Podcasts about outcomes

In part one of this three-part series, Dr. Justin Abbatemarco and Drs. John Chen and Smathorn Thakolwiboon discuss the outcomes following plasma exchange in MOGAD and explore how the findings from this study can inform patient care. 

This episode introduces the potentially controversial principle that your system is perfectly designed for its current outcomes, urging listeners to embrace greater responsibility for systemic issues. It explores how to redefine system boundaries to holistically integrate all influencing factors, like talent and organisational processes, ensuring that interventions are effective and targeted.Uncover the principle that your system is perfectly designed for the results you are getting, prompting a re-evaluation of what constitutes a "good" system when outcomes are undesirable.Learn why arbitrary system boundaries often lead to critical factors, such as talent, being excluded, and how to consider a system's full scope regardless of traditional lines of responsibility.Discover how incorporating talent and other seemingly external factors into your system design can lead to more efficient and effective solutions, rather than simply patching symptoms.Explore the distinction between judging decisions by their outcomes (resulting) and designing systems that proactively reduce uncertainty and improve the likelihood of success.Understand that system thinking extends beyond technical architecture to encompass processes, policies, culture, and interpersonal dynamics, which collectively influence organisational outcomes.

Dr. Justin Abbatemarco talks with Drs. John Chen and Smathorn Thakolwiboon about the outcomes following plasma exchange in MOGAD and explore how the findings from this study can inform patient care.  Disclosures can be found at Neurology.org. 

In this episode, Thoma Bravo Senior Partner A.J. Rhode sits down with Peter Hernandez, a Senior Vice President on our Discover team, to detail the strategic take-private of NextGen Healthcare, a leading provider of innovative, cloud-based healthcare technology solutions. They are joined in the studio by NextGen Healthcare CEO David Sides and discuss their bold vision for the future of healthcare IT. Hear perspectives on NextGen Healthcare's exciting new chapter, marked by a recent investment by Madison Dearborn Partners, to further accelerate the company's growth. For more information on Thoma Bravo's Behind the Deal, visit https://www.thomabravo.com/behindthedealLearn more about Thoma Bravo: https://www.thomabravo.com/Visit NextGen Healthcare's website: https://bit.ly/3TN6i7s To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices

Most people think dental problems only affect their mouth, but that's where they're dead wrong. After my conversation with Dr. Jigar Gandhi, I'm convinced we've been missing a massive piece of the health optimisation puzzle, and this is where biological dentistry comes in. When I had my infected tooth removed, my shoulder pain, lung catch, and toe numbness disappeared within 48 hours, because each tooth connects to specific organ systems through 5,000-year-old meridian mapping. Your mouth is the gateway to chronic infections that can trigger autoimmune diseases, brain fog, and systemic inflammation throughout your entire body.  Join the Ultimate Human VIP community: https://bit.ly/4ai0Xwg Connect with Dr. Jigar Gandhi: Website: http://bit.ly/4l7hSX3 Website: http://bit.ly/3Goflsn YouTube: http://bit.ly/44EUv1c Instagram: http://bit.ly/4ezmKSy TikTok: http://bit.ly/4lfLIJe Find Authorised Biological Dentists:  http://bit.ly/4ntxxBD Study on Root Canals Causing Breast Cancer:  http://bit.ly/4lxgP2o IAOMT Position Paper on Human Jawbone Cavitations: http://bit.ly/3ZSDrlO Thank you to our partners: H2TABS - USE CODE “ULTIMATE10” FOR 10% OFF: https://bit.ly/4hMNdgg BODYHEALTH - USE CODE “ULTIMATE20” FOR 20% OFF: http://bit.ly/4e5IjsV BAJA GOLD - USE CODE "ULTIMATE10" FOR 10% OFF: https://bit.ly/3WSBqUa EIGHT SLEEP - SAVE $350 ON THE POD 4 ULTRA WITH CODE “GARY”: https://bit.ly/3WkLd6E COLD LIFE - THE ULTIMATE HUMAN PLUNGE: https://bit.ly/4eULUKp WHOOP - GET 1 FREE MONTH WHEN YOU JOIN!: https://bit.ly/3VQ0nzW MASA CHIPS - GET 20% OFF YOUR FIRST ORDER: https://bit.ly/40LVY4y VANDY - USE CODE “ULTIMATE20” FOR 20% OFF: https://bit.ly/49Qr7WE AION - USE CODE “ULTIMATE10” FOR 10% OFF: https://bit.ly/4h6KHAD A GAME - USE CODE “ULTIMATE15” FOR 15% OFF: http://bit.ly/4kek1ij HAPBEE - FEEL BETTER & PERFORM AT YOUR BEST: https://bit.ly/4a6glfo CARAWAY - USE CODE “ULTIMATE” FOR 10% OFF: https://bit.ly/3Q1VmkC HEALF - GET 10% OFF YOUR ORDER: https://bit.ly/41HJg6S BIOPTIMIZERS - USE CODE “ULTIMATE” FOR 10% OFF: https://bit.ly/4inFfd7 RHO NUTRITION - USE CODE “ULTIMATE15” FOR 15% OFF: https://bit.ly/44fFza0 GENETIC TEST: ⁠https://bit.ly/3Yg1Uk9 Watch  the “Ultimate Human Podcast”: YouTube: https://bit.ly/3RPQYX8 Podcasts: https://bit.ly/3RQftU0 Connect with Gary Brecka: Instagram: https://bit.ly/3RPpnFs TikTok: https://bit.ly/4coJ8fo X.com: https://bit.ly/3Opc8tf Website: https://bit.ly/4eLDbdU Merch: https://bit.ly/4aBpOM1 Newsletter: https://bit.ly/47ejrws Ask Gary: https://bit.ly/3PEAJuG Timestamps: 00:00 Intro 04:14 What is an Organ? 07:15 Symptoms and Testings with Biological Dentistry 12:23 Inflammatory markers 15:00 Tooth removal and microscopic examination 17:02 Addressing Optimal Health with Biological Dentistry 19:26 Tooth removal procedure 21:08 Dental Medicine Taking the Spotlight 24:12 After a Root Canal 28:59 Outcomes after Biological Dentistry Procedures 30:54 Chronic and Autoimmune Disease Symptoms 39:27 Testimonials from Dr. Gandhi's Patients: http://bit.ly/4kBGGpj 46:26 Recognizing the Starting Point of the Existence of Diseases 51:38 Importance of Proper Oral Care Routine  56:41 When to See a Biological Dentist? 1:00:05 What does it mean to you to be an “Ultimate Human?” The Ultimate Human with Gary Brecka Podcast is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user's own risk. The Content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professionals for any such conditions. Learn more about your ad choices. Visit megaphone.fm/adchoices

Join us this week on the Product Thinking Podcast as we explore the intersection of digital innovation and product management with Jose Quesada, VP of Product Management for Mobile and Web at American Express. With over 15 years of experience, Jose provides valuable insights into transforming digital experiences within the financial industry and the pivotal role of experimentation in fostering innovation.Jose shares his approach to creating a culture of safe experimentation, the seamless integration of digital and physical financial products, and the importance of developing soft skills in product management. He offers a compelling perspective on how digital transformation is reshaping customer interactions and product strategies at American Express.You'll hear us talk about:- 11:25 - Embracing ExperimentationJose discusses the importance of using experimentation as a tool to reduce uncertainty, encouraging his team to innovate and learn from mistakes without fear.- 25:31 - Data-Driven Product StrategyJose emphasizes the significance of a dual-track approach in product development, balancing immediate business outcomes with future-focused discovery.- 33:24 - Building Psychological Safety for InnovationJose shares strategies for fostering a team environment where making mistakes is part of the learning process, thereby driving innovation and growth.Episode resources:Jose on LinkedIn: https://www.linkedin.com/in/josequesadamedina/Careers at AMEX: https://www.americanexpress.com/en-us/careers/Check our new course: https://productinstitute.com/p/mastering-product-strategy-overviewTimestamps:00:00 Coming Up01:23 Intro03:00 Dear Melissa08:38 Entering product14:53 Outcome-Driven Teams25:41 Making Data Work34:28 Embracing Change41:44 Future Of Digital Products

In this installment of minisodes, we tackle a common AAC challenge: what happens when professionals don't agree? The BCBA recommends PECS, the SLP suggests a dynamic device… Now what? Welcome to the standard trial of non-collaborative chaos.There are plenty of barriers to AAC collaboration, but also practical steps that can lead to smoother teamwork. The first is building familiarity. AAC can feel overwhelming, but taking time to learn the basics makes collaboration more effective.One key reminder: the device belongs to the student. Everyone on the team should be working toward the same goal—supporting the individual's communication needs across their lifespan.Joint assessment can help, and tools like the free ALP AAC assessment offer a shared starting point. Another useful strategy is to assign a single person to program the device. This reduces confusion and ensures consistency.Most importantly, collaboration keeps families from being caught in the middle. When professionals work together, outcomes improve—for everyone involved.#autism #speechtherapy What's Inside:10-minute summer series.Free Assessment.Collaborating every step from assessment through intervention.Mentioned In This Episode:ALP AAC Assessment AAC course bundle Speech Membership - ABA Speech  ABA Speech: Home

