Podcasts about mrf

March 27th is World Cheese Day, a celebration initiated in France in 2001 to celebrate the role cheese plays in the world’s diet . Using data from MAPS, a survey of 20,000 South Africans conducted by the MRF, Eighty20, South Africa’s leading consumer analytics and data science agency examines how South Africans currently consume cheese.Andrew Fulton from Eighty 20 joined Clarence to unpack the data around SA cheese consumption. See omnystudio.com/listener for privacy information.

Nancy shares the heartbreaking story of losing her daughter at 27 weeks pregnant. Realizing her waters had opened while traveling, Nancy discovers her body going into the birth process at her parents home. Nancy describes the complexity, darkness, and hope that it is to walk intimately with loss. Follow Nancy on Instagram @nancylucina✨Get on the waitlist for the FBS private membership community “The Lighthouse” - Doors open February 24th for just a few short days! -https://www.freebirthsociety.com/membership-waitlist✨ Enrollment is open for MatriBirth Family, our signature Sovereign Childbirth Education program. This is a 6 week *live* series taught by Emilee Saldaya and Yolande Norris-Clark. We only run it once a year and limit it to 20 spots! -https://www.freebirthsociety.com/matribirthfamily✨ MRF tickets are now LIVE! Join us for our annual women's gathering - https://www.matriarchrisingfestival.com/✨Connect with Free Birth Society on Instagram at -https://www.instagram.com/freebirthsociety✨Check out our best-selling course, The Complete Guide to Freebirth -https://www.freebirthsocietycourses.com/cgtf✨ Join the waitlist for the Matribirth Midwifery Institute -https://www.freebirthsociety.com/mmiwaitlist✨Get our FREE Freebirth starter kit here! -https://www.freebirthsociety.com/start-here✨Are you a sovereign birth professional? Get listed on the Matribirth Directory here -https://Matribirthdirectory.com✨Join the MatriBirth Directory and connect with sovereign birth professionals near you! -  https://matribirthdirectory.com/✨ Get on the waitlist for REIGN ~ Emilee Saldaya's action-oriented coaching container that is guaranteed to elevate you into your next phase of life for 2025 -https://www.freebirthsociety.com/reign✨Donate to the podcast -https://www.paypal.com/donate/?hosted_button_id=2YJBSCNYXT52Y✨Subscribe to our Youtube channel -https://www.youtube.com/@FreeBirthSociety✨Learn about everything we do at  -https://www.freebirthsociety.com~~~~~This episode is brought to you by Dr. Jennifer Tice, ND - Naturopathic Pediatrician + Homeopathic Expert

I'm excited to have Dr. Lauren Harte-Hargrove, executive director of the Misophonia Research Fund (MRF). We talk about this fund's origins, and the evolution of research around misophonia. We start by getting a little into her background in neuroscience and her transition to the nonprofit sector. About the MRF and current research talk about some current focus areas of research, including the prevalence of misophonia, potential treatments, and the integration of AI in research. Lauren also raises some important issues like the significance of community perspectives in shaping research priorities and the challenges of conducting studies with diverse populations. Finally we also talk about the funding landscape in general in light of recent turmoil in federal funding. But overall, Lauren rightfully expresses optimism for future developments and the power of partnerships in advancing misophonia research.  https://www.misophoniaresearchfund.org/-----Web: https://misophoniapodcast.comBe a guest! https://misophoniapodcast.com/be-a-guestSupport the podcast at https://misophonia.shopEmail: hello@misophoniapodcast.comSend me any feedback! Also, if you want some beautiful podcast stickers shoot over your address.YouTube channel (with caption transcriptions)Social:Instagram - @misophoniapodcastFacebook - misophoniapodcastTwitter/X - @misophoniashowOrder "Sounds like Misophonia" - by Dr. Jane Gregory and ISoQuiet - Misophonia Advocacyhttps://soquiet.orgSupport the show

Sally shares her heart wrenching story of birthing her twin boys at home and the vicious nationwide media attacks that followed after one of the boys was stillborn and the other passed away shortly after.   Follow Sally on Instagram @sallypatti ✨Get on the waitlist for the FBS private membership community “The Lighthouse” - Doors open February 24th for just a few short days! - https://www.freebirthsociety.com/membership-waitlist ✨ Enrollment opens February 14th for MatriBirth Family, our signature Sovereign Childbirth Education program. This is a 6 week *live* series taught by Emilee Saldaya and Yolande Norris-Clark. We only run it once a year and limit it to 20 spots so get on the waitlist! - https://www.freebirthsociety.com/matribirth-family-waitinglist ✨The Radical Birthkeeper School opens for enrollment through March 3rd! Welcome to the new paradigm of birth-work. Get on the waitlist! - https://www.freebirthsociety.com/rbkwaitlist  ✨ MRF tickets are now LIVE! Join us for our annual women's gathering -  https://www.matriarchrisingfestival.com/ ✨Connect with Free Birth Society on Instagram at - https://www.instagram.com/freebirthsociety ✨Check out our best-selling course, The Complete Guide to Freebirth - https://www.freebirthsocietycourses.com/cgtf ✨ Join the waitlist for the Matribirth Midwifery Institute - https://www.freebirthsociety.com/mmiwaitlist ✨Get our FREE Freebirth starter kit here! - https://www.freebirthsociety.com/start-here ✨Are you a sovereign birth professional? Get listed on the Matribirth Directory here - https://Matribirthdirectory.com ✨Join the Matribirth Directory and connect with sovereign birth professionals near you! -  https://matribirthdirectory.com/ ✨ Get on the waitlist for REIGN ~ Emilee Saldaya's action-oriented coaching container that is guaranteed to elevate you into your next phase of life for 2025 - https://www.freebirthsociety.com/reign ✨Donate to the podcast - https://www.paypal.com/donate/?hosted_button_id=2YJBSCNYXT52Y ✨Subscribe to our Youtube channel - https://www.youtube.com/@FreeBirthSociety ✨Learn about everything we do at  - https://www.freebirthsociety.com ~~~~~ This episode is brought to you by Dr. Jennifer Tice, ND - Naturopathic Pediatrician + Homeopathic Expert

In order to find solutions, you must articulate the problem. It's undeniable as we look around our country that children are sick and suffering. Today, with my naturopathic doctor and friend, Dr. Jen Tice, we tackle the main contributing factors to why our American children are so sick. In part 2 of this episode we explore tangible accessible solutions that we can apply to our lives today.  Follow Jen on Instagram @dr.jennifer.tice ✨The Blood Mysteries School is open for Enrollment through January 31st! Become the wise woman that you know deep down you already are - https://www.freebirthsociety.com/bloodmysteriesschool ✨ MRF tickets are now LIVE! Join us for our annual women's gathering -  https://www.matriarchrisingfestival.com/ ✨Connect with Free Birth Society on Instagram at - https://www.instagram.com/freebirthsociety ✨Check out our best-selling course, The Complete Guide to Freebirth - https://www.freebirthsocietycourses.com/cgtf ✨ Join the waitlist for the Matribirth Midwifery Institute - https://www.freebirthsociety.com/mmiwaitlist ✨Get our FREE Freebirth starter kit here! - https://www.freebirthsociety.com/start-here ✨Are you a sovereign birth professional? Get listed on the Matribirth Directory here - https://Matribirthdirectory.com ✨Join the Matribirth Directory and connect with sovereign birth professionals near you! -  https://matribirthdirectory.com/ ✨Get on the waitlist for the FBS private membership community “The Lighthouse” - https://www.freebirthsociety.com/membership-waitlist ✨ Get on the waitlist for REIGN ~ Emilee Saldaya's action-oriented coaching container that is guaranteed to elevate you into your next phase of life for 2025 - https://www.freebirthsociety.com/reign ✨Donate to the podcast - https://www.paypal.com/donate/?hosted_button_id=2YJBSCNYXT52Y ✨Subscribe to our Youtube channel - https://www.youtube.com/@FreeBirthSociety ✨Learn about everything we do at  - https://www.freebirthsociety.com ✨Work with Jen - https://redrocknaturopathic.com

Joy hired the same medical midwife for her first three home births. However, after the midwife completely sabotaged her third birth, Joy decided to never work with her again. When she got pregnant with her fourth she chose to have a freebirth and tells the story of her peaceful pregnancy and the beautiful experience of being the first person to pick up her baby.   Follow Joy in Instagram @MorphitMama ✨The Blood Mysteries School is open for Enrollment through January 31st! Become the wise woman that you know deep down you already are - https://www.freebirthsociety.com/bloodmysteriesschool ✨ Initiated Woman session 3 is coming up! Join us for this FREE, life-changing 3-part series to initiate yourself into embodied and mature womanhood. Register at - https://www.freebirthsociety.com/initiatedwoman ✨ MRF tickets are now LIVE! Join us for our annual women's gathering -  https://www.matriarchrisingfestival.com/ ✨Connect with Free Birth Society on Instagram at - https://www.instagram.com/freebirthsociety ✨Check out our best-selling course, The Complete Guide to Freebirth - https://www.freebirthsocietycourses.com/cgtf ✨ Join the waitlist for the Matribirth Midwifery Institute - https://www.freebirthsociety.com/mmiwaitlist ✨Get our FREE Freebirth starter kit here! - https://www.freebirthsociety.com/start-here ✨Are you a sovereign birth professional? Get listed on the Matribirth Directory here - https://Matribirthdirectory.com ✨Join the Matribirth Directory and connect with sovereign birth professionals near you! -  https://matribirthdirectory.com/ ✨Get on the waitlist for the FBS private membership community “The Lighthouse” - https://www.freebirthsociety.com/membership-waitlist ✨ Get on the waitlist for REIGN ~ Emilee Saldaya's action-oriented coaching container that is guaranteed to elevate you into your next phase of life for 2025 - https://www.freebirthsociety.com/reign ✨Donate to the podcast - https://www.paypal.com/donate/?hosted_button_id=2YJBSCNYXT52Y ✨Subscribe to our Youtube channel - https://www.youtube.com/@FreeBirthSociety ✨Learn about everything we do at  - https://www.freebirthsociety.com ✨Connect with Joy - https://morphitseamoss.com/

Chrissy was called to motherhood in her 40's and navigated a highly medicalized pregnancy and birth with her first, and then a miscarriage and D&C. With her third pregnancy she let go of the “high risk” and “geriatric” labels, fired her midwife at 39 weeks, and chose to freebirth her son. Follow Chrissy on Instagram: @chrissybethhubbard ✨The Blood Mysteries School is open for Enrollment through January 31st! Become the wise woman that you know deep down you already are - https://www.freebirthsociety.com/bloodmysteriesschool ✨ Initiated Woman session 2 & 3 are coming up! Join us for this FREE, life-changing 3-part series to initiate yourself into embodied and mature womanhood. Register at - https://www.freebirthsociety.com/initiatedwoman ✨ MRF tickets are now LIVE! Join us for our annual women's gathering -  https://www.matriarchrisingfestival.com/ ✨Connect with Free Birth Society on Instagram at - https://www.instagram.com/freebirthsociety ✨Check out our best-selling course, The Complete Guide to Freebirth - https://www.freebirthsocietycourses.com/cgtf ✨ Join the waitlist for the Matribirth Midwifery Institute - https://www.freebirthsociety.com/mmiwaitlist ✨Get our FREE Freebirth starter kit here! - https://www.freebirthsociety.com/start-here ✨Join the Matribirth Directory and connect with sovereign birth professionals near you! -  https://matribirthdirectory.com/ ✨Get on the waitlist for the FBS private membership community “The Lighthouse” - https://www.freebirthsociety.com/membership-waitlist ✨ Get on the waitlist for REIGN ~ Emilee Saldaya's action-oriented coaching container that is guaranteed to elevate you into your next phase of life for 2025 - https://www.freebirthsociety.com/reign ✨Donate to the podcast - https://www.paypal.com/donate/?hosted_button_id=2YJBSCNYXT52Y ✨Subscribe to our Youtube channel - https://www.youtube.com/@FreeBirthSociety ✨Learn about everything we do at  - https://www.freebirthsociety.com Check out Chrissy's Offerings: Chrissy's online course for women - Wild Heart Woman: https://www.shambhalaliving.com.au/wildheartwoman Free Fertility Empowerment Practices video:  https://www.shambhalaliving.com.au/FertilityEmpowermentJoin Chrissy's Human Design Website:  https://chrissybethcoaching.com/

