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This week wraps up our Office Emergencies series on The Virtual Curbside! Tune in as host Paul Wirkus, MD, FAAP, and guest expert Stephanie Spanos, MD, answer listener questions and bring this insightful series to a close. Don't miss this final episode filled with practical takeaways, real-world scenarios, and thoughtful discussion to help your practice stay prepared. Have a question? Email questions@vcurb.com.Want more information about Common Problems in Pediatrics, June 3-4, 2025? Register now. For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
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US equities ended higher in Thursday trading, just off their best levels. The bond yield backup, and meaningful yield curve steepening across markets, has been the big story as of late, with multiple and often intertwined drivers behind the move. In company news, earnings remain in focus with AAP and URBN driving large moves following their results.
S&P Futures are trading slightly higher this morning after Wednesday's sell-off, which was triggered by a spike in Treasury yields amid concerns about a significant expansion in U.S. fiscal debt. The House is expected to pass Trump's tax and spending bill this morning; the vote is currently underway. Robert F. Kennedy Jr.'s “Make America Health Again” report is expected to be released today. Health insurer stocks are under pressure this morning following the Centers for Medicare & Medicaid Services' announcement of expanded audits of Medicare Advantage plans. AT&T has agreed to acquire substantially all of Lumen Technologies' mass markets fiber business for $5.75 billion in cash. Reports on Jobless Claims and the flash PMI report for May will be released today. On the earning front SNOW, URBN, ZM & AAP are higher after their releases. After the bell today earnings reports from INTU, WDAY, ADSK, CPRT, ROST and DECK are set to report.
This week on The Virtual Curbside, host Paul Wirkus, MD, FAAP, is joined by Stephanie Spanos, MD, to talk all things planning and preparedness. From ambulatory bags and AEDs to team roles and EMS coordination, they break down what every pediatric office needs to be ready for emergencies. Tune in for practical tips, real-world scenarios, and tools to help your entire team stay calm and capable when it matters most. Have a question? Email questions@vcurb.com. Your questions will be answered next week. Want more information about Common Problems in Pediatrics, June 3-4, 2025? Register now. For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Lily Nichols is a Registered Dietitian and the author three books designed to support healthy conception, birth and postpartum, including how to prevent and manage gestational diabetes.Her books are Real Food for Fertility (co-authored by Lisa Hendrickson-Jack), Real Food For Pregnancy and Real Food for Gestational Diabetes.Lily shares important information all women should know about optimizing their diet for fertility, pregnancy, and postpartum from a scientific perspective. Even for women who aren't currently in the pregnancy state of mind, knowing this information early on helps everyone to make better choices down the road.Connect with Lily Nichols lilynicholsrdn.com | InstagramLearn more The Institute for Prenatal Nutrition | Postpartum Recovery Meals | Fourth Trimester Soups and Stews Collection | Nutrition and Nourishment - The EssentialsResources HelloGaia Parenting Copilot | FREE DOWNLOAD Customizable Birth Plan | FREE DOWNLOAD Customizable Fourth Trimester PlanConnect with Fourth Trimester Facebook | InstagramWant trustworthy parenting data at your fingertips? Download HelloGaia Parenting Copilot for FREE today. The app uses reliable sources like ACOG, AAP, The Society for Maternal-Fetal Medicine. FREE app available now on Apple & Google Play
ज़िंदगी से बड़ी सज़ा ही नहींऔर क्या जुर्म है पता ही नहींइतने हिस्सों में बट गया हूँ मैंमेरे हिस्से में कुछ बचा ही नहीं- Krishna Bihari NoorDoston, kya aapko kabhi mehsoos hua hai ki aap apni zindagi alag-alag tukdon mein jee rahe hain? Office mein koi aur, ghar par koi aur, aur doston ke saath bilkul alag?
Picture this, a tiny, 30 nm, relentless RNA virus named norovirus slips into your life, uninvited, and turns your gut into a battlefield. It's not the flu. Forget that “stomach flu” misnomer. It's a Caliciviridae family member, a nonenveloped, single-stranded RNA ninja that thrives in making chaos. As a pediatrician, I've seen it wreak havoc in kids and parents alike, and it's a master of surprise. It just played Risk in my GI tract last week. Not Fun! Let's unpack how it infects, spreads, and toys with us humans, straight from the AAP's Red Book (2024) and other research. Norovirus causes an estimated 1 in 15 US residents to become ill each year as well as 71,000 hospitalizations and 800 deaths annually, predominantly among young children and the elderly. Norovirus doesn't knock, more so it sneaks in, needing under 100 viral particles to ignite trouble. You're sipping contaminated water, munching an oyster from a shady bay, or your toddler's unwashed hands after a playdate deliver the payload. It's mostly fecal-oral, stool to mouth via food, water, or surfaces. But don't sleep on aerosolized vomit. One hurl in a crowded daycare, and airborne particles linger, landing on toys, doorknobs, you name it for days. Did I say lingering! Smart viral spread! Gorilla warfare is on! Dr. M
This week on The Virtual Curbside, we're talking about one of the most practical tools in pediatric emergency preparedness: simulations. From front desk protocols to medical assistant roles and procedure planning, simulations help ensure every member of the care team knows what to do - and has what they need - when seconds count. Host Paul Wirkus, MD, FAAP, and guest Stephanie Spanos, MD, explore how to run effective simulations, evaluate your equipment (especially for pediatric-specific needs), and build muscle memory that can save lives. Learn why practicing together matters more than perfection, and how letting go of the need to “know and do it all” as the doctor makes your office stronger and safer. Have a question? Email questions@vcurb.com. Your questions will be answered in week four.Want more information about Common Problems in Pediatrics, June 3-4, 2025? Register now. For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
(1) Aap geneest drie keer sneller van wond dan mens (2) Coucou de Namur: intussen in Wallonië, Christophe Deborsu (3) Zeg nooit meer Belgische cava tegen belbul (4) Jeugdschrijver Aiden Chambers (90) overleden (5) Middagjournaal van Nico Dijkshoorn
थोड़ी सी शोहरत भी मिली है थोड़ी सी बदनामी भी मेरी सीरत में ऐ 'क़ैसर' ख़ूबी भी है ख़ामी भी-क़ैसर शमीमक्या आपने कभी सोचा है कि हमारी 'सीरत' (Character/Nature) हमारी ज़िंदगी और रिश्तों को किस हद तक प्रभावित करती है?