About Hugh Massie:Hugh Massie is the Executive Chairman and Founder of DNA Behavior International – the Behavior and Money Insights Company. As a Titan 100 CEO and renowned Behavioral Solutions Architect, he approaches every opportunity with the proven perspective that “behavior makes money.” Through his analytical approach and AI-driven technologies, Hugh helps growth-minded leaders build “category king” people-centric businesses that enhance decision-making, culture, and performance. His purpose is to empower people to align their natural, hard-wired talents and financial behaviors to create an Exponential Future with reduced stress. Hugh's moonshot is to scale DNA Behavior's AI-powered BeSci Tech Platform to inform over 1 billion people annually by 2030, increasing life, financial, and business longevity by 30+ years. In this episode, Dean Newlund and Hugh Massie discuss:Predictive insights from human behavior in leadership and business strategySelf-awareness and hardwired traits as drivers of leadership effectivenessGovernance dynamics in enabling or constraining powerful executivesOrganizational resilience in the face of AI disruption and rapid innovationBehavioral economics as a tool for sustainable financial performance Key Takeaways:Behavior serves as a powerful leading indicator of future financial and cultural performance, allowing organizations to anticipate outcomes before they materialize in traditional reports.Digitally scanning leadership behavior using publicly available data enables predictive profiling at scale, offering strategic insights into executive decision-making styles without requiring formal assessments.Sustained business success is often linked to a balanced presence of six core behavioral traits, including results-driven, innovation-focused, fiscal control, financial prudence, and relationship engagement.When leadership strengths such as vision, influence, or risk-taking are left unchecked—particularly in environments with weak governance—they can backfire and lead to long-term brand erosion and internal dysfunction. "Your strengths, overplayed, can be a struggle and, if not attended to, become a weakness.” — Hugh Massie Connect with Hugh Massie:  Website: https://dnabehavior.com/YouTube: https://www.youtube.com/@dnabehaviorLinkedIn: https://www.linkedin.com/in/hughmassie/X (Twitter): https://x.com/HughMassieFacebook: https://www.facebook.com/hugh.massie/Instagram: https://www.instagram.com/hughmassie/  See Dean's TedTalk “Why Business Needs Intuition” here: https://www.youtube.com/watch?v=EEq9IYvgV7I Connect with Dean:YouTube: https://www.youtube.com/channel/UCgqRK8GC8jBIFYPmECUCMkwWebsite: https://www.mfileadership.com/The Mission Statement E-Newsletter: https://www.mfileadership.com/blog/LinkedIn: https://www.linkedin.com/in/deannewlund/X (Twitter): https://twitter.com/deannewlundFacebook: https://www.facebook.com/MissionFacilitators/Email: dean.newlund@mfileadership.comPhone: 1-800-926-7370 Show notes by Podcastologist: Hanz Jimuel AlvarezAudio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

Check out this episode of the QuadCast where we highlight de-intensification for HPV mediated oropharyngeal squamous cell carcinoma, how the addition of radium 223 to enzalutamide improves outcomes, and much more. Check out the website and subscribe to the newsletter! www.quadshotnews.com Founders & Lead Authors: Laura Dover & Caleb Dulaney Podcast Host: Sam Marcrom

I'm experimenting with Substack's Video feature. I'm not sure how this will look, appear, or even sound, but giving it a go. Below I include an outline of the video:Outline1. The Familiar Cascade* Many organizations use a hierarchical model: Pillars → Priorities → Initiatives → Epics → Tasks* Timeframes are often assigned at each level (e.g., 3–5 years at the top, sprints at the bottom)* Roles and ownership are mapped accordingly, from executive leadership down to product teams* These models persist because they're intuitive, visual, and create a sense of order2. Core Limitations of the Pyramid* Assumes one-way flow of informationThe model suggests strategy flows down, but in reality, critical insights flow up from teams engaging with customers and the market* Outcomes are often missing or impliedThere's no explicit representation of impact or results, even though that's what ultimately matters* Ignores time-to-impact variabilitySome tasks can generate impact in a week; some initiatives take years. The model fails to show these lags and feedback loops* Pushes teams into execution rolesAs you move down the pyramid, the framing becomes increasingly prescriptive. Teams are expected to deliver “work” without clear problem framing or strategic ownership* Misrepresents the scope and nature of workHigh-impact short-term efforts may not “fit” in the hierarchy, creating friction. It also disincentivizes small, iterative wins3. Temporal Scope and Organizational Culture* Comparing two fictional organizations reveals differences:* Org A's goals are outcome-driven across time horizons (e.g., 1–3 month engagement goals, 3–5 year market positioning)* Org B's goals are more output-focused and vague at longer horizons* Ownership of goals varies by company—some give product teams ownership up to the one-to-three quarter range, others do not* The same pyramid diagram can reflect entirely different behaviors depending on definitions, ownership, and cultural orientation toward outcomes vs. activity4. The Need for Multiple Lenses* The pyramid presents a single, strategy-to-task lens, but organizations operate with multiple overlapping views:* Outcome lens – focused on impact and customer results* Work lens – focused on deliverables and execution* Finance lens – focused on costs, forecasting, and ROI* Structure lens – focused on organizational shifts, team structure, and ownership* Each lens has its own rhythm, scope, and patterns of change* These lenses intersect in complex ways that a static pyramid cannot represent5. Real Work Behaves More Like a Fabric Than a Cascade* Work, strategy, and feedback move in all directions—not just top-down* Many artifacts and processes exist at mid-levels of abstraction, not neatly tiered* A more accurate model is a fabric or network of interconnected items with varying temporal scopes and ownership* Strategic influence can originate anywhere, and changes at any level can ripple across the system6. Introducing Artifact Types and Their CadenceTo support this networked reality, artifacts should be understood in terms of their nature and rhythm:* Anchor Artifacts* Have a defined time horizon (e.g., a 12-month roadmap)* Refreshed on a set cadence (e.g., quarterly planning cycles)* Useful for stability and coordination* Intent Artifacts* Represent bets, goals, OKRs, and strategic initiatives* Tend to evolve as work progresses and understanding deepens* Often nested or linked to other artifacts dynamically* Context Artifacts* Reflect shifting knowledge and environmental signals* Can be volatile (e.g., customer feedback) or stable (e.g., competitive analysis)* Drive updates to other artifact types when significant changes occur7. The Role of Rituals* Artifacts don't stand alone—they are reinforced and refreshed through team and organizational rituals* Effective operating systems clarify:* Which artifacts exist* Who owns them* When and how they are updated* How they relate to each other across different lenses and timeframes* Rituals also provide the opportunity to resolve contradictions and adapt to change8. Final Synthesis* The strategy pyramid is a helpful storytelling tool, especially for presentations or executive alignment* But it is insufficient for designing actual operating models* Effective models recognize:* Multiple lenses (not just one)* Temporal and definitional complexity* The need for dynamic linkages, not static nesting* The interplay of strategy, execution, finance, structure, and learning* Building an effective system means embracing this complexity and supporting it with the right artifacts and rhythms—not oversimplifying it into a cascade Get full access to The Beautiful Mess at cutlefish.substack.com/subscribe

Marianna Fontana, MD, PhD / Julian Gillmore, MD, PhD, FRCP, FRCPath - Identifying Outcomes That Matter in ATTR-CM: Critical Considerations in the Interpretation of Contemporary Clinical Trials

Marianna Fontana, MD, PhD / Julian Gillmore, MD, PhD, FRCP, FRCPath - Identifying Outcomes That Matter in ATTR-CM: Critical Considerations in the Interpretation of Contemporary Clinical Trials

Marianna Fontana, MD, PhD / Julian Gillmore, MD, PhD, FRCP, FRCPath - Identifying Outcomes That Matter in ATTR-CM: Critical Considerations in the Interpretation of Contemporary Clinical Trials

Marco RankinTEXT: Psalm 1BIG IDEA: Psalm 1 shows us a clear choice: There are two ways to live, and each way leads to a very different end—God's reward or God's judgment.OUTLINE:1. The Way of the Righteous [vv. 1–3]2. The Way of the Wicked [vv. 4–5]3. The Way of Judgment [v. 6]RESOURCES: The Expositor's Bible Commentary: Psalms, Proverbs, Ecclesiastes, Song of Songs, vol. 5 by Frank E. Gaebelein; Psalms, vol. 1, The NIV Application Commentary by Gerald H. Wilson; 50 Core Truths of the Christian Faith: A Guide to Understanding and Teaching Theology by Gregg R. Allison

This week on Dentistry Unmasked, David and Pam dive into a surprisingly overlooked topic that could be quietly costing your practice time, money, and clinical precision. How many times can you really use a multi-use bur before it becomes a liability? And how are you even tracking it? Join us as we chat with Chris Oshodin and Heather Siler from Microcopy, who reveal why switching to single-use burs might be one of the smartest moves you can make. From efficiency and safety to protecting your handpieces and your patients' teeth, this episode might just change the way you cut…literally. Don't miss it! *** In partnership with Microcopy

