Podcasts about msd

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Best podcasts about msd

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Latest podcast episodes about msd

Mining Stock Daily
Amarc's Diane Nicolson on the Company's Confirmatory Exploration work at Ike

Mining Stock Daily

Play Episode Listen Later May 19, 2025 12:09


Dr. Diane Nicolson of Amarc Resources joins MSD for the first time to provide a general introduction into the company and the three district in BC the company works on. After making a market-moving discovery this winter, the company has recently published results out of their IKE Project.

bc exploration msd nicolson confirmatory amarc
Head Shepherd
Chris Earl on US Angus Operations, Live from the World Angus Forum

Head Shepherd

Play Episode Listen Later May 11, 2025 17:52


We're back with another podcast from the World Angus Forum. This time, we have Chris Earl from CK6 Consulting, sharing his insights on ranching, genetic consulting, and the challenges faced in the cattle industry. He and Ferg chat about the importance of cash flow management, building a brand, and the innovative strategies for selling meat. Head Shepherd is brought to you by neXtgen Agri International Limited. We help livestock farmers get the most out of the genetics they farm with. Get in touch with us if you would like to hear more about how we can help you do what you do best: info@nextgenagri.com.Thanks to our sponsors at MSD Animal Health and Allflex, and Heiniger Australia and New Zealand. Please consider them when making product choices, as they are instrumental in enabling us to bring you this podcast each week.Check out Heiniger's product range HERECheck out the MSD range HERECheck out Allflex products HERE

Mining Stock Daily
Understanding Dynamics in Emerging Markets and Agriculture with Zach Abraham and Damian Mason

Mining Stock Daily

Play Episode Listen Later May 9, 2025 82:45


This the first segment of this week's MSD long-form, Trevor Hall and Zach Abraham discuss current investment opportunities, particularly in mining stocks, and the influence of political decisions on market trends. They explore the implications of trade relations, the role of the stock market in economic health, and the potential for stagflation. The discussion also includes historical comparisons to past market behaviors and the outlook for future economic conditions. They discuss the shifting dynamics of global markets, focusing on investment opportunities in emerging markets like Vietnam and Greece. They explore the changing landscape of U.S. markets, the potential for gold as a valuable asset in portfolios, and reflect on Warren Buffett's retirement and its implications for the market. The discussion highlights the importance of adapting investment strategies in response to evolving economic conditions and market behaviors.Then, Trevor connects with Damian Mason delve into the current state of agriculture, discussing market dynamics, productivity challenges, and the impact of geopolitical tensions on agricultural exports. They explore the role of ethanol in corn production, the valuation of US farmland, and the trends in agricultural investments. The discussion also touches on the cyclical nature of commodities and the potential future of demand in the face of demographic changes.This episode of Mining Stock Daily is brought to you by... Vizsla Silver is focused on becoming one of the world's largest single-asset silver producers through the exploration and development of the 100% owned Panuco-Copala silver-gold district in Sinaloa, Mexico. The company consolidated this historic district in 2019 and has now completed over 325,000 meters of drilling. The company has the world's largest, undeveloped high-grade silver resource. Learn more at⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠https://vizslasilvercorp.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Calibre Mining is a Canadian-listed, Americas focused, growing mid-tier gold producer with a strong pipeline of development and exploration opportunities across Newfoundland & Labrador in Canada, Nevada and Washington in the USA, and Nicaragua. With a strong balance sheet, a proven management team, strong operating cash flow, accretive development projects and district-scale exploration opportunities Calibre will unlock significant value.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.calibremining.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Integra is a growing precious metals producer in the Great Basin of the Western United States. Integra is focused on demonstrating profitability and operational excellence at its principal operating asset, the Florida Canyon Mine, located in Nevada. In addition, Integra is committed to advancing its flagship development-stage heap leach projects: the past producing DeLamar Project located in southwestern Idaho, and the Nevada North Project located in western Nevada. Learn more about the business and their high industry standards over at integraresources.com

Mining Stock Daily
REPLAY: The Latest Insights into Metals and Miners w/ Brien Lundin, Vukasin Pekovic and Brian Leni

Mining Stock Daily

Play Episode Listen Later May 6, 2025 56:50


MSD is happy to air a replay of today's webinar featuring MSD host Trevor Hall and 3 prominent mining speculators and writers. The four gentlemen talk about the reaction to the gold price this week and how its having a positive impact for gold miners. But where are we in the gold cycle and which part of the industry is still holding out for its big move higher? Learn more through this wonderful conversation.Brien Lundin - https://goldnewsletter.com/Vukasin Pekovic - https://independentspeculator.com/Brian Leni - https://www.juniorstockreview.com/

Head Shepherd
Head Shepherd Live at the World Angus Forum

Head Shepherd

Play Episode Listen Later May 4, 2025 19:34


Listen to the podcast live from the World Angus Forum. Ferg chats with Chuck Grove, retired American Angus Association President, to talk all things Angus cattle. Head Shepherd is brought to you by neXtgen Agri International Limited. We help livestock farmers get the most out of the genetics they farm with. Get in touch with us if you would like to hear more about how we can help you do what you do best: info@nextgenagri.com.Thanks to our sponsors at MSD Animal Health and Allflex, and Heiniger Australia and New Zealand. Please consider them when making product choices, as they are instrumental in enabling us to bring you this podcast each week.Check out Heiniger's product range HERECheck out the MSD range HERECheck out Allflex products HERE

Dental Digest
266. Proper Suturing Technique and Fundamentals with Dr. Diego Velasquez

Dental Digest

Play Episode Listen Later Apr 28, 2025 33:45


Join Elevated GP: www.theelevatedgp.com Free Class II Masterclass - Click Here to Join Follow @dental_digest_podcast Instagram Follow @dr.melissa_seibert on Instagram   Diego Velásquez, DDS, MSD is a graduate of the Pontificia Universidad Javeriana School of Dentistry, Colombia. He holds certificates in Prosthodontics and Dental Materials, a Master's degree in Science of Dentistry (Indiana University) and a certificate in Periodontics and Dental Implants (The University of Texas Health Science Center at San Antonio). Dr. Velasquez works in private practice in Fenton, Michigan and is an Adjunct Clinical Assistant Professor at the School of Dentistry of The University of Michigan. He is a Diplomate of the American Board of Periodontology and is a member of the peer review panel of the Journal of Periodontology, Clinical Advances in Periodontics, and former consultant of The International Journal of Periodontics and Restorative Dentistry. He is part of the Expert Council of The Osteology Foundation. He is past president of the Midwest Society of Periodontology, Michigan Periodontal Association and The American Academy of Periodontology Foundation.

INGRID Y TAMARA EN MVS 102.5
28/04 Programa Completo - Tamara con Luz

INGRID Y TAMARA EN MVS 102.5

Play Episode Listen Later Apr 28, 2025 126:23


En este programa les tenemos preparados temas muy interesantes ¡No se lo pierdan! El Dr. Carlos O'Quinn. Director Médico Asociado de Vacunas en MSD, nos habla sobre la importancia de la Semana Mundial de la Inmunización. Nuestras locutoras nos cuentan lo mejor y lo peor de las fiestas: anécdotas inolvidables, momentos incómodos y esas historias que siempre terminan en risas. Mónica Strauss, psicóloga, chef y pionera del food coaching en México, analiza la miniserie Vinagre de Manzana. Florencia Glez-Guerra y Xanic Zondowicz, host y creadoras de contenido, nos cuentan todo sobre CCXP México 2025. Laura Coronado, experta en cultura digital, nos explica por qué los adolescentes están usando OMETV. Esto y más aquí en Tamara con Luz.See omnystudio.com/listener for privacy information.

The Fantasy Blink
It's Special Guest MONDAY!!

The Fantasy Blink

Play Episode Listen Later Apr 28, 2025 34:25


The Blink welcomes in Tyler from MSD to talk draft, hoops, and all things sports - Episode #836

Head Shepherd
Wool's Role in Healthier Soil with Sherri Symons

Head Shepherd

Play Episode Listen Later Apr 27, 2025 41:21


When Sherri Symons looked at five years' worth of crossbred wool gathering dust in the shed, she didn't just see a problem, she saw an opportunity.Today, she's the founder of Aussie Wool Pellets and WoolGrow, creating environmentally friendly, biodegradable gardening products from 100% Australian wool. Her products: ✅ Provide slow-release nitrogen ✅ Hold three times their weight in water ✅ Feed soil microorganisms ✅ Deter slugs and snails naturally ✅ Break down into the soil to boost carbon and soil healthHead Shepherd is brought to you by neXtgen Agri International Limited. We help livestock farmers get the most out of the genetics they farm with. Get in touch with us if you would like to hear more about how we can help you do what you do best: info@nextgenagri.com.Thanks to our sponsors at MSD Animal Health and Allflex, and Heiniger Australia and New Zealand. Please consider them when making product choices, as they are instrumental in enabling us to bring you this podcast each week.Check out Heiniger's product range HERECheck out the MSD range HERECheck out Allflex products HERE

The Tim Jones and Chris Arps Show
H2: Newsmax CEO Chris Ruddy on ringing bell at NYSE 04.24.2025

The Tim Jones and Chris Arps Show

Play Episode Listen Later Apr 24, 2025 42:40


THE TIM JONES AND CHRIS ARPS SHOW 0:00 SEG 1 Chris Ruddy, CEO of Newsmax | TOPIC: Headlines of the day | Ringing the opening bell at the NYSE | Being friends with Trump | Tariffs | The war on DEI | Trump’s plan for Iran | Will Scharf https://x.com/ChrisRuddyNMX 15:23 SEG 2 Tom Sullivan, St. Louis’ top watchdog | TOPIC: Complaint claims county exec used public funds on Prop B mailers | Residents ask if they’re being forgotten after MSD’s $350M in approved projects | St. Louis County eyes giving $8.1M in Rams money to nonprofits | Loop Trolley debacle 35:04 SEG 3 Sex life of a 100 year old tortoise https://newstalkstl.com/ FOLLOW TIM - https://twitter.com/SpeakerTimJones FOLLOW CHRIS - https://twitter.com/chris_arps 24/7 LIVESTREAM - http://bit.ly/NEWSTALKSTLSTREAMS RUMBLE - https://rumble.com/NewsTalkSTL See omnystudio.com/listener for privacy information.

NewsTalk STL
H2: Newsmax CEO Chris Ruddy on ringing bell at NYSE 04.24.2025

NewsTalk STL

Play Episode Listen Later Apr 24, 2025 42:40


THE TIM JONES AND CHRIS ARPS SHOW 0:00 SEG 1 Chris Ruddy, CEO of Newsmax | TOPIC: Headlines of the day | Ringing the opening bell at the NYSE | Being friends with Trump | Tariffs | The war on DEI | Trump’s plan for Iran | Will Scharf https://x.com/ChrisRuddyNMX 15:23 SEG 2 Tom Sullivan, St. Louis’ top watchdog | TOPIC: Complaint claims county exec used public funds on Prop B mailers | Residents ask if they’re being forgotten after MSD’s $350M in approved projects | St. Louis County eyes giving $8.1M in Rams money to nonprofits | Loop Trolley debacle 35:04 SEG 3 Sex life of a 100 year old tortoise https://newstalkstl.com/ FOLLOW TIM - https://twitter.com/SpeakerTimJones FOLLOW CHRIS - https://twitter.com/chris_arps 24/7 LIVESTREAM - http://bit.ly/NEWSTALKSTLSTREAMS RUMBLE - https://rumble.com/NewsTalkSTL See omnystudio.com/listener for privacy information.

Corey Boutwell Podcast
Intro to Masculine Social Dynamics: Becoming Magnetic #272

Corey Boutwell Podcast

Play Episode Listen Later Apr 24, 2025 30:34 Transcription Available


Unlock the secrets to becoming a magnetically confident man with our intro to masculine social dynamics. In this video, we'll dive into the world of self-improvement, exploring the principles of authentic masculinity, emotional intelligence, and social mastery. You'll learn how to harness your inner power and develop the influence skills needed to build strong relationships, attract like-minded individuals, and exude confidence in any social situation. From networking tricks and alpha behaviour to dating strategies and relationship skills.This is your blueprint if you're tired of forcing results and want to attract the life, love, and leadership you know you're capable of.

