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Contributor; Taylor Lynch, MD Educational Pearls: Thoracotomy Thoracotomy is used in traumatic cardiac arrest to replace conventional CPR with direct access to the chest. Goals include identifying and controlling reversible causes of bleeding, prioritizing blood flow to the heart and brain, and performing open cardiac massage. Trauma categories Penetrating trauma: Gunshot wounds and stab wounds. Has a higher chance of survival because the injury may be localized and directly repairable. Cardiac stab wounds may have the highest survivability because the defect can be visualized, repaired, and treated with blood administration. Blunt trauma: Motor vehicle collisions and falls from height. Has a much lower chance of survival. Western guidelines EMS must witness the patient lose pulses. Penetrating trauma: CPR for less than 15 minutes. Blunt trauma: CPR for less than 10 minutes. Survival decreases to essentially zero beyond these time limits. Eastern guidelines Focus on the presence of signs of life in blunt or penetrating trauma. Signs of life may include: Pupillary response. Measurable blood pressure. Purposeful movement. Patient selection Thoracotomy should only be performed when the patient has a reasonable chance of survival. It is a highly morbid procedure with significant occupational risks, including needlestick injury. Appropriate patient selection and timing are essential. Procedure Begin on the left side of the chest. Cross-clamp the aorta to restrict blood flow below the heart and prioritize circulation to the heart and brain. Identify and repair visible sources of bleeding involving structures such as the heart or lungs. Perform open cardiac massage as the equivalent of CPR. ACLS medications may still be administered. References: Cothren CC, Moore EE. Emergency department thoracotomy for the critically injured patient: Objectives, indications, and outcomes. World J Emerg Surg. 2006;1:4. Published 2006 Mar 24. doi:10.1186/1749-7922-1-4 Rhee, Peter M. ; Acosta, Jose ; Bridgeman, Amy et al. / Survival after emergency department thoracotomy : Review of published data from the past 25 years. In: Journal of the American College of Surgeons. 2000 ; Vol. 190, No. 3. pp. 288-298. Nunn, Andrew ; Prakash, Priya ; Inaba, Kenji et al. / Occupational exposure during emergency department thoracotomy : A prospective, multi-institution study. In: Journal of Trauma and Acute Care Surgery. 2018 ; Vol. 85, No. 1. pp. 78-84. Burlew CC, Moore EE, Moore FA, et al. Western Trauma Association critical decisions in trauma: resuscitative thoracotomy. J Trauma Acute Care Surg. 2012;73(6):1359-1363. doi:10.1097/TA.0b013e318270d2df Seamon MJ, Haut ER, Van Arendonk K, et al. An evidence-based approach to patient selection for emergency department thoracotomy: A practice management guideline from the Eastern Association for the Surgery of Trauma. J Trauma Acute Care Surg. 2015;79(1):159-173. doi:10.1097/TA.0000000000000648 Summarized by Steven Fujaros NREMT | Edited by Steven Fujaros & Ahmed Abdel-Hafiz, NREMT-P Donate: https://emergencymedicalminute.org/donate/ Join our mailing list: http://eepurl.com/c9ouHf
Thaddeus McCotter connects global energy prices to military strategy, noting how Ukrainian drone strikes on Russianrefineries impact domestic affordability. He warns that the Republican party must clarify objectives in Iran and Ukraineto address MAGA base concerns regarding "forever wars" before the upcoming midterm elections. (14)
It could be that US President Donald Trump is acting toward regime change in Iran, according to Dr. Mordechai Kedar, a Mideast and Islam researcher. Who's in charge in Tehran: the wounded supreme leader, President Masoud Pezeshkian, or the Revolutionary Guard Corps? (Photo: Reuters)See omnystudio.com/listener for privacy information.
The atmosphere preceding the message was extraordinary, setting the perfect stage for a deeply convicting and timely word. In this powerful Sunday Service message (recorded July 12th, 2026), Prophet Gomezyo Shamane delivers a vital guide on how to navigate human weakness, master our emotions, and secure spiritual empowerment for the path ahead.Every believer starts with noble spiritual objectives. However, when circumstances look bleak or results turn bad, the temptation to abandon those objectives is real.The Willing Spirit and the Weak Flesh: Looking at Matthew 26:33, we see the disciples had the objective to defend Jesus, yet they fled when the pressure mounted (Matthew 26:56). The weakness of our fleshly minds is what threatens to derail our divine objectives.The Root of the Problem: The Prophet revealed a liberating truth: the problem is not having weakness itself. The problem is allowing that weakness to lead us.One of the most defining aspects of this message is the role of emotions in the life of a believer.Emotions as Indicators: Your feelings are designed to inform you, not direct you. They are excellent gauges of your current state, but they make terrible captains for your destiny.The Trap of Emotional Leading: If you have not mastered the art of resisting emotional leadership, your destiny is in jeopardy.Spiritual Sensitivity: Allowing your emotional state to run rampant directly compromises your spiritual sensitivity (Ephesians 4:26)."When emotional, don't be in motion. Let your feelings inform you, but let God direct you." — Prophet Gomezyo ShamaneWhen faced with intense emotional pressure and physical weakness, Jesus gave us the ultimate blueprint to follow:Pray: Jesus took His burdens to the Father in prayer.Ask for Prayer: He was vulnerable enough to seek spiritual support, asking His disciples to watch and pray with Him.Seek the Will of God: In the garden, His focus remained locked on aligning with the Father's ultimate plan.Our Savior does not want us to become weary or spiritually asleep. He remains concerned with our spiritual posture, calling us to stay awake and stay prayerful in every season we find ourselves.You cannot prevent feelings of weakness or fear from rising, but you must refuse to let them dictate your choices. In moments of high emotion, pause your motion. Go to prayer, seek alignment with God's will, and let the Word not your feelings steer your journey.The Battle of Objectives vs. Weakness Feelings: Good Indicators, Poor Leaders. The Blueprint for Handling Weakness Key Takeaway
Stay focused on your objectives, even when the path to reaching them changes. In this week's Winners For Life Coaching Podcast Morning Motivation & Meditation, I encourage you not to become discouraged when life requires you to adjust your pace. You may begin your journey running, then find yourself walking, and at times even crawling because of unexpected challenges. That's okay. Your pace may change, but your objective doesn't have to.Keep moving forward with faith, resilience, and purpose. Every step, no matter how small, is moving you closer to your success, greatness, purpose, and destiny. Remember, progress is still progress. Don't quit because the journey looks different than you expected.Pause. Refocus. Keep moving forward.Coaching Questions • Am I more focused on my objective? • What adjustment do I need to make without giving up on my purpose? • What is one step I can take today to keep moving forward?Affirmations • I stay focused on my objectives. • I embrace every season of my journey without giving up. • Every step I take brings me closer to my purpose, success, greatness, and destiny.I am Antonio Landis Thompson, M.S., ACC, Empowerment for Success & Purpose Coach, Speaker, and Host of the Winners For Life Coaching Podcast.
