Podcasts about outcomes

What role does thyroid artery embolization play in contemporary thyroid cancer care? Dr. Juan Camacho, an interventional radiologist from Sarasota, Florida, joins host Dr. Sabeen Dhand to discuss how this emerging technique is reshaping the management of thyroid malignancies. --- SYNPOSIS Dr. Camacho shares his experiences establishing a multidisciplinary team at Memorial Sloan Kettering Cancer Center dedicated to the management of thyroid malignancies, highlighting the critical role of collaboration in the successful implementation of this emerging treatment. He details key procedural techniques, emphasizing the importance of recognizing anatomic variations that can influence technical success. He also examines how arterial supply and lesion location inform procedural planning and decision-making, and outlines his technical approach to thyroid artery embolization, including the use of a radial artery access, catheter selection strategies, and the application of cone-beam CT for procedural optimization. Finally, he reviews his pre- and post-procedural management strategies, including the role of beta blockers in optimizing patient outcomes. The discussion concludes with illustrative case studies demonstrating substantial reductions in thyroid volume and symptomatic relief, notably achieved without post-procedural hypothyroidism. --- TIMESTAMPS 00:00 - Introduction03:31 - Pioneering Thyroid Ablation at Sloan Kettering06:53 - The Need for Thyroid Artery Embolization25:08 - Pre-Procedural Planning32:41 - Embolization Technique and Procedure44:48 - Choosing the Right Catheter for the Job45:43 - Ensuring Patient Comfort and Safety47:09 - High-Stakes Imaging and Safety Protocols47:55 - Innovative Techniques and Case Studies51:02 - Post-Procedure Management and Follow-Up56:30 - Engaging with Endocrinology and Surgeons01:00:00 - Case Studies and Practical Applications

Why most enterprise AI fails — and how Cat Valverde's 4-week adoption framework shows that the fix is just 15 minutes a week.Most enterprises are stuck in AI pilot purgatory — running endless experiments that never scale. In this episode of Unchurned, Josh Schachter sits down with Cat Valverde, founder of Enterprise AI Group, to break down what's really blocking enterprise adoption.Cat shares her research-backed 15-Minute Rule, a simple 4-week framework that's doubled or tripled adoption rates — all by making AI implementation human-centered instead of tool-centered.If you're a leader trying to take AI from pilot to production, this is your playbook.What You'll Learn- Why most enterprise AI initiatives fail to scale past pilot stage- How to reduce adoption friction and create lasting behavior change- The psychological levers that improve user buy-in and learning retention- How to structure a simple 4-week rollout for any AI tool or workflow- What metrics actually matter when evaluating AI adoption successTimestamps: 0:00 – Preview & Intro1:02 – Meet Kat Valverde 1:42 – What buyers and sellers say in enterprise AI roundtables3:11 – The challenge of internal adoption 6:20 – The 15-Minute Rule; a 4-week micro-adoption framework11:45 – The psychology behind AI adoption12:18 – 2–3× adoption rates and major cost savings14:45 – Closing thoughtsKey Takeaways- Pilot fatigue is real — the biggest blocker to enterprise AI adoption isn't money, it's time and cognitive load.- The true KPI: internal adoption, not just model accuracy or ROI.- Fear ≠ just job loss. It's the fear of asking “dumb” questions or not keeping up with peers.- The 15-Minute Rule: a 4-week program built on psychology that uses micro-commitments to build momentum.- Outcomes: 2–3× higher adoption and ~50% training-cost reduction per user.---Check out the Key Takeaways & Transcripts: ⁠https://www.gainsight.com/presents/series/unchurned/⁠---Where to Find Cat:LinkedIn: ⁠https://www.linkedin.com/in/catvalverde/Enterprise AI Group: https://www.eais.io/Where to Find Josh: LinkedIn: ⁠https://www.linkedin.com/in/jschachter/⁠---Resources: The Power of Habit: https://www.charlesduhigg.com/the-power-of-habit

Send us a textWe all like to see the results of our work. We all like to finish things. But sometimes finishing is not possible. The story of Oliver Granger shows that finishing is not everything. It's our effort, our devotion that count the most. __________________________Do you have questions or comments?Please contact me: rtosguthorpe@gmail.comWant more info about my books and talks?Go to my website: https://www.russelltosguthorpe.com/Want to order a book? Just go to Amazon and type in Russell T. Osguthorpe Want to access my YouTube channel:https://youtube.com/@russellt.osguthorpe497Want know more about the music on this podcast? We are blessed to have M. Diego Gonzalez as a regular contributor of songs he has arranged, performed, and recorded especially for this podcast. My wife and I became acquainted with Diego when he was serving a as missionary in the Puerto Rico San Juan Mission. We were so impressed with his talent, we asked if he would compose and perform songs for Filled With His Love. He thankfully agreed. Hope you enjoy his work!Want to boost your mood and make someone's day?Go to the App store on your iPhone, and download the app—Boonto.Want a good introduction to my book? Morgan Jones Pearson interviewed me on the All-In Podcast, and it was one of the top 10 episodes of 2022. Here's the link:https://www.ldsliving.com/2022-in-review-top-10-all-in-podcast-episod...

When Isiah Kiner-Falefa took that short lead off third base in Game 7 of the World Series, the baseball world exploded with opinions. Analysts, fans, and even players criticized what they saw — but few stopped to ask why.In this episode, we talk about the danger of making quick snap judgments while we're watching games. Whether it's a base running decision in the World Series on national TV, or a lineup choice on a high school team, there's almost always more going on than what's visible from the outside.We discuss how coaches can communicate context, how players can trust their preparation, and how fans and parents can develop a healthier perspective on the game.What we see isn't always what it seems — and the best teams thrive on understanding the why behind every decision.

David Baszucki is the founder and CEO of Roblox. TIME named Roblox one of the “100 Most Influential Companies,” and it has been recognized by Fast Company for innovation on their “Most Innovative Companies” and “Most Innovative Companies in Gaming” lists.This episode is brought to you by:Qlosi prescription eye drop used to treat age-related blurry near vision (presbyopia) in adults: https://Qlosi.com/TimAG1 all-in-one nutritional supplement: https://DrinkAG1.com/TimWealthfront high-yield cash account: https://Wealthfront.com/TimNew clients get 3.75% base APY from program banks + additional 0.65% boost for 3 months on your uninvested cash (max $150k balance. Terms apply. The Cash Account offered by Wealthfront Brokerage LLC (“WFB”) member FINRA/SIPC, not a bank. The base APY as of 9/26/25 is representative, can change, and requires no minimum. Tim Ferriss, a non-client, receives compensation from WFB for advertising and holds a non-controlling equity interest in the corporate parent of WFB. Experiences will vary. Outcomes not guaranteed. Instant withdrawals may be limited by your receiving firm and other factors. Investment advisory services provided by Wealthfront Advisers LLC, an SEC-registered investment adviser. Securities investments: not bank deposits, bank-guaranteed or FDIC-insured, and may lose value.*For show notes and past guests on The Tim Ferriss Show, please visit tim.blog/podcast.For deals from sponsors of The Tim Ferriss Show, please visit tim.blog/podcast-sponsorsSign up for Tim's email newsletter (5-Bullet Friday) at tim.blog/friday.For transcripts of episodes, go to tim.blog/transcripts.Discover Tim's books: tim.blog/books.Follow Tim:Twitter: twitter.com/tferriss Instagram: instagram.com/timferrissYouTube: youtube.com/timferrissFacebook: facebook.com/timferriss LinkedIn: linkedin.com/in/timferrissSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Premium This is a preview of our premium episode. Full access is available only to premium subscribers. Click here and learn about the Premium Podcast to access this interview and transcript... Play audio-only preview episode | Play video preview episode | Play on YouTube | Play on Spotify Click above to play either the audio-only preview episode or video preview episode in a new window. Episode Summary Project leadership is more than delivering on time and budget. It is about leading people with honesty, awareness, and courage. In this episode, leadership coach and author Susanne Madsen joins Cornelius Fichtner to discuss how project managers can transform their project outcomes by developing authentic leadership. Drawing from her acclaimed book, *The Power of Project Leadership*, Susanne explains the Project Leadership Matrix, how to assess whether we are proactive or reactive, and how self-awareness is the foundation of great leadership. She also unpacks how leaders can balance people and task focus while recognizing that reactivity often stems from corporate culture rather than personality.

