Podcast appearances and mentions of Jeff Jacobs

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Best podcasts about Jeff Jacobs

Latest podcast episodes about Jeff Jacobs

Zions Stone UCC
The Call of Discipleship

Zions Stone UCC

Play Episode Listen Later Oct 15, 2024 17:58


Pastor Mike preaches on the rich man who asked Jesus how to inherit eternal life, how Jesus doesn't turn anyone away, and how people don't leave Jesus because he sends then away but because they don't like what he asks them to give up. 21st Sunday After Pentecost, Year B: Amos 5:6-15; Hebrews 3:1-6; Mark 10:17-31 www.gofundme.com/f/ZionsStoneChurchRepairFund Image by Jeff Jacobs from Pixabay

Changing Work
Why Psychological Safety Is Non-Negotiable in Today's Workplaces with Jeff Jacobs

Changing Work

Play Episode Listen Later Jul 16, 2024 28:59


In this episode, Jeff Jacobs, Senior Director of Organizational Effectiveness at Adobe, shares insights into the importance of psychological safety and effective leadership in the workplace. Jeff and host Scott Shute discuss the impact of leaders who ask for feedback, model vulnerability, and prioritize trust within their teams. They talk about examples from Adobe, and explore how fostering a culture of openness and empathy not only enhances team performance but also significantly affects overall job satisfaction and retention. Jeff's advice and insights will give you a deeper understanding of how to create a more engaged and productive work environment.Chapters00:00:00 - Introduction to Feedback and Leadership00:01:02 - Meet Jeff Jacobs00:01:45 - What is Organizational Effectiveness?00:03:53 - Current Themes in Organizational Development00:06:28 - Psychological Safety at Work00:13:57 - Vulnerability in Leadership00:17:02 - Navigating Company Culture and Change00:20:40 - Manager-Employee Relationship Dynamics00:28:36 - Final Thoughts and AppreciationsLinks and ResourcesJeff on LinkedIn: https://www.linkedin.com/in/jeffjacobs/ Adobe: https://www.adobe.com/ Changing Work: https://www.changingwork.org/ Scott Shute on LinkedIn: https://www.linkedin.com/in/scottshute/ Nicholas Whitaker on LinkedIn: https://www.linkedin.com/in/nicholaswhitaker/ Thanks so much for joining us this week. Want to subscribe to Changing Work? Have some feedback you'd like to share? Connect with us on Spotify, Apple Podcasts, and YouTube to leave us a review!

Pest Posse TV
Innovative Rodent Control

Pest Posse TV

Play Episode Listen Later Jan 27, 2024 38:49


Jeff Jacobs, Automatic Trap Company talks with Culley about the Good Nature Trap and the recent updates to this alternative for rodent control solution. Learn more about this device at https://goodnature.co/ Check out the new Pest Posse TV experience at www.pestpossetv.com Get your copy of the best-selling book Fundamentals of Pest Control Sales at www.pestposse.net/Sales Get The Pest Posse swag today at https://pest-posse-general-store.creator-spring.com/

On Compassion with Dr. Nate
Building A Culture of Compassionate Accountability at Adobe: With Jeff Jacobs

On Compassion with Dr. Nate

Play Episode Listen Later Jan 2, 2024 45:20


Dr. Nathan Regier, your host, welcomes Jeff Jacobs to today's episode. Jeff has a 30-plus year career in Human Resources spanning numerous Global Leadership roles. He is currently the Senior Director of Organizational Effectiveness at Adobe. In that capacity, he serves as an executive coach and internal consultant to senior leadership teams across the company. Dr. Nate and Jeff discuss the particularities of his position at Adobe; they explore the features of a healthy team and the challenges a team must confront to achieve its best performance. Jeff shares his vast knowledge of psychological safety, vulnerability, diversity, and inclusiveness based on his extensive experience in leading high-performing teams.   Key Takeaways: [3:40] Jeff talks about a conference both he and Dr. Nate recently participated in. [5:15] Jeff shares some of his background and journey that led him to his current position at Adobe. [6:57] What about Jeff's Senior Director of Organizational Effectiveness position at Adobe is unique? [9:26] What makes a team healthy? [11:00] Jeff addresses compassion and inclusivity as crucial features of a healthy team. [12:40] Where does conflict come in for high-performing teams? [15:13] What is psychological safety? How does it contribute to high-performing teams? [18:50] What does “radical candor” really mean? [21:15] Jeff expands on the key to effective feedback. [22:20] How does vulnerability contribute to high-performing teams? [24:57] Why do so many leaders perceive vulnerability as a weakness? [27:27] What are some of the systems and processes that can support high-performing cultures? [31:32] How does Jeff measure the impact of what he does? [33:13] What is the difference between people liking you, and benefiting an organization? [35:44] Jeff talks about the book he is about to release. [39:13] Jeff shares how he keeps himself vulnerable and open. [42:35] Dr. Nate shares his top takeaways from a fantastic conversation with Jeff Jacobs.   Mentioned in this episode: The Compassion Mindset Compassionate Accountability: How Leaders Build Connection and Get Results, Nate Regier Visit Next-Element   The Right Kind of Wrong: The Science of Failing Well, Amy Edmondson   Radical Candor: How to Get What You Want by Saying What You Mean, Tim Scott Learn more about Jeff Jacobs' book Still Coming of Age.   Tweetables: “A healthy team starts with trust and psychological safety.” #oncompassion   “Leveraging diversity is not just about accepting and valuing differences; there is an inherent conflict in diversity and also an inherent opportunity.” #oncompassion   “Psychological safety is the foundation that enables someone to lean into the discomfort.” #oncompassion   “Culture is to build one relationship at a time.” #oncompassion “Vulnerability is one of the most profound leadership strengths that exists.” #oncompassion

PJ SOLOMON Presents
The Future of the Index Industry with Wilshire Indexes CEO Mark Makepeace

PJ SOLOMON Presents

Play Episode Listen Later Jun 20, 2023 24:17 Transcription Available


Mark Makepeace, CEO of Wilshire Indexes, and Jeff Jacobs, Head of Mergers & Acquisitions at Solomon Partners discuss how new technologies, data sources and collaborations are driving changes in the global index industry. The conversation explores the growth of passive funds, the dynamics impacting ESG investing and the enormous potential for evolving technologies like AI to fundamentally reshape the investment industry.

The Elite Beat
BONUS! Mock Dynamite/Collision Draft with Jeff Jacobs!

The Elite Beat

Play Episode Listen Later Jun 14, 2023 143:05


Hiiiiiiiii, friend of the pod Jeff came up with the only sensible thing to do when you're about to launch a second two-hour weekly show and potentially split up your roster... a DRAFT. So if AEW won't do one for real, we'll sort this whole doggone thing out on the air. We'll be back later this week with Megan and Jenny on the Dynamite recap, but for now, enjoy the b-b-b-b-b-bonus!

Growing Your Firm | Strategies for Accountants, CPA's, Bookkeepers , and Tax Professionals

Today we welcome back guest Jeff Jacobs where we talk through some interpersonal conversation that dives much deeper than the accounting business itself. Jeff and David cover momentum, self assessment, breaking chains, and much more. Jeff is a returning guest on our podcast where we previously covered client acquisition, retention, and expansion. Jeff is the Director of Development at  Wilkins Miller, where he will tell you he does everything except accounting. Jeff is active in his firm, daily life, and an exciting guest that we're excited to have back on the show.