Arcane Journal: Battle March is the best way to start playing Warhammer The Old World. But don't be fooled—while this is a small format game it is by no means stripped back. It's packed with detail, narrative flavor, and crunchy mechanics. If you are a "hobby butterfly" who wants to collect multiple factions, or if you're looking to jump into the game without committing to a massive 2,000-point army, this is exactly what you need. In this video, we're breaking down: The Lore Update: Setting the stage in 2275-2276, including Settra's forever war, Frydaal's invasion of the Empire, and Grand Cathay arriving to hold the line. Army Construction: How to build your list with new Battle March restrictions. New Magic Items: Exclusive items for small-format games. Objectives & Scoring: How to win games using Dead or Fled, Treasure Troves (40mm bases), Strategic Landmarks (100mm bases), and everyone's favorite—Baggage Carts! Random Happenings: We look at the insane new D6 tables for Disruptive Weather (Lightning strikes!), Wilderness Terrain (Watch out for the Troll's Lair), and the Chaos of War. Plus, we talk about the featured army lists from the core box and Arcane Journals, and what this means for the future of our Renegade / Legacy faction lists! CHAPTERS 0:00 - Welcome to Battle March! 3:26 - The Lore (Setting the Scene in 2275-2276) 7:35 - Army List Construction & Restrictions (400 - 750 Points) 10:29 - Battle March Exclusive Magic Items 19:30 - Featured Army Lists (Core Box & Arcane Journals) 24:29 - The Renegades & Legacy Army Lists 25:01 - Main Objectives & Scoring Victory Points 30:50 - Secondary Objectives (Raid & Burn + Baggage Carts!) 35:01 - Scenarios, Board Sizes & Setup 37:12 - Random Happenings - Disruptive Weather Table 40:40 - Random Happenings - Wilderness Terrain Table (Troll's Lair!) 43:44 - Random Happenings - The Chaos of War Table 46:56 - Secret Objectives & Final Thoughts MENTIONED IN THIS VIDEO: ► *Links to all current Renegade Drafts* https://docs.google.com/document/d/16kAE-p_CWbsH0XatDPuRao6TngSw-KSweUnJa81kOXE/edit?usp=sharing ► *Rob's Old World EVENTS in Nottingham!* https://tsnarena.com/events/category/the-old-world/ ► *Check out Rob's Event Recaps here!* https://thehonestwargamer.com/ ► Support us on *PATREON* and join us on Discord: https://www.patreon.com/Squarebased *OLD WORLD RESOURCES* ► *Square Based Comp AND Tournament Packs* https://thehonestwargamer.com/warhammer-the-old-world/square-based-comp/ ► *The Square Based FAQ:* https://www.squarebased.com/faqs ► *The Renegade Legacy Pack:* https://www.squarebased.com/ ► *Our 500pt Foray Pack:* https://thehonestwargamer.com/warhammer-the-old-world-500-point-foray/ ► *Old World Army Builder:* https://old-world-builder.com/ ► *Old World Rules Wiki:* https://tow.whfb.app/ ► *Old World Rankings (Past and Upcoming Old World Events:* https://oldworldrankings.com/ *MERCH* https://thehonestwargamer.com/product-category/square-based/ Youtube Music Playlist for Audio Only: https://tinyurl.com/SB-YouTube-Music-Playlist Podcast on all other Platforms: https://squarebasedpodcast.podbean.com/ #squarebased #warhammertheoldworld #warhammerfantasy
Send us Fan MailHave you ever asked a question at work and once you got the answer, wished you hadn't?If so, you might not be the right fit on Martin Gourdeau's team. He doesn't do performative transparency in the workplace; it's a true core value. Martin is the CEO of Vacation Tracker, a fully remote SaaS company with a team distributed across seven countries. He finds that being clear and candid about the status of a business is an effective method for building trust in teams, as well as driving performance.“There's a way to be transparent and not doomy-gloomy. You can be factual, keep your heads up, stay positive, and have trust and confidence in the plan.”– Martin GourdeauKey Takeaways:True transparency can align people with purpose and improve outcomes.Leaders should be able to state the consequences of not meeting a goal.Being transparent helps organizations retain the people who are the best fit.If you want to introduce transparency in the workplace, start small.Invite tough questions. If you don't know the answer, be sure to follow up.Teams can be held accountable for performance, but anything specific to one person is off-limits.Timestamps:00:31 Meet Martin, CEO of Vacation Tracker01:33 Transparency & Energy Management at Vacation Tracker03:51 Vacation Tracker's Vacation Policy04:55 Martin's Intro to True Transparency at Work11:57 Transparency Reveals Misalignment on Teams15:23 Building & Maintaining Transparency18:07 What Not to Share20:26 How to Introduce More Transparency at Work22:49 Transparency & Leadership Qualities27:18 Getting Clear on Objectives & Priorities28:27 How Transparency Translates Across Cultures31:04 What's Next for Vacation Tracker32:52 Tacos to ShareKey Topics Discussed:Amazing Teams, Una Japundza, Martin Gourdeau, transparency in the workplace, company core values, building trust in teams, workplace communicationMentions:Website: https://vacationtracker.io/LinkedIn: https://ca.linkedin.com/in/mgourdeau
