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Buffalo-based comedian Christina L. joins Matt and Andy for this week's pod!She tells all about the Buffalo comedy scene, and her time in New York City, and together they speculate about a certain celeb's number of near nip-slips that could've changed the world.Find Christina on Instagram: https://www.instagram.com/chrislcomedy/Merch Link: https://snack-spot-se.creator-spring.comTITC Instagram: https://www.instagram.com/twointhecooler/?hl=enInstacart Link: https://instacart.oloiyb.net/vAWXNSupport the show
Member selection is one of the defining elements of social organization, imposing categories on who we are and what we do. Discriminatory Clubs: The Geopolitics of International Organizations (Princeton UP, 2023) shows how international organizations are like social clubs, ones in which institutional rules and informal practices enable states to favor friends while excluding rivals. Where race or socioeconomic status may be a basis for discrimination by social clubs, geopolitical alignment determines who gets into the room to make the rules of global governance. Christina Davis brings together a wealth of data on membership provisions for more than three hundred organizations to reveal the prevalence of club-style selection on the world stage. States join organizations to deepen their association with a particular group of states—most often their allies—and for the gains from policy coordination. Even organizations that claim to be universal, to target narrow issues, or to cover geographic regions use club-style admission criteria. Davis demonstrates that when it comes to the most important decision of cooperation—who belongs to the club and who doesn't—geopolitical alignment can matter more than the merits or policies of potential members. With illuminating case studies ranging from nineteenth-century Japan to contemporary Palestine and Taiwan, Discriminatory Clubs sheds light on how, for global and regional organizations such as the WTO and the EU, alliance ties and shared foreign-policy positions form the basis of cooperation. Christina L. Davis is the Edwin O. Reischauer Professor of Japanese Politics in the Department of Government at Harvard University. She is the author of Why Adjudicate? and Food Fights over Free Trade (both Princeton). Morteza Hajizadeh is a Ph.D. graduate in English from the University of Auckland in New Zealand. His research interests are Cultural Studies; Critical Theory; Environmental History; Medieval (Intellectual) History; Gothic Studies; 18th and 19th Century British Literature. YouTube channel. Twitter. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/new-books-network
Member selection is one of the defining elements of social organization, imposing categories on who we are and what we do. Discriminatory Clubs: The Geopolitics of International Organizations (Princeton UP, 2023) shows how international organizations are like social clubs, ones in which institutional rules and informal practices enable states to favor friends while excluding rivals. Where race or socioeconomic status may be a basis for discrimination by social clubs, geopolitical alignment determines who gets into the room to make the rules of global governance. Christina Davis brings together a wealth of data on membership provisions for more than three hundred organizations to reveal the prevalence of club-style selection on the world stage. States join organizations to deepen their association with a particular group of states—most often their allies—and for the gains from policy coordination. Even organizations that claim to be universal, to target narrow issues, or to cover geographic regions use club-style admission criteria. Davis demonstrates that when it comes to the most important decision of cooperation—who belongs to the club and who doesn't—geopolitical alignment can matter more than the merits or policies of potential members. With illuminating case studies ranging from nineteenth-century Japan to contemporary Palestine and Taiwan, Discriminatory Clubs sheds light on how, for global and regional organizations such as the WTO and the EU, alliance ties and shared foreign-policy positions form the basis of cooperation. Christina L. Davis is the Edwin O. Reischauer Professor of Japanese Politics in the Department of Government at Harvard University. She is the author of Why Adjudicate? and Food Fights over Free Trade (both Princeton). Morteza Hajizadeh is a Ph.D. graduate in English from the University of Auckland in New Zealand. His research interests are Cultural Studies; Critical Theory; Environmental History; Medieval (Intellectual) History; Gothic Studies; 18th and 19th Century British Literature. YouTube channel. Twitter. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/political-science
Member selection is one of the defining elements of social organization, imposing categories on who we are and what we do. Discriminatory Clubs: The Geopolitics of International Organizations (Princeton UP, 2023) shows how international organizations are like social clubs, ones in which institutional rules and informal practices enable states to favor friends while excluding rivals. Where race or socioeconomic status may be a basis for discrimination by social clubs, geopolitical alignment determines who gets into the room to make the rules of global governance. Christina Davis brings together a wealth of data on membership provisions for more than three hundred organizations to reveal the prevalence of club-style selection on the world stage. States join organizations to deepen their association with a particular group of states—most often their allies—and for the gains from policy coordination. Even organizations that claim to be universal, to target narrow issues, or to cover geographic regions use club-style admission criteria. Davis demonstrates that when it comes to the most important decision of cooperation—who belongs to the club and who doesn't—geopolitical alignment can matter more than the merits or policies of potential members. With illuminating case studies ranging from nineteenth-century Japan to contemporary Palestine and Taiwan, Discriminatory Clubs sheds light on how, for global and regional organizations such as the WTO and the EU, alliance ties and shared foreign-policy positions form the basis of cooperation. Christina L. Davis is the Edwin O. Reischauer Professor of Japanese Politics in the Department of Government at Harvard University. She is the author of Why Adjudicate? and Food Fights over Free Trade (both Princeton). Morteza Hajizadeh is a Ph.D. graduate in English from the University of Auckland in New Zealand. His research interests are Cultural Studies; Critical Theory; Environmental History; Medieval (Intellectual) History; Gothic Studies; 18th and 19th Century British Literature. YouTube channel. Twitter. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/world-affairs
Member selection is one of the defining elements of social organization, imposing categories on who we are and what we do. Discriminatory Clubs: The Geopolitics of International Organizations (Princeton UP, 2023) shows how international organizations are like social clubs, ones in which institutional rules and informal practices enable states to favor friends while excluding rivals. Where race or socioeconomic status may be a basis for discrimination by social clubs, geopolitical alignment determines who gets into the room to make the rules of global governance. Christina Davis brings together a wealth of data on membership provisions for more than three hundred organizations to reveal the prevalence of club-style selection on the world stage. States join organizations to deepen their association with a particular group of states—most often their allies—and for the gains from policy coordination. Even organizations that claim to be universal, to target narrow issues, or to cover geographic regions use club-style admission criteria. Davis demonstrates that when it comes to the most important decision of cooperation—who belongs to the club and who doesn't—geopolitical alignment can matter more than the merits or policies of potential members. With illuminating case studies ranging from nineteenth-century Japan to contemporary Palestine and Taiwan, Discriminatory Clubs sheds light on how, for global and regional organizations such as the WTO and the EU, alliance ties and shared foreign-policy positions form the basis of cooperation. Christina L. Davis is the Edwin O. Reischauer Professor of Japanese Politics in the Department of Government at Harvard University. She is the author of Why Adjudicate? and Food Fights over Free Trade (both Princeton). Morteza Hajizadeh is a Ph.D. graduate in English from the University of Auckland in New Zealand. His research interests are Cultural Studies; Critical Theory; Environmental History; Medieval (Intellectual) History; Gothic Studies; 18th and 19th Century British Literature. YouTube channel. Twitter.
Member selection is one of the defining elements of social organization, imposing categories on who we are and what we do. Discriminatory Clubs: The Geopolitics of International Organizations (Princeton UP, 2023) shows how international organizations are like social clubs, ones in which institutional rules and informal practices enable states to favor friends while excluding rivals. Where race or socioeconomic status may be a basis for discrimination by social clubs, geopolitical alignment determines who gets into the room to make the rules of global governance. Christina Davis brings together a wealth of data on membership provisions for more than three hundred organizations to reveal the prevalence of club-style selection on the world stage. States join organizations to deepen their association with a particular group of states—most often their allies—and for the gains from policy coordination. Even organizations that claim to be universal, to target narrow issues, or to cover geographic regions use club-style admission criteria. Davis demonstrates that when it comes to the most important decision of cooperation—who belongs to the club and who doesn't—geopolitical alignment can matter more than the merits or policies of potential members. With illuminating case studies ranging from nineteenth-century Japan to contemporary Palestine and Taiwan, Discriminatory Clubs sheds light on how, for global and regional organizations such as the WTO and the EU, alliance ties and shared foreign-policy positions form the basis of cooperation. Christina L. Davis is the Edwin O. Reischauer Professor of Japanese Politics in the Department of Government at Harvard University. She is the author of Why Adjudicate? and Food Fights over Free Trade (both Princeton). Morteza Hajizadeh is a Ph.D. graduate in English from the University of Auckland in New Zealand. His research interests are Cultural Studies; Critical Theory; Environmental History; Medieval (Intellectual) History; Gothic Studies; 18th and 19th Century British Literature. YouTube channel. Twitter. Learn more about your ad choices. Visit megaphone.fm/adchoices
Member selection is one of the defining elements of social organization, imposing categories on who we are and what we do. Discriminatory Clubs: The Geopolitics of International Organizations (Princeton UP, 2023) shows how international organizations are like social clubs, ones in which institutional rules and informal practices enable states to favor friends while excluding rivals. Where race or socioeconomic status may be a basis for discrimination by social clubs, geopolitical alignment determines who gets into the room to make the rules of global governance. Christina Davis brings together a wealth of data on membership provisions for more than three hundred organizations to reveal the prevalence of club-style selection on the world stage. States join organizations to deepen their association with a particular group of states—most often their allies—and for the gains from policy coordination. Even organizations that claim to be universal, to target narrow issues, or to cover geographic regions use club-style admission criteria. Davis demonstrates that when it comes to the most important decision of cooperation—who belongs to the club and who doesn't—geopolitical alignment can matter more than the merits or policies of potential members. With illuminating case studies ranging from nineteenth-century Japan to contemporary Palestine and Taiwan, Discriminatory Clubs sheds light on how, for global and regional organizations such as the WTO and the EU, alliance ties and shared foreign-policy positions form the basis of cooperation. Christina L. Davis is the Edwin O. Reischauer Professor of Japanese Politics in the Department of Government at Harvard University. She is the author of Why Adjudicate? and Food Fights over Free Trade (both Princeton). Morteza Hajizadeh is a Ph.D. graduate in English from the University of Auckland in New Zealand. His research interests are Cultural Studies; Critical Theory; Environmental History; Medieval (Intellectual) History; Gothic Studies; 18th and 19th Century British Literature. YouTube channel. Twitter. Learn more about your ad choices. Visit megaphone.fm/adchoices
In today's episode I talk to Christina Lombardi-Somaschini about: ❤️ How being transparent about the menopause at work and at home can help to normalise and bring awareness. ❤️ How doing little experiments can help us to understand and manage our menopause symptoms. ❤️ How connecting with and embodying our dignity can support us in our journey. ❤️ The importance of accepting who and where we are now. ❤️ The invitation to pay exquisite attention to ourselves in this phase of our life. About Christina Christina is a leadership development coach and facilitator, supporting individuals, teams and organisations to really live their leadership with courage, compassion and presence. She is a certified Co-Active coach, a vertical development practitioner and since 2016 has been using her own proprietary methodology for coaching and leadership development, the Living Leadership model. Connect with Christina here: https://www.noblerpath.com/ www.linkedin.com/in/christinals Books mentioned in this episode: Menopausing - Davina McCall with Dr Naomi Potter The Menopause Brain - Lisa Mosconi The New Menopause - Mary Claire Haver Dignity - Donna Hicks Contact me: info@samallencoachingcreatively.com Join my next Permission for Pleasure Group Coaching Programme for Women here. Find out more about working with me as a Coach & Tantra Guide & Sexological Bodyworker here. iSubscribe to my newsletter
Christina Woods is an internationally recognized Clinical Hypnotherapist, Rapid Transformational Therapist®, Empowerment Coach, and Reiki Master who leads women to realize their worth, shed old programs, and align with their authentic selves. Combining her three decades in corporate leadership, Christina has turned her personal triumph over adversity into a beacon of hope for hundreds of women worldwide.As the CEO and Founder of Wise Woods Hypnotherapy, Inc., Christina leads with the heart and has channeled her formidable experience in overcoming complex challenges into fostering the potential within others. Her combined expertise in hypnotherapy, coaching, and energy healing inspired her to create her signature approach, the Wise Woods Method, which guides clients all over the world on a truly profound journey of self-discovery and change. Christina helps women shatter self-sabotaging patterns and overcome burnout. She empowers them to find the strength and wisdom within, establish healthy boundaries, and create lives filled with purpose and fulfillment. Alongside her deep mindset and healing work, Christina works with thenon-profit organization, Lotus Rising International, whose mission is to provide holistic wellness recovery programs for survivors of human trafficking.
