Podcasts about Reflex

If you're writing goals for primitive reflex integration, this episode is for you.In this episode, we break down one of the biggest mistakes therapists make when writing goals for primitive reflex integration and explain how to connect reflex work to meaningful, functional outcomes that matter to families, IEP teams, and insurance providers.We discuss why reflex integration itself should never be the goal, how retained reflexes can impact skills like handwriting, attention, coordination, regulation, and participation, and how to write goals that focus on the real-life challenges a child is experiencing. We also share practical examples of how to connect primitive reflex interventions to functional outcomes that support independence and participation.Whether you're an OT, COTA, PT, or therapist interested in reflex integration, this episode will help you think differently about goal writing, advocacy, and demonstrating the value of the services you provide.Thanks for listening

Chris Boyer and Reed Smith bring in two people who worked the problem from the inside. Chris Hemphill of Modular Feedback, who builds AI for a living, and Heather Nairn, a healthcare economist who reads this as an access problem first. The reflex across the industry is to point AI at the mess. Standardize the data, set some agents loose, let the model sort it out. Hemphill and Nairn tested that reflex against a plain deterministic workflow on exactly this job. The workflow won on accuracy, on speed and on cost. Their point is not that AI is useless here. It is that the most useful skill in this work is knowing when not to reach for it. The deeper problem is structural. Provider data is a commodity. Every payer and every health system chases the same handful of fields, guards its copy as proprietary, and rebuilds the same record in parallel. Every cycle spent on that is a cycle not spent on the access work that moves outcomes. Transportation, care coordination, the patient in crisis who just needs a number that connects. Mentions from the Show: U.S. Senate Finance Committee, Ghost Network Secret Shopper Study, May 2023: https://www.finance.senate.gov/imo/media/doc/050323%20Ghost%20Network%20Hearing%20-%20Secret%20Shopper%20Study%20Report.pdf HHS Office of Inspector General, behavioral health network issue brief, October 2025 (72% of listed clinicians non-participating) New York Attorney General, "Inaccurate and Inadequate: Health Plans' Mental Health Provider Directories" (EmblemHealth investigation) American Psychiatric Association class-action complaint against EmblemHealth, January 2026: https://psychiatryonline.org/doi/full/10.1176/appi.pn.2026.03.3.15 CMS Final Rule CMS-4208-F2, finalized September 2025 (MA directory data to Medicare Plan Finder by plan year 2027; 85% accuracy threshold) Ideon, CMS Provider Directory Requirements compliance guide, March 2026 (48.74% of MA provider locations carry at least one inaccuracy): https://ideonapi.com/resources/blog/cms-provider-directory-requirements-a-complete-compliance-guide-for-2026-2027/ JAMA, AI-assisted directory inconsistency study, University of Colorado researchers (81% of physicians show inconsistencies), via Healthcare Dive: https://www.healthcaredive.com/news/inconsistent-physician-directories-no-surprises-act/645307/ Modular Feedback (Chris Hemphill), deployment write-up: https://modularfeedback.com/blog Chris Hemphill on LinkedIn: https://www.linkedin.com/in/chrishemphill/ CONFIRM handle Heather Nairn on LinkedIn: CONFIRM URL Reed Smith on LinkedIn: https://www.linkedin.com/in/reedtsmith/ Chris Boyer on LinkedIn: https://www.linkedin.com/in/chrisboyer/ Chris Boyer website: http://www.christopherboyer.com/ Chris Boyer on BlueSky: https://bsky.app/profile/chrisboyer.bsky.social Reed Smith on BlueSky: https://bsky.app/profile/reedsmith.bsky.social Learn more about your ad choices. Visit megaphone.fm/adchoices

A champion's reflex is developed through a life surrendered to God. In this message, we discover three key qualities that position us for God's purpose: faithfulness, prayer, and righteousness. Faithfulness makes us available to God, prayer turns the ordinary into the extraordinary, and righteousness opens the door to God's promises and future. Through the examples of Peter, John, Zacharias, Ezra, and others, we learn that God works powerfully through those who are faithful, available, teachable, Spirit-led, and obedient. As we look to God and align our lives with His standards, He empowers us to overcome obstacles and walk in the inheritance He has prepared for us.

ASICS RUN CHALLENGE | Use o cupom CORRIDANOAR10 | https://runchallenge.com.brNeste episódio do CNA News, analisamos a polêmica recorrente envolvendo a falta de punição para influenciadores na Maratona do Rio de Janeiro e o contraste com a rigidez aplicada a outros atletas, levantando uma reflexão estrutural importante para a nossa sociedade e comunidade de corredores. Além disso, trazemos os detalhes e a experiência de correr a prova Athenas Run Stronger em São Paulo, as primeiras impressões do tênis Mizuno Neo Vista 3 e o caso das atletas que precisaram abdicar do pódio por utilizarem calçados que não cumprem as regras oficiais.- Polêmica e recorrência de infrações de influenciadores na Maratona do Rio (00:35)- O caso do atleta Anderson e a disparidade naspunições (04:59)- Análise completa e organização da prova Athenas Run Stronger (07:22)- Teste e primeiras impressões do tênis Mizuno Neo Vista 3 (08:00)- Atletas abdicam do pódio por uso de tênis "proibidão" (13:17)Nossos cupons e links - https://cnoar.run/cuponsO Corrida no Ar News é produzido diariamente.