Send us a textA single line flips the darkest chapter into a story of hope: “But Noah found grace in the eyes of the Lord.” We open Genesis 6:7–9 and follow that thread of grace through judgment, obedience, and a faith that dared to build before rain existed. Rather than offering a neat moral, we slow down to trace a five-step progression that runs through Noah's life and our own: grace, justification, sanctification, walking with God, and good works. It's the same arc Ephesians 2:8–10 lays out—salvation by grace through faith, then a life shaped for the good works God prepared in advance.We also tackle the uncomfortable truth about sin's spillover. Broken vows don't just scar spouses; they bruise children. Addiction doesn't haunt one soul; it hollows out homes. The flood story shows how human evil reverberates outward, touching even creation. Yet the reverse is also true: integrity blesses. Joseph's righteousness lifted a pagan household, and faithful choices still change rooms we enter and teams we lead. Noah's centuries of preaching with only six visible converts remind us that faithfulness beats scoreboard success. Outcomes belong to God; obedience belongs to us.Along the way, we talk about what happens as believers age and draw nearer to the finish line. The older saints we admire speak less about achievements and more about grace. That shift isn't sentimental—it's clarity. The closer we get to God's holiness, the more we see our need and the deeper our gratitude grows. Noah's story doesn't end with his craftsmanship or leadership. It ends with grace getting the headline. If this conversation stirs you to trade metrics for obedience and applause for communion, share it with a friend, subscribe for more, and leave a review to tell us where you're seeing grace lead you into action.Support the showhttps://www.jacksonfamilyministry.comhttps://bobslone.com/home/podcast-production/

What happens when skin care stops being about "what's in it" and starts being about "what it does?". In this episode of ASCP Esty Talk, Maggie and Ella dive into the industry's shift from ingredient obsession to outcomes, exploring skin health as part of overall wellness and health span. ASCP Esty Talk with hosts Ella Cressman and Maggie Staszcuk   Produced by Associated Skin Care Professionals (ASCP) for licensed estheticians, ASCP Esty Talk is a weekly podcast, hosted by licensed estheticians, Ella Cressman, ASCP Skin Deep Magazine contributor, and Maggie Staszcuk, ASCP Program Director. We see your passion, innovation, and hard work and are here to support you by providing a platform for networking, advocacy, camaraderie, and education. We aim to inspire you to ask the right questions, find your motivation, and give you the courage to have the professional skin care career you desire.  About Ella Cressman:  Ella Cressman is a licensed esthetician, certified organic formulator, business owner, ingredient junkie, and esthetic cheerleader! As an educator, she enjoys empowering other estheticians and industry professionals to understand skin care from an ingredient standpoint rather than a product-specific view.  In addition to running a skin care practice, Cressman founded a comprehensive consulting group, the HHP Collective, and has consulted for several successful skin care brands.    Connect with Ella Cressman:  Website: www.hhpcollective.com  LinkedIn: linkedin.com/in/ella-cressman-62aa46a    About Maggie Staszcuk:  Maggie Staszcuk serves as the Program Director for ASCP and is the cohost of ASCP Esty Talk podcast. With over 18 years' experience in the esthetics industry, her diverse background includes roles in spa management, spa and med-spa services, and esthetics education. Since becoming a licensed esthetician in 2006, she carries a range of certifications in basic and advanced esthetics. Maggie is dedicated to equipping estheticians with the knowledge and resources they need to thrive in their careers.   Connect with Maggie Staszcuk:  P: 800.789.0411 EXT 1636  E: MStaszcuk@ascpskincare.com    About our Sponsors:   Comfort Zone – The Italian, multi-awarded science-led, longevity-focused skincare trusted by professionals worldwide. Founded by Dr Bollati, a pharmacist, and powered by over 60 in-house chemists and skin care experts. Clinically tested formulations blend clinical precision, regenerative botanicals, and biotechnology research to transform skin with intention. Part of The Davines Group, certified B Corp since 2016.   Website: https://us.comfortzoneskin.com/   Instagram: https://www.instagram.com/comfortzoneskin_official/   Massage Envy is a national franchisor and does not independently own or operate any of the Massage Envy franchised locations nationwide. The Massage Envy franchise network, through its franchise locations, is the leading provider of massage services. Founded in 2002, Massage Envy now has approximately 1,100 franchise locations in 49 states that have together delivered more than 200 million massages and skin care services. Website: www.massageenvy.com/careers/career-areas/esthetician  Facebook: @MassageEnvyCareers LinkedIn: @MassageEnvy   About Associated Skin Care Professionals (ASCP):    Associated Skin Care Professionals (ASCP) is the nation's largest association for skin care professionals and your ONLY all-inclusive source for professional liability insurance, education, community, and career support. For estheticians at every stage of the journey, ASCP is your essential partner. Get in touch with us today if you have any questions or would like to join and become an ASCP member.  Connect with ASCP:  Website: www.ascpskincare.com  Email: getconnected@ascpskincare.com  Phone: 800-789-0411  Facebook: facebook.com/ASCPskincare  Instagram: @ascpskincare   

Sidney Waterfall has led agencies, advised high-growth teams, and now runs marketing in-house at OpenBrand. In this episode of Women in B2B Marketing, we unpack how focusing on process, not outcomes, builds momentum, clarity, and GTM efficiency that actually lasts.Sidney shares how her team runs PR without an agency, uses proprietary data to earn credibility, and measures what truly moves the business forward. From pipeline coverage to process discipline, she offers a refreshingly honest take on what modern marketing leadership really looks like.Here's what we cover:Why “process over outcomes” is the mindset every marketing leader needsHow OpenBrand built long-term PR credibility through data, not hypeObsessing over inputs instead of chasing metricsPartnering with finance to tie marketing to business outcomesThe frameworks Sidney uses to track rolling pipeline coverage and GTM efficiencyRedefining pipeline sources to align sales and marketing around shared successHow to build a team culture that learns from what doesn't workWhat Sidney learned moving from consulting to in-house leadershipKey Links:Guest: Sidney Waterfall: https://www.linkedin.com/in/sidneywaterfall/Host: Jane Serra: https://www.linkedin.com/in/janeserra/––Like WIB2BM? A quick rating or review helps new listeners find the show.

School bonds had a relatively successful night overall, with voters in the Wausa, Logan View, Sterling and Minden School Districts approving tax increases to construct new school buildings and improve athletic facilities. In the Ashland-Greenwood School District, voters approved an override of the district's property tax levy. However, in Columbus and Stanton, voters rejected bonds aimed at funding construction for new buildings.

School bonds had a relatively successful night overall, with voters in the Wausa, Logan View, Sterling and Minden School Districts approving tax increases to construct new school buildings and improve athletic facilities. In the Ashland-Greenwood School District, voters approved an override of the district's property tax levy. However, in Columbus and Stanton, voters rejected bonds aimed at funding construction for new buildings.