Startup To Scale
109. Choose the right packaging for your products

Startup To Scale

Play Episode Listen Later Apr 24, 2023 22:01 Transcription Available


 Choosing your product packaging is one of the most important decisions you'll make in starting your company, but it often gets rushed over. Your packaging impacts your shelf-life, branding, manufacturing method, and more. Join me for a conversation with Jeff Jacobs with ePac as we discuss what you need to consider when choosing packaging for your brand. Startup to Scale is a podcast by Foodbevy, an online community to connect emerging food, beverage, and CPG founders to great resources and partners to grow their business. Visit us at Foodbevy.com to learn about becoming a member or an industry partner today.

From My Standpoint
Episode 063: Easter

From My Standpoint

Play Episode Listen Later Apr 7, 2023 16:44


What is Easter? Why is it so important? How does it apply to our lives?  Listen as Josh explains, the best way he can, the reason we celebrate Easter, why Good Friday is really good, and the importance of unconditional love, grace, mercy, and sacrifice, in this powerful message. You will be happy you listened.           Image by: Image by Jeff Jacobs from Pixabay  

Growing Your Firm | Strategies for Accountants, CPA's, Bookkeepers , and Tax Professionals

Jeff, a fan of our show, is the Director of Development at Wilkins Miller. Wilkins Miller is a top 400 Accounting firm in Mobile, AL. He started his career in IT business development and soon transferred to development, which we will cover throughout. Ultimately, Jeff is in the pursuit of new clients and new business. On today's episode we sat down with Jeff Jacobs, and talked about retention, hiring, development, and most importantly, relationships. 

Press Box Access
Jeff Jacobs: The Heart of the Matter

Press Box Access

Play Episode Listen Later Mar 15, 2023 59:21


Jeff Jacobs is a writer who bleeds on the keyboard, and his passion for the craft has never wavered during 46 years in the business. You'll hear it as Jeff recalls his first big career moment when he unexpectedly became part of the story at a minor league hockey fight. He puts us there in January1980 when the Philadelphia Flyers' record 35-game undefeated streak ended, and he provides other hockey stories that depict the sport's unique culture. Jeff brings the Hartford Whalers back to life with vivid anecdotes and a few bars of the defunct NHL team's fight song. And he shares details and tales of dustups from many years of covering Geno Auriemma and Jim Calhoun, two Hall of Fame basketball coaches at the University of Connecticut. Hear about heart attacks, hate mail, and a memorable phone call from a particularly cranky senior citizen.   Jacobs has been named Connecticut Sportswriter of the Year 11 times (including 2022) by the National Sports Media Association. He has been honored four times by the Associated Press Sports Editors as one of the top-10 columnists in the country. Jeff spent nearly 34 years at the Hartford Courant before becoming sports columnist for the Hearst Connecticut Media Group in January 2018. He was the Hartford Courant's sports columnist for 22 years after covering the Whalers and NHL as the paper's beat reporter. Jeff has covered all four of the UConn men's basketball national championships and 10 of the 11 NCAA titles won by Auriemma's women's program. He's also covered multiple Olympics, World Series, Super Bowls, and Stanley Cup Finals.   Jacobs was born in Kirkwood, Mo., grew up in Newport, R.I., and is a 1977 graduate of the University of Missouri School of Journalism. He began his career as a hockey writer at The Times Herald in Port Huron, Michigan, and then covered the Flyers for The Courier Post (New Jersey) before joining the Hartford Courant in 1984.   Jeff likes to say that his hobby is surviving heart attacks. He had a double bypass surgery after his second one in 2019. His first heart attack, in 2005, required a quadruple bypass. Here's to wishing Jeff great health and many more years of writing.   Follow Jeff on Twitter: @jeffjacobs123 Learn more about your ad choices. Visit megaphone.fm/adchoices

Think Mighty: Podcast for active-lifestyle brand marketers and entrepreneurs
Wilkins Miller: Growing your accounting firm and building momentum

Think Mighty: Podcast for active-lifestyle brand marketers and entrepreneurs

Play Episode Listen Later Mar 8, 2023 28:59


We welcomed back our first guest in a long time. Jeff Jacobs leads business development for Wilkins Miller, a large regional accounting firm based in Mobile, Alabama. Jeff shares his experience in moving from a career in sales at an IT firm to a business development in accounting and the lessons he learned along the way. He reveals what works best for growing accounting firms and how you can build momentum for your own firm. To learn more about Jeff and Wilkins Miller, visit www.wilkinsmiller.com ___________________ If you are an entrepreneur looking to attract your ideal customers, generate more sales, and grow your business, check out these two free resources: Revenue Growth Cheat Sheet - 18 simple ways to increase your revenue without spending another dollar. ⁠https://mightybranding.com/revenue⁠ Magnetic Messaging Frameworks - 40+ templates you can use for any business to create magnetic content that converts. ⁠https://mightybranding.com/messaging-framework⁠

The Successful Bookkeeper Podcast
EP346: Jeff Jacobs - How To Build Trust With Your Bookkeeping Clients

The Successful Bookkeeper Podcast

Play Episode Listen Later Feb 14, 2023 35:46


“If you're going to work with someone and they're going to give you access to their client base, they're really going to have to trust you.” -Jeff Jacobs Trust is fundamental to any relationship and yet so many of us struggle to build long-lasting and trusting relationships. Expectation plays a key role in how trust is formed. When someone lets us down or fails to deliver on a promise, it shakes our faith in them. But more deeply, it shakes our faith in ourselves. After all, we put our faith and trust in that person or organization to deliver. When they don't, we question our ability to make the right decisions going forward. This becomes a never-ending cycle of self-doubt and inconsistent trust-building activity. Jeff Jacobs, Director of Development at Wilkins Miller LLC, is this episode's featured guest. His approach is a personal one that focuses on the team rather than the individual as the key to success. Building caring and trusting relationships with employees and clients, not just to leverage them later, but to learn how he might best help them reach their dreams. If you are struggling to build trust, consider how much of your intention is on what you want to get out of a client rather than on how you can improve their lives. When clients don't feel valued, they are less likely to trust you to manage more of their needs. When was the last time you checked in on a client just to see how they are feeling or to ask them what you could be doing better? During this interview, you'll learn... The value of trust in long-lasting connections How to create strong business relationships The importance of keeping people in the loop  Click here to find out more about Jeff. Connect with him on LinkedIn. Time Stamps 02:09 - Jeff talks about his career journey  08:52 - Why building trust matters  10:50 - Creating centers of influence  13:54 - Overcoming the obstacles of industry  16:02 - Find the way that works for you 20:29 - Keeping people in the loop 22:06 - Delivering a quality offering  24:22 - Building strong business relationships 33:28 - How to get in touch with Jeff  This episode is brought to you by our good friends at Pure Bookkeeping! If you want to grow your bookkeeping business, get back your time, be more efficient and have confidence that your work is best practice, you need proven systems, processes and standard operating procedures. That's what Pure Bookkeeping offers. To find out more, visit PureBookkeeping.com TODAY!

Revolution Church - Pastor Zak White REVYOURLIFE
Right Now - Pastor Jeff Jacobs

Revolution Church - Pastor Zak White REVYOURLIFE

Play Episode Listen Later Jan 15, 2023 34:54


No matter where you've been or what you've done, there is hope for a new story in Jesus.

Revolution Church - Pastor Zak White REVYOURLIFE
Right Now - Pastor Jeff Jacobs

Revolution Church - Pastor Zak White REVYOURLIFE

Play Episode Listen Later Jan 15, 2023 34:54


No matter where you've been or what you've done, there is hope for a new story in Jesus.

