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In this two-guest episode, Howard Farran brings together two very different but complementary paths in reconstructive surgery. Nancy Hairston is the founder and CEO of MedCAD, a Dallas-based medical technology company specializing in patient-matched cranial, facial, and mandibular implants. A sculptor by training — with a fine arts degree and an early career designing toys for Mattel and Disney and building 3D animation software that became Maya — Nancy channeled her mastery of digital sculpting into medicine, earning FDA clearance for her AccuShape cranial implant in 2011 and delivering custom, patient-specific solutions for more than 8,000 individuals since. Dr. Samir Singh is a board-certified oral and maxillofacial surgeon and Fellow of the American College of Surgeons, trained at VCU in complex implant surgery, bone grafting, orthognathic surgery, and maxillofacial trauma, who now practices in North Pittsburgh, teaches and mentors residents, and lectures nationally on full-arch implant reconstruction. Together, the conversation walks through how custom implant design and surgical expertise intersect — the MedCAD process of turning precise imaging into a planned, in-house-manufactured implant delivered to surgical teams around the world, and how that planning removes friction, shortens procedure time, and boosts a surgeon's confidence before the first incision. Dr. Singh shares his journey from Pittsburgh to the operating room, the growth and technology behind his practice, and memorable orthognathic and reconstruction cases, along with his heart for mission work — including trips to treat children with cleft lip and palate in Peru. The episode closes on mentorship and the shadowing and hiring opportunities both guests see for the next generation of surgeons and innovators.   Episode #1722 : Dentistry Uncensored with Howard Farran, Howard sits down with two guests at the cutting edge of surgical reconstruction: Nancy Hairston, founder & CEO of MedCAD, and Dr. Samir Singh, board-certified oral and maxillofacial surgeon. From an artist-turned-medical-tech founder who's created patient-matched implants for 8,000+ people, to a surgeon rebuilding faces and jaws with full-arch and orthognathic expertise — this is a fascinating look at how custom design and surgical skill come together in the OR.

100 Folgen Vegan Performance Podcast: Wir blicken zurück auf unsere wichtigsten Erkenntnisse, kontroversesten Aussagen und spannendsten Gespräche rund um Ernährung, Training, Gesundheit und Veganismus. Welche Themen sind heute noch relevant – und wo hat sich unsere Sicht verändert? ------------------------------------------------------------------------ Dominiks Buch zur pflanzenbasierten Sporternährung im UTB-Verlag: https://www.utb.de/doi/book/10.36198/9783838560328 Dominiks Gesundheitscommunity: www.gsundes-hannover.de Dominiks Online-Knie-Kurs: https://gsundes-hannover.de/knieschmerzen/ Dominiks Online-Rücken-Kurs: https://copecart.com/products/34bd5abb/checkout Marcs veganes Online-Fitness-Coaching: https://vegainer-academy.com/ Marcs Online-Kurs: https://www.copecart.com/products/a50f88f2/checkout ------------------------------------------------------------------------ Werbung: Dieser Podcast wird unterstützt von der Firma Watson Nutrition. Die Firma bietet als einzige umfassend laborgeprüfte Nahrungsergänzungsmittel für eine optimierte Nährstoffversorgung. Zum Angebot zählen Multi-Supplemente, Mono-Supplemente, Sportsupplemente wie Kreatin oder auch Proteinriegel, Shakes und essenzielle Aminosäuren Mit dem Code veganperformance erhältst du 5 % Rabatt auf deine Bestellung.  Zur Firmenwebseite: Watson Nutrition ------------------------------------------------------------------------ Redaktionelle Anmerkungen Zum Thema intuitive Ernährung und langfristige Gewichtsabnahme – ab 00:18:08 Intuitive Ernährung ist nicht grundsätzlich „größtenteils unerforscht“. Es liegen systematische Übersichtsarbeiten vor, insbesondere zu Essverhalten, Körperbild und psychischem Wohlbefinden. Begrenzter ist die Evidenz dafür, dass intuitive Ernährung langfristig zu einer relevanten Gewichtsabnahme oder automatisch zum Normalgewicht führt. Auch die Aussage, dass nach fünf Jahren über 90 Prozent der Menschen wieder ihr Ausgangsgewicht erreichen oder darüber liegen, ist in dieser Allgemeingültigkeit nicht ausreichend belegt. Gewichtszunahmen nach Diäten sind häufig, die Ergebnisse unterscheiden sich aber je nach Intervention, Personengruppe und Nachbetreuung deutlich. Zum Einfluss von Alkohol auf die Muskelproteinsynthese – ab 00:27:33 Die im Podcast genannten 10 bis 20 Prozent stimmen nicht mit der vermutlich gemeinten Studie überein. Nach einer sehr hohen Alkoholzufuhr von 1,5 Gramm pro Kilogramm Körpergewicht war die Muskelproteinsynthese trotz Proteinzufuhr etwa 24 Prozent und bei Alkohol plus Kohlenhydraten etwa 37 Prozent geringer. Untersucht wurde die kurzfristige Muskelproteinsynthese, nicht der langfristige Muskelaufbau. Ein einzelnes Bier macht eine Trainingseinheit dennoch nicht wertlos. Zum Zusammenhang zwischen Schlafmangel und Energieaufnahme – ab 01:33:50 Die genannten 300 bis 400 zusätzlichen Kilokalorien beziehen sich nicht auf jede einzelne Stunde Schlafmangel. Eine Meta-Analyse zeigte unter experimentell verkürzten Schlafbedingungen im Durchschnitt eine etwa 385 Kilokalorien höhere tägliche Energieaufnahme als unter normalen Schlafbedingungen. Zum Einfluss von Hormonen auf das Abnehmen – ab 01:50:36 Hormone sind nicht lediglich eine Folge des Lebensstils. Besonders während der Menopause können hormonelle Veränderungen Körperzusammensetzung, Fettverteilung, Appetit und möglicherweise den Energieverbrauch beeinflussen. Sie setzen die Energiebilanz jedoch nicht außer Kraft, können die Gewichtskontrolle aber erschweren. Quellenverzeichnis Al Khatib, H. K., Harding, S. V., Darzi, J., & Pot, G. K. (2017). The effects of partial sleep deprivation on energy balance: A systematic review and meta-analysis. European Journal of Clinical Nutrition, 71(5), 614–624. American College of Obstetricians and Gynecologists. (2020). Physical activity and exercise during pregnancy and the postpartum period: ACOG Committee Opinion No. 804. Obstetrics & Gynecology, 135(4), e178–e188. Babbott, K. M., Cavadino, A., Brenton-Peters, J., Consedine, N. S., & Roberts, M. (2023). Outcomes of intuitive eating interventions: A systematic review and meta-analysis. Eating Disorders, 31(1), 33–63. Barbaresko, J., Bröder, J., Conrad, J., Szczerba, E., Lang, A., & Schlesinger, S. (2025). Ultra-processed food consumption and human health: An umbrella review of systematic reviews with meta-analyses. Critical Reviews in Food Science and Nutrition, 65(11), 1999–2007. Crimarco, A., Springfield, S., Petlura, C., Streaty, T., Cunanan, K., Lee, J., Fielding-Singh, P., Carter, M. M., Topf, M. A., Wastyk, H. C., Sonnenburg, E. D., Sonnenburg, J. L., & Gardner, C. D. (2020). A randomized crossover trial on the effect of plant-based compared with animal-based meat on trimethylamine-N-oxide and cardiovascular disease risk factors in generally healthy adults: Study With Appetizing Plantfood-Meat Eating Alternative Trial. The American Journal of Clinical Nutrition, 112(5), 1188–1199. Deutsche Gesellschaft für Ernährung & Österreichische Gesellschaft für Ernährung. (2025). Referenzwerte für die Nährstoffzufuhr (3. Aufl.). Deutsche Gesellschaft für Ernährung. Eaton, M., Probst, Y., Foster, T., Messore, J., & Robinson, L. (2024). A systematic review of observational studies exploring the relationship between health and non-weight-centric eating behaviours. Appetite, 199, Article 107361. EFSA Panel on Dietetic Products, Nutrition and Allergies. (2016). Dietary reference values for choline. EFSA Journal, 14(8), Article 4484. Fernández-Rodríguez, R., Bizzozero-Peroni, B., Díaz-Goñi, V., Garrido-Miguel, M., Bertotti, G., Roldán-Ruiz, A., & López-Moreno, M. (2025). Plant-based meat alternatives and cardiometabolic health: A systematic review and meta-analysis. The American Journal of Clinical Nutrition, 121(2), 274–283. Forschungsinstitut für pflanzenbasierte Ernährung & Veganuary. (2026). Gießener vegane Lebensmittelpyramide. Greendale, G. A., Sternfeld, B., Huang, M., Han, W., Karvonen-Gutierrez, C., Ruppert, K., Cauley, J. A., Finkelstein, J. S., Jiang, S.-F., & Karlamangla, A. S. (2019). Changes in body composition and weight during the menopause transition. JCI Insight, 4(5), Article e124865. Grider, H. S., Douglas, S. M., & Raynor, H. A. (2021). The influence of mindful eating and/or intuitive eating approaches on dietary intake: A systematic review. Journal of the Academy of Nutrition and Dietetics, 121(4), 709–727.e1. Hartmann-Boyce, J., Theodoulou, A., Oke, J. L., Butler, A. R., Bastounis, A., Dunnigan, A., Byadya, R., Cobiac, L. J., Scarborough, P., Hobbs, F. D. R., Sniehotta, F. F., Jebb, S. A., & Aveyard, P. (2023). Long-term effect of weight regain following behavioral weight management programs on cardiometabolic disease incidence and risk: Systematic review and meta-analysis. Circulation: Cardiovascular Quality and Outcomes, 16(4), Article e009348. Hevia-Larraín, V., Gualano, B., Longobardi, I., Gil, S., Fernandes, A. L., Costa, L. A. R., Pereira, R. M. R., Artioli, G. G., Phillips, S. M., & Roschel, H. (2021). High-protein plant-based diet versus a protein-matched omnivorous diet to support resistance training adaptations: A comparison between habitual vegans and omnivores. Sports Medicine, 51(6), 1317–1330. Intergovernmental Panel on Climate Change. (2023). Climate change 2023: Synthesis report (H. Lee & J. Romero, Eds.). IPCC. Kalhoff, H., Rudloff, S., Ensenauer, R., Hensel, K., Kauth, T., Posovszk, C., & Weihrauch-Blüher, S., für die Ernährungskommission der Deutschen Gesellschaft für Kinder- und Jugendmedizin. (2026). Vegetarische und vegane Ernährung bei Kindern und Jugendlichen – ein Update. Monatsschrift Kinderheilkunde. Advance online publication. Klug, A., Barbaresko, J., Alexy, U., Kühn, T., Kroke, A., Lotze-Campen, H., Nöthlings, U., Richter, M., Schader, C., Schlesinger, S., Virmani, K., Conrad, J., & Watzl, B. (2024). Update of the DGE position on vegan diet—Position statement of the German Nutrition Society. Ernährungs Umschau, 71(7), 60–84. Kreider, R. B., Kalman, D. S., Antonio, J., Ziegenfuss, T. N., Wildman, R., Collins, R., Candow, D. G., Kleiner, S. M., Almada, A. L., & Lopez, H. L. (2017). International Society of Sports Nutrition position stand: Safety and efficacy of creatine supplementation in exercise, sport, and medicine. Journal of the International Society of Sports Nutrition, 14, Article 18. Mountjoy, M., Ackerman, K. E., Bailey, D. M., Burke, L. M., Constantini, N., Hackney, A. C., Heikura, I. A., Melin, A., Pensgaard, A. M., Stellingwerff, T., Sundgot-Borgen, J. K., Torstveit, M. K., Jacobsen, A. U., Verhagen, E., Budgett, R., Engebretsen, L., & Erdener, U. (2023). 2023 International Olympic Committee's consensus statement on Relative Energy Deficiency in Sport. British Journal of Sports Medicine, 57(17), 1073–1097. Parr, E. B., Camera, D. M., Areta, J. L., Burke, L. M., Phillips, S. M., Hawley, J. A., & Coffey, V. G. (2014). Alcohol ingestion impairs maximal post-exercise rates of myofibrillar protein synthesis following a single bout of concurrent training. PLOS ONE, 9(2), Article e88384. Reed, K. E., Camargo, J., Hamilton-Reeves, J., Kurzer, M., & Messina, M. (2021). Neither soy nor isoflavone intake affects male reproductive hormones: An expanded and updated meta-analysis of clinical studies. Reproductive Toxicology, 100, 60–67. Richter, M., Tauer, J., Conrad, J., Heil, E., Kroke, A., Virmani, K., & Watzl, B. (2024). Alcohol consumption in Germany, health and social consequences and derivation of recommendations for action—Position statement of the German Nutrition Society. Ernährungs Umschau, 71(10), 125–139. Thomas, D. T., Erdman, K. A., & Burke, L. M. (2016). American College of Sports Medicine joint position statement: Nutrition and athletic performance. Medicine & Science in Sports & Exercise, 48(3), 543–568. U.S. Department of Health and Human Services & U.S. Department of Agriculture. (2026). Dietary Guidelines for Americans, 2025–2030 (10th ed.). Weidlinger, S., Winterberger, K., Pape, J., Weidlinger, M., Janka, H., von Wolff, M., & Stute, P. (2023). Impact of estrogens on resting energy expenditure: A systematic review. Obesity Reviews, 24(10), Article e13605.

E-bike crashes and injuries in California are increasing, a new study out of UC San Diego finds. And those injuries are not only more severe compared with conventional bikes, they'redisproportionately involving kids age 14 and younger. We'll hear how doctors, lawmakers andbiking advocates are responding to the risks posed by e-bikes – and by what some call emotorcycles – and we'll hear your takes about how we can make our roads safer for all. Guests: Azul Dahlstrom-Eckman, reporter, KQED Asha Weinstein Agrawal, professor and researcher, Mineta Transportation Institute at San Jose State University John Maa, governor and former president, American College of Surgeons; former trauma surgeon, MarinHealth Medical Center; co-author of the new study from UCSD, “An exponential increase in e-bike injuries in California” Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of A Conversation in Veterinary Pathology - the A.C.V.P. Podcast, we sit down with Dr. Anne Provencher, the 2026 president of the American College of Veterinary Pathology. This interview was recorded in 2024 when she was the President-Elect, so we could learn more about the clinical pathologist, toxicologic pathology expert, and longtime leader and volunteer who is now our president. Dr. Provencher shares her unconventional journey into clinical pathology, the mentors and experiences that shaped her career, and the lessons she has learned about persistence, leadership, and professional growth along the way. We also discuss the evolving role of clinical pathologists in drug development and toxicologic pathology, and the importance of mentorship and volunteer service. Stay tuned for a future episode where we learn more about her goals as president in an interview with 2025 President, Dr. Rachel Reams. But for now, sit back and be inspired as we get to know Dr. Anne Provencher.  ____ Links ACVP Website 2026 ACVP Annual Meeting  Recent ACVP Webinars (Members Only Access, ACVP Website) ____ ACVP Social Media Facebook - ACVP Meetings and Topics Instagram - americancollegevetpath X (Twitter) - @ACVP LinkedIn - AMERICAN COLLEGE OF VETERINARY PATHOLOGISTS ____ Music: Guestlist by Podington Bear, licensed under an Attribution-NonCommercial 3.0 International License.  The contents of this audio do not necessarily reflect the opinions of the American College of Veterinary Pathologists (ACVP) or the participants' affiliations. Spoken audio content and associated photos are the property of the American College of Veterinary Pathologists, 2026. 