This month on The Virtual Curbside, we're diving into a topic every pediatric office needs but hopes they never have to use — emergency preparedness. From natural disasters to medical emergencies, having a solid office emergency plan is essential for protecting patients, families, and staff. Join host Paul Wirkus, MD, FAAP, and emergency preparedness expert Stephanie Spanos, MD, for a practical, insightful conversation on how to create, implement, and regularly update your office's emergency plan. You'll come away with clear steps and real-world advice to help your team be ready when it matters most.Have a question? Email questions@vcurb.com. Your questions will be answered in week four.Want more information about Common Problems in Pediatrics, June 3-4, 2025? Register now. For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Welcome to the Choosing Wisely Campaign series! This is the second episode of a 6-part series exploring the ABIM Foundation's Choosing Wisely Lists. This campaign aims to promote conversations between clinicians and patients to avoid unnecessary medical tests, treatments, and procedures. The first of our case-based episodes presents a school age child with syncope. After a clear discussion of the case and thoughtful consideration of an acute care differential, we use the AAP's Choosing Wisely cardiac list to create a resource-conscious care plan that is safe and patient-centered. In the coming episodes, we'll explore the pediatric lists and apply our knowledge to cases of common presentations seen in primary and acute care pediatrics. Series Learning Objectives: Introduction to the Choosing Wisely Campaign: Understand the origins, historical precedent, and primary goals of the campaign. Case-Based Applications: Explore five common presentations in primary and acute care pediatrics, applying concepts from various Choosing Wisely lists to guide management and resource stewardship. Effective Communication: Learn strategies for engaging in tough conversations with parents and colleagues to create allies and ensure evidence-based practices are followed. Competencies: AACN Essentials: 1: 1.1 g, 1.2f 2: 2.1 de, 2.2g, 2.5 ij 6: 6.1 i 7: 7.2 ghk 9: 9.1ij, 9.2ij, 9.3ik NONPF NP Core Competencies: 1: NP1.1h, NP 1.2km 2: NP2.1jg, NP2.2kn, NP2.5 lo 6: NP6.1o 7: NP7.2m 9: NP9.1mn, NP9.2n, NP9.3p References: AAP Section on Cardiology and Cardiac Surgery. (2020). Five things physicians and patients should question. https://downloads.aap.org/AAP/PDF/Choosing%20Wisely/CWCardio.pdf Gilpin, K., & Goode, Z. (2024). Syncope. Pediatrics in review, 45(10), 606–608. https://doi.org/10.1542/pir.2023-006053
On Inzane Rugby League this week - Zane Bojack, former Raiders halfback Sam Williams and AAP chief rugby league writer Joel Gould review NRL Magic Round including whether it should move away from Brisbane, the re-emergence of Penrith and Nathan Cleary and what Wayne Bennett does to reignite the Rabbitohs?
On Inzane Rugby League this week - Zane Bojack, former Raiders halfback Sam Williams and AAP chief rugby league writer Joel Gould review NRL Magic Round including whether it should move away from Brisbane, the re-emergence of Penrith and Nathan Cleary and what Wayne Bennett does to reignite the Rabbitohs?
In this empowering episode, we invite you to get up close and personal with the part of your body that's about to do something extraordinary—birth your baby. Many parents enter labor feeling disconnected from their vaginas and pelvises, but our guest Britt Fohrman offers a different path—one grounded in awareness, preparation, and trust. Drawing from over two decades as a doula, yoga teacher, birth educator, and pleasure coach, Britt shares practical tools to help you prepare your vagina for birth with more ease, confidence, and connection. By deepening your relationship with your body, you not only support a smoother birth experience, but also lay a strong foundation for your baby's arrival and your own empowered parenting journey.Full show notes: fourthtrimesterpodcast.comConnect with Britt Fohrman brittfohrman.com | Instagram | Facebook | LinkedInBritt's Classes (Code is FOURTHTRIMESTER for 10% OFF for on-demand course) Preparing Your Vagina for Birth In person - San Francisco | Preparing Your Vagina for Birth On Demand | Yoga for Your Yoni | 7 Days to Becoming More Confident in Opening for Birth with Britt-Free Video Series | Practices for Body Awareness | Prenatal Partners Yoga and Massage: Conscious Connection for Birth and BeyondLearn more Somatic Experiencing Can Build Attachment Between Parent And ChildResources HelloGaia Parenting Copilot | FREE DOWNLOAD Customizable Birth Plan | FREE DOWNLOAD Customizable Fourth Trimester PlanConnect with Fourth Trimester Facebook | InstagramWant trustworthy parenting data at your fingertips? Download HelloGaia Parenting Copilot for FREE today. The app uses reliable sources like ACOG, AAP, The Society for Maternal-Fetal Medicine. FREE app available now on Apple & Google...
This is the Catchup on 3 Things by The Indian Express and I'm Flora Swain.Today is the 30th of April and here are the headlines.Prime Minister Narendra Modi chaired the second Cabinet Committee on Security (CCS) meeting following the Pahalgam terror attack that killed at least 26 people. Key ministers including Amit Shah, Rajnath Singh, and S. Jaishankar attended. Modi also led meetings of the Cabinet Committee on Political Affairs (CCPA) and the Cabinet Economic Affairs Committee (CCEA). A cabinet briefing is scheduled for 4 PM. Meanwhile, the Pakistan Army continued “unprovoked firing” across Jammu and Kashmir's LoC for the sixth night, with the Indian Army responding proportionately, officials told PTI.A newly constructed wall at the Simhachalam temple in Visakhapatnam, Andhra Pradesh, collapsed early Tuesday, killing seven and injuring six. The collapse followed heavy rain and occurred during the Akshaya Tritiya festival, with crowds gathering from 4 AM. Officials said the wall gave way when people leaned on it near a ticket counter. Home Minister V Anita noted the toll could have been higher if many hadn't stepped back after noticing the wall weakening. The structure had been built recently near the temple's special entrance staircase.The Supreme Court, citing the right to digital access as part of life and liberty, ordered changes to digital KYC norms to aid people with vision impairment and acid attack survivors. The ruling came from Justices J B Pardiwala and R Mahadevan in response to two writ petitions. The court directed authorities to revise KYC procedures to ensure accessibility and inclusion for those with visual disabilities, emphasizing that digital rights must be inclusive. The decision marks a step toward equitable access to essential digital identification systems in India.The Delhi Anti-Corruption Branch filed an FIR against former Deputy CM Manish Sisodia and former PWD Minister Satyendar Jain over alleged corruption in constructing 12,748 classrooms during AAP's rule. The scam is reportedly worth Rs 2,000 crore. ACB chief Madhur Verma confirmed the FIR, stating major cost escalations, delays, and deviations were observed. None of the works were completed on time. Officials alleged the contracts were awarded to parties close to the AAP. The investigation highlights serious irregularities in infrastructure development under the previous administration.Former US President Donald Trump held a rally in Warren, Michigan, to mark 100 days since returning to office. Addressing a large crowd, he celebrated what he called major economic achievements and attacked Democrats, especially Joe Biden, over immigration. Trump said he missed the campaign trail and used the Michigan rally—his first major public event since January 20—to reignite his base. The location was symbolic, being a center of the auto industry, where Trump emphasized jobs, the economy, and America-first policies during his address.That's all for today. This was the Catchup on 3 Things by The Indian Express.
