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Show Notes: 0:00 Besties intro, TPB Symposium recap, rapid generations in tech 7:00 UBI, incentives for success, social safety nets 19:45 Newsom's recall victory in California, where the GOP went wrong 33:59 Facebook's week from hell, Instagram's harmful impact on teen girls 42:42 How to properly regulate social media's impact on certain groups 1:04:46 Pentagon admits to killing 10 Afghan civilians (including seven children) in drone strike 1:07:17 Ellen Pao on sexism around the Elizabeth Holmes trial; Juicero, JUUL, and other male-led failures/frauds 1:25:54 Mailchimp sells for $12B, employees got no equity 1:29:43 AOC at the Met Gala Follow the besties: https://twitter.com/chamath https://linktr.ee/calacanis https://twitter.com/DavidSacks https://twitter.com/friedberg Follow the pod: https://twitter.com/theallinpod https://linktr.ee/allinpodcast Intro Music Credit: https://rb.gy/tppkzl https://twitter.com/yung_spielburg Intro Video Credit: https://twitter.com/TheZachEffect Links: https://www.usnews.com/news/health-news/articles/2021-02-16/as-social-media-time-rises-so-does-teen-girls-suicide-risk https://www.politico.com/news/magazine/2021/09/15/stolen-election-myth-gop-511988 https://www.wsj.com/articles/facebook-knows-instagram-is-toxic-for-teen-girls-company-documents-show-11631620739 https://www.publichealthlawcenter.org/topics/commercial-tobacco-control/commercial-tobacco-control-litigation/master-settlement-agreement https://twitter.com/DavidSacks/status/1438597853320908811 https://www.kff.org/wp-content/uploads/2020/08/Slide1.png https://www.bloomberg.com/news/features/2017-04-19/silicon-valley-s-400-juicer-may-be-feeling-the-squeeze https://scorpioncapital.s3.us-east-2.amazonaws.com/reports/BLI.pdf https://www.sec.gov/news/press-release/2021-176 https://www.sec.gov/news/press-release/2021-164 https://ag.ny.gov/press-release/2021/attorney-general-james-ends-virtual-currency-trading-platform-bitfinexs-illegal https://coingeek.com/tether-banned-on-canada-first-2-licensed-digital-currency-exchanges/ https://investors.intuit.com/news/news-details/2021/Intuit-to-Acquire-Mailchimp/default.aspx https://twitter.com/stoolpresidente/status/1437585404010582016 https://shop.ocasiocortez.com/collections/all/collections_-tax-the-rich?sort_by=manual https://www.bestiesapparel.com/

Esse podcast é para profissionais que buscam compreender a ISO 37301:2021 sobre sistemas de gestão de compliance. Mande suas dúvidas ou comentários por Whatsapp ou Telegram pelo número: (43) 9 9822-0077, ou pelo e-mail: contato@qualicast.com.br Links citados no Podcast Qualiex, software para Gestão da Qualidade Grupo Forlogic Viver Excelência Apresentação Neste episódio, nossos qualicasters Jeison Arenhart e Monise Carla conversaram com o Neifer... O post #076 – ISO 37301:2021: Sistemas de gestão de compliance apareceu primeiro em Qualicast.

Rachel is back again taking your questions about mediumship. We also cover what crystals do, where they come from and the power they hold. Join T, Allyson, Rachel and Kyle for another fun episode of the podcast!   Subscribe to our YouTube https://www.youtube.com/channel/UCgj-7gVl98hiyCydXcCcmMQ Show Links… Papa Smurf https://abcnews.go.com/Health/internet-sensation-papa-smurf-dies-blue-people-live/story?id=20368758  Auras https://wellness-space.net/wp-content/uploads/2015/03/Slide1-1.jpg   Hematite https://g.co/kgs/zkj8s2   Rainbow Lattice Stone https://images.app.goo.gl/HPw7Yu3CV7TH9JWb7   Piezoelectric https://g.co/kgs/5SKnBR     Rate Us On Podchaser! https://www.podchaser.com/podcasts/arch-city-paranormal-podcast-828560  Make sure to visit us on Facebook to get alerts when we’re live... https://www.facebook.com/ArchCityParanormal/   Our website http://www.archcityparanormal.com Arch City Swag https://langleygoods.com/collections/arch-city-paranormal Donate to The Show https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=F7YAVLBBFCZ9A  paranormal activity, paranormal investigation, paranormal encounters, ghosts, podcast, paranormal podcast, emf, electromagnetic field theory, electromagnetic field, reincarnation, reincarnation theory, paranormal evidence, arch city paranormal, arch city, haunting, haunted, senior dog, beer, talk show, discussion, paranormal discussion, paranormal, aliens, psychic, medium, ghost,

Esse podcast é para profissionais que buscam saber mais sobre as metodologias DMAIC, MASP e 8D. Mande suas dúvidas ou comentários por Whatsapp ou Telegram pelo número: (43) 9 9822-0077, ou pelo e-mail: contato@qualicast.com.br Links citados no Podcast Qualiex, software para Gestão da Qualidade Grupo Forlogic Viver Excelência Apresentação Neste episódio, nossos qualicasters Jeison Arenhart e Monise Carla conversaram com o Professor Filipe... O post #073 – MÉTODOS DE ANÁLISE E SOLUÇÃO DE PROBLEMAS: COMPARATIVO DMAIC, MASP E 8D. apareceu primeiro em Qualicast.

An overview of septic arthritis. Hosts: Audrey Bree Tse, MD Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Septic_Arthritis.mp3 Download One Comment Tags: Infectious Diseases, Orthopedics Show Notes Episode Produced by Audrey Bree Tse, MD Background Bacteria enters the joint by hematogenous spread due to absence of basement membrane in synovial space from invasive procedures, contiguous infection (e.g. osteomyelitis, cellulitis), or direct inoculation (e.g. plant thorns, nails) WBCs migrate into joint → acute inflammatory process → synovial hyperplasia, prevents new cartilage from forming, pressure necrosis on surrounding joint, purulent effusion Why do we care?  irreversible loss of function in up to 10% & mortality rate as high as 11% Cartilage destruction can occur in a matter of hours Complications include bacteremia, sepsis, and endocarditis Etiology Risk factors: extremes of age, RA, DJD, IVDA, endocarditis, GC, immunosuppression, trauma, or prosthesis Organisms:  Staph: staph aureus (most co...

