Podcasts about Tertiary

Tertiary Minerals PLC (AIM:TYM, OTC:TTIRF) managing director Richard Belcher talked with Proactive's Stephen Gunnion about the company's £100,000 placement with a major existing shareholder. Belcher described the funding as “a great endorsement for the company and our current strategy,” noting that the proceeds will go directly into accelerating exploration efforts at the Mushima North project in Zambia. The additional drilling at Target A1 is designed to build on recent high-grade copper and silver intercepts. Belcher explained that this new phase of drilling will expand the search for mineralisation both north and south, as well as at depth. “This will certainly shorten the timeframes around which we can advance the project,” he said, emphasising the strategic move to drill before the rainy season. Belcher also outlined progress on other parts of Tertiary's portfolio. The company is awaiting further feedback on its Storuman project in Sweden and continues to evaluate its Nevada assets for ways to deliver shareholder value. In Zambia, joint ventures at Konkola West with KoBold Metals and at the Mukai project with First Quantum Minerals remain active areas of interest. For more updates on Tertiary Minerals' exploration and development progress, visit Proactive's YouTube channel. Don't forget to give this video a like, subscribe to the channel and enable notifications so you don't miss future content. #TertiaryMinerals #CopperExploration #SilverMining #ZambiaMining #MushimaNorth #JuniorMining #MiningInvestment #ResourceDrilling #ExplorationUpdate #ProactiveInvestors

For years, many Nigerian students have struggled to gain admission into tertiary institutions due to their inability to pass mathematics.Now, the Federal Ministry of Education has introduced new guidelines removing mathematics as a compulsory subject for arts students seeking admission.While some Nigerians are celebrating the decision, others are questioning its long-term impact on education standards.This is what we're discussing in today's episode of Nigeria Daily.

Do you want another example of Labour's ideology over pragmatism? I really, really hope that the previous Labour ministers have learned from their previous terms in government that thought bubbles and bright ideas do not sound policy make. Remember Fees Free? The policy was introduced in 2018 and was a key part of Labour's election campaign. The first year of tertiary study would be free for students. It would progressively roll out to cover three years, which never eventuated. We, the taxpayer, provided up to $12,000 in tuition fee payments for the first year of provider-based study or the first two years of work-based learning. The idea behind the objective was sound and worthy. The Labour Government, Jacinda Ardern, Chris Hipkins, et al, billed it as improving equity and opening the doors to higher learning for disadvantaged people for whom the doors would otherwise be closed. Labour expected to see a first-in-family effect. There would be students who would be the first in their families to attend higher education, now a significant cost barrier would be removed. Did that happen? Thank you for asking, no, it didn't. Over the years 2017 to 2022, European, Māori, Pacific, and Asian participation rates stayed relatively steady. The failure to shift the dial, the New Zealand Herald reports, was so evident that in 2020, Labour shifted the policy's purpose to reducing student debt levels. All right, well we can't get disadvantaged kids to university, we can't get first in family. Oh, I know, we'll use the taxpayer money to reduce student debt level. The failed objectives were to increase participation in tertiary study, expand access by reducing financial barriers, and support lifelong learning. Nope. First year fees-free was limited to learners with little to no prior study, limiting lifelong learning support, the analysis said from the Ministry of Education. It described the scheme as a lot of money for little behavioural change, or as they put it, a high deadweight cost. From this year, the Coalition Government has changed the scheme so it applies to the final year of study, with payment following the completion of studies. The policy has three objectives: to incentivize learners, particularly disadvantaged learners, to finish their studies, to reward learners who complete their program of study, to reduce the overall cost of study. The Ministry of Education officials say this is going to fail too. Particularly for degree level study, once a learner reaches their final year, they are already far more likely to complete than those first entering study. So basically, they said it's a self-fulfilling prophecy. By the time you reach your third year, you're going to finish whether the taxpayer is paying for your final year of fees or not. You're motivated enough to stay. They say the second goal is essentially meaningless. Of course there's going to be a completion of qualifications. And the third objective, will most likely succeed, to reduce the overall cost of study. And it will at least help the government's books, the trade-off being an estimated $230 million a year in student debt or more debt repayments than would otherwise occur. So thought bubbles don't make sound policy. The thing that really concerned me in the early years of Labour was that they were ideas I'd think of – ‘Oh, I know, let's do this'. Which is great, but you have to think it through, and you have to listen to your advisors, and you have to listen when people say, "Mm, I'm not entirely sure that we're going to be able to build 100,000 houses." "Yeah, yeah, yeah, but what about if we do this?" And we just throw as much money as we possibly can at it. And on the face of it, taking away that first year of paying your fees – "Hey, gang, I've got an idea. Let's take away that first year of fees so that disadvantaged kids will see university as a great option." I mean, it doesn't take much scratching beyond the surface to see that's not going to work. And we all said that at the time, didn't we? We discussed it. And now it looks like according to the analysis that fees-free final year won't work either. At least not for getting disadvantaged kids through degrees. For those who are highly motivated and have families that go to university, it's like, "Hooray!" Excellent. We'll take the $12,000 off our student debt, thanks very much, and good. If it helps motivated kids get through their study with less of a financial burden around their neck, it makes it easier for them to move onto the next phase of their life, buying a home, starting a family, this is all good. You know, but in terms of the objectives, it's going to fail. But they have to keep it because of the coalition agreement with both NZ First and ACT. So they might have to do what Labour did and just rewrite the objectives. Our objective is that we reward kids who were going to go to university anyway, who are motivated, who are successful, who we want to keep in New Zealand. We'll take $12,000 off their overall student debt, so they'll stay here, buy a house, and have a family. And on the face of it, that's not a bad objective. See omnystudio.com/listener for privacy information.

Another option to go alongside fees free study. The Labour Government introduced First Year Fees Free in 2018, providing tertiary students with up to $12,000 in tuition cover for the first year of provider-based study, or the first two years of work-based learning. The Coalition Government has changed the scheme from this year, applying it to the final year of study instead. The policy had three objectives, to incentivise learners, particularly disadvantaged learners, to finish their studies; to reward learners who complete their programme of study; to reduce the overall cost of study. However, officials say, like its predecessor, this policy is likely to fail too. First Foundation is a wraparound programme that picks up academically talented but low-income students in year 12, giving them support, mentorship, and financial assistance for university. First Foundation CEO Kirk Sargent told Kerre Woodham they'd welcome the chance to grab that $12,000, invest it into young people and get more people coming through the tertiary environment. He says New Zealand has a productivity issue, and programmes like this could be a solution that would benefit the economy in the long run. LISTEN ABOVE See omnystudio.com/listener for privacy information.

Understanding Hypothyroidism, including thyroid physiology, hypothyroidism causes and classification, as well as hypothyroidism symptoms. We also look at diagnosis and hypothyroidism treatment. PDFs available here: https://rhesusmedicine.com/Consider subscribing on YouTube (if you found any of the info useful!): https://www.youtube.com/channel/UCRks8wB6vgz0E7buP0L_5RQ?sub_confirmation=1Patreon: https://www.patreon.com/rhesusmedicineBuy Us A Coffee!: https://www.buymeacoffee.com/rhesusmedicineTimestamps:0:00 What is Hypothyroidism?0:12 Thyroid Hormone Physiology1:45 Primary vs Secondary Hypothyroidism2:24 Primary Hypothyroidism3:34 Central Hypothyroidism (Secondary & Tertiary)4:05 Hypothyroidism Symptoms5:44 Hypothyroidism Diagnosis7:49 Hypothyroidism Treatment Please remember this podcast and all content from Rhesus Medicine is meant for educational purposes only and should not be used as a guide to diagnose or to treat. Please consult a healthcare professional for medical advice. ReferencesTeachMePhysiology. The Thyroid Gland. Last updated 8 February 2024. Available at: https://teachmephysiology.com/endocrine-system/thyroid-parathyroid-gland/thyroid-gland/Geeky Medics. Thyroid Function Test (TFT) Interpretation. Published 28 April 2018. Available at: https://geekymedics.com/thyroid-function-test-tft-interpretation/BMJ Best Practice. Thyroid Disorders – Background / Epidemiology / Screening / Prevention. Updated 2024. Available at: https://bestpractice.bmj.com/topics/en-gb/36BMJ Best Practice. Primary Hypothyroidism – Diagnosis / Management. Updated 2024. Available at: https://bestpractice.bmj.com/topics/en-gb/535?q=Primary hypothyroidism&c=recentlyviewedBritish Thyroid Foundation (BTF). Thyroid Function Tests. Last revised 10 September 2022. Available at: https://www.btf-thyroid.org/thyroid-function-tests

