Podcasts about charit

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Best podcasts about charit

Latest podcast episodes about charit

The European Skeptics Podcast
TheESP – Ep. #376 – So much German nonsense

The European Skeptics Podcast

Play Episode Listen Later May 5, 2023 48:53


…BTW, there was not a single monkey at the Scopes Monkey trial Brian Eggo is back to save the day once again! as András and Annika couldn't make it. But we hope that just like them and us, you will all make it to QED in Manchester on 23-24 of September. We will certainly be there! Tickets are now out and they're selling like, well, QED-tickets after a pandemic. Get yours now! In TWISH we hear about the arrest of John Scopes of the Scopes Monkey trial fame. (No monkeys were hurt in the making of this episode). Then, it's time for the news: GERMANY: Homeopathy company Heel reported to authorities for false advertising of product UK: On the power of objects, as the country is preparing for the coronation of The Alternative Prince INTERNATIONAL: WHO pseudoscience INTERNATIONAL: How medical decisions are really made? The Charité school in Berlin gets this weeks prize for being Really Wrong as they for no apparent reason pay for a professorship in anthroposophy. Enjoy! Segments: Intro; Greetings; TWISH; News; Really Wrong; Quote And Farewell; Outro; Out-Takes

Les Nuits de France Culture
Soyez témoins - L'incendie du Bazar de la Charité (1ère diffusion : 02/05/1956 Chaîne Parisienne)

Les Nuits de France Culture

Play Episode Listen Later May 2, 2023 45:00


durée : 00:45:00 - Les Nuits de France Culture - par : Albane Penaranda - Soyez témoins - L'incendie du Bazar de la Charité (1ère diffusion : 02/05/1956 Chaîne Parisienne) Par André Gillois - Avec Madame Simone et Jean Oberlé - Réalisation Jacques Guinchard

Hotel Matze
Emilia Schüle – Wann fühlst du dich gesehen?

Hotel Matze

Play Episode Listen Later Apr 19, 2023 93:52


Mit acht Jahren stand sie das erste Mal vor der Kamera. Sie hat in vielen erfolgreichen deutschen Film- und Fernsehproduktionen mitgewirkt, darunter "Freche Mädchen", "Krabat", "Die Unsichtbare", "Charité", der "Ku'damm Reihe" oder “Wunderschön”. Und inzwischen dreht sie international zum Beispiel die Serie “Marie Antoinette”, die in diesem Jahr auch in Deutschland zu sehen sein wird. Was schnell auffällt, ist, wie viel sie mit ihren 30 Jahren schon gespielt - also gearbeitet - hat. Das ist Emilia auch aufgefallen, darum hat sie gerade ein einjähriges Sabbatical hinter sich. Natürlich hat mich das interessiert. Wir sprechen über ihre russisch-ukrainischen Wurzeln, die strengen Eltern und Mobbing-Erfahrungen in der Schule. Wir haben uns über den Zauber des Films unterhalten, über Frauenrollen und wie diese die Gesellschaft prägen. Es geht um Empathie, Schönheit und den Blick der Kamera. MEIN GAST: https://instagram.com/emilia.schuele/ DINGE: Marie Antoinette (Trailer) - https://youtube.com/watch?v=bK4D5qC_EW8 Digitale Empathie e.V. - https://cybermobbing-hilfe.de/ Margot Robbie Is a Force of Change in Hollywood (Artikel) - https://on.wsj.com/3GS815m Natalie Portman Opens Up About Sexual Harassment in Hollywood: ‘I Think Every Woman Has Experienced This' (Artikel) - https://bit.ly/3LcKhM0 WERBEPARTNER: https://linktr.ee/hotelmatze MITARBEIT: Redaktion: Annie Hoffmann Mix & Schnitt: Maximilian Frisch Videoschnitt: Sebastian Fischbeck Musik: Jan Köppen & Andi Fins MEIN ZEUG: Mein neues Buch: https://bit.ly/3cDyQ18 Die Hotel Matze Suite bei Apple: https://apple.co/3DTfsFb Die Hotel Matze Suite bei Spotify: https://bit.ly/3J7OLjJ Wunschgäste bitte in die Kommentare: https://apple.co/2RgJVH6 Mein Newsletter: https://matzehielscher.substack.com/ Instagram: https://instagram.com/matzehielscher LinkedIn: https://linkedin.com/in/matzehielscher/ YouTube: https://bit.ly/2MXRILN Twitter: https://twitter.com/hotelmatze1 Mein erstes Buch: https://bit.ly/39FtHQy Mein Fragenset: https://beherzt.net/matze

So bin ich eben! Stefanie Stahls Psychologie-Podcast für alle
ADHS bei Erwachsenen – eine erlösende Diagnose? mit Dr. Jakob Hein

So bin ich eben! Stefanie Stahls Psychologie-Podcast für alle "Normalgestörten"

Play Episode Listen Later Apr 11, 2023 39:49


Nicht ruhig auf dem Stuhl sitzen können und ständig abgelenkt: Das ist das Klischee von Kindern mit ADHS. Lange dachte man, das beträfe hauptsächlich Jungs und würde sich mit der Zeit rauswachsen. Doch mittlerweile wissen wir mehr: ADHS oder ADS begleitet die Menschen ein Leben lang. Außerdem bleibt die Störung bei Mädchen oft unentdeckt, da sie sich bei ihnen anders äußern kann. Deshalb fragen sich mittlerweile immer mehr Menschen, ob sie nicht vielleicht auch von ADHS betroffen sind. Doch was ist überhaupt der Unterschied von ADHS und ADS? Wie äußern sich die Störungen? Und wie kann ich damit umgehen? Um diese Fragen zu beantworten, haben wir Dr. Jakob Hein eingeladen. Er war Oberarzt in der Klinik für Psychiatrie und Psychotherapie an der Charité und hat mittlerweile eine eigene Praxis in Berlin-Kreuzberg.+++ So bin ich eben hört ihr kostenfrei bei RTL+ Musik. Alle Folgen sind auch auf allen anderen Plattformen verfügbar.+++ Zum Podcast gibt es nun auch einen Blog, auf dem ihr alle Infos und Themen der beliebtesten Folgen jederzeit nachlesen und vertiefen könnt. Schaut gern vorbei auf https://sobinichebenblog.de/+++ Alle Rabattcodes und Infos zu unseren Sponsoren findet ihr hier: https://linktr.ee/sobinicheben+++ Unsere allgemeinen Datenschutzrichtlinien finden Sie unter https://datenschutz.ad-alliance.de/podcast.html +++Unsere allgemeinen Datenschutzrichtlinien finden Sie unter https://art19.com/privacy. Die Datenschutzrichtlinien für Kalifornien sind unter https://art19.com/privacy#do-not-sell-my-info abrufbar.

Chasing The Insights
EP421 - Shai Tubali on how to relinquish “The Thinking Machine.”

Chasing The Insights

Play Episode Listen Later Apr 3, 2023 32:25


In this episode of Chasing the Insights, I talk to self-development expert Shai Tubali. Shai talks to us about how to relinquish “The Thinking Machine.”. Shai Tubali is a leading authority in the field of self-development and self-empowerment. In his writings and teachings, he skillfully combines psychology, philosophy, Yogic traditions, and Eastern thought and practices into powerful processes of inner transformation. A PhD researcher in philosophy at the University of Leeds, UK, Tubali explores 35 meditation techniques from all over the world in his newest book, "Llewellyn's Complete Book of Meditation,” published in January 2023. Tubali's numerous books have appeared internationally for the past two decades in 11 languages and have been published by major publishers. His most prominent writings have won awards in the United States and in Israel. Several have become bestsellers, inspiring many thousands on their inner journeys of mental, emotional, and spiritual transformation. Shai has also developed several meditation-based therapeutic methods, one of which has been researched by the Charité, the largest university hospital in Europe, and its significant effects on mental health have been medically proven, outlined in a paper to be published in March 2023.

Europe 1 - Hondelatte Raconte
L'incendie du Bazar de la Charité - Le récit

Europe 1 - Hondelatte Raconte

Play Episode Listen Later Mar 26, 2023 24:55


En mai 1897 à Paris, le bâtiment éphémère en bois où était organisé une fête de charité prend feu. 130 personnes, dont la plupart sont des femmes issues de l'aristocratie, meurent brûlées.

bazar charit christophe hondelatte
SWR1 Leute Baden-Württemberg
SWR1 Leute mit der Gynäkologin Prof. Sylvia Mechsner | Gibt es Hoffnung für Frauen mit Endometriose?

SWR1 Leute Baden-Württemberg

Play Episode Listen Later Mar 20, 2023 38:11


Schätzungsweise über 2 Millionen Frauen leiden unter Endometriose - allein in Deutschland. Viele wissen nichts von ihrer Erkrankung, denn häufig wird die korrekte Diagnose bei der Endometriose erst nach Jahren gestellt. Prof. Sylvia Mechsner leitet das Endometriosezentrum an der Berliner Charité, eines der ersten in Deutschland und Europa. Die Gynäkologin hat sich früh in ihrer Karriere auf das Krankheitsbild Endometriose spezialisiert. Damals stand die Erkrankung noch überhaupt nicht im Mittelpunkt der Aufmerksamkeit - auch heute wird sie noch viel zu wenig beachtet. Sylvia Mechsner half, an der Charité ein Grundlagenforschungslabor für die Endometriose-Krankheit aufzubauen und steuerte viele Erkenntnisse zur Erforschung der Endometriose bei. Über ihre tägliche Arbeit mit den Patientinnen hinaus möchte sie Betroffenen helfen, den richtigen Arzt oder einen Weg aus der Schmerzspirale zu finden. Sie zeigt auf, welche Möglichkeiten die Schulmedizin und die Naturheilkunde bei der Therapie der Endometriose bieten. Sie will betroffenen Frauen Mut machen, aktiv gegen die Krankheit anzugehen. Moderation: Nabil Atassi

Radio Maria France
2023-03-16 Interview de Thierry des Lauriers: "La charité à mains nues" (livre)

Radio Maria France

Play Episode Listen Later Mar 18, 2023 41:29


2023-03-16 Interview de Thierry des Lauriers: "La charité à mains nues" (livre) by Radio Maria France

ChainlessLIFE
#226 Das Mysterium "Gehirn" - Was wissen wir wirklich? Prof. Dr. Peter Vajkoczy über das Cockpit deines Lebens und dessen Funktionen

