Podcasts about Annals

In this episode, my guest is Dr. Vaibhav Diwadkar, professor of Psychiatry and Behavioral Neurosciences at Wayne State University School of Medicine. We discuss the powers and limits of the human brain, the tentative yet evolving role of neuroscience, and the science of thermoregulation in both animals and humans.Our conversation explores the concept of hormesis-enhanced interoceptive refocusing—how combining stressors like cold exposure and breathwork with parasympathetic practices such as meditation or introspection can influence brain function, mood, and perception.We also discuss mental health disorders, drugs, pharmaceuticals, animal research, technology, exercise, the abundance of information and food, and the dynamic relationship between the mind, body, and environment. Connect and Learn MoreProfessor Profile: psychiatry.med.wayne.edu/profile/ax3112LinkedIn:  linkedin.com/in/vaibhav-diwadkar-7ba3107 RESOURCESPAPERS“Brain over body”–A study on the willful regulation of autonomic function during cold exposure , NeuroImage (March 2018)Human regulatory systems in the age of abundance: A predictive processing perspective, Annals of the New York Academy of Sciences (February 2025)The impact of a focused behavioral intervention on brain cannabinoid signaling and interoceptive function: Implications for mood and anxiety, Brain Behavior and Immunity Integrative (January 2024)PEOPLEAndrew HubermanEmerson PughFranz GallMartin Heidegger Otto MusikWim Hof

Episode 189: Intermittent Fasting (Religious and Sports)Future Doctors Carlisle and Kim give recommendations about patients who are fasting for religious reasons, such as Ramadan. They also explain the benefits and risks of fasting for athletes and also debunked some myths about fasting. Dr. Arreaza add input about the side effects of fasting and ways to address them.    Written by Cameron Carlisle, MSIV (RUSM) and Kyung Kim, MSIV (AUC). Editing by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Introduction: In the last episode on fasting (#179), we explored how intermittent fasting (IF) can help manage type 2 diabetes by improving insulin sensitivity, promoting weight loss, and lowering inflammation. We discussed the benefits of methods like 16:8 time-restricted eating and the 5:2 meal plan, and even compared IF to medications like metformin. Today, we're bringing that science into real life. We'll talk about how people fast for religious reasons, like during Ramadan, how athletes use IF to stay in shape, and how we can use IF as a tool in family medicine to support community health and A1c control.Intermittent Fasting in Religious PracticeRamadan just ended on 3/30/25, but this is a great time to talk about the broader role of fasting in religion and health. Many faiths incorporate fasting into spiritual practice and understanding this can help us better support our patients.Islam (Ramadan): Ramadan is a month where Muslims fast from dawn to sunset, focusing on spiritual reflection and self-control. No food or drink is consumed during daylight hours. Despite this, studies have shown that with good planning, fasting during Ramadan does not significantly impair physical performance or metabolic health.Key health tips for patients observing Ramadan:Hydrate well between iftar (sunset) and suhoor (pre-dawn).Break the fast with dates and water to gently replenish energy and electrolytes.Eat balanced meals with complex carbs, protein, and healthy fatsAvoid greasy, heavy foods right after fastingLight exercise (such as a walk) after iftar is beneficialReview medications with a healthcare provider, especially for those on insulin or sulfonylureas.For example: Metformin should be taken when you break your fast and then again before dawn. If its an extended-release metformin, take it at night. Metformin does not cause significant hypoglycemia and can be continued during Ramadan. Basal insulin is advised to be given at Iftar, and the dose should be reduced by 25-35% if the patient is not well managed. And regarding the fast-acting insulin, it requires a little more reading, so you can look it up and learn about it. Judaism: In Judaism, fasting is practiced on days like Yom Kippur and Tisha B'Av, typically lasting 25 hours without food or water. These fasts are spiritual and reflective, and patients with medical conditions may seek guidance on how to participate safely.Christianity: Many Christians fast during Lent, either by abstaining from certain foods or limiting meal frequency. Some practice partial-day fasts or water-only fasts for spiritual renewal.A branch of Christianity known as The Church of Jesus Christ of Latter-day Saintsoften observe a 24-hour fast on the first Sunday of each month, known as Fast Sunday, where they abstain from food and drink and donate the cost of meals to charity. This practice is both spiritual and communal.Cameron: Fasting for religious reasons, when done safely, can align with IF protocols and be culturally sensitive for diverse patients in family medicine.IF in Athletes and PerformanceIntermittent fasting is gaining popularity in the sports world. Athletes are using IF to improve body composition, increase fat oxidation, and enhance metabolic flexibility. A recent study, known as the DRIFT trial and published in Annals of Internal Medicine, found that fasting three non-consecutive days a week led to more weight loss than daily calorie restriction. Participants lost an average of 6.37 pounds more over 12 months.Why? Better adherence. People found the 3-day fasting schedule easier to stick to than counting calories every day.Benefits of IF for athletes:Encourages fat burning (via AMPK activation and GLUT4 upregulation, listen to ep. 179).Helps maintain lean muscle while reducing fat.No major drop in performance when meals and workouts are timed properly.What are some practical tips?Schedule workouts during or just before eating windows.Eat protein-rich meals post-workout.Avoid intense training during long fasts unless adapted.Stay hydrated, especially in hot environments or endurance sports.Broader Applications and Myths Around IFHormonal Effects of IF: In addition to improving insulin sensitivity, IF also affects hormones such as ghrelin (which stimulates hunger, remember it as growling) and leptin (which signals fullness). Over time, IF may help the body regulate appetite better and reduce cravings. IF can also decrease morning cortisol levels, the stress hormone. That's why it's important to monitor sleep, hydration, and stress levels when recommending IF.Circadian Rhythm Alignment: Emerging research shows that aligning eating times with natural light/dark cycles—eating during the day and fasting at night—can improve metabolic outcomes. This practice, known as early time-restricted eating (eTRE), has been shown to lower blood glucose, reduce insulin levels, and improve energy use. Patients who eat earlier in the day tend to have better results than those who eat late at night.Myths and Clarifications on IF:-“Fasting slows metabolism” In fact, short-term fasting may boost metabolism slightly due to increased norepinephrine. -“You can't exercise while fasting.” Many people can safely train during fasted states, especially for moderate cardio or strength training. -“Skipping breakfast is bad.” For some, skipping breakfast is a useful IF strategy—as long as total nutrition is maintained. You can break your fast at 2:00 pm, it does have to be at 7:00 AM.What to Eat When Breaking a FastBreaking a fast properly is just as important as fasting itself. Whether it's after a Ramadan fast or a 16-hour fast, the goal is to replenish energy gently and restore nutrients.Ideal foods to break a fast:Dates and water: provide quick energy, potassium, and fiberSoups: lentil or broth-based soups are gentle on digestionComplex carbs: whole grains like brown rice or oatsLean proteins: chicken, fish, eggs, legumesFruits and vegetables: hydrate and provide fiberHealthy fats: nuts, avocado, olive oilProbiotics: yogurt or kefir for gut supportBalanced meals with carbs, protein, and healthy fats help the body transition smoothly back to a fed state.Using IF in Family Medicine and Community HealthIntermittent fasting can be a practical, cost-effective strategy in family medicine. In areas with high rates of obesity and diabetes, like Kern County, IF offers a lifestyle-based tool to improve metabolic health, especially in underserved populations. IF is free!How IF can help in family medicine:Lower A1c levels: improves insulin sensitivity and glucose controlPromote weight loss: decreases insulin resistance and inflammationReduce medication dependence: fewer meds needed over time for some patientsEncourage patient engagement: flexible and easier to follow than strict calorie countingFit diverse lifestyles: aligns with religious and cultural practicesAddress food insecurity: structured eating windows can help patients stretch limited food resourcesHow to apply IF in clinic:Start the conversation by asking if the patient has heard of IFRecommend simple starting points: 12:12 or 14:10Emphasize hydration and nutrient-dense mealsMonitor labs and symptoms, especially in diabetic patientsAdjust medications to avoid hypoglycemiaProvide follow-up and patient education handouts if possibleWhat if a patient isn't ready to try fasting?For those not ready to commit to intermittent fasting, one effective alternative is walking after meals. A simple 10–20 minute walk post-meal can help stimulate GLUT4 receptors in skeletal muscle, promoting glucose uptake independent of insulin. This reduces the demand on pancreatic beta cells and may help improve blood sugar control over time. This strategy is particularly useful for patients with insulin resistance or early-stage type 2 diabetes.Conclusion: Intermittent fasting is not one-size-fits-all, but it can be a powerful tool for both individual and community health. From Ramadan to race day, IF has a place in family medicine when used thoughtfully. Encourage patients to work with their healthcare providers to find an approach that fits their lifestyle, medical needs, and personal values. IF is a cost-effective toolEven without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:American Academy of Family Physicians. (2022). "Intermittent Fasting: A Promising Treatment for Diabetes." AAFP Community Blog. https://www.aafp.org/pubs/afp/afp-community-blog/entry/intermittent-fasting-a-promising-treatment-for-diabetes.htmlHealthline. (2023). "What Breaks a Fast? Foods, Drinks, and Supplements." https://www.healthline.com/nutrition/what-breaks-a-fast.Sarri KO, Tzanakis NE, Linardakis MK, Mamalakis GD, Kafatos AG. Effects of Greek Orthodox Christian Church fasting on serum lipids and obesity. BMC Public Health. 2003 May 16;3:16. doi: 10.1186/1471-2458-3-16. PMID: 12753698; PMCID: PMC156653. https://pmc.ncbi.nlm.nih.gov/articles/PMC156653/.Shang, Y., et al. (2024). "Effects of Intermittent Fasting on Obesity-Related Health Outcomes: An Umbrella Review." eClinicalMedicine.https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(24)00098-1.Abaïdia AE, Daab W, Bouzid MA. Effects of Ramadan Fasting on Physical Performance: A Systematic Review with Meta-analysis. Sports Med. 2020 May;50(5):1009-1026. doi: 10.1007/s40279-020-01257-0. PMID: 31960369. https://pubmed.ncbi.nlm.nih.gov/31960369/.Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.

Measles: It's Back, It's Contagious, and You Probably Haven't Seen It Before In this episode, Kevin and Dr. Lisa Wolf dig into the return of a disease we thought had been eradicated in 2000. In case you missed it—we're in the middle of a national measles outbreak, and chances are high you've never actually seen a real case. Measles is back, and we need to be on high alert, as it remains one of the most contagious diseases in the world. What happens when a patient with a suspicious rash sits in your waiting room for hours? How long does measles hang in the air? (Spoiler: it's longer than you think.) From triage missteps to public health policies, this episode walks through how to identify, isolate, and respond to highly contagious diseases—especially when you've never seen them in real life. We also bust the autism myth (again), talk about vaccine hesitancy, and explore what your ED should be doing to prepare right now. Measles Resources Centers for Disease Control and Prevention. (2023, September 6). Measles signs and symptoms. U.S. Department of Health & Human Services. https://www.cdc.gov/measles/signs-symptoms/index.html Centers for Disease Control and Prevention. (2023, September 6). Photos of measles. U.S. Department of Health & Human Services. https://www.cdc.gov/measles/signs-symptoms/photos.html Child Vaccination Schedule https://www.cdc.gov/vaccines/hcp/imz-schedules/child-adolescent-age.html Vaccinations and Autism Eggertson, L. (2010). Lancet retracts 12-year-old article linking autism to MMR vaccines. CMAJ: Canadian Medical Association Journal, 182(4), E199–E200. https://doi.org/10.1503/cmaj.109-3179 Hviid, A., Hansen, J. V., Frisch, M., & Melbye, M. (2019). Measles, mumps, rubella vaccination and autism: A nationwide cohort study. Annals of Internal Medicine, 170(8), 513–520. https://doi.org/10.7326/M18-2101 Tanne, J. H. (2002). MMR vaccine is not linked with autism, says Danish study. BMJ: British Medical Journal, 325(7373), 1134. Immune Memory Loss & Measles Cohen, J. (2019, May 1). How measles causes the body to ‘forget' past infections by other microbes. Science. https://www.science.org/content/article/how-measles-causes-body-forget-past-infections-other-microbes