BUFFALO, NY – June 27, 2025 – A new #research paper was #published in Volume 16 of Oncotarget on June 17, 2025, titled “Molecular landscape of HER2-mutated non-small cell lung cancer in Northeastern Brazil: Clinical, histopathological, and genomic insights.” In this study, researchers led by first authors Cleto Dantas Nogueira from the Federal University of Ceará and Argos Pathology Laboratory and Samuel Frota from Argos Pathology Laboratory, along with corresponding author Fabio Tavora from the previously mentioned institutions and Messejana Heart and Lung Hospital, investigated how HER2 gene mutations appear in cases of non-small cell lung cancer (NSCLC) in Northeastern Brazil. The team found that HER2 mutations showed significant genetic diversity and were often associated with other cancer-related genetic changes. These findings revealed diagnostic and treatment challenges in a population that is rarely studied, emphasizing the need for expanded access to molecular testing and targeted therapies. HER2 mutations are a known factor in several cancers, including breast and gastric cancers. In lung cancer—particularly NSCLC—these mutations are less common but remain clinically significant. Most existing research on HER2-mutated lung cancer focuses on high-income countries, leaving important gaps in knowledge about underrepresented regions such as Latin America. This study helps fill that gap by analyzing 13 patients with HER2-mutated NSCLC using clinical, pathological, and genomic data. The patients ranged in age from 34 to 82 years, and more than half were women. About half had never smoked. Their tumors often displayed complex genetic profiles, including additional mutations in genes such as TP53, KRAS, and STK11. The most common HER2 mutation identified was an insertion in exon 20, a known hotspot for activating mutations. “Trastuzumab deruxtecan (T-DXd) is the first HER2-targeted agent to show clinical efficacy in HER2-mutant non-small cell lung cancer (HER2m NSCLC).” Treatment strategies among the patients varied. Only one individual received HER2-targeted therapy. Most were treated with surgery, chemotherapy, immunotherapy, or a combination of these approaches. Outcomes also differed, with some patients surviving for years and others dying within months of diagnosis. These findings reinforce the need for early diagnosis and improved access to advanced treatments, particularly in low-resource settings. The study emphasizes the value of comprehensive molecular profiling in NSCLC. Because HER2 mutations often occur alongside other genetic alterations, full genomic analysis is crucial for guiding treatment decisions. Yet, such testing is not always available. The researchers propose a tiered diagnostic approach, beginning with basic screening and expanding to more advanced tests when necessary, to enhance patient care. This study provides valuable insights into the molecular characteristics of HER2-mutated NSCLC in a Brazilian population, highlighting the complexity and clinical relevance of these alterations. Larger studies are needed to clarify the prevalence and prognostic significance of HER2 mutations, as well as their impact on treatment response and survival. This knowledge is essential for advancing effective HER2-targeted therapies. The findings also support broader implementation of international clinical guidelines in Latin America and highlight the critical need to include underrepresented populations in cancer research. DOI - https://doi.org/10.18632/oncotarget.28737 Correspondence to - Fabio Tavora - stellacpak@outlook.com Video short - https://www.youtube.com/watch?v=hr5R9iDBFFI To learn more about Oncotarget, please visit https://www.oncotarget.com. MEDIA@IMPACTJOURNALS.COM

Join us at Heart Rhythm 2025 for the discussion of this study. Between July 2014 and June 2023, researchers tracked 641 sudden cardiac arrest (SCA) incidents in U.S. athletes aged 11–29. Overall survival was 49%, rising to 57% during exercise, and reaching 70% in game/competition settings compared to 53% during practice. Survival rates improved significantly over the nine years, yet notable racial disparities persisted: Black athletes were 37% less likely, and athletes of other non-White races 31% less likely, to survive exertional SCAs than White athletes. The authors emphasize that while improvements in emergency preparedness (CPR/AED access) likely contributed to better outcomes, targeted efforts are needed to address equity and bolster response during practices and in under-resourced communities. https://www.hrsonline.org/education/TheLead https://www.sciencedirect.com/science/article/abs/pii/S0735109725053379 Host Disclosure(s): M. Middeldorp: Nothing to disclose. Contributor Disclosure(s): E. Chung: Nothing to disclose. R. Lampert: Nothing to disclose.

Brian North, VP of Strategic Partnerships at Hearst, joins Harry Kendlbacher to unpack the challenge many sales leaders face: closing the gap between strategy and execution. They talk about what it really takes to move big, complex sales organizations toward results — from aligning teams around a shared goal to building repeatable habits that drive performance. In this episode: - How to make sure strategic plans actually lead to action - Why clarity, consistency, and accountability matter more than ever - Lessons from leading cross-functional, cross-industry teams - What top performers do differently to build momentum and trust This one's for anyone responsible for driving execution across a sales org — no matter the industry.

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with Dr. David Kalfa, the incoming Chief of Pediatric Cardiac Surgery and Co-Director of the Heart Institute at Nicklaus Children's Hospital in Miami, about allogeneic mitral valve transplants. Chapters 00:00 Intro 01:46 Interview Preview 02:54 MV Surgery After Failed Intervention 07:46 Tears Predict Outcomes After Hemi-Arch 10:32 Pain Catastrophizing Scale 14:27 ARR w Stentless Biopros, Sex Difference 16:38 Open Implant TAV via Redo Sternotomy 19:05 Repeat Sternotomy w Completion Unifocaliz 21:07 Direct Aortic Impella 5.5 in PC Shock 25:16 Dr. Kalfa Interview, AMV Transplant 39:58 Upcoming Events 41:26 Closing They discuss methods for obtaining a mitral valve for transplantation, and topics such as immunosuppression, aortic coagulation, and the progress that has been made in this field. They also explore how to perform a living allogeneic heart valve transplant and the future of this technique.   Joel also highlights recent JANS articles on mitral valve surgery after failed transcatheter intervention for mitral regurgitation, whether distal anastomotic new entry tears predict long-term outcomes after hemiarch repair for DeBakey I aortic dissection, using a pain catastrophizing scale as a predictor for acute postoperative pain following video-assisted thoracoscopic surgery lobectomy, and sex difference in aortic root replacement with a stentless bioprosthesis.  In addition, Joel explores an open implantation of a transcatheter aortic valve via redo sternotomy, mitral valve replacement, and tricuspid valve repair in a high-risk patient, repeat sternotomy with completion unifocalization and extensive pulmonary arterial reconstruction in ToF/PA/MAPCAs, and direct aortic Impella 5.5 in post-cardiotomy shock. Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  1.) Mitral Valve Surgery After Failed Transcatheter Intervention for Mitral Regurgitation: Techniques, Challenges, and Outcomes  2.) Distal Anastomotic New Entry Tears Predict Long-Term Outcomes After Hemi-Arch Repair for DeBakey I Aortic Dissection  3.) Pain Catastrophizing Scale as a Predictor for Acute Postoperative Pain Following Video-Assisted Thoracoscopic Surgery Lobectomy  4.) Sex Difference in Aortic Root Replacement With a Stentless Bioprosthesis  CTSNET Content Mentioned  1.) Open Implantation of a Transcatheter Aortic Valve via Redo Sternotomy, Mitral Valve Replacement, and Tricuspid Valve Repair in a High-Risk-Patient  2.) Challenging Pulmonary Arterial Reconstruction: Repeat Sternotomy With Completion Unifocalization and Extensive Pulmonary Arterial Reconstruction in ToF/PA/MAPCAs   3.) Direct Aortic Impella 5.5 in Post-Cardiotomy Shock  Other Items Mentioned  1.) Allogeneic Mitral Valve Transplant: Historical Precedent, Current Considerations, and Future Implementation  2.) Cardiac Surgical Arrest—An International Conversation, Part 1  3.) Winners of the 2025 CTSNet Instructional Video Competition  4.) Career Center   5.) CTSNet Events Calendar  Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

