Podcasts about B1

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Best podcasts about B1

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Latest podcast episodes about B1

Top-Thema mit Vokabeln | Deutsch lernen | Deutsche Welle

Deutschland muss Energie sparen: Deshalb hat die Bundesregierung beschlossen, dass Büros höchstens 19 Grad warm sein dürfen. Ärzte warnen, dass die niedrigen Temperaturen für manche Menschen gefährlich sein können.

Simple English News Daily
Thursday 1st December 2022. World News. Today: Japan same-sex ruling. Afghanistan election calls. South Korea truck strike. China Zemin dies

Simple English News Daily

Play Episode Listen Later Nov 30, 2022 7:01


World News in 7 minutes. Thursday 1st December 2022.Support us and read the transcripts at send7.org/transcriptsToday: Japan same-sex ruling. Afghanistan election calls. South Korea truck strike. China Zemin dies. UK ambulance strike. France network disruption. NATO Ukraine aid. Nigeria petroleum independence. South Africa president inquiry. Summit for Democracy. Brazil environmental crime unit. US black hole observed.Please leave a rating on Apple podcasts or Spotify.With Juliet Martin.Contact us at podcast@send7.org or send an audio message at speakpipe.com/send7If you enjoy the podcast please help to support us at send7.org/supportSEND7 (Simple English News Daily in 7 minutes) tells the most important world news stories in intermediate English. Every day, listen to the most important stories from every part of the world in slow, clear English. Whether you are an intermediate learner trying to improve your advanced, technical and business English, or if you are a native speaker who just wants to hear a summary of world news as fast as possible, join Stephen Devincenzi, Namitha Ragunath and Juliet Martin every morning. Transcripts can be found at send7.org/transcripts. Simple English News Daily is the perfect way to start your day, by practising your listening skills and understanding complicated stories in a simple way. It is also highly valuable for IELTS and TOEFL students. Students, teachers, and people with English as a second language, tell us that they listen to SEND7 because they can learn English through hard topics, but simple grammar. We believe that the best way to improve your spoken English is to immerse yourself in real-life content, such as what our podcast provides. SEND7 covers all news including politics, business, natural events and human rights. Whether it is happening in Europe, Africa, Asia, the Americas or Oceania, you will hear it on SEND7, and you will understand it. For more information visit send7.org/contact

Simple English News Daily
Tuesday 29th November 2022. World News. Today: Hawaii volcano. Ecuador gunmen arrests. China World Cup censorship. Israel anti-LGBT party. W

Simple English News Daily

Play Episode Listen Later Nov 29, 2022 7:40


World News in 7 minutes. Tuesday 29th November 2022.Support us and read the transcripts at send7.org/transcriptsToday: Hawaii volcano. Ecuador gunmen arrests. China World Cup censorship. Israel anti-LGBT party. WHO mpox. Malawi mass grave update. Europe's super cartel. UK PM foreign speech. US White House Christmas theme.With Namitha RagunathPlease leave a rating on Apple podcasts or Spotify.Contact us at podcast@send7.org or send an audio message at speakpipe.com/send7If you enjoy the podcast please help to support us at send7.org/supportSEND7 (Simple English News Daily in 7 minutes) tells the most important world news stories in intermediate English. Every day, listen to the most important stories from every part of the world in slow, clear English. Whether you are an intermediate learner trying to improve your advanced, technical and business English, or if you are a native speaker who just wants to hear a summary of world news as fast as possible, join Stephen Devincenzi, Namitha Ragunath and Juliet Martin every morning. Transcripts can be found at send7.org/transcripts. Simple English News Daily is the perfect way to start your day, by practising your listening skills and understanding complicated stories in a simple way. It is also highly valuable for IELTS and TOEFL students. Students, teachers, and people with English as a second language, tell us that they listen to SEND7 because they can learn English through hard topics, but simple grammar. We believe that the best way to improve your spoken English is to immerse yourself in real-life content, such as what our podcast provides. SEND7 covers all news including politics, business, natural events and human rights. Whether it is happening in Europe, Africa, Asia, the Americas or Oceania, you will hear it on SEND7, and you will understand it. For more information visit send7.org/contact

Simple English News Daily
Wednesday 30th November 2022. World News. Today: China protests. Pakistan Khan stops. Romania NATO Ukraine talks. Belarus poisoning? Haiti i

Simple English News Daily

Play Episode Listen Later Nov 29, 2022 7:42


World News in 7 minutes. Wednesday 30th November 2022.Support us and read the transcripts at send7.org/transcriptsToday: China protests. Pakistan Khan stops. Romania NATO Ukraine talks. Belarus poisoning? Haiti intervention demand. Canada late charge. Nigeria Bronzes return. Somalia hotel siege. And new minerals from space.With Stephen Devincenzi and Khadija Tahir.Please leave a rating on Apple podcasts or Spotify.Contact us at podcast@send7.org or send an audio message at speakpipe.com/send7If you enjoy the podcast please help to support us at send7.org/supportSEND7 (Simple English News Daily in 7 minutes) tells the most important world news stories in intermediate English. Every day, listen to the most important stories from every part of the world in slow, clear English. Whether you are an intermediate learner trying to improve your advanced, technical and business English, or if you are a native speaker who just wants to hear a summary of world news as fast as possible, join Stephen Devincenzi, Namitha Ragunath and Juliet Martin every morning. Transcripts can be found at send7.org/transcripts. Simple English News Daily is the perfect way to start your day, by practising your listening skills and understanding complicated stories in a simple way. It is also highly valuable for IELTS and TOEFL students. Students, teachers, and people with English as a second language, tell us that they listen to SEND7 because they can learn English through hard topics, but simple grammar. We believe that the best way to improve your spoken English is to immerse yourself in real-life content, such as what our podcast provides. SEND7 covers all news including politics, business, natural events and human rights. Whether it is happening in Europe, Africa, Asia, the Americas or Oceania, you will hear it on SEND7, and you will understand it. For more information visit send7.org/contact

Top-Thema mit Vokabeln | Deutsch lernen | Deutsche Welle
Recht auf Privatleben – auch bei der Kirche?

