Transitional stage of physical and psychological development
POPULARITY
Categories
Episode Summary Parenting a toddler feels like planting a garden in the middle of a windstorm—chaotic, messy, and loud. But it is also the most critical season for planting seeds that will last a lifetime. In this episode, Dave and Dante break down the "why" and "how" of discipling children ages 2–7. We're moving away from the pressure of perfection and leaning into the beauty of simple, faithful rhythms that point little hearts toward their Creator. Key Scriptures Deuteronomy 6:6-7 – The mandate to weave faith into the fabric of everyday life. Matthew 18:3 – Why the simplicity of a child's faith is the blueprint for our own. Numbers 6:24-26 – The power of the priestly blessing. 1 Corinthians 11:1 – Modeling faith for those who are always watching. What We Cover The Toddler's Spiritual World: Why their "concrete" thinking isn't a limitation, but a gift. We discuss why heart formation beats theological precision every time. Practical Rhythms: From morning gratitude to the transformative power of bedtime blessings. Discipling Through the Senses: Faith shouldn't just be heard; it should be seen, touched, and experienced. Learn how to translate big theology into language a 4-year-old understands. Modeling Over Teaching: You are your child's first "Bible." We get real about what happens when you blow it and how saying "I'm sorry" is a crucial discipleship tool. The Long View: Trusting the "compound effect" of small, consistent habits even when you don't see immediate fruit. Action Step for the Week The Bedtime Blessing: This week, we're keeping it simple. Whether you've never done it or just got out of the habit, commit to implementing a consistent bedtime prayer or blessing routine for your toddler. Speak the truth of God's love over them before they drift off to sleep. Connect With Us Join the Conversation: Have a toddler story or a struggle you want to share? Email us at dave@legacydads.org and dante@legacydads.org. You can also find us on Facebook Legacy Dads Online Community and Instagram. Next Episode: We're turning the page to Adolescents. Get ready for a shift in strategy as we talk about navigating the pre-teen years.
Editor's Summary by Linda Brubaker, MD, and Preeti Malani, MD, MSJ, Deputy Editors of JAMA, the Journal of the American Medical Association, for articles published from February 28-March 6, 2026.
There are a ton of misconceptions about therapy: who goes, what to expect, and more! After finding some, Dr. Raffa and Catarina take some time to debunk them.Welcome to Talk Therapy CBT | Conversation about Educating, Connecting, Helping Individuals to the World of Psychology.We would like to thanks our sponsor : Dr. Alba Raphaela, you can buy her book about : Breaking the Mirror : A Story & Guide on how to recognize and deal with a narcissist. https://www.amazon.com/dp/B09HFRNWYC/ref=cm_sw_r_apan_3NW8EE01F8A6G4KGNW56This podcast is sponsored by (https://www.innerbalancepsychology.com/) - Inner Balance Psychology Center, Psychological Treatment and Evaluations for Children, Adolescents and AdultsAs solution-focused therapists, our goal is to help you uncover your true potential and lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. By applying complementary therapy approaches and techniques, we will unearth long-standing behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life.Follow Us on Social Media:Blog : (https://www.innerbalancepsychology.com/blog/ )FAQs : ( https://www.innerbalancepsychology.com/faqs/ )Facebook : (https://www.facebook.com/ibpcllc)Instagram : (https://www.Instagram.com/innerbalancepsychology) Check out our website for more information : (https://www.innerbalancepsychology.com/) or email Dr. Raffa : (dawnraffa@innerbalancepsychology.com)This podcast is hosted by and produced by (https://www.innerbalancepsychology.com/) Please consider subscribing and sharing this episode if you found it entertaining or informative. If you want to go the extra mile, you can leave us a rating or review which helps the show with rankings and algorithms on certain platforms. you can leave us a review on Podchaser or Apple Podcasts Make sure you're subscribed to the podcast so you get the latest episodes. Our Podcast Page : (https://www.innerbalancepsychology.com/)(Subscribe with Apple Podcast)(Follow on Spotify)(Subscribe on IHeartRadio )(Listen on other streaming platforms) DISCLAIMEROpinions expressed are solely the hosts and guest(s) and do not represent or express the views or opinions of Inner Balance Psychology.
We finish off Day 1 of the conference with the dynamic duo of Dr Johan Jarl and Assoc. Professor Ann Alriksson-Schmidt!We have the privilege to talk Dr Jarl and Dr Alriksson-Schmidt about the educational outcomes of adolescents with spina bifida in Sweden.A continuing series of interviews from Oceania Conference 2026, Hobart, Tasmania, Australia.
On this episode of Health Talks, IPHCA's Behavioral Health/SUD Consultant, Stacy Agosto is joined by Maria Rahmandar, MD, Attending Physician Adolescent and Young Adult Medicine at Lurie Children's Hospital of Chicago. Stacy and Maria discuss the strategies for working with Adolescents with SUD.Maria Rahmandar will be presenting "Pills, Powders and Other Problems: Addressing Substance Use in Adolescents" on April 24, 2026. Details for this live webinar can be found on member.iphca.org
Un homme blessé par balles à Montréal. Un suspect de meurtre arrêté. Comparution d’un homme pour le meurtre de son ex-conjointe. Le procès de Ticketmaster. Tour de table entre Isabelle Perron, Alexandre Dubé et Mario Dumont et Charles-Antoine Sinotte, chroniqueur sports. Regardez aussi cette discussion en vidéo via https://www.qub.ca/videos ou en vous abonnant à QUB télé : https://www.tvaplus.ca/qub ou sur la chaîne YouTube QUB https://www.youtube.com/@qub_radioPour de l'information concernant l'utilisation de vos données personnelles - https://omnystudio.com/policies/listener/fr
In this episode, Camille Foley (Senior mental health clinician and education fellow) speaks with Adam Blake (Psychiatric Nurse Consultant) and Kate Coward (family peer-support worker) about non-suicidal self-injury (NSSI) in adolescents, exploring its prevalence, risk factors, relational and family impacts, and how compassionate, evidence-informed treatment and responses can move us beyond stigma toward effective support. Resource link: Suicide and non-suicidal self-injury CPG : Suicide and Non-Suicidal Self-Injury in Children and Adolescents: Evidence-Based Clinical Practice Guideline
In this episode, host Dr. Tushar Chopra and guest Dr. Jillian Warejko-Rossi will discuss encouraging fistulas while acknowledging teens' concerns about body image, scarring, "ugly" fistulas, and fear of needles.
In this episode, host Dr. Tushar Chopra and guest Dr. Jillian Warejko-Rossi will discuss encouraging fistulas while acknowledging teens' concerns about body image, scarring, "ugly" fistulas, and fear of needles.
When a child engages in hair pulling, skin picking and other body focused repetitive behaviors, it can be very alarming for parents. Children feel compelled to engage in the BFRB but often feel quite embarrassed and ashamed. Drs Jennifer Gola, Marla Deibler and Renae Reinardy talk about their new book, Free To Be Me with a BFRB: The Ultimate Kid's Guide to Living Well with Hair Pulling, Skin Picking, Nail Biting, and other Body-Focused Repetitive Behaviors. This book provides a very comprehensive and compassionate approach to the treatment and management of BFRB's. Our discussion provides an excellent introduction to this topic and to a very useful resource for parents, children and therapists. For more information https://thecenterforemotionalhealth.com/staff/dr-jennifer-gola https://thecenterforemotionalhealth.com/staff/dr-marla-w-deibler/ https://www.lakesidecenter.org/about.html and also see Dr Marla Deibler's blog on Psychology Today https://www.psychologytoday.com/us/blog/from-surviving-to-thriving
In this episode of PEM Currents: The Pediatric Emergency Medicine Podcast, we take a structured, evidence-based approach to the acute treatment of migraine in children and adolescents. From confirming the diagnosis and screening for concerning features to optimizing outpatient therapy and executing a protocolized emergency department strategy, this episode walks through what works. We review the role of NSAIDs and triptans, clarify how IV fluids and ketorolac fit into care, and provide a stepwise framework for dopamine antagonists, valproate bridge therapy, DHE protocols, steroids, discharge planning, and admission decisions. Practical dosing, reassessment timing, and family-centered communication strategies are emphasized throughout. Learning Objectives Recognize the clinical features of pediatric migraine and distinguish it from secondary causes of headache. Implement a stepwise, evidence-based emergency department approach to acute pediatric migraine, including appropriate medication selection and timing of reassessment. Develop safe discharge and follow-up plans by defining treatment endpoints, minimizing medication overuse, and identifying patients who require referral or inpatient management. References 1. Oskoui M, Pringsheim T, Holler-Managan Y, et al. Practice Guideline Update Summary: Acute Treatment of Migraine in Children and Adolescents: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology and the American Headache Society. Neurology. 2019;93(11):487-499. doi:10.1212/WNL.0000000000008095. 2. Patterson-Gentile C, Szperka CL. The Changing Landscape of Pediatric Migraine Therapy: A Review. JAMA Neurology. 2018;75(7):881-887. doi:10.1001/jamaneurol.2018.0046. 3. Bachur RG, Monuteaux MC, Neuman MI. A Comparison of Acute Treatment Regimens for Migraine in the Emergency Department. Pediatrics. 2015;135(2):232-238. doi:10.1542/peds.2014-2432. 4. Ashina M. Migraine. The New England Journal of Medicine. 2020;383(19):1866-1876. doi:10.1056/NEJMra1915327. 5. Richer L, Billinghurst L, Linsdell MA, et al. Drugs for the Acute Treatment of Migraine in Children and Adolescents. The Cochrane Database of Systematic Reviews. 2016;4:CD005220. doi:10.1002/14651858.CD005220.pub2. Transcript This transcript was generated using Descript automated transcription software and has been reviewed and edited for accuracy by the episode's author. Edits were limited to correcting names, titles, medical terminology, and transcription errors. The content reflects the original spoken audio and was not substantively altered. And today we're gonna talk about the acute treatment of migraine headache in children and adolescents. This is bread and butter for the PED, requires precise diagnosis and evidence-based treatment. We're gonna talk about making that diagnosis, red flags, outpatient and ED treatment, as well as some second-line agents, admission decisions, and a whole lot more. So migraine in children is defined by three criteria, and at least five attacks lasting two to 72 hours. So you gotta have at least two of the following: pulsating or throbbing quality, moderate to severe intensity, aggravation by routine activity, and a unilateral location. Although in children, it's often bilateral, plus at least one of nausea or vomiting and photophobia and/or phonophobia. In children headaches are frequently bilateral, bifrontal, bitemporal. The duration might be shorter than adults, especially in kids under second or third grade. And you may have to infer whether or not they have photophobia from their behavior. Like does the child close their eyes or wanna go into a dark room? In the emergency department, we're often diagnosing based on pattern recognition plus exclusion of dangerous secondary causes. Or even more often than that, the patient comes in and says, I've got a migraine. Before I move on to treatments, let's talk about some red flags where you might wanna pause and not just jump to migraine therapy. And the mnemonic SNOOP can be helpful here. And it stands for S for systemic symptoms such as fevers, myalgia, weight loss, or another S, secondary risk factors such as an immune deficiency, cancer, pregnancy, N for neurologic signs, papilledema, focal deficit, confusion, seizures. O onset sudden, or thunderclap. Migraines are often a little more gradual than that. The other O is older age, or technically younger age too, younger than five years or older than 50. Hopefully those patients are not coming into the pediatric emergency department. And then pattern changes, these new symptoms in a previously stable pattern. Don't ignore that. And precipitants, you know, is it worse with Valsalva, position change, or under significant exertion? If these signs are present, you'll probably wanna take a pause and just not throw migraine treatment at the patient. If they're stable, MRI is the preferred imaging modality, but a very sick patient, it'd be okay to get a head CT. If you've got a normal neurologic exam, there's no red flags. Again, you don't need routine imaging for migraine headaches. So let's talk about treatment. So hopefully patients have actually started to treat their headache before they arrive in the emergency department. If they haven't, it's a good idea to have some triage protocols in place. So ibuprofen, 7.5 to 10 milligrams per kilogram, 10 milligrams per kilogram is superior to placebo and it's superior to acetaminophen at two hours. So that's what we would use. Early treatment's critical. So ideally within the first hour of onset. So that's why triage protocols help. We'll give kids 10 mg per kg of ibuprofen and like 30 ounces of Gatorade. Blue is often the first Gatorade choice, though that's not an evidence-based statement. You can also use naproxen, but most of the studies are on ibuprofen. If NSAIDs fail, many adolescents and some older children will be prescribed triptans. The best evidence currently supports sumatriptan plus naproxen or zolmitriptan nasal spray. Rizatriptan is FDA approved down to age six. Adolescents respond to these agents better than younger children, and the route matters. The nasal formulations help when nausea is prominent. Families should be counseled to treat early, use weight-appropriate dosing, and avoid using