Brittany was diagnosed with brain tumors at the age of 20 and was told she'd never get pregnant and it was too dangerous to give birth. After seven years of failed IVF and surrogacy attempts, Brittany decided to try to get pregnant naturally, and to the surprise of all her doctors, she did. During her first birth and through the pregnancy of her second, Brittany started to reclaim her authority and trust in her own body. Brittany decided to have a sovereign birth with her third child and since then has begun untangling herself and her family from the medical system. Find Brittany on Instagram: @abitobritt

Epic Irish poet, Siobhan, is on the show today sharing her wild story from a dehumanizing hospital birth, placenta previa, to freebirth.  Follow Siobhan @Siobhandepaor_focail ✨ MRF tickets are now LIVE! Join us for our annual women's gathering  https://www.matriarchrisingfestival.com/ ✨ Initiated Woman is coming up! Join us in January for this FREE, life-changing 3-part series to initiate yourself into embodied and mature womanhood. Register at https://www.freebirthsociety.com/initiatedwoman.  ✨Connect with Free Birth Society on Instagram at https://www.instagram.com/freebirthsociety ✨Check out our best-selling course, The Complete Guide to Freebirth - https://www.freebirthsocietycourses.com/cgtf ✨ Join the waitlist for the Matribirth Midwifery Institute - https://www.freebirthsociety.com/mmiwaitlist ✨Get our FREE Freebirth starter kit here! - https://www.freebirthsociety.com/start-here ✨Are you a sovereign birth professional? Get listed on the Matribirth Directory here - https://Matribirthdirectory.com ✨Join the Matribirth Directory and connect with sovereign birth professionals near you! -  https://www.freebirthsociety.com/directorywaitlist ✨Get on the waitlist for the FBS private membership community “The Lighthouse” https://www.freebirthsociety.com/membership-waitlist ✨ Get on the waitlist for REIGN ~ Emilee Saldaya's action-oriented coaching container that is guaranteed to elevate you into your next phase of life for 2025 - https://www.freebirthsociety.com/reign ✨Donate to the podcast - https://www.paypal.com/donate/?hosted_button_id=2YJBSCNYXT52Y ✨Subscribe to our Youtube channel - https://www.youtube.com/@FreeBirthSociety ✨Learn about everything we do at  - https://www.freebirthsociety.com

As 2024 turns to 2025 in the next few days, the city of Elgin prepares to change waste haulers, moving on from a 20+ year contract with Waste Management (WM) to a new contract with Lakeshore Recycling Services (LRS).This is the final episode of The Elgin Watchman's Season Three special series on Waste. We've been calling this series WASTE WARS. In this episode, Tia and Kendra talk about the tour that LRS generously took them on of the company's MRF (aka Materials Recovery Facility, which is kind of like a recycling facility). If you are interested in learning more about Elgin's new waste hauling company, you will want to tune into this episode. It is an awesome behind the scenes look at a company who cares about the environment and someone with whom Elgin residents are about to enter into a multi-year relationship. This is a must listen to episode for anyone who cares about waste and recycling.To access LRS' Elgin Resident online portal, CLICK HERE. For more information on so many sustainability related issues, please visit our website, LIKE our Facebook page, and subscribe to our podcast using one of the many RSS Readers on our Buzzsprout podcast platform.

Let's set the scene- You've planned the perfect evening. A Friday night—date night. You and your wife are dressed to the nines. There's a show, a fantastic dinner, and deep conversation that reconnects your hearts. But then you arrive back home… What are you hoping will happen next? Here's the truth: that unspoken hope—your expectation—might be doing more harm than you realize. When a husband subconsciously expects intimacy, it can feel like pressure to his wife. And that pressure? It makes her withdraw. Intimacy begins to feel transactional—like something she owes you, a “reward” for good effort, rather than a mutual outpouring of love. In fact, the more you expect it, the less she'll desire it. So, how do you break free from this pattern and draw her closer instead? Here are three key ideas: Drop the expectations & be content in your life (find true contentment in life by letting God satisfy you in many ways) Share your feelings more with your wife (She needs emotional connection in order to be open to physical intimacy) Think strategically about your marriage (You're intentional about your career, your goals—why not your marriage?) In today's episode, we unpack these three steps and explore how to release the pressure of expectations, discover fulfillment outside of intimacy (even when sex isn't in the picture) [We highly recommend you checking out Ep. 417: Re-sensitize Your Pleasure for more on this topic], and create a marriage that's full of joy, connection, and God-honoring pleasure. We believe God when he said he meant for couples to be “one flesh”. And we believe that he created intimacy to be unifying, satisfying, and connecting heart, soul, and body. We hope this episode brings a new perspective and new joy, intimacy, and connection into your marriage.   God bless you!   Belah & Team   PS - If this episode resonates with you, we highly recommend signing up for our FREE Masculinity Reclaimed Foundations Course at delightym.com/mrf. PPS - Here is a quote from a recent MRF graduate: "We were emotionally, intimately, and spiritually disconnected. We lived in the same house but didn't live together. I was angry and bitter, critical of everything, and judgmental. I hated that about myself. [Now,] My wife and I are closer than we have ever been! She has a glow. It's crazy how much we love each other. Life is fun! I can't stand to be without her. Glory to God!”

Welcome to CNBC-TV18's Marketbuzz Podcast. Here are top developments from around the world ahead of the trading session of November 8 -Asian equities climbed this morning after stocks, bonds and commodities all rallied in the US as the Federal Reserve cut interest rates. It remains to be seen whether or not Indian equities will follow suit. The GIFT Nifty was flat this morning, trading at a discount of less than 20 pts, from Nifty Futures Thursday close, indicating a muted start for the Indian market -Yesterday, the Indian markets witnessed profit booking after a huge surge over the last two trading sessions. A 300-point drop after hitting an intraday high of 24,503 may not have pleased the Nifty bulls. The Nifty 50 concluded near 24,200, shedding over a percent from its last close, while Sensex fell 836 points to settle at 79,542. -Today, the Street will react to the FOMC interest rate decision. Traders had about fully priced in a 25-basis point rate cut. -Earnings reactions will be seen from Lupin, NCC, Emami, Lupin, Cochin Shipyard, NHPC, Steel Authority of India, Ircon International that reported results after market hours on Thursday. -Stocks like State Bank of India, Tata Motors, MRF, Ashok Leyland, Equitas Small Finance Bank, CE Info Systems, Bajaj Hindusthan Sugar, India Cements, INOX India, Dreamfolks Services, among others will be reporting results on November 8. -The Federal Reserve did cut its key interest rate last night by a quarter-point in response to the steady decline in the once-high inflation that angered Americans and helped drive Donald Trump's presidential election victory this week. -Overnight in the U.S., the S&P 500 and Nasdaq rose, extending a rally after Donald Trump's victory in the U.S. presidential election and the latest rate cut from the Federal Reserve. This morning, Australian, Japanese, South Korean and Chinese shares all advanced, supporting a second day of gains for a region-wide equity gauge. Treasuries ticked lower in Asia while US equity futures were little changed. -In commodities, gold trimmed some of its advance from Thursday, while oil headed for a weekly gain. Bitcoin was little changed. Tune in to Marketbuzz Podcast for more cues

Eighty20 Consulting explores the role of language in South Africa, which has 11 official languages and a national anthem featuring three dialects. Their analysis, based on the General Household Survey and MAPS, a representative survey of 20,000 people produced by the MRF, reveals the complexity of language use in the country.Andrew Fulton.See omnystudio.com/listener for privacy information.

