Podcasts about Aki

In this ScreenFish 1on1 Interview, director Darlene Naponse discusses AKI, reflecting on the process of developing the film and whether it required her to slow down personally in order to tell the story truthfully. She explores what drew her to the project, the beauty found in everyday life, and the deep relationship between culture and nature. Darlene also considers what we learn about ourselves and the world when we slow down and pay closer attention.AKI is available in theatres on June 30th with some earlier screenings taking place on June 9th and 11th.

A guide to diagnosing, imaging, and managing acute renal colic and nephrolithiasis in the ED. Hosts: Brian Gilberti, MD Avir Mitra, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Nephrolithiasis.mp3 Download Leave a Comment Tags: Kidney Stones, Urology Show Notes 1. CLINICAL CORE & PHYSIOLOGIC FRAMEWORK Epidemiologic Risk Profiles Lifetime incidence parameters hover around 1 in 11, presenting with a prominent male sex skew. Peak demographic manifestation concentrated within the 30–60 age band. High-yield temporal parameter: 50% recurrence vector within a 5-year post-initial-insult window. Mineralogical Composition Vectors Calcium oxalate crystals represent the predominant structural matrix. Struvite configurations (magnesium ammonium phosphate matrix) account for 1–2% of cohorts. Struvite stones function explicitly as infection-driven configurations secondary to upper tract proliferation; higher distribution index noted in female cohorts. Etiological & Modifiable Relational Dynamics Profound systemic dehydration or low baseline fluid throughput states. High-sodium diet structures and heavy animal-protein consumption loads. Positive genetic/familial history variables. Relative risk modulation: Each variable independently operates to expand baseline risk by a factor of 2x to 3x. Pathophysiologic Symptom Complexes Acute, sudden-onset, maximum-intensity (10/10) unilateral flank pain. Classic structural radiation vector tracking downward toward the ipsilateral groin/genitourinary dermatomes. Distinctive behavioral marker: Renal colic pacing/writhing behavior with zero antalgic position availability. Concomitant autonomic triggers: Nausea and emesis manifest in 50% of acute presentations. Physical Exam Discordance Metrics Severe subjective distress contrasted with a characteristically soft, completely non-tender abdominal palpation exam. CVA tenderness is completely variable and lacks reliable negative predictive value. Atypical Presentation Classifications Vague, poorly localized abdominal pain presentations occurring in up to 20% of active cases. Isolated lower urinary tract irritative signs including acute frequency or severe urgency. Incidental & Asymptomatic Dynamics Silent intrarenal or ureteral stones found incidentally. Longitudinal tracking demonstrates up to 33.3% of initially asymptomatic cohorts convert to fully symptomatic renal colic within a multi-year tracking window. 2. EXCLUSION DIAGNOSES & CRITICAL PATHWAY RED FLAGS Vascular Mimics: AAA rupture/expansion. This is a mandatory exclusion pathway in elderly cohorts presenting with acute flank or back pain. Physical tracking requires active exploration for an expansile, pulsatile abdominal mass. Gynecologic Emergencies: Ruptured ectopic pregnancy. Demands universal screening protocols via rapid beta-hCG testing in all female patients of childbearing potential presenting with lower abdominal/pelvic localization. Infectious Upper Tract Decompensation: Acute uncomplicated pyelonephritis. Differentiated via persistent high spikes, high fevers, systemic shaking chills, and profound pyuria. Genitourinary Structural Crises: Acute testicular torsion. Mandates a thorough, explicit scrotal/testicular structural exam if the flank pain radiates into the scrotum. Gastrointestinal and Adnexal Torsional Confounds: Acute appendicitis variants, acute mesenteric/bowel ischemia, and ovarian torsion syndromes. 3. LABORATORY TESTING & PHYSIOLOGIC EVALUATION Urinalysis Interpretation Nuances Microscopic or gross hematuria presents in approximately 66% to 90% of acute cases. Critical Pathological Caveat: Complete absence of hematuria documented in 20% to 33.3% of confirmed, acute obstructing ureteral stones. Diagnostic rule: A pristine urinalysis with zero red blood cells is entirely insufficient to exclude acute ureterolithiasis. Urinary pH as a Composition Clue Consistently low urinary pH parameters (pH < 5.5) point strongly toward a uric acid crystalline composition. Elevated urinary pH parameters (pH > 7.5) indicate the presence of urease-producing microbial pathogens, pointing toward a struvite infection stone. Infectious Screening Metrics Active tracking for marked pyuria, positive leukocyte esterase, and bacterial nitrites to rule out an obstructed, infected upper urinary tract system. BMP Immediate quantification of baseline serum creatinine to establish accurate eGFR values. Targeting detection of post-renal AKI from bilateral obstruction, unilateral obstruction in a single functioning kidney, or severe volume depletion. CBC Evaluation for marked leukocytosis. Physiologic Nuance: Mild-to-moderate white blood cell count elevations frequently represent non-specific stress demargination driven by severe pain and repetitive vomiting. High-grade white blood cell shifts demand immediate exclusion of systemic bacteremia or an infected, obstructed urinary system. Adjunctive Lab Pathways Rapid qualitative urine hCG testing. Reflex urine culture execution whenever urinalysis metrics display significant inflammatory profiles or clinical suspicion of UTI is high. 4. IMAGING MODALITIES & ALGORITHMIC CLINICAL SELECTION Non-Contrast CT Diagnostics Gold standard; diagnostic sensitivity and specificity parameters exceed 95% for stones >2 mm. Provides precise quantification of stone diameter (mm), exact localization (proximal, mid, or distal ureter), and degree of secondary hydronephrosis. Excellent structural visualization for detecting or ruling out alternate retroperitoneal, vascular, or intra-abdominal pathologies. Contrast-Enhanced CT Protocols Indicated when alternative intra-abdominal surgical pathology is highly suspected over isolated renal colic. Retains diagnostic capability to identify urinary tract stones >3 mm even within contrast-enhanced phases. NCCT Structural Architecture Limitations Standard stone protocol CT scans are executed in a prone position without IV contrast enhancement. It does not opacify the ureteral lumen. Presents a cumulative radiation exposure penalty when utilized serially across recurrent ED presentations. POCUS / Radiology Ultrasound Direct stone visualization capabilities are modest, operating at approximately 50% to 60% sensitivity, and is highly dependent on anatomical positioning at the extreme proximal ureter or the UVJ. Secondary obstruction tracking: Demonstration of hydronephrosis operates at a high sensitivity of approximately 80%. POCUS Clinical Utility Metrics Eliminates ionizing radiation exposure and allows immediate, rapid real-time execution directly at the patient’s bedside. Confirmation of significant hydronephrosis within a classic clinical presentation yields high post-test probability for stone presence while lowering suspicion for vascular catastrophes like a AAA. KUB Radiography Extremely poor overall diagnostic sensitivity, hovering around 57%. Fails to image radiolucent configurations (pure uric acid matrices) or small stones measuring

Aki Takahashi is a force! She came to Canada in 1995 and has built up a remarkable community of artists and collaborators. Aki is an instrumental member of the Nagata Shachu and also records under the artist name Ten Ten. She just released a new recording, HORI DASHI. Get into it and this inspiring interview with the great, Aki Takahashi.

https://www.patreon.com/highyieldfamilymedicineIntro (0:35),KDIGO Criteria (2:00),Diagnostic Approach to AKI (4:40),Prerenal AKI (8:09),Acute Tubular Necrosis (11:34),Acute Interstitial Nephritis (14:01),Rhabdomyolysis (15:44),Nephritic Syndrome (17:31),Nephrotic Syndrome (19:29),Goodpasture Syndrome (21:00),ANCA-Associated Vasculitis 22:34),Lupus Nephritis (24:47),Thrombotic Thrombocytopenic Purpura (26:35),Hemolytic Uremic Syndrome (28:21),Malignant Hypertension (29:26),Obstructive Uropathy (31:58),Dialysis Indications (32:10),Practice Questions (33:48)

From the World Congress of Anesthesiologists in Marrakech, TopMedTalk hosts Mike Grocott and Kate Leslie discuss perioperative cardiac risk assessment with Hilary Grocott, Professor and Head of, The Department of Anesthesiology, Pharmacology & Therapeutics (University of British Columbia) and Michelle Chew Professor of Anesthesiology and Intensive Care Medicine at Karolinska Institutet, Stockholm, Sweden, and editor for the British Journal of Anaesthesia. The conversation reviews perioperative cardiac biomarkers, noting abundant prognostic data but limited evidence for biomarker-led management. The discussion emphasizes that elevated troponins can reflect non-cardiac complications (AKI, PE, sepsis) as well as myocardial injury or heart failure, requiring context-specific follow-up pathways. The group highlights NT-proBNP as a specific marker for heart failure and useful for screening and optimization. The podcast then focuses on pulmonary hypertension and failing right ventricle: detect via history, exam, echo, and biomarkers; prioritize preemptive preparation, arterial beat-to-beat monitoring, modest fluids, early vasopressors/inotropes (norepinephrine, low-dose epinephrine), ventilatory optimization, and vigilant, rapid intervention. If you enjoyed this piece there's a fantastic Perioperative Profile with Michelle Chew you can hear here: https://topmedtalk.libsyn.com/perioperative-profiles-professor-michelle-chew-on-seizing-opportunities-in-anaesthesia-research-editing-and-guideline-work -- Join us at Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London. Be part of a global conversation as clinicians from around the world gather between 7-9th July at the British Library in London. Three days of evidence-based perioperative medicine, global insights, and expert debate—featuring speakers including Michael Marmot and Ken Rockwood. Register here - https://ebpom.org/product/ebpom-world-congress-2026/