Biblical World
The History and Archaeology of Christmas (Part 2) - Chris McKinny and Kyle Keimer

Biblical World

Play Episode Listen Later Dec 22, 2022 94:26


Episode: In part 2 of this series, Kyle and Chris discuss additional historical and archaeological aspects associated with the origin stories of Jesus as seen in Matthew and Luke. They discuss the archaeological background and traditions associated with the Church of the Nativity in Bethlehem. They also explain a number of other historical background elements connected with Matthew's use of the Old Testament focusing – in particular – on the impact of the Neo-Assyrian and Neo-Babylonian conquests of Israel and Judah in prophetic literature and how that context still matters for how one reads the origin narrative of Jesus in Matthew. (This is a re-broadcast of a previously published episode) Relevant Articles The Accommodations of Joseph and Mary in Bethlehem: Κατάλυμα in Luke 2.7* STEPHEN C. CARLSON Hosts: Chris McKinny and Kyle Keimer. Give: Help support OnScript's Biblical World HERE. Thanks to all of you who have supported us! Image by Jeff Jacobs from Pixabay

Ride by Day, Wrench by Night
Chris 'the Flying Fish' Fischetti

Ride by Day, Wrench by Night

Play Episode Listen Later Oct 6, 2022 82:08


This episode is with one of the industry's most colorful characters - 1991 World Champion, Chris 'the Flyin Fish' Fischetti The Fish was one of the rock stars of the early 90s and was always easy to spot, even amongst the bright colors, due to his signature shark fin that he wore on his back. Not only was the Fish a weapon in the water, but he was a great leader in the community out of it, starting the Fish Syndicate. His dad, affectionately known as Pops, was his leading mechanic and between them they had some amazing machines, at times having an edge over their rivals at PJS. Listen in for not only some amazing set up tips, but some crazy stories from the scene in the 90s with all your favorite legends Show notes: You're loved in the community, you started the Fish Syndicate, tell us about that Everyone who ran the show for the jet skis went straight to X Games You guys were rock stars back then, it was a beach party with a jet ski event Running into Troy Lee It must have been so much fun to be on a tour like this Fish's Adventure - tell us about that Scott Watkins was the best rider who did Jet Dreams and then moved to Jet Pilot - he was the guy The jet ski tour really blew up after the big jetski videos Tell us about the Paris indoor race series in Bercey, that must have been great! What do you remember about the Australian Surf Series racing against Todd Ross and Scott Miller? How did you all go over to race in Japan? Jet skis were manufactured in Nebraska and distributed from there Where did your shark fin come from? Your business Hole Shot Engineering and the X2 650 Supercharger The supercharger giving you the edge against the PJS riders You had fierce rivalries but were great friends off the track, what trouble did you guys cause back in the day? Fort Worth, Texas race in 1990 and you have a throttle linkage issue and ended 15th You're always doing R&D, everything you needed you had to bring with you You had good support from a bunch of sponsors: Hole Shot, Mariner, Sano Pads, Solas Impellers, Jet Pilot, Oakley, Arai Helmets, Graydon Proline and Gold's Gym to name a few I started off racing for Fun Tech who made “The Wedge” What's the story with Bum Bum? Tell us about the 1990 World Finals 1991 you became World Champion, but you got badly injured in a car accident! Two weeks after the crash was the first of the Hot Water Tour, I hit someone's ski and I fractured my arm Your dad was a monster engine builder involved with Indycar His race savvy was a huge advantage 1991 was the pinnacle for the 550 engines with an engine your dad made for you It forced us to run a stock flywheel Explain the water cooling system for the bearing Was that your favourite 550 engine? How did you modify the pump? We built the pump, bent and tuned the props, lightened drive line, worked on the steering and intake, dad build the cranks, pistons and the carbs My dad hand built all of this in our garage What was it like competing against a factory backed rider using your own parts? Secrecy in the pits Jeff Jacobs used lead on his ski to keep the nose down, did you do that too? Scoop grates and the ride plate length are important What did it feel like winning the World Championship in 1991? There was no social media, you had to attend events Handling: Fish Sticks - Rhaas Five5Zero Sponsons: tell us about them! This is the first mod that you should do to your ski Having the handle pull height right and having a short steering plate, to make the steering Wedge some foam under the handle pull to stop it dropping too low Engine setup: Have a good set of carbs that you can tune well Your best racing memory: Famous desert parties and the World Finals How many “real” world champions are there on pure jet ski hulls? The journey is more important than the race results

Wake Up Memphis Podcast

The Republican candidate for Shelby County Clerk walks Tim & Ben through the chaos unfolding within the County Clerk's office.See omnystudio.com/listener for privacy information.

Wake Up Memphis Podcast

Where are my car tags and why is it taking so long to get them? Jeff Jacobs, Republican candidate for Shelby County Clerk, joins Wake Up Memphis Thursday with answers. See omnystudio.com/listener for privacy information.

Wake Up Memphis Podcast

Jeff Jacobs, the Republican candidate for Shelby County Clerk, walks Tim & Ben through the chaos unfolding within the County Clerk's office.  See omnystudio.com/listener for privacy information.

Harrow Baptist Church
Resurrection People: Spectator or Participant?

Harrow Baptist Church

Play Episode Listen Later Apr 17, 2022 24:58


We start a new series of reflections for the Easter season, on what it means to be Resurrection People. Thanks to Engage Worship for the format. Cover pic by Jeff Jacobs on Pixabay

Southern California Real Estate Report
A new Vision for Seaport Village

Southern California Real Estate Report

Play Episode Listen Later Mar 11, 2022 16:39


Today on the Southern California Real Estate Report we talk about a new look for Seaport Village.At a estimated cost of $3.5 Billion the project promise to bring new life to the area with new hotels, shops, restaurants, offices, docks ,a beach and more.The developer is 1HWY1 run by Yehudi Gaffen, along with Jeff Jacobs of the Jacobs family and Jeff Essakow.Find out more about our thoughts on this project in this weeks episode.Article referenced from The Union Tribune Titled Mega plan to replace Seaport Village unveiled.https://www.sandiegouniontribune.com/business/growth-development/story/2022-03-01/mega-project-replacing-seaport-village-central-embarcadero-has-swelled-in-size-and-price

GameTimeCT
The Meat Grinder S4 E15: That's a (Championship) Wrap!

GameTimeCT

Play Episode Listen Later Dec 15, 2021 66:15


Sean Patrick Bowley, Pete Paguaga and columnist Jeff Jacobs recap the 2021 CIAC Football championship weekend, celebrate the four state champions, Cromwell/Portland, Killingly, Maloney and No. 1 Darien. They also take a look ahead at what's next for high school football, including the CIAC's loathsome return of six state champions, weird realignments and confounding scheduling decisions, among many other topics as we put a bow on a successful 2021 season.

Ride by Day, Wrench by Night
'Dangerous' Dan Fitzgerald - 2021 Vintage Class World Champion