Dr. Sepideh Gholami and Dr. Aaron Scott join us to discuss the latest evidence-based guideline from ASCO on the management of locally advanced rectal cancer. They review the recommendation highlights on topics including assessment, total neoadjuvant therapy, timing of chemotherapy, nonoperative management, and immunotherapy. Additionally, we discuss the importance of this guideline for both clinicians and patients, and the outstanding research questions in the management of locally advanced rectal cancer. Read the full guideline, “Management of Locally Advanced Rectail Cancer: ASCO Guideline” at www.asco.org/gastrointestinal-cancer-guidelines. TRANSCRIPT  This guideline, clinical tools, and resources are available at www.asco.org/gastrointestinal-cancer-guidelines. Read the full text of the guideline and review authors' disclosures of potential conflicts of interest in the Journal of Clinical Oncology, https://ascopubs.org/doi/10.1200/JCO.24.01160    Brittany Harvey: Hello, and welcome to the ASCO Guidelines podcast, one of ASCO's podcasts delivering timely information to keep you up to date on the latest changes, challenges, and advances in oncology. You can find all the shows, including this one at ASCO.org/podcasts. My name is Brittany Harvey, and today I'm interviewing Dr. Aaron Scott from the University of Arizona Cancer Center and Dr. Sepideh Gholami from Northwell Health, co-chairs on, “Management of Locally Advanced Rectal Cancer: ASCO Guideline.” Thank you for being here, Dr. Scott and Dr. Gholami. Dr. Sepideh Gholami: Thank you for having us. Brittany Harvey: Then, before we discuss this guideline, I'd like to note that ASCO takes great care in the development of its guidelines and ensuring that the ASCO conflict of interest policy is followed for each guideline. The disclosures of potential conflicts of interest for the guideline panel, including Dr. Scott and Dr. Gholami, who have joined us here today, are available online with a publication of the guideline in the Journal of Clinical Oncology, which is linked in the show notes. So then, to kick us off on the content of this episode, Dr. Gholami, first, what is the purpose and scope of this guideline on locally advanced rectal cancer? Dr. Sepideh Gholami: Well, I think, historically, this is the group of patients with locally advanced rectal cancer for which we've used multiple therapies to address their management. And with the advent of the total neoadjuvant approach, we really have seen tremendous changes. So the purpose really of these guidelines was to consolidate the various approaches that we've had in several clinical trials and to provide the oncology community a general management recommendation guideline to really optimize the outcomes for these patients. And I would further notice that with the specifics to like which patients are included for these, so we define patients with locally advanced rectal cancer as any of those patients with T3 or T4 tumors and/or lymph node positive disease. Brittany Harvey: Great. I appreciate you providing that background and context of this guideline. So then, next, I'd like to review the key recommendations of this guideline. So, Dr. Scott, starting with the first section of the guideline, what are the recommendations for assessment of locally advanced rectal cancer? Dr. Aaron Scott: Yeah, thank you. So really, we were charged with trying to answer, I think, several very important questions as it comes to the treatment of locally advanced rectal cancer. And the first step in doing so is to define the patient group. So, as far as the first section goes in the assessment, we were really charged with defining what locally advanced rectal cancer means. We think that this is best done with a high resolution pelvic MRI, dedicated rectal sequence prior to any treatment for risk assessment and proper staging, and the use of standardized synaptic MRI is recommended that includes relation of the primary tumor to the anal verge, sphincter complex, pelvic lymph nodes, the mesorectal fascia, otherwise known as the MRF, and includes assessment of the EMVI tumor deposits and lymph nodes. Brittany Harvey: I appreciate you reviewing those highlights for assessment of locally advanced rectal cancer. So following that, Dr. Gholami, what does the panel recommend regarding total neoadjuvant therapy and standard neoadjuvant chemotherapy for patients with proficient mismatch repair or microsatellite stable tumors? Dr. Sepideh Gholami: Yeah, thanks so much for that question, Brittany. I would say that the guidelines really provide a lot more details, but in general, the consensus was that TNT should be offered as really initial treatment for patients with low rectal locally advanced rectal cancers or those who have higher risk for local and distant metastases. Those risk factors included anyone with either T4 disease, extramural vascular invasion and/or tumor deposits identified on the MRI for any threatening of the mesorectal fascia or the intersphincteric plane. Brittany Harvey: Excellent. So then, Dr. Gholami just discussed who should be offered TNT. But Dr. Scott, what are the recommendations regarding timing of TNT? Dr. Aaron Scott: So the way I take this question, think about this question, is a lot of the work that we put toward defining whether chemoradiation plus consolidation versus induction chemotherapy is the right choice, and there are a lot of implications to consider in this situation. The panel recognizes that the decision to proceed with chemoradiation followed by chemo versus chemotherapy followed by chemoradiation often depends on logistics regarding the time to treatment start, concern for distant metastases, and desire for local control that may impact surgical decision making. When we look at the subgroup analysis for overall survival of patients treated with TNT, it doesn't seem to matter which approach you take. Either induction or consolidation doesn't seem to have an impact on overall survival. However, there are other outcomes that may be of importance. Based on the CAO/ARO/AIO-12 randomized phase II trial, both pathologic complete response rates and sphincter sparing surgery were numerically higher with consolidation chemo. That said, there was no difference in disease free survival. So if you have a patient that really wants to consider some sort of sphincter sparing surgery, or a patient has a highly symptomatic disease burden, etc., these are patients that we would recommend starting with chemoradiation followed by consolidation chemotherapy. Brittany Harvey: Understood. And so you have both mentioned radiation included in treatment regimens. So Dr. Gholami, what is recommended in the neoadjuvant setting? Short course radiation or long course chemoradiation? Dr. Sepideh Gholami: Yeah, we actually had a really long discussion about this, but I think in general the consensus was that if radiation is included in any patient's treatment plan, neoadjuvant long course chemoradiation is preferred over short course RT for patients with locally advanced rectal cancer. And really the recommendation was based on the long term results that we've seen from the RAPIDO phase 3 clinical trial, which showed a significant higher rate of five year local regional failure with a total neoadjuvant approach with short course of 10% compared to the standard chemo RT with only 6% of the local recurrence rate. So that's why they opted for the long course, if the patients can actually tolerate it. Brittany Harvey: Excellent. I appreciate reviewing the recommendation and the supporting evidence that the panel reviewed to come to those recommendations. Then following that, Dr. Scott, for those patients who have a complete clinical response after initial therapy, what is recommended regarding nonoperative management? Dr. Aaron Scott: First, I would like to just say that this is really an area that still remains somewhat controversial and needs more investigation to best select patients for this approach. This topic was not systematically reviewed for the ASCO guideline. However, the expert panel was surveyed and most agreed with the time interval used in the OPRA phase 2 trial, which assessed patients for clinical complete response within eight weeks plus or minus four weeks after completion of TNT. Expert panel members and reviewers noted that if the radiation therapy component of TNT is delivered first, then an eight week interval following subsequent chemotherapy may result in a prolonged period of no treatment and therefore a first assessment of this response in this scenario would occur on the earlier side of the recommended interval. If a near clinical complete response is noted, then reevaluation within eight weeks is recommended to assess for developing a clinical complete response. Brittany Harvey: Absolutely. That information is helpful to understand what is recommended regarding nonoperative management and clinical complete responses. Then the final clinical question, Dr. Gholami, for patients with tumors that are microsatellite instability high or mismatch repair deficient, which treatment strategy is recommended? Dr. Sepideh Gholami: Yeah, I think we really came up to summarize that in general, when there is no contraindication to immunotherapy, then patients with MSI high tumors should be really offered immunotherapy. The evidence for this recommendation was relatively low, though, just due to the small sample size of the data that's currently available. But we did want to highlight that the data is very promising, but a definitive recommendation by the committee should be validated in future larger clinical trials. Brittany Harvey: Absolutely. Well, thank you both for reviewing the highlights of these recommendations for each clinical question. Moving on, Dr. Scott, in your view, what is the importance of this guideline and how will it impact both clinicians and patients with locally advanced rectal cancer? Dr. Aaron Scott: This would be the first guideline through ASCO to spell out management options for locally advanced rectal cancer. This has largely been needed due to the increased number of phase II and III trials investigating the specific patient population that have investigated a variety of different TNT approaches and treatment combinations utilizing systemic therapy, radiation, and surgical treatment. So, in this guideline, we really set out to define what locally advanced rectal cancer is, have organized and analyzed impactful large randomized studies to address multimodality therapy, and have consolidated this information into what we consider a concise and generalizable approach to help clinicians and patients individualize their management based on specific clinical pathologic features of their cancer. Brittany Harvey: Yes, this has been a mountain of work to review all the evidence, consolidate it into a concise review of that evidence, and develop recommendations for best clinical practice for management of locally advanced rectal cancer. So then, finally, to wrap us up, Dr. Gholami, what are the outstanding questions regarding management of locally advanced rectal cancer? Dr. Sepideh Gholami: Yeah, I think I just want to reiterate, Brittany, what you mentioned, this was a tremendous amount of body work, and we really would like to thank the committee and everyone from ASCO to help us with creating these general guidelines. I think one of the outstanding questions really still remains is the use of circulating tumor DNA as a management tool for patients with rectal, locally advanced rectal cancer. And also, I think outside of what we can think of the straightforward populations to deduce from PROSPECT, be really interested to see what other patient populations, for example, could also potentially maybe avoid radiation therapy. And lastly, I think we really wanted to highlight that this guideline really focuses on the locally advanced, and it would be great to see future guidelines for early stage rectal cancer which will be forthcoming. Brittany Harvey: Definitely. We'll look forward to answering those outstanding questions and for upcoming guidelines on earlier stage rectal cancer. So, I want to thank you both so much for, as you said, the tremendous amount of work that went into these guidelines and thank you for taking the time to speak with me today, Dr. Scott and Dr. Gholami. Dr. Aaron Scott: Thank you. Dr. Sepideh Gholami: Thank you so much for having us. Appreciate it. Brittany Harvey: And thank you to all of our listeners for tuning in to the ASCO Guidelines Podcast. To read the full guideline, go to www.asco.org/gastrointestinal-cancer-guidelines. You can also find many of our guidelines and interactive resources in the free ASCO Guidelines app, available in the Apple App Store or the Google Play Store. If you have enjoyed what you've heard today, please read and review the podcast and be sure to subscribe so you never miss an episode.   The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement.  

Dermatology PA-C, Renata Block joins Lisa Dent to talk about Miles for Melanoma, an event put on by The Melanoma Research Foundation. MRF is the largest independent organization devoted to melanoma. The objective is to eradicate melanoma by accelerating medical RESEARCH while EDUCATING to and ADVOCATING for the melanoma community. Chicago’s Miles for Melanoma event […]