In this evidence-packed episode, Dr. Scott Watier and Tommy Welling analyze a brand-new clinical trial comparing 4:3 intermittent fasting versus daily caloric restriction over 12 months. The hosts break down the surprising finding that intermittent fasting participants lost significantly more weight (17 pounds vs 11 pounds) while experiencing a dramatic improvement in their relationship with food, shown by a remarkable two-point reduction in binge eating scores compared to almost no change in the calorie restriction group. They explain why fasting showed better long-term adherence (only 19% dropout rate versus 30% in the calorie counting group) despite both approaches creating the same weekly calorie deficit. The episode highlights how the fasting group was nearly 2.5 times more likely to achieve clinically significant 10% weight loss, and offers practical guidance for adapting this research-backed approach to your own fasting schedule. The hosts also discuss how results might be even better with increased protein intake and resistance training—two factors absent from the original study. Take the NEW FASTING PERSONA QUIZ! - The Key to Unlocking Sustainable Weight Loss With Fasting! Resources and Downloads: SIGN UP FOR THE DROP OF THE ULTIMATE GUIDE TO BLOOD SUGAR CONTROL GRAB THE OPTIMAL RANGES FOR LAB WORK HERE! - NEW RESOURCE! - December 2024 FREE RESOURCE - DOWNLOAD THE NEW BLUEPRINT TO FASTING FOR FAT LOSS! SLEEP GUIDE DIRECT DOWNLOAD DOWNLOAD THE FASTING TRANSFORMATION JOURNAL HERE! Partner Links: Get your FREE BOX OF LMNT hydration support for the perfect electrolyte balance for your fasting lifestyle with your first purchase here! Get 30% off a Keto-Mojo blood glucose and ketone monitor (discount shown at checkout)! Click here! Our Community: Let's continue the conversation. Click the link below to JOIN the Fasting For Life Community, a group of like-minded, new, and experienced fasters! The first two rules of fasting need not apply! If you enjoy the podcast, please tap the stars below and consider leaving a short review on Apple Podcasts/iTunes. It takes less than 60 seconds, and it helps bring you the best original content each week. We also enjoy reading them! Article Links: https://www.acpjournals.org/doi/10.7326/ANNALS-24-01631

Agrologist Cory Davis joins me to unpack the environmental toll of animal agriculture—and the enormous potential of plant-based food systems to reduce emissions, reclaim land, and restore ecosystems. Cory brings a systems-level perspective that blends science, ethics, and practical solutions. He also does some serious myth-busting about “sustainable” local meat and “regenerative grazing”. Whether you're a climate advocate or curious about food's environmental impact, this episode will challenge what you thought you knew about sustainable eating. Cory is a licensed professional agrologist with over 10 years of experience in natural resource and environmental management. He is a co-author of “Plant-Powered Protein: Nutrition Essentials and Dietary Guidelines for All Ages” along with Vesanto Melina and Brenda Davis, where he breaks down the environmental impacts of different protein choices. He also recently coauthored a paper in the Annals of Medicine titled "Health Disparities and Climate Change in the Marshall Islands".

Wie viel Muskulatur kannst Du wirklich aufbauen – ohne Deine Gesundheit zu verzocken? Und woran erkennst Du, wie weit Du Dein genetisches Fitness-Potenzial schon ausgereizt hast?Lass uns gemeinsam ein paar gängige Mythen rund ums genetische Muskelaufbaupotenzial entzaubern. Du erfährst, wie stark Du realistischerweise (und ohne Doping) werden kannst, was BMI und FFMI in dem Kontext wirklich aussagen und wie Du Deine Trainingserfolge besser einordnen kannst – basierend auf Wissenschaft, Erfahrung und einer Grafik, die es auf den Punkt bringt.In dieser Folge erfährst Du:Was das genetische Limit im Muskelaufbau tatsächlich bedeutetWie Du den FFMI nutzt, um Deinen Fortschritt greifbar zu machenWarum Social Media oft ein verzerrtes Bild liefertUnd wie eine simple Grafik Dir dabei hilft, smarter zu trainieren – statt härterViel Spaß beim Hören!____________*WERBUNG: Infos zum Werbepartner dieser Folge und allen weiteren Werbepartnern findest Du hier.____________Ressourcen zur Folge:Vollständiger Artikel mit der erwähnten Grafik zur FolgeAlles über Muskelfasertypen (Folge 265)kostenloser FFMI RechnerFitnessstudio: ScoopWeitere Quellen:Kouri, E. M., Pope, H. G., Katz, D. L., & Oliva, P. (1995). Fat-free mass index in users and nonusers of anabolic-androgenic steroids. Clinical Journal of Sport Medicine, 5(4), 223–228. https://doi.org/10.1097/00042752-199510000-00005Sagoe, D., Molde, H., Andreassen, C. S., Torsheim, T., & Pallesen, S. (2014). The global epidemiology of anabolic-androgenic steroid use: a meta-analysis and meta-regression analysis. Annals of Epidemiology, 24(5), 383–398. https://doi.org/10.1016/j.annepidem.2014.01.009Hubal, M. J., Gordish-Dressman, H., Thompson, P. D., et al. (2005). Variability in muscle size and strength gain after unilateral resistance training. Medicine & Science in Sports & Exercise, 37(6), 964–972. https://doi.org/10.1249/01.mss.0000170469.90461.5fSchoenfeld, B. J., Grgic, J., Ogborn, D., & Krieger, J. W. (2017). Strength and hypertrophy adaptations between low- vs. high-load resistance training: a meta-analysis. Journal of Strength and Conditioning Research, 31(12), 3508–3523. https://doi.org/10.1519/JSC.0000000000002200Grgic, J., Schoenfeld, B. J., Orazem, J., & Sabol, F. (2018). Effects of resistance training frequency on measures of muscle hypertrophy: a systematic review and meta-analysis. Sports Medicine, 48(5), 1207–1220. https://doi.org/10.1007/s40279-018-0872-x Hosted on Acast. See acast.com/privacy for more information.

April 19 is World Liver Day, a day to raise awareness about the health of our often-overlooked yet vital liver. Liver diseases are a leading cause of mortality in the Philippines, accounting for 27.3 per 1,000 deaths, according to a 2023 study published in the Annals of Hepatology.Experts also warn that 10-20% of Filipinos may have non-alcoholic fatty liver disease, which can lead to serious complications if left untreated.To share tips on how to take care of our liver, we spoke with Dr. Maria Vanessa H. De Villa, the first surgeon in the country to perform a pediatric liver transplant and the director of The Medical City's Center for Liver Disease Management and Transplantation.Interview by Edg Adrian EvaAudio editing by Jayson Mariñas

Mid-July, 64 CE, in the heart of Rome, tragedy struck as fire erupted into a massive inferno. Did Emperor Nero, regent at the time, purposely set the city ablaze or merely preside over the disaster?Written by Matthew Reich. Narration by Dr. Nicholas Breyfogle. Video production by Laura Seeger and Dr. Nicholas Breyfogle. A textual version of this video is available at https://origins.osu.edu/read/great-fire-rome. This is a production of Origins: Current Events in Historical Perspective at the Goldberg Center in the Department of History at The Ohio State University and the Department of History at Miami University. Be sure to subscribe to our channel to receive updates about our videos and podcasts. For more information about Origins: Current Events in Historical Perspective, please visit origins.osu.edu. Learn more -Roman History Introduction: Potter, David S. Ancient Rome: A New History. Third Edition. New York, New York: Thames & Hudson, 2018.On the Great Fire: Walsh, Joseph J. The Great Fire of Rome: Life and Death in the Ancient City. Witness to Ancient History. Baltimore: Johns Hopkins University Press, 2019.Dando-Collins, Stephen. The Great Fire of Rome: The Fall of the Emperor Nero and His City. 1. ed. Cambridge, Mass: Da Capo Press, 2010.Ancient Authors: Tacitus, Annals, https://penelope.uchicago.edu/Thayer/e/roman/texts/tacitus/annals/15b*.html Suetonius, The Lives of the Twelve Caesars, https://penelope.uchicago.edu/Thayer/E/Roman/Texts/Suetonius/12Caesars/Nero*.html

Dominique de Werra is an emeritus professor of Operations Research at EPFL (Ecole Polytechnique Federale de Lausanne) in Switzerland. His research fields include Combinatorial Optimization, Graph Theory, Scheduling and Timetabling. After spending a few years as an assistant professor in Management Sciences at the University of Waterloo (Canada) he joined the Math Department of EPFL. He conducted a collection of Operational Research projects (applied as well as theoretical) with a number of industrial partners. He is an associate editor of Discrete Applied Mathematics, Discrete Mathematics, Annals of Operations Research and a member of a dozen of editorial boards of international journals. From 1990 to 2000 Dominique de Werra was the Vice-President of EPFL; he was in charge of the international relations and represented his institution in many academy networks in Europe (like the CLUSTER network of excellence which he chaired). He was also in charge of all education programs of EPFL. He was President of IFORS (the International Federation of Operational Research Societies) from 2010 to 2012. In 1987-1988 he was President of EURO, the European Association of Operational Research Societies. In 1985–1986 he was President of ASRO, the Swiss Operations Research Society. In 1995 he was the laureate of the EURO Gold Medal. He has obtained Honorary Degrees from the University of Paris, the Technical University of Poznan (Poland) and the University of Fribourg (Switzerland). In 2012 he was awarded the EURO Distinguished Service Medal. He published over 200 papers in international scientific journals. He also wrote and edited several books. He was member of many committees in various countries of Europe and America (evaluation of institutions, accreditation, strategic orientation, etc.).

America Out Loud PULSE with Dr. Vaughn & Dr. Tankersley – Dr. Peter Marks, longtime FDA vaccine chief, is out—sparking scrutiny over his role in pushing COVID shots despite safety concerns. Billionaire doctor Patrick Soon-Shiong joins critics, calling for a return to honest medicine. From vaccine mandates to ignored cancer breakthroughs, this exposé reveals the deep flaws and corruption driving today's medical-industrial complex. Truth must come first.

America Out Loud PULSE with Dr. Vaughn & Dr. Tankersley – Dr. Peter Marks, longtime FDA vaccine chief, is out—sparking scrutiny over his role in pushing COVID shots despite safety concerns. Billionaire doctor Patrick Soon-Shiong joins critics, calling for a return to honest medicine. From vaccine mandates to ignored cancer breakthroughs, this exposé reveals the deep flaws and corruption driving today's medical-industrial complex. Truth must come first.