ChainlessLIFE

Play Episode Listen Later Jan 11, 2023 69:07


► Wir begleiten Dich dabei, endlich Deine persönliche Bestimmung und Deinen Lebenssinn zu finden. Kostenloses Kennenlerngespräch ► ChainlessMENTORING Peter Vajkoczy ist ein deutscher Neurochirurg und leitender Chef-Arzt an der Charité in Berlin. Er ist bekannt für seine TV-Auftritte und sein Engagement in der Zukunftsforschung. Vajkoczy hat sich auf die Behandlung von Schmerzen und Schäden am Gehirn und Rückenmark spezialisiert. Heute geht es um folgende Hauptthemen und noch vieles mehr: Umgang mit Fehlschlägen in der Chirurgie Stressmanagement als Neurochirurg Unser aktuelles Wissen über das Gehirn Woher Antrieb, Motivation und Bauchgefühl kommen Ob man den Charakter eines Menschen ändern kann Möglichkeiten und Auswirkungen von Neuralink und ähnlichen Technologien auf die Neurochirurgie und Menschheit Viel Spaß! Folgen die für dich auch noch interessant sein könnten: #218 Wie Emotionen unser Leben beeinflussen! (TEIL 1) David Manning über die richtige Kommunikation mit dem menschlichen Körper #211 Schulmedizin vs. Alternativmedizin! Expertenwissen von Dr. Thomas Peter für ein gesundes Leben ___ ► Selbstständig und nur am arbeiten? Keine Pausen und die ganze Zeit im Stress? So schaffst du es da raus ► FlowState-Productivity-Coaching mit Kristian Meier ► Lerne in nur 8 Wochen, wie du durch ethisches Verkaufen örtliche Unabhängigkeit und finanzielle Sicherheit erlangst: Ethical Closing Ausbildung ► An alle Männer: Wenn Du Deine Männlichkeit neu entdecken und Dein wahres Selbst finden willst, dann schau unbedingt bei Alex Wirthl vorbei: Grow Men's Training™ Kooperationsanfragen: podcast@chainlesslife.com Erfahre mehr über ChainlessLIFE: Instagram: https://bit.ly/Pod_InstagramCL Mein Buch: https://bit.ly/Pod_ChainlessLIFE-Buch Mehr zu Prof. Dr. Peter Vajkoczy Buch: https://amzn.eu/d/fhA7Jrs Instagram: https://www.instagram.com/pvajkoczy/

Radio Maria France
L'éducation dans les Evangiles 2023-01-07 Transmettre la charité à nos enfants

Radio Maria France

Play Episode Listen Later Jan 7, 2023 42:32


Avec Hugues Dollié Auteur de: "Comment faire un bon choix?" (éditions de l'Emmanuel) "Femmes, aimez vos maris!" (éditions de l'Emmanuel)

Handelsblatt Disrupt
Wie der führende Neurochirurg der Charité zum emotionalen Chef wurde

Handelsblatt Disrupt

Play Episode Listen Later Jan 6, 2023 57:10


Die erste Ausgabe von Handelsblatt Disrupt im neuen Jahr wird von Handelsblatt-Vize-Chefredakteurin Kirsten Ludowig moderiert. Mit Peter Vajkoczy, Direktor der Klinik für Neurochirurgie an der Charité Berlin, spricht sie über Empathie im Operationssaal, die Grenzen der Work-Life-Balance im Krankenhaus und Automatisierung in der Medizin. Vajkoczy ist einer der bekanntesten Neurochirurgen der Welt, war mit 39 Jahren jüngster Chefarzt der Charité und hat über 20.000 Operationen am Gehirn durchgeführt. Er erklärt auch, was Neurochirurgie mit Hochleistungssport gemein hat, und wie er sich vom Schnösel zum emotionalen Chef entwickelte. *** Das exklusive Abo-Angebot für Sie als Handelsblatt Disrupt-Hörerinnen und Hörer: https://www.handelsblatt.com/mehrwirtschaft

La suite de l'Histoire, l'intégrale
François de Sales, évêque de dialogue et de charité

La suite de l'Histoire, l'intégrale

Play Episode Listen Later Jan 5, 2023 54:47


François de Sales est ancré dans sa Savoie natale du XVIème siècle marquée par la proximité de Genève et des Calvinistes. Sa spiritualité et son charisme en font une figure essentielle de son époque.

Hoaxilla - Der skeptische Podcast aus Hamburg
Hoaxilla #310 – Rauhnächte

Hoaxilla - Der skeptische Podcast aus Hamburg

Play Episode Listen Later Dec 31, 2022 94:37


Zum Abschluss des Jahres 2022 wollen wir uns endlich einmal den Rauhnächten widmen. Welche (magischen) Bräuche sollen „zwischen den Jahren“ vollzogen werden und wo kommen diese eigentlich her und warum kommt der Zeit des Jahreswechsels eigentlich eine besondere Bedeutung zu? Wir gehen für euch auf die Suche durch stürmische Winternächte und vermeiden dabei das Aufeinandertreffen mit der „Wilden Jagd“. Im zweiten Teil der Sendung sprachen wir mit Prof. Dr. Cornelius Courts, Leiter der forensischen Molekulargenetik der Universität Köln, über die kurzfristige Schließung der Abteilung für Molekulargenetik an der Charité in Berlin und darüber, welche negativen Konsequenzen diese Art von Politik für die innere Sicherheit unseres Landes haben kann. Wie man uns unterstützen kann, könnt ihr hier nachlesen. Zum HOAXILLA Merchandise geht es hier.

Forschung Aktuell - Deutschlandfunk
Charité-Studie zurückgezogen - Evolution der Corona-Variante Omikron weiter unklar

Forschung Aktuell - Deutschlandfunk

Play Episode Listen Later Dec 21, 2022 7:01


Die Berliner Charité hat eine Studie zum Ursprung der Coranvirus-Variante Omikron zurückgezogen. Die Forscher kamen darin zu dem Schluss, dass sich Omikron über Monate entwickelt habe. Doch die verwendeten DNA-Proben waren wohl verunreinigt.Wildermuth, Volkartwww.deutschlandfunk.de, Forschung aktuellDirekter Link zur Audiodatei

7 milliards de voisins
Mauvaises filles ou l'histoire des maisons de correction

7 milliards de voisins

Play Episode Listen Later Dec 21, 2022 48:30


Insoumises, rebelles, incomprises ou simplement mal aimées, de nombreuses jeunes filles ont été placées en maison de correction à l'adolescence. Ces lieux d'enfermement et de discipline, principalement tenus par des congrégations de religieuses (notamment la Congrégation de Notre-Dame de Charité du Bon Pasteur), ont perduré jusqu'à la fin des années 1970 en France. Des maisons de correction qui ambitionnent, selon les termes de l'époque, de redonner un comportement correct, conforme aux règles sociales, à la bienséance ou à la morale, mais aussi de sanctionner une erreur ou une faute. Privées de tous contacts extérieurs, les pensionnaires ou «mauvaises filles» grandissent loin de tout rapport affectif et d'amour familial, créant de nombreux traumas à l'âge adulte.  Que sont devenues ces «mauvaises filles» qui n'auraient jamais été enfermées si elles avaient été des garçons ? Une documentariste est partie sur les traces de ces vies.  Cette émission est une rediffusion du 21 novembre 2022 Avec :  - Émérance Dubas, autrice et réalisatrice du film documentaire «Mauvaises filles» en salles à partir du 23 novembre 2022 - Véronique Blanchard, docteure en Histoire et auteure de «Vagabondes, voleuses, vicieuses, adolescentes sous contrôle de la libération à la libération sexuelle», aux éditions Les Pérégrines et «Mauvaises filles, incorrigibles et rebelles», co-écrit avec David Niget aux éditions Textuel. Programmation musicale :  ► Né ba - Vesko, Maïmouna Soumbounou ► Nena - YEИDRY.

7 milliards de voisins
Mauvaises filles ou l'histoire des maisons de correction

7 milliards de voisins

Play Episode Listen Later Dec 21, 2022 48:30


Insoumises, rebelles, incomprises ou simplement mal aimées, de nombreuses jeunes filles ont été placées en maison de correction à l'adolescence. Ces lieux d'enfermement et de discipline, principalement tenus par des congrégations de religieuses (notamment la Congrégation de Notre-Dame de Charité du Bon Pasteur), ont perduré jusqu'à la fin des années 1970 en France. Des maisons de correction qui ambitionnent, selon les termes de l'époque, de redonner un comportement correct, conforme aux règles sociales, à la bienséance ou à la morale, mais aussi de sanctionner une erreur ou une faute. Privées de tous contacts extérieurs, les pensionnaires ou «mauvaises filles» grandissent loin de tout rapport affectif et d'amour familial, créant de nombreux traumas à l'âge adulte.  Que sont devenues ces «mauvaises filles» qui n'auraient jamais été enfermées si elles avaient été des garçons ? Une documentariste est partie sur les traces de ces vies.  Cette émission est une rediffusion du 21 novembre 2022 Avec :  - Émérance Dubas, autrice et réalisatrice du film documentaire «Mauvaises filles» en salles à partir du 23 novembre 2022 - Véronique Blanchard, docteure en Histoire et auteure de «Vagabondes, voleuses, vicieuses, adolescentes sous contrôle de la libération à la libération sexuelle», aux éditions Les Pérégrines et «Mauvaises filles, incorrigibles et rebelles», co-écrit avec David Niget aux éditions Textuel. Programmation musicale :  ► Né ba - Vesko, Maïmouna Soumbounou ► Nena - YEИDRY.

