Podcasts about vci

Desde 1972 que a Costa Almeida Demolições, liderada por António Costa Almeida, confia na robustez dos camiões Mercedes-Benz para marcar presença em grandes projetos como a escavação da VCI.O Fundador é ainda um verdadeiro apaixonado pelo icónico Classe G, sendo proprietário de várias unidades deste todo-o-terreno!

It was announced at the start of the recent Viking Cove Institute 2025 Industry Leaders Summit that well-known retirement industry veteran Amy Glynn would be taking the reins as President at the unique independent organization that boasts a membership of over 600 advisors across roughly 200 firms.Glynn joins the 401(k) Specialist Pod(k)ast to talk about the transition, the recent summit, why advisors need independent guidance, and some key new initiatives set to roll out this year at Viking Cove.Key Insights:Industry Leadership Shift at Viking Cove InstituteAmy Glynn has taken over as President of Viking Cove Institute, bringing a fresh vision to support independent retirement advisors with resources and networking​.Expansion of Financial Services & InitiativesViking Cove is launching new initiatives, including the VCI 100 annual insights, enhanced technology for community circles, and expanded fiduciary certification programs​.Advocacy for Diversity & Women's LeadershipGlynn is leading efforts to support women in the retirement industry through the Women in Pension Network, Women on Boards 50/50, and Viking Cove's leadership summi

Golden Apple Program: Julie Lucero and Bailey Rutherford discuss how you can apply for their program and the future of NM educators! Valley Community Interpreters: Cecilia Portal shares details about VCI's history and the significance of interpreters in New Mexico. Catch us live every SUNDAY at 7PM on KUNM

Vascular cognitive impairment is a common and often underrecognized contributor to cognitive impairment in older individuals, with heterogeneous etiologies requiring individualized treatment strategies.  In this episode, Katie Grouse, MD, FAAN speaks with Lisa C. Silbert, MD, MCR, FAAN, an author of the article “Vascular Cognitive Impairment,” in the Continuum December 2024 Dementia issue. Dr. Grouse is a Continuum® Audio interviewer and a clinical assistant professor at the University of California San Francisco in San Francisco, California. Dr. Silbert is is co-director at Oregon Alzheimer's Disease Research Center, a Gibbs Family Endowed professor of neurology, a professor of neurology at Oregon Health & Science University, a staff neurologist, director of Cognitive Care Clinic, and director of the Geriatric Neurology Fellowship Program at Portland Veterans Affairs Health Care System in Portland, Oregon. Additional Resources Read the article: Vascular Cognitive Impairment 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 Full 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 Grouse: This is Dr Katie Grouse. Today I'm interviewing Dr Lisa Silbert about her article on vascular cognitive impairment, which is part of the December 2024 Continuum issue on dementia. Welcome to the podcast and please introduce yourself to our audience.  Dr Silbert: Hi Katie. Thanks for having me here today. Like you mentioned, my name is Lisa Silbert. I am a behavioral neurologist at Oregon Health and Science University and my research focus is in the area of vascular contributions to cognitive impairment and dementia. Dr Grouse: It's such a pleasure to have you and I really enjoyed reading your article. Just incredibly relevant, I think, to most practicing general neurologists, and really to any subspecialty. I'd like to start by asking, what do you think is the main takeaway point of your article for our listeners?  Dr Silbert: Yeah. I think, you know, the field of vascular cognitive impairment has changed and evolved over the last several decades. And I would say the main take-home message is that vascular cognitive impairment or vascular dementia is no longer a diagnosis that is only considered in someone who's had acute decline following a clinical stroke. That we have to expand our awareness of vascular contributions to cognitive impairment and consider other forms of the disease that can cause a more subacute or slowly progressive form of cognitive impairment. And there are many, many forms of vascular cognitive impairment that present in a more slowly progressive manner. The other thing I would say as a major take-home message is that we know that cerebrovascular disease is a very common copathology with other forms of dementia and that it lowers one 's threshold for manifesting cognitive impairment in the context of multiple pathologies. And so, in this way, vascular cognitive impairment should be considered as a contributing and potentially modifiable factor in any dementia.  Dr Grouse: I found that last point just really, really fascinating. And also, you know, the reminder that a combination of pathologies are more common than any one. To your initial point, I'm actually curious, could you kind of outline for us how you approach diagnosing vascular cognitive impairment?  Dr Silbert: Yeah. So with everything in neurology, a lot of it comes down to the initial history taking. And so part of the work up always includes a very detailed history of the presentation of cognitive impairment. Any time there is an acute change in cognition, vascular contribution should be considered, particularly if it's in the context of a clinical stroke or some kind of event that might have lowered cerebral blood flow to the brain. And then having said that, I already mentioned there are many forms of vascular cognitive impairment that can mimic neurodegenerative disease in terms of its course. So being more slowly progressive. And so because of that neuroimaging, and in particular MRI, has become an extremely valuable tool in the workup of anyone who presents with cognitive impairment in order to evaluate contributions from cerebral vascular disease. And so, MRI is a really helpful tool when it comes to teasing out what may be contributing to a patient's clinical syndrome, as well as their other comorbid medical issues, including stroke risk factors and other kind of medical conditions that might contribute to reduce cerebral blood flow. Dr Grouse: I'd love to talk a little bit more about that. You know, as is often the case with neurologic disease associated with vascular pathology, the importance of prevention, you know, focusing on prevention of vascular diseases is so important. What are some things that we can make sure to focus on with our patients and, you know, particularly anything new to be aware of in counseling them? Dr Silbert: Yeah, I'm really glad you asked me that question because like I mentioned, you know, cerebral vascular disease is so common, it lowers one's threshold for cognitive impairment in the face of other age-related brain pathologies. And so, it's really important for all of us to focus on preserving our cognitive health, even starting in midlife. And so, there are a number of areas that I counsel my patients on when it comes to preserving cerebral health and maximizing cerebrovascular health. And so, these stem from the American Heart Association's Life's Essential 8 because we know that preserving cardiovascular health is likely going to also preserve cerebral vascular health. And so, some of the things that I'm very commonly discussing with my patients are controlling stroke risk factors such as blood pressure, blood sugars and cholesterol, maintaining a healthy weight, and then also working towards a lifestyle that includes a healthy diet, no smoking, regular exercise. And then new within the last couple years is also the recommendation that people get adequate sleep, which is something that hasn't been focused on previously. Dr Grouse: I was really interested in reading your article to learn about enlarged perivascular spaces and the role as a mediating factor in the interaction between through a vascular dysfunction and development and progression of neurodegenerative pathology. Can you elaborate on this further? Dr Silbert: So, this is an area that's still largely unknown in the field, and it's an area where there's a lot of emerging work being done. The short answer is, we really don't know with great certainty how it directly connects with accumulating Alzheimer's pathology. But there is some evidence to suggest that the perivascular space is involved in the clearance of toxic solutes from the brain, including Alzheimer's disease pathology. And so there's a lot of work looking at how potentially cerebrovascular risk factors might affect the clearance of those toxic solutes through the perivascular space, including pulse pressure changes that might occur with accumulating cerebrovascular disease and other potential contributors. But one thing I can say with more certainty is that the, you know, location of perivascular spaces is thought to help distinguish those who might have cognitive symptoms due to cerebrovascular disease versus due to cerebral amyloid angiopathy. Or I guess I should say location is helpful in terms of recognizing vascular contributions to cognitive impairment that's due to arteriolosclerosis versus that due to cerebral amyloid angiopathy. In so much that… when we see a lot of perivascular spaces in the basal ganglia in the subcortical structures, that is thought to be more associated with arteriolosclerosis and hypertension type related vascular cognitive impairment. Whereas when we see multiple perivascular spaces within the centrum semiovale, that tends to be more associated with cerebral amyloid angiopathy. Dr Grouse: That's so interesting. And on the topic ofcerebral amyloid angiopathy, you did go into this a good deal. And you know, I think I encourage everybody to revisit the article to remind themselves about, you know, the findings that can increase the suspicion of tribal amyloid angiopathy. However, you also talked about transient focal neurologic episodes, which I think is just a great reminder that, you know, these can occur in this setting and definitely not to miss. Tell us more about what to look for with these types of episodes.  Dr Silbert: Transit focal neurologic episodes can be very difficult to tease apart from a transient ischemic attack. And these transient focal neurologic episodes due to CAA can present in a number of different ways. And I think the important take home message for that is that in people who have neuroimaging evidence of CAA to inform them that they are at increased risk for having these focal neurologic episodes and that if they do present to a hospital or an emergency department with any kind of neurologic event, that those treating them are aware that they have evidence of CAA on their neuroimaging because the treatment of course is quite different. So, it's someone presenting with ATIA who has transient neurologic symptoms might be considered urgently to get a thrombolytic or, you know, TPA, whereas someone who has known cerebral amyloid angiopathy or suspected CAA, they likely already have microbleeds on their neuroimaging and in those cases thrombolytics and TPA would be contraindicated and not helpful in terms of the etiology of their neurologic symptoms. Dr Grouse: That's a really good point to make. And I think also in your article you mentioned the use of aspirin if you're suspecting ATIA versus a, you know, a transient amyloid related focal neurologic episode. You know, one you would treat with aspirin and the other one you wouldn't.  Dr Silbert: That's right.  Dr Grouse: Another sort of interesting topic you delved into was cerebral microinfarct and how this can also contribute to vascular impairment. Could you elaborate a little more on that? Dr Silbert: Yeah. So cerebral microinfarcts are kind of the hidden cause of or a hidden cause of vascular cognitive impairment. And it's extremely challenging because by definition they are not visible on routine clinical neuroimaging. It's something that we are more aware of based on pathological studies and neuroimaging studies that have been done at ultra-high field strength like 7T MRI. And so, we are just learning more about how prevalent they are in certain conditions and how we can only look at these after death when we're looking at brain tissue and then go back and realize that these play a significant role in cognitive decline when someone is alive. It's important to understand that we're probably only appreciating kind of the tip of the iceberg when we're evaluating a patient and looking at their neuroimaging. That what we're actually seeing on MRI are only the things that are actually quite relatively big and obvious. And that a lot of these neuroimaging features of vascular cognitive impairment are actually associated with pathologic features that we're missing such as microinfarcts. But the hope is that by treating all individuals, particularly those who already have signs of vascular cognitive impairment, by modulating their stroke risk factors and focusing on maintaining brain health, that those will, interventions will also reduce the incidence of microinfarcts. Dr Grouse: What do you think is the greatest inequity or disparity you see in treating patients with vascular cognitive impairment? Dr Silbert: I think the greatest disparity is- really starts way before I treat a patient. That relates to really focusing on healthy lifestyle factors early in life and being able to, you know, afford fruits and vegetables, and having the advantages of being able to exercise regularly, and just being aware that all of these things are extremely important before older age. So, these are things that, you know, I think more education and awareness and greater access to healthcare will definitely improve access to. Even preventative healthcare is a disparity and not available across all of the population and geographic locations. So, I think of the- all the dementias, vascular cognitive impairment probably has the greatest association with health and social disparities in terms of primary prevention and access to care.  Dr Grouse: All really important things to consider. I have to say when, you know, reading your article, dare I say I came away with a little bit of hope thinking, you know, even with, you know, how little we still, you know, or how much we still need to do to really learn how to fight Alzheimer's and, you know, prevent it and, and, you know, help with its progression. The idea that in so many cases, even just doing what we can to prevent the vascular or cognitive impairment can really help any type of dementia. That was really a strong message for me. Do you mind elaborating on that a little more?  Dr Silbert: No, not at all. I agree. I really am hopeful about the prevention and treatment of dementias and through the treatment and prevention of cerebrovascular disease. I think that is a true reality, just like, you know, as we were discussing before, the treatment and prevention of cerebrovascular disease really should be a part of the treatment of any type of cognitive impairment and recommendations for prevention of cognitive impairment. This is the, you know, one thing we know is largely modifiable and preventable in most cases. I think the, really the key thing is just education and making sure that people understand that these are things that really need to be, they need to be engaged in in midlife and that it's much harder to reverse these- the damages once you have them in later life. Having said that, I do think that there's greater awareness of maintaining healthy lifestyle and maintaining awareness of stroke risk factors. And I think we're already starting to see a reduction in dementia worldwide in several large population-based studies, and probably that is due to more attention to the modifying stroke risk factors. So, I agree with you, it's very encouraging.  Dr Grouse: Is there anything exciting on the horizon that you can tell us about that we should all be keeping our eyes out for? Dr Silbert: Yeah. So, you know, I'm really interested in this connection between vascular cognitive impairment and Alzheimer's disease. And it's a real area of exciting new research. And so I think we're going to have more answers as to how, whether and how, cerebrovascular disease is directly linked to accumulating neurodegenerative disease or neurodegenerative pathologies. The other area that's, I think, really exciting, that's moving forward, is the in the area of blood-based biomarkers for vascular cognitive impairment. As these emerge, we'll be able to really identify those at greatest risk for vascular cognitive impairment, but also identify novel mechanisms that lead to VCI that can be targeted for therapeutic intervention. Dr Grouse: Well, I'm really excited to see what's coming down the pipeline and what more we'll learn in this area. So, thank you so much for everything you've done to contribute to this field. Dr Silbert: Yeah.  Dr Grouse: I wanted to ask a little bit more about you. What drew you to this work?  Dr Silbert: Well, actually, so my very first published manuscript in medical school was a case report and review on MELAS, which is mitochondrial encephalopathy with lactic acidosis and strokelike syndrome. And so, I was really fortunate to have Dr Jose Biller, who is a renowned expert in stroke and cerebrovascular disorders, as my mentor for that paper. And so, that got me really interested in neuroimaging findings of cerebral vascular disease. And so when I was a fellow at Oregon Health and Science University, I was then really fortunate to  be able to work with Jeffrey Kaye's oldest old population. And in working with that population, I really became interested in their neuroimaging findings of these white matter lesions and just realizing how prevalent they were in that population, you know, it just led me to start investigating their clinical significance and etiology, which kind of led me along this path. Dr Grouse: You know, Lisa, thank you so much. I really learned a lot from your article, and I think our listeners will definitely find that it was very helpful for their practice. Thank you so much for joining us. Dr Silbert: Thank you so much, Katie. It's been really fun.  Dr Grouse: Again, today I've been interviewing Dr Lisa Silbert, whose article on vascular cognitive impairment appears in the most recent issue of Continuum on dementia. Be sure to check out Continuum audio episodes from this and other issues. And thank you to our listeners for joining today. 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.