He coached Michael Chang and Wes Welker, co-founded the Johnson & Johnson Human Performance Institute, and built one of the most decorated careers in sports science. Then a hospital bed, a broken relationship with his father, and a mountain in Africa taught him what none of the trophies could. This is Dr. Jack Groppel's story of achievement addiction, faith, and fatherhood.Dr. Jack Groppel has operated at the highest levels of human performance for four decades. Co-founder of the Johnson & Johnson Human Performance Institute, Hall of Fame tennis coach, author of The Corporate Athlete, and coach to legends like Michael Chang and Wes Welker, his professional resume reads like a highlight reel.But in this conversation, Jack takes us underneath the resume. He talks about growing up under a demanding father, using achievement as a way to prove his worth, and building a career on that pattern for decades before it caught up with him. He shares the hospitalization that forced him to confront who he actually was, the faith journey that followed, adopting his son from China at nearly 60 years old, and the moment on Mount Kilimanjaro when the two of them stood at the summit together.This is a conversation about ambition, identity, fatherhood, and the difference between a life that looks successful and a life that feels well lived.Key Takeaways1. Achievement can become an addiction when it's used to prove worth rather than pursue purpose2. Facing truth about yourself is its own form of conflict and often the harder one3. Writing a personal mission statement gives you a filter for every decision that follows4. Journaling by hand has research behind it for actually rewiring the brain around old stories5. The question "what matters most right now" is a daily calibration tool, not a one-time exercise6. Breaking a generational pattern requires naming it out loud before you can choose differentlyGuest BioDr. Jack Groppel is an internationally recognized authority in human performance and well-being. He is co-founder of the Johnson & Johnson Human Performance Institute, a former professor, and a trusted advisor to organizations ranging from Fortune 50 companies to global policy groups. He is a Hall of Fame tennis coach and sports scientist, a fellow of both the American College of Sports Medicine and the American College of Nutrition, and has presented his work at the United Nations and before Congress. He is the author of the landmark book The Corporate Athlete and the new memoir Mountains Within, an account of achievement, loss, fatherhood, and faith. He has coached Hall of Fame players including Michael Chang and Stan Smith, and worked with NFL veteran Wes Welker.Connect with JackWebsite: jackgroppel.netLinkedIn: @JackGroppelBook: Mountains Within (available in ebook, paperback, and hardcover, audiobook narrated by Jack himself)Connect with Kevinhttps://linktr.ee/kevinmcnultyBook: The Gap Between Two Worlds#growyourself #JackGroppel #MountainsWithin #humanperformance #CorporateAthlete #personalgrowth #fatherhood #faith #resilience #leadership #tenniscoach #TheGapBetweenTwoWorlds

Resources: Reducing Ileostomy Postoperative Complications Due to Dehydration: A Quality Improvement Project – JWOCN May/June 2026 Redefining the High-Output Stoma and Its Bearing on Clinical Practice Results of an International Consensus Panel – JWOCN September/October 2025 High-output stoma management: an overview – BJS September 2025 About the Speakers: Tara Beuscher, DNP, RN, ANP-BC, CWOCN, CFCN, NPD-BC, WOCNF, is certified in Wound, Ostomy, and Continence care and is an Adult Nurse Practitioner. She has an ostomy and wound care clinic practice at the Duke Cancer Center in Durham, North Carolina, where she sees individuals with fecal and urinary diversions for any diagnosis as well as malignant wounds. Dr. Beuscher has worked in a variety of settings including acute, long term acute,  home, ambulatory and community settings. Dr. Beuscher also teaches ostomy care to first year medical students and surgical residents. Duke is the first medical school in the country to incorporate ostomy care within the formal curriculum. This model curriculum was featured at the American College of Surgeons Surgical Simulation Summit in March 2026. Amanda Eltz, DNP, FNP-C, CWOCN, works as a nurse practitioner with the Duke Colorectal division. Prior to this, she served as a Wound, Ostomy, and Continence nurse for 8 years. Her career has mainly focused on the care of ostomy patients, running an outpatient ostomy clinic before moving into her APP role. Her DNP quality improvement project focused on dehydration in the ileostomy patient and was instrumental in improving patient postoperative outcomes in her current role. She has authored and co-authored wound and ostomy related manuscripts. Her favorite pastime is spending time with her granddaughters. Editing and post-production work for this episode was provided by The Podcast Consultant.

In part 2 of this episode of The Phoenix Cast, Violence Prevention Educator Cassandra Carmona-Wayman (she/hers/ella) continues her conversation with reproductive health advocate Cristina Ponce (she/hers) about Abortion Access, Reproductive Coercion, and Survivor Autonomy. Cristina shares her abortion story and shares her lived experiences with these topics. We also unpack how shifting laws, financial barriers, and crisis pregnancy centers impact survivor autonomy and safety. We highlight practical resources like abortion funds, doulas, travel support, and trusted clinic locators. We also break down myths about medication abortion and centering abortion as both healthcare and a crucial safety option for survivors of violence.Content warnings: discussion of abortion (including personal and self-managed abortion stories), reproductive coercion, intimate partner and interpersonal violence, sexual violence (including rape and sexual coercion), pregnancy-related homicide risk, and anti-abortion harassment/misinformation.Additionally:We discuss healthcare clinics and abortion providers near the Denver Metro area. Please be aware of clinics that misrepresent their services and can appear misleading to patients in need of care. Some “crisis pregnancy centers” near campus and in Denver are not medical clinics and may offer misleading or incomplete information about abortion and pregnancy options. When you can, seek licensed providers or clinics that clearly offer full-spectrum reproductive healthcare, and remember you can reach out to the Phoenix Center at Auraria for confidential support and accurate referrals.Sources and Resources mentioned in the episode:American College of Obstetricians and Gynecologists. Committee Opinion No. 554: Reproductive and Sexual Coercion. American College of Obstetricians and Gynecologists, 2013.American College of Obstetricians and Gynecologists. “Reproductive and Sexual Coercion.” ACOG, Feb. 2013,  https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2013/02/reproductive-and-sexual-coercion.Centers for Disease Control and Prevention. “About Violence and Pregnancy.” Centers for Disease Control and Prevention,  https://www.cdc.gov/intimate-partner-violence/about/violence-and-pregnancy.html.Centers for Disease Control and Prevention. “Pregnancy Resulting from Sexual Violence.” Centers for Disease Control and Prevention,  https://www.cdc.gov/sexual-violence/about/pregnancy-resulting-from-sexualviolence.html.Cobalt Abortion Fund. Cobalt Abortion Fund,  https://cobaltaf.org/.Colorado Doula Project. Colorado Doula Project,  https://www.coloradodoulaproject.org/.Foster, Diana Greene. The Turnaway Study: Ten Years, a Thousand Women, and the Consequences of Having—or Being Denied—an Abortion. Scribner, 2020.Grace, Kelsey T., and Julie C. Anderson. “Reproductive Coercion: A Systematic Review.” Journal of Midwifery & Women's Health, vol. 63, no. 4, 2018, pp. 371–84.Guttmacher Institute. U.S. Abortion Patient and Policy Reports. Guttmacher Institute, https://www.guttmacher.org.Miller, Elizabeth, et al. “Pregnancy Coercion, Intimate Partner Violence and Unintended Pregnancy.” Contraception, vol. 81, no. 4, 2010, pp. 316–22.National Abortion Federation. National Abortion Federation,  https://prochoice.org/.National Academies of Sciences, Engineering, and Medicine. The Safety and Quality of Abortion Care in the United States. National Academies Press, 2018.“North Carolina Bill Would Authorize Deadly Force for Women Seeking Abortions.” WCNC Charlotte,  https://www.wcnc.com/article/news/politics/north-carolina-politics/north-carolina-bill-would-authorize-deadly-force-for-women-seeking-abortions/275-353d54a3-9231-4341-ae44-a127546db76f.Raymond, Elizabeth G., and David A. Grimes. “The Comparative Safety of Legal Induced Abortion and Childbirth in the United States.” Obstetrics & Gynecology, vol. 119, no. 2, 2012, pp. 215–19.“Reproductive Coercion.” The National Domestic Violence Hotline,  https://www.thehotline.org/resources/reproductive-coercion/.“Reproductive Coercion: What Is It?” Teen Vogue,  https://www.teenvogue.com/story/what-is-reproductive-coercion.Sexual Assault Awareness Fund. “Bisexual Women Are More Likely to Have Abortions.” Sexual Assault Awareness Fund, https://saafund.org/bisexual-women-are-more-likely-to-have-abortions/.Society of Family Planning. #WeCount Reports on Abortion Access After Dobbs.Society of Family Planning,  https://societyfp.org/.Tarzia, Laura, et al. “Reproductive Coercion and Abuse: A Systematic Review of Qualitative Evidence.” Trauma, Violence, & Abuse,  https://pmc.ncbi.nlm.nih.gov/articles/PMC5819992/.Van Parys, An-Sofie, et al. “Prevalence and Evolution of Intimate Partner Violence before and during Pregnancy: A Cross-Sectional Study.” BMC Pregnancy and Childbirth, vol. 14, 2014, article 294,  https://doi.org/10.1186/1471-2393-14-294.Washington State Coalition Against Domestic Violence. Pregnancy and Domestic Violence Issue Brief. Washington State Coalition Against Domestic Violence, 2013,  https://wscadv.org/wp-content/uploads/2016/12/pregnancy-dvfr-issue-brief-12-2013.pdf.World Health Organization. Abortion Care Guideline. World Health Organization, 2022.You can learn more about your options with healthcare service providers like Just the Pill. They can provide vital information and assistance with abortion, contraception, and other sexual and reproductive health services. We provide efficient and equitable access to health care by telemedicine. https://justthepill.com/about-us/You can also look into resources like Elevated Access. They are a nonprofit organization that provides free air transportation through a network of volunteer pilots, helping people travel to essential healthcare services they might not otherwise be able to reach. Their services primarily support access to abortion care and gender-affirming care by coordinating safe, confidential flights in partnership with healthcare and advocacy organizations across the United States.Be aware of Denver Metro Crisis Pregnancy Centers (CPCs):The AVI Project https://www.theaviproject.com/Alternatives Pregnancy Center (Alternatives Colorado) https://youhavealternatives.org/Bella Health and Wellness. Bella Health and Wellness.  https://bellahealthandwellness.com/.Alternatives Pregnancy Center. Alternatives Pregnancy Center.  https://youhavealternatives.org/.Marisol Health. Marisol Health.  https://marisolhealth.com/.Life Choices. Life Choices.  https://lifechoices.org/.If you are in crisis and need immediate support, please call our 24/7 interpersonal violence helpline at 303-556-2255.Request an Appointment with an Advocate athttps://www.thepca.org/online-appointment-requestRequest a Violence Prevention Presentation at https://www.thepca.org/prevention-educationInstagram @phoenixauraria

In this episode of CURiE Conversations, host Dr. Jessica Schuster speaks with Dr. Veronia Fahmy and Dr. James S. Welsh about their published work, "Small-Cell Carcinoma of the Bladder With Concurrent High-Grade Prostate Cancer: A Case Report and Review of the Literature."The discussion explores the management of this rare synchronous malignancy, the rationale for bladder-preserving chemoradiotherapy, the role of hypofractionated radiation and the clinical decision to use MRI surveillance instead of prophylactic cranial irradiation. They also reflect on how reviewing the limited literature surrounding rare cancers helped guide treatment.Contemporary Updates: Radiotherapy Innovation & Evidence (CURiE) is the official publication platform of the American College of Radiation Oncology through the Cureus Journal of Medical Science. Read the full article here: https://www.cureus.com/articles/502342-small-cell-carcinoma-of-the-bladder-with-concurrent-high-grade-prostate-cancer-a-case-report-and-review-of-the-literature

Send us Fan MailThis week on Translational Conversations, we talk with Dr. Zoe Donaldson, a prairie vole researcher, and Dr. Katherine Shear, a human researcher, about how their work has inspired and influenced each other's research on attachment bonding, love and loss, and the development of Prolonged Grief Disorder. In this episode, Dr. Donaldson and Dr. Shear discuss the role of the brain's reward system in grief, how grief differs from depression, the special bonding of prairie voles that makes them an ideal species for studying grief, and how their complementary research has inspired novel treatments for Prolonged Grief Disorder. Their discussion further explores the bidirectional process of translational research, how to consider the language we use when communicating findings from different species, and ways we can build better bonds between researchers to advance scientific progress. We thank Dr. Zoe Donaldson, the Larry Gold Professor in the Department of Molecular, Cellular, and Developmental Biology and the Department of Psychology and Neuroscience at the University of Colorado Boulder and Dr. Katherine Shear, the Marion E. Kenworthy Professor of Psychiatry at Columbia University and the founding Director of the Center for Prolonged Grief at Columbia School of Social Work, for their openness and willingness in discussing their research with us for this podcast.Translational Conversations is made possible through support from Biomedical Research Awareness Day, a program of Americans for Medical Progress and the American College of Neuropsychopharmacology.Resources & Links: Craving Love? Enduring grief activates brain's reward center by Mary-Frances O'ConnorNeurobiology and treatment advances for prolonged grief disorder by Donaldson and ShearPrairie Voles as a model of adaptive reward remodeling following loss of a bonded partner by Sadino and Donaldson Support the showFollow Lab Rat Chat on X! Facebook! Instagram!https://twitter.com/thelabratchat https://www.facebook.com/labratchat https://www.instagram.com/thelabratchat All Lab Rat Chat episodes are edited by Audionauts: https://audionauts.pro/ 