This week's “How She Finds Purpose” insight comes from Christina Woods. She says – “Follow your intuition. But you have to have boundaries to follow your intuition. So what I mean by that is if you are cluttered with chaos, you cannot tune into your intuition. So having boundaries, self-care, a little quiet space, practice to allow yourself to let what you hear move through your heart and not your head. Your head doesn't have a lot of answers. As high achieving women, we tend to think, let me sound smart. Okay? No. The answers come through your intuition, your inner compass. You have known your whole life what feels right and aligned, and your wisdom will guide you.” Christina Woods is an internationally recognized clinical hypnotherapist who helps smart, spiritually open women tap into their inner strength and wisdom. She empowers them to set healthy boundaries and build purpose-driven, fulfilling lives. In this episode, Christina shares her personal journey, from being a high-powered corporate VP to finding alignment with her true purpose through hypnotherapy and energy healing. She also explains how hypnotherapy can help women shed limiting beliefs and reconnect with their intuition to create lasting change. Here are 3 reasons why you should listen to this episode: Learn how to quiet the noise of daily life so you can hear your intuition and make decisions that align with your values. Discover why high achieving women often struggle with imposter syndrome and how hypnotherapy can help resolve it. Find out how Christina transitioned from a corporate career to a fulfilling life of purpose and service, and what lessons you can apply to your own journey. Connect with Christina at: http://www.christinalwoods.com/ Instagram: https://www.instagram.com/christina.lwoods/ Would you prefer to watch or listen to the podcast on YouTube?Head on over to https://www.youtube.com/@leadershippurposepodcast Want to connect? Connect with Dr. Robin on LinkedIn: https://www.linkedin.com/in/robinlowensphd/ Facebook: https://www.facebook.com/robinlowensphd Instagram: https://www.instagram.com/robinlowensphd/ Email: Robin@LeadershipPurposePodcast.com Thank you for listening! Rate, review, & follow on Apple Podcasts or your favorite podcast player. Talk to you soon! This episode was produced by Lynda, Podcast Manager for GenX Creative Entrepreneurs at https://www.ljscreativeservices.co.nz
Christina Dobbs talks to us about beliefs about education, disciplinary literacies from a critical stance, and literacies that matter for learners. Christina is known for her work in the areas of language development, the argumentative writing of students, disciplinary literacy, and professional development for secondary content teachers. She is the author of several books, including Investigating Disciplinary Literacy and Disciplinary Literacy Inquiry & Instruction, in addition to numerous publications in researcher and practitioner journals. Dr. Christina Dobbs is an assistant professor and director of the English Education for Equity and Justice program at Boston University Wheelock College of Education & Human Development.To cite this episode: Persohn, L. (Host). (2024, May 14). A conversation with Christina L. Dobbs (Season 4, No. 11) [Audio podcast episode]. In Classroom Caffeine Podcast series. https://www.classroomcaffeine.com/guests. DOI: 10.5240/E0E0-E9A5-C5FA-D08B-6DF4-K Connect with Classroom Caffeine at www.classroomcaffeine.com or on Instagram, Facebook, and Twitter.
Christina L. Woods is an internationally recognized Clinical Hypnotherapist, Rapid Transformational Therapist®, Empowerment Coach, and Reiki Master who empowers women to recognize their worth, shed old programs, and align with their authentic selves. Combining her 30 years in corporate leadership, Christina has turned her personal triumph over adversity into a beacon of hope for hundreds of women worldwide. As the CEO and Founder of Wise Woods Hypnotherapy, Inc., Christina leads with the heart and has channeled her formidable experience in overcoming complex challenges into fostering the potential within others. Her combined expertise in hypnotherapy, coaching, and energy healing inspired her to create her signature approach, the Wise Woods Method, which guides clients all over the world on a truly profound journey of self-discovery and change. Christina has been honing her intuition and spiritual energy practice throughout her entire life, and she brings this experience, knowledge, and wisdom to every client, and audience she connects with.Christina is an esteemed speaker who has graced over 75 podcasts and radio stations internationally, sharing her expertise and inspiring change. You can listen to some of Christina's interviews at the Peak Performance Life Podcast and The Gratitude Cafe. Her influence extends beyond individual sessions, having spoken to diverse assemblies of women, aiding them on their paths to empowerment, and leading teams through intricate corporate and personal challenges. In addition to her deep mindset and healing work, Christina works with the non-profit organization, Lotus Rising International, whose mission is to provide holistic wellness recovery programs for survivors of human trafficking.In this episode, we discover the following:What are boundaries, and why do some of us not keep them?Why willpower isn't enough when trying to shift our programming.How do we create new neural pathways?How to align our lives with our hearts.With podcast host: Mark SephtonHope you'll enjoy the episode! Hosted on Acast. See acast.com/privacy for more information.
WegeBedarf - Der BestBuddyPodcast für Deine persönliche unternehmerische Freiheit
Sind wir immer Kapitän unseres Lebens und haben Kurs, Steuer und Mannschaft voll im Griff? Oder gibt es Situationen, die immer wieder vorkommen, an denen wir scheinbar nicht wirklich selbst steuern? Christina Löhnert ist Psychologin und hat in tausenden von Gesprächen schon alles erlebt. Nach außen erfolgreiche Unternehmer aber hinter der immer glänzenden Fassade sieht es oft völlig anders. Wie bekommst du als UnternehmerMensch neben deinen Bilanzen auch deine Bedürfnisse als Mensch in Balance? Wie kannst du als Kapitän deiner Lebens auch deine Mannschaft in Balance? Wen hast du dir wann im Leben an Bord geholt? Und macht das immer noch Sinn? Höre selbst
As the CEO and Founder of her own business, Christina is a Clinical Hypnotherapist, Rapid Transformational Therapist, Empowerment Coach, and Energy Healer and she helps women all over the world remove the invisible barriers that stop them from becoming unstoppable and living their best and most authentic lives. More about Christina-https://christinalwoods.com/linktree/Renew and Reclaim a Virtual Self-Care Summit and fundraiser for Lotus Rising International supporting National Trafficking Awareness Day launches on January 11th, 2024 tickets are $108 with over 30 wellness experts offering courses. BONUS Offer: Purchase a summit ticket, and get the ticket price as credit toward a session with me! Must email me your email address so I can track your ticket purchase.https://renewandreclaim.vfairs.com/More about Liz-Work- https://www.lizshealingtouch.com/Radio Show- https://www.voiceofvashon.org/raise-the-vibePodcast- https://www.buzzsprout.com/958816Facebook- https://www.facebook.com/raisethevibewithlizInstagram- https://www.instagram.com/raisethevibewithliz/*** Support the show! https://www.buzzsprout.com/958816/supportSupport me on Patreon- https://www.patreon.com/user?u=43081730https://paypal.me/LisbethPeterson?country.x=US&locale.x=en_USThank you!Support the show
Kvinnor mitt i livet har ofta behov av att omstrukturera hur vi använder energi och ofta ändrar vi inställning och förhållningssätt till olika saker i våra liv. Det är vanligt att känna längtan efter nystart och kanske är det precis det som övergångsperioden handlar om. Men det kan kännas tungt och svårt att sätta ord på vad man saknar och längtar efter och när vi fastnat i gamla tankemönster gör vi val utifrån vana och rädsla. Det är lättare att nöja sig än att vara nöjd. Samtalsterapeuten Christina L Persson förespråkar samtal och engagemang i sig själv för att hitta vem man är och längtar efter. Mycket kommer ikapp i den här åldern och även om vi inte kan skylla allt på klimakteriet så krävs strategier för att komma vidare. Christina delar också en stark berättelse om en tragedi från sitt eget liv som tvingade henne se saker på ett nytt sätt för att komma vidare. Alla kan göra förändringar och att börja prata är ett sätt att starta.Läs mer på www.klimakteriepodden.se Hosted on Acast. See acast.com/privacy for more information.