Colleen's first pregnancy ended in a miscarriage at 6 weeks. At 12 weeks along with her second pregnancy, Colleen and her husband found out that their daughter would be born with a genetic condition called Trisomy 18. Colleen shares her experiences with Trisomy 18 and how she found the right support to help her navigate through it all. Due to IUGR and other medical concerns, Colleen had her daughter via Cesarean with an 85-day NICU stay afterward. To her surprise, Colleen had a third pregnancy just 6 months after her daughter's delivery which ended in a heartbreaking second-trimester miscarriage. After discussing her pregnancy and birth histories at an appointment, Colleen's doctor referred her to be screened for a MTHFR gene mutation for which she came back positive. MTHFR (methylenetetrahydrofolate reductase) is a gene that impacts your ability to process and absorb folate. It can be responsible for complications during pregnancy and is detected through a simple blood test. Colleen and Meagan talk more about what MTHFR means, and what Colleen was able to do to have a fourth uncomplicated pregnancy and a beautiful, smooth VBAC delivery! Needed WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Welcome to the show, everybody. We have our friend, Colleen, on with us today sharing her stories and navigating through this amazing journey that we call birth. Birth is such a journey, wouldn't you agree, Colleen?Colleen: Absolutely. Meagan: One of the most unique things about it is obviously through the stories we all hear. They are all unique and individual to us and even one birth that you've given doesn't mean the next birth is the same. So we're going to be talking today about navigating through birth and we know that a lot of the times through these journeys whether it be because of a Cesarean or because of how we were treated or because of how our body responded or whatever it may be, sometimes and a lot of the times, we experience trauma. Trauma is viewed differently from everybody and processed differently. We are going to be talking about navigating through trauma. Then Colleen is actually going to share some of her fertility journey as well. I think that's also a really important thing because we have so many mamas out there– we know. We know. We see it. They have to navigate through fertility challenges. We're going to be talking about that along with a VBAC. Let's get into that here in just a minute. We do have a Review of the Week then like I said, I'm going to introduce Colleen and turn the show over to her so she can share her beautiful stories. This review is from lexieemmarie. It says, “So thankful. I just wanted to say thank you for creating this podcast. I had my baby girl via emergency Cesarean at 30 weeks due to several medical complications with my baby. We spent 95 days in the NICU and while in there waiting for my sweet girl to grow, I started to research VBACs to see if it was right for me. Once I found this podcast, it sealed the deal. I absolutely can't wait to VBAC with my next pregnancy. You all are incredible to listen to because you provide the wealth of knowledge and positivity but are also fun and entertaining to listen to. Amazing job, ladies.” Aww, that just made my heart so happy. Oh my goodness. Thank you so much, Lexi, for your review. As always, we love these reviews. They make our hearts and our minds so happy. You guys, this is what we want. We want you to have that wealth of knowledge. We want to have you feel inspired and guided and uplifted and educated along the way through all of these stories. As usual, leave a review if you haven't yet. We would be so grateful. Meagan: Okay. We have Ms. Colleen. She lived in Michigan. Did you have your VBAC baby in Michigan? Colleen: I did, yes. Meagan: You did. Colleen: My husband and I live in a suburb of Detroit in Gross Point so that's where I gave birth in August of 2024. Meagan: Awesome. Awesome. Okay. Wait, 2024? Just right now?Colleen: Yeah, I'm 2 weeks postpartum. Meagan: Yes, I love it! So really, really fresh. Colleen: Fresh. Meagan: I love sharing stories that are so fresh like that. It is right there in your brain. Colleen: Exactly. Meagan: Oh my gosh. Okay. She has two beautiful children now and one two-week-old baby. Your two-year-old daughter is Gianna? Colleen: Gianna, yes. Meagan: She was born via Cesarean due to chromosomal abnormality. Do you want to share what that means?Colleen: Yeah, I would love to. Gianna has a chromosomal condition called Trisomy 18 that we did find out about through the genetic screening early on in pregnancy that she was considered high risk for coming down with Trisomy 18. As the pregnancy progressed, it became pretty evident that it would be the reality. For those of you who don't know, Trisomy 18 on its surface means that the baby will have an extra 18th chromosome in some or all of their cells. How that manifests itself is through some pretty serious medical complexities that require quite a bit of care. I will get into that a little bit more with my story but that is the quick version of Trisomy 18. She is also now 2 years old and a bubby, sometimes sassy, little girl. Meagan: Is there another name for it with an E?Colleen: Edwards Syndrome, yes.Meagan: I have another friend who has that and I seriously adore him. He is thriving and doing amazing in life. Colleen: Yes. She is a warrior. She is so strong. She is so beautiful and has brought nothing but love and joy to everyone who knows her or who don't know her. There are so many people from near and far who love her. It's great. Meagan: Yes. Awesome and then we've got Sonny who was born via VBAC just two weeks ago you guys. She says, “As a mama of a medically complex child, she is passionate about awareness and education for those within her daughter's condition. She also enjoys running, reading, cooking, and volunteering.” Colleen: Yes, that's a little bit about me. Meagan: I love it. Welcome to the show and thank you so much for being here with us. I would love to turn the time over to you to start sharing Gianna's story. Colleen: Amazing. Thank you so much for having me on. The VBAC Link was a staple on so many of my walks when I was getting ready to give birth. I just found it to be so uplifting and empowering and I'm so glad that I found you as a resource. A little bit of background before getting to my VBAC– it really does begin in about 2022. It starts out with some of those fertility issues that you had mentioned at the start of the podcast. My husband and I decided to start trying after about two years of marriage and we got pregnant pretty quickly. That ended early in a miscarriage at about 6 weeks. But we said, “Okay, let's try again.” We had processed and accepted that miscarriages do happen so we quickly said, “Let's give it another go.” But we had those reservations and that in the back of our mind of moving forward cautiously. We did get pregnant quickly again. Throughout the first trimester, we just kept it tight-lipped. We just told immediate family and then decided we wanted to do the genetic testing of course to find out the gender. We didn't really give too much thought to what else you learn from that bloodwork. As my pregnancy progressed throughout the first trimester, I was feeling confident then at about 12 weeks, we received a call from my midwife. She told us that it was a girl and that she came back high-risk with Trisomy 18. We weren't expecting that. It was scary and a shock and the more we learned and the more we read in those early days was devastating to us. We were just coming off the heels of a miscarriage so then to have this thrown at us was just a real curveball. In order to move forward and navigate that, my husband and I were always planning on keeping the pregnancy so it just meant, what does that mean going forward? After talking with more specialists and maternal-fetal medicine at the health system that I was at at the time, it became very apparent that they weren't really willing to help. We needed to find another health system. We are so fortunate because we were living out of state for quite some time then moved home before we started to try. We were living in Chicago and then moved back to Michigan. University of Michigan, so CS Mott Children's Hospital is for sure the best in the state and one of the best in the country for caring for kids with my daughter's condition. We switched all of my prenatal care there and they provided us with hope and were willing to monitor me and have a very wonderful NICU. They were willing to provide interventions and things after she was born. But as it related to my pregnancy, it completely deterred any sort of plans and any sort of “normalcy” that one might have. It was shrouded in sadness and anxiety and fear and unknown. Each ultrasound and each week was closer and closer to meeting her but also closer and closer to what does this mean for her? What does this mean for our family? I completely abandoned any apps or what size fruit she was going to be at a certain week because she had intrauterine growth restriction. That rulebook and those guidelines went out the window. I was really afraid to connect with her when I was pregnant. A lot of the time I would say, “Okay, be in tune with her. Read to her and rock her and listen to music with her,” and I would just end up in the nursery that we decorated in tears because I just had so much fear and sadness around what was to come. With that being said, because my plans had been derailed, I really threw myself into learning about her condition and learning about what would come afterward. That gave me hope as a very Type A person. I needed to be doing something to prepare and connected with other families from around the country to give me and my husband hope and learn about what life with children with Trisomy 18 looks like and what they are capable of really was our main driver throughout pregnancy. With that said, I did not prepare for birth at all. I didn't learn about how it could possibly go. I really just, like I said, focused on what care for her would look like. Just as a very small example of what that even looked like was when I came to write my birth plan, I probably wrote a couple of things like, “Oh, open to epidural. Do you have a birthing ball?” I honestly had a line in there that said, “If she is born not breathing, resuscitate her.” That is where my head was throughout pregnancy and it just came to however she was going to arrive, that was second to her being here and us starting to care for her. Meagan: Yeah. Colleen: That said, my care team, obviously I was being seen by the MFM department at CS Mott. They were very supportive. I never felt like they weren't looking out for both me and her. I think they wanted me to deliver vaginally and with the understanding that if it came to a Cesarean that would be what it was. My husband and I made it very clear that we wanted to be treated however they would handle a typical pregnancy. Meagan: Anybody else, yeah. Colleen: Yes. Yes. If it meant a C-section, that's what it was going to be kind of thing. She was showing that she wasn't tolerating labor. We got to the end of pregnancy and we were discussing what birth would look like. We all agreed that an induction at 37 weeks was going to be the plan for a couple of different reasons. From our perspective, we wanted to just start caring for her knowing that she was going to have complexities. We were in the best place possible to start that process. There is some research that would show that the longer that babies with Trisomy 18 are in utero, you could run into a stillbirth situation. Now again, it's a little bit more on the anecdotal side because many, many kids with Trisomy 18 are born vaginally at 40-41 weeks and it's how you want to play it. Meagan: You have to weigh it out for what's best for everybody. Was IUGR becoming a problem at all or was she still small but staying within her own growth chart?Colleen: Toward the end there, we were seeing some stagnated growth so yeah, they were very much of the mindset, “Let's just get here here,” kind of thing. She was born at 3 pounds, 12 ounces. She was just a peanut. Meagan: Little tiny, yeah. Colleen: I was induced at 37 weeks without having much knowledge of what the induction process was going to look like for me and I went in at a centimeter. They started with a cervix softener so that they could then insert the Foley balloon. I was in bed a lot. I utilized the tank of nitrous oxide. I labored that way for a while just to mitigate that pain. I was walking around a little bit but honestly, the Foley balloon for me in the whole induction process was probably the worst part. I was in quite a bit of pain after that. Meagan: Were you dilated at all before when they tried to insert that or was it a closed, posterior cervix? I'm assuming at 37 weeks, it's not doing much. Colleen: I was a centimeter when I came in and I was maybe a 2 when they inserted it I believe. Yeah. It was very apparent that my body was probably not ready for that process. Meagan: Yeah. Colleen: Yeah. That also became apparent once the Foley balloon came out but then pretty much I got to 5 centimeters and just parked it there for quite a bit. The pain was pretty intense so I received an epidural after laboring I would say probably 14-16 hours or something like that. The attending OB wanted to take additional steps by breaking my water and my husband and I were talking. We said, “If they break my water and then I don't progress, then what situation are we in?” We also knew beforehand that my daughter did have a confirmed heart defect. We wanted a more gentle approach to induction especially when it came to Pitocin. We really wanted to take it slow and monitor her to make sure she was tolerating it and things like that. We opted for Pitocin before breaking my water and took it slow. I would say probably another 6-8 hours went by. We were taking it very slow. I wasn't progressing and then we started to see some sporadic, not super consistent but enough to keep make us aware of her, decels that she was having. Again, the attending OB really wanted to continue on. She wanted to break my water. She wanted to optimize my chances for a vaginal birth, but again, I think my husband and I were so zeroed in on having her here safely that even the attending OB after observing some of the decels into the night was like, “Okay, I think–”Meagan: That was enough. Colleen: Exactly. She arrived via C-section on October 28, 2022 at 3:18 in the morning which we find incredibly special because 318 is a universal number around Trisomy 18. We just feel that she was meant to be here just as she is. That was enough for us to say, “Okay. We did what we think we needed to do to get her here safely.”Meagan: And happy birthday to her today. She will be 3?Colleen: She's actually turning 2. She's turning 2. Yep, yes. So that was my obviously first birth experience and it was– I can't even say different than what I expected because again, I really went into that not having much of a reference or much preparation at all. I say, “Okay. That was my experience. It was a C-section.” We weren't thinking at the time. We always knew we wanted future children but with the timeline, we had an 85-day NICU stay with her. There were other things that we were focusing on. Meagan: You and the reviewer. You NICU mamas are amazing. Colleen: Perfect review for today. After 85 days, we came home in January of 2023. We were getting settled into home life and then fast forward to about 6 months postpartum. We had just been home for a couple of months and much to my husband and I's surprise, we were pregnant again. From the first miscarriage to my daughter, we had that hope and that mentality of, “We have no reason to think that anything is going to go wrong so let's just operate from the stance that everything is going to be okay.” We took a similar approach this time around. We said, “Okay. We're going to roll with the punches. Gianna's going to get a sibling a little bit sooner than we initially had thought. Let's just play it like everything is going to be okay.” We had met with a geneticist and knew our risk for having another child with Trisomy 18. We were just slightly above the general population when it comes to the statistics there. We weren't super concerned. It was a very, very low risk. We decided to do the genetic testing anyway. I didn't consider myself to be high risk so I moved my care to a little bit closer to home. The University of Michigan is a little over an hour for us. I had a great experience but wanted to move just a little bit closer to home to a practice that is very utilized on this side of town by many women. I did the genetic testing and everything was good. We were having a boy and then the very next day, I woke up to a very large gush of blood. I went to the emergency room. This was on a Saturday. They did an ultrasound and said, “Baby is looking good.” I was again, about 12 weeks at this point. They said, “Sometimes just bleeding in the first trimester happens.” I took that at face value. I came home Now mind you, with my daughter's condition, she has a lot of medical equipment and lower muscle tone so it's a lot of carrying her around and at that point, she was still pretty small but again, I'm pregnant and I'm hauling her medical equipment plus her some days. I'm a stay-at-home mom so I'm trying to navigate all of that. I'm going about my daily life not really thinking much of it just saying, “Okay, that's what it is. The first trimester bleeding.” I went back to the OB that week and they also confirmed, “Oh yeah, it could just be bleeding.” I said, “Okay.” Then about 2 weeks later I'd say, again on a Saturday, it happened again. The bleeding had tapered off then it happened again. I went back to the emergency room to make sure everything was okay and it was a different emergency department. The nurse practitioner came back in after the ultrasound and said, “You have a really large subchorionic hematoma.”Meagan: I was going to ask if that's what it was. Colleen: Yes. We had done research obviously between the two ultrasounds and people said, “If you do, it likely will heal on its own.” Meagan: It takes time, but if you do activity and things like that. Colleen: Yes. I would say probably about 2.5-3 weeks went by with me not knowing I had it. I hemorrhaged again. This time, I really tried taking it easy leveraging my husband, my mom, and my mother-in-law to really help care for my daughter so I would be able to rest and recover. When I had gone to the OB that Monday just because I had been in the emergency room over the weekend, they painted it like there was not much you can do. If you can take it easy, great. If not, I actually went in that Monday and I had brought up the subchorionic hematoma and the provider that I met with said, “Oh, yeah. You have it but actually, I want to talk to you about something else.” It was a potential marginal cord insertion or a velamentous cord. Meagan: Okay. Colleen: She said, “I actually want you to be more aware of this than the subchorionic hematoma.” Again, it was pushed to the side. At that point, in partnership with some other pretty inappropriate and I would say frankly bad bedside manner from the practice, I was looking to move again. They were very insensitive around my daughter's condition. They made me to be othered because of her. I just didn't appreciate that. I was like, “This is a different birth.” I didn't appreciate that treatment. They asked very inappropriate questions about her and her life expectancy and things that were very triggering for a) someone who was fresh out of birth and a very traumatic pregnancy. I just felt that was very inappropriate to ask those things especially when we are also not talking about my daughter. We are talking about this pregnancy at hand that was having some issues. I was looking to switching providers. I have my best friend in the area. I loved her. She was pregnant at the time as well. She loved her OB so I was looking to switch. I couldn't get in for a couple of weeks so I just said, “Okay.” At the next month's appointment, I would switch practices away from where I currently was. In the meantime, I would say about a week and a half later, I was bleeding again. It was on a Monday so I got in that day and I personally had a little bit of peace around it because I just said, “Okay, this has happened before. Baby has always been okay, but let's get in.” So I got in that Monday and I was given an ultrasound and the ultrasound tech put the wand over my belly and then very quickly went out of the room. My heart sank. I just knew what that meant. She came back and I asked, “Was there a heartbeat?” She just shook her head no. I was by myself because my husband was home with my daughter and it was just completely unexpected and devastating. It crushed us because we again had just come off of something so difficult and had so much hope and for that to be the result was quite crushing. I had reached out to the OB that I had planned to switch to and I just explained the situation. She said, “I'd like to still see you.” I went in about 2 weeks after my miscarriage and just laid everything out for her. She shook her head after me telling her about my first miscarriage and then my daughter and this most recent miscarriage. She took it all in and she goes, “I think there is something going on. I don't think these are just flukes so I want to run some tests.”She ordered some pretty extensive bloodwork mostly in the autoimmune space but she also ran for MTHFR. After many vials of blood and a few weeks of waiting, I came back negative for anything autoimmune but I did in fact come back for MTHFR and she is a provider who believes that it does make a difference. She said at the time that she provided us with this glimmer of hope. She said, “If I know that a patient has that, I start them ideally on a pretty ‘easier' regiment or something to get them started to see if that makes any difference in their pregnancies. If not, we can build with Lovenox injections and things like that.” Basically she said, “I want you on additional folic acid.” I took methylfolate and a baby aspirin. But she posed it to my husband and I. “Do you just want to go the Lovenox route? Once you go on Lovenox, I won't be able to walk you back on additional pregnancies. If you have a successful pregnancy–”. Again, knowing this wasn't going to be the answer and that we could potentially have another loss or more issues with pregnancies but we wanted to start on that first step before jumping forward.She said, “Pick up those supplements when you feel like you are ready.” We needed time. We needed months of healing and of focusing on my daughter's care to just really level-set for our family. But in December of last year, we felt strongly that we wanted Gianna to have a sibling so we decided