Podcasts about Albin

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Imperiet Podcast - Ogooglade sanningar
S08E21. Kukhatarklubben och Albin

Imperiet Podcast - Ogooglade sanningar

Play Episode Listen Later Sep 9, 2025 47:15


Äntligen är det ordning på torpet, synd bara att kåken brinner. Kim, Per och Pest faller snabbt ner i brunpölen, bakdelen, röven och den eventuella bögen. Frågorna är som best pubertala men åh så viktiga! Lyssna nu, du kan vara bög! Finger eller ljus till alla er därute! Kärlek! /Imperiet podcast

Musiques du monde
#SessionLive Mathieu Boogaerts + Albin de la Simone, touche française

Musiques du monde

Play Episode Listen Later Sep 7, 2025 48:30


#SessionLive avec deux poètes de la chanson française : Mathieu Boogaerts pour Grand piano et Albin de la Simone pour Toi là-bas. (Rediffusion) Notre premier invité est Mathieu Boogaerts pour la sortie de Grand Piano. Note d'intention par Mathieu Boogaerts : Mathieu Boogaerts, « Grand piano » ?  C'est le titre de mon neuvième album, et c'est un oxymore : « Figure de style qui vise à rapprocher deux termes que leurs sens devraient éloigner ». « Grand » car je l'ai voulu ainsi : franc, épais, puissant, plus de matière, de volume que ses prédécesseurs... Plus âgé ? Une batterie, une basse électrique, une basse synthétique, une guitare électrique, une guitare acoustique, un synthétiseur, un saxophone, une flûte, un accordéon, un chœur, des percussions, un piano électrique et un piano droit : la gamme de couleurs qu'il m'a fallu pour dépeindre en détails les sentiments que je déploie dans mes douze nouvelles chansons. Mais « Piano », car toujours sur le ton de la confidence, léger, fragile, doux, nuancé. Comment ? J'ai écrit et composé ce répertoire entre septembre 2020 et mars 2023 dans de nombreux lieux dont Londres, Paris, Istanbul, Amsterdam, Budapest, Plaisians, Risoul et les Landes. Le disque a été enregistré « de manière classique » entre 2023 et 2024 à La Frette Studios en région parisienne. Comme pour chacun de mes disques, Renaud Letang a ensuite élaboré le mixage, puis le duo de graphistes M/M (Paris) a conçu la pochette : ici une nature morte illustrant la facture, le geste, l'intention poétique de l'album. Avant ? Né en 1970 à Fontenay-sous-Bois. J'ai sorti mon premier « Ondulé » de clip-vidéo en 1995, suivi de l'album Super. Depuis : huit albums studio, trois albums live, plus de mille concerts à travers le monde, des chansons pour Camélia Jordana, Luce, Zaz, Vanessa Paradis... D'innombrables collaborations. En 2023, en pleine fabrication du disque, j'ai donné vingt concerts à Paris lors desquels je tirai au sort les chansons de ma discographie. Après ? Joie : l'écriture et la réalisation des clips-vidéo des morceaux. Les interpréter sur scène accompagné par mon tout nouveau groupe... Le Grand piano ! Mon meilleur disque ? Oui ! Titres interprétés dans le grand studio - Ma Jeunesse Live RFI  - Faut toujours écouter son corps, extrait de l'album - Dans une case Live RFI.  Line Up : Mathieu Boogaerts, guitare voix. Son : Camille Roch, Jérémie Besset. ► Album Grand Piano (Tôt ou Tard 2025). Site internet - YouTube - Facebook À lire aussiMathieu Boogaerts: «Grand piano», entre intimité et ambition musicale   Puis, nous recevons Albin de la Simone pour la sortie de Toi là-bas (disque) et Mes Battements (livre avec dessins chez Actes Sud). ► Teaser MdM. Le Livre Mes battements. Rome, 30 septembre 2024. Il est 11h du matin, partie à 4h30 chez moi, j'arrive à la Villa Médicis qui me fait le beau cadeau de m'inviter en courte résidence pour finir le livre que vous tenez entre les mains. Donc, à l'heure où j'écris ces lignes, ce n'est encore qu'un tas de dessins et de textes plus ou moins ordonnés. J'ai du pain sur la planche. Car un premier livre de ce type, comme un premier disque, est un peu constitué d'une vie entière, et quand on a 50 ans passés, il y a du tri à faire. À partir du deuxième, si on a bien fait son boulot dans le premier, on part d'une page blanche ou, au pire, d'une page beige. Nous verrons. L'album Toi là-bas. Paris, le 1er décembre 2024. Après quelques saisons très denses, j'ai ressenti à l'automne dernier le besoin imparable de me retrouver seul. Du moins face à moi-même. Je suis parti m'enfermer à la Villa Médicis où j'ai terminé d'écrire et de dessiner mon premier livre (Mes battements, paru en mars 2025 chez Actes Sud), un voyage intérieur qui, depuis des mois, me baladait loin dans le passé, mon village, mon enfance, mon adolescence. Je me suis amusé à reprendre quelques chansons de mes débuts comme Je te manque, Avril 4000 ou Non merci (2005), et j'ai remarqué que je leur donnais quelque chose que je ne voyais pas à l'époque. Je les habitais d'une nouvelle façon. J'ai tiré le fil, et d'autres chansons comme J'aime lire (2008) et enfin Pourquoi on pleure (2017) sont sorties naturellement de la pelote. Alors j'ai eu envie de les enregistrer à nouveau, comme de les photographier dans leur nouveau costume. Je me suis laissé aller sans faire de plans, sans pression, juste pour le jeu de la réinterprétation, pour le plaisir. Beaucoup de plaisir, musical autant que vocal. Les chansons en sont sorties plus sereines et plus sensuelles aussi, je crois. Boîtes à rythmes et basses profondes, synthétiseurs en halos suaves autour de mes instruments acoustiques chéris, comme mon piano Una Corda, et aussi cette incroyable Fender VI chère à The Cure ou Richard Hawley, une guitare électrique des années 60 accordée une octave plus grave, dont le son me retourne (écoutez le solo dans La valse des lilas). J'ai invité Alice on the Roof – avec qui je travaille pour son prochain album et que j'adore – à partager Pourquoi on pleure. Alice a accepté. La chanson en duo a pris un sens nouveau. Je pensais faire un petit EP à sortir à l'occasion de la parution du livre, mais comme je fouillais dans le rétroviseur depuis des mois, j'ai croisé quelques autres chansons importantes dans ma vie. La très souchonesque C'est bien moi que j'ai chantée l'an passé en hommage à Françoise Hardy avec Sage. La sublime Valse des lilas de Michel Legrand dont j'ai tant aimé la version américaine Once Upon a Summertime par Blossom Dearie ou Miles Davis. Et le temps s'arrêtait, d'Adamo, que nous avions arrangée avec Julien Chirol et Renaud Létang en 2003 pour le grand Salvatore lui-même. Et surtout, Ma gueule, lourdeur de Johnny qui me renvoyait au pire de la préadolescence brutale et masculiniste, jusqu'à ce que je découvre en la chantant qu'elle pouvait m'aller comme un gant et m'émouvoir même. Puisque mon livre et mon disque sortent en même temps, puisque leurs visuels et leurs thématiques sont cousins, j'ai quand même eu envie d'écrire une chanson nouvelle pour faire le pont entre les deux. En laissant errer mon regard dans les arbres de la Villa Médicis, j'ai revu Laurence, Natalia, Maud, Sidonie, Ouria… premières amoureuses qui ne m'ont pas connu. Que j'ai aimées, follement, mais de loin. Que j'ai regardées, sans relâche, dont j'ai étudié les gestes, les habitudes, les vêtements, ne détournant le regard que si je sentais le leur se tourner vers moi. J'avais trop peur. Peur de quoi. J'ai aussi entendu dans les arbres les échos de Charlotte Sometimes des Cure, sur laquelle je pleurais ces amours à distance. Trois jours plus tard, j'ai terminé la première maquette de Toi là-bas. Ça n'est donc pas un EP, mais bien un album. Mon huitième. Post-scriptum : Je ne résiste pas à repartir sur la route pour promener mes chansons et mon livre. Cette fois, je serai seul sur scène. Je chanterai et jouerai, je parlerai un peu, mais aussi je dessinerai. À moins d'un miracle anatomique, il est peu probable que je parvienne à faire tout cela en même temps. Titres interprétés dans le grand studio - Pourquoi on pleure Live RFI  - Toi là-bas, extrait de l'album - Quoi ma gueule Live RFI.  Line Up : Albin de la Simone, piano, voix. Son : Benoît Letirant, Mathias Taylor, Camille Roch. ► Album Toi là-bas (Tôt ou Tard). Site internet - YouTube - Facebook   Réalisation : Hadrien Touraud.

Musiques du monde
#SessionLive Mathieu Boogaerts + Albin de la Simone, touche française

Musiques du monde

Play Episode Listen Later Sep 7, 2025 48:30


#SessionLive avec deux poètes de la chanson française : Mathieu Boogaerts pour Grand piano et Albin de la Simone pour Toi là-bas. (Rediffusion) Notre premier invité est Mathieu Boogaerts pour la sortie de Grand Piano. Note d'intention par Mathieu Boogaerts : Mathieu Boogaerts, « Grand piano » ?  C'est le titre de mon neuvième album, et c'est un oxymore : « Figure de style qui vise à rapprocher deux termes que leurs sens devraient éloigner ». « Grand » car je l'ai voulu ainsi : franc, épais, puissant, plus de matière, de volume que ses prédécesseurs... Plus âgé ? Une batterie, une basse électrique, une basse synthétique, une guitare électrique, une guitare acoustique, un synthétiseur, un saxophone, une flûte, un accordéon, un chœur, des percussions, un piano électrique et un piano droit : la gamme de couleurs qu'il m'a fallu pour dépeindre en détails les sentiments que je déploie dans mes douze nouvelles chansons. Mais « Piano », car toujours sur le ton de la confidence, léger, fragile, doux, nuancé. Comment ? J'ai écrit et composé ce répertoire entre septembre 2020 et mars 2023 dans de nombreux lieux dont Londres, Paris, Istanbul, Amsterdam, Budapest, Plaisians, Risoul et les Landes. Le disque a été enregistré « de manière classique » entre 2023 et 2024 à La Frette Studios en région parisienne. Comme pour chacun de mes disques, Renaud Letang a ensuite élaboré le mixage, puis le duo de graphistes M/M (Paris) a conçu la pochette : ici une nature morte illustrant la facture, le geste, l'intention poétique de l'album. Avant ? Né en 1970 à Fontenay-sous-Bois. J'ai sorti mon premier « Ondulé » de clip-vidéo en 1995, suivi de l'album Super. Depuis : huit albums studio, trois albums live, plus de mille concerts à travers le monde, des chansons pour Camélia Jordana, Luce, Zaz, Vanessa Paradis... D'innombrables collaborations. En 2023, en pleine fabrication du disque, j'ai donné vingt concerts à Paris lors desquels je tirai au sort les chansons de ma discographie. Après ? Joie : l'écriture et la réalisation des clips-vidéo des morceaux. Les interpréter sur scène accompagné par mon tout nouveau groupe... Le Grand piano ! Mon meilleur disque ? Oui ! Titres interprétés dans le grand studio - Ma Jeunesse Live RFI  - Faut toujours écouter son corps, extrait de l'album - Dans une case Live RFI.  Line Up : Mathieu Boogaerts, guitare voix. Son : Camille Roch, Jérémie Besset. ► Album Grand Piano (Tôt ou Tard 2025). Site internet - YouTube - Facebook À lire aussiMathieu Boogaerts: «Grand piano», entre intimité et ambition musicale   Puis, nous recevons Albin de la Simone pour la sortie de Toi là-bas (disque) et Mes Battements (livre avec dessins chez Actes Sud). ► Teaser MdM. Le Livre Mes battements. Rome, 30 septembre 2024. Il est 11h du matin, partie à 4h30 chez moi, j'arrive à la Villa Médicis qui me fait le beau cadeau de m'inviter en courte résidence pour finir le livre que vous tenez entre les mains. Donc, à l'heure où j'écris ces lignes, ce n'est encore qu'un tas de dessins et de textes plus ou moins ordonnés. J'ai du pain sur la planche. Car un premier livre de ce type, comme un premier disque, est un peu constitué d'une vie entière, et quand on a 50 ans passés, il y a du tri à faire. À partir du deuxième, si on a bien fait son boulot dans le premier, on part d'une page blanche ou, au pire, d'une page beige. Nous verrons. L'album Toi là-bas. Paris, le 1er décembre 2024. Après quelques saisons très denses, j'ai ressenti à l'automne dernier le besoin imparable de me retrouver seul. Du moins face à moi-même. Je suis parti m'enfermer à la Villa Médicis où j'ai terminé d'écrire et de dessiner mon premier livre (Mes battements, paru en mars 2025 chez Actes Sud), un voyage intérieur qui, depuis des mois, me baladait loin dans le passé, mon village, mon enfance, mon adolescence. Je me suis amusé à reprendre quelques chansons de mes débuts comme Je te manque, Avril 4000 ou Non merci (2005), et j'ai remarqué que je leur donnais quelque chose que je ne voyais pas à l'époque. Je les habitais d'une nouvelle façon. J'ai tiré le fil, et d'autres chansons comme J'aime lire (2008) et enfin Pourquoi on pleure (2017) sont sorties naturellement de la pelote. Alors j'ai eu envie de les enregistrer à nouveau, comme de les photographier dans leur nouveau costume. Je me suis laissé aller sans faire de plans, sans pression, juste pour le jeu de la réinterprétation, pour le plaisir. Beaucoup de plaisir, musical autant que vocal. Les chansons en sont sorties plus sereines et plus sensuelles aussi, je crois. Boîtes à rythmes et basses profondes, synthétiseurs en halos suaves autour de mes instruments acoustiques chéris, comme mon piano Una Corda, et aussi cette incroyable Fender VI chère à The Cure ou Richard Hawley, une guitare électrique des années 60 accordée une octave plus grave, dont le son me retourne (écoutez le solo dans La valse des lilas). J'ai invité Alice on the Roof – avec qui je travaille pour son prochain album et que j'adore – à partager Pourquoi on pleure. Alice a accepté. La chanson en duo a pris un sens nouveau. Je pensais faire un petit EP à sortir à l'occasion de la parution du livre, mais comme je fouillais dans le rétroviseur depuis des mois, j'ai croisé quelques autres chansons importantes dans ma vie. La très souchonesque C'est bien moi que j'ai chantée l'an passé en hommage à Françoise Hardy avec Sage. La sublime Valse des lilas de Michel Legrand dont j'ai tant aimé la version américaine Once Upon a Summertime par Blossom Dearie ou Miles Davis. Et le temps s'arrêtait, d'Adamo, que nous avions arrangée avec Julien Chirol et Renaud Létang en 2003 pour le grand Salvatore lui-même. Et surtout, Ma gueule, lourdeur de Johnny qui me renvoyait au pire de la préadolescence brutale et masculiniste, jusqu'à ce que je découvre en la chantant qu'elle pouvait m'aller comme un gant et m'émouvoir même. Puisque mon livre et mon disque sortent en même temps, puisque leurs visuels et leurs thématiques sont cousins, j'ai quand même eu envie d'écrire une chanson nouvelle pour faire le pont entre les deux. En laissant errer mon regard dans les arbres de la Villa Médicis, j'ai revu Laurence, Natalia, Maud, Sidonie, Ouria… premières amoureuses qui ne m'ont pas connu. Que j'ai aimées, follement, mais de loin. Que j'ai regardées, sans relâche, dont j'ai étudié les gestes, les habitudes, les vêtements, ne détournant le regard que si je sentais le leur se tourner vers moi. J'avais trop peur. Peur de quoi. J'ai aussi entendu dans les arbres les échos de Charlotte Sometimes des Cure, sur laquelle je pleurais ces amours à distance. Trois jours plus tard, j'ai terminé la première maquette de Toi là-bas. Ça n'est donc pas un EP, mais bien un album. Mon huitième. Post-scriptum : Je ne résiste pas à repartir sur la route pour promener mes chansons et mon livre. Cette fois, je serai seul sur scène. Je chanterai et jouerai, je parlerai un peu, mais aussi je dessinerai. À moins d'un miracle anatomique, il est peu probable que je parvienne à faire tout cela en même temps. Titres interprétés dans le grand studio - Pourquoi on pleure Live RFI  - Toi là-bas, extrait de l'album - Quoi ma gueule Live RFI.  Line Up : Albin de la Simone, piano, voix. Son : Benoît Letirant, Mathias Taylor, Camille Roch. ► Album Toi là-bas (Tôt ou Tard). Site internet - YouTube - Facebook   Réalisation : Hadrien Touraud.