Reflexões sobre o capítulo - “Nós devemos”- do livro “Levantar e Seguir”, pelo Espírito Emmanuel, psicografia de Francisco Cândido Xavier.

Diácono Eduardo Henrique, Prior Fundante do Instituto Beneditino Em Adoração | Meditação sobre a vida | Instituto Beneditino Em Adoração---

Cantinho da Boa Palavra: Temporada 4 | Episódio 9Leitura e prece: IdeuzaFonte: Pronto Socorro, capítulo 9Nesta quarta temporada do podcast, trazemos uma obra de Emmanuel para reflexão, desejando sempre uma semana abençoada a todos. Aquiete sua mente e coração para receber a mensagem iluminada vinda da espiritualidade superior. Aproveite o nosso Cantinho da Boa Palavra.

Reflexões sobre o capítulo - “Siga-me os passos”- do livro “Levantar e Seguir”, pelo Espírito Emmanuel, psicografia de Francisco Cândido Xavier.

Auf der Bühne sucht mein Blick immer den einen, der nicht klatscht, nicht die tausend, die mitgehen. In dieser Folge erfährst du, welcher uralte Reflex dahintersteckt und wie du diese innere Stimme beruhigst, statt gegen sie zu kämpfen. Kostenloser Vortrag "Das Problem sitzt zwischen den Ohren": https://www.alexander-schelle.de/Academy/veraenderungen-beginnen-im-kopf-hypnose-hilft-dir-dabei Kostenfreie Hypnose "Hypnoenergie": https://www.alexander-schelle.de/hypnose-sichern/ Buch "Die Geheimnisse eines Mentalisten": https://amzn.to/475gBrI Selbsthypnose-Buch: https://amzn.to/3D2i3lf Erfolg beginnt im Kopf. Auf diesem Kanal geht's um Mindset, mentale Stärke, Unterbewusstsein, Hypnose und Selbsthypnose, Psychologie und Kommunikation, damit du Gewohnheiten ändern, Stress reduzieren, Selbstvertrauen aufbauen und in Gesprächen sicherer und überzeugender wirst. Ich bin Alexander Schelle, Mentalist, Hypnotiseur und NLP-Coach. Seit über 20 Jahren arbeite ich mit dem, was Menschen wirklich steuert: unbewusste Muster, Emotionen, Aufmerksamkeit und Sprache. Zusätzlich bin ich regelmäßig auf Kreuzfahrtschiffen auf allen Weltmeeren zu sehen, wo tausende Menschen meine Shows, Vorträge und Workshops live erleben. Und ganz ehrlich: Egal ob Führungskraft, Verkäufer, Teamleiter oder Privatperson, die Mechanik dahinter ist dieselbe: Wer sein Gehirn versteht, kann Veränderung auslösen. Abonnier, wenn du Erfolg beginnt im Kopf nicht nur hören, sondern leben willst. Change your mind.

Thomas Kruse, Chef-Anlagestratege von Amundi Deutschland, ordnet die aktuelle Großwetterlage an den Märkten ein – und warnt vor gefährlicher Sorglosigkeit. Das Iran-Memorandum hat den Ölpreis unter 80 Dollar gedrückt, doch von Normalität ist die Welt weit entfernt: 1,2 Milliarden Barrel strategische Reserven müssen aufgefüllt werden, die Tankerrouten sind durcheinander, und der Rentenmarkt glaubt dem Friedenssignal noch nicht. Gleichzeitig steht die EZB vor einem Dilemma – zu früh straffen wie 2014 oder zu spät reagieren wie 2022? Bei den Unternehmensgewinnen hat das erste Quartal mit 60 Prozent Gewinnzuwachs bei KI-Werten alle überrascht. Doch genau das macht den Markt jetzt anfällig: Die Erwartungen sind gedreht, das Enttäuschungspotenzial wächst – und die Wertpapierkredite in den USA liegen bereits über dem Niveau von 2007. Michael Burys Vergleich mit der Dotcom-Blase ist nicht ganz von der Hand zu weisen, sagt Kruse. Außerdem: Warum Europa jetzt Nachholpotenzial hat, was Japan zum unterschätzten Dauerläufer macht und weshalb „Buy the Dip" als Reflex irgendwann aufhören wird zu funktionieren. ------ Ihr habt Fragen, schreibt uns an: missionmoney@focus-money.de Alle wichtigen Links: https://wonderl.ink/@mission_money

Reflexões sobre o capítulo - “Petição e resposta”- do livro “Calma”, pelo Espírito Emmanuel, psicografia de Francisco Cândido Xavier.

