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Those with ADHD struggle in everyday life, as the condition represents an executive function impairment. The current administration's executive order threatens to roll back time and many hard-fought accommodations are in peril. In this episode of Attention Talk Radio, ADHD coach Jeff Copper interviews Stephanie Silverman and Shanta Whitaker about the National Leadership Summit on the Appropriate Use of ADHD Treatments, a three-part virtual series to begin airing April 24, 2025. If you're impacted by ADHD and have some concerns about the winds of change on Capitol Hill, please tune in to understand what this summit is about and help us get the word out for the benefit of those in need. Attention Talk Radio is the leading site for self-help Internet radio shows focusing on attention deficit hyperactivity disorder and attention deficit disorder, including managing symptoms of ADHD in adults with ADD or adults who have children with ADHD. Attention Talk Radio, hosted by Jeff Copper, attention and ADHD coach, is designed to help adults (particularly those diagnosed with or impacted by attention deficit disorder or its symptoms) in life or business who are stuck, overwhelmed, or frustrated to help them get unstuck and moving forward by opening their minds to pay attention to what works. To learn more about attention and ADHD coach Jeff Copper, go to www.digcoaching.com.Our thanks to the sponsors of this show: CHADD.org, ADDCA.com, ImpactParents.com, and TimeTimer.com.
Chapterisation:00:00 Introduction and Background01:49 Understanding Hormones and Peptide Hormones05:16 The Role of Incretins in Metabolism08:42 Weight Loss and Its Implications12:07 The Science Behind GLP-1 and GIP Agonists15:09 The Risks of Rapid Weight Loss18:39 Appropriate Use of Weight Loss Medications22:21 Micro dosing and Tailored Approaches25:25 Lifestyle Changes and Natural Alternatives33:40 Feeding the Microbiome and Incretin Production35:54 The Role of Protein and Healthy Fats37:00 The Importance of Fermented Foods and Polyphenols37:38 Exercise, Sleep, and Photo biomodulation39:35 Concerns with Incretin Mimetics and Lifestyle Changes42:28 Psychological Effects and Monitoring43:58 Nutritional Absorption and Dietary Considerations45:30 Ethics of Drug Promotion and Accessibility48:04 Tailoring Drug Use and Individual Needs51:21 Long-term Effects of Incretin Mimetics52:56 Future of Incretin Mimetics and Broader Applications55:44 Concerns About Paediatric Use and Societal Health01:01:56 TheProLongevityPodcast-Outro.mp4This podcast video is brought to you by ProLongevity, the multi-award-winning lifestyle change program that helps reverse and prevent and reverse avoidable killer diseases like Type 2 Diabetes, Strokes, and Hypertension.Founder of ProLongevity, Graham Phillips discusses the latest controversial yet scientifically proven breakthroughs in understanding how to live healthy for longer. View a range of topics that will offer a new understanding that will help improve your health. From the damage caused to public health, by Big Food and Big Pharma that costs the UK and US Billions, why you can't just simply run off extra pounds by joining the gym, the connection between the brain and gut, why certain diets don't always work and can even damage your health.In each episode, you'll meet world-renowned experts who fully support ProLongevity. After watching, feel free to reach out to Graham Phillips with any questions or for any advice by contacting him here.Graham Phillips Links:website - https://www.prolongevity.co.uk/X/Twitter - https://twitter.com/grahamsphillipsFacebook -https://www.facebook.com/Prolongevity1Instagram - https://www.instagram.com/prolongevity_Jackie Fletcher Links:https://fabulouslyketo.com/https://www.linkedin.com/in/jackiefletcher100/https://www.facebook.com/FabulouslyKetohttps://www.instagram.com/fabulouslyketo1/https://twitter.com/FabulouslyKetoFor more great videos like this, make sure you've subscribed.Or why not join our private members Facebook Group for future events and webinars, packed with news, debates, educational resources, free health risk assessments, and much more; https://www.facebook.com/groups/278916313071738/
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. Sigurd Berven and is titled The Moral Hazard of Spine Surgery: Appropriate Use of Surgery. Follow Orthobullets on Social Media: Facebook Instagram Twitter LinkedIn YouTube
Appropriate Use of Genetic Testing (who, what, when and how?) CME Available: auau.auanet.org/node/41734 ACKNOWLEDGEMENTS: Support provided by independent educational grants from: Lantheus Medical Imaging Novartis Pharmaceuticals Corporation LEARNING OBJECTIVES: At the conclusion of this activity, participants will be able to: 1. Identify the patient populations that should be considered for genetic testing in prostate cancer, based on family history, personal risk factors, and clinical indications. 2. Integrate genetic testing into clinical practice for prostate cancer, including developing workflows, referral processes, and multidisciplinary collaboration. 3. Utilize genetic test results to inform personalized treatment plans for prostate cancer patients, including targeted therapies and risk reducing strategies.
"We're at this place where we're still in the early days of what this technology looks like," says Oriana Beaudet, the American Nurses Association's VP of nursing innovation. ANA is watching the space closely.
The AOFAS Orthopod-cast Committee hosted by Dr. Anish Kadakia with committee members Drs. Matt Conti, Bret Smith, Joe Park, Nick Strasser, and Pam Luk talk about their experiences and reducing stress with use of social media. For additional educational resources, visit AOFAS.org
In this episode, experts discuss a crucial 2024 document outlining appropriate use criteria for multimodality imaging in cardiovascular evaluation before non-emergent non-cardiac surgery, addressing the rising annual surgeries and associated cardiac risks. They delve into balancing the necessity of imaging with cost-effectiveness while exploring the potential of artificial intelligence to enhance future evaluations.
Appropriate Use of Genetic Testing (who, what, when and how?) CME Available: https://auau.auanet.org/node/41734 ACKNOWLEDGEMENTS: Support provided by independent educational grants from: Lantheus Medical Imaging Novartis Pharmaceuticals Corporation LEARNING OBJECTIVES: At the conclusion of this activity, participants will be able to: 1. Identify the patient populations that should be considered for genetic testing in prostate cancer, based on family history, personal risk factors, and clinical indications. 2. Integrate genetic testing into clinical practice for prostate cancer, including developing workflows, referral processes, and multidisciplinary collaboration. 3. Utilize genetic test results to inform personalized treatment plans for prostate cancer patients, including targeted therapies and risk reducing strategies.
I destroy the world with lovingkindness meditation, so you don't have to. This special bonus episode features a remix of The Love Bomber: A Bite-Sized Erotic Thriller by Emerson Dameron, initially appearing on EDMM S5E2: Sultry Secrets of Pulse-Pounding Passion.The original version of On the Appropriate Use of the Metta Bomb is from EDMM S5E3: The Experiment Requires That You Continue.If you're a heathen pervert like me, or you have a strong stomach and you love the arts, check out Crimson Transgressions: A Bite-Sized Erotic Thriller by Emerson Dameron based on the ideas of Georges Bataille, and Could Stop, Won't Stop, a dark and disquieting sojourn into the auditory landscape of adult entertainment.Support the Show.Support the show directly, or get exclusive goodies via Bandcamp.
