Podcasts about bmc public health

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

Dr Matthew Burman is a TB clinician and researcher from East London, Queen Mary University and the Blizzard Institute. Today he presents the data from the CATAPULT trial which randomised patients to either have their latent TB infection managed by a TB clinic in secondary care, or be managed in primary care by their GP in concert with a community pharmacist. This amazing trial re-evaluates how we think about TB preventative therapy and looks at new ways of approaching the burden of latent TB infection.REFERENCESBurman, M., et al. "Protocol for a cluster randomised control trial evaluating the efficacy and safety of treatment for latent tuberculosis infection in recent migrants within primary care: the CATAPuLT trial." BMC Public Health 19 (2019): 1-7.Goswami, Neela D., et al. "Predictors of latent tuberculosis treatment initiation and completion at a US public health clinic: a prospective cohort study." BMC public health 12 (2012): 1-8.Loutet, Miranda G., et al. "National roll-out of latent tuberculosis testing and treatment for new migrants in England: a retrospective evaluation in a high-incidence area." European Respiratory Journal 51.1 (2018).Alsdurf, Hannah, et al. "The cascade of care in diagnosis and treatment of latent tuberculosis infection: a systematic review and meta-analysis." The Lancet Infectious Diseases 16.11 (2016): 1269-1278.

Many people tend to exercise less during the colder months, preferring to stay indoors and avoid the chilly weather. But doing exercise in winter is a good idea for lots of reasons so don't let the cold put you off.   Exercising in cold weather can offer many advantages for your physical and mental health. For example, according to a study published in March 2023 in BMC Public Health, winter workouts can improve your endurance, as your heart doesn't have to work as hard, you sweat less, and expend less energy. Winter exercise can also help you burn more calories, as your body has to generate more heat to keep warm. What are the other benefits of doing exercise when it is cold? And what about the risks? In under 3 minutes, we answer your questions! To listen to the last episodes, you can click here: Why do people R-bomb in the dating world? Are budget food brands really worth the savings they offer? How can you save money on your food bill? A podcast written and realised by Amber Minogue. First Broadcast: 28/11/2023 Learn more about your ad choices. Visit megaphone.fm/adchoices

Many people tend to exercise less during the colder months, preferring to stay indoors and avoid the chilly weather. But doing exercise in winter is a good idea for lots of reasons so don't let the cold put you off.   Exercising in cold weather can offer many advantages for your physical and mental health. For example, according to a study published in March 2023 in BMC Public Health, winter workouts can improve your endurance, as your heart doesn't have to work as hard, you sweat less, and expend less energy. Winter exercise can also help you burn more calories, as your body has to generate more heat to keep warm. What are the other benefits of doing exercise when it is cold? And what about the risks? In under 3 minutes, we answer your questions! To listen to the last episodes, you can click here: Why do people R-bomb in the dating world? Are budget food brands really worth the savings they offer? How can you save money on your food bill? A podcast written and realised by Amber Minogue. First Broadcast: 28/11/2023 Learn more about your ad choices. Visit megaphone.fm/adchoices

If you deal with menopause brain fog, mild depression or anxiety any time of year, this is for you. It's also for anyone who wants the latest science on exercise and brain health. The evidence around how movement affects mental well-being is growing, and I want to share some of the most impactful insights with you. Almost all types of exercise seem to show benefits on mental well-being. Activities like resistance training, yoga, other mind-body activities, aerobic exercise, and high-intensity interval training (HIIT) can support brain health to some extent. In this episode I'll share which exercise helps most, specifically on menopause brain fog, mood, or anxiety. No matter when you're listening to this episode, it's relevant for multiple reasons and seasons. But as I release it during the holiday season, it can have more impact. Whether you might be facing memories of loved ones you've lost, whether it was this year or in years past, or the traditions, memories, or emotions that come with the season that make this time of year bittersweet. While holidays can be magical and full of warmth, they can also feel heavy, bringing sadness, anxiety, or emotional struggles to the surface. For women with menopause brain fog and memory issues, the holidays can have an even greater impact. Beyond Menopause and Brain Fog Global prevalence of depression in perimenopausal women are at 33.9% and 34.9% in postmenopausal women. Why? This may be due to estrogen and progesterone fluctuations, sleep disturbances and greater susceptibility to negative effects of stress. Most adults with depression don't receive adequate care - due to the stigma or the fact that they don't respond well to antidepressants. And pharmaceuticals don't address the physical comorbidities associated with depression. Exercise is well accepted as an alternative or complement due to accessibility, acceptability and safety. Even physical activity below public health recommendations can yield significant mental health benefits [and is a necessary place to start]. Menopause Brain Fog, It's Not Just You A recent study published in the Biomedical Central Public Health Journal of over 200 randomized controlled trials show exercise interventions may have more potent antidepressant effects than SSRIs. A study examined which of 5 exercise interventions helped reduce depression levels most in postmenopausal women and if certain population characteristics responded differently. The Exercise Interventions: Stretching Exercise Aerobic Exercise Resistance Training Mind-Body Exercise Multi Exercise Mind-Body Exercise had the greatest effect on easing anxiety, followed by Aerobic Exercise. Exercise helps because it creates a controlled stress response, increasing resilience to anxiety. Years ago, I shared a study showing yoga boosts cognitive function more than muscle conditioning. A study published in Menopause: The Journal confirmed that mind-body exercises reduce fatigue, insomnia, depression, and anxiety. Why mindbody? Yoga increases melatonin levels, balances nervous system and improves brain-derived neurotrophic which improves cognition and memory. Best Exercise for Menopause Brain Fog The menopause brain fog experienced by many women may improve most with HIIT, being characterized by periods of “all out” exercise to breathlessness. A study in the Journal of Exercise Nutrition & Biochemistry in 2018 showed a Wingate protocol study on HIIT: Exercise Structure 30 seconds of all-out effort (fast-paced or against resistance) per interval 4 - 6 intervals per session, with 4 minutes of recovery between intervals Total Intense Exercise Time 2 - 3 minutes of intense exercise per session lasting a total of 20 minutes, including rest periods Training Frequency 3 sessions per week (totaling 15 minutes of high-intensity work per week) Results 2 Weeks - Improved skeletal muscle oxidative capacity 6 Weeks - Equivalent to traditional endurance training (40 - 60 minutes, 5 sessions per week) Additional Benefits for Midlife Women: Time - HIIT sessions take 1.5 hours a week, compared to other traditional endurance training 4.5 hours a week Cortisol - Short HIIT sessions avoid the cortisol spike (40 - 60 minutes is the tipping point where cortisol spikes negatively) Most women say they feel more energized, lighter, and more focused after HIIT compared to long endurance sessions. Studies on postmenopausal women with osteoporosis found that high-intensity, high-impact protocols led to positive responses, with low injury rates and high retention. Other Exercises for Menopause Brain Fog Resistance training also proves popular among women with anxiety, potentially due to the fact that the increase in heart rate and intensity is temporary, strength gains are made fairly quickly for a beginner and that carries over to increasing motivation, improved sleep. Walking outdoors with friends combines three sources of serotonin for women, particularly: movement, sunlight, and venting/talking. References: Han, B., Duan, Y., Zhang, P. et al. Effects of exercise on depression and anxiety in postmenopausal women: a pairwise and network meta-analysis of randomized controlled trials. BMC Public Health 24, 1816 (2024). https://doi.org/10.1186/s12889-024-19348-2 Min Chul L, Sung Ki L, Suk Yool J, Hyung Hoon M. New insight of high-intensity interval training on physiological adaptation with brain functions. J Exerc Nutrition Biochem. 2018 Sep 30;22(3):1-5. doi: 10.20463/jenb.2018.0017. PMID: 30343552; PMCID: PMC6199482. Xu, Hong MM; Liu, Jian MD; Li, Peishan MD; Liang, Yujie MD. Effects of mind-body exercise on perimenopausal and postmenopausal women: a systematic review and meta-analysis. Menopause 31(5):p 457-467, May 2024. | DOI: 10.1097/GME.0000000000002336 Resources: BLISSMAS 12-Day Challenge: https://www.flippingfifty.com/blissmas Other Episodes You Might Like: Heal Your Gut, Save Your Brain: https://www.flippingfifty.com/save-your-brain/ Six Powerful Ways To Keep Your Perimenopause Brain Sharp: https://www.flippingfifty.com/perimenopause-brain/ Exercise Your Way to a Better Mood in Menopause: https://www.flippingfifty.com/better-mood-in-menopause/

This week we talk about all things bone health on the podcast.  From what foods to eat to improve bone health and reduce the risk of hip fractures, to the calcium 'thieves' hidden in our diets, to exercise and much much more.  Dr. Rajiv Bajekal (MS, FRCS Orth., MCh Orth., IBLM) is a Consultant Spinal Surgeon based in London with over 35 years of expertise in Orthopaedics and Spinal Surgery. Specialising in the lumbar spine, he has a deep focus on managing conditions such as sciatica, low back pain, spinal stenosis, osteoporotic fractures, and infections. Dr. Bajekal prioritizes holistic and often non-surgical solutions for patients in severe pain, combining his surgical knowledge with his expertise as a Board-Certified Lifestyle Medicine Practitioner. A strong advocate for lifestyle medicine, Dr. Bajekal has personally experienced the transformative benefits of a whole-food, plant-based diet and incorporates these principles into his practice.  Dr. Bajekal has contributed to the UK's first plant-based nutrition course at Winchester University, where he developed a module on bone health and osteoporosis. He also co-authored a chapter on bone health in the academic book Plant-Based Nutrition in Clinical Practice. Passionate about education, he is known for making complex spinal topics accessible and engaging. For more information, visit www.rajivbajekal.com and follow him on Instagram @drrajivbajekal Relevant studies:1. Tong, T.Y.N., Appleby, P.N., Armstrong, M.E.G. et al. Vegetarian and vegan diets and risks of total and site-specific fractures: results from the prospective EPIC-Oxford study. BMC Med 18, 353 (2020). https://doi.org/10.1186/s12916-020-01815-3 2.     Gómez-Cabello A, Ara I, González-Agüero A, Casajús JA, Vicente-Rodríguez G. Effects of training on bone mass in older adults: a systematic review. Sports Med. 2012;1;42(4):301-25. 3.  Messina M. Soy and Health Update: Evaluation of the Clinical and Epidemiologic Literature. Nutrients. 2016;8(12):754. Published 2016 Nov 24. doi:10.3390/nu8120754 4.  Sahni S, Mangano KM, McLean RR, Hannan MT, Kiel DP. Dietary Approaches for Bone Health: Lessons from the Framingham Osteoporosis Study. Curr Osteoporos Rep. 2015;13(4):245-255. doi:10.1007/s11914-015-0272-1 5.  Qiu, Rui & Cao, Wen-ting & Tian, Hui-yuan & He, Juan & Chen, Gengdong & Chen, Yu Ming. (2017). Greater Intake of Fruit and Vegetables Is Associated with Greater Bone Mineral Density and Lower Osteoporosis Risk in Middle-Aged and Elderly Adults. PLOS ONE. 12. e0168906. 10.1371/journal.pone.0168906.6.  Wallace TC. Dried Plums, Prunes and Bone Health: A Comprehensive Review. Nutrients. 2017 Apr 19;9(4):401. doi: 10.3390/nu9040401. PMID: 28422064; PMCID: PMC5409740.7.  Sahni S, Mangano KM, McLean RR, Hannan MT, Kiel DP. Dietary Approaches for Bone Health: Lessons from the Framingham Osteoporosis Study. Curr Osteoporos Rep. 2015 Aug;13(4):245-55. doi: 10.1007/s11914-015-0272-1. PMID: 26045228; PMCID: PMC4928581.8.  Laird E, Ward M, McSorley E, Strain JJ, Wallace J. Vitamin D and bone health: potential mechanisms. Nutrients. 2010 Jul;2(7):693-724. doi: 10.3390/nu2070693. Epub 2010 Jul 5. PMID: 22254049; PMCID: PMC3257679.9.  Bolland M J, Avenell A, Baron J A, Grey A, MacLennan G S, Gamble G D et al. Effect of calcium supplements on risk of myocardial infarction and cardiovascular events: meta-analysis BMJ 2010; 341 :c3691 doi:10.1136/bmj.c369110.  Bolland MJ, Grey A, Avenell A, Gamble GD, Reid IR. Calcium supplements with or without vitamin D and risk of cardiovascular events: reanalysis of the Women's Health Initiative limited access dataset and meta-analysis. BMJ. 2011 Apr 19;342:d2040. doi: 10.1136/bmj.d2040. PMID: 21505219; PMCID: PMC3079822.11.  Li K, Kaaks R, Linseisen J, et alAssociations of dietary calcium intake and calcium supplementation with myocardial infarction and stroke risk and overall cardiovascular mortality in the Heidelberg cohort of the European Prospective Investigation into Cancer and Nutrition study (EPIC-Heidelberg)Heart 2012;98:920-92512.  Price CT, Langford JR, Liporace FA. Essential Nutrients for Bone Health and a Review of their Availability in the Average North American Diet. Open Orthop J. 2012;6:143-149. doi:10.2174/187432500120601014313.  Bawa S. The significance of soy protein and soy bioactive compounds in the prophylaxis and treatment of osteoporosis. J Osteoporos. 2010 Mar 8;2010:891058. doi: 10.4061/2010/891058. PMID: 20981338; PMCID: PMC295724114.  Zhang X, Shu X, Li H, et al. Prospective Cohort Study of Soy Food Consumption and Risk of Bone Fracture Among Postmenopausal Women. Arch Intern Med. 2005;165(16):1890–1895. doi:10.1001/archinte.165.16.189015.  Tucker KL, Morita K, Qiao N, Hannan MT, Cupples LA, Kiel DP. Colas, but not other carbonated beverages, are associated with low bone mineral density in older women: The Framingham Osteoporosis Study. Am J Clin Nutr. 2006 Oct;84(4):936-42. doi: 10.1093/ajcn/84.4.936. PMID: 17023723. 16.  Chen L, Liu R, Zhao Y, Shi Z. High Consumption of Soft Drinks Is Associated with an Increased Risk of Fracture: A 7-Year Follow-Up Study. Nutrients. 2020;12(2):530. Published 2020 Feb 19. doi:10.3390/nu1202053017.  Cheraghi Z, Doosti-Irani A, Almasi-Hashiani A, Baigi V, Mansournia N, Etminan M, Mansournia MA. The effect of alcohol on osteoporosis: A systematic review and meta-analysis. Drug Alcohol Depend. 2019 Apr 1;197:197-202. doi:10.1016/j.drugalcdep.2019.01.025. Epub 2019 Feb 27. PMID: 30844616.18.  Chang HC, Hsieh CF, Lin YC, Tantoh DM, Ko PC, Kung YY, Wang MC, Hsu SY, Liaw YC, Liaw YP. Does coffee drinking have beneficial effects on bone health of Taiwanese adults? A longitudinal study. BMC Public Health. 2018 Nov 20;18(1):1273. doi: 10.1186/s12889-018-6168-0. PMID: 30453911; PMCID: PMC6245613.19.  Benedetti, Maria Grazia & Furlini, Giulia & Zati, Alessandro & Letizia Mauro, Giulia. (2018). The Effectiveness of Physical Exercise on Bone Density in Osteoporotic Patients. BioMed Research International. 2018. 1-10. 10.1155/2018/4840531.

Grow With Me Clinic | East Tennessee Children's HospitalReferenced article:Wilkinson, A., Rackers, H.S. & Harmon, T.M. Developmental implications of prenatal opioid exposure among school-aged children: a mixed methods and community-initiated analysis. BMC Public Health 23, 1815 (2023). https://doi.org/10.1186/s12889-023-16702-8https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-023-16702-8No content or comments made in any TIPQC Healthy Mom Healthy Baby Podcast is intended to be comprehensive or medical advice. Neither healthcare providers nor patients should rely on TIPQC's Podcasts in determining the best practices for any particular patient. Additionally, standards and practices in medicine change as new information and data become available and the individual medical professional should consult a variety of sources in making clinical decisions for individual patients. TIPQC undertakes no duty to update or revise any particular Podcast. It is the responsibility of the treating physician or health care professional, relying on independent experience and knowledge of the patient, to determine appropriate treatment.

YDS is supported by Microcosm Coaching and Fly Nutrition. How influential are influencers, anyway? Studies show that the folks we interact with (or don't!) virtually on social media can have a real impact on our mental and even physical health.  From ancient Roman gladiators shilling olive oil and wine to today's #fitspo influencers shilling supplements and diet hacks, everyone has the capacity to be influenced. In this episode of Your Diet Sucks, Kylee and Zoë unpack why misinformation spreads so quickly online, who is the most susceptible to influence - and the potential harms that mindless scrolling through idealized and heavily doctored images can have on athletes. References National Research Council (US); Institute of Medicine (US); Woolf SH, Aron L, editors. U.S. Health in International Perspective: Shorter Lives, Poorer Health. Washington (DC): National Academies Press (US); 2013. 4, Public Health and Medical Care Systems. Available from: https://www.ncbi.nlm.nih.gov/books/NBK154484/ Suciu, P. (2024, June 3). History of influencer marketing predates social media by centuries – but is there enough transparency in the 21st century?. Forbes. https://www.forbes.com/sites/petersuciu/2020/12/07/history-of-influencer-marketing-predates-social-media-by-centuries--but-is-there-enough-transparency-in-the-21st-century/  Ivanka Prichard, Eliza Kavanagh, Kate E. Mulgrew, Megan S.C. Lim, Marika Tiggemann, The effect of Instagram #fitspiration images on young women's mood, body image, and exercise behaviour, Body Image, Volume 33, 2020, Pages 1-6, ISSN 1740-1445, https://doi.org/10.1016/j.bodyim.2020.02.002. (https://www.sciencedirect.com/science/article/pii/S1740144519302578) Lup K, Trub L, Rosenthal L. Instagram #instasad?: exploring associations among instagram use, depressive symptoms, negative social comparison, and strangers followed. Cyberpsychol Behav Soc Netw. 2015 May;18(5):247-52. doi: 10.1089/cyber.2014.0560. PMID: 25965859. Pilgrim, K., Bohnet-Joschko, S. Selling health and happiness how influencers communicate on Instagram about dieting and exercise: mixed methods research. BMC Public Health 19, 1054 (2019). https://doi.org/10.1186/s12889-019-7387-8 Yu Wu, Jane Harford, Jasmine Petersen, Ivanka Prichard, “Eat clean, train mean, get lean”: Body image and health behaviours of women who engage with fitspiration and clean eating imagery on Instagram, Body Image, Volume 42, 2022, Pages 25-31,ISSN 1740-1445, https://doi.org/10.1016/j.bodyim.2022.05.003. (https://www.sciencedirect.com/science/article/pii/S1740144522000821) Langin, K. (2018, March 8). Fake news spreads faster than true news on Twitter—thanks to people, not bots | science | AAAS. Science.org. https://www.science.org/content/article/fake-news-spreads-faster-true-news-twitter-thanks-people-not-bots  Tagliaferro, L. (2024, March 5). 50+ essential fitness statistics, facts and trends (2024). Future Fit. https://www.futurefit.co.uk/blog/fitness-statistics/#:~:text=Instagram%20and%20YouTube%20are%20among,326%2C863%20and%20on%20Instagram%20232%2C502. 

Episode 176: Self-sampling for HPV screeningFuture Dr. Markarian explains the importance of HPV screening for the prevention of cervical cancer. Dr. Arreaza adds some insight about cervical cancer.Written by Chantal Markarian, MSIV, American University of the Caribbean. Editing and comments 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.Insights into Cervical Cancer.Chantal: Cervical cancer stands as the most prevalent form of cancer in women globally costing the lives of approximately 350,000 women annually. About 4,000 women die of cervical cancer a year in the US. Cervical cancer is initially asymptomatic, allowing it to advance to a more severe stage if not detected early. The positive news is that cervical cancer is highly preventable through screening for precancerous lesions or the presence of HPV —the primary culprit behind most cases.The role of HPV: Human Papilloma Virus, according to the World Health Organization, caused an estimated 620,000 cancer cases in women and 70,000 cancer cases in men.Cervical cancer is more prevalent in certain regions. In regions with established screening initiatives, the incidence rate and mortality rate of cancer are lower than in resource-limited areas. This highlights that resource-constrained countries continue to bear a burden of this disease. In nations like the United States, access to the HPV vaccine along with routine screenings, like Pap smears and HPV tests has significantly decreased the prevalence of cervical cancer.Screening recommendations from the US Preventive Services Task Force (USPSTF) and the American Cancer Society (ACS).The U.S Preventive Services Task Force advises that women aged 21 to 29 undergo a Pap test every three years while those aged 30 to 65 should opt for co-testing (Pap and HPV tests) every five years. These examinations are usually conducted in outpatient facilities, where a medical professional collects a sample of cervical cells that are later examined under a microscope.A normal result states that the sample was adequate for evaluation, in other words, that endocervical/transformation zone components are present, and that the patient is “Negative for intraepithelial lesion or malignancy.” ACS recommends cervical cancer screening begin at age 25 for women and people with a cervix. Those aged 25 to 65 should have a primary HPV test every 5 years. (A primary HPV test means the HPV test is done without cytology; follow-up screening can be done with a Papanicolaou (Pap) test if needed.) If primary HPV testing is not available, screening may be done with either a co-test every 5 years, which combines an HPV test with a Papanicolaou (Pap) test, or a Pap test alone every 3 years. How is Cervical Cancer Classified?Two systems categorize lesions: the Cervical Intraepithelial Neoplasia (CIN) scale and the Bethesda system.The CIN scale categorizes lesions based on the degree of involvement of the cervical lining ranging from mild (CIN I) to moderate (CIN II) to severe dysplasia (CIN III).The Bethesda system emphasizes cytological findings organizing results into categories such as atypical squamous cells, low-grade lesions (LSIL), and high-grade lesions (HSIL).ASCUS (Atypical Squamous Cells of Undetermined Significance) is the most common abnormality seen in pap smears. It may or may not indicate a problem, you have to make a decision based on the patient. Cervical cancer is largely linked to high-risk HPV (hrHPV), mostly HPV 16 and 18, and scientists are investigating tests that identify hrHPV DNA or RNA. These tests may provide a more accurate evaluation of cancer risk compared to traditional cytology. Examples include DNA amplification tests like Cobas test and the Xpert HPV test.Obstacles to Screening.Despite the efficacy of cervical cancer screening, many women face many obstacles to testing. In regions with limited resources, fear, embarrassment, lack of awareness, and restricted healthcare access pose challenges to screening.In Nigeria, a study revealed that women often avoid Pap smears due to a lack of awareness. Similarly, healthcare providers in Ecuador highlighted issues like the absence of screening programs and inadequate health promotion efforts. Women in Peru face obstacles such as long waiting times preferences for female healthcare providers and limited access to health facilities. In 2022, 31% of minority women in the US did not undergo Pap smears in the past three years; many of these women were uninsured, unemployed, or low-income. These challenges contribute to higher rates of cervical cancer among women who do not follow recommended screening guidelines.We must mention the cultural obstacle as well. Some cultures do not allow any kind of pelvic exams before marriage. They put a major emphasis on being a “virgin,” and placing a speculum in the vagina may be considered culturally unacceptable. In those cases, the doctor has to use their best persuasion skills to accomplish the goals of care. For example, they may suggest having the mother in the room during the pap smear, using the smallest speculum possible, or other techniques.Self-sampling.In 2020, the World Health Organization (WHO) introduced a global initiative to combat cervical cancer worldwide. The initiative aims to:Vaccinate 90% of girls by age 15.Screen 70% of women by age 35.Treat 90% of women with lesions and invasive cancer by 2030.To achieve these goals, self-sampling for HPV testing has been introduced as a viable option for cervical cancer screening. Self-sampling for HPV testing is seen as an alternative for cervical cancer screening that addresses barriers associated with traditional methods. This approach enables women to take samples themselves using swabs or brushes removing the necessity for a pelvic examination. The option to mail in samples and receive results within two weeks enhances the convenience, privacy, and accessibility of the process giving individuals control over their health.While self-sampling for hrHPV detection is not currently standard practice in the United States, it has been successfully implemented in countries across Europe, Africa, and South America. Pilot studies are ongoing in nations like Canada and New Zealand to assess its effectiveness offering promise for its impact.In May 2024, the Food and Drug Administration (FDA) approved primary HPV self-collection for cervical cancer screening in a health-care setting. That means, the patient still has to go to a clinic to self-collect her sample. How Effective is HPV Self-Sampling?Research supports the accuracy of HPV self-sampling. A study conducted by Polman et al., which involved a randomized controlled trial, demonstrated that HPV tests on self-collected samples were just as precise as those done on samples collected by clinicians in detecting high-grade lesions (CIN II and CIN III). Similarly, a meta-analysis conducted by Arbyn et al. showed no difference in sensitivity or specificity between self-sampled and clinician-sampled tests for detecting CIN grade II or higher.These results indicate that self-sampling could be an adequate screening method for cervical cancer. This reassurance may motivate women to partake in screenings knowing they have a convenient and effective option. Ok, let's say a patient has collected her sample or the sample was collected by a clinician, what is next?Management of Cervical Cancer Screening Results.The process of managing cervical cancer screening results involves evaluating a patient's immediate and five-year risk of developing cervical abnormalities (CIN 3+) following guidelines from the American Society for Colposcopy and Cervical Pathology (ASCCP).The ASCCP app is the best investment you can make in primary care. It is only $9.99, but it can save you a lot of time in clinic. Estimating risk is a process that considers factors such as current HPV test results, past screening outcomes, the patients' age, and whether they've had a hysterectomy or not. When Risk is Elevated, Prompt Action.If a patient's immediate risk of developing CIN 3 exceeds 4%, expedited treatment is typically recommended. This treatment may entail one of several procedures aimed at removing abnormal cervical tissue.Loop Electrosurgical Excision Procedure (LEEP): A common method that removes tissue using an electric wire loop. Cold Knife Conization: In this procedure, a scalpel removes a cone-shaped section of the cervix.Laser Cone Biopsy: This technique involves removing a cone-shaped section of tissue using a laser.Alternatively, healthcare providers may opt for treatment methods such, as cryotherapy, thermos-ablation, and laser ablation to eliminate abnormal tissue.And those procedures are typically out of the scope of family medicine, but many family doctors may perform them with the proper training and experience.When the risk is deemed low, Surveillance.Patients with a risk of CIN 3 below 4% are typically advised to undergo surveillance with HPV testing every 1-5 years. If HPV testing is not available cytology alone (Pap test) is considered acceptable.Special considerations for women.For women under 25, a cautious approach is taken. If a low-grade lesion (LSIL) is identified through cytology, it is recommended to repeat the test annually for two years. If two consecutive tests show normal results the patient can resume screening intervals based on age. However, if a high-grade lesion (HSIL) is detected, a colposcopy and biopsy are recommended. It should be noted that expedited treatment is generally not advised for this age group since many high-grade lesions may resolve spontaneously.For women over 25, the presence of low-grade lesions or persistent high-risk HPV often leads to recommendations for colposcopy and cervical biopsy.When a cervical biopsy shows adenocarcinoma in situ it is suggested to perform an excisional procedure to rule out invasive cancer. The next steps depend on the margins of the excised tissue; If the margins show positive results (indicating abnormal tissue remains) further excision is necessary to ensure clear margins. This may be followed by a hysterectomy due to the risk of residual disease. For individuals who have been treated for high-grade lesions there is still a risk of developing cervical cancer. Therefore, long-term surveillance is essential. Women over 25 should undergo HPV testing six months after treatment, then annually until three consecutive negative tests are obtained. Subsequently testing every three years is advised for 25 years. As for women under 25, cervical cytology should be done six months post-treatment. Then at six-month intervals until three consecutive negative results are achieved. Once they reach 25 years old, they should switch to HPV testing.As summary, HPV is the most common cause of cervical cancer, and screening must be implemented no matter what your zip code is because adequate screening can lead to a lower mortality. Remember that self-collection is an alternative for your patients, and it is FDA-approved if it is done in a healthcare setting. The ASCCP guidelines are very useful but difficult to memorize, so you can invest in the ASCCP phone app to provide accurate care for your patients. Thanks!References: 1. World Health Organization. HPV and Cervical Cancer Fact Sheet. 2024. Available online: https://www.who.int/en/news-room/fact-sheets/detail/human-papillomavirus-(hpv)-and-cervical-cancer (accessed on 10 August 2024).2. Arbyn M, Weiderpass E, Bruni L, et al. Estimates of incidence and mortality of cervical cancer in 2018: a worldwide analysis. Lancet Glob Health. 2020;8(2):e191-e203.3. Serrano B, Ibáñez R, Robles C, Peremiquel-Trillas P, de Sanjosé S, Bruni L. Worldwide use of HPV self-sampling for cervical cancer screening. Preventive Medicine. 2022;154:106900.4. Gupta S, Palmer C, Bik EM, et al. Self-sampling for human papillomavirus testing: increased cervical cancer screening participation and incorporation in international screening programs. Front Public Health. 2018;6:345033.5. Ubah C, Nwaneri AC, Anarado AN, Iheanacho PN, Odikpo LC. Perceived barriers to cervical cancer screening uptake among women of an urban community in South-eastern Nigeria. Asian Pac J Cancer Prev. 2022;23(6):1959-1965.6. Vega Crespo, B., Neira, V.A., Ortíz Segarra, J. et al.Barriers and facilitators to cervical cancer screening among under-screened women in Cuenca, Ecuador: the perspectives of women and health professionals. BMC Public Health 22, 2144 (2022). https://doi.org/10.1186/s12889-022-14601-y7.Olaza-Maguiña AF, De la Cruz-Ramirez YM. Barriers to the non-acceptance of cervical cancer screenings (Pap smear test) in women of childbearing age in a rural area of Peru. Ecancermedicalscience. 2019;13:901.8. Sharma M, Batra K, Johansen C, Raich S. Explaining correlates of cervical cancer screening among minority women in the United States. Pharmacy. 2022 Feb 15;10(1):30.9. Polman NJ, Ebisch RMF, Heideman DAM, et al. Performance of human papillomavirus testing on self-collected versus clinician-collected samples for the detection of cervical intraepithelial neoplasia of grade 2 or worse: a randomised, paired screen-positive, non-inferiority trial. The Lancet Oncology. 2019;20(2):229-238.10. Costa S, Verberckmoes B, Castle PE, Arbyn M. Offering HPV self-sampling kits: an updated meta-analysis of the effectiveness of strategies to increase participation in cervical cancer screening. British Journal of Cancer. 2023 Mar 23;128(5):805-13.11. Perkins RB, Guido RS, Castle PE, et al. 2019 ASCCP risk-based management consensus guidelines for abnormal cervical cancer screening tests and cancer precursors. J Low Genit Tract Dis. 2020;24(2):102-131.12. Straughn, Jr, J Michael, and Catheryn Yashar. “Management of Early-Stage Cervical Cancer.” Www.uptodate.com, 2 Aug. 2024, https://www.uptodate.com/contents/management-of-early-stage-cervical-cancer. Accessed 13 Aug. 2024.13. AMBOSS GmbH.Cervical cancer screening. https://amboss.com/. Accessed August 18, 2024.14. Royalty-free music used for this episode: Lofi-Chilly by Gushito, downloaded on Nov 06, 2023, from https://www.videvo.net