This week on Catalyst Tammy is joined by Jason Warner, co-founder and CEO of Poolside. Jason has over 20 years of experience leading teams and developing innovative technologies including GitHub Co-pilot, and he's done that all while leading with heart. In this episode, Jason emphasizes the importance of empathetic leadership and why treating people like humans, not commodities, is actually better for the business. He also explores the impact of AI on the future of work and the potential for technology to enhance human capabilities. He makes the case that giving AI to your junior employees will turn them into senior employees! Please note that the views expressed may not necessarily be those of NTT DATALinks: Jason Warner poolside Learn more about Launch by NTT DATASee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Does weight loss surgery make you thin and healthy? What percentage of people is it successful for? Are the side effects worth it and what are they exactly? This episode is a deep dive into "bariatric" surgery AKA "weight loss" surgery AKA stomach amputation. TW: There are mentions of the types of surgeries, outcomes and side effects as well as general awful stuff fat people endure. Episode show notes: http://www.fiercefatty.com/201 Support me on Ko-Fi and get the Size Diversity Resource Guide: https://kofi.com/fiercefatty/tiers Comparison of the Performance of Common Measures of Weight Regain After Bariatric Surgery: https://jamanetwork.com/journals/jama/fullarticle/2707460 All‑Cause and Cause‑Specific Mortality Associated with Bariatric Surgery: A Review: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5055056/ Body Image Disturbances and Weight Bias After Obesity Surgery: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8012323/ Coping With "Ob*sity" Stigma Affects Depressed Mood: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5670735/ Death Rates and Causes of Death After Bariatric Surgery: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4888907/ Depression, Anxiety, and Binge Eating Before and After Bariatric Surgery: https://www.scielo.br/j/abcd/a/tZXDCfc855KxdXcFKTbVtHR/?lang=en Diabetes after Bariatric Surgery: https://www.canadianjournalofdiabetes.com/article/S1499-2671(16)30072-7/fulltext Ethical Questions About Surgery Raised by Scientists: https://jamanetwork.com/journals/jama/article-abstract/196339 Late Relapse of Diabetes After Bariatric Surgery: https://diabetesjournals.org/care/article/43/3/534/35625/Late-Relapse-of-Diabetes-After-Bariatric-Surgery Long-Term Follow-up After Bariatric Surgery: A Systematic Review: https://jamanetwork.com/journals/jama/fullarticle/1900516 Long-Term Outcomes After Bariatric Surgery: Systematic Review & Meta-analysis: https://link.springer.com/article/10.1007/s11695-018-3525-0 Mineral Malnutrition Following Bariatric Surgery: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3771134/ Patient Experiences of Outcomes of Bariatric Surgery: Systematic Review: https://onlinelibrary.wiley.com/doi/10.1111/obr.12518 Prevalence of Alcohol Use Disorders Before and After Bariatric Surgery: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3682834/ Recent Experiences of Weight-based Stigmatization in a Weight Loss Surgery Population: https://onlinelibrary.wiley.com/doi/full/10.1038/oby.2008.457 Risk of Suicide and Non-Fatal Self-Harm After Bariatric Surgery: Two Cohort Studies: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5932484/ Risk of Suicide and Self-Harm Is Increased After Bariatric Surgery: Meta-analysis: https://link.springer.com/article/10.1007/s11695-018-3493-4 Substance Use After Bariatric Surgery: A Review: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4789154/ Survival Among High-Risk Patients After Bariatric Surgery: https://pubmed.ncbi.nlm.nih.gov/21666276/ No Evidence That Bariatric Surgeries Save Healthcare Costs or Lives: http://junkfoodscience.blogspot.com/2008/09/no-evidence-that-bariatric-surgeries.html The Impact of Bariatric Surgery on Psychological Health: https://www.hindawi.com/journals/jobe/2013/837989/ Untold Stories of Living with a Bariatric Body: Long-Term Experiences of Weight-Loss Surgery: https://onlinelibrary.wiley.com/doi/10.1111/1467-9566.12999 "But Everything Is Supposed to Get Better After Surgery!" Understanding Postoperative Suicide and Self-Injury: https://bariatrictimes.com/understanding-postoperative-suicide-self-injury/ Long-Term Weight Regain After Gastric Bypass: A 5-Year Prospective Study: https://www.researchgate.net/publication/5459557_Long-term_Weight_Regain_after_Gastric_Bypass_A_5-year_Prospective_Study Anti-Diet by Christy Harrison: https://christyharrison.com/book-anti-diet-intuitive-eating-christy-harrison Food Junk Science Blog: http://junkfoodscience.blogspot.com/2007/01/junkfood-science-weekend-special.html Suicide Rates After Bariatric Surgery: https://bariatrictimes.com/understanding-postoperative-suicide-self-injury/#:~:text=Based%20on%20their%20analysis%2C%20the,3.2%E2%80%935.1%2F10%2C000 Kaitlin Anderle Who Had Surgery: https://www.instagram.com/p/B9B7HwSh3RM/ Roxane Gay - What Fullness Is: https://gay.medium.com/the-body-that-understands-what-fullness-is-f2e40c40cd75 Lindo Bacon on Bariatric Surgery: https://www.lindobacon.com/HAESbook/pdf_files/HAES_Bariatric-Surgery.pdf Prevalence of Alcohol Use Disorders Before and After Bariatric Surgery: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3682834/#:~:text=There%20is%20some%20evidence%20that Mineral Malnutrition Following Bariatric Surgery: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3771134/#:~:text=Bariatric%20surgery%20exacerbates%20preexisting%20malnutrition,with%20micronutrient%20supplementation%20following%20surgery Substance Use After Bariatric Surgery: A Review: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4789154/ Early Mortality Among Medicare Beneficiaries Undergoing Bariatric Surgery: https://pubmed.ncbi.nlm.nih.gov/16234496/#:~:text=The%20rates%20of%2030%2Dday,001 Death Rates and Causes of Death After Bariatric Surgery for Pennsylvania Residents: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4888907/ No Evidence That Bariatric Surgeries Save Healthcare Costs or Save Lives: http://junkfoodscience.blogspot.com/2008/09/no-evidence-that-bariatric-surgeries.html Ethical Questions About Surgery Raised by Scientists: https://jamanetwork.com/journals/jama/article-abstract/196339 Suicide Rates: https://bariatrictimes.com/understanding-postoperative-suicide-self-injury/#:~:text=Based%20on%20their%20analysis%2C%20the,3.2%E2%80%935.1%2F10%2C000 Long-Term Weight Regain After Gastric Bypass: https://www.researchgate.net/publication/5459557_Long-term_Weight_Regain_after_Gastric_Bypass_A_5-year_Prospective_Study Association of Race With Bariatric Surgery Outcomes (Wood et al., 2019): https://jamanetwork.com/journals/jamasurgery/fullarticle/2727128 Racial Disparities in Bariatric Surgery Complications and Mortality Using the MBSAQIP Data Registry (Welsh et al., 2020): https://pmc.ncbi.nlm.nih.gov/articles/PMC7223417/

A patient presents to the ER with hemoptysis. When is bronchial artery embolization (BAE) the right call, and what can you do to tip the odds of procedural success in your favor? In this episode of the BackTable Podcast, interventional radiologist Dr. Alexander Lam of UCSF shares his approach to bronchial artery embolization with host Dr. Ally Baheti.---This podcast is supported by:RADPAD® Radiation Protectionhttps://www.radpad.com/---SYNPOSISThe conversation covers why patients are referred for this procedure, the typical causes of bronchial artery hypertrophy, and Dr. Lam's preferred techniques for embolization, including the use of glue over traditional particles. Dr. Lam emphasizes the importance of multidisciplinary collaboration, detailed pre-procedure preparations, and recognizing potential complications.---TIMESTAMPS00:00 - Introduction01:45 - Patient Evaluation04:22 - Causes of Bronchial Hypertrophy09:03 - Procedure Setup10:35 - Catheter Selection and Techniques13:35 - Embolic Choices and Techniques19:39 - Understanding Different Types of Glue22:48 - Continuous Push Technique24:38 - Managing Complications and Success Rates28:14 - Postoperative Instructions and Follow-Up29:00 - Handling Difficult Bronchial Artery Selections34:02 - Final Thoughts

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Commentary by Dr. Joon Ho Ahn.

Contributor: Travis Barlock, MD Educational Pearls: Quick Statistics on Electrical Burns: Electrical burns compose roughly 2 to 9% of all burns that come into emergency departments. The majority of patients who receive electrical burns are male, typically aged 20's to 30's, accounting for 80 to 90% of all electrical burn victims. The majority of burns are linked to occupational exposure. The upper extremities are more commonly impacted by electrical burns, accounting for 70 to 90% of entry points into the body during an exposure. What are some of the key considerations in electrical burns? Unlike chemical or fire/heat related burns, electrical burns have the potential to cause significant internal damage that may not be physically appreciated externally. This damage can include, but is not limited to: Cardiac dysthymias (PVCs, SVT, AV block, to more serious ventricular dysrhythmias such as ventricular fibrillation or ventricular tachycardia). Deep tissue injury resulting in rhabdomyolysis from the initial surge of electricity Rare cases of compartment syndrome What are the treatment considerations for patients who suffer electrical burns? Remembering that cutaneous findings associated with burns may underestimate the severity of the injury, with deeper structures being more likely to be involved as the voltage of the burn injury is directly correlated to severity. Manage the patient's airway, breathing, and circulation as always, and conduct further workup into potential cardiac involvement with EKGs, as well as analysis of the extremities where entry occurred for muscle breakdown and compartment syndrome. Clinical Pearl on Voltage and Current: Voltage can be thought of being equivalent to pressure in a fluid/liquid system. Higher voltages are equivalent to higher pressures, but the ultimate damage delivered to the system is from the rate of delivery/speed of the electrical energy surging (current) through the body. Current is dependent on the tissue it is travelling through, with different tissues having differing electrical resistances. Tissues like the stratum corneum of the skin and the human bone confer the most resistance (thus lower current) whereas skeletal muscle confers lower electrical resistance (thus higher current) due to water and electrolyte content, which is why injuries like rhabdomyolysis are possible and increase with increasing voltage. References Khor D, AlQasas T, Galet C, et al. Electrical injuries and outcomes: A retrospective review. Burns. 2023;49(7):1739-1744. doi:10.1016/j.burns.2023.03.015 Durdu T, Ozensoy HS, Erturk N, Yılmaz YB. Impact of Voltage Level on Hospitalization and Mortality in Electrical Injury Cases: A Retrospective Analysis from a Turkish Emergency Department. Med Sci Monit. 2025;31:e947675. doi:10.12659/MSM.947675 Karray R, Chakroun-Walha O, Mechri F, et al. Outcomes of electrical injuries in the emergency department: epidemiology, severity predictors, and chronic sequelae. Eur J Trauma Emerg Surg. 2025;51(1):85. doi:10.1007/s00068-025-02766-1 Faes TJ, van der Meij HA, de Munck JC, Heethaar RM. The electric resistivity of human tissues (100 Hz-10 MHz): a meta-analysis of review studies. Physiol Meas. 1999;20(4):R1-10. doi:10.1088/0967-3334/20/4/201 Summarized by Dan Orbidan, OMS2 | Edited by Dan Orbidan and Jorge Chalit, OMS4 Donate: https://emergencymedicalminute.org/donate

AI, Merchandising & the Next Era of Retail with Noah (何诺亚) HerschmanAI isn't replacing retail jobs — it's enhancing them. In this episode of The Retail Podcast, host Alex Rezvan speaks with Noah (何诺亚) Herschman, Retail & Ecommerce Senior Executive and Global AI Strategist, about how artificial intelligence is transforming merchandising, pricing, and product lifecycle management.Noah has shaped ecommerce since the 1990s, with senior leadership roles at Amazon, eBay, Groupon, Staples, and nearly a decade at Microsoft as Retail Industry Architect. Now at Intel, he helps global retailers harness agentic AI to make smarter, faster, and more creative merchandising decisions.