An overview of septic arthritis. Hosts: Audrey Bree Tse, MD Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Septic_Arthritis.mp3 Download Leave a Comment Tags: Infectious Diseases, Orthopedics Show Notes Episode Produced by Audrey Bree Tse, MD Background Bacteria enters the joint by hematogenous spread due to absence of basement membrane in synovial space from invasive procedures, contiguous infection (e.g. osteomyelitis, cellulitis), or direct inoculation (e.g. plant thorns, nails) WBCs migrate into joint → acute inflammatory process → synovial hyperplasia, prevents new cartilage from forming, pressure necrosis on surrounding joint, purulent effusion Why do we care?  irreversible loss of function in up to 10% & mortality rate as high as 11% Cartilage destruction can occur in a matter of hours Complications include bacteremia, sepsis, and endocarditis Etiology Risk factors: extremes of age, RA, DJD, IVDA, endocarditis, GC, immunosuppression, trauma, or prosthesis Organisms:  Staph: staph aureus (most common),

A look at the most common type of seizures in the young pediatric population. Hosts: Brian Gilberti, MD Audrey Bree Tse, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Febrile_Seizures.mp3 Download Leave a Comment Tags: Pediatrics Show Notes Background The most common type of seizure in children under 5 years of age Occur in 2-5% of children In children with a fever, aged 6 months to 5 years of age, and without a CNS infection Risk Factors 4 times more likely to have a febrile seizure if parent had one Also increase in risk if siblings or nieces / nephews had one Common associated infections Human Herpesvirus 6 Human Herpesvirus 7 Influenza A & B Simple Febrile Seizure Generalized tonic-clonic activity lasting less than 15 minutes in a child 6 months to 5 years of age Complex Febrile Seizure Lasts longer than 15 minutes, occurs in a child outside of this age range, are focal, or that recur within a 24-hour period. Diagnostics / Workup Gather thorough history and perform thorough physical exam Most cases will not require labs, imaging or EEG If e/o meningitis, perform LP AAP suggests considering LP in: Children 6-12 months who are not immunized for H flu type B or strep pneumo Children who had been on antibiotics For complex seizures, clinician may have a lower threshold for obtaining labs Hyponatremia is more common in this group than in the general population. LPs are more commonly done by providers, but these are low yield with one study showing bacterial meningitis being diagnosed in just 0.9% (Kimia 2010),

A look at the most common type of seizures in the young pediatric population. Hosts: Brian Gilberti, MD Audrey Bree Tse, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Febrile_Seizures.mp3 Download Leave a Comment Tags: Pediatrics Show Notes Background The most common type of seizure in children under 5 years of age Occur in 2-5% of children In children with a fever, aged 6 months to 5 years of age, and without a CNS infection Risk Factors 4 times more likely to have a febrile seizure if parent had one Also increase in risk if siblings or nieces / nephews had one Common associated infections Human Herpesvirus 6 Human Herpesvirus 7 Influenza A & B Simple Febrile Seizure Generalized tonic-clonic activity lasting less than 15 minutes in a child 6 months to 5 years of age Complex Febrile Seizure Lasts longer than 15 minutes, occurs in a child outside of this age range, are focal, or that recur within a 24-hour period. Diagnostics / Workup Gather thorough history and perform thorough physical exam Most cases will not require labs, imaging or EEG If e/o meningitis, perform LP AAP suggests considering LP in: Children 6-12 months who are not immunized for H flu type B or strep pneumo Children who had been on antibiotics For complex seizures, clinician may have a lower threshold for obtaining labs Hyponatremia is more common in this group than in the general population. LPs are more commonly done by providers, but these are low yield with one study showing bacterial meningitis being diagnosed in just 0.9% (Kimia 2010),

An in depth review of this notorious parasite. Hosts: Brian Gilberti, MD Audrey Bree Tse, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Malaria.mp3 Download Leave a Comment Tags: Infectious Diseases Show Notes Background In 2017, there were 219 million cases and 435,000 people deaths from malaria Five species: Falciparum, P. vivax, P. ovale, P. malariae, and P. knowlesi. Falciparum, Vivax and Knowlesi can be fatal History of recent travel to Africa (69% of cases in US), particularly to west-Africa should raise suspicion for malaria Clinical Manifestations Average incubation period for Falciparum is 12 days 95% will develop symptoms within 1 month Clinical findings with high likelihood ratios include periodic fevers, jaundice, splenomegaly, pallor. Can also have vomiting, headache, chills, abdominal pain, cough, and diarrhea Severe malaria has a mortality of 5% to 30%, even with therapy Diagnostic criteria for severe malaria:

An in depth review of this notorious parasite. Hosts: Brian Gilberti, MD Audrey Bree Tse, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Malaria.mp3 Download Leave a Comment Tags: Infectious Diseases Show Notes Background In 2017, there were 219 million cases and 435,000 people deaths from malaria Five species: Falciparum, P. vivax, P. ovale, P. malariae, and P. knowlesi. Falciparum, Vivax and Knowlesi can be fatal History of recent travel to Africa (69% of cases in US), particularly to west-Africa should raise suspicion for malaria Clinical Manifestations Average incubation period for Falciparum is 12 days 95% will develop symptoms within 1 month Clinical findings with high likelihood ratios include periodic fevers, jaundice, splenomegaly, pallor. Can also have vomiting, headache, chills, abdominal pain, cough, and diarrhea Severe malaria has a mortality of 5% to 30%, even with therapy Diagnostic criteria for severe malaria:

A look at this common and controversial topic. Hosts: Brian Gilberti, MD Audrey Bree Tse, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Acute_Otitis_Media.mp3 Download Leave a Comment Tags: Pediatrics Show Notes Background: The most common infection seen in pediatrics and the most common reason these kids receive antibiotics The release of the PCV (pneumococcal conjugate vaccine), or Prevnar vaccine, has made a big difference since its release in 2000 (Marom 2014) This, along with more stringent criteria for what we are calling AOM, has led to a significant decrease in the number of cases seen since then 29% reduction in AOM caused by all pneumococcal serotypes among children who received PCV7 before 24 months of age The peak incidence is between 6 and 18 months of age Risk factors: winter season, genetic predisposition, day care, low socioeconomic status, males, reduced duration of or no breast feeding, and exposure to tobacco smoke. The predominant organisms: Streptococcus pneumoniae, non-typable Haemophilus influenzae (NTHi), and Moraxella catarrhalis. Prevalence rates of infections due to Streptococcus pneumoniae are declining due to widespread use of the Prevnar vaccine while the proportion of Moraxella and NTHi infection increases with NTHi now the most common causative bacterium Strep pneumo is associated with more severe illness, like worse fevers, otalgia and also increased incidence of complications like mastoiditis. Diagnosis The diagnosis of acute otitis media is a clinical one without a gold standard in the ED (tympanocentesis) Ear pain (+LR 3.0-7.3), or in the preverbal child,

A look at this common and controversial topic. Hosts: Brian Gilberti, MD Audrey Bree Tse, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Acute_Otitis_Media.mp3 Download Leave a Comment Tags: Pediatrics Show Notes Background: The most common infection seen in pediatrics and the most common reason these kids receive antibiotics The release of the PCV (pneumococcal conjugate vaccine), or Prevnar vaccine, has made a big difference since its release in 2000 (Marom 2014) This, along with more stringent criteria for what we are calling AOM, has led to a significant decrease in the number of cases seen since then 29% reduction in AOM caused by all pneumococcal serotypes among children who received PCV7 before 24 months of age The peak incidence is between 6 and 18 months of age Risk factors: winter season, genetic predisposition, day care, low socioeconomic status, males, reduced duration of or no breast feeding, and exposure to tobacco smoke. The predominant organisms: Streptococcus pneumoniae, non-typable Haemophilus influenzae (NTHi), and Moraxella catarrhalis. Prevalence rates of infections due to Streptococcus pneumoniae are declining due to widespread use of the Prevnar vaccine while the proportion of Moraxella and NTHi infection increases with NTHi now the most common causative bacterium Strep pneumo is associated with more severe illness, like worse fevers, otalgia and also increased incidence of complications like mastoiditis. Diagnosis The diagnosis of acute otitis media is a clinical one without a gold standard in the ED (tympanocentesis) Ear pain (+LR 3.0-7.3), or in the preverbal child,