Sapien's Playground - Medicine, Psychology, Truth Seeking and Fascinating Experiences
(GER) #54 Julia @Metabolic.Med.Student – Zwei Charité Medizinstudenten diskutieren über Medizinstudium, traditionelle Ernährung, Weston Price, Atherosklerose und Probleme in der Patientenversorgung

Sapien's Playground - Medicine, Psychology, Truth Seeking and Fascinating Experiences

Play Episode Listen Later Dec 20, 2022 148:26


Liebe Freunde, liebe Zuhörer! Vielen Dank, dass ihr zu einer neuen Folge dazugeschaltet habt! Heute hatte ich die Freude, mich mit Julia über ein breites Spektrum an Themen zu unterhalten, Ernährung, Weston Price und unsere Erfahrungen aus dem Medizinstudium mit eingeschlossen. Julia ist ebenfalls Medizinstudentin an der Charité, jedoch schon im sogenannten Praktischen Jahr, also der letzte Schritt vor der Facharztausbildung. Es war äußerst spannend, uns darüber auszutauschen, wie ein wesentlicher Teil dessen, was im Medizinstudium beigebracht wird, nicht mit unseren Schlussfolgerungen übereinstimmt. Unter anderem gab es die Diskussionspunkte: Sonne, traditionelle Ernährung, Cholesterin, Versorgung von Diabetespatienten, Natur und Stress und noch viele weitere spannende Bereiche der Lifestyle-Medizin. Zwar ist die Folge etwas lang geraten, dafür ist sie voll mit wertvollen Infos, die für viele hoffentlich einen Mehrwert darstellen werden! Viel Freude beim Reinhören! Folgt Julia auf Instagram @Metabolic.Med.Student: https://www.instagram.com/metabolic.med.student/ Find me on Instagram: https://www.instagram.com/maximpruchnewski/ Find me on Twitter: https://twitter.com/MPruchnewski More free stuff (books, videos and PDFs): https://linktr.ee/sapien_health Sapiens Playground on YouTube: https://www.youtube.com/channel/UCmNDo81K7jX7Thk0_NF_xng Listen to Sapiens Playground on Spotify: https://open.spotify.com/show/6IcilHhRDVTiVxGO5uuYlp?si=ab520e5d7fc24a3a Listen on Apple Podcasts: https://podcasts.apple.com/de/podcast/sapiens-playground-a-place-for-true-health-unbiased/id1534777361 You can text me at sapiens.playground@web.de for podcast inquiries or any questions you have.

SWR2 Impuls - Wissen aktuell
Hirnschrittmacher könnte Alzheimer-Patienten helfen

SWR2 Impuls - Wissen aktuell

Play Episode Listen Later Dec 16, 2022 7:43


Ein Forschungsteam der Charité in Berlin hat in einer Studie ein spezifisches Netzwerk im Gehirn von Alzheimer-Patient*innen ausgemacht, dessen Stimulation mit einer Linderung der Symptome einherging. Die Forschenden hoffen, dass dies den Weg für neue Therapieformen ebnet. Christine Langer im Gespräch mit dem Neurologen Andreas Horn, Charité Berlin.

SWR2 Feature
„Ich bin doch keine trächtige Ratte“ – Medikamentenversuche an Schwangeren in der Charité

SWR2 Feature

Play Episode Listen Later Dec 16, 2022 53:36


1989 wurde an der Ostberliner Charité eine großangelegte Blindstudie von Cerutil an Schwangeren durchgeführt. Die Tests hatten Folgen für eine Probandin und für ihre Tochter.

Berlin Briefing
15.12.2022 - Charité, Housing, Letzte Generation, Kältebusse

Berlin Briefing

Play Episode Listen Later Dec 15, 2022 7:20


Charité Housing Letzte Generation Kältebusse ** Please check out the show notes for the links to our sources. Donate: https://www.berlinbriefing.de/donate/ Twitter: @berlinbriefing Facebook: https://www.facebook.com/BerlinBriefing/ Mail: berlinbriefing@gmail.com

Aha! Zehn Minuten Alltags-Wissen
Woran erkenne ich, dass ich eine Depression habe?

Aha! Zehn Minuten Alltags-Wissen

Play Episode Listen Later Dec 13, 2022 10:37


Keine Energie, keine Motivation, Schlafstörungen: Das erleben viele von uns, vor allem in den dunklen Monaten. Aber ab wann muss man sich wirklich Gedanken machen, dass mehr dahintersteckt? Kann ich einer Depression vorbeugen? Und was tue ich, wenn ich merke, es geht nicht mehr? Das erklärt Malek Bajbouj, geschäftsführender Oberarzt der Klinik für Psychiatrie an der Charité. Außerdem geht es um die Frage: Setzt beim Niesen der Herzschlag kurz aus? "Aha! Zehn Minuten Alltags-Wissen" ist der Wissenschafts-Podcast von WELT. Wir freuen uns über Feedback an wissen@welt.de. Produktion: Marvin Schwarz Redaktion: Antonia Beckermann +++ Werbung +++ Du möchtest mehr über unsere Werbepartner erfahren? [Hier](https://www.mediaimpact.de/de/unkategorisiert/unsere-werbepartner-welt-podcast) findest du alle Infos und Rabatte. Impressum: https://www.welt.de/services/article7893735/Impressum.html Datenschutz: https://www.welt.de/services/article157550705/Datenschutzerklaerung-WELT-DIGITAL.html

T-Online Tagesanbruch
Kann Lauterbachs Reform unsere Krankenhäuser retten?

T-Online Tagesanbruch

Play Episode Listen Later Dec 9, 2022 29:06


Unnötige Operationen, abgewiesene Patienten, Personalmangel: Die Krankenhausreform von Gesundheitsminister Karl Lauterbach soll die desolate Lage in den Kliniken verbessern. Doch was ist dran an den Vorschlägen? Können sie das profitgesteuerte System wirklich umkrempeln und unsere Krankenhäuser retten? Darüber diskutiert Moderatorin Lisa Fritsch (https://twitter.com/lisafrmedia) mit dem stellvertretenden Vorsitzenden des Personalrats der Charité, Alexander Eichholtz (https://twitter.com/EichholtzAlex), und der Chefreporterin von t-online, Miriam Hollstein (https://twitter.com/HollsteinM), in dieser Folge des "Tagesanbruchs am Wochenende". Alexander Eichholtz war selbst jahrelang Pfleger auf der Intensivstation und in der Rettungsstelle tätig. Im Personalrat vertritt er die Anliegen der Krankenhausangestellten. Die Folge zu Kostenexplosionen in der Pflege vom 23. September 2022 können Sie hier anhören: https://open.spotify.com/episode/5Kp64LrDHoFPIdxXLQjI5R?si=ba0ac0cb9469450e Den "Tagesanbruch"-Podcast gibt es immer Montag bis Freitag gegen 6 Uhr zum Start in den Tag. Die Wochenend-Ausgabe mit einer längeren Diskussionsrunde ist freitags ab 16 Uhr verfügbar. Verpassen Sie keine Folge und abonnieren Sie uns bei Apple Podcasts (https://itunes.apple.com/de/podcast/t-online-tagesanbruch/id1374882499?mt=2), Google Podcasts (https://podcasts.google.com/feed/aHR0cHM6Ly90YWdlc2FuYnJ1Y2gucG9kaWdlZS5pby9mZWVkL21wMw?ep=14) oder Spotify (https://open.spotify.com/show/3v1HFmv3V3Zvp1R4BT3jlO?si=klrETGehSj2OZQ_dmB5Q9g). Auf YouTube finden Sie die Playlist mit allen Tagesanbruch Folgen hier (https://www.youtube.com/playlist?list=PL7bR88NaY8TQfvMmvsKEYOvd0lSkdIkQ-). Wenn Ihnen der Podcast gefällt, lassen Sie gern eine Bewertung da. Anmerkungen, Lob und Kritik an podcasts@t-online.de Quellen: Töne Lauterbach: Livestream Pressekonferenz ZDF https://www.youtube.com/watch?v=AhkTpK42s40 Artikel mit Fragen und Antworten zur Krankenhausreform auf t-online https://www.t-online.de/nachrichten/deutschland/innenpolitik/id_100093012/krankenhausreform-karl-lauterbach-kuendigt-revolution-an-fragen-und-antworten.html

Combinate Podcast - Med Device and Pharma
062 - "Take the Hat of the Other Side" with Stefan Walzer

Combinate Podcast - Med Device and Pharma

Play Episode Listen Later Dec 7, 2022 37:07


I love talking to fellow podcasters and on this episode, I was joined by Dr. Stefan Walzer, the CEO of MArS Market Access & Pricing Strategy. Stefan discusses: Discounts, Rebates, and how Co-Payment is different in Europe How data is presented to payers in Europe and European Reimbursement Germany/AMNOG Process Negotiation Dr. Stefan Walzer is a healthcare economist, podcaster, and CEO of MArS Market Access & Pricing Strategy GmbH based in Germany. He previously worked as a payer consultant for various global pharmaceutical and medical device / diagnostic companies, successfully launching their products across the world. Dr. Walzer was also the Global Payer Strategy Leader for various products and compounds of F. Hoffmann – La Roche AG, where he successfully developed early payer strategies as well as launching and maintaining the reimbursement process for top brands and early compounds. Dr. Walzer is experienced in the development of early payer strategies and the related evidence generation. Furthermore he is also capable in translating the clinical and economic evidence into successful reimbursement submissions and pricing negotiations especially in Austria, Germany and Switzerland. Additionally he also teaches at the Master course of Consumer Health Care at the Charité in Berlin (Germany) and is a tutor in market access and health technology assessment at the State University of Baden-Wuerttemberg (Germany). From 2018-2019 Dr. Walzer was the head of the committee “Inpatient care” of the German Health Economic Association (DGGÖ). Furthermore he is a leading member of the Special Interest group for Medicial Nutritions at the International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Dr. Walzer is also a member of the Austrian Health Economic Association (ATHEA) and the newly founded Swiss Health Economic Association. Additionally, he is also a member of the Access Advisory Committee of the Global Pneumonia Prevention Coalition. Dr. Walzer received a Master of Science in Economics from the University of Tuebingen (Germany), a PhD in Health Economics from the University of Zurich (Switzerland) and a Diploma in Clinical Trials from the London School of Hygiene and Tropical Medicine (UK). He is co-author of more than 40 peer-reviewed scientific articles and more than 100 scientific abstracts. Furthermore Dr. Walzer is the Editor in Chief of the German Journal of ClinicoEconomics (www.germanjournal-clinicoeconomics.de) and the lead author of the book chapter “Vergütungshöhe und Preissetzung” [Reimbursement value and pricing] in Business Planning in Health Care (http://www.springer.com/de/book/9783658081850). MAP Podcast: Link MAP Youtube Channel: Link