Head Shepherd
Future-Proofing the Family Farm with Ben Law

Head Shepherd

Play Episode Listen Later Apr 20, 2025 49:35


Want to know how to future-proof your family farm for generations ahead? This is the podcast for you. Our guest this week is fellow podcaster Ben Law, aka “The Financial Bloke”. Ben is a former financial advisor who now works as a strategic coach, helping farming families grow, protect, and transition their wealth across generations.Ben shares his background in financial law, the reasons behind his career shift and the work he does now with farming families. He explains he common challenges faced by farming families in succession planning and his approach to guiding them through the difficulties. Tune in to hear about:How to avoid the common pitfalls that derail family succession plansWhy financial success isn't enough to keep the family business strongWhat proactive families are doing now to set up for smooth transitions laterHow to prepare both on-farm and off-farm kids for their future rolesWhy rethinking time, work ethic and communication matters more than you thinkThe power of mastermind groups to shift mindset and spark meaningful changeHead Shepherd is brought to you by neXtgen Agri International Limited. We help livestock farmers get the most out of the genetics they farm with. Get in touch with us if you would like to hear more about how we can help you do what you do best: info@nextgenagri.com.Thanks to our sponsors at MSD Animal Health and Allflex, and Heiniger Australia and New Zealand. Please consider them when making product choices, as they are instrumental in enabling us to bring you this podcast each week.Check out Heiniger's product range HERECheck out the MSD range HERECheck out Allflex products HERE

Mining Stock Daily
Gold Hart Copper Completes First Drill Hole at Tolita

Mining Stock Daily

Play Episode Listen Later Apr 17, 2025 11:34


MSD welcomes in Isaac B. Maresky, CEO of Gold Hart Copper, discussing the company's recent drilling activities at the Tolita project. They explore the significance of the first drill hole completed since 1997, the geological context of the site, and the company's future drilling plans. The conversation also touches on the market activity surrounding Gold Heart Copper and the expertise of its geological team.

Head Shepherd
The Business of Farming with Nigel Kerin

Head Shepherd

Play Episode Listen Later Apr 13, 2025 95:56


Nigel is back again to discuss the business of farming, and mindset in particular. Expanding on our previous two podcasts with Nigel, he shares his approach to business, the evolution of his mindset and strategies for managing risk and climate variability. He also talks about the importance of continual learning and, as Nigel puts it, “buying brains”. In this episode, we discuss:✔ How to build a resilient farm business✔ What good leadership really looks like on-farm ✔ Why scaling up isn't always the answerIf you're looking to future-proof your business, manage labour better, and build systems that don't fall apart under pressure, tune in today. Head Shepherd is brought to you by neXtgen Agri International Limited. We help livestock farmers get the most out of the genetics they farm with. Get in touch with us if you would like to hear more about how we can help you do what you do best: info@nextgenagri.com.Thanks to our sponsors at MSD Animal Health and Allflex, and Heiniger Australia and New Zealand. Please consider them when making product choices, as they are instrumental in enabling us to bring you this podcast each week.Check out Heiniger's product range HERECheck out the MSD range HERECheck out Allflex products HERE

Right At Home With Rich: Saturday 12noon – 1pm
Preventing Sewer Backups, Deck Care, and Ventilation Must-Knows

Right At Home With Rich: Saturday 12noon – 1pm

Play Episode Listen Later Apr 12, 2025 75:48


This week on the Rich Oris Home Improvement Show, Rich dives into smart ways to protect your home from sewer backups during heavy rain, including how MSD may offer free check valve installations. He also breaks down backflow preventers and other preventative options. Then, Rich talks deck maintenance: when to replace vs. resurface, how long wooden decks really last, and tips for staining prep. The show continues with attic and roof ventilation strategies—like balancing intake and exhaust air and using baffles properly.

Dental Digest
264. How to Choose the Right Suture Matierial with Dr. Diego Velásquez

Dental Digest

Play Episode Listen Later Apr 11, 2025 30:21


Join Elevated GP: www.theelevatedgp.com Free Class II Masterclass - Click Here to Join Follow @dental_digest_podcast Instagram Follow @dr.melissa_seibert on Instagram   Diego Velásquez, DDS, MSD is a graduate of the Pontificia Universidad Javeriana School of Dentistry, Colombia. He holds certificates in Prosthodontics and Dental Materials, a Master's degree in Science of Dentistry (Indiana University) and a certificate in Periodontics and Dental Implants (The University of Texas Health Science Center at San Antonio). Dr. Velasquez works in private practice in Fenton, Michigan and is an Adjunct Clinical Assistant Professor at the School of Dentistry of The University of Michigan. He is a Diplomate of the American Board of Periodontology and is a member of the peer review panel of the Journal of Periodontology, Clinical Advances in Periodontics, and former consultant of The International Journal of Periodontics and Restorative Dentistry. He is part of the Expert Council of The Osteology Foundation. He is past president of the Midwest Society of Periodontology, Michigan Periodontal Association and The American Academy of Periodontology Foundation.

Head Shepherd
Improving Agriculture's Future with Trust and Advocacy with Claire Taylor

Head Shepherd

Play Episode Listen Later Apr 6, 2025 49:17


“Engage, not educate.” That's Claire Taylor's mantra when it comes to agriculture's public perception.From a career in political journalism to a Nuffield Scholarship spanning 16 countries, Claire has seen firsthand how farming is scrutinised around the world. We chat about:- Breaking out of the agricultural echo chamber.- The power of agritourism- Why trust-building, not just broadcasting, is the key to better advocacy.- The latest farming unrest in the UK and- Her move from Scotland to Australia to launch Agvocacy Consulting.https://www.agvocacyconsulting.com/Head Shepherd is brought to you by neXtgen Agri International Limited. We help livestock farmers get the most out of the genetics they farm with. Get in touch with us if you would like to hear more about how we can help you do what you do best: info@nextgenagri.com.Thanks to our sponsors at MSD Animal Health and Allflex, and Heiniger Australia and New Zealand. Please consider them when making product choices, as they are instrumental in enabling us to bring you this podcast each week.Check out Heiniger's product range HERECheck out the MSD range HERECheck out Allflex products HERE

Mining Stock Daily
Tommy Thornton on Why He Thinks Tariffs will have an Inflationary Effect

Mining Stock Daily

Play Episode Listen Later Apr 1, 2025 19:48


Tommy Thornton of Hedgefund Telemetry joins MSD to a conversation focusing on the impact of tariffs, consumer sentiment, and inflationary pressures. They analyze the implications of upcoming earnings reports and the performance of various assets, including Tesla and gold. The discussion highlights the uncertainty in the market and the challenges faced by investors as they navigate these economic conditions.

Head Shepherd
Managing Clostridial Disease in Sheep and Cattle with MSD Animal Health

Head Shepherd

Play Episode Listen Later Mar 30, 2025 35:38


This week on the podcast we have our sponsors, MSD Animal Health, discussing Clostridial diseases and proper vaccine protocols. Our guests, Felicity Wills and Hamish Pike, are both Veterinary Technical Advisors for the company, and discuss the prevalence, symptoms, risk factors, and prevention strategies associated with Clostridial diseases.From Pulpy Kidney to Blackleg, we cover what happens, what to look for, and why vaccines are a simple but essential tool for preventing losses.Why clostridial diseases turn up so oftenHow to spot the signs before it's too lateGetting the most out of vaccines (without wasting money)The myths, the mistakes, and the must-knowsHead Shepherd is brought to you by neXtgen Agri International Limited. We help livestock farmers get the most out of the genetics they farm with. Get in touch with us if you would like to hear more about how we can help you do what you do best: info@nextgenagri.com.Thanks to our sponsors at MSD Animal Health and Allflex, and Heiniger Australia and New Zealand. Please consider them when making product choices, as they are instrumental in enabling us to bring you this podcast each week.Check out Heiniger's product range HERECheck out the MSD range HERECheck out Allflex products HERE

Mining Stock Daily
Gold's Greatest Bull Market has Begun says Jordan Roy-Byrne

Mining Stock Daily

Play Episode Listen Later Mar 28, 2025 60:38


Jordan Roy-Byrne joins MSD for his first long-form discussion to chat about his new book on precious metals, detailing his journey into technical analysis and the significance of gold and silver in the current economic landscape. He explains the cup and handle pattern in gold, its historical context, and how it relates to broader economic cycles, including inflation and Federal Reserve policies. The conversation also touches on recent trends in gold prices and the impact of central bank demand. In this conversation, Jordan Roy-Byrne discusses the significant breakout of gold against conventional investment portfolios, indicating a new bull market for precious metals. He emphasizes the shift of capital from stocks to gold and the implications of de-dollarization on the future of currency. The discussion also covers silver's long-term potential and strategies for investing in gold equities, highlighting the importance of research and stock selection in a volatile market.This episode of Mining Stock Daily is brought to you by... Vizsla Silver is focused on becoming one of the world's largest single-asset silver producers through the exploration and development of the 100% owned Panuco-Copala silver-gold district in Sinaloa, Mexico. The company consolidated this historic district in 2019 and has now completed over 325,000 meters of drilling. The company has the world's largest, undeveloped high-grade silver resource. Learn more at⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠https://vizslasilvercorp.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Calibre Mining is a Canadian-listed, Americas focused, growing mid-tier gold producer with a strong pipeline of development and exploration opportunities across Newfoundland & Labrador in Canada, Nevada and Washington in the USA, and Nicaragua. With a strong balance sheet, a proven management team, strong operating cash flow, accretive development projects and district-scale exploration opportunities Calibre will unlock significant value.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.calibremining.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Integra is a growing precious metals producer in the Great Basin of the Western United States. Integra is focused on demonstrating profitability and operational excellence at its principal operating asset, the Florida Canyon Mine, located in Nevada. In addition, Integra is committed to advancing its flagship development-stage heap leach projects: the past producing DeLamar Project located in southwestern Idaho, and the Nevada North Project located in western Nevada. Learn more about the business and their high industry standards over at integraresources.com

Head Shepherd
BONUS EPISODE: Integrating Angoras with Merinos

Head Shepherd

Play Episode Listen Later Mar 26, 2025 31:15


This week we're giving you a bonus episode on the Head Shepherd Podcast. Our host Mark, also hosts the Fibre Frontier podcast and we thought this interview with Dr Susan Robertson was worth sharing with our audience here on Head Shepherd.The Fibre Frontier is supported by AgriFutures Australia and the Goat Fibre Producers of Australia. Find more on AgriFutures Australia's Goat Fibre Program here - https://agrifutures.com.au/rural-industries/goat-fibre/.You can find related information and a world of likeminded people at the Goat Fibre Gateway - check it out here - https://gateway.goatfibre.com/.If you're keen on mohair and cashmere, or just love a good yarn about agriculture, share this episode, leave a like and a review, and let's spread the word about The Fibre Frontier!Head Shepherd is brought to you by neXtgen Agri International Limited. We help livestock farmers get the most out of the genetics they farm with. Get in touch with us if you would like to hear more about how we can help you do what you do best: info@nextgenagri.com.Thanks to our sponsors at MSD Animal Health and Allflex, and Heiniger Australia and New Zealand. Please consider them when making product choices, as they are instrumental in enabling us to bring you this podcast each week.Check out Heiniger's product range HERECheck out the MSD range HERECheck out Allflex products HERE

Pharma Intelligence Podcasts
Scrip's Five Must-Know Things - 24 March 2025

Pharma Intelligence Podcasts

Play Episode Listen Later Mar 24, 2025 15:41


Audio roundup of selected biopharma industry content from Scrip over the business week ended 21 March 2025. In this episode: Pfizer tops pharma leaderboard; AstraZeneca buys into in vivo cell therapy; Almirall looks to dominate derma spectrum; Incyte's HS contender looks approvable; and MSD's Williams says pharma should shorten tech adoption cycles. https://insights.citeline.com/scrip/podcasts/scrips-five-must-know-things/quick-listen-scrips-five-must-know-things-EGD3MLOIVJDKRCE32KV376CJ5Q/ This episode was produced with the help of AI text-to-voice and voice emulation tools. Playlist: soundcloud.com/citelinesounds/sets/scrips-five-must-know-things

Head Shepherd
Strategies for Higher Conception Rates in Cattle with Dr Pedro Fontes

