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Mary Katharine Ham, FOX News Contributor, Outkick columnist, and co-author of End of Discussion, joined The Guy Benson Show today to respond to shocking comments from Whoopi Goldberg and The View saying that the U.S. is just as "bad" for "black people" as it is to be gay in Iran. Ham blasted the left and argued that the left often prioritizes ideological loyalty over honest conversation. She also reacted to President Obama's latest speech attacking Trump, despite Obama's own 9-0 losses in the courts, and weighed in on the AAP's failed Supreme Court challenge against Tennessee's law blocking transgender surgeries for minors. Listen to the full interview below! Learn more about your ad choices. Visit podcastchoices.com/adchoices
This Week on The Virtual Curbside: Containing Measles – What Works and What Doesn't In this episode, we focus on containing the spread of measles—what pediatricians need to know about effective infection control, public health coordination, and common missteps. Host Dr. Paul Wirkus and Andy Pavia, MD along with TW Jones, MD, and Mary Fortini, DO also tackle the misunderstood role of Vitamin A in measles treatment, dispelling myths and clarifying where it fits (and doesn't) in clinical practice.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.
AAP's Joel Gould joins Afternoons and gives us the latest ahead of Game II from the Maroons including Choppy Close's comments about the Maroons, potential Maroons coach replacements and the excitement around the Dolphins in 2025. Learn more about your ad choices. Visit megaphone.fm/adchoices
This week, host Avdhesh Kumar is joined by Newslaundry's Sumedha Mittal, BBC's Abhinav Goel and reporter Akansha Kumar. Abhinav presents an in-depth report on the true death toll of the Mahakumbh Mela tragedy that happened in January. While the Uttar Pradesh government has officially acknowledged 37 deaths due to the stampede, BBC's investigation has uncovered at least 82 fatalities so far. Despite government promises, many of the victims' families have yet to receive the promised compensation.Akansha uncovers allegations of police impunity in Kaushambi in Uttar Pradesh. Her deep dive into police encounters in Uttar Pradesh reveal chilling accounts from families who lost loved ones in suspected extrajudicial killings.Several families allege that police not only carried out unlawful encounters but also attempted to silence them with bribes. Many of these encounters took place in the same location: Goonghwa Ka Bagh in Kaushambi. Affected families are running from pillar to post in their fight for justice and accountability.Meanwhile, Sumedha brings a sharply different story from Delhi. Since his appointment as Lieutenant Governor in May 2022, VK Saxena was known for publicly targeting the AAP-led government over civic issues. However, his stance appears to have softened following the BJP's rise to power in February 2025.Sumedha's report explores this shift in tone – tracing how the LG's confrontational approach has evolved and what it reveals about the changing political dynamics in the capital.Timecodes00:00:00 - Introduction00:01:04 - Beyond 82: The Controversy Over Kumbh Stampede Casualties00:31:20 - Encounter Raj in UP: A Deep Dive into Its Persistent Reality00:52:24 - Dynamics Between Delhi's LG and the Ruling Party: An observer's view00:59: 58 - RecommendationsRecommendationsAbhinavThe Unwomanly Face of WarThe Sharp Knife of MemorySumedha Rahul Gandhi writes: Match-fixing MaharashtraToday in Politics: Congress to make people aware of Rahul's ‘fixing polls claims' with processions across MaharashtraAkansha Among the Trolls: My Journey Through ConspiracylandAvdheshDr. Ambedkar: Life And MissionProduced and edited by Hassan Bilal and Tista Roy Chowdhury, recorded by Anil Kumar. Hosted on Acast. See acast.com/privacy for more information.