The Biden Administration published a joint policy statement and set of principles for participating in the voluntary carbon markets (“VCMs”) on Tuesday. https://www.kelleydrye.com/viewpoints/blogs/ad-law-access/biden-administration-weighs-in-on-the-need-for-and-appropriate-use-of-carbon-credits Katie Rogers krogers@kelleydrye.com (202) 342-8455 www.kelleydrye.com/people/katie-rogers Subscribe to the Ad Law Access blog - www.kelleydrye.com/subscribe Subscribe to the Ad Law News Newsletter - www.kelleydrye.com/subscribe View the Advertising and Privacy Law Resource Center - www.kelleydrye.com/advertising-and-privacy-law Find all of our links here linktr.ee/KelleyDryeAdLaw Hosted by Simone Roach
Faith Fueled Woman - Daily Devotional, Bible Study for Women, Prayer, Talk to God
In this conversation, relationship coach Erin Jean shares her personal journey of saving her broken marriage and offers insights into how women can heal themselves and their relationships. The conversation emphasizes the importance of communication, self-love, and understanding subconscious programming. Erin highlights the need to prioritize personal growth and healing, rather than trying to change one's spouse. By exploring childhood wounds and emotions, individuals can identify patterns that may be affecting their relationships. The conversation also emphasizes the role of faith and the power of God's love in the healing process. In this conversation, Erin Jean discusses the appropriate use of tools and the misconceptions surrounding them. She emphasizes that while some tools may be misused, it doesn't mean they are inherently bad. Erin also addresses the limitations of therapy, particularly in cases where individuals feel stuck and unable to make progress. She highlights the importance of healing trauma and moving forward, suggesting journaling exercises and emotional release techniques like EFT. Finally, Erin encourages individuals to find hope and take action in their relationships, emphasizing that there is a third option beyond staying miserable or getting a divorce.TakeawaysCommunication is crucial in maintaining a healthy marriage.Saving a broken marriage is possible with self-love and personal growth.Understanding subconscious programming and childhood wounds can help identify patterns that affect relationships.Prioritizing personal healing and growth is essential for transforming marriages.Connect with Erin here: erinjeanlove.com or grab her meditation bit.ly/erinjeanmeditationGrab Your Free Workbook to Reignite Your Passion here.Check out My Joyful Living Devotional Journal (free download)Connect with me on Instagram here @kristinfitch.Chapters00:00 Introduction and Background01:24 The Importance of Communication in Marriage05:09 Reaching a Breaking Point and Seeking Help06:07 The Journey of Self-Love and Healing09:55 Transformation and Change in the Marriage10:57 The Impact of Personal Growth on the Marriage12:13 The Importance of Sharing Personal Stories13:09 Understanding Subconscious Programming15:33 Identifying Patterns from Childhood22:48 Exploring Childhood Wounds and Emotions24:20 Bringing Faith and Resources Together24:49 Understanding the Appropriate Use of Tools27:34 The Limitations of Therapy32:31 Healing Trauma and Moving Forward38:29 The Emotional Freedom Technique (EFT)40:38 Finding Hope and Taking ActionGet ready to let your faith guide you, fuel you and fill you with God's incredible peace, wisdom and joy. From finding calm in the chaos, to forming deep Christian friendships, to everyday ways to connect with God- we'll cover it all.Do you want to feel less frazzled and more joyful in your daily life? Join host, Kristin Fitch, as she helps Christian women deepen their faith, reconnect with God, and find peace in their journey as mothers, wives, and friends and business owners.With practical tips, personal stories, and spiritual guidance, Faith Fueled Woman equips Christian women to put God first in their daily lives, promotes fellowship and friendship, and provides a roadmap to experiencing more of the fruits...
The rampant emergence of antimicrobial resistance, particularly amongst Gram negative organisms, has called for both the discovery of novel agents but also for a review of therapeutics thought to have been long lost in this battle. Enter, the "BLBLIs or BLICs'. In this episode Vin and Ruan speak with the 1st author of the publication "Appropriate use of the new β-lactam - β-lactamase inhibitor combination agents: Ceftazidime-avibactam and Ceftolozane-tazobactam in South Africa", Professor Adrian Brink, and receive a welcomed masterclass on this interesting group of antimicrobials.About our Guest: Professor Adrian Brink is Head of the Division: Medical Microbiology, and member of the Institute of Infectious Disease & Molecular Medicine, Faculty of Health Sciences, University of Cape Town and the National Health Laboratory Services, Groote Schuur hospital, Cape Town, South Africa. Prof Brink was founding President of the Federation of Infectious Diseases Societies of Southern Africa and is the founder and currently co-chairs the South African Antibiotic Stewardship Program (SAASP). Prof Brink currently serves on the South African Minister of Health's Ministerial Advisory Committee (MAC) on Antimicrobial Resistance and representing Africa, is a member of the European Society of Clinical Microbiology and Infectious Diseases International Affairs Subcommittee.His is main research interests are the clinical and molecular epidemiology of antibiotic-resistant infections, the mechanisms of resistance as a confounder in antibiotic stewardship, the design and implementation of large-scale antibiotic stewardship, diagnostic stewardship and infection prevention and control interventions in low- and middle-income countries. His interests also include the protective, metabolic and immune functions of the gastrointestinal and vaginal biome including the resistome and metabolome. Resources from this episodeBest practices: Appropriate use of Beta-lactam/Beta-lactamase inhibitor combinations Ceftazidime-Avibactam and Ceftolozane-Tazobactam)WHO Priority Pathogens ListTable 1: Data on inhibitor classes, inhibitory mechanisms, and current clinical trial status, Kar D et al., 2023.Table 6: β-lactam/β-lactamase inhibitor (BL/BLI) combinations in clinical trials or submitted for regulatory approval, Butler et al., 2023 Visit the Microbe Mail website to sign up for updates Follow on:Instagram: Microbe_MailX/Twitter: @microbemailFacebook: MicrobeMailTiktok: @
In this conversation, Ryan Williams and Kayne McGladrey discuss the evolving role of the CISO, the importance of governance, risk, and compliance (GRC), and the impact of AI in cybersecurity. They highlight the need for CISOs to have the full backing of their boards and the challenges they face in managing civil liability for processes they don't control. They also emphasize the importance of democratizing GRC knowledge and providing companies with tools like Hyperproof to assess and improve their cybersecurity maturity. The conversation touches on the increasing regulatory requirements and the need for companies to demonstrate compliance and accountability. The conversation explores the use of artificial intelligence (AI) in the governance, risk, and compliance (GRC) field. The guest, Kayne McGladrey, discusses the dual nature of AI, where it can both save time and raise concerns. He shares examples of how AI can be used to summarize information, generate control suggestions, and analyze large-scale signal data. However, he also highlights the ethical and practical challenges of relying too heavily on AI, such as the need for human judgment and accountability. Kayne emphasizes the importance of using AI as a tool to enhance human intelligence and focus on more meaningful tasks. Kayne's Socials: Kayne McGlandrey's LinkedIn - https://www.linkedin.com/in/kaynemcgladrey/ Hyperproof's website - https://hyperproof.io/ 11 Topics Your Section 1C of 10-K Filings Should Address - https://hyperproof.io/resource/cybersecurity-in-financial-disclosures-10-k-filings/ Please LISTEN