Por Ruy Alves, Sócio e Gestor de Investimentos.

Diácono Eduardo Henrique, Prior Fundante do Instituto Beneditino Em Adoração | Meditação sobre a vida | Instituto Beneditino Em Adoração---

Diácono Eduardo Henrique, Prior Fundante do Instituto Beneditino Em Adoração | Meditação sobre a vida | Instituto Beneditino Em Adoração---

Diácono Eduardo Henrique, Prior Fundante do Instituto Beneditino Em Adoração | Meditação sobre a vida | Instituto Beneditino Em Adoração---

Diálogos à luz do Evangelho e da Doutrina Espírita.Reflexões sobre o tema "JESUS E REVOLUÇÃO", com base na CAP. 13 do livro: JESUS E ATUALIDADE, de Joanna de Ângelis, psicografia de Divaldo Pereira Franco. BIBLIOGRAFIA:- Livro: Jesus e Atualidade - Joanna de Ângelis, psicografia de Divaldo Pereira Franco, Cap. 13 – “Jesus e Revolução” - disponível em: https://www.usetupa.com.br/Livros/L-Jesus-e-Atualidade_.pdf- site: Visão geral IA - significado e características de Revolução - - disponível em: https://www.google.com/search?q=siginificado+e+caracteristicas+de+revolu%C3%A7%C3%A3o&sca_esv=7f84a317695edff8&sxsrf= - Livro: Novo Testamento - Epístola de Paulo aos Efésios - cap. 4, versículos 22 a 24 - disponível em: https://bibliadocaminho.com/ocaminho/TRP/Ef/Ef04.htm#V22- Livro: Novo Testamento - Evangelho de Mateus - cap. 20, versículos 26 a 28 - disponível em: https://bibliadocaminho.com/ocaminho/TRP/Mt/Mt20.htm#V25- Livro: Novo Testamento - Evangelho de Mateus - cap. 5, versículos 43 e 44 - disponível em: https://bibliadocaminho.com/ocaminho/TRP/Mt/Mt05.htm#V43- Livro: Novo Testamento - Evangelho de Mateus - cap. 23, versículo 23 - disponível em: https://bibliadocaminho.com/ocaminho/TRP/Mt/Mt23.htm#V23- Livro: Novo Testamento - Evangelho de Lucas - cap. 22, versículo 26 - disponível em: https://bibliadocaminho.com/ocaminho/TRP/Lc/Lc22.htm#V26- Livro: Novo Testamento - Evangelho de Lucas - cap. 4, versículos 18 e 19 - disponível em: https://bibliadocaminho.com/ocaminho/TRP/Lc/Lc04.htm#V18- Livro: Novo Testamento - Evangelho de João - cap. 4, versículo 9 - disponível em: https://bibliadocaminho.com/ocaminho/TRP/Jo/Jo04.htm#V9- Livro: Novo Testamento - Evangelho de Marcos - cap. 11, versículos 15 a 17 - disponível em: https://bibliadocaminho.com/ocaminho/TRP/Mc/Mc11.htm#V15- Livro: O Evangelho Segundo o Espiritismo - Allan Kardec - capítulos: V, VII, VIII, IX, X - disponível em: https://bibliadocaminho.com/ocaminho/TKP/Ev/EvIndex.htm- Livro: Luz no Caminho — Emmanuel - Cap. 8 - Unamo-nos em Jesus - Emmanuel - psicografia de Francisco C. Xavier - disponível em: https://bibliadocaminho.com/ocaminho/TX/Lnc/Lnc08.htm- Livro: Luz Acima — Irmão X - Cap. 46 - A Revolução Cristã - Irmão X - psicografia de Francisco C. Xavier - disponível em: https://bibliadocaminho.com/ocaminho/TX/La/La46.htm