acute medications more than 10 days per month. Often patients will have already taken an NSAID and a triptan before they get to the ED, and that's where we get into the treatment of refractory migraine. Now this is most of the patients that I will see, and before we push medications, let's briefly review ED treatment goals. You either want the patient headache free. Back to their baseline or mild descending pain. So a pain score of one to three. If you don't reach one of those endpoints and it's not agreed upon with the patient and their family, you've not completed treatments. You should do a reassessment within one hour after each intervention. And let's face it, if you're not reassessing within an hour and defining treatment goals, you're not practicing protocolized migraine care. So in the emergency department, many of you may be familiar with the migraine cocktail. So what is that? In general, it's a dopaminergic agent such as prochlorperazine or metoclopramide plus ketorolac, plus IV fluids. Let's take a look at all three of those components and see if you can guess which one is actually the one that can abort the migraine. So fluids are commonly given in pediatric migraine, but they alone do not treat it. They're helpful. Many patients have been throwing up or a bit dehydrated, but there are small randomized trials that show essentially no meaningful pain reduction in patients that get IV fluids alone. Well, what about ketorolac? Toradol, like that's the first thing you give to a kid with a kidney stone, right? It does help, but it's really adjunctive. So the main first-line agents for refractory or status migrainosus in the emergency department are the dopamine antagonists, and the first-line treatment for most patients is prochlorperazine or Compazine. The dose is 0.15 milligram per kilogram IV. The max is 10 milligrams. This is the backbone of ED migraine care. And why do they work? Well, migraines aren't just some random vascular headache. This is an inherited disorder with central pain pathways gone awry. Dopamine plays a large role in that pain, nausea, hypersensitivity, amplification of symptoms and more that, frankly, I won't get into this podcast because molecules hurt my head. The dopamine antagonists treat the headache, they reduce the nausea, and they just tamp down this process. Overall, the response rates approach 85%. Some studies have suggested that the response rate is about 77% at an hour and 90% at three hours. If you add the ketorolac and IV fluids, you get your response rate up to about 93 to 94%. These agents really do work well together. There have been randomized trials comparing IV prochlorperazine versus ketorolac. 85% of prochlorperazine patients achieved headache relief versus only 55% of ketorolac patients. So ketorolac helps, but really it's the prochlorperazine. Metoclopramide, or Reglan, is used in a lot of centers as well. There are some smaller studies in children and adolescents that show that prochlorperazine is more effective, but if kids have an adverse reaction, more on that in a moment, or they prefer metoclopramide because they've responded to it in the past, it's okay to go with it as well. Right. So what does it actually look like when you give the migraine cocktail to a patient? I think it's important to explain to patients and families what to expect, and if this is a teenager, I'm talking to them directly. I mean, they're getting the medication first and foremost. I tell them that the most effective way to treat their headache is with an IV. This often causes lots of angst, even in older teenagers. The medication just does not get to the brain as effectively and fast enough if you take it by mouth. Many patients who get the dopaminergic agents, so prochlorperazine, will invariably feel jittery or anxious or like they gotta move or like they got ants in their pants. I tell them to expect this so they're not surprised and worried when it happens. I tell them that once they start feeling that way, it means the medicine is probably working. They need to hit the nurse button and we're gonna get them up and have them take a walk. This fixes it for the majority of patients just getting up and moving. In adult centers, even with the initial administration of the prochlorperazine or as sort of a reflexive response to any of those symptoms, they just give a slug of IV Benadryl. There's some studies in adolescents especially that this may decrease the effectiveness of the IV agents you're giving in the first place, and it may also increase return rates to the ED. So I will use IV diphenhydramine if getting up and moving around isn't working, or if the distress is significant, or if the patient clearly indicates they've needed it in the past. So if after the migraine cocktail, the patient has met their pain goals and the reassessment is favorable, they can go home to outpatient follow-up. How about if the headache got better, but not all the way? It's usually when the initial migraine cocktail didn't achieve the pain endpoints fully, like it helped partially. If the dopamine blockade didn't do anything, valproate is unlikely to rescue the case. And so valproate works on GABA and it stabilizes some of these pain processes, but the dopaminergic agent needs to have done something first for valproate to work. Per the most common protocol, you give an initial dose of IV valproate, then you discharge the patient home on Depakote ER. So oral valproic acid under 10 years old or under 50 kilograms, 250 milligrams PO twice a day for two weeks, or older than 10 or greater than 50 kilos, 500 milligrams twice a day for two weeks. This is the extended release and it's most helpful if you give the first oral dose in the emergency department. So that's why it's very important to build this protocol in advance. If you don't have IV valproate, then don't just give the patient oral valproate, and definitely don't prescribe an oral course for discharge. All right, well, what about DHE? Dihydroergotamine for refractory or status migrainosus? Generally, this is only given at pediatric centers where you have neurology coverage. It's contraindicated if you've had another dose of DHE within 14 days, or you've had any triptan of any sort within 24 hours, and you must obtain a pregnancy test in adolescent females before giving it. The dosing for less than 30 kilograms is 0.5 milligram. At least 30 kilograms is one milligram. You give 50% of the dose over three minutes, then the remaining 50% over 30 minutes. If this is gonna work, the patients are gonna start feeling wretched at first. They're gonna get very nauseous and they're gonna vomit. They're gonna have flushing, and you'll see transient hypertension. Most of that resolves within the hour in most centers. If you're committing to DHE, you're kind of bringing the patient into the hospital anyway, though some facilities will have DHE done in the emergency department with close outpatient follow-up. Either way, it's really best practice to involve child neurology if you're giving DHE. Alright, well what about steroids? They give those in grownups too, right? Steroids really only have a role for recurrence prevention in children. So for kids that have a history of returning within 72 hours for rebound headache, you can give dexamethasone 0.6 milligram per kilogram IV dose, the max of 10 milligrams. You do not discharge them home on a steroid prescription or a Medrol dose pack or something else, and this can cut the recurrence risk down a bit. There's other therapies out there like magnesium and ketamine. There's just not enough evidence there. And the purpose of this episode is to discuss the therapies that have good evidence behind them and should be part of protocols across the country. Some patients are unfortunately not responsive to emergency department therapy and need admission. The main inpatient therapy is the DHE protocol. If they're not DHE eligible, they haven't tolerated it well or it's unavailable, admission's unlikely to help them unless they just need some IV fluids to help them get back up on their feet. You should consult neurology if the headache goals are not met after maximizing ED therapy for advice. And we should definitely avoid opioids. They don't treat patients with migraines. They increase recurrence risk. They increase revisit rates. Again, the dopamine antagonist prochlorperazine, it's superior for sustained relief when families ask about them, and fortunately they're asking about opioids far less. We use medications that treat the migraine pain pathways and signaling. We don't just wanna mask the pain. All right, so that's all I've got on the acute management of migraine headaches, especially in the emergency department. Remember that migraine care in the ED should be protocolized and evidence-based. IV fluids are supportive. Prochlorperazine is the first line, or you can use metoclopramide as well. Ketorolac is an adjunctive therapy. Valproate is next line. If you've gotta escalate, and DHE is specialized therapy, you can start in the ED, but most of these patients are getting admitted. Dexamethasone or steroids in children can reduce recurrence risk, but they're not really part of the acute management. You should definitely define the endpoints and structurally and systematically reassess patients at an hour. The goal is to get them feeling better to a defined endpoint and to restore function. There is evidence-based pediatric emergency migraine care. You should understand that, plus how to explain why these agents are being given and some of the side effects to patients and families. I find that that approach increases your likelihood of buy-in and success. Alright, so that's it for this episode on the Acute Management of Migraine Headaches in Children and Adolescents. I hope you found it helpful and I can pretty much guarantee that you're gonna see a patient with a migraine on your next shift. If you've got any feedback or comments, send them my way. If you like this episode, leave a review on your favorite podcast site. It helps more people find the show. Or recommend it to a colleague. If there's other topics that you'd like to hear, send them my way for the Pediatric Emergency Medicine podcast. This has been Brad Sobolewski. See you next time.
Vous pouvez laisser un message vocal à Sophie, Olivier, Michel ou à l'équipe du LHC en lien avec ce podcast ici : https://www.vodio.fr/repondeur/311/Dans ce deuxième épisode qui fait suite au précédent (#71), nous vous invitons à découvrir les 3 services actuels de l'univers « Just be WOW », un projet porté par Olivier et Sophie, et dédié aux adolescents d'aujourd'hui.L'esprit de ces créations est d'accompagner les adolescents à grandir dans des relations plus conscientes, plus saines, plus épanouissantes et sans violences grâce à une meilleure conscience d'eux-même et de leur corps.1er service présenté: le Stage Totem, une immersion de 5 jours pendant les vacances scolaires, pour renforcer la confiance en soi, l'écoute du corps et la qualité des liens.2e service présenté: un programme subsidié extra-scolaire de 4 sessions, conçu pour sensibiliser aux violences et offrir des outils concrets pour construire des relations plus belles et saines.3e service : une aide sur mesure, adaptable aux besoins spécifiques d'un établissement, d'un groupe ou d'une situation particulière.Ce podcast est une invitation à ouvrir le dialogue, à prévenir plutôt que réparer, et à donner aux adolescents des repères précieux pour leur avenir relationnel.Bonne écoute, interview menée par Michel Godart.Remerciements à The Podcast Factory Org, le partenaire de vos podcastsEnvie de nous contacter : contact@justbewow.beLiens mentionnés dans le podcast : - « Cap toi M'aime », un service en Suisse pour accompagner les jeunes en refus scolaire ou décrochage scolaire ainsi que leurs parents : https://captoimaime.ch/- Les Lucioles : Page de donations de l'association LHC pour nous aider à exister et à développer les services. https://love-health-center.systeme.io/lucioles3-6-9-12Séquençage du podcast :[00:00:20] Introduction à la seconde partie du podcast « Just Be Wow »[00:01:06] Rappel : qui est Sophie Mentior ?[00:01:23] À qui s'adressent ces services (ados, parents, structures) ?[00:01:55] Le stage « Totem »[00:03:30] Symbolique du Totem et historique du projet[00:04:20] Pourquoi un groupe est indispensable[00:05:03] Ce que le groupe apporte aux adolescent·es[00:05:57] Mixité d'âges et d'histoires[00:06:47] Maturité émotionnelle et complément d'Olivier[00:08:41] Apprendre en s'amusant et créer la confiance[00:09:34] Rythme du stage Totem[00:09:49] Durée du stage Totem[00:09:50] Second service : programme extra-scolaire subsidié[00:11:18] Aller plus en profondeur[00:11:49] Logique du suivi : répétition, corps, expérience, carnet[00:13:19] Nuances : émotions, comportements et violence[00:14:07] Surprise fréquente : le lien au corps[00:16:02] Synthèse en mots-clés[00:16:29] Progressivité de l'accompagnement[00:16:41] Vivre une « tribu »[00:17:15] Apprendre entre jeunes et dialoguer autrement[00:18:49] Relais maison-école : recréer du lien familial[00:20:10] Troisième service : l'atelier « clé en main »[00:21:31] Synthèse en mots-clés[00:21:53] Vision, impact et ambitions[00:22:39] Avec quoi repart un·e jeune ?[00:23:51] Le lien avec le Love Health Center[00:25:19] Synthèse en mots-clés[00:25:51] Appel : groupes 15–25 non scolaires et permanence jeunes[00:26:41] Permanence physique et besoin de soutien[00:27:35] « Les Lucioles » : mensualités de soutien[00:28:28] Gratitude et invitation à partager[00:28:49] Rituel de clôture : gratitude et rappel voicemail[00:29:07] Remerciements de Sophie[00:29:16] Remerciements d'Olivier[00:30:02] Clôture
Editor-in-Chief Cecelia E. Schmalbach, MD, MSc, is joined by senior author Romaine F. Johnson, MD, MPH, and Associate Editor M. Boyd Gillespie, MD, to discuss whether childhood obesity is associated with increased severity of obstructive sleep apnea during adolescence, as outlined in the paper "Association Between Weight Gain Trajectories and Severe Obstructive Sleep Apnea Among Adolescents" which published in the February 2026 issue of Otolaryngology–Head and Neck Surgery. To read the full article, click here.
