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Katy Kaminski returns to examine a moment in trend following that feels familiar... but isn't. Drawing on new research, she and Niels explore how drawdowns resolve, why recovery is faster when markets break, and slower when they don't, and what that asymmetry reveals about the current cycle. They unpack copper's historic 1-day move, the role of China in CTA return dispersion, and what slower, replication-based strategies might be capturing that others aren't. This episode isn't about defending trend - it's about understanding what environments it needs, and what signals suggest we're getting closer.-----50 YEARS OF TREND FOLLOWING BOOK AND BEHIND-THE-SCENES VIDEO FOR ACCREDITED INVESTORS - CLICK HERE-----Follow Niels on Twitter, LinkedIn, YouTube or via the TTU website.IT's TRUE ? – most CIO's read 50+ books each year – get your FREE copy of the Ultimate Guide to the Best Investment Books ever written here.And you can get a free copy of my latest book “Ten Reasons to Add Trend Following to Your Portfolio” here.Learn more about the Trend Barometer here.Send your questions to info@toptradersunplugged.comAnd please share this episode with a like-minded friend and leave an honest Rating & Review on iTunes or Spotify so more people can discover the podcast.Follow Katy on LinkedIn.Episode TimeStamps:00:48 - What has been on our radar recently?07:43 - Crazy moves in US copper09:45 - Industry performance update14:31 - How should we approach the current drawdowns in managed futures?23:01 - Why trend following is struggling at the moment31:22 - Rebalancing in trend following is key33:57 - A better alternative trend following?37:32 - The different types of impact to markets and how it reflects on the CTA industry44:41 - The key variables for understanding regimes53:21 - Replication is beating the benchmarks that they are trying to replicate58:16 - Mechanical vs. regression based replication59:33 - Defining tracking errorCopyright © 2024 – CMC AG – All Rights...
Murph & Markus - The Big Hit: Will Clark responds to Will Flemming's comments on Devers & Justin Verlander's mechanical adjustments paid offSee omnystudio.com/listener for privacy information.
Murph & Markus - The Big Hit: Will Clark responds to Will Flemming's comments on Devers & Justin Verlander's mechanical adjustments paid offSee omnystudio.com/listener for privacy information.
Eric, Brian, and Skye are joined by two time Golden Daemon winner Ivan to discuss the Iron Warriors Legion in our latest installment of The Nine. We dicuss the 4th Legion prior to reunification with Perturabo, Big Bo being a very dissappointed primarch that would rather be in his Train Dad hobby basement, the role of the Iron Warriors in the Heresy through the 41st Millennium, and how to bring their lore to the tabletop. Eric's Goonhammer article :Running a GM'd 40K Narrative Campaign: Getting Started https://herrickgames.com Herrick Games Preorder Form
Alright girl—pull up a seat, because we're about to have the conversation you've been waiting for. Today, we're talking about glutes. But not just how to train them… We're talking about how to train them beautifully. Because there's a difference between doing exercises and training properly. There's a difference between just moving and moving well. And in my world—we care about doing things properly. If you've been showing up, doing your squats, smashing your glutes with banded circuits and donkey kicks—but your results aren't matching your effort? This EP is your intervention. I'm giving you the full breakdown of what actually builds a bangin' butt: The anatomy The movement strategy The programming framework The exact training dose And I'll show you why glutes are not just for aesthetics—they're the engine behind your strength, posture, and performance. If you want your training to work, if you want glutes that do things (and also fill out a pair of jeans like nothing else)—this is where we begin. Here's what happens when you train glutes the right way: You feel your glutes light up—without your back kicking in You get stronger every week You look in the mirror and actually see change People at the gym ask what you're doing Niggles disappear You stop chasing workouts and start building a body you love KEY TAKEAWAY Your glutes are not just for show—they are the engine behind your power, posture, and performance. Building glutes requires a clear hierarchy: Mobility → Stability → Strength → Intensity. Most women don't need more effort—they need better method and strategy. Mechanical tension and metabolic stress are both essential for hypertrophy. There's no “best glute exercise.” You need a combination of: Hip- and knee-dominant lifts Vertical and horizontal loading Lengthened and shortened positions Use constraints (machines, tempo, support) to own the movement before chasing load. Ditch random glute circuits and upgrade to intelligent, progressive programming. QUOTES "Glutes aren't just your side booty—they're the queen of aesthetics and the engine of your power." "If you can't own the movement, you'll never apply enough force to grow the muscle." "Your mobility opens the door. Stability walks into the room. Strength is the magnetic woman inside." "Stop doing random glute circuits with bands. That's not a strategy. That's a distraction." "It's not about doing more—it's about doing the right things, in the right order, the right way." Want to train your glutes properly, get real-time feedback, and finally build a bangin' butt that performs and looks incredible? Get in the room. Join me at Play to Win—my full-day live strength training workshop for women in Toronto and Vancouver. Toronto: https://warriorschool.co/play-to-win-live-toronto/ Vancouver: https://warriorschool.co/play-to-win-live-vancouver/ Let's build the body you love. If you loved this episode, share it with a friend who needs to hear it. Rate the show ⭐⭐⭐⭐⭐, leave a review, and hit that follow button so we can get this into more women's ears. xo Amy
Good morning everyone! Brett Wezel and Kevin Compass are back from their exhausting week full of disasters and fires!
Good morning everyone! Brett Wezel and Kevin Compass are back from their exhausting week full of disasters and fires!
Last time we spoke about the allied invasion of Balikpapan. In June 1945, the war in the Pacific escalated as American forces, spearheaded by Generals Eichelberger and Krueger, fiercely battled the entrenched Japanese on Luzon. Despite harsh conditions and fierce resistance, the Americans made crucial advances, capturing key positions that rekindled hope for the Filipino people. Concurrently, preparations for the invasion of Balikpapan intensified. The Australian 7th Division assembled for a July 1 amphibious assault against a heavily fortified Japanese defense, known for its formidable coast artillery and entrenched positions. The Australians faced fierce opposition upon landing; however, skilled maneuvering and robust artillery support allowed them to swiftly gain a foothold. As the Australians secured their beachhead, they marked the beginning of a challenging campaign against determined Japanese forces in Balikpapan, setting the stage for further confrontations in the Pacific theater. This episode is Victory at Bougainville Welcome to the Pacific War Podcast Week by Week, I am your dutiful host Craig Watson. But, before we start I want to also remind you this podcast is only made possible through the efforts of Kings and Generals over at Youtube. Perhaps you want to learn more about world war two? Kings and Generals have an assortment of episodes on world war two and much more so go give them a look over on Youtube. So please subscribe to Kings and Generals over at Youtube and to continue helping us produce this content please check out www.patreon.com/kingsandgenerals. If you are still hungry for some more history related content, over on my channel, the Pacific War Channel you can find a few videos all the way from the Opium Wars of the 1800's until the end of the Pacific War in 1945. We last left off on Bougainville, by mid-April, Brigadier Heathcote Hammer's 15th Brigade had commenced its crucial task of relieving Brigadier Field's weary and battered 7th Brigade. This transition came at a pivotal moment when Brigadier Stevenson's 11th Brigade successfully secured the Soraken Peninsula, a strategic point on Bougainville's southern coast, while also continuing their efforts to contain enemy forces along the notorious Numa Numa Trail, a crucial supply route for Japanese troops. Supported by reinforcements in artillery and air power, Generals Savige and Bridgeford were optimistic about continuing their limited offensive toward the south. Their immediate objective was to capture the line of the Hongorai River, considered a significant tactical advantage, followed by the Hari River, which would serve as the 15th Brigade's main aim. On the opposing side, General Kanda had learned a harsh lesson about the ineffectiveness of banzai charges during the fierce fighting at the Battle of Slater's Knoll. This costly experience prompted him to alter his strategy significantly. He decided to pull his remaining troops back to a defensive perimeter focused around Buin, which is located in the southern region of Bougainville. Here, he reinforced his defenses with garrison troops from Kieta, situated on the eastern side of Bougainville, the Shortlands Islands to the northwest, and the Fauros Islands to the northeast. However, with this concentration of forces not expected to be operational until July, the troops stationed in the forward areas were tasked with executing a critical delaying action in the meantime, buying precious time for reinforcements to arrive. Meanwhile, on April 17, the Australian 24th Battalion began its advance along the Buin Road, a vital route for both supply and troop movement. Two companies made their way toward Dawe's Creek, while another company launched an assault against the enemy strongholds at Kindara. Remarkably, they broke through enemy lines the following day, pushing further to Sindou Creek and Umam Creek. Here, they faced multiple sharp counterattacks over the next week, demonstrating the fierce resistance from Japanese forces determined to hold their ground. As patrols moved deeper into the thick jungle on either side of the Buin Road, the struggle became increasingly intense. Each advance was hard-fought, marked by skirmishes that tested the resolve and endurance of the Australian soldiers. Finally, on April 26, the advance resumed in earnest, making rapid gains toward the Hongorai River. The combination of heavy air support and relentless artillery bombardment had effectively dispelled any opposition along the route, allowing the Australians to push forward with renewed vigor. By May 4, as the 24th Battalion finally approached the banks of the Hongorai River, they encountered significant resistance. However, on the 4th Lieutenant Lawn's platoon was advancing with two tanks and a bulldozer when the crew of the leading tank came to a log across the road and saw movement in the bush. A burst of machine-gun fire from the tank cut the leaves away and revealed the barrel of a field gun. The first round fired from the tank's 2-pounder disabled the enemy gun and the enemy seemed to flee. Farther ahead, however, a mine exploded at the rear of the second tank. It was discovered that it had been exploded with a wire by a Japanese concealed in the bush. Henceforward mines and concealed guns were encountered more and more frequently. They were detected chiefly by the practised eyes of the engineer teams of Major Needham's 15th Field Company who became increasingly skilful. Mechanical detectors were defeated by several sorts of mine employed wooden boxes filled with T.N.T., for example; but their presence was betrayed by protruding fuses, wires, disturbed earth, and confirmed by prodding with a bayonet. As the 24th Battalion neared the Hongorai it became evident that the Japanese intended to make the Australians pay a price for each advance, and that they were willing to trade a field gun for a tank at every opportunity. On the 4th and many later occasions leading tanks were fired on at a range of a few yards by guns cleverly concealed beside the track, but in positions from which the Japanese could not hope to extricate them. In other respects also the Japanese tactics were improving and their striking power was strengthened. Each forward Australian battalion was now under frequent artillery fire, evidently directed by Japanese observers who remained close to the Australian advance, and it was this which was now causing most of the casualties. The shells usually burst in the trees and their fragments were scattered over a wide area with lethal effects. To counter the tanks the Japanese were now establishing their positions not astride the track but about 100 yards from it in places where the tanks could not reach them until a side track had been made. The Hongorai River, a critical geographical landmark, ran through Bougainville's lush terrain, acting as both a natural barrier and tactical objective. In late April, the 9th Battalion had continued to push forward across the Huio River, a vital waterway that intersected with Japanese defenses. They faced some enemy resistance but managed to clear the Horinu-Rumiki Trail by the end of the month. This narrow, winding path had strategic importance, connecting various units and enabling supplies to move closer to the frontline. On May 3, the 9th Battalion was finally relieved by the 57th/60th Battalion, which, due to its relative inexperience, found progress challenging along the Commando Road a route named after the elite Australian commandos who often operated in this area. Their inexperience in facing seasoned Japanese troops led to slower advances in the crucial days that followed. Meanwhile, the 2/8th Commando Squadron had been conducting deep reconnaissance patrols towards the Hari River and along the Tiger Road, determined to discover the extent of Japanese defenses south of the Hongorai. The Tiger Road, notorious for its rugged conditions, was pivotal for troop movements in the region. On May 5, the 24th Battalion, now bolstered by a newly assigned tank squadron, resumed its advance with renewed determination. However, they were once again halted by fierce defenders who launched a strong yet costly counterattack the following morning. This desperate but valiant effort by the Japanese troops resulted in significant casualties and demonstrated their resolve to maintain control of the Hongorai line. Subsequently, the Japanese forces ultimately abandoned their positions along the Hongorai during the night. Finally, on May 7, the Australians reached the Hongorai River, marking a significant milestone in their campaign. At that moment, the 57th/60th Battalion was securing a crucial crossing over the Hongorai on the Commando Road, enabling further advances into enemy territory. With the next objective focused on the line stretching from the Hari River to Monoitu and Kapana, Brigadier Hammer's battalions shifted their tactics for the second and third weeks of May. They undertook deep patrols into Japanese-occupied territory, gathering vital intelligence while also seeking to harass the enemy and disrupt their operations. Additionally, the commandos maintained their patrols along the challenging Tiger Road and established a new patrol base further north at Monorei. This base would serve as a critical outpost for monitoring enemy movements and launching further operations. Meanwhile, the 58th/59th Battalion explored the rugged areas south of the Buin Road, successfully clearing the Aitara Mission. This mission played a crucial role in their broader strategies, as it prepared them to execute a wide flanking maneuver aimed at cutting the road east of the Hongorai, further encircling Japanese forces. To support the advancing Australian forces, New Zealand aircraft launched significant attacks on Japanese concentrations positioned along the Buin and Commando Roads. On May 17, the 57th/60th Battalion crossed the upper reaches of the Hongorai River, advancing across a wide front along the Commando Road to draw the enemy's attention to that area. On the eve of this move Hammer issued an order of the day in a characteristic style. He spoke of his "undying admiration" for and "extreme confidence" in his men and told them that the next few weeks might see the major defeat