Podcasts about bmc public health

The largest-ever four-day workweek trial, involving 2,896 employees, 141 companies, and six countries, found the opposite of what researchers expected. People didn't work faster and burn out. Burnout fell, satisfaction rose, and nothing changed in the control group (Fan et al., 2025, Nature Human Behaviour). But there's a catch: "four-day week" covers two very different policies, and a 2025 systematic review found that the wrong one can just as easily increase sickness absence (Bernstrøm et al., 2025). The benefit isn't the day off. It's who controls the recovery time (Mullens & Laurijssen, 2024, BMC Public Health).ReferencesBernstrøm, V. H., Alves, D. E., Houkes, I., Lillebråten, A., & Nilsen, W. (2025). The consequences of a compressed workweek: A systematic literature review. International Archives of Occupational and Environmental Health. https://doi.org/10.1007/s00420-025-02153-8Fan, W., Schor, J. B., Kelly, O., & Gu, G. (2025). Work time reduction via a 4-day workweek finds improvements in workers' well-being. Nature Human Behaviour. https://doi.org/10.1038/s41562-025-02259-6Mullens, F., & Laurijssen, I. (2024). An organizational working time reduction and its impact on three domains of mental well-being of employees: A panel study. BMC Public Health. https://doi.org/10.1186/s12889-024-19161-xAbout PsychChatHosted by Dr Austin Tay, Chartered Psychologist (CPsychol, FBPsS), ICF PCC executive coach and founder of OmniPsi Consulting.Get in touchThoughts on this one? Email psychchat@omnipsi.com or find Austin on X, @psych_chat. New here? Subscribe.