Ingrid Froeher apresenta um caso de dor lombar e púrpura para Joanne Alves e Caio Bastos.Referências: Knezevic, Nebojsa Nick et al. “Low back pain.” Lancet (London, England) vol. 398,10294 (2021): 78-92. doi:10.1016/S0140-6736(21)00733-9Antonov, Dimitar et al. “The rash that becomes purpuric, petechial, hemorrhagic, or ecchymotic.” Clinics in dermatology vol. 38,1 (2020): 3-18. doi:10.1016/j.clindermatol.2019.07.036Jarvik, Jeffrey G, and Richard A Deyo. “Diagnostic evaluation of low back pain with emphasis on imaging.” Annals of internal medicine vol. 137,7 (2002): 586-97. doi:10.7326/0003-4819-137-7-200210010-00010Downie, Aron, et al. "Red flags to screen for malignancy and fracture in patients with low back pain: systematic review." Bmj 347 (2013).https://doh.wa.gov/sites/default/files/legacy/Documents/2700/Coag.pdf?uid=62fc9e6dde835Bannow, Bethany Samuelson, and Barbara A Konkle. “How I approach bleeding in hospitalized patients.” Blood vol. 142,9 (2023): 761-768. doi:10.1182/blood.2021014766Novotny, Richard W et al. “Palpable Purpura.” American family physician vol. 109,3 (2024): 265-267.https://www.tadeclinicagem.com.br/guia/321/amiloidose-manifestacoes-clinicas-e-diagnostico/

In today's episode, Dr. Mitchell Posner, Dr. Sarah Shubeck, and Dr. Jelani Williams on the University of Chicago Medicine's new Comprehensive Cancer Center. Scheduled to open in 2027, the new center is a seven-floor, 575,000-square-foot building planned to have 80 private beds and 90 consultation and outpatient rooms. At the moment, the center is anticipated to see 200,000 outpatient visits and 5000 inpatient admissions annually. This would be the city of Chicago's first freestanding cancer pavilion.How will we ensure that this new center prioritizes the community's needs? In Chicago's South Side, cancer death rates are twice the national average, and cancer is also the second-leading cause of death on the South Side behind heart disease. In this conversation, you'll hear about the center's development, what patients can expect, and most importantly, the Department of Surgery's commitment to ensure the cancer center supports those who are most vulnerable. Dr. Mitchell Posner is the Thomas D. Jones Distinguished Service Professor of Surgery, Chief of the Section of General Surgery, and the Chief Clinical Officer of the University of Chicago Medicine Comprehensive Cancer Center. From clinical trials for cancer treatment to his more than 250 articles, abstracts, and book chapters, Dr. Posner is a leading authority in the management of upper gastrointestinal cancers. He is frequently voted among the country's best doctors. He is the past president of the Society of Surgical Oncology. He is deputy editor of the Annals of Surgical Oncology and section editor for the gastrointestinal cancer section of the journal Cancer. He served as chairman of the Gastrointestinal Committee of the American College of Surgeons Oncology Group (ACOSOG).Dr. Sarah Shubeck is an Assistant Professor in the Department of General Surgery. She is a Breast Surgical oncologist specializing in breast surgery, cancer, and benign disease treatment. In addition to her clinical practice, Dr. Shubeck's research has been published in many journals including Cancer, JAMA Surgery, and Annals of Surgical Oncology.Dr. Jelani Williams is a 5th-year general surgery resident at the University of Chicago. He is an aspiring surgical oncologist and attended the Eastern Virginia Medical School. He has published research on predictive models and surgery for metastatic pancreatic neuroendocrine tumors as well as the use of machine learning to distinguish benign and malignant thyroid nodules amongst other topics. Deep Cuts: Exploring Equity in Surgery comes to you from the Department of Surgery at the University of Chicago, which is located on Ojibwe, Odawa and Potawatomi land.Our executive producer is Tony Liu. Our senior producers are Alia Abiad, Caroline Montag, and Chuka Onuh. Our production team includes Megan Teramoto, Ria Sood, Ishaan Kumar, and Daniel Correa Bucio. Our senior editor and production coordinator is Nihar Rama. Our editorial team also includes Beryl Zhou and Julianna Kenny-Serrano. The intro song you hear at the beginning of our show is “Love, Money Part 2” from Chicago's own Sen Morimoto off of Sooper Records. Our cover art is from Leia Chen.A special thanks this week to Dr. Jeffrey Matthews — for his leadership, vision, and commitment to caring for the most vulnerable in our communities. Let us know — what have you most enjoyed about our podcast. Where do you see room for improvement? You can reach out to us on Instagram @deepcutssurgery. Find out more about our work at deepcuts.surgery.uchicago.edu.

In the March issue of the Annals of Emergency Medicine podcast, Rory and Ryan discuss cephalosporins for outpatient pyelonephritis, ED-initiated buprenorphine programs, cervical cancer screening in the ED and much more.

For this special episode of the Astonishing Healthcare podcast, Andrew Barnell, CEO of Geneoscopy, joins Justin Venneri in the studio for an insightful discussion about colorectal cancer (CRC) screening in observance of National CRC Awareness Month! Andrew explains how he and his "very talented" sister, Erica Barnell, MD, PhD, co-founded Geneoscopy to develop diagnostic tests using RNA biomarkers extracted from stool samples. Their newly FDA-approved test, ColoSense™, provides a non-invasive alternative to traditional colonoscopies.Barnell highlights the rising incidence of CRC in younger adults, which prompted guideline changes to lower the recommended screening age to 45. He stresses the urgent need for increased screening awareness and greater access to screening tools, noting that employers can help overcome barriers to screening through education and by encouraging engagement in wellness programs. Other topics covered include:Over 135,000 people are diagnosed with CRC every year, and despite CRC being one of the most preventable cancers with good long-term survival rates following treatment, 50,000 people die from it annually. Preventive screenings are increasingly covered with no patient out-of-pocket costs, but insurers' expenses are rising.Increasing early screening is crucial: 30-40% of eligible individuals remain unscreened, particularly in the 45-49 age group.Geneoscopy's decentralized clinical trial and overall use of technology to conduct its pivotal FDA approval study virtually, which increased patient diversity and efficiency.Regulatory challenges remain: FDA approval is just one step; Medicare coverage and guideline inclusion are key hurdles.Bringing targeted therapy approaches to autoimmune diseases like IBD to improve patient outcomes and reduce costs is Geneoscopy's next goal.Related ContentMultitarget Stool RNA Test for Colorectal Cancer Screening. Barnell EK, Wurtzler EM, La Rocca J, et al. JAMA. 2023;330(18):1760–1768. doi:10.1001/jama.2023.22231Pharmacogenomics (PGx) 101: What You Need to Know for Rx ProgramsReference Materials/Other Links (courtesy of Geneoscopy)Projected Impact and Cost-Effectiveness of Novel Molecular Blood-Based or Stool-Based Screening Tests for Colorectal Cancer. Ladabaum U, Mannalithara A, Schoen RE, Dominitz JA, Lieberman D. Ann Intern Med. 2024 Dec;177(12):1610-1620. doi: 10.7326/ANNALS-24-00910. Epub 2024 Oct 29. PMID: 39467291.Colorectal Cancer—Patient Version. National Cancer Institute (NCI)Productivity savings from colorectal cancer prevention and control strategies. Bradley CJ, Lansdorp-Vogelaar I, Yabroff KR, Dahman B, Mariotto A, Feuer EJ, Brown ML. Am J Prev Med. 2011 Aug;41(2):e5-e14. doi: 10.1016/j.amepre.2011.04.008. PMID: 21767717; PMCID: PMC3139918.Follow Geneoscopy on LinkedInFor more information about Capital Rx and this episode, please visit Capital Rx Insights.

"Thinking of how tourism is now a major industry for Madeira I started with the now, the field recording submitted to the Sonic Heritage project. Already rhythmic in the sound of the footsteps I looped parts of this, and brought it back in at the end. I really liked the image the recording brought up of walking the narrow Levada (waterways) and the muffled greetings and people saying 'sorry' and 'your welcome' as they squeeze past each other. The World Heritage Site is promoted today for its wildlife, tranquillity and calm, so I also closed the loop with brought in birdsong recorded in the Laurisilva (the World Heritage Site in which the field recording was made) "In the past however, for all the lush and ancient forest, this was essentially part of an industrial landscape, with the Levadas (waterways) carved and built through the rock to facilitate the sugar industry that was developed from the mid 15th century onwards. This industry was also the model for the plantation slavery across the Caribbean, Brazil and the United States that followed. "In the official submission to UNESCO to have the Levadas Designated (submitted 2017, nomination withdrawn 2024) there's no mention of enslaved people being brought to the island for labour: Guanche people from the Canary Islands and Berber people from North Africa at first, then people from West Africa. Given that the carving and construction of the Levadas was hard, dangerous and even deadly work it seems likely it was these people who built them, and not 'heroic' or 'stoic' settlers and farmers as the official submission (and other, often tourist oriented, sources) suggest.  "I therefore wanted to make a piece in which the water running through the Levada holds this memory - inspired by the quiet dripping sound that can just be heard at one point in the original recording, I added my own field recordings of water running through a channel and of (archaeological) excavation, plus a low rustling vegetal sound for the dense forest. At several points Gnawa music recorded in Morrocco seeps through, I don't know if this is temporally or geographically correct for some of the first people brought, enslaved, to Madeira, but I wanted a way to surface this history - and to bring in an aural reminder of hidden histories that lie behind official, 'authorised' heritage discourse." References: Tentative Lists: Levadas of Madeira Island, https://whc.unesco.org/en/tentativelists/6230 UNESCO 46 COM (WHC/24/46.COM/17), Decision: 46 COM 8B.23, https://whc.unesco.org/document/207010 Cristiana Bastos. 2025. Sweetness and exile: Madeiran sugar connections in motion. History and Technology. DOI: 10.1080/07341512.2025.2455245 Sidney M. Greenfield. 1977. Madeira and the beginnings of New World sugar cane cultivation and plantation slavery: a study in institution building. Annals of the New York Academy of Sciences, 292: 536-552. https://doi.org/10.1111/j.1749-6632.1977.tb47771.x Roberto Knight Cavaleiro. 2022. Slaves, sugar and rampant capitalism - Madeira 1440 to 1540, The Portugal News (17 February) Other recordings used: Various field recordings of my own Birdsong in the Laurisilva: recordings by Sacha Julien (Creative Commons, Freesound) Men chanting and playing "Qrageb"Tamegroute, Drâa-Tafilalet, Morocco by ikbenraar (Creative Commons, Freesound) Laurisilva of Madeira reimagined by Lara Band. ——————— This sound is part of the Sonic Heritage project, exploring the sounds of the world's most famous sights. Find out more and explore the whole project: https://www.citiesandmemory.com/heritage

In this episode of The Disrupting Dentistry Podcast, Melissa (USA) and Tabitha (Australia) dive into communication's critical role in improving patient outcomes. From explaining the oral-systemic connection to collaborating with medical professionals, they share actionable strategies to enhance patient engagement and drive whole-body health. You'll learn how patient-centered communication, visual aids, and interdisciplinary collaboration can transform your practice and reduce systemic inflammation. Tune in for practical tips backed by science! What You'll Learn in This Episode: Why effective communication is essential for improving patient compliance and health outcomes Patient-centered communication techniques that enhance understanding and engagement The power of visual aids, including biofilm disclosing and voice-activated periodontal charting How to clearly explain the oral-systemic link to patients The importance of collaborating with other healthcare providers for integrated patient care Link to the episode referneced: The One Where We Talk About Communication Key Takeaways: Use patient-friendly language and open-ended questions to foster better communication. Leverage visual aids and real-time technology to help patients "see" their oral health status. Clearly articulate the connection between oral health and systemic conditions like heart disease and diabetes. Build interdisciplinary relationships to deliver holistic patient care. References Mentioned: Bale, B., & Doneen, A. (2022). Beat the Heart Attack Gene: The Revolutionary Plan to Prevent Heart Disease, Stroke, and Diabetes. Epstein, R. M., et al. (2005). Patient-centered communication and diagnostic testing. Annals of Family Medicine, 3(5), 415-421. Gurenlian, J. R. (2022). Patient-centered care in dental hygiene. Journal of Dental Hygiene, 96(2), 121-127. Ha, J. F., & Longnecker, N. (2010). Doctor-patient communication: A review. Ochsner Journal, 10(1), 38-43. Ide, M., et al. (2016). Periodontitis and pregnancy outcomes. Journal of Clinical Periodontology, 43(6), 524-530. Liccardo, D., et al. (2019). Periodontal disease and systemic inflammation. International Journal of Molecular Sciences, 20(6), 1414. Patel, N., et al. (2015). Real-time patient data and adherence. Journal of the American Medical Informatics Association, 22(1), 74-80. Slack-Smith, L., et al. (2017). Interdisciplinary dental and medical collaboration. Australian Dental Journal, 62(1), 115-121. Slade, G. D., et al. (2020). Oral health and systemic disease links. Australian Dental Journal, 65(1), 58-64. van der Sluijs, E., et al. (2018). Biofilm disclosure and patient compliance. International Journal of Dental Hygiene, 16(3), 297-304. Connect With Us: Listen wherever you get your podcasts If you enjoyed this content, please leave us a review Follow us on Instagram: @DisruptingDentistryPodcast Subscribe and leave a review on your favorite podcast platform. Share this episode with your dental colleagues! Next Episode Teaser: Stay tuned for our next episode, where we explore how to prevent gingivitis by making it "sexy."