Top-Thema mit Vokabeln | Deutsch lernen | Deutsche Welle

Play Episode Listen Later Nov 29, 2022 2:23


Die katholische Kirche in Deutschland mischt sich seit Jahrzehnten in das Liebesleben ihrer Mitarbeiter ein. Nach öffentlichen Protesten soll sich jetzt einiges ändern. Doch reicht das?

Top-Thema mit Vokabeln | Deutsch lernen | Deutsche Welle
Rassismus in Deutschland: 30 Jahre nach Mölln

Top-Thema mit Vokabeln | Deutsch lernen | Deutsche Welle

Play Episode Listen Later Nov 25, 2022 2:48


30 Jahre sind seit den rassistischen Brandanschlägen in Mölln vergangen, bei denen drei Menschen starben. Auch heute noch gibt es immer wieder rassistische Gewalttaten in Deutschland.

My Polyglot Life - En Francais
DELF, DALF, TCF, TEF: Quel test de français choisir?

My Polyglot Life - En Francais

Play Episode Listen Later Nov 24, 2022 34:04


Tu te poses la question de passer ou non un examen en français ou alors tu ne sais pas lequel choisir entre le DELF, DALF, TEF, TCF? Aujourd'hui, je réponds à ces questions: Dois-tu passer un test ou non? Et comment décider si tu dois passer un test? Si tu veux immigrer ou étudier, quel test de français choisir? Quel examen faire si j'ai le choix entre tous? Et enfin une comparaison entre les formats des tests à différents niveaux (B1, B2 et C1) pour t'aider à décider Transcription disponible: https://francais.mypolyglotlife.com/2022/11/23/delf-tcf-tef-quel-test-de-francais-choisir/ Devenir membre Patreon et accéder à la fiche de vocabulaire: https://www.patreon.com/cathyintro Liens: Knowledge of Foreign Languages last a lifetime, article de l'université de York, 2022 S'abonner aux actus de My Polyglot Life: la newsletter et YouTube Le programme de coaching « Feuille de route » Fiches-mémos sur les différents tests de français --- Support this podcast: https://anchor.fm/mypolyglotlife/support

Simple English News Daily
Thursday 24th November 2022. World News. Today: Malaysia sultans meeting. South Korea strike. Mexico journalists. US, Mexico Venezuelan migr

Simple English News Daily

Play Episode Listen Later Nov 23, 2022 7:15


World News in 7 minutes. Thursday 24th November 2022.Support us and read the transcripts at send7.org/transcriptsToday: Malaysia sultans meeting. South Korea strike. Mexico journalists. US, Mexico Venezuelan migrant. South Africa UK deal. South Africa cholera vaccine. Ukraine UN calls. European Parliament Russia. Germany OneLove. European Space Agency funding. First disabled astronaut.Please leave a rating on Apple podcasts or Spotify.With Juliet Martin.Contact us at podcast@send7.org or send an audio message at speakpipe.com/send7If you enjoy the podcast please help to support us at send7.org/supportSEND7 (Simple English News Daily in 7 minutes) tells the most important world news stories in intermediate English. Every day, listen to the most important stories from every part of the world in slow, clear English. Whether you are an intermediate learner trying to improve your advanced, technical and business English, or if you are a native speaker who just wants to hear a summary of world news as fast as possible, join Stephen Devincenzi, Namitha Ragunath and Juliet Martin every morning. Transcripts can be found at send7.org/transcripts. Simple English News Daily is the perfect way to start your day, by practising your listening skills and understanding complicated stories in a simple way. It is also highly valuable for IELTS and TOEFL students. Students, teachers, and people with English as a second language, tell us that they listen to SEND7 because they can learn English through hard topics, but simple grammar. We believe that the best way to improve your spoken English is to immerse yourself in real-life content, such as what our podcast provides. SEND7 covers all news including politics, business, natural events and human rights. Whether it is happening in Europe, Africa, Asia, the Americas or Oceania, you will hear it on SEND7, and you will understand it. For more information visit send7.org/contact

Simple English News Daily
Wednesday 23rd November 2022. World News. Today: Iran military violence. Indonesia rescue. Kazakhstan election. Saudi shock Argentina. Wales

Simple English News Daily

Play Episode Listen Later Nov 22, 2022 7:05


World News in 7 minutes. Wednesday 23rd November 2022.Support us and read the transcripts at send7.org/transcriptsToday: Iran military violence. Indonesia rescue. Kazakhstan election. Saudi shock Argentina. Wales rainbow complaint. Uganda DRC soldiers. South Africa protests. Ukraine evacuations. Cuba president "unfair". US Fauci retires. And Turkiye. With Stephen Devincenzi.Please leave a rating on Apple podcasts or Spotify.Contact us at podcast@send7.org or send an audio message at speakpipe.com/send7If you enjoy the podcast please help to support us at send7.org/supportSEND7 (Simple English News Daily in 7 minutes) tells the most important world news stories in intermediate English. Every day, listen to the most important stories from every part of the world in slow, clear English. Whether you are an intermediate learner trying to improve your advanced, technical and business English, or if you are a native speaker who just wants to hear a summary of world news as fast as possible, join Stephen Devincenzi, Namitha Ragunath and Juliet Martin every morning. Transcripts can be found at send7.org/transcripts. Simple English News Daily is the perfect way to start your day, by practising your listening skills and understanding complicated stories in a simple way. It is also highly valuable for IELTS and TOEFL students. Students, teachers, and people with English as a second language, tell us that they listen to SEND7 because they can learn English through hard topics, but simple grammar. We believe that the best way to improve your spoken English is to immerse yourself in real-life content, such as what our podcast provides. SEND7 covers all news including politics, business, natural events and human rights. Whether it is happening in Europe, Africa, Asia, the Americas or Oceania, you will hear it on SEND7, and you will understand it. For more information visit send7.org/contact

Simple English News Daily
Tuesday 22nd November 2022. World News. Today: Indonesia earthquake. Iran anthem protest. Ukraine winter threat. UK nuclear tests. US Twitte