Vem är jag och varför gör jag som jag gör? Längtan efter förändring och utveckling, en diffus känsla av att vilja reda ut vad man egentligen vill. För många kommer önskan om något nytt under klimakterieåren. Vi går igenom en stor hormonell omställning som påverkar oss på många sätt och inte minst våra tankar och känslor. Genom att se bakåt kan man förstå vad som präglat en och hur vi skapat strategier för att göra saker på ett visst sätt. Man kan känna frustration, en känsla av hjälplöshet, älta, längta eller känna sig handlingskraftig. Oavsett så kan det vara spännande att våga titta närmare på tankar och känslor för att ta ett nytt steg. Avsnittets gäst, Christina L Persson, är samtalsterapeut och delar frikostigt med sig av egna erfarenheter och ger exempel på konkreta situationer och hur man kan hantera dem. Viljan är förutsättning för all förändring säger Christina, och vi har eget ansvar för hur vi agerar även om det beror på våra känslor och mående. Läs mer på www.klimakteriepodden.se Hosted on Acast. See acast.com/privacy for more information.
About This Episode In this episode of Stories Found, we're chatting with one of our favorite scholar/poet/storytellers, Dr. Christina L. Ivey. We discuss family, autoethnography, and the importance of storytelling. We then listen to her story, Going Home, about how she, as a queer woman, navigates her relationship with a conservative, Trump-supporting father. About the Storyteller Dr. Christina L. Ivey Dr. Ivey (they/she) is a lecturer and budding poet living on the outer cusp of the Pacific Northwest. She currently teaches Communication and Culture classes, but in their own poetic way, thinks of it as training the next frontline of bad ass social justice advocates. When not in the classroom, you can find them in the chair at a tattoo parlor, watching live drag/burlesque/performance art, or snuggling her cats. She has publications in various academic journals (Women's Studies in Communication, The Journal of Autoethnography, QED: A Journal of GLBTQ Worldmaking), as well as a self published chapbook called Sacred Geometry. Follow Christina on Instagram Order a copy of Sacred Geometry by emailing Christina. Featured Organization: Boise Little Theater Boise Little Theater is a volunteer-organized, non-profit organization with an unwavering dedication to quality amateur theater. For over 70 years, BLT has produced plays in all genres. As the longest-running community theater in Idaho, BLT uses theatre arts to enrich lives in its community by presenting different perspectives to promote empathy and encourage laughter, critical thinking, physical activity, and fellowship. Find out more about Boise Little Theatre, see their list of upcoming shows, and discover how you can get involved at boiselittletheater.org Featured Sponsor: The Stories Found Newsletter! Get updates from your BFFs at Stories Found. Be the first to know about new episodes, upcoming shows, our submission opportunities, auditions, and more! Join us at storiesfound.substack.com
Angst, skizofreni, selvmordstanker. Hvad går galt? Når psykisk syge sendes på gaden? Når ansatte på bosteder stikkes ned? Når en mand skyder og dræber i Fields? Hvorfor bliver hver fjerde med henvisning til psykiatrien sendt hjem igen? P1Debat med forældre, læger og politikere. Medvirkende: Mia Kristina Hansen; formand for landsforeningen for psykisk sundhed, SIND, Christina Løtzch; Mor der har mistet sin søn med psykiske lidelser, Merete Nordentoft, Overlæge ved Psykiatrisk Center København, Pernille Skipper (Ø) psykiatriordfører, Jane Heitmann (V) psykiatriordfører, Peter Westermann (SF) formand psykiatriudvalget Region Hovedstaden, Morten Rhoden (RV) FT-kandidat. Vært: Gitte Hansen. Lytterne er velkomne til at komme med indspark til debatten på telefon 7021 1919. www.dr.dk/p1debat
Angst, skizofreni, selvmordstanker. Hvad går galt? Når psykisk syge sendes på gaden? Når ansatte på bosteder stikkes ned? Når en mand skyder og dræber i Fields? Hvorfor bliver hver fjerde med henvisning til psykiatrien sendt hjem igen? P1Debat med forældre, læger og politikere. Medvirkende: Mia Kristina Hansen; formand for landsforeningen for psykisk sundhed, SIND, Christina Løtzch; Mor der har mistet sin søn med psykiske lidelser, Merete Nordentoft, Overlæge ved Psykiatrisk Center København, Pernille Skipper (Ø) psykiatriordfører, Jane Heitmann (V) psykiatriordfører, Peter Westermann (SF) formand psykiatriudvalget Region Hovedstaden, Morten Rhoden (RV) FT-kandidat. Vært: Gitte Hansen. Lytterne er velkomne til at komme med indspark til debatten på telefon 7021 1919. www.dr.dk/p1debat
Angst, skizofreni, selvmordstanker. Hvad går galt? Når psykisk syge sendes på gaden? Når ansatte på bosteder stikkes ned? Når en mand skyder og dræber i Fields? Hvorfor bliver hver fjerde med henvisning til psykiatrien sendt hjem igen? P1Debat med forældre, læger og politikere. Medvirkende: Mia Kristina Hansen; formand for landsforeningen for psykisk sundhed, SIND, Christina Løtzch; Mor der har mistet sin søn med psykiske lidelser, Merete Nordentoft, Overlæge ved Psykiatrisk Center København, Pernille Skipper (Ø) psykiatriordfører, Jane Heitmann (V) psykiatriordfører, Peter Westermann (SF) formand psykiatriudvalget Region Hovedstaden, Morten Rhoden (RV) FT-kandidat. Vært: Gitte Hansen. Lytterne er velkomne til at komme med indspark til debatten på telefon 7021 1919. www.dr.dk/p1debat
Naturen är svenskarnas katedral, sägs det. Ute i det fria finner många uttryck för det ordlösa, det som är större, det som förenar. Christina Lövestam söker orden för sina upplevelser av Gud i naturen. Vad skulle jag vilja fråga markens kryp? Vad skulle en fågel ha att lära mig? Vad skulle en stum fisk kunna visa mig? Vilken är min djupaste fråga? Hur finner jag orden?Hur finner jag det levande ordet i min fråga under den här dagen, som nyss har grytt? Christina Lövestam är själv en uppskattad psalmförfattare, präst, författare och psykoterapeut. Hon bor i Alingsås.Andakten sändes första gången den 25 februari 2022.TextJobs bok kapitel 12:7-13 Psalm 175:5 Text: O Hartman MusikGud är mysterium med Georg Riedel Den signade dag med Arne Domnerus och Gustaf Sjökvist Producent Neta Norrmo Slutmix Frida Claesson Johansson för Sveriges Radio Göteborg liv@sverigesradio.se
Hur lyssnar vi? Prövar våra öron orden, som tungan prövar matens smak? Ord kan vara precisa men ändå ha undermeningar. Vi kan läsa mellan rader eller lyssna efter undertexter och tolka efter våra egna erfarenheter. Ord kan misstolkas och ord kan förena. Det levande ordet är veckans röda tråd i Morgonandakterna. Jag tror att det levande ordet finns mitt ibland oss. Guds närvaro i allt levande.Vi kan lyssna till en text med hjärtat. Läsa det som står mellan raderna. Läsa in vårt eget liv mellan raderna, för att förstå vad som blir berättat för oss. Försöka bli närvarande i det som Ordet vill berätta för oss. Ana situationen i vilken texten skrevs. Här finns längtan. Längtan efter att lära känna den Guds ande som skapat allt som finns.Christina Lövestam är själv en uppskattad psalmförfattare, präst, författare och psykoterapeut. Hon bor i Alingsås.Andakten sändes första gången den 24 februari 2022.TextJohannesevangeliets första kapitel, vers 1-5 Psalm 911 Ett brustet halleluja Text: Christine FalkenlandMusikAdagio i g-moll attribuerad till Albinoni med Gunilla von Bahr Producent Neta Norrmo Slutmix Frida Claesson Johansson för Sveriges Radio Göteborg liv@sverigesradio.se
Frågan är vad som är först, tanken eller orden, eller orden som bara finns där? Redan i mammas mage hör vi ord och som barn lär vi oss att härma och benämna genom att lyssna och pröva oss fram. Om vikten av orden, om förmågan att se världen genom ord och att genom orden förstå, talar Christina Lövestam i andakten.I psykoterapi söker vi orden för det vi varit med om. Vi beskriver det vi inte kunnat sätta ord på, vi trevar oss fram i det oformliga och får hjälp av terapeuten att leta vidare. Tills vi finner orden. Det exakta uttrycket som liksom fångar in vad det handlar om, och vi utsäger det, och där sker befrielse. Insikt. Så här var det. Precis så här var det. Christina Lövestam är själv en uppskattad psalmförfattare, präst, författare och psykoterapeut. Hon bor i Alingsås.Andakten sändes första gången den 23 februari 2022TextPsaltarpsalm 25 Psalm 178 Som skimret över hav och sky av Anders FrostensonMusikFlöjtsonat i a-moll av Bach med Gunilla von Bahr Producent Neta Norrmo Slutmix Frida Claesson Johansson för Sveriges Radio Göteborg liv@sverigesradio.se
Orden ger liv, i psalmsång förenas vi i orden, om det handlar morgonandakten. Just nu pågår insamlandet av nyskrivna psalmer som ska utgöra möjliga bidrag till en ny psalmbok för Svenska kyrkan.Ord i psalmer, texter och orden vi delar är viktiga. Kommer andra att känna sig levande av de ord vi själva yttrar? Eller kommer vi att möta andra med klagovisor om dåligt väder och pandemin som aldrig tycks försvinna, och gnäll på bussar och tåg som inte är i tid. Eller ser vi på en människa vi möter och säger något.Christina Lövestam är själv en uppskattad psalmförfattare, präst, författare och psykoterapeut. Hon bor i Alingsås.Andakten sändes första gången den 22 februari 2022TextFörsta Mosebok, kapitel 1 Psalm 175 Text: O HartmanMusikDen signade dag med Arne Domnerus och Gustaf Sjökvist Producent Neta Norrmo Slutmix Frida Claesson Johansson för Sveriges Radio Göteborg liv@sverigesradio.se
Det levande Ordet, Gud här mitt ibland oss, har starka uttryck i våra psalmer. Just nu pågår insamlandet av nyskrivna psalmer som ska utgöra möjliga bidrag till en ny psalmbok för Svenska kyrkan. En psalm har ett ärende, nämligen att bli sjungen. Och när den sjungs med en melodi som passar ihop med texten händer det något väldigt stort. Psalmen förkroppsligas. Människors röster sjunger tillsammans i en gudstjänst. Om det låter rent eller falskt har ingen större betydelse. Det som betyder något är att den sjungs av många tillsammans.Christina Lövestam är själv en uppskattad psalmförfattare, präst, författare och psykoterapeut. Hon bor i Alingsås. Andakten sändes första gången 21 februari 2022TextPsaltarpsalm 96 Psalm 114 Stilla Natt Text: J Mohr/T Fogelqvist Psalm 200 I denna ljuva sommartid Text: P Gerhardt/BG Hallqvist Psalm 821 Res oss upp igen. Text: Per-Håkan SandbergMusikGud är mysterium av och med Georg Riedel Producent Neta Norrmo Slutmix Frida Claesson Johansson för Sveriges Radio Göteborg liv@sverigesradio.se
Dr. Matthew Feng is joined by co-host Dr. Edmund Tsui to discuss what's new in our understanding of zoster, vaccinations, and more with Dr. Nisha Acharya from her 2020 Ophthalmology article, “Incidence Rate of Herpes Zoster Ophthalmicus: A Retrospective Cohort Study from 1994 through 2018.” Incidence Rate of Herpes Zoster Ophthalmicus. Kong, Christina L. et al. Ophthalmology, Volume 127, Issue 3, 324 – 330.