Have you ever been told that hormone health is all about eating the "right foods," only to feel frustrated when the relief you seek never comes? If you're still battling symptoms like fatigue, irregular periods, insomnia, or bloating despite following all the advice, you're not alone. Many people struggle to see the results they hope for when it comes to hormone health. In this episode, we'll explore the real impact of diet and lifestyle on hormones and share practical, effective changes you can make to finally start feeling better. In this episode, you will be able to: Understand how dietary choices impact hormone health for improved well-being. Discover the crucial link between regular bowel movements and hormone balance. Uncover the potential benefits of plant-based diets for managing PCOS and hormone-related challenges. Learn how to balance exercise with proper nutrition for optimal hormone regulation. Explore the role of gut microbiome in influencing hormone balance and overall health. Resources: 1-on-1 Nutrition Coaching Free Hormone + Gut Health Toolkit References: Butt MS, Saleem J, Zakar R, Aiman S, Khan MZ, Fischer F. Benefits of physical activity on reproductive health functions among polycystic ovarian syndrome women: a systematic review. BMC Public Health. 2023 May 12;23(1):882. doi: 10.1186/s12889-023-15730-8. PMID: 37173672; PMCID: PMC10176874. He S, Li H, Yu Z, Zhang F, Liang S, Liu H, Chen H and Lü M (2021) The Gut Microbiome and Sex Hormone-Related Diseases. Front. Microbiol. 12:711137. doi: 10.3389/fmicb.2021.711137 Juhász, A.E., Stubnya, M.P., Teutsch, B. et al. Ranking the dietary interventions by their effectiveness in the management of polycystic ovary syndrome: a systematic review and network meta-analysis. Reprod Health 21, 28 (2024). https://doi.org/10.1186/s12978-024-01758-5 Qi X, Yun C, Pang Y, Qiao J. The impact of the gut microbiota on the reproductive and metabolic endocrine system. Gut Microbes. 2021 Jan-Dec;13(1):1-21. doi: 10.1080/19490976.2021.1894070. PMID: 33722164; PMCID: PMC7971312.  He S, Li H, Yu Z, Zhang F, Liang S, Liu H, Chen H and Lü M (2021) The Gut Microbiome and Sex Hormone-Related Diseases. Front. Microbiol. 12:711137. doi: 10.3389/fmicb.2021.711137 Juhász, A.E., Stubnya, M.P., Teutsch, B. et al. Ranking the dietary interventions by their effectiveness in the management of polycystic ovary syndrome: a systematic review and network meta-analysis. Reprod Health 21, 28 (2024). https://doi.org/10.1186/s12978-024-01758-5 Qi X, Yun C, Pang Y, Qiao J. The impact of the gut microbiota on the reproductive and metabolic endocrine system. Gut Microbes. 2021 Jan-Dec;13(1):1-21. doi: 10.1080/19490976.2021.1894070. PMID: 33722164; PMCID: PMC7971312. 

Credits: 0.25 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-390 Overview: In 1995, the US launched a varicella vaccination program, leading to a significant drop in cases. However, breakthrough infections still occur, and clinical diagnosis has become less reliable as the virus has evolved. Join us to hear current recommendations for what to consider in the differential diagnosis and how emerging evidence may impact public health and your practice. Episode resource links: Marin, M, Leung, J, Anderson, TC, Lopez, AS. Monitoring Varicella Vaccine Impact on Varicella Incidence in the United States: Surveillance Challenges and Changing Epidemiology, 1995–2019, The Journal of Infectious Diseases, Volume 226, Issue Supplement_4, 1 November 2022, Pages S392–S399, https://doi.org/10.1093/infdis/jiac221 Qiu L, Liu S, Zhang M, et al. The epidemiology of varicella and effectiveness of varicella vaccine in Ganyu, China: a long-term community surveillance study. BMC Public Health. 2023;23(1):1875. Published 2023 Sep 28. doi:10.1186/s12889-023-16304-4 Ruprecht A, Marin M, Strain AK, Harry K, Kenyon C. Notes from the Field: Expanded Laboratory Testing for Varicella — Minnesota, 2016–2023. MMWR Morb Mortal Wkly Rep 2024;73:245–246. DOI: http://dx.doi.org/10.15585/mmwr.mm7311a3 DynaMed – Chicken pox – Varicella (https://www-dynamed-com.umassmed.idm.oclc.org/condition/chickenpox#GUID-DFBFAA99-31E8-4553-AFDB-AA1988B1967A): Guest: Susan Feeney, DNP, FNP-BC, NP-C   Music Credit: Richard Onorato

Credits: 0.25 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-390 Overview: In 1995, the US launched a varicella vaccination program, leading to a significant drop in cases. However, breakthrough infections still occur, and clinical diagnosis has become less reliable as the virus has evolved. Join us to hear current recommendations for what to consider in the differential diagnosis and how emerging evidence may impact public health and your practice. Episode resource links: Marin, M, Leung, J, Anderson, TC, Lopez, AS. Monitoring Varicella Vaccine Impact on Varicella Incidence in the United States: Surveillance Challenges and Changing Epidemiology, 1995–2019, The Journal of Infectious Diseases, Volume 226, Issue Supplement_4, 1 November 2022, Pages S392–S399, https://doi.org/10.1093/infdis/jiac221 Qiu L, Liu S, Zhang M, et al. The epidemiology of varicella and effectiveness of varicella vaccine in Ganyu, China: a long-term community surveillance study. BMC Public Health. 2023;23(1):1875. Published 2023 Sep 28. doi:10.1186/s12889-023-16304-4 Ruprecht A, Marin M, Strain AK, Harry K, Kenyon C. Notes from the Field: Expanded Laboratory Testing for Varicella — Minnesota, 2016–2023. MMWR Morb Mortal Wkly Rep 2024;73:245–246. DOI: http://dx.doi.org/10.15585/mmwr.mm7311a3 DynaMed – Chicken pox – Varicella (https://www-dynamed-com.umassmed.idm.oclc.org/condition/chickenpox#GUID-DFBFAA99-31E8-4553-AFDB-AA1988B1967A): Guest: Susan Feeney, DNP, FNP-BC, NP-C   Music Credit: Richard Onorato

I adopted by son Christopher in 1992 and I can't begin to tell you how wonderful it's been being an adoptive mom. I was able to manage the extensive costs but there are countless potential parents who simply can't afford adoption. We'll tell you about  wonderful nonprofit called Help us Adopt. First HelpUsAdopt.org, founded in 2007, is a national 501(c)(3) adoption grant program. HelpUsAdopt.org was founded by Becky and Kipp Fawcett as a response to their own personal adoption experience. I speak to Rebecca Snyder Fawcett about the organization that's made adoption more feasible for all families. ​https://www.helpusadopt.org/     You see it every morning on the news. the overnight shooting. The police tape, the bullets encircled by chalk on the ground. New studies show coverage of gun violence can re-traumatize survivors. Two new studies published in Preventive Medicine Reports and BMC Public Health led by corresponding author Jessica H. Beard, MD, MPH, FACS, Associate Professor of Surgery in the Division of Trauma and Surgical Critical Care and Director of Trauma Research at the Lewis Katz School of Medicine at Temple University, more closely examine how reports of community firearm violence are framed on local television news in Philadelphia and the downstream effects of that coverage on the general public's perception of the issue. The Philadelphia Center for Gun Violence Reporting has created  “Better Gun Violence Reporting: A Toolkit for minimizing Harm. 

You see it every morning on the news. the overnight shooting. The police tape, the bullets encircled by chalk on the ground. New studies show coverage of gun violence can re-traumatize survivors. Two new studies published in Preventive Medicine Reports and BMC Public Health led by corresponding author Jessica H. Beard, MD, MPH, FACS, Associate Professor of Surgery in the Division of Trauma and Surgical Critical Care and Director of Trauma Research at the Lewis Katz School of Medicine at Temple University, more closely examine how reports of community firearm violence are framed on local television news in Philadelphia and the downstream effects of that coverage on the general public's perception of the issue.The Philadelphia Center for Gun Violence Reporting has created  “Better Gun Violence Reporting: A Toolkit for minimizing Harm. 

ADHD Coach Katherine Sanders Hello and welcome back to another episode where we share how to make your life with ADHD as fulfilling and joy-filled as possible.We've explored how using executive functions, integrating self-compassion, and leveraging strengths-based approaches can create powerful tools for managing ADHD. Today, we're uncovering how celebrating our successes, engaging in force-free productivity, and using the transformative power of positive self-talk can transform our productivity and overall mood. You'll earn how these strategies can dramatically affect your well-being and effectiveness, and discover actionable tips to cultivate a more fulfilling and effective work life.Tune in to discover how celebrating small wins, aligning work with your strengths, and practicing positive self-talk can create a sustainable, joyful, and productive lifeDon't forget to sign up for my seminar on Monday 3rd June 2024 (live) at the link below.Connect with Katherine here:WebsiteInstagramTiktokFacebookYoutubeLinkedINThreads Register for 'Overwhelmed to Overflowing: how to confidently navigate your ADHD Challenges to become your own best boss' here. Bolier, L., Haverman, M., Westerhof, G.J. et al. Positive psychology interventions: a meta-analysis of randomized controlled studies. BMC Public Health 13, 119 (2013). https://doi.org/10.1186/1471-2458-13-119Lambez B, Harwood-Gross A, Golumbic EZ, Rassovsky Y. Non-pharmacological interventions for cognitive difficulties in ADHD: A systematic review and meta-analysis. J Psychiatr Res. 2020 Jan;120:40-55. doi: 10.1016/j.jpsychires.2019.10.007. Epub 2019 Oct 12. PMID: 31629998.Poissant H, Mendrek A, Talbot N, Khoury B, Nolan J. Behavioral and Cognitive Impacts of Mindfulness-Based Interventions on Adults with Attention-Deficit Hyperactivity Disorder: A Systematic Review. Behav Neurol. 2019 Apr 4;2019:5682050. doi: 10.1155/2019/5682050. PMID: 31093302; PMCID: PMC6476147.Chan ESM, Gaye F, Cole AM, Singh LJ, Kofler MJ. Central executive training for ADHD: Impact on organizational skills at home and school. A randomized controlled trial. Neuropsychology. 2023 Nov;37(8):859-871. doi: 10.1037/neu0000918. Epub 2023 Jul 13. PMID: 37439737; PMCID: PMC10615842.Greven CU, Buitelaar JK, Salum GA. From positive psychology to psychopathology: the continuum of attention-deficit hyperactivity disorder. J Child Psychol Psychiatry. 2018 Mar;59(3):203-212. doi: 10.1111/jcpp.12786. Epub 2017 Jul 21. PMID: 28731214.Dupuis A, Mudiyanselage P, Burton CL, Arnold PD, Crosbie J, Schachar RJ. Hyperfocus or flow? Attentional strengths in autism spectrum disorder. Front Psychiatry. 2022 Sep 16;13:886692. doi: 10.3389/fpsyt.2022.886692. PMID: 36276327; PMCID: PMC9579965.Cremone A, Lugo-Candelas CI, Harvey EA, McDermott JM, Spencer RMC. Positive emotional attention bias in young children with...

Researchers have found that rapid increases in housing costs can significantly affect people's health. A systematic review of 23 studies published in BMC Public Health suggests that housing price changes can impact health positively and negatively. Guest: Ashmita Grewal, Masters Student in the Faculty of Health Sciences at Simon Fraser University Learn more about your ad choices. Visit megaphone.fm/adchoices

Seg 1: The mysteries of lightning With severe weather advisories becoming more common as the temperature heats up we look back at how many ancient civilizations worshiped gods associated with lightning, common myths about lightning, mysteries that still surround certain kinds of lightning, new discoveries, what causes lightning scientifically, and more. Guest: Dr. Peter Watson, Professor Emeritus of Physics at Carleton University Seg 2: View From Victoria: No counter for BC United Last week came news of the collapse of the BC United-BC Conservative merger talks and BC United released the details of its offer to which the Conservatives didn't even bother to counter.  We get a local look at the top political stories with the help of Vancouver Sun columnist Vaughn Palmer Seg 3: Should we be concerned about the rising cases of Bird Flu? The number of cow herds in the US testing positive for avian influenza (H5N1) is rising, adding to the global spread of the virus, which affects wild birds and over 50 mammal species.  Guest: Dr. Isaac Bogoch, Infectious Disease Specialist at the University Health Network Seg 4: Can housing prices impact our health? Researchers have found that rapid increases in housing costs can significantly affect people's health. A systematic review of 23 studies published in BMC Public Health suggests that housing price changes can impact health positively and negatively. Guest: Ashmita Grewal, Masters Student in the Faculty of Health Sciences at Simon Fraser University Seg 5: Are ten new classrooms enough for Surrey's growing population? The Ministry of Education and Child Care announced funding for 10 additional classrooms at two Surrey elementary schools.  The district anticipates up to 96,000 students by 2033 and continues to seek funding for managing school capacity. Guest: Rachna Singh, BC's Minister of Education and Child Care Seg 6: Monday Morning Quarterbacks How much did the team learn about some of the new players they brought in after a 30-6 pre-season loss in Calgary? Guest: Rick Campbell, BC Lions Head Coach Seg 7: Why are so many companies getting hacked? Premier David Eby emphasized the growing threat to information security and mentioned a $50.8 million network upgrade in 2022 for better detection. Guest: Chester Wisniewski, Global Field Chief Technology Officer and Director at Sophos Cybersecurity Seg 8: How can you tell what's real and what's deepfaked? Klick Labs, a research branch of Klick Health in Toronto, has developed a method to analyze voices with such precision that it can distinguish between human and AI-generated voices.  This innovation comes amid a surge in deepfakes—AI-created video, audio, or photos that appear real. Guest: Yan Fossat, Senior Vice-President of Digital Health Research and Development at Klick Labs Learn more about your ad choices. Visit megaphone.fm/adchoices

MedLink Neurology Podcast is delighted to feature selected episodes from BrainWaves, courtesy of James E Siegler MD, its originator and host. BrainWaves is an academic audio podcast whose mission is to educate medical providers through clinical cases and topical reviews in neurology, medicine, and the humanities. Episodes originally aired from 2016 to 2021. Originally released: May 30, 2019 Since January 1, 2019, there have been nearly 900 confirmed measles cases across 24 states in the United States. This is 10 times greater than the number of cases in the US 3 years ago, and it is the largest outbreak the US has seen since 1994. The month of May also marks the first reported case of measles in the state of Pennsylvania, where BrainWaves is produced. So this week on the program, Jim Siegler speaks with Dr. Erika Mejia (pediatrician) about the medical and sociopolitical triggers for this outbreak, the misconceptions of the measles-mumps-rubella vaccine, and finally, what you can do to keep measles from "going viral."* Produced by James E Siegler and Erika Mejia. Music courtesy of Advent Chamber Orchestra, Coldnoise, Josh Woodward, Kevin McLeod, and Lee Roosevere. Sound effects by Mike Koenig and Daniel Simion. BrainWaves' podcasts and online content are intended for medical education only and should not be used for clinical decision-making. Be sure to follow us on Twitter (now X) @brainwavesaudio for the latest updates to the podcast. REFERENCES Bester JC. Measles and measles vaccination: a review. JAMA Pediatr 2016;170(12):1209-15. PMID 27695849Bester JC. Not a matter of parental choice but of social justice obligation: children are owed measles vaccination. Bioethics 2018;32(9):611-19. PMID 30229958Campbell H, Andrews N, Brown KE, Miller E. Review of the effect of measles vaccination on the epidemiology of SSPE. Int J Epidemiol 2007;36(6):1334-48. PMID 18037676Fournet N, Mollema L, Ruijs WL, et al. Under-vaccinated groups in Europe and their beliefs, attitudes and reasons for non-vaccination; two systematic reviews. BMC Public Health 2018;18(1):196. PMID 29378545Maglione MA, Das L, Raaen L, et al. Safety of vaccines used for routine immunization of U.S. children: a systematic review. Pediatrics 2014;134(2):325-37. PMID 25086160Murch SH, Anthony A, Casson DH, et al. Retraction of an interpretation. Lancet 2004;363(9411):750. PMID 15016483Perry RT, Halsey NA. The clinical significance of measles: a review. J Infect Dis 2004;189 Suppl 1:S4-16. PMID 15106083Poland GA, Jacobson RM. The age-old struggle against the antivaccinationists. N Engl J Med 2011;364(2):97-9. PMID 21226573Trump's tweet:  https://twitter.com/realdonaldtrump/status/449525268529815552?lang=en  *Truth be told, measles claims the lives of 100,000 people around the globe every year. It has already gone viral. This was just a figure of speech. We believe that the principles expressed or implied in the podcast remain valid, but certain details may be superseded by evolving knowledge since the episode's original release date.

Please listen to and watch our latest episode of The Lebanese Physicians' Podcast with Dr. Aniella Abi Gerges, Associate Professor of Physiology at the Lebanese American University and Myriam Boueri, medical student. In this episode co-hosted with Dr. MohammadAli Jardaly, we discuss their latest published clinical trial: "Cherfane M, Boueri M, Issa E, Abdallah R, Hamam A, Sbeity K, Saad A, Abi-Gerges A. Unveiling the unseen toll: exploring the impact of the Lebanese economic crisis on the health-seeking behaviors in a sample of patients with diabetes and hypertension. BMC Public Health. 2024 Feb 27;24(1):628. doi: 10.1186/s12889-024-18116-6. PMID: 38413883; PMCID: PMC10900622." In this episode, we discuss the outcomes of the year-long project that medical students conduct at LAU in which Myriam and her colleagues under the mentorship of Dr. Abi Gerges looked at the effects of the Lebanese economic crisis on access to hypertension and diabetes treatment between 2021 and 2022. The effects of the crisis were eye opening and revealing, and the numbers can be used to build on policy in the future. An episode not to be missed. #lebanon #economiccrisis #medicationshortage #healthcareaccess This episode can also be found in audio form on Apple, Spotify, iHeartRadio, Anghami, Googleplay, and others.

Research conducted by BMC Public Health has revealed that while South Asian migrants in Australia feel that health services here are reliable, they feel services are expensive and waiting times are too long. If so, where do the Nepali community members living in Australia prefer to get their health checkups done? SBS Nepali spoke to some health professionals in Australia of Nepali heritage about the issues of waiting to go to Nepal for a checkup. - बीएमसी पब्लिक हेल्थद्वारा गरिएको एक अनुसन्धानले अस्ट्रेलियाका दक्षिण एसियाली आप्रवासीहरूले यहाँको स्वास्थ्य सेवाहरू भरपर्दो भएको महसुस गरे पनि, उनीहरूलाई सेवाहरू महँगो भएको र पर्खने समय धेरै लामो भएको लाग्ने खुलाएको छ। त्यसो भए अस्ट्रेलियामा बस्ने नेपाली समुदायले स्वास्थ्य सेवा कहाँ लिने गरेका छन्? के उनीहरू आफ्ना जीपी कहाँ जान्छन् कि नेपाल मै हेल्थ चेकअप गर्न मनपराउछन् त? अनि चेकअप गर्न नेपाल जाने समय पर्खँदा चाहिँ के कस्ता जटिलताको सामना गर्नुपर्छ त? सुनौँ अस्ट्रेलियामा कार्यरत नेपाली मूलका स्वास्थ्यकर्मी तथा समुदायका सदस्यहरूबाट।

Many people tend to exercise less during the colder months, preferring to stay indoors and avoid the chilly weather. But doing exercise in winter is a good idea for lots of reasons so don't let the cold put you off.   Exercising in cold weather can offer many advantages for your physical and mental health. For example, according to a study published in March 2023 in BMC Public Health, winter workouts can improve your endurance, as your heart doesn't have to work as hard, you sweat less, and expend less energy. Winter exercise can also help you burn more calories, as your body has to generate more heat to keep warm. What are the other benefits of doing exercise when it is cold? And what about the risks? In under 3 minutes, we answer your questions! To listen to the last episodes, you can click here: Why do people R-bomb in the dating world? Are budget food brands really worth the savings they offer? How can you save money on your food bill? A podcast written and realised by Amber Minogue. In partnership with upday UK. Learn more about your ad choices. Visit megaphone.fm/adchoices

Remember turning your clock back earlier this month as we came off daylight saving time? Maybe you felt more alert and lively the next day because you got an extra hour of sleep. But what happens next? Sleep is a cornerstone of health, but many people aren't getting enough of it. Over a quarter of American adults don't get the recommended seven hours of sleep a night. Older adults are even more likely to be sleep deprived with almost 20 percent saying they have frequent insomnia or poor sleep quality, according to a 2022 study published in the journal BMC Public Health.  MPR News host Angela Davis talks with a neurologist and sleep expert about why good sleep can be elusive — especially in these anxious times — and how to get a better night's rest. Guest:  Dr. Michael Howell is a neurologist at the University of Minnesota Medical School and M Health Fairview who treats patients with sleep disorders. His interests include REM sleep behavior disorder, sleepwalking and related disorders, sleep-related eating disorder, violent sleep behaviors and traumatic brain injury.

[270] For people within the industry wanting to blend their career and giving back initiatives with a global and almost immediate impact, empowering individuals living in conditions of poverty by equipping them with the necessary resources to not only survive but thrive with a career in the salon industry helps them connect to a larger purpose through the universal language of hair. Mandy Pulse (@mandy_saloninspire), the owner of Salon Inspire in Kansas City, Missouri, is one of those people, and that's how the organization for which she's the proud Founder and CEO​ — Global Stylist Scholarship — came to life. In this episode, we delve into Mandy's journey within the hair and beauty industry, explore her non-profit's transformative work and discuss the impact, challenges and rewards of connecting passion and purpose with global impact. Links: Listen back to PhorestFM Episode 269: https://link.chtbl.com/PFM-S07E269-HetherFlorman Learn more about the Global Stylist Scholarship: https://www.globalstylistscholarship.com/ Studies & research: BMC Public Health, Corporation for National and Community Service, Journal of Happiness Studies, Volunteering and Civic Life in America "The Healing Power of Doing Good" by Allan Luks: https://www.amazon.com/Healing-Power-Doing-Good/dp/0595175910 Read the transcript and subscribe to the PhorestFM email newsletter: http://bit.ly/2T2gUj1 Leave a rating & review: http://bit.ly/phorestfm  This episode was edited and mixed by Audio Z: Montreal's cutting-edge post-production studio for creative minds looking to have their vision professionally produced and mixed. Great music makes great moments.

When it comes to HIV, women are forced to contend with more than just stigma and barriers to care. Factors like gender inequality, intimate partner violence, and bodily autonomy make everything from prevention and treatment to status disclosure more difficult and more dangerous. In this episode, we're exploring common obstacles women encounter in the fight against HIV, as well as the global efforts to improve women's visibility and protection. Our guests are: Dr. Rageshri Dhairyawan, a sexual health and HIV doctor currently serving as Consultant in Sexual Health and HIV Medicine at Barts Health NHS Trust in London. Roukhaya Hassambay, program coordinator at Ikambere, an organization that offers holistic supports to women living in precarious situations and with chronic illness. This podcast was created and fully funded by Gilead Sciences, Inc. GILEAD, the GILEAD logo, and the & design are trademarks of Gilead Sciences, Inc. © 2023 Gilead Sciences, Inc. All rights reserved. IHQ-UNB-4319 Date of Preparation August 2023. References: Borumandnia N, Khadembashi N, Tabatabaei M, Majd HA. The prevalence rate of sexual violence worldwide: a trend analysis. BMC Public Health. 2020;20:1835. doi:10.1186/s12889-020-09926-5 UNAIDS. Fact sheet 2023. Global HIV statistics. Accessed August 7, 2023. Available at: https://www.unaids.org/en/resources/fact-sheet GLAAD. Glossary of Terms: Transgender. Accessed August 7, 2023. Available at: https://glaad.org/reference/trans-terms/ World Bank. Girls' education. Updated February 2023. Accessed August 7, 2023. Available at: https://www.worldbank.org/en/topic/girlseducation Cabecinha M et al. Current PrEP provision does not align with women's preferences: early results from a cross-sectional survey investigating PrEP awareness, interest, and preferences among women in England. British HIV Association conference, Gateshead, April 2023. Abstract P028. Available at: https://www.bhiva.org/file/645cfa43aca4f/P028.pdf Desgrées-du-Loû A, Pannetier J, Ravalihasy A, et al. Sub-Saharan African migrants living with HIV acquired after migration, France, ANRS PARCOURS study, 2012 to 2013. Euro Surveill. 2015;20(46):1-8. doi: 10.2807/1560-7917.ES.2015.20.46.30065 Dhairyawan R, Tariq S, Scourse R, Coyne KM. Intimate partner violence in women living with HIV attending an inner city clinic in the UK: prevalence and associated factors. HIV Med. 2013 May;14(5):303-10. doi: 10.1111/hiv.12009 Smith K, Coleman K, Eder S, Hall P. Homicides, Firearm Offences and Intimate Violence 2009/10. Supplementary Volume 2 to Crime in England and Wales 2009/10. 2011 Home Office Statistical Bulletin. Accessed August 7, 2023. Available at: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/116512/hosb0111.pdf Sullivan TP. The intersection of intimate partner violence and HIV: detection, disclosure, discussion, and implications for treatment adherence. Top Antivir Med. 2019 May;27(2):84-87. US Department of Health and Human Services. Guidelines for the Use of Antiretroviral Agents in Adults and Adolescents with HIV. March 2023. Accessed August 7, 2023. Available at: https://clinicalinfo.hiv.gov/sites/default/files/guidelines/documents/adult-adolescent-arv/guidelines-adult-adolescent-arv.pdf. American Association for the Advancement of Science. People living with HIV at substantially higher risk of depression and suicide, especially in first 2 years after diagnosis. Press Release. European Congress of Clinical Microbiology & Infectious Diseases (ECCMID); Copenhagen, Denmark, 15-18 April, 2023. Accessed August 7, 2023. Available at: https://www.eurekalert.org/news-releases/984677

Myth busting is unfortunately a key part of any fitness professional's job, due to the vast amount of health and fitness misinformation being spread daily over social media. Work With Me: https://caelantierney.com It's no secret that the credibility of fitness social media influencers is overwhelmingly poor. According to a recent BMC Public Health article by Maher & Colleagues (2023), “Around two-thirds of the leading fitspiration accounts (Instagram) audited lacked credibility or contained potentially harmful or unhealthy content.” I'd hazard a guess that the author's were being generous with that conclusion. There's absolutely practitioners posting excellent fitness content on social media every day, however they're often lost in the noise of the charlatans spewing BS. It's too easy to place the blame exclusively on influencers though. Lots of people you interact with on a weekly basis are also likely strong vectors for spreading health and fitness myths, whether that's Mary in the staffroom raving about the wonders of her new detox tea or a relative criticising you for spending time in the gym just to get “big muscles.” My aim for this episode is to challenge some pervasive fitness myths, in the hope that it will save you time and money. Blog for the full show notes ➡️ ⁠https://caelantierney.com/blog (0:00) Intro (0:32) Myth 1: Muscle soreness is a STRONG indicator of a good workout. (1:10) Myth 2: You're too OLD to workout (1:51) Myth 3: Ice baths are AMAZING for recovering and adapting from exercise (2:33) Myth 4: Squats are a GREAT hamstring exercise (3:30) Myth 5: Celebrities and sponsored influencers are a TRUSTWORTHY source of health & fitness information (4:44) Myth 6: You're NOT an athlete (5:24) Myth 7: Machines are INFERIOR to free weights for building muscle (5:50) Myth 8: You NEED to spend a lot of time stretching and working on your mobility (6:41) Myth 9: Working out is just for VANITY and to get big muscles (7:27) Myth 10: People are looking at YOU in the gym (7:59) Myth 11: You NEED a personal trainer (9:03) Myth 12: You DON'T have the time (10:09) Myth 13: You NEED to see a physiotherapist for rehabbing injuries (11:10) Myth 14: Lifting weights carries a HIGH risk of injury (12:28) Myth 15: You should NEVER train the same muscle on consecutive days (13:10) Myth 16: You CAN'T workout without growing big muscles (13:57) Myth 17: BIG muscles = High training IQ (14:35) Myth 18: You NEED to buy loads of fancy gadgets and spend a lot of money to get in shape (15:09) Myth 19: Children SHOULDN'T resistance train (15:53) Myth 20: You should NEVER train when you're injured or experiencing any pain (16:57) Myth 21: Behind the neck exercises are inherently DANGEROUS (17:29) Myth 22: Getting in shape requires DRAMATIC lifestyle overhaul (17:55) Myth 23: Working out a few times a week makes you SUPER interesting (18:27) Myth 24: You MUST squat, bench, and deadlift (19:01) Myth 25: You NEED to do loads of different exercises to make great progress (20:19) Concluding remarks