OKRs sollen Fokus schaffen, Prioritäten klären und Strategie in die Umsetzung bringen. In der Praxis passiert oft das Gegenteil: Die Ziele kommen zusätzlich zum Tagesgeschäft dazu – und aus Fokus wird Überlastung. In dieser Folge geht es um einen typischen Denkfehler bei der Einführung von OKRs: Viele Unternehmen formulieren neue Objectives, ohne wirklich zu entscheiden, was dafür weniger, später oder gar nicht mehr gemacht wird. Dann wird Strategie nicht priorisiert, sondern gestapelt. Wenn du OKRs gerade einführst – oder merkst, dass sie bei euch eher zusätzliche Last als Klarheit erzeugen – bekommst du in dieser Folge konkrete Denkanstöße für mehr Fokus, echte Priorisierung und wirksame Strategieumsetzung.
The Independent Characters - A Warhammer 40k Podcast | Radio
The dust is still settling on the launch, of 11th Edition, and this edition is more than rewrite the datasheets - it has redrawn the battlefield itself. Objectives are no longer abstract circles on the cloth; they are terrain, fought over and held, and the table now has a correct shape in a way it never did before. For the competitive crowd, that clarity is a gift. But what about the rest of us - the ones who came to Warhammer 40,000 for the story? In this episode, Carl, Josh, and Adan ask the question: has the new edition quietly designed narrative play out of the core box? They dig into the shift from objective markers to objective terrain, the creep of tournament layouts into the standard game, and the worry on every kitchen-table general's mind - is 11th simply too deadly to be played on the boards we actually love to build? Along the way, they pull the conversation back from the ledge, mapping out how thematic objectives, flexible layouts, and a little fearless house-ruling can keep the soul of narrative gaming alive and well in the new edition. And with a fresh wave of hobbyists arriving on the heels of the launch, we make the case that the intention was always meant to be a sandbox, not a courtroom. Pull up a chair, set the terrain however you like, and remember - the rulebook is a tool, not a cage. We also have an announcement coming shortly for all levels of Patreon Subscribers who want a sticker from our Pride Month Sticker for free. Expect to hear about that in the next day or so. If you want one... or two.. we will send it out to you! Time Stamps: 0:00:00 - Show Intro, Elite Choice, Hobby Progress, and Games Played 1:15:15 - New Rules, old Narrative 1:39:45 - Old Narrative, new players 2:03:00 - Final Discussion and Show Closing Relevant Links: The Independent Characters Patreon Tablewar! - SPONSOR Herrick Games & Hobbies - SPONSOR Darcy Bono Creations Hobby Homeworld Adepticon Games Workshop The Black Library
Advances in Aerospace and Space Exploration. Guest: Bob Zimmerman. Space historian Bob Zimmerman reports on the latest milestones in aerospace technology and NASA's current missions. He highlights the scientific objectives of recent launches and the growing role of private space corporations in expanding human presence in orbit, providing a comprehensive look at the future of modern space exploration. 71903 LA
Derek and Joshua discuss the latest Rangers news in Thursday's Morning Briefing. // For the best Rangers journalism, subscribe today
Derek and Joshua discuss the latest Rangers news in Thursday's Morning Briefing. // For the best Rangers journalism, subscribe today
Eurasian Interests in Middle East Conflict. Guest: Edmund Fitton-Brown and Bill Roggio. Guests discuss how Russia and China are benefiting from America's Middle East difficulties, often frustrating US objectives on the nuclear file. Fitton-Brown notes the Europeans have been "anemic," failing to coordinate a forceful naval presence to ensure the Strait of Hormuz remains reliably open for global energy trade. 121879
An exceptional and fun conversation with new artistic co-manager Chantelle "Naa" Ofori: introduction, creative goals, and objectives.