Dr. Andreas Stamatis is a Professor at the University of Louisville and a Mental Performance Specialist at UofL Health, blending sport science, psychology, and leadership to help individuals and organizations thrive under pressure. In this episode, Andreas explores the foundation of mental performance—how it's developed, why it's often misunderstood, and what separates sustainable performance from momentary hype. Andreas introduces the “existential positive psychology”, a framework that views adversity as a growth opportunity—but only when it's relevant.  Andreas challenges the idea that mental toughness leads to selfishness. He explains that mental toughness is a personal construct—true strength lies in managing competing demands without losing yourself or others.  He also tackles the corporate tendency to overvalue outcomes and undervalue behaviors. Andreas challenges that mindset, insisting that behaviors are more controllable, more consistent, and more ethical to reward. Andreas also sees potential in how AI can help shape behavior and context if used wisely. He compares it to any other high-performance tool: powerful when used with clarity and care. This conversation is for anyone who wants to build a mentally tough team, avoid burnout, and embrace the kind of leadership that values people over performance metrics.  You can find episode 465 wherever you get your podcasts!   Key Takeaways [03:14] Andreas breaks down mental performance, bringing with real-world examples. Andreas explains that mental performance isn't about motivation—it's about creating a “psychological infrastructure” that holds up under pressure, enabling sustainable, adaptable, and ethical performance when it matters most. [07:16] Andreas delved into existential positive psychology, using Lent as an example: “We do it because we understand that through stress, adversity, difficulty, we grow.”  [09:28] Andreas pointed out what is relevant adversity. Forcing someone to run a marathon when they're a diver won't make them stronger—it'll just derail them. True growth comes from adversity that aligns with personal goals.  [10:45] To counter the perception that psychology is “soft,” Andreas uses data to show that mental toughness is a performance multiplier. His team collects evidence through interviews, questionnaires, and observations, proving that mental toughness improves not only performance but social cohesion and reduces issues like screen time addiction.  [15:27] When asked if there's such a thing as too much mental toughness, Andreas acknowledged the danger of a “machismo mentality.” While grit is valuable, it can become toxic when it turns into blind persistence that sacrifices well-being.  [19:04] One of Andreas's most powerful insights came when Jim quoted him: “The entity cannot be more important than the humans that support it.” He critiqued the “performance trap,” where results are prioritized over ethical behavior and people. Andreas advocates for a shift in culture—focusing on the process, the mindset, and the individuals who drive performance, rather than just the outcome. [24:08] When AI came up in the conversation, Andreas compared it to any high-performance tool: not a replacement for humans, but a servant to human potential. He envisions AI helping people fine-tune their focus, regulate emotions, and stay resilient by providing real-time, personalized feedback.  [31:18] And remember...“Nothing can stop the man with the right mental attitude from achieving his goal; nothing on earth can help the man with the wrong mental attitude.” - Thomas Jefferson Quotable Quotes "So existential positive psychology says, yes, be proactive, work on your strengths. However, that trauma, stress, adversity that you go through, it has the potential for growth." "Even in your darkest hour, there could be something that could help you grow and become better human." "So we're not looking for adversity just to look for adversity... we need to take them through the process that would lead them to put them in a better position to be successful towards those goals." "Mental toughness is a multiplier." "The mentally tough mindset is purposeful, which means you know where you're going. There's direction, and there's energy towards those goals as a purposefulness." "The mentally tough mindset has efficiency, which means there's a congruency between your behaviors and your goals. Otherwise, they're just dreams." — "When you have a goal in order to achieve that goal, there are behaviors that you need to do in order to achieve that goal. Behind that one step before that is the mindset." “mental toughness is a personal construction. There's no team mental toughness. It's. It's something that you have to work on yourself. I don't see it as something that necessarily is negative. I see it as empowering."   “an actual real mentally tough person can work with conflicting goals, that's how we say, or interest."   "So metrics start to, in a way, overshadow mindset and then the behavior becomes transactional. So that's the performance trap. So we reward results even if they were achieved unethically or unsustainably, and we punish failure even if the process was sound and value aligned and we did the best we could under the circumstances. But the truth is this. Outcomes are variable. Markets shift, opponents adjust, life throws curveballs. But mindset can be trained, stabilized, and eventually applied across all of it."   “When the standard, people know what's expected from them, no matter the result, the culture becomes behavior driven and value based and performance becomes more consistent and stress goes down."   Resources Mentioned The Leadership Podcast | Sponsored by | Rafti Advisors. LLC | Self-Reliant Leadership. LLC | Facebook | LinkedIn | Instagram |  

Episode #158: In this conversation, Kimberly Lovi discusses the importance of separating one's identity from professional outcomes, particularly in high-stakes environments like the legal profession. She emphasizes the learning curve that many new professionals face and the need for self-compassion during challenging times. Lovi shares personal experiences and insights on receiving feedback, the role of leadership in fostering growth, and the importance of advocating for oneself in the workplace. Ultimately, she encourages listeners to embrace failure as a stepping stone to success and to seek support when needed. Chapters: 00:00 Introduction to Identity and Outcomes 03:04 Understanding the Learning Curve in Professional Life 06:37 Separating Self-Worth from Business Outcomes 11:34 The Role of Mentorship and Support 16:04 Leadership and Accountability in Professional Growth 20:46 Finding Solutions and Moving Forward Follow Kimberly on Instagram and TikTok @kimberlylovi or @iconicnationmedia  WATCH us on YouTube and view our brand new studio! 

In this episode, Carlos Gonzalez de Villaumbrosia interviews Glen Coates, Vice President of Product at Shopify.Shopify is one of the world's leading commerce platforms, powering millions of businesses and helping entrepreneurs sell online and offline with ease. Since launching in 2006, it has become a global e-commerce giant and the second-largest online retailer in the U.S., with over $8 billion in annual revenue and 8,000+ employees working fully remotely.Glen leads Shopify's Core Product organization, overseeing the storefront, checkout, back office, marketing, analytics tools, and the core developer platform. He also drives Shopify's thriving partner ecosystem, which offers merchants access to over 10,000 apps. From video game developer to B2B ecommerce founder to product leader at scale, Glen brings a rare blend of technical depth and entrepreneurial vision.In this episode, he shares how his unconventional path shaped his approach to product leadership, the principles behind Shopify's fast-moving strategy, and how the company stays ahead with AI and deep product focus. He also explains his org design for scale, why every product leader must “know everything down to the details,” and how the team keeps the experience polished with the “Boring Edition.”What you'll learn:-Glen's journey from game development to leading Shopify's core platform.- How Shopify's viral “AI memo” raised the bar for PMs and engineers to build faster.- The Outcomes, Assumptions & Principles framework behind better product decisions.- Why focusing on fundamentals keeps Shopify nimble and merchants competitive.Key Takeaways

When it comes to nonprofits and associations, the underlying message from this podcast is crystal clear: let's embrace the end of pointless busy work and move toward measuring how the work we do directly impacts mission.

Sarah Sydlowski, AuD, PhD returns to the podcast to discuss the importance of proper communication to patients with hearing loss. Dr. Sydlowski explains how effective communication can influence patient compliance with provider recommendations and overall treatment adherence, as well as how healthcare systems can optimize care for patients with hearing loss.

In this episode, Estelle Moore and Martin Sellbom discuss with Lisanne de Moor the role of personality in forensic research and practice. They describe important personality traits as well as personality disorders and current developments in the view in the field on personality pathology. The episode concludes with an eye on crucial next steps.

Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper on Continuation vs Withdrawal of Beta-Blockers and Outcomes After Myocardial Infarction With Preserved Left Ventricular Function.

Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper on Percutaneous Coronary Intervention Outcomes by 5 Major Race and Ethnic Subgroups.

Wednesday Night Service

Over the last few years, I've been developing curriculum and resources that help leaders establish trust with their teams and enable teammates to build trust with one another.  Because different people have different needs around trust, it can feel tricky to know exactly the right formula to help build trust with others.  In spite of that, there are plenty of small things you can do every single day to help people understand who you are, how you operate, how you hold space for others, and how you navigate messiness that will inevitably help you build trust in any relationship. When people understand these pieces of you, they have the information they need to know if you are someone they can trust over the long haul.  In this episode, we explore what a lack of trust looks like in an organization (perhaps this will look and feel familiar to you?).  We talk about why trust is a foundational element required for high performance and a healthy culture, and what outcomes you can expect when you take the time to build trust within a team environment. Then, I give you simple, practical steps you can take to start building more trust today, no matter the current state of your team or organization.  There is a common misconception that trust and the vulnerability required to build it are “soft,” but I would like to invite you to view trust as one of your key strategies for building authentic, meaningful relationships that yield great outcomes.   Episode Highlights: 00:00 Building Trust: An Introduction 02:49 The Importance of Trust in Teams 06:05 Signs of a Lack of Trust 12:06 Leadership's Role in Trust Building 15:51 Practical Steps to Build Trust 21:05 The Outcomes of Teams that Trust  25:47 How to Run Team Trust Diagnostics 29:59 Connecting Values Around Trust to Action Links Mentioned: Hire me to speak: saradean.com/speaking Coach with me: https://saradean.com/executive-coaching-services Connect with me on LinkedIn: https://www.linkedin.com/in/saradeanspeaks Watch Shameless Leadership episodes on YouTube: https://www.youtube.com/@saradeanspeaks Interested in becoming a sponsor of the Shameless Mom Academy? Email our sales team at sales@adalystmedia.com. Learn more about your ad choices. Visit podcastchoices.com/adchoices

