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Welcome to Season 2 of the Orthobullets Podcast.Today's show is Podiums, where we feature expert speakers from live medical events. Today's episode will feature Dr. John Cooper and is titled "Direct Anterior Approach - My Wound Care and Prevention of Infection"Follow Orthobullets on Social Media:FacebookInstagram LinkedIn
06 16-06-25 LHDW ¿Hará Xabi Alonso cambios tácticos en este Mundial de Clubes?, tiene que romper con la etapa anterior de Carlo Ancelotti. Poco margen
06 16-06-25 LHDW ¿Hará Xabi Alonso cambios tácticos en este Mundial de Clubes?, tiene que romper con la etapa anterior de Carlo Ancelotti. Poco margen
ADVERTENCIA: No apto para quienes se ofenden de todo. “La Bella y La Bestia Podcast". Nuevos episodios todos los domingos, con el NuevoOficial & JulietteDays, disponible en todas las plataformas: Spotify, Amazon, Apple, Ivoox, Google. Aquí contamos anécdotas propias y de la audiencia.Síguenos en redes sociales:Instagram: @juliettedays // @elnuevooficial // @labellaylabestia_podcastTwitter: @juliettdays // @elnuevooficialFacebook: @labellaylabestiapodcastTiktok: @juliettedays
Manuel Jabois reflexiona sobre la situación del PSOE tras la dimisión de Santos Cerdán
Summary In this Pain Exam Podcast episode, Dr. David Rosenblum discusses a journal club article on low volume neurolytic retrocrural celiac plexus blocks for visceral cancer pain. The study reviewed 507 patients with severe malignancy-related abdominal pain, with data retained for 455 patients at the 5-month mark. Dr. Rosenblum explains that the procedure involves injecting 3-5ml of 6% aqueous phenol at the T12-L1 level under fluoroscopic guidance, with an average procedure time of 16.3 minutes. The study found significant pain relief lasting up to six months, reduced opioid consumption, and improved quality of life for patients with primary abdominal cancer or metastatic disease. Dr. Rosenblum shares his personal experience with celiac plexus blocks, including the trans-aortic approach he trained on, and mentions his interest in ultrasound-guided approaches. He also announces upcoming teaching engagements at ASPN, Pain Week, and other conferences, as well as CME ultrasound courses available through nrappain.org. Additionally, he mentions a new community page on the website where users can share board preparation information, though he emphasizes that remembered board questions should not be posted as he is a board question writer himself. Pain Management Board Prep Ultrasound Training REGISTER TODAY! Create an Account and get Free Access to the PainExam- NRAP Academy Community Highlights Introduction and Upcoming Events Dr. David Rosenblum introduces the Pain Exam Podcast and shares information about upcoming events. He mentions teaching ultrasound at ASPN in July, attending Pain Week in September, and participating in the Latin American Pain Society conference. Dr. Rosenblum also promotes his CME ultrasound courses available at nrappain.org and mentions he's considering organizing another regenerative medicine course in fall or winter. He offers private training for those wanting more intensive ultrasound instruction. Board Prep Community Announcement Dr. Rosenblum announces a new community page on the nrappain.org website for board preparation. He explains that registered users can access free information and keywords relevant to board exams. He emphasizes that users should not post remembered questions as this would be inappropriate, noting that he himself is a board question writer for various pain boards. Dr. Rosenblum mentions that a post about phenol in this community inspired today's podcast topic. Journal Article Overview on Celiac Plexus Block Dr. Rosenblum introduces a journal article on low volume neurolytic retrocrural celiac plexus block for visceral cancer pain, a retrospective review of 507 patients with severe malignancy-related abdominal pain. He explains that the study assessed pain relief provided by this procedure, its duration, reduction in daily opioid consumption, and quality of life improvements. The patients received neurolytic blocks without previous diagnostic blocks due to multiple comorbidities, which Dr. Rosenblum acknowledges is sometimes necessary with very sick patients despite the typical preference for diagnostic blocks before neurolysis. Dr. Rosenblum's Personal Experience with Celiac Plexus Blocks Dr. Rosenblum shares his personal training experience with trans-aortic celiac plexus blocks, where a needle is inserted through the aorta after confirming no plaques or aneurysms are present. He describes it as a safe and effective procedure despite sounding intimidating. He mentions he's only performed a handful of these procedures and doesn't do many now as an outpatient pain doctor. Study Methods and Results Dr. Rosenblum details the study methods, noting that of 507 patients studied, data for 455 was retained at the end of the review. Patients were evaluated before and after the neurolytic retrocrural celiac plexus block under fluoroscopic guidance. Assessment included procedure duration, pain scores (0-10 scale), daily opioid consumption, and quality of life improvement. Follow-up was completed six months after the procedure, showing improved pain scores, reduced opioid consumption, and better quality of life throughout the study period. Some pain returned during months 4-6 due to disease progression and the anticipated duration of the neurolytic agent. The study noted a 6.7% initial vascular contrast uptake during the procedure while using digital subtraction angiography with fluoroscopy. Study Limitations and Conclusions Dr. Rosenblum discusses the study's limitations, including the need for a larger sample size and a prospective trial with a control group, though he acknowledges this is unrealistic given the patient population. He mentions that a proven quality of life questionnaire would be beneficial, and that comparing alcohol, phenol, and RF thermocoagulation would be interesting to evaluate duration effects and side effects. The study concluded that low volume neurolytic retrocrural celiac plexus block with phenol is safe, providing up to six months of pain relief for abdominal pain due to primary malignancy or metastatic spread. Detailed Procedure Technique Dr. Rosenblum explains the detailed procedure technique used in the study. The retrocrural celiac plexus was targeted at L1 level with aim towards T12. Anterior and posterior radiographic imaging aligning the spinous process of T12-L1 junction was used with 15-20 degree oblique rotation. Local anesthetic (1% lidocaine with sodium bicarbonate) was infiltrated along the injection path. A 22 or 25 gauge 3.5-7 inch curved spinal needle was used depending on patient