What if the biggest improvements to your health aren't hiding inside another supplement, expensive biohack, or complicated protocol, but in the signals you're sending your body every single day? In this special episode of the SuperLife Podcast, Darin walks through his personal daily routine from the moment he wakes up, explaining not only what he does, but why he does it. From getting outside before touching his phone to morning light, hydration, meditation, breathwork, journaling, cacao, movement, food, and eventually shutting off the breaker to his bedroom at night, Darin breaks down the practices he has built into the rhythm of his life. But this isn't a prescription to copy Darin's routine. It's an invitation to understand the biological signals behind it and build your own. Darin's central idea is simple: food is information, light is information, breath is information. Every input you give your body becomes a set of instructions your cells have to respond to. Drawing from research on circadian biology, hydration, meditation, nervous system regulation, expressive writing, cacao flavanols, resistance training, cardiovascular health, and longevity, Darin explains how simple behaviors compound over decades. The healthiest and longest-lived people he has encountered around the world didn't necessarily follow elaborate protocols. Their health was embedded into a rhythm of light, movement, real food, darkness, and sleep. This is a practical look inside the habits Darin actually uses, and a reminder that your health isn't created by one massive intervention. It's built through the seemingly insignificant decisions you repeat every day. What You'll Learn What Darin does from the moment he wakes up each morning Why he goes outside before looking at his phone How morning light helps synchronize your circadian rhythm and nighttime sleep Why hydration comes before coffee or other stimulants How meditation and conscious breathing can change your relationship with stress Why Darin considers breath one of the fastest ways to influence your nervous system How journaling can help process emotions, gratitude, grief, and mental stress Why cacao has become part of Darin's morning ritual How resistance training and aerobic movement support long-term health Why Darin believes health is ultimately about creating a biological rhythm rather than blindly following someone else's protocol Chapters 00:00:03 – Welcome to SuperLife 00:00:34 – Sponsor: Bite 00:02:49 – What Darin does before touching his phone every morning 00:03:11 – Why your biology is waiting for the signal of morning light 00:03:44 – The purpose behind Darin's daily routine 00:04:12 – Why you shouldn't simply copy someone else's protocol 00:04:37 – Food, light, and breath are information 00:05:06 – How the modern day disrupts your natural biology 00:05:51 – The danger of stacking small "fatal conveniences" for decades 00:06:20 – Why Darin built his life around biological rhythm 00:06:47 – Darin's morning hydration routine 00:07:11 – Why Darin wakes up between 4 and 5 A.M. 00:07:38 – Morning sunlight, no sunglasses, and no screens 00:07:48 – Your body's master circadian clock 00:08:40 – What research says about morning sunlight and sleep 00:09:21 – The cheapest thing you can do tonight for better sleep 00:09:44 – Why Darin drinks water before anything else 00:10:22 – Darin's daily meditation practice 00:10:54 – What research shows about mindfulness, anxiety, depression, and pain 00:11:33 – Sponsor: Fatty15 00:15:14 – Training yourself not to be hijacked by the modern world 00:15:43 – Your breath is the steering wheel of your nervous system 00:16:33 – The five-minute breathing practice that changed mood and respiratory rate 00:17:13 – How conscious breathing can shift your nervous system 00:17:42 – Darin's journaling and gratitude practice 00:18:15 – Journaling through grief after losing his mother 00:18:44 – What expressive writing research reveals about mental health 00:19:17 – Why an unprocessed thought can become physiological stress 00:19:30 – The sequence Darin follows before consuming anything stimulating 00:19:39 – Why cacao is part of Darin's morning ritual 00:20:06 – Darin reveals the cacao project he's developing 00:20:32 – The massive COSMOS cacao study 00:21:36 – Cacao and potential cognitive benefits 00:22:13 – Flavanols, nitric oxide, theobromine, magnesium, and polyphenols 00:22:50 – What to avoid when choosing cacao 00:23:19 – Darin's approach to resistance training 00:23:43 – Why movement doesn't need to be complicated 00:24:19 – Resistance training and longevity 00:24:54 – The powerful combination of strength training and aerobic activity 00:25:17 – Why walking may be one of the simplest longevity tools 00:25:46 – Muscle, blood sugar, myokines, and grip strength 00:26:15 – How injury changed Darin's relationship with training 00:26:51 – Training to experience more of life 00:27:14 – The principle the entire episode builds toward: food is information 00:27:26 – What you've learned from Darin's morning routine 00:27:49 – What Darin eats every day and his nighttime routine 00:28:18 – Continue Darin's complete daily protocol on Patreon Thank You to Our Sponsors: Bite Toothpaste: Go to trybite.com/DARIN20 or use code DARIN20 for 20% off your first order. Fatty15: Get an additional 15% off their 90-day subscription Starter Kit by going to fatty15.com/DARIN and using code DARIN at checkout. Join the SuperLife Patreon: This is where Darin now shares the deeper work: - weekly voice notes - ingredient trackers - wellness challenges - extended conversations - community accountability - sovereignty practices Join now for only $7.49/month at https://patreon.com/darinolien Connect with Darin Olien: Website: darinolien.com Instagram: @darinolien Book: Fatal Conveniences Platform & Products: superlife.com New Show: Roadmap to Happiness Key Takeaway "Your health isn't built from one perfect supplement, workout, meal, or morning routine. It's built from the information you repeatedly give your body. Light is information. Breath is information. Food is information. Movement is information. Darkness is information. Every day, your cells are listening to the signals you send them, whether you're consciously choosing those signals or allowing the modern world to choose them for you. You don't need to copy my routine. Understand why these practices matter, listen to your own body, and build a rhythm that works for your life. Because the seemingly insignificant things you do every morning, every afternoon, and every night eventually become your biology." Bibliography/Sources Morning Light Anderson, et al. (2025). Does sunlight exposure predict next-night sleep? A daily diary study among U.S. adults. Journal of Health Psychology . https://pubmed.ncbi.nlm.nih.gov/39077837/ Silva, et al. (2025). The role of sunlight in sleep regulation: Analysis of morning, evening and late exposure. BMC Public Health . https://link.springer.com/article/10.1186/s12889-025-24618-8 Meditation, Breath, Journaling Balban, et al. (2023). Brief structured respiration practices enhance mood and reduce physiological arousal. Cell Reports Medicine, 4(1), 100895 . https://www.cell.com/cell-reports-medicine/fulltext/S2666-3791(22)00474-8 Goyal, et al. (2014). Meditation programs for psychological stress and well-being: A systematic review and meta-analysis. JAMA Internal Medicine, 174(3), 357–368 . https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/1809754 Pennebaker, J. W., & Beall, S. K. (1986). Confronting a traumatic event. Journal of Abnormal Psychology, 95(3), 274–281 . Smyth, et al. (2018). Online positive affect journaling… a preliminary randomized controlled trial. JMIR Mental Health, 5(4), e11290 . Cacao Sesso, et al. (2022). Effect of cocoa flavanol supplementation for the prevention of cardiovascular disease events: COSMOS. The American Journal of Clinical Nutrition, 115(6), 1490–1500 . https://ajcn.nutrition.org/article/S0002-9165(22)00275-1/fulltext Vyas, et al. (2023). Cocoa extract and cognitive function: COSMOS clinic subcohort. The American Journal of Clinical Nutrition, 117(1), 40–52 . https://ajcn.nutrition.org/article/S0002-9165(23)66275-6/fulltext Resistance Training Saeidifard, et al. (2019). The association of resistance training with mortality. European Journal of Preventive Cardiology, 26(15), 1647–1665 . https://pubmed.ncbi.nlm.nih.gov/31104484/ Shailendra, et al. (2022). Resistance training and mortality risk: A systematic review and meta-analysis. American Journal of Preventive Medicine, 63(2), 277–285 . https://pubmed.ncbi.nlm.nih.gov/35599175/ Fruit, Nuts, Plant Diversity Aune, et al. (2016). Nut consumption and risk of CVD, cancer, all-cause mortality. BMC Medicine, 14, 207 . Aune, et al. (2017). Fruit and vegetable intake and the risk of CVD, cancer and all-cause mortality. International Journal of Epidemiology, 46(3), 1029–1056 . McDonald, et al. (2018). American Gut. mSystems, 3(3), e00031-18 . Tempeh Effects of fermented soy on cognition in older adults: RCT. (2025). . https://pmc.ncbi.nlm.nih.gov/articles/PMC12472887/ Stephanie, et al. (2018). Tempeh consumption enhanced beneficial bacteria in the human gut . https://www.researchgate.net/publication/328100975 Baru Nut Baru almond oil supplementation in hemodialysis patients: RCT. (2021). Clinical Nutrition . https://www.sciencedirect.com/science/article/abs/pii/S0965229920303575 de Souza, et al. (2019). Baru almonds increase the activity of glutathione peroxidase in overweight and obese women: RCT. Nutrients, 11(8), 1750 . https://www.mdpi.com/2072-6643/11/8/1750 Phenolic and flavonoid content, antioxidant capacity of baru almond. (2021). . https://pmc.ncbi.nlm.nih.gov/articles/PMC8181485/ Pumpkin Seeds Dotto, J., & Chacha, J. (2020). Pumpkin seeds as a functional food ingredient. Scientific African, 10, e00575 . U.S. Department of Agriculture. (n.d.). FoodData Central: Pumpkin seed kernels, dried . Avocado HAT: Life's Essential 8 ancillary. (2025). Journal of the American Heart Association . https://www.ahajournals.org/doi/10.1161/JAHA.124.039130 Lichtenstein, et al. (2022). HAT: 1 avocado/day vs habitual diet on visceral adiposity. Journal of the American Heart Association . https://pubmed.ncbi.nlm.nih.gov/35861827/ Unlu, et al. (2005). Carotenoid absorption enhanced by avocado. The Journal of Nutrition, 135(3), 431–436 . Evening Light, Sleep Environment Gooley, et al. (2011). Room light before bedtime suppresses melatonin onset. The Journal of Clinical Endocrinology & Metabolism, 96(3), E463–E472 . https://pubmed.ncbi.nlm.nih.gov/21193540/ Greco, et al. (2023). Eye mask during overnight sleep improves episodic learning and alertness. Sleep, 46(3) & Sleep, 46(8) . https://academic.oup.com/sleep/article/46/3/zsac305/6912219 https://academic.oup.com/sleep/article/46/8/zsad105/7143720 Hu, et al. (2010). Earplugs and eye masks on nocturnal sleep, melatonin and cortisol. Critical Care, 14(2), R66 . Mason, et al. (2022). Light exposure during sleep impairs cardiometabolic function. Proceedings of the National Academy of Sciences, 119(12) . https://www.pnas.org/doi/10.1073/pnas.2113290119 World Health Organization. (2018). Environmental noise guidelines for the European region . RF-EMF and Sleep Does radiofrequency radiation impact sleep? Double-blind, randomised, placebo-controlled crossover pilot. (2024). Frontiers in Public Health . https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2024.1481537/full Loughran, et al. (2005). Mobile phone EMF and human sleep. NeuroReport, 16(17), 1973–1976 . Mohler, et al. (2012). RF-EMF exposure and sleep quality: Prospective cohort. PLOS One, 7(5), e37455 .

