Podcasts about XA

In July 2026, SK hynix raised a record $26.5 billion by listing its ADRs on the NASDAQ, the second-largest offering in US history. The company had always been well-known inside Korea. But now, they are taking a momentous step into the world spotlight. In today's video, how a company long seen as South Korea's semiconductor basket case clawed back from the brink to become an AI memory titan.

In July 2026, SK hynix raised a record $26.5 billion by listing its ADRs on the NASDAQ, the second-largest offering in US history. The company had always been well-known inside Korea. But now, they are taking a momentous step into the world spotlight. In today's video, how a company long seen as South Korea's semiconductor basket case clawed back from the brink to become an AI memory titan.

Syllabus 26F 256 xA by A history podcast from professor Stu Tully

Category: Messages, 2026, August 2026 Verses: Hebrews 3:1, Hebrews 12:1-2

What if healthcare's greatest barrier is not funding, technology, or policy, but leaders' lack of self-awareness? In this episode of SoundPractice, host Mike Sacopulos talks with Jess Bunin, MD, MHPE, FACP, FCCM, CEC, a psychiatrist, author, and co-founder of All Levels Leadership, a consulting firm designed to revolutionize healthcare leadership training. Dr. Bunin brings a perspective forged at West Point and through a military career that included deployment to Iraq, leadership as an ICU director and chief of critical care, and service as dean of community at the Uniformed Services University, the nation's military medical school. She argues that healthcare's deepest wounds are relational—and that healing them starts with leaders doing the hard work of understanding themselves. Dr. Bunin discusses: - Why physicians often overestimate their self-awareness, and what research reveals about the inverse relationship between confidence and competence. - How struggling as a program director helped her distinguish between mentoring for her own success and mentoring around a resident's needs. - How today's medical students and residents differ from those trained 15 years ago, and why digital communication, COVID, and political polarization have weakened the skills needed for productive disagreement. - How patients have changed as well, and why declining doctor-patient trust and the rise of Dr. Google make emotional attunement essential. - The CLEAR framework for civil discourse: Create psychological safety, Listen actively, Establish common ground, Adjust your thinking, and Respond skillfully. Learn more about the American Association for Physician Leadership at www.physicianleaders.org

Other than a few minor size changes, AT&T has been using the same type of copper wire technology since 1887. Millions of miles of copper wire that for decades carried just analog voice calls. Then came along a remarkable technology that takes that decades-old copper wire, and somehow makes it able to carry millions of digital bits per second: ADSL. In the 2000s, ADSL brought fast, always-on internet to millions of people around the world. And did it using their existing telephone lines. What is perhaps most funny about ADSL's rise is that it was never intended for Internet broadband. Many of us might have forgotten it today now that we have fiber, 5G, and Starlink, but ADSL truly helped make the modern Internet. In today's video, the accidental copper miracle.

Other than a few minor size changes, AT&T has been using the same type of copper wire technology since 1887. Millions of miles of copper wire that for decades carried just analog voice calls. Then came along a remarkable technology that takes that decades-old copper wire, and somehow makes it able to carry millions of digital bits per second: ADSL. In the 2000s, ADSL brought fast, always-on internet to millions of people around the world. And did it using their existing telephone lines. What is perhaps most funny about ADSL's rise is that it was never intended for Internet broadband. Many of us might have forgotten it today now that we have fiber, 5G, and Starlink, but ADSL truly helped make the modern Internet. In today's video, the accidental copper miracle.