The seminal publication of the AAP's Guideline on the Evaluation and Treatment of Children and Adolescents with Obesity serves as the source of our fifth episode in the series on Health Equity in Children.  The best practices for managing obesity go beyond discussions of beauty and body image to include systemic racism, obesity as a chronic disease, and the reckoning that children and adolescents with obesity are people first. Want to make a bigger difference in health equity? Complete an anonymous survey here after you listen to the episode or visit www.thepedsnp.com and click the “Complete a Survey” button at the top of the page. The responses will provide greater insight into how podcasts impact education and behavior through microlearning of health equity concepts. After you complete a survey, you'll receive a separate link to enter your email to a raffle for a $15 Amazon gift card.  Winners will be chosen at random and notified by email one week after the original publication date. This raffle was made possible by grant funding from the sources below.  Disclaimer: This series was supported by the North Carolina Chapter of the National Association of Pediatric Nurse Practitioners (NAPNAP) Dr. Rasheeda Monroe Health Equity grant whose mission is to support research and quality improvement aimed at improving health equity among infants, children, and adolescents. The content of this episode reflects my views and does not necessarily represent, nor is an endorsement of, NC NAPNAP or the Dr. Rasheeda Monroe Health Equity grant.  For more information, please community.napnap.org/northcarolinachapter. References Bell, C. N., Kerr, J., & Young, J. L. (2019). Associations between Obesity, Obesogenic Environments, and Structural Racism Vary by County-Level Racial Composition. International journal of environmental research and public health, 16(5), 861. https://doi.org/10.3390/ijerph16050861 Centers for Disease Control and Prevention. (2022). Inclusive communication principles. Gateway to Health Communication. https://www.cdc.gov/healthcommunication/Key_Principles.html Gmeiner, M. S., & Warschburger, P. (2020). Intrapersonal predictors of weight bias internalization among elementary school children: a prospective analysis. BMC pediatrics, 20(1), 408. https://doi.org/10.1186/s12887-020-02264-w Hadjiyannakis, S., Ibrahim, Q., Li, J., Ball, G. D. C., Buchholz, A., Hamilton, J. K., Zenlea, I., Ho, J., Legault, L., Laberge, A. M., Thabane, L., Tremblay, M., & Morrison, K. M. (2019). Obesity class versus the Edmonton Obesity Staging System for Pediatrics to define health risk in childhood obesity: results from the CANPWR cross-sectional study. The Lancet. Child & adolescent health, 3(6), 398–407. https://doi.org/10.1016/S2352-4642(19)30056-2 Hampl, S. E., Hassink, S. G., Skinner, A. C., Armstrong, S. C., Barlow, S. E., Bolling, C. F., Avila Edwards, K. C., Eneli, I., Hamre, R., Joseph, M. M., Lunsford, D., Mendonca, E., Michalsky, M. P., Mirza, N., Ochoa, E. R., Sharifi, M., Staiano, A. E., Weedn, A. E., Flinn, S. K., Lindros, J., … Okechukwu, K. (2023). Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents With Obesity. Pediatrics, 151(2), e2022060640. https://doi.org/10.1542/peds.2022-060640 Haqq, A. M., Kebbe, M., Tan, Q., Manco, M., & Salas, X. R. (2021). Complexity and Stigma of Pediatric Obesity. Childhood obesity (Print), 17(4), 229–240. https://doi.org/10.1089/chi.2021.0003 Puhl, R. M., & Himmelstein, M. S. (2018). Adolescent preferences for weight terminology used by health care providers. Pediatric obesity, 13(9), 533–540. https://doi.org/10.1111/ijpo.12275 Puhl, R. M., Peterson, J. L., & Luedicke, J. (2011). Parental perceptions of weight terminology that providers use with youth. Pediatrics, 128(4), e786–e793. https://doi.org/10.1542/peds.2010-3841 Yan J, Liu L, Zhu Y, Huang G, Wang PP. The association between breastfeeding and childhood obesity: a meta-analysis. BMC Public Health. 2014 Dec 13;14:1267. doi: 10.1186/1471-2458-14-1267. PMID: 25495402; PMCID: PMC4301835.

Resources[1] Compernolle, S., DeSmet, A., Poppe, L. et al. Effectiveness of interventions using self-monitoring to reduce sedentary behavior in adults: a systematic review and meta-analysis. Int J Behav Nutr Phys Act 16, 63 (2019). https://doi.org/10.1186/s12966-019-0824-3[2] Wills HP, Mason BA. Implementation of a self-monitoring application to improve on-task behavior: A high school pilot study. J Behav Educ. 2014;23(4):421-434. doi:10.1007/s10864-014-9204-x [3] Eisenhauer, C.M., Brito, F., Kupzyk, K. et al. Mobile health assisted self-monitoring is acceptable for supporting weight loss in rural men: a pragmatic randomized controlled feasibility trial. BMC Public Health 21, 1568 (2021). https://doi.org/10.1186/s12889-021-11618-7[4] Burgard, Melissa B.S.; Gallagher, Kara I. Ph.D., FACSM. Self-Monitoring: Influencing Effective Behavior Change in Your Clients. ACSM's Health & Fitness Journal 10(1):p 14-19, January 2006. https://journals.lww.com/acsm-healthfitness/fulltext/2006/01000/self_monitoring__influencing_effective_behavior.7.aspx[5] Does self‐monitoring diet and physical ... - wiley online library. Accessed May 17, 2023. https://onlinelibrary.wiley.com/doi/10.1111/obr.13306.   ● https://porrazzanutrition.com ● https://www.facebook.com/MyDietitianJourney ● https://www.instagram.com/mydietitianjourney/ ● https://mydietitianjourney.wordpress.com/ Felicia Porrazza is a registered and licensed dietitian with a masters degree in dietetics administration, an ACSM certified personal trainer, National Board Certified Health & Wellness Coach, college nutrition faculty instructor, and owner of Porrazza Nutrition LLC and My Dietitian Journey. In her private practice, she works one-on-one with clients to help them develop an understanding of healthy eating and fitness. She specializes in combining plant-based eating with fitness programs, specifically targeting beginner strength-training. Felicia has been a mentor to Dietitians starting their own private practice and a dietetic internship preceptor for Dietetic students. Disclaimer: Information provided is not intended to constitute legal or medical advice. All information is for general educational purposes only.

A new study by BMC Public Health analyzing the posts of fitness influencers shows that about two-thirds of what they post on social media is wrong…and may be doing more harm than good. Should there be some kind of vetting performed on the information they provide, should they be banned for posting self-serving misinformation, or is this just a “buyer beware” situation? We chat about these questions and offer a critical piece of advice for evaluating any social media post. Dean Saddoris joined us for this one. You can find Dean on IG @deansaddoris.ck and at caffeineandkilos.com Listener resources: Fitness influencers study New York Times coverage____ Have a question for one of our Friday “One Good Question” episodes? Hit us up on social media and use the hashtag #onegoodquestion. Join our Discord for free at goodcompanydiscord.com! Check out our gym (Third Street Barbell) at ThirdStreetBarbell.com https://www.thirdstreetbarbell.com/ and subscribe for updates about our apparel line at 3sb.co https://3sb.co/! Local memberships and international fresh fits! Get early access to our NEXT DROP! Check out our podcast website: 50percentfacts.com https://www.50percentfacts.com/ 50% Facts is a Spreaker Prime podcast on OCN – the Obscure Celebrity Network.

Andrew Woods from the University of Wollongong in Australia discusses the article Correlates of physical activity and sedentary behaviour in children attending before and after school care: a systematic review published with Yasmine Probst, Jennifer Norman, Karen Wardle, Sarah Ryan, Linda Patel, Ruth Crowe, and Anthony Okely. We discuss the literature that measured physical activity and sedentary behaviors in before and after-school care up to 2021. Full Cite: Woods, A. J., Probst, Y. C., Norman, J., Wardle, K., Ryan, S. T., Patel, L., Crowe, R. K., & Okely, A. D. (2022). Correlates of physical activity and sedentary behaviour in children attending before and after school care: A systematic review. BMC Public Health, 22(1), 2364–2364. https://doi.org/10.1186/s12889-022-14675-8 Andrew Woods - @ajwoods96 Yasmine Probst - @YasmineProbst Jennifer Norman - @dr_jennynorman Karen Wardle - @KarenWardle07 Sarah Ryan - @sryan801 Linda Patel - @LindaPatel27 Ruth Crowe - @Ruth_Crowe101 Tony Okely - @tonyokely --- Support this podcast: https://anchor.fm/pwrhpe/support

Are you interested in social housing quality and its effects on the tenants' life? Our summary today works with the article titled Housing as a social determinant of health and wellbeing: developing an empirically-informed realist theoretical framework from 2020 by Steve Rolfe, Lisa Garnham, Jon Godwin, Isobel Anderson, Pete Seaman, and Cam Donaldson, published in the BMC Public Health, which is part of Springer Nature. Since we are investigating the future of cities, I thought it would be interesting to see how urban social housing quality influences human wellbeing and health, which will be discussed in detail with the next interviewee, Chris Maher in episode 96. This article presents a theoretical framework to understand the less tangible aspects of housing experience on health and wellbeing. As the most important things, I would like to highlight 3 aspects: Social housing and renting can impact tenants' health and wellbeing so how we do it must be properly set up to create the best outcomes. Quality renting service and quality housing influence the tenants' experiences in a positive way, improving health and wellbeing. Investigating and improving these aspects can even operate as public health intervention and prevention in the lives of tenants. You can find the article through this link. You can find the transcript through this link. What wast the most interesting part for you? What questions did arise for you? Let me know on Twitter @WTF4Cities or on the wtf4cities.com website where the shownotes are also available. I hope this was an interesting episode for you and thanks for tuning in. Music by Lesfm from Pixabay

Contributor: Don Stader, MD Educational Pearls: Home naloxone is traditionally given to those at high risk for opioid overdose such as those in the ED due to an opioid overdose, opioid intoxication, or admit to illicit opioid use        There are a number of other patient populations that benefit from home naloxone including those on chronic opioid or benzodiazepine therapy, and those who report any type of illicit drug use Any illicit drug could be laced with opioids, and those who use drugs are more likely to be present as bystanders when an opioid overdose occurs Some important tips to remember when prescribing home naloxone There is often a scannable QR code that instructs bystanders on how to recognize and intervene in an overdose Inform the patient that naloxone is temporary and those who overdose are at high risk of overdosing again Provide support and inform the patient that if they decide they would like to enter treatment/rehabilitation programs, they can return to the ED to start that process References Strang J, McDonald R, Campbell G, et al. Take-Home Naloxone for the Emergency Interim Management of Opioid Overdose: The Public Health Application of an Emergency Medicine. Drugs. 2019;79(13):1395-1418. Moustaqim-Barrette A, Dhillon D, Ng J, et al. Take-home naloxone programs for suspected opioid overdose in community settings: a scoping umbrella review. BMC Public Health. 2021;21(1):597. Summarized by Mark O'Brien, MS4 | Edited by John Spartz, MD & Erik Verzemnieks, MD In an effort to promote diversity, equity, and inclusion in Emergency Medicine, The Emergency Medical Minute is proud to present our 2nd annual Diversity and Inclusion Award. We support increasing the representation of underrepresented groups in medicine and extend this award to individuals applying to emergency medicine residencies during the 2022-2023 cycle. For information on award eligibility and the application process, visit https://emergencymedicalminute.com/edi-award/ Donate to EMM today!

Risk Factors for Suicide: What therapists should know when treating teens and adults Curt and Katie chat about suicide risk factors.  Suicide rates have been increasing across the nation and there is an increasing need for the mental health workforce to be prepared to assess and intervene with clients of all ages. We take an in-depth look at the risk and protective factors associated with suicidal ideology and behaviors in both teens and adults. We also lay the beginning foundations of a suicide model to help clinicians better understand and intervene with clients exhibiting suicidal thoughts. This is a continuing education podcourse. Transcripts for this episode will be available at mtsgpodcast.com! In this podcast episode we explore what makes someone more likely to attempt suicide We've talked frequently about suicide, but thought it would be important, especially during Suicide Prevention Awareness Month, to go more deeply into the risk factors that make someone more likely to attempt and complete suicide.   What are the highest risk factors for suicide? “Anxiety Sensitivity… the fear of the feelings of being anxious… is even more so correlated with suicidal ideation and suicide attempts than depression is.” – Curt Widhalm, LMFT Defining acute, active suicidality (versus passive or chronic suicidality or non-suicidal self-Injury) Going beyond the list of risk factors to how big of a risk each factor is for attempting or completing suicide Exploring how impactful a previous attempt is on whether someone is likely to attempt of complete suicide The importance of getting a complete history of suicidality and suicide attempts at intake The impact of family members who have attempted or died by suicide Alcohol and other substance use and abuse as an additive risk factor Cooccurring mental disorders (eating disorders, psychosis and serious mental illness, depression, anxiety and anxiety sensitivity, personality disorders) Child abuse history, especially folks with a history of sexual abuse history Life transitions, especially unplanned and sudden life transitions Owning a firearm makes you 50 times more likely to die by suicide Racial differences in who is more likely to attempt or complete suicide Living at a high elevation What are additional risk factors for suicide specific to teens? Early onset of mental illness Environmental factors Exposure to other suicides (social media, contagion) Not being able to identify other options Seeking control over their lives and lacking impulse control leading to suicide attempts The importance of communication and the potential for a lack of communication Bullying and lack of social support, without a way to escape due to social media and cell phones What are protective factors when assessing for suicidality? “Just because protective factors are present doesn't mean that they balance out risk factors [for suicide].”– Curt Widhalm, LMFT Reasons for living, responsibility to others Spirituality or attending a place of worship that teaches against suicide Where you live based on cultural or societal factors Having a children or child-rearing responsibilities, intact marriage Strong social support, employment Relationship with a therapist   Suicide Model: Integrated Motivational Volitional Model by O'Connor and Kirtley   Reviewing the model shown in the graphic in the show notes at mtsgpodcast.com Our Generous Sponsor for this episode of the Modern Therapist's Survival Guide: Thrizer Thrizer is a new modern billing platform for therapists that was built on the belief that therapy should be accessible AND clinicians should earn what they are worth. Their platform automatically gets clients reimbursed by their insurance after every session. Just by billing your clients through Thrizer, you can potentially save them hundreds every month, with no extra work on your end. Every time you bill a client through Thrizer, an insurance claim is automatically generated and sent directly to the client's insurance. From there, Thrizer provides concierge support to ensure clients get their reimbursement quickly, directly into their bank account. By eliminating reimbursement by check, confusion around benefits, and obscurity with reimbursement status, they allow your clients to focus on what actually matters rather than worrying about their money. It is very quick to get set up and it works great in completement with EHR systems. Their team is super helpful and responsive, and the founder is actually a long-time therapy client who grew frustrated with his reimbursement times The best part is you don't need to give up your rate. They charge a standard 3% payment processing fee! Thrizer lets you become more accessible while remaining in complete control of your practice. A better experience for your clients during therapy means higher retention. Money won't be the reason they quit on therapy. Sign up using bit.ly/moderntherapists if you want to test Thrizer completely risk free! Sign up for Thrizer with code 'moderntherapists' for 1 month of no credit card fees or payment processing fees! That's right - you will get one month of no payment processing fees, meaning you earn 100% of your cash rate during that time. Receive Continuing Education for this Episode of the Modern Therapist's Survival Guide Hey modern therapists, we're so excited to offer the opportunity for 1 unit of continuing education for this podcast episode – Therapy Reimagined is bringing you the Modern Therapist Learning Community!  Once you've listened to this episode, to get CE credit you just need to go to moderntherapistcommunity.com/podcourse, register for your free profile, purchase this course, pass the post-test, and complete the evaluation! Once that's all completed - you'll get a CE certificate in your profile or you can download it for your records. For our current list of CE approvals, check out moderntherapistcommunity.com. You can find this full course (including handouts and resources) here: https://moderntherapistcommunity.com/podcourse/ Continuing Education Approvals: When we are airing this podcast episode, we have the following CE approval. Please check back as we add other approval bodies: Continuing Education Information CAMFT CEPA: Therapy Reimagined is approved by the California Association of Marriage and Family Therapists to sponsor continuing education for LMFTs, LPCCs, LCSWs, and LEPs (CAMFT CEPA provider #132270). Therapy Reimagined maintains responsibility for this program and its content. Courses meet the qualifications for the listed hours of continuing education credit for LMFTs, LCSWs, LPCCs, and/or LEPs as required by the California Board of Behavioral Sciences. We are working on additional provider approvals, but solely are able to provide CAMFT CEs at this time. Please check with your licensing body to ensure that they will accept this as an equivalent learning credit. Resources for Modern Therapists mentioned in this Podcast Episode: We've pulled together resources mentioned in this episode and put together some handy-dandy links. Please note that some of the links below may be affiliate links, so if you purchase after clicking below, we may get a little bit of cash in our pockets. We thank you in advance! Information on the ACEs Study References mentioned in this continuing education podcast: Bodell, L. P., Cheng, Y., & Wildes, J. E. (2019). Psychological Impairment as a Predictor of Suicide Ideation in Individuals with Anorexia Nervosa. Suicide & life-threatening behavior, 49(2), 520–528. https://doi.org/10.1111/sltb.12459 Borges, G., Bagge, C. L., Cherpitel, C. J., Conner, K. R., Orozco, R., & Rossow, I. (2017). A meta-analysis of acute use of alcohol and the risk of suicide attempt. Psychological medicine, 47(5), 949–957. https://doi.org/10.1017/S0033291716002841 Bostwick, C. Pabbati, J. Geske, A. McKean (2016) Suicide Attempt as a Risk Factor for Completed Suicide: Even More Lethal Than We Knew Am. J. Psychiatry, 173 (11), pp. 1094-1100, 10.1176/appi.ajp.2016.15070854 Brådvik, L. Suicide risk and mental disorders. Int. J. Environ. Res. Public Health 2018, 15, 2028 Campisi, S.C., Carducci, B., Akseer, N. et al. (2020) Suicidal behaviours among adolescents from 90 countries: a pooled analysis of the global school-based student health survey. BMC Public Health 20, 1102. https://doi.org/10.1186/s12889-020-09209-z Doyle, M., While, D., Mok, P.L.H. et al. Suicide risk in primary care patients diagnosed with a personality disorder: a nested case control study. BMC Fam Pract 17, 106 (2016). https://doi.org/10.1186/s12875-016-0479-y Martin, M.S., Dykxhoorn, J., Afifi, T.O. et al. (2016) Child abuse and the prevalence of suicide attempts among those reporting suicide ideation. Soc Psychiatry Psychiatr Epidemiol 51, 1477–1484. https://doi.org/10.1007/s00127-016-1250-3 O'Connor RC, Kirtley OJ. The integrated motivational-volitional model of suicidal behaviour. Philos Trans R Soc Lond B Biol Sci. 2018;373 Stanley, I. H., Boffa, J. W., Rogers, M. L., Hom, M. A., Albanese, B. J., Chu, C., Capron, D. W., Schmidt, N. B., & Joiner, T. E. (2018). Anxiety sensitivity and suicidal ideation/suicide risk: A meta-analysis. Journal of consulting and clinical psychology, 86(11), 946–960. https://doi.org/10.1037/ccp0000342 Twenge, J. M., Cooper, A. B., Joiner, T. E., Duffy, M. E., & Binau, S. G. (2019, March 14). Age, Period, and Cohort Trends in Mood Disorder Indicators and Suicide-Related Outcomes in a Nationally Representative Dataset, 2005–2017. Journal of Abnormal Psychology. Advance online publication. http://dx.doi.org/10.1037/abn0000410 *The full reference list can be found in the course on our learning platform.   Relevant Episodes of MTSG Podcast: Rage and Client Self-Harm: An interview with Angela Caldwell How to Understand and Treat Psychosis: An interview with Maggie Mullen Navigating the Food and Eating Minefield: An interview with Robyn Goldberg How Therapists Promote Diet Culture: An interview with Rachel Coleman The Practicalities of Mental Health and Gender Affirming Care for Trans Youth: An Interview with Jordan Held, LCSW Working with Trans Clients: Trans Resilience and Gender Euphoria: An interview with Beck Gee-Cohen   Who we are: Curt Widhalm, LMFT Curt Widhalm is in private practice in the Los Angeles area. He is the cofounder of the Therapy Reimagined conference, an Adjunct Professor at Pepperdine University and CSUN, a former Subject Matter Expert for the California Board of Behavioral Sciences, former CFO of the California Association of Marriage and Family Therapists, and a loving husband and father. He is 1/2 great person, 1/2 provocateur, and 1/2 geek, in that order. He dabbles in the dark art of making "dad jokes" and usually has a half-empty cup of coffee somewhere nearby. Learn more at: www.curtwidhalm.com Katie Vernoy, LMFT Katie Vernoy is a Licensed Marriage and Family Therapist, coach, and consultant supporting leaders, visionaries, executives, and helping professionals to create sustainable careers. Katie, with Curt, has developed workshops and a conference, Therapy Reimagined, to support therapists navigating through the modern challenges of this profession. Katie is also a former President of the California Association of Marriage and Family Therapists. In her spare time, Katie is secretly siphoning off Curt's youthful energy, so that she can take over the world. Learn more at: www.katievernoy.com A Quick Note: Our opinions are our own. We are only speaking for ourselves – except when we speak for each other, or over each other. We're working on it. Our guests are also only speaking for themselves and have their own opinions. We aren't trying to take their voice, and no one speaks for us either. Mostly because they don't want to, but hey. Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Patreon Buy Me A Coffee Podcast Homepage Therapy Reimagined Homepage Facebook Twitter Instagram YouTube   Consultation services with Curt Widhalm or Katie Vernoy: The Fifty-Minute Hour Connect with the Modern Therapist Community: Our Facebook Group – The Modern Therapists Group   Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/  

It is well-known that optimal folate consumption has positive effects on a wide range of health conditions including fetal neural tube defects (eg. anencephaly, spina bifida), orofacial deformities such as cleft palate, pre-eclampsia and premature birth, as well as mood stability and longevity. This list is by no means extensive. Folic acid has been added to non-artisan/non-organic bread in Australia since 2009 for the purpose of protecting  babies born with neural tube defects. While folic acid is certainly the cheapest form of the folates, the question remains, "Is it the best form?"  Certainly, folic acid is NOT synonymous with folate from food or 5-MTHF supplements and errors or omissions in research papers and dietary guidelines stating "folate" when folic acid is the actual form used, are not correct, nor acceptable. Moreover, evidence is mounting not only of the penetrance of single nucleotide polymorphisms (SNPs) in general, especially the A677T form, but also how these SNPs affect folate metabolism and worryingly how they affect the metabolism and excretion of cheap folic acid from fortified foods and supplements. Carolyn Ledowsky has long been a fervent advocate of the 5-methyltetrahydrofolate (5-MTHF) form because of issues with this unmetabolised folic acid taken by some individuals in doses well above the 1000mcg upper tolerable limit set out by medical and food authorities. Listen in today as Carolyn Ledowsky takes us through the discoveries of her Masters thesis and her plans to shake the halls of orthodoxy with her Ph.D project. The data will tell what they will, but Carolyn says the evidence is mounting against folic acid food fortification and favouring 5-MTHF supplementation in those with single nucleotide polymorphisms, esp homogenous 677C>T SNP.Research:Ledowsky C, Mahimbo A, Scarf V, et al. Women Taking a Folic Acid Supplement in Countries with Mandatory Food Fortification Programs May Be Exceeding the Upper Tolerable Limit of Folic Acid: A Systematic Review. Nutrients. 2022 Jun 29;14(13):2715. https://pubmed.ncbi.nlm.nih.gov/35807899/Sweeney MR, McPartlin J, Scott J. Folic acid fortification and public health: report on threshold doses above which unmetabolised folic acid appear in serum. BMC Public Health. 2007 Mar 22;7:41. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1839088/Long S, Goldblatt J. MTHFR genetic testing: Controversy and clinical implications. Aust Fam Phys. 2016 Apr;45(4).https://www.racgp.org.au/afp/2016/april/mthfr-genetic-testing-controversy-and-clinical-imp#ref-20Tsang BL, Devine OJ, Cordero AM, et al. Assessing the association between the methylenetetrahydrofolate reductase (MTHFR) 677C>T polymorphism and blood folate concentrations: a systematic review and meta-analysis of trials and observational studies. Am J Clin Nutr 2015;101(6):1286-94. https://academic.oup.com/ajcn/article/101/6/1286/4564518?login=falseBailey LB, Stover PJ, McNulty H, et al. Biomarkers of Nutrition for Development-Folate Review. J Nutr 2015;145(7):1636S-80S. doi: 10.3945/jn.114.206599.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4478945/Kelly P, McPartlin J, Goggins M, et al. Unmetabolized folic acid in serum: acute studies in subjects consuming fortified food and supplements. Am J Clin Nutr 1997;65(6)

Description: An immersive reading of excerpts from ‘Aurora Leigh' by Elizabeth Barrett Browning with reflection on the benefits of illness, social determinants of health and discharging people experiencing homelessness. WorkShe stirred;—the place seemed new and strange as death.The white strait bed, with others strait and white,Like graves dug side by side, at measured lengths,And quiet people walking in and outWith wonderful low voices and soft steps,And apparitional equal care for each,Astonished her with order, silence, law:And when a gentle hand held out a cup,She took it, as you do at sacrament,[…]I think it frets the saints in heaven to seeHow many desolate creatures on the earthHave learnt the simple dues of fellowshipAnd social comfort, in a hospital,As Marian did. She lay there, stunned, half tranced,And wished, at intervals of growing sense,She might be sicker yet, if sickness madeThe world so marvellous kind, the air so hushed,And all her wake-time quiet as a sleep;[…]She lay and seethed in fever many weeks,But youth was strong and overcame the test;Revolted soul and flesh were reconciledAnd fetched back to the necessary dayAnd daylight duties. She could creep aboutThe long bare rooms, and stare out drearilyFrom any narrow window on the street,Till some one, who had nursed her as a friend,Said coldly to her, as an enemy,‘She had leave to go next week, being well enough,'While only her heart ached. ‘Go next week,' thought she,‘Next week! how would it be with her next week,Let out into that terrible street aloneAmong the pushing people, ... to go ... where?' References Aurora Leigh: https://www.gutenberg.org/files/56621/56621-h/56621-h.htm Elizabeth Barret Browning: https://www.poetryfoundation.org/poets/elizabeth-barrett-browning  Fitzpatrick-Lewis D, Ganann R, Krishnaratne S, Ciliska D, Kouyoumdjian F, Hwang SW. Effectiveness of interventions to improve the health and housing status of homeless people: a rapid systematic review. BMC Public Health. 2011;11:638.