Dr. Heather Tick, a renowned pain expert, discusses non-drug therapies for pain relief; applying the principles of integrative medicine for comprehensive pain care. She emphasizes the need for education and understanding of pain neuroscience to empower patients. Dr. Tick also highlights the significance of nutrition in reducing chronic pain and inflammation. Additionally, she explores various modalities, such as acupuncture and manual therapies, as effective strategies for pain relief. Dr. Heather Tick discusses the impact of habits on movement and the importance of developing healthy movement practices. She also explores various modalities for pain relief, including heat, cold, Epsom salt baths, and movement therapies like yoga and Tai Chi. Dr. Tick emphasizes the role of mast cells in the stress response and the importance of managing diet to reduce mast cell activation. She discusses the effectiveness of laser therapy, ozone injections, and shockwave therapy for pain management. Dr. Tick also addresses the overprescription of medications and the potential benefits of supplements. She provides insights into the appropriate use of interventional pain management and the risks associated with steroid injections. Finally, she discusses the challenges of determining the expertise of medical professionals and the need for caution when considering regenerative medicine.TakeawaysIntegrative medicine takes a holistic approach to health, focusing on achieving overall well-being rather than just managing symptoms.Pain management should involve a comprehensive care plan that includes movement, education, nutrition, sleep, psychosocial support, modalities, medications, and supplements.Understanding pain neuroscience can help patients reframe their perception of pain and explore non-pharmacological strategies for pain relief.Nutrition plays a crucial role in reducing chronic pain and inflammation, and a whole-food, plant-based diet is recommended.Modalities such as acupuncture and manual therapies can provide effective pain relief and should be considered as part of a comprehensive pain management plan. Developing healthy movement habits is crucial for optimal movement.Heat, cold, Epsom salt baths, and movement therapies like yoga and Tai Chi can provide pain relief.Managing diet and reducing mast cell activation can help alleviate stress response.Laser therapy, ozone injections, and shockwave therapy may be effective for pain management.Caution is needed when considering the use of medications and supplements.Interventional pain management should be approached with strict criteria and careful consideration.Regenerative medicine shows promise but requires further research and careful selection of providers.Chapters ➡00:00 Introduction to Dr. Heather Tick02:05 Understanding Integrative Medicine07:41 Redefining Pain Management10:31 The Importance of Education in Pain Care12:58 The Role of Nutrition in Pain Relief21:53 Exploring Different Modalities for Pain Relief53:56 Impact of Habits on Movement55:11 Benefits of Tai Chi56:34 Connective Tissue and Movement57:37 Role of Mast Cells in Stress Response58:10 Effectiveness of Laser Therapy01:00:35 Usefulness of Ozone Injections01:02:03 Effectiveness of Shockwave Therapy01:03:13 Overprescribed and Underutilized Medications01:03:44 Importance of Stopping Medications01:04:32 Impact of Proton Pump Inhibitors01:05:37 Role of Gut in Producing Neurotransmitters01:06:34 Importance of B Vitamins and Coenzyme Q1001:17:26 Evaluation of Interventional Pain Management01:19:16 Risks of Steroid Injections01:21:26 Appropriate Use of Regenerative Medicine01:25:30 Determining the Expertise of Medical Professionals01:31:28 Differentiating Flares from New Problems01:33:48 Challenges of IV Infusions and Regenerative MedicineConnect with YOUR Bendy Specialist, Dr. Linda Bluestein, MD at https://www.hypermobilitymd.com/. Thank YOU so much for tuning in. We hope you found this episode informative, inspiring, useful, validating, and enjoyable. Join us on the next episode for YOUR time to level up your knowledge about hypermobility disorders and the people who have them.
Dr. Heather Tick, a renowned pain expert, discusses non-drug therapies for pain relief; applying the principles of integrative medicine for comprehensive pain care. She emphasizes the need for education and understanding of pain neuroscience to empower patients. Dr. Tick also highlights the significance of nutrition in reducing chronic pain and inflammation. Additionally, she explores various modalities, such as acupuncture and manual therapies, as effective strategies for pain relief. Dr. Heather Tick discusses the impact of habits on movement and the importance of developing healthy movement practices. She also explores various modalities for pain relief, including heat, cold, Epsom salt baths, and movement therapies like yoga and Tai Chi. Dr. Tick emphasizes the role of mast cells in the stress response and the importance of managing diet to reduce mast cell activation. She discusses the effectiveness of laser therapy, ozone injections, and shockwave therapy for pain management. Dr. Tick also addresses the overprescription of medications and the potential benefits of supplements. She provides insights into the appropriate use of interventional pain management and the risks associated with steroid injections. Finally, she discusses the challenges of determining the expertise of medical professionals and the need for caution when considering regenerative medicine.TakeawaysIntegrative medicine takes a holistic approach to health, focusing on achieving overall well-being rather than just managing symptoms.Pain management should involve a comprehensive care plan that includes movement, education, nutrition, sleep, psychosocial support, modalities, medications, and supplements.Understanding pain neuroscience can help patients reframe their perception of pain and explore non-pharmacological strategies for pain relief.Nutrition plays a crucial role in reducing chronic pain and inflammation, and a whole-food, plant-based diet is recommended.Modalities such as acupuncture and manual therapies can provide effective pain relief and should be considered as part of a comprehensive pain management plan. Developing healthy movement habits is crucial for optimal movement.Heat, cold, Epsom salt baths, and movement therapies like yoga and Tai Chi can provide pain relief.Managing diet and reducing mast cell activation can help alleviate stress response.Laser therapy, ozone injections, and shockwave therapy may be effective for pain management.Caution is needed when considering the use of medications and supplements.Interventional pain management should be approached with strict criteria and careful consideration.Regenerative medicine shows promise but requires further research and careful selection of providers.Chapters ➡00:00 Introduction to Dr. Heather Tick02:05 Understanding Integrative Medicine07:41 Redefining Pain Management10:31 The Importance of Education in Pain Care12:58 The Role of Nutrition in Pain Relief21:53 Exploring Different Modalities for Pain Relief53:56 Impact of Habits on Movement55:11 Benefits of Tai Chi56:34 Connective Tissue and Movement57:37 Role of Mast Cells in Stress Response58:10 Effectiveness of Laser Therapy01:00:35 Usefulness of Ozone Injections01:02:03 Effectiveness of Shockwave Therapy01:03:13 Overprescribed and Underutilized Medications01:03:44 Importance of Stopping Medications01:04:32 Impact of Proton Pump Inhibitors01:05:37 Role of Gut in Producing Neurotransmitters01:06:34 Importance of B Vitamins and Coenzyme Q1001:17:26 Evaluation of Interventional Pain Management01:19:16 Risks of Steroid Injections01:21:26 Appropriate Use of Regenerative Medicine01:25:30 Determining the Expertise of Medical Professionals01:31:28 Differentiating Flares from New Problems01:33:48 Challenges of IV Infusions and Regenerative MedicineConnect with YOUR Bendy Specialist, Dr. Linda Bluestein, MD at https://www.hypermobilitymd.com/. Thank YOU so much for tuning in. We hope you found this episode informative, inspiring, useful, validating, and enjoyable. Join us on the next episode for YOUR time to level up your knowledge about hypermobility disorders and the people who have them.
A new MP3 sermon from Covenant Baptist Church is now available on SermonAudio with the following details: Title: The Appropriate Use of the Law Subtitle: Special Message Speaker: Pastor Charles Swann Broadcaster: Covenant Baptist Church Event: Sunday Service Date: 3/10/2024 Bible: Romans 7:7-11 Length: 65 min.