In today's episode, I break down the true meaning of intention and why thinking alone isn't enough to change your life. I share how aligning what you say, do, think, feel, and believe creates a higher frequency that removes interference from your goals. I explain why non-negotiable behaviors—like consistency in health, gratitude, and growth—build lasting success, and why attachment to outcomes only slows progress. I also talk about mercy, humility, and frugality as the cornerstones of an intentional life, how to choose partners with values that match your own, and why paying yourself first allows you to give more and serve better.

In his weekly clinical update, Dr. Griffin and Vincent Racaniello ponder the nomination of Casey Means for Surgeon General by President Trump, how mRNA vaccines may enhance effectiveness of check point inhibitor cancer therapies, if viral infection associates with cardiac disease, H5N1 isolation from backyard birds and turkey farms, and the effectiveness of the COVID-19, RSV and influenza vaccines before Dr. Griffin deep dives into recent statistics on the measles epidemic, RSV, influenza and SARS-CoV-2 infections, the Wasterwater Scan dashboard, Johns Hopkins measles tracker, if revaccination with the mRNA RSV vaccine is effective, how effective today's COVID-19 vaccine is for protection against severe disease following infection with current viral variants, where to find PEMGARDA, how to access and pay for Paxlovid, can you be retreated with Paxlovid, long COVID treatment center, where to go for answers to your long COVID questions, and contacting your federal government representative to stop the assault on science and biomedical research. Subscribe (free): Apple Podcasts, RSS, email Become a patron of TWiV! Links for this episode The Challenge of Malignancies in HIV-1, Beyond Immune Activation and Back to Decreased Immune Surveillance (Journal of AIDS & Clinical Research) SARS-CoV-2 mRNA vaccines sensitize tumours to immune checkpoint blockade (Nature) TWiV 1265: mRNA vaccines make cancer treatment great again (microbeTV: TWiV 1265) Viral Infections and Risk of Cardiovascular Disease (Journal of the American Heart Association) Confirmations of Highly Pathogenic Avian Influenza in Commercial and Backyard Flocks (USDA: Animal and Plant Health Inspection Service) Three large turkey farms in Minnesota hit with H5N1 avian flu (CIDRAP) Updated Evidence for Covid-19, RSV, and Influenza Vaccines for 2025–2026 (NEJM) Wastewater for measles (WasterWater Scan) Measles cases and outbreaks (CDC Rubeola) Tracking Measles Cases in the U.S. (Johns Hopkins) Weekly measles and rubella monitoring (Government of Canada) Measles (WHO) Get the FACTS about measles (NY State Department of Health) Measles (CDC Measles (Rubeola)) Measles vaccine (CDC Measles (Rubeola)) Presumptive evidence of measles immunity (CDC) Contraindications and precautions to measles vaccination (CDC) Measles vaccine recommendations from NYP (jpg) Adverse events associated with childhood vaccines: evidence bearing on causality (NLM) Measles Vaccination: Know the Facts (ISDA: Infectious Diseases Society of America) Deaths following vaccination: what does the evidence show (Vaccine) Influenza: Waste water scan for 11 pathogens (WastewaterSCan) US respiratory virus activity (CDC Respiratory Illnesses) Respiratory virus activity levels (CDC Respiratory Illnesses) Weekly surveillance report: Cliff notes (CDC FluView) ACIP Recommendations Summary (CDC: Influenza) Influenza Vaccine Composition for the 2025-2026 U.S. Influenza Season (FDA) RSV: Waste water scan for 11 pathogens (WastewaterSCan) Respiratory Diseases (Yale School of Public Health) US respiratory virus activity (CDC Respiratory Illnesses) RSV-Network (CDC Respiratory Syncytial virus Infection) Vaccines for Adults (CDC: Respiratory Syncytial Virus Infection (RSV)) Economic Analysis of Protein Subunit and mRNA RSV Vaccination in Adults aged 50-59 Years (CDC: ACIP) Safety, Tolerability, and Immunogenicity of Revaccination With mRNA-1345, an mRNA Vaccine Against RSV, Administered 12 Months Following a Primary Dose in Adults Aged ≥50 Years (CID) Vaccine effectiveness of a bivalent respiratory syncytial virus (RSV) pre-F vaccine against RSV-associated hospital admission among adults aged 75–79 years in England (LANCET: Infectious Diseases) Waste water scan for 11 pathogens (WastewaterSCan) COVID-19 deaths (CDC) Respiratory Illnesses Data Channel (CDC: Respiratory Illnesses) COVID-19 national and regional trends (CDC) COVID-19 variant tracker (CDC) SARS-CoV-2 genomes galore (Nextstrain) Antigenic and Virological Characteristics of SARS-CoV-2 Variant BA.3.2, XFG, and NB.1.8.1 (bioRxiV) Association of 2024–2025 Covid-19 Vaccine with Covid-19 Outcomes in U.S. Veterans (NEJM) Durability of 2024-2025 COVID-19 Vaccines Against JN.1 Subvariants (JAMA: Internal Medicine) Where to get pemgarda (Pemgarda) EUA for the pre-exposure prophylaxis of COVID-19 (INVIYD) Infusion center (Prime Fusions) CDC Quarantine guidelines (CDC) NIH COVID-19 treatment guidelines (NIH) Drug interaction checker (University of Liverpool) Help your eligible patients access PAXLOVID with the PAXCESS Patient Support Program (Pfizer Pro) Understanding Coverage Options (PAXCESS) Infectious Disease Society guidelines for treatment and management (ID Society) Molnupiravir safety and efficacy (JMV) Convalescent plasma recommendation for immunocompromised (ID Society) What to do when sick with a respiratory virus (CDC) Managing healthcare staffing shortages (CDC) Anticoagulation guidelines (hematology.org) Daniel Griffin's evidence based medical practices for long COVID (OFID) Long COVID hotline (Columbia : Columbia University Irving Medical Center) The answers: Long COVID Reaching out to US house representative Letters read on TWiV 1266 Dr. Griffin's COVID treatment summary (pdf) Timestamps by Jolene Ramsey. Thanks! Intro music is by Ronald Jenkees Send your questions for Dr. Griffin to daniel@microbe.tv Content in this podcast should not be construed as medical advice.

Stephanie C. DeMasi, MD, joins CHEST® Journal Podcast Moderator, Matt Siuba, DO, MS, to discuss her research comparing neurologic outcomes between lower and higher oxygen saturation targets following cardiac arrest.  DOI: 10.1016/j.chest.2025.04.027 Disclaimer: The purpose of this activity is to expand the reach of CHEST content through awareness, critique, and discussion. All articles have undergone peer review for methodologic rigor and audience relevance. Any views asserted are those of the speakers and are not endorsed by CHEST. Listeners should be aware that speakers' opinions may vary and are advised to read the full corresponding journal article(s) for complete context. This content should not be used as a basis for medical advice or treatment, nor should it substitute the judgment used by clinicians in the practice of evidence-based medicine. 