to try again. I got pregnant and began those supplements. From that perspective, my pregnancy was very difficult. Now, it also gave me that time both prior to getting pregnant and then throughout my pregnancy to really– I really wanted to level-set my approach and my outlook on pregnancy. I had felt like I had been always in this cycle of seeking out information or researching based on issues and I think my and as well as my husband, the trauma aspect always played into it of, okay. Here's a symptom. It could be something very normal or it could be these very unique, rare things that we got used to feeling comfortable in that space. Meagan: Yeah. Colleen: I sort of recognized that as something that I needed to work through. I needed to work through some things that were either emotions I pushed aside. I pushed aside the thoughts and feelings around especially that second miscarriage because I said, “Okay, I have a daughter with medical complexities.” I needed to jump back in and I think that distraction helped me push those thoughts away but then I will say they came back. They reared their head and I said, “Okay. It's time for me to deal with them.” So going back to talk therapy has been really helpful for me for working through some of those emotions as well as unprocessed things with my daughter's pregnancy and birth and care and things like that, the realities around her life and how it's impacted myself, my family, and things like that. I went back to talk therapy and then also got pregnant. I thought that was the perfect time to really sort of level-set my outlook on pregnancy. We forewent the genetic testing around. We just said, “What will be will be.” For now, the fourth time, we are choosing to believe that all will be well. We will have these feelings. My first trimester almost felt like the closer I got to the end of my first trimester, the more anxiety I had because I had that second-trimester miscarriage that I just had the opinion that it could happen at any time and why wouldn't it just happen to me again?There were some friends who didn't know that I was pregnant until my anatomy scan just because I felt like I needed to hold it close to my chest. Meagan: Just keeping your space safe. Colleen: Exactly. Exactly. And protecting my own emotions. So the first trimester for my son did have some of those thoughts and feelings. The OB who I had switched my care to was very accommodating. She had a little portable ultrasound machine in her office if I felt like I needed that reassurance that she would provide the ultrasound for me. She asked me how often I wanted to come see her. She was just very understanding and accommodating based on my previous circumstances. It also allowed me the space, especially as I moved through pregnancy, to really think about birth and think about how that process could be healing as well. In my second trimester, I remember going on a walk because I needed to clear my head and just feeling so overwhelmed by not knowing where to start and then I was being hard on myself because I was like, I should have done this with my daughter. I should know these things already. This is my second birth. I was being very self-critical as if I didn't have other things to focus on with her. That's when I came across The VBAC Link. I actually came across it because my husband and I had taken some on-demand birthing classes through Mommy Labor Nurse and we very much so said that we needed a refresher and probably to take some more diligent notes this time around. It was a resource that she has promoted so I checked it out and I just immediately felt like it was going to be so helpful as it was throughout pregnancy just listening to the podcast episodes, referencing the blog, getting your emails, and just really feeling like I had a resource that was going to support me. I can't express how grateful I am for that because– and I'm about to get emotional– of how along pregnancy and that journey has felt. I've constantly felt like I've been up against walls that it's been exhausting to have to overcome and to break down. Meagan: Yeah. It's a terrible feeling to feel so alone in this really big moment in your life and not feel like you know the direction all the time and then also making decisions and then having the world pretty much question why you are making that decision. It's so heavy and that's why I love this community so much because they make you feel connected to people that are not even within reach. They are hundreds and thousands of miles away. Colleen: Absolutely. Absolutely. Just to have that support because it very quickly became my goal to VBAC because I flipped the script after finding The VBAC Link. I said, “There is nothing pointing to my body not being able to do this. I'm going to go for it.” I'm a competitive person and sometimes I'm competitive with myself and I said, “This is going to be a competition and I'm going to do this.” I will say getting into the true VBAC part of it, my OB was very supportive. She said, “I think you are the perfect candidate to VBAC.” She did want to see what my body did closer to which made me a little bit nervous. She was like, “I'm not for induction but I would do augmentation.” I was like, “Okay. Let's see.” Again, it was a motivator to me to do all of the things that I could do to edge myself along kind of thing. The biggest thing I leveraged was walking. I walked a ton and I just found a routine in the business of life that worked for me that I could rely on each and every day and say, “Okay, these are the three things that I'm going to do throughout the rest of pregnancy to a) give myself peace mentally and physically, but also just to say life is busy, but this is what I'm going to do to move myself forward.” It was a lot of walking. It was a prenatal that I just really adored and I just committed to a pretty nutritious diet to make sure that I was nourishing my body in all the ways that I could. Around 36 weeks, I received a cervical check and was starting to dilate and efface. I was about 2 centimeters. Meagan: Wow. Colleen: Yes, with about 70% effacement at that time. My OB said, “Things are looking good. You are on the right track here.” I just kept doing what I was doing. I did opt for a membrane sweep at 38 weeks and I will say having never labored before, between that 36 and 38-week mark, I was having a ton of prodromal labor which was very frustrating because I never knew what was real. We went to labor and delivery once. I got turned away and sent home. I thought it was the real deal. Yes. Prodromal labor is a tease. But after the membrane sweep, it became very apparent that I was actually in labor. That afternoon, my husband and I and my daughter lay on the couch. I was having closer and stronger contractions and we joke that it was absolutely the real deal because all the times leading up with prodromal labor, everything was squared away. My meals were prepped. Everything was squared away with my daughter. My in-laws and my parents were ready to go and jump in. The day that I started to be in labor, our basement flooded with our sewage backed up. Meagan: Oh no. Colleen: I'm actively in labor and my husband comes up and says, “This is absolutely the real deal because this wouldn't have happened if you weren't.” I'm in labor and my father-in-law are bleaching the floor and scrubbing. It was a whole thing and I was like, This isn't funny right now but it will be funny one day. And it's funny. I was able to labor at home for a few hours. I got to the hospital. I had the membrane sweep at noon that day. I got to the hospital around 9:30 PM and was at a 5. I was feeling pretty good about that. I was feeling those contractions of needing to pause. I wasn't really able to talk through but still at that point now knowing what later labor felt like that it was just the beginning of things. I had a wonderful labor and delivery nurse who was super supportive. I never felt being there like I had to convince anybody. They knew that my plan was a VBAC. The attending OB was cool with it. My OB lived just a few minutes away from the hospital and said that she would be there within a moment's notice when I did deliver so I would have her for the moment of. I got to a 5. They did put me on the monitors and had me hooked up so my movement was pretty limited which kind of limited what I was able to do. I wanted to walk a little bit more. I was only able to sit on the birthing ball in a certain area of the room. That was a little bit tricky. The shower was really nice and I did appreciate laboring in the shower but it was the attending OB who had checked me when I first got there and determined I was a 5. A few hours later, the labor and delivery nurse checked me and said, “Oh, I think you are a 7.” My goal was to get to active labor before I decided if I wanted an epidural but ideally, I wanted to go unmedicated. So when they said I was a 7, I was like, “Oh, okay. All right. That's the motivation I needed to keep pushing on. I can do this.” My contractions were becoming more frequent but they weren't getting stronger. It almost felt like at a moment's notice when they had to put the IV in or if the pain was too intense that I would start to space out again which I found to be interesting. But when a few hours went by, the pain was intensifying. They wanted to check me again and it was the OB this time who had checked me earlier and she said, “Oh, you're a 6.” My husband and I said, “Well, they said I was a 7 when they checked me last time.” She said, “Yeah, but I've got the frame of reference and you're more of a 6.” That messed with my head. Meagan: I'm sure. Colleen: My breathing was no longer effective. The pain was getting to me. The next step they wanted to take was breaking my water. I just didn't feel like I was in the headspace to continue on without the epidural. Meagan: You were mentally derailed. That can happen. Colleen: Yeah. When it came to my birth plan this time around, I was a little bit more descriptive because I had done more research. I wanted to go the unmedicated route if I absolutely could. If not, at least active labor. I really didn't want any augmentations or interventions when it came to breaking my water or Pitocin. I really wanted to be able to do it on my own but I will say and I think this is one of my bigger takeaways from this birth is that even when things don't go according to plan, you really have to trust your gut. I will say in those moments, my gut was telling me I think what needed to happen to service the overall goal which was my VBAC. I said, “Okay. I think in order for my body to relax, I want the epidural.” I get the epidural. My body did just that. I was able to relax. My contractions were getting closer together again. They did break my water and now we were into the morning hours here. I get a call from my OB and she said, “Hey, I'm aware of your situation. I see that your contractions are getting closer together but they are still not at that strength that we are really wanting to see.” She said that, “If you are okay with it, they want to start me on very low doses of Pitocin.” She said, “I think you will need a whiff of it in order to get to where you need to be.” My husband and I looked at each other and I think because of our experience with Pitocin previously and not wanting to stall out or anything go wrong, we really struggled with that piece but I think ultimately, we said, “Okay, we're already here. If this is what my OB thinks this is what I need–” and again, I personally felt okay with moving forward in those directions, “then, let's give it a try.” She was absolutely right. They started at a 1 and bumped it up 45 minutes later. I was feeling some pressure and I wanted to switch positions. I had the nurse come in to help me. She lifted up the blanket to move me and she said, “Oh, his head is right here.” He had been crowing for we don't know how long.Meagan: Oh my gosh. Colleen: My husband looks down and he goes, “Yeah, his head is poking up.” My OB gets there. It was super relaxed. She just walked in. She had her sunglasses on. She was just like, “Okay, let's do this.” She was getting set up. He had a bunch of dark hair and she was giving him a faux-hawk while she waits for things to get set up. For the moments that led up to that with anxiety around the interventions, the moment of his birth was very relaxed, very calm– Meagan: Lighthearted. Colleen: It had this great energy around it. I pushed for about 15 minutes and he was born. Meagan: Oh my gosh. That is amazing. What a way to end such a lead-up to get to this moment in your life. Colleen: Yes. His birth, the moment of his birth and the half-hour leading up was so joyous and healing like I had always hoped it would be and exactly what I think my heart needed. Just not necessarily VBAC-related, but I think I also struggled with all of the needs of my daughter and having now split time, I think going from one to two for some mamas can conjure up those feelings and that guilt around what your firstborn is not getting especially with all of her extra needs and things. I was really feeling that guilt. Now he's here and he is exactly what my family needed. He is just this puzzle piece that was missing. We didn't know it. We didn't know it until he was here and now we feel that way on so many levels. Meagan: Isn't that crazy sometimes? This is one of the coolest things I think about being a doula is that we see these couples and they think that their life is so amazing and it is. Don't get me wrong. It is amazing. They think that they love each other more than they ever could love each other. I can see the love in their eyes. I can see the support as the labor goes and then this human being enters their family and like you said, it's just this puzzle piece that fit that you didn't know you were missing. It's this extra joy and this deeper love that they didn't even know existed and it's one of the coolest things to see families transform. Yeah. It's absolutely amazing. Even from no kids to one kid and from one kid to four kids, it doesn't matter. Like you said, it's the puzzle piece that they didn't know they were missing. Colleen: Absolutely. I just can't wait to watch my daughter learn from him and him learn from her. That relationship– I even had the thought where I was like, “I'm the most important thing to my daughter,” then I'm like, “Okay, but she's going to have a sibling and that is such a gift in and of itself that I just am happy to be able to provide that,” but to your point, it is. It's a love unlike any other love. You will always obviously hold your partnership with your partner. It's so important and so instrumental to providing that love for your children as well but that love that you get from birthing a child is unparalleled. Meagan: Oh my gosh. It's so amazing. It is so amazing. I feel so grateful as a doula and as someone who is done having kids– my youngest is 8 years old now but I get to keep living through all of these couples. It's just so amazing. Oh, well congratulations. Colleen: Yes. It's so beautiful. Again, it didn't go on the micro-level according to plan, but on the macro-level and in my big-picture goal of having a VBAC, it was all I could ask for. Rolling with the punches and I will say again, going back to the beginning of the podcast and sharing that I'm a very Type A person, I think had my past not happened, any of these little interventions that were needed throughout this birth could have also derailed me or discouraged me and I just think all of these experiences I had up until this point taught me that rolling with the punches and just understanding that things might not always go according to plan but healthy me, healthy baby– Meagan: And a good experience. Colleen: Exactly. Meagan: Rolling with the punches while trusting your intuition because some of those punches might look like punches but it's actually what you need. Colleen: 100%. Trusting your gut, advocating for yourself, also important to keep in mind. Meagan: Super important. Well, before we go, I wanted to quickly give some more depth into some of the things that you had brought up along the way. We talked about your daughter's condition and then there was something that you said that is a really big tip that I give to my clients when it comes to breaking the waters versus starting Pitocin. It's okay if you don't agree with me, everybody out there. A lot of people would rather break water over starting Pitocin because it's the “more natural way to get things going”. But I'm such a person of, let's try a whiff of Pitocin that we can turn off, but if we are artificially meaning we are breaking the bag of waters by ourselves against mother nature's choice, we can't patch that back up and we don't know what's going on so we don't know if baby's in a weird position. We don't know if baby is too high. We don't know what's going on so sometimes I think just starting that 1-4 mL drip of Pit and then you can always turn it off and it's gone. I was going to say that's weirdly one of my suggestions that over all of my years of doing this, I would weirdly suggest that sometimes over breaking your water. That really depends on where we are at too. If we are 9 centimeters and baby is +2 station, we're really engaged, I dont know. It might change. But if we are at the point where you were at, I actually would suggest that. I wanted to really quickly talk about VCI and marginal. So velamentous cord insertion. You mentioned that the OB was like, “Yes, subchorionic and we're here but then we've also got this.” With VCI, that is where the cord is inserted abnormally into the placenta. It can cause things like IUGR which we talked about earlier so intrauterine growth restriction. I don't know if they gave you any stats on this but it's a 1% chance of that happening with a singleton baby, a 6% chance with twins and then if they do share the same placenta, it can go up. I want to say it's upward of 15%, so much higher. But a lot of the time, even VCI babies carry to term and everything is okay. I do want to throw it out there that a lot of providers do suggest a Cesarean with VCI. I don't know if you've ever heard of that. People can have vaginal births but a lot of providers will suggest Cesareans. If you have VCI or are being told that you have VCI, just know that might be a conversation and you want to discuss that with your provider earlier on. She also mentioned a marginal cord insertion which is where that attaches to the side I believe so also an abnormal insertion. I don't know. Did your provider tell you anything about that? Colleen: Not the statistics around it but they also said that I was 6 months postpartum, post-C-section when I did get pregnant again so their recommendation I think regardless was going to be a repeat C-section. Meagan: Yeah, so it can happen. Then last but not least, I just want to throw out anything that you have about MTHFR to the listeners who may have gone or are going through experiences like you. MTHFR really depends on a provider. Some people still roll their eyes at it but it's definitely a thing. Do you have any suggestions toward anybody who may have it or maybe finding out that process?Colleen: Yeah. Meagan: Or going through the process?Colleen: For sure. Just through my own research, again, my OB was like, “Just additional folic acid.” Meagan: I love that you mentioned that by the way. Colleen: So I obviously am no expert or dietician or nutritionist but when you do have MTHFR, you can either have homozygous or heterozygous mutations. There are also two different variations. There's the A variant and the C variant. I think there is research around the severity or the impact of each of the variants on fertility and things like that but sort of the biggest takeaway when it comes to MTHFR is that it can make you more prone to clotting issues as well as malabsorption or the inability to use folic acid effectively. That is why a lot of research will indicate that you should be on the purest form of folate which is methylfolate because it's so easy for your body to absorb when you do have the MTHFR mutation and then when it comes to having additional methylfolate, essentially I found a prenatal that had methylfolate and was just chock-full of a bunch of good stuff. I was also taking additional micrograms of methyl folate on the side just as a pure supplement. Personally, I found that to be helpful and again, that is something that I baked into that consistent routine of mine making sure I was on a really optimal prenatal as well as taking the methylfolate every day. In addition to the baby aspirin, that was to mitigate some clotting issues. The other thing I will plug is a resource and a follow on Instagram if you don't already follow is Lily Nichols. Meagan: Yes. We love her. She has been on the podcast. We have her books. Colleen: Yes, exactly. In addition to when you know you have MTHFR, just really ensuring that you are getting proper nutrition and that is top of the line in pregnancy when you are trying every day of your life basically. I definitely broke and cheated with my little guilty pleasures here and there of course. But I really largely throughout pregnancy tried to stick to a really vitamin and nutrient-dense diet. Meagan: Yes. I don't know what prenatal you took and I don't judge you for any other prenatal of course. We love Needed but you said the optimal amount. That's what we are finding. So many of these prenatals don't have the optimal amount and they don't have the purest forms. We love Needed and truly 100% suggest it. But yeah, exactly what you said. It's so important. It's so important.Colleen: Exactly. That would be my advice to anyone who wonders. I would also advocate and press to be tested if you are having issues. I just think it would be so beneficial just to have that piece of information in your toolbox so that if you do want to ask either on your own or you do want to press your provider to take it seriously, then I would definitely recommend just saying, “Hey, can I get the bloodwork to find out?” Then you can go from there. Meagan: Yeah. Yeah. Bloodwork. You can start there and know. Colleen: Exactly. Meagan: Oh my gosh. Thank you so much for this amazing information along the way, your beautiful stories, and thank you for taking the time to share with us. Colleen: Thank you so, so much for having me. It was such a pleasure. Meagan: Absolutely. ClosingWould you like to be a guest on the podcast? Tell us about your experience at thevbaclink.com/share. For more information on all things VBAC including online and in-person VBAC classes, The VBAC Link blog, and Meagan's bio, head over to thevbaclink.com. Congratulations on starting your journey of learning and discovery with The VBAC Link.Support this podcast at — https://redcircle.com/the-vbac-link/donationsAdvertising Inquiries: https://redcircle.com/brands