In this episode of Ruby for All, Andrew and Julie discuss the intricacies of callbacks in Active Record models. They talk about their experiences, the pros and cons of using callbacks, and the issues they faced. They also share some helpful use cases for callbacks, including user authentication, logging and auditing, custom slug generation, and the concept of “hooks.” Also, Andrew and Julie review their ways of dealing with callbacks testing and debugging in a Rails application. Press download now to hear more! [00:02:32] Let's learn about “callbacks” in Rails as Andrew explains what they are and uses an example of a blog post to explain how a callback might function when saving a post. [00:03:56] Julie inquires if Tiptap can be used in a browser for apps and they discuss before-save callbacks in a post model and how they can be used to extract and save a title.[00:06:19] Andrew elaborates on the three different types of callbacks: before, after, and around callbacks, and gives examples of each. [00:10:06] They discuss practical uses for before-validation callbacks, such as setting default values. [00:11:12] Andrew clarifies the concept of “hooks” in programming, comparing it to callbacks. [00:12:18] Julie asks for examples of actions taken after validation versus before validation. [00:13:19] Andrew talks about how a file upload, an after-create callback can be used for processing the file such as generating thumbnails or updating related resources. He lists examples use cases for callbacks like hashing passwords before saving to the database during user authentication, triggering email notifications after a comment is posted, and logging and auditing activities like user sign-ups or errors. [00:15:57] Julie is curious about whether deleted accounts really remove all user data or just make it as inaccessible, noting some services offer a soft delete option with a time window to recover the account. Andrew has not yet encountered the fallback log issue he set up but explains how before-destroy callbacks could be used to implement a time-based soft delete system. [00:17:19] Andrew describes using before-create callbacks for generating custom slugs for blog posts automatically. [00:17:54] Andrew recalls a discussion at RailsConf about the diverse opinions on using callbacks, with some developers strongly against them and others in favor. He acknowledges that while callbacks can simplify complex operations, they can also make debugging difficult and can become problematic if used excessively or inappropriately. [00:23:00] Julie asks Andrew where he stands on the use of callbacks, and he positions himself in the middle, closer to using them when appropriate. [00:25:16] Andrew emphasizes being cautious with callbacks and explains that callbacks are useful when certain actions need to happen automatically without explicit instruction every time a record is saved.[00:27:40] Andrew discusses the challenges of testing callbacks, as they can require additional setup in tests and slow down the test suite. He concludes that callbacks are an integral part of Rails, he advises against using them as the first solution and recommends weighing their pros and cons carefully. Panelists:Andrew MasonJulie J.Sponsors:HoneybadgerGoRailsLinks:Andrew Mason X/TwitterAndrew Mason WebsiteJulie J. X/TwitterJulie J. WebsiteActive Record CallbacksTiptap (00:00) - Intro and Topic Overview (02:32) - Introduction to Callbacks in Rails (03:56) - Discussing Before-Save Callbacks and Tiptap (06:19) - Types of Callbacks: Before, After, and Around (10:06) - Uses for Before-Validation Callbacks (11:12) - Hooks vs Callbacks (12:18) - Practical Use Cases for Callbacks (15:57) - Soft Delete Options and Before-Destroy Callbacks (17:19) - Generating Custom Slugs with Before-Create Callbacks (17:54) - Diverse Opinions on Using Callbacks from RailsConf (23:00) - Andrew's Not an Expert (25:16) - Caution and Appropriate Use of Callbacks (27:40) - Challenges of Testing Callbacks
Find out more about counseling your patients with obesity and helping them achieve their weight-loss goals with novel medications. Credit available for this activity expires: 12/14/24 Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/998992?ecd=bdc_podcast_libsyn_mscpedu
Kelly Park, MD, MSL, FAAD interviewed by Alexander Miller, MD, FAAD
In this episode of the podcast, certified financial planner Chad Burton provides insights and analysis on various financial topics. The episode begins with a discussion on the current state of the market, focusing on the S&P 500 and NASDAQ indexes. Burton explains the composition of these indexes and highlights the dominance of tech stocks in their performance. He also emphasizes the importance of diversification in building portfolios and cautions against solely relying on large-cap growth stocks. Burton then delves into the performance of different asset classes, including emerging markets, international developed markets, small-cap and mid-cap stocks, and real estate. He compares their returns for the year and provides context by examining their performance since January 2022. He notes that while large-cap growth stocks have seen significant gains this year, other asset classes are still down from their January 2022 levels, presenting potential opportunities for investors. The discussion shifts to fixed income investments, particularly bonds. Burton highlights the attractive yields currently available in the bond market and suggests considering options such as corporate bond ladders and treasury ladders. He explains how these strategies can provide consistent cash flow and potential capital appreciation if interest rates decline in the future. In the latter part of the episode, Burton addresses the topic of life insurance. He clarifies his stance on life insurance, stating that he supports its use when appropriate, such as for protecting families, funding buy-sell agreements, and addressing estate planning needs. However, he cautions against using life insurance as a blanket investment and emphasizes the importance of prioritizing other retirement savings options, such as maxing out 401(k) contributions and Roth IRAs, before considering cash value life insurance policies. Burton concludes the episode by providing a formula for determining life insurance coverage based on income, number of children, and outstanding debts. He also discusses specific scenarios where life insurance can be beneficial, such as second marriages, key person insurance for businesses, and estate tax planning. Overall, this episode offers valuable insights into the current market conditions, the performance of different asset classes, and the appropriate use of life insurance in financial planning. Chad Burton's expertise as a certified financial planner shines through as he provides practical advice and guidance for listeners. Timestamps: [00:01:15] S&P 500 and NASDAQ components. [00:04:09] Asset class performance [00:07:26] Tech stocks performance. [00:12:31] Small cap value opportunities. [00:15:21] REITs and their decline. [00:19:18] Earnings growth in the S&P 500. [00:23:11] Bonds creating stock market competition. [00:27:48] The stock market and bonds. [00:30:42] Buy term and invest. [00:35:40] Long-term care insurance tax. [00:39:08] Estate tax and life insurance. [00:41:12] The downsides of life insurance. Email your money question to chad@chadburton.com Call 1-888-762-2423 for Wealth Management and Financial Planning services or visit www.ChadBurton.com
Host Jenny Herald dives deep into the journey of Ben Lamorte, the renowned OKRs expert and founder of okrs.com, in this captivating episode of Dreams With Deadlines. Discover Ben's transformation from a network engineer to an OKR visionary as he shares his profound insights on deploying successful OKRs, overcoming challenges, and his bold coaching framework.Key Things Discussed: Unveiling the 10 universal deployment parameters for successful OKRs implementation. Exploring the distinction between milestone and metric key results and when to use each. Understanding the roles of OKRs project leads and the importance of executive sponsorship. Unpacking the real-world examples where OKRs drive outcomes over outputs. Gaining valuable perspectives on the application of OKRs in cross-functional and rapid growth areas. Show Notes [00:00:19] Introduction and Ben Lamorte's Enthusiasm for OKRs [00:00:48] OKRs as a Critical Thinking Framework: Ben describes OKRs as a critical thinking framework, emphasizing the importance of ongoing discipline and asking three key questions: Where do we want to focus for near-term progress? How do we know we've achieved the objective? What is the intended outcome of the task? These questions help define objectives and key results, align efforts, and prioritize measurable impact. [00:04:38] The Importance of Embedding Alignment in OKRs: Ben discusses the trend of embedding alignment throughout the entire OKRs program, emphasizing its importance as a critical success factor. He highlights the shift away from cascading OKRs directly and notes that more organizations are now implementing OKRs correctly from the start, leading to positive developments in the OKRs landscape. [00:08:37] Mantras for Successful OKRs Implementation: Ben shares five key mantras for successful OKRs implementation: "less is more" to focus on a small set of OKRs, "crawl, walk, run" to scale gradually after achieving success, "OKRs are not everything" as they represent the most important areas for progress, "the only way to learn OKRs is to do OKRs" by practical implementation, and "outcomes, not output" to measure intended results. The discussion also hints at the emerging trend of embedding alignment into every aspect of the OKRs program. [00:13:05] Embedding Alignment in OKRs for Organizational Cohesion: Ben highlights the importance of alignment in OKRs, emphasizing the need for clear answers to key questions and achieving both top-down and horizontal alignment. He explains that alignment should be established at each stage of the OKRs program to ensure organizational cohesion and addresses the ongoing nature of aligning throughout the OKRs journey. [00:17:00] The Importance of Universal Deployment Parameters in OKRs: Ben highlights the importance of universal deployment parameters as foundational prerequisites for successful OKRs implementation. These parameters, including setting the OKR level and defining the OKR cycle duration, play a crucial role in ensuring effective OKRs training and