of the Japanese in south Bougainville. "Go to battle as you have done in the last month and no enemy can withstand you." In the subsequent days, they successfully secured territory up to the Torobiru River, creating pressure on the Japanese lines and disrupting their defensive operations. On May 20, following a powerful air and artillery bombardment, the 24th Battalion finally launched its long-anticipated assault across the Hongorai River. This marked a turning point as they occupied the strategically significant Egan's Ridge by May 22. Egan's Ridge offered an elevated position that overlooked the surrounding terrain, making it crucial for controlling movement in the vicinity. Meanwhile, the 58th/59th Battalion executed a stealthy wide flanking maneuver towards Mayberry's Crossing, positioning themselves strategically to disrupt Japanese supply lines and communication. On May 21, the Australians moved out once more to cut the Buin Road at Runai, an essential route that facilitated movement and supplies for the Japanese forces. In the following days, the remaining sections of this critical road were secured as the Japanese forces west of the Hari River were forced to retreat, effectively diminishing their operational capabilities in the region. As these operations unfolded, the 2/8th Commando Squadron established a new base on Morokaimoro, positioning themselves for further reconnaissance and engagements. They began patrolling towards Taitai and the Mivo River, both vital points of interest as the Australians sought to gather intelligence on enemy movements. In the meantime, the 57th/60th Battalion pressed on to capture the Oso Junction by May 27. However, they encountered harassment from night raiding parties and artillery fire, which highlighted the persistent threat of Japanese resistance in this area. On 2nd June the main advance was resumed, the 58th/59th moving forward without opposition through positions which had been "completely devastated by air, artillery and mortars". "Not one enemy was found alive or dead," wrote the battalion diarist, "although a strong smell of death pervaded the whole area." A prisoner taken later in the day said that the air strike had completely demoralised the defenders, and when they heard the tanks approaching they had fled. On the left the 57th/60th reached the Sunin River against slight opposition. On the 3rd and 4th the 58th/59th continued the advance, moving slowly because of the need to disarm an unprecedentedly large number of mines and booby-traps-more than 100 in three days-until they reached the Peperu River. Patrols moving stealthily forward to the Hari and across it found evidence of much confusion, many positions dug but unoccupied, and small groups of Japanese at large. It was decided to attack frontally towards the Hari next day. At the same time, the 57th/60th Battalion also reached the Sunin River, facing only slight opposition during their advance. On June 6, the 58th/59th Battalion launched an attack towards the Hari River, but despite their efforts, they only managed to gain about 500 yards against strong defensive positions held by the Japanese. The next three days proved challenging as the 58th/59th Battalion, supported by tanks, found their progress impeded by swampy terrain, a road littered with hidden mines, and intermittent shellfire threatening their advance. The combined obstacles of the natural environment and determined enemy resistance severely limited their ability to make significant gains. In light of the pressing circumstances, Brigadier Hammer made a pivotal decision to send the 58th/59th Battalion on a shallow outflanking march to the north. Their mission was clear: cut the Buin Road several miles east of the Hari River. At the same time, the 57th/60th Battalion was tasked with thrusting wide to the south, maneuvering around the Ogorata River to intercept the same road near Rusei. After four days of concentrated air and artillery bombardment designed to weaken enemy defenses, the 58th/59th Battalion commenced its operation on June 12. They sent two companies forward to secure a position along the road, located 2,000 yards east of the Hari. This forward position was critical for their strategy to disrupt Japanese supply lines. Two days later, on June 14, these forces continued their advance eastward toward the Ogorata River, while the remainder of the battalion engaged the enemy at the Hari ford, a crucial crossing point. Despite the fierce opposition, the ford was finally secured on June 15, following another extensive bombardment that significantly diminished the Japanese presence along the road west of the Ogorata. This success was instrumental in facilitating further operations in the area. Concurrently, the 57th/60th Battalion had embarked on their mission on June 11, making slow but steady progress through the challenging, trackless bush. They ultimately found a path leading from Kingori to Rusei, where they began encountering Japanese resistance. Pushing through treacherous swampy terrain and dense bamboo thickets, the Australians reached the Buin Road at Rusei by June 15, successfully coordinating with patrols from the 58th/59th Battalion the following day. In addition to securing Rusei, a robust patrol from the 57th/60th Battalion set out along the northern flank to establish a patrol base north of Musaraka. This base detected a significant enemy presence behind them, leading to a critical reassessment of their positions. Consequently, in late June, the 24th Battalion was dispatched to take over the Taitai-Kingori-Katsuwa area, reinforcing the Australian foothold and securing vital routes in the region. Meanwhile, back to the south, the 57th/60th Battalion began to push eastward toward the Mobiai River on June 16. However, their advance quickly met strong opposition just 400 yards into enemy territory. Faced with determined resistance, the battalion executed a wide outflanking maneuver, a tactical shift that successfully forced the Japanese forces to withdraw by June 19, allowing the Australians to continue their advance. In the following days, the 57th/60th Battalion pressed steadily forward, ultimately encountering increased opposition near the Mobiai River on June 24. A heavy bombardment was launched in an attempt to dislodge the entrenched Japanese forces, but it proved ineffective. However, the next day, the Japanese troops had mysteriously withdrawn, allowing the Australians to secure a vital crossing over the river. Taking advantage of this opportunity, the 58th/59th Battalion moved in to occupy the newly attained Mobiai positions. Meanwhile, the 57th/60th and 24th Battalions advanced farther north, preparing for an outflanking maneuver aimed at Shishigatero, a critical tactical point lying to the northeast. In anticipation of an Australian offensive, General Kanda dispatched the 23rd Regiment to establish a defensive base near the Mivo ford. This strategic relocation was part of his preparations for the final defenses behind the Mivo River, as Japanese troops sought to hold their ground against the advancing Australians. By June 28, the 57th/60th and 24th Battalions reached their designated assembly areas, where they successfully repelled several Japanese counterattacks. The next morning, they began their advance southeast, shrouded in the loud thunder of artillery barrages that paved the way for their push. They reached the Buin Road at the confluence of the Ivana, Koopani, and Mivo Rivers, making significant headway. At the same time, the 58th/59th Battalion aimed to open the road for the 24th Battalion, positioned about 1,000 yards away. However, they encountered sharp resistance from Japanese forces defending their positions fiercely. Following this notable success, as Hammer's units faced and repelled various Japanese counterattacks at their new positions, General Bridgeford directed Brigadier Noel Simpson's 29th Brigade to the frontline to relieve the beleaguered 15th Brigade. Each incoming battalion was met with sharp clashes as they moved up, as Japanese forces sought to maintain their hold on strategic territory. Finally, on July 10, Hammer's units were relieved, a long-awaited reprieve after weeks of grueling combat. Despite the shift in command, Simpson's battalions began sending patrols forward in preparation for a crossing of the Mivo River. Unfortunately, due to the heavy resistance encountered and the onset of relentless rains that would continue throughout the month, this final offensive was never carried out. Instead, the troops were limited to vigorous patrolling activities during July and August, maintaining a presence but unable to launch significant offensives in the harsh conditions. Many of these patrols encountered fierce opposition, signaling that the enemy intended to mount a determined defense along the Mivo line. These patrols regularly captured crucial documents from Japanese soldiers ambushed along the tracks leading to their forward positions, allowing Australian forces to construct a clearer picture of the enemy's intentions and deployments. Among these daring reconnaissance missions was one conducted by a patrol from the 42nd Battalion, led by Lieutenant Oldfield. Tasked with scouting a potential crossing at the Mivo, Oldfield and four other soldiers discovered the river was in flood. Undeterred, they stripped off their gear, swam across the turbulent waters, and advanced 500 yards beyond the riverbank, without any weapons. The weight of the Australian artillery and mortar bombardments altered the enemy's tactics. Rather than holding fixed positions, the Japanese began to dig in less and instead employed a strategy of hit-and-run raids and ambushes executed by small groups of three to ten men. Before July 10 arrived, the relentless rain compelled a second postponement of the advance; the new date for the operation was set for July 24. However, the downpour continued to intensify. By July 10, even the patrols could not cross the flooded Mivo. "Torrential rain flooded the divisional area, reducing the Buin Road to a treacherous sea of mud and creating a series of islands between the various rivers." On July 17, conditions worsened further, with a dramatic eight inches of rain falling in just 36 hours. The new challenge was no longer about advancing troops but ensuring that the men were fed where they remained. Virtually all the bridges along the lines of communication were washed away, and all the rivers were flooded; the Mivo was now surging at a speed of twelve miles an hour. As a result, the forward units could only be supplied via air transport. It would take weeks to repair the damaged roads and bridges, leading to D-day being postponed until late August. As the southern operations unfolded, General Savige made a strategic decision to bring Brigadier Arnold Potts' 23rd Brigade from Munda and its surrounding islands to Torokina. Upon arrival, Savige immediately tasked the 27th Battalion with taking over the central sector beyond Pearl Ridge. The Australians quickly began bombing and launching attacks in the Berry's Hill-Hunt's Hill area, ultimately securing this crucial location on May 16. Following the seizure of Berry's Hill, the 27th Battalion conducted patrols toward key positions at Sisivie, Tokua, Base Point 3, and Wearne's Hill throughout late May. On June 3, they initiated an attack towards Tiernan's Spur, making significant progress before being relieved by the 7th Battalion. The 7th Battalion, upon taking over, adopted an aggressive posture, and on June 11, they attacked Tiernan's Spur, successfully securing the feature this time. Soon after, a combination of reconnaissance and air bombardment set the stage for an assault on Wearne's Hill on June 16. However, they encountered strong opposition and were unable to seize its crest until June 20. In parallel operations, a company captured Sisivie without encountering resistance on June 12. Another company was dispatched to establish a forward base in the Wakunai Valley, successfully creating observation posts that overlooked Inus Point and the large Numa Numa Plantation by June 21. After conducting extensive bombardments against remaining Japanese positions, the Australians finally secured the remainder of Wearne's Hill on June 24. Starting June 26, the 7th Battalion began probing towards Centre Hill, which they ultimately found abandoned on July 6. Meanwhile, on July 3, Tokua was occupied as a base for future operations probing north toward Ibu and Buritsiotorara. Artillery and aircraft continued to harass North Hill, which was finally captured on July 13. Just five days later, Cameron's Hill was also successfully attacked and secured. The 7th Battalion then pressed forward along the main track towards Charlie Creek and McInnes Hill, achieving their objectives by August 8 as the remaining Japanese forces were forced to retire to Numa Numa. Looking north, the 55th/53rd Battalion took over from the exhausted 26th Battalion in early April, following the fall of the Soraken Peninsula. Upon assuming command, Lieutenant Colonel Stevenson immediately directed the 55th/53rd to cross the Nagam River and launch an attack towards Pora Pora, a key strategic location in the region. The battalion pressed on along the main coastal track, but on April 13, they faced an unsuccessful assault against the enemy positioned at McKinnon's Ridge. Meanwhile, a company from the battalion moved through an inland route, encountering no resistance as they advanced to a position just two miles from Pora Pora. Recognizing the resolute enemy defenses along the main track, the Australians initiated a program of heavy artillery bombardment, complemented by flanking maneuvers designed to outmaneuver the entrenched defenders. This relentless strategy began to pay off, eventually forcing the Japanese to retreat on April 21. During this critical period, the unopposed company on the inland track continued to push forward until it was only one mile from Pora Pora. In the following four days, the 55th/53rd Battalion fought its way into the Pora Pora bottleneck, engaging in fierce combat that successfully expelled the Japanese forces by April 30. With this victory, the Australians were able to continue their advance northward, making rapid gains against a retreating enemy. On May 4, they captured the Ratsua jetty, a vital logistics point that facilitated further operations. Two columns of the 55th/53rd commenced a swift march towards Ruri Bay, while a company from the 26th Battalion successfully seized Torokori Island on May 6. Three days later, as they finally approached Ruri Bay, the Australians successfully repelled an enemy ambush. However, Brigadier Stevenson's orders were now to halt their advance at the Ratsua-Ruri Bay line and focus on active patrolling extending northward to Tarbut and Tarlena. Despite this directive, the situation became increasingly precarious. The Japanese, bolstered by four small provisional battalions of naval troops under Captain Kato Ekichi, grew aggressive beyond the established line. Daily patrol clashes erupted, with Australian positions and supply lines subjected to constant ambushes. Recognizing the need for reinforcements, the weary 55th/53rd Battalion was relieved by the 26th Battalion on May 21. In response, the 26th immediately dispatched two companies to thrust forward in the area south and east of Buoi Plantation. However, these units quickly encountered strong counterattacks, while patrols faced heavy resistance around Siara and Chindawon. As Stevenson's forces found themselves facing a fortified opponent stronger than anticipated, permission was granted to send two companies from the 31st/51st Battalion to take over the western sector on June 3. Despite this reinforcements, the Australians continued to struggle to make meaningful progress northward. After the 26th Battalion had been in the line for three hard weeks its diarist wrote that the campaign had become one of "holding a superior number of enemy by the aggressive action of a tired depleted battalion-companies were no more than half strength and had been in forward areas continuously for four months". The battalion's fighting strength on 3rd June was only 23 officers and 353 other ranks. The constant patrolling, the artillery fire and the raids on jeep trains on tracks well to the rear were wearing down the men's spirits. In response to the persistent challenges, a strategic decision was made to outmaneuver the Japanese by landing a reinforced