Tertiary Minerals PLC (AIM:TYM, OTC:TTIRF) managing director Richard Belcher talked with Proactive's Stephen Gunnion about the latest drill results from the Mushima North project in Zambia. The company has reported its highest-grade silver and copper intersections to date, confirming the potential significance of the discovery first made in late 2024. Belcher said, “This is really significant for us… these results from the second phase confirm what we've been suspecting for a while.” Mineralisation now extends over 450m by 400m and remains open, with drilling in the northern extent producing standout copper results of 9m at 0.7%, including grades up to 1.6% copper. He explained that the findings not only expand the footprint of mineralisation but also raise the possibility of further high-grade copper zones within the system. While the project has primarily focused on silver, the encouraging copper values have been positively received by the market and will shape future exploration. The company is still awaiting assay results from additional reconnaissance holes and has also submitted samples for further silver, gold, and metallurgical testing. Belcher noted that investors can expect “lots of news flow over the next couple of months” as results continue to come in. For more interviews like this, visit Proactive's YouTube channel. Don't forget to give the video a like, subscribe to the channel, and enable notifications for future updates. #TertiaryMinerals #CopperExploration #SilverDiscovery #ZambiaMining #MushimaNorth #MiningInvesting #CopperStocks #SilverMining #ExplorationResults #ProactiveInvestors

Tertiary Minerals PLC (AIM:TYM, OTC:TTIRF) managing director Richard Belcher talked with Proactive's Stephen Gunnion about the latest drill results from the Mushima North project in Zambia. The company confirmed a 350 by 300 metre mineralised footprint, with results that remain open to the north, south, and at depth. Belcher described the new findings as “very significant for us,” noting the consistent wide intervals, near-surface mineralisation, and the presence of higher-grade silver zones. He explained that the results support Tertiary's working model for an open-pit mining approach, highlighting Zambia's long history of successful open-cast mining as a strong precedent. Mineralisation has been identified within just two metres of the surface, further reinforcing the low-cost extraction potential. Looking ahead, Belcher outlined key upcoming milestones, with around half of the drilling results still to be released. He emphasised that investors can expect further updates from multiple drill batches, as well as initial metallurgical and mineralogical studies that will determine whether the mineralisation is amenable to low-cost processing. Mushima North is a high-priority project within Tertiary's Zambian exploration portfolio. The company is also advancing its interests at Konkola West and Mukai through joint ventures, while exploring opportunities to progress projects in Nevada, USA, potentially through new partnerships. For more updates on Tertiary Minerals and other mining companies, visit Proactive's YouTube channel. Don't forget to like this video, subscribe, and turn on notifications to stay informed. #TertiaryMinerals #ZambiaMining #SilverExploration #MushimaNorth #DrillResults #MiningInvesting #CopperGold #MiningNews #ProactiveInvestors

A push for more work-based learning, to give food and fibre employers greater input on training. Key players like Beef + Lamb New Zealand and Federated Farmers have teamed up to demand an overhaul from the government. The sectors have released the Food and Fibre Workforce Capability Strategy. Forestry Owners' Association Chief Executive Elizabeth Heeg told Francesca Rudkin the strategy sets out a pathway to train the next generation of skilled workers. She says they want to work with the government to ensure the system prioritises capabilities and not just credentials. LISTEN ABOVE See omnystudio.com/listener for privacy information.

Ready to take your veterinary dentistry skills to the next level? https://ivdi.org/inv Request an invitation to the Veterinary Dental Practitioner Program ------------------------------------------------------------------------- Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM  In this episode of The Vet Dental Show, Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM, answers pressing questions from veterinary professionals about root canal limitations, explaining the importance of extractions, and how to communicate effectively with clients about dental procedures. What You'll Learn ✅ Why general practitioners aren't taught root canal therapy. ✅ How to explain the necessity of extractions to clients, even when their pets seem fine. ✅ What to advise clients about the monitoring and maintenance involved with root canals. ✅ How to assess and manage fractured crowns with tertiary dentin. ✅ The role of radiographs in client education and treatment planning. Key Takeaways ✅ Root canal therapy requires extensive training and is best left to specialists. ✅ Client education is crucial for explaining the importance of addressing dental issues, even if they aren't immediately obvious. ✅ Crowns are essential for protecting teeth after root canal procedures. ✅ Radiographic follow-ups are necessary to monitor the long-term success of root canals. ✅ Tertiary dentin can sometimes seal off fractured crowns, but careful radiographic evaluation is essential. ------------------------------------------------------------------------- Don't miss the opportunity to enhance your veterinary dentistry skills! Request an invitation to the Veterinary Dental Practitioner Program: https://ivdi.org/inv Want to expand your skills even further? Explore Dr. Beckman's full selection of courses and resources designed specifically for veterinary professionals!  https://veterinarydentistry.net/ ------------------------------------------------------------------------- Questions? What are your biggest challenges in veterinary dentistry? Leave a comment below! ------------------------------------------------------------------------- veterinary dentistry, vet dental show, Brett Beckman, root canal, tooth extraction, client communication, veterinary education, veterinary technician, IVDI, Veterinary Dental Practitioner Program, dental radiographs, tertiary dentin, fractured crown, pulp necrosis, silent suffering, dental referral, veterinary continuing education

Join Danny Moore and Aaron Jurgaitis as they discuss tertiary and quaternary care from an actuarial perspective. Danny and Aaron discuss: Definitions around the different levels of care, from primary up to quaternary Specifics around the types of care delivered in the specialized facilities that deliver this care, and The key themes actuaries need to keep in mind when analyzing data that include these types of services. Aaron shares information from his background of performing analysis for pediatric and academic facilities that highlight important factors that actuaries should consider, such as relative efficiency, referral patterns, episodes of care vs. points in time, and the specific value of expertise that these facilities contain. The information shared is relevant from both a provider and payer point of view, and will broaden your understanding of the unique characteristics of tertiary and quaternary care providers.

I wasted my four years in tertiary, leaving school to live with friends instead of attending classes, even though my parents paid my fees. Now, they want me out of their house, and I have nowhere to go. Should I return to my parents and confess that I didn't complete school? I feel completely stuck.

Reaching the 70% of the population who are significantly underrepresented in our churches.We're talking about everyday Australians — people who've gone straight into the workforce rather than university. That includes hairdressers, plumbers, builders, business owners, factory workers, truck drivers, IT staff, and media creatives — as well as many in marginalised communities.Within this group, there's huge diversity:Some are winners — financially successful builders and entrepreneurs.Others are respectables — valuing hard work, morals, and family.Some are survivors — juggling multiple jobs and doing it tough.And there are those living in hard places — facing struggles with welfare, addiction, and family stress.Yet while this group represents the majority of Australians, they make up only a small minority in our churches. Why is that? And how can we do better?Andrew Beddo — principal trainer at the Vocational Bible College, equipping gospel workers for everyday Australians.Coz Crosscombe — director of The Well Training Program at Mount Druitt, focused on training leaders from marginalised communities.Simon Gillham — vice principal at Moore Theological College, working on cross-cultural and literacy challenges in ministry.We discuss why this group is missing from many of our congregations, the cultural and learning barriers they face, and how we can shape ministry, training, and preaching to better reach them with the good news of Jesus.The Church Cothechurchco.com is a website and app platform built specifically for churches. Advertise on The Pastor's HeartTo advertise on The Pastor's Heart go to thepastorsheart.net/sponsorSupport the show

As major metros have become too expensive, investors are moving to tertiary markets in order to improve yield, thereby driving up prices in these markets. Smaller markets can be attractive because prices can be 50% less and rents not that much lower. Southern New Hampshire is a great example, as buyers from Boston and other markets are entering this market and paying record prices. Axel Ragnarsson, founder of Aligned Real Estate Partners, buys 10–50-unit value-add apartment buildings in Southern New Hampshire directly from sellers. Southern New Hampshire is a supply constrained, stable market with population and rent growth as residents are moving there from more expensive markets in the Northeast.

In today's episode, we sit down for an exclusive conversation with Miller Matola, CEO of Millvest Advisory — the organization behind the Tourism Investment Forum Africa (TIFA).Now in its third year, TIFA continues to build momentum, and this year's event in Richards Bay, South Africa, reaffirmed its mission: driving tourism investment into Africa's secondary cities.In our conversation, Miller shares why TIFA is more than just a conference — calling it “a global platform for local action” — designed to spotlight development opportunities in often-overlooked secondary and tertiary regions across the continent.