Disaster Area
Episode 206: The Bazar de la Charité fire

Disaster Area

Play Episode Listen Later Dec 1, 2022 112:14


The start of the summer season in Paris in the 1890s could arguably be the Bazar de la Charité, sort of a rummage sale for the wealthy to benefit the poor. The height of Parisian's female society passed through its doors each year, and May 4th, 1897, was no different. But the presence of the bazaar's biggest novelty - a cinematograph showing films by the Lumière brothers - also led to a gruesome tragedy. Videos: Visit to the site of the charity fire on Rue Jean Goujon Documentaire sur l'histoire de l'incendie du bazar de la charité Article and books: A D V E N T U R E S in C Y B E R S O U N D: Charles Pathe The Tragic 1897 Charity Bazaar Fire of Paris Remembering a Belle Époque inferno in Paris COWARDICE OF PARIS MEN Exhibited in Brutal Form During the Burning of the Charity Bazaar The Bazar de la Charité Disaster: part one, part two, part three, and part four. The Bazar de la Charite website A History of Women Who Burned to Death in Flammable Dresses Heroes and Legends of Fin-de-Siécle France, by Venita Datta

hr-iNFO Das Interview
Nina Gummich spielt Alice Schwarzer: "Es ist die Zeit für Frauenrollen, die ihren Mund aufmachen "

hr-iNFO Das Interview

Play Episode Listen Later Nov 29, 2022 26:36


Schauspielerin Nina Gummich ist erst 31 Jahre alt aber schon seit über 20 Jahren im Film- und Fernsehbusiness. Sie spielt die Rechtsmedizinerin „Teresa Wolff“ in der gleichnamigen ZDF-Krimi-Reihe, sie war die junge Krebsforscherin Ella Wendt in der 3. Staffel von „Charité“ und hat eine Prostituierte in der 3. Staffel von „Babylon Berlin“ dargestellt. Jetzt ist Nina Gummich in einer Rolle zu sehen, die ihr wie auf den Leib geschneidert zu sein scheint - als Alice Schwarzer im ARD-Zweiteiler "Alice". Wie hat es sie verändert, die berühmte aber auch umstrittene Feministin zu spielen, und wie steht es um das Thema Gleichberechtigung in der Filmproduktion? Darüber hat Mariela Milkowa mit Nina Gummich gesprochen. Foto: ©MKnickriem

Accents d'Europe
L'offensive de charme du président turc en direction des Alévis ne passe pas

Accents d'Europe

Play Episode Listen Later Nov 29, 2022 19:30


Dans une Turquie qui se prépare l'année prochaine aux élections, le président Recep Tayyip Erdogan courtise les Alévis, une minorité qui rassemble plusieurs millions de personnes dans le pays. Les Alévis ne sont pas sunnites comme la majorité de la population turque, mais adeptes d'une croyance plurielle et hétérodoxe, longtemps persécutée sur ses terres d'Anatolie. Chez la plupart d'entre eux, les récentes initiatives du pouvoir passent mal, car ils y voient une forme de mise au pas ou d'assimilation. Leurs représentants multiplient les manifestations. À Istanbul, c'est un reportage d'Anne Andlauer. L'essor spectaculaire des évangéliques Les églises évangéliques appartiennent à un courant religieux très dynamique : un quart des chrétiens dans le monde sont protestants évangéliques. En France, de plus en plus d'églises ouvrent leurs portes. Pourquoi un tel engouement ? C'est ce qu'a voulu comprendre Lise Verbeke.  Un centre pensé pour le bien-être des malades du cancer À Berlin, l'Hôpital universitaire de la Charité a inauguré, il y a quelques jours, un nouveau centre de chimiothérapie. Pour la première fois, c'est un centre pensé avec le bien-être des patients en tête des priorités. Car une chimiothérapie, ce sont souvent des heures passées assis, pendant que les produits sont injectés, et le temps paraît bien long. L'initiative rappelle l'importance pour le moral des patients de tous les à-côtés des traitements médicaux. Reportage à Berlin de Delphine Nerbollier. Européen de la semaine : Gianni Infantino Face aux polémiques sur l'organisation de la Coupe du monde de football au Qatar, le patron de la Fifa a choisi un ton offensif, fustigeant le discours «hypocrite» de tous ceux qui appellent au boycott de l'évènement. Élu en 2016 avec la promesse de «restaurer l'image de la FIFA», Gianni Infantino refuse toute remise en question et justifie le choix du petit émirat pour cette Coupe du Monde 2022. Et malgré un déluge de critiques, les chiffres semblent lui donner raison : l'audience est au rendez-vous, de même que les revenus records de cette édition. Des arguments sonnants et trébuchants qui devraient lui assurer sa reconduction à la tête de la FIFA pour un troisième mandat en mars prochain (2023) à Kigali. Daniel Vallot.

Religions du monde
La Courneuve, ville monde, à l'occasion des 50 ans des «Fils de la Charité»

Religions du monde

Play Episode Listen Later Nov 24, 2022 48:30


En 50 ans, les religieux catholiques des Fils de la Charité à La Courneuve (Seine-Saint-Denis en banlieue parisienne) ont été témoins des mutations de cette ville populaire, aux grandes tours et immenses barres d'immeubles du quartier des 4000. Une ville jadis ouvrière où se côtoient désormais des habitants de plus d'une centaine de nationalités et de multiples confessions, en proie à des difficultés sociales et sécuritaires. Aujourd'hui, la communauté catholique est minoritaire, dans un paysage religieux dominé par les lieux de culte musulmans, hindous ou évangéliques, mais elle joue un rôle déterminant dans le dialogue interreligieux, notamment depuis les attentats de janvier 2015 contre Charlie Hebdo. Rencontre en immersion dans l'église Saint-Lucien à La Courneuve, auprès du premier curé de la congrégation, arrivé en 1972, Gérard Marle, et de celui qui lui a succédé, le Béninois Georges Ouensavi. Participants : Georges Ouensavi, curé actuel des Paroisses St Yves et St Lucien de La Courneuve Gérard Marle, premier prêtre ouvrier des « Fils de la Charité » qui s'est installé à La Courneuve en 1972 Pierre Tritz, vicaire général de la congrégation des Fils de la Charité Ignace Pemba, prêtre des Fils de la Charité Hadja Marecar, secrétaire général de la Fédération des musulmans de La Courneuve Chadli Meskini, imam de la mosquée de l'Union à La Courneuve, membre de la Fédération des musulmans de La Courneuve Gilles Poux, maire de La Courneuve Habitants de La Courneuve et membres des paroisses St Yves et St Lucien Membres de la congrégation Schola Populaire du Congo-Brazzaville.   Diaporama

7 milliards de voisins
Mauvaises filles ou l'histoire des maisons de correction

7 milliards de voisins

Play Episode Listen Later Nov 21, 2022 48:30


Insoumises, rebelles, incomprises ou simplement mal-aimées, de nombreuses jeunes filles ont été placées en maison de correction à l'adolescence. Ces lieux d'enfermement et de discipline, principalement tenus par des congrégations de religieuses (notamment la Congrégation de Notre-Dame de Charité du Bon Pasteur), ont perduré jusqu'à la fin des années 1970 en France. Des maisons de correction, qui ambitionnent, selon les termes de l'époque, de redonner un comportement correct, conforme aux règles sociales, à la bienséance ou à la morale, mais aussi de sanctionner une erreur ou une faute. Privées de tous contacts extérieurs, les pensionnaires ou « mauvaises filles » grandissent loin de tout rapport affectif et d'amour familial, créant de nombreux traumas à l'âge adulte.  Que sont devenues ces « mauvaises filles » qui n'auraient jamais été enfermées si elles avaient été des garçons ? Une documentariste est partie sur les traces de ces vies.  Avec :  - Émérance Dubas, autrice et réalisatrice du film documentaire «Mauvaises filles» en salle à partir du 23 novembre 2022 - Véronique Blanchard, docteure en Histoire et auteure de «Vagabondes, voleuses, vicieuses, adolescentes sous contrôle de la libération à la libération sexuelle», aux éditions Les Pérégrines et «Mauvaises filles, incorrigibles et rebelles», co-écrit avec David Niget aux éditions Textuel. Programmation musicale :  ► Né ba - Vesko, Maïmouna Soumbounou ► Nena - YEИDRY.

7 milliards de voisins
Mauvaises filles ou l'histoire des maisons de correction

7 milliards de voisins

Play Episode Listen Later Nov 21, 2022 48:30


Insoumises, rebelles, incomprises ou simplement mal-aimées, de nombreuses jeunes filles ont été placées en maison de correction à l'adolescence. Ces lieux d'enfermement et de discipline, principalement tenus par des congrégations de religieuses (notamment la Congrégation de Notre-Dame de Charité du Bon Pasteur), ont perduré jusqu'à la fin des années 1970 en France. Des maisons de correction, qui ambitionnent, selon les termes de l'époque, de redonner un comportement correct, conforme aux règles sociales, à la bienséance ou à la morale, mais aussi de sanctionner une erreur ou une faute. Privées de tous contacts extérieurs, les pensionnaires ou « mauvaises filles » grandissent loin de tout rapport affectif et d'amour familial, créant de nombreux traumas à l'âge adulte.  Que sont devenues ces « mauvaises filles » qui n'auraient jamais été enfermées si elles avaient été des garçons ? Une documentariste est partie sur les traces de ces vies.  Avec :  - Émérance Dubas, autrice et réalisatrice du film documentaire «Mauvaises filles» en salle à partir du 23 novembre 2022 - Véronique Blanchard, docteure en Histoire et auteure de «Vagabondes, voleuses, vicieuses, adolescentes sous contrôle de la libération à la libération sexuelle», aux éditions Les Pérégrines et «Mauvaises filles, incorrigibles et rebelles», co-écrit avec David Niget aux éditions Textuel. Programmation musicale :  ► Né ba - Vesko, Maïmouna Soumbounou ► Nena - YEИDRY.

Jeg kan ingenting om vin
89. Mannen som vet alt om Burgund

Jeg kan ingenting om vin

Play Episode Listen Later Nov 9, 2022 37:21


I denne episoden har vi fått besøk av Jasper Morris, en av de store influenserne for Burgund de siste 30 årene. Ukens vin:Pernand Vergelesses 1er Cru Cuvée Rameau-Lamarosse 2018Beaune 1er Cru Cuvée Hugues & Louis Bétault 2019Hospices de Beaune Pommard 1er Cru Cuvée Dames de la Charité 2019 Hosted on Acast. See acast.com/privacy for more information.