The BOB & TOM ShowJune 19, 2026 6:00 AM6:00 Attack of the Wiener Man – The Mummies6:06 Letter – Grandma had a Dixie cup dispenser in the wall6:08 Letter – People don't use the good china6:20 Letter – Been a school bus driver; started my career at Madison Plains in Ohio6:22 Magic Bus6:23 Tom had to take a bike test to ride to school6:27 Letter – Love your blatant hostility toward each other6:31 Letter – Tom rooting for Norway because they were rowing on an escalator6:32 Letter – Got a bike license for riding double6:45 Letter – Anniversary salt gun coming out6:47 Sports6:52 Ranch dressing rules per TSA 7:00 AM7:04 More Sports7:24 Ducks have great credit; put everything on his bill – Chick7:25 When My Credit Score Is 64 – Pat7:27 SWR – 65,000 Legos put together7:29 SWR – Loudest shout by a man, 122 decibels7:35 Ball torture – Kristi7:39 Reflex hammers – Kristi7:48 My nostrils are too big to hold AA batteries – Josh7:49 In Studio – Jess7:50 BLT Talk – Josh7:52 Letter – Tom probably still has his crossing guard gear7:54 Stop signs in parking lots are not real stop signs – Jess 8:00 AM8:05 Not looked for the two people for his 50th class reunion – Chick8:09 Chick's classmates talk8:11 Reunion follow-through after one year – Jess8:12 Carlos Mencia in jail for not paying taxes8:27 Airline lost woman's prosthetic legs – Josh jokes8:35 Bob never took a book home from school – Tom8:38 Tom had old-timey jobs as a kid – Jess8:48 Today in History8:55 How'd He Die8:56 Everyone is singing 9:00 AM9:07 Failed to mention news – Jeff9:08 Laxatives help your memory; you remember to change your underwear – Jeff9:10 Fecal material in water in New Jersey9:11 Fecal song – Pat Godwin9:12 Man arrested for storing feces in his yard in Nigeria9:30 Tom does not like the Grinch cartoon9:33 Oak tree linked to Robin Hood has died9:35 Hugh Jackman does not care for you – Josh to Tom9:46 Jess is the only one in the studio with a father9:47 Skeleton remains found in a foreclosed house – Kristi Learn more about your ad choices. Visit podcastchoices.com/adchoices

Reflexões sobre o capítulo - “Silencia e espera”- do livro “Calma”, pelo Espírito Emmanuel, psicografia de Francisco Cândido Xavier.

Seja bem-vindo ao Minuto de Reflexão! Hoje a Palavra de Deus nos lembra que a correção do Senhor também nasce do seu amor. Em Apocalipse, capítulo 3, versículo 19.

Tauche ein in diese beruhigende ASMR-Neurologische Untersuchung.

Reflexões sobre o capítulo - “Abençoa e segue”- do livro “Calma”, pelo Espírito Emmanuel, psicografia de Francisco Cândido Xavier.

Seja bem-vindo ao Minuto de Reflexão! A Palavra de Deus hoje nos conduz ao centro da nossa fé: Jesus Cristo. Em Primeira João, capítulo 5, versículo 20.

Garret is a 30-year-old patient who was hospitalized 3 days ago after being diagnosed with Guillain-Barré syndrome. During examination, the patient is able to perform repeated seated marches without difficulty. However, the therapist notes impaired sensation in a glove-and-stocking distribution and difficulty with heel- and toe-walking. The therapist decides to assess the hip flexor deep tendon reflex. Which of the following reflex grades is MOST likely?A) 0B) 1+C) 2+D) 4+Join the FREE NPTE Facebook Group: www.nptegroup.com

Reflexões sobre o capítulo - “Ampara hoje”- do livro “Calma”, pelo Espírito Emmanuel, psicografia de Francisco Cândido Xavier.

Reflexões sobre o capítulo - “Mantendo a serenidade”- do livro “Calma”, pelo Espírito Emmanuel, psicografia de Francisco Cândido Xavier.

Uma reflexão direta sobre como a gente não se preparar para as coisas é algo amplamente refletido nos resultados. Serve para economia, serve para futebol, serve para tudo.

"Champions Reflex" explores how God uses faithful, available, teachable, Spirit-led, and obedient people to accomplish His purposes. Through biblical examples, discover how developing these qualities positions you for opportunities and makes you a champion for God's kingdom.

Reflexões sobre o capítulo - “Opniões alheias”- do livro “Calma”, pelo Espírito Emmanuel, psicografia de Francisco Cândido Xavier.

Die Zinsen verschieben sich, KI verändert das Finanzwissen deiner Kunden, und der erste Reflex ist: Zielkarte überarbeiten, Vertriebstraining buchen, Kunden neu segmentieren, alle wieder zurück ins Büro. Vertraute Werkzeuge, vertraute Routinen und genau das ist die Falle. „Mehr vom Alten" bringt dich nicht in die Zukunft. Diese Folge ist eine Einladung zur ehrlichen Inventur und zu vier Schritten, die echten Fortschritt von Aktionismus trennen. Das nimmst du mit: Berufserfahrung als Erfahrungsgefängnis. Wir greifen zu Lösungen, die wir kennen und lieben, weil sie Sicherheit geben. Die Metapher: Wer früher in Stresssituationen geraucht hat, sollte nicht wieder anfangen, nur weil heute der Druck steigt. Werkzeuge sind richtig, wenn der Anlass passt. Kunden neu segmentieren, Zielkarten ausmisten, hybride Arbeit neu denken: alles sinnvoll. Aber nur, wenn es einer Vision folgt, nicht einem Reflex auf nachlassende Absatzzahlen. Vier Schritte statt Rückwärtsgang: 1. Ehrliche Inventur: was haben wir in den letzten fünf Jahren genau dieser Maßnahmen schon gemacht, und was hat es gebracht? 2. Emotionales Zielbild im Alleingang erarbeiten, in ganzen Sätzen, ohne Bullet Points, beim Spaziergang oder am Schreibtisch bei Kerzenschein. 3. Gemeinsam mitgestalten, am Besten in großen Räumen an neuen Orten, mit Agenden, die Zeit für Dialog lassen. 4. Freude am Tun: wie bei einer Bergtour, wo das klare Gipfelbild durch die schweren Passagen trägt. Diese Woche ein Experiment: Bevor die nächste Maßnahme beschlossen wird, geh allein spazieren und beschreibe in ganzen Sätzen, wie sich dein Institut in fünf Jahren anfühlen soll. Erst dann der Abgleich mit der geplanten Initiative. Wenn dir die Folge weiterhilft, abonniere „Everyone Counts" und teile sie mit Kolleginnen und Kollegen, die gerade vor ähnlichen Entscheidungen stehen. Lass uns verbinden: [LinkedIN](https://www.linkedin.com/in/juergenweimann/) Wenn Dir diese Folge gefallen hat, dann freue ich mich über Deine Bewertung mit 5 Sternen bei Apple Podcasts und wenn Du meinen Podcast weiterempfiehlst. Mail mir gerne Deine Gedanken zur Folge unter jw@juergenweimann.com. Liebe Grüße, Jürgen [Abonnier hier meinen Newsletter.](https://juergenweimann.com/juergen-weimann-newsletter/)

