Podcasts about Intervention

Preview for later today: Edmund Fitton-Brown examines Iran's complex ethnic tapestry and the risks of instability or regional intervention if the Islamic Republic's centralized control is broken.1978 SHAH MILITARY CONFRONTS PROTESTS IN TEHRAN

65 MinutesPG-13Ron Dodson is Principal Owner & Portfolio Manager of a Texas hedge fund.Ron and Pete talk about the potential of military action against Iran.Ron at the American ReformerShips in the GulfHouse-Centric AI and the Return of the AristoiRon's SubstackRon on TwitterPete and Thomas777 'At the Movies'Support Pete on His WebsitePete's PatreonPete's SubstackPete's SubscribestarPete's GUMROADPete's VenmoPete's Buy Me a CoffeePete on FacebookPete on TwitterBecome a supporter of this podcast: https://www.spreaker.com/podcast/the-pete-quinones-show--6071361/support.

A lot of therapies address the context in which nonsuicidal self-injury (NSSI) and self-harm may occur, but only a few treatments have been designed to address NSSI specifically. In this episode, we dive into one of these treatments: Emotion Regulation Group Therapy (ERGT). Drs. Kim Gratz and Matthew Tull from the University of Toledo in Ohio walk us through in significant detail each of the 90-minute 14 sessions of ERGT. You can purchase their book "Acceptance-based emotion regulation therapy: A clinician's guide to treating emotion dysregulation and self-destructive behaviors using an evidence-based therapy drawn from ACT and DBT" on Amazon here or at New Harbinger Publications here.  Connect with Dr. Gratz on LinkedIn here and Dr. Tull here. Below are links to their research on ERGT referenced in this episode: Gratz, K. L., & Gunderson, J. G. (2006). Preliminary data on an acceptance-based emotion regulation group intervention for deliberate self-harm among women with Borderline Personality Disorder. Behavior Therapy, 37(1), 25-35. Gratz, K. L., & Tull, M. T. (2011). Extending research on the utility of an adjunctive emotion regulation group therapy for deliberate self-harm among women with borderline personality pathology. Personality Disorders: Theory, Research, and Treatment, 2(4), 316–326. Gratz, K. L., Tull, M. T., & Levy, R. (2014). Randomized controlled trial and uncontrolled 9-month follow-up of an adjunctive emotion regulation group therapy for deliberate self-harm among women with borderline personality disorder. Psychological Medicine, 44, 2099–2112. Gratz, K. L., Bardeen, J. R., Levy, R., Dixon-Gordon, K., L., & Tull, M. T. (2015). Mechanisms of change in an emotion regulation group therapy for deliberate self-harm among women with borderline personality disorder. Behaviour Research and Therapy, 65, 29-35. Sahlin, H., Bjureberg, J., Gratz, K. L., Tull, M. T., Hedman, E., Bjarehed, J., Jokinen, J., Lundh, L., Ljotsson, B., & Hellner, C. (2017). Emotion regulation group therapy for deliberate self-harm: A multi-site evaluation in routine care using an uncontrolled open trial design. BMJ Open, 7(10), e016220. Follow Dr. Westers on Instagram and Twitter (@DocWesters). To join ISSS, visit itriples.org and follow ISSS on Facebook and Twitter (@ITripleS). The Psychology of Self-Injury podcast has been rated #5 by Feedspot in their "Best 20 Clinical Psychology Podcasts" and by Welp Magazine in their "20 Best Injury Podcasts."

Jesus called the parables "the secrets of the kingdom." In this episode, Dr. Alex Loyd and Harry unpack the Parable of the Sower and reveal the two paradigms that determine stress vs. peace. The Two Paradigms: STRESS: Pride (I want) + Money (pays for I want) + Lies (to get what I want) PEACE: Love (others first) + Truth (de facto reality) + Relationships (win-win-win) Truth is the determining factor. Episode highlights: → The 4 soils explained (path, shallow, thorns, good) → Why thorns = cares of the world + deceitfulness of riches (NOT sin) → Pain vs. suffering: How to minimize suffering even when pain stays → Watchman Nee: Turned torture chamber into "garden of prayer" → Neuroscience case: "The pain is the same, but I feel fine" → Intervention 3 results: 1,200-point frequency increase in 5 minutes  

Fred's Coffee Intervention full 725 Thu, 26 Feb 2026 04:04:41 +0000 GYR3LGtcWGadcqOcetEfLk5a0HAJBGtc sports The Fan After Dark sports Fred's Coffee Intervention The Fan After Dark includes a rotation of hosts offering a truth-telling sports entertainment experience that gets listeners right on the biggest sports topics in and around DFW, across the country, and around the world. Focusing on the Cowboys, Rangers, Mavericks, etc., The Fan After Dark airs M-F from 7-11 PM and is the only live and local sports radio show in the MetroplexCome 'Get Right' with Reg on The Fan, and be prepared for sports talk on a whole new level. You can follow Reg on Twitter @regadetula © 2024 Audacy, Inc. Sports False https://player.amperwavepodcasting.com?feed-link=https%3A%2F%2Frss

It's been over 200 episodes since we've last talked about Rob's favorite topic/curriculum/body of research, the Preschool Life Skills. So, to wrap up his birthday month of episodes, we're bringing it back! First, a review of PLS and how it can fit into your classroom environment. Then two recent extensions of the PLS into trauma-based treatment and parent skill development. Hopefully, you'll be as excited as Rob is by the end of this episode. And, if not, could you just fake it for a while? It is his birthday. This episode is available for 1.0 LEARNING CEU. Articles discussed this episode: Falligant, J.M. & Pence, S.T. (2017). Preschool Life Skills using the Response to Intervention model with preschoolers with developmental disabilities. Behavior Analysis: Research and Practice, 3, 217-236. doi: 10.1037/bar0000056 Rees, R.E., Seel, C.J., Huxtable, B.G., & Austin, J.L. (2024). Using the Preschool Life Skills program to support skill development for children with trauma histories. Behavior Analysis in Practice, 17, 693-708. doi: 10.1007/s40617-023-00892-z Lee, H., Gunning, C., Leow, J., & Holloway, J. (2024). An evaluation of delivery of the parent Preschool Life Skills program via telehealth. Journal of Applied Behavior Analysis, 57, 893-909. doi: 10.1002/jaba.2914 If you're interested in ordering CEs for listening to this episode, click here to go to the store page. You'll need to enter your name, BCBA #, the two episode secret code words, and answers to the knowledge check questions to complete the purchase. Email us at abainsidetrack@gmail.com for further assistance.