Dr Sharonne Hayes, Professor of cardiovascular medicine and founding director of Mayo Clinic women's heart clinic, and Dr. Marysia Tweet, Associate Professor of cardiovascular medicine, and co-leader of the Spontaneous Coronary Artery Dissection Registry and leader in women's heart health join the show for this amazing November chapter of Always on EM. They are world experts on Spontaneous Coronary Artery Dissection authoring over 60 peer reviewed articles on the topic and in this chapter we explore with them the pitfalls and pearls related to making this diagnosis in the ED. SCAD is an important cause of myocardial infarction especially in patients who would not otherwise seem to be at risk for heart attacks for example active young women without comorbidities, and its imperitive that we as emergency physicians are current on this diagnosis.   DONATE TO DR JIM GREGOIRE SCHOLARSHIP FUND To honor the life of Dr. Jim Gregoire, dear friend of this show, consider donating to his scholarship fund. Go to https://give.mayoclinic.org/give/616870/#!/donation/checkout Go to: What would you like your donation to support? Choose “other” Enter: James Gregoire Scholarship Fund   CONTACTS X - @AlwaysOnEM; @VenkBellamkonda; @Marysia_Tweet; @SharonneHayes YouTube - @AlwaysOnEM; @VenkBellamkonda Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch; @SharonneHayes Email - AlwaysOnEM@gmail.com   DO YOU HAVE SCAD? DOES YOUR PATIENT HAVE SCAD? WANT TO GET CONNECTED? SCAD Research: www.scadresearch.org National Coalition for Women with Heart Disease: www.womenheart.org Mayo Clinic Womens Heart clinic: https://www.mayoclinic.org/departments-centers/womens-heart-clinic/overview/ovc-20442061   REFERENCES & LINKS Saleh G, Al-Abcha A, Chaaban K, Adi MZ, Tweet M, Collins JD, Alkhouli M, Gulati R. Concomitant Takotsubo Cardiomyopathy and Spontaneous Coronary Artery Dissection: Exploring the Role of Cardiac Mechanics on Coronary Disruption. JACC Cardiovasc Imaging. 2025 Oct;18(10):1161-1166. doi: 10.1016/j.jcmg.2025.05.020. Epub 2025 Aug 5. PMID: 40758075. Baqal O, Karikalan SA, Hasabo EA, Tareen H, Futela P, Qasba RK, Shafqat A, Qasba RK, Hayes SN, Tweet MS, El Masry HZ, Lee KS, Shen WK, Sorajja D. In- hospital and long-term outcomes in spontaneous coronary artery dissection with concurrent cardiac arrest: Systematic review and meta-analysis. Heart Rhythm O2. 2025 Apr 24;6(6):843-853. doi: 10.1016/j.hroo.2025.03.023. PMID: 40717849; PMCID: PMC12287955. Morosato M, Gaspardone C, Romagnolo D, Pagnesi M, Baldetti L, Dormio S, Federico F, Scandroglio AM, Chieffo A, Godino C, Margonato A, Adamo M, Metra M, Tchetche D, Dumonteil N, Tweet MS, Saw J, Beneduce A. Left Main Spontaneous Coronary Artery Dissection: Clinical Features, Management, and Outcomes. JACC Cardiovasc Interv. 2025 Apr 28;18(8):975-983. doi: 10.1016/j.jcin.2025.01.427. Epub 2025 Apr 9. PMID: 40208153; PMCID: PMC12290918. Tweet MS, Pellikka PA, Gulati R, Gochanour BR, Barrett-O'Keefe Z, Raphael CE, Best PJM, Hayes SN. Coronary Artery Tortuosity and Spontaneous Coronary Artery Dissection: Association With Echocardiography and Global Longitudinal Strain, Fibromuscular Dysplasia, and Outcomes. J Am Soc Echocardiogr. 2024 May;37(5):518-529. doi: 10.1016/j.echo.2024.02.013. Epub 2024 Mar 11. PMID: 38467311; PMCID: PMC11605948. Tweet MS, Hayes SN, Grimaldo ABG, Rose CH. Pregnancy After Spontaneous Coronary Artery Dissection: Counseling Patients Who Intend Future Pregnancy. JACC Adv. 2023 Dec;2(10):100714. doi: 10.1016/j.jacadv.2023.100714. Epub 2023 Nov 14. PMID: 38915307; PMCID: PMC11194843. Tarabochia AD, Tan NY, Lewis BR, Slusser JP, Hayes SN, Best PJM, Gulati R, Deshmukh AJ, Tweet MS. Association of Spontaneous Coronary Artery Dissection With Atrial Arrhythmias. Am J Cardiol. 2023 Jan 1;186:203-208. doi: 10.1016/j.amjcard.2022.09.032. Epub 2022 Oct 31. PMID: 36328832; PMCID: PMC10403149. Murugiah K, Chen L, Dreyer RP, Bouras G, Safdar B, Lu Y, Spatz ES, Gupta A, Khera R, Ng VG, Bueno H, Tweet MS, Spertus JA, Hayes SN, Lansky A, Krumholz HM. Depression and Perceived Stress After Spontaneous Coronary Artery Dissection and Comparison With Other Acute Myocardial Infarction (the VIRGO Experience). Am J Cardiol. 2022 Jun 15;173:33-38. doi: 10.1016/j.amjcard.2022.03.005. Epub 2022 Mar 29. PMID: 35365290; PMCID: PMC9133198. Johnson AK, Tweet MS, Rouleau SG, Sadosty AT, Hayes SN, Raukar NP. The presentation of spontaneous coronary artery dissection in the emergency department: Signs and symptoms in an unsuspecting population. Acad Emerg Med. 2022 Apr;29(4):423-428. doi: 10.1111/acem.14426. Epub 2021 Dec 26. PMID: 34897898; PMCID: PMC10403148. Murugiah K, Chen L, Dreyer RP, Bouras G, Safdar B, Khera R, Lu Y, Spatz ES, Ng VG, Gupta A, Bueno H, Tweet MS, Spertus JA, Hayes SN, Lansky A, Krumholz HM. Health status outcomes after spontaneous coronary artery dissection and comparison with other acute myocardial infarction: The VIRGO experience. PLoS One. 2022 Mar 23;17(3):e0265624. doi: 10.1371/journal.pone.0265624. PMID: 35320296; PMCID: PMC8942215. Adlam D, Tweet MS, Gulati R, Kotecha D, Rao P, Moss AJ, Hayes SN. Spontaneous Coronary Artery Dissection: Pitfalls of Angiographic Diagnosis and an Approach to Ambiguous Cases. JACC Cardiovasc Interv. 2021 Aug 23;14(16):1743-1756. doi: 10.1016/j.jcin.2021.06.027. PMID: 34412792; PMCID: PMC8383825. Kok SN, Tweet MS. Recurrent spontaneous coronary artery dissection. Expert Rev Cardiovasc Ther. 2021 Mar;19(3):201-210. doi: 10.1080/14779072.2021.1877538. Epub 2021 Feb 26. PMID: 33455483. Campbell KH, Tweet MS. Coronary Disease in Pregnancy: Myocardial Infarction and Spontaneous Coronary Artery Dissection. Clin Obstet Gynecol. 2020 Dec;63(4):852-867. doi: 10.1097/GRF.0000000000000558. PMID: 32701519; PMCID: PMC10767871. Tweet MS, Young KA, Best PJM, Hyun M, Gulati R, Rose CH, Hayes SN. Association of Pregnancy With Recurrence of Spontaneous Coronary Artery Dissection Among Women With Prior Coronary Artery Dissection. JAMA Netw Open. 2020 Sep 1;3(9):e2018170. doi: 10.1001/jamanetworkopen.2020. PMID: 32965500; PMCID: PMC7512056. Hayes SN, Tweet MS, Adlam D, Kim ESH, Gulati R, Price JE, Rose CH. Spontaneous Coronary Artery Dissection: JACC State-of-the-Art Review. J Am Coll Cardiol. 2020 Aug 25;76(8):961-984. doi: 10.1016/j.jacc.2020.05.084. PMID: 32819471. Johnson AK, Hayes SN, Sawchuk C, Johnson MP, Best PJ, Gulati R, Tweet MS. Analysis of Posttraumatic Stress Disorder, Depression, Anxiety, and Resiliency Within the Unique Population of Spontaneous Coronary Artery Dissection Survivors. J Am Heart Assoc. 2020 May 5;9(9):e014372. doi: 10.1161/JAHA.119.014372. Epub 2020 Apr 28. PMID: 32342736; PMCID: PMC7428589. Tweet MS, Akhtar NJ, Hayes SN, Best PJ, Gulati R, Araoz PA. Spontaneous coronary artery dissection: Acute findings on coronary computed tomography angiography. Eur Heart J Acute Cardiovasc Care. 2019 Aug;8(5):467-475. doi: 10.1177/2048872617753799. Epub 2018 Jan 29. PMID: 29376398; PMCID: PMC6027604. Tan NY, Tweet MS. Spontaneous coronary artery dissection: etiology and recurrence. Expert Rev Cardiovasc Ther. 2019 Jul;17(7):497-510. doi: 10.1080/14779072.2019.1635011. Epub 2019 Jul 5. PMID: 31232618. Waterbury TM, Tweet MS, Hayes SN, Eleid MF, Bell MR, Lerman A, Singh M, Best PJM, Lewis BR, Rihal CS, Gersh BJ, Gulati R. Early Natural History of Spontaneous Coronary Artery Dissection. Circ Cardiovasc Interv. 2018 Sep;11(9):e006772. doi: 10.1161/CIRCINTERVENTIONS.118. PMID: 30354594. Hayes SN, Kim ESH, Saw J, Adlam D, Arslanian-Engoren C, Economy KE, Ganesh SK, Gulati R, Lindsay ME, Mieres JH, Naderi S, Shah S, Thaler DE, Tweet MS, Wood MJ; American Heart Association Council on Peripheral Vascular Disease; Council on Clinical Cardiology; Council on Cardiovascular and Stroke Nursing; Council on Genomic and Precision Medicine; and Stroke Council. Spontaneous Coronary Artery Dissection: Current State of the Science: A Scientific Statement From the American Heart Association. Circulation. 2018 May 8;137(19):e523-e557. doi: 10.1161/CIR.0000000000000564. Epub 2018 Feb 22. PMID: 29472380; PMCID: PMC5957087. Tweet MS, Kok SN, Hayes SN. Spontaneous coronary artery dissection in women: What is known and what is yet to be understood. Clin Cardiol. 2018 Feb;41(2):203-210. doi: 10.1002/clc.22909. Epub 2018 Mar 1. PMID: 29493808; PMCID: PMC5953427. Tweet MS, Codsi E, Best PJM, Gulati R, Rose CH, Hayes SN. Menstrual Chest Pain in Women With History of Spontaneous Coronary Artery Dissection. J Am Coll Cardiol. 2017 Oct 31;70(18):2308-2309. doi: 10.1016/j.jacc.2017.08.071. PMID: 29073960; PMCID: PMC5957076. Lindor RA, Tweet MS, Goyal KA, Lohse CM, Gulati R, Hayes SN, Sadosty AT. Emergency Department Presentation of Patients with Spontaneous Coronary Artery Dissection. J Emerg Med. 2017 Mar;52(3):286-291. doi: 10.1016/j.jemermed.2016.09. Epub 2016 Oct 8. PMID: 27727035. Tweet MS, Gulati R, Williamson EE, Vrtiska TJ, Hayes SN. Multimodality Imaging for Spontaneous Coronary Artery Dissection in Women. JACC Cardiovasc Imaging. 2016 Apr;9(4):436-50. doi: 10.1016/j.jcmg.2016.01.009. PMID: 27056163. Tweet MS, Gulati R, Hayes SN. What Clinicians Should Know Αbout Spontaneous Coronary Artery Dissection. Mayo Clin Proc. 2015 Aug;90(8):1125-30. doi: 10.1016/j.mayocp.2015.05.010. PMID: 26250728. Prasad M, Tweet MS, Hayes SN, Leng S, Liang JJ, Eleid MF, Gulati R, Vrtiska TJ. Prevalence of extracoronary vascular abnormalities and fibromuscular dysplasia in patients with spontaneous coronary artery dissection. Am J Cardiol. 2015 Jun 15;115(12):1672-7. doi: 10.1016/j.amjcard.2015.03.011. Epub 2015 Mar 23. PMID: 25929580. Goel K, Tweet M, Olson TM, Maleszewski JJ, Gulati R, Hayes SN. Familial spontaneous coronary artery dissection: evidence for genetic susceptibility. JAMA Intern Med. 2015 May;175(5):821-6. doi: 10.1001/jamainternmed.2014. PMID: 25798899. Liang JJ, Prasad M, Tweet MS, Hayes SN, Gulati R, Breen JF, Leng S, Vrtiska TJ. A novel application of CT angiography to detect extracoronary vascular abnormalities in patients with spontaneous coronary artery dissection. J Cardiovasc Comput Tomogr. 2014 May-Jun;8(3):189-97. doi: 10.1016/j.jcct.2014.02.001. Epub 2014 Apr 4. PMID: 24939067. Tweet MS, Hayes SN, Pitta SR, Simari RD, Lerman A, Lennon RJ, Gersh BJ, Khambatta S, Best PJ, Rihal CS, Gulati R. Clinical features, management, and prognosis of spontaneous coronary artery dissection. Circulation. 2012 Jul 31;126(5):579-88. doi: 10.1161/CIRCULATIONAHA.112. Epub 2012 Jul 16. PMID: 22800851. Tweet MS, Gulati R, Aase LA, Hayes SN. Spontaneous coronary artery dissection: a disease-specific, social networking community-initiated study. Mayo Clin Proc. 2011 Sep;86(9):845-50. doi: 10.4065/mcp.2011.0312. PMID: 21878595; PMCID: PMC3257995.   WANT TO WORK AT MAYO? EM Physicians: https://jobs.mayoclinic.org/emergencymedicine EM NP PAs: https://jobs.mayoclinic.org/em-nppa-jobs   Nursing/Techs/PAC: https://jobs.mayoclinic.org/Nursing-Emergency-Medicine EMTs/Paramedics: https://jobs.mayoclinic.org/ambulanceservice All groups above combined into one link: https://jobs.mayoclinic.org/EM-Jobs