We're joined by Bad Religion co-founder and Epitaph Records founder Brett Gurewitz at Brain Dead Studios in Hollywood, CA. We discuss growing up in the West San Fernando Valley, discovering the Ramones in the late 70s, meeting Greg Graffin and Jay Bentley at El Camino Real High School and starting Bad Religion in the quad, founding Epitaph to put out the Bad Religion 7", the entire BR discography, leaving the band right before the overnight success of Offspring's Smash, rejoining for Process of Belief, his thoughts on streaming as it dominates the music landscape today, and his favorite hardcore records ever. A genuine honor with a genuine legend and one of the best punk songwriters to ever live. Check out Colin's hand picked Bad Religion playlist of hits and deep cuts and enjoy: Spotify & Apple Music. _______________ Cool links: • Get 15% off DUNABLE GUITARS with code HARDLORE: https://dunableguitars.com • Get 15% off TIMELESS COFEE site-wide, including coffee subscriptions, cookies and cakes with code HARDLORE. _______________ 00:00:00 - Start 00:00:48 - Brett Gurewitz, Epitaph Records in 2025/2026 00:02:26 - Growing Up in the San Fernando Valley, Finding Music, CCR 00:06:44 - From Elton John to the Ramones: Discovering Punk 00:08:40 - Meeting Greg Graffin & Jay Bentley, Starting Bad Religion 00:16:29 - When Does It Become "Bad Religion"? 00:19:40 - What is Punk, and What is Hardcore? 00:23:28 - The "Crossbuster" & The Bad Religion Logo (Fritz Quadrata Pro Bold) 00:27:32 - Starting Epitaph Records For the BAD RELIGION S/T 7" 00:36:41 - HOW COULD HELL BE ANY WORSE? 00:50:02 - INTO THE UNKNOWN... Selling 10,000 Records (and getting them all back) 00:53:13 - Going to Rehab/Leaving Bad Religion 00:55:17 - Pardon This Interruption... 00:58:32 - Epitaph During 1983-1987, Rejoining Bad Religion, West Beach Studios 01:04:54 - The Beach Boys to the The Adolescents to Bad Religion 01:06:56 - SUFFER... Operation Ivy, NOFX, Growth in Epitaph & As an Engineer 01:10:47 - NO CONTROL... Learning from Suffer, Doing Everything with Integrity, Tribute to the Germs 01:17:05 - Greg Songs That Gave Him Goosebumps, No Control Title Track 01:20:35 - Tony Hawk's Pro Skater, I Want Something More, Tape Editing in Recording 01:24:40 - AGAINST THE GRAIN... Being Insecure With 21st Century Digital Boy, Songwriting, Picking Singles 01:30:45 - Touring For Bad Religion By 1990 01:32:40 - GENERATOR... Never Writing on Drugs, Split 7" With Noam Chomsky, Bobby Schayer 01:36:20 - RECIPE FOR HATE... American Jesus, Eddie Vedder, Touring While Balancing Epitaph, Struck A MF Nerve 01:41:39 - Bad Religion Leaving Epitaph & Signing to Atlantic 01:45:31 - STRANGER THAN FICTION... Andy Wallace, Better Off Dead, Falling Off the Wagon 01:49:49 - Leaving Bad Religion, Offspring's Smash, Rancid's ... And Out Come The Wolves, Feel The Darkness Re-Release 01:57:44 - Brian Baker, Losing Contact with The Band 01:59:24 - The Landscape of Music Changing, Napster, Torrents, & Brett's Thoughts on Spotify 02:12:39 - PROCESS OF BELIEF... Returning to Bad Religion, Brooks Wackerman, Sorrow 02:20:15 - EMPIRE STRIKES FIRST... L.A. Is Burning, The Iraq War, Why Brett Doesn't Play With BR Now 02:24:38 - NEW MAPS OF HELL, THE DISSENT OF MAN, TRUE NORTH, AGE OF UNREASON... 02:31:28 - Brett's Top 4 Hardcore Records HardLore: A Knotfest Series, Fueled by Monster EnergyEdited by Steven Grise • Title sequence by Nicholas MarzlufJoin the HARDLORE PATREON to watch every single weekly episode early and ad-free, alongside exclusive monthly episodes.Join the HARDLORE DISCORD for community discussions and to participate in our future Q&A episodes.FOLLOW HARDLORE: INSTAGRAM, TWITTER, SPOTIFY, APPLEFOLLOW COLIN: INSTAGRAMFOLLOW BO: INSTAGRAM, TWITTER For sponsorship opportunities, email us! hardlore@knotfest.com Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Dr Nick Kowalenko and Dr Daniel Issa explore the critical need for child and adolescent psychiatry in Cambodia, highlighting the CO-CAPIT project, which aims to provide online training for local doctors. Their discussion emphasises the importance of community engagement, international collaboration, and tailored training initiatives to address the gaps in mental health services. Challenges such as limited resources and cultural differences are acknowledged, along with the need for ongoing support and mentorship for early career psychiatrists. Dr Kowalenko and Dr Issa conclude with a call to action for greater involvement in global mental health initiatives.Dr Nick Kowalenko is the Chair, International Projects Committee (IPC), RANZCP & was previously Chair of Child & Adolescent Psychiatry International Relations (CAPIR) Committee (2017-2025). Together with a very committed group of College members, he has shared the leadership of several workforce development, training and leadership initiatives in the Pacific and Asia.Dr Daniel Issa is an Early Career Psychiatrist and senior CAMHS advanced trainee. He has a keen interest in the Global, Indigenous and Refugee Mental Health spaces. Daniel started Psychiatric training in Darwin with brief stints across Arnhem Land before moving to the Hunter New England Network. During training, he became the Advanced Trainee for the RANZCP Child and Adolescent Psychiatry International Relations (CAPIR) Subcommittee, now transformed into the International Projects Committee (IPC). Daniel's Scholarly Project evaluated the effectiveness of CAPIR's Cambodian Online Child and Adolescent Introductory Training (CO-CAPIT).Relevant journal articles:Child and Adolescent Psychiatry International Relations (CAPIR): building bridges for psychiatry workforce capacity with Pacific Island nationsBuilding capacity for child and adolescent mental health and psychiatry in Papua New GuineaThe Vanuatu Psychiatry Mentorship Programme: supporting the development of a fledgling mental health service in the PacificAddressing the specialist workforce CAMH skill-gap: providing and evaluating iCAMH training in Fiji and Papua New GuineaPiloting online training in the Pacific-Ophelia project for child and adolescent mental healthWhere there is No Child Psychiatry: A reflection on child mental health capacity building from Australia (WCAP)Topic suggestion:If you have a topic suggestion or would like to participate in a future episode of Psych Matters, we'd love to hear from you.Please contact us by email at: psychmatters.feedback@ranzcp.orgDisclaimer:This podcast is provided to you for information purposes only and to provide a broad public understanding of various mental health topics. The podcast may represent the views of the author and not necessarily the views of The Royal Australian and New Zealand College of Psychiatrists ('RANZCP'). The podcast is not to be relied upon as medical advice, or as a substitute for medical advice, does not establish a doctor-patient relationship and should not be a substitute for individual clinical judgement. By accessing The RANZCP's podcasts you also agree to the full terms and conditions of the RANZCP's Website. Expert mental health information and finding a psychiatrist in Australia or New Zealand is available on the RANZCP's Your Health In Mind Website.
Does having a mental health diagnosis mean you are of low intelligence? For teenagers... could it just be hormones? What mental health myths are out there around mental health... Christy Wilkie, a therapist from Dakota Family Services, joins us once a month during It Takes 2! See omnystudio.com/listener for privacy information.
This episode covers anxiety in children and adolescents.Written notes can be found at https://zerotofinals.com/paediatrics/camhs/anxiety/Questions can be found at https://members.zerotofinals.com/Books can be found at https://zerotofinals.com/books/The audio in the episode was expertly edited by Harry Watchman.
De 2020 à 2024, les caméras de M6 ont suivi sept élèves d'un collège de l'Oise, de leur entrée en 6ème à leur dernier jour de 3ème. Cela donne Les années collège, un documentaire exceptionnel présenté par Ophélie Meunier, à découvrir ce dimanche 22 février à 21h10. En classe, chez eux ou avec leurs amis, ils ont tout partagé : les rires, les larmes, les premières histoires d'amour, les ruptures, les disputes, les doutes, les échecs et les victoires...On parle aussi des changements physiques occasionnés par la puberté, de harcèlement et de pression scolaire. De quoi revivre ses propres années collège, moment charnière où l'on bascule du monde de l'enfance vers celui de l'adolescence.Hébergé par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.
This episode covers depression in children and adolescents.Written notes can be found at https://zerotofinals.com/paediatrics/camhs/childhooddepression/Questions can be found at https://members.zerotofinals.com/Books can be found at https://zerotofinals.com/books/The audio in the episode was expertly edited by Harry Watchman.
