Podcasts about MPA

Blonde is coming out to great controversy on Netflix, notably its NC-17 rating. The infamous MPA rating has been a scarlet letter for cinema since its inception over 30 years ago. So, it's a natural subject for a Double Edged Double Bill! First, Matthew McConaughey kicks off his comeback with the extremely upsetting William Friedkin film Killer Joe! Then, Paul Verhoeven makes the ultimate rise to fame story in the fascinating Showgirls! Together, our duo answer the crucial questions. Is Gina Gershon the queen of NC-17? Would Matthew McConaughey fit in a western setting? Which two films will they cover for next week's episode on mafia movies? Well, put on your cowboy hat and travel to DIFFERENT PLACES while you listen to find out! Subscribe to our Patreon for $1 a month to get bonus podcasts & polls to choose episode topics and films we cover! patreon.com/dedbpod Follow the show on Twitter @DEDBpod & Facebook as well as Thomas on Twitter! Send feedback to doubleedgeddoublebill@gmail.com! Subscribe and rate us on Apple Podcasts, Spotify, Stitcher & Podbean! Our artwork is provided by the amazing Christian Thor Lally! We're a proud member of the Talk Film Society Podcast Network!

Blonde is coming out to great controversy on Netflix, notably its NC-17 rating. The infamous MPA rating has been a scarlet letter for cinema since its inception over 30 years ago. So, it's a natural subject for a Double Edged Double Bill! First, Matthew McConaughey kicks off his comeback with the extremely upsetting William Friedkin film Killer Joe! Then, Paul Verhoeven makes the ultimate rise to fame story in the fascinating Showgirls! Together, our duo answer the crucial questions. Is Gina Gershon the queen of NC-17? Would Matthew McConaughey fit in a western setting? Which two films will they cover for next week's episode on mafia movies? Well, put on your cowboy hat and travel to DIFFERENT PLACES while you listen to find out! Subscribe to our Patreon for $1 a month to get bonus podcasts & polls to choose episode topics and films we cover! Follow the show on Twitter @DEDBpod & Facebook as well as Thomas on Twitter! Send feedback to doubleedgeddoublebill@gmail.com! Subscribe and rate us on Apple Podcasts, Spotify, Stitcher & Podbean! Our artwork is provided by the amazing Christian Thor Lally! We're a proud member of the Talk Film Society Podcast Network!

Being responsible for your children's education can feel high pressure - from fostering brain development to choosing schools. Today's guest will help you zoom out from the details to help you focus on what's important to you as you incorporate learning in your home. Children's learning is a whole-self activity, and you might be surprised at the simplicity of the things you can do together that help them grow and develop! This week, episode 41 of Poised & Powerful Podcast reassures you that you have what you need to be your child's first teacher! Feeding and caring for young children can do a number on your body - and it can be hard to find that time to take care of yourself. Join me for a restorative practice where we'll release tension in our necks, back, and shoulders. Clear your mind so you'll feel reset and re-energized for yourself and your family. Drop into the online Sunday night group: Restore on the Floor for parents and caregivers. https://poisedpowerfulparenthood.com/take-a-break Or sign up here to be the first to know about new classes and offers.Amanda Blair MacDonald (she/her) is an educator, speaker, and consultant based in Chicago, IL. Amanda uses decision-making analysis (MPA), Alexander Technique, and developmental movement to help you gain self-mastery and optimal performance. In this episode of Poised & Powerful Podcast, Amanda and I discuss the following:How developmental movement, play, and daily activities can help children learn - no elaborate materials needed! How Amanda's perspective as an Alexander Technique trained teacher meshed with the Montessori philosophy when she was hired at a Montessori school. She gives an educator's insight on scaffolding children's learning so they can master skills with confidence, and the emotional and kinesthetic skills that are vital for their development. Amanda compares the independence of her daughter's education with her own schools, which were more authoritarian and grades-focused. Collaborative problem-solving with kids, and how that develops as they get older. We hear from Amanda's daughter about what she values in her education - you can hear her sense of ownership of her learning experience at a young age. We hope this conversation gives you the valuable perspective of the “big picture” of supporting children's learning, and has you thinking about what you value in education, and gets you excited about sharing that with your family.CONNECT WITH AMANDA BLAIR MACDONALD:LinkedInFacebookInstagramWebsiteCONNECT WITH SARAH MAYHAN:Stress Less in Pregnancy Class OnlineSunday night Zoom: Restore on the FloorWork with Sarah! LINKS MENTIONED:Brain-Compatible Dance Education/ Anne Green GilbertEpisode Transcript here

On this week's episode of FOX Rehabilitation's Live Better Longer podcast we are joined by acclaimed writer, author, lecturer, and physical therapist, Dr. Carole B. Lewis, PT, DPT, GCS, GTCCS, MSG, MPA, PhD, FSOAE, FAPTA, TRC/CTR, who discusses her upcoming webinar, Get Out of That Bed and Chair! Functional Tools and Treatments for Bed Mobility to Sitting to Standing. Dr. Lewis explains how much a clinician can do with a patient despite them being in a bed or chair, which translates to higher level functioning and steady improvement. She reveals the inspiration for creating this webinar and how clinicians can get results from patients functioning at a lower level. We also discover what inspires Dr. Lewis to continue to treat patients, the only state in which she has currently not given a lecture, and—when put on the spot—if she can recite all her professional and medical credentials without looking. This is a can't-miss episode of the Live Better Longer podcast, so you should probably stop reading this and start listening right now!  Listen: Apple Podcasts | Google Podcasts | Spotify | Amazon Music |  Stitcher | TuneIn | Other Android Apps

On this week's episode of FOX Rehabilitation's Live Better Longer podcast we are joined by acclaimed writer, author, lecturer, and physical therapist, Dr. Carole B. Lewis, PT, DPT, GCS, GTCCS, MSG, MPA, PhD, FSOAE, FAPTA, TRC/CTR, who discusses her upcoming webinar, Get Out of That Bed and Chair! Functional Tools and Treatments for Bed Mobility to Sitting to Standing. Dr. Lewis explains how much a clinician can do with a patient despite them being in a bed or chair, which translates to higher level functioning and steady improvement. She reveals the inspiration for creating this webinar and how clinicians can get results from patients functioning at a lower level. We also discover what inspires Dr. Lewis to continue to treat patients, the only state in which she has currently not given a lecture, and—when put on the spot—if she can recite all her professional and medical credentials without looking. This is a can't-miss episode of the Live Better Longer podcast, so you should probably stop reading this and start listening right now!  Listen: Apple Podcasts | Google Podcasts | Spotify | Amazon Music |  Stitcher | TuneIn | Other Android Apps

On this week's episode of FOX Rehabilitation's Live Better Longer podcast we are joined by acclaimed writer, author, lecturer, and physical therapist, Dr. Carole B. Lewis, PT, DPT, GCS, GTCCS, MSG, MPA, PhD, FSOAE, FAPTA, TRC/CTR, who discusses her upcoming webinar, Get Out of That Bed and Chair! Functional Tools and Treatments for Bed Mobility to Sitting to Standing. Dr. Lewis explains how much a clinician can do with a patient despite them being in a bed or chair, which translates to higher level functioning and steady improvement. She reveals the inspiration for creating this webinar and how clinicians can get results from patients functioning at a lower level. We also discover what inspires Dr. Lewis to continue to treat patients, the only state in which she has currently not given a lecture, and—when put on the spot—if she can recite all her professional and medical credentials without looking. This is a can't-miss episode of the Live Better Longer podcast, so you should probably stop reading this and start listening right now!  Listen: Apple Podcasts | Google Podcasts | Spotify | Amazon Music |  Stitcher | TuneIn | Other Android Apps

Ari Mittleman talks with me about his book Paths of the Righteous: Stories of Humanity, Heroism, and Hope. This is episode 504 of Teaching Learning Leading K12 an audio podcast. As a native Pennsylvanian deeply involved in the pro-Israel community, the mass shooting at the Tree of Life synagogue in Pittsburgh deeply affected him. That tragic event spurred Mittleman to write his book, with the hope of it helping to showcase the good in the world that is done for others by those outside their religion, race, or nationality. He works at the nexus of politics, policymaking and the press in Washington, DC. Mittleman has run a public affairs and strategic communications firm, Keystone Strategy + Advocacy, LLC serving internationally known clients that have ranged from heads of state, celebrities, and global business leaders. Prior to that, he served as a senior advisor to a United States senator for eight years. He also earlier had served as a grant writer at a Croatia-based NGO. He is a columnist for The Times of Israel and has contributed articles to USA Today Network, Baltimore Jewish Times, The Morning Call, The Jerusalem Post, Washington Examiner, The Patriot News, Pittsburgh Tribune Review, NorthJersey.com, Modern Diplomacy, and The Jewish Exponent. He earned a BA from The Department of American Studies from The George Washington University, and his MPA from Fels Institute of Government at University of Pennsylvania. Proficient in both modern and biblical Hebrew, he has formally studied the language and traditional Jewish texts since kindergarten and travels regularly to Israel. In total, Mittleman has visited over 40 countries. He is the founding board chairman of St. Bernard Project, a post-Katrina-Rita disaster recovery non-profit that was recognized as a CNN Hero of the Year. A new father, Ari lives in Pikesville, Maryland, with his wife and daughter.  Today we are focused on his book Paths of the Righteous: Stories of Humanity, Heroism, and Hope. Connect & Learn More: https://www.nytimes.com/2022/05/16/us/california-church-shooting-hate-incident.html https://www.nytimes.com/2022/05/16/opinion/buffalo-shooting-replacement-theory.html https://arimittleman.com/ https://www.facebook.com/PathsoftheRighteous/ https://twitter.com/AriMittleman https://www.linkedin.com/in/arimittleman/ Length - 41:52  

00:00 Welcome Stefanie Sekich-Quinn 00:43 Passion started in childhood 02:30 Save the Trestles Campaign 06:50 OKTie Wooden Glasses on Etsy 07:30 Policy & Implementation 11:00 State by State Report Card 15:30 Collecting Data 18:00 Public access to beaches 19:20 Outdated thinking 21:20 Real Estate Value & Risk 23:00 Hawaii's Vulnerability Assessment 25:50 Ocean Based Climate Solutions Act 28:00 Biden Administration Progress 29:00 Coastal Tourism Economics 32:00 Plastic Pollution 5-Gyers 34:00 Plastic emissions & lifecycle 36:40 How do you prioritize projects to focus on? 39:00 Need 30% Marine Protected Areas (MPA's) 40:50 West Coast MPA's 41:40 How to get stakeholders to agree? 45:00 Spillover positive effect of MPA's 46:00 Empowering people to make a change 47:00 Japan Surfrider & Surf Culture 50:00 Community Scientists & Data Collecting 51:20 Counting Beach Plastics for Databases 52:40 Any priorities for worldwide change? 53:20 Managed retreat for coastal properties 54:55 Switch to 100% Renewables by 2030 56:30 Personal action: investing in solar & plantbased 57:20 What can you do for meaningful change in your life? 58:30 Ocean-friendly gardens, businesses 1:00:00 Surfrider around the world 1:01:00 YES Please come to Japan! Stefanie Sekich-Quinn of Surfrider Foundation is the Sr. Manager Coast and Climate Initiative talks about the Surfrider Foundation mission and projects, but also her personal sustainable challenges and ability to rally diverse members of a community to join a protest to protect coastal areas from development like she has been doing for the last 20 years at the 'Save the Trestles' campaign in California. https://www.surfrider.org/coastal-blog/entry/15-years-thousands-of-activists-one-goal-save-trestles-forever LINKS * Bio for Stefanie Sekich-Quinn is on Surfrider website: https://www.surfrider.org/our-team/staff/stefanie-sekich-quinn (https://www.surfrider.org/our-team/staff/stefanie-sekich-quinn) * Plastic Pollution Initiatives at Surfrider: https://www.surfrider.org/initiatives/plastic-pollution * Surfrider Japan (Japanese) https://www.surfrider.jp/ (https://www.surfrider.jp/) * Ingo Gunther - ReNature Japan's Coastal Armor picture - an art project to add nature to the concrete walls along Japan's coastlines: https://ingogunther.com/#/renature/ (https://ingogunther.com/#/renature/) * The 5-Gyers org: https://www.5gyres.org/ (https://www.5gyres.org/) * OKTIE wooden glasses made by a talented craftsperson from the Ukraine on ETSY: https://www.etsy.com/shop/OKTIEofficial?section_id=22388944 (https://www.etsy.com/shop/OKTIEofficial?section_id=22388944)