A look at foot fractures – which can be splinted and which may need the OR. Hosts: Audrey Bree Tse, MD Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Foot_Fractures.mp3 Download Leave a Comment Tags: Orthopedics Show Notes Episode Produced by Audrey Bree Tse, MD Background: Why do we care about Jones fractures? Propensity for poor healing due to watershed area of blood supply Fifth metatarsal fractures account for 68% of metatarsal fractures in adults Proximal 5th metatarsal fractures are divided into 3 zones (93% zone 1, 4% zone 2, 3% zone 3) Zone 1 (pseudo-Jones): Tuberosity avulsion fracture Typically avulsion type injuries due to acute episode of forefoot supination with plantar flexion Typical fracture pattern is transverse to slightly oblique Zone 2 (Jones fracture): Fracture at the metaphyseal-diaphyseal junction of the fifth metatarsal Typically acute episode of large adduction force applied to forefoot with the ankle plantar flexed Zone 3: Proximal diaphyseal stress fracture Typically results from a fatigue or stress mechanism

A look at foot fractures – which can be splinted and which may need the OR. Hosts: Audrey Bree Tse, MD Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Foot_Fractures.mp3 Download Leave a Comment Tags: Orthopedics Show Notes Episode Produced by Audrey Bree Tse, MD Background: Why do we care about Jones fractures? Propensity for poor healing due to watershed area of blood supply Fifth metatarsal fractures account for 68% of metatarsal fractures in adults Proximal 5th metatarsal fractures are divided into 3 zones (93% zone 1, 4% zone 2, 3% zone 3) Zone 1 (pseudo-Jones): Tuberosity avulsion fracture Typically avulsion type injuries due to acute episode of forefoot supination with plantar flexion Typical fracture pattern is transverse to slightly oblique Zone 2 (Jones fracture): Fracture at the metaphyseal-diaphyseal junction of the fifth metatarsal Typically acute episode of large adduction force applied to forefoot with the ankle plantar flexed Zone 3: Proximal diaphyseal stress fracture Typically results from a fatigue or stress mechanism

A discussion with Drs. McNamara and Leifer on the essentials and beyond of debriefing Hosts: Brian Gilberti, MD Audrey Tse, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Debriefing.mp3 Download Leave a Comment Tags: Resuscitation, Simulation Show Notes TAKE HOME POINTS Debriefing after a clinical case in the ED is a way to have an interprofessional, reflective conversation with a focus on improving for the next patient.  We can debrief routine cases, challenging cases, or even cases that go well. Follow a structure when leading a debrief. The prebrief sets ground rules and informs the team that the debrief is optional and will only take 3-5 minutes. Introduce names and roles Then give a one-liner about what happened in the case, followed by a plus/ delta: address  what went well and why, then how to improve Finally, wrap up with take home points Pitfalls to watch out for in clinical debriefing include: Avoid siloing or alienating any learners.  Learn from all your colleagues on your team- it's less about medicine and more about interprofessional and systems issues Don't pick on individual performance.  It's not about shaming- it's about improving patient care Avoid “guess what I'm thinking” questions; ask real questions Proceed with caution in order to dampen or avoid psychological trauma and second victim syndrome.  The learner may ask “was this my fault?”; we never want a learner to feel this way.  Ask, what systems supported or did not support you today?  Talk about what happened.  Avoid shame and blame. Have the right values and do it for the right reasons. ADDITIONAL TOOLS

A discussion with Drs. McNamara and Leifer on the essentials and beyond of debriefing Hosts: Brian Gilberti, MD Audrey Tse, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Debriefing.mp3 Download Leave a Comment Tags: Resuscitation, Simulation Show Notes TAKE HOME POINTS Debriefing after a clinical case in the ED is a way to have an interprofessional, reflective conversation with a focus on improving for the next patient.  We can debrief routine cases, challenging cases, or even cases that go well. Follow a structure when leading a debrief. The prebrief sets ground rules and informs the team that the debrief is optional and will only take 3-5 minutes. Introduce names and roles Then give a one-liner about what happened in the case, followed by a plus/ delta: address  what went well and why, then how to improve Finally, wrap up with take home points Pitfalls to watch out for in clinical debriefing include: Avoid siloing or alienating any learners.  Learn from all your colleagues on your team- it’s less about medicine and more about interprofessional and systems issues Don’t pick on individual performance.  It’s not about shaming- it’s about improving patient care Avoid “guess what I’m thinking” questions; ask real questions Proceed with caution in order to dampen or avoid psychological trauma and second victim syndrome.  The learner may ask “was this my fault?”; we never want a learner to feel this way.  Ask, what systems supported or did not support you today?  Talk about what happened.  Avoid shame and blame. Have the right values and do it for the right reasons. ADDITIONAL TOOLS

A look at one of the most common and potentially concerning upper respiratory infections in children. Host: Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Croup.mp3 Download One Comment Tags: Airway, Infectious Diseases, Pediatrics Show Notes Background Croup is a viral infection starts in the nasal and pharyngeal mucosa but spreads to the larynx and trachea Subglottic narrowing from inflammation Dynamic obstruction Barking cough Inspiratory stridor Causes: Parainfluenza virus (most common) Rhinovirus Enterovirus RSV Rarely: Influenza, Measles Age range: 6 months to 36 months Seasonal component with high prevalence in fall and early winter Differential Bacterial tracheitis Acute epiglottitis Inhaled FB Retropharyngeal abscess Anaphylaxis Presentation & Diagnosis Classically a prodrome of nonspecific symptoms for 1-3 days with low grade fevers, congestion, runny nose. Symptoms reach peak severity on the 4th day “Steeple sign” on Xray (subglottic narrowing) present in only 50% of patients with croup Assess air entry, skin color, level of consciousness, for tachypnea, if there are retractions / nasal flaring (if present at rest or with agitation) & coughing “Westley Croup Score” (https://www.mdcalc.com/westley-croup-score) Chest wall retractions Stridor Cyanosis Level of consciousness Air entry Management