Dr. Dustin Jones // #GeriOnICE // www.ptonice.com  In today's episode of the PT on ICE Daily Show, join Modern Management of the Older Adult division leader Dustin Jones shares tips to make HIIT more objective, being diligent with monitoring vital signs, and underdosing high-intensity with medically complex patients when needed. Take a listen to learn how to better serve this population of patients & athletes, or check out the full show notes on our blog at www.ptonice.com/blog. If you're looking to learn more about live courses designed to better serve older adults in physical therapy or our online physical therapy courses, check our entire list of continuing education courses for physical therapy including our physical therapy certifications by checking out our website. Don't forget about all of our FREE eBooks, prebuilt workshops, free CEUs, and other physical therapy continuing education on our Resources tab. EPISODE TRANSCRIPTION INTRODUCTION Hey everybody, Alan here, Chief Operating Officer at ICE. Thanks for listening to the PT on ICE Daily Show. Before we jump into today's episode, let's give a big shout out to our show sponsor, Jane. in online clinic management software and EMR. The Jane team understands that getting started with new software can be overwhelming, but they want you to know that you're not alone. To ensure the onboarding process goes smoothly, Jane offers free data imports, personalized calls to set up your account, and unlimited phone, email, and chat support. With a transparent monthly subscription, you'll never be locked into a contract with Jane. If you're interested in learning more about Jane or you want to book a personalized demo, head on over to jane.app.switch. And if you do decide to make the switch, don't forget to use our code ICEPT1MO at sign up to receive a one month free grace period on your new Jane account. DUSTIN JONES Alright folks, welcome to the PT on Ice daily show brought to you by the Institute of Clinical Excellence. My name is Dustin Jones, one of the older adult faculty within the MMOA division. Today we are talking about the top tips to apply high-intensity interval training amongst medical complexity. So I think many of us have been there, right? We're working with that individual that has a whole laundry list of different diagnoses, different medications on board, maybe in a more acute setting. And we know that high intensity interval training is helpful for people. We've seen some literature, we've read some of the research, but what does it actually mean to apply this amongst a very complex situation? All right. So we're going to cover, some key takeaways from a super helpful article that was published last year in 2023 in the Cardiopulmonary Physical Therapy Journal titled, Putting It All Together, An Evidence-Based Guide to High-Intensity Interval Exercise Prescription for Patients with Complex Comorbidities. And I really appreciated the team that wrote this article because it is difficult to navigate, right? Like, we will see some of these headlines of high-intensity interval training proven to be effective in the ICU, for example, or HIT being effective with folks that have recently suffered from a stroke. Some of these things we typically wouldn't associate high-intensity interval training with, but it's been shown to be effective. Now, when we go to apply that, it can be rather intimidating, right? I can speak to this mainly from the home health setting where The trend in home health is that people are getting discharged from more acute settings like the hospital a little too soon, right? So you have these very medically complex individuals in their home with very limited monitoring, medical support if something goes awry, and all the negative thoughts and what coulds, right? What could happen starts to creep into your head, and that can dramatically influence our intervention. Let's talk about three, I've got three main tips for y'all, things that I have learned through mainly mistakes in my career, but then also what this article talks about. One is objectify, two is monitor, three is, I'm gonna save that one for last. BE OBJECTIVE WITH HIGH-INTENSITY TRAINING All right, so the first one, we go to apply high intensity interval training. We need to be objective. Here's what can typically happen. You read an article, you maybe hear a PT on Ice daily show podcast, see a social media post like, all right, I'm going to use this with Betty tomorrow. All right, Betty, we're going to do high intensity interval training. And you're already working on gait training, for example. with Betty and so you're going to be like all right Betty I want you to go fast for 30 seconds and then I want you to walk slow for 30 seconds we're going to do that for a total of 10 minutes right great start I love what you're doing there you got a one-to-one work rest ratio it's already a goal that Betty has to improve her ambulation ability, maybe even distance endurance. Awesome. But what typically happens, right? She goes to do her fast walk. What does that actually look like? Is it fast? Or is it just slightly faster than her normal or a slower walking speed? All that I'm saying here is when, say ambulation, when we aren't objectifying it, when we aren't giving people a number to hit, to look to, to get that real-time feedback loop, they will often undershoot their intensity. This is where the ergometers that many of us have access to can be very, very helpful. A lot of these things are, they're collecting a lot of dust in a lot of clinics, to be honest, right? Like the new step. It's either collecting dust or we're throwing people on there for 20 minutes while you finish your notes or they take a nap, right? We got our recumbent bike. Maybe you have a rower, maybe you have an echo bike, maybe you have a ski in your clinic, but these are functionally all ergometers that are measuring work, they're measuring speed, they're measuring distance traveled. Those are objective metrics that we can use for dosage, that we can use to give people that target to try and hit to make sure you're reaching an intensity. Right, RJ, outpatient, has an Echobike. Echobike, you look at that screen, you've got calories, you've got watts, you've got your revolutions, right? You've got your distance. These are all things that we can use to set a goal to achieve appropriate intensity while we're performing our intervals. So RJ, for example, with the Echobike, it may be watts, right? You may say, pick a number of watts that you're trying to hit. during that 30-second interval and then it's going to be 30 seconds easier, 30 seconds rest for maybe like a total of 10 minutes with someone. Giving them that objective thing to look at is going to be so much more effective than just quote-unquote saying go faster, all right? NuSTEP has the same thing, right? Many of you all have already, I shouldn't say wasted the money, the NuSTEP can be helpful with certain patient populations But my gosh, the price per square foot of a NuStep is absolutely ridiculous. But if you already sunk the money and have one, freaking use it, man. That thing has all kinds of data and information that we can use to really redeem the NuStep, redeem that piece of equipment and achieve a higher intensity. All right? That's the first one. We need to objectify what that high intensity actually looks like. Use ergometers. If you don't have the ergometer, maybe use something like a percentage of a heart rate, for example, some other metrics that we can use to objectify. MONITOR VITALS Speaking of heart rate, number two is going to be monitor. Now, this is what really allows us to apply higher intensity intervals with medically complex individuals, is when we are monitoring Vital signs and signs or symptoms. Vital signs are absolutely huge especially in so many acute settings. Hopefully many of you all are getting them at rest initially, hopefully at least bare minimum at the initial evaluation, right? But when you're working with more acute individuals, you have these complex comorbidities. We need to be checking vitals every visit, but then when we're applying these high intensity intervals, it can be very helpful and advantageous for you to check vitals before, during exercise, and then after to gauge their response. Now I'm not saying check every single vital sign, right? But there's gonna be some pertinent ones based on who you're working with, right? So like if I have someone that is constantly cruising, you know, in the 150s over 90s blood pressure, they're pretty hypertensive. It's not managed terribly well. They sometimes have some symptoms, but a lot of times it's asymptomatic. I'm going to be checking blood pressure pretty regularly. I'll also be checking their heart rate as well. And I can do that during, and before, during, and after an interval. That's where these ergometers can be really helpful. Like a new step, for example, when I program that interval, they're working hard, but then they have that rest. That rest is when we check our vitals. I'll support their arm, get a manual blood pressure reading, and you're going to be able to gauge their response and make sure that you're in a safe zone, right? And the way we like to think about these zones is we like to think about them as traffic lights. So there's a red light in terms of things that you may see where we're going to stop exercise and a yellow light where we're going to be cautious but proceed and then green is just full send. We go into those in our Level 2 course, related to resting vitals, exercise vitals, signs and symptoms as well, related to high-intensity interval training. But for our purposes here, we want to monitor during, so you'll have a good idea of how they're responding. Another one is if someone has some type of cardiopulmonary issue, then a pulse ox can be really helpful, looking at oxygen saturation. We can see their response, make sure we're good to go, and we can adjust our dosage based on that. when we're able to monitor those vital signs it's going to give you an objective view of what's actually happening and I don't know about y'all but here's what typically happens with me is I may throw someone on a new step for example a recumbent bike and we're doing high intensity interval training and I know they've got some cardiopulmonary issues on board, some things that I'm somewhat concerned about, and I literally tell them to go hard. I may give them, you know, hit this number of watts during these hard intervals, and I literally am closing my eyes, crossing my fingers, praying to the rehabilitation gods that something bad doesn't happen. But if we're able to monitor and get that objective information, you can rest assured that you're giving that person exactly what they need, and it is safe. UNDERDOSE THE HIGH-INTENSITY FOR MEDICALLY COMPLEX PATIENTS Alright, so first we need to objectify it, second we need to be able to monitor it, and then third and the counterintuitive one, but it's the reality when we're going to apply high-intensity interval training amongst medical complexity, is that we need to underdose. I hate to say it y'all, but we need to underdose. Oftentimes, I'm not gonna say always, but oftentimes these folks are have a lot on board, right? And from the medical side, but then also from the psychological side, you take someone that has been given the diagnosis of heart failure and imagine what that feels like, right? You may have some perspective of what that actually means, a prognosis of that and what people can continue to do with a diagnosis like that. But there's so many individuals that will get these seven syllable medical diagnoses and they literally view it as a death sentence and they're actively falling apart right in front of your eyes. And that is not necessarily the case. There's a lot of psychological damage as well as physical damage along with these medical complexities. And it can be very advantageous when you introduce something novel and new like high intensity interval training to do it in a very approachable manner. This is where I am typically when I'm introducing I may use something like a subjective report, like an RPE, a rating of perceived exertion. That goes against the first thing I said, right? I told you you need to objectify it, but maybe initially, we want them to be a little bit more in the driver's seat and give them that RPE. You may say, I want you to go hard, I want you to go fast, I want you to go at a seven out of 10, RPE of 10 is your all-out effort, right? Initially, I think that is helpful. But we don't want to stay there because most of the time, people's true high intensity doesn't necessarily match up with their perception of high intensity. And that's where we need to be objective to calibrate that. But initially, I think under dosage, self-report can be very, very helpful. We also need to consider what these high-intensity intervals can do to people outside of our session, right? I learned this the hard way way too many times in home health, where we'd have this epic session. We'd be gone for about 20, 25 minutes, high-intensity intervals, you know, doing steps or ambulation, and then we do some transfer training. I'd take them, walk them out to their mailbox and back. They haven't seen the sunshine in weeks. Man, it was an epic session. And then I come back in a few days. What has that person done since that session? Nothing, right? They weren't able to do their laundry. They weren't able to do any tasks around their home. they were laid up because I absolutely gas them. And so we want to be able to leave gas in the tank for many of these individuals to be able to do things that are really important to them like ADLs, like IADLs, maybe a certain social function, right? And so when we start with that under dosage, you will be able to tweak and progress without impacting the rest of their life too much. which is really important. Many of you all may not have experienced that, right? I think many of you all probably did MRF, right? Memorial Day, high volume, you're working real hard for, you know, 40, 50, 60 minutes, maybe more if you're me, right? How'd you feel after that, right? Many of you all, myself included, were absolutely wiped and that's what a 10-minute session can do for some of these individuals. SUMMARY So, We may want to introduce it in an underdosed manner, see how they respond, make it approachable, and then gradually progress it from there. Then we start to objectify it, give them that target for, I want you to hit this many watts, for example, or this many revolutions per minute. And then we continue to monitor their vitals before, during and after those intervals, and you've got a potent cocktail that can really influence people's functional capacity, but then also the disease process that they are suffering from, and most importantly, it can be safe. All right, let me know your thoughts. Let me know any tips that you have from applying high-intensity interval training amongst medical complexity. I would love to hear from the folks in the ICU, in acute care, in skilled nursing facilities, in acute rehab, where you're dealing with a lot of medical complexity. Love to hear from you all. Drop in the chat on this Instagram video, or if you're watching on YouTube, if you're listening on the podcast, we're grateful for you listening. Hop on social media, and I'd love to hear your take as well. Hope this was helpful. I'll also put the citation for the article, the really helpful article, in the comments on Instagram as well. All right, hope you all have a lovely rest of your Wednesday. Go crush it, and I'll talk to you soon. OUTRO Hey, thanks for tuning in to the PT on Ice daily show. If you enjoyed this content, head on over to iTunes and leave us a review, and be sure to check us out on Facebook and Instagram at the Institute of Clinical Excellence. If you're interested in getting plugged into more ice content on a weekly basis while earning CUs from home, check out our virtual ice online mentorship program at ptonice.com. While you're there, sign up for our Hump Day Hustling newsletter for a free email every Wednesday morning with our top five research articles and social media posts that we think are worth reading. Head over to ptonice.com and scroll to the bottom of the page to sign up.

International Hamburger Day may have gone unnoticed for many as it fell on the eve of our national elections, but the day did prompt Eighty20, South Africa's leading consumer insights and data science firm, to unpack some interesting insights into the country's fast food dining habits. Using data from MAPS, a nationally representative survey of 20,000 people conducted by the MRF, the report highlights South Africa's preferred protein choices and the top 10 fast food outlets. Andrew Fulton. See omnystudio.com/listener for privacy information.

Harry McCallion is an ex-paratrooper and SAS solider who served in the north during some of the troubles' most violent years. Harry tells us about the brutal training regime they underwent before deployment, his thoughts on the mistakes that the British army made, his views on the “Ballymurphy Massacre”, his emotional state while policing violent riots and the effects that the job had on his mental health at the time.Harry shares his insights on the uniques challenges of taking on a “guerrilla” army, rural vs urban warfare, his own personal relationship with violence/killing and much more..PLEASE SEND ANY & ALL SUGGESTIONS FOR GUESTS & EPISODE TOPICS to thegoodlistenerpodcast@gmail.com If you would like to help out the show please like, subscribe and share. I plan on doing bigger things with this show including walk through of areas, documentary-type videos and more.. if you would like to help fund these efforts please consider donating on Buy Me a Coffee. (link below)Thanks a million!!https://www.buymeacoffee.com/goodlistenerpodcastTIMESTAMPS00:00 Joining the British Army (Paras) & becoming brutalized 12:45 Pre-deployment, does Harry consider N.I people to be British & do Irish people “live in the past” too much?25:50 DEPLOYMENT TO NORTHERN IRELAND - Internment roundup  28:55  Thoughts on BALLYMURPHY MASSACRE & 2021 Inquiry 39:35 RIOTS - “absolutely terrifying” APPEAL 51:15 Harry's relationship with KILLING & violence   57:35 Does Harry know how many people he has killed? 58:40 Fist-fight w/ an INLA member 59:55 Joining the SAS1:05:00 Loyalist dual membership of UDR & UVF/UDA 1:07:30 Were UVF/UDA as competent as the PIRA ?1:12:50 SOUTH ARMAGH & TYRONE IRA 1:19:00 Gerry Adams story 1:23:00 Fighting against guerrilla soldiers 1:29:00 Protecting intel sources within the IRA 1:33:55 GUERRILLA OR TERRORIST ??1:49:20 Rural or urban soldiering.. which was more difficult ? 1:52:00 The MRF 1:58:35 Harry's latest book

