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Doctors Sara and Lisa talk to a GP involved in Primary Care Research Dr Imran Ghafoor and Ewa Grzegorska, a Research Support Facilitator from the National Health and Clinical Research Institute about Research in Primary Care. We talk through Dr Ghafoor's journey into being part of Primary Care Research, what embarking on Research Projects in Primary Care might look like, from the straightforward to the more involved, and some of the practicalities and financial considerations. You can use these podcasts as part of your CPD - we don't do certificates but they still count :) Useful resources: If you want to contact the research Team from today Directly: Researchsupport.CRNGM@NIHR.ac.uk or I.gafoor1@NHS.net National Institute of Health and Care Research: https://www.nihr.ac.uk/ Clinicians wanting to Train up in Research Initial Training Module Good Clinical Practice (through National Institute for Health and Care Research): https://www.nihr.ac.uk/health-and-care-professionals/learning-and-support/good-clinical-practice.htm Implementation of inclisiran in UK primary care for patients with atherosclerotic cardiovascular disease (ASCVD) or ASCVD-risk equivalents: rationale and design of VICTORION-Spirit, a pragmatic phase IIIb, randomised controlled study: https://www.ijclinicaltrials.com/index.php/ijct/article/view/672 Safety and Efficacy of Dexpramipexole in Eosinophilic Asthma (EXHALE): A randomized controlled trial (mentioned and not published yet): https://pubmed.ncbi.nlm.nih.gov/37277072/ National Institute of Health and Care Research List of Possible Studies of Interest: https://bepartofresearch.nihr.ac.uk/results/search-results Some Primary Care professionals may also want to be a participant in research (which in itself is a nice way to see what it's all about). The best way to do this is to go to https://www.researchforthefuture.org/ ___ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback Email us at: primarycarepodcasts@gmail.com ___ This podcast has been made with the support of GP Excellence and Wigan CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions. The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it's release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen. Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk. The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
Sarah Wood, RNSarah Wood is a Registered Nurse and has worked as a Clinical Research Assistant at Texas Tech University Health Sciences Center and for Dr. Gafford at Lubbock Integrative MedicineSarah's journey into healthcare started when she was 14 years old and had to offer first aid after an accidental gunshot wound to save the life of her stepmother. At that moment she decided she wanted to do everything to always know what to do to help people and to have the most updated knowledge to give the best care possible.Her experience with research started at the Clinical Research Institute at Texas Tech University Health Sciences Center. She was working with some very principal investigators that came up with original ideas based on their clinical practice of how to improve the lives of their patients and how to improve their care. Sarah would help them develop their studies, carry out their studies, and take care of their patients during the studies.When her husband went through some health challenges, Sarah sought out a less stressful job and started working with Dr. Gafford, treating patients with Traditional Chinese Acupuncture and Herbal Medicine.As an RN Sarah is a health coach which is a term that is thrown around a lot. This episode discusses what makes a good health coach and how to choose the one that is the best fit for your situation.As someone who has worked in both western and eastern medicine and has a well rounded background in what is considered alternative and also traditional medicine, Sarah shares her opinion on why there is often a lack of understanding and cooperation between the different specialties and what to do to break down this divide.Sarah gives a plea to researchers to publish their findings regardless of whether it supports their hypothesis or not in the spirit of moving science forward and avoiding to repeat the same mistakes.This is important because it not only improves patient care, but it improves the overall knowledge that your practitioners have out there for taking care of their patients.There are different ways to design research studies and Sarah discusses how to design a study in a manner that helps people rather than just pushing profits for the sponsors of the study.Sinus issues are something that has plagued Sarah. She found out her sinus infection was really a “pain in the neck”! It is wonderful to have it gone and feel better,To contact Ruth: https://www.blairclinic.comruth@blairclinic.comhttps://www.facebook.com/rutelin