keywordsEating Disorder Awareness, Mental Health, Body Image, Running, Therapy, Prevention, Cultural Influences, Personal Stories, Nutrition, Self-Love summaryIn this episode, Carina discusses the significance of Eating Disorder Awareness Week, sharing her personal journey with eating disorders and the cultural influences that contribute to body image issues. She emphasizes the importance of recognizing eating disorders in others, the role of therapy, and the impact of running on her recovery. The conversation highlights the ongoing struggle with eating disorders and the need for prevention and awareness in future generations. takeawaysEating disorders are often misunderstood and not just about vanity.Cultural pressures can significantly influence body image and eating behaviors.Personal experiences with eating disorders can provide valuable insights for others.Therapy and hospitalization can be crucial in recovery from eating disorders.Recognizing the signs of eating disorders in others is essential for intervention.Running can be both a coping mechanism and a trigger for eating disorders.Preventing eating disorders requires awareness and open conversations.The consequences of under-fueling can be severe and long-lasting.Recovery from eating disorders is a complex and ongoing process.Spreading awareness about eating disorders can help reduce stigma and promote healing.Chapters00:00 Introduction to Eating Disorder Awareness Week03:15 Understanding Eating Disorders Beyond Vanity06:29 Personal Journey with Eating Disorders09:19 Cultural Influences on Eating Disorders12:24 The Role of Therapy and Hospitalization15:17 Recognizing Eating Disorders in Others18:23 The Connection Between Running and Eating Disorders21:27 Preventing Eating Disorders in Society24:37 The Impact of GLP-1 Medications27:34 Physical and Emotional Consequences of Eating Disorders30:17 The Ongoing Struggle with Eating Disorders33:15 Conclusion and Call to Action35:49 RFF Outro 45.wav

Artificial intelligence is already in social work and child protection, and its use is deepening. The question is: How safe, effective, and equitable is it? In this episode, David and Ruth talk with Dr. LaSharia Turner and Dr. Helen Fischle from Alabama A&M University about what ethical, human-centered, AI-driven tech should look like in social work education and frontline practice.As agencies face workforce shortages, austerity, high caseloads, and increasing complexity, technology is being introduced as a solution. But can AI actually support domestic violence–informed practice when child safety is on the line? Or does it risk automating bias, victim-blaming, erasing survivor context, and shifting responsibility away from systems and perpetrators as parents?We explore:What “human-centered” AI really means in child welfareThe risks of predictive tools and automationWhy social workers must have a seat at the technology tableHow to prevent tech from increasing survivor and worker burdenThe future of ethical innovation in high-stakes systemsIf you work in child protection, domestic violence services, family courts, behavioral health, or policy, this conversation is for you.Technology should enhance professional judgment—not replace it.Send a text Now available! Mapping the Perpetrator's Pattern: A Practitioner's Tool for Improving Assessment, Intervention, and Outcomes The web-based Perpetrator Pattern Mapping Tool is a virtual practice tool for improving assessment, intervention, and outcomes through a perpetrator pattern-based approach. The tool allows practitioners to apply the Model's critical concepts and principles to their current case load in realCheck out David Mandel's new book Stop Blaming Mothers and Ignoring Fathers: How to Transform the Way We Keep Children Safe from Domestic Violence.Visit the Safe & Together Institute website.Start taking Safe & Together Institute courses. Check out Safe & Together Institute upcoming events.

Stephen Grootes speaks to Miyelani Holeni about what Enoch Godongwana signalled in the Budget Speech, a decisive shift toward enforcing fiscal discipline at municipal level to fix failing water and electricity services, with the City of Johannesburg collecting billions in water revenue but reinvesting only a fraction and contributing to a R64 billion backlog. The Finance Minister warned that diverting service revenue away from infrastructure maintenance risks systemic collapse. The Money Show is a podcast hosted by well-known journalist and radio presenter, Stephen Grootes. He explores the latest economic trends, business developments, investment opportunities, and personal finance strategies. Each episode features engaging conversations with top newsmakers, industry experts, financial advisors, entrepreneurs, and politicians, offering you thought-provoking insights to navigate the ever-changing financial landscape.    Thank you for listening to a podcast from The Money Show Listen live Primedia+ weekdays from 18:00 and 20:00 (SA Time) to The Money Show with Stephen Grootes broadcast on 702 https://buff.ly/gk3y0Kj and CapeTalk https://buff.ly/NnFM3Nk For more from the show, go to https://buff.ly/7QpH0jY or find all the catch-up podcasts here https://buff.ly/PlhvUVe Subscribe to The Money Show Daily Newsletter and the Weekly Business Wrap here https://buff.ly/v5mfetc The Money Show is brought to you by Absa     Follow us on social media   702 on Facebook: https://www.facebook.com/TalkRadio702 702 on TikTok: https://www.tiktok.com/@talkradio702 702 on Instagram: https://www.instagram.com/talkradio702/ 702 on X: https://x.com/CapeTalk 702 on YouTube: https://www.youtube.com/@radio702   CapeTalk on Facebook: https://www.facebook.com/CapeTalk CapeTalk on TikTok: https://www.tiktok.com/@capetalk CapeTalk on Instagram: https://www.instagram.com/ CapeTalk on X: https://x.com/Radio702 See omnystudio.com/listener for privacy information.

Addiction doesn't start with a substance. It starts with pain. In this episode of Harder Than Life, Kelly Siegel sits down with addiction expert Amber Hollingsworth to explore the real roots of addiction, enabling, and family systems. This conversation breaks down why enabling feels like love, how trauma fuels addictive behavior, and why recovery requires boundaries, accountability, and radical honesty. If you've ever loved someone struggling with addiction—or struggled yourself—this episode offers clarity and hope. Key Takeaways