This week on The Hamilton Review Podcast, we're pleased to welcome pediatrician Dr. Cori Cross. In this episode, Dr. Cross explores the impact of social media on children and offers practical guidance for parents navigating today's complex digital landscape. Drawing from her Peds in Review article, "The Complicated Reality of Social Media," Dr. Cross joins Dr. Bob for a thoughtful discussion that takes a deeper look at the challenges and opportunities social media presents for families. We hope you enjoy this important and timely conversation. Cori Cross is a board-certified pediatrician and has been serving the LA community since her residency at Children's Hospital Los Angeles (CHLA) in 2004. Dr. Cross graduated cum laude from Barnard College with a BA in philosophy. She attended The University of Medicine and Dentistry of New Jersey, where she obtained her M.D. and was elected to the AOA honor society. Dr. Cross works as an advocate and public educator speaking nationally and locally to children and adults on a variety of topics. She is an American Academy of Pediatrics (AAP) Spokesperson and uses this platform to advocate for children and educate the public on pediatric and public health issues. In addition to interviews on behalf of the AAP, she is a repeat medical expert on CNN's Headline News and Los Angeles' CBS news. After years on the interviewee side of things, Dr. Cross can now be heard hosting peer-to-peer medical podcasts for RadioMD. In 2010 with the advent of the iPad, it was evident that screens would have a profoundly different effect on this next generation. Dr. Cross joined the AAP's Council on Communications and Media and served two terms on the Executive Committee. She was a lead author on the AAP's "Media Use in School-Aged Children and Adolescents" as well as the accompanying technical report "Children and Adolescents and Digital Media." She has continued working and educating in this space, giving talks locally and nationally to parents, student, educators and pediatricians. She partnered with Common Sense Media locally to give panel discussions and nationally to develop resources for pediatricians to address these issues in their offices. In 2017, she won an Outstanding Achievement in Innovation Award from the AAP for her work in creating the Family Media Use Plan Toolkit on HealthyChildren.org. She has continued to work with the AAP to update these resources and policies. She authored The Complicated Reality of Social Media, published in August of 2025 in Peds in Review and co-authored Digital Ecosystems, Children and Adolescents Policy Statement and Technical Report published in Pediatrics in January of 2026. How to contact Dr. Cori Cross: Dr. Cori Cross Website How to contact Dr. Bob: Dr. Bob on YouTube: https://www.youtube.com/channel/UChztMVtPCLJkiXvv7H5tpDQ Dr. Bob on Instagram: https://www.instagram.com/drroberthamilton/ Dr. Bob on Facebook: https://www.facebook.com/bob.hamilton.1656 Dr. Bob's Seven Secrets Of The Newborn website: https://7secretsofthenewborn.com/ Dr. Bob's website: https://roberthamiltonmd.com/ Pacific Ocean Pediatrics: http://www.pacificoceanpediatrics.com/
In part two of this series, Dr. Tesha Monteith and Dr. Andrew Hershey discuss appropriate treatment strategies to prevent migraines in children and adolescents. Show citation: Hershey AD, Szperka CL, Barbanti P, et al. Fremanezumab in Children and Adolescents with Episodic Migraine. N Engl J Med. 2026;394(3):243-252. doi:10.1056/NEJMoa2504546 Show transcript: Dr. Tesha Monteith: This is Tesha Monteith with the Neurology Minute. I'm back with Andrew Hershey, professor of Pediatrics and Director of the Division of Neurology at Cincinnati Children's and the Children's Headache Center. This is part two of our discussion on his paper published in the New England Journal of Medicine, fremanezumab in Children and Adolescents with Episodic Migraine. Andrew, now that we have fremanezumab approved for prevention of episodic migraine in children and adolescents, and we have a number of other devices and treatments for patients that can be used as part of FDA-approved treatment or even off-label, can you discuss an appropriate treatment paradigm to prevent migraine? Dr. Andrew Hershey: I think the first and foremost part of the paradigm is to identify the disease, so recognition that headaches are a component of the disease migraine, so you have headaches attacks due to migraine is an essential part. Many of the children, adolescents and their families are unaware that that is even what they're having, and clarifying the etiology actually goes a long way. One of my former mentors, Dr. Prensky, always said that 50% of kids get better from just seeing a child neurologist, and I think it's that clarification of the diagnosis. Second to that, you need to provide a very adequate acute treatment as well as what's probably even more essential than anything else is healthy lifestyle habits. So regular eating, drinking, sleeping, and exercise. And then finally, if the headache is causing severe disability or frequent headaches or interfering with the child's school, home or social life, the prevention medications may need to be added. And this is where the fremanezumab, or if you prefer devices, devices can be used for both the acute and preventive treatment. Dr. Tesha Monteith: Well, thank you for the summary, and congratulations again on your paper. Dr. Andrew Hershey: Thank you. Dr. Tesha Monteith: Do check out the full podcast for more details about the paper and treatment of migraine in children and adolescents. This is Tesha Monteith. Thank you for listening to the Neurology Minute.
DJ Jesse Luscious spins new & classic punk-adjacent ska & reggae from The Slackers, The Uptones, Bad Brains, Culture Shock, Rancid, Ruts/Ruts DC, Bush Tetras, & Dub Pistols, plays some atypically restrained tunes from The Dwarves, Johnny Thunders, & Green Day, highlights new tunes from Utopia Development Corporation, Mental Gymnasts, Twin Noir, The Instigators, Love Ghost, 3-T, Fake Friends, & Duassemicolchiasinvertidas, presents classics from LARD, CUIR, 45 Grave, Black Flag, Poison Idea, Adolescents, 999, & Naked Aggression, and reveals this week's Luscious Listener's Choice! Lard- The Power Of Lard Utopia Development Corporation- No Factories Cuir- An Air De Mexico Naked Aggression- Break The Walls (edit) Mental Gymnasts - Lucy (Radio Edit) Instigators- Full Circle (2025 rerecording) Uptones- Red Haired Girl Slackers- Statehouse Dub Rancid- Life Won't Wait Culture Shock- Pressure Ruts- Jah War Bad Brains- I And I Survive Bush Tetras- Das Ah Riot Dub Pistols- Rapture Love Ghost- Rock Me Amadeus Fake Friends- Backstreet's Back Pt. 2 Twin Noir- Luft Für Dich 45 Grave- Insurance From God (edit) 999- Homicide Johnny Thunders- (She's So) Untouchable Dwarves- Like You Want Green Day- Macy's Day Parade Black Flag- Rise Above Adolescents- Creatures (edit) 3 T- Siege Mortar Poison Idea- Plastic Bomb Duassemicolchiasinvertidas- 11,000 Verstas
In part one of this two-part series, Dr. Tesha Monteith and Dr. Andrew Hershey summarize findings from the SPACE trial evaluating fremanezumab in adolescents and children with migraine. Show citation: Hershey AD, Szperka CL, Barbanti P, et al. Fremanezumab in Children and Adolescents with Episodic Migraine. N Engl J Med. 2026;394(3):243-252. doi:10.1056/NEJMoa2504546 Show transcript: Dr. Tesha Monteith: Hi, this is Tesha Monteith with the Neurology Minute. I'm here with Andrew Hershey, Professor of Pediatrics and Director of the Division of Neurology at Cincinnati Children's and the Children's Headache Center. We're here talking about his new paper published in the New England Journal of Medicine, Fremanezumab in Children and Adolescents with Episodic Migraine. Andrew, thank you for being on our Neurology Minutes. Dr. Andrew Hershey: Thank you for inviting me. Dr. Tesha Monteith: Can you summarize the findings of the space trial investigating Fremanezumab for adolescents and children with migraine? Dr. Andrew Hershey: This is one of the four monoclonal antibodies against CGRP, or it's this receptor that had been proven effective for adults. And it's the first one, the formazepam, that's been able to report its effectiveness in children and adolescents with less than 15 headache days per month. This study looked at over 200 children adolescents that were in a double-blinded randomized placebo controlled study. And reached its primary, as well as its secondary endpoint of a reduction compared to placebo. And the number of attacks of migraine per month, as well as a greater than 50% reduction in the number of headache attacks per month, with minimal to no side effects, the most notable side effect being injection site erythema. Dr. Tesha Monteith: Great. Thank you so much for providing that update. Do check out the full podcast for more details about his paper and the treatment of migraine in children and adolescents. This is Tesha Monteith. Thank you for listening to the Neurology Minute.
00:00:00- Show Intro00:07:36- Sleep Problems00:14:31- Local Hero Saves Woman In Water00:20:13- KVJ Spelling Bee00:28:44- Netflix's Adolescents 00:35:57- Dirt of the Day00:44:50- The Toy Collectors Game00:52:43- Random Strong Opinions 00:59:17- Worst Ride Share Drivers 01:09:48- Dirt of the Day01:17:51- KVJ Court01:27:57- Know The Show 01:34:59- Whacked Out News01:44:10- What's On Your Mind01:52:23- Over Or Under Rated? 02:01:26- Beaches Winner02:03:20- Thought of the DaySee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
On this episode, host Dr. Joel Berg is joined by Dr. Jorge Castillo, past president of the International Association of Paediatric Dentistry (IAPD) to discuss Dr. Castillo's session at AAPD 2026 in Las Vegas. The session, featuring Dr. Castillo and other international experts, delves into the global perspectives on early intervention with developing dentition and how pediatric dentistry and orthodontics intersect during that decision-making process. Dr. Castillo also lends his voice to the ongoing little teeth, BIG Smiles discussion relating to the co-location of pediatric dentistry and orthodontics, sharing his perspective on international trends, particularly in comprehensive care clinics. Guest Bio: Jorge L. Castillo, DDS, M Dent Sci, MSD, PhD, is a board-certified pediatric dentist and orthodontist with an extensive academic and international leadership background. He earned a Master of Dental Sciences in Pediatric Dentistry from the University of Connecticut, a Master of Science in Dentistry in Orthodontics from the University of Washington, and a PhD from the Peruvian University Cayetano Heredia. Dr. Castillo is a Professor in the Department of Stomatology for Children and Adolescents at the Peruvian University Cayetano Heredia and serves as an Affiliate Assistant Professor in the Department of Oral Health Sciences at the University of Washington. He is a Diplomate of both the American Board of Pediatric Dentistry and the American Board of Orthodontics. A past President of the International Association of Pediatric Dentistry (2013–2015; 2021–2023), Dr. Castillo currently serves on the Executive Committee of the World Federation of Orthodontists (2025–2030). He has published widely in peer-reviewed journals and has lectured internationally across the Americas, Europe, Asia, the Middle East, and Africa. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
What if the key to transforming your life wasn't changing what happens to you, but learning to shift your energy and bounce back stronger every time? Tune in for an empowering discussion with Fedra Tehrani, LMFT, on how to become an energy shifter. Moments with Marianne airs in the Southern California area on KMET1490AM & 98.1 FM, an ABC Talk News Radio Affiliate! https://www.kmet1490am.comFedra Tehrani, LMFT, is a Licensed Marriage and Family Therapist and the owner of Horizons Clinical Therapy, serving clients across San Francisco and California. Her practice empowers adults and adolescents with neurodivergent diagnoses as they navigate anxiety, depression, and trauma. With a therapeutic orientation rooted in psychodynamic, Internal Family Systems, somatic, and solution-focused modalities, she also incorporates guided imagery and meditation. Fedra is dedicated to helping clients from diverse cultural backgrounds move beyond survival and into thriving.https://horizonsempowerment.com https://www.psychologytoday.com/us/therapists/fedra-tehrani-danville-ca/876323To learn more about publishing your book, public relations services, or show information, visit: https://www.mariannepestana.com/
Dr. Kathryn Paige Harden, PhD, is a psychologist, behavioral geneticist and professor of psychology at the University of Texas at Austin. We discuss how genes interact with your upbringing to shape your level of risk-taking and morality. We also discuss how genes shape propensity for addiction and impulsivity in males versus females. Finally, we discuss how biology impacts societal views of sinning, punishment and forgiveness. Read the episode show notes at hubermanlab.com. Pre-order Protocols: https://go.hubermanlab.com/protocols Thank you to our sponsors AG1: https://drinkag1.com/huberman BetterHelp: https://betterhelp.com/huberman Lingo: https://hellolingo.com/huberman Our Place: https://fromourplace.com/huberman Helix Sleep: https://helixsleep.com/huberman Timestamps (00:00:00) Kathryn Paige Harden (00:03:10) Adolescents, Genes & Life Trajectory; Adolescence Ages (00:06:44) Puberty, Aging & Differences; Epigenome; Cognition (00:14:05) Sponsors: BetterHelp & Lingo (00:16:45) Puberty Onset & Family; Communication & Empathy (00:22:26) 7 Deadly Sins, Substance Use & Conduct Disorders, Genes (00:27:33) Family History; Genes & Brain Development (00:33:05) Personality & Temperament, Motivation, Addiction; Trauma (00:37:59) Knowing Genetic Risk & Outcomes; Understanding Family History (00:46:06) Sponsor: AG1 (00:46:57) Genetic Information & Decision Making; Personal Identity & Uncovering Family (00:52:12) Nature vs Nurture, Bad Genes?; Aggression, Childhood & Males (01:00:17) The Original Sin; Whitman Case & Brain Tumor; Genetic Predisposition (01:10:31) Free Will; Genes & Moral Judgement; Skillful Care for Kids; Social Cooperation (01:21:03) Breaking the Cycle; Genetic Recombination & Differences; Identity (01:25:21) Sponsor: Our Place (01:27:01) Status, Dominance, Science; Positive Attributes of Negative Traits (01:36:15) Relational Aggression & Girls; Male-Female Differences & Conflict (01:40:36) Genes, Boys vs Girls, Impulse Control (01:45:00) Behavior Punishment vs Rewards, Responsibility (01:51:29) Sponsor: Helix Sleep (01:53:03) Accountability; Suffering, Cancel Culture & Punishment (02:00:01) Life Energy & Punishment, Prison (02:08:16) Backward vs Forward-Looking Justice; Forgiveness, Retribution, Power, Choice (02:16:11) Reward, Unfairness & Inequality (02:21:59) Punishment, Reward & Power; Online vs In-Person Communities (02:29:49) Identical Twin Differences; Genetic Influence & Age; Sunlight & Genes (02:39:24) Zero-Cost Support, YouTube, Spotify & Apple Follow, Reviews & Feedback, Sponsors, Protocols Book, Social Media, Neural Network Newsletter Disclaimer & Disclosures Learn more about your ad choices. Visit megaphone.fm/adchoices
Dr. Tesha Monteith talks with Dr. Andrew D. Hershey about the advancements in the treatment of pediatric migraines. Read the related article in The New England Journal of Medicine. Disclosures can be found at Neurology.org.