François hat eine Stadtbahn gegen den Widerstand von zwei Dritteln der Bevölkerung gebaut. Er hat Fahrspuren für Autos in Fahrradinfrastruktur umgewandelt. Und er hat 2020 kostenlosen Nahverkehr eingeführt - nicht als politisches Gadget, sondern als Kirsche auf einem Kuchen, den er vorher gebacken hat. Über diesen Kuchen sprechen wir heute. Aber zuerst ein kurzes Wort in eigener Sache. Dieser Podcast existiert, weil ich glaube, dass die richtigen Gespräche geführt werden müssen - auch wenn sie unbequem sind, auch wenn sie keine schnellen Lösungen liefern, auch wenn sie länger brauchen als ein Nachrichtenformat - und auch, weil leider nicht sehr viele intersektional in diesem Bereich arbeiten, also menschenzentriert für Jene, die immer wieder vergessen werden. Ich investiere in die Recherche, die Organisation, die Aufnahmen und Nachbereitung Zeit, die bekanntermaßen Geld ist. Das mache ich alles ohne Zahlschranke, weil ich möchte, dass alle an dem Wissen teilhaben können. Zur Finanzierung meines Podcasts suche ich deshalb Partner*innen, die zu meiner Arbeit und meiner großartigen Community passen. Unternehmen, Organisationen oder Initiativen, die Mobilität, Nachhaltigkeit und gesellschaftlichen Wandel nicht als Kulisse nutzen, sondern selbst daran arbeiten. Wenn ihr Teil davon sein wollt – als Förderer, als Kooperationspartner, als Sponsor einer Folge oder auch eines ganzen Monats, dann meldet euch! In dieser Folge sprechen wir über einen Weg, der nicht mit einer großen Vision begann, sondern mit einer nüchternen Bestandsaufnahme: eine Hauptstadt, komplett aufs Auto ausgerichtet. Kaum Fahrradinfrastruktur. Eine Stadtbahn, die seit 30 Jahren diskutiert wurde, ohne dass etwas passierte. Und Investitionsrückstände in der Bahn, die sich über Jahrzehnte aufgestaut hatten. François hat das systematisch abgearbeitet. Erst als Beigeordneter Bürgermeister der Stadt Luxemburg, wo er einer zentralen Brücke eine Autospur wegnahm - und damit einen Sturm der Entrüstung auslöste. Dann als Minister, mit einem Investitionsprogramm, das Prioritäten setzte, einem nationalen Mobilitätsplan bis 2035 und dem Leitprinzip, das alles zusammenhält: Wir müssen Menschen bewegen, nicht Fahrzeuge. Schön, dass du reinschaltest! Meinen Podcast schon abonniert? Wenn dir diese oder auch eine andere Folge gefällt, lass´ gern eine Bewertung da und/oder supporte mich – vom wöchentlichen Newsletter bis hin zu einzelnen Zahlungen – alles hilft. Eine Übersicht findest du hier. Anfragen als Speakerin oder Moderatorin gern an backoffice@katja-diehl.de! Die Stadtbahn ist dabei das eindrücklichste Beispiel. Als Bausch das Projekt 2013 anschob, waren nur 38 Prozent der Bevölkerung dafür. Er baute trotzdem - ließ vorher einen maßstabsgetreuen Holzprototyp mitten in der Innenstadt aufstellen, sammelte sechs Wochen lang Feedback aus der Bevölkerung, integrierte Vorschläge sichtbar und öffentlich, veranstaltete Tage der offenen Tür in der Werkstatt. Als die erste Strecke eröffnet wurde, kippte die Stimmung: 80 Prozent Zustimmung. Heute nutzen 140.000 Menschen täglich diese eine Linie. Und niemand stellt das Projekt mehr in Frage. Der kostenlose Nahverkehr, für den Luxemburg weltweit bekannt wurde, ist in diesem Gespräch fast eine Randnotiz - und das mit Absicht. François erklärt, warum er ihn selbst zunächst für „zu früh" hielt, unter welcher Bedingung er zugestimmt hat, und warum er bei jedem Interview zum Gratisticket die Journalist*innen bat, kurz zuzuhören: Dieser sei "nur" die Kirsche auf dem Kuchen. Den Kuchen muss man erst backen. Das kostet Investitionen, Qualität, Verlässlichkeit. Wer nur die Kirsche hinsetzt, schafft Frustration. Deutschland bekommt von François einen klaren Spiegel vorgehalten. Das Deutschlandticket ohne Investitionsstrategie, der Tankrabatt als Reflex, das fehlende Gesamtkonzept - er spart nicht mit Analyse und macht keinen Hehl daraus, dass er das strukturelle Problem in Deutschland in fehlenden Plänen sieht.

