Podcasts about medians

Listen to ASCO's Journal of Clinical Oncology essay, “The Road Less Traveled: Perspective From an Australian Oncologist” by Stephanie Hui-Su Lim, Medical Oncologist at Macarthur Cancer Therapy center in New South Wales, Australia. The essay is followed by an interview with Lim and host Dr. Lidia Schapira. Lim shares her thoughts as an oncologist dealing with a patient that has decided not to continue with treatment.  TRANSCRIPT Narrator: “The Road Less Traveled: Perspective From an Australian Oncologist” by Stephanie Hui-Su Lim  He had been diagnosed with metastatic colorectal cancer in his late 30s and was responding well to first-line treatment. Physically fit, with a good tolerance to therapy, there was no stigma of sickness or telltale signs of cancer lurking around him. His partner usually attends with him, offers polite nods, few questions asked, but you could sense her underlying nervousness and fear of the unknown. Between the short phrases of broken English and the interpreter talking, consultations were usually pleasant, the right questions were asked, and I would end the consultation by asking how his family was doing back in Vietnam. Born to Chinese-Vietnamese parents in a city on the outskirts of the capital, he migrated to Australia 10 years ago. He worked hard, exercised, ate a healthy blend of an Asian and Western diet, and check-boxed all the requisites to build a good life. On this occasion, his cancer was slowly progressing although remained largely asymptomatic. His optimism stayed stable, and he kept his full-time job. I discussed switching treatment. “Do you have any questions?” As I shuffled the consent form, information sheets in Vietnamese, pathology form, imaging request, and follow-up bookings, I waited for the interpreter on the other end of the phone to speak. COVID-19 was still lingering, and our face-to-face interpreter service had largely been replaced by phone calls. My now 40-year-old patient, alone today in the clinic room, looked at me and the care coordinator, then spoke something to the phone. The voice on the other end said he has no questions, he is “keen to get on with it.” “Ok then, we'll get him to sign here, and I'll need your healthcare interpreter number too.” An exchange of words ensued, perhaps some things were repeated over. Then my patient smiled, and waited. “He says thank you doctor but he doesn't want any treatment.” It was not the answer I was expecting. I had explained his slow disease progression, multiple lines available, and good tolerability of treatment, maintaining his quality of life and maximizing survival. I had gone through the projected life expectancy at this point, which was still measured in the order of short years if we pursued all standard therapies. “Can you ask him again? That he does not want any treatment?” Perhaps the interpreter had not relayed what I said. Perhaps I had not emphasized the benefits of continuing treatment. Perhaps there were misplaced reasons for declining evidence-based treatment, the clues of which I had learned to pick up quickly, gleaned from conversations over family dinners from my own family of migrants. When my patients decline treatment in a context where the clinical benefits clearly outweigh potential harm, I often feel I have not done enough. If I spent more time talking them through their decision making, guiding them through hypothetical what-if scenarios, then would we have gotten to the same page? Was I sure they were compos mentis? Should I call the other listed relatives and have the same conversation with them? In his case, he had made a capable and informed decision. We are used to the well-trodden path of exhausting appropriate standard treatment before transitioning to a best supportive care approach. However, when patients choose the less traveled path where their cancer journey and life expectancy are truncated by choice, we may struggle to understand their decision. I felt a sense of frustration at his polite declining of potential years of life and unfairness when the next patient, unfit and exhausted of all therapies, begged for more treatment options or anything that could give them another extra day. I sought to try to better understand the reasoning behind his decision. I have encountered many culturally and linguistically diverse (CALD) patients throughout my journey as an oncologist and personal experiences in my own migrant family. Our health district has one of the most diverse populations in the state, with one in 10 having limited English proficiency. Almost half the population speak a language other than English.1 We often see as many interpreters as patients in the waiting room, multiple extended family members crowding into small consult rooms, and multitude of language translations of patient booklets being the only recognizable information to new patients in an otherwise foreign cancer center. I understood the importance of cultural awareness, and that cultural differences feed into decision making. But what were the beliefs, concepts, and cultural norms that shape what they do and value? An Australian study investigating the attitudes of Chinese migrant patients toward cancer identified several key areas including the nondisclosure of a poor prognosis, importance of family in mediating between health professionals and patients, incorporation of Chinese culture–specific treatment, importance of interpreters, and psychological and spiritual support.2 Chinese patients use combat strategies on the basis of traditional Chinese medicine, Chinese beliefs of food to maintain health, exercise with Qigong, Feng Shui/spatial organization, and ancestor worship.3 Chinese illness conceptualization includes concepts of karma, fate, and retribution.4 There are recurring themes that arise, with another study highlighting the importance of the Chinese beliefs in fate and luck, ying and yang, stoicism as a coping mechanism, importance of family, fear of losing face, and denial of diagnosis as a means of protecting the family. A common thread of family playing an essential role, rather than a patient autonomy approach, was evident. There is a need to incorporate these beliefs into culturally appropriate programs.5 Sadly, not much is known about the cultural impacts on patient decision making. Research into race, culture, and ethnicity is thought to be too restrictive.6 Research investigating interventions to improve patient-centered care and participation in the treatment process in CALD has found positive effects of culturally tailored video and patient navigator interventions.7 A recent review also found patient navigation as an effective strategy in improving patient care, from screening through to diagnosis, treatment initiation, and likely also in the active treatment and survivorship phase.8 Importantly, cultural barriers were evident. An Australian study looking at CALD needs in outpatient cancer clinics highlighted the importance of recognizing language-related needs and care teams adapting practices and available resources to make it work for CALD communities.9 Work in other CALD groups has also focused on the triadic relationship between the patient, the patient's family, and physicians.10 Latin American women who were less acculturated deferred to their families or friends to make treatment decisions, highlighting the importance of familism as one of the most culturally specific values for Latinas. Loyalty and solidarity among members of the family are integral to decision making. Asian and Latino patients are seen to have a higher rate of patient passivity because of cultural norms that respect physician authority.11 A systemic review of cancer beliefs in minority populations, the majority based in United Kingdom and United States, found low health literacy, fatalism, and stoicism as common themes.12 Decision making in a systematic review, with a predominant African American minority group, found the themes of spirituality, fatalism, and acculturation to be important in the treatment decision process.13  Ultimately, all these cultural beliefs and concepts feed into how patients decide which treatment road they wish to take. Shared decision making models in ethnic minorities have taken into account human values recognized across different countries and the relation between these.14,15 As clinicians, we often focus on the disease, with the goal being to get rid of as many cancer cells as we humanly can and prolong our patient's life expectancy while maintaining quality of life. I often feel we require tangible goals which can be measured in time and percentages, hazard ratios, and survival odds at 2 or 3 years. For the patient sitting on the opposite side of the desk, who are only single points on a Kaplan-Meier curve, goals may be very different, shaped by their own cultural values and beliefs. What numerical value can we place on traveling overseas back home, enjoying conversations over family dinners, rather than going to the cancer center for the next cycle of treatment? My patient had decided his goal was to return home to his family in Vietnam. I saw him in clinic several times, each time gaining more of an understanding of his decision. I spoke to his partner, we obtained a face-to-face interpreter. We discussed culturally appropriate support groups. He was active in local community groups who provided spiritual and existential support. I enquired about herbal remedies, which he had been on preceding his cancer diagnosis and continued with our pharmacist's approval. We turned to discussing where he was going to be living in Vietnam, potential complications during the flight home, provision of a medical letter, and copies of his tests. He remained uncertain about the prospect of further treatment, that it was hard to access good medical care and did not offer any answers about whether he planned to seek out treatment in the big city hospitals back home. He reassured me he would be fine. Every time I see a CALD patient, I remember my patient who politely said no, thank you. I wondered if he ever accessed any treatment, how quickly his disease progressed, when and how he died. My initial frustration has evolved into the understanding of how important it was for him to be surrounded by family. I found solace knowing he died with family by his side. The treatment he wanted could not be offered through an intravenous drip or medication. It could only be found in the safe familiarity of family. Every time I see a CALD patient, I try to create a culturally familiar place for them to be treated and place their decision making amid their cultural beliefs, norms, and values. The theme of last year's World Cancer Day is “Close The Care Gap.” Language, literacy, ethnicity, race, income, education, socioeconomic status, and geographical location are just a few of the factors that contribute to the cancer care gap. We need to have cultural sensitivity in mainstream health care and respect the differences that feed into the decision to accept or decline treatment in ethnic minority groups. Ethnic minorities are defined as nondominant groups, connected by a shared cultural heritage, values, and often language. It is important to note that this is also a relative definition, and my patient in Australia falls into the CALD group, but would be the dominant group back in his home country of Vietnam. Health and illness are not only visceral but also a social and cultural phenomenon. Sometimes, it is recognizing that closing the care gap does not bring us to the same destination, but to walk the road less traveled with them. As the years pass and I reflect on my patient's cancer journey, I have come to understand that as his doctor, it was my job to ensure he understood his disease and treatment options. However, perhaps even more importantly as his doctor, it was my honor to support him down the path he had chosen. Dr. Lidia Schapira: Hello and welcome to JCO's Cancer stories, the Art of Oncology, which features essays and personal reflections from authors exploring their experience in the field of oncology. I'm your host, Dr. Lidia Schapira. I'm a Professor of Medicine at Stanford University. With me today is Dr. Stephanie Lim, a Medical Oncologist at Macarthur Cancer Therapy center in New South Wales, Australia. In this episode, we will be discussing her Art of Global Oncology article, “The Road Less Traveled: Perspective from an Australian Oncologist”.   At the time of this recording, our guest has no disclosures.  Steph, welcome to our podcast, and thank you for joining us. Dr. Stephanie Lim: Thank you very much for having me. Dr. Lidia Schapira: Let's start by talking a little bit about the role of writing and reflection for us in oncology practice. Tell us a little bit about what led you to write this case up and then to decide to share it with your colleagues.  Dr. Stephanie Lim: Yeah, so writing is definitely a creative outlet for me. I also love to paint, and I think there's so much art in the oncology space. There's so much storytelling, the rich and diverse stories that our patients live out in their cancer journey. So I think for me, writing definitely is an avenue for me to process the patient scenarios, to distill what I've experienced emotionally with the patient in front of me, and really to put it down on paper. It's almost a debriefing exercise as well for me sometimes. It's quite cathartic to write and to paint, and I find it's also a way to remember a patient. So if there's something I really don't want to forget, I think writing is a way to almost memorialize that patient's scenario and that patient experience. Dr. Lidia Schapira: Very beautifully said. So with that, let's go to the case in the particular patient that you chose to write about. And in my reading of your essay, I think you have a message. What is that message for the reader?  