Darrell Talastas joins me on the show this week! Darrell owns Drail Diagnostics where he 3D prints custom VCI mounts & automotive cables. We'll discuss his path from dealership tech to the independent world, as well as his music career. Check out the link below for his website!https://www.draildiagnostics.com/Website- https://autodiagpodcast.com/Facebook Group- https://www.facebook.com/groups/223994012068320/YouTube- https://www.youtube.com/@automotivediagnosticpodcas8832Email- STmobilediag@gmail.comPlease make sure to check out our sponsors!SJ Auto Solutions- https://sjautosolutions.com/Automotive Seminars- https://automotiveseminars.com/L1 Automotive Training- https://www.l1training.com/Autorescue tools- https://autorescuetools.com/     

TurdOrTreasure is ThisWeekInGeek's dedicated review show covering everything from games to movies to tv to electronics and everything between.This Episode:What's New?- Introductions- Broken Sword - Shadow of the Templars: Reforged (Revolution Software Limited PS5 Review)https://store.playstation.com/en-ca/concept/10008760/- The Great Escape II: The Untold Story (Film Chest TV Bluray Review)https://www.blu-ray.com/movies/The-Great-Escape-II-The-Untold-Story-Blu-ray/368439/- Door To Door Maniac (Film Masters Bluray Review)https://www.blu-ray.com/movies/Door-to-Door-Maniac-Blu-ray/359020/- Totem (Janus Contemporaries Bluray Review)https://www.blu-ray.com/movies/Totem-Blu-ray/335022/- Marvel vs. Capcom Fighting Collection: Arcade Classics (Capcom Switch & PS5 Review)https://www.capcom-games.com/marvel-vs-capcom-fc/en-us/- Ultraman Taiga (Mill Creek Bluray Review)https://www.blu-ray.com/movies/Ultraman-Taiga-Series-and-Movie-Blu-ray/364351/- Dark Night Of The Scarecrows Double-Feature (VCI Entertainment 4K UHD Review)https://www.blu-ray.com/movies/Dark-Night-of-the-Scarecrows-1-2-4K-Blu-ray/349164/Whats Next?Show Notes:Your Geekmaster:Alex "The Producer" - https://twitter.com/DeThPhaseTWIGFeedback for the show?:Email: feedback@thisweekingeek.netTwitter: https://twitter.com/thisweekingeekYouTube: https://www.youtube.com/channel/UCc1BfUrFWqEYha8IYiluMyAiTunes: https://podcasts.apple.com/us/podcast/this-week-in-geek/id215643675Spotify: spotify:show:0BHP4gkzubuCsJBhU3oNWXCastbox: https://castbox.fm/channel/id2162049Website: http://www.thisweekingeek.netSeptember 23, 2024

TurdOrTreasure is ThisWeekInGeek's dedicated review show covering everything from games to movies to tv to electronics and everything between.This Episode:What's New?- Introductions- Columbia Classics Vol 4 (4k UHD Review)https://www.blu-ray.com/movies/Columbia-Classics-Collection-Volume-4-4K-Blu-ray/351092/- Ghost Trick: Phantom Detective (Capcom Nintendo Switch Review)https://www.nintendo.com/en-ca/store/products/ghost-trick-phantom-detective-switch/- Shark Hair Care Products (Beauty Tech Reviews)https://www.sharkclean.ca/page/hair-care- The Green Hornet 1940 Serial (VCI Entertainment Bluray Review)https://www.blu-ray.com/movies/The-Green-Hornet-Blu-ray/330990/- Skull And Bones (Ubisoft PS5 & Xbox Series X Review)https://www.ubisoft.com/en-ca/game/skull-and-bones- The Swiss Conspiracy (Film Masters Bluray Review)https://www.blu-ray.com/movies/The-Swiss-Conspiracy-Blu-ray/347175/Whats Next?Show Notes:- https://www.filmmasters.com/- https://www.vcientertainment.com/product/green-hornet-2k-restoration-blu-ray/Your Geekmaster:Alex "The Producer" - https://twitter.com/DeThPhaseTWIGFeedback for the show?:Email: feedback@thisweekingeek.netTwitter: https://twitter.com/thisweekingeekYouTube: https://www.youtube.com/channel/UCc1BfUrFWqEYha8IYiluMyAiTunes: https://podcasts.apple.com/us/podcast/this-week-in-geek/id215643675Spotify: spotify:show:0BHP4gkzubuCsJBhU3oNWXGoogle Podcasts: https://www.google.com/podcasts?feed=aHR0cHM6Ly93d3cuc3ByZWFrZXIuY29tL3Nob3cvMzU3MTAzNy9lcGlzb2Rlcy9mZWVkCastbox: https://castbox.fm/channel/id2162049Website: http://www.thisweekingeek.netMarch 4, 2024

Die Themen im heutigen Versicherungsfunk Update sind: Zurich und Chemie-Verband weiten Kooperation aus Die Zurich Gruppe Deutschland und der Verband der Chemischen Industrie e.V. (VCI) erweitern ihre seit 2009 bestehende Kooperation. Der Versicherer bietet den Mitgliedsunternehmen des VCI ab sofort eine individuelle Risikoanalyse, um ihre unternehmerische Resilienz durch Prävention nachhaltig zu stärken. Dazu sollen sich Risiko-Ingenieure die Risikolage in den Unternehmen genauer anschauen und gezielte Maßnahmen abgleiten. Darüber hinaus wird im Bereich Climate Resilience ein kundenspezifischer Ansatz zur nachhaltigen Aufstellung der Standorte angeboten. Paare sprechen über Finanzen, Alter und Tod Zusammen mit Civey hat die LV 1871 gefragt, über welche zukunftsrelevanten Themen in Partnerschaften gesprochen wird. Das Ergebnis: Mit 62,5 Prozent dominieren Themen des Weltgeschehens die partnerschaftlichen Gespräche, dicht gefolgt von Finanzthemen mit 62,3 Prozent. Immerhin 50,4 Prozent sprechen in der Partnerschaft übers Alter und 47,7 Prozent scheuen auch nicht vor dem Thema Tod. Schilderwechsel bei Mofas, Mopeds und E-Scootern Mofas, Mopeds und E-Scooter dürfen ab dem 1. März 2024 nur noch mit blauen Kennzeichen unterwegs sein. Die schwarzen Nummernschilder verlieren ihre Gültigkeit. „Wer im März weiter mit alten schwarzen Kennzeichen fährt, macht sich strafbar und ist nicht versichert“, warnt Jörg Asmussen, Hauptgeschäftsführer des GDV. Die neuen blauen Kennzeichen sind direkt bei den Kfz-Versicherern erhältlich. Talanx erzielt Rekordgewinn Die Talanx Gruppe rechnet im Geschäftsjahr 2023 mit einem Konzernergebnis in Höhe von 1,58 Milliarden Euro. Damit übertrifft sie deutlich das ursprüngliche Jahresziel von rund 1,4 Milliarden Euro. Der Versicherungsumsatz stieg von 39,7 Milliarden Euro auf 43,2 Milliarden Euro. Entsprechend der langfristigen Dividendenpolitik strebt der Vorstand einen Wert an, der über dem Vorjahreswert von zwei Euro je Aktie liegt. Inter setzt auf Virtuelle Realität in der Rehabilitation Die Inter bietet ihren Kunden ab sofort die Möglichkeit, die neuartige VR-Therapiesoftware teora® mind des Heidelberger Startups living brain zu nutzen. Dabei handelt es sich um eine Anwendung, die es Menschen mit kognitiven Einschränkungen erlaubt, alltagsrelevante Handlungsschritte sicher und kontrollierbar in Virtueller Realität zu trainieren. Für vollversicherte Kunden werden die Kosten der VR-Therapie seit dem 1. Februar übernommen. blau direkt-App jetzt mehrsprachig Mit dem neuesten Update verfügt die beliebte Endkunden-App simplr nun über eine englische Sprachversion sowie einen Dark Mode.

What A SHOW folks, I almost don't want to write anything in the newsletter to MAKE you listen haha but I will I know many of you don't like listening to be babble. But if you chose one episode to listen to instead of just skimming the show-notes, make it this one. We've had 2 deep dives, one into the exciting world of multi-modalilty, we chatted with the creator of Moondream1, Vik and the co-founders of Prophetic, Wes and Eric about their EEG/fMRI multimodal transformer (that's right!) and then we had a DEEP dive into the new Hourglass Diffusion Transformers with Tanishq from MedArc/Stability. More than 1300 tuned in to the live show

Die US-Notenbank hat die Wall Street mit einem frühen Weihnachtsgeschenk in Freudenstimmung versetzt. Erstmals sind Zinssenkungen konkreter in Aussicht gestellt worden. Aber was heißt das für Anleger? Zu hören ist, ob sich ordentliche Gewinnmitnahmen unter den Weihnachtsbaum gelegt werden sollten oder eine andere Taktik gewinnbringender sein könnte. Anschließend geht es zur Kaufhaus-Legende Macy's. Nach einem milliardenschweren Übernahmeangebot könnten die letzten Stunden an der Börse gezählt sein. Kritiker meinen, der größte Warenhausbetreiber in den USA mit seinem Stammhaus in New York hat sich selbst in diese schwierige Lage gebracht. Börsenreporterin Anne Schwedt schaut sich die Lage aus Anlegersicht an. Danach der Sprung nach Deutschland. Dort hat der VCI, der Verband der Chemischen Industrie, neue Zahlen veröffentlicht, die nicht gut aussehen. Vor diesem Hintergrund der Blick auf BASF, den weltweit größten Chemiekonzern. Und schlussendlich noch der Abstecher in die Community Corner. Diesmal wird die Frage beantwortet, wie Aktienbesitzer von einem deutschen Anbieter zu einem US-Broker umziehen können. Die komplette Ausgabe ist Teil der Pioneer-Membership. Wer noch nicht an Bord ist, kann unser gesamtes Portfolio zunächst testen, dafür gibt es hier ein spezielles Angebot. https://www.thepioneer.de/willkommen

Die US-Notenbank hat die Wall Street mit einem frühen Weihnachtsgeschenk in Freudenstimmung versetzt. Erstmals sind Zinssenkungen konkreter in Aussicht gestellt worden. Aber was heißt das für Anleger? Zu hören ist, ob sich ordentliche Gewinnmitnahmen unter den Weihnachtsbaum gelegt werden sollten oder eine andere Taktik gewinnbringender sein könnte.Anschließend geht es zur Kaufhaus-Legende Macy's. Nach einem milliardenschweren Übernahmeangebot könnten die letzten Stunden an der Börse gezählt sein. Kritiker meinen, der größte Warenhausbetreiber in den USA mit seinem Stammhaus in New York hat sich selbst in diese schwierige Lage gebracht. Börsenreporterin Anne Schwedt schaut sich die Lage aus Anlegersicht an.Danach der Sprung nach Deutschland. Dort hat der VCI, der Verband der Chemischen Industrie, neue Zahlen veröffentlicht, die nicht gut aussehen. Vor diesem Hintergrund der Blick auf BASF, den weltweit größten Chemiekonzern. Und schlussendlich noch der Abstecher in die Community Corner. Diesmal wird die Frage beantwortet, wie Aktienbesitzer von einem deutschen Anbieter zu einem US-Broker umziehen können.Die komplette Ausgabe ist Teil der Pioneer-Membership. Wer noch nicht an Bord ist, kann unser gesamtes Portfolio zunächst testen, dafür gibt es hier ein spezielles Angebot. ID:{70D0qyBmPRPyHUtSj0Lz7B} Hosted on Acast. See acast.com/privacy for more information.

Die Produktion der chemisch-pharmazeutischen Industrie ist in diesem Jahr laut VCI um acht Prozent zurück gegangen. Der Umsatz fiel um zwölf Prozent auf rund 230 Milliarden Euro.

Wir schreiten hurtig auf das Jahresende zu, die Termine nehmen merklich ab, dennoch gibt es viele spannende Themen, die die kommende Woche prägen werden. In Brüssel findet ein EU-Gipfel statt, der angesichts der jüngsten geopolitischen Entwicklung richtungsweisend sein dürfte und auf dem Dinge auf der Agenda stehen wie etwa Finanz- und Militärhilfen für Kiew, der EU-Haushalt und eine mögliche EU-Erweiterung. Daneben veranstaltet der Verband der chemisch-pharmazeutischen Industrie seine Jahrespressekonferenz und es finden eine Menge Zinssitzungen statt, unter anderem von Bank of England, Federal Reserve und EZB. Warum bei den Notenbanken von weiteren Zinserhöhungen nicht auszugehen ist und weshalb Zinssenkungen zum jetzigen Zeitpunkt relativ sicher ausgeschlossen werden können, erläutert Martin Pirkl, Redakteur im Ressort Konjunktur und Politik und seit kurzem auch Währungspolitischer Korrespondent, im Gespräch mit Franz Công Bùi, der im Anschluss daran gemeinsam mit Sabine Reifenberger weitere Themen und Ereignisse vorstellt, die in der anstehenden Woche wichtig werden.

Die chemische Industrie als Mutter der Kunststoffe ist aktuell stark in der Diskussion. Das SKZ wollte daher ergründen, wie es um sie im aktuellen wirtschaftlichen und gesellschaftlichen Spannungsfeld bestellt ist. Hierzu sprechen Matthias Ruff und Alexander Hefner mit ihrer ehemaligen Kollegin und jetzt Leiterin Kommunikation bei Plastics Europe, Bettina Dempewolf, über die aktuellenHerausforderungen, die kürzlich vorgestellte gemeinsame Position der Verbände VCI, BDE und Plastics Europe zur Kreislaufwirtschaft und die Rolle von chemischem Recycling.