Simple English News Daily

Play Episode Listen Later Nov 22, 2022 8:01


World News in 7 minutes. Tuesday 22nd November 2022.Support us and read the transcripts at send7.org/transcriptsToday: Indonesia earthquake. Iran anthem protest. Ukraine winter threat. UK nuclear tests. US Twitter bans. Peru anti-government protests. SA apartheid murderer. Nigeria kidnapping. US air taxis. With Namitha RagunathPlease leave a rating on Apple podcasts or Spotify.Contact us at podcast@send7.org or send an audio message at speakpipe.com/send7If you enjoy the podcast please help to support us at send7.org/supportSEND7 (Simple English News Daily in 7 minutes) tells the most important world news stories in intermediate English. Every day, listen to the most important stories from every part of the world in slow, clear English. Whether you are an intermediate learner trying to improve your advanced, technical and business English, or if you are a native speaker who just wants to hear a summary of world news as fast as possible, join Stephen Devincenzi, Namitha Ragunath and Juliet Martin every morning. Transcripts can be found at send7.org/transcripts. Simple English News Daily is the perfect way to start your day, by practising your listening skills and understanding complicated stories in a simple way. It is also highly valuable for IELTS and TOEFL students. Students, teachers, and people with English as a second language, tell us that they listen to SEND7 because they can learn English through hard topics, but simple grammar. We believe that the best way to improve your spoken English is to immerse yourself in real-life content, such as what our podcast provides. SEND7 covers all news including politics, business, natural events and human rights. Whether it is happening in Europe, Africa, Asia, the Americas or Oceania, you will hear it on SEND7, and you will understand it. For more information visit send7.org/contact

Dr. Berg’s Healthy Keto and Intermittent Fasting Podcast
Bizarre Symptoms of Vitamin B1 Deficiency That You've Never Heard Before

Dr. Berg’s Healthy Keto and Intermittent Fasting Podcast

Play Episode Listen Later Nov 22, 2022 8:02


Check out these bizarre symptoms of vitamin B1 deficiency and find out what to do if you have low vitamin B1. Dr. Berg's Keto and IF Lab: https://www.facebook.com/groups/drbergslab/ How to Bulletproof your Immune System FREE Course: https://bit.ly/39Ry3s2 FREE MINI-COURSE ➜ ➜ Take Dr. Berg's Free Keto Mini-Course! ADD YOUR SUCCESS STORY HERE: https://bit.ly/3z9TviS Find Your Body Type: https://www.drberg.com/body-type-quiz Talk to a Product Advisor to find the best product for you! Call 1-540-299-1557 with your questions about Dr. Berg's products. Product Advisors are available Monday through Friday 8 am - 6 pm and Saturday 9 am - 5 pm EST. At this time, we no longer offer Keto Consulting and our Product Advisors will only be advising on which product is best for you and advise on how to take them. Dr. Eric Berg DC Bio: Dr. Berg, 51 years of age is a chiropractor who specializes in weight loss through nutritional & natural methods. His private practice is located in Alexandria, Virginia. His clients include senior officials in the U.S. government & the Justice Department, ambassadors, medical doctors, high-level executives of prominent corporations, scientists, engineers, professors, and other clients from all walks of life. He is the author of The 7 Principles of Fat Burning. Dr. Berg's Website: http://bit.ly/37AV0fk Dr. Berg's Recipe Ideas: http://bit.ly/37FF6QR Dr. Berg's Reviews: http://bit.ly/3hkIvbb Dr. Berg's Shop: http://bit.ly/3mJcLxg Dr. Berg's Bio: http://bit.ly/3as2cfE Dr. Berg's Health Coach Training: http://bit.ly/3as2p2q Facebook: https://www.facebook.com/drericberg Messenger: https://www.messenger.com/t/drericberg Instagram: https://www.instagram.com/drericberg/ YouTube: http://bit.ly/37DXt8C Pinterest: https://www.pinterest.com/drericberg/

Top-Thema mit Vokabeln | Deutsch lernen | Deutsche Welle

Am 20. November 2022 wurde die Fußballweltmeisterschaft in Katar eröffnet. Doch wegen der Menschenrechtssituation dort gibt es auch Boykottbewegungen. Viele deutsche Kneipen wollen die WM-Spiele gar nicht zeigen.

Polski Daily
PD141 Genialna malarka, fatalna żona, wyzwolona kobieta - Tamara Lempicka

Polski Daily

Play Episode Listen Later Nov 21, 2022 24:07


Czy wiesz, że Tamara Lempicka, gwiazda art deco, była Polką? W tym odcinku opowiadam o jej niezwykłym, szalonym życiu. Have you discovered the Polski Daily Club yet? If not go to https://www.polskidaily.eu/signup and join the club!

Top-Thema mit Vokabeln | Deutsch lernen | Deutsche Welle
Der weltweite Kampf gegen die Todesstrafe

Top-Thema mit Vokabeln | Deutsch lernen | Deutsche Welle

Play Episode Listen Later Nov 18, 2022 2:56


Justizirrtümer, die Unterdrückung von Opposition, die Menschenwürde: Es gibt viele Gründe gegen Todesurteile und Hinrichtungen. Auf dem Weltkongress gegen die Todesstrafe in Berlin sind 125 Länder vertreten.