The United States are Iran have reached an agreement to end hostilities, but the fine print is going to leave a lot of Americans wondering what the hell we did any of it for
Understanding how the government buys is the single biggest unlock for small businesses trying to break into federal contracting. In this episode, govcon expert Ryan Atencio breaks down the mechanics of federal procurement, from the difference between a Statement of Work, Performance Work Statement, and Statement of Objectives, to why submitting proposals consistently is the fastest path to your first contract win. Why submitting proposals even when you're unsure is the repetition strategy that separates contractors who win from those who stay on the sidelines How to read a contracting officer's follow-up as a strong signal that you won the award before the official notification The critical difference between a Statement of Work, Performance Work Statement, and Statement of Objectives and how each one shapes your pricing and technical approach Why a Statement of Objectives gives contractors the most freedom and often signals the best opportunity to showcase expertise How to follow solicitations on SAM.gov to track amendments in real time and never miss a bid update again EPISODE CHAPTERS: 0:00 - Mindy AI intro and free daily alerts 0:30 - Welcome to the Federal Help Center Podcast 0:57 - Proposal repetitions and why you should always submit 2:17 - Sole source signals inside a statement of objectives 3:03 - Statement of work explained with a real example 3:45 - Performance work statement and what performance-based means 5:07 - Statement of objectives and contractor freedom 6:22 - Why poor solicitations exist and who is responsible 8:18 - How to follow opportunities on SAM.gov for amendments 9:11 - Closing and Federal Help Center community call to action Mindy gives you the federal opportunities, agency signals, recompete intel, and pursuit briefs that tell you not just what contracts exist, but which ones to chase and how to win them. Sign up for free Daily Alerts and get opportunities delivered to your inbox before the day starts.
Gregory Copley analyzes the downing of a US helicopter off Oman, noting strategic differences between American and Israeli objectives. While the US seeks a deal, Israel aims for regime change. Copley highlights the weakened state of the IRGC leadership and discusses how new global oil sources are currently mitigating Iranian threats. (9)1971 IRAN
Like runway lights in the dark, both love and respect are crucial guidelines for every parent to rely on. To support this ministry financially, visit: https://www.oneplace.com/donate/779/29?v=20251111
Innovations in Islet Cell Research Evaluation and Credit: Evaluation and Credit: https://www.surveymonkey.com/r/medchat91 Target Audience This activity is targeted toward primary care physicians and advanced providers. Statement of Need The purpose of this podcast is for physicians and clinicians to gain a deepening understanding of pancreatic islet cell transplantation research and its application for the treatment of chronic pancreatitis as well as future treatment of Type 1 diabetes. Objectives 1. Explain the role of pancreatic islet cells and their function in glucose homeostasis and insulin regulation. 2. Discuss emerging research and investigational advances in islet-cell therapies. 3. Differentiate allogenic, xenogenic and autologous islet cell transplantation, as well as islet cell transplantation via stem cells in the management of chronic pancreatis and Type 1 diabetes. Moderator Mark McDonald, M.D., MHA, CPE System Vice President Pediatric Medical Affairs Medical Director, Norton Children's Louisville, Kentucky Professor Department of Pediatrics Division of Critical Care UofL School of Medicine Louisville, Kentucky Speaker Balamurugan Appakala, Ph.D. Norton Islet Cell Research and Transplant Program Director Wendy Novak Diabetes Institute, a part of Norton Healthcare and Norton Children's Professor of Pediatric Endocrinology UofL School of Medicine Planners, Moderator and Speaker Disclosure The planners, moderator and speaker of this activity do not have any relevant financial relationships with ineligible companies to disclose. Commercial Support There was no commercial support for this activity. Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing Credits Norton Healthcare Institute for Education and Development is approved as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This continuing professional development activity has been approved for 0.75 ANCC CE contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Resources for Additional Study/References Islet cell transplantation in children https://pubmed.ncbi.nlm.nih.gov/32571510/ Current status of pancreatic islet xenotransplantation https://pubmed.ncbi.nlm.nih.gov/39924969/ Date of Original Release | June 2026; Information is current as of the time of recording. Course Termination Date | June 2029 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org Also listen to Norton Healthcare's podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope. Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. More information about Norton Healthcare is available at NortonHealthcare.com.
