Podcasts about vmo

Il y a plus de 40 ans, le 29 juillet 1983, la vitrine d'un café francophone de Fouron-le-comte était mitraillée. Il y aura 7 blessés légers, dont un grave. Très vite les auteurs sont retrouvés et condamnés. Ce sont des militaires, membres d'une milice flamande d'extrême droite, le VMO.Merci pour votre écouteL'Histoire Continue c'est également en direct tous les samedis de 9h à 10h sur www.rtbf.be/lapremiere Retrouvez l'ensemble des épisodes de l'Histoire Continue sur notre plateforme Auvio.behttps://auvio.rtbf.be/emission/l-histoire-continue-19690 Et si vous avez apprécié ce podcast, n'hésitez pas à nous donner des étoiles ou des commentaires, cela nous aide à le faire connaître plus largement. Intéressés par l'histoire ? Vous pourriez également aimer nos autres podcasts : Un jour dans l'Histoire : https://audmns.com/gXJWXoQL'heure H : https://audmns.com/YagLLiKEt sa version à écouter en famille : La Mini Heure H https://audmns.com/YagLLiKVous pourriez également apprécier ces podcasts de la RTBF: Un jour dans le sport : https://audmns.com/decnhFkAinsi que nos séries historiques :Chili, le Pays de mes Histoires : https://audmns.com/XHbnevhD-Day : https://audmns.com/JWRdPYIJoséphine Baker : https://audmns.com/wCfhoEwLa folle histoire de l'aviation : https://audmns.com/xAWjyWCLes Jeux Olympiques, l'étonnant miroir de notre Histoire : https://audmns.com/ZEIihzZMarguerite, la Voix d'une Résistante : https://audmns.com/zFDehnENapoléon, le crépuscule de l'Aigle : https://audmns.com/DcdnIUnSous le sable des Pyramides : https://audmns.com/rXfVppvN'oubliez pas de vous y abonner pour ne rien manquer.Et si vous avez apprécié ce podcast, n'hésitez pas à nous donner des étoiles ou des commentaires, cela nous aide à le faire connaître plus largement.

VMO Ágil: Uma Evolução na Gestão de Projetos O VMO Ágil (Value Management Office Ágil) representa uma evolução significativa em relação ao tradicional PMO (Project Management Office). Enquanto o PMO tradicional se concentra em garantir que os projetos sejam entregues dentro do prazo, orçamento e escopo definidos, o VMO Ágil tem como foco principal maximizar o valor entregue pelos projetos para o negócio. 1   Maior valor para o negócio: Ao focar na entrega de valor, o VMO Ágil garante que os projetos estejam alinhados com as metas estratégicas da organização. Maior agilidade: A flexibilidade e a adaptação permitem que as equipes respondam rapidamente às mudanças do mercado e às necessidades dos clientes. Melhoria contínua: O feedback constante e a busca por otimização garantem que os processos sejam aprimorados continuamente. Aumento da satisfação do cliente: A entrega de valor contínuo e a capacidade de adaptação às necessidades dos clientes aumentam a satisfação e a fidelização. O VMO Ágil adota práticas e princípios ágeis, como: Scrum: Utilizado para gerenciar o trabalho em pequenas iterações chamadas de sprints. Kanban: Visualiza o fluxo de trabalho e permite a gestão contínua do trabalho. DevOps: Integra o desenvolvimento e a operação, garantindo uma entrega contínua de valor. Lean: Foca na eliminação de desperdícios e na otimização do fluxo de valor. Alinhamento estratégico: Garante que os projetos estejam alinhados com a estratégia da organização. Governança: Define as políticas e os processos para a gestão de projetos. Melhoria contínua: Promove a melhoria contínua dos processos e práticas ágeis. Cultura ágil: Cultiva uma cultura organizacional que valoriza a colaboração, a inovação e a adaptação. Em resumo, o VMO Ágil representa uma evolução na gestão de projetos, permitindo que as organizações sejam mais ágeis, flexíveis e capazes de entregar valor de forma contínua. Ao adotar o VMO Ágil, as empresas podem se tornar mais competitivas e melhor preparadas para enfrentar os desafios do mercado atual. Qual a diferença entre PMO e VMO Ágil?CaracterísticaPMO TradicionalVMO ÁgilFocoEntrega dentro do prazo, orçamento e escopoMaximização do valor para o negócioMentalidadeControle e cumprimento de requisitosAdaptação, flexibilidade e valor contínuoMetodologiaPlanejamento detalhado e rígidoPlanejamento incremental e iterativoCulturaBurocráticaColaborativa e auto-organizadaExportar para as PlanilhasBenefícios do VMO Ágil:Como o VMO Ágil funciona?O papel do VMO Ágil na organização

Let's dive a little deeper into the largest joint in the body, shall we? On this episode of the “NASM-CPT Podcast,” host, and NASM Master Instructor, Rick Richey, explores the joints of the knee, shares some VMO and TKE-specific exercises, the working relationship between the knee and the ankle, defines ACL and MCL injuries, the knee range of motion, and much more! If you like what you just consumed, leave us a 5-star review, and share this episode with a friend to help grow our NASM health and wellness community! Introducing NASM One, the membership for trainers and coaches. For just $35/mo, get unlimited access to over 300 continuing education courses, 50% off additional certifications and specializations, EDGE Trainer Pro all-in-one coaching app to grow your business, unlimited exam attempts and select waived fees. Stay on top of your game and ahead of the curve as a fitness professional with NASM One. Click here to learn more. https://bit.ly/4ddsgrm

Join host Ssuna Ronald as he explores the vibrant startup ecosystem at the Africa Week Conference in Kigali, Rwanda. This episode features insights from industry leaders and innovators making a difference in Africa. Timestamps: 00:00:00 - 00:03:20: Introduction to the Africa Week Conference. 00:03:21 - 00:08:48: Harry Ocheng from Innovate Now on assistive technologies for disabilities. 00:08:49 - 00:11:39: Innovate Now's seed funding and examples of supported startups. 00:11:40 - 00:14:55: Keynote insights from President Paul Kagame on investment in Africa. 00:14:56 - 00:18:30: The role of Norrsken House in Kigali's startup scene. 00:18:31 - 00:22:50: Luzana Costa on Norrsken's strategic initiatives across Africa. 00:22:51 - 00:24:32: Emeka from SendStack on the Norrsken accelerator program. 00:24:33 - 00:25:40: Reflections on profitability vs. unicorn status. 00:25:41 - 00:29:20: Kellen Eilert from Viamo on building strong partnerships. 00:29:21 - 00:32:45: Challenges and strategies for scaling in 22 African markets. 00:32:46 - 00:35:40: Success stories from Viamo's operations in Rwanda. 00:35:41 - 00:39:12: Future plans for VMO, incorporating advanced AI capabilities. Tune in to hear these engaging conversations and learn about the innovations driving change in Africa! Executive Producer: Ssuna Ronald Sound Engineer: Gumisiriza Richard Script Writer: Chinwendu Opara Art Direction: Abdu Latif Okalang Powered By: Paul Atwine with Norrsken House Kigali Connect via: LinkedIn & Instagram For Inquiries: emailpowertalks@gmail.com

Neste episódio vamos dar mais um passo mergulhar fundo no que é o VMO e o que não é. Quais são os principais pilares de um VMO? Quais são as principais métricas que um VMO acompanha? O VMO é para todo mundo? Tem que ter estrutura? Vem conferir essa conversa com Andressa Chiara, Marco Dubovski e Maira Flor. Se tiver alguma dúvida sobre o assunto, envie na caixinha de perguntas que será aberta no Instagram da Nower! E manda também na nossa comunidade do telegram!

Estamos imersos em conversas sobre VMO ultimamente, não é mesmo? Então, é hora de desafiarmos sua percepção sobre essa estrutura de gestão de projetos!

Dr. Mark Gallant // #ClinicalTuesday // www.ptonice.com  In today's episode of the PT on ICE Daily Show, Extremity Division Leader Mark Gallant discusses the concept of "DUDS" and "STUDS" when working with patellofemoral pain syndrome.  Mark describes three outdated treatment paradigms or "DUDS" including an overemphasis on imaging, patellofemoral tracking, and VMO specific-strengthening.  Mark encourages listeners instead to focus on the four "STUDS" of patellofemoral pain treatment: assessing current work demands on the knee vs. current tissue capacity, addressing power & not just strength of the knee, working in motor coordination & skill training especially when reintroducing functional movements like jumping, running, or squatting, and finally, ensuring load distribution across tissues is as equal as possible by working on range of motion. Take a listen or check out the episode transcription below. If you're looking to learn more about our Extremity Management course or our online physical therapy courses, check our entire list of continuing education courses for physical therapy including our physical therapy certifications by checking out our website. Don't forget about all of our FREE eBooks, prebuilt workshops, free CEUs, and other physical therapy continuing education on our Resources tab. EPISODE TRANSCRIPTION INTRODUCTION Hey everyone, this is Alan. Chief Operating Officer here at ICE. Before we get started with today's episode, I want to talk to you about VersaLifts. Today's episode is brought to you by VersaLifts. Best known for their heel lift shoe inserts, VersaLifts has been a leading innovator in bringing simple but highly effective rehab tools to the market. If you have clients with stiff ankles, Achilles tendinopathy, or basic skeletal structure limitations keeping them from squatting with proper form and good depth, a little heel lift can make a huge difference. VersaLifts heel lifts are available in three different sizes and all of them add an additional half inch of h drop to any training shoe, helping athletes squat deeper with better form. Visit www.vlifts.com/icephysio or click the link in today's show notes to get your VersaLifts today. MARK GALLANT All right, what is up PT on Ice Daily Crew? Dr. Mark Gallant here, Clinical Tuesday, coming at you the Tuesday before Thanksgiving in 2023. So first off, I want to say super grateful to have the opportunity to be on this podcast, rapping to you all and going around the country talking about these topics. So thank you all very much to anyone who's listened to this podcast or anyone that's caught us on the road. But before we dive into today's topic, last couple opportunities to catch the extremity crew crew on the road for 2023, we've got Cody is going to be in Newark, California on December 2nd and 3rd. So so a nice West Coast opportunity. And then Lindsey is going to be in Windsor, Colorado, December 9th and 10th. So those will be the last two for the year before we we take a little break and then we will kick off the second weekend of January for a full slate in 2024. So if you're trying to catch us on the road this year, those are your last two opportunities. And then make sure you grab those seats for 2024, because courses are selling out now and hitting max capacity. So make sure that you get those sooner than later. In addition, tonight on our Vice, so if you're signed up for the Vice program, our virtual ICE, Paul Killoren is gonna be on talking about peripheral dry needling. If there's any topic that pairs well with what the extremity crew is typically saying, it would be the ICE dry needling department talking about peripheral dry needling. So definitely catch that one tonight around 8.30 Eastern Standard Time. DUDS & STUDS FOR PATELLOFEMORAL PAIN SYNDROME All right, for today's topic, what we wanna talk about is duds and studs when it comes to patellofemoral pain syndrome, or what I would prefer calling kneecap pain. So what are the things that we've known over the years or we've tried over the years with kneecap pain that the research really does not shake out very favorably for? And what are the things with kneecap pain where it's like, Ooh, that that's something that we definitely want to pay more attention to. So I'm going to list all the duds and all the studs off, and then we'll break each one of those down individually. So for the duds, we've got imaging to the kneecap as a dud specifically for chondromalacia patella, patellar tracking and trying to impact patellar tracking would also be a dud, and then specific strengthening or specific loading or an attempt at specific loading to the VMO or the oblique fibers of the vastus medialis. So those are our duds and our studs are going to be building work volume capacity or looking at that person's work volume compared to their current capacity and making adjustments in their training. We have specific strengthening or building capacity to that anterior knee with both strength, endurance, and power. We have skill training or motor coordination, and then we have mobility towards the anterior knee and surrounding structures. So those would be the three duds, the four studs. DUD #1 - IMAGING OF THE PATELLA Now let's break each one of those down individually. So for most body parts, We now know that when we take asymptomatic folks and we image that region of the body, we're going to find as many tissue changes as we would for those folks that are symptomatic. Historically, we've called these abnormal tissue findings. Again, these are fairly normal findings for asymptomatic individuals, again, in every single region of the body. What we see with chondromalacia patella, so softening of the cartilage of the posterior patella, What we see when we look at that is if we take a bunch of asymptomatic individuals and symptomatic individuals, run them all through the MRI tube and say, who's got signs of tissue softening to that cartilage of the back of the knee, that number is equal or close to equal for both the symptomatic group and the asymptomatic group. So it would be hard to say that the finding on the image of chondromalacia patella is driving kneecap pain in any considerable way. DUD #2 - PATELLOFEMORAL TRACKING The second dud is patella femoral tracking. So there was this theory for a long time that the lateral structures of the patella or the structures that attach laterally to the patella are pulling that patella off track or creating some level of tilt or compression to the patella that is driving that anterior knee pain. What we now know is that this is not the case typically. The other thing with that was that the VMO was weak and not allowing that even force. We now have studies, it's a pretty cool study, where they took a group of 14-year-old women, they asked them all about their knee pain, how much pain are you in, and then they used imaging to track how their, to look at how their patella was tracking. So they got all that data at 14 when those individuals were at their peak symptom level. They then followed up with those individuals four to five years later, so now they're 18 to 19 years old, All of these individuals had significantly reduced pain. So the patella femoral pain or the kneecap pain had relatively worked itself out. And then they re-imaged and retracked how that patella was tracking. What was interesting is most all of them had a full reduction of symptoms. the knee was tracking the exact same way. So they found no difference in how the knee was tracking, yet that person had significantly reduced symptoms, which again, hard to say that that knee tracking is one, are we even able to intervene on it? And two, does it mean anything if all of the symptoms become reduced despite that knee tracking changing? DUD #3 - SPECIFIC TRAINING TO THE VMO And along those lines, the third dud, is specific training to the vastus medialis oblique fibers. What we now know is it's incredibly hard to isolate those fibers. When we activate the quads, we're getting the whole quad, all of the heads of the quad. And even if we did attempt it, we have no proof of correlation that those specific fibers are driving the symptoms. So our three duds, looking at imaging to drive treatment, specifically with Chondromalacia patella, being overly concerned with with patella tracking and trying to impact that patella tracking with the one thing that we've shown the good research that impacts patella that that would be theoretically impacting patella tracking is that medial knee taping mcconnell taping what we now know is that is much more of a symptom modulator and has no long-term impact on that patella tracking. And then VMO, specifically training the oblique fibers of the quad. What we now know is getting the quads more robust and resilient is the way to go, being far less concerned about those very specific fibers that are very hard to isolate anyway. So those are our three duds. STUD #1 - WORK VOLUME VS. TISSUE CAPACITY Our four studs are going to be looking at that person's overall work volume compared to their capacity. So this weekend is a prime time example. We're going to have tons of folks going out for turkey trots. We're going to have a lot of folks going out and playing backyard football with their family on Thanksgiving. They may not have been doing any training over the last four to six months to prepare their anterior knee. for that capacity. Family members might say, hey, I'm jumping into this turkey trot, and then Bill says, you know what, I'm gonna jump in with you, even though I haven't run since 1968 when I was training for Vietnam. That individual may encounter some anterior knee pain because the capacity of their anterior knee is not matched to the work that it's about to do. So anytime we've got one of these pain symptoms, syndromes, kneecap pain, looking at, okay, what is it you're doing? and what is the capacity of the knee currently, and trying to figure out where those gaps are. STUD #2 - TRAIN POWER, NOT JUST STRENGTH Along those lines, the second stud is can we increase the load capacity, the capacity to handle speed or power, and the capacity of that anterior knee to handle endurance. What is your ability to produce load or to tolerate load in knee extension or squat? What's your ability to sustain that over long periods of time for high repetitions or high time intervals? What is your ability to generate power with those things? Dustin Jones came on here a couple weeks ago and talked about how we may have named the wrong enemy when it comes to deconditioned older adults that it may be more power instead of strength is the problem that a lot of folks actually have load capacity tolerance to their tissue. What they lack is the ability to handle that load while generating high speeds or force. We see the same thing when it comes to kneecap pain. We're getting better at getting people stronger to build that load capacity. We also need to make sure they can handle that at fast speeds. Our box jumps, our broad jumps, our cleans, our snatches, or sprinting, those sort of activities, we need the same sort of intention to build the tolerance. So building the local strength capacity or building the local tissue capacity of the knee. STUDF #3 - MOTOR COORDINATION & SKILL The third stud is skill or motor coordination. The law of specificity has reigned true in strength and conditioning since it was looked at. If you want someone to get better at running, train them in running. If you want to get them better at squatting, they need to train the squat. If you want their step up to look better, they need to be working on step up variations. So this has a very much skill component like any other skill in life. It takes repetition, It takes breaking it into chunks, it takes slowing it down, speeding it up. If we want their step up, or their step down, or their running, or their squatting to look better, making sure that we break those things down individually and look at it in addition to the first two components. STUD #4 - RANGE OF MOTION And then the fourth piece that's a stud is range of motion. What is the range of the tissue surrounding the anterior knee that's gonna dictate how much force is going through that knee? So a couple of the big ones are, what is ankle dorsiflexion like? If that person significantly lacks ankle dorsiflexion, we know those forces are going to go up the chain, often landing on that anterior knee. So attempting to impact or offload dorsiflexion will help with that anterior knee pain. What is the length of the rectus femoris? What is that quad length like? If that tissue is super gummed up and tonic, we may want to work some eccentrics to improve the mobility of that tissue overall. And along those same lines, what is that individual's hip extension looking like? If that person lacks significant hip extension, again, they may encounter more force to the anterior knee. DUDS & STUDS FOR PATELLOFEMORAL PAIN So again, for our studs or duds, looking at the three duds, looking at imaging or being overly concerned with imaging, specifically chondromalacia patella, being overly concerned with patella tracking and trying to impact it, and being overly concerned with the VMO. Those would be our three DUDs that we want to spend less time addressing or no time at all. Our four DUDs are going to be looking with the patient at what is their overall work volume compared to their current capacity. What is the ability of the anterior knee to tolerate loads from a load capacity or strength perspective, from an endurance and from a powers perspective. What is their skill in the movement that they're trying to perform? Do they need to become a better runner? Do they need to get better at squatting? Do they need to get better at step ups? Looking at that specific motion. And then finally, looking at any range of motion deficits of the lower quarter. Specifically, what is that quad length like? What is their ankle dorsiflexion? And what is their ability to extend their hip? Hope this helps. Hope you all have a wonderful Thanksgiving and get some good relaxation and time with your families. Lindsay and Cody will see you on the road in early December. I'll see you on the road in 2024. Hope you have a great week. OUTRO Hey, thanks for tuning in to the PT on Ice daily show. If you enjoyed this content, head on over to iTunes and leave us a review, and be sure to check us out on Facebook and Instagram at the Institute of Clinical Excellence. If you're interested in getting plugged into more ice content on a weekly basis while earning CUs from home, check out our virtual ice online mentorship program at ptonice.com. While you're there, sign up for our Hump Day Hustling newsletter for a free email every Wednesday morning with our top five research articles and social media posts that we think are worth reading. Head over to ptonice.com and scroll to the bottom of the page to sign up.