Head Shepherd

Play Episode Listen Later Mar 23, 2025 51:12


This week on the Head Shepherd podcast, we're joined by Dr Pedro Fontes from the University of Georgia to talk about beef cattle reproduction. Pedro's research focuses on optimising fertility through artificial insemination (AI), synchronisation protocols, and embryo transfer strategies.Mark and Pedro discuss the latest findings on GnRH compounds, how pre-synchronisation boosts conception rates, why improved ultrasound technology is enhancing embryo recipient selection and how excess bull condition affects fertility. If you're looking for new ways to improve reproductive efficiency in your herd, this episode is a must-listen. Send us a message Head Shepherd is brought to you by neXtgen Agri International Limited. We help livestock farmers get the most out of the genetics they farm with. Get in touch with us if you would like to hear more about how we can help you do what you do best: info@nextgenagri.com.Thanks to our sponsors at MSD Animal Health and Allflex, and Heiniger Australia and New Zealand. Please consider them when making product choices, as they are instrumental in enabling us to bring you this podcast each week.Check out Heiniger's product range HERECheck out the MSD range HERECheck out Allflex products HERE

Mining Stock Daily
Is Idaho the Bellwether for Federal Mining Reform? Peter Smith on the Resurgence of the State's Resource Industry

Mining Stock Daily

Play Episode Listen Later Mar 21, 2025 47:52


This long-form MSD episodes delves into the resurgence of mining in Idaho, focusing on the legal and regulatory landscape. Peter Smith shares insights on the growth of the mining sector, the challenges faced, and the role of state government in facilitating development while balancing environmental concerns. In this conversation, Peter Smith discusses the evolving landscape of mining in Idaho, particularly in light of the Hercules discovery and the subsequent staking rush. He emphasizes the importance of common sense in politics, the readiness of the state to support mining activities, and the potential for further exploration in Idaho. Smith also highlights the regulatory challenges faced by the industry and offers insights for investors looking to capitalize on opportunities in the region.This episode of Mining Stock Daily is brought to you by... Vizsla Silver is focused on becoming one of the world's largest single-asset silver producers through the exploration and development of the 100% owned Panuco-Copala silver-gold district in Sinaloa, Mexico. The company consolidated this historic district in 2019 and has now completed over 325,000 meters of drilling. The company has the world's largest, undeveloped high-grade silver resource. Learn more at⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠https://vizslasilvercorp.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Calibre Mining is a Canadian-listed, Americas focused, growing mid-tier gold producer with a strong pipeline of development and exploration opportunities across Newfoundland & Labrador in Canada, Nevada and Washington in the USA, and Nicaragua. With a strong balance sheet, a proven management team, strong operating cash flow, accretive development projects and district-scale exploration opportunities Calibre will unlock significant value.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.calibremining.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Integra is a growing precious metals producer in the Great Basin of the Western United States. Integra is focused on demonstrating profitability and operational excellence at its principal operating asset, the Florida Canyon Mine, located in Nevada. In addition, Integra is committed to advancing its flagship development-stage heap leach projects: the past producing DeLamar Project located in southwestern Idaho, and the Nevada North Project located in western Nevada. Learn more about the business and their high industry standards over at integraresources.com

Mining Stock Daily
Morning Briefing: G2 Goldfields Makes Discovery in New G3 Spin-out Property

Mining Stock Daily

Play Episode Listen Later Mar 18, 2025 7:57


MSD reports the latest drill results this morning from G2 Goldfields, Awale Resources, ATEX Resources and Abcourt Mines. This episode of Mining Stock Daily is brought to you by... Vizsla Silver is focused on becoming one of the world's largest single-asset silver producers through the exploration and development of the 100% owned Panuco-Copala silver-gold district in Sinaloa, Mexico. The company consolidated this historic district in 2019 and has now completed over 325,000 meters of drilling. The company has the world's largest, undeveloped high-grade silver resource. Learn more at⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠https://vizslasilvercorp.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Calibre Mining is a Canadian-listed, Americas focused, growing mid-tier gold producer with a strong pipeline of development and exploration opportunities across Newfoundland & Labrador in Canada, Nevada and Washington in the USA, and Nicaragua. With a strong balance sheet, a proven management team, strong operating cash flow, accretive development projects and district-scale exploration opportunities Calibre will unlock significant value.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.calibremining.com/⁠⁠⁠⁠⁠⁠⁠⁠Integra is a growing precious metals producer in the Great Basin of the Western United States. Integra is focused on demonstrating profitability and operational excellence at its principal operating asset, the Florida Canyon Mine, located in Nevada. In addition, Integra is committed to advancing its flagship development-stage heap leach projects: the past producing DeLamar Project located in southwestern Idaho, and the Nevada North Project located in western Nevada. Learn more about the business and their high industry standards over at integraresources.com

Head Shepherd
All you need to know about Toxoplasmosis with Connor Bury

Head Shepherd

Play Episode Listen Later Mar 16, 2025 34:41


This week on the Head Shepherd podcast, we're deep-diving into Toxoplasma Gondii with veterinary parasitologist Connor Bury. Connor walks us through the lifecycle of the parasite, how it's impacting sheep farmers across the world, and what we can do to reduce the impacts of it.Whilst many know cats are the main culprits in spreading Toxo, did you know the importance of water quality when it comes to reducing the spread of the parasite? Tune in today to learn more and equip yourself with the knowledge to lower your sheep's risk of toxoplasmosis.Head Shepherd is brought to you by neXtgen Agri International Limited. We help livestock farmers get the most out of the genetics they farm with. Get in touch with us if you would like to hear more about how we can help you do what you do best: info@nextgenagri.com.Thanks to our sponsors at MSD Animal Health and Allflex, and Heiniger Australia and New Zealand. Please consider them when making product choices, as they are instrumental in enabling us to bring you this podcast each week.Check out Heiniger's product range HERECheck out the MSD range HERECheck out Allflex products HERE

Head Shepherd
From Sheep Contracting to Livestock Consulting with Amber Smith

Head Shepherd

Play Episode Listen Later Mar 9, 2025 18:45


This week on the podcast, our guest is Amber Smith- our newest livestock consultant to join the team. Raised on a Merino stud in central-west New South Wales, Amber developed a deep connection to livestock early on, working with sheep, cattle, dogs and horses. After completing an honours degree in Animal Science at the University of New England, she ventured north to the cattle stations of the Northern Territory.Returning south, Amber launched her own sheep contracting business, gaining valuable insights into different production systems, infrastructure efficiencies, and breed-specific management. Now, as part of the team, she's excited to work with farmers to improve productivity, genetics, and overall flock performance.Based in New South Wales, Amber is ready to hit the road, meet clients, and apply her expertise to help farmers get the most out of their livestock.Head Shepherd is brought to you by neXtgen Agri International Limited. We help livestock farmers get the most out of the genetics they farm with. Get in touch with us if you would like to hear more about how we can help you do what you do best: info@nextgenagri.com.Thanks to our sponsors at MSD Animal Health and Allflex, and Heiniger Australia and New Zealand. Please consider them when making product choices, as they are instrumental in enabling us to bring you this podcast each week.Check out Heiniger's product range HERECheck out the MSD range HERECheck out Allflex products HERE

Mining Stock Daily
Ryan King Comments on the Calibre Mining and Equinox Gold Merger

Mining Stock Daily

Play Episode Listen Later Mar 6, 2025 18:12


Ryan King of Calibre Mining joined MSD from the PDAC show in Toronto this week for an editorial on the reason backing the big merger news between Calibre and Equinox Gold. The conversation highlights he strategic rationale, financial aspects, leadership insights, and future growth potential of the combined entity. The discussion emphasizes the current opportunities in the gold mining sector and the expected benefits for shareholders.

Mining Stock Daily
Rua Gold's Auld Creek Project Overview and how AI is being Leveraged for Enhanced Exploration

Mining Stock Daily

Play Episode Listen Later Mar 5, 2025 17:45


In conjunction with Vrify, we explore Rua Gold's operations and the evolving exploration landscape in New Zealand, particularly focusing on the Auld Creek project, within the Reefton Goldfield on the South Island of New Zealand. CEO Robert Eckford discusses the significance of antimony, the use of AI technology from Verify to enhance exploration efforts, and the company's ambitious goals for the future. The conversation highlights the potential of New Zealand's mining sector and Rua Gold's strategic initiatives to capitalize on this opportunity.This episode of MSD is in conjunctin with VRIFY's Dora Platform. The world's first AI-Assisted Mineral Discovery Platform transforms our proprietary geological dataset — one of the largest in the industry — and your project-specific information into actionable insights, so you can see what's in the ground.

The Main St Dish
Ultimate Guide to Disney Dirty Martinis

The Main St Dish

Play Episode Listen Later Mar 3, 2025 52:48


On this episode, we are dishing on the best dirty martinis in Disney World. We'll talk about the places to find them with blue cheese olives, some of them that surprised us along the way, and our general favorites.Support us on Patreon:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Support our show on Patreon ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Join us on our dirty crawl on the David's Vacation Club Rentals 20th Anniversary Fan Cruise!That's right, the whole MSD crew is sailing together this year, and you can join us while we all enjoy dirty martinis! Here's the details:April 23-27, 2025! The sailing is a 4-Night Bahamian Cruise from Port Canaveral, Florida, and visits Disney's private islands Castaway Cay and Lookout Cay at Lighthouse Point! For more information and to book a stateroom, contact the dedicated team of David's Vacation Club Rentals Cruise Specialists by calling 800-610-5791, emailing team@dvcrequest.com, or visit the Davids website here: ⁠https://dvcrequest.com/dvc-guests/dvc-fan-cruise/BethanyVinton⁠As a bonus for booking with them, David's offers a complimentary Onboard Credit for your stateroom, as well as a swag box!Follow The Main St Dish on Social Media:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠TikTok⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Theme Song By The Disneylanders:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠The Disneylanders on Spotify⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠The Disneylanders on Instagram

Manager Minute-brought to you by the VR Technical Assistance Center for Quality Management
VRTAC-QM Manager Minute: Inside Order of Selection – Insights from RSA and Indiana VR

Manager Minute-brought to you by the VR Technical Assistance Center for Quality Management