Preview for Later Today: Samuel Ben-ur discusses Hamas's continued threat in Gaza despite shifting battlefield dynamics. He explores IDF operations, leadership objectives under Netanyahu, and the challenges of securing the region while Hamas remains armed and dangerous for civilians.1914 MT ZION
Ծրագրեր, ինքնություն, ձայների փոշիացում, մեղադրանքներ - Սուրեն Պետրոսյան - ԼուրջCastԼուրջCast-ի այս թողարկման հյուրն է Ժողովրդավարական համախմբում կուսակցության նախագահ Սուրեն Պետրոսյանը։Խոսել ենք քարոզարշավի ընթացքի, քաղաքացիների տրամադրվածությունների և ընտրությունների նկատմամբ հանրային վերաբերմունքի մասին։ Անդրադարձել ենք, թե ինչ գաղափարներ ու առաջարկներ է ներկայացնում «Ժողովրդավարական համախմբում»-ը և ինչ ձևաչափով են պատկերացնում իրենց քաղաքական աշխատանքը։ArmComedy թիմը ներկայացնում է ԼուրջCast
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Trump's Cabinet meets over Iran . A clip resurfaces of Tucker Carlson claiming “I don't know anyone killed by Radical Islam in the US over the past 24 years”. Dana brings the FACTS. Tucker Carlson and his brother apologize for “misleading” people to vote for Trump, while barefoot, in his latest episode. A Canadian legislator references LTBGQ people as “MMIWG2SLGBTQQIA+” when debating funding in legislation. A trans Canadian researcher gets roasted for using ludicrous pronouns. Will Gavin Newsom's crazy wife be a liability for him in the 2028 Election like Hillary Clinton?Thank you for supporting our sponsors that make The Dana Show possible…Jones Road Beautyhttps://jonesroadbeauty.comFor a limited time, get a free gift on your first purchase with code DANA. Cheers Healthhttps://cheershealth.com/DANA Native Path Grass Fed Collagenhttps://getnativepath.com/DanaFor my special offer get up to 45% OFF. Try it risk-free with a 365-day money-back guarantee. HumanNhttps://Humann.com/Dana*This partner has been on my show the LONGEST - show them your love, this product WORKS! Pocket HoseText DANA to 64000For a limited time, get two FREE gifts—a 360° rotating pocket pivot and thumb drive nozzle when you buy a new Pocket Hose Ballistic; just text DANA to 64000, message and data rates may apply.Byrnahttps://Byrna.com/DanaTrusted by law enforcement, security professionals, and everyday Americans—defend yourself and your family with Byrna.Patriot Mobilehttps://PatriotMobile.com/DANA Visit online or call 972-PATRIOT and use promo code DANA for a free month of service.Subscribe today and stay in the loop on all things news with The Dana Show. Follow us here for more daily clips, updates, and commentary:YoutubeFacebookInstagramXMore InfoWebsite
Jimmy's Monologue - Trump's Iran objectives are being misrepresented Learn more about your ad choices. Visit podcastchoices.com/adchoices
Dante Lauretta details the complex scientific objectives that formed the OSIRIS-REx mission name: Origins, Spectral Interpretation, Resource Identification, Security, and Regolith Explorer. He reflects on the mythological significance of Osiris as both a bringer of life and a harbinger of death, mirroring the nature of asteroids. The mission faced a major turning point when Mike Drake passed away shortly after NASA's 2011 selection, leaving Lauretta to lead as the designated "risk mitigation." Despite rigorous technical reviews in 2014 that challenged their landing design, the team convinced NASA of their cost-credibility and engineering resilience. (2/4)JANUARY 1951
With over 30 years in high performance sport, Ben Sporer has seen what it takes to be successful at the highest level of sport. From Canadian Olympic athletes to the Vancouver Whitecaps of the MLS, Ben has made a career on being clear and intentional about the goals of his program. So where do we […] The post Ben Sporer on Sequencing Training, Clear Objectives and Marginal Gains appeared first on Robertson Training Systems.
670,303 views Streamed live on May 4, 2026 #Bonya #MiddleEast #TCK#Arestovich #Shelest #War #Trump #IranFundraising for a vehicle to support the logistical needs of the 5th Company, 420th Separate Battalion of Unmanned Systems.
Updates in the Diagnosis and Treatment of Osteoporosis Evaluation and Credit: https://www.surveymonkey.com/r/medchat90 Target Audience This activity is targeted toward primary care physicians and advanced providers. Statement of Need This podcast reviews recent advances in osteoporosis care, including updated screening recommendations, risk-based diagnosis beyond BMD, and the expanding role of anabolic therapies for patients at highest fracture risk. Experts discuss goal-directed, individualized treatment strategies to improve long-term bone health and fracture prevention. Objectives 1. Outline current guidelines for osteoporosis screening, including the role of fracture risk assessment. 2. Review prevention strategies and risk factors for osteoporosis. 3. Discuss risk-appropriate osteoporosis treatment plans. Moderator Kris E. Barnsfather, M.D. Obstetrician and Gynecologist Women's Care Physicians of Louisville Norton Women's Care Louisville, KY Speaker Anna K. Feitelson, M.D. Gynecologist Associates in Obstetrics and Gynecology Norton Women's Care Louisville, KY Planners, Moderator and Speaker Disclosure The planners, moderator and speaker of this activity do not have any relevant financial relationships with ineligible companies to disclose. Commercial Support There was no commercial support for this activity. Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of .50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing Credits Norton Healthcare Institute for Education and Development is approved as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This continuing professional development activity has been approved for 0.50 ANCC CE contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Resources for Additional Study/References Osteoporosis: A review https://pubmed.ncbi.nlm.nih.gov/40587168/ Screening for Osteoporosis to Prevent Fractures: US Preventive Services Task Force Recommendation Statement https://pubmed.ncbi.nlm.nih.gov/39808425/ Date of Original Release | May 2026; Information is current as of the time of recording. Course Termination Date | May 2029 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org Also listen to Norton Healthcare's podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope. Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. More information about Norton Healthcare is available at NortonHealthcare.com.
Dr. Jim Nichols rejoins the DU Podcast to share stories about early champions of Adaptive Harvest Management and how they promoted it as a better way of setting harvest regulations, with unexpected support resulting from unusual political maneuverings in the mid-90s. Dr. Nicholas and Dr. Mike Brasher also begin discussing key components of AHM, including harvest management objectives and regulatory packages, with a goal of demystifying some of the “black box” of AHM. SPONSORS:Purina Pro Plan: The official performance dog food of Ducks UnlimitedWhether you're a seasoned hunter or just getting started, this episode is packed with valuable insights into the world of waterfowl hunting and conservation.Bird Dog Whiskey and Cocktails:Whether you're winding down with your best friend, or celebrating with your favorite crew, Bird Dog brings award-winning flavor to every moment. Enjoy responsibly.