In part 1 of this episode of The Phoenix Cast, Violence Prevention Educator Cassandra Carmona-Wayman (she/hers/ella) talks with reproductive health advocate Cristina Ponce (she/hers) about how abortion care works, common myths about abortion, and the impact of post‑Dobbs restrictions. They also explore reproductive coercion as a form of abuse, its connections to interpersonal violence, and why protecting survivors' bodily autonomy and access to abortion is essential.Content warnings: discussion of intimate partner violence, reproductive coercion, sexual and physical violence, abortion (including later‑term), pregnancy loss, legal and systemic barriers to care, and brief mention of hospitalization due to assault.Additionally:We discuss healthcare clinics and abortion providers near the Denver Metro area. Please be aware of clinics that misrepresent their services and can appear misleading to patients in need of care. Some “crisis pregnancy centers” near campus and in Denver are not medical clinics and may offer misleading or incomplete information about abortion and pregnancy options. When you can, seek licensed providers or clinics that clearly offer full-spectrum reproductive healthcare, and remember you can reach out to the Phoenix Center at Auraria for confidential support and accurate referrals.Sources and Resources mentioned in the episode:American College of Obstetricians and Gynecologists. Committee Opinion No. 554: Reproductive and Sexual Coercion. American College of Obstetricians and Gynecologists, 2013.American College of Obstetricians and Gynecologists. “Reproductive and Sexual Coercion.” ACOG, Feb. 2013,  https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2013/02/reproductive-and-sexual-coercion.Centers for Disease Control and Prevention. “About Violence and Pregnancy.” Centers for Disease Control and Prevention,  https://www.cdc.gov/intimate-partner-violence/about/violence-and-pregnancy.html.Centers for Disease Control and Prevention. “Pregnancy Resulting from Sexual Violence.” Centers for Disease Control and Prevention,  https://www.cdc.gov/sexual-violence/about/pregnancy-resulting-from-sexualviolence.html.Cobalt Abortion Fund. Cobalt Abortion Fund,  https://cobaltaf.org/.Colorado Doula Project. Colorado Doula Project,  https://www.coloradodoulaproject.org/.Foster, Diana Greene. The Turnaway Study: Ten Years, a Thousand Women, and the Consequences of Having—or Being Denied—an Abortion. Scribner, 2020.Grace, Kelsey T., and Julie C. Anderson. “Reproductive Coercion: A Systematic Review.” Journal of Midwifery & Women's Health, vol. 63, no. 4, 2018, pp. 371–84.Guttmacher Institute. U.S. Abortion Patient and Policy Reports. Guttmacher Institute, https://www.guttmacher.org.Miller, Elizabeth, et al. “Pregnancy Coercion, Intimate Partner Violence and Unintended Pregnancy.” Contraception, vol. 81, no. 4, 2010, pp. 316–22.National Abortion Federation. National Abortion Federation,  https://prochoice.org/.National Academies of Sciences, Engineering, and Medicine. The Safety and Quality of Abortion Care in the United States. National Academies Press, 2018.“North Carolina Bill Would Authorize Deadly Force for Women Seeking Abortions.” WCNC Charlotte,  https://www.wcnc.com/article/news/politics/north-carolina-politics/north-carolina-bill-would-authorize-deadly-force-for-women-seeking-abortions/275-353d54a3-9231-4341-ae44-a127546db76f.Raymond, Elizabeth G., and David A. Grimes. “The Comparative Safety of Legal Induced Abortion and Childbirth in the United States.” Obstetrics & Gynecology, vol. 119, no. 2, 2012, pp. 215–19.“Reproductive Coercion.” The National Domestic Violence Hotline,  https://www.thehotline.org/resources/reproductive-coercion/.“Reproductive Coercion: What Is It?” Teen Vogue,  https://www.teenvogue.com/story/what-is-reproductive-coercion.Sexual Assault Awareness Fund. “Bisexual Women Are More Likely to Have Abortions.” Sexual Assault Awareness Fund, https://saafund.org/bisexual-women-are-more-likely-to-have-abortions/.Society of Family Planning. #WeCount Reports on Abortion Access After Dobbs. Society of Family Planning,  https://societyfp.org/.Tarzia, Laura, et al. “Reproductive Coercion and Abuse: A Systematic Review of Qualitative Evidence.” Trauma, Violence, & Abuse,  https://pmc.ncbi.nlm.nih.gov/articles/PMC5819992/.Van Parys, An-Sofie, et al. “Prevalence and Evolution of Intimate Partner Violence before and during Pregnancy: A Cross-Sectional Study.” BMC Pregnancy and Childbirth, vol. 14, 2014, article 294,  https://doi.org/10.1186/1471-2393-14-294.Washington State Coalition Against Domestic Violence. Pregnancy and Domestic Violence Issue Brief. Washington State Coalition Against Domestic Violence, 2013,  https://wscadv.org/wp-content/uploads/2016/12/pregnancy-dvfr-issue-brief-12-2013.pdf.World Health Organization. Abortion Care Guideline. World Health Organization, 2022.You can learn more about your options with healthcare service providers like Just the Pill. They can provide vital information and assistance with abortion, contraception, and other sexual and reproductive health services. We provide efficient and equitable access to health care by telemedicine. https://justthepill.com/about-us/You can also look into resources like Elevated Access. They are a nonprofit organization that provides free air transportation through a network of volunteer pilots, helping people travel to essential healthcare services they might not otherwise be able to reach. Their services primarily support access to abortion care and gender-affirming care by coordinating safe, confidential flights in partnership with healthcare and advocacy organizations across the United States.Be aware of Denver Metro Crisis Pregnancy Centers (CPCs):The AVI Project https://www.theaviproject.com/Alternatives Pregnancy Center (Alternatives Colorado) https://youhavealternatives.org/Bella Health and Wellness. Bella Health and Wellness.  https://bellahealthandwellness.com/.Alternatives Pregnancy Center. Alternatives Pregnancy Center.  https://youhavealternatives.org/.Marisol Health. Marisol Health.  https://marisolhealth.com/.Life Choices. Life Choices.  https://lifechoices.org/.If you are in crisis and need immediate support, please call our 24/7 interpersonal violence helpline at 303-556-2255.Request an Appointment with an Advocate athttps://www.thepca.org/online-appointment-requestRequest a Violence Prevention Presentation at https://www.thepca.org/prevention-educationInstagram @phoenixauraria

Learn how Section 2801 final regulations affect gifts and bequests from covered expatriates, including tax rules, trusts, Form 708, and key exceptions. The American College of Trust and Estate Counsel, ACTEC, is a professional society of peer-elected trust and estate lawyers in the United States and around the globe. This series offers professionals best practice advice, insights, and commentary on subjects that affect the profession and clients. Learn more in this podcast.

HEALTH NEWS   Berberine Shows Beneficial Effects on Metabolic Health, Study Reports Cooperation beats selfishness more often than scientists thought Sleep Disorders Don't Just Exhaust You. New Research Shows They Change Your Brain Two Hours of Strength Training Weekly Linked to Lower Heart Attack Risk in Women, Study Finds Planetary Health Diet lowers cardiovascular risk in older women     Berberine Shows Beneficial Effects on Metabolic Health, Study Reports Peking Union Medical College (China), July 24 2026 (Natural News)     A review published in the journal Molecules has summarized evidence indicating that berberine, a compound found in several plants, may influence glucose and lipid metabolism. According to the review, berberine has been associated with improvements in metabolic health markers across multiple studies. The compound is a yellow alkaloid extracted from plants such as European barberry, goldenseal, goldthread, Oregon grape, and tree turmeric. The review cited evidence that berberine may reduce blood glucose levels and improve insulin sensitivity, according to clinical trials. A systematic review of seven randomized clinical trials from China published in Nutrients revealed that berberine consistently alters the composition of gut bacteria in patients taking the supplement, and the analysis examined data across conditions including Type 2 diabetes, high cholesterol, and colorectal adenoma. Lipid panel improvements, including lower total cholesterol and triglycerides, were also reported in the reviewed studies.   Cooperation beats selfishness more often than scientists thought Hebrew University of Jerusalem & Rutgers University, July 20 2026 (Eureaklert)  For decades, one of the most influential ideas in evolutionary biology has suggested that when individuals act purely in their own self-interest, cooperation should eventually collapse. But a new study by the Hebrew University of Jerusalem and Rutgers University demonstrates that evolution may be far more optimistic than previously believed. Their findings reveal that cooperation does not require close family ties, reputation, repeated favors, or rigid social structures. Instead, cooperation can flourish simply because individuals respond differently to different opponents. The research proposes a new solution to one of biology's oldest puzzles: how cooperation survives in a world shaped by natural selection. Using mathematical models, evolutionary simulations, and populations of artificial intelligence agents, the researchers found that cooperation consistently evolved when individuals adjusted their willingness to cooperate according to whom they encountered. Rather than treating everyone identically, simple opponent-specific responses created stable communities in which cooperative behavior repeatedly outperformed purely selfish strategies. Perhaps the study's most surprising finding is that cooperative societies are not fragile exceptions. Across thousands of simulations, populations repeatedly evolved toward highly cooperative states, while purely selfish populations often failed to dominate. Even when mutations introduced new defectors, cooperative communities remained remarkably resilient.   Sleep Disorders Don't Just Exhaust You. New Research Shows They Change Your Brain Florida International University, July 26, 2026 (SciTech Daily) A poor night's sleep can affect far more than energy the next day. Research from Florida International University links sleep disorders with structural differences in brain regions that help control attention, motivation and decision-making. Published in the journal Scientific Reports, the findings provide one of the broadest comparisons yet of how different sleep disorders are associated with the brain.  The researchers compared two broad categories. Dyssomnias, such as insomnia and sleep apnea, interfere with falling asleep or remaining asleep. Parasomnias, including sleepwalking, nightmare disorder and sleep terrors, involve unusual events that disrupt the sleep cycle. Both categories were associated with decreases in the thalamus, a region that filters incoming information, supports concentration, and contributes to higher-level thinking. The researchers identified changes specifically in the pulvinar, an area within the thalamus that directs attention and helps manage cognitive control. These differences were connected with wider brain networks that support concentration and task performance. That pattern may help explain why disrupted sleep is associated with slower reactions, poorer decision-making and a greater likelihood of errors and accidents.   Two Hours of Strength Training Weekly Linked to Lower Heart Attack Risk in Women, Study Finds Harvard School of Public Health, July 26 2026 (Natural News) A large-scale study published in the Journal of the American College of Cardiology has found that women who engage in regular strength training have a significantly lower risk of developing cardiovascular disease. The study examined data from 117,025 women over an average follow-up period of 14.5 years.   Women who performed any amount of resistance training had a lower risk of cardiovascular events compared with those who did none. The association persisted after adjusting for overall lifestyle and health factors, the study stated.  Among the study's specific findings, women who performed at least two hours of resistance training per week had a 44% lower risk of heart attack relative to women who did no resistance training, the report said. Any cardiovascular disease risk was 20% lower for that group, with an additional 5% reduction per extra hour of weekly resistance training, according to the study. The benefits of strength training were more pronounced among women who maintained resistance training consistently and trained both upper and lower body, according to the study. Adding strength training to regular aerobic exercise – such as walking or running – was linked to better heart health.   Planetary Health Diet lowers cardiovascular risk in older women University of Caliornia at Irvine, July 25 2026 (News-Medical) A 20-year study of more than 65,000 postmenopausal women found that higher adherence to the Planetary Health Diet was associated with a lower risk of overall cardiovascular disease, coronary heart disease, stroke and heart failure. The findings showed that women whose diet most closely followed the Planetary Health Diet had about a 28% lower risk of cardiovascular disease compared with women in the group scoring the lowest for adherence. However, even moderate adherence to the diet was linked with lower risk. The Planetary Health Diet emphasizes foods such as fruits, vegetables, whole grains, legumes, nuts and unsaturated fats while limiting foods such as red and processed meats, added sugars, refined grains and saturated fats. The investigators followed 66,892 participants in the Women's Health Initiative (WHI).  Overall, the results showed that women in the group whose diets were more closely aligned with the Planetary Health Diet had the lowest risk of cardiovascular disease. These women also showed a decreased risk of heart disease, heart failure and stroke risk compared to the women in the lowest-adherence group. However, even moderate adherence to the diet was associated with a decrease in risk, with each 10-point increase in Planetary Health Diet Index score linked to further risk reduction.

It's another big episode of Healthcare Now! Dr Mark is out but Larry is joined by Dr Ajay Goyal! He's the owner of Diagnostic Radiology Center of the Treasure Coast. Together they bring us a look at the challenges faced by independent physicians. What can we do differently about getting tested before disaster? And what does the American College of Radiology do? And we discuss accessing healthcare and affordability of healthcare!See omnystudio.com/listener for privacy information.

It's another big episode of Healthcare Now! Dr Mark is out but Larry is joined by Dr Ajay Goyal! He's the owner of Diagnostic Radiology Center of the Treasure Coast. Together they bring us a look at the challenges faced by independent physicians. What can we do differently about getting tested before disaster? And what does the American College of Radiology do? And we discuss accessing healthcare and affordability of healthcare!See omnystudio.com/listener for privacy information.

"The diet you'll stay on is a diet that's enjoyable and not too hard,” says Wendy Bazilian, DrPH, MA, RDN.  Bazilian is a Registered Dietitian Nutritionist, American College of Sports Medicine Certified Exercise Physiologist, and Doctor of Public Health. She's authored multiple bestselling books, as well as contributed to a New York Times bestseller and a James Beard-nominated cookbook. She's a spokesperson for Avocados – Love One Today and she's a frequent nutrition expert cited in mindbodygreen articles.  This podcast is sponsored by Avocados - Love One Today®. Visit LoveOneToday.com for free nutrition resources backed by science and tasty recipes to help you find new ways to add more avocado to your plate, whether it's breakfast, lunch, a snack or dinner.   00:00 - The value of the food we consume 03:06 - Why dietary fat was misunderstood for decades 07:47 - Nutrient density vs. calorie counting 09:56 - Why 94% of us fall short on fiber 14:26 - Heart health, satiety, & blood sugar control 16:48 - Why the best diet is one you enjoy 18:50 - Food synergy & nutrient absorption 21:51 - Unexpected ways to cook with avocados 26:58 - The glycemic load effect 31:28 - Serving size vs. portion size 35:41 - How to store avocados properly 40:06 - 3 rules for moving the needle on health Referenced in the episode:  The HAT trial: https://pubmed.ncbi.nlm.nih.gov/34496276/  Glycemic load study: https://www.sciencedirect.com/science/article/pii/S2475299126000557  For more about Bazilian, visit her website: https://www.wendybazilian.com/  We hope you enjoy this episode, and feel free to watch the full video on YouTube! Whether it's an article or podcast, we want to know what we can do to help here at mindbodygreen. Let us know at: podcast@mindbodygreen.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Get the 200+ Page Optimal Living Daily Workbook (PDF) — Free. Want to turn today's episode into an actionable plan? Join the Optimal Living Weekly newsletter and I'll send you our 200-page digital workbook immediately. It's packed with the best takeaways from the show, formatted for easy reading and implementation at home. Get your free PDF workbook here: ⁠⁠https://oldpodcast.eo.page/join⁠ Discover all of the podcasts in our network, search for specific episodes, get the Optimal Living Daily workbook, and learn more at: OLDPodcast.com. Episode 3476: Dr. Neal Malik answers a listener's question about whether saunas and cold showers are worth prioritizing for better health and longevity, separating popular claims from what the research actually supports. He explains why traditional steam saunas appear to offer cardiovascular and other health benefits for many people, while the current evidence for cold water immersion is much weaker and may even suggest potential downsides. Quotes to ponder: "When we spend time in the environments I just described or really when we're exposed to a lot of heat our bodies respond by dilating our blood vessels which means the inner lining of our blood vessels get bigger." "Some researchers have found that regular use of saunas may decrease pain levels in those experiencing chronic pain like those that suffer from arthritis." "The reason you hear so much about the benefits of antioxidants is because they help our bodies get rid of free radicals." Episode references: American College of Sports Medicine: https://www.acsm.org/ Bastyr University California: https://bastyr.edu/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Over two decades ago, Lipoprotein(a)—or Lp(a)—was recognized as an emerging risk factor for cardiovascular disease. In this special edition of DOC Updates, Dr. Neil Skolnik explores our growing understanding of this cholesterol-carrying lipoprotein. This special episode is sponsored with support from Lilly. Please listen to the episodes by clicking on the podcast player below or by freely subscribing to DOC Updates via Apple Podcasts, Amazon Music, Spotify, or your preferred podcast platform. EPISODE NOTES Special Edition: Special Edition: Lp(a) & CV Risk In this special edition of DOC Updates, Neil Skolnik speaks with Dr. Michael Wilkinson, who goes over the history of Lp(a), the current guidelines, and the importance of screening. This special episode is sponsored with support from Lilly. Presented by: -Neil Skolnik, MD, Professor of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University; Associate Director, Family Medicine Residency Program, Abington Jefferson Health -Michael Wilkinson, MD, Associate Professor of Medicine at University of California San Diego Health, and Director of the advanced lipid treatment program at UC San Diego Health, Board of Directors of the National Lipid Association and Associate editor of the American Journal of Preventive Cardiology References: -The American Heart Association PREVENT Online Calculator -Lipoprotein(a) as a Pharmacological Target: Premises, Promises, and Prospects – Circulation 2025; 151:400-415 -2026 ACC/AHA/AACVPR/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Dyslipidemia: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation Volume 153, Issue 17, 28 April 2026; Pages e1154-e1276