Barsaat Ki Raat – 1960 की वो फ़िल्म जो आज भी इश्क़ की बारिश बनकर दिलों पर बरसती है।इस एपिसोड में मैं, Nidhi Sharma, आपको ले चलूंगी एक ऐसी रोमांटिक और सूफ़ियाना सफर पर, जिसमें हैं शेरो-शायरी, मोहब्बत, और अदाकारी |हम बात करेंगे:Bharat Bhushan और Madhubala की दिल छू लेने वाली अदाकारी कीSahir Ludhianvi की बेमिसाल शायरी और गानों कीRoshan के संगीत की जादूगरी कीऔर इस फिल्म की cultural legacy की, जो आज भी ज़िंदा हैअगर आप हैं old Bollywood के दीवाने, तो ये एपिसोड आपको ज़रूर सुनना चाहिए।
Khat उस के ख़त रात भर यूं पढ़ता हूंजैसे कल इम्तिहान हो मेरा- ज़ुबैर अली ताबिशKya pyaar ko zinda rehne ke liye mulaqaaton ki zaroorat hai? Kya hazaaron meel ke faasle do dilon ko alag kar sakte hain?
In this episode, we go beyond the clinical basics to explore the history of measles, common complications, and current approaches to diagnosis and management. Our guests also tackle the rise in misinformation and share strategies for having effective, empathetic conversations with families about measles and the MMR vaccine. Listen to the fascinating discussion with host Dr. Paul Wirkus, who is joined by TW Jones, MD, Andy Pavia, MD, and Mary Fortini, DO.Have a question? Email questions@vcurb.com. Your questions will be answered in week four.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 special Tech Tuesday episode of The Incubator Podcast, Ben and Daphna sit down with Dr. Joanna Parga-Belinkie—neonatologist, author, and co-host of the AAP's Pediatrics on Call podcast. They dive into her new book, The Baby Bonding Book: Connecting with Your Newborn, a resource designed to demystify early parenting through a blend of evidence-based guidance and real-world experience.Joanna shares how her background in neonatology and her work in both NICU and newborn nursery settings shaped the stories and structure of the book. The conversation highlights the overwhelming amount of information modern parents face, and how the book's approachable format aims to reduce stress and empower bonding. The team discusses the science behind early relational health, how clinicians can better support families, and the importance of maintaining humanity in both parenting and medical practice.Whether you're a parent, provider, or someone interested in pediatric health communication, this episode offers insights into bridging clinical knowledge with compassionate storytelling—and why it's critical for both family well-being and professional growth. 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!
In 2019, a study from Denmark by Hviid, et al, purported to demonstrate that there was no link between the MMR vaccine and autism, even among genetically susceptible populations.The study was strongly critiqued at the time, and now, journalist Jeremy R. Hammond, along with Dr. Brian Hooker and Dr. Jeet Varia, has published a paper that addresses the serious flaws in Hviid et al, in the Journal of Biotechnology and Biomedicine. I talk with Jeremy about Hviid et al, and about his own paper, and about the state of research into the connection between vaccines and autism more broadly.Links:Hviid et al. 2019Jeremy's paperThis article summarizes key points from Jeremy's paper:I discussed medical licensing with Jeremy here.Jeremy exposes the WaPo's Lena Sun here....and the AAP's “vaccines do not cause autism” claim, here.Jeremy's book, "The War on Informed Consent" is one of the most concise and informative works on the suppression of science and discussion regarding vaccines.https://www.jeremyrhammond.com/product/the-war-on-informed-consent/You can find Jeremy here, and here.
Ghilaaf तुम फ़क़त जिस्म ढाँप सकते होचाहिए रूह का ग़िलाफ़ मुझे- Altaf BabarKya aap bhi apni zindagi mein alag-alag kirdaar nibhate hain? Kya kabhi aapne socha hai ki kyun hum rishton mein, paristhitiyon mein 'Ghilaaf' yaani ek mask, ek cover, ek parat odh lete hain?
Measles was once considered nearly eliminated in North America - but in recent years, cases have reemerged across the U.S. and Canada, raising serious public health concerns. In this episode, host Dr. Paul Wirkus is joined by Mary Fortini, DO, TW Jones, MD and Andy Pavia, MD to explore the factors driving the resurgence of measles in 2025. They'll cover current epidemiology, outbreak trends, and what pediatric providers need to know to stay alert and prepared.Tune in for a timely, informative conversation to help you recognize risk, protect your patients, and respond effectively in the face of rising measles cases.Have a question? Email questions@vcurb.com. Your questions will be answered in week four.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.