Reflexões sobre o capítulo - “Em torno de ti”- do livro “Calma”, pelo Espírito Emmanuel, psicografia de Francisco Cândido Xavier.

Reflexões sobre o capítulo - “Ligações familiares”- do livro “Calma”, pelo Espírito Emmanuel, psicografia de Francisco Cândido Xavier.

Jenna is a former cardiac registered nurse, who is diagnosed with a rare incurable disease at 30 years old, with 2 babies in diapers. Now, having undergone 10 rounds of chemotherapy and bone marrow transplant, she's a Christian author who helps people build faith, joy and peace that holds steady in life's hardest moments through her signature concept, the joy reflex, she teaches you how to train your response to pressure. So faith becomes your first reaction, not your last resort.Jenna is a former cardiac registered nurse, who is diagnosed with a rare incurable disease at 30 years old, with 2 babies in diapers. Now, having undergone 10 rounds of chemotherapy and bone marrow transplant, she's a Christian author who helps people build faith, joy and peace that holds steady in life's hardest moments through her signature concept, the joy reflex, she teaches you how to train your response to pressure. So faith becomes your first reaction, not your last resort. Now through Faith with Jenna and The Joy Reflex™, she helps women train peace before panic, faith before fear, and joy before life demands it. Her message blends faith, resilience, medical experience, and practical encouragement for those walking through illness, trauma, motherhood, or hard seasons. Free Resource: 7-Day Train Your Joy Reflex Guide get it for free digital download here jenna-schutt-7kfmcu.subscribepage.io   Website: jennaschutt.com

Reflexões sobre o capítulo - “Mau humor”- do livro “Calma”, pelo Espírito Emmanuel, psicografia de Francisco Cândido Xavier.

Reflexões sobre o capítulo - “Intrigas e acusações”- do livro “Calma”, pelo Espírito Emmanuel, psicografia de Francisco Cândido Xavier.

Reflexões sobre o capítulo - “Conquista de paz”- do livro “Calma”, pelo Espírito Emmanuel, psicografia de Francisco Cândido Xavier.

Reflexões sobre o capítulo - “Evitando inquietações”- do livro “Calma”, pelo Espírito Emmanuel, psicografia de Francisco Cândido Xavier.