Im neuen Podcast geht es um die Stadtbibliothek Mülheim. Um neu Angebote die es jetzt dort gibt. Die Leiterin des Medienkompetenzzentrums, Christina Lüke, erklärt die neuen Angebote, wie die Online-Plattform „Filmfriend.de“, die neu gestartete „Bibliothek der Dinge“ und schließlich um das neu eröffnete Medialab. Auf die Nutzer der Stadtbibliothek kommen interessante Angebote zu.
Naturen är svenskarnas katedral, sägs det. Ute i det fria finner många uttryck för det ordlösa, det som är större, det som förenar. Christina Lövestam söker orden för sina upplevelser av Gud i naturen. Vad skulle jag vilja fråga markens kryp? Vad skulle en fågel ha att lära mig? Vad skulle en stum fisk kunna visa mig? Vilken är min djupaste fråga? Hur finner jag orden?Hur finner jag det levande ordet i min fråga under den här dagen, som nyss har grytt?Christina Lövestam är själv en uppskattad psalmförfattare, präst, författare och psykoterapeut. Hon bor i Alingsås. Text Jobs bok kapitel 12:7-13 Psalm 175:5 Text: O Hartman Musik Gud är mysterium med Georg Riedel Den signade dag med Arne Domnerus och Gustaf Sjökvist Producent Neta Norrmo Slutmix Frida Claesson Johansson för Sveriges Radio Göteborg liv@sverigesradio.se
"Hur lyssnar vi? Prövar våra öron orden, som tungan prövar matens smak?" Ord kan vara precisa men ändå ha undermeningar. Vi kan läsa mellan rader eller lyssna efter undertexter och tolka efter våra egna erfarenheter. Ord kan misstolkas och ord kan förena. Det levande ordet är veckans röda tråd i Morgonandakterna.Jag tror att det levande ordet finns mitt ibland oss. Guds närvaro i allt levande. Vi kan lyssna till en text med hjärtat. Läsa det som står mellan raderna. Läsa in vårt eget liv mellan raderna, för att förstå vad som blir berättat för oss. Försöka bli närvarande i det som Ordet vill berätta för oss. Ana situationen i vilken texten skrevs. Här finns längtan. Längtan efter att lära känna den Guds ande som skapat allt som finns.Christina Lövestam är själv en uppskattad psalmförfattare, präst, författare och psykoterapeut. Hon bor i Alingsås.Text Johannesevangeliets första kapitel, vers 1-5 Psalm 911 Ett brustet halleluja Text: Christine Falkenland Musik Adagio i g-moll attribuerad till Albinoni med Gunilla von Bahr Producent Neta Norrmo Slutmix Frida Claesson Johansson för Sveriges Radio Göteborg liv@sverigesradio.se
"Frågan är vad som är först, tanken eller orden, eller orden som bara finns där?" Redan i mammas mage hör vi ord och som barn lär vi oss att härma och benämna genom att lyssna och pröva oss fram. Om vikten av orden, om förmågan att se världen genom ord och att genom orden förstå, talar Christina Lövestam i andakten.I psykoterapi söker vi orden för det vi varit med om. Vi beskriver det vi inte kunnat sätta ord på, vi trevar oss fram i det oformliga och får hjälp av terapeuten att leta vidare. Tills vi finner orden. Det exakta uttrycket som liksom fångar in vad det handlar om, och vi utsäger det, och där sker befrielse. Insikt. Så här var det. Precis så här var det. Christina Lövestam är själv en uppskattad psalmförfattare, präst, författare och psykoterapeut. Hon bor i Alingsås.Text Psaltarpsalm 25 Psalm 178 Som skimret över hav och sky av Anders FrostensonMusik Flöjtsonat i a-moll av Bach med Gunilla von Bahr Producent Neta Norrmo Slutmix Frida Claesson Johansson för Sveriges Radio Göteborg liv@sverigesradio.se
Orden ger liv, i psalmsång förenas vi i orden, om det handlar morgonandakten. Just nu pågår insamlandet av nyskrivna psalmer som ska utgöra möjliga bidrag till en ny psalmbok för Svenska kyrkan. Ord i psalmer, texter och orden vi delar är viktiga:Kommer andra att känna sig levande av de ord vi själva yttrar? Eller kommer vi att möta andra med klagovisor om dåligt väder och pandemin som aldrig tycks försvinna, och gnäll på bussar och tåg som inte är i tid. Eller ser vi på en människa vi möter och säger något. Christina Lövestam är själv en uppskattad psalmförfattare, präst, författare och psykoterapeut. Hon bor i Alingsås.Text Första Mosebok, kapitel 1 Psalm 175 Text: O HartmanMusik Den signade dag med Arne Domnerus och Gustaf Sjökvist Producent Neta Norrmo Slutmix Frida Claesson Johansson för Sveriges Radio Göteborg liv@sverigesradio.se
"Det levande Ordet, Gud här mitt ibland oss, har starka uttryck i våra psalmer." Just nu pågår insamlandet av nyskrivna psalmer som ska utgöra möjliga bidrag till en ny psalmbok för Svenska kyrkan. En psalm har ett ärende, nämligen att bli sjungen. Och när den sjungs med en melodi som passar ihop med texten händer det något väldigt stort. Psalmen förkroppsligas. Människors röster sjunger tillsammans i en gudstjänst. Om det låter rent eller falskt har ingen större betydelse. Det som betyder något är att den sjungs av många tillsammans.Christina Lövestam är själv en uppskattad psalmförfattare, präst, författare och psykoterapeut. Hon bor i Alingsås.Text Psaltarpsalm 96 Psalm 114 Stilla Natt Text: J Mohr/T Fogelqvist Psalm 200 I denna ljuva sommartid Text: P Gerhardt/BG Hallqvist Psalm 821 Res oss upp igen. Text: Per-Håkan Sandberg Musik Gud är mysterium av och med Georg Riedel Producent Neta Norrmo Slutmix Frida Claesson Johansson för Sveriges Radio Göteborg liv@sverigesradio.se
In dieser Woche ist es wieder so weit. Kinder laufen in prächtigen Königsgewändern durch die Straßen: die Sternsinger. Aber wegen des Coronavirus haben sich viele Gruppen entschieden, auch mal anders Spenden zu sammeln. Schließlich geht es nicht nur um den Spaß, sondern vor allem darum, dass Kinder anderen Kindern helfen. Seit Beginn der Aktion im Jahr 1959 wurden über 1,2 Milliarden Euro gesammelt. Damit auch in diesem Jahr wieder viel Geld zusammen kommt, aber trotzdem die Coronaregeln eingehalten werden, werden die Gruppen kreativ. Anna-Lena Ils hat mal bei Christina Lömmer, Diözesanvorsitzende beim Bund der Deutschen Katholischen Jugend, nachgefragt, was sich die Sternsingergruppen so überlegt haben. Welche Aktionen bei euch vor Ort stattfinden, fragt ihr am besten bei euren jeweiligen Pfarreien. Und spenden könnt ihr immer, einfach digital. Alle Infos findet ihr auf sternsinger.de.
Christina Löwenström är grundare av Zeptagram, en plattform för att med hjälp av NFTs kan sälja rättigheter för exempelvis musikverk. Christina har i olika former jobbat med trender och kreativitet, både som trendanalytiker och som låtskrivare till Håkan Hellström och idén till Zeptagram kom under en ofrivillig paus då hälsenan slitits av. Hur kunde hon hjälpa den falnande musikbranschen och fanns det ett sätt som låtskrivare och kompositörer kunde tjäna pengar på sina verk bortom att sälja dem till musikbolag?
Commercial Division Rules in Supreme and County Courts have been adjusted over the past year. Hear from our panel of alumni and faculty experts to discuss these changes: Stephen P. Younger, Esq., '82, Hon. Christina L. Ryba '01, Hon. Ryan T. Donovan '01, Danielle C. Quinn, Esq., '15, and Prof. Patrick M. Connors.
Biffen om Madonnas oväntade trevlighet och fd kiss-gitaristens Vinnie Vincents väntade otrevlighet. Teddys skakande historia om den största smörgåspålägg-relaterade kulturkrocken han upplevt. Paolo från Lillasyster om den känslomässiga med sin pappa och den oväntade målgruppen efter mellon.Christina Löwensröm om Zeptagram och att investera i musikrättigheter. See acast.com/privacy for privacy and opt-out information.