Dr. Rachel Moore // #ICEPelvic // www.ptonice.com  In today's episode of the PT on ICE Daily Show, #ICEPelvic faculty member Rachel Moore discusses the CrossFit hero workout "Murph", including modifications & considerations for pregnant & postpartum athletes. Take a listen to learn how to better serve this population of patients & athletes or check out the full show notes on our blog at www.ptonice.com/blog. If you're looking to learn more about our live pregnancy and postpartum physical therapy courses or our online physical therapy courses, check our entire list of continuing education courses for physical therapy including our physical therapy certifications by checking out our website. Don't forget about all of our FREE eBooks, prebuilt workshops, free CEUs, and other physical therapy continuing education on our Resources tab. Are you looking for more information on how to keep lifting weights while pregnant? Check out the ICE Pelvic bi-weekly newsletter! EPISODE TRANSCRIPTION INTRODUCTION Hey everybody, Alan here, Chief Operating Officer at ICE. Thanks for listening to the P-10 ICE Daily Show. Before we jump into today's episode, let's give a big shout out to our show sponsor, Jane. in online clinic management software and EMR. The Jane team understands that getting started with new software can be overwhelming, but they want you to know that you're not alone. To ensure the onboarding process goes smoothly, Jane offers free data imports, personalized calls to set up your account, and unlimited phone, email, and chat support. With a transparent monthly subscription, you'll never be locked into a contract with Jane. If you're interested in learning more about Jane, or you want to book a personalized demo, head on over to jane.app.switch. And if you do decide to make the switch, don't forget to use our code ICEPT1MO at signup to receive a one month free grace period on your new Jane account. RACHEL MOORE My name is Dr. Rachel Moore. I am here this morning on Memorial Day to chat with you guys about the MRF workout and reflections for the MRF workout as a prenatal or maybe postpartum athlete. So whether you yourself have been that athlete and been prenatal or postpartum while doing MRF, or maybe the population of patients that you see is this prenatal space. I want to dive in to some reflections on that today. So first of all, we're going to kick it off. If you are not familiar with the CrossFit space, you're not in the CrossFit space. What is the Murph workout? So Murph is a workout. It's called a hero workout. it's done typically on or around a memorial day so whether memorial day weekend or memorial day itself it is a hero workout which is a named workout in the crossfit space for somebody that has given the ultimate sacrifice and paid their life for whatever the reason so michael murphy Um is who this workout is honoring he was a navy seal and he died in the line of duty So the workout itself is a one mile run 100 push-ups or sorry 100 pull-ups 200 push-ups 300 air squats and then you cap it all off with a mile run and the rx version of this workout is wearing a weight vest 20 pounds for guys 14 pounds for ladies If you have never done this workout, it's a long one. Most people kind of fluctuate like earlier times or fast times or sub one hour, but a lot of people tend to hover around that one hour a little bit more mark if they're doing a quote unquote full Murph. We also can do a half Murph, which is where we take that workout. and cut that volume in half. So the Murph itself is one of those workouts that is a really powerful symbol within the CrossFit community. Typically, most gyms are getting together, whether it's on that Saturday or on that Monday. It's a large community event. It's a really exciting thing to be a part of and a really exciting thing to come together. A lot of people really look forward to this workout every year. not only for the reason of what it represents and the fact that we're paying honor and tribute to people that have given that ultimate sacrifice of their lives so all of us have the freedoms that we have. but also because it is a pretty big test of fitness. And depending on what season of life we're in, sometimes those tests of fitness can be hard. Whether it is physically hard or emotionally hard, regardless, it can be tough. And in one of the largest seasons where we see that is in the perinatal space. So when somebody is pregnant or when somebody is maybe newly postpartum, and they're trying to figure out how to tackle Merv. it can be tough to set aside that athlete brain. It can be really hard to turn that off, especially if you're somebody that's done Murph maybe in the past, and you want to know where you shake out. Or if you're brand new to CrossFit, maybe you started doing CrossFit, found out you were pregnant shortly after, and you're seeing everybody in your gym get super excited about testing their fitness and seeing where they're at, seeing how they compare, maybe doing it for the first time, and knowing that you can't do it the way that you would quote unquote like to. So let's unpack that a little bit. For one, we at Ice really preach that we don't modify unless we need to modify. Just because we're pregnant, quote-unquote, is not a reason to modify MRF. If you're somebody that this workout is in your wheelhouse, maybe you are doing pull-ups and have been doing pull-ups in the gym. maybe push-ups are not bothersome to you, you're early enough on in pregnancy that your bum's not getting in the way, you feel good doing all those push-up volume, air squats feel great, running hasn't gotten to a point where it's bothersome at all, then there's no reason to modify the workout. We don't modify the workout because of pregnancy. We may be able to tweak it slightly, so maybe you partition instead of doing all of the reps in a row to save some of your core fatigue, So instead of doing 100, 200, 300, you do 5, 10, 15, and just give yourself some breaks in between. But if none of those movements are problematic for you and the volume isn't problematic for you, then it's okay to just do the workout, maybe a little bit slower than you otherwise would have, but it's okay to send it. If you're somebody who has issues with one of those movements, whether it is the pull-ups. You don't have that midline strength and stamina anymore and you're seeing a lot of that coning repeatedly over time and it's something that's bothersome to you or maybe the push-up volume is way too high for you or squatting below parallel triggers some pain. It's also okay to modify the workout. Modifying a Murph is not a sign of shame. Doing the Murph in and of itself is huge. modifying the MRF, whether that is because of pregnancy, whether that is in the postpartum season, or whether it's because of an injury, or you're a new CrossFitter, it's okay to modify when we have a reason to modify. It's still exciting to show up. It's still exciting to be a part of your community and do that workout. I have done this workout myself. This was my sixth MRF this year and I did it as a new postpartum. So it was three months postpartum and I was a newer crossfitter. I've done it as a, I think 18 week pregnant crossfitter. I've done it as a year-ish postpartum crossfitter, and then I've done it Rx twice. And in each of those seasons, the challenges were different. When I was a pregnant athlete, I wanted so badly to send it. I wanted to do a full MRF. I wanted to do the entire volume. But my body didn't feel great with that. And so that year, my husband and I ended up splitting the MRF. So we ran the mile together. It was a little bit slower than I otherwise would have ran. and we did you go, I go rounds and we took turns so that I had some built-in rest breaks because for me at that stage in my pregnancy, my heart rate was skyrocketing and I was having a really hard time managing that much volume with that high of a heart rate for that long a period of time. That was a challenging year for me. It has nothing to do with the physical side. Honestly, when we finished our MRF that we split, I was just like, okay, like that was fine, I guess. I'm excited I was here. But physically, it didn't feel like that much of a challenge. But that was the most mentally challenging year. On the flip side, the very first time I did MRF, I did a similar thing. I split a Murph, quote unquote, with a friend. We did you go, I go rounds. I was a newer CrossFitter and I was postpartum. So I scaled the pull-ups for ring rows. I did push-ups for my knees and I did air squats, but I did it all with a vest because I wanted to know if I could. So half a Murph shared with somebody, quote unquote, with a weight vest on, so reduced volume and scaled movements. And I have never felt so powerful than when I finished that workout at three months postpartum. It was awesome. So those are two very different seasons, two very different iterations of the workout from the standpoint of RX movements versus scaled movements, weight vest versus non-weight vest. And the outcome was different. One, I felt physically strong, mentally strong, felt super empowered. And one, honestly, was a really hard mental load for me because I wanted to do what all of my friends were doing in the gym and I wanted to be able to push myself. that athlete brain is tough to turn off. So if you are one of these patients, or one of these people that is doing MRF this year, or has done MRF by this point at 9.20 on a Monday Memorial Day morning, and you struggled with that, it's okay. If you have patients coming in in the future, and they're talking to you about, I wanna do MRF this year, but I just don't really know what to do, it's okay to tell them to modify. It's also okay if they wanna send it. At the end of the day, we're not modifying just for the sake of modifying. We had a gal in our gym last year who was in her 30th week of pregnancy. She's a former CrossFit Games athlete. She crushed it. She swapped out the pull-ups for ring rows, but otherwise did everything else RX and did fantastic and felt fantastic for her body. that challenge and that load was appropriate. We've also had people like myself who at 18 weeks pregnant decide that I need to modify. I'm not going to do a full Merv and I'm going to scale the movements. All of these options are okay. The beautiful thing about this workout is there are so many ways to modify it. There are so many ways to modify the movements themselves. There are so many ways to break up the volume. There are so many ways to cut the volume down. And at the end of the day, showing up and being a part of the community is what is really key this weekend. Being there, paying that tribute, showing that respect, and getting to be a part of your community is huge. If you're somebody that's been in this season and wants to chat more, shoot me a message. I would love to talk with you more. This is a topic that I'm super passionate about because I've been there. I've been in those shoes. And sometimes, you know, we just need to commiserate together about how hard something was. SUMMARY If you are looking to join any of our pelvic courses, we have got, we're about halfway through our L1 and our L2 cohorts. So we've got another L1 cohort kicking off. Our next L2 cohort is not until the fall. If you're interested in that, hop into it because it's going to fill out. Catch us on the road this summer. We've got a lot of opportunities to get to the live course where you can sit for that cert test and become ice pelvic certified. I hope you guys have a great rest of your day. If you did MRF today or at any point this weekend, make sure you take care of yourselves. Hydrate get your electrolytes in make sure you're getting protein in take care of your bodies And I know I'm feeling a little bit sore from my Saturday Murph So just know that in the next couple days you may be feeling some type of way, but it's temporary and it'll pass See you guys around OUTRO Hey, thanks for tuning in to the PT on Ice daily show. If you enjoyed this content, head on over to iTunes and leave us a review, and be sure to check us out on Facebook and Instagram at the Institute of Clinical Excellence. If you're interested in getting plugged into more ice content on a weekly basis while earning CEUs from home, check out our virtual ice online mentorship program at ptonice.com. While you're there, sign up for our Hump Day Hustling newsletter for a free email every Wednesday morning with our top five research articles and social media posts that we think are worth reading. Head over to ptonice.com and scroll to the bottom of the page to sign up.

EXPERT Topic: Insights into the consumer landscape Guest: Johann Koster – CEO of the MRF

As May is Melanoma Awareness Month, join us for this special episode as we talk with Miriam Kadosh, MSW, the Director of Patient Engagement and Education for the Melanoma Research Foundation (MRF), a leading force in the Melanoma advocacy space. Miriam shares with us the significant impact everyone, especially students, can have on Melanoma patients' lives through engagement and educational sessions and encourages all to get involved with the many volunteering opportunities MRF offers. We hope you enjoy! --- Connect with MRF: https://melanoma.org/ MRF Email: volunteer@melanoma.org MRF: @curemelanoma DIGA: @⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠derminterest⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠--- For questions, comments, or future episode suggestions, please reach out to us via email at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠derminterestpod@gmail.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ --- Music: District Four by Kevin MacLeod Link: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://incompetech.filmmusic.io/song/3662-district-four⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ License: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://filmmusic.io/standard-license --- Send in a voice message: https://podcasters.spotify.com/pod/show/derminterest/message

Watch this episode HERE Today on the show I welcome one of my closest friends and favorite people, Julia. Julia lives here in community with us, and so I'm extra excited to have her on to share her story. Julia is a truly wild mother of 3, turns out - soon to be 4, a homesteader, a gorgeous and insanely talented homemaker, and really just the embodiment of strength, fortitude, and integrity. Can you tell I adore her? She has freebirthed twice, and the second time she *literally* labored right here on my land, the Matriarch Rising Festival grounds! How magical is that? Julia began her mothering journey quite young, having found her sweetheart at age 17. When Julia found herself unexpectedly pregnant she was already living outside mainstream culture and knew she didn't want to birth in the hospital. Sadly though, the medical midwife she hired found ways to create drama throughout her pregnancy and birth. A huge awakening, followed by a move from L.A. to North Carolina to figure out this homestead life, brought Julia's and my family together in organic friendship. It's all very cute, she invited me to be her birth attendant, our husbands met and fell in love, and the rest is herstory. Though she and her family have certainly faced challenges living this rural farm lifestyle, Julia consistently devotes herself to her family, community, and the fullness of her family's vision. Julia's two freebirths were very different experiences. The birth of her son although powerful and sweet, hit her very hard, so for the birth of her daughter she *chose* pleasure and presence. Julia's story is such a powerful reminder that we can make big choices in our lives and really manifest our dream reality. Come see the beautiful land Julia fell in love with too, at Matriarch Rising Festival this summer! Go to Matriarchrisingfestival.com to get your tickets today. Once you experience community here, you may just have to return home and create it for yourself! Julia will be leading the toddler yoga and mother meet ups at MRF, so come join in and say hi to my bestie. Here's what you'll hear in Julia's story: ✨How she loved being pregnant for the first time, but was constantly fear mongered by her medical midwife. ✨Her first drama filled first birth with a licensed midwife. ✨Covid in L.A. and her family's big leap relocating to North Carolina. ✨Homesteading while pregnant and the fast and really rocking freebirth of her son. ✨Rural living and her family's various moves to find their farm land here in WNC. ✨The intensity of the end of her pregnancy. ✨The fast but dreamy and pain-free freebirth of her daughter. ✨Her community supported postpartum. ✨Experiencing three generations of women at MRF. ⭐ Matriarch Rising Festival: Get your tickets NOW! - https://www.matriarchrisingfestival.com ⭐ Don't miss the MatriBirth Midwifery Institute, Enrollment opens May 20th!! Connect with Free Birth Society

Watch this episode HERE We have a really inspiring episode today, as I welcome Zainab, from Saudi Arabia, now living in Michigan. Zainab is a brilliant maiden who has blazed a path of autonomy, teaching Fertility Awareness Method and body literacy to Arab women in her mother tongue of Arabic. Zainab grew up without initiation into her first bleed, and didn't even have a word to use for her vagina. She experienced intergenerational shame. Her awakening began when she discovered FAM along with a calling to share this knowledge with her sisters, particularly those in her home country, where she found women hungry to tune into their bodies and claim their freedom. Zainab came to Matriarch Rising Festival and experienced it as a touchpoint of what's possible when women in their power come together. She witnessed the centering of mothers, the normalization of freebirth and embodied womanhood, and, of course, the pure, delicious magic. She took these lessons home with her, forever changed. This year we're hyped to have Zainab back at MRF offering her workshop The Cycle Wisdom Map, an exploration of body literacy through the lens of the natural cycles around us. Come and experience the uplevel Zainab did! Go to matriarchrisingfestival.com to get your ticket. Join us sisters - it'll be the highlight of your year - and it may just change your life. Here's what you'll hear: ✨The body disconnection and shame she was taught as a young woman. ✨Her passion for FAM and joy of translating teachings into her mother tongue. ✨Her leap teaching in Arabic, and the incredible response from women ready to step into their power. ✨Teaching from the “daughter” stage of life. ✨The importance of centering mothers. ✨Cultural amnesia and how her grandmother birthed at home, yet her mother birthed in the hospital. ✨The life altering power of MRF and how it changed her. ⭐ Matriarch Rising Festival: Get your tickets NOW! - https://www.matriarchrisingfestival.com ⭐ Don't miss the MatriBirth Midwifery Institute, Join the waitlist and receive all the details late spring Connect with Free Birth Society

Watch this episode HERE Today I have the great pleasure of welcoming to the show Dr. Elderberry, and yes, that *is* her legal name. Elderberry is a naturopath, a vitalist herbalist, a homeopath, and a wild mother. I'm so excited for her to share her wisdom of homeopathy, minerals, practicing herbalism energetically, and tuning into mother nature. This is an especially fun episode as Elderberry is one of our headliners at Matriarch Rising Festival (@matriarchrisingfestivalnc) this summer, where she will be offering her teachings on homeopathy and supporting your wellbeing beyond the physical. Elderberry's practice is truly womb to tomb, and she is deeply passionate about the power of sovereign healing. If our conversation today lights you up, you won't want to miss the chance to learn from Elderberry, and our pantheon of wise woman headliners, at MRF this June. Go to matriarchrisingfestival.com to claim your ticket, and get ready for a life changing 5 days; grab your ticket now! Here's what you'll hear in our conversation: ✨How she grew up in the allopathic model, identified it as quackery, and moved beyond. ✨Why she differs from other naturopathic doctors and their frequent “prescribing.” ✨What homeopathy is. ✨What vitalist herbalism is. ✨The magic of minerals. ✨The playful relationship mothers and children can have with homeopathy. ✨The importance of tapping into the energetics of plants. ✨Her shift from importing herbs to local foraging, and building a free apothecary. ✨The natural and free childhood she is supporting her son to experience. ✨How this healing framework goes beyond the physical. ⭐ Don't miss the MatriBirth Midwifery Institute, Join the waitlist and receive all the details late spring Connect with Free Birth Society

Nicole Shanks, Executive Director, PRC of Southwest Florida https://www.moodyradio.org/stations/florida/promotions/baby-days/ NOTE: Baby Days link from MRF website available until the end of April.See omnystudio.com/listener for privacy information.