Zarrar Khuhro comes back on TPE to discuss Godi Media, Narendra Modi's narrative trap, India's failed media and foreign policy, Marvel vs DC, Nuclear Blackmail, Palestine, Major Gaurav Arya, Moeed Pirzada, Fake news and more.Is Narendra Modi India's Zia-ul-Haq?Will the world see many more Gazas?Wil this conflict change Pakistan?Find out this and more in this week's episode of The Pakistan Experience.Zarrar Khuhro is a journalist and the co-host of Dawn's show "Zara Hat Kay".The Pakistan Experience is an independently produced podcast looking to tell stories about Pakistan through conversations. Please consider supporting us on Patreon:https://www.patreon.com/thepakistanexperienceTo support the channel:Jazzcash/Easypaisa - 0325 -2982912Patreon.com/thepakistanexperienceAnd Please stay in touch:https://twitter.com/ThePakistanExp1https://www.facebook.com/thepakistanexperiencehttps://instagram.com/thepakistanexpeperienceThe podcast is hosted by comedian and writer, Shehzad Ghias Shaikh. Shehzad is a Fulbright scholar with a Masters in Theatre from Brooklyn College. He is also one of the foremost Stand-up comedians in Pakistan and frequently writes for numerous publications. Instagram.com/shehzadghiasshaikhFacebook.com/Shehzadghias/Twitter.com/shehzad89Join this channel to get access to perks:https://www.youtube.com/channel/UC44l9XMwecN5nSgIF2Dvivg/joinChapters:0:00 Introduction2:50 Superman Trailer6:30 India has been gripped by mass hysteria11:18 Indian Social Media and Foreign Policy20:44 Nuclear Blackmail24:20 Godi Media and disinformation26:30 The need for talks and futility of life29:42 Narendra Modi's narrative trap34:20 Delusional Godi Media38:23 Moeed Pirzada, Adil Raja and Imran Riaz Khan44:00 Will this conflict change Pakistan?46:00 Is India going through their Zia-ul-Haq era?51:08 Major Gaurav Arya and delusional Godi Media1:00:00 Aap nay toh hum par hee hamla kardia? - Stupid decision making1:04:50 Palestine1:12:22 The next generation, the left and the impact of Gaza1:19:40 Algorithmically designed lists and selling weapons1:23:31 Herero Genocide1:31:10 Self-hatred and being apologetic1:37:00 Human Rights, Democracy and Imran Khan1:41:32 Audience Questions
In this episode, Jacqueline sits down with Dr. Joanna Parga-Belinkie, a neonatologist and AAP spokesperson, to explore what truly builds a strong foundation between parents and their newborns. From NICU realities to bonding after surrogacy, this episode is a science-meets-heart deep dive into connection, communication, and ditching the pressure to “do it all.”What you'll learn:Why bonding isn't about perfection—it's about presenceHow early relational health impacts brain developmentThe science behind skin-to-skin contact and kangaroo careWhat to know about birth plans, baby gear, and bonding expectationsHow babies communicate through crying and cooingThe truth about sleep training, co-sleeping, and newborn needsWhy it's okay if love doesn't happen “at first sight”How your baby benefits from your support systemMisconceptions about newborn needs and bonding “rules”Why “you are enough” matters more than anything elseQuestions answered in this episode:What happens in the brain when a baby bonds with a caregiver?Is it possible to bond deeply if you didn't carry your baby?Does skin-to-skin actually do anything physiologically?What should you do if bonding doesn't happen right away?Are birth plans helpful—or harmful?Is it okay if I'm not a “baby-wearing mom”?Can babies really communicate through different cries?What's the science behind co-sleeping or sleep training?How can parents build trust and resilience in their baby?What do newborns really need most from us?Connect with Dr. Joanna Parga-Belinkie:Instagram: @jopargalinkiemdBook: The Baby Bonding Book: Connecting with Your NewbornAAP Parent Resource: HealthyChildren.orgConnect with the podcast:Facebook: Motherhood Intended CommunityInstagram: @motherhood_intendedLeave a review for the podcastApply to be a guest on the show!Send us a Text Message with questions, suggestions, or to just say hello!Support the showIf you're interested in helping give the absolute greatest gift to deserving intended parents, learn more about becoming a surrogate (and earn up to $650 just for taking the first few simple steps!): share.conceiveabilities.com/hello12
Faasle फ़ासले ऐसे भी होंगे ये कभी सोचा न थासामने बैठा था मेरे और वो मेरा न था वो कि ख़ुशबू की तरह फैला था मेरे चार-सूमैं उसे महसूस कर सकता था छू सकता न था- अदीम हाशमी
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.