durée : 00:04:24 - Le Reportage de la rédaction - La santé mentale des adolescents se dégrade depuis plusieurs années en France. Près d'un jeune sur 3 affirme avoir déjà eu des pensées suicidaires. À Amiens, depuis cinq ans, il existe un centre de jour pour adolescents : Cre2ado, qui accompagne les jeunes en souffrance.
Welcome to HCPLive's 5 Stories in Under 5—your quick, must-know recap of the top 5 healthcare stories from the past week, all in under 5 minutes. Stay informed, stay ahead, and let's dive into the latest updates impacting clinicians and healthcare providers like you!Interested in a more traditional, text rundown? Check out the HCPFive!Top 5 Healthcare Headlines for February 1-7, 2026:1. FDA Issues CRL to Dibutepinephrine (Anaphylm) Sublingual Film for Type 1 Allergic ReactionsThe FDA issued a Complete Response Letter for sublingual dibutepinephrine after identifying human factors issues that could compromise safe use during anaphylaxis, underscoring the importance of reliable administration in emergency settings.2. Positive Topline Data Released on Roflumilast Cream in Infants with Atopic DermatitisPhase 2 data indicate roflumilast cream was well tolerated in infants with atopic dermatitis and showed early signs of clinical improvement, supporting potential expansion of topical PDE4 inhibition into this very young population.3. FDA Accepts Resubmitted BLA for RelabotulinumtoxinA for Glabellar and Lateral Canthal LinesThe FDA accepted Galderma's resubmitted BLA for relabotulinumtoxinA following manufacturing process updates, allowing regulatory review to resume for treatment of glabellar and lateral canthal lines.4. Upadacitinib Regulatory Applications Submitted for Adults, Adolescents with VitiligoAbbVie submitted regulatory applications seeking to expand upadacitinib use to adults and adolescents with non-segmental vitiligo, positioning a systemic JAK inhibitor as a potential option for this underserved condition.5. VESPER-3: Positive Results of Long-Term GLP-1 PF'3944 in Overweight and Obesity Without T2DPositive phase 2b results suggest Pfizer's long-acting GLP-1 receptor agonist may support sustained weight management with extended dosing intervals in patients without diabetes.
durée : 00:04:24 - Le Reportage de la rédaction - La santé mentale des adolescents se dégrade depuis plusieurs années en France. Près d'un jeune sur 3 affirme avoir déjà eu des pensées suicidaires. À Amiens, depuis cinq ans, il existe un centre de jour pour adolescents : Cre2ado, qui accompagne les jeunes en souffrance.
If you've ever left a medical appointment feeling dismissed, judged, or like your body size became the diagnosis... then this episode is for you — and honestly, for your doctor too. In today's episode, we're talking about the very real stigma larger-bodied people face in health care settings—and how often weight bias gets in the way of actual care. We're joined by you, our listeners, through powerful voicemails sharing both painful and healing experiences with doctors, nurses, and other healthcare providers. From being told to “just lose weight” to finally being listened to and taken seriously, these stories highlight what's broken, what's possible, and the power of weight inclusive care.Want to support the show and get bonus episodes? Join our Patreon! https://www.patreon.com/nutritionformortalsLeave us a voicemail that may be featured on a future episode! Call us at (562)-N4M-POD1 (562-646-7631). We've got MERCH! Check it out HEREDon't want to miss any episodes in the future? Make sure to subscribe wherever you listen to podcasts!Additional Reading: Journal Articles: Weight-Inclusive vs Weight-Normative ApproachNature Med: Joint International Consensus Statement for Ending Stigma of ObesityWeight Science: Evaluating The Evidence for a Paradigm ShiftImpact of Weight Bias and Stigma on Quality of CareBMJ: Weight Stigma and Bias: Standards of Care in Overweight and ObesityObesity Stigma: Important Considerations for Public HealthPediatrics: Stigma Experienced by Children and Adolescents with Obesity Pervasiveness, Impact, and Implications of Weight Stigma Assessing Weight Stigma Interventions Systematic Review of RCTsObesity Stigma: Cases, Consequences, and Potential SolutionsWeight Discrimination and Risk of Mortality Books:Health At Every SizeIntuitive Eating Body RespectWhat We Don't Talk About When We Talk About FatFearing the Black Body This Is Body GriefThe Body Is Not An ApologyMore! Weight Neutral Provider Lead ListAssociation For Size Diversity and Health Association For Weight And Size Inclusive MedicineFor feedback or to suggest a show topic email us at nutritionformortals@gmail.comFeel free to contact our real, live nutrition counseling practice**This podcast is for information purposes only, is not a substitute for individual medical or mental health advice, and does not constitute a patient-provider relationship**
Dr. Kevin Klingele, fellowship director and chief of pediatric orthopaedics at Nationwide Children's, joins the show to discuss his recent research on ligamentum teres reconstruction. As an interlude, Dr. Dan Perry also returns to the podcast to provide an update on the SCIENCE Trial, comparing surgery and non-surgical care for children with displaced medial epicondyle fractures. Your hosts are Carter Clement from Manning Family Children's in New Orleans, Will Morris from TSRH, Tyler McDonald from USA, Stephanie Logterman from the Arnold Palmer Hospital for Children, and Josh Holt from Iowa. Music by A.A. Aalto. References: “Open Reduction With Ligamentum Teres Reconstruction—Preliminary Results of a Novel Technique for the Management of Pediatric Developmental Dysplasia of Hip.” Englert et al. JPO 2025. “Early-Onset Perthes Disease in Patients Under 4 Years of Age: Natural Disease History, Radiographic Findings, and Prognostic Factors.” Garcia-Fernandez et al. JPO 2025. “More Amputations and Open Fractures: Pediatric Utility Task Vehicle (UTV) Injuries Are More Severe Than All-terrain Vehicle (ATV) Injuries.” Jaggers et al. JPO 2026. “Long-Term Outcome of Idiopathic Increased Femoral Anteversion in 58 Untreated Individuals at a Mean Age of 46.2 Years.” Gronseth et al. JPO 2026. “Improving Postoperative Pain Management in Pediatric Supracondylar Humerus Fractures With Local Anesthesia.” Gunda et al. JPO 2026. “Risk Factors for Nonunion After Femoral Rotational Osteotomy for Idiopathic Anteversion and Retroversion in Adolescents.” Roper et al. JPO 2026. “Off With the Head: Decreasing Complications With Headless Compression Screws for Tibial Tubercle Fracture Fixation.” Menapace et al. JPO 2026.
A parent sits across from you and asks, "Why can't my child just take the same anxiety medicine that helps me?” Sounds reasonable, but the evidence tells a very different story.CME: Take the CME Post-Test for this EpisodePublished On: 02/02/2025Duration: 17 minutes, 53 secondsJoshua Feder, MD, and Mara Goverman, LCSW, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Adolescents de quatre instituts ens confien els seus somnis nocturns i tamb
Marni L Jacob, PhD, ABPP has just published What to Do When You Have a Tricky, Sticky, Picky Brain: Cognitive Behavioral Strategies to Help Kids with Obsessive-Compulsive Disorder Dr Jacob discusses her new book and provides an overview of the cognitive behavioral treatment for OCD. Her book is geared toward adolescents and teens when the condition is most commonly diagnosed. It has been estimated to affect 1-2 out of every 100 children. Central to the treatment of OCD is understanding the relationship of Thoughts, Feelings and Behaviors and well as the centrality of response prevention based therapy. Adolescents will find the answers they have been searching for in this comprehensive guide. For more information about Dr Jacob https://www.jacobcenterforebt.com
Psychogenic nonepileptic seizures (PNES) are common, often misunderstood, and increasingly encountered in pediatric emergency care. These events closely resemble epileptic seizures but arise from abnormal brain network functioning rather than epileptiform activity. In this episode of PEM Currents, we review the epidemiology, pathophysiology, and clinical features of PNES in children and adolescents, with a practical focus on Emergency Department recognition, diagnostic strategy, and management. Particular emphasis is placed on seizure semiology, avoiding iatrogenic harm, communicating the diagnosis compassionately, and understanding how early identification and referral to cognitive behavioral therapy can dramatically improve long-term outcomes. Learning Objectives Identify key epidemiologic trends, risk factors, and semiological features that help differentiate psychogenic nonepileptic seizures from epileptic seizures in pediatric patients presenting to the Emergency Department. Apply an evidence-based Emergency Department approach to the evaluation and initial management of suspected PNES, including strategies to avoid unnecessary escalation of care and medication exposure. Demonstrate effective, patient- and family-centered communication techniques for explaining the diagnosis of PNES and facilitating timely referral to appropriate outpatient therapy. References Sawchuk T, Buchhalter J, Senft B. Psychogenic Nonepileptic Seizures in Children-Prospective Validation of a Clinical Care Pathway & Risk Factors for Treatment Outcome. Epilepsy & Behavior. 2020;105:106971. (PMID: 32126506) Fredwall M, Terry D, Enciso L, et al. Outcomes of Children and Adolescents 1 Year After Being Seen in a Multidisciplinary Psychogenic Nonepileptic Seizures Clinic. Epilepsia. 2021;62(10):2528-2538. (PMID: 34339046) Sawchuk T, Buchhalter J. Psychogenic Nonepileptic Seizures in Children - Psychological Presentation, Treatment, and Short-Term Outcomes. Epilepsy & Behavior. 2015;52(Pt A):49-56. (PMID: 26409129) Labudda K, Frauenheim M, Miller I, et al. Outcome of CBT-based Multimodal Psychotherapy in Patients With Psychogenic Nonepileptic Seizures: A Prospective Naturalistic Study. Epilepsy & Behavior. 2020;106:107029. (PMID: 32213454) Transcript This transcript was generated using Descript automated transcription software and has been reviewed and edited for accuracy by the episode's author. Edits were limited to correcting names, titles, medical terminology, and transcription errors. The content reflects the original spoken audio and was not substantively altered. Welcome to PEM Currents: The Pediatric Emergency Medicine Podcast. As always, I'm your host, Brad Sobolewski, and today we are talking about psychogenic non-epileptic seizures, or PNES. Now, this is a diagnosis that often creates a lot of uncertainty in the Emergency Department. These episodes can be very scary for families and caregivers and schools. And if we mishandle the diagnosis, it can lead to unnecessary testing, medication exposure, ICU admissions, and long-term harm. This episode's gonna focus on how to recognize PNES in pediatric patients, how we make the diagnosis, what the evidence says about management and outcomes, and how what we do and what we say in the Emergency Department directly affects patients, families, and prognosis. Psychogenic non-epileptic seizures are paroxysmal events that resemble epileptic seizures but occur without epileptiform EEG activity. They're now best understood as a subtype of functional neurological symptom disorder, specifically functional or dissociative seizures. Historically, these events were commonly referred to as pseudo-seizures, and that term still comes up frequently in the ED, in documentation, and sometimes from families themselves. The problem is that pseudo implies false, fake, or voluntary, and that implication is incorrect and harmful. These episodes are real, involuntary, and distressing, even though they're not epileptic. Preferred terminology includes psychogenic non-epileptic seizures, or PNES, functional seizures, or dissociative seizures. And PNES is not a diagnosis of exclusion, and it does not require identification of psychological trauma or psychiatric disease. The diagnosis is based on positive clinical features, ideally supported by video-EEG, and management begins with clear, compassionate