Os traemos las últimas noticias desde los episodios anteriores de cada tema. Recordad que tenemos un patreon en www.patreon.com/portierramaryaire para el crecimiento de la comunidad. Inicio: (0:00:00) Ucrania, Mig-29 y HARM y la FA rusa sigue ausente: (0:19:54) Noticias de aeronáutica rusa: (0:47:47) Segundo prototipo del J-20 biplaza chino: (0:57:60) F-35 Lightning II : (1:03:52) MRTT: tras Brasil, Canadá compra 2 + 4 y certificación automática: (2:02:47) Fotones, fotazas o fotacas de nuestros F-18 en Lituania: (2:24:48) El USSOCOM selecciona sorprendentemente la fumigadora atómica para su Armed Overwatch: (2:28:19) The Japan Ground Self-Defense Force (JGSDF) has received the first UH-2 : (2:46:41) Polonia confirma la compra de 32 AW149 multirol para sustituir sus Mi-2 y Mi-8/17: (2:48:24) NH-90, más mal que bien: (2:51:07) Leonardo dice que espera volar pronto su AW249: (3:03:15) Sobre el FVL: (3:19:26) A400M: (3:30:32) La “MLU” del F-22: (3:35:31) Agilidad de desarrollo y Sistemas de arquitectura abierta OSA (Open Systems Architecture): (3:40:40) EC-130H por EC-37B: (4:03:09) C-101: (4:05:02) USAF inventario y disponibilidad: (4:06:48) B-21: (4:10:38) MPA o MPRA: (4:13:38) FCAS y Tempest. Y NGAD: (4:17:38) KF-21 Boramae: (4:24:14) FA-50: (4:33:32) Eurofighter Typhoon: (4:44:50) F-15 new EW suite: (4:56:04) F-16 y Grecia: (5:04:58) Despedida del SH-3 Morsa en la Armada Española: (5:13:11)

Communication is 7% Words 38% Tone of Voice 55% Body Language   Jason A. Duprat, Entrepreneur, Healthcare Practitioner, and Host of the Healthcare Entrepreneur Academy podcast, sits down with Shelly O'Donovan, CEO of Authentic Influence Group with certifications in Body Language Training and the Big 5 Personalities. In this episode, Shelly reveals commonly overlooked communication practices and advice on how we can get better at conveying our true selves. Tune in to learn secrets used by politicians and other communication experts.   3 KEY POINTS: Communication starts with building rapport. Good communication is being your true self and with open body language. Better communication leads to better outcomes.   EPISODE HIGHLIGHTS: Shelly went from politics to starting her own business in healthcare, helping companies influence the political arena. She got laid off and became burnt out applying for and working in several jobs before learning about Body Language and being certified. She struggled with communication and picked up bad habits growing up, so she devoted herself to improving later on. Politicians always deliver the message they want to convey quickly and clearly. Introverts tend to close themselves through body language. Try to open up your body language, keep your arms open, and make eye contact. To remember someone's name, associate their name with anything similar or write down bits of information about the person on a piece of paper when they leave the room. For social media, just be yourself and let the world see you, not being worried about perfecting what you post. In practicing your communication skills, start with small steps and with people you're comfortable with. Shelly recommends checking these people out: Vanessa Van Edwards - Behavioral Investigator at Science of People Joe Navarro - Former FBI Agent and Body Language Expert Dale Carnegie - Best-Selling “Author of How to Win Friends and Influence People” among other books   TWEETABLE QUOTES: “Authentic Influence means not trying to be somebody you're not. Just be yourself and let the world see you.” – Shelly O'Donovan “Open your body language more. Open your arms, make eye contact, and be curious about other people. Better communication leads to better outcomes.” – Shelly O'Donovan   CONNECT WITH JASON DUPRAT LinkedIn | Facebook | Instagram | Youtube Email: support@jasonduprat.com   ABOUT THE GUEST Shelly O'Donovan is the CEO of the Authentic Influence Group. She teaches Persuasive Speaking at the Wharton School, of the University of Pennsylvania. She has led vaccine advocacy for GSK, worked as a healthcare lobbyist, and served as a staffer in state government. She has been focused on cultivating authentic influence her entire career, and decoding what makes people tick. Shelly has an MPA from the University of Pennsylvania, a Marketing certification from Wharton School (of UPENN), and a BA in political science. She has a certification in body language training and the big 5 personalities from a behavioral research lab.   CONNECT WITH THE GUEST LinkedIn - https://www.linkedin.com/in/shellyodonovan/ Website - www.authenticinfluencegroup.com   RESOURCES Want to become a Ketamine Therapy provider? Enroll NOW in The Ketamine Academy course: ketamineacademy.com/presentation Have a healthcare business question? Want to request a podcast topic? Text me at 407-972-0084 and I'll add you to my contacts. Occasionally, I'll share important announcements and answer your questions as well. I'm excited to connect with you! Do you enjoy our podcast? Leave a rating and review: https://lovethepodcast.com/hea Don't want to miss an episode? Subscribe and follow: https://followthepodcast.com/hea   RELATED EPISODES: #198: TACTICAL TUESDAY: A GOLDEN OPPORTUNITY TO BUILD RELATIONSHIPS & CONVERT CUSTOMERS #229: TACTICAL TUESDAY: BRING OUT THE BEST IN YOURSELF & YOUR BUSINESS WITH A POSITIVE MINDSET #260: THE 5-STEP PRODUCTIVITY MUST-DO'S TO GET MORE OUT OF YOUR BUSINESS (MINUS THE BURNOUT!) WITH MRIDU PARIKH   #HealthcareEntrepreneurAcademy #healthcare #HealthcareBoss #entrepreneur #entrepreneurship #podcast #businessgrowth #teamgrowth #digitalbusiness

Hear what APTA President Roger Herr, PT, MPA, has to say about where the profession is, and what it will take to pursue our full potential.

Hear what APTA President Roger Herr, PT, MPA, has to say about where the profession is, and what it will take to pursue our full potential.

Welcome to Valuable Conversations with the Institute for Innovation and Public Purpose. In this episode, MPA alumni Gwen Casazza and Justin Beirold talk to IIPP's fearless leader, Mariana Mazzucato. Like many people at IIPP, Gwen and Justin came to the institute in large part because of Mariana and her ideas. Mariana is one of the most influential economists in the world, and as a result, there are hundreds of podcasts, YouTube videos, interviews, and lectures featuring her. We decided that we would get into the weeds about the substance of her research, but we also wanted to learn more about her as a person. We talked about her childhood in an Italian family in New Jersey and being inspired by her High School history teacher. We discussed the trials and tribulations of the past decade, as she went from being a respected professor to running her own institute and becoming low-key famous (relative to most economists). She tells us about the critical importance of crafting new economic narratives in addition to new policy ideas. And of course, we covered some of the most exciting projects she is working on at the IIPP, including her work with Camden Council, the City of Barcelona, and the (all-women) WHO Council on Economics of Health For All. Guest Bio: Mariana Mazzucato is Professor in the Economics of Innovation and Public Value at University College London (UCL), where she is Founding Director of the UCL Institute for Innovation & Public Purpose (IIPP). She is winner of international prizes including the 2020 John von Neumann Award, the 2019 All European Academies Madame de Staël Prize for Cultural Values, and the 2018 Leontief Prize for Advancing the Frontiers of Economic Thought. She was named as one of the '3 most important thinkers about innovation' by The New Republic, one of the 50 most creative people in business in 2020 by Fast Company, and one of the 25 leaders shaping the future of capitalism by WIRED. She advises policymakers around the world on innovation-led inclusive and sustainable growth. Her current roles include being Chair of the World Health Organization's Council on the Economics of Health for All and a member of the Scottish Government's Council of Economic Advisors, the South African President's Economic Advisory Council, the OECD Secretary General's Advisory Group on a New Growth Narrative, the UN High Level Advisory Board for Economic and Social Affairs, Argentina's Economic and Social Council, Vinnova's Advisory Panel in Sweden, and Norway's Research Council. Previously, through her role as Special Advisor for the EC Commissioner for Research, Science and Innovation (2017-2019), she authored the high-impact report on Mission-Oriented Research & Innovation in the European Union, turning “missions” into a crucial new instrument in the European Commission's Horizon innovation programme. We hope you enjoy this conversation! - Read Mariana's latest book - “Mission Economy: A Moonshot Guide to Changing Capitalism (Link) https://marianamazzucato.com/books/mission-economy - Learn more about the WHO Council on the Economics of Health for All (Link) https://www.who.int/groups/who-council-on-the-economics-of-health-for-all/members Follow Mariana on Twitter: @MazzucatoM Learn about our alumni hosts: - Justin Beirold (Link) https://www.ucl.ac.uk/bartlett/public-purpose/justin-beirold - Gwendolyn Casazza (Link) https://www.ucl.ac.uk/bartlett/public-purpose/gwendolyn-casazza Follow IIPP on Twitter: @IIPP_UCL https://twitter.com/IIPP_UCL https://www.ucl.ac.uk/bartlett/public-purpose/ Production and music by Justin Beirold

El hombre investigado tiene 27 años y se le atribuyó haber matado a la víctima tras haber intentado robarle. La Unidad Fiscal Especial de Homicidios de la Fiscalía Regional 1 representará al MPA en el debate y solicitará la pena de prisión perpetua.

A Special Guest Panel with Richard Smoot! The topic "Shadows of Mirrored Light” focuses on Mysterious Antiscia. Known as “Solstice Points,” the Antiscia of planets represent our shadow and reflections of ourselves. “Every culture throughout time symbolically reference the archetypical shadow and reflections,” said Sue Minahan, founder, and host of the weekly show. "Antiscia can be used to discover and interpret the hidden parts of personality. To know our shadow is to know dimensions of ourselves that we can explore."   Joining Sue Rose Minahan founder host and astrologer of Talk Cosmos will be special guest Richard Smoot of Lakewood, Ohio. Follow us and subscribe for weekly email newsletter. Connect and subscribe for Talk Cosmos YouTube. Also heard on your favorite podcast app and on all 1150kknw.com YouTube and online formats. RICHARD SMOOT: Richard has been a professional astrologer for 50 years. With a BS in Social Work and an MPA, he has 19 years of direct services to astrologers and organizations with a focus to guide astrologers to their highest professional level. Richard's emphasis in astrology is to empower clients in making their own decisions in determining their life. -Astrologer Consultant, Speaker, Author/Writer, Facilitator Workshops -ISAR (International Society of Astrological Research) Operations Manager, -ISAR Certified Astrological Professional (CAP), -NCGR (National Council for Geocosmic Research) Journal publisher, -OPA (Organization for Professional Astrology) group leader. -He is the recipient of the 2018 UAC (United Astrology Conference) Regulus Award for Community Service. -https://www.facebook.com/richard.smoot.98 -https://astrosmoot.com Talk Cosmos is your opportunity to ponder realms of what Carl Jung called the collective unconsciousness that's shared through time to the present…all through the lens of Sue's lifetime of peering into astrology. “Thankfully, I discovered Evolutionary astrology. Its perspective points directly to our unique personal spiritual soul growth…driven by our aligned intentions.  Its promising purpose of soul growth ignited an entirely alive Zodiac. Captured, I felt compelled to study the deep significance of astrological application,” said Sue. Sue is your guide to focusing the Cosmos kaleidoscope. In the words of Einstein, “Energy's never destroyed, energy only changes.” Discover the energy that is Talk Cosmos, every Sunday from 1 p.m. to 2 p.m. right here on Alternative Talk 1150! Contact https://talkcosmos.com for weekly schedule, blog, and information.