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In this episode of Just Schools, Dr. Jon Eckert speaks with Dr. Lynn E. Swaner, the President US, for Cardus. Lynn's professional experience spans several sectors and encompasses roles in academia, sponsored research, associations, and independent schools. As a result, she is passionate about building bridges within and across fields. They share about the 2023 Cardus Education Survey and what it reveals about the long-term impact of different educational sectors, including Protestant Christian, Catholic, public, independent, and homeschool settings. Swaner highlights key findings: Christian schools continue to excel in faith formation, are improving in academic outcomes, and face growth opportunities around belonging and peer relationships.  The Just Schools Podcast is brought to you by the Baylor Center for School Leadership. Be encouraged. Mentioned: Cardus 2023 Findings Work and Worship: Reconnecting Our Labor and Liturgy by Matthew Kaemingk The Sin of Certainty: Why God Desires Our Trust More Than Our "Correct" Beliefs by Peter Enns Connect with us: Center for School Leadership at Baylor University Jon Eckert LinkedIn Baylor MA in School Leadership   Jon: All right, so welcome to the Just Schools podcast. This is Dr. Lynn Swaner. She has a new role as of last year, so we're going to dig in a little bit into that and then some of the work we've been able to do together. So Lynn, thanks for being with us and just tell us a little bit about what you're doing. Dr. Lynn Swaner: Yeah, thanks so much for having me, Jon. I'm excited to be here and join you and your listeners. So some exciting things that I've been working on, a new part of my role as Cardus President U.S., which I joined in January of last year. I can't believe it's almost been a year. And so in that role... It's helpful for me to explain a little bit about what Cardus does. Cardus is a nonpartisan think tank. It is grounded and rooted in 2000 plus years of Christian social thought. And what we look at are how the different spheres of society. So education is one. For example, healthcare could be another, government, family, citizenship, all work independently as well as work together for flourishing societies. And so we have research files in all of those areas. And of course here in the U.S., I'm still very involved in working with education and that's where we get to the Cardus Education survey, which I know we're going to be talking about today. But just a little bit of framing really quickly about Cardus's philosophy and approach to education. In many societies in the U.S. is no different, there's kind of this division of education into, for example, your traditional public or district schools. You've got private schools, you've got charter schools, which obviously are a type of a public school. You've got homeschooling, etc. And Cardus's position is that all education is public in the sense that it contributes to the public good. And certainly when we do the Cardus education survey, that's what we found will impact that a little bit. But we're finding that different types of schools and homeschooling actually contribute positively to a range of outcomes that we would want healthy, thriving, contributing citizens of our country to demonstrate to and to inculcate. Jon: So great introduction. I first became aware of Cardus through the Cardus education survey because Katie Weins was writing a draft of it as a next door neighbor back, I guess this would've been in 2011, 2012 that she was working on that. And I love the idea of what Cardus is about because it's not trying to say, Hey, we want to privilege this over this, over this. It's like, Hey, no, all education is for this common good and it's all public and let's do this work. And so at the Baylor Center for School Leadership, that's what we want to do. We want to support Christians in whatever work and whatever schools they're called to. So Cardus has been a huge blessing in our work, and it's one of the places where our work's been able to overlap. And so in this last year, we were able to do the data collection for the 2023 Cardus education survey for the U.S. So talk a little bit about the way we collect that data. Getting that nationally representative sample of 24 to 39 year olds is hard, it's expensive and it's not done very often. So can you dig into a little bit of how we collect this data and how Cardus is doing it since 2011, but how we did particularly in 2023? Dr. Lynn Swaner: Sure. And I'd love for you to chime into obviously Jon as a card senior fellow and as a co-author on the report. If you want to provide any additional flavoring to anything I'm saying, feel free to. But I think most particularly practitioners, and if you've done doctoral research, the type of research that you're used to is certainly collecting data on graduates through alumni surveys and things like that. And we also have anecdotal data, right? So graduates will come back and say, "Hey, this is the impact that this teacher had on me," et cetera. And from these and other places, I think most educators know that they make a difference in the lives of students, but we don't always know in a really rigorous way what difference certain types of schools make, let alone what is the impact of a whole sector. And that leads to all different kinds of questions like are we delivering on our promises in our mission statements, [inaudible 00:04:18] of a graduate, et cetera. So that's where the CES comes in. And it is quite different to the types of research that most practitioners will be aware of. And so there's essentially three different ways that I can differentiate the CES, the versus as you mentioned in the sample. So we survey over 2300 graduates in that age 24, 39-year-old bracket, it looks at the five largest educational sectors in the U.S. So those are traditional public schools, Protestant Christian, Catholic, non-religious independent schools and homeschooling. And so that enables us to kind of compare in a healthy way, not in a competitive way, but a healthy way, how graduates from a specific sector are faring. And the way that we do this is we use a leading polling firm in the United States. So we use Ipsos Public Affairs KnowledgePanel, and then from that they generate a nationally representative sample. And so most of the time practitioners will be more familiar with convenient samples, so for example, the alumni that they have emails for or the people who respond, this is very different where we're starting with that polling panel where actually it is already nationally representative and we can weigh things and make sure that it is. That's the first difference. The second is really looking at holistic outcomes. So when we administer the CES, we're asking questions about academic, spiritual, cultural, civic, relational, we even have mental health and well-being in 2023. So we're not just asking, did you go to college? Although we do ask those questions. It's really looking at more of those flourishing outcomes. And probably one of the strongest things that the CES does is we use rigorous controls, which is a fancy research term. So we actually screen out methodologically and statistically the impact of family background characteristics. So that's things like socioeconomic status, education level parents, religiosity of your family, that kind of stuff so that no two graduates are ever identical. But let's say you and I were very, very similar in our backgrounds. And then you multiply that over hundreds of people, we're able to estimate, well, we've got these people who are essentially the same in these major pieces. So any difference that we observe in their life outcomes, we can estimate that we can actually attribute that to the type of school that they went to. So again, nobody's exactly the same, but because we use those rigorous controls, we can actually start to estimate the difference of the specific type of school that they attended. That's just a little background on the CES and the power that it brings to these questions. Jon: Yeah, that's super helpful. And the charts that you see in the report will always have two bars. One that's the raw score and then one that estimates the school effect. And of course, we can't control for every variable, but we control for a lot of them to try to get a better handle. So you'll see those and we try to be as transparent as we can. Again, with any good research, that's what you want to do. Another thing, when we started timeout doing this iteration, I remember talking to you in Ottawa about this. We really wanted to get a sense of how schools have shifted since COVID, because that was this seismic shift and we realized that to collect those data was going to be insurmountably expensive and too hard to do. So we opted for this, which I actually like what we finally landed on this I think is great. These graduates, the 24 to 39 year olds in this sample, the youngest graduates would've finished in 2018. So I feel like we've got this really interesting baseline of what we launched into when COVID created this unbelievably tragic in many ways, but natural experiment when all education shifted because that created a seismic shift like we haven't seen in education ever. And so now we have this data that says, Hey, these are the 24 to 39 year olds that graduated from these places. And so I think the key is to see some of the major findings that came out in this iteration, because I think then future CES surveys will capture some of the shifts that happened in graduates post-2018 when 2020 hit. So can you just lay out three or four of the major findings? Obviously the report is quite long, so if you want to dig into all the different outcomes about civic life, family life, religiosity, faith, mental health, I love the mental health items that we added. What would you say the three or four main findings that people would be most interested in from this iteration of the CES? Dr. Lynn Swaner: Yeah, so obviously I'll speak specifically to the Christian school sector. In the actual report, we provide a summary of findings for each sector, so for Catholic schools, for Protestant Christian schools, homeschooling, etc. So I'll focus here specifically on Christian schools. And so there's essentially three large sort of theme, thematic findings, if you will. One is really good news in terms of consistency. One is some good changes. And then one is an area that as we've talked with school leaders about this, that they really want to be thinking more deeply about and focus on for growth and improvement. So the first key finding is consistency in faith formation. So as you mentioned, we've done this survey now four times in the U.S. and each since 2011, and in each iteration, Christian schools stand out most distinctly in their ability to foster faith formation. So when we look at things like religious engagement in terms of going to church, regular practices such as prayer, Bible reading, when we look at spiritual vibrancy, so like saying that their schools prepared them for a vibrant spiritual life or they have a higher sense of regularly experiencing God's presence compared to all the other formal schooling sectors, Christian schools stand out the most in terms of their graduates report that at much higher levels. And we even see beyond personal faith that graduates are seemingly living out those values in a couple of ways specifically. So for example, they participate in charitable giving and volunteerism at much higher levels than graduates of other formal schooling sectors. So that's really good news. Again, we've seen that consistently, and I think it makes sense, right? If you have schools, some estimates like 13 to 15,000 hours spent in a school in a formal schooling context, right? And if one of the stated outcomes is these types of spiritual formation outcomes, then we would hope to see that in the data. And in fact, we do. And again, remember this is after estimating school effect, right? So this is not the influence of family, although of course we know families influence this and churches, et cetera. This is saying we take two students that look the same in terms of background, we're going to notice this benefit, this boost. So that's consistent finding number one. The next- Jon: Hey, can I jump in there real quick, Lynn? Dr. Lynn Swaner: Yeah, please. Jon: So on that, just to make sure, because you're not able to see the charts because it's a podcast, we will try to link this to the podcast so you can look at the report. And Lynn's done a great blog summary of this too. So we will post that as well. What she means by that is, so for example on how often, if at all, do you pray to God or some higher power, 37% of public school students, there are baselines. So when you look at the report, don't think the public school people are left out, they are the baseline. Everything's being compared against the public school because that was the largest population that we look at. 24% more Protestant Christian school graduates pray to God or a higher power regularly, just the raw score. When you adjust for all the other demographics that feed into that graduate, that drops to 14%, that's still significant at the 0.01 level. So that means with 99% certainty, that's not random. And so that's what she means when she says, Hey, even controlling for school effects. So we try to focus in on those things that are significant even when you control for demographic backgrounds, because it would make sense. Well, if you grow up in a family where that's typical and that's normal and you have all these things, then maybe that's all that it is. And the school doesn't have any effect. That doesn't appear to be the case on an item like that. So thanks for setting up and let me interject there into the wonky details that people can't see. Dr. Lynn Swaner: No, that's really, really helpful. Trying to paint a word picture here, but just a plug for folks to access the report. One of the really great things about these graphics, which are some of the best I think we've ever done, is you can actually, on the online report, you can just simply click and download any of these figures. So if you want to pop it into... They're publicly and freely available. But yeah, thanks for flushing that out, Jon. So that's the consistency piece we've seen. Key finding number two is rising academic outcomes. So people who've been in Christian education for a while will remember the 2011 CES. I certainly remember when that came out because I was in a Christian school at the time. And at that time, Christian school graduates were reporting lower levels than their public school peers when it came to college attainment, when it came to feeling prepared for academics post-secondary school. And what we see in the 2023 data is that that has significantly improved. So now Christian school graduates are trending at the same levels when they report as their public school peers earning bachelor's degrees, how well-prepared they feel for college, et cetera. And I think, Jon, I'd be curious to hear your take on this, but this to me reflects what many Christian school leaders have shared with me anecdotally and what I have seen in the field. That over the past decade or so, schools have worked to increase academic rigor, right? So I think this is something that as I'm sharing this with school leaders, that seems to really ring true with them. That it used to be years ago sort of the sense of, well, we really, really care about the spiritual outcomes. We're not as concerned about academic. And there's been a rethinking of that to say, well, actually, if we're going to be a school, then we need to do academics really, really well, both... Because of our spiritual mission. Because we want to be excellent to honor the name of Christ, and also because we want students to be well-prepared for whatever good works. Think about Ephesians 2:10 that God has prepared for them. So Jon, I'm assuming you've seen some of that as well, but I think this is worth celebrating. There's still more work to do, right? We don't want to settle for, okay, Christian schools are at par with public schools. There's still more to do, but I think this is something worth celebrating. Jon: Well, I agree, and I think there's been this shift even in the last few years where there's some skepticism about college as the ideal outcome for kids because of the sense that some colleges skew worldview in these ways that may not be in keeping with the belief system that a more conservative family might have. And so the way this question is worded I think is well set up. And again, we took this from previous surveys, so it's not like Lynn and I are sitting here complimenting our structure of our question here. But it's how well did your high school prepare you for academic success in post-secondary education or training? So it's this kind of wide open, Hey, do you feel prepared? 