Tertiary Minerals PLC (AIM:TYM, OTC:TTIRF) managing director Richard Belcher talked with Proactive's Stephen Gunnion about the latest drill results from the Mushima North project in Zambia. The company announced that silver mineralisation has been extended by 225 metres to the north, with the zone remaining open-ended. Belcher said: “We're really happy with these initial results… the silver mineralisation remains open-ended. So, a great start to the results from this drill program.” He explained that drilling at Target A1 delivered the highest silver and copper grades reported to date, with mineralisation intersected just 5 to 10 metres from surface. According to Belcher, this supports the potential for open-pit style extraction, noting that “having those high-grade zones within the broad, consistent silver grades are great for potential economics when we get to this stage further down the line.” The managing director also confirmed that further assays are pending and that mineralisation remains open both to the north and at depth, representing potential upside for future drilling campaigns. In addition, Tertiary is advancing mineralogical and metallurgical studies to better understand how the silver and associated metals are hosted, with initial results expected within a month. Looking ahead, Belcher highlighted that investors should also watch for updates from Cobalt Metals' ongoing work at the Konkola West joint venture, where drilling is continuing towards a potential ore zone. For more videos from Proactive, don't forget to give this video a like, subscribe to our channel, and enable notifications to stay updated. #TertiaryMinerals #SilverMining #CopperExploration #MushimaNorth #ZambiaMining #DrillResults #Metallurgy #MiningInvestment #NaturalResources #CopperAndSilver

The Government's tertiary refresh has sparked conversation around whether the country's dumbing down the sector. Universities Minister Shane Reti's announced a package of initiatives, including a new education strategy and updated governance rules. He decided against making university entrance harder. Universities NZ chair Grant Edwards told Andrew Dickens there's no need for more limits on who can hand out the top academic qualifications. He says universities are the only institutions to do research-led teaching in the country, so research-led Masters and PhDs should be awarded within them. LISTEN ABOVE See omnystudio.com/listener for privacy information.

 1 Then shall the kingdom of heaven be like to ten virgins, who taking their lamps went out to meet the bridegroom and the bride.Tunc simile erit regnum caelorum decem virginibus : quae accipientes lampades suas exierunt obviam sponso et sponsae. 2 And five of them were foolish, and five wise.Quinque autem ex eis erant fatuae, et quinque prudentes : 3 But the five foolish, having taken their lamps, did not take oil with them:sed quinque fatuae, acceptis lampadibus, non sumpserunt oleum secum : 4 But the wise took oil in their vessels with the lamps.prudentes vero acceperunt oleum in vasis suis cum lampadibus. 5 And the bridegroom tarrying, they all slumbered and slept.Moram autem faciente sponso, dormitaverunt omnes et dormierunt. 6 And at midnight there was a cry made: Behold the bridegroom cometh, go ye forth to meet him.Media autem nocte clamor factus est : Ecce sponsus venit, exite obviam ei. 7 Then all those virgins arose and trimmed their lamps.Tunc surrexerunt omnes virgines illae, et ornaverunt lampades suas. 8 And the foolish said to the wise: Give us of your oil, for our lamps are gone out.Fatuae autem sapientibus dixerunt : Date nobis de oleo vestro, quia lampades nostrae extinguuntur. 9 The wise answered, saying: Lest perhaps there be not enough for us and for you, go ye rather to them that sell, and buy for yourselves.Responderunt prudentes, dicentes : Ne forte non sufficiat nobis, et vobis, ite potius ad vendentes, et emite vobis. 10 Now whilst they went to buy, the bridegroom came: and they that were ready, went in with him to the marriage, and the door was shut.Dum autem irent emere, venit sponsus : et quae paratae erant, intraverunt cum eo ad nuptias, et clausa est janua. 11 But at last come also the other virgins, saying: Lord, Lord, open to us.Novissime vero veniunt et reliquae virgines, dicentes : Domine, domine, aperi nobis. 12 But he answering said: Amen I say to you, I know you not.At ille respondens, ait : Amen dico vobis, nescio vos. 13 Watch ye therefore, because you know not the day nor the hour.Vigilate itaque, quia nescitis diem, neque horamSt Rose was the first flower of holiness which bloomed in South America. She was born at Lima in Peru. Too feeble for the monastic life, she lived a life of severe mortification as a Tertiary of St Dominic and died at the age of thirty years. A.D. 1617.

Stephen Grootes speaks to Sasol CEO Simon Baloyi about the company’s R6.8 billion net income turnaround driven by cost cuts and higher output despite rising carbon credit costs, and to ADvTECH CEO Geoff Whyte about strong interim results marked by growth in revenue, enrolments, and profit, especially in the Rest of Africa and Tertiary divisions. In other interviews, Nduduzo Makhathini, pianist and composer, and shares valuable insights on his music journey and life lessons learned along the way. The Money Show is a podcast hosted by well-known journalist and radio presenter, Stephen Grootes. He explores the latest economic trends, business developments, investment opportunities, and personal finance strategies. Each episode features engaging conversations with top newsmakers, industry experts, financial advisors, entrepreneurs, and politicians, offering you thought-provoking insights to navigate the ever-changing financial landscape.    Thank you for listening to a podcast from The Money Show Listen live Primedia+ weekdays from 18:00 and 20:00 (SA Time) to The Money Show with Stephen Grootes broadcast on 702 https://buff.ly/gk3y0Kj and CapeTalk https://buff.ly/NnFM3Nk For more from the show, go to https://buff.ly/7QpH0jY or find all the catch-up podcasts here https://buff.ly/PlhvUVe Subscribe to The Money Show Daily Newsletter and the Weekly Business Wrap here https://buff.ly/v5mfetc The Money Show is brought to you by Absa     Follow us on social media   702 on Facebook: https://www.facebook.com/TalkRadio702 702 on TikTok: https://www.tiktok.com/@talkradio702 702 on Instagram: https://www.instagram.com/talkradio702/ 702 on X: https://x.com/CapeTalk 702 on YouTube: https://www.youtube.com/@radio702   CapeTalk on Facebook: https://www.facebook.com/CapeTalk CapeTalk on TikTok: https://www.tiktok.com/@capetalk CapeTalk on Instagram: https://www.instagram.com/ CapeTalk on X: https://x.com/Radio702 CapeTalk on YouTube: https://www.youtube.com/@CapeTalk567 See omnystudio.com/listener for privacy information.

Stephen Grootes speaks to Geoff Whyte, CEO of ADvTECH, about the company's strong interim results for the six months ended June 2025, with notable growth in revenue, enrolment, and profit, particularly in its Rest of Africa division and Tertiary division. The Money Show is a podcast hosted by well-known journalist and radio presenter, Stephen Grootes. He explores the latest economic trends, business developments, investment opportunities, and personal finance strategies. Each episode features engaging conversations with top newsmakers, industry experts, financial advisors, entrepreneurs, and politicians, offering you thought-provoking insights to navigate the ever-changing financial landscape.    Thank you for listening to a podcast from The Money Show Listen live Primedia+ weekdays from 18:00 and 20:00 (SA Time) to The Money Show with Stephen Grootes broadcast on 702 https://buff.ly/gk3y0Kj and CapeTalk https://buff.ly/NnFM3Nk For more from the show, go to https://buff.ly/7QpH0jY or find all the catch-up podcasts here https://buff.ly/PlhvUVe Subscribe to The Money Show Daily Newsletter and the Weekly Business Wrap here https://buff.ly/v5mfetc The Money Show is brought to you by Absa     Follow us on social media   702 on Facebook: https://www.facebook.com/TalkRadio702 702 on TikTok: https://www.tiktok.com/@talkradio702 702 on Instagram: https://www.instagram.com/talkradio702/ 702 on X: https://x.com/CapeTalk 702 on YouTube: https://www.youtube.com/@radio702   CapeTalk on Facebook: https://www.facebook.com/CapeTalk CapeTalk on TikTok: https://www.tiktok.com/@capetalk CapeTalk on Instagram: https://www.instagram.com/ CapeTalk on X: https://x.com/Radio702 CapeTalk on YouTube: https://www.youtube.com/@CapeTalk567 See omnystudio.com/listener for privacy information.

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Tertiary Minerals PLC (AIM:TYM, OTC:TTIRF) managing director Richard Belcher takes Proactive's Stephen Gunnion through the company's latest update on its Mushima North Project in Zambia. Belcher discussed results from the recently completed phase two drilling program at Target A1, which extended mineralisation by 350 metres and remains open to the north and at depth. The mineralised zone is approximately 300 metres wide and lies near surface, just below the soil profile. Belcher noted that broad intervals of 0.2%–0.3% copper include sections grading 0.5%–0.8%, which are in line with grades seen in the domes region, a key exploration area for other companies. He said: “These grades are really in the ranges of what we see up in the domes region. What a lot of other exploration companies are chasing.” Silver is also emerging as a significant metal in the mix, alongside zinc, prompting further metallurgical and mineralogical work to assess the polymetallic potential. He also provided an update on Konkola West, where partner KoBold Metals is drilling the second hole, now past 2,000 metres, targeting the expected ore zone. Upcoming milestones include assay results from Mushima North and further progress at Konkola West within the next one to two months. For more interviews like this, visit Proactive's YouTube channel. Don't forget to like this video, subscribe, and enable notifications for future updates. #TertiaryMinerals #CopperExploration #MushimaNorth #KonkolaWest #ZambiaMining #Polymetallic #Copper #Zinc #Silver #MiningNews #KoBoldMetals #DrillResults

Hello and welcome to Handgun Radio! I'm your host Ryan Michad, Weerd Beard & Co from the wild woods of Central Maine and this is your home for all the news, information and discussion in the handgunning world!   This week, we talk about some backup guns!   Please check out the Patriot Patch Company […] The post Handgun Radio 460 – Secondary, Tertiary & SIG appeared first on Firearms Radio Network.