Send us a text✨ FREE LEARNING RESOURCES FOR A YEAR! - https://irishpagan.school/freeIn this deep dive into the ancient figure of Crom Cruach, Jon O'Sullivan from the Irish Pagan School explores the lore, legends, and mystery surrounding this lesser-known Irish deity. Crom Cruach, an enigmatic figure from Ireland's pre-Christian past, is mentioned in texts like the Annals of the Four Masters and the Metrical Dindshenchas, but much of what we know is fragmentary and colored by Christian reinterpretation. Was Crom Cruach a fearsome idol demanding human sacrifice, or a misunderstood deity associated with fertility, prosperity, and abundance?✨ Irish Pagan Resources Checklist available NOW - https://irishpagan.school/checklist/

In this Leveling Up episode of the PRS Global Open Deep Cuts podcast, Dr. Scott Hansen talks about his new role as Chair of Plastic Surgery at UCSF, his experience as a program director, and his leadership approach to resident training. He also shares insights on performing awake hand surgeries, his role as a team hand surgeon for the San Francisco Giants, and the unique considerations when treating hand injuries in professional athletes. Dr. Hansen explores the surprising differences between college women's basketball and Major League Baseball, how his practice of hand surgery has evolved, the field of spinoplastic surgery, and why he finds treating hidradenitis rewarding. He also reflects on the lessons he's learned from Drs. Steve Mathes, Neil Ford Jones, and Prosper Benhaim. Read a recent PRS Global Open article by Dr. Hansen and his colleagues, “A Pilot Randomized Clinical Trial of Early Ambulation after Groin Reconstruction with Sartorius Muscle Flaps“: https://bit.ly/WalkingAfterGroinRecon  Dr. Scott Hansen is a Professor, Chief of the Division of Plastic Surgery, and the Program Director for the Plastic Surgery Residency at the University of California San Francisco. He also serves as the Chief of Hand and Microvascular surgery and the Director of the Microsurgery fellowship. He graduated from Eastern Virginia Medical School, and then completed a Plastic Surgery residency and a post-doctoral research fellowship at UCSF followed by a Hand and Microvascular surgery fellowship at UCLA. He joined UCSF as full-time faculty, and recently became the Chief of the Division of plastic surgery there. He is the Hand and Microsurgery section editor for the Annals of Plastic Surgery. He is the team hand surgeon for the San Francisco Giants. He has remained involved in basic science research, with a focus in wound healing, hemangiomas, and limb development. Your host, Dr. Puru Nagarkar, is a board-certified plastic and hand surgeon, and Associate Professor of Plastic Surgery at the University of Texas Southwestern Medical Center in Dallas. #PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #LevelingUp

America Out Loud PULSE with Dr. Vaughn & Dr. Tankersley – In July 2024, the Annals of Internal Medicine had an article that stated the obvious that our profession is in a moral crisis. Thus, it called for a return to humility. Given the generational headwinds that have developed, we can only hope and pray that science returns to the fundamentals, beginning with a penitent approach led by honest people...

America Out Loud PULSE with Dr. Vaughn & Dr. Tankersley – In July 2024, the Annals of Internal Medicine had an article that stated the obvious that our profession is in a moral crisis. Thus, it called for a return to humility. Given the generational headwinds that have developed, we can only hope and pray that science returns to the fundamentals, beginning with a penitent approach led by honest people...

Dawn Gross speaks at the 2025 Public Forum on Healing with Integrative Cancer Care in February. The gathering was designed to bridges wisdom traditions with emerging frontiers in healing. This year's forum explores transformation through the intersections of integrative cancer care with consciousness and healing arts, featuring distinguished speakers and practitioners from diverse backgrounds. The day included engaging presentations on patient advocacy, expressive arts, and innovative approaches to cancer care. Dawn Gross, MD, PhD, (aka DrAsYouWish) is a national thought leader in Hospice & Palliative Medicine, Writer, Podcaster and Magic Wand Bearer, who pioneers revolutionary palliative medicine as the art of patient care, scientific curiosity and storytelling. Medical director of ANX Hospice and UCSF Palliative Care physician, Dawn earned her MD and PhD in immunology from Tufts University and completed her fellowship training in hematology with an emphasis in bone marrow transplant at Stanford University. She transitioned to the field of hospice and palliative medicine after her father died in 2006. Dawn considers grief an injury and has developed a novel approach to its healing in what she refers to as the ICU “ISEEYOU for the Soul.” She is the creator and host of the radio program, Dying to Talk. Her writing has been published widely including in The New York Times, JAMA, Science and Annals of Internal Medicine. She is an internationally invited speaker most recently sharing true stories from the bedside about what matters most in her 2024 TEDx talk “Ask. The Time is Now” and her new book, Heart Sounds: How a Stethoscope, A Magic Wand, and a Fishing Pole Teach Us to Listen for What Matters Most. Learn more at: www.drasyouwish.com The New School at Commonweal is a collaborative learning community offering conversations about nature, culture, and inner life---so that we can all find meaning, meet inspiring people, and explore the beauty and grief of our changing world. Please like/follow our YouTube channel for more great podcasts. Find out more about The New School at Commonweal on our website: tns.commonweal.org. And like/follow our Soundcloud channel for more great podcasts.

Step into the future of primary care with Artificial Intelligence and Machine Learning (AI/ML). In this episode, you'll discover how these transformative technologies are revolutionizing healthcare as three expert voices from STFM's cutting-edge Artificial Intelligence and Machine Learning for Primary Care Curriculum reveal insider strategies to slash administrative burden—and maybe even carve out time for your dream vacation. Whether you're an educator eager to innovate, or a clinician ready to lead your team in implementing new tools, this dynamic panel delivers practical tips, ethical insights, and the inspiration you need to confidently participate in the AI revolution.Our Panelists:Cornelius James, MDJaky Kueper, PhDWinston Liaw, MD, MPHHosted by Omari A. Hodge, MD, FAAFP and Jay-Sheree Allen Akambase, MDCopyright © Society of Teachers of Family Medicine, 2025Resources:Artificial Intelligence and Machine Learning for Primary Care Curriculum (AiM-PC)Upcoming Opportunity - Ethical Use of AI in the Family Medicine Clinic - STFM Webinar scheduled for May 30, 2025 at 12pm CTArtificial Intelligence and Family Medicine: Better Together - Fam Med Generative Artificial Intelligence and Large Language Models in Primary Care Medical Education - Fam Med Artificial Intelligence-Prompted Explanations of Common Primary Care Diagnoses - PRiMER Guest Bio:Cornelius James, MDDr. James is an Assistant Professor in the Departments of Internal Medicine, Pediatrics and Learning Health Sciences at the University of Michigan (U-M). He is a general internist and a general pediatrician practicing as a primary care physician. He holds the James O. Woolliscroft, MD Endowment in Humane Patient Care.Dr. James has served in many educational roles across the continuum of medical education, including serving as the director of the University of Michigan Medical School evidence-based medicine curriculum, and an Associate Program Director for the U-M Internal Medicine Residency Program. He also serves on local and national committees, including the U-M Clinical Intelligence Committee and the International Advisory Committee for Artificial Intelligence. In multiple years Dr. James has been identified as one of the top teachers in the Department of Internal Medicine. In addition, in 2022 he received the Kaiser Permanente Excellence in Teaching award, the most prestigious teaching award given by the U-M medical school. Dr. James has completed the American Medical Association (AMA) Health Systems Science Scholars program, and he was also one of ten inaugural 2021 National Academy of Medicine Scholars in Diagnostic Excellence. His research interests include augmenting clinical reasoning with artificial intelligence, and equitable implementation of safe and effective digital health tools into clinical practice.His work has been published in JAMA, Annals of Internal Medicine, Academic Medicine, the Journal of General Internal Medicine, Cell Reports, and more. Jaky Kueper, PhDJaky Kueper, PhD, is an epidemiologist and computer scientist with the Scripps Research Digital Trials Center. Her work in AI for primary care ranges from investigating primary care AI needs and priorities to co-developing AI solutions with Community Health Centres. She's also been engaged in several AI for heal

Much like deprescribing, we plan to revisit certain high impact and dynamic topics frequently.  Substance use disorder is one of those complex issues in which clinical practice is changing rapidly.  You can listen to our prior podcasts on substance use disorder here, here, here, and here. Today we talk with experts Janet Ho, Sach Kale, and Julie Childers about opioid use disorder and serious illness.  We address: Why is caring for patients with this overlap so hard?  Inspired by Dani Chammas's paper in Annals of Internal Medicine titled, “Wishing for a no show” we talk about countertransference: start by asking yourself, “Why am I having difficulty? What is making this hard for me?”  Sach Kale set up an outpatient clinic focused on substance use disorder for patients with cancer. Why? How? What do they do? Do you need to be an addiction medicine trained physician to start such a clinic (no: Sach is not).  See Sach's write up about setting up this clinic in JPSM. What is harm reduction and how can we implement it in practice?  One key tenet of harm reduction we return to multiple times on this podcast: Accountability without termination (or, in more familiar language, without abandonment). When to consider bupenorphine vs methadone?  Why the field is moving away from prescribing methadone to bupenorphine; how to manage patients prescribed methadone for opioid use disorder who then develop serious and painful illness - should we/can we split up the once daily dosing to achieve better pain control? Who follows the patient once the cancer goes into remission? Who will prescribe the buprenorphine then?  Or when it progresses - will hospice pay? And so much more: maybe not the oxycodone for breakthrough; when the IV dilaudid is the only thing that works; pill counts and urine drug tests; the 3 Ps approach (pain, pattern, prognosis); stimulant use disorder; a forthcoming VitalTalk section… Thanks to the many questions that came in on social media from listeners in advance of this podcast.  We all have questions.  We addressed as many of your listener questions as we could. We could have talked for 4 hours and will definitely revisit this issue! Sometimes the drugs don't work. -Alex: @alexsmithmd.bsky.social

En lo último en salud y fitness edición de febrero 2025, damos un paseo por las últimas tendencias, investigaciones y noticias en el mundo de la salud y el fitness. Hoy vamos a ver qué dice la ciencia sobre algunos temas que seguro te interesan: desde cómo la genética afecta tus resultados con la creatina, hasta si realmente funciona eso de poner las calorías en los menús de los restaurantes. También veremos si escuchar música mientras tomas café te hace entrenar mejor (spoiler: sí) y qué pasa con tu cuerpo cuando te tomas un descanso del gimnasio. Esta semana nos metemos de lleno con estudios que nos dan respuestas claras y consejos que puedes aplicar ya mismo. Atajos del Episodio 02:21 – ¿Tu genética define cuánto músculo ganas con creatina?1 06:28 – ¿Música y cafeína para rendir mejor? Un dúo explosivo en el entrenamiento2 10:00 – ¿Tomarte un descanso del gym arruina tus ganancias? La ciencia dice que no (tanto)3 12:32 – ¿Los menús con calorías te ayudan a comer menos? La ciencia dice… más o menos4 15:42 – ¿Comer en una ventana de 8 horas realmente mejora tu salud?5   Referencias: 1.      Varillas-Delgado, D. Association of genetic profile with muscle mass gain and muscle injury prevention in professional football players after creatine supplementation. Nutrients (2024). 2.      Qiu, B. et al. Effects of Caffeine Intake Combined with Self-Selected Music During Warm-Up on Anaerobic Performance: A Randomized, Double-Blind, Crossover Study. Nutrients (2025). 3.      Halonen, E. J., Gabriel, I. & Kelahaara…, M. M. Does Taking a Break Matter—Adaptations in Muscle Strength and Size Between Continuous and Periodic Resistance Training. … Journal of Medicine … (2024). 4.      Clarke, N., Pechey, E., Shemilt, I. & Pilling…, M. Calorie (energy) labelling for changing selection and consumption of food or alcohol. Cochrane Database … (2025). 5.      Manoogian, E. N. C., Wilkinson, M. J. & O'Neal…, M. Time-restricted eating in adults with metabolic syndrome: a randomized controlled trial. Annals of Internal … (2024).