implementation. [00:22:55] 10 Universal Deployment Parameters for Effective OKRs Implementation: Ben identifies 10 essential parameters to define before implementing OKRs. These parameters are crucial for successful OKR implementation and training workshops.These parameters include levels, number of OKRs, scoring methods, cycle duration, milestone vs metric key results, OKR publishing and storage, performance review integration, KPI vs key result differentiation, alignment, and bottom-up involvement. [00:28:53] Roles in Defining Deployment Parameters: Defining the 10 universal deployment parameters for OKRs involves OKRs project leads from various functional teams and the executive sponsor, allowing for training based on these parameters and the flexibility to make adjustments in subsequent cycles. [00:31:32] The Distinction and Appropriate Use of Milestone Key Results: Milestone key results represent significant achievements or outcomes that indicate progress towards a future metric key result, such as obtaining permits to begin construction or listing an app on the Apple Store, and can be valuable in certain situations to track progress and set the stage for future success. [00:36:56] Distinguishing Between Output and Outcome Key Results: Jenny and Ben discuss the distinction between output and outcome key results, emphasizing the importance of outcome-oriented milestones that represent true outcomes and setting higher requirements for target and stretch key results. The challenge of committing to government approval is also highlighted. [00:39:45] Quick-Fire Questions for Ben: Where does Ben want to see OKRs.com by the end of the year? Ben wants to have a clearer definition of the impact of OKRs through an OKRs maturity model and quantifiable data on the success of OKRs. Where are OKRs most important within organizations? OKRs are particularly valuable in cross-functional initiatives and rapid growth areas like the environmental movement. Where does Ben think OKRs are headed? Ben believes that OKRs will continue to grow, and their application will expand beyond formalized goal-setting, becoming more of a mindset and a way of asking outcome-focused questions across the organization. Relevant links: Measure What Matters," by John Doerr. "The OKRs Field Book: A Step-by-Step Guide for Objectives and Key Results Coaches," by Ben Lamorte. About Our Guest:Ben Lamorte, founder of OKRs.com, is an internationally recognized OKRs coach. He has consulted with organizations around the world, including eBay, Zalando, and Booking.com. He's authored two books — Objectives and Key Results: Driving Focus, Alignment, and Engagement with OKRs (co-authored with Paul Niven) and The OKRs Field Book.Follow Our Guest:Website | LinkedIn Follow Dreams With Deadlines:Host | Company Website | Blog | Instagram | Twitter
Be blessed by the servant of God Apostle Arome Osayi --- Send in a voice message: https://podcasters.spotify.com/pod/show/latter-day-preacher/message
Host Debra Pascali-Bonaro examines the overuse of epidurals and explores its impact on people's chances to experience a pleasurable orgasmic birth. She encourages listeners to be aware of their options when it comes to epidurals - understanding both the benefits and risks associated with using one. This conversation provides tips on oxytocin enhancers and other techniques to manage pain during childbirth. Debra also discusses how hospitals often use language that can create fear or anxiety around birth, which can lead to unnecessary medical interventions. Tune in to this episode to learn more about how you can have an empowered and pleasurable birthing experience! In this episode: • The importance to know all options, benefits, risks, alternatives and intuition before making an informed decision about epidural • Exploring Pain vs Suffering in the Hospital • Understanding how comfort measures can provide calm and comfort in labor • How to create a code word for when an epidural is offered • Penny Simkin's Pain Medication Preference Scale helps to understand preferences • Evidence-basedbirth.com provides resources on pain management during labor and birth Key Takeaways: • Epidurals can be a valuable tool, but overuse is putting people at risk and decreasing their chance of having a pleasurable orgasmic birth • Epidurals typically slow labor and create a hormonal gap • Pain is not a descriptor for many people, but in hospitals it is • The language and environment of hospitals can create pain • Pain and suffering are different; one can exist without the other Tweetable Quotes: "No one should suffer in childbirth. But by having someone there and now personalizing that we need to justify the budget it's now a personal thing." - Debra Pascali-Bonaro "Pain can be a normal part of labor. It's giving you the messages. When you listen to your body and listen to your baby, you'll be able to feel if you get in one position that feels better that's often leaning forward and moving." - Debra Pascali-Bonaro Connect with Debra! Instagram: https://www.instagram.com/orgasmicbirth/ Twitter: https://twitter.com/OrgasmicBirth YouTube: https://www.youtube.com/c/OrgasmicBirth1 TikTok: https://www.tiktok.com/@orgasmicbirth Visit https://www.orgasmicbirth.com/ for more information on how to Positively Prepare for birth and parenting Check out Orgasmic Birth: The Best-Kept Secret, the film creating buzz around the world: https://www.orgasmicbirth.com/the-film/ Orgasmic Birth Podcast: Pleasure in pregnancy, birth, and parenting. I believe pleasure is our birthright - from our sexuality, birth, parenting, and beyond, we can find pleasure when we create space for joy and intimacy in our lives. Join me to have deep conversations about breaking the taboos of Sexuality + Motherhood/Parenthood. Listen to leading experts in sexuality, healing, and childbirth as well as stories from new parents, doulas, doctors, midwives, and nurses. We will discuss how to positively prepare for childbirth and parenting by expanding love and intimacy in your life.
Host Liana Tedesco, MD Guest interviewees Nicholas S. Tedesco, DO, FAAOS, and Christopher H. Renninger, MD, discussing their review article “American Academy of Orthopaedic Surgeons Appropriate Use Criteria: Prevention of Surgical Site Infections After Major Extremity Trauma” from the May 15, 2023 issue (https://journals.lww.com/Jaaos/toc/2023/05150) Articles summarized from the May 1, 2023 issue (https://journals.lww.com/Jaaos/toc/2023/05010) Research article “Health Inequities in Orthopaedic Trauma Surgery in the United States: A Scoping Review” Research article “Effects of Patient Comorbidities and Demographics on Episode-of-Care Costs Following Total Shoulder Arthroplasty” Article summarized from the May 15, 2023 issue (https://journals.lww.com/Jaaos/toc/2023/05150) Research article “Predictors of Academic Productivity Among Spine Surgeons” Follow this link to download these and other articles from the May 1, 2023 issue of JAAOS (https://journals.lww.com/Jaaos/toc/2023/05010) and the May 15, 2023 issue of JAAOS (https://journals.lww.com/Jaaos/toc/2023/05150). The JAAOS Unplugged podcast series is brought to you by the Journal of the American Academy of Orthopaedic Surgeons and the AAOS Resident Assembly.
In this episode, host Dr. Sabeen Dhand interviews interventional cardiologist Dr. Eric Secemsky about the role of intravascular ultrasound in lower extremity interventions, and how he published a consensus document to standardize its use across specialties and provide a framework for new users. --- CHECK OUT OUR SPONSORS Philips Image Guided Therapy Devices Academy https://resource.philipseliiteacademy.com Philips SymphonySuite https://www.philips.com/symphonysuite --- SHOW NOTES Dr. Secemsky practices at BIDMC in Boston. His passions are pulmonary embolism intervention and intravascular ultrasound (IVUS) for peripheral vascular disease. He began using IVUS for coronary interventions, and then began incorporating it in arterial and venous peripheral interventions. The goal is to make procedures durable in the endovascular world, and IVUS is key for that. In the coronaries, there is a standardized way that all cardiologists use IVUS for. First, they cross the lesion with the wire, then use IVUS to measure lesion length and vessel diameter for stent sizing. They also evaluate plaque composition, which informs whether to use a plaque modifying device before stenting. They then balloon, stent, and use IVUS again to evaluate stent position and check for dissections. Dr. Secemsky measures an arterial lumen by identifying the 3 layers of the vessel wall, and finding the black stripe behind the intima, which corresponds to the elastic membrane. Dr. Secemsky tells us about a consensus article he published in the Journal of the American College of Cardiology. He collaborated with some colleagues to form a 12 person steering committee composed of interventional cardiology, interventional radiology, vascular surgery and vascular medicine specialists. The goal was to consolidate information from all these specialties to provide a single standardized document. This document can be used for those wanting to incorporate IVUS into their practice, but don't know where to begin. They established levels of evidence regarding where IVUS is most appropriate. They found that tibial arterial intervention has the highest support for use of IVUS across specialties. Furthermore, they established that the best practice for IVUS is to use it three times per case, for pre-intervention, middle-run and post-run. Using IVUS is safe, and offers so much information to make case a more efficient. In addition, you cut down on device utilization, contrast use and radiation exposure, while improving patient outcomes by getting better luminal gain and improved durability of your intervention. --- RESOURCES JACC Consensus Article: https://pubmed.ncbi.nlm.nih.gov/35926922/
Dr Ahmed Samei Huda and Mr Joel Petch in conversation with Dr Oliver Gale-Grant on the subject of their recent BJPsych Advances article " Too soon to discard Kraepelin: improving diagnosis by appropriate use of neo-Kraepelinian and unitary psychosis models" Read the article: https://doi.org/10.1192/bja.2022.53 Authors: Ahmed Huda and Joel Petch Follow us on Twitter @TheBJPsych #BJPAdvances Disclaimer: BJPsych Advances is not responsible for statements made by podcast contributors. Unless so stated, the content of this podcast does not necessarily reflect the views of the Editor-in-Chief or the Royal College of Psychiatrists.