Ride by Day, Wrench by Night

Play Episode Listen Later Dec 12, 2021 153:08


Today's episode is with the 2021 Vintage Class Jet Ski World Champion, ‘Dangerous' Dan Fitzgerald! Coming up through the ranks from the early 90's, he is still riding, racing and winning! Join us as we go down memory lane and relive his early races, the fierce battles he was in, tech innovations like EFI systems, balancing a career being an accountant with wrenching, starting a business and what competing in the 2021 World Finals was like. Dan has a wealth of knowledge about Jet Ski racing, you're in for a treat with this one! Dan's career has spanned for over 30 years and has seen him regularly earning top 5 positions against the big names of the sport in the ProMod class during the early 90s before he went on to even bigger heights. We cover an incredible play by play race recap of when Dan took out the last race of the 1995 national tour in Dallas in the 1200 runabout class We ‘Nerd out' on the differences between MRD mechanical fuel injection and the Triton EFI system, Dan has run them both How he managed a full time accounting career whilst balancing his ambitions to become a pro jetskier as a privateer with only minimal sponsorship support And how his grit and determination paid dividends when Factory Yamaha, Team RIVA,  came knocking on his door with an opportunity he couldn't refuse We finish with some in depth advice from Dan on how to modify your 550 for the best performance possible plus so many more interesting insights along the way. Dan found a way to build his passion into a business with the launch of Jet World Power Sports. If you'd like to find out more about what products Dan has to offer then head to his website at JetWorldPowerSports.com Important Times: 00:13 Intro 01:47 Hello and welcome! How did you get started in Jet Ski racing? 03:50 How and when did you get into wrenching? 07:30 Your dad's role in your wrenching and your first race 11:20 Regional races with worn out motors 13:00 How did you become friends with Jeff Jacobs with the age difference? 16:55 Senators Wash 18:25 Australian Pursuit and the value of riding with better riders 21:30 Funny story about Jeff Jacobs 23:40 What racing memories do you have with Jeff? 26:00 The 750's equalized the racing 27:30 My gear wasn't as fast but it was very reliable 28:35 The beginnings of business 29:45 Finding performance in reliability meant focusing more on the bottom end 31:55 Did you ever train with Jeff? Did you ever get to ride his race skis? 33:50 You had a big list of sponsors in your pro years then none in your expert years 37:30 A story about L&S 40:50 It was inspiring to see you out there financing yourself 43:50 1991 tour you ended 5th place, what was that like? 45:50 White Brothers and Good Time Racing 47:50 Riding 650's 50:00 I switched to a 750 with MRD fuel injection for the World Finals and getting injured 51:50 What is your professional opinion of MRD fuel injection? 54:15 I had a 750 with a Triton EFI as well 56:10 How engine tuning worked 01:01:40 How did you measure performance? 01:05:40 Did you ever see Victor Sheldon or Jeff Jacobs EFI? 01:08:25 Standups to Runabouts and a very tough 1993 01:14:02 This is what dreams and legends are made of 01:22:05 I made over $100 000 just racing jet skis! 01:23:48 What was it like having a professional career while racing? 01:30:15 Starting your own business 01:33:35 The hulls flexed so much that it wrecked the drive coupler 01:35:35 Last round of the national tour 01:44:00 Big battles in the World Finals 01:49:30 You haven't stopped racing but now you had a business: Jet World Powersports 01:52:40 Mike Cohen from PJS came to work with me 01:53:05 We do Sea Doo Watercraft, CanAm Spyder, Beta and Husqvarna Motorcycles, Polaris, Yamaha and Kawasaki, Torrot Electric Motorcycles and Electric Motion 01:55:20 You are the current World Vintage Class Champion taking it away from Wyland Redon, what's it like racing today vs the old days? 01:57:50 Walk us through your setup: Rhaas 750 Conversion kit and choosing a nozzle 01:59:50 Intake grate: set up to go fast in rough water 02:03:21 Engine bay: RND, Mariner and Kaufman pipes 02:06:58 Running 220 Psi compression using a PJS head 02:07:37 3 Channel MSD ignition and a stock FX1 Waterbox 02:08:18 Air flow: pair of 48mm Carburetors 02:08:45 What was the World Finals like? Moto 1 and the log jump 02:12:30 Moto 2 02:15:30 Physical condition and weight is important 02:17:20 The final results of the 2021 World Finals 02:18:18 I wish we had more people doing this 02:21:00 Your best handling tip: Make your ski parabolic, add front and rear sponsons 02:22:35 Engine setup: have enough cooling, add compression and do some porting and an aftermarket ride plate. You can also use a Reed motor. Maintain your parts! 02:26:00 Favorite memory on a jet ski: Helping surfers stuck in massive surf in Ventura 02:30:45 Thank you so much for your time! 02:31:38 Outro

GameTimeCT
The Meat Grinder (S4 Ep14): Finals previews plus 2021 Football Pick 'Ems: State Playoff Finals

GameTimeCT

Play Episode Listen Later Dec 9, 2021 61:51


GameTimeCT producer Pete Paguaga is joined by GameTimeCT producer Sean Patrick Bowley and GameTimeCT columnist Jeff Jacobs. The trio talks the state playoffs to start the show. Picks start at 31 minute mark

GameTimeCT
The Meat Grinder (S4 Ep13): Semifinals plus 2021 Football Pick 'Ems: State Playoff Semifinals

GameTimeCT

Play Episode Listen Later Dec 3, 2021 71:45


GameTimeCT producer Pete Paguaga is joined by GameTimeCT producer Sean Patrick Bowley and GameTimeCT columnist Jeff Jacobs. The trio talks the state playoffs to start the show. Picks start at 31 minute mark

GameTimeCT
The Meat Grinder (S4 E12): We head to the quarterfinals and react to playoff expansion

GameTimeCT

Play Episode Listen Later Nov 30, 2021 36:27


Thanksgiving is over, the quarterfinals begin Tuesday night. But with little time to spare and picks to make, GameTimeCT's Pete Paguaga, Jeff Jacobs and Sean Patrick Bowley kick the tires and give their takes on the state of football, especially the recent expansion back to six championship divisions of eight and what that means for the sport going forward. This is the shorter, first part of a two-part podcast in conjunction with our quarterfinal picks.

GameTimeCT
2021 Football Pick 'Ems: State Playoff Quarterfinals

GameTimeCT

Play Episode Listen Later Nov 29, 2021 56:25


GameTimeCT producer Pete Paguaga is joined by GameTimeCT producer Sean Patrick Bowley and GameTimeCT columnist Jeff Jacobs.

GameTimeCT
2021 Football Pick 'Ems: Week 12

GameTimeCT

Play Episode Listen Later Nov 22, 2021 73:30


GameTimeCT producer Pete Paguaga is joined by GameTimeCT producer Sean Patrick Bowley and GameTimeCT columnist Jeff Jacobs.

GameTimeCT
The Meat Grinder (S4 E11): Push For The Playoffs and Jake's Takes

GameTimeCT

Play Episode Listen Later Nov 17, 2021 68:20


With our weekly guest spot ruined by a dreaded glitch, Pete and Sean detail their week criss-crossing the state to Windsor, Naugatuck, Plainville, Stafford and into the quiet corner at Woodstock Academy. Of course, we discuss the most pressing issue of the times: The state playoff picture. Sean's just about got the formula figured out, but with so many games still to be played this week the best we can do is to give an overview before Thanksgiving Week. And what better place to start than to recap the carnage wrought by Cam Edwards and Norwalk at Fujitani Field. Edward scored five-touchdowns in a virtuoso performance to knock off playoff hopeful Wilton, 41-21, and put him on the short list of state player of the year (if he wasn't already.) Not wasting any time, Jeff Jacobs takes first crack at picking his top players of the year in this week's Jake's Takes segment. Though we lost the guest, there's plenty to whet your football palate in this week's pod. Unfortunately, this was recorded before the CIAC approved of a six-division playoff format for next year. You can be sure we'll have plenty to say about it next week. So join us, won't you? THE RUNDOWN 00:00 -- Montage (Stafford, Naugatuck, Norwalk) and opener. 4:50 -- Cam Edwards's MVP performance knocks Wilton into 2022. 13:10 -- Jake's Takes On (Early) Best Player Postseason Awards. 27:50 -- Breaking down the latest state playoff picture. 32:52 -- Pete's Three-Game Friday Night checks in with Bristol Central, Bloomfield, Windsor. 37:19 -- Conard knocks off No. 7 Southington (and more Class LL playoff talk) 43:30 -- Naugatuck gets Anderson a victory over his old haunt, Woodland (and more Class L playoff talk) 52:04 -- Ethan Davis, Woodstock rip Ledyard for school's first football title during Sean's trip to the Quiet Corner (plus Killingly and Class M talk) 1:02:10 -- Sean's Thursday night trip to see Mark McLaughlin, Stafford rip Rockville (and more class M playoff talk) 1:06:09 -- Wrapping up

GameTimeCT
2021 Football Pick 'Ems: Week 11

GameTimeCT

Play Episode Listen Later Nov 17, 2021 25:27


GameTimeCT producer Pete Paguaga is joined by GameTimeCT producer Sean Patrick Bowley and GameTimeCT columnist Jeff Jacobs.