31% of public school students said, yeah, they were. Even when controlling for the family effect and the other socioeconomic effects, Protestant Christian schools are 22% higher than that, so that's 53%, over half of them felt that way. Now, unless we think we're getting everything right, Catholic schools are at 59% and non-religious independent schools are at 64%. So we still have room to continue growing in that. I think that's one that, again, its perception is somewhat reality here. If you don't feel like you're prepared for post-secondary success, then you probably aren't. And at 24 to 39, you have evidence that says, yeah, I wasn't really well-prepared. And so I do feel like given the previous iterations of CES, I think Protestant schools have made some big gains there. And I think that's super encouraging. And I hope that coming out of COVID, that that momentum can continue. Because I think for many schools that was a moment to say, Hey, look, this is a really good place to try to meet needs for specific learners that help them be prepared for life, not just for economic outcomes, but for outcomes more broadly. Dr. Lynn Swaner: Yeah. I think too, just to go meta for a minute, I think it's also really encouraging... I'm encouraged by this, that if a whole sector or let's say a large number of schools within a sector say, Hey, this is something we're going to improve on, we're going to be intentional about, we actually have evidence that it can make a difference, and that should be obvious. But I think when you get into the nitty-gritty of leading a school, of teaching in a school day in and day out, that can be hard to remember. And so I hope that schools, educators, leaders find this encouraging that when we focus on something... And the other interesting piece here which we don't have to go into in depth, is that I think a decade or two ago, there was this perception maybe that if we focus on the academic, it would be at the detriment of spiritual formation. And we're not seeing that. So it's not like all of a sudden there's been this precipitous drop and spiritual formation with academic outcomes skyrocketing. That's not what's happening. And so I think that's just really kind of a validation of the work that schools have been doing and still need to do, but I just want to kind of point that out. Jon: Well, and to quickly add to that, if you look at the highest level of school completed, this is the broader perception of preparation for post-secondary. When you control for the sector, Protestant schools are almost identical to public schools on bachelor's degree or higher, a 0.01 higher in that. So it's not that we necessarily have more students going on to bachelor's degrees or higher in Protestant Christian schools, it's that they feel more prepared for whatever it is they're heading into, whatever that might be. And so I think that is an encouragement that academics, you don't look at academics as one subset that hurts the others. As Christians, we should be doing everything excellent ways. And so I like the robust way that the Cardus survey, especially this year, tries to look at that. Dr. Lynn Swaner: Yeah. So we'll move on to the final... And again, encourage everyone to download the report, lasts to be seen and to understand. But the final thing that stands out and that really is resonating as we speak with schools and leaders and teachers, is sort of this broad category of shortfalls in belonging and peer relationships. So the first thing is in terms of overall mental health and well-being, graduate of Christian schools report similar levels in terms of depression, anxiety as peers and other sectors. So that I guess is good news in the sense that they're not necessarily more anxious or struggling with well-being than other sectors. It's important to just mention that graduates of homeschooling are the only sector that experienced lower rates in that. So that's really interesting. That's a conversation for another day. But that's the first thing. But what we did observe is that... And this is slight, it's not extreme, so we can pull the numbers and they're not hugely significant, but it still, we can see this is that graduates of Christian schools seem to have a lower sense of belonging. So saying they felt that they belonged when they were in their schools and also slightly weaker peer relationships. And this all compared to their public school counterparts. So again, you mentioned the public school being the baseline. So we're not even talking about non-religious independent Catholic schools. We're just talking about the public school comparison. And what's really interesting is that even though they had this sense, lower sense of belonging, they still felt like their schools were really close-knit communities. And that's a bit of a paradox, I guess you could say. Their schools were really, really close-knit, but they didn't feel they belonged at the same rate as public school graduates and other graduates of other sectors. So I think this is... There's a lot of speculation. Obviously the data doesn't explain why this is the case. And as I've talked with school leaders, as you've talked with leaders trying to give some thoughts around this, some interesting things are coming up, which is it's very easy to look to the external environment for answers. So if you look at 24 to 39-year-olds right now, we know that a significant tranche of that group would've been impacted during high school by smartphones, social media, even some declining enrollment in private schools, right? So immediately we're going to... Cyberbullying, we turn to those kinds of things. And that's absolutely true, and there's no doubt that those things had an impact. But where the question is, is why didn't we see the same dip in the other sectors, right? Because arguably, Catholic school enrollments were dropping at the same time. Independent school enrollments, everybody's got smartphones. So I think there's something unique to the Christian school environment that we need to ask the question, what happened there? What's going on? And again, anecdotally, just as I saw over the last 10 plus years, an emphasis on improving academics, I think we've started in Christian schools to really be thinking about how do we build communities where there's a sense of belonging, right? Where we have people from different backgrounds, where we are working on bullying, we're working on these things. And it'll be interesting to track this into future years, but there's a lot of discussion about this and why this could be, how we can do this better. Jon: Yeah, I think this is a great example of where the CES is super helpful because Protestant schools and public schools are not statistically significantly different. About half the kids feel like they belong, about half don't. So we had about half say, agree or strongly agree in both public schools and Protestant schools. But what I'm fascinated by is the non-religious independent schools. Even when controlling for school effect, they are significantly by 21%, 18% different where you have 68, 70% of their kids feeling they belong. And when you lean into stereotypes about secular independent schools, it's like, oh, well, those are going to be clicky, they're elitist, and they're all these things, but based on these data, they feel like they belong and they have stronger relationships with students at their schools. So I mean, I think that's something to dig into. And Catholic schools are similar. They don't have quite the same effect, but Catholic schools are significantly higher on belonging and on the relationships with students in schools. And so again, if all education is public education, then we should be learning from each other, from our areas of relative strength. And so I think that's a super helpful finding, even though it may be a little bit hard to look at because we want to make sure each kid belongs at our school and half of them saying they don't feel they belong. That's a punch in the gut to educators, but we've got to look into it and we've got to find ways to do that better. And I think, my hope is that it's 2020 on all schools have gotten more thoughtful about that, and I hope Protestant Christian schools have been leading the way in that. And I hope we see that in future iterations of the CES. But are you optimistic about that, Lynn? Dr. Lynn Swaner: I am, and I think I would go back to what I said. One of the most encouraging things about the findings for me has been one, as a sector or a large number of schools in the sector say, Hey, we're going to focus on improving this. We see the results. And so I think certainly in all the marketing materials I've ever seen for every Christian school... I know Christian school is saying, we have a sort of unfriendly community or environment, and kids aren't going to... Usually it's the opposite where Christian schools are saying, we're a family, we're so close-knit. And I think the findings here suggest and encourage us to not just assume that that is happening. Just because we say that we're a close-knit community, that kids are loved and feel like they belong, just because we say that, doesn't mean automatically that that is happening. And so we just need to lean into that, and that's going to look different on every campus, right? I certainly am hopeful about some of the changing approaches to technology in schools that are more thoughtful, more intentional than I think reactional... Reactionary, I should say. So I think a lot of schools are thinking about, Hey, if we let kids have cell phones... I just heard about school the other day that lets the students have cell phones in passing periods. Well, okay, they have their cell phone in passing periods, but then they're not of looking up and talking with people, whereas other schools will say, you can't have them. We're going to lock them away for the full day. And then you have students who are like, I got to talk to people in the hall. So I just think schools are being more intentional about this. And I guess my encouragement would be to lean in that even more deeply and understand what this looks like at your school, what are some of the pressure points for students, ask your graduates and your alumni. And I think it's just a really good way for us to say, Hey, let's continue leaning into what we say about ourselves and also what we want to be. Jon: Yeah. I'm so encouraged hearing about all the loud cafeterias that are coming back. I think that's a blessing. And so that's an encouragement. So we're going to do a quick lightning round here, and I'm going to frame these, and you can answer them as succinctly as you can. But if you were to say, Hey, here is the worst piece of advice that you could take from the CES. If you were to say somebody were to look at this and say, Hey, you should take this finding from the CES, and this would be... What would be a misapplication of the CES? And then on the other side, what would be the best application of something coming out of the CES? Dr. Lynn Swaner: Yeah, that's an interesting one. I think a misapplication of the CES would be to make a declarative statement and say, if you want your child to be this way, you should send them to this type of school. I think that would be a mistake. Because there's a lot of nuance that the CES doesn't... At least if you read it doesn't capture it certainly. And so that would be sort of the negative mistake. How do I think it... And what was the other question? What would be the one thing I would want the- Jon: Best takeaway from the CES. Dr. Lynn Swaner: The best takeaway would be that not that different schools have different kinds of outcomes, and they're rich and diverse and holistic. And so each one of the sectors that we looked at has really, really positive things about it, including public schools and has some things that they need to work on. And so I think that the best takeaway would be to not write off any of schools and to also not say this is the only way to do it. But rather to look at the data to understand, hey, if you're a parent, to say these are our values as a family, these are the things that we want. And we see there's a couple sectors that do these things really well. There's a couple that maybe we wouldn't be interested in that and to make a really informed decision based on that. So I think that would be number one if you were families. And the second thing I would say is just for people who are involved in policymaking, people who are like lawmakers, advocates, is this is not a zero-sum game. There are millions of children in this country, and the vast majority, some, I think around 80% are in public school settings, about 20% are not, which that's not an insignificant number. That's one in five kids. And all of these schools are public education. All of these schools are training people and hopefully creating productive human beings and flourishing human beings and et cetera. And so when we look at how to set up our educational system, there really is... I think about our colleague, Ashley Berner at Jons Hopkins, who's also a senior fellow at Cardus. The subtitle one of her books, the title of her book is No One Way to School. There is no one way to school, and not every school is right for every kid, every year. And so if we have a robust educational system that allows families to make choices that fit their children and fit their needs and the types of things that they want to see for their kids, that is not only the most just system, but also the CES provides evidence that all kids can flourish. Jon: And that's the goal, each kid flourishing. So I always have to ask, what's your favorite book or one of your... I know you read a lot. One of your favorite books you've read in the last year? Dr. Lynn Swaner: Yeah, that's a really tough question. Jon: I know. I know- Dr. Lynn Swaner: Yeah, I'm going to have to say two. One of which is a little bit more academic, and another one which is a little more accessible. So the first would be Work and Worship. So that's actually by Matthew Kaemingk and Cory Wilson. So Matt Kaemingk is out at Fuller. And it really looks at how... We were just having this conversation about Christian schools, right? So bifurcating, academics and spiritual formation. And we do that a lot with our work, right? Maybe a little bit less in Christian school settings, but really taking a look at how we bring our work as an offering of worship and how we worship through our work. And I was not raised in a liturgical background. Getting to know the beauty of liturgy more now as an adult and as I continue on in my faith, and just to be able to look through this book and see different prayers and liturgies for work has been really, really encouraging. So it's the first one. And the second one is The Sin of Certainty. Subtitles, Why God Desires Our Trust More Than Our "Correct" Beliefs. So this is by Peter Enns, who's actually out of Eastern University near where I live. And what I really like about this book is I think I can't really diagnose this or talk about this briefly in a podcast. In fact, I'm working on a book that looks at this in depth. But God calls us to love him with all of our heart, our mind, soul strength, and love your neighbor as yourself, right? And I think it's easy for schools, it's easy for educators to focus on one of those. It's easy as disciples to focus on one, but that's really not, we're called for this sort of total discipleship. And I think a lot of times, there's been a lot of wonderful things through the emphasis on biblical worldview that we've had in Christian schools. But oftentimes that can morph into, Hey, let's have the correct beliefs, right? Let's get everybody to think rightly about these issues, about what's going on society, etc. And so much of our faith is not just thinking correctly, it's also learning to trust in God and not having the answers, right? And having complicated situations, right? Artificial intelligence, very complicated, right? So how are we going to get the correct belief around that? So this book has been really, really helpful to be thinking about how really people over millennia, literally millennia, have trusted God without always having all the answers in front of them. Jon: That's good. All right, last question. Looking ahead, after we clicked this data, which is kind of backward looking, what was your experience like in schools? And then we do all this work with schools in the present, and then we get to look ahead. What makes you most hopeful about what you see in the future for education that's for the common good? Dr. Lynn Swaner: Yeah. So what makes me most hopeful, I've been spending a lot of time... In fact, I just got back from the International School Choice and Reform Conference presenting there on this data. And what makes me really hopeful is that there's a renewed interest in education by parents, by people who never saw themselves as educational entrepreneurs or edupreneurs as the topic is or as the title may be. So I think there's just a plethora of new types of school options coming on board. So hybrid micro-school, co-ops, all kinds of things that are growing and they're really, really exciting. It's a little bit of the wild west in some ways, but I am excited to see people excited about the possibilities for education as opposed to we're locked into choices that were made 100 plus years ago, and we're just sort of trying to live with the consequences. So I'm excited about the innovation and the diversity that I'm seeing in educational types and models. I think that's going to grow over the coming years. I think as we have more funding available at the state level, I think we'll see parents taking advantage of that. And I'm excited to see what's going to happen. I like change in general. I'm not a person who doesn't change, but I think we're due for a bit of a transformation of our educational system where we end up putting students at the center instead of systems and structures and sort of the way that we've always done things. Jon: That's great. Well, Lynn, really appreciate your time and the work that you do at Cardus and the Cardus education survey. Again, the great thing about Cardus is we're looking to support each kid in the way that they are made so they can become more of who they're created to be. So we don't like to get in the weeds on policy issues and how you should structure vouchers and are these bad. I mean, Texas, we're in the middle of voucher wars and at the end of the day, everybody in Texas wants to make sure each kid is educated well, and families have to be involved in those decisions. And are. I mean, we've made choices with where we live and where we go for years. And so school choice is not a new idea. And I think we need voices like Cardus there saying, Hey, look, this is what graduates are saying about these educa... And we put it out there transparently and we spend the money to get a nationally representative sample so that we try our best to give a accurate picture. So grateful for your work, always grateful for your work at Cardus, and thanks for your time.  