Commentary by Dr Cheol Hyun Lee
Välkomna till ett Choosing Wisely-avsnitt av Internisten, med gästexpert Martin Serrander. Superkul tema där vi tagit inspiration från artikelserien Things We Do For No Reason i Journal of Hospital Medicine - rekommenderas! Vi pratar hypertoni inneliggande, ekokardiografi vid dekompenserad hjärtsvikt och slutligen - har albumin egentligen något med nutritionsstatus att göra? Hoppas ni tycker om avsnittet! Hör gärna av er på internistenpodcast@gmail.com Vi utgår ifrån artiklarna: 1) Treatment and Outcomes of Inpatient Hypertension Among Adults With Noncardiac Admissions 2)Appropriate Use and Clinical Impact of Transthoracic Echocardiography | Cardiology 3) Serum Albumin and Prealbumin in Calorically Restricted, Nondiseased Individuals: A Systematic Review
In this episode, we're pleased to welcome back Kristen Eglintine, Coding Analyst Supervisor at BESLER, to give you a glimpse into the upcoming BESLER webinar Medicare Appropriate Use Criteria, or AUC, Program: What You Need to Know to Properly Code.
This week, Dr. Chastain and Abby are unrestrained in explaining:When chemical restraint is essential to handling some dogs and catsBenefits of most traditional physical restraint methodsPotential disadvantages of anti-anxiety drugsLink to show notes: BetterAnimalHandling.com
Using aminoglycosides to treat infections often causes major distress amongst clinicians. Here we talk about how they should be used appropriately, in the hopes that we may calm some of this anxiety.About our Guest: Dr Veshni Pillay-Fuentes Lorente obtained an MBChB degree at Walter Sisulu University in 2010. Thereafter, completed a 2-year internship at King Edward VIII Hospital, Durban. Worked as a community service medical officer at the former Gordonia Hosptial, Upington. Thereafter, worked as a medical officer over a 4 year period in Internal Medicine at Dr Harry Surtie Hospital, Upington. Completed a 2 year post-graduate diploma in Medicines Development between 2016 - 2017 with the Division of Clinical Pharmacology at Stellenbosch University. Obtained a Masters of Medicine in Clinical Pharmacology and completed a 4-year clinical pharmacology training programme before qualifying as a Specialist Clinical Pharmacologist in 2021. Employed at present as a Clinical Pharmacologist in Tygerberg Hospital, Cape Town, South Africa. Currently an applied pharmacometrics training fellow (APT program) and a PhD candidate in Stellenbosch University Cape Town. My interests are PK in special populations and dose optimization through pharmacometrics. 14847795@sun.ac.zaTwitter: @JennalPillayhttps://orcid.org/0000-0001-5365-0320isit the Microbe Mail website to sign up for updates E-mail: mail.microbe@gmail.comFacebook: Microbe Mail Instagram: Microbe_Mail Twitter: @microbemail
12/26/2022 | Pathways
What are the latest guidelines for personal protective equipment (PPE) in nursing homes? In today's episode, we give an overview of standard and transmission-based precautions. We also discuss COVID-19 prevention and therapeutics, as well as a brief introduction of Project Firstline.To contact Cindy Wandling, Quality Improvement Specialist at Quality Insights, email cwandling@qualityinsights.org. Related links: Watch Video Recording of WebinarDownload Presentation SlidesProject Firstline, “Choosing the Right PPE for COVID-19” Check out our other interviews by visiting https://www.qualityinsights.org/qin/multimedia This material was prepared by Quality Insights, a Quality Innovation Network - Quality Improvement Organization under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services (HHS). Views expressed in this material do not necessarily reflect the official views or policy of CMS or HHS, and any reference to a specific product or entity herein does not constitute endorsement of that product or entity by CMS or HHS. Publication number 12SOW-QI-GEN-122222-CC-A
Appropriate use of Biomarker and Genetic Testing in the Diagnosis and Management of Patients with Prostate Cancer Host: Jay D. Raman, MD, FACS Co-Hosts: Veda Giri, MD and Todd Morgan, MD CME Available: auau.auanet.org/node/37313 At the conclusion of this activity, participants will be able to 1. Assess how to maximize the benefits and minimize the harms of prostate cancer detection by carefully selecting patients and by using the necessary tools to detect clinically meaningful prostate cancer while avoiding unnecessary biopsies and detection of clinically unimportant cancers. 2. Discuss the available blood, urine and tissue biomarkers used to enhance detection of higher-grade prostate cancer, the evidence supporting their use and the clinical scenarios in which they are most valuable to be used. 3. Identify the criteria for genetic testing of prostate cancer patients, the gene panels available, and options for testing these men. 4. Utilize the results of genetic testing to improve outcomes among patients with metastatic prostate cancer, including recommendations regarding PARP-inhibition, chemotherapy and immunotherapy. ACKNOWLEDGEMENTS: This series is supported by independent educational grants from: Astellas AstraZeneca Janssen Biotech, Inc., administered by Janssen Scientific Affairs, LLC Lantheus Medical Imaging Merck & Co., Inc. Pfizer, Inc. Sanofi Genzyme
Learn about appropriate use cases for Modifiers 25 & 59 in cardiology coding, with Julie Graham, Infinx Senior Coding Manager.