Fluent Fiction - Japanese: Ramen and Reunion: A Heartwarming Tale of Unexpected Bonds Find the full episode transcript, vocabulary words, and more:fluentfiction.com/ja/episode/2026-05-21-22-34-01-ja Story Transcript:Ja: 春の日差しが優しく東京の街を照らしている。En: The gentle spring sunlight was illuminating the streets of Tokyo.Ja: ラーメンの香りが漂う小さなラーメン屋は、活気に満ちていた。En: The aroma of ramen wafted from a small ramen shop, which was bustling with energy.Ja: 店内には、味噌や醤油のスープが混じり合った香りが漂い、暖かくて心地よい雰囲気が広がっている。En: Inside the shop, the mixed scents of miso and soy sauce soup permeated the air, creating a warm and comfortable atmosphere.Ja: 「今日は絶対勝つ！En: "Today, I'm definitely going to win!"Ja: 」と、ハルトは心に決めた。En: Haruto resolved in his heart.Ja: 彼にとって、このラーメン食い競争は、何か大きなことを自分の力で達成するための絶好の機会だった。En: For him, this ramen-eating competition was a perfect opportunity to achieve something significant through his own efforts.Ja: 友人のアキは隣で応援している。En: His friend Aki was cheering him on beside him.Ja: 「ハルト、頑張れよ！En: "Haruto, do your best!Ja: でも、無理はしないで」と心配そうに微笑んだ。En: But, don't push yourself too hard," he said with a worried smile.Ja: 参加者には、なんともう一人の謎の刺客がいた。En: Among the participants, there was another mysterious rival.Ja: その人は、黒いサンバイザーとマスクで顔を隠していた。En: This person hid their face with a black sun visor and a mask.Ja: ハルトは注意を向けることなく、ラーメンに集中した。En: Haruto concentrated on the ramen, paying no attention to them.Ja: しかし、何かが彼の心を突いた。En: However, something pricked his heart.Ja: どこかで見たような仕草だった。En: The gestures seemed familiar from somewhere.Ja: その瞬間が来た。En: The moment arrived.Ja: 競争は始まる。En: The competition began.Ja: ハルトとアキは互いに目を合わせ、頷く。En: Haruto and Aki exchanged glances and nodded.Ja: ハルトは勢いよくラーメンを食べ始めた。En: Haruto started eating the ramen with gusto.Ja: しかし、隣の謎の人物は、まるで彼を嘲笑うかのように、余裕たっぷりに麺をすすっていた。En: However, the mysterious person next to him was slurping the noodles leisurely, as if mocking him.Ja: 突然、その隣のそれがいたずらっぽくマスクを撮った。En: Suddenly, the person beside him playfully removed their mask.Ja: ハルトはびっくりして箸を落とした。En: Haruto was so surprised that he dropped his chopsticks.Ja: 「ユミ？En: "Yumi?!Ja: どうしてここに？En: Why are you here?"Ja: 」と彼は驚きの声を上げた。En: he exclaimed in shock.Ja: 「お兄ちゃん、びっくりした？En: "Surprised, big brother?Ja: サプライズ！En: Surprise!"Ja: 」ユミはいたずらっぽく微笑んだ。En: Yumi smiled mischievously.Ja: 彼女はずっと行方不明だった姉だったのだ。En: She was his long-lost sister.Ja: ハルトは一瞬、何を優先すべきか迷った。En: For a moment, Haruto hesitated about what to prioritize.Ja: しかし、ラーメンよりも大切なものに気づいた。En: However, he realized there was something more important than the ramen.Ja: 競争は続くが、ハルトの心はもう決まった。En: The competition continued, but Haruto's mind was made up.Ja: 彼よりも大切な再会を果たし、ユミと笑顔で抱き合った。En: He chose the more important reunion and embraced Yumi with a smile.Ja: 彼はラーメン競争では優勝できなかったが、失った家族との絆を取り戻した。En: Although he didn't win the ramen competition, he regained a precious bond with his family.Ja: 「勝つことじゃなくて、家族が大事なんだな」と、ハルトはほっとしたように呟いた。En: "It's not about winning; family is what really matters," Haruto murmured with relief.Ja: 彼の横には、理解のあるアキと、再会の喜びを共有するユミがいた。En: Beside him were understanding Aki and Yumi, sharing in the joy of their reunion.Ja: 店中が温かな笑い声で包まれる中、ハルトは心の中の勝利を噛み締めた。En: As the shop filled with warm laughter, Haruto savored the victory in his heart. Vocabulary Words:gentle: 優しいilluminating: 照らしているaroma: 香りwafted: 漂うbustling: 活気に満ちていたpermeated: 混じり合ったresolved: 心に決めたopportunity: 絶好の機会achieve: 達成するsignificant: 大きなgestures: 仕草leisurely: 余裕たっぷりにmocking: 嘲笑うmischievously: いたずらっぽくhesitated: 迷ったregained: 取り戻したprecious: 大切なbond: 絆reunion: 再会savoured: 噛み締めたsunlight: 日差しmysterious: 謎のparticipant: 参加者visor: サンバイザーcomplicated: 複雑なrelief: ほっとしたunderstanding: 理解のあるgusto: 勢いよくslurping: すすってsurprise: サプライズ

In this episode of What's Next with Aki Anastasiou, Aki sits down with Blu Label Unlimited co-founders and joint CEOs Brett and Mark Levy for an in-depth conversation about entrepreneurship, resilience, innovation, and one of South Africa's most remarkable corporate turnaround stories. The Levy brothers reflect on their journey from selling car stereos while still in school to building Blu Label into a multi-billion-rand fintech and technology powerhouse. They unpack the difficult seven-year journey of rescuing Cell C from collapse, explain Blu Label's evolution beyond telecoms into fintech and energy, and reveal exciting new innovations including their upcoming integrated voucher platform and Blu Energy strategy. It's a candid and inspiring discussion about leadership, culture, risk-taking, and building businesses that solve real-world problems.

Aki kérelmezte, aki aláírta és aki megúszta – bemutatjuk a kegyelmi ügy szereplőit Brüsszelből már órákon belül érkezhet egy jó hír Magyarország számára Kapitány Istvánék elutaztak Lengyelországba, velük tartott Pálinkás Szilveszter is Magyar Péter Krakkóban: Ziobro és házastársa egy másik schengeni országon át hagyta el Európát Bezárhatnak a gyárak, bezuhanhat a turizmus, ha jön a vendégmunkás-tiltás: súlyos üzenetet kapott a Tisza-kormány Új korszak jön: a cégek már a bizonytalanságra építenek Kajdi Csaba üzent Magyar Péternek: "A kampánynak Péter vége, nem kell neked leállni ordítani" Ekkora drágulást érzékelnek a középkorú magyarok "Egy életre felejtse el a vezetést édesanyám gázolója" – Enyhe büntetéssel úszhatja meg a győri ámokfutó Magyar Péter arra utalt, Gaudi-Nagy Tamás írta K. Endre kegyelmi kérvényét, az ügyvéd szerint a kormányfő hazug uszító Kiütéssel megnyerte a legfontosabb meccsét a vb-n a magyar hokiválogatott Hoki-vb: átgázolt a briteken, nagy lépést tett Magyarország a bentmaradás felé Akár 25 fok is lehet, de a határ mentén élők ne hagyják otthon az esernyőt A további adásainkat keresd a podcast.hirstart.hu oldalunkon. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Aki kérelmezte, aki aláírta és aki megúszta – bemutatjuk a kegyelmi ügy szereplőit Brüsszelből már órákon belül érkezhet egy jó hír Magyarország számára Kapitány Istvánék elutaztak Lengyelországba, velük tartott Pálinkás Szilveszter is Magyar Péter Krakkóban: Ziobro és házastársa egy másik schengeni országon át hagyta el Európát Bezárhatnak a gyárak, bezuhanhat a turizmus, ha jön a vendégmunkás-tiltás: súlyos üzenetet kapott a Tisza-kormány Új korszak jön: a cégek már a bizonytalanságra építenek Kajdi Csaba üzent Magyar Péternek: "A kampánynak Péter vége, nem kell neked leállni ordítani" Ekkora drágulást érzékelnek a középkorú magyarok "Egy életre felejtse el a vezetést édesanyám gázolója" – Enyhe büntetéssel úszhatja meg a győri ámokfutó Magyar Péter arra utalt, Gaudi-Nagy Tamás írta K. Endre kegyelmi kérvényét, az ügyvéd szerint a kormányfő hazug uszító Kiütéssel megnyerte a legfontosabb meccsét a vb-n a magyar hokiválogatott Hoki-vb: átgázolt a briteken, nagy lépést tett Magyarország a bentmaradás felé Akár 25 fok is lehet, de a határ mentén élők ne hagyják otthon az esernyőt A további adásainkat keresd a podcast.hirstart.hu oldalunkon. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Tonight our guests from the Esoteric Society of the Philippines tell us about handling paranormal cases, kontra kulam tips, speaking with Spirits and Elementals and the upcoming Summer Soulstice 2026The Summer Soulstice 2026 is on June 6, 2026 - 7F The Columns, Malugay. You can find more information here: https://www.facebook.com/ESP.SoulsticeIf you want to find more about ESP, you can find them on FB: https://www.facebook.com/ESPhilippinesThank you again to Miko and Aki for taking the time for this interview. Hopefully we will have a part 2 :D hehehe.If you have experiences with Cosmic Entities or experiences similar to what you heard, you can email me at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠paranormalsph@gmail.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠In case first time mo makinig sa podcast, pwede ka magsimular sa Episode 1:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠EPISODE 1 The Unexpected Visitor⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Kung di nyo pa nabalitaan, meron tayong episodes na Deep Dive, English and Tagalog, mahahanap lang yan sa YouTube:English - ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/playlist?list=PLcg83FW_a91KrMPaZK-9AkbDNNDS0venx⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Tagalog - ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/playlist?list=PLcg83FW_a91KpB4E63SE1nG_Bm7IGkgd4⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠If you enjoy this kind of conversation, you might want to subscribe :D ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Facebook⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Spotify⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠YouTube⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Tiktok⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Apple Podcast⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠- - - - - - - - - - - - - - - - - - Do you want to support the podcast? You can help keep us going by giving us a cup of joe! ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ko-fi.com/paranormalpodcast ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠You can also support us on Patreon ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.patreon.com/paranormalpodcast⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ We have different tiers for supporters, from the general support to early access, to joining us on the calls way in advance. No pressure, just additional help for us :) The Para Normal Podcast. Engineered and Produced by f90 Productions Rate and Review our show on Spotify, Pocket Casts, and Apple PodcastsFor brand partnerships, advertisements, or other collaboration opportunities with our podcast, please contact our management team at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠info@tagm.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Enjoy. 

Ebben az adásban Vitális Milán a Győr csapatkapitánya és magyar válogatott labdarúgó volt a vendégünk! Aki mesélt nekünk arról, hogy hogyan készülnek a mindent eldöntő utolsó fordulóra! Szó volt arról is, hogy mi lehet a Győr titka és hogyan tudták utolérni a Fradit, de első sorban Vitu pályafutására koncentráltunk! Mesélt a gyerekkori kihívásokról, hogy a szülei mekkora áldozatokat hoztak az ő karrierje érdekében! Nem utolsó sorban, pedig a magyar válogatott is szóba került! Műsorvezető: Réthelyi Balázs, Takács Áron Vágás & Fotó & Grafika & Főcím: Reskó Barnabás, Kovács Gergely, Longauer András YOUTUBE --------------------------------------------------- Tribün Podcast ❯ https://www.youtube.com/@tribun.podcast PODCAST --------------------------------------------------- Tribün Podcast: Spotify ❯ https://bit.ly/spotify_tribunpodcast Apple Podcast ❯ https://bit.ly/applepodcast_tribunpodcast SOCIAL --------------------------------------------------- Facebook ❯ https://www.facebook.com/tribun.podcast Instagram ❯ https://instagram.com/tribun.podcast TikTok ❯ https://www.tiktok.com/@tribunpodcast Balázs Instagram ❯ https://www.instagram.com/rethelyi.balazs —————- A műsort a Hit Rádió támogatta. További támogatóink: - Social Fusion - Greg Design #tribunpodcast Learn more about your ad choices. Visit megaphone.fm/adchoices

Voiman aamussa Sara Perttusen vieraana vieraili fysioterapeutti ja valmentaja Aki Laitinen Fit Lahdesta sekä aktiivinen eläkeläinen, 86-vuotias Juhani Rautiainen.Miten seniorin olisi hyvä liikkua ja miksi Aki kannustaa myös kuntosalille?Kuuntele haastattelu kokonaisuudessaan.