body habitus. Dr. Rosenblum notes he typically uses a 6-inch Chiba needle or 25 gauge spinal needle for such procedures. Procedure Execution and Monitoring Dr. Rosenblum continues describing the procedure, noting that the needle was advanced to the anterior border of T12-L1 under multiple imaging views. Contrast dye studies verified spread and location, with digital subtraction angiography used to check for intravascular uptake. A test dose of 1ml of 0.5% bupivacaine with epinephrine per site was administered, which Dr. Rosenblum finds interesting as he typically doesn't mix bupivacaine with epinephrine. After confirming no vascular uptake, 3-5ml of 6% aqueous phenol was injected in 1ml aliquots while communicating with the patient. The average procedure time was 16.3 minutes with minimal or no sedation. Patients remained prone for 30 minutes afterward to avoid neuroforaminal spread, as phenol is heavier and more viscous than alcohol. Post-Procedure Care and Study Evaluation Dr. Rosenblum explains that patients were monitored in recovery for one hour for adverse events and their ability to eat and void easily. They were discharged once hospital post-anesthetic criteria were met and received a follow-up call 24 hours later. Dr. Rosenblum praises the study and notes that the procedure looks similar to a lumbar sympathetic plexus block, which is also a sympathetic block. Ultrasound Considerations and Alternative Approaches Dr. Rosenblum shares his interest in ultrasound-guided celiac plexus blocks but acknowledges concerns about bowel perforation. He mentions a conversation with an interventional radiology colleague who suggested a transhepatic approach. Dr. Rosenblum recalls scanning a very thin patient where the aorta was easily visible and close to the anterior abdominal wall, making the celiac plexus potentially accessible if bowel perforation, liver bleeding, or gallbladder perforation could be avoided. He shares an experience with a patient suffering from severe pancreatitis pain who received temporary relief from a paravertebral thoracic nerve block at T8-T10, noting that paravertebral blocks provide some sympathetic spread. Conclusion and Community Resource Reminder Dr. Rosenblum concludes by recommending the article, noting its well-written analysis and graphs showing morphine consumption dropping over months following the procedure. He suggests neurolytic procedures are underutilized because they sound intimidating. He again encourages listeners to check out the community he created with separate chat rooms for regenerative medicine, regional anesthesia, and pain boards, where users can share keywords but not specific board questions. Dr. Rosenblum reminds listeners about upcoming courses and his website resources, mentions an upcoming PRP lecture, and asks for five-star reviews if listeners enjoy the podcast. The episode ends with a standard medical disclaimer. Reference https://www.painphysicianjournal.com/current/pdf?article=NTQwOA%3D%3D&journal=113
Summary In this Pain Exam Podcast episode, Dr. David Rosenblum discusses a journal club article on low volume neurolytic retrocrural celiac plexus blocks for visceral cancer pain. The study reviewed 507 patients with severe malignancy-related abdominal pain, with data retained for 455 patients at the 5-month mark. Dr. Rosenblum explains that the procedure involves injecting 3-5ml of 6% aqueous phenol at the T12-L1 level under fluoroscopic guidance, with an average procedure time of 16.3 minutes. The study found significant pain relief lasting up to six months, reduced opioid consumption, and improved quality of life for patients with primary abdominal cancer or metastatic disease. Dr. Rosenblum shares his personal experience with celiac plexus blocks, including the trans-aortic approach he trained on, and mentions his interest in ultrasound-guided approaches. He also announces upcoming teaching engagements at ASPN, Pain Week, and other conferences, as well as CME ultrasound courses available through nrappain.org. Additionally, he mentions a new community page on the website where users can share board preparation information, though he emphasizes that remembered board questions should not be posted as he is a board question writer himself. Pain Management Board Prep Ultrasound Training REGISTER TODAY! Create an Account and get Free Access to the PainExam- NRAP Academy Community Highlights Introduction and Upcoming Events Dr. David Rosenblum introduces the Pain Exam Podcast and shares information about upcoming events. He mentions teaching ultrasound at ASPN in July, attending Pain Week in September, and participating in the Latin American Pain Society conference. Dr. Rosenblum also promotes his CME ultrasound courses available at nrappain.org and mentions he's considering organizing another regenerative medicine course in fall or winter. He offers private training for those wanting more intensive ultrasound instruction. Board Prep Community Announcement Dr. Rosenblum announces a new community page on the nrappain.org website for board preparation. He explains that registered users can access free information and keywords relevant to board exams. He emphasizes that users should not post remembered questions as this would be inappropriate, noting that he himself is a board question writer for various pain boards. Dr. Rosenblum mentions that a post about phenol in this community inspired today's podcast topic. Journal Article Overview on Celiac Plexus Block Dr. Rosenblum introduces a journal article on low volume neurolytic retrocrural celiac plexus block for visceral cancer pain, a retrospective review of 507 patients with severe malignancy-related abdominal pain. He explains that the study assessed pain relief provided by this procedure, its duration, reduction in daily opioid consumption, and quality of life improvements. The patients received neurolytic blocks without previous diagnostic blocks due to multiple comorbidities, which Dr. Rosenblum acknowledges is sometimes necessary with very sick patients despite the typical preference for diagnostic blocks before neurolysis. Dr. Rosenblum's Personal Experience with Celiac Plexus Blocks Dr. Rosenblum shares his personal training experience with trans-aortic celiac plexus blocks, where a needle is inserted through the aorta after confirming no plaques or aneurysms are present. He describes it as a safe and effective procedure despite sounding intimidating. He mentions he's only performed a handful of these procedures and doesn't do many now as an outpatient pain doctor. Study Methods and Results Dr. Rosenblum details the study methods, noting that of 507 patients studied, data for 455 was retained at the end of the review. Patients were evaluated before and after the neurolytic