Club MXStar
39. Albin Gerhardsson

Club MXStar

Play Episode Listen Later Sep 6, 2025 74:39


Albin Gerhardsson kommer precis ifrån en helg där han vunnit årets första deltävling i MXSM. En serie där han ligger på en total tredje plats inför det avslutande racet i Vimmerby. I dagarna också uttagen till årets MXoN lag som kommer att ta sig över till USA för att försvara Sveriges färger. Vi pratar om allt detta och även Gotland Grand National.

Laissez-vous Tenter
L'humoriste Vincent Dedienne se met à la chanson

Laissez-vous Tenter

Play Episode Listen Later Sep 5, 2025 3:15


Il se lance dans la musique : l'humoriste et comédien Vincent Dedienne dévoile vendredi 5 septembre deux extraits de son premier album, qui s'intitulera "Un lendemain soir de Gala", avec des chansons écrites par des copains chanteurs, Vincent Delerm, Albin de la Simone ou encore Ben Mazué, à partir de son précédent spectacle comique. Marie Gicquel l'a rencontré pour RTL. Autre actualité musicale, le retour du chanteur à l'accordéon Claudio Capéo. Ecoutez Laissez-vous tenter - Première avec Marie Gicquel du 05 septembre 2025.Hébergé par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.

Kafferepet
Brända kakor 90 – Ut i sus

Kafferepet

Play Episode Listen Later Sep 1, 2025 13:33


Tisdag! Albin må vara på flängande fot, men inte ska väl det få stå i vägen för ett gäng kakor? Det blir vikingar, midsommar och Telia. Har du ett skvaller som fler borde få höra? Maila det till kafferepetpod@gmail.comMissa inte vår månatliga systerpodd Cigarrummet. Bli prenumerant på www.underproduktion.se/cigarrummet1:50 - Livförsäkring på jobbet4:30 - Midsommarnatts(mar)dröm10:52 - Farfar och internet Hosted on Acast. See acast.com/privacy for more information.

Klangfenster
Albin Brun: Pas de quatre

Klangfenster

Play Episode Listen Later Aug 30, 2025 33:58


Eigenvertrieb

Morgonandakten
Sådd och skörd – Albin Tanke

Morgonandakten

Play Episode Listen Later Aug 25, 2025 7:03


Andakterna den här veckan tar avstamp i de fem världsreligionerna och har Sådd och skörd som tema. Idag hör du Albin Tanke som utgår från sin kristna tro. Lyssna på alla avsnitt i Sveriges Radio Play. Ur andakten:Jag älskar att så, att påta i jorden – om det så bara är i köksfönstrets krukväxter… Att ta in mysteriet hur det pyttelilla fröet som göms i jorden, gror och växer, är helt fantastiskt. Sådd och skörd är djupt förbundna med varandra. Och det gäller inte bara sånt som jag sår i jorden, det gäller också hur jag önskar att mitt liv ska ta sig gestalt, vad jag vill investera i, och hur jag väljer. Det vi sår och tar hand om, vårdar om och vattnar – det växer. Det växer och sprider sig vidare. Att odla kulturer av välvilja ger värme långt utöver vad den som sådde kanske först avsåg? Därför kan det vara så väldigt viktigt att fundera över vad vi sår och vad vi vattnar i våra liv.Text:Kol 3:12-16Musik:Prague's Ballet av Marius Neset med Marius Neset, Leif Ove Andsnes och Louisa TuckProducent:Susanna Némethliv@sverigesradio.se

Continuum Audio
Multiple System Atrophy With Dr. Tao Xie

Continuum Audio

Play Episode Listen Later Aug 20, 2025 22:25


Multiple system atrophy is a rare, sporadic, adult-onset, progressive, and fatal neurodegenerative disease. Accurate and early diagnosis remains challenging because it presents with a variable combination of symptoms across the autonomic, extrapyramidal, cerebellar, and pyramidal systems. Advances in brain imaging, molecular biomarker research, and efforts to develop disease-modifying agents have shown promise to improve diagnosis and treatment. In this episode, Casey Albin, MD speaks with Tao Xie, MD, PhD, author of the article “Multiple System Atrophy” in the Continuum® August 2025 Movement Disorders issue. Dr. Albin is a Continuum® Audio interviewer, associate editor of media engagement, and an assistant professor of neurology and neurosurgery at Emory University School of Medicine in Atlanta, Georgia. Dr. Xie is director of the Movement Disorder Program, chief of the Neurodegenerative Disease Section in the department of neurology at the University of Chicago Medicine in Chicago, Illinois. Additional Resources Read the article: Multiple System Atrophy Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @caseyalbin Full episode transcript available here Dr. Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Albin: Hello everyone, this is Dr Casey Albin. Today I'm interviewing Dr Tao Xie about his article on diagnosis and management of multiple system atrophy, which appears in the August 2025 Continuum issue on movement disorders. Welcome to the podcast, and please introduce yourself to our audience. Dr Xie: Thank you so much, Dr Albin. My name is Tao Xie, and sometimes people also call me Tao Z. I'm a mood disorder neurologist, professor of neurology at the University of Chicago. I'm also in charge of the mood disorder program here, and I'm the section chief in the neurodegenerative disease in the Department of Neurology at the University of Chicago Medicine. Thank you for having me, Dr Albin and Dr Okun and the American Academy of Neurology. This is a great honor and pleasure to be involved in this education session. Dr Albin: We are delighted to have you, and thank you so much for the thoughtful approach to the diagnosis and management. I really want to encourage our listeners to check out this article. You know, one of the things that you emphasize is multiple system atrophy is a fairly rare condition. And I suspect that clinicians and trainees who even have a fair amount of exposure to movement disorders may not have encountered that many cases. And so, I was hoping that you could just start us off and walk us through what defines multiple system atrophy, and then maybe a little bit about how it's different from some of the more commonly encountered movement disorders. Dr Xie: This is a really good question, Dr Albin. Indeed, MSA---multisystem atrophy----is a rare disease. It is sporadic, adult-onset, progressive, fatal neurodegenerative disease. By the name MSA, multisystem atrophy. Clinically, it will present with multiple symptoms and signs involving multiple systems, including symptoms of autonomic dysfunction and symptoms of parkinsonism, which is polyresponsive to the levodopa treatment; and the symptom of cerebellar ataxia, and symptom of spasticity and other motor and nonmotor symptoms. And you may be wondering, what is the cause- underlying cause of these symptoms? Anatomically, we can find the area in the basal ganglia striatonigral system, particularly in the putamen and also in the cerebellar pontine inferior, all of the nuclear area and the specific area involved in the autonomic system in the brain stem and spinal cord: all become smaller. We call it atrophy. Because of the atrophy in this area, they are responsible for the symptom of parkinsonism if it is involved in the putamen and the cerebral ataxia, if it's involved in the pons and cerebral peduncle and the cerebellum. And all other area, if it's involved in the autonomic system can cause autonomic symptoms as well. So that's why we call it multisystem atrophy. And then what's the underlying cellular and subcellular pathological, a hallmark that is in fact caused by misfolded alpha-synuclein aggregate in the oligodontia site known as GCI---glial cytoplasmic increasing bodies---in the cells, and sometimes it can also be found in the neuronal cell as well in those areas, as mentioned, which causes the symptom. But clinically, the patient may not present all the symptoms at the same time. So, based on the predominant clinical symptom, if it's mainly levodopa, polyresponsive parkinsonism, then we call it MSAP. If it's mainly cerebellar ataxia, then we call it MSAC. But whether we call it MSP or MSC, they all got to have autonomic dysfunction. And also as the disease progresses, they can also present both phenotypes together. We call that mixed cerebellar ataxia and parkinsonism in the advanced stage of the disease. So, it is really a complicated disease. The complexity and the similarity to other mood disorders, including parkinsonism and the cerebellar ataxia, make it really difficult sometimes, particularly at the early stages of disease, to differentiate one from the other. So, that was challenging not only for other professionals, general neurologists and even for some movement disorder specialists, that could be difficult particularly if you aim to make an accurate and early diagnosis. Dr Albin: Absolutely. That is such a wealth of knowledge here. And I'm going to distill it just a little bit just to make sure that I understand this right. There is alpha-synuclein depositions, and it's really more widespread than one would see maybe in just Parkinson's disease. And with this, you are having patients present with maybe one of two subtypes of their clinical manifestations, either with a Parkinson's-predominant movement disorder pattern or a cerebellar ataxia type movement disorder pattern. Or maybe even mixed, which really, you know, we have to make things quite complicated, but they are all unified and having this shared importance of autonomic features to the diagnosis. Have I got that all sort of correct? Dr Xie: Correct. You really summarize well. Dr Albin: Fantastic. I mean, this is quite a complicated disease. I would pose to you sort of a case, and I imagine this is quite common to what you see in your clinic. And let's say, you know, a seventy-year-old woman comes to your clinic because she has had rigidity and poor balance. And she's had several falls already, almost always from ground level. And her family tells you she's quite woozy whenever she gets up from the chair and she tends to kind of fall over. But they noticed that she's been stiff,and they've actually brought her to their primary care doctor and he thought that she had Parkinson's disease. So, she started levodopa, but they're coming to you because they think that she probably needs a higher dose. It's just not working out very well for her. So how would you sort of take that history and sort of comb through some of the features that might make you more concerned that the patient actually has undiagnosed multiple systems atrophy? Dr Xie: This is a great case, because we oftentimes can encounter similar cases like this in the clinic. First of all, based on the history you described, it sounds like an atypical parkinsonism based on the slowness, rigidity, stiffness; and particularly the early onset of falls, which is very unusual for typical Parkinson disease. It occurs too early. If its loss of balance, postural instability, and fall occurred within three years of disease onset---usually the motor symptom onset---then it raises a red flag to suspect this must be some atypical Parkinson disorders, including multiple system atrophy. Particularly, pou also mentioned that the patient is poorly responsive to their levodopa therapy, which is very unusual because for Parkinson disease, idiopathic Parkinson disease, we typically expect patients would have a great response to the levodopa, particularly in the first 5 to 7 years. So to put it all together, this could be atypical parkinsonism, and I could not rule out the possibility of MSA. Then I need to check more about other symptoms including autonomic dysfunction, such as orthostatic hypertension, which is a blood pressure drop when the patient stands up from a lying-down position, or other autonomic dysfunctions such as urinary incontinence or severe urinary retention. So, in the meantime, I also have to put the other atypical Parkinson disorder on the differential diagnosis, such as PSP---progressive supranuclear palsy---and the DLBD---dementia with Lewy body disease.---Bear this in mind. So, I want to get more history and more thorough bedside assessment to rule in or rule out my diagnosis and differential diagnosis. Dr Albin: That's super helpful. So, looking for early falls, the prominence of autonomic dysfunction, and then that poor levodopa responsiveness while continuing to sort of keep a very broad differential diagnosis? Dr Xie: Correct. Dr Albin: One of the things that I just have to ask, because I so taken by this, is that you say in the article that some of these patients actually have preservation of smell. In medical school, we always learn that our Parkinson's disease patients kind of had that early loss of smell. Do you find that to be clinically relevant? Is that- does that anecdotally help? Dr Xie: This is a very interesting point because we know that the loss of smelling function is a risk effect, a prodromal effect, for the future development of Parkinson disease. But it is not the case for MSA. Strange enough, based on the literature and the studies, it is not common for the patient with MSA to present with anosmia. Some of the patients may have mild to moderate hyposmia, but not to the degree of anosmia. So, this is why even in the more recent diagnosis criteria, the MDS criteria published 2022, it even put the presence of anosmia in the exclusion criteria. So, highlight the importance of the smell function, which is well-preserved for the majority in MSA, into that category. So, this is a really interesting point and very important for us, particularly clinicians, to know the difference in the hyposmia, anosmia between the- we call it the PD, and the dementia Lewy bodies versus MSA. Dr Albin: Fascinating. And just such a cool little tidbit to take with us. So, the family, you know, you're talking to them and they say, oh yes, she has had several fainting episodes and we keep taking her to the primary care doctor because she's had urinary incontinence, and they thought maybe she had urinary tract infections. We've been dealing with that. And you're sort of thinking, hm, this is all kind of coming together, but I imagine it is still quite difficult to make this diagnosis based on history and physical alone. Walk our listeners through sort of how you're using MRI and DAT scan and maybe even some other biomarkers to help sort of solidify that diagnosis. Dr Xie: Yeah, that's a wonderful question. Yeah. First of all, UTI is very common for patients with MSA because of urinary retention, which puts them into a high risk of developing frequent UTI. That, for some patients, could be the very initial presentation of symptoms. In this case, if we check, we say UTI is not present or UTI is present but we treat it, then we check the blood pressure and we do find also hypertension---according to new diagnosis criteria, starting drop is 20mm mercury, but that's- the blood pressure drop is ten within three minutes. And also, in the meantime the patients present persistent urinary incontinence even after UTI was treated. And then the suspicion for MS is really high right at this point. But if you want increased certainty and a comfortable level on your diagnosis, then we also need to look at the brain MRI mark. This is a required according to the most recent MDS diagnosis criteria. The presence of the MRI marker typical for MSA is needed for the diagnosis of clinically established MSA, which holds the highest specificity in the clinical diagnosis. So then, we have- we're back to your question. We do need to look at the brain MRI to see whether evidence suggestive of atrophy around the putamen area, around the cerebellar pontine inferior olive area, is present or not. Dr Albin: Absolutely. That's super helpful. And I think clinicians will really take that to sort of helping to build a case and maybe recognizing some of this atypical Parkinson's disease as a different disease entity. Are there any other biomarkers in the pipeline that you're excited about that may give us even more clarity on this diagnosis? Dr Xie: Oh, yeah. This is a very exciting area. In terms of biomarker for the brain imaging, particularly brain MRI, in fact, today there's a landmark paper just published in the Java Neurology using AI, artificial intelligence or machine learning aid, diagnoses a patient with parkinsonism including Parkinson's disease, MSA, and PSP, with very high diagnostic accuracy ranging from 96% to 98%. And some of the cases even were standard for autopsy, with pathological verification at a very high accurate rate of 93.9%. This is quite amazing and can really open new diagnosis tools for us to diagnose this difficult disease; not only in an area with a bunch of mood disorder experts, but also in the rural area, in the area really in need of mood disorder experts. They can provide tremendous help to provide accurate, early diagnosis. Dr Albin: That's fantastic and I love that, increasing the access to this accurate diagnosis. What can't artificial intelligence do for us? That's just incredible. Dr Xie: And also, you know, this is just one example of how the brain biomarker can help us. Theres other---a fluid biomarker, molecular diagnostic tools, is also available. Just to give you an example, one thing we know over the past couple years is skin biopsy. Through the immunofluorescent reaction, we can detect whether the hallmark of abnormally folded, misfolded, and the phosphorate, the alpha-synuclein aggregate can be found just by this little pinch of skin biopsy. Even more advanced, there's another diagnosis tool we call the SAA, we call the seizure amplification assay, that can even help us to differentiate MSA from other alpha-synucleinopathy, including Parkinson disease and dementia with Lewy bodies. If we get a little sample from CSF, spinal cerebral fluids, even though this is probably still at the early stage, a lot of developments still ongoing, but this, this really shows you how exciting this area is now. We're really in a fast forward-moving path now. Dr Albin: It's really incredible. So, lots coming down the track in, sort of, MRI, but also with CSF diagnosis and skin biopsies. Really hoping that we can hone in some of those tools as they become more and more validated to make this diagnosis. Is that right? Dr Xie: Correct. Dr Albin: Amazing. We can talk all day about how you manage these in the clinic, and I really am going to direct our listeners to go and read your fantastic article, because you do such an elegant job talking about how this takes place in a multidisciplinary setting, if at all possible. But as a neurointensivist, I was telling you, we have so much trouble in the hospital. We have A-lines, and we have the ability to get rapid KUBs to look at Ilias, and we can have many people as lots of diagnosis, and we still have a lot of trouble treating autonomiclike symptoms. Really, really difficult. And so, I just wanted to kind of pick your brain, and I'll start with just the one of orthostatic hypotension. What are some of the tips that you have for, you know, clinicians that are dealing with this? Because I imagine that this is quite difficult to do without patients. Dr Xie: Exactly. This is indeed a very difficult symptom to deal with, particularly at an outpatient setting. But nowadays with the availability of more medication---to give an example, to treat patients with orthostatic hypertension, we have not only midodrine for the cortisol, we also have droxidopa and several others as well. And so, we have more tools at hand to treat the patient with orthostatic hypertension. But I think the key thing here, particularly for us to the patient at the outpatient setting: we need to educate the patient's family well about the natural history of the disease course. And we also need to tell them what's the indication and the potential side effect profile of any medication we prescribe to them so that they can understand what to expect and what to watch for. And in the meantime, we also need to keep really effective and timely communication channels, make sure that the treating physician and our team can be reached at any time when the patient and family need us so that we can be closely monitoring, their response, and also monitoring potential side effects as well to keep up the quality of care in that way. Dr Albin: Yeah, I imagine that that open communication plays a huge role in just making sure that patients are adapting to their symptoms, understanding that they can reach out if they have refractory symptoms, and that- I imagine this takes a lot of fine tuning over time. Dr Xie: Correct. Dr Albin: Well, this has just been such a delight to get to talk to you. I really feel like we could dive even deeper, but I know for the sake of time we have to kind of close out. Are there any final points that you wanted to share with our listeners before we end the interview? Dr Xie: I think for the patients, I want them to know that nowadays with advances in science and technology, particularly given a sample of rapid development in the diagnostic tools and the multidisciplinary and multisystemic approach to treatment, nowadays we can make an early and accurate diagnosis of the MSA, and also, we can provide better treatment. Even though so far it is still symptomatically, mainly, but in the near future we hope we can also discover disease-modifying treatment which can slow down, even pause or prevent the disease from happening. And for the treating physician and care team professionals, I just want them to know that you can make a difference and greatly help the patient and the family through your dedicated care and also through your active learning and innovative research. You can make a difference. Dr Albin: That's amazing and lots of hope for these patients. Right now, you can provide really great care to take care of them, make an early and accurate diagnosis; but on the horizon, there are really several things that are going to move the field forward, which is just so exciting. Again today, I've been really greatly honored and privileged to be able to talk to Dr Tao Xie about his article on diagnosis and management of multiple system atrophy, which appears in the August 2025 Continuum issue on movement disorders. Be sure to check out Continuum Audio episodes for this and other issues. And thank you again to our listeners for joining us today. Dr Xie: Thank you so much for having me. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