Trauma is a universal experience, and our approach as health care providers to trauma should be universal as well. That's my main take-home point after learning from our three guests today when talking about trauma-informed care, an approach that highlights key principles including safety, trustworthiness, peer support, collaboration, empowerment, and cultural sensitivity. With that said, there is so much more that I learned from our guests for this trauma-informed care podcast. Our guests include Mariah Robertson, Kate Duchowny, and Ashwin Kotwal. Mariah discussed her JAGS paper on applying a trauma-informed approach to home visits. Kate and Ashwin talked about their research on the prevalence of lifetime trauma and its association with physical and psychosocial health among adults at the end of life. We also explored several questions with them, including how to define trauma, its prevalence in older adults, the impact of past traumatic experiences, the potential triggers of trauma screening, and the application of trauma-informed principles in clinical practice. If you want a deeper dive, check out the following resources: Our “Nature of Suffering” podcast with BJ Miller and Naomi Saks Dani Chammas' Annals paper on countertransference and why we shouldn't say “that the patient was difficult rather than that I felt frustrated.”  A great Curbsiders podcast episode on Trauma-informed care with Megan Gerber CAPC's Trauma-informed care toolkit Mariah's article on Home-Based Care for LGBTQ or another diverse gender identity Older Adults

This week Dr. Nathan Kalman-Lamb and Dr. Derek Silva drop in to talk about 1993's The Program, starring James Caan, Omar Epps, and Halle Berry. This movie was way ahead of its time in its discussions of Name, Image, and Likeness (NIL), concussions, and race and sexual dynamics on campus. We talk about all of this and the cost to college athletes to play the game. About our guests:Nathan Kalman-Lamb's  scholarly work sits at the intersection of social theory and the sociology of sport, with a particular focus on labor, racism, and exploitation. His most recent book Game Misconduct: Injury, Fandom, and the Business of Sport, based on qualitative interviews with former professional hockey players and fans of the sport, uses Marxist-Feminist social reproduction theory to explore how the political economy of sports like hockey is predicated on an affective transfer from athletic workers to fans through the physical sacrifice that is fundamental to these 'games.'Derek Silva's areas of interest include sociocultural studies of sport, critical sociology and criminology, labour, racism, and inequality. My work can be found in the peer-reviewed journals Critical Sociology, Punishment and Society, Crime, Media, Culture, Sociology of Sport Journal, Journal of Sport & Social Issues, Policing & Society, Annals of Leisure Research, Social Science & Medicine – Qualitative Research in Health, Sociological Forum, Race & Class, Educational Gerontology, and in media outlets such as TIME Magazine, Los Angeles Times, The Guardian, The Daily Beast, The Chronicle of Higher Education, ​Jacobin Magazine, and The Baffler Magazine. 

The practice of growing plants in water rather than soil isn't new, though early examples are difficult to substantiate. In the 1930s, hydroponic plant culture made headlines, but the field also had conflict among researchers. Research: Bacon, Francis. “Sylva sylvarum; or, A natural history, in ten centuries. Whereunto is newly added the History natural and experimental of life and death, or of the prolongation of life.” London. 1670. https://archive.org/details/sylvasylvarumorn00baco/page/116/mode/2up Britannica, The Editors of Encyclopaedia. "Hanging Gardens of Babylon". Encyclopedia Britannica, 13 Jan. 2025, https://www.britannica.com/place/Hanging-Gardens-of-Babylon Britannica, The Editors of Encyclopaedia. "chinampa". Encyclopedia Britannica, 26 May. 2017, https://www.britannica.com/topic/chinampa Britannica, The Editors of Encyclopaedia. "Julius von Sachs". Encyclopedia Britannica, 28 Sep. 2024, https://www.britannica.com/biography/Julius-von-Sachs. Ebel, Roland. "Chinampas: An Urban Farming Model of the Aztecs and a Potential Solution for Modern Megalopolis". HortTechnology hortte 30.1 (2020): 13-19. < https://doi.org/10.21273/HORTTECH04310-19 Gericke, W. F. “The Complete Guide To Soilless Gardening.” Prentice Hall. 1940. https://archive.org/details/in.ernet.dli.2015.271694/page/n1/mode/2up Gericke, W. F. “The Meaning of Hydroponics.” Science101,142-143. 1945. https://www.science.org/doi/10.1126/science.101.2615.142 "General Mills' Big Gamble on Indoor Farming." Dun's Review. 1979. https://www.nal.usda.gov/sites/default/files/card-image/DunsReviewGeneralMillsImage.jpg “Growing Crops Without Soil.” United States Department of Agriculture. Agricultural research service. June 1965. https://www.nal.usda.gov/sites/default/files/card-image/RaisingCropsWithoutSoil1965_0.jpg Hall, Loura. “NASA Research Launches a New Generation of Indoor Farming.” NASA. Nov. 23, 2021. https://www.nasa.gov/technology/tech-transfer-spinoffs/nasa-research-launches-a-new-generation-of-indoor-farming/ Hoagland, D.R. and D.I. Arnon. “The Water-culture Method for Growing Plants Without Soil.” Berkeley. 1950. https://archive.org/details/watercultureme3450hoag/page/n5/mode/2up “A Hydroponic Farm on Wake Island.” Science87,12-3. (1938). DOI:1126/science.87.2263.12.u Janick, Jules et al. “The cucurbits of mediterranean antiquity: identification of taxa from ancient images and descriptions.” Annals of botany vol. 100,7 (2007): 1441-57. doi:10.1093/aob/mcm242 Silvio, Caputo. “History, Techniques and Technologies of Soil-Less Cultivation.” Springer, Cham. https://doi.org/10.1007/978-3-030-99962-9_4 Singer, Jesse. “A Hydroponics Timeline. Garden Culture Magazine. Feb. 8, 2021. https://gardenculturemagazine.com/a-brief-overview-of-the-history-of-hydroponics/#:~:text=1627:%20Sylva%20Sylvarum,Chemist%20Jean%20Baptist%20van%20Helmont Stanhill, G. "JOHN WOODWARD—A NEGLECTED 17TH CENTURY PIONEER OF EXPERIMENTAL BOTANY". Israel Journal of Plant Sciences 35.3-4 (1986): 225-231. https://doi.org/10.1080/0021213X.1986.10677056 Stuart, Neil W. “About Hydroponics.” Yearbook of Agriculture, U.S. Department of Agriculture. 1947. Accessed online: https://archive.org/details/yoa1947/page/289/mode/2up Taylor, Judith. “National Nutrition Month: Hydroponics feed ailing WWII Army Air Forces personnel.” Air Force Medical Service. March 26, 2014. https://www.airforcemedicine.af.mil/News/Article/582803/national-nutrition-month-hydroponics-feed-ailing-wwii-army-air-forces-personnel/ “Plants Without Soil.” Brooklyn Eagle. Feb. 28, 1937.https://www.newspapers.com/image/52623587/?match=1&terms=hydroponics “Hydroponics.” Courier-Journal. March 2, 1937. https://www.newspapers.com/image/107727971/?match=1&terms=hydroponics See omnystudio.com/listener for privacy information.

Dr. Kevin Masters is a clinical psychologist and a leader in the fields of health psychology and behavioral medicine. He is a professor of psychology at the University of Colorado Denver. He served a term as the Editor-in-Chief of Annals of Behavioral Medicine. He is a Fellow of the American Psychological Association and the Society of Behavioral Medicine. In this conversation with Vikas, Dr Masters discusses why it is difficult to take up a fitness habit and sustain and what are the key reasons that build a habit. The conversation will delight you and hopefully teach you a few things to continue with the love of running.About Vikas Singh:Vikas Singh, an MBA from Chicago Booth, worked at Goldman Sachs, Morgan Stanley, APGlobale, and Reliance before coming up with the idea of democratizing fitness knowledge and helping beginners get on a fitness journey. Vikas is an avid long-distance runner, building fitpage to help people learn, train, and move better.For more information on Vikas, or to leave any feedback and requests, you can reach out to him via the channels below:Instagram: @vikas_singhhLinkedIn: Vikas SinghTwitter: @vikashsingh101Subscribe To Our Newsletter For Weekly Nuggets of Knowledge!

Dr. Daniel Hale Williams is often described as the first person to successfully perform an open-heart surgery. That's not entirely accurate, but he was still a surgical innovator, and he was also a huge part of the Black Hospital Movement. Research: "Daniel Hale Williams." Contemporary Black Biography, vol. 2, Gale, 1992. Gale In Context: U.S. History, link.gale.com/apps/doc/K1606000260/GPS?u=mlin_n_melpub&sid=bookmark-GPS&xid=c4ae7664. Accessed 28 Jan. 2025. "Daniel Hale Williams." Notable Black American Men, Book II, edited by Jessie Carney Smith, Gale, 1998. Gale In Context: U.S. History, link.gale.com/apps/doc/K1622000479/GPS?u=mlin_n_melpub&sid=bookmark-GPS&xid=80e75e7e. Accessed 28 Jan. 2025. Buckler, Helen. “Doctor Dan: Pioneer in American Surgery.” Little, Brown and Company. 1954. Cobb, W M. “Daniel Hale Williams-Pioneer and Innovator.” Journal of the National Medical Association vol. 36,5 (1944): 158-9. COBB, W M. “Dr. Daniel Hale Williams.” Journal of the National Medical Association vol. 45,5 (1953): 379-85. Cook County Health. “Celebrating 30 Years: Provident Hospital of Cook County.” https://cookcountyhealth.org/provident-hospital-30th-anniversary/ Gamble, Vanessa Northington. “Making a place for ourselves : the Black hospital movement, 1920-1945.” New York : Oxford University Press. 1995. Gamble, Vanessa Northington. “The Provident Hospital Project: An Experiment in Race Relations and Medical Education.” Bulletin of the History of Medicine, WINTER 1991. Via JSTOR. https://www.jstor.org/stable/44442639 Gordon, Ralph C. “Daniel Hale Williams: Pioneer Black Surgeon and Educator.” Journal of Investigative Surgery, 18:105–106, 2005. DOI: 10.1080/08941930590956084 Hughes, Langston. “Famous American Negroes.” Dodd Mead. 1954. Jackson State University. “Who Was Dr. Daniel Hale Williams?” https://www.jsums.edu/gtec/dr-daniel-hale-williams/ Jefferson, Alisha J. and Tamra S. McKenzie. “Daniel Hale Williams, MD: ‘A Moses in the profession.’” American College of Surgeons CC2017 Poster Competition. 2017. Office of the Illinois Secretary of State. “51. Dr. Daniel Hale Williams Letter to Governor Joseph Fifer (1889).” 100 Most Valuable Documents at the Illinois State Archives. https://www.ilsos.gov/departments/archives/online_exhibits/100_documents/1889-williams-letter-gov.html Olivier, Albert F. “In Proper Perspective: Daniel Hale Williams, M.D.” Annals of Thoracic Surgery. Volume 37, Issue 1p96-97 January 1984. https://www.annalsthoracicsurgery.org/article/S0003-4975(10)60721-7/fulltext Raman, Jai. “Access to the Heart – Evolution of surgical techniques.” Global Surgery. Vol. 1, No. 2. doi: 10.15761/GOS.1000112 Rock County, Wisconsin. “Dr. Daniel Hale Williams.” https://legacy.co.rock.wi.us/daniel-hale-williams Summerville, James. “Educating Black doctors : a history of Meharry Medical College.” University of Alabama Press. https://archive.org/details/educatingblackdo0000summ/ The Provident Foundation. “History- Dr. Daniel Hale Williams.” https://provfound.org/index.php/history/history-dr-daniel-hale-williams “Early Chicago: Hospital of Hope.” DuSable to Obama: Chicago’s Black Metropolis. https://www.wttw.com/dusable-to-obama/provident-hospital See omnystudio.com/listener for privacy information.