Welcome to The Daily Wrap Up, an in-depth investigatory show dedicated to bringing you the most relevant independent news, as we see it, from the last 24 hours (2/23/26). As always, take the information discussed in the video below and research it for yourself, and come to your own conclusions. Anyone telling you what the truth is, or claiming they have the answer, is likely leading you astray, for one reason or another. Stay Vigilant. !function(r,u,m,b,l,e){r._Rumble=b,r[b]||(r[b]=function(){(r[b]._=r[b]._||[]).push(arguments);if(r[b]._.length==1){l=u.createElement(m),e=u.getElementsByTagName(m)[0],l.async=1,l.src="https://rumble.com/embedJS/u2q643"+(arguments[1].video?'.'+arguments[1].video:'')+"/?url="+encodeURIComponent(location.href)+"&args="+encodeURIComponent(JSON.stringify([].slice.apply(arguments))),e.parentNode.insertBefore(l,e)}})}(window, document, "script", "Rumble");   Rumble("play", {"video":"v73zypm","div":"rumble_v73zypm"}); Video Source Links (In Chronological Order): Nations Of Sanity Interview - The Non-Aggression Principle Peace Agreement Nations Of Sanity Interview - The Non-Aggression Principle Peace Agreement New Tab New Bill Supported By White House Bypasses RFK Jr's HHS to Fund GAVI Vaccine Alliance Anger as Trump FDA retreats from plan to ban artificial colors in food | Trump administration | The Guardian Trump Ignores MAHA By Ruling Glyphosate "National Security" Imperative Despite Obvious Health Risks (21) Derrick Broze on X: "Here's a few reasons this statement from RFK is garbage: In his first term, Trump continued the trend of nominating industry insiders, namely from chemical companies like DOW and Monsanto (https://t.co/95pFnB8PSL) 2nd, Trump ended investigations into pesticide manufacturers and" / X (21) Truthstream Media on X: "@SecKennedy This you a month ago? https://t.co/Ipuwu05qdX" / X (21) Jasmine Keith on X: "The economy would suffer if we stopped poisoning you. Sorry!" / X (21) healthbot on X: "Environmentalist claims you can drink a whole quart of glyphosate and “it won't hurt you.” The interviewer calls his bluff and offers him a glass of glyphosate. The interview ends 22 seconds later. https://t.co/fBlSViZJuI" / X (21) healthbot on X: "Environmentalist claims you can drink a whole quart of glyphosate and “it won't hurt you.” The interviewer calls his bluff and offers him a glass of glyphosate. The interview ends 22 seconds later. https://t.co/fBlSViZJuI" / X (21) The Last American Vagabond on X: "#Winning https://t.co/IcQ7RMqX28" / X New Tab U.S. considers building pricey alternative to World Health Organization - The Washington Post Gaza's "Board Of Peace" Seeks To Reimagine The International Order New Bill Supported By White House Bypasses RFK Jr's HHS to Fund GAVI Vaccine Alliance Trump At Davos: Globalism Is Dead. Long Live Globalism. The Fake Globalist Resistance Ushering In The Globalist Plan Trump & The Zionist/Globalist Technocrats Are Building Your New Society Whether You Like It Or Not The Network State Coup And The Engineered Transition To "Tech Zionism" (21) Dan Smotz (The System is Down) on X: "The “woke agenda” was just rebranded like MK Ultra and every other government propaganda program that gets caught." / X (21) Red Line News on X: "@DefiantLs We definitely tried" / X Trump Has Been Secretly Texting His Favorite Dem Zohran Mamdani New Tab (21) Kevork Almassian on X: "Neil Oliver says the quiet part out loud in this segment and the direction of what he's describing is hard to ignore. He argues the project isn't just “left vs right” or one crisis after another, but a long campaign to break what makes people human — identity, heritage, faith, https://t.co/BA2Cs8uIF7" / X (21) Axiomatic Enemy of the State on X: "https://t.co/UoqY3lgeNw" / X (21) Liam McCollum on X: "BBC News is reporting now that Lord Peter Mandelson was just arrested on suspicion of misconduct in public office after the ex-US ambassador had been under investigation over allegations he shared market-sensitive government information with Jeffrey Epstein while a minister. He" / X Police in Britain arrest former ambassador to US Peter Mandelson in probe into Epstein ties | AP News Former Prince Andrew arrested months after losing royal status (21) The Atlantic on X: "The Epstein files reveal that plenty of powerful people tolerated or participated in disgusting, shameful, and even criminal behavior—but they also bolster the case that there never was any grand conspiracy, @GiladEdelman argues. https://t.co/1bOtPSxuvQ" / X Allegations in Epstein files may amount to 'crimes against humanity,' UN experts say | Reuters (21) DD Geopolitics on X: "The Pentagon offered JEFFERY EPSTEIN a $116M "mission-critical" location to operate next to them in “the only property in Arlington other than the Pentagon with the ability to meet the needs of the DOD” and did it through Prince Andrew's aide. In 2015 he was offered the FBI" / X (21) RT on X: "Lolita Express lands at MILITARY bases Ghislaine: ‘Sh*t' https://t.co/hZACO29dZO" / X EFTA01837627.pdf FBI's “Stand Down” Directive to NYPD on Jeffrey Epstein Investigations, and More Jeffrey Epstein hid secret files in storage units across US (21) James Li on X: "James Comer claims that the DOJ had already "investigated" Les Wexner, but in the deposition released yesterday, Wexner clearly states that no one from the FBI or DOJ had ever spoken to him about Epstein or Ghislaine Maxwell. Either he's lying, or they are both lying.

Ron and Nick talk about giving people love and truth, people rejecting love and truth, a new therapy Ron is offering, real strength vs weakness, and continue their bible study through the book of Acts.Join Us EVERY DAYDaily 7A The Movement Launch Meeting ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Launch Code⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠5 minutes to light the fuseHear from GodRemember who we areReceive blessingGo change the world

What is the solution for our homelessness crisis? Is there a solution for our homelessness crisis? On this week's “Leaders and Legends” podcast, we tackle these subjects and more with two of Indy's most influential and respected leaders: Emmy Hildebrand, CEO of Helping Veterans and Families & Chelsea Haring-Cozzi, CEO of Coalition for Homeless Intervention and PreventionSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Welcome back to the 273rd episode of The Cup which is our a weekly (give or take, TBD, these are unprecedented times) performing arts talk show presented by Cup of Hemlock Theatre. With the theatres on a come back we offer a mix of both reviews of live shows we've seen and continued reviews of prophet productions! For our 273rd episode we bring you a Duet Review of An Intervention by Mike Bartlet, directed by 郝邦宇 Steven Hao, and presented in its Toronto premiere as the inaugural production by Downstage Theatre Company. Join Mackenzie Horner and Ryan Borochovitz, as they discuss resourceful staging solutions, questionable wordplay, and the high costs of producing indie theatre. An Intervention ran at Native Earth Performing Arts' Giisiz Studio (585 Dundas St E, Toronto, ON) from February 11th to 15th, 2026. More information about the production can be found on the company's Instagram, @downstage.theatreco CONTENT WARNING: An Intervention contains themes, discussions, and depictions of substance abuse (particularly alcoholism) and suicide; this review, likewise, speaks directly to these topics. Viewer discretion is strongly advised. Less importantly, this review contains many SPOILERS for An Intervention. It will begin with a general non-spoiler review until the [32:44] mark, followed by a more in-depth/anything goes/spoiler-rich discussion. Though the run has already ended, you may still choose to proceed at your own risk. Follow our panelists: Mackenzie Horner (Before the Downbeat: A Musical Podcast) – Instagram/Facebook: BeforetheDownbeatApple Podcasts: https://apple.co/3aYbBeNSpotify: https://spoti.fi/3sAbjAu Ryan Borochovitz – [Just send all that love to CoH instead; he won't mind!]; if you enjoy his theatre thoughts, more can be found at https://nextmag.ca/search/borochovitz Follow Cup of Hemlock Theatre on Instagram/Facebook/Twitter: @cohtheatreIf you'd like us to review your upcoming show in Toronto, please send press invites/inquiries to coh.theatre.MM@gmail.comCHAPTERS: 0:00 – Introduction 3:26 – Pre-Spoiler: TTC Be Crazy Sometimes 4:17 – P-S: Synopsis, Pt.1 12:05 – P-S: What Did I Miss?17:26 – P-S: General Appraisal 24:17 – P-S: How Old? 28:07 – P-S: Production Elements 32:43 – SPOILERS from here on out 33:14 – Synopsis, Pt.2 43:08 – Not Thinking Clearly 45:15 – Wordplay (ft. Mike Bartlett's Cock) 53:23 – Vagueness vs. Obliqueness 57:33 – Red Rope & Neckties 1:01:39 – The Moment After 1:02:48 – Toward a More Affordable Future 1:08:09 – Sign Off

Comedians Fortune Feimster and Zach Noe Towers join Jeff & Shane in an intervention on Zach's inappropriate stand-up material. Plus, Fortune tells Jeff why lesbians are so obsessed with hands.  • • • Want more Jeff Lewis? Click here to sign up for 3 free months of SiriusXM and listen weekdays to "Jeff Lewis Live" at 12pE/9aP and “Jeff Lewis Extended” at 1pE/10aP on Radio Andy Channel 102. Plus, tune into The Jeff Lewis Channel for even more Jeff content streaming exclusively on the SiriusXM app channel 789.• • • Host - Jeff LewisGuests - Fortune Feimster, Zach Noe Towers & Shane DouglasExecutive Producer - Alyssa HeimrichSenior Producer & Editor - Jamison ScalaAssociate Producer – Oscar Beltran Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Send a text This week on Doc Jacques: Your Addiction Lifeguard, we're taking a clear-eyed (but not doom-and-gloom) look at how alcohol hijacks the brain—why memory goes missing, logic goes offline, and families feel like they're arguing with a wall. You'll learn what's really happening under the hood, why “just explain it better” doesn't work, and how to stop wrestling the damaged brain while still throwing a lifeline when your loved one is ready. Support the show

China's permanent representative to the UN says Japan's military intervention in the Taiwan question will definitely meet a firm response from China.

