groups according to what's convenient for the client, what might be pragmatic for the setting, without really wondering why one group could be important or one group might be preferential. If we think about it, there are conflicting hypotheses as to why a group of your like aphasia severity might have a different outcome, right? That idea that you can help people who have a different profile than you, that you're sharing different kinds of models of communication, versus that perhaps more intense practice effect when you share more specific goals and targets and lived experiences. So it's interesting to think about the group environment from that perspective, I think, Lyssa Rome And to have also some evidence that clinicians and people at aphasia centers can look to help make decisions about group compositions, I think is incredibly helpful. Earlier, you mentioned that one of the goals of this research project has been to identify the active ingredients of group therapy. And I know that you've been part of a working group for the Rehabilitation Treatment Specification System, or RTSS. Applying that, how have you tried to identify the active ingredients and what? What do you think it is about these treatments that actually drives change? Liz Hoover I'll first of all say, this is a work in process. You know, I don't think we've got all of the answers. We're just starting to think about it with the idea, again, that if we clinically decide to make some changes to our group, we're at least doing it with some information behind us, and it's a thoughtful and intentional change, as opposed to a gut reaction or a happenstance change. So Gayle and I have worked on developing this image, or this model. It's in a couple of our papers. We can share the resources for that. But it's about trying to think of the flow of communication, group treatment, and what aspects of the treatment might be influential in the outcomes we see downstream. I think for group treatment, you can't separate entirely many of the ingredients. Group treatment is multifaceted, it's interconnected, and it's not possible—I would heavily debate that with anybody—I don't think it's possible to sort of truly separate some of these ingredients. But when you alter the composition or the environment in which you do the treatment, I do think we are influencing the relative weight of these ingredients. So we've been thinking about there being this group dynamics component, which is the supportive environment of the peers in the group with you, that social support, the insider affiliation and shared lived experience, the opportunity to observe and see the success of some of these different communication strategies, so that vicarious learning that takes place as you see somebody else practice. But also, I think, cope in a trajectory of your treatment process. And then we've got linguistic practice so that turn taking where you're actually trying to communicate verbally using supported communication where you're expanding on your utterances or trying to communicate verbally in a specific way or process particular kinds of linguistic targets. A then communication practice in terms of that multimodal effectiveness of communication. And these then are linked to these three ingredients, dynamic group dynamics, linguistic practice and communication practice. They each have their own mechanism of action or a treatment theory that explains how they might affect change. So for linguistic practice, it's the amount of practice, but also how you hear it practiced or see it practiced with the other group participant. And the same thing for the various multimodal communication acts. And in thinking about a large group versus the dyad or a small group, you know you've got this conflicting hypothesis or the setup for a competing best group, or benefit in that the large group will influence more broadly in the group dynamics, or more deeply in the group dynamics, in that there's a much bigger opportunity to see the vicarious learning and experience the support and potentially experience the communication practice, given a varied number of participants. But yet in the dyad, your opportunity for linguistic practice is much, much stronger. And our work has counted this the exponential number of turns you get in a dyad versus a large group. And you know, I think that's why the results we saw with the dyad on those linguistic outcomes were unique to that group environment. Lyssa Rome It points, I think, to the complexity of decision making around group structure and what's right for which client, maybe even so it sounds like some of that work is still in progress. I'm curious about sort of thinking about what you know so far based on this work, what advice would you have for clinicians who are working in aphasia centers or or helping to sort of think about the structure of group treatments? What should clinicians in those roles keep in mind? Liz Hoover Yeah, that's a great question, and I'll add the caveat that this may change. My advice for this may change in a year's time, or it might evolve as we learn more. But I think what it means is that the decisions you make should be thoughtful. We're starting to learn more about severity in aphasia and how that influences the outcomes. So I think, what is it that your client wants to get out of the group? If they're interested in more linguistic changes, then perhaps the dyad is a better place to start. If they clearly need, or are voicing the need, for more psychosocial support, then the large, you know, traditional sized and perhaps a homogeneous group is the right place to start. But they're both more effective than no treatment. And so being, there's no wrong answer. It's just understanding your client's needs. Is there a better fit? And I think that's, that's, that's my wish, that people don't see conversation as something that you do at the beginning to build a rapport, but that it's worthy of being an intervention target. It should be most people's primary goal. I think, right, when we ask, what is it you'd like? “I want to talk more. I want to have a conversation.” Audrey Holland would say it's a moral imperative to to treat the conversation and to listen to folks' stories. So just to think carefully about what it is your client wants to achieve, and if there's an environment in which that might be easier to help them achieve that. Lyssa Rome It's interesting, as you were saying that I was thinking about what you said earlier on about sort of convincing funders about the value of group treatment, but what you're saying now makes me think that it's all your work is also valuable in convincing speech therapists that referrals to groups or dyads is valuable and and also for people with aphasia and their families that it's worth seeking out. I'm curious about where in the continuum of care this started for the people who were in your trial. I mean, were these people with chronic aphasia who had had strokes years earlier? Was it a mix? And did that make a difference? Liz Hoover It was a mix. I think our earliest participant was six months post-onset. Our most chronic participant was 26 years post-onset. So a wide range. We want, obviously, from a study perspective, we needed folks to be outside of the traditional window of spontaneous recovery in stroke-induced aphasia. But it was important to us to have a treatment dose that was reasonable and applicable to a United States healthcare climate, right? So twice a week for an hour is something that people would get reimbursed for. The overall dose is the minimum that's been shown to be effective in the RELEASE collaborative trial papers. And then, you know, but still, half, less than half the dose that the Elman and Bernstein Ellis study found to be effective. So there may be some wiggle room there to see if, if a larger dose is more effective. But yeah, I think it's that idea of finding funding, convincing people that this is not just a reasonable treatment approach, but a good approach for many outcomes for people with chronic aphasia. I mean, you know, one of the biggest criticisms we hear from the giants in our field is the frustration with aphasia being treated like it's a quick fix and can be done. But you know, so much of the work shows that people are only just beginning to understand their condition by the time they're discharged from traditional outpatient services. And so there's a need for ongoing treatment indefinitely, I think, as your goals change, as you age, and as your wish to participate in different things changes over a lifetime, Lyssa Rome Yeah, absolutely. And I think too, when we think about sort of the role of hope, if you know, if there is additional evidence showing that there can be change after that sort of traditional initial period, when we think that change happens the most, that can provide a lot of hope and motivation, I think, to people. Liz Hoover yeah, we're look going to be looking next at predictors of change, so looking at our study entrance scores and trying to identify which participants were the responders versus the non-responders that you know, because group effects are one thing, but it's good to see who seems to benefit the most from these individual types of environments. And an early finding is that confidence, or what some people in the field, I'm learning now are referring to as actually communication self-efficacy, but that previous exposure to group potentially and that confidence in your communication is inversely correlated with benefits from treatment on other measures. So if you've got a low confidence in your ability to communicate functionally in different environments, you're predicted to be a responder to conversation treatment. Lyssa Rome Oh, that's really interesting. What else are you looking forward to working on when it comes to this data set or other projects that you have going on? Liz Hoover Yeah. So as I mentioned, there's a lot of data still for us to dig into, looking at those individual responders or which factors or variables might make an impact. There is the very next on the list, we're also going to be looking very shortly at the dialogic conversation outcomes. So, it's a conversation treatment. How has conversation changed? That's a question we need to answer. So we're looking at that currently, and might look more closely at other measures. And then I think the question of the dose is an interesting one. The question of how individual variables or the saliency of the group may impact change is another potentially interesting question. There are many different directions you can go. You know, we've got 193 participants in the study, with three separate testing time points, so it's a lot of data to look at still. And I think we want to be sure we understand what we're looking at, and what those active ingredients might be, that we've got the constructs well defined before we start to recruit for another study and to expand on these findings further. Lyssa Rome When we were meeting earlier, getting ready for this talk, you mentioned to me a really valuable video resource, and I wanted to make sure we take some time to highlight that. Can you tell us a little bit about what you worked on with your colleagues at Boston University? Liz Hoover Yes, thank you. So I'll tell you a little bit. We have a video education series. Some of you may have heard about this already, but it's up on our website so bu.edu/aphasiacenter, and we'll still share that link as well. And it's a series of short, aphasia-friendly videos that are curated by our community to give advice and share lived experiences from people with aphasia and their care partners. This project came about right on the heels of the COVID shutdown at our university. I am involved in our diagnostic clinic, and I was seeing folks who had been in acute care through COVID being treated with people who were wearing masks, who had incredibly shortened lengths of stay because people you know rightly, were trying to get them out of a potentially vulnerable environment. And what we were seeing is a newly diagnosed cohort of people with aphasia who were so under-informed about their condition, and Nina that has a famous quote right of the public being woefully uninformed of the aphasia condition and you don't think it can get any worse until It does. And I thought, gosh, wouldn't it be wonderful to be able to point them to some short education videos that are by people who have lived their same journey or a version of their same journey. So we fundraised and collaborated with a local production company to come up with these videos. And I'll share, Lyssa, we just learned last week that this video series has been awarded the ASHA 2025 Media Outreach Award. So it's an award winning series. Lyssa Rome Yeah, that's fantastic, and it's so well deserved. They're really beautifully and professionally produced. And I think I really appreciated hearing from so many different people with aphasia about their experiences as the condition is sort of explained more. So thank you for sharing those and we'll put the links in our show notes along with links to the other articles that you've mentioned in this conversation in our show notes. So thanks. Liz Hoover Yeah, and I'll just put a big shout out to my colleague, Jerry Kaplan, who's the amazing interviewer and facilitator in many of these videos, and the production company, which is Midnight Brunch. But again, the cinematography and the lighting. They're beautifully done. I think I'm very, very happy with them. Lyssa Rome