Dr. Stephanie Lim: So I think let's take a step back and just go through some of the themes that really resonated with me, that took me quite a few years to go through and think through before I actually wrote it down in this essay. In fact, this essay is an amalgamation of quite a few cultural and linguistically diverse, or CALD patients that I've met and looked after over the years, and those themes just kept recurring.  The first is patients when they said no to treatment. As a clinician, I struggle. I struggle with that when patients flatly refuse what I sincerely feel is the best treatment option for them. I feel frustration, disappointment, even anger and sadness, almost grieving that lost opportunity for potential life lengthening years that the patients may otherwise have. In fact, I was listening to one of your other podcasts the other day, “Knuckleheads”, which, again, resonated with me because it was, again about another story of patient refusal and a different story, but the same theme. And I think when you add the CALD population into it, which is really the theme, the message of this essay, you add another layer of complexity, another layer of cultural diversity and differences to an already complex decision making process. So those two things really sort of challenged me over the years.  And I think the other pervasive theme is that human side. We always talk about the art of oncology, the humanistic aspect, but it's true. So I think the importance of the patient's story and really just paying attention to the background and that lived experience. Someone once told me, medicine, it's a humanistic enterprise, it's not just about numbers and medians. In fact, in the essay I mentioned that the patient in front of me is really just one point on a Kaplan–Meier curve. Medians to them don't really mean very much. There's really no value that we can place on time spent with family. Or in this case, when I tell a patient they've got progression, or try and outline and map out the next treatment plan, and then they turn around and ask me, “Okay, doc. So can I hop on a plane, fly across to the other side of the world and spend three months with my family? Because that's what I want to do.” So I think there's that struggle of trying to really do what's best for the patient in terms of medians and survival and quality of life, but also trying to balance those things that are really hard to put a value on.  I hope the message of this essay is that we can try and understand, identify these things, pay attention to patients, listen to their stories, and really help appreciate those choices. So it's certainly by listening to them and really trying to understand more about CALD and the concepts and values behind their decision making. I've grown to appreciate the choices they make and really helped to support them down what I called the path less traveled, a very unfamiliar path that I otherwise wouldn't have chosen for them.  Dr. Lidia Schapira: So let's unpack all of these wisdoms that you've just told us about. The motivation is clear, the intentions are clear. Let's talk a little bit about your discomfort as an oncologist, because I'm sure our readers and our listeners have experienced that when a patient gives you an informed decision to refuse treatment, why do you think it makes us so uncomfortable? And why did it make you so uncomfortable to have your patient say, “Thank you very much, I understand you, but no thanks”? Dr. Stephanie Lim: Yeah, I think as clinicians we want the best for our patients. And I think a lot of the time that is what's best in terms of survival, what the evidence says we should be doing, weighing up the pros and cons of treatment. And we map out the lines of treatment for our patients while trying to maintain a quality of life and take into account all their wishes, of course. But I think sometimes we might get carried away with what we want for them or what we feel is best for them. But listening, if you really spend time asking what they really want, it might be something as simple as I just want to spend more time with my family rather than coming to the chemo suite for another infusion. I think as time goes on I'm doing a lot more listening, a lot less talking.  When I started out I was telling patients medians and this is what we're going to expect, this is the 50% survival rates, and a lot of time patients look at me and it means not very much to them. So I think for us there is a root that in our minds we've mapped out for them which we sincerely feel is the best for them. And I think when they refuse that it can be quite frustrating, but also I think, challenging because as I said, it's a path that's unfamiliar. When patients go from diagnosis to, “Well, I actually don't want any treatment,” really they shorten their- as I think I put in the essay, intentionally shortening their survival and choosing best supportive care when they're not there yet is something that I still struggle with, especially in my younger patients. Dr. Lidia Schapira: So let's talk a little bit about that. And I'm just challenging you in the best possible collegial way here when we talk about honoring our patients autonomy and providing sufficient information for them to really give us informed consent based on being aware of their choices and trade offs. And yet when those decisions don't conform to what we think we would choose or what we've recommended, there's disquiet. And yes, we know that the patient ultimately is the main decider on what gives their life value and meaning, but it's difficult for us. Can you talk a little bit about how you resolve this tension in your practice? Even if a patient is very fluent in your primary language, that's almost a detail. It complicates things here. But it's not the only thing that really, I think, is so challenging and feels so difficult sometimes for the oncologist.  Dr. Stephanie Lim: Yes, I think in the CALD population, there's several other layers of complexity. So yes, the patient is ultimately the person receiving treatment and yes, they are the ones who should be deciding what they want. I think in the CALD population it's more complex because we talk about patient and clinician shared decision making, but there is this triad of family physician and patient relationship that exists in a lot of CALD populations, not only in Southeast Asian or South Asian, but perhaps even in the Latin American population, and that importance of families. So there is not just a patient and a physician, but there is also the whole family that is making that decision.  To complicate things in Asian culture, there is also this autonomy that's given to the doctor. So that belief that the decision making in some ways should be delegated to the health professional because they're the ones who know what they're doing. And a lot of my Asian patients might say, “Well, you're the doctor. You should be telling me what to do.” So I think it's a balance between respecting that, if that is their belief, respecting that doctor autonomy, but also taking into account that triad of decision making with patients, family, and even the wider community. So I think certainly in a CALD population, my approach would be to really understand why they've made that decision, to involve the family in that decision making, perhaps to see the patient over time, over multiple consultations, which we've done with this particular patient in the essay, and really just to understand what the barriers are or what their reasons are for going down a different path to what I've recommended. And I think once that's all unpacked, I think it becomes quite clear and it gets us to the same page. Dr. Lidia Schapira: So, Steph, if this patient had been 65 or older, do you think it would have been easier for you to accept his decision to say ‘no' to treatment and go home to be with family, whether or not access to any treatment is available to him there? Dr. Stephanie Lim: That's a good point. I think I personally do struggle more in my younger patients, patients closer in age to me at a similar stage of life, they have young children, and I think a lot of it is because they are so fit. We feel that they can tolerate so many lines of treatment. I'm almost grieving that lost opportunity, lost time that they may have with their children or their family. So I think definitely in the younger patients, it resonates with me more. I struggle more with that. Having said that, it's still a struggle when older patients who are fit for treatment say ‘no'. But definitely, I agree with you. I think the younger patients definitely are harder to manage.  Dr. Lidia Schapira: I was very impressed in reading your essay with the fact that you remained curious about the person who was your patient. You were curious and engaged and wanted to learn what he was thinking. And you not only wanted to make sure that he understood his options medically, but you wanted to understand the context, as you say, who else was influencing the decision, and still wanted to preserve the relationship. Tell us a little bit about how that evolved over time and what you learned and how you brought yourself to a place where you could accept this, at least not be distressed by his refusal of treatment.  Dr. Stephanie Lim: So I think, again, a lot of it was listening to his stories. Over time, that conversation shifted from me trying to tell him that if you have this treatment, this is what we expect, this is what we could gain. These are the survival years that you potentially could benefit from. So I think the conversation, over time, shifted from that to a focus on his values, other support systems, whether it's the support communities that were in place, the importance of even complementary or Chinese medicines that he was also pursuing, basically trying to unpack all that. And I think our conversations shifted from a lot less talk about treating the cancer to treating him as a person and what he needed.  So I think over time, I basically sat back and listened to him and what he wished to do. And over time, that conversation then evolved into, “Okay, you're going to leave, so how can I best support you?” And even then, I was trying to see if he was going to seek treatment overseas. I was ready to call someone at the other end of the world to say, “Here are the medical records. This is what can be done for him.” But I think over time, I've come to realize that definitely was not his priority. He needed to be with family. He wanted to go home. And as a clinician, as his treating clinician, I think my job was to support him through that and try and understand. So I think over time, just spending that time listening to them, I did understand. I did struggle with it. But I think ultimately, I was at peace with his decision.  Dr. Lidia Schapira: In the essay, you mentioned that your family also migrated to Australia. Do you think that their experience in some way has shaped your attitude towards understanding cultural and linguistic differences? And if so, how?  Dr. Stephanie Lim: Yeah, thanks for asking that, Lidia. So I was born in Southeast Asia. In fact, I grew up in Brunei, on Borneo island, which is in the heart of Southeast Asia. My dad is Bruneian. My mom is Malaysian. I did finish off my high school in Australia and did all my medical training in Australia. So this is through an Australian lens. In fact, the reviewers wanted me to include that, to point out that CALD is a very relative definition. But I think I class myself as a 1.5 generation Australian. So I hope that I do have some insights from my background and my upbringing to understand a little bit more about the nuances, to be able to pick out some of the subtleties when I see patients, when I talk to patients, that complex cultural belief that underpins all their decision making. So I think that definitely, I hope, has enabled me to be more sensitive and to be able to pick out some of those nuances that helps me better understand and frame a patient's decision making. Dr. Lidia Schapira: And ultimately, did you feel all right with your decision and your patient's decision? Dr. Stephanie Lim: Yes, I did. So I think ultimately, the goal is to create this culturally safe and appropriate place for patients where they're comfortable, where the clinicians are also comfortable with that final decision that we reached. And I think we got there. But my hope is that with all future patients, that we can create this with the help of patient care navigators, patient translators. It comes from a systems level, a team level, and definitely an individual level to understand, identify these concepts, as I pointed out in the essay, to reach a point where we feel that the patients have had a culturally safe and language appropriate care, that we've explored all the avenues, all their concepts, all their beliefs, and we've reached the decision that we're both comfortable with. Dr. Lidia Schapira: Well, Steph, it's been a pleasure to chat with you today, and I know that I did, and I know my colleagues have learned a lot from reading your story and wish you all the best. And thank you for sending your work to JGO. Dr. Stephanie Lim: Thank you, Lidia, it was a pleasure chatting to you. Dr. Lidia Schapira: And until next time, thank you for listening to JCO's Cancer Stories, The Art of Oncology. Don't forget to give us a rating or review, and be sure to subscribe so you never miss an episode. You can find all of ASCO shows asco.org/podcasts. The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions.   Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement.  