What is the outcome of a good funeral?

EPISODE 169 | Guest: Alejandra Ramirez,  founder of Ready Cultures Many organizations mistake communications tactics for a cohesive strategy. They focus on pushing out messages without a clear vision of the behavior they want to influence or the business objectives they aim to achieve. This approach often leads to disconnected efforts, confused employees and a failure to build a strong, unified corporate culture. We explore how to move beyond simple message delivery to create a truly strategic internal communications process. Get insight into frameworks and philosophies that turn communication from a reactive tool into a proactive, culture-shaping force and critical driver of your bottom line. And learn how to ensure your communications are designed to elicit specific, measurable actions that move your entire organization forward. • Discover the crucial difference between communication tactics and strategy.  • Understand how communication drives employee behavior, belonging and alignment with company goals. • Learn the 3H framework (Head, Heart, Hands) to make messages more meaningful and actionable. • Explore how to align leadership behavior and incentives with your communication strategy.  • Get a framework for communicating complex news with clarity and purpose.   See the full transcript HERE Get more communications advice with our Free Digital Signage Communications Planning Guide HERE

Host: Brian P. McDonough, MD, FAAFP Guest: Hugh S. Taylor, MD Endometriosis care is often delayed due to diagnostic and treatment access challenges—but early recognition and proactive strategies can change that. In this expert-led discussion, Dr. Brian McDonough sits down with Dr. Hugh Taylor to explore how we can clinically diagnose endometriosis without relying on surgery, streamline prior authorizations, and guide patients toward affordable treatment options while empowering patients through advocacy and education. Dr. Taylor is the Anita O'Keeffe Young Professor and Chair of Obstetrics, Gynecology, and Reproductive Sciences at Yale School of Medicine.

What topic would you like us to cover next?Let's be honest, the PR world still loves a good-looking coverage book. A glossy spread in the national press, a namecheck in a podcast, a flurry of social mentions. It feels like success. But what's it actually doing for the business? Not much, in most cases. For too long, we've let vanity metrics run the show – chasing likes, impressions and clippings instead of asking the tough questions: Did it shift perception? Did it drive action? Did it move the bloody needle?That's why Stuart Bruce is worth listening to. He's not peddling the latest buzzword or flogging a new AI subscription. He's a PR Futurist who actually gets it. Someone who helps senior comms leaders cut through the noise, sidestep the hype, and use technology to do better work, not just faster work. He's advised more than 400 organisations across the globe, and he's still banging the drum for strategy, substance and measurement that matters. His latest take? The new Barcelona Principles 4.0, and why the way we measure communications is finally getting smarter.Here's what stood out from our chat:• Set clear objectives upfront. If you don't know what success looks like, how can you measure it? • The new Barcelona Principles 4.0 focus on learning and iteration, not chasing perfection. • Shift your attention from outputs like media hits to outcomes that drive real business impact. • AI tools like Copilot and Gemini can save you hours each week. But only if your team knows how to use them. • Buying AI without training? That's the "AI adoption illusion". We hate it. • “Generative AI optimisation” is the next battleground. It's how you shape what AI says about your brand. • Trade publications might now outrank national press in AI-driven search. Yes, seriously. • Misinformation and AI-generated video are your new crisis comms nightmares. • Authentic content and human interaction are back in fashion. Thank goodness.If you want to measure what matters, ditch the ego metrics and start with the AMEC framework: amecorg.com Is your marketing strategy ready for 2025? Book a free 15-min discovery call with Chris to get tailored insights to boost your brand's growth.