A Special Guest Panel with Richard Smoot! The topic "Shadows of Mirrored Light” focuses on Mysterious Antiscia. Known as “Solstice Points,” the Antiscia of planets represent our shadow and reflections of ourselves. “Every culture throughout time symbolically reference the archetypical shadow and reflections,” said Sue Minahan, founder, and host of the weekly show. "Antiscia can be used to discover and interpret the hidden parts of personality. To know our shadow is to know dimensions of ourselves that we can explore."   Joining Sue Rose Minahan founder host and astrologer of Talk Cosmos will be special guest Richard Smoot of Lakewood, Ohio. Follow us and subscribe for weekly email newsletter. Connect and subscribe for Talk Cosmos YouTube. Also heard on your favorite podcast app and on all 1150kknw.com YouTube and online formats. RICHARD SMOOT: Richard has been a professional astrologer for 50 years. With a BS in Social Work and an MPA, he has 19 years of direct services to astrologers and organizations with a focus to guide astrologers to their highest professional level. Richard's emphasis in astrology is to empower clients in making their own decisions in determining their life. -Astrologer Consultant, Speaker, Author/Writer, Facilitator Workshops -ISAR (International Society of Astrological Research) Operations Manager, -ISAR Certified Astrological Professional (CAP), -NCGR (National Council for Geocosmic Research) Journal publisher, -OPA (Organization for Professional Astrology) group leader. -He is the recipient of the 2018 UAC (United Astrology Conference) Regulus Award for Community Service. -https://www.facebook.com/richard.smoot.98 -https://astrosmoot.com Talk Cosmos is your opportunity to ponder realms of what Carl Jung called the collective unconsciousness that's shared through time to the present…all through the lens of Sue's lifetime of peering into astrology. “Thankfully, I discovered Evolutionary astrology. Its perspective points directly to our unique personal spiritual soul growth…driven by our aligned intentions.  Its promising purpose of soul growth ignited an entirely alive Zodiac. Captured, I felt compelled to study the deep significance of astrological application,” said Sue. Sue is your guide to focusing the Cosmos kaleidoscope. In the words of Einstein, “Energy's never destroyed, energy only changes.” Discover the energy that is Talk Cosmos, every Sunday from 1 p.m. to 2 p.m. right here on Alternative Talk 1150! Contact https://talkcosmos.com for weekly schedule, blog, and information.

Part 2 of 2 – Journey to Self-Care: Overcoming Boundaries to Becoming Self-Aware Guest: Jasmyne Nelson This week join me for part two of a two-part series on the journey to self-care. In part two, Jasmyne Nelson, a licensed master's prepared social worker, and I have a rich discussion about setting boundaries and how setting those boundaries helps us to become more self-aware. A lack of boundaries can affect our relationships in a very negative way and affect how we function in the world around us. As Jasmyne says, “be curious about yourself”. Ask those questions while in the moment, “why do I feel this way”. I hope this episode helps kick-start you on that all-important journey to self-awareness.More about Jasmyne Nelson:Jasmyne Nelson, LMSW, MPA is a licensed master's level social worker with over seven years of experience working with diverse client and patient populations. She received her Master's in Social Work from the University of Alabama in Tuscaloosa and her Master's in Public Administration from the University of Memphis. She currently works as a social worker at Vanderbilt University Medical Center, where she works in the Firefly Women's Health Clinic with pregnant and postpartum women diagnosed with substance use disorders. She has experience in child and family therapy, group facilitation, crisis management, medical social work, and advocacy.She has a passion for serving children and families, especially those navigating complex emotional, generational, and societal traumas. Resources & Websites:https://eab.com/insights/daily-briefing/workplace/leaders-think-they-have-this-quality-but-few-actually-do/#:~:text=While%2095%25%20of%20people%20believe,by%20organizational%20psychologist%20Tasha%20Eurichhttps://tashaeurich.com/ https://thatshealthful.com/ https://hbr.org/2015/02/5-ways-to-become-more-self-aware https://openpathcollective.org/

Energetická vs. covidová krize, počínání současné vlády a kulturní války. To všechno ve velmi uvolněné atmosféře, ve studiu totiž byli Miloš Čermák a Luděk Staněk. Partnerem podcastu je advokátní kancelář ROWAN LEGAL a  společnost young_block. A co víc? - Hodnocení výroku MPA, že si máme v zimě vzít dva svetry- Srovnání komunikace současné a minulé vlády- Funkčnost EU během krizí - Cyklistika v Praze- Protesty na Babišových výjezdech- Prague Pride- Změny pohlaví- Umělá inteligence A do toho všeho řev a smích Luďka Staňka. CELÝ DÍL POUZA NA PATREONU A GAZETISTU. Sledujte nás: 

ROYAL LEGAL SOLUTIONS Learn how to free your time, protect your assets, and create lasting wealth with asset protection attorney and long-time real estate investor, Scott Royal Smith. When a close friend lost over $3 million in a single lawsuit, Scott decided to leave his litigation practice to help people protect themselves from frivolous lawsuits. His law firm, Royal Legal Solutions, now helps thousands of real estate investors and entrepreneurs protect more than $1.2 billion in assets. Join Scott as he deconstructs the lawsuit game and shows you how to protect yourself and your hard-earned wealth.*********************************************************************************MEET THE HOSTSScott Royal Smith, Esq., CEO, Real Estate Investor. As the founder of Royal Legal Solutions, I am an asset protection attorney and long-time real estate investor in every asset class in 10+ states. My background in litigation and investing uniquely has provided me with insights into how to best use the law for maximum legal advantage while streamlining operations, taxes, and compliance.Megan Templeton, Esq. Megan Templeton is from Birmingham, Alabama. She attended Auburn University and graduated in three years with a Bachelor's in Psychology. While attending Auburn University, Megan was actively involved in the Auburn Honors College and Omega Phi Alpha, a service sorority. Upon graduation from Auburn University, she pursued her Juris Doctorate from Samford University's Cumberland School of Law and her Master's of Public Administration from the University of Alabama at Birmingham. Megan obtained both her JD and MPA in December 2015. Megan's previous law positions have included clerk at the U.S. Attorney's Office of the Northern District of Alabama, manager of a closing and title company, and currently the owner and principal attorney of Iron City Law, a boutique law firm in Birmingham, AL serving small businesses and the real estate community.*********************************************************************************KEY TAKEAWAYSRoyal Legal Solution's CFO, Pete Schindele, led an informal discussion about appropriate entity selection for real estate investors to maximize tax savings. Many people start out as a Sole Proprietorship that sets up an LLC for asset protection from personal loss. As your business grows, you will find that an S Corporation or C Corporation may be more beneficial to lower your tax burden by avoiding the self-employment tax. Pete shared a simple cost benefit analysis guideline to help determine which entity structure is the best relative to current business size or earned income. Also, learn how your decision may be affected depending on if your income is active or passive.Want a refresher or to see what you missed? Watch the replay. REGISTER FOR ROYAL INVESTING and attend LIVE on Zoom, Wednesdays at 11:30 p.m. CST.Ready to go beyond basics and take your education to the next level? Get FREE Access to the Asset Protection Vault. This resource contains our top 5 video Masterclasses and ebooks.*********************************************************************************ENGAGE WITH USAre you ready to take action on Asset Protection, Tax Strategy, or Estate Planning? Take our Financial Freedom Quiz, where we will gather your general information to have a productive conversation. At the end of the quiz, you will have the opportunity to schedule your consultation. https://hubs.la/Q014rfVz0*********************************************************************************DISCORD COMMUNITYhttps://discord.gg/KKS7rZG5kM*********************************************************************************WEBSITE: http://royallegalsolutions.comLINKEDIN: Check out what folks are saying and make a professional connection with Scott Royal Smith https://www.linkedin.com/in/scott-royal-smith/ FACEBOOK: Join our exclusive group to discover the tax, legal, & asset protection secrets every real estate investor needs to know. https://www.facebook.com/groups/495820367909918/