Hello and welcome to Handgun Radio! I'm your host Ryan Michad, Weerd Beard & Co from the wild woods of Central Maine and this is your home for all the news, information and discussion in the handgunning world!   This week, we talk about some backup guns!   Please check out the Patriot Patch Company for their awesome patches and other high quality  items! Visit www.patriotpatch.co for more information! Cool artist “proof” rendition come along with the latest patch of the month patches!    We are proudly sponsored by VZ Grips! Please go check out all their fantastic products at their website! VZ Grips!  -KFrame Magna Grips   Thank you to all our patreons! Visit us at https://www.patreon.com/handgunradio    Week In Review:    Ryan: -Tommy Emmanuel Concert….got to meet him & had premium seats! -S&W M&P 22X 20 round .22 LR -After this, heading to Bangor for a little family getaway! Checking out my old stomping grounds at UMaine, maybe a Bar Harbor trip, we shall see! -US Air Force Suspends Use of M18 Pistol After Airmans Death   -FBI SIG P320 Evaluation   Weerd: Podcasting week.  2.5 hours of sleep and Band Camp Concert after we wrap.   Main Topic: Light Carry & Backup Guns   Secondary: -J Frames (New UC-432 .32 H&R or .38 Special) -Kahr Series -Sig P365 -Ruger LCR   Teritiary: -Ruger LCP .22 -Seecamp/NAA Guns -NAA Mini Revolver in .22 Mag/.22 LR -Beretta Tip Barrels   Setups: -Double Primary Guns -large medium and small -lots of smaller guns -Paired Carbine + Pistol   Wrap Up: Don't forget to shop Brownells using our affiliate link! Head to firearmsradio.net and click the affiliate link in the upper right hand corner! Be sure to go like Handgun Radio on facebook and share it with your friends! Leave us a review on iTunes! Check out VZ Grips!  Listen to all the great shows on the Firearms Radio Network! Check out the Patriot Patch Company!! www.patriotpatch.co   Weerd where can people find you? Assorted Calibers Podcast,  Weer'd World   Oddball gunscarstech.com Assorted Calibers Podcast ACP and HGR Facebook   David Blue Collar Prepping Brena Bock Author Page David Bock Author Page Team And More Xander: Assorted Calibers Podcast Here so Ryan doesn't do a bad impression of me   Until next week, have fun & safe shooting!  

This week Keith brings on a gaggle of silly geese to recap this years Home Gym Con. Links Massenomics x Ünpaid and Ünderrated Colab (https://www.massenomics.com/shop/unpaid-underrated-tee) Get Your Own Keith Head (https://www.unpaidinternpodcast.com/articles/keith-head) Follow The Podcast On Instagram @unpaid.underrated.podcast (https://www.instagram.com/unpaid.underrated.podcast/) Online UnpaidInternPodcast.com (https://www.unpaidinternpodcast.com/) On Youtube @Unpaid.Underrated.Podcast (https://www.youtube.com/@Unpaid.Underrated.Podcast) Our Guest Big Brandon on Instagram @odoylebasementlifts (https://www.instagram.com/odoyle_basement_lifts/) Big Carp on Instagram @coachcarp76 (https://www.instagram.com/coachcarp76/) or @carpsgym (https://www.instagram.com/carpsgym/) Big Mini Action Jesus on Instagram @miniactionjesus (https://www.instagram.com/miniactionjesus/) Big Hogan on Instagram @worldsstrongestpsychologist (https://www.instagram.com/worlds_strongest_psychologist/) Big Joey on Instagram @joey.echeverria (https://www.instagram.com/joey.echeverria/) Big Nate on Instagram @natee561 (https://www.instagram.com/natee561/) Our Hosts @keithhoneycutt73 (https://www.instagram.com/keithhoneycutt73/) or his orange gym, @thenowhinecellar (https://www.instagram.com/thenowhinecellar/) @joey_mleczko (https://www.instagram.com/joey_mleczko/) Special Guests: Big Brandon, Big Carp, Big Hogan, Big Joey, Big Mini Action Jesus, and Big Nate.

Market Musings with Patrick Cheetham MD Sunrise Resources  Patrick Cheetham, of Sunrise Resources, joins the Market Musings Podcast to talk about his journey from teenage rock collector to leading exploration companies. Discover how he started Dragon Mining at age 26, survived market crashes and why industrial minerals are now his focus.  

Fundraising for Private Equity and Venture funds has slowed as interest rate have climbed. Stalled exits and reduced distributions have followed. There are 50% fewer venture companies today than just a few years ago. As a result, multiples for acquisition targets have decreased, thereby presenting an opportune time for active funds with capital to acquire companies at attractive prices. Companies in secondary and tertiary markets, in particular, can be very attractive. Mark Flickinger is General Partner and COO of BIP Capital. BIP invests in mid-market early stage companies in the Southeast and Midwest.

In this episode, Dave Dubeau sits down with full-time real estate syndicator Nic Espanet of Flex Equity Group. Nic shares his unique journey from physiotherapist to real estate mogul and breaks down how his team finds and funds multifamily deals in less-competitive Texas markets. Nic dives into the strategies that helped him scale from zero to nearly 800 units, his syndication structure, and how he's navigating today's economic headwinds with creativity and grit. Nic also unpacks his asset management role, how he connects with investors, and why his operations in Abilene have held up stronger than some major metros like Dallas or Houston. With real-world examples and honest talk about the challenges and rewards of multifamily syndication, this is an inspiring and educational conversation for investors at any level. About Nic Espanet: Nic is the founder of Flex Equity Group and a full-time real estate investor based in Fort Worth, Texas. With nearly a decade in multifamily syndication, he's known for identifying strong opportunities in tertiary markets and building efficient, investor-focused operations.   - Get Interviewed on the Show! - ================================== Are you a real estate investor with some 'tales from the trenches' you'd like to share with our audience? Want to get great exposure and be seen as a bonafide real estate pro by your friends? Would you like to inspire other people to take action with real estate investing? Then we'd love to interview you! Find out more and pick the date here: http://daveinterviewsyou.com/

The effects of centralising New Zealand's polytechs continue to be felt. New data shows there were about 75 thousand international students in the country last year, down from 125 thousand in 2016. Tertiary's seen the biggest drop, halving in that timeframe. Tertiary Education Union's national secretary Sandra Grey told Mike Hosking polytechs had major reform after Covid, which disrupted courses and staff. She says that confuses students looking to study, who will then consider options elsewhere. LISTEN ABOVE See omnystudio.com/listener for privacy information.

From the June 2025 PTD issue, The Deep Well: Overcoming an ENFP Tertiary Problem by Rachel McKamey. Read by Lori Green.

In this special bonus episode of Talking Bollox, Terry and Calvin are coming to you live from TU Dublin – proudly sponsored by the National Tertiary Office.They're diving into the transformative Tertiary Bachelor's Degree Programme, a game-changing initiative that's making higher education accessible and affordable for all. You don't need points and you won't pay college fees for the first one to two years while you study locally at your nearest Education and Training Board (ETB).Hear inspiring real-life stories from guests Maria, Grace, and Tracey, who share their powerful journeys through the programme – overcoming challenges, chasing ambitions, and proving that there's more than one path to a fully recognised degree.With nearly 40 career-focused Bachelors' Degree courses available across the country for the 2025/26 academic year, this programme is unlocking opportunities for students who may have felt left out in the past. Smaller class sizes, local learning, and full access to college supports from day one – graduating with the same degree as anyone who followed the traditional points route.If you or someone you know is exploring college options, this episode is a must-listen. Learn more at www.nto.ie

What we're talking about: In this third part of my mini series “How to Feel Confident About VCE and Choosing Tertiary Courses” I'm diving into another question that I'd love for you to consider - What are you good at? I don't mean what subject you're good at (although I did talk about that in episode 102), but instead what is something that comes naturally to you that you use in your everyday life that could be applied to any career you choose? Knowing this can help you see how you can bring key parts of yourself to any role you choose to take in the future. Links mentioned: Work with me: https://www.roadmapeducation.com/services

What we're talking about: In this episode, I continue the mini-series on feeling confident about VCE and choosing tertiary courses. Instead of jumping straight to career titles, I encourage you to reflect on your favourite subjects and, more importantly, what you enjoy about them. This approach can provide valuable insights into courses and careers that will allow you to do more of what you actually like. 0:45 – Recap of Episode 100 and the importance of understanding VCE In the last episode I shared some episodes where I explain key aspects of VCE so that you can really understand the system you're working in. If you're stressed at all about VCE, I encourage you to go back and listen to that episode first. 2:27 – The significance of identifying your favourite subject I discuss why pinpointing your favourite subject—and what you like about it—can guide your decisions about future studies and careers. 6:00 – My personal experience with subject preferences and career choices I share my journey of loving maths but not feeling great about the typical career paths everyone was suggesting, like engineering or accounting. 9:50 – The importance of understanding what you enjoy in a subject I delve into how recognising the specific topics or skills within a subject you enjoy can open up a broader range of course and career options that will actually suit you better. I encourage you to take time to reflect on your favourite subjects and what you really like about them so that you can find courses and careers that will allow you to do more of what you like. Links mentioned: Work with me: https://www.roadmapeducation.com/services

Even though the Real Estate market has contracted significantly as a result of interest rate hikes and rising operating expenses, it's still difficult to find great deals, especially in large metros where there's still a lot of money on the sidelines looking for deals. By comparison, it's easier to find cash flowing opportunities in tertiary markets. Brian Ferguson, Founding and Managing Partner at Fergmar Capital Group, lives and invests mostly in his hometown of Victoria, Texas, approximately two hours from Houston, Austin, and Dallas. Brian can buy workforce multifamily buildings for $70,000-$80,000/door and equally enticing prices on small strip centers. 