Mandy Wiener speaks to Presidential Employment Stimulus programme lead, Dr Kate Philip about the success of the Presidential Youth Employment Intervention. The Midday Report with Mandy Wiener is 702 and CapeTalk’s flagship news show, your hour of essential news radio. The show is podcasted every weekday, allowing you to catch up with a 60-minute weekday wrap of the day's main news. It's packed with fast-paced interviews with the day’s newsmakers, as well as those who can make sense of the news and explain what's happening in your world. All the interviews are podcasted for you to catch up and listen to. Thank you for listening to this podcast of The Midday Report Listen live on weekdays between 12:00 and 13:00 (SA Time) to The Midday Report broadcast on 702 https://buff.ly/gk3y0Kj and on CapeTalk https://buff.ly/NnFM3Nk For more from The Midday Report go to https://buff.ly/BTGmL9H and find all the catch-up podcasts here https://buff.ly/LcbDdFI Subscribe to the 702 and CapeTalk daily and weekly newsletters https://buff.ly/v5mfetc Follow us on social media: 702 on Facebook: https://www.facebook.com/TalkRadio702 702 on TikTok: https://www.tiktok.com/@talkradio702 702 on Instagram: https://www.instagram.com/talkradio702/ 702 on X: https://x.com/Radio702 702 on YouTube: https://www.youtube.com/@radio702 CapeTalk on Facebook: https://www.facebook.com/CapeTalk CapeTalk on TikTok: https://www.tiktok.com/@capetalk CapeTalk on Instagram: https://www.instagram.com/ CapeTalk on X: https://x.com/CapeTalk CapeTalk on YouTube: https://www.youtube.com/@CapeTalk567See omnystudio.com/listener for privacy information.

Hey humans, welcome back to the podcast. In our last episode, I introduced you to the concept of allostatic load—that cumulative wear and tear on our bodies from chronic, unresolved stress. Today, we're taking that conversation straight into the boardroom. I'm talking to the CEOs, CFOs, and HR leaders who might not realize that this invisible burden is already showing up in your P&L through productivity losses, healthcare claims, and the "quiet quitting" of your highest-performing talent. With an estimated $136B annual cost attributed to chronic illness in the US workforce, this isn't just a "soft" human issue; it's a hard business reality that we have the power to change.   I'm sharing a tactical three-lever framework to help you look at organizational design as a health intervention. We'll dive into how to audit invisible labor, train managers to see performance dips as health signals, and redesign accommodation pathways to be proactive rather than reactive. It's time to stop asking our women to just be more resilient and start fixing the systems that accumulate the load in the first place. Join me as we explore how a proactive workforce strategy can become your greatest competitive advantage. Stacie More episodes at StacieBaird.com.

In the final episode of our three-part Heart Health Series, Dr. Michelle Plaster and Nurse Practitioner Amber Foster are once again joined by cardiologist Dr. Sims to discuss what happens when heart concerns go beyond prevention — and into procedures, rhythm disorders, and advanced cardiac care.When medications and lifestyle changes aren't enough, what comes next?In this episode, the team breaks down:What cardiac catheterization actually involvesHow and when stents are placedThe difference between blocked arteries and electrical rhythm issuesWhat atrial fibrillation (AFib) is and why it mattersWhen a pacemaker or ablation procedure may be necessaryHow cardiologists determine the right level of interventionDr. Sims explains complex procedures in a way that's clear and reassuring, helping listeners understand that advanced cardiac care isn't something to fear, it's often life-saving and highly effective.Throughout the series, we've explored: • Part 1: Preventing heart disease • Part 2: Recognizing the signs of a heart attack • Part 3: Understanding advanced treatment and cardiac proceduresAt Our Family Health, we believe true wellness includes education, prevention, and access to expert care when it matters most. Whether you're focused on lifestyle changes or navigating a cardiac diagnosis, this series equips you with knowledge to take control of your heart health. Hosted on Acast. See acast.com/privacy for more information.

Sval har gått fra å være skeptisk til å gjøre andre ting enn musikk for å bli hørt og sett til å se verdien i andre kanaler og det å gjøre seg selv tilgjengelig for de som lytter på musikken hennes. I stedet for å være redd for om folk har glemt henne, har hun snudd fokuset til å tenke at det betyr at hun uansett ikke har noe å tape på å dukke opp, f.eks. i sosiale medier eller i Forræder. Hosted on Acast. See acast.com/privacy for more information.

Legend of the Bones is a hybrid of dark fantasy audio drama and old school solo Dungeons & Dragons.  A story where the roll of the bones determines all.  None shall escape the destiny of bone. Reunion... Audio credits: Intro & Main Theme: Cold Northern Stars by imaginerum https://tunetank.com/tracks/2290-cold-northern-stars   Part 1: Within Our Nature by Scott Buckley https://www.scottbuckley.com.au/library/within-our-nature Released under CC-BY 4.0   Part 2: In Search of Solitude by Scott Buckley https://www.scottbuckley.com.au/library/in-search-of-solitude Released under CC-BY 4.0   Part 3: Intervention by Scott Buckley https://www.scottbuckley.com.au/library/intervention Released under CC-BY 4.0   Dramatis: Path Through The Mountains by Scott Buckley https://www.scottbuckley.com.au/library/path-through-the-mountains Released under CC-BY 4.0   Part 4: Adrift Among Infinite Stars by Scott Buckley https://www.scottbuckley.com.au/library/adrift-among-infinite-stars Released under CC-BY 4.0   Behind the Screen: Moving Picture Atmosphere 014 https://soundcloud.com/royaltyfreebackgroundmusic/creative-commons-music-4099/sets   Incidental sound effects sourced from www.freesound.org & www.freesfx.co.uk & www.zapsplat.com & https://tabletopaudio.com/   Voice Actors Canute was voiced by Jon Cohen | Tale of the Manticore  Einar was voice by J.Brandon Payne | https://soundcloud.com/joshua-paine-319025843 Post Roll Promo Your Story Will Be Different Resources https://legendofthebones.blogspot.com Transcript 