Musik für einen Gast
Albin Brun: «Einfachheit ist oft interessanter als Raffinesse»

Musik für einen Gast

Play Episode Listen Later Aug 17, 2025 57:42


Albin Brun mag es, Naturerfahrungen und Landschaftsstimmungen in Klänge zu fassen. Beim Festival «Alpentöne» gehört er zu den Stammgästen. Im Theater Uri erzählt er von seiner Faszination für Volksmusik aus verschiedenen Kulturen. Und er verrät, weshalb er seine Konzerte in Gedichtform ankündigt. In seiner Kindheit in Luzern hätte wohl niemand vermutet, dass Albin Brun einmal Musiker werden würde. Sieben Jahre lang ging er lustlos in den Flötenunterricht, bis er in den 1970er Jahren erstmals das Folk-Festival Lenzburg besuchte: „Dort entdeckte ich den Geist des Einfachen, Unverfälschten.“ Albin Brun fing Feuer und begann, autodidaktisch mehrere Instrumente zu lernen. Nach der Schule tingelte er eine Weile als Strassenmusiker durch die Lande, bevor er sich an der Jazzschule einschrieb. Mittlerweile hat ihn seine Leidenschaft um die ganze Welt geführt. Diese Erfahrung kommt in seiner Musik zum Ausdruck, in der Heimisches und Fremdes ganz selbstverständlich zusammenfinden. Die Musiktitel: 1. Urs Hostettler: Outobahn 2. Bobby Jones: Bringin' in the sheep 3. Didier Squiban: Ledenez Kurzer Einspieler: Ala Fekra - Longa Yamen 4. Singfrauen Winterthur: Aslanuri Mravaljamier Albin Brun Quartett / Franziska Welti, Leitung 5. Mikhail Alperin & Arkady Shilkloper: Unisons 6. Paul Giger: Zäuerli - Pt. 1 7. Albin Brun Quartett – Himbrimi (Album: «Pas de quatre»)

The A Game Podcast: Real Estate Investing For Entrepreneurs
How To Use Social Media To Build A Brand and Successful Business | Nick Chewy Albin

The A Game Podcast: Real Estate Investing For Entrepreneurs

Play Episode Listen Later Aug 11, 2025 63:56 Transcription Available


Join Nick Lamagna on The A Game Podcast with our guest Nick Albin, aka "Chewy," one of the most well known Brazilian Jiu Jitsu Black Belts and entrepreneurs on the internet today!  He is an entrepreneur, business owner, podcast host and coach fighting out of Louisville, Kentucky!  After a traumatic experience where he was jumped in high school, he lacked self confidence and a sense of safety and self worth.  He was eventually brought back out of his shell and gained his confidence back through wrestling, weight lifting and martial arts eventually earning a black belt in Brazilian Jiu Jitsu in 2011. This self proclaimed meathead at heart has an extensive background in martial arts, health, nutrition and fitness.  He has a gift for explaining things in an entertaining and relatable way which has caught on like wild fire where he has earned a blackbelt in branding business and marketing.  He continually finds ways to grow his academy and podcast sharing his love of Brazilian jiu jitsu, health and fitness with the world through his academy, Derby City Mixed Martial Arts and his wildly popular Youtube Channel and social media, where athletes and business owners can relate to the parallels of the stress of humanity and he is connecting the bridges of the brains of the civilian and the combat sport competitor to show us that we're all the same and can help each other do better He also has a popular tournament, The Chewjitsu Open he puts on and is gaining a lot of traction in the competition circles.   You know him through his Chewjitsu brand,The Chewjitsu Podcast and his successful Chew Crew Newsletter, welcome to the A Game Podcast, BJJ Royalty Nick Albin! Topics for this episode include: ✅ An important question you must answer before you go into business ✅ The answer to successful branding that no one wants to hear ✅ How to deal with fear and anxiety in life and business ✅ Learn the superpower to embrace the things you don't enjoy ✅ What to look for when you're trying to find a great mentor + more! Check the show notes to connect with all things Chewy!   Connect with Nick "Chewy" Albin: www.chewjitsu.net Nick Albin on Facebook Nick Albin on Instagram Nick Albin on Twitter Nick Albin on LinkedIn Nick Albin on TikTok Nick Albin on Youtube Free Focused BJJ Ebook Subscribe to the Chew Crew Newsletter!   Connect with ChewJitsu Podcast: ChewJitsu Podcast Chewjitsu Podcast on Facebook Chewjitsu Podcast on Instagram Chewjitsu Podcast on Threads Chewjitsu Podcast on Youtube   Connect with Derby City: Derby City Mixed Martial Arts Derby City Mixed Martial Arts on Facebook Derby City MMA on Instagram Derby City MMA on Threads Derby City Mixed Martial Arts on Youtube     Connect with other Chewy Jitsu Open Tournament: The Chewjitsu Open On Facebook Chewjitsu Open on Instagram Chewjistu Open on Threads --- Connect with Nick Lamagna www.nicknicknick.com Text Nick (516)540-5733 Connect on ALL Social Media and Podcast Platforms Here FREE Checklist on how to bring more value to your buyers  

Arkenvmo
Bullundret - Albin Karlsson

Arkenvmo

Play Episode Listen Later Aug 10, 2025 32:28


Meänraatio
Gränslöst - Elämä Kappalheissa: Jesper Väisänen

Meänraatio

Play Episode Listen Later Aug 5, 2025 27:45


Jesper Väisänen eli repussa 11 vuotta, mutta viimen hään löysi takasi Tornionlaakshoon. Pandemiia sai kans tyttöystävän tulemhaan Kangosheen, ja nyt Jesper oon ottamassa meänkielen takasi yhessä hänen sambon ja pikkupojitten kans. Lyssna på alla avsnitt i Sveriges Radio Play. Jesper Väisänen bodde i ryggsäcken i 11 år, men hittade till slut hem till Tornedalen. Pandemin fick även flickvännen att lämna Stockholm och flytta till Kangos, och nu återtar Jesper meänkieli tillsammans med sin sambo Anni och deras två söner Hugo och Albin.

Zero Pucks Given
Could Albin Boija Be An Important Piece In Bruins' Goalie System?

Zero Pucks Given

Play Episode Listen Later Jul 30, 2025 20:18


Ep 465, pt 3: Guest Ryan Lambert gives his thoughts on Maine goalie Albin Boija, his potential and whether or not the Bruins have a real chance to sign him after college. To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices

Nånting Om Aktier
247. Casesnack med Albin aka Gnuinvestor

Nånting Om Aktier

Play Episode Listen Later Jul 28, 2025 127:10


Gedda hinkar öl i Polen och känner in pulsen på Gdansks gator. Det stoppar inte Hästen, som lånat in den unge och duktige Albin ”Gnuinvestor” Eriksson. Det blir casesnack i två timmar, då det är det vi gillar mest. Albin bjuder på totalt fem case: Nelly (00:07:39), Avtech (00:25:51), Arla Plast (01:00:22), Unlimited Travel Group (01:34:04) och även Fractal (01:17:52). Nelly (00:07:39) har gjort en fantastisk resa och levererade senast en riktig kioskvältare till rapport. Albin pitchade caset för Hästen för ett år sedan, men han lyssnade inte…. Kursen har gått urstarkt i år, varför detta? Och finns det eventuellt någon uppsida kvar?Albin flyger vidare till lilla fina Avtech (00:25:51) som levererar nya avtal och härlig tillväxt. Vi har dragit caset tidigare, men Albin har gjort hemläxan på riktigt här och ger mer färg till caset. Vissa risker kanske, men stor potential. Ett snabbt skifte till plastskivor och Arla Plast (01:00:22). Bolaget har gjort ett förvärv i Spanien som pressar marginalerna. Bolaget har tidigare lyckats lyfta marginalerna fint i tex Tjeckien och lyckas man med det framåt… ja, då är det EV/EBIT kolgruva ett år ut. Resebyråer är kanske inget på allas läppar, men Unlimited Travel Group (01:34:04) är något som fångat Albins intresse. Någon form av roll-up story i resebranschen med ett nyligen genomfört norrländskt förvärv. Kan detta lyfta lönsamheten och ge lite skjuts till kursen framåt?Sist men inte minst är finfina Fractal som inte är någon nykomling i podden (01:17:52). Albin ger oss en go update här och han tror att 2025 kan bli bolagets år med lyckade produktsläpp i bagaget. Det är också Albins största innehav. Vi avslutar med lite löst snack och sedan tackar vi för oss!Kolla in vår SAVR-portfölj på Twitter/X och Bluesky: @GottTjotAktierMaila in till: gotttjotomaktier@gmail.comFölj oss på Twitter/X och Bluesky: @GottTjotAktier, @MarkusGedda & @aktiehesten-(00:07:39) - Nelly(00:25:51) - Avtech(01:00:22) - Arla Plast(01:17:52) - Fractal Gaming(01:34:04) - Unlimited Travel GroupSupport this show http://supporter.acast.com/nantingomaktier. Hosted on Acast. See acast.com/privacy for more information.