See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog/ (Quotes are from the 23 and me Blog. November 2021) Last week we talked about the research 23 and Me has done determining individual responses to the three Covid vaccine, based on the genetics of the HLA type of the individual. This week we will review their research on people who have gotten Covid infections and become Long-Haulers, those patients who develop long lasting illness and organ damage from getting the virus. We will look at the genetic characteristics of those patients who are at risk for Long Hauler condition after Covid. “A recent study by researchers at the Translational and Clinical Research Institute within Newcastle University found that an allele (gene) protective against severe COVID-19 symptoms in the HA gene, at HLA-DRB1*04:01, was found at much higher frequency in people of Northwestern European ancestry.” That means that if your inheritance, your ancestors come from northwestern Europe, you are less likely to develop a severe case of Covid, or “long haulers” complications. They have also found that those people with Blood type O and B are less likely to have severe effects to covid, the vaccine to covid and less likely to have severe long-term side effects of covid infection. The way I look at this is that if you can determine your risk of severe infection or severe reaction to the Covid virus from your genetics, then you can decide whether you should take the risk of getting the vaccine, or not, and the risk of getting infected and having long-term reactions to it, so you can determine whether you should always wear a mask in public or not, get a vaccine or whether you should fly on a plane or not. Without knowing your risk how can you determine how to run your life in a pandemic? We should be concentrating on three things: Determining individual risk, based on genetics, so an individual can make an educated decision about his activity, vaccination and or use of masks. To find this risk you must know your blood type, your HLA type (which most of us don't know), and whether you are protected from severe long haulers, by ancestors who were from northwestern Europe. Be realistic about your risk dictated by your lifestyle, and that can be somewhat controlled by how we live our lives: If you are obese, smoke, are over 60, eat processed foods, drink alcohol daily, don't exercise, or if you have any diseases or take medications that suppress your immune system, you should take all precautions including getting vaccinated. More importantly you should change your lifestyle and go on a mission to get healthy. Besides cleaning up your life, there is no magic bullet that protects everyone. We now know that Covid 19 can be deadly to certain individuals, and to others it doesn't even make them sick. The same genetic HLA type people who have bad reactions to vaccines also have the most severe infections with Covid 19. This puts these patients in a trick box…they need to be vaccinated but they are at risk for complications, however if they get the covid virus they may die. In this case looking at other health factors may tip the scales toward vaccination or the opposite toward quarantine for an unknown time. A doctor should be the one to assist you in this decision. The one non-genetic factor that puts you more at risk for reactions to the vaccines is a previous Covid 19 infection. If you are at risk otherwise and need to have the vaccine to protect yourself from death or long-haulers then waiting 6 or more months since your Covid infection to be vaccinated is advised. I wish the best to you all…this is a time of learning for doctors and virologists alike…we increase our knowledge every day and I will try to keep you up to date with the research and the advice based on that research. At this time, to be preventative, everyone should improve their immune status by eating a good whole food diet low in carbs, high in fruit and veggies, and by taking Vitamin C 500-1000mg/day, Zinc 15-50 mg/day with Copper 2-6mg/day, Quercetin, Methyl B complex, have your hormones replaced including estradiol and testosterone after menopause and testosterone for men after age 55-60, and exercising daily. Then determine your genetic status if possible and take the precautions necessary for your level of risk.