Yeah, congrats again on the award too. So to wrap up, I'm wondering if there's anything else that you want listeners to take away from this conversation or from the work that you've been doing on conversation treatments. Liz Hoover I would just say that I would encourage everybody to try group treatment. It's a wonderful option for intervention for people, and to remind everyone of Barbara Shadden and Katie Strong's work, of that embedded storytelling that can come out in conversation, and of the wonderful Audrey Holland's words, of it being a moral imperative to help people tell their story and to converse. It's yeah… You'll drink the Kool Aid if you try it. Let me just put it that way. It's a wonderful intervention that seems to be meaningful for most clients I've ever had the privilege to work with. Lyssa Rome I agree with that. And meaningful too, I think for clinicians who get to do the work. Liz Hoover, thank you so much for your work and for coming to talk with us again, for making your second appearance on the podcast. It's been great talking with you. Liz Hoover Thank you. It's been fun. I appreciate it. Lyssa Rome And thanks also to our listeners for the references and resources mentioned in today's show. Please see our show notes. They're available on our website, www.aphasiaaccess.org. There, you can also become a member of our organization, browse our growing library of materials and find out about the Aphasia Access Academy. If you have an idea for a future podcast episode, email us at info@aphasia access.org. Thanks again for your ongoing support of Aphasia Access. For Aphasia Access Conversations. I'm Lyssa Rome. Resources Walker-Batson, D., Curtis, S., Smith, P., & Ford, J. (1999). An alternative model for the treatment of aphasia: The Lifelink© approach. In R. Elman (Ed.), Group treatment for neurogenic communication disorders: The expert clinician's approach (pp. 67-75). Woburn, MA: Butterworth-Heinemann Hoover, E.L., DeDe, G., Maas, E. (2021). A randomized controlled trial of the effects of group conversation treatment on monologic discourse in aphasia. Journal of Speech-Language and Hearing Research doi/10.1044/2021_JSLHR-21-00023 Hoover, E., Szabo, G., Kohen, F., Vitale, S., McCloskey, N., Maas, E., Kularni, V., & DeDe., G. (2025). The benefits of conversation group treatment for individuals with chronic aphasia: Updated evidence from a multisite randomized controlled trial on measures of language and communication. American Journal of Speech Language Pathology. DOI: 10.1044/2025_AJSLP-24-00279 Aphasia Resource Center at BU Living with Aphasia video series Aphasia Access Podcast Episode #15: In Conversation with Liz Hoover
We are all aware that mental/emotional well-being is essential to maintain on a surface level. But on a deeper level, research shows us over & over that emotional skills are thee foundation to human happiness & success. There is no such thing as a solely logical person. Emotions are what make us human, and we must learn how to interact with them, not because we're whiny or soft, but because emotions drive humanity. Emotions are at the root of everything humans do, and whether or not we will survive.(Please excuse my runny nose in this one
Welcome to another episode of the ACP! We are happy to have a friend of the show, Ram joining us. Games Covered AUS v SA: LOI series review. UAE T20I Tri-series: First 2 games. BAN v NED: T20I series. ZIM v SL: ODI series. Other news BCCI ends its ties worth INR 358cr with Dream11 due to a IND govt ruling. Impact from this seen far and wide. SA's Dane van Niekerk returns from international retirement. Not in the frame for the WWC. PNG's Doriga charged with robbery while playing in CWC challenge league in Jersey. Don Bradman's cap from 1946-47 Ashes tour purchased in auction by AUS's National Museum for AUD 438,550. ______________________________________________________________________________ Listen to us and get in touch: On Spotify On Apple podcasts On Podbean On Pocket Casts On RadioPublic Via Twitter Via E-mail Please do subscribe to our podcast and let us know what you think in the comments section of the podcasting app, via mail or on social media. Leave us a 5-star rating on any platform or app (like apple podcasts) you use to listen to us. Thanks! Learn more about your ad choices. Visit podcastchoices.com/adchoices
Talk and Meditation on Kashi Vishwanatha Ashtakam Verse 7A" śā ṁ vihāya parihṛtya parasya nindā ṁpā pe ratiṁ ca sunivā rya manaḥ samā dhau ।A" dāya hṛt-kamala-madhya-gataṁ pareśaṁVā rā ṇ ası̄-pura-patiṁ bhaja Viśvanā tham ॥ 7 ॥MeaningWorship Śrī Viśvanātha, the Lord of Vārāṇasī:• having renounced all desires,• having given up reviling others,• having restrained the mind from delighting in sin,• fixing the mind steadily in samādhi,• meditating on the Supreme Lord seated in the lotus of one's own heart.Please support this podcast by pressing the follow button and support Chinmaya Mission Mumbai projects taken up by Swami Swatmananda, through generous donations. Contribution by Indians in INR can be made online using this link: https://bit.ly/gdswatmanDonors outside India who would like to offer any Gurudakshina/donation can send an email to enquiry@chinmayamissionmumbai.com with a cc to sswatmananda@gmail.com to get further details.These podcasts @ChinmayaShivam are also available on Spotify, Apple iTunes, Apple Podcasts, Podomatic, Amazon music and Google PodcastFB page: https://www.facebook.com/ChinmayaShivampageInsta: https://instagram.com/chinmayashivam?igshid=1twbki0v3vomtTwitter: https://twitter.com/chinmayashivamBlog: https://notesnmusings.blogspot.comLinkedIN: www.linkedin.com/in/swatmananda
Talk and Meditation on Kashi Vishwanatha Ashtakam Verse 3Bhūtādhipaṁ bhujaga-bhūṣaṇa-bhūṣitāṅgaṁvyāghrājināmbara-dharaṁ jaṭilaṁ trinetram ।pāśāṅkuśābhaya-vara-prada-śūla-pāṇiṁVārāṇasī-pura-patiṁ bhaja Viśvanātham ॥ 3 ॥MeaningWorship Śrī Viśvanātha, the Lord of Vārāṇasī,• the Lord of the bhūtas (beings, elements, spirits),• whose body is adorned with serpents as ornaments,• who wears a tiger-skin,• who has matted locks,• who is three-eyed,• who holds the noose and the goad,• who grants fearlessness and boons with two hands,• and who wields the trident.Please support this podcast by pressing the follow button and support Chinmaya Mission Mumbai projects taken up by Swami Swatmananda, through generous donations. Contribution by Indians in INR can be made online using this link: https://bit.ly/gdswatmanDonors outside India who would like to offer any Gurudakshina/donation can send an email to enquiry@chinmayamissionmumbai.com with a cc to sswatmananda@gmail.com to get further details.These podcasts @ChinmayaShivam are also available on Spotify, Apple iTunes, Apple Podcasts, Podomatic, Amazon music and Google PodcastFB page: https://www.facebook.com/ChinmayaShivampageInsta: https://instagram.com/chinmayashivam?igshid=1twbki0v3vomtTwitter: https://twitter.com/chinmayashivamBlog: https://notesnmusings.blogspot.comLinkedIN: www.linkedin.com/in/swatmananda
Talk and Meditation on Kashi Vishwanatha Ashtakam Verse 4Śītāṁśu-śobhita-kirīṭa-virājamānaṁbhālekṣaṇānala-viśoṣita-pañca-bāṇam ।Nāgādhipāracita-bhāsura-karṇa-pūraṁVārāṇasī-pura-patiṁ bhaja Viśvanātham ॥ 4 ॥MeaningWorship Śrī Viśvanātha, the Lord of Vārāṇasī,• adorned with a crown beautified by the cool moon,• who burnt the five-arrowed Kāma (Cupid) to ashes with the fire from His third eye,• and whose ears shine with ear-ornaments fashioned by Śeṣa, the king of serpents.Please support this podcast by pressing the follow button and support Chinmaya Mission Mumbai projects taken up by Swami Swatmananda, through generous donations. Contribution by Indians in INR can be made online using this link: https://bit.ly/gdswatmanDonors outside India who would like to offer any Gurudakshina/donation can send an email to enquiry@chinmayamissionmumbai.com with a cc to sswatmananda@gmail.com to get further details.These podcasts @ChinmayaShivam are also available on Spotify, Apple iTunes, Apple Podcasts, Podomatic, Amazon music and Google PodcastFB page: https://www.facebook.com/ChinmayaShivampageInsta: https://instagram.com/chinmayashivam?igshid=1twbki0v3vomtTwitter: https://twitter.com/chinmayashivamBlog: https://notesnmusings.blogspot.comLinkedIN: www.linkedin.com/in/swatmananda
Talk and Meditation on Kashi Vishwanatha Ashtakam Verse 5Pañcānanaṁ durita-matta-mataṅgajānāmnāgāntakaṁ danuja-puṅgava-pannagānām ।dāvānalaṁ maraṇa-śoka-jarāṭavīnāmVārāṇasī-pura-patiṁ bhaja Viśvanātham ॥ 5 ॥MeaningWorship Śrī Viśvanātha, the Lord of Vārāṇasī,• the Five-faced One,• the lion that destroys the mad elephant of sin,• the Garuḍa that overpowers the serpents of the powerful demons,• and the forest-fire that reduces to ashes the jungle of birth, death and old age.Please support this podcast by pressing the follow button and support Chinmaya Mission Mumbai projects taken up by Swami Swatmananda, through generous donations. Contribution by Indians in INR can be made online using this link: https://bit.ly/gdswatmanDonors outside India who would like to offer any Gurudakshina/donation can send an email to enquiry@chinmayamissionmumbai.com with a cc to sswatmananda@gmail.com to get further details.These podcasts @ChinmayaShivam are also available on Spotify, Apple iTunes, Apple Podcasts, Podomatic, Amazon music and Google PodcastFB page: https://www.facebook.com/ChinmayaShivampageInsta: https://instagram.com/chinmayashivam?igshid=1twbki0v3vomtTwitter: https://twitter.com/chinmayashivamBlog: https://notesnmusings.blogspot.comLinkedIN: www.linkedin.com/in/swatmananda
Talk and Meditation on Kashi Vishwanatha Ashtakam Verse 6Tejomayaṁ saguṇa-nirguṇamadvitīyamānanda-kandam aparājitamaprameyam ।Nāgātmakaṁ sakala-niṣkalam ātma-rūpaṁVārāṇasī-pura-patiṁ bhaja Viśvanātham ॥ 6 ॥MeaningWorship Śrī Viśvanātha, the Lord of Vārāṇasī,• who is effulgence itself,• both with attributes (saguṇa) and without attributes (nirguṇa),• the One without a second (advitīya),• the root-source of bliss (ānanda-kanda),• the unconquerable one (aparājita),• the immeasurable one (aprameya),• serpent-adorned (nāgātmaka),• both with form (sakala) and formless (niṣkala),• and who is the very Self (ātma-rūpa).Please support this podcast by pressing the follow button and support Chinmaya Mission Mumbai projects taken up by Swami Swatmananda, through generous donations. Contribution by Indians in INR can be made online using this link: https://bit.ly/gdswatmanDonors outside India who would like to offer any Gurudakshina/donation can send an email to enquiry@chinmayamissionmumbai.com with a cc to sswatmananda@gmail.com to get further details.These podcasts @ChinmayaShivam are also available on Spotify, Apple iTunes, Apple Podcasts, Podomatic, Amazon music and Google PodcastFB page: https://www.facebook.com/ChinmayaShivampageInsta: https://instagram.com/chinmayashivam?igshid=1twbki0v3vomtTwitter: https://twitter.com/chinmayashivamBlog: https://notesnmusings.blogspot.comLinkedIN: www.linkedin.com/in/swatmananda
This episode of On The Line with host Matt Gurney has two conversations worth your time.First up, Matt speaks with Denys Prevost, a retired firefighter with nearly 40 years of service in Ontario and Nova Scotia. Denys walks us through what's been happening in Nova Scotia's forests, how and why these fires can spread so quickly, and — most importantly — what homeowners and property owners can actually do to protect themselves.This episode of On The Line is brought to you by Airbnb. To solve the housing crisis, Canada needs 5.8 million new homes by 2030. And while some think short-term rentals like Airbnb are taking homes away, that's just not the case. Because — according to Statistics Canada — the number of Airbnbs that could be converted into long-term homes amounts to only 0.6 per cent of Canada's housing stock. How can you solve the problem when you're focused on less than one per cent of the housing market? To learn more, visit Airbnb.ca/closerlook.Then, Matt connects with Andrew MacDougall, director at Trafalgar Strategy in London and former director of communications to prime minister Stephen Harper. Andrew recently wrote a policy paper for the Macdonald-Laurier Institute, and a supporting op-ed for The Line, making the case that social media should be something we pay for — because only then can we break the addiction and dismantle the toxic business models propping up these companies. They also get into Andrew's time in politics, watching social media evolve from a niche comms tool to the entire battlefield.This episode of On The Line is also brought to you by the Métis Nation of Ontario. Twenty-two years ago, the Supreme Court of Canada made history. In R v. Powley, the existence of a rights-bearing Métis community in Ontario was affirmed. The next year, Ontario signed a harvesting agreement recognizing the Métis. Since then, governments have invested significantly in Métis people in Ontario. For better health care, education and training, jobs, housing, and for programs that protect the environment and keep Métis language, culture, and communities alive. Now, some would take that away. They would erase those hard-won rights, and undo more than twenty years of progress. But the law and history are clear. The Métis aren't going anywhere. To learn more, visit OntarioMétisFacts.com.Subscribe at ReadTheLine.ca, follow us on your favourite podcast app, and don't forget to leave us a nice review. Audio drops every Tuesday morning, with video rolling out Tuesday evening on YouTube and our social channels. Catch it wherever you listen or watch.