Jonathan Davis, Zofia Witkovsky-Blake and Jessie French discuss their lives as tertiary students combining their interests spanning science and the arts.

What we're talking about: Thanks for joining me for the 100th episode of Course and Career Chat! This episode is Part 1 in a series I'm calling How to Feel Confident About VCE and Choosing Tertiary Courses, and in this episode I want you to think about what is stressing you out about VCE so that you can get your questions answered. I've created a list of past episodes of Course and Career Chat where you can find the answers to common questions I get when I'm working with my students and their parents, and if I haven't answered your question yet, please send me a DM on Instagram to let me know - I'm happy to help! Links mentioned: VCE Subjects: 5 Things to Consider When Choosing Yours: https://www.roadmapeducation.com/podcast/56 How Are ATARs Calculated?: https://www.roadmapeducation.com/podcast/58 ATAR Myths and Misconceptions: https://www.roadmapeducation.com/podcast/70 Should You Accelerate in VCE?: https://www.roadmapeducation.com/podcast/78 What Happens If You Do An Unscored VCE or VCE-VM?: https://www.roadmapeducation.com/podcast/87 All About the GAT (Updated for 2024): https://www.roadmapeducation.com/podcast/85 How Do SACs Work in VCE?: https://www.roadmapeducation.com/podcast/96 What is your VCE subject ranking?: https://www.roadmapeducation.com/podcast/79 Send me a DM with any other questions you have on Instagram @roadmap_ed: https://www.instagram.com/roadmap_ed/?hl=en Work with me: https://www.roadmapeducation.com/services

Tertiary sector leaders are warning the exodus of young people from the country will worsen if a funding reduction for the sector goes ahead, with the cost of studying in Australia getting close to the same as studying here.

John Maytham speaks to Matshidiso Lencoasa, Budget Analyst and member of the Budget Justice Coalition, to unpack the long-term implications of shrinking education budgets, the growing divide between those who can afford university and those who cannot, and the urgent policy shifts needed to ensure education remains a right, not a privilege.See omnystudio.com/listener for privacy information.

In this episode of the Econ Dev Show, Dr. Ronda Sauget, President and CEO of Coles Together, discusses the unique advantages of tertiary markets in economic development. She explores how smaller communities like Coles County, Illinois are attracting businesses through stable workforces, easier business processes, and strong infrastructure, while sharing her journey from the Federal Reserve to leading economic development in a thriving micropolitan area. Like this show? Please leave us a review here (https://econdevshow.com/rate-this-podcast/) — even one sentence helps! Ten Actionable Takeaways for Economic Developers Take fresh looks at existing assets - they might be more valuable than you think Focus on building complete ecosystems including housing, childcare, and healthcare Leverage your location's unique advantages in infrastructure and connectivity Develop strong workforce pipelines through youth apprenticeships Create strategic plans that align all community assets Build relationships with both large and small businesses Focus on quick turnaround times for business requests Highlight quality of life advantages for workforce attraction Develop strong public-private partnerships Invest in sustainable infrastructure like green energy for long-term growth Special Guest: Dr. Ronda Sauget.

The government is considering a new type of tertiary institution that apparently combines a university and apprenticeship-style training. Education correspondent John Gerritsen spoke to Ingrid Hipkiss.

Proposed cuts to a tertiary apprenticeship training programme in Rotorua could leave dozens of people high and dry part way through their qualifications. The proposal from Bay of Plenty's Toi Ohomai institute of technology would mean up to 20 job losses according to the Tertiary Education union. The Union claims a number of courses across campuses in Taupo, Tokoroa, Rotorua, Tauranga and Whakatane include timber machining, forest management, social and youth work and rehabilitation studies. It said the cuts could mean the complete closure of the Waipa campus in Rotorua; a dedicated training facility that currently operates a working wood manufacturing plant. Senior tutor in Forestry and Wood manufacturing Kerry Parker spoke to Lisa Owen.