Over the last decade, Vodafone and SES have taken the Cook Islands from high-frequency radio to high-speed broadband using the SES MEO satellite network. The next phase in the partnership deploys the advanced satellite constellation O3b mPOWER to provide fast and reliable 4G+ connectivity to the remotest part of the archipelago.In the first of five podcast episodes, Satellite Stories host Kristina Smith-Meyer explores how and why the partnership between VCI and SES first began.Featuring: Phillip Henderson, CEO of Vodafone Cook IslandsAlan Cheng, sales manager (Pacific), SESTo find out more, visit ses.com/o3b-mpower/o3b-mpower-stories/taking-nation-forward

As part of AAPI Celebration Month, we welcome Eurie Kim to the show. Eurie is a venture capital investor, serving as Managing Partner at Forerunner. As a former entrepreneur, Eurie has deep personal appreciation for the emotional commitment and relentless passion required of a founder, allowing her to be radically empathetic to the entrepreneurs she works with while being realistic and honest in the advice she offers. Her point of view reflects her practical nature and her penchant for seeing the big picture through the mess of fighting fires day to day. Inspired by identifying evolving consumer needs, Eurie seeks opportunities to leverage technology to optimize and innovate every aspect of life and to find the right entrepreneur with the vision to take on the challenge.  Listen as Eurie and host Sean Li discuss her South Korean roots, growing up in white spaces, pivoting from consultant to venture capital, and staying cool, calm, and motivated.*OneHaas Alumni Podcast is a production of Haas School of Business and is produced by University FM.*Episode Quotes:On why she had not been vocal about her Asian roots and AAPI-related topicsMy answer, very authentically, is that I don't spend all my time thinking about it. I'm just really busy living life, doing work, trying my best, and moving forward. I didn't feel like I had discrimination overtly, either for being Asian, Korean, or female, to be honest. I know it was there, but I just didn't bother with it. I just kept moving on and ignored it and considered it the exception, not the rule.Now, with so much conversation that has happened over the years with all the AAPI hate, I felt very personally afflicted. And it's always sad that you can't really feel it until it gets that close. And I hadn't felt it until those few years. And now, it's more on my mind. And I say, representation does matter.On the path to becoming a good venture capitalistIf you do not have an appetite for risk, you will never be a venture capitalist. Well, you'll never be a good venture capitalist.So, for all of those listening who want to get into venture, ask yourself really, do you have the risk appetite? If you picked your next job as though that was your venture investment and your dollars was your own labor, what company would you pick? That mentality will help you get your head in the right place to speak the language.Challenges of being a VCI think one of the largest challenges of this job is that you don't know if you're good for over 10 years. It's not just one investment makes you a star. It's the continued ability to do this job on an ongoing basis and to have internal validation and motivation. So, it's a roller coaster industry. You need to have serious conviction in, not only the companies you invest in and the founders and the entrepreneurs you invest in, but also yourself. Because there's plenty of weeks where I'm like, I don't have a good idea. I'm not inspired. And then, there's other weeks where I can't stop myself from thinking things that are interesting. So, you have to think about it as like it's an ultramarathon, and you can't just get give yourself a pat on the back at 26.2 miles and be like, “I crushed it.” You've got 99 million miles to go.How Eurie keeps the motivation up and goingIf you can enjoy the wins of the building, when you launch a product, when you see that consumers are excited about something, when you work with a founder and you see her crush a pitch or raise that next round, those are absolutely worth celebrating, because those are the moments that I like to always say, my philosophy is all about the baby steps. The pyramids were built one brick at a time. You can't see it yet for so long, but you're building something amazing. And so, it does require you to be able to pan back.And I don't want to say there's no validation, because there is. You have to celebrate those wins, because otherwise, I mean it's honestly too long, of a course. But the motivation comes from knowing that you took something that didn't exist and you gave it life, or you gave the founder of this idea the chance to bring it to life.And that is amazing. That feels really, really special. Show Links:LinkedIn ProfileForerunner VenturesThe Man's Search For Meaning by Viktor FranklAtomic Habits: An Easy & Proven Way to Build Good Habits & Break Bad Ones by James ClearSupport this podcast at — https://redcircle.com/onehaas/donations

We welcome a titan of media, the incomparable George Veras. A former Chief Operating Officer, Chief of Staff & Executive Producer of the Pro Football Hall of Fame, among many other achievements. Prior to joining the Pro Football Hall of Fame, his production company Veras Commuications Inc produced and managed world-renown musician Yanni. He produced and directed the PBS record breaking television specials, “Yanni Live at the Acropolis” and then for the first and only time in history, “Yanni Live at the Taj Mahal” and “Yanni Live at the Forbidden City”, the first time ever a Western artist performed at both venues. He managed and promoted Yanni worldwide, including “Live at the Taj Mahal” and “Live at the Forbidden City”, which launched a 100-city, two-year tour “Tribute” grossing more than $150 million. He produced for NBC Sports 2 Winter Olympics and the 2004 Summer Olympics in Athens, awarded two National Sports Emmys. VCI produced and marketed over 100 hours of entertainment, sports and documentary programming for seven networks. Veras is also an Adjunct Professor of Sports Business at Case Western Reserve University, a judge for play by play and studio analysts for the National Sports Emmys, an Archon of the Ecumenical Patriarchate Order of Saint Andrew (https://www.archons.org/, a member of St. Demetrios Greek Orthodox Church, Rocky River, Ohio and an Ellis Island Gold Medalist Recipient. Past associations include member of 1996 Athens Olympic Bid Committee for Broadcasting and Television, Board membership for the Cleveland Pops Orchestra and Anatolia College, Thessaloniki. He has been honored four times as Man of the Year by the Greek-American community. The Hellenic Spirit Foundation 1994 (https://hellenicspiritfoundationstl.org/) the Elios Society 1999 (https://elios.org/) , the American Hellenic Institute 2005 (https://www.ahiworld.org/) and Leadership 100 (http://www.l100.org/) 2018. We could go on and on, but instead please watch our amazing interview with this amazing human! Winning 10 Emmys to the Pro Football Hall of Fame.

VCI presenta su nuevo álbum llamado almas reflejadas, un compilado de 11 tracks donde refleja una paleta sonora diversa entre ambient, techno y experimental, con matices melódicos a su estilo. "Almas reflejadas se inspira en la expresión momentánea que se experimenta con diversos sintetizadores y cómo esto se refleja en el público, generando una profunda conexión de sentimientos a través del live performance” VCI: @vciexp https://www.facebook.com/VCIlive https://www.instagram.com/vci_col/ VOLTAICA: @voltaicarec https://www.instagram.com/voltaicarec/ MEDELLINSTYLE @medellinstyledj www.instagram.com/medellinstyle/?hl=es-la www.facebook.com/culturaelectronica Available on: sptfy.com/medellinstyle youtube.com/medellinstyle apple.co/2NirUXY soundcloud.com/medellinstyledj/sets/podcast www.mixcloud.com/MedellinStyle/ www.deezer.com/es/show/657932 tun.in/pjCgO medellinstyle.com/category/podcast BANDCAMP: https://voltaicav.bandcamp.com/album/almas-reflejadas

Videos: Michael Moore ‘Optimistic' About Democratic Midterm Chances Because He Doesn't ‘Live in a Bubble' and Millions of Americans Aren't ‘Very Bright' (3:05) Dem Party Turns On Anti-War Democratic Primary Winner (2:16 to 5:28) Society is going to COLLAPSE -Neil Oliver ( 5:24) Fear Psychosis and the Cult of Safety – Why are People so Afraid?  – Academy of Ideas (13:25) Study reveals the powerful pain-relieving properties of ashwagandha Nizam Institute of Medical Science (India), October 30, 2022 People experiencing knee joint pain and discomfort, particularly those with knee osteoarthritis, may find relief in an Ayurvedic medicine called ashwagandha(Withania somnifera). A study published in the Journal of Ayurveda and Integrative Medicine found that the root and leaf extracts of ashwagandha relieve knee pain and discomfort caused by osteoarthritis. In the search for safe and effective natural pain relief treatments, researchers from Nizam's Institute of Medical Sciences (NIMS)  evaluated the efficacy and safety of the root and leaf extracts of ashwagandha in patients with knee joint pain and discomfort. Ashwagandha is known to contain analgesic, anti-inflammatory, and chondroprotective properties. In the study, the researchers recruited 60 patients with knee joint pain and discomfort. These participants received placebo capsules, 125 milligrams (mg) of ashwagandha extract, or 250 mg of ashwagandha extract twice a day for 12 weeks. The results revealed that participants who received doses of ashwagandha extracts experienced great reductions in pain, stiffness, and disability. Those who received the higher dose of ashwagandha, which was 250 mg, experienced even greater and faster effects than those who received the 125 mg dose. In addition, the ashwagandha treatment did not cause any side effect. Overall, both doses of ashwagandha extract caused significant reductions in pain, stiffness, and disability of patients in a dose-dependent manner without causing any side effect.Ashwagandha Root Supports Thyroid Hormone Levels Sudbhawana Hospital (India), October 31, 2022 Eight weeks of supplementation with Ashwagandha root extract were associated with normalization of the thyroid stimulating hormones (TSH), serum thyroxine (T4) and serum triiodothyronine (T3) in people with elevated TSH levels. “The results of the present study are in accordance with previous studies,” wrote the researchers in the Journal of Alternative and Complementary Medicine. “The results indicate a possible role for ashwagandha in regulating HPT axis. The anti-stress and cortisol-lowering effect of ashwagandha may provide a suitable explanation for the current outcome.” Ashwagandha has been used traditionally as an adaptogen to rejuvenate health, maintain homeostasis, sustain normal thyroid function and maintain hormonal balance in human body. However, very few modern published papers have reported ashwagandha's beneficial effects on thyroid function. This is the first clinical study that supports the traditional claim of ashwagandha as a thyroid modulator. The new double blind, randomized, placebo-controlled study involved 50 people with elevated TSH levels. So called subclinical hypothyroidism is described as a thyroid disorder with no obvious symptoms of thyroid deficiency. Participants were randomly assigned to receive either ashwagandha supplements (600mg daily) or placebo for eight weeks. Results showed that ashwagandha significantly improved serum TSH, serum T4 and serum T3 levels, achieving change toward normalization of 19%, 45% and 21% respectively. “The outcome of the present study highlights the beneficial role of ashwagandha root extract for normalizing thyroid hormone levels in subclinical hypothyroid patients; however, further studies are required to elucidate the underlying mechanisms of ashwagandha,” concluded the researchers. Enzyme in Broccoli, Cucumbers and Avocados Reverses Aging In Cells Washington University School of Medicine, October 31, 2022 Researchers have zeroed in on an enzyme — found in natural foods like broccoli and cucumbers — that can slow the chronic conditions that come with age. Scientists at Washington University School of Medicine in St. Louis have shown that supplementing healthy mice with a natural compound called NMN can compensate for this loss of energy production, reducing typical signs of aging such as gradual weight gain, loss of insulin sensitivity and declines in physical activity. The compound, called nicotinamide mononucleotide (NMN), is involved in producing another compound that is critical for energy metabolism. When they gave normal aging mice infusions of NMN, they made more of that energy-fueling compound and some of the biological problems associated with aging went away. The NMN-treated animals did not gain as much weight, they were able to convert food into energy more efficiently, their blood sugar was better–even their eyesight improved. The mice receiving NMN were also able to prevent some of the genetic changes associated with aging. “We have shown a way to slow the physiologic decline that we see in aging mice,” said Shin-ichiro Imai, MD, PhD, a professor of developmental biology and of medicine. “This means older mice have metabolism and energy levels resembling that of younger mice. Since human cells rely on this same energy production process, we are hopeful this will translate into a method to help people remain healthier as they age.” With age, the body loses its capacity to make a key element of energy production called NAD (nicotinamide adenine dinucleotide). Past work by Imai and co-senior author Jun Yoshino, MD, PhD, an assistant professor of medicine, has shown that NAD levels decrease in multiple tissues as mice age. Past research also has shown that NAD is not effective when given directly to mice so the researchers sought an indirect method to boost its levels. To do so, they only had to look one step earlier in the NAD supply chain to the NMN compound. “It's clear that in humans and in rodents, we lose energy with age,” says Imai. “We are losing the enzyme NMN. But if we can bypass that process by adding NMN, we can make energy again. These results provide a very important foundation for the human studies.” “Even though NAD synthesis was stopped only in the fat tissue, we saw metabolic dysfunction throughout the body, including the skeletal muscle, the heart muscle, the liver and in measures of the blood lipids,” Yoshino said. “When we gave NMN to these mice, these dysfunctions were reversed. That means NAD in adipose tissue is a critical regulator of whole body metabolism.” Meta-analysis of the efficacy of acupuncture in the treatment of the vascular cognitive impairment associated with cerebral small vessel disease Guangzhou Medical University (China), November 5, 2022 To systematically evaluate the efficacy and safety of acupuncture in the treatment of the vascular cognitive impairment (VCI) associated with cerebral small vessel disease (CSVD–VCI) and to provide a theoretical basis for clinical acupuncture treatment for CSVD–VCI. Ten articles on RCTs were included, involving 761 patients, i.e., 381 in the acupuncture group and 380 in the control group. The meta-analysis results indicated that the use of acupuncture alone and acupuncture alongside other therapies for CSVD–VCI could improve the overall clinical response rate, increase the patients' Montreal Cognitive Assessment scores, and activities of daily living scores. Conclusion:  Acupuncture alone and acupuncture alongside other therapies are superior to non-acupuncture-based therapies in the treatment of CSVD–VCI. However, due to the small number of relevant available articles and their general low quality, this conclusion may be biased. More clinical RCTs with a larger sample size and higher quality are needed to support this theory. Kids with vitamin D deficiency more likely to develop asthma: 10-year study Telethon Kids Institute (Australia), November 1, 2022 The findings, published in the Journal of Allergy and Clinical Immunology, showed repeated bouts of vitamin D deficiency in early childhood were linked to higher rates of asthma at aged 10, as well as allergy and eczema.  The study also found that allergic immune responses were more common in children with low vitamin D in the first few years, while children with vitamin D deficiency at 6 months of age were more likely to experience two conditions previously associated with heightened asthma risk: increased colonisation of the upper airways by harmful bacteria and increased susceptibility to severe lower respiratory infections involving fever. “We know vitamin D plays an important role in regulating the immune system and promoting healthy lung development…But while it has been suggested that inadequate vitamin D may be a factor contributing to the surge in asthma rates over recent decades, previous studies investigating the relationship have yielded conflicting results. There has been a lack of research looking at whether vitamin D deficiency is more detrimental at certain periods in childhood.” The study tracked vitamin D levels from birth to asthma onset, and it had shown a clear link between prolonged vitamin D deficiency in early childhood and the development of asthma. The paper states that the children were assessed at birth and at clinical follow-ups at the ages of 0.5, 1, 2, 3, 4, 5, and 10 years, and relationships with clinical outcomes were examined.  “Vitamin D deficiency in early childhood is associated with increased risk for persistent asthma, potentially through modulating susceptibility to early allergic sensitization, upper respiratory tract colonization with bacterial pathogens, or both. These relationships are only evident if vitamin D status is monitored prospectively and longitudinally,” the study concluded. “Australia is one of the few developed countries that does not fortify its food supply with Vitamin D and therefore it may not be a coincidence that we have the highest rates of allergic disease, including food allergies, in the developed world. We believe that Vitamin D supplementation trials in infancy are essential to answer this important public health question,” she said. Boost Memory, Regenerate Neurons with This Ancient Plant GreenMedInfo, November 1st 2022 Considering the fact that gingko biloba is the oldest known tree in existence (deemed for this reason a “living fossil“), isn't it poetic how this plant has also been used to promote long life as both a food and medicine in traditional cultures as well? A 2006 paper published in the European Journal of Neurology described a 24-week randomized, placebo-controlled, double-blind study showing an extract of this plant was as clinically effective as the blockbuster donepezil for mild-to-moderate Alzheimer's disease You will find gingko has been studied to have value in over 100 different diseases, and has been identified to have at least 50 distinct beneficial physiological actions. Isn't this amazing?  It has been known that gingko can stimulate brain-derived neutrophic factor (BDNF), a protein found in the brain and in the peripheral nervous system which is essential in the regulation, growth and survival of brain cells, and which is especially important for long-term memory. The ability to increase BDNF, therefore, implies it will improve brain and cognitive function. Only recently a new mechanism behind gingko biloba's brain and neurological tissue healing properties been revealed in the publication of an article in Cell and Molecular Neurobiology titled, “Ginkgo Biloba Extract Enhances Differentiation and Performance of Neural Stem Cells in Mouse Cochlea.”   In the new study researchers tested the premise that ginkgo biloba's wide range of benefits in the treatment of neural damage and disorders is due, in part, to its ability to positively modulate neural stem cells (NSC), a subpopulation of cells within the brain that as multipotent cells are capable of generating the many different types (phenotypes) of cells that make up the brain.  Their results, using mouse cochlea-derived neural stem cells, showed a number of ways that gingko biloba exact (GBE) resulted in a beneficial effect: “Our data showed that GBE treatment promotes cell survival and NSC proliferation. In addition, GBE treatment also increases NSC differentiation to neurons and enhances the performance of mature neural networks evident by the increased frequency of calcium oscillation. Moreover, neurite outgrowth is also dramatically increased upon GBE treatment. Overall, our study demonstrates the positive regulatory role of GBE in NSC proliferation and differentiation into functional neurons in vitro, supporting the potential therapeutic use of GBE in hearing loss recovery.” It is noted that neural stem cell stimulation and subsequent brain repair has also been observed in preclinical research with a little known component of turmeric known as ar-turmerone, which is found in whole turmeric but not in the increasingly popular 95% standardized curcumin extracts of turmeric.  