The recently signed infrastructure law continues the United States' over-reliance on the most dangerous way to travel: driving a vehicle. Did Congress make sufficient safety improvements to decrease the dangers posed by driving in the United States? This episode will examine all vehicle-related safety provisions to help you weigh your own transportation options. Please Support Congressional Dish – Quick Links Contribute monthly or a lump sum via PayPal Support Congressional Dish via Patreon (donations per episode) Send Zelle payments to: Donation@congressionaldish.com Send Venmo payments to: @Jennifer-Briney Send Cash App payments to: $CongressionalDish or Donation@congressionaldish.com Use your bank's online bill pay function to mail contributions to: 5753 Hwy 85 North, Number 4576, Crestview, FL 32536. Please make checks payable to Congressional Dish Thank you for supporting truly independent media! View the Show Notes on our Website at https://congressionaldish.com/cd251-bif-driving-dangers-sustained/ Background Sources Recommended Congressional Dish Episodes CD246: BIF: Appalachian Chemical Storage CD247: BIF: The Growth of US Railroads CD240: BIF: The Infrastructure BILL CD021: Trailblazer vs. ThinThread Why You Should Be Afraid of Cars “Number of worldwide air traffic fatalities from 2006 to 2021.” Apr 12, 2022. Statista. National Highway Traffic Safety Administration. Mar 2022. “Overview of Motor Vehicle Crashes in 2020.” U.S. Department of Transportation. “Number of deaths / injuries directly linked to boating accidents in the U.S. from 2002 to 2020.” Jun 2021. Statista. Injury Facts. “Railroad Deaths and Injuries.” National Safety Council. Jon Ziomek. Sept 28, 2020. “Disaster on Tenerife: History's Worst Airline Accident.” Historynet. National Highway Traffic Safety Administration. “Distracted Driving.” U.S. Department of Transportation. Problems the Law Does (and Does Not) Address Jake Blumgart. Nov 15, 2021. “The Infrastructure Bill May Not Be So Historic After All.” Governing. Self Driving Cars Neal E. Boudette. May 3, 2022. “Paying customers could hail driverless taxis in San Francisco later this year.” San Francisco Examiner. Natasha Yee. Apr 1, 2022. “Waymo Bringing Driverless Vehicles to Downtown Phoenix ... Soon.” Phoenix New Times. “24 Self-Driving Car Statistics & Facts.” Feb 20, 2022. Carsurance. Neal E. Boudette. Jul 5, 2021. “Tesla Says Autopilot Makes Its Cars Safer. Crash Victims Say It Kills.” The New York Times. Clifford Law Offices PC. May 5, 2021. “The Dangers of Driverless Cars.” The National Law Review. Katie Shepherd and Faiz Siddiqui. Apr. 19, 2021. “A driverless Tesla crashed and burned for four hours, police said, killing two passengers in Texas.” The Washington Post. Riley Beggin. Jan 15, 2021. “Self-Driving Vehicles Allowed to Skip Some Crash Safety Rules.” Government Technology. Faiz Siddiqui. Oct 22, 2020. “Tesla is putting ‘self-driving' in the hands of drivers amid criticism the tech is not ready.” The Washington Post. Niraj Chokshi. Feb 25, 2020. “Tesla Autopilot System Found Probably at Fault in 2018 Crash.” The New York Times. Michael Laris. Feb 11, 2020. “Tesla running on ‘Autopilot' repeatedly veered toward the spot where Apple engineer later crashed and died, federal investigators say.” The Washington Post. Alex Davies. May 16, 2019. “Tesla's Latest Autopilot Death Looks Just Like a Prior Crash.” Wired. Neal E. Boudette and Bill Vlasic. Sept 12, 2017. “Tesla Self-Driving System Faulted by Safety Agency in Crash.” The New York Times. Rachel Abrams and Annalyn Kurtz. Jul 1, 2016. “Joshua Brown, Who Died in Self-Driving Accident, Tested Limits of His Tesla.” The New York Times. Alcohol Detection Systems Isaac Serna-Diez. Nov 23, 2021. “Alcohol Detection Systems Will Now Be Mandatory In All New Cars To Prevent Drunk Driving. YourTango. Keyless Entry Carbon Monoxide Deaths “Toyota Introduces Automatic Engine Shut Off to Prevent Carbon Monoxide Deaths.” Jun 20, 2019. Kelley Uustal Trial Attorneys. “Toyota Has the Most Keyless Ignition Related Deaths, But Takes no Action.” Jun 7, 2019. KidsAndCars.org. Kids Left in Cars Morgan Hines. Aug 2, 2019. “There's science behind why parents leave kids in hot cars.” USA Today. Scottie Andrew and AJ Willingham. July 30, 2019. “More than 38 kids die in hot cars every year, and July is the deadliest month.” CNN. John Bacon. Jul 28, 2019. “'He will never forgive himself': Wife defends husband in devastating hot car deaths of twins.” USA Today. Eric Stafford. May 6, 2019. [“Children Can Die When Left in the Back Seat on a Warm Day—and 800 Already Have. “Children Can Die When Left in the Back Seat on a Warm Day—and 800 Already Have.” Car and Driver. National Highway Traffic Safety Administration. “Child Heatstroke Prevention: Prevent Hot Car Deaths.” U.S. Department of Transportation. Motorcycle Helmets “Motorcycle helmet use laws by state.” May 2022. Insurance Institute for Highway Safety. “Facts + Statistics: Motorcycle crashes.” Insurance Information Institute. Adam E. M. Eltorai et. al. March 16, 2016. “Federally mandating motorcycle helmets in the United States.” BMC Public Health. Truck Safety “How Many Miles Do Semi Trucks Last?” Rechtien. Non-motorist Safety “Pedestrian Traffic Fatalities by State: 2020 Preliminary Data.” Governors Highway Safety Association. “Pedestrian Traffic Fatalities by State: 2020 Preliminary Data.” [Full Report] March 2021. Governors Highway Safety Association. John Wenzel. Jan 6, 2020. “Bollard Installation Cost.” Saint Paul Sign & Bollard. Richard Peace. Feb 20, 2019. “Why You Don't Want a Superfast Electric Bicycle.” Electric Bike Report. 911 System Upgrades Mark L. Goldstein. January 2018. “Next Generation 911: National 911 Program Could Strengthen Efforts to Assist States” [GAO-18-252]. Government Accountability Office. National 911 Program. December 2016. “2016 National 911 Progress Report.” U.S. Department of Transportation. CD021: Trailblazer vs. ThinThread Followup “Michael Hayden, Principal, Strategic Advisory Services.” The Chertoff Group. “Board of Directors.” Atlantic Council. Tim Shorrock. Apr 15 2013. “Obama's Crackdown on Whistleblowers.” The Nation. The Law H.R.3684 - Infrastructure Investment and Jobs Act Senate Version Law Outline DIVISION A: SURFACE TRANSPORTATION TITLE I - FEDERAL-AID HIGHWAYS Subtitle A - Authorizations and Programs Sec. 11101: Authorization of Appropriations Authorizes appropriations for Federal-Aid for highways at between $52 billion and $56 billion per year through fiscal year 2026 (over $273 billion total). Authorizes $300 million for "charging and fueling infrastructure grants" for 2022, which increases by $100 million per year (maxing out at $700 million in 2026) Authorizes between $25 million and $30 million per year for "community resilience and evacuation route grants" on top of equal amounts for "at risk coastal infrastructure grants" Authorizes a total of $6.53 billion (from two funds) for the bridge investment program Sec. 11102: Obligation Ceiling Caps the annual total funding from all laws (with many exceptions) that can be spent on Federal highway programs. Total through 2026: $300.3 billion Sec. 11111: Highway Safety Improvement Program Adds protected bike lanes to the list of projects allowed to be funded by the highway safety improvement project Adds "vulnerable road users" (non-motorists) to the list of people who must be protected by highway safety improvement projects If 15% or more of a state's annual crash fatalities are made up of non-motorists, that state will be required to spend at least 15% of its highway safety improvement project money on projects designed to improve safety for non-motorists. Each state, by the end of 2023, will have to complete a vulnerable road user safety assessment that includes specific information about each non-motorist fatality and serious injury in the last five years, identifies high-risk locations, and identifies possible projects and strategies for improving safety for non-motorists in those locations. Sec. 11119: Safe Routes to School Creates a new program to improve the ability of children to walk and ride their bikes to school by funding projects including sidewalk improvements, speed reduction improvements, crosswalk improvements, bike parking, and traffic diversions away from schools. Up to 30% of the money can be used for public awareness campaigns, media relations, education, and staffing. No additional funding is provided. It will be funded with existing funds for "administrative expenses". Each state will get a minimum of $1 million. Non-profit organizations are eligible, along with local governments, to receive and spend the funding. Non-profits are the only entities eligible to receive money for educational programs about safe routes to school. Sec. 11130: Public Transportation Allows the Transportation Secretary to allocate funds for dedicated bus lanes Sec. 11133: Bicycle Transportation and Pedestrian Walkways Adds "shared micromobility" projects (like bike shares) to the list of projects that can be funded as a highway project Electric bike-share bikes must stop assisting the rider at a maximum of 28 mph to be classified as an "electric bicycle" Subtitle B - Planning and Performance Sec. 11206: Increasing Safe and Accessible Transportation Options. Requires each state, in return for funding, to carry out 1 or more project to increase accessible for multiple travel modes. The projects can be... The enactment of "complete streets standards" (which ensure the safe and adequate accommodation of all users of the transportation system) Connections of bikeways, pedestrian walkways, and public transportation to community centers and neighborhoods Increasing public transportation ridership Improving safety of bike riders and pedestrians Intercity passenger rail There's a way for State's to get this requirement waived if they already have Complete Streets standards in place Subtitle D - Climate Change Sec. 11404: Congestion Relief Program Creates a grant program, funded at a minimum of $10 million per grant, for projects aimed at reducing highway congestion. Eligible projects include congestion management systems, fees for entering cities, deployment of toll lanes, parking fees, and congestion pricing, operating commuter buses and vans, and carpool encouragement programs. Buses, transit, and paratransit vehicles "shall" be allowed to use toll lanes "at a discount rate or without charge" Subtitle E - Miscellaneous Sec. 11502: Stopping Threats on Pedestrians By the end of 2022, the Secretary of Transportation needs to create a competitive grant pilot program to fund "bollard installation projects", which are projects that raise concrete or metal posts on a sidewalk next to a road that are designed to slow or stop a motor vehicle. The grants will pay for 100% of the project costs Appropriates only $5 million per year through 2026 Sec. 11504: Study of Impacts on Roads from Self-driving Vehicles By early 2023, the Transportation Department has to conduct a study on the existing and future effects of self-driving cars on infrastructure, mobility, the environment, and safety. Sec. 11529: Active Transportation Infrastructure Investment Program Creates a grant program authorized for $1 billion total that will fund walking and biking infrastructure projects that each cost $15 million or more and connect communities to each other, including communities in different states, and to connect to public transportation. The Federal government will pay for 80% of the project costs, except in communities with a poverty rate over 40% (the Federal government will pay 100% of the project costs in impoverished communities). TITLE III - MOTOR CARRIER SAFETY Sec. 23010: Automatic Emergency Braking: Automatic Emergency Braking A Federal regulation will be created by November 2023 which will require new commercial vehicles to be equipped with automatic braking systems and there will be performance standards for those braking systems. Sec. 23022: Apprenticeship Pilot Program Creates a three year pilot program, capped at 3,000 participants at a time, for people under 21 to be trained by people over the age of 26 to become commercial truck drivers. Drivers under the age of 21 are not allowed to transport any passengers or hazardous cargo Sec. 23023: Limousine Compliance With Federal Safety Standards A Federal regulation will be created by November 2023 requiring that limousines have a seat belts at every seating position, including side facing seats. TITLE IV - HIGHWAY AND MOTOR VEHICLE SAFETY Subtitle A - Highway Traffic Safety Sec. 24102: Highway Safety Programs Prohibit the Federal Government from withholding highway safety money to the states that refuse to require helmets for motorcycle drivers or passengers who are over the age of 18. Sec. 24103: Highway Safety Research and Development Creates a grant program (by November 2023) that will fund states that want to create a process for notifying vehicle owners about any open recalls on their cars when they register their cars with the DMV. The state receiving the money is only required to provide the notifications for two years and participation in general is voluntary. Creates financial incentives for states to create laws that prohibit drivers from holding "a personal wireless communications device" while driving, has fines for breaking that law, and has no exemptions for texting when stopped in traffic. There are exceptions for using a cell phone for navigation in a "hands-free manner" Creates financial incentives for states to create laws that require curriculum in driver's education courses to include information about law enforcement procedures during traffic stops and the rights and responsibilities of the drivers when being stopped. The states would also have to have training programs for the officers for implementing the procedures that would be explained to drivers. Sec. 24113: Implementation of GAO Recommendations Requires the Secretary of Transportation to implement all of the national-level recommendations outlined in a 2018 GAO report by the end of November 2022. Subtitle B - Vehicle Safety Sec. 24201: Authorization of Appropriations Authorizes a little over $1 billion total for vehicle safety programs from 2022 through 2026 Sec. 24205: Automatic Shutoff By November 2023, the Transportation Department will have to issue a regulation requiring fossil fuel powered vehicles with keyless ignitions to have an automatic shutoff system to prevent carbon monoxide poisoning. The amount of time that must trigger the shut off will be determined by the regulators. If the regulation is issued on time, this would go into effect most likely on September 1, 2024. Sec. 24208: Crash Avoidance Technology The Secretary of Transportation must issue a regulation establishing minimum standards for crash avoidance technology that must be included in all vehicles sold in the United States starting on a date that will be chosen by the Secretary of Transportation. The technology must alert the driver of an imminent crash and apply the breaks automatically if the driver doesn't do so. The technology must include a land departure system that warns the driver that they are not in their lane and correct the course of travel if the driver doesn't do so. Sec. 24215: Emergency Medical Services and 9-1-1 Repeals the part of the law that required the Transportation Department to publish criteria that established timelines and performance requirements for anyone who got a grant to implement the Next Generation 9-1-1 project. Sec. 24220: Advanced Impaired Driving Technology By November 2024, the Secretary of Transportation will have to finish a regulation that requires passenger motor vehicles to be standard equipped with "advanced and impaired driving prevention technology" The technology must be able to monitor the performance of a driver and/or their blood alcohol level and be able to prevent or limit the car's operation if impairment is detected or if the blood alcohol is above the legal limit. This will apply to new cars sold after November 2030 at the latest. Sec. 24222: Child Safety By November 2023, the Secretary of Transportation must finish a regulation requiring all new passenger vehicles to have a system alerting the driver visually and audibly to check the back seat when the car is turned off. Says it will be activated "when the vehicle motor is deactivated by the operator" Hearings The Road Ahead for Automated Vehicles House Committee on Transportation and Infrastructure, Subcommittee on Highways and Transit February 2, 2022 Overview: The purpose of this hearing is for Members of the Subcommittee to explore the impact of automated vehicle deployment, including automated trucks and buses, on mobility, infrastructure, safety, workforce, and other economic and societal implications or benefits. Cover Art Design by Only Child Imaginations Music Presented in This Episode Intro & Exit: Tired of Being Lied To by David Ippolito (found on Music Alley by mevio)

[Dr.Amp Podcast ตอนพิเศษ] เคล็ด(ไม่)ลับ เพื่อสุขภาพดีของหมอแอมป์ EP.2 เรื่อง การนอนดีเพื่อสุขภาพของหมอแอมป์

In this episode of Academia Lite, Sean and Zak get into a thought-provoking paper: - Vincent, A. D., Drioli-Phillips, P. G., Le, J., Cusack, L., Schultz, T. J., McGee, M. A., ... & Wittert, G. A. (2018). Health behaviours of Australian men and the likelihood of attending a dedicated men's health service. Examining the irregular, the surprising and the downright funny of each paper, there is something for the academic in all of us. Website: academialite.com Twitter: @academialite Facebook: Academia Lite Instagram: academialite Email: Hello@academialite.com Music by Softly Softly - https://open.spotify.com/artist/7x5ZnnlIGAtbRrlj2La2Yl?si=iuNAXt7c * Vincent, A. D., Drioli-Phillips, P. G., Le, J., Cusack, L., Schultz, T. J., McGee, M. A., ... & Wittert, G. A. (2018). Health behaviours of Australian men and the likelihood of attending a dedicated men's health service. BMC Public Health, 18(1), 1-10.
https://link.springer.com/article/10.1186/s12889-018-5992-6

We'd love to hear from you (feedback@breakingbadscience.com)Look us up on social media Facebook: https://www.facebook.com/groups/385282925919540Instagram: https://www.instagram.com/breakingbadsciencepodcast/Website: http://www.breakingbadscience.com/Patreon: https://www.patreon.com/breakingbadscienceWay back in episode 35 we discussed how educating the entire populace of a country is still sort of a new concept. The importance of an entirely educated population is a belief system barely around 100 years old now. With that always comes a clear division in understanding of how and what is best. Because of this we have public schools, private schools, boarding schools, and charter schools. But what is a charter school? How does it differ from any of these other categories that it seems like we're all well acquainted with and is it better?ReferencesDigest of Education Statistics. Public and Private Elementary and SEcondary Teachers, Enrollment, Pupil/Teacher Ratios, and New Teacher Hires: Selected Years, Fall 1955 Through Fall 2029. National Center for Education Statistics. 2020. https://nces.ed.gov/programs/digest/d20/tables/dt20_208.20.aspLogan, J., Burdick-Will, J.; School Segregation, Charter Schools, and Access to Quality Education. Journal of Urban Affairs. Aug-2016. 38:3 (323 - 343). Doi: https://doi.org/10.1111/juaf.12246Hojo, M.; Association Between Student-Teacher Ratio and Teachers' Working Hours and Workload Stress: Evidence from a Nationwide Survey in Japan. BMC Public Health. 7-Sep-2021. 21:1 (1635). Doi: https://doi.org/10.1186/s12889-021-11677-wNational Conference of State Legislatures. Education Research. National Conference of State Legislatures. https://www.ncsl.org/research/education/charter-schools-research-and-report.aspx#:~:text=The%20most%20rigorous%20studies%20conducted,charter%20schools%20in%20different%20states.Hirsh, K.; Class Size and Charter Schools. Chalkbeat New York. 24-Feb-2009. https://ny.chalkbeat.org/2009/2/24/21098084/class-size-and-charter-schoolsSupport the show (https://www.patreon.com/breakingbadscience?fan_landing=true)

In the middle of the 20th century it became totally normal - at a 21st, a wedding or a confirmation - to give people the special present of the total removal of their teeth. Was science to blame? Will tells Rod the story! The Wholesome Show is Dr Will Grant and Dr Rod Lamberts, proudly brought to you by The Australian National Centre for the Public Awareness of Science! Sources: - Brides.com: The 34 Must-Have Items to Add to Your Wedding Registry: https://www.brides.com/gallery/best-wedding-registry-items - Dallas Museum of Art: THE BRIDAL REGISTRY https://collections.dma.org/essay/a8mBA7yW - Dusty Old Thing: From the Fashion to the Gifts- Wedding Trends Over the Past Century Sure Have Changed! https://dustyoldthing.com/wedding-trends-changed/ - J Prosthet Dent. 2002 Jan;87(1):5-8. doi: 10.1067/mpr.2002.121203. - Australian Dental Journal 2007;52:(2):154-156 - BMC Public Health volume 14, Article number: 65 (2014) - MMWR: Ten Great Public Health Achievements -- United States, 1900-1999: https://www.cdc.gov/mmwr/preview/mmwrhtml/00056796.htm - British Dental Journal: Total tooth loss in the United Kingdom in 1998 and implications for the future https://www.nature.com/articles/4800840 Reddit: How true is this claim about Victorian England? “Having all your teeth removed was considered the perfect gift for a 21st birthday or a newly married bride.” - https://www.reddit.com/r/history/comments/agyegl/how_true_is_this_claim_about_victorian_england/?utm_source=share&utm_medium=ios_app&utm_name=iossmf - CDA Journal 28 (3): Focal Infection Theory Revisited

Contributor: Don Stader, MD Educational Pearls: Fentanyl's common administration route through pills has lowered the psychological barrier of using opioid compared to injecting and smoking heroin Fentanyl is showing up in all illicit drugs with documented cases even in marijuana Testing for fentanyl is difficult and requires a send out test because UA does not show up not common in ED but can better inform our care Fentanyl doesn't show up on UA drug screen and requires a send out test, thus we should ask patients if they're using fentanyl specifically  Send any patient using an illicit drug home with Narcan to protect them from potential opioid overdoses Start patients on buprenorphine for opioid withdrawal in the ED Fentanyl is very lipophilic, thus patients require longer washout times (sometimes over 24 hours) before buprenorphine induction to avoid precipitated withdrawal References: Adams, K.K., Machnicz, M. & Sobieraj, D.M. Initiating buprenorphine to treat opioid use disorder without prerequisite withdrawal: a systematic review. Addict Sci Clin Pract 16, 36 (2021). https://doi.org/10.1186/s13722-021-00244-8 Moustaqim-Barrette, A., Dhillon, D., Ng, J. et al. Take-home naloxone programs for suspected opioid overdose in community settings: a scoping umbrella review. BMC Public Health 21, 597 (2021). https://doi.org/10.1186/s12889-021-10497-2 *Image from NIDA   Summarized by Mason Tuttle

Luke does a detailed breakdown of important information that will help you understand and thus properly advocate for trans people and their rights! Local news story about a trans women - https://youtu.be/O0yxWR3PlYQ Trans boy Ted talk - https://youtu.be/3dTcJAdRDu4 Get connected below! Instagram - https://www.instagram.com/lukebeasleyofficial/ TikTok - https://vm.tiktok.com/TTPdSfpPHw/ Citations: World Health Organization - https://www.euro.who.int/en/health-topics/health-determinants/gender/gender-definitions American Psychiatric Association - https://www.psychiatry.org/patients-families/gender-dysphoria/what-is-gender-dysphoria#:~:text=Gender%20dysphoria%3A%20A%20concept%20designated,gender%20diverse%20people%20experience%20dysphoria. Mayo Clinic- https://www.mayoclinic.org/diseases-conditions/gender-dysphoria/diagnosis-treatment/drc-20475262 Cedars Sinai - https://www.cedars-sinai.org/newsroom/most-gender-dysphoria-established-by-age-7-study-finds/ Provincial Health Service Authority - http://www.phsa.ca/transcarebc/child-youth/affirmation-transition/medical-affirmation-transition/puberty-blockers-for-youth#:~:text=There%20are%20no%20known%20irreversible,taken%20puberty%20blockers%20at%20all. NCTE + NGLTF - https://cancer-network.org/wp-content/uploads/2017/02/National_Transgender_Discrimination_Survey_Report_on_health_and_health_care.pdf Human Rights Campaign - https://www.hrc.org/news/family-acceptance-saves-lives BMC Public Health - https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-015-1867-2 Life Enhancement Counseling Services - https://lifeenhancementcs.com/blog/pronouns-are-suicide-prevention/ NBC - https://www.nbcnews.com/feature/nbc-out/puberty-blockers-linked-lower-suicide-risk-transgender-people-n1122101 Fenway Health - https://fenwayhealth.org/new-study-shows-transgender-people-who-receive-gender-affirming-surgery-are-significantly-less-likely-to-experience-psychological-distress-or-suicidal-ideation/

HIFT representa un método apropiado para mejorar el rendimiento cognitivo, específicamente la memoria de trabajo. Autor Jan Wilke Department of Sports Medicine, Goethe University Frankfurt am Main, Ginnheimer Landstraße 39, 60487, Frankfurt am Main, Germany. wilke@sport.uni-frankfurt.de. Enlace al Articulo Original en Ingles Los ejercicios aeróbicos y de resistencia (con pesas) aumentan de manera inmediata el rendimiento cognitivo (PC). El entrenamiento funcional de alta intensidad (HIFT) combina las características de ambos regímenes, pero su efecto sobre el rendimiento cognitivo no está claro. Treinta y cinco individuos sanos (26,7 ± 3,6 años, 18 mujeres) fueron asignados al azar a tres grupos. El primer grupo (HIFT) realizó un entrenamiento funcional con el máximo esfuerzo y en formato de circuito involucrando todos los grupos musculares del cuerpo, mientras que el segundo grupo (WALK) caminó al 60% de la reserva de frecuencia cardíaca. El tercer grupo permaneció físicamente inactivo leyendo un libro (CON). Antes y después del período de intervención que duro 15 minutos, el rendimiento cognitivo se evaluó con el Stroop Task, Trail Making Test y Digit Span Test. Se utilizaron ANOVA de medidas repetidas e intervalos de confianza del 95% post-hoc para detectar diferencias en los grupos y tiempo (previo y posterior a los protocolos). Se encontró una interacción significativa entre los grupos y el tiempo para la condición de conteo hacia atras de Digit Span Test (p = 0.04, IC 95%). HIFT fue superior a WALK y CON. Ademas, el análisis de la puntuación total del Digit Span Test y la condición incongruente del Stroop Task, reveló efectos pre y post (p 0.05). En conclusión, HIFT representa un método apropiado para mejorar de manera inmediata la memoria de trabajo, siendo potencialmente superior al ejercicio de tipo aeróbico moderado. El entrenamiento funcional de alta intensidad (HIFT, por sus siglas en inglés) como metodo de entrenamiento es una tendencia muy popular en el mundo del fitness, que integra el esfuerzo cardiovascular y muscular. El HIFT utiliza movimientos funcionales, multimodales y multiarticulares, por ejemplo, sentadillas, flexiones y burpees (Buckley et al., 2015). Los ejercicios funcionales utilizan todo el cuerpo y provocan un patrón de reclutamiento motor universal (Heinrich et al., 2014). El HIFT también tiene una configuración de intervalos de descanso mínimo o casi nulo (Feito, Heinrich, Butcher, & Poston, 2018). Las características mencionadas anteriormente confieren al HIFT la capacidad de mejorar la fuerza y la potencia muscular, así como de generar adaptaciones cardiovasculares anaeróbicas y aeróbicas, por lo que se ha demostrado que el HIFT desencadena efectos beneficiosos sobre el consumo de oxígeno (Vo2max), la potencia anaeróbica y fuerza muscular (Alcaraz et al., 2008; Brisebois et al., 2018; Menz et al., 2019). Además, el HIFT parece causar también beneficios neurofisiologicos. Los primeros estudios neurocientíficos asocian el HIFT con una reducción aguda del BDNF (García-Suárez et al., 2020), y curiosamente, en intervenciones más largas con un incremento del BDNF basal (Murawska-Ciałowicz et al., 2021). Además, una sesión aguda de entrenamiento del circuito HIFT mejoró la memoria a corto plazo y el control inhibitorio (Wilke et al., 2020) y una intervención de tres meses mejoró el rendimiento en el aprendizaje espacial, la separación de patrones y la capacidad de atención (Ben-Zeev, Hirsh, Weiss, Gornstein y Okun, 2020). En este estudio la intervencion consistía en una sesion de 15 ejercicios funcionales para todo el cuerpo, realizados en formato de circuito con repeticiones de 20 segundos de entrenamiento y 10 segundos de descanso. Con una duración total de 15 minutos. La selección de los ejercicios se basó en dos objetivos principales (a) la implicación de los principales grupos musculares para aumentar el consumo absoluto de oxígeno y (b) la simulación de patrones de movimiento fundamentales de uso diario (por ejemplo, sentadillas, desplantes, flexiones). El rendimiento cognitivo (CP), que puede subdividirse en funciones cognitivas de orden superior (por ejemplo, control inhibitorio o memoria de trabajo) y de orden inferior (por ejemplo, atención o tiempo de reacción). Las revisiones sistemáticas disponibles han investigado los efectos del ejercicio de tipo aeróbico, han detectando un efecto positivo en el CP incluso cuando se realiza como un único entrenamiento. Tanto el ejercicio continuo aerobico de intensidad moderada como de alta intensidad han reportado un impacto positivo en el rendimiento cognitivo. El test de Stroop consta de tres partes. En la primera y segunda sección de captación de la atención, se pide a los participantes que nombren lo más rápidamente posible las palabras escritas o los colores que aparecen en una hoja. La tercera sección representa una medida de control de la inhibición. Las palabras de colores se presentan de forma incongruente (por ejemplo, "verde" escrito en rojo o "azul escrito en amarillo"). Aquí, los participantes deben nombrar el color de la palabra mientras ignoraban las letras. Para el análisis posterior, se registra el tiempo necesario para completar la tarea. Se ha demostrado que el test de Stroop presenta una alta fiabilidad (ICC: 0,82) y consistencia interna (alfa de Cronbach: 0,93-0,97). Es el Episodio 4 Correr y Salud Mental puedes aprender mas sobre esta prueba cognitiva. El test de creación de rastros (TMT) consta de dos partes. En la parte A, los participantes deben conectar números linealmente crecientes utilizando un bolígrafo a la máxima velocidad posible. En la parte B, deben enlazar números y letras sucesivos (por ejemplo, del 1 al a y del 2 al b) de forma alterna. Al igual que en la prueba Stroop, se registra el tiempo necesario para completar la prueba. Los resultados de la prueba proporcionan una medida de detección visual/atención (TMT-A) y de flexibilidad cognitiva/memoria de trabajo (TMT-B). Se ha demostrado una alta fiabilidad (ICC: 0,81-0,86) y validez de constructo de la TMT. En la prueba de amplitud de dígitos, se realizan dos condiciones. En la primera, los participantes tienen que memorizar y repetir cantidades crecientes de números que se les leen. Al principio, deben recordar cuatro números. Si la memorización es satisfactoria, se les leen cinco números los memorizan y repiten, y asi continua subiendo la cantidad de numeros leidos que tienen que memorizar y repetir. Para cada paso, se realizan dos repeticiones y se otorgan uno o cero puntos en función del éxito de la memorización. La prueba termina si se fallan los dos ensayos. La segunda condición es idéntica a la primera, pero los números deben repetirse en orden inverso (por ejemplo, 2, 4, 7, 9 se convierte en 9, 7, 4, 2). Ambas partes de la prueba y la puntuación compuesta están relacionadas con la memoria a corto plazo y la memoria de trabajo. La prueba de amplitud de dígitos es fiable en las mediciones repetidas (r = 0,73). Los participantes del grupo WALK realizaron 15 minutos de marcha en cinta rodante al 60% de la reserva de frecuencia cardíaca individual. La RFC se determina mediante la fórmula de Karvonen (frecuencia cardíaca en reposo + ((frecuencia cardíaca máxima - frecuencia cardíaca en reposo) x intensidad). Esto es porque Los resultados de este estudio sugieren que el HIFT puede mejorar de forma inmediata el rendimiento cognitivo, concretamente la memoria a corto plazo/de trabajo y el control inhibitorio. Siendo el HIFT ligeramente superior al ejercicio aerobico continuo. Los autores mencionan que los posibles mecanismos que explican este aumento en el rendimiento cognitivo son Aumento de la perfusión cerebral tras el ejercicio de resistencia (Querido & Sheel, 2007; Ogoh & Ainslie, 2009). El aumento de los niveles séricos de cortisol y BDNF, que se ha reportado con entrenamiento de resistencia (pesas) (Tsai, et al. 2014; Yarrow, et al. 2010). Sin embargo los resultados son contradictorios en el sentido que no reportan mejoras con el ejercicio aeróbico, las cuales han sido encontradas en estudios anteriores con intensidades del 40 al 80% de la capacidad maxima de oxigeno ( Brisswalter, et al. 2002; Chang, et al. 2012). Acerca de este tema, Browne et al. 2017 sugiere que multiples factores, como el nivel de forma física y el modo de ejercicio, influyen en la relación entre el ejercicio y la cognición. Una implicación clinica práctica importante del presente estudio es que el HIFT representa una alternativa al uso de otros métodos de entrenamiento convencionales, no sólo en lo que respecta a la mejora o recuperacion de la función muscular y cardiovascular (Wilke, et al. 2020; Menz, et al. 2019), sino también cuando se pretende mejorar el rendimiento cognitivo a corto plazo. El HIFT también podría ser interesante para los individuos sedentarios con poca motivacion y tiempo limitado para hacer ejercicio, ya que se ha reportado una mayor motivacion intrinseca y mayor disfrute del ejercicio que una actividad de tipo aeróbico moderado (Wilke, et al. 2020). No se investigo la sosteníbilidad de la mejora de la PC, con evaluaciones de seguimiento adicionales, por lo que investigar los cambios 5, 10 15, 30, 60 minutos después o incluso 2, 6, 12, 24 horas después del entrenamiento a largo plazo es una tarea pendiente.No incluyó una comparación con una sesión de entrenamiento aeróbico o de resistencia con pesas de intensidad equivalente, es decir de alta intensidad. Solamente HIFT fue de alta intensidad, pero el ejercicio aeróbico estuvo en el limite superior de ejercicio de baja intensidad, con lo que la diferencia en intensidad pudo haber afectado la comparación. Alcaraz, P. E., Sánchez-Lorente, J., & Blazevich, A. J. (2008). Physical performance and cardiovascular responses to an acute bout of heavy resistance circuit training versus traditional strength training. In Journal of Strength and Conditioning Research (Vol. 22, pp. 667-671): J Strength Cond Res.Ben-Zeev, T., Hirsh, T., Weiss, I., Gornstein, M., & Okun, E. (2020). The Effects of High-intensity Functional Training (HIFT) on Spatial Learning, Visual Pattern Separation and Attention Span in Adolescents. In Frontiers in Behavioral Neuroscience (Vol. 14, pp. 577390): Frontiers Media S.A.Brisswalter, J., Collardeau, M. & René, A. Effects of acute physical exercise characteristics on cognitive performance. Sports Med. 32, 555–566 (2002).Browne, S. E. et al. Effects of acute high-intensity exercise on cognitive performance in trained individuals: a systematic review. Progr. Brain. Res. 234, 161–187 (2017).Buckley, S., Knapp, K., Lackie, A., Lewry, C., Horvey, K., Benko, C., . . . Butcher, S. (2015). Multimodal high-intensity interval training increases muscle function and metabolic performance in females. In Applied Physiology, Nutrition and Metabolism (Vol. 40, pp. 1157-1162): Appl Physiol Nutr MetabChang, Y. et al. The effects of acute exercise on cognitive performance: a meta-analysis. Brain. Res. 1453, 87–101 (2012).Feito, Y., Heinrich, K. M., Butcher, S. J., & Poston, W. S. C. (2018). High-Intensity Functional Training (HIFT): Definition and Research Implications for Improved Fitness. In Sports (Basel, Switzerland) (Vol. 6, pp. 76): MDPI AGGarcía-Suárez, P. C., Rentería, I., Moncada-Jiménez, J., Fry, A. C., & Jiménez-Maldonado, A. (2020). Acute Systemic Response Of BDNF, Lactate and Cortisol to Strenuous Exercise Modalities in Healthy Untrained Women. In Dose-response : a publication of International Hormesis Society (Vol. 18, pp. 1559325820970818): SAGE Publications Inc.Heinrich, K. M., Patel, P. M., O'Neal, J. L., & Heinrich, B. S. (2014). High-intensity compared to moderate-intensity training for exercise initiation, enjoyment, adherence, and intentions: an intervention study. BMC Public Health, 14, 789. doi:10.1186/1471-2458-14-789Menz, V. et al. Functional vs running low-volume high-intensity interval training: effects on VO2max and muscular endurance. J. Sports Sci. Med. 18, 497–504 (2019).Murawska-Ciałowicz, E., de Assis, G. G., Clemente, F. M., Feito, Y., Stastny, P., Zuwała-Jagiełło, J., . . . Wolański, P. (2021). Effect of four different forms of high intensity training on BDNF response to Wingate and Graded Exercise Test. In Scientific Reports (Vol. 11, pp. 8599): Nature Research.Ogoh, S. & Ainslie, P. N. Cerebral blood flow during exercise: mechanisms of regulation. J. Appl. Physiol. 107, 1370–1380 (2009).Querido, J. S. & Sheel, A. W. Regulation of cerebral blood flow during exercise. Sports Med. 37, 765–782 (2007).Tsai, C. et al. Executive function and endocrinological responses to acute resistance exercise. Front Behav Neurosci. 8, 283 (2014).Wilke, J. et al. Effects of high-intensity functional circuit training on motor function and sport motivation in healthy, inactive adults. Scand. J. Med. Sci. Sports 29, 144–153 (2019).Wilke, J., Stricker, V., & Usedly, S. (2020). Free-Weight Resistance Exercise Is More Effective in Enhancing Inhibitory Control than Machine-Based Training: A Randomized, Controlled Trial. In Brain sciences (Vol. 10, pp. 1-10): MDPI AG.Yarrow, J. F., White, L. J., McCoy, S. C. & Borst, S. E. Training augments resistance exercise induced elevation of circulating brain derived neurotrophic factor (BDNF). Neurosci. Lett. 26, 161–165 (2010).