Get the 200+ Page Optimal Living Daily Workbook (PDF) — Free. Want to turn today's episode into an actionable plan? Join the Optimal Living Weekly newsletter and I'll send you our 200-page digital workbook immediately. It's packed with the best takeaways from the show, formatted for easy reading and implementation at home. Get your free PDF workbook here: ⁠⁠https://oldpodcast.eo.page/join⁠ Discover all of the podcasts in our network, search for specific episodes, get the Optimal Living Daily workbook, and learn more at: OLDPodcast.com. Episode 3476: Dr. Neal Malik answers a listener's question about whether saunas and cold showers are worth prioritizing for better health and longevity, separating popular claims from what the research actually supports. He explains why traditional steam saunas appear to offer cardiovascular and other health benefits for many people, while the current evidence for cold water immersion is much weaker and may even suggest potential downsides. Quotes to ponder: "When we spend time in the environments I just described or really when we're exposed to a lot of heat our bodies respond by dilating our blood vessels which means the inner lining of our blood vessels get bigger." "Some researchers have found that regular use of saunas may decrease pain levels in those experiencing chronic pain like those that suffer from arthritis." "The reason you hear so much about the benefits of antioxidants is because they help our bodies get rid of free radicals." Episode references: American College of Sports Medicine: https://www.acsm.org/ Bastyr University California: https://bastyr.edu/ Learn more about your ad choices. Visit megaphone.fm/adchoices

CardioNerds (Drs. Apoorva Gangavelli, Jenna Skowronski, and Hannah Every) discuss the continuum of prevention and heart failure with Drs. Anu Lala and Martha Gulati. Grounded in a clinical case of a 55-year-old woman with uncontrolled hypertension, type 2 diabetes, and obesity who is on the trajectory toward heart failure, this episode unpacks a paradigm-shifting framework from a joint HFSA/ASPC Scientific Statement. The discussion explores how prevention should not be siloed from heart failure management but rather integrated across a patient’s lifespan—from primary prevention in at-risk individuals, to secondary prevention in those with established heart failure, to tertiary prevention in patients with advanced therapies such as LVADs and heart transplantation. The experts highlight the importance of aggressive risk factor management, biomarker-guided screening, the AHA’s Life’s Essential 8, and the need for multidisciplinary collaboration and systems-level change to shift heart failure care from reactive to proactive. Audio editing for this episode was performed by CardioNerds Intern, Dr. Julia Marques Fernandes. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. US Cardiology Review is now the official journal of CardioNerds! Submit your manuscript here. CardioNerds Prevention PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls Systemic inflammatory diseases are associated with an elevated CVD risk that has significant implications for early detection, risk Heart failure prevention is a continuum, not a checkpoint. Prevention applies at every stage—from at-risk (Stage A) through advanced/post-transplant care—and every clinical encounter is an opportunity to intervene. The AHA’s Life’s Essential 8 (diet, physical activity, nicotine exposure, sleep, BMI, blood lipids, blood glucose, blood pressure) forms the foundation at every stage. Hypertension carries the highest population-attributable risk for heart failure of any modifiable risk factor. In the Framingham Heart Study, 91% of patients with newly diagnosed HF had pre-existing hypertension. The SPRINT trial demonstrated a 38% reduction in HF incidence with intensive blood pressure targets (30 ng/L or NT-proBNP >125 ng/L) identify individuals at heightened risk for progression to symptomatic HF. The ACC/AHA/HFSA guidelines give a Class IIa recommendation for natriuretic peptide screening in at-risk patients. Urine albumin-to-creatinine ratio (UACR) is an underutilized screening tool that provides additional insight into CKM risk. The heart failure label does not close the prevention window—it accentuates it. Secondary prevention through GDMT optimization (quadruple therapy in HFrEF) and continued risk factor management remains critical. Tertiary prevention extends to post-LVAD and post-transplant patients, where hypertension, diabetes, obesity, and CKD management remain essential to long-term outcomes. Show notes For a comprehensive review, please review the full HFSA/ASPC Joint Scientific Statement: Lala A, Beavers C, Blumer V, et al. The Continuum of Prevention and Heart Failure in Cardiovascular Medicine. J Card Fail. 2026;32:75-105. doi:10.1016/j.cardfail.2025.06.013 1. What is the “continuum of prevention” framework, and how does it differ from traditional approaches to heart failure prevention? Historically, prevention and heart failure management have been treated as separate disciplines—primary prevention handled by preventive cardiologists and treatment managed by heart failure specialists. This joint HFSA/ASPC Scientific Statement reframes prevention as a dynamic, continuous process that spans a patient’s entire lifespan, regardless of HF stage or ejection fraction. The framework maps onto the ACC/AHA HF staging system: Primary prevention targets Stage A (“at risk”) and Stage B (“pre-HF”) patients to reduce the burden of incident HF. Secondary prevention targets Stage C (symptomatic) and Stage D (advanced) patients to reduce the impact of established HF through GDMT optimization and ongoing risk factor management. Tertiary prevention encompasses risk factor management in patients with LVADs or heart transplants—populations where hypertension, diabetes, and obesity still drive outcomes. The Central Figure of the statement illustrates that Life’s Essential 8 (blood pressure and lipid control, diabetes management, exercise, sleep, smoking cessation, weight management, and diet/nutrition counseling) forms the foundation at every stage, with pharmacologic and device-based therapies layered on top as disease progresses (Figure) 2. How do traditional risk factors drive heart failure, and what should clinicians prioritize? Hypertension carries the greatest population-attributable risk for HF. In the Framingham Heart Study (N=5,143), HTN was associated with a 2- to 3-fold increased risk of HF, with a population-attributable risk of 39% in men and 59% in women. The SPRINT trial showed a 38% reduction in HF incidence and 25% reduction in the primary composite outcome with intensive BP targets (30 ng/L or NT-proBNP >125 ng/L) are associated with heightened risk for progression to symptomatic HF. In the ARIC study, incorporating NT-proBNP reclassified 20% of older adults without HF into Stage B. Factors that affect interpretation include age, sex, obesity (lower values), and CKD (higher values). High-sensitivity cardiac troponin (hs-cTn): Concentrations above the 99th percentile are now included in the definition of Stage B HF. Troponin testing may complement natriuretic peptides, particularly when BNP/NT-proBNP values are ambiguous. Risk scores: The PCP-HF equation predicts 10-year HF risk using traditional risk factors plus QRS duration. The AHA PREVENT score incorporates HF risk calculation and includes markers of kidney function (albuminuria, eGFR), though it may underestimate risk in men and Black adults. The CKM syndrome staging framework (Stages 0–4) provides a holistic approach to assessing systemic cardiovascular-kidney-metabolic risk. 4. What are the key nontraditional risk factors and cross-cutting themes in heart failure prevention? Genetics: Pathogenic cardiomyopathy variants exist in ~1 in 200 individuals in the general population. The HFSA and ACMG recommend cascade testing to identify at-risk family members. Polygenic risk scores for dilated cardiomyopathy show a 3.8-fold risk for DCM in the top 10th percentile compared with the median. Sex-specific considerations: Women have 2.8 times the odds of developing HFpEF, while men have similarly increased odds of HFrEF. A complete obstetric/gynecologic history is essential—preeclampsia is associated with a 4-fold increased risk of HF. Peripartum cardiomyopathy requires intentional screening in high-risk populations. Cardiotoxic exposures: Clinicians should be aware of medications that cause direct myocardial toxicity (e.g., anthracyclines, trastuzumab, tyrosine kinase inhibitors). A team-based approach with pharmacists can help optimize medication selection and risk factor modification. Social determinants of health: Environmental exposures (air pollution, arsenic, lead, cadmium), food insecurity, financial instability, and limited healthcare access contribute to HF risk and progression. Equity-focused, risk-based prevention strategies are needed. Psychological health: Depression is common in HF and independently associated with worse outcomes. Screening with brief questionnaires (e.g., PHQ-2) is recommended. Meditation, spirituality, and holistic wellness approaches remain underutilized. 5. What systems-level and policy changes are needed to move the needle on heart failure prevention? Multidisciplinary HF prevention clinics that bring together preventive cardiologists, HF specialists, endocrinologists, nephrologists, dietitians, pharmacists, exercise physiologists, and genetic counselors are advocated by the statement. EHR-embedded risk stratification could proactively flag patients on a trajectory toward HF—analogous to sepsis alerts or fall risk flags—enabling earlier intervention, particularly for patients who may not reach a cardiologist. Cardiac rehabilitation remains underutilized, particularly in HFrEF (Class 2b recommendation) and HFpEF (not yet covered by Medicare). The HF-ACTION trial showed quality-of-life benefits, and the REHAB-HF trial showed particular benefit in older patients with HFpEF. Policy priorities include expanding insurance coverage for preventive screening and novel therapies (SGLT2i, GLP-1 RAs, nsMRAs), reducing clinical inertia through team-based care models with closer follow-up intervals, and ensuring equitable access to evidence-based therapies across diverse populations. Digital health and AI hold promise for personalized risk prediction, remote monitoring (e.g., wearable devices, implantable PA pressure monitors), and virtual cardiac rehabilitation to overcome access barriers. Figure  Lala A, Beavers C, Blumer V, et al. The continuum of prevention and heart failure in cardiovascular medicine: a joint scientific statement from the Heart Failure Society of America and the American Society for Preventive Cardiology. J Card Fail. 2026;32(1):75-105. doi:10.1016/j.cardfail.2025.06.013) References Key references are bolded. Lala A, Beavers C, Blumer V, et al. The continuum of prevention and heart failure in cardiovascular medicine: a joint scientific statement from the Heart Failure Society of America and the American Society for Preventive Cardiology. J Card Fail. 2026;32(1):75-105. doi:10.1016/j.cardfail.2025.06.013 Heidenreich PA, Bozkurt B, Aguilar D, et al. 2022 AHA/ACC/HFSA guideline for the management of heart failure: a report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. 2022;145(18):e895-e1032. doi:10.1161/CIR.0000000000001063 Lloyd-Jones DM, Allen NB, Anderson CAM, et al. Life’s Essential 8: updating and enhancing the American Heart Association’s construct of cardiovascular health: a presidential advisory from the American Heart Association. Circulation. 2022;146(5):e18-e43. doi:10.1161/CIR.0000000000001078 SPRINT Research Group, Wright JT Jr, Williamson JD, et al. A randomized trial of intensive versus standard blood-pressure control. N Engl J Med. 2015;373(22):2103-2116. doi:10.1056/NEJMoa1511939 Levy D, Larson MG, Vasan RS, Kannel WB, Ho KK. The progression from hypertension to congestive heart failure. JAMA. 1996;275(20):1557-1562. doi:10.1001/jama.1996.03530440037034 Major outcomes in high-risk hypertensive patients randomized to angiotensin-converting enzyme inhibitor or calcium channel blocker vs diuretic: the Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial (ALLHAT). JAMA. 2002;288(23):2981-2997. doi:10.1001/jama.288.23.2981 Yusuf S, Sleight P, Pogue J, et al. Effects of an angiotensin-converting-enzyme inhibitor, ramipril, on cardiovascular events in high-risk patients. N Engl J Med. 2000;342(3):145-153. doi:10.1056/NEJM200001203420301 Zinman B, Wanner C, Lachin JM, et al. Empagliflozin, cardiovascular outcomes, and mortality in type 2 diabetes. N Engl J Med. 2015;373(22):2117-2128. doi:10.1056/NEJMoa1504720 Anker SD, Butler J, Filippatos G, et al. Empagliflozin in heart failure with a preserved ejection fraction. N Engl J Med. 2021;385(16):1451-1461. doi:10.1056/NEJMoa2107038 Solomon SD, McMurray JJV, Claggett B, et al. Dapagliflozin in heart failure with mildly reduced or preserved ejection fraction. N Engl J Med. 2022;387(12):1089-1098. doi:10.1056/NEJMoa2206286 Filippatos G, Anker SD, Agarwal R, et al. Finerenone reduces risk of incident heart failure in patients with chronic kidney disease and type 2 diabetes: analyses from the FIGARO-DKD trial. Circulation. 2022;145(6):437-447. doi:10.1161/CIRCULATIONAHA.121.057983 Solomon SD, McMurray JJV, Vaduganathan M, et al. Finerenone in heart failure with mildly reduced or preserved ejection fraction. N Engl J Med. 2024;391(16):1475-1485. doi:10.1056/NEJMoa2407107 Lincoff AM, Brown-Frandsen K, Colhoun HM, et al. Semaglutide and cardiovascular outcomes in obesity without diabetes. N Engl J Med. 2023;389(24):2221-2232. doi:10.1056/NEJMoa2307563 Deanfield J, Verma S, Scirica BM, et al. Semaglutide and cardiovascular outcomes in patients with obesity and prevalent heart failure: a prespecified analysis of the SELECT trial. Lancet. 2024;404(10454):773-786. doi:10.1016/S0140-6736(24)01498-3  Kosiborod MN, Abildstrøm SZ, Borlaug BA, et al. Semaglutide in patients with heart failure with preserved ejection fraction and obesity. N Engl J Med. 2023;389(12):1069-1084. doi:10.1056/NEJMoa2306963 Ndumele CE, Neeland IJ, Tuttle KR, et al. A synopsis of the evidence for the science and clinical management of cardiovascular-kidney-metabolic (CKM) syndrome: a scientific statement from the American Heart Association. Circulation. 2023;148(20):1636-1664. doi:10.1161/CIR.0000000000001175 Khan SS, Matsushita K, Sang Y, et al. Development and validation of the American Heart Association’s PREVENT equations. Circulation. 2024;149(6):430-449. doi:10.1161/CIRCULATIONAHA.123.067626 Khan SS, Ning H, Shah SJ, et al. 10-year risk equations for incident heart failure in the general population. J Am Coll Cardiol. 2019;73(19):2388-2397. doi:10.1016/j.jacc.2019.02.057 Bozkurt B, Fonarow GC, Goldberg LR, et al. Cardiac rehabilitation for patients with heart failure: JACC expert panel. J Am Coll Cardiol. 2021;77(11):1454-1469. doi:10.1016/j.jacc.2021.01.030 Packer M. Leptin-aldosterone-neprilysin axis: identification of its distinctive role in the pathogenesis of the three phenotypes of heart failure in people with obesity. Circulation. 2018;137(15):1614-1631. doi:10.1161/CIRCULATIONAHA.117.032474 Lala A, Tayal U, Hamo CE, et al. Sex differences in heart failure. J Card Fail. 2022;28(3):477-498. doi:10.1016/j.cardfail.2021.10.006 Bozkurt B, Coats AJS, Tsutsui H, et al. Universal definition and classification of heart failure. Eur J Heart Fail. 2021;23(3):352-380. doi:10.1002/ejhf.2115 Hershberger RE, Givertz MM, Ho CY, et al. Genetic evaluation of cardiomyopathy—a Heart Failure Society of America practice guideline. J Card Fail. 2018;24(5):281-302. doi:10.1016/j.cardfail.2018.03.004 Levine GN, Cohen BE, Commodore-Mensah Y, et al. Psychological health, well-being, and the mind-heart-body connection: a scientific statement from the American Heart Association. Circulation. 2021;143(10):e763-e783. doi:10.1161/CIR.0000000000000947 Ezekowitz JA, Colin-Ramirez E, Ross H, et al. Reduction of dietary sodium to less than 100 mmol in heart failure (SODIUM-HF): an international, open-label, randomised, controlled trial. Lancet. 2022;399(10333):1391-1400. doi:10.1016/S0140-6736(22)00369-5