Il y a presque 40 ans, le 29 Juillet 1983, la vitrine d'un café francophone de Fouron le compte était mitraillé. Il y aura 7 blessés légers, dont un grave. Très vite les auteurs sont retrouvés et condamnés. Ce sont des militaires, membre d'une milice flamande d'extrême droite, le VMO. Il s'agit donc d'un attentat motivé par des motifs politiques, plus particulièrement des motifs linguistiques. Ce n'est pas le premier incident du genre dans les fourons. La commune à majorité francophone à été rattachée contre son gré à la commune du Limbourg en 1963. Depuis les tensions n'ont pas cessé. Comment en on arrivé à un tel niveau de haine entre les communautés? Comment les fourons ont dominé l'agenda dans les années 80? Surtout que reste-il aujourd'hui de cette haine ? 40 ans après,l'Histoire continue. Invités : Philippe Leruth, ancien journaliste à Vers l'Avenir, et Ivan De Vadder, journaliste politique à la VRT. Présentation : Bertrand Henne et Hélène Maquet. (Re)découvrez l'Histoire Continue du 11 septembre 2021. Merci pour votre écoute L'Histoire Continue c'est également en direct tous les samedis de 9h à 10h sur www.rtbf.be/lapremiere Retrouvez l'ensemble des épisodes de l'Histoire Continue sur notre plateforme Auvio.be https://auvio.rtbf.be/emission/l-histoire-continue-19690 Et si vous avez apprécié ce podcast, n'hésitez pas à nous donner des étoiles ou des commentaires, cela nous aide à le faire connaître plus largement.

Interview by Kris PetersJapanese metal outfit Violent Magic Orchestra (VMO) are certainly a unique experience. Harmoniously integrating the genre of black metal music with techno, industrial, and noise in the form of an art-project, VMO can be best summed up as sounding like Black metal meets Kraftwerk.Violent Magic Orchestra combine numerous genres and sub-genres of music united together in a form of live-performances with the contribution from Kezzardrix - a maestro of live-visuals with strobe lights and smoke machines accompanying band's performance. They are a stunning visual band and a captivating live band and will make their way to Tasmania later this month to play at Dark Mofo.HEAVY caught up with one of the members Kei to find out more."Our music is very dark and a little bit happy," he explained. "VMO has many strange members, like Master Of Strange Dance. We have a lot of noise people who make noise and more beat and experimental space. We have a lot of hidden members. I think we are a strange collective who work a lot of other things. After releasing Death Rave I want to show who joined VMO." VMO will be releasing their new album Death Rave later this year, and we ask Kei if it will be what fans expect."We hope Death Rave... In our opinion Death Rave is huger music. Our concept is 2099, the end of the world. Now we live in 2023 and our music is a little bit experimental, but in 2099 our music is like pop music," he offered. "We connect future pop music and nowadays experimental music. We want to make the road to the future now using dance and mosh pit sounds."In the full interview Kei talks about playing at Dark Mofo, what to expect from a VMO show, their recent single Venom, new single Supergaze, a brief history of the band, the blending of sounds and where it comes from, more on Death Rave and more.

SEJA NOSSO APOIADOR: ⁠⁠⁠⁠⁠⁠⁠⁠https://apoia.se/movimentoemfoco⁠⁠⁠⁠⁠⁠⁠⁠ EPISÓDIO NO YOUTUBE: https://youtu.be/bjvz_VG4ftw . Em mais um daqueles episódios temáticos sobre lesões e a abordagem da fisioterapia considerando aspectos biomecânicos e de controle motor, dessa vez conversamos sobre a dor na parte da frente do joelho. Alguns são os diagnósticos comuns relacionados à dor nessa região e nesse papo discutimos sobre os mecanismos mais frequentes, bem como as atividades funcionais principais em que a sobrecarga pode acontecer. . Segue alguns tópicos abordados: - caracterização e história da dor anterior no joelho; - anatomia e cinesiologia funcional do joelho; - histórico da dor patelofemoral: do VMO aos músculos do tronco; - distribuição da carga no plano sagital; - alinhamento do membro inferior em valgo, varo e rotações; - taxa de incremento de carga no salto e nas mudanças de direção; - sobrecarga na subida ou descida de escadas; . Hosts: @telles.rafa, @fisiofrancochamorro e @cassio_siqueira . Edição: @andrelaiza . NOSSO YOUTUBE: ⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/c/MOVIMENTOEMFOCO⁠⁠⁠⁠⁠⁠⁠⁠ NOSSO INSTA: ⁠⁠⁠⁠⁠⁠https://www.instagram.com/movimentoemfococanal/ --- Send in a voice message: https://podcasters.spotify.com/pod/show/movimentoemfoco/message

In this episode, Dillon sits down with Tommy Mandala to discuss the ongoing debate on the VMO. We look to answer: What is the VMO? Can you truly isolate the VMO? What are the benefits or harms of trying to isolate the VMO? Is the VMO related to patellar tracking? All of this and more are answered in this episode. Hope you enjoy! -Team [P]Rehab Enjoy 20% off InsideTracker HERE InsideTracker is your personal health analysis and data-driven wellness guide, designed to help you live healthier longer. By analyzing your biological data, InsideTracker provides you with a clear picture of what's going on inside your body and a science-backed Action Plan, so you can take control of your health from the inside out. The [P]rehab Membership: Trial for Free! This is the ultimate anti-barrier solution to keeping your body healthy. Access state-of-the-art physical therapy, fitness programs, and workouts online in the comforts of your own home or gym. Follow [P]rehab: Website Instagram LinkedIn Twitter Facebook TikTok [P]Rehabbers thank you for listening and let us know what to talk about next. We hope to help you take control of your health through education! Did you enjoy this? Please rate, review, share, and subscribe. Every bit of feedback, comments, subscriptions, and sharing helps others to discover this content and find available solutions!   

E115 Moving at LitheSpeed with Sanjiv Augustine In this episode of Project Management Office Hours, PMO Joe welcomed Sanjiv Augustine, CEO and Founder of LitheSpeed. Sanjiv shared his story and the origins of LitheSpeed. We also hear challenges that organizations are facing and to overcome them. We learn about the Value Management Office, VMO, and […] The post E115 Moving at LitheSpeed with Sanjiv Augustine appeared first on Business RadioX ®.

In this episode of Project Management Office Hours, PMO Joe welcomed Sanjiv Augustine, CEO and Founder of LitheSpeed. Sanjiv shared his story and the origins of LitheSpeed. We also hear challenges that organizations are facing and to overcome them. We learn about the Value Management Office, VMO, and how do you go about setting one up.Sanjiv Augustine is an entrepreneur, industry-leading agile and lean expert, author, speaker, management consultant and trainer. With over 30 years in the industry, Sanjiv has served as a trusted advisor to executives and management at leading firms including: Capital One, The Capital Group, CNBC, Comcast, Freddie Mac, Fannie Mae, General Dynamics, HCA Healthcare, Huntington Bank, The Motley Fool, National Geographic, Nationwide Insurance, Walmart and Samsung.Sanjiv shared his insights on 4 keys to move from a PMO to a VMO. You can learn more about these insights by picking up his book, PMO to VMO Managing for Value Delivery. First is to transition from a project model to a product model. Second, moving from large batches to small batches. Sanjiv said, “Now in today's world, because things are moving so much faster, it's much better to say what is the smallest piece of value that I can deliver to my customers as quickly as possible?”Third, is to track business outcomes or value and not just outputs. Lastly, is to shift from command and control, top-down management to leadership and collaboration. Sanjiv stated, “So, in a nutshell, project to product mindset, change large batch to small batch, tracking outcomes towards value, delivery value, not just outputs. And then transitioning from command and control to leadership collaboration.”Listen to the entire episode to hear the full story from Sanjiv. Be sure to catch the complete conversation and listen to the full episode: https://www.thepmosquad.com/podcasts/project-management-office-hours/episodes/2147838421Connect with Sanjiv Augustine: LinkedIn - https://www.linkedin.com/in/sanjivaugustine/Learn more about LitheSpeed:https://lithespeed.comTo catch up on previous episodes visit the Project Management Office Hours website - https://www.thepmosquad.com/podcasts/project-management-office-hoursThank you to THE PMO SQUAD and The PMO Leader for sponsoring this show. The PMO Squad is a leading provider of PMO and Project Management services in the US. They assist clients building and improving PMOs, provide Project Management Consulting services, deliver custom Project Management Training and provide Project Management staffing services. Learn more about The PMO Squad – https://www.thepmosquad.com Where do PMO Leaders go for Information, Learning, Networking and Services? The PMO Leader community has “Everything You Need to Become a Great PMO Leader”. One PMO World, One Community! Learn more about The PMO Leader – https://www.thepmoleader.com

E115 Moving at LitheSpeed with Sanjiv Augustine In this episode of Project Management Office Hours, PMO Joe welcomed Sanjiv Augustine, CEO and Founder of LitheSpeed. Sanjiv shared his story and the origins of LitheSpeed. We also hear challenges that organizations are facing and to overcome them. We learn about the Value Management Office, VMO, and […] The post E115 Moving at LitheSpeed with Sanjiv Augustine appeared first on Business RadioX ®.

More than 264 million people worldwide have depression. But for many people struggling with severe or treatment-resistant depression, standard therapies may not work. So what if there are new treatments that could be effective? Recently there has been a renaissance of interest in psychedelics as possible treatments for mental disorders – everything from ketamine, to MDMA and psilocybin – the psychoactive ingredient in ‘magic' mushrooms. These medicines have powerful mind-altering properties with the potential to treat severe mental disorders when combined with psychological therapy. Some early studies have returned positive results, but there remain large gaps in our knowledge regarding effectiveness and safety… But where to from here? Could psychedelics play a role in managing mental health? Adam BayesDr Adam Bayes is a psychiatrist who works as a clinician-scientist with a focus on mood disorders (depression and bipolar conditions). His research interests include diagnosis, classification and novel treatments for severe depression including ketamine and psychedelics. Bayes holds a Bachelor of Medicine and Surgery (Hons), Bachelor of Advanced Science, Master of Psychiatry, and a PhD. He is a Fellow of the Royal Australian and New Zealand College of Psychiatrists, is a senior research fellow and VMO psychiatrist at the Black Dog Institute and the Discipline of Psychiatry and Mental Health, at UNSW Sydney.   For more information, visit unsw.to/AdamBayesSee omnystudio.com/listener for privacy information.

Regulatory scrutiny as it relates to banks and fintech partners is starting to get hot as regulators get more vocal. This week on Breaking Banks, Jason Henrichs covers this and more with his guests Kirsten Muetzel, Chief Risk Officer, Fundid; Keith Evans, VP, VMO, First Northern Bank; and Clayton Mitchell,  Principal, Crowe LLP.  Listen as they discuss the regulatory complexity of creating fintech partnerships, vendors as partners and the value of these partnerships as financial institutions work their way down the Yellow Brick Road. Then, Dara Tarkowski, host of Provoke.fm's Tech on Reg speaks with Resolver's  Amanda Cohen, Director of Products about Reg-Tech and risk management. Resolver is changing the landscape of risk management by analyzing risk data in context to use risk as strategy in business development. By leveraging this type of tech, modern businesses are now able to keep a pulse on the regulatory market and transform into risk-intelligent entities. https://youtu.be/Sbl6LHkAlKY

The podcast by project managers for project managers. Hear how teams can use agile methods and orient them towards business outcomes, which deliver business agility and build resilience. In this episode 'Maximizing Value: From PMO to Agile VMO' - you'll also hear ideas and strategies for transforming the Project Management Office into an Agile Value Management Office.   Table of Contents 01:24 … Sanjiv's Background Story02:41 … Current Trends with Enterprise Agile Transformations06:00 … Measuring Success07:33 … How to Tell When Groups are Struggling09:33 … Organizations Eliminating Project Management Function12:23 … The Value-Adding Role of the Project Manager14:59 … Lessons Learned and Retrospectives18:26 … Compare and Contrast Agile and Traditional20:37 … Defining the Agile VMO25:10 … Organizations Embracing Agile VMO26:43 … Resistance to Flexible Funding28:22 … Get in Touch with Sanjiv29:41 … Closing SANJIV AUGUSTINE: We need middle managers, including project managers, because close to 90% of successful organizational change initiatives are driven by middle management.  And that includes project managers.  So what we need to do is to find a way to more clearly define what people with that skill, that project management skill, add within the agile context. WENDY GROUNDS:  Welcome to Manage This, the podcast by project managers for project managers. My name is Wendy Grounds, and with me in the studio is Bill Yates.  This podcast is about project management.  Join us to be motivated and inspired by project stories, leadership lessons, and wise advice from industry experts from all across the world. One of those leadership experts is who we're talking to today.  Sanjiv Augustine is the founder and CEO of LitheSpeed LLC and the Agile Leadership Academy.  Sanjiv is the author of the books “From PMO to VMO,” “Managing Agile Projects,” and “Scaling Agile.”  He's been an in-the-trenches practitioner.  He's also managed many agile projects, and he has trained thousands of agile practitioners. BILL YATES:  Sanjiv is the chair of the Agile Alliance's Agile Executive Forum and the founder and moderator of the Lean Startup in the Enterprise Meetup.  He was also a founding member of the Project Management Institute's agile community of practice.  So not only is he a well-versed practitioner, but he's had a lot of influence in shaping how many of these organizations have addressed and scaled agile. WENDY GROUNDS:  Sanjiv, welcome to Manage This.  Thank you so much for being our guest. SANJIV AUGUSTINE:  Thank you very much, Wendy.  I really appreciate being here with both Bill and you. Sanjiv's Background Story WENDY GROUNDS:  Yeah, we're looking forward to tackling this topic and getting your expertise.  But before we get into that, can you tell us about your background working with organizations and those in the trenches who want to adopt agile practices, and just a little bit about what you do. SANJIV AUGUSTINE:  Thanks for this opportunity, once again.  And I want to start with about 20 years ago, believe it or not.  I've been in the industry for about 30 years.  But 20 years ago I started my agile journey.  This is with an organization that you might know.  It's the Capital One Bank.  And the CIO at that time was looking for a way to cut their time to market by 50%.  And so he went to his CTO and said, “Please find a way to do this with agile methods.”  And in those days nobody was crazy enough to sign up for that. But we ended up partnering with the CTO of Capital One and ending up rolling out agile methods, more specifically scrum, in three countries, with 5,000 people.  So it was a massive enterprise adoption.  We made mistakes along the way, learned lots of great lessons along the way, and here we are 20 years later. BILL YATES:  Yeah, you were on the cutting edge 20 years ago.  That's amazing that you guys were kind of in the lab of, okay, we think this works for scrum.