In this episode, we explore the major complications of acute kidney injury (AKI) and break down the different modalities of dialysis used in the ICU and inpatient setting.Join us for a high-yield, clinically focused discussion covering AKI complications, and the practical differences between intermittent hemodialysis (HD), peritoneal dialysis (PD), and continuous renal replacement therapy (CRRT).Hosts:Dr. Tanya S. Jain and Dr. Avtandil Kochiashvili, Chief Medical Residents, UConnGuest Expert:Dr. Lalarukh Haider, Assistant Professor of Medicine, Division of Nephrology, UConn Health and Program Director of Nephrology FellowshipAuthor:Dr. Tanya S. Jain, Chief Medical Resident, UConnEdited by:Dr. Avtandil Kochiashvili, Chief Medical Resident, UConnMusic:LoFi Girl by Snoozy Beats | Free Music Archive | License: CC BY

We start the second hour of the program with former Memphis Tiger and new Los Angeles Chargers OL Travis Burke. Then we are joined by former Tiger Hoops Assistant, and current Maryland Assistant David "Aki" Collins

Send us Fan MailDr. Parvesh Garg, neonatologist and researcher specializing in necrotizing enterocolitis (NEC) and acute kidney injury (AKI) in preterm infants, shares more than a decade of work on two of the most understudied organ systems in the NICU. He explains why surgical NEC is an independent risk factor for long-term neurodevelopmental impairment, how aggressively managing hypotension at the time of diagnosis may protect both the brain and the kidneys, and why the severity of NEC-associated AKI should be used as a prognostic tool in counseling families. He also presents early but fascinating laboratory findings suggesting that low-dose dexamethasone — unlike high doses — may help limit intestinal epithelial loss once NEC has set in, drawing a parallel to what therapeutic hypothermia does for HIE: the event has happened, but the inflammatory cascade may still be containable.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!

Blunda i Morgonpasset går för långt, mäster-manipulatören Mauri Hermundsson och no more Mr. Nice guy. Lyssna på alla avsnitt i Sveriges Radios app. Hela veckans Morgonpasset i P3 hör du i Sveriges Radios app.Är Linnea Sveriges dummaste? Mäster-manipulatören Mauri Hermundsson. Man får inte knarka i småstäder. Hur går det egentligen med att ta fram manliga preventivmedel? Överläkaren Helena Kopp Kallner berättar allt. Vad är våra "no more Mr Nice Guy"-stunder? P3 Nyheters Matilda Rånge om att Iran anklagar USA för att ha brutit vapenvilan efter attack mot ett iranskt fartyg och att S rasar mot överprisade inköp av inredning till Sagerska Palatset. En av tio platser som förändrat hur musiksverige sen år 2000 är Fyrisån i Uppsala. Kaffet blir billigare. Göta kanal har gjort nedersta Sverige till en ö. Aleksi "Aki" Swallow är Uppsala-legendaren från hiphopgruppen Labyrint. Idag bor han i Botkyrka – men vilken stadsdel gör egentligen bäst musik? Tidpunkter i avsnittet:10.21 Nyhetsfördjupning: USA anklagas för att brutit vapenvilan.14.08 Hur går det för manligt preventivmedel?38.32 Nyhetsfördjupning: Kritiken mot inköpen till Sagerska Palatset.43.23 10 musikplatser: Fyrisån i Uppsala.01.03.38 Aleksi "Aki" Swallow.Kapitellänkarna ovan leder till avsnittet utan musik i Sveriges Radios app.Programledare: David Druid och Linnea Wikblad.

**AKI** @akiandfam on Instagram at https://www.instagram.com/akiandfam @akiandfam on Threads at https://www.threads.net/@akiandfam @akiandfam on TikTok at https://www.tiktok.com/@akiandfam @akiandfam on X at https://x.com/akiandfam akiandfam on Twitch at https://www.twitch.tv/akiandfam/ akiandfam on YouTube at https://www.youtube.com/c/akiandfam **DAVID** @uHate2see on Twitter at https://twitter.com/uHate2see uHATE2SEEit on YouTube at https://www.youtube.com/channel/UCY06d_jLqJ6paE4K_sR4qtQ uhate2seeit on Twitch at https://www.twitch.tv/uhate2seeit **MIRA** OkamiraVT on Twitch at https://www.twitch.tv/OkamiraVT OkamiraVT on X at https://x.com/OkamiraVT OkamiraVT on YouTube at https://www.youtube.com/@okamiraVT **TELLY** t7lks on Twitch at https://www.twitch.tv/t7lks/ t7lks on YouTube at https://www.youtube.com/@t7lks t7lks_Subspace on X at https://x.com/t7lks_Subspace  

Aleksi Aki Swallow från gruppen Labyrint är uppvuxen i Uppsala en av tio platser som förändrat Musiksverige. Lyssna på alla avsnitt i Sveriges Radios app. Hela veckans Morgonpasset i P3 – Gästen hör du i Sveriges Radios app.Fyrisån i Uppsala är en av tio platser som förändrat hur Musiksverige låter idag sen året 2000, enligt P3. Aleksi ”Aki” Swallow är en av medlemmarna i Labyrint som gjort bangers som "Ortens favoriter" och "Välkommen hem". Aki berättar om minnena från Uppsala raeggefestival och hur folk hoppade i Fyrisån för att komma undan polisen. Men också Uppsala vs Stockholm och hur det är att vara en äldre legendar i en ung bransch.Programledare: David Druid och Linnea Wikblad.

Filmbarátok Podcast #324 (Április 2026) 174 perc Beszélgetnek: Gergő, Sorter, freddyD Téma: -Felvezető (00:00:00) -Borítókép (00:07:20) -Nép akarata (00:11:40) -Sztárszignál (00:15:40) -Villámkérdés (00:19:40) -Aki bújt 2: Jövök! (00:43:30) -Meg fognak ölni (01:09:00) -Super Mario Galaxis: A film (01:24:30) -Kész dráma (01:43:44) -Ismeretlen támadók (01:56:30) -The Wanderers (02:14:23) Csatolmányok: Nép akarata sorsoló oldal https://nepakarata.lovable.app/ Nép akarata filmünk (Torment) https://youtu.be/Popbw1cL_cw?si=dnduwE8qEFp97rsv

Gulyás Márton és a világhírű filozófus, Nancy Fraser beszélgetése trumpizmusról, orbánizmusról, demokráciáról, feminizmusról, politikai cselekvésről és leginkább arról: kannibál kapitalizmusban élünk, ami felzabál minket is, akik működtetjük.Mi emelte fel Trumpot és barátait? Hogyan építhető újra a demokrácia? Hogy függ össze a nők, a színesbőrűek és a természet kizsákmányolása? És van értelme szakértői kormányra vágyni? A beszélgetés a Rajk László Szakkollégiumban készült.Nancy Fraser Kannibál kapitalizmus című kötetét itt szerezheted be: https://shop.partizan.hu/products/nancy-fraser-kannibal-kapitalizmus?variant=5696326595412400:00 Gulyás Márton felvezetője02:47 Mi vezetett Trumphoz, és mi lett belőle?26:47 Szakszerű kormányzás kell, de nem szakértői34:15 Aki új, demokratikus nyilvános teret építene, így (ne) tegye51:20 Miért kannibál a kapitalizmus?1:16:22 Orbán illiberális ajánlata a nőknek1:22:47 Mi a teendő?Támogasd te is a Partizánt adód 1%-ával!Név: Partizán Rendszerkritikus Tartalomelőállításért AlapítványAdószám: 19286031-2-42https://szja.partizan.hu/Legyél rendszeres támogató! https://cause.lundadonate.org/partizan/adomany—Választási barométer:https://valasztas.partizan.hu/—Csatlakozz a Partizán közösségéhez, értesülj elsőként eseményeinkről, akcióinkról!https://csapat.partizanmedia.hu/forms/maradjunk-kapcsolatban—Legyél önkéntes!Csatlakozz a Partizán önkéntes csapatához:https://csapat.partizanmedia.hu/forms/csatlakozz-te-is-a-partizan-onkenteseihez—Iratkozz fel tematikus hírleveleinkre!Kovalcsik Tamás: Adatpont / Partizán Szerkesztőségi Hírlevélhttps://csapat.partizanmedia.hu/forms/iratkozz-fel-a-partizan-szerkesztoinek-hirlevelereHeti Feledyhttps://csapat.partizanmedia.hu/forms/partizan-heti-feledy—Írj nekünk!Ha van egy sztorid, tipped vagy ötleted:szerkesztoseg@partizan.huBizalmas információ esetén:partizanbudapest@protonmail.com(Ahhoz, hogy titkosított módon tudj írni, regisztrálj te is egy protonmail-es címet.)Támogatások, események, webshop, egyéb ügyek:info@partizan.hu

The FiltrateJoel Topf kidneyboy.bsky.socialPedro Teixeira @nephcrit.bsky.socialNayan Arora @captainchloride.bsky.socialAnna Gaddy @annagaddy.bsky.social Swapnil Hiremath @hswapnil.medsky.social and on LinkedInSpecial GuestsIan McCoy, MD @NephroNinja study author and UCSFChi-yuan Hsu Senior author and Chief of the Division of Nephrology at UCSFSamuel Silver Associate Professor at Queens University in CanadaEditingVipin Verghese and Joel TopfShow Notes NephJC Discusion: Dialyze Less, Recover More? AKI's Chance to Get LIBERATE-DManuscript: A Conservative Dialysis Strategy and Kidney Function Recovery in Dialysis-Requiring Acute Kidney InjuryThe Liberation From Acute Dialysis (LIBERATE-D) Randomized Clinical Trial JAMA | PubMedBen's pilot study: RAD-AKI Pilot study: Recovery After Dialysis-Requiring Acute Kidney Injury (RAD-AKI) (ClinicalTrials.gov)STARRT-AKI NephJC Editorial in JAMA: A-E-I-O-U and Sometimes Why—Dialysis in Acute Kidney Injury (JAMA)What Is Dialytrauma? (Nephrology Times)How Fragile Are the Results of a Trial? The Fragility Index (PubMedCentral)Shiffl Trial: Daily Hemodialysis and the Outcome of Acute Renal Failure (NEJM)AKIKI: Initiation Strategies for Renal-Replacement Therapy in the Intensive Care Unit (NEJM)AKIKI2: How Late it was, How Late! (NephJC)Sam Silver's study: Promoting Kidney Recovery After Acute Kidney Injury Receiving Dialysis (Recover-AKI) (ClinicalTrial.Gov)Marie Kondo (Wikipedia)Tubular SecretionsSwap: The smutty dragon novels of novels of Rebecca Yarros (Wikipedia) Specifically The Empyrean seriesAnna: Brisket recipesPedro: The Naked Gun (Wikipedia) with Liam NeesonIan: ASN Kidney Health Guidance on the Outpatient Management of Patients with Dialysis-Requiring Acute Kidney Injury (PubMed) he really doesn't get Tubular Secretions.Nayan: Tilt: A Novel by Emma Pattee (Amazon)Chi: The Year of Magical Thinking by Joan Didion (Wikipedia) and Innovations in Nephrology (Springer Nature)Sam: Monopoly Super Electronic Banking Board Game (Amazon)Joel: Song Sung Blue (Wikipedia)