Welcome to Dev Game Club, where this week we continue our series on 1999's Outcast. Tim can't get enough of the voxels, and we dive a little bit into combat, mounts, and structure. Dev Game Club looks at classic video games and plays through them over several episodes, providing commentary. Sections played: Mostly through Shamazaar Issues covered: revisiting Defeating Games for Charity, the work behind the event, launch of VGHF library, accepting the voxels, possible benefits of voxels, how to represent transfer, back to metaballs, generating noise in the voxels, collision and voxels, looking unlike other games of the time, leaving out polygons for the voxels to show through, avoiding the enemies vs blasting, apparent resource scarcity, weak stealth, projectile-based shooting, combat and missing all the time, enjoying dodging but hating missing, abstraction in games, enemies dropping guns that disappear, voice work, stand-out characters, having fun with the NPCs, not being too self-serious, investigating the twon-ha, the different aesthetics of European games, a flexible mount, stumbling on the quest log, skipping ahead in the knowledge tree, seeing games in the same family, a milieu or scene, what were the game inputs that got you to this game, coming at ideas from different directions, German dubbing, the voice of Pey'j, adding legitimization, the music.  Games, people, and influences mentioned or discussed: BioStats, Mark Garcia, Artimage, Final Fantasy VI, Video Game History Foundation, Phil Salvador, Minecraft, Starfighter, Steve Ash, Spore, System Shock 2, DOOM (1993), CliffyB, Chess, Annals of the Grand Historian, Arnold Schwarzeneggar, Bruce Willis, Halo, Dark Crystal, Beyond Good and Evil, Rayman, Ultima (series), Populous, Peter Molyneux, Sid Meier, Civilization (series), Vitor, Assassin's Creed (series), David Gasman, Star Wars, John Williams, Dark Souls 2, Kirk Hamilton, Aaron Evers. Next time: More Outcast Twitch: timlongojr Discord DevGameClub@gmail.com

Sugar-sweetened beverages, the epidemiology of driving after an ICD, BP measurements, and massive EBM lesson in EVT for acute stroke are the topics John Mandrola, MD, discusses in today's podcast. This podcast is intended for healthcare professionals only. To read a partial transcript or to comment, visit: https://www.medscape.com/twic I. Sugar-Sweetened Beverages Sugary Drinks Fuel Millions of Diabetes and CVD Cases https://www.medscape.com/viewarticle/sugary-drinks-fuel-millions-diabetes-and-cvd-cases-2025a10002wr Nature Medicin;e Epidemiologic Study https://www.nature.com/articles/s41591-024-03345-4 JAMA-Network Open;  Beverage Tax Observational Study https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2829505 Lancet Regional Health; Beverage Tax Philadelphia EHR 10.1016/j.lana.2024.100906 II. Driving With an ICD JACC Electrophysiology paper https://doi.org/10.1016/j.jacep.2024.12.002 Earlier HEART paper https://heart.bmj.com/content/110/24/1401 III. Blood Pressure Measurements and Simple RCTs BP Readings in Noisy Market as Good as Quiet Office? https://www.medscape.com/viewarticle/bp-readings-noisy-market-good-quiet-office-2025a10002z0 Annals of Internal Medicine Study https://www.acpjournals.org/doi/10.7326/ANNALS-24-00873 IV. A Big Shake-up in Interventional Stroke Care Endovascular Therapy Fails to Show Benefit in Distal Occlusion Stroke  https://www.medscape.com/viewarticle/endovascular-therapy-fails-show-benefit-distal-occlusion-2025a100035u ESCAPE-MeVO https://www.nejm.org/doi/full/10.1056/NEJMoa2411668 DISTAL trial https://www.nejm.org/doi/full/10.1056/NEJMoa2408954 J. Mocco Editorial https://www.nejm.org/doi/full/10.1056/NEJMe2500492 You may also like: The Bob Harrington Show with the Stephen and Suzanne Weiss Dean of Weill Cornell Medicine, Robert A. Harrington, MD. https://www.medscape.com/author/bob-harrington Questions or feedback, please contact news@medscape.net

In this month's Annals of Emergency Medicine podcast, Ryan and Rory ring in the New Year discussing the ideal paralytic in RSI, GI risk assessment scores and much more.

This is a special edition of the MCHD Paramedic Podcast. Ginger Locke, of the absolutely amazing Medic Mindset podcast, invited Dr. Patrick on to discuss rate control of rapid atrial fibrillation in the prehospital setting. She was gracious enough to share the audio for a dual release. This episode has been out in the world on Medic Mindset for a couple of months, but we wanted to offer it to our MCHD Paramedic Podcast listeners as well. Also, like, subscribe to and follow Medic Mindset wherever you listen to podcasts. REFERENCES 1. https://medicmindset.com 2. Elam, K., & Bolar-Softich, K. L. (1997). Dilemmas in the acute pharmacologic treatment of uncontrolled atrial fibrillation. The American journal of emergency medicine, 15(4), 418–419. 3. Abarbanell, N. R., & Marcotte, M. A. (1997). Prehospital use of intravenous diltiazem (cardizem Lyo-Ject) in the treatment of rapid atrial fibrillation. The American journal of emergency medicine, 15(6), 618–619. 4. Abarbanell, N. R., Marcotte, M. A., Schaible, B. A., & Aldinger, G. E. (2001). Prehospital management of rapid atrial fibrillation: recommendations for treatment protocols. The American journal of emergency medicine, 19(1), 6–9. 5. Wang, H. E., O'connor, R. E., Megargel, R. E., Schnyder, M. E., Morrison, D. M., Barnes, T. A., & Fitzkee, A. (2001). The use of diltiazem for treating rapid atrial fibrillation in the out-of-hospital setting. Annals of emergency medicine, 37(1), 38–45. 6. Luk, J. H., Walsh, B., & Yasbin, P. (2013). Safety and efficacy of prehospital diltiazem. The western journal of emergency medicine, 14(3), 296–300. 7. Rodriguez, A., Hunter, C. L., Premuroso, C., Silvestri, S., Stone, A., Miller, S., Zuver, C., & Papa, L. (2019). Safety and Efficacy of Prehospital Diltiazem for Atrial Fibrillation with Rapid Ventricular Response. Prehospital and disaster medicine, 34(3), 297–302. 8. Fornage, L. B., O'Neil, C., Dowker, S. R., Wanta, E. R., Lewis, R. S., & Brown, L. H. (2024). Prehospital Intervention Improves Outcomes for Patients Presenting in Atrial Fibrillation with Rapid Ventricular Response. Prehospital emergency care, 28(7), 910–919.

Today's show is sponsored by Americans for Free Choice in Medicine -- https://www.afcm.orgDr. Adalja is an expert on infectious disease, emergency preparedness, pandemics, and the intersections of public health and national security. is a board-certified physician in internal medicine, emergency medicine, infectious diseases, and critical care medicine. Dr. Adalja's expertise is frequently sought by international and national media.He has also published in such journals as the New England Journal of Medicine, JAMA, Journal of Infectious Diseases, Clinical Infectious Diseases, Emerging Infectious Diseases, Annals of Emergency Medicine, and Health Security.Dr. Adalja is a Fellow of the Infectious Diseases Society of America, the American College of Physicians, and the American College of Emergency Physicians. He is a member of various medical societies, including the American Medical Association, the HIV Medicine Association, and the Society of Critical Care Medicine.Dr. Adalja is a native of Butler, Pennsylvania, and actively practices infectious disease, critical care, and emergency medicine in the Pittsburgh metropolitan area.Dr. Adalja is the Chairman of the board of Americans for Free Choice in Medicine.Reinier Schuur is the Executive Director of AFCM. He holds a PhD in Philosophy from the University of Birmingham in the United Kingdom, where he specialized in the philosophy of medicine, and a Masters of Science in Philosophy of Psychiatry from King's College London. A native of the Netherlands, Reinier was a visiting Fulbright scholar at New York University and at the University of Pittsburgh. Reinier develops AFCM's educational offerings and collaborates with other organizations to educate the American public about how to advocate for their individual rights in healthcare.Show is Sponsored by The Ayn Rand Institute https://www.aynrand.org/starthereEnergy Talking Points, featuring AlexAI, by Alex Epstein https://alexepstein.substack.com/Express VPN https://www.expressvpn.com/yaronJoin this channel to get access to perks: / @yaronbrook Like what you hear? Like, share, and subscribe to stay updated on new videos and help promote the Yaron Brook Show: https://bit.ly/3ztPxTxSupport the Show and become a sponsor: / yaronbrookshow or https://yaronbrookshow.com/Or make a one-time donation: https://bit.ly/2RZOyJJContinue the discussion by following Yaron on Twitter (https://bit.ly/3iMGl6z) and Facebook (https://bit.ly/3vvWDDC )Want to learn more about Ayn Rand and Objectivism? Visit the Ayn Rand Institute: https://bit.ly/35qoEC3#freemarket #healthcare #Rights #individualism #AynRand #science #philosophyofscience #ethics #selfishness #egoism #capitalism #philosophy #Morality ​ ​#Objectivism​ #politicsBecome a supporter of this podcast: https://www.spreaker.com/podcast/yaron-brook-show--3276901/support.

Join Drs. Stephanie Hartman and Abby Drucker as they discuss the history of medical quackery, pseudoscience and current challenges in today's medical practice with Dr. Lydia Kang. Dr. Kang is an author of young adult fiction, adult fiction and non-fiction, and poetry. She is a practicing physician and Associate Professor of Internal Medicine at Nebraska Medicine who has gained a reputation for helping fellow writers achieve medical accuracy in fiction. Her poetry and non-fiction have been published in JAMA, The Annals of Internal Medicine, Canadian Medical Association Journal, Journal of General Internal Medicine,. The Linden Review, and Flatwater Free Press. She is the co-author of Quackery: A Brief History of the Worst Ways to Cure Everything and the upcoming book, Pseudoscience: An Amusing History of Crackpot Ideas and Why We Love Them.  You can find Dr. Kang at  LydiaKang.com BlueSky: @lydiakang.bsky.social IG: @LydiaKang We invite you to pre-order Pseudoscience: An Amusing History of Crackpot Ideas and Why We Love Them at The Bookworm Omaha. We rely on your donations to keep producing this podcast content and to support physician advocacy in Nebraska. If you would like to support Nebraska Alliance for Physician Advocacy, a 501(c)(3) organization in Nebraska please click to DONATE NOW.  If you have questions or answers, please email us at ⁠contact@nebraskaallianceforphysicianadvocacy.org⁠ Please check out our website at: Nebraska Alliance for Physician Advocacy Instagram Link https://www.instagram.com/neallianceforphysicianadvocacy/ Facebook https://www.facebook.com/neallianceforphysicianadvocacy

We speak with a Partner at an aviation practice who advocates for 737 MAX crash victims. In the news, we look at the Azerbaijan and Jeju crashes, Boeing's safety and quality-control plan update, Delta's plan for an AI-rich future, and V-22 Osprey catastrophic failure risks. Also, favorite flybys from listeners. Guest Erin Applebaum is a partner in the aviation practice at Kreindler & Kreindler LLP, specializing in high-stakes litigation for passengers injured or killed in general aviation accidents and commercial airline disasters.  Erin has devoted her career to advocating for justice and fighting for the advancement of aviation safety. She serves on the Plaintiffs' Executive Committee for the Ethiopian Airlines Flight 302 Boeing 737 MAX litigation. Erin is part of the legal team representing the 737 MAX crash victims in the federal criminal case against Boeing. Erin updates us on the status of the 737 MAX crash civil litigation. The criminal case is ongoing but likely nearing an end. Boeing was found in violation of the deferred prosecution agreement but the judge rejected the negotiated plea deal. The families of the victims are unhappy because the criminal case focuses on the single charge of defrauding the FAA, and not on those who lost their lives. Erin maintains a robust practice of litigating tort claims governed by the Montreal Convention, the global treaty governing international commercial flights. She teaches a popular aviation CLE course for other attorneys on how to litigate personal injury claims for international airline passengers. Erin has published a comprehensive update on the law governing international aviation claims in the highly respected legal journal of McGill University, “Annals of Air and Space Law.”  Erin serves as Co-Chair of the New York City Bar Association's Aeronautics Committee, Vice Chair of the American Bar Association's Aviation and Space Law Committee, and is an active member of the American Association for Justice and the International Aviation Women's Association. Aviation News Russian Air Defence System Caused Azerbaijan Airlines Plane Crash On December 25, 2024, an Azerbaijan Airlines ERJ-190 flying from Baku Azerbaijan to Grozny in Russia's Chechnya crashed in Aktau Kazakhstan leaving 38 people dead. The plane diverted from Grozny due to dense fog and ultimately made an emergency landing an hour later in Grozny. On final approach, the Embraer lost altitude and impacted the ground off the runway. Twenty-nine people, including the cabin crew, survived. Thirty-eight, including the flight crew, did not IATA Statement on Azerbaijan Airlines Flight 8243 says, in part: "Civil aircraft must never be the intended or accidental target of military operations. The strong potential that Azerbaijan Airlines flight 8243 could have been the victim of military operations, as indicated by several governments including Russia and Azerbaijan, places the highest priority on conducting a thorough, transparent, and impartial investigation. The world eagerly awaits the required publication of the interim report within 30 days, in line with international obligations agreed in the Chicago Convention. And should the conclusion be that this tragedy was the responsibility of combatants, the perpetrators must be held accountable and brought to justice." See also: Accident: Azerbaijan E190 near Aktau on Dec 25th 2024, lost height and impacted ground after being shot at EU issues new alert for planes flying in Russian airspace Boeing Shares Details of Safety Plan One Year After Door Plug Incident Boeing provided an update of its plan to address systemic safety and quality-control issues, which included: Reducing 737 fuselage assembly defects at Spirit AeroSystems through increased inspection and a customer quality approval process;  Addressing more than 70% of the action items from employee feedback Managing traveled work at final assembly with "mo...