This Saturday Aussies will (compulsorily) head to the polls. At the start of the year, Labor under Anthony Albanese was staring down the barrel of defeat and the first one-term government for almost 100 years. But with a few days to go, the pollsters are all picking that he'll return to power. What changed? Where did Peter Dutton's makeover go wrong? What happened to the Coalition campaign? Did Donald Trump play a role? To tackle these questions, complete with yarns about salmon and wallabies and paddling pool anomalies, is Ben McKay, Pacific editor for AAP and an illustrious former inhabitant of the New Zealand press gallery. In a special edition of the podcast temporarily renamed Gone By Brunchtime in recognition of the time difference, he talks to Toby Manhire about all that, the New Zealand influence across the Tasman, and what parties here might learn from there. Learn more about your ad choices. Visit megaphone.fm/adchoices
This week marks the final episode of our Neonatology series on The Virtual Curbside! Don't miss the opportunity to hear listener questions answered by neonatology experts. Join host Paul Wirkus, MD, FAAP, and special guest Tara DuPont, MD, for an engaging and informative discussion as they wrap up this outstanding series. Have a question? Email questions@vcurb.com. Want more information about Common Problems in Pediatrics, June 3-4, 2025? Register now. For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Exam Room Nutrition: Nutrition Education for Health Professionals
Confused about what to tell parents when they ask, “Is oat milk okay?” or “How much juice is too much?” You're not alone—it's confusing.In this episode, I'm joined by Megan Lott, MPH, RDN, Deputy Director of Healthy Eating Research. Megan walks us through the first-ever unified beverage guidelines for kids—developed by leading organizations like the AAP, AND, and AHA.We cover what to encourage, what to limit, and what to avoid based on the latest research.What to Drink:Daily water intake by age (and why thirst isn't a reliable guide)When and how much milk is recommended—and which plant-based alternatives come closeWhat to Limit:Portion limits for 100% juice and flavored milkWhy sports drinks aren't necessary for most kidsHow to help families cut back without resistanceWhat to Avoid:The surprising oral health danger of seltzersThe latest on non-nutritive sweetenersThe impact of caffeine on sleep, blood pressure, and mental health in kidsWhether you're in pediatrics, family med, or are a parent, this conversation will give you clear guidance on what to drink!Resources:Beverage Recommendations Provider ToolkitAges 5-18 Beverage RecommendationsEpisode 71 | Sports Nutrition Hot Topics: Sugar, Sports Drinks and Fueling for PerformanceEpisode 65 | Does Coffee Stunt Growth?Any Questions? Send Me a MessageSupport the showConnect with Colleen:InstagramLinkedInSign up for my FREE Newsletter - Nutrition hot-topics delivered to your inbox each week. Support the show!If you love the show and want to help me make it even better, buy me a coffee to help me keep going! ☕️Disclaimer: This podcast is a collection of ideas, strategies, and opinions of the author(s). Its goal is to provide useful information on each of the topics shared within. It is not intended to provide medical, health, or professional consultation or to diagnosis-specific weight or feeding challenges. The author(s) advises the reader to always consult with appropriate health, medical, and professional consultants for support for individual children and family situations. The author(s) do not take responsibility for the personal or other risks, loss, or liability incurred as a direct or indirect consequence of the application or use of information provided. All opinions stated in this podcast are my own and do not reflect the opinions of my employer.
This week, adjusting age for milestones for NICU graduates will be discussed with host Paul Wirkus, MD, FAAP, and Tara DuPont, MD.Have a question? Email questions@vcurb.com. Your questions will be answered next week.Want more information about Common Problems in Pediatrics, June 3-4, 2025? Register now. For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Dual-PhD researcher Celeste Beck is a leading maternal health researcher at Heluna Health who just published a groundbreaking study on vitamin D and pregnancy.It turns out something as simple as your vitamin D levels could have a major impact on your pregnancy, postpartum recovery, and your baby's health. With over 15 years in public health and a dual PhD in Nutritional Science and Clinical and Translational Science, Celeste breaks down what every parent needs to know—how to recognize the risks of deficiency, when and how to supplement, and why this one nutrient can make a lifelong difference for your baby.If you're pregnant, postpartum, or supporting someone who is, this episode gives you the critical info your doctor might not be talking about - yet. Advocating for yourself with the right information empowers you and gives your baby the healthiest start possible.Full show notes fourthtrimesterpodcast.comConnect with Celeste Beck PhD LinkedInCeleste's research in the American Journal of Clinical Nutrition Maternal vitamin D status, fetal growth patterns, and adverse pregnancy outcomes in a multisite prospective pregnancy cohortLearn more Evidence Based Care for Improving Postpartum Recovery - Advice From Dr Rebecca Dekker | Morning Sickness Causes and Cures: Hyperemesis Genetic Link and Practical Advice from USC Geneticist Dr Marlena FejzoResources HelloGaia Parenting Copilot | FREE DOWNLOAD Customizable Birth Plan | FREE DOWNLOAD Customizable Fourth Trimester PlanConnect with Fourth Trimester Facebook | InstagramWant trustworthy parenting data at your fingertips? Download HelloGaia Parenting Copilot for FREE today. The app uses reliable sources like ACOG, AAP, The Society for Maternal-Fetal Medicine. FREE app available now on Apple & Google Play
This podcast is brought to you by Outcomes Rocket, your exclusive healthcare marketing agency. Learn how to accelerate your growth by going to outcomesrocket.com Children's health is at the forefront of healthcare transformation, driven by efforts to personalize experiences, ensure consistent coverage, and combat misinformation. In this episode of the Beat Executive Speaker Series, Leana Wen interviews Mark Del Monte, CEO of the American Academy of Pediatrics (AAP), about the organization's priorities and policies. Del Monte explains that AAP, with 67,000 members, prioritizes policies based on evidence and feedback from both its board and members, focusing on diverse issues like mental health, equity, and environmental health. He emphasizes the importance of Medicaid and CHIP (Children's Health Insurance Program) as vital coverage for children, noting concerns over 5.5 million children losing coverage post-pandemic due to procedural issues. Del Monte advocates for merging Medicaid and CHIP into a national program to eliminate variability between states, providing consistent healthcare for children. Tune in to discover how the AAP is championing child healthcare and fighting misinformation for a healthier future! Resources: Connect with and follow Mark Del Monte on LinkedIn. Follow AAP on LinkedIn and visit their website. Visit healthychildren.org to get valuable info for your family. Fast Track Your Business Growth: Outcomes Rocket is a full-service marketing agency focused on helping healthcare organizations like yours maximize your impact and accelerate growth. Learn more at outcomesrocket.com
What is CBI's case against AAP leader Durgesh Pathak?