The following DX information comes from Bernie, W3UR, editor of the DailyDX, the WeeklyDX, and the How's DX column in QST. If you would like a free 2-week trial of the DailyDX, your only source of real-time DX information, just drop me a note at thedxmentor@gmail.com CY0S DXpedition Update - The CY0S DXpedition started operations from Sable Island on March 18 at 2140Z. Although they intended to use Super Fox mode on FT8, technical issues led them to operate in Fox and Hound mode instead. All five stations are now active, and a livestream is available via Club Log.  A2 – Botswana - HB9SHD, Remo, is currently operating from Botswana under the callsign A255HD (yes A 2 5 5 HD), having previously been active as ZS2/HB9SHD earlier in March. He expresses gratitude to A2NEW, John, for assistance with his license renewal. Remo operates in casual holiday style using an FT-891 radio and an end-fed antenna for 40, 20, 15, and 10 meters. So far, he has been reported on FT8 on 20, 15 and 10 meters. QSL cards can be sent via bureau or direct (no money needed, just a self-addressed envelope). S2 – Bangladesh - The guys are currently off air as the team is further investigating a noise problem at their QTH. They might have found the issue and are addressing it at this minute. They say QRX, and hope to be back on shortly – with better RX.  XX9 - Macao - The XX9W team began operations on 3/22  just before 0900Z. They have been reported on FT8 on 15 and 30 meters and 20 CW. They have 8 rigs.   T31 - Central Kiribati - The Rebel DX Group announced that their T31TTT DXpedition to Kanton, Central  Kiribati, will involve two weeks of operations with a possible plan to establish a permanent remote station at the government site on T31. The main focus will be on digital modes, especially to give operators with less powerful stations a good chance to make contacts and get logged. Duplicate  QSOs are not a concern-participants are welcome to call repeatedly until their  contact is confirmed. The team will also have one CW and one SSB station  active.  The digital operation plan includes running up to 14 radios simultaneously,  with two radios per band. Multiple frequencies will be active at once, using both MSHV multistream and Super Fox modes. As traffic decreases, all stations will return to MSHV multistream operation only. https://www.qrz.com/db/T31TTT   HR – Honduras - KN2P, N7VZ and W7UM are now QRV using callsign HQ9UM until March 31.  They are on 160-10 SSB, CW and FT8 and use LoTW for QSLing.  And they have the HQ9X callsign for the CQ WPX SSB weekend.  Otherwise, they will be holiday style.  CE0Y - Easter Island - Change of plans for DJ4EL, Markus's, Easter Island Trip as his expected 3G0YE callsign will not be used. He now expects to use CE0Y/DJ4EL. Despite these licensing challenges, Markus's Starlink equipment is prepared for Club Log live streaming during the trip March 28-April 11.  9J – Zambia - DM7XX, Robert, is QRV as 9J2RO from the Fountain Gate Crafts & Trades School until March 30.   YJ – Vanuatu - VK2YUS, Chris Ayres is QRV as YJ0CA from Vanuatu until April 2, SSB only, the same gear as previously, an IC-7300 to small amplifier, and simple wire antennas, 40-10.  He says his main operating times are likely to be between 2100-1000Z.    YJ - Vanuatu - JK1JXZ, Aki, is also QRV from Vanuatu as YJ1JXZ until April 3, active on 80-6 meter bands after 5 PM (local time) on weekdays and all day on weekends.   E5/S - South Cook Islands DJ5NQ, Frank, will be operating as E51ANQ from Rarotonga, South Cook Islands, until the end of March. He will operate on CW and SSB in a holiday style operation, running 100 watts and a short G5RV antenna at 15 meters height. QSL cards can be sent via DJ5NQ, either through the Bureau or direct.  VK9/c - Cocos (Keeling) - From the Daily DX, VK9BSA on Cocos Keeling Island will be activated by Mark, VK6BSA, along with Deena, VK9DEE,  (aka VK6DEE), until May.    

Topics discussed on today's show: National Puppies Day, Favorite Day of the Week, Hair Bands, Weekend Projects, The Passing of Chuck Norris, Near Miss Day, Meteor Crashes into House, North Korean Voting, Aki's Traffic, History Quiz, Jordan's Yogurt, Retirement Home Happy Hours, Entertainment News, Self Driving Vehicles, Self-Flying Planes, Cotton and Menstruation, The Bachelorette Canceled, Nasty Town: International Edition, Dog Breeds, Music News, Speed Friending, and Apologies.

TX5EU - update March 14 - We finally made it to our new TX5EU QTH on Austral Island Raivavae and started setting up antennas and equipment. So far, 5 of 9 antennas are already set up: VDAs 20m, 15m, 12m, the DX Commander, and the 40m vertical. The rest will follow tomorrow morning after sunrise (and a quick coffee...). Operation will start around 6 a.m. GMT (at our far end of the world, it is still the evening of March 13...). Watch out for our first signals! 73 from TX5EU   T31 - Central Kiribati - The Rebel DX Group say their upcoming T31TTT activity (Starting around March 25) on Kanton Island will likely be their last operation for "some considerable time," similar to their 3D2/C Conway Reef ops.  They say they are joining government officials and a ministry of fishery and environmental delegation, and note the rules there are changing soon, including likely a lockdown of access for visitors for environmental protection reasons.  We have a second update - The Rebel DX Group's upcoming T31TTT operation, scheduled to start around March 25, the update:  Preparations are complete with their ship loaded with supplies, fuel, and generators.  They are now leaving Fiji for Samoa, to be joined by seven Kiribati government officials who will part of the trip to Kanton Atoll.   HR – Honduras - KN2P, N7VZ and W7UM have gotten their callsign for their Honduras DXpedition,  from the new government and new commissioner for telecoms there.  The callsign is HQ9UM and the dates are March 24-31.  They will be on 160-10 SSB, CW and FT8 and use LoTW for QSLing.  And they have the HQ9X callsign for the CQ WPX SSB weekend.  Otherwise, they will be holiday style.  3B8 - Mauritius - G3TXF, Nigel, will participate in the RSGB Commonwealth Contest as 3B8XF on March 14-15 and continue CW activity on HF until March 25. G3WVG, Ian, now 3B8VV, will also be active on HF for a week until March 19. Both are operating from a small islet previously used by the successful 3B8M contest team.  9J – Zambia - DM7XX, Robert, will be operating as 9J2RO from the Fountain Gate Crafts & Trades School from March 16 to 30, participating in the CQ WPX SSB Contest  (March 28-29)    YJ – Vanuatu - VK2YUS, Chris Ayres, plans an operation, YJ0CA.  He will be at Port Vila March 18 to April 2, SSB only, the same gear as previously, an IC-7300 to small amplifier, and simple wire antennas, 40-10.  He says his main operating times will likely be between 2100-1000Z.  Chris logs on to paper and then has "a high quality physical card for confirmation."  Cards will be sent out air mail in  April from Australia.  Check QRZ.com for the details on QSL address, etc.  YJ - Vanuatu  JK1JXZ, Aki, will operate as YJ1JXZ from Port Vila, Vanuatu, between March 15  and April 3, active on 80-6 meter bands after 5 PM (local time) on weekdays  and all day on weekends.    FJ - St. Barthelemy –Andreas, DK6AS, is now active from St. Barts as FJ/DK6AS for the month of March. He is QRV on CW, FT4 and FT8 on 3.5 through 50 MHz, including participation in the ARRL International DX CW Contest. QSL via DK6AS either direct or via the bureau.  VP2E – Anguilla – Jack, M0PLX, SP9FIH and SQ2RAD, will be QRV from Anguilla until March 22nd. They will use the callsigns VP2ELX, VP2EWE, and VP2EAD, respectively. Their activities will cover the 160-6 meter bands, with each operator focusing on specific frequencies; Jack will concentrate on 15m, 40m, and 80m SSB. Operations will take place on SSB and CW, utilizing multiple transceivers, amplifiers, and both vertical and directional antennas. During the three-week stay, Jack also plans short sightseeing and possible radio activities from St. Maarten (FS), Saba (PJ6), and St. Barthelemy (FJ).  V5 - Namibia – Gunter, DK2WH, is currently operating as V51WH from a farm near Omaruru, Namibia, and will remain active until March 24, covering frequencies from 160 to 6 meters, including 60 meters. 

This week we will recap the Robot Rampage World Cup event from February with our very own Team USA! Henchmans Sam & Colin, Johnny Tsoumpas, and Corey Nason are joined by special member Aki to recap how America's own Jump Rope, Spartan 30, Riposaw, and Synthesis 30 joined Bad Blood to compete in four days against top machines from New Zealand, Australia, and Brazil in a unique nation-vs-nation 5-a-side team match!    Let us know what questions you have for Team USA! Also check out the Robot Rampage Youtube channel to rewatch each night of the four-night spectacle and follow Team USA's road to silver medal! To watch the podcast live check out https://www.youtube.com/@jakemaximizer/streams where it will be shared to all of the audio apps the following week!   Follow us on Facebook: facebook.com/behindthebots Rate and review us on Apple Podcasts, Spotify, PlayerFM, and all the other podcast places. Tell a friend about the show; we really appreciate your support!

Send us Fan MailDr. Caitlin Carter, Clinical Director of Nephrology at Rady Children's Hospital and associate clinical professor at UC San Diego, joins the podcast to challenge how neonatologists recognize and follow up on acute kidney injury. She explains why creatinine alone is insufficient, how biomarkers like NGAL can detect tubular injury before function declines, and why AKI too often disappears from the discharge summary. She also outlines published consensus guidelines on post NICU nephrology follow-up, with clear thresholds based on gestational age and AKI severity.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!

Send us Fan MailDr. Alexis Davis, Clinical Professor of Pediatrics at Stanford and Medical Director of the NephroNICU at Lucile Packard Children's Hospital, makes the case that neonatology is entering a nephro era. She discusses how AKI prevention through initiatives like the BABY NINJA collaborative, fluid management strategies, and the emerging concept of the NephroNICU are reshaping how we think about kidney health in premature infants. She also addresses the complex ethical and practical considerations around dialysis and renal replacement therapy in newborns with congenital kidney failure.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!

Ken Ota has a goal of bringing traditional Japanese ramen to America and, after years of teaching ramen school and consulting, he's opened his own shop in Omaha. Everything from the soups to the noodles and oils is made in house, and Omaha can't get enough of this new restaurant! Ken & Aki describe what those first few weeks in Omaha were like and what makes them so passionate about spreading legit ramen in America. Learn more about Mi So La Do:https://www.facebook.com/p/Misolado-61584155314599/ This is a Hurrdat ONE Production. Hurrdat ONE is a podcast network and digital media production company based in Omaha, NE. Find more podcasts on the Hurrdat ONE Network by going to ⁠⁠⁠⁠⁠⁠Hurrdat ONE Website⁠⁠⁠⁠⁠⁠ or visit ⁠⁠⁠⁠⁠⁠Hurrdat ONE YouTube Channel⁠⁠⁠⁠⁠⁠!  Timestamps: 00:00:00 – Intro & Teaser 00:01:07 – Welcome to the Show 00:05:54 – Homemade Everything & Stellar Hospitality 00:13:38 – A Menu Focused on Flavor 00:22:26 – Pop-Ups & Special Events 00:30:11 – Coming to America 00:44:16 – Coming to Omaha 00:51:28 – The Future of Crafted Ramen Learn more about your ad choices. Visit megaphone.fm/adchoices

Acute Kidney Injury (AKI) is a frequent complication in critically ill patients and is associated with significant morbidity and mortality. However, the clinical relevance of AKI extends well beyond the acute episode. Renal recovery plays a crucial role in determining long-term patient outcomes, including the risk of chronic kidney disease, long-term dialysis dependence, and overall quality of life after ICU discharge.In this podcast, we explore why renal recovery from AKI is particularly important for intensivists. The discussion addresses different patterns of renal recovery, key factors influencing recovery in critically ill patients, and how ICU management strategies may impact kidney outcomes.Join experts Melanie Meersch and Celine Monard, and hosts Beatrice Brunoni and Thilo von Groote, as they share their perspectives and insights on this important topic in intensive care.