In this episode, Dr. Sergio Zanotti discusses rational fluid therapy. He is joined by Dr. Adrian Wong, a practicing intensive care medicine and anesthesia physician. Dr. Wong is a consultant and clinical lead at King's College Hospital, London. He also serves as a committee member for the Intensive Care Society FUSIC, examiner for the European Diploma of Intensive Care Medicine, on the executive committee of the International Fluid Academy. Additional resources: Intravenous fluid therapy in the perioperative and critical care setting” Executive summary of the International Fluid Academy (IFA). Malbrain ML, et al. Ann. Intensive Care 2020: https://pubmed.ncbi.nlm.nih.gov/32449147/ Multidisciplinary expert panel report on fluid stewardship: perspectives and practice. Malbrain ML, et al. Annals of Intensive Care 2023: https://pubmed.ncbi.nlm.nih.gov/37747558/ The emerging concept of fluid tolerance: A position paper. Kattan E, et al. Journal of Critical Care 2022: https://pubmed.ncbi.nlm.nih.gov/35660844/ Everything you need to know about derescuscitation. Malbrain ML, et al. Intensive Care Med 2022: https://pubmed.ncbi.nlm.nih.gov/35932335/ Start with Why. TED Talk presented by Simon Sinek: https://simonsinek.com/videos/ted-talks/ Books mentioned in this episode: Thinking Fast and Slow. By Daniel Kahneman: https://amzn.to/4hicUoj Start with Why: How Great Leaders Inspire Everybody to Take Action. By Simon Sinek: https://bit.ly/42hzt8n

In this edition of Titans of Science, Chris Smith chats with co-founder of Annals of Improbable Research, and the master of ceremonies for the Ig Nobel prize, Marc Abrahams... Like this podcast? Please help us by supporting the Naked Scientists

The Posterior Cingulate Cortex as a Plausible Mechanistic Target of Meditation: Findings from NeuroimagingJoin Dr. Jud Brewer and Kathleen A. Garrison as they explore the neurobiological underpinnings of mindfulness and meditation. This episode delves into how the posterior cingulate cortex (PCC), a key node in the brain's default mode network, plays a pivotal role in self-referential thinking, mind-wandering, and stress. The discussion highlights groundbreaking insights from real-time fMRI studies that link meditation practices to PCC activity, uncovering how mindfulness disrupts habitual loops of craving, emotional processing, and cognitive distortions. Learn how these findings pave the way for personalized interventions and a deeper understanding of meditation's impact on mental health.Full Reference:Brewer, J. A., & Garrison, K. A. (2013). The posterior cingulate cortex as a plausible mechanistic target of meditation: findings from neuroimaging. Annals of the New York Academy of Sciences. https://doi.org/10.1111/nyas.12246Let's connect on Instagram

Welcome to Walk, Don't Run to the Doctor, an evidence-based podcast with Miles Hassell MD. In this episode, we tackle osteoarthritis and how lifestyle choices can help prevent or alleviate its effects. Dr. Hassell provides practical advice on reducing pain, improving mobility, and possibly avoiding joint replacement through exercise, weight management, and a Mediterranean-style diet. Whether you're dealing with arthritis or looking to maintain healthy joints for the future, this episode is packed with actionable tips to empower your health journey. Key Takeaways: Movement is Medicine: Regular, varied exercises like water walking, tai chi, and resistance training can reduce stiffness, improve function, and lower surgery risks. Weight Loss Matters: Shedding even a few pounds significantly reduces joint stress and pain. Diet is Key: Avoid refined carbs, prioritize fruits, vegetables, and healthy fats like olive oil, and consider natural sources of calcium and probiotics. Supplements for Joint Health: A three-month trial of glucosamine sulfate, MSM, gelatin/collagen, and niacinamide may provide relief for some. Long-term Benefits: Lifestyle changes can reverse type 2 diabetes, normalize blood pressure, and even reduce cancer risks, underscoring the power of daily habits. References: Katz et al. Diagnosis and Treatment of Hip and Knee Osteoarthritis: A Review. JAMA: Journal of the American Medical Association. 2021 Feb 9;325(6):568–78 Gay, C et al. Educating patients about the benefits of physical activity and exercise for their hip and knee osteoarthritis. Systematic literature review. Annals of Physical and Rehabilitation Medicine 2016. 59(3):174-183 OA prevention. Osteoarthritis Action Alliance. 2021 Jonas WB et al. The effect of niacinamide on osteoarthritis: a pilot study. Inflamm Res 1996. Jul;45(7): p. 330-4 Zaharia OP et al. Reduced muscle strength Is associated with insulin resistance in type 2 diabetes patients with osteoarthritis, The Journal of Clinical Endocrinology & Metabolism 2021. 106 (4), 1062–1073 Jonas WB et al. The effect of niacinamide on osteoarthritis: a pilot study. Inflamm Res 1996. Jul;45(7):330-4 Phytomedicine 10(1):3-7, 2003, cited in IM News 1 Nov 2003:19 Pavelka et al. Efficacy and safety of piascledine 300 versus chondroitin sulfate in a 6 months treatment plus 2 months observation in patients with osteoarthritis of the knee. Clinical rheumatology. 2010 29(6):659–670 Vasquez A. Reducing pain and inflammation naturally -- part 3: Improving overall health while safely and effectively treating musculoskeletal pain. Nutritional Perspectives: Journal of the Council on Nutrition. 2005 Apr; 28(2):34–44   See more about the patient story Dr. Hassell shared: https://goodfoodgreatmedicine.com/news/04_05_23.pdf   In his practice, Dr. Hassell recommends his patients use this osteoarthritis cocktail (daily) as a 3 month trial: Glucosamine 1500mg daily MSM 3000 mg daily Gelatin 1 sachet daily Niacinamide 1000mg daily   So what do I do? Ten tips from the pages of Good Food Great Medicine, 4th edition Consider daily exercise a prescription.  Take 30 minutes or more daily to decrease your waistline, reduce heart disease risk, and improve mood and libido.  Add small doses to your routine like 10 jumping jacks every time you brush your teeth (pp. 27 & 72-73). Eat a wide variety of vegetables (p.37) Eat whole, intact grains (pp. 39-40, 66, & 99) Eat whole fruit (pp. 11, 36-37, & 96) Cook with extra-virgin olive oil (p. 41) Eat oil-rich fish, 2-7 servings per week (pp. 11 & 41-43) Eat raw nuts, seeds, beans, & lentils (pp. 11, 38, 41-42, 103 & 105) Have some cultured dairy (full fat plain yogurt, kefir, etc) daily (pp. 47-49 & 118) Eat modest amounts of unprocessed meat, poultry & eggs (pp. 11, 41-42 & 44-45) Enjoy wine (< 5 ounces daily) (pp. 11 & 58) Minimize or avoid: Sitting (get out of your chair and move your body every hour or so), sugars, sweet drinks, white flour, and processed foods (p. 20).

In most of the U.S., cities are for singles, roommates, and childless couples, and the suburbs are for raising kids. That's not true of much of the rest of the world, and perhaps the nearest example of family-friendly urbanism can be found just a few miles to the north, in Vancouver, British Columbia. Vancouver's under-15 population fell by one percent citywide between 1996 and 2016, but in downtown specifically, its youth population nearly tripled. Louis Thomas, lecturer at Georgetown University and a parent himself, joins us this week to discuss the history, policies, and social infrastructure that have enabled this incredible shift, and how those lessons might translate to other cities and urban cores across North America.Show notes:Thomas, L. L. (2021). Committed and “Won Over” Parents in Vancouver's Dense Family-Oriented Urbanism. Journal of the American Planning Association, 87(2), 239-253.Karsten, L. (2015). Middle-class childhood and parenting culture in high-rise Hong Kong: On scheduled lives, the school trap and a new urban idyll. Children's Geographies, 13(5), 556-570.Karsten, L. (2015). Middle-class households with children on vertical family living in Hong Kong. Habitat International, 47, 241-247.Yuen, B., Yeh, A., Appold, S. J., Earl, G., Ting, J., & Kurnianingrum Kwee, L. (2006). High-rise living in Singapore public housing. Urban Studies, 43(3), 583-600.Thomas, L. L. (2020). From childless tower to child-full density: families and the evolution of vancouverism. Planning Perspectives, 1-23.Ley, D. (1980). Liberal ideology and the postindustrial city. Annals of the Association of American geographers, 70(2), 238-258.City of Vancouver Planning Department. (1978). Housing Families at High Densities.Fishman, R. (2008). Bourgeois utopias: The rise and fall of suburbia. Basic books.

Send us a textYes, I know that Octavian IS Augustus, but this episode is about how Gaius Octavius became Gaius Julius Caesar Augustus, and in doing so replaced the old Roman Republic with a military autocracy masquerading as a republic. This is the conclusion of our three part series on the fall of the Roman Republic. My cohost for all three episodes has been my good friend Dr. Jennifer Paxton of the Catholic University of America.This episode includes two audio snippets:Mark Antony's funeral oration for Caesar, from the 1953 film version of Shakespeare's "Julius Caesar" (with Marlon Brando as Brutus)"What have the Romans done for us?" from "Monty Python's The Life of Brian"Quotations from:Appian on Caesar's Funeral, trans. John Carter (https://www.livius.org/sources/content/appian/appian-caesars-funeral/)Res Gestae Divi Augusti ("the achievements of the deified Augustus"), trans. F.W. Shipley  (https://www.livius.org/sources/content/augustus-res-gestae/)Tacitus Agricola. Translated by Alfred John Church and William Jackson Brodribb (1877)Tacitus, Annals. Loeb Classical Library edition of Tacitus, 1931For another take on the story, I recommend listening to "Marc Antony vs. Octavian Caesar: Ancient Rome's Ruthless Rivals," a two part series on the podcast "Beef with Bridget Todd."As I am posting this a couple of days before Christmas and Hanukkah, I would like to wish you all Happy Holidays. And if you haven't yet listened to it, you might want to try our episode on how Hanukkah and Christmas were celebrated in the Middle Ages (with detours into how Hanukkah became the Jewish Christmas in the United States and why the Puritans tried to suppress Christmas).Listen on Podurama https://podurama.com Intro and exit music are by Alexander NakaradaIf you have questions, feel free to contact me at richard.abels54@gmail.com