Play Episode Listen Later Mar 3, 2025 38:57


Join host Carol Pankow as she dives into the complexities of Order of Selection (OOS) in vocational rehabilitation with two expert guests: Theresa Kolezar, Director of Indiana Combined, and Chris Pope, Director of the State Monitoring and Program Improvement Division at RSA. In this episode, they break down: ·      Why agencies implement OOS due to financial and staffing constraints ·      Key regulatory requirements and compliance considerations ·      Strategies for managing and eventually lifting OOS ·      Indiana VR's data-driven approach to decision-making and communication ·      RSA's insights on fiscal forecasting and policy compliance If you're in the VR field, you won't want to miss this insightful conversation on planning, stakeholder engagement, and using data to overcome challenges.   Listen Here   Full Transcript:   {Music} Chris: As you know, we have 78 VR agencies and only eight of them have a closed priority category, and only one of those eight have all priority categories closed.   Carol: So by going back and saying hey you gotta look at this other side of the house and really analyze what's happening. It will give you the full picture, than what is playing into what's happening over here on the fiscal side of the house.   Theresa: For the majority of folks. They were maybe even having somewhat of a positive impact because we were able to get them processed, get them in sooner. And you know, there's obvious benefits that go along with lower case load sizes.   Intro Voice: Manager Minute brought to you by the VRTAC for Quality Management, Conversations powered by VR, one manager at a time, one minute at a time. Here is your host Carol Pankow.   Carol: Well, welcome to the manager minute. Joining me in the studio today is Theresa Kolezar, director of Indiana Combined. And Chris Pope, director of the State Monitoring and Program Improvement division at the Rehabilitation Services Administration. So, Theresa, how are things going with you in Indiana?   Theresa: Oh, we're doing well. Thanks. So happy to be here.   Carol: Thanks for being here. And, Chris, how are things going for you in D.C.?   Chris: Things are cold in D.C. at the moment, Carol, but we're hanging in there.   Carol: Yeah, not as cold as Minnesota.   Chris: I knew you were going to say that.   Carol: Yeah. I'm like, wow, we're 14 below people. Well, there has been a lot happening with the VR program over the past decade, and we certainly have had our ebbs and flows with funding and staffing. And as of late, the fiscal pendulum has been swinging, VR programs have been experiencing a tightening of the belt, so to speak, and discussions about the order of selection have been ramping up. And so for our listeners, order of selection is a process required under the VR regulations. When a VR agency does not have enough resources, whether it's funding staff or both, to serve all eligible individuals, and it's designed to prioritize services for those with the most significant needs. But over the years, order of selection really has sparked a lot of tension. And for some it's seen as just another layer of government red tape adding to the stigma around bureaucracy. Others argue that it undermines the very spirit of the rehab act by limiting access to services instead of promoting inclusion. Critics point out that it can widen service gaps. It leaves individuals with moderate disabilities without support, even though they still face serious barriers to employment.   And for our counselors, order of selection can bring its own challenges, including the emotional burden of explaining to clients why they can't receive immediate services. And for clients, being placed on a waitlist can feel disheartening and frustrating. And at the same time, agencies are grappling with a harsh reality. There's limited resources. Tough decisions have to be made. So how do we balance fairness, inclusion and the constraints of funding? And that is the question at the heart of today's conversation on order of Selection. So, Theresa, I've been a fan of yours for a long time. I think you bring a really thoughtful approach to almost every difficult situation in VR, and you been around a while, so I definitely want to pick your brain about your thoughts and approach on the topic. And Chris, I'm really count on you to bring the facts from an RSA perspective on what needs to happen with the Order of Selection. So let's dig in. So, Theresa, can you just tell us to start out with a little bit about yourself and your journey into VR?   Theresa: Sure. I probably have the least interesting journey, but maybe the most classic. I went from straight from undergrad to graduate school to get my masters in rehabilitation, got my CRC that same summer, and I entered the rehab field initially with a nonprofit, CRP, before coming to Indiana VR in 2004. So I've been with the VR program for a little over 20 years. Made my journey starting from a VR counselor and now director with, as you can imagine, a lot of other roles along the way. And I think I'm a fairly tenured VR director with almost nine years under my belt in this role.   Carol: Yeah, definitely you would be. Because I remember being told when I left, I had six years, you know, and people were telling me usually the lifespan of a VR director is about five years because the job is tough. So you're definitely one of our longer term folks. So, Chris, how about you? How did you venture into the VR world?   Chris: Thanks, Carol. Well, similar to Theresa, my graduate degree in rehab counseling, I became a CRC and began my career as a VR counselor with the State of New York in the general agency at the time, for about four years. And I've been with RSA now for a lucky 13. Just had my 13th anniversary. And in that time have served in a variety of roles. So, yeah, really happy to be here and now leading the division that's responsible for all of our formula grant.   Carol: Yeah, it's super cool. It's been fun to watch your career, Chris, as  you have grown. I remember one of the very first conferences you presented at, and I believe you were still, you know, more kind of on the staff level. And I thought, who's this guy? You were up there, you just had such a great presence about you. And I'm like, he's going somewhere. And you have, it's come true.   Chris: Thanks, Carol.   Carol: So let's talk about the realities of Order of Selection. It's not something that can be implemented at the snap of a finger. And so I want to start with you. What are those factors via our leaders need to take into account.   Theresa: Yeah. You know it's hard I feel like I sort of came to terms with it because it's it didn't feel so much like something we had to choose or decide upon, but more something we had to do. if your circumstances are such that you don't have the resources to serve everyone. So in Indiana, we enter the order in 2017, and I believe that was the first time in our history, as far as I know, it came after years of trying other things, you know, implementing strategies to improve our capacity, stretch our resources. And just a few examples. Implementing efficiencies, changing to our staffing structure, changing our minimum VRC qualifications to a bachelor's degree, and a whole lot more. And those strategies were definitely focused for us at that time around staffing resources. But there were also some fiscal unknowns or concerns because right around that time, the 15 earmark requirement was also, you know, kind of hitting us. And we were trying to figure out how to shift those resources. So the strategies we did pre they were definitely helpful. They were effective, but we still were left with a deficit. You know, we still had high caseload sizes. It was taking way too long for new referrals to get an intake appointment. Our VRC turnover rate was much higher than is optimal. Ultimately led us to identify that we were not able to provide the full range of ER services to everyone who was eligible, and therefore we needed to enter the Order of Selection.   So we started planning for that probably around nine months prior to. The implementation and when I was making my talking points, there's a lot that you have to do, right, to prepare for Order of selection. So discussion with our internal leadership, our VR council, our stakeholders, our staff conversation with RSA, drafting that state plan amendment, getting that out for public comment. We took a couple extra steps and met with our other workforce partners because we thought, hey, they may get more referrals here. We may want to tell them why and what's going on over here and what this means. And then we of course, you have to develop written procedures, adapt your case management system. And then we also wanted to be really careful with our messaging to applicants. So we drafted some materials that we wanted our intake counselors to share and get that consistent message out there and, of course, training our counselors. So I think the nine month runway was probably a fast track Approach, thinking about all those steps. You want to do it right? You want to be planful. But at the same time, once you identify that this is a need, you usually need it to happen pretty quickly.   Carol: Absolutely. I know for me, when I was a new director in Minnesota, I actually faced this. And Minnesota Blind had not been on an order for many, many, many, many, many, many years. And being a little naive, you know, coming into VR going, we have this situation, you know, I'm thinking this all can happen super fast. It does not. But I found for me, really getting grounded in understanding our data was so important because I see these things all going on. But you had to put all the pieces together, get your fiscal side of the house and what's going on and how you're making expenditures and investments in different things and what's happening with that. But what also is happening programmatically, the people that are coming in and the characteristics of your caseload and all those different things, you had to put it all together to really get the complete picture. And for me, I know I had to do that rather quickly. So it becomes super important to have people around you. If you are not that person you know, that can pull all that data and present it in a way so you can really see the picture of what is happening and kind of unfolding in the state.   I think it just so foundationally because I know I have this little list at my desk of people that have called me looking at needing to go on order selection or thinking they're going to need to. And we have over a dozen states that have outreached in the last two months. And part of my advice to them has been back, you know, you have to get grounded to and what was your data telling you? Because you can't just base this all in sort of an assumption or something. You've got to be grounded. So I always think that that's a really important piece to start with. Now, Chris, I know from a regulatory perspective there are items that are absolutely critical for VR to have in place when you were considering Order Selection. Can you help us with that? Because I want to make sure people aren't making a mistake, you know, as they're kind of thinking through the process.   Chris: Definitely. There are several regulatory requirements, and before we address those, I thought I could provide just a little bit of context at the moment of where we're at with Order selection across the country. As you know, we have 78 VR agencies and only eight of them have a closed priority category, and only one of those eight have all priority categories closed. So this is significant progress over the past several years, I'd say since the passage of WIOA in 2014, in the past, as many as a fourth of our VR agencies had at least one closed priority category. And I can say that when RSA meets with congressional committees and other stakeholders, they often ask us for a status check on Order of Selection, and I can tell you that they respond really positively when we share that very few VR agencies are unable to serve all eligible individuals. Further, since RSA and our federal partners approved, the latest state plan would be the 2024 to 2027 state plans, RSA has approved one VR agency's new order of selection, and at the moment, we have 2 to 3 VR agencies that have submitted paperwork and are pending implementation.   Carol: You might have a few more. Chris now coming because I have I have my list of people calling. I mean really we do have 12 now on the list, so I expect maybe some more outreach.   Chris: Yep. So in terms of all of those regulatory requirements, like you said, VR agencies need to have a few things in place as they consider implementation. These include a comprehensive fiscal forecast, cost containment policies if necessary, and assessment of staff resources. And as Theresa talked about, consultation with the State Rehabilitation Council, so that fiscal forecast needs to address six data points. Average case costs, the projected number of new IPEs, the current number of IPEs, the projected number of applicants and the cost of any assessment services that might be needed to determine them eligible for the program. Projected increase or decrease in the cost of providing VR services to these groups of people, and projected income, or in any other budget resources that may become available. The fiscal forecast produces that data, Carol, that you were talking about, that demonstrates whether or not the VR agency can do the following four things. Whether the agency can continue to provide services to all individuals currently receiving services under their plans. Provide assessment services to all those individuals expected to apply to the program over the next fiscal year. Provide services to all individuals who are expected to be determined eligible in the next fiscal year. And finally, that fiscal forecast needs to include data that demonstrates that the VR program will continue to meet all of the various program requirements, like that 15% reserve requirement that Theresa discussed. So in terms of creating an Order of Selection policy, there are about five things that the VR agency needs to include in that actual policy.   First is it's priority categories, including the regulatory definition of what significant disability means, how the VR agency will determine which individuals have the most significant disabilities. And that definition must build on that regulatory definition of significant disability. The policy needs to address whether the agency has elected to serve individuals outside of the order of selection, who may require specific services or equipment to maintain their job or to keep employment, was one of those new requirements. The policy must indicate how the VR program will provide information and referral services to individuals who may be placed on a waiting list. And finally, the policy needs to describe how the agency will carry out the order, how it will be implemented so, in effect, how the waitlist will be managed and how the VR agency will decide when to open all of those other priority categories. I was happy that Theresa also mentioned that VR agencies need to ensure that their case management system can fulfill the administration of the order. And we like to see in the policy some discussion of what tracking mechanisms VR agencies will use to account for such things as cost, staff time and caseload sizes. So in other words, sort of that real time data analysis that That informs whether the order continues to be necessary or whether it can be lifted.   Carol: Awesome. I'm sure people are probably, as they're listening, taking copious notes. So folks need to know that there also is always a transcript that goes along with the podcast. So if your wrist just broke, you will be able to just take a look at the notes and get all those things. That is super helpful. Chris, I wanted to ask as a follow up, so that people that have outreached so far, those states that have outreached are you seeing? Is it a fiscally related issue? Is it a staffing? You know how sometimes the states are really struggling with having appropriate staffing? I know it's only been a few, but do you know kind of what that looks like if it's based on more of the fiscal end of things, or is it they don't have capacity because they don't have any staff?   Chris: It's been a combination of all of those things, Carol. So we're seeing agencies with limited fiscal resources, whether that be state appropriated funds, their inability to kind of fully leverage the federal award. It may be retention and recruitment of VR counselors. It could also be sort of capacity of providers, whether those are community rehab providers or contractors who provide VR services. And oftentimes it's other things that kind of just contribute to those as well. And what we're hoping to see in those justifications that VR agencies submit is a real data informed discussion of those factors, like real time data in terms of both fiscal data and performance data. So the money and the people.   Carol: Yeah, I can't underscore that enough, because I know the folks that have reached out to us a lot of times they tend to talk about, you know, their hair is on fire about this thing. And then I'm always bringing  back. So if they're all focused just on the fiscal. But I said, what's happening in your program, what's going on? And that has been very interesting as people are talking about. And then they call us back. They go, you know, the characteristics of the individuals coming in the case characteristics, kind of pre-COVID to now is different. And so we're finding clientele coming in has many more needs, and so the cost of the case are so much greater. And they hadn't realized it until they went back in. They just knew something was going on with the people, but they didn't understand what. So by going back and saying, hey, you got to look at this other side of the house and really analyze what's happening. It will give you the full picture. And then what is playing into what's happening over here on the fiscal side of the house. So I think for, you know, we've all said it, the data is super important. I just want to underscore that. So Theresa, tell us a little bit about your journey with Order Selection in Indiana and your current picture what's happening?   Theresa: I echo the data conversation, that's critical, and you really have to justify the need for the order. So we did all of that really before we even probably got to that, that nine month runway that I spoke of. But from there, our next step was to get our internal leadership approval. And there were hesitancies, which is understandable. We really had to work to articulate and help them understand the challenges that we were facing. Again, justifying using that data that we were not able to provide the full range of services to everyone, while also meeting the range of other expectations, you know, timeliness, getting people in the door in a reasonable period of time. And we really had to work to articulate the negative impact of having these ongoing high caseload sizes and the cycle that we were in with staff turnover. It just felt like we were getting deeper and deeper into right into a hole and further and further away from optimal capacity. So ultimately, we presented the Order of Selection as one something that is federally required for our agencies, you know, not able to provide that full range of services. And then two, a lever of sorts that would enable us to maybe pause or slow some of that growth in participants, giving us the space to get out of that cycle to rebuild our foundation, which for us primarily at that time, was fixing our long standing staffing capacity challenges. But for those experiencing fiscal deficits, of course, that focus would look very different. Once we got leadership support, we moved as quickly as humanly possible. And now on the other side of it. I'm thrilled to share that we have now opened all of our priority categories. We released the last 200 or so from our waitlist just this past October, so we were in and out of the order in about a seven year period in Indiana.   Carol: I love that. I like that you said you want to project, you know, the ways to get kind of out of the order to open the categories and do that. I know for states that have contacted us, that's one of the pieces of advice I've been giving. I'm like, okay, you're thinking about the right now, but you also have to think about the future because that is everyone's biggest worry. You're going to do this thing and it's never going to go away. People are going to be in a waitlist forever. You're never putting strategies in place to come out on the other side of that. And I know for me in Minnesota, that was very much part of what I had to do. And given the circumstances we had at that time, I had this plan and I said, if you all can hang with me, I believe by about 2018 or so, end of 17-18, we're going to be on the other side of this, which actually ended up playing out and coming true. And so you've got to not only like react to your current situation, but you want to be thinking thoughtfully about what are those things that you can put in play so that you aren't just going to stay there? This is the lever we're pulling and we're going to be here forever. So I really like that you said that. I know, Theresa, when you and I talked earlier, Order selection can often be treated like a bad word in the VR world, and it is loaded with a lot of stigma and frustration. But at its core, you know, when you and I were chatting and, you know, you just boil it down, it really is a mechanism. It's a tool required by law to prioritize services when resources are limited. And so if we can't do everything for everyone, it's a system that outlines how to make those tough decisions. What are your thoughts about Order of Selection and how we can maybe shift the conversation to reduce the stigma and see it for what it is? It can be this necessary lever to balance fairness amongst those limited resources.   