A guide to diagnosing, imaging, and managing acute renal colic and nephrolithiasis in the ED. Hosts: Brian Gilberti, MD Avir Mitra, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Nephrolithiasis.mp3 Download Leave a Comment Tags: Kidney Stones, Urology Show Notes 1. CLINICAL CORE & PHYSIOLOGIC FRAMEWORK Epidemiologic Risk Profiles Lifetime incidence parameters hover around 1 in 11, presenting with a prominent male sex skew. Peak demographic manifestation concentrated within the 30–60 age band. High-yield temporal parameter: 50% recurrence vector within a 5-year post-initial-insult window. Mineralogical Composition Vectors Calcium oxalate crystals represent the predominant structural matrix. Struvite configurations (magnesium ammonium phosphate matrix) account for 1–2% of cohorts. Struvite stones function explicitly as infection-driven configurations secondary to upper tract proliferation; higher distribution index noted in female cohorts. Etiological & Modifiable Relational Dynamics Profound systemic dehydration or low baseline fluid throughput states. High-sodium diet structures and heavy animal-protein consumption loads. Positive genetic/familial history variables. Relative risk modulation: Each variable independently operates to expand baseline risk by a factor of 2x to 3x. Pathophysiologic Symptom Complexes Acute, sudden-onset, maximum-intensity (10/10) unilateral flank pain. Classic structural radiation vector tracking downward toward the ipsilateral groin/genitourinary dermatomes. Distinctive behavioral marker: Renal colic pacing/writhing behavior with zero antalgic position availability. Concomitant autonomic triggers: Nausea and emesis manifest in 50% of acute presentations. Physical Exam Discordance Metrics Severe subjective distress contrasted with a characteristically soft, completely non-tender abdominal palpation exam. CVA tenderness is completely variable and lacks reliable negative predictive value. Atypical Presentation Classifications Vague, poorly localized abdominal pain presentations occurring in up to 20% of active cases. Isolated lower urinary tract irritative signs including acute frequency or severe urgency. Incidental & Asymptomatic Dynamics Silent intrarenal or ureteral stones found incidentally. Longitudinal tracking demonstrates up to 33.3% of initially asymptomatic cohorts convert to fully symptomatic renal colic within a multi-year tracking window. 2. EXCLUSION DIAGNOSES & CRITICAL PATHWAY RED FLAGS Vascular Mimics: AAA rupture/expansion. This is a mandatory exclusion pathway in elderly cohorts presenting with acute flank or back pain. Physical tracking requires active exploration for an expansile, pulsatile abdominal mass. Gynecologic Emergencies: Ruptured ectopic pregnancy. Demands universal screening protocols via rapid beta-hCG testing in all female patients of childbearing potential presenting with lower abdominal/pelvic localization. Infectious Upper Tract Decompensation: Acute uncomplicated pyelonephritis. Differentiated via persistent high spikes, high fevers, systemic shaking chills, and profound pyuria. Genitourinary Structural Crises: Acute testicular torsion. Mandates a thorough, explicit scrotal/testicular structural exam if the flank pain radiates into the scrotum. Gastrointestinal and Adnexal Torsional Confounds: Acute appendicitis variants, acute mesenteric/bowel ischemia, and ovarian torsion syndromes. 3. LABORATORY TESTING & PHYSIOLOGIC EVALUATION Urinalysis Interpretation Nuances Microscopic or gross hematuria presents in approximately 66% to 90% of acute cases. Critical Pathological Caveat: Complete absence of hematuria documented in 20% to 33.3% of confirmed, acute obstructing ureteral stones. Diagnostic rule: A pristine urinalysis with zero red blood cells is entirely insufficient to exclude acute ureterolithiasis. Urinary pH as a Composition Clue Consistently low urinary pH parameters (pH < 5.5) point strongly toward a uric acid crystalline composition. Elevated urinary pH parameters (pH > 7.5) indicate the presence of urease-producing microbial pathogens, pointing toward a struvite infection stone. Infectious Screening Metrics Active tracking for marked pyuria, positive leukocyte esterase, and bacterial nitrites to rule out an obstructed, infected upper urinary tract system. BMP Immediate quantification of baseline serum creatinine to establish accurate eGFR values. Targeting detection of post-renal AKI from bilateral obstruction, unilateral obstruction in a single functioning kidney, or severe volume depletion. CBC Evaluation for marked leukocytosis. Physiologic Nuance: Mild-to-moderate white blood cell count elevations frequently represent non-specific stress demargination driven by severe pain and repetitive vomiting. High-grade white blood cell shifts demand immediate exclusion of systemic bacteremia or an infected, obstructed urinary system. Adjunctive Lab Pathways Rapid qualitative urine hCG testing. Reflex urine culture execution whenever urinalysis metrics display significant inflammatory profiles or clinical suspicion of UTI is high. 4. IMAGING MODALITIES & ALGORITHMIC CLINICAL SELECTION Non-Contrast CT Diagnostics Gold standard; diagnostic sensitivity and specificity parameters exceed 95% for stones >2 mm. Provides precise quantification of stone diameter (mm), exact localization (proximal, mid, or distal ureter), and degree of secondary hydronephrosis. Excellent structural visualization for detecting or ruling out alternate retroperitoneal, vascular, or intra-abdominal pathologies. Contrast-Enhanced CT Protocols Indicated when alternative intra-abdominal surgical pathology is highly suspected over isolated renal colic. Retains diagnostic capability to identify urinary tract stones >3 mm even within contrast-enhanced phases. NCCT Structural Architecture Limitations Standard stone protocol CT scans are executed in a prone position without IV contrast enhancement. It does not opacify the ureteral lumen. Presents a cumulative radiation exposure penalty when utilized serially across recurrent ED presentations. POCUS / Radiology Ultrasound Direct stone visualization capabilities are modest, operating at approximately 50% to 60% sensitivity, and is highly dependent on anatomical positioning at the extreme proximal ureter or the UVJ. Secondary obstruction tracking: Demonstration of hydronephrosis operates at a high sensitivity of approximately 80%. POCUS Clinical Utility Metrics Eliminates ionizing radiation exposure and allows immediate, rapid real-time execution directly at the patient’s bedside. Confirmation of significant hydronephrosis within a classic clinical presentation yields high post-test probability for stone presence while lowering suspicion for vascular catastrophes like a AAA. KUB Radiography Extremely poor overall diagnostic sensitivity, hovering around 57%. Fails to image radiolucent configurations (pure uric acid matrices) or small stones measuring

Reflexões sobre o capítulo - “Colaboradores”- do livro “Calma”, pelo Espírito Emmanuel, psicografia de Francisco Cândido Xavier.