Drawing on four decades of experience as a federal prosecutor, criminal defense attorney, and trial lawyer, John Lauro sits down with host Vince Citro to reflect on the qualities that define exceptional advocacy: preparation, professionalism, and an unwavering commitment to clients. Lauro, who served as counsel to President Donald Trump in one of the most closely watched criminal cases in recent history, shares how trial lawyers develop compelling case narratives, navigate enormous litigation challenges, and uphold their responsibilities to the courts, the legal profession, and the rule of law. The conversation also explores the realities of representing clients in matters that attract intense public attention, the importance of collegiality and civility in the practice of law, and why the American College of Trial Lawyers continues to set the standard for ethical and professional excellence.

In this episode, Lillian Erdahl, MD, FACS, is joined by Morgan Pettigrew, MD, from UT Southwestern. They discuss Dr Pettigrew's recent article, “Artificial Intelligence Simplification of English and Spanish Surgical Consent Forms: 1-Size Does Not Fit All,” which found that while ChatGPT-4.0 improved the readability of English surgical consent forms, it did not improve readability of Spanish forms. To address this disparity, the authors developed a custom-trained GPT that improved readability of English and Spanish consent forms.   Disclosure Information: All relevant conflicts have been mitigated and Drs Erdahl and Pettigrew, moderators, have no relevant financial conflicts to disclose.   To earn 0.25 AMA PRA Category 1 Credits™ for this episode of the JACS Operative Word Podcast, click here to register for the course and complete the evaluation. Listeners can earn CME credit for this podcast for up to 2 years after the original air date.   Pettigrew, Morgan F MD; Nunez-Rocha, Ricardo E MD; Govindu, Sai R BS; Castillo, Samy MD; Heslin, Ryan T MD; Bain, Andrew P MD; Abreu, Andres A MD; Fatimah, Nafeesah MD; Polanco, Patricio M MD, FACS; Wang, Sam C MD, FACS. Artificial Intelligence Simplification of English and Spanish Surgical Consent Forms: 1-Size Does Not Fit All. Journal of the American College of Surgeons 243(1):p 202-214, July 2026. | DOI: 10.1097/XCS.0000000000001890   Learn more about the Journal of the American College of Surgeons, a monthly peer-reviewed journal publishing original contributions on all aspects of surgery, including scientific articles, collective reviews, experimental investigations, and more.   #JACSOperativeWord

How do you stay healthy, strong and performing at your best- not just this year, but for decades to come?In this episode of The Nutshell, we welcome two leaders in lifestyle and performance medicine: Dr Sharon McDowell-Larsen and Dr Regan Stiegmann, co-authors of Staying in the Game. Together, we explore the science of performance longevity and explain why the daily choices we make around food, movement, sleep, and recovery can help us maximise both healthspan and lifelong athletic performance.Whether you're an athlete, healthcare professional, weekend runner or simply want to maintain your physical and cognitive performance throughout life, this conversation is packed with evidence-based advice.We discuss why it's never too early-or too late-to invest in your future health and how the habits that support peak performance are often the same ones that protect against chronic disease.More about our guests: Dr. Sharon L. McDowell-Larsen, PhD is an exercise physiologist, leadership performance expert and internationally recognised endurance athlete. She holds a PhD in Exercise Physiology from the University of Nebraska–Lincoln, where her research focused on exercise and immune function. During her career she has worked at the U.S. Olympic Training Center, taught graduate-level exercise physiology, and spent more than 25 years at the Center for Creative Leadership, helping senior leaders optimise health, resilience and cognitive performance through evidence-based lifestyle practices. Sharon is also a multiple national champion and Xterra and Ironman age-group world champion.Regan A. Stiegmann, DO, MPH, FACLM, DipABLM is a board-certified physician in Preventive Medicine and Lifestyle Medicine, a former U.S. Air Force Flight Surgeon, and Associate Professor of Preventive and Lifestyle Medicine at Rocky Vista University. She holds a Doctor of Osteopathic Medicine (DO) and a Master of Public Health (MPH), is a Fellow of the American College of Lifestyle Medicine (FACLM) and a Diplomate of the American Board of Lifestyle Medicine (DipABLM). Dr Stiegmann is a nationally recognised leader in lifestyle and performance medicine, working at the intersection of human performance, preventive medicine and healthy ageing.Together, Sharon and Regan are the co-authors of Staying in the Game: Leveraging Lifestyle Medicine to Elevate Health, Outsmart Aging, and Enhance Performance, an evidence-based guide featuring nearly 1,800 scientific references that explores how nutrition, physical activity, sleep, stress management and other lifestyle factors can help us optimise health, extend healthspan and maintain peak performance throughout life.To get your copy of their book:https://stayinginthegame.org/To connect with our guests :Dr Sharon McDowell-Larsen:  https://www.linkedin.com/in/sharon-mcdowell-larsen-4666a7a/https://sharonmcdowelllarsen.substack.comDr Regan Stiegmannhttps://www.linkedin.com/in/docstieg/If you enjoyed this episode, please subscribe to the podcast and leave us a rating or review- it really helps others discover the podcast.To buy tickets to this years Nutrition and Lifestyle Medicine Conference:https://nlmc.org.uk/To find out more about the International Board of Lifestyle Medicine Diploma:https://plantbasedhealthprofessionals.com/lifestyle-medicine/get-certified-in-lifestyle-medicineIf you'd like to support our work and be part of a growing community of like-minded people working towards creating a healthier and more sustainable future please join the Plant-Based Health Professionals UK following the link below:https://plantbasedhealthprofessionals.com/membershipYou don't have to be a health care professional to join, but by doing so you're not only supporting our work, you'll be improving your own health;  with membership starting from as little as £15 a year, join us now and be part of the change you want to see.

Most people know–or at least think they know–the role of a school-based counselor. What about all of the professionals in private practice who support families on their admissions journeys and more? Amy and Mike invited IECA CEO Stephanie Simpson to learn what an Independent Educational Consultant (IEC) is and who needs one. What are five things you will learn in this episode? What role do Independent Educational Consultants (IECs) play in a student's academic journey, and how do they How can IECs complement the contributions of school counselors, especially in districts where high counselor-to-student ratios make individualized support difficult? At what point in a teen's academic journey can IECs be most valuable? What else do IECs offer beyond application coaching? What does a qualified, ethically grounded IEC practice look like in today's landscape, and how should educators and school counselors help families evaluate who they choose to work with? MEET OUR GUEST Stephanie Simpson is the Chief Executive Officer of the Independent Educational Consultants Association (IECA), the leading professional organization representing independent private college and career counselors who support students and families navigating postsecondary education pathways. Previously, she served as CEO of the Association for Middle Level Education (AMLE), the world's largest and oldest professional association dedicated to helping middle school educators cultivate the potential and possibilities of young adolescents.  Stephanie's nearly 15 years of association leadership experience includes senior roles at the American College of Cardiology and the American Psychiatric Association. She holds a JD from Northwestern University Pritzker School of Law and a BA from DePaul University. Stephanie can be reached on LinkedIn. LINKS Independent Educational Consultants Association IEC profile Archives - TestBright RELATED EPISODES HOW DO YOU KNOW IF YOU NEED A COLLEGE CONSULTANT? HOW TO CHOOSE A COLLEGE COUNSELOR THE DIFFERENT ROLES OF SCHOOL AND PRIVATE COUNSELORS HOW SCHOOL AND PRIVATE COLLEGE COUNSELORS CAN WORK TOGETHER ABOUT THIS PODCAST Tests and the Rest is THE college admissions industry podcast. Explore all of our episodes on the show page. ABOUT YOUR HOSTS Mike Bergin is the president of Chariot Learning and the founder of TestBright, Roots2Words, and College Eagle. Amy Seeley is the president of Seeley Test Pros and LEAP. If you're interested in working with Mike and/or Amy for test preparation, training, or consulting, get in touch through our contact page.  

Learn when grantor trusts can reimburse income taxes, key IRS rules, state law differences, and planning strategies for estate planners. The American College of Trust and Estate Counsel, ACTEC, is a professional society of peer-elected trust and estate lawyers in the United States and around the globe. This series offers professionals best practice advice, insights, and commentary on subjects that affect the profession and clients. Learn more in this podcast.

Amid ongoing concerns about maternal health, healthcare workforce shortages, and access to care in underserved communities, leaders from the American College of Nurse-Midwives discuss how expanding midwifery services can help address critical gaps in maternity care. The conversation explores maternal and infant health disparities, rural healthcare access, common misconceptions about midwifery, and the growing need for nurse-midwives in Pennsylvania and across the nationDickinson College has officially launched the Deep Network Understanding (DNU) Lab, a new research initiative led by Professor John MacCormick that gives undergraduate students hands-on opportunities to study deep neural networks and large language models, with research courses, internships, and mentorship available to students of all experience levels. The lab, aims to position Dickinson as a leader in undergraduate AI research by engaging students in open-ended investigations into how AI systems learn, reason, and generalize beyond memorized patterns.

Contributor; Taylor Lynch, MD Educational Pearls: Thoracotomy  Thoracotomy is used in traumatic cardiac arrest to replace conventional CPR with direct access to the chest. Goals include identifying and controlling reversible causes of bleeding, prioritizing blood flow to the heart and brain, and performing open cardiac massage. Trauma categories Penetrating trauma: Gunshot wounds and stab wounds. Has a higher chance of survival because the injury may be localized and directly repairable. Cardiac stab wounds may have the highest survivability because the defect can be visualized, repaired, and treated with blood administration. Blunt trauma: Motor vehicle collisions and falls from height. Has a much lower chance of survival. Western guidelines EMS must witness the patient lose pulses. Penetrating trauma: CPR for less than 15 minutes. Blunt trauma: CPR for less than 10 minutes. Survival decreases to essentially zero beyond these time limits. Eastern guidelines Focus on the presence of signs of life in blunt or penetrating trauma. Signs of life may include: Pupillary response. Measurable blood pressure. Purposeful movement. Patient selection Thoracotomy should only be performed when the patient has a reasonable chance of survival. It is a highly morbid procedure with significant occupational risks, including needlestick injury. Appropriate patient selection and timing are essential. Procedure Begin on the left side of the chest. Cross-clamp the aorta to restrict blood flow below the heart and prioritize circulation to the heart and brain. Identify and repair visible sources of bleeding involving structures such as the heart or lungs. Perform open cardiac massage as the equivalent of CPR. ACLS medications may still be administered. References: Cothren CC, Moore EE. Emergency department thoracotomy for the critically injured patient: Objectives, indications, and outcomes. World J Emerg Surg. 2006;1:4. Published 2006 Mar 24. doi:10.1186/1749-7922-1-4 Rhee, Peter M. ; Acosta, Jose ; Bridgeman, Amy et al. / Survival after emergency department thoracotomy : Review of published data from the past 25 years. In: Journal of the American College of Surgeons. 2000 ; Vol. 190, No. 3. pp. 288-298. Nunn, Andrew ; Prakash, Priya ; Inaba, Kenji et al. / Occupational exposure during emergency department thoracotomy : A prospective, multi-institution study. In: Journal of Trauma and Acute Care Surgery. 2018 ; Vol. 85, No. 1. pp. 78-84. Burlew CC, Moore EE, Moore FA, et al. Western Trauma Association critical decisions in trauma: resuscitative thoracotomy. J Trauma Acute Care Surg. 2012;73(6):1359-1363. doi:10.1097/TA.0b013e318270d2df Seamon MJ, Haut ER, Van Arendonk K, et al. An evidence-based approach to patient selection for emergency department thoracotomy: A practice management guideline from the Eastern Association for the Surgery of Trauma. J Trauma Acute Care Surg. 2015;79(1):159-173. doi:10.1097/TA.0000000000000648 Summarized by Steven Fujaros NREMT | Edited by Steven Fujaros & Ahmed Abdel-Hafiz, NREMT-P   Donate: https://emergencymedicalminute.org/donate/   Join our mailing list: http://eepurl.com/c9ouHf

(0:00) About the Boardroom Governance Summit (Aug 26-27, 2026)  (1:17) Intro (2:45) About the podcast sponsor: The American College of Governance Counsel. (3:31) Start of interview.  (4:39) AI and Governance Today (5:34) Data Center Politics (reference to moratorium by New York State) (6:48) About the 3rd Rome Conference on AI, Ethics and Governance (9:06) AI Hype and Job Fears (14:45) Birth and focus of The Chairs Circle and Limerick Lane Cellars. (22:53) CEO Succession Lessons (30:58) Founders versus Boards (37:04) EVs and China's Rise (44:58) Semiconductors, Chips and Geopolitics (49:03) Boards in a Fractured World "[W]e now need to have engaged board members, board members who are curious, who read, who stay up to speed on things, who keep asking more questions. You cannot have directors who are just calling it in anymore." (53:31) Government as Shareholder Karen Francis DeGolia is a board member at Vontier, CelLink, and NAUTO. Penny Herscher is a board member at Lumentum, Penguin Solutions, Forvia SA, and Modern Health. You can follow Evan on social media at:X: @evanepsteinLinkedIn: https://www.linkedin.com/in/epsteinevan/ Substack: https://evanepstein.substack.com/__To support this podcast you can join as a subscriber of the Boardroom Governance Newsletter at https://evanepstein.substack.com/__Music/Soundtrack (found via Free Music Archive): Seeing The Future by Dexter Britain is licensed under a Attribution-Noncommercial-Share Alike 3.0 United States License

Dr. Edward B. Breitschwerdt is a professor of medicine and infectious diseases at North Carolina State University College of Veterinary Medicine. He is also an adjunct professor of medicine at Duke University Medical Center, and a Diplomate, American College of Veterinary Internal Medicine (ACVIM). Dr. Breitschwerdt directs the Intracellular Pathogens Research Laboratory in the Institute for Comparative Medicine at North Carolina State University. He also co-directs the Vector Borne Diseases Diagnostic Laboratory and is the director of the NCSU-CVM Biosafety Level 3 Laboratory. Breitschwerdt's clinical interests include infectious diseases, immunology, and nephrology. For over 30 years, his research has emphasized vector-transmitted, intracellular pathogens. Most recently, he has contributed to cutting-edge research in the areas of animal and human bartonellosis.