company of the 31st/51st Battalion at Porton Plantation, aiming to approach the enemy from the western flank. During the early hours of June 8, the assault force successfully landed unopposed and swiftly established a perimetric defense reaching 150 yards inland. However, the surprised defenders quickly regrouped, unleashing a barrage of machine-gun fire that effectively thwarted the unloading of heavy weapons, reserve ammunition, and essential supplies. Although supporting artillery fire was effectively directed at the Japanese positions, the Australians soon found themselves pinned down as Captain Kato reinforced the defenses surrounding their perimeter. To complicate matters further, a convoy of Australian supplies and reinforcements attempting to reach the newly established perimeter was successfully repelled by the tenacious defenders during the night. The next morning, it was decided to withdraw the force late that evening. However, as the Australians prepared for their retreat, the Japanese launched a strong counterattack from three sides. The enemy attacked in relentless waves, and although they were met with devastating Australian fire, the pressure forced the company to pull back towards the beach. In the morning they launched what was evidently intended as a final blow, thrusting from three sides. Now estimated at over 400 they attacked in waves and were mowed down by the Australian fire. To confuse their enemy they shouted English phrases such as "Watch the right flank", "Throw it in the middle", "It's only me, Jack", and so on. The Australians pulled back towards the beach and at 1 p.m. During the afternoon, three landing craft moved towards the beach under heavy enemy fire in an effort to embark the soldiers. Unfortunately, two of the crafts were overloaded and became stranded. One eventually drifted off with the tide during the evening; however, the other remained besieged by heavy fire throughout the night. On June 10, Australian forces continued their attempts to rescue the stranded men, launching efforts under the cover of a strong air attack. At dawn on June 10, there were 38 living men on board the besieged landing craft, commanded by Corporal Hall. Their meager arsenal included two Bren guns, five Owen submachine guns, and nine rifles. The remaining rations consisted of eight tins of fruit or vegetables, three or four tins of meat, and three tins of condensed milk. Corporal Hall devised a defensive plan to maximize their chances of survival. He removed the wooden shelves under the overlapping sides of the ALCA to create protective cover under the flaps for all the troops. The dismantled wireless set was discarded overboard to free up additional space. To assist with breathing during rising tides, each man was issued six-inch lengths of copper piping. A continuous watch was kept from the coxswain's enclosure to monitor Japanese movements and report any developments. The soldiers cleaned and oiled their weapons using lubricant sourced from the engines, ensuring that they were well-maintained and ready for use. A medical kit was placed in the capable hands of a member of the 19th Australian Field Ambulance, who diligently distributed morphine and dressings as needed. At 15:30 on June 10, a concerted effort to rescue the stranded survivors commenced. An intense and precise air attack targeted the enemy positions, but unfortunately, it failed to hit the pillbox from which most of the fire directed at the barge was originating. Bombers dropped inflated rubber rafts near the landing craft in an attempt to assist, but Japanese gunfire prevented any men from reaching these lifelines. Under the cover of an artillery smoke screen, a landing craft attempted to reach the shore. However, enemy fire wounded several crew members, including the coxswain, damaging the steering gear and causing the craft to circle out of control. Amidst this chaos, Corporal Hall attempted to silence the pillbox with a Bren gun, but his efforts were in vain. In a desperate bid to assist the aircraft in locating the target, he splashed bullets towards the pillbox, yet the attempt proved futile as the damaged landing craft was forced to withdraw. They successfully repelled several Japanese parties attempting to swim out to the immobilized craft during the night. Finally, in the early hours of June 11, the besieged Australians were rescued by three assault boats, managing to pull them from the critical situation. In this endeavor, the Australian forces suffered significant losses, with 23 men reported killed or missing and 106 wounded. Among these casualties, five killed and seven wounded belonged to the 42nd Landing Craft Company. Estimates suggest that the Japanese forces faced losses of approximately 147 confirmed dead, with an additional 50 likely killed. The infantry units suffered specifically dire consequences, with two officers killed and three wounded, these included both company commanders, leaving only Lieutenants Patterson and Reiter, two young veterans from the 6th Division, as the sole surviving leaders from six platoon commanders. Additionally, 14 other ranks were reported killed or missing, while 57 were wounded. Of those wounded, five were sent to the field ambulance suffering from exposure, and nine sustained cuts and bruises. The repulse of the Australian attempt to land near Porton on June 8, 9, and 10 significantly boosted Japanese morale. Observers reported that the landing occurred on a rough strip of beach, making it difficult for the enemy to negotiate the surrounding reefs. The high ground in the vicinity provided an excellent vantage point for the Japanese, allowing for optimal placement of automatic weapons. In response to the Australian advance, Captain Kato swiftly dispatched 150 troops from Chabai to reinforce the approximately 100 men already engaged in combat. These reinforcements succeeded in thwarting any further enemy landings, ultimately pushing the Australians back to the beach, from where their remaining forces were evacuated in haste. Kato estimated that around 250 Australians had landed, resulting in the loss of 60 killed and 100 wounded, alongside 26 Japanese fatalities. If the Japanese report regarding their own losses is accurate, it suggests that both sides engaged in this grim action sustained approximately equal losses. Moreover, during this battle, the reinforced 26th Battalion failed to exploit this diversionary attack, missing the opportunity to push against the stubborn resistance of Captain Kato's isolated posts. On June 20, Brigadier Potts' 23rd Brigade began taking over the northern sector, with orders to contain the Japanese forces in the Bonis Peninsula and patrol towards Buka Passage. This relief operation was completed by the end of the month. However, the 8th and 27th Battalions continued to face harassment from Kato's deep patrols throughout July. Ultimately, the overextended 27th Battalion on the right flank was withdrawn on July 22 to allow the 8th Battalion to successfully attack and capture Commo Ridge the following day. On July 24, the 8th Battalion launched an unsuccessful attack on Part Ridge. However, this heavy assault shook the defenders, paving the way for the Australians to capture the ridge against light opposition on August 5. This marked the last major action of the Bougainville Campaign. In total, Savige's 2nd Corps endured losses of 516 Australians killed and 1,572 wounded. It is estimated that approximately 8,500 Japanese soldiers were killed by Australian forces and their native allies, while an additional 9,800 succumbed to illness during the Australian period on Bougainville. By the end of the campaign, only 23,571 men remained out of about 65,000 who had been on the island when the Americans launched their attack in November 1943. Now, attention turned westward to Balikpapan, where General Milford's 7th Australian Division successfully landed on July 1. They secured an important perimeter extending through Santosa Hill, Parramatta, Mount Malang, and Stalkudo. The battle resumed the following day, with the 2/14th Battalion advancing along the Vasey Highway to seize the Sepinggang airstrip unopposed. Meanwhile, the 2/3rd Commando Squadron took over the area northeast of Stalkudo, though they made little progress toward the Lady Schofield feature due to heavy enemy fire. The 2/27th Battalion strengthened and extended its hold on the high ground northwest of Stalkudo. The 2/16th Battalion pressed northward, successfully capturing Resort, Owen, and Oxley without sustaining any losses. The 2/12th Battalion took Potts and consolidated its position on Portee. The 2/10th Battalion conducted mopping-up operations in the secured areas, patrolling vigorously forward, and also seized Mount Sepuluh. Lastly, the 2/9th Battalion, supported by a troop of tanks, cleared Kandasan town along the coast as far as Signal Hill. By the end of the day, Brigadier Eather's 25th Brigade had landed to take over the central portions of the front, tasked with pushing inland astride the Milford Highway. On July 3, one company of the 2/10th Battalion advanced through the port, while another cleared the Tank Plateau, and a third focused on the lower ground between the plateau and Parramatta. Concurrently, the 2/9th Battalion, supported by its troop of tanks, successfully took the Santosa barracks, which they had bypassed the previous day. The division now held a bridgehead approximately five miles wide and one mile deep, successfully securing one of the two airstrips. On July 3, light aircraft began operating from this newly established base. However, unloading heavy equipment and stores proved to be a challenging task, causing considerable anxiety among the troops. A swell made it difficult to transfer loads to Landing Craft Tank (LCTs) and small craft, while it was impossible to run the Landing Ship Tank (LSTs) directly onto the beach. By 06:00 on July 3, progress was evident, with 985 vehicles and 1,932 tons of various equipment and stores successfully landed, alongside 16,950 men ashore. Later that morning, an LST began unloading at a pontoon jetty constructed on Green Beach by an American naval construction battalion. The captured port was a scene of devastation, characterized by wrecked workshops and warehouses, leaving little more than twisted, rusty steel and piles of rubble where houses once stood. The seven wharves designed for ocean-going vessels had all been burned, rendering them unusable. Among the debris, one dump of scrap iron collected by the Japanese from the ruins measured 520 yards long, with another scrap pile opposite it stretching about 150 yards. As unloading operations continued on the main beaches, the 2/14th Battalion began moving towards the Manggar airstrip but found themselves halted at Batakan Kechil. The 2/27th Battalion took over the defense of the Sepinggang strip, and the 2/3rd Commando Squadron discovered the Lady Schofield feature abandoned, allowing their patrols to press on more than a mile across the high ground overlooking the Sepinggang River. Meanwhile, the 2/33rd Battalion encountered heavy opposition in the hills above Chilton Road but managed to capture Opus, Operator, and Oxygen, as well as a height to the northeast named Orange. The 2/31st Battalion advanced along Milford Highway, facing increasing opposition, but they rapidly secured the junction with Chilton Road. However, they were unable to capture the strong enemy defenses at Nobody and Nurse. The 2/12th Battalion began a march towards Pandansari but had to assault Nail to eliminate the threat of enemy harassing fire. The following day, while the 2/33rd Battalion occupied Letter and Lewis, the 2/31st found Nobody and Nurse abandoned, allowing them to easily secure these features. One company also took control of Nail and began probing towards Lodge. At the same time, the 2/14th Battalion resumed its advance towards Manggar. They successfully crossed the river and pushed 1,300 yards across the airstrip without facing any opposition. However, after midday, heavy Japanese fire unexpectedly swept across the airfield, resulting in the deaths of several officers at the control tower. Despite this setback, and aided by the fire from destroyer Eaton, the Australians pressed on and ultimately secured Manggar and its airfield. By the end of the day, General Milford had successfully pushed the enemy out of Balikpapan and further secured the Sepinggang and Manggar strips. However, it became clear that Admiral Kamada was attempting to withdraw the remnants of his force to the Batuchampar area, aiming to delay any advance along the Milford Highway for as long as possible. The 454th Independent Battalion continued to hold the commanding terrain north of Manggar, and on July 5, its defenses came under intense naval, air, and artillery bombardment, which initially failed to silence the Japanese guns. Meanwhile, Brigadier Eather pressed his advance north in the center. The 2/25th Battalion took control of the positions at Nurse and Nail, while the 2/33rd pressed on against dwindling opposition to capture Mackay, Marshall, Mutual, and Margin. The 2/31st Battalion moved forward to seize Letter and Lewis, followed by the capture of Laverton and Liverpool. Recognizing the necessity of securing the western side of Balikpapan Bay to facilitate port operations, Milford ordered Brigadier Chilton's 18th Brigade to land the reinforced 2/9th Battalion at Penadjam. Following a naval and artillery bombardment, the landing was executed unopposed during the afternoon of July 5, with patrols of the 2/9th immediately probing north and south to secure the perimeter. The following day, a patrol moved south toward Nanang village and onward to the Sesumpu River, while other units explored the area towards the Riko River and Separi. On July 6, the 2/33rd Battalion successfully attacked and captured Metal and Muffle, but they were ultimately repelled from Judge. Meanwhile, the 2/25th pressed onward, taking control of Liverpool and occupying Huon. Looking southeast, the 2/14th Battalion began to probe enemy positions on this day. A strong patrol successfully captured Waites' Knoll but had to repel a series of strong counterattacks during the night, while another patrol was forced back along Vasey Highway. Over the next few days, the Australians continued to engage, probing and bombarding the commanding enemy positions. Ultimately, the 2/14th launched an attack and captured the Frost and Brown features on July 9, effectively eliminating the enemy threat in that area. Meanwhile, the 2/16th Battalion and the 2/5th Commando Squadron attacked an enemy concentration at Gate on July 6 and secured the position two days later, further solidifying their hold on Grand by July 9. To the northwest, on July 7, the 2/25th Battalion moved to Cult and then attempted an assault on Jam but was repelled by fierce defenders. The following day, while Jam underwent probing and bombardment, the 2/33rd Battalion discovered Justice abandoned after heavy shelling and pressed on toward Joint and Judge. Concurrently, Brigadier Eather had dispatched the 2/6th Commando Squadron into the hills overlooking the Sumber River. They successfully occupied Job on July 8 and seized Freight the following day. By July 9, after a concentrated artillery barrage, Jam, Joint, and Judge finally fell as the 25th Brigade secured the first stretch of the Milford Highway to Batuchampar. The 2/31st Battalion then advanced to a road bend due north of Junior, where they encountered an ambush by Japanese raiders. Meanwhile, a company of the 2/9th Battalion landed unopposed at Djinabora on the afternoon of July 8, and on the following day, a patrol base was established at Teloktebang. I would like to take this time to remind you all that this podcast is only made possible through the efforts of Kings and Generals over at Youtube. Please go subscribe to Kings and Generals over at Youtube and to continue helping us produce this content please check out www.patreon.com/kingsandgenerals. If you are still hungry after that, give my personal channel a look over at The Pacific War Channel at Youtube, it would mean a lot to me. General Hammer launched a fierce campaign across Bougainville, battling entrenched Japanese troops, they secured the strategic Soraken Peninsula and advanced toward the vital Hongorai River. By July, they had reached the Hari River, significantly weakening Japanese defenses. However, relentless rain hindered further operations.