Sonja Ray, Clinic Advocate (Naples), PRC of Southwest Florida https://www.moodyradio.org/stations/florida/promotions/baby-days/ NOTE: Baby Days link from MRF website available until the end of April.See omnystudio.com/listener for privacy information.

Laura Ross (Dir. of Development) and Jillian Young (Board Member), PRC of Southwest Florida https://www.moodyradio.org/stations/florida/promotions/baby-days/ NOTE: Baby Days link from MRF website available until the end of April.See omnystudio.com/listener for privacy information.

George Tyukos (Sonographer) and Erika Huseman (Dir. of Patient Services), PRC of Southwest Florida https://www.moodyradio.org/stations/florida/promotions/baby-days/ NOTE: Baby Days link from MRF website available until the end of April.See omnystudio.com/listener for privacy information.

Rebecca Klein, Executive Director, A Woman's Choice - Lakeland  - 6:00am interview https://www.moodyradio.org/stations/florida/promotions/baby-days/ NOTE: Baby Days link from MRF website available until the end of April.See omnystudio.com/listener for privacy information.

Greg Wilkerson, Men's Coach, A Woman's Choice - Lakeland https://www.moodyradio.org/stations/florida/promotions/baby-days/ NOTE: Baby Days link from MRF website available until the end of April.See omnystudio.com/listener for privacy information.

Jamie Rogers, Clinic Director, A Woman's Choice - Lakeland https://www.moodyradio.org/stations/florida/promotions/baby-days/ NOTE: Baby Days link from the MRF website available until the end of April.See omnystudio.com/listener for privacy information.

Mindi Bell, Volunteer & Support Services Coordinator, A Woman's Choice - Lakeland Rebecca Klein, Executive Director, A Woman's Choice - Lakeland Jamie Rogers, Clinic Director, A Woman's Choice - Lakeland https://www.moodyradio.org/stations/florida/promotions/baby-days/ NOTE: Baby Days link from the MRF website will be available until the end of April.See omnystudio.com/listener for privacy information.

Comedy Director Michael Ryan Fagan was in town, so we chat it up about directing comedy for ads... and we never stop. We discuss his career directing actor Vincent Pastore from The Sopranos, among others. We debate the pros and cons of using LED walls and other virtual production techniques in commercials. MRF shares some stories about creative solutions he came up with to film spots, like using a remote controlled robot camera or taking reference photos at pharmacies. Check out his work here. My next in-person Commercial Directing Bootcamp is Saturday, April 27th, 2024. Limit 12 Filmmakers. Producer's Bootcamp is April 28th, 2024 use code DIRECTING100 for a $100 off! HENDRIE I produced this documentary. Please watch, it's called "Hendrie". Thanks! 4+ NEW BEHIND-THE-SCENES I've uploaded more raw behind-the-scenes, with dailies, agency interaction, directing top talent and collaborating with my crew, all at  Commercial Directing Masterclass. And you'll wanna check out the new courses, like Behind The Beard and Winning Director Treatments. Thanks to our editor Jake Brady We could not do the show without him and love this guy behind words. Need your pod spruced up? Check out his Podcast Wax. FLOW Use the link plus code JB20 when you try MAGIC MIND - chug it daily after your coffee. If you follow me on Instagram you know my geniune endorsment of this mighty mind power juice. EVENTS Our 3rd annual Filmmaker Retreat Joshua Tree is Thursday, September 26th – Sunday, September 29th, 2024. I always use the word "transformational" in describing the past two years - because our tribe of like-minded filmmakers express that the retreat truly changed their lives. Both professionally and personally. Reserve your spot before the end of the year to take advantage of that last minute 2023 write-off. Limit 20 Filmmakers. Check out my Masterclass or Commercial Directing Shadow online courses. (Note this link to the Shadow course is the one I mention in the show.) All my courses come with a free 1:1 mentorship call with yours truly. Taking the Shadow course is the only way to win a chance to shadow me on a real shoot! DM for details. How To Pitch Ad Agencies and Director's Treatments Unmasked are now bundled together with a free filmmaker consultation call, just like my other courses. Serious about making spots? The Commercial Director Mega Bundle for serious one-on-one mentoring and career growth. Jeannette Godoy's hilarious romcom “Diamond In The Rough” streams on the Peacock. Please support my wife filmmaker Jeannette Godoy's romcom debut. It's “Mean Girls” meets “Happy Gilmore” and crowds love it. Thanks, Jordan This episode is 1 hour 55 minutes. My cult classic mockumentary, “Dill Scallion” is online so I'm giving 100% of the money to St. Jude Children's Hospital. I've decided to donate the LIFETIME earnings every December, so the donation will grow and grow. Thank you. Respect The Process podcast is brought to you by Commercial Directing FIlm School and True Gentleman Industries, Inc. in partnership with Brady Oil Entertainment, Inc.  

Padraig Og O' Ruaric, historian and author of "The Disappeared" speaks to us about his the forced disappearances the have taken place for political reasons in Ireland's often bloody history.We speak about the different reasons for forced disappearances in Ireland's war of independence and civil war committed by both Irish guerrilla fighters and the British Army. Padraig tells us about the history of informers and spies within Ireland's conflicts and how the "good old IRA" would deal with them.We also discussed the most high-profile cases of forced disappearances in the Northern Ireland conflict including Jean McConville, Capt Robert Nairac, the MRF agents known as "the Freds" and much more.I would throughly recommend Padraig's book for anyone interested in Irish history, very well written and structured piece of work.TIMESTAMPS 00:00 Padraig's background, scope of the book09:35 DIGGING UP A DISAPPEARED BRITISH SOLDIER 18:45 Why some victims are disappeared 26:35 Last person to die in the War of Independence (Hannah Carey) 28:30 British Army veterans targeted 35:00 THE TROUBLES (The “Freds”, Capt. Robert Nairic, Jean McConville, Kincora) 1:16:40 Padraig's next bookBUY THE BOOK: https://www.irishacademicpress.ie/product/the-disappeared-forced-disappearances-in-ireland-1798-1998/

David Burke, author of "Kitson's Irish War: Mastermind of the Dirty War in Ireland" breaks down the work/influence of Brigader Frank Kitson and the infamous "Military Reaction Force" better known as the MRF, The British Army branch who were "there to act like the IRA".David tell us about how Kiston developed the tactics that would used against the IRA in Belfast during his time in Kenya, Malaya & Oman . We speak about the MRF 'S origins, the unorthodox way they operated and the effective license-to-kill that they possessed. David tells us about the double-agents within the IRA working for the MRF known as "the Freds", the four square laundry intel gathering operation the MRF ran as well the brothels they operated.We speak about the recent news that an MRF soldier (solider "F", not to be confused with Bloody Sunday solider F") will face trial for the murder of completely innocent father of 8, Patrick McVeigh.***PLEASE SUBSCRIBE & LEAVE A 5 STAR RATING TO HELP THE SHOW***TIMESTAMPS00:00 Kitson's background 14:55 KITSON COMES TO N.I 20:30 THE MRF 22:40 Howard Smith 25:16 MRF, The “Freds” & Four Square laundry 37:20 Ballymurphy 42:00 MRF 44:45 PROPAGANDA 45:45 MRF48:27 KINCORA SCANDAL, Albert Baker & The UDA52:08 MRF and the fate of 2 of “the Freds”54:15 MRF SOLIDER TRIAL for Pat McVeigh murder 57:45 William Black (MRF story) 1:00:55 PYS-OPS 1:04:20 RUC CORRUPTION1:09:20 What came after the MRF (SRU, FRU) 1:13:30 Derek Willford's relationship to Kitson 1:18:50 David's new bookBUY DAVID'S BOOK: https://www.mercierpress.ie/irish-books/kitson-s-irish-war/mosaic: Exploring Jewish Issuesmosaic is Jewish Federation of Palm Beach County's news magazine show, exploring Jewish...Listen on: Apple Podcasts Spotify

Hello and welcome to CNBC-TV18's daily markets podcast. Here's a snapshot of all that you need to know before the February 13 trading action -The domestic stock market failed to hold opening gains on February 12, weighed down by broad-based profit booking. Small- and mid-caps extended their slide on rising concerns over high valuations. The NSE Nifty 50 index settled 0.76% or 166.45 points lower at 21,616.05, while the S&P BSE Sensex closed 0.73% or over 500 points lower at 71,072.49. -Foreign institutional investors (FIIs) net bought shares worth ₹126.60 crore, while domestic institutional investors (DIIs) purchased ₹1,711.75 crore worth of stocks on February 12, provisional data from the NSE showed. -Following the February 2024 quarterly review, NMDC, GMR Airports, Union Bank, BHEL and Punjab National Bank have entered the MSCI Global Standard Index. Apart from the new additions, the index provider has also increased the weights of Zomato, DLF, MRF, Hindalco, Interglobe Aviation, Dr Reddy's, Hero Motocorp, HDFC AMC, Lupin, Astral, One97 Communications and Bandhan Bank. - On Wall Street, the S&P 500 ended down slightly after hitting a fresh intraday record high. The MSCI world stock index was flat after touching its highest level since January 2022. -US' January consumer price index report is due later today, while the U.S. producer prices report is due later in the week. Investors are also eager to see Thursday's U.S. retail sales report for January. -The Asia-Pacific markets mostly rose this morning as more markets return to trade from the Lunar New Year holiday, including South Korea and Singapore. Japan's Nikkei 225 rose 1.82% on its open, crossing the 37,000 mark. Should the Nikkei sustain its gains and close above this mark, it will reach a 34-year high. Markets in China are closed for the week, due to the Lunar New Year holiday. Hong Kong is closed Tuesday, but is set to resume trading Wednesday. - Bitcoin has hit the $50,000 level for the first time in more than two years as the world's largest cryptocurrency was buoyed by expectations of interest rate cuts later this year and last month's regulatory nod for U.S. exchange-traded funds designed to track its price. -Results: Eicher Motors, Hindalco Industries, Siemens, Zee Entertainment Enterprises, IRCTC, Bharat Heavy Electricals, Bosch, National Aluminium Company, Gujarat Gas, Indiabulls Real Estate, Innova Captab, INOX India, Oil India, and Sula Vineyards among others. -Stocks to track: Coal India, JSW Energy, Steel Authority of India, Hindalco - Gift Nifty was trading 0.1% percent lower at 21,728 at around 7:30 am, indicating a flat start of the domestic market. Tune in to the Marketbuzz Podcast for more cues