Welcome back to season 2 of PT Elevated where we are broadening our topics to include more researchers but still focusing on topics that you can use in your clinic every day. Our eighth episode of season 2 welcomes Dr. Steve George who is in the department of Duke University's Orthopaedic Surgery and a member of their Clinical Research Institute. His primary charge is research where his focused has been in musculoskeletal pain conditions, cohort studies, clinical trials with low back pain and more! This week he discusses acute and chronic lower back pain as it is related to recent changes to the newest clinical practice guidelines that were recently released. Here are some of the highlights:Clinical practice guidelines are guidelines provided to assist in clinical decision making, not to take the place of clinician judgment. The new Clinical Practice Guidelines for back pain are a revision to the 2012 release focused primarily on intervention updates. Things to remind your students and learners are these are guidelines they do not necessarily override the 2012 guidelines. “I still think there is value in structuring your decision making around things and it's great when there is a lot of evidence to support them, you just have to temper it to support them when there isn't as much evidence. I think the exercise in structuring your thinking is still super valuable especially for those people just getting started in the area. Clinicians need to understand that you have to have flexibility in decision making because nothing in their findings were clearly superior and they know that happens with back pain studies. There isn't a huge difference in results in exercise or manual therapy trials for back pain in some areas of medicine if they saw these small differences, they would wonder what we were studying but we live in small to moderate effects and that makes decision making a little bit more challenging.” Steve shared the search Process for updating the Clinical Practice Guidelines: Process1. Research Questions -They decided to keep the questions for the clinical practice guideline update broader because they are covering a lot of area. 2. Gathering search terms -They had the original search terms from the 2012 clinical practice guidelines and updated where needed. -Focused on randomized trials -Only looked at studies with PEDro scores 6 or higher -Focused on trials where a PT was either delivering the treatment or they were in a PT environment. 3. First Draft -Put together and sent out for external reviews 4. Submit final version -Designed an Infographic and the summary of recommendations Our hope is that people can use this as fuel to get an idea of what they want to do in their local health systems, in trying a new approach. It was good to see some new themes popping up in this update like pain neuroscience education, cognitive functional therapy, and the prognostic risk stratification. A lot of this is moving away from the diagnostic model of treating back pain and moving into this management model that can be informed by prognosis. Steve's Clinical Pearl – “I think remaining curious is so important. Asking good question and if you do not get good answers to your questions keep asking them. That is what drove me from moving from a clinical career to a research career. I was not the smartest person in the clinic. I was never voted most likely to do research, but I think when I got out and practiced, I think what bothered some of the people I worked with is just being curious and wondering why we were doing things one way. The focused curiosity. Secondly, I grew up in the non-patient centered era, but I learned so much from listening to my patients and viewing it as a bridge of my expertise with what their experiences were. Listening to your patients. Be curious not only about the patients that got better but the patients that did not.” Helpful research and training: Management of Lumbopelvic Disorders Management of Lower Extremity Disorders PTA Orthopaedic Skills Weekend Intensive Ad Info: If you want to keep learning past what you hear today, Evidence In Motion offers certifications that elevate your clinical decision making and take you to the next level of patient care and subject matter expertise. I encourage you to check out their website and explore your different options. What's cool is that you can get 5% off by letting your enrollment advisor know you're a PT Elevated Podcast listener. Details and links to find the certification for you are in the show notes. I encourage you to check it out. Connect with us on socials: @ZimneyKJ on Twitter @PMintkenDPT on Twitter Steve George, PT, PhD Duke University Bio