A look at one of the most common and potentially concerning upper respiratory infections in children. Host: Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Croup.mp3 Download Leave a Comment Tags: Airway, Infectious Diseases, Pediatrics Show Notes Background Croup is a viral infection starts in the nasal and pharyngeal mucosa but spreads to the larynx and trachea Subglottic narrowing from inflammation Dynamic obstruction Barking cough Inspiratory stridor Causes: Parainfluenza virus (most common) Rhinovirus Enterovirus RSV Rarely: Influenza, Measles Age range: 6 months to 36 months Seasonal component with high prevalence in fall and early winter Differential Bacterial tracheitis Acute epiglottitis Inhaled FB Retropharyngeal abscess Anaphylaxis Presentation & Diagnosis Classically a prodrome of nonspecific symptoms for 1-3 days with low grade fevers, congestion, runny nose. Symptoms reach peak severity on the 4th day “Steeple sign” on Xray (subglottic narrowing) present in only 50% of patients with croup Assess air entry, skin color, level of consciousness, for tachypnea, if there are retractions / nasal flaring (if present at rest or with agitation) & coughing “Westley Croup Score” (https://www.mdcalc.com/westley-croup-score) Chest wall retractions Stridor Cyanosis Level of consciousness Air entry Management Mild Croup

A look at the opioid epidemic and what ED providers can do to combat this formidable foe. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Opioid_Epidemic.mp3 Download Leave a Comment Tags: Opioid Dependence, Opioid Free ED Show Notes Consider alternatives to opiates for acute pain NSAIDs Subdissociative ketamine Nerve blocks Curb misuse and diversion through prescribing a short supply and perform I-STOP checks Narcan is not just for acute overdose treatment by EMS or within the ED anymore We can equip patients, family members and friends with Narcan kits prior to discharge In New York state, can prescribe Narcan to patients with near fatal overdoses or who screen positive for an opioid use disorder Intranasal formulation is cheaper and more commonly prescribed than IM Buprenorphine induction can be done in the ED for patients in active withdrawal, as calculated by the COWS score. MDcalc calculator: https://www.mdcalc.com/cows-score-opiate-withdrawal Providers do not need an X-waiver to give a dose of Buprenorphine in the ED for 3 days Home induction can be considered for patients not actively withdrawing but would like to enter medication assisted treatment Some considerations: Contraindicated in patients with severe liver dysfunction and with hypersensitivity reaction to drug Oversedation can occur with concurrent use of benzodiazepines and alcohol Will precipitate withdrawal if concurrently using full opioid agonists Longitudinal care has to be established for patients started on Buprenorphine

A look at the opioid epidemic and what ED providers can do to combat this formidable foe. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Opioid_Epidemic.mp3 Download Leave a Comment Tags: Opioid Dependence, Opioid Free ED Show Notes Consider alternatives to opiates for acute pain NSAIDs Subdissociative ketamine Nerve blocks Curb misuse and diversion through prescribing a short supply and perform I-STOP checks Narcan is not just for acute overdose treatment by EMS or within the ED anymore We can equip patients, family members and friends with Narcan kits prior to discharge In New York state, can prescribe Narcan to patients with near fatal overdoses or who screen positive for an opioid use disorder Intranasal formulation is cheaper and more commonly prescribed than IM Buprenorphine induction can be done in the ED for patients in active withdrawal, as calculated by the COWS score. MDcalc calculator: https://www.mdcalc.com/cows-score-opiate-withdrawal Providers do not need an X-waiver to give a dose of Buprenorphine in the ED for 3 days Home induction can be considered for patients not actively withdrawing but would like to enter medication assisted treatment Some considerations: Contraindicated in patients with severe liver dysfunction and with hypersensitivity reaction to drug Oversedation can occur with concurrent use of benzodiazepines and alcohol Will precipitate withdrawal if concurrently using full opioid agonists Longitudinal care has to be established for patients started on Buprenorphine

In this episode, we discuss the recent measles outbreak and how ED providers can best prepare to treat this almost vanquished foe. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Measles_Final_Cut.mp3 Download One Comment Tags: Infectious Diseases, Pediatrics Show Notes Episode Produced by Audrey Bree Tse, MD    

In this episode, we discuss the recent measles outbreak and how ED providers can best prepare to treat this almost vanquished foe. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Measles_Final_Cut.mp3 Download One Comment Tags: Infectious Diseases, Pediatrics Show Notes Episode Produced by Audrey Bree Tse, MD      

In this episode, we discuss acute decompensated heart failure and how to best manage these dyspneic patients in the ED. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_ADHF.mp3 Download Leave a Comment Tags: Cardiology, Respiratory Show Notes Features that increase the probability of heart failure. (Wang 2005) B-lines seen in pulmonary edema. Positioning of ultrasound probe in BLUE protocol. (

In this episode, we discuss acute decompensated heart failure and how to best manage these dyspneic patients in the ED. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_ADHF.mp3 Download Leave a Comment Tags: Cardiology, Respiratory Show Notes Features that increase the probability of heart failure. (Wang 2005) B-lines seen in pulmonary edema. Positioning of ultrasound probe in BLUE protocol. (Lichtenstein 2008)

In this episode, we discuss Boxer's fractures and how to best manage them in the ED. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Boxer_s_Fracture_eq.m4a Download One Comment Tags: Orthopedics, Trauma Podcast Video https://youtu.be/UreET5eLHas Show Notes Background: 40% of all hand fractures A metacarpal fracture can occur at any point along the bone (head, neck, shaft, or base) “Boxer's” fractures classically at neck Most common mechanism: direct axial load with a clenched fist Most common metacarpal injured is the 5th A majority of these injuries are isolated injuries, closed and stable Examination: Ensure that this is an isolated injury May note a loss of knuckle contour or shortening A thorough evaluation of the skin is important Patients may also have fight bites and require irrigation and antibiotics Tender along the dorsum of the affected metacarpal Evaluate the range of motion as the commonly seen shortening results in extension lag For every 2 mm of shortening there is going to be a 7 degree decrease in ability to extend the joint Check rotational alignment of digits with the MCP and PIP at 50% flexion. Partially clench their fist and ensure that the axis of each digit converges near the scaphoid pole / mid wrist Deformity is often seen due to the imbalance of volar and dorsal forces Dorsal angulation AP, lateral and oblique views should be obtained on XR The degree of angulation is estimated with the lateral v...