This week: We learned something interesting about Netflix, Cross-promotions work but you might be doing them wrong, Anchor continues to be the top podcast host by episode share, and the FTC sues a data broker. All we know about Netflix's ad plans so far Shreya: Once again we bring you an article that doesn't feature the world “podcast”, but could have big implications for the industry. Last Friday Kelsey Sutton published a brief roundup of all the news about Netflix that had dropped during the week. The world learned about polarizing new ad-supported tier, charging between $7 to $9 a month. We also learned they're targeting 15 and 30 second spots for preroll and midroll ads.  “The flurry of reports helps provide a better picture of how Netflix is strategizing the rollout of its ad-supported tier after eschewing Madison Avenue for years. There are still many unknowns, including what kind of metrics the service will provide to measure ad effectiveness. Even without all the details, media buyers are buzzing with anticipation.”  Podcasters and advertising folk alike should take note of how much Netflix is paying per thousand impressions. According to Sutton the streamer is paying $65 CPM, with expectations of that going up to $80 in future.  With those rates in mind for the biggest streaming platform, average podcast CPM is fair to underpriced in comparison.  Do Cross-Promos Work? Hell Yes, But You Are Likely Doing Them Wrong…And We Can Fix That Manuela: On Monday Eric Nuzum published an issue of The Audio Insurgent that aims to introduce podcasters to a vital lesson learned while conducting research for terrestrial radio nearly two decades ago.  Nuzum is of the opinion that on-air and in-episode content promotion is frequently misunderstood and often poorly executed. This and the next two issues of Audio Insurgent are dedicated to covering the three Rs of program promotion: Reduction, Repetition, and Real Content.  In 2004 Nuzum conducted a study for the Corporation for Public Broadcasting titled ON-air Program Promotions Insight Study, a study of cross-promotion in the radio industry so helpful he continued to get messages asking where to find the study long after the original webpage hosting it had decayed.  For this newsletter series he has done some light editing and uploaded the entirety of the 18 year-old study to Google Drive for preservation.  “Yet despite its age, it can still be very effective and useful to all audio professionals today. But the whole project boils down to one simple sentence: A well-constructed message, delivered to the right listeners often enough for them to recognize it, can increase listening.” His issue on Reduction stresses the importance of stripping fat from a promotion and ensuring it isn't airing in a block of multiple other promotions that could distract from the message. An example given from when the promo study was first conducted is Nuzum playing a promo for A Prairie Home Companion. The promo rapid-fire announced the town, state, college auditorium in said town the performance would take place at. Following that, three musical acts and the name of the famous News from Lake Wobegon segment.  “Immediately after playing it, I would ask those in the room to name a single artist or location mentioned in that promo. On a rare occasion, someone could remember “Iowa”--but most times, no one could remember anything. And these people were (supposedly) paying attention.” Top Podcast Hosting Companies by Episode Share (August 2022) Shreya: Last Thursday Livewire Labs updated their substantial snapshot of the industry via episode share.     “One of the ways to measure the health of the current podcast ecosystem is to measure the number of new episodes published in a given period. We look at every single new podcast episode published (about 1.6 million in August 2022, up 5.4% from last month) and identify which podcast hosting company it belongs to.” One of the first things that jumps out about both the list of hosting companies by new episode share and the ranking of hosts by new episodes published in August is the gulf between first and second place. In a ranked list of 234 podcast hosting services Anchor dominates first place at 22.9% of new episodes published. Buzzsprout showed gains in solidifying a strong second place at 9%.  Livewire's data pairs nicely with the Podnews podcast hosting change tracker, which observes RSS feed hosting changes across the system's sample size of over 73,000 podcasts. Over the past week 211 podcasts changed from one hosting service to another, 26 which moved from various other services to Anchor. Pundits are fond of depicting Anchor as a dumping ground for single episode or dead podcasts due to their free tier, but they clearly are attracting a lot of new creators.  A sociologist on what advertisers should know when they use health data And:  FTC picks fight with data broker Manuela: Over the past week Ryan Barwick of Marketing Brew has published two closely-related articles covering the use of data collected in a healthcare environment for advertising.  First, yesterday's article features an interview with Mary F. E. Ebeling, an associate professor of sociology at Drexel University and recently-published author of a book on the effects of collected data on individuals' lives. Ebeling provides an anecdote of how a child she lost to miscarriage in the real world continued to live a false life through parenting-related marketing emails.  “Though it's near impossible to audit a digital ad—how, why, or where it was served—Ebeling connects the experience to her research in the healthcare industry, where patients rarely know they're feeding “massive databases maintained by healthcare providers and public and private insurers, or payers—often called data ‘lakes' and ‘oceans.'” With Ebeling's account in mind, we look back to last Friday when Barwick covered a much-publicized lawsuit filed by the Federal Trade Commission.  “On Monday, the agency brought a lawsuit against Kochava, a data broker, for allegedly collecting and selling location data “that can be used to trace the movements of individuals to and from sensitive locations” like reproductive-health clinics and places of worship.””  The suit comes several weeks after a preemptive lawsuit from Kochava towards the FTC. Barwick details the two businesses within Kochava in its data marketplace and measurement service. Kochava argues the user is forewarned when they initially agree to share their location data with the third-party apps they purchase the data from. The FTC, clearly, disagrees.      “By the end of the week, many were wondering: Why Kochava? And though we don't know the answer yet, the FTC's lawsuit could put the entire location data collection industry under the microscope.” Quick Hits: Recommended Weekend Reading Shreya: Finally, it's time for our semi-regular roundup of articles we're calling Quick Hits. These are articles that didn't quite make the cut for today's episode, but are still worth including in your weekend reading. This week:  The Ambies, the flagship award program of The Podcast Academy, designed to celebrate excellence in podcasting in the same way the MPA celebrates film with the Oscars, is now taking nominations. In addition, they've also announced a membership program sponsored by Spotify to enable independent creators to submit.  WQXR hires a podcasting chief by Laura Holt. Music remains one of the most untapped categories in podcasting. WQXR is a great example of a station that produces its own content and has access to a number of resources for original content, which is the key to making music podcasting work in a world where licensing music under copyright is still financially not viable in podcasting. Apple is staffing up its ad business by Ryan Barwick. This might not be breaking news for dedicated audience members of The Download, but it is crystal clear confirmation that apple is fully embracing its advertising business.  The BBC Shares podcast stats by Podnews. A recent talk at Radiodays Asia in Malaysia featured rare info about the BBC's daily download data, the show in question's audience profile, and comparison to other podcasts.  Finally, in accordance with The Download's love of sharing news of podcasting's performance on a global scale: Otonal has published Podcast Report of Japan, a survey of podcast usage in Japan in 2021.  The Download is a production of Sounds Profitable. Today's episode was hosted by Shreya Sharma and Manuela Bedoya, and the script was written by Gavin Gaddis. Bryan Barletta and Tom Webster are the executive producers of The Download from Sounds Profitable.  See omnystudio.com/listener for privacy information.

This week: We learned something interesting about Netflix, Cross-promotions work but you might be doing them wrong, Anchor continues to be the top podcast host by episode share, and the FTC sues a data broker. All we know about Netflix's ad plans so far Shreya: Once again we bring you an article that doesn't feature the world “podcast”, but could have big implications for the industry. Last Friday Kelsey Sutton published a brief roundup of all the news about Netflix that had dropped during the week. The world learned about polarizing new ad-supported tier, charging between $7 to $9 a month. We also learned they're targeting 15 and 30 second spots for preroll and midroll ads.  “The flurry of reports helps provide a better picture of how Netflix is strategizing the rollout of its ad-supported tier after eschewing Madison Avenue for years. There are still many unknowns, including what kind of metrics the service will provide to measure ad effectiveness. Even without all the details, media buyers are buzzing with anticipation.”  Podcasters and advertising folk alike should take note of how much Netflix is paying per thousand impressions. According to Sutton the streamer is paying $65 CPM, with expectations of that going up to $80 in future.  With those rates in mind for the biggest streaming platform, average podcast CPM is fair to underpriced in comparison.  Do Cross-Promos Work? Hell Yes, But You Are Likely Doing Them Wrong…And We Can Fix That Manuela: On Monday Eric Nuzum published an issue of The Audio Insurgent that aims to introduce podcasters to a vital lesson learned while conducting research for terrestrial radio nearly two decades ago.  Nuzum is of the opinion that on-air and in-episode content promotion is frequently misunderstood and often poorly executed. This and the next two issues of Audio Insurgent are dedicated to covering the three Rs of program promotion: Reduction, Repetition, and Real Content.  In 2004 Nuzum conducted a study for the Corporation for Public Broadcasting titled ON-air Program Promotions Insight Study, a study of cross-promotion in the radio industry so helpful he continued to get messages asking where to find the study long after the original webpage hosting it had decayed.  For this newsletter series he has done some light editing and uploaded the entirety of the 18 year-old study to Google Drive for preservation.  “Yet despite its age, it can still be very effective and useful to all audio professionals today. But the whole project boils down to one simple sentence: A well-constructed message, delivered to the right listeners often enough for them to recognize it, can increase listening.” His issue on Reduction stresses the importance of stripping fat from a promotion and ensuring it isn't airing in a block of multiple other promotions that could distract from the message. An example given from when the promo study was first conducted is Nuzum playing a promo for A Prairie Home Companion. The promo rapid-fire announced the town, state, college auditorium in said town the performance would take place at. Following that, three musical acts and the name of the famous News from Lake Wobegon segment.  “Immediately after playing it, I would ask those in the room to name a single artist or location mentioned in that promo. On a rare occasion, someone could remember “Iowa”--but most times, no one could remember anything. And these people were (supposedly) paying attention.” Top Podcast Hosting Companies by Episode Share (August 2022) Shreya: Last Thursday Livewire Labs updated their substantial snapshot of the industry via episode share.     “One of the ways to measure the health of the current podcast ecosystem is to measure the number of new episodes published in a given period. We look at every single new podcast episode published (about 1.6 million in August 2022, up 5.4% from last month) and identify which podcast hosting company it belongs to.” One of the first things that jumps out about both the list of hosting companies by new episode share and the ranking of hosts by new episodes published in August is the gulf between first and second place. In a ranked list of 234 podcast hosting services Anchor dominates first place at 22.9% of new episodes published. Buzzsprout showed gains in solidifying a strong second place at 9%.  Livewire's data pairs nicely with the Podnews podcast hosting change tracker, which observes RSS feed hosting changes across the system's sample size of over 73,000 podcasts. Over the past week 211 podcasts changed from one hosting service to another, 26 which moved from various other services to Anchor. Pundits are fond of depicting Anchor as a dumping ground for single episode or dead podcasts due to their free tier, but they clearly are attracting a lot of new creators.  A sociologist on what advertisers should know when they use health data And:  FTC picks fight with data broker Manuela: Over the past week Ryan Barwick of Marketing Brew has published two closely-related articles covering the use of data collected in a healthcare environment for advertising.  First, yesterday's article features an interview with Mary F. E. Ebeling, an associate professor of sociology at Drexel University and recently-published author of a book on the effects of collected data on individuals' lives. Ebeling provides an anecdote of how a child she lost to miscarriage in the real world continued to live a false life through parenting-related marketing emails.  “Though it's near impossible to audit a digital ad—how, why, or where it was served—Ebeling connects the experience to her research in the healthcare industry, where patients rarely know they're feeding “massive databases maintained by healthcare providers and public and private insurers, or payers—often called data ‘lakes' and ‘oceans.'” With Ebeling's account in mind, we look back to last Friday when Barwick covered a much-publicized lawsuit filed by the Federal Trade Commission.  “On Monday, the agency brought a lawsuit against Kochava, a data broker, for allegedly collecting and selling location data “that can be used to trace the movements of individuals to and from sensitive locations” like reproductive-health clinics and places of worship.””  The suit comes several weeks after a preemptive lawsuit from Kochava towards the FTC. Barwick details the two businesses within Kochava in its data marketplace and measurement service. Kochava argues the user is forewarned when they initially agree to share their location data with the third-party apps they purchase the data from. The FTC, clearly, disagrees.      “By the end of the week, many were wondering: Why Kochava? And though we don't know the answer yet, the FTC's lawsuit could put the entire location data collection industry under the microscope.” Quick Hits: Recommended Weekend Reading Shreya: Finally, it's time for our semi-regular roundup of articles we're calling Quick Hits. These are articles that didn't quite make the cut for today's episode, but are still worth including in your weekend reading. This week:  The Ambies, the flagship award program of The Podcast Academy, designed to celebrate excellence in podcasting in the same way the MPA celebrates film with the Oscars, is now taking nominations. In addition, they've also announced a membership program sponsored by Spotify to enable independent creators to submit.  WQXR hires a podcasting chief by Laura Holt. Music remains one of the most untapped categories in podcasting. WQXR is a great example of a station that produces its own content and has access to a number of resources for original content, which is the key to making music podcasting work in a world where licensing music under copyright is still financially not viable in podcasting. Apple is staffing up its ad business by Ryan Barwick. This might not be breaking news for dedicated audience members of The Download, but it is crystal clear confirmation that apple is fully embracing its advertising business.  The BBC Shares podcast stats by Podnews. A recent talk at Radiodays Asia in Malaysia featured rare info about the BBC's daily download data, the show in question's audience profile, and comparison to other podcasts.  Finally, in accordance with The Download's love of sharing news of podcasting's performance on a global scale: Otonal has published Podcast Report of Japan, a survey of podcast usage in Japan in 2021.  The Download is a production of Sounds Profitable. Today's episode was hosted by Shreya Sharma and Manuela Bedoya, and the script was written by Gavin Gaddis. Bryan Barletta and Tom Webster are the executive producers of The Download from Sounds Profitable.  See omnystudio.com/listener for privacy information.

A un año del hecho, los abogados querellantes plantearon un presunto encubrimiento, el cual alcanza a los fiscales que investigan el caso así como a varias autoridades del MPA.