General Manager of the Utah Mammoth Bill Armstrong
During tonight's show, Brooks and the boys discuss if college football needs a reality check. We are also going to discuss the most volatile quarterbacks in the sport. During the local hour, we are going to talk about what Kirby Smart had to say about the current state of college football. Follow Brooks on Twitter: twitter.com/brooksaustinba Follow Brooks on Instagram: Instagram.com/brooksaustinba Subscribe to Patreon: https://www.patreon.com/brooksaustin Merch: https://www.universitiesforever.com/collections/the-film-guy?srsltid=AfmBOorER1HarPFY2LnaE-o7-Buoaixs652Lkv_NzIGKModpY-HVb1sV Follow Brooks on Twitter: twitter.com/brooksaustinba Follow Brooks on Instagram: Instagram.com/brooksaustinba Subscribe to Patreon: https://www.patreon.com/brooksaustin Merch: https://www.universitiesforever.com/collections/the-film-guy?srsltid=AfmBOorSWVqg5rlU_J9F7pluw8PS5w0WleTpUI__e81vY_hCHSllA_mN Hosted by Simplecast, an AdsWizz company. See https://pcm.adswizz.com for information about our collection and use of personal data for advertising.
Preached at the Shepherds Prayer Retreat, Mampong
The Wheel Strategy is often touted as the ultimate "income generator," but most traders get it wrong because they lack the right mindset. In this episode, Mark Longo is joined by Dan Passarelli to discuss his brand-new book, Build Consistent Wealth with Options. They go beyond the basic mechanics to explore the three pillars of the Wheel, why most retail traders fail when they actually get assigned, and how to "rewire your brain" for probabilistic investing. Whether you're a passive investor or an active trader looking for an edge, this deep dive into the "Cycle-Recycle" method will change how you view covered calls and cash-secured puts forever. In this episode, we cover: The Three Pillars: Mindset, Objectives, and Methodology. The "Cycle-Recycle" Trade: Why the Wheel only works as a continuous system. The "Skate" vs. "Trade" Objective: How to decide if you actually want the stock. The PAS Indicator: Dan's custom tool for finding the "sweet spot" in premium. Alpha & Taxes: Maximizing your edge while managing the "silent killers" of wealth.
The Wheel Strategy is often touted as the ultimate "income generator," but most traders get it wrong because they lack the right mindset. In this episode, Mark Longo is joined by Dan Passarelli to discuss his brand-new book, Build Consistent Wealth with Options. They go beyond the basic mechanics to explore the three pillars of the Wheel, why most retail traders fail when they actually get assigned, and how to "rewire your brain" for probabilistic investing. Whether you're a passive investor or an active trader looking for an edge, this deep dive into the "Cycle-Recycle" method will change how you view covered calls and cash-secured puts forever. In this episode, we cover: The Three Pillars: Mindset, Objectives, and Methodology. The "Cycle-Recycle" Trade: Why the Wheel only works as a continuous system. The "Skate" vs. "Trade" Objective: How to decide if you actually want the stock. The PAS Indicator: Dan's custom tool for finding the "sweet spot" in premium. Alpha & Taxes: Maximizing your edge while managing the "silent killers" of wealth.
Jazz and Mammoth owner Ryan Smith
Hour 3 of Scotty G. & The Coach with Scott Garrard and Tim LaComb. Jazz and Mammoth owner Ryan Smith Youth Development for the Jazz + MORE
Scotty G. & The Coach with Scott Garrard and Tim LaComb on April 20, 2026. Hour 1 Starting Lineup: Utah Mammoth fall in Game 1 of Round 1 Bronco Mendenhall expresses concerns with the transfer portal What You May Have Missed Hour 2 Former BYU basketball head coach Dave Rose The Good, Bad, & Ugly Fair to talk playoffs about the Jazz Hour 3 Jazz and Mammoth owner Ryan Smith Youth Development for the Jazz + MORE Hour 4 Utah Spring Football Get to know Tim LaComb A new era on the KSL Sports Zone
Welcome to the What's Next! Podcast with Tiffani Bova. I'm thrilled to welcome you back to a series I did with my dear friend, Roger Martin. He's the author of the amazing book, Playing to Win. In this episode, we discuss whether OKRs, or Objectives and Key Results, actually help you win or whether they're masquerading as strategy. THIS EPISODE IS PERFECT FOR…leaders and operators who are frustrated with OKRs, unclear metrics, or goals that feel disconnected from reality and want a smarter way to connect strategy to execution. TODAY'S MAIN MESSAGE…we often treat OKRs like a magic solution, but according to Roger, they're only as good as the strategy behind them. Too many organizations jump straight from setting big goals (the "O") to measuring results (the "KR") without doing the hard work in between. That missing middle—where to play, how to win, and what capabilities are required—is what actually makes goals achievable. KEY TAKEAWAYS… OKRs fail when there's no strategy connecting the objective to the results. Measurement helps but not everything that matters can be measured. The "middle three boxes" (where to play, how to win, capabilities) determine success. Many OKRs are unrealistic because they're based on assumptions, not strategy. When goals aren't achievable, adjust the strategy or reset the goal. WHAT I LOVE MOST…Roger's reminder that metrics don't create outcomes but strategy does. This is such an important shift, especially for teams stuck chasing numbers that were never grounded in reality. Running Time: 25:36 Subscribe on iTunes Find Tiffani Online: LinkedIn Facebook X Find Roger Online: LinkedIn Website Show Summary on Substack
In episode 2038, Jack and Miles are joined (in person!!!) by actor, comedian, and co-host of The Last Podcast on the Left, Henry Zebrowski, to discuss… The Right Is Unhappy, Doritos Went Too Hard On Greedflation? Oh Look At That Greedflation Was A Thing! And more! Fox & Friends Admits Trump’s Ceasefire Leaves ‘Objectives’ Unmet — Praise Him Anyway Mark Levin is losing it. Laura Loomer criticizes ceasefire deal with Iran: “Iran practically got everything that they wanted” Megyn Kelly: I don't know about you, but I am sick of this shit. Can't Trump just behave like a normal human? Megyn Kelly: "Trump could drop a nuke and I'd still vote Republican” Doritos prices jumped 50% in four years and PepsiCo waited until it lost billions to do anything about it LISTEN: No Censor (feat. Unruly Bad, Karma, Trizzac, BGody, LR, & Kwengface) by Zone 2See omnystudio.com/listener for privacy information.