Listener Daniel asks whether law schools' LSAT medians are likely to decrease in the coming years. Nathan and Ben suspect that the opposite might be true. Read more on our website!Email daily@lsatdemon.com with questions or comments.Watch this episode on YouTube.

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Brought to you by Dark Shore IndustriesThe Best Company You Never Have to Work ForUltimate Christian Coaching Network for Manhood"From 12 to 23 in a single year.""Help us build your ark."Get the Mad Mondays newsletter, a round up of news from a Christian perspective with encouragement from Rev FiskFind out more about the Sons of Solomon, a prayer discipline for menSupport Rev Fisk at SubscribeStarOrder Rev Fisk's books at AmazonCatch Rev Fisk on A Brief History of Power podcastHear Rev Fisk's sermons at St PaulIf you'd like to submit a question or comment for the show, click hereThis week, the Mad Christian and Meridith speak about:  00:00 Swiss army nail clippers 13:10 The joy of throwing things out 18:30 Medians in the gentle way 23:20 The joy of drafting 36:01 Soul journal, mind mapping, smart noting 47:02 Happy little Luddites 01:03:40 A little rejection goes a long way 01:16:57 The present over the perfect 01:21:43 Can or should? 01:28:40 The symbolic reality of baptism 01:39:08 Romans 6 and scriptural frameworks 01:48:23 Language and symbols 01:57:18 Types and anti-types 02:04:30 Glorious German and Luther taken neat 02:11:57 David and holy bread 02:39:35 The bread of life 02:48:55 Edgar the cabbage 03:08:58 Hebron Collegium update The opinions expressed on the Stop the White Noise are those of RevFisk and Meridith, but sometimes also God. Studies show that learning to tell the difference greatly enhances your viewing experience.If you need help, the Holy Bible stands ready to assist you, as (hopefully) does your local, trustworthy pastor.To join our Discord community online, request an invitation linkFind everything else go to revfisk.com

Climate control issues. Medians. Pumpkin carving incidents. Decorations. Feral hog czar. Chinese food conundrum. Nail clippings. Weird food combos.

Climate control issues. Medians. Pumpkin carving incidents. Decorations. Chinese food conundrum. Nail clippings. Weird food combos. College Park, Maryland. Stamps. Chopsticks and Smarties. Good manners. Skills your kids need to be an awesome adult. Growing up with Maddie. Bananas.

Radio Marija ir klausītāju veidots radio, kas nes Dieva Vārdu pasaulē. Radio Marija balss skan 24 stundas diennaktī. Šajos raidījumos klausītājiem kā saviem draugiem neatkarīgi no viņu reliģiskās pārliecības cenšamies sniegt Kristus Labo Vēsti – Evaņģēliju, skaidru katoliskās Baznīcas mācību. Cenšamies vairot lūgšanas pieredzi un sniegt iespēju ielūkoties visas cilvēces kultūras daudzveidībā. Radio Marija visā pasaulē darbojas uz brīvprātīgo kalpošanas pamata. Labprātīga savu talantu un laika ziedošana Dieva godam un jaunās evaņģelizācijas labā ir daļa no Radio Marija harizmas. Tā ir lieliska iespēja ikvienam īstenot savus talantus Evaņģēlija pasludināšanas darbā, piedzīvojot kalpošanas prieku. Ticam, ka Dievs īpaši lietos ikvienu cilvēku, kurš atsauksies šai kalpošanai, lai ar Radio Marija starpniecību paveiktu Latvijā lielas lietas. Radio Marija ir arī ģimene, kas vieno dažādu vecumu, dažādu konfesiju, dažādu sociālo slāņu cilvēkus, ļaujot katram būt iederīgam un sniegt savu pienesumu Dieva Vārda pasludināšanā, kā arī kopīgā lūgšanas pieredzē. "Patvērums Dievā 24 stundas diennaktī", - tā ir Radio Marija Latvija devīze. RML var uztvert Rīgā 97.3, Liepājā 97.1, Krāslavā 97.0, Valkā 93.2, kā arī ar [satelītuztvērēja palīdzību un interneta aplikācijās](http://www.rml.lv/klausies/).