In this episode of "Ask the Expert," Dr. Matthew Bellman joined Dr. GG deFiebre of SRNA to explain the basics of functional electrical stimulation (FES) and its applications. Dr. Bellman outlined how FES differs from other electrical stimulation techniques and its role in improving mobility for those with neuroimmune disorders [00:03:35]. He discussed the specific benefits of FES, including muscle strengthening and managing spasticity, and shared success stories demonstrating its impact [00:09:53]. Dr. Bellman also highlighted new developments in FES technology, particularly the integration of AI [00:33:28].Matthew Bellman, PhD is a Founder and the Chief Technology Officer for MYOLYN, Inc. Dr. Bellman is a Triple-Gator with bachelor's, master's, and doctorate degrees in mechanical engineering from the University of Florida (UF). In 2013, Dr. Bellman co-founded MYOLYN to commercialize his doctoral research on mobility assistance for people with paralysis and muscle weakness using functional electrical stimulation (FES) and robotics. In his time at MYOLYN, Dr. Bellman has been responsible for building a certified medical device quality management system, managing a team of engineers in the design and development of two Class II medical devices, obtaining grant funding from the National Institutes of Health (NIH), and growing a small business. Dr. Bellman has been awarded the Entrepreneurial Spirit Award by UF's Center for Entrepreneurship and Innovation, the O. Hugo Schuck Best Paper Award by the American Automation Control Council, and the Outstanding Young Alumnus Award by the UF Department of Mechanical and Aerospace Engineering. In 2019, Dr. Bellman secured MYOLYN's place as a finalist in the Toyota Mobility Unlimited Challenge. In addition to his role at MYOLYN, Dr. Bellman has also served as a member of the Board of Directors for NextStep Orlando's Paralysis Recovery Center and as a member of the Advisory Council for the American Bionics Project. Dr. Bellman's work has been published in high-impact scientific journals including Muscle & Nerve, IEEE Transactions on Control Systems Technology, and The Journal of NeuroEngineering and Rehabilitation, and he has been an invited guest speaker at universities around the world including UF, École Normale Supérieure (ENS) de Lyon, and the Tokyo Institute of Technology. When not at work, Dr. Bellman can be found trail running or relaxing at home with his wife and family.00:00 Introduction00:31 Meet Dr. Matthew Bellman00:52 Understanding Functional Electrical Stimulation (FES)01:30 Historical Context and Early Applications of FES03:35 How FES Works in the Body07:05 FES for Spinal Cord Damage and Neuromuscular Disorders09:53 Benefits of FES for Various Symptoms13:44 Evidence and Secondary Benefits of FES17:47 Typical FES Session and Accessibility24:06 Success Stories and Patient Feedback29:25 Barriers to FES Adoption33:28 Future Developments in FES Technology36:46 Final Thoughts and Encouragement
If you're serious about building muscle quickly and effectively, there's one fundamental concept you need to master: the difference between mechanical stress and metabolic stress. In this episode, I break it all down for you. I explain what each type of stress means, how they work, and exactly why they're both essential for muscle growth. Mechanical stress focuses on heavy lifting, progressive overload, and creating maximum tension in the muscle fibers. Metabolic stress relies on the "burn," higher reps, shorter rest periods, and techniques like supersets and drop sets to push your muscles to the limit. I also share practical tips on how to program these methods into your workouts so you can stop wasting time and finally start seeing results. Whether you're new to strength training or looking to break through a plateau, this episode will help you understand the science behind muscle growth so you can train smarter, not just harder. Tune in and get ready to transform your workouts—and your physique. Keywords: build muscle fast, mechanical stress, metabolic stress, muscle hypertrophy, strength training, progressive overload, workout science, fitness for women, bodybuilding, muscle growth strategies, fitness podcast
Tonight's guest comes to us from Athens, Greece. In this firsthand account, Greek radio operator Polo Spentzos recounts an extraordinary encounter in the heart of the Bermuda Triangle. Aboard the merchant vessel M/V Pothiti in the autumn of 1978, Spentzos and his crew witnessed a large glowing cloud-wrapped object and two smaller orbs hovering above the Atlantic, followed by an even stranger phenomenon where time itself began to unravel. Mechanical clocks spun out of control, quartz watches lagged, communication systems failed, and the crew's bodies slowed as if trapped in a gravitational field. In this rare and deeply technical testimony, Spentzos links his experience not to fantasy but to Einstein's relativity and the infamous Twin Paradox, while drawing parallels to other disappearances, such as that of pilot Frederick Valentich. Because Polo's first language is Greek, his testimony has been translated and voiced in English for clarity and accessibility. This is not a story of lights in the sky, but a case of measurable and documented time distortion aboard a real ship, told by the man who lived it.More information on this episode on the podcast website:https://ufochroniclespodcast.com/ep-341-the-m-v-pothiti-incident/Hidden Cults (Promo)It is a documentary-style podcast that digs deep into the world's most extreme, elusive, and explosive fringe groups. Listen on all podcast apps: Spotify: https://open.spotify.com/show/4Q0kbgXrdzP0TvIk5xylx1Apple Podcasts: https://podcasts.apple.com/us/podcast/hidden-cults/id1816362029If you enjoy this podcast, please support the show with a virtual coffee:https://ko-fi.com/ufochroniclespodcastFollow and Subscribe on X to get ad free episodesX: https://x.com/UFOchronpodcast/Want to share your encounter on the show?Email: UFOChronicles@gmail.comOr Fill out Guest Form:https://forms.gle/uGQ8PTVRkcjy4nxS7Podcast Merchandise:https://www.teepublic.com/user/ufo-chronicles-podcastHelp Support UFO CHRONICLES by becoming a Patron:https://patreon.com/UFOChroniclespodcastAll Links for Podcast:https://linktr.ee/UFOChroniclesPodcastThank you for listening!Like share and subscribe it really helps me when people share the show on social media, it means we can reach more people and more witnesses and without your amazing support, it wouldn't be possible.Become a supporter of this podcast: https://www.spreaker.com/podcast/ufo-chronicles-podcast--3395068/support.
Tonight's guest comes to us from Athens, Greece. In this firsthand account, Greek radio operator Polo Spentzos recounts an extraordinary encounter in the heart of the Bermuda Triangle. Aboard the merchant vessel M/V Pothiti in the autumn of 1978, Spentzos and his crew witnessed a large glowing cloud-wrapped object and two smaller orbs hovering above the Atlantic, followed by an even stranger phenomenon where time itself began to unravel. Mechanical clocks spun out of control, quartz watches lagged, communication systems failed, and the crew's bodies slowed as if trapped in a gravitational field. In this rare and deeply technical testimony, Spentzos links his experience not to fantasy but to Einstein's relativity and the infamous Twin Paradox, while drawing parallels to other disappearances, such as that of pilot Frederick Valentich. Because Polo's first language is Greek, his testimony has been translated and voiced in English for clarity and accessibility. This is not a story of lights in the sky, but a case of measurable and documented time distortion aboard a real ship, told by the man who lived it.More information on this episode on the podcast website:https://ufochroniclespodcast.com/ep-341-the-m-v-pothiti-incident/Hidden Cults (Promo)It is a documentary-style podcast that digs deep into the world's most extreme, elusive, and explosive fringe groups. Listen on all podcast apps: Spotify: https://open.spotify.com/show/4Q0kbgXrdzP0TvIk5xylx1Apple Podcasts: https://podcasts.apple.com/us/podcast/hidden-cults/id1816362029If you enjoy this podcast, please support the show with a virtual coffee:https://ko-fi.com/ufochroniclespodcastFollow and Subscribe on X to get ad free episodesX: https://x.com/UFOchronpodcast/Want to share your encounter on the show?Email: UFOChronicles@gmail.comOr Fill out Guest Form:https://forms.gle/uGQ8PTVRkcjy4nxS7Podcast Merchandise:https://www.teepublic.com/user/ufo-chronicles-podcastHelp Support UFO CHRONICLES by becoming a Patron:https://patreon.com/UFOChroniclespodcastAll Links for Podcast:https://linktr.ee/UFOChroniclesPodcastThank you for listening!Like share and subscribe it really helps me when people share the show on social media, it means we can reach more people and more witnesses and without your amazing support, it wouldn't be possible.Become a supporter of this podcast: https://www.spreaker.com/podcast/ufo-chronicles-podcast--3395068/support.
Dr. Harish Kinni, a triple-board-certified emergency medicine and critical care physician and assistant professor at the Mayo Clinic, provides an overview of the fundamentals of ventilator care for emergency department professionals. We will review key modes that we should know, the variables to set, how to adjust them for your patient's needs, and provide troubleshooting tips and tricks for when things suddenly go awry. This is sure to be one of the most helpful chapters of Always on EM, but don't let it take your breath away! CONTACTS X - @AlwaysOnEM; @VenkBellamkonda YouTube - @AlwaysOnEM; @VenkBellamkonda Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch Email - AlwaysOnEM@gmail.com REFERENCES & LINKS Swart P, Nijbroek SGLH, Paulus F, Neto AS, Schultz MJ. Sex Differences in Use of Low Tidal Volume Ventilation in COVID-19-Insights From the PRoVENT-COVID Study. Front Med (Lausanne). 2022 Jan 3;8:780005. doi: 10.3389/fmed.2021.780005. PMID: 35300177; PMCID: PMC8923734. McNicholas BA, Madotto F, Pham T, Rezoagli E, Masterson CH, Horie S, Bellani G, Brochard L, Laffey JG; LUNG SAFE Investigators and the ESICM Trials Group. Demographics, management and outcome of females and males with acute respiratory distress syndrome in the LUNG SAFE prospective cohort study. Eur Respir J. 2019 Oct 17;54(4):1900609. doi: 10.1183/13993003.00609-2019. PMID: 31346004. Swart P, Deliberato RO, Johnson AEW, Pollard TJ, Bulgarelli L, Pelosi P, de Abreu MG, Schultz MJ, Neto AS. Impact of sex on use of low tidal volume ventilation in invasively ventilated ICU patients-A mediation analysis using two observational cohorts. PLoS One. 2021 Jul 14;16(7):e0253933. doi: 10.1371/journal.pone.0253933. PMID: 34260619; PMCID: PMC8279424. Evans, Laura1; Rhodes, Andrew2; Alhazzani, Waleed3; Antonelli, Massimo4; Coopersmith, Craig M.5; French, Craig6; Machado, Flávia R.7; Mcintyre, Lauralyn8; Ostermann, Marlies9; Prescott, Hallie C.10; Schorr, Christa11; Simpson, Steven12; Wiersinga, W. Joost13; Alshamsi, Fayez14; Angus, Derek C.15; Arabi, Yaseen16; Azevedo, Luciano17; Beale, Richard18; Beilman, Gregory19; Belley-Cote, Emilie20; Burry, Lisa21; Cecconi, Maurizio22; Centofanti, John23; Coz Yataco, Angel24; De Waele, Jan25; Dellinger, R. Phillip26; Doi, Kent27; Du, Bin28; Estenssoro, Elisa29; Ferrer, Ricard30; Gomersall, Charles31; Hodgson, Carol32; Hylander Møller, Morten33; Iwashyna, Theodore34; Jacob, Shevin35; Kleinpell, Ruth36; Klompas, Michael37; Koh, Younsuck38; Kumar, Anand39; Kwizera, Arthur40; Lobo, Suzana41; Masur, Henry42; McGloughlin, Steven43; Mehta, Sangeeta44; Mehta, Yatin45; Mer, Mervyn46; Nunnally, Mark47; Oczkowski, Simon48; Osborn, Tiffany49; Papathanassoglou, Elizabeth50; Perner, Anders51; Puskarich, Michael52; Roberts, Jason53; Schweickert, William54; Seckel, Maureen55; Sevransky, Jonathan56; Sprung, Charles L.57; Welte, Tobias58; Zimmerman, Janice59; Levy, Mitchell60. Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2021. Critical Care Medicine 49(11):p e1063-e1143, November 2021. | DOI: 10.1097/CCM.0000000000005337 Fan E, Del Sorbo L, Goligher EC, Hodgson CL, Munshi L, Walkey AJ, Adhikari NKJ, Amato MBP, Branson R, Brower RG, Ferguson ND, Gajic O, Gattinoni L, Hess D, Mancebo J, Meade MO, McAuley DF, Pesenti A, Ranieri VM, Rubenfeld GD, Rubin E, Seckel M, Slutsky AS, Talmor D, Thompson BT, Wunsch H, Uleryk E, Brozek J, Brochard LJ; American Thoracic Society, European Society of Intensive Care Medicine, and Society of Critical Care Medicine. An Official American Thoracic Society/European Society of Intensive Care Medicine/Society of Critical Care Medicine Clinical Practice Guideline: Mechanical Ventilation in Adult Patients with Acute Respiratory Distress Syndrome. Am J Respir Crit Care Med. 2017 May 1;195(9):1253-1263. doi: 10.1164/rccm.201703-0548ST. Erratum in: Am J Respir Crit Care Med. 2017 Jun 1;195(11):1540. doi: 10.1164/rccm.19511erratum. PMID: 28459336. Alhazzani W, Møller MH, Arabi YM, Loeb M, Gong MN, Fan E, Oczkowski S, Levy MM, Derde L, Dzierba A, Du B, Aboodi M, Wunsch H, Cecconi M, Koh Y, Chertow DS, Maitland K, Alshamsi F, Belley-Cote E, Greco M, Laundy M, Morgan JS, Kesecioglu J, McGeer A, Mermel L, Mammen MJ, Alexander PE, Arrington A, Centofanti JE, Citerio G, Baw B, Memish ZA, Hammond N, Hayden FG, Evans L, Rhodes A. Surviving Sepsis Campaign: Guidelines on the Management of Critically Ill Adults with Coronavirus Disease 2019 (COVID-19). Crit Care Med. 2020 Jun;48(6):e440-e469. doi: 10.1097/CCM.0000000000004363. PMID: 32224769; PMCID: PMC7176264. Wang W, Scharfstein D, Wang C, Daniels C, Needham D, Brower R, NHLBI ARDS Clinical Network. Estimating the Causal Effect of Low Tidal Volume Ventilation on Survival in Patients with Acute Lung Injury. J R Stat Soc Ser C Appl Stat. 2011. PMC: PMC3197806 Brower RG, Thompson BT, NIH/NHLBI/ARDSNetwork. Tidal volumes in acute respiratory distress syndrome--one size does not fit all. Crit Care Med. 2006. Hager DN, Krishman JA, Hayden D, Brower RG, ARDSNet NIH / NHLBI. Tidal Volume Reduction in Patients with acute Lung Injury When Plateau Pressures Are Not High. Am J Resp Crit Care Med. 2005. Rubenfeld GD, Cooper C, Carter G, Thompson BT, Hudson LD. Barriers to providing lung protective ventilation to patients with acute lung injury. Crit Care Med. 2004. Chatburn RL, El-Khatib M, Mireles-Cabodevila E. A taxonomy for mechanical ventilation: 10 fundamental maxims. Respir Care. 2014 Nov;59(11):1747-63. doi: 10.4187/respcare.03057. Epub 2014 Aug 12. PMID: 25118309. Guo L, Wang W, Zhao N, Guo L, Chi C, Hou W, Wu A, Tong H, Wang Y, Wang C, Li E. Mechanical ventilation strategies for intensive care unit patients without acute lung injury or acute respiratory distress syndrome: a systematic review and network meta-analysis. Crit Care. 2016 Jul 22;20(1):226. doi: 10.1186/s13054-016-1396-0. PMID: 27448995; PMCID: PMC4957383. Rice TW, Wheeler AP, Bernard GR, Hayden DL, Schoenfeld DA, Ware LB, NIH NHLBI ARDS Network. Comparison of the Sp02/FI02 Ratio and the PaO 2/FI02 in Patients with Acute Lung Injury or ARDS. Chest. 2007. Zhang G, Burla MJ, Caesar BB, Falank CR, Kyros P, Zucco VC, Strumilowska A, Cullinane DC, Sheppard FR. Emergency Department SpO2/FiO2 Ratios Correlate with Mechanical Ventilation and Intensive Care Unit Requirements in COVID-19 Patients. West J Emerg Med. 2024 May;25(3):325-331. doi: 10.5811/westjem.17975. PMID: 38801037; PMCID: PMC11112664. WANT TO WORK AT MAYO? EM Physicians: https://jobs.mayoclinic.org/emergencymedicine EM NP PAs: https://jobs.mayoclinic.org/em-nppa-jobs Nursing/Techs/PAC: https://jobs.mayoclinic.org/Nursing-Emergency-Medicine EMTs/Paramedics: https://jobs.mayoclinic.org/ambulanceservice All groups above combined into one link: https://jobs.mayoclinic.org/EM-Jobs
Today, I've got something special for you: a solo episode where I look back at the past six months and handpick the five episodes and ideas that truly changed the game for me—and, based on your feedback, for many of you too. Episodes from this podcast: #300: Breast Cancer Overdiagnosis, Mammogram Myths, The REAL Risks For Women And Bold NEW Alternatives With Dr. Jenn Simmons #302: If You Have Creeky or Painful Joints and BIG Dreams of Staying Active, These Nonsurgical Solutions Are The NEW Way Forward - With Dr. Jeff Gross #309: Cordycepin and Methylene Blue: Two Game-Changers For Better Energy, Focus, Sleep, and So Much More With Dr. Scott Sherr #312: Age-Defying Bone Health: Preventing Osteoporosis with Science-Backed Interventions and Reversal Techniques You Can Try TODAY With Doug Lucas #318: Lies He Taught In Medical School: The METABOLIC Secret To Reversing Chronic Disease with Dr. Robert Lufkin What I discuss: Exosomes for regeneration: cartilage, bone, and joint repair ... 00:02:19 Exosomes vs. PRP and stem cells—key differences ... 00:05:20 Managing inflammation before regenerative treatments ... 00:06:09 Exosomes in neurology & anti-aging ... 00:07:01 Regulation, safety, and advances in exosome therapy ... 00:08:33 Mammogram controversy: risks, overdiagnosis, and dense breasts ... 00:10:00 Alternatives: QT scan benefits and radiation-free screening ... 00:15:21 Optimizing mitochondrial health—importance & methylene blue ... 00:18:28 Widespread mitochondrial dysfunction & modern disruptors ... 00:21:03 How methylene blue supports energy & cautions ... 00:23:17 Bone health: density vs. quality, collagen, and vibration plates ... 00:31:17 Mechanical input & gaps in traditional osteoporosis care ... 00:34:22 Lifestyle reversal of chronic disease ... 00:37:15 Medical system limitations & patient health agency ... 00:39:25 Fasting and metabolic health—power & nuance ... 00:48:06 Our Amazing Sponsors: Ultimate GI Repair by LVLUP Health - Whether you're struggling with digestive discomfort or want to strengthen your gut health, Ultimate GI Repair provides the comprehensive support your body needs to restore balance. The ingredients are unmatched! Visit https://lvluphealth.com/ and use code NAT at checkout for 20 % off. More from Nat: YouTube Channel Join My Membership Community Sign up for My Newsletter Instagram Facebook Group
Mechanical engineering sophomore Eliana Floyd grew up watching racing with her dad. She's been into cars for as long as she can remember. So, for her, just standing in pit lane would have made the hours in the Makerspace designing, cutting and clamping panels, bleeding brakes and slapping duct tape on the frame worth it. But to actually win a race — a national championship — at Talladega? That was more electric than the car itself.