VOV1 - Quartz – trang tin tức kỹ thuật số nổi tiếng thế giới chuyên về kinh tế toàn cầu, công nghệ và các xu hướng kinh doanh mới - hôm 31/7 có bài giới thiệu Việt Nam như một trong mười điểm đến “tiết kiệm và đầy trải nghiệm” tốt nhất thế giới. Trên trang Quartz, nhà báo Ambia Staley khẳng định rằng với hàng nghìn hòn đảo lớn nhỏ bao quanh, Việt Nam mang tới vô số lựa chọn cho những chuyến du lịch tiết kiệm nhưng vẫn đầy trải nghiệm.Từ Thủ đô Hà Nội nhộn nhịp với khu Phố Cổ giàu giá trị lịch sử, du khách có thể đi về phía bắc đến Sa Pa để tham gia các chuyến đi bộ đường dài tuyệt đẹp băng qua những thửa ruộng bậc thang, nghỉ đêm trong các ngôi nhà của người Dao Đỏ và người H'Mông dọc đường đi. Du khách cũng có cơ hội chiêm ngưỡng khung cảnh ngoạn mục với chi phí phải chăng khi đi thuyền len lỏi giữa vô số đảo đá vôi ở Vịnh Hạ Long – một Di sản Thế giới được UNESCO công nhận.Tác giả dẫn dắt người đọc xuôi về phía Nam, nơi du khách có thể khám phá Cố đô Huế, dạo bước trên những con phố lung linh ánh đèn lồng ở Hội An, hay thám hiểm các hang động lớn nhất thế giới tại Vườn Quốc gia Phong Nha – Kẻ Bàng. Ở thành phố Hồ Chí Minh, Bảo tàng Chứng tích Chiến tranh mang tới cái nhìn sâu sắc và đầy suy ngẫm về chiến tranh tại Việt Nam, trong khi việc thăm hệ thống địa đạo Củ Chi ở ngoại ô thành phố giúp du khách tận mắt chứng kiến sự sáng tạo tài tình của quân Giải phóng.Xa hơn về phía nam là vùng Đồng bằng sông Cửu Long trù phú với mạng lưới sông ngòi chằng chịt và những khu chợ nổi sầm uất; du khách có thể khám phá nơi đây bằng thuyền hoặc xe đạp để thực sự hòa mình vào văn hóa bản địa.Bài viết trên trang Quartz đánh giá hệ thống nhà nghỉ giá rẻ (hostel) dành cho dân du lịch  phát triển rất tốt trên khắp Việt Nam và ẩm thực đường phố của Việt Nam thì không đâu sánh bằng; những món ăn như: phở, bánh xèo hay bún chả… vừa ngon miệng, no bụng lại có giá khá rẻ.Ngoài Việt Nam, trang Quartz cũng giới thiệu các địa điểm du lịch tiết kiệm khác như: Nepal, Peru, Nicaragua, Thủ đô Mexico của Mê-hi-cô, Thủ đô Lisbon của Bồ Đào Nha, quần đảo Nusa Tenggara của Indonesia…/.Trên trang Quartz, nhà báo Ambia Staley khẳng định rằng với hàng nghìn hòn đảo lớn nhỏ bao quanh, Việt Nam mang tới vô số lựa chọn cho những chuyến du lịch tiết kiệm nhưng vẫn đầy trải nghiệm.Từ Thủ đô Hà Nội nhộn nhịp với khu Phố Cổ giàu giá trị lịch sử, du khách có thể đi về phía bắc đến Sa Pa để tham gia các chuyến đi bộ đường dài tuyệt đẹp băng qua những thửa ruộng bậc thang, nghỉ đêm trong các ngôi nhà của người Dao Đỏ và người H'Mông dọc đường đi. Du khách cũng có cơ hội chiêm ngưỡng khung cảnh ngoạn mục với chi phí phải chăng khi đi thuyền len lỏi giữa vô số đảo đá vôi ở Vịnh Hạ Long – một Di sản Thế giới được UNESCO công nhận.Tác giả dẫn dắt người đọc xuôi về phía Nam, nơi du khách có thể khám phá Cố đô Huế, dạo bước trên những con phố lung linh ánh đèn lồng ở Hội An, hay thám hiểm các hang động lớn nhất thế giới tại Vườn Quốc gia Phong Nha – Kẻ Bàng. Ở thành phố Hồ Chí Minh, Bảo tàng Chứng tích Chiến tranh mang tới cái nhìn sâu sắc và đầy suy ngẫm về chiến tranh tại Việt Nam, trong khi việc thăm hệ thống địa đạo Củ Chi ở ngoại ô thành phố giúp du khách tận mắt chứng kiến sự sáng tạo tài tình của quân Giải phóng.Xa hơn về phía nam là vùng Đồng bằng sông Cửu Long trù phú với mạng lưới sông ngòi chằng chịt và những khu chợ nổi sầm uất; du khách có thể khám phá nơi đây bằng thuyền hoặc xe đạp để thực sự hòa mình vào văn hóa bản địa.Bài viết trên trang Quartz đánh giá hệ thống nhà nghỉ giá rẻ (hostel) dành cho dân du lịch  phát triển rất tốt trên khắp Việt Nam và ẩm thực đường phố của Việt Nam thì không đâu sánh bằng; những món ăn như: phở, bánh xèo hay bún chả… vừa ngon miệng, no bụng lại có giá khá rẻ.Võ Giang/VOV1Bài viết trên trang Quartz giới thiệu về du lịch Việt Nam