Are you interested in the superblock model's effects of health and the environment? Our debate today works with the article titled Environmental and health effects of the Barcelona superblocks from 2025, by Katherine Perez, Laia Palencia, Maria Jose Lopez, Brenda Biaani Leon‑Gomez, Anna Puig‑Ribera, Anna Gomez‑Gutierrez, Mark Nieuwenhuijsen, Gloria Carrasco‑Turigas, and Carme Borrell, published in the BMC Public Health journal. This is a great preparation to our next interview with Laura Reupke in episode 464 talking about the opportunities within the Superblock model. Since we are investigating the future of cities, I thought it would be interesting to see how the Barcelona superblock model actually impacts urban life. This article suggests that this urban design could be a vital strategy for mitigating climate change impacts and improving public health.Find the article through this link.Abstract: The superblocks model of Barcelona (Spain) seeks to reorganize the city based on reversing the distribution of public space between vehicles and people by prioritizing citizens, thus improving their environmental conditions and quality of life. The objective of this paper was to describe the effects on environmental, health and quality of life of the first three superblocks implemented, discuss the lessons learned, and provide recommendations for the future. The evaluation included different approaches depending on the superblock analyzed: A pre-post-intervention health survey, environmental measures of air quality, the Microscale Audit of Urban Landscapes for Pedestrians (MAPS), an observational study on target areas of physical activity (SOPARC), ethnographic guerrilla studies, and focus groups. Residents and workers in all three of the evaluated superblocks reported a perceived improvement in well-being, tranquillity and quality of sleep, some reduction in noise and pollution and an increase in social interaction. The built environment of the superblocks clearly influenced walkability, and the lower car traffic volume improved air quality measures. In one of the superblocks, the same intervention calmed traffic in one of the areas but not in another. Although on a small scale, this evaluation of the environmental, and health effects of the superblocks provides support for expanding the model to other areas of the city.Connected episodes you might be interested in:No.193R - Transforming our cities: Best practices towards clean air and active transportationNo.423R - Scaling the superblock model to city level in Barcelona? Learning from recent policy impact evaluationsNo.424 - Interview with Ben Wolf about redesigning one specific street in New York CityYou can find the transcript through ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠th⁠i⁠⁠⁠s link⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠.What was 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 availableI hope this was an interesting episode for you and thanks for tuning in.If you would like to support the podcast, check out the ⁠Building Better Cities book⁠ or our ⁠Patreon⁠!Episode generated with ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Descript⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ assistance (⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠affiliate link⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠)Music by ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Lesfm ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠from ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Pixabay⁠

Allt fler oinbjudna besökare tar sig in i våra hem. Lyssna på alla avsnitt i Sveriges Radios app. Skadedjur har alltid krupit vid människans sida. Forskare tror att de blodtörstiga vägglössen fanns redan i stenålderns grottboningar. Genom historien har olika typer av ohyra inte bara gett oss kliande bett och förstört våra matförråd, utan också orsakat några av mänsklighetens mest förödande sjukdomsepidemier.Under några decennier på 1900-talet, när en rad nya och kraftfulla bekämpningsmedel gjorde entré, såg det ut som att människan äntligen höll på att vinna den tusenåriga kampen mot krypen.Men segervittringen blev kortvarig. Skadedjuren är tillbaka. De blir fler, de sprider sig till nya platser – och de har blivit allt svårare att bekämpa.Programledare och producent: Anna Lillkung och Wendela AntepohlOrdlistaVektor – en organism, till exempel en råtta eller en kackerlacka, som för över smittämnen mellan varelser.Patogen – ett sjukdomsframkallande smittämne, till exempel ett virus eller en bakterie.Mikrob – en organism som är så liten att den inte syns med blotta ögat, till exempel ett virus eller en bakterie.Resistens – en organisms förmåga att stå emot yttre påfrestningar, till exempel en bakterie som utvecklat motståndskraft mot en eller flera typer av antibiotika.KällförteckningMedverkandeThomas Persson Vinnersten – Biolog och entomolog på AnticimexLisa Sarasohn – Historiker och författare till Getting Under Our Skin: The Cultural and Social History of VerminBobby Corrigan – Skadedjursbiolog med fokus på gnagareÅke Lundkvist – Professor i virologi vid Uppsala universitetTuomas Aivelo – Assisterande professor i biodiversitet och samhälle vid Leiden University i Nederländerna och grundare till Helsinki Urban Rat ProjectJose Pietri – Docent i mikrobiologi och entomologi vid Purdue UniversityBöckerGetting Under Our Skin: The Cultural and Social History of Vermin (Lisa T. Sarasohn, 2021)Rats : A Year With New York's Most Unwanted Inhabitants (Robert Sullivan, 2004)Plagues, Poisons, and Dead Rats: A Multispecies History (Lucinda Cole, ur boken The Palgrave Handbook of Animals and Literature, 2020)Never Home Alone (Rob Dunn, 2020)Artiklar/källor i urvalSkadedjur i byggnader – en kunskapssammanställning (Malmö universitet på uppdrag av Boverket, 2025)Challenges in current pest management practices: Navigating problems and a way forward by integrating controlled release system approach (Singh et al., Chemical Engineering Journal, 2024)How pest control has changed in 100 years (Rentokil, 2025)Studie: Myror lika bra som