Labour leader Chris Hipkins joins Q+A to go through the finer points of the capital gains tax policy, and whether Labour is projected to bring in enough revenue to pay for its promises. Join Jack Tame and the Q+A team and find the answers to the questions that matter. Made with the support of NZ on Air.

OPINION: We are at peak cognitive liberation. What outcomes do we expect? | Nov. 2, 2025Subscribe to The Manila Times Channel - https://tmt.ph/YTSubscribe Visit our website at https://www.manilatimes.net Follow us: Facebook - https://tmt.ph/facebook Instagram - https://tmt.ph/instagram Twitter - https://tmt.ph/twitter DailyMotion - https://tmt.ph/dailymotion Subscribe to our Digital Edition - https://tmt.ph/digital Check out our Podcasts: Spotify - https://tmt.ph/spotify Apple Podcasts - https://tmt.ph/applepodcasts Amazon Music - https://tmt.ph/amazonmusic Deezer: https://tmt.ph/deezer Stitcher: https://tmt.ph/stitcherTune In: https://tmt.ph/tunein#TheManilaTimes#KeepUpWithTheTimes Hosted on Acast. See acast.com/privacy for more information.

 The Piper Alpha oil platform explosion killed 167 men and changed offshore safety forever. This is how a chain of ignored warnings turned the North Sea into a firestorm. And how another disaster, Deep Water Horizon, was foreshadowed by Piper.On July 6th, 1988, the North Sea lit up like a second sun. The Piper Alpha disaster wasn't just an accident—it was engineered by complacency, cost-cutting, and a system built to fail.This An Ounce episode dives into the chain of decisions that made disaster inevitable: missing paperwork, disabled safety systems, and production pressure that drowned out caution.From the first spark to the last survivor, this is the story of a night that reshaped offshore drilling worldwide.If you've ever wondered how safety rules are written in blood, this is it.

Ever wondered why someone pays to be dominated? In this electrifying episode, I sit down with Miss May, a professional dominatrix, dungeon owner, and kink educator based in London and Berlin. We unpack what it really means to be a dominatrix — from understanding BDSM and power exchange to why humiliation and taboo fantasies can actually be healing. Ms. May shares what her clients request most, how kink can create emotional release, and what it's like to separate her professional “Mistress” persona from her personal life.This is not your typical sex conversation — it's raw, fascinating, and deeply human.

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/NCPD/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/SMF865. CME/MOC/NCPD/AAPA/IPCE credit will be available until October 7, 2026.Elevating Psoriasis and Comorbidity Management With TYK2 Inhibition: Achieving and Sustaining Outcomes to Transform Care In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported through an educational grant from Bristol Myers Squibb.Disclosure information is available at the beginning of the video presentation.

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/NCPD/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/SMF865. CME/MOC/NCPD/AAPA/IPCE credit will be available until October 7, 2026.Elevating Psoriasis and Comorbidity Management With TYK2 Inhibition: Achieving and Sustaining Outcomes to Transform Care In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported through an educational grant from Bristol Myers Squibb.Disclosure information is available at the beginning of the video presentation.

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/NCPD/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/SMF865. CME/MOC/NCPD/AAPA/IPCE credit will be available until October 7, 2026.Elevating Psoriasis and Comorbidity Management With TYK2 Inhibition: Achieving and Sustaining Outcomes to Transform Care In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported through an educational grant from Bristol Myers Squibb.Disclosure information is available at the beginning of the video presentation.

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/NCPD/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/SMF865. CME/MOC/NCPD/AAPA/IPCE credit will be available until October 7, 2026.Elevating Psoriasis and Comorbidity Management With TYK2 Inhibition: Achieving and Sustaining Outcomes to Transform Care In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported through an educational grant from Bristol Myers Squibb.Disclosure information is available at the beginning of the video presentation.

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/NCPD/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/SMF865. CME/MOC/NCPD/AAPA/IPCE credit will be available until October 7, 2026.Elevating Psoriasis and Comorbidity Management With TYK2 Inhibition: Achieving and Sustaining Outcomes to Transform Care In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported through an educational grant from Bristol Myers Squibb.Disclosure information is available at the beginning of the video presentation.