Category: Messages, 2026, August 2026 Verses: John 14:6, John 8:32

Gallium Nitride is a remarkable material. Dr. Umesh Mishra - a UC Santa Barbara professor and pioneer in GaN transistors and LEDs - said at a retrospective of the WBGS-RF program (what that is, we will talk about later): “Gallium nitride actually is kind of God's gift to mankind ... [It] just kept cooperating and cooperating and you're like, ‘Why is this material working?'” GaN's physical problems are legendary. Despite those problems, this grumpy material has changed the worlds of light, radio, and power. That's kind of interesting. In today's video, Gallium Nitride's journey from a technical flop to a bringer of light to the gates of power.

Gallium Nitride is a remarkable material. Dr. Umesh Mishra - a UC Santa Barbara professor and pioneer in GaN transistors and LEDs - said at a retrospective of the WBGS-RF program (what that is, we will talk about later): “Gallium nitride actually is kind of God's gift to mankind ... [It] just kept cooperating and cooperating and you're like, ‘Why is this material working?'” GaN's physical problems are legendary. Despite those problems, this grumpy material has changed the worlds of light, radio, and power. That's kind of interesting. In today's video, Gallium Nitride's journey from a technical flop to a bringer of light to the gates of power.

On this week's The Last Drop, JB runs it solo to wrap up Extra Anejo month. JB revisits a classic from 3 years ago with Cabal Extra Anejo from NOM 1480 to wrap up XA month with a banger. As always, sit back, turn your headphones up & don't stop, keep pouring.Head over to https://www.manscaped.com/ & use promo code at checkout 'TheLastDrop' to receive 20% off on all your purchases. #Sponsored #ad

Lyndsay Hoy, MD, was just beginning her first week of anesthesia residency at the Hospital of the University of Pennsylvania when she was received a life-altering diagnosis: lymphangioleiomyomatosis (LAM), a rare and progressive lung disease that predominantly affects women of childbearing age. Diagnosed within 36 hours of experiencing symptoms, Hoy embarked on a journey defined by the dual roles of clinician and patient — a dynamic that profoundly influenced every aspect of her life. From her marriage to fellow physician Vincent Hoy, to her decision to pursue IVF and embryo preservation, to her advocacy for rare disease patients, and her leadership as Chief Mission Officer of The LAM Foundation, her experiences have shaped her path and purpose. In this episode, Hoy speaks with host Mike Sacopulos about the challenges of managing an invisible illness while navigating a demanding clinical career and the structural inequities that determine who gets diagnosed and treated for rare diseases. She also reflects on a chapter she co-authored with her husband for AAPL's recent book on dual-physician marriage. Learn more about the American Association for Physician Leadership at www.physicianleaders.org.

On today's show, Andrew and Bill begin by parsing the economic data released by the PRC this week, including slower-than-expected growth, the Party's response to the status quo, export-powered growth that is widening trade imbalances, and the questions all of this will raise for foreign policymakers. From there: The Party's findings on Ma Xingrui, questions that remain unanswered, and cadre risk aversion for the next 18 months. Then: PRC messaging around openness in AI, an ongoing U.S. debate over open-source AI models, three chip bills that may end up in the NDAA, and the continued adventures in China policy on Capitol Hill. At the end: Reflections on the 10th anniversary of The Hague ruling on the PRC's territorial claims in the South China Sea, as well as the state of play today.

Here's an idea. A machine that translates sounds into electrical signals, and then stimulates the auditory nerves to send that sensory data to the brain. Can it work? And can it convey actual words? For many years, people didn't believe it. Eminent auditory scientists like Dr. Merle Lawrence stated that speech comprehension was “not feasible”. The inner ear was too complex. Too many nerves. We knew too little about how it works. And the surgical trauma and electrical stimulation will kill the nerves, anyway. Yet they did it. And now, hundreds of thousands have had their lives improved with this device. In this video, the long and winding road to the cochlear ear implant.

Here's an idea. A machine that translates sounds into electrical signals, and then stimulates the auditory nerves to send that sensory data to the brain. Can it work? And can it convey actual words? For many years, people didn't believe it. Eminent auditory scientists like Dr. Merle Lawrence stated that speech comprehension was “not feasible”. The inner ear was too complex. Too many nerves. We knew too little about how it works. And the surgical trauma and electrical stimulation will kill the nerves, anyway. Yet they did it. And now, hundreds of thousands have had their lives improved with this device. In this video, the long and winding road to the cochlear ear implant.