NIB is reinventing itself, looking to reach young types not necessarily into health insurance – rather than the 45 per cent of Australians who already have a policy. It ran 20 different messages, influenced by location, targeting gyms and supermarkets on programmatic digital out of home screens with Val Morgan Outdoor. “Rather than focusing on advertising that talks to a joining offer, it was more about who NIB is as a brand,” Marketing Manager Mitch Leman says. That meant reminders to eat healthily, walk further, or exercise longer. It took time but was worth it. With Yahoo location data, VMO's facial analytics, postcode-level third party data, it hit a “sweet spot of programmatic”, MediaCom's Nick Thomas says – and he didn't even work on the campaign. Yahoo's Andrew Gilbert, Essence's Katie Rooney and VMO Managing Director Paul Butler unpack NIB's campaign – and why it's delivering healthier returns. See omnystudio.com/listener for privacy information.

I have seen several posts regarding knee pain so I thought maybe you would all appreciate a little free medical advice. The two most common knee pain/discomfort are IT band and patellofemoral tracking issues. IT band pain is very common among runners and the pain is found on the outside of the knee. The iliotibial band is a thick band of fascia on the lateral aspect of the knee, extending from the outside of the pelvis, over the hip and knee, and inserting just below the knee. The band is crucial to stabilizing the knee during running, as it moves from behind the femur to the front of the femur during activity. The continual rubbing of the band over the lateral femoral epicondyle, combined with the repeated flexion and extension of the knee during running may cause the area to become inflamed. Pain is usually felt when the foot strikes the ground. Pain can pain be felt during or can intensify after activity or a few days after. For runners specifically, neuromuscular/gait training may be needed for success in muscular training interventions to ensure that those trained muscles are used properly in the mechanics of running. Strength training alone will not result in decrease in pain due to ITBS, however, gait training, on its own can result in running form modification that reduces the prevalence of risk factors. Patellofemoral tracking aka runners' knees results from problems with the kneecap and femur. Pain may worsen with sitting, excessive use, or climbing and going down the stairs. The most common symptom is diffuse vague pain around the kneecap and localized pain focused behind the kneecap. The pain is usually achy and sometimes sharp. And you could experience the feeling of “giving way of the knee” with this condition as well. When looking at treatment other than rest and ice, we look at strengthening the quad muscle because in many cases it is weak. Specifically the vastus medialis muscles also known as your VMO. There's an imbalance here between the four muscles that make up the quad which is why a majority of time strengthening the VMO will make the most difference. Other muscles that may aid in correcting the problem are - hip abductor, extensor and external rotator muscles. The final piece to assisting individuals who do suffer with this condition is looking at the biomechanics when running. A majority of individuals who have patellofemoral tracking issues are overpronators. This is where getting fitted properly for sneakers is so important and having customized insoles to help maintain proper balance between the foot/ankle & knee. I hope everyone finds this information helpful and educational as that's its purpose. Happy running everyone! Click here to watch the video and don't forget to subscribe to the channel Grab your FREE 7 Day All Access Pass to my Myofascial Release Online Course Connect with Dr. Heather on Social Media:

Photo:  Wounded Marine being evacuated by a HO3S-1helicopter from VMO-6 4/4: Give Me Tomorrow: The Korean War's Greatest Untold Story—The Epic Stand of the Marines of George Company, by Patrick K. O'Donnell.    https://www.amazon.com/Give-Me-Tomorrow-Greatest-Story/dp/0306818019/ref=tmm_hrd_swatch_0?_encoding=UTF8&qid=&sr= After nearly four months of continuous and agonizing combat on the battlefields of Korea, such a simple request seemed impossible. For many men of George Company, or “Bloody George” as they were known—one of the Forgotten War's most decorated yet unrecognized companies—it was a wish that would not come true. This is the untold story of “Bloody George,” a Marine company formed quickly to answer its nation's call to duty in 1950. This small band of men—a colorful cast of characters, including a Native American fighting to earn his honor as a warrior, a Southern boy from Tennessee at odds with a Northern blue-blood reporter-turned-Marine, and a pair of twins who exemplified to the group the true meaning of brotherhood—were mostly green troops who had been rushed through training to fill America's urgent need on the Korean front. They would find themselves at the tip of the spear in some of the Korean War's bloodiest battles. After storming ashore at Inchon and fighting house to house in Seoul, George Company, one of America's last units in reserve, found itself on the frozen tundra of the Chosin Reservoir facing elements of an entire division of Chinese troops. They didn't realize it then, but they were soon to become crucial to the battle—modern-day Spartans called upon to hold off ten times their number. Give Me Tomorrow is their unforgettable story of bravery and courage. Thoroughly researched and vividly told, Give Me Tomorrow is fitting testament to the heroic deeds of George Company. They will never again be forgotten.

Dr. Tolani Francisco shares her experiences on what it is like to grow up as a Native in pursuit of becoming a veterinarian.Dr. Francisco is a 1990 graduate of the Kansas State University College of Veterinary Medicine. She currently is the Wild Horse and Burro Coordinator for the US Forest Service in Albuquerque, NM. Dr. Francisco spent 13.5 years in Colorado, first as the Public Health Officer at Buckley Air Force Base, then as the Regional Epidemiology Officer for the USDA Animal and Plant Health Inspection Service, Veterinary Services (USDA, APHIS, VS). Prior, Dr. Francisco was stationed at Nellis AFB, Las Vegas, NV, Brooks-City Base, San Antonio, TX and Maxwell AFB, Montgomery, AL. Before entering the Air Force, Dr. Francisco spent two years in Trinidad, Bolivia with the USDA APHIS International Services working as a Veterinary Medical Officer (VMO) overseeing the Foot and Mouth Disease eradication efforts in the Departments of Beni and Pando. She spent 6 years in Albuquerque as a section VMO for the USDA APHIS VS after starting her federal career in Helena, MT as a VMO. She started her veterinary career in a mixed animal practice in Reno, NV. In 2016, Dr. Francisco established Native Healing LLC [a 501(c)3 organization providing veterinary care to tribal animals] on the Pueblo of Laguna (large and small). In her spare time, Dr. Francisco owns a small 5-acre alfalfa farm, has cattle with the tribal Sedillo Cattle Association and has three family dogs, six family cats and four horses. She is married to Jason Schlie, who is a Conservation Law Enforcement officer at White Sands Missile Range. She is the daughter of Eldon and Shirley Francisco and has one brother, Curtis.

Giải Bài Tập Quản Trị Sản Xuất - Xem 29,502Bạn đang xem chủ đề giải bài tập quản trị sản xuất được cập nhật mới nhất ngày 01/03/2022. Hy vọng những thông tin mà chúng tôi đã chia sẻ là hữu ích với bạnGiải Bài Tập Ngữ Văn Lớp 9 - Xem 27,522Bạn đang xem chủ đề giải bài tập ngữ văn lớp 9 được cập nhật mới nhất ngày 01/03/2022. Hy vọng những thông tin mà chúng tôi đã chia sẻ là hữu ích với bạnGiải Bài Tập Family And Friends 4 Workbook Unit 7 - Xem 25,641Bạn đang xem chủ đề giải bài tập family and friends 4 workbook unit 7 được cập nhật mới nhất ngày 01/03/2022. Hy vọng những thông tin mà chúng tôi đã chia sẻ là hữu ích với bạnBài Tập Toán Lớp 4 Có Lời Giải Trang 48 - Xem 25,146Bạn đang xem chủ đề bài tập toán lớp 4 có lời giải trang 48 được cập nhật mới nhất ngày 01/03/2022. Hy vọng những thông tin mà chúng tôi đã chia sẻ là hữu ích với bạnGiải Bài Tập Family And Friends 3 Workbook Unit 1 - Xem 25,047Bạn đang xem chủ đề giải bài tập family and friends 3 workbook unit 1 được cập nhật mới nhất ngày 01/03/2022. Hy vọng những thông tin mà chúng tôi đã chia sẻ là hữu ích với bạnGiải Bài Tập Nguyên Lý Máy Utc - Xem 24,948Bạn đang xem chủ đề giải bài tập nguyên lý máy utc được cập nhật mới nhất ngày 01/03/2022. Hy vọng những thông tin mà chúng tôi đã chia sẻ là hữu ích với bạnGiải Bài Tập Khoa Học Lớp 4 Trang 25 - Xem 24,750Bạn đang xem chủ đề giải bài tập khoa học lớp 4 trang 25 được cập nhật mới nhất ngày 01/03/2022. Hy vọng những thông tin mà chúng tôi đã chia sẻ là hữu ích với bạnGiải Quẻ Xâm 87 Thượng Thượng - Xem 24,651Bạn đang xem chủ đề giải quẻ xâm 87 thượng thượng được cập nhật mới nhất ngày 01/03/2022. Hy vọng những thông tin mà chúng tôi đã chia sẻ là hữu ích với bạnLời Giải Vmo 2007 - Xem 24,255Bạn đang xem chủ đề lời giải vmo 2007 được cập nhật mới nhất ngày 01/03/2022. Hy vọng những thông tin mà chúng tôi đã chia sẻ là hữu ích với bạnBài Tập Lập Trình Mạng Bằng Java Có Lời Giải - Xem 23,661Bạn đang xem chủ đề bài tập lập trình mạng bằng java có lời giải được cập nhật mới nhất ngày 01/03/2022. Hy vọng những thông tin mà chúng tôi đã chia sẻ là hữu ích với bạnChủ đề xem nhiều trên website caffebenevietnam.com từ TOP #61 - #70 tháng 3/2022

In this episode of The Undercurrent Podcast, Saquon Barkley describes starting with the Neubie 4-5 months after his ACL surgery and how it immediately helped him activate his dormant VMO (one of the primary quad muscles). He goes on to share how he continued to use it during the rest of his rehab process, plus how he has made it a part of his routine for activating his muscles before practices and games and dealing with the little issues that come up during training camp and the NFL season.    Visit our WEBSITE www.neu.fit to learn more! Purchase THE NEUFIT METHOD BOOK on Amazon! https://amzn.to/3itezL6 Follow us on INSTAGRAM: https://www.instagram.com/neufitrfp/ Join our FACEBOOK page: https://www.facebook.com/neufitRFP Schedule a CALL with a NeuFit Specialist here: https://calendly.com/clayedgin/ex

Is your pain caused by your misaligned kneecap? Wondering if it matters that your patella appears misaligned? Unsure if you have patella tracking? Let's take a deep dive into patella (kneecap) tracking! Firstly, DocJen & Dr.Dom explains patellofemoral syndrome and how it may relate to patella tracking, providing insight into why physical therapists may focus on the appearance of structures as a guide to diagnosing. They discuss if taping or manual therapy actually puts the kneecap back into alignment, the extent to which the appearance of structure actually matters, and the anatomy and physiology surrounding the patella. They provide insight into how symptoms can rise with patella tracking, how to begin addressing your patella tracking, and how to focus on function over appearance. Finally, they address the VMO muscle and explain how it integrates with the rehabilitation of patella tracking-related issues. Let's tune in! We also mention the GeniusMobility Supplement (affiliate link) in this episode. In this Genius x DocJen collaboration, the supplement contains all-natural ingredients with superfoods known to have joint supportive, stress balancing, and anti-inflammatory effects based on scientific research. With one scoop containing the recommended daily dose of Ashwagandha, Nuclear Eggshell Membrane, Antioxidant-Rich Fruits, Vitamin D & K2, and Curcumin, you will be on your way to replenished and optimally functioning joints! Dose your joints with the nutrients it needs to soothe pain and move with ease. What You Will Learn In This PT Pearl: 2:29 – What is Patellofemoral Syndrome (Check out Episode 10 to learn more) 3:14 – Why physical therapists look at the structure of the body 5:29 – Does tape fix patella tracking 9:08 – How the patella tracks 9:47 – Does DocJen have pain with her patellar tracking 10:52 – To what degree do biomechanics and structural form matter? 12:07 – What about patella tracking would be causing you pain? 15:42 – Is it bad if the kneecap is not tracking perfectly 17:38 – Changes to feel something different at the knee 18:00 – What is the VMO muscle & should you train it for patella tracking? 21:02 – Is taping pulling your kneecap back in space? 23:43 – What do manual techniques help with 25:21 – What you need to do to optimize your rehabilitation journey 27:18 – How to start addressing your patella-tracking 30:28 – How The Optimal Body Membership can help! 34:21 – Dr. Dom's Takeaway To Watch the PT Pearl on YouTube, click here: https://youtube.com/watch/ For research and full show notes, visit the full website at: https://www.docjenfit.com/podcast/episode138/ Thank you so much for checking out this episode of The Optimal Body Podcast. If you haven't done so already, please take a minute to subscribe and leave a quick rating and review of the show! --- Send in a voice message: https://anchor.fm/tobpodcast/message

Il y a presque 40 ans, le 29 Juillet 1983, la vitrine d'un café francophone de Fouron le compte était mitraillé. Il y aura 7 blessés légers, dont un grave. Très vite les auteurs sont retrouvés et condamnés. Ce sont des militaires, membre d'une milice flamande d'extrême droite, le VMO. Il s'agit donc d'un attentat motivé par des motifs politiques, plus particulièrement des motifs linguistiques. Ce n'est pas le premier incident du genre dans les fourons. La commune à majorité francophone à été rattachée contre son gré à la commune du Limbourg en 1963. Depuis les tensions n'ont pas cessé. Comment en on arrivé à un tel niveau de haine entre les communautés? Comment les fourons ont dominé l'agenda dans les années 80? Surtout que reste-il aujourd'hui de cette haine ? 40 ans après,l'Histoire continue. Invités : Philippe Leruth, ancien journaliste à Vers l'Avenir, et Ivan De Vadder, journaliste politique à la VRT. Présentation : Bertrand Henne et Hélène Maquet

Clinicians who treat vasculitis are familiar with uncertainty.In its many forms, and with no single sign, symptom or investigation strong enough to confirm a diagnosis, vasculitis presents an extensive list of challenges in a setting where diagnostic delay can lead to devastating consequences.In episode three of our Rheumatology Advanced Trainee series we deep dive into two types of vasculitis -giant cell arteritis (GCA) here in part 1 and ANCA-associated vasculitis next week in part 2. You'll hear Dr Tony Sammel and Dr Daman Langguth discuss what they've learned about how to diagnose the rare condition and how to best support patients through treatment decisions and relapse. They'll share tips on how to overcome some of the challenges associated with ruling out other more common conditions, making decisions around imaging and biopsy as well as discussing some of the latest evidence around treatments.With many practical tips and insights, this episode is a great listen. Dr Daman Langguth is VMO at Wesley Hospital, Brisbane, director of Immunology and chair of Partners Sullivan Nicolaides Pathology and treasurer of the Australian and New Zealand Vasculitis Society.Dr Tony Sammel is a staff specialist in rheumatology at Prince of Wales Hospital in Randwick and Sydney Eye Hospitals, where he coordinates the rheumatology vasculitis service, he has teaching appointments at the University of NSW and is Director of the Australian and New Zealand Vasculitis Society.This series is a collaboration with the Australian Rheumatology Association and the limbic. 