Reflexões sobre o capítulo - “Azedume e irritação”- do livro “Calma”, pelo Espírito Emmanuel, psicografia de Francisco Cândido Xavier.

Reflexões sobre o capítulo - “Acerto de contas”- do livro “Calma”, pelo Espírito Emmanuel, psicografia de Francisco Cândido Xavier.

Reflexões sobre o capítulo - “Usufruto e paciência”- do livro “Calma”, pelo Espírito Emmanuel, psicografia de Francisco Cândido Xavier.

Reflexões sobre o capítulo - “Tópicos da irritação”- do livro “Calma”, pelo Espírito Emmanuel, psicografia de Francisco Cândido Xavier.

I sit down with Teruko Tsubaki and Kelsey Scofield to discuss graphic designers in Omaha once again having a monthly reason to meet-up. Sometime last year, they created an event called Working Title, and like all great events, have already[…]↓ Read the rest of this entry... The post Working Title – Teruko Tsubaki & Kelsey Scofield: The Reflex Blue Show #281 appeared first on 36 Point.

Neste podcast: Clóvis de Barros encerra a série sobre o pensamento cristão fazendo um paralelo entre a parábola da figueira e o entendimento sobre o real em pensadores clássicos.

Confie sempre. Não percas a tua fé entre as sombras do mundo. Ainda que teus pés estejam sangrando, segue para a frente, erguendo-a por luz celeste, acima de ti mesmo. Crê e trabalha. Esforça-te no bem e espera com paciência. Tudo passa e tudo se renova na Terra, mas o que vem do Céu permanecerá.De todos os infelizes, os mais desditosos são os que perderam a confiança em Deus e em si mesmos, porque o maior infortúnio é sofrer a privação da fé e prosseguir vivendo. Eleva, pois, o teu olhar e caminha. Luta e serve. Aprende e adianta-te. Brilha a alvorada além da noite. Hoje, é possível que a tempestade te amarfanhe o coração e te atormente o ideal, aguilhoando-te com a aflição ou ameaçando-te com a morte. Não te esqueça, porém, de que amanhã será outro dia. (Meimei, Psicografado por Francisco Cândido Xavier)Seja membro do Clube do Espiritismo Simples!

There's a healthcare CEO Bill coached — smart, driven, impeccable résumé — who ran a national company the same way they ran eighth-grade group projects: by doing everyone else's work. Episode five of the Busy Is Broken series is about the moment that reflex stops being a strength and starts being the bottleneck. The overachiever who took over the group project in middle school got praised for it. Decades later, the same instinct shows up at the C-suite, and it doesn't scale — it suffocates.Lee came into a healthcare empire valued in the hundreds of millions. From the start, Lee second-guessed the leadership team, reworked slide decks at midnight, edited marketing copy mid-flight, and jumped into facilitation exercises Bill was running — not to collaborate, but to control. Not cruel. Not incompetent. Just an overachiever reflex from school that had never been updated. The result: people stopped presenting detailed plans because they knew Lee would reshuffle them. They stopped proposing creative solutions because Lee would override them. They learned helplessness. The best ones left.The gap is the giveaway. If you asked Lee, Lee was "protecting the company." If you asked the team, Lee was suffocating it. That gap — between how the leader describes the behavior and how the team experiences it — is the micromanager's blind spot. Lee eventually got it. Replaced wrong hires with right ones, stopped covering for empty seats, started letting go. The company stabilized. But it took years of damage and talent loss before the reflex broke. This week's invitation: when someone brings you a draft, a plan, a decision, notice the impulse to edit. Before you touch it, ask: "Is this good enough to ship, even if I'd do it differently?" If yes, let it go.Links:Busy Is Broken book and free diagnostic: https://busyisbroken.comQ20 Growth Diagnostic: https://scalingcoach.com/Q20Mentioned in this episode:Busy is Broken bookOur new book, Busy is Broken, coming this September. Sign up for the release at busyisbroken.comQ20 Diagnostic OfferStuck? Q20 Growth Diagnostic will give you a fresh perspective and it's free. ScalingCoach.com/Q20

As Cole Allen sprinted into the news cycle, social media accelerated to cover the story—and the conspiracy-beast in the basement flexed his fast-twitch muscle fibers. The now third assassination attempt on Donald Trump (this time at the White House Correspondents' Dinner) had to be staged. What else could explain it?  The one time Trump shows up, an assassin is waiting for him. What are the odds? How about the guy who just calmly kept eating his salad?   A highly suspicious AI video showed a security agent's hat morph into his hair, while another had Allen running faster than humanly possible, which fit with an elaborate story about the shooter actually being a time traveller.  We break down what happened, how quickly the conspiracy theories spread, and the cultural and political dynamics of this ubiquitous reflex. Show Notes False-flag Conspiracy Theories Swirl After WHCD The Era of Normie Extremism is Here Learn more about your ad choices. Visit megaphone.fm/adchoices