In dieser dreiteiligen Reihe sprechen Judith und Jan mit Christina Lünenborg. Sie ist als Diätassistentin und Oecotrophologin seit über 10 Jahren in der Bio-Branche und insbesondere im Bio-Fachhandel tätig. Seit 2012 gibt sie freiberuflich Seminare mit den Schwerpunkten Ernährung und Warenkunde innerhalb der Weiling.Akademie und arbeitet darüber hinaus als Wissenschaftliche Mitarbeiterin bei der Kantine Zukunft in Berlin. Gemeinsam reden die Drei über verschiedene Ernährungsformen, was sie ausmachen und worauf man achten muss. In der aktuellen Folge geht es um „Vollwerternährung“ und die 2019 erschienene „Planetary Health Diet“, die gut für uns und für die Erde sein soll. Warum, das erklärt Euch Christina ebenso ausführlich wie die Drei die Sache mal ausprobieren und Euch an ihren Erfahrungen teilhaben lassen. Seid gespannt! Vielleicht denkt Ihr auch hier wieder: Ja, das kenne ich sehr gut. Viel Spaß beim Zuhören und Nachmachen. PS: Rotkohl isst Christina wieder. Kantine Zukunft und die Rezepte https://kantine-zukunft.de/fuer-viele Das Buch zur Planetary Health Diet: Johan Rockström & Victoria Bignet: Eat Good Mehr Rezepte erhältst Du hier: https://www.bioladen.de/rezepte/#c69 Mehr über die Werte von bioladen* erfährst Du auf https://www.bioladen.de/leitbild
Wie ernähre ich mich zuckerfrei? Hinter welchen Begriffen versteckt die Industrie denn Zucker? Und: Was ist die Alternative zu Zucker? In dieser dreiteiligen Reihe sprechen Judith und Jan mit Christina Lünenborg. Sie ist als Diätassistentin und Oecotrophologin seit über 10 Jahren in der Bio-Branche und insbesondere im Bio-Fachhandel tätig. Seit 2012 gibt sie freiberuflich Seminare mit den Schwerpunkten Ernährung und Warenkunde innerhalb der Weiling.Akademie und arbeitet darüber hinaus als Wissenschaftliche Mitarbeiterin bei der Kantine Zukunft in Berlin. Gemeinsam reden die Drei über verschiedene Ernährungsformen, was sie ausmachen und worauf man achten muss. In der aktuellen Folge geht es um „zuckerfrei“ und ketogene Ernährung wie „low carb“. Aber vor allem ist es mal wieder eine offene und ehrliche dreiteilige Folge von „Bio für die Ohren“, in der Ihr vielleicht das ein oder andere Mal denkt, „Ja, ich weiß wovon sie reden“, und dabei ein wenig schmunzeln oder sogar lachen müsst. Kantine Zukunft und die Rezepte https://kantine-zukunft.de/fuer-viele Mehr Rezepte erhältst Du hier: https://www.bioladen.de/rezepte/#c69 Mehr über die Werte von bioladen* erfährst Du auf https://www.bioladen.de/leitbild
Was macht nachhaltige Ernährung aus? Wie gelingt die Ernährungswende? Und kann die dafür nötige Ernährungsumstellung allen "Geschmäckern" gerecht werden? Welchen Beitrag leistet die Außer-Haus-Gastronomie bei dieser Transformation? Kann die Politik den Prozess unterstützen und wenn ja, wie? Und was kann jede beziehungsweise jeder konkret tun? In der vierten Episode der Staffel "Die Transformationsarenen des Klimaschutzes" von Zukunftswissen.fm diskutieren Dinah Hoffmann, stellvertretende Projektleiterin bei Kantine Zukunft, Christina Lünenborg, wissenschaftliche Mitarbeiterin bei Kantine Zukunft, sowie Dr. Melanie Speck, Senior Researcher im Forschungsbereich Produkt- und Konsumsysteme am Wuppertal Institut, über diese und viele weitere spannende Fragen. Reinhören und informiert bleiben: #ZukunftswissenFM *** Links: Bericht der EAT-Lancet Commission: https://bit.ly/3qCFTbr (Seite 10: Planetary Health Diet) Veggie Challenge: https://proveg.com/de/veggie-challenge/ Meal Prep: https://bit.ly/3l86Brg Rezeptideen der Kantine Zukunft: https://kantine-zukunft.de/fuer-viele/ Forschungsprojekte: https://nahgast.de/ => https://nahgast.de/rechner/ https://keeks-projekt.de/ Dinah Hoffmann, https://kantine-zukunft.de/team/ Christina Lünenborg, https://kantine-zukunft.de/team/ Dr. Melanie Speck, https://wupperinst.org/c/wi/c/s/cd/1211 Kantine Zukunft, https://kantine-zukunft.de/ Wuppertal Institut für Klima, Umwelt, Energie gGmbH, https://wupperinst.org, @Wupperinst Zukunftswissen.fm, https://zukunftswissen.fm Kontakt: zukunftswissen_fm@wupperinst.org #zukunftswissen #zukunftskunst #kantinezukunft Produktion: Wuppertal Institut für Klima, Umwelt, Energie gGmbH GEMAfreie Musik von https://audiohub.de
#12: Transformationsarenen des Klimaschutzes - Nachhaltige Ernährung außer Haus / Dinah Hoffmann, Christina Lünenborg, Melanie Speck Was macht nachhaltige Ernährung aus? Wie gelingt die Ernährungswende? Und kann die dafür nötige Ernährungsumstellung allen "Geschmäckern" gerecht werden? Welchen Beitrag leistet die Außer-Haus-Gastronomie bei dieser Transformation? Kann die Politik den Prozess unterstützen und wenn ja, wie? Und was kann jede beziehungsweise jeder konkret tun? In der vierten Episode der Staffel "Die Transformationsarenen des Klimaschutzes" von Zukunftswissen.fm diskutieren Dinah Hoffmann, stellvertretende Projektleiterin bei Kantine Zukunft, Christina Lünenborg, wissenschaftliche Mitarbeiterin bei Kantine Zukunft, sowie Dr. Melanie Speck, Senior Researcher im Forschungsbereich Produkt- und Konsumsysteme am Wuppertal Institut, über diese und viele weitere spannende Fragen. Reinhören und informiert bleiben: #ZukunftswissenFM *** Links: Bericht der EAT-Lancet Commission: https://bit.ly/3qCFTbr (Seite 10: Planetary Health Diet) Veggie Challenge: https://proveg.com/de/veggie-challenge/ Meal Prep: https://bit.ly/3l86Brg Rezeptideen der Kantine Zukunft: https://kantine-zukunft.de/fuer-viele/ Forschungsprojekte: https://nahgast.de/ => https://nahgast.de/rechner/ https://keeks-projekt.de/ Dinah Hoffmann, https://kantine-zukunft.de/team/ Christina Lünenborg, https://kantine-zukunft.de/team/ Dr. Melanie Speck, https://wupperinst.org/c/wi/c/s/cd/1211 Kantine Zukunft, https://kantine-zukunft.de/ Wuppertal Institut für Klima, Umwelt, Energie gGmbH, https://wupperinst.org, @Wupperinst Zukunftswissen.fm, https://zukunftswissen.fm Kontakt: zukunftswissen_fm@wupperinst.org #zukunftswissen #zukunftskunst #kantinezukunft Produktion: Wuppertal Institut für Klima, Umwelt, Energie gGmbH GEMAfreie Musik von https://audiohub.de
Welche Ernährungsformen gibt es? Was ist eine Diät? Und in dem Zusammenhang gibt es Antworten auf die Fragen: Was bewegt jemanden dazu, seine Ernährung umzustellen? Und was sind die Erfahrungen? In dieser dreiteiligen Reihe sprechen Judith und Jan mit Christina Lünenborg. Sie ist als Diätassistentin und Oecotrophologin seit über 10 Jahren in der Bio-Branche und insbesondere im Bio-Fachhandel tätig. Seit 2012 gibt sie freiberuflich Seminare mit den Schwerpunkten Ernährung und Warenkunde innerhalb der Weiling.Akademie und arbeitet zusätzlich als Wissenschaftliche Mitarbeiterin bei der Kantine Zukunft in Berlin. Gemeinsam reden die Drei über verschiedene Ernährungsformen, was sie ausmachen und worauf man achten muss. In der aktuellen Folge geht es um „Vegetarisch“ und „Vegan“. Was Ihr ganz nebenbei noch zu hören bekommt, sind wieder Impulse für Rezeptideen zum Nachmachen. Aber vor allem ist es mal wieder eine offene und ehrliche dreiteilige Folge von „Bio für die Ohren“, in der Ihr vielleicht das ein oder andere Mal denkt, „Ja, ich weiß wovon sie reden“, und dabei ein wenig schmunzeln oder sogar lachen müsst. Die Folgen 2+3 erscheinen am 18.03.2021. Kantine Zukunft und die Rezepte: https://kantine-zukunft.de/fuer-viele/ Mehr Rezepte erhältst Du hier: https://www.bioladen.de/kochbuch/#c69 Mehr über die Werte von bioladen* erfährst Du auf https://www.bioladen.de/leitbild
Christina L. McCracken-Nussle is a native Texan, born and raised in Dallas. Christina graduated from the University of Texas at Austin with a BBA in International Business and Finance and received her Doctor of Jurisprudence, cum laude, from St. Mary’s University School of Law in 1991. Christina is a pro-active, problem solver-solution finder. She views the attorney client-relationship as a strategic partnership based on transparency and forthright communication. She has created long-standing relationships with her clients and is proud of the fact that a majority of her clients come through client referrals. Christina handled an array of litigated civil lawsuits in her early years of practice. From this experience, she became an advocate for seeking an early diagnosis of the legal issues so she could offer value-driven solutions to her clients. Today, Christina continues to use her pro-active approach to legal disputes. In 1994, the LORD summoned Christina L McCracken, a practicing lawyer, to explain why God's Counsel of restoration had not manifested in His people and in the nations on Earth. During a personal encounter with the LORD, God revealed "webs" covering the Earth, formed through individuals speaking lies about God and His laws. These "webs" are a metaphor for barriers between heaven and Earth, preventing the Counsel of the LORD from entering the lives of His people. Contact Christina McCracken: www.bomglaw.com. Website: https://counselortocounselor.com Amazon books https://www.amazon.com/Christina-L-McCracken-J.D./e/B0844ZFBKK YouTube Channel https://www.youtube.com/channel/UCpiLKQ5FavH6mHW_NYvBJGw/ Do you want to live an incredible life? Get started now by reading my book: "Visualizing Happiness in Every Area of Your Life" https://amzn.to/2kvAuXU What is your biggest obstacle to creating an incredible life? You can book a free 15-minute mentoring session with Dr. Kimberley Linert. Click on this booking link: https://calendly.com/drkimberley/15min Please subscribe to the podcast and take a few minutes to review on iTunes, Thank you If you have an amazing story to tell about your life and how you are sharing your gifts and talents with the world, then I would love to have you as a guest on my podcast. Contact me via email: incrediblelifepodcast@gmail.com or private message me on Facebook: www.facebook.com/incrediblelifecreator www.DrKimberleyLinert.com
I appreciate your Inner G Ms. Christina . Good days with Gwen owns no rights to music. You can find Ms. Christina on at www.cicoawareness.com --- Support this podcast: https://anchor.fm/gwen-dickerson/support
Sie glauben Lese-Rechtschreib-Schwäche und Rechenschwäche gibt es nur bei Schulkindern? Das ist leider nicht so. Auch Erwachsene können davon betroffen sein und haben mal mehr, mal weniger Probleme damit. Wie genau diese aussehen und was hilft, darüber haben wir mit Annette Höinghaus vom Bundesverbandes Legasthenie und Dyskalkulie e.V. (BVL) gesprochen. Außerdem hat uns Christina Löschner von der Initiative "Junge Aktive" des BVL erzählt, welche Strategien ihr im Alltag mit ihrer Rechenschwäche helfen. Sie haben Fragen oder Anregungen? Dann schreiben Sie uns einfach an podcast@duden-institute.de.