gifter mot skadedjur (SvD, 2022)“They're always there”: resident experiences of living with rats in a disadvantaged urban neighbourhood (BMC Public Health, 2019)Increasing rat numbers in cities are linked to climate warming, urbanization, and human population (Science Advances, 2025)Reconsidering the “War on Rats”: What We Know From Over a Century of Research Into Municipal Rat Management (Corrigan, Himsworth, Byers, m.fl, Frontiers in Ecology and Evolution, 2022)Surveillance of Emerging Rodent-Borne Pathogens in Wastewater in Taiwan: A One Health Approach (Tropical Medicine and Infectious Disease, 2024)Bedbugs Could Be More Horrifying Than You Think. They might be capable of spreading disease, recent research shows. (The Atlantic, 2024)Anticoagulant rodenticides and resistance development in rodent pest species – A comprehensive review (Journal of Stored Products Research, 2020)Public Health Significance of Urban Pests (World Health Organization, 2008)Rodenticide Toxicity (StatPearls Publishing, 2026)Increasing rat numbers in cities are linked to climate warming, urbanization, and human population (ScienceAdvances, 2025)Public and media interest in bed bugs – Europe 2023 (Current Research in Insect Science, 2024)Large-scale structure of brown rat (Rattus norvegicus) populations in England: effects on rodenticide resistance (PeerJ, 2015)”Hysterisk” ökning av klädesmal (Sveriges Radio, 2015)Second hand–trend bidrar till att fler har problem med pälsmal i hemmen: ”Var extra noga om du köper möbler” (Smålandsposten, 2023)De äter på mattor och kläder – så blir du av med klädmal (Göteborgs-Posten, 2024)Revenge of the clothes moths: as numbers boom, can they be stopped? (The Guardian, 2019)High prevalence of hepatitis E and rat hepatitis E viruses in wastewater in Gothenburg, Sweden (One Health, 2024)Lessons learned from bat and rodent reservoir hosts of zoonotic viruses (Trends in microbiology, 2026)Human ectoparasites and the spread of plague in Europe during the Second Pandemic (Proc Natl Acad Sci U S A, 2018)Yersinia pestis: the Natural History of Plague (Clinical Microbiology Reviews, 2020)Disruption of the microbiota affects physiological and evolutionary aspects of insecticide resistance in the German cockroach, an important urban pest (PloS one, 2018)Case not closed: arguments for new studies of the interactions between bed bugs and human pathogens (The American Journal of Tropical Medicine and Hygiene, 2020)Microbiome differences between human head and body lice ecotypes revealed by 16S RRNA gene amplicon sequencing (The Journal of Parasitology, 2020)Do bed bugs transmit human viruses, or do humans spread bed bugs and their viruses? A worldwide survey of the bed bug RNA virosphere (Virus Research, 2024)Competence of Cimex lectularius Bed Bugs for the Transmission of Bartonella quintana, the Agent of Trench Fever (PLoS Negl Trop Dis., 2015)Ratmageddon: Why rats are overrunning our cities (BBC, 2025)‘Perfect rat storm': urban rodent numbers soar as the climate heats, study finds (The Guardian, 2025)Global population divergence and admixture of the brown rat (Rattus norvegicus) (Biological Sciences, 2016)Highly Pathogenic Leptospira Found in Urban Brown Rats (Rattus norvegicus) in the Largest Cities of Sweden. (Vector Borne and Zoonotic Disease, 2015)First evidence of Seoul hantavirus in the wild rat population in the Netherlands (Infection Ecology & Epidemiology, 2015)Pet rat harbouring Seoul hantavirus in Sweden (Eurosurveillence, 2013)Seoul Hantavirus Frequently Asked Questions (Wisconsin department of health services)Leptospira Status in Sweden during the Past Century, Neglected and Re-Emerging? (Microorganisms, 2023)Bed bug infestations: prevalence, correlates, and cross-sectional association with psychological symptoms in a large sample of tenants in Montreal, Canada (BMC Public Health, 2025)Anticimex: Trendbrott för vägglöss – 19 procent fler saneringar 2025 (Anticimex, 2026)Rats infest Gaza's tent camps, biting children and spreading disease (Reuters, 2026)Reconsidering the “War on Rats”: What We Know From Over a Century of Research Into Municipal Rat Management (Frontiers in ecology and evolution, 2022)Cockroaches as urban pests: Challenges, public health implications, and management strategies (One Health, 2026)HURP: Helsinki Urban Rat ProjectHow did the cruise ship hantavirus outbreak start? Scientists are investigating new scenarios (Science, 2026)A timeline of the hantavirus outbreak on cruise ship (AP, 2026)Hantavirus outbreak linked to cruise ship travel, Multi-locations (World Health Organization, 2026)Sjukdomsinformation om hantavirusinfektion (Folkhälsomyndigheten)Mjölbaggar erövrar studentboendet: ”Inte mitt hem längre” (SVT, 2025)Silent Carriers: The Role of Rodents in the Emergence of Zoonotic Bacterial Threats (Pathogens, 2025)8 av 10 stockholmare har sett råttor (Anticimex, 2019)Silverfiskar vanligast men inte så farliga (Hem & Hyra, 2017)MusikGeoff Barrow, Ben Salisbury – Dream RealityCristobal Tapia De Veer – Pain SpeedballKid Loco – Theme from the Graffiti ArtistMarcus Bagalà – Duco in Mara's RoomCliff Martinez – I'm in the PinkMarcus Bagalà – Frets: Problem, After ProblemMartin D Fowler – 1 Ships VIIRamin Djawadi – Winter is ComingAlberto Iglesias – TreasureCliff Martinez – Save Some For UsJocelyn Pook – Driving to PrisonCliff Martinez – I'm SickAlice Cooper – PoisonCliff Martinez – Placental RepairJessica Dannheisser, Adele Roberts – Parade of the GeeseCliff Martinez – Speight Lived HereOchre – Midsummer Nice DreamMarcus Bagalà – Wires: WinchimesMichael Andrews – Peter and SylvieK2 – Bexar BexarCliff Martinez – Navy FuneralMike Patton – Murder is WorkMartin D Fowler – 1 Ships XIITrent Reznor, Atticus Ross – Empty Places (Reprise)Cliff Martinez – Same SweatpantsCristobal Tapia De Veer – The PublicJeff Beal – I think I Smell GasTrentemöller – Take Me Into Your SkinTrent Reznor, Atticus Ross – Clue OneKyle Dixon, Michael Stein – ElevenStar Hopper – Through the HeliopausePaul Leonard-Morgan – Anderson's ThemeMartin D Fowler – 1 Ships IIIJon Brion – You LearnThe Mariachis – La Cucaracha