retrocrural celiac plexus block under fluoroscopic guidance. Assessment included procedure duration, pain scores (0-10 scale), daily opioid consumption, and quality of life improvement. Follow-up was completed six months after the procedure, showing improved pain scores, reduced opioid consumption, and better quality of life throughout the study period. Some pain returned during months 4-6 due to disease progression and the anticipated duration of the neurolytic agent. The study noted a 6.7% initial vascular contrast uptake during the procedure while using digital subtraction angiography with fluoroscopy. Study Limitations and Conclusions Dr. Rosenblum discusses the study's limitations, including the need for a larger sample size and a prospective trial with a control group, though he acknowledges this is unrealistic given the patient population. He mentions that a proven quality of life questionnaire would be beneficial, and that comparing alcohol, phenol, and RF thermocoagulation would be interesting to evaluate duration effects and side effects. The study concluded that low volume neurolytic retrocrural celiac plexus block with phenol is safe, providing up to six months of pain relief for abdominal pain due to primary malignancy or metastatic spread. Detailed Procedure Technique Dr. Rosenblum explains the detailed procedure technique used in the study. The retrocrural celiac plexus was targeted at L1 level with aim towards T12. Anterior and posterior radiographic imaging aligning the spinous process of T12-L1 junction was used with 15-20 degree oblique rotation. Local anesthetic (1% lidocaine with sodium bicarbonate) was infiltrated along the injection path. A 22 or 25 gauge 3.5-7 inch curved spinal needle was used depending on patient body habitus. Dr. Rosenblum notes he typically uses a 6-inch Chiba needle or 25 gauge spinal needle for such procedures. Procedure Execution and Monitoring Dr. Rosenblum continues describing the procedure, noting that the needle was advanced to the anterior border of T12-L1 under multiple imaging views. Contrast dye studies verified spread and location, with digital subtraction angiography used to check for intravascular uptake. A test dose of 1ml of 0.5% bupivacaine with epinephrine per site was administered, which Dr. Rosenblum finds interesting as he typically doesn't mix bupivacaine with epinephrine. After confirming no vascular uptake, 3-5ml of 6% aqueous phenol was injected in 1ml aliquots while communicating with the patient. The average procedure time was 16.3 minutes with minimal or no sedation. Patients remained prone for 30 minutes afterward to avoid neuroforaminal spread, as phenol is heavier and more viscous than alcohol. Post-Procedure Care and Study Evaluation Dr. Rosenblum explains that patients were monitored in recovery for one hour for adverse events and their ability to eat and void easily. They were discharged once hospital post-anesthetic criteria were met and received a follow-up call 24 hours later. Dr. Rosenblum praises the study and notes that the procedure looks similar to a lumbar sympathetic plexus block, which is also a sympathetic block. Ultrasound Considerations and Alternative Approaches Dr. Rosenblum shares his interest in ultrasound-guided celiac plexus blocks but acknowledges concerns about bowel perforation. He mentions a conversation with an interventional radiology colleague who suggested a transhepatic approach. Dr. Rosenblum recalls scanning a very thin patient where the aorta was easily visible and close to the anterior abdominal wall, making the celiac plexus potentially accessible if bowel perforation, liver bleeding, or gallbladder perforation could be avoided. He shares an experience with a patient suffering from severe pancreatitis pain who received temporary relief from a paravertebral thoracic nerve block at T8-T10, noting that paravertebral blocks provide some sympathetic spread. Conclusion and Community Resource Reminder Dr. Rosenblum concludes by recommending the article, noting its well-written analysis and graphs showing morphine consumption dropping over months following the procedure. He suggests neurolytic procedures are underutilized because they sound intimidating. He again encourages listeners to check out the community he created with separate chat rooms for regenerative medicine, regional anesthesia, and pain boards, where users can share keywords but not specific board questions. Dr. Rosenblum reminds listeners about upcoming courses and his website resources, mentions an upcoming PRP lecture, and asks for five-star reviews if listeners enjoy the podcast. The episode ends with a standard medical disclaimer. Reference https://www.painphysicianjournal.com/current/pdf?article=NTQwOA%3D%3D&journal=113
Summary In this Pain Exam Podcast episode, Dr. David Rosenblum discusses a journal club article on low volume neurolytic retrocrural celiac plexus blocks for visceral cancer pain. The study reviewed 507 patients with severe malignancy-related abdominal pain, with data retained for 455 patients at the 5-month mark. Dr. Rosenblum explains that the procedure involves injecting 3-5ml of 6% aqueous phenol at the T12-L1 level under fluoroscopic guidance, with an average procedure time of 16.3 minutes. The study found significant pain relief lasting up to six months, reduced opioid consumption, and improved quality of life for patients with primary abdominal cancer or metastatic disease. Dr. Rosenblum shares his personal experience with celiac plexus blocks, including the trans-aortic approach he trained on, and mentions his interest in ultrasound-guided approaches. He also announces upcoming teaching engagements at ASPN, Pain Week, and other conferences, as well as CME ultrasound courses available through nrappain.org. Additionally, he mentions a new community page on the website where users can share board preparation information, though he emphasizes that remembered board questions should not be posted as he is a board question writer himself. Pain Management Board Prep Ultrasound Training REGISTER TODAY! Create an Account and get Free Access to the PainExam- NRAP Academy Community Highlights Introduction and Upcoming Events Dr. David Rosenblum introduces the Pain Exam Podcast and shares information about upcoming events. He mentions teaching ultrasound at ASPN in July, attending Pain Week in September, and participating in the Latin American Pain Society conference. Dr. Rosenblum also promotes his CME ultrasound courses available at nrappain.org and mentions he's considering organizing another regenerative medicine course in fall or winter. He offers private training for those wanting more intensive ultrasound instruction. Board Prep Community Announcement Dr. Rosenblum announces a new