प्रधानमंत्री मोदी ने किया गांधीनगर में रोड शो, जम्मू-कश्मीर के पहलगाम में हुई स्पेशल कैबिनेट की मीटिंग, AAP के पूर्व विधायक की ज़मानत याचिका खारिज, बढ़ाई गई ITR दाखिल करने की समयसीमा और उत्तर कोरिया ने की अमेरिकी की 'गोल्डन डोम' योजना की आलोचना. सिर्फ 5 मिनट में सुनिए शाम 7 बजे तक की बड़ी खबरें.
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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.
राजस्थान के बीकानेर पहुंचे PM मोदी, रूस और स्पेन समेत 5 अन्य देश पहुंचे सर्वदलीय डेलीगेशन, हिसार पुलिस को मिली ज्योति मल्होत्रा की 4 दिन की रिमांड, AAP ने जारी की पार्टी पदाधिकारियों की नई लिस्ट, वक्फ संशोधन कानून पर आज तीसरे दिन सुनवाई, 31 राज्यों और केंद्र शासित प्रदेशों में आंधी-बारिश का अलर्ट, अमेरिका में इजराइली दूतावास के दो कर्मचारियों की हत्या और IPL में आज गुजरात टाइटंस का सामना लखनऊ सुपर जाइंट्स से. सिर्फ 5 मिनट में सुनिए दोपहर 1 बजे तक की बड़ी खबरें.
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
जम्मू कश्मीर में संघर्षविराम जारी, जम्मू कश्मीर के कई इलाकों में छापेमारी कर रहे हैं सुरक्षाबल, दिल्ली नगर निगम में AAP के 15 नगर पार्षदों ने दिया इस्तीफा, फेमस यूट्यूबर देशद्रोह के आरोप में गिरफ्तार, दिल्ली में आज मौसम में अचानक बदलाव, हिमाचल प्रदेश में 12th के परिणाम घोषित और आज से IPL- 2025 फिर से शुरू किया जाएगा. सिर्फ़ 5 मिनट में सुनिए शाम 4 बजे तक की बड़ी खबरें.
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
It's gotta be one of the things my 0-6 month old clients panic about the most - SOLIDS. When to introduce them, what to introduce first, what about choking, what about allergies, what method...All. The. Things.Luckily for us, this week we're going to the American Academy of Pediatric's favorite baby feeding experts, Cinthia Scott, RD, IBCLC, and Dr. Krupa Playforth, MD, FAAP. Among other things, Cinthia & Dr. Playforth are co-authors of Baby Leads The Way, the AAP's brand new *official* evidence-based guide to introducing solids.You can pick up a copy of Baby Leads The Way here, and be sure to check out our guests on each of their respective Instagram channels: The Baby Dietitian and The Pediatrician Mom, for more practical tips on all things feeding and solids!Loved this episode? There is so much more where that came from:️Subscribe....leave a review....and share with your friends!Follow The Fun On IG: @BrittanySheehanSleepWork with me:Custom Sleep PlansSleep CoursesPotty Training & Parenting PlansThe B Hive Client Membership ProgramTake The Sleep QuizSay Hi: info@brittanysheehan.com
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?
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...