Chances are, unless you've been living under a rock for the last 10 years, social media has become a massive part of your life, including your music. But, many musicians say that if it weren't for needing to stay visible online for their music, they'd probably jack it in. Why?Well, it'll come as no surprise that there's mounting research into how social media has as many negative effects on us as individuals and society as the positive ones that first excited us when it came into our lives. As well as making connections with likeminded people, growing communities and sharing our ideas and our art with a wider audience, there's a constant pressure to put out content and keep up with the highlights our peers share online. It's easy to feel like we're not doing enough or ‘keeping up'.So, inside this episode, Isobel explores how we as musicians might survive the effects of social media and three key ways to even better enjoy this crucial piece of connecting technology moving forward. Listen in to find out.EPISODE HIGHLIGHTS{0:00} Intro{02:25} Scroll through my feed{03:59} The cold hard truth about social media{10:42} The colder, harder truth about social media for musicians{18:09} What social media rewards (and what it doesn't){20:39} 3 ways to better enjoy using social media as a musician{25:36} Episode SummaryReferences:Andreassen, C. S., Pallesen, S., Griffiths, M. D. (2017). ‘The relationship between addictive use of social media, narcissism, and self-esteem: Findings from a large national survey'. Addictive Behaviors, (64), pp.287-293 [Available at: https://doi.org/10.1016/j.addbeh.2016.03.006]Booker, C.L., Kelly, Y.J. & Sacker, A. (2018). ‘Gender differences in the associations between age trends of social media interaction and well-being among 10-15 year olds in the UK'. BMC Public Health, 18, pp.321. [Available at: https://doi.org/10.1186/s12889-018-5220-4]Lee, A. (2020). How Musicians' Mental Health Is Affected By Social Media. Classical Music [Available at: https://www.classical-music.uk/resources/article/how-musicians-mental-health-is-affected-by-social-media]Muqaddas, J., Sanobia S., Nawaz, A. (2017). ‘Impact of Social Media on Self-Esteem'. European Scientific Journal, 13(23), pp.329-341, [Available at SSRN: https://ssrn.com/abstract=3030048]Listen to Episode 23 of the podcast, Why Create if No One's Watching >>Check out DIE HEXEN's IG feed >>Listen to the episode hereListen on SpotifyJoin the Girls Twiddling Knobs Podcast Community here >>Don't be shy - spread the Girls Twiddling Knobs Love

近几十年来，英国制定了多项禁烟政策——禁止在室内/工作场所吸烟、禁止在体育场馆周围发布烟草广告、禁止在自动售货机上销售烟草等等。这些公共卫生干预措施相当成功，吸烟人数在过去二十年持续减少。然而，在吸烟变得不那么流行的同时，更多人开始患上肥胖症。发表在BMC Public Health 上的一项研究发现，目前在英格兰和苏格兰，肥胖症在中老年人中造成的死亡人数比吸烟造成的死亡人数还多。

近几十年来，英国制定了多项禁烟政策——禁止在室内/工作场所吸烟、禁止在体育场馆周围发布烟草广告、禁止在自动售货机上销售烟草等等。这些公共卫生干预措施相当成功，吸烟人数在过去二十年持续减少。然而，在吸烟变得不那么流行的同时，更多人开始患上肥胖症。发表在BMC Public Health 上的一项研究发现，目前在英格兰和苏格兰，肥胖症在中老年人中造成的死亡人数比吸烟造成的死亡人数还多。

Today we're digging into the science behind positive thinking! Our conversation covers: bad improv shows, Sex and The City, The Secret, Octomom's kids, and, as always, yoga. We also talk about the difference between positive thinking and toxic positivity—and whether any study on the subject is truly unbiased. So say something nice to yourself and strap in! Bolier, L., Haverman, M., Westerhof, G.J. et al. Positive psychology interventions: a meta-analysis of randomized controlled studies. BMC Public Health 13, 119 (2013). https://doi.org/10.1186/1471-2458-13-119 White, C. A., Uttl, B., & Holder, M. D. (2019). Meta-analyses of positive psychology interventions: The effects are much smaller than previously reported. PloS one, 14(5), e0216588. https://doi.org/10.1371/journal.pone.0216588 Bergsma, A., Buijt, I., & Veenhoven, R. (2020). Will Happiness-Trainings Make Us Happier? A Research Synthesis Using an Online Findings-Archive. Frontiers in psychology, 11, 1953. https://doi.org/10.3389/fpsyg.2020.01953 Andrade G. (2019). The ethics of positive thinking in healthcare. Journal of medical ethics and history of medicine, 12, 18. https://doi.org/10.18502/jmehm.v12i18.2148 Park, N., Peterson, C., Szvarca, D., Vander Molen, R. J., Kim, E. S., & Collon, K. (2014). Positive Psychology and Physical Health: Research and Applications. American journal of lifestyle medicine, 10(3), 200–206. https://doi.org/10.1177/1559827614550277 Boehm, J. K., & Kubzansky, L. D. (2012). The heart's content: the association between positive psychological well-being and cardiovascular health. Psychological bulletin, 138(4), 655–691. https://doi.org/10.1037/a0027448 https://www.mayoclinic.org/healthy-lifestyle/stress-management/in-depth/positive-thinking/art-20043950

LaRon E. Nelson, PhD, RN, FNP,  joins us to discuss his journey into academia, his incredible involvement in research across three countries, the importance of standing up for what you believe in, and so much more!Dr. LaRon Nelson is a public health nurse and family nurse practitioner. He is the Independence Foundation Associate Professor of Nursing and Associate Dean of Global Affairs and Planetary Health at Yale University. He is also co-director of the Research Education Initiative for Diverse Scholars (REIDS) Fellowship program in the Yale Center for Interdisciplinary Research on AIDS. In Canada, Dr. Nelson is the current holder of the O.H.T.N. Research Chair in Implementation Science with Black Communities based at St. Michael’s Hospital in Toronto. He has received numerous honours including a Canadian Rising Star in Global Health, the Excellence in HIV Prevention Award by the Association of Nurses in AIDS Care and the President’s Trailblazer Award by the National Black Nurses Association. He is an Associate Editor for the Journal of Adolescent Health and an Associate Editor for the Global Health section of BMC Public Health. LaRon has active research projects in the United States, Canada and Ghana and his research has been funded by the National Institutes of Health, Centers for Disease Control & Prevention, Canadian Institute for Health Research, Grand Challenges Canada and the Ontario HIV Treatment Network.Follow LaRon on Twitter!This episode of Accidental Intellectual is produced by Holly Boyne, Manon Feasson, Lauren Goldberg, Bronwyn Lamond, Rachael Lyon, Harrison McNaughtan, Stephanie Morris, Lee Propp, and Ariana Simone. Our theme music is by Alexandra Willet and our branding by Maxwell McNaughtan.To learn more about the Accidental Intellectual podcast and get full show notes and a transcript of this episode, visit our website at www.accidentalintellectual.com. 

@fabiodominski Fonte: Berardi, M., Lenabat, P., Fabre, T., & Ballas, R. (2020). Beach tennis injuries: a cross-sectional survey of 206 elite and recreational players. The Physician and sportsmedicine, 48(2), 173-178. Ferrari, R., de Oliveira Carpes, L., Domingues, L. B., Jacobsen, A., Frank, P., Jung, N., ... & Fuchs, S. C. (2021). Effect of recreational beach tennis on ambulatory blood pressure and physical fitness in hypertensive individuals (BAH study): rationale and study protocol. BMC Public Health, 21(1), 1-9. Takayama, F. S., & Vanzuíta, A. Reflexões sobre o Beach Tennis no Brasil: um estado de conhecimento. Caderno de Educação Física e Esporte, 18(2), 1-7. --- Support this podcast: https://anchor.fm/fabio-dominski/support

Hello and welcome to the Alcohol Alert, brought to you by The Institute of Alcohol Studies. In this edition:The Westminster administration relies on its experiences of managing last year’s lockdowns to enforce a ban on takeaway alcohol in England Researchers find that an app designed to help people drink less received a celebrity boost 🎵 Podcast feature 🎵Pandemic makes this year’s Dry January the toughest yetIrish shoppers are no longer allowed to buy discounted alcoholNew PACTS report finds that a lower drink drive limit ‘would have a totemic impact’ on UK road safetyMember of Parliament for Bury South, Christian Wakeford is to become the new chair of the All-Party Parliamentary Group on Alcohol HarmRegulator clears racy alcohol television ad of wrongdoingWe hope you enjoy our roundup of stories below: please feel free to share. Thank you.Lockdown 3: Westminster uses 2020 vision to enforce alcohol takeaway ban in EnglandThe new year began with a now-familiar focus towards lockdown-induced restrictions on alcohol sales during the pandemic, with the government banning alcohol takeaways from licensed premises (The Independent, 05 Jan):Alcohol takeaways are to be banned… until mid-February in England as Boris Johnson clamps down on socialising under the new lockdown regime. All restaurants, pubs and other hospitality settings must close their doors to customers… under the new rules announced by the prime minister… venues will no longer be able to serve takeaway or click-and-collect alcohol.The other Home Nations tightened their rules too, with Scotland, Wales and Northern Ireland still permitting alcohol takeaways, but under more stringent conditions and while licensed premises (throughout Northern Ireland, and in tier level 4 in Scotland and Wales) remained closed to normal custom (BBC News Business, 13 Jan).Alcohol industry players claim that the uncertain trading environment faced by the hospitality sector had a significant impact on alcohol sales last year. The Morning Advertiser reported that 37 pubs a month ‘vanished’ in 2020, not because of a shift in operations from wet- to dry-led sales, or the rise of venues such as micropubs replacing traditional outlets, but simply because they had received insufficient support to remain a financially viable concern while shut (11 Jan). Chair of the Campaign for Real Ale (CAMRA) Nik Antona claimed that the new lockdown restrictions ‘could tip hundreds of pubs over the edge into insolvency in the coming months’, and called on the government to allow pubs to act as off-licences during the lockdown by selling pints in ‘sealed containers’ (Evening Standard, 07 Jan).However, there were also suggestions that appeals for support should instead focus on compensating venue owners for enforced closures of their premises.According to The Independent, the Wine and Spirit Trade Association (WSTA) annual market report estimated 5%, 10%, and 15% declines in beer, wine and gin sales respectively in the year to October 2020, despite retailers enjoying ‘a boom in alcohol sales during the pandemic’ (07 Jan).Based on these industry data, the WSTA chief executive claimed ‘it’s a myth that people are drinking more during lockdown’, a statement which runs contrary to evidence from Public Health England and several independent research groups which have reported increased rates of heavy drinking during the pandemic. Two studies published this month reported that a significant minority of people’s alcohol intake had increased. The first examined vulnerable populations, tracking health behaviours during the early days the lockdown: of the 1,044 participants involved, 30% had a ‘COVID-19 at risk health condition’, 37% were classed as deprived and 6% self‐reported a mental health condition, yet relative to pre‐pandemic levels, participants’ drank more alcohol on average and did so more often (British Journal of Health Psychology, 06 Jan).The second, a much bigger study (of more than 30,000 adults, published in Drug and Alcohol Dependence journal) found that roughly the same proportion of drinkers admitted to drinking more as those who reported drinking less (26·9% versus 25·7%) than usual during the first lockdown (The Independent, 14 Jan).The one in four who were more likely to report upping their intake were younger women with post-16 educational qualifications and a household income over £30,000. The University College London research team also found that having an anxiety disorder, being stressed about finances or about catching or becoming seriously ill from COVID-19 were factors associated with drinking more. The authors noted that it is possible that people with anxiety disorders are changing their drinking behaviour to self-medicate or as an unhelpful coping mechanism during a period of increased anxiety. Lead author Dr Claire Garnett said:Women might be more likely to drink more than usual during lockdown because they have been more negatively affected by the pandemic through increased gender inequalities as women are more likely to lose their jobs and carry the burdens of increased childcare and housework.Co-author Dr Melissa Oldham stressed the importance of ‘targeted approaches to provide support for certain groups who are more likely to drink more is needed, particularly with the start of this third lockdown.’Meanwhile, some health experts had some sobering advice for those in line for the COVID-19 vaccine. On BBC Panorama, emergency medicine specialist Dr Ronx Ikharia demonstrated how three glasses of prosecco (4·5 units) was enough to reduce the levels of white lymphocyte cells – crucial for warding off viruses and other pathogens – in the blood by up to 50%, therefore weakening the body’s immune response to the vaccine (06 Jan). However, the message was somewhat undermined by BrewDog’s stunt to offer its closed outlets across the United Kingdom as COVID-19 vaccination centres where those vaccinated could walk away with a ‘special commemorative beer’ (Lonely Planet, 20 Jan).The craft beer brewer is one of many alcohol industry actors looking to exploit the pandemic, according to a report commissioned by Movendi International that provides ‘a comprehensive picture of the individual, societal and policy dimensions of the interaction between alcohol and the coronavirus crisis’.‘Alcohol and the coronavirus pandemic: individual, societal and policy perspectives’ offers the following solutions for governments to reduce the alcohol burden and mitigate the pandemic (26 Jan):Maintain and improve alcohol policy measures;Limit alcohol availability and affordability and make use of evidence-based alcohol pricing policies;Ensure effective public health messaging on alcohol and COVID-19 from health authorities;Make clinical and treatment provisions for people experiencing all types of alcohol-related problems; andIncrease access to mental health services, including online services.In the UK, given the difficulty of accessing treatment services and of maintaining a healthy relationship with alcohol for many adults in 2020 due to the threat of COVID-19, the British Liver Trust fear that the pandemic could lead to tens of thousands more liver disease cases in 2021. They call ‘for every person in the UK to consider their liver health and take a simple quiz to assess their risk’ (04 Jan).Vanessa Hebditch, director of policy and communications said: In early 2020, our Love Your Liver health screening roadshow was ready to tour the nation, offering free liver health checks to the general public at high streets up and down the country.Unfortunately, COVID-19 forced us to postpone the roadshow. That meant that around 4,000 people will have missed out on a free liver health check. If we look at the statistics from previous Roadshows, around 650 of those would have shown signs of possible liver damage.We are very concerned that while thousands will have missed out on valuable liver health advice, some of those people will already have undiagnosed liver disease which won’t show symptoms until the very late stages when treatment options are limited.2020 was a really stressful year for everyone. We know from our research that a lot of people drank more alcohol and ate unhealthier food last year – two major risk factors for liver disease. We also know that some people have missed out on appointments and treatment while healthcare resources have been diverted elsewhere as a result of the pandemic.The Adrian Chiles effect – a natural experiment🎵 Podcast feature 🎵The celebrity influence of broadcaster Adrian Chiles on the Drink Less app caused a spike in middle-aged men engaging with the app, according to a study published in BMC Public Health (06 Jan).Researchers at University College London found that the weekly average of 179 downloads between May 2017 and mid-August 2018 rose to 14,866 total downloads in the week commencing 20 August 2018, when Chiles’s show Drinkers Like Me was first broadcast. He also advised: ‘I encourage anyone, don’t judge yourself, don’t panic you’re not going to drop dead, but go on an app like “Drink Less” and measure what you’re drinking, be honest with yourself for three weeks.’The study reported a ‘step-level increase in app engagement – number of sessions and number of days used – which continued to increase over time’. No effect of media coverage was detected on employment type or on the percentage of at-risk drinkers, though the mean Alcohol Use Disorders Identification Test score was lower after the media coverage.In our podcast interview, lead researcher Dr Claire Garnett said of the findings:It shows that celebrity influence and the subsequent national media coverage that comes with it can clearly have a really substantial impact on who uses an app or additional intervention and how they engage with it.In other researchHigher smoking frequency at admission is associated with higher illicit opioid and alcohol use frequency after six months of specialist addiction treatment, according to research released in Drug and Alcohol Dependence (01 Jan).Two cross-lagged panel models* estimated (separately for opioid and alcohol use disorder patients) the relationships between smoking at admission and change in main drug over six months, and between main drug use at admission and change in smoking over six months. Within the alcohol use disorder cohort, alcohol use frequency fell from 21·2 days to 14·4 days while smoking tobacco reduced from 12·6 days to 11·5 days. Higher smoking frequency at admission was associated with a relative increase in alcohol use at six months (0·03 days), and each additional day of alcohol use at admission increased on average the tobacco use reported at six months by an estimated 0·04 days.A study of over 309,000 regular drinkers from the UK Biobank UK has found that different patterns of alcohol consumption could be associated with a lesser risk of alcohol-related negative health outcomes (BMC Medicine, 12 Jan).Researchers from the University of Glasgow found that regular spirits and beer/cider drinkers had a higher adjusted risk of death, major cardiovascular events, liver cirrhosis and accidents/self-harm when compared to those who drank red and white wine, after adjusting for alcohol amount consumed overall. Similarly, drinking alcohol without food was associated with a 10% higher adjusted relative mortality and cardiovascular risk when compared to alcohol consumed with food.The results also showed that spreading alcohol consumption over three to four days in a week was associated with lower adjusted relative mortality, cardiovascular and cirrhosis risk than consuming alcohol daily; and lower mortality and cardiovascular risk than binge drinking similar amounts of alcohol.Commenting on the study’s findings, Dr Bhautesh Jani, clinical senior lecturer in general practice at the university's Institute of Health and Wellbeing, also warned of the health risks of regular alcohol consumption above the low risk guidelines: Of the regular alcohol drinkers we studied, less than half reported consuming the recommended amount for low risk alcohol consumption, so our first suggestion would be for regular drinkers to follow the recommended government guidelines. Other ways to further lower the alcohol consumption related health risks, based on our findings, might be to spread consumption over the course of three or four days – whilst being careful not to increase their overall intake – and consider… drinking with meals where possible.People with epilepsy are at increased risk of dying from alcohol misuse, according to a study published in Frontiers in Neurology journal (21 Jan).An analysis of the relative risk of alcohol-specific mortality in people with epilepsy, and the extent to which problematic alcohol use was previously identified in the patients' medical records, identified a five-fold increased risk of alcohol-specific mortality in people with epilepsy vs. those without the condition.The research team delineated cohort studies in two population-based datasets, the Clinical Practice Research Datalink (CPRD GOLD) in England and the Secure Anonymised Information Linkage (SAIL) Databank in Wales between 2001 and 2015, linked to alcohol-related hospitalisation and alcohol-specific mortality records. They concluded that the causality between alcohol misuse and epilepsy could run either way, and stressed the importance of accurately quantifying the risk of death among epilepsy sufferers.England and Scotland have topped the international rankings for drunkenness again (25 Jan). The Global Drugs Survey (GDS) for 2020 suggests the UK’s drink problem is far more dangerous than any other country: more than 5% of people under 25 years of age reported having sought hospital treatment after getting drunk, compared with the international average of 2%.The survey questioned more than 110,000 people from more than 25 countries between November 2019 and February 2020.It repeated last year’s finding that UK drinkers get drunk most often of all countries’ individuals: people in Scotland and England said they had got drunk on average more than 33 times in the last year, more than twice the rate of several European countries, including Poland, Hungary, Germany, Greece, Romania, Spain, Italy and Portugal. Only 7% of Scottish and English people surveyed reported not having been drunk at all in the past 12 months. Only Danes and Australians had a lower proportion, at 5%.Professor Adam Winstock, the chief executive and founder of the GDS, said: ‘We don’t have a culture that is honest about the impact of intoxication. Drinking is a lousy coping strategy and it is putting a higher burden on the NHS. British people have never really embraced moderation when it comes to drinking. While many other cultures regard alcohol as an accompaniment to a social event and frown upon public drunkenness, we’ve often embraced it as a cultural identity. The challenge is making people realise drinking a bit less does not make you boring. In fact, you’ll probably have a better night. It’s like as a country we need to leave our adolescence behind.’Professor Winstock urged the government to stand up to the alcohol lobby and introduce mandatory health warning labels and minimum pricing, and lowering the drink-drive limit, remarking that they were all ‘incredibly sensible things that have been recommended by several commissions, but have been ignored in the face of resistance from the alcohol lobby.’* a cross-lagged panel model is a type of structural equation model that measures two different variables (smoking vs alcohol use disorder) at two points in time (admission vs six months later).Dry January 2021 – attempts at abstinence come under pandemic’s influenceOrganisers of the country’s biggest alcohol abstinence campaign, Alcohol Change UK, rang in the new year with a record number of participants ready to ‘forego booze’ for the first month of 2021, according to The Guardian (31 Dec 2020):The charity Alcohol Change UK said its polling shows more than 6·5 million adults intend to participate in Dry January – up from 3·9 million last year. That is the equivalent of one in five of people who drink alcohol.However, some media coverage cast doubt on the impact of the nationwide initiative. Trade mag Drinks Business quoted a snap poll from ‘creative insight agency’ KAM Media claiming that 2·7 million out of 10.8 million participants who began the challenge on the first of January gave up by the end of the first week (06 Jan).And writing in Prospect Magazine, philosopher Julian Baggini suggested that Dry January would do little to stop the problematic consumption patterns inherent in British drinking culture (13 Jan):Dry January merely replicates the source of the problem it is supposed to be solving. It reinforces the idea that we need to go through a period of complete abstention to make up for our festive excesses. It perpetuates the binge-purge cycle rather than short-circuits it… if you want to change your habits, it is better to start a routine you can sustain, such as limiting drinking days and quantities, rather than going through a one-off challenge in which no new habits are learned.  Away from notions of ‘falling off the wagon’ and purges doing more harm than good, Alcohol Change UK’s chief executive Richard Piper took to social media to explain that the true message of Dry January is less about pursuing an unattainable mode of perfection in abstinence and more about drinkers becoming more aware of their alcohol habits in order to help control them, acknowledging that reducing your drinking is a process, not an event.No more alcohol multibuys and discounts for Irish shoppers The days of discounted alcohol sales by supermarket voucher schemes and multibuy deals in Ireland are over, as the government brings into force another element of its Public Health (Alcohol) Act 2018 (Irish Times, 08 Jan).Popular deals such as ‘buy six bottles for €50’ or ‘buy six and get 25% off’ will no longer be permitted. Offering loyalty points on alcohol sales will also be prohibited, while short-term promotions, of three days or less, can no longer take place. Discounts on the price of individual bottles of alcohol will still be allowed.Commenting on the development, Eunan McKinney, Alcohol Action Ireland’s head of communications, said: We welcome this latest step on what is a very long journey to implementing the Public Health Alcohol Act; the operation of these regulations now ensures that people are not further incentivised, or rewarded, for using alcohol.The fundamental action that is required next is the immediate implementation of minimum pricing of alcohol products, which has been interminably delayed by government inertia, yielding to the concerns of the alcohol producers.The country’s chief medical officer Dr Tom O’Connell also welcomed the move, as he considered limiting off-licence opening hours to help stop the spread of COVID-19.Other newsNo more stalling on the drink drive limit: A lower drink drive limit ‘would have a totemic impact’ on UK road safety, according to the Parliamentary Advisory Council for Transport Safety (PACTS) in a new report, ‘Drink Driving: Taking Stock, Moving Forward’ (25 Jan).In their comprehensive review of UK drink-driving, PACTS analysed casualty and crime drink drive data, and conducted interviews with 30 drink drivers, concluding that with no progress made in several drink drive policy areas – such as the annual number of drink drive deaths stalling at roughly 240 for the last decade – the UK’s drink-driving legislative framework is no longer adequate, recommending several interventions to save lives in future.Commenting on the report, David Davies, executive director of PACTS, said: Drink-driving is often cited as a road safety success story, yet it remains a major killer and progress has ground to a halt since 2010. Not only is better enforcement important but also the problems of mental health and alcohol dependency need to be recognised.Scotland introduced a reduced drink drive limit in 2014, in line with most other countries in Europe. It has been accepted by the public; it has not significantly impacted pubs and restaurants or overloaded the police or the courts. Northern Ireland plans to go further, with a zero limit for novice and professional drivers.A lower limit is not a magic bullet but government polices to reduce drink driving will lack credibility as long as they avoid this change.New Year, New APPG chair: Member of Parliament for Bury South, Christian Wakeford, will become the new chair of the All-Party Parliamentary Group on Alcohol Harm (20 Jan). The next public event will take place on 10 March and will be sponsored by Alcohol Change UK.Racy alcohol ad cleared by watchdog: The Advertising Standards Authority (ASA) have rejected calls to ban a television advert said to link alcohol with sex (06 Jan).The complainant challenged whether the ad for Laphroaig whisky was irresponsible because: it linked alcohol to sexual activity; and it portrayed alcohol as indispensable.The ASA ‘considered that the ad clearly showed people’s reactions to tasting Laphroaig whisky, which was well known for its unusual taste'‘ and ‘noted the reference to “You’ll always remember your first” alongside the facial expressions, which showed various reactions after tasting the whisky’.However, despite acknowledging that one could interpret the advert’s catchphrase as a reference to losing one’s virginity, the regulator decided that the ad actually gave an illustration of the different reactions people had encountering a distinctive taste for the first time, and so ‘did not imply any link between drinking Laphroaig whisky and sexual activity, sexual success or seduction’. They also considered that the ad did not portray alcohol as being indispensable, based on the fact that a key scene appeared to be more of ‘a light-hearted expression of [the actor’s] enjoyment of the whisky’s flavour’.The ad watchdog found that the ad was not in breach of its newly updated alcohol rules of the CAP (rule 18·9) and BCAP (rule 19·10) Codes, which now include minor amendments to ‘clarify the language used to describe the ABV [Alcohol By Volume] thresholds at which drinks are subject to the alcohol rules and what strength a “low alcohol” drink is considered to be’.The UK Alcohol Alert (incorporating Alliance News) is designed and produced by The Institute of Alcohol Studies. Please click the image below to visit our website and find out more about us and what we do, or the ‘Contact us’ button. Thank you. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit instalcstud.substack.com

Regularly randomly testing students for COVID-19 could help control outbreaks in schools and allow them to remain open, reveals a new study involving a University of Guelph researcher. The study, published recently in BMC Public Health, found testing one to two students a day in every classroom could be an effective way to keep transmission rates in schools stable. Dr. Monica Cojocaru, study co-author and a professor in U of G’s Department of Mathematics and Statistics, said while schools have relied on physical distancing and masks, conducting more COVID-19 testing is key to keeping schools open. Based on a school with 500 students with 20 classes of 25 students, the researchers found that with no other control measures, testing every student every 10 days would avoid school outbreaks. That would mean testing three students a day in every class. They then ran their calculations under the scenario of students wearing masks, which would reduce transmission risk by 30 to 80 per cent, depending on the mask and mask-wearing compliance. In that scenario, the number of students needed to be tested in each class every day would drop to roughly 1.5, which would mean 900 tests a month. The researchers concluded that regular testing of students can control infections if tests are done frequently and processed quickly, so long as infected students can self-isolate at home. GUEST: Dr. Monica Cojocaru, Professor of Mathematics with the University of Guelph - Canada and other U.S. allies are looking to President-elect Joe Biden to re-engage with the world amid shifting global power struggles and pressing challenges facing the environment and free trade systems. Prime Minister Justin Trudeau said as such in an interview with Reuters Next aired on Thursday, in which he also expressed confidence that the U.S. electoral system and institutions have been upheld following the violent siege of the U.S Capitol on Jan. 6 by what he called “a small, angry mob.” “There is a need for a re-engaged United States in global circles,” said Trudeau, 49, who took office more than five years ago. ALSO: Biden Proposes $175 Billion to Reopen Schools GUEST: Jason Opal, Associate Professor and Chair, Department of History and Classical Studies with McGill University, - Under Ontario’s new emergency measures, police officers do not have the authority to stop a car solely to check compliance with stay-at-home measures, and individuals don’t have to tell officers why they’re outside, according to a government memo. Sent to police chiefs Wednesday on the eve of Ontario’s emergency measures coming into effect, the government memo provides some guidance to police and by-law officers now enforcing the province’s stay-at-home order after confusion over officers’ role. GUEST: Superintendent Will Mason of Hamilton Police See omnystudio.com/listener for privacy information.