GameTimeCT
2021 Football Pick 'Ems: Week 10

GameTimeCT

Play Episode Listen Later Nov 10, 2021 38:00


Welcome back to the tenth episode of the GameTimeCT Football Pick'Em Podcast. GameTimeCT producer Pete Paguaga is joined by GameTimeCT producer Sean Patrick Bowley and GameTimeCT columnist Jeff Jacobs.

GameTimeCT
The Meat Grinder (S4 E9): Wilton's E.J. DiNunzio

GameTimeCT

Play Episode Listen Later Nov 3, 2021 94:09


We're rounding into the homestretch of the 2021 season and unless you were at St. Joseph fan at No. 1 Darien's 42-14 victory over the No. 2 Hogs, Week 8 didn't disappoint. Instead, the best results came elsewhere, especially in Wilton where the Warriors finally toppled their white whale -- Ridgefield -- for the first time since 1993. Joining us this week is Wilton's fourth-year coach E.J. Dinunzio, who talks about this year's titan-toppling club, led by Parker Woodring and Grant Masterson. Pete and Sean also go over some of the weekend's other wild results, like Masuk's 28-point comeback over New Fairfield, Shelton's revenge tour victory over Newtown, West Haven's affirming victory over Notre Dame-West Haven and New Canaan's bruising win over Greenwich. Jeff Jacobs also joins us to talk about Darien-St. Joseph and the struggle of the state's city programs in this postpandemic year. So join us won't you? RUNDOWN: 0:00 -- Opening Montage: No. 1 Darien routs No. 2 St. Joseph 3:43 -- Wilton bests No. 7 Ridgefield 14-7 for first win over Tigers since 1993. 9:27 -- Jackson, Masuk rally from state-record 28-point deficit to beat New Fairfield; Class L playoff picture. 15:01 -- Class LL playoffs are where it's at: Staples topples No. 8 Norwalk 16:31 -- Nakome, West Haven run over Notre Dame-WH 20:42 -- Rosa, Lockavitch lead No. 9 Shelton to key 34-31 victory over Newtown 25:04 -- Derby forfeits remainder of 2021 season, is their rivalry with Shelton over? 29:57 -- No. 6 New Canaan steamrolls No. 3 Greenwich 34:30 -- Recapping No. 1 Darien's 42-14 victory over No. 2 St. Joseph. 40:30 -- The latest GameTimeCT Top 10 Poll 44:45 -- Jeff Jacobs on No. 1 Darien and the plight of the city schools in 2021 55:49 -- Interview with Wilton coach E.J. DiNunzio

GameTimeCT
2021 Football Pick 'Ems: Week 9

GameTimeCT

Play Episode Listen Later Nov 3, 2021 31:59


Welcome back to the ninth episode of the GameTimeCT Football Pick'Em Podcast. GameTimeCT producer Pete Paguaga is joined by GameTimeCT producer Sean Patrick Bowley and GameTimeCT columnist Jeff Jacobs.

GameTimeCT
2021 Football Pick 'Ems: Week 8

GameTimeCT

Play Episode Listen Later Oct 27, 2021 37:59


Welcome back to the seventh episode of the GameTimeCT Football Pick'Em Podcast. GameTimeCT producer Pete Paguaga is joined by GameTimeCT producer Sean Patrick Bowley and GameTimeCT columnist Jeff Jacobs.

GameTimeCT
The Meat Grinder (S4 E8): It's No. 1 v. No. 2! Plus: Branford coach John Limone

GameTimeCT

Play Episode Listen Later Oct 27, 2021 94:57


Welcome back to another jam-packed episode of the Meat Grinder, your one-stop shop for all things Connecticut High School Football with hosts Pete Paguaga and Sean Patrick Bowley of GameTimeCT.com The moment we've been waiting for this season has arrived. It's No. 1 vs. No. 2 Saturday at Dalling Field on the campus of St. Joseph High School in Trumbull. There, No. 1 Darien, winners of three of the last five Class LL championships, takes on No. 2 St. Joseph, winners of three straight titles in three different classes. It's the sixth No. 1 vs. No. 2 rankings battle since 2005 and the third involving Darien and second involving St. Joseph. Columnist Jeff Jacobs, the only one of us to have seen both teams live this season (imagine that!) joins us to break down how he sees this game going. But, of course, after such a great week of football, that game is only a sliver of what we'll discuss this week. We also touch on yet another great result in the FCIAC, Wilton's 20-17 victory over then-No. 3 New Canaan and the Warriors suddenly huge game against arch-rival and No. 7-ranked Ridgefield. We hit on Greenwich's re-affirming victory over Trumbull and their game against New Canaan in a thrilling FCIAC Saturday. But it's not all FCIAC. We also discuss Darell McKnight's big night for Ansonia against Seymour and record-breaking performances by Bristol Central's Victor Rosa (eight TD runs!) and Morgan's Drew Nye (7 TD passes!), and so so much more. JOINING us this week is 9th-year Branford coach John Limone, who talks about his surprising 5-1 Hornets, how he went from QB to head coach in just 10 seasons and some of the help he's had along the way. But what Limone *won't* talk about are his team's prospects for reaching the school's first state playoff berth since winning it all in 2005, so don't even mention it (although we do our best to try!) THE RUNDOWN 00:00 -- Opening Montage: No. 1 vs. No. 2 through the years. 2:25 -- It's No. 1 vs. No. 2 again. Winner gets inside track at the final No. 1. 5:35 -- Looking back on No. 2 St. Joseph's 17-14 rally past No. 4 Ridgefield. 7:15 -- Wilton topples No. 3 New Canaan. Are the Warriors for real? Can they finally beat Ridgefield? 12:38 -- No. 4 Greenwich has come all the way back. But can the Cards keep it going against rival New Canaan? 16:48 -- Breaking down the latest GameTimeCT Top 10 Poll. 18:20 -- Jeff Jacobs breaks down No. 1 Darien at No. 2 St. Joseph 30:03 -- McKnight eases Ansonia past Seymour, to 101st victory vs. NVL opponents, Pete gets spooked by Michael Myers in his first trip to Jarvis. 36:17 -- Morgan's Drew Nye torches Coginchaug for 7TDs in Sean's first trip to the Peters Complex. 40:53 -- Other Notable Week 7 performances, including Bristol Central's Victor Rosa going off for eight rushing TDs; Arce, Maloney crush Xavier on the road; Hall and Rockville. 49:52 -- Interview with 5-1 Branford coach John Limone

The Elite Beat
Homecoming with Jeff Jacobs!

The Elite Beat

Play Episode Listen Later Aug 6, 2021 144:18


We've got a big block on free agent speculation (a regular feature in this silly season), and then Megan's Dynamite recap featuring the simple joys of a trios match and the glory of Malakai Black versus Cody Rhodes. All that plus the first appearance of New York state's Jeff Jacobs!