Join us this week for the conversation about monitoring growth with NICU graduates with host Paul Wirkus, MD, FAAP, and Tara DuPont, MD.Have a question? Email questions@vcurb.com. Your questions will be answered next week.Want more information about Common Problems in Pediatrics, June 3-4, 2025? Register now. For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Episode 188: RSV Management and PreventionDr. Sandhu and future Dr. Mohamed summarize the management of RSV and describe how to prevent it with chemoprophylaxis and vaccines. Dr Arreaza adds some comments about RSV vaccines.Written by Abdolhakim Mohamed, MSIV, Ross University School of Medicine. Comments by Ranbir Sandhu, MD, and Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.What is RSV? -The Respiratory syncytial Virus (RSV) is an enveloped, negative-sense, single-stranded RNA virus of the Orthopneumovirus genus within the Pneumoviridae family. -RSV is a major cause of acute respiratory tract infections, particularly bronchiolitis and pneumonia, in infants and young children, and it also significantly affects older adults and immunocompromised individuals. -RSV infections cause an estimated 58,000–80,000 hospitalizations among children younger than 5 years and 60,000–160,000 hospitalizations among adults older than 65 years each year.-RSV is highly contagious and spreads through respiratory droplets and direct contact with contaminated surfaces. The virus typically causes seasonal epidemics, peaking in the winter months in temperate climates and during the rainy season in tropical regions. -Virtually all children are infected with RSV by the age of two, and reinfections can occur throughout life, often with milder symptoms.-Per the 2014 Clinical Practice Guideline: The Diagnosis, Management, and Prevention of Bronchiolitis, from the American Academy of Pediatrics, the most common etiology of bronchiolitis is RSV. -About 97% of children are infected with RSV in the first 2 years of life, about 40% will experience lower respiratory tract infection during the initial infection. Other viruses that cause bronchiolitis include human rhinovirus, human metapneumovirus, influenza, adenovirus, coronavirus, and parainfluenza viruses.When is RSV season?-Classically, the highest incidence of infection occurs between December and March in North America. Per CDC, there were typical prepandemic RSV season patterns, but the COVID-19 pandemic disrupted RSV seasonality during 2020–2022. -Before we dive into the seasonality patterns, for context, in order to describe RSV seasonality in the US, data was gathered and analyzed from polymerase chain reaction (PCR) test results reported to the National Respiratory and Enteric Virus Surveillance System (NREVSS) during July 2017–February 2023. -Seasonal RSV epidemics were defined as the weeks during which the percentage of PCR test results that were positive for RSV was ≥3%. Per 2017–2020 data, RSV epidemics in the United States typically follow seasonal patterns, that began in October, peaked in December or January, and ended in April. -However, during 2020–21, the typical winter RSV epidemic did not occur. The 2021–22 season began in May, peaked in July, and ended in January. -The 2022–23 season started (June) and peaked (November) later than the 2021–22 season, but earlier than prepandemic seasons. CDC notes that the timing of the 2022–23 season suggests that seasonal patterns are returning toward those observed in prepandemic years, however, warn that clinicians should be aware that off-season RSV circulation might continue.Treatment of RSVSome key points of the 2014 pediatric guidelines from the American Academy of Pediatrics.-AAP strongly do not recommend beta agonists or steroids for viral associated bronchiolitis because of no significant improved outcomes. “Clinicians should not administer albuterol (or salbutamol) to infants and children with a diagnosis of bronchiolitis (Evidence Quality: B; Recommendation Strength: Strong Recommendation).”-Epinephrine is not recommended for infants and children with a diagnosis of bronchiolitis (Evidence Quality: B; Recommendation Strength: Strong Recommendation).-Nebulized hypertonic saline should not be administered to infants with a diagnosis of bronchiolitis in the emergency department (Evidence Quality: B; Recommendation Strength: Moderate Recommendation), but hypertonic saline may be administered when they are hospitalized (Evidence Quality: B; Recommendation Strength: Weak Recommendation [based on randomized controlled trials with inconsistent findings]).-Chest physiotherapy should not be used in infants and children with a diagnosis of bronchiolitis (Evidence Quality: B; Recommendation Strength: Moderate Recommendation).-Antibiotics should not be administered in bronchiolitis unless there is a concomitant bacterial infection, or a strong suspicion of one (Evidence Quality: B; Recommendation Strength: Strong Recommendation).-Oxygen therapy may not be administered if the oxyhemoglobin saturation exceeds 90% in infants and children with a diagnosis of bronchiolitis (Evidence Quality: D; Recommendation Strength: Weak Recommendation [based on low level evidence and reasoning from first principles]).-Clinicians should administer nasogastric or intravenous fluids for infants with a diagnosis of bronchiolitis who cannot maintain hydration orally (Evidence Quality: X; Recommendation Strength: Strong Recommendation).How do we prevent RSV?Infant Immuno-prophylaxis:A clinical trial in 2022 demonstrated that a single injection of nirsevimab (Beyfortus®), administered before the RSV season, protected healthy late-preterm and term infants from RSV-associated lower respiratory tract that required medical treatment. Nirsevimab is a monoclonal antibody to the RSV fusion protein that has an extended half-life.Additionally, on August 3, 2023, the Advisory Committee on Immunization Practices (ACIP) recommended nirsevimab for all infants younger than 8 months who are born during or entering their first RSV season and for infants and children between 8-19 months who are at increased risk for severe RSV disease and are entering their second RSV season. On the basis of pre-COVID-19 pandemic patterns, nirsevimab could be administered in most of the continental United States from October through the end of March.Maternal Vaccination: The CDC recommends the administration of the RSVPreF vaccine to pregnant women between 32 0/7 and 36 6/7 weeks of gestation. This vaccination aims to reduce the risk of RSV-associated lower respiratory tract infection in infants during the first 6 months of life.At this time, if a pregnant woman has already received a maternal RSV vaccine during any previous pregnancy, CDC does not recommend another dose of RSV vaccine during subsequent pregnancies.Older individuals: -Each year in the U.S., it is estimated that between 60,000 and 160,000 older adults are hospitalized and between 6,000 and 10,000 die due to RSV infection-ABRYSVO's approval will help offer older adults protection in the RSV season.-On June 26, 2024, ACIP voted to give these recommendations: all adults older than 75 years and adults between 60–74 years who are at increased risk for severe RSV disease should receive a single dose of RSV vaccine (Abrysvo®).Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Hamid S, Winn A, Parikh R, et al. Seasonality of Respiratory Syncytial Virus — United States, 2017–2023. MMWR Morb Mortal Wkly Rep 2023;72:355–361. DOI: http://dx.doi.org/10.15585/mmwr.mm7214a1Hammitt LL, Dagan R, Yuan Y, Baca Cots M, Bosheva M, Madhi SA, Muller WJ, Zar HJ, Brooks D, Grenham A, Wählby Hamrén U, Mankad VS, Ren P, Takas T, Abram ME, Leach A, Griffin MP, Villafana T; MELODY Study Group. Nirsevimab for Prevention of RSV in Healthy Late-Preterm and Term Infants. N Engl J Med. 2022 Mar 3;386(9):837-846. doi: 10.1056/NEJMoa2110275. PMID: 35235726.Ralston SL, Lieberthal AS, Meissner HC, Alverson BK, Baley JE, Gadomski AM, Johnson DW, Light MJ, Maraqa NF, Mendonca EA, Phelan KJ, Zorc JJ, Stanko-Lopp D, Brown MA, Nathanson I, Rosenblum E, Sayles S 3rd, Hernandez-Cancio S; American Academy of Pediatrics. Clinical practice guideline: the diagnosis, management, and prevention of bronchiolitis. Pediatrics. 2014 Nov;134(5):e1474-502. doi: 10.1542/peds.2014-2742. Erratum in: Pediatrics. 2015 Oct;136(4):782. doi: 10.1542/peds.2015-2862. PMID: 25349312.CDC, per their published article Seasonality of Respiratory Syncytial Virus — United States for 2017–2023, in the United StatesWhat U.S. Obstetricians Need to Know About Respiratory Syncytial Virus.Debessai H, Jones JM, Meaney-Delman D, Rasmussen SA. Obstetrics and Gynecology. 2024;143(3):e54-e62. doi:10.1097/AOG.0000000000005492.Maternal Respiratory Syncytial Virus Vaccination and Receipt of Respiratory Syncytial Virus Antibody (Nirsevimab) by Infants Aged
Gabriel Mintzer is a current PhD student in applied physics at Stanford University. While studying for his master's degree at MIT in November 2021, he was struck by a truck while walking home. He was subsequently hospitalized and spent over half a year in rehab doing both inpatient and outpatient therapy. Tune in as medical student Brian Gu interviews Gabe about his perspectives on his long recovery process, the help he received from the rehab team along the way, and the life lessons he learned from the experience. This Is Physiatry is a podcast that aims to spread awareness of the wonderful specialty of Physical Medicine and Rehabilitation (PM&R). This podcast is brought to you by the AAP's Medical Student Council (MSC).