500 Million Gallons at Hickam AFB In this episode, Andy has a discussion with Paul Bassett, in the car, driving to the Hickam AFB in Honolulu Hawaii.  Learn more about ENVOCORE   === Andy: Welcome back to a very special edition of the Sprinkler Nerd Show. I'm your host, Andy Humphrey, joined by the one and only the magnificent Paul Bassett live, well not live, as close to live as we can get from the island of Oahu, Honolulu, on the way to, where are we going today, Paul?  Paul: We're going to the Hickam Air Force Base, where we're saving a bunch of water by retrofitting out some old, antiquated irrigation systems. Andy: And I think we should, you should give a little background on the Hickam project and why. Why you're here and then we can see if we have enough time to discuss why why I'm here with you But give us some background on the Hickam  Paul: project Well, we were lucky to be fortunate to be selected to help the Air Force Base and our client Amoresco save energy and water They're using based on our analysis initially in this particular project over half a billion gallons of water If you are an irrigation professional, old or new, who designs, installs, or maintains high end residential, commercial, or municipal properties, and you want to use technology to improve your business, to get a leg up on your competition, even if you're an old school irrigator from the days of hydraulic  Andy: systems, this show is for you. Paul: Um, specifically on the irrigation system, we analyzed them consuming about 300, 350 million gallons annually to virtually apply water to the grass around the common areas and the housing  Andy: units. Is that just outdoor water use or is that indoor and  Paul: outdoor? Well, the half a billion would have been total. So 350 million approximately annually on the landscape and 150 million. Uh, on the interior homes and  Andy: businesses and facilities. Wow. So Envacore though is headquarters in Maryland. How does a company headquarters in Maryland end up securing a project here in Honolulu?  Paul: Well, fortunately for us, we do work all over the country, uh, with regards to the Department of Defense. And we've been working with this particular client as long as we've been in business, 15, 20 years. So they trust, we're a trusted partner with them. So we're able to secure projects virtually all over the world with this client. And the client's Amoresco? Client on this one is Amoresco, yes, and they're, they're an energy service company. So what we do is we help them, when they secure projects, develop and build energy and water conservation projects for them that, that pay for themselves and the reduction of the utility bills.  Andy: So people oftentimes hear about these projects and hear about opportunities to conserve water and do performance contracting and generate an ROI that has a payback return on the savings, but I don't think a lot of, let's say, industry, Companies and professionals have an opportunity to get involved with them. So maybe you could tell us a little bit more about, you know, about this side of the, of the industry that only a few get to participate in right now.  Paul: Well, I think luckily for us, we've found a way. to really parlay irrigation savings into performance contracting. So it's really water savings as a service. And the key to the success that we've had over the years is we deploy and integrate the newest and latest technology to be able to almost in real time watch the water consumption move through the water meters and then report on that information directly to our client. So one of the benefits that we have is that You know, we, we calculate savings based on evapotranspiration and the amount of water being applied to the landscape. But in the real world, you really need the data to prove out the savings that you promised. So in order for our company and my company to be successful, we have to prove year after year that what we calculated in the water savings is real and tangible.  Andy: Awesome. So let's go back to, in order to... potential is. Let's, let's go back to when this project first started. When was that? What year were you first involved and how do you actually start looking at a project like this for the first time?  Paul: Well, this project has been going on since 2015. Initially there's been a lot of back and forth and up and down and contract negotiations and challenges. But what we typically do is we'll get the water bill and the utility bill and we'll analyze, you know, how much either energy or water. Water is being consumed and we determine from there what either gallons per square foot or gallons per person is being consumed and we'll do a weather analysis and we'll calculate how much water should be consumed by this particular plant in this particular climate and then we look at the utility bill and we say, huh, we think this site should be using 20 gallons per square foot annually and we see it's using 30 gallons per square foot annually. And then right away at that point, we know that we have an opportunity for savings.  Andy: Okay. So you do the analysis and then at what point do you actually come on site to do some verification and to look and see if that's actually poor performance with controls, if there's leaks, if it's distribution, when do you come in and do your first analysis? Paul: Well, when we do the utility analysis initially, and then we determine the viability of the opportunity, meaning we deem that there is potential for savings by looking at all of it. Okay. data. And if the data says yes, we think there's an opportunity. Then at that point, we all agree that we're going to engage into a contract and then we're going to deploy folks to be able to come out and actually physically do the audits, run through the irrigation systems, count all the sprinklers, try to determine the flow rates, extract the schedules and controls, and then establish from that point what the actual irrigation system or plumbing system or lighting system is consuming energy and value. I'm going to the  Andy: utility bills. Okay. So your team put eyes on every sprinkler on this project several times. Yes. Wow. Okay. So let's talk about the scale of this project so that the listeners can visualize what, what this is. So maybe let's talk about, let's go top down. If you can recall some of the data in terms of how many water sources, how many controllers, how many zones and potentially how many sprinklers. Paul: Well, as I mentioned prior to the, um, Initial conversation, Andy, we initially analyzed that they were using, consuming about half a billion gallons of water through all of the piping network and infrastructure. We then got all the housing unit counts and the peoples and bodies per potties. And we had meter data for all the irrigation. And then once we deemed that, then it was time to get really boots on the ground. And then from that point, we, we really go in and identify all the controllers, all the water supplies, all the valves. We put it all on a map, um, inventory, everything at that point. And, and then we know exactly what we're going to be getting involved with at that point. Okay.  Andy: So how many is that? You know, it's one thing to hear a half a billion gallons, but let's flip that over and turn and turn that into number of controllers, number of water sources, sprinkler count. What are those numbers look like?  Paul: We were just over 200 controllers on the site that were not battery operated controllers, just standard plugin controllers. We have 135, 140, I believe water connections where the feeding those 200 and some controllers. And then it was over 30, 000 sprinklers that were within the scope  Andy: of services. Okay. And those sprinklers include pop up spray heads, three quarter inch rotors, and one inch rotors. And  Paul: some drip. Some drip. You know, not much, but some drip. We're phasing the drip out of the scopes. Okay. Well,  Andy: there's not a lot of projects opportunity. Well, maybe there are, but they 200 controller retrofit opportunity and 135 water sources. That's a massive scale. And, what I didn't realize about this base before visiting is that it's like a village. People live here. You come through the gate, we're about to, right now, show them our DBID cards. To get access to the base, but this is like kind of Entering a private HOA community that's run by the government you live here you work here Everything happens on the base and maybe because I didn't grow up in the military. This is all new to me There's probably a lot of listeners that are like, yeah. Yeah. Yeah, we know this but to me I guess I thought at first that the base was just military operations I didn't realize that people lived on the base and that all of this housing and infrastructure is managed  Paul: Yeah, I mean, again, I think for us on this particular military base, I mean, there's a bunch of soldiers that live and work on the base and they consume water. They have consume energy. They want their grass to look good. I'm just like the rest of us who live in the regular population. Sorry Andy, we were going through the gates. So  Andy: I got distracted. Yeah, we going through real time, getting our security checked out right now. Awesome. Thank you. Thank you too. And, uh, I also I should have done my homework, but I didn't realize this is a. a joint base or what a joint base even Really meant and so this is and you can tell me paul. This is the air force and the navy. Is that correct?  Paul: Yeah, the official name of the site is joint base pearl harbor hickam okay, and we're we're working on the hickam side, which is the Air Force side of the military privatized housing  Andy: because this is a very strategic location for the United States and it's security for the world here in the Pacific. So they have air and sea operations, not really land operations because there's no land here. This is all this is in the middle of the. Pacific Ocean. So we have the air, right? And the sea joint on this base.  Paul: Yeah. And ideally if, if you think about how we're working here, it's primarily to reduce the amount of energy and water that the federal government spends on this utility. So we are helping the taxpayers reduce our debt or demand on the utility spent on this base.  Andy: And at this point, uh, let's start back. What, when did you start the actual renovations?  Paul: Well, once we got the approval to move forward with the construction, we started October of 2022. So we're just about a year and 11 months in into construction, um, which we're about halfway through the project. Um, it was a two year. Construction period. So we're about halfway in and, and we're right on, right on schedule with, with the construction timeframe.  Andy: Okay. And I think, you know, let's, let's talk a little bit about, I would love to hear from you. Where, where are you, where do you start? So you did the analysis, you know what you need to change. You've got your, you know, marching orders. Where do you start  Paul: first? Well, we were dictated here by the military and the housing folks on where we wanted to start. And there's some specifics that they wanted us to focus on certain areas of the base. And as you know now, Andy, there's multiple... neighborhoods that we work in. There's five distinct neighborhoods that we worked in, so we're, we're focusing on a neighborhood at a time. We're going in and completing that specific neighborhood, getting that fully functioning, getting that up a hundred percent, and then we can start managing the water and the data. And then once we complete a given neighborhood, then we move on to the next  Andy: neighborhood. Okay, and do you start with controls and get control of the system and work down to the sprinkler, or do you start with the sprinkler and work back  Paul: up to the controls? Well, we have a couple of different crews that we have, uh, deployed on the base. We have one crew that is focused on controls, number one, then we have another crew that we have come in as going to do the flow sensor master valves install. And then the, the final crew, which is the largest of the crews are the ones that are replacing all the sprinkler heads. So ideally we, we just, depending on how the. Workflow is the first crew goes in and starts retrofitting all the controls. That way we reduce or remove all of the standard control systems and then get control with the web based remote opportunity. And that way it's easier for the managers to control the control system remotely while the guys and gals on the ground are really doing the, doing the dirty work. And  Andy: what type of controls do you have here? Did you go?  Paul: We, we, um, went with weather track, which is, you know, the. System that's been proven beneficial for our company and our clients long term. We've been deploying WeatherTrack for over 20 years.  Andy: And, uh, which model  Paul: weather track? The ET Pro 3. Okay. Um, and then because there's some complexity of the water supplies, we have multiple controllers on a single supply. We have multiple supplies on multiple controllers. So using their OptiFlow system really helps integrate and manage the water on some of these  Andy: complex systems. Okay. At this point, as of today, September 15th. How many controllers have you retrofitted and installed?  Paul: Last I looked, we're about 125. So just over halfway, the halfway point of the controls.  Andy: Okay, and are of all those 125, do they all have flow sensors and master valves?  Paul: Today they don't because we're With the complexity of the digging permits and some of the other things. I think we have about 30 to 35 of the flow sensors installed at this point. Um, and then now we just got approval recently to go ahead and start excavating and some of the other areas to start putting in the flow sensors and master valves. It's just a little more complex with digging and excavating here on a military base. There's a complexity with regards to the, the permits that are required to dig on the site. Okay, so  Andy: you've got, uh, I think you said maybe 35 flow sensors. How, who watches those or looks at those and do you have to report on those or what do you do with that  Paul: data? Yeah, we have team members that their responsibility is to go ahead and analyze the data every day, take a look at all the reporting, take a look at all of the flow. Um, and then if there's a, there's an anomaly or an alert condition and then we dispatch the folks on the ground to go ahead and analyze and determine what the problem is. Okay.  Andy: And as of today, 11 months in, what, what's been the most difficult part of the project so far?  Paul: What we've seen is the transition between our services and the existing maintenance services. Like who's responsible for what? A lot of times they just wanted to go ahead and. Push everything on to us and the communication between our team and the existing facilities maintenance team Has been the biggest challenge trying to let them understand that they're still responsible For the neighborhoods that they have been working in and we're responsible for the neighborhoods We're working in so trying to get all of the parties together to make sure we're all working as one has been the biggest challenge Okay,  Andy: so let's uh I think let's maybe not bring this to a total close, but let's move to, you know, what we've been working on this week without, you know, exact details. Uh, you know, but maybe we should just talk a little bit about the concept of these very difficult, hard to manage areas that were part of this project that fall outside the standard scope of replacing a controller. And, you know, requiring some, some different type of technology that, you know, we look forward to sharing with the listeners at some point here in the future. And this is not a, a testing ground, but this is a unique application that we're able to deploy some very innovative technology to solve particular problems that traditional industry isn't able to solve.  Paul: Yeah. Well, good, good insight, Andy. One of the things that we found on this particular facility is that there's a lot of. Medians that are going through the neighborhoods. Um, and they're running and operating on a battery timer controller. So there's no remote activation or remote monitoring. So what we're doing is we're, we're in the midst of deploying some smart valves. What is a smart valve? A smart valve has more than just one activation. So it has flow sensing and master control and pressure and soil moisture. So what we're able to do is take away that old school just running whatever that time battery controller was and being able to provide remote access into that insight and be able to actuate that valve and monitor that flow remotely. Right  Andy: valve to the cloud where there is no infrastructure. There's no wires. There's no control. We just have one valve in a median We can now take that information put it right to the cloud manage it remotely and have all  Paul: of the data And that's really what has been extremely fun and rewarding to be able to deploy Some of this new technology into a place where they're just been using traditional controls.   Andy: and when it is just a single battery operated controller that is not connected to anything it runs a schedule, right? It does that schedule every Monday, Wednesday, Friday at a particular time and that's part of the water waste issue is there was no Smarter automation just ran like a  Paul: Like a clock and that the problem with that is is because of the site so big and it's hard to manage That these things that batteries die and now that area is brown and nobody understands Why or the they never adjust the clock from the summer rotation? So it was running seven days a week and then in the winter time It's still running seven days a week because nobody really sees it So there was really a lack of insight and management of those particular devices Yeah,  Andy: and there is outside of this project, there is a really big market opportunity for this technology. And I cannot wait to, uh, share this with the world when we're ready, perhaps at the IA show. For those of you listening, if you would like to join us at the IA show, we may be ready to share a little bit more about what we've been, what we've been working on and what Paul's deployed here at Hickam. Super exciting. Paul: Well, Andy, I know we are going to wrap this up because we got another. Half a day here to finish up this project.  Andy: So, and you're going to get dirty, right? I'm going to sit here in the car and edit up this podcast, right? You're going to, you're going to get, get dirty today.  Paul: I suppose not much editing luckily for this one today, Andy. Andy: Yeah. This might be one of the podcasts that is totally in the raw, not much editing. So I hope our mics work. Paul's got a mic on, I've got a mic on again, technology, dual wireless mics, just piped into my iPhone right here. So we got to the site. We're ready to finish up our last day. Thank you guys for listening. Keep your eyes open. There are projects like this that are out there. And large or small, there's plenty of projects like this. If you keep your eyes open, you will find them. Any, uh, last words of advice, Paul, for someone looking to maybe, you know, not get out of just installing sprinklers, but expand their business into more of this conservation performance contracting? I mean,  Paul: my... Thoughts to that is just keep your eyes wide open, be willing and open to change and test and fail and then succeed after you fail. That's what I've learned. And there's a lot of times with when you're dealing with technology that it doesn't work right out of the box. It's new. It's innovative. It's testing. It's trying. So that's really what we're doing. And what I've done over my career is, um, you test and you fail and you proceed on. And eventually. You're going to get to a point where you're going to find success because  Andy: if it were easy, anyone would do it. This is the truth. Awesome. Appreciate your time. Paul. Good week with you. I thank you so much and appreciate everybody listening. Mahalo. Mahalo.  

Radio Marija ir klausītāju veidots radio, kas nes Dieva Vārdu pasaulē. Radio Marija balss skan 24 stundas diennaktī. Šajos raidījumos klausītājiem kā saviem draugiem neatkarīgi no viņu reliģiskās pārliecības cenšamies sniegt Kristus Labo Vēsti – Evaņģēliju, skaidru katoliskās Baznīcas mācību. Cenšamies vairot lūgšanas pieredzi un sniegt iespēju ielūkoties visas cilvēces kultūras daudzveidībā. Radio Marija visā pasaulē darbojas uz brīvprātīgo kalpošanas pamata. Labprātīga savu talantu un laika ziedošana Dieva godam un jaunās evaņģelizācijas labā ir daļa no Radio Marija harizmas. Tā ir lieliska iespēja ikvienam īstenot savus talantus Evaņģēlija pasludināšanas darbā, piedzīvojot kalpošanas prieku. Ticam, ka Dievs īpaši lietos ikvienu cilvēku, kurš atsauksies šai kalpošanai, lai ar Radio Marija starpniecību paveiktu Latvijā lielas lietas. Radio Marija ir arī ģimene, kas vieno dažādu vecumu, dažādu konfesiju, dažādu sociālo slāņu cilvēkus, ļaujot katram būt iederīgam un sniegt savu pienesumu Dieva Vārda pasludināšanā, kā arī kopīgā lūgšanas pieredzē. "Patvērums Dievā 24 stundas diennaktī", - tā ir Radio Marija Latvija devīze. RML var uztvert Rīgā 97.3, Liepājā 97.1, Krāslavā 97.0, Valkā 93.2, kā arī ar [satelītuztvērēja palīdzību un interneta aplikācijās](http://www.rml.lv/klausies/).

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10:41 – 10:56 (15mins) Weekly: WEEKLY with Mark Harder, Vice Chair-St. Louis County Council- People should not be allowed to stand and walk in the medians of county roads, but Sam Page seems to think differently.  See omnystudio.com/listener for privacy information.