Welcome to Episode 45 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants! Show Notes for Episode 45 of “The 2 View” – All things toxicology: the intoxicated patient, propranolol overdose and suicide, snake bites, and a special guest. Segment 1 – The intoxicated patient Kaufman J, Fitzpatrick P, Tosif S, et al. Faster clean catch urine collection (Quick-Wee method) from infants: randomised controlled trial. BMJ. The BMJ. Published April 7, 2017. https://www.bmj.com/content/357/bmj.j1341 Kraaijvanger N, Raven W, van Dijken T, Gresnigt F. The PIRATE mnemonic: providing a structured approach in the care for intoxicated patients at the emergency department. Int J Emerg Med. Educational Advances in Emergency Medicine. BMC: Part of Springer Nature. Published March 1, 2024 https://intjem.biomedcentral.com/articles/10.1186/s12245-024-00606-4 Thiessen P. A simple new technique for collecting urine in infants. Thischangedmypractice.com. The University of British Columbia. Faculty of Medicine: This Changed My Practice (TCMP) by UBC CPD. Published November 18, 2015. https://thischangedmypractice.com/new-technique-for-collecting-urine-in-infants/ Van Oyen A, Barney N, Grabinski Z, et al. Urine Toxicology Test for Children With Altered Mental Status. Aap.org. Pediatrics. Case Reports. American Academy of Pediatrics: Dedicated to the Health of All Children. Published October 6, 2023. https://publications.aap.org/pediatrics/article/152/5/e2022060861/194346/Urine-Toxicology-Test-for-Children-With-Altered?autologincheck=redirected Segment 2 – Propranolol overdose and suicide Khalid MM, Galuska MA, Hamilton RJ. Beta-Blocker Toxicity. In: StatPearls. StatPearls Publishing. NIH: National Library of Medicine – National Center for Biotechnology Information. Published July 28, 2023. https://www.ncbi.nlm.nih.gov/books/NBK448097/ Srettabunjong S. Fatal Self-Poisoning With Massive Propranolol Ingestion in a Young Male Physician. Am J Forensic Med Pathol. PubMed®. NIH: National Library of Medicine – National Center for Biotechnology Information. Published September 2017. https://pubmed.ncbi.nlm.nih.gov/28691951/ Segment 3 – Snake bites Rohl S, Meredith M, Anderson, T, et al. Comparing the Use of Crotaline-Polyvalent Immune Fab (Ovine) Versus Observation in Children. Pediatric Emergency Care: Dedicated to the Care of the Ill or Injured Child. Lww.com. Published November 2024. https://journals.lww.com/pec-online/abstract/2024/11000/comparingtheuseofcrotalinepolyvalentimmune.19.aspx Snake bites. Wikem.org. WikiEM. Last edited March 17, 2021. https://wikem.org/wiki/Snake_bites Toxicology resources Goldfrank LR, Flomenbaum NE, Howland MA, et al. Goldfrank's Toxicologic Emergencies. 8th ed. McGraw-Hill Medical; 2006. Katz K, O'Connor A, Amaducci AM. EMRA and ACMT Medical Toxicology Guide: 2nd Edition.; 2022. National Poison Data System. Poisoncenters.org. America's Poison Centers: Treatment, Education, Prevention. Accessed April 9, 2025. https://poisoncenters.org/national-poison-data-system Poison Control: National Capital Poison Center. Poison.org. Accessed April 9, 2025. https://www.poison.org/ Segment 4 – Special guest: Nancy Denke, DNP, ACNP-BC, FNP-BC, FAEN, CEN, CCRN, of Arizona Linkedin.com. Accessed April 9, 2025. https://www.linkedin.com/in/nancy-denke-dnp-acnp-bc-fnp-bc-faen-a62851 Nancy Denke, DNP, ACNP-BC, FNP-BC, FAEN, CEN, CCRN, of Arizona. ENA Hall of Honor. Published July 26, 2024. Accessed April 9, 2025. https://hall-of-honor.org/nancy-denke PodBean Development. Talking Toxicology: A Recipe for Disaster (Nancy Denke). BCEN & Friends Podcast. PodBean. Published March 7, 2023. https://bcenandfriends.podbean.com/e/talking-toxicology-a-recipe-for-disaster-nancy-denke/ *Recurring Sources * Center for Medical Education. Ccme.org. http://ccme.org The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com Trivia Question: Send answers to 2viewcast@gmail.com Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at 2viewcast@gmail.com and tell us who you want to give a shout-out to. Be sure to listen in and see what we have to share!
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.
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.
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.
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.