This month, Tara DuPont, MD, and host Paul Wirkus, MD, FAAP, will discuss neonatology. In week one, they will discuss the importance of communication between the NICU and providers. Have a question? Email questions@vcurb.com. Your questions will be answered next week.Want more information about Common Problems in Pediatrics, June 3-4, 2025? Register now. For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
La ictericia neonatal es una condición en la que la piel y los ojos de un recién nacido se tornan de color amarillo. La Academia Americana de Pediatría (AAP) recomienda evaluar los niveles de bilirrubina de un bebé entre 24 y 48 horas después del nacimiento. Es importante conocer los factores de riesgo y las pruebas diagnósticas para la hiperbilirrubinemia y de esto y mucho más, hablamos con nuestro invitado en este episodio de Pediatras en Línea, el Dr. Edson Ruiz. El Dr. Ruiz es médico cirujano egresado de la Universidad Autónoma de Tamaulipas (Matamoros, México). Realizó la especialidad de Pediatría en la Universidad de Texas Tech University Health Science Center El Paso y la subespecialidad en Medicina Neonatal-Perinatal en la Universidad de Tennessee Health Science Center Memphis. Actualmente se desempeña como Profesor Asistente de la Universidad de Tennessee Health Science Center en Memphis, TN con práctica clínica en unidades de cuidados intensivos neonatales de tercer y cuarto nivel. Entre sus intereses clínicos se encuentran las enfermedades hematológicas en los recién nacidos y la reanimación neonatal avanzada en la sala de partos. El Dr. Ruiz está certificado como pediatra por la American Board of Pediatrics y es miembro activo del Tennessee Chapter of the American Academy of Pediatrics y de la American Academy of Pediatrics. En su tiempo libre disfruta de pasar tiempo con su familia y de viajar a ciudades con un importante pasado histórico. Guías para el diagnóstico y manejo de la hiperbilirrubinemia en el recién nacido: Clinical Practice Guideline Revision: Management of Hyperbilirubinemia in the Newborn Infant 35 or More Weeks of Gestation . Click or tap if you trust this link." style="color:blue;">Clinical Practice Guideline Revision: Management of Hyperbilirubinemia in the Newborn Infant 35 or More Weeks of Gestation | Pediatrics | American Academy of Pediatrics ¿Tienes algún comentario sobre este episodio o sugerencias de temas para un futuro podcast? Escríbenos a pediatrasenlinea@childrenscolorado.org.
Tariffs and tech take Joe Tigay's focus on today's Big 3. He talks about why Alphabet (GOOGL) is a buy despite its pullback, Advance Auto Parts' (AAP) rally after the auto tariffs announcement and how Amazon (AMZN) is at the "crossroads" between the American consumer and A.I. Kevin Green turns to the technicals in each chart.======== Schwab Network ========Empowering every investor and trader, every market day.Subscribe to the Market Minute newsletter - https://schwabnetwork.com/subscribeDownload the iOS app - https://apps.apple.com/us/app/schwab-network/id1460719185Download the Amazon Fire Tv App - https://www.amazon.com/TD-Ameritrade-Network/dp/B07KRD76C7Watch on Sling - https://watch.sling.com/1/asset/191928615bd8d47686f94682aefaa007/watchWatch on Vizio - https://www.vizio.com/en/watchfreeplus-exploreWatch on DistroTV - https://www.distro.tv/live/schwab-network/Follow us on X – https://twitter.com/schwabnetworkFollow us on Facebook – https://www.facebook.com/schwabnetworkFollow us on LinkedIn - https://www.linkedin.com/company/schwab-network/About Schwab Network - https://schwabnetwork.com/about
In this episode, the Payments Professor, Kevin Olsen, speaks with Ashley Mustico from Nacha about the AAP (Accredited ACH Professional) accreditation. They discuss the importance of the AAP in the electronic payments industry, the journey into electronic payments, the benefits of obtaining the AAP for both individuals and organizations, the format and preparation for the AAP exam, and what to do after passing the exam, including maintaining the accreditation. The conversation emphasizes the value of education and professional development in the payments industry. Takeaways: Nacha governs the ACH network and offers accreditations. The AAP accreditation signifies expertise in the ACH network. Individuals should pursue AAP after gaining at least two years of payment experience. Getting an AAP can enhance career prospects and salary. Organizations benefit from having AAPs on staff for compliance and risk management. The AAP exam consists of 120 multiple-choice questions, with 100 scored. Candidates can find out if they passed the exam on the same day. Preparation through Payments Associations significantly increases the chances of passing. Continuing education is required to maintain AAP accreditation every five years. Celebrating the achievement of AAP is essential for personal and professional growth. Learn more from the Payments Professor "We make learning about payments rules and regulations fun and easy!" www.PaymentsProfessor.com
This is the week when your questions are answered about OCD in the pediatric population. Listen into the conversation with Kristi Kleinschmit, MD, talks to host Paul Wirkus, MD, FAAP.Want more information about Common Problems in Pediatrics, June 3-4, 2025? Register now. For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This is the Catchup on 3 Things by The Indian Express and I'm Flora Swain.Today is the 25th of March and here are the headlines.Finance Minister Nirmala Sitharaman's Budget 2025-26 ReplyIn her reply to the Finance Bill debate, Finance Minister Nirmala Sitharaman highlighted that the 2025-26 Union Budget offers "unprecedented tax relief" to honor taxpayers and aims to boost domestic production and enhance export competitiveness. She emphasized the introduction of provisions and reforms via the Finance Bill, hoping for their discussion in the upcoming Monsoon session. Sitharaman also noted that the new Income Tax Bill will be taken up for detailed discussion during Parliament's next Monsoon session.Mumbai Police Summon Comedian Kunal Kamra Over Eknath Shinde RemarksAmid controversy over comedian Kunal Kamra's remarks about Maharashtra Deputy CM Eknath Shinde, Mumbai police have summoned Kamra for questioning. The remarks, calling Shinde a ‘traitor' during a stand-up show, sparked public debate. Kamra, who lives in Puducherry, has been asked to appear before the Khar police by 11 am Tuesday. In response, Shinde acknowledged the importance of freedom of expression but stressed that satire should have its limits. Shiv Sena workers also vandalized the Mumbai studio where Kamra performed.Delhi CM Rekha Gupta Unveils BJP's First Budget in 26 YearsOn Tuesday, Delhi Chief Minister Rekha Gupta presented the BJP's first budget for the national capital in 26 years. With a record allocation of ₹1 lakh crore for 2025-26, the budget reflects a 31.5% increase over the previous year. Gupta focused on key areas like infrastructure, roads, water, and electricity, aiming to transform Delhi into a "Viksit Delhi." Criticizing the AAP government's record, she promised modern expressways and congestion-free corridors, vowing to reshape Delhi's infrastructure.Second Body Found in SLBC Tunnel Collapse in TelanganaRescue teams on Tuesday recovered a second body from the site of the SLBC tunnel collapse in Telangana's Nagarkurnool district. The body was found 50 meters from the original collapse site, where eight workers were trapped on February 22. One body was recovered on March 9, identified as Gurpreet Singh from Punjab. The Telangana government had decided to continue search operations, leading to the discovery of the second body the following day, though the identity remains unknown.Journalist Accidentally Added to US Military Strike Chat on SignalIn a major security breach, journalist Jeffrey Goldberg, editor-in-chief of The Atlantic, was accidentally added to a private Signal chat about secret US military plans targeting the Houthi rebels in Yemen. The chat included senior Trump administration officials, such as Vice President JD Vance and Defense Secretary Pete Hegseth, discussing classified operations. Although Signal is encrypted, it's not approved for sharing sensitive government information. Goldberg deleted the sensitive material, but the incident raised questions about security and accountability in government communications.That's all for the today. This was the CatchuUp on 3 Things by The Indian Express.