Massachusetts mom Christie and her husband tried for a year and a half before they finally conceived. At her 20-week anatomy scan, she was diagnosed with VCI and got growth scans the rest of her pregnancy. At her 32 week growth scan, they discovered she had severe preeclampsia and transferred her to another hospital about an hour away because her local hospital didn't have a NICU. She had my daughter almost exactly 29 hours later via an emergency c-section. Christie shares her birth story and what her experience was like each step of the way. She shares what was challenging and most importantly, what she is grateful for. Connect with Lina on InstagramFollow the New Mamas Podcast on InstagramRead Lina's Motherhood BlogSupport the Show: Buy Me a CoffeeEpisode edited by Chris Duffy: heyitschrisduffy@gmail.com-[This episode is sponsored by Creidm.com]Creidm.com is a Distributor of the all-natural and eco-friendly home, skin, and health products created by Shaklee. These products are the most clinically tested and clinically proven. Creidm and the Shaklee Products focus on children and mothers. They offer personalized vitamin packs for children and adults called Meology and can come in gummy and pill form. What is great, is they offer higher discounts on the Meology kids packs for the more kids you have! Also, starting in November they will be releasing their pre- and post-natal line to help support Mothers and their children in such an important time of their life.Creidm also offers ways to become a distributor yourself and make extra income all from home! To learn more, go to Creidm.com.Support the show

Sollte es in Deutschland nicht genug Gas für alle geben, müsste sich zuerst die Wirtschaft einschränken. Ein Industrieverband stellt das in Frage. Werner Hesse vom Paritätischen Gesamtverband hält dagegen.

In this episode Vixen Labs' strategist, Scot Westwater exclusively reveals what we can expect from this year's Voice Consumer Index research. The VCI 2022 data will hit your inbox on June 21 if you're signed up to our mailing list (head to vixenlabs.co/newsletter to make sure you are!) We also hear from Vixen Labs CEO James Poulter about the importance of voice search and Rich Merret gives a run-down of the latest voice tech news, including this week's announcement that Google is to sunset Google Actions. JP's presentation to The Like Minds Nudge Ideas Festival Google sunsets Google Actions   Don't forget to... Hit like and subscribe wherever you listen to podcasts to make sure you don't miss the next episode of Talking Shop Follow us on social media @Vixen_Labs on Twitter, Vixen Labs on LinkedIn and @vixen_labs on Instagram.  

In der aktuellen Folge des Tax Quartetts sind Prof. Dr. Christian Kaeser (Global Head of Taxes, Siemens AG) und Berthold Welling, RA (Abteilungsleiter Steuern, Recht und Nachhaltigkeit, VCI e.V.) zu Gast und sprechen mit den drei Gastgebern Dr. Eva Oertel, Dr. Florian Holle und Dr. Mathias Hildebrandt über die Möglichkeiten zum Netzwerken im Internationalen Steuerrecht.

Why is it so difficult for Germany to boycott Russian gas? Countries like Lithuania have already declared independence from Russia and some economists believe Germany could do the same. We ask the head of Germany's chemical industry association.

Warum tut sich Deutschland so schwer, russisches Gas zu boykottieren? Länder wie Litauen haben sich schon ihre Unabhängigkeit von Russland erklärt, einige Ökonomen halten einen Gaslieferstopp für machbar. Wir reden Tacheles mit dem Vorstand des VCI.

* Guest: Dr. Scott Bradley – To Preserve The Nation – FreedomsRisingSun.com * What is a SMART Health Card? - The SMART Health Card is a digital or printed QR code that provides proof of vaccination or shows recent test results. * Many US states have outlawed vaccine passports but the SMART Health Card is being rolled out across the country with help from the private sector. * The only information displayed on the card is the holder's name and date of birth as well as clinical information related to the vaccine and test. This includes the date, manufacturer, and result of a test and the date, type, and location of a vaccination. * “We've got most of the big pharmacy chains, all of the key health systems. Several states have agreed to adopt this particular standard” says JP Pollak from The Commons Project, one of the companies involved with VCI. * SMART Health Cards are used as verification by a number of bars, restaurants, sporting events, and other businesses - Countless universities and colleges have also started to require routine testing or vaccination for students to attend class in the fall. * Whether they realize it or not, about 200M people in the US already have access to a Covid-19 digital vaccine card. * It has a person's name, date of birth and the dates and brands of vaccination doses, all contained within a type of scannable bar code known as a QR code - It has become a de facto national digital vaccine card. * Medication-induced abortions accounted for 54% of all abortions in the US in 2020, according to the Guttmacher Institute. Abortion pills have grown in popularity since they were first introduced in 2000. * Chemical abortions end pregnancies through a two-drug regimen, The first drug blocks the natural hormone progesterone, starving the developing baby of nutrients, while the second drug induces labor to expel the baby from the womb. * Nebraska GOP Sen. Ben Sasse stated of Ukraine that the U.S. should “be arming them to the teeth,” and that the US should provide “tactical, actionable intelligence,” so they can kill “Russian invaders.” - Morning Joe. * Joe Biden To Nominate Ketanji Brown Jackson To Supreme Court. * According to a study from WalletHub , Nevada is the most sinful state in America. California, Texas, Florida and Louisiana rounded out the top five. The study was based on anger and hatred, jealousy, excesses and vices and greed.

Hour 1 * Guest: Lowell Nelson – CampaignForLiberty.org – RonPaulInstitute.org * Utah Legislature: HB 11 approved by Senate Committee. * Utah Legislature: HB 371 failed in House Committee. * Utah Filing Window is Open. * Utah Precinct Caucuses on March 8. * “They Didn't Hear What We Told Them. They Had Better Hear This Time.” — Vladimir Putin – Paul Craig Roberts. * Keep US Out of War – LewRockwell.com – We need to understand the background of the crisis, and we also need to remember the basic principles that should guide American policy. * George Washington, in his Farewell Address, warned us to stay out of European conflicts: “Europe has a set of primary interests, which to us have none, or a very remote relation. Hence she must be engaged in frequent controversies, the causes of which are essentially foreign to our concerns. Hence therefore it must be unwise in us to implicate ourselves, by artificial ties, in the ordinary vicissitudes of her politics or the ordinary combinations and collisions of her friendships or enmities.” * Jason Stapleton: “Where goods cross borders, armies do not.” – Far better and wiser is the old classical liberal foreign policy of neutrality and nonintervention. Hour 2 * Guest: Dr. Scott Bradley – To Preserve The Nation – FreedomsRisingSun.com * What is a SMART Health Card? – The SMART Health Card is a digital or printed QR code that provides proof of vaccination or shows recent test results. * Many US states have outlawed vaccine passports but the SMART Health Card is being rolled out across the country with help from the private sector. * The only information displayed on the card is the holder's name and date of birth as well as clinical information related to the vaccine and test. This includes the date, manufacturer, and result of a test and the date, type, and location of a vaccination. * “We've got most of the big pharmacy chains, all of the key health systems. Several states have agreed to adopt this particular standard” says JP Pollak from The Commons Project, one of the companies involved with VCI. * SMART Health Cards are used as verification by a number of bars, restaurants, sporting events, and other businesses – Countless universities and colleges have also started to require routine testing or vaccination for students to attend class in the fall. * Whether they realize it or not, about 200M people in the US already have access to a Covid-19 digital vaccine card. * It has a person's name, date of birth and the dates and brands of vaccination doses, all contained within a type of scannable bar code known as a QR code – It has become a de facto national digital vaccine card. * Medication-induced abortions accounted for 54% of all abortions in the US in 2020, according to the Guttmacher Institute. Abortion pills have grown in popularity since they were first introduced in 2000. * Chemical abortions end pregnancies through a two-drug regimen, The first drug blocks the natural hormone progesterone, starving the developing baby of nutrients, while the second drug induces labor to expel the baby from the womb. * Nebraska GOP Sen. Ben Sasse stated of Ukraine that the U.S. should “be arming them to the teeth,” and that the US should provide “tactical, actionable intelligence,” so they can kill “Russian invaders.” – Morning Joe. * Joe Biden To Nominate Ketanji Brown Jackson To Supreme Court. * According to a study from WalletHub , Nevada is the most sinful state in America. California, Texas, Florida and Louisiana rounded out the top five. The study was based on anger and hatred, jealousy, excesses and vices and greed. --- Support this podcast: https://anchor.fm/loving-liberty/support

2.27.22. We launch NDPC's participation in the Vital Congregations Initiative. The VCI is a two year process that will involve the whole congregation in self-reflection, discernment, prayer, and the setting of a courageous and spirit-filled vision for our church's future. Rev. Lewicki preaches on the commissioning of the 70 from Luke, chapter 10.

Are you in manufacturing and experience rust issues on your products? If so, Jeff Short with Armor Protective Packaging dives into their solutions for rust preventions and what differentiates them from from other VCI manufactures. Here's how you can connect with Jeff:Email: jshort@armorvci.comLinkedin: https://www.linkedin.com/in/jeff-short-70373097/?miniProfileUrn=urn%3Ali%3Afs_miniProfile%3AACoAABSTOvMB3zyj96N1boNExS9q_GRD6AVHlgAIf you would like to connect with me:https://www.linkedin.com/in/derrick-nave/https://derricknave.me/

Have you ever wondered about continuing your education as a teacher? VCI teacher Cody McPhee interviews Tricia Hayward and Carrie Tapp about their pursuit of graduate degrees. In this interesting conversation, these Fort La Bosse teachers discuss the advantages of further education as well as the challenges and strategies for success. These three educators who have enrolled in three different programs at three different universities offer a wealth of advice and information if you're considering a similar path.

VCi snackar stundande Play-off, Jannes oförklarliga byten, Jannes helt värdelösa byten, Jannes helt fucked up byten, Gula väggen vs. Camp Sweden, o lite till. Saarvi!

Shopping nowadays is a gratifying act. But voice shopping is even better. Because it satisfies the human need to ask for what we want, to talk about what we like, and to do so effortlessly.  Sure, voice shopping is here to make transactions, complicated returns, and other tedious procedures easier for everyone. However, voice plays another fundamental role in our shopping experience: it's natural, it's personal. To explain more on how voice can change the future of shopping around, we've invited Procter & Gamble ex-Executive Milan Turk on this eighth and last in the VCI 2021 series episode. Listen now! Don't forget to download our full VCI 2021 report for a comprehensive analysis of the most recent voice user trends in the UK, US and Germany,  And follow us on social media for unlimited tips and insights on voice:  @Vixen_Labs on Twitter, Vixen Labs on LinkedIn,  and @vixen_labs on Instagram.

As safe takeaway evenings replaced eating out habits in the pandemic, voice adoption increased among fast food lovers. Fast, convenient, and touchless. It's no surprise that McDonald's wanted to be a pioneer in this field. Together, we created a skill that satisfies top consumer needs such as finding their nearest McDonald's, checking opening times and services, initiating an order, and more. To talk about the Amazon Alexa McDonald's skill in the UK, as well as voice tech and multi-platform integrations in the fast food industry, we welcome Steve Pearce, Digital Portfolio Manager at McDonald's UK. For a more comprehensive view on voice user trends across industries in the UK, US and Germany, download our full VCI 2021 report.  And don't forget to follow us on social media for unlimited tips and insights on voice:  @Vixen_Labs on Twitter, Vixen Labs on LinkedIn,  and @vixen_labs on Instagram.

The past couple of years have affected not only our entertainment patterns, but also how we spend our money - and if we are spending, then we need to know what's in the bank! The insurance and banking sectors are slowly adopting voice-first technology to identify customer pain points and relieve them. From PSD2 integrations to balance-checking voice skills, the full potential of voice is yet to be revealed. Dr. Robin Kiera, insurance and finance specialist, founder of Digitalscouting and renowned world speaker, joins us today to highlight where the appetite for voice is in banking. For a more comprehensive view on voice user trends in the UK, US and Germany, download our full VCI 2021 report.  And don't forget to follow us on social media for unlimited tips and insights on voice:  @Vixen_Labs on Twitter, Vixen Labs on LinkedIn,  and @vixen_labs on Instagram.

The travel sector has been one of the most disrupted by the pandemic. But instead of counting their losses, companies like Contiki focused on winning at customer service and top-of-funnel content. In this episode, we speak with Lottie Norman, Content Marketing Director at Contiki, to explore the role of voice in their strategy. Voice assistance, podcast efforts, and adopting a multi-channel approach have not only supported travelers during the pandemic, but also reminded them of how good travel can get. Tune in! For a more comprehensive view on voice user trends in the UK, US and Germany, download our full VCI 2021 report.  And don't forget to follow us on social media for unlimited tips and insights on voice:  @Vixen_Labs on Twitter, Vixen Labs on LinkedIn,  and @vixen_labs on Instagram.   Other skills and content mentioned here:  Amazon Alexa Skill – Contiki: Pack My Bags Contiki Podcast – Out of Office Contiki YouTube Series – The Road Trip

Entertainment is one of the original voice use cases on smart speakers. But, as ambient experiences evolve, more marketing opportunities arise through voice. Nowadays, skills like Paloma's Bedtime and Hand Wash Tunes open new avenues for fans to connect with artists outside usual circumstances. And, while more and more people are searching for music based on mood and time of day, a great voice strategy can increase artist discoverability.  We're chatting about new voice trends in entertainment with James Bartlett and Lauren Fitzgerald of Sony Music UK. Tune in! For a more comprehensive view on voice user trends in the UK, US and Germany, download our full VCI 2021 report.  And don't forget to follow us on social media for unlimited tips and insights on voice:  @Vixen_Labs on Twitter, Vixen Labs on LinkedIn,  and @vixen_labs on Instagram.

Imagine a world where voice assistants tell you the pathogen levels in the operating theatre. Or where they take the pressure off medical staff by performing tasks such as readjusting lights and room temperature for patients. In our third episode, we speak to serial entrepreneur and book author Harry P. Pappas about how voice technology can revolutionise the healthcare sector. Harry is the founder of Intelligent Health Association and co-author of ‘Voice Technology in Healthcare: Leveraging Voice to Enhance Patient and Provider Experiences', as well as a great believer in the power of voice to engender change in the way people receive and provide care on a global scale. For a more comprehensive view on voice user trends in the UK, US and Germany, download our full VCI 2021 report.  And don't forget to follow us on social media for unlimited tips and insights on voice:  @Vixen_Labs on Twitter, Vixen Labs on LinkedIn,  and @vixen_labs on Instagram.

In this episode, we're looking at the implications of voice in retail with Massimo Volpe, founder of Global Retail Alliance, and Manolo Almagro, Managing Partner at Q Division. Sure, we think transactionally when it comes to e-commerce, but what about using voice to turn this seemingly cold interaction into a more human experience? Could it be that, in the future, companies use voice tech to sense and soothe customer anger? Join in our conversation prompted by the findings of our Voice Consumer Index 2021, which reveal not only the most recent voice trends in retail, but also how people expect to use voice technology to search for and purchase products in the near future.  For a more comprehensive view on voice user trends in the UK, US and Germany, download our full VCI 2021 report.  And don't forget to follow us on social media for unlimited tips and insights on voice:  @Vixen_Labs on Twitter, Vixen Labs on LinkedIn,  and @vixen_labs on Instagram.  