Simple English News Daily
Friday 18th November 2022. World News. Today: Iran protest deaths. Palestine fire. Netherlands Russians convicted. Ukraine updates. UK tax r

Simple English News Daily

Play Episode Listen Later Nov 17, 2022 7:53


World News in 7 minutes. Friday 18th November 2022.Support us and read the transcripts at send7.org/transcriptsToday: Iran protest deaths. Palestine fire. Netherlands Russians convicted. Ukraine updates. UK tax rises. Qatar football. Ghana minimum wage. Mali foreign troops leave. US Republican senate. Mexico Frida gone.With Stephen Devincenzi.Please leave a rating on Apple podcasts or Spotify.Contact us at podcast@send7.org or send an audio message at speakpipe.com/send7If you enjoy the podcast please help to support us at send7.org/supportSEND7 (Simple English News Daily in 7 minutes) tells the most important world news stories in intermediate English. Every day, listen to the most important stories from every part of the world in slow, clear English. Whether you are an intermediate learner trying to improve your advanced, technical and business English, or if you are a native speaker who just wants to hear a summary of world news as fast as possible, join Stephen Devincenzi, Namitha Ragunath and Juliet Martin every morning. Transcripts can be found at send7.org/transcripts. Simple English News Daily is the perfect way to start your day, by practising your listening skills and understanding complicated stories in a simple way. It is also highly valuable for IELTS and TOEFL students. Students, teachers, and people with English as a second language, tell us that they listen to SEND7 because they can learn English through hard topics, but simple grammar. We believe that the best way to improve your spoken English is to immerse yourself in real-life content, such as what our podcast provides. SEND7 covers all news including politics, business, natural events and human rights. Whether it is happening in Europe, Africa, Asia, the Americas or Oceania, you will hear it on SEND7, and you will understand it. For more information visit send7.org/contact

Simple English News Daily
Thursday 17th November 2022. World News. Today: NATO Poland missile. Ukraine power restored. UK first spaceport. Kuwait executions. Iran acc

Simple English News Daily

Play Episode Listen Later Nov 16, 2022 7:21


World News in 7 minutes. Thursday 17th November 2022.Support us and read the transcripts at send7.org/transcriptsToday: NATO Poland missile. Ukraine power restored. UK first spaceport. Kuwait executions. Iran accused. India G20 presidency. Egypt COP27 unresolved. Ethiopia aid arrives. Uganda Ebola action. Brazil deforestation fight. Canada Iran sanctions. US Trump re-runs. Mexico dog dies.Please leave a rating on Apple podcasts or Spotify.With Juliet Martin.Contact us at podcast@send7.org or send an audio message at speakpipe.com/send7If you enjoy the podcast please help to support us at send7.org/supportSEND7 (Simple English News Daily in 7 minutes) tells the most important world news stories in intermediate English. Every day, listen to the most important stories from every part of the world in slow, clear English. Whether you are an intermediate learner trying to improve your advanced, technical and business English, or if you are a native speaker who just wants to hear a summary of world news as fast as possible, join Stephen Devincenzi, Namitha Ragunath and Juliet Martin every morning. Transcripts can be found at send7.org/transcripts. Simple English News Daily is the perfect way to start your day, by practising your listening skills and understanding complicated stories in a simple way. It is also highly valuable for IELTS and TOEFL students. Students, teachers, and people with English as a second language, tell us that they listen to SEND7 because they can learn English through hard topics, but simple grammar. We believe that the best way to improve your spoken English is to immerse yourself in real-life content, such as what our podcast provides. SEND7 covers all news including politics, business, natural events and human rights. Whether it is happening in Europe, Africa, Asia, the Americas or Oceania, you will hear it on SEND7, and you will understand it. For more information visit send7.org/contact

Top-Thema mit Vokabeln | Deutsch lernen | Deutsche Welle

Deutsche Innenstädte sind lange Zeit Orte des Konsums gewesen. In Zeiten zunehmenden Online-Handels stehen sie nun vor Problemen. Doch der Wandel bringt auch Chancen mit sich, meinen Expertinnen und Experten.

Simple English News Daily
Tuesday 15th November 2022. World News. Today: Ukraine Zelensky in Kherson. Slovenia female head of state. China Xi and US Biden talks.

Simple English News Daily

Play Episode Listen Later Nov 15, 2022 7:57


World News in 7 minutes. Tuesday 15th November 2022.Support us and read the transcripts at send7.org/transcriptsToday: Ukraine Zelensky in Kherson. Slovenia female head of state. China Xi and US Biden talks. Afghanistan Taliban punishments. US Bezos donations. Haiti sackings. Zambia Russia student death. South Africa pitbull ban. UK boy beats Prof Stephen Hawking.With Namitha RagunathPlease leave a rating on Apple podcasts or Spotify.Contact us at podcast@send7.org or send an audio message at speakpipe.com/send7If you enjoy the podcast please help to support us at send7.org/supportSEND7 (Simple English News Daily in 7 minutes) tells the most important world news stories in intermediate English. Every day, listen to the most important stories from every part of the world in slow, clear English. Whether you are an intermediate learner trying to improve your advanced, technical and business English, or if you are a native speaker who just wants to hear a summary of world news as fast as possible, join Stephen Devincenzi, Namitha Ragunath and Juliet Martin every morning. Transcripts can be found at send7.org/transcripts. Simple English News Daily is the perfect way to start your day, by practising your listening skills and understanding complicated stories in a simple way. It is also highly valuable for IELTS and TOEFL students. Students, teachers, and people with English as a second language, tell us that they listen to SEND7 because they can learn English through hard topics, but simple grammar. We believe that the best way to improve your spoken English is to immerse yourself in real-life content, such as what our podcast provides. SEND7 covers all news including politics, business, natural events and human rights. Whether it is happening in Europe, Africa, Asia, the Americas or Oceania, you will hear it on SEND7, and you will understand it. For more information visit send7.org/contact

Simple English News Daily
Wednesday 16th November 2022. World News. Today: Indonesia G20 meeting. Russian missiles hit Ukraine. And Poland? China protests. DRC exodus

Simple English News Daily

Play Episode Listen Later Nov 15, 2022 7:55


World News in 7 minutes. Wednesday 16th November 2022.Support us and read the transcripts at send7.org/transcriptsToday: Indonesia G20 meeting. Russian missiles hit Ukraine. And Poland? China protests. DRC exodus. Nigeria separatist attack. FTX collapse. Haiti cholera. Pakistan death sentences. Austria climate attack. And 8 billion human beings.With Stephen Devincenzi and Khadija Tahir.Please leave a rating on Apple podcasts or Spotify.Contact us at podcast@send7.org or send an audio message at speakpipe.com/send7If you enjoy the podcast please help to support us at send7.org/supportSEND7 (Simple English News Daily in 7 minutes) tells the most important world news stories in intermediate English. Every day, listen to the most important stories from every part of the world in slow, clear English. Whether you are an intermediate learner trying to improve your advanced, technical and business English, or if you are a native speaker who just wants to hear a summary of world news as fast as possible, join Stephen Devincenzi, Namitha Ragunath and Juliet Martin every morning. Transcripts can be found at send7.org/transcripts. Simple English News Daily is the perfect way to start your day, by practising your listening skills and understanding complicated stories in a simple way. It is also highly valuable for IELTS and TOEFL students. Students, teachers, and people with English as a second language, tell us that they listen to SEND7 because they can learn English through hard topics, but simple grammar. We believe that the best way to improve your spoken English is to immerse yourself in real-life content, such as what our podcast provides. SEND7 covers all news including politics, business, natural events and human rights. Whether it is happening in Europe, Africa, Asia, the Americas or Oceania, you will hear it on SEND7, and you will understand it. For more information visit send7.org/contact