Welche Nahrungsergänzung wirkt wirklich – und was ist nur teurer Urin?Am Ende dieser Folge hast Du den Überblick. Du weißt, welche 5 Supplements wissenschaftlich am besten dastehen, woran Du echte Qualität erkennst und wann Du Dir das Geld sparen kannst. Garantiert frei von Superlativen, dafür mit den Gedanken unseres medizinischen Beirats, des Sport- und Ernährungsmediziners Niels Schulz-Ruhtenberg.Du erfährst:warum dasselbe Supplement bei dem einen wie Magie wirkt und beim anderen nichts bringtwelche 5 sich lohnen (von Vitamin D bis Kreatin)was die neue COSMOS-Studie aus Harvard über Multivitamine zeigt (und warum Du sie trotzdem nüchtern einordnen solltest)wie Du sinnvolle Präparate von teurer Geldverbrennung unterscheidest

Peut-on vraiment apprendre à être heureux, comme on apprend une langue ou un instrument de musique ? La question peut sembler naïve. Pourtant, depuis une vingtaine d'années, la psychologie et les neurosciences s'y intéressent très sérieusement.Un premier élément clé vient des travaux de Sonja Lyubomirsky, professeure à l'Université de Californie. Dans une étude publiée en 2005 dans Review of General Psychology, elle propose que le niveau de bonheur dépendrait pour environ 50 % de facteurs génétiques, 10 % des circonstances de vie… et 40 % d'activités volontaires. Autrement dit, une part significative de notre bien-être dépendrait de ce que nous faisons régulièrement.Mais ces activités fonctionnent-elles vraiment ? En 2008, une étude expérimentale publiée dans Journal of Clinical Psychology a testé différentes pratiques issues de la psychologie positive : tenir un journal de gratitude, écrire une lettre de reconnaissance, cultiver l'optimisme. Résultat : les participants qui pratiquaient régulièrement ces exercices voyaient leur niveau de bien-être augmenter de manière significative par rapport au groupe contrôle. Plus intéressant encore : les effets pouvaient durer plusieurs mois.Les neurosciences confirment en partie ces observations. Des recherches en imagerie cérébrale menées par Richard Davidson à l'Université du Wisconsin ont montré que la méditation de compassion pouvait modifier l'activité du cortex préfrontal gauche, une région associée aux émotions positives et à la résilience. Ces changements ne sont pas simplement subjectifs : ils sont mesurables dans l'activité électrique et fonctionnelle du cerveau.En 2015, une vaste méta-analyse publiée dans BMC Public Health a examiné plus de 30 études sur les interventions de psychologie positive. Conclusion : ces pratiques produisent en moyenne une amélioration modeste mais réelle du bien-être et une diminution des symptômes dépressifs. Ce n'est pas une transformation spectaculaire, mais un effet robuste et reproductible.Alors, peut-on apprendre à être heureux ? La réponse scientifique semble être oui, en partie. Nous ne choisissons pas notre patrimoine génétique ni toutes nos circonstances. Mais certaines habitudes — gratitude, relations sociales de qualité, engagement dans des activités porteuses de sens, méditation — peuvent entraîner le cerveau à réagir différemment.Le bonheur ne serait donc pas un état figé, mais une compétence. Une compétence imparfaite, influencée par de nombreux facteurs… mais entraînable. Comme un muscle. Et peut-être que la question n'est pas “Puis-je devenir parfaitement heureux ?”, mais plutôt : “Quelles pratiques quotidiennes peuvent légèrement incliner mon cerveau vers plus de sérénité ?” Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.

A study published in Nature Communications, published Feb 19, 2026, found that “pregnancy physically alters a woman's brain, with a second pregnancy bringing even more profound effects.” The researchers “performed brain scans on 110 women. Some were first-time mothers, others second-time moms, and some nulliparous women. Results showed that during a first pregnancy, the greatest changes occur in the structure and activity of the ‘default mode network' – the brain system responsible for self-reflection and mind wandering. Are these changes bad? Are they associated with long term hard? Are they adaptive? It's a complex question, with real answers. Listen in for details.1. Straathof, M., Halmans, S., Pouwels, P.J.W. et al. The effects of a second pregnancy on women's brain structure and function. Nat Commun 17, 1495 (2026). https://doi.org/10.1038/s41467-026-69370-82. de Lange AG, Kaufmann T, van der Meer D, et al. Population-Based Neuroimaging Reveals Traces of Childbirth in the Maternal Brain. Proceedings of the National Academy of Sciences of the United States of America. 2019.3. Aleknaviciute J, Evans TE, Aribas E, et al.)Long-Term Association of Pregnancy and Maternal Brain Structure: The Rotterdam Study. European Journal of Epidemiology. 2022.4. Jung JH, Lee GW, Lee JH, et al. Multiparity, Brain Atrophy, and Cognitive Decline. Frontiers in Aging Neuroscience. 2020.5. Hu A, Xiong L, Wei H, et al. Association of Menarche, Menopause, and Reproductive History With Cognitive Performance in Older US Women: A Cross-Sectional Study From NHANES 2011-2014. BMC Public Health. 2025.6. Orchard ER, Ward PGD, Sforazzini F, et al. Relationship Between Parenthood and Cortical Thickness in Late Adulthood. PloS One. 20207. Hoekzema E, Barba-Müller E, Pozzobon C, et al. Pregnancy Leads to Long-Lasting Changes in Human Brain Structure. Nature Neuroscience. 2017.8. de Lange AG, Barth C, Kaufmann T, et al. Women's Brain Aging: Effects of Sex-Hormone Exposure, Pregnancies, and Genetic Risk for Alzheimer's Disease. Human Brain Mapping. 2020.Visit our SPONSOR's LINK to learn more about the Hemorrhage view CS Drape: https://www.perspectivemedical.org/

 This episode's guests:Shweta Kulkarni, AstronEra.Josh Dury, Award Winning Photographer.Jim Webster, Advocate.Bill's News Picks:Explore NASA's most detailed map of the night sky yet, Andrew Paul, Popular Science. Satellite megaconstellations will threaten space-based astronomy, Nature. Minimizing aviation lighting duration reduces bat attraction to wind turbines, Journal of Applied Ecology. Tawny owls are turning to street lighting to help them hunt, British Ecological Society. Impact of artificial light at night on obesity and overweight: a systematic review and meta-analysis, BMC Public Health. Send Feedback Text to the Show!Support the showA hearty thank you to all of our paid supporters out there. You make this show possible. For only the cost of one coffee each month you can help us to continue to grow. That's $3 a month. If you like what we're doing, if you think this adds value in any way, why not say thank you by becoming a supporter! Why Support Light Pollution News? Receive quarterly invite to join as live audience member for recordings with special Q&A session post recording with guests. Receive all of the news for that month via a special Supporter monthly mailer. Satisfaction that your support helps further critical discourse on this topic. About Light Pollution News: The path to sustainable starry night solutions begin with being a more informed you. Light Pollution, once thought to be solely detrimental to astronomers, has proven to be an impactful issue across many disciplines of society including ecology, crime, technology, health, and much more! But not all is lost! There are simple solutions that provide for big impacts. Each month, Bill McGeeney, is joined by upwards of three guests to help you grow your awareness and understanding of both the challenges and the road to recovering our disappearing nighttime ecosystem.