Episode 46 BEaTS Research Radio - Interview with Dr. Christina L. Luong. Dr. Mo Al-Khalaf from the University of Ottawa Heart Institute talks to Dr. Christina L. Luong from University of British Columbia to discuss how Artificial Intelligence is, and will continue, revolutionizing cardiac care and patient outcome.Learn more: https://drchristinaluong.com/
A very special thank you to Harris Bresowsky for help producing this episode of the podcast. On this special episode of the podcast, the American Constitution Society, Women's Law Caucus, and the Government Law Society bring us "A Voting Rights Discussion: Celebrating 100 Years of Women's Right to Vote and the Ongoing Challenges." The presentation was recorded on Oct. 22, 2020. Guest Speakers: Hon. Leslie E. Stein '81, Associate Judge, New York Court of Appeals Hon. Christina L. Ryba '01, Justice, Supreme Court of New York Prof. Mary A. Lynch, Kate Stoneman Chair in Law and Democracy; Director, Domestic Violence Prosecution Hybrid Clinic Prof. Ava Ayers, Director, Government Law Center; Assistant Professor Moderator: Prof. Ciji Dodds, Assistant Professor of Law
Christina L. Martini is a practicing intellectual property attorney and partner at McDermott Will & Emery where she focuses on domestic and international trademark and copyright law, as well as domain name, Internet, social media, advertising, unfair competition, and entertainment law. In addition to Tina’s full-time practice and various leadership roles at the firm, she is a thought leader, author, columnist, and speaker. Tina is the host of the Paradigm Shift Podcast, a podcast about the intersection of business and law, and cohost of Legal Face-Off, WGN Radio 720. She joins us today to discuss legal teams. Christina appeared on our program to discuss the power of diverse perspectives and on growth. #ThePowerOfWEBeginsWithYOU #Peernovation For ideas on why leaning on your peers and serving one another at this critical time has never been more important, listen to our podcast. If you have questions or ideas for us, contact us today. Useful links: Leo’s latest CEOWORLD articles Leo’s books – The Power of Peers, What Anyone Can Do, Peernovation (Coming soon!) The Peer Advantage – Randy is now interviewing candidates to form his charter online/virtual charter peer advisory group for SMB owners Subscribe to the YouTube channel Connect with Leo on Linkedin | Twitter | Instagram Connect with Randy on Linkedin | Twitter | Instagram
Gudstjänst från Barnens katedral i Karlstad, med Katarina Bergdahl, Mirjam Öberg och barnkören Krokajo. Du kan ladda ner predikan, med Katarina Bergdahl och Mirjam Öberg och ett antal barn, separat. Det kristna hoppet är ett hopp om att Gud handlar. Att Gud finns med oss på alla våra vägar och spår. Här finns Hjälparen, Anden. Vi får andas in livet, Guds egen andedräkt. Och i utandningen ger vi livet tillbaka och det är ett tecken på att vi också får finnas för varandra. Katarina Bergdahl Texter: 5 Mosebok 31:6-8 Berättande med utgång från Johannes 16:12-15 Medverkande: Barnkören Krokajo Ungdomskören Föräldrakören Katarina Bergdahl- präst Mirjam Öberg- pedagog Anni Naumansson- körledare Janne Johansson- piano Stefan Lenberg- bas Christian Jernbro- trummor Pasi Pasanen- dragspel Jonny Lindström- saxofon Sonja Henriksson, Ulrika Rhodén, Fanny Naumansson och Maja Carling - förbön Ebba Gustavsson, Alina Aschberg, Irma Norrman, Frida Pettersson, Anna Lindholm och Emeli Bohlin - sångsolister Musik: SvPs 21 Måne och sol (Britt G Hallqvist/Egil Hovland) Kärleksvisan (Sarah Dawn Finer/Peter Hallström) SvPs 917 Kom lova vår Gud (Jonas Jonson/mel från Brasilien) Jag går på livets väg (Hanna Corneskog) Hjälparens hand (Anni Naumansson, Ulrika Rhodén/Anni Naumansson) SvPs 719 Kom nu Helig Ande (Pekka Simojoki, Per Harling/Pekka Simojoki) SvPs 766 Trosbekännelsen (Christina Lövestam/Jan Mattsson) Gud, vi vill att du hör vår bön (Ulf Nomark) En stund på jorden (Laleh Pourkarim) Vänner (Lasse Bengtsson) Välsignelsen (Tore W Aas) You've Got a Friend (Carole King) Producent Katarina Josephsson Tekniker Björn Söderholm, May-Britt Rylander Sveriges Radio Örebro liv@sverigesradio.se
Christina Löw liest aus ihrem Roman, der Kater unterm Korallenbaum.
Christina Löw liest aus ihrem Roman "Der Kater unterm Korallenbaum".
Christina Löw liest ihre Kurzgeschichte "Maneki-neko" (Teil 2).
Christina Löw liest ihre Kurzgeschichte "Maneki-neko" (Teil 3).
Christina Löw liest ihre Kurzgeschichte "Maneki-neko" (Teil 1).
Christina Löw liest ihre Gute-Nacht-Geschichte "Das kleine Schaf, das nicht einschlafen konnte"
Christina Löw liest ihre Gute-Nacht-Geschichte "Die große gelbe Nuss".
Christina Löw liest aus ihrem Roman "Träume voller Schatten.
Christina Löw liest ihre Gute-Nacht-Geschichte "Wo sich Fuchs und Hase gute Nacht sagen".
Christina Löw liest ihre Gute-Nacht-Geschichte "Schlaftipps von einer Katze".
This episode of ACEP Frontline takes us back to ACEP18 when we talked to Dr. Christina Shenvi about the geriatric patient and how the ADEPT tool can help with the management of delirium or agitation in the elderly patient. You can access the online tool by visiting: www.Acep.org/ADEPT This bedside tool is available in our emPOC app. Available exclusively to ACEP Members at Google Play or the Apple App Store.
Ask Christina First hosted by Christina L. Suter an Amazing Women and Men Of Power show production powered by Raven International. Join us each week for business news, amazing content and have your questions answered as well as get tips about small business management skills and special guest speakers on a variety of business topics.
Ask Christina First hosted by Christina L. Suter an Amazing Women and Men Of Power show production powered by Raven International. Join us each week for business news, amazing content and have your questions answered as well as get tips about small business management skills and special guest speakers on a variety of business topics.
Ask Christina First hosted by Christina L. Suter an Amazing Women and Men Of Power show production powered by Raven International. Join us each week for business news, amazing content and have your questions answered as well as get tips about small business management skills and special guest speakers on a variety of business topics. After more than 10 years as a small business coach, experienced business owner Christina Suter is ready to share her knowledge and experience with you. To find out more about or to book a free one on one strategy session - contact her directly christinal.suter@gmail.com
Prästen och författaren Christina Lövestam ägnar dagens Morgonandakt åt de utsatta barnen. Värnlösa barns dag firas sedan 400-talet i västkyrkan för att minnas de barn som, enligt Matteusevangeliet, Herodes lät döda i sin jakt på den nyfödde judakonungen, Jesus. Men inte bara när Jesus var liten, skedde förfärliga saker mot barn. Idag vet vi att det finns pedofilnätverk som utnyttjar barn sexuellt. I krig utnyttjas barn och tvingas bli barnsoldater, på flykt drabbas barn hårt av utsattheten, och när familjer blir vräkta från sin bostad drabbas barn. Christina Lövestam Det är inte lätt att vara barn, skriver Astrid Lindgren och Christina Lövestam håller med. Det är en hel del man måste tåla när man är liten. Det innebär vidare att man utan att klaga måste åhöra de mest personliga anmärkningar från envar vuxens sida beträffande ens utseende, hälsotillstånd, gångkläder och framtidsutsikter. Jag har ofta undrat vad som skulle hända om man började behandla dom vuxna på samma sätt Astrid Lindgren Text Matt 18:1-5 Musik Bachs juloratorium, kantat 2:1/Orchestra of Collegium Vocale, Ghent Härlig är jorden/The Real Group Producent Neta Norrmo Produktionsbolaget Munck för Sveriges Radio Göteborg liv@sverigesradio.se
Familjen med det lilla barnet möter vänlighet i det nya landet. Författaren och prästen Christina Lövestam tänker att det måste vara likadant nu för dem som är på flykt. Det är det berättelsen i juletiden handlar om. Om hur det är att brådstörtat behöva fly. Om hur de fått hjälp efter vägen. Om farorna, om osäkerheten. Om otryggheten. Om tacksamheten. Om att kunna andas ut i en ny trygghet, om än tillfällig. Christina Lövestam Julens budskap handlar om barnet och vad föräldrar gör för att deras barn ska överleva och få växa upp. Marias liv är beroende av barnets liv, hädanefter. Barnets öde måste gå före hennes eget. Så kommer de till det främmande landet. Får bo hos en vänlig familj som gör plats för dem i sitt eget hem. Barnet som blev räddat. Som självt ska rädda världen, sägs det. Barnet som redan nu ger henne ny blick för världen. Vad ska hon tro? Christina Lövestam Text Matt 2:13-15 Musik Bachs juloratorium, kantat 2:1/ Orchestra of Collegium Vocale, Ghent. Det är en ros utsprungen7The Real Group Producent Neta Norrmo Produktionsbolaget Munck för Sveriges Radio Göteborg liv@sverigesradio.se