The numbers have spoken — 91% of voice consumers are using voice search via a website, mobile app, or smart speaker.  In this episode, James is joined by Jon Stine, executive director at the Open Voice Network, and Susan and Scot Westwater, co-founders at Pragmatic Digital, to discuss this and some other key findings in the Voice Consumer Index 2021, recently compiled by Vixen Labs in partnership with the Open Voice Network. The report digs into how consumers use voice to search for brands and even make purchases across three regions — the UK, US and Germany.  Alongside an exclusive analysis of the report straight from white paper co-authors Susan and Scot, this episode focuses not only on unpacking the data, but also providing insight on how to use it to create a better experience for the consumer.  For a more comprehensive view on voice user trends in the UK, US and Germany, download our full VCI 2021 report.  And don't forget to follow us on social media for unlimited tips and insights on voice:  @Vixen_Labs on Twitter, Vixen Labs on LinkedIn,  and @vixen_labs on Instagram.

On this week's podcast we have Special Guest, Jose Ramon Riestra, President & CEO of Empire Management Group and one of Orlando Business Journal's Top CEOs for 2020. I share a glass of the Racer 5 IPA from Bear Republic Brewing Co in Cloverdale, CA. Jose is a strong strategic and highly motivational Business leader. With a career internationally at Procter & Gamble and GlaxoSmithKline, he then retired to take over a small family business as President at World of Homes, and currently owner and CEO of Empire Management Group, Inc. based in Central Florida working to change the way that Association and Property Management is run with many exciting disruptive projects currently underway. He is also a board member with non-profit Volunteers for Community Impact, VCI in supporting the organization make positive change with at risk members of the local Central Florida community.Since taking the leadership of the company it has been rewarded with multiple industry and personal awards consecutive years including Industry leading Readers choice Award 6 years running, Orlando Top 100 Places to Work also 6 years running, and recently named one of Central Florida's TOP CEOs in 2020. This comes with 10x growth, tripled employment positions, and created new roles and programs that are changing his industry, while driving empathetic and ethical leadership to empower employees and best serve customers during this difficult time.Authentically passionate about finding new ways to improve ways of working while always keeping our core focus in mind to excel at the customer experience while building better communities. This is in part of a genuine drive to overperform on business objectives and deliver a better experience to customers, team members, and our families alike.Now also a Season 2 Advisor X with 4 Days to Save the World (TV Series) - Amazon Prime Earth Day 2022.Connect with Jose Ramon Riestra at:LinkedIn: https://www.linkedin.com/in/jrriestra/Instagram @jrriestra and @joseriestra87

Is Patient Centric Interoperability possible?  Can we get the full medical record into the hands of the patient?It would seem that Vaccine Credential Initiative has demonstrated the potential of such an approach.FTAIn the U.S., the VCI will issue FHIR-enabled COVID-19 vaccine certificates on iOS and Android phones and digital wallets – and paper-based copies with QR codes to help ensure health equity.He noted that it's "important to describe what VCI is, and what it is not."It is a voluntary, pro bono effort, using open source, freely-available standards to enable individuals to have vaccination credentials on their mobile device or a paper-based copy, said Anderson."It's really about aligning around an interoperable set of open source specifications to empower individuals, have access to those credentials."---------You have to love those words, empower individuals to have access to those (vaccine) credentials.Great work, now let's get to work on the rest of the medical record.https://www.healthcareitnews.com/news/vaccination-credential-projects-gaining-steam-worldwide

Per poter utilizzare la meglio la memoria bisogna conoscere tecniche, ma anche come funziona il nostro cervello. Ascolta questo podcast e memorizzate bene!Vci ricordo il corso dedicato MEMORY LAB, tre giornate su tecniche di lettura veloce, memoria e mappe mentali e concettuali https://myp.srl/corso-formazione-professionisti/memory-lab/Al nostro webinar gratuito di questa sera ti sveliamo semplici trucchetti per allenare la memoria! Ti aspettiamo, come ogni giovedì alle ore 18.30 Giovedì in Diretta!Iscriviti su https://myp.srl/webinar/********Mario Alberto Catarozzo - Formatore e Business Coach professionista• https://mariocatarozzo.it | https://myp.srl• FACEBOOK: https://facebook.com/MarAlbCat• LINKEDIN: https://it.linkedin.com/in/macatarozzo• TWITTER: https://twitter.com/MarAlbCat• INSTAGRAM: https://www.instagram.com/mariocatarozzo• TELEGRAM: http://t.me/COACHMAC_official• BUONGIORNO FELICITÀ: https://www.facebook.com/groups/buongiornofelicita• GIOVEDÌ IN DIRETTA:https://myp.srl/webinar/

Europe: com ingressos a R$ 3 mil, banda fará show em hotel de Fortaleza em 2022 - Ritual Metal Mantra #026 18 de março ********************* Saudações metaleiros, você acaba de aterrissar no Ritual do Metal Mantra, o seu Podcast diário com as notícias do mundo do Heavy Metal, e no ritual de hoje, vamos falar sobre: Europe: com ingressos a R$ 3 mil, banda fará show em hotel de Fortaleza em 2022 ********************* ➡️ Europe: com ingressos a R$ 3 mil, banda fará show em hotel de Fortaleza em 2022

OUTER DIMENSION PREMIERE 140 Track Title: @vciexp - Celeste Album Title: A Thousand Hidden Words Label: @Illegal-Alien-Records Catalogue Number: IARLTDCST006 Format: Cassette & Digital Release Date: February 8th, 2021 About the release: We are very proud to present you our next Physical release, it is an Artist Album by one of Colombian finest Producer and one of the most promising artists coming out from Latin America, VCI. This is his very first Full length Album and we are extremely happy to be the platform to release this Masterpiece. 'A Thousand Hidden Words' it's the name of this beautiful work and will release on a limited special Cassette edition and Digital format. Follow VCI here: www.soundcloud.com/vciexp www.facebook.com/VCIlive www.instagram.com/vci_col Follow Illegal Alien Records here: www.illegalalienrecs.com OUTER DIMENSION www.soundcloud.com/outerdimension www.instagram.com/outerdimension www.facebook.com/OUTERDIMENSION www.formaviva.com/outer-dimension Premiere Requests, Infos & Promos outerdimension.au@gmail.com

Start the clock. The Vaccine Credential Initiative (VCI) will show how far we've come with interoperability.Rewind three years. The idea that Cerner and Epic would participate in anything together, at least anything that was more than just a CYA announcement would be unheard of. Now they are both in on VCI.More on VCI.-----FTAParticipating organizations will agree to offer individuals with digital access to their vaccination records using the open, interoperable SMART Health Cards specification based on W3C Verifiable Credential and HL7 FHIR standards, according to VCI.------This will be a great test. The urgency created by the pandemic, coupled with the progress on interoperability fueled by FHIR and 21st Century Cures are coming together. Now we get to see what can happen when all players have a shared will to make something happen.The speed and proliferation of a solution will tell us if we are on the right path and give us a metric by which to measure all future interoperability efforts by these players.

Running the Bases today with Armand Giovannotto the CEO & Founder of Visit Central Italy - a unique real estate venture with offices around the globe. Visit Central Italy specializes in representing properties, as you would guess - in central Italy. VCI markets international properties, sells homes via real estate contests, and provides vacation rental accommodations. Armand explains how he manages a team with offices in Texas, U.K., and Italy. Is it difficult - yes - but as Armand shares, “I get up and I make my to-do list every morning. I look at my to-do list from the day before, make sure everything is checked off on that. I plan everything we do. And so, routine and planning are our keys to get things done. Selecting the right team member, investing in development, and building the team is crucial to delivering the customer experience that is expected by Armand, and is necessary for success in real estate. As he states “So number one, taking care of the client. And then everything else comes, after that. But in order to do that, everyone has to be really on the same page.”It’s a fascinating show as Armand also details how YOU can WIN a vacation home in Italy! Don’t miss this show - and possibly something that could change your life.Learn more about Visit Central Italy and how to win a vacation home in Italy at www.visitcentralitaly.comGet Local SEO and Digital Marketing information from 38 Digital MarketListen and subscribe to our show on iTunes, Spotify, Amazon Music, Google Podcast, iHeart Radio, Pandora or TuneIn.Follow 38 Digital Market on our Social Accounts:FacebookLinkedInTwitterYoutubeInstagramFollow our guest today at:FacebookInstagramLinkedInTwitter

Der Druck auf Unternehmen wächst, von Mittelstand bis Großindustrie. Das geplante Verbandssanktionengesetz könnte noch in dieser Legislaturperiode verabschiedet werden und das Sanktionsregime für Unternehmen grundlegend verändern. Zugleich stellt der Entwurf Unternehmen vor neue Compliance-Herausforderungen. Nachdem sich zahlreiche Wirtschaftsverbände und Vertreter aus Anwaltschaft und Forschung kritisch zum Entwurf geäußert haben, bekommt das Gesetzesvorhaben auch im Bundesrat kräftig Gegenwind. Der federführende Rechtsausschuss und der Wirtschaftsausschuss des Bundesrats haben sich in einer am 8. September 2020 veröffentlichten Stellungnahme für eine Ablehnung des Gesetzentwurfs ausgesprochen. Für den 18. September 2020 ist eine Diskussion im Plenum des Bundesrats vorgesehen. Dr. Tobias Brouwer und Dr. Christian Rosinus diskutieren den Entwurf des Verbandssanktionengesetzes aus Sicht der Industrie, welche Anreize und potenzielle Fallstricke der Entwurf für Unternehmen bereithält und wie sich ein Verbandssanktionengesetz auf die Compliance-Praxis in Unternehmen auswirken könnte. Dr. Rosinus im Gespräch mit: Dr. Tobias Brouwer, Syndikusrechtsanwalt und Leiter des Bereichs Recht und Steuern beim Verband der Chemischen Industrie e.V. (VCI) sowie Gründungs- und Präsidiumsmitglied beim Berufsverband der Compliance Manager e.V. (BCM). weiterführende Links: Hier finden Sie die Ausschussempfehlung zum Entwurf eines Gesetzes zur Stärkung der Integrität in der Wirtschaft: https://www.bundesrat.de/SharedDocs/drucksachen/2020/0401-0500/440-1-20.html https://rosinus-on-air.com/ https://rosinus-partner.com/

Der Druck auf Unternehmen wächst, von Mittelstand bis Großindustrie. Das geplante Verbandssanktionengesetz könnte noch in dieser Legislaturperiode verabschiedet werden und das Sanktionsregime für Unternehmen grundlegend verändern. Zugleich stellt der Entwurf Unternehmen vor neue Compliance-Herausforderungen. Nachdem sich zahlreiche Wirtschaftsverbände und Vertreter aus Anwaltschaft und Forschung kritisch zum Entwurf geäußert haben, bekommt das Gesetzesvorhaben auch im Bundesrat kräftig Gegenwind. Der federführende Rechtsausschuss und der Wirtschaftsausschuss des Bundesrats haben sich in einer am 8. September 2020 veröffentlichten Stellungnahme für eine Ablehnung des Gesetzentwurfs ausgesprochen. Für den 18. September 2020 ist eine Diskussion im Plenum des Bundesrats vorgesehen. Dr. Tobias Brouwer und Dr. Christian Rosinus diskutieren den Entwurf des Verbandssanktionengesetzes aus Sicht der Industrie, welche Anreize und potenzielle Fallstricke der Entwurf für Unternehmen bereithält und wie sich ein Verbandssanktionengesetz auf die Compliance-Praxis in Unternehmen auswirken könnte. Dr. Rosinus im Gespräch mit: Dr. Tobias Brouwer, Syndikusrechtsanwalt und Leiter des Bereichs Recht und Steuern beim Verband der Chemischen Industrie e.V. (VCI) sowie Gründungs- und Präsidiumsmitglied beim Berufsverband der Compliance Manager e.V. (BCM). weiterführende Links: Hier finden Sie die Ausschussempfehlung zum Entwurf eines Gesetzes zur Stärkung der Integrität in der Wirtschaft: https://www.bundesrat.de/SharedDocs/drucksachen/2020/0401-0500/440-1-20.html https://rosinus-on-air.com/ https://rosinus-partner.com/

Happy summer holidays teacher friends! You've taught like a bosse for the last ten months, now it's time to take care of yourself like a bosse...and the June episode is packed full of suggestions for self-care and wellness. This unique episode is a compilation of three different interviews on three different topics.FITNESS: Mark Keown chats with Julie Mathieson, VCI high school teacher and fitness instructor, about the importance of adding physical fitness into your daily life. Julie shares suggestions for establishing a routine as well as activities to try. Julie owns FORM Studio outside of Virden, and offers a variety of fitness classes. Connect with Julie on Instagram and learn more about her studio here.YOGA: Devon Caldwell visits with Chantalle Crepeele, middle years teacher at Betty Gibson School in Brandon School Division and yoga instructor at The Zen Zone. Devon and Chantalle discuss yoga, breathwork, and mindfulness practices for the classroom as well as for teacher self-care. Follow these links to check out the resources mentioned in this episode: MindUP program, Pause Breathwork, Headspace (free for educators), Calm, and Insight Timer. Connect with Chantalle on Instagram or practice with her at The Zen Zone Brandon. MENTAL HEALTH: Mike Thiessen interviews Chelsea Braybrook, a psychiatric nurse and school counsellor in Fort La Bosse School Division. They explore the impacts of the pandemic on teachers and discuss how teachers can take care of themselves physically, emotionally, and spiritually for optimal mental health. Connect with Chelsea by emailing her at cbraybrook@flbsd.mb.ca. 

Stephanie Crawford is back! She and Brian run down 4 Blu-rays each that they have at the top of their "To Watch" Piles -- touching on discs from VCI, Criterion, Scorpion Releasing, Kino Lorber, Indicator, Warner Archive and more! Follow Stephanie on Twitter @Scrawfish. Follow the Show on Twitter here for Episode previews and new Blu-ray News! twitter.com/justthediscspod We're also on Instagram! instagram.com/justthediscspod/

Born in Colombia. His Live tries to combine deep basses with strong atmospheres, cold and electric with abstract touches and complex percussions, which sometimes touch the sound experimentation with unusual textures without neglecting the dance floor. This work will be reflected in his new work Sounds of the Universe remix by the Alss label. Seeker is always looking for his live or hybrid to be a bit elegant and raw, trying at all times to start a different feeling for the public. As a DJ he has participated in numerous raves and events. His last performance was At Avalon Club with SNTS on Nuit / Noire night. He has had other stage names such as Pablo Cacif and Juciff, where he has gained considerable experience. Currently, Seeker tries to reflect that balance of his live in his productions. He has been named an official member of Alssistechno in which he published in 2017 his first work with that name and in 2018 his remix for VCI called Satya. And sounds from the Remix Universe. Participation in a VA by default series is expected for 2020. Available in: sptfy.com/medellinstyle youtube.com/medellinstyle apple.co/2NirUXY soundcloud.com/medellinstyledj/sets/podcast www.mixcloud.com/MedellinStyle/ www.deezer.com/es/show/657932 tun.in/pjCgO Profile: FB:https://www.facebook.com/Seekercol IG:https://www.instagram.com/seekercol/?hl=es-la SC:https://soundcloud.com/seekercol

Mike Vesey has founded companies providing transformative solutions for the global enterprise. He has developed award-winning products in unified communications, service operations, security, and data management. Mike co-founded DBVisions Inc producing enterprise-grade content management and security platform that was later acquired by a leading CMS provider. Mike went on to found VCI Inc with a focus on identity and security integration for global organizations. VCI developed the enterprise Single Sign On solution for Microsoft Live Meeting. VCI was the exclusive Microsoft integration partner for deployment of Live Meeting into complex, global enterprise environments. VCI has supported and maintained complex identity management integrations with some of the world's largest organizations. This success led Mike to design IdRamp, a decentralized integration fabric focused on automating identity security and application interoperability. IdRamp is a decentralized identity service to simplify integration, improve security and continuously innovate your business. With IdRamp you can easily integrate and orchestrate multiple identity silos. Tailor authentication and access control policies according to your business strategy. Add decentralized self-sovereign identity to any business strategy. Through distributed authentication, IdRamp secures the identity threat surface by eliminating the need for public network-facing identity and access management systems. I invited Mike onto the podcast to learn more about his tech startup story and IdRamp. I also learn more about how IdRamp is providing adaptable digital bridges that interoperate across all generations of identity management.