Clinicians who treat vasculitis are familiar with uncertainty.In its many forms, and with no single sign, symptom or investigation strong enough to confirm a diagnosis, vasculitis presents an extensive list of challenges in a setting where diagnostic delay can lead to devastating consequences.In episode three of our Rheumatology Advanced Trainee series we deep dive into two types of vasculitis -giant cell arteritis (GCA) here in part 1 and ANCA-associated vasculitis next week in part 2. You'll hear Dr Tony Sammel and Dr Daman Langguth discuss what they've learned about how to diagnose the rare condition and how to best support patients through treatment decisions and relapse. They'll share tips on how to overcome some of the challenges associated with ruling out other more common conditions, making decisions around imaging and biopsy as well as discussing some of the latests evidence around treatments.With many practical tips and insights this episode is a great listen. Dr Daman Langguth is VMO at Wesley Hospital, Brisbane, director of Immunology and chair of Partners Sullivan Nicolaides Pathology and treasurer of the Australian and New Zealand Vasculitis Society.Dr Tony Sammel is staff specialist in rheumatology at Prince of Wales Hospital in Randwick and Sydney Eye Hospitals, where he coordinates the rheumatology vasculitis service, he has teaching appointments at the University of NSW and is Director of the Australian and New Zealand Vasculitis Society.This series is a collaboration with the Australian Rheumatology Association and the limbic. 

Eatcosys is an F&B and retail tech solution provider that aims to help businesses ride the wave of disruption by going digital. The platform, which provides digital solutions that cover the entire lifecycle of F&B businesses, is the brainchild of Vincent Kok - formerly of event-tech provider VMO and foodie site foodadvisor.my. We speak to Vincent about the impact Eatcosys is making in the F&B segment, their recent acquisition run, as well as how they plan to maintain their aggressive growth post-pandemic. Image Credit: MOLPIX | Shutterstock

Clinicians who treat vasculitis are familiar with uncertainty.  In its many forms, and with no single sign, symptom or investigation strong enough to confirm a diagnosis, vasculitis presents an extensive list of challenges in a setting where diagnostic delay can lead to devastating consequences. In episode three of our Rheumatology Advanced Trainee series we deep dive into two types of vasculitis -  giant cell arteritis (GCA) here in part 1 and ANCA-associated vasculitis next week in part 2. You'll hear Dr Tony Sammel and Dr Daman Langguth discuss what they've learned about how to diagnose the rare condition and how to best support patients through treatment decisions and relapse. They'll share tips on how to overcome some of the challenges associated with ruling out other more common conditions, making decisions around imaging and biopsy as well as discussing some of the latests evidence around treatments. With many practical tips and insights this episode is a great listen. Dr Daman Langguth is VMO at Wesley Hospital, Brisbane, director of Immunology and chair of Partners Sullivan Nicolaides Pathology and treasurer of the Australian and New Zealand Vasculitis Society. Dr Tony Sammel is staff specialist in rheumatology at Prince of Wales Hospital in Randwick and Sydney Eye Hospitals, where he coordinates the rheumatology vasculitis service, he has teaching appointments at the University of NSW and is Director of the Australian and New Zealand Vasculitis Society. This series is a collaboration with the Australian Rheumatology Association and the limbic. New episodes of season one will be drop every week over the next four weeks, so be sure to follow the limbic podcast in your favourite podcast app so you don't miss out. You can also visit us at the limbic to get all the latest rheumatology news delivered to your email.

Dr Yoganathan graduated in medicine from the University of Otago in New Zealand. His training in internal medicine was undertaken in the Westmead Public Hospital. His Advanced training in Gastroenterology was completed in major teaching hospitals in Sydney.  He is a Fellow of the Royal Australian College of Physician (FRACP) and a member of Gastroenterological Society of Australia (GESA). He has accredited expertise in Upper Gastrointestinal Endoscopy and Colonoscopy as certified by the Conjoint Committee for the recognition of training in Gastrointestinal Endoscopy.Dr Yoganathan has a strong interest in the field of human nutrition.  He practices an approach to healthcare that assesses the lifestyle of the patient to see how it impacts on their gastrointestinal and metabolic health.  Dr Yoganathan believes that the current day nutritional guidelines may not be based on perfect evidence and he passionately strives to provide the most up to date literature in healthcare and science to provide “Evidence-Based Medicine”.  He Is a strong motivator and aims to empower his patients to embark on a journey of self-healing using the philosophy of “let food be thy medicine”.Dr Yoganathan has a special interest in conditions such as Gastro-oesophageal Reflux (GORD), Irritable Bowel Syndrome (IBS) and abdominal bloating. He takes a very thorough approach to resolve these issues using dietary manipulation In conjunction with an accredited highly qualified dietician rather than resort to long-term medications.CredentialsDr Yoganathan has developed an interest in “quality colonoscopy” with a focus on optimizing bowel preparation, withdrawal time and the use of high definition endoscopes to maximize adenoma or polyp detection.  Dr Yoganathan's interest is in the early detection of bowel cancers, well before they become symptomatic and thus saving lives. He is a strong advocate for bowel cancer screening.All privately performed procedures, including anaesthetic and pathology fees are strictly “no gap”.MBChB. (Otago), FRACPGastroenterologyHepatologyEndoscopyColonoscopySummaryDr Pran Yoganathan is a Gastroenterologist and Gastrointestinal endoscopist based in Sydney. He aims to empower his patients to embark on a journey of self-healing using the philosophy of “let food be thy medicine”.Areas of ServiceDr Pran Yoganathan is a Gastroenterologist and Gastrointestinal endoscopist. Dr Yoganathan's consultation services are provided in 76 Showground Rd, Castle Hill, Sydney. The VMO positions he holds in the public and private sector include.Norwest Private HospitalLakeview Private HospitalCampbelltown Private HospitalCamden Surgical Hospital (soon to be established)Blacktown Hospital (Public)Mount Druitt Public Hospital (Public)Special InterestsFind Pran's brilliant Instagram feed here https://www.instagram.com/dr_pran_yoganathan/https://centreforgastrointestinalhealth.com.au/Support the show (https://www.patreon.com/labanditchburn?fan_landing=true)