Join the Refrigeration Mentor Hub here Learn more about Refrigeration Mentor Customized Technical Training Programs at www.refrigerationmentor.com/courses In this episode, we're diving deep into compressor troubleshooting with Horace Park and Andy Schoenberger from CMP Corporation. We cover key topics like remanufacturing vs rebuilding compressors, understanding superheat, and common causes of compressor failure. We also share tons of advice for refrigeration technicians on preventive maintenance, electrical troubleshooting, and the importance of proper startup procedures. In this episode, we discuss: -Compressor remanufacturing vs. rebuilding -About cmp corporation -Common technical support issues in compressors -Importance of superheat in compressor performance -Evacuation and moisture management in compressor systems -Diagnosing compressor failures: liquid slugging and vibration issues -Electrical troubleshooting -Importance of proper connections -Mechanical vs electrical failures -Part-winding start systems -Scroll compressors and phase issues -Compressor overheating causes -Creating a compressor startup checklist -Oil analysis and maintenance -Resources and training opportunities Helpful links & resources: Episode 295. A Compressor Story: The Key to Faster Troubleshooting Episode 255. Compressor Troubleshooting: Demand Cooling and Refrigerant Injection Episode 133. Your Compressor Success Guide https://www.cmpcorp.com/
Mechanical amusements have long been a mainstay of theme parks and travelling fairs. In the 1980s, this technology entered the realm of the arcade, most notably through Chuck E. Cheese and since then, has merged with the traditional dark ride to become the interactive dark ride, a mixture of animatronics, motion, lightguns and video games. Our guest today, John Wood is the head of Sally Corporation, a pioneer of animatronic entertainment and especially the interactive darkride. John tells us how this industry leader got its start Recorded: September 2024 Video version: https://www.patreon.com/posts/jeff-johannigman-125624209 Get us on your mobile device: Android: https://www.google.com/podcasts?feed=aHR0cHM6Ly92aWRlb2dhbWVuZXdzcm9vbXRpbWVtYWNoaW5lLmxpYnN5bi5jb20vcnNz iOS: https://podcasts.apple.com/de/podcast/video-game-newsroom-time-machine And if you like what we are doing here at the podcast, don't forget to like us on your podcasting app of choice, YouTube, and/or support us on patreon! https://www.patreon.com/VGNRTM Send comments on Mastodon @videogamenewsroomtimemachine@oldbytes.space Or twitter @videogamenewsr2 Or Instagram https://www.instagram.com/vgnrtm Or https://bsky.app/profile/vgnrtm.bsky.social Or videogamenewsroomtimemachine@gmail.com Links: https://en.wikipedia.org/wiki/Sally_Corporation https://www.sallydarkrides.com/ https://en.wikipedia.org/wiki/Heathkit_H8 https://youtu.be/jjNca1L6CUk?si=tAux1b9ri9ZJ_mdm https://en.wikipedia.org/wiki/International_Association_of_Amusement_Parks_and_Attractions https://www.sallydarkrides.com/post/remembering-jan-sherman-sally-dark-rides-memorializes-long-time-co-worker-and-friend Recommended Links: The History of How We Play: https://thehistoryofhowweplay.wordpress.com/ Gaming Alexandria: https://www.gamingalexandria.com/wp/ They Create Worlds: https://tcwpodcast.podbean.com/ Digital Antiquarian: https://www.filfre.net/ The Arcade Blogger: https://arcadeblogger.com/ Retro Asylum: http://retroasylum.com/category/all-posts/ Retro Game Squad: http://retrogamesquad.libsyn.com/ Playthrough Podcast: https://playthroughpod.com/ Retromags.com: https://www.retromags.com/ Games That Weren't - https://www.gamesthatwerent.com/ Copyright Karl Kuras
Episode 157 - The UCI HAS to be Trolling Now Right?! If you have any questions or feedback for the show you can drop us a note at bonkbrospodcast@gmail.com or hit up the Bonk Bros instagram page (@bonkbros @dylanjawnson @adamsaban6 @tylerclouti @raddaddizzle @scottmcgilljr). Alright let's get this party started! FOR UPDATED DISCOUNT CODES CHECK THE LATEST EPISODE: Silca (10% discount code: “bonkbrosmademedoit”): https://silca.cc/?utm_source=Bonk+Bros&utm_medium=podcast&utm_campaign=stripchip&utm_id=Bonk+Bros+Podcast Bike Tires Direct (10% discount code: bonkbros): https://www.biketiresdirect.com/?utm_source=bonkbros&utm_medium=banner&utm_campaign=bonkbros2025 Bolt Skin + Shave (BROS15): https://www.boltshave.com Scarborough Bicycle Accident Law: https://www.bicycleaccidentlaw.com KetoneAid: https://ketoneaid.com/?utm_source=BonkBros Dynamic Cyclist (10% discount code: BONKBROS): https://new.dynamiccyclist.com/a/43703/xkYViFV8 Patreon: http://patreon.com/patreon_bonkbros For more Dylan Johnson content: https://www.youtube.com/channel/UCIf1xvRN8pzyd_VfLgj_dow Listener Question Form: https://docs.google.com/forms/d/1T37wGRLk6iYTCF6X_DQ9yfcaYtfAQceKpBJYR5W7DVA/edit?ts=642eb6d6 MERCH: T-SHIRTS ARE HERE! Get your Bonk Bros swag below. https://bb5a73-20.myshopify.com/ IGNITION: Hire a coach. Get faster. It's that simple. https://www.ignitioncoachco.com/ MATCHBOX PODCAST: Check out our more serious training focused podcast. https://www.ignitioncoachco.com/podcast The Following Was Generated Using AI And Should Not Be Held To The Higher Standards Of Sentient Beings - Riverside. Summary In this episode, the hosts discuss various topics related to cycling, including the challenges of heat training, highlights from the recent Mountain Bike World Cup, and the dynamics of downhill racing. They also delve into insights from short track races, the importance of celebration styles in cycling, and the implications of new UCI regulations on gear and handlebars. In this conversation, the hosts delve into various aspects of cycling, including the implications of UCI regulations on gear and speed, the impact of equipment changes on racing dynamics, and the latest developments in SRAM's group sets. They also share personal experiences related to training, performance, and inspiring stories from the cycling community, highlighting the resilience and determination of cyclists. In this engaging conversation, the hosts delve into various aspects of cycling, including fitness, recovery, upcoming races, and the impact of equipment on performance. They discuss the importance of training strategies, the role of gimmicks in cycling gear, and the challenges of altitude training. The conversation also touches on coaching and athlete development, emphasizing the significance of proper training techniques and the pursuit of marginal gains. The hosts share personal insights and experiences, making for a lively and informative discussion. Chapters 00:00 Heat Training and Home Comforts 02:46 Mountain Bike World Cup Highlights 05:38 Downhill Racing Insights 08:09 Cross-Country Racing Discussion 10:54 Athlete Performances and Race Strategies 18:56 Celebration Styles in Cycling 21:01 UCI Regulations and Their Impact 26:46 Debating Gear Limitations 31:31 The Future of Cycling Equipment 36:44 Marketing Tactics in Pro Racing 37:17 Rider Safety and Handling Skills 38:09 Crashes and Course Safety 39:12 The Psychology of Racing 40:43 Equipment and Performance Discussions 42:33 New Gear Releases and Recommendations 44:19 Mechanical vs. Electronic Shifting 45:57 The Value of Drivetrain Upgrades 48:03 Tires vs. Drivetrain: Where to Invest 49:39 Inspiring Stories of Overcoming Challenges 57:07 Creative Freedom in Design 57:42 Bonking and Race Experiences 01:00:21 Mental Resilience in Racing 01:02:44 Race Strategies and Mindset 01:04:20 Challenging Races: Margie Gessick 01:06:22 Fitness and Training Regimens 01:07:47 Performance Gimmicks and Trends 01:19:22 Rapid Fire Questions and Lighthearted Banter 01:21:12 Sweat Management on the Trail 01:24:17 The Importance of Glasses in Mountain Biking 01:25:02 Introducing the Gravel Burn Stage Race 01:30:47 FTP and Aerodynamics in Cycling 01:37:08 Closing Thoughts and Future Plans
Pete Ielmini, Executive Director of the Mechanical Insulators Labor Management Cooperative Trust, joined the America's Work Force Union Podcast to discuss the Federal Mechanical Insulation Act, firestop awareness and the industry's potential job growth. David Spero, National President of the Professional Aviation Safety Specialists (PASS), joined the America's Work Force Union Podcast to discuss the proposed $22 billion in Federal Aviation Administration (FAA) funding, the need for more technicians and the challenges of upgrading the national airspace system.
A new Louisiana law could sentence more 17-year-olds to adult prison terms. But at the same time, some people serving long sentences for crimes they committed as teens are being released.Kat Stromquist of the Gulf States Newsroom reports on the challenges and joys of reentry for these "juvenile lifers." It's summertime in Louisiana, and for many that means it's time for water sports. But for people with disabilities, access to these sports is often limited. Unless of course, you join the Ski Dawgs, an organization that helps people living with disabilities get the chance to water ski. With adaptive equipment and a team of volunteers, members get the chance to ride the waves in St. Tammany Parish.Ski Dawgs, founder David Thomas and co-director Jamie Galloway share more details.Mechanical ventilators gained attention during the COVID-19 pandemic as a form of life-saving technology when hospital supplies were limited. .But a new study out of Tulane University suggests that certain use of mechanical ventilators could cause damage to the lungs, particularly to the alveoli, small air sacs in the lungs.Don Gaver, a researcher and professor of biomedical engineering at the Tulane University School of Science and Engineering, tells us more about what this study found. –Today's episode of Louisiana Considered was hosted by Adam Vos. Our managing producer is Alana Schreiber. We get production support from Garrett Pittman and our assistant producer Aubry Procell.You can listen to Louisiana Considered Monday through Friday at noon and 7 p.m. It's available on Spotify, the NPR App and wherever you get your podcasts. Louisiana Considered wants to hear from you!Please fill out our pitch line to let us know what kinds of story ideas you have for our show. And while you're at it, fill out our listener survey! We want to keep bringing you the kinds of conversations you'd like to listen to.Louisiana Considered is made possible with support from our listeners. Thank you!