Made with Restream. Livestream on 30+ platforms at once via https://restream.ioTalk and Meditation on Kashi Vishwanatha Ashtakam Verse 2Please support this podcast by pressing the follow button and support Chinmaya Mission Mumbai projects taken up by Swami Swatmananda, through generous donations. Contribution by Indians in INR can be made online using this link: https://bit.ly/gdswatmanDonors outside India who would like to offer any Gurudakshina/donation can send an email to enquiry@chinmayamissionmumbai.com with a cc to sswatmananda@gmail.com to get further details.These podcasts @ChinmayaShivam are also available on Spotify, Apple iTunes, Apple Podcasts, Podomatic, Amazon music and Google PodcastFB page: https://www.facebook.com/ChinmayaShivampageInsta: https://instagram.com/chinmayashivam?igshid=1twbki0v3vomtTwitter: https://twitter.com/chinmayashivamBlog: https://notesnmusings.blogspot.comLinkedIN: www.linkedin.com/in/swatmananda
Talk and Meditation on Kashi Vishwanatha Ashtakam Verse 1Please support this podcast by pressing the follow button and support Chinmaya Mission Mumbai projects taken up by Swami Swatmananda, through generous donations. Contribution by Indians in INR can be made online using this link: https://bit.ly/gdswatmanDonors outside India who would like to offer any Gurudakshina/donation can send an email to enquiry@chinmayamissionmumbai.com with a cc to sswatmananda@gmail.com to get further details.These podcasts @ChinmayaShivam are also available on Spotify, Apple iTunes, Apple Podcasts, Podomatic, Amazon music and Google PodcastFB page: https://www.facebook.com/ChinmayaShivampageInsta: https://instagram.com/chinmayashivam?igshid=1twbki0v3vomtTwitter: https://twitter.com/chinmayashivamBlog: https://notesnmusings.blogspot.comLinkedIN: www.linkedin.com/in/swatmananda
Please support this podcast by pressing the follow button and support Chinmaya Mission Mumbai projects taken up by Swami Swatmananda, through generous donations. Contribution by Indians in INR can be made online using this link: https://bit.ly/gdswatmanDonors outside India who would like to offer any Gurudakshina/donation can send an email to enquiry@chinmayamissionmumbai.com with a cc to sswatmananda@gmail.com to get further details.These podcasts @ChinmayaShivam are also available on Spotify, Apple iTunes, Apple Podcasts, Podomatic, Amazon music and Google PodcastFB page: https://www.facebook.com/ChinmayaShivampageInsta: https://instagram.com/chinmayashivam?igshid=1twbki0v3vomtTwitter: https://twitter.com/chinmayashivamBlog: https://notesnmusings.blogspot.comLinkedIN: www.linkedin.com/in/swatmananda
Meditation on Ardhanarishwara stotram verse 8Please support this podcast by pressing the follow button and support Chinmaya Mission Mumbai projects taken up by Swami Swatmananda, through generous donations. Contribution by Indians in INR can be made online using this link: https://bit.ly/gdswatmanDonors outside India who would like to offer any Gurudakshina/donation can send an email to enquiry@chinmayamissionmumbai.com with a cc to sswatmananda@gmail.com to get further details.These podcasts @ChinmayaShivam are also available on Spotify, Apple iTunes, Apple Podcasts, Podomatic, Amazon music and Google PodcastFB page: https://www.facebook.com/ChinmayaShivampageInsta: https://instagram.com/chinmayashivam?igshid=1twbki0v3vomtTwitter: https://twitter.com/chinmayashivamBlog: https://notesnmusings.blogspot.comLinkedIN: www.linkedin.com/in/swatmananda
*****To sign up and get started with GlintPay, go to glintpay.com and make sure to use the code SNIDER.*****The dollar is surging again. And while it's primary the euro taking the other side, just as importantly, if not more importantly, currencies like the rupee are tanking worse. INR hit another record low and that along with the euro's sharp reverse is a canary singing in the eurodollar coalmine...perhaps gasping. Eurodollar University's Money & Macro Analysishttps://www.eurodollar.universityTwitter: https://twitter.com/JeffSnider_EDU
Meditation on Ardhanarishwara stotram verse 2Please support this podcast by pressing the follow button and support Chinmaya Mission Mumbai projects taken up by Swami Swatmananda, through generous donations. Contribution by Indians in INR can be made online using this link: https://bit.ly/gdswatmanDonors outside India who would like to offer any Gurudakshina/donation can send an email to enquiry@chinmayamissionmumbai.com with a cc to sswatmananda@gmail.com to get further details.These podcasts @ChinmayaShivam are also available on Spotify, Apple iTunes, Apple Podcasts, Podomatic, Amazon music and Google PodcastFB page: https://www.facebook.com/ChinmayaShivampageInsta: https://instagram.com/chinmayashivam?igshid=1twbki0v3vomtTwitter: https://twitter.com/chinmayashivamBlog: https://notesnmusings.blogspot.comLinkedIN: www.linkedin.com/in/swatmananda
Meditation on Ardhanarishwara stotram verse 3Please support this podcast by pressing the follow button and support Chinmaya Mission Mumbai projects taken up by Swami Swatmananda, through generous donations. Contribution by Indians in INR can be made online using this link: https://bit.ly/gdswatmanDonors outside India who would like to offer any Gurudakshina/donation can send an email to enquiry@chinmayamissionmumbai.com with a cc to sswatmananda@gmail.com to get further details.These podcasts @ChinmayaShivam are also available on Spotify, Apple iTunes, Apple Podcasts, Podomatic, Amazon music and Google PodcastFB page: https://www.facebook.com/ChinmayaShivampageInsta: https://instagram.com/chinmayashivam?igshid=1twbki0v3vomtTwitter: https://twitter.com/chinmayashivamBlog: https://notesnmusings.blogspot.comLinkedIN: www.linkedin.com/in/swatmananda
Meditation on Ardhanarishwara stotram verse 1Please support this podcast by pressing the follow button and support Chinmaya Mission Mumbai projects taken up by Swami Swatmananda, through generous donations. Contribution by Indians in INR can be made online using this link: https://bit.ly/gdswatmanDonors outside India who would like to offer any Gurudakshina/donation can send an email to enquiry@chinmayamissionmumbai.com with a cc to sswatmananda@gmail.com to get further details.These podcasts @ChinmayaShivam are also available on Spotify, Apple iTunes, Apple Podcasts, Podomatic, Amazon music and Google PodcastFB page: https://www.facebook.com/ChinmayaShivampageInsta: https://instagram.com/chinmayashivam?igshid=1twbki0v3vomtTwitter: https://twitter.com/chinmayashivamBlog: https://notesnmusings.blogspot.comLinkedIN: www.linkedin.com/in/swatmananda
Significance of Shravan Month & Meditation on Bhagavan Shiva. 12 qualities of a good listener as per Skanda Purana are also discussed here. Talk is followed by a guided meditation session.Please support this podcast by pressing the follow button and support Chinmaya Mission Mumbai projects taken up by Swami Swatmananda, through generous donations. Contribution by Indians in INR can be made online using this link: https://bit.ly/gdswatmanDonors outside India who would like to offer any Gurudakshina/donation can send an email to enquiry@chinmayamissionmumbai.com with a cc to sswatmananda@gmail.com to get further details.These podcasts @ChinmayaShivam are also available on Spotify, Apple iTunes, Apple Podcasts, Podomatic, Amazon music and Google PodcastFB page: https://www.facebook.com/ChinmayaShivampageInsta: https://instagram.com/chinmayashivam?igshid=1twbki0v3vomtTwitter: https://twitter.com/chinmayashivamBlog: https://notesnmusings.blogspot.comLinkedIN: www.linkedin.com/in/swatmananda
Meditation on Om Namaste Astu Bhagawan Vishveshvaraya.....Please support this podcast by pressing the follow button and support Chinmaya Mission Mumbai projects taken up by Swami Swatmananda, through generous donations. Contribution by Indians in INR can be made online using this link: https://bit.ly/gdswatmanDonors outside India who would like to offer any Gurudakshina/donation can send an email to enquiry@chinmayamissionmumbai.com with a cc to sswatmananda@gmail.com to get further details.These podcasts @ChinmayaShivam are also available on Spotify, Apple iTunes, Apple Podcasts, Podomatic, Amazon music and Google PodcastFB page: https://www.facebook.com/ChinmayaShivampageInsta: https://instagram.com/chinmayashivam?igshid=1twbki0v3vomtTwitter: https://twitter.com/chinmayashivamBlog: https://notesnmusings.blogspot.comLinkedIN: www.linkedin.com/in/swatmananda
Meditation on Om Namah Shivaya, Panchamukhi form of Bhagawan Shiva. in the Q n A i said 5 alphabets Na, Ma, Shi, Va, Ya represents 5 elements space, air, fire, water, earth in that order. It was a mistake. Its in the reverse order. Na represents earth, ma - water, shi is fire, va - air, ya is space. Please note.Please support this podcast by pressing the follow button and support Chinmaya Mission Mumbai projects taken up by Swami Swatmananda, through generous donations. Contribution by Indians in INR can be made online using this link: https://bit.ly/gdswatmanDonors outside India who would like to offer any Gurudakshina/donation can send an email to enquiry@chinmayamissionmumbai.com with a cc to sswatmananda@gmail.com to get further details.These podcasts @ChinmayaShivam are also available on Spotify, Apple iTunes, Apple Podcasts, Podomatic, Amazon music and Google PodcastFB page: https://www.facebook.com/ChinmayaShivampageInsta: https://instagram.com/chinmayashivam?igshid=1twbki0v3vomtTwitter: https://twitter.com/chinmayashivamBlog: https://notesnmusings.blogspot.comLinkedIN: www.linkedin.com/in/swatmananda
Contributor: Jorge Chalit-Hernandez, OMS4 Educational Pearls: What is the toxic dose of acetaminophen? 7.5 grams, in an adult. The safe daily limit is 4 grams in an adult with a normally functioning liver. This is equivalent to fifteen 500mg pills. What are the symptoms of acetaminophen toxicity? First 24 hours, symptoms are non-specific e.g. nausea, vomiting, lack of appetite. Can also be asymptomatic. 24-72 hours, hepatotoxicity occurs (causing yellow skin, pruritus, abdominal pain, bleeding, and confusion) Fulminant liver failure at 72-96 hours Liver function tests (LFTs) peak at 72-96 hours. When would you give activated charcoal? Within 4 hours of ingestion. The risk of activated charcoal is that it can be very dangerous if aspirated so use with caution with a poorly mentating patient When would you give N-acetylcysteine (NAC)? The peak absorption of acetaminophen occurs at about 4 hours with acute ingestions Use the Rumack–Matthew nomogram to plot the serum level of acetaminophen versus the time since ingestion to see if you are above the treatment line. If the ingestion time is unknown then just give it. How do you dose NAC? 3 bag system: First, a 150 mg/kg bolus is administered IV over 15-60 minutes (Bag 1), then a 50 mg/kg drip is administered over 4 hours (Bag 2), then a 100 mg/kg drip is administered over the following 16 hours (Bag 3). This is the Prescott Protocol that requires three bag of IV fluids 2 bag system: There is a simplified protocol that only requires 2 bags, 200mg/kg IV over 4 hours (Bag 1) followed by 100mg/kg over 16 hours (Bag 2) Less risk of anaphylactoid reactions with a 2-bag system due to the high rate of IV NAC given in the 3 bag system. What are the endpoints for stopping NAC? If the INR is
Hitze. Lachende Kinder. Badespaß im Pool. In vielen Gärten sind in den letzten Jahren größere und kleinere Wasserbecken eingezogen, um an heißen Tagen eine erholsame Abkühlung zu ermöglichen. Gerade bei größeren Poolanlagen ist es notwendig, dass mithilfe unterschiedlicher Mittel eine Reinigung stattfindet. So bleibt der Badespaß noch lange bestehen, ohne dass das Wasser »kippt«. Die Mühe, die wir in den Pool und das dort enthaltene Wasser stecken, ist teilweise enorm. Wie schön wäre es, wenn wir diesen Einsatz auch in unserem Leben aufbringen würden!Die Bibel sagt uns sehr deutlich, dass unser Herz »überaus bösartig und trügerisch ist« (Jeremia 17,9), und gleichzeitig heißt es, dass wir es bewahren sollen, denn »von ihm geht das Leben aus« (Sprüche 4,23). Kein Mensch ist davon ausgenommen, dass sein Herz böse ist und dies in seinem Leben sichtbar wird (z. B. durch Lügen oder schlechte Nachrede). Die Bibel nennt das Sünde. Gibt es auch ein Reinigungsmittel für unser Herz? Ja. Die Reinigung unseres Herzens ist sogar dringend notwendig! Denn mit unserem von Geburt an bösem Herzen gibt es keine Chance auf eine enge Beziehung mit Gott. In Römer 6,23 steht: »Denn der Lohn der Sünde ist der Tod.« Das bedeutet, dass eine ewige Trennung von Gott nach dem Tod für jeden Menschen unumgänglich ist.Doch Gott möchte enge Gemeinschaft mit uns Menschen haben, und daher ist Jesus Christus stellvertretend für die Schuld jedes einzelnen Menschen am Kreuz gestorben und wiederauferstanden. Wenn wir dies glauben, so reinigt Gott unser Herz, die Bibel nennt dies Vergebung. Doch weil das nicht automatisch passiert, muss sich jeder Mensch persönlich dafür entscheiden.Ann-Christin BernackDiese und viele weitere Andachten online lesenWeitere Informationen zu »Leben ist mehr« erhalten Sie unter www.lebenistmehr.deAudioaufnahmen: Radio Segenswelle