In this episode, CEO of Julie Wiebe Physical Therapy, Inc., Dr. Julie Wiebe, PT, DPT, talks about running and pregnancy. Today, Julie talks about running/exercise and pregnancy, creating baselines, the research around female running form, and she busts some pregnancy myths. When can you return to running after pregnancy? What is Julie’s definition of ‘postpartum women’? She tells us about structuring exercises around their daily exercises and goals, pelvic health education, and she gives some advice to clinicians working with postpartum runners, all on today’s episode of The Healthy, Wealthy & Smart Podcast.   Key Takeaways “Landing mechanics are affected by what’s happening north.” “Let’s understand what they looked like beforehand so that we have a better idea of how to help them find their way back.” “Just because you had a baby doesn’t mean you should be in pain and weak for the rest of your life.” “Listen to what’s happening, but learn to interpret it.” “If your 10 minutes is spent running and that’s your goal, you’ll do it. But if I say you’ve got to lay down on the ground and do rehab exercises that make no connection for you, you’re not going to be motivated to do that.” “Pelvic health does not mean that you have to be clinically prepared to do internal work. It just means that you’re treating the musculoskeletal of someone who happens to have a pelvis, which, last I checked, is everyone. You don’t have to be certified as a women’s health specialist, but you can get information, read books, watch videos, take courses so that you are competent in treating a woman postpartum that wants to get back to running.” “The pelvic floor is not the only gatekeeper that creates pelvic health. It is a component of multiple body systems, and we need to understand that those systems affect the way the pelvic floor acts and behaves. The pelvic floor itself needs to have attention directed at it, but when we talk about just the pelvic floor, it isolates it away from relevance to other areas of care.” “Learn to ask questions, and ask questions that make you uncomfortable. You will get more comfortable with it, and understand that what you’re trying to do is open a door of communication.” “When you read the conclusion in research, is there any other explanation that could’ve come to that same conclusion based on what you’re seeing?” “We need to start broadening our lense, and I think we’re broadening it to look at females as not just little men.” “Instead of thinking of learning as this linear thing, include and transcend. Instead of it being a linear line, let it be concentric circles.”   More about Julie Wiebe Julie Wiebe, PT, DPT has over twenty-four years of clinical experience in Sports Medicine and Pelvic Health, specializing in pelvic/abdominal, pregnancy and postpartum health for fit and athletic females. Her passion is to return women to fitness and sport after injury and pregnancy, and equip pros to do the same. She has pioneered an integrative approach to promote women’s health in and through fitness. Her innovative concepts and strategies have been successfully incorporated by rehab practitioners and fitness professionals into a variety of populations (ortho/sports medicine, pelvic health, neurology, and pediatrics). A published author, Julie is a sought after speaker to provide continuing education and lectures internationally at clinics, academic institutions, conferences, and professional organizations. She provides direct care to female athletes through telehealth and her clinical practice in Los Angeles, California.   Suggested Keywords Physiotherapy, Pregnancy, Research, PT, Health, Therapy, Healthcare, Education, Training, Postpartum, Running, Exercise, Pelvic Health, Conversation,   Use the code: LITZY for 20% off the following courses from Dr. Wiebe:   Treating and Training the Female Runner (or Any Female Athlete) Foundations + Running Bundle A Foundations + Running Bundle B   Running Rehab Roundtable Live Broadcast https://www.crowdcast.io/e/runningrehab   To learn more, follow Julie at: Website:          https://www.juliewiebept.com Instagram:       @juliewiebept Twitter:            @JulieWiebePT YouTube:        Julie Wiebe LinkedIn:         Julie Wiebe   Subscribe to Healthy, Wealthy & Smart: Website:                      https://podcast.healthywealthysmart.com Apple Podcasts:          https://podcasts.apple.com/us/podcast/healthy-wealthy-smart/id532717264 Spotify:                        https://open.spotify.com/show/6ELmKwE4mSZXBB8TiQvp73 SoundCloud:               https://soundcloud.com/healthywealthysmart Stitcher:                       https://www.stitcher.com/show/healthy-wealthy-smart iHeart Radio:               https://www.iheart.com/podcast/263-healthy-wealthy-smart-27628927   Read the full transcript:  Speaker 1 (00:07): Welcome to the healthy, wealthy, and smart podcast. Each week we interview the best and brightest in physical therapy, wellness, and entrepreneurship. We give you cutting edge information. You need to live your best life. Healthy, wealthy, and smart. The information in this podcast is for entertainment purposes only and should not be used as personalized medical advice. And now here's your host, Dr. Karen Litzy. Hey everybody. Welcome back to the podcast. I am your, Speaker 2 (00:39): The host, Karen Litzy and today's episode. I'm really excited to round out our month all about running injuries and running rehab with Dr. Julie Wiebe. She has over 24 years of clinical experience in sports medicine and pelvic health specializing in pelvic abdominal pregnancy and postpartum health for fit and athletic females. Her passion is to return women to fitness in sport, after injury in pregnancy and equip pros to do the same. She has pioneered an integrative approach to promote women's health in and through fitness. Her innovative concepts and strategies have been successfully incorporated by rehab practitioners and fitness professionals into a variety of populations, or at those sports medicine, pelvic health neurology, pediatrics, a published author. Julie is a sought after speaker to provide continuing education lectures internationally at clinics, academic institutions, conferences, and professional organizations. She provides direct care to female athletes to through tele-health and her clinical practice in Los Angeles, California. Speaker 2 (01:48): So Julie's amazing. And in this episode, we talk about some myths about running while pregnant and in the postpartum. And of course, the question that everyone always asks Julie is how can we return to run after pregnancy? So Julie answers that question and cause a lot of really helpful hints for practitioners to look for when evaluating postpartum women and those postpartum women, those runners can be anywhere from six weeks to six years, 16 years, 20 years after having a child. And she also encourages clinicians to think critically, to look deeper, to have a framework for evaluation, to try and, and, and get a baseline to ask your patients to film themselves while they're running or exercising so that you can understand what they look like when they're doing what they do. There's a lot of variables to post to running post-pregnancy and Julie really runs through all of them. Speaker 2 (03:01): So I want to give a big, huge thanks to Julie for coming on the podcast today and sharing all of this knowledge. And she also has a discount on the course. So she has a course on running a postpartum running. So she has a course for the listeners. So all you have to do is enter the promo code Litzy that's L I T Z Y my last name for 20% off treating and training the female runner. And just to be clear, this is for professionals, not for individuals. So this is for clinicians. So a huge thanks to Julie for that. We'll have all of the information, including links to everything in the podcast at podcast dot healthy, wealthy, smart.com. And tomorrow you can catch Julie live along with Dr. Ellie summers, Dr. Chris Johnson and Tom goom for our live round table discussion. That's tomorrow, March 30th at 2:00 PM Eastern standard time. Speaker 2 (04:10): If you can't make it still sign up because you'll still have a chance to get your question answered by the panel, and you will still get to watch the replay any time you want. And listen, this is a deal. It is $25 for four of, in my opinion, some of the best minds when it comes to running injury and rehab. So sign up today. If you're listening to this today, sign up today because you have until probably, I don't know, it starts maybe until like quarter to two tomorrow, which is March 30th to sign up for our live round table discussion. Again, that's with all four guests from this month, Ellie summers, Chris Johnson, Tom goon, and Julie Wiebe. So sign up to day. Hey, Julie, welcome back to the podcast. I think this is like your third visit to help you well, yes, thank you for sharing your platform with me again. Speaker 2 (05:11): I appreciate it. Of course. And, and this month, the month of March, we're talking all about running, running injuries, running rehab, and I know something that you're passionate about is caring for the postpartum woman that returned to running after giving birth. And, and we'll also talk a little bit about running while pregnant. Right. So I think that there are, there's a lot to cover. And so we are just going to, we're going to zoom right through this unintended since we're on zoom. But let's start first with running while pregnant. I feel like there's a lot of myths around running while pregnant. I don't know that it's understood very well by many people, including clinicians as well as the pregnant women. So I'm just going to kind of throw it over to you and let you just kind of talk about the, the running pregnant woman. Speaker 3 (06:14): Yeah. You know, and I think I think that regarding running and pregnancy, I mean, that's our focus, but really exercise and pregnancy. We still have, we are limited in our understanding of all things. Related to that I think we are started, we have information about things like cardiovascular response or, you know, some of those pieces of the puzzle. But in terms of the musculoskeletal, the neuromuscular, the response of the female host inter like how is that impacting the mom's body systems. Right. and I think that where we are struggling to have a lot of research there in part, because it's hard to find women that are willing to be participate in research. And then there's also a lot of, I, you know, we have to be protective of them. We have to protect them. And so, so it's this, you know, we want to honor that stage of life, but we also need to research it. Speaker 3 (07:13): So so I think we are struggling to, to understand all that, but we're starting to get more and more attention on it, which is awesome. As far as pregnant runners go there's only a few studies that I'm aware of that actually look at the pregnant runner and and of those one is a case study and one is on five women. So we have very limited understanding of what exactly goes on, but there were some themes. So I'll just share some themes. One is that in, in both the studies, they were, they were followed, the women were followed throughout the pregnancy changes were seen in all of the women on how they continue to run through the pregnancy meaning. And particularly the one with the five women, they all did something different, which is the variability is what we're seeing now. Speaker 3 (08:07): Everybody's bodies individually adapted differently. But the through line for them was there was a loss of pelvic and trunk rotation. So when we think about that pregnant runner, this is the way I've started describing it. The belly covers a ton of joints. Like it goes from the thorax to the pelvis. It it's basically, it takes all of these reciprocating joints and it turns it into a unit joint. Like it's one big joint, it blocks motion. So it reduces pelvic and trunk rotation. And so it limits, and then it forces them to rotate elsewhere. All of these are adaptions to help them continue to move through space appropriate for pregnancy and running. But when they go into the postpartum, they carry it with them. And that was what happened in both of these studies. They found that at six months for the woman who was the case study, and then at six weeks postpartum for the women, the five women in the other study, they held onto these, these some of these variables into the postpartum period and where that's significant is that women are given that okay by their doctor at six to eight weeks. Speaker 3 (09:19): This just like, you can just start doing your thing again. But their understanding is I got to just lose weight and get a flat belly. What our understanding needs to be is we need to understand what's changed for them. Biomechanically neuromuscularly emotionally, you know, fatigue, stress, like all of we have to understand all of those pieces and help them restore their interrelationships. Neuromuscularly biomechanically to be more like their baseline in order to prepare them for return to run. Like it's not just, okay, let's get him stronger. It's how do we help them restore that efficiency in their patterns that they lost, but no one realizes they lost it. So six years later, they show up to an orthopedic office and they have some of these running injuries, but how much of it is related to the compensations that they carried into their postpartum. So that's sort of a, an entry point into our conversation. Speaker 2 (10:17): Yeah. And that's, that is so interesting. And it makes sense that they would carry that over because our brain has is plastic and it's going to adapt. And our our sense of where we are appropriate susceptive sense is going to adapt to that. And it just doesn't end because the baby's not inside you anymore. Speaker 3 (10:40): Correct. And you're pulling it off, like in your mind, like you're still pulling off running, like you're actually running. So it, the understanding of what has changed is not understood globally. And I think like, I mean this, the running study related to the five runners that I mentioned, and that was from 2019. So this is, you know, relatively hot off the presses in terms of clinical understanding. So our job clinically is to help restore reciprocation that's really, and we understand the reciprocation is so important for all sorts of pieces of the puzzle for running. And one of those things is actually reducing ground reaction forces, getting our center of mass over that lead leg. Reciprocation is a huge piece of that. And so understanding just that, if that is all you walk away with today, understanding that you're a female that has a postpartum is postpartum, meaning they have a pregnancy in their history when you're working with them related to it, running injury. Speaker 3 (11:39): If it has a ground reaction force components like a knee or anything, you should be looking North of the border, not just foot strength, not just cadence, not like you have to look North and understand, are they actually reciprocating? Where's that reciprocation coming from? Because when you have a unit joint of the lumbar spine in the lower, the only thing that's left is like TL junction and above. So that's where they're reciprocating is way up high at the chest. And if you watch Fumo runner, that's what they're doing. They're punching the sky, it's all up, up, up, up chest high. And it's, that's the pattern that they partially developed during the pregnancy to continue running and pregnancy. There's nothing wrong with that. It co it's an appropriate compensation, but it does. If you don't restore actual reciprocation between the trunk and the pelvis, that's what you're looking for. And if the woman is in gripping her abs, cause she wants to get flat abs again, that's a UDA joint, it's a uniform engagement of the abdomen is what most women hang on to, or try to do while they're running. And that continues to keep their reciprocation high. So it's like understand what's going on North of the border for these women, versus just looking at things like landing mechanics, landing mechanics are affected by what's happening North so Speaker 2 (12:59): Well that's so, yeah, that is so interesting. And now I'm going to be, you know, in central park watching all these women to see, okay, are they just running with their, from like the thoracolumbar junction up? And then just having legs move like a cartoon character or are they actually getting excursion and rotation through the trunk? Speaker 3 (13:19): Amen. Yeah. And then we're getting into summer, right? I mean, I'm here in California, so we're gonna be able to see people's abdomens. And the thing that I, my cue for my clinician friends is what's going on with the navel. Like if their navel is staying straight, dead, straight, the whole time they're holding their abdomen. So stiffly through their run, that they aren't reciprocated. Like they can't be like, that's an indication that's a quick and dirty clinical sign that you can see that that means the reciprocation is likely coming up higher. And then it'll sort of clue you in and you'll see it. And they're, they're the ones punching high in the sky. They've got ribs flared up, like it's sort of, and that's a lot of our female runners. And it's a lot of our women that have never had children because they're holding their abdomens. Speaker 3 (14:03): Cause that's what they think they're supposed to do. And we also have studies that have shown us that stiff abdomen when they had men jump off a height actually increase their ground reaction forces. So it makes sense it's part and parcel, right? Like, you know, we just got to sort of brought in and I think that's my hope when I talk about stuff like this with my ortho and sports medicine, friends and colleagues because that's really, I'm a sports medicine, PT, I'm not a traditional pelvic health PT, but is to broaden our lens and add these ideas into our differential diagnosis. Like we need to start thinking about how these things are affecting. Some of the things we look for in sports medicine. Like we understand to look at how ground reaction forces what's happening, but we don't often this into our thought process. Like how, why is that a typical running pattern for women? It's not just because we have brought her hips and Q angles and, you know, blah, blah, blah, look North, look North with me. There's more going on for these women. And and we have some strategy pieces that we could add into our thought process to help them Speaker 2 (15:13): Yeah, amazing coming in hot, right out of the gate pair with a great tip for everyone. So thank you for that. And one one question that I want to ask, just so the listeners really understand when you talk about postpartum women, can you define what that means? Speaker 3 (15:32): I'll give you my definition. Sure. It doesn't necessarily mean that it is the definition. But I consider anyone who's ever had a baby. And, and here's what I'll say about that. I think technically it's the first year that might be kind of more of a technical thought process. And that's mainly because I started learning this backwards when my, on my patients who were 35 and 45 and 55 and 65. And they still look like me. This is million years ago. Now when I was at postpartum early postpartum, like the way that I was using my body and it was creating issues for me, they were using their bodies that same way. And they were like, well, they had grandchildren at that point. And so once we start understanding, yes, it's a normal process that women go through, but our job is to understand what they went through and help them find their way back to efficiency and effective use of their structure and their systems and their like I D I was Chris. I love that Chris Johnson talked about their ecosystems, like, you know, like looking at all of those pieces for them and understanding our job is to help them get back to their baseline, their individual baseline. Cause my torso is this, like this with this link legs. Some people have long legs short, let you know, like to understand that. So my, one of my big pushes I hope to achieve at some point is to get baselines, like, let's start getting baselines. I was women. Yeah, go. Speaker 2 (17:09): I was just gonna ask that you, you beat me to the punch. I was just going to say, so if someone is coming to me as a woman who is a runner and she had a child would say a year ago or two years ago, even how do I know what her baseline is? Speaker 3 (17:27): Correct? Well, what I do is I have them try to bring me film from prior to the injury. So these are for women that haven't had babies or like what they look like running prior to having a baby. And again, so many women have said to me, well, I leaked even before I had a baby when I ran. So then you might find stuff in their running form that might help explain that like Mabel's that go straight ahead? You know, things like that. But it does give us sort of an understanding of, is the running form that we're seeing right now, is that speaking to why they're having the injury, the, whatever it is, or is this the running form they've always had and they used to run without any difficulty. Like, you know what I mean? Like, so for me, that's how I started to create their baseline. Speaker 3 (18:15): Even if I can't see what they look like. And a lot of women will, like, when we talk about diastasis, like, you know, something like along those lines, which I might have to define for the audience, but some women will send me pictures of them in a bikini from like their early twenties. They're like, Oh my gosh, you're right. I actually had a line down the middle, but I never gave it any thought because my belly was flat. But now that my belly is not flat, you know? So it's like, that's where we can start to kind of get some comparisons for baselines. But one of my goals is to reach into the medical community, meaning the obstetricians and the midwives and the nurse practitioners. If any of you are out there is to say, let's start creating baseline. You're the first contact for some women they'll come in for a prenatal visit or something like that. Like, let's get some baselines, encourage them to take video. How will they're lifting how they're running? You know, how are they doing these things that they want to get back to afterwards so that they have a library of their own baseline? Like let's understand what they look like beforehand so that we have a better idea of how to help them find their way back. Speaker 2 (19:18): Yeah. Yeah. Great answer. Thank you. And so we've talked a little bit about this return to run after pregnancy. And I know you said that is, that's what people want to know from you. How do I go back to running after I had a baby and you know, everybody wants a protocol. If you could do this, then do this and this then do this. Right? Right. So when someone says to you, when can I start running after I had a baby, what is your answer? Speaker 3 (19:50): My answer is, and everyone hates it. It depends, but I tell them what it depends on. And so, and that's what it does get a little tricky in a situation like this, because these are some of the variables that I want to know. So my, whenever I get a question like that, my favorite is when I get it from a practitioner, what should I tell my patient who wants to get back to running? And I'm like, okay, well, my, my response to you is I actually wrote a blog like this. Like, and I always get, Hey, quick question. And I'm like, it's not a quick question. It shouldn't be a quick question. You know, did they have a vaginal delivery? Was it traumatic? Did they have forceps? Did they have a Syrian? Was it, you know, did they have bed rest? Were they on bed rest? Speaker 3 (20:29): If you're on bed rest, no, you're not gonna start running right out of the gate. You're like, you know, like there's so many variables there was it a complicated pregnancy? Was there, you know, what's been happening to them during the recovery process, have they, you know, are they having postpartum depression? You know, what's the you know, what are all these variables that they're experiencing? Where are they having postpartum depression? Or are they depressed or having baby blues, partly because they've lost their exercise program. Like what, what are all of these variables that we're looking for and what was their athletic capacity before? What is it now? Or what are their goals? Cause I like to make goal specific recommendations. So those are some of like, those are just that's scratching the surface, but I don't want to make it sound like this is an inaccessible population to work with because you don't know what all those things are. Speaker 3 (21:19): But what I usually talk to my patients about is I understand their goals and then I break them down and we start preparing for them. So my program for you needs to prepare you for what you want to do. And I need to understand the demands that you're up against. If you want to run, I need to prepare you for impact. I need to prepare you for endurance. I need to prepare you for power and possibly change of direction, depending on what you want to do. Trail runs and jump over rocks and things like that. Like I need to prepare you for what it is you're going to be up against. And part of that preparation is looking at your form, giving you great form twos, helping you build in new form, creating an interval program, getting you impact ready. Like there's, it's not just, I need you to do some curls and tell me stuff and some cables, and now you can run. Speaker 3 (22:10): And I think that that's, but that's a typical postpartum recovery program, but it isn't a prep for return to run. I need to teach you to reciprocate. I need you to strengthen into those reciprocal movement patterns. I need you to do single leg work. I need you to do single leg loaded work. I need you to do single leg impact work. You know, I gotta get you practicing some of those pieces. Then I know you're prepared. And if you're leaking or having pain or having an I give you these things we're looking for while we're doing the prep work, we're just not quite ready. We need to modify those things. Keep giving you opportunities to build capacity and strategies for the kind of work you want to do. I'm going to build that back into your system so that you're ready. And if you're, again, if you're symptomatic during all the prep work, we're just not quite ready for the actual events, but let's figure out what still needs to be tweaked and what needs work. You know what I mean? And then like, let's start with elliptical, let's start with hiking. Let's start with things that don't have impact. If we're not, if we're having symptoms with impact, like sort of really parse, what's still creating the problems so that we can troubleshoot that. And then, and then get you back into interval prep, walk, run. You know what I mean? Like it's yeah. So it's yeah. So that's running, that's more running specific. Speaker 2 (23:27): Yeah. So if you're not, it's not like, okay, the doctor gave you the all clear at six to eight weeks depending. So I'm just going to give you a walk run program. And that's what you will do. There is a lot more building because like you said you to monitor, you want to give people their program, you want to monitor their, their reaction to it, their symptoms, and then make the necessary adaptations that you need to make and use your clinical judgment. Because we know that there's not a whole lot of research around even returned to run after pregnancy. There's not a lot of research to that, correct? Speaker 3 (24:05): Yeah. We're getting, we're starting, we'll give credit where you know, we're trying, but we, yeah, we have a lot of work to do. We need to figure out there's a lot. We need to understand just basics. But, but like some of the things that I, I I'm trying to create like little things, people can remember, like prepare, then participate, monitor, and modify. Like just keep get like put those pieces together for yourself. Cause some people don't have access. That's the other thing, like if anyone out there doesn't have access for whatever reason to the practitioner, like you are, you have a lot of power by knowing what to monitor for knowing it's not normal to have pelvic pressure or leaking or pain while you're running. It's not normal. Like we want you to feel good while you're running and you know, just cause you had a baby, does it mean that you should be in pain and leak for the rest of your life? Speaker 3 (25:01): Like that's an incorrect, like I think we did. We say we're going to bust myths. Like that's a myth D please don't buy into it. So yeah, and I think I lost your question in there somehow. Did I? No, no, no, no. Boston my own head. No, not at all, but it is. It's like these, like what else? You know, and then follow the other thing I try to tell people is follow your success. If it seems to be that you're having more symptoms on the flats, but