    Noah presents a case about AKI. Tune in to listen how Maddy, Youssef, and Mark build their AKI differential diagnosis and work through the pivot points in this interesting case!  To join us live on Virtual Morning Report (VMR), sign up HERE.Download CPSolvers App hereRLRCPSOLVERS 

Aki szegénységben él – legyen az gyerek vagy felnőtt – minden irányból azt az üzenetet kapja, hogy csak akkor ér valamit, ha nem az marad, aki. Tehát, ha megváltozik. De mit jelent megváltozni? És ki vagy mi változtat meg minket valójában? Egyáltalán: a szegénységben élőknek kellene megváltozniuk ahhoz, hogy “minden jobb legyen”? Orsós Lajos erre keresi a választ Mészáros György, oktatáskutató, egyetemi docenssel. Time: 00:00 – Könnyű antirasszistának lenni? 00:50 – Kinek kell megváltoznia? 01:25 – Az iskola felemel, vagy csak kijelöl? 02:10 – Miért született meg a „Jók leszünk” című könyv? 03:30 – Két iskola, két világ, egy rendszer 05:01 – A láthatatlan elvárás: legyél jó középosztálybeli 07:57 – Amikor az iskola és a valóság összeütközik 12:16 – Pénz, kapcsolat, túlélés 18:19 – Alkalmazkodás vagy lebutítás? 41:02 – Az iskola bezár, vagy mégis lehet belőle kiút? Hivatkozás, amit helyezzünk el a leírásban: masikut.hu

It's Part 2 of our back to back episodes with Mo and Alex. Dont forget, Past is Past -- the Netflix Special! Showing March 19, worldwide. Caller #3 is Julius 28yrs from London. Julius cheated on his girlfriend and she properly dumped him. Julius wants to know: How can we forgive himself?Caller #4 is Aki 21yrs from Manila. Aki has that young girlfriend investigative energy! She has a seaman boyfriend who does seaman things. Caller #5 is Jamaica 41yrs from Baguio. Jamaica is desperately looking for an AFAM. There are two on her radar, she just wants whoever is willing to commit first.GTWM and Good Times Radio are now streaming exclusively live on Discord!Join the Discord community by going to ⁠⁠www.discord.gg/goodtimesradio

Hello and Welcome to the DX Corner for your weekly Dose of DX. I'm Bill, AJ8B.5N – Nigeria – Bodo, DF8DX, will be in Abuja, Nigeria, working at the Voice of Nigeria broadcasting station from March 1-10,. Operating under his new callsign 5N7QBR he plans to be active on the air as time allows and will participate in the ARRL DX SSB Contest. J5 - Guinea-Bissau – 124,600 QSOs and 23,800 different callsigns after 7.24 days of operation. Still 13 days to go.YJ – Vanuatu - JK1JXZ (also known as A35JK, T2JK), Aki, is QRV from Port Vila, Vanuatu as YJ1JXZ until April 3, 2026. He  will operate on the 80-6m bands, with activity after 5 p.m. Vanuatu time on weekdays and all day during weekends. The web page https://www.qrz.com/db/YJ1JXZ will beupdated  once the specific dates are confirmed. FJ - St. Barthelemy –Andreas, DK6AS, is now active from St. Barts as FJ/DK6AS for the month of March. He is QRVon CW, FT4 and FT8 on 3.5 through 50 MHz, including participation in the ARRL International DX CW Contest. QSL via DK6AS either direct or via the bureau.3B8 - Mauritius & 3B9 - Rodrigues - So far reported as 3B8G on 20, 15 and 10 CW, and the operator is VU3OPT, akaOM0GA, Suvarna.  This is a 48-day trip will end on March 30. The Rodrigues portion, callsign 3B9N, will run from April 3 to May 20.  It appears he also plans visits to Sri Lanka (4S) and Bangladesh (S2) in the second half of 2026. JD1/M - Minami Torishima – Take, JG8NQJ, will be working again on Minami Torishima as JG8NQJ/JD1 now to mid-May, operating with 50 watts and a  HB9CV style 17/15M 2-element antenna. QSL via JA8CJY.  VP2E – Anguilla – Jack, M0PLX, SP9FIH and SQ2RAD, will be QRV from Anguilla until March 22nd. They will use the callsigns VP2ELX, VP2EWE, and VP2EAD, respectively. Theiractivities will cover the 160-6 meter bands, with each operator focusing on specific frequencies; Jack will concentrate on 15m, 40m, and 80m SSB.Operations will take place on SSB and CW, utilizing multiple transceivers, amplifiers, and both vertical and directional antennas. During the three-week stay, Jack also plans short sightseeing and possible radio activities from St. Maarten (FS), Saba (PJ6), and St. Barthelemy (FJ).ZC4 - UK Sovereign Base Areas on Cyprus - The ZC4C and ZC4Z team are scheduled to depart Edinburgh, Scotland Wednesday morning heading for Cyprus and will probably begin operations early Thursday.  VE – Canada - It's VO2LAB/VY0 from Iqaluit, Baffin Island, Nunavut  Territory, where Jim, WB2REM, is operating remotely from the VY0IRC station.  QSL via Club Log, QRZ, LOTW but no paper confirmations. V5 - Namibia – Gunter, DK2WH, is currently operating as V51WH from a farm near Omaruru, Namibia, and will remain active until March 24, covering frequencies from 160 to 6 meters, including 60 meters. FO/A - Austral Islands - "The excitement is mounting, just over a week to go until departure!" – from the TX5EU group.  A lot of the prep work is done, extensive radios, antennas, spare parts, etc., "everything has been planned in detail, tested, and packed."  The German and Dutch ops have been meeting regularly, mostly on video conferences.  On March 11, the six ops from Germany and The Netherlands will meet at the airport in Paris and fly to San Francisco and onward to the Austral Islands.  They expect to be on the air March 13, with operations  continuing to March 25.  

We explore how to refine and optimize care in the vital minutes following ROSC. Hosts: Jonathan Elmer, MD, MS Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Post-ROSC_care.mp3 Download Leave a Comment Show Notes Core EM Modular CME Course Maximize your commute with the new Core EM Modular CME Course, featuring the most essential content distilled from our top-rated podcast episodes. This course offers 12 audio-based modules packed with pearls! Information and link below.  Course Highlights: Credit: 12.5 AMA PRA Category 1 Credits™ Curriculum: Comprehensive coverage of Core Emergency Medicine,  with 12 modules spanning from Critical Care to Pediatrics. Cost: Free for NYU Learners $250 for Non-NYU Learners Click Here to Register and Begin Module 1 I. Phase 1: Stabilization (Minutes 0–10) The “Rearrest” Window & Pathophysiology High-Risk Period: Rearrest rates reach 30% within the first minutes post-ROSC. Shock Incidence: Two-thirds of patients develop profound hypotension/shock as initial resuscitative efforts subside. Catecholamine Washout: Super-physiologic “code-dose” epinephrine (1mg IV) typically wears off within ~3 minutes post-ROSC, leading to predictable hemodynamic collapse. Secondary Injuries: Evaluate for “CPR-induced trauma” (blunt thoracic trauma, rib fractures, pneumothorax, liver/splenic lacerations). Immediate Resuscitative Actions Vascular Access: Transition rapidly from IO to reliable IV access within 1–2 minutes. Prioritize Intraosseous (IO) placement within 5 minutes if IV attempts fail; intra-arrest data suggests no significant difference in early outcomes. Vasoactive “Bridge”: Maintain a “bolus-dose” pressor at the bedside for immediate push-dose titration. Options: Phenylephrine, dilute Epinephrine, or dilute Norepinephrine (titrated to effect rather than rigid dosing). Physician-Specific Task: Arterial Line: Goal: Placement within 5 minutes of ROSC. Preferred Site: Femoral (by landmarks/blind if necessary) for speed; should be a 80 mmHg. The BOX Trial Nuance: While the BOX trial showed no difference between MAP 63 vs. 77, its cohort (Denmark) had exceptionally high survival rates (70% back to work) and short response times, which may not generalize to North American populations with lower shockable rhythm incidence. Permissive Hypertension: If the patient is “self-driving” to higher pressures, do not aggressively lower them, as this may be a physiologic demand for cerebral blood flow. Ventilation and Oxygenation PaCO2 Management: Target: High-normal to slightly hypercarbic (45–55 mmHg). Rationale: Avoid accidental hyperventilation (PaCO2

Event Objectives:Review the non-renal implications of pediatric AKI.Describe the long-term consequences of AKI.Discuss prevention and management strategies.Claim CME Credit Here!

Each week we aim to bring together the biggest events in Vtubing and talk about what's been going on. Stop by, hang out, and let's catch up with us! Quick reminder that we record on Tuesdays so some large stories from the week may not appear. Buy Merch Here!  https://otamerch.shop/ Join this discord : https://discord.gg/M7tVYWTSFR Follow here for updates: https://twitter.com/SuperChatsPod Shorts over here: https://www.tiktok.com/@superchatspod Playlist of music: https://www.youtube.com/playlist?list=PLp6uXoGNUwk9Tq0NWOwaCLGruX0XdVBfd 00:00:00 Intro 00:00:42 FalseEyeD Graduation Announcement 00:12:15 Hololive's Charity Marathon Concluded 00:21:24 Nimi's 3D Anniversary Live 00:32:46 Aki's Birthday 3D Live 00:45:41 Jakks Pacific Getting into Holo Merch 00:56:47 Random BAFTA Discussion 01:05:29 Miwa's Birthday Week Celebration 01:13:09 New Hololive Fan Website from Hiro 01:16:47 Okayu's Non-Delicious 01:18:15 Calli and GG covered You Are My Monster 01:19:35 Kanade covered Iris Out 01:20:36 Eimi covered Yin Yang Relationship 01:24:23 Miori covered Paper Plane 01:26:31 Kanna covered Zoku Zoku 01:28:26 Penny covered I Can't Wait 01:30:23 Kam's Stuff 01:38:15 Bae's Telephone Game 01:43:24 REM's Stream 01:46:14 That Time Nene Got the PP Wand 01:48:19 Mint's Bioshock Playthrough 01:55:00 V Sensei's Hour of Animal Facts 01:56:43 Phase Connect's Killer Inn Collab 02:01:57 Octavio's Tribute to his Mom 02:03:52 Community and Shilling 02:09:53 Birfdays

The Six Nations is back — and this is the ultimate pre-show breakdown you need before kickoff.On this episode of Maul or Nothing, we're joined by Ireland & British & Irish Lions winger Simon Zebo for elite insight, dressing-room reality, and the stories behind the team sheets as Europe's biggest championship explodes into life.From France v Ireland on a rare Thursday night, to England v Wales at Twickenham, plus Scotland's ceiling and Italy's growing threat — nothing gets past us.⸻