In this podcast, I share the summary of a project I worked on almost 20 years, but is still relevant today. A grant was awarded to the Cedar Rapids (IA) community to study anticoagulation management using Lean and Six Sigma. One of the key analysis performed in the project was a Gage Repeatability and Reproducibility (R&R) study. We wanted to determine if blood samples taken from a patient on warfarin have the same International Normalized Ratio (INR) results when analyzed in different labs (reproducibility) and when analyzed multiple times in the same lab (repeatability). Results showed a statistically significant difference among labs. The therapeutic range for INR is typically 2.0 to 3.0, yet the data showed a difference in INR of 0.5 among labs on a small sample of 10 warfarin patients, almost 50 percent of the range. By the way, this entire podcast was spoken by my AI voice created by Eleven Labs. Links for this episode:AHRQ Grant Summary: https://www.ahrq.gov/downloads/pub/advances2/vol3/Advances-Hurley_55.pdfEleven Labs (affiliate link): https://try.elevenlabs.io/lp5v7zzfm8mzLearn more about BPI7 Continuous Improvement Best Practices: https://mail.biz-pi.com/lss-best-practices-funnelNeed help in your organization, or want to discuss your current work situation? Let's talk! Schedule a free support callPodcast Sponsor: Creative Safety Supply is a great resource for free guides, infographics, and continuous improvement tools. I recommend starting with their 5S guide. It includes breakdowns of the five pillars, ways to begin implementing 5S, and even organization tips and color charts. From red tags to floor marking; it's all there. Download it for free at creativesafetysupply.com/5SBIZ-PI.comLeanSixSigmaDefinition.comHave a question? Submit a voice message at Podcasters.Spotify.com
The similarities between the indictment and conviction of R. Kelly and the indictment of Sean "Diddy" Combs are indeed striking and noteworthy. In this episode we take a look at some of the core parallels. Both R. Kelly and Diddy have been indicted under the Racketeer Influenced and Corrupt Organizations (RICO) Act. This is significant because the RICO statute was traditionally used to prosecute organized crime but is now being applied to individuals accused of long-term patterns of sexual abuse. Prosecutors argue that both men ran "enterprises" through which they were able to commit and conceal their crimes. In R. Kelly's case, his team—managers, bodyguards, and assistants—helped him recruit, exploit, and silence victims. Similarly, Diddy is accused of using his business empire and staff to coerce women into sexual activity and to cover up the abuse.In both cases, the allegations point to systemic, decades-long abuse. R. Kelly's sexual abuse spanned decades, involving minors, child pornography, and coercion. Diddy's indictment, while focused on adult women, similarly accuses him of long-term, repeated abuse, where he allegedly leveraged his power and wealth to manipulate victims.Both R. Kelly and allegedly Diddy used their status as powerful figures in the music industry to facilitate their crimes. Their fame afforded them protection, access to vulnerable individuals, and influence over those around them, including their teams, who allegedly helped perpetuate and cover up the abuse. This exploitation of celebrity status is a central theme in both cases, as both men allegedly relied on their empires to intimidate victims and prevent them from coming forward.Both men are accused of manipulating and coercing victims into sexual activities. R. Kelly used coercion, often involving minors, to control and sexually exploit young women. Similarly, Diddy is accused of coercing adult women, with allegations of threats, violence, and manipulation, including using drugs to maintain control. In both cases, the prosecution has built a narrative that emphasizes the use of power to force complianceBoth cases involve sophisticated efforts to conceal the abuse. R. Kelly used his wealth and influence to silence victims and avoid legal consequences for years. Diddy's case also alleges that he used his network of business connections and financial resources to pay off victims, keep his actions hidden, and control the narrative around his conduct. Both men are accused of orchestrating a broad network of people and resources to maintain their abusive activities and evade justice.The similarities between the R. Kelly and Sean "Diddy" Combs cases lie in the pattern of long-term, systematic abuse, the use of celebrity status to facilitate and cover up crimes, and the application of RICO charges to hold these individuals accountable. In this episode we take a look at those similiarities.(commercial at 10:08)to contact me:bobbycapucci@protonmail.comsource:The Sean ‘Diddy' Combs case brings to mind R. Kelly criminal case | CNN
The similarities between the indictment and conviction of R. Kelly and the indictment of Sean "Diddy" Combs are indeed striking and noteworthy. In this episode we take a look at some of the core parallels. Both R. Kelly and Diddy have been indicted under the Racketeer Influenced and Corrupt Organizations (RICO) Act. This is significant because the RICO statute was traditionally used to prosecute organized crime but is now being applied to individuals accused of long-term patterns of sexual abuse. Prosecutors argue that both men ran "enterprises" through which they were able to commit and conceal their crimes. In R. Kelly's case, his team—managers, bodyguards, and assistants—helped him recruit, exploit, and silence victims. Similarly, Diddy is accused of using his business empire and staff to coerce women into sexual activity and to cover up the abuse.In both cases, the allegations point to systemic, decades-long abuse. R. Kelly's sexual abuse spanned decades, involving minors, child pornography, and coercion. Diddy's indictment, while focused on adult women, similarly accuses him of long-term, repeated abuse, where he allegedly leveraged his power and wealth to manipulate victims.Both R. Kelly and allegedly Diddy used their status as powerful figures in the music industry to facilitate their crimes. Their fame afforded them protection, access to vulnerable individuals, and influence over those around them, including their teams, who allegedly helped perpetuate and cover up the abuse. This exploitation of celebrity status is a central theme in both cases, as both men allegedly relied on their empires to intimidate victims and prevent them from coming forward.Both men are accused of manipulating and coercing victims into sexual activities. R. Kelly used coercion, often involving minors, to control and sexually exploit young women. Similarly, Diddy is accused of coercing adult women, with allegations of threats, violence, and manipulation, including using drugs to maintain control. In both cases, the prosecution has built a narrative that emphasizes the use of power to force complianceBoth cases involve sophisticated efforts to conceal the abuse. R. Kelly used his wealth and influence to silence victims and avoid legal consequences for years. Diddy's case also alleges that he used his network of business connections and financial resources to pay off victims, keep his actions hidden, and control the narrative around his conduct. Both men are accused of orchestrating a broad network of people and resources to maintain their abusive activities and evade justice.The similarities between the R. Kelly and Sean "Diddy" Combs cases lie in the pattern of long-term, systematic abuse, the use of celebrity status to facilitate and cover up crimes, and the application of RICO charges to hold these individuals accountable. In this episode we take a look at those similiarities.(commercial at 10:08)to contact me:bobbycapucci@protonmail.comsource:The Sean ‘Diddy' Combs case brings to mind R. Kelly criminal case | CNNBecome a supporter of this podcast: https://www.spreaker.com/podcast/the-epstein-chronicles--5003294/support.
The similarities between the indictment and conviction of R. Kelly and the indictment of Sean "Diddy" Combs are indeed striking and noteworthy. In this episode we take a look at some of the core parallels. Both R. Kelly and Diddy have been indicted under the Racketeer Influenced and Corrupt Organizations (RICO) Act. This is significant because the RICO statute was traditionally used to prosecute organized crime but is now being applied to individuals accused of long-term patterns of sexual abuse. Prosecutors argue that both men ran "enterprises" through which they were able to commit and conceal their crimes. In R. Kelly's case, his team—managers, bodyguards, and assistants—helped him recruit, exploit, and silence victims. Similarly, Diddy is accused of using his business empire and staff to coerce women into sexual activity and to cover up the abuse.In both cases, the allegations point to systemic, decades-long abuse. R. Kelly's sexual abuse spanned decades, involving minors, child pornography, and coercion. Diddy's indictment, while focused on adult women, similarly accuses him of long-term, repeated abuse, where he allegedly leveraged his power and wealth to manipulate victims.Both R. Kelly and allegedly Diddy used their status as powerful figures in the music industry to facilitate their crimes. Their fame afforded them protection, access to vulnerable individuals, and influence over those around them, including their teams, who allegedly helped perpetuate and cover up the abuse. This exploitation of celebrity status is a central theme in both cases, as both men allegedly relied on their empires to intimidate victims and prevent them from coming forward.Both men are accused of manipulating and coercing victims into sexual activities. R. Kelly used coercion, often involving minors, to control and sexually exploit young women. Similarly, Diddy is accused of coercing adult women, with allegations of threats, violence, and manipulation, including using drugs to maintain control. In both cases, the prosecution has built a narrative that emphasizes the use of power to force complianceBoth cases involve sophisticated efforts to conceal the abuse. R. Kelly used his wealth and influence to silence victims and avoid legal consequences for years. Diddy's case also alleges that he used his network of business connections and financial resources to pay off victims, keep his actions hidden, and control the narrative around his conduct. Both men are accused of orchestrating a broad network of people and resources to maintain their abusive activities and evade justice.The similarities between the R. Kelly and Sean "Diddy" Combs cases lie in the pattern of long-term, systematic abuse, the use of celebrity status to facilitate and cover up crimes, and the application of RICO charges to hold these individuals accountable. In this episode we take a look at those similiarities.(commercial at 10:08)to contact me:bobbycapucci@protonmail.comsource:The Sean ‘Diddy' Combs case brings to mind R. Kelly criminal case | CNN
They told him to be strong. So he hid his pain, swallowed his tears, and smiled through the storms. This is for every man who was told to ‘man up.' Your emotions are valid. Express them. Don't bottle up or think that they are a sign of weakness.Your tears are natural because real men feel. Real men cry too. Crying doesn't make you less of a man. It makes you honest. It makes you human.Lets find our safe space, accept and express the emotions and heal.Arjuna surrendered to Sri Krishna with tears in his eyes before the Mahabharata war. Sri Rama broke down in front of Sita. After Sati's self-immolation, Shiva wept and roamed in grief, carrying her body. Bharata was shattered upon learning Rama was exiled; he expressed his emotions and refused the throne.Please share more examples in the comments.In Sanatana Dharma, emotions are not suppressed—they are purified and transformed.#MasculinityRedefined #ItsOkayToCry #MenCryToo#MentalHealthForMen #ItsOkayToNotBeOkay #BreakTheStigma #RedefiningStrength #HeFeelsToo #TearsAreValid #StrongMenFeel #ManEnoughToCry[Ramayana Lessons, Mahabharata Wisdom, Arjuna's Tears, Rama's Grief, Shiva's Loss, Yudhishthira's Regret, Sanatana Dharma Emotions, Vedic Masculinity, mens mental fitness month, mental health]Please support this podcast by pressing the follow button and support Chinmaya Mission Mumbai projects taken up by Swami Swatmananda, through generous donations. Contribution by Indians in INR can be made online using this link: https://bit.ly/gdswatmanDonors outside India who would like to offer any Gurudakshina/donation can send an email to enquiry@chinmayamissionmumbai.com with a cc to sswatmananda@gmail.com to get further details.These podcasts @ChinmayaShivam are also available on Spotify, Apple iTunes, Apple Podcasts, Podomatic, Amazon music and Google PodcastFB page: https://www.facebook.com/ChinmayaShivampageInsta: https://instagram.com/chinmayashivam?igshid=1twbki0v3vomtTwitter: https://twitter.com/chinmayashivamBlog: https://notesnmusings.blogspot.comLinkedIN: www.linkedin.com/in/swatmananda