Theresa: Yeah, that's probably one of the trickiest parts in communication. Communication, right. Communication. Communicating with stakeholders about Order Selection will probably always be challenging. It's a challenging thing, but I think there's a couple of things that were really helpful. And one is sharing a game plan to address the underlying resource challenges. Is a helpful approach, right. Making sure that there's game plan. This isn't the end result, right? This is going to enable us to make this shift and again kind of get out of the cycle. We also found it helpful to share the federal requirements. So just very factually, if you can't serve all you have to prioritize certain populations first. And the Order of Selection is the prescribed process for complying with that. And I think it's a good process for doing that. It's effective at making sure the prioritization happens. Additionally, we also share data throughout our process on the percent of eligible individuals who were impacted. And what that showed is that the majority of individuals were actually not impacted. You know, relatively speaking, a pretty small percent of folks ultimately went on a wait list. And, you know, you could even argue, and I think we did a couple of times that for the majority of folks, they were maybe even having somewhat of a positive impact because we were able to get them processed, get them in sooner.   And, you know, there's obvious benefits that go along with lower case load sizes. So we often relay that only about 10% of eligible individuals were going on a wait list, and 90% were meeting that criteria for those with a most significant disability, which was our open category for a good bit of our seven years. I will say people were a little wary of that stat. They kind of had a hard time believing that, and I think that it's because that term MSD or most significant disabilities, it definitely has meaning. But also we found it could be a little bit misleading. You know, people thought, oh, to be MSD, someone must look like this, right? And we actually found that those meeting that MSD criteria were really a more inclusive group than maybe that term people would perceive that term to imply. And that was just another educational opportunity for our stakeholders and our referral sources.   Carol: I like that you talked about the communication piece around all this, because that really is important. It's almost as important as all of the plans you're putting in place. All the things that Chris told us about that need to go in developing that communication plan, that goes along with how you discuss this out amongst all the stakeholders and such, is super important. I know, Chris, do you have any insights on this part, on the stigma or anything you wanted to share?   Chris: I guess I just had a couple thoughts on like the element of fairness that you talked about in dealing with fairness and at the same time limited resources. So I guess I would just say that order of selection is only one of the cost containment measures afforded to VR agencies through the law and through regulations. And there are other things, too, that VR agencies may want to consider, and that's comparable services and benefits. How we inform people and refer them to other workforce development programs. Those may be our partners or others. How we balance what VR Agencies by in terms of services and what we provide in-house in the cost kind of associated with both strategies. One of the other things that RSA often considers VR agencies to look at when we're talking about implementing an order is kind of carefully evaluating the need to require additional assessments when the law allows and promotes the use of existing information. So sort of not overdoing that eligibility determination process because that often comes with cost. Right. And then finally VR agencies should also be reassessing sort of their routine practices and policies that result in increased cost. That may not always be necessary. So we're really looking at kind of the entire fiscal picture of the program, not just those VR service costs that are provided to eligible individuals.   Carol: That's good. I'm glad you brought all of that up, because we often do talk about these other factors. And I asked people, are you also looking at what are you getting bang for your buck? And not that we're trying to bang on vendor communities, but do you have vendors where people never like they're never done with service, they never graduate, they never get to the end? I mean, maybe it's looking back at that and going are the ways in which their training really working for your clientele? Maybe not. Maybe you need to circle back and work with them or have a parting of the ways and think about that. I also like the thinking about really leveraging our partners. I mean, the whole rehab act, when it was redone, you know, and we had the 2014 WIOA comes out of that. We always had partners, but I don't think we were very good at leveraging what things are they doing. And I feel like some of this stuff is duplicative. You know, why are we offering these same sort of trainings that are now at the one stop that people can access and go to those courses or whatever, you know, types of things that they're offering. So it does force you to take a look at that and really actually live in to WIOA and leveraging the partnerships and the funds across all these systems. I like that. Thank you Chris, for saying that. Order Selection also has to be a super thoughtful process. And so, Chris, I know you talked about the data points that folks should look at. Theresa, what are the data points you look at regularly? And I like it because some directors talk about kind of they're reading the tea leaves to complete your fiscal forecasting, or there's some other things that you like to do.   Theresa: Oh gosh, yeah, We could talk all day on fiscal forecasting. But to just kind of be brief, you have to look beyond just what did we spend last year and apply that and assume that. And I think if you don't have programs talking to fiscal sometimes that is the fiscal assumption. Right. By fiscal staff being made. So with the pendulum swings that we tend to see in VR, which of course are highly driven by trends and applicant and participant counts, you really need to have a very layered approach to forecasting. This is where, again, that program knowledge and fiscal knowledge, it's essential that they're paired up. Just a few things to consider would be beyond the basics right. What is your data show? What are your trends? Show. But what's in your state plan? What are the goals? What are the initiatives that you have in place? There may be a fiscal impact to those, right? There may be a staff resource impact to those. So for instance, a very obvious example in our state plan, we have some goals around increasing enrollment in post-secondary training. There's some fiscal impact there. We need to know what that is, how to apply that, and then really have an understanding of our ability to sustain that goal into the subsequent years.   Again, the applicant and participant growth trends are super important. So keep your eye on and then any impact of any other outreach or collaborative partnerships that might be contributing to some of that program growth. You know, more people served generally is going to mean more expenses. And then just quickly, from kind of a fiscal standpoint, something that might be a little bit unique beyond, again, all the basic essentials of fiscal forecasting is we really have to account for carrying over a certain portion of our dollars. And that really comes down to making sure we don't have, you know, disruptions and services and can comply with this period of performance requirements. So we find in Indiana that, you know, carrying over like 20 to 25% works well for us, ensures that we can continue authorizations past 9/30 and not have that challenge of waiting until ten/1, you know, to encumber new funds. And that just keeps the flow of services going. So I'll just add that as maybe a nuance that others aren't always thinking about.   Carol: Yeah, I appreciate that because I think that having that strategy I did too, as a director, wanting you have your sweet spot of what you like to have in that carry over, because it really does promote that consistency when you have that hard start and stop, and especially in an era of continuing resolutions, you know your whole strategy with how you're flowing into the next year and how all that's going to work. You need to think about that piece for sure. Now, I know a big problem has existed around priority categories and the most significant disability designation. And many programs have three categories, but almost 90% of the customers are in category one, which makes it difficult, you know, when you're implementing an Order of Selection. How did you address that in Indiana?   Theresa: Yeah, that's exactly what we saw. And we balanced this by a couple of key strategies. One is that we did not release anyone from the waitlist until a little over two years into our process. That's  kind of how we, how bad of a cycle we were in. And again, it's a lever. It's  that dial. We had some targets like caseload sizes, retention rate that we were tracking as a gauge to when we could start moving people off that waitlist. So just for example, average caseload size is getting to under 100, turnover being less than 20%. So those were some indicators to watch to start releasing folks. Another strategy that was really helpful is that we opted to do larger releases each quarter instead of kind of smaller, more frequent releases. And this gave us the opportunity to really have our staff know that it was coming the same time each quarter. They could carve out time because it is a lift on top of the day to day, right? You've got to reach out to folks multiple times. You've got to schedule them for meetings. You've got to get IPEs in place. And then with those reviews of the, you know, again, we might look at like 2 to 300 people to see, can we take 300? Can we take 200? Is it somewhere in the middle? How does that break down across your 26 offices? And inevitably each quarter, one office got hit with a high number. And then there were a few that had very little. So we also had to weigh that and see where we could balance our resources to make those work. You know, at the end of the day, you ultimately have to release more people from the waitlist than new people who came in as eligible that quarter in order to get ahead of it. So that was another data point that we looked at.   Carol: Did you find that actually learning kind of through Covid, a lesson, you know, with working remotely and all of that, did that help as you're looking at distributing across the 26 areas? Because you can I mean, and I've talked to other directors about this now you can work with people. Maybe you're in this part of the state, but you can work with other folks as well to keep them moving. So maybe there isn't this huge one off, it's just got 200 people and the other offices get one, you know, they don't have any. Did you find some ability to flex that around the state?   Theresa: Absolutely. That's exactly what we did. So those offices that were hit hard, of course, they were also the offices with the highest number of vacancies. It just seemed to be how it fell every quarter. So absolutely, our region managers really did it. We have five of those five regions. They really did an excellent job troubleshooting that, you know, we helped where needed. But they for sure did that looking across offices in their region and even across the state. We also have about 7 or 8 working lead counselors, kind of floater counselors. So we were able to deploy them to the areas with the highest need. And then as we progressed through the order, we had a pretty robust outreach process. As we were getting ready to release folks, we ended up centralizing that a little bit to take some of that load off of our field staff as well. So, you know, you kind of have to adjust as you go. Move your resources where you can. But absolutely, we found that to be a great strategy.   Carol: Chris, you have any thoughts on that about the priority categories and the most significant disability? I just wondered because I know folks struggle with that. You were looking contemplative, so I thought maybe you might have something to add.   Chris: My philosophy with a lot of things, Carol, has always been less is more. And you mentioned that most of our agencies have three priority categories. And if I were able to say this is a requirement, that would probably be what I would say. But, you know, VR agencies have flexibility to develop more than three. I would just caution that as you get more complicated, things get more complicated for applicants to understand and for VR counselors to implement. So again, I would just say that the law requires that the significant disability category be identical to what's in the rehab act and the regs, and that that most significant category needs to build upon that. So we often see agencies talking about more functional limitations, more services being needed, more time needed to help the person reach their employment goal. So the more specificity there, the better is. I think that helps VR counselors kind of understand where to place people when they're determined eligible.   Carol: Yeah, that's really good advice. Now I know, Theresa, also, you have talked about wanting to bust the myth that nobody gets off the waitlist. And how can we better do that?   Theresa: I can't tell you how many times I've heard that in Indiana, and that was part of the a lot of the grief is that there was this thought that we'll never get out. So we know that's not true. The facts are there. You know, there are many states. And Chris shared, you know, 25% down to less than ten. So less than ten states. So we know it happens. There are states who've done it. I don't know if we do enough to highlight that to kind of our stakeholders, you know, at large and celebrate that. So maybe that's part of the answer. You know, we have those actual examples. That's an important part of the communication to internal and external stakeholders. The other piece here is outlining the conditions that need to be in place to progress, to opening more categories, to ending the order, and then people can see you hitting those target milestones. They may start believing that, oh wow, there's some actual notable objective progress here. We are getting closer to the end. This does seem doable.   Carol: Yeah, I think going back to that communication strategy for sure can help. I know with our SRC, and I had laid out the plan like I had all these points that we needed to do to kind of get through our struggle. And as things were met or we were able to achieve other savings in certain areas without impacting, you know, a quality of a service. Man ,it was great. Like no stone was unturned as we did that. But I wanted to be super transparent. Here's all the things. And I kept a little chart, like, here was this savings, or here we met this thing so people could see we were actively working a process all the way through, versus okay, we are pulling the lever and the lever is just staying closed down. That's it. They don't see the other end. All that work that's being done behind. So what is your best advice for state directors contemplating pulling the lever?   Theresa: Well, we definitely looked at it as that lever or that dial, and we felt that that gave us an opportunity. We really would not otherwise have had to take action on addressing a really significant foundation or core issue while slowing down that incoming train a little bit and refocusing our resources, staffing and fiscal building adequate resources and capacity. It's an ongoing effort. It never ends. It's one of the more difficult things, probably, that we do, but it's so critical to carrying out services in general, let alone good quality services. And it requires a very thoughtful plan and a lot of simultaneous strategies. You know, all the strategies we implemented from salary adjustments to, you know, creating those working lead counselors I mentioned, we developed a layer of case coordinators to take on some of the case management aspects. I think some states call them rehab techs. Lots of gaining of technology, you know, modernization and efficiencies and then some. Right. It ultimately helped us with two really big systemic needs. And one was getting cancer caseload sizes to manageable levels and reducing our VRC turnover. I mean, those things are gold when it comes to staff capacity.   Carol: Now, Chris, I don't want to steal your thunder, but what I'm going to say to folks too is call RSA. Like, reach out to your liaison and talk to them about your situation. You want to start those conversations because the worst thing I would think is you're a state liaison at RSA and you just get this boom, we want to do it. We need to go on March 1st and today is January, you know, 24th. You want to have that partnership all the way along. And I know, Chris, you can speak a little more to that for sure.   Chris: Carol, you know, we often talk about with clients early and sustained engagement. And I would encourage VR agencies to take the same approach with us at RSA. Reach out early and keep that conversation going. The order of selection approval process is going to be iterative. In 99% of times, RSA will have feedback and will have questions, and we'll want to see justifications be made as strong as possible. So to your point, Carol, our ability to approve orders of selection overnight is not possible. Theresa talked about sort of a nine month on ramp. I wouldn't say it's going to take that long on our end, but it will take at least a couple of weeks. And the stronger the justification we receive, the better. Again, I would just say that consider all of the flexibilities that the Rehab Act offers to VR agencies when it comes to managing the program, in addition to implementing an order. And we talked about some of those before, but they could mean cost containment from financial participation to preferences to instate services, to looking at the administrative costs that you might pay for providing services, your staffing capacity, and really leveraging the ability of your SRC. To advocate for the program, we often talk about the return on investment of the VR program, and it really is unlimited. Our program offers a lot of flexibility to be creative, to help people meet their career goals, and that's kind of the best thing we have going for us to argue for the sustainability of the program moving forward.   Carol: Yeah. Excellent points. The SRC can do so much more than we can do, really, and a lot of venues and have a different voice and a seat with the governor. You know, they're appointed by the governor. They have a different mode of communication that they can use that we cannot. So we definitely don't want to forget about them. All right guys, so we're coming to a conclusion. Any last parting thoughts from either of you for our listeners?   Theresa: Well, I'll just add, I think we've touched on a lot of great lessons learned in communication. Number one, really important. And we've hit on some ideas and strategies around that. And then the second, having that game plan, it's  critical so that we're all viewing Order of selection, not as that end result right, or that indefinite status, but as that lever or that dial that can be adjusted to address the situation at hand and then get back on track, get out of the order, be able to serve everyone who needs those services.   Carol: Awesome. I really appreciate you both and appreciate having this conversation. And for our listeners who were taking notes, because I know you guys read the transcript because that will help you with all of that. You can go back through and highlight the things you need to do. Thanks so much for being here today. Appreciate you.   Theresa: Thank you.   Chris: Thanks, Carol.   {Music} Outro Voice: Conversations powered by VR, one manager at a time, one minute at a time, brought to you by the VR TAC for Quality Management. Catch all of our podcast episodes by subscribing on Apple Podcasts, Google Podcasts or wherever you listen to podcasts. Thanks for listening!