community page on the nrappain.org website for board preparation. He explains that registered users can access free information and keywords relevant to board exams. He emphasizes that users should not post remembered questions as this would be inappropriate, noting that he himself is a board question writer for various pain boards. Dr. Rosenblum mentions that a post about phenol in this community inspired today's podcast topic. Journal Article Overview on Celiac Plexus Block Dr. Rosenblum introduces a journal article on low volume neurolytic retrocrural celiac plexus block for visceral cancer pain, a retrospective review of 507 patients with severe malignancy-related abdominal pain. He explains that the study assessed pain relief provided by this procedure, its duration, reduction in daily opioid consumption, and quality of life improvements. The patients received neurolytic blocks without previous diagnostic blocks due to multiple comorbidities, which Dr. Rosenblum acknowledges is sometimes necessary with very sick patients despite the typical preference for diagnostic blocks before neurolysis. Dr. Rosenblum's Personal Experience with Celiac Plexus Blocks Dr. Rosenblum shares his personal training experience with trans-aortic celiac plexus blocks, where a needle is inserted through the aorta after confirming no plaques or aneurysms are present. He describes it as a safe and effective procedure despite sounding intimidating. He mentions he's only performed a handful of these procedures and doesn't do many now as an outpatient pain doctor. Study Methods and Results Dr. Rosenblum details the study methods, noting that of 507 patients studied, data for 455 was retained at the end of the review. Patients were evaluated before and after the neurolytic retrocrural celiac plexus block under fluoroscopic guidance. Assessment included procedure duration, pain scores (0-10 scale), daily opioid consumption, and quality of life improvement. Follow-up was completed six months after the procedure, showing improved pain scores, reduced opioid consumption, and better quality of life throughout the study period. Some pain returned during months 4-6 due to disease progression and the anticipated duration of the neurolytic agent. The study noted a 6.7% initial vascular contrast uptake during the procedure while using digital subtraction angiography with fluoroscopy. Study Limitations and Conclusions Dr. Rosenblum discusses the study's limitations, including the need for a larger sample size and a prospective trial with a control group, though he acknowledges this is unrealistic given the patient population. He mentions that a proven quality of life questionnaire would be beneficial, and that comparing alcohol, phenol, and RF thermocoagulation would be interesting to evaluate duration effects and side effects. The study concluded that low volume neurolytic retrocrural celiac plexus block with phenol is safe, providing up to six months of pain relief for abdominal pain due to primary malignancy or metastatic spread. Detailed Procedure Technique Dr. Rosenblum explains the detailed procedure technique used in the study. The retrocrural celiac plexus was targeted at L1 level with aim towards T12. Anterior and posterior radiographic imaging aligning the spinous process of T12-L1 junction was used with 15-20 degree oblique rotation. Local anesthetic (1% lidocaine with sodium bicarbonate) was infiltrated along the injection path. A 22 or 25 gauge 3.5-7 inch curved spinal needle was used depending on patient body habitus. Dr. Rosenblum notes he typically uses a 6-inch Chiba needle or 25 gauge spinal needle for such procedures. Procedure Execution and Monitoring Dr. Rosenblum continues describing the procedure, noting that the needle was advanced to the anterior border of T12-L1 under multiple imaging views. Contrast dye studies verified spread and location, with digital subtraction angiography used to check for intravascular uptake. A test dose of 1ml of 0.5% bupivacaine with epinephrine per site was administered, which Dr. Rosenblum finds interesting as he typically doesn't mix bupivacaine with epinephrine. After confirming no vascular uptake, 3-5ml of 6% aqueous phenol was injected in 1ml aliquots while communicating with the patient. The average procedure time was 16.3 minutes with minimal or no sedation. Patients remained prone for 30 minutes afterward to avoid neuroforaminal spread, as phenol is heavier and more viscous than alcohol. Post-Procedure Care and Study Evaluation Dr. Rosenblum explains that patients were monitored in recovery for one hour for adverse events and their ability to eat and void easily. They were discharged once hospital post-anesthetic criteria were met and received a follow-up call 24 hours later. Dr. Rosenblum praises the study and notes that the procedure looks similar to a lumbar sympathetic plexus block, which is also a sympathetic block. Ultrasound Considerations and Alternative Approaches Dr. Rosenblum shares his interest in ultrasound-guided celiac plexus blocks but acknowledges concerns about bowel perforation. He mentions a conversation with an interventional radiology colleague who suggested a transhepatic approach. Dr. Rosenblum recalls scanning a very thin patient where the aorta was easily visible and close to the anterior abdominal wall, making the celiac plexus potentially accessible if bowel perforation, liver bleeding, or gallbladder perforation could be avoided. He shares an experience with a patient suffering from severe pancreatitis pain who received temporary relief from a paravertebral thoracic nerve block at T8-T10, noting that paravertebral blocks provide some sympathetic spread. Conclusion and Community Resource Reminder Dr. Rosenblum concludes by recommending the article, noting its well-written analysis and graphs showing morphine consumption dropping over months following the procedure. He suggests neurolytic procedures are underutilized because they sound intimidating. He again encourages listeners to check out the community he created with separate chat rooms for regenerative medicine, regional anesthesia, and pain boards, where users can share keywords but not specific board questions. Dr. Rosenblum reminds listeners about upcoming courses and his website resources, mentions an upcoming PRP lecture, and asks for five-star reviews if listeners enjoy the podcast. The episode ends with a standard medical disclaimer. Reference https://www.painphysicianjournal.com/current/pdf?article=NTQwOA%3D%3D&journal=113
Já é conhecido o segundo executivo de Montenegro e a lista não surpreende. O PM viu nos resultados eleitorais motivo para seguir com a mesma equipa ou não percebeu que a subida do Chega pede mudanças?See omnystudio.com/listener for privacy information.