communication. The overall incidence of PNES shows a clear increase over time, particularly from the late 1990s through the mid-2010s. This probably reflects improved recognition and access to diagnostic services, though a true increase in occurrence can't be excluded. Comorbidity with epilepsy is really common and clinically important. Fourteen to forty-six percent of pediatric patients with PNES also have epilepsy, which frequently complicates diagnosis and contributes to diagnostic delay. Teenagers account for the highest proportion of patients with PNES, especially 15- to 19-year-olds. Surprisingly, kids under six are about one fourth of all cases, so it's not just teenagers. We often make the diagnosis of PNES in epilepsy monitoring units. So among children undergoing video-EEG, about 15 to 19 percent may ultimately be diagnosed with PNES. And paroxysmal non-epileptic events in tertiary epilepsy monitoring units account for about 15 percent of all monitored patients. Okay, but what is PNES? Well, it's best understood as a disorder of abnormal brain network functioning. It's not structural disease. The core mechanisms at play include altered attention and expectation, impaired integration of motor control and awareness, and dissociation during events. So the patients are not necessarily aware that this is happening. Psychological and psychosocial features are common but not required for diagnosis and may be less prevalent in pediatric populations as compared with adults. So PNES is a brain-based disorder. It's not conscious behavior, it's not malingering, and it's not under voluntary control. Children and adolescents with PNES have much higher rates of psychiatric comorbidities and psychosocial stressors compared to both healthy controls and children with epilepsy alone. Psychiatric disorders are present in about 40 percent of pediatric PNES patients, both before and after the diagnosis. Anxiety is seen in 58 percent, depression in 31 percent, and ADHD in 35 percent. Compared to kids with epilepsy, the risk of psychiatric disorders in PNES is nearly double. Compared to healthy controls, it is up to eight times higher. And there's a distinct somatopsychiatric profile that strongly predicts diagnosis of PNES. This includes multiple medical complaints, psychiatric symptoms, high anxiety sensitivity, and solitary emotional coping. This profile, if you've got all four of them, carries an odds ratio of 15 for PNES. Comorbid epilepsy occurs in 14 to 23 percent of pediatric PNES cases, and it's associated with intellectual disability and prolonged diagnostic delay. And finally, across all demographic strata, anxiety is the most consistent predictor of PNES. Making the diagnosis is really hard. It really depends on a careful history and detailed analysis of the events. There's no single feature that helps us make the diagnosis. So some of the features of the spells or events that have high specificity for PNES include long duration, so typically greater than three minutes, fluctuating or asynchronous limb movements, pelvic thrusting or side-to-side head movements, ictal eye closure, often with resisted eyelid opening, ictal crying or vocalization, recall of ictal events, and rare association with injury. Younger children often present with unresponsiveness. Adolescents more commonly demonstrate prominent motor symptoms. In pediatric cohorts, we most frequently see rhythmic motor activity in about 27 percent, and complex motor movements and dialeptic events in approximately 18 percent each. Features that argue against PNES include sustained cyanosis with hypoxia, true lateral tongue biting, stereotyped events that are identical each time, clear postictal confusion or lethargy, and obviously epileptic EEG changes during the events themselves. Now there are some additional historical and contextual clues that can help us make the diagnosis as well. If the events occur in the presence of others, if they occur during stressful situations, if there are psychosocial stressors or trauma history, a lack of response to antiepileptic drugs, or the absence of postictal confusion, this may suggest PNES. Lower socioeconomic status, Medicaid insurance, homelessness, and substance use are also associated with PNES risk. While some of these features increase suspicion, again, video-EEG remains the diagnostic gold standard. We do not have video-EEG in the ED. But during monitoring, typical events are ideally captured and epileptiform activity is not seen on the EEG recording. Video-EEG is not feasible for every single diagnosis. You can make a probable PNES diagnosis with a very accurate clinical history, a vivid description of the signs and appearance of the events, and reassuring interictal EEG findings. Normal labs and normal imaging do not make the diagnosis. Psychiatric comorbidities are not required. The diagnosis, again, rests on positive clinical features. If the patient can't be placed on video-EEG in a monitoring unit, and if they have an EEG in between events and it's normal, that can be supportive as well. So what if you have a patient with PNES in the Emergency Department? Step one, stabilize airway, breathing, circulation. Take care of the patient in front of you and keep them safe. Use seizure pads and precautions and keep them from falling off the bed or accidentally injuring themselves. A family member or another team member can help with this. Avoid reflexively escalating. If you are witnessing a PNES event in front of you, and if they're protecting their airway, oxygenating, and hemodynamically stable, avoid repeated benzodiazepines. Avoid intubating them unless clearly indicated, and avoid reflexively loading them with antiseizure medications such as levetiracetam or valproic acid. Take a focused history. You've gotta find out if they have a prior epilepsy diagnosis. Have they had EEGs before? What triggered today's event? Do they have a psychiatric history? Does the patient have school stressors or family conflict? And then is there any recent illness or injury? Only order labs and imaging when clinically indicated. EEG is not widely available in the Emergency Department. We definitely shouldn't say things like, “this isn't a real seizure,” or use outdated terms like pseudo-seizure. Don't say it's all psychological, and please do not imply that the patient is faking. If you see a patient and you think it's PNES, you're smart, you're probably right, but don't promise diagnostic certainty at first presentation. Remember, a sizable proportion of these patients actually do have epilepsy, and referring them to neurology and getting definitive testing can really help clarify the diagnosis. Communication errors, especially early on, worsen outcomes. One of the most difficult things is actually explaining what's going on to families and caregivers. So here's a suggestion. You could say something like: “What your child is experiencing looks like a seizure, but it's not caused by abnormal electrical activity in the brain. Instead, it's what we call a functional seizure, where the brain temporarily loses control of movement and awareness. These episodes are real and involuntary. The good news is that this condition is treatable, especially when we address it early.” The core treatment of PNES is CBT-based psychotherapy, or cognitive behavioral therapy. That's the standard of care. Typical treatment involves 12 to 14 sessions focused on identifying triggers, modifying maladaptive cognitions, and building coping strategies. Almost two thirds of patients achieve full remission with treatment. About a quarter achieve partial remission. Combined improvement rates reach up to 90 percent at 12 months. Additional issues that neurologists, psychologists, and psychiatrists often face include safe tapering of antiseizure medications when epilepsy has been excluded, treatment of comorbid anxiety or depression, coordinating care between neurology and mental health professionals, and providing education for schools on event management. Schools often witness these events and call prehospital professionals who want to keep patients safe. Benzodiazepines are sometimes given, exposing patients to additional risk. This requires health system-level and outpatient collaboration. Overall, early diagnosis and treatment of PNES is critical. Connection to counseling within one month of diagnosis is the strongest predictor of remission. PNES duration longer than 12 months before treatment significantly reduces the likelihood of remission. Video-EEG confirmation alone does not predict positive outcomes. Not every patient needs admission to a video-EEG unit. Quality of communication and speed of treatment, especially CBT-based therapy, matter the most. Overall, the prognosis for most patients with PNES is actually quite favorable. There are sustained reductions in events along with improvements in mental health comorbidities. Quality of life and psychosocial functioning improve, and patients use healthcare services less frequently. So here are some take-home points about psychogenic non-epileptic seizures, or PNES. Pseudo-seizure and similar terms are outdated and misleading. Do not use them. PNES are real, involuntary, brain-based events. Diagnosis relies on positive clinical features, what the events look like and when they happen, not normal lab tests or CT scans. Early recognition and diagnosis, and rapid referral to cognitive behavioral therapy, change patients' lives. If you suspect PNES, get neurology and mental health professionals involved as soon as possible. Alright, that's all I've got for this episode. I hope you found it educational. Having seen these events many times over the years, I recognize how scary they can be for families, schools, and our prehospital colleagues. It's up to us to think in advance about how we're going to talk to patients and families and develop strategies to help children who are suffering from PNES events. If you've got feedback about this episode, send it my way. Likewise, like, rate, and review, as my teenagers would say, and share this episode with a colleague if you think it would be beneficial. For PEM Currents: The Pediatric Emergency Medicine Podcast, this has been Brad Sobolewski. See you next time.
Energized, driven, “on a high” – or at the edge of something more serious? This Mind the Kids episode, “Energized or at risk? Distinguishing subclinical hypomania in adolescents”, explores how to tell the difference between healthy teenage intensity and something more problematic. Host Mark Tebbs talks to Dr. Georgina Hosang about the topic of hypomania, as she draws on her expertise and research. The conversation unpacks what hypomania can look like at home and at school, how it overlaps with typical mood swings and ADHD, and other conditions, and which red flags suggest it's time to seek specialist help.Listeners will hear practical guidance on what parents, carers, teachers, and young people themselves can watch for, how to talk about concerns without stigma, and why early recognition matters for safety, learning, and long‑term wellbeing. This episode is for anyone supporting adolescents who seem unusually “switched on”, wired, or risk‑taking – and who wants clear, compassionate advice on when to simply ride the wave, and when to seek assistance.For more details read the JCPP paper ‘Subclinical hypomania, psychiatric and neurodevelopmental diagnoses: phenotypic and aetiological overlap' by Georgina M. Hosang et al. https://doi.org/10.1111/jcpp.70045Get a free CPD/CME certificate for listening to this podcast by registering for a FREE ACAMH Learn account at https://www.acamhlearn.org Visit https://www.acamh.org Facebook and LinkedIn search / ACAMH Instagram https://www.instagram.com/assoc.camh Bluesky https://bsky.app/profile/acamh.bsky.social X https://x.com/acamh
In this episode, Tiffany Munzer, MD, FAAP, discusses the impact of digital ecosystems on children and adolescents. David Hill, MD, FAAP, and Joanna Parga-Belinkie, MD, FAAP, also speak with Sara Bode, MD, FAAP, about the comparison of literacy and developmental screening of preschool-aged children during primary care. For resources go to aap.org/podcast.