Head Shepherd
Bridging the Farm Ownership Gap with Sarah How

Head Shepherd

Play Episode Listen Later Mar 2, 2025 31:03


How do we get the next generation onto farms while helping established farmers transition out? In this episode of Head Shepherd, Mark chats with Sarah How, co-founder of Landify and New Zealand finalist for the Zanda McDonald Award. Sarah shares her journey from family farming in Mid-Canterbury to launching a platform that connects farmers, aspiring landowners, and investors. Sarah co-founded Landify after years of working in agronomy and research when she saw firsthand the challenges both young farmers and retiring landowners faced. Transitioning from a stable career to entrepreneurship wasn't without its challenges, but with a passion for problem-solving and a belief in the power of partnerships, Sarah is determined to reshape the future of farm ownership.Mark and Sarah discuss what's next for the platform- Whether you're a farmer looking to transition, an investor curious about opportunities, or someone dreaming of owning a farm, this episode is packed with insights to help you take the next step. https://www.landify.co.nz/Head Shepherd is brought to you by neXtgen Agri International Limited. We help livestock farmers get the most out of the genetics they farm with. Get in touch with us if you would like to hear more about how we can help you do what you do best: info@nextgenagri.com.Thanks to our sponsors at MSD Animal Health and Allflex, and Heiniger Australia and New Zealand. Please consider them when making product choices, as they are instrumental in enabling us to bring you this podcast each week.Check out Heiniger's product range HERECheck out the MSD range HERECheck out Allflex products HERE

Mining Stock Daily
Morning Briefing: Collective Mining Returns 106.35 metres at 9.05 g/t AuEq from Apollo

Mining Stock Daily

Play Episode Listen Later Feb 25, 2025 8:41


Lots of drill results out this morning. MSD reports the latest from Collective Mining, Arizona Sonoran Copper, Rua Gold and Southern Cross Gold. Ridgeline Minerals received MT geophysical data from Selena where the Chinchilla sulfide zone shows a large anomaly. This episode of Mining Stock Daily is brought to you by... Vizsla Silver is focused on becoming one of the world's largest single-asset silver producers through the exploration and development of the 100% owned Panuco-Copala silver-gold district in Sinaloa, Mexico. The company consolidated this historic district in 2019 and has now completed over 325,000 meters of drilling. The company has the world's largest, undeveloped high-grade silver resource. Learn more at⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠https://vizslasilvercorp.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Calibre Mining is a Canadian-listed, Americas focused, growing mid-tier gold producer with a strong pipeline of development and exploration opportunities across Newfoundland & Labrador in Canada, Nevada and Washington in the USA, and Nicaragua. With a strong balance sheet, a proven management team, strong operating cash flow, accretive development projects and district-scale exploration opportunities Calibre will unlock significant value.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.calibremining.com/⁠

Head Shepherd
Herding the Numbers and Driving Success with Jeremy Hutchings

Head Shepherd

Play Episode Listen Later Feb 23, 2025 36:15


Most farmers focus on production—but how many focus on profit? In this episode, Jeremy Hutchings explains how mastermind groups and business coaching are changing the game for farmers.Do you know your key business numbers?Do you have a 3–5 year plan for your farm?Are you surrounded by people who push you forward?Jeremy Hutchings has worked with hundreds of farmers to turn good farms into great businesses. In this episode, he explains why mindset, strategy, and networks separate top-performing farmers from those just getting by.Find out more at the link below:https://www.farmownersacademy.com/Head Shepherd is brought to you by neXtgen Agri International Limited. We help livestock farmers get the most out of the genetics they farm with. Get in touch with us if you would like to hear more about how we can help you do what you do best: info@nextgenagri.com.Thanks to our sponsors at MSD Animal Health and Allflex, and Heiniger Australia and New Zealand. Please consider them when making product choices, as they are instrumental in enabling us to bring you this podcast each week.Check out Heiniger's product range HERECheck out the MSD range HERECheck out Allflex products HERE

Head Shepherd
Farming in the Ocean with Maegen Blom

Head Shepherd

Play Episode Listen Later Feb 16, 2025 26:16


From dairy farming to mussels, Maegen Blom's family took an unexpected turn into aquaculture—and she jumped right in. Now, as Operations Manager at Mills Bay Mussels, Maegen is tackling the challenges of farming a live product, managing an unpredictable supply chain, and pushing for better mussel genetics. In this episode, we get into the quirks of mussel farming, from harvesting wild spat to outsmarting snapper, and why the industry is still full of untapped potential.How a dairy farming family ended up in aquacultureWhy mussel farming is all about patience, not controlThe genetic unknowns of a wild-caught industry Snapper, rain, and other farming headachesHead Shepherd is brought to you by neXtgen Agri International Limited. We help livestock farmers get the most out of the genetics they farm with. Get in touch with us if you would like to hear more about how we can help you do what you do best: info@nextgenagri.com.Thanks to our sponsors at MSD Animal Health and Allflex, and Heiniger Australia and New Zealand. Please consider them when making product choices, as they are instrumental in enabling us to bring you this podcast each week.Check out Heiniger's product range HERECheck out the MSD range HERECheck out Allflex products HERE

Mining Stock Daily
Bill Fleckenstein on Why Gold's Market Behavior is Shifting

Mining Stock Daily

Play Episode Listen Later Feb 12, 2025 27:14


Bill Fleckenstein joins the MSD pod to discuss the recent market reactions to inflation data, particularly focusing on the behavior of gold and precious metals today. Bill provides insights into the changing dynamics of the gold market, the lack of interest from North American investors, and the implications of current economic policies on the treasury market. The discussion highlights the speculative moves in the market and the challenges faced by treasury officials in managing debt and economic policy.

Head Shepherd
Better Genetics, Not Better Grooming With Dr Mark Ferguson

Head Shepherd

Play Episode Listen Later Feb 9, 2025 17:50


Some rams at sales are not what they seem. Foot trimming and excessive feeding can cover up genetic faults, and buyers are paying the price. This week, Ferg breaks down what's really happening in the industry and how we can fix it. 

Duncan Garner - Editor-In-Chief
Dave Letele: "I Won't Be Silenced"

Duncan Garner - Editor-In-Chief

Play Episode Listen Later Feb 3, 2025 32:38


Today on the show... Dave Letele responds to a message from within Auckland Council labeling him as “radioactive” and “too risky” to support. The message, reportedly from a senior staffer linked to Mayor Wayne Brown’s office, suggests that multiple agencies, including National MPs and MSD, view Letele as unpredictable due to his character and political associations. And a Slam Dunc on New Zealand’s new climate targets under the Paris Agreement - this could cripple the country! Website: https://www.rova.nz/home/podcasts/duncan-garner---editor-in-chief.html Instagram: @DuncanGarnerpodcast TikTok: @DuncanGarnerpodcast

Head Shepherd
Building a Sustainable Red Meat Brand with Hamish Best

Head Shepherd

Play Episode Listen Later Feb 2, 2025 27:59


What does it take to build a successful red meat brand from the ground up? Hamish Best, a sheep and beef farmer near Wellington, shares his journey in this episode, from his background in agronomy and sales to his return to farming. He chats about the challenges of maintaining product quality and consistency while growing a brand that resonates with consumers. Hamish also discusses his plans for the future and how he's making his farming model economically sustainable. This conversation is packed with insights for anyone looking to grow and improve their farming business.Hamish's journey from agronomy and sales back to farmingThe challenges of maintaining product quality and consistencyGrowing a red meat brand that resonates with consumersFuture growth plans for his farm and brandEnsuring his farming model remains economically sustainableHead Shepherd is brought to you by neXtgen Agri International Limited. We help livestock farmers get the most out of the genetics they farm with. Get in touch with us if you would like to hear more about how we can help you do what you do best: info@nextgenagri.com.Thanks to our sponsors at MSD Animal Health and Allflex, and Heiniger Australia and New Zealand. Please consider them when making product choices, as they are instrumental in enabling us to bring you this podcast each week.Check out Heiniger's product range HERECheck out the MSD range HERECheck out Allflex products HERE

Mining Stock Daily
Yield Curve Control, a Costanza Moment, and Junior Mining Project Analysis