In this timely discussion, Dr. Jennifer Reid listens in as Dr. Megan Moreno, Co-Medical Director for the AAP's Center of Excellence on Social Media and Youth Mental Health, challenges the outdated "addiction" narrative and reveals a transformative framework that empowers both parents and adolescents. Drawing from 15+ years of research at the intersection of technology and teen health, Dr. Moreno offers a refreshingly nuanced roadmap for families navigating the complex digital landscape—where the goal isn't to simply limit screen time, but to foster healthy, balanced relationships with technology in a world where screens are unavoidable.Key Points* Moving Beyond the "Addiction" Framework* Youth have grown weary of the addiction framework for social media use* The term "addiction" makes teens feel powerless* Focus instead on empowering conversations where teens feel they have control* Understanding Problematic Use* Three key aspects of problematic technology use:* Content: Repeatedly seeking harmful or inaccurate content* Crowding Out: When technology displaces important activities (sleep, relationships, schoolwork)* Relationship with Technology: Feeling anxious or unable to disconnect* The "Digital Native" Challenge* Today's adolescents are "digital natives" interacting with screens from a young age* Parents need to model healthy online-offline balance* Self-imposed limits can be effective role modeling* Identity Development Online* Teens use social media as part of identity development* They often "try out" new identities, hobbies, or friendships online* Multiple platforms allow teens to curate different aspects of their identity* Vulnerability Factors* Some teens are more vulnerable to negative effects of social media* Pre-existing mental health conditions can make online experiences more challenging* Strong offline support systems help mitigate negative online experiences* The Five C's Framework for Healthy Media Use* Child: Understanding each child's unique needs and characteristics* Content: Focusing on the quality and type of media being consumed* Calm: Building diverse tools for emotional regulation beyond screens* Crowding Out: Ensuring media doesn't displace essential activities like sleep* Communication: Maintaining open dialogue about technology use* Parental Guidance Approach* Parents can be curious learners alongside their teens* Focus on transferable skills: treating others well, maintaining safety, setting boundaries* Ask questions from a place of curiosity rather than judgmentResources Mentioned* American Academy of Pediatrics Family Media Plan tool (or Google "AAP Family Media Plan")* Common Sense Media for app and game reviews* The five C's framework: Child, Content, Calm, Crowding Out, Communication* American Academy of Pediatrics Center of Excellence on Social Media and Youth Mental HealthGuest: Dr. Megan Moreno - Professor of Pediatrics and Affiliate Professor of Educational Psychology at the University of Wisconsin-Madison; Academic Chief for the Division of General Pediatrics and Adolescent Medicine; Principal Investigator of the Social Media and Adolescent Health Research Team. Dr. Moreno has authored over 200 research articles as well as written and edited several textbooks. She is particularly interested in incorporation of youth voice in research, dissemination of research to reach teens and families, and the impact of research on clinical practice and policy. Dr. Moreno currently serves as the Co-Medical Director for the AAP's Center of Excellence on Social Media and Youth Mental Health.Ongoing ResearchDr. Moreno mentioned a current study examining the impact of social media on adolescent brain development using functional MRI scans to better understand how teen brains process information from social media over time.Dr. Reid on Instagram: @jenreidmd and LinkedInAlso check out Dr. Reid's regular contributions to Psychology Today: Think Like a Shrink.Thanks for reading A Mind of Her Own and listening to The Reflective Mind podcast! Subscribe for free to receive new posts and support my work.Seeking a mental health provider? Try Psychology TodayNational Suicide Prevention Lifeline: 1-800-273-8255Dial 988 for mental health crisis supportSAMHSA's National Helpline - 1-800-662-HELP (4357)-a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders.Disclaimer:The views expressed on this podcast reflect those of the host and guests, and are not associated with any organization or academic site.The information and other content provided on this podcast or in any linked materials, are not intended and should not be construed as medical advice, nor is the information a substitute for professional medical expertise or treatment. All content, including text, graphics, images and information, contained on or available through this website is for general information purposes only.If you or any other person has a medical concern, you should consult with your health care provider or seek other professional medical treatment. Never disregard professional medical advice or delay in seeking it because of something that have read on this website, blog or in any linked materials. If you think you may have a medical emergency, call your doctor or emergency services (911) immediately. You can also access the National Suicide Help Line at 1-800-273-8255 or call 988 for mental health emergencies. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit amindofherown.substack.com
In week three, you'll hear the discussion about second-line treatments and other resources for children with OCD and their families. Join the conversation with Kristi Kleinschmit, MD, talks to host Paul Wirkus, MD, FAAP. Have a question? Email questions@vcurb.com. Your questions will be answered next week.Want more information about Common Problems in Pediatrics, June 3-4, 2025? Register now. For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Is your teen struggling in school, but you're hitting roadblocks trying to get them the support they need? The IEP (Individualized Education Program) process can be overwhelming—especially for minority parents facing additional challenges. In this episode, I sit down with Maria Davis-Pierre, a licensed mental health counselor, autism advocate, and founder of Autism in Black. Maria shares her personal journey navigating the special education system for her neurodivergent children and exposes the hidden biases that often prevent Black and minority children from getting the right diagnosis and accommodations. She also provides practical strategies for parents to advocate effectively, empower their teens, and navigate the IEP process with confidence. WHAT YOU'LL LEARN IN THIS EPISODE The biggest mistakes parents make when advocating for their child's IEP—and how to avoid them Why Black and minority children are often mislabeled as behavioral problems instead of receiving proper support How to involve your teen in their IEP process and teach them self-advocacy skills The hidden biases in school support systems that every parent should know about 5 KEY TAKEAWAYS FOR PARENTS OF TEENS Know Your Rights – Understanding the IDEA (Individuals with Disabilities Education Act) is crucial for effective advocacy. Cultural Bias Exists – Many minority children are misdiagnosed or overlooked, making advocacy even more critical. Empower Your Teen – Teens who participate in their own IEP process develop stronger self-advocacy skills for the future. Leverage Their Strengths – Connecting accommodations to your teen's interests can make learning more engaging. Give Yourself Grace – The IEP process is challenging, but you are your child's best advocate.