Paradise Chat
Paradise Chat (BONUS EPISODE): Talk with the Hawks

Paradise Chat

Play Episode Listen Later Apr 21, 2021 114:26


On this special edition episode Ryan and Mo sat down with both current, and former University of Hartford athletes along with highly respected Connecticut Sports Columnist, Jeff Jacobs, to discuss the latest news surrounding the University of Hartford and their athletic programs on campus. Recently, there was breaking news relating to the possibility of the University of Hartford which is currently, a Division 1 school, looking to transition to become a Division 3 program. There was a confidential study conducted over the winter by Carr Sports Consulting, that looked at Division One Athletics at the University of Hartford and discovered that UHart loses $13 million dollars a year on sports. Email screenshots were later released that showed current University of Hartford President, Gregory Woodward, asking a professor at the school to write an editorial to gain support of the transition. Make sure you listen to this episode as various athletes from the University of Hartford voice their opinions and concerns, and as always, be sure to leave a like, comment, and a review down below! To stay up to date on our latest content, follow us on Instagram @_paradisechat ______________________________________________________________________________ CLICK THE LINKS BELOW TO HAVE YOUR VOICE HEARD IN THE FIGHT TO KEEP THE UNIVERSITY OF HARTFORD A D1 PROGRAM: https://docs.google.com/forms/d/e/1FAIpQLSfVFlbIJIsIAzNmFz-G-KFRsL1CTFZp9JUKJVFSJJ486aGpiA/viewform https://www.change.org/p/board-of-regents-terminate-woodward-s-presidency-2491b907-01c6-4b00-8863-45a3b6649f61?utm_source=share_petition&utm_medium=custom_url&recruited_by_id=f1766980-64bc-11ea-9fa0-67e79b25445b --- Support this podcast: https://podcasters.spotify.com/pod/show/paradise-chat/support

UConn Report
UConn Women's Basketball Roundtable: Doug Bonjour, Jeff Jacobs and Mike Anthony

UConn Report

Play Episode Listen Later Feb 16, 2021 26:54


Doug Bonjour, Jeff Jacobs and Mike Anthony have a roundtable discussion on this week in UConn women's basketball

UConn Report
UConn roundtable with Dave Borges, Jeff Jacobs and Mike Anthony

UConn Report

Play Episode Listen Later Feb 9, 2021 40:57


UConn roundtable with Dave Borges, Jeff Jacobs and Mike Anthony

The Gospel Greats
Mighty Clouds Topic - What About The Price - 12:21:20, 5.23 PM

The Gospel Greats

Play Episode Listen Later Dec 22, 2020 3:49


Podcast theme by: Gail NoblesStory by: Gail NoblesSong Title: What About The PriceSong by: Mighty Clouds of JoyPhoto credit: Image by Jeff Jacobs from Pixabay Today's topic is the Mighty Clouds of Joy “What About The Price”. It was a song from their album Changing Times in 1979. I was eight years old and had no idea what the Mighty Clouds were singing about like I do today. We got to think about the cost and who we shake hands with and who we make deals with. Probably even the ones we sit down and eat with because the Bible warns us about the evil ones. Proverbs 23:6-76Eat thou not the bread of him that hath an evil eye, neither desire thou his dainty meats: 7For as he thinketh in his heart, so is he: Eat and drink, saith he to thee; but his heart is not with thee. Proverbs 23 teaches that we need to consider what is diligently before us.Proverbs 23:4 Labour not to be rich: cease from thine own wisdom. Proverbs 23:6-7 warns us of a greedy kind of man that holds back from the poor and needy to increase his own wealth. If you're not careful, you can sign your life away. That's why the Bible warns us about a lot of things. Just because something looks and sounds good doesn't mean it's always good. Proverbs 3:31 Envy thou not the oppressor, and choose none of his ways.

UConn Report
UConn Women's Basketball: Doug Bonjour is joined by Hearst CT columnist Jeff Jacobs

UConn Report

Play Episode Listen Later Nov 5, 2020 28:50


Doug Bonjour is joined by Hearst CT columnist Jeff Jacobs

UConn Report
UConn Men's Basketball: Assistant coach Tom Moore joins the show

UConn Report

Play Episode Listen Later Nov 3, 2020 58:44


UConn men's assistant coach Tom Moore joined Dave Borges and Jeff Jacobs on the latest episode of the UConn Men's Basketball podcast.

#TheNTX-CommunityDifference
#TheDifference - Episode 31 with James Kern and Jeff Jacobs

#TheNTX-CommunityDifference

Play Episode Listen Later Apr 19, 2020 67:27


Partnerships, referrals and doing it right. Tune into hear todays cohost James Kern and his special guest Jeff Jacobs as they share stories and experiences that have made #TheDifference in their businesses and in customer service. EPISODE #31 – Defining #TheDifference Co-Hosted by James Kern with Guest Jeff Jacobs Have you ever stopped to think what it takes to make The Difference? I mean what it REALLY takes to make THE DIFFERENCE…. In our lives, careers, businesses, industries, even in our communities. Is there a common denominator that can transform good into great, acceptable into the exceptional, mediocre into elite? If you share these thoughts, Ideas and questions then stay tuned &  Welcome to #TheDifference! · Discussion points – Segment 1 - About your business... For each of you 1. Tell me About Your business? 2. What made you choose this type of business? 3. How long have you been in this business? 4. What is unique about your business? 5. How important is personal and professional development to you when it comes to growing and finding success in your business? Segment 2 Qualities that make #TheDifference · If you could have the opportunity to learn from 3 of the high-level professionals who would it be? Why those particular people? · Share two things you would want to ask them? · Name three characteristics you think they would all have in common that have been a factor in their success. · Pick the top 3 things you feel are fundamental in your growth to be the best professional/business owner you can be. Be prepared to give details on why you picked what you picked and how it helps you. Examples: Mindset Time management Business Etiquette Self-Awareness Follow Through Being Relational vs Transactional Good Communication Habits of Productivity Alliance Development Accountability Consistency Networking/Connections Core values Daily Planning Being Engaged in TASK Goal Setting Reliability Being Timely Final Segment - Back to your business · Who is the ideal client for you? · How can folks get in contact with you? · If you had one piece of advice to someone just starting out in business or someone who is struggling to reach their professional goals, what would it be 1. Final Thought and Close - Lendon --- Send in a voice message: https://podcasters.spotify.com/pod/show/thedifference/message

UConn Report
UConn Men's Basketball -- Jan. 16

UConn Report

Play Episode Listen Later Jan 16, 2020 47:55


Hearst Connecticut Media sports columnist Jeff Jacobs and UConn men's basketball beat reporter David Borges join Paul Doyle to talk about the Huskies as Dan Hurley's team prepares to face No. 14 Villanova Saturday.

UConn Report
UConn Women's Basketball

UConn Report

Play Episode Listen Later Nov 21, 2019 39:32


Hearst Connecticut Media sports columnist Jeff Jacobs and beat reporter Doug Bonjour join Deputy Sports Editor Paul Doyle to talk about the UConn women's basketball team. Jacobs, Bonjour, and Doyle analyze Geno Auriemma's unbeaten team and talk about just how good this version of the Huskies can be this season. They also discuss the NCAA's decision to deny UConn's appeal for a waiver request for transfer Evina Westbrook.

UConn Report
UConn men's basketball preview

UConn Report

Play Episode Listen Later Nov 6, 2019 39:17


Hearst Connecticut Media sports columnist Jeff Jacobs and UConn men's basketball beat reporter David Borges join Paul Doyle to discuss the upcoming season, Dan Hurley's second at the helm of the program.