you're okay if you are going uphill, which is not unusual because it sort of helps you have a better running form automatically. Then let's walk the flats, run up the Hill. You don't like listen to what's happening, but learn how to interpret it. I think that's what I'm hoping clinicians can be, is really great interpreters of what's happening with the patient standing in front of them so that they can they can be better guides. Speaker 3 (25:54): I mean, that's really ultimately what we're doing. We're guiding people through their process because everyone's process is going to be a little bit different. It should be. And I would love for, I would w I went a hundred percent with lots of over the protocol, charge everybody 10 books now, but it doesn't exist because everyone is different everyone's path through pregnancy is different. That one study we have was so fascinating. All those women did something different to get through the pregnancy running. So, so we, we were just learning, right. We're learning about, about everybody's path through, through all this stuff. So how can we guide them? And I think monitoring modifying, progressing not gradually in a scared way, but in a smart way, like, Oh, we tried that. That was too far. All right. So backing off a little bit. Let's try this. Let's modify, modify, keep adapting. So I don't know. Now I'm going down a whole nother rabbit. Speaker 2 (26:48): No, no, no, that's it. This is all, this is all amazing. And I, and I really think the listeners will, we'll definitely come away with, you know, the, the monitor and make it adaptations and watch and listen. And also, like you said you sort of referenced Chris Johnson, sort of talking about the whole ecosystem. So again, I think it's important to when you are sitting down with this patient for the first time, you know, you have all these questions, but then your other questions are, well, how old, how old is your child? Do you have more than one? What are your responsibilities at home? Do you have a nanny? Are you a single mom? Are you working? What are your time constraints? Like, because all of that feeds into what kind of program you can give this person, because they may say, Hey, listen, I have 10 minutes a day to do some exercises. And, and what happens a lot is people think I only have 10 minutes a day. It's never going to work. Right. So how do you get around those with your clients? Speaker 3 (27:51): I usually use their exercise program is their fitness program, whatever it is, like rather than ask them to stop. I, and so, I mean, we're talking early postpartum versus someone who's maybe coming back two years later. Right? So you know, I try to integrate, my goals have always been, or my path has always been about building brain strategies, neuromuscular. So then I'm teaching them how to re-establish. Some of the, the, the, so let's talk early postpartum things get kind of funky in terms of how components of the central stability Central's control system operates. I'm working on helping them reconnect and implement it into their function. They have to take care of their kids. If you're lifting your kid, we're going to do it in a way that sort of pulls in the brain's going to use all these components to help them start, to learn, to be reintegrated into your movements, just movement going up the steps. Speaker 3 (28:50): Guess what steps is just like running. We're going to actually, if your goal is running, I'm going to make going up and down the steps with your laundry hamper or your baby as your prep for return to run. But we're going to do it super low impact. We're going to think it through. We're going to have to, like, we're going to rebuild that reciprocation through walking up and down the steps. We're going to, you know, match it to your function right now. But if you're two years out and you're, it's a different ball game, I'm going to use your running as your program. I'm going to adapt your running and keep you below your symptom threshold or make it look a whole heck of a lot like running so that you're motivated to do your, if your 10 minutes is spent running and that's your goal, you'll do it. Speaker 3 (29:32): Do you know what I mean? But if I say you got to lay down on the ground and do these rehab exercises that make no connection for you, you human, emotional, or your brain to your goal. You're not going to be motivated to do that. So I have always broken down their exercise programs, if they are CrossFitters or going to gym or whatever it is, show me three exercises that you like to do. Yoga, Pilates, whatever it is, what are three things let's implement these ideas and strategies under something that you enjoy, because I know you'll be compliant. And then they know you're listening. That therapeutic Alliance is there, like out of the gate, you want to help them get to their goals, Speaker 2 (30:11): Right? So it's, it's like, you can take things they're already doing and modify, adapt it, allow them, give them the tools they need to implement. What will help them in that exercise. And ultimately perhaps help them get back to their running or whatever it might be. Okay. Speaker 3 (30:31): Break it down, break it down and then build it back up. That's got it. That's a pretty straightforward way to do it with any athlete. It doesn't have to be running. But you got to know what they're up against. So I, if I am not familiar with something, I just say, show me, I don't know, show me what that is. And I don't know the words, I'm the first one to admit it, but I can't remember what that, can you just show me that and they'll sh and then you can break it down. Like, I think that's, to a lot of people's barriers to working with athletes is they don't feel comfortable with the sport. And then of course we have, you know, members of our community that say things like, well, do you lift, do you even run? I know. And it's like, like, it's really I don't, I don't surf and I will never, my first surfer when I moved to California, you know what I did, I looked at YouTube and I looked at, I watched, I watched videos. Speaker 3 (31:30): I looked, I tried to understand what are the physical demands of surfing, but that didn't mean I couldn't help him. You know what I mean? Like, don't get me started. So anyways, so I think that it intimidates because also like, that would mean that men couldn't work with female athletes too. Like, cause you don't have a vagina. Like that's, it's a, it's an illogical argument and it makes me mad. So anyway, surfing is I that's one of the examples that I use because I don't surf and I never will because I'm afraid of sharks. So we w w your job, our specialty physical therapist should be movement analysis. That to me is a pretty basic part of our definition. And I know that you can at least pick out efficiency. Do you know what I mean? Like, you can pick out efficiency and I use video, like crazy. Speaker 3 (32:19): Have them bring you videos of them. Weightlifting have them bring you videos of running, and then you can slow it down. Look at it, really carefully. Look at it at home before you stand in front of them, start to break it down, look online. What is a clean and jerk, and then ask them to send you a video of a clean and jerk compared them and start to pick out where it's different. There you go. You know what I mean? Like, I think that we create this barrier for clinicians to be able to participate in this kind of care if we make it unattainable because they don't actually participate in it anyway. Yeah. Speaker 2 (32:56): Listen, I could not agree more. I think that's the dumbest dumbest argument against a qualified physical therapist, seeing the person in front of them, because what if you're the only physical therapist for 50 mile radius? What are you supposed to like, sorry, pal. I'm not an Olympic lifter can help you. Speaker 3 (33:17): Yeah, it's so stupid. It's so stupid. Well, and it's really the other thing too then is it's also important to sort of highlight and carefully and kindly and respectfully say that's also how pelvic health is understood by so many. Well, it's not, that's not my department, but it's physically inside the woman standing in front of you. It's part of her department. So like, you may be the only practitioner for miles and you are the only person that understands the human body, the way you do as a physical therapist. It behooves you to start understanding some of these processes. When we start to talk about our differential diagnoses for runners is to understand what is happening, what, how might this have affected what I'm seeing clinically? And then it's not, it's not pelvic health, like in this movie way, it's pelvic health as a, it's a, it's a friend to helping you understand what's going on with these patients. Speaker 3 (34:16): So, so again, like in the same way that, you know, folks get scooted away from participating with female athletes or athleticism, we don't want to scoot them away from pelvic health because it's scary or UV, or it's not their department. Like we need to open those doors broadly and say, let's, let's skill everybody up. Let's equip everybody, the pelvic health community to understand fitness better, and the fitness community to understand pelvic health better. Like let's everybody come to the middle and not create barriers inside the community to those things. Like, let's appreciate the perspective that we each bring so that we can optimize the care for our patients who don't have resources to go down, you know, and with telemedicine creates new opportunities until unless we can't do it nationally. Right. Can we have a talk about that? Speaker 2 (35:08): Yeah. I would love to have a talk about that. Like maybe every, every licensing board across the country, again, it's so stupid because we take a national exam, but we're only licensed in anyway. Yeah. We could have, we could have a round table on that one. But you know, what you said is really important about so for the physical therapist or even other health professionals listening pelvic health, it does not mean that you have to be clinically prepared to do internal work, right? No, not necessary. And it just means that you're treating the musculoskeletal health of someone who happens to have a pelvis, which last I checked is everyone. And so, and so you should, you should be able to do that. You may not ha you don't have to be certified as a women's health specialist, but you can take get information, read books, watch videos, take courses so that you are competent in, let's say for the sake of this month, I'm runners treating a woman postpartum that wants to get back to running. Speaker 3 (36:25): Right. And there, and that's, and I think that that's partially, I mean, to just be fair, I think we all learn pelvic health in a very isolated way in PT schools. You know what I mean? So I think that there's been a huge change in the conversation in the pelvic health community over the years. And it's just starting to get out there in, in other ways. So it also behooves those of us. And again, like I find myself always serve in the middle of these worlds. Those of us who communicate it in a way that's relevant to like, let's be communicating in a way that is enticing to learn more. Like, I want those to gain those skills and and understand it in a way that is relevant. And I, and so, yeah, so we have a lot of work to do to the physical therapy educational programming to start to build it into models a little bit differently, so that it's under some of the other side a little differently too. Right. So it's just, we're all we're evolving, but it is true that it has classically been defined that way. Right. Like, right. And so I think so anyway, yeah. So I, I agree with you, there's a lot we can do there. And it's also like, can you at least talk about like, and to have some ability to do that is important, you know, so, Speaker 2 (37:45): Yeah. And, and hopefully people like yourself and maybe podcasts like this and other podcasts that are out there will really help clinicians. And non-clinicians, you know, your, your, your gal that, that just had a baby. Who's like, I, I don't know what to do. How, what do I do? Yeah. You know, I just had someone contact me today who is eight months pregnant and she's starting to have a little low back pain. And she said, you know, should I just go to the doctor or should I just go to any PT or what should I do? And and I was like, Oh, I'm so happy that she's reaching out for a physical therapist, you know? But a lot of people just don't even know that that's an option. Right. So, Speaker 3 (38:32): Yeah. Cause the messages, while you're pregnant, low back pain, you're pregnant, you know? And, and so it's really, there's a lot of education that needs to happen, but I do think you know, so much of it is around I'm trying to think of a good way to say this, centering the woman as like that, those concerns just because they're common. I hate the common. Not more, it's not, I hate that. I get it, but it's also like, it just always has been, but that doesn't mean that's how it should be, or it has to be moving forward. Like I think we're starting to get more female researchers, myself trying to do that too, to help, you know, we're trying to have females asking questions for females and to the credit of this one particular, he will never know. I should write him a note, but like I had a conversation once with a running researcher. Speaker 3 (39:28): And I was like, did you think about the fact that that lady was probably in continent? Like he had just done something at CSM and he goes, that would never have crossed my mind. And I, and he wasn't like a poopoo that couldn't possibly be a variable. He was like, it looks like you need to start doing some research. And it was, it was literally like the last nail in the coffin of me, like meeting that, like I knew I wanted to go that direction, but it was one of those, you know, those really landmarking conversations that just sort of are like, w wait, wait, wait, wait, wait, I'm point. Knowing what I'm doing, like cooking you in the right direction. Yeah. It's to say, you know, this is you, you understand it. And I think that's, you know, again, you know, we talked a little bit about clinical utility and research, like trying to ask the questions that women need to ask, you know, so we need for your eight month pregnant lady, we got to get better information to her and to people that can care for her in her local community. Speaker 2 (40:25): Yeah. And, and again, you know, we talked a little bit about this before we went on, but, you know, asking the right questions, asking questions, asking simple questions. Because as, as we've spoken about the research for even simple, for simple questions is not there. So before we went on, Julie was saying, you know, we don't know what the pelvic does when we go to sit to stand, what is it doing when we're walking? We don't, we don't know what's happening in the pelvis and the pelvic floor and, and, and articulations above and below. So how are we supposed to know with certainty what's happened when you're running or when you have impact or jumping? So I think these, like you said, these smaller questions need to be looked at and researched, and then hopefully that body of work can build up to something much more clinically. Speaker 3 (41:15): Yeah. We need to sort of, we need to build in the basics and, and, and, and we're working like there are teams working on that, like we have, and we're using computer modeling as a way that this is starting to get there because we can't the issue. And also, I really want to make something super clear before we get moving. This direction is one of the things that I'm trying to be really careful about is not just talking about the pelvic floor, but to talk about pelvic health, because the pelvic floor is not the only gatekeeper that creates pelvic health. And it is a component of multiple body systems. And we need to understand that those systems affect the way the pelvic floor acts and behaves and the pelvic floor itself, you know, needs to be, have attention directed at it. But B because when we talk about just pelvic floor, I think it isolated away from relevance to other areas of care. Speaker 3 (42:05): So I just want to be clear on that. So but we don't know what its behavior is. Cause we can't see it. We can't put a, you know, it's just, we are, but we're starting to get new ways to be able to understand it better through a technology advances. So we're getting there, right? Like, so that's been a barrier to understand this better in in the dynamic, in dynamic activity. And we are seeing computer modeling as an option to help us start to understand this a little bit better, but that modeling is usually done on like an N of one. One of my favorite studies is a computer modeling study, but it's with something, I can't remember the title now off the top of my head, but it was something like, you know computer modeling of pelvic, the pelvic floor during an impact activity and an athletic female or something like that, or for female athletes. Speaker 3 (42:52): But then it literally says in the methods section that the woman they chose wasn't athletic and I'm like, well, crap. Okay. But I mean, it gives us, it gives us new insight. We'll take it. But I would really like to see it on someone who is an athlete, because, you know, we want to understand all of those variables anyways. So, you know, we're just trying to get there, but we haven't always, we can't visualize the pelvic floor in when we're watching a runner, but we can watch it's relationships. We know it's related to the glutes. We know it's related to the pelvis and the low back and the abdomen and diaphragm, we can watch all those other relationships. And we're really good at that in ortho, in sports medicine. So there's all of these interrelationships that we can watch and understand that a little bit better and differently, but you know, there's elements of what's going on there today. I am grateful to our pelvic health community for their capacity to treat directly. Speaker 2 (43:49): Yeah, yeah, absolutely. And now, before we start to wrap things up what I'd like to ask you is for, let's say the clinicians that are listening to us right now what, what is your best advice to those clinicians who are working with, let's say female runners who are postpartum at any point postpartum, whether it be six weeks, six months, six years, what have you, Speaker 3 (44:22): Oh let's see. That's kind of a loaded question, but I think it would be to learn to ask questions like that would be my best advice, like, and ask questions that make you a little uncomfortable. You will get more comfortable with it. And understand that what you're trying to do is open a door of communication. Like create a conversation around this with your athletes. Here's what we know, which is not much, but my understanding is after you've had a baby or two, it affects your running form and you can hang on to those changes six weeks, six months, six years, whatever, wherever they are, unless we actually look at them. So I'm wondering how that as part of your medical history is affecting what you're doing, but along with that often comes problems with how you're activating your abdomen. Or you might have a public health consideration like leaking when you're running or painful sex constipation. Speaker 3 (45:24): Like there's other problems that women have that are under the public health realm. You know, and so so I'm going to ask you, so have them in your intake form, have them, you know, are you comfortable having a conversation with me about that part of your life and your experience? Cause I'm wondering how it might be affecting what we're seeing here. We understand that there's an interrelationship with learning. The research is limited, but, and if you're not comfortable talking to me, understand that, you know, it is something that I think might be a variable. And so I'm going to actually at least try to incorporate your pelvic floor and your diaphragm and some of those interrelationships into our programming. But I also have someone down the street that you can talk to a few, be more comfortable. I just want to open that door, like open the door to a conversation. Speaker 3 (46:07): Like if that, if nothing else, if they aren't comfortable, you also should be skilling up to understand these components. How do you, what should, what do you see in a typical postpartum runner start looking for navels, start looking, going to central park, whatever it is, start to pay attention to these other variables and serve to give fit, give it new. Meaning like I, cause I read a lot of running research and athletics like sports medicine research and the meaning that it's attributed that is attributed to it is often based on what we've understood in men or like a strength based model. Like, well, they're just there post your chain. Isn't strong enough. Well, my question is why, why would every freaking females post your chain the off? Let's put that. Let's start thinking about that. That's the kind of questions I want to ask. Like the why we're seeing that as our common, it's not just structure, it can't just be structured because women aren't all structured the same P S all women do not run it into your tilt. Speaker 3 (47:08): Like they don't, what do you mean? Come on. Nobody does the same thing. All of us. Like it can't be. So it's like with what we've put this meaning on it and if you're postpartum or you're pregnant, you're you have an anterior tilt. Well, we have to have research has shown us. That's not true. So it's like, and then I don't know how you can overstride and inter tilt at the same time. Like, we need to really think about that because, but we've always, that's sort of the lens. And so everything gets filtered through it to the point that we exclude, like other, like, instead of thinking, Oh, well, this can't be the explanation. Let's ask other questions. It's this becomes the definition. Does that make, am I making sense? A hundred percent. Yeah. So it's like, how do we start say, okay, that's we didn't get to the bottom of it. Speaker 3 (47:57): What other questions can we be asking? And and, and to start to look at women, not just women, men too. So it's, it's like, how can we start to ask our questions a little bit differently? How can we start to and really it's to look for the, why's not, what is, why, why in the world are we finding this with all of our female athletes? Could it be the way that we've trained them to suck their stomachs in all the time, since they were 12 and 10, you know, like how could that possibly affect an entire generation of, of participants, right. Let's start looking at this, you know, so yeah. So I love her. Yeah. I mean, we brought up Eric Miura prior, so we'll throw him a little shout out here, but I wanna, I, I heard him speak at a conference. Speaker 3 (48:45): I don't even know time has no meaning now, but and one of the things he said was I, which I love was talking about with research. When you read the conclusion and research, is, is there any other explanation that could have come to that same conclusion based on what you're seeing in the light? And I thought that's so smart because sometimes I'm like, Oh, yay. My biases, my biases, whatever affirmed. And, but I, but so he was referring to that related to the research, but I think one of the things that I keep trying to think through for myself, and I think would be a really wise way for all of us as clinicians to think about it is what are other reasons why they responded to my treatment? What are other reasons that they could be experiencing this problem that has nothing to do with what I've always understood? Speaker 3 (49:28): You know what I mean? And I am sharing my bias. Like when I look at a female runner, I'm not like, Oh, that calf looks weak. I'm like, Oh, wow. Look at their central control system. Cause that's, you know, that's my lens. So I, you know, so I want to be open to understanding all of that other stuff, but I already, I already learned all that stuff. And this piece is something that isn't being considered by a lot of permissions. And so, yeah, so again, we need to start just broadening our lens and I think we're broadening it. I hope to look at females as not just little men and the problem we have wider pelvises, estrogen, and Q angles. Like there's other things happening for us that, that are not explained by those things. You know what I mean? Speaker 2 (50:13): Absolutely. Yeah. Thank you. This was awesome. Now, where can people find more information about you, more information about your, you have a running a female running course, where can, yes. Where can, where can we find all of that? Speaker 3 (50:32): I am at Julie PT and I have discovered that you can misspell my name and still find me. So it's J U L I E w I E B E P t.com. And I have, I do have an online course that was recorded from alive lives online opportunity. So it does have that flair that feel, but it also has the questions, which I love. And, but I also have lots of free resources in terms of blogs, videos. I do a lot of podcasts and have a newsletter to let you know about when opportunities are coming up. Like this one and what's coming up for us this next week to be a part of the round table. But but yeah, and I'm on all the socials Speaker 2 (51:19): You're everywhere. Thank you so much. You're all over the place in a good way. Not in a bad way, in a good way. So thanks so much before we sign off, I'll ask you the same question I ask everyone, and I probably asked you at twice or three times already, but we'll ask again, you can keep giving the same answer I want growing and learning. So that's true, but that's true. Yeah. So what advice would you give to your younger self? You know, what I'm going to share? Speaker 3 (51:49): It's funny. I was just thinking about this before we got on, but, and this is something that I've learned during the pandemic and and it's from Aaron Nyquist just, but he was referring to the spiritual, but I'm going to relate it to our walkthrough. Learning is instead of thinking of learning as this linear thing that I learned this, and now I know this, so that's stupid. I learned I'm making it on my hand. No one can see me. I forgot it was on a podcast, but instead of it being linear, which is so much of what ends up happening in our rural this dichotomy, Oh, well, biomechanics is stupid pain. Science is everything like, instead of it becoming linear in our thoughts is to think include and transcend. And instead of it being a linear line that it'd be concentric circles. And I was like, Oh my gosh, if I could be a learner like that, always if I had started my thought processes that way, like, wow, that would have been important for me as a person growing, but as a clinician growing to like that, instead of it becoming these battles that we get between these dichotomous, like VMO and like Karen, you remember BIMA, well, remember BMO, but instead of these like dichotomous thought processes, let's see, what can we continue to include? Speaker 3 (53:05): And then how do we transcend it doesn't mean that what we used to think was horrible and versus stupid. It's like, how do we keep building on that in concentric circles versus this linear thought process? So, yeah, so that was, that was just on my mind today. Speaker 2 (53:19): What wonderful advice it's like, it's like a reverse, it's like a reverse funnel. Yeah. Yeah. It just keeps getting brought. Our perspectives should broaden our questions should really never be answered. Like we should never get to the end of that. Do you know what I mean? And I just, I, anyway, it was a really just as so much has changed and, and it's been a really challenging year for all of us. I thought it was a, and we're headed back to a new transcendent, normal that I hope will bring a lot of changes for all of us. You know, I just, it was, I, I think it's a really important perspective as clinicians to, so I thank you so much for sharing that and thank you for spending the time today and tomorrow. I know, and tomorrow is our round table with you and Ellie and Chris and, and Tom. Speaker 2 (54:08): And I was saying like, gosh, to have the four of you on like one stage is like, Holy crap. I can't even believe it. So thank you for that. And so everyone you can find out how to join us all by going to podcast dot healthy, wealthy, smart.com. I mentioned it in the beginning, in the intro as well. So Julie, thank you so much. I appreciate you and appreciate your, your knowledge and your insight. Well, thanks so much for having me again, Karen. I appreciate it. And everyone, thanks so much for listening. Have a great week and stay healthy, wealthy and stuff. Speaker 1 (54:38): Mark, thank you for listening. And please subscribe to the podcast at podcast dot healthy, wealthy, smart.com. And don't forget to follow us on social media.