Bayaan on 16th March 2025 1. Umm e Sulaim (rad) Huzoor (saw) ke pasine ko jamaa karti thi 4:45 2. Huzoor (saw) ko Oud, Mushk, Ambar khushboo pasand thi 8:00 3. Sahaaba sabse zyaada khushboo par kharch karte the 10:30 4. Imaam Shafi (rah) ka qaul hai: Jiski khushboo umdaa hoti hai, uski aqal behtar hoti hai 13:20 5. Aap (saw) ki khushboo ki barkatein 16:00 6. Imaan wale ki rooh, itr ki sheeshi hai 17:15
Episode 2618: Vinnie Tortorich speaks to Drs. Laura Buchanan and Matt Calkins, who are refuting the guidelines regarding metabolic health, and more. https://vinnietortorich.com/2025/03/refuting-the-guidelines-episode-2618 PLEASE SUPPORT OUR SPONSORS YOU CAN WATCH ALL THE PODCAST EPISODES ON YOUTUBE - Refuting the Guidelines They discuss various issues with some online “doctor” personalities. (2:00) Laura and Matt are among several reputable doctors who are refuting the nutritional guidelines for children by the American Academy of Pediatrics. (22:30) The AAP thinks a low carb diet in children is nutritionally deficient and can cause disordered eating. Multiple reputable doctors have spoken out against the AAP's recommendations as many studies refute the AAP's claims. The current "standard of care" can increase blood sugar in children. (24:00) The use of keto/low-carb is an option for therapeutic purposes. (31:00) Jim Abrams and the Charlie Foundation are an example of the ketogenic diet being used for treatment. James shares the current health statistics for children: 20% are obese, 30% are prediabetic, and 20% also have fatty liver disease. NAFLD is now the leading cause of cirrhosis of the liver. (36:30) Vinnie reviews some of the history of various health commissions over the decade. (42:00) They review the current guidelines for Type 1 diabetes. (47:30) Laura discusses the challenges of the recommended guidelines on kids with Type 1 diabetes, including a reduced lifespan. Reducing carb intake can reduce the amount of insulin needed per dose. Saving Medical Costs Company Wellness Program that they have started doing. Laura shares the improvement results in various conditions in over 50 patients. The employer is pleased as it no longer needs to pay out as much for medications monthly. On average, this employer is saving $1700 per employee. GLP-1s: What is their stance? (1:02:15) Dr Laura Buchanan and Dr Matt Calkins are licensed in almost all 50 states to provide telemedicine. https://toward.health IG/ X @laurabuchananmd X @mattcalkinsmd More News If you are interested in the NSNG® VIP group, closed for registration, but you can get on the wait list - Don't forget to check out Serena Scott Thomas on Days Of Our Lives on the Peacock channel. “Dirty Keto” is available on Amazon! You can purchase or rent it . Make sure you watch, rate, and review it! Eat Happy Italian, Anna's next cookbook is available! You can go to You can order it from . Anna's recipes are in her cookbooks, website, and Substack–they will spice up your day! Don't forget you can invest in Anna's Eat Happy Kitchen through StartEngine. Details are at Eat Happy Kitchen. There's a new NSNG® Foods promo code you can use! The promo code ONLY works on the NSNG® Foods website, NOT on Amazon. https://nsngfoods.com/ [the_ad id="20253"] PURCHASE DIRTY KETO (2024) The documentary launched in August 2024! Order it TODAY! This is Vinnie's fourth documentary in just over five years. Visit my new Documentaries HQ to find my films everywhere: Then, please share my fact-based, health-focused documentary series with your friends and family. Additionally, the more views, the better it ranks, so please watch it again with a new friend! REVIEWS: Please submit your REVIEW after you watch my films. Your positive REVIEW does matter! PURCHASE BEYOND IMPOSSIBLE (2022) Visit my new Documentaries HQ to find my films everywhere: REVIEWS: Please submit your REVIEW after you watch my films. Your positive REVIEW does matter! FAT: A DOCUMENTARY 2 (2021) Visit my new Documentaries HQ to find my films everywhere: FAT: A DOCUMENTARY (2019) Visit my new Documentaries HQ to find my films everywhere:
Infants born by vaginal birth are exposed to maternal vaginal bacteria, which are one of the contributing influences on the subsequent development of the infant's microbiome. This process is altered by cesarean delivery, which changes the initial microbiome of the neonate. It is theorized that infants born by cesarean delivery have an increased risk of chronic inflammatory conditions due to altered early-life microbiome colonization, with associated aberrant immune and metabolic development. Vaginal seeding is the practice of inoculating an infant born by cesarean section with a sampling of fluid, with the use of a guaze, from the vagina of the mother over the child's face, mouth, and nares. This is performed to introduce the neonate to the mother's vaginal flora for presumed better health outcomes. Although cautionary statements have been published about this practice, it remains very popular. In Feb 2025, a “viewpoint” was published in JAMA Pediatrics which has brough vaginal seeding back into the limelight. Does this work? What are the official statements about this from the ACOG and AAP? Is there a way to do this “safely”? We will cover this new publication, review the official professional society's statements….and more, in this episode.
This week, Kristi Kleinschmit, MD, talks to host Paul Wirkus, MD, FAAP, about Obsessive-compulsive disorder in pediatric patients. This week, they will discuss treatment options for your patients.Have a question? Email questions@vcurb.com. Your questions will be answered in week four.Want more information about Common Problems in Pediatrics, June 3-4, 2025? Register now. For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Join hosts J.D. Barker, Christine Daigle, Jena Brown, and Kevin Tumlinson as they discuss the week's entertainment news, including stories about AAP sales, London Book Fair 2025, and nonfiction paperbacks. Then, stick around for a chat with Marshall Karp!Marshall Karp - I was born in New York City on June 4 in one of those old-timey years before they invented color TV.I was always a writer—letters, parody songs, stories, skits, fun stuff—but I had no idea I could make a living at it, so I entered Rutgers with a grand plan. I was going to be a dentist.Me—a man with all the manual dexterity of a drunken monkey—a dentist. Fortunately the universe intervened. I flunked freshman biology. So I started writing for the school newspaper.After college I fell into advertising. My girlfriend at the time was a copywriter at an ad agency, and I figured, that sounds cool. So much for career planning.Short version of that 20-year career—I was very successful, but in advertising, the punishment for being a good writer is to promote you and tell you not to write. Before long I had a big title, a big office, and I supervised a hundred people. I was the boss, and all I could think was, “is this all there is?”So I started writing at night. The short version of the next twenty years is that I wrote a play, did a stint in Hollywood writing sitcoms, wrote and produced a feature film, returned to advertising and caught the dotcom wave, and finally the ultimate writer's dream, these books.I recently wrote about that twenty-year journey on quora.com in response to the question What is the single insight that most changed your life? When the post got tens of thousands of views, I sensed I'd hit a nerve. When it hit a million, I realized I'd struck the mother lode.On a personal note, I'm married, with a son, a daughter, a grandson, and a dog. I live a hundred miles north of New York City in a small town in the mid-Hudson Valley. I love what I do, and I'm grateful for the feedback I get when I do it.And like I said at the top, it's been a great life so far.