During the Vietnam War, American soldiers and sailors manned the Mobile Riverine Force (MRF) assault boats that patrolled the Mekong Delta. The Riverines were key to the success of Allied forces in the Delta during the 1968 Tet offensive, and were frequently met with hostile fire from enemy forces. Decades later, clinical psychologist Marilyn Luber would aid the recovery of a Riverine veteran from PTSD. Using eye movement desensitization and reprocessing (EMDR) she guided him in dampening the severity of his trauma. “He said it feels like the log jam in his heart was opened,” Ms. Luber recalls during our interview. “He also felt like there was a younger part who had a different perspective, who was trying to help him understand what had happened.” Ms. Luber has been practicing EMDR since 1992. She is the author and editor of nine books on this interactive psychotherapy that, in part, uses bilateral stimulation (usually of the eyes) to allow traumatic memory to be stored in a healthier and more adaptive way. Since its inception several decades ago, EMDR has helped tens of millions of people across the world recover from psychological trauma. Alongside this, it is also used to treat anxiety, depression, obsessive-compulsive, and other mental health disorders. On #VitalSigns, host Brendon Fallon asks Dr. Marilyn Luber PhD to share her experience of treating patients with EMDR and her insights on why it enables their recovery in so many cases. ⭕️ Watch in-depth videos based on Truth & Tradition at Epoch TV

This week we will discuss a rare type of cancer.  Our guest on today's show is Chris White.  Mucosal melanoma is a rare but aggressive disease usually diagnosed in advanced stages. Unlike most melanomas, which start in the skin, mucosal melanoma starts in the moist membranes that line the inside of the body, including the digestive tract. All melanomas start in pigmented cells called melanocytes. Mucosal melanoma accounts for 1.4 percent of all melanomas, according to a 2018 review in Melanoma Management. ​Most mucosal melanoma cases start in the lining of the head, neck, anus, vagina or vulva. Cases inside the gastrointestinal tract are less prevalent. The disease may be called invasive if it's spread deep into the tissue and metastatic if it's spread to distant parts of the body, such as the liver or lungs. ​​Mucosal melanoma hasn't been linked to any specific causes. Generally, older people are diagnosed, with the median age being 70. While the rate of skin melanoma cases has risen in the past 20 years, the rate of mucosal melanoma has always been fairly similar over time. ​ More About Our Guest Chris's story begins in Colorado Springs where he was born in 1982. His parents and two siblings moved to Irvine California where he grew up before moving to North Texas. He received his Associates of Arts degree at Collin College, followed by his BA at University Texas Dallas in 2005. After college, his career path included time in the in the oil and gas industry, working with independent SAP contract consultants as well as working in the Golf department at Gleneagles Country Club in Plano, Texas. His career path took a turn in 2016 when he worked in the home building industry as a construction manager. An avid snowboarder, he has always been active, enjoying outdoor activities. His cancer journey began in the summer of 2018 when what he had believed was a hemorrhoid actually turned out to be cancer. Not just any cancer, but the diagnosis was Anorectal Mucosal Melanoma which is an extremely aggressive cancer with a low survival rate.  The following months included multiple surgeries, immunotherapies, chemotherapy and radiation. Despite the treatments, the cancer had metastasized throughout his body to his lungs, liver, kidneys and brain. His health was declining rapidly, and without any other options, he was fortunate enough to qualify as the last patient admitted to a TILs Therapy Clinical Trial at the University of Colorado Health Cancer Care located at the Philip Anschutz Medical Campus in Aurora Colorado. The TILs therapy was done in January of 2020 and within less than a year the tumors were gone. Not in remission but gone. The TILS therapy is revolutionary in that it eradicates the tumor rather than leaving it dormant. This clinical trial for TILS therapy saved his life. He was able to go back to work in homebuilding but realized his passion is sharing his cancer survival story. Currently he works as a Certified Melanoma Educator through the Melanoma Research Foundation. He is involved with many melanoma patient advocacy groups throughout the world listening to other stories while sharing his own via group chats, industry panels and forums any format that can offer some patient the comfort that there may a cure for their cancer. Any contribution to the MRF aids the fight against Melanoma and Chris thanks you for your support and generosity. ​  

Typically, we like to dive into the history of a company to see how it got here. And then attempt to fathom what the future could hold. But enough has already been written about how MRF grew its business since the time of India's independence. So in today's episode for 17th June 2023, we thought we'd look at this historic 1 lakh mark through a different lens and offer some theories for you to mull over.

On today's episode, financial journalist Govindraj Ethiraj talks to Sheetal Sapale, vice president at integrated healthcare technology platform Pharmarack as well as Tushar Sachade, Partner at PricewaterhouseCoopers & Company.SHOW NOTES[00:50] Did you know which is India's top selling drug and more importantly for what? Get ready for a few surprises with Sheetal Sapale[09:16] Tyre maker MRF stock touches 100,000 on the bourses and some history on MRF[15:01] Rich Indians are still fleeing abroad but lesser this year[18:08] Can India's angel tax be reinvented? with Tushar Sachade For more of our coverage check out thecore.inSubscribe to our NewsletterFollow us on:Twitter | Instagram | Facebook | Linkedin | Youtube

EverestLabs.AI is a startup that focuses on the sorting facilities within recycling. They use a camera, a 3D camera, and robotics to sort valuable recyclable commodities. The AI model can detect hundreds of objects within a frame very accurately, which is a hard technical problem to solve. They are deployed in several facilities and are growing rapidly.On this episode, we'll talk about:Does the robotics have the capability of even doing a better job than humans sitting there going through it?Does having these robotics sort out the materials at the end, boost the MRF's profitability, or is it a break even point?What are the materials that the robots are optimized to collect the most of, and which ones are they unable to capture?Does it ever get tricked?With materials like glass and aluminum, are there different ways that those are collected at MRF's currently? And can robots be used to improve that collection rate or not?How did they settle on the type of robot that they picked?Do they see that there's a lot of room for the robotics to continue to improve to make their robotics process that much more effective, or is it pretty good right now?When Apurba first started getting into the recycling industry, what surprised him the most?What does he put in the recycling bin as someone who has a solid understanding of what is genuinely recycled?Are we still in the early adopter stage for MRFs using robots, or have we passed that point? Is it approaching mass adoption?Of all the things Apurba could be focusing on, why did he pick this?Apurba Pradhan has over 18 years of experience in the technology industry. He began his career as a Product Design Engineer at JDS Uniphase in 2002 and moved to Luxim Corporation in 2006 as Director of Product Marketing. In 2012, he joined Waterstone Management Group as a Management Consultant. In 2013, he became Vice President of Strategy, Marketing and Partnerships at LUMA Lighting Group. In 2016, he moved to Echelon as Head of Product Management and Senior Director. In 2019, he joined Adesto Technologies as Vice President of Products and Marketing. In 2021, he became Head of Business Unit and General Manager at Renesas Electronics, and in 2022, he joined EnOcean and EverestLabs.AI as SVP Strategy and Head of Product respectively.For more information and to explore other episodes, go to www.ppcpackaging.com/the-packaging-brothersFollow PPCPackaging on social media! :arrow_down:LinkedIn: https://www.linkedin.com/company/pacific-packaging-components-inc-/Facebook: https://www.facebook.com/PPCPackaging/Instagram: https://www.instagram.com/ppcpackaging/?hl=enWebsite: http://www.ppcpackaging.com/Find out more about Apurba and connect with him on LinkedIn.LinkedIn: linkedin.com/in/apurba-pradhan-a5962114Website: https://www.everestlabs.ai/The views and opinions expressed on the "Packaging Brothers" podcast are solely those of the author and guests and should not be attributed to any other individual or entity. This podcast is an independent production of Packaging Brothers, and the podcast production is an original work of the author. All rights of ownership and reproduction are retained—copyright 2023.

Chip Amoe is Michigan State University's new director of sustainability, and he's leading the Office of Sustainability at MSU. What attracted you to MSU?“We're the oldest land-grant university in the country, and so we've got a great history. You've got great proximity here to our state leaders, and we're doing all the things that are important for sustainability in the future. I truly believe that climate change is the biggest threat that we all face across the entire globe, and that it is the existential threat that we all must address. But here at MSU, we're working on a lot of the things that have an impact, not just on climate change, but sustainability broadly. Everything from packaging to supply chain to agriculture, all these things are critical to addressing sustainability and improving the health of our people and our planet.”How did you originally get interested in this area and why you're passionate about it?“I've always been passionate about the planet. I grew up in Michigan. My formative years were in Alpena, and I've lived in Grosse Pointe and Ann Arbor and spent time in Traverse City. I'm really all in on Michigan and its natural resources. It's always been a passion. I started recycling before it was cool and was pushing my parents to do it. I'm the guy who digs the recycling out of the trash in my own home and pulls it out.“I've always believed that our built environment has a big impact on our health and that as we're redesigning and redeveloping cities, and I had a particular passion about doing that in Detroit, that we needed to do that with an eye towards health if we're going to redesign and redevelop cities. That's what got me into it. I'm an advocate for a more sustainable and healthier environment.”What's the mission of the Office of Sustainability? How is it evolving, what is your role, and where do you want to see things go?“Early on I'm listening and learning. How do we help continue to support the state in its efforts? How do we support businesses and other industries in their efforts? And how do we lead by example? That's really where we're going to be focused early on is how do we lead by example and be a living lab for products, new ideas, and new ways of doing things. And then we want to really be a resource to the state and its industry, giving them practical ways to do things and helping them to implement sustainability because it's going to take more than just us doing it. It's going to take the entire state, the entire nation, and the entire world, frankly, to be able to do this. And if we could provide ways to make it easier for people to make the healthy, more sustainable choice, that's what I want to do to help really expand this because we need to move fast on it. It needs to happen now.”What are some of your short- and long-term goals?“Short term right now is really to just get an understanding of all the great work that we're doing on campus. We have our own MRF, which is a material recovery facility for recycling, and our surplus store, which is amazing. Those are some really great things. How do we expand on those? How do we continue to do more with those? Those are some great resources. And then long-term looking at opportunities to partner with other companies to implement new technologies here on campus to leverage the research that we're doing at our campus and really to try to put those in place. Really trying to look at it holistically. And not only that, to really embed sustainability into the culture, to literally lean into that ‘Go Green' and really make it part of our culture so that it's just who we are as a university.”As you pursue some of these goals, what are some challenges and opportunities?“With any large organization, the challenge is always breaking down the silos. I don't care what organization you are, there are going to be silos. And there are going to be opportunities for collaboration. The opportunities are tremendous given our history, where we're located, all our work around agriculture, the land that we have around us, and our communities and satellite campuses in Detroit and Grand Rapids and Flint. And we'll leverage our Extension programs to really spread that. It's a matter of coordinating and then setting a vision and helping to get us there.”How do you define sustainability?“The traditional definition of sustainability is meeting today's needs without sacrificing the needs of future generations. But I really look at sustainability holistically. Climate change is the most existential threat that we face, and that is a big thing. But sustainability is more than that. It's about really creating healthy environments, both internal and external.“There are going to be a lot of demands on the state of Michigan, especially as climate continues to change and people flock to the state as the respite for a lot of the climate challenges that we have. Sustainability is really that triple bottom line approach of people, planet, and prosperity. If it doesn't save money and it doesn't make financial sense, it's not going to be sustainable.“I'm open to new ideas and new ways to do things. Two things that I hate to hear are, ‘We've always done it that way.' I don't want to hear that unless you're coming at it and saying, ‘But we can do it differently.' And two, I don't like to use the word can't because we can do anything we put our minds to. It's just a matter of resources and having the will to be able to do that, and we know Spartans Will.”Listen to “MSU Today with Russ White” on the radio and through Spotify, Apple Podcasts, and wherever you get your shows.