Morgonandakten
Lättja – Albin Tanke

Morgonandakten

Play Episode Listen Later Jul 28, 2025 6:55


Andakterna den här veckan tar avstamp i de fem världsreligionerna och har lättja som tema. Idag hör du Albin Tanke som utgår från sin kristna tro. Lyssna på alla avsnitt i Sveriges Radio Play. Ur andakten:Att vägra ge sig själv en frist, att strunta i att vila och hoppa över att ta en välbehövlig paus – det kan vara ett utslag av den berömda lättjan. Att helt enkelt inte bry sig om mina grundläggande behov och slarva med det viktigaste. När jag blir likgiltig inför att ta hand om mig, skapelsen och andra, då har jag nog missat målet? Och det kan få långtgående konsekvenser som kanske inte alltid visar sig direkt, med som på sikt kan bli ödesdigra.Så – lättja handlar nog inte så mycket om gåvan och nåden att ibland bara kunna lata sig ordentligt. Utan lättja handlar om likgiltighet för omsorg, hälsa och omhändertagande.Text:Psaltaren 23:1–3Musik:Prague's Ballet av Marius Neset med Marius Neset, Leif Ove Andsnes och Louisa TuckProducent:Susanna Némethliv@sverigesradio.se

Continuum Audio
BONUS EPISODE: Bridging the Gap Between Brain Health Guidelines and Real-world Implementation With Drs. Daniel Correa and Rana Said

Continuum Audio

Play Episode Listen Later Jul 26, 2025 23:45


With the increase in the public's attention to all aspects of brain health, neurologists need to understand their role in raising awareness, advocating for preventive strategies, and promoting brain health for all. To achieve brain health equity, neurologists must integrate culturally sensitive care approaches, develop adapted assessment tools, improve professional and public educational materials, and continually innovate interventions to meet the diverse needs of our communities. In this BONUS episode, Casey Albin, MD, speaks with Daniel José Correa, MD, MSc, FAAN and Rana R. Said, MD, FAAN, coauthors of the article “Bridging the Gap Between Brain Health Guidelines and Real-world Implementation” in the Continuum® June 2025 Disorders of CSF Dynamics issue. Dr. Albin is a Continuum® Audio interviewer, associate editor of media engagement, and an assistant professor of neurology and neurosurgery at Emory University School of Medicine in Atlanta, Georgia. Dr. Correa is the associate dean for community engagement and outreach and an associate professor of neurology at the Albert Einstein College of Medicine Division of Clinical Neurophysiology in the Saul Korey Department of Neurology at the Montefiore Medical Center, New York, New York. Dr. Said is a professor of pediatrics and neurology, the director of education, and an associate clinical chief in the division of pediatric neurology at the University of Texas Southwest Medical Center in Dallas, Texas. Additional Resources Read the article: Bridging the Gap Between Brain Health Guidelines and Real-world Implementation Subscribe to Continuum®: shop.lww.com/Continuum Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @caseyalbin Guests: @NeuroDrCorrea, @RanaSaidMD Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. This exclusive Continuum Audio interview is available only to you, our subscribers. We hope you enjoy it. Thank you for listening. Dr Albin: Hi all, this is Dr Casey Albin. Today I'm interviewing Dr Daniel Correa and Dr Rana Said about their article on bridging the gap between brain health guidelines and real-world implementation, which they wrote with Dr Justin Jordan. This article appears in the June 2025 Continuum issue on disorders of CSF dynamics. Thank you both so much for joining us. I'd love to just start by having you guys introduce yourselves to our listeners. Rana, do you mind going first? Dr Said: Yeah, sure. Thanks, Casey. So, my name is Rana Said. I'm a professor of pediatrics and neurology at the University of Texas Southwestern Medical Center in Dallas. Most of my practice is pediatric epilepsy. I'm also the associate clinical chief and the director of education for our division. And in my newer role, I am the vice chair of the Brain Health Committee for the American Academy of Neurology. Dr Albin: Absolutely. So just the right person to talk about this. And Daniel, some of our listeners may know you already from the Brain and Life podcast, but please introduce yourself again. Dr Correa: Thank you so much, Casey for including us and then highlighting this article. So yes, as you said, I'm the editor and the cohost for the Brain and Life podcast. I do also work with Rana and all the great members of the Brain Health Initiative and committee within the AAN, but in my day-to-day at my institution, I'm an associate professor of neurology at the Albert Einstein College of Medicine in the Montefiore Health System. I do a mix of general neurology and epilepsy and with a portion of my time, I also work as an associate Dean at the Albert Einstein College of Medicine, supporting students and trainees with community engagement and outreach activities. Dr Albin: Excellent. Thank you guys both so much for taking the time to be here. You know, brain health has really become this core mission of the AAN. Many listeners probably know that it's actually even part of the AAN's mission statement, which is to enhance member career fulfillment and promote brain health for all. And I think a lot of us have this kind of, like, vague idea about what brain health is, but I'd love to just start by having a shared mental model. So, Rana, can you tell us what do you mean when you talk about brain health? Dr Said: Yeah, thanks for asking that question. And, you know, even as a group, we really took quite a while to solidify, like, what does that even mean? Really, the concept is that we're shifting from a disease-focused model, which we see whatever disorder comes in our doors, to a preventative approach, recognizing that there's a tremendous interconnectedness between our physical health, our mental health, cognitive and social health, you know, maintaining our optimal brain function. And another very important part of this is that it's across the entire lifespan. So hopefully that sort of solidifies how we are thinking about brain health. Dr Albin: Right. Daniel, anything else to add to that? Dr Correa: One thing I've really liked about this, you know, the evolution of the 2023 definition from the AAN is its highlight on it being a continuous state. We're not only just talking about prevention of injury and a neurologic condition, but then really optimizing our own health and our ability to engage in our communities afterwards, and that there's always an opportunity for improvement of our brain health. Dr Albin: I love that. And I really felt like in this article, you walked us through some tangible pillars that support the development and maintenance of this lifelong process of maintaining and developing brain health. And so, Daniel, I was wondering, you know, we could take probably the entire time just to talk about the five pillars that support brain health. But can you give us a pretty brief overview of what those are that you outlined in this article? Dr Correa: I mean, this was one of the biggest challenges and really bundling all the possibilities and the evidence that's out there and just getting a sense of practical movement forward. So, there are many organizations and groups out there that have formed pillars, whether we're calling them seven or eight, you know, the exact number can vary, but just to have something to stand on and move forward. We've bundled one of them as physical and sleep health. So really encouraging towards levels of activity and not taking it as, oh, that there's a set- you know, there are recommendations out there for amount of activity, but really looking at, can we challenge people to just start growing and moving forward at their current ability? Can we challenge people to look at their sleep health, see if there's an aspect to improve, and then reassess with time? We particularly highlight the importance of mental health, whether it's before a neurologic condition or a brain injury occurs or addressing the mental health comorbidities that may come along with neurologic conditions. Then there's of course the thing that everyone thinks about, I think, with brain health in terms of is cognitive health. And you know, I think that's the first place that really enters either our own minds or as we are observers of our elder individuals in our family. And more and more there has been the highlight on the need for social interconnectedness, community purpose. And this is what we include as a pillar of social health. And then across all types of neurologic potential injuries is really focusing on the area of brain injury. And so, I think the area that we've often been focused as neurologists, but also thinking of both the prevention along with the management of the condition or the injury after it occurs. Dr Albin: Rana, anything else to add to that? That's a fantastic overview. Dr Said: Daniel, thank you for- I mean, you just set it up so beautifully. I think the other thing that maybe would be important for people to understand is that as we're talking through a lot of these, these are individual. These sound like very individual-basis factors. But as part of the full conversation, we also have to understand that there are some factors that are not based on the individual, and then that leads to some of the other initiatives that we'll be talking about at the community and policy levels. So, for example, if an individual is living in an area with high air pollution. Yes, we want them to be healthy and exercise and sleep, but how do we modify those factors? What about lead leaching from our aging pipes or even infectious diseases? So, I think that outside of our pillars, this is sort of the next step is to understand what is also at large in our communities. Dr Albin: That's a really awesome point. I love that the article really does shine through and that there are these individual factors, and then there there's social factors, there's policy factors. I want to start just with that individual because I think so many of our patients probably know, like, stress management, exercise, sleep, all of that stuff is really important. But when I was reading your article, what was not so obvious to me was, what's the role that we as neurologists should play in advocating? And really more importantly, like, how should we do that? And again, it struck me that there are these kind of two issues at play. And one is that what Daniel was saying that, you know, a lot of our patients are coming because they have a problem, right? We are used to operating in this disease-based care, and there's just limited time, competing clinical demands. If they're not coming to talk about prevention, how do we bring that in? And so Rana, maybe I'll start with you just for that question, you know, for the patients who are seeing us with a disease complaint or they're coming for the management of a problem, how are you organizing this at the bedside to kind of factor in a little bit about that preventative brain health? Dr Said: You know, I think the most important thing at the bedside is, one, really identifying the modifiable risk factors. These have been well studied, we understand them. Hypertension, diabetes, smoking, weight management. And we know that these definitely are correlative. So is it our role just to talk about stroke, or should we talk about, how are you managing your blood pressure? Health education, if there was one major cornerstone, is elevating health literacy for everyone and understanding that patients value clear and concise information about brain health, about modifiable risk factors. And the corollary to that, of course, are what are the resources and services? I completely understand---I'm a practicing clinician---the constraints that we have at the bedside, be it in the hospital or in our clinics. And so being the source of information, how are we referring our families and individuals to social workers, community health worker support, and really partnering with them, food banks, injury prevention programs, patient advocacy organizations? I think those are really ways that we can meet the impacts that we're looking at the bedside that can feel very tangible and practical. Dr Albin: That's really excellent advice. And so, I'd like to ask a follow-up question. With your knowledge of this, trying to get more multidisciplinary buy-in from your clinic so that you really have the support to get these services that are so critically important. And how do you do that? Dr Said: Yeah, I think it's, one, being a champion. So, what does a champion mean? It means that somebody has to decide this is really important. And I think we all realize that we're not the only ones in the room who care about this. We're all in this, and we all care about it. But how do we champion it and carry it through? And so that's the first. Second you find your partnerships: your social workers, your case managers, your other colleagues. And then what is the first-level entry thing that you can do? So for example, I'm a pediatric epileptologist. One of the things we know is that in pediatric epilepsy, depression and anxiety are very strong comorbidities. So, before we get to the point where a child is in distress, every single one of our epilepsy patients who walks in the door over the age of twelve has an age-appropriate screener that is given to them in both English and Spanish. And we assess it and we determine stratifying risk. And then we have our social workers on the back end and we decide, is this a child who needs resources? Is this a child who needs to be walked to the emergency room, escorted? And anything in between. And I think that that was a just a very tangible example of, every single person can do this and ask about it. And through the development of dot phrases and clear protocols, it works really well. Dr Albin: I love that, the way that you're just being mindful. At every step of the way, we can help people towards this lifelong brain health. And Daniel, you work with an adult population. So I wonder, what are your tips for bringing this to a different patient population? Dr Correa: Well, I think---adult or child---one thing that we often are aware of with so many of the other things that we're doing in bedside or clinic room counseling, but we don't necessarily think of in this context of brain health, is, remember all the people in the room. So, at the bedside, whether it's in the ICU, discharge counseling, the initial admission, the whole family is often involved and really concerned about the active issue. But you can look for opportunities- we often try to counsel and support families about the importance of their own sleep and rest and highlighting it not just as being there for their family member, but highlighting it to them as a measure of their own improvement of their brain health. So, looking at ways where, one, I try to find, is there something I can do to support and educate the whole family about their brain health? And then- and with an epilepsy, or in many other situations, I try to look for one comorbidity that might be a pillar of brain health to address that maybe I wasn't already thinking. And then I consider, is there an additional thing that they wouldn't naturally connect to their epilepsy or their headaches that I can bring in for them to work on? You know, we can't often give people twelve different things to work on, and they'd just feel like, okay like, you have no realistic understanding of my life. But if we can just highlight on one, and remind them that there can be many more ways to improve their health and to follow up either with us as their neurologist or their future primary care doctors to address those additional needs. Again, I would really highlight the importance of a multidisciplinary approach and looking for opportunities. We've too often, I feel, relied on primary care as being the first line for addressing unmet social health needs. We know that so many people, once they have a neurologic condition or the potential, even, of a neurologic condition, they're concerned about dementia or something, they may view us, as their neurologist, as their most important provider. And if they don't have the resource of time and money to show up at other doctors, we may be the first one they're coming to. And so, tapping into your institution's resources and finding out, are there things that are available to the primary care services that for some reason we're not able to get on the inpatient side or the outpatient side? Referring to social workers and care workers and showing that our patients have an independent need, that they're not somehow getting captured by the primary care doctors. Dr Albin: I really love that. I think that we- just being more invested and just being ready to step into that role is really important. I was noticing in this article, you really call that being a brain health ambassador, being really mindful, and I will direct all of our listeners to Figure 3, which really captures what practitioners can do both at the bedside, within their local community, and even at the professional society level, to really advocate for policies that promote brain wellness. Rana, at the very beginning of this conversation, you noted, you know, this is not just an individual problem. This really is something that is a component of our policy and the structure of our local communities. I really loved in the article, there's a humility that this cannot be just a person-by-person bedside approach, that this is a little bit determined by the social determinants of health. And so, Rana, can you walk us through a little bit of what are the social determinants of health, and why are these so crucially important when we think about brain health for all? Dr Said: Yeah, social determinants of health are a really key factor that it looks at, what are the health factors that are environmental; for example, that are not directly like what your blood pressure is, what, you know, what your BMI is, that definitely impact our health outcomes. So, these include environmental things like where people are born, where they live, where they learn, work, play, worship, and age. It encompasses factors like your socioeconomic status, your education, the neighborhoods where you are living, definitely healthcare access. And then all of this is in a social and community context. We know that the impact of social determinants of health on brain health are profound for the entire lifespan and that- so, for example, if someone is from a disadvantaged background or that leads to chronic stress, they can have limited access to healthcare. They can have greater risk of exposure to, let's say, environmental toxins, and all of that will shape how their brain health is. Violence, for example. And so, as we think about how we're going to target and enhance brain health, we really have to understand that these are vulnerable populations, special high-risk populations, that often have a disproportionate burden of neurologic disorders. And by identifying them and then developing targeted interventions, it promotes health equity. And it really has to be done in looking at culturally- ethnocultural-sensitive healthcare education resources, thinking about culturally sensitive or adaptive assessment tools that work for different populations so that these guidelines that we have, that we've already identified as being so valuable, can be equitably applied, which is one crucial component of reducing brain health risk factors. And lastly, at the neighborhood level, this is where we really rely on our partnerships with community partners who really understand their constituents and they understand how to have the special conversations, how to enhance brain health through resource utilization. And so, this is another plug for policy and resources. Dr Albin: I love that. And thinking about the neighborhood and the policy levels and all the things that we have to do. Daniel, I'd like to ask you, is there anything else you would add? Dr Correa: Yeah, you know, so I really wanted to come back to this thing is that often and unfortunately, in the beginning understanding of social determinants of health, they're thought of as a positive or a negative factor, and often really negative. These are just facts. They're aspects about our community, our society, and some of them may be at the individual level. They're not at fault of any individual or community, or even our society. They're just the realities. And when someone has a factor that may predict a health disparity or an unmet social need---I wanted to come back to that concept and that term---one or two positive factors that are social determinants of health for that individual are unmet social needs. It's a point of promise. It's a potential to be addressed. And seeking ways to connect them with community services, social work, caregivers, these are ways where- that we can remove a barrier to, so that the possibility of the recommendations that we're used to doing, giving recommendations about medications and management, can be fully appreciated for that person. And the other aspect is, like brain health, this is a continuous state. The social determinants of health may be different for the child, the parent, and the elderly family member in the household, and there might be some that are shared across them. And when one of those individuals has a new medical illness or a new condition, a stroke, and now has a mobility limitation, that may change a social determinant of health for that person or for anyone else in the family, the other people now becoming caregivers. We're used to this. And for someone after a stroke or traumatic brain injury, now they have mobility changes. And so, we work on addressing those. But thinking on how those things now become a barrier for engaging with community and accessing things, something as simple as their pharmacy. Dr Albin: I hear a lot of “this is a fluid situation,” but there's hope here because these are places that we can intervene and that we can really champion brain health throughout this fluid situation. Which kind of brings me to what we're going to close out with, which is, I'm going to have you do a little thought exercise, which is that you find a magic lamp and a genie comes out. And we'll call this the brain health genie. The genie says that they are going to grant you one wish for the betterment of brain health. Daniel, I'll start with you. What is the one thing that you think could really move the needle on promoting and maintaining brain health? Dr Correa: I will jump on nutrition and food access. If we could somehow get rid of food insecurity and have access to whole and fresh foods for everyone, and people could go back to looking at opportunities from their ancestral and cultural experiences to cook and make whole-food recipes from their own cultures. Using something like the Mediterranean diet and the mind diet as a framework, but not looking at those as cultural barriers that we somehow all have to eat a certain way. So, I think that would really be the place I would go to first that would improve all of our brain health. Dr Albin: I love that. So, wholesome eating. Rana, how about you? One magic wish. Dr Said: I think traumatic brain injury prevention. I think it's so- it feels so within our reach, and it just always is so heart-hurting when you think that wearing helmets, using seatbelts, practicing safety in sports, gun safety---because we know unfortunately that in pediatric patients, firearm injury is the leading cause of traumatic brain injury. In our older patients, fall reduction. If we could figure out how to really disseminate the need for preventative measures, get everyone really on board, I think this is- the genie wouldn't have to work too hard to make that one come true. Dr Albin: I love that. As a neurointensivist, I definitely feel that TBI prevention. We could talk about this all day long. I really wish we had a longer bit of time, but I really would direct all of our listeners to this fantastic article where you give really practical advice. And so again, today I've been interviewing Drs Daniel Correa and Rana Said about their article on bridging the gap between brain health guidelines and real-world implementation, written with Dr Justin Jordan. This article appears in the most recent issue of Continuum on the disorders of CSF dynamics. Be sure to check out Continuum Audio episodes from this and other issues. And thank you so much for our listeners for joining us today. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. We hope you've enjoyed this subscriber-exclusive interview. Thank you for listening.