Relisez les promesses de Dieu

Intervention de Omar Bellaari le dimanche 18 janvier 2026 Imaginaire, imaginal et rôle de l'imaGINATION Et si l'imagination n'était pas seulement le lieu des histoires que nous inventons ? Le 18 janvier, nous explorerons une autre dimension : l'imagination créatrice comme force vivante de la vie intérieure, non pas la fabrique mentale de scénarios, mais la faculté de recevoir et de mettre en forme ce qui se révèle depuis l'imaginal. À quoi sert-elle dans notre chemin spirituel ? Quelle différence y a-t-il entre “l'imaginaire”, ce que le mental fabrique, et “l'imaginal”, ce qui se donne à voir pour révéler un sens ? Quand cette faculté s'endort, tout s'appauvrit : les signes perdent leur éclat, le regard se rétrécit, la relation au monde se dessèche. Lorsqu'elle s'éveille, l'imagination créatrice devient un lieu de connaissance et une source d'action juste. Guidés, entre autres, par Ibn ʿArabī, al-Ghazālī et Suhrawardī, nous irons à la rencontre de ce pays entre les mondes, où les formes se donnent à voir pour dire plus qu'elles-mêmes. Une soirée pour redonner souffle à cette faculté oubliée : apprendre à voir avec le cœur. Omar Bellaari est enseignant de langue arabe depuis quinze ans (EPFC – Bruxelles). Licencié et agrégé en philologie orientale (ULB), il enseigne l'arabe en articulant grammaire, sens et cheminement intérieur. Au sein d'une zawiya bruxelloise, il propose des cours d'arabe, des initiations à la symbolique des lettres et des ateliers de « grammaire des cœurs », afin de relier les outils linguistiques à une compréhension vivante du Coran. Il traduit, en vers et en prose, des poèmes et traités de maîtres soufis (travaux en cours). Pour plus d'information visitez notre site: https://consciencesoufie.com/

We would love to pray for you! Please send us your requests here. --------Thank you for listening! Your support of Joni and Friends helps make this show possible. Joni and Friends envisions a world where every person with a disability finds hope, dignity, and their place in the body of Christ. Become part of the global movement today at www.joniandfriends.org. Find more encouragement on Instagram, TikTok, Facebook, and YouTube.

This is a Grave Talks CLASSIC EPISODE! PART TWOGrowing up in a household that dismissed ghosts as nothing more than superstition, Chris Sutton never imagined the role the paranormal would eventually play in his life. Spirits, hauntings, and the idea of an unseen world were simply not part of his reality — until his own life began to unravel.Crushed by relentless career stress and a growing sense of negativity, Chris found himself in a deep depression. Seeking relief, he turned first to therapy, hoping to reclaim a sense of balance. That search for healing unexpectedly led him toward shamanic practice, where he discovered an ability to sense and communicate with energies he once would have dismissed entirely.What began as personal healing soon evolved into something larger. Chris found himself drawn into haunted environments, helping restless spirits find peace and assisting families caught in the emotional weight of unexplained activity. His work focuses less on fear and confrontation, and more on resolution — for both the living and those who have not yet moved on.#TheGraveTalks #ShamanicHealing #ParanormalJourney #SpiritualAwakening #HelpingSpirits #HauntedHomes #TrueParanormal #LifeAfterSkepticism Love real ghost stories? Want even more?Become a supporter and unlock exclusive extras, ad-free episodes, and advanced access:

Der Fall von verunreinigter Babynahrung hat sich ausgeweitet. Quelle der Verunreinigung ist laut Behörden ein chinesischer Hersteller. Der jedoch schweigt seit Wochen – dies auch trotz Intervention der Börse in Shanghai, die den Hersteller aufforderte, seiner Informationspflicht nachzukommen. Weitere Themen: · Bei Schüssen an einer Schule und in einem Wohnhaus in der kanadischen Provinz British Columbia sind mindestens zehn Menschen getötet worden, darunter auch die mutmassliche Schützin. Dutzende weitere Personen wurden den Angaben zufolge verletzt. Die Einsatzkräfte fahnden nach möglichen Mittätern. · Noch nie wurden so viele Schweizer KMU von ausländischen Investoren aufgekauft wie letztes Jahr. Das zeigen neue Zahlen. Gut 100 kleinere und mittlere Unternehmen wurden 2025 vom Ausland aufgekauft – das sind 65 Prozent mehr als im Jahr zuvor. Eingebrochen sind 2025 jedoch die Käufe durch US-Firmen.

How to Secure Angelic Intervention And Participation Through Prayer

This is a Grave Talks CLASSIC EPISODE!Growing up in a household that dismissed ghosts as nothing more than superstition, Chris Sutton never imagined the role the paranormal would eventually play in his life. Spirits, hauntings, and the idea of an unseen world were simply not part of his reality — until his own life began to unravel.Crushed by relentless career stress and a growing sense of negativity, Chris found himself in a deep depression. Seeking relief, he turned first to therapy, hoping to reclaim a sense of balance. That search for healing unexpectedly led him toward shamanic practice, where he discovered an ability to sense and communicate with energies he once would have dismissed entirely.What began as personal healing soon evolved into something larger. Chris found himself drawn into haunted environments, helping restless spirits find peace and assisting families caught in the emotional weight of unexplained activity. His work focuses less on fear and confrontation, and more on resolution — for both the living and those who have not yet moved on.#TheGraveTalks #ShamanicHealing #ParanormalJourney #SpiritualAwakening #HelpingSpirits #HauntedHomes #TrueParanormal #LifeAfterSkepticism Love real ghost stories? Want even more?Become a supporter and unlock exclusive extras, ad-free episodes, and advanced access:

We tell you what's on our radars, Dave mishears some popular lyrics, and more!See omnystudio.com/listener for privacy information.

We tell you what's on our radars, Dave mishears some popular lyrics, and more!

What if doctors and medical professionals, highly trained to identify child maltreatment through bruises and fractures, miss many injuries in children that leave no visible marks, yet are biologically and developmentally formative in ways that shape a child's entire quality of life and health?In this episode of Partnered with a Survivor, David and Ruth Mandel sit down with Dr. Norell Rosado, a child abuse pediatrician at the University of Wisconsin School of Medicine and Public Health, to examine how child maltreatment is currently identified in medical settings and where that approach falls dangerously short. We discuss how we can assist medical practitioners to better assess for child abuse injuries and danger that may not be seen, by using a pattern based rather than an incident based approach. Dr. Rosado explains that bruises and fractures remain the primary lens through which child physical abuse is identified, even though neglect is the most common form of maltreatment and many serious injuries leave no visible marks. Together, we explore how this narrow focus combined with time pressure, fear of court involvement, and lack of behavioral training creates gaps that allows for harm to go unseen by professionals. The conversation moves beyond bruise and bone based injuries to patterns which may help uncover silent injuries and invisible abuse. We unpack how domestic abuse and coercive control interfere with children's health in ways pediatric care often misses, including limbic harm, developmental delays, failure to thrive. We discuss perpetrator patterns like,  disrupting therapy and medication adherence, restricting access to food, heat, or transportation, and undermining a protective parent's ability to follow medical guidance or maintain safe housing. We ask the critical question rarely built into clinical practice: Is anyone interfering with this child's care or this parent's ability to parent safely?Dr. Rosado speaks candidly about mandated reporting, reasonable suspicion, and the anxieties clinicians face, especially when they have long-standing relationships with families. He also highlights the role of bias and why simple, consistent protocols can help clinicians ask better questions, reduce inequities, and document patterns rather than isolated incidents.We dig into the science behind what clinicians are seeing but often cannot name. From traumatic brain injuries without bruising to emerging research on epigenetics, the episode makes clear that exposure to violence can alter gene expression, increasing lifelong risk for chronic disease, disability, and early death. Child maltreatment, we argue, is not just a clinical concern. It is a multigenerational public health emergency.Throughout the conversation, we empSend a text Now available! Mapping the Perpetrator's Pattern: A Practitioner's Tool for Improving Assessment, Intervention, and Outcomes The web-based Perpetrator Pattern Mapping Tool is a virtual practice tool for improving assessment, intervention, and outcomes through a perpetrator pattern-based approach. The tool allows practitioners to apply the Model's critical concepts and principles to their current case load in realCheck out David Mandel's new book Stop Blaming Mothers and Ignoring Fathers: How to Transform the Way We Keep Children Safe from Domestic Violence.Visit the Safe & Together Institute website.Start taking Safe & Together Institute courses. Check out Safe & Together Institute upcoming events.