This throwback episode features Dr. Kris Aadland joining Kevin and Zach from the Voices of Dentistry 2023 event in Scottsdale, Arizona! They discuss the myth that in-house CAD/CAM crowns are inferior to lab crowns, with Kris sharing insights from her extensive experience. The conversation covers various aspects of dental technology, including the efficiency of using multiple milling machines, digital designs, and standard operating procedures (SOPs) for running a smooth dental practice. Additionally Kris offers practical tips on using dental tools like dry shields and isolites to enhance productivity in the face of staffing shortages. Some links from the show: The Pathway (where Kris teaches) Dryshield Isolite Optragate Join the Very Dental Facebook group using the password "Timmerman," Hornbrook" or "McWethy," "Papa Randy" or "Lipscomb!" Very Clinical is brought to you by Zirc Dental Products, Inc., your trusted partner in dental efficiency and organization. The Very Clinical Corner segment features Kate Reinert, LDA, an experienced dental professional passionate about helping practices achieve clinical excellence. Connect with Kate Reinert on LinkedIn: Kate Reinert, LDA Book a call with Kate: Reserve a Call Ready to upscale your team? Explore Zirc's solutions today: zirc.com
La directora general de Producciones y Mercados Agrarios del Ministerio de Agricultura, Elena Busutil, ha presidido este miércoles la reunión sectorial de fruta de verano y hueso. Los primeros Avances de Superficies y Producciones de Cultivos del Ministerio a mes de marzo -sin datos de nectarina- estiman un aumento de la producción de la fruta de hueso respecto a la campaña anterior de un 13 % y de un 21 % en relación a las cinco últimas campañas. Pero es muy probable que las próximas estimaciones disminuyan estas cifras, una vez que pueda ser cuantificado el impacto de los fenómenos meteorológicos adversos. La Oficina Comarcal Agraria de Muniesa, que da servicio a 11 municipios de Cuencas Mineras, cerraba este martes al mediodía por falta de personal. Desde el Departamento de Agricultura aseguran que el cierre será hasta el 2 de junio y que la OCA de Montalbán está supliendo el servicio de emisión de guías ganaderas. Este miércoles por la mañana ha tenido lugar la Asamblea General de la Comunidad de Regantes de Bardenas.
La directora general de Producciones y Mercados Agrarios del Ministerio de Agricultura, Elena Busutil, ha presidido este miércoles la reunión sectorial de fruta de verano y hueso. Los primeros Avances de Superficies y Producciones de Cultivos del Ministerio a mes de marzo -sin datos de nectarina- estiman un aumento de la producción de la fruta de hueso respecto a la campaña anterior de un 13 % y de un 21 % en relación a las cinco últimas campañas. Pero es muy probable que las próximas estimaciones disminuyan estas cifras, una vez que pueda ser cuantificado el impacto de los fenómenos meteorológicos adversos. La Oficina Comarcal Agraria de Muniesa, que da servicio a 11 municipios de Cuencas Mineras, cerraba este martes al mediodía por falta de personal. Desde el Departamento de Agricultura aseguran que el cierre será hasta el 2 de junio y que la OCA de Montalbán está supliendo el servicio de emisión de guías ganaderas. Este miércoles por la mañana ha tenido lugar la Asamblea General de la Comunidad de Regantes de Bardenas.
Today's throwback episode features an in person interview with Dr. Brian Baliwas...the one and only @sfdentalnerd! Zach and Kevin were asking about dental myths and Brian delivered! The discussion navigated through occlusion myths and explores contemporary approaches to occlusion. Brian shares insights from his education at the Kois Center, advocating for an 'outside in' approach to checking occlusion. The conversation further delves into the importance of orthodontics in setting up a stable bite for long-term restorative success. Brian also touches upon practical tips to avoid issues with veneers and crowns, emphasizing the significance of clearing the pathway for a more functional bite. Some links from the show: Brian's Instagram handle Kois Center Join the Very Dental Facebook group using the password "Timmerman," Hornbrook" or "McWethy," "Papa Randy" or "Lipscomb!" Very Clinical is brought to you by Zirc Dental Products, Inc., your trusted partner in dental efficiency and organization. The Very Clinical Corner segment features Kate Reinert, LDA, an experienced dental professional passionate about helping practices achieve clinical excellence. Connect with Kate Reinert on LinkedIn: Kate Reinert, LDA Book a call with Kate: Reserve a Call Ready to upscale your team? Explore Zirc's solutions today: zirc.com
Skin of Color Issues - with Dr. Tia Paul! -Anterior cervical hypertrichosis -A new vascular anomaly: SeCVAUS -Can you just observe SCCis? -Early inflammatory morphe can mimic port-wine stains -Learn more about Dr. Paul at balancedskin.com/ or on Instagram/Tiktok @dr.tiapaul!Join Luke's CME experience on Jak inhibitors! rushu.gathered.com/invite/ELe31Enb69Register for the U of U Practical Derm course!medicine.utah.edu/dermatology/educ…ities/practicalLearn more about the U of U Dermatology ECHO model!physicians.utah.edu/echo/dermatology-primarycareWant to donate to the cause? Do so here! Donate to the podcast: uofuhealth.org/dermasphere Check out our video content on YouTube: www.youtube.com/@dermaspherepodcast and VuMedi!: www.vumedi.com/channel/dermasphere/ The University of Utah's Dermatology ECHO: physicians.utah.edu/echo/dermatology-primarycare - Connect with us! - Web: dermaspherepodcast.com/ - Twitter: @DermaspherePC - Instagram: dermaspherepodcast - Facebook: www.facebook.com/DermaspherePodcast/ - Check out Luke and Michelle's other podcast, SkinCast! healthcare.utah.edu/dermatology/skincast/ Luke and Michelle report no significant conflicts of interest… BUT check out our friends at: - Kikoxp.com (a social platform for doctors to share knowledge) - www.levelex.com/games/top-derm (A free dermatology game to learn more dermatology!