Want a free TV? Here's the catch… Unusual museums. College Station Mayor John Nichols. Winner! Medians. This day in history. Money saving tips from frugal people.

That math doesn't add up. Question of the day. What did you never think you would do as an adult? Cleaning. Removing chocolate milk from schools. Losing weight with acupuncture. Want a free TV? Here's the catch… Unusual museums. Winner! Medians. This day in history. Money saving tips from frugal people.

GPA Medians for T14 Law Schools Free Easy LSAT Cheat Sheet: https://bit.ly/easylsat Book A Call: https://form.typeform.com/to/Et1l5Dg6 LSAT Unplugged Courses: http://lsatblog.blogspot.com/p/lsat-course-packages.html LSAT Schedules: http://lsatblog.blogspot.com/p/month-lsat-study-schedules-plans.html LSAT Blog Free Stuff: http://lsatblog.blogspot.com/p/lsat-prep-tips.html Best LSAT Prep Books: https://lsatblog.blogspot.com/p/best-lsat-prep-books.html LSAT Unplugged Podcast: https://podcasts.apple.com/us/podcast/lsat-unplugged/id1450308309?mt=2 LSAT Unplugged Instagram: https://www.instagram.com/lsatunplugged/ LSAT Unplugged TikTok: https://www.tiktok.com/@lsatunplugged LSAT Coaching YouTube Playlist: https://www.youtube.com/playlist?list=PLgOHAiSs08EbD-kfDFqIEoMC_hzQrH-J5 Law School Admissions Coaching YouTube Playlist: https://www.youtube.com/playlist?list=PLgOHAiSs08EbsqveKs_RZEy2sqqbz3HUL LSAT Unplugged Facebook Group: https://www.facebook.com/groups/LSATUnplugged LSAT Blog: http://lsatblog.blogspot.com/

We bring you another classic Realty Talk episode from the vault, which was originally published on October 29, 2022, but is still just as relevant today. Are median prices an appropriate metric to make informed property decisions? Kent Lardner from Suburbtrends discusses this and opens our eyes to more useful measures. RealtyTalk is part of the Property Hub podcast channel, your home for property investment insights, inspiration, and stories from Australia's top property experts, investors, leaders, and analysts. Subscribe now to get every RealtyTalk episode delivered to you each week for free, and also get full access to Get Invested, the leading podcast for Australians who want to unlock their full ‘self, health, and wealth' potential and get inspired by the stories of investors, founders, and entrepreneurs. Subscribe to RealtyTalk on the Property Hub channel: Apple Podcasts | Spotify | Google Podcasts | Email Property Hub is a collaboration between Bushy Martin from KnowHow Property, Kevin Turner from Realty, Andrew Montesi from Apiro Marketing and Apiro Media, and Australia's largest independent podcast network DM Media.  Business and partnership enquiries: antony@dm.org.auSee omnystudio.com/listener for privacy information.

Free Easy LSAT Cheat Sheet: https://bit.ly/easylsat LSAT Unplugged Courses: http://lsatblog.blogspot.com/p/lsat-course-packages.html Best LSAT Books: https://lsatblog.blogspot.com/p/best-lsat-prep-books.html LSAT Schedules: http://lsatblog.blogspot.com/p/month-lsat-study-schedules-plans.html LSAT Blog Free Stuff: http://lsatblog.blogspot.com/p/lsat-prep-tips.html LSAT Unplugged YouTube Channel: https://www.youtube.com/lsatblog LSAT Unplugged Podcast: https://podcasts.apple.com/us/podcast/lsat-unplugged/id1450308309?mt=2 LSAT Unplugged Instagram: https://www.instagram.com/lsatunplugged LSAT Unplugged TikTok: https://www.tiktok.com/@lsatunplugged LSAT Unplugged Facebook Group: https://www.facebook.com/groups/LSATUnplugged LSAT Blog: http://lsatblog.blogspot.com/

LSAT Score Medians for T14 Law Schools Free Easy LSAT Cheat Sheet: https://bit.ly/easylsat Book A Call: https://form.typeform.com/to/Et1l5Dg6 LSAT Unplugged Courses: http://lsatblog.blogspot.com/p/lsat-course-packages.html LSAT Schedules: http://lsatblog.blogspot.com/p/month-lsat-study-schedules-plans.html LSAT Blog Free Stuff: http://lsatblog.blogspot.com/p/lsat-prep-tips.html Best LSAT Prep Books: https://lsatblog.blogspot.com/p/best-lsat-prep-books.html LSAT Unplugged Podcast: https://podcasts.apple.com/us/podcast/lsat-unplugged/id1450308309?mt=2 LSAT Unplugged Instagram: https://www.instagram.com/lsatunplugged/ LSAT Unplugged TikTok: https://www.tiktok.com/@lsatunplugged LSAT Coaching YouTube Playlist: https://www.youtube.com/playlist?list=PLgOHAiSs08EbD-kfDFqIEoMC_hzQrH-J5 Law School Admissions Coaching YouTube Playlist: https://www.youtube.com/playlist?list=PLgOHAiSs08EbsqveKs_RZEy2sqqbz3HUL LSAT Unplugged Facebook Group: https://www.facebook.com/groups/LSATUnplugged LSAT Blog: http://lsatblog.blogspot.com/

Don't Aim for Law School LSAT Medians Free Easy LSAT Cheat Sheet: https://bit.ly/easylsat Book A Call: https://form.typeform.com/to/Et1l5Dg6 LSAT Unplugged Courses: http://lsatblog.blogspot.com/p/lsat-course-packages.html LSAT Schedules: http://lsatblog.blogspot.com/p/month-lsat-study-schedules-plans.html LSAT Blog Free Stuff: http://lsatblog.blogspot.com/p/lsat-prep-tips.html Best LSAT Prep Books: https://lsatblog.blogspot.com/p/best-lsat-prep-books.html LSAT Unplugged Podcast: https://podcasts.apple.com/us/podcast/lsat-unplugged/id1450308309?mt=2 LSAT Unplugged Instagram: https://www.instagram.com/lsatunplugged/ LSAT Unplugged TikTok: https://www.tiktok.com/@lsatunplugged LSAT Coaching YouTube Playlist: https://www.youtube.com/playlist?list=PLgOHAiSs08EbD-kfDFqIEoMC_hzQrH-J5 Law School Admissions Coaching YouTube Playlist: https://www.youtube.com/playlist?list=PLgOHAiSs08EbsqveKs_RZEy2sqqbz3HUL LSAT Unplugged Facebook Group: https://www.facebook.com/groups/LSATUnplugged LSAT Blog: http://lsatblog.blogspot.com/

Webster's dictionary defines 'median' as "a value in an ordered set of values below and above which there is an equal number of values." Webster's dictionary doesn't define 'fuckability' because Webster was a nerd. Do you know who isn't a nerd? The four guests who stepped up to tackle every single median that Hard Choices has fucked its way through. Dan Mulkerin, Kit Mulkerin, Zadkiel, and MeganBob round up every median from the past 21 episodes of Hard Choices and give them a second chance in the sack.  If trying to sort through the likes of Toucan Sam, Gandalf, and Brienne of Tarth in our quest to find the median of medians sounds like a good time to you, then get yourself a bowl of thematically appropriate plain yogurt, hit download, and enjoy!  By the way! March 15th, 2023 is Bad Choices, the live and intoxicated version of Hard Choices, and it goes down through Patreon livestream for all $4.20 patrons! You'll get to participate in Let's Upack That among other perks that you'll find out about at patreon.com/hardchoices! Music from Uppbeat (free for Creators!): https://uppbeat.io/t/soundroll/funk-me License code: PY3X4XBA59ZDUAVZ https://uppbeat.io/t/all-good-folks/funky-junk License code: KIXMIV9S2VDVUHLW https://uppbeat.io/t/hey-pluto/the-gentleman License code: UWXG3BXPCASTYIHY https://uppbeat.io/t/all-good-folks/lets-get-it License code: MGTNINNDEXYJBAZQ https://uppbeat.io/t/hey-pluto/high-life License code: GE9B1XIV9R1VKMML https://uppbeat.io/t/doug-organ/boogie-time License code: QOVELAYOE1SDZQ4Y https://uppbeat.io/t/hey-pluto/the-brighton-bop License code: VWDJ4C60GOAIPACW https://uppbeat.io/t/jonny-boyle/jazzed License code: AVN7XPXUBHDBHFAM https://uppbeat.io/t/all-good-folks/wake-me-up License code: SPHCZLRSPZNRUK7R https://uppbeat.io/t/walz/redcar-jazz License code: A0MVEEBKYDDJ0EQY

In this episode, Mike gives his thoughts on whether law schools will be able to maintain their historically high LSAT/GPA medians after the 2022-2023 admissions cycle. Note: You may notice that the numbers we cite sometimes vary slightly from the volume data that LSAC publishes. This is because LSAC reports only an applicant's ultimate high LSAT score, even if they didn't achieve that score until months or even years after the date in question. For example, if someone applied in 2021-2022 with a 160, then retook the LSAT the following fall and scored a 170 to reapply for 2022-2023, LSAC's data would include them as an applicant with a 170 even in the 2021-2022 data. To avoid this effect, we record applicant volume daily in real-time so that we can later compare to the data as it actually was on that date, rather than factoring in any new LSAT scores that were achieved after that date. Spivey Consulting Availability Notes: We have just begun accepting early reservations for admissions consulting for next cycle, 2023-2024! Email info@spiveyconsulting.com to get on the list and schedule a free initial consultation with one of our expert admissions consultants. We are also currently taking transfer clients. If you are a 1L considering transferring to another law school and would like assistance with your application strategy, reach out today! Interested? Get started. You can listen and subscribe to Status Check with Spivey on Apple Podcasts, Spotify, Stitcher, YouTube, SoundCloud, and Google Podcasts. You can read a full transcript of this episode on our blog.

Are median prices an appropriate metric to make informed property decisions? Kent Lardner from Suburbtrends discusses this and opens our eyes to more useful measures. Building a new home has become very risky and expensive due to cost and time blowouts. The answer? 3D Print your home! Ahmed Mahil joins us in the first of a 2 part feature to reveal this housing solution revolution. How do you combine the best data with local knowledge to secure the best borderless property? Joe Tucker from Property Principles Buyers Agency joins us to unpack his unique property F.A.B. approach.   RealtyTalk is part of the Property Hub podcast channel, your home for property investment insights, inspiration, and stories from Australia's top property experts, investors, leaders, and analysts. Subscribe now to get every RealtyTalk episode delivered to you each week for free, and also get full access to Get Invested, the leading podcast for Australians who want to unlock their full ‘self, health, and wealth' potential and get inspired by the stories of investors, founders, and entrepreneurs. Subscribe to RealtyTalk on the Property Hub channel: Apple Podcasts | Spotify | Google Podcasts | Email Property Hub is a collaboration between Bushy Martin from KnowHow Property, Kevin Turner from Realty, Andrew Montesi from Apiro Marketing and Apiro Media, and Australia's largest independent podcast network DM Media.  Business and partnership enquiries: antony@dm.org.au  See omnystudio.com/listener for privacy information.