In this episode, we discuss Boxer's fractures and how to best manage them in the ED. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Boxer_s_Fracture_eq.m4a Download One Comment Tags: Orthopedics, Trauma Podcast Video https://youtu.be/UreET5eLHas Show Notes Background: 40% of all hand fractures A metacarpal fracture can occur at any point along the bone (head, neck, shaft, or base) “Boxer’s” fractures classically at neck Most common mechanism: direct axial load with a clenched fist Most common metacarpal injured is the 5th A majority of these injuries are isolated injuries, closed and stable Examination: Ensure that this is an isolated injury May note a loss of knuckle contour or shortening A thorough evaluation of the skin is important Patients may also have fight bites and require irrigation and antibiotics Tender along the dorsum of the affected metacarpal Evaluate the range of motion as the commonly seen shortening results in extension lag For every 2 mm of shortening there is going to be a 7 degree decrease in ability to extend the joint Check rotational alignment of digits with the MCP and PIP at 50% flexion. Partially clench their fist and ensure that the axis of each digit converges near the scaphoid pole / mid wrist Deformity is often seen due to the imbalance of volar and dorsal forces Dorsal angulation AP, lateral and oblique views should be obtained on XR The degree of angulation is estimated with the lateral view

(https://meetmypotential.com/wp-content/uploads/2018/11/Slide1-1.jpeg)   Lisa Lahey (https://www.linkedin.com/in/lisa-lahey-3597627/) , faculty of Harvard Graduate School and associate director of Change Leadership Group at Harvard talks about her book Immunity to change. What is Immunity to Change? Immunity is when there’s a part of us that wants to move in one direction e.g. towards an important goal and at the exact same time there is a part of us that is unconsciously driven to actually accomplish a goal that is in tension with the very important goal we want to accomplish. If you don’t see your IMMUNITY you will continue to be stuck. So what you have is a version of a foot on the gas pedal and a foot on the brake at the exact same time. Lots of energy going on in that system. Basically maintaining the status quo. That’s an immunity to change. The good news is Immunities can be overcome. Example: A person who wants to delegate better will have one foot on the gas and at the exact same time the person may have a commitment to, for example, not losing status or no longer being the “go to” person or not being the person to accomplish the goal. So it’s a perfect example of somebody who wants to definitely make headway by being a better delegator and at the exact same time not wanting to give up the self protection mechanisms that basically allows the person to feel good in their work setting. How do teams develop immunity to change? Teams have immunity just like individuals. You can have a highly motivated team wanting to shift how they are acting and despite their best intension it’s basically not shifting in any consistent and reliable way. Example: One of the most common ones that teams face is to be able to be more collaborative and the energy on the brake is the team wanting to preserve all the goodies that come from operating in silos. On one hand, it’s the organisation’s best interest if the team can collaborate more and on the other hand, people are protecting what they already have, i.e. the goodies that come from them getting a high profile from their individual performances. So those are in tension with each other and if people don’t see what’s going on, they will continue to put a lot of energy into trying to make the changes with technical adaptations that won’t really be able to stick. The change we’re asking one another to make is actually not so straightforward. Will power and motivation are not enough. The biggest lesson to me in all of the work that I’ve done over these years, is people often underestimate how much energy is unconsciously put into keeping things at status quo. Change is actually very challenging, especially when it involves losses of some sort, losses of the ways we’d like to see ourselves in our work setting. Making an Immunity map of your team is important for teams to discover their immunity and bring them out in the open and discuss the un-discussable so they can see there is a way to move forward. What happens when teams are challenged to change AND they don’t see there is an underlying IMMUNITY? We get into very difficult self talk with ourselves like, Oh, I’m a loser. I can’t do this. We make attributions about others like – We can’t really count on them OR They didn’t mean it when they said they were going to do X…. Harsh judgements come from our misunderstanding about the dynamics of change. Change takes time because we’re disassembling the ways we protect ourselves. That’s a really hard thing to do. So that’s why they are so precious to us and, and we need to take care. What challenges do organizations face when they are going through transformations? Change has many different dimensions to it and all too often we tend to go to the easiest...

(https://meetmypotential.com/wp-content/uploads/2018/11/Slide1.jpeg) What is conscious leadership? How can one build a more conscious style of leadership? Bob Anderson (https://www.linkedin.com/in/bob-anderson-a6b1673/) a true pioneer in the field of leadership development and research answers some of these questions. What is Conscious Leadership? Conscious leadership is only a matter of degree. Someone we call unconscious is operating at an early level of consciousness or a less mature level of consciousness. We are all conscious and the question is to what degree. Bob has been researching for the last 20 years the intersection between the inner maturity and how that translates into leadership effectiveness. He mentions there are three levels of leadership: Reactive level Creative level Integral level 80% of leaders are running at Reactive Levels of Leadership! A reactive leader operates from a mental conditioning formed by believes and assumptions that we accumulated in our early days. We have been doing it our whole lives; so, it is automatic. For instance, a reactive leader may not  speak their mind in order to be seen as a friendly person, or a reactive leader may be highly driven with a strong need to get it right that they become autocratic and critical. The reactive style of leadership always wants to play it safe. The reactive style of leadership only gets us so far and they are outmatched by the complexities of challenges we face in adult life: families, marriages, leadership, and so on, that we need do to work to upgrade our operating system from reactive to creative. This is significant work! This move from reactive to creative is what psychologist Dr. Robert Kegan from Harvard calls Self-Authoring i.e. we move from being authored by others to authored by self. “In Creative Leadership we are less focused on all the messages of how I am supposed to be from how past and current environment and much more focused on creating a vision that I believe in and create an organization that matters with outcomes worthy of our deepest commitments” It is not feasible to create an organization that is innovative and provides solutions to world problems under the reactive leadership style. Organizations need a minimum of creative level of leadership in order to perform in the face of complexities. What is the main difference between the reactive style and creative leadership style? Listen to the podcast where Bob shares his own story about a conflict he had with his partner while writing the book “ Scaling Leadership (https://www.amazon.com/Scaling-Leadership-Building-Organizational-Capability/dp/1119538254/ref=sr_1_2?ie=UTF8&qid=1541231521&sr=8-2&keywords=scaling+leadership) ”. In the reactive style, when you are less conscious your automatic patterns reach limits and you hit against a wall. Self-authoring perspective is: How do I embody a vision of myself asa leader? How do I embody the kind of culture we are trying to create? How do I embody the relationships I want? You ask yourself: How do I become that? In Self Authoring mode we develop the ability to see into our own operating system and examine how it supports our vision and we get to redesign it. For instance, I don’t have to be so threatened when my ideas are criticised because my ideas are not me. How do you move from the reactive to the creative level? Identify what is the one thing that will take me / my organization to the next level. Take steps to redesign the way you are working. Holding questions like: What is the vision? How am I operating? How do I want to show up? How do I interrupt the vision and cancel myself out? Holding all these will help you move from reactive to creative. Get Feedback. Years of research has been published in “ Scaling Leadership...