TOMorrow - der Business & Style Podcast
Der Mutmacher – mit Timo Baumgartl, Fußballstar

TOMorrow - der Business & Style Podcast

Play Episode Listen Later Oct 17, 2022 74:20


Er ist der wohl größte Fighter im Profi-Fußball auf und außerhalb des Platzes mit seinem beeindruckenden Kampf gegen den Krebs: Timo Baumgartl von Union Berlin, Fußballstar und Vorbild. Es sind bewegende Worte, die wir hier heute hören. Ganz besondere Momente. Und dafür bin ich Timo sehr dankbar. Dass er den Mut aufbringt, über das zu sprechen, was in unserer Leistungsgesellschaft immer noch als Tabu-Thema gilt. Gerade in seinem Business, wo es um High Performance geht. Im Milliarden-Geschäft Fußball tragen die Spieler ja nicht nur Trikots wie Uniformen, sondern in Wahrheit Schutzpanzer. Bloß nicht zu viele Emotionen zeigen. Damit niemand weiß, wie man sich wirklich fühlt. Nach außen hin lieber andere Sachen vorspielen, um nicht angreifbar zu sein. Der absolute Traumjob, große Erfolge. Aber was ist, wenn sich plötzlich Krebs in die Karriere frisst. Er hat es erlebt. Völlig unvorbereitet. Timo war bei einer Routine-Untersuchung, nur Vorsorge. Plötzlich diese Blicke der Ärzte, Unruhe: „Da ist etwas… “ Er ist 26, topfit. Dann die Diagnose: Hoden-Krebs! Wenig später liegt der Fußballstar von Union Berlin, dem absoluten Sensations-Club der Bundesliga, in der Charité. Vom Stadion auf die Krebsstation. Kampf nicht mehr um Tore, sondern ums Überleben. Operation. Chemotherapie. Gift im Körper eines Athleten. Und die Angst. Ich habe Timo jetzt zu Hause in Berlin besucht und darüber gesprochen, was er alles durchgemacht hat, seine Motivation, sein unglaubliches Mindset. Großer Respekt davor. Er ist ein absoluter Mutmacher! Und jetzt sein tolles Comeback: Wie es für ihn war, als alle Zuschauer ihn mit Standing Ovations gefeiert haben und warum es ihm so wichtig ist, das Thema Krebs öffentlich zu machen – das alles jetzt hier in TOMorrow. Der Hausbesuch beim Union Berlin Star. Fußballprofi, Fighter und Vorbild. Hier ist der großartige Timo Baumgartl.

Berlin Briefing
28.09.2022 - 29-Euro ticket, Charité strike, Gasag, Airport travel

Berlin Briefing

Play Episode Listen Later Sep 28, 2022 9:17


29-Euro ticket Charité strike Gasag - www.bundesjustizamt.de/klageregister. Airport travel - www.berlin-airport.de - 030 6091 6091 0 ** Please check out the show notes for the links to our sources. Donate: https://www.berlinbriefing.de/donate/ Twitter: @berlinbriefing Facebook: https://www.facebook.com/BerlinBriefing/ Mail: berlinbriefing@gmail.com

Le Saint du Jour – Radio Notre Dame

Fondateur de la congrégation de la Mission et des Filles de la Charité

Handelsblatt Mindshift
Gehirnchirurg Peter Vajkoczy von der Charité: „Empathie lässt sich nicht wegdrücken“

Handelsblatt Mindshift

Play Episode Listen Later Sep 26, 2022 56:04


Kirsten begrüßt Peter Vajkoczy in einer Folge über den Menschen hinter dem weltweit angesehenen Arzt. Der Gehirnchirurg an der Berliner Charité und Buchautor („Kopfarbeit“) spricht über sein Handwerk, seine Patienten, die neuesten OP-Technologien – aber vor allem über seine Gefühle, gerade nach Komplikationen, und den Preis, den er in seinem Job zahlt. Und er erzählt, wie er dank seines Mentors vom einst „arroganten Schnösel“ zum emotionalen Chef wurde und warum er ohne sein Team aufgeschmissen wäre. *** Exklusives Angebot für Handelsblatt Rethink Work-Hörer: Testen Sie Handelsblatt Premium 4 Wochen für 1 € und bleiben Sie immer informiert, wie Themen rund um Führung und Karriere sich verändern und die Arbeitswelt von morgen aussehen wird. Mit etwas Glück können Sie zudem einen Kindle eReader gewinnen. Mehr Informationen unter: www.handelsblatt.com/mehrkarriere

Arroe Collins
Tom Cullen And Alicia von Rittberg From Becoming Elizabeth On STARZ

Arroe Collins

Play Episode Listen Later Sep 14, 2022 8:29


Long before she ascended the throne, young Elizabeth Tudor, played by Alicia von Rittberg ("Fury", “Charité,” “Genius”), was an orphaned teenager who became embroiled in the political and sexual politics of the English court. The death of King Henry VIII sees his nine-year-old son Edward, played by Oliver Zetterström ("The Midnight Gang", “The Romanoffs”), take the throne and sets into motion a dangerous scramble for power when Elizabeth, Edward and their sister Mary, played by Romola Garai ("The Hour," "The Miniaturist”) find themselves pawns in a game between the great families of England and the powers of Europe who vie for control of the country.

Arroe Collins
Tom Cullen And Alicia von Rittberg From Becoming Elizabeth On STARZ

Arroe Collins

Play Episode Listen Later Sep 14, 2022 8:29


Long before she ascended the throne, young Elizabeth Tudor, played by Alicia von Rittberg ("Fury", “Charité,” “Genius”), was an orphaned teenager who became embroiled in the political and sexual politics of the English court. The death of King Henry VIII sees his nine-year-old son Edward, played by Oliver Zetterström ("The Midnight Gang", “The Romanoffs”), take the throne and sets into motion a dangerous scramble for power when Elizabeth, Edward and their sister Mary, played by Romola Garai ("The Hour," "The Miniaturist”) find themselves pawns in a game between the great families of England and the powers of Europe who vie for control of the country.

Arroe Collins
Tom Cullen And Alicia von Rittberg From Becoming Elizabeth On STARZ

Arroe Collins

Play Episode Listen Later Sep 14, 2022 8:29


Long before she ascended the throne, young Elizabeth Tudor, played by Alicia von Rittberg ("Fury", “Charité,” “Genius”), was an orphaned teenager who became embroiled in the political and sexual politics of the English court. The death of King Henry VIII sees his nine-year-old son Edward, played by Oliver Zetterström ("The Midnight Gang", “The Romanoffs”), take the throne and sets into motion a dangerous scramble for power when Elizabeth, Edward and their sister Mary, played by Romola Garai ("The Hour," "The Miniaturist”) find themselves pawns in a game between the great families of England and the powers of Europe who vie for control of the country.

Descargas predicanet
Episode 832: Catecismo de la Iglesia Católica: Concilio Vaticano II (Apostolicam Actuositatem) (Cap VI 31a)32 y Decr Perfe Charit Proemium

Descargas predicanet

Play Episode Listen Later Sep 9, 2022 10:41


1. El Sacrosanto Concilio ha enseñado ya en la Constitución que comienza "Lumen gentium", que la prosecución de la caridad perfecta por la práctica de los consejos evangélicos tiene su origen en la doctrina y en los ejemplos del Divino Maestro y que ellas se presenta como preclaro signo del Reino de los cielos. Se propone ahora tratar de la disciplina de los Institutos cuyos miembros profesan castidad, pobreza y obediencia, y proveer a las necesidades de los mismos en conformidad con las exigencias de nuestro tiempo.Ya desde los orígenes de la Iglesia hubo hombres y mujeres que se esforzaron por seguir con más libertad a Cristo por la práctica de los consejos evangélicos y, cada uno según su modo peculiar, llevaron una vida dedicada a Dios, muchos de los cuales bajo la inspiración del Espíritu Santo, o vivieron en la soledad o erigieron familias religiosas a las cuales la Iglesia, con su autoridad, acogió y aprobó de buen grado. De donde, por designios divinos, floreció aquella admirable variedad de familias religiosas que en tan gran manera contribuyó a que la Iglesia no sólo estuviera equipada para toda obra buena (Cf. Tim., 3,17) y preparada para la obra del ministerio en orden a la edificación del Cuerpo de Cristo, sino también a que, hermoseada con los diversos dones de sus hijos, se presente como esposa que se engalana para su Esposo, y por ella se ponga de manifiesto la multiforme sabiduría de Dios...

Audiocite.net - Livres audio gratuits
Livre audio gratuit : Mariage de raison

Audiocite.net - Livres audio gratuits

Play Episode Listen Later Sep 1, 2022


Rubrique:nouvelles Auteur: paul-arene Lecture: Clémentine PacherieDurée: 11min Fichier: 5 Mo Résumé du livre audio: Charité bien ordonnée, dit-on, commence par soi-même. Où est le problème quand, finalement (presque) tout le monde y trouve son compte ? Cet enregistrement est mis à disposition sous un contrat Creative Commons.

WDR ZeitZeichen
Die Kinderärztin Ingeborg Rapoport (Geburtstag, 02.09.1912)

WDR ZeitZeichen

Play Episode Listen Later Sep 1, 2022 14:57


Dass Säuglinge ihren ersten Geburtstag nicht erleben: Ingeborg Rapoport will sich damit nicht abfinden. An der renommierten Charité gründet die Medizinerin zu DDR-Zeiten den ersten europäischen Lehrstuhl für Neu- und Frühgeborenenmedizin und versucht unermüdlich, Forschung, Behandlung und Pflege besser miteinander zu verzahnen. Mit 102 Jahren verteidigt sie endlich ihren Doktortitel, den ihr die Nationalsozialisten verwehrt hatten. Ein ZeitZeichen von Kerstin Hilt. Von Kerstin Hilt.