Jan Overwijk discusses critical systems theory, sociologies of closure and openness, and cybernetic capitalism. Shownotes Jan Overwijk at the Frankfurt University Institute for Social Research: https://www.ifs.uni-frankfurt.de/personendetails/jan-overwijk.html Jan at the University of Humanistic Studies Utrecht: https://www.uvh.nl/university-of-humanistic-studies/contact/search-employees?person=jimxneoBsHowOfbPivN Overwijk, J. (2025). Cybernetic Capitalism. A Critical Theory of the Incommunicable. Fordham University Press. https://www.fordhampress.com/9781531508937/cybernetic-capitalism/ on the website of the distributor outside of North America you can order the book with a 30% discount with the code “FFF24”: https://www.combinedacademic.co.uk/9781531508937/cybernetic-capitalism/ on Niklas Luhmann: https://en.wikipedia.org/wiki/Niklas_Luhmann Baraldi, C., Corsi, G., & Esposito, E. (2021). Unlocking Luhmann. A Keyword Introduction to Systems Theory. transcript. https://www.transcript-verlag.de/978-3-8376-5674-9/unlocking-luhmann/ Fischer-Lescano, A. (2011). Critical Systems Theory. Philosophy & Social Criticism, 38(1), 3–23. https://journals.sagepub.com/doi/10.1177/0191453711421600 Möller, K., & Siri, J. (2023). Niklas Luhmann and Critical Systems Theory. In: R. Rogowski (Ed.), The Anthem Companion to Niklas Luhmann (pp. 141–154). https://www.cambridge.org/core/books/abs/anthem-companion-to-niklas-luhmann/niklas-luhmann-and-critical-systems-theory/982BC5427E171D2BA0D14364377A40F5 on Critical Theory: https://en.wikipedia.org/wiki/Critical_theory on Cybernetics: https://en.wikipedia.org/wiki/Cybernetics Future Histories explanation video on cybernetics (in German): https://youtu.be/QBKC9mM8-so?si=64v0OgBKV3xjXvLl on Humberto Matuarana: https://en.wikipedia.org/wiki/Humberto_Maturana on Francisco Varela: https://en.wikipedia.org/wiki/Francisco_Varela Maturana, H. R., & Varela, F. J. (1992). Tree of Knowledge: The Biological Roots of Human Understanding. Shambhala. https://uranos.ch/research/references/Maturana1988/maturana-h-1987-tree-of-knowledge-bkmrk.pdf on Ferdinand de Saussure: https://en.wikipedia.org/wiki/Ferdinand_de_Saussure on Post-Structuralism: https://en.wikipedia.org/wiki/Post-structuralism on the differentiation of society into subsystems: https://en.wikipedia.org/wiki/Differentiation_(sociology) on Jaques Derrida: https://en.wikipedia.org/wiki/Jacques_Derrida Bob Jessop on Luhmann and the concept of “ecological dominance”: https://www.researchgate.net/publication/318543419_The_relevance_of_Luhmann%27s_systems_theory_and_of_Laclau_and_Mouffe%27s_discourse_analysis_to_the_elaboration_of_Marx%27s_state_theory Jessop, B. (2010). From Hegemony to Crisis? The Continuing Ecological Dominance of Neoliberalism. In: K. Birch & V. Mykhnenko (Eds.). Rise and Fall of Neoliberalism: The Collapse of an Economic Order? (pp. 171–187). Zed Books. https://www.researchgate.net/publication/318524063_The_continuing_ecological_dominance_of_neoliberalism_in_the_crisis on Surplus Value in Marx and Marxism: https://en.wikipedia.org/wiki/Surplus_value on Louis Althusser: https://en.wikipedia.org/wiki/Louis_Althusser Althusser, L. (2014). On the Reproduction of Capitalism: Ideology and Ideological State Apparatuses. Verso. https://legalform.blog/wp-content/uploads/2017/11/althusser-on-the-reproduction-of-capitalism.pdf on Stuart Hall: https://en.wikipedia.org/wiki/Stuart_Hall_(cultural_theorist) on Capital Strikes: https://en.wikipedia.org/wiki/Capital_strike on the concept of “rationalization” in sociology: https://en.wikipedia.org/wiki/Rationalization_(sociology) on Max Weber: https://en.wikipedia.org/wiki/Max_Weber Weber, M. (2005). The Protestant Ethic and the Spirit of Capitalism. Routledge. https://gpde.direito.ufmg.br/wp-content/uploads/2019/03/MAX-WEBER.pdf Zuboff, S. (2019). The Age of Surveillance Capitalism: The Fight for a Human Future at the New Frontier of Power. Profile Books. https://profilebooks.com/work/the-age-of-surveillance-capitalism/ on Surveillance Capitalism: https://en.wikipedia.org/wiki/Surveillance_capitalism on Herbert Marcuse: https://en.wikipedia.org/wiki/Herbert_Marcuse Marcuse, H. (2002). One-Dimensional Man. Studies in the Ideology of Advanced Industrial Society. Routledge. https://files.libcom.org/files/Marcuse,%20H%20-%20One-Dimensional%20Man,%202nd%20edn.%20(Routledge,%202002).pdf on Jürgen Habermas: https://en.wikipedia.org/wiki/J%C3%BCrgen_Habermas on Jean-François Lyotard: https://en.wikipedia.org/wiki/Jean-Fran%C3%A7ois_Lyotard Lyotard, J.-F. (1988). The Differend. Phrases in Dispute. University of Minnesota Press. https://www.upress.umn.edu/9780816616114/differend/ on Thermodynamics: https://en.wikipedia.org/wiki/Thermodynamics on the Technocracy Movement: https://en.wikipedia.org/wiki/Technocracy_movement Bauman, Z. (2000). Liquid Modernity. Polity. https://giuseppecapograssi.wordpress.com/wp-content/uploads/2014/01/bauman-liquid-modernity.pdf on New Materialism: https://en.wikipedia.org/wiki/New_materialism on Gilles Deleuze: https://en.wikipedia.org/wiki/Gilles_Deleuze on Bruno Latour: https://en.wikipedia.org/wiki/Bruno_Latour on Donna Haraway: https://en.wikipedia.org/wiki/Donna_Haraway for criticisms of new materialism and associated tendencies and authors: Malm, A. (2018). The Progress of this Storm. Nature and Society in a Warming World. Verso. https://www.versobooks.com/products/574-the-progress-of-this-storm Brown, W. (2019). In the Ruins of Neoliberalism: The Rise of Antidemocratic Politics in the West. Columbia University Press. https://www.social-ecology.org/wp/wp-content/uploads/2023/05/The-Wellek-Library-Lectures-Wendy-Brown-In-the-Ruins-of-Neoliberalism_-The-Rise-of-Antidemocratic-Politics-in-the-West-Columbia-University-Press-2019.pdf Hendrikse, R. (2018). Neo-illiberalism. Geoforum, 95, 169–172. https://www.sciencedirect.com/science/article/abs/pii/S0016718518302057 on N. Katherine Hayles: https://en.wikipedia.org/wiki/N._Katherine_Hayles Deleuze, G. (1992). Postscript on the Societies of Control. October. Vol. 59. (Winter 1992), 3-7. https://cidadeinseguranca.wordpress.com/wp-content/uploads/2012/02/deleuze_control.pdf Brenner, R., Glick, M. (1991). The Regulation Approach. Theory and History. New Left Review. 1/188. https://newleftreview.org/issues/i188/articles/robert-brenner-mark-glick-the-regulation-approach-theory-and-history.pdf on the “Regulation School”: https://en.wikipedia.org/wiki/Regulation_school Chiapello, E., & Boltanski, L. (2018). The New Spirit of Capitalism. Verso. https://www.versobooks.com/products/1980-the-new-spirit-of-capitalism Hardt, M., & Negri, A. (2000). Empire. Harvard University Press. https://monoskop.org/images/9/95/Hardt_Michael_Negri_Antonio_Empire.pdf on the Tierra Artificial Life Program: https://en.wikipedia.org/wiki/Tierra_(computer_simulation) on Gilbert Simondon: https://en.wikipedia.org/wiki/Gilbert_Simondon on Karen Barad: https://en.wikipedia.org/wiki/Karen_Barad on Post-Fordism: https://en.wikipedia.org/wiki/Post-Fordism on Taylorism: https://en.wikipedia.org/wiki/Scientific_management Srnicek, N. (2017). Platform Capitalism. Polity. https://www.politybooks.com/bookdetail?book_slug=platform-capitalism--9781509504862 Hayek, F. A. (2014). The Constitution of Liberty. Routledge. https://ia600805.us.archive.org/35/items/TheConstitutionOfLiberty/The%20Constitution%20of%20Liberty.pdf van Dyk, S. (2018). Post-Wage Politics and the Rise of Community Capitalism. Work, Employment and Society, 32(3), 528–545. https://journals.sagepub.com/doi/10.1177/0950017018755663 on Rosa Luxemburg: https://en.wikipedia.org/wiki/Rosa_Luxemburg on Luxemburg's thought on imperialism: https://www.rosalux.de/en/news/id/44096/rosa-luxemburgs-heterodox-view-of-the-global-south Fraser, N. (2022). Cannibal Capitalism. How our System is Devouring Democracy, Care, and the Planet and What We Can Do About It. Verso. https://www.versobooks.com/products/2685-cannibal-capitalism on Mariarosa Dalla Costa: https://en.wikipedia.org/wiki/Mariarosa_Dalla_Costa on the “Wages for Housework” Campaign: https://en.wikipedia.org/wiki/Wages_for_Housework Moore, J. W. (2015). Capitalism in the Web of Life: Ecology and the Accumulation of Capital. Verso. https://www.versobooks.com/products/74-capitalism-in-the-web-of-life on Stafford Beer: https://en.wikipedia.org/wiki/Stafford_Beer Pickering, A. (2010). The Cybernetic Brain: Sketches of Another Future. University of Chicago Press. https://press.uchicago.edu/ucp/books/book/chicago/C/bo8169881.html Foucualt's quote on socialist governmentality is from this book: Foucault, M. (2008). The Birth of Biopolitics: Lectures at the Collège de France, 1978-1979. Palgrave Macmillan. https://1000littlehammers.wordpress.com/wp-content/uploads/2010/02/birth_of_biopolitics.pdf Groos, J. (2025). Planning as an Art of Government. In: J. Groos & C. Sorg (Eds.). Creative Construction. Democratic Planning in the 21st Century and Beyond (pp. 115-132). Bristol University Press. https://bristoluniversitypress.co.uk/creative-construction Future Histories Episodes on Related Topics S03E30 | Matt Huber & Kohei Saito on Growth, Progress and Left Imaginaries https://futurehistories-international.com/episodes/s03/e30-matt-huber-kohei-saito-on-growth-progress-and-left-imaginaries/ S03E29 | Nancy Fraser on Alternatives to Capitalism https://futurehistories-international.com/episodes/s03/e29-nancy-fraser-on-alternatives-to-capitalism/ S03E19 | Wendy Brown on Socialist Governmentality https://futurehistories-international.com/episodes/s03/e19-wendy-brown-on-socialist-governmentality/ S03E04 | Tim Platenkamp on Republican Socialism, General Planning and Parametric Control https://futurehistories-international.com/episodes/s03/e04-tim-platenkamp-on-republican-socialism-general-planning-and-parametric-control/ S03E03 | Planning for Entropy on Sociometabolic Planning https://futurehistories-international.com/episodes/s03/e03-planning-for-entropy-on-sociometabolic-planning/ S02E31 | Thomas Swann on Anarchist Cybernetics https://futurehistories-international.com/episodes/s02/e31-thomas-swann-on-anarchist-cybernetics/ --- If you are interested in democratic economic planning, these resources might be of help: Democratic planning – an information website https://www.democratic-planning.com/ Sorg, C. & Groos, J. (eds.)(2025). Rethinking Economic Planning. Competition & Change Special Issue Volume 29 Issue 1. https://journals.sagepub.com/toc/ccha/29/1 Groos, J. & Sorg, C. (2025). Creative Construction - Democratic Planning in the 21st Century and Beyond. Bristol University Press. [for a review copy, please contact: amber.lanfranchi[at]bristol.ac.uk] https://bristoluniversitypress.co.uk/creative-construction International Network for Democratic Economic Planning https://www.indep.network/ Democratic Planning Research Platform: https://www.planningresearch.net/ --- Future Histories Contact & Support If you like Future Histories, please consider supporting us on Patreon: https://www.patreon.com/join/FutureHistories Contact: office@futurehistories.today Twitter: https://twitter.com/FutureHpodcast Instagram: https://www.instagram.com/futurehpodcast/ Mastodon: https://mstdn.social/@FutureHistories English webpage: https://futurehistories-international.com Episode Keywords #JanOverwijk, #JanGroos, #Interview, #FutureHistories, #FutureHistoriesInternational, #futurehistoriesinternational, #NiklasLuhmann, #FrankfurtSchool, #CriticalTheory, #SystemsTheory, #Sociology, #MaxWeber, #Economy, #Capitalism, #CapitalistState, #Cybernetics, #Rationalization, #PoliticalEconomy, #DemocraticPlanning, #DemocraticEconomicPlanning, #Governmentality, #Ecology, #NewMaterialism, #Posthumanism, #CyberneticCapitalism, #Totality
Please support this podcast by pressing the follow button and support Chinmaya Mission Mumbai projects taken up by Swami Swatmananda, through generous donations. Contribution by Indians in INR can be made online using this link: https://bit.ly/gdswatmanDonors outside India who would like to offer any Gurudakshina/donation can send an email to enquiry@chinmayamissionmumbai.com with a cc to sswatmananda@gmail.com to get further details.These podcasts @ChinmayaShivam are also available on Spotify, Apple iTunes, Apple Podcasts, Podomatic, Amazon music and Google PodcastFB page: https://www.facebook.com/ChinmayaShivampageInsta: https://instagram.com/chinmayashivam?igshid=1twbki0v3vomtTwitter: https://twitter.com/chinmayashivamBlog: https://notesnmusings.blogspot.comLinkedIN: www.linkedin.com/in/swatmananda
Please support this podcast by pressing the follow button and support Chinmaya Mission Mumbai projects taken up by Swami Swatmananda, through generous donations. Contribution by Indians in INR can be made online using this link: https://bit.ly/gdswatmanDonors outside India who would like to offer any Gurudakshina/donation can send an email to enquiry@chinmayamissionmumbai.com with a cc to sswatmananda@gmail.com to get further details.These podcasts @ChinmayaShivam are also available on Spotify, Apple iTunes, Apple Podcasts, Podomatic, Amazon music and Google PodcastFB page: https://www.facebook.com/ChinmayaShivampageInsta: https://instagram.com/chinmayashivam?igshid=1twbki0v3vomtTwitter: https://twitter.com/chinmayashivamBlog: https://notesnmusings.blogspot.comLinkedIN: www.linkedin.com/in/swatmananda
Welcome to Ask Stago, The Podcast dedicated to provide expert answers to your expert questions in coagulation. In this “back to basics” mini-series, Dr LaShanta Brice will discuss the clinical utility of the three most common parameters tested in the lab, the PT, APTT and Fibrinogen. Today we are going to cover the Prothrombin Time! We will discover why an order for a PT would be received by the lab, generally why the PT is used in practice and some emerging trends particularly when considering the INR clinic. Happy listening! Literature source: CLSI H47 One-Stage Prothrombin Time (PT) Test and Activated Partial Thromboplastin Time (APTT) Test Content is scientific and technical in nature. It is intended as an educational tool for laboratory professionals and topics discussed are not intended as recommendations or as commentary on appropriate clinical practice.