On this podcast episode, I discuss important practice pearls and important test prep information about statins. Statins are cornerstone agents for ASCVD risk reduction, so test questions often focus on indication, intensity, and monitoring. Health care professionals should quickly identify statin intensity: high-intensity therapy (atorvastatin 40–80 mg, rosuvastatin 20–40 mg) lowers LDL by ~50% and is indicated for patients with clinical ASCVD, LDL ≥190 mg/dL, or high-risk diabetes patients age 40–75. Moderate-intensity statins (e.g., atorvastatin 10–20 mg, simvastatin 20–40 mg) are commonly tested for primary prevention. Statin-associated muscle symptoms range from myalgias (most common, normal CK) to rare but serious rhabdomyolysis (marked CK elevation and AKI). Risk factors include high doses, advanced age, hypothyroidism, drug interactions, and renal impairment. If muscle symptoms occur, stopping the statin, ruling out secondary causes (like hypothyroidism), and rechallenging with a lower dose or different statin is often the correct clinical approach. Drug interactions and statin selection frequently separate good from great test-takers. Lipophilic statins (simvastatin, atorvastatin, lovastatin) are more prone to muscle effects and CYP3A4 interactions, while hydrophilic statins (pravastatin, rosuvastatin) are preferred in patients with prior intolerance or complex drug regimens. Grapefruit juice, strong CYP3A4 inhibitors, and certain calcium channel blockers raise simvastatin levels—often prompting dose limits or avoidance on exams. If LDL goals aren’t met, adding ezetimibe or a PCSK9 inhibitor is the next evidence-based step. Be sure to check out our free Top 200 study guide – a 31 page PDF that is yours for FREE! Support The Podcast and Check Out These Amazing Resources! NAPLEX Study Materials BCPS Study Materials BCACP Study Materials BCGP Study Materials BCMTMS Study Materials Meded101 Guide to Nursing Pharmacology (Amazon Highly Rated) Guide to Drug Food Interactions (Amazon Best Seller) Pharmacy Technician Study Guide by Meded101

In this live conversation, I'm joined by Aki of MINKA Mystery School to talk about C.O.R.E. (Consciousness of Radical Equity) a 15-month leadership training weaving equity, spirituality, and embodiment.We explore what leadership asks of us right now, why decolonial practice is inseparable from spiritual integrity, and how we can build lives and businesses that feel like sanctuaries, not performances.Inside this video:✨ What “apocalypse” really means (hint: revelation)✨ Why discomfort isn't the point, liberation is✨ Practicing accountability without shame✨ Money, reciprocity, and abundance beyond extractive capitalism✨ Building community strong enough to hold real transformationIf you're a healer, coach, facilitator, organizer, or simply someone who feels the call to help create a more just and loving world, this conversation is for you. If you're a healer, coach, facilitator, organizer, or simply someone who feels the call to help create a more just and loving world, this conversation is for you: https://www.minkamysteryschool.com/consciousness-of-radical-equity-leadership-trainingLearn more about all of my programs and offerings at melaniemonaco.comConnect on IG @melanierosemonaco00:00 Introduction and Welcoming Aki01:49 Discussing Leadership and Its Importance04:51 Introduction to Consciousness of Radical Equity (CORE)06:08 Evolution and Impact of Minka09:32 Challenges and Realizations in Social Justice Work11:23 Details of the CORE Program20:59 The Importance of Reciprocity in Abundance27:04 The Power of Money in Shifting Power Dynamics27:57 The Role of Money in Collective Liberation29:31 Overcoming Imposter Syndrome in Business30:48 Spirituality in Business: A Personal Journey33:23 Creating a Sanctuary Through Business35:43 The Importance of Anti-Racism Work44:41 Interconnectedness and Spirituality in Equity Work45:29 Opportunities for Deeper Spiritual and Professional Growth46:52 Final Thoughts and Reflections

Chainsaw Man looks like chaos—but beneath the blood and devils lies a mythic story about fear, control, and the cost of desire. In this episode, we break down the symbolism, archetypes, and psychological journey that turn Chainsaw Man into one of the most compelling modern anime narratives.Show Notes:00:00 Introduction and Setup00:17 Diving into Chainsaw Man02:30 Understanding the Devils05:35 Symbolism and Real-World Parallels12:44 The Chain of Being30:42 Character Analysis: Denji, Aki, and Power35:30 The Great Mother Archetype37:29 Power Moves In38:43 Chainsaw Man's Deeper Resonance41:07 Reze Arc: A Turning Point44:17 First Love and Betrayal52:48 The Role of Angels and Demons01:05:11 Power's Transformation ( Spoilers Start Now)01:08:08 Adolescence and the Fantasy of Youth01:08:51 The Dangers of Escaping into Fantasy01:09:29 The Perils of Modern Medicine01:12:09 Chainsaw Man: The Control Devil01:13:12 The Dark Side of Femininity01:17:15 The Tragic Story of Aki01:18:37 The Philosophy of Power and Control01:25:34 The Hero's Journey and Cultural Narratives

Episode 210: Heat Stroke BasicsWritten by Jacob Dunn, MS4, American University of the Caribbean. Edits and comments by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice. Definition:Heat stroke represents the most severe form of heat-related illness, characterized by a core body temperature exceeding 40°C (104°F) accompanied by central nervous system (CNS) dysfunction. Arreaza: Key element is the body temperature and altered mental status. Jacob: This life-threatening condition arises from the body's failure to dissipate heat effectively, often in the context of excessive environmental heat load or strenuous physical activity. Arreaza: You mentioned, it is a spectrum. What is the difference between heat exhaustion and heat stroke? Jacob: Unlike milder heat illnesses such as heat exhaustion, heat stroke involves multisystem organ dysfunction driven by direct thermal injury, systemic inflammation, and cytokine release. You can think of it as the body's thermostat breaking under extreme stress — leading to rapid, cascading failures if not addressed immediately. Arreaza: Tell us what you found out about the pathophysiology of heat stroke?Jacob: Pathophysiology: Under normal conditions, the body keeps its core temperature tightly controlled through sweating, vasodilation of skin blood vessels, and behavioral responses like seeking shade or drinking water. But in extreme heat or prolonged exertion, those mechanisms get overwhelmed.Once core temperature rises above about 40°C (104°F), the hypothalamus—the brain's thermostat—can't keep up. The body shifts from controlled thermoregulation to uncontrolled, passive heating. Heat stroke isn't just someone getting too hot—it's a full-blown failure of the body's heat-regulating system. Arreaza: So, it's interesting. the cell functions get affected at this point, several dangerous processes start happening at the same time.Jacob: Yes: Cellular Heat InjuryHigh temperatures disrupt proteins, enzymes, and cell membranes. Mitochondria start to fail, ATP production drops, and cells become leaky. This leads to direct tissue injury in vital organs like the brain, liver, kidneys, and heart.Arreaza: Yikes. Cytokines play a big role in the pathophysiology of heat stroke too. Jacob: Systemic Inflammatory ResponseHeat damages the gut barrier, allowing endotoxins to enter the bloodstream. This triggers a massive cytokine release—similar to sepsis. The result is widespread inflammation, endothelial injury, and microvascular collapse.Arreaza: What other systems are affected?Coagulation AbnormalitiesEndothelial damage activates the clotting cascade. Patients may develop a DIC-like picture: microthrombi forming in some areas while clotting factors get consumed in others. This contributes to organ dysfunction and bleeding.Circulatory CollapseAs the body shunts blood to the skin for cooling, perfusion to vital organs drops. Combine that with dehydration from sweating and fluid loss, and you get hypotension, decreased cardiac output, and worsening ischemia.Arreaza: And one of the key features is neurologic dysfunction.Jacob: Neurologic DysfunctionThe brain is extremely sensitive to heat. Encephalopathy, confusion, seizures, and coma occur because neurons malfunction at high temperatures. This is why altered mental status is the hallmark of true heat stroke.Arreaza: Cell injury, inflammation, coagulopathy, circulatory collapse and neurologic dysfunction. Jacob: Ultimately, heat stroke is a multisystem catastrophic event—a combination of thermal injury, inflammatory storm, coagulopathy, and circulatory collapse. Without rapid cooling and aggressive supportive care, these processes spiral into irreversible organ failure.Background and Types:Arreaza: Heat stroke is part of a spectrum of heat-related disorders—it is a true medical emergency. Mortality rate reaches 30%, even with optimal treatment. This mortality correlates directly with the duration of core hyperthermia. I'm reminded of the first time I heard about heat stroke in a baby who was left inside a car in the summer 2005. Jacob: There are two primary types: -nonexertional (classic) heat stroke, which develops insidiously over days and predominantly affects vulnerable populations like children, the elderly, and those with chronic illnesses during heat waves; -exertional heat stroke, which strikes rapidly in young, otherwise healthy individuals, often during intense exercise in hot, humid conditions. Arreaza: In our community, farm workers are especially at risk of heat stroke, but any person living in the Central Valley is basically at risk.Jacob: Risk factors amplify vulnerability across both types, including dehydration, cardiovascular disease, medications that impair sweating (e.g., anticholinergics), and acclimatization deficits. Notably, anhidrosis (lack of sweating) is common but not required for diagnosis. Hot, dry skin can signal the shift from heat exhaustion to stroke. Arreaza: What other conditions look like heat stroke?Differential Diagnosis:Jacob: Presenting with altered mental status and hyperthermia, heat stroke demands a broad differential to avoid missing mimics. -Environmental: heat exhaustion, syncope, or cramps. -Infectious etiologies like sepsis or meningitis must be ruled out. -Endocrine emergencies such as thyroid storm, pheochromocytoma, or diabetic ketoacidosis (DKA) can overlap. -Neurologic insults include cerebrovascular accident (CVA), hypothalamic lesions (bleeding or infarct), or status epilepticus. -Toxicologic culprits are plentiful—sympathomimetic or anticholinergic toxidromes, salicylate poisoning, serotonin syndrome, malignant hyperthermia, neuroleptic malignant syndrome (NMS), or even alcohol/benzodiazepine withdrawal. When it comes to differentials, it is always best to cast a wide net and think about what we could be missing if this is not heat stroke. Arreaza: Let's say we have a patient with hyperthermia and we have to assess him in the ER. What should we do to diagnose it?Jacob: Workup:Diagnosis is primarily clinical, hinging on documented hyperthermia (>40°C) plus CNS changes (e.g., confusion, delirium, seizures, coma) in a hot environment. Arreaza: No single lab confirms it, but targeted testing allows us to detect complications and rule out alternative diagnosis. Jacob: -Start with ECG to assess for dysrhythmias or ischemic changes (sinus tachycardia is classic; ST depressions or T-wave inversions may hint at myocardial strain). -Labs include complete blood count (CBC), comprehensive metabolic panel (electrolytes, renal function, liver enzymes), glucose, arterial blood gas, lactate (elevated in shock), coagulation studies (for disseminated intravascular coagulation, or DIC), creatine kinase (CK) and myoglobin (for rhabdomyolysis), and urinalysis. Toxicology screen if history suggests. Arreaza: I can imagine doing all this while trying to cool down the patient. What about imaging?-Imaging: chest X-ray for pulmonary issues, non-contrast head CT if neurologic concerns suggest edema or bleed (consider lumbar puncture if infection suspected). It is important to note that continuous core temperature monitoring—via rectal, esophageal, or bladder probe—is essential, not just peripheral skin checks. Arreaza: TreatmentManagement:Time is tissue here—initiate cooling en route, if possible, as delays skyrocket morbidity. ABCs first: secure airway (intubate if needed, favoring rocuronium over succinylcholine to avoid hyperkalemia risk), support breathing, and stabilize circulation. -Remove the patient from the heat source, strip clothing, and launch aggressive cooling to target 38-39°C (102-102°F) before halting to prevent rebound hypothermia. -For exertional cases, ice-water immersion reigns supreme—it's the fastest method, with immersion in cold water resulting in near-100% survival if started within 30 minutes. -Nonexertional benefits from evaporative cooling: mist with tepid water (15-25°C) plus fans for convective airflow. -Adjuncts include ice packs to neck, axillae, and groin; -room-temperature IV fluids (avoid cold initially to prevent shivering); -refractory cases, invasive options like peritoneal lavage, endovascular cooling catheters, or even ECMO. -Fluid resuscitation with lactated Ringer's or normal saline (250-500 mL boluses) protects kidneys and counters rhabdomyolysis—aim for urine output of 2-3 mL/kg/hour. Arreaza: What about medications?Jacob: Benzodiazepines (e.g., lorazepam) control agitation, seizures, or shivering; propofol or fentanyl if intubated. Avoid antipyretics like acetaminophen. For intubation, etomidate or ketamine as induction agents. Hypotension often resolves with cooling and fluids; if not, use dopamine or dobutamine over norepinephrine to avoid vasoconstriction. Jacob: What IV fluid is recommended/best for patients with heat stroke?Both lactated Ringer's solution and normal saline are recommended as initial IV fluids for rehydration, but balanced crystalloids such as LR are increasingly favored due to their lower risk of hyperchloremic metabolic acidosis and AKI. However, direct evidence comparing the two specifically in the setting of heat stroke is limited. Arreaza: Are cold IV fluids better/preferred over room temperature fluids?Cold IV fluids are recommended as an adjunctive therapy to help lower core temperature in heat stroke, but they should not delay or replace primary cooling methods such as cold-water immersion. Cold IV fluids can decrease core temperature more rapidly than room temperature fluids. For example, 30mL/kg bolus of chilled isotonic fluids at 4 degrees Celsius over 30 minutes can decrease core temperature by about 1 degree Celsius, compared to 0.5 degree Celsius with room temperature fluids. Arreaza: Getting cold IV sounds uncomfortable but necessary for those patients. Our favorite topic.Screening and Prevention:-Heat stroke prevention focuses on public health and individual awareness rather than routine testing. -High-risk groups—elderly, children, athletes, laborers, or those on impairing meds—should acclimatize gradually (7-14 days), hydrate preemptively (electrolyte solutions over plain water), and monitor temperature in exertional settings. -Communities during heat waves need cooling centers and alerts. -For clinicians, educate patients with CVD or obesity about early signs like dizziness or nausea. -No formal "screening" exists, but vigilance in EDs during summer surges saves lives. -Arreaza: I think awareness is a key element in prevention, so education of the public through traditional media like TV, and even social media can contribute to the prevention of this catastrophic condition.Jacob: Ya so heat stroke is something that should be on every physician's radar in the central valley especially in the summer time given the hot temperatures. Rapid recognition is key. Arreaza: Thanks, Jacob for this topic, and until next time, this is Dr. Arreaza, signing off.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! References:Gaudio FG, Grissom CK. Cooling Methods in Heat Stroke. J Emerg Med. 2016 Apr;50(4):607-16. doi: 10.1016/j.jemermed.2015.09.014. Epub 2015 Oct 31. PMID: 26525947. https://pubmed.ncbi.nlm.nih.gov/26525947/.Platt, M. A., & LoVecchio, F. (n.d.). Nonexertional classic heat stroke in adults. In UpToDate. Retrieved September 7, 2025, from https://www.uptodate.com/contents/nonexertional-classic-heat-stroke-in-adults. (Key addition: Emphasizes insidious onset in at-risk populations and the role of urban heat islands in exacerbating classic cases.) Heat Stroke. WikEM. Retrieved December 3, 2025, from https://wikem.org/wiki/Heat_stroke. (Key additions: Details on cooling rates for immersion therapy, confirmation that anhidrosis is not diagnostic, and fluid titration to urine output for rhabdomyolysis prevention.)Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/. 