Lisa Mills, Owner, Moving to a Different Drum, Disability Policy and Services Consulting, discusses opportunities to increase employment outcomes by braiding and blending resources across funding sources such as vocational rehabilitation, Medicaid, and Ticket to Work.

On Healthy Mind, Healthy Life, host Avik speaks with Dylan Borland, founder of Caden Academy, about the practical mechanics behind the idea that imagination creates reality. Dylan breaks down conscious vs. subconscious mind, why belief and feeling are non-negotiable for manifestation, and how to test this in your life with small, repeatable experiments. From recontextualizing limiting self-talk to embodying scenes where the “wish is fulfilled,” this episode gives direct, no-fluff steps to shift inner narratives and see measurable outer change. If you've wondered how visualization, emotion, and consistent focus translate into results, this conversation covers the framework start to finish—without hype.  About the Guest :  Dylan Borland is the founder of Caden Academy, a school of conscious creation and inner transformation. His work blends ancient wisdom with modern practice to help people remember who they truly are and create aligned outcomes using imagination, feeling, and the subconscious mind. He is the author of Imagination Creates Reality.  Key Takeaways: Imagination is the engine; the subconscious is the tool. The conscious mind filters ideas; repeated, accepted ideas imprint on the subconscious, which then expresses them outward. Belief first. Outcomes align with your dominant assumption. If you don't believe it's possible, you block it. Feel it real. Don't just visualize; embody a short scene that implies the wish is already fulfilled. Engage senses (sound, touch, temperature) and the feeling (relief, gratitude). Recontextualize the story. Replace “I can't” loops (e.g., “It's hard to make money”) with precise, affirmative truths repeated consistently. Test small to build evidence. Use simple experiments (e.g., “ladder exercise”) for fast wins, then scale to bigger goals. Timing matters. Drift-to-sleep periods (alpha state) are potent windows to plant scenes and feelings. Identity is flexible. Life is chapters; you can choose new roles anytime. Stop clinging to past labels. Action follows state. Imagination doesn't replace action; it informs aligned moves that feel natural from the fulfilled state. Health and mindset. Personal stories highlight how belief and mental focus influence well-being; adopt with discernment, not as medical advice. If it's not showing up, check belief. Persistent inner contradictions often stall results; address the belief, then re-feel the scene.  How to Connect with the Guest : Website & free digital copy of Imagination Creates Reality: cadenacademy.com Community: Inner Edge Facebook group (linked from the website)  Some statements reflect personal belief and experiences and are presented as individual views, not medical advice. Listeners should consult qualified professionals for medical conditions.   Want to be a guest on Healthy Mind, Healthy Life? DM on PM - Send me a message on PodMatch DM Me Here: https://www.podmatch.com/hostdetailpreview/avik   Disclaimer: This video is for educational and informational purposes only. The views expressed are the personal opinions of the guest and do not reflect the views of the host or Healthy Mind By Avik™️. We do not intend to harm, defame, or discredit any person, organization, brand, product, country, or profession mentioned. All third-party media used remain the property of their respective owners and are used under fair use for informational purposes. By watching, you acknowledge and accept this disclaimer.   Healthy Mind By Avik™️ is a global platform redefining mental health as a necessity, not a luxury. Born during the pandemic, it's become a sanctuary for healing, growth, and mindful living. Hosted by Avik Chakraborty—storyteller, survivor, wellness advocate—this channel shares powerful podcasts and soul-nurturing conversations on: • Mental Health & Emotional Well-being• Mindfulness & Spiritual Growth• Holistic Healing & Conscious Living• Trauma Recovery & Self-Empowerment With over 4,400+ episodes and 168.4K+ global listeners, join us as we unite voices, break stigma, and build a world where every story matters.

What happens when learning jumps off the page and into motion? In this episode, we chat with Diane Fraser and JC Chandler from the Emerald Coast Science Center, Patty Messer from the Grande Innovation Academy in Casa Grande, Arizona, and Ruth Wilson from Oglethorpe County Schools in Georgia. These passionate educators share how SmallLabs from Edmotion have brought a whole new level of energy and engagement to their classrooms—helping students think critically, collaborate, and truly love learning. Hear firsthand how SmallLabs are turning cross curricular content for all ages, into unforgettable, hands-on experiences.   Resources: Connect with SmalLab from Edmotion to learn more.   More great stuff: Explore SchoolDay's Career Academy and visit our blog.

Scot Bertram discusses news and headlines 

Is fertility preservation worth it for women over the age of 35? In this episode of Fertility Forward, we welcome Dr. Michelle Bayefsky to discuss her ASRM Abstract, ‘Outcomes for Patients Who Underwent Oocyte Cryopreservation at Age 35 Years and Older: Results from a Large, Multi-Centre Cohort'. Tuning in, you'll hear about the study, who was involved, what she discovered from it, and how she hopes to further her studies on fertility preservation in women over 35 in the future. We even touch on the power and importance of providing patients with data so they can make decisions for themselves. Finally, and as always, we share what we are grateful for today. Thanks for listening!  

Data is everywhere. But making sense of it? That's where the real work begins. In episode 99 of Brand Story, Laura Grover, Senior Vice President and Head of Client Solutions at EDO, Inc., shares why traditional metrics like reach and clicks don't always tell the full story. She also discusses how AI is reshaping search and measurement, what marketers can learn from sports audiences, and why curiosity is still the most valuable skill in a data-driven world.This is Brand Story, a podcast celebrating the stories of real people who are making an impact on brands, business, and the world around them. Episodes feature guests from a variety of backgrounds who bring their own unique perspectives to the conversation.Brand Story is created and produced by Gravity Group, a full-service brand and marketing agency, and is hosted by Gravity Group President, Steve Gilman.Links and Information From the Episode Here: https://www.gravitygroup.com/podcast/marketings-measurement-reset/Continue the conversation on social:For more of Brand Story, check out our LinkedIn (https://www.linkedin.com/company/gravitygroupmarketing), where we'll post previews and highlights of shows, behind-the-scenes sneak peeks, plus other marketing news you can use.We're also on: Instagram — https://www.instagram.com/gravitygroupFacebook — https://www.facebook.com/gravitygroupmarketing(00:00) Introduction to Laura Grover, EDO, and Marketing Measurement(03:06) The Importance of Meeting Clients Where They Are(05:57) Evolution of Advertising Metrics(09:01) The Role of AI in Search and Measurement(11:55) Measuring NFL Advertising Effectiveness(15:08) The Impact of Women's Sports on Advertising(18:00) Programmatic Advertising and Client Success Stories(20:25) Maximizing Creative and Media Efficiency(24:12) The Evolution of Measurement in Advertising(27:40) Confidence in Analytics and Asking Questions(29:08) Advice for Newcomers in Measurement(32:44) The Importance of Generalist Skills in Measurement(34:56) Harnessing AI for Creative Analysis(36:12) Outcomes as a New Standard of Measurement

In this episode we finally got to discuss our reactions to one of the craziest races we have ever seen in Ironman history: the all-women's 2025 Ironman World Championships in Kailua-Kona, Hawaii. We discuss what it means to win and lose with grace, Taylor Knibb's incredible post-race interview, the role of heat and humidity in making or breaking an athlete's day, and what bike brands seem to be most popular at the elite level. We also chat through the role of muscular endurance in super long-distance events like half and full Ironmans, marathons, and ultra runs, and preview some of the innovations we will be bringing to our athletes' training in the 2026 season to account for this. Next, we deep dive on takeaways from Ironman California, which Katie and Jim agree is one of the best races you can do as a first-time IM athlete. Finally, we expand on a listener question from last week about burnout and drill into three different types of athletes: “event athletes,” “identity-based athletes,” and “for the love of the sport athletes,” considering what lessons we can learn from each athlete type as we try to burnout-proof our season. This episode was so fun to record and we're excited to share it with you, so check it out!To view extended show notes for this episode, visit: theendurancedrive.com/podcast To share feedback or ask questions to be featured on a future episode, please use ⁠this form⁠ or email: Katie@TheEnduranceDrive.com.

The civil war in Sudan has been raging for more than 2 years now and the violence is only escalating. The paramilitary faction called the Rapid Support Forces pushed out the Sudanese army from most of Darfur, and have been accused of ongoing civilian massacres. It has become so bad, the results can be seen from space. Denise Brown is the United Nations Humanitarian Coordinator in Sudan who explains without intervention, the violence will continue unabated.

The Chinese Commerce Ministry has unveiled the outcomes of the recent China-U.S. economic and trade talks in Kuala Lumpur.

Aaysha Cader, MD MSc, social media editor for JACC: Cardiovascular interventions and Christoph Ryffel, MD discuss the Long-term Outcomes of Patients with Moderate and Severe Aortic Stenosis According to Stages of Cardiac Damage, manucript published in the October 27 issue of the journal.