Mining Stock Daily

Play Episode Listen Later Jan 31, 2025 72:37


Jared Dillian joins MSD for the first segment of this weeks long-form episode to discuss various aspects of market sentiment, the Costanza moment, and the implications of political changes on market dynamics. He explores the volatility in the current market, the role of Nvidia, and the future of the dollar and commodities. Dillian also delves into yield curve control and its potential impact on the economy, as well as the opportunities within gold miners. In our second segment, Tom Woolrych and Trevor dive into key exploration stories and market trends. They delve into specific companies like Arras Minerals, Q2 Metals, AMARC, and Hercules Metals, analyzing their recent developments, challenges, and future prospects. The conversation emphasizes the importance of strategic investments and the evolving landscape of mining equities. This episode of Mining Stock Daily is brought to you by...  Arizona Sonoran Copper Company (ASCU:TSX) is focused on developing its brownfield copper project on private land in Arizona. The Cactus Mine Project is located less than an hour's drive from the Phoenix International airport. Grid power and the Union Pacific Rail line situated at the base of the Cactus Project main road. With permitted water access, a streamlined permitting framework and infrastructure already in place, ASCU's Cactus Mine Project is a lower risk copper development project in the infrastructure-rich heartland of Arizona.For more information, please visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.arizonasonoran.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Vizsla Silver is focused on becoming one of the world's largest single-asset silver producers through the exploration and development of the 100% owned Panuco-Copala silver-gold district in Sinaloa, Mexico. The company consolidated this historic district in 2019 and has now completed over 325,000 meters of drilling. The company has the world's largest, undeveloped high-grade silver resource. Learn more at⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠https://vizslasilvercorp.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Calibre Mining is a Canadian-listed, Americas focused, growing mid-tier gold producer with a strong pipeline of development and exploration opportunities across Newfoundland & Labrador in Canada, Nevada and Washington in the USA, and Nicaragua. With a strong balance sheet, a proven management team, strong operating cash flow, accretive development projects and district-scale exploration opportunities Calibre will unlock significant value. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.calibremining.com/⁠

Head Shepherd
Understanding Drench Resistance in Sheep with Dr Mark Ferguson

Head Shepherd

Play Episode Listen Later Jan 26, 2025 27:07


This week it's Ferg on the podcast, discussing the trans-Tasman, if not global, issue of drench resistance in sheep. From monitoring worm burdens to selecting rams with the right genetics, this episode is packed with practical advice and strategies to help sheep farmers manage internal parasites more effectively. ​​Testing drench efficacyUsing refugia to manage resistanceGenetic tools for long-term solutionsHead Shepherd is brought to you by neXtgen Agri International Limited. We help livestock farmers get the most out of the genetics they farm with. Get in touch with us if you would like to hear more about how we can help you do what you do best: info@nextgenagri.com.Thanks to our sponsors at MSD Animal Health and Allflex, and Heiniger Australia and New Zealand. Please consider them when making product choices, as they are instrumental in enabling us to bring you this podcast each week.Check out Heiniger's product range HERECheck out the MSD range HERECheck out Allflex products HERE

Head Shepherd
Elite Sports Strategies for Elite Farming with Nick Martin.

Head Shepherd

Play Episode Listen Later Jan 19, 2025 38:07


This week on Head Shepherd, Ferg chats with Nick Martin about the crossover between sports psychology and farming. Off the back of his Kellogg Rural Leadership research into the performance psychology of elite Canterbury sheep and beef farmers, Nick shares practical tools like self-talk, visualisation, and box breathing to help sharpen focus and navigate high-pressure situations. The conversation highlights what sets top performers apart, with a focus on mindset, self-awareness, and goal setting. It's a fascinating look at how small changes can drive big results both on the farm and on the pitch! You can read Nick's full report below:https://ruralleaders.co.nz/the-performance-psychology-of-elite-canterbury-sheep-and-beef-farmers/Head Shepherd is brought to you by neXtgen Agri International Limited. We help livestock farmers get the most out of the genetics they farm with. Get in touch with us if you would like to hear more about how we can help you do what you do best: info@nextgenagri.com.Thanks to our sponsors at MSD Animal Health and Allflex, and Heiniger Australia and New Zealand. Please consider them when making product choices, as they are instrumental in enabling us to bring you this podcast each week.Check out Heiniger's product range HERECheck out the MSD range HERECheck out Allflex products HERE

Eat Away Kidney Stones
077 Can You Prevent Kidney Stones With Medullary Sponge Kidney Disease?

Eat Away Kidney Stones

Play Episode Listen Later Jan 8, 2025 12:13


In this episode, Melanie talks about a rare congenital condition called medullary sponge disease (MSD) or medullary sponge kidney (MSK) and how people with the disease CAN still prevent kidney stones!  Garfield K, Leslie SW. Medullary Sponge Kidney. [Updated 2023 May 30]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470220/    Submit a question for Melanie to answer on the podcast! Connect with The Kidney Dietitian! Work with Us! |  Instagram | Facebook | Pinterest | Facebook Group | Newsletter www.thekidneydietitian.org All information in this podcast is meant for educational purposes only and should not be used in place of advice from a medical professional.  

10 Lessons Learned
Myrto Legaki - Change is where the magic happens

10 Lessons Learned

Play Episode Listen Later Jan 7, 2025 41:14


                                              About Myrto Legaki Myrto Legaki is a Leadership and Corporate Wellbeing Consultant, Keynote Speaker and founder of One Breath Mindfulness Center. She collaborates with major organizations around the world such as AbbVie, Novartis, Microsoft, Google, Roche, GlaxoSmithKline, MSD, Phillip Morris, and Nestlé, empowering leaders, executives, and teams in unlocking their full potential through leadership trainings that integrate neuroscience, psychology, and mindfulness techniques. With 15 years of experience as a management consultant and marketing manager in New York, London, and Athens leading diverse teams in high-performance environments, Myrto brings a wealth of practical insight to her work. A sought-after speaker around the world, Myrto delivers engaging keynotes and workshops on core leadership skills, wellbeing, mental health, diversity and inclusion, and mindfulness. She is a certified mindfulness and MBSR trainer from the University of Massachusetts and Brown University and a systemic psychotherapist in training at the Athenian Institute of Anthropos (AKMA). Her academic background includes an MSc degree in Finance from the University of Piraeus and an MBA in Leadership and Communications from Boston University Episode Notes 06:54 Lesson 1: Own your journey, or someone else will 11:33 Lesson 2: Seek out the sages 15:05 Lesson 3: Try again, fail again, fail better 16:56 Lesson 4: Your lens shapes your world 21:04 Lesson 5: Always be building bridges 24:35 Affiliate Break 25:06 Lesson 6: Change is where the magic happens 28:30 Lesson 7: Celebrate your wins 31:38 Lesson 8: Treat your body like a temple 33:51 Lesson 9: Listen to the voice inside 36:43 Lesson 10: You are enough

The Main St Dish
Best of Disney World 2024

The Main St Dish

Play Episode Listen Later Dec 30, 2024 60:49


On this episode, we are dishing on our favorite eats and drinks of 2024! Come sail with us! That's right, the whole MSD crew is sailing together next year, and you can join us!  Here's the details: April 23-27, 2025!  The sailing is a 4-Night Bahamian Cruise from Port Canaveral, Florida, and visits Disney's private islands Castaway Cay and Lookout Cay at Lighthouse Point!  For more information and to book a stateroom, contact the dedicated team of David's Vacation Club Rentals Cruise Specialists by calling 800-610-5791, emailing team@dvcrequest.com, or visit the Davids website here: ⁠https://dvcrequest.com/dvc-guests/dvc-fan-cruise/BethanyVinton⁠ As a bonus for booking with them, David's offers a complimentary Onboard Credit for your stateroom, as well as a swag box! Follow The Main St Dish on Social Media: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠TikTok⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Support our show on Patreon ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Theme Song By The Disneylanders: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠The Disneylanders on Spotify⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠The Disneylanders on Instagram

Mining Stock Daily
A New Paradigm in Global Gold Accumulation as the World Attempts to Inflate the Debt Away

Mining Stock Daily

Play Episode Listen Later Dec 13, 2024 56:46


In this long-form MSD conversation, Trevor and Michael Howell discuss of Cross Border Capital the current state of global liquidity, market dynamics, and the implications of the upcoming debt wall. Howell emphasizes the importance of understanding liquidity cycles and their impact on asset prices, particularly in the context of the U.S. and Chinese economies. The discussion also touches on the strategic role of gold in China's economic strategy and the challenges posed by the current bond market dynamics. Howell discusses the intricate relationship between China's debt management and its strategy of accumulating gold as a means to devalue its currency. He contrasts monetary inflation with high street inflation, emphasizing that gold serves as a hedge against the former. Howell also addresses the complexities of inflating debt away, the implications of a potential Trump administration on inflation, and the dynamics of US dollar exceptionalism in relation to global liquidity. He draws parallels with historical economic cycles, particularly in Japan and emerging Asia, to provide context for current market conditions and future expectations. Follow Michael's Substack at https://capitalwars.substack.com/ This episode of Mining Stock Daily is brought to you by...  Arizona Sonoran Copper Company (ASCU:TSX) is focused on developing its brownfield copper project on private land in Arizona. The Cactus Mine Project is located less than an hour's drive from the Phoenix International airport. Grid power and the Union Pacific Rail line situated at the base of the Cactus Project main road. With permitted water access, a streamlined permitting framework and infrastructure already in place, ASCU's Cactus Mine Project is a lower risk copper development project in the infrastructure-rich heartland of Arizona.For more information, please visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.arizonasonoran.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Vizsla Silver is focused on becoming one of the world's largest single-asset silver producers through the exploration and development of the 100% owned Panuco-Copala silver-gold district in Sinaloa, Mexico. The company consolidated this historic district in 2019 and has now completed over 325,000 meters of drilling. The company has the world's largest, undeveloped high-grade silver resource. Learn more at⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠https://vizslasilvercorp.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Minera Alamos is a gold developer and producer with its first low capex mine, Santana, continuing to work through start-up development. The company is also advancing the Cerro de Oro project through the permitting process. Minera is built around its operating team which brought 4 mines into production in Mexico over the last 13 years. It is fully funded with over $20-million dollars in working capital. Learn more at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠mineraalamos.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠.

ASCO Daily News
A New Standard of Care for Cervical Cancer: Assessing the KEYNOTE-A18 Study