Este nuevo programa de 'Cualquier tiempo pasado fue anterior' no es apto para oyentes que se consideren católicos, apostólicos y romanos; y que hayan seguido con fervor cristiano el espectáculo mediático en el que se ha convertido la muerte de Bergoglio y la elección de Prevost. Nieves Concostrina nos habla del “otro” vaticano y sus papas desde su punto de vista crítico. Acompañan las secciones de arte con Ana Valtierra, el invitado de Jesús Pozo, la música con Emma Vallespinós y la colaboración de Pepe Rubio. En la técnica, como siempre, María Jesús Rodríguez
Carlos Antonio Vélez, en sus Palabras Mayores del 26 de mayo de 2025, habló de la Selección Colombia y del director técnico Néstor Lorenzo. Vélez analizó la convocatoria de Perú, rival de Colombia en la fecha 15. Carlos Antonio se refirió a la conformación de los grupos en los cuadrangulares semifinales de la Liga BetPlay. Finalmente, habló de las recientes denuncias en el FPC por técnico que piden coima para poner a jugar a futbolistas.
Este nuevo programa de 'Cualquier tiempo pasado fue anterior' no es apto para oyentes que se consideren católicos, apostólicos y romanos; y que hayan seguido con fervor cristiano el espectáculo mediático en el que se ha convertido la muerte de Bergoglio y la elección de Prevost. Nieves Concostrina nos habla del “otro” vaticano y sus papas desde su punto de vista crítico. Acompañan las secciones de arte con Ana Valtierra, el invitado de Jesús Pozo, la música con Emma Vallespinós y la colaboración de Pepe Rubio. En la técnica, como siempre, María Jesús Rodríguez
Fala pessoal, esse é o nosso episódio de número 200, então resolvi fazer algo um pouco diferente para vocês. O primeiro relato vai ser contado pela própria ouvinte, o segundo é de terror da vida real e por fim relatos sobrenaturais, espero que curtam!
¿Siempre repites el mismo patrón en pareja? Este vídeo te muestra por qué... y cómo romperlo para siempre. Este es el segundo vídeo de la serie El Laberinto del Eneagrama. Es la herramienta para transformar tu realidad en salud, dinero y amor.
PPPOEMAS E PENSAMENTOS - INSPIRAÇÃO PURA
La diputada Camila Flores (RN) se refirió en Canal 24 Horas a la sesión especial convocada en la Cámara para abordar el caso ProCultura.
Cuando Eddy Cue abre la boca, sube el pan y bajan Apple y Google 0:00 Hacemos la cola virtual de Bad Bunny 04:47 Eddy Cue abre la boca y sube el pan 17:37 Atención creativos: webinar gratuito de Founderz 19:24 Perplexity descorcha el champán 23:00 Los robots de Amazon ya empaquetan casi bien 27:58 El AI First y los trabajos humanos todavía más alienantes 34:07 Las suscripciones fijas igual se extinguen 38:16 La IA no se hace sola, hay que hacerla 40:31 Limones helados en AI Mode de Google 48:16 El papa Leon XIV nos salvará de la IA 50:59 Zuck se ha puesto distópico, otra vez 57:24 Puerta grande o enfermería 1:15:11 Canción resumen Patrocinador: La IA no reemplaza al creador humano, pero puede ayudar a desbloquear ideas y avanzar cuando estás atascado. Dispara tus ideas y aumenta tu productividad gracias al Webinar gratuito de IA creativa de Founderz. Apúntate a través de este enlace antes del jueves 22 de mayo a las 19:00h. Dirigido a diseñadores, marketers, creadores de contenido, fotógrafos, editores… o cualquier persona interesada en IA creativa. monos estocásticos es un podcast sobre inteligencia artificial presentado por Antonio Ortiz (@antonello) y Matías S. Zavia (@matiass). Sacamos un episodio nuevo cada jueves. Puedes seguirnos en YouTube, LinkedIn y X. Más enlaces en cuonda.com/monos-estocasticos/links - (0) Hacemos la cola virtual de Bad Bunny - (04:47) Eddy Cue abre la boca y sube el pan - (17:37) Atención creativos: webinar gratuito de Founderz - (19:24) Perplexity descorcha el champán - (23:00) Los robots de Amazon ya empaquetan casi bien - (27:58) El AI First y los trabajos humanos todavía más alienantes - (34:07) Las suscripciones fijas igual se extinguen - (38:16) La IA no se hace sola, hay que hacerla - (40:31) Limones helados en AI Mode de Google - (48:16) El papa Leon XIV nos salvará de la IA - (50:59) Zuck se ha puesto distópico, otra vez - (57:24) Puerta grande o enfermería - (1h15) Canción resumen
Welcome to episode 156 of the Bodybuilding Down Under podcast! In this episode, we dive deep into optimising your push day training, breaking down the best approaches for chest and delt hypertrophy, and tackling some of the most debated questions around pressing and isolation work. Here's what we cover:
No es el amor lo que te duele. Es lo que viviste cuando lo confundiste con otra cosa. Porque cuando no sanas lo anterior… terminas alejando lo que sí te haría bien. Desconfías de lo sano. Y repites lo que un día te rompió. Este vídeo no es para quien quiere excusas. Es para quien está listo para dejar de huir de lo que realmente necesita. Más herramientas para romper tus patrones y volver a confiar en ti, en el amor y en la vida: paconavas.com Tu vida, tus normas.
Em faturamento, o valor negociado é 31% maior do que o registrado em abril de 2024
En la próxima hora contamos por qué los norteamericanos se comen durante la hipócrita fiesta de acción de gracias un pavo. Celebran la llegada en 1621 de 102 miembros de la secta de los puritanos y que arrasó con todo humano que no era tan blanco como ellos. Un nuevo episodio de 'Cualquier tiempo pasado fue anterior' de Nieves Concostrina con Ana Valtierra, Jesús Pozo, Emma Vallespinós, Pepe Rubio y María Jesús Rodríguez en la técnica
En la próxima hora contamos por qué los norteamericanos se comen durante la hipócrita fiesta de acción de gracias un pavo. Celebran la llegada en 1621 de 102 miembros de la secta de los puritanos y que arrasó con todo humano que no era tan blanco como ellos. Un nuevo episodio de 'Cualquier tiempo pasado fue anterior' de Nieves Concostrina con Ana Valtierra, Jesús Pozo, Emma Vallespinós, Pepe Rubio y María Jesús Rodríguez en la técnica
Los problemas en las rodillas pueden provocar dolor y dificultades para caminar.