Easy German
315: Janusz im Krankenhaus

Easy German

Play Episode Listen Later Aug 23, 2022 28:49


Wie ist es in einem deutschen Krankenhaus? Janusz war für eine Nasen-Operation in der Universitätsklinik der Charité und berichtet von guten Ärzten, bequemen Betten und einer Klimaanlage für Privatpatienten. Gleichzeitig hat er den "Pflegenotstand" deutlich gespürt, denn in Deutschland gibt es einen großen Mangel an Pflegepersonal.   Transkript und Vokabelhilfe Werde ein Easy German Mitglied und du bekommst unsere Vokabelhilfe, ein interaktives Transkript und Bonusmaterial zu jeder Episode: easygerman.org/membership   Thema der Woche: Im Krankenhaus in Deutschland Charité (Wikipedia) Hutfabrik - der Späti Podcast: Streik STRG_F: Pflegekräfte packen aus: Warum kündigen sie? (YouTube) Weitere Episoden zum Thema Gesundheit und Krankensystem in Deutschland Das deutsche Gesundheitssystem (Easy German Podcast 23) Krankenpflege in Deutschland (Teil 1)(Easy German Podcast 69) Krankenpflege in Deutschland (Teil 2)(Easy German Podcast 70) Krankfeiern (Easy German Podcast 272)   Wichtige Vokabeln in dieser Episode die Nasennebenhöhle: Hohlraum im Schädelknochen, der rechts und links neben der Nase sowie auf Höhe der Stirn liegt und mit Luft gefüllt ist der Unwille: Ablehnung, Missfallen das Pflegepersonal: Personen, die in einem Krankenhaus, Pflegeheim o. Ä. arbeiten und sich dort um die Pflege und Betreuung von Kranken kümmern der Notstand: Situation, in der ein bestimmter Bereich oder eine Person einer großen, existenziellen Gefahr ausgesetzt ist jemanden anschnauzen (ugs): jemanden unfreundlich zurechtweisen oder anmeckern der Privatpatient: Patient mit einer privaten Krankenversicherung das Schmerzmittel: Medikament, das gegen Schmerzen gegeben wird der Teufelskreis: Lage, die sich immer weiter verschlechtert   Support Easy German and get interactive transcripts, live vocabulary and bonus content: easygerman.org/membership

SWR3 Talk mit Thees | SWR3
Daniel Zickler

SWR3 Talk mit Thees | SWR3

Play Episode Listen Later Aug 14, 2022 51:51


Es muss sich was ändern bei der Intensivmedizin. Das fordert Daniel Zickler, Intensivmediziner und Oberarzt an der Charité. Wir kennen ihn auch aus der vierteiligen Doku über die Corona Station 43i. Dort wurden und werden die schwersten Fälle behandelt. Dort kämpft er an jedem Arbeitstag um das Leben von Menschen, die kritisch krank sind. Ja, es ist ein Kampf, es ist mental und körperlich anstrengend Über die schwersten Situationen hat er ein Buch geschrieben. KAMPF UM JEDEN ATEMZUG. Es ist der Erlebnisbericht vom Klinikalltag eines Oberarztes und seines Teams und davon, wie die Belastung steigt und die Qualität auf den Intensivstationen zugleich darunter leidet.