This episode is part of our Skilled Labor Series hosted by MCJ partner, Yin Lu. This series is focused on amplifying the voices of folks from the skilled labor workforce, including electricians, farmers, ranchers, HVAC installers, and others who are on the front lines of rewiring our infrastructure.Today's guest is Dylan Welch, Plant Manager at AMP Robotics. Dylan grew up in the foothills of California and Arizona, before going to school in Colorado. He's had quite a non-linear career path. Dylan started his career building custom motorcycles out of his garage and then became a carpenter and subcontractor, before joining the team at AMP Robotics, where he oversees facility operations. AMP Robotics develops and deploys AI and robotics technology that enables a recycling facility to drive efficiencies across its sorting process, lower the cost of its operations, and produce higher-value commodities. As proud investors of AMP Robotics via our MCJ venture funds, we've excited to share yet another perspective from the company and learn about Dylan's personal journey. In this episode, we learn a lot from Dylan the recycling industry, and how Dylan applied his interest towards a career addressing the waste problem.In this episode, we cover: Dylan's early interest in machinery and his professional backgroundHis career path as a carpenter, contractor, and running a recycling plantAn overview of AMP Robotics and how Dylan landed his current role A deep dive into recycling and its shortcomings Dylan's day-to-day experience running a secondary MRF (materials recovery facility)How he interacts with folks outside of the plant Dylan's perspectives on how automation can close the staffing gap in the recycling industryHow Dylan combined his personal interests with his role at AMP Robotics Advice for people interested in learning how systems work but aren't sure where to startGet connected: Yin Twitter / LinkedInAMP RoboticsMCJ Podcast / Collective*You can also reach us via email at info@mcjcollective.com, where we encourage you to share your feedback on episodes and suggestions for future topics or guests.Episode recorded on January 11, 2023.

Talking Tuning & EPA On Episode 229   Welcome to ShopTalk, America's first and favorite weekly motorcycle talk show. Thanks to our good friends at Dennis Kirk we come to your headspace every Sunday night at 9 PM EST with a little bit of news, some cool products, and some great people from the industry. We've got a full sidecar for this episode. Kirk Willard,from the MRF, Keith “Bandit” Ball, John Jessup from Dreams Rides Tennessee and Jason Hallman from Cycle Stop USA will be talking about the crap flowing downhill from the EPA in regard to tuning and how it might just affect shop owners across the land. There's a quick update from Paul Yaffe on his FXR build, a look at an outstanding Panhead by Sean Jackson, and of course all the bullshit we can fit.

Bradley Kelley developed MRF processing systems, also known as MRFs or material recovery facilities, before joining GBB. It's a material recovery facility for recycling, and there are these great, big, huge machines that would pull all the material back apart. You'd sort your paper into one bin, your containers into another, and your metals into yet another so that you could get paid for the recyclables you put in the curbside bin.On this episode, we'll talk about:On this episode, we'll talk about:the state of the recycling industry as a whole. There is a lot of confusion around the topic of recyclability. What items are captured, why and how the whole thing really worksHow much damage does wish-cycling do to the recycling stream or process?when it comes to recyclable items, the material is important, but what's almost most important there is the right shape, that it's the shape of a bottle, a water bottle, soda bottle, or a milk jug for HDPE.most people don't realize that even though it is the same material, it does need to be treated differently. And that does impact its likelihood of being captured.any plastic that is black cannot be recovered in a MRF.The recycling or plastic industries choose the items they do because there is value later down the value chain.the reasons that smaller items aren't often collected or capturedMany brands are switching over to aluminum instead of plastic. Is it true that it could be infinitely recycled?How does that Eddy Current work?Because glass is heavy and breaks easily, there are many different views and ideas about recycling it. What is his opinion of glass in terms of whether it will be recycled or not?What are some of the weirdest things he's seen in a recycling stream?What's his opinion of just the recycling part? Are all the claims made about biodegradable or compostable materials that are entering or already available in the market making things more difficult for the recycling stream? What effect does that have?Does he think that the molecular advanced chemical recycling process will be the solution for those hard to recycle items that mechanical or manual processes cannot collect?Do he think that the implementation of extended producer responsibility (EPR) programs, which requires companies throughout the packaging value chain from manufacturers to retailers to take responsibility for the disposal of their products, is here to stay?The topic of sustainability is clearly becoming more popular, and it appears that more companies are developing goals or objectives. Has he noticed this in his line of work? More companies want to do more. They want to collaborate. They want to try to find solutions.For more information and to explore other episodes, go to www.ppcpackaging.com/the-packaging-brothersFollow PPCPackaging on social media!  LinkedIn: https://www.linkedin.com/company/pacific-packaging-components-inc-/ Facebook: https://www.facebook.com/PPCPackaging/ Instagram: https://www.instagram.com/ppcpackaging/?hl=en Website: http://www.ppcpackaging.com/Find out more about Bradley on his website, and connect with him on LinkedIn.Website: https://gbbinc.com/about/our-experts/bradley-kelley-bsmeLinkedin: linkedin.com/in/bradley-kelley-58388370The views and opinions expressed on the "Packaging Brothers" podcast are solely those of the author and guests and should not be attributed to any other individual or entity. This podcast is an independent production of Packaging Brothers, and the podcast production is an original work of the author. All rights of ownership and reproduction are retained—copyright 2023.

Meet JD Ambati, Founder & CEO of Everest Labs. In this episode of NothingWasted!, we spoke with JD about proactive system management, the keys to using MRF data in meaningful ways, Everest's installation of robots on an inclining conveyor belt, and more. Don't miss this opportunity to hear JD's smart insights. His technology background and eyes-wide open approach to this industry makes for a great conversation. If you are a fan of the show, be sure to leave us a 5-Star review on Apple Podcasts! Connect with us! Instagram: @WasteExpo Twitter: @Waste360 & @Waste_Expo Facebook: @Waste360's WasteExpo TikTok: @WasteExpo Liz Bothwell on Twitter: @LizBothwell Subscribe to our newsletters.

Aaron Phipps, MBE, is a Great Britain Wheelchair Rugby athlete and gold medal-winning Paralympian. At 15 Aaron had both of his legs and most of his fingers amputated due to blood poisoning from meningitis. After a 10km fundraising wheelchair race for the Meningitis Research Foundation (MRF), Aaron's sporting journey began. Starting with wheelchair racing Aaron competed in two London Marathons, including in 2009 where he came fourth, finishing in under two hours. Aaron joined the GB Wheelchair Rugby squad and was selected for the 2012 London Paralympic Games where he scored over half of his team's points. In 2016 Aaron decided to climb Mount Kilimanjaro to raise funds for both MRF and Shaw Trust, with a specially adapted off-road wheelchair. However, when the wheelchair wasn't working on the terrain Aaron refused to be carried and reached the summit after four days of trekking on his hands and knees. It's the first time an amputee has reached the top of Kilimanjaro without any assistance. The story made national headlines and has been the subject of a Channel 5 documentary. Aaron returned to Wheelchair Rugby in 2017. Against all the odds his team went from being 5th in the world to the best on the planet, in the middle of a global pandemic! It was the first European team to win a medal in wheelchair rugby and Paralympics GB's first ever gold medal in a team sport. He has been voted in the top 100 most influential people in the UK with a disability. See acast.com/privacy for privacy and opt-out information.

June 15, 2022 — With the passage of SB 1383, Californians will be required to reduce organic waste in the landfill by 75% in the next three years. In a few weeks, a new large-scale compost facility will be available to most of Mendocino County, and buy-back recycling will re-open in Fort Bragg and Ukiah. Most of the county's non-recyclable, non- compostable trash goes to a landfill in Fairfield. The county and cities have composting contracts with Cold Creek Compost in Potter Valley, which is permitted to process 50,000 tons of material a year. On July 1, C&S Waste Solutions will take over the solid waste contract for Fort Bragg and Franchise Area 2, from Waste Management. C&S partner Bruce McCracken sketched out the area where residents can expect to see new containers, and new trucks, making the rounds. “Franchise Area 2 is kind of split in two, an inland portion and a coastal portion,” he explained. “The coastal portion being everything slightly north of Fort Bragg, and then south down to the Navarro river, so down towards Albion, et cetera. The inland portion is the Ukiah Valley: Redwood Valley, Potter Valley, Hopland. So basically the entire Ukiah Valley…I would like to add, though, on the trucks: one thing that the residential customers will see is that we run split-body trucks. So we co-collect. We collect garbage and recycling at the same time. And I know when people first see it, we're going to get a bunch of phone calls saying, you're mixing everything! But we're not. There actually is a wall in between, in the body of the vehicle. It's one less trip on the streets, so it helps the roads. It makes us more efficient…it makes no sense for us to mix the material, because it costs us money to go to the landfill.” In 2019, the company won a $3 million grant from the state to build a compost facility at the Ukiah transfer station. Like Cold Creek, it's permitted to process 50,000 tons a year, though it's currently able to process half that. The transfer station has been composting yard waste, but the new covered facility will take organic waste like food scraps, as well. And, after suspending buy-back recycling in 2019, C&S is promising to open beverage container recycling centers in Ukiah and Fort Bragg. McCracken estimates that in about three months, customers will be able to get their California Redemption Value refunds on bottles and cans. SB 1383 puts the burden of enforcement and education on the contractor, but McCracken says the hammer will come down incrementally. “If we note that there's prohibited material in the blue can or the green can, we will tag it. Our customer service staff will call the customer. We will send out literature explaining that this is what really goes into the blue or green can. A second time, you'll get a small fee, which in most cases we will waive. It's more of a wake-up, to say, hey. We can't accept this material in these carts. The third time, it's a little more serious, where there will be a charge levied against you for contamination, and if it continues, we have the ability to take the cart away. But we don't want to do that. I understand that everybody wants to recycle everything. But it's just not doable.” That's apparent at the old Alex Thomas pear shed in Ukiah, now transformed to a sorting facility where seventeen workers separate trash from recyclables. Plastic bags and plastic wrappers, says McCracken, are the enemy. “We don't want bags in the recycling, because that's where we find needles, too,” he said, over the roar of the machinery. “Needles are the biggest threat on the line.” There are other hazards, too. In the quiet section of the MRF, or Materials Recovery Facility, there is a huge pile of crushed glass. McCracken's not worried about glass. “Another thing that's really bad in the blue can are batteries,” he said. “Because it starts fires in MRF's, and it starts fires in garbage trucks.” He added that batteries need to be taken to Mendo Recycle during hazardous household waste events, or to the facility in Ukiah, which has limited hours of operation. “The amount of fires across the county in garbage trucks and at MRF's is escalating at an alarming rate, and it's batteries,” he warned. On the tipping floor, where workers extract sheets of plastic film from the recyclables, there are room-sized bales of material that are headed for the landfill. Clothes, pillows, foam mattresses and small appliances have all been pulled from the recycling stream. Some items, like hoses, call for extraordinary measures. “These are known as tanglers in the business, because they tangle up in the machinery,” he said, tugging on a length of hose strapped into one of the landfill bales. “So we literally, at the end of the shift, have to send people up there in harnesses, with knives, to cut it out of the machinery. It's a hard job as it is, and that's why people doing their part on the front end makes the job a lot easier.” Once the material makes its way out of Ukiah, there are a few options. McCracken says there are brokers on the West Coast who will take recyclables, but that “nothing goes to China anymore.” It does go to Pacific Rim countries, including South Korea. “There is a push to get more and more in-country facilities that will process this material,” he reported. On the far side of the crushed glass and the assembly line where McCracken says a couple hundred tons of material is sorted every day, there is an orphan pile of miscellaneous items that he hopes to educate out of the blue bins altogether. “I mean, there's a lot of stuff here, why would you ever think of putting it in the blue can?” he asked, nudging a brick with his foot. A beat-up old saddle was nestled in beside a chipped red enamel pot. “We see it all,” he confirmed, eyeing the mountain of trash.

Eric Oddo, Environmental Engineering Program Manager, Western Placer Waste Management Authority, has worked for the WPWMA for more than 23 years and is responsible for overseeing operations at the WPWMA's mixed waste MRF, green waste composting facility and sanitary landfill.  He directs WPWMA's Renewable Placer Waste Action Plan facility master planning and regional circular economy development project. Mr. Oddo is also in charge of developing and managing the WPWMA's roughly $50 million annual budget.  Prior to joining the WPWMA, Mr. Oddo worked for several private environmental engineering firms where he specialized in landfill gas generation rate modeling and landfill gas collection system design. Janet Goodrich, P.E., Waste Solutions Global Technology Leader, Jacobs, has worked in the waste management field since the late 1980s and has been with Jacobs in the Sacramento, California office for over 26 years. Ms. Goodrich's work experience in the waste management industry is diverse and varied. In addition to leading the Renewable Placer Waste Action Plan consulting project, she is currently involved in a variety of global and regional organic waste management, circular economy, and other waste solutions projects and leverages Jacobs's waste solutions team for circular economy projects globally.