Rio Bravo qWeek
Episode 118: Wernicke's Encephalopathy

Rio Bravo qWeek

Play Episode Listen Later Nov 12, 2022 15:21


Episode 118: Wernicke's Encephalopathy Dr. Malave explains the diagnosis and treatment of Wernicke's encephalopathy. Editing and comments by Hector Arreaza.  Written by Maria Fernanda Malave, edited by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Definition.As a reminder for everyone, vitamin B1 and thiamine are the same substance with different names. Wernicke's encephalopathy (WE) is a neurological syndrome secondary to severe, short-term B1 deficiency. In the past, but less frequently nowadays, it was more commonly associated with alcohol use disorder. However, today we know that any condition that decreases dietary intake and increases thiamine use, or its elimination, puts patients at risk of developing this encephalopathy. Causes:Chronic alcoholism is the most important cause of WE. Around 70-80% of the causes are associated with chronic alcohol consumption. Non-alcoholic WE may be caused by Decreased intake: Some types of WE may be caused by a psychiatric illness that decreases the dietary intake of B1, such as anorexia nervosa, schizophrenia, or dementia. Arreaza: Also, prolonged fasting or starvation.Lack of absorption of B1: Other causes might be related to malabsorptive syndromes, bariatric surgeries, or hyperemesis gravidarumIncreased use of B1: Any disease that increases the use of B1 and, therefore, low levels of thiamine, such as cancer, thyrotoxicosis, and systemic illnesses like infections. High-carb diets are associated with high thiamine use. Also, patients who receive IV glucose w/o supplements are at risk of developing Wernicke's encephalopathy.Increased elimination of B1: Other causes are related to increased elimination of B1, such as dialysis.Immunodeficiencies: Immunodeficiency syndromes and transplantation also cause WE.Why is thiamine important?Thiamine is one of the main cofactors in three key enzymes for energy metabolism: alpha-ketoglutarate dehydrogenase, pyruvate dehydrogenase, and transketolase. If we go back to biochemistry in med school, we can remember these enzymes play a significant role in the Krebs cycle and pentose phosphate pathways. Thiamine uses Mg+2 as a cofactor, so a magnesium deficiency can mimic WE.Pathophysiology.B1 deficiency causes lactic acid accumulation due to anaerobic glycolysis, leading to neuronal cytotoxic edema and vasogenic edema with petechial hemorrhages. MRI of the brain shows symmetrical hyperintensities, most commonly in the thalamus, mammillary bodies, cerebellum, and the periaqueductal area surrounding the third and fourth ventricles. The diagnosis of WE is made clinically, even though the MRI is a useful complementary tool to the clinical diagnosis. Diagnosis.WE presentation has always been described as the classic triad of ophthalmoplegia (or nystagmus), encephalopathy (confusion or memory impairment), and gait ataxia. However, this presentation is present only in less than 20% of patients, and most of the patients present with a neurologic syndrome that includes 2 out of the classic triad plus nonspecific symptoms such as hallucinations, hypothermia, hypotension, indifference or inattentiveness, seizures, behavioral disturbances, and bilateral lower extremity weakness. In 1997, Caine et al. suggested that a diagnosis of WE can be made if 2 out of 4 of these criteria were present in a patient with ophthalmoplegia/nystagmus + ataxia + memory impairment or confusion and clinical evidence of malnutrition or from laboratory data. Thiamine levels can be normal in patients with WE, so thiamine level is not a requirement for diagnosis.Almost 80% of WE cases are diagnosed on autopsy, which means this disease goes undiagnosed most of the time. The diagnosis is clinical, and MRI can assist in cases that are uncertain. Treatment.Thiamine supplementation is inexpensive, accessible, and easy to administer, so if we have a patient with a suspicious neurologic syndrome that could be WE, B1 must be given as soon as possible. Treatment should not be delayed while waiting for MRI results, The treatment consists of IV thiamine 500mg TID for 2-3 days, followed by 250 IM or IV for additional 5 days, in combination with other B vitamins. Because GI absorption of thiamine is impaired in alcoholics and malnourished patients, oral administration is contraindicated during initial treatment for WE. Thiamine 100 mg PO should be continued after the completion of parenteral treatment and after discharge from the hospital until patients are no longer considered at risk. Magnesium and other vitamins are replaced as well, along with other nutritional deficits if present.B1 blood levels or erythrocyte transketolase activity (which is a way to evaluate thiamine deficiency) are measured before and after thiamine pyrophosphate supplementation. A low transketolase and a more than 25 percent stimulation are positive for thiamine deficiency. This test is often not readily available, especially at the ED. High-quality liquid chromatography can also measure serum thiamine or TPP level in serum or whole blood.For practical purposes, and given high undiagnosed rates and mortality, IV thiamine should be given to all patients with malnutrition admitted to the hospital or seen in clinic. __________________________Conclusion: Now we conclude episode number 117 “Wernicke's Encephalopathy.” Dr. Malave explained that a low thiamine level is not required for the diagnosis of Wernicke's encephalopathy. Start supplementation if you have a high suspicion of thiamine deficiency, especially before giving IV glucose to a malnourished patient. We were reminded that GI absorption of thiamine is impaired in patients with chronic alcohol use, so make sure you give thiamine IV or IM. This week we thank Hector Arreaza and Maria Fernanda Malave. Audio edition by Adrianne Silva.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________Links:He Jingqi, Li Jinguang, Li Zhijun, Ren Honghong, Chen Xiaogang, Tang Jinsong. A Case Report of Wernicke's Encephalopathy Associated with Schizophrenia. Frontiers in Psychiatry. Vol 12. Year 2021. DOI=10.3389/fpsyt.2021.657649. https://www.frontiersin.org/articles/10.3389/fpsyt.2021.657649/fullOta, Y., Capizzano, A.A., Moritani, T. et al. Comprehensive review of Wernicke encephalopathy: pathophysiology, clinical symptoms and imaging findings. Jpn J Radiol 38, 809–820 (2020). https://doi.org/10.1007/s11604-020-00989-3.Yuen T So, MD, PhD, Wernicke encephalopathy, last updated: Feb 11, 2020, UpToDate. Retrieved October 25, 2022.https://www.uptodate.com/contents/wernicke-encephalopathy.Patel S, Topiwala K, Hudson L. Wernicke's Encephalopathy. Cureus. 2018 Aug 22;10(8):e3187. doi: 10.7759/cureus.3187. PMID: 30364782; PMCID: PMC6199146. https://pubmed.ncbi.nlm.nih.gov/30364782/Royalty-free music used for this episode: Simon Pettersson – good vibes_ Fashionista, downloaded on October 1, 2022, from https://www.videvo.net 