In this episode of Betrayal Recovery Radio, Dr. Jake Porter and Elia Markham discuss the complexities of betrayal, particularly focusing on its impact on adolescents. Elia shares her personal experiences with betrayal and how it shaped her understanding as both a coach and a parent. The conversation delves into the emotional turmoil faced by teens in high-conflict family situations, the importance of maintaining normalcy, and the need for parents to create a safe and stable environment. They emphasize the significance of empathy, setting boundaries, and the resilience of children amidst chaos. Elia also introduces Turning to Peace Magazine, a resource aimed at supporting those affected by betrayal.Ellia Marcum works one on one with teens impacted by the rupture of betrayal trauma, helping them rebuild emotional safety, regulation, and trust after family and relational disruption. Through Mood Well Coaching, she offers trauma informed support that meets teens where they are developmentally while guiding them toward resilience, clarity, and healthy coping.Ellia is the editor of Turning To Peace, a digital magazine that centralizes resources and expert guidance for partners healing from betrayal trauma. The publication offers faith grounded education, practical tools, and compassionate support designed to help individuals move forward with greater stability and understanding.Links:http://apsats.orghttp://drjakeporter.com/breakingbarriersFind more on Ellia:moodwellcoaching.comhttps://ttpmagazine.gumroad.com/l/turningtopeaceThis podcast is intended for educational and entertainment purposes only. It is not a substitute for professional mental health counseling, therapy, or medical advice. All views and opinions expressed by the hosts, guests, or participants are their own and do not necessarily represent the official views, policies, or positions of APSATS. APSATS does not endorse any specific treatments, interventions, or advice discussed in the podcast. Listeners should seek their own professional guidance for personal health concerns.
PodChatLive 214: Catching up on Craig's cruise, mental health & sports injury, and measuring forefoot varusContact us: getinvolved@podchatlive.comLinks from this episode:Comparative analysis of measurement methods for forefoot varus reliabilityBidirectional Relationship Between Mental Health and Sports Injury in Adolescents
Nutritional rickets is caused by a vitamin D deficiency, and people figured out two ways to treat it before we even knew what vitamin D was. Research: “Oldest UK case of rickets in Neolithic Tiree skeleton.” 9/10/2015. https://www.bbc.com/news/uk-scotland-glasgow-west-34208976 Carpenter, Kenneth J. “Harriette Chick and the Problem of Rickets.” The Journal of Nutrition, Volume 138, Issue 5, 827 – 832 Chesney, Russell W. “New thoughts concerning the epidemic of rickets: was the role of alum overlooked?.” Pediatric Nephrology. (2012) 27:3–6. DOI 10.1007/s00467-011-2004-9. Craig, Wallace and Morris Belkin. “The Prevention and Cure of Rickets.” The Scientific Monthly , May, 1925, Vol. 20, No. 5 (May, 1925). Via JSTOR. https://www.jstor.org/stable/7260 Davidson, Tish. "Rickets." The Gale Encyclopedia of Medicine, edited by Jacqueline L. Longe, 6th ed., vol. 7, Gale, 2020, pp. 4485-4487. Gale OneFile: Health and Medicine, link.gale.com/apps/doc/CX7986601644/GPS?u=mlin_n_melpub&sid=bookmark-GPS&xid=811f7e02. Accessed 7 Jan. 2026. Friedman, Aaron. “A brief history of rickets.” Pediatric Nephrology (2020) 35:1835–1841. https://doi.org/10.1007/s00467-019-04366-9 Hawkes, Colin P, and Michael A Levine. “A painting of the Christ Child with bowed legs: Rickets in the Renaissance.” American journal of medical genetics. Part C, Seminars in medical genetics vol. 187,2 (2021): 216-218. doi:10.1002/ajmg.c.31894 Ihde, Aaron J. “Studies on the History of Rickets. I: Recognition of Rickets as a Deficiency Disease.” Pharmacy in History, 1974, Vol. 16, No. 3 (1974). https://www.jstor.org/stable/41108858 Ihde, Aaron J. “Studies on the History of Rickets. II : The Roles of Cod Liver Oil and Light.” Pharmacy in History, 1975, Vol. 17, No. 1 (1975). https://www.jstor.org/stable/41108885 Newton, Gil. “Diagnosing Rickets in Early Modern England: Statistical Evidence and Social Response.” Social History of Medicine Vol. 35, No. 2 pp. 566–588. https://academic.oup.com/shm/article/35/2/566/6381535 O'Riordan, Jeffrey L H, and Olav L M Bijvoet. “Rickets before the discovery of vitamin D.” BoneKEy reports vol. 3 478. 8 Jan. 2014, doi:10.1038/bonekey.2013.212. Palm, T. “Etiology of Rickets.” Br Med J 1888; 2 doi: https://doi.org/10.1136/bmj.2.1457.1247 (Published 01 December 1888) Rajakumar, Kumaravel and Stephen B. Thomas. “Reemerging Nutritional Rickets: A Historical Perspective.” Arch Pediatr Adolesc Med. Published Online: April 2005 2005;159;(4):335-341. doi:10.1001/archpedi.159.4.335 Swinburne, Layinka M. “Rickets and the Fairfax family receipt books.” Journal of the Royal Society of Medicine. Vol. 99. August 2006. Tait, H. P.. “Daniel Whistler and His Contribution to Pædiatrics.” Edinburgh Medical Journal vol. 53,6 (1946): 325–330. Warren, Christian. “No Magic Bolus: What the History of Rickets and Vitamin D Can Teach Us About Setting Standards.” Journal of Adolescent Health. 66 (2020) 379e380. https://www.jahonline.org/article/S1054-139X(20)30038-0/pdf Wheeler, Benjamin J et al. “A Brief History of Nutritional Rickets.” Frontiers in endocrinology vol. 10 795. 14 Nov. 2019, doi:10.3389/fendo.2019.00795 World Health Organization. “The Magnitude and Distribution of Nutritoinal Rickets: Disease Burden in Infants, Children, and Adolescents.” 2019. Via JSTOR. https://www.jstor.org/stable/resrep27899.7 Zhang, M., Shen, F., Petryk, A., Tang, J., Chen, X., & Sergi, C. (2016). “English Disease”: Historical Notes on Rickets, the Bone–Lung Link and Child Neglect Issues. Nutrients, 8(11), 722. https://doi.org/10.3390/nu8110722 See omnystudio.com/listener for privacy information.
Estima-se que em torno de 15% da população mundial sofra de enxaqueca, com maior prevalência nas mulheres - e muitos sintomas, tais como aura, além de hipersensibilidade à luz, ao som e ao cheiro... Afinal, o que a ciência tem a dizer sobre o tema?Confira o papo entre o leigo curioso, Ken Fujioka, e o cientista PhD, Altay de Souza.>> OUÇA (60min 43s)Convidado: Dr. Fabiano Moulin de MoraesMédico neurologista pela Escola Paulista de Medicina da UNIFESP, onde é preceptor da residência em Neurologia. Membro titular da Academia Brasileira de Neurologia, Professor da Casa do Saber e Especialista em neurologia da cognição e do comportamento. Participou do Naruhodo Entrevista 48.* Naruhodo! é o podcast pra quem tem fome de aprender. Ciência, senso comum, curiosidades, desafios e muito mais. Com o leigo curioso, Ken Fujioka, e o cientista PhD, Altay de Souza.Edição: Reginaldo Cursino.http://naruhodo.b9.com.br*APOIO: INSIDERIlustríssima ouvinte, ilustríssimo ouvinte do Naruhodo, janeiro é tempo de recomeços - e o recomeço mais importante é o momento em que acordamos, todos os dias.Afinal, a escolha da manhã muda tudo:- Vestir a roupa de treino assim que acorda — mesmo treinando só à tarde — aumenta a chance de cumprir a meta.- Colocar uma peça inteligente para trabalhar ou criar conteúdo te coloca instantaneamente em modo produtivo e confiante.- Mesmo para ficar em casa, trocar o pijama por um look confortável e bonito muda o humor, a energia e a presença.Ou seja: a Insider entra no seu ritual matinal e acompanha sua rotina com naturalidade.Então use o endereço a seguir pra já ter o cupom NARUHODO aplicado ao seu carrinho de compras: são 10% de desconto, ou 15% de desconto caso seja sua primeira compra.>>> creators.insiderstore.com.br/NARUHODOOu clique no link que está na descrição deste episódio.E bons recomeços pra você!INSIDER: inteligência em cada escolha.#InsiderStore*REFERÊNCIASMigraine Triggers: An Overview of the Pharmacology, Biochemistry, Atmospherics, and Their Effects on Neural Networkshttps://pmc.ncbi.nlm.nih.gov/articles/PMC8088284/Migraine and cognitive dysfunction: a narrative reviewhttps://pmc.ncbi.nlm.nih.gov/articles/PMC11657937/Structural and Functional Brain Changes in Migrainehttps://pmc.ncbi.nlm.nih.gov/articles/PMC8119592/Migraine: Multiple Processes, Complex Pathophysiologyhttps://pmc.ncbi.nlm.nih.gov/articles/PMC4412887/Migraine management: Non-pharmacological points for patients and health care professionalshttps://www.degruyterbrill.com/document/doi/10.1515/med-2022-0598/htmlIs there a causal relationship between stress and migraine? Current evidence and implications for managementhttps://pmc.ncbi.nlm.nih.gov/articles/PMC8685490/The Global Burden of Migraine: A 30-Year Trend Review and Future Projections by Age, Sex, Country, and Regionhttps://pmc.ncbi.nlm.nih.gov/articles/PMC11751287/Practical issues in the management of sleep, anxiety, and mood disorders in primary headacheshttps://pmc.ncbi.nlm.nih.gov/articles/PMC12221693/Differentiating Visual Symptoms in Retinal Migraine and Migraine With Aura: A Systematic Review of Shared Features, Distinctions, and Clinical Implicationshttps://pmc.ncbi.nlm.nih.gov/articles/PMC12380025/Current Trends in Pediatric Migraine: Clinical Insights and Therapeutic Strategieshttps://pmc.ncbi.nlm.nih.gov/articles/PMC11940401/Migrainehttps://www.nejm.org/doi/10.1056/NEJMra1915327Pratice guideline update summary: Acute treatment of migraine in children and adolescentshttps://www.neurology.org/doi/10.1212/WNL.0000000000008095Migraine aura as an artistic resource https://nah.sen.es/vmfiles/vol13/NAHV13N22025102_115EN.pdfMigraine aura as artistic inspiration.https://pmc.ncbi.nlm.nih.gov/articles/PMC1838881/Migraine as a source of artistic inspirationhttps://neuro.org.br/pdfs/RBN-59/RBN-594-DEZEMBRO/RBN-594-DEZEMBRO.pdf#page=44Migraine and risk of all-cause mortality and specific cause mortality: a systematic review and meta-analysishttps://pmc.ncbi.nlm.nih.gov/articles/PMC12534955/Comparative effects of drug interventions for the acute management of migraine episodes in adults: systematic review and network meta-analysishttps://pmc.ncbi.nlm.nih.gov/articles/PMC11409395/The impacts of migraine on functioning: Results from two qualitative studies of people living with migrainehttps://pmc.ncbi.nlm.nih.gov/articles/PMC10922598/Exploring the Hereditary Nature of Migrainehttps://pmc.ncbi.nlm.nih.gov/articles/PMC8075356/Transient receptor potential melastatin 8 (TRPM8) is required for nitroglycerin and calcitonin gene-related peptide induced migraine-like pain behaviors in micehttps://pmc.ncbi.nlm.nih.gov/articles/PMC9519811/Association between weather conditions and migraine: a systematic review and meta-analysishttps://link.springer.com/article/10.1007/s00415-025-13078-0Evaluation of Green Light Exposure on Headache Frequency and Quality of Life in Migraine Patients: A Preliminary One-way Cross-over Clinical Trialhttps://pmc.ncbi.nlm.nih.gov/articles/PMC8034831/CGRP — The Next Frontier for Migrainehttps://www.nvvg.nl/files/3306/CGRP%20—%20The%20Next%20Frontier%20for%20Migraine.pdfDigital Media Use in Adolescents with Migraine: A Topical Reviewhttps://link.springer.com/article/10.1007/s11916-025-01444-6Placebo Response in Acute and Prophylactic Treatment of Migrainehttps://www.neurologic.theclinics.com/article/S0733-8619(25)00068-4/abstractCalcitonin Gene–Related Peptide Inhibitors and Cardiovascular Events in Patients With Migrainehttps://www.neurology.org/doi/abs/10.1212/WNL.0000000000214479?casa_token=WccpvEByt0MAAAAA:LKbxQClihNe2WsrHRKBmteHftcUECeozPKYcnSQPjsBA0hlEvKExc2DvBgn-J5WwWyudd3QV1nluWwInsights