Continuing his exploration of once-weekly insulins, Neil Skolnik speaks with Aaron King, MD. Together, they cover the mechanisms, practical considerations, and the myriad benefits that this new therapy can have over daily basal insulin. This special episode is sponsored with support from Novo. Please listen to the episodes by clicking on the podcast player below or by freely subscribing to Diabetes Core Update via Apple Podcasts, Amazon Music, Spotify, or your preferred podcast platform. Presented by: Neil Skolnik, MD, Professor of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University; Associate Director, Family Medicine Residency Program, Abington Jefferson Health Aaron King, MD. Trained in the United States Navy in Family Medicine and certified by the American College of Diabetology, Dr. King practices outpatient diabetes management in San Antonio, Texas. Selected references: Weekly Icodec versus Daily Glargine U100 in Type 2 Diabetes without Previous Insulin. N Engl J Med 2023;389:297-308 Weekly Fixed-Dose Insulin Efsitora in Type 2 Diabetes without Previous Insulin Therapy. N Engl J Med 2025;393:325-335

In this roundtable — part two of the show's airway and sleep series recorded around an ASBA gathering — Howard Farran sits down with three leaders working at the intersection of dentistry, sleep, and medicine: Dr. Luann Hall, a UCSF-trained "recovering pediatric dentist," minimally invasive advocate, and regent of the American College of Dentists; Dr. Manisha Witmans, a board-certified sleep physician, pediatrician, and pediatric pulmonologist who built the pediatric sleep program at Stollery Children's Hospital and recently learned she's been an OSA patient herself since childhood; and Dr. Janelle Crichton, an orthodontist and airway specialist whose practice ranks #1 in Canada for Invisalign volume and who is entering Stanford's Orthodontic Dental Sleep Medicine program as one of only six orthodontists in North America accepted. The conversation opens on a philosophy of preservation — the idea that a tooth can outlive us but rarely survives the drill — and Dr. Hall's case for minimally invasive care, arresting decay and remineralizing rather than cutting. She also introduces two ventures she advises: Auris DX, an FDA-approved salivary test for oral cancer often described as a "pap smear for the mouth," and InHand Dental, a teledentistry tool built during the pandemic. That leads into a recurring theme of the episode: the artificial divide between medicine and dentistry, why oral cancer screening isn't reimbursed like its medical equivalent, and the panel's shared vision of collaborative care built around a single shared medical record and integrated practices where orthodontists, myofunctional therapists, and physicians work under one roof. Much of the discussion centers on airway and sleep. The doctors walk through how mouth breathing shows up in the chair — lips apart, dry inflamed gums, high narrow palates, dark under-eye circles, brain fog, grinding, bite changes, crowding, delayed eruption, and white-spot lesions driven by reduced salivary buffering — and Dr. Witmans drives home the loop between poor sleep and systemic inflammation. She also highlights a striking inequity: women weren't included in obstructive sleep apnea research until 1993, decades after REM sleep was discovered, leaving today's screening tools heavily weighted toward men and countless anxious, exhausted, chronically-in-pain women underdiagnosed. Howard adds his own near-fatal kidney stone story as a vivid example of how men delay seeking care. The panel debates when children should first see an orthodontist — landing firmly on early, growth-modification-focused intervention rather than the traditional "wait until twelve" — and closes with practical, fear-reducing exam tips for new dentists, like asking a child whether their teeth feel "happy or sad" and letting patients tell you what they think is going on. Episode #1715 : Dentistry Uncensored with Howard Farran, Howard hosts a powerhouse airway roundtable with Dr. Luann Hall, Dr. Manisha Witmans, and Dr. Janelle Crichton — a "recovering" pediatric dentist, a sleep physician, and one of North America's top airway orthodontists. From why "you can survive without a tooth but not the drill," to the decay patterns that secretly signal an airway problem, to how women went unstudied in sleep medicine until 1993 — this conversation connects dots most dental schools never do.

In this episode of The Bleedin' Truth, Dr. Sally McNally sits down to have a conversation with Dr. Jill Hall. Dr. Jill C. Hall is a board-certified Obstetrician/Gynecologist and a fellowship-trained Urogynecologist specializing in Female Pelvic Medicine and Reconstructive Surgery. They cover frequently asked questions including Kegel exercises, stress incontinence, pelvic floor organ prolapse and dysfunction.Dr. Hall received her Bachelor of Science degree in Neuroscience at Brown University. She received her medical degree at the Keck School of Medicine, USC. She completed a residency in obstetrics and gynecology at UCLA and a fellowship in Female Pelvic Medicine and Reconstructive Surgery at Long Beach Memorial Hospital with Dr. Donald Ostergard.Dr. Hall's clinical interests include the evaluation and treatment of urinary and fecal incontinence, pelvic organ prolapse, pelvic pain, and sexual dysfunction. Dr. Hall performs minimally invasive surgeries, including robotic surgeries.Dr. Hall chose to become a Urogynecologist because she believes that being a woman should not have to result in health problems that keep us from living our best lives. She is passionate about educating her patients and treating them with the most up-to-date and evidence-based therapies available. She is a fellow of the American College of Obstetrics and Gynecology and a member of the American Urogynecologic Society."▶ Sally's Childbirth Education & Hypnobirthing Classes: https://drsallymcnally.com/childbirth...▶ Listen to us on Spotify: https://open.spotify.com/show/5awpvBA...▶ Listen to us on Apple Podcasts: https://podcasts.apple.com/us/podcast...

In this episode of the Prolonged Field Care Podcast, Dennis sits down with Alex to break down a hot-off-the-press retrospective study from the Journal of the American College of Surgeons titled “Challenging Legacy Burn Resuscitation Paradigms with Fluid Restriction and Early Plasma.”They dismantle the decades-old “swell to get well” mentality and the classic Parkland formula that has led to dangerous fluid overload, massive edema, and compartment syndromes in burn patients. Instead, they explore a more physiologic approach using lower crystalloid volumes (starting at 2 mL/kg adjusted body weight) plus early fresh frozen plasma (FFP) for patients with larger burns.Key Takeaways:The Parkland formula (4 mL/kg/%TBSA) frequently causes massive over-resuscitation; the new restrictive approach delivered significantly less fluid while maintaining (and often improving) urine output.Capillary leak from glycocalyx damage is the real enemy in burn shock — plasma helps restore oncotic pressure and may reduce third-spacing.Titrate everything to urine output (target 0.3–0.5 mL/kg/hr). Formulas are only a starting point.Use adjusted body weight (ideal body weight + 0.4 × [actual – ideal]) instead of actual body weight for fluid calculations.Early plasma (1–2 units for >30% TBSA) showed a strong signal toward lower mortality, less ventilator days, and reduced renal failure in this study.The Joint Trauma System (JTS) Burn Care CPG still emphasizes early consultation with a burn center — phone a friend early.This approach has direct application for prolonged field care and austere environments, though the study is retrospective and should be implemented thoughtfully.Whether you're a special operations medic, flight paramedic, or managing burns in a resource-limited setting, this conversation will fundamentally change how you think about burn shock resuscitation.Resources:prolongedfieldcare.org (free downloads, worksheets & more)Follow @prolonged_field_care on InstagramJTS Burn Care CPG (CPG #12) – includes the excellent burn resuscitation worksheetChapters: 00:00 – Introduction: Why Burn Care Still Terrifies Experienced Medics03:09 – The Horrifying Reality of Over-Resuscitation (Edema Photos & Leaky Pipe Analogy)05:30 – Understanding the Glycocalyx and Why Crystalloid Leaks So Fast09:05 – The One-Third Rule Myth & Why Fluids Disappear in Sick Burn Patients11:14 – Parkland Formula Breakdown: History, Math & Its Biggest Flaw13:00 – The New Study: PICO, Methods & the Shift to 2 mL/kg + Early Plasma16:54 – Elevator Pitch: What This Paper Actually Found20:06 – Primary Results: Dramatically Less Fluid with the Restrictive Protocol21:24 – Urine Output Reality Check: Why the “Less Fluid” Group Still Hit Targets24:23 – Practical Protocol Breakdown: Who Gets 2 mL vs 3 mL + When to Give Plasma25:30 – Adjusted Body Weight Calculation Explained (and Why It Matters)27:26 – Titration to Urine Output is King – Stop Chasing Vitals29:55 – Dennis Rates the Evidence on the PFC Gestalt Scale30:38 – Why Plasma Makes Physiologic Sense (and Whole Blood May Be Next)35:30 – Study Limitations & Provider Bias Discussion37:30 – Can We Implement This in Prolonged Field Care Right Now?38:38 – JTS Burn Care CPG: The Burn Center Contact You Need to Save42:53 – Final Advice: Titrate Aggressively, Phone a Friend Early, Close the GapFor more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠

Send us Fan MailIn this next installment of Translational Conversations, we talk with Dr. Danny Winder, a mouse researcher, and Dr. Jenni Blackford, a human researcher, about how their years of collaborations across species have revealed important insights into the different ways Alcohol Use Disorder (AUD) can present in individuals. We hear about how their translational research process has led to significant scientific discoveries regarding the relevant brain circuits and sex differences that influence AUD. In this discussion, Dr. Winder and Dr. Blackford share the story behind the start of their collaboration, ways in which their work has inspired one another to explore new directions, and how their continued work together has culminated in the development of a multidisciplinary, cross-species center grant that brings together experts from several institutions around the country.We appreciate Dr. Danny Winder, the Neurobiology Department Chair and Worcester Foundation of Biomedical Research Professor at UMass Chan Medical School and Dr. Jenni Blackford, the Hattie B. Munroe Professor and Associate Dean of Research at the Munroe-Meye Institute of the University of Nebraska Medical Center, for joining us in this discussion on the translational research process, and for sharing their research and important perspectives.Episode Note: This episode was filmed in April, prior to a symposium that Drs. Blackford and Winder presented at a conference in May. In the episode, this symposium is referenced in the future tense as an example of ways that researchers across species can practice the translational process and improve collaborative efforts. Translational Conversations is made possible through support from Biomedical Research Awareness Day, a program of Americans for Medical Progress, and the American College of NeuropsychopharmacologyFollow Dr. Jenni Blackford on Bluesky@jenniblackford.bsky.social@bnsteam.bsky.social@unmc.bsky.socialFollow Dr. Danny Winder on Bluesky and LinkedIn@Dgordonwinder.bsky.socialhttps://www.linkedin.com/in/danny-winder-609123187/Support the showFollow Lab Rat Chat on X! Facebook! Instagram!https://twitter.com/thelabratchat https://www.facebook.com/labratchat https://www.instagram.com/thelabratchat All Lab Rat Chat episodes are edited by Audionauts: https://audionauts.pro/ 

Cancer has long been associated with aging, but in recent years, doctors have seen an alarming rise in colorectal cancer and other cancers among younger adults. In this episode of Health Matters, host Courtney Allison speaks with Dr. Dorna Jafari, chief of colorectal surgery at NewYork-Presbyterian Brooklyn Methodist Hospital, about what may be contributing to this growing public health concern. Dr. Jafari explains that colorectal cancer is now the leading cause of cancer death in people under age 50 and discusses the "birth cohort effect" researchers have identified among people born after 1960. She explores several factors that may be influencing cancer risk, including changes in diet, increased consumption of ultra-processed foods, disruptions to the gut microbiome, antibiotic exposure, and the growing presence of microplastics in the environment. The conversation also focuses on prevention. Dr. Jafari shares practical steps people can take to support a healthy microbiome and reduce cancer risk, including increasing fiber intake, staying physically active, limiting sugary beverages, and making realistic lifestyle changes over time. Finally, she discusses the exciting advances changing the future of oncology. From targeted cancer therapies and immunotherapy to AI-assisted diagnosis and improved screening tools, Dr. Jafari explains why cancer outcomes continue to improve and why early detection remains one of the most powerful tools available—especially when it comes to colorectal cancer screening. Chapters 00:00 – Why Are More Young People Getting Cancer? Understanding the rise of early-onset cancers and why colorectal cancer rates are increasing in adults under 50 03:15 – Diet, Microbiome, and Environmental Risks How ultra-processed foods, sugary drinks, antibiotics, and microplastics may influence cancer risk 07:20 – New Advances in Cancer Treatment The shift toward targeted therapies, immunotherapy, AI, and personalized cancer care 10:15 – Screening, Prevention, and Living Healthier Why colonoscopies remain the gold standard and the lifestyle habits that can help lower risk Key Topics Covered Early-onset colorectal cancer Rising cancer rates in young adults Colorectal cancer mortality trends Ultra-processed foods and cancer risk Sugar-sweetened beverages Gut microbiome health Antibiotic exposure and cancer Microplastics and potential health effects Fiber and digestive health Cancer prevention strategies Targeted cancer therapies Immunotherapy Artificial intelligence in oncology Colonoscopy screening Blood-based cancer screening tests Fertility preservation during cancer treatment Holistic cancer care Cancer survivorship and outcomes Key Takeaway While cancer is increasingly affecting younger adults, there are meaningful steps people can take to reduce their risk. Prioritizing screening, maintaining a healthy diet rich in fiber, limiting ultra-processed foods and sugary drinks, staying active, and paying attention to symptoms can make a difference. At the same time, advances in targeted therapies, immunotherapy, and AI-driven diagnostics are helping improve outcomes and offering new hope for the future of cancer care. Doctor Bio Dr. Mehraneh Dorna Jafari is chief of colorectal surgery at NewYork-Presbyterian Brooklyn Methodist Hospital and associate professor of surgery at Weill Cornell Medicine. She is the director of clinical research in the department of surgery at NewYork-Presbyterian/Weill Cornell Medical Center. She is board-certified in general surgery and colon and rectal surgery. Dr. Jafari specializes in the comprehensive care of colorectal cancer patients, patients with peritoneal surface disease as well as those patients with benign colorectal disease. Dr Jafari works with a world-renowned group of multidisciplinary specialists to help promote a patient centered treatment plan for her patients, including radiation oncologists, medical oncologists, radiologists, pathologists, gastroenterologists, and interventional radiologists. Her goal is to provide precision medicine to patients that is safe and effective. Dr. Jafari has expertise in minimal access techniques, including laparoscopic, and robotic surgery. In addition, she has special interests in sphincter preserving surgery (helping rectal cancer patients avoid a permanent ostomy), maintaining fertility in cancer patients, and improving quality of life and bowel function after rectal surgery.  Dr Jafari has been at forefront of research with regards to improving outcomes using enhanced recovery and narcotic sparing protocols. Dr. Jafari is among a small number of surgeons who offers surgery for metastatic colon, appendiceal and peritoneal surface disease. She utilizes cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (HIPEC), which involves heated chemotherapy applied directly within the abdominal cavity following removal of cancerous tumors. Dr. Jafari's clinical research focuses on quality of life and oncological outcomes for colorectal cancer patients. Her main area of expertise is starting chemotherapy earlier in cancer treatment to allow patients to recover their quality of life sooner. Dr. Jafari has written extensively and published in many major journals, including the Journal of the American Medical Association (JAMA), Annals of Surgery, and the Journal of the American College of Surgeons. She has led numerable courses teaching surgeons around the country how to perform minimal invasive surgery. Dr. Jafari is actively involved in many national surgical and oncologic societies, including the American College of Surgeons, Society of Surgical Oncologists, American Society of Colon and Rectal Surgeons and Association of Women Surgeons.