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Shared calendars. Car features. KFC Mother's Day. Rice and gravy. Medians. It's a new month, Chelsea has a new goal.

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I discuss the standard practice of sodding highway medians with zoysia (manilagrass) in Thailand and why the zoysia does not persist. Photos at: https://www.asianturfgrass.com/post/more-about-zoysia-highway-medians-thailand/ and https://www.asianturfgrass.com/post/sodding-miles-of-road-median-with-zoysia/ ATC newsletters at https://www.asianturfgrass.com/#newsletters

View our full collection of podcasts at our website: https://www.solgood.org/ or YouTube channel: www.solgood.org/subscribe

In this episode, Mike predicts whether law schools will be able to maintain their high medians from last year, and how we expect that to play out across the course of the cycle. He also discusses how this will impact splitters and reverse splitters. You can find the spreadsheet Mike mentions in this podcast with schools' medians from the 2020-2021 cycle here. For a full transcript of this episode, please see our blog post. You can listen and subscribe to Status Check with Spivey on Apple Podcasts, Spotify, YouTube, SoundCloud, and Google Podcasts.

Josh Jalinski, The Financial Quarterback answers a caller's question on retirement accounts. In this segment, caller Ken brings up the subject of data between averages and medians in retirement and asks Josh for his insight. Will you outlive your money or will your money outlive you? Listen to the Financial Quarterback live every Sat/Sun 9am EST on WOR AM710. Follow Josh on Facebook, Twitter and YouTube. Visit Jalinski.org for more information, and pick up his latest book, Retirement Reality Check now.

Listen to Keith talk about his career with NATO and now as a Career Coach in Luxembourg. We had fun recording it and I couldn't resist adding an outtake after the end music :-) He wrote an article for a book which was entitled, 'Mentors, Medians and Minotaurs' which he explains at the end. I have been wondering who the minotaurs have been who sap the life out of you... As usual, it would be great to hear your comments. You can contact Keith via www.keithamoss.com  

We want to answer your questions about money. Email us and you may hear yours on the air: askpete@petetheplanner.com This week on the Pete the Planner Show, Pete and Damian haven’t the foggiest about what’s going to happen! Hey, it happens to... Read More The post Ep. 403: U.S. Net Worth Averages & Medians By Age appeared first on Pete the Planner®.

https://youtu.be/gv_rfn_INc8 Are you all in? Deuteronomy 20:2-4 (CSB)When you are about to engage in battle, the priest is to come forward and address the army. He is to say to them, ‘Listen, Israel: Today you are about to engage in battle with your enemies. Do not be cowardly. Do not be afraid, alarmed, or terrified because of them. For the Lord your God is the one who goes with you to fight for you against your enemies to give you victory.' This is the theme for us this year and more so now – When you are “about” to engage Preparation matters – Let's look at two stories in the bible.  Two stories in the Bible  The story of the 300 men – Judges 6&7 Israelites are given over to their sin and are oppressed by Medians for 7 yearsThey cry out to God and God sends an angel to Gideon and assures him of victoryHe tore the Baal altar and the Asherah pole – And he built an altar and offered a sacrifice to GodThe people want to kill him but Gideon's dad convinced them that they should let baal handle his businessAll this happening as the Medianites and the Amalekites and the people of the east assemble to fight the Israelites Gideon asks for confirmation that God is going with them by putting out the fleece – which God doesGideon gets up early and assembles his team (32,000 men) – only to have God tell him that they are too many menGod cuts the number down to 300. This is the number that he uses to win.  The fighting last night... Judges 6:25- 27 (ampc)– That night the Lord said to Gideon, Take your father's bull, the second bull seven years old, and pull down the altar of Baal that your father has and cut down the Asherah that is beside it; And build an altar to the Lord your God on top of this stronghold with stones laid in proper order. Then take the second bull and offer a burnt sacrifice with the wood of the Asherah which you shall cut down. Then Gideon took ten men of his servants and did as the Lord had told him, but because he was too afraid of his father's household and the men of the city to do it by day, he did it by night.This Battle didn't start when Gideon went to fight with 300 men- It started when he RESOLVED that even though afraid that he was going to do the will of God This battle has to start from your bedrooms- Our most private room in your lives It starts with us– We can't lead an arm or be part of one unless you work on US firstBoldness – If it is of the Lord, if it should be complicated – because you are just following directionsAll in – He tore down the altar and burnt the Asherah pole and build a new altar and sacrificed- and used the pole as firewood!He didn't just wound – A wounded enemy is dangerous – (Wildlife stories) Yet, in our prayer life, we are quitting after only scratching the enemy Boxing – Gloves go down with every hit. We have to keep up our hands until we win Let us not let Lack of Cardio, Lack of building muscles (Strength) & Laziness – Keep us away from being ready for battle The battle starts before we get to the battle ground – Prepare  Get rid of excuses  Judges 6:31-32(Ampc) - But Joash said to all who stood against him, Will you contend for Baal? Or will you save him? He who will contend for Baal, let him be put to death while it is still morning. If Baal is a god, let him contend for himself because one has pulled down his altar. Therefore, on that day he called Gideon Jerubbaal, meaning, Let Baal contend against him, because he had pulled down his altar. -His name is changed to reflect death by baal – A curse  Judges 7: 1 (Ampc)- Then Jerubbaal, that is, Gideon, and all the people who were with him rose early and encamped beside the spring of Harod; and the camp of Midian was north of them by the hill of Moreh in the valley. Gideon – Jerubbaal – He went to war against a mighty force bearing the name he was “cursed” with  How many of us are being helld back by people's words? What others think of you or label you as?  Oh,

https://youtu.be/gv_rfn_INc8 Are you all in? Deuteronomy 20:2-4 (CSB)When you are about to engage in battle, the priest is to come forward and address the army. He is to say to them, ‘Listen, Israel: Today you are about to engage in battle with your enemies. Do not be cowardly. Do not be afraid, alarmed, or terrified because of them. For the Lord your God is the one who goes with you to fight for you against your enemies to give you victory.’ This is the theme for us this year and more so now – When you are “about” to engage Preparation matters – Let’s look at two stories in the bible.  Two stories in the Bible  The story of the 300 men – Judges 6&7 Israelites are given over to their sin and are oppressed by Medians for 7 yearsThey cry out to God and God sends an angel to Gideon and assures him of victoryHe tore the Baal altar and the Asherah pole – And he built an altar and offered a sacrifice to GodThe people want to kill him but Gideon’s dad convinced them that they should let baal handle his businessAll this happening as the Medianites and the Amalekites and the people of the east assemble to fight the Israelites Gideon asks for confirmation that God is going with them by putting out the fleece – which God doesGideon gets up early and assembles his team (32,000 men) – only to have God tell him that they are too many menGod cuts the number down to 300. This is the number that he uses to win.  The fighting last night... Judges 6:25- 27 (ampc)– That night the Lord said to Gideon, Take your father’s bull, the second bull seven years old, and pull down the altar of Baal that your father has and cut down the Asherah that is beside it; And build an altar to the Lord your God on top of this stronghold with stones laid in proper order. Then take the second bull and offer a burnt sacrifice with the wood of the Asherah which you shall cut down. Then Gideon took ten men of his servants and did as the Lord had told him, but because he was too afraid of his father’s household and the men of the city to do it by day, he did it by night.This Battle didn’t start when Gideon went to fight with 300 men- It started when he RESOLVED that even though afraid that he was going to do the will of God This battle has to start from your bedrooms- Our most private room in your lives It starts with us– We can’t lead an arm or be part of one unless you work on US firstBoldness – If it is of the Lord, if it should be complicated – because you are just following directionsAll in – He tore down the altar and burnt the Asherah pole and build a new altar and sacrificed- and used the pole as firewood!He didn’t just wound – A wounded enemy is dangerous – (Wildlife stories) Yet, in our prayer life, we are quitting after only scratching the enemy Boxing – Gloves go down with every hit. We have to keep up our hands until we win Let us not let Lack of Cardio, Lack of building muscles (Strength) & Laziness – Keep us away from being ready for battle The battle starts before we get to the battle ground – Prepare  Get rid of excuses  Judges 6:31-32(Ampc) - But Joash said to all who stood against him, Will you contend for Baal? Or will you save him? He who will contend for Baal, let him be put to death while it is still morning. If Baal is a god, let him contend for himself because one has pulled down his altar. Therefore, on that day he called Gideon Jerubbaal, meaning, Let Baal contend against him, because he had pulled down his altar. -His name is changed to reflect death by baal – A curse  Judges 7: 1 (Ampc)- Then Jerubbaal, that is, Gideon, and all the people who were with him rose early and encamped beside the spring of Harod; and the camp of Midian was north of them by the hill of Moreh in the valley. Gideon – Jerubbaal – He went to war against a mighty force bearing the name he was “cursed” with  How many of us are being helld back by people’s words? What others think of you or label you as?  Oh,

Median episode on YouTube:  Please email comments or questions to Dean Z at law.jd.admissions@umich.edu and put A2Z Podcast in the subject. Helpful links: Watch A2Z on YouTube: law.umich.edu/a2zvlogA2Z Blog: https://experience.law.umich.edu/a2z/ Michigan Law Admissions: https://experience.law.umich.edu/ Follow Michigan Law Admissions on Twitter: https://twitter.com/UMichLawAdmit Follow Michigan Law on Instagram: https://www.instagram.com/umichlaw/ Follow Michigan Law on Twitter: https://twitter.com/UMichLaw Follow on Facebook: https://www.facebook.com/umichlaw