Julens glädje övergår i den bibliska berättelsen till oro och rädsla redan på annandagen. Ryktet om Kung Herodes sprids och säger att han skickat soldater att döda nyfödda barn. Det lilla barnet blir flykting redan några veckor gammal. Vem ska ta emot honom och föräldrarna? Vem har plats för en flyktingfamilj? Vem har plats för ett ensamkommande flyktingbarn utan föräldrar? Som riskerar att dödas, om det återsänds till landet där ingen säkerhet existerar? Christina Lövestam Men då liksom nu möter vi ibland människor som hjälper med det som behövs, som lindrar oro med värme. Christina Lövestam är författare och präst som reflekterar över julens budskap till oss i vår tid. Annandag jul påminner oss om livets skörhet. Tack för människor som vittnar om sanningen, även när de möts av motstånd. Tack för alla visselblåsare, som vågar säga som det är. Tack för hjärtats frihet och modet att våga Christina Lövestam Text Joh 1:1-5 Musik Bachs juloratorium, kantat 2:1/Orchestra of Collegium Vocale, Ghent. O Holy Night/Ella Fitzgerald Producent Neta Norrmo Produktionsbolaget Munck för Sveriges Radio Göteborg liv@sverigesradio.se
Tiden var inne för födelsen. Barnet föds i ett stall eftersom de unga föräldrarna inte släpps in någonstans. Det unga gravida paret får inte plats hos människor, som borde kunna erbjuda de hemlösa plats. Barnet föds i utanförskap. I grottan där djuren bor. Det doftar av hö och av djur. Christina Lövestam Författaren och prästen Christina Lövestam läser ur Lukas julevangelium varje dag denna vecka i Morgonandakten. Hon reflekterar över vad texten berättar och vad det kan säga oss idag. Maria sitter uppe en stund till. Hon tänker på uppdraget hon fått av ängeln där i köket i våras. Nu är barnet fött. Och herdar, helt vanliga arbetande människor på nattskift, har fått bekräfta, att det är Gud som har blivit människa. Gud i människan. Christina Lövestam Text Luk 2:6-7 Musik Bachs juloratorium, kantat 2:1/ Orchestra of Collegium Vocale, Ghent Nyfödda livet/Jan Mattsson När juldagsmorgon glimmar/Anders Ekborg Producent Neta Norrmo Produktionsbolaget Munck för Sveriges Radio Göteborg liv@sverigesradio.se
Idag är dagen innan juldagen, dagen innan förlossningen. Prästen och författaren Christina Lövestam reflekterar över livets villkor då och nu En ung tonårstjej har plötsligt blivit med barn men hon och henne tillkommande är ensamma och utelämnade. Vi vill varandra väl när det är jul. Det är ju ändå jul, säger vi och ger kanske en extra slant till julens insamlingar för dem, som har det sämre än vi. Julen är en högtid med barnet i centrum. Barnet som föddes i Betlehem för tvåtusen år sedan. I ockuperat land. Christina Lövestam Idag är det julafton, dagen före den dag då Jesusbarnet föddes. Hur kände sig den unga tonårsmamman den gången, hur känns det innan något stort ska hända? Berättelsen om förstföderskan är en som upprepas i mångas liv. Maria, vad tänker du? Är du rädd? Är du tuff utåt och ängslig inåt? Eller är du trygg i hela dig? Har ljuset från en ängels ansikte lyst in i din själ, och gjort dig trygg i ditt innersta. Tänker du i tillit att det ska ordna sig. Christina Lövestam Text Luk 2:1-5 Musik Bachs juloratorium, kantat 2:1/Orchestra of Collegium Vocale, Ghent Mary´s Boy Child/Harry Belafonte Producent Neta Norrmo Produktionsbolaget Munck för Sveriges Radio Göteborg liv@sverigesradio.se
Christina L. Martini is a practicing intellectual property attorney and partner at McDermott Will & Emery. Christina focuses on domestic and international trademark and copyright law, as well as domain name, Internet, social media, advertising, unfair competition, and entertainment law. In addition to Tina’s full-time practice and various leadership roles at the firm, she is a […]
A change of seasons means you may be sniffling, sneezing and having teary eyes. So why do our bodies sometimes cause such an over the top response to pollen? We dive into the science behind hay fever, what histamine even does for you, and how it's helping you in more ways than you realise. Plus we find out what's being done to deliver a 1,2,3 blow to Traveller's Diarrhoea.References: Alessandra Misto, Gustavo Provensi, Valentina Vozella, Maria Beatrice Passani, Daniele Piomelli. Mast Cell-Derived Histamine Regulates Liver Ketogenesis via Oleoylethanolamide Signaling. Cell Metabolism, 2018; DOI: 10.1016/j.cmet.2018.09.014 Caroline B.K. Mathiesen, Michael C. Carlsson, Stephanie Brand, Svenning Rune Möller, Manja Idorn, Per thor Straten, Anders E. Pedersen, Sally Dabelsteen, Adnan Halim, Peter Adler Würtzen, Jens Brimnes, Henrik Ipsen, Bent L. Petersen, Hans H. Wandall. Genetically engineered cell factories produce glycoengineered vaccines that target antigen-presenting cells and reduce antigen-specific T-cell reactivity. Journal of Allergy and Clinical Immunology, 2018; DOI: 10.1016/j.jaci.2018.07.030 Renee M. Laird, Zuchao Ma, Nelum Dorabawila, Brittany Pequegnat, Eman Omari, Yang Liu, Alexander C. Maue, Steven T. Poole, Milton Maciel, Kavyashree Satish, Christina L. Gariepy, Nina M. Schumack, Annette L. McVeigh, Frédéric Poly, Cheryl P. Ewing, Michael G. Prouty, Mario A. Monteiro, Stephen J. Savarino, Patricia Guerry. Evaluation of a conjugate vaccine platform against enterotoxigenic Escherichia coli (ETEC), Campylobacter jejuni and Shigella. Vaccine, 2018; DOI: 10.1016/j.vaccine.2018.09.052
Many individuals eligible for SNAP, the Supplemental Nutrition Assistance Program, are now fearful of using the program because ever-changing statements about proposed Federal rules put them in fear of their status as legal residents. Fear of retaliation by Washington has hurt children the most. This episode examines those proposed changes in SNAP, the largest part of the Farm Bill, and California's commitment to finding moral high ground. The esteemed Maria Echaveste, a BFI affiliate, weighs in on the obligations of government and its citizenry. Berkeley alum Christina L. Laird describes her experience helping program recipients as a volunteer administrator for SparkPoint Marin, and as a participant.
The ladies are joined by makeup artist and hairstylist Christina López in the episode discussing everything from beauty to Bill Cosby. Not one dull moment as usual, Tune In!
I denna podcast får vi besök av Christina L Persson som är utbildad informatör och har tidigare jobbat inom bl.a. reklam, pr och kommunikation. Christinas har genom sin karriär intresserat sig för det mänskliga, frågor som berör det mänskliga djupet, vikten av att uttrycka och kommunicera ut det som bor inom oss, ett engagemang som vuxit starkare genom åren och lett till att hon 2000 startade Dialog studion i Stockholm, där hon idag arbetar som samtalsterapeut. Vi diskuterar i veckans avsnitt frågor som berör personlig utveckling och psykisk ohälsa.
The Lunch Ladies Book Club (Shelly, Ashley and Mimzie) read and review The Treemakers by Christina L. Rozelle. Did they like it? Did they agree or disagree about it? Find out by listening! Part 3 of 3 This week's episode sponsored by Subculture Corsets & Clothing
The Lunch Ladies Book Club (Shelly, Ashley and Mimzie) read and review The Treemakers by Christina L. Rozelle. Did they like it? Did they agree or disagree about it? Find out by listening! Part 2 of 3 This week's episode sponsored by Subculture Corsets & Clothing
The Lunch Ladies Book Club (Shelly, Ashley and Mimzie) read and review The Treemakers by Christina L. Rozelle. Did they like it? Did they agree or disagree about it? Find out by listening! Part 1 of 3 This week's episode sponsored by Subculture Corsets & Clothing
Join us in this month's Book Brag as we discuss some amazing books by: KR Bankston http://www.krbankstononline.com Laura T. Johnson http://authorlauratjohnson.org Christina L. Mial https://www.facebook.com/christina.l.mial Chelle Ramsey www.chelleramsey.com Women Fiction, Christian Fiction, Suspense Do You Need A Promotion Audit? http://bit.ly/PROMOAUDIT Subscribe to get new episodes - http://bit.ly/WriterCafe Enjoy the show? Send a review to - 1sormag@gmail.com Share with your community.
Join us in this month’s Book Brag as we discuss some amazing books by: KR Bankston http://www.krbankstononline.com Laura T. Johnson http://authorlauratjohnson.org Christina L. Mial https://www.facebook.com/christina.l.mial Chelle Ramsey www.chelleramsey.com Women Fiction, Christian Fiction, Suspense Do You Need A Promotion Audit? http://bit.ly/PROMOAUDIT Subscribe to get new episodes - http://bit.ly/WriterCafe Enjoy the show? Send a review to - 1sormag@gmail.com Share with your community.