Welcome to the Elevator World News Podcast. This week’s news podcast is sponsored by elevatorbooks.com: www.elevatorbooks.com INNOVATION INDUSTRIES ACQUIRES VCI Russellville, Arkansas-based Innovation Industries, Inc., a privately held manufacturer of elevator fixtures and components, announced on August 30 it acquired Virginia Controls Inc. (VCI) of Richmond, Virginia, from longtime owner and outgoing President Fred Landon. Landon said III stood out from other potential buyers due to its reputation and its products being a good fit. Established in 1967, VCI supplies elevator- and escalator-control products and accessories for systems ranging from two-landing hydros to traction elevators that travel 500 ft. Observing that all VCI employees, management and its Richmond headquarters will be retained, Innovation President and CEO Paul Horney says VCI controls will be complementary to the product lines of both Innovation and those of its subsidiary Monitor Elevator Products.  Image credit: Innovation Industries To read the full transcript of today's podcast, visit: elevatorworld.com/news Subscribe to the Podcast: iTunes│Google Play | SoundCloud│Stitcher │TuneIn

After a couple of days soaking up the atmosphere of Tinseltown, CinePunked's Robert JE Simpson meets up with old friend, the acclaimed film historian, critic and presenter David Del Valle for a chat about what's left of old Hollywood, David's career, their shared love of horror films, freelancing and the art of the commentary track.

Noah Thomas has decided to step away and pursue his lifelong dream of being an aspirational mommy-blogger, so  we got ESPN's Victor Cruz (who we could only afford for 20 minutes), fashion editor-at-large Corey Stokes, and Kevin McIntosh Jr.—Karla Otto's director of PR services, VIP dressing, and go-to publicist for guys like Virgil Abloh—to try to fill his Size 7 shoes. Vic's got a lot going on—in addition to his post-NFL life at ESPN, he just launched a collaborative sneaker with Pierre Hardy. The VCI (pronounced VC-one) comes in three colorways inspired by different years in his life. He talks about the concept behind the shoe, and then Kevin gives some insight on the PR side of the fashion industry, including some tips on how you can finesse your way into an OFF-WHITE fashion show (hint: be cool and slip him an old-school bag of money with the "$" logo on the side). In addition to honoring director John Singleton and talking about some of the week's hottest drops, we had Dropcast listeners call in to THE DROPCAST Hotline at 833-HIGHSNOB (833-444-4766) to pitch their struggle streetwear brands. We highlight some of the best voicemails and give some tips on designs, what it takes to build a brand today, and Kevin shares some useful marketing information on how celebrity co-signs can help put a young label on. As always, feel free to call call THE DROPCAST Hotline for a chance to end up in a future episode. Hit us at 833-HIGHSNOB (833-444-4766). We'll be waiting! Relevant Links: Director John Singleton Passes Away at Age 51 Virgil Abloh’s New Book Features 1,800+ Unseen Images From His Personal Filessacai’s Nike LDV Waffle Daybreak Surfaces in New Colorway UNDERCOVER Rivals sacai With Another Nike Daybreak Flip Danny Brown HS18 party Featured Brands: Wrath NYC: https://www.instagram.com/wrathnyc/?hl=en Death Club: https://www.instagram.com/deathclub.us/ Flavors: https://www.instagram.com/flavorsblend/ Spread Butter: https://www.instagram.com/spreadbutterldn/ volaré: https://www.instagram.com/volareofficial/ Creamy Studios: https://www.instagram.com/creamy.studios/ Space Academy Supply Co.: https://www.instagram.com/spaceacademysupplyco/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Noah Thomas has decided to step away and pursue his lifelong dream of being an aspirational mommy-blogger, so  we got ESPN's Victor Cruz (who we could only afford for 20 minutes), fashion editor-at-large Corey Stokes, and Kevin McIntosh Jr.—Karla Otto's director of PR services, VIP dressing, and go-to publicist for guys like Virgil Abloh—to try to fill his Size 7 shoes. Vic's got a lot going on—in addition to his post-NFL life at ESPN, he just launched a collaborative sneaker with Pierre Hardy. The VCI (pronounced VC-one) comes in three colorways inspired by different years in his life. He talks about the concept behind the shoe, and then Kevin gives some insight on the PR side of the fashion industry, including some tips on how you can finesse your way into an OFF-WHITE fashion show (hint: be cool and slip him an old-school bag of money with the "$" logo on the side). In addition to honoring director John Singleton and talking about some of the week's hottest drops, we had Dropcast listeners call in to THE DROPCAST Hotline at 833-HIGHSNOB (833-444-4766) to pitch their struggle streetwear brands. We highlight some of the best voicemails and give some tips on designs, what it takes to build a brand today, and Kevin shares some useful marketing information on how celebrity co-signs can help put a young label on. As always, feel free to call call THE DROPCAST Hotline for a chance to end up in a future episode. Hit us at 833-HIGHSNOB (833-444-4766). We'll be waiting! Relevant Links: Director John Singleton Passes Away at Age 51 Virgil Abloh’s New Book Features 1,800+ Unseen Images From His Personal Filessacai’s Nike LDV Waffle Daybreak Surfaces in New Colorway UNDERCOVER Rivals sacai With Another Nike Daybreak FlipDanny Brown HS18 party Featured Brands: Wrath NYC: https://www.instagram.com/wrathnyc/?hl=en Death Club: https://www.instagram.com/deathclub.us/ Flavors: https://www.instagram.com/flavorsblend/ Spread Butter: https://www.instagram.com/spreadbutterldn/ volaré: https://www.instagram.com/volareofficial/ Creamy Studios: https://www.instagram.com/creamy.studios/ Space Academy Supply Co.: https://www.instagram.com/spaceacademysupplyco/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Graeme is one of the founders of State of Play and its parent company VCI. His current work focuses on understanding and advising on business strategy for the global resources industry at the nexus of economics, social and technology change. Graeme is based in Western Australia, travelling widely to support the development of strategies for most of the major mining companies over the past 15 years. A PhD in Engineering by training, Graeme has developed an industry-wide reputation as one of its leading thinkers. Xavier is the research manager for State of Play conducting much of the research, analysis and writing for State of Play publications. Xavier has experience in advising organisations on strategy, business model design and innovation, particularly with mining and utilities sectors. An economist and political scientist by training, Xavier has worked with a range of organisations aiming to catalyse innovation in the resources industry The Innovation: State of Play platform was initiated by VCI in 2012 to create a platform to support industry discussion of innovation and performance at a strategic level, macro-level insights into the industry ecosystem, and more effective strategy execution and business design for competitive advantage. Innovation: State of Play has undertaken 3 global surveys – 2013, 2015 and 2017. They also released the groundbreaking CEO Insights Report in 2016 of interviews with CEOs and Board members from the world’s leading mining companies. The link to participate in this non-profit survey can be found here. Contribute to the strategy forming material that State of Play produces so that our resources executives have as many perspectives as possible in making decisions about your future. https://stateofplay.org/survey-2018   

On this episode, Brian runs through a stack of horror discs from Scream Factory, Warner Archive, Indicator, Kino Lorber Studio Classics, VCI and GarageHouse pictures.

What we gonna do right here for Episode 113 is go back. WAY BACK. Back in to time... Ten years ago. Sounds like a long time, doesn't it? Well, David and Trip take a look back and see how much different everything was: 2007 marked the beginning of the mobile revolution. Apple announced the iPhone, and since then, mobile technology has drastically changed the definition of a phone. As DJs, there's so many apps and ways for our devices to help us DJ, now...all thanks to the advancement of smartphone technology. DJ Mag's Top 100 is saturated in trance and rife with voting controversy.  Beatport's Top 9 selling tracks in 2007 indicates the dominance of electro-house in the years before dubstep domination. Daft Punk releases Alive in 2007 (which went on to win a Grammy in 2009). Grandmaster Flash & The Furious Five were inducted to the Rock & Roll Hall of Fame. Pioneer launched the DJM-700 and the CDJ-400, Technics put out a super-limited run of 1000 SL-1200MK6, Vestax released the first serious DJ controller (VCI-100), and among several other hardware releases from Behringer, Xone, Korg, and others, the Innofader drops on to the market. Traktor Scratch comes in to being after splitting off from Final Scratch. Beyonce topped the charts in 2007, but the much of the top 20 was saturated by the likes of Akon, Timbaland, Fergie, while Rhianna and others were solidifying their superstar status, as well.

1) Moderators and Predictors of Response to Behavior Therapy for Tics in Children and Adults with Tourette's Disorder2) What's Trending: Exercise and VCI 3) Topic of the Month: Neuro-oncology and ICPThis podcast begins and closes with Dr. Robert Gross, Editor-in-Chief, briefly discussing highlighted articles from the March 14, 2017 issue of Neurology®. In the first segment, Dr. John Mytinger talks with Dr. Denis Sukhodolsky and Dr. Lawrence Scahill about their paper on therapy for tics in children and adults with Tourette's Disorder. For our “What's Trending” feature of the week, Dr. Ted Burns talks with Dr. Teresa Liu-Ambrose about her paper on exercise and vascular cognitive impairment. In the next part of the podcast, Dr. Kait Nevel focuses her interview with Dr. Mariza Daras on neuro-oncology and intracranial pressure. Disclosures can be found at Neurology.org.DISCLOSURES: Dr. Sukhodolsky has received travel funding/speaker honoraria from the Tourette Association of America; has served on the editorial board of the Journal of Autism and Developmental Disabilities; receives publishing royalties from Guilford Press; notes that 5% of his effort is dedicated to providing clinical care at the Yale TS clinic (including the form of behavior therapy for tics (CBIT) that was tested in the study reported in the previously noted paper); and has received research support from NMH.Dr. Scahill has served on the scientific advisory boards of Roche, Neuren, and Supernus; has received gifts from Bracket; has served on the editorial boards of the Journal of Child & Adolescent Psychopharmacology and the International Journal of Developmental Disabilities; receives publishing royalties from Oxford and Guilford; and has received research support from the Department of Defense and NIMH.Dr. Burns serves as Podcast Editor for Neurology®; and has received research support for consulting activities with UCB, CSL Behring, Walgreens and Alexion Pharmaceuticals, Inc. Dr. Liu-Ambrose has received travel funding and speaker honoraria from the Resistance Training Conference and the Traumatic Brain Injury Conference; serves on the editorial boards of the British Journal of Sports Medicine, the Physical Therapy Journal, and the Journal of Cognitive Enhancement; has been a consultant for a project entitled The Average Human (funded by Wellcome Trust); has been involved with operations for Synaptitude Inc.; and has received research support from the Canadian Stroke Network.All other participants report no disclosures.

Tune into Flesh Wound Radio w/ Todd Loya and Daniel Schein this Thursday Jan. 21 at 9:00 pm eastern. On this episode we tackle the innovative new werewolf flick from the UK called Howl, as well as the unique new mockumentary Sharknado: Heart Of Sharkness. In addition we will have reviews for the genre blending indie feature How To Save Us, Scream Factory's new Blu Ray of The Guardian, and last but not least the uncut never before seen original version of What The Peeper Saw on Blu from VCI. All that plus TV Terror Talk, Horror Hot Topics, and Special Guests Kyle Wylde & Danny "Monchichi" Ramirez to talk this Saturday's Underground Empire Wrestling FTW2 & Sunday's Wylde & Munch SuperShow. Don't miss it Flesh Wound Freaks and be sure download us on itunes and Stitcher.  

Transgressions Podcast presenta al joven productor y live act VCI, miembro activo del colectivo colombiano Technosis. Este artista rompe el esquema convencional con un sonido que raya en lo antinatural y sintético, vinculando ritmos quebrados y experimentales. Hacia finales de 2012, con la idea de innovar y de plasmar sus ideas sonoras de una manera más original empieza estructurar un live set, el cual sera compartido en esta emisión. Sus producciones vislumbran sonidos armónicos y experimentales. VCI (Technosis / Labrynth / COL.) https://soundcloud.com/urquijo http://www.beatport.com/artist/vci/36... https://www.facebook.com/VCIlive Síguenos en: Mixcloud TRANSGRESSIONS PODCAST Soundcloud http://soundcloud.com/transgressions-... Twitter https://twitter.com/TGRSPODCAST

Das Thema dieser Arbeit ist kognitive Beeinträchtigung nach zerebrovaskulärer Schädigung. Aufgrund der Heterogenität des Krankheitsbildes der „vaskulären kognitiven Beeinträchtigung“ (Vascular Cognitive Impairment, VCI) und der häufigen Komorbidität mit Alzheimerdemenz wird eine monogen vererbte Mikroangiopathie (zerebrale autosomal dominante Angiopathie mit subkortikalen Infarkten und Leukenzephalopathie, CADASIL) als Modellerkrankung einer reinen VCI herangezogen. In der ersten der beiden Publikationen wurde mittels voxelbasiertem Läsions-Symptom-Mapping der Zusammenhang zwischen Läsionen in frontalen subkortikalen Arealen und CADASIL-typischen kognitiven Einschränkungen untersucht. Der stärkste Zusammenhang bestand zwischen kognitiver Bearbeitungsgeschwindigkeit und Läsionen in der anterioren Thalamusstrahlung sowie der Forceps Minor. Eine zusätzliche Regressionsanalyse konnte zeigen, dass nicht das Gesamtausmaß der Schädigung entscheidend ist für spezifische Funktionsbeeinträchtigung, sondern die Läsionslast in den zuvor identifzierten Lokalisationen. In der zweiten Publikation wurde ein Faktor untersucht, der diesen Zusammenhang zwischen Funktion und Struktur moderiert, die Kognitive Reserve. Ein häufig postuliertes Modell der kognitiven Reserve als aktiver Kompensationsmechanismus konnte in den CADASIL-Daten bestätigt werden. Patienten mit höherer Schulbildung (als Operationalisierung kognitiver Reserve) zeigten bei gleichem Ausmaß an Pathologie weniger Beeinträchtigung in Bearbeitungsgeschwindigkeit und Exekutivfunktionen als weniger Gebildete, jedoch nur bei geringem und mittlerem Ausmaß an Pathologie.

For booking call +5511991852696 or e-mail dj@stroeter.com.br Recorded at Stroeter's Studio on 07/30/12 using my new VCI-380. This episode features my track "Music Is My Life" remixed by Tom Hopkins, "Nothing But A Song" by Tiago Iork, my favorite track "Only the Horses" by Scissor Sisters and some tracks from the movie "Project X". Gravado no Estudio Stroeter em 30/07/12 usando meu novo VCI-380. Este episodio conta com a minha musica "Music Is My Life" remix do Tom Hopkins, "Nothing But A Song" de Tiago Iork, minha favorita "Only The Horses" de Scissor Sisters e algumas musicas do filme "Project X". 1 Angie Be - Soundwaves (Original Extended Mix) 2 Starchaser Feat. Tereza Janouskova - Wild Blue (Original Mix) (Edit Zé Paulo) 3 Sander Van Doorn & Adrian Lux - Eagles [Album Version] 4 Kid Cudi - Pursuit of Happiness (Steve Aoki Dance Remix) 5 Whitelabel - A Game To Play 6 Yeah Yeah Yeahs - Heads Will Roll (A-Trak Remix) (Club Edit) 7 Stroeter feat. Adriana Mezzadri - Music Is My Life (Tom Hopkins remix) 8 Scissor Sisters - Only the Horses (Horsepower Club Mix) 9 Dobenbeck - Please Dont Go (Chris Reece Mix) 10 Jesse James - Lady (Original Mix) 11 Stefano Noferini - Bad Davis - Manuel De La Mare Remix 12 Tiago Iorc - Nothing But a Song (guitar club) 13 Joris Voorn vs Moby - After The After (Original Mix)

Live your summerbreeze with Sander Van Doorn and Tommy Trash

Mitschnitt von der Live-Sendung vom 6.7.2011 auf www.houseapotheke.com

Play a love game with Barbra Streisand in Bangkok

Мой первый скретч на vestax VCI-300, просто хотел записать, посмотреть как енто дело выглядит со стороны, и получилось все случайно и смешно. весь прикол в кошке, которая, видимо, разбирается в скретче,  и ей вроде мои начинания не особо нравится))))Советую поглядеть и поржать)))) второй трек, под который начался собссна кошачий замесCherry Lips Marcus Firelli_2 Stars_Digital Mess_Remix

Whats this!? A new episode!? And a deep house one too! Enjoy some deep house tunes, this is my first mix with the new digital VCI-100 Controller and Traktor 3 software setup.