In this very special series of episodes, Paul talks to the co-authors of his amazing new book, ‘Mastering The Game Of Life’, in which twenty global co-writers have shared stories about how they have mastered this ever-evolving game. This time round, Paul talks to Keith Amoss, the author behind the chapter, ‘Mentors, Medians and Minotaurs’, and how these three forms of guidance can shape and influence our lives. KEY TAKEAWAYS The mentor is the person who advises us with our best interests at heart. The median offers guidance with no real sense of whether it will help us or not. The minotaur, the bull-headed advisor who does not have our interests at heart. Sometimes the negative people can inadvertently guide us towards our greatest success. Our will to defy bad advice can be the spur that takes us onwards. If your personal values do not match those of the people around us, you are unlikely to be happy. We must endeavour to surround ourselves with people who nourish our values. BEST MOMENTS ‘You’ve met all three types, but don’t discount the minotaurs’ ‘If we go on life’s journey, we change gears’ ‘When you’re on top of the world, and everything is going well for you, you will more easily shake off any negativity’ VALUABLE RESOURCES Mastering The Game Of Life    Keith Amoss - https://www.keithamoss.com ABOUT THE HOST One thing that’s never been attached to Paul is the label ‘normal’ – something he is totally aware of.  He definitely subscribes to being one of those mentioned the iconic ‘Think Different’ Apple commercial narrated by Steve Jobs in 1977: “Here's to the crazy ones, the misfits, the rebels, the troublemakers, the round pegs in the square holes... the ones who see things differently -- they're not fond of rules.  You can quote them, disagree with them, glorify or vilify them, but the only thing you can't do is ignore them because they change things... they push the human race forward, and while some may see them as the crazy ones, we see genius, because the ones who are crazy enough to think that they can change the world, are the ones who do!” Paul has a long and distinguished history of coaching & mentoring – particularly focusing on helping people make the transition from pain to purpose; a journey he has made himself, from the depths of a deep dark existence, to now living a life of happiness and prosperity. Through this Mastering The Game Of Life podcast, and books he has been involved in – including being a best-selling co-author – Paul also helps others to get their own inspirational messages and stories out into the world; as well as offering support to many charitable organisations, in their development & fund-raising. “Remember – Mastering The Game Of Life Starts, By Embracing Our Hearts!” CONTACT METHODS Tel: +44 (0) 115 7270101 E-mail: Paul@Paul-Lowe.com Twitter: https://twitter.com/IAMPaulLowe Facebook: https://www.facebook.com/IamPaulLowe/ LinkedIn: https://www.linkedin.com/in/paul-d-lowe-7a78332a/  See omnystudio.com/listener for privacy information.

Good morning, RVA! It’s 55 °F, and we’ve got a beautiful day ahead of us and a wonderful start to October. October! Today, you should expect sunshine and highs around 80 °F for the most part with clouds and a chance of rain moving in this evening.Water coolerRichmond Police are reporting that Tequan T. Greenhowe, a man in his 20s, was found shot to death outside of his residence on the 1200 block of Admiral Gravely Boulevard early Sunday evening. From the RPD press release, “Detectives are working to determine whether this incident is connected to the homicide which occurred several hours earlier in the same area.”As of this morning, the Virginia Department of Health reports 755↘️ new positive cases of the coronavirus in the Commonwealthand 21↘️ new deaths as a result of the virus. VDH reports 55↘️ new cases in and around Richmond (Chesterfield: 17, Henrico: 13, and Richmond: 25). Since this pandemic began, 372 people have died in the Richmond region. VCU continues to report very few positive cases, just five so far this week. Across town, University of Richmond reports just 10 cases in the entire month of September. I’m still pleasantly mystified by these low numbers, so, keep it up Rams and Spiders.City Council’s Education and Human Services committee meets today at 2:00 PM. Of interest to me, Councilmember Gray’s ORD. 2020–170 which would change the use of the Annie Giles Community Resource Center down on Oliver Hill Way so that it can function as an inclement weather shelter. This property, site of the semi-recent tent encampment, has a long history, and I feel like I’m missing some of the politics behind what’s going on here—especially since the ordinance includes this language: “if the Mayor believes that City-owned real estate other than the Annie Giles Community Resource Center should be used as an inclement weather shelter for homeless persons…he is encouraged to recommend to the Council an ordinance to change the use of such City-owned real estate.” Back in 2019, ORD. 2019–245designated the Center as a cold weather shelter until April 15th, 2020, because, at the time, according to this Richmond Free Press article, Council thought they’d find a better location at some point. I guess they didn’t? Also interesting, the new as an “inclement weather” shelter rather than a “cold weather” shelter, which is just another way climate change has an impact locally. Kelly King Horne, executive director of Homeward, will give an update to the Committee on the Housing and Homelessness Strategic Plan, and I wonder if she’ll touch on this new ordinance.Councilmember Gray has also introduced ORD. 2020–217, which would remove from the public right-of-way the medians on Monument and Allen Avenues around Marcus-David Peters Circle and convert them into five parks: Monument Park West, Allen Avenue Common, Monument Park East, Grace Park South, and Grace Park North. I haven’t heard the Councilmember speak on this ordinance, but, given her position on the activities in and around the Circle, I have a hard time believing this is anything but a sneaky way to close access to the area after sunset. Almost every City park is closed from sunset to sunrise. I’m willing to listen and learn more, but this looks like bad legislation to me, and something that has the potential for incredibly inequitable enforcement. Also, does Parks & Rec even want these new parks? Why, if this is a good-faith effort to build our public green space, has there been zero community engagement? I love parks, but I also love the public right-of-way—especially in an area with pretty terrible pedestrian infrastructure (I’m looking at you Stuart Circle).You can now download the final version of the Richmond 300: A Guide for Growthmaster plan. This is amazing, and congratulations to all of the dozens and dozens of folks who worked on and contributed to this plan. It’s been a heckin' long time coming, and y’all created a solid document. I know I’ve been critical of the Plan at times, but it definitely comes from a place of love, and I’m excited to see the Plan first adopted and then implemented. This coming Monday, the City Planning Commission (PDF) will hold a public hearing on the, I’ll say it again, final version of the Richmond 300: A Guide for Growth master plan. I’m sure everyone involved would appreciate your supportive public comments.Ned Oliver at the Virginia Mercury has a disquieting story about Henrico’s Commonwealth Attorney’s attempts to hire a prosecutor dedicated to investigating complaints of police misconduct. From Oliver’s piece: “But in an unusual turn of events, Taylor was effectively overruled by County Manager John Vithoulkas, who has no formal say in hiring decisions in the prosecutor’s office but froze county funding for the position when he was alerted to Whitehead’s public postings on Facebook, where she wrote about the need for police reform, praised departments working to build bridges with activists and offered sharp criticism for departments resisting change.” I wonder if the potential hire’s Facebook posts had been blatantly and exclusively pro-cop would the County Manager’s reaction have been any different? Henrico residents, especially, read this piece in full.Tickets for Maymont’s Garden Glow go on sale today, and I imagine they’ll sell out pretty quickly. Big events continue to give me coronastress, but a masked-up, out-of-doors wander through a park, is a generally low risk situation. Plus, you can always just run off into the bamboo forest if the crowds get too intense. I’ll probably sit this one out, but I look forward to seeing all of y’all’s pictures on Instagram.This morning’s longreadCare for a Cup of Satanic Chamomile?This piece in the NYT about black metal tea is charming?Dominic Alvernaz wants to change all that. His small-batch, sustainably sourced loose leaf tea company, Pitch Black North, was founded in keeping with “Satanic values,” according to its website, and nurtured with copious doses of Scandinavian black metal, a musical genre. Its dynamic, fair-trade blends have names like Satan’s Slumber and Throat of Lucifer; there are limited-edition blends with the Cleveland metal punk band Midnight and the British gothic black metal band Cradle of Filth.If you’d like your longread to show up here, go chip in a couple bucks on the ol’ Patreon.

JJ Zachariason joins the pod to discuss his methodology for creating usable fantasy football projections. The guys cover Tom Brady, the Panthers, the Chiefs, rookie running backs, wide receiver upside and more. www.sportsgrid.com Learn more about your ad-choices at https://news.iheart.com/podcast-advertisers

Episode 20 | Lone Wolf On this episode: Jaggie, host of 'Jaggie Uncensored', comes through to add class to the show as this week's guest host! But where's Podcast P? - Migrants on the move  - Medians and the people who love them  - Sex Scene Consultants on movies  - The Swatting Epidemic  - Drake's 2000s themed party  - 50 Cent stays trolling JA Rule AND MUCH MORE!!! 

In this Extra Credit Lisa Schroeer talks with S&P Global Ratings' not-for-profit health care industry experts Martin Arrick and Cynthia Keller about the sector's median performance, overall trends, and potential disruptors.

In this Extra Credit Lisa Schroeer talks with S&P Global Ratings' not-for-profit health care industry experts Martin Arrick and Cynthia Keller about the sector’s median performance, overall trends, and potential disruptors.

Means and medians might induce flashbacks to junior high math class. But in a world awash in statistics, knowing the difference between the two is super useful.

Helen O'Loy, things we were wrong about, and questioning if everyone should go to college.

In this episode, we discuss the life, influences, drawbacks, and positives of the “Father of History”, Herodotus; and the political events of the Near East in the 7th and early 6th centuries BC, including the rise of the Medians and Neo-Babylonians and their destruction of the Assyrian Empire, and culminating with a young vassal king from Anshan, named Cyrus, who overthrew the Medes and elevated the Achaemenid Persians among the other chief powers of the time (the Lydians, the Neo-Babylonians, and the Egyptians) Show Notes: http://www.thehistoryofancientgreece.com/2017/01/030-herodotus-and-rise-of-persia.html   Intro by Alison Innes and Darrin Sunstrum of the MythTake Podcast Website: mythtake.blog Facebook: www.facebook.com/mythtake Twitter: twitter.com/InnesAlison and twitter.com/darrinsunstrum

In this lecture, Professor Demaine introduces cache-oblivious algorithms.