Please support this podcast by pressing the follow button and support Chinmaya Mission Mumbai projects taken up by Swami Swatmananda, through generous donations. Contribution by Indians in INR can be made online using this link: https://bit.ly/gdswatmanDonors outside India who would like to offer any Gurudakshina/donation can send an email to enquiry@chinmayamissionmumbai.com with a cc to sswatmananda@gmail.com to get further details.These podcasts @ChinmayaShivam are also available on Spotify, Apple iTunes, Apple Podcasts, Podomatic, Amazon music and Google PodcastFB page: https://www.facebook.com/ChinmayaShivampageInsta: https://instagram.com/chinmayashivam?igshid=1twbki0v3vomtTwitter: https://twitter.com/chinmayashivamBlog: https://notesnmusings.blogspot.comLinkedIN: www.linkedin.com/in/swatmananda
Please support this podcast by pressing the follow button and support Chinmaya Mission Mumbai projects taken up by Swami Swatmananda, through generous donations. Contribution by Indians in INR can be made online using this link: https://bit.ly/gdswatmanDonors outside India who would like to offer any Gurudakshina/donation can send an email to enquiry@chinmayamissionmumbai.com with a cc to sswatmananda@gmail.com to get further details.These podcasts @ChinmayaShivam are also available on Spotify, Apple iTunes, Apple Podcasts, Podomatic, Amazon music and Google PodcastFB page: https://www.facebook.com/ChinmayaShivampageInsta: https://instagram.com/chinmayashivam?igshid=1twbki0v3vomtTwitter: https://twitter.com/chinmayashivamBlog: https://notesnmusings.blogspot.comLinkedIN: www.linkedin.com/in/swatmananda
Please support this podcast by pressing the follow button and support Chinmaya Mission Mumbai projects taken up by Swami Swatmananda, through generous donations. Contribution by Indians in INR can be made online using this link: https://bit.ly/gdswatmanDonors outside India who would like to offer any Gurudakshina/donation can send an email to enquiry@chinmayamissionmumbai.com with a cc to sswatmananda@gmail.com to get further details.These podcasts @ChinmayaShivam are also available on Spotify, Apple iTunes, Apple Podcasts, Podomatic, Amazon music and Google PodcastFB page: https://www.facebook.com/ChinmayaShivampageInsta: https://instagram.com/chinmayashivam?igshid=1twbki0v3vomtTwitter: https://twitter.com/chinmayashivamBlog: https://notesnmusings.blogspot.comLinkedIN: www.linkedin.com/in/swatmananda
“I think that my analytic awareness of denial and projection and the concreteness of psychic reality when executive function wanes, that I could help the other caretakers to understand some of what was going on - to give them a way to understand that relieves their sense of frustration and uncertainty. I think that the analytic awareness of denial, of projection, that these things are not generally recognized by many caretakers, but it does reorient and make the caretaking function much more tolerable. It expands the understanding of what goes on in the waning personality. I also think that analytic work fosters the capacity to tolerate ambiguity, uncertainty, pain and frustration and in that way may allow us, the analytic mind, to tolerate some of the intense affect - as sort of the phrase I love from an Italian analyst, as “writings waiting to be completed” - by the analytic mind. We can hold and metabolize the difficulty and offer that kind of function rather than unpleasantness just to be rid of. These are some of the things that I felt are useful as a psychoanalyst.” Episode Description: We begin with describing how dementia is a cloud over our field both for individuals and for institutes. Maxine then introduces us to 'Sally' who was her analysand 40 years prior to recontacting her to care for her cognitive decline. Maxine mentions that just hearing her former patient's voice instantly brought alive her past experiences with her. We discuss how she approached the issue of caring for her and her neurological condition. We consider the at times overlap between psychogenic and organic symptoms and she shares with us her countertransference experiences of herself losing her memory. Maxine also shares her approach to answering Sally's questions about the possibility of recovering. We close with her describing how she feels that being an analyst aided her care of Sally and what she learned from that experience that she brought to her other patients -"to face the pain of difficult truths." Our Guest: Maxine Anderson, MD, is a training and supervising analyst at the Northwestern Psychoanalytic Society and Institute, the Seattle Psychoanalytic Institute and Society and the Canadian Psychoanalytic Society. Originally trained in psychiatry, she pursued psychoanalytic training in Seattle in the early 1970s and then pursued post-graduate work at the British Psychoanalytical Society for 8 years, returning to Seattle in 1992. Thereafter, she became a Founding Member of the Northwestern Psychoanalytic Society and Institute. Maxine has published several articles, and chapters and 3 books, the most recent being The Hardest Passage: a psychoanalyst accompanies her patient's journey into dementia (Karnac, 2025). Feeling herself now to be an Elder in life and in her field, Maxine hopes to continue to think and write about this phase of personal and professional life. Recommended Readings: Balfour, A. (2007). Facts, phenomenology, and psychoanalytic contributions to dementia care. In: R. Davenhill (Ed.) Looking into Later Life: a psychoanalytic approach to depression and dementia in Old Age. (pp. 222–247). London: Routledge, 2007. Davenhill, R. (Ed.) (2007) Looking into Later Life. A Psychoanalytic approach to Depression and Dementia in Old Age. London: Karnac. Davenhill, R. (2007). No truce with the furies: issues of containment in the provision of care for people with dementia and those who care for them. In: R. Davenhill ( Ed.), Looking into later life: a psychoanalytic approach to dementia and depression in old age. (pp. 201-221). London: Routledge. Evans, S. (2008). “Beyond forgetfulness”: How psychoanalytic ideas can help us to understand the experience of patients with dementia”. Psychoanalytic Psychotherapy, 22(3):155–176. Kitwood, T. (1997). Dementia Reconsidered: The Person Comes First. Milton Keynes: Open University Press. Malloy, L (2009). Thinking about dementia – a psychodynamic understanding of links between early infantile experience and dementia. Psychoanalytic Psychotherapy, 23(2): 109–120. Plotkin, D. (2014). Older adults and psychoanalytic treatment: It's about time. Psychodynamic Psychiatry, 42(1): 23–60. Sherwood, J. (2019). Dementia: childhood and loss. In White, K. Cotter, A. & Leventhal, H. (Eds.), Dementia: An Attachment Approach. London: Routledge.
Please support this podcast by pressing the follow button and support Chinmaya Mission Mumbai projects taken up by Swami Swatmananda, through generous donations. Contribution by Indians in INR can be made online using this link: https://bit.ly/gdswatmanDonors outside India who would like to offer any Gurudakshina/donation can send an email to enquiry@chinmayamissionmumbai.com with a cc to sswatmananda@gmail.com to get further details.These podcasts @ChinmayaShivam are also available on Spotify, Apple iTunes, Apple Podcasts, Podomatic, Amazon music and Google PodcastFB page: https://www.facebook.com/ChinmayaShivampageInsta: https://instagram.com/chinmayashivam?igshid=1twbki0v3vomtTwitter: https://twitter.com/chinmayashivamBlog: https://notesnmusings.blogspot.comLinkedIN: www.linkedin.com/in/swatmananda
Please support this podcast by pressing the follow button and support Chinmaya Mission Mumbai projects taken up by Swami Swatmananda, through generous donations. Contribution by Indians in INR can be made online using this link: https://bit.ly/gdswatmanDonors outside India who would like to offer any Gurudakshina/donation can send an email to enquiry@chinmayamissionmumbai.com with a cc to sswatmananda@gmail.com to get further details.These podcasts @ChinmayaShivam are also available on Spotify, Apple iTunes, Apple Podcasts, Podomatic, Amazon music and Google PodcastFB page: https://www.facebook.com/ChinmayaShivampageInsta: https://instagram.com/chinmayashivam?igshid=1twbki0v3vomtTwitter: https://twitter.com/chinmayashivamBlog: https://notesnmusings.blogspot.comLinkedIN: www.linkedin.com/in/swatmananda
Please support this podcast by pressing the follow button and support Chinmaya Mission Mumbai projects taken up by Swami Swatmananda, through generous donations. Contribution by Indians in INR can be made online using this link: https://bit.ly/gdswatmanDonors outside India who would like to offer any Gurudakshina/donation can send an email to enquiry@chinmayamissionmumbai.com with a cc to sswatmananda@gmail.com to get further details.These podcasts @ChinmayaShivam are also available on Spotify, Apple iTunes, Apple Podcasts, Podomatic, Amazon music and Google PodcastFB page: https://www.facebook.com/ChinmayaShivampageInsta: https://instagram.com/chinmayashivam?igshid=1twbki0v3vomtTwitter: https://twitter.com/chinmayashivamBlog: https://notesnmusings.blogspot.comLinkedIN: www.linkedin.com/in/swatmananda
Please support this podcast by pressing the follow button and support Chinmaya Mission Mumbai projects taken up by Swami Swatmananda, through generous donations. Contribution by Indians in INR can be made online using this link: https://bit.ly/gdswatmanDonors outside India who would like to offer any Gurudakshina/donation can send an email to enquiry@chinmayamissionmumbai.com with a cc to sswatmananda@gmail.com to get further details.These podcasts @ChinmayaShivam are also available on Spotify, Apple iTunes, Apple Podcasts, Podomatic, Amazon music and Google PodcastFB page: https://www.facebook.com/ChinmayaShivampageInsta: https://instagram.com/chinmayashivam?igshid=1twbki0v3vomtTwitter: https://twitter.com/chinmayashivamBlog: https://notesnmusings.blogspot.comLinkedIN: www.linkedin.com/in/swatmananda
In dieser Folge erfährst du: Warum echte Liebe erst möglich ist, wenn du dich selbst lieben lernst – mit tiefen, emotionalen Impulsen und wissenschaftlichen Studien. Was Selbstwert und Selbstmitgefühl mit gesunden Beziehungen zu tun haben – und wie du emotionale Abhängigkeit vermeidest. 7 konkrete Dinge, die du für dich selbst tun solltest, bevor du jemanden liebst – mit Beispielen, Bildern & Reflexionen. Reflexionsfragen, die dich einladen, deine eigenen Muster zu erkennen und zu transformieren. Buche dir dein kostenfreies Erstgespräch: Fülle 7 Fragen aus und buche dir ein kostenfreies Erstgespräch zur HEARTset-Journey: Hier klicken! Werde zertifizierter Heartset-Coach: Lerne Menschen auf ihrem Weg zur Selbstliebe professionell zu begleiten: Alle Infos hier! Studien: Studie: Neff, K. D. (2003). The development and validation of a scale to measure self-compassion. Self and Identity, 2(3), 223–250. Zusammenfassung: In dieser bahnbrechenden Studie entwickelte Dr. Kristin Neff die Self-Compassion Scale (SCS), ein Instrument zur Messung von Selbstmitgefühl. Die Forschung zeigt, dass Selbstmitgefühl mit größerer emotionaler Resilienz, weniger Angstzuständen und höherem Wohlbefinden verbunden ist. Quelle --------- Studie: Murray, S. L., Holmes, J. G., & Griffin, D. W. (2000). Self-esteem and the quest for felt security: How perceived regard regulates attachment processes. Journal of Personality and Social Psychology, 78(3), 478–498. Zusammenfassung: Diese Studie zeigt, dass Personen mit niedrigem Selbstwertgefühl dazu neigen, die positive Wahrnehmung ihrer Partner zu unterschätzen, was zu Unsicherheiten in Beziehungen führt. Ein stabiles Selbstwertgefühl fördert hingegen Vertrauen und Sicherheit in romantischen Bindungen. --------- Studie: Finkel, E. J., & Fitzsimons, G. M. (2010). The effects of self-regulation on social relationships. In R. F. Baumeister & K. D. Vohs (Eds.), Handbook of Self-Regulation: Research, Theory, and Applications (2nd ed., pp. 407–421). Zusammenfassung: Diese Forschung untersucht, wie Selbstregulationsfähigkeiten die Qualität sozialer Beziehungen beeinflussen. Personen mit hoher Selbstregulation zeigen tendenziell mehr Empathie, Geduld und Konfliktlösungsfähigkeiten, was zu stabileren und erfüllenderen Beziehungen führt.