Choléra, hépatite A, la fièvre typhoïde, poliomyélite... la contamination et le manque d'assainissement de l'eau peuvent être à l'origine de nombreuses maladies. Or, selon l'OMS, en 2022, au moins 1,7 milliard de personnes dans le monde utilisaient une source d'eau potable contaminée par des matières fécales. Quelles sont les maladies liées à l'eau ? Comment les traite-t-on ? Comment les prévenir ?   ​​​On parle souvent d'inégalités en termes d'accès à la santé dans cette émission : il y a évidemment la question des soins, du plateau technique, du financement des traitements. Mais en amont, il y a aussi les questions les plus simples d'hygiène et de prévention des infections : l'accès à l'eau potable et à l'assainissement. Une eau propre et des conditions d'hygiène satisfaisantes, ce sont certainement les bases, la toute première assurance santé avec une nourriture en quantité suffisante ! 2 milliards de personnes privées d'eau potable  Aujourd'hui, d'après l'OMS et l'Unicef, une personne sur quatre n'a pas un accès sécurisé à l'eau potable dans le monde. Alors si le lavage des mains et la propreté constituent des préoccupations personnelles et familiales, encore faut-il avoir à disposition une eau saine, des installations sanitaires convenables, au sens où elles évitent les contaminations, au cours des gestes les plus simples du quotidien : boire, se nourrir, faire ses besoins… Les maladies du péril fécal  L'eau insalubre ou l'absence d'assainissement font courir aux populations de multiples risques d'infections : choléra, hépatite A et E, fièvre typhoïde, poliomyélite, diarrhées bactériennes, amibiase... D'où l'importance d'identifier les moyens de prévenir ces maladies, pour protéger les enfants – les plus vulnérables – des infections associées au péril fécal. Avec : Pr Olivier Bouchaud, responsable du Service des Maladies Infectieuses et Tropicales, au CHU Avicenne à Bobigny, en région parisienne, président de l'Association d'Accueil aux Médecins et Personnels de Santé Réfugiés en France  Faustin Ekah Ekwele, spécialiste eau, assainissement et environnement à l'Unicef Tchad. ► Une étude publiée dans la revue The journal of American College of Cardiology démontre, chiffres à l'appui, la sous-représentation de l'Afrique dans les essais cliniques. « Un continent ignoré » : moins de 4% des essais sont menés en Afrique, pour une population qui représente près de 25% de l'humanité. Nous donnons la parole au Dr Bamba Gaye, co-auteur de l'étude, médecin chercheur, directeur exécutif de l'Alliance pour la recherche médicale en Afrique et professeur d'informatique biomédicale à la faculté de médecine d'Emory, à Atlanta. Programmation musicale :  ► Miriam Makeba – Meet me at the river ► Anitta – Pinterest. (Rediffusion) 

Choléra, hépatite A, la fièvre typhoïde, poliomyélite... la contamination et le manque d'assainissement de l'eau peuvent être à l'origine de nombreuses maladies. Or, selon l'OMS, en 2022, au moins 1,7 milliard de personnes dans le monde utilisaient une source d'eau potable contaminée par des matières fécales. Quelles sont les maladies liées à l'eau ? Comment les traite-t-on ? Comment les prévenir ?   ​​​On parle souvent d'inégalités en termes d'accès à la santé dans cette émission : il y a évidemment la question des soins, du plateau technique, du financement des traitements. Mais en amont, il y a aussi les questions les plus simples d'hygiène et de prévention des infections : l'accès à l'eau potable et à l'assainissement. Une eau propre et des conditions d'hygiène satisfaisantes, ce sont certainement les bases, la toute première assurance santé avec une nourriture en quantité suffisante ! 2 milliards de personnes privées d'eau potable  Aujourd'hui, d'après l'OMS et l'Unicef, une personne sur quatre n'a pas un accès sécurisé à l'eau potable dans le monde. Alors si le lavage des mains et la propreté constituent des préoccupations personnelles et familiales, encore faut-il avoir à disposition une eau saine, des installations sanitaires convenables, au sens où elles évitent les contaminations, au cours des gestes les plus simples du quotidien : boire, se nourrir, faire ses besoins… Les maladies du péril fécal  L'eau insalubre ou l'absence d'assainissement font courir aux populations de multiples risques d'infections : choléra, hépatite A et E, fièvre typhoïde, poliomyélite, diarrhées bactériennes, amibiase... D'où l'importance d'identifier les moyens de prévenir ces maladies, pour protéger les enfants – les plus vulnérables – des infections associées au péril fécal. Avec : Pr Olivier Bouchaud, responsable du Service des Maladies Infectieuses et Tropicales, au CHU Avicenne à Bobigny, en région parisienne, président de l'Association d'Accueil aux Médecins et Personnels de Santé Réfugiés en France  Faustin Ekah Ekwele, spécialiste eau, assainissement et environnement à l'Unicef Tchad. ► Une étude publiée dans la revue The journal of American College of Cardiology démontre, chiffres à l'appui, la sous-représentation de l'Afrique dans les essais cliniques. « Un continent ignoré » : moins de 4% des essais sont menés en Afrique, pour une population qui représente près de 25% de l'humanité. Nous donnons la parole au Dr Bamba Gaye, co-auteur de l'étude, médecin chercheur, directeur exécutif de l'Alliance pour la recherche médicale en Afrique et professeur d'informatique biomédicale à la faculté de médecine d'Emory, à Atlanta. Programmation musicale :  ► Miriam Makeba – Meet me at the river ► Anitta – Pinterest. (Rediffusion) 

(0:00) About the Boardroom Governance Summit (Aug 26-27, 2026)  (0:55) Intro (2:37) About the podcast sponsor: The American College of Governance Counsel. (3:24) Start of interview.  (4:23) Origin story Mayree Clark (6:08) Origin story Linda Riefler (8:23) About their Leading-Edge Stewardship framework and personal road-map. (11:38) Teamwork and Long-Term Value Creation (16:03) On board diversity and pace of change (19:02) Boards in distress: Mayree joining Ally Financial in financial crisis (2009) (21:39) MSCI Culture and CEO Relations (26:02) Tough calls on CEO transitions (example of CSX CEO transition) (32:39) Private Equity Board Lessons (flexibility on decision-making and talent pools) (36:22) Handling under-performing directors (43:11) German Governance Across Borders (Mayree's experience serving on Deutsche Bank's board) (48:06) Purpose, Adversity, and Stewardship (50:42) What are the 1-3 books that have greatly influenced your life:  Mayree: Self Renewal : The Individual and the Innovative Society, by John Gardner (1963) Linda: A Brief History of Everything, by Ken Wilber (2017) How the Word is Passed, by Clint Smith (2021) The Spark Within, by Michael Neal (coach) (53:36) Who were their mentors, and what they learned from them. (56:37) An unusual habit or an absurd thing that they love. (1:00:16) The living person they most admire. Mayree Clark is a longtime corporate director, founder and Managing Partner of Eachwin Capital, and former senior executive at Morgan Stanley. She currently serves on the boards of Ally Financial and Deutsche Bank AG.  Linda Riefler is an experienced corporate director and former senior executive at Morgan Stanley. She currently serves on the boards of CSX Corporation, MSCI Inc., and North American Partners in Anesthesia, and is chair of Pencils of Promise. You can follow Evan on social media at:X: @evanepsteinLinkedIn: https://www.linkedin.com/in/epsteinevan/ Substack: https://evanepstein.substack.com/__To support this podcast you can join as a subscriber of the Boardroom Governance Newsletter at https://evanepstein.substack.com/__Music/Soundtrack (found via Free Music Archive): Seeing The Future by Dexter Britain is licensed under a Attribution-Noncommercial-Share Alike 3.0 United States License

There's no shortage of health advice these days—but more information doesn't always lead to better results.Every day we're told to try a new diet, buy another supplement, follow the latest trend, or completely change the way we eat. The problem isn't that all of the advice is wrong. It's that most of it is just noise.In this episode, I break down one of the most important lessons I've learned on my own health journey: how to separate the signal from the noise. We also explore what decades of research on successful weight maintenance reveal about the habits that actually move the needle—and why consistency will always beat perfection.In this episode: What "signal vs. noise" means for your health  Why more information isn't always the answer  The common habits of people who lose weight and keep it off  Why quick recovery is more important than perfect consistency  How to stop letting one off-plan meal turn into weeks off track  The role of nutrition, movement, sleep, and self-monitoring  Why focusing on the fundamentals leads to lasting success Key Takeaways: Prioritize nutritious foods most of the time.  Move your body consistently.  Pay attention to your habits without becoming obsessive.  Protect your sleep and recovery.  When life happens, get back to your routine as quickly as possible. You don't need another diet, another supplement, or another health hack.You need a better filter.When you learn to tune out the noise and focus on the habits that truly matter, sustainable health becomes much simpler.References National Weight Control Registry. Long-term studies of successful weight-loss maintainers.Rena R. Wing & James O. Hill. Research on long-term weight-loss maintenance behaviors.Arlet V. Nedeltcheva et al. (2010). Insufficient Sleep Undermines Dietary Efforts to Reduce Adiposity. Annals of Internal Medicine.American College of Sports Medicine. Physical activity recommendations for adults.Centers for Disease Control and Prevention. Adult sleep and healthy lifestyle recommendations.Support the showGet Weekly Health Tips:  thrivehealthcoachllc.comJoin the Thrive Collective Facebook groupLet's Connect:@‌ashleythrivehealthcoach or via email: ashley@thrivehealthcoachingllc.comPodcast Produced by Virtually You!

What Your Mammogram Is Missing, And the Technology That Changes Everything Linda Creed wrote The Greatest Love of All. She wrote it in 1977, and when Whitney Houston released it in 1986 it spent fourteen weeks at the top of the charts. One month after it hit number one, Linda died of metastatic breast cancer. She was Dr. Jenn Simmons' hero. And that loss became the reason Dr. Jenn became Philadelphia's first fellowship-trained breast surgeon — and eventually, the reason she walked away from conventional oncology entirely. Because what she found inside that system wasn't healing. It was pattern recognition, symptom suppression, and a mammography screening program that the American College of Physicians now says offers no survival benefit at any age. In this episode, Dr. Terri sits down with Dr. Jenn Simmons, integrative oncologist, breast surgeon, and founder of PerfeQTion Imaging, for one of the most important conversations in the show's history. They cover what mammograms actually do and don't do, why thermograms are being misused, why stage zero is not cancer, why bioidentical hormones do not cause breast cancer and may actually be protective, and the FDA-cleared technology Dr. Jenn has built that screens for breast cancer without pain, compression, or radiation — with forty times the resolution of MRI. Every woman needs to hear this episode. And so does every clinician still telling women they can't have hormones after a breast cancer diagnosis. What you'll discover: The story of Linda Creed, writer of The Greatest Love of All, and how her death from metastatic breast cancer became Dr. Jenn's life mission [01:53] What the American College of Physicians published in April 2026 about mammogram screening — and why it confirms what integrative medicine has been saying for years [around 20:00] The mammogram math: screen 2,000 women for ten years, potentially extend one life, diagnose ten with cancer they never needed to know about, and subject 200 to unnecessary biopsies [around 22:00] Why thermograms are not a screening tool for breast cancer and what they should actually be used for [29:39] Why stage zero is not cancer — and why the breast cancer world hasn't renamed it the way other specialties have [38:53] The truth about bioidentical hormones and breast cancer: what the data actually shows, and why women who take hormones after a breast cancer diagnosis have better outcomes [42:01] How PerfeQTion Imaging uses sound waves through a warm water bath to create a 3D reconstruction of the breast — no pain, no compression, no radiation, 40x the resolution of MRI [34:29] How breast cancer is a metabolic disease — and why screening for metabolic dysfunction can identify risk years before it ever shows on imaging [34:29] What it means to give every patient a health plan, not just a treatment plan [around 23:00] Breast health is health. And now there's a better way to protect it. The Dr. Terri Show is presented by EVEXIAS Health Solutions.Learn more and find a provider near you at evexias.com Connect with Dr. Terri:

En este episodio de la Serie de Expertos de la Fundación de Lupus de América, nos centramos en las nuevas guías de tratamiento para el lupus eritematoso sistémico (LES) publicadas por el Colegio Americano de Reumatología (American College of Rheumatology). Nuestro invitado, el Dr. Jorge Sánchez-Guerrero, explica la importancia de estas guías para ofrecer recomendaciones basadas en evidencia orientadas a una atención personalizada del paciente, así como el proceso de elaboración y actualización de dichas guías y los cambios clave que priorizan un control óptimo de la enfermedad y la reducción del uso prolongado de corticosteroides. El Dr. Sánchez-Guerrero destaca la necesidad de la participación activa del paciente y de una buena comunicación con los profesionales de la salud para garantizar un manejo eficaz del lupus. Regístrate para recibir correos electrónicos de la Fundación de Lupus de América (LFA) cuando se publiquen nuevos episodios (en inglés): https://support.lupus.org/site/SPageNavigator/email_subscribe_expert_series.html?s_src=lupus.org&s_subsrc=TES_s9e4Conclusiones:Las nuevas directrices sobre el lupus hacen hincapié en lograr la remisión de la enfermedad y reducir el uso de esteroides para prevenir efectos secundarios irreversibles.Las directrices de tratamiento son recomendaciones, no obligaciones, y respaldan — en lugar de sustituir — el criterio clínico de su médico.El tratamiento debe adaptarse a las necesidades individuales del paciente y a las manifestaciones de la enfermedad.Las terapias biológicas e inmunosupresoras pueden ayudar a controlar la actividad de la enfermedad.La comunicación abierta y la participación activa del paciente son fundamentales para tomar decisiones eficaces sobre el tratamiento.Recursos relacionados:Pregúntele a una educadora de la salud: https://www.lupus.org/es/care-support/ask-a-health-educatorEl Centro Nacional de Recursos sobre el Lupus: https://www.lupus.org/es/resourcesEncuentra apoyo cerca de ti (en inglés): https://www.lupus.org/es/support-groupsNuevas directrices para el tratamiento del lupus (en inglés): https://rheumatology.org/press-releases/new-lupus-sle-clinical-practice-guidelines-released

Learn how to address an unfunded bypass trust after death, including legal theories, tax implications, and practical strategies for estate and trust administration. The American College of Trust and Estate Counsel, ACTEC, is a professional society of peer-elected trust and estate lawyers in the United States and around the globe. This series offers professionals best practice advice, insights, and commentary on subjects that affect the profession and clients. Learn more in this podcast.