Welcome to January's Papers of the Month, which marks 10 years of the podcast! First up, we look at a large multicentre cohort study from the East of England examining the association between prehospital post-intubation hypotension and mortality in severe traumatic brain injury. Preventing secondary brain injury sits at the centre of what we're try to achieve in early TBI care, but this paper quantifies the impact of post-RSI hypotension in a dramatic way and the associated increase in 30-day mortality. Our second paper moves into the world of stable supraventricular tachycardia, asking whether an elevated troponin level in this cohort predicts short-term cardiovascular events. Troponin testing in SVT is common but debated: is it useful, or is it a diagnostic red herring? Finally, we look at BICARICU-2, a major multicentre RCT examining sodium bicarbonate for severe metabolic acidemia in patients with moderate–severe AKI. We explore what this means for bicarbonate use for this group of patient, both in terms of mortality rates and the need for renal replacement therapy. Once again we'd love to hear any thoughts or feedback either on the website or via X @TheResusRoom! Simon & Rob

Gentle listeners, start your engines... that you have inside you... because you are a special kind of fiend who's contracted with the Chainsaw Devil. We're discussing the premiere episode of the anime series Chainsaw Man, digging into the first season a bit in the Spoiler Zone, and even touching on 2025's Chainsaw Man: The Movie - Reze Arc! It's witty, it's bloody, it's obsessed with boobs! And of course there's a MouthGarf Report and I See What You Did There.Watch Chainsaw Man on Hulu or your streamer of choice.Please give us a 5 star rating on Apple Podcasts! Want to ask us a question? Talk to us! Email debutbuddies@gmail.comListen to the archives of Kelly and Chelsea's awesome horror movie podcast, Never Show the Monster.Get some sci-fi from Spaceboy Books.Get down with Michael J. O'Connor and the Cold Family and check out his new compilation The Best of the Bad Years 2005 - 2025Next time: First Film Directed by Tim Robbins / Jack Black's First Film Role

This week we drop a journal club extravaganza! Should we do away with the A-Line? Is Bicarb a sure-fire way to treat metabolic acidosis in the setting of AKI? What about selective decontamination and all that capillary refill business!? We tackle all these topics through thoughtful journal discussion, provide our $0.02 and a little witty repartee, of course! Check it out and let us know what you think! Hosted on Acast. See acast.com/privacy for more information.

In this conversation, Chase Brown reflects on his Thanksgiving experience, discusses the disappointing performance of the Eagles, and shares insights on the box office success of Zootopia. He also delves into the latest episodes of Chainsaw Man, highlighting character dynamics and plot developments. In this episode, the conversation delves into the complexities of devil contracts, the sacrifices made by characters, and the psychological horror elements present in the series. The hosts explore the dynamics between characters under pressure, particularly in a claustrophobic setting, and highlight moments of heroism and anti-heroism. The discussion culminates in an analysis of the Eternity Devil and the implications of fear in the narrative, showcasing the depth of character development and storytelling in the series. Sound Bites "The Cowboys will climb the ladder to the top." "This offense is so juvenile, it looks like a high school offense." "Zootopia obliterated the box office." "People will still show up to the movies." "I was trying to give this season a serious chance." "Denji approaches power spread out on the toilet." "I touched some boobs for the first time." "You're saying I find and murderize this thing?" "The gun devil hasn't been seen since." "The Eternity Devil laughs at the group." "What's happening to the world and to fight back?" "Most of them are giving up something physical." "Imagine being able to fight when you can portal jump." "You could fuck people up with that." "I have to think of a good one." "It reminded me of that staircase illusion." "You get the lampshade devil." "You have the power of anti-toothpaste." "He sacrificed himself for Denji." "Everything matters in this show." Chapters 00:00 Thanksgiving Reflections and Sports Rivalries 12:12 Box Office Success and Movie Theater Culture 17:57 Chainsaw Man Recap: Episode Highlights and Character Dynamics 39:35 Team Dynamics and Sacrifices 44:48 The Haunted Hotel and Character Development 51:47 Chasing Dreams and Realizations 58:54 The Gun Devil and Societal Reflections 01:06:50 Team Composition and Backstories 01:17:58 The Nature of Devil Contracts 01:22:39 Exploring Powers and Sacrifices 01:26:06 Trapped in a Loop: The Hotel Dilemma 01:30:00 Character Dynamics Under Pressure 01:32:44 The Eternity Devil Unleashed 01:40:24 Sacrifice and Heroism 01:46:57 Denji's Anti-Hero Moment Key Takeaways: Denji realizes that achieving his dreams isn't as fulfilling as the pursuit. The Eternity Devil's power grows with fear, trapping the team in a haunted hotel. Makima manipulates Denji through promises of fulfilling his desires. Aki's backstory reveals his motivations and trauma related to the Gun Devil. The complex dynamics between Denji, Power, and Aki highlight their differing motivations. Himeno's ghost devil powers and her protective instincts towards Aki. The commentary draws parallels between the show's themes and real-world societal issues. Denji's anti-hero persona is emphasized through his actions and motivations. The episodes explore the theme of control and manipulation in relationships. The narrative uses horror elements to enhance the tension and stakes.