Why is Bhagwant Mann suddenly on edge? The ongoing Kisan Andolan appears to be shifting against Arvind Kejriwal and the AAP government, creating fresh political challenges in Punjab. With farmers voicing their dissatisfaction and tensions rising, AAP finds itself caught in a tough spot. Is this just another protest, or does it signal a deeper crisis for the party? How will this impact Bhagwant Mann's leadership and AAP's future in Punjab? Join Baba Ramdas and Sanjay Dixit as they unpack the growing unrest, the demands of the farmers, and the potential fallout for Punjab's political landscape.
In this episode, we tackle the important issue of childhood sexual abuse and how to help prevent it. By educating ourselves as parents, we can provide our children with the tools they need to protect themselves.• Discuss the prevalence of childhood sexual abuse statistics • Explore the need for children to know proper terminology for body parts • Encourage open lines of communication about consent and boundaries Let's work together to change statistics and protect our children.Here is the full article from AAP:https://www.contemporarypediatrics.com/view/aap-tips-for-teaching-children-about-body-boundaries-and-safetyEmail me at info@parentingdecoded.com or go to my website at www.parentingdecoded.com. Have a blessed rest of your day!
Our March Leadership Series kicks off on The Association Insights Podcast with Brandie Thacker, AAP, CAE, MBA, President & CEO of EPCOR. Brandie's leadership journey—from communications and marketing to the C-suite—offers valuable lessons for association professionals navigating change, strategy, and member engagement.With nearly two decades in the payments industry, Brandie shares how she transitioned into her CEO role, the challenges and opportunities facing EPCOR, and how she's fostering a culture of trust, transparency, and innovation.Key Highlights:From Comms to CEO – Brandie shares her career path and how her background in communications shapes her leadership approach.Balancing Strategy & Execution – How she's shifting from a departmental focus to leading EPCOR's big-picture vision while keeping teams aligned.Navigating Industry Change – With rapid advancements in payments technology, how EPCOR is helping members stay ahead.Member-Centric Innovation – How EPCOR is using AI, data, and new tech to better serve members and personalize engagement.The Future of Association Leadership – Brandie's take on what association leaders must prioritize to stay relevant and drive impact.
This month, Kristi Kleinschmit, MD, is back to talk to host Paul Wirkus, MD, FAAP, about Obsessive-compulsive disorder in pediatric patients. They will discuss OCPD and OCD and share tips for what to look for in your patients. Have a question? Email questions@vcurb.com. Your questions will be answered in week four.Want more information about Common Problems in Pediatrics, June 3-4, 2025? Register now. For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This week, host Pratyush Deep is joined by Newslaundry reporters Avdhesh Kumar and Basant Kumar.Avdhesh reported on how voters in Delhi's 12 reserved seats voted in the recent polls. He explains that despite the AAP's massive defeat, a large section of Dalit voters continued to vote for the party.Basant was on the ground in Prayagraj reporting on the stampede at the Mahakumbh. He says the Uttar Pradesh government wasn't being transparent about the actual death toll, and that it failed to manage the crowds that day. Tune in.Timecodes00:00:00 - Introduction00:01:17 - Delhi's reserved seats00:16:06 - Death toll in Kumbh00:38:57 - RecommendationsRecommendationsAvdheshDelhi के जेबकतरे कैमरे पर क्या बोले? सुनिए नशे और चोरी की कहानी, कैसे करते हैं पुलिस से डील?BasantSanam Teri KasamPratyushScam Inc from The EconomistJailed for ‘kidnapping' her own child, a homeless woman's long road to justiceProduced and edited by Saif Ali Ekram, recorded by Anil Kumar. Hosted on Acast. See acast.com/privacy for more information.
This is the Catchup on 3 Things by The Indian Express and I'm Ichha Sharma.Today is the 28th of February and here are this week's headlines.First, in news from the capital, the Delhi Government suffered a loss of Rs 2,002 crore due to the flawed excise policy for 2021-22, which was later scrapped. The policy aimed to eliminate monopolies, ensure fair liquor distribution, and prevent bootlegging. However, it was withdrawn after corruption allegations led to the arrests of key AAP leaders, including former CM Arvind Kejriwal and Deputy CM Manish Sisodia, by the CBI and ED. The Comptroller and Auditor General (CAG) highlighted these losses in a recent Assembly report.In another news making headline, India abstained from voting on two resolutions at the UN General Assembly, marking the third anniversary of the Russia-Ukraine conflict. The resolutions were supported by the US, Ukraine, and Europe, and both passed with 93 votes in favor. While India did not support the resolution demanding Russian withdrawal, it did not oppose the motion on Ukraine's sovereignty and territorial integrity. India was one of 65 countries that chose not to vote on the European-backed resolution.Meanwhile, the central government opposed petitions seeking a lifetime ban on convicted politicians from contesting elections, arguing in the Supreme Court that a six-year disqualification is not unconstitutional. In its affidavit, the Centre stated that various penal laws impose penalties for a limited time to ensure deterrence while avoiding excessive harshness. The submission was in response to Advocate Ashwini Kumar Upadhyay's plea challenging the constitutional validity of Sections 8 and 9 of the Representation of the People Act, 1951. Section 8 mandates a six-year disqualification post-release for those convicted of specified offences.In news from the North, the Uttarakhand High Court reviewed provisions of the Uniform Civil Code (UCC) amid a public interest litigation. The court questioned the state's ability to make changes to the UCC, particularly regarding mandatory live-in registrations. Senior advocate Vrinda Grover argued that the UCC imposes unnecessary surveillance, as information about individuals is sent directly to local police stations. The court also questioned whether the UCC grants police powers for domiciliary visits, which it found to be a potential violation of rights.In global headlines this week, US President Donald Trump announced plans to impose a 25% tariff on European Union imports, particularly targeting cars. Trump criticized the EU, claiming it was "formed to screw the United States." He pointed out the EU's higher tariffs and value-added taxes, which are significantly steeper than those in the US. The announcement comes amid ongoing trade tensions between the US and the EU, with officials raising concerns over European taxation policies.This was the Catch Up on 3 Things by The Indian Express
This is our last week discussing celiac disease. In this episode, listener questions will be answered. Listen to the discussion between host Paul Wirkus, MD, FAAP, and Anna Ermarth, MD.Want more information about the Common Problem in Pediatrics conference being held virtually June 3-4, 2025? Get more all the details here. For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Send us a textIn this episode, I had the pleasure of speaking with Dr Shayla Percy, who is now a third year Neonatology fellow UPMC Children's Hospital of Pittsburgh. Shayla described her QI project and the steps she took with her team to improve detection and management of metabolic disease of prematurity. She talked about the team work and the support from her mentors that set her up for a successful project. We also talked about some of the challenges that she experienced and how she tackled it. Shayla completed QI courses during the fellowship and also won the AAP young investigator award for her project. Shayla shared her experience presenting her work at AAP and provided insights to future incoming fellows who might be interested in a similar research pathway. As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!
This week, pediatric celiac disease treatment options will be discussed. Listen in to host Paul Wirkus, MD, FAAP, and Anna Ermarth, MD.Have a question? Email questions@vcurb.com. Your questions will be answered next week. For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.