For certain diagnoses and patients who meet clinical criteria, neuromodulation can provide profound, long-lasting relief that significantly improves quality of life. In this episode, Aaron Berkowitz, MD, PhD, FAAN speaks with Prasad Shirvalkar, MD, PhD, author of the article “Neuromodulation for Neuropathic Pain Syndromes,” in the Continuum® October 2024 Pain Management in Neurology issue. Dr. Berkowitz is a Continuum® Audio interviewer and a professor of neurology at the University of California San Francisco in the Department of Neurology and a neurohospitalist, general neurologist, and clinician educator at the San Francisco VA Medical Center at the San Francisco General Hospital in San Francisco, California. Dr. Shirvalkar is an associate professor in the Departments of Anesthesia and Perioperative Care, Neurological Surgery, and Neurology at Weill Institute for Neurosciences at the University of California, San Francisco in San Francisco, California. Additional Resources Read the article: Neuromodulation for Neuropathic Pain Syndromes Subscribe to Continuum: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @AaronLBerkowitz Guest: @PrasadShirvalka Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor in Chief of Continuum, the premier topic-based neurology clinical review and CME journal from the American Academy of Neurology. Thank you for joining us on Continuum Audio, which features conversations with Continuum's guest editors and authors, who are the leading experts in their fields. Subscribers to the Continuum Journal can read the full article or listen to verbatim recordings of the article and have access to exclusive interviews not featured on the podcast. Please visit the link in the episode notes for more information on the article, subscribing to the journal, and how to get CME. Dr Berkowitz: This is Dr Aaron Berkowitz, and today I'm interviewing Dr Prasad Shirvalkar about his article on neuromodulation for painful neuropathic diseases, which appears in the October 2024 Continuum issue on pain management in neurology. Welcome to the podcast, and if you wouldn't mind, please introducing yourself to our listeners.  Dr Shirvalkar: Thanks, Aaron. Yes, of course. So, my name is Prasad Shirvalkar. I'm an associate professor in anesthesiology, neurology and neurological surgery at UCSF. I am one of those rare neurologists that's actually a pain physician.  Dr Berkowitz: Fantastic. And we're excited to have you here and talk to you more about being a neurologist in in the field of pain. So, you wrote a fascinating article here about current and emerging neuromodulation devices and techniques being used to treat chronic pain. And in our interview today, I'm hoping to learn and for our listeners to learn about these devices and techniques and how to determine which patients may benefit from them. But before we get into some of the clinical aspects here, can you first just give our listeners an overview of the basic principles of how neuromodulation of various regions of the nervous system is thought to reduce pain? Dr Shirvalkar: Yeah, I would love to try. But I will promise you that I will not succeed because I think to a large extent, we don't understand how neuromodulation works to treat pain, to describe or to define neuromodulation. Neuromodulation is often described as using electrical stimuli or a chemical stimuli to alter nervous system activity to really influence local activity, but also kind of distant network activity that might be producing pain. On one level, we don't fully understand how pain arises, specifically how chronic pain arises in the nervous system. It's a huge focus of study from the NIH Heal Initiative and many labs around the world. But acute pain, which is kind of when you stub your toe or you burn your finger, is thought to be quite different from the changes over time and the kind of plasticity that produces emotional, cognitive and sensory dimensions. Really what I think is its own disease, chronic pain, of which there are multiple syndromes when we use neuromodulation, either peripheral nerve stimulation or electrical spinal cord stimulation. One common or predominant theory actually comes from a paper in science from 1967 and people still use it, foundational theory and it's called the gate control theory. Two authors, Melzack and Wall, postulated that at the spinal level, there are, there's a local inhibitory circuit or, you know, there's a local circuit where if you provide input to either peripheral nerves or either spinal cord ascending fibers that to kind of summarize it, there's only so much bandwidth, you know, that nerves can carry. And so that if you literally pass through artificial signals electrically, that you will help gate out or block natural pathological but natural pain signals that might be arising from the periphery or spinal cord. So, you know, one idea is that you are kind of interfering with activity that's arising for chemical neuromodulation. The most common is something known as intrathecal drug infusion drug delivery ITTD for that we quite literally put a catheter in the spinal fluid, you know, at the level of the dorsal horn neurons that we think are responsible for perpetuating or creating the pain. Where's the pain generator? And you really, you can infuse local anesthetic, you can infuse opioids. And what's nice is you avoid a lot of systemic side effects and toxicity because it goes right to the spinal cord, you know, by infusing in the fluid. So there's a couple of modalities, but I will say just, like maybe all of our living experience, pain is in the brain. And so, we don't really understand, I would say, what neuromodulation is doing to the higher spinal or brain levels. Dr Berkowitz: Fascinating topic. And yeah, very interesting to hear both what our current understanding is that some of our current understanding is based on data that's 60 years old and that we're actually probably learning about pain by using these modulation techniques, even though we don't really understand how they might be working. So interesting feedback loop there as well as in as in the as in this land. So, your article very nicely organizes the neuromodulation techniques from peripheral to central. So, encourage our listeners to check out your article. And first before we get into some of the clinical applications, just to give the listeners the lay of the land, can you sort of lay out the devices and techniques available for treating pain at each level of the neuroaxis? We'll get into some of the indications in patient selection in a moment, but just sort of to lay out the landscape. What's available that you and your colleagues can use or implant at different levels when we're thinking of referring patients too? Dr Shirvalkar: Absolutely. So, starting from the least invasive or you know, over the counter patients can purchase themselves a TENS machine. Many folks listening to this have probably tried a TENS machine in the past. And the idea is that you put a couple of pads, at least two. So you have like a dipole or you have a positive and a negative lead and you basically inject some current. So, the pads are attached to a battery and you can put these pads over muscle. If you have areas where myofascial pain or sore muscles, you can put them, frankly, over nerves as well and stimulate nerves that are deeper. Most TENS machines kind of use electrical pulses that occur at different rates. You change the rates, you can change the amplitude and patient can kind of have control for what works best. Then getting slightly more invasive, we can often stimulate electrically peripheral nerves. To do this we implant through a needle, a small wire that consists of anywhere from one electrical contact to four or even eight electrical contact. What I think is particularly cool, like TENS, which is transcutaneous electrical nerve stimulation that goes through the skin. Peripheral nerve stimulation aims to stimulate nerves, but you don't have to be right up against the nerve. So, yeah. We typically do this under an ultrasound and you can visualize a nerve like the sciatic nerve, peroneal nerve, or you know, even if someone has an ulnar or a neuropathy, you know, that's the compression. There's a role obviously for surgery and release, but if they have predominantly pain, it's not related to a mechanical problem per se, you could prevent a wire from a peripheral nerve stimulator as far as one centimeter from a nerve and it'll actually stimulate that that modulated and then, you know, kind of progressing even more deeply. The spinal cord stimulation, SCS, it's probably the most ubiquitous or popular form of neuromodulation for pain. People use it for all kinds of diseases. But what it roughly involves is a trial period, which is a placement of either two cylindrical wires, not directly over the spinal cord, but actually in the epidural space, right? So, it's kind of like when you get an epidural injection or doing labor and delivery, when women get epidural catheters, placing spinal cord stimulator leads in that same potential space outside the dura, and you're stimulating through the dura to actually target the ascending dorsal column fibers. And so, you do a trial period or a test drive where the patients get these wires put in. They're coming out of the skin, they're connected to a battery, and they walk around at home for about a week, take careful notes, check in with them, and they keep a diary or a log about how much it helps. Separately. I will say it's hard to distinguish this, the placebo effect often, but you know, sometimes we want to use the placebo effect in clinical practice, but it is a concern, you know, with such invasive things. But you know, if the trial works well, right, you basically can either keep the leads where they are and place a battery internally. And it's for neurologists. You're familiar with deep brain stimulation. These devices are very similar to DVS devices, but they're specifically made for spinal cord stimulation. And there's now like seven companies that offer manufacturers that offer it, each with their own proprietary algorithm or workflow. But going yet more invasive, there is intrathecal drug delivery, which I mentioned, which involves placement of the spinal catheter and infusion of drug into spinal fluid. You could do a trial for that as well. Keep a patient in the hospital for a few days. You've all probably had experience with lumbar drains. It's something real similar. It just goes the other way. You know, you're infusing drugs, and it could also target peripheral nerves or nerve roots with catheters, and that's often done. And last but not least, there's brain stimulation. Right now, it's all experimental except for some forms of TMS or transcranial magnetic stimulation, which is FDA approved for migraine with aura. There are tens machine type devices, cutaneous like stimulators where you can wear on your head like a crown or with stickers for various sorts of migraines. I don't really talk about them too much in in the article, but if there's a fast field out there for adjunctive therapy as well,  Dr Berkowitz: Fantastic. That's a phenomenal overview. Just so we have the lay on the land of these devices. So, from peripheral essentially have peripheral nerve stimulators, spinal cord stimulators, intrathecal drug delivery devices and then techniques we use in other areas of neurology emerging for pain DBS deep brain stimulation and TMS transcranial magnetic stimulation. OK let's get into some clinical applications now. Let's start with spinal cord stimulators, which - correct me if I'm wrong - seem to be probably the most commonly seen in practice. Which patients can benefit from spinal cord stimulators? When should we think about referring a patient to you and your colleagues for consideration of implantation of one of these spinal cord stimulator devices?  Dr Shirvalkar: So, you know, it's a great question. I would say it's interesting how to define which patients or diagnosis might be appropriate. Technically, spinal cord stimulators are approved for the treatment of most recently diabetic peripheral neuropathy. And so, I think that's a really great category if you have patients who have been failed by more conservative treatments, physical therapy, etcetera, but more commonly even going back, neuropathic low back pain and neuropathic leg pain. And so, you think about it and it's like, how do you define neuropathic pain. Neuropathic pain is kind of broadly defined as any pain that's caused by injury or some kind of lesion in the somatosensory nervous system. We now broaden that to be more than just somatosensory nervous system, but still, what if you can't find a lesion, but the pain still feels or seems neuropathic. Clinically, if something is neuropathic, we often use certain qualitative descriptors to describe that type of pain burning, stabbing, electric light, shooting radiates. There's often hyperpathia, like it lingers and spreads in space and time as opposed to, you know, arthritis, throbbing dull pain or as opposed to muscle pain might be myofascial pain, but sometimes it's hard to tell. So, there aren't great decision tools, I would say to help decide. One of the most common syndromes that we use spinal cord stimulation for is what used to be called failed back surgery syndrome. We never like to, we now try to shy away from explicitly saying something is someone has failed in their clinical treatment. So, the euphemism is now, you know, post-laminectomy syndrome. But in any case, if someone has had back surgery and they still have a nervy or neuropathic type pain, either shooting down their legs and often there's no evidence on MRI or even EMG that that something is wrong, they might be a good candidate, especially if they're relying on long term medications that have side effects or things like full agonist opioids, you know that that might have side effects or contraindication. So, I would say one, it's not a first line treatment. It's usually after you've gone through physical therapy for sure. So, you've gone through tried some medications. Basically, if chronic pain is still impacting your life and your function in a meaningful way that's restricting the things you want to do, then it it's totally appropriate, I think, to think about spinal cord stimulation. And importantly, I will add a huge predictor of final court stimulation success is psychological composition, you know, making sure the person doesn't have any untreated psychological illness and, and actually making sure their expectations going in are realistic. You're not going to cure anyone's pain. You may and that's, you know, a win, but it's very unlikely. And so, give folks the expectation that we hope to reduce your pain by 50% or we want you to list personally, I like functional goals where you say what is your pain preventing you from doing? We want to see if you can do X,Y, and Z during the trial period. Pharmacostimulation right now. Yeah. Biggest indication low back leg pain, Diabetic peripheral neuropathy. There is also an indication for CRPS, complex regional pain syndrome, a lesser, I'd say less common but also very debilitating pain condition. For better or worse. Tertiary quaternary care centers. You often will see spinal cord stem used off label for neuropathic type pain syndromes that are not explicitly better. That may be for example, like a nerve injury that's peripheral, you know, it's not responding. A lot of this off label use is highly variable and, you know, on the whole at a population level not very successful. And so, I think there's been a lot of mixed evidence. So, it's something to be aware about.  Dr Berkowitz: That's a very helpful framework. So, thinking about referring patients to who have most commonly probably the patients with chronic low back pain have undergone surgery, have undergone physical therapy, are on medications, have undergone treatment for any potential psychological psychiatric comorbidities, and yet remain disabled by this pain and have a reasonable expectation and goals that you think would make them a good candidate for the procedure. Are those similar principles to peripheral nerve stimulation I wasn't familiar with that technique, I'm reading your article, so are the principles similar and if so, which particular conditions would potentially benefit from referral for a trial peripheral nerve stimulation as opposed to spinal cord stimulation?  Dr Shirvalkar: Yeah, the principles are similar overall. The peripheral nerve stimulation, you know, neuropathic pain with all the characteristics you listed. Interestingly enough, just like spinal cord stim, most insurances require a psychological evaluation for peripheral nerve stim as well. And we want to make sure again that their expectations are reside, they have good social support and they understand the kind of risks of an invasive device. But also, for peripheral nerve stem, specifically, if someone has a traumatic injury of an individual peripheral nerve, often we will consider it seeing kind of super scapular stimulation. Often with folks who've had shoulder injuries or even sciatic nerve stimulation. I have done a few peroneal nerve stimulations as well as occipital nerve stimulation from migraine, so oxygen nerve stimulation has been studied a lot. So, it's still somewhat controversial, but in the right patient it can actually be really helpful. Dr Berkowitz: Very helpful. So, these are patients who have neuropathic pain, but limited to one peripheral nerve distribution as opposed to the more widespread back associated pains, spine associated pains. Dr Shirvalkar: Yeah, Yeah, that's right. And maybe there's one exception actually to this, which is brachial plexopathy. So, you know, folks who've had something like a brachial plexus avulsion or some kind of traumatic injury to their plexus, there is I think good Class 2 evidence that peripheral nerve stem can work. It falls under the indication. No one is as far as to my knowledge, No one's done an explicit trial, you know PNS randomized controlled trial. Yeah, that's, you know, another area one area where PNS or peripheral nerve stems emerging is actually, believe it or not in myofascial low back pain to actually provide muscle stimulation. There are some, there's a company or two out there that seeks to alter the physiology of the multifidus muscle, one of your spinal stabilizer muscles to really see if that can help low back pain. And they've had some interesting results.  Dr Berkowitz: Very interesting. You mentioned TENS units earlier, transcutaneous electrical nerve stimulation as something a patient could get over the counter. When would you encourage a patient to try TENS and when would you consider TENS inadequate and really be thinking about a peripheral nerve stimulator?  Dr Shirvalkar: Yeah, you know TENS we think of as really appropriate for myofascial pain. Folks who have muscular pain, have clear trigger points or taught muscle bands can often get relief from TENS If you turn a TENS machine up too high, you'll actually see muscle infection. So, there's an optimal level where you actually can turn it up to induce, like, a gentle vibration. And so folks will feel paresthesia and vibrations, and that's kind of the sweet spot. However, I would say if folks have pain that's limited or temporary in time or after a particular activity, TENS can be really helpful. The unfortunate reality is TENS often has very time-limited benefits - just while you're wearing it, you know? So, it's often not enduring. And so that's one of the limitations. Dr Berkowitz: That's helpful to understand. We've talked about the present landscape in your article, also talk a little bit about the future and you alluded to this earlier. Tell us a little bit about some off label emerging techniques that we may see in future use. Who, which types of patients, which conditions might we be referring to you and your colleagues for deep brain stimulation or transcranial magnetic stimulation or motor cortex stimulation? What's coming down the pipeline here?  Dr Shirvalkar: That's a great question. You know, one of my favorite topics is deep brain stimulation. I run the laboratory that studies intracranial signals trying to understand how pain is processed in the brain. But, believe it or not, chronic pain is probably the oldest indication for which DBS has been studied. the first paper came out in 1960, I believe, in France. And you know, the, the original pivotal trials occurred even before the Parkinson's trial and so fell out of favor because in my opinion, I think it was just too hard or too difficult or a problem or too heterogeneous. You know, many things, but there are many central pain syndromes, you know, poststroke pains, there's often pains associated with Parkinson's disease, epilepsy, or other brain disorders for which we just don't have good circuit understanding or good targets. So, I think what's coming down the pipeline is a better personalized target identification, understanding where can we stimulate to actually alleviate pain. The other big trend I think in neuromodulation is using closed loop stimulation which means in contrast to traditional electrical stimulation which is on all the time, you know it's 24/7, set it and forget it. Actually, having stimulation respond or adapt to ongoing physiological signals. So that's something that we're seeing in spinal cord stem, but also trying to develop in deep brain stimulation and noninvasive stimulation. TMS is interestingly approved for neuropathic pain in Europe, but not approved by the FDA in the US. And so I think we may see that coming out of pipeline broader indication. And finally, MR guided focused ultrasound is, is a kind of a brand new technique now. You know, focused ultrasound lesions are being used for essential tremor without even making an incision in the skull or drilling in skull. But there are ways to modulate the brain without lesioning. And, you know, I think a lot of research will be emerging on that in the next five years for, for pain and many other neuronal disorders. Dr Berkowitz: That's fascinating. I didn't know that history that DBS was first studied for pain and now we think of it mostly for Parkinson's and other movement disorders. And now the cycle is coming back around to look at it for pain again. What are some of the targets that are being studied that are thought to have benefit or are being shown by your work and that of others to have benefit as far as DBS targets for, for chronic pain? Dr Shirvalkar: You know, that's a great question. And so, the hard part is finding one target that works for all patients. So, it may actually require personalization and actually understanding what brain circuit phenotypes do you have with regards to your chronic pain and then based on that, what target might we use? But I will say the older targets. Classical targets were periaqueductal gray, which is kind of the opioid center in your brain. You know, it's thought to just release large amounts of endogenous opioids when you stimulate there and then the ventral pusher thalamus, right. So, the sensory ascending system may be through gait control theory interferes with pain, but newer targets the answer singlet there's some interest in in stimulating there again, it doesn't work for everybody. We found some interesting findings with the medial thalamus as well as aspects of the caudate and other basal ganglion nuclei that we hopefully will be publishing soon in a data science paper.  Dr Berkowitz: Fantastic. That's exciting to hear and encourage all of our listeners to check out your article. That goes into a lot more depth than we had time to do in this short interview, both about the science and about the clinical indications, pros and cons, risks and benefits of some of these techniques. So again, today I've been interviewing Dr Prasad Shirvalkar, whose article on neuromodulation for painful neuropathic diseases appears in the most recent issue of Continuum on pain management in neurology. Be sure to check out Continuum Audio episodes from this and other issues. And thank you again to our listeners for joining today.  Dr Shirvalkar: Thank you for having me. It was an honor. Dr Monteith: This is Dr Teshamae Monteith, associate editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in depth and clinically relevant information important for neurology practitioners. Use this link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/AudioCME. Thank you for listening to Continuum Audio.