Eye On Annapolis Daily News Brief
Legacy Business Spotlight: Carrol's CreekCafe

Eye On Annapolis Daily News Brief

Play Episode Listen Later Jun 29, 2019 23:59


Since 1983, Carrol's Creek Cafe has been serving up some of the best food in Annapolis from their decks overlooking the Annapolis Harbor. We sat down with Jeff Jacobs, the owner and operator to talk about the beginnings, how he grew from picking up cigarette butts from the deck to owning and operating one of the most popular restaurants in town.  We talk about giving back to the community as well as the benefits of the Downtown Annapolis Partnership's Restaurant Week.   Have a listen and for more information on Carrol's Creek Cafe, here is your link! Up next Saturday: Annapolis Marine Art Gallery. CONNECT WITH US!   THERE ARE LOTS OF WAYS:  http://bit.ly/EOAConnect

Eye On Annapolis Daily News Brief
LEGACY BUSINESS SERIES: Carrol's Creek Cafe, celebrating 35 years

Eye On Annapolis Daily News Brief

Play Episode Listen Later Oct 20, 2018 28:19


Welcome to our Legacy Business Series where we look at legacy businesses in Anne Arundel County to see what makes them tick, the secret sauce behind their success, where they came from, where they are, and where they're going! Today, we speak with Jeff Jacobs, the 2nd generation owner of Carrol's Creek Cafe which is celebrating their 35th Anniversary in October 2018. LINK: Carrol's Creek Cafe