In this episode we speak with Bradley Silberzahn on his work on sex workers, police-sex worker interactions, and retention in the SAPPHIRE Study (a hard-to-reach population). Brad is a 2nd year graduate student in Sociology at the University of Texas at Austin. His research interests are in policing, the criminal justice system, harm reduction, and vulnerable populations, including people who use drugs and people who sell sex. Previously, Brad worked as a Senior Research Program Coordinator at the John Hopkins Bloomberg School of Public Health. Brad has been published in journals such as American Journal of Public Health, BMC Public Health, PLOS One, Addictive Behaviors, Journal of Urban Health, and Journal of the International AIDS Society. Find Brad on Twitter @BradSilberzahn. Follow The Criminology Academy on Facebook, twitter, or Instagram!    To help with rapport, staff and participants were invited to add up to two songs to a Spotify playlist. Additionally, this playlist was played on the van for privacy purposes. Check out the playlist here or go to our website at thecriminologyacademy.com. Music by: www.bensound.com

One of your most powerful tools for living a life of health and happiness is practicing self-compassion. Self-compassion has three main components (1): Being caring and understanding with yourself rather than being harshly critical or judgmental. Recognizing that your own flawed nature is part of a shared human imperfect condition. Being aware of your present experience, neither ignoring nor ruminating on what you dislike about yourself or your life. Self-compassion is associated with less perceived stress, healthier physical stress response and emotion regulation, and engaging in behaviors like exercise and healthy eating, sleep hygiene, smoking cessation, self-care, and medical adherence (2). Additionally, self-compassion has been shown to positively affect psychosocial outcomes like rumination, depression, mindfulness, self-criticism, and anxiety (3). The reasons self-compassionate individuals report better physical and mental health and greater engagement in health-promoting behavior are thought to be (4): Greater motivation to pursue health goals. Adaptive coping strategies that help them move toward these goals. Self-kindness that drives the desire to take care of their bodies. Understanding that everyone makes mistakes, fails to reach goals, and experiences misfortune. Less self-criticism, shame, and stress that might make them give up or quit. The first step in cultivating self-compassion is to establish a mindfulness practice like meditation. This will help you identify things you say, think, or feel about yourself that lack self-compassion. Next, when you notice such patterns, remind yourself that you are imperfect. Internalize that you are a work in progress, and that all you can do is try to be a bit better. Remember that it's okay to just do the best you can, because that's all you'll ever be able to do. Work to accept that your best will fall far short of perfect, no matter what you do. Finally, understand that this will take time. You won't change overnight. You will struggle. That's okay. Keep showing up. Keep putting in the work. Keep doing whatever you can. That's all you can do. You've got this. 1) Neff KD. The Role of Self-Compassion in Development: A Healthier Way to Relate to Oneself. Hum Dev. 2009;52(4):211-214. doi:10.1159/000215071 2) Sirois, F.M. The association between self-compassion and self-rated health in 26 samples. BMC Public Health 20, 74 (2020). https://doi.org/10.1186/s12889-020-8183-1 3) Ferrari, M., Hunt, C., Harrysunker, A. et al.Self-Compassion Interventions and Psychosocial Outcomes: a Meta-Analysis of RCTs. Mindfulness 10, 1455–1473 (2019). https://doi.org/10.1007/s12671-019-01134-6 4) Phillips WJ, Hine DW. Self-compassion, physical health, and health behaviour: a meta-analysis. Health Psychol Rev. 2019 Dec 22:1-27. doi: 10.1080/17437199.2019.1705872. Epub ahead of print. PMID: 31842689.

We can get so caught up in what we do for ourselves in our pursuit of health and happiness. Yet, it's often what we do for others that can have some of the greatest impact on our efforts to live our best lives. Various forms of altruistic behavior, or a disinterested and selfless concern for the well-being of others, promote greater life satisfaction, positive affect, and other benefits associated with well being (1). Volunteering, for example, might help prevent cognitive aging (2), and is a predictor of better mental and physical health, life satisfaction, self-esteem, and happiness, as well as lower depressive symptoms, psychological distress, and mortality and functional inability (3). Neuroimaging studies suggest we may even be neurologically wired to derive happiness from giving to others (4). You don't have to run off and join a convent or monastery or give away your life's savings to live a life of altruism, service, and generosity. You can start by looking for opportunities that meet your life's circumstances. What local volunteer groups help those who might benefit most from your time, effort, and unique skills? What small opportunities do you see each day to extend kindness with nothing expected in return? What's laying around your home that you might give to others who might benefit from its use? To what causes might you allocate some of your disposable income? You might find resources like Meetup, GiveWell, or even Facebook Events helpful in finding the right opportunities for you. There's no need for grand gestures or trying to change the world on your own. Even what you consider to be the smallest gesture might mean so much more to those you help. Every dollar you give. Every second you spend. Every time you extend a helping hand. It all counts. It's all enough. You're enough. You've got this. 1) Kahana E, Bhatta T, Lovegreen LD, Kahana B, Midlarsky E. Altruism, helping, and volunteering: pathways to well-being in late life. J Aging Health. 2013;25(1):159-187. doi:10.1177/0898264312469665 2) Guiney H, Machado L. Volunteering in the Community: Potential Benefits for Cognitive Aging. J Gerontol B Psychol Sci Soc Sci. 2018 Mar 2;73(3):399-408. doi: 10.1093/geronb/gbx134. PMID: 29161431. 3) Yeung JWK, Zhang Z, Kim TY. Volunteering and health benefits in general adults: cumulative effects and forms [published correction appears in BMC Public Health. 2017 Sep 22;17 (1):736]. BMC Public Health. 2017;18(1):8. Published 2017 Jul 11. doi:10.1186/s12889-017-4561-8 4) Park SQ, Kahnt T, Dogan A, Strang S, Fehr E, Tobler PN. A neural link between generosity and happiness. Nat Commun. 2017;8:15964. Published 2017 Jul 11. doi:10.1038/ncomms15964

If you’re like most people, you’ve probably spent more time than you would like to admit on your couch, in front of a screen, or both since the pandemic started. We’ve all been there, so it’s no surprise that a recent study published by BMC Public Health showed that levels of sedentary behavior have skyrocketed while levels of exercise have decreased over the last seven months. What comes as more of a shock is that these trends are showing a tendency to become permanently entrenched. Today’s guest, world-renowned movement coach and therapist Aaron Alexander, is here to offer a few tools to help all of us put down our phones and reconnect with our physiology. Instead of recommending sweeping lifestyle changes, Aaron makes an argument for subtle, steady shifts to your daily life—starting with spending 30 minutes on the floor every day.  Aaron explains that movement doesn’t need to be complicated—but we do need to move. Because when you’re stressed, and you don’t move, your system begins to deteriorate. 2020 might not be the year to undertake a complete transformation, but adding in more movement is incredibly important right now, for your health and happiness. Enjoy my conversation with Aaron Alexander, and give his suggestions a try.  You might even start to see the world differently from down there on the floor. In this episode you’ll discover: Why movement helps to bring your brain online and deal with stress. What role your personal narrative plays in how you approach your health. How posture is linked to your perception of the world—and the world’s perception of you. How simply doing the work and showing up can help you manifest success. Why swift lifestyle changes don’t always have staying power. How our belongings can harbor psychological weight.  The connection between bringing organization into your body and bringing organization into your home. Why it’s important to get out of the same repetitive sitting position you’ve been in since kindergarten. Why Aaron recommends spending at least 30 minutes a day on the ground. How poor food choices are more likely when you feel out of control—and vice versa. The three simple things Aaron says you can do every day to bring alignment to your life.  Items mentioned in this episode include: Eatsmarterbook.com Pre-order Eat Smarter to get the mini-course on the 10 foods that are clinically proven to optimize your fat loss hormones. Onnit.com/model Get 10% off MCT oils and your entire purchase! The Top 7 Longevity Tips – How to Live a Longer, Better Life - with Guest Peter Ragnar — Episode 38 The Align Method by Aaron Alexander The Align Podcast Aaron Alexander Website / Instagram Be sure you are subscribed to this podcast to automatically receive your episodes:  Apple Podcasts Stitcher Spotify Soundcloud Join TMHS Facebook community - Model Nation 

In this episode guest-host Gillian Kranias talks with regular host Andrea Bodkin, about a recently published systematic review on sustainable health promotion programs, co-authored with Shawn Hakimi. The review identified 14 factors that can promote health promotion program sustainability, two of which are related to community engagement:Fit and alignment refers to alignment between the program and the host organization’s mandate, as well as community needs, priorities and opinions. Partnership with stakeholders, staff and community. The level of involvement of partners and communities impacted sustainability: for example, participatory planning, shared decision making, participatory budgeting. Papers referenced in this episode: Ammerman, A., Washington, C., Jackson, B., Weathers, B., Campbell, M., Davis, G., Switzer, B. (2002). The PRAISE! Project: A Church-Based Nutrition Intervention Designed for Cultural Appropriateness, Sustainability, and Diffusion. Health Promotion Practice, 3(2), 286-301. Retrieved July 11, 2020, from www.jstor.org/stable/26734292Bodkin, A., Hakimi, S. Sustainable by design: a systematic review of factors for health promotion program sustainability. BMC Public Health 20, 964 (2020). https://doi.org/10.1186/s12889-020-09091-9 Hill K VF, Clemson L, Lovarini M, Ruseell M. Community falls prevention program sustainability guidelines and workbook. National Health and Medical Research council; Victorian Government Department of Health. 2011. https://www.monash.edu/__data/assets/pdf_file/0007/218581/nhmrc_guidelines_and_workbook.pdf. Whelan J, Love P, Millar L, Allender S, Bell C. Sustaining obesity prevention in communities: a systematic narrative synthesis review. Obesy Rev. 2018;19(6):839–51.Wisener K, Shapka J, Jarvis-Selinger S. Sustaining health education research programs in Aboriginal communities. Glob Health Promot. 2017;24(3):49–58.Additional helpful resources:Program Sustainability Assessment Tool (PSAT) https://sustaintool.org/psat/ Survive and Thrive: Three steps to securing program’s sustainability. https://communitysolutions.ca/web/guide-to-program-sustainability-2/ Participatory Evaluation Toolkit https://en.healthnexus.ca/sites/en.healthnexus.ca/files/resources/participatoryevaltoolkit.pdf

Dr. Dean Dudley is a Senior Lecturer and Researcher of Health and Physical Education at Macquarie University in Sydney, Australia. He is a 2012 Churchill Fellow and was an Expert Consultant for the United Nations Educational, Scientific, and Cultural Organization’s Quality Physical Education Guidelines for Policy Makers (2015) and the Kazan Action Plan ratified at MINEPS VI in 2017. In 2018, Dr Dudley was appointed as an Independent Specialist in Health and Physical Education by the International Bureau of Education/UNESCO.Dr. Dudley has held numerous funded grants, totalling more than $800K in research grants and contracts as a Principal Investigator. He has published over 40 articles in peer-reviewed journals since 2010. He currently serves on the editorial board of BMC Public Health and is an Associate Editor of the Journal of Teaching in Physical Education. Dr. Dudley has a multidisciplinary program of research, involving physical literacy, school-health, learning assessment, physical activity, and nutrition. Broadly, he is interested in the association between health and education, with a specific interest in the role that learning plays in the health and quality of life of children. Internationally, he is recognized for his work in physical education, pedagogy, and physical literacy. In 2018, he was appointed as an Affiliated Scientist of the INCH lab at the University of Toronto (Department of Kinesiology and Physical Education) and McMaster University (Family Medicine).You can check him (and Macquarie's awesome site) out at this link: https://researchers.mq.edu.au/en/persons/dean-alan-dudleyYou can also follow Dr.Dudley on Twitter @deandudley

Good lifestyle habits lead to better memory health Even small changes to improve your life, building good habits, can have effects that add up to a point of...  Better health, better cognitive function, and a better life. Your choices will bear fruit. Just like my mango tree. Who doesn’t love mangoes? The sweet smelling fruit is just so good. My family’s mango tree is an old tree, about 90 years old. The tree stopped bearing fruit a few years ago.  It’s been neglected. Fungal growth is spreading around. So we pruned. We planted. We attacked the fungal growth. We made changes here and there. Fortunately, it wasn’t too late to do something about it. Then things started to get better. No, much better! The tree started producing so many fruits that I’ve more mangoes than I‘ve chutney jars, Thai salads and gelato boxes. Yum! Your cognitive fitness is much like the mango tree.- But don’t leave it before it’s too late To be at your peak, to help prevent memory loss starts with the right nurturing, personalised to your situation The small changes in your lifestyle really do matter. Our daily habits add up to a bumper crop of memory health later in life. Habits are powerful. You probably don’t even realise you were doing them. That’s because they’ve been ingrained in your life, in your routine. Harness that power. Imagine being armed with habits that reduce your risks for memory loss. You become more confident. You go into battle ready armed to live life fiercely- on your own terms. Raar! What an image, right? But how do you go about creating and living with those good, daily habits? It’s hard to consistently make good choices that stick. There’s a way though. A way to learn how to successfully build new habits. Six principles that will lead to new, powerful habits. As long as you’re resolute. As long as you’re willing to keep at it. As long as you’re willing to keep grinding. You have your goal, your vision. And I know you can reach it. It is never too late to start. Do you really want to deprive your community of ALL that you can be? In today’s show, you will learn the 6 facets of how to build successful habits. Find out also what is the most often neglected element key to habit formation. Episode Highlights It’s Never Too Late For Change Setting The Right Goals For Developing Behaviour Repetition Leads To Successful Habit Formation 6 Principles For New Habit Success Quick Exercise For Finding Purpose The Biggest Takeaway about Key Lifestyle Factors For Better Health DOWNLOAD THE PDF TRANSCRIPTION   About Our Host David Norris is an occupational therapist who has been in this practice for 20 years. He has dealt with a lot of clients who seek help with their memory loss problems. David began asking himself about how these people can get ahead of these problems. It is then that he started teaching his clients how to improve their brain health to prevent memory loss. David Norris is also the director and founder of Occupational Therapy Brisbane.   Building New Habits It’s Never Too Late For Change My family's 90+ year old mango tree was able to bore fruits after years of not doing so. The tree had been neglected and was experiencing some fungal growth. Support and some tending helped it to thrive again. There is still the opportunity for your body to be primed to achieve as much as possible. Poor conditions increase the likelihood of memory loss happening again. It is never too late to start correcting your illness. Changing our diet can have a dramatic impact on your gut microbiome resulting in improved health and being.  Short exercises will release endorphins and give you improved endurance and focus. Meditation can easily be used to tackle stress. Setting The Right Goals For Developing Behaviour Goals are amazing. But set it too high and you set yourself up for failure. When you fall short of your goals, it’s easy to turn back to what you were doing before and give up. Not having goals though is like going on bushwalker track under dark conditions without a torch. The key is to narrow your vision and take each step at a time.  The step-by-step, methodological activity will help embed that new behaviour. Repetition Leads To Successful Habit Formation Old habits can sneak in and make you undermine your commitment to developing good behaviour like eating healthy. You feel guilt and shame. It erodes your sense of purpose, self, and strength to keep going. You want good behaviour to transform into good habits.  Committing to repetitive action will set you up for success. Habits can deal with anything. You do them even unconsciously. 6 Principles For New Habit Success Setting up supportive environments allows you to build things that trigger the new behaviour. Leverage context by keeping things simple. Do not overcomplicate things.  Eliminate friction or resistance by removing other choices or tasks. Put in place reward systems to support behaviour. Practice and repetition makes a habit stick. Having a sense of meaning to why you’re doing something is a powerful motivator. Quick Exercise For Finding Purpose Before starting, it’s important to be non-judgmental about yourself and be open. Think about what your family member will say about you at your funeral. Think about what your co-worker or community member will share about your impact in their lives. Think about what a stranger who has heard about you would say about you. This exercise will help you figure out what is the most important thing for you. What are the changes that need to be made for you to become that person they all talked about? You can still grow into the person you want to be at the end of your life.   Previously Recommended Resources Articles   The Science of Habit, October 2015. David Neal, Ph.D. Jelena Vujcic, MPH Orlando Hernandez, Ph.D. Wendy Wood, Ph.D. http://www.washplus.org/sites/default/files/resource_files/habits-neal2015.pdf  Exercise dose and quality of life: Results of a randomized controlled trial., Arch Intern Med. 169(3): 269–278. Corby K. Martin, Timothy S. Church, Angela M. Thompson, Conrad P. Earnest, Steven N. Blair (2009)  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2745102/ Effects of interval training on quality of life and cardiometabolic risk markers in older adults: a randomized controlled trial. Clin Interv Aging. 2019;14:1589–1599. Published 2019 Sep 4. doi:10.2147/CIA.S213133 Ballin M, Lundberg E, Sörlén N, Nordström P, Hult A, Nordström A. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6732517/  Regular exercise and the trajectory of health-related quality of life among Taiwanese adults: a cohort study analysis 2006-2014. BMC Public Health. 2019;19(1):1352. Published 2019 Oct 23. doi:10.1186/s12889-019-7662-8 Chang HC, Liang J, Hsu HC, Lin SK, Chang TH, Liu SH. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6806516/ Long-Term Impact of Caregiving and Metabolic Syndrome with Perceived Decline in Cognitive Function 8 Years Later: A Pilot Study Suggesting Important Avenues for Future Research. Open J Med Psychol. 2013;2(1):23–28. doi:10.4236/ojmp.2013.21005 Brummett BH, Austin SB, Welsh-Bohmer KA, Williams RB, Siegler IC. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3952276/#!po=65.0000  Gonzalez, C. (2006). The European Prospective Investigation into Cancer and Nutrition (EPIC). Public Health Nutrition, 9(1a), 124-126. doi:10.1079/PHN2005934 https://www.cambridge.org/core/journals/public-health-nutrition/article/european-prospective-investigation-into-cancer-and-nutrition-epic/F506B4D995930AD84F74289B5F16D132#  The Microbiome and Mental Health: Looking Back, Moving Forward with Lessons from Allergic Diseases. Clin Psychopharmacol Neurosci. 2016;14(2):131–147. doi:10.9758/cpn.2016.14.2.131 Logan AC, Jacka FN, Craig JM, Prescott SL. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4857870/   Books Atomic Habits: The life-changing million copy bestseller by James Clear  Want to get 1% better everyday? Then this book may be just the next step for you. "A supremely practical and useful book, James Clear distils the most fundamental information about habit formation, so you can accomplish more by focusing on less." -Mark Manson   https://amzn.to/2twTRnB    Podcast Episodes Podcast Ep 005: Food, Mood, Microbiome and Your Memory with Dr Amy Loughman Podcast Ep 008: How Your Gut Health Affects Your Brain and Memory Health with Scott C Anderson   The Biggest Takeaway about Key Lifestyle Factors For Better Health Memory Health and making changes to help your body to achieve as much as it can is still possible. Remember the fruitless mango tree that bore again even when it was over 90+ years old. Quotable “Success takes time. Building these habits into your life takes time. These habits that make you into the gorgeous human being that you will be and are, will take time” - David Norris   What was your BIGGEST takeaway from this episode?      All the best  David  P.S. Did you get the free guide?  If not, here’s the link.    Disclaimer: Always seek the advice of your doctor or other qualified healthcare provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have heard on the podcast or on my website.

FOX Physical Therapy Resident Megan Mitchell, PT, DPT gives a literature review of a meta-analysis from BMC Public Health titled: A Life Fulfilled: Influencing Physical Activity in Older Adults a Systematic Review and Meta-Ethnography. She shares the five constructs that PTs, OTs, and SLPs who work with older adults should be mindful of during and after treatment. Listen: Apple Podcasts | Google Podcasts | Google Play | Stitcher  | TuneIn | Other Android Apps

FOX Physical Therapy Resident Megan Mitchell, PT, DPT gives a literature review of a meta-analysis from BMC Public Health titled: A Life Fulfilled: Influencing Physical Activity in Older Adults a Systematic Review and Meta-Ethnography. She shares the five constructs that PTs, OTs, and SLPs who work with older adults should be mindful of during and after treatment. Listen: Apple Podcasts | Google Podcasts | Google Play | Stitcher  | TuneIn | Other Android Apps

FOX Physical Therapy Resident Megan Mitchell, PT, DPT gives a literature review of a meta-analysis from BMC Public Health titled: A Life Fulfilled: Influencing Physical Activity in Older Adults a Systematic Review and Meta-Ethnography. She shares the five constructs that PTs, OTs, and SLPs who work with older adults should be mindful of during and after treatment. Listen: Apple Podcasts | Google Podcasts | Google Play | Stitcher  | TuneIn | Other Android Apps

FOX Physical Therapy Resident Megan Mitchell, PT, DPT gives a literature review of a meta-analysis from BMC Public Health titled: A Life Fulfilled: Influencing Physical Activity in Older Adults a Systematic Review and Meta-Ethnography. She shares the five constructs that PTs, OTs, and SLPs who work with older adults should be mindful of during and after treatment. Listen: Apple Podcasts | Google Podcasts | Google Play | Stitcher  | TuneIn | Other Android Apps

FOX Physical Therapy Resident Megan Mitchell, PT, DPT gives a literature review of a meta-analysis from BMC Public Health titled: A Life Fulfilled: Influencing Physical Activity in Older Adults a Systematic Review and Meta-Ethnography. She shares the five constructs that PTs, OTs, and SLPs who work with older adults should be mindful of during and after treatment. Listen: Apple Podcasts | Google Podcasts | Google Play | Stitcher  | TuneIn | Other Android Apps

FOX Physical Therapy Resident Megan Mitchell, PT, DPT gives a literature review of a meta-analysis from BMC Public Health titled: A Life Fulfilled: Influencing Physical Activity in Older Adults a Systematic Review and Meta-Ethnography. She shares the five constructs that PTs OTs and SLPs who work with older adults should be mindful of during and after treatment. Listen: Apple Podcasts | Google Podcasts | Google Play | Stitcher  | TuneIn | Other Android Apps

FOX Physical Therapy Resident Megan Mitchell, PT, DPT gives a literature review of a meta-analysis from BMC Public Health titled: A Life Fulfilled: Influencing Physical Activity in Older Adults a Systematic Review and Meta-Ethnography. She shares the five constructs that PTs, OTs, and SLPs who work with older adults should be mindful of during and after treatment. Listen: Apple Podcasts | Google Podcasts | Google Play | Stitcher  | TuneIn | Other Android Apps

FOX Physical Therapy Resident Megan Mitchell, PT, DPT gives a literature review of a meta-analysis from BMC Public Health titled: A Life Fulfilled: Influencing Physical Activity in Older Adults a Systematic Review and Meta-Ethnography. She shares the five constructs that PTs, OTs, and SLPs who work with older adults should be mindful of during and after treatment. Listen: Apple Podcasts | Google Podcasts | Google Play | Stitcher  | TuneIn | Other Android Apps

Hey y'all! In this episode we talk about how the media influences the ways in which we experience our bodies. Eating disorders and disordered eating are extremely prevalent in our society, especially when they mask themselves as healthful eating. Today we discuss fitness influencers and the role of online communities in supporting or encouraging disordered eating behaviour. This episode may be triggering if you have an eating disorder or have had one in the past. If that is the case please give the National Eating Disorders Association Helpline a call at 1-800-931-2237. I challenge all of you to challenge the jargon that you see a fitness influener using online. Spread the message, share the knowledge, build the empire. Lots of love, Bee.

I denne episoden snakker vi med manuellterapeut og idrettsfysioterapeut Lars Haugvad om styrketrening. Paradoksalt er hans hobby og idrettsprestasjoner primært innen snowboard og jøgling, samt innen utholdenhetssegmentet med 2.47på maraton og 2.plass i Ironman. Allikevel slenger han oppdatert litteratur på bordet når vi diskuterer hvordan og hvorfor vi tester styrke og hvilken verdi ulik styrketrening har som tiltak i håndteringen av muskel- og skjelettplager. Vi går løs på noen myter både om styrketrening og coretrening, noe vi også skal høre mer om i fremtidige episoder. Lars er spesialist i idrettsfysioterapi og jobber på Olympiatoppen primært med landslagene i snowboard, beachvolley og seiling og har tidligere jobbet som medisinsk koordinator hopplandslaget. Han er også screeningansvarlig for de norske olympiske utøverne. Lars vil gjerne takke kolleger ved NIMI og Olympiatoppen for faglig utvikling, samt forskningsmiljøene ved Norges Idrettshøgskole, og rette ekstra takk til Gøran Paulsen som lar han surre rundt i fagmiljøet kraft/styrke.Referanser:Beyer, R. et al. Am J Sports Med, 2015.Bjornsen, T. et al. Med Sci Sports Exerc, 2019.Bjornsen, T. et al. J Appl Physiol (1985), 2019.Clausen, M.B. et al. PeerJ, 2018.Cook, J.L. et al. Br J Sports Med, 2009.Docking, S.I. et al. J Musculoskelet Neuronal Interact, 2019.Douglas, J. et al. Sports Med, 2017.Gravare Silbernagel, K. et al. Br J Sports Med, 2019.Halperin, I. et al. Int J Sports Physiol Perform, 2018.Helms, E.R. et al. Strength Cond J, 2016.Ioannidis, J.P. Milbank Q, 2016.Loenneke, J.P. et al. Sports Med, 2019.Low, M. J Orthop Sports Phys Ther, 2018.Malliaras, P. et al. J Orthop Sports Phys Ther, 2015.Moholdt, T. et al. Br J Sports Med, 2014.Rhodes, R.E. et al. Br J Sports Med, 2017.Rio, E. et al. Br J Sports Med, 2015.Roig, M. et al. Br J Sports Med, 2009.Silfies, S.P. et al. Braz J Phys Ther, 2015.Smith, B.E. et al. BMC Musculoskelet Disord, 2014.Smith, B.E. et al. Br J Sports Med, 2019.Steele, J. et al. BMC Public Health, 2017.Wirth, K. et al. Sports Med, 2017. Andre referanser:  2020 Eitzen I, Hollekim-Strand SM, Markussen, H: Idrettsfysioterapeuten. Breddeidrett – toppidrett – aktivitetsmedisin. Se kap 26: Testing og screening av utøvere (Lars Haugvad),Podcast: The InForm Fitness Podcast2015 Gardeton achilles clinical treatment guidelines2019 Hargrove Playing with movement; How to explore the many dimensions of physical health and performance MUSIKK: Joseph McDade-Mirrors   

Det sier en asylsøker som prosjektleder og førsteamanuensis Laura Terragni og professor Sigrun Henjum har intervjuet.   I denne podkasten forteller de om alvorlige funn i studien de har gjennomført om mat og kosthold på norske asylmottak.   Laura TerragniSigrun Henjum Hele ni av ti asylsøkere på mottak svarer at de ikke har nok mat over tid. Nesten halvparten sier at de opplever å være sultne. Forskerne har også kartlagt hva asylsøkerne spiser, og kostholdet er svært ensidig. Som en asylsøker sier:    «Det føles som om jeg spiser ris 24 timer om dagen, sju dager i uka.»  Kjøkken på asylmottak Les mer:   Nesten halvparten sier de ikke har nok mat på asylmottak Henjum, S., Caswell, B. L., Terragni, L. “I Feel like I’m Eating Rice 24 Hours a Day, 7 Days a Week”: Dietary Diversity among Asylum Seekers Living in Norway. Nutrients 2019, 11(10).  Henjum, S., Morseth, M.S., Arnold, C., Mauno, D., Terragni, L. (2019). “I worry if I will have food tomorrow”:a study on food insecurity among asylum seekers living in Norway. BMC Public Health.  Terragni, L., Henjum, S., Barbala, I., Haugh, H., Hofset, A. H., Nielsen, P.D., Stene, T (2018). “Meagre hospitality”. Experiences with food among asylum seekers living in Norwegian reception centres. Anthropology of Food: People Moving with Food from and to Northern Europe. 