(1:52) A escuma que vemos nas praias dános información sobre a saúde da auga. Conversamos co catedrático de Enxeñaría Química Gumersindo Feijoo. (9:38) No Museo Mar de Sorrizo en Arteixo presentouse o proxecto Candorcas, unha iniciativa promovida por Paola Catapano. Paola é xornalista científica no CERN, pero ademais preside a asociación Polarquest.org que co veleiro Lady Magellan suca os mares en prol da sostibilidade e a ciencia cidadá. (20:28) Efeméride do 7 de maio do Calendario da Historia da Ciencia de Mónica Núñez. (21:53) Dialogamos sobre arte, pesca sostible e educación ambiental con Margarita Cimadevila (artista e presidenta de ARSCIENCIA), Francisco Varela (secretario da confraría de pescadores de Malpica) e Eva Quiroga (bióloga en Somos Terra Cooperativa e bailarina de danza contemporánea). (33:12) A partir de 2020 comezan as interaccións entre veleiros e as candorcas ibéricas, algo inédito no mundo e que non acontece con outro tipo de embarcacións. Xa se documentaron uns cincocentos encontros. Alfredo López, Mónica González e Álvaro Galán de CEMMA (Coordinadora de Estudo dos Mamíferos Mariños) explícannos que non son nin ataques nin xogos.

The emergence of the transistor shook the world. It certainly shook the vacuum tube makers. Some believed that the category was a dead man walking. The transistor was going to replace the vacuum tube everywhere. But the iconic American company RCA believed that vacuum tubes still had a future. And in 1959, they poured all their skill and knowledge into one “revolutionary” tube. In today's video, RCA and the vacuum tube's last stand.

The emergence of the transistor shook the world. It certainly shook the vacuum tube makers. Some believed that the category was a dead man walking. The transistor was going to replace the vacuum tube everywhere. But the iconic American company RCA believed that vacuum tubes still had a future. And in 1959, they poured all their skill and knowledge into one “revolutionary” tube. In today's video, RCA and the vacuum tube's last stand.

What happens when a physician becomes a patient — and discovers that medicine can heal the body but leave the person behind? In this episode of SoundPractice, host Mike Sacopulos sits down with Rana Awdish, MD, medical director of care experience at Henry Ford Health and bestselling author of In Shock: My Journey from Death to Recovery and the Redemptive Power of Hope. Awdish's path to physician leadership is unlike most. As a pulmonary and critical care fellow at Henry Ford, she nearly died — and that experience cracked open a new understanding of what physicians actually need to do their jobs well. She began building a communications curriculum, quietly and without a formal title, until the work proved so effective that the institution asked her to lead it systemwide. Today she oversees care experience, runs the Pulmonary Hypertension Program, and helps shape Henry Ford's physician onboarding and Leadership Institute. The conversation is equal parts practical and profound. Awdish describes Henry Ford's "senior peer partner" model — a social mentoring program that pairs new hires with seasoned clinicians not to teach clinical skills but to transmit culture. And she shares what comes next. Her forthcoming book, Aftershock: Learning to Reinhabit My Body After Illness, goes deeper than In Shock did, tracing a second journey — through somatic healing, art, and what she calls "re-embodiment" — that ultimately led her to discover her own undetected cancer. The book is a challenge to medicine's assumptions about where healing begins and ends. Learn more about the American Association for Physician Leadership at www.physicianleaders.org.

In 1972, two scientists reported the discovery of a very strong magnet. Their paper said: We found a new magnetic material which has the highest saturation magnetization at room temperature...among those of all the magnetic materials. Not only is this material one of the most magnetic objects known, it is made from two very ordinary elements: Iron and Nitrogen. For forty years, people went back and forth on whether this magnetism was real. In this video, we explore the decades-long mystery of the Iron Nitride magnet.

In 1972, two scientists reported the discovery of a very strong magnet. Their paper said: We found a new magnetic material which has the highest saturation magnetization at room temperature...among those of all the magnetic materials. Not only is this material one of the most magnetic objects known, it is made from two very ordinary elements: Iron and Nitrogen. For forty years, people went back and forth on whether this magnetism was real. In this video, we explore the decades-long mystery of the Iron Nitride magnet.