In this episode of Parents at Work, Lori Mihalich-Levin and Jason Levin talk to another amazing dad who is a professional in diversity, equity, and inclusion (DEI)!    Juan Otero serves as Senior Vice President of Diversity, Equity, and Inclusion at Comcast Corporation, where he leads DE&I initiatives across Comcast NBC Universal, focusing specifically on governance, public policy, and strategic employee engagement. His responsibilities include the oversight of DE&I analytics; organizational alignment on the company's public policy positions with DE&I implications; broad activation of employee resource groups and related volunteerism platforms; and development of targeted DE&I workforce education and training. He also supports the integration of DE&I into Comcast NBC Universal's community impact initiatives. Juan is married to his wonderful wife, Julissa, and they have an active son, Julian, who is five years old. Juan holds a JD from the Benjamin N. Cardozo School of Law and an MPA from American University.  Juan talks about his experience as a parent working in diversity, equity, and inclusion. He discusses his confusion and fear after becoming a parent, the fantastic support he received in the workplace, and how his priorities changed after he became a dad. Stay tuned to hear about Juan's life as a dad working in the world of diversity, equity, and inclusion. Show highlights: Juan tells the story of how he met his wife and landed up where he is today in the world of working parents. (2:53) Juan discusses what it is like for him to be a parent working in diversity, equity, and inclusion. (6:13) Becoming a dad helped Juan evolve in his role at Comcast and gave him a different viewpoint regarding various racial issues. (8:03) Juan had a wonderfully supportive boss who understood his confusion after becoming a parent and explained everything Comcast had available, in terms of parental support. (11:14) Juan explains how he had to re-prioritize his life after his son was born. (12:27) The strategies Juan uses as a leader to support his people. (15:15) Even though Juan got all he needed in terms of parental support in the workplace, he would still have appreciated having someone to talk to about his wellness. (18:08) Juan talks about his first paid job and explains how it made an imprint on him. (20:34) What has parenthood taught Juan in terms of career-related skills? (22:58) Juan discusses his part in shaping the conversation around working parenthood. (26:57) How heart-focused breathing can help working parents avoid freaking out. (32:42)  Links and resources: https://corporate.comcast.com/ (Comcast Corporation) https://www.linkedin.com/in/juan-otero-08ab393/ (Juan Otero on LinkedIn) Books mentioned: https://amzn.to/3cBYAuX (A Tale of Two Cities), by Charles Dickens https://amzn.to/3B1Asv8 (The Godfather), by Mario Puzo https://amzn.to/3cxf6MT (Dog Man, A Tale of Two Kitties),  by Dav Pilkey https://amzn.to/3TvlTaA (Pete the Cat), by Kimberly Dean, James Dean, and Eric Litwin Mentioned in this episode: Get the new book: Relationships to Infinity, the Art and Science of Keeping In Touch from Ready, Set, Launch Head over to www.readysetlaunch.net to grab your copy of the book, Relationships to Infinity, the Art and Science of Keeping In Touch. https://parents-at-work.captivate.fm/relationshipbook (Ready Set Launch Book)

Host Eric Chase speaks with Aaron Rhone, PhD, MPA, the bureau director at Pennsylvania Department of Health Bureau of EMS, about flexibility, connection, education, vision, bias, and integrity, among other subjects.

Part 1 – Journey to Self-Care: Becoming Self-Aware Part 1: Guest, Jasmyne Nelson This week join me for part one of a two-part series on the journey to self-care. In part one, Jasmyne Nelson, a licensed master's prepared social worker helps shine a light on self-awareness. Most of us think we are self-aware, but research shows that a majority of us are not. Learn how being open to receiving feedback can help you in the journey to self-awareness.More about Jasmyne Nelson:Jasmyne Nelson, LMSW, MPA is a licensed master's level social worker with over seven years of experience working with diverse client and patient populations. She received her Master's in Social Work from the University of Alabama in Tuscaloosa and her Master's in Public Administration from the University of Memphis. She currently works as a social worker at Vanderbilt University Medical Center, where she works in the Firefly Women's Health Clinic with pregnant and postpartum women diagnosed with substance use disorders. She has experience in child and family therapy, group facilitation, crisis management, medical social work, and advocacy.She has a passion for serving children and families, especially those navigating complex emotional, generational, and societal traumas. Resources & Websites:https://eab.com/insights/daily-briefing/workplace/leaders-think-they-have-this-quality-but-few-actually-do/#:~:text=While%2095%25%20of%20people%20believe,by%20organizational%20psychologist%20Tasha%20Eurichhttps://tashaeurich.com/ https://thatshealthful.com/ https://hbr.org/2015/02/5-ways-to-become-more-self-aware

Today I speak with my old friend Taurmini Fentress. A licensed independent clinical social worker with a MPA, she is a wealth of knowledge on the affects of drugs and alcohol especially in those experiencing houselessness. We discuss abstinence vs. harm reduction and how both can be implemented in different capacities depending on the person. Honestly, it is truly about meeting the person where they are. It is at the core of her work helping people. And should be the approach we use more. Thanks for listening. music: https://neglect.bandcamp.com/releases Patreon: https://www.patreon.com/AIFA Website: https://www.aisforalcoholic.com/ Facebook: https://www.facebook.com/A-is-For-Alcoholic-218005295665042/?view_public_for=218005295665042 Twitter: https://twitter.com/AIFApodcast?lang=en IG: https://www.instagram.com/aisforalcoholic/?hl=en Spotify: https://open.spotify.com/show/4eBFkcsDEpOg1uzFQrX3qQ?si=Q2YSkVb0SeiGukvD-EC0Xw SoundCloud: https://soundcloud.com/user-179165459 YouTube: https://www.youtube.com/channel/UCASi1XpZ3HdWEqa-W_aanCg?view_as=subscriber Overcast FM: https://overcast.fm/itunes1408870161/a-is-for-alcoholic iTunes: https://itunes.apple.com/us/podcast/a-is-for-alcoholic/id1408870161?mt=2 https://play.google.com/music/listen?u=0#/ps/Ivctepbseqikshnekafscwczqlq

Newton is a passionate and driven Career Coach who is driven by helping students find their mission. His work at Ohio Wesleyan University is specifically with students in Social Impact, Humanities, and the Arts. He is passionate about connecting students with resources and giving them the ability to thrive in an area of usual fear and high stress. Newton received his MPA from Cleveland State University and his B.A. from Ohio Wesleyan University. Email- nskimberly@owu.edu Ohio Wesleyan University - Career Connection Get your copy of Coach T's new book, "The Ultimate Guide to Success For Preteens and Teens. Available on Amazon https://www.amazon.com/Ultimate-Guide-Success-Preteens-Teens/dp/B0B35DTQJ3/ref=cm_cr_arp_d_pl_foot_top?ie=UTF8 Developing Tomorrow's Leaders with Coach T® is part of Coach T's Corner®, an online mentoring academy, designed to educate, support, and inspire the next generation of leaders. Parents hire me to educate, support and inspire personal growth skills in their preteens and teens that will better prepare them by taking ownership of tools for a prosperous future. Soft skills are not a priority of the public education systems but are crucial to the success of our next generation of leaders. Coach T® has a 13-week mini-series, Coach T's Corner® airing on the Careers From Home channel. It is available on Roku and Amazon Fire. Thanks for listening to this episode. To see all of Coach T's contact information and other projects, https://withkoji.com/@Coach_Ts_Corner Email: coacht@coachtscorner.com Instagram: https://www.instagram.com/coachts_corner Facebook: https://www.facebook.com/coachtscorner YouTube: https://www.youtube.com/channel/UCPjJRsI6602F1mGKR3NZtog --- Support this podcast: https://anchor.fm/antwaunthompson/support

Episode Number: 6 Episode Description: What is an assessment-based certificate program and why should it be accredited? Hear from three members of I.C.E.'s Assessment-based Certificate Accreditation Council (ACAC) as they discuss accreditation programs, why it's a good idea to get accredited and what the pitfalls are for many applicants. Speakers: Bobbi Losee Vernon, MA, ICE-CCP, Senior Learning Architect, Global Skills X-Change Fae Mellichamp, Psychometrician, Mellichamp Consulting Heather Rich, MPA, ICE-CCP, Executive Director, American Board of Certification for Gastroenterology Nurses (host) Series Description: Credentialing Insights: An I.C.E. Podcast dives in to thought-provoking discussions with subject matter experts on the topics that matter most to the credentialing community.

Tony Roberts and co-host, Laura Pogliano, talk with Kathy Day, MPA. Kathy is currently the caregiver, advocate, and conservator for her family member who was diagnosed with schizophrenia in 2010. She is active in local, state, and national advocacy to promote the need for family involvement for their loved ones' mental healthcare. Her experience in advocacy and the personal experience in navigating the system of mental healthcare gives her a unique perspective on the challenges families encounter when searching for resources for their loved ones. In September of 2021, Kathy joined the team at the Treatment Advocacy Center as the senior family liaison. In this role, Kathy locates resources for families across the country to assist and coach them to find help for their family members. Kathy co-manages Facebook support pages and writes a blog about her experiences navigating the system of care. It's called Broken and you can find it here: www.facebook.com/ourbrokensystem.

In this Shorts episode, MPA students, Bryan Goodman & Suleima Rivas, talk all things Inflation Reduction Act. What is it and how does it impact you? Learn more about Binghamton's Public Administration program here.

Meet Ken Tucker Ken works with clients to define and implement effective digital strategies to grow and improve their businesses. Whether it's Social Media, Search Engine Optimization, Content Marketing, or Online Branding, Ken has experience. Ken taught one of the first Social Media Marketing Classes for college credit in the US at the St. Charles Community College. Background: BA in Philosophy, MPA in Public Administration Changescape Web has developed Marketing solutions for Painter Digital Marketing, Roofer Digital Marketing, and Restaurant Marketing. Changescape Web has been selected as a Top Website Agency and a Top SEO Agency by UpCity for the last several years and is one of the top 10 largest website design firms in St. Louis. StoryBrand Certified Guide, Business Made Simple Certified Coach, Master Duct Tape Marketing Certified Consultant, Duct Tape Marketing Professional, Amazon Best Seller, and podcast host - local leads.me/guidespod   Virginia and Ken talk about The power of Story Brand Marketing Mistakes we make when creating messaging How to get your marketing right  Why you need a digital presence The BEST way to produce content How to make your website more effective? What digital strategies are ideal for solo entrepreneurs Key Takeaways You need a clear message Make your client the hero of your marketing Social proof is huge! Video is the next best thing to meeting someone in person Marketing is about transformation How do your customers Think about what you do?   Connect with Ken: Facebook: http://www.facebook.com/changescape Website: Changescapeweb.com LinkedIn: http://www.linkedin.com/company/changescape_2 Youtube: http://www.youtube.com/user/changescape  Ken would like to meet: Ivan Misner

Meet Joanna James Joanna James - is known as a revolutionary difference maker in the Design, Construction and Banking sectors and has been featured in publications such as Entrepreneur, The Advisor, MPA, Australian Broker, CIO and Insights Success. Today she uses her influence and expertise to shape the lives of women around the world. She is known as Australia's youngest female architect & builder. She is an author and creator of the world's first ‘Bio' home and created Shambhala@byron retreat which welcomed celebrity singer Sting as her first guest. She is a pioneering entrepreneur who led the International Ezy Group, to become the industry powerhouse in the lending sector, currently managing over $4.5 billion of home loans. Her change-making contribution shines through the 32 Industry awards including 3 times BRW fastest company and ALA Best Non-Bank. She is an advocate for businesses independence and competition, and her advice is sought after by government, industry bodies & top business leaders. She is known as a powerhouse leader in male dominated domains and now heads ‘The Successful Woman', a business, community and movement committed to women reaching their full potential. Being the mother of two girls Joanna is passionate that female founders can, through ‘The Successful Woman' movement, access easy to use business tools so they can grow and scale their companies . In turn she believes that female founders are driven not only to create a lifestyle for their families but also to contribute to the world in a truly meaningful way. This has Inspired her revolutionary approach to take ‘The Successful Woman' leadership academy to the developing worlds, so women can change their future direction for their families & communities. She is such a powerhouse that many of her mentees have become entrepreneurs and owners in their own right. In India, she is shaping the next line of female directors to break the glass ceiling where as few as 3% CEOs are women. Joanna believes in building confidence and career progression for women as a catalyst for societal change. Joanna believes radical action is needed to reverse the documented trend that the longer women stay in the workforce the greater the decline in their self belief. Under Joanna James' leadership, ‘The Successful Woman' movement is set to play a pivotal role in providing essential success skills not available through current mainstream education. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/keeversplace/support