The Eric Metaxas Show
Albin Sadar: Some People Are Still Oblivious to the Obvious

The Eric Metaxas Show

Play Episode Listen Later Jul 24, 2025 42:50


Our friend Albin Sadar joins us to discuss his recent article "Some People Are Still Oblivious to the Obvious".The article criticizes modern gender norms as rejecting self-evident truths and urges Christians to actively defend traditional values.See omnystudio.com/listener for privacy information.

Continuum Audio
Childhood-onset Hydrocephalus With Dr. Shenandoah Robinson

Continuum Audio

Play Episode Listen Later Jul 23, 2025 27:41


Childhood-onset hydrocephalus encompasses a wide range of disorders with varying clinical implications. There are numerous causes of symptomatic hydrocephalus in neonates, infants, and children, and each predicts the typical clinical course across the lifespan. Etiology and age of onset impact the lifelong management of individuals living with childhood-onset hydrocephalus. In this episode, Casey Albin, MD, speaks with Shenandoah Robinson, MD, FAANS, FAAP, FACS, author of the article “Childhood-onset Hydrocephalus” in the Continuum® June 2025 Disorders of CSF Dynamics issue. Dr. Albin is a Continuum® Audio interviewer, associate editor of media engagement, and an assistant professor of neurology and neurosurgery at Emory University School of Medicine in Atlanta, Georgia. Dr. Robinson is a professor of neurosurgery, neurology, and pediatrics at Johns Hopkins University School of Medicine in Baltimore, Maryland. Additional Resources Read the article: Childhood-onset Hydrocephalus Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @caseyalbin Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Albin: Hi, this is Dr Casey Albin. Today I'm interviewing Dr Shenandoah Robinson about her article on childhood onset hydrocephalus, which appears in the June 2025 Continuum issue on disorders of CSF dynamics. Dr Robinson, thank you so much for being here. Welcome to the podcast. I'd love to start by just having you briefly introduce yourself to our audience. Dr Robinson: I'm a pediatric neurosurgeon at Johns Hopkins, and I'm very fortunate to care for kids and children from the neonatal intensive care unit all the way up through young adulthood. And I have a strong interest in developing better treatments for hydrocephalus. Dr Albin: Absolutely. And this was a great article because I really do think that understanding how children with hydrocephalus are treated really does inform how we can care for them throughout the continuum of their lifespan. You know, I was shocked in reading your article about the scope of the problem for childhood onset hydrocephalus. Can you walk our listeners through what are the most common reasons why CSF diversion is needed in the pediatric population? Dr Robinson: For the United States, and Canada too, the most common reasons are spina bifida---so, a baby that's born with a myelomeningocele and then develops associated hydrocephalus---and then about equally as common is posthemorrhagic hydrocephalus of prematurity, congenital causes such as from aquaductal stenosis, and other genetic causes are less common. And then we also have kids that develop hydrocephalus after trauma or meningitis or tumors or other sort of acquired problems during childhood. Dr Albin: So, it's a really diverse and sort of heterogeneous causes that across sort of the, you know, the neonatal period all the way to, you know, young adulthood. And I'm sure that those etiologies really shift based on sort of the subgroup population that you're talking about. Dr Robinson: Yes, they definitely shift over time. Fortunately for our kids that are born with problems that raise concerns, such as myelomeningocele or if they're born preterm, they sort of declare themselves by the time they're a year old. So, if you're an adult provider, they should have defined themselves and it's unlikely that they will suddenly develop hydrocephalus as a teenager or older adult. Dr Albin: Totally makes sense. I think many of the listeners to this podcast are adult neurologists who are probably very familiar with external ventriculostomies for temporary CSF diversion, and with the more permanent ventricular peritoneal shines or ventricular atrial or plural shines that are needed when there's the need for permanent diversion. But you described in your article two procedures that provide temporary CSF diversion that I think many of our listeners are probably not as familiar with, which is the ventricular access devices and ventriculosubgaleal shunts. Can you briefly describe what those procedures provide? Who are the candidates for them? And then what complications neurologists may need to think about if they're consulted for comanagement in one of these complex patients? Dr Robinson: Well, the good thing is that if as an adult neurologist you encounter someone with, you know, residual tubing from one of these procedures, you are unlikely to need to do anything about it. So, we put in ventricular access device or ventriculosubgaleal shunts, usually in newborns or infants. And sometimes when they no longer need the device, we just leave it in because that saves them an extra surgery. So, if you encounter one later on, it's most likely you won't need to do anything. Often if the baby goes on to show that they need a permanent shunt, we go ahead and put in that permanent shunt. We may or may not go back and take out the reservoir or the subgaleal shunt. The reservoir and subgaleal shunts are often put in the frontal location. Sometimes we'll put the permanent shunt in the occipital location and just leave the residual tubing there. So, you're very unlikely to need to intervene with a reservoir or subgaleal shunt if you encounter an older child or adult with that left in. We use these in the small babies because the external ventricular drains that we're very familiar with have a very high complication rate in this population. In the adult ICU, you often see these, and maybe there's, you know, a few percent risk of infection. It actually heads into 20 to 25% in our preterm infants and other newborns that require one of these devices for drainage. So, we try not to use external ventricular drains like we use in older patients. We use the internalized device: either the ventricular reservoir with a little area for us to tap every day, every other day; or the ventriculosubgaleal shunt, which diverts the spinal fluid to a pocket in the scalp. So, we use these in preterm infants that are too tiny for a permanent shunt. And for some of our babies that are born, for example, with an omphalocele, that we can't use their peritoneal cavity and so we need some temporizing device to manage their CSF. Dr Albin: Totally makes sense. And so just to clarify, I mean, this is a tube that's placed into the ventricles of the brain and then it's tunneled into the subgaleal space and the collection, the CSF, just builds up there, like? Dr Robinson: Yeah. Dr Albin: And over time either, you know, the baby will learn how to account for that extra CSF, and then I guess it's just reabsorbed? Dr Robinson: Yeah. When it's present, though, it looks like maybe, I don't know if you're familiar with like a tissue expander. There is this bubble of fluid under the scalp, but it's prominent, it can be several centimeters in diameter. Dr Albin: Wow, that's just absolutely fascinating. And I don't think I've ever had the opportunity to see this in clinical practice. I've really learned quite a bit about this. I assume that these children are going to go on to get some sort of permanent diversion. And then, you know, over time, those permanent shunts do create a lot of problems. And so, I was hoping you could kind of walk us through, you know, what are some of the things that you're seeing that you're concerned about? And then if you've just inherited a patient who had a shunt placed at, say, a different institution, how do you go about figuring out what kind of shunt it is and if they're still dependent on it? Dr Robinson: There's a few things that, fortunately, technology is helping with. So, it is much easier now for patients to get their images uploaded to image-sharing software, and then we can download their images into our institutional software, which is very helpful. Another option is that we are strongly encouraging our families to use a app such as HydroAssist that's available from the Hydrocephalus Association. So that's an app that goes on your phone, and you can upload the images from an MRI or a CT scan or x-rays from a shunt series. And then that you can take if you're traveling and you have to go to emergency department or you're establishing care with a new provider, you can have your information right there and not be under stress to remember it. It also has areas so you can record the type of valve. And all of our valves have pluses and minuses, they all tend to malfunction a little bit. And they can be particularly helpful with different types of hydrocephalus. I really doubt that we're going to narrow down from the fifteen or so valves we have access to now. And so, recording your valve type, the manufacturer as well as the setting, is very helpful when you're transferring care or if you're traveling and then have to, unfortunately, stop in the emergency department. Dr Albin: Yeah, I thought that was a really great pearl that, like, families now are empowered to sort of take control of understanding sort of the devices that they have, the settings that they're using. And what an incredible thing for providers who are going to care for these patients who, you know, unfortunately do end up in centers that are not their primary center. The other challenge that I find… I practice as a neurointensivist, and sometimes patients come in and they have a history of being shunt dependent and they present with a neurologic change. And I think that we as neurologists can be a little quick to blame the shunt and want the shunt to be tapped. And I was really struck in reading this article about the complexity of shunt taps. And I was hoping, you know, can you kind of walk us through what's involved and maybe why we should have a little bit of a higher threshold before just saying, ah, just have the neurosurgeons tap the shunt. Like, it's not that straightforward. Dr Robinson: And it may depend on the population you're caring for. So, when I was at a different institution, we actually published that there's about a 5% complication rate from shunt taps. And that may be- that was in pediatric patients. And again, that may be population dependent, but you can introduce infection to a perfectly clean shunt by doing a shunt tap. You can also cause an acute shunt malfunction. So that's why we tend to prefer that only neurosurgeons are doing shunt taps for evaluation of a shunt malfunction. There are times that, for example, our patients who are getting intrathecal chemotherapy or something have a CSF access device like an Ommaya reservoir, and other providers may tap that reservoir to instill medicine. But that's different than an evaluation, like, you're talking about somebody with a neurological change. And so, it is possible that if somebody has small ventricles or something, if you tap that shunt, you can take a marginally functioning shunt and turn it into an acute proximal malfunction, which is an emergency. Dr Albin: Absolutely. I think that's a fantastic pearl for us to take away from this. It's just that heightened level. And kind of on the flip side of that, you know, and I really- I do feel for us when we're trying to kind of, you know, make a case that it's, it's not the shunt. Many of our shunted patients also have a lot of neurologic complexity, which I think you really talked upon in this article. I mean, these are patients who have developmental cognitive delays and that they have epilepsy and that they're at risk for, you know, complications from prematurity, since that's a very common reason that patients are getting shunts. But from your experience as a neurosurgeon, what are some of the features that make you particularly concerned about shnut malfunction? And how do you sort of evaluate these patients when they come in with that altered mental status? Dr Robinson: It is challenging, especially for our patients that have, you know, some intellectual delay or other difficulties that make it hard for them to give an accurate history. Problem is, if they're sick and lethargic, they may not remember the symptoms that they had when they were sick. But sometimes there's hopefully there's a family member present that does remember and can say, oh, no, this is what they look like when they have a viral illness. And this is different from when they have the shot malfunction, which was projectile emesis, not associated with a fever. It's rare to have a fever with a shunt malfunction, although shunt infection often presents with malfunction. So, it's not completely exclusionary. We often look at the imaging, but it's taking the whole picture together. Some of the common other diagnoses we see are severe constipation that can decrease the drainage from the shunt and even cause papilledema in some people. So, we look at that as well on the shunt series. It's very important to have the shunt series if you're concerned about shunt malfunction or- the shunt tubing is good. It tends to last maybe 20to 25 years before it starts to degrade. And so, you may have had a functioning shunt for decades and it worked well and you're very dependent on it, and then it breaks and you become ill. But on the flip side, we have patients that have had a broken shunt for years, they just didn't know about it. And we don't want to jump in and operate on them and then cause complexities. And so, it is a challenge to sort out. The simplest thing is obviously if they come in and their ventricles are significantly larger, and that goes along with a several-hour or a couple-day deterioration, that's a little more clear-cut. Dr Albin: Absolutely. And you talked about this shunt series. What other imaging- and, sort of maybe walk us through, what's involved in a shunt series, what are you looking at? And then what other imaging is sort of your preferred method for evaluating these patients? Dr Robinson: In adult patients, the shunt series is the x-ray from the entire shunt. And so, if they have an atrial shunt, that would be skull x-ray plus a chest x-ray; or the shunt