In early 2026, a British hedge fund sent a letter to the Japanese company TOTO. Yeah. The company making tubs, sinks, and those high-tech bidet toilets. Not because TOTO was doing particularly bad in those businesses. But because TOTO also has an advanced ceramics division that is the world's leading supplier of electrostatic chucks for the 3D NAND industry. Now, I know what you guys are thinking. How did a Japanese toilet company get involved in semiconductors? The answer is that TOTO doesn't see itself as just a toilet company. In today's video, we travel with TOTO, the Porcelain King.

In early 2026, a British hedge fund sent a letter to the Japanese company TOTO. Yeah. The company making tubs, sinks, and those high-tech bidet toilets. Not because TOTO was doing particularly bad in those businesses. But because TOTO also has an advanced ceramics division that is the world's leading supplier of electrostatic chucks for the 3D NAND industry. Now, I know what you guys are thinking. How did a Japanese toilet company get involved in semiconductors? The answer is that TOTO doesn't see itself as just a toilet company. In today's video, we travel with TOTO, the Porcelain King.

What happens when the art of medicine collides with the rise of clinical algorithms, electronic health records, and artificial intelligence? In this episode of SoundPractice, host Mike Sacopulos speaks with Devjit Roy, MD, MAS, MSPC, CPE, from Nathan Littauer Hospital in rural New York — about his book, Between Heartbeats and Algorithms: Reclaiming What Matters in Healthcare. Roy explains how the book grew from journals he kept while working on the front lines of a COVID surge hospital, where he recorded patient stories as a way of processing the trauma. Years later, those stories became the foundation for a call to action: Physicians must step into leadership to ensure that technology serves medicine — not the other way around. He also serves as medical director of the hospital's nursing home, board member for Mountain Valley Hospice, and co-president of a regional joint venture focused on preserving specialty care. He continues to practice as a hospitalist and palliative care physician. Learn more about the American Association for Physician Leadership at www.physicianleaders.org.

As chips speed up and get more capable, they must also fetch more data and get it faster. Most of the time, that means going off-chip to some external memory module. It slows things down and uses energy. One alternative is to “embed” some memory right alongside the logic circuits on the chip: Embedded memories. For years, two types of embedded memories dominated. But things are changing. In today's video, we take a look at those, plus some of the next-generation memories coming down the pike.

As chips speed up and get more capable, they must also fetch more data and get it faster. Most of the time, that means going off-chip to some external memory module. It slows things down and uses energy. One alternative is to “embed” some memory right alongside the logic circuits on the chip: Embedded memories. For years, two types of embedded memories dominated. But things are changing. In today's video, we take a look at those, plus some of the next-generation memories coming down the pike.

Rice is Asia's single most important food crop. And in the 1950s and 1960s, the fear was that Asians would not get enough of it. In the 1950s, Asia was adding 11 million new people each year. All those people needed calories. They needed rice. But those countries faced a brutal equation: The only way to produce more rice was to make more rice paddies. Then in the late 1950s and early 1960s, a new generation of high-yield rice hybrids forever changed the rice production equation. In today's video, we return (yet again!) to my favorite carb and wolf down the Miracle Rices.

Rice is Asia's single most important food crop. And in the 1950s and 1960s, the fear was that Asians would not get enough of it. In the 1950s, Asia was adding 11 million new people each year. All those people needed calories. They needed rice. But those countries faced a brutal equation: The only way to produce more rice was to make more rice paddies. Then in the late 1950s and early 1960s, a new generation of high-yield rice hybrids forever changed the rice production equation. In today's video, we return (yet again!) to my favorite carb and wolf down the Miracle Rices.

Tựa Đề: Chuyện... Đến Gần Và... Tránh Xa; Tác Giả: Mục Sư Nguyễn Đình Liễu; Loạt Bài: Lễ Ngũ Tuần

In April 2021, the Sri Lankan government banned imports of all chemical fertilizers. They were the first country to do this. President Gotabaya Rajapaksa explained in a speech: If we are to preserve the health of our planet and ensure human sustainability, governments all over the world must not hesitate to adopt bold policies The import ban turned out to be a bit too bold. Amidst plunging farm yields and soaring food inflation, the ban did not last the year. I covered Sri Lanka's economic crisis in a prior video three years ago, but did not mention the fertilizer ban. So let me do it this time. In today's video, the disastrous Sri Lankan fertilizer import ban.