ANGELA'S SYMPOSIUM 📖 Academic Study on Witchcraft, Paganism, esotericism, magick and the Occult
In this episode, we dive deep into the esoteric teachings of Helena Petrovna Blavatsky, co-founder of the Theosophical Society and one of the most influential occult thinkers of the nineteenth century. Focusing on her mature doctrine of reincarnation as outlined in The Secret Doctrine (1888), we explore how Blavatsky moved away from earlier notions of metempsychosis to formulate a complex cosmology in which the soul—or monad—undergoes countless rebirths across vast spans of cosmic time.Drawing on Theosophical anthropology, planetary evolution, and the doctrine of karma, this episode unpacks Blavatsky's concept of the saptaparna, the sevenfold human constitution, and the soul's gradual progression through root races, planetary rounds, and astral realms. We examine how Blavatsky's vision was both impersonal and democratic, placing individual suffering within a broader metaphysical narrative of spiritual evolution and cosmic justice.CONNECT & SUPPORT
This week, we round out our discussion we started in our prior episode on APLS, this time focusing on management. Stick around until the end to hear Dan and Vivek battle it out about the optimal time to recommend APLS testing for your patients!If you have not done so already, we highly recommend you check out episode 134 (diagnosis of APLS) prior to jumping into this one!Episode contents:- What is the best choice of anticoagulant? - Is a higher INR better for warfarin? - Are DOACs acceptable options? - What is the optimal time to send APLS testing? **** Get paid to participate in market research surveys: https://affiliatepanel.members-only.online/FOC_24?utm_campaign=FOC&utm_source=email&utm_medium=email** Want to review the show notes for this episode and others? Check out our website: https://www.thefellowoncall.com/our-episodesLove what you hear? Tell a friend and leave a review on our podcast streaming platforms!Twitter: @TheFellowOnCallInstagram: @TheFellowOnCallListen in on: Apple Podcast, Spotify, and Google Podcast
Hello Interactors,This week, the European Space Agency launched a satellite to "weigh" Earth's 1.5 trillion trees. It will give scientists deeper insight into forests and their role in the climate — far beyond surface readings. Pretty cool. And it's coming from Europe.Meanwhile, I learned that the U.S. Secretary of Defense — under Trump — had a makeup room installed in the Pentagon to look better on TV. Also pretty cool, I guess. And very American.The contrast was hard to miss. Even with better data, the U.S. shows little appetite for using geographic insight to actually address climate change. Information is growing. Willpower, not so much.So it was oddly clarifying to read a passage Christopher Hobson posted on Imperfect Notes from a book titled America by a French author — a travelogue of softs. Last week I offered new lenses through which to see the world, I figured I'd try this French pair on — to see America, and the world it effects, as he did.PAPER, POWER, AND PROJECTIONI still have a folded paper map of Seattle in the door of my car. It's a remnant of a time when physical maps reflected the reality before us. You unfolded a map and it innocently offered the physical world on a page. The rest was left to you — including knowing how to fold it up again.But even then, not all maps were neutral or necessarily innocent. Sure, they crowned capitals and trimmed borders, but they could also leave things out or would make certain claims. From empire to colony, from mission to market, maps often arrived not to reflect place, but to declare control of it. Still, we trusted it…even if was an illusion.I learned how to interrogate maps in my undergraduate history of cartography class — taught by the legendary cartographer Waldo Tobler. But even with that knowledge, when I was then taught how to make maps, that interrogation was more absent. I confidently believed I was mediating truth. The lines and symbols I used pointed to substance; they signaled a thing. I traced rivers from existing base maps with a pen on vellum and trusted they existed in the world as sure as the ink on the page. I cut out shading for a choropleth map and believed it told a stable story about population, vegetation, or economics. That trust was embodied in representation — the idea that a sign meant something enduring. That we could believe what maps told us.This is the world of semiotics — the study of how signs create meaning. American philosopher Charles Sanders Peirce offered a sturdy model: a sign (like a map line) refers to an object (the river), and its meaning emerges in interpretation. Meaning, in this view, is relational — but grounded. A stop sign, a national anthem, a border — they meant something because they pointed beyond themselves, to a world we shared.But there are cracks in this seemingly sturdy model.These cracks pose this question: why do we trust signs in the first place? That trust — in maps, in categories, in data — didn't emerge from neutrality. It was built atop agendas.Take the first U.S. census in 1790. It didn't just count — it defined. Categories like “free white persons,” “all other free persons,” and “slaves” weren't neutral. They were political tools, shaping who mattered and by how much. People became variables. Representation became abstraction.Or Carl Linnaeus, the 18th-century Swedish botanist who built the taxonomies we still use: genus, species, kingdom. His system claimed objectivity but was shaped by distance and empire. Linnaeus never left Sweden. He named what he hadn't seen, classified people he'd never met — sorting humans into racial types based on colonial stereotypes. These weren't observations. They were projections based on stereotypes gathered from travelers, missionaries, and imperial officials.Naming replaced knowing. Life was turned into labels. Biology became filing. And once abstracted, it all became governable, measurable, comparable, and, ultimately, manageable.Maps followed suit.What once lived as a symbolic invitation — a drawing of place — became a system of location. I was studying geography at a time (and place) when Geographic Information Systems (GIS) and GIScience was transforming cartography. Maps weren't just about visual representations; they were spatial databases. Rows, columns, attributes, and calculations took the place of lines and shapes on map. Drawing what we saw turned to abstracting what could then be computed so that it could then be visualized, yes, but also managed.Chris Perkins, writing on the philosophy of mapping, argued that digital cartographies didn't just depict the world — they constituted it. The map was no longer a surface to interpret, but a script to execute. As critical geographers Sam Hind and Alex Gekker argue, the modern “mapping impulse” isn't about understanding space — it's about optimizing behavior through it; in a world of GPS and vehicle automation, the map no longer describes the territory, it becomes it. Laura Roberts, writing on film and geography, showed how maps had fused with cinematic logic — where places aren't shown, but performed. Place and navigation became narrative. New York in cinema isn't a place — it's a performance of ambition, alienation, or energy. Geography as mise-en-scène.In other words, the map's loss of innocence wasn't just technical. It was ontological — a shift in the very nature of what maps are and what kind of reality they claim to represent. Geography itself had entered the domain of simulation — not representing space but staging it. You can simulate traveling anywhere in the world, all staged on Google maps. Last summer my son stepped off the train in Edinburgh, Scotland for the first time in his life but knew exactly where he was. He'd learned it driving on simulated streets in a simulated car on XBox. He walked us straight to our lodging.These shifts in reality over centuries weren't necessarily mistakes. They unfolded, emerged, or evolved through the rational tools of modernity — and for a time, they worked. For many, anyway. Especially for those in power, seeking power, or benefitting from it. They enabled trade, governance, development, and especially warfare. But with every shift came this question: at what cost?FROM SIGNS TO SPECTACLEAs early as the early 1900s, Max Weber warned of a world disenchanted by bureaucracy — a society where rationalization would trap the human spirit in what he called an iron cage. By mid-century, thinkers pushed this further.Michel Foucault revealed how systems of knowledge — from medicine to criminal justice — were entangled with systems of power. To classify was to control. To represent was to discipline. Roland Barthes dissected the semiotics of everyday life — showing how ads, recipes, clothing, even professional wrestling were soaked in signs pretending to be natural.Guy Debord, in the 1967 The Society of the Spectacle, argued that late capitalism had fully replaced lived experience with imagery. “The spectacle,” he wrote, “is not a collection of images, but a social relation among people, mediated by images.”Then came Jean Baudrillard — a French sociologist, media theorist, and provocateur — who pushed the critique of representation to its limit. In the 1980s, where others saw distortion, he saw substitution: signs that no longer referred to anything real. Most vividly, in his surreal, gleaming 1986 travelogue America, he described the U.S. not as a place, but as a performance — a projection without depth, still somehow running.Where Foucault showed that knowledge was power, and Debord showed that images replaced life, Baudrillard argued that signs had broken free altogether. A map might once distort or simplify — but it still referred to something real. By the late 20th century, he argued, signs no longer pointed to anything. They pointed only to each other.You didn't just visit Disneyland. You visited the idea of America — manufactured, rehearsed, rendered. You didn't just use money. You used confidence by handing over a credit card — a symbol of wealth that is lighter and moves faster than any gold.In some ways, he was updating a much older insight by another Frenchman. When Alexis de Tocqueville visited America in the 1830s, he wasn't just studying law or government — he was studying performance. He saw how Americans staged democracy, how rituals of voting and speech created the image of a free society even as inequality and exclusion thrived beneath it. Tocqueville wasn't cynical. He simply understood that America believed in its own image — and that belief gave it a kind of sovereign feedback loop.Baudrillard called this condition simulation — when representation becomes self-contained. When the distinction between real and fake no longer matters because everything is performance. Not deception — orchestration.He mapped four stages of this logic:* Faithful representation – A sign reflects a basic reality. A map mirrors the terrain.* Perversion of reality – The sign begins to distort. Think colonial maps as logos or exclusionary zoning.* Pretending to represent – The sign no longer refers to anything but performs as if it does. Disneyland isn't America — it's the fantasy of America. (ironically, a car-free America)* Pure simulation – The sign has no origin or anchor. It floats. Zillow heatmaps, Uber surge zones — maps that don't reflect the world, but determine how you move through it.We don't follow maps as they were once known anymore. We follow interfaces.And not just in apps. Cities themselves are in various stages of simulation. New York still sells itself as a global center. But in a distributed globalized and digitized economy, there is no center — only the perversion of an old reality. Paris subsidizes quaint storefronts not to nourish citizens, but to preserve the perceived image of Paris. Paris pretending to be Paris. Every city has its own marketing campaign. They don't manage infrastructure — they manage perception. The skyline is a product shot. The streetscape is marketing collateral and neighborhoods are optimized for search.Even money plays this game.The U.S. dollar wasn't always king. That title once belonged to the British pound — backed by empire, gold, and industry. After World War II, the dollar took over, pegged to gold under the Bretton Woods convention — a symbol of American postwar power stability…and perversion. It was forged in an opulent, exclusive, hotel in the mountains of New Hampshire. But designed in the style of Spanish Renaissance Revival, it was pretending to be in Spain. Then in 1971, Nixon snapped the dollar's gold tether. The ‘Nixon Shock' allowed the dollar to float — its value now based not on metal, but on trust. It became less a store of value than a vessel of belief. A belief that is being challenged today in ways that recall the instability and fragmentation of the pre-WWII era.And this dollar lives in servers, not Industrial Age iron vaults. It circulates as code, not coin. It underwrites markets, wars, and global finance through momentum alone. And when the pandemic hit, there was no digging into reserves.The Federal Reserve expanded its balance sheet with keystrokes — injecting trillions into the economy through bond purchases, emergency loans, and direct payments. But at the same time, Trump 1.0 showed printing presses rolling, stacks of fresh bills bundled and boxed — a spectacle of liquidity. It was monetary policy as theater. A simulation of control, staged in spreadsheets by the Fed and photo ops by the Executive Branch. Not to reflect value, but to project it. To keep liquidity flowing and to keep the belief intact.This is what Baudrillard meant by simulation. The sign doesn't lie — nor does it tell the truth. It just works — as long as we accept it.MOOD OVER MEANINGReality is getting harder to discern. We believe it to be solid — that it imposes friction. A law has consequences. A price reflects value. A city has limits. These things made sense because they resist us. Because they are real.But maybe that was just the story we told. Maybe it was always more mirage than mirror.Now, the signs don't just point to reality — they also replace it. We live in a world where the image outpaces the institution. Where the copy is smoother than the original. Where AI does the typing. Where meaning doesn't emerge — it arrives prepackaged and pre-viral. It's a kind of seductive deception. It's hyperreality where performance supersedes substance. Presence and posture become authority structured in style.Politics is not immune to this — it's become the main attraction.Trump's first 100 days didn't aim to stabilize or legislate but to signal. Deportation as UFC cage match — staged, brutal, and televised. Tariff wars as a way of branding power — chaos with a catchphrase. Climate retreat cast as perverse theater. Gender redefined and confined by executive memo. Birthright citizenship challenged while sedition pardoned. Even the Gulf of Mexico got renamed. These aren't policies, they're productions.Power isn't passing through law. It's passing through the affect of spectacle and a feed refresh.Baudrillard once wrote that America doesn't govern — it narrates. Trump doesn't manage policy, he manages mood. Like an actor. When America's Secretary of Defense, a former TV personality, has a makeup studio installed inside the Pentagon it's not satire. It's just the simulation, doing what it does best: shining under the lights.But this logic runs deeper than any single figure.Culture no longer unfolds. It reloads. We don't listen to the full album — we lift 10 seconds for TikTok. Music is made for algorithms. Fashion is filtered before it's worn. Selfhood is a brand channel. Identity is something to monetize, signal, or defend — often all at once.The economy floats too. Meme stocks. NFTs. Speculative tokens. These aren't based in value — they're based in velocity. Attention becomes the currency.What matters isn't what's true, but what trends. In hyperreality, reference gives way to rhythm. The point isn't to be accurate. The point is to circulate. We're not being lied to.We're being engaged. And this isn't a bug, it's a feature.Which through a Baudrillard lens is why America — the simulation — persists.He saw it early. Describing strip malls, highways, slogans, themed diners he saw an America that wasn't deep. That was its genius he saw. It was light, fast paced, and projected. Like the movies it so famously exports. It didn't need justification — it just needed repetition.And it's still repeating.Las Vegas is the cathedral of the logic of simulation — a city that no longer bothers pretending. But it's not alone. Every city performs, every nation tries to brand itself. Every policy rollout is scored like a product launch. Reality isn't navigated — it's streamed.And yet since his writing, the mood has shifted. The performance continues, but the music underneath it has changed. The techno-optimism of Baudrillard's ‘80s an ‘90s have curdled. What once felt expansive now feels recursive and worn. It's like a show running long after the audience has gone home. The rager has ended, but Spotify is still loudly streaming through the speakers.