PM Netanyahu heads to Washington to meet Pres. Trump. A U.S. or Israeli strike on Iran remains a possibility. Iranian insider shares details about ongoing massacres in the streets. Chuck Holton on Syrian government troops pouring into the northeast.

PM Netanyahu heads to Washington to meet Pres. Trump. A U.S. or Israeli strike on Iran remains a possibility. Iranian insider shares details about ongoing massacres in the streets. Chuck Holton on Syrian government troops pouring into the northeast.

H.W. Brands describes how following Poland's invasion, Lindbergh utilizes his fame to broadcast radio speeches opposing intervention, influenced by his father's WWI persecution and skepticism of British imperial motives.

H.W. Brands explains that as Germany advances, FDR modifies neutrality laws while Lindbergh fears creeping intervention, with Churchill appealing for aid leading to the destroyers-for-bases deal intensifying domestic debate.

Former Prime Minister Gordon Brown has told the BBC the situation facing Sir Keir Starmer is "serious" and suggested he may have been "too slow to do the right things" concerning Lord Mandelson.He also defended him as "a man of integrity" who "wants to do the right things".He spoke to the Today programme on Radio 4 in his first interview since the latest Epstein files seemed to show Lord Mandelson gave Epstein advance notice of a €500bn bailout by the EU to save the ailing Euro in 2010.Another included a 2009 memo in which Brown's policy adviser Nick Butler wrote about the UK's struggling economy and recommended selling off government-held assets to raise public funds.Brown said this was "market-sensitive" information as people can make money from changes in the values of currencies.Lord Mandelson has not given the BBC an official statement but his position is that he has not acted in any way criminally and that he was not motivated by financial gain.You can now listen to Newscast on a smart speaker. If you want to listen, just say "Ask BBC Sounds to play Newscast”. It works on most smart speakers.You can join our Newscast online community here: https://bbc.in/newscastdiscordGet in touch with Newscast by emailing newscast@bbc.co.uk or send us a WhatsApp on +44 0330 123 9480.New episodes released every day. If you're in the UK, for more News and Current Affairs podcasts from the BBC, listen on BBC Sounds: https://bbc.in/4guXgXdNewscast brings you daily analysis of the latest political news stories from the BBC. The presenters were Laura Kuenssberg and Paddy O'Connell. It was made by Chris Flynn with Kris Jalowiecki. The social producer was Beth Pritchard. The technical producer was Frank McWeeny. The weekend series producer is Chris Flynn. The assistant editor is Chris Gray. The senior news editor is Sam Bonham.

Get the book, Morph Mastery: A Morphological Intervention for Reading, Spelling and Vocabulary Visit Louise's website, LouiseSelbyDyslexia.com About The Author Louise Selby is a dyslexia specialist trainer, consultant, author, assessor and teacher. She has 25 years' experience of working with SEND within Hertfordshire local authority in teaching, special needs coordinator and advisory roles. She now works freelance, providing training and consultancy for schools as well as dyslexia assessment. Louise believes in partnership and collaboration and this is at the heart of all that she does. She is the author of Morph Mastery: Morphological Intervention for Reading, Spelling and Vocabulary and All About Dyslexia: A Practical Guide for Primary Teachers and All About Dyslexia: A Practical Guide for Secondary Teachers.   This episode of Principal Center Radio is sponsored by IXL, the most widely used online learning and teaching platform for K-12. Discover the power of data-driven instruction in your school with IXL—it gives you everything you need to maximize learning, from a comprehensive curriculum to meaningful school-wide data. Visit IXL.com/center to lead your school towards data-driven excellence today.   

Coaches: Order the new MSC Youth Coaching eBooks below: https://www.modernsoccercoach.com/shop In this episode of the Modern Soccer Coach Podcast, Gary is joined by Haris Memisevic, Technical Director and Head of Coaching at Virginia Revolution, for a deep conversation on youth session design and coach development. One of the big themes we explore is how often coaches confuse high tempo with high learning. We talk about why fast sessions don't automatically lead to intelligent players, how over-coaching and over-explaining can limit understanding, and why the design of the session should do the heavy lifting, not constant coach intervention. We also dive into: - Simplifying session planning for youth players - Intervention strategies that protect flow and learning - Freedom within a framework in club curriculum design - Why game-day pressure pulls coaches away from their beliefs - The overlooked importance of coach personality at the youth level This is a conversation for youth coaches, technical directors, and club leaders who want to build better learning environments, not just busier sessions. Check out the latest youth coaching resources, session ideas, and eBooks at ModernSoccerCoach.com Explore MSC Insider for webinars, session drops, and full access to our growing youth library. If you enjoyed the episode, please like, subscribe, and share with a coach who's thinking deeply about session design.

The letter urges immediate judicial intervention by Judges Berman and Engelmayer after what the authors describe as a serious failure by the Department of Justice in releasing Epstein-related records. According to the letter, on January 30, 2026, the DOJ released more than 3.5 million documents while failing to properly redact victims' names and other personally identifying information in thousands of instances. This occurred despite repeated assurances from the DOJ that redaction was the sole reason for delaying the release and explicit acknowledgments that failure to redact would cause extraordinary harm to victims. The letter outlines a long paper trail showing that concerns about victim protection were raised well before the mass release. The authors note that warnings were first directed to Attorney General Pam Bondi in February 2025 following the release of “The Epstein Files: Phase 1,” and later escalated to Judge Berman in August 2025 to ensure compliance with the Crime Victims' Rights Act. Despite these efforts, the DOJ proceeded with flawed releases as public and congressional interest intensified, including a November 2025 release of 20,000 documents by the House Oversight Committee. The letter argues that the DOJ's conduct reflects a pattern of mismanagement and disregard for victim safeguards, and it asks the court to step in to prevent further harm and enforce lawful redaction obligations.to contact me:bobbycapucci@protonmail.comsource:gov.uscourts.nysd.518649.102.0_1.pdf