ends in the perineal cavity, it goes to the perineum. And we're looking for continuity. We're looking for the- sometimes as people grow and age, the ventricular catheter can pull out of the ventricle. So, we're looking to make sure that the ventricular catheter is in an optimal position relative to the skull. We can also look at the valve setting to see the type of valve. So, that can also be helpful as well. And then in terms of additional imaging, a CT scan or an MRI is helpful. If you don't know what type of valve they have, they should not, ideally, go in the MRI scanner. We like to know what their setting is before they go in the MRI because we're going to have to reset the valve after they come out of the MRI if it's a programmable valve. Dr Albin: This is fantastic. I've heard several pearls. So, one is that with the shunt series, which, am I correct in understanding those are just plain X-rays? Dr Robinson: Yes. Dr Albin: Right. Then we can look for constipation, and that might be actually something really serious in a pediatric patient that could clue us in that they could actually be developing hydrocephalus or increased ICP just because of the abdominal pressure. And then that we need to be mindful of what are the stunt settings before we expose anyone to the MRI machine. Is that two good takeaways from all of this? Dr Robinson: Yes. And it's very rare that there'll be an MRI tech that will allow a patient with a valve in the MRI without knowing what it is. So, they have their job security that way. But yeah, if you're not sure, just go ahead and get the CT. Obviously, in our younger kids, we're trying to avoid CT scans. But if you're weighing off trying to decide if somebody has a shunt malfunction versus, you know, waiting 12 or 24 hours for an MRI, go ahead and get the CT. Dr Albin: Absolutely. I love it. Those are things I'm going to take with me for this. I have one more question about these shunts. So, every now and then, and I think you started to touch on this, we will get a shunt series and we'll see that the catheter is fractured. Do the patients develop little- like, a tract that continues to allow diversion even though the catheter is fractured? Dr Robinson: Yes. So, they can develop scar tissue around, and some people have more scar tissue than others. You'll even see that sometimes, say, the catheter has fractured and we'll take out that old fractured tubing and put in new tubing on the other side. But if you go and palpate their neck or chest, you'll still feel that tract is there because it calcifies along the tract. Some patients drain through that calcified tract for weeks or months without symptoms, and then it can occlude off. So, we don't consider it a reliable pathway. It's also not a reliable pathway if you're positioned prone in the OR. So some of our orthopedic colleagues, for example, if they go to do a spine fusion, we like to confirm that the shunt is working before you undergo that long anesthesia, but also that you're going to be positioned prone and you could potentially- you know, the pressure could occlude that track that normally is open. Dr Albin: This is fantastic. I feel like I've gotten everything I've ever wanted to know about shunts and all of their complications in this, which is, you know, this is really difficult. And I think that because we are not trained to put these in, sometimes we see them and we just say, oh, it's fractured that must be a malfunction. But it's good to know that sometimes those patients can drain through, you know, a sort of scarred-down tract, but that it may not be nearly as reliable as when they have the tubing in place. Another really good thing that I'm going to put in my back pocket for the next time I see a patient with a potential shunt malfunction. Dr Robinson: And we do have some patients that the tubing is fractured years ago and they don't need it repaired, and that totally can be challenging when they then transfer to your practice for follow-up care. We tend to follow those patients very closely, both our clinic visits as well as having them seen by ophthalmology. So, there are teenagers and young adults out there that have… their own system has recovered and they are no longer shunt-dependent; and they may have a broken shunt and not actually be using that track, but they usually have had fairly intensive follow up to prove that they're not shunt-dependent. And we still have a healthy respect there that, you know, if they start to get a headache, we're going to take that quite seriously as opposed to, you know, some of our shunt patients, about 10 to 20%, have chronic headaches that are not shunt-related. So, not everybody who has a headache and has a shunt has a shunt malfunction. It's tough. Dr Albin: This is really tough. That actually brings me to sort of the last clinical scenario that I was hoping we could get your perspective on. And I think this would be of great interest to neurologists, especially in the context that these children may develop headaches that have nothing to do with the shunt. I'd like to sort of give you this hypothetical case that I'm a neurologist seeing a patient in clinic and it's a teenager, maybe a young adult, and they had a shunt placed early in childhood. They've done really well. And they've come to me for management of a new headache. And, you know, as part of this workup, their primary care provider had ordered an MRI. And, you know, I look at the MRI, and I don't think that the ventricles look really enlarged. They don't look overdrained. Is having an MRI that looks pretty okay, is that enough to exonerate the shunt in this situation? Dr Robinson: In most cases it is. The one time that we don't see a substantial change in the ventricles is if we have a pseudocyst in the abdomen. The ventricles cannot enlarge initially, and then later on they might enlarge. So, we see that sometimes that somebody will come in and their ventricles will be stable in size, but we're still a little bit suspicious. They've got this persistent headache. They may have, you know, some emesis or loss of appetite, loss of activity, and a slower presentation than you would get with an acute proximal malfunction. We can check an abdominal ultrasound for them. And sometimes, even though the ventricles haven't changed in size, they still have a malfunction because they have that distal pseudocyst. One of the questions that we ask our patients when we're establishing care, in addition to what valve type they have and what sort of their shunt history or other interventions such as endoscopic third ventriculostomy, is to ask if their ventricles enlarge when they have a shunt malfunction. There is a small fraction where they do not. They kind of have a stiff brain, if you will. And so, it's good to know that. That's one of the key factors is asking somebody, do the ventricles enlarge when they have a malfunction? If they have enlarged in the past, they're likely to enlarge again if they have a malfunction. But again, it's not 100%. So, in peds, 20% of the time the ventricles don't enlarge. So, in adults, I'm not that- you know, I don't know what percentage it is, but it's something to consider that you can have a stable ventricular size and still have a shunt malfunction. So, if your clinical judgment, you're just kind of, like, still uneasy, you know, respect that and maybe do a little more workup. That's why we so much want patients to establish care with somebody, whether it's a neurologist or a neurosurgeon or other provider in some areas that have fewer neurospecialists, but to establish care so that you all know what a change is for that patient. That's really important. Dr Albin: That's fantastic. So, to summarize that, it's really important to understand the patient's baseline and how they presented with prior shunt complications, if they've had some. That if they're coming in with a new headache that we don't have a baseline, so, we should just have a heightened level of awareness that, like, the shunt has a start and it has an end. And even if the start of the shunt in the brain looks okay, there still could be the potential for complications in the abdomen. And maybe the third thing I heard from that is that we should look for GI symptoms and sort of be aware of when there could be a complication in the abdomen as well. Does that all sound about right? Dr Robinson: And especially for our kids with spina bifida and for posthemorrhagic hydrocephalus are now adults, because the preterm infants are prone to necrotizing enterocolitis. And they may not have had surgery for it, but they still may have adhesions and other things that predispose them to develop pseudocysts over time. And then our individuals with spina bifida often have various abdominal surgeries and other procedures to help them manage their bowel and bladder function. And so that can also create adhesions that then predisposes to pseudocysts. So, we do have a healthy respect for that. In addition, it used to be---because we have gotten a little better with shunts over time---it used to be, like, when I was in training that you heard, you know, if you haven't had a shunt malfunction for 10 or 15 years, you must- you may no longer be dependent. And that's not really true. There are some people who outgrow their need for shunt dependence, but not everyone does outgrow it. And so, you can be 15, 20 years without a shunt revision and still be shunt-dependent. Dr Albin: Those are fantastic pearls. I think most of them, walking away with this, like, a very healthy respect for the fact that these are complex patients, which the shunt is one component of sort of the things that can go wrong and that we have to have a really healthy respect and really detailed investigation and sort of take the big picture. I really like that. Dr Robinson: Yeah, I know. I think it's- there's a very strong push amongst pediatric neurosurgery and a lot of the related, our colleagues in other areas, to develop multidisciplinary transition clinics and lifespan programs for these patients to help keep everything else optimized so that they're not coming in, for example, with seizures. But then you have to figure out if this is a seizure or a shunt; you know, if we can keep them on track, if we can keep them healthy in all their other dimensions, it makes it safer for them in terms of their shunt malfunction. Dr Albin: Absolutely. I love that, and just the multidisciplinary preventative aspect of trying to keep these patients well. So important. Dr Robinson, I really would like to thank you for your time. We're getting towards the end of our time together. Are there any other points about the article that you just are anxious that leave the readers with, or should I just direct them back to the fantastic review that you've put together on this topic? Dr Robinson: No, I think that we covered a lot of the high points. I think one of the really exciting things for hydrocephalus is that there's a lot of investigations into other options besides shunts for certain populations. We are seeing less hydrocephalus now with the fetal repair of the myelomeningocele, which is great. And we're trying to make inroads into posthemorrhagic hydrocephalus as well. So, there are a lot of great things on the horizon and, you know, hopefully someday we won't have the need to have these discussions so much for shunts. Dr Albin: I love it. I think that's really important. And all of those points were touched on the article. And so, I really invite our listeners to go and check out the article, where you can see sort of, like, how this is evolving in real time. Thank you, Dr Robinson. Please go and check out the childhood-onset hydrocephalus article, which appears in the most recent issue of Continuum on the disorders of CSF dynamics. And be sure to check out Continuum Audio episodes from this and other issues. Thank you again to our listeners for joining us today. And thank you, Dr Robinson. Dr Robinson: Thanks for having me. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

Mental Matters Hosted By Asekho Toto
#241 - Dave Albin - Overcoming Addiction: A Journey to Empowerment and Purpose

Mental Matters Hosted By Asekho Toto

Play Episode Listen Later Jul 16, 2025 38:35


Join us on "Mental Matters" as we explore a personal story of transformation. Our guest opens up about their early struggles with addiction and the pivotal moments that led to a life of purpose and empowerment. Through candid conversations, we uncover the courage it takes to share one's story and the profound impact of communities like Alcoholics Anonymous. This episode is a testament to the power of personal growth and the incredible changes that happen when we face our fears head-on. Tune in for an inspiring journey of hope and resilience.Sponsors and important linksSubscribe to my newsletter: Mental Matters: Self-Improvement Edition | Asekho Toto | SubstackWant to be a guest on Mental Matters Hosted By Asekho Toto? Send Asekho Toto a message on PodMatch, here: www.podmatch.com/hostdetailpreview/1604880114184x746605277921114400You can buy my book on Stan Store: https://stan.store/Asekhototo/p/get-my-book-at-the-end-i-found-healingDonations are welcomed at paypal.me/asekhototoFDN Course www.anw5astrk.com/3DDP436/2CTPL/for a $650 off use this code aff1485fdn1

The Eric Metaxas Show
Albin Sadar

The Eric Metaxas Show

Play Episode Listen Later Jul 7, 2025 42:46


Albin shares a 4th of July Fun Facts Friday!See omnystudio.com/listener for privacy information.

Is Paul Dano OK?
Rustin (with Natalia Albin)

Is Paul Dano OK?

Play Episode Listen Later Jul 7, 2025 74:43


To discuss George C. Wolfe's 2023 film, Rustin, Matt and Daryl are joined by film writer, branding & design specialist, Natalia Albin. You can find Natalia's works here. You can find all season artwork designs (from the ridiculously talented Stephen Trumble) on our Teepublic store. We also have our old intro themes and interludes over on Bandcamp. The intro theme was performed by Daryl Bär. Please drop us a Five Star Review us at Apple Podcasts, or a Five Star Rating on Spotify. Find us on Twitter and Instagram (@ispauldanook), and drop us an email at ispauldanook@gmail.com 

Gridirons of Europe
Episode 137: Playoffs!

Gridirons of Europe

Play Episode Listen Later Jul 4, 2025 90:00


In episode 137, Andre and Albin guide you through the final weekend of the regular season and preview the semifinals.