Delayed Onset Muscle Soreness (DOMS) is often seen as a badge of honour after a tough workout—but does it really mean you're building muscle? In this episode, Andy dives deep into the science of muscle damage, mechanical tension, and the myths surrounding soreness as a proxy for progress. Learn why feeling broken after training may be doing more harm than good, and what you should really focus on to drive hypertrophy.Chapters:00:16 – What is DOMS and why does it occur?01:30 – Eccentric loading and novelty: Why certain exercises make you sore03:40 – High-rep training, repeated contractions, and muscle damage05:00 – DOMS ≠ Muscle Growth06:58 – The true driver of hypertrophy: Mechanical tension09:20 – Volume, workload, and progressive overload11:47 – Muscle damage vs. muscle remodeling14:10 – Why excessive soreness is counterproductive16:24 – Lifestyle factors that affect soreness18:45 – How to actually measure training progress20:42 – Smart programming: Avoiding unnecessary sorenessLooking for a results-driven training program that avoids the soreness trap and maximises hypertrophy?
When it comes to bow hunting there are to major debates that have taken over. One debate is heavy arrows vs light arrows. The argument is, heavier arrows will give you more penetration on an animal. However with a heavier arrow, you can see a massive effect in your shot accuracy at longer distances. The other major debate is over which broadhead is better, a fixed blade or a mechanical. For the final episode of our archery series, we are going to dive into both debates. We put our year of experience on the table to give you a reiteration on the specifications you should be looking for in arrows, why a heavier arrow might not be the way to go, and the pros and cons of both styles of broadheads. We also give you guys a look at the arrows and broadheads we are shooting!Discount Codes:You guys have been absolutely amazing when it comes to supporting Raised Hunting so we wanted to return the favor! Just for all you loyal RH Podcast listeners we have some discount codes for you! We not only have a code to get you 15% off all Grizzly Cooler items on their website, but we got you guys a code for 15% all Raised Hunting products!!!Grizzly Cooler Discount Code: RZDGRZ24Raised Hunting Discount Code: RHPCREW15Subscribe To Raised Hunting On YouTube:Raised Hunting:https://www.youtube.com/@raisedhunting/featuredRaised Hunting Podcast:https://www.youtube.com/@RaisedHuntingPodcast/featuredShop Raised Hunting Gear:Raised Hunting Website:https://www.raisedhunting.com/Raised Nocks:https://www.raisedhunting.com/pages/raised-nocksThe Beast Broadhead:https://www.raisedhunting.com/collections/broadheads-your-one-stop-shop-for-the-broadheads-we-trust-the-mostRaised Scents:https://www.raisedhunting.com/collections/raised-scents-2-0Raised Canine:https://www.raisedhunting.com/collections/raised-canines
Scott Nolan is the CEO of General Matter, enriching uranium in America to reshore domestic nuclear fuel capacity and power the American energy production needed to lead in AI, manufacturing, and other critical industries. General Matter is backed by Founders Fund, the first institutional investor in SpaceX, Palantir, and Anduril.Scott is also a partner at Founders Fund, where for the past 13 years he led hardtech investments across energy, infrastructure, manufacturing, aerospace, and defense. Companies Scott has worked with include SpaceX, Neuralink, Crusoe Energy, Planet Labs, The Boring Company, Nubank, Impulse Space, and Radiant Nuclear. Previously, Scott was an early engineer at SpaceX, where he helped develop the Merlin engine systems and Dragon capsule. He earned his Master's and Bachelor's degrees in Mechanical and Aerospace Engineering from Cornell University, and his MBA from Stanford University. Shawn Ryan Show Sponsors: https://www.americanfinancing.net/srs nmls 182334, nmlsconsumeraccess.org https://www.tryarmra.com/srs https://www.betterhelp.com/srs This episode is sponsored by BetterHelp — give online therapy a try at betterhelp.com/srs and get on your way to being your best self. https://www.shawnlikesgold.com https://www.drinkhoist.com - USE CODE SRS https://www.patriotmobile.com/srs https://www.rocketmoney.com/srs Scott Nolan Links: LinkedIn - https://www.linkedin.com/in/scottpnolan X - https://x.com/ScottNolan General Matter - https://www.generalmatter.com X - https://x.com/generalmatter Founders Fund - https://foundersfund.com Learn more about your ad choices. Visit podcastchoices.com/adchoices
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Episode 194: Acute low back pain. Future Dr. Ibrahim presents a clinical case to explain the essential points in the evaluation of back pain. Future Dr. Redden adds information about differentiating between a back strain and more serious diseases such as cancer, and Dr. Arreaza shares information about returning to work after back strain.Written by Michael Ibrahim, MSIV. Editing and comments by Jordan Redden, MSIV, and Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Dr. Arreaza:Welcome back, everyone. Today's topic is one that every primary care provider, emergency doctor, and even specialist sees routinely: low back pain. It's so common that studies estimate up to 80% of adults will experience it at some point in their lives. But despite how frequent it is, the challenge is to identify which cases are benign and which demand urgent attention.Jordan:Exactly. Low back pain is usually self-limiting and mechanical in nature, but we always need to keep an eye out for the rare but serious causes: things like infection, malignancy, or neurological compromise. That's why a good history and physical exam are our best tools right out of the gate.Michael:And to ground this in a real example, let me introduce a patient we saw recently. John is a 45-year-old warehouse worker who came in with two weeks of lower back pain that started after lifting a 50-lb box. He describes it as a dull, aching pain that radiates from his lower back down the posterior left thigh into the calf. He says it gets worse with bending or coughing, but he feels better when lying flat. He also mentioned some numbness in his left foot, but he denies any bowel or bladder issues. His vitals are completely normal. On exam, he had lumbar paraspinal tenderness, a positive straight leg-raise at 40 degrees on the left and decreased sensation in the L5 dermatome, though reflexes were still intact.Dr. Arreaza:That's a great case. Let's take a minute and talk about the straight leg raise test. This is a bedside tool we use to assess for lumbar nerve root irritation often caused by a herniated disc. ***Here's how it works: the patient lies supine, and you slowly raise their straight leg. If pain radiates below the knee between 30° and 70°, that suggests radiculopathy, especially involving the L5 or S1 nerve roots. Pain at higher angles is more likely due to hamstring tightness or mechanical strain.Michael:Right. So, stepping back: what do we mean by "low back pain"? Broadly, it's any pain localized to the lumbar spine, but it's often classified by type or cause:Mechanical (like muscle strain or degenerative disc disease), Radicular (nerve root involvement), Referred pain (like from pelvic or abdominal organs), Inflammatory (AS), and Systemic or serious causes like infection or malignancy. Jordan:In John's case, we're thinking radicular pain, most likely from a herniated disc compressing the L5 nerve root. That's supported by the dermatomal numbness, the leg pain, and that positive straight leg test.Dr. Arreaza:Good reasoning. Now, anytime we see back pain, our brains should run a checklist for red flags. These help us pick up more serious causes that require urgent attention. Let's run through the red flags.Michael:Sure. For fracture, we think about major trauma or even minor trauma in the elderly, especially those with osteoporosis or on chronic steroids. Also, anyone over 70 years old.Jordan:Then we have infections, which could include things like discitis, vertebral osteomyelitis, or epidural abscess. Red flags include fever, IV drug use, recent surgery, or immunosuppression.Michael:Malignancy is another critical one, especially if there's a history of breast, prostate, lung, kidney, or thyroid cancer. Clues include unexplained weight loss, night pain, or constant pain not relieved by rest.Jordan:And don't forget about inflammatory back pain, like ankylosing spondylitis, which is often seen in younger patients with morning stiffness that lasts more than 30 minutes and improves with activity.Dr. Arreaza:And of course, we always rule out cauda equina syndrome: a surgical emergency. That's urinary retention or incontinence, saddle anesthesia, bilateral leg weakness, or fecal incontinence. Missing this diagnosis can be catastrophic.Michael:Thankfully, in John's case, we don't see any red flags. His presentation is classic for uncomplicated lumbar radiculopathy. But we must stay vigilant, because sometimes patients don't offer up key symptoms unless we ask directly.Jordan:And that's where associated symptoms help guide us. For example:Radicular symptoms like numbness or weakness follow dermatomal patterns. Constitutional symptoms like fever or weight loss raise red flags. Bladder/bowel changes or saddle anesthesia raise alarms for cauda equina. Pain that wakes patients up at night might point to malignancy. Dr. Arreaza:So when do we order labs or imaging?Michael:Not right away. For most patients with acute low back pain, imaging is not needed unless they have red flags. If infection is suspected, we'd get CBC, ESR, and CRP. For cancer, maybe PSA or serum protein electrophoresis. And if inflammatory back disease is suspected, HLA-B27 can be helpful.Jordan:Yes, imaging should be delayed for at least six weeks unless red flags or significant neurologic deficits are present. When we do image, MRI is our go-to especially for suspected radiculopathy or cauda equina. X-rays can help if we're thinking about fractures, but they won't show soft tissue or nerve root issues.Michael:In the example from our case, since the patient doesn't have red flags, we'd go with conservative management: start NSAIDs and recommend activity modification. As this is the acute setting, physical therapy would not be recommended.Jordan:For the acute phase, research shows no serious difference between those with PT and those without in the long term. However, physical therapy is really the cornerstone of management for chronic back pain. It's not just movement: it's education, body mechanics, and teaching patients how to move safely. And PT can actually reduce opioid use, imaging, and injections down the line for patient struggling with long term back pain.Dr. Arreaza:Yes, and PT is not one-size-fits-all. PT might include McKenzie exercises, manual therapy, postural retraining, or even neuromuscular re-education. The goal is always to build core stability, promote healthy movement patterns, and reduce fear of motion.Jordan:Let's take a minute to talk about the McKenzie Method, a physical therapy approach used to treat lumbar disc herniation by identifying a specific movement, (often spinal extension) that reduces or centralizes pain. A common exercise is the prone press-up, (cobra pose for yoga fans) where the patient lies face down and pushes the upper body upward while keeping the hips on the floor to relieve pressure on the disc. These exercises should be done carefully, ideally under professional guidance, and discontinued if symptoms worsen.Michael:For our case patient, our working diagnosis is mechanical low back pain with L5 radiculopathy. No imaging needed now, no red flags. We'll treat conservatively and educate him about proper lifting, staying active, and recovery expectations.Jordan:We also emphasized to him that bed rest isn't helpful. In fact, bed rest can make things worse. Keeping active while avoiding heavy lifting for now is key.Dr. Arreaza:Return-to-work recommendations should be individualized. For example, an office worker, positioning while working, or work hours may be able to return to work promptly. However, those with physically demanding jobs may need light duty or be off work.Ice: no evidence of benefit. Heat: may reduce pain and disability in pain of less than 3 months, although the benefit was small and short.And we should always teach safe lifting techniques: bend at the knees, keep the load close, avoid twisting. It's basic knowledge, but it is very effective in preventing recurrence.Jordan:Now, if a patient fails to improve after 6 weeks of conservative therapy, or if they develop new neurologic deficits, that's when we think about referral to spine specialists or surgical consultation.Michael:And as previously mentioned: in cases where back pain becomes chronic (lasting more than 12 weeks) a multidisciplinary approach works best. That can include:Physical therapy, Cognitive behavioral therapy (CBT) And sometimes pain management interventions. Jordan:We can't forget the psychological toll either. Chronic back pain is associated with depression, anxiety, and opioid dependence. Increased risk factors include obesity, smoking, sedentary lifestyle, and previous back injuries.Dr. Arreaza:Well said. So, let's summarize. Michael?Michael:Sure! Low back pain is common, and most cases are benign. But we have to know the red flags that point to serious pathology. A focused history and physical exam are more powerful than many people realize. And the first step in treatment is almost always conservative, with a strong emphasis on maintaining physical activity.Jordan:And don't underestimate the value of patient education. Helping patients understand their pain, set realistic expectations, and stay active is often just as important as the medications or therapies we offer.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Chou, R., Qaseem, A., Snow, V., Casey, D., Cross, J. T., Shekelle, P., & Owens, D. K. (2007). Diagnosis and treatment of low back pain: A joint clinical practice guideline from the American College of Physicians and the American Pain Society. Annals of Internal Medicine, 147(7), 478–491. https://doi.org/10.7326/0003-4819-147-7-200710020-00006Deyo, R. A., Mirza, S. K., Turner, J. A., & Martin, B. I. (2009). Overtreating chronic back pain: Time to back off? Journal of the American Board of Family Medicine, 22(1), 62–68. https://doi.org/10.3122/jabfm.2009.01.080102National Institute for Health and Care Excellence. (2020). Low back pain and sciatica in over 16s: Assessment and management (NICE Guideline No. NG59). https://www.nice.org.uk/guidance/ng59Qaseem, A., Wilt, T. J., McLean, R. M., & Forciea, M. A. (2017). Noninvasive treatments for acute, subacute, and chronic low back pain: A clinical practice guideline from the American College of Physicians. Annals of Internal Medicine, 166(7), 514–530. https://doi.org/10.7326/M16-2367UpToDate. (n.d.). Evaluation and treatment of low back pain in adults. Wolters Kluwer. https://www.uptodate.com (Access requires subscription)Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.
Send us a textIn this episode of the Grow Clinton Podcast, Andy and Jenny are joined by Eric Christensen of River Cities Heating, Air Conditioning & Refrigeration, a member of Grow Clinton.The parent company, M&A Mechanical, is a family-owned and operated HVAC and appliance business founded in 2017 by Eric and Shelly Christensen. A casual conversation at a gas station in the spring of 2017 led Eric and Shelly Christensen to acquire River Cities Heating, Air Conditioning, and Refrigeration from its founder, Mr. Don Carlson.After many years of working in the field—moving from installer to service technician to foreman—Eric sought to follow in his family's footsteps by owning a small, family-operated business where he could give back to his community and provide an excellent workplace for his employees. What started with Eric and Shelly owning four service trucks on the road grew to twelve by the summer of 2024.Today, M&A Mechanical offers a comprehensive range of HVAC services and installations, from residential furnaces, air conditioners, and boilers to commercial and industrial equipment.From selecting the right HVAC system to troubleshooting appliance issues, their experienced professionals are here to help. With expert advice, reliable service, and a commitment to your comfort, they ensure you receive the specialized assistance you need every step.For more information, please visit https://rivercitieshtg.com/.To promote your organization on our podcast, contact Grow Clinton at 563. 242.5702 or GrowClinton.com.Grow Clinton fosters business growth, community support, and sustainable economic success for the Greater Clinton Region.