Det sier en asylsøker som prosjektleder og førsteamanuensis Laura Terragni og professor Sigrun Henjum har intervjuet.   I denne podkasten forteller de om alvorlige funn i studien de har gjennomført om mat og kosthold på norske asylmottak.   Laura TerragniSigrun Henjum Hele ni av ti asylsøkere på mottak svarer at de ikke har nok mat over tid. Nesten halvparten sier at de opplever å være sultne. Forskerne har også kartlagt hva asylsøkerne spiser, og kostholdet er svært ensidig. Som en asylsøker sier:    «Det føles som om jeg spiser ris 24 timer om dagen, sju dager i uka.»  Kjøkken på asylmottak Les mer:   Nesten halvparten sier de ikke har nok mat på asylmottak Henjum, S., Caswell, B. L., Terragni, L. “I Feel like I'm Eating Rice 24 Hours a Day, 7 Days a Week”: Dietary Diversity among Asylum Seekers Living in Norway. Nutrients 2019, 11(10).  Henjum, S., Morseth, M.S., Arnold, C., Mauno, D., Terragni, L. (2019). “I worry if I will have food tomorrow”:a study on food insecurity among asylum seekers living in Norway. BMC Public Health.  Terragni, L., Henjum, S., Barbala, I., Haugh, H., Hofset, A. H., Nielsen, P.D., Stene, T (2018). “Meagre hospitality”. Experiences with food among asylum seekers living in Norwegian reception centres. Anthropology of Food: People Moving with Food from and to Northern Europe. 

Dr. Merv Travers is a Senior Research Scholar working in the area of low back pain, tendon pain and exercise rehabilitation at the School of Physiotherapy, The University of Notre Dame Australia. In today's episode, Merv discusses what exactly strength training is, why it’s important for all of our bodies and how physiotherapists can get their patients started and progressing. And of course my son, Rylan, had to compete with his sister in podcast recording (and special blooper takes at the end). Check out the reference list below Merv kindly put together for us! More about Merv...he completed his PhD at Curtin University where he also maintains an Adjunct Research Fellow role. His teaching areas include anatomy and exercise rehabilitation. He has a Masters of Manipulative Therapy and is a qualified strength & conditioning coach (Australian Strength and Conditioning Association – Level 2). Merv’s clinical background includes working in professional rugby union and he provides clinical consultation for complex musculoskeletal conditions at Star Physio, WA. Merv guest lectures nationally and internationally on the topics of strength and conditioning for physiotherapists and tendinopathy rehabilitation, as well as runs an international strength conditioning course for physiotherapists. Optimise Rehab - courses for Strength and Conditioning courses for physios Some key references pertaining to some of this things we spoke about: Public Health and strength training: Steele, J., Fisher, J., Skivington, M., Dunn, C., Arnold, J., Tew, G., . . . Winett, R. (2017). A higher effort-based paradigm in physical activity and exercise for public health: making the case for a greater emphasis on resistance training. BMC Public Health, 17(1), 300. Dankel, S. J., Loenneke, J. P., & Loprinzi, P. D. (2016). Determining the Importance of Meeting Muscle-Strengthening Activity Guidelines: Is the Behavior or the Outcome of the Behavior (Strength) a More Important Determinant of All-Cause Mortality? Mayo Clin Proc, 91(2), 166-174. Strain, T., Fitzsimons, C., Kelly, P., & Mutrie, N. (2016). The forgotten guidelines: cross-sectional analysis of participation in muscle strengthening and balance & co-ordination activities by adults and older adults in Scotland. BMC Public Health, 16(1), 1108. Physio knowledge of guidelines: Lowe, A., Littlewood, C., McLean, S., & Kilner, K. (2017). Physiotherapy and physical activity: a cross-sectional survey exploring physical activity promotion, knowledge of physical activity guidelines and the physical activity habits of UK physiotherapists. BMJ Open Sport & Exercise Medicine, 3(1) Lifting with a neutral spine: Saraceni, N., Kent, P., Ng, L., Campbell, A., Straker, L., & O'Sullivan, P. (2019). To Flex or Not to Flex? Is There a Relationship Between Lumbar Spine Flexion During Lifting and Low Back Pain? A Systematic Review With Meta-Analysis. J Orthop Sports Phys Ther, 1-50 Achilles tendon pain and loading: Murphy, M., Travers, M., Gibson, W., Chivers, P., Debenham, J., Docking, S., & Rio, E. (2018). Rate of Improvement of Pain and Function in Mid-Portion Achilles Tendinopathy with Loading Protocols: A Systematic Review and Longitudinal Meta-Analysis. Sports Medicine. Placebo and Exercise: Crum, A. J., & Langer, E. J. (2007). Mind-set matters: exercise and the placebo effect. Psychol Sci, 18(2), 165-171. Minimum strength dosage: Androulakis-Korakakis, P., Fisher, J. P., & Steele, J. (2019). The Minimum Effective Training Dose Required to Increase 1RM Strength in Resistance-Trained Men: A Systematic Review and Meta-Analysis. Sports Medicine.  

2019 was a big year. The year of the Mueller report. The American college admissions scandals. Brexit. But it was also the year the US Women's team won the World Cup, and lobbied for the equal pay of women and men in sports. It was the year of NMO, in which several pivotal trials showed benefit of disease modulating therapy in this condition. The year Will Smith played Genie in Aladdin. 2019 was a great year. And as we wrap up 2019, this week's episode includes some of the highlights. Enjoy! Produced by James E. Siegler with support from Erika Mejia, Rajat Dhar, and the entire Siegler family. Music courtesy of Axletree, Chris Zabriskie, John Paston, Kevin Mcleod, Josh Woodward, Steve Combs, Lee Rosevere, Scott Holmes, Advent Chamber Orchestra, Coldnoise, and Pachyderm. Sound effects by Mike Koenig and Daniel Simion. BrainWaves' podcasts and online content are intended for medical education only and should not be used for clinical decision making. Be sure to follow us on Twitter @brainwavesaudio for the latest updates to the podcast. REFERENCES [BRAIN FOOD] Kennedy DO, Wightman EL, Reay JL, Lietz G, Okello EJ, Wilde A and Haskell CF. Effects of resveratrol on cerebral blood flow variables and cognitive performance in humans: a double-blind, placebo-controlled, crossover investigation. Am J Clin Nutr. 2010;91:1590-7. Devore EE, Kang JH, Breteler MM and Grodstein F. Dietary intakes of berries and flavonoids in relation to cognitive decline. Annals of neurology. 2012;72:135-43. Norton S, Matthews FE, Barnes DE, Yaffe K and Brayne C. Potential for primary prevention of Alzheimer's disease: an analysis of population-based data. The Lancet Neurology. 2014;13:788-94. Morris MC, Tangney CC, Wang Y, Sacks FM, Barnes LL, Bennett DA and Aggarwal NT. MIND diet slows cognitive decline with aging. Alzheimers Dement. 2015;11:1015-22. Valls-Pedret C, Sala-Vila A, Serra-Mir M, Corella D, de la Torre R, Martinez-Gonzalez MA, Martinez-Lapiscina EH, Fito M, Perez-Heras A, Salas-Salvado J, Estruch R and Ros E. Mediterranean Diet and Age-Related Cognitive Decline: A Randomized Clinical Trial. JAMA internal medicine. 2015;175:1094-1103. Newman JC, Covarrubias AJ, Zhao M, Yu X, Gut P, Ng CP, Huang Y, Haldar S and Verdin E. Ketogenic Diet Reduces Midlife Mortality and Improves Memory in Aging Mice. Cell Metab. 2017;26:547-557 e8. Miller MG, Hamilton DA, Joseph JA and Shukitt-Hale B. Dietary blueberry improves cognition among older adults in a randomized, double-blind, placebo-controlled trial. Eur J Nutr. 2018;57:1169-1180. Okkersen K, Jimenez-Moreno C, Wenninger S, Daidj F, Glennon J, Cumming S, Littleford R, Monckton DG, Lochmuller H, Catt M, Faber CG, Hapca A, Donnan PT, Gorman G, Bassez G, Schoser B, Knoop H, Treweek S, van Engelen BGM and consortium O. Cognitive behavioural therapy with optional graded exercise therapy in patients with severe fatigue with myotonic dystrophy type 1: a multicentre, single-blind, randomised trial. The Lancet Neurology. 2018;17:671-680. Radd-Vagenas S, Duffy SL, Naismith SL, Brew BJ, Flood VM and Fiatarone Singh MA. Effect of the Mediterranean diet on cognition and brain morphology and function: a systematic review of randomized controlled trials. Am J Clin Nutr. 2018;107:389-404. Xu W, Wang H, Wan Y, Tan C, Li J, Tan L and Yu JT. Alcohol consumption and dementia risk: a dose-response meta-analysis of prospective studies. Eur J Epidemiol. 2017;32:31-42. Lefevre-Arbogast S, Gaudout D, Bensalem J, Letenneur L, Dartigues JF, Hejblum BP, Feart C, Delcourt C and Samieri C. Pattern of polyphenol intake and the long-term risk of dementia in older persons. Neurology. 2018;90:e1979-e1988. Liu QP, Wu YF, Cheng HY, Xia T, Ding H, Wang H, Wang ZM and Xu Y. Habitual coffee consumption and risk of cognitive decline/dementia: A systematic review and meta-analysis of prospective cohort studies. Nutrition. 2016;32:628-36. [OF MEASLES AND MEN] Murch SH, Anthony A, Casson DH, Malik M, Berelowitz M, Dhillon AP, Thomson MA, Valentine A, Davies SE and Walker-Smith JA. Retraction of an interpretation. Lancet. 2004;363:750. Perry RT and Halsey NA. The clinical significance of measles: a review. The Journal of infectious diseases. 2004;189 Suppl 1:S4-16. Campbell H, Andrews N, Brown KE and Miller E. Review of the effect of measles vaccination on the epidemiology of SSPE. Int J Epidemiol. 2007;36:1334-48. Poland GA and Jacobson RM. The age-old struggle against the antivaccinationists. The New England journal of medicine. 2011;364:97-9. Maglione MA, Das L, Raaen L, Smith A, Chari R, Newberry S, Shanman R, Perry T, Goetz MB and Gidengil C. Safety of vaccines used for routine immunization of U.S. children: a systematic review. Pediatrics. 2014;134:325-37. Bester JC. Measles and Measles Vaccination: A Review. JAMA Pediatr. 2016;170:1209-1215. Bester JC. Not a matter of parental choice but of social justice obligation: Children are owed measles vaccination. Bioethics. 2018;32:611-619. Fournet N, Mollema L, Ruijs WL, Harmsen IA, Keck F, Durand JY, Cunha MP, Wamsiedel M, Reis R, French J, Smit EG, Kitching A and van Steenbergen JE. Under-vaccinated groups in Europe and their beliefs, attitudes and reasons for non-vaccination; two systematic reviews. BMC Public Health. 2018;18:196.  Trump’s tweet: https://twitter.com/realdonaldtrump/status/449525268529815552?lang=en [NON-INFECTIOUS NEUROLOGIC COMPLICATIONS OF ORGAN TRANSPLANT] Senzolo M, Ferronato C and Burra P. Neurologic complications after solid organ transplantation. Transpl Int. 2009;22:269-78. Dhar R. Neurologic complications of transplantation. Handbook of clinical neurology. 2017;141:545-572. Mateen FJ, Dierkhising RA, Rabinstein AA, van de Beek D and Wijdicks EF. Neurological complications following adult lung transplantation. Am J Transplant. 2010;10:908-14. Munoz P, Valerio M, Palomo J, Fernandez-Yanez J, Fernandez-Cruz A, Guinea J and Bouza E. Infectious and non-infectious neurologic complications in heart transplant recipients. Medicine (Baltimore). 2010;89:166-75. Wu Q, Marescaux C, Wolff V, Jeung MY, Kessler R, Lauer V and Chen Y. Tacrolimus-associated posterior reversible encephalopathy syndrome after solid organ transplantation. Eur Neurol. 2010;64:169-77. Dhar R, Young GB and Marotta P. Perioperative neurological complications after liver transplantation are best predicted by pre-transplant hepatic encephalopathy. Neurocritical care. 2008;8:253-8.

Background: Eating disorders among adolescents are an ongoing public health concern. Sustainable health promotion programmes require a thorough understanding of the social context in which minors engage. Initial studies show that young people make extensive use of social networks in order to exchange experiences and gather information. During this process their (buying) behaviour is significantly affected by so-called influencers. Methods: The exploratory research studies non-campaign driven health communication on dieting and exercise by influencers in social networks with a focus on content, techniques and visible impact. In a mixed methods approach, we initially analysed 1000 posts from influencers on Instagram quantitatively. Subsequently we conducted an in-depth content analysis of 9 extreme and 27 typical communication threads. Results: Influencers gain the trust and friendship of their followers by designing body-shape focused visual content and targeted communication techniques. They identify and define diet and exercise as factors to be controlled for body perfection. By consuming dietary supplements and wearing tight-fitting branded sportswear, influencers promise a simplified way of optimizing one’s appearance as the key to happiness. Direct and surreptitious advertising of industry-specific products constitutes the communicative focus. At the same time, minors identify with the roles and ideals demonstrated by influencers and their needs are satisfied on several different levels. This creates a relationship of dependency between influencers and their followers. Conclusions: The dynamics in the field of health communication by influencers on social networks will become increasingly important in the coming years. This is largely due to the targeted demand on the part of (mainly) underage users and the high attractiveness of influencer marketing on the part of companies. Influencers suggest a dependence on happiness, well-being, health and beauty. Only those who create a body shaped through control and discipline are healthy and beautiful - and can be happy. The indirectly communicated conclusions, which can be considered as extremely critical, illustrate the need for action in order to protect and positively accompany young people in their psychological and physical development. The shift of authority figures within Generation Z, as well as identified communication techniques, can be considered and may be harnessed by targeted, group-oriented campaign designs. Pilgrim K, Bohnet-Joschko S. Selling health and happiness how influencers communicate on Instagram about dieting and exercise: mixed methods research. BMC Public Health. 2019;19(1):1054. Published 2019 Aug 6. doi:10.1186/s12889-019-7387-8. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. Sections of the Abstract, Introduction, and Conclusion are presented in the Podcast. Link to the full-text article: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6683418