In April 2021, the Sri Lankan government banned imports of all chemical fertilizers. They were the first country to do this. President Gotabaya Rajapaksa explained in a speech: If we are to preserve the health of our planet and ensure human sustainability, governments all over the world must not hesitate to adopt bold policies The import ban turned out to be a bit too bold. Amidst plunging farm yields and soaring food inflation, the ban did not last the year. I covered Sri Lanka's economic crisis in a prior video three years ago, but did not mention the fertilizer ban. So let me do it this time. In today's video, the disastrous Sri Lankan fertilizer import ban.

Few physicians ever experience healthcare from the perspective of a health plan, but Jacob Asher, MD, is an exception. A former ENT surgeon with Kaiser Permanente, Asher shifted gears in 2008 to pursue a career in commercial health plan management. Over the next 14 years, he served as California Commercial Market Medical Director for Anthem Blue Cross, Cigna, and UnitedHealthcare. Today, he shares his expertise by mentoring students in Stanford University's Master's Program in Medical Informatics. In this conversation with host Michael Sacopulos, Asher pulls back the curtain on commercial insurance — from how contracts are structured, to who holds pricing power, why behavioral health has been siloed, and what AI might finally be able to fix in a system long defined by friction and misaligned incentives. Asher also shares how serving on Kaiser Permanente's Medical Group Board of Directors helped prompt his move from surgery into health plan leadership. He also discusses the role of AAPL (then ACPE) in preparing physicians for non-clinical career paths. Learn more about the American Association for Physician Leadership at www.physicianleaders.org.

People have been so busy with AI data centers and surging memory prices that they forgot about the EU Chips Act. And to be honest, I did too until I traveled to Antwerp for ITF World 2026 and someone at the media session mentioned that a Chips Act 2 is coming. But second breakfast so soon? In December 2025, the EU Court of Auditors released its special report on the first Chips Act. A quick read of this and other recent events says that Europe's current chip policy must change. It is not working. In today's video, a brief check-in on the EU Chips Act.

People have been so busy with AI data centers and surging memory prices that they forgot about the EU Chips Act. And to be honest, I did too until I traveled to Antwerp for ITF World 2026 and someone at the media session mentioned that a Chips Act 2 is coming. But second breakfast so soon? In December 2025, the EU Court of Auditors released its special report on the first Chips Act. A quick read of this and other recent events says that Europe's current chip policy must change. It is not working. In today's video, a brief check-in on the EU Chips Act.

In part two of this series, Dr. Andy Southerland and Dr. Dan Ackerman discuss a few rapid‑fire concepts from the 2026 guidelines, focusing on what is new and how emerging data may shape patient care.  Show transcript:  Dr. Andy Southerland: Hello, everyone. This is Andy Southerland from the University of Virginia. And for today's Neurology Minute, I'm speaking with my friend and colleague, Dan Ackerman, Chief of Neurology and Director of Stroke at St. Luke's University Health System. We've been speaking in the main neurology podcast on tips for updated clinical practice related to the 2026 American Heart Association guidelines for the early management of patients with acute ischemic stroke. I'm going to hit Dan with a few rapid fire concepts that were touched on the guidelines that I think are new or provide some new insights, new based on the data and to how we treat patients. So Dan, you ready for it? Rapid fire, acute stroke treatment decision making? Dr. Dan Ackerman: Absolutely. Hit me. Dr. Andy Southerland: All right, Dan. I'm a resident going to my first stroke alert on July one this year and I've got a patient coming in, they're having disabling stroke symptoms and they're, in every other way, eligible to receive thrombolysis, but they have a history of paroxysmal atrial fibrillation. They are on apixaban and they took a dose of that apixaban. They forgot to take one yesterday, but they took one the day before, had the evening before. And so 36 hours ago, they took a dose of their apixaban. So based on previous dogma, I think prior guidelines might've said if it's within that 48 hour window, that's a relative contraindication of thrombolysis. What, say, you based on the new guidelines and then how do they inform us about making that decision? Dr. Dan Ackerman: I would actually say the new guidelines are a little bit more aligned with what you just said. You mentioned it as a relative contraindication to thrombolysis. I think before these guidelines came out, a lot of people would've said, "No, that is a strict contraindication to thrombolysis." And a lot of folks would run a stroke code or a stroke lid a little slower knowing that, hey, this person is on, whether it's apixaban, rivaroxaban, edoxaban, dabigatran, et cetera, any of these direct oral anticoagulants and say, "Well, no, we know that person's not a candidate for thrombolytics." Well, no, the newer guidelines would suggest that that is a relative contraindication, not a strict contraindication. And when we look back at studies on this, it has not been suggested that there is a big contribution in terms of exactly how long ago that last dose was. Was it two hours ago, 12 hours ago, 20 hours ago? And there has not been shown to be a clear benefit of testing for factor Xa activity levels, bleeding time and the like. So the guidelines do suggest that, hey, we need more data on this. It's not to, say, that this is 100% perfectly fine. Remember, that's a relative contraindication, so it's still a risk benefit discussion, but studies have not shown an increased risk for hemorrhagic complications in patients who have had recent DOAC exposure who receive IV thrombolysis otherwise according to the guidelines. So I would tend to offer it in that situation and make sure that we document what drugs someone's on, how long ago was their last dose, all of this kind of information in addition to what we might normally otherwise get down. Dr. Andy Southerland: Does that change, Dan, if they took the DOAC in the last 24 hours or even 12 hours? They took it last night, and they're presenting in the morning with their stroke-like symptoms? Dr. Dan Ackerman: The guideline just suggests less than 48 hours, and the data, to my knowledge, doesn't really delineate, at this point, any particular timeframe where we would say, no, there's a cutoff there at two hours or eight hours or 12 hours. So at this point, I would not use that as a way to decide not to offer thrombolysis based on that timeframe. Dr. Andy Southerland: Fair enough. I think that's very reasonable. And I think, again, it's always a good conversation to have either with your attending, if you're that resident on July 1, but particularly with the patient and their family on the risk-benefit of what we know based on the data. Well, that's all the time we have for this Neurology Minute. We hope this discussion will continue to help everyone out there in the hyperacute management of patients with acute ischemic stroke, making those difficult treatment decisions. Good luck.  