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-470 Overview: Social media use is nearly ubiquitous among adolescents, raising concern about its role in rising rates of depression, anxiety, insomnia, and suicidality. Although prior evidence has been mixed, emerging studies offer new insights on the relationship between social media use and adolescent mental health. Join us as we review current literature and discuss potential strategies to mitigate negative impacts and improve outcomes. Episode resource links: Calvert E, Cipriani M, Dwyer B, et al. Social Media Detox and Youth Mental Health. JAMA Netw Open. 2025;8(11):e2545245. doi:10.1001/jamanetworkopen.2025.45245 https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2840489   Clayborne ZM, Capaldi CA, Mehra VM. Associations between digital media use behaviours, screen time and positive mental health in youth: results from the 2019 Canadian Health Survey on Children and Youth. BMC Public Health. 2025;25(1):2303. Published 2025 Jul 3. doi:10.1186/s12889-025-22874-2 Grøntved A, Singhammer J, Froberg K, et al. A prospective study of screen time in adolescence and depression symptoms in young adulthood. Prev Med. 2015;81:108-113. doi:10.1016/j.ypmed.2015.08.009 Nagata JM, Memon Z, Talebloo J, et al. Prevalence and Patterns of Social Media Use in Early Adolescents. Acad Pediatr. 2025;25(4):102784. doi:10.1016/j.acap.2025.102784 Oberle E, Ji XR, Kerai S, Guhn M, Schonert-Reichl KA, Gadermann AM. Screen time and extracurricular activities as risk and protective factors for mental health in adolescence: A population-level study. Prev Med. 2020;141:106291. doi:10.1016/j.ypmed.2020.106291 Pieh C, Humer E, Hoenigl A, et al. Smartphone screen time reduction improves mental health: a randomized controlled trial. BMC Med. 2025;23(1):107. Published 2025 Feb 21. doi:10.1186/s12916-025-03944-z Riehm KE, Feder KA, Tormohlen KN, et al. Associations Between Time Spent Using Social Media and Internalizing and Externalizing Problems Among US Youth. JAMA Psychiatry. 2019;76(12):1266–1273. doi:10.1001/jamapsychiatry.2019.2325 Varona MN, Muela A, Machimbarrena JM. Problematic use or addiction? A scoping review on conceptual and operational definitions of negative social networking sites use in adolescents. Addict Behav. 2022;134:107400. doi:10.1016/j.addbeh.2022.107400 Woolf SH. The Youth Mental Health Crisis in the United States: Epidemiology, Contributors, and Potential Solutions. Pediatrics. 2025;156(5):e2025070849. doi:10.1542/peds.2025-070849 Xiang AH, Martinez MP, Chow T, et al. Depression and Anxiety Among US Children and Young Adults. JAMA Netw Open. 2024;7(10):e2436906. doi:10.1001/jamanetworkopen.2024.36906 BBC: Australia has banned social media for kids under 16. How will it work? https://www.bbc.com/news/articles/cwyp9d3ddqyo Guest: Susan Feeney, DNP, FNP-BC, NP-C   Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com  The views expressed in this podcast are those of Dr. Domino and his guests and do not necessarily reflect the views of Pri-Med.

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-470 Overview: Social media use is nearly ubiquitous among adolescents, raising concern about its role in rising rates of depression, anxiety, insomnia, and suicidality. Although prior evidence has been mixed, emerging studies offer new insights on the relationship between social media use and adolescent mental health. Join us as we review current literature and discuss potential strategies to mitigate negative impacts and improve outcomes. Episode resource links: Calvert E, Cipriani M, Dwyer B, et al. Social Media Detox and Youth Mental Health. JAMA Netw Open. 2025;8(11):e2545245. doi:10.1001/jamanetworkopen.2025.45245 https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2840489   Clayborne ZM, Capaldi CA, Mehra VM. Associations between digital media use behaviours, screen time and positive mental health in youth: results from the 2019 Canadian Health Survey on Children and Youth. BMC Public Health. 2025;25(1):2303. Published 2025 Jul 3. doi:10.1186/s12889-025-22874-2 Grøntved A, Singhammer J, Froberg K, et al. A prospective study of screen time in adolescence and depression symptoms in young adulthood. Prev Med. 2015;81:108-113. doi:10.1016/j.ypmed.2015.08.009 Nagata JM, Memon Z, Talebloo J, et al. Prevalence and Patterns of Social Media Use in Early Adolescents. Acad Pediatr. 2025;25(4):102784. doi:10.1016/j.acap.2025.102784 Oberle E, Ji XR, Kerai S, Guhn M, Schonert-Reichl KA, Gadermann AM. Screen time and extracurricular activities as risk and protective factors for mental health in adolescence: A population-level study. Prev Med. 2020;141:106291. doi:10.1016/j.ypmed.2020.106291 Pieh C, Humer E, Hoenigl A, et al. Smartphone screen time reduction improves mental health: a randomized controlled trial. BMC Med. 2025;23(1):107. Published 2025 Feb 21. doi:10.1186/s12916-025-03944-z Riehm KE, Feder KA, Tormohlen KN, et al. Associations Between Time Spent Using Social Media and Internalizing and Externalizing Problems Among US Youth. JAMA Psychiatry. 2019;76(12):1266–1273. doi:10.1001/jamapsychiatry.2019.2325 Varona MN, Muela A, Machimbarrena JM. Problematic use or addiction? A scoping review on conceptual and operational definitions of negative social networking sites use in adolescents. Addict Behav. 2022;134:107400. doi:10.1016/j.addbeh.2022.107400 Woolf SH. The Youth Mental Health Crisis in the United States: Epidemiology, Contributors, and Potential Solutions. Pediatrics. 2025;156(5):e2025070849. doi:10.1542/peds.2025-070849 Xiang AH, Martinez MP, Chow T, et al. Depression and Anxiety Among US Children and Young Adults. JAMA Netw Open. 2024;7(10):e2436906. doi:10.1001/jamanetworkopen.2024.36906 BBC: Australia has banned social media for kids under 16. How will it work? https://www.bbc.com/news/articles/cwyp9d3ddqyo Guest: Susan Feeney, DNP, FNP-BC, NP-C   Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com  The views expressed in this podcast are those of Dr. Domino and his guests and do not necessarily reflect the views of Pri-Med.

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-464 Overview: Beyond detecting disease early, lung cancer screening provides an opportunity to encourage smoking cessation. In this episode, we review USPSTF guidelines, compare screening effectiveness, and explore how the use of a pulmonary function test (PFT) and a lung age estimator can help people who smoke better understand their risks and inspire behavior change. Episode resource links: USPSTF: https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/lung-cancer-screening BMJ (Clinical Research Ed.). 2008;336(7644):598-600. doi:10.1136/bmj.39503.582396.25. BMC Public Health. 2022;22(1):1164. doi:10.1186/s12889-022-13583-1. Guest: Robert A. Baldor MD, FAAFP Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com  

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-464 Overview: Beyond detecting disease early, lung cancer screening provides an opportunity to encourage smoking cessation. In this episode, we review USPSTF guidelines, compare screening effectiveness, and explore how the use of a pulmonary function test (PFT) and a lung age estimator can help people who smoke better understand their risks and inspire behavior change. Episode resource links: USPSTF: https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/lung-cancer-screening BMJ (Clinical Research Ed.). 2008;336(7644):598-600. doi:10.1136/bmj.39503.582396.25. BMC Public Health. 2022;22(1):1164. doi:10.1186/s12889-022-13583-1. Guest: Robert A. Baldor MD, FAAFP Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com  

Send us a textHey there, my friends — this week I'm coming to you with something simple… and something human.No outline.No strategy.Just us.I'm sharing a couple of stories —and reflecting on what service really means during this season. Not the big, heroic kind. The small, human, everyday kind. The kind that steadies us emotionally and reminds us who we want to be.We talk about dignity, compassion, emotional grounding, and why even tiny acts of kindness shift the nervous system in powerful ways (yes, the research backs this up). And I share what I'm personally choosing to do this week — something small, but from the heart.If you've ever wondered how service connects to our wellness, our mindset, and our Project Weight Loss path… this is the episode I hope you listen to.Quote of the Week:“Wherever you turn, you can find someone who needs you.” — Albert SchweitzerCitations:Raposa, E. B., Laws, H. B., & Ansell, E. B. (2018). Prosocial behavior mitigates the negative effects of stress in everyday life. BMC Public Health, 18, 169.Kim, J. J., Cunnington, R., & Kirby, J. N. (2019). The neurophysiological basis of compassion: An fMRI study. Emotion, 19(7), 1261–1271.Let's go, let's get it done. Get more information at: http://projectweightloss.org