Welcome to Season 2 of the Orthobullets Podcast.Today's show is Podiums, where we feature expert speakers from live medical events. Today's episode will feature Dr. Darwin Chen and is titled Mitigating Femoral Fractures in Direct Anterior Hip Arthroplasty.Follow Orthobullets on Social Media:FacebookInstagram TwitterLinkedIn
Datos sobre el sexenio de López Obrador, el más violento de toda la historia de México.
Este nuevo “Cualquier Tiempo pasado fue anterior”, además de la perdida de los restos del más grande autor teatral, va de su afición a las mujeres, de por qué es el pionero en el marketing literario y, también, de lo actual que es en el siglo XXI para casi todo el mundo del arte.Un genio y un ‘trueno vestido de nazareno'. Todo esto lo cuentan Nieves Concostrina, Ana Valtierra, Jesús Pozo, Pepe Rubio y Emma Vallespinós con letras y músicas. Y con la técnica de María Jesús Rubio.
Este nuevo “Cualquier Tiempo pasado fue anterior”, además de la perdida de los restos del más grande autor teatral, va de su afición a las mujeres, de por qué es el pionero en el marketing literario y, también, de lo actual que es en el siglo XXI para casi todo el mundo del arte.Un genio y un ‘trueno vestido de nazareno'. Todo esto lo cuentan Nieves Concostrina, Ana Valtierra, Jesús Pozo, Pepe Rubio y Emma Vallespinós con letras y músicas. Y con la técnica de María Jesús Rubio.
Fix your pelvis with Bill's RECON program at http://www.reconu.co Free articles and courses from Bill Hartman at http://uhp.network Episode Summary:In this episode, Chris and Bill delve into the complexities of anterior pelvic tilt, discussing its definition, common misconceptions, and effective management strategies. Chapters & Timestamps:00:00 – Introduction to Anterior Pelvic Tilt01:07 – Definition of Anterior Pelvic Tilt vs. Orientation04:17 – Biomechanical Considerations05:31 – Why Posterior Orientation Isn't the Answer11:10 – Causes of Anterior Pelvic Orientation13:34 – Traditional Perspectives and Misconceptions19:04 – Reconsidering Stretching and Strengthening21:58 – Solutions: Reducing Muscle Activity and Managing Center of Gravity28:27 – They summarize the discussion, emphasizing the importance of understanding pelvic mechanics.Key Takeaways:Understanding Pelvic Mechanics: Distinguish between pelvic tilt and orientation to address issues effectively.Center of Gravity Management: Reducing muscle activity and managing the center of gravity are crucial for correcting anterior pelvic orientation.Exercise Strategies: Utilize exercises that promote relative motion and manage the center of gravity, such as reclined squats and elevated goblet squats.Avoiding Misconceptions: Traditional stretching and strengthening methods may not address the root cause of anterior pelvic orientation.LEARN MOREJOIN the UHP Network to learn directly from Bill through articles, videos and courses.http://UHP.network FOLLOW Bill on IG to stay up to date on when his courses are coming out:IG: https://www.instagram.com/bill_hartman_pt/TRAIN WITH BILLInterested in the only training program based on Bill Hartman's Model?Join the rapidly growing community who are reconstructing their bodies at https://www.reconu.co FREE EBOOK by Bill about the guiding principles of training when you fill out your sign-up form. http://www.reconu.co SUBSCRIBE for even more helpful content:YT: https://www.youtube.com/@BillHartmanPTIG: https://www.instagram.com/bill_hartman_pt/FB: https://www.facebook.com/BillHartmanPTWEB: https://billhartmanpt.com/Podcast audio:https://open.spotify.com/show/7cJM6v5S38RLroac6BQjrd?si=eca3b211dafc4202https://podcasts.apple.com/us/po
La medida entrará en vigencia a partir del 24 de abril, lo que dejará sin protección a medio millón de personas que resultaron beneficiadas durante el gobierno de Biden
Dice Miguel que se parece al actor de las 50 sombras de Grey y está dispuesto a defenderlo tirado si hace falta sobre la mesa, que es la mesa más buena de la SER. En la pugna interna entre su yo nuevo y su yo viejo, discute con Sastre sobre las salas de espera y los pasajes bíblicos. Y Sastre acaba este episodio hablando de hacer cosas con las manos, aunque no en el sentido de las que hacían en 50 sombras de Grey.
This episode is dedicated to the letter B. Because trying to fix an anterior pelvic tilt is a bunch of baloney. Research articles: Degree of pelvic tiltWeak absWeak glutesSitting all dayYou can find Chris here: Instagram Lower Back Pain YT FREE mobility guideOnline Coaching
En este episodio exploramos cómo la psilocibina afecta la corteza prefrontal medial anterior (aMPFC) y la red neuronal por defecto (DMN), apagando el diálogo interno y flexibilizando la mente. Pero sin integración, la experiencia se disipa. El verdadero cambio no está en la experiencia en sí, sino en cómo la integramos después..Para citas y consultas: www.alandisavia.com Hosted on Acast. See acast.com/privacy for more information.