  Have you ever been a Dirty Achiever? What makes an achiever dirty? How can we come out clean? In this podcast Jonathan Reams (https://www.linkedin.com/in/jonathan-reams-08bb2/) answers some of these and other questions. (https://meetmypotential.com/wp-content/uploads/2018/09/Slide1-2.jpeg) What is a Dirty Achiever? We all like to achieve things. As infants, we learn to control our body, crawl, walk etc., big achievements in our little worlds! This process of learning is driven by trial and error, experimentation and learning, and is linked to neuroscience, how dopamine makes us want to achieve a goal, and when we succeed, we get a rush of opioids that gives us pleasurable feelings. This is a natural brain chemistry cycle, so its natural to want to achieve.  This desire to achieve can get hijacked. For example, underneath our drive for achieving tasks, there can be another kind of drive, which is more of a need, unconsciously attaching itself to the success of our task accomplishment. It might be that somewhere in our childhood, rewards, love, positive parental inputs to our self-esteem and so on became conditional upon achieving certain things, like good grades, sporting achievements, etc. In our adult work life, this pattern becomes unconscious and automatic. We’re internalizing the need to be in control of the outcomes in order to have self esteem. This need to control outcomes – to win the contract, to get a promotion, to win the race, etc. controls us and distorts are natural drive to achieve. It makes it dirty. We became our achievements, instead of having them. A very practical example of a Dirty Achiever I remember one manager who always needed his team’s success to be about him. It is need for personal recognition to be seen as the one who made it happen. It was based on a deeper need, where he believed that he was not ok as a person if it was not his idea, his inspiration to the team, his ability to motivate the team that drove the achievement. He described his inner world as having a bunch of flies buzzing around in his head so that he actually could not see what was going on outside of him and around him. Each fly was a feeling or thought that came in and distracted his attention. There were flies like: I good enough? Will I come out looking good to the boss? Who else might get recognition for this idea? If I don’t win, I’ll be a loser. This left little time for seeing the needs of his team members clearly. It also created an underlying anxiety that just made him push harder, and be more and more driven to achieve. What is the impact of having Dirty Managers? It is a big enough problem for ourselves to manage us and all these distractions. What is really hard for these dirty achievers, is to see the impact they have on others. Because they are too occupied with all these flies distracting their attention. What they see is justifications for their opinions about others. For example, with this manager, he was annoyed by his team members because they seemed to ignore his requests for action, didn’t take responsibility for outcomes, they were lying to cover up their incompetence and worst of all for him, didn’t seem to acknowledge his competence. So he interpreted their behaviors and formed the opinion that his team was useless, ignorant, incompetent cowards. And because he held these opinions about his team members, he would document everything they did or didn’t do, take his concerns to his boss or anyone else who would listen to him whine about his team. Now, how do you think his team members interpreted his actions? They saw him as over dramatizing everything, nagging them too much and wasting their time, and that he was arrogant. Now each of these incidents might be very small, not enough in itself to be worth taking action on or even really being annoyed by. But each instance left a little mark, or...

On tonight's pod, we discuss the NBA's Northwest Division - Blazers, Thunder, Timberbulls, Nugs, and the Jazz. We have some 30 for 30s that are quite rangy and theatrical. We have a tough time trying to figure out why teams are so great on defense and have so much talent but still can't win games - our answer may not be what you think...or it could be...I don't know. Nevertheless, we address the Blazers star power in the backcourt and how it doesn't really matter, what getting rid of Melo really means for the Thunder, where the Timerbulls went/are going wrong, why the Nugs really haven't gotten any better, and whether the Jazz are really as good as people think. All that and more on the pod below:If you like what you hear, find us on Twitter @TheSection203. Also, hit that subscribe button to our pod on iTunes to get more of this.

(https://meetmypotential.com/wp-content/uploads/2018/09/Slide1-1-e1536593278811.jpeg)   In this episode of Meet My Potential, we have an enlightening conversation with Coaches Training Institute (https://coactive.com) about a leader taking responsibility for their world. Different industries may have different opinions about leaders’ areas of responsibility inside and outside their areas of authority, but Sam provides us with a practical way for all industries to think about this topic that can be beneficial across the board. A leader may also feel like they can segment their responsibilities to work responsibilities and family responsibilities, but Sam presents a compelling argument for viewing every single interaction as an opportunity to practice responsibility to all of mankind. What Is Responsibility? What Isn’t It? Taking responsibility means owning your part of the effort by co-creating to reach your common goal. On the other hand, neglecting to take responsibility for your world often manifests as finger-pointing or claiming of victimhood by those who have been wronged by others or blaming others for things not going as expected. Not taking responsibility is like blaming others for the state of your experience rather than steping forward and owning your part of the responsibility of your experience. What would taking responsibility look like? For instance when one walks through their world, they are more conscious of their thoughts, their way of expression, their  actions and ultimately aware that they are having an impact on their world. So one takes a more conscientious approach to the expression of their behaviour. For example it can show up in practical ways like, when you checks out of a grocery store you might engage with the cashier in a way that you see the other person as a humans (someone who has important and valuable contribution) and not as an object. What Does It Mean to Be Response-Able? Being response-able means being conscious of others and able to provide a thoughtful response to their thoughts or behaviors. By being aware of the impact leaders and those around them can have on each other, both parties can create an appropriate response based on these ideals of consciousness and thoughtfulness. Engaging with your world in this way removes from you the feeling that you need to control your environment, which can feel burdensome and lead you down a path of overvaluing your own ego at the expense of your view of others. What Is My “World”? Sam spoke about a book by Lynne McTaggart entitled “The Field” in which he unpacks the concept that no matter how much quantum physicists study, they cannot understand the aspects of time and space. Simply, this means that everything in the physical world is immediately available and accessible to everyone and the thoughts and actions of leaders can have influences far beyond the “world” that they feel is theirs. How Do We Differentiate Control from Responsibility? We must come to understand that we can be responsible for our world while not thinking, acting, or feeling as if we must control it. By accepting that you are able to control very little of your environment and removing control from your definition of responsibility, you are free to focus on caring and concern rather than feeling the pressure to bring about your desired outcome. In a sense, we are all co-creating the world that we are living in, so our responsibility to ourselves and others is to be self-aware and intentionally recognize others for their contribution to the world. A great way to be in touch with this self-awareness is through prayer or meditation, to be in touch with your true self and understand your ability to reach others. Relevant links: Being Fully Responsible but Not in Control (https://coactive.com/blog/coaching-training/being-fully-responsible-but-not-in-control/) SaveSave SaveSave SaveSave SaveSave

Ohio Superintendent John Wootton finishes our series on having a culture of honor by discussing the topic of messaging. How do we resolve conflicts biblically? How do we know when to speak up and when to keep quiet? What do we do differently with different audiences? John addresses each of those concerns with personal experience and biblical reasoning.

Jay Seidler continues our series on having a culture of honor. A culture of honor is more than just having respect for each other, but it's elevating each other above ourselves. Honor is not zero-sum, it calls out the gold in people, and it protects relationships in the process.

"Remember Me" - Pastor E John Citizen - 3/4/2018To download this sermon to your device right click the sermon title above and choose to save or download.

"He's Fighting for Me" - Pastor E John Citizen - 1/28/2018To download this sermon to your device right click the sermon title above and choose to save or download.

"When We Pray" - Pastor E John Citizen (1-7-2018)To download this sermon to your device right click the sermon title above and choose to save or download.

God's Dwelling Place - Pastor E John Citizen (11-26-2017)To listen now click the sermon title above.  To download this sermon to your device right click the sermon title above and choose to save or download.

When it comes to moving into the build space, the challenges of implementing change come to the fore - and potentially, the forces of resistance move into gear for some rear-guard action.David and Dave discuss types of Change Resistance, and how to overcome them.Quotes"We can't end up in a place of mediocrity because we do change badly."ReferencesHidden Figures (2016)Listen Here.Find the podcast on itunes here.

When the Trumpet Sounds - Pastor E John Citizen (11/19/2017)To listen now click the sermon title above.  To download this sermon to your device right click the sermon title above and choose to save or download.