15. VIETNAM WAR LESSONS FOR MODERN CONFLICT. GREGORY COPLEY. Copley warns that alienation from the government and a lack of defined victory objectives could lead to strategic catastrophe. He notes Trump has alienated allies who previously supported US endeavors. (17)1971 IRAN
3. Israel's Military Objectives in Southern Lebanon Guest: David Daoud and Bill Roggio Summary:David Daoud explains the IDF's realistic military goals in Lebanon, focusing on a manageable activity zone to disarm Hezbollah. They discuss risks of overextension and the necessity of disproving Hezbollah's narrative of successful resistance.,, (3)1721 PERSIA
Out now for everyone: Senator Ron Johnson joins The Illusion of Consensus for a serious debate on Iran, Trump's foreign policy, congressional war powers, and the risks of another Middle East conflict. We dig into the constitutional limits on military action, the case for and against intervention, Israeli and American strategic interests, and the political fallout this could have for Republicans and the wider MAGA movement. Chapters:0:00 Intro1:53 Ron Johnson Voting Against Iran War Powers Resolution10:00 Was Iran Nuclear Threat Real?19:14 Iran Firing Largest Attack Onto Israel23:05 Israel vs Iran's Goals26:10 Objectives of the Iran War30:00 Did Israel Convince USA to Wage War?35:00 Will This Negatively Affect Future Elections?40:52 CIA Hacking Tacker Carlson?46:00 Financial Concerns Regarding the WarSupport The Illusion of Consensus!The Illusion of Consensus is a fully reader-supported publication. If you support the high-quality mental health and wellness journalism on this site, consider becoming a paid or founding member to receive exclusive articles, early-access episodes, and ask questions for future episodes. Or support The Illusion of Consensus with a one-time donation. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit www.illusionconsensus.com/subscribe
3. Jonathan Schanzer explains Israel's military objectives against Hezbollah in southern Lebanon. He details the threat of Iranian-backed Houthi attacks on maritime trade and Egypt's potential forced entry into the conflict. (3)1930 ARABIA
Let's talk about US invasion objectives for Trump's war in Iran....
Questions about America's Iran objectives takes center stage as the war closes out month one. CPAC straw poll results highlights the current state of the GOP's future with VP JD Vance and Secretary of State Marco Rubio at top. Alleged Sheridan Gorman killer appears in court for the first time via videolink, while the White House says President Trump spoke with Gorman's family. A new Costco Easter candy goes viral... all 23,000 calories of it. Relief Factor: Break up with pain—Relief Factor targets inflammation so you can move better and feel better; try the 3-Week QuickStart for just $19.95 at https://ReliefFactor.com or call 800-4-RELIEF. Lean: Discover why LEAN is becoming the choice for real weight‑loss results—shop now at https://TAKELEAN.com use code MK. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Episode 5254: Confusion Over The Objectives In Iran; The Real War We Are Facing In America Ideological Upheaval
1. The State of the Iran Conflict The U.S. is in week two of a war with Iran, claiming major military success Iran’s missile and drone capabilities have been nearly eliminated. Iran’s navy has been almost entirely destroyed. The U.S. is using overwhelming force, rapid strikes, and no gradual escalation. 2. U.S. Objectives (as framed in the discussion) The stated goals of “Operation Epic Fury”: Destroy Iran's missile stockpiles, launchers, and weapons manufacturing. Destroy Iran’s navy. Permanently prevent Iran from acquiring nuclear weapons. 3. Justification for War Iran has been at war with the U.S. for 47 years, funding terrorism (Hamas, Hezbollah, Houthis). Iran attempted to assassinate former President Trump and other U.S. officials (Bolton, O’Brien, etc.). This war is described as “America-first,” not about Israel, and responds to direct threats against Americans. 4. Political Framing & Criticism of Opponents Democrats are: Confused in their messaging. Trying to politicize gas prices. Accusing Trump of being manipulated by Israel. Media personalities (notably Tucker Carlson) are heavily criticized for: Alleged pro‑Islamist, anti‑Israel, anti‑American rhetoric. Being amplified by foreign adversaries (Iran, Russia, Muslim Brotherhood). 5. Foreign Influence Qatar is: Funding U.S. universities with $6.6 billion. Supporting Hamas. Influencing American academic and political spheres. 6. Economic Effects Gas prices have risen during the conflict. The increase is temporary. Prices are still much lower than under Biden. If Iran’s regime collapses, oil prices may drop significantly. 7. Vision of the Endgame The conflict will be short, decisive, and not like Iraq or Afghanistan. Expectations: No long-term occupation. No large-scale troop deployment. Focused destruction of hostile infrastructure. Confidence that the Iranian regime might collapse, leading to a more stable region without prolonged war. Please Hit Subscribe to this podcast Right Now. Also Please Subscribe to the 47 Morning Update with Ben Ferguson and The Ben Ferguson Show Podcast Wherever You get You're Podcasts. And don't forget to follow the show on Social Media so you never miss a moment! Thanks for Listening YouTube: https://www.youtube.com/@VerdictwithTedCruz/ Facebook: https://www.facebook.com/verdictwithtedcruz X: https://x.com/tedcruz X: https://x.com/benfergusonshow YouTube: https://www.youtube.com/@VerdictwithTedCruzSee omnystudio.com/listener for privacy information.