In this episode of the Journal of Career Assessment podcast series, JCA Editor Patton O. Garriott interviews author Taewon Kim about the JCA article, "Examining the Dimensions, Predictors, and Outcomes of Work Capital."

UK "Chinese Spy" Case Collapses and Trump's Trade Deal Outcomes Guest: Joseph Sternberg Joseph Sternberg discusses the collapse of the United Kingdom's high-profile Chinese espionage case involving Chris Cash and Chris Barry, highlighting the injustice of a media-driven trial despite allegations never being proven in court. The alleged intelligence supposedly passed was largely parliamentary rumors of minimal significance. Sternberg expresses disappointment with President Trump's temporary trade concessions from China, characterizing the outcome as underwhelming and questioning whether the deal achieves meaningful geopolitical objectives. 1954

UK "Chinese Spy" Case Collapses and Trump's Trade Deal Outcomes Guest: Joseph Sternberg Joseph Sternberg discusses the collapse of the United Kingdom's high-profile Chinese espionage case involving Chris Cash and Chris Barry, highlighting the injustice of a media-driven trial despite allegations never being proven in court. The alleged intelligence supposedly passed was largely parliamentary rumors of minimal significance. Sternberg expresses disappointment with President Trump's temporary trade concessions from China, characterizing the outcome as underwhelming and questioning whether the deal achieves meaningful geopolitical objectives.

What can happen when we tie our identity to our outcomes? Many of us who listen to this podcast are very goal-oriented, not only that, but we may tend to want to overachieve. What can happen is that we are human! We may not hit a goal at the same time we used to. We may not be in the same season of life that we were once in, so we end up comparing ourselves to ourselves! Today's guest Chad Everett talks about how obedience over outcomes can help us to stay focused on God's plan for us, God's timing. In this episode, you'll discover… Key trait to win at home and at work (1:16) Obedience, over outcomes (4:44) What is Infinite Kingdom Gaming? (19:07) Meditate on the word, dont just read it. (34:10) Chad's Bio: I am a seasoned CEO known for my ability to turn dreams into tangible and impactful visions. With an unwavering passion for inspiring individuals, building exceptional teams, and making a positive difference in the world, I have consistently pushed boundaries and accomplished remarkable and fulfilling results. Throughout my entrepreneurial journey, I have garnered a diverse skill set and track record of successful ventures across multiple industries. My forte lies in taking bold ideas and catapulting them to success. I thrive on the challenge of transforming concepts into reality, leaving an indelible mark on the industries I touch. As a leader, I foster a culture of innovation, collaboration, and excellence. I firmly believe in empowering individuals, harnessing their unique talents, and fostering their growth. By cultivating high-performing teams, these ventures have surpassed expectations and set new industry benchmarks. I possess an unwavering commitment to creating positive change. Beyond business achievements, I am driven by a deep sense of social responsibility and the belief that entrepreneurship can be a force for good. By aligning profitability with purpose, I aspire to leave a lasting legacy that improves lives and transforms communities. What's Next? NEW!! Join the new RISE community. Check out my newest book, 'Rise and Go', HERE!

Jason Walker, Eric Walker and J.D. Walker break down the latest in local and national sports. How should we look at Utah State's 2025 football season if they don't win more than one more game the rest of this season? If the Aggies are going to get to bowl eligibility, which two games are the most likely for USU to win? There are 3-4 teams gearing up to be the contenders for the Mountain West title race - Boise State, San Diego State, Hawaii and UNLV -- which is the most likely to take home the crown?

Joseph P. Viteritti, the Thomas Hunter Professor of Public Policy at Hunter College in New York, joins Paul E. Peterson to discuss Viteritti's new book, Radical Dreamers: Race, Choice, and the Failure of American Education.

Nathan Blum Reads "Outcomes" Learn about your ad choices: dovetail.prx.org/ad-choices

Send us a text[Podcast Sponsor]Kind Cotton: Soft, sustainable apparel, where every purchase provides a book to a child.Ever wonder how the smallest moments can spark the biggest shifts in learning and leadership?  In this episode of Research Rundown, Becca reveals the science behind a simple one hour intervention that slashed achievement gaps and boosted happiness for years, all by strengthening students' sense of belonging. Discover how tiny, everyday moments can ripple out to create lasting change, and learn the three essential ingredients every leader needs to build trust, safety, and connection. Don't miss the secrets to turning resistance into momentum and making everyone feel like they truly belong. Tune in now and unlock the power of belonging!

Boyd Varty is the founder of Track Your Life, which offers a limited number of premium retreats in South Africa's bushveld, and author of one of my favorite books, The Lion Tracker's Guide to Life. As a fourth-generation custodian of Londolozi Game Reserve, Boyd grew up with lions, leopards, snakes, and elephants and has spent his life in apprenticeship to the natural world. He is also the host of the Track Your Life podcast.This episode is brought to you by:Our Place's Titanium Always Pan® Pro using nonstick technology that's coating-free and made without PFAS, otherwise known as “Forever Chemicals”: https://fromourplace.com/tim (use code TIM at checkout) Gusto simple and easy payroll, HR, and benefits platform used by 400,000+ businesses: https://gusto.com/tim (three months free)Wealthfront high-yield cash account: https://Wealthfront.com/Tim (new clients get 3.75% base APY from program banks + additional 0.65% boost for 3 months on your uninvested cash (max $150k balance). Terms apply. The Cash Account offered by Wealthfront Brokerage LLC (“WFB”) member FINRA/SIPC, not a bank. The base APY as of 9/26/25 is representative, can change, and requires no minimum. Tim Ferriss, a non-client, receives compensation from WFB for advertising and holds a non-controlling equity interest in the corporate parent of WFB. Experiences will vary. Outcomes not guaranteed. Instant withdrawals may be limited by your receiving firm and other factors. Investment advisory services provided by Wealthfront Advisers LLC, an SEC-registered investment adviser. Securities investments: not bank deposits, bank-guaranteed or FDIC-insured, and may lose value.)*Timestamps:[00:00:00] Start.[00:01:59] Boyd returns.[00:03:14] Elite firefighting unit: Boyd's French Foreign Legionnaire predecessor.[00:04:27] The paper mache lion incident and Lucky's dramatic exit.[00:08:07] Firefighting drill disaster: When 50/50 failed spectacularly.[00:09:58] Leadership lesson: Bringing energy down when chaos climbs.[00:11:52] Story hunting and the natural world as meaning machine.[00:17:16] Uncle JV: Wildlife filmmaker with a dangerous drama meter.[00:19:10] Camera bearing adventures: Elephants, hyenas, and the red mist.[00:22:30] Zambia expeditions: Crocodiles, dead elephants, and shovel oars.[00:25:48] Orienting toward safety: Building capability versus childhood overwhelm.[00:29:11] Wilderness retreat lessons: Wordlessness and natural state.[00:31:40] The Londolozi time war: Tech detox and parasympathetic shifts.[00:39:49] Mystical animal encounters: Lions, southern boubous, and synchronicity.[00:43:11] Re-enchantment: Nature's desire to help us heal.[00:45:25] Following non-rational energy and forays into wordlessness.[00:52:31] Diana Chapman's Whole-Body Yes and avoiding the simmering six.[00:58:04] Toby Pheasant and the great black mamba escape.[01:06:09] Training for persistence hunting using Bushman Great Dance wisdom.[01:09:23] The desert as storehouse: Abundance psychology in action.[01:11:23] Persistence hunt mechanics: Heat, time, and the animal's energy transfer.[01:15:04] Running into ceremony: 47 degrees and letting the body know.[01:21:31] The kudu gives itself: Profound respect at the edge of survival.[01:27:22] Seeking the wild man: Access to the full spectrum of presence.[01:29:20] Context and discernment: Armor in cities, openness in wild spaces.[01:34:55] Men need men: Collective exploration around the fire.[01:37:40] Relationship as practice: Moving from romantic myth to active work.[01:40:15] Dick jokes and raft building: The indirect work that does heavy lifting.[01:45:43] Lunch the baboon: Hand lotion, bloody handprints, and royal delays.[01:55:43] Living amongst the animals: Warthog intelligence and leopard relationships.[01:57:27] Parting thoughts.*For show notes and past guests on The Tim Ferriss Show, please visit tim.blog/podcast.For deals from sponsors of The Tim Ferriss Show, please visit tim.blog/podcast-sponsorsSign up for Tim's email newsletter (5-Bullet Friday) at tim.blog/friday.For transcripts of episodes, go to tim.blog/transcripts.Discover Tim's books: tim.blog/books.Follow Tim:Twitter: twitter.com/tferriss Instagram: instagram.com/timferrissYouTube: youtube.com/timferrissFacebook: facebook.com/timferriss LinkedIn: linkedin.com/in/timferrissSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.