ASCO Daily News

Play Episode Listen Later Nov 21, 2024 13:55


Dr. Linda Duska and Dr. Domenica Lorusso discuss the practice-changing results of the phase 3 ENGOT-cx11/GOG-3047/KEYNOTE-A18 study, which evaluated pembrolizumab plus chemoradiotherapy as treatment for previously untreated, high-risk, locally advanced cervical cancer. TRANSCRIPT  Dr. Linda Duska: Hello, I'm Linda Duska, your guest host of the ASCO Daily News Podcast today. I'm a professor of obstetrics and gynecology and serve as the associate dean for clinical research at the University of Virginia School of Medicine. On today's episode, we'll be discussing a new standard of care for previously untreated, high- risk locally advanced cervical cancer. This follows the ENGOT-cx11/GOG-3047/KEYNOTE-A18 study, which I will be referring to as KEYNOTE-A18 for the rest of this podcast, which demonstrated that pembrolizumab plus chemoradiotherapy improved both progression-free and overall survival compared to chemoradiotherapy alone. I was a co-author of this study, and I'm delighted to be joined today by the study's lead investigator, Dr. Domenica Lorusso, for today's discussion. She is also a professor of obstetrics and gynecology. She's at Humanitas University Rosano and the director of the Gynecologic Oncology Unit at the Humanitas Hospital San Pio in Milan, Italy. Our full disclosures are available in the transcript of this episode. Dr. Lorusso, it's great to be speaking with you today. Dr. Domenica Lorusso: Thank you, Linda. It's a great pleasure to be here. Thank you. Dr. Linda Duska: So I was hoping you could start us out with some context on the challenges associated with treating patients with high-risk, locally advanced cervical cancer. Dr. Domenica Lorusso: Yes. I have to make a disclosure because in my experience as a gynecologist, cervical cancer patients are the most difficult patients to treat. This is a tumor that involves young patients [who often have] small kids. This is a very symptomatic tumor. More than 50% of patients report pain. Sometimes the pain is difficult to control because there is an infiltration of the pelvic nerves and also a kind of vaginal discharge, so it's very difficult to treat the tumor. Since more than 25 years, we have the publication of 5 randomized trials that demonstrate that when we combine platinum chemotherapy to radiation treatment, we increase overall survival by 6%. This is the new standard of care – concurrent chemoradiation plus brachytherapy. This is a good standard of care because particularly modern, image-guided radiotherapy has reported to increase local control. And local control in cervical cancer translates to better overall survival. So modern radiotherapy actually is able to cure about 75% of patients. This is what we expect with chemoradiation right now. Dr. Linda Duska: So what are the key takeaways of A18? This is a really exciting trial, and you've presented it a couple of times. Tell us what are the key takeaways that you want our listeners to know. Dr. Domenica Lorusso: Linda, this is our trial. This is a trial that we did together. And you gave me the inspiration because you were running a randomized phase 2 trial exploring if the combination of pembrolizumab to concurrent chemoradiation was able to give signals of efficacy, but also was feasible in terms of toxicity. There were several clinical data suggesting that when we combine immunotherapy to radiotherapy, we can potentially increase the benefit of radiotherapy because there is a kind of synergistic effect between the two strategies. Radiotherapy works as a primer and immunotherapy works better. And you demonstrated that it was feasible to combine immunotherapy to concurrent chemoradiation. And KEYNOTE-A18 was based on this preliminary data. We randomized about 1,060 patients to receive concurrent chemoradiation and brachytherapy or concurrent chemoradiation and brachytherapy in combination with pembrolizumab followed by pembrolizumab for about two years. Why two years? Because in more than 80% of cases, recurrence in this patient population occurred during the first two years. So the duration of treatment was based on the idea to provide protection to the patient during the maximum time of risk. And the trial had the two primary endpoints, progression free and overall survival, and met both the endpoints, a significant 30% reduction in the risk of progression that was confirmed. At the 3-year follow up, the observation was even better, 0.68. So 32% reduction in the risk of progression. And more importantly, because this is a curative setting, 33% reduction in the risk of death was reported in the experimental arm when pembro was combined with chemoradiation. Dr. Linda Duska: That's amazing. I wanted to ask you, a prior similar study called CALLA was negative. Why do you think A18 was positive? Dr. Domenica Lorusso: Linda, there are several discussions about that. I had the possibility to discuss several times with the PI of CALLA, Brad Monk. The idea of Brad is that CALLA was negative because of using durvalumab instead of PD-1 inhibitor, which is pembrolizumab. I do not have exactly the same impression. My idea is that it's the kind of patient population enrolled. The patient population enrolled in KEYNOTE-A18 was really a high-risk population; 85% of that patient were node positive, where the definition of node positivity was at least 2 lymph nodes in the pelvis with a short diameter of 1.5. So, we are very confident this patient was node-positive, 55% at the grade 3 and 4 diseases. So this is really a high-risk population. I remember at the first presentation of CALLA, I was honored to discuss the CALLA trial when it was first presented at IGCS a few years ago. And when I received the forest plot of Calla, it was evident to me that in patients with stage III and node positive there was a signal of efficacy. And we have a huge number of patients with node positive. So in my opinion this is the reason why KEYNOTE-A18 is positive. Dr. Linda Duska: Yeah, I agree with you. I've thought about it a lot and I think you're right about that. The INTERLACE trial results were recently published. How should we interpret these results in the context of A18? Dr. Domenica Lorusso: So it's very difficult to compare the 2 trials. First of all, in terms of population. The population enrolled in INTERLACE is a low-risk, locally advanced but low risk population; 76% were stage II, 10% were stage I, 60% were node-negative patients. So, first of all, the population is completely different. Second is the type of radiotherapy that was provided. INTERLACE is a 10-year long trial, but in 10 years the quality and the technique of radiotherapy completely changed. Only 30% of patients in INTERLACE received what we call the modern image-guided brachytherapy, which is important because it provides local control and local control increases overall survival. And third, we read the paper. I'm not a methodologist, but there are some methodological biases in the paper. All the statistical design of the trial was based on PFS, but PFS was evaluated at physician description. And honestly, I never saw a trial that had no pre-specified timeline for radiological evaluation. It's very difficult to evaluate progression in cervical cancer because the fibrosis related to radiotherapy changes the anatomy in the pelvis. And I think that the radiological evaluation is important to address if the patient is progressing or not. Particularly, because the conclusion of CALLA is that the PFS was mainly in favor of distant metastasis. So really, it's difficult for me to understand how distant metastasis may be evaluated with the vagina visit. So really, it's very difficult to compare the two trials, but I have some concerns. And also because of toxicity in the study, unfortunately 30% of patients did not complete concurrent chemoradiation because of residual toxicity due to induction chemotherapy. So I wanted to be sure in the context of modern radiotherapy, if really induction chemo adds something to modern radiotherapy. Dr. Linda Duska: Well, I have two more questions for you. As we move immunotherapy into the front line, at least for these high risk locally advanced cervical cancer patients that were eligible for A18, what does that mean then for hopefully those few that develop recurrence in terms of second line therapy? Dr. Domenica Lorusso: Well, Linda, this is a very important question. We do not have data about immuno after immuno, but I would not completely exclude this hypothesis because in KEYNOTE-A18, the patient received treatment for a well-defined time period. And for those patients not progressing during immunotherapy, I really guess if there is a space for the reintroduction of immunotherapy at the time of recurrence. In this moment we have 30% of patients in KEYNOTE-A18 in the control arm that receive immunotherapy after progression, but still we have 11% of patients that receive immunotherapy in combination with concurrent chemoradiation and then receive, again, immunotherapy in later line of therapy. I think we need to collect these data to capture some signals and for sure we have the new drug. We have antibody drug conjugate. The trials are ongoing exploring the role of antibody drug conjugate, particularly in immune pretreated patients. So I think this is a very interesting strategy. Dr. Linda Duska: I was going to ask you, “What are the next steps,” but I think you already answered that question. You talked about the second line. If you were going to redesign a study in the frontline, what would it look like? Dr. Domenica Lorusso: Probably one question that I would like to answer – there are two questions in my opinion in KEYNOTE-A18 – one is induction immunotherapy. Linda, correct me if I'm wrong, you reported very interesting data about the immune landscape change when you use induction immunotherapy. And I think this is something that we need to explore in the future. And the second question is the duration of maintenance. Because, again, we decided for two years based only on the epidemiology of recurrence, but I guess if one year may be enough. Dr. Linda Duska: I think this sequencing question is really important, that the induction immunotherapy was actually GY017. I can't take credit for that, but I think you're right. I think the sequencing question is really important. Whether you need the concurrent IO or not is an important question. And then to your point about the 2 years, the length of the need for maintenance therapy is a question that we don't know the answer to. So there are lots of really important questions we can continue to ask. I want to thank you so much for sharing your valuable insights with us on the podcast today. You're always so thoughtful about this particular study and cervix cancer in general and also for your great work to advance the care for patients with GYN cancers. Dr. Domenica Lorusso: Thank you, Linda. It's our work - we progress together. Dr. Linda Duska: Yes. And we thank the patients as well. The over 1,000 patients that went on this trial during a pandemic. Right? Dr. Domenica Lorusso: Absolutely. Without their generosity and their trust, we would not be able to do this trial. Dr. Linda Duska: So we're very grateful to them and we thank our listeners for your time today. If you value the insights that you hear on the ASCO Daily News Podcast, please take a moment to rate, review and subscribe wherever you get your podcasts. Thank you all.   Disclaimer: 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.   Follow today's speakers:  Dr. Linda Duska @Lduska Dr. Domenica Lorusso   Follow ASCO on social media:   @ASCO on Twitter   ASCO on Facebook   ASCO on LinkedIn     Disclosures:   Dr. Linda Duska: Consulting or Advisory Role: Regeneron, Inovio Pharmaceuticals, Merck, Ellipses Pharma Research Funding (Inst.): GlaxoSmithKline, Millenium, Bristol-Myers Squibb, Aeterna Zentaris, Novartis, Abbvie, Tesaro, Cerulean Pharma, Aduro Biotech, Advaxis, Ludwig Institute for Cancer Research, Leap Therapeutics Patents, Royalties, Other Intellectual Property: UptToDate, Editor, British Journal of Ob/Gyn Dr. Domenica Lorusso: Consulting or Advisory Role: PharmaMar, AstraZeneca, Clovis Oncology, GSK, MSD, Genmab, Seagen, Immunogen, Oncoinvest, Corcept, Sutro Biopharma, Novartis, Novocure, Daiichi Sankyo/Lilly Speakers' Bureau: AstraZeneca, Clovis, GSK, MSD, ImmunoGen, Seagen Research Funding (Inst.): PharmMar, Clovis, GSK, MSD, AstraZeneca, Clovis Oncology, Genmab, Seagen, Immunogen, Incyte, Roche, Pharma&, Corcept Therapeutics, Alkermes Travel, Accommodations, Expenses: AstraZeneca, Clovis, GSK, Menarini  

The Survival Guide for Orthodontists
Dr. Luis Carriere Discusses Treatment Mechanics, Patient Cooperation, and Future Innovations

The Survival Guide for Orthodontists

Play Episode Listen Later Nov 14, 2024 42:47 Transcription Available


Welcome to The Golden Age of Orthodontics, the podcast for orthodontic professionals eager to stay at the forefront of innovation and patient care. Today, hosts Dr. Leon Klempner and Amy Epstein are joined by the esteemed Dr. Luis Carriere, member of the Editorial Review Board for the American Journal of Orthodontics and Dentofacial Orthopedics (AJODO) and contributing editor of the Journal of Clinical Orthodontics (JCO). Dr. Carriere will share his expertise on improving patient and parent communication, particularly with young patients, to foster a sense of responsibility in their orthodontic journey. This approach boosts compliance and eases anxiety, transforming the patient experience. Plus, we'll dive into the mechanics and advantages of the motion appliance, including its role in dental alveolar movement and its long-term impact on growth. Get ready to explore practical tips, insights on the latest orthodontic tools, and a vision of future innovations—because there has never been a better time to be an orthodontist.IN THIS EPISODE: [2:50] Dr. Luis Carriere explains his approach to talking to young patients about their orthodontic journey[10:23] The importance of treatment plans that engage young patients and improve their cooperation[18:03] How to attract other patients to your practice by communication[22:31] A deep dive into the motion appliance: its function and focus on dental alveolar changes rather than skeletal modification[33:19] Dr. Carriere shares his insights on the future innovationsKEY TAKEAWAYS: Encourage young patients to take responsibility for their orthodontic treatment by treating them as young adults. Understanding the "why" behind their role enhances cooperationEducational tools and proactive communication build trust and establish credibility with patients and families, making your practice a trusted authorityThe motion appliance primarily works through dental alveolar movements, creating a stable environment for growth in the correct sagittal and anterior direction, thus promoting long-term effectivenessRESOURCE LINKSPeople + Practice - Website Dr. Leon's - EmailAmy Epstein's - EmailPeople + Practice - EmailCarriere System - WebsiteDr. Luis Carriere - FacebookDr. Luis Carriere - LinkedInBIOGRAPHY: Luis Carriere DDS. MSD. PhD.Dr. Luis Carrière obtained his dental degree from the University of Complutense in Madrid in 1991. He then attended the University of Barcelona, where he completed his Orthodontic training and received his Master of Science in Orthodontics in 1994. In 2006, he received his Doctorate in Orthodontics, Cum Laude, from the University of Barcelona.Dr. Carrière won the “Joseph E. Johnson Award” in 1995 and the International Design Award Delta Gold ADI-FAD 2009 for the “Carriere Distalizer MB.” Dr. Carrière is a Member of the Editorial Review Board for the American Journal of Orthodontics and Dentofacial Orthopedics (AJODO) and a contributing editor of the Journal of Clinical Orthodontics (JCO).

Hands On Business
Vision-Driven Growth: The Secret to Business Acceleration with Dr. Abdullah Sherifff

Hands On Business

Play Episode Listen Later Oct 20, 2024 32:27


In this insightful episode of the Hands on Business Podcast, host Hakeem Adebi sits down with Dr. Abdullah Sharif, MD of MSD in Singapore, Malaysia, and Brunei, to explore how a clear and compelling vision can drive business growth and accelerate international expansion. From healthcare to global markets, they discuss practical strategies for using vision as a filter for decision-making, choosing the right partners, and aligning your team toward common goals. Whether you're an entrepreneur or business leader, this episode is packed with actionable advice to help you achieve your growth ambitions. Key Topics: The role of vision in business acceleration Keeping your vision simple yet impactful How vision guides decision-making, especially in international markets Choosing the right partners to align with your vision Regularly reassessing and communicating your vision for ongoing success Tune in for expert insights and practical strategies you can implement today to drive growth in your business!