DOUBT THE DOUBT.Go deeper-> https://www.curlynikki.com/

Heeeeeey, it's Rob's birthday. Time to pick this month's theme! Maybe it's the near decade's worth of podcasting, but this February, Rob decided that his impeding aging anniversary should also receive celebration in the form of "OOPS! All Rob picked articles". So, given carte blanche to talk about anything in the world of ABA, what did he choose? Well, first, he took the week off while we unlock last year's Winter Book Club on "The Science of Consequences" with a bonus interview with author Dr. Susan Schneider (interested in 2.5 CEs for free? Upgrading to the $10 level on Patreon is your answer). After that, he brings special guest, Danielle Yang, to the table to learn about the state of therapeutic role-playing games and how your weekly D+D game could be added into your ABA services. And finally, because it's been far too long and is one of the most mind-blowingly awesome procedures in his 20 years in the field, Rob brings back the Preschool Life Skills for a record-breaking THIRD time! The best part about Rob's birthday is by just listening to these episodes, you've already gotten him all the gifts he could ever want. NOTE: We talk a lot about the upcoming changes to the website. Well, due to some technical problems, we had to rush the new website news to...LAST WEEK! Hopefully abainsidetrack.com will take you straight there, but, if not, our new website is now HERE! Articles for February 2026 (UNLOCKED) The Science of Consequences Book Club (feat. Dr. Susan Schneider) Schneider, S.M. (2012). The science of consequences: How they affect genes, change the brain, and impact our world. Prometheus Books.   Role-Playing Games in Behavior Analysis w/ Danielle Yang Arenas, D.L., Viduani, A., & Araujo, R.B. (2022). Therapeutic use of role-playing game (RPG) in mental health: A scoping review. Simulation and Gaming, 53, 285-311. doi: 10.1177/10468781211073720 Yuliawati, L., Wardhani, P.A.P., & Ng, J.H. (2024). A scoping review of tabletop role-playing game (TTPRG) as a psychological intervention: Potential benefits and future directions. Psychology Research and Behavior Management, 17, 2885-2903. doi: 10.2147/PRBM.S466664 Helbig, K.A., (2019). Evaluation of a role-playing game to improve social skills for individuals with ASD. [Doctoral dissertation, University of Southern Mississippi]. Aquila Digital Community.  https://aquila.usm.edu/dissertations/1673   Preschool Life Skills Three-view Falligant, J.M. & Pence, S.T. (2017). Preschool Life Skills using the Response to Intervention model with preschoolers with developmental disabilities. Behavior Analysis: Research and Practice, 3, 217-236. doi: 10.1037/bar0000056 Rees, R.E., Seel, C.J., Huxtable, B.G., & Austin, J.L. (2024). Using the Preschool Life Skills program to support skill development for children with trauma histories. Behavior Analysis in Practice, 17, 693-708. doi: 10.1007/s40617-023-00892-z Lee, H., Gunning, C., Leow, J., & Holloway, J. (2024). An evaluation of delivery of the parent Preschool Life Skills program via telehealth. Journal of Applied Behavior Analysis, 57, 893-909. doi: 10.1002/jaba.2914