Top-Thema mit Vokabeln | Deutsch lernen | Deutsche Welle
Stolpersteine: Eine App unterstützt das Gedenken

Top-Thema mit Vokabeln | Deutsch lernen | Deutsche Welle

Play Episode Listen Later Nov 11, 2022 2:43


Ein Künstler erinnert mit Inschriften auf Bürgersteigen an Menschen, die von den Nazis ermordet wurden. Seit Jahrzehnten arbeitet er an seinem Projekt – nun kann man die Stolpersteine auch mit dem Handy finden.

Simple English News Daily
Friday 11th November 2022. World News. Today: Ukraine Kherson caution. US results. Brazil military content. Afghanistan women banned. China

Simple English News Daily

Play Episode Listen Later Nov 10, 2022 7:51


World News in 7 minutes. Friday 11th November 2022.Support us and read the transcripts at send7.org/transcriptsToday: Ukraine Kherson caution. US results. Brazil military content. Afghanistan women banned. China prepare for war. Kenya DRC soldiers. Madagascar lychee corruption. Germany KFC Kristallnacht. Angola independence. With Stephen Devincenzi and Khadija Tahir.My recommendation: English Learning for Curious Minds podcast : https://www.leonardoenglish.com/Please leave a rating on Apple podcasts or Spotify.Contact us at podcast@send7.org or send an audio message at speakpipe.com/send7If you enjoy the podcast please help to support us at send7.org/supportSEND7 (Simple English News Daily in 7 minutes) tells the most important world news stories in intermediate English. Every day, listen to the most important stories from every part of the world in slow, clear English. Whether you are an intermediate learner trying to improve your advanced, technical and business English, or if you are a native speaker who just wants to hear a summary of world news as fast as possible, join Stephen Devincenzi, Namitha Ragunath and Juliet Martin every morning. Transcripts can be found at send7.org/transcripts. Simple English News Daily is the perfect way to start your day, by practising your listening skills and understanding complicated stories in a simple way. It is also highly valuable for IELTS and TOEFL students. Students, teachers, and people with English as a second language, tell us that they listen to SEND7 because they can learn English through hard topics, but simple grammar. We believe that the best way to improve your spoken English is to immerse yourself in real-life content, such as what our podcast provides. SEND7 covers all news including politics, business, natural events and human rights. Whether it is happening in Europe, Africa, Asia, the Americas or Oceania, you will hear it on SEND7, and you will understand it. For more information visit send7.org/contact

Simple English News Daily
Thursday 10th November 2022. World News. Today: Russia withdraws Kherson. British, Taiwanese volunteers. Sweden Turkey talks. S Africa Amazo

Simple English News Daily

Play Episode Listen Later Nov 9, 2022 7:52


World News in 7 minutes. Thursday 10th November 2022.Support us and read the transcripts at send7.org/transcriptsToday: Russia withdraws Kherson. British, Taiwanese volunteers. Sweden Turkey talks. S Africa Amazon construction. Ramaphosa COP27. Namibia green energy. Mexico animal trafficking. Brazilian Costa dies. Peru Congress tension. Iran death penalty. Iran denounces skater. Japanese candy. Please leave a rating on Apple podcasts or Spotify.With Juliet Martin.My recommendation: English Learning for Curious Minds podcast : https://www.leonardoenglish.com/Contact us at podcast@send7.org or send an audio message at speakpipe.com/send7If you enjoy the podcast please help to support us at send7.org/supportSEND7 (Simple English News Daily in 7 minutes) tells the most important world news stories in intermediate English. Every day, listen to the most important stories from every part of the world in slow, clear English. Whether you are an intermediate learner trying to improve your advanced, technical and business English, or if you are a native speaker who just wants to hear a summary of world news as fast as possible, join Stephen Devincenzi, Namitha Ragunath and Juliet Martin every morning. Transcripts can be found at send7.org/transcripts. Simple English News Daily is the perfect way to start your day, by practising your listening skills and understanding complicated stories in a simple way. It is also highly valuable for IELTS and TOEFL students. Students, teachers, and people with English as a second language, tell us that they listen to SEND7 because they can learn English through hard topics, but simple grammar. We believe that the best way to improve your spoken English is to immerse yourself in real-life content, such as what our podcast provides. SEND7 covers all news including politics, business, natural events and human rights. Whether it is happening in Europe, Africa, Asia, the Americas or Oceania, you will hear it on SEND7, and you will understand it. For more information visit send7.org/contact

Top-Thema mit Vokabeln | Deutsch lernen | Deutsche Welle
Medikamentenmangel – ein weltweites Problem

Top-Thema mit Vokabeln | Deutsch lernen | Deutsche Welle

Play Episode Listen Later Nov 8, 2022 2:14


In vielen Ländern fehlen Arzneimittel, mit denen gefährliche Krankheiten behandelt werden. In Deutschland können Patienten Alternativpräparate erhalten – in anderen Ländern ist das nicht so einfach möglich.