from triggers and prodromal symptoms on how migraine attacks start: The threshold hypothesishttps://journals.sagepub.com/doi/10.1177/03331024241287224Elucidating the susceptibility genes between insomnia and migraine by integrating genetic data and transcriptomeshttps://link.springer.com/article/10.1186/s10194-025-02249-zThe experience of neck pain in people with migraine: A qualitative studyhttps://www.sciencedirect.com/science/article/pii/S1413355525003922?casa_token=9ct7RuiXWIgAAAAA:Sxlqh2wKO3-2l4ig9hzuXb92eJtttlM1Mdd3EId-5BfNQ2J8kpTn2iCd3tr6a0l58kyqDTDR7wThe impact of pain on memory: a study in chronic low back pain and migraine patients https://academic.oup.com/braincomms/article/8/1/fcaf486/8376909Migraine as a dynamic continuum during the life coursehttps://www.thelancet.com/journals/laneur/article/PIIS1474-4422(25)00441-7/abstractNaruhodo #447 - O que é AVC e como evitá-lo? #TodosPeloPirullahttps://www.youtube.com/watch?v=vRu9cet1TWMNaruhodo #236 - Por que temos dor de cabeça?https://www.youtube.com/watch?v=q8FtXVlSz1INaruhodo #345 - Por que às vezes sentimos as dores dos outros?https://www.youtube.com/watch?v=mKdMBCqy6XANaruhodo #145 - Por que a cabeça dói quando tomamos gelado?https://www.youtube.com/watch?v=qjq2Ds6YB-cNaruhodo #165 - Quando tomo antidepressivos continuo sendo eu mesmo?https://www.youtube.com/watch?v=dWyfUyHUiA4Naruhodo #62 - Existem doenças psicossomáticas?https://www.youtube.com/watch?v=etuFYdCAKe4Naruhodo #288 - Por que existe a menopausa?https://www.youtube.com/watch?v=3Ewwdi2guWgNaruhodo #339 - Por que as coisas parecem girar quando estamos bêbados?https://www.youtube.com/watch?v=YmK1Yq0mwW8Naruhodo #398 - Jejum intermitente funciona?https://www.youtube.com/watch?v=lTkWGFFkOLo*APOIE O NARUHODO!O Altay e eu temos duas mensagens pra você.A primeira é: muito, muito obrigado pela sua audiência. Sem ela, o Naruhodo sequer teria sentido de existir. Você nos ajuda demais não só quando ouve, mas também quando espalha episódios para familiares, amigos - e, por que não?, inimigos.A segunda mensagem é: existe uma outra forma de apoiar o Naruhodo, a ciência e o pensamento científico - apoiando financeiramente o nosso projeto de podcast semanal independente, que só descansa no recesso do fim de ano.Manter o Naruhodo tem custos e despesas: servidores, domínio, pesquisa, produção, edição, atendimento, tempo... Enfim, muitas coisas para cobrir - e, algumas delas, em dólar.A gente sabe que nem todo mundo pode apoiar financeiramente. E tá tudo bem. Tente mandar um episódio para alguém que você conhece e acha que vai gostar.A gente sabe que alguns podem, mas não mensalmente. E tá tudo bem também. Você pode apoiar quando puder e cancelar quando quiser. O apoio mínimo é de 15 reais e pode ser feito pela plataforma ORELO ou pela plataforma APOIA-SE. Para quem está fora do Brasil, temos até a plataforma PATREON.É isso, gente. Estamos enfrentando um momento importante e você pode ajudar a combater o negacionismo e manter a chama da ciência acesa. Então, fica aqui o nosso convite: apóie o Naruhodo como puder.bit.ly/naruhodo-no-orelo
This week, Steve brings a new and improved version of a previously unreleased late 70s/early 80s punk rock episode of Suburban Underground, which was created during the pandemic but put on a shelf. These artists are in this show: The Clash, The Ramones, Sex Pistols, The Dead Milkmen, Buzzcocks, Stiff Little Fingers, Dead Kennedys, Descendents, G.B.H., Hüsker Dü, Dead Boys, Channel 3, Eighth Route Army, The Vibrators, Fear, The Adverts, Bad Religion, U.K. Subs, The Damned, Agent Orange, The Adolescents, D.O.A., The Freeze, Black Flag, Pajama Slave Dancers. Download on most podcast platforms. AI-free since 2016! Facebook: SuburbanUndergroundRadio Instagram: SuburbanUnderground #newwave #altrock #alternativerock #punkrock #indierock
In this episode, I sit down with education leader, parent, and author Chris Balme for a deep, thoughtful, and often funny conversation about what adolescents are really doing during the middle school and teen years. We explore why this stage of life is less about “figuring kids out” and more about understanding the intense social, emotional, and neurological work they're already doing every day. Chris offers a powerful frame that I love: adolescents as identity scientists, running experiments to answer one core question—who am I, and where do I belong?We talk about how adults can make that work easier instead of harder, why third spaces and unhurried time matter so much, and how validation, sleep, peers, and belonging shape everything during these years. If you live with, teach, or care about adolescents—or if you're willing to remember your own—this conversation will resonate. Episode Highlights:[0:00] – Why it's so hard to change how we parent, even when we know better [1:40] – Why adolescence is the right time to reinvent yourself [3:10] – Chris introduces the idea of kids as “identity scientists” [5:15] – Identity is built through social experiments—and adults can help or hinder [7:45] – The importance of different social spaces where kids can reinvent themselves [9:35] – Why “third spaces” and non-parent adults matter so much [13:30] – The critical role of unhurried time and reflection [15:35] – Sleep deprivation and what it explains about teen behavior [18:25] – Social approval, belonging uncertainty, and the adolescent brain [21:15] – Why validation beats fixing, lecturing, or minimizing [24:30] – Middle school memories, awkward experiments, and empathy [28:50] – Belonging comes first—before achievement and authenticity [31:15] – What we gain, as parents, by walking this journey with our kids Links & Resources:Allo Parents: https://www.npr.org/sections/goatsandsoda/2023/12/01/1216043849/bringing-up-a-baby-can-be-a-tough-and-lonely-job-heres-a-solution-alloparents Ned's podcast Interview with Michaeleen: https://podcasts.apple.com/us/podcast/hunt-gather-parent-with-michaeleen-doucleff/id1676859533?i=1000643496031 About Michaeleen: https://www.npr.org/people/348778932/michaeleen-doucleff Adolescents Are Identity Scientists: https://chrisbalme.substack.com/p/adolescents-are-identity-scientists About Chris: https://www.chrisbalme.com/ If this episode has helped you, remember to rate, follow, and share the Self-Driven Child Podcast. Your support helps us reach more people and create more content that makes a difference. If you have a high school aged student and would like to talk about putting a tutoring or college plan together, reach out to Ned's company, PrepMatters at www.prepmatters.com
In this episode of 'One in Ten,' hosted by Teresa Huizar, Dr. Sheryl Chatfield from Kent State University discusses the alarming rise in youth suicides and its correlation with technology use. Delving into data from the National Violent Death Reporting System, Dr. Chatfield highlights the significant impact of technology, including social media and gaming, on youth mental health. They explore the triggers leading to suicidal thoughts, focusing on restrictions on technology use as precipitating factors. Dr. Chatfield also discusses the demographic trends in youth suicide and suggests prevention strategies, emphasizing the importance of diverse leisure activities and open communication between parents and their children. The episode concludes with practical advice for both professionals and parents on how to support youth effectively. Time Stamps: 00:00 Introduction and Episode Overview 01:22 Guest Introduction: Dr. Cheryl Chatfield 01:27 Research Origins: Technology and Youth Suicide 03:42 Trends in Youth Suicide 05:21 The Role of Technology in Suicidal Behavior 07:17 Understanding Suicidal Ideation in Youth 15:56 Age-Related Differences in Suicide Motivations 20:18 Impact of Mental Health Crisis on Youth 25:07 Conflicts and Restrictions Leading to Suicidal Behavior 26:48 Grieving the Loss of a Chatbot 27:35 Addiction and Withdrawal Symptoms 28:36 Social Media and Gaming Stress 29:48 Fear of Missing Out 31:05 Identity and Online Presence 32:13 Technology Use and Mental Health 36:44 Demographics of Youth Suicide 40:43 Prevention Strategies 46:52 Encouraging Diverse Activities 51:14 Concluding Thoughts Resources:Exploring the role of technology in youth and adolescent deaths by suicide using data from the 2017-2019 National Violent Death Reporting System (NVDRS) - PubMedSupport the showDid you like this episode? Please leave us a review on Apple Podcasts.
What if your anxiety, insecurity, and distractedness aren't permanent disorders, but symptoms of an untrained, reactive mind? That's the Fourth Face of Mara, Dukka. This episode reveals an ancient, neuroscience-backed method to train your concentration, using the powerful analogy of taming a wild elephant. Discover the three practical tools—including the crucial meta-cognitive "prod"—that can help you navigate modern life with purpose and peace.The Mind Illuminated A Complete Meditation Guide Integrating Buddhist Wisdom and Brain Science for GreaterThe Elephant Path: Attention Development and Training in Children and Adolescents
Hillary Rector and Andy Gullahorn share an honest, thoughtful look at what it's like to move through the world—and parent—as Enneagram Nines. They discuss the genuine ease, adaptability, and steady presence that come naturally to them, along with the quieter struggles: delayed emotions, difficulty voicing desires, and the instinct to “smooth the ice” for everyone around them. Their stories highlight both the gentleness and complexity of this peaceful number. Hillary and Andy reflect on how their nine-ness shapes their parenting—helping them create a calm, grounded environment, while also challenging them to build clearer boundaries, name their needs, and show their kids a more defined sense of self. They offer practical insight for supporting nine children, encouraging parents to give them time, space, and gentle opportunities to speak up and step in. It's a compassionate, warm conversation for anyone who loves a nine or is raising one. If you liked this episode, we think you'll probably like: Episode 121: Storing Up Good Memories for Your Kids with Hillary and Ben Rector Episode 18: Using the Enneagram to Understand and Parent Kids and Adolescents . . . . . . Sign up to receive the bi-monthly newsletter to keep up to date with where David and Sissy are speaking, where they are taco'ing, PLUS conversation starters for you and your family to share! Access Raising Boys and Girls courses here! Connect with David, Sissy, and Melissa at raisingboysandgirls.com Owen Learns He Has What it Takes: A Lesson in Resilience Lucy Learns to Be Brave: A Lesson in Courage . . . . . . If you would like to partner with Raising Boys and Girls as a podcast sponsor, fill out our Advertise With Us form. A special thank you to our sponsors: QUINCE: Go to Quince.com/rbg for free shipping on your order and three hundred and sixty-five -day returns. THRIVE MARKET: Head over to ThriveMarket.com/rbg to get 30% off your first order and a FREE $60 gift. NIV APPLICATION BIBLE: Save an additional 10% on any NIV Application Bible and NIV Application Commentary Resources by visiting faithgateway.com/nivab and using promo code RBG. MERCY SHIPS: Please donate today at MercyShips.org/podcast. OMAHA STEAKS: Visit OmahaSteaks.com for 50% off sitewide during their Sizzle All the Way Sale. And for an extra $35 off, use promo code FUN at checkout. Learn more about your ad choices. Visit megaphone.fm/adchoices