In this conversation, Chase Brown discusses his experiences with gambling, particularly focusing on betting on table tennis. He humorously reflects on his strategies, wins, and losses, while also touching on the addictive nature of gambling. The conversation then transitions into a recap of the anime 'Chainsaw Man', specifically episodes 3 and 4, where themes of friendship, loyalty, and the struggles of the characters are explored. The discussion highlights the absurdity and excitement of both gambling and the anime's plot. In this segment of the conversation, the discussion revolves around the dynamics between characters in 'Chainsaw Man', particularly focusing on the breach of contract, daily life interactions, emotional depth, and the political implications of devils. The characters' motivations, betrayals, and the introduction of the Bat Devil are explored, highlighting the complexity of their relationships and the overarching themes of manipulation and control. In this conversation, Chase Brown delves into the intricate dynamics of characters in 'Chainsaw Man,' particularly focusing on the epic battles, moral dilemmas, and the evolving relationships between Denji, Power, and Aki. The discussion highlights the transformation of Power, the contrasting personalities of Denji and Power, and the deeper themes of dreams and sacrifices within the devil hunter world. The conversation culminates in a humorous yet profound ending that reflects on the nature of power dynamics and control. takeaways Gambling can create a false sense of increased chances of winning. Betting on obscure sports like table tennis can be entertaining. The thrill of gambling often overshadows the risks involved. Character names can influence betting decisions in a humorous way. The conversation shifts from gambling to anime seamlessly. Chainsaw Man explores deep themes of friendship and loyalty. The absurdity of betting on table tennis reflects a larger commentary on gambling culture. The stakes in both gambling and anime can lead to unexpected outcomes. Humor plays a significant role in discussing serious topics like addiction. The recap of Chainsaw Man highlights character development and plot progression. They abandoned their approved area, a big breach of contract. Aki's daily routine reveals character dynamics. Power's emotional attachment to her cat shows depth. Denji's motivations are often juvenile and self-serving. Makima's control over characters is chilling and powerful. The devils' power is based on the fear they instill. Power's betrayal highlights her self-serving nature. Denji's instincts are strong despite his lack of intellect. The political implications of devils are significant. The introduction of the Bat Devil adds complexity to the narrative. The action scenes in 'Chainsaw Man' are both creative and meaningful. Power's character development shows her moral dilemmas and growth. Denji and Power share a complex dynamic that reveals their similarities. The fight scenes highlight Denji's motivations beyond just physical desires. Aki's disciplined nature contrasts sharply with Denji's chaotic personality. The concept of dreams and sacrifices is central to the characters' motivations. Power's cat-like traits are cleverly woven into her character design. The relationship between devils and humans raises questions about morality. Machima's control over characters reflects broader themes of power dynamics. The humor in the series often masks deeper emotional truths. timestamp00:40:22 titles Betting on Table Tennis: A Gambler's Tale From Gambling to Chainsaw Man: A Wild Ride The Addictive Nature of Betting and Anime Exploring the Absurdity of Gambling Chainsaw Man: A Deep Dive into Episodes 3 and 4 The Thrill of the Bet: Table Tennis Edition Gambling Strategies and Anime Recaps A Journey Through Betting and Chainsaw Man The Intersection of Gambling and Anime Culture Understanding Addiction Through Humor and Storytelling Breach of Contract and Unlikely Alliances Character Dynamics and Daily Life Sound Bites "I feel like the more I play, the more my chances increase." "I am Brad Pitt in this situation." "I won $216 just because I kept playing." "It's really not as great as they would seem." "You have a problem." "I don't watch these people." "Profit is profit." "Why did you save me after I attempted to kill you?" "A big breach of contract." "What a dismal abode you have here!" "I'm the type who seldom chooses to bathe." "Fondle away!" "This episode was pretty sick, man." "Power is just a bloodthirsty fiend." "Power's emotional side is starting to show." "Denji is the least intelligent of the group." "The devils' power is based on fear." "The Bat Devil is a cool ass villain." "It was badass, too, man." "Denji realizes, sympathizes with her." "Think about how powerful Machima must be." "Every life is equally trivial." "Power is literally a cat." "This is like something out of 50 fucking shades of gray." Chapters 00:00 The Thrill of Gambling 10:03 The World of Table Tennis Betting 14:09 Chainsaw Man Recap: Episodes 3 and 4 31:17 The Aftermath of the Bat Devil Encounter 40:22 Breach of Contract and Unlikely Alliances 44:11 Character Dynamics and Daily Life 51:29 Power's Betrayal and Emotional Depth 01:00:51 Intellectual Dynamics and Manipulation 01:06:59 The Political Landscape and Devil Control 01:13:09 The Bat Devil and Thematic Connections 01:21:13 Epic Battles and Character Dynamics 01:24:06 Power's Transformation and Moral Dilemmas 01:26:59 Contrasting Personalities: Denji and Power 01:30:21 The Nature of Devils and Human Qualities 01:35:30 Dreams and Sacrifices in the Devil Hunter World 01:41:09 Aki's Discipline and the Cost of Power 01:44:02 Team Dynamics and Loyalty 01:48:44 Power's Cat-Like Nature and Aki's Routine 01:51:57 Power Dynamics and Control 01:53:48 The Climax: A Humorous Yet Profound Ending  

There's a ubiquitous prop in just about every police procedural and conspiracy thriller: a cork board pinned with documents, newspaper clippings, and Polaroid photos, all connected by a web of red string. They go by many names, including pin boards, string boards, evidence boards, investigation walls, conspiracy walls, and walls of crazy. These boards can be vehicles of insight or manifestations of madness—and in many cases, both. But where did they come from? And can they really solve a crime? In this episode, we try to unwind the red string board all the way to its center. To aide in our investigation, we enlist the help of Aki Peritz, a former CIA analyst and the author of Disruption: Inside the Largest Counterterrorism Investigation in History. You'll also hear from Shawn Gilmore, editor of The Vault of Culture and creator of the Narrative String Theory project; and Dr. Anne Ganzert, author of Serial Pinboarding in Contemporary Television. And we learn about the intricacies of building a string board from production designers Michael Scott Cobb (It's Always Sunny in Philadelphia) and John D. Kretschmer (Homeland). This episode was written and produced by Evan Chung, Decoder Ring's supervising producer. It was edited by Willa Paskin. Decoder Ring is also produced by Katie Shepherd and Max Freedman. Merritt Jacob is Senior Technical Director. If you have any cultural mysteries you want us to decode, email us at DecoderRing@slate.com or leave a message on our hotline at (347) 460-7281. Sources for This Episode Benson, Richard. “Decoding the Detective's 'Crazy Wall',” Esquire, Jan. 22, 2015. Coley, Rob. “The case of the speculative detective: Aesthetic truths and the television ‘crime board',” NECSUS, May 28, 2017. Ganzert, Anne. Serial Pinboarding in Contemporary Television, Palgrave Macmillan, 2020. Gilmore, Shawn. “Narrative String Theory,” The Vault of Culture. McGarry, Andrew. “Did Orwell's nightmare Nineteen Eighty-Four inspire the Snowtown murders?” Australian Broadcasting Corporation News, May 21, 2019. Peritz, Aki. Disruption: Inside the Largest Counterterrorism Investigation in History, Potomac Books, 2021. Peritz, Aki. “The FBI Is Going Crazy-Stringboard Crazy,” Slate, Feb. 1, 2022. Stiehm, Jamie. “My So-Called Bipolar Life,” New York Times, Jan. 17, 2012. Get more of Decoder Ring with Slate Plus! Join for exclusive bonus episodes of Decoder Ring and ad-free listening on all your favorite Slate podcasts. Subscribe from the Decoder Ring show page on Apple Podcasts or Spotify. Or, visit slate.com/decoderplus for access wherever you listen. Learn more about your ad choices. Visit megaphone.fm/adchoices

There's a ubiquitous prop in just about every police procedural and conspiracy thriller: a cork board pinned with documents, newspaper clippings, and Polaroid photos, all connected by a web of red string. They go by many names, including pin boards, string boards, evidence boards, investigation walls, conspiracy walls, and walls of crazy. These boards can be vehicles of insight or manifestations of madness—and in many cases, both. But where did they come from? And can they really solve a crime? In this episode, we try to unwind the red string board all the way to its center. To aide in our investigation, we enlist the help of Aki Peritz, a former CIA analyst and the author of Disruption: Inside the Largest Counterterrorism Investigation in History. You'll also hear from Shawn Gilmore, editor of The Vault of Culture and creator of the Narrative String Theory project; and Dr. Anne Ganzert, author of Serial Pinboarding in Contemporary Television. And we learn about the intricacies of building a string board from production designers Michael Scott Cobb (It's Always Sunny in Philadelphia) and John D. Kretschmer (Homeland). This episode was written and produced by Evan Chung, Decoder Ring's supervising producer. It was edited by Willa Paskin. Decoder Ring is also produced by Katie Shepherd and Max Freedman. Merritt Jacob is Senior Technical Director. If you have any cultural mysteries you want us to decode, email us at DecoderRing@slate.com or leave a message on our hotline at (347) 460-7281. Sources for This Episode Benson, Richard. “Decoding the Detective's 'Crazy Wall',” Esquire, Jan. 22, 2015. Coley, Rob. “The case of the speculative detective: Aesthetic truths and the television ‘crime board',” NECSUS, May 28, 2017. Ganzert, Anne. Serial Pinboarding in Contemporary Television, Palgrave Macmillan, 2020. Gilmore, Shawn. “Narrative String Theory,” The Vault of Culture. McGarry, Andrew. “Did Orwell's nightmare Nineteen Eighty-Four inspire the Snowtown murders?” Australian Broadcasting Corporation News, May 21, 2019. Peritz, Aki. Disruption: Inside the Largest Counterterrorism Investigation in History, Potomac Books, 2021. Peritz, Aki. “The FBI Is Going Crazy-Stringboard Crazy,” Slate, Feb. 1, 2022. Stiehm, Jamie. “My So-Called Bipolar Life,” New York Times, Jan. 17, 2012. Get more of Decoder Ring with Slate Plus! Join for exclusive bonus episodes of Decoder Ring and ad-free listening on all your favorite Slate podcasts. Subscribe from the Decoder Ring show page on Apple Podcasts or Spotify. Or, visit slate.com/decoderplus for access wherever you listen. Learn more about your ad choices. Visit megaphone.fm/adchoices

There's a ubiquitous prop in just about every police procedural and conspiracy thriller: a cork board pinned with documents, newspaper clippings, and Polaroid photos, all connected by a web of red string. They go by many names, including pin boards, string boards, evidence boards, investigation walls, conspiracy walls, and walls of crazy. These boards can be vehicles of insight or manifestations of madness—and in many cases, both. But where did they come from? And can they really solve a crime? In this episode, we try to unwind the red string board all the way to its center. To aide in our investigation, we enlist the help of Aki Peritz, a former CIA analyst and the author of Disruption: Inside the Largest Counterterrorism Investigation in History. You'll also hear from Shawn Gilmore, editor of The Vault of Culture and creator of the Narrative String Theory project; and Dr. Anne Ganzert, author of Serial Pinboarding in Contemporary Television. And we learn about the intricacies of building a string board from production designers Michael Scott Cobb (It's Always Sunny in Philadelphia) and John D. Kretschmer (Homeland). This episode was written and produced by Evan Chung, Decoder Ring's supervising producer. It was edited by Willa Paskin. Decoder Ring is also produced by Katie Shepherd and Max Freedman. Merritt Jacob is Senior Technical Director. If you have any cultural mysteries you want us to decode, email us at DecoderRing@slate.com or leave a message on our hotline at (347) 460-7281. Sources for This Episode Benson, Richard. “Decoding the Detective's 'Crazy Wall',” Esquire, Jan. 22, 2015. Coley, Rob. “The case of the speculative detective: Aesthetic truths and the television ‘crime board',” NECSUS, May 28, 2017. Ganzert, Anne. Serial Pinboarding in Contemporary Television, Palgrave Macmillan, 2020. Gilmore, Shawn. “Narrative String Theory,” The Vault of Culture. McGarry, Andrew. “Did Orwell's nightmare Nineteen Eighty-Four inspire the Snowtown murders?” Australian Broadcasting Corporation News, May 21, 2019. Peritz, Aki. Disruption: Inside the Largest Counterterrorism Investigation in History, Potomac Books, 2021. Peritz, Aki. “The FBI Is Going Crazy-Stringboard Crazy,” Slate, Feb. 1, 2022. Stiehm, Jamie. “My So-Called Bipolar Life,” New York Times, Jan. 17, 2012. Get more of Decoder Ring with Slate Plus! Join for exclusive bonus episodes of Decoder Ring and ad-free listening on all your favorite Slate podcasts. Subscribe from the Decoder Ring show page on Apple Podcasts or Spotify. Or, visit slate.com/decoderplus for access wherever you listen. Learn more about your ad choices. Visit megaphone.fm/adchoices