Summary:The God of the Universe, literally kneels to wash the filthy crud off his disciples' feet. This is one of the most shocking and scandalous texts in all of Scripture. Then Jesus says, "If I then, your Lord and Teacher, have washed your feet, you also ought to wash one another's feet." At the end of that scene, Jesus says in John 13:34-35 "A new commandment I give to you, that you love one another: just as I have loved you, you also are to love one another. By this all people will know that you are my disciples, if you have love for one another.”We are called to love one another humbly, selflessly, practically, in such a way, that our tangible love serves as one of the most powerful apologetics for a watching world that desperately longs for the same love.Audio Transcript:This media has been made available by Mosaic Boston Church. If you'd like to check out more resources, learn about Mosaic Boston and our neighborhood churches, or donate to this ministry, please visit Mosaicboston.com.Good morning. Welcome to Mosaic Church. My name is Jan. I'm one of the pastors here at Mosaic. And if you're new or if you're visiting, we're so glad you're here. And we'd love to connect with you if you'd like to connect with us, and we do that officially through the connection card, and the worship guide if you filled out legibly. You can either toss it into the offering basket when it comes around after, or redeem it at the Welcome Center for a little gift that we prepared for you.We also have an app that you can download in the App Store or Google Play, where you can keep up to date with what's going on Mosaic. The sermons are in their community, community group discussions, and then also there's a connection card in there as well. With that said, would you please pray with me over the preaching of God's Word.Heavenly Father, we thank you for the gift that is to gather as your people. And LORD, we pray that you continue to work in our hearts, a powerful work of humility. LORD, let us not just understand the gospel theoretically or just with our minds, let us understand the gospel with our hearts. Well, what does it mean that the God of the universe stooped so low as to become one of us, stoop so low as to meet our greatest need on the cross by dying for us instead of us, in our place, and coming back to life through the resurrection.We thank you, LORD, that you didn't just give us an example of how to love you, embodied love. You didn't just teach us words of love, you showed us the greatest act of love, the greatest sacrifice. You came to serve our greatest need, and then with that you meet all of our other needs, and show us that you want us after we accept the Gospel to now also meet the needs of our brothers and sisters, fellow Christians, and also our neighbors. And you showed us that we never graduate beyond meeting tangible needs. And you showed us this graphically by washing the feet of your disciples, and you told us, “Go and do likewise.”So remind us today of the basics, and let us master the basics, never graduate beyond the basics; never think that we no longer need grace, no longer need to extend grace. And Holy Spirit, come to the space, work deep, work in our hearts, and make us a people who are radically, sacrificially loving as we serve one another and as we serve our neighbor. We pray this in Christ's name. Amen.If you're new at Mosaic, last Sunday we held our annual vision sermon, our value sermon; Love. Jesus. Simple. This is what Mosaic is all about. And today, we're going to talk about how that practically manifest itself through service. That's what we're going to do today.Next week, we're starting a brand new sermon series that we're calling Tough and Tender: Developing Resilience for Life. We're excited about the sermon of Jesus Christ, the Lion of Judah, and the Lamb of God, both tough and tender. We live in a city that does toughen us up at the expense of our tenderness, so we need both. And also, we live in a culture where many of us are too tender when it comes to the tough subjects of life.So we're going to talk about the balance, that Jesus wants us to be both confident, knowing who we are in Christ, that our identity is rooted in him; and also humbled by the fact that the God of the universe stooped down to serve us and make us his.Today, we're talking about, Love. Jesus. Simple, how it manifests itself practically that we are called to sacrifice and serve, just like Jesus did. We want to love. What does love mean? Love means to sacrifice, specifically tangibly.Rod Dreher is a senior editor of The American Conservative. Two years ago, he wrote this book called The Benedict Option: A Strategy for Christians in a Post-Christian Nation. And in it, this is what he says. He says, “The culture has so de-censored Christianity socially, and politically and in all different ways. It's so hard to be a Christian in our current American culture, we need a different strategy.“The idea is a serious Christian conservative can no longer live business-as-usual lives in America, that we have to develop creative communal solutions to help us hold on to our faith and our values, in a world growing even more hostile to them. We'd have to choose to make a decisive leap into a truly counter-cultural way of living Christianity, or we would doom our children and our children's children to assimilation.”I understand what he's saying, and I feel the heart behind his argument. The heart is, “Hey, the culture is overwhelming the church.” And unless we go back and figure out exactly what we believe, unless we're rooted in the Gospel, in our traditions, in our Christian faith, orthodox historic Christianity; unless we do that, we won't have a counterculture with which to curb the stave off the water.And he's saying, a lot of us, we see the floodwaters of culture change coming, and instead of piling up sand bags to keep the flood at bay of the culture change, he said we need to build an arc and we need to retreat, and we need to build strong communities, just like St. Benedict did. St. Benedict of Nursia, the early medieval monk. He retreated to the forest after Rome's fall. And I understand what he's saying, because he wants us to remain Christian.And I also understand how difficult it is to remain a Christian when everyone around you isn't. I understand that difficulty. I understand the temptation to go where there are more Christians, where it's easier to remain a Christian. However, Jesus Christ did not call us to be monks, he called us to be missionaries. He said, “I want you to be a city set on a hill, in order to shine the light of the Gospel.”So instead of heading to the hills, as he says metaphorically or literally, we need to remain, and perhaps even as missionaries called to advance the Gospel, go in the darkest places of the world, and be rooted in the gospel of Jesus Christ. And we need the cleansing effect of the Gospel to continue sanctify us even when the world around us wants to sully us with sin of the culture.My other big problem with what he's saying is this, that it can create an isolation mentality. And it's so tempting in our individualistic American culture. We already as Christians have this idea of having a personal relationship with Christ, which translates into having a private relationship with Christ. Therefore, we bifurcate between our private life, pietistic, spirituality and our public life. I don't think that's what the Lord is calling us to.Therefore, how does this work itself out? Many of you church as just the place you go to. Many of you church as just like going to the movies. And this was actually a bigger problem for us when, for three years, we met at the Regal movie theater in Fenway. I had to tell people all the time, like, “Church is different than just going to the movies.”How often do you go to the movies? When something really good is playing. When you walk into the theater, you find a spot as far away from anyone as possible. As you walk in, you give people a head nod, I acknowledge that you exist. And then you go to your seat, you take your popcorn, and you just enjoy the show. As soon as it's done, you're out and you don't want to talk to anybody.Unfortunately, a lot of people view church like that. So maybe we don't withdraw to the mountains, but we withdraw to our personal lives. This is where my Christianity is. Jesus does not call us to do that. Jesus calls us to be on mission. He calls us to live out our faith. How does it practically? He calls us to serve. As Jesus Christ served you, serve one another. By this, the world will know that you are my disciples because of the love that you have for one another.Many of you church as a last option. And if that's why you're here because life is just falling apart, we're glad you're here, we want to minister to you. But I would submit to you, that it's much more effective to invest in church, invest in community, invest in relationships before you try to draw dividends, and we do that just through serving one another.The text for our time in the Word, today, is John 13:1-17. This is the night before Jesus Christ was crucified. And before he's crucified, instead of thinking about his own needs that he's about to experience unimaginable suffering, at the Last Supper he serves as disciples, and he serves them by washing their feet. Would you look at the text with me? John 13:1-17.Now before the Feast of the Passover, when Jesus knew that his hour had come to depart out of this world to the Father, having loved his own who were in the world, he loved them to the end. During supper, when the devil had already put into the heart of Judas Iscariot, Simon's son, to betray him, Jesus knowing that the Father had given all things into his hands, and that he had come from God and was going back to God, rose from supper.He laid aside his outer garments, and taking a towel, tied it around his waist. Then he poured water into a basin and began to wash the disciples' feet and to wipe them with the towel that was wrapped around him.He came to Simon Peter, who said to him, “Lord, do you wash my feet?” Jesus answered him, “What I am doing you do not understand now, but afterward you will understand.” Peter said to him, “You shall never wash my feet.” Jesus answered him, “If I do not wash you, you have no share with me.” Simon Peter said to him, “Lord, not my feet only, but also my hands and my head.”Jesus said to him, “The one who has bathed does not need to wash except for his feet, but is completely clean. And you are clean, but not every one of you.” For he knew who was to betray him; that was why he said, “Not all of you are clean.”And when he had washed their feet and put on his outer garments and resumed his place, he said to them, “Do you understand what I've done to you? You call me Teacher and Lord, and you are right, for so I am. And if I then, your Lord and Teacher have washed your feet, you also ought to wash one another's feet. For I have given you an example, that you also should do just as I have done to you. Truly, truly, I say to you, a servant is not greater than his master, nor is the messenger greater than the one who sent him. If you know these, blessed are you if you do them.This is the reading of God's holy, inerrant, infallible, authoritative Word. May He write these eternal truths upon our hearts. Three points to frame up our time together. We're going to look at the God who washes his feet, then we'll talk about receiving that washing, and then in return to extend that washing to one another.First of all, the God who washes feet. How is Christianity different? What makes Christianity different from any of the other world religions and it does stand in a league all its own? This is what makes Christianity different. We worship a god who kneels. We worship a god who gets on his knees to wash the filth off the feet of his disciples. That's what makes Christianity different. God comes to us. He makes us clean. He provides a means for us to be purified, healed.All the other religions say, “You need to purify yourself, cleanse yourself, and then you will be accepted.” Christianity says, “No, because of Christ's work of purification on the cross, all you need to do is accept it. And that's what makes you acceptable, just receiving the gift.”Romans 4:5. And to the one who does not work but believes in him who justifies the ungodly, his faith is counted as righteousness.We're not saved through our works; not even our works of cleansing ourselves, we're saved through the cleansing, salvific gospel of Jesus Christ. This foot-washing took place when? During the Passover. This is crucial. Why? This is the Last Supper that's taking place during the Passover. During the Passover, what was celebrated? The celebration was that the angel of death is coming, and the only thing that can save you from the angel of death is the blood of the lamb painted over your doorway.And Jesus Christ comes, and he is the ultimate Passover lamb, who takes away the sin of the world; slain to spare us from God's judgment. And we need to accept that sacrifice by grace through faith, so to speak, paint the doorway of our heart with the blood of Jesus Christ, so that we do not experience the judgment that we deserve for our sins. And we see that everything Jesus does here is motivated by love.John 13:1. Before the Feast of the Passover, when Jesus knew that his hour had come to depart out of this world to the Father, having loved his own who were in the world, he loved them to the end.So he loved them to the very moment of his death. And he also loved them completely; completely and up to the end, even though he's facing the most horrible suffering imaginable, he's not thinking of his own needs, he's thinking of his disciples needs. Who are these disciples? Were they faithful to the end as he was to them? No. Did they love him to the end like he loved them to the end? No. And here, we see that he's actually washing the fee of Judas, the one who betrayed him and sold him.In John 13:26. Jesus answered, “It is he whom I will give this morsel of bread when I have dipped it.” So when he had dipped the morsel, he gave it to Judas, the son of Simon Iscariot.Before the Lord's Supper, before saying, “This is the one who's betraying me,” he washed Judas' feet. And Jesus already knew that his disciples were going to deny him, that Peter was going to betray him. Still, he washed their feet. They didn't deserve it, that's the point, just like we didn't deserve the work of Christ on the cross as he poured out his blood to cleanse us.John 13:3. Jesus, knowing that the Father had given all things into his hands, and that he had come from God and was going back to God, rose from supper, laid aside his outer garments, taking a towel, tied it around his waist, then he poured water into a basin and began to wash the disciples' feet and to wipe them with the towel that was wrapped around him.I love how verse three reminds us of who this is who's about to do what he's about to do. This is the Son of God, who gave up the glory of being in heaven to come down to live with us in the incarnation. And he didn't just come live with us, he didn't just experience all of the human experience, what he does, that he goes in and he actually serves his disciples by washing their dirty feet.Here's why this is important. As you progress in Christianity and as you progress in your career, there's two temptations. The temptation is, I have grown beyond meeting people's practical needs. Here's how the practical works. You get an education, and then you work for a few years in your career, you're like, “I know how much my hour is worth. My hourly charge is $600 an hour.” Not mine. I'm saying some of you.And you're like, “Any work that I do outside of my job, if it's under that, I'm going to outsource it.” And there's this temptation to outsource all of the basic stuff in our lives, and there's an app for absolutely everything you can imagine, just to outsource everything. And that mindset, it creeps into like the practical relational stuff as well.I've got four daughters. The youngest is two. The oldest is 11. 11 years I've been a father. I've got a PhD-and-a-half in fatherhood in everything that that entails, including changing diapers. And as I was changing a diaper this week, I'm like, “Man, I wish I had an app for this.” Like I wish someone would just come and do. I just want to... “Get that done.”And in the church we see this as well, where it's like, I've been a Christian long enough, I don't need to be doing X, Y, and Z. I'm so glad that God did not do that. I'm so glad that God wasn't tempted to outsource meeting our greatest need. By the way, he couldn't; he was the only one who could meet that.So we see this incredible humility, that the same God who upholds the universe, who holds everything together as Colossians 1 says, that the one who tells the angelic host what to do, this same God humbly gets on his knees and washes the dirty, filthy feet of 12 undeserving disciples.And I don't need to get into the graphic details of how their feet were a lot dirtier and nastier than our feet. I'll just say two words; no indoor plumbing and animals on the streets, and everybody walked everywhere. They walked on those streets, they walk into that house, and they expect someone to wash their feet. They're looking around and no one's doing it, there's no servant here; it's just Jesus and the disciples. And Jesus gets down and washes their... By the way, he's on his knees. I think this is important.It doesn't say that he's on his knees, but you can't do what he did without getting on your knees. You can't just wash someone else's feet by stooping over. You got to get down and you got to get your hands dirty. This is important, that the God of the universe gets on his knees. He humbles himself to the point where he kneels before us to meet our need.The shepherds when they heard that Jesus was coming, they were on their knees. The Magi when they brought treasures to Christ to honor him were on their knees. Peter when he realizes that he is in the presence of the Son of God gets on his knees. The woman who snuck into Simon the Pharisee's house in order to wash Jesus' feet from the alabaster jar, she gets on her feet.In just a few hours, Pilate's soldiers who placed the crown of thorns on Jesus' head gave him a shepherd staff as his “scepter”, and they beat him to a bloody pulp. Then they got on his knees in mocking worship, crying out, “This is the King of the Jews. Hours before that, Jesus gets on his knees, holds out his hands, and with his hands; the same hands with which he fashioned the same feet that he's about to wash, he cleanses the filth and the dirt.By the way, the progression of this text is the same progression as Philippians 2:5-11. And there's a parallel between these two texts.Have this mind among yourselves, which is yours in Christ Jesus, who though he was in the form of God, did not count equality with God a thing to be grasped, but emptied himself by taking the form of a servant, being born in the likeness of men. And being found in human form, he humbled himself by becoming obedient to the point of death, even death on a cross. Therefore, God has highly exalted him and bestowed on him the name that is above every name, so that at the name of Jesus every knee should bow, in heaven and on earth and under the earth, and every tongue confess that Jesus Christ is Lord, to the glory of God the Father.In the same way that Jesus rose from the throne next to God the Father and came down, he rose from his chair and he laid aside his garments of glory, and he laid aside his garments in the same way that he took on this towel; he took on, clothed himself in humility, girded himself with a towel that did a servant's lowly job. And by the way, that's whose job this was. This is a job for the lowliest of the servants. Friends didn't wash friends' feet. There is no example in all of ancient literature of a superior washing the feet of an inferior.And Jesus pours water into a basin in the same way that a few hours later has his blood will be poured out in order to cleanse us from the grime of our hearts, the guilt, and the defilement. And after he washed his disciples' feet, he wipes them. And what does he do? He takes his garments back up, and he sits at the table in the same way that Jesus Christ after his resurrection ascends to the right hand of God, the Father, and resumes his place in glory.In verse 31 of John 13, toward the end of the chapter, it says that what Jesus did here, it uses a very interesting word to describe his service. It uses the word glory. Verse 31. When he had gone out, Jesus said, “Now is the Son of Man glorified, and God is glorified in him. If God is glorified in him, God will also glorify him in himself, and glorify him at once.Jesus, how are you glorifying the Father? Jesus, how are you glorifying yourself? In John 12:32, the verse prior to our verse, we see a hint. Jesus answered them. He said, “The hour has come for the Son of Man to be glorified.”When Jesus talks about glorifying his name, glorifying the name of the Father, glorify and the Holy Spirit, he's talking about the service. He's talking about the sacrifice that's at the heart of the cross. Jesus was glorified through the cross. Jesus glorified the name of the Father through the cross. And this is absolutely counterintuitive, because the cross is the opposite of glory. The cross is the epitome of humiliation. The cross is the epitome of shame. There's no worse way to die than to be stripped, to be flogged, to be scorched, to be given a splintered cross to carry, to be nailed to that splintered cross, and then hung up as a public spectacle to everyone, a spectacle of humiliation.And Jesus says, “This is the way that I'm going to glorify God the Father. Why? Because what does it mean to glorify God? It means to magnify his attributes. It means to show people what God is like. Then at the cross, we see what God is like. God is love. We see Christ on the cross, the Son of God saying, “This is how much I love you.” And we also see his justice, the justice of God, that that's what it took for our sins to be forgiven. Justice had to be paid; justice and love merging together at the cross. Love and grace shine forth.Hebrews 1:3. He is the radiance of the glory of God and the exact imprint of his nature, and he upholds the universe by the word of his power. And after making purification for sins, he sat down at the right hand of the Majesty on High.So what he did with his disciples' feet is a picture, it's a metaphor, an analogy of what he's ultimately going to do on the cross. In the same way that he washed his disciples' feet, he's saying, “I'm going to the cross in order to provide purification for the greatest filth,” the filter of our hearts, the filth of our sin.Now, what do we need to do with that? And God does command that we do something with that. This isn't just theory. This isn't just theology to stimulate us intellectually. Christ says, if this is true and it is, he proved it through his resurrection, then we are to respond. If he provided a means for our hearts to be cleansed, we are to receive that cleansing. And we see that in this point to receiving the washing, we see that the story stops abruptly when Jesus comes to wash Peter's feet.In John 13:6. He came to Simon Peter, who said to him, “Lord, do you wash my feet?” And the pronouns here are emphatic, showing Peter's utter shock. Look at Jesus' response, and it's fascinating.Verse seven. Jesus answered him, “What I'm doing you do not understand now, but afterward you will understand.” Peter said to him, “You shall never wash my feet.” Jesus answered him, “If I do not wash you, you have no share with me.” Simon Peter said to him, “Lord, not my feet only but also my hands and my head.” And Jesus said to him, “The one who has bathed does not need to wash except for his feet, but is completely clean. And you are clean, but not every one of you.”By the way, this is the way that Jesus communicates. I remember I had a preaching professor in seminary who said, “If you're not clear, then that wasn't a good sermon.” And my response to him was, “Have you ever read Jesus' sermons?” Like texts like this where it's like multilayered communication, like multidimensional.What's going on here is that Jesus, as he's having a conversation with Peter, and it's a physical, tangible act of service, but it's also a metaphor for what he's doing on the cross. As he's doing the washing, he talks about two different meanings of the washing. “I'm washing your feet, which is a sign of washing your heart, but there's two ways that I wash the heart. The first is justification where I wash you. I wash you from the guilt of your sin and you're washed forever. The second is the washing of sanctification.”So in our salvation process, there's three categories that every single Christian needs to know. Justification is the moment that you believe in Jesus Christ as your Lord and Savior, you've repented of your sins. You are washed completely of the shame, and guilt and the condemnation. Justification; you're justified, “I have been saved.”Now begins the process of sanctification, where the Lord, day by day cleanses us from any remnant or vestige of sin. And when we die, we get a glorified body, no sin, and we will live in an embodied future in the new heavens and the new earth. We'll be glorifying God and rejoicing forever.This is what he's talking about here. So first, he says, “Peter, if you don't receive my washing, if you don't receive my purification, you have no part of me.” Unless Jesus is your Passover lamb, unless you have applied his blood by grace through faith to your sins, you are under the curse of death. You were separated from God. “So accept it,” he says. And that's why he says in verse 8, “If I do not wash you, you have no share with me.”But then there's a second understanding of the washing. The first is washing of water regeneration. That's Titus 3:5. The second is the blood of Jesus cleanses us, continues to cleanse us from sin. That's 1 John 1:7. The first is all washing of regeneration. The second is that the Lord cleanses us as we walk in this world, and as our souls get sullied with the dirt of the culture around us.Jesus doesn't tell us to retreat into the mountains, metaphorically or literally, he tells us to follow the way, follow the path, be missionaries in this world; missionaries, not monks. And as we walk in this dirty world, our feet get dirty, our souls get dirty on a daily basis. And you know what I'm talking about; things you see, things you think, and it's coming at us at just a breakneck speed, so we need the once for all cleansing, but then we also need the ongoing application of that cleansing, and that's what Jesus is talking about.John 13:10. Jesus said to him, “The one who has bathed does not need to wash except for his feet, but is completely clean. And you are clean, but now every one of you.And that's where he's talking about Judas. Here, he's talking about the fact that the gospel isn't the way that we just become a Christian. The gospel is also the way we continue in the faith. You enter the Kingdom of God; you start a relationship with God by trusting him through the gospel. Then you take every step by continually being washed by his grace.2 Timothy 2:1. You then my child be strengthened by the grace that is in Christ Jesus. At first glance, Peter's refusal when he says, “Jesus, you're not washing my feet,” at first glance, it sounds a very humble. And actually if I were there, I'd probably do the same thing. Like, “No, no, no. I'm good, Jesus. My feet are nasty.”I actually, whenever I come to someone's house and they're like, “You got to take your shoes off,” this is a house where you got to take your shoes off, I'm like, “No, you don't want me to do that.” I carry an extra pair of socks with me, just in case. I want to be a good neighbor. You know what I'm saying? It was like, “No.” It sounds almost like, “Jesus, I don't want you to get into my filth. I don't want you to get into my mess. What if you see something else there?”It looks like it's humble, but it actually stems from pride. Here's what I mean. Peter wasn't comfortable with just accepting something from Jesus without reciprocating, you know what I'm saying? Like when someone gives you a birthday present and you're like, “I didn't know we were on that level relationally. Now I got to figure out how much this cost, and I got to figure out when your birthday is, and I got to I got to reciprocate.”That's what's going on here. Where if, Jesus, if I receive this, then you can call me to do whatever you want to call me to do. And that's part of how the Gospel works. Like Jesus paid it all, he can ask you to do whatever, like all to him I owe. Like, “We'd rather pay for the salvation,” or like, “Jesus, I'll accept as a loan, and then I'll pay it back with interest.” And part of it is because we want to take credit for our own cleansing process, our own salvation process, or our own healing process. And Jesus says, “No, you can't pay back salvation. You can't earn salvation.”All of our righteousness is as filthy rags. Holy Scripture says, the only thing we can actually offer God is our dirty feet, which is a symbol of our dirty hearts, and pride often masks itself under humility.In verse eight, Peter say, “You shall never wash my feet.” “Jesus, you can wash them to the other disciples' feet. They definitely need some cleansing. Their feet really stink. Amazing grace, how sweet the sound that saved a wretch like them or like you, not like me.” It's sounds humble but it's very prideful. The reason why Jesus did this, I don't even think it's about the feet. It's the whole of like, to receive grace, you need humility. Like sit there, rest, and know that I am God and I will cleanse you. That takes so much humility.And Peter is actually embarrassed by Jesus doing this. It seems beneath his dignity to have the God of the universe come so close, get so tender and wash filth that that's so close. Pride sometimes drives us to serve Christ. And any service we render Christ should always stem from gratitude, not from pride. Not, Jesus, look, I've received this free gift, but now I'm going to repay. That's a prideful mindset.Romans 6:23. For the wages of sin is death, but the free gift of God is eternal life in Christ Jesus our Lord. So have you been humbled by receiving this washing? If not, what's in the way? And I'll tell you what's in the way. You know, it's in the way, it's pride. I find this text so important. Before we get into serving others, this is where we got to start, because you can serve others out of pride and you can serve others out of wrong motivation, but we got to get started here. Is your heart humbled by the cross? Does God's love cause you to hate sin? Does God's love motivate you with love so much so that you are willing to serve others?This is crucial in our city in particular. I've lived in the city for 10 years, and in my whole time, I have never met a humble person. Never. I've met a lot of self-righteous people. I've met a lot of pretentious people. I've met a lot of arrogant. I'm right there with you. There's not one humble human being. Some people are growing in humility. That's the only difference. We need to grow in humility. And we do that by receiving washing every day. Lord, cleanse me. Lord, wash me. I need your gospel. And then as we do that, we have the grace to then extend washing to others.Jesus says in verse 14, “If I then, your Lord and Teacher, have washed your feet, you also ought to wash one another's feet. For I've given you an example that you also should do just as I have done to you.” What does he mean, literally? No, of course not. Some churches do take this to mean literally. They actually have foot washing ceremonies and kicked that around at Mosaic, grow the church one way or another. No, that would never work here.And by the way, when churches do that, you're not really washing dirty feet. Because if I knew that a foot-washing ceremony is coming up at church, I'm going to get my first pedicure ever. Ever. I'm going to make things easier.Now, what he's talking about is meeting practical needs of people in several different categories. And I'll just give you a few examples. And this is the way we truly love one another by meeting practical needs. And this is why we can't retreat. This is why we have remain where we are and reach the people around us, love the people around us, so that the watching world sees us love one another.Jesus didn't say, “Go and make monastic communities where you're loving one another, washing each other's feet where no one sees that.” He says, “I want you loving each other here now, so that the unbelieving world sees it.” That's John 13:34, “A new commandment I give to you, that you love one another just as I have loved you,” in the context, washed your feet, “You also are to love one another. By this, all people will know that you are my disciples if you have love for one another.”This is one of our greatest apologetics to the unbelieving world, that this is a community of people that loves one another practically. What do I mean by washing each other's feet? I mean, practical service. We'll get there. It starts with realizing that we live in close proximity with one another. There's always relational gunk. There's always relational dirt, filth, whatever, stuff that accumulates. And how do we deal with that? We need to forgive.The blood of Jesus cleanses us by procuring forgiveness. Jesus said, “I cleanse you,” therefore, “And I forgive you.” So the way that we wash one another's feet, spiritually speaking, is we forgive one another when people sin against us. Assumption, they will sin against us because we're living in such close proximity with one another in community, where we need to extend forgiveness. And the great parable of this where Jesus tells a parable of a guy who owes the king 10,000 talent debt, and this is 150,000 years of wages for a working person.They guy can't pay it back. The king forgives him. That guy then who's forgiven goes and finds a guy who owes him 100 days of wages; 150,000, 100 days of wages, and starts choking him out and says, “If you don't pay me back, I'm going to send you to prison.” The king hears about that and he's not happy. And the point is that God has forgiven us an incalculable debt. How can we not... how can but forgive others?Another way that we wash each other's feet, metaphorically, is correction. We live in close proximity. We see other people's sins. We see their mistakes. We see their folly. And God commands us to call one another out, to speak truth to one another lovingly. This is so counter-cultural. We are so non-confrontational, personally; online, different story. But personally, we don't want to... like live and let live. Like, “I don't want to know.” Scripture says, if you love one another, you speak truth in love. It's washing of the crud of this world through the word. We speak the word to one another.Ephesians 5:26, talking about Jesus, “...that he might sanctify her,” the church, “having cleansed her by the washing of water with the word.” We received Jesus' graceful correction, and that gives us power to then extend graceful correction and receive graceful correction. Those are all aspects of foot washing. Galatians 6:1. Brothers, if anyone is caught in any transgression, you who are spiritual should restore him in a spirit of gentleness. Keep watch on yourself, lest you be tempted.So forgiveness, correction, and practically just serving one another. When you see someone's practical needs as brothers and sisters, we are to meet those practical needs, however that looks. And when you've received the Lord's serving you, you can serve others from the right motives and with the right expectations.Right motive is, I'm not trying to get something from you. And with the right expectations, even if I don't get a thank you, I'm still going to do this because Jesus Christ commands me to. And it requires less focused on our own rights and needs, and more on others.Generosity is another example. When we recognize that God has given us everything, it frees you to give generously. 1 Corinthians 4:7. For who sees anything different in you? What do you have that you did not receive? If then you received it, why do you boast as if you did not receive it? Matthew 10:8b. You received without paying, give without pay. 2 Corinthians 9:8. And God is able to make all grace abound to you, so that having all sufficiency in all things at all times, you may abound in every good work.And then the final practical way before we close out with explaining why those little cards are in front of you and why the greeters were extra emphatic in making sure you got a bulletin today. We'll get there. Refreshment. When you come home after an exhausting day, and there's nothing more refreshing than washing up. There's a spiritual sense in like we get exhausted in the Christian life. Living the Christian life, in particular in a place like Boston, it's hard.And we need to encourage one another, and we do that by refreshing one another with God's Word. And that's done with time. That's done with margin in your life, where you have time for other people, where you can sit with them, and listen and speak a positive word of encouragement to their life.Even St Paul, the great Apostle needed this. 1 Corinthians 16:17. I rejoice at the coming of Stephanas and Fortunatus and Achaicus, because they have made up for your absence, for they refreshed my spirit as well as yours. Give recognition to such people.What does it mean to refresh another spirit? I don't know. But after you're done spending time, they're like, “Duh. That was great. I feel so much better. I feel so I feel refreshed. I feel encouraged. There's something there.” Philemon 7. For I've derived much joy and comfort from your love, my brother, because the hearts of the saints have been refreshed through you.Why do we serve at Mosaic? We serve at Mosaic, and we talk about service at Mosaic because it's more blessed to give than to receive. It's more blessed to bless than to be blessed. It's more blessed to serve than to be served. It actually is really good for you.Health professionals have been telling this for a while. The BMC Public Health cohort studies, it took 40 papers that selected five randomized controlled trials and 17 cohort studies. And one of the things that they said was that when you serve other people, when you volunteer, when you give up your time, up your energy, what happens is, it actually has favorable effects on your health. It lowers depression, increases life satisfaction, and actually lowers the risk of mortality, but... big caveat, you actually have to love the people that you're serving. That's the big caveat.And this is Dr. Michael Poulin, professor of psychology, University of Buffalo. He says, “Helping appears to only be good for you if you really care about those you're helping.” In two separate studies, he says, “I found that volunteering on behalf of strangers also weakens the link between stress and health, but only for volunteers who have generally positive views of other people. In other words, helping may be good for you specifically to the extent you're likely to experience compassion for those you help.”So here's the practical side of everything we just talked about. Obviously, wash one other feet. You do as Jesus did. Here's how we do it practically at Mosaic as a church body. We are a church plant, meaning we don't own our building, we're brand new church. So everything that you see that happens here is setup and teared down. This church is run by an army of incredible volunteers, and has been from the beginning. One of the reasons why we service practically, we just need people to serve. The second reason is it reminds us of what the Lord calls us to.In the hustle and bustle of the crazy speed and pace of the city, sometimes we forget. So what I talk about when you serve at Mosaic, I talk about it as a recalibration, where it's like, “Oh yeah, the Lord called me to serve. Oh yeah, the Lord called me wash feet. Oh yeah, the Lord called me to do as he did.” So that's one of the reasons why we call people to serve at Mosaic.The second just really practical reason is Jesus told us to. And the third is that this church just can't run apart from volunteers. The average church in America engages 43% of their attenders in some volunteer role. Average church in the US, 43% of attenders serve. The top 10% of churches engage 72% of their attenders. Pretty good. Where's Mosaic at? If you don't count kids, which I'm not that comfortable with because I think our kids need to be serving, we're at 60%, which is pretty good. That's pretty good. We're still not magna cum laude. We're still not up there in the top 10%, so there's room for growth.But here's why that statistic isn't really accurate. Because a lot of our volunteers, volunteer in multiple roles. So if you count unique volunteers, it's only 46% of attenders; barely above the average of 43%. And Mosaic Boston, we don't like being average. I mean, you know what average is? Average is like a 2.5 GPA. Average is like C. That's not us.I believe in you. I think we can get into that top 10% this year. And we have multiple needs. I'm going to read off the needs. If the Lord leads you to serve at this church, the way that we'd love to follow up with you is fill out the card that's in front of you. It's either in the pew or in the worship guide, and you can toss it in the offering basket when it comes around.Here's where we have some needs. In terms of our music ministry, our band by the way is incredible, is so gifted. Before I say the needs, let me just say, you hear the level of music here that we have been gifted with. So if you are at that level. This is important to say because there is like a try-out process. And if you try it out and you don't make it, don't get mad at me. I'm not even there. And we still love you. And there's other ways to serve. We need to female singers. We need three guitarists, two basses, two drummers, and two keyboard players.For the morning greeting team, we need 12 new volunteers. The greeting team is the really happy, energetic looking people. So if you are an extrovert or can fake it, we'd love for you to sign up. And I know in this city, those people... like you guys are unicorns. So we need 12 unicorns for the greeting team.Morning setup, we need six new volunteers. By the way, set up is incredible time to just get your cardio in on a Sunday morning. You just get here, you got to carry stuff, so you're welcome. Morning tear down, we need eight new volunteers. Evening Service, our 5:00 PM, we need greeters and tear down, accommodation of 10 new volunteers. Morning security, we need 12 new volunteers.For the Mosaic teens ministry, we have a thriving teens ministry. We need three volunteers in the morning, and four in the evening, so seven total. Mini Mosaic, we need four front-table greeters, and then for flexible floaters. I think that's people who can do absolutely everything; so the Julian Edelman of service.And then the video slide team, we need some volunteers. And then also community groups and community group hosts, we need hosts and leaders, co-leaders. So if you're interested in that, if you're blessed with the spiritual gift of a living room, that would be helpful.So with that all said, you can respond on that little card, be like, “Yeah, I want to practically serve and help out the church. Even if I'm here for like a year, even if I'm here for six months, I want to invest while I'm here in order to see the kingdom of God expand.” With that said, would you please pray with me over the conclusion of the preaching of God's Word?Lord, we thank you for this church. I thank you Jesus that you promise to build your church and that the gates of hell will not overcome it. I thank you for every single person who has sacrificially invested in this church by giving time, and treasure, and talent. And I pray that you draw many more to serve and continue to fill our hearts with this incredible love, and spirit of generosity and sacrifice, so much so that we're willing to wash one another's feet, however that may look. I pray all this in Christ's name. Amen.

Background: Life satisfaction is a cognitive and evaluative judgement of one’s outlook on life and an integral component of subjective wellbeing. There is a strong association between life satisfaction and mental and physical health, but it is currently unclear how environmental factors may influence life satisfaction. Our aim was to investigate the association between environmental factors and life satisfaction and to gain a better understanding of general life satisfaction statistics in the EU. Methods: We used a three-level mixed effects logistic regression model to examine the effects of sociodemographic, macroeconomic and environmental factors on life satisfaction using a large sample size from Eurobarometer surveys (n = 268,696) representative of 27 EU countries. Data were collected through face-to-face interviews between May 2014 and June 2015. Results: We found wide variation between countries, as well as between regions within the same country with regards to levels of life satisfaction. Having adjusted for individual sociodemographic factors, our analysis did not indicate statistically significant associations of mean temperature and precipitation with life satisfaction. However, there was a statistically significant association between environmental degradation and lower life satisfaction (OR = 0.98; 95% CI: 0.97–1.00). Consistent with existing literature, our results show statistically significant effects of sociodemographic factors such as sex, financial situation and employment on life satisfaction. Conclusions: Future research should extend analyses to a wider range of sociodemographic, macroeconomic and geographical variables to gain insight on all possible factors affecting life satisfaction to inform policy makers and ensure higher quality of life, and in turn better mental and physical health. Rajani NB, Skianis V, Filippidis FT. Association of environmental and sociodemographic factors with life satisfaction in 27 European countries. BMC Public Health. 2019;19(1):534. Published 2019 May 10. doi:10.1186/s12889-019-6886-y. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article,unless otherwise stated. Sections of the Abstract, Introduction, and Conclusion are presented in the Podcast. Link to the full-text article: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6509815/

In June 1940, German forces took the Channel Islands, a small British dependency off the coast of France. They expected the occupation to go easily, but they hadn't reckoned on the island of Sark, ruled by an iron-willed noblewoman with a disdain for Nazis. In this week's episode of the Futility Closet podcast we'll tell the story of Sibyl Hathaway and her indomitable stand against the Germans. We'll also overtake an earthquake and puzzle over an inscrutable water pipe. Intro: Raymond Chandler gave 10 rules for writing a detective novel. In 1495 Leonardo da Vinci designed a mechanical knight. Sources for our feature on Sybil Hathaway: Sybil Hathaway, Dame of Sark: An Autobiography, 1961. Alan and Mary Wood, Islands in Danger: The Story of the German Occupation of the Channel Islands, 1940-1945, 1955. Gilly Carr, Paul Sanders, and Louise Willmot, Protest, Defiance and Resistance in the Channel Islands, 2014. Madeleine Bunting, The Model Occupation: The Channel Islands Under German Rule, 1940-1945, 2014. Roy MacLoughlin, Living With the Enemy: An Outline of the German Occupation of the Channel Islands With First Hand Accounts by People Who Remember the Years 1940 to 1945, 2002. Cheryl R. Jorgensen-Earp, Discourse and Defiance Under Nazi Occupation: Guernsey, Channel Islands, 1940-1945, 2013. Hazel Knowles Smith, The Changing Face of the Channel Islands Occupation: Record, Memory and Myth, 2014. George Forty, German Occupation of the Channel Islands, 2002. Paul Sanders, The British Channel Islands Under German Occupation, 1940-1945, 2005. George Forty, Channel Islands at War: A German Perspective, 2005. Gilly Carr, "Shining a Light on Dark Tourism: German Bunkers in the British Channel Islands," Public Archaeology 9:2 (2010), 64-84. Gillian Carr, "The Archaeology of Occupation and the V-Sign Campaign in the Occupied British Channel Islands," International Journal of Historical Archaeology 14:4 (2010), 575-592. Gilly Carr, "Occupation Heritage, Commemoration and Memory in Guernsey and Jersey," History and Memory 24:1 (Spring 2012), 87-117, 178. Gilly Carr, "Concrete's Memory: Positioning Ghosts of War in the Channel Islands," Terrain 69 (April 2018). Peter Tabb, "'You and I Will Eat Grass ...,'" History Today 55:5 (May 2005), 2-3. Paul Sanders, "Managing Under Duress: Ethical Leadership, Social Capital and the Civilian Administration of the British Channel Islands During the Nazi Occupation, 1940-1945," Journal of Business Ethics 93, Supplement 1 (2010), 113-129. Lucas Reilly, "How the World's Only Feudal Lord Outclassed the Nazis to Save Her People," Mental Floss, Nov. 6, 2018. "Dame of Sark, 90, Ruler of Channel Island, Dead," New York Times, July 15, 1974. John Darnton, "St. Helier Journal; Facing Nazis, Upper Lips Were Not Always Stiff," New York Times, May 6, 1995. Robert Philpot, "New Film on Nazi Occupation of Channel Islands Prompts Disquieting Questions for Brits," Times of Israel, April 13, 2017. Francesca Street, "Radio Tower: Jersey's Former German WWII Gun Tower Now for Rent," CNN, Aug. 28, 2018. Liza Foreman, "The Crazy Medieval Island of Sark," Daily Beast, Oct. 4, 2014. Julie Carpenter, "John Nettles: 'Telling the Truth About Channel Islands Cost Me My Friends,'" Express, Nov. 5, 2012. Ben Johnson, "Sark, Channel Islands," Historic UK (accessed June 2, 2019). William D. Montalbano, "Nazi Occupation in WWII Haunts Islands Off Britain," Los Angeles Times, Nov. 29, 1996. Graham Heathcote, "Quiet Occupation by German Troops on Britain’s Channel Islands," Associated Press, May 9, 1995. William Tuohy, "Britain Files Reveal a Dark Chapter of War Years Nazis Occupied the Channel Islands Until Mid-1945, and Many Residents Collaborated," Los Angeles Times, Dec. 5, 1992, 3. Marcus Binney, "Release of War Files Reopens the Wounds of Nazi Occupation," Times, Dec. 2, 1992. Julia Pascal, "Comment & Analysis: Our Hidden History: Sixty Years After the Deportation of Britons from the Channel Islands, the Suffering Is Neither Acknowledged Nor Compensated," Guardian, Sept. 5, 2002, 1.23. Ray Clancy, "War Files Show How Alderney Was Left Alone Against Nazis," Times, Dec. 2, 1992. William Montalbano, "Nazi Reports Raise Islands' Painful Past: Channel Islands' Invasion Created Moral Dilemmas," Toronto Star, Dec. 1, 1996, A.8. Andrew Phillips, "The Ghosts of War," Maclean's 106:1 (Jan. 4, 1993), 50-51. "Taylor: Remembering the Channel Islands Occupation," Toronto Sun, Nov. 3, 2018. Rosemary F. Head et al., "Cardiovascular Disease in a Cohort Exposed to the 1940–45 Channel Islands Occupation," BMC Public Health 8:303 (2008). Madeleine Bunting, "Living With the Enemy," The World Today 71:3 (June/July 2015), 10. Listener mail: "'Not on Your Life!' Says Actress, Flees Spotlight," Chicago Tribune, Nov. 12, 1993. "Seismic Waves," xkcd, April 5, 2010. Sune Lehmann, "TweetQuake," Aug. 25, 2011. Rhett Allain, "Tweet Waves vs. Seismic Waves," Wired, Aug. 26, 2011. Javed Anwer, "Delhi Earthquake Proves Twitter Is Faster Than Seismic Waves. Again," India Today, April 13, 2016. Brad Plumer, "Tweets Move Faster Than Earthquakes," Washington Post, Aug. 25, 2011. Lauren Indvik, "East Coasters Turn to Twitter During Virginia Earthquake," Mashable, Aug. 23, 2011. Catharine Smith, "Twitter's New Ad Claims It's Faster Than An Earthquake (VIDEO)," Huffington Post, Sept. 1, 2011. Alex Ward, "Larry the Cat, UK's 'Chief Mouser,' Caused a Brief Headache for Trump's Security Team," Vox, June 4, 2019. Jennifer Ouellette, "No, Someone Hasn't Cracked the Code of the Mysterious Voynich Manuscript," Ars Technica, May 15, 2019. This week's lateral thinking puzzle was offered by M. Lobak in the old Soviet popular science magazine Kvant (collected with other such puzzles by Timothy Weber in the excellent 1996 book Quantum Quandaries). You can listen using the player above, download this episode directly, or subscribe on Google Podcasts, on Apple Podcasts, or via the RSS feed at https://futilitycloset.libsyn.com/rss. Please consider becoming a patron of Futility Closet -- you can choose the amount you want to pledge, and we've set up some rewards to help thank you for your support. You can also make a one-time donation on the Support Us page of the Futility Closet website. Many thanks to Doug Ross for the music in this episode. If you have any questions or comments you can reach us at podcast@futilitycloset.com. Thanks for listening!