Circulation on the Run
Circulation July 26, 2022 Issue

Circulation on the Run

Play Episode Listen Later Jul 25, 2022 35:45


This week, please join authors Mikhail Kosiborod and Christian Schulze and Editorialist Stefan Anker as they discuss the original articles "Effects of Empagliflozin on Symptoms, Physical Limitations and Quality of Life in Patients Hospitalized for Acute Heart Failure: Results From the EMPULSE Trial" and "Effects of Early Empagliflozin Initiation on Diuresis and Kidney Function in Patients With Acute Decompensated Heart Failure (EMPAG-HF)" and the editorial "SGLT2 Inhibitors: From Antihyperglycemic Agents to All-Around Heart Failure Therapy." Dr. Carolyn Lam:             Welcome to Circulation on the Run, your weekly podcast summary and backstage pass to the journal and its editors. We're your co-hosts. I'm Dr. Carolyn Lam, Associate Editor from the National Heart Center and Duke National University of Singapore. Dr. Greg Hundley:           And I'm Dr. Greg Hundley, associate editor, director of the Pauley Heart Center at VCU Health in Richmond, Virginia. Dr. Carolyn Lam:             I'm so excited about the feature discussion this week. It is a paired feature along with their editorial and it's all focused on SGLT2 inhibitors. The first, results from the EMPULSE trial, Effects of Empagliflozin on Symptoms, Physical Limitations and Quality of Life in Patients Hospitalized for Acute Heart Failure; and the second, the EMPAG-heart failure trial, The Effects of Early Empagliflozin Initiation on Diuresis and Kidney Function in Patients with Acute Heart Failure. Incredibly important topics, incredibly important discussion. Wait up for it. We're just going to tell you a little bit more about two other original papers in today's issue, and I'm going to go first, Greg. Is that okay? Dr. Greg Hundley:           You bet. Dr. Carolyn Lam:             Now, really interesting topic here. We have strong evidence supporting the effective blood pressure and cardiovascular disease risk lowering properties of healthy diet such as the DASH diet, Mediterranean diet, and so on and so on. But what about the diet consumed by a fifth of the entire world's population? The Chinese cuisine. Interestingly, today's paper addresses just that. This is from authors, Dr. Wu, from Peking University Clinical Research Institute and colleagues who performed a multicenter patient and outcome assessor blind randomized feeding trial among 265 participants with baseline systolic blood pressure of 130 to 159 in four major Chinese cuisines. And these are the Shandong, Huaiyang, Cantonese, and Szechuan cuisines, and here's how they did it. After a seven day run in period on a control diet matching the usual local diets, participants were randomized to continue with the control diet or the cuisine based Chinese heart healthy diet for another 28 days. The primary outcome was systolic blood pressure. The study developed the first heart healthy Chinese diet that fits Chinese food culture and emphasizes its palatability by involving master shifts in developing the recipes. Dr. Greg Hundley:           Oh wow. Carolyn, this is really interesting, especially one fifth of the world's population in studying a heart healthy diet. So did it work? I can't wait to hear the results. Dr. Carolyn Lam:             Well, the change in systolic and diastolic blood pressure from baseline to the end of the study in the control group was five millimeters mercury and 2.8 millimeters mercury reduction, respectively. The net difference of change between the two groups in systolic and diastolic blood pressure were a reduction of 10 and almost four millimeters mercury, respectively. The effect size did not differ among cuisines, and so in summary, with a patient and assessor blind randomized feeding trial, this study really demonstrated that the blood pressure lowering effect of the Chinese heart health diet could indeed be substantial, and importantly, be compatible with medications while palatable and affordable in Chinese adults with high blood pressure, and so these results support the idea that food is medicine and will give many patients with high blood pressure the confidence to adopt heart healthy diets in their lifestyle treatment. Dr. Greg Hundley:           Wow, Carolyn, that is really an interesting article. So many of these articles today could all be features in and of themselves. That was just outstanding. Well, my next paper comes to us from the world of preclinical science, and it's from Dr. Sean Wu from Stanford University School of Medicine. So Carolyn, immune checkpoint inhibitors are monoclonal antibodies that are used to activate the immune system against tumor cells. Now, despite their therapeutic benefits, immune checkpoint inhibitors have the potential to cause immune mediated adverse events such as myocarditis, a rare but serious side effect with up to 50% mortality in affected patients. Now histologically, patients with immune checkpoint inhibitor of myocarditis have lymphocytic infiltrates in the heart implicating T-cell mediated mechanisms. However, the precise pathologic immune subsets and molecular changes in immune checkpoint inhibitor myocarditis are unknown. Dr. Carolyn Lam:             Wow. So insights into the etiology of these immune checkpoint associated myocarditis cases must be very important. So what did they find? Dr. Greg Hundley:           Right, Carolyn? So clonal cytotoxic, TEMRA CD8+ cells were found to be significantly increased in the blood of patients with immune checkpoint inhibitor myocarditis corresponding with an analogous increase in effector cytotoxic CD8+ cells in the blood and hearts of PD-1 deficient mice with myocarditis. These expanded effector CD8+ cells had unique transcriptional changes, including upregulation of the chemokines CCL5, CCL4, and CCL4L2, and they may serve as attractive diagnostic therapeutic targets for reducing life threatening cardiac immune related adverse events in immune checkpoint inhibitor treated cancer patients, and Carolyn, just like so many of our articles, there's a very nice accompanying editorial by Professor Gianluigi Condorelli that also offers an update on current research pertaining to non-systemic steroid therapy to treat immune mediated myocarditis. Well, Carolyn, how about we jump to some of the other articles in the issue? Dr. Carolyn Lam:             Oh, you bet, Greg. There's an exchange of letters between Drs. Madias and Knops regarding the article “Efficacy and Safety of Appropriate Shocks and Antitachycardia Pacing in Transvenous and Subcutaneous Implantable Defibrillators: The Analysis of All Appropriate Therapy in the PRAETORIAN Trial.” Dr. Greg Hundley:           And also in the mail bag, Professor Mark has a Research Letter entitled “Effect of Empagliflozin on Kidney Biochemical and Imaging Outcomes in Patients with Type 2 Diabetes, or Prediabetes, and Heart Failure with Reduced Ejection Fraction, The SUGAR-DM-HF Study,” and our own Tracy Hampton has several synopses from articles published elsewhere in our piece on cardiovascular news. Well, how about we get onto that feature forum discussion, two papers, two editorialists. I can't wait. Dr. Carolyn Lam:             Me too. Let's go, Greg. Dr. Greg Hundley:           Welcome, listeners to this July 26th feature forum discussion. So remember, listeners, for forum discussions, we have several manuscripts that focus on a singular topic and we bring together the authors, our associate editors, and also an editorialist, and today, I want to introduce, we have with us Dr. Mikhail Kosiborod from Mid America Heart Institute in Kansas City, Missouri, Dr. Christian Shults from University Hospital Jena in Germany, Stefan Anker from Charité in Berlin, Germany, and our Associate Editors, Brendan Everett from Brigham and Women's Hospital in Boston, Massachusetts, and Justin Grodin from University of Texas Southwestern Medical Center in Dallas, Texas. Welcome, gentleman, and we'll start with you, Mikhail. Could you describe for us the background information that went into the preparation of your study and what was the hypothesis that you wanted to address? Dr. Mikhail Kosiborod:   Well, thanks very much, Greg. The background for the study, which was the secondary analysis of the EMPULSE trial was patients that are hospitalized with acute decompensated heart failure represent a very high risk group. We know that they have high risk of death and hospitalizations, and we also know that they have very poor health status that's very high burden of symptoms, physical limitations, and poor quality of life, and so addressing those treatment goals, trying to reduce the risk of clinical events like death and hospitalizations and improve the symptoms and physical limitations in this patient population are very important treatment goals. Now we previously demonstrated in the main results of the EMPULSE trials that using empagliflozin initiating empagliflozin SGLT2 inhibitor in this patient population as compared with placebo provided a significant total clinical benefit, which was a composite of total death, repeat hospitalizations for heart failure, or a change in a Kansas City cardiomyopathy questionnaire, which is a kind of a gold standard measure of patient's health status. What we tried to do in a much more granular fashion in this study is to understand the effects of empagliflozin as compared with placebo on this very important outcome, the Kansas City cardiomyopathy questionnaire, and we actually evaluate all of the key domains and composite symptoms, physical limitations, as well as quality of life. Dr. Greg Hundley:           Very nice, and Mikhail, can you describe for us what study population specifically, and then what was your study design? Dr. Mikhail Kosiborod:   Well, this was a population of patients that were hospitalized with heart failure and that EMPULSE was unique in its design because first of all, previous SGLT2 inhibitor trials mostly focused on patients with chronic heart failures that were in an outpatient setting, including prior trials of empagliflozin, and EMPULSE really focused on acutely hospitalized patient population, but it included patients regardless of ejection fraction. So as they were hospitalized with decompensated heart failure and reduced or preserved ejection fraction. They were enrolled regardless of if they had type 2 diabetes, they were enrolled essentially, regardless of kidney function, only patients with EGFR of less than 20 were excluded, and also importantly, was this study and a unique feature of the study in particular was that we enrolled patients whether they had acute de novo heart failure. That means that was a new diagnosis of heart failure that was bad enough for them to be hospitalized or worsening chronic heart failure requiring hospitalization. So it was really an all-comer trial for patients acutely hospitalized for heart failure. So we had just over 500 patients and they were randomized in the hospital. After a brief period of stabilization, we use empagliflozin, 10 milligrams daily or placebo and treated for 90 days, and the primary outcome at 90 days was a total clinical benefit that I described that was a composite, hierarchical composite of total death hospitalizations, repeat hospitalizations for heart failure and changing KCCQ. In this study, again, we focused predominantly on KCCQ, trying to understand the effects on health status, again, symptoms, physical limitations, and quality of life. Dr. Greg Hundley:           Excellent. And Mikhail, what were your study results? Dr. Mikhail Kosiborod:   Well, what we observed, a couple of things. One is we first examined the effects of empagliflozin on the primary endpoint across the range of KCCQ and baseline, and what we found was that regardless of the degree of symptomatic impairment and baseline, empagliflozin was consistent in providing them total clinical benefits that I described previously, and then kind of shifting to what I think is the most interesting findings, the effects of empagliflozin versus placebo on KCCQ, what we found was that as you would imagine in this population of patients that were acutely hospitalized with heart failures, that had very poor health status, very low KCCQ at baseline, and within the first 90 days, which was observation period, both groups of patients had substantial improvements in KCCQs. As one would expect after acutely decompensated episode of heart failure and treatment in a hospital, everyone got better. But patients treated with empagliflozin had significantly greater improvement in KCCQs than those that were treated with placebo, and that was first of all, a very substantial difference between the two groups. It was more than five points in favor of empagliflozin already at 15 days and was highly statistically significant, and it was maintained throughout the 90 day treatment period. So the fact that we saw both a clinical meaningful and statistically significant improvement in just 15 days, I think is a very important clinical message, and then finally, I guess what I will mention is these benefits of empagliflozin while main outcome we looked at was KCCQ total symptoms, we're focusing on the symptoms, but it was consistent when we looked at physical limitations as well as quality of life. So really, all key domains of KCCQ were impacted in a similar way. Dr. Greg Hundley:           Very nice. So in acute heart failure, marked symptomatic improvement after the administration of the SGLT2 inhibitor empagliflozin at 10 milligrams per day. Well, now listeners, we're going to turn to our associate editor, Dr. Brendan Everett, and Brendan, again, you have many papers come across your desk. What attracted you to this particular manuscript? Dr. Brendan Everett:      Well, thanks, Greg, and I think this manuscript caught my eye because of the importance of the clinical question, and Mikhail outlined why I think that was really relevant. So we understand that this class of medications or SGLT2 inhibitors have important effects on outcomes like re-hospitalization in patients with heart failure, and what was particularly striking about this paper is that it took patients rather than those with chronic heart failure, but as Mikhail mentioned, enrolled a patient population that was actually in the hospital, and I think this was an important frontier for this particular question about when to start the SGLT2 inhibitor and what kind of benefits there might be. Furthermore, I think the fact that they did not select the population based on ejection fraction was particularly striking, and of course, I think is remarkable, but now old news, they did not select on the presence or absence of diabetes as well. And so those three components really attracted me to the paper. I also think the outcome is one that really is valuable and worth exploring, and specifically, I'm talking about how patients feel on the medication after a hospitalization for heart failure. Appropriately, we focused on re-hospitalization for heart failure and cardiovascular death in prior trials in this space, and I think we need to embellish those findings or further deepen those findings with a perspective on how patients actually feel when they get the medication, and of course, it goes without saying that what's particularly important here also is that it was a randomized placebo controlled trial, and so the results have some element of internal validity that I think is really important. So those were the things, Greg, that really attracted my attention as I read the paper for the first time. Dr. Greg Hundley:           Thank you so much, Brendan. Well, listeners, we've got a second paper today and we're next going to hear from Dr. Christian Shults, and he also is focusing on really another aspect of the administration of empagliflozin in patients with acute heart failure and that pertains to the renal function of the patients. So Christian, could you describe for us the background pertaining to your study and what was the hypothesis that you were intending to address? Dr. Christian Schulze:     Thanks, Greg. Well, it's great to introduce all study here in this running. So our study impacted those in acute decompensated heart failure. The impact HF trial was a study based on the hypothesis that we wanted to test, whether empagliflozin has effects in acute decompensated heart failure, and we focused on the patient population that was not addressed in EMPULSE, patients that came to the ER and needed to be treated right away, and we wanted to know and this was our main hypothesis, but are the diuretic and [inaudible 00:17:11] effects of the SGLT2 inhibitor on this case, empagliflozin, actually had an impact on diuretic regimens and kidney functions since this is one of the main end points that limits treatment, and also is one of the outcomes of patients with acute decompensated heart failure in the hospital. Dr. Greg Hundley:           Very nice. And so Christian, what study design did you implement and who was included in your study population? Dr. Christian Schulze:     So we also used the randomized two arm study design. We included patients with acute decompensated heart failure independent of left ventricular ejection fraction. Patients needed to have an NT-proBNP of more than 500. The average NT-proBNP in fact was 4,300 in our entire patient population, and we included patients within 12 hours of presentation. So many of these patients have been recruited in the ER, they presented two hour cardiology heart failure service, and then were immediately randomized to the trial in the two arms, and we tested not 10 milligrams of empagliflozin. We actually tested 25 milligrams of empagliflozin based on in-house data that 25 milligrams potentially had a stronger diuretic effect compared to 10 milligrams. Dr. Greg Hundley:           And what did you find? Dr. Christian Schulze:     So we followed patients for five days. It was a relatively short period of time. It was designed to address the in-house phase of patients with acute decompensated heart failure. The mean duration of stay was 6.3 days in the hospital so this was exactly the time that we wanted to test. We had a 30 day endpoint for safety issues, and what we could see is that patients on 25 milligrams on empagliflozin on top of standard diuretic regimens and medical care had 25% higher diuretic outputs compared to patients in the placebo group. We also found no differences in markers of renal injury dysfunction, and could in fact confirm that after 30 days, patients in the empagliflozin group had a better EGFR compared to patients in the placebo group. On top, we saw a more rapid decrease in body weight and also a more profound decrease in NT-proBNT values. Dr. Greg Hundley:           And Christian, just for our listeners to put a little bit of this in perspective, what was the range of serum creatinine for the patients that were enrolled in your study? Dr. Christian Schulze:     So the main EGFR in the entire population was around 60 and the creatinine values were around 107 on average in the entire cohort. So this is a very typical population. We had around 30% of the population with de Novo heart failure, around 20 to 30% of the population was pre-treated for preexisting heart failure. So very typical population of patients with heart failure presenting to the emergency room. Dr. Greg Hundley:           And did you have any kind of lower level EGFR cutoff, I mean, for enrollment into this study? Dr. Christian Schulze:     So when we designed the trial, we actually still had the sub classification of diabetes or impaired glucose or homeostasis as an inclusion criteria. We dropped it before we started the trial because the data came out that this is actually, in fact, not a critical issue for patients with heart failure. So diabetes was not a subgroup in our trial and the lower limit of EGFR was actually a thoroughly defined protocol. Dr. Greg Hundley:           Very nice. Well, listeners, now we're going to turn to our second associate editor, Dr. Justin Grodin from University of Texas Southwestern Medical Center in Dallas, Texas, and Justin, similar to Brendan, and you see many papers come across your desk and so what attracted you to this particular paper by Christian and his colleagues? Dr. Justin Grodin:            Well, Greg, I think first and foremost, and I think very similar to Brendan, but I think what's always striking is if I may just take a step back, decompensated heart failure in the United States is the number one cause for hospitalization among Medicare beneficiaries. So I think really, the brunt and really the truly public health message of the disease is very important in the applicability, and even though that decompensated heart failures is one of the most common things that we ever encounter when we practice, internists, cardiologists, et cetera, we have very, very little clinical trial guidance that tells us how to decongest individuals when they're hospitalized with swelling and heart failure and a lot of these individuals can be quite ill, and we have some clinical trial data, but largely, we have a lot of negative studies or inconclusive studies in this space. So certainly, what drew me to this trial was definitely that context, and obviously, based on the mechanistic data with SGLT2 inhibitors, I think one of the natural questions, which Christian addresses, is that we know that up front, they do augment natriuresis. So I think it's very compelling to marry those two together because this is what many of us that use these medications regularly have been asking is whether or not they would have some efficacy in that regard, and then another thing that caught my eye and me as a cardiorenal investigator was, just as Christian highlighted, was we have a clinical trial that randomly assigned individuals, really that were ill and many of whom were not stabilized within 12 hours of presentation, and we're talking about patients that are coming into the hospital at all times during the day in and I think that's very remarkable that we have something with standard... We have a study with standardized assessments where we're really trying to ask a very practical, pragmatic question, which is do these therapies lower the sodium balance in individuals with decompensated heart failure, and I think what's important is largely, we've got a lot of medications that supplement loop diuretics, which are the class of drugs that the majority of us use, and we have a lot of other therapies that we use that really have very little data or poor data that guide us such as thiazide diuretics, carbonic and hydrase inhibitors, mineralocorticoid receptor antagonists, and so here, we have a clinical trial that asks a question that's on many people's minds. And then we do have very compelling, at least short term pragmatic and mechanistic data that does tell us that these individuals do have a greater natriuretic effect when empagliflozin is used as an adjunct to standardized loop diuretic therapy. So it's a very practical clinical question, and I think what's very important, and we could debate probably all day about the implications of GFR change and kidney function change while we're decongesting somebody with diuretics, but I think what's reassuring to all the clinicians is we really didn't see an effect on kidney function despite a greater natriuretic effect or enhanced diuretic effect, if you will, with the use of empagliflozin. Dr. Greg Hundley:           Very nice. Well, thank you, Justin. Listeners, now we have an editorialist and as you know, editorialists really help us put the scientific presentation of an original manuscript into the perspective of really the global theme of a topic, and we have Stefan Anker from Berlin, and Stefan, can you describe for us how do we put these two manuscripts and results that we've heard about really in the context now of moving forward with the use of SGLT2 inhibitors in the management of patients with acute decompensated heart failure? Dr. Stefan Anker:            Thank you so much. Really, I think these two papers, on the one hand, enhance our certainty about early use, and on the other hand, possibly show us that there might be even more to achieve by, on the one hand, moving even earlier with the application of SGLT2 inhibitors or possibly consider the higher dose. Now let's take one step back. These drugs were developed in type two diabetes and the first successful trial was the [inaudible 00:25:42] outcome trial. Many people have forgotten that this trial tested two doses and not only one, the 10 and the 25 milligram dose, and of course, with the success for improving kidney outcomes and heart failure hospitalization outcomes, we move forward into these two specialist areas, on the one hand, broadening it to the non-diabetic communities, but on the other end, narrowing it by focusing on the 10 milligram dose regardless of whether there is [inaudible 00:26:12]. And we basically now learn A, to use these drugs even earlier than we did in the big trials and we can now be sure to start their use in the hospital, and if you take the average change in quality of life results seen, you actually get a better result for the patient on quality of life when you start earlier than when you start late in the ambulatory studies where basically, in the chronic setting, maybe you have one and a half to two points difference. Here, you now have four and a half points in the study shown by Mikhail, and of course, it's also good to know that you can start this in any type of patient, regardless of their quality of life. The impact study from Christian, they basically moved it now even earlier, moving into the hospital space is possible based on EMPULSE. Moving it into the acute admission space is at least a consideration now based on what Christian here has shown. And he is actually addressing the one question I hear very often in my presentations about SGLT2 inhibitors, what about this 25 milligram dose? Is there a place for this in cardiology as well, and a possible place is shown here, not only that this is a safe thing to do, but also you get urinary output. Of course, we may in the future, want to see this compared, directly compared to the 10 milligram dose, but of course, the world is not created in one day, but needs more than one and so really, I think these two studies, on the one hand, address an important issue, when to start using them. On the other hand, show us a little bit of a glimpse to the future. Dr. Greg Hundley:           Very nice, Stefan, and listeners, we get to take advantage of having these authors, editors, and editorialists together and ask them what they see as the next study to be performed in this sort of sphere of research. So Mikhail, we'll start with you. In 30 seconds or less, what do you see as the next study to be performed in this arena of research? Dr. Mikhail Kosiborod:   I think, Greg, what we've learned recently, including from the EMPULSE trial, we have this population of patients in a hospital with heart failure's a huge issue as Justin mentioned, and until recently, we had very little [inaudible 00:28:31] for them beyond the usual kind of decongestion with loop diuretics and trying to make them feel better, but you look at outcome data. It really was a dearth of effective therapies that have meaningful impact on important outcomes. Now that's changing, SGLT2 inhibitors is one example. There are some other recent examples in this patient population, like a firm HF and iron deficient patients with heart failure. But the bottom line is it's no longer kind of a desert, if you will, of positive trials. We now have something we can do and I think what this proves is that we need to actually invest more, both in terms of resources and time to really do what we we're being able to do in other areas of heart failure and those patients with chronic, half and half where we can start developing pillars of therapy that can actually truly improve outcomes with this patient population and there is a lot going on that makes me optimistic that's going to be the case in the coming years. Dr. Greg Hundley:           Very nice. And Brendan? Dr. Brendan Everett:      Well, I think both trials mentioned today really pushed our understanding of this population forward. I think the biggest clinical question that I face when I'm caring for these patients is that we have four, at least, guideline directed therapies, right? We have beta blockers, we have ARBs, ACE inhibitors and ARNIs. We have mineral receptor antagonists and we have SGLT2 inhibitors. So which do we use in what order and how do we start them, and what kind of parameters do we use to guide us if we're limited either by renal function or by blood pressure or by some other factor. And we often, if not always, have one of those constraints that we're dealing with and so I would say the next step for me is trying to sort out which of these therapies and what order ought to be our highest priority for patients with acute decompensated heart failure as we move quickly from the acute decongestion stage towards discharge and a chronic therapy that will then be followed as an outpatient over the ensuing days and months. Dr. Greg Hundley:           Very nice. And Christian. Dr. Christian Schulze:     Thank you again, and Brandon pointed out very nicely. I mean, we have good evidence now for chronic heart failure treatment. We have the four columns of heart failure medical therapy. Questions that remain open is what do we do with all these patients that are now guideline medicated, come to the hospital with an acute decompensation? Should we carry on with the medication? Should we terminate and in particular, should be carry on with full dose, 50% dose of SGLT2 inhibitors, and the next question is, what dose should we use, in fact, for SGLT2 inhibitors? Is it in group effects or is sotagliflozin comparable to empagliflozin, and then is there a role for a step by scheme that we initially have in high dose therapy that we then downgrade to 10 milligrams on the chronic heart failure treatments, and then of course, quality of life is very important. We should ask this question also in this patient population that is early on treated, do we see benefits that carry on in the outpatient setting and do we see an effect of early treatment on long term benefits? Dr. Greg Hundley:           Justin? Dr. Justin Grodin:            Well, I would have to agree with all of my colleagues here on this call. I think all have raised really good points, but I think one very simple, and I'll echo some of Brendan's statements, but one very simple question is we know that when we decongest people and initiate a negative salt balance in the hospital for decompensated heart failure, we cause neurohormonal activation and there are a lot of downstream untoward effects from chronic decongestive therapies, and I think one of the more compelling things is we still yet have defined what is the best way to decongest individuals with swelling or volume overload in the hospital. Here, we have compelling studies with SGLT2 inhibitors for quality of life and really, the way patients feel. And this is really what's important to them, and then something very pragmatic to clinicians and let's make people pee more, but I think one of the compelling questions, and I don't know if it will be answered, is we have a lot of choices for supplemental therapies and different diuretic strategies when patients come in the hospital for decompensated heart failure, and I do think that these studies do move the needle with SGLT2 inhibitors. I think that's abundantly clear, but we still don't know what is the best way to dry out my patient or make my patient pee so that they feel better, but I do think that these studies do at least set the stage that there's some compelling advantages to SGLT2 inhibitors. Dr. Greg Hundley:           And then lastly, Stefan. Dr. Stefan Anker:            Thank you. Besides the detailed points mentioned by many, and Christian, totally support 25 versus 10 milligram, how long 25 milligram, if at all in the future. Besides this, I'm interested in the big picture question. So what about the post myocardial infarct congestion/heart failure situation, and there will be two trials in the next 18 to 24 months that report on this, and my pet kind of area is actually to treat heart failure where nobody thinks it is heart failure, and what I mean is for instance, advanced cancer patients, cardiac wasting cardiomyopathy. So the heart failure in sick cancer patients, and indeed, we are planning to do exactly that now in a study focusing on hospice care patients to really improve the quality of life, the very thing focus here on the EMPULSE trial. Dr. Greg Hundley:           Well, listeners, we want to thank our authors, Dr. Mikhail Kosiborod from Mid America Heart Institute in University of Missouri, and Christian Shults from the University Hospital in Jena, Germany. Also, our associate editors, Dr. Brendan Everett from Brigham and Women's Hospital in Boston, and Dr. Justin Grodin from University of Texas Southwestern in Dallas, Texas, and also, our editorialist, Dr. Stefan Anker from Charité in Berlin, Germany for bringing us these two manuscripts pertaining to two randomized clinical trials regarding the administration of the SGLT2 inhibitor, empagliflozin in acute heart failure, demonstrating first, marked improvement in heart failure symptoms and health related quality of life. And second, in those with estimated GFRs greater than 30 mls per minute, an augmentation of natriuresis in the setting of the co-administration of diuretics without deterioration in renal function. Well, on behalf of Carolyn and myself, we want to wish you a great week and we will catch you next week on the run. This program is copyright of the American Heart Association, 2022. The opinions expressed by speakers in this podcast are their own and not necessarily those of the editors or of the American Heart Association. For more, please visit ahajournals.org.