In this Healthed lecture, Dr Michaela Murray, Paediatrician; Children's Private Medical Group, Epworth Richmond, Blackburn Specialist Centre; VMO, Mitcham Private Hospital, provides an update on the “best practice” approach to reduce fever, rational and safe use of antipyretics, practical hydration strategies, common sources of infection to examine for, red flags and when to refer for further and urgent assessment. See omnystudio.com/listener for privacy information.

Topic of the week: Shoulder mechanics and why you feel one side more than the other when pressing and rowing***Discussion of the week: Pelvic tilt and whether it's problematic or now***Tip of the week: The VMO, Glute Med link and how this can improve your squat technique***Questions of the week: Raising the heels, CARS and booty bands

On today's podcast, Zane interviews Dr. Pran Yoganathan on the dangers of Fructose.  Dr. Pran Yoganathan is a gastroenterologist and gastrointestinal endoscopist, whose consultation services are provided in Castle Hill. Dr. Yoganathan is a visiting medical officer (VMO) at the following hospitals: Lakeview Private Hospital Blacktown Public Hospital Mt Druitt Public Hospital This episode will give you the key insights you need to live a healthier, longer life.    LINKS: Effects of Dietary Fructose Restriction on Liver Fat, De Novo Lipogenesis, and Insulin Kinetics in Children With Obesity Isocaloric fructose restriction and metabolic improvement in children with obesity and metabolic syndrome Sugar Industry and Coronary Heart Disease Research The Sugar Foundation Paid Harvard Researchers To Shift The Blame For Heart Disease From Sugar To Fat & Cholesterol   Connect with Zane: Ready to lose weight for good? Check out my Metabolic Makeover program at the link below! https://zane-griggs-fitness.mykajabi.com/pl/213309   Questions? You can email your questions to zane@zanegriggs.com. Connect with me at zanegriggs.com or on Instagram @zanegriggsfitness   QUICK EPISODE SUMMARY Meet Dr. Pran The impact of fructose, sweeteners, and syrups The calorie in, calorie out model How fructose id absorbed Why have we been blaming fat? How fatty liver plays into metabolic decides How sugar is ingrained in our culture The portion depravity in the states How dopamine addiction works The current recommended diet, the food pyramid, and the health industry Regenerative farming Basic dietary recommendations    

13h20 : L'affaire Jacques Georgin ou l'extremisme meurtrier Nous sommes dans la nuit 11 au 12 septembre 1970, à Bruxelles. La Belgique vit au rythme de la campagne pour les élections communales. Une campagne qui mobilisent les militants et les sympathisants des différentes tendances politiques. Cette nuit-là quatre compagnons de route du « Front démocratique des francophones », le FDF, ont décidé d'employer quelques heures à coller des affiches du parti dans les rues de Laeken. L'ambiance est à la bonne humeur mais l'expérience vire au cauchemar lorsqu'une partie de la petite troupe est accostée par plusieurs hommes se revendiquant du « Vlaamse Militanten Orde », le VMO, un groupe d'action nationaliste flamand. L'agression est violente. C'est une véritable baston. Au cours de cette nuit du 11 au 12 septembre 1970, il y a tout juste cinquante ans, Jacques Georgin, l'un des poseurs d'affiches, un enseignant âgé d'à peine 35 ans, va perdre la vie. Dans « Le Soir », Charles Rebuffat, rédacteur en chef-adjoint du journal écrira : « Un homme a été assassiné cette nuit, un autre sérieusement blessé. Ils n'ont pas été victimes de coups malheureux, lancés dans la confusion d'une bagarre qu'ils auraient contribué à provoquer. Ils ont été assaillis froidement, délibérément, à dix contre deux, par un commando motorisé. (...) Il ne s'agit pas d'un accident, mais d'un crime. Il n'a peut-être pas été voulu, mais le risque, au moins, en a été volontairement couru, comme le prouve encore les affiliations respectives des agresseurs et de leurs victimes : on ne s'est pas trompé de cible. (...) Il faut oser dire que c'est un crime pour que les hommes responsables de ce pays, quelle que soit leur appartenance idéologique ou linguistique, se décident enfin à prendre toutes les mesures légales pour mettre un terme à l'existence et aux méfaits de ces milices armées, organisées, que l'on a vu croître et embellir sous des uniformes nostalgiques. » Retour, aujourd'hui, sur l'Affaire Jacques Georgin. Invités: Jean Rebuffat, journaliste et Thibaut Georgin, fils de la victime. 14 heures : Le Rebetiko, musique centenaire C'est dans les années 20 que va naître à Athènes, suite à l'exil d'une grande partie de la population hellénophone de Turquie vers la Grèce, un nouveau courant musical frondeur et provocateur. C'est le rebetiko, qui mêle à ses textes empreints d'observations sociales les sonorités orientales des luths, saz et autres bouzoukis. Cette musique et les musiciens qui la jouent seront au cours de l'histoire du vingtième siècle persécutés, interdits, censurés, emprisonnés. Et pourtant le rebetiko survit au fil des décennies, pour être encore actif aujourd'hui, et transmettre une mémoire non pas des puissants, mais du peuple, des pauvres et des laissés pour compte. Invité : Philippe Delvosalle, de Point Culture. Réalisation : Roxane Brunet.

In this episode, Danyel Moulton shares how she went from training professionally as gymnast to falling in love with dance and creating an award winning dance crew. Danyel’s energy is so infectious and she is so wise. Please note that Joanna’s microphone is not as strong. Our apologies. Hang in there and thanks for listening.  In this episode you will learn about:How she was traveling long distances frequently to train in gymnastics from Las Vegas to Orange County.How she went from auditioning for a dance program with no dance experience and surprisingly making it into the program to realizing that she wants to dance as a career.What she did to accomplish one of her dream jobs by consistently telling herself that she was going to reach her goals.Tips on how to keep your dance crew on check for them to build inner fire before every dance competition.Always continuing to look for the right match for yourself in regards to the dance crew you want to join and train with.Danyel Moulton is a dancer and choreographer as well as the founder and director of a competitive hip hop team called VMO. She loves to teach and share energy with her students, team members and audience alike. Tune into this episode and find out how she went from training professionally as gymnast to falling in love with dance and creating an award winning dance crew.Question Highlights:How did you get into dance and how old were you?What do you do to help you get through tough times in life? How did you overcome them?Tell us about V MO. How did it get started?What is your favorite part about being an instructor or director?What are 3 of your ultimate goals?What motivation tips would you give yourself as a child?About Danyel:Danyel Moulton has been dancing for a few years, and has been a member of the hip hop teams Young Skull Club and ACA Hip Hop. Danyel started off as a professional gymnast. She would travel a long distance to Orange County to get the finest training. In 2017, Danyel founded her own adult hip hop team called VMO. VMO recently took first place at Maxt Out and Bridge SoCal. Danyel loves to teach, and can’t wait to share energy with the people who take her classes.Follow Danyel:Danyel on InstagramDanyel on TwitterDanyel on LinkedInDanyel on YouTube3 Dancers Choreograph To The Same Song - Feat. Danyel Moulton, Jonathan Sison, and Andie ZazuetaFollow us:Learn more: Dance Your LifeLearn more: Maxt Out Dance CompetitionInstagram @maxtoutdanceMaxt Out on FacebookTikTok @maxtoutdanceSign-up for our FREE Maxt Out at Home Dance Classes!Follow Joanna:Learn more The Get Up GirlJoanna Vargas on InstagramJoanna Vargas on FacebookTikTok @joannavargasofficial

Today’s episode features personal trainer and human movement expert, Rocky Snyder.  Rocky is the owner of Rocky’s Fitness in Santa Cruz, California, and is an experienced personal trainer, as well as accomplished surfer and snowboarder.  Rocky has taken an absolutely immense amount of continuing education in human performance, and is the author of four books.  His most recent being “Return to Center” , which featured a unique integration of a joint-based model of training and movement coaching, combined with neurological assessment of effectiveness. “Return to Center” is the first training book in a very long time (outside of “Even with Your Shoes On” by Helen Hall that I read earlier this year), that I absolutely devoured (both books has heavy inspiration from Gary Ward, who has been a 2 time guest on this podcast, and developed the “Flow-Motion” model of tri-planar joint based analysis of human movement). When it comes to “functional training” we often think of things like working on balance boards, or perhaps in a more realistic world, things like single leg training and lots of bodyweight gait-pattern style movements, like crawling and heavy carries.  Even in using these movements which are inherently more tied to human gait, they are often still performed under “manufactured” paradigms that take them outside of the scope of natural human movement and elasticity.  Rocky has an incredible command of human movement principles, and can describe how these principles are showing up (or not!) in any exercise done in the gym, which is really the core of what we might call functional training. For today’s podcast, Rocky tackles questions regarding his own joint-centered approach to training, as well as specifically how he looks at lunges and single leg training in relation to the gait cycle, and how doing this optimally will improve joint health, VMO and glute development, as well as athletic performance markers and injury reduction.  This was a show that is a real key-stone in being able to truly train athletes on an individual level. Today’s episode is brought to you by SimpliFaster, supplier of high-end athletic development tools, such as the Freelap timing system, kBox, Sprint 1080, and more. Timestamps and Main Points 8:10 Key aspects of Rocky’s journey of movement and learning about the human body 22:40 How Rocky assesses clients using a tri-planar and joint-centered approach 29:10 How Rocky uses lunges in all three planes to assess athletes 45:40 When inward knee travel becomes a problem to Rocky in athletic movement 56:10 How to observe athletes to determine if athletes have excessive medial knee travel in their general movements 59:10 How to train squatting under load with respect to natural movement 1:03.10 Rocky’s take on bilateral to unilateral/functional work in a training program Quotes “When getting the body to move as joints are expected to move, amazing things can happen” “If we bring the body back into a more centrated place, the brain is going to allow a greater deal of force production” “If you’re not going to explore how the (frontal and transverse planes) move then it’s going to reduce your ability to produce force in the sagittal plane” “By knowing how the joints move in any exercise, it can tell the coach exactly what you are missing… the bottom line is that you should know how the body moves” “The knee, when it pronates, should be flexing and externally rotating… the knee joint itself is rotating towards the midline faster than the tibia… am I seeing that when someone is lunging, or are they keeping it over the second toe because they have been told that it shouldn’t drive inward” “A lunge is just an exaggeration of a walk, a gait pattern, that’s what a lunge should be” “(In a lunge) Is the pelvis rotating away from the back leg and towards the front leg” “There are some people who may clean their movements up by loading them”...

VMO is an events booking online platform to help you with everything you need for any types of events, be it corporate functions or personal ocassions like weddings and birthdays. Over the course of the years in operations, they have grown to over 2,000 listings just before the MCO. We got in touch with Vincent Kok, the Founder of VMO, who talks about how he not only created or pivoted his business during this time but also raised funds to grow the company.

The CI is the ratio of the time-related cost of an airplane operation and the cost of fuel. The value of the CI reflects the relative effects of fuel cost on overall trip cost as compared to time-related direct operating costs. In equation form: CI = Time cost ~ $/hr Fuel cost ~ cents/lb.. The flight crew enters the company calculated CI into the control display unit (CDU) of the FMC. The FMC then uses this number and other performance parameters to calculate economy (ECON) climb, cruise, and descent speeds. For all models, entering zero for the CI results in maximum range airspeed and minimum trip fuel. This speed schedule ignores the cost of time. Conversely, if the maximum value for CI is entered, the FMC uses a minimum time speed schedule. This speed schedule calls for maximum flight envelope speeds, and ignores the cost of fuel.   In practice, neither of the extreme CI values is used; instead, many operators use values based on their specific cost structure, modified if necessary for individual route requirements. As a result, CI will typically vary among models, and may also vary for individual routes. Clearly, a low CI should be used when fuel costs are high compared to other operating costs. The FMC calculates coordinated ECON climb, cruise, and descent speeds from the entered CI. To comply with Air Traffic Control require­ments, the airspeed used during descent tends to be the most restricted of the three flight phases. The descent may be planned at ECON Mach/Calibrated Air Speed (CAS) (based on the CI) or a manually entered Mach/CAS. Vertical Navigation (VNAV) limits the maximum target speed as follows: n 737-300/-400/-500/-600/-700/-800/-900: The maximum airspeed is velocity maximum operating/Mach maximum operating (VMO/MMO) (340 CAS/.82 Mach). The FMC-generated speed targets are limited to 330 CAS in descent to provide margins to VMO. The VMO value of 340 CAS may be entered by the pilot to eliminate this margin. n 747-400: 349 knots (VMO/MMO minus 16 knots) or a pilot-entered speed greater than 354 knots (VMO/MMO minus 11 knots). n 757: 334 knots (VMO/MMO minus 16 knots) or a pilot-entered speed greater than 339 knots (VMO/MMO minus 11 knots). n 767: 344 knots (VMO/MMO minus 16 knots) or a pilot-entered speed greater than 349 knots (VMO/MMO minus 11 knots). n 777: 314 knots (VMO/MMO minus 16 knots) or a pilot-entered speed greater than 319 knots (VMO/MMO minus 11 knots). FMCs also limit target speeds appropriately for initial buffet and limit thrust. Figure 3 illustrates the values for a typical 757 flight. Factors Affecting Cost index As stated earlier, entering a CI of zero in the FMC and flying that profile would result in a minimum fuel flight and entering a maximum CI in the FMC and flying that profile would result in a minimum time flight. However, in practice, the CI used by an operator for a particular flight falls within these two extremes. Factors affecting the CI include timerelated direct operating costs and fuel costs.   The numerator of the CI is often called time-related direct operating cost (minus the cost of fuel). Items such as flight crew wages can have an hourly cost associated with them, or they may be a fixed cost and have no variation with flying time. Engines, auxiliary power units, and airplanes can be leased by the hour or owned, and maintenance costs can be accounted for on airplanes by the hour, by the calendar, or by cycles. As a result, each of these items may have a direct hourly cost or a fixed cost over a calendar period with limited or no correlation to flying time. In the case of high direct time costs, the airline may choose to use a larger CI to minimize time and thus cost. In the case where most costs are fixed, the CI is potentially very low because the airline is primarily trying to minimize fuel cost. Pilots can easily understand minimizing fuel consumption, but it is more difficult to understand minimizing cost when something other than fuel dominates.   The cost of fuel is the denominator of the CI ratio. Although this seems straightforward, issues such as highly variable fuel prices among the operating locations, fuel tankering, and fuel hedging can make this calculation complicated. A recent evaluation at an airline yielded some very interesting results. A rigorous study was made of the optimal CI for the 737 and MD-80 fleets for this par­ticular operator. The optimal CI was determined to be 12 for all 737 models, and 22 for the MD-80. The potential annual savings to the airline of changing the CI is between US$4 million and $5 million a year with a negligible effect on schedule.   CI can be an extremely useful way to manage operating costs. Because CI is a function of both fuel and nonfuel costs, it is important to use it appropriately to gain the greatest benefit. Appro­priate use varies with each airline, and perhaps for each flight. Boeing Flight Operations Engineering assists airlines’ flight operations departments in computing an accurate CI that will enable them to minimize costs on their routes. 