Aubrey speaks to is Ari Katz, CEO Boston City Campus on whether our tertiary institutions are doing enough to prepare young people for this rapidly evolving AI and digital transformation.See omnystudio.com/listener for privacy information.

In Episode 65 of Durable Value, Ryan and Joe discuss the advantages of investing in secondary and tertiary markets compared to larger gateway cities. Our latest research, led by Ryan, debunks common misconceptions, illustrating the long-term stability, diverse economic drivers, and higher cash flow potential of smaller markets. These markets offer less competition and lower entry costs, producing strong returns while mitigating risk. And data reveals these types of markets are more resilient during economic downturns. 00:00 Introduction to Secondary and Tertiary Markets 00:24 Debunking Misconceptions About Smaller Markets 01:32 Key Advantages of Investing in Smaller Markets 02:10 Economic Drivers and Market Stability 03:38 Impact of Remote Work and Population Growth 04:17 Economic Volatility and Market Performance 06:20 Challenges and Friction in Smaller Markets 07:51 Leveraging Expertise in Medium-Sized Cities 08:32 Final Thoughts and Report Insights

We're not just talking about losers anymore! This episode, join amateur historian Thom Woodley on a tour through the vice presidents of history - those mediocre, second-rate men who were a heartbeat away from the presidency. Those who never served as Commander in Chief (or who were nominated as candidate of one of the major parties) gets discussed today - and rated! (Please forgive the audio quality on this one - I was without my pop filter and you can hear every single 'p' nice and close!) I discuss in this episode: George Clinton, Elbridge Gerry, Daniel Tompkins, John Calhoun, Richard Mentor Johnson, George Dallas, William Rufus Devane King, Hannibal Hamlin, Schuyler Colfax, Henry Welson, William Wheeler, Thomas Hendricks, Levi Morton, Adlai Stevenson I, Garrett Hobart, Charles Fairbanks, James Sherman, Thomas Marshall, Charles Dawes, Charles Curtis, John Nance Garner, Alben Barkley, Spiro Agnew, Dan Quayle, Dick Cheney and Mike Pence! (And special mention goes to some interesting THIRD-place runner ups, like David Rice Atchison, John Hay, Samuel Southard and more)... (Tertiary special mention goes to some interesting loser veep candidates - like Sarah Palin, Thomas Eagleton and Curtis Lemay, among some dubious others...)