A proven prequel director (Dan Trachtenberg), an excellent cast (led by Amber Midthunder), an original setting (1700s Comanche village), and one killer monster from space (Predator of course). Does all this add up to a movie worth “screen”-ing (whether you can or not)? Listen and find out! Then, we've got a hotline call about reimagining movies. All with She-Hulk writer Cody Ziglar!What's GoodAlonso - Bramblefest in Greenville, NCDrea - Austin tripZig - leaving Twitter (soon, soon)Ify - Dragonball Super: Super Hero supremacyITIDICR-Rated Movies Have Been Stalling at the Box Office this yearA Ferris Bueller Spinoff Is in the Works…‘Dragon Ball Super: Super Hero' Crushes Idris Elba's ‘Beast' With $21 Million DebutStaff PicksAlonso - Orphan: First KillDrea - Night RaidersZig - Blood QuantumIfy - Hell or High WaterLumi Labs: Ever tried Microdosing? Visit Microdose.com and use MAXFILM for 30% off + Free Shipping. ***With:Ify NwadiweDrea ClarkAlonso DuraldeCody ZiglarProduced by Marissa FlaxbartSr. Producer  Laura Swisher

As the summer winds down, its time to go back to school. This month, we will examine America's school system. In recent years, COVID-19, school shootings, affirmation of LGBTQ students, institutional racism, critical race theory, teacher burnout, and parent's rights have transformed America's schools into cultural battlegrounds. As a result, students, teachers, and administrators are experiencing poor mental health outcomes, secondary traumatic stress, and burnout. In this episode, we will discuss why trauma-informed education is imperative in schools as we navigate the impact of stress and trauma on students, teachers, and the community. As the Educational Consultant for PACEs Connection, Lara brings her deep understanding of the importance of schools as community drivers for change. Lara is an experienced educator and consultant who speaks nationally on implementing trauma-informed practices in schools and building holistic, trauma-responsive systems. Lara brings over two decades of experience at the local, state, and national levels, including developing programs for integrating trauma-informed practices into community schools in Los Angeles. She worked for the Wisconsin Department of Public Instruction as the state homeless coordinator and practiced her first love, teaching 'at-risk' youth. Lara has a bachelor's degree in education from the University of Wisconsin-Madison and an MPA from The Evergreen State College. As an example of her understanding of the micro and the macro, Lara's experience ranges from supporting individual teachers to designing a trauma-informed schools pilot implemented in 20 schools across the country. Lara has worked both as a teacher and administrator putting the science of building resilience into practice. For Lara, who is a trauma survivor and was herself an 'at-risk' youth, this work is deeply personal. She understands what schools can and should look like to benefit ALL children. As the mother of two adopted sons, she understands the effects of developmental trauma and what it takes to overcome it. Born in the Midwest, she lived for over a decade in the Pacific Northwest, and is now a transplant to Southern California, where she lives with her husband and two boys. The beach is her happy place.

Welcome to The Nonlinear Library, where we use Text-to-Speech software to convert the best writing from the Rationalist and EA communities into audio. This is: EAs interested in US policy: Consider applying for the Presidential Management Fellowship, published by Locke USA on August 23, 2022 on The Effective Altruism Forum. This post summarizes why and how to apply to the Presidential Management Fellowship (PMF), a prestigious two-year program that allows recent graduate degree recipients to get jobs in the US federal government. It's widely considered one of the best pathways into policy. Applications are open annually in mid-September. Hundreds of people go through the PMF each year, including many with STEM backgrounds, despite the historically greater numbers of fellows with traditional policy degrees. If you are interested in applying to the PMF — including if you are still unsure or plan to apply in future years — we strongly encourage you to fill in this form so that we can help connect you with others who have gone through the program. Summary: Why you should strongly consider PMF The Presidential Management Fellowship (PMF) program is a prestigious, two-year fellowship that places graduate degree holders in US executive branch agencies. Fellows in the program are typically referred to as “PMFs”. Core features of the program include: PMFs receive good full-time salaries with civil servant-equivalent benefits and are generally promoted each year during the program. PMFs can non-competitively convert to permanent civil service positions after their two years. This is a big deal, as it presents a fast track to highly competitive government jobs and an easy way for agencies to hire a pre-vetted candidate. PMFs can get sponsored for a security clearance. PMFs typically get to rotate to at least one other agency for 3-6 months, which allows them to gain exposure to and connections within multiple parts of the federal government. PMFs receive mentorship and training from advisors outside their chain of command due to the PMF program's prestige and deep network. PMFs are respected and noticed. People in the policy community expect PMFs to be inquisitive, rising leaders and are happy to answer their emails, take calls, or get coffee. You can do a wide range of jobs as a PMF. Roles that are regularly advertised on the PMF jobs platform include Policy Analyst, Economist, General Engineer, HR Specialist, Management and Program Analyst, IT Specialist, Operations Research Analyst, International Relations Specialist, and many more. It's therefore a good potential pathway for people with both STEM and non-STEM degrees and with a wide range of interests, including research, operations, and tech development. Who is eligible? The application cycle begins each fall, recently in mid-September. You are eligible to apply if: You have completed an advanced degree (MS, MA, JD, LLM, PhD, MPA, MPH, MBA, etc.) at an accredited institution (international degrees are subject to review) within the two years prior to the application's opening date (e.g. you can apply in September 2022 so long as you graduated after September 2020); or You will complete your advanced degree by August 31 of the year following the application's opening date (e.g. you can apply in September 2022 if you graduate in or before August 2023). There is no cap on the number of times you may apply, as long as you meet the eligibility requirements. For example, if you complete an MS and later complete a PhD, you could conceivably apply six times – three for each separate graduate degree. In recent years, there has not been a requirement to travel for any components of the application. This is expected to continue for the foreseeable future, though is subject to the recruitment planning of the PMF Office. While you do not strictly need to be a US citizen to apply, you realistically need to be at least a US permanent resident (i.e. have a green card) to become a PMF. In order to...

Juan Perla, MPA, JD, talks about the U. S. Supreme Court amicus brief we submitted last week. A graduate of Andrews University, USC, and the University of California, Berkeley and now a partner at the Curtis law firm, Perla discusses the arguments the brief makes on behalf of minority rights—particularly Seventh-day Adventists and LGBTQ folks who value marriage. The case in question is 303 Creative LLC v. Elenis and concerns the free speech clause of the First Amendment and religiously motivated discrimination.

Jon Cobb is a Marine Corps combat veteran and entrepreneur. After more than 10 years of military and diplomatic security service, he joined Deloitte Consulting, where he served as a project manager for multi-billion dollar modernization efforts. He then founded The Tempest Group, which now leads organizational transformations for some of the most admired companies around the world. He holds an MBA from Vanderbilt, an MPA from Harvard, and Graduate Certificates from both Harvard and Stanford. He is also PMP certified. --- Support this podcast: https://anchor.fm/vets2pm/support

In this episode, Lisa Jones interviews Susan Adams, MS, RDN, LND, FAND, and Britanny Saunier, MPA, about food safety issues, including sanitation and hand washing, common foodborne illness risk factors, changes in food supply and production, and consumer habits that impact food safety.

Willy welcomes Charles Rivkin. He is the Chairman and CEO of the Motion Picture Association (MPA). He leads the MPA's global mission to advance and support the film, television, and streaming content industry. The MPA's members currently include Disney, Netflix, Paramount, Sony, Universal, and Warner Bros. Drawing on almost 30 years of experience as a media executive and a leading U.S. diplomat, he advocates for policies that drive investment in film and television production, protect creative content, and open markets. He champions the economic and cultural power of film and television to communities around the world. The episode begins with Charles talking about his father's career as a US ambassador to Luxembourg and Senegal and his godfather, a US ambassador to France. Charles believes that public service is the highest calling, and the influence of his relatives encouraged him to serve in the State for 18 years. With a deep love for singing, Charles never thought of doing it professionally, but the hobby gave him a chance to travel around the world. “I love being surrounded by creative people, and that's one of the reasons I pursued a career in the entertainment industry,” he says. He decided to get an MBA because he was always fascinated by his grandfather's clothing business. “When you give somebody employment, you change their lives,” he says. He loves the idea of being a CEO, contributing to his community, and making a difference on the international stage. With his background in economics, he combined it with his love for entertainment. He thinks that media is an enormous source of power and cultural exchange and can be a source of good when used properly. The MPA is already 100 years old and represents the six largest companies in the world. He talks about working with Jim Henson and selling his company, his desire to play in a “creative world”, and how they preserved his legacy by monetizing his assets. He got involved in politics in 2003 as Barack Obama's US Ambassador to France, having the chance to know him before his presidency. He shares about doing film showings in the residence as he thought that films were a unionizing force and a reflection of American society. He challenged his French counterparts to create movies about sensitive topics and uses the medium to break stereotypes. Charles shares his experience being the first ambassador to jump out of an airplane with the US Army Golden Knights on the 60th anniversary of D-Day, overcoming his fear of heights. Referencing Top Gun, he has flown on an F-18 with a passionate and talented naval pilot. The first thing he did as he moved into the MPA was to bring Netflix on board. He clarifies that the MPA is not just about film but also includes TV and streaming. With the billions of dollars that Amazon and Apple spend on creating potentially award-winning content, he believes these giants will join the association soon. As gaming is also catching up, MPA is working together with Apple and Amazon to fight piracy, the one commonality they can agree on, and make entertainment a diverse and flexible force. “The walls are blurring,” he says. Doing trade deals with USMCA in Canada also enforces intellectual property protection online and brings content to markets that were unreachable in the past. He has a positive outlook towards reopening theaters, as Top Gun Maverick raked in a billion at the box office, and other smaller productions like Everything Everywhere All At Once made millions as well. “Moviegoing begets moviegoing. There's a communal aspect that can never be replaced,” he says. The US government is also helping to reignite the movie industry to help blue-collar workers like electricians, plumbers, cashiers, and other employees.

How frequently do you think about leaving your job? You don't have to love your job, but it shouldn't make you unhappy on a regular basis. If finding happiness at work seems impossible, you may be trapped in a toxic workplace culture or a job that is not a good fit for you.   While some of us may view monetary compensation as equivalent to job satisfaction, others may seek external validation for efforts and become dissatisfied when companies fail to provide it. Having a positive working environment is essential in keeping employees.    Additionally, maintaining a healthy work-life balance can be challenging. Recognizing the symptoms of stress and anxiety at work and developing strategies to deal with them is essential. Mental health can have a significant impact on an employee's performance.    Helping people combat limiting beliefs and advance in their career, Kyle Elliott, MPA, CHES coaches  C-suite executives, business leaders, start-ups, and many more. He has helped direct reports of Mark Zuckerberg (Meta), Reed Hastings (Netflix), and other prominent people reimagine and recreate their careers and lives. As a results-oriented coach, his clients have landed their dream jobs with big companies like Apple, LinkedIn, Paypal, Google, and Amazon.    In today's episode, Kyle emphasizes the importance of having a happier working environment. He also shares tips on how to protect your mental health at work.    Join our hosts, career adviser Sergio Patterson and wealth manager Lee Michael Murphy, in The Free Retiree Show.    What you'll learn in the episode: Importance of job satisfaction Tips for being happy at work Importance of mental health in the workplace Signs of a toxic workplace  Factors to consider before letting the job go

In this Shorts episode, MPA students, Suleima Rivas & Bryan Goodman, talk all things Supreme Court: Who are they? What do they do? And what has been impacted by their latest rulings.  Learn more about Binghamton's Public Administration program here.