REGANOMICS
Season 2, Episode 10: GRAY BRIDWELL - Head of Military Affairs Committee, Farmer, Pilot

REGANOMICS

Play Episode Listen Later Nov 8, 2022 86:10


Season 2, Episode 10: GRAY BRIDWELL - Head of Military Affairs Committee, Farmer and Rancher, Pilot.This episode is EXACTLY why I started this show! Gray Bridwell discusses in practical nitty gritty terms: Farming and Ranching in West Texas, commercial farming versus family farming, Foreign countries/companies buying up farmland, how a farmer/rancher retires, the cost of becoming a farmer over $1 million, the future of farming, the importance of water and how most farms operate in West Texas. We don't stop there though, in his role as head of the Military Affairs Committee, we talk about who is the bigger threat, China or Russia, and why, the possible end scenarios for Ukraine and Russia War, the 30 to 50 year goal of the US/China dynamic, how we as individuals can fight the Chinese threat, drone warfare in Ukraine, how America is catching up in the Hypersonic missile race, the B1 bomber's role as platform form hypersonics, the scary difference between ICBMs and hypersonic missiles and much more! Enjoy and learn!

Simple English News Daily
Wednesday 9th November 2022. World News. Today: Qatar homophobia. Ukraine kills "hundreds" of Russians daily. Europe hottest October. Egypt

Simple English News Daily

Play Episode Listen Later Nov 8, 2022 8:07


World News in 7 minutes. Wednesday 9th November 2022.Support us and read the transcripts at send7.org/transcriptsToday: Qatar homophobia. Ukraine killing "hundreds" of Russians daily. Europe hottest October. Egypt COP talks. Dominican Republic storm. US elections. China UK criticism. Pakistan Khan 3 bullets. Tanzania rats with baggage.With Stephen Devincenzi.My recommendation: English Learning for Curious Minds podcast : https://www.leonardoenglish.com/Please leave a rating on Apple podcasts or Spotify.Contact us at podcast@send7.org or send an audio message at speakpipe.com/send7If you enjoy the podcast please help to support us at send7.org/supportSEND7 (Simple English News Daily in 7 minutes) tells the most important world news stories in intermediate English. Every day, listen to the most important stories from every part of the world in slow, clear English. Whether you are an intermediate learner trying to improve your advanced, technical and business English, or if you are a native speaker who just wants to hear a summary of world news as fast as possible, join Stephen Devincenzi, Namitha Ragunath and Juliet Martin every morning. Transcripts can be found at send7.org/transcripts. Simple English News Daily is the perfect way to start your day, by practising your listening skills and understanding complicated stories in a simple way. It is also highly valuable for IELTS and TOEFL students. Students, teachers, and people with English as a second language, tell us that they listen to SEND7 because they can learn English through hard topics, but simple grammar. We believe that the best way to improve your spoken English is to immerse yourself in real-life content, such as what our podcast provides. SEND7 covers all news including politics, business, natural events and human rights. Whether it is happening in Europe, Africa, Asia, the Americas or Oceania, you will hear it on SEND7, and you will understand it. For more information visit send7.org/contact

Simple English News Daily
Monday 7th November 2022. World News. Today: US Elections. Peru anti-government protests. Ukraine power outage. UK Britain is broken protest

Simple English News Daily

Play Episode Listen Later Nov 7, 2022 8:39


World News in 7 minutes. Monday 7th November 2022.Support us and read the transcripts at send7.org/transcriptsToday: US Elections. Peru anti-government protests. Ukraine power outage. UK Britain is broken protests. Tanzania plane crash. Egypt COP27 summit. Egypt activist hunger strike. Pakistan assassination claims. Korea vigil. India oldest voter.With Namitha RagunathPlease leave a rating on Apple podcasts or Spotify.Contact us at podcast@send7.org or send an audio message at speakpipe.com/send7If you enjoy the podcast please help to support us at send7.org/supportSEND7 (Simple English News Daily in 7 minutes) tells the most important world news stories in intermediate English. Every day, listen to the most important stories from every part of the world in slow, clear English. Whether you are an intermediate learner trying to improve your advanced, technical and business English, or if you are a native speaker who just wants to hear a summary of world news as fast as possible, join Stephen Devincenzi, Namitha Ragunath and Juliet Martin every morning. Transcripts can be found at send7.org/transcripts. Simple English News Daily is the perfect way to start your day, by practising your listening skills and understanding complicated stories in a simple way. It is also highly valuable for IELTS and TOEFL students. Students, teachers, and people with English as a second language, tell us that they listen to SEND7 because they can learn English through hard topics, but simple grammar. We believe that the best way to improve your spoken English is to immerse yourself in real-life content, such as what our podcast provides. SEND7 covers all news including politics, business, natural events and human rights. Whether it is happening in Europe, Africa, Asia, the Americas or Oceania, you will hear it on SEND7, and you will understand it. For more information visit send7.org/contact

NBC Nightly News
Saturday, November 5, 2022

NBC Nightly News

Play Episode Listen Later Nov 6, 2022 21:03


Deadly twisters rip through Tornado Alley, Former Presidents in Pennsylvania stumping for senate candidates and U.S. deploys B1 heavy bombers sending a message to North Korea.

Top-Thema mit Vokabeln | Deutsch lernen | Deutsche Welle

Feuer- und Seebestattungen oder Beisetzungen im Wald: Heutzutage entscheiden sich immer mehr Menschen für Bestattungsformen, bei denen keine Grabpflege nötig ist. Orte zum Trauern gibt es dennoch.