Welcome to Season 2 of the Orthobullets Podcast. Today's show is Coinflips, where expert speakers discuss grey zone decisions in orthopedic surgery. This episode will feature doctors Grant Garrigues, Joseph Abboud, Patrick Denard, & Brian Waterman. They will discuss the case titled "Anterior Shoulder Instability with Bipolar Bone Loss in 38F." Follow Orthobullets on Social Media:FacebookInstagram TwitterLinkedln
Welcome to Season 2 of the Orthobullets Podcast. Today's show is Coinflips, where expert speakers discuss grey zone decisions in orthopedic surgery. This episode will feature doctors Grant Garrigues, Joseph Abboud, Patrick Denard, & Brian Waterman. They will discuss the case titled "Anterior Shoulder Instability with Bipolar Bone Loss in 38F." Follow Orthobullets on Social Media:FacebookInstagram TwitterLinkedln
En este nuevo episodio Nieves Concostrina cuenta cómo el cristianismo aprovechó un invento, un supuesto Edicto de Milán, que ni era edicto, ni decreto, ni nunca se redactó, para justificar que los emperadores Constantino y Licinio reconocían así oficialmente al cristianismo. Y, con esa primera mentira, empezó la expansión de la secta. Completan este programa las colaboraciones de Ana Valtierra, Jesús Pozo, Emma Vallespinós, Pepe Rubio y, en la técnica, María Jesús Rodríguez
Entre no nosso grupo secreto do Telegram, o Sindicato dosOperários: https://apoia.se/fabricadecrimes Temos quase certeza de que você se lembra o que estava fazendo no dia 11 de setembro de 2001. Correto?Mas e no dia 10 de setembro? Certeza que você não faz a menor ideia. Foi nesse dia que a Dra. Sneha Anne Philip desapareceu misteriosamente.A gente te conta todos os detalhes desse episódio e as teorias desse caso...Hosts: @mari.host e @rob.host Edição: @ovitovitovito Fontes: BBC. Tracing the powerful family roots of suspected killer Luigi Mangione, (2024). Disponível aqui. THE CHARLEY PROJECT. Sneha Ann Philip. Disponível aqui. VOICES CENTER. Dr. Sneha Anne Philip. Disponível aqui.YOUTUBE. Sneha Anne Philip Disappearance Analysis | 9/11 Victim?. Disponível aqui.FOSTERS. Ending long mystery, court declares that a missing woman died in World Trade Center attack. Disponível aqui.FORENSIC TALES. The Disappearance of Sneha Philip Disponível aqui.NEWS. Sneha Philip: Did doctor use cover of 9/11 to disappear? Disponível aqui.DAILYMAIL. The enduring 9/11 mystery of missing Dr. Philip: How cops remain stumped by the disappearance of a married New Yorker who vanished the night before the attack as alleged details of her secret double life and lesbian affairs emerged to stun her family Disponível aqui.YAHOO. Sneha Philip: Mystery Woman Disappeared Disponível aqui.
Anterior shoulder pain on shoulder flexion Anterior shoulder pain on planting a ski pole Pseudo Frozen Shoulder Restricted Shoulder Flexion All cases I saw this week. Pec Major and Lats for the win! (Some dry needling was necessary) Online Courses and Mentorship Group on Podia: https://richardhazel.podia.com
The Heidelberg ANTERION® represents a groundbreaking advancement in anterior segment OCT technology, delivering high-resolution imaging and versatile diagnostic applications that elevate the standard of care in eye health. By combining precision imaging with ease of use, the ANTERION® has set itself apart as an indispensable tool for diagnosing, monitoring, and treating a wide range of […]
Welcome to Season 2 of the Orthobullets Podcast. Today's show is Podiums, where we feature expert speakers from live medical events. Today's episode will feature Dr. Arun Mullaji and is titled The When, Why, and How I Adopted the Anterior Approach. Follow Orthobullets on Social Media: Facebook Instagram Twitter LinkedIn YouTube
Curious about anterior hip labral tears and how to manage them in a physical therapy setting? In this PT Snacks Podcast episode, let's break down the hip labrum's anatomy and function, common mechanisms of injury, and practical strategies for conservative management and post-surgical rehab. Learn why glute strengthening, careful exercise progression, and collaboration with orthopedic surgeons can help you achieve better outcomes for your patients—all in about 10 minutes.Tune in for a bite-sized, evidence-based approach to anterior hip labral tears that will empower you to provide better care for your patients.Support the showWhy PT Snacks Podcast?This podcast is your go-to for bite-sized, practical info designed for busy, overwhelmed Physical Therapists and students who want to build confidence in their foundational knowledge without sacrificing life's other priorities. Stay Connected! Never miss an episode—hit follow now! Got questions? Email me at ptsnackspodcast@gmail.com or leave feedback HERE. On Instagram? Find unique content at @dr.kasey.hankins! Need CEUs Fast?Time and resources short? MedBridge has you covered: Get over $100 off a subscription with code PTSNACKSPODCAST: MedBridge Students: Save 75% with code PTSNACKSPODCASTSTUDENT—a full year of unlimited access for less!(These are affiliate links, but I only recommend MedBridge because it's genuinely valuable.) Want to Support the Show?Help me keep creating free content by: Sharing the podcast with someone who'd benefit. Contributing directly via the link below (optional, but deeply appreciated). Thanks for tuning in—your support makes this...
En este nuevo episodio, Nieves Concostrina hace un ligero recorrido por los magnicidios de la España contemporánea sobre los cinco presidentes víctimas de atentados desde Juan Prim, en diciembre de 1870, hasta Carrero Blanco, en diciembre de 1973. Ana Valtierra, Emma Vallespinós, Pepe Rubio y Jesús Pozo completan el programa con el control técnico de María Jesús Rodríguez
Luis Fernando Quintero nos trae la apertura del parqué madrileño que abre plana tras la fuerte subida de ayer.
Welcome to Season 2 of the Orthobullets Podcast. Today's show is Podiums, where we feature expert speakers from live medical events. Today's episode will feature Dr. Hari Bezwada and is titled Incision and Wound Management- Anterior THA Approach. Today's episode will be sponsored by the 2025 International Masters Anterior Course, taking place Sep 11th-13th, 2025 in Houston, TX. Follow Orthobullets on Social Media: Facebook Instagram Twitter LinkedIn YouTube