This week, please join author Philipp Lurz and Editorialist Daniel Burkhoff as they discuss the article "Characteristics of Heart Failure With Preserved Ejection Fraction Across the Range of Left Ventricular Ejection Fraction" and the editorial "HF?EF: The Mysterious Relationship Between Heart Failure and Ejection Fraction Continues." Dr. Carolyn Lam: Welcome to Circulation on the Run, your weekly podcast summary and backstage pass to the journal and its editors. We're your co-host. I'm Dr. Carolyn Lam, Associate Editor from the National Heart Center and Duke National University of Singapore. Dr. Greg Hundley: And I'm Dr. Greg Hundley, Associate Editor, Director of the Pauley Heart Center at VCU Health in Richmond, Virginia. Dr. Carolyn Lam: I just cannot wait to tell you about today's feature discussion, Greg. It's about heart failure with preserved ejection fraction and characteristics in the range of that ejection fraction that's above 50%. So, okay. I know, I know. It's like, "Oh my gosh. Wow. How much are we going to be talking about this ejection fraction thing?" But I'm telling you, everybody has to listen to this. It's really a big stride forward in our understanding of these patients with heart failure and a higher ejection fraction. Plus it includes one of my mentors from Mayo Clinic days, and I just can't wait for everyone to hear this. But before we go there, we've got really, really cool original papers in today's issue too. Would you like to start first? Dr. Greg Hundley: You bet Carolyn, and I can't wait for that feature discussion, especially this is a real area of your expertise. So listeners, hold on for that feature discussion. Well, my first paper, Carolyn, really pertains to physical activity. And Carolyn, the study is led by Dr. Don Hoon Lee from the Harvard T.H. Chan School of Public Health. And it evaluated a total of 116,000 adults from two large prospective US cohorts, the Nurse's Health Study and the Health Professional's Follow up Study that took place from 1988 to 2018. And they were examining self-reported leisure time physical activity and assessed the association between long term leisure time physical activity intensity and all cause and cause specific mortality. Dr. Greg Hundley: Now Carolyn, two types of physical activity were assessed. First, moderate physical activity and we're going to abbreviate that as MPA and that was 150 to 300 minutes per week, which is really recommended. Or second, vigorous physical activity for which it's really recommended that one performs 75 to 150 minutes per week. Now, Carolyn, as you know, some individuals accomplish both of these in their routine, some neither, some one or the other. And so it really remains unclear whether higher levels of long term vigorous or moderate are independently or perhaps jointly associated with lower mortality. Dr. Carolyn Lam: Oh, that's so interesting, Greg. Quick, quick, quick, tell us the results. Dr. Greg Hundley: Right Carolyn. So the nearly maximum association with lower mortality overall was achieved by performing approximately 150 to 300 minutes per week of long term leisure time vigorous physical activity or 300 to 600 minutes per week of long term leisure time moderate physical activity or an equivalent combination of both, so mixing those minutes. Also Carolyn, very interestingly, higher levels, suppose you go beyond those limits of either long term leisure time vigorous physical activity of more than 300 minutes per week or moderate physical activity of more than 600 minutes per week did not show clearly further lower all cause cardiovascular disease or non-cardiovascular disease mortality and nor did they show harm. So if you went above those thresholds, you really didn't experience greater harm. Dr. Carolyn Lam: Thanks, Greg. You know I'm going to be trying to apply that. That's so cool. All right. Well the next paper refers to the Cabana Trial, which I'll remind you is a trial in which catheter ablation did not significantly reduce the primary endpoint of death, disabling stroke, serious bleeding or cardiac arrest compared to drug therapy by intention to treat, but did improve quality of life and freedom from atrial fibrillation recurrence. In Cabana, the heart failure subgroup, ablation appeared to improve both survival and quality of life. The current paper led by Dr. Mark and colleagues from Duke Clinical Research Institute looked at the cost effectiveness of this ablation versus angio-rhythmic drug therapy in atrial fibrillation and which was a pre-specified Cabana secondary endpoint. Dr. Greg Hundley: Ah, Carolyn. So what did they find? Dr. Carolyn Lam: Well in this trial based economic evaluation, catheter ablation was estimated to cost $57,893 per QALY or Quality Adjusted Life Year gained compared to drug therapy in the overall cohort. And this was primarily driven by improvement in quality of life. It also cost $54,135 per QALY gained in the heart failure subgroup, driven by both gains in quality of life and survival. In summary, catheter ablation of atrial fibrillation was found to be economically attractive compared to drug therapy in the Cabana trial overall at present benchmarks of healthcare value in the US and based on projected incremental qualities, but not live years alone. Dr. Greg Hundley: Very nice Carolyn. Well, my next paper comes to us from the world of Preclinical Science and it's corresponding author is Dr. Swapnil Sonkusare from University of Virginia School of Medicine. So Carolyn, calcium signals in smooth muscle cells contribute to vascular resistance and control blood pressure. Now increased vascular resistance in hypertension has been attributed to impaired smooth muscle cell calcium signaling mechanisms. And in this regard, transient receptor potential vanilloid four or TRPV4 smooth muscle cell ion channels are crucial calcium entry pathways for smooth muscle cells. However, their role in blood pressure regulation has not been identified. Dr. Carolyn Lam: Wow. TRPV4 smooth muscle cells. Cool Greg. So what did they find? Dr. Greg Hundley: Right, Carolyn. So these authors provide the first evidence that TRPV4 smooth muscle cell channel activity elevates resting blood pressure in normal mice. A1AR stimulation activated TRPV4 smooth muscle cell channels through protein kinase calcium signaling, which contributed significantly to vasoconstriction and blood pressure elevation. Dr. Greg Hundley: Surprisingly, intraluminal pressure induced TRPV4 smooth muscle cell channel activity, opposed vasoconstriction through activation of calcium sensitive potassium channels indicating functionally opposite pools of TRPV4 smooth muscle cell channels. And so Carolyn, this team identified novel smooth muscle cell calcium signaling nano domains that regulate blood pressure and demonstrate impairment in hypertension. Dr. Carolyn Lam: Oh wow, Greg. Thank you so much for that. Well, let's cover the other articles in today's issue. There's a primer by Dr. Jaffe on High Sensitivity Cardiac Troponin and the 2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR guidelines for the evaluation and diagnosis of acute chest pain. There's also Research [Letter] in there by Dr. Fordyce on the eligibility for non-invasive testing based on the 2021 American Heart Association and ACC guideline for the evaluation and diagnosis of chest pain, implications from the Promise trial. Dr. Greg Hundley: Great Carolyn. Well, I've also got an exchange of letters to the editor from Professors Benali and Professor Della Bella regarding a previously published article, “Does Timing of Ventricular Tachycardia Ablation Affect Prognosis in Patients with an Implantable Cardioverter Defibrillator, Results from the Multicenter Randomized Partita Trial.” And also there's a very nice Perspective piece from Dr. Udelson entitled “Glucose Insulin Potassium Therapy for Acute Myocardial Infarction, 50 years on and Time for a Relook.” Well, Carolyn, I can't wait to hear more of the discourse between you, the authors and editors on heart failure and preserved ejection fraction. Dr. Carolyn Lam: Yay. Here we go. I'm so excited about today's feature discussion. It's on my favorite topic, heart failure with preserved ejection fraction. Although thanks to one of the authors, Dr. Daniel Burkhoff of the editorial that accompanies it, I don't even know how to pronounce, it's Heart Failure question mark Ejection Fraction. I love it. How would you pronounce that? Dr. Daniel Burkhoff: Yeah, no, we debated how to pronounce it. HFQRef…a question mark? Dr. Carolyn Lam: HFQRef. Oh my goodness. What are we going to come up with next? Dr. Daniel Burkhoff: And we actually thought the editors would have a problem with that. Whenever we put something cute in the title, we always get knocked down. So we haven't yet got knocked down, so we'll see. Dr. Carolyn Lam: No, I'm not knocking you down. Dr. Daniel Burkhoff: But it just really emphasizes that we're in a very confusing time now as it comes to heart failure and ejection fraction, that we have to move on beyond ejection fraction. And although we have these strict buckets and upper and lower limits for each range, that maybe this is in a little bit of a way, doing us a disservice and doing the patients at disservice in terms of treatment. Dr. Carolyn Lam: That's really great. And everybody that was Dr. Daniel Burkhoff from the Cardiovascular Research Foundation in New York. He's the editorialist of today's feature paper. And I'm so excited that we have the corresponding author of today's feature paper as well, Dr. Philipp Lurz from Heart Center Leipzig in Germany. So first, I mean, or second, heartfelt congratulations on this beautiful paper, Philipp. If you could start with telling us all about what you did and what you looked at and what made Dr. Daniel Burkhoff call it now, Heart Failure, QREF? Dr. Philipp Lurz: Yeah. So thank you so much, first of all, obviously for having me for the kind introduction and your kind words about our work. The whole thing started with the observation that in recent drug trials, the response in HFpEF patients to drugs which were before proven to be quite successful in HFrEF actually showed a quite heterogeneous response in HFpEF patients. And that there were some patterns according to the range of ejection fractions. So it seemed that those HFpEF patients with the lower ejection fractions, they respond a little bit better to HFrEF medication than those with a higher ejection fraction. Dr. Philipp Lurz: And HFpEF studies, they included patients within and ejection fraction or 40 and above who normally would probably would consider HFpEF to start with 50 and above. But even in those truly HFpEF patients, so from 50 and anything above to 70, there was a suggestion that there might be differences. 50 to 60 might be something else and then 60 and above. And this is where we started to look into our cohort and to group them according to ejection fraction and see whether we can see some important and clinically meaningful differences in morphology, obviously in function, but then even also in terms of our biopsy results. Dr. Philipp Lurz: And that also implies that we did quite a deep phenotyping of our patients. So we use imaging, echo obviously. We use magnetic resonance imaging. We were able to acquire in a larger percentage of that cohort, by the way, it was 56 patients in total, we were able to get some left ventricular biopsies. And most importantly, when it comes to the functional properties of the left ventricle, we also acquired pressure volume loops. And that has the great advantage that we obviously we can look at low dependent parameters, but more important, also low independent in disease of both systolic and diastolic function. And that's pretty much what we did. Dr. Carolyn Lam: Oh my goodness. I mean, as an editor at Circulation, can I just first tell you that's what really, really stood out? It's the comprehensive, careful, in-depth characterization. It may be 56 patients, but MRI, echo, biopsies, exercise, PV loops. I mean, it was a lot, a lot that you did. Could you boil it down to what you found and maybe just to first clarify to the audience, how did you bend the ejection fraction? And then what you found? Dr. Philipp Lurz: We divided the cohort in two groups. One with an ejection fraction 50 to 60, and the other groups higher than 60% left ventricular ejection fraction. We ended up in lower group, 21 patients, in the higher group with 35 patients. And they were quite different. They had distinct features in terms of morphology, means that the lower injection fraction group, they had larger ventricles. That's probably what you would expect when you group them according to eject fractions. So not that surprising. Dr. Philipp Lurz: And at that point, and they had the same stroke volume. The low ejection fraction group, you could say that they had a certain degree of eccentric modeling, whereas those were the high ejection fraction group, that concentric modeling. When we then looked at the biopsies, the group with the low ejection fraction group, so 50 to 60, they had higher percentage of myocardial fibrosis at 15%. Dr. Philipp Lurz: And then on left ventricular biopsy, we saw that patients with a high ejection fraction group, they had less myocardial fibrosis, so more fibrosis in those with the lower ejection fraction group. And this is really interesting because when we then look at the real size of the pressure volume loop analysis, despite the fact that the high ejection fraction group had less fibrosis, they had the most stiff ventricles on pressure volume loop analysis. So that's already a very important point because it illustrates once again that we should not mistake fibrosis with stiffness, and