In this episode, Claudia Douglass, Principal and Healthcare Industry Growth Leader at Grant Thornton, and Deirdre Dillehunt, Principal at Grant Thornton, discuss how health systems are navigating today's financial pressures. They share strategies to build margin resiliency, strengthen operations, and improve care quality, access and experience while preparing leadership teams for sustainable transformation.This episode is sponsored by Grant Thornton.

"The way we start looking at every unit of work in a workflow flips from being something that's truly human-led to something that can be increasingly human-reviewed and driven, but not necessarily initiated as a human." Nick Heinzmann, Head of Research at Zip The pressure for procurement to do more with less means innovation is no longer optional… It's necessary for survival and growth.  The game changer? Agentic AI: artificial intelligence capable of perceiving, analyzing, and taking action, all with minimal supervision. In this Art of Procurement podcast episode, Philip Ideson interviews Nick Heinzmann, Head of Research at Zip, to dive deep into real-world applications and opportunities that Agentic AI holds for procurement.  Nick demystifies this powerful technology, showcasing practical ways it is already being used to automate workflows, solve procurement headaches, and address age-old data challenges. In this episode, Nick covers: How to identify workflows ideally suited to AI-driven automation Understanding what Agentic AI is (and isn't) Procurement use cases where Agentic AI adds immediate value How to overcome traditional roadblocks like data quality concerns Links: Nick Heinzmann on LinkedIn Unleashing the Power of Generative AI in Procurement Subscribe to This Week in Procurement Subscribe to Art of Procurement on YouTube

In this new episode of Speaking of SurgOnc, Dr. Rick Greene discusses with Dr. Pedro Dos Santos the results of a study that examined whether patients of the lowest income quartile with stage IA NSCLC experience worse survival after resection when compared to higher-income patients, as well as other identified survival disparities, as reported in as reported in the article article, "Money Matters: The Effect of Income on Postsurgical Outcomes in Stage IA Non-small Cell Lung Cancer.”

Recent polling shows Gen Z parents are reading less to their kids than any other generation prior. Deana Thayer, author and parenting coach, joins us to discuss the superpowers of reading to kids of all ages, including improvements in literacy, vocabulary, empathy, comprehension, resilience, and so much more!

Mark Dubowitz, CEO of FDD, joins the show to bring us up to speed on the Israel-Iran conflict, and the possibility of America's intervention. ▪️ Times      •      01:00 Achievements     •      05:00 Retaliation       •      09:00 Hard math       •      16:00 Intervention     •      24:00 Outcomes           •      30:00 Ground operations     •      32:00 Another Iraq?           •      38:00 Resolve and stability      •      42:00 “Iraq Syndrome”          Follow along on Instagram, X @schoolofwarpod, and YouTube @SchoolofWarPodcast Find a transcript of today's episode on our School of War Substack

We're obsessed with outcomes but rarely talk about the engine that creates them: consistent, tracked actions.  This transformative episode challenges the magical thinking around results. Every meaningful change, from fitness transformations to business growth to cultural shifts, follows the same fundamental principle.  Results aren't random; they're mathematical.  The episode explores how this principle applies across domains: business leaders tracking client conversations rather than just hoping for growth; cultural transformation requiring observable behavior changes; health improvements demanding sustainable daily practices. We examine how the "repeatable" aspect is often overlooked, causing initially successful changes to fail when they prove unsustainable. Most importantly, we discuss how to ensure your aspirations align with the level of reps you're willing to perform - Olympic medals require Olympic-level inputs.  Ready to transform wishful thinking into predictable results?  Tune in!    Text Me Your Thoughts and IdeasSupport the showBrought to you by Angela Shurina Behavior-First Change Leadership & Culture Transformation ConsultantEXECUTIVE & OPTIMAL PERFORMANCE COACH

Public dollars. Private schools. Political firestorms. In this episode, Kevin talks with long-time school choice advocate John Schilling about what happens when education funding follows the student instead of the system. They dig into the proposed federal scholarship tax credit: what it is, who it helps, and why supporters say it's about opportunity—not ideology. Opponents fear it's the beginning of the end for public schools. Advocates say it's already helping students, especially those in underserved communities. From Florida's model programs to Washington's sharp divisions, this conversation reveals how political will, policy design, and real family needs are shaping the future of school choice. If education is supposed to be about students, then maybe the money should be too. This might be what you want to know. What You'll Learn 01:30 – Why John Got Into School Choice 04:30 – State Politics vs. Federal Legislation 07:30 – What Is a Federal Tax Credit for Education? 09:00 – Florida as a School Choice Success Story 10:30 – How Federal Credits Could Expand Access Nationwide 12:00 – Will This Hurt or Help Public Schools? 15:00 – Research on Outcomes for Scholarship Students 16:30 – Can We Take the Politics Out of Education? 19:30 – What's Next for the Legislation? Go Deeper with John Schilling

Tom welcomes back John Lee for a discussion on the concerning trends of global control and manipulation by powerful entities across finance, media, and technology. Lee highlights tactics like facial recognition and digital wallets that threaten privacy and autonomy. He warns of a potential biometric system that could blacklist individuals, emphasizing the need for proactive measures. To protect oneself, Lee suggests diversifying assets, particularly investing in gold and silver as reliable stores of value, and establishing alternative living arrangements globally to avoid dependency on any single system. He also stresses the importance of gaining new experiences over mere wealth accumulation, advocating for personal growth and memorable experiences as true sources of wealth. Lee remains optimistic that collective consciousness will drive a breakthrough, leading to positive change after sufficient negative experiences. Timestamps:00:00:00 - Introduction00:00:37 - Geopolitics & Markets00:02:02 - Silver Markets & Miners00:03:18 - Silver's Recent Moves00:06:25 - Apathy & Sentiment00:10:14 - Tariffs & Debt Markets00:14:53 - Fed Rates & Data Reliance?00:18:43 - Trade War Outlook?00:22:37 - Bigger Powers & Proxies00:27:16 - Commodities Prices & Gov't00:31:17 - Outcomes & Predictions00:35:33 - Head Warnings Buy Gold?00:41:48 - Wrap Up Guest Links:x: https://x.com/johnlee25893955Website: https://www.silverelef.comLinkedIn: https://www.linkedin.com/in/john-lee-baa93422/ John Lee, CFA, is CEO and President of Silver Elephant Mining. Mr. Lee specializes in mining M&A and has raised over $150 million through the TSX and TSX Venture Exchange for junior companies since 2009. Lee identified, negotiated and financed Lynn Lake nickel acquisition in 2009, Ulaan Ovoo coal in 2010, Wellgreen nickel-pgm in 2011, Shakespeare nickel-pgm in 2012, Pulacayo silver in 2015, Gibellini vanadium in 2017, Bisoni vanadium in 2020, and Minago nickel-pgm in 2021. Mr. Lee is a CFA charterholder and graduated from Rice University with bachelor's degrees in Economics and in Engineering (honor).

Should America get involved in Israel's war with Iran? Will it get involved? Charlie gives a blow by blow of the weekend and walks through some different outcomes with different levels of involvement. Rabbi Pesach Wiliki explains Israel's war goals and what his sources say about the state of play. Watch every episode ad-free on members.charliekirk.com! Get new merch at charliekirkstore.com!Support the show: http://www.charliekirk.com/supportSee omnystudio.com/listener for privacy information.

Episode 155: Will Klon WIN? Possible Outcomes of Behringer v. Klon LLC Lawsuit Welcome to the Chairmen of the Boards Podcast! The ultimate pedalboard podcast with the foremost rig builders in the world: Grant Klassen (Goodwood Audio), Brian Omilion (Omilion Audio), and Mason Marangella (Vertex Effects/The Rig Doctor). We've teamed up to democratize great tone and provide you with our best tricks, tips, resources and hacks so you can build the pedalboard of your dreams!   //SPONSORS// The Guitar Sanctuary - https://theguitarsanctuary.com Neural DSP - https://www.neuraldsp.com (use discount code "chairmen" for 30% off) Best-Tronics - https://btpa.com (use code "dachairs" for 10% off) GB Music & Sound - https://www.gbmusicandsound.com/?ref=Chairmen   //HOSTS// Grant Klassen (Goodwood Audio) YT - ‪@GoodwoodAudio‬ IG - https://instagram.com/goodwoodaudio   Brian Omilion (Omilion Audio) YT - ‪@omilionaudio‬ IG - https://instagram.com/omilionaudio   Mason Marangella (Vertex Effects) YT - ‪@VertexEffectsInc‬ IG - https://instagram.com/vertexeffects   //YOUTUBE// Watch COTB Podcast live: @chairmenoftheboards

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Sarah Isgur and David French break down the legal merits of the Trump administration's mobilization of the National Guard and the latest opinions from the liberal side of the Supreme Court. The Agenda:—Federalization of National Guard troops—Liberal justices, conservative outcomes—AI's bad legal analysis—Reverse employment discrimination—Suing gun manufacturers—Catholic charities—Class-action lawsuit and kiosks Show Notes:—Mitch Landrieu on The Dispatch Podcast Advisory Opinions is a production of The Dispatch, a digital media company covering politics, policy, and culture from a non-partisan, conservative perspective. To access all of The Dispatch's offerings, ⁠⁠⁠⁠⁠⁠⁠⁠⁠click here⁠⁠⁠⁠⁠⁠⁠⁠⁠. Learn more about your ad choices. Visit megaphone.fm/adchoices