This is our final message for our Spring 2026 message series! We've loved getting to hang with you this year; see you next fall!

We often associate Taiwan with chips. Taiwanese chips. It's their thing right? But Taiwan's strength is actually only in logic chips. In the industry's other big sector, memory and DRAM memory in particular, Taiwan is second-tier. Hardly a player. It's not that the Taiwanese haven't tried to break into DRAM before. In fact, they spent billions trying for two decades. They just keep losing at it over and over again. In this video, we look at Vanguard, TI-Acer, Taiwan Memory Corporation and Taiwan's DRAM failure.

We often associate Taiwan with chips. Taiwanese chips. It's their thing right? But Taiwan's strength is actually only in logic chips. In the industry's other big sector, memory and DRAM memory in particular, Taiwan is second-tier. Hardly a player. It's not that the Taiwanese haven't tried to break into DRAM before. In fact, they spent billions trying for two decades. They just keep losing at it over and over again. In this video, we look at Vanguard, TI-Acer, Taiwan Memory Corporation and Taiwan's DRAM failure.

What does it take to build a culture of ethics inside a health system — and what happens when leaders lack the courage to defend it? In this episode of SoundPractice, host Mike Sacopulos sits down with Arthur Caplan, PhD, one of the world's foremost bioethicists and the founding head of the Division of Medical Ethics at NYU Grossman School of Medicine's Department of Population Health. Dr. Caplan traces his path into bioethics from a childhood hospitalization for polio to graduate training at Columbia, where he witnessed firsthand the ethical gaps in medicine's early encounters with IVF, informed consent, and research oversight. That experience shaped a career devoted not just to theorizing about ethics, but to solving real problems in real institutions. In this wide-ranging conversation, Dr. Caplan and Mike Sacopulos explore: - What an effective ethics infrastructure looks like - The defining bioethical challenges of the next decade - Compassionate use and unproven therapies - Misinformation and informed consent - Rationing and equity - Bioethics training for the next generation Learn more about the American Association for Physician Leadership.

Spring 2026 Message Series at Chi Alpha!

It is one of Europe's greatest technology startup stories. A young student in 1950s West Germany motorcycling across the country - offering companies a computer. That young student built an empire from scratch. One of Europe's biggest, most famous computer companies. Then it all came tumbling down. In today's video, one of Europe's most well-known computer companies: Nixdorf Computer.

It is one of Europe's greatest technology startup stories. A young student in 1950s West Germany motorcycling across the country - offering companies a computer. That young student built an empire from scratch. One of Europe's biggest, most famous computer companies. Then it all came tumbling down. In today's video, one of Europe's most well-known computer companies: Nixdorf Computer.