James Scollay is CEO of clinical and practice management software vendor Genie Solutions. He's the former General Manager of MYOB, and was originally the executive chair of Genie before moving into the full time CEO gig early last year. Genie has earned tremendous  respect and trust from its customer base, with over 20 years in market as a software solution for Doctors.  More recently James has been focused on bringing the company into a new era of industry collaboration and technological advancements, enabling practices around Australia deliver a better patient experience and drive real practice efficiency.    In this episode James and Pete chat about the new Gentu cloud platform and it's rapid growth (400% in the last quarter!)  and how more practices are adopting Cloud over Desktop solutions.  ☁️ They also talk about Private Equity funding and how it's helped take the company from a family run business to a business with double the staff with much more focus on Development and User Experience.   

Today’s episode features Ben Patrick ("Knees Over Toes Guy"), coach and founder of the “Athletic Truth Group” a gym and online training service based out of Clearwater Beach Florida. Ben overcame debilitating knee and shin pain, as well as subsequent surgeries through a personal journey taking knee and foot strength training means to their fullest potential.  Ben transformed his basketball career, going from being continually injured and under-achieving to having a successful junior college stint through improving his own knee health and performance. This culminated for Ben with a scholarship offer to Boston University for basketball, but due to NCAA eligibility rules, Ben turned it down and began training athletes. I’ve been aware of Ben’s training group for some time, but a string of friends and colleagues in the field who have been recommending Ben’s methods as completely transformative in their knee pain have pointed my eyes more closely to his work.  If you look through Ben’s social media, you can see how passionate he is about health and human performance. For today’s episode, Ben keys us in to his progression in knee training and how it transformed his basketball career.  He also shares some important ideas on long term vertical jump training and health, and how a hip centered focus, although useful for short term gains, can actually set an athlete backwards in the long run by ignoring critical links in jumping. Ben also talks about his four pillars of performance, as well as foot training concepts.  It’s always fun to connect dots in this field, and much of Ben’s ideas has resonance with things I’ve learned from Jay Schoreder’s system, such as strength through length, having terminal end-range strength, in movements, fixing compensation patterns, and more. Today’s episode is brought to you by SimpliFaster, supplier of high-end athletic development tools, such as the Freelap timing system, kBox, Sprint 1080, and more. View the complete transcripts for episode #148 with Ben Patrick Key Points Ben’s athletic journey from knee pain, surgeries and injury to pain free performance How Ben got started with the “knees over toes” idea with the late Charles Poliquin How it is crucial to bulletproof the ankles and knees as part of a vertical jump training system The four pillars of Ben’s athletic training system How to progress knees-over-toes training for knee health, strength and performance How Ben approaches foot work in his training Ben Patrick Quotes “(Throughout performing knees over toes training) In the course of the season, everyone else lost inches on their vertical, I gained 3” “I do more exercises involving my feet than my knees…. I do the most volume for my feet, second most volume for my knees, third most volume for my hips because if it was the other way around, having an amazing deadlift is awesome, but the less proportionate now you are going down to knee and ankle strength, then when you go to plant and jump you have a higher chance of pain” “It’s (feet and knees as a priority) a long term approach, but in the scheme of things, I run into athletes all the time who aren’t jumping higher than they were 5 years ago” “I’m not a fan of only flexibility and without having strength in that range” “As I get athletes more strength through length, they become less likely to get hurt and they get more strength in the process” “At the end-ranges themselves, we get freakishly strong” “I go backwards with the sled, every single day (for knee health and strength)… it takes quicker steps for a beginner to feel a burn in the VMO and the feet, while an advanced person can take bigger steps….. when in doubt, we go slow in one direction, and then we go back quickly” “The second progression after the sled is the sissy squat” “The reverse sled work is a foundation for the foot” “Two of our workouts are calf raises,

Today's guest is Casey Gromer. She is a VMO and I knew that I had to bring her onto the podcast to talk about the complementary nature of marketing and tech and how strategy in both arenas can have exponential results in your business. Casey focuses on marketing strategy rather than going to implementation first – which means we're not talking about Facebook ads, email funnels or whatnot here! You cannot start your business with tech in isolation or with marketing in isolation. A much better and faster approach is to have clear goals and work with strategists or experts to build a roadmap towards that goal. When clients come to us, they are so ready to do things. But before you can do things, you need to be clear on your mission and vision. Then create some long term goals. And, before you start doing, it's crucial to understand your ideal buyer – not just the high level picture but going deeper into the actual persona. Once you understand this person, it'll be far easier to figure out how to reach that type of person What information are they seeking? What help are they looking for? Where are they getting this information? And what does their journey look like? From the time they are first exposed to you and your business through the purchase. And beyond the purchase, how do they stay engaged with you post purchase. "Nowadays you can't market without the technology. And the technology does nothing for your business without a marketing plan" -- Jaime Slutzky Casey sited a marketing publication that reports the number of different marketing technologies at over 6500! And they fall into 50 different categories… no wonder tech and marketing make heads spin

Today’s guest is Casey Gromer. She is a VMO and I knew that I had to bring her onto the podcast to talk about the complementary nature of marketing and tech and how strategy in both arenas can have exponential results in your business. Casey focuses on marketing strategy rather than going to implementation first – which means we’re not talking about Facebook ads, email funnels or whatnot here! You cannot start your business with tech in isolation or with marketing in isolation. A much better and faster approach is to have clear goals and work with strategists or experts to build a roadmap towards that goal. When clients come to us, they are so ready to do things. But before you can do things, you need to be clear on your mission and vision. Then create some long term goals. And, before you start doing, it’s crucial to understand your ideal buyer – not just the high level picture but going deeper into the actual persona. Once you understand this person, it’ll be far easier to figure out how to reach that type of person What information are they seeking? What help are they looking for? Where are they getting this information? And what does their journey look like? From the time they are first exposed to you and your business through the purchase. And beyond the purchase, how do they stay engaged with you post purchase. "Nowadays you can’t market without the technology. And the technology does nothing for your business without a marketing plan" -- Jaime Slutzky Casey sited a marketing publication that reports the number of different marketing technologies at over 6500! And they fall into 50 different categories… no wonder tech and marketing make heads spin

This first episode is an introduction to our entire series. During the first episode, we will look back at what we've been able to accomplish recently, from the VMO conference in Vegas where we highlight awesome things our members have participated in, to the midterm elections, and what we can do to prepare for upcoming elections.

Morgan Pokorny holds a VMO appointment at Redcliffe Hospital and consults at the Wesley Medical Centre in Brisbane. Dr Morgan Pokorny discussed pelvic lymph node dissection for prostate cancer with Dr Joseph Ischia.

Flight Control Laws The flight control law is basically the relationship between the pilot's input on the side stick and the resulting aircraft or flight control surface response. There are 3 flight control laws Normal Law, Alternate Law and Direct Law   As a general rule, normal law deals with single failures of a system and alternate law deals with double failures. Within Normal Law we have three sub categories, Ground Mode Flight Mode Flare Mode Ground Mode was designed to make the aircraft behave more naturally when rotating at liftoff. The relationship between the side stick and the aircrafts response is much more like a conventional aircraft. For pitch control - there is a direct relationship between Side stick deflection and elevator deflection. Once the aircraft reaches 75kts the maximum elevator deflection is reduced from 30 degrees to 20 degrees. If we haven't manually set a trim position using the trim wheel then the THS or trimmable horizontal stabiliser will automatically set to 0. For lateral control - The side stick demands aileron and spoiler deflection as opposed to a roll rate but its not a direct relationship, the amount of deflection is dependant on the aircraft speed. As a extra bit of information for you, only spoilers 2 to 5 and the ailerons are used for roll. The rudders being a mechanical linkage aren't affected so you just have to remember that they become more sensitive the faster you go. There are no protections at all when in ground law. Flight Mode The aircraft will then start to blend smoothly from ground mode into flight law once the pitch attitude reaches 8 degrees. In roll this takes half a second and for pitch it takes five seconds. There's a good graphic in the FCOM with this information on. Its in Descriptions - Flight Controls - Flight control System - Normal Law - General   once the aircraft has been airborne for more than 5 seconds we are then in flight mode. This is obviously the one we are exposed to 99% of the time we are operating. As we mentioned a minute ago, normal law keeps us within the aircraft envelope and prevents us from doing manoeuvres that could potentially endanger the flight. It also gives the aircraft certain characteristics when manually flying. In pitch the sidestick demands a load factor as opposed to an elevator deflection. So an input on the sidestick will give a pitch rate at low speed or a g-load at high speed. This is designed to give an aircraft response that the pilot would naturally expect. One of the first things you notice about the Airbus is the lack of trimming which is for me one of the best features. Therefore if there is no input on the stick the aircraft will maintain its flightpath even if the speed changes. In fact even if you change the thrust or the configuration, the aircraft will compensate for the pitching moments. This makes manual flying very easy and frees up lots of capacity. With Roll, Again, unlike a conventional aircraft, lateral inputs on the side stick don't demand aileron deflection directly. They demand a roll rate and full side stick deflection will demand 15 degrees per second. Just like with pitch, the aircraft will auto trim so the bank angle will be maintained when you let go of the stick up to 33 degrees, and will also automatically provide a pitch compensation and perform a coordinated turn using yaw. The maximum bank angle the aircraft will allow you to do is 67 degrees. Beyond 33 degrees, the aircraft won't auto trim and if the side stick is then released it will return back to 33 degrees. In addition to this, above the 33 degrees, spiral stability is introduced and pitch compensation isn't available. The reason they've written this into the software is because there is no reason to fly at such high bank angles for a prolonged period. Protections Angle of Attack - Autopilot out at Alpha prot, then from Alpha prot to alpha max side stick demands Alpha directly. Alpha floor trigger TOGA thrust and speed continues to decrease until we get back to Alpha max which the speed won't go below. Load Factor - +2.5G to -1G clean +2G to 0G in any config other than clean Pitch Attitude- -15 degrees all configs +30 degrees config 1, 2 and 3 +25 degrees config Full High Speed Protection- Autopilot out at VMO/MMO, master caution and overspeed ECAM at VMO/MMO +4 kts, then at VMO/MMO +6 kts, pitch trim is frozen, max bank angle is reduced and a nose up demand is triggered. Bank Angle - Max 67 degrees Reduced to 45 degrees in Alpha protection and 40 degrees in high speed protection Side stick pressure required to maintain bank angles greater than 33 degrees unless in high speed protection when its zero.   Alternate Law is generally for situations where there has been a double failure of a system which results in either lack of redundancy or integrity of the protections found in normal law. Auto pilot and auto thrust are still available. You can get alternate law with protections and alternate law without protections. With protections - has the following characteristics and protections, Load Factor still has the same protections as normal law (+2.5G to -1G clean and +2 to 0G configured). Pitch has no protections, the green equals symbols are replaced by amber ones. Roll is now a direct stick-to-surface relationship. To help reduce the roll rate, in alternate and direct law only ailerons and spoilers 4 & 5 are available. As a note, if spoiler 4 has failed number three will replace it and if the ailerons have failed, all roll spoilers (2 to 5) become available. There are no bank angle protections and the green equals signs are replaced by amber crosses. Yaw control, as its a mechanical linkage isn't changed although only yaw damping is available. Angle of Attack protection is no longer available and is now replaced by low speed stability. It's available for all configurations and is active from 5 to 10 knots above the stall speed. Somewhere in this range (as it depends on weight and config) a gentle nose down signal is introduced but this can be overridden. The speed scale now shows VLS followed by a black and red barber pole below V Stall Warning. At V Stall Warning, you get....... the stall warning! which is the words STALL STALL STALL repeated until the speed is back above V stall warning. With this you will also get the associated master warning. The warning can't be cancelled by pressing the master warning button on the glareshield Its important to remember that the aircraft can be stalled. High Speed Protection is replaced by high speed stability instead. The speed tape looks the same and has the same warnings and sounds as normal law. The only difference is that there's no protection to stop the overspeed. Instead we have a nose up demand from the aircraft but this can be overridden. It's worth noting that VMO is reduced from 350 to 320 knots. I was once asked by a trainer what speed would I select for an emergency descent. There's no right answer here but he said he always selects 320kts because if then for some reason you go into alternate law, you won't have an overspeed to deal with on top of everything else which I thought was a good little tip. Alternate law with protections lost is the same as alternate law but you don't get the high speed and low speed stability. So basically you only have the load factor limitation which I'll say again as repetition is the key to remembering things, +2.5 to -1G clean and +2 to 0G in any other config. Alternate law then automatically downgrades to Direct Law when the landing gear is selected down. Once in Direct Law, all protections and stabilities are lost. We are now essentially flying a conventional aircraft. Pitch now joins Roll and Yaw in having a direct stick-to-surface relationship. Overspeed and stall warnings are still exactly the same as Alternate Law. The most noticeable difference when going into direct law is the lack of autotrim. 'USE MAN PITCH TRIM' is displayed in amber on the PFD. This is why many of the procedures advise taking flap 3 before gear down if flap 3 is the landing config because then the autopilot will get the aircraft correctly trimmed before it has to be done manually. Any trim adjustments will have to be made using the trim wheels either side of the thrust levers.   Remembering how to draw the speed tapes in each configuration Firstly, the high speed barbers pole is the same in all cases, so just remember its black and red - easy At the slow end of the speed scale, every case has VLS, its always there, whatever - again, easy Normal Law has alpha prot (the tiger tail) and then you can't go slower than the bottom of that so its a solid red bar (think of as signifying stopping) Alternate and direct law look exactly the same as each other, they both just go from VLS to a barbers pole just like the high speed one. All the equals signs are only green in Normal law, they are amber in alternate and direct.   And that's it. If you can remember those simple rules, next time you're asked to draw the speed scale you will be ahead of most of your colleagues.   Mechanical Backup. Although its mentioned in the same section in FCOM and the flight crew training manual, its not actually a programmed control law. It is used to manage a temporary total loss of electrics, a loss of all 5 fly-by-wire computers, a loss of both elevators or a total loss of both ailerons and spoilers. It's worth mentioning here that this is extremely unlikely and that even in emergency electrical config or a double engine failure, alternate law is still available. This is designed to be a temporary situation just until the affected systems can be restored. Pitch is controlled by the trim wheel and lateral control is done using the rudder pedals, both of which have mechanical linkages (hence the name!). When using the rudder like this there is a significant delay in getting  roll. You will also have to anticipate rolling out as this will be delayed too. You're not going to be able to fly this accurately but its just to keep you safe and stabilised. Unlike Direct law which says USE MAN PITCH TRIM in amber, the PFD will display MAN PITCH TRIM ONLY in red.          

先週は大腿四頭筋についてみていきました。今週はその一部であるVMOちゃん（内側広筋）について考えて見ましょう。特に膝の痛みやケガで大事な筋肉です。ジャンプの着地で安定したり、アレグロに強くなるためにも仲良くなっておきましょう。 DLS episode... バレエ学校専属セラピストによる、プロの現場からのダンサーのためのサポートコミュニティです。 DLSメインサイト　www.dancerslifesupport.com Facebook www.facebook.com/dancerslifesupport Twitter @DLSaisato Youtube www.youtube.com/user/dancerslifesupport/videos email hello@dancerslifesupport.com