This episode is part of my Folklore Friday series where I am sharing a folklore story every Friday in 2024. Why Trolls Tried to Make the Westfjords of Iceland an Island Centuries ago, in the wild and rugged land of Iceland, three mischievous trolls hatched a plan to reshape the landscape forever. Their goal? To sever the Westfjords from the rest of the island by digging a massive channel between Húnaflói Bay and Breiðafjörður Bay.These trolls loved a good challenge, so they added a competitive twist: as they dug, they would turn the earth they dug into islands.Deep in their task, the trolls were so focused on their wicked work that they failed to notice the sky brightening—the worst mistake a troll could make, for sunlight spells doom to such creatures The Trolls Try to Escape the Death In the west, where two trolls toiled tirelessly, hundreds of small islands began to speckle the shallow waters of Breiðafjörður. But in the east, where one lone troll struggled with the deeper, harsher waters of Húnaflói, only a few meager mounds rose from the sea.As the first light of dawn began to creep across the horizon, panic set in. The two trolls in the west abandoned their work and sprinted northeast, hoping to escape the deadly sunlight. But they were too late. The rays of the morning sun caught them in Kollafjörður, instantly turning them into stone, where they stand to this day.Their frenzied digging left behind the Gilsfjörður and Bitrufjörður fjords—mere hours more and they might have succeeded in turning the Westfjords into an island.Meanwhile, the third troll in the east, furious at her lack of progress, slammed her shovel into the ground in frustration. With a crack, a piece of earth broke free, forming what we now know as Grimsey Island. But before she could celebrate, the rising sun caught her as well, turning her to stone.Today, her petrified form remains in the village of Drangsnes, known as the Kerling rock formation—a reminder of the trolls' ill-fated quest to reshape Iceland's coasts. Random Fact of the Episode The Westfjords is one of the oldest parts of Iceland. The ancient basaltic lava flows date back to the Tertiary period, which is around 7 to 16 million years ago. Icelandic Word of the Episode Tröll – troll Share this with a Friend Facebook Email Threads Let's Be Social Youtube Tiktok Instagram Facebook Þakka þér kærlega fyrir að hlusta og sjáumst fljótlega.

Running multifamily properties in tertiary markets can have major challenges, especially finding qualified staff and drawing from a smaller tenant base. Despite these challenges, you can still acquire at a low enough basis where big gains can be made. Many of these properties are inefficiently managed by long-term local owners with little or no debt and rents hundreds of dollars per month below market. Seth Teagle, Principal of The Stream Group, vertically manages properties in tertiary markets, and has been able to create immense value through increasing revenue and net operating income.  

Nick Whalen will rock your world with four contrarian observations about the AFC North as he and Jeff Erickson continue their preview series. --- 00:00 - AFC North Preview 01:00 - Baltimore Ravens (+550 AFC, +145 AFC North, 10.5 wins) 01:25 - New defensive coaching staff 05:00 - Changing personnel - Derrick Henry added 11:00 - Pass-catchers 19:30 - Cincinnati Bengals (+700, +160, 10.5 wins) 20:00 - Relatively lost 2023 season 21:00 - Great schedule 23:30 - Joe Burrow's health is the key 25:00 - Draft Burrow at QB7? 29:05 - Chasing Chase Brown? 36:00 - Tertiary pass-catching options 39:00 - Cam Sample out 43:40 - Cleveland Browns (+2200, +600, 8.5 wins) 44:40 - Expectations for Deshaun Watson 45:15 - Still in on Amari Cooper 45:30 - Questions about David Njoku 44:45 - Bringing in Jerry Jeudy 45:15 - RB Job Battle 52:15 - Pittsburgh Steelers (+2800, +800, 8.5 wins) 52:30 - QB job battle between Russell Wilson vs. Justin Fields 56:00 - George Pickens - target machine 59:00 - Add Brandon Aiyuk? 1:01:15 - Najee Harris vs. Jaylen Warren 1:04:30 - Defense still strong --- Circa Circa Million VI and Survivor are back and bigger than ever with $16 Million in total prizes. Enter in Nevada. Play from anywhere. Entries are open until September 7 at 2PM! Sign up at Circa Resort & Casino in Las Vegas! Visit Circa Sports to learn more!  Fantrax Sign up for free at Fantrax dot com slash RotoWire today to enter for your chance to win tickets to any regular season NFL game for you and your entire league! Plus $6,000 in spending cash! That's right, tickets for your entire league! Simply create a new league or bring over your existing leagues for more chances to win! Go to Fantrax.com/RotoWire and sign up today. ACME Real Fantasy Football What's with fantasy football scores looking like an NBA All-Star game? Let's get real with ACME Real Fantasy Football. Go go to ACME Real Fantasy Football and sign up today! Learn more about your ad choices. Visit podcastchoices.com/adchoices

In this cool episode, there is a little of everything: Naked wizards, startled donkeys, vomit, beer and pie, and some fierce negotiations at an Airbnb. There are no epic montages of readiness, but some new meat shields are made, oh wait, I mean friends.Support this podcast at — https://redcircle.com/role_radio/donations

Andy Weiner, President of RockStep Capital, started RockStep Capital Corporation in 1996. Weiner has built or acquired over 9 million square feet of shopping centers throughout the United States. Prior to founding RockStep Capital, Weiner served as Vice President of Operations for Weiner Stores, a chain of 159 family clothing stores with locations in Mississippi, Louisiana, and Texas. We discuss:  Andy's mall thesis A Deal Breakdown of a mall in Small town America Implementing a successful company culture via the Rocksteps We'd appreciate you filling out our audience survey, so we can continuously work on providing relevant content to our listeners.  https://www.thefortpod.com/survey Links RockStep Capital The 25 RockSteps Topics (00:00:00) - Intro (00:04:58) - Andy's background (00:09:09) - Retail pricing structures (00:14:06) - Falling in love with small-town America (00:18:52) - Andy's mall thesis (00:21:59) - What Andy looks for when underwriting a mall (00:30:19) - What are deal killers for you? (00:33:58) - Capitalizing and Closing deals (00:38:50) - Deal breakdown: Manhaatan, KS (00:45:37) - Zombie malls (00:48:53) - Government funding + battling Amazon (00:52:07) - Alternative ways to monetize mall assets (00:54:27) - The Rockstep way Support our Sponsors Bullpen: https://www.bullpenre.com/ Vesto: https://www.vesto.com/fort Better Pitch: https://bit.ly/42d9L0I Fort: https://bit.ly/FortCompanies Follow Fort on LinkedIn: https://www.linkedin.com/company/fort-companies/ Chris on Social Media: The Fort Podcast on Twitter/X: https://x.com/theFORTpodcast Instagram: https://www.instagram.com/thefortpodcast LinkedIn: https://bit.ly/45gIkFd   Watch The Fort on YouTube: https://bit.ly/3oynxNX Visit our website: https://bit.ly/43SOvys Leave a review on Apple: https://bit.ly/45crFD0 Leave a review on Spotify: https://bit.ly/3Krl9jO  The FORT is produced by Johnny Podcasts

What's the key to success in direct-to-seller real estate deals? This week, Zach Hoereth shares his journey as an investor focusing on small to midsize multifamily deals in the Midwest, primarily in Indiana. He has a portfolio consisting of several hundred units across single-family homes, small apartments, and self-storage facilities.In this episode, Zach and I dive into the world of direct-to-seller deals, discussing his strategies for finding deals, the power of follow-up, and some fun stories from his real estate journey. We touch on the challenges and rewards of going direct-to-seller and the importance of building relationships in the industry.Here are some highlights from the episode:- How does Zach find deals in the Midwest and what is his marketing strategy? - What are some fun stories Zach shares about his deals, including one involving persistent follow-up with a seller? - How does Zach manage the dynamic of investing in markets where he doesn't live, and what is his approach to due diligence in those situations? - What is Zach's strategy for leveraging single-family homes in his portfolio and how does he use them to build wealth and cash flow? - What are Zach's goals for the future in terms of building his real estate portfolio, including a focus on self-storage facilities?Are you a new multifamily investor looking to grow your portfolio but don't know where to start? Are you an existing multifamily investor looking to scale your business and master advanced topics such as capital structure, finding off-market deals, and establishing JV partnerships? Click here to learn more about 7-Day Multifamily, a program in which I teach investors the foundational skills they need to start and scale a multifamily portfolio rapidly.Are you looking to invest in real estate, but don't want to deal with the hassle of finding great deals, signing on debt, and managing tenants? Aligned Real Estate Partners provides investment opportunities to passive investors looking for the returns, stability, and tax benefits multifamily real estate offers, but without the work - join our investor club to be notified of future investment opportunities.Connect with Axel:Follow him on InstagramConnect with him on LinkedInSubscribe to our YouTube channelLearn more about Aligned Real Estate PartnersConnect with Zach:Follow him on InstagramConnect with him on LinkedInLearn more about Zach in this website