also not the other way around. There are other parameters which can cause stiffness such as cellular stiffness, and it's not just the extracellular matrix. Dr. Philipp Lurz: So that's an important point. Those patients with high ejection fraction, they had the most stiff ventricles. They had the most relevant limitations in left ventricular filling, so the most marked diastolic dysfunction. We also looked at systolic parameters and there we found that they had a very high contractility. So this is the end systolic pressure volume relationship or also called elastics and that's a marker for contractility. So these ventricles with high ejection fraction, they can contract very well. They have high contractivity. But this is also a marker of systolic stiffness. So they stiff, both in terms of diastolic properties, but also systolic properties. And there, their most important limitation is the limitation in filling. Dr. Philipp Lurz: The other group, injection fraction 50 to 60, they do have some stiffness. Obviously we are talking about HFpEF. This is a disease of a diastolic dysfunction. So they have increased stiffness, but to a lesser extent. They can feel a little bit better, but what we see there is a reduction in contractility, so systolic properties. So you could argue that in some extent, that group 50 to 60, they behave a little bit more like HFrEF. Whereas those with high ejection fraction, they're completely different. Very stiff, both doing diastolically and sistolly. Dr. Carolyn Lam: Thank you so much. Now I really have to get the gurus insight into this. And of course by guru, I mean, Dr. Daniel Burkhoff. First, I'm going to take this opportunity to share a little private personal story that it's very hard for me to call Dr. Burkhoff, "Dan", although if you will allow me it's because I was a fellow when I first met Dr. Burkhoff. And one of my first papers was actually communicating with Dr. Burkhoff trying to draw these PV loops based on the noninvasive measurements that I was obtaining at the Mayo Clinic in the Olmsted County Cohort. And so this is just really making me smile. So Dan, if I may, what do you make of all this? And if you could give us what you think may be the clinical take home message. Dr. Daniel Burkhoff: Thank you so much, Carolyn. And also again, Philipp, congratulations on really a really important paper. I think as Carolyn was saying, one of the many things that impressed me was the multifaceted aspects of the thorough evaluation using multi modality characterization, which is in my mind, unprecedented, especially for this particular group of patients. And you summarized the main results very well. But to me, the thing that really struck me and that we really tried to emphasize in our editorial was the differential response to exercise, to hand grip exercise in this point. Dr. Daniel Burkhoff: As you already said, and I don't think this could be understated, that in the lower range, the 50 to 60, these patients were able to fill, the ventricle was able to fill more, the end diastolic pressure still went up significantly into an abnormal range, which is of course is one of the requirements for the diagnosis of HFpEF. But those patients, the end diastolic volume was able to increase and that helped them to increase their cardiac output. Dr. Daniel Burkhoff: In the higher EF group, the greater than 60, the end diastolic pressure went up, but the volume did not increase. So the end diastolic pressure volume relationship became higher elevated. And this of course, was reminiscent of what was identified in the early nineties by Dalane Kitzman. And really, he didn't make this distinction between the lower half and the higher half. And we had also in a paper that we did with David K and others, seen a similar finding a couple years ago. And I think this is really, to me, was the along with the apparently disparate findings on myocardial biopsies with fibrosis going the wrong way, if you will, as you already commented on. So this is at least for the higher EF group, is identifying what I would refer to as really true diastolic dysfunction. Dr. Daniel Burkhoff: That means that the patients can't fill, there really is some problem why the EDP can go up, but the volume does not increase. And this is obviously for future research, we have to understand what is the difference between these two groups. There are several speculations about why it might. For example, one thing that has been proposed in the literature is the pericardial restraints. If the heart is constrained in a tight pericardium, the volume is recruited from the venous system, which is another what I think is a very important part of this HFpEF phenotype, but the heart is already constrained. That would elevate both the CVP and the wedge pressure without concomitant increases in RV or LV volumes, and therefore limit the ability to increase the cardiac output. Dr. Daniel Burkhoff: Another alternative is delayed relaxation. That means a true abnormality of active relaxation. The tau if you will, but I believe in your study, if I remember correctly, the tau was not that abnormal and did not really change very much in either group. So it was harder to really pin it on an abnormality of active relaxation. So that was one really, I think, really important finding. Dr. Daniel Burkhoff: The second is now in the group 50 to 60 where they could fill, one of the limitations of the study that you pointed out was that there's no control group. So why this population, this HFpEF population, the EDP increased, but the EDV the end diastolic volume also increased, so what's different between those patients and normals? That we don't really have an answer for yet. So that would be one thing is to compliment these findings with results in a true control group that does not have HFpEF. Dr. Daniel Burkhoff: So we still have this mystery of why does EDP go up in this group? My perspective is not an abnormality of diastolly. It's not a diastolic dysfunction, even though it's a HFpEF. I've been trying to promote this idea for more than 20 years, that all HFpEF is not an abnormality of diastolic ventricular properties. There may be extra cardiac factors even beyond the pericardium in this group. So I think these results are just further telling us how complicated and individualized our approach to the pathophysiology of these patients should be. Dr. Daniel Burkhoff: And also just one final comment, making a strict cutoff at 60% or 57% as we saw from Valsartan Cuba trial, Valsartan study, is clearly also not going to do us justice. Let's say that we're dealing with anyway, patients with two different pathophysiologies. There's going to be a distribution of these different mechanisms and there's going to be an overlap of these distributions. So we need to start thinking about how we individualize and characterize the pathophysiology in individual patients. So maybe patients with EF of 55, certain patients with EF 55 will not respond to Sacubitril- Valsartan and maybe some patients with an EF of 62 will. So we need to go more deep into the clinical characterization. Dr. Daniel Burkhoff: And methods that you use in particular, the pressure volume loop, seem to separate, very nicely, these two different, at least two different subtypes. So I think it's very exciting, and I think people should really take notice of what you found and build on this as a foundation and understand that we need to go deeper on the clinical side to phenotype these patients. Dr. Carolyn Lam: Philip, what are your thoughts? Dr. Philipp Lurz: No, I think that the concept about stress and unstressed volume is extremely important and fascinating, but that's where it gets really complex because you could make the conclusion from our results that especially the high ejection fraction group, they are have a very high preload sensibility, which means that when we reduce pre-load too much in them, they drop the stroke volume very suddenly. So that's probably also the clinical question for the future. There are many patients, HFpEF patients in whom we should reduce stress volume and they can benefit from that. Dr. Philipp Lurz: But I also believe that there is a cord of patients, and those are probably more those with high ejection fraction. They actually, they could experience some harm if you reduce preload too much because of the severe filling restrictions, because of the inability to increase end diastolic volumes, especially as an adaptation to exercise. And I think if we find out ways to differentiate who will benefit from preload reduction and from decongestion and who actually might experience even harm from these interventions, then we are certainly one step further. Dr. Carolyn Lam: If I may, I just, I could go on forever, but I know that there's going to be this question that the audience is immediately thinking. Here we are going into the weeds, hemodynamics, we all love it. In fact, I think we're all kind of a little bit geeky about it, but then you've got, Emperor preserved, the Deliver Trial sort of being positive in heart failure with ejection fraction above 40. So, do we really need to understand the different hemodynamic? What do you think is happening that this sort of blanket benefit can occur? Dr. Philipp Lurz: I don't think that everyone will benefit. And I think that a better understanding of the underlying pathophysiology will help to even increase the rate of responders and dissect of those who will not respond or we need a different therapy. Obviously here we group patients according to ejection fraction. We just discussed that this is a very rough way to characterize patients. So the next step certainly would be to understand or to see distinct patterns in left ventricular functional behavior irrespective of ejection fraction. Because you might can skip ejection fraction at one day, but the conclusion is not, at least not in my opinion, that all heart failure is the same. Dr. Carolyn Lam: Nice. And Dan, what do you think? Dr. Daniel Burkhoff: Well, I think with STLT2 inhibitors, first of all, we're looking forward to actually seeing the results from Deliver what the details of it in terms of mortality versus hospitalizations and quality of life. But with regard to HSGL2 inhibitors, I don't think we know the mechanism. I mean, I've read about six papers that definitively talk about different mechanisms of action. I think we don't know. And even despite, let's say positive studies, there's still a significant residual risk that these patients have. So these are not the end of the story by any means. I think this is the beginning of the story and there's still going to be a lot to learn. Dr. Daniel Burkhoff: I think with SGLT2 inhibitors, I think it's difficult to identify who is or how do you define a responder on an individual patient basis? When we look at groups and you look at mortality and hospitalizations, yes, you can identify them. But that group does not overlap exactly with those who have an improvement in quality of life. So I think that we're just at the beginning, Dr. Daniel Burkhoff: I do think that a deeper phenotyping is going to be the way to go ultimately and I think we're going to need more therapies. Thanks again, Carolyn for inviting me to do the editorial and to participate in this. And I would really be remiss if I did not mention the extraordinary contributions for Mickey Brener and also Barry Borlaug who were equal contributors to this editorial and the evaluation of this paper. So I'm really indebted to both of them for this interpretations. And thank you again, Philipp, for just a wonderful paper. Dr. Carolyn Lam: Couldn't have said it better and I just want to thank you once again for providing that deeper phenotyping for opening the door. Many of us said it again and again, this is the beginning and we need more studies, frankly, in yours. I mean, I think Dr. Burkhoff wants you to send normal, healthy people for MRI biopsies, exercise, echo. I'm kidding, on PV loops, but it's true. We need that data. We need the same and the HFrEF and really just to understand the whole thing. I'm so excited about what this paper opens up. Dr. Carolyn Lam: I am thrilled to see your editorial, Dan. I'm sure it's going to be well received. Everyone who's listening to this, Pick up the paper, pick up the editorial. Thank you so much for joining us today. You've been listening to Circulation on the Run and from Greg and I, don't forget to tune in again next week, Dr. Greg Hundley: This program is copyright of the American Heart Association, 2022. The opinions expressed by speakers in this podcast are their own and not necessarily those of the editors or of the American Heart Association. For more, please visit hajournals.org.

I had a wonderful time talking with Danielle Campbell. She is MPA, Adoptee, MDHHS Foster Care Specialist, advocate, and more. Danielle walked us through her experience in care also her experience while being an adoptee and more.

This episode features Sarah Lowery, LPC, MPA, EMDR-II, Director of Clinical Services at The BridgeWay     If you need to reach us immediately, call us at 800-245-0011. Licensed mental health professionals are available 24 hours a day, 7 days a week to assist you or your loved one.     For more information, https://thebridgeway.com/     Podcast Produced by clantoncreative.com

Marine protected areas are sections of the ocean where governments place limits on human activity.  They are intended to provide long-term protection to important marine and coastal ecosystems.  MPAs are important because they can protect depleted, threatened, rare, and endangered species and populations. In January 2020, the Republic of Palau in the western Pacific Ocean […]