President Trump's press secretary, Karoline Leavitt, didn't give details of what these objectives were. But she said that when the goals of the war were realised, "Iran will essentially be in a place of unconditional surrender, whether they say it themselves or not". We hear from Iranians on life during wartime, Lebanese civilians living on the beach in Beirut as Hezbollah comes under attack from Israel and the latest on the economic impact of the conflict. Also, after US troops forcibly removed the Venezuelan leader, Nicolas Maduro, from power Mr Trump has suggested that Cuba might be next on his agenda. And thousands of people, including three former US presidents, have attended a memorial service for the American civil rights leader, Jesse Jackson.The Global News Podcast brings you the breaking news you need to hear, as it happens. Listen for the latest headlines and current affairs from around the world. Politics, economics, climate, business, technology, health – we cover it all with expert analysis and insight. Get the news that matters, delivered twice a day on weekdays and daily at weekends, plus special bonus episodes reacting to urgent breaking stories. Follow or subscribe now and never miss a moment. Get in touch: globalpodcast@bbc.co.uk
1. U.S. Military Action & Objectives in Iran The U.S., alongside Israel, has conducted a major military campaign aimed at dismantling Iran’s military capabilities—missiles, drones, and leadership structure. Primary objective: Regime collapse, not a prolonged war. Trump administration views the Iranian regime as a 47‑year sponsor of terrorism and responsible for killing Americans. Intelligence suggested Iran was rapidly scaling missile and drone production, prompting immediate action. The Ayatollah and much of Iran’s security leadership were reportedly eliminated early in the conflict. 2. Nuclear & Terror Concerns Iran previously claimed it had enriched uranium sufficient for 11 nuclear bombs. U.S. officials believed Iran intended to develop and potentially use nuclear weapons. Iran has provided an estimated 90% of funding to Hamas, Hezbollah, and the Houthis over decades. 3. Impact on China via Oil Disruption Iran historically sent 87% of its oil exports to China; Venezuela sent ~55%. U.S. actions against both nations’ regimes have significantly disrupted China’s energy supply chain. 4. Shake-Up at the Department of Homeland Security President Trump removed Christy Noem as DHS Secretary. Replacement: Sen. Markwayne Mullin of Oklahoma. Noem faced backlash during Senate questioning—especially from Sen. John Kennedy—regarding: $220M in DHS-funded TV ads featuring her Possible improper contracting Claims that Trump approved the campaign (which he denied) Her testimony was viewed as damaging, contributing to her removal. 5. Texas Primary Elections Major developments in several key GOP races: Dan Crenshaw lost his House primary to Steve Toth, receiving criticism for confrontational behavior and losing touch with constituents. Multiple candidates endorsed by Sen. Ted Cruz won their primaries (Jessica Steinman, Chris Gober, John Bank). Texas Senate GOP runoff: John Cornyn vs. Ken Paxton—an expensive, bitter contest. Democratic nominee: James Talarico—portrayed as ideologically extreme but rhetorically moderate, making him a potentially formidable opponent. Please Hit Subscribe to this podcast Right Now. Also Please Subscribe to the 47 Morning Update with Ben Ferguson and The Ben Ferguson Show Podcast Wherever You get You're Podcasts. And don't forget to follow the show on Social Media so you never miss a moment! Thanks for Listening YouTube: https://www.youtube.com/@VerdictwithTedCruz/ Facebook: https://www.facebook.com/verdictwithtedcruz X: https://x.com/tedcruz X: https://x.com/benfergusonshowYouTube: https://www.youtube.com/@VerdictwithTedCruzSee omnystudio.com/listener for privacy information.
President Trump has led a series of aggressive military actions against Iran. The Supreme Leader is no longer. Many questions remain. What are the facts of the situation and where is this all going? Jesse Kelly breaks it all down alongside Lee Smith and John Carney. Plus, a tough conversation about threats to the homeland.I'm Right with Jesse Kelly on The First TVChoq: Visit https://choq.com/jessetv for a 17.76% discount on your CHOQ subscription for lifePureTalk: Save on wireless with PureTalk visit https://PureTalk.com/JESSETVBeam: Visit https://shopbeam.com/JESSEKELLY and use code JESSEKELLY to get our exclusive discount of up to 40% off.Follow The Jesse Kelly Show on YouTube: https://www.youtube.com/@TheJesseKellyShowSee omnystudio.com/listener for privacy information.