In this episode, Meredith shares her firsthand experience racing the Unbound 200, the biggest gravel race in the world. From unexpected mechanical issues to the mental grit required to push through the miles, this episode offers a behind-the-scenes look at what it really takes to finish a race of this scale. The conversation dives into the importance of community, race prep, and the balance amateur athletes must strike between real life and rigorous training.— The Unbound 200 is an iconic and demanding gravel race that pushes riders to their physical and mental limits. — Mechanical setbacks that tested strategy and resilience. — Nutrition, heat management, and mental toughness. — The cycling community and it's powerful support system. — Balancing recovery with everyday life. Resources Mentioned in This Episode: · Unbound Gravel Race: https://www.unboundgravel.com/ · Tips for Heat Management in Endurance Sports · Girls Gone Gravel: https://www.girlsgonegravel.com/ · Cycling Nutrition Strategies · Real-Time Race Tracking Tools────────────────────────────Want to work with Tactic Functional Nutrition? Check Out Our ServicesLearn More About Us Here and be sure to follow Tactic Nutrition on IG!Stay in the loop with us by signing up for our email list! Learn more about your ad choices. Visit megaphone.fm/adchoices
Mechanical design engineer Jasmine Mund gives this week's global fusion news update, summarizing behind all of the major headlines. Links to all of the stories mentioned are included below.1. TAE Technologies raises $150m in funding for fusion energy developmenthttps://www.power-technology.com/news/tae-technologies-fusion-energy-development/2. Fusion Supply Chain spending almost doubles in 2024, according to Fusion Industry Assocationhttps://www.fusionindustryassociation.org/fusion-supply-chain-spending-almost-doubles-in-2024-according-to-fusion-industry-association/3. Wendelstein 7-X sets new performance records in nuclear fusion researchhttps://www.innovationnewsnetwork.com/wendelstein-7-x-sets-fusion-record-boosting-hopes-for-future-stellarators/58820/4. ‘We're definitely on the back foot': U.S. risks losing fusion energy race to China, industry leaders warnhttps://www.geekwire.com/2025/were-definitely-on-the-back-foot-u-s-risks-losing-fusion-energy-race-to-china-industry-leaders-warn/5. Kyoto, Fujikura advance fusion magnet techhttps://www.geekwire.com/2025/were-definitely-on-the-back-foot-u-s-risks-losing-fusion-energy-race-to-china-industry-leaders-warn/Bonus: https://phys.org/news/2025-06-qa-exploring-ultra-high-temperature.htmlhttps://www.innovationnewsnetwork.com/uks-advancements-in-plasma-physics-fusion-energy/58711/https://www.youtube.com/watch?v=7XC6nYCu3UY
#LONDINIUM90AD: GAIUS A7 GERMANICUS OBSRVE THAT THE LA DISTURBANCES ARE MECHANICAL REPETITIONS OF 2020. MICHAEL VLAHOS. FRIENDS OF HISTORY DEBATING SOCIETY. @MICHALIS_VLAHOS 1896 NYC RIOT
In this episode, we sit down with Joshua Vanderplate, CEO of Vertex Mechanical, a trusted name in heating, cooling, electrical, and plumbing services for over 40 years. Serving Lancaster, Berks, and Lebanon counties, Vertex Mechanical has built a reputation for quality craftsmanship, community-focused service, and their enduring motto: Here For Your Comfort™. Joshua shares the company's journey, insights on leading in the trades industry, and what it takes to maintain trust and excellence across decades of service. Whether you're a homeowner, aspiring entrepreneur, or simply curious about what goes into running a successful service business, this episode offers valuable takeaways.
In this Huberman Lab Essentials episode, I discuss interoception, the brain's ability to sense and interpret signals from the body, which shapes our sense of self and underlies vital functions like focus, sleep, healing and emotions. I explain how the body communicates different types of information to the brain, influencing processes like digestion, heart rate and immune function. I also describe practical tools such as breathwork to regulate alertness, strategies to support gut health and reduce sugar cravings, and awareness practices to enhance interoception. By understanding and applying these tools, you can strengthen the brain-body connection to improve mood, overall health and performance. Read the episode show notes at hubermanlab.com. Huberman Lab Essentials are short episodes focused on essential science and protocol takeaways from past full-length Huberman Lab episodes. Watch or listen to the full-length episode at hubermanlab.com. Thank you to our sponsors AG1: https://drinkag1.com/huberman Eight Sleep: https://eightsleep.com/huberman LMNT: https://drinklmnt.com/huberman Timestamps 00:00:00 Sense of Self, Interoception 00:01:25 Brain & Body Communication, Vagus Nerve, Mechanical & Chemical Information 00:04:43 Lungs & Diaphragm, Tool: Breathwork for Alert or Calm 00:09:47 Sponsors: AG1 & Eight Sleep 00:13:14 Brain & Gut Communication, Tool: Reduce Sugar Cravings 00:18:27 Brain, Gut Chemistry, Inflammation & Gut Microbiome, Tool: Fermented Foods 00:22:20 Sponsor: LMNT 00:23:52 Vomiting, Brain; Tool: Reduce Nausea 00:28:52 Fever, Brain Chemistry, Tool: Cooling Body 00:33:20 Vagus Nerve, Emotions, Mood, Tool: Heart Awareness 00:39:29 Recap & Key Takeaways Disclaimer & Disclosures Learn more about your ad choices. Visit megaphone.fm/adchoices
In this episode of the Healthy, Wealthy & Smart Podcast, host Karen Litzy is joined by orthopedic physical therapist Matt Huey to discuss the importance of building independence with patients through effective communication and empowerment. With nearly 15 years of experience in outpatient orthopedics, Matt shares his diverse PT background. He dives into strategies for meeting patients where they are in their healing journey and fostering a collaborative environment in therapy. Tune in to discover how to enhance patient empowerment and promote more effective therapeutic relationships. Time Stamps: [00:03:12] Patient empowerment through education. [00:04:42] Soft skills in physical therapy. [00:11:23] Building patient independence in therapy. [00:12:20] Mechanical pain explanation. [00:18:02] Home exercise consistency challenges. [00:19:36] Incorporating exercise into daily routine. [00:23:13] Effective communication in therapy. [00:27:47] Honesty in patient treatment. [00:32:28] Special tests in therapy. [00:35:15] Patient communication and independence. [00:40:38] Asking questions for growth. [00:00:00] Health, wealth, and smart living. More About Matt Huey: With nearly 15 years of experience as a physical therapist, Matt has established himself as a highly skilled clinician in the realm of orthopedic care, both in patient care and clinical expertise. Matt earned a diploma in Mechanical Diagnosis and Therapy (MDT), showcasing his mastery in assessing and treating musculoskeletal disorders. He is also a Fellow of the American Academy of Orthopaedic Manual Physical Therapists (FAAOMPT), which reflects advanced skills in manual therapy approaches. Matt has demonstrated leadership by operating clinics throughout his career, leading them to deliver the highest quality care and serving the profession through various roles. In his time, he has not only assisted in the passage of the licensure compact bill into law, but also brought about a motion for the APTA to support pay transparency as a way to help improve wage disparities. Matt has also leveraged social media as a way to not only entertain people through humor, but also educate a wider audience about Resources from this Episode: Matt's Website Matt on Instagram Matt on TikTok Matt on YouTube Jane Sponsorship Information: Book a one-on-one demo here Mention the code LITZY1MO for a free month Follow Dr. Karen Litzy on Social Media: Karen's Twitter Karen's Instagram Karen's LinkedIn Subscribe to Healthy, Wealthy & Smart: YouTube Website Apple Podcast Spotify SoundCloud Stitcher iHeart Radio
Ever wondered how mechanical textile recycling actually works? What shoddy and mungo is, and why we called it that? What the rag n' bone man collected back in the day and how the trade grew up, then scaled back? And what it will take to bring it back and keep what's already here, going?Wonder no more! John Parkinson has a masterclass for you, complete with magic and secrets. For 200 years, Yorkshire made recycled wool cloth for the world. But don't think its all disappeared. John's mill in Huddersfield is aptly called iinouiio - an acronym for It Is Never Over Until It Is Over. With centuries of accumulated of skill and knowledge, they're doing what they always did, only better.Find all the links & further reading at thewardrobecrisis.comTell us what you think? Find Clare on Instagram @mrspressGot recommendations? Hit us up!And please share these podcasts.THANK YOU x Hosted on Acast. See acast.com/privacy for more information.
Greetings strangers, queer and pleasant. Come hear another episode of our podcast. Starring Laura Kate Magnet-Dale & Jane Aerith Magnet-Dale. A couple of queer, trans ladies who enjoy being very very silly. In this episode: Final Destination Bloodlines M3gan Cube 0 Planet Crafter DLC and more. You can get early access to episodes of Q&PS over on patreon.com/stonedmonkeyradio Q&PS t-shirts available here: www.redbubble.com/shop/ap/79965780 www.redbubble.com/shop/ap/79965063
Welcome to Brief Encounters—where history's strangest moments collide with the unexplained. A golden craft, shaped like a chariot, but airborne.It moves not by wheels or wings—but by something called “mercury propulsion.”It can soar from city to city, vanish into clouds, even fire beams of energy. No, this isn't a futuristic sci-fi novel. These are descriptions from ancient Sanskrit texts, some written thousands of years ago. And they describe flying machines—with detail, mechanics, and battle capabilities that sound eerily modern. They're called Vimanas.And in ancient India, they weren't myth—they were real.Brief Encounters is a tightly produced, narrative podcast that dives headfirst into the world of UFO sightings, the paranormal, cryptids, myths, and unexplained legends. From ancient sky wars to modern close encounters, each episode takes listeners on a journey through some of the most mysterious and compelling cases in human history. Whether it's a well-documented military sighting or an eerie village legend whispered across generations, Brief Encounters delivers each story with atmosphere, depth, and cinematic storytelling. Episodes are short and binge-worthy — perfect for curious minds on the go. In just 5 to 10 minutes, listeners are pulled into carefully researched accounts that blend historical context, eyewitness testimony, and chilling details. The series moves between eras and continents, uncovering not only the famous cases you've heard of, but also the forgotten incidents that deserve a closer look. Each story is treated with respect, skepticism, and wonder — offering both seasoned enthusiasts and casual listeners something fresh to consider. Whether it's a 15th-century sky battle over Europe, a cryptid sighting in a remote forest, or a modern-day abduction report from rural America, Brief Encounters is your guide through the shadows of our world — and the stories that refuse to be explained.UFO Chronicles Podcast can be found on all podcast players and on the website: https://ufochroniclespodcast.comBecome a supporter of this podcast: https://www.spreaker.com/podcast/ufo-chronicles-podcast--3395068/support.
Emily Kircher-Morris welcomes registered dietician Jackie Silver, who specializes in nutrition for neurodivergent people. They discuss the unique challenges faced by the neurodiversity community, including sensory differences, interoception, and executive functioning barriers that complicate meal planning and nutrition. They also talk about practical strategies to support the neurodivergent people in your life with making good dietary choices. They identify and analyze disordered eating patterns, and discuss the significance of self-compassion in the journey towards better nutrition. TAKEAWAYS Many dietitians overlook the unique needs of neurodivergent clients. Meal planning can be overwhelming for those with executive dysfunction. It's important to work within people's "safe foods." Sensory sensitivities can greatly impact food choices and preferences. Interoception plays a crucial role in recognizing hunger and fullness cues. Mechanical eating can help those with suppressed appetites due to medication. Small, manageable changes can lead to significant improvements in nutrition. Disordered eating patterns are common among neurodivergent people, especially with ADHD. The window will open soon to join the Educator Hub! If you're a teacher, administrator, school counselor, or parent of a neurodivergent student, this community is where you can share, ask questions, and find training that will help you along your journey. Please come join us. Jackie Silver is a NYC-based Registered Dietitian and founder of Jackie Silver Nutrition, a virtual private practice specializing in supporting neurodivergent kids, teens, and adults with ADHD, ASD and IDD. Her practice is neurodiversity-affirming, nonjudgmental, and weight-inclusive. he holds a Master of Health Science in Nutrition Communication from Toronto Metropolitan University and has additional training in mindful eating and sensory-based feeding therapy. Jackie works with clients across New York, Pennsylvania, Connecticut, Massachusetts, Ontario, and beyond, offering support with meal planning, selective eating, digestive health, chronic disease management, and more. In her free time, Jackie enjoys rock climbing, yoga, Pilates, swimming, travel, museums, and spending time with family and friends. BACKGROUND READING Jackie's website, Instagram, Free Grab & Go Foods list, Jackie's meal prep course, Jackie's consultation
Get The Best Night's Sleep with RA Optics, use this link to get 10% off: https://www.raoptics.com/TADB10Today's guest is Mads Tömörkènyi, a Copenhagen-based researcher and biomechanics expert who's worked with elite athletes in the UFC, Premier League, and top sporting leagues worldwide. Mads has developed revolutionary approaches to fascia release, breathing mechanics, and natural health optimization that challenge everything we think we know about fitness and wellness.Connect with Mads:
Welcome to Brief Encounters—where history's strangest moments collide with the unexplained. A golden craft, shaped like a chariot, but airborne.It moves not by wheels or wings—but by something called “mercury propulsion.”It can soar from city to city, vanish into clouds, even fire beams of energy. No, this isn't a futuristic sci-fi novel. These are descriptions from ancient Sanskrit texts, some written thousands of years ago. And they describe flying machines—with detail, mechanics, and battle capabilities that sound eerily modern. They're called Vimanas.And in ancient India, they weren't myth—they were real.Brief Encounters is a tightly produced, narrative podcast that dives headfirst into the world of UFO sightings, the paranormal, cryptids, myths, and unexplained legends. From ancient sky wars to modern close encounters, each episode takes listeners on a journey through some of the most mysterious and compelling cases in human history. Whether it's a well-documented military sighting or an eerie village legend whispered across generations, Brief Encounters delivers each story with atmosphere, depth, and cinematic storytelling. Episodes are short and binge-worthy — perfect for curious minds on the go. In just 5 to 10 minutes, listeners are pulled into carefully researched accounts that blend historical context, eyewitness testimony, and chilling details. The series moves between eras and continents, uncovering not only the famous cases you've heard of, but also the forgotten incidents that deserve a closer look. Each story is treated with respect, skepticism, and wonder — offering both seasoned enthusiasts and casual listeners something fresh to consider. Whether it's a 15th-century sky battle over Europe, a cryptid sighting in a remote forest, or a modern-day abduction report from rural America, Brief Encounters is your guide through the shadows of our world — and the stories that refuse to be explained.UFO Chronicles Podcast can be found on all podcast players and on the website: https://ufochroniclespodcast.comBecome a supporter of this podcast: https://www.spreaker.com/podcast/ufo-chronicles-podcast--3395068/support.