444
Tandori mondatai olyanok, mintha madártollak szállingóznának a levegőből

444

Play Episode Listen Later Jul 3, 2025 63:40


Az év legnagyobb hazai irodalmi történése Tandori Dezső első, de egészen idáig kiadatlan verseskötetének, az Egyetlennek a megjelenése. A kötetet 1964-ben visszadobta a Magvető, Tandori pedig egy noteszba írta le kézírással a verseket, és küldte el Párizsba barátjának, Márffy Albinnak. Sok évtizeddel később és pár évvel Tandori halála után Márffy Albintól került vissza a kötet Magyarországra, hogy aztán végre megjelenhessen. Ebben hatalmas érdemei voltak a zenész Pándi Balázsnak, aki évek óta szenvedélyesen kutatja a Tandori-hagyatékot, és aki megkereste a kötet tervével Simon Mártont, aki éppen egy évvel ezelőtt indított el saját mikrokiadóját, az Okapi Presst. Velük beszélgettünk többek között Tandori alakjáról és életművéről, a kötet kalandos történetéről, hogy mit érdemes olvasni Tandoritól, és hogy mi értelme van mikrokiadót indítani. A tartalomból: 00:00 Pár verseskötet, amit említünk: a Szép versek 2025 a Magvetőtől és Csordás Kata kötete, A tékozlás öröme. És lesz élő podcastfelvételünk a Művészetek völgyében, hamarosan kiderülnek a részletek, például a vendégünk kiléte is! 3:15 A mai témánk Tandori Dezső első, de csak most megjelent kötete, az Egyetlen. És két vendégünk Pándi Balázs és Simon Márton. Rögtön az első kérdés: hogyan lett számukra ennyire fontos Tandori? És mi van a „sapkás, medvés, verebes” Tandorin túl? Nincs olyan típusú vers, amit el lehet képzelni, és Tandori ne írta volna már meg régen. Simon Márton emlegetett könyvesmagazinos cikke itt, a hivatkozott telexes cikk pedig itt olvasható. 9:36 Tandori lemezgyűjteményének története, az emlegetett Instagram, és a 444-es film Pándi Balázsról. És az összefüggés az absztinencia beállta és a Tandori-kutatás felerősödése között. 14:50 Márffy Albin és a véletlenek szerepe, és miért dobta vissza a Magvető 1964-ben a kéziratot? 24:00 Hogyan kerül egy ennyire kis kiadóhoz ez a kötet? 27:10 És hogyan lehet ennyit írni? Ez nem munka, hanem létezési forma. A rengeteg még nem ismert mű és a váratlan Tandori-Prince párhuzam. 35:36 Tandorit akkor érdemes olvasni, ha vágysz arra az elveszettségre, hogy csak visz a szöveg. Olyan szerző, aki alkalmas arra, hogy kimozdítson a valóságból. 42:57 Az Okapi Press története és az első év tapasztalatai. További tervek elfeledett művek kiadására, még ha ennél durvább valószínűleg már nem lesz. 60:50 Könyvek vendégeink ajánlásában: magyar festészeti kötetek, Kiss Tibor Noé - Olvadás, Roberto Bolaño - Vad nyomozók, Kemény István - Lovag Dulcinea, Fancsali Kinga - Nem a haláltól és Tandori Dezső - Még így sem. See omnystudio.com/listener for privacy information.

The Eric Metaxas Show
Albin Sadar

The Eric Metaxas Show

Play Episode Listen Later Jul 2, 2025 42:48


Albin Sadar Recaps the High Seas Hijinks on the Greek Cruise with EricSee omnystudio.com/listener for privacy information.

The Eric Metaxas Show
Albin Sadar

The Eric Metaxas Show

Play Episode Listen Later Jul 2, 2025 42:49


Albin joins us again this week for a Fun Facts Friday specialSee omnystudio.com/listener for privacy information.

The Eric Metaxas Show
Fish Out Of Water

The Eric Metaxas Show

Play Episode Listen Later Jul 2, 2025 42:48


Eric is interviews by Albin about his book Fish out of Water See omnystudio.com/listener for privacy information.

Poddplats H
171. Albin Lundin

Poddplats H

Play Episode Listen Later Jun 30, 2025 31:12


I dagens avsnitt:Albin LundinVi släpper ett litet kortare sommaravsnitt, där vi fått oss en pratstund med nyförvärvet Albin Lundin. Ja, ni får lyssna helt enkelt! Vi önskar er en fortsatt fin sommar, och god lyssning som alltid.Swishnumret till Green Devils tifoverksamhet: 123 049 88 24KontaktFeedback, skicka ett e-mail till:poddplatsh@gmail.comSociala MediaInstagram: https://www.instagram.com/poddplatsh Facebook: https://www.facebook.com/poddplatshX: https://x.com/poddplatsh Tack för att ni lyssnar! Hosted on Acast. See acast.com/privacy for more information.

ABA Inside Track
Episode 314 - Tutorial: Working With an Interpreter

ABA Inside Track

Play Episode Listen Later Jun 25, 2025 65:01


As part of the work of a behavior analyst, our ethical code requires us to explain our services in language that can be understood by clients and stakeholders. That holds doubly true when our clients speak a primary language other than English. And just busting out Google Translate isn't going to cut it! In the next entry in our Tutorial series, we break out the “how to” basics behind following best practices when working with an interpreter in delivering ABA services. From meaningful feedback and collaboration with an interpreter to ensuring a respectful flow of communication between all parties, we'll get your practice up to speed in no time. Well, at least in the time it takes to listen to this episode. This episode is available for 1.0 CULTURAL (ETHICS) CEU. Articles discussed this episode: Dowdy, A., Obidimalor, K.C., Tinanci, M., & Travers, J.C. (2021). Delivering culturally sound and high-quality behavior analytic services when working with an interpreter. Behavior Analysis: Research and Practice, 21, 51-64. doi: 10.1037/bar0000206 Vasquez, D.J., Lechago, S.A., & McCarville, M.J. (2024). Training behavior analysis graduate students to work with an interpreter. Behavior Analysis in Practice, 17, 1160-1174. doi: 10.1007/s40617-024-00938-w Hadziabdic, E., Albin, B., Heikkila, K., & Hjelm, K. (2014). Family members' experiences of the use of interpreters in healthcare. Primary Health Care Research and Development, 15, 156-169. doi: 10.1017/S1463423612000680 If you're interested in ordering CEs for listening to this episode, click here to go to the store page. You'll need to enter your name, BCBA #, and the two episode secret code words to complete the purchase. Email us at abainsidetrack@gmail.com for further assistance.

1001Tracklists Exclusive Mixes
André Saint‑Albin - 1001Tracklists ‘Looks Good On Me' Spotlight Mix

1001Tracklists Exclusive Mixes

Play Episode Listen Later Jun 25, 2025 117:21


André Saint‑Albin celebrates "Looks Good On Me," a bold, club‑ready track released on Fedde Le Grand's Darklight imprint. Merging his contrasting Paris and Miami roots, his sound blends electro, progressive, big room, tech, and tribal elements. His mix is a feel good journey featuring original IDs, mashups, remixes, and cuts from Chris Lorenzo, Cloonee, FISHER, Green Velvet, James Hype, Martin Garrix, Steve Aoki and more!

Thank You, Five
La Cage aux Folles - Act II

Thank You, Five

Play Episode Listen Later Jun 24, 2025 51:27


Albin has left the stage, and the Dondins are on their way!! What can Georges and Jean-Michel do to patch this up and get Anne's family to love them? Well, a lot of shenanigans and the realization Jean-Michel is a terrible person. We're finishing up La Cage! Strap on your highest heels and join us! We are what we are!!

The Atlantic Group
From the Archives AG Speaker Albin Z November 5, 2013

The Atlantic Group

Play Episode Listen Later Jun 20, 2025 51:56


From the Archives The Atlantic Group Albin Z November 5, 2013  Welcome to the Atlantic Group Podcast. Our 7th  tradition states, “Every A.A. group ought to be fully self-supporting declining outside contributions.” Your contribution covers the expenses of our group, this podcast, and also that of our AA service structure. If you are an AA member who finds this podcast helpful, you can contribute using Venmo @AGTradition7 or Zelle at AGNYCINFO@gmail.com. Under what's it for, please write AG Podcast. Thank you for your support. For any questions, please e-mail: TuesdayAGNYC@gmail.com

Vidro Azul
Vidro Azul de 18 de Junho de 2025

Vidro Azul

Play Episode Listen Later Jun 18, 2025 120:01


----- 1 - Eartheater - …. - Nova 2 - Purelink - Faith - Rookie (with Loraine James) 3 - Três Tristes Tigres - Arca - Água 4 - Joan As Police Woman - To Survive - Start Of My Heart 5 - The Innocence Mission - Glow - Happy, The End 6 - Ambre Ciel - Still, There is the Sea - Cycle 7 - Ambre Ciel -Still, There is the Sea - Sometimes 8 - Pulp - More - The Hymn of the North (ft. Chilly Gonzalez) 9 - Gustavo Santaolalla - 21 Grams - Can Dry Leaves Help Us? 10 - Little Scream - The Golden Record - Your Radio 11 - Idaho - Year After Year - God's Green Earth 12 - My Head is Empty -  … - Lost in It 13 - Caroline - Caroline 2 - When I Get Home ----- 14 - Jamie Lidell - Places of Unknowing - How do I Land 15 - Emma Ruth Rundle - Music from the Bella Vista - Piano, Piano Also Means Slowly, Slowly 16 - Emily Haines & The Soft Skeleton - Knives Don't Have Your Back - - Crowd Surf Off A Cliff 17 -  Albin de la Simone - Toi Là-Bas - Ma Gueule 18 -  Feu Chatterton - Live à Paris 2022 - L'affiche rouge 19 - Thomas Feiner & Anywhen - The Opiates - The Siren Songs 20 - Mazzy Star - So Tonight That I Might See - Bells Ring 21 - Danger Mouse & Sparklehorse - Dark Night Of The Soul - Star Eyes (I Can't Catch It) (David Lynch) 22 - Milieu - A Dusty Box Of Old Memories - Broadcast In Rays Of Sunlight 23 - Thom Yorke - Smoke (OST) - Dialing In 24 -  Penelope Trappes - A Requiem - Thou Art Mortal 25 - The Weather Station - Anthems: A Celebration Of Broken Social Scene's 'You Forgot It in People' - Looks Just Like The Sun 26 -  Loma - How Will I Live Without a Body? - Unbraiding 27 - Andrew Bird - The Ballad Of The Red Shoes - Chorus Of The Swan 28 - Alan Sparhawk - With Trampled by Turtles - Not Broken

TD Ameritrade Network
Albin: Avoid the Russell 2000, Financing Expenses Rising

TD Ameritrade Network

Play Episode Listen Later Jun 13, 2025 7:21


Jack Albin “breathed a sigh of relief” after the recent 30-year bond auction, but says investors are still selling them off. In the short term, he thinks bond holders are worrying about Fed stewardship, and in the long-term, fiscal imbalance. On stocks, right now he would “avoid the Russell 2000,” expecting financing to get more expensive.======== Schwab Network ========Empowering every investor and trader, every market day. Subscribe to the Market Minute newsletter - https://schwabnetwork.com/subscribeDownload the iOS app - https://apps.apple.com/us/app/schwab-network/id1460719185Download the Amazon Fire Tv App - https://www.amazon.com/TD-Ameritrade-Network/dp/B07KRD76C7Watch on Sling - https://watch.sling.com/1/asset/191928615bd8d47686f94682aefaa007/watchWatch on Vizio - https://www.vizio.com/en/watchfreeplus-exploreWatch on DistroTV - https://www.distro.tv/live/schwab-network/Follow us on X – https://twitter.com/schwabnetworkFollow us on Facebook – https://www.facebook.com/schwabnetworkFollow us on LinkedIn - https://www.linkedin.com/company/schwab-network/ About Schwab Network - https://schwabnetwork.com/about

Gridirons of Europe
Episode 135: Playoff Race is Heating Up

Gridirons of Europe

Play Episode Listen Later Jun 11, 2025 98:42


This week the full crew is back with Andre, Albin and Arian and we talk about the football week that we have had!Division 1 Men is over earlier then expected with another team dropping out, Division 1 Women gave us a interesting game to discuss and things are heating up in the Superseries were we have multiple teams fighting for the last playoff spot. We also have BREAKING NEWS that comes out during the recording that can potentially CHANGE EVERYTHING and makes the upcoming games even more exciting!

Les p't**s bateaux
Pourquoi au football professionnel, n'y a-t-il pas d'équipe mixte avec des hommes et des femmes ?

Les p't**s bateaux

Play Episode Listen Later Jun 5, 2025 3:30


durée : 00:03:30 - Les P'tits Bateaux - par : Camille Crosnier - C'est la question posée par Albin qui évoque une équipe composée à moitié d'hommes, et à moitié de femmes. C'est l'historien du sport Fabien Archambault qui lui répond. - réalisé par : Stéphanie TEXIER

ABA Inside Track
June 2025 Preview

ABA Inside Track

Play Episode Listen Later Jun 4, 2025 23:49


Now that we've got some vacation time coming up in our near futures, we can sit back, relax…and make our listener's choose our episodes for us! That's right. We've got not one but TWO polls for listeners this month that will determine our summer Listener Choice topic as well as the next year's worth of Book Clubs. Excited to vote? Well, only patrons (at ANY level) will have access to the LC and Book Club polls so, if you haven't signed up yet, better get on it before everyone else chooses your books for you. Oh, and we have a full month of episodes all about IOA, working with an interpreter, and a whole grab bag of ethics! So, by vacation, we meant podcasting wearing sunglasses and shorts. Listener Choice Poll Book Club Poll Join the Patreon! Articles for June 2025 IOA Hausman, N.L., Javed, N., Bednar, M.K., Guell, M., Schaller, E., Nevill, R.E., & Kahng, S. (2022). Interobserver agreement: A preliminary investigation into how much is enough? Journal of Applied Behavior Analysis, 55, 357-368. doi: 10.1002/jaba.811 Garrity, M.L., Luiselli, J.K., & McCollum, S.A. (2008). Effects of a supervisory intervention on assessment of interobserver agreement by educational service providers. Behavioral Interventions, 23, 105-112. doi: 10.1002/bin.258 Hartz, R.M., Gould, K., Harper, J.M., & Luiselli, J.K. (2020). Assessing interobserver agreement (IOA) with procedural integrity: Evaluation of training methods among classroom instructors. Child and Family Behavior Therapy, 43, 1-12. doi: 10.1080/00168890.2020.1848404   Ethicstime! (Summer 2025 Grab Bag) Henderson, T.B., Ludden, B.J., & Romero, R.A. (2023). The ethical obligations, barriers, and solutions for interprofessional collaboration in the treatment of autistic individuals. Behavior Analysis in Practice, 16, 963-976. doi: 10.1007/s40617-023-00787-z Shreck, K., Ivy, J. W., & Zane, T. (2023). Teaching behavior analysts to address unethical behavior: Developing evidence based ethics instructional methods. Behavior Analysis in Practice. doi: 10.1007/s40617-023-00845-6 Logue, J. J., Hustyi, K. M., Toby, L M., & Outlaw, E. E. (2023). Promoting ethical and evidence-based practice through a panel review process: A case study in implementation research. Behavior Analysis in Practice. doi: 10.1007/s40617-023-00807-y   Tutorial: Working With an Interpreter Dowdy, A., Obidimalor, K.C., Tinanci, M., & Travers, J.C. (2021). Delivering culturally sound and high-quality behavior analytic services when working with an interpreter. Behavior Analysis: Research and Practice, 21, 51-64. doi: 10.1037/bar0000206 Vasquez, D.J., Lechago, S.A., & McCarville, M.J. (2024). Training behavior analysis graduate students to work with an interpreter. Behavior Analysis in Practice, 17, 1160-1174. doi: 10.1007/s40617-024-00938-w Hadziabdic, E., Albin, B., Heikkila, K., & Hjelm, K. (2014). Family members' experiences of the use of interpreters in healthcare. Primary Health Care Research and Development, 15, 156-169. doi: 10.1017/S1463423612000680