Théâtre et compagnie
"Jeanne" (d'après "Le Mystère de la Charité" et "Le Mystère de la Vocation") de Charles Péguy

Théâtre et compagnie

Play Episode Listen Later Jun 26, 2022 103:33


durée : 01:43:33 - Fictions / Théâtre et Cie - La jeune Jeannette, bouleversée par la question du mal, demande à Dieu ce qu'il faut faire. Son amie Hauviette puis madame Gervaise, religieuse, vont tour à tour tenter de répondre à son attente.

Théâtre
"Jeanne" (d'après "Le Mystère de la Charité" et "Le Mystère de la Vocation") de Charles Péguy

Théâtre

Play Episode Listen Later Jun 26, 2022 103:33


durée : 01:43:33 - Fictions / Théâtre et Cie - La jeune Jeannette, bouleversée par la question du mal, demande à Dieu ce qu'il faut faire. Son amie Hauviette puis madame Gervaise, religieuse, vont tour à tour tenter de répondre à son attente.

Radio Maria France
Catéchèse du P. Mathieu - 2022-06-24 La charité du Christ

Radio Maria France

Play Episode Listen Later Jun 24, 2022 42:34


Catéchèse du P. Mathieu - 2022-06-24 La charité du Christ by Radio Maria France

Radio Maria France
Catéchèse du P. Mathieu - 2022-06-23 Dieu est charité

Radio Maria France

Play Episode Listen Later Jun 23, 2022 39:27


Catéchèse du P. Mathieu - 2022-06-23 Dieu est charité by Radio Maria France

Eins zu Eins. Der Talk
Karin Büttner-Janz, Olympiasiegerin im Turnen

Eins zu Eins. Der Talk

Play Episode Listen Later Jun 7, 2022 39:42


Mit 21 Jahren und nach sieben olympischen Medaillen, davon zwei goldene 1972 in München, beendete Karin Büttner-Janz ihre Karriere als Leistungsturnerin. Bis heute ist sie die erfolgreichste deutsche Turnerin aller Zeiten. Nach einem Medizin-Studium an der Charité ging sie als Mitentwicklerin der ersten künstlichen Bandscheibe ebenfalls in die Geschichte ein. Auch heute noch - mit 70 Jahren - strebt sie ein effizientes Leben an. Moderation: Stefan Parrisius