"Welcome Holy Spirit" - Pastor E John Citizen (11-12-2017)To listen now click the sermon title above.  To download this sermon to your device right click the sermon title above and choose to save or download.

He's Able - Pastor Ryan Epperson (11-5-2017)To listen now click the sermon title above.  To download this sermon to your device right click the sermon title above and choose to save or download.

Dave and David looking for their DeLoreanLooking into the future can be daunting - but is unavoidable for the leader.ReferencesRomans 8:19 talks about the creation waiting with eager longing for the revealing of the sons of God. It provides an orientation towards the future of eager longing rather than that fearfulness that so often comes first to mind.The foundation of confidence can be found in Malachi 3:6 which simply starts with “I the Lord do not change.” - God's faithful character underlying whatever it is that we encounter. Our God is like a great Greek unmoved mover – he has a great reliable constancy of character. He is not capricious.He is not playing with us.God has got purposes in mind and he is moving things to accomplish. And in that there is a constancy of loving faithfulness that we can count on and that's a really foundational resource that believers can respect when they're looking at questions of leadership, innovation and entrepreneurship: the resource of a faithful God leading us into the future.Trumps Tweets distil the quintessence of volatility. One man's tweets. A hundred forty four characters at 2:00 a.m. in the morning can bring the world to perilous times around nuclear war.I can lie in my own bed at some wee hours of the morning sleepless because I'm reading feed from a person on the other side of the world. You know it's all connected and it's fast and that is a key contributor to the complexity of what we faceAmbiguity: there are so many possible ways of interpreting the unfolding of the future, or the unfolding of the present into the future, or how many ways you can read the present and what it might possibly portend the future.In this complex world, how do I lead in and feel any confidence that going down this route will be fruitful and life giving for the system that I'm working in, be that a church context or a business contex?The future is the next assured piece of God's story of his unfolding purposes. Future is a lot like history because God has shown us who he is and how he works. Does that mean it's predictable. No. But it is nevertheless a place of safety and of confidence for those who travel along with God.“Underneath are the everlasting arms. The eternal God is your refuge”. Not just hang onto it by your fingernails,  but let Him be the centre and font from which we work.Dietrich Bonhoeffer knew he had to keep proceeding as God's man in a mad situation. And he took great comfort from the fact that he knew that he could never act without sin and without grace being a necessary part of the way that he was accepted in in God.Future Shock - Alvin Toffler (1970)VUCA - volatility, uncertainty, complexity, ambiguity. That's a shorthand that is used routinely now in business literature about the nature of the change context that we face.The story of GrooveShark and Spotify (Start Up Podcast from Gimlet Media)Listen here

How do we coalesce towards sharing a purpose together that will shape the way we work together?QuotesChange is actually continuous, but our response to it is not always to do something. Sometimes it confirms us more in the way we are. It can make us more comfortable to hold things that are more predictable - like a marble rolling to the bottom of a basin.On any given day we can imagine or see more things that we could throw ourselves at and change than can ever be addressed. So even at the very front end there is the question of choice, of prayerful consideration of what you're being called to do.Crisis is a serious unravelling, and if we've left things until we're desperate, we're probably in that unravelling situation. And I don't think that's uncommon in this phase of history we're in because so many conversations of leadership have been caught flat footed by the pace of change.Churches in particular are flat footed because of not seeing change as something that ought to be constantly engaged with, constantly processed as part of living. We've tended to see conservatism and static and sameness as desirable states. Perhaps they are for graveyards.We see threats to stability as bad and to be guarded against. And we need to lead past that as a barrier because that's just going to lead to slow and painful irrelevance. That’s not a vibrant continuation of holding the Gospel story in in the community.Construction of a burning platform is the lazy leadership because it's not about calling us into a future. It's about saying “I’ll wait ‘til everyone's got hot and then will they follow me into a new future and it will be easy.It's not about burning platforms. It's about telling the truth about the context that we live in, and telling the truth about the wonders of the gospel and God’s offer into that context, and joining those two together – not artificially creating crises in order to activate people.You need a lot of voices in this early stage of coming to grips with a need or a situation. You actually got to do a lot of listening, and to hold a space of openness to a variety of voices in order to actually understand what the system is.In your early conversations try and have the “system in the room” by the people you have in the room. Have a representative from each of those parts of the operation that will be touched; those who will be required to supply; those who will be required to govern it; those will be required to monitor; those who will be impacted by it, who will be looking over your shoulder and perhaps be afraid of what you're doing.Thomas Kuhn in his work on Scientific Revolutions had a major impact on our thinking about the history of science. And he made it really clear from his historical studies just how much innovation relies on communities of thought, on multiple people. The heroic individual was the exception not the rule.The heroic individual is another paradigm that the church has bought. But if you want to be an effective agent of change it's one you better get out of your head, because understanding the system requires multiple voices. That brings a challenge not only for the leader in the church context but also the congregation .Coalescing around a purpose is a very different thing to providing an answer.There's a definition that came out of the Harvard Business Review article quite a few years ago that says that “the exercise of leadership is about realizing a future that wasn't going to happen anyway”. A future that wasn't going to happen anyway is one where we've actually had to really make some serious choices about difference, where we've really had to confront our assumptions and take new perspectives.ReferencesPotential activities during the scope phase:Be curiousTake perspectivesSurface assumptionsShare reflectionsListen Here

Make Up Your Mind - Pastor E John Citizen (10-15-2017)To listen now click the sermon title above.  To download this sermon to your device right click the sermon title above and choose to save or download.

Fight Together - Pastor E John Citizen  (10-08-2017)To listen now click the sermon title above.  To download this sermon to your device right click the sermon title above and choose to save or download.

Sharing His Love - Pastor E John Citizen (10-01-2017)To listen now click the sermon title above.  To download this sermon to your device right click the sermon title above and choose to save or download.

Pastor Paul Strozier

Pastor Paul Strozier

Pastor Paul Strozier

All Power To The Positive! Vol#6, Episode #11 “First and foremost, you do not have to live up to or emulate the lives of any of your predecessors. But at the very least, you should know about them. You will have your own life, interests, and ideas of what you want or do not want in life. Do what you enjoy doing. Be honest with yourself and others. Don’t think of satisfying anyone: your elders, peers, government, religion, or children who will come after you. Develop meaningful ideals, and become conscious of others, their existence, and their lives.” – Yuri Kochiyama Beats: “Start The Revolution” – Marcel Cartier “Dead Or In Prison” – Lil Bibby “Luv Dem Gun Sounds” – Wocka Flocka Flames “Curve Ball” – Honey Cocaine “Hip To Da Game” – Lord Finesse “Right Now” – Celph Titled   Cuts: “I Wanna Be Your Lover” – Prince “This Is America” – Spekulation, ft. Michele Khazak (EXPLICIT) “Do The Digs Dug” – The Goats (EXPLICIT) “A Change Is Gonna Come” – Sam Cooke   Vocals: Mumia Abu-Jamal (prisonradio.org), Throwback remix: “F–K You Judge” (EXPLICIT), Sensei Lewis, Jacob Brown, and a lot more. Click here for a “Steal This House!” supplemental.