“The Kids' Guide to the Internet” (1997), produced by Diamond Entertainment and starring the unnervingly wholesome Jamison family. It captures a moment of pure techno-optimism — when the Internet was new, clean, and family-approved. It's not just a tutorial; it's a time capsule of belief, staged before the dream turned into something else. Before the feed began to feed on us.Trumpism thrives on this terrain. And yet the world is changing around it. Climate shocks, mass displacement, spiraling inequality — the polycrisis has a body count. Countries once anchored to American leadership are squinting hard now, trying to see if there's anything left behind the screen. Adjusting the antenna in hopes of getting a clearer signal. From Latin America to Southeast Asia to Europe, the question grows louder: Can you trust a power that no longer refers to anything outside itself?Maybe Baudrillard and Tocqueville are right — America doesn't point to a deeper truth. It points to itself. Again and again and again. It is the loop. And even now, knowing this, we can't quite stop watching. There's a reason we keep refreshing. Keep scrolling. Keep reacting. The performance persists — not necessarily because we believe in it, but because it's the only script still running.And whether we're horrified or entertained, complicit or exhausted, engaged or ghosted, hired or fired, immigrated or deported, one thing remains strangely true: we keep feeding it. That's the strange power of simulation in an attention economy. It doesn't need conviction. It doesn't need conscience. It just needs attention — enough to keep the momentum alive. The simulation doesn't care if the real breaks down. It just keeps rendering — soft, seamless, and impossible to look away from. Like a dream you didn't choose but can't wake up from.REFERENCESBarthes, R. (1972). Mythologies (A. Lavers, Trans.). Hill and Wang. (Original work published 1957)Baudrillard, J. (1986). America (C. Turner, Trans.). Verso.Debord, G. (1994). The Society of the Spectacle (D. Nicholson-Smith, Trans.). Zone Books. (Original work published 1967)Foucault, M. (1977). Discipline and Punish: The Birth of the Prison (A. Sheridan, Trans.). Vintage Books.Hind, S., & Gekker, A. (2019). On autopilot: Towards a flat ontology of vehicular navigation. In C. Lukinbeal et al. (Eds.), Media's Mapping Impulse. Franz Steiner Verlag.Linnaeus, C. (1735). Systema Naturae (1st ed.). Lugduni Batavorum.Perkins, C. (2009). Philosophy and mapping. In R. Kitchin & N. Thrift (Eds.), International Encyclopedia of Human Geography. Elsevier.Raaphorst, K., Duchhart, I., & van der Knaap, W. (2017). The semiotics of landscape design communication. Landscape Research.Roberts, L. (2008). Cinematic cartography: Movies, maps and the consumption of place. In R. Koeck & L. Roberts (Eds.), Cities in Film: Architecture, Urban Space and the Moving Image. University of Liverpool.Tocqueville, A. de. (2003). Democracy in America (G. Lawrence, Trans., H. Mansfield & D. Winthrop, Eds.). University of Chicago Press. (Original work published 1835)Weber, M. (1958). The Protestant Ethic and the Spirit of Capitalism (T. Parsons, Trans.). Charles Scribner's Sons. (Original work published 1905) This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit interplace.io
The similarities between the indictment and conviction of R. Kelly and the indictment of Sean "Diddy" Combs are indeed striking and noteworthy. In this episode we take a look at some of the core parallels. Both R. Kelly and Diddy have been indicted under the Racketeer Influenced and Corrupt Organizations (RICO) Act. This is significant because the RICO statute was traditionally used to prosecute organized crime but is now being applied to individuals accused of long-term patterns of sexual abuse. Prosecutors argue that both men ran "enterprises" through which they were able to commit and conceal their crimes. In R. Kelly's case, his team—managers, bodyguards, and assistants—helped him recruit, exploit, and silence victims. Similarly, Diddy is accused of using his business empire and staff to coerce women into sexual activity and to cover up the abuse.In both cases, the allegations point to systemic, decades-long abuse. R. Kelly's sexual abuse spanned decades, involving minors, child pornography, and coercion. Diddy's indictment, while focused on adult women, similarly accuses him of long-term, repeated abuse, where he allegedly leveraged his power and wealth to manipulate victims.Both R. Kelly and allegedly Diddy used their status as powerful figures in the music industry to facilitate their crimes. Their fame afforded them protection, access to vulnerable individuals, and influence over those around them, including their teams, who allegedly helped perpetuate and cover up the abuse. This exploitation of celebrity status is a central theme in both cases, as both men allegedly relied on their empires to intimidate victims and prevent them from coming forward.Both men are accused of manipulating and coercing victims into sexual activities. R. Kelly used coercion, often involving minors, to control and sexually exploit young women. Similarly, Diddy is accused of coercing adult women, with allegations of threats, violence, and manipulation, including using drugs to maintain control. In both cases, the prosecution has built a narrative that emphasizes the use of power to force complianceBoth cases involve sophisticated efforts to conceal the abuse. R. Kelly used his wealth and influence to silence victims and avoid legal consequences for years. Diddy's case also alleges that he used his network of business connections and financial resources to pay off victims, keep his actions hidden, and control the narrative around his conduct. Both men are accused of orchestrating a broad network of people and resources to maintain their abusive activities and evade justice.The similarities between the R. Kelly and Sean "Diddy" Combs cases lie in the pattern of long-term, systematic abuse, the use of celebrity status to facilitate and cover up crimes, and the application of RICO charges to hold these individuals accountable. In this episode we take a look at those similiarities.Kanye West, now known as Ye, released a new track titled "Lonely Roads Still Go to Sunshine," featuring his 11-year-old daughter, North West, alongside Sean "Diddy" Combs and his son, King Combs. The song, shared on March 15, 2025, begins with a phone conversation between West and Combs. North contributes a brief rap, delivering the line, "When you see me shining, then you see the light."The release has sparked significant controversy, as Kim Kardashian, West's ex-wife and North's mother, attempted to block the song's release. Citing concerns over their daughter's involvement and the association with Diddy, who is currently incarcerated awaiting trial for federal sex crimes, Kardashian sought legal intervention to prevent the song from being published. Despite her efforts, including a cease and desist demand and an emergency mediation attempt, West proceeded with the release, escalating tensions between the former couple.to contact me:bobbycapucci@protonmail.comBecome a supporter of this podcast: https://www.spreaker.com/podcast/the-epstein-chronicles--5003294/support.
In this episode, Deepak and Shray unpack the ins and outs of international investing—why it matters, when it makes sense, and who it's really for. From rupee depreciation to political and geographical risks, they explore the key reasons to diversify your portfolio beyond India's borders. They also discuss a crucial question: At what level of capital does it become meaningful to place your money outside? The conversation weaves in perspectives from investing greats—Peter Lynch, who believed in the power of consumer insight, and Devina Mehra, whose latest book "Money Myths and Mantras" emphasizes global allocation as a must-have strategy. With fresh data on market returns (both in INR and local currency terms), the duo breaks down how different regions have performed—why Europe and China have struggled, and how the US tech boom, largely driven by the Nasdaq, has outshone the rest. But can the US continue to dominate, especially in light of Fed Chairman Powell's recent remarks on tariffs? They also touch upon an important side of global investing: taxation. From the complexities of capital gains to the lesser-known estate tax, and how investment vehicles like UCITS can help navigate these issues. Tune in for a comprehensive, no-fluff guide to international investing—what works, what to watch out for, and how to do it right. 0:00 - 2:10 Introduction 2:11 - 8:27 Why should you invest abroad? 8:28 - 10:53 Economic growth ≠ Shareholder returns 10:54 - 19:35 How to select international investments? 19:36 - 27:31 Regular international investments 27:32 - 32:17 Commodity Diversification 32:18 - 40:50 Managed International Investment Solutions 40:51 - 43:37 Good time to global? 43:38 - 47:17 Domestic vs. International Brokers 47:18 - 50:34 Tax on Foreign Equity 50:35 - 54:17 Tax Collected at Source 54:18 - 56:38 U.S. Estate Taxes 56:39 - 59:50 UCITS -- More about us: https://cm.social/pms Connect with us : https://cm.social/pms-connect Deepak's Twitter: @deepakshenoy Shray's Twitter: @shraychandra Capitalmind Twitter: @capitalmind_in
ANGELA'S SYMPOSIUM 📖 Academic Study on Witchcraft, Paganism, esotericism, magick and the Occult
This episode explores key figures such as Helena Blavatsky and Rudolf Steiner, whose Theosophical and Anthroposophical systems redefined Lucifer as a bearer of divine knowledge and imagination rather than a malevolent entity. The analysis further considers contemporary Luciferian traditions, ritual practices, and psychological interpretations—particularly Jungian and post-Jungian approaches—positioning Lucifer within broader cultural shifts toward individual gnosis and alternative spiritualities. This episode contributes to a nuanced understanding of how religious symbols adapt across historical, philosophical, and ritual contexts.CONNECT & SUPPORT
Captīvus reductus Georgius Glezmann, quem Talibānī ab annō bis millēsimō vīcēsimō secundō vinculīs tenēbant, est līberātus atque in Americam reductus. Talibānī dīxērunt sē captīvum dīmīsisse nōn, ut aliquis Afghanus sibi trāderētur, sed ut signum bonae voluntātis Americānīs magistrātibus offerrent. Senātōrēs Eurōpaeī corruptī Pūblicus accūsātor Belgicus nūntiāvit quīnque hominēs reōs esse corruptiōnis, cum Huawei societas Sinica magna dōna senātōribus ab annō bis millēsimō vīcēsimō prīmō dare ferrētur. Inter eōs, quōrum scriptōria ā magistrātibus excussa sunt, numerātur Adam Mouchtar, quī ōlim sociātus erat cum Ēvā Kailī, annō bis millēsimō vīcēsimō secundō dōnōrum ab Qatarēnsibus acceptōrum accūsātā. Eō annō magistrātūs Americānī interdixērunt nē quis Americānus commercium cum Huawei habēret, ut quae societās cum speculātōribus Sinicīs coniunctior esset quam ut digna fidē vidērētur. Reclāmātur per Eurōpam Orientālem Multae cīvitātēs Eurōpaeae, quae ōlim in Ūniōnem Sovieticam ascītae vel cum illā foedere iunctae erant, nunc in factiōnēs dīviduntur. In Georgiā ab Octōbrī mēnse, in Rōmāniā Serbiāque ā Novembrī, et nuperrimē in Hungāriā reclāmātur. In Rōmāniā, in magistrātūs, qui metuunt nē speculātōrēs Russicī comitia populāria mēnse Māiō habenda subvertant, populārēs in Russōs prōniōrēs reclāmant; contrā in Georgiā reclāmātur in magistrātūs quī Russīs favent, cum populus in Ūniōnem Eurōpaeam ascīscī velle videātur. Hungāria autem et Slovacia habent magistrātūs quī secundum voluntātem populī Russīs nōn adversantur neque cupiunt ab Ūniōne Eurōpaeā Russīs īnfestā dēscīscere. Trēs reī terrōris in Teslam īnferendī Trēs hominēs, ūnus in Oregōniā cīvitāte, alter in Colōrātō, tertius in Carōlīnā Merīdiōnālī comprehēnsus, reī sunt terrōris in Teslam societatem īnferendī. Omnēs pyrobolīs Molotoviānīs armātī impetūs fēcērunt vel in ipsa ēlectrica vehicula, vel in tabernās ubi vehicula vēneunt, vel in statiōnēs ubi vehicula vī ēlectricā potius quam petroleō replentur. Imamoglu vinculīs tenētur Ekrem İmamoğlu, Cōnstanīnopolitānae urbis praefectus quī etiam mox nōminandus erat candidātus Recep Tayyip Erdoğan oppōnendus, comprehēnsus est et vinculīs tenētur; ambiguitur autem an sit crīmine accūsandus. Multī igitur reclāmant in magistrātūs, quippe quī magis salūtem factiōnis tuērī quam iustitiam retinēre videantur. Bellum cīvīle in Sudāniā Mīlitēs magistrātibus Sudāniēnsium fidēlēs palātium ā dēscīscentibus recēpērunt, quamquam in prōvinciīs occidentālibus Auxiliāriī Vēlōcēs, quī contrā exercitum magistrātūsque bellum cīvīle gerunt, adeō pollent ut dīvīsiō Sudāniae in partēs duās imminēre videātur. Trāmen Arāguae Adeōdatus Cabellus, Venetiolānōrum minister rēbus interiōribus praepositus, negavit ullōs Ventiolānōs in Salvtōriam ab Americānīs dēportātōs in numerō latrōnum sub nōmine “Trāminis Arāguae” coniūrātōrum esse habendōs; dīxit autem ipsam societātem esse annō bis millēsimō vīcēsimō tertiō excīsam. Quod male congruit cum sententiā magistrātuum Chilēnsium, quī, cum cognōscerent mortem Ronaldī Ojedae, mīlitis dissidentis quī tyrannidem Ventiōlānam fūgisset, didicērunt Adeōdatum Cabellum ipsum ministrum imperāsse Hectorī Rusthenfordō Guerrērō Flōrēsō, dūcī Trāminis Arāguae, ut Ronaldus Ojeda dē mediō tollerētur. Magistrātūs Americānī quinquiēns centēna mīlia dollarōrum prōmittunt eī, quīcumque Guerrērum Flōrēsum reddiderit in dīciōnem Americānōrum. Heathrow clausus Āeroportus Britannicus, Heathrow nōmine, quī in Eurōpaeā regiōne est maximus, clausus est, cum vī ēlectricā prīvātus esset. Adhuc incertum est, quā negligentiā ullus magnus āeroportus, nēdum inter tōtīus mundī principlālēs numerandus, potuerit vī ēlectricā prīvārī.
In “R is for El Roi” TJ tags along on Tory's class trip to the space center! As they learn about the rockets heading into space, they learn about the God who the Bible calls “El Roi” or “the God who sees” no matter where in the galaxy you might be.Follow along as TJ and Tory learn about the names of God in Scripture week after week with the ABCs of the Names of God! Season three and four follow this best-selling card set, and we just know your kids are going to love them. Shop all discipleship tools for kids ages 2 to 12 at tinytheologians.shop, and be sure to grab our free podcast listener's guide! Resources: The ABCs of the Names of God Card SetFollow Us:Instagram | Website | NewsletterOur Sister Shows:Knowing Faith | Confronting Christianity | Family Discipleship Podcast | Starting PlaceA podcast of Training the Church Editing and support by The Good Podcast Co.