In July 2025, Intel announced that they will be gradually closing their assembly and test site in Costa Rica. End of an era. Intel has been in Costa Rica for almost 30 years. That A&T factory was their only Latin American manufacturing site. In 2000, nearly 40% of Costa Rica's exports were Intel microprocessors. They were a chip export giant! (Kinda) In today's video, let us look back at Intel's tenure in Costa Rica.

In July 2025, Intel announced that they will be gradually closing their assembly and test site in Costa Rica. End of an era. Intel has been in Costa Rica for almost 30 years. That A&T factory was their only Latin American manufacturing site. In 2000, nearly 40% of Costa Rica's exports were Intel microprocessors. They were a chip export giant! (Kinda) In today's video, let us look back at Intel's tenure in Costa Rica.

Spring 2026 Message Series at Chi Alpha!

For the first few decades of its existence, all lasers were side-firing lasers - meaning the beam comes out of the wafer's side. Horizontally. But in the late 1970s, a new type of semiconductor laser emerged. One that fired out of the wafer surface, vertically. Yes. It sounds a bit weird. At first, nobody had any idea what to do with it. But over time, the technology has been adopted into a wide variety of everyday applications. Today, it literally shines into people's faces. In today's video, the little vertical lasers that everyone uses.

For the first few decades of its existence, all lasers were side-firing lasers - meaning the beam comes out of the wafer's side. Horizontally. But in the late 1970s, a new type of semiconductor laser emerged. One that fired out of the wafer surface, vertically. Yes. It sounds a bit weird. At first, nobody had any idea what to do with it. But over time, the technology has been adopted into a wide variety of everyday applications. Today, it literally shines into people's faces. In today's video, the little vertical lasers that everyone uses.

In this episode of SoundPractice, host Mike Sacopulos speaks with two physician-researchers whose landmark study is sounding an early warning about the long-term consequences of state abortion restrictions on the U.S. physician workforce. Anisha Ganguly, MD, MPH, assistant professor of medicine at the University of North Carolina at Chapel Hill, and Anna Morenz, MD, MPH, assistant clinical professor of internal medicine at the University of Arizona, discuss their study published in JAMA Network Open in March 2026. Their study analyzed nearly 24.2 million residency applications submitted to more than 4,300 programs across all medical specialties between the 2018–2019 and 2022–2023 application cycles. Using an interrupted time-series causal methodology developed in collaboration with health economist Anirban Basu, PhD, MS, at the University of Washington, the team found that applications to programs in states enacting new abortion restrictions after Dobbs dropped significantly — among both male and female applicants. Among the conversation's most striking moments: Ganguly reveals that the decline among men applicants was larger than expected — and larger than they had originally hypothesized. She and Morenz discuss why this makes Dobbs an “all of us” problem, not just a women's issue, and what it signals about the broader reproductive climate of restricted states. The episode also covers the pipeline problem: because more than half of physicians ultimately practice in the state where they trained, sustained declines in application volume could worsen existing physician shortages in primary care and emergency medicine in restricted states for years to come. Morenz shares a timely update: in the most recent March 2026 match cycle, two OB-GYN residency programs — both in Texas — failed to fill all their slots. Study Reference: Ganguly AP, Basu A, Morenz AM. State-Level Disparities in Residency Applications After Dobbs v Jackson Women's Health Organization. JAMA Netw Open. 2026;9(3):e260286. doi:10.1001/jamanetworkopen.2026.0286 Learn more about the American Association for Physician Leadership at www.physicianleaders.org.

What does commanding troops in combat have to do with leading a hospital? More than you might think. In this episode of SoundPractice, host Mike Sacopulos sits down with Lt. Gen. Mark Hertling, U.S. Army (Ret) — former commander of U.S. Army Forces in Europe, CNN military analyst — to explore the surprising parallels between military and medical leadership. Soldiers and physicians share more in common than most realize. Both are defined by their profession first, and both operate in life-and-death environments where leadership is not optional. Hertling shares how he came to spend nearly a decade at AdventHealth developing physician leadership programs, what his doctoral research revealed about inter-professional training, and why getting doctors, nurses, and administrators in the same room may be the single most important thing hospitals can do. Inter-professional leadership training produces measurably better outcomes than siloed programs. He also discusses his newly released memoir, If I Don't Return: A Father's Wartime Journal, drawn from a handwritten journal he kept during Operation Desert Storm. Learn more about the American Association for Physician Leadership at www.physicianleaders.org.