Christina L (a pseudonym) shares about learning to stand up for herself after an abusive rehab therapist preyed on her as she was getting sober and the confusion of not knowing what he was doing was wrong. She shares about her dysfunctional family, being bullied by boys in middle school, binge eating, and always being the "good child" by never making waves (unlike her sister who got most of the attention through speaking up or getting in trouble) but also never learning how to talk to her parents about her struggles for fear of bringing more chaos into an already unstable home. She also talks about the difficulties in getting mental health treatment in her country, England. This episode is sponsored by BetterHelp online counseling. To try a week for free go to www.BetterHelp.com/mental and fill out a questionnaire. Must be 18. This episode is sponsored by Casper Mattresses. Help the podcast by checking out their highly rated products and to let them know you found out about them from the show go to www.Casper.com/mental and use the code MENTAL at checkout. This episode is sponsored by Audible's Where Should We Begin? Go to www.Audible.com/Esther If you'd like to help out the podcast go to www.mentalpod.com/donate Every little bit helps, whether it's money or frequent flyer miles. Also when you shop through our Amazon page they donate money to our podcast but your product isn't any more expensive. You can also help by going to Itunes and giving us a good rating. It helps bring more people to the show. Also spreading the word through social media helps! Here is our Facebook page and our Twitter Page @mentalpod
Have you ever been in any of these situations? ⇒ You have a stable child who just needs fluids, but no laboratory tests ⇒ You’ve tried PO hydration, to no avail, despite anti-emetics ⇒ You’re poking the stable, but dehydrated child repeatedly without success What now? Hypodermoclysis, otherwise known as subcutaneous rehydration. [Insert Player] Clysis comes from the same Greek word that “a flood” – hypodermoclysis refers to flooding the subcutaneous space with fluid, so that it can be absorbed systemically. Sound far-fetched? Well, it turns out, what is old is new again. In 1913, Dr Day first described this technique for a child with severe diarrhea who could not tolerate fluids by mouth. Hypodermoclysis then began to gain popularity with a peak of use in the 1940s, until an innovative breakthrough in 1950. Dr David Massa, a resident anesthesiologist at the Mayo clinic, invented the first catheter-over-needle apparatus. With increasing safety and ready access of IV catheters, IV quickly overshadowed SC. The subcutaneous route of hydration has also been used effectively in geriatric and palliative care for decades, and it is only now beginning to gain popularity again in its original population: children. So, how does it work? In a nutshell, you place a butterfly needle or angiocatheter in the subcutaneous space and you run fluids into it. The tissues quickly absorb the fluids, making them available systemically. That’s it. Everything else is just finesse. The ideal candidate for hypodermoclysis is the stable patient, with mild to moderate dehydration who fails a trial of fluids by mouth, or who needs a bridge to gaining IV access later, after a slow subcutaneous fluid bolus is given. Ok, so how do you do it? Place a topical anesthetic cream, such as EMLA, cover with occlusive dressing (IV dressing), wait 15-20 min "Pinch an inch" of skin anywhere, but the most practical site in young children is between the scapulae Insert a 25-gauge butterfly needle or 24-gauge angiocatheter (preferred by the author), secure Inject 150 U hyaluronidase SC, if available Infuse 20 mL/kg isotonic solution over one hour, repeat as needed or use "bolus" as bridge to IV access You can set the line to gravity, and if it is dripping in, you may leave it be. If you see a very slow drip by gravity, or worse, nothing is dripping, you can set the line on a pump, to deliver up to 20 mL/kg over an hour. Infusion at this rate optimizes the balance we want in minimal discomfort while maximizing the flow rate. This is not a “bolus” in the true sense – but then, when you compare it to the alternative – like IV therapy – and we see a time and cost savings. Dr Mace and colleagues in the American Journal of Emergency Medicine report substantially decreased cost and ED length of stay when comparing the material and human resources needed to place an IV in a squirmy young child, compared with a simple subcutaneous stick. There will be swelling There will be swelling – that is the goal. It is really painless, and your patient may lie down on his back with the pump going – it is actually pretty comfortable for most children and adults to do. Here’s a tip – since there will be swelling, we want to be careful about how we secure the line, so how you tape it down to the skin is important – we want to avoid a pulling sensation, which can be the beginning of the end of the tolerance for the procedure. Cover that with an occlusive dressing, as you would an IV site. The footprint of the occlusive dressing is relatively small, so it will travel up on top of the subcutaneous mound you’re creating. As the line exits the occlusive patch, place a thin layer of gauze between the skin and the IV tubing, so that the tubing doesn’t press into the skin. Then—as far away from the puncture site as possible—tape it down securely. The idea is not to tape on the growing mound itself, because the mound may pull at the anchored skin and set a nuclear chain reaction of annoyance and restlessness – and potentially a failed procedure. The swelling will look indurated, a pinkish red. It’s not an allergic reaction: even with the old preparations of hyaluronidase, allergic reactions were rare, and now they are very rare with the recombinant preparation. It is supposed to swell and look ugly. The subcutaneous tissues will swell to a point where you have a steady state fluid administration rate, and as soon as you stop the infusion, the remaining fluid will start to subside as it is absorbed. A Bridge to IV Therapy? Kuensting et al. in the Journal of Emergency Nursing in 2013 compared subcutaneous fluid infusion with intravenous fluid infusion in children with difficult IV access. They found the mean time from order entry to subcutaneous fluid infusion to be 20 min, compared to the failed IV access group with an average infusion start time of 1.5 hours. The latter group eventually received subcutaneous fluids. The investigators also found a shorter ED length of stay in the subcutaneous group. In the same study, a subgroup received subcutaneous fluids initially, and later an IV. They found a trend in ease of IV access after subcutaneous fluid therapy. In other words, if your little patient with difficult IV access is hemodynamically stable and amenable to a bolus over an hour, you may choose to start with hypodermoclysis and reevaluate. Predicting Difficult IV Access in Children Much has been studied and written about the predictors of difficult IV access in children. The most often cited are: age < 3 years, weight less than 5 kg, prematurity, obesity, and darker skin tones, where the contrast of vein to skin may not be so apparent. The three main predictors of the score validated by Riker et al. in Annals of Emergency Medicine include the most practical and universal of features: vein palpability, vein visibility, and patient age. If you’re anticipating difficult IV access in the child who can stand to wait an hour for a slow bolus, you may start with the subcutaneous route to get those veins plumper and more visible, to improve your chances of IV access in the very near future. Medications via Subcutaneous Route Certain medications have been used safely via subcutaneous infusion; always check dose, rate, and compatibility. What about catheter size? You don’t need to use larger needles or angiocathters for older children, adolescents or adults. A 25-gauge butterfly or 24-gauge angiocatheter works well from an infant to an elder. In one study of adults, a half a liter of saline was infused by gravity via a 24-gauge catheter. With IVs, the shorter and larger the bore, the faster the infusion. In subcutaneous infusion, it is not the size of the catheter, but the osmotic gradient that determines the rate of absorption. What if I don't have that fancy hyaluronidase? It’s actually increasingly readily found – and available in generic form. If you have it, please use it – it will make a believer out of you and others. Hypodermoclysis will work without hyaluronidase – the process of subcutaneous rehydration just takes a lot longer to work. In a double-blind cross-over trial Thomas et al. in 2007 compared subcutaneous administration of lactated ringer’s solution by gravity with and without hyalurondase. The hyaluronidase group received their fluids 5 times faster. The average rate of the hyaluronidase group was 382 mL/h versus the fluid only group, who did not receive hyalurinodase; they were substantially slower, at 82 mL/h. It’s worth using if you have it, but still potentially useful if you don’t. Recap: Supplies √ EMLA or any topical anesthetic used for intact skin, placed as soon as the decision is made √ A 25-gauge butterfly needle or 24-gauge angiocatheter √ IV tubing, gauze to pad, tape to anchor √ 150 U hyaluronidase, the same dose, regardless of age or size √ Isotonic fluids – you can start with 20 ml/kg √ And finally a well informed team made up by the patient, the parents, and your staff, so that everyone knows what to expect for a successful subcutaneous fluid administration. References Allen CH, Etzwiler LS, Miller MK, Maher G, Mace S, Hostetler MA, Smith SR, Reinhardt N, Hahn B, Harb G; INcreased Flow Utilizing Subcutaneously-Enabled Pediatric Rehydration Study Collaborative Research Group. Recombinant human hyaluronidase-enabled subcutaneous pediatric rehydration. Pediatrics. 2009 Nov;124(5):e858-67. Bruno VG. Hypodermoclysis: a literature review to assist in clinical practice. Einstein (Sao Paulo). 2015 Jan-Mar;13(1):122-8. Cabañero-Martínez MJ, Velasco-Álvarez ML, Ramos-Pichardo JD, Ruiz Miralles ML, Priego Valladares M4, Cabrero-García J. Perceptions of health professionals on subcutaneous hydration in palliative care: A qualitative study. Palliat Med. 2016 Jun;30(6):549-57. Kuensting LL. Comparing subcutaneous fluid infusion with intravenous fluid infusion in children. J Emerg Nurs. 2013 Jan;39(1):86-91. Mace SE, Harb G, Friend K, Turpin R, Armstrong EP, Lebel F. Cost-effectiveness of recombinant human hyaluronidase-facilitated subcutaneous versus intravenous rehydration in children with mild to moderate dehydration. Am J Emerg Med. 2013 Jun;31(6):928-34. O'Hanlon S, Sheahan P, McEneaney R. Severe hemorrhage from a hypodermoclysis site. Am J Hosp Palliat Care. 2009 Apr-May;26(2):135-6. Remington R, Hultman T. Hypodermoclysis to treat dehydration: a review of the evidence. J Am Geriatr Soc. 2007 Dec;55(12):2051-5. Riker MW, Kennedy C, Winfrey BS, Yen K, Dowd MD. Validation and refinement of the difficult intravenous access score: a clinical prediction rule for identifying children with difficult intravenous access. Acad Emerg Med. 2011 Nov;18(11):1129-34. Rouhani S, Meloney L, Ahn R, Nelson BD, Burke TF. Alternative rehydration methods: a systematic review and lessons for resource-limited care. Pediatrics. 2011 Mar;127(3):e748-57. Smith LS. Hypodermoclysis with older adults. Nursing. 2014 Dec;44(12):66. Spandorfer PR. Subcutaneous rehydration: updating a traditional technique. Pediatr Emerg Care. 2011;27(3):230-6. Thomas JR, Yocum RC, Haller MF, von Gunten CF. Assessing the role of human recombinant hyaluronidase in gravity-driven subcutaneous hydration: the INFUSE-LR study. J Palliat Med. 2007 Dec;10(6):1312-20. Vacha ME et al. The Role of Subcutaneous Ketorolac for Pain Management. Hosp Pharm. 2015 Feb; 50(2): 108–112. Zaloga GP, Pontes-Arruda A, Dardaine-Giraud V, Constans T; Clinimix Subcutaneous Study Group. Safety and Efficacy of Subcutaneous Parenteral Nutrition in Older Patients: A Prospective Randomized Multicenter Clinical Trial. J Parenter Enteral Nutr. 2016 Feb 17. pii: 0148607116629790. [Epub ahead of print] This post and podcast are dedicated to Christina L. Shenvi, MD, PhD, for her dedication to excellence in patient care and enthusiasm in #FOAMed, Emergency Medicine, and Geriatric Emergency Medicine. There are many shared lessons learned in the care of children, elders, and families. Thank you. Catch Dr Shenvi on the innovative GEMcast. Subcutaneous Infusion Powered by #FOAMed -- Tim Horeczko, MD, MSCR, FACEP, FAAP
Margaret Parker, MD, MCCM, speaks with Christina L. Cifra, MD. Dr. Cifra is a Pediatric Intensivist and an Assistant Professor in the Department of Pediatrics at the University of Iowa Carver College of Medicine in Iowa City, Iowa.