The boys ask Randy about shredding his knee at a bachelor party, mechanical bull on a date guy, Turkey cracking down on plane standers, a quick Peepee Minute, the Cheese Roll guy who might be dead, This Weekend in Fun, and Run it Back. Support us on Patreon and receive weekly episodes for as low $5 per month: www.patreon.com/circlingbackpodcast Watch all of our full episodes on YouTube: www.youtube.com/washedmedia Shop Washed Merch: www.washedmedia.shop Follow Do You Know It?: YouTube: https://www.youtube.com/@DoYouKnowItShow Instagram: https://www.instagram.com/doyouknowitshow/ TikTok: https://www.tiktok.com/@doyouknowitshow Twitter: https://x.com/DoYouKnowItShow • (0:00) Fun & Easy Banter • (16:45) Randy's Bachelor Party • (30:50) Mechanical Bull Guy • (43:45) Turkey Cracking Down on Plane Standing • (51:15) Peepee Minute • (56:55) Cheese Roll Guy • (1:04:25) This Weekend in Fun • (1:12:45) Run it Back Support This Episode's Sponsors: • Aura Frames: For a limited time, listeners can save on the perfect gift by visiting https://auraframes.com/ to get $30-off on their best-selling Carver Mat frame. That's A-U-R-A frames.com. Promo code CIRCLING. • Shopify: Sign up for your one-dollar-per-month trial and start selling today at https://shopify.com/circling • Rocket Money: Cancel your unwanted subscriptions and reach your financial goals faster with Rocket Money. Go to https://rocketmoney.com/circling today. • Fitbod: Get 25% off your subscription or try the app FREE for seven days at https://fitbod.me/steam Learn more about your ad choices. Visit megaphone.fm/adchoices
Jim Petrides, senior mechanical insulation specialist for the Mechanical Insulators Labor Management Cooperative Trust (LMCT), joined the America's Work Force Union Podcast to discuss a recent study in the Houston area, work opportunities for signatory contractors and the need for education in the industry. Sean Allen, President of the International Union of Bricklayers and Allied Craftworkers Local 21 — a Local within BAC Administrative District Council 1 of Illinois — and a fourth-generation tradesman, joined the America's Work Force Union Podcast. He discussed the Union Proud Warrior platform, the impact of social media on union organizing and the challenges of addressing anti-union sentiment.
Join your host Rhydon and special guest Jason Norman from Emerald Green Mechanical in Vancouver, BC, as they cover career journeys, their experiences with cutting-edge RLS-Rapid Locking System Press fittings technology and why locking it down matters. What's Inside: Opening Catch-Up (2:00–12:00) Jason's family updates, life in Vancouver, and early podcast memories. Jason's Path to HVAC (13:00–30:00) From hobbyist tinkerer to commercial service pro—lessons learned and career pivots. RLS Deep Dive (30:00–47:00) How Rapid Locking System's press-fit technology is transforming installations and saving time on the jobsite. Closing Thoughts (47:00–56:00) Reflections on mentorship, community impact, and the future of mechanical contracting. Enjoy the episode?
Send us a textThis week, John and Tim welcome Matt Sigler, Executive Director of Plumbing, Mechanical, and Fuel Gas at the International Code Council (ICC). Matt talks everything codes—from thought to adoption—a global, uniform code and the Windsor Declaration.The For The Pro® app is available for both iOS and Android devices through the Apple and Google app stores, download it today!Subscribe to the Appetite for Construction podcast at any of your favorite streaming channels and don't forget about the other ways to interact with the Mechanical Hub Team! Follow Plumbing Perspective IG @plumbing_perspective Follow Mechanical Hub IG @mechanicalhub Sign up for our newsletter at www.mechanical-hub.com/enewsletter Visit our websites at www.mechanical-hub.com and www.plumbingperspective.com Send John and Tim your feedback or topic ideas: @plumbing_perspective
The Tech Q&A is back, with Jack Luke and Simon Von Bromley fielding your questions. This time around, the pair cover: 26in, 27.5in or 29in? Which wheel size suits trail riding? Best British bike brands: Looking beyond Orange and Whyte? We suggest five UK makes worth a look – plus the Whyte T-140 RS gets a shoutout as a standout full-suspension option Mechanical disc brake upgrades: We share easy, affordable tips to boost lever feel and stopping power without switching to hydraulic Health benefits of cycling: From cardio to mental clarity, we run through the physical and psychological boosts two wheels can bring Best tyres for wet commutes: Grip, durability and rolling resistance – what to look for when choosing rubber for rainy-day riding What happens when an e-bike battery dies? For riders considering an ebike, we explain battery life, maintenance and proper recycling. Got a question for a future episode? Drop us a message at Podcast@bikeradar.com Learn more about your ad choices. Visit podcastchoices.com/adchoices
In this episode of First Generation Bowhunter, Adam Buchanan dives into the world of fletching options for archery, discussing the differences between 3-fletch and 4-fletch setups, tuning for 3D archery, and the importance of choosing the right broadhead. He shares personal experiences and insights on arrow setups, aiming to help both novice and experienced bow hunters make informed decisions for their hunting and 3D archery needs.There are many fletching options available for archery.3-Fletch setups are lighter and provide flatter shooting.4-Fletch setups offer better steering for longer distances.Tuning your bow is crucial for accuracy in 3D archery.Choosing the right broadhead can significantly impact your success.Budget considerations are important when selecting arrows.Fixed broadheads are recommended for beginners.Mechanical broadheads can be easier to work with in the field.It's essential to practice with your broadheads before hunting.If you're feeling overwhelmed, it means you're pushing yourself.Chapters00:00 Introduction to Fletching Options01:21 3D Archery vs. Hunting: Finding the Balance03:18 Three-Fletch vs. Four-Fletch: Key Differences09:42 Choosing the Right Setup for Your Needs15:28 Broadheads and Fletching: Making the Right Choice
In this episode, we explore considerations in mechanical thrombectomy for pulmonary embolism, with particular emphasis on determining appropriate endpoints for concluding a procedure and the critical role of time and procedural efficiency. Key takeaways cover optimizing procedure duration, achieving meaningful reductions in pulmonary artery pressure and clot burden, and employing strategies to minimize or prevent blood loss throughout the intervention.
Shallow and Jiunta unpack low back pain, the pitfalls of overconfidence, and how trust and humility create real progress in rehab and performance. Class Has Begun! This is your LAST CHANCE to sign up for this cohort of PSL1. https://www.pre-script.com/psl1 FREE Coach's Field Guide: https://www.pre-script.com/coachs-field-guide We've got a new sponsor! Marek Health is a health optimization company that offers advanced blood testing, health coaching, and expert medical oversight. Our services can help you enhance your lifestyle, nutrition, and supplementation to medical treatment and care. https://marekhealth.com/rxd Code RXD Don't miss the release of our newest educational community - The Pre-Script ® Collective! Join the community today at www.pre-script.com. For other strength training, health, and injury prevention resources, check out our website, YouTube channel, and Instagram. For more episodes, subscribe and tune in to our podcast. Also, make sure to sign up to our mailing list at www.pre-script.com to get the first updates on new programming releases. You can also follow Dr. Jordan Shallow and Dr. Jordan Jiunta on Instagram! Dr. Jordan Shallow: https://www.instagram.com/the_muscle_doc/ Dr. Jordan Jiunta: https://www.instagram.com/redwiteandjordan/ Coffee, chaos, and creatine (00:00:00) Why chiropractic college is the “fat kid” of academia (00:02:30) What art, science, and philosophy reveal about treatment (00:05:50) Tools vs. outcomes: The problem with dependency models (00:09:00) From fake dummies to real relationships (00:13:45) Humility and trust as clinical cornerstones (00:17:00) Filtering pain: Mechanical, inflammatory, or damage? (00:22:00) Overcoaching and the power of taking things away (00:28:15) Motivation, buy-in, and mapping out recovery (00:36:30)
Loser unboxing mechanical pencil
CardioNerds Critical Care Cardiology Council members Dr. Gurleen Kaur and Dr. Katie Vanchiere meet with Dr. Yash Patel, Dr. Akanksha, and Dr. Mohammed El Nayir from Trinity Health Ann Arbor. They discuss a case of pulmonary air embolism, RV failure, and cardiac arrest secondary to an ocular venous air embolism. Expert insights provided by Dr. Tanmay Swadia. Audio editing by CardioNerds Academy intern, Grace Qiu. A 36-year-old man with a history of multiple ocular surgeries, including a complex retinal detachment repair, suffered a post-vitrectomy collapse at home. He was found hypoxic, tachycardic, and hypotensive, later diagnosed with a pulmonary embolism from ocular venous air embolism leading to severe right heart failure. Despite a mild embolic burden, the cardiovascular response was profound, requiring advanced hemodynamic support, including an Impella RP device (Abiomed, Inc.). Multidisciplinary management, including fluid optimization, vasopressors and mechanical support to facilitate recovery. This case underscores the need for early recognition and individualized intervention in cases of ocular venous air embolism. US Cardiology Review is now the official journal of CardioNerds! Submit your manuscript here. CardioNerds Case Reports PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls- Clear Vision, Clouded Heart: Ocular Venous Air Embolism with Pulmonary Air Embolism, RV Failure, and Cardiac Arrest Hypoxia, hypotension and tachycardia in a patient following ocular instrumentation are classic findings suggestive of pulmonary embolism from possible air embolism. The diagnosis of RV failure is based on clinical presentation, echocardiographic findings (such as McConnell's sign), and invasive hemodynamic assessment via right heart catheterization. Mechanical circulatory support can be considered as a temporary measure for patients with refractory RV failure. Central Figure: Approach to Pulmonary Embolism with Acute RV Failure Notes - Clear Vision, Clouded Heart: Ocular Venous Air Embolism with Pulmonary Air Embolism, RV Failure, and Cardiac Arrest 1. What is an Ocular Venous Air Embolism (VAE), and how can it be managed in critically ill patients? An Ocular Venous Air Embolism is defined as the entry of air into the systemic venous circulation through the ocular venous circulation, often during vitrectomy procedures. Early diagnosis is key to preventing cardiovascular collapse in cases of Ocular Venous Air Embolism (VAE). The goal is to stop further air entry. This can be done by covering the surgical site with saline-soaked dressings and checking for air entry points. Adjusting the operating table can help, especially with a reverse Trendelenburg position for lower-body procedures. The moment VAE is suspected, discontinue nitrous oxide and switch to 100% oxygen. This helps with oxygenation, speeds up nitrogen elimination, and shrinks air bubbles. Hyperbaric Oxygen Therapy can reduce bubble size and improve oxygenation, especially in cases of cerebral air embolism, when administered within 6 hours of the incident. Though delayed hyperbaric oxygen therapy can still offer benefits, the evidence is mixed. VAE increases right heart strain, so inotropic agents like dobutamine can help boost cardiac output, while norepinephrine supports ventricular function and systemic vascular resistance, but this may also worsen pulmonary resistance. Aspiration of air via multi-orifice or Swan-Ganz catheters has limited success, with success rates ranging from 6% to 16%. In contrast, the Bunegin-Albin catheter has shown more promise, with a 30-60% success rate. Catheterization for acute VAE-induced hemodynamic compromise is controversial, and there's insufficient evidence to support its ...
“You're Closer Than You Think” What if the reason you haven't hit that next level yet… is because you're treating your goals like a hobby instead of a profession? In this episode, I'm sharing two of the most impactful success principles that separate the elite from everybody else: repetitions and deadlines. I've spent 30 years working with some of the best athletes, entertainers, and entrepreneurs on the planet—and I'm telling you, these two fundamentals are the quiet edge they all rely on. Whether it's Steph Curry taking 500 shots a day, Adele putting in over 2,400 hours of rehearsal before her Vegas residency, or Tiger Woods grinding on the range for 10 hours a day—greatness isn't random. It's repetitive. It's intentional. And it's scheduled. Most people don't have a “talent” problem—they have a rep problem. And they've trained their brain to tolerate procrastination because they never assign a deadline to what matters. In this episode, I break down how high performers lock in success before anyone's watching—when it's quiet, when it's boring, and when no one's clapping. Your standard isn't how good you are on your best day. It's how consistent you are when you're tired, stressed, or distracted. You don't separate yourself during the performance—you do it in the preparation. This episode will challenge you to raise the bar on your reps, sharpen your focus with deadlines, and finally own your craft like the pro you were born to be. Key Takeaways: Why reps matter more than raw talent How Steph Curry, Tiger Woods, and Adele stay elite The three stages of mastery: Awkward, Mechanical, Natural The real reason your brain avoids deadlines—and how to flip the script How to activate your subconscious and unconscious mind to work in your favor Why pressure is a privilege and how to use it to your advantage It's not miles away. You're one rep, one deadline, one decision closer than you think. Let's get you moving. Max out.