From his modest beginnings in southern Iran, the Persian king Cyrus II went on to conquer three of the dominant kingdoms of the ancient Near East those of the Medians, the Lydians, and the Babylonians and establish the first world empire. In Discovering Cyrus: The Persian Conqueror Astride the Ancient World (Mage Pub, 2013), Reza Zarghamee draws upon the available written sources and archaeological record to provide the first comprehensive biography of Cyrus written since the middle of the 19th century. In it he describes Cyrus's background, the context for his rise to power, and the empire he built. By detailing the forces he used, the organization of his empire, and his relationship with various groups, Zarghamee provides us with a portrait of a bold conqueror and shrewd ruler who understood the effectiveness of cooperating with the local elites in conquered lands and who established a multicultural realm that would endure for the next two centuries and serve as a model for future empires. Learn more about your ad choices. Visit megaphone.fm/adchoices

From his modest beginnings in southern Iran, the Persian king Cyrus II went on to conquer three of the dominant kingdoms of the ancient Near East those of the Medians, the Lydians, and the Babylonians and establish the first world empire. In Discovering Cyrus: The Persian Conqueror Astride the Ancient World (Mage Pub, 2013), Reza Zarghamee draws upon the available written sources and archaeological record to provide the first comprehensive biography of Cyrus written since the middle of the 19th century. In it he describes Cyrus’s background, the context for his rise to power, and the empire he built. By detailing the forces he used, the organization of his empire, and his relationship with various groups, Zarghamee provides us with a portrait of a bold conqueror and shrewd ruler who understood the effectiveness of cooperating with the local elites in conquered lands and who established a multicultural realm that would endure for the next two centuries and serve as a model for future empires. Learn more about your ad choices. Visit megaphone.fm/adchoices

From his modest beginnings in southern Iran, the Persian king Cyrus II went on to conquer three of the dominant kingdoms of the ancient Near East those of the Medians, the Lydians, and the Babylonians and establish the first world empire. In Discovering Cyrus: The Persian Conqueror Astride the Ancient World (Mage Pub, 2013), Reza Zarghamee draws upon the available written sources and archaeological record to provide the first comprehensive biography of Cyrus written since the middle of the 19th century. In it he describes Cyrus’s background, the context for his rise to power, and the empire he built. By detailing the forces he used, the organization of his empire, and his relationship with various groups, Zarghamee provides us with a portrait of a bold conqueror and shrewd ruler who understood the effectiveness of cooperating with the local elites in conquered lands and who established a multicultural realm that would endure for the next two centuries and serve as a model for future empires. Learn more about your ad choices. Visit megaphone.fm/adchoices

From his modest beginnings in southern Iran, the Persian king Cyrus II went on to conquer three of the dominant kingdoms of the ancient Near East those of the Medians, the Lydians, and the Babylonians and establish the first world empire. In Discovering Cyrus: The Persian Conqueror Astride the Ancient World (Mage Pub, 2013), Reza Zarghamee draws upon the available written sources and archaeological record to provide the first comprehensive biography of Cyrus written since the middle of the 19th century. In it he describes Cyrus’s background, the context for his rise to power, and the empire he built. By detailing the forces he used, the organization of his empire, and his relationship with various groups, Zarghamee provides us with a portrait of a bold conqueror and shrewd ruler who understood the effectiveness of cooperating with the local elites in conquered lands and who established a multicultural realm that would endure for the next two centuries and serve as a model for future empires. Learn more about your ad choices. Visit megaphone.fm/adchoices

From his modest beginnings in southern Iran, the Persian king Cyrus II went on to conquer three of the dominant kingdoms of the ancient Near East those of the Medians, the Lydians, and the Babylonians and establish the first world empire. In Discovering Cyrus: The Persian Conqueror Astride the Ancient World (Mage Pub, 2013), Reza Zarghamee draws upon the available written sources and archaeological record to provide the first comprehensive biography of Cyrus written since the middle of the 19th century. In it he describes Cyrus’s background, the context for his rise to power, and the empire he built. By detailing the forces he used, the organization of his empire, and his relationship with various groups, Zarghamee provides us with a portrait of a bold conqueror and shrewd ruler who understood the effectiveness of cooperating with the local elites in conquered lands and who established a multicultural realm that would endure for the next two centuries and serve as a model for future empires. Learn more about your ad choices. Visit megaphone.fm/adchoices

Trivia on 5Ks and Butter German Lawsuits, Business Ideas and a History Lesson Nate loves.

At Shoreline Calvary Chapel North London Pastor Antonye teaches our regular Sunday afternoon services. This is one of our messages from the book of Numbers, as we go verse by verse, chapter by chapter through the Word of God. Currently we meet at St Saviours church building in Chalk Farm.

The monkeys returned from San Diego.  Did they bring me a t-shirt?  Nope. Anyway, little Trixie decided that in honor of me finishing with school, we would talk about "Averages" - Means, Modes and Medians.  With a quick Range tossed in! Thank you all for your support and we look forward to your comments!

In this week’s Extra Credit, Standard & Poor's Director Jessica Wood discusses our public and private university medians report and Senior Director John Sugden highlights our state pension report.

In this edition of Extra Credit, Standard & Poor's Associate Daniel Zuccarello discusses our annual California County investment pools article, and Director Carlotta Mills explains what's behind our charter school medians.

WUSC, in collaboration with The Daily Gamecock, presents a daily 90.5 Seconds of the News: Rundown A. Weather B. Assembly Street renovations C. Registration on new online system D. Baseball takes on Arkansas E. Taylor Swift painting Columbia "Red"

Mit der kontinuierlichen Ausbauung und Erweiterung von Mobilfunknetzen und deren Leistungsmerkmalen steigt auch die Sorge der Bürger über mögliche akute gesundheitliche Effekte durch hochfrequenten elektromagnetischen Felder (EMF), die von Mobilfunkbasisstationen und von Mobilfunkgeräten ausgehen. Bei dieser Untersuchung handelt es sich um eine Machbarkeitsstudie zur Erprobung eines neu entwickelten Personendosimeters im Feld, um die EMF-Exposition valide abschätzen und mit Angaben zur Gesundheit der Probanden vergleichen zu können. Zu diesem Zweck wurden 150 Probanden aus München zur Teilnahme eingeladen. Die Teilnehmer trugen das Dosimeter am Oberarm, welches über 24 Stunden ein Expositionsprofil erstellte. Zu Beginn der Messung wurde ein Fragebogen mittels CAPI (Computer Assisted Personal Interview) ausgefüllt, der 161 Fragen zu den Bereichen Handy-Nutzung, allgemeine und aktuelle Befindlichkeit, psychische Gesundheit, Schlafverhalten, Lebensqualität, soziale Unterstützung, Umweltbesorgnis, Einstellung zum Mobilfunk, Soziodemografie, Tabak- und Medienkonsum und Medikamenteneinnahme umfasste. Zur Messung begleitend erstellten die Probanden ein Symptomtagebuch, welches zu drei Tageszeiten (morgens, mittags, abends) aktuelle Symptome abfragte. Insgesamt lagen 61 vollständige Datensätze von erwachsenen Probanden vor. Es zeigte sich, dass die Messungen alle innerhalb der vom Gesetzgeber festgelegten Grenzen lagen. Das Kollektiv, das über dem Median exponiert war, konnte insgesamt als gesünder eingestuft werden. Dies zeigte sich im Bereich der akuten Beschwerden vor allem für die Symptome Kopfschmerzen und Müdigkeit signifikant (47 % vs. 11 % und 58 % vs. 26 %, p

Ziel dieser Arbeit war es zu bestimmen ob durch systemische Gabe von Sulfiten, welche als Nahrungsmitteladditiva weit verbreitet vorkommen, bzw. Sulfiten in Kombination mit den Antioxidantien d-alpha-Tocopherol und Ascorbinsäure bzw. alleiniger Antioxidantien- oder alleiniger Placebogabe, die phototoxische Lyse der Erythrozyten und die Lichtempfindlichkeit des jeweiligen Individuums modifiziert werden kann. Je zehn Probanden nahmen über 8 Tage täglich 2x200 mg Natriumdisulfit und Placebokapseln bzw. 2x200 mg Natriumdisulfit, 2x1000 mg Ascorbinsäure und 2x500 IE d-alpha Tocopherol bzw. 2x1000 mg Ascorbinsäure, 2x500 IE d-alpha Tocopherol und Placebokapseln oder nur Placebokapseln ein. Vor (Tag 0) und an Tag 8 dieser Einnahme wurde den Probanden Blut für die Bestimmung der Antioxidantienkonzentrationen und einen Photohämolysetest entnommen. Der Photohämolysetest, bei dem Fenofibrat als photoxische Substanz verwendet wurde, basiert auf der photoxisch induzierten Lyse von Erythrozyten durch die Bestrahlung. Diese erfolgte bei dieser Untersuchung mit UVA- und UVB-reicher Strahlung. Weiter wurde die minimale Erythemdosis (MED) für UVB-reiche Strahlung sowie die UVB-induzierte Steigerung des Blutflusses laserdopplerflowmetrisch an Tag 0 und Tag 8 bestimmt. Nach alleiniger Einnahme von Sulfit zeigte sich im Vergleich zu den Ausgangswerten an Tag 8 die Antioxidantienkonzentration im Serum weitgehend unverändert. Es zeigte sich keine signifikante Änderung der Photohämolyse im UVA-Bereich. Die UVB-induzierte Photohämolyse verringerte sich, im Sinne einer photoprotektiven Wirkung über einen weiten Dosis-Bereich. Die MED zeigte keine deutliche Veränderung. Die Bestrahlungs-induzierte Steigerung des Hautblutflusses war in einigen bestrahlten Arealen nach Sulfiteinnahme signifikant abgefallen. Nach gleichzeitiger Gabe von Antioxidantien und Sulfit stiegen die Serumkonzentrationen von Ascorbinsäure und d-alpha-Tocopherol signifikant an. Im Vergleich zu den Ausgangswerten kam es zur Verminderung der Photohämolyse im UVA-Bereich. Im UVB-Bereich zeigte sich nur eine geringe Verminderung der Photohämolyse. Die MED blieb weitgehend unverändert. Die UV-induzierte Steigerung des Hautblutflusses verminderte sich signifikant. Die ausschließliche Einnahme von Antioxidantien führte zu einem signifikanten Anstieg der Ascorbinsäure- und d-alpha-Tocopherolkonzentrationen im Serum. Im Fenofibrat-abhängigen Photohämolysetest zeigte sich ein protektiver Effekt sowohl gegenüber UVA- als auch gegenüber UVB Bestrahlung mit einem signifikanten Abfall des Medians der Photohämolyse. Die MED stieg nur gering an. Die UV-induzierte Steigerung des Hautblutflusses war signifikant reduziert. Bei alleiniger Placeboeinnahme zeigte sich keine signifikante Änderung der o.g. Parameter. Eine phototoxische Wirkung von Sulfiten nach systemischer Gabe konnte in unseren Unteruchungen nicht sicher verifiziert werden. Einer lediglich unterschwelligen Phototoxizität im UVB-Bereich müßte durch weitere Untersuchungen nachgegangen werden, ebenso einer möglicherweise photoprotektiven Wirkung, die sich beim Photohämolysetest im UVA-Bereich und in einer Verminderung des Medians der UV-induzierten Steigerung des Hautblutflusses nach Sulfiteinnahme zeigte.