In this episode, Howard Farran sits down with Dr. Sompop Bencharit, a board-certified prosthodontist, innovation strategist, and Director of Innovation at the Austin Institute of Dental Medicine, who has led technology transformation at VCU, the Medical University of South Carolina, and High Point University. A Fellow of the American College of Prosthodontists with over 100 peer-reviewed publications, Dr. Bencharit also serves as president of HADEN — the Haptic and AI in Dental Education Network — connecting more than 70 educators worldwide. The conversation opens by demystifying "haptics" — the virtual-reality, flight-simulator-style training that lets students feel the difference between drilling enamel and dentin, turning passive learning into muscle memory before they ever touch a patient. Dr. Bencharit argues that the single biggest barrier keeping dental schools from modernizing isn't money or expertise, but fear. He shares how he digitized VCU's dental school — flipping a program that once took 79 days to deliver a single crown into one where students routinely complete same-day, in-house digital restorations — and stresses that the real key wasn't machines, but workflow. Howard and Dr. Bencharit dig into what a truly future-ready dental school looks like, the core digital skills every new graduate should master (intraoral scanning, 3D printing, same-day restorations, and implant planning with guided surgery), and why robotic implant placement is now the most accurate method available. They also take on the AI debate head-on — with Dr. Bencharit explaining that dentistry has quietly used AI for years, that generalists will increasingly perform work once reserved for specialists, and that his real concern isn't AI replacing jobs but its potential to fabricate undetectable research. The episode closes with a passionate discussion on the maldistribution of dentists, the crushing burden of student debt, and why subsidized dental education — like the tuition-free residency model at the Austin Institute — may be essential to serving underserved communities.   Episode #1712 : Dentistry Uncensored with Howard Farran, Howard sits down with Dr. Sompop Bencharit — board-certified prosthodontist, innovation strategist, and president of HADEN, the world's largest community advancing haptic and AI technologies in dental education. From flight-simulator-style "haptic" training and same-day digital dentistry, to why he says fear is the #1 barrier holding dental schools back, to how AI will reshape all 12 specialties — this is a candid look at where dental education must go next.

As an estate planner, your job is to capture your client's wishes. But what happens years down the line when those wishes are challenged, family relationships have fractured, and memories have faded?In our latest episode, we sit down with Judge Johnston (Ret.) to look at estate planning through the lens of litigation. We dive deep into how you can create an unassailable contemporaneous record today, so your files can withstand intense scrutiny tomorrow.In this episode, you'll learn:The exact red flags that predict a future capacity or undue influence lawsuit.Why your file notes might actually be more important than the estate document itself.The hidden dangers of videotaped signings (and when they do more harm than good).How to safely handle remote contingencies to prevent accidental intestacy.Our Guest: Judge Gerald Johnson (Ret.)Judge Gerald G. Johnston served over 24 years on the Orange County Superior Court, retiring in 2023. From 2014 to 2023, he was the supervising judge of the Probate and Mental Health Division, overseeing thousands of cases involving trusts, probate, guardianships, conservatorships, elder abuse, and mental health matters. He also served on the Judicial Council Probate and Mental Health Advisory Committee from 2016 to 2019, appointed by the Chief Justice.Before his judicial career, Johnston worked as Deputy Secretary for Law Enforcement and General Counsel for the California Environmental Protection Agency and began his legal career as a Deputy District Attorney in Orange County. He has also taught trust, probate, conservatorship, and mental health law for over 20 years through the Center for Judicial Education and Research (CJER)Our Hosts: Ben Schwefel and Jeff LoewBenjamin R. Schwefel is a partner at Murtaugh LLP in Irvine, California, and a certified specialist in Estate Planning, Trust, and Probate law by the State Bar of California www.murtaughlaw.com. His practice focuses on trusts and estates, including estate planning, trust administration, probate, and fiduciary litigation. He advises a wide range of clients, from high-net-worth individuals and families to trustees, beneficiaries, entrepreneurs, business executives, and professional fiduciaries. He is a member of the TEXCOM executive committee of the California Lawyers Association.Jeff Loew is the managing partner of Trust Law Partners LLP, with offices in Silicon Valley, Pasadena and Newport Beach.   Jeff's primary areas of practice include trust and estate litigation, fiduciary litigation, and financial elder abuse actions.  Jeff is certified as a Specialist in Estate Planning, Trust, and Probate Law by the State Bar of California Board of Legal Specialization. Jeff is the Chair of the Education Subcommittee for TEXCOM, the Executive Committee of the Trusts and Estates Section of the California Lawyers Association and is also a Fellow of the American College of Trust and Estate Counsel (ACTEC). He is licensed to practice in California, Nevada, and Texas.Thank you for listening to Trust Me!Trust Me is Produced by Foley Marra StudiosEdited by Cat Hammons

Neurologist Dr. David Perlmutter Explains Brain Inflammation and Alzheimer's Risk Your brain has its own immune system, and when it turns against you, it becomes the hidden driver behind Alzheimer's, Parkinson's, depression, and even long COVID. This episode hands you the science to recognize it early and reverse it. Get Dr. Perlmutter's new book Brain Defenders: https://drperlmutter.com/books/brain-defenders/ Host Dave Asprey sits down with Dr. David Perlmutter, a board-certified neurologist and six-time New York Times bestselling author whose work sits at the intersection of neurology, nutrition, and brain health. He is a Fellow of the American College of Nutrition, serves on its Board of Directors, and sits on the Editorial Board of the Journal of Alzheimer's Disease. His books, including the number one bestseller Grain Brain, span 32 languages and have sold over a million copies, and his upcoming release, Brain Defenders, explores the pivotal role of microglia, the brain's immune cells, in protecting, repairing, and reprogramming the brain for lifelong resilience. Dave and Dr. Perlmutter break down how microglia, the brain's resident immune cells, shift from a supportive state into a destructive one called M1, and why this shift, not amyloid plaque, may be the real driver of Alzheimer's, Parkinson's, and other neurodegenerative conditions. They dig into why the leading amyloid-clearing drugs fail to improve cognition, what a landmark JAMA study revealed about reversing cognitive decline through lifestyle intervention alone, and why a single daily serving of ultra-processed food raised Alzheimer's risk by 13 percent in a 12.7 year study. They also cover new research on GLP-1 drugs and brain inflammation, the surprising role of gum disease and oral bacteria in dementia risk, and why 40 hertz light therapy is emerging as a low-cost tool for clearing brain plaque and calming neuroinflammation. You'll Learn: Why the shift from supportive to destructive brain immune cells may be the true root cause of Alzheimer's and Parkinson's Why leading Alzheimer's drugs fail to improve cognition, and what the original research behind the amyloid hypothesis actually showed How one daily serving of ultra-processed food raises Alzheimer's risk, and what a landmark lifestyle intervention study found instead Whether GLP-1 drugs help or harm brain inflammation, based on new Parkinson's and Alzheimer's trial data How gum disease and oral bacteria are linked to dementia, and simple daily habits that reduce that risk Why 40 hertz light therapy is emerging as a tool to clear brain plaque and calm neuroinflammation How ketones, DHA, and metabolic health protect the brain after head injury Thank you to our sponsors! - Beyond Wonderland Conference | Oct 13 - 14, 2026. Get your ticket now at wonderlandconference.com. - ZenBud | Dave's Nervous System Biohack. Visit zenbud.health and use code DAVE15 at checkout for a discount. - Pique | Head over to Piquelife.com/Dave to get 20% off your order. That's P-I-Q-U-E life dot com slash DAVE - PredictiveMind™ | Get your Brain Pattern Mapping report at predictivemind.io/dave and use code DAVE for 10% off. Dave Asprey is a four-time New York Times bestselling author, founder of Bulletproof Coffee, and the father of biohacking. With over 1,000 interviews and 1 million monthly listeners, The Human Upgrade brings you the knowledge to take control of your biology, extend your longevity, and optimize every system in your body and mind. Each episode delivers cutting-edge insights inhealth, performance, neuroscience, supplements, nutrition, biohacking, emotional intelligence, and conscious living. New episodes are released every Tuesday, Thursday, Friday, and Sunday (BONUS). Dave asks the questions no one else will and gives you real tools to become stronger, smarter, and more resilient. Keywords: microglia, brain inflammation, Alzheimer's prevention, Parkinson's disease, amyloid hypothesis, neurodegeneration, GLP-1 drugs, semaglutide, ultra-processed food, gum disease and dementia, oral microbiome, 40 hertz light therapy, ketones, DHA, mitochondria, brain fog, long COVID, David Perlmutter, Brain Defenders, Grain Brain, functional medicine, biohacking, longevity, neuroplasticity Resources: • Get Dr. Perlmutter's New Book Brain Defenders: https://drperlmutter.com/books/brain-defenders/ • Learn More About Dr. Perlmutter's Work At: https://drperlmutter.com/ • Get My 2026 Clean Nicotine Roadmap | Enroll for free at https://daveasprey.com/2026-clean-nicotine-roadmap/ • Dave Asprey's Latest News | Go to https://daveasprey.com/ to join Inside Track today. • Danger Coffee: https://dangercoffee.com/discount/dave15? • My Daily Supplements: SuppGrade Labs (15% Off) • Favorite Blue Light Blocking Glasses: TrueDark (15% Off) • Dave Asprey's BEYOND Conference: https://beyondconference.com • Dave Asprey's New Book – Heavily Meditated: https://daveasprey.com/heavily-meditated • Join My Substack (Live Access To Podcast Recordings): https://substack.daveasprey.com/ • Upgrade Labs: https://upgradelabs.com Timestamps: 00:00 – Trailer 00:40 – Intro 02:38 – Ultra-Processed Foods 06:34 – Are Carbs Bad? 08:48 – Alcohol & Brain Health 12:28 – Microglia & Inflammation 24:37 – Head Injury & Recovery 29:27 – Oral Bacteria & Dementia 34:08 – GLP-1s & Brain Inflammation 40:20 – 40 Hertz Light Therapy 48:35 – Air Pollution vs. Lead 50:27 – David's Closing Truth See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this episode, I welcome back Dr. Chrisandra Shufelt, one of the world's leading researchers in Functional Hypothalamic Amenorrhea, to discuss exciting new findings from the largest HA studies to date.For years, women with missing periods have been told to simply "go on birth control" or have struggled to find answers from healthcare providers. Now, new research is beginning to uncover what HA is really doing to the body—and why recovery matters far beyond fertility.Together, we discuss:• The largest Functional Hypothalamic Amenorrhea studies to date• Early findings on heart and cardiovascular health• Why stress plays a significant role in recovery• What researchers discovered about eating patterns in women with HA• Bone health, inflammation, and long-term health risks• The most common symptoms women report beyond a missing period• Why HA remains dramatically under-researched• How you can contribute to future research through the international HA registryWhether you're currently recovering from HA, supporting someone who is, or you're a healthcare professional wanting the latest evidence, this conversation provides practical insights backed by emerging science.The more we understand Functional Hypothalamic Amenorrhea, the better we can support women in recovering not only their periods—but their long-term health.Apply for Recipe for a Period coaching w/Cynthia: https://www.periodnutritionist.com/applyforcoachingNew to HA? Discover the truth about HA:  click the link to download Cynthia's fact sheet that debunks common myths and misinformation! Trying +3 months to get your period back? Click here to download the Safety WorksheetYouTube: https://www.youtube.com/@theperiodnutritionist Instagram: www.instagram.com/period.nutritionistMayo Clinic Registry LinkResources Mentioned: Breaking New Ground in HA Research: Dr. Shufelt on the REVEAL Registry & Period RecoveryDr. Shufelt is Professor and Chair of the Division of General Internal Medicine at Mayo Clinic in Jacksonville, Florida, and Associate Director of Women's Health Research Center at Mayo Clinic Enterprise. She is a women's health internist with fellowship training in vascular biology and women's health and a certified menopause practitioner. She has several National and International leadership roles in the American College of Physicians, the European Menopause and Andropause Society and the North American Menopause Society where she is the immediate past-President of the Society and on the board of trustees. Dr. Shufelt has over 200 publications in the area of women's health and has also co-authored several scientific position statements on menopause and hormone therapy. Her NIH-funded research focuses on young women with hypothalamic amenorrhea evaluating the impact on immune and vascular health.

Medical doctors don't always train in the states where they end up working. And for OB-GYNs in particular, that can mean navigating conflicting state laws around which procedures are allowed. Democrat U.S. Rep. Kelly Morrison is an OB-GYN who represents Minnesota's 3rd Congressional District. She has introduced a bill that would provide funding to help medical residents in states with strict abortion bans travel for some of their training. For more on the proposal, MPR News host Nina Moini talked with Dr. Erin Stevens, legislative chair of Minnesota's section of the American College of OB-GYNs, or ACOG.

Discover all of the podcasts in our network, search for specific episodes, get the Optimal Living Daily workbook, and learn more at: OLDPodcast.com. Episode 3452: Dr. Neal explains that hitting a fitness plateau doesn't mean you need to keep adding more time or volume to your workouts. By making strategic changes, such as altering exercise order, adjusting repetitions and rest periods, adding resistance, or using microcycles, you can challenge your body in new ways and continue making progress efficiently. Quotes to ponder: "The trick is to change something. It doesn't have to be a major change." "Microcycles are basically 2 to 4 week periods of similar workouts but increasing the intensity from one workout to the next." "One of the easiest things you can do is to switch the order of your exercises." Episode references: American College of Sports Medicine: https://www.acsm.org/ Learn more about your ad choices. Visit megaphone.fm/adchoices