Pastor Paul Strozier

Marc Sundstrom, Sr. Associate Pastor

Pastor Paul Strozier

Pastor Paul Strozier

Pastor Paul Strozier

Marc Sundstrom, Sr. Associate Pastor

Pastor Paul Strozier

Pastor Paul Strozier

Pastor Paul Strozier

Pastor Paul Strozier

Pastor Paul Strozier

Pastor Paul Strozier

Doug Linville

Pastor Paul Strozier

Click here to listen to message:Strongholds5.mp32 Corinthians 10:4Verses to pray:

Pastor Paul Strozier

Click here to listen to message:  Strongholds4.mp32 Corinthians 10:4  Verses to pray:

Pastor Paul Strozier

Marc Sundstrom, Senior Associate Pastor

Click here to listen to message: Strongholds2.mp32 Corinthians 10:4Verses to pray: 

ABOUT THIS EPISODE: Justin Eimers and Cal Moore sit down with Dr. Michael Licona to discuss his ReMIND Conference plenary session, "The Resurrection of Jesus Christ: Is It Possible to Prove Jesus' Resurrection?" ABOUT DR. MICHAEL LICONA: President of Risen Jesus Inc and associate professor of theology at Houston Baptist University: Mike Licona is associate professor of theology at Houston Baptist University and president of Risen Jesus, Inc. He has a Ph.D. in New Testament Studies from the University of Pretoria, which he earned with distinction and the highest mark. Mike was interviewed by Lee Strobel in his book The Case for the Real Jesus and appeared in Strobel’s video The Case for Christ. He is the author of numerous books including The Resurrection of Jesus: A New Historiographical Approach, Paul Meets Muhammad, co-author with Gary Habermas of the award-winning book The Case for the Resurrection of Jesus, and co-editor with William Dembski of Evidence for God: 50 Arguments for Faith from the Bible, History, Philosophy, and Science. His next book will concern ancient compositional devices resulting in discrepancies in the Gospels and Plutarch’s Lives. Mike is a member of the Society of Biblical Literature, the Institute for Biblical Research, and the Evangelical Philosophical Society. He has spoken on more than 70 university campuses and has appeared on dozens of radio and television programs. #ReMIND15 @RemindConf--- © The Christian Manifesto 2007-2015

What makes a good educational game? This semester I included a section on games and game design in my authoring tools course, a graduate level course in the Educational Technology MA.  It's the first time for this unit, so I was interested in how it was going to go, and I kept the parameters and assessment loose.   I'm very happy with the work, and I hope many of the students continue with their games.   As I review the students' work I' have made some observations on what would make a good educational game:Fable Table: A game where students create fables from remixing elements of existing stories.The game cannot simply be an assessment (any Jeopardy-like game is a nonstarter).  At its best, the game should teach something, not just reinforce.The game should give a kids with a variety of subject area knowledge a chance to be engaged. e.g. it doesn't reward kids for what they came into class with.The game mechanic should be the message. i.e. the skill, habit, knowledge should be baked into the game play.Engaging and funSimple instructionsLow barrier to entryTry to avoid a zero-sum/winner-take-all objective The element of luck helps to move the game from an assessment and gives kids with different abilities a fighting chance at engagement, dice, wild cards, switches, and reversals.Competitive games that have a strong assessment element just reinforce traditional teaching and reward the advanced students and stigmatize the struggling students.I must admit that I was a skeptic to games in education.  For every student who loves Monopoly, there's one who hates it.  However, there's something about the 'timelessness' of games that makes me respect them too.  Almost every civilization has used them for teaching, culture, and socialization. Here's the actual assignment:**********Develop a Game Games have been defined as: “One or more causally linked series of challenges in a simulated environment” --Adams and Rollings “A system in which players engage in an artificial conflict, defined by rules, that results in a quantifiable outcome.”-- Salen and Zimmerman You will design a board game, a card game, video game, online game, a web-based game (not a webquest).   Game Criteria Your game should have: A worthwhile objective for playing the game. This is not the objective of winning the game, but the objective of playing the game…e.g. the game objective of SuperBetter is to score a certain number of points but the objective of playing the game is to get mentally and/or physically healthy.Inviting and low-barrier to entry (invite people to continue once they start and increasingly challenge them them as  they continue) 3-6 core mechanics (main, important actions a player does).  “The mechanic is the message” Increasing challenge RulesFeel free to think of an existing game and modify it.   Your game should have a short explanation (3-4 pages) and a working model. A description of the objective of the game A description of the core mechanics and an analysis of why they work in the service of the objective of the game.A description of the rulesA description of how the game would be played, with an emphasis on how it starts and how it gets more challengingInfluences or inspirations (this can be other games, books, experiences)A working prototype of the game (card game, board game, etc.) ********ResourcesWe use the work of Institute of Play's Gamekit as well as these books. BibliographyKoster, R. (2004). A theory of fun for game design.  Phoenix, AZ: Paraglyph Press.Mcgonigal, J. (2011). Reality is broken: Why games make us better and how they can change the world.  New York, New York: Penguin Books.Salen, K.  (2007).  The ecology of games:  Connecting youth, games, and learning (p. 278).  Boston, MA: MIT Press.Salen, K, Torres, R, Wolozin, L, Rufo-Tepper, R, & Shapiro, A. (2011) Quest to learn: Creating the school for digital kids.  Cambridge, MA: MIT Press.  Available online at http://dmlcentral.net/sites/dmlcentral/files/resource_files/Quest_to_LearnMacfoundReport.pdfSalen, K. & Zimmerman, E. (2004). The rules of play.  Boston, MA: MIT Press.

From the series: Wishing Well There is provision in the middle of our problems if we have eyes to see it. Speaker: Pastor Lyndle References: Gen 21:8-21 Resources: Provision_in_the_Problems_-_October_27__2013.mp3 (download)

From the series: Wishing Well What happens when we stop at a well and wish things were different? Speaker: Pastor Lyndle References: Exodus 2:11-15 Tags: Moses Wishes Resources: October_20_2013_Wishing_Well_Part_1.mp3 (download)

L.S.!De eerste vodcast van de opleiding Communicatiewetenschap is een feit. Hieronder vinden jullie een korte samenvatting van Piet Bakker over de eerste drie hoofdstukken van het boek 'Mass Communication Theory: an introduction' van Dennis McQuail. Dit boek is verplichte literatuur voor het vak Inleiding in de Communicatiewetenschap.

Lesson 1 : + The Three Alphabets of Japanese - Hiragana, Katakana , Kanji + Grammar -"Wa" , "Desu" Slide1 Slide2 Slide3 + Vocb. Vocb.Slide + Culture Lesson : How I got into Japanese. If you enjoy this podcast, to help it out - You can use the Paypal incon to make a donation. With any help you can give I am grateful. And even if not, Thanks for listening. Please also feel free to leave a comment/feedback or email me. Thanks!