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

Overview: In this episode, Dr Toyin Nwafor and Dr Andrew Zolopa provide an overview of the HIV treatment landscape both globally and in the United States. They highlight the current gaps in the HIV care continuum, emphasize the importance of rapid start and viral suppression in reducing HIV transmission through sex and describe initiatives and strategies aimed at closing these gaps to help end the HIV epidemic in the United States. The views expressed are those of the panelist(s) and not necessarily Gilead Sciences, Inc. The information provided in this podcast is not intended to be and should not be understood to provide medical advice. Listeners should note that our discussions in this episode are relevant to the USA only and may not be appropriate for other regions. This episode was recorded in August 2025 and the content reflects the information available at that time. Guest: Toyin Nwafor, MD; Andrew Zolopa, MD   For more information, please visit: https://www.pri-med.com/clinical-resources/curriculum/hiv-in-focus  References AETC. Rapid (immediate) ART initiation and restart: guide for clinicians. 2023. Available from: https://aidsetc.org/resource/rapid-immediate-art-initiation-restart-guide-clinicians (Accessed June 25, 2025). Baxter A et al. J Acquir Immune Defic Syndr 2025;99:47–54. CDC. About ending the HIV epidemic in the US. 2024. Available from: https://www.cdc.gov/ehe/php/about/index.html (Accessed June 25, 2025). CDC. Clinical testing guidance for HIV. 2025. Available from: https://www.cdc.gov/hivnexus/hcp/diagnosis-testing/index.html (Accessed June 25, 2025). CDC. Getting tested for HIV. 2025. Available from: https://www.cdc.gov/hiv/testing/index.html#cdc_testing_why_get_tested-why-get-tested (Accessed June 25, 2025). CDC. Laboratory testing for the diagnosis of HIV infection. 2014. Available from: https://stacks.cdc.gov/view/cdc/23446 (Accessed June 25, 2025). CDC. National HIV prevention and care objectives: 2025 update. 2025. Available from: https://www.cdc.gov/hiv-data/nhss/national-hiv-prevention-and-care-objectives-2025.html (Accessed June 25, 2025). Delaney KP et al. Am J Prev Med 2021;61(5 Suppl 1):S6–S15. DHHS. Guidelines for the use of antiretroviral agents in adults and adolescents living with HIV. 2024. Available from: https://clinicalinfo.hiv.gov/sites/default/files/guidelines/documents/adult-adolescent-arv/guidelines-adult-adolescent-arv.pdf (Accessed June 25, 2025). HIV.gov. EHE overview. 2025. Available from: https://www.hiv.gov/federal-response/ending-the-hiv-epidemic/overview (Accessed June 25, 2025). HIV.gov. Global statistics. 2025. Available from: https://www.hiv.gov/hiv-basics/overview/data-and-trends/global-statistics (Accessed June 25, 2025). HIV.gov. HIV Care Continuum. 2025. Available from: https://www.hiv.gov/federal-response/other-topics/hiv-aids-care-continuum (Accessed June 25, 2025). HIV.gov. Key EHE strategies. 2024. Available from: https://www.hiv.gov/federal-response/ending-the-hiv-epidemic/key-strategies (Accessed June 25, 2025). HIV.gov. US statistics. 2025. Available from: https://www.hiv.gov/hiv-basics/overview/data-and-trends/statistics (Accessed June 25, 2025). HIV.gov. Viral suppression and undetectable viral load. 2025. Available from: https://www.hiv.gov/hiv-basics/staying-in-hiv-care/hiv-treatment/viral-suppression (Accessed June 25, 2025). Mirzazadeh A et al. PLoS Med 2022;19:e1003940. NIH. HIV testing. 2025. Available from: https://hivinfo.nih.gov/understanding-hiv/fact-sheets/hiv-testing (Accessed June 25, 2025). Palacio-Vieira J et al. BMC Public Health 2021;21:1596. Saag MS et al. JAMA 2018;320:379–96. The White House. National HIV/AIDS strategy for the United States 2022–2025. 2021. Available from: https://files.hiv.gov/s3fs-public/NHAS-2022-2025.pdf (Accessed June 25, 2025). WHO. Supporting re-engagement in HIV treatment services: policy brief. 2024. Available from: https://www.who.int/publications/i/item/9789240097339 (Accessed June 25, 2025).

Essi kann im Urlaub nicht richtig abschalten. Obendrein hat sie dann auch noch ein schlechtes Gewissen. Eine Psychologin kennt Wege, mit denen wir unsere Gedanken ein bisschen zur Ruhe bringen – vor und in den Ferien.**********Ihr hört: Gesprächspartnerin: Essi, schafft es im Urlaub oft nicht abzuschalten und hat ein schlechtes Gewissen deswegen Gesprächspartnerin: Romana Dreyer, Arbeits- und Organisationspsychologin Gesprächspartner: Arno Prähler, Sprecher der DAK, die den Urlaubsreport in Auftrag gegeben hat Autor und Host: Przemek Żuk Redaktion: Ivy Nortey, Christian Schmitt, Neneh Sanneh Produktion: Christiane Neumann**********Quellen:Forsa (2024). Sommerurlaub 2024. Ergebnisse einer repräsentativen Befragung.Kühnel, J. & Sonnentag, S. (2011), How long do you benefit from vacation? A closer look at the fade-out of vacation effects†. J. Organiz. Behav., 32: 125-143.Bloom, J., & Geurts, S. & Kompier, M. (2012). Vacation (after-) effects on employee health and well-being, and the role of vacation activities, experiences and sleep. Journal of Happiness Studies. 14.Hübner, M., Lechleitner, P. & Neumayr, G. (2022). Effects of a one-week vacation with various activity programs on well-being, heart rate variability, and sleep quality in healthy vacationers—an open comparative study. BMC Public Health 22, 2435.Speth, F., Wendsche J. & Wegge, J. (2023). We Continue to Recover Through Vacation!. European Psychologist, 28(4), 274-287.Alle Quellen findet ihr hier.**********Mehr zum Thema bei Deutschlandfunk Nova:Beziehung: Warum im Urlaub oft so viele Emotionen hochkommenReisen: Wie wir mit wenig Gepäck auskommenReisetypen: Wenn wir den Urlaub genau durchplanen**********Den Artikel zum Stück findet ihr hier.**********Ihr könnt uns auch auf diesen Kanälen folgen: TikTok und Instagram .**********Meldet euch!Ihr könnt das Team von Facts & Feelings über Whatsapp erreichen.Uns interessiert: Was beschäftigt euch? Habt ihr ein Thema, über das wir unbedingt in der Sendung und im Podcast sprechen sollen?Schickt uns eine Sprachnachricht oder schreibt uns per 0160-91360852 oder an factsundfeelings@deutschlandradio.de.Wichtig: Wenn ihr diese Nummer speichert und uns eine Nachricht schickt, akzeptiert ihr unsere Regeln zum Datenschutz und bei Whatsapp die Datenschutzrichtlinien von Whatsapp.