This episode is a follow up to episode 18 with Dr. Sinéad Dufour- The research behind vaginal devices, chairs, laser and online apps to treat incontinence In this episode, I welcome back Dr. Sinéad Dufour to discuss: The emerging use of telehealthResearch to supports it's effectivenessThe soon to be released SOGC guideline on telehealthReasons for resistance from practitioners and clientsUsing telehealth for prolapse, incontinence, perinatal, paediatrics etcWays to start incorporating more telehealth in your practiceDr. Sinéad Dufour is an Associate Clinical Professor in the Faculty of Health Science at McMaster University. She teaches and conducts research in both the Schools of Medicine and Rehabilitation Science. She completed her MScPT at McMaster University (2003), her PhD in Health and Rehabilitation Science at Western (2011), and returned to McMaster to complete a post-doctoral fellowship (2013). Her current research interests include: conservative approaches to manage pelvic floor dysfunction, pregnancy-related pelvic-girdle pain, and interprofessional collaborative practice models of service provision to enhance pelvic health. Additionally, Sinéad has undergone training in Functional Medicine through the Institute of Functional Medicine and is currently completing a full certificate program with Dr. Aviva Romm. Sinéad stays current clinically through her work as the Director of Pelvic Health Services at The World of my Baby (the WOMB) a family of perinatal care centers in Ontario, Canada. In addition to managing her own very busy caseload, she mentors novice pelvic health physiotherapists and is a clinical preceptor for family medicine residents and midwifery students from McMaster University. Sinéad in an invited member on several committees for various organizations including the Society of Obstetricians and Gynecologists of Canada and the International Continence Society. She is also serving as the Guest Editor for the upcoming special issue: Optimizing the Fourth Trimester, for the Women's Health Physical Therapy Journal. Her passion for optimizing perinatal care and associated upstream health promotion for women and children stemmed from her own experience becoming a mother of twins. She is an advocate for women's pelvic health and a regular invited speaker at conferences around the world. InstagramWebsite Links mentioned:Episode 18- The research behind vaginal devices, chairs, laser and online apps to treat incontinence The Effect of Core Exercise Using Online Videoconferencing Platform and Offline-Based Intervention in Postpartum Woman with Diastasis Recti Abdominis Evidence for the Appropriate Use of Telemedicine in Female Pelvic Medicine and Reconstructive SurgeryThanks for joining me!Here is where you can find more:my online course to walk you through pregnancy, birth prep and postpartum recovery: https://mommyberries.comWant more details on the small groups?Small GroupsFollow me on:InstagramFacebookYouTubeSupport the show
2022-06-19 Sunday sermon 1 Corinthians 12:1-11 Rev. Minho Kim
James (Jim) Wright obtained his MD from the University of Alberta in 1968, his FRCP(C) in Internal Medicine in 1975 and his Ph.D. in Pharmacology from McGill University in 1976. He is a practicing specialist in Internal Medicine and Clinical Pharmacology. He is also Co-Managing Director of the Therapeutics Initiative, Editor-in-Chief of the Therapeutics Letter and Coordinating Editor of the Cochrane Hypertension Review Group. He sits on the Editorial Boards of PLoS One and the Cochrane Library.Questions We Asked:•How did you become involved with pharmacology and drug prescription? •How would you define appropriate use? •Does financial implications to the patient play into appropriate use? •What do most physicians not know when they prescribe medications? •How does overprescribing play into medical waste?•Why is there a disconnect between systematic reviews and clinical guidelines? •How does bias play into drug testing? •How can we successfully collaborate with pharmaceutical companies without including bias into research? •How do everyday clinicians decide how to treat patients based on guidelines vs systematic reviews? •What makes a good systematic review? •What advice do you have for trainees who want to do good for their patients? •Book Suggestions? Quotes and Ideas:•Appropriate use of medications means that the benefits outweigh the harms of the medication •Every time a patient takes a medication, they are reminded of their medical condition that needs treatment. •Many psychiatric medications get onto market only due to short term medical trials, but many are prescribed for long term conditions. •Leaders should push for non-industry funded trials that evaluate the long term effectiveness of medications. •ALLHAT trial as an effectively run drug testing study •We don't want a situation where marketing is the driving force and not research •Choosing Wisely Campaign Book Suggestions: •Sickening by John Abramson •Our Daily Meds by Melody Petersen •Anatomy of an Epidemic by Robert Whitakers
Everything we do takes some level of creativity- the good, the bad and the ugly. Many people misuse their creative power to do things to harm others. In the end, they are only harming themselves. How are you using your creative power? Are your using it on things that don't serve you, or are you using your creative power appropriately to create positive change in your life? Only you can answer that question. Did you enjoy this episode? Let us know by: sharing a screenshot on your social media/stories and tag us @theshiftzonepodcast and use the hashtag #theshiftzonepodcast Give us a 5-star rating and leave a review! Important Links: Visit My Website: www.vallriedorsey.com Connect With Me On Social Media: Instagram: @theshiftzonepodcast @valldorsey Facebook: @iamvalldorsey @theshiftzonepodcast Copyright 2022 All Rights Reserved
In this episode, we are joined by Bridget Nolin, BESLER's Coding Analyst to discuss what you need to know about Medicare's Appropriate Use Criteria program (AUC). Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: What is the AUC program Advanced diagnostic imaging Who will be Read More
Catherine Short speaks with Melody Mulaik, President of Revenue Cycle Coding Strategies, a dynamic company that works with physician practices, healthcare systems, billing companies and other industry stakeholders to provide auditing, education and other collaborative consulting solutions to meet their coding and compliance needs. First Healthcare Compliance is a proud partner of Revenue Cycle Coding Strategies and our clients have enjoyed many webinars and previous podcasts by this team of experts. Melody joins us to address a current hot topic, “AUC – Delayed but not Gone.” 2022 was scheduled to be the official implementation date for AUC/CDS implementation but the 2022 Proposed Rule threw everyone a little curve ball. While a delay has occurred, it does not change the direction of the program or the need to prepare and test. As providers continue to either prepare their own practices or bridge the gap with imaging facilities, it is important that everyone be on the same page throughout the CMS implementation and remaining testing period.
Catherine Short speaks with Melody Mulaik, President of Revenue Cycle Coding Strategies, a dynamic company that works with physician practices, healthcare systems, billing companies and other industry stakeholders to provide auditing, education and other collaborative consulting solutions to meet their coding and compliance needs. First Healthcare Compliance is a proud partner of Revenue Cycle Coding Strategies and our clients have enjoyed many webinars and previous podcasts by this team of experts. Melody joins us to address a current hot topic, “AUC – Delayed but not Gone.” 2022 was scheduled to be the official implementation date for AUC/CDS implementation but the 2022 Proposed Rule threw everyone a little curve ball. While a delay has occurred, it does not change the direction of the program or the need to prepare and test. As providers continue to either prepare their own practices or bridge the gap with imaging facilities, it is important that everyone be on the same page throughout the CMS implementation and remaining testing period. The post Appropriate Use Criteria – Delayed but Not Gone appeared first on First Healthcare Compliance.