Welcome back to season 2 of PT Elevated where we are broadening our topics to include more researchers but still focusing on topics that you can use in your clinic every day. On our sixth episode of season 2, Dr. Trevor Lentz, PT, PhD, MHA, who is in the department of Orthopedic surgery and in the Clinical Research Institute at Duke University, discusses yellow flags and fear in physical therapy. Currently, his primary focus is in research, first on how to improve value of care in physical therapy and health policies and secondly in yellow flag screening, understanding physiological distress and the impact it has on things like returning to sports, getting back to work and function after orthopedic injury. Here are some of the highlights: Trevor and his colleagues developed the OSPRO yellow flag assessment tool. It was developed because the need for it in the clinics with the frustration they were facing. They knew there were a lot of different psychological characters that may be important to evaluate evaluate but the problem was evaluating efficiently. The OSPRO-YF assessment tool looks like a traditional psychological assessment tool but works very different and there are a couple different versions. The assessment calculates what patients would score on 11 different psychological questionnaires. The tool improves the efficiency of screening and allows clinicians to administer these tools in an efficient way. When developing the OSPRO-YF Trevor and his colleagues looked at 11 different questionnaires (130 different questions overall) that they had patients fill out. It enabled them to have a question pool that they could pull from. It also told them information about how a patient would score on those individual questions. It was a factor analysis, identifying which items told them the most information about some of these underlying constructs. It would allow them to estimate these scores most efficiently. The OSPRO-YF is designed as a screening to identify patients that may require additional psychological work up. Trever says they do not advocate making treatment decisions based on those numbers alone. It is recommended to take the information and use it to make conversation with the patient about how they are feeling, what they are thinking about pain or their condition and that will help make decisions. “To determine what treatments to provide patients we are actively conducting research to understand how exactly to interpret this.” “I think that the fear avoidance of beliefs, I've always conceptualized as a term that would encompass the term like kinesiophobia which is a more specific term that focuses on the fear of movement. I think that there are several different types of fear patients can display, fear of pain, movement, injury. All of those I conceptualize under fear avoidance beliefs and in my clinical experience I tended to see that you could have patients that were extremely afraid of reinjury but not necessarily afraid of pain.” Trevor Lentz Clinical Pearl: “The biggest thing I could recommend is the value in looking at recovery and rehabilitation from a biopsychosocial perspective. One of the things I found helpful both on the research and clinical side, is getting to know your providers outside of physical therapy. Developing relationships with the physiologists that are working in that field and your orthopedic surgeons and others to understand how they are portraying this information to patients. How they are talking with patients about their condition and their recovery. It is helpful to hear their perspective both ways and for you as a physical therapist to be able to inform them on the types of things you are encountering within clinical practice and how you feel they could be helpful within this whole rehab process. Making sure you are really listening to the patients. That was something that people coming out of school recognized as important and understanding goals and values and beliefs, but I truly didn't recognize that until I got a little further out and started doing a lot more work around physiological distress that sometimes to get into those conversations with a patient about their physiological needs you really have to listen and dig a little bit. I think that is very important and falls within our scope of practice and something that I think we should be doing." Helpful research and training: Therapeutic Neuroscience Education Advance Therapeutic Neuroscience Education: Focus on Function Hurt People Hurt People Optimal Screening for Prediction of Referral and Outcome (OSPRO) for Musculoskeletal Pain Conditions OrthoPT's OSPRO Scoring Tool Ad Info: How many of you are thinking about or preparing to sit for your board-certification exam? Achieving board certification can be a strenuous process, and the right prep course can mean the difference between a passing and failing exam score. PT Elevated sponsor, Evidence In Motion, offers test prep courses for OCS, SCS, and GCS, with over 95% pass rates! As a podcast listener, you can get 5% off a prep course now. Find the promo code and more info in the show notes. You got this! Connect with us on socials: @ZimneyKJ on Twitter @PMintkenDPT on Twitter @TrevorLentzPT on Twitter
Dr. Mo Al-Khalaf from the University of Ottawa Heart Institute talks to Dr. Nabil G. Seidah from the Clinical Research Institute of Montreal to discuss Dr. Seidah’s career as a Scientist and his work on proprotein convertases. Tune in and learn about how fundamental discoveries in Science can have a tremendous impact on the development of new therapeutics for a variety of diseases.Learn more: https://ircm.qc.ca/en/research/cardiovascular-and-metabolic-diseases/biochemical-neuroendocrinology
Tom Hughes is the Senior Principal Advisor in Healthcare Economics and Reimbursement at Regulatory and Clinical Research Institute, Inc. He holds a J.D. from William Mitchell College of Law, and an undergraduate degree from the University of Minnesota-Twin Cities. Top 3...
Mary Beth Henderson is the VP of Regulatory Affairs and Quality Systems at Regulatory and Clinical Research Institute, Inc. She holds a B.A. in Chemistry from Gustavus Adolphus College, an M.S. and Ph.D. in Chemistry from Northwestern University, and an MBA...