🧭 REBEL Rundown 🗝️ Key Points 💉 Hydrocortisone Saves Lives:The 2023 Cape Cod Trial (NEJM) showed a clear mortality benefit and reduced need for intubation in severe CAP patients treated with hydrocortisone.📊 Guidelines Are Catching Up:The SCCM (2024) and ERS now recommend steroids for severe CAP, while ATS/IDSA updates are still pending.🔥 Redefining “Severe”:Patients requiring high FiO₂ (>50%), noninvasive or mechanical ventilation, or PSI >130 meet criteria for steroid therapy — even outside the ICU.🍬 Main Risk = Hyperglycemia:Elevated glucose was the most consistent adverse effect, but rates of GI bleed and secondary infection were not increased.🧭 Early, Targeted Use Matters:Start hydrocortisone within 24 hours of identifying severity — especially in patients with high CRP (>150) or strong inflammatory response. Click here for Direct Download of the Podcast. 📝 Introduction Corticosteroids have long sparked debate in the treatment of bacterial pneumonia — once viewed with skepticism, now increasingly supported by high-quality evidence. In this episode, Dr. Alex Chapa joins the REBEL Core Cast team to explore how the 2023 Cape Cod Trial (NEJM) reshaped practice and guideline recommendations for severe community-acquired pneumonia (CAP). 📖 Historical Context & Long-Standing Skepticism For decades, the use of steroids in pneumonia was controversial.Early Use: Steroids entered practice in the 1940s and 50s for autoimmune inflammation, but there was immediate hesitation regarding secondary superinfections.Mixed Data: From the 1980s to the 2000s, small studies emerged on severe pneumonia and ARDS, but the data was inconsistent. Different trials used varying definitions of “severe” pneumonia and different C-reactive protein (CRP) cutoffs, making the data “spread” and easy to “cherry pick” to support or deny a benefit.Past Guidelines: This uncertainty was reflected in official guidelines:2007 (ATS/IDSA): The American Thoracic Society and the Infectious Diseases Society of America did not address the topic due to insufficient data.2019 (ATS/IDSA): Pre-COVID, the guidelines recommended against using corticosteroids in severe CAP. They acknowledged no benefit for non-severe pneumonia, but the data for severe pneumonia was considered too weak to endorse.Pre-Trial Consensus: Prior to 2023, the consensus was to avoid steroids in non-severe pneumonia, while severe pneumonia remained a “gray area” with no treatment showing a clear mortality difference. 📜 The Landmark Cape Cod Trial (NEJM 2023) The Cape Cod trial, published in the New England Journal of Medicine in 2023, reignited the discussion by providing robust, positive data.Trial Design: Phase 3, multi-center, double-blind, randomized, controlled trial.Intervention: 800 patients randomized to two groups, Hydrocortisone as a continuous infusion (200mg/day) versus a placebo infusion.Taper: On day 4, clinicians would decide whether to continue the infusion or begin a taper based on clinical response.Population: Patients with severe CAP, defined by meeting at least one of the following criteria:Pneumonia Severity Index (PSI) > 130.O2 by FiO2 ratio < 300.Need for mechanical or non-invasive ventilation (with PEEP ≥ 5).Need for high FiO2 (>50%) via non-rebreather or heated high flow.Primary Outcomes: Death for any cause 6.2% (hydrocortisone) vs 11.9% (placebo)Secondary outcomes:Death from any cause at 90 days 9.3% (hydrocortisone) vs 14.7% (placebo)Endotracheal intubation 18% (hydrocortisone) vs 29% (placebo)Hospital-acquired infections 9.8% (hydrocortisone) vs 11.1% (placebo)Gastrointestinal bleeding 2.3% (hydrocortisone) vs 3.3% (placebo)Vasopressor initiation by day 28 15.3% (hydrocortisone) vs 25.0% (placebo)Key Findings: The trial demonstrated superiority for hydrocortisone 📋 Updated Guidelines & Current Practice The Cape Cod trial, along with subsequent meta-analyses, has begun to change official recommendations.Society of Critical Care Medicine (SCCM): In 2024, an SCCM expert panel, reviewing the Cape Cod trial and 18 others, strongly recommended corticosteroids for severe CAP. They concluded that steroids reduce mortality and the need for mechanical ventilation.Meta-Analysis (Smit et al.): A 2024 meta-analysis in Lancet Respiratory confirmed the 30-day mortality benefit.European Respiratory Society (ERS): The ERS has issued a recommendation to use steroids for severe pneumonia but still urges caution regarding side effects.ATS/IDSA: As of the podcast recording, the ATS/IDSA had not yet updated their 2019 guidelines. 🛠️ Practical Application for Clinicians Defining “Severe” CAP: The key is to identify patients who qualify as “severe”. This can be done using:Scoring Tools: The PSI is the best validated tool for mortality but is cumbersome. Simpler tools like CURB-65 or SMART-COP are practical and acceptable for defining severity. 2023 meta-analysis from by Zaki et al showed both work well, but CURB-65 has better mortality prediction early on.Cape Cod Criteria: Any patient meeting the trial’s inclusion criteria (e.g., high-flow O2, non-invasive ventilation) qualifies, regardless of location (ED, floor, or ICU).Biomarkers: While not required, a CRP level was used in many studies. A CRP > 150 (Cape Cod) or > 204 (Smit meta-analysis) strongly indicates severe inflammation that would benefit from steroids.Clinical Judgment: A patient who looks “sick,” has “soft” blood pressure, or has dense infiltrates and high oxygen needs (e.g., >50% FiO2 on high flow) is a candidate.Adverse Effects:Hyperglycemia: This was the most significant risk identified, with rates between 6-12%. This is a primary concern, especially in patient populations with high BMI.GI Bleed & Secondary Infection: Fears of these side effects, which contributed to historical skepticism, were not borne out in the Cape Cod trial. The data does not support being overly concerned.Other Side Effects: Mood changes, delirium, insomnia, and agitation in the elderly are known side effects of steroids that were not specifically addressed in the trial but remain clinical concerns. 🔄 Clinical Pathway for Steroids in Severe CAP Unanswered Questions & Future Research Possible remaining questions:Biomarkers: Can we find a more precise CRP level to distinguish moderate from severe disease? Could other markers like ferritin or IL-6 be used? Dosing & Tapering: How much immunomodulation is needed, and when is it truly safe to taper?Gender Differences: Early data suggests females may respond better to steroids and experience fewer side effects. The question of female patients with severe CAP require less corticosteroids needs further exploration. 👉 Clinical Bottom Line The current literature, spearheaded by the Cape Cod trial, now supports the use of corticosteroids in severe community-acquired pneumonia. The best evidence currently points to hydrocortisone, started early (within 24 hours) after severity is identified using a validated tool. While hyperglycemia is a risk, the previous fears of GI bleeding and secondary infections were not substantiated in recent, rigorous trials. 📚 References Chapa-Rodriguez A, Abou-Elmagd T, O’Rear C, Narechania S. Do patients with severe community-acquired bacterial pneumonia benefit from systemic corticosteroids?. Cleve Clin J Med. 2025;92(10):600-604. PMID: 41033846Dequin PF, Meziani F, Quenot JP, et al. Hydrocortisone in Severe Community-Acquired Pneumonia. N Engl J Med. 2023;388(21):1931-1941. PMID: 36942789Chaudhuri D, Nei AM, Rochwerg B, et al. 2024 Focused Update: Guidelines on Use of Corticosteroids in Sepsis, Acute Respiratory Distress Syndrome, and Community-Acquired Pneumonia. Crit Care Med. 2024;52(5):e219-e233. PMID: 38240492 Post Peer Reviewed By: Marco Propersi, DO (Twitter/X: @Marco_propersi), and Mark Ramzy, DO (X: @MRamzyDO) 👤 Show Notes Alex Chapa, MD PGY 5 Pulmonary Critical Care Fellow Cape Fear Valley Medical Center Fayetteville NC 🔎 Your Deep-Dive Starts Here REBEL Core Cast 149: Review of Corticosteroids in Community-Acquired Pneumonia Corticosteroids have long sparked debate in the treatment of bacterial ... Thoracic and Respiratory Read More The post REBEL Core Cast 149: Review of Corticosteroids in Community-Acquired Pneumonia appeared first on REBEL EM - Emergency Medicine Blog.

Patrick Bet-David sits down with Senator Rand Paul for a wide-ranging conversation on Fauci and COVID, individual liberty, ICE and Minnesota, immigration and welfare reform, non-interventionism, Venezuela, tariffs, and why limited government still matters.------

Police Saw It Coming in the Tepe Case—Here's What They Couldn't Do In this episode of Police Off The Cuff, retired NYPD detectives take a hard look at the Spencer and Monique Tepe murders through one of the most difficult lenses in modern policing: the moment when intervention was no longer possible. This wasn't a mystery crime — it was a slow-building domestic violence case filled with warning signs, fear, and legal limitations. We break down what law enforcement knew, what they were legally allowed to do, and why—despite escalating red flags—the system failed to stop a tragedy that many believe was preventable. From stalking behavior and prior complaints to the realities of probable cause, restraining orders, and victim reluctance, this episode explains why police sometimes arrive after violence has already occurred—and why that moment is often misunderstood by the public. This is not Monday-morning quarterbacking. This is a sober, professional analysis of why it was already too late to intervene. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

NY comedians Nick Simmons and Nick Callas join The Fighter and The Kid for a wild episode packed with roast stories, fighting talk, comedy chaos, and brutally honest takes.The guys get into everything from bad introductions, awkward social situations, training as you get older, testosterone talk, getting roasted by friends, fitness insecurities, and what happens when comedians try to act like fighters. There's also classic TFATK banter, real talk about aging in combat sports, and nonstop roasting throughout the episode.Nothing is structured. Nothing is safe. And somehow it all makes sense.Enjoy the episode. Get this episode and all future episodes AD FREE + 2 extended episodes, Fan Questions, exclusive behind the scenes content and more each month at https://www.patreon.com/tfatkDraftKings - Download the DraftKings Sportsbook app and use code FIGHTER. That's code FIGHTER to turn five bucks into three hundred in bonus bets if your bet wins.Quo - Try QUO for free PLUS get 20% off your first 6 months when you go to https://www.quo.com/FIGTHERProgressive - Visit https://www.progressive.com/ after this episode to see if you could save.True Classic - Upgrade your wardrobe and save on @trueclassic at trueclassic.com/FIGHTER! #trueclassicpodNick Simmons Socials: @notnicksimmons Nick Callas Socials: @mrnickcallasSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

After discovering her daughter had been given a chest-flattening garment by a school social worker—without her knowledge—a concerned mother is now asking the Supreme Court to weigh in on parental rights and school transparency. Amber Lavigne joins us alongside her attorney, Adam Shelton, to explain what happened and what a ruling could mean for parents nationwide. Get the facts first with Morning Wire. - - - Ep. 2586 - - - Good Ranchers: Get $25 off your first order and save up to $500 a year when you use code WIRE at GoodRanchers.com   - - - Wake up with new Morning Wire merch: https://bit.ly/4lIubt3 Learn more about your ad choices. Visit podcastchoices.com/adchoices