Simple English News Daily
Thursday 3rd November 2022. World News. Today: Ethiopia peace. Kenya Congo troops. US "N Korea weapons". Sri Lanka protests. Russia Black Se

Simple English News Daily

Play Episode Listen Later Nov 2, 2022 6:59


World News in 7 minutes. Thursday 3rd November 2022.Support us and read the transcripts at send7.org/transcriptsToday: Ethiopia peace. Kenya Congo troops. US "N Korea weapons". Sri Lanka protests. Russia Black Sea deal. Denmark coalition. Ecuador state of emergency. US shooter sentenced. Obama "political climate dangerous". Rocket launch.Please leave a rating on Apple podcasts or Spotify.With Juliet Martin.Contact us at podcast@send7.org or send an audio message at speakpipe.com/send7If you enjoy the podcast please help to support us at send7.org/supportSEND7 (Simple English News Daily in 7 minutes) tells the most important world news stories in intermediate English. Every day, listen to the most important stories from every part of the world in slow, clear English. Whether you are an intermediate learner trying to improve your advanced, technical and business English, or if you are a native speaker who just wants to hear a summary of world news as fast as possible, join Stephen Devincenzi, Namitha Ragunath and Juliet Martin every morning. Transcripts can be found at send7.org/transcripts. Simple English News Daily is the perfect way to start your day, by practising your listening skills and understanding complicated stories in a simple way. It is also highly valuable for IELTS and TOEFL students. Students, teachers, and people with English as a second language, tell us that they listen to SEND7 because they can learn English through hard topics, but simple grammar. We believe that the best way to improve your spoken English is to immerse yourself in real-life content, such as what our podcast provides. SEND7 covers all news including politics, business, natural events and human rights. Whether it is happening in Europe, Africa, Asia, the Americas or Oceania, you will hear it on SEND7, and you will understand it. For more information visit send7.org/contact

Simple English News Daily
Tuesday 1st November 2022. World News. Today: Brazil elections. US Pelosi case. UK migrants. Ukraine updates. India cricket star privacy.

Simple English News Daily

Play Episode Listen Later Nov 1, 2022 8:23


World News in 7 minutes. Tuesday 1st November 2022.Support us and read the transcripts at send7.org/transcriptsToday: Brazil elections. US Pelosi case. UK migrants. Ukraine updates. India cricket star privacy. China covid shut down. DRC protests. Kenya hospital negligence. Cameroon super fan. With Namitha RagunathPlease leave a rating on Apple podcasts or Spotify.Contact us at podcast@send7.org or send an audio message at speakpipe.com/send7If you enjoy the podcast please help to support us at send7.org/supportSEND7 (Simple English News Daily in 7 minutes) tells the most important world news stories in intermediate English. Every day, listen to the most important stories from every part of the world in slow, clear English. Whether you are an intermediate learner trying to improve your advanced, technical and business English, or if you are a native speaker who just wants to hear a summary of world news as fast as possible, join Stephen Devincenzi, Namitha Ragunath and Juliet Martin every morning. Transcripts can be found at send7.org/transcripts. Simple English News Daily is the perfect way to start your day, by practising your listening skills and understanding complicated stories in a simple way. It is also highly valuable for IELTS and TOEFL students. Students, teachers, and people with English as a second language, tell us that they listen to SEND7 because they can learn English through hard topics, but simple grammar. We believe that the best way to improve your spoken English is to immerse yourself in real-life content, such as what our podcast provides. SEND7 covers all news including politics, business, natural events and human rights. Whether it is happening in Europe, Africa, Asia, the Americas or Oceania, you will hear it on SEND7, and you will understand it. For more information visit send7.org/contact

Simple English News Daily
Wednesday 2nd November 2022. World News. Today: Brazil Bolsonaro speaks. US abortions. Ukraine updates. Denmark, Israel elections. Ghana eco

Simple English News Daily

Play Episode Listen Later Nov 1, 2022 7:43


World News in 7 minutes. Wednesday 2nd 2022.Support us and read the transcripts at send7.org/transcriptsToday: Brazil Bolsonaro speaks. US abortions. Ukraine updates. Denmark, Israel elections. Ghana economy. Mali Russian mercenaries. India millions better.With Stephen DevincenziPlease leave a rating on Apple podcasts or Spotify.Contact us at podcast@send7.org or send an audio message at speakpipe.com/send7If you enjoy the podcast please help to support us at send7.org/supportSEND7 (Simple English News Daily in 7 minutes) tells the most important world news stories in intermediate English. Every day, listen to the most important stories from every part of the world in slow, clear English. Whether you are an intermediate learner trying to improve your advanced, technical and business English, or if you are a native speaker who just wants to hear a summary of world news as fast as possible, join Stephen Devincenzi, Namitha Ragunath and Juliet Martin every morning. Transcripts can be found at send7.org/transcripts. Simple English News Daily is the perfect way to start your day, by practising your listening skills and understanding complicated stories in a simple way. It is also highly valuable for IELTS and TOEFL students. Students, teachers, and people with English as a second language, tell us that they listen to SEND7 because they can learn English through hard topics, but simple grammar. We believe that the best way to improve your spoken English is to immerse yourself in real-life content, such as what our podcast provides. SEND7 covers all news including politics, business, natural events and human rights. Whether it is happening in Europe, Africa, Asia, the Americas or Oceania, you will hear it on SEND7, and you will understand it. For more information visit send7.org/contact

Top-Thema mit Vokabeln | Deutsch lernen | Deutsche Welle
Cannabis-Legalisierung in Deutschland

Top-Thema mit Vokabeln | Deutsch lernen | Deutsche Welle

Play Episode Listen Later Nov 1, 2022 2:57


Noch sind Verkauf, Anbau und Besitz von Cannabis in Deutschland verboten. Doch das soll sich ändern. Bundesgesundheitsminister Karl Lauterbach hat erste Eckpunkte für eine Legalisierung vorgestellt.

Top-Thema mit Vokabeln | Deutsch lernen | Deutsche Welle
Deutschlands Angst vor der Rohstoffkrise

Top-Thema mit Vokabeln | Deutsch lernen | Deutsche Welle

Play Episode Listen Later Oct 28, 2022 2:18


Deutschland braucht Rohstoffe aus anderen Ländern. Doch es hat sich zu sehr abhängig gemacht von russischem Gas. Und was passiert, wenn China nicht mehr liefert? Die deutsche Wirtschaft schlägt Alarm.