Circulation on the Run
Circulation August 22, 2017 Issue

Circulation on the Run

Play Episode Listen Later Aug 21, 2017 18:36


Dr Carolyn Lam:     Welcome to Circulation on the Run, your weekly podcast summary and backstage pass to the journal and its editors. And Dr. Carolyn Lam, Associate Editor from the National Heart Center, and Duke National University at Singapore.                                 What is the effect of obesity and underweight status on perioperative outcomes of congenital heart operations?                                 Our feature paper this week sheds light from the Society of Thoracic Surgeons Database. More soon, right after these summaries.                                 The first original paper highlights the role of micro RNAs in metabolic remodeling and heart failure. As a reminder, micro RNAs are small, noncoding RNAs important in post transcriptional modification and influencing many cellular processes simultaneously.                                 First author, Dr. Heggermont, corresponding author, Dr. Heymans, and colleagues from Maastricht University in the Netherlands use mice subjected to pressure overload by means of endotension to infusion or transverse aortic constriction. They show that micro RNA 146A was up regulated in whole-heart tissues in these murine pressure overload models, as well in left ventricular biopsies of aortic stenosis patients. Over expression of micro RNA 146A in cardio cardiomyocytes provoked cardiac hypertrophy and left ventricular dysfunction in vivo, whereas genetic knockdown or pharmacological blockade of micro RNA 146A blunted the hypertrophic response and attenuated cardiac dysfunction in Vivo.                                 Mechanistically, micro RNA 146A reduced its target dihydrolipoyl succinyltransferase or DLST, a mitochondrial protein that functions as a TCA cycle transferase. DLST protein levels were reduced in pressure overload mice, while they were partially maintained in micro RNA 146A knockout mice. Furthermore, overexpression of DLST in wild type mice, protected against cardiac hypertrophy and dysfunction in Vivo. Thus, micro RNA 146A and its target DLST are important metabolic players in LV dysfunction. These results also opened the door to novel therapies to treat metabolic disturbances and improve energy efficiency of a failing heart.                                 Program cell death is critically involved in ischemic cardiac injury, pathologic cardiac remodeling, and heart failure progression. Our next paper sheds light on the regulatory mechanisms of necroptosis and its significance in the pathogenesis of heart failure. Using genetic mouse models, first authors Dr. Guo and Yin, corresponding author Dr. Liu, and colleagues from University of Washington in Seattle, identified a critical role for a tumor necrosis factor receptor associated factor 2 or TRAF2 in myocardial survival and homeostasis by suppressing necroptosis.                                 The authors delineated an important TRAF2 mediated NF-KB independent pro-survival pathway in the heart by suppressing necroptotic signaling. They identified novel molecular mechanisms whereby TRAF2 suppressed TNF receptor 1 mediated, receptor interacting protein 3 dependent necroptosis, which is critical for myocardial survival and homeostasis. Thus, this finding suggests that the necroptosis suppressing TRAF2 signaling pathway and its effectors may serve as novel therapeutic targets for pathologic cardiac remodeling and heart failure.                                 Our next paper tells us that cerebral hyperperfusion may be associated with accelerated cognitive decline and an increased risk of dementia in the general population. First author Dr. Walters, corresponding authors Dr. Ikram, and colleagues from Erasmus University Medical Center in Rotterdam, The Netherlands, measured cerebral blood flow by 2D phase contrast MRI in non-demented participants of the population based Rotterdam study. A 4,759 participants with a median age of 61 years, and a median follow up of 6.9 years, 123 participants developed dementia.                                 Lower cerebral perfusion was associated with higher risk of dementia and this risk was even higher with increasing severity of white matter hyperintensities on MRI. At cognitive reexamination after an average of 5.7 years, lower baseline perfusion was associated with accelerated decline in cognition, which was similar after excluding those with incident dementia, and again, most pronounced in individuals with higher volumes of white matter hyperintensities.                                 Thus, lower cerebral perfusion was associated with accelerated cognitive decline and increased risk of dementia in the general population. This association was modified by hypertension and cerebral small vessel disease, possibly reflecting impaired arteriola and capillary function. This paper calls for further long term study and evaluation of optimizing cerebral perfusion as a means to prevent cognitive deterioration, for example, in patients with heart failure or carotid artery stenosis.                                 Well, that wraps it up for our summaries. Now for our feature discussion. For today's feature discussion, we will be looking at data from the Society of Thoracic Surgeons Database. This time looking at the effect of body mass index on perioperative outcomes of congenital heart operations in children, adolescents, and young adults. To discuss this, we have none other than the first and corresponding author, Dr. Michael O'Byrne from Children's National Medical Center in Washington D.C., as well as Dr. Naveed Sattar, Associate Editor from University of Oxford. Welcome gentlemen. Dr Michael O'Byrne:       Good morning. Dr Naveed Sattar:            Good morning. Dr Carolyn Lam:                Michael, we know that extreme body mass indices, very high or very low, has been associated with increased risk of at first, perioperative outcomes in mainly older adults undergoing cardiac surgery. We also know about the obesity paradox in conditions like heart failure, so why was it important to look at this specific group of patients? Congenital heart patients and children, adolescents, and young adults? Dr Michael O'Byrne:       Yeah, I think that as a pediatric cardiologist, a lot of the data that we use to guide our management is extrapolated from adult studies. However, in this particular case, it wasn't clear necessarily that adult data would necessarily be applicable to children and adolescents and young adults. We are aware that there are epidemiologic trends that congenital heart disease population ages and there are also in increasing problems of obesity among children in the United States.                                 The convention wisdom among surgeons in the United States is that obesity would increase perioperative risk and the thought is that some combination of exposure to hypertension and diabetes and peripheral vascular disease might impede wound healing and that body habit as itself might be a risk for the technical approach in wound healing. Acknowledging that there's a lot of evidence both for extreme BMI being a risk in surgical patients and adults, but also the idea that obesity paradox might be important in children because the biological mechanisms might be different.                                 Children themselves are exposed, their sort of dose response or dose exposure is less, they're younger, and so haven't been obese for a prolonged period of time, so that the integrated effect of having diabetes, hypertension, and obesity might be less. At the same time, we also acknowledge that in children with heart disease, we have congenital cardiac disease, the same issues with cachexia and frailty are present. i.e. that children with very low body mass index might be assigned to their own medical frailty, or a part of a heart failure cachexia syndrome.                                 One of the challenges in dealing with children with congenital heart disease, however, as you know is that its rarer than cardiac disease of the aging and additionally, that the population is very heterogenous in terms of the actual defects that are present and the surgeries that are performed. It was relevant to look and see over a wide range of sort of technical complexity surgeries with a wide range of sort of intrinsic preoperative risk of perioperative outcome, whether or not BMI would be associated with an adverse outcome. Either operative mortality in this case, or a composite outcome of mortality, major adverse events, and wound infection. Dr Carolyn Lam:                Wow, that makes a lot of sense and congratulations. This is not just the first, it's huge and really comprehensive. Could you just tell us a little bit more about what you did and what you found? Dr Michael O'Byrne:       I think as this point, I'd have to acknowledge that the challenges that we described in terms of both a sample size and in terms of getting a representative sample, is a constant challenge in our field and we have to give credit to my co-authors Marshall and Jeff Jacobs for their work in developing the collaboration that allowed for the STS Congenital Heart Surgery Database to exist. Also, on top of shepherding the database, their research, along with the people at Duke Clinical Research Institute, they've developed a robust risk stratification model for mortality that we utilize as part of this study. Without that, this would be really be very challenging.                                 What we did is performed an observational cohort study using the STS Congenital Heart Surgery Database to look at the risk of perioperative mortality and composite outcome in patients undergoing surgery in the United States between 2010 and 2015. We looked at both the actual events, the sort of observed events, in terms of mortality and adverse events, and then created multivariate models to adjust for the known covariance.                                 We hypothesized that extreme BMI, either very high or very low, would be associated with increased risk of mortality and increased risk of that composite outcome. What we found that operative mortality and that perioperative adverse events occurred more frequently in obese and severely underweight subjects. However, because they have an unequal distribution of potentially important covariance, we used multivariate modeling to adjust for those covariance.                                 Our multivariate models for death, however, the severely underweight subjects had an odds ratio of 1.4 and obese subjects had an odds ratio of 1.3, but neither was specifically significant in that context. We sort of anticipated that with a possibility given the very low event rate. That's the reason we've used a composite outcome, a higher event rate.                                 For that composite outcome, in both different versions of the multivariate model that we used, the severely underweight subjects had an odds ratio of 1.5, underweight subjects had an odds ratio of 1.3, and obese subjects had an odds ratio of 1.2. An increased risk in all three of those populations of interest relative to normal weight or just overweight subjects. Dr Carolyn Lam:                We're always saying that at circulation we do want to publish papers that have direct and important clinical implications, so Naveed, could you share some thoughts on what this means clinically? Dr Naveed Sattar:            Yeah, I think they went through the review process and I think the paper was very well written. I think Michael and his colleagues clearly understood the strength and the limitations of the data so that you can only ever itself prove associations here and therefore, clinically when we push them on trying to make clinical inferences, I think clearly they recognize that once they find associations between obesity and adverse outcomes and underweight.                                 What they need to do next, now this is a paper that then leads you to think, "Well actually, I need to do some clinical trials to prove that module ..." You're preventing these outcomes or in very under knowledge where they're actually increasing the BMI but improving their nutrition, cannot also improve outcomes following surgery. Now those are tough things to do. Michael, what do you think from some of the clinical inference? My inferences were the associations were there, particularly for the normal [inaudible 00:12:35] outcomes, but actually to prove that, to make a difference, you probably might need to do some intervention trials or is that how you take it as well? Dr Michael O'Byrne:       I agree with you 100%. I think that as an epidemiologist, I think that what we see in an observational study like this is an association. The two next levels of research that are necessary at this point are to see whether or not in this population BMI is a modifiable factor in the short run before surgery, or even in the long run. And the second question to answer is whether those adjustments in BMI, if they are achievable, affect outcome with surgery. Absolutely.                                 It's a tremendous challenge, both logistically in organizing a study, and honestly, in terms of capturing a cohort that would be large enough, given that this is almost 100% of the surgeries that occurred over a six year period in the United States. Dr Naveed Sattar:            I looked at it and thought, "Well, the mortality association once you adjusted were not quite significant but are there any individuals you would not do surgery on based on their BMI based on these results? Dr Michael O'Byrne:       The motivation for the study is exactly to try to begin to shed light on that kind of question. I think that it might be what I would call a tiebreaker potentially, if you have a situation where a patient is near meeting criteria but isn't quite at a place where you need to do surgery at that point. It might dissuade you from proceeding immediately potentially pursuing a course that might adjust their BMI in the correct direction.                                 At the same time also, in a patient who's underweight particularly to evaluate whether their medical regimen has been optimized and if there are other residual lesions that can be addressed in a non-surgical or medical fashion. Dr Naveed Sattar:            I suppose the other trick with this type of research research is always trying to make sure that people understand these are the associations and not trying to attribute causality because it's always physical, isn't it? But I think you and your team did that very well and I'm sure we had a back and forth with review but I think your discussion section, your limitation section, is beautifully written and covers those kinds of caveats, which I think is important as well. Dr Michael O'Byrne:       I thank you for that. That's very complimentary and we certainly strived for that, but I think that you as an editor, and also in terms of the reviewers also, were very helpful in that sort of collaborative process to try to make sure that we're communicating it. It's not always clear in a project that takes months and years to finish when you're writing it necessarily, you may be constantly aware of trying to be clear in your communication but it's also helpful to have a reviewer from the outside carefully read the study. Dr Carolyn Lam:                That's wonderful and Michael, may I just join Naveed in congratulating you on beautiful paper? And maybe just one other little question, did you have any insights into the mechanisms of increased risk for composite events in the extremes of BMI? Dr Michael O'Byrne:       I think it's an important question. There's been a tremendous amount of research in adult cardiac disease about whether it is the BMI as a steady state or BMI changes immediately before and after surgery that are relevant in this case. From this kind of observational study, it's very hard and very challenging to try to make any sort of inferences about the causes. It would be an important part of any study moving forward to include ways to investigate that, and honestly, as an interventional cardiologist and epidemiologist, I probably would defer to Naveed, he might have more cogent and logical ideas about that than I do. Dr Naveed Sattar:            We've had lots of research from a whole variety of researchers. We all understand it's finally serious but recognize it's difficult, so one of the ways moving forward and I think Michael and his colleagues have this is if you have serial BMI data prior to surgery, that could try and inform on reverse causality because of the low BMI, but in terms of the mechanisms, remember these are associations, but I think mechanisms are well covered if you are obese and clearly you have risk factors for death, across the vasculature, across the cardiac functions, across the whole variety of things.                                 We know those mechanisms, question is, to what extent are they actually operating and causing increased risk in the surgical arena and that's a really tough ask. I think people can come up with a multitude of mechanisms. I think the key things, like this particular paper, is that there are potential mechanisms but these are associations ... Look, this is what we found, and clinically now we need to try and address this within the following types of interventions or at least provide some guidance to colleagues and clinicians.                                 Exactly as Michael says, if there is somebody who is approaching surgery whose quite obese, perhaps they should try and intervene to try and lessen their weight for a short period of time prior to [inaudible 00:17:07], you know what happens. It would be nice to do some big trials but I think doing trials in this area is going to be really tough, but with imagination, with good collaboration across centers, trials are not impossible. I think they can be done. Dr Michael O'Byrne:       Naveed, I think, actually articulated what I think is both the difficulty of doing that trial but also the importance of it. I think that looking at ... In these databases, we don't have a serial BMI and I think that's an important missing piece of information that we tried to address in our discussion and I think it's something that would be really valuable moving forward. And certainly testing interventions, whether they're medical, interventional, or surgical, to help these patients who are obese either lose or maintain an appropriate weight is the next step.                                 On the converse side, this research highlighted to me the prevalence of chachectic or underweight patients in our population and it's something that outside of the infant period, we don't necessarily think about tremendously and we don't think about it as a modifiable factor. I think that's another group of patients who also deserve some attention. Dr Carolyn Lam:                Listeners, you've been listening to Circulation on the Run. I'm sure you learned a lot as I did. Don't forget to tune in again next week.