Welcome to Episode 40 – the BIG 4-0!! – of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants! Show Notes for Episode 40 of “The 2 View” – ST-segment elevation MI to occlusion MI, recurrent uncomplicated UTIs in Women, stercoral colitis in the emergency department, an interview with Dr. Ken Milne, and more. Segment 1 – ST-segment elevation MI to occlusion MI, corneal abrasions, and recurrent uncomplicated UTIs in women Green SM, Tomaszewski C, Valente JH, Lo B, Milne K. Use of Topical Anesthetics in the Management of Patients With Simple Corneal Abrasions: Consensus Guidelines From the American College of Emergency Physicians. Ann Emerg Med. Annals of Emergency Medicine: An International Journal. Published May 2024. https://www.annemergmed.com/article/S0196-0644(24)00004-0/fulltext McLaren J, de Alencar JN, Aslanger EK, Meyers HP, Smith SW. From ST-Segment Elevation MI to Occlusion MI: The New Paradigm Shift in Acute Myocardial Infarction. JACC Adv. JACC Journals. Published November 2024. https://www.jacc.org/doi/10.1016/j.jacadv.2024.101314 Morgenstern J. More medical dogma: The “golden period” for laceration repair. First10EM. Published October 24, 2022. https://first10em.com/more-medical-dogma-the-golden-period-for-laceration-repair/ Recurrent Uncomplicated Urinary Tract Infections in Women: AUA/CUA/SUFU Guideline (2022) - American urological association. Auanet.org. Published 2019, Reviewed and Validity Confirmed 2022. https://www.auanet.org/guidelines-and-quality/guidelines/recurrent-uti Segment 2 – Stercoral colitis in the emergency department Bae E, Tran J, Shah K. Stercoral colitis in the emergency department: a review of the literature. Int J Emerg Med. Published January 2 2024. https://intjem.biomedcentral.com/articles/10.1186/s12245-023-00578-x Hoverstadt MDP. International journal of emergency medicine. Wilderness & Environmental Medicine. https://intjem.biomedcentral.com/ International Journal of Emergency Medicine. BioMed Central. https://intjem.biomedcentral.com/ Keim AA, Campbell RL, Mullan AF, et al. Stercoral Colitis in the Emergency Department: A Retrospective Review of Presentation, Management, and Outcomes. Ann Emerg Med. Annals of Emergency Medicine: An International Journal. Published July 2023. https://www.annemergmed.com/article/S0196-0644(23)00098-7/abstract Segment 3 – Interview with Dr. Ken Milne Milne K. SGEM#457: Inhale – Nebulized or IV Ketamine for Acute Pain? The Skeptics Guide to Emergency Medicine - Meet 'em, greet 'em, treat 'em and street 'em. Published October 19, 2024. https://thesgem.com/2024/10/sgem457-inhale-nebulized-or-iv-ketamine-for-acute-pain/ Recurring Sources Center for Medical Education. Ccme.org. http://ccme.org The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com Trivia Question: Send answers to 2viewcast@gmail.com Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at 2viewcast@gmail.com and tell us who you want to give a shout-out to. Be sure to listen in and see what we have to share!

In this episode of The Brave Enough Show, Dr. Sasha Shillcutt and Dr. Lydia Kang discuss: Dr. Lydia Kang's journey as an author and how she balances her writing with her work as a physician. They talk about how to receive negative feedback and how rejection can be a stepping stool to deep growth. In this episode, they touch on:  How to filter feedback to assure it is useful to you  How to craft criticism in a way that people respond and grow from it  The beauty of sharing your rejections and failures with another person     “When you put yourself in big places and try bigger things, you are going to experience more failure and rejection. It is normal and more common that people understand in our shiny world of posting all the positive things on social media.” Dr. Lydia Kang    Dr. Lydia Kang is an author of young adult fiction, adult fiction and non-fiction, and poetry. She graduated from Columbia University and New York University School of Medicine, completing her residency and chief residency at Bellevue Hospital in New York City. She is a practicing physician and associate professor of Internal Medicine who has gained a reputation for helping fellow writers achieve medical accuracy in fiction. Her poetry and non-fiction have been published in JAMA, The Annals of Internal Medicine, Canadian Medical Association Journal, Journal of General Internal Medicine, and Great Weather for Media. She believes in science and knocking on wood, and currently lives in Omaha with her husband and three children.    Follow Dr. Lydia Kang Instagram  Website  facebook  Books    Episode Links:  REVIVE Retreat Brave Ballance   Follow Brave Enough:   WEBSITE | INSTAGRAM | FACEBOOK | TWITTER | LINKEDIN Join The Table, Brave Enough's community. The ONLY professional membership group that meets both the professional and personal needs of high-achieving women.

Contributor: Travis Barlock MD Educational Pearls: What is the ST segment? The ST segment on an ECG represents the interval between the end of ventricular depolarization (QRS) and the beginning of ventricular repolarization (T-wave).  It should appear isoelectric (flat) in a normal ECG. What if the ST segment is elevated? This is evidence that there is an injury that goes all the way through the muscular wall of the heart (transmural) This is very concerning for a heart attack (STEMI) but can be occasionally caused by other pathology, such as pericarditis What if the ST segment is depressed? This is evidence that only the innermost part of the muscular wall of the heart is becoming ischemic This has a much broader differential and includes a partial occlusion of a coronary artery but also any other stress on the body that could cause a supply-and-demand mismatch between the oxygen the coronaries can deliver and the oxygen the heart needs This is called subendocardial ischemia What else should you look for in the ECG to identify subendocardial ischemia? The ST-depressions should be at least 1 mm The ST depressions should be present in leads I, II, V4-6 and a variable number of additional leads. There is often reciprocal ST elevation in aVR > 1 mm The most important thing to remember when you see subendocardial ischemia is…history Still, keep all cardiac causes on your differential, such as unstable angina, stable angina, Prinzmetal angina, etc. Also consider a wide array of non-cardiac causes such as severe anemia, severe hypertension, pulmonary embolism, COPD, severe pneumonia, sepsis, shock, thyrotoxicosis, stimulant use, DKA, or any other state that lead to reduced oxygen supply to the subendocardium and/or increased myocardial oxygen demand. References Birnbaum, Y., Wilson, J. M., Fiol, M., de Luna, A. B., Eskola, M., & Nikus, K. (2014). ECG diagnosis and classification of acute coronary syndromes. Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc, 19(1), 4–14. https://doi.org/10.1111/anec.12130 Buttà, C., Zappia, L., Laterra, G., & Roberto, M. (2020). Diagnostic and prognostic role of electrocardiogram in acute myocarditis: A comprehensive review. Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc, 25(3), e12726. https://doi.org/10.1111/anec.12726 Cadogan, E. B. a. M. (2024, October 8). Myocardial Ischaemia. Life in the Fast Lane • LITFL. Retrieved December 7, 2024, from https://litfl.com/myocardial-ischaemia-ecg-library/#:~:text=ST%20depression%20due%20to%20subendocardial,left%20main%20coronary%20artery%20occlusion. Summarized by Jeffrey Olson, MS3 | Edited by Meg Joyce & Jorge Chalit, OMS3 Donate: https://emergencymedicalminute.org/donate/  

The Ig Nobel awards are a salute to achievements that, in the words of the organizers, “make people laugh, then think.”  Each year, the editors of the science humor magazine Annals of Improbable Research choose 10 lucky(?) winners who have unusual achievements in science, medicine, and other fields. This year's awards were presented in a theatrical extravaganza in an MIT lecture hall in September.They included awards for studying coin flipping (including hundreds of thousands of real coin flips), the movements of a dead trout, and an opera about Murphy's Law. In a Science Friday holiday tradition, Ira hosts an hour of highlights from the ceremony.Transcripts for each segment will be available after the show airs on sciencefriday.com. Subscribe to this podcast. Plus, to stay updated on all things science, sign up for Science Friday's newsletters.

Contributor: Aaron Lessen MD Educational Pearls: A study evaluated the patient-care impact and financial costs of holding patients in the ED, a nationwide issue Prospective, observational study of acute stroke management Conducted at a large urban, comprehensive stroke center The study evaluated patients in multiple categories:  admitted to med/surg admitted to med/surg but held in the ED admitted to the ICU Admitted to ICU but held in the ED Examined the amount of time nurses and providers spent with each patient This was analyzed in conjunction with the knowledge of each providers' salaries and the overhead costs of the med/surg unit, ICU, and ED  Conclusions: Patients who required med/surg inpatient care but who were held in the ED resulted in a doubled daily cost $1856 for med/surg inpatient boarding vs $993 for med/surg inpatient care Patients who required ICU care but who were held in the ED also resulted in an increased daily cost, but this difference was not as large $2267 for ICU inpatient boarding vs $2165 for ICU care Holding in the ED negatively impacts patients since they receive less time from providers Holding also results in increased financial costs References Canellas MM, Jewell M, Edwards JL, Olivier D, Jun-O'Connell AH, Reznek MA. Measurement of Cost of Boarding in the Emergency Department Using Time-Driven Activity-Based Costing. Annals of emergency medicine. Published online May 1, 2024. doi:https://doi.org/10.1016/j.annemergmed.2024.04.012 Summarized by Meg Joyce, MS1 | Edited by Meg Joyce & Jorge Chalit, OMS3 Donate: https://emergencymedicalminute.org/donate/  

In this episode, we review the available research on wild pig competition for acorns and their impact on competing wildlife species. We discuss the concept of competitive exclusion, the role of acorns in the diets of various species, the implications of pig removal on ecosystem dynamics, and what this means for turkeys. Resources: Anderson, W. M., et al. (2018). Using DNA metabarcoding to examine wild pig (Sus scrofa) diets in a subtropical agro-ecosystem. In Proceedings of the Vertebrate Pest Conference (Vol. 28, No. 28). Bieber, C., & Ruf, T. (2005). Population dynamics in wild boar Sus scrofa: ecology, elasticity of growth rate and implications for the management of pulsed resource consumers. Journal of Applied Ecology, 42(6), 1203-1213. Cutini, A., et al. (2013). Mast seeding in deciduous forests of the northern Apennines (Italy) and its influence on wild boar population dynamics. Annals of forest science, 70, 493-502. Dykstra, A. M., et al. (2023). Biological invasions disrupt activity patterns of native wildlife: An example from wild pigs. Food Webs, 34, e00270. Fay, A. S., et al. (2023). Impacts of wild pigs on acorn availability as a food source for native wildlife. Wildlife Research, 50(12), 1123-1130. How pig removal affects turkeys | #97 Shimada, T., Iijima, H., & Kotaka, N. (2024). Wild boar population fluctuations in a subtropical forest: the crucial role of mast seeding in Ryukyu Islands, Japan. European Journal of Wildlife Research, 70(3), 1-11.  USDA Feral Swine Population Distribution Wood, G. W., & Roark, D. N. (1980). Food habits of feral hogs in coastal South Carolina. The Journal of Wildlife Management, 44(2), 506-511. Wentworth, J. M., Johnson, A. S., & Hale, P. E. (1989). Influence of acorn abundance on whitetailed deer in the Southern Appalachians. In Proceedings of Workshop Southern Appalachian Mountain Range (pp. 2-6). Knoxville: University of Tennesee.   Donate to wild turkey research: UF Turkey Donation Fund , Auburn Turkey Donation Fund  Do you have a topic you'd like us to cover? Leave us a review or send us an email at wildturkeyscience@gmail.com!   Dr. Marcus Lashley @DrDisturbance, Publications Dr. Will Gulsby @dr_will_gulsby, Publications Turkeys for Tomorrow @turkeysfortomorrow  UF DEER Lab @ufdeerlab, YouTube   Please help us by taking our (QUICK) listener survey - Thank you!  Check out the NEW DrDisturbance YouTube channel! DrDisturbance YouTube Watch these podcasts on YouTube Leave a podcast rating for a chance to win free gear! Get a 10% discount  at Grounded Brand by using the code ‘TurkeyScience' at checkout! This podcast is made possible by Turkeys for Tomorrow, a grassroots organization dedicated to the wild turkey. To learn more about TFT, go to turkeysfortomorrow.org.    Music by Artlist.io Produced & edited by Charlotte Nowak  

Tolkien regrets the ‘truncated and compressed form' of the Appendices to The Lord of the Rings, while Alan and Don regret the truncated and compressed form of this episode! Join The Man of the West and The Obscure Lord of the Rings Facts guy as Tolkien gives us the fastest version of The Silmarillion ever in our first episode on the Annals of the Kings and Rulers. We beat the Fëanor piñata, visit the Hotel Thangorodrim and watch the Edain follow the second star to the right and straight on 'til morning to reach their new land. Also starring: grim grinning door handles and the avoided-for-that-cometh-anyway. Learn more about your ad choices. Visit megaphone.fm/adchoices