Drs. Molly Sinert and Jon Furuno join Dr. David Ha (@DHpharmd) to discuss the prevalence of antibiotic use and its harms and benefits in reducing suffering and providing comfort during end-of-life care. Learn more about the Society of Infectious Diseases Pharmacists: https://sidp.org/About Twitter: @SIDPharm (https://twitter.com/SIDPharm) Instagram: @SIDPharm (https://www.instagram.com/sidpharm/) Facebook: https://www.facebook.com/sidprx LinkedIn: https://www.linkedin.com/company/sidp/ References: Sinert et al. Guidance for Safe and Appropriate Use of Antibiotics in Hospice Using a Collaborative Decision Support Tool. Accessed October 6, 2021. https://oce-ovid-com.laneproxy.stanford.edu/article/00129191-202008000-00005/HTMLA Albrecht JS, McGregor JC, Fromme EK, Bearden DT, Furuno JP. A Nationwide Analysis of Antibiotic Use in Hospice Care in the Final Week of Life. Journal of Pain and Symptom Management. 2013;46(4):483-490. doi:10.1016/j.jpainsymman.2012.09.010 Furuno JP, Noble BN, Fromme EK. Should we refrain from antibiotic use in hospice patients? Expert Review of Anti-infective Therapy. 2016;14(3):277-280. doi:10.1586/14787210.2016.1128823 Servid SA, Noble BN, Fromme EK, Furuno JP. Clinical Intentions of Antibiotics Prescribed Upon Discharge to Hospice Care. Journal of the American Geriatrics Society. 2018;66(3):565-569. doi:10.1111/jgs.15246 Gaw CE, Hamilton KW, Gerber JS, Szymczak JE. Physician Perceptions Regarding Antimicrobial Use in End-of-Life Care. Infection Control & Hospital Epidemiology. 2018;39(4):383-390. doi:10.1017/ice.2018.6 Broom J, Broom A, Good P, Lwin Z. Why is optimisation of antimicrobial use difficult at the end of life? Internal Medicine Journal. 2019;49(2):269-271. doi:10.1111/imj.14200 Kwon KT. Implementation of Antimicrobial Stewardship Programs in End-of-Life Care. Infect Chemother. 2019;51(2):89-97. doi:10.3947/ic.2019.51.2.89 Datta R, Topal J, McManus D, et al. Perspectives on antimicrobial use at the end of life among antibiotic stewardship programs: A survey of the Society for Healthcare Epidemiology of America Research Network. Infection Control & Hospital Epidemiology. 2019;40(9):1074-1076. doi:10.1017/ice.2019.194 Lopez S, Vyas P, Malhotra P, et al. A Retrospective Study Analyzing the Lack of Symptom Benefit With Antimicrobials at the End of Life. Am J Hosp Palliat Care. 2021;38(4):391-395. doi:10.1177/1049909120951748 Ito H. Antibiotics in end-of-life care: What is the driving factor? Infectious Diseases Now. Published online July 7, 2021. doi:10.1016/j.idnow.2021.07.003 Kates OS, Krantz EM, Lee J, et al. Association of Physician Orders for Life-Sustaining Treatment With Inpatient Antimicrobial Use at End of Life in Patients With Cancer. Open Forum Infectious Diseases. 2021;8(8). doi:10.1093/ofid/ofab361 Hickman SE, Nelson CA, Moss AH, Tolle SW, Perrin NA, Hammes BJ. The consistency between treatments provided to nursing facility residents and orders on the physician orders for life-sustaining treatment form. J Am Geriatr Soc. 2011; 59(11): 2091–2099. doi:10.1111/j.1532-5415.2011.03656.x. Implementing an Antibiotic Stewardship Program: Guidelines by the Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America. Clinical Infectious Diseases, Volume 62, Issue 10, 15 May 2016, Pages e51–e77, https://doi.org/10.1093/cid/ciw118
Body, Brain & Pain: Community Healing with Two Physical Therapists
Join Erin and Michelle as they cover another topic contributing to the pain epidemic in our world - medical imaging. We've all likely heard a story of someone having an x-ray or MRI and being told, “you have the spine of a 80 year old” or “this is the worst thing I've seen, I can't believe you're not in more pain”. This type of language is harmful and can actually impact an individual's progress and prognosis! Imaging is an important tool in healthcare to prevent and diagnose serious disease or pathology, but it can be overused and used in the wrong situations which can sometimes lead to poorer outcomes for someone. Michelle and Erin want you to be aware of when medical imaging is helpful and when it might not be necessary, so that you can continue to be the best advocate for yourself. References: - Brinjikji, W., Luetmer, P. H., Comstock, B., Bresnahan, B. W., Chen, L. E., Deyo, R. A., … Jarvik, J. G. (2015). Systematic literature review of imaging features of spinal degeneration in asymptomatic populations. American Journal of Neuroradiology, 36(4), 811–816. https://doi.org/10.3174/ajnr.A4173 - Deyle, G. The role of MRI in musculoskeletal practice: a clinical perspective. Journal of Manual and Manipulative Therapy 2011;19(3): 152-161. - Babineau, E. (2018, August 2). Imaging – Does it actually paint a clearer picture? Motion. https://motion.care/imaging-does-it-actually-paint-a-clearer-picture/. - Fernandez, E. (2021, April 28). Medical Imaging Rates Continue to Rise Despite Push to Reduce Their Use. Medical Imaging Rates Continue to Rise Despite Push to Reduce Their Use | UC San Francisco. https://www.ucsf.edu/news/2019/09/415286/medical-imaging-rates-continue-rise-despite-push-reduce-their-use. - Flynn, T. W., Smith, B., & Chou, R. Appropriate Use of Diagnostic Imaging in Low Back Pain: A Reminder That Unnecessary Imaging May Do as Much Harm as Good. Journal of Orthopaedic & Sports Physical Therapy 2011;41(11): 838-846. - Jensen M.C., Brant-Zawadzki M.N., Obuchowski N., Modic M.T., Malkasian D., Ross J.S. Magnetic resonance imaging of the lumbar spine in people without back pain. New England Journal of Medicine 1994;331:69–73. - Radiation Dose in X-Ray and CT Exams. (2019, July 1). Radiologyinfo.org. https://www.radiologyinfo.org/en/info/safety-xray#:~:text=Like%20other%20sources%20of%20background,part%20of%20our%20daily%20living. Disclaimer: This podcast contains general information for community education purposes only, and does not take into account your specific comorbidities that your current healthcare provider may be managing. Please contact your care provider with questions regarding anything particular to you.
Catherine Short speaks with Melody Mulaik, President of Revenue Cycle Coding Strategies to address a current hot topic, “Appropriate Use Criteria: What you Need to Know.” 2021 is also going to be an official CMS testing year for AUC/CDS implementation. This episode will identify specific areas of concern for your organization regarding AUC/CDS implementation, help you to facilitate discussions with all stakeholders to ensure all perspectives are heard and addressed, and assist in designing actions that can be taken to facilitate a successful implementation to ensure revenue is not negatively impacted.
First Healthcare Compliance hosts Melody W. Mulaik, MSHS is President of Revenue Cycle Coding Strategies LLC for an interactive discussion on “Appropriate Use Criteria: What you Need to Know.” 2020 is the official CMS testing year for AUC/CDS implementation. As organizations continue to bridge the gap with imaging facilities, it is important that everyone be on the same page throughout the CMS implementation and testing period. Additionally, any physician practices that perform and bill for diagnostic services must ensure compliance through correct billing practices. Working through the charge capture processes and identifying where gaps currently exist will ensure that plans can be quickly implemented to address these concerns and ensure that the Jan. 1, 2021 implementation date is successful and that no one's revenue is disrupted. In addition, the speaker will also share implementation stories for the group's benefit. Educational Objectives: 1. Identify specific areas of concern for your organization regarding AUC/CDS implementation. 2. Facilitate discussions with all stakeholders to ensure all perspectives are heard and addressed. 3. Design actions that can be taken to facilitate a successful implementation to ensure revenue is not negatively impacted.
We can all embrace the idea that many of us are taking too many medications to the point that it is doing more harm than good. The term that best describes this is polypharmacy, and in this episode, Carrie Miller speaks with Dr. Holly Holmes to give us a great view of it. Dr. Holmes is the Director of the Division of Geriatric and Palliative... The post 008 Polypharmacy: Understanding The Appropriate Use Of Medication With Dr. Holmes appeared first on My Texas Table Blog.
O D negative blood is in demand, and use will always run higher than the proportion of donors, but why is it so crucial to maintain the supply and how can we make sure we are using it wisely? Helen talks to Dr Suzy Morton about the issues.
Revenue Generator Podcast: Sales + Marketing + Product + Customer Success = Revenue Growth
Welcome back to Mobile Marketing Week with Barry Nolan, Chief Strategy Officer at Swrve, a platform that enables brands to connect with their customers with relevant messages in real time with live data and at scale. Each day this week we're going to take a long look at the small screen and discuss the biggest trend in marketing this millennium. Today, we continue our conversation by addressing the most effective way to use push notifications. Show NotesConnect With: Barry Nolan: Website // LinkedIn // Twitter The MarTech Podcast: Email // LinkedIn // TwitterBenjamin Shapiro: Website // LinkedIn // TwitterSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
This week: Nurse Staffing and Education and Hospital Mortality; Appropriate Use of Coronary Angiography Nathan and Amol want you to: 1. Understand that this study demonstrated relationships between nurse to patient ratio and average nurse education level to post-operative mortality among a large cohort of European patients. 2. Recognize different approaches to studying appropriateness and that variability in ... The post Great Minds Think Alike: Nurse Staffing and Appropriateness of Coronary Angiography appeared first on Healthy Debate.
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