Neural Implant podcast - the people behind Brain-Machine Interface revolutions
Thomas Hughes, JD works as the senior principal advisor for The Regulatory and Clinical Research Institute based in Minneapolis, Minnesota. His organization works to assist medical device companies pass regulatory steps to sell their product and find paths for reimbursements necessary to fund the medical devices. He stresses that one of the most critical steps in developing a device involves focusing on the reimbursement process. Top Three Takeaways: Medical device companies must consider the reimbursement process when passing their devices through the regulatory process. Reimbursement is a three legged stool: coding pathway, the payment attached, and coverage are all necessary. The Regulatory and Clinical Research Institute works with a variety of companies—not just startups. Show Notes: [00:30] Ladan introduces his guest Thomas Hughes as a medical device consultant who has travelled through many parts of the world—check out Travel Wisdom Podcast to learn more about his travels. [1:20] Hughes explains his role as senior principal advisor at a clinical research organization called The Regulatory and Clinical Research Institute (RCRI). [2:40] Hughes describes how he helps organizations get through the regulatory period for their medical devices. [3:10] Hughes spoke at the forum to explain to medical device companies about how to not only get their devices through regulations, but also acquire reimbursement for them. [3:45] Startup medical device companies must prove to purchasers that their products should be purchased. [4:30] Hughes aids companies in understanding how to implement health economics into their products. [6:00] The design features are critical for a product because it must work well and be disruptive—the medical device must be proven valuable. [7:15] Medical device companies must research and cater to the financial aspects of their products. [8:30] Reimbursement is a three legged stool: coding pathway, the payment attached, and coverage are involved. [10:45] The target groups and codes certain medical technologies must be researched for depends on the type of device. [13:00] Multiple codes for reimbursement may exist for a medical device. [13:45] The first step for reimbursement it to look for existing codes; if this does not work, the company may need to take steps in order to create a new code. [15:00] RCRI does not work with just startups; they work with several large companies still seeking help. [16:20] Hughes has worked with many startups recently because investors seek to know the landscapes for new medical technologies. [18:00] Companies may have a great design for their product, but they must think how they will pay for it. [19:30] Check out Tom Hughes article from October of 2018 in Medical Outsourcing Magazine.
PsicologÃa deportiva es un tema grande y de mucho interés en nuestra comunidad. Todos entendemos la importancia de entrenar la mente para romper barreras de rendimiento que antes no creÃamos posibles. Para ayudarnos con esto, Eneko Larumbe nos hablará sobre activación psicológica. De una manera ordenada nos habla de los componentes necesarios para lograr esta activación. Te invitamos a que escuches el episodio entero utilizando el reproductor a continuación. Recuerda que la mejor manera de consumir los episodios totalmente gratis es suscribirte al podcast por medio del enlace en la parte superior derecha de la página. ¿Quién es Eneko Larumbe? Eneko Larumbe es un Doctor (PhD) en psicologÃa por la UNED con un Master en psicologÃa de la actividad fÃsica y del deporte. Se ha desempeñado como psicólogo deportivo apoyando a atletas en varias disciplinas, incluyendo: Fútbol, gimnasia, atletismo, natación, baloncesto, hockey, ciclismo, golf, motociclismo, automovilismo y tenis. Personalmente ha practicado el ciclismo. Adicionalmente, ha sido docente a nivel universitario en Europa desde el 2002 hasta la actualidad. A nivel de investigador ha desarrollado interesantes trabajos en el campo de lesiones deportivas, instrumentos de medida para evaluar la activación psicológica en corredores de maratón, estimación psicofisiológica del trabajo de fuerza y obesidad infantil. Actualmente, es asesor cientÃfico del Clinical Research Institute de la Texas Tech University Health Sciences Center. Test sobre activación psicológica. Dr. Larumbe desarolló un test en su tesis doctoral para medir la activación psicológica en corredores amateur de maratón. Este test lo puedes tomar directamente en su página web por medio de este enlace totalmente gratis. El test ha sido utilizado en diferentes maratones en España y ha sido perfeccionado a través de los años desde el 2006. En este test se miden seis componentes: Motivación. Apoyo social. Autoconfianza. Activación general. Ansiedad cognitiva. Percepción del estado fÃsico. Con estos 6 componentes se logra entender un perfil de la activación psicológica de cada corredor. Una interpretación profesional de esta evaluación es necesaria para poner en contexto los resultados y lograr que esta herramienta en realidad mejore el rendimiento. Expectativas de cada corredor. El mundo del running no es todo resultados, bajar tiempos y ganar carreras. Un porcentaje importante de corredores no tienen mayor interés en los resultados sino en tener un grupo con el cual compartir una actividad agradable. Este componente social es necesario tenerlo en cuenta tanto si eres entrenador, como si eres un corredor amateur. Una activación psicológica ideal debe ser muy personalizada para entender qué es lo más importante para cada individuo. El error muchas veces es gerenciar a todos los atletas de la misma manera. Lo que puede dar motivación a una persona, puede causar un bloqueo total en otra. Nervios y autoconfianza antes de la competencia Es muy normal tener una noche de pobre sueño y lleno de ansiedad