Picture your dream living room. You're sitting on the sofa with the window open. What do you hear? Is it the sound of a flowing river? The murmuring of human chatter as friends enjoy a hot drink at the neighbouring cafe? A soundscape is your aural environment – everything you can hear around you, and researchers say the soundscape where you live can influence your wellbeing.想象您梦dream以求的客厅。 您坐在沙发上，窗户打开。 你听到了什么？ 它是流动的河流吗？ 当朋友在附近的咖啡馆享用热饮吗？ 音景是您的听觉环境 - 您周围能听到的一切，研究人员说，您所处的声音会影响您的健康。In times gone by, soundscapes would've consisted of the sounds of nature, such as birdcall and the sound of crashing waves. The reality of human life in the 21st Century means that air travel, construction and traffic noises are now in the mix, and agricultural noise means that not even rural life is safe. Noise pollution can lead to heightened stress levels, impaired cognitive function and higher risk of cardiovascular disease in humans, according to an article published by the UK Parliament called 'The effects of artificial light and noise on human health'. Not only that, it can affect the behaviour and life cycles of species which rely on sound.在过去的时间里，音景将由自然的声音组成，例如鸟叫声和撞浪的声音。 21世纪人类生活的现实意味着现在的空中旅行，建筑和交通噪音现在已经存在，农业噪音意味着甚至农村的生活也不是安全的。 根据英国议会发表的一篇文章，噪声污染会导致应激水平升高，认知功能受损和人类心血管疾病的风险更高。 不仅如此，它还会影响依赖声音的物种的行为和生命周期。So, what can be done? Urban design is one trick. In Barcelona in Spain, urban planners designed 'superblocks', where traffic goes around big groups of buildings and the inner streets are pedestrianised, creating space for people and wildlife that is free from beeping horns and humming motors. In a 2025 article published in BMC Public Health, people in these areas reported an improvement in wellbeing, quality of sleep and reduction in noise.那么，怎么办？ 城市设计是一种技巧。 在西班牙的巴塞罗那，城市规划师设计了“超级块”，那里的交通围绕着大型建筑物和内部街道进行了行人，为人们和野生动植物创造了空间，这些空间没有蜂鸣声和嗡嗡声。 在2025年发表在BMC公共卫生中的一篇文章中，这些地区的人们报告说，健康状况的改善，睡眠质量和噪音的降低。Other techniques include tree buffers, where trees are planted in urban areas to absorb sound energy. In the Netherlands, they have created earth banks next to Schiphol airport to absorb noise from the runways and protect residents in the surrounding areas. England has a vast network of hedgerows – they'd stretch around the Earth almost ten times if lined up! And it turns out they make excellent sound barriers, particularly if the hedges are large, dense and evergreen.其他技术包括树缓冲液，在城市地区种植树木以吸收声音能量。 在荷兰，他们在史基菲尔机场旁边创建了地球银行，以吸收跑道的噪音，并保护周围地区的居民。 英格兰有一个庞大的树篱网络 - 如果排队几乎可以在地球上延伸十倍！ 事实证明，它们制造出极好的声音障碍，尤其是在树篱大，密集且常绿时。When we think about improving our environment, it's likely your mind jumps to reducing litter and air pollution. But reducing noise pollution is also important, to create a soundscape that works for everyone – people and wildlife. 当我们考虑改善环境时，您的大脑可能会跳下垃圾和空气污染。 但是，减少噪音污染也很重要，可以创建适合每个人（人和野生动植物）的音景。

Si quieres adelgazar de verdad sin dietas extremas ni horas interminables de cardio, este vídeo es para ti. Te cuento 3 trucos prácticos que no suelen explicarte, pensados para personas con trabajo, familia y poco tiempo.En este vídeo descubrirás:- Cómo reducir carbohidratos de forma inteligente para evitar que se acumulen como grasa.- Por qué el entrenamiento de fuerza es esencial para mantener tu metabolismo alto y perder peso de forma sostenible.- Cómo planificar tus comidas para no dejar nada al azar y evitar los impulsos que sabotean tu progreso.Son estrategias claras y realistas para ayudarte a perder grasa sin volver al punto de partida.Déjame en comentarios en qué momento te cuesta más mantener tu alimentación o tus hábitos. Suscríbete al canal para más consejos sobre rendimiento deportivo, salud y nutrición explicados de forma clara y profesional.Web: www.faustoalfaro.comInstagram: @faustoalfaro_Twitter/X: @faustoalfaro_Referencias:- Clark, J. E., et al. (2018). Resistance Training Preserves Fat-Free Mass and Resting Energy Expenditure Following Weight Loss. Obesity Reviews, 19(4), 465–478. - Seimon, R. V., et al. (2015). Intermittent fasting, energy balance and associated health outcomes in adults: study protocol for a randomised controlled trial. BMC Public Health, 15, 743.Pequeños cambios generan grandes éxitos. Nos vemos en el siguiente vídeo. Gracias por estar ahí.

In this wide ranging episode Cath focuses on parental burnout and talks about how we are more vulnerable to this if we have childhood trauma and why. She references recent research into this topic discussing what it is, risk factors for parental burnout, why it matters, how we can conceive of it through a nervous system lens and how we can support ourselves.The link to the research discussed in the podcast, is listed below. Ren, X., Cai, Y., Wang, J. et al. A systematic review of parental burnout and related factors among parents. BMC Public Health 24, 376 (2024). https://doi.org/10.1186/s12889-024-17829-yIf you're enjoying this podcast. Please leave a review and rate the podcast, this really helps others to find it.To sign up for the journal prompts and Nurture.Heal.Grow (on Substack) please head to www.cathcounihan.com or @cathcounihan on Instagram. Follow Cath on social media here:Instagram: @cathcounihanSubstack: Nurture.Heal.GrowFacebook: Cath Counihan Hosted on Acast. See acast.com/privacy for more information.

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/.

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

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

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

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/  

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)

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)

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/