De vive(s) voix
Marguerite Abouet remet le roman photo au goût du jour avec «Les Amours de Machérie»

De vive(s) voix

Play Episode Listen Later May 26, 2025 29:00


«Notre amour était comme un œuf ! Et tu as cassé le tien !» C'est ainsi que s'ouvre le roman-photo «Les amours de Machérie», scénarisé par l'autrice Marguerite Abouet et publié aux éditions du Seuil ! Drôle ? Décalé ? Kitch ? Ringard ? Beaucoup d'adjectifs sont utilisés pour parler du roman-photo ! Depuis deux ans, les éditions du Seuil remettent ce genre narratif au goût du jour avec une collection dédiée. Entre photo et cinéma, le roman-photo est né en Italie après la Seconde Guerre mondiale. Il apparait en France en 1949 grâce au magazine Festival. Le principe : des successions de photos avec le plus souvent des textes dans des bulles et des acteurs qui jouent… Ou surjouent !  Dans cette histoire, «Machérie» est une jeune femme ivoirienne vivant en France qui vit avec son amoureux à Paris. Malheureusement, ce dernier la quitte au bout de cinq ans ! Manque de chance, les parents de Machérie attendaient qu'elle le leur présente. Elle va alors trouver un fiancé de secours : un clochard nommé... Julio Iglasis que tout le monde croit riche et... qui va se faire kidnapper. Le Roman-photo est bourré de sentiments pour que le lecteur se reconnaisse et se sente happé. Il y a une forme d'intimité. Marguerite Abouet Marguerite Abouet a réalisé ce tome entre Paris et Abidjan. Elle a demandé au chanteur Albin de la Simone et à la chanteuse franco-ivoirienne Izabella Maya de participer à ce volume. Invitée : Marguerite Abouet. Écrivain et réalisatrice franco-ivoirienne. Née à Abidjan (Côte d'Ivoire) en 1971, elle passe 12 ans de sa vie à Yopougon, un quartier devenu populaire aujourd'hui. Elle connait son premier succès en bande dessinée avec son héroïne Aya de Yopougon en 2005. Cette série raconte avec beaucoup d'humour l'histoire d'un quartier d'Abidjan dans les années 70 avec ses personnages hauts en couleurs, inspirés de son enfance. Elle aborde des sujets de société comme les grossesses précoces, le rejet des personnes homosexuelles par leur famille, les problèmes de logements des étudiants ivoiriens, le harcèlement et les agressions sexuelles. Elle scénarise ensuite la série Akissi qui narre les aventures hilarantes de l'espiègle petite sœur d'Akissi ! Et la chronique Ailleurs nous emmène au Maroc pour parler de l'évènement «La Cigogne Volubile», un festival littéraire qui vise à promouvoir la lecture. Le thème retenu pour cette édition est le «vivant», Agnès Humruzian, conseillère de coopération et d'action culturelle et directrice générale de l'Institut français du Maroc nous en dit plus. Programmation musicale : L'artiste Albin de la Simone avec le titre Ma gueule.

De vive(s) voix
Marguerite Abouet remet le roman photo au goût du jour avec «Les Amours de Machérie»

De vive(s) voix

Play Episode Listen Later May 26, 2025 29:00


«Notre amour était comme un œuf ! Et tu as cassé le tien !» C'est ainsi que s'ouvre le roman-photo «Les amours de Machérie», scénarisé par l'autrice Marguerite Abouet et publié aux éditions du Seuil ! Drôle ? Décalé ? Kitch ? Ringard ? Beaucoup d'adjectifs sont utilisés pour parler du roman-photo ! Depuis deux ans, les éditions du Seuil remettent ce genre narratif au goût du jour avec une collection dédiée. Entre photo et cinéma, le roman-photo est né en Italie après la Seconde Guerre mondiale. Il apparait en France en 1949 grâce au magazine Festival. Le principe : des successions de photos avec le plus souvent des textes dans des bulles et des acteurs qui jouent… Ou surjouent !  Dans cette histoire, «Machérie» est une jeune femme ivoirienne vivant en France qui vit avec son amoureux à Paris. Malheureusement, ce dernier la quitte au bout de cinq ans ! Manque de chance, les parents de Machérie attendaient qu'elle le leur présente. Elle va alors trouver un fiancé de secours : un clochard nommé... Julio Iglasis que tout le monde croit riche et... qui va se faire kidnapper. Le Roman-photo est bourré de sentiments pour que le lecteur se reconnaisse et se sente happé. Il y a une forme d'intimité. Marguerite Abouet Marguerite Abouet a réalisé ce tome entre Paris et Abidjan. Elle a demandé au chanteur Albin de la Simone et à la chanteuse franco-ivoirienne Izabella Maya de participer à ce volume. Invitée : Marguerite Abouet. Écrivain et réalisatrice franco-ivoirienne. Née à Abidjan (Côte d'Ivoire) en 1971, elle passe 12 ans de sa vie à Yopougon, un quartier devenu populaire aujourd'hui. Elle connait son premier succès en bande dessinée avec son héroïne Aya de Yopougon en 2005. Cette série raconte avec beaucoup d'humour l'histoire d'un quartier d'Abidjan dans les années 70 avec ses personnages hauts en couleurs, inspirés de son enfance. Elle aborde des sujets de société comme les grossesses précoces, le rejet des personnes homosexuelles par leur famille, les problèmes de logements des étudiants ivoiriens, le harcèlement et les agressions sexuelles. Elle scénarise ensuite la série Akissi qui narre les aventures hilarantes de l'espiègle petite sœur d'Akissi ! Et la chronique Ailleurs nous emmène au Maroc pour parler de l'évènement «La Cigogne Volubile», un festival littéraire qui vise à promouvoir la lecture. Le thème retenu pour cette édition est le «vivant», Agnès Humruzian, conseillère de coopération et d'action culturelle et directrice générale de l'Institut français du Maroc nous en dit plus. Programmation musicale : L'artiste Albin de la Simone avec le titre Ma gueule.

Gridirons of Europe
Episode 132: I guess we were wrong about Carlstad (this week)

Gridirons of Europe

Play Episode Listen Later May 22, 2025 95:19


This week Arian, Albin and the returning Dessezar talk about the wild football week we just had!Kristianstad showed how good the offense is against Copenhagen, but did Copenhagen expose Kristianstads weakness? Tyresö and AIK battled in a surprisingly low scoring game and what happened in the West when the rivals of Carlstad and Örebro faced each other for the first time this season.We also go through our Power Rankings in all of the divisions and we predict the games this coming weekend!

The Mac Attack Podcast
Tim Albin Recaps His First Spring Coaching the 49ers

The Mac Attack Podcast

Play Episode Listen Later May 7, 2025 12:00


Charlotte head football coach Tim Albin joins the show, as he talks about his first season with the 49ers, he talks about the leadership on the team, he provides an update on the QB battle, and addresses off the field concerns around NIL and the transfer portal See omnystudio.com/listener for privacy information.

The Eric Metaxas Show
Albin Sadar

The Eric Metaxas Show

Play Episode Listen Later May 6, 2025 42:04


Albin Sadar returns with his latest articles including "Silence isn’t peace — it’s just surrender in slow motion." https://www.theblaze.com/columns/opinion/silence-isnt-peace-its-just-surrender-in-slow-motionSee omnystudio.com/listener for privacy information.

730 The Game ESPN Charlotte
The Afternoon Rush - Tim Albin - The guys made progress and I think we are on schedule

730 The Game ESPN Charlotte

Play Episode Listen Later May 5, 2025 3:57


Charlotte 49ers football HC Tim Albin joined the show

Culture en direct
Albin de la Simone, chanteur et auteur : "En chanson j'ai besoin de précision alors que dans le dessin je me sens libre"

Culture en direct

Play Episode Listen Later Apr 30, 2025 28:27


durée : 00:28:27 - Les Midis de Culture - par : Marie Labory - Albin de la Simone joue, arrange, compose autant qu'il écrit et dessine : il sort son huitième album "Toi là-bas" et son premier livre autobiographique et illustré, "Mes battements". - réalisation : Laurence Malonda - invités : Albin de la Simone Auteur-compositeur interprète

The Smart Real Estate Coach Podcast|Real Estate Investing
Episode 503: Closing a $26K Creative Finance Deal While Working Full-Time with David Albin

The Smart Real Estate Coach Podcast|Real Estate Investing

Play Episode Listen Later Apr 16, 2025 38:28


In this special FamilyCast episode, I sit down with David Albin, a high-performing member of our Wicked Smart® community who just closed his first creative real estate deal—while juggling a demanding W-2 job and family life.   David brings a unique background to the table: 26 years in the military, 25 years in corporate accounting, and now he's diving head-first into real estate investing using creative financing. If you've ever wondered, “Can I actually do this while working full time?” or “What happens after my first deal?”—this is your episode.   We break down the real estate deal from start to finish, including how David landed the seller, how he sifted through buyers, and how he confidently closed a $26,000 payday—without ever owning the home. Plus, we unpack the incredible support system that helped him get there.   Key Talking Points of the Episode   00:00 Introduction 01:30 Who is David Albin? 04:30 Why David decided to join the Wicked Smart community in 2023 06:00 How David incorporates real estate into his schedule 07:15 How the goal to supplement retirement grew  08:25 The power of community and camaraderie 11:20 What makes live events like QLS and In the Trenches so impactful 14:16 David's first creative deal 16:46 Switching from owner financing to assign out 18:11 Listing the property and getting flooded with buyer inquiries 21:51 How Nick and the team helped him vet buyers using Next Step forms 26:49 REI BlackBook, tracking, and scripting for your deals 28:00 Building confidence through the support from the community 32:02 Lessons learned from the first deal 35:09 Why you need to get to the next live event: QLS Live 2024 Quotables   “This started as a side hustle to build retirement savings. But once I did the first deal, I realized—it could replace the W-2.”   “I felt like I was drowning at first. But once I got the scripts and the support, it clicked—and the deal closed fast.”   “Getting to $26K on a property I never owned… that'll change how you think about income.”   Links   QLS Live https://qlslive.com   Real Estate On Your Terms and Deal Structure Overtime https://wickedsmartbooks.com/podcast   FREE Master's Class http://smartrealestatecoach.com/masterspodcast   FREE Strategy Session with Chris Pre http://smartrealestatecoach.com/actionpodcast   QLS 4.0 https://smartrealestatecoach.com/qlspodcast   Investor Resources https://smartrealestatecoach.com/resources   Apprentice Program https://smartrealestatecoach.com/apprenticepodcast   In the Trenches Bootcamp https://smartrealestatecoach.com/ittbpodcast   3 Paydays Virtual Event https://smartrealestatecoach.com/3paydayspodcast   REI Blackbook https://smartrealestatecoach.com/REIBB-DD   7 Figures Funding https://smartrealestatecoach.com/7figures-pod

730 The Game ESPN Charlotte
The Afternoon Rush - Hunter Bailey - Tim Albin is the most qualified head coach Charlotte has seen

730 The Game ESPN Charlotte

Play Episode Listen Later Apr 10, 2025 13:19


Gov Tech Today
EP47: The Resilient Legacy: Mainframes in Modern Tech with Becky Albin

Gov Tech Today

Play Episode Listen Later Apr 8, 2025 30:20


In this episode of Gov Tech Today, host Jennifer Saha welcomes Becky Albin, Senior Director of Systems Engineering at Software AG. They dive into the enduring relevance and evolving role of mainframes in today's technology landscape. Becky shares her extensive experience and insights on the challenges and benefits of mainframe modernization, the importance of maintaining a skilled workforce, and the vital role these systems play in both commercial and government sectors. This episode is packed with valuable information on how mainframes can coexist with modern cloud solutions and the critical importance of user experience in tech transformations.00:00 Introduction and Guest Introduction00:54 Becky's Background and Career Journey02:05 Women in Tech: Challenges and Opportunities03:16 The State of Mainframes Today04:18 Mainframes vs. Cloud: Cost and Performance08:52 Modernization and Hybrid Solutions14:13 Future of Mainframes and Workforce Challenges17:39 Training the Next Generation of Mainframe Experts26:23 Conclusion and Final Thoughts

The Eric Metaxas Show
Albin Sadar

The Eric Metaxas Show

Play Episode Listen Later Feb 13, 2025 43:06


Our friend Albin Sadar joins to talk about his piece "Leftist's have tried to destroy Trump but they made him a legend"See omnystudio.com/listener for privacy information.

The Eric Metaxas Show
Albin and Anthony Sadar

The Eric Metaxas Show

Play Episode Listen Later Jan 11, 2025 44:06


Eric is seeing double when Albin and his twin brother Anthony join the program See omnystudio.com/listener for privacy information.

The Eric Metaxas Show
Fun Fact Friday Christmas Edition (Encore)

The Eric Metaxas Show

Play Episode Listen Later Dec 31, 2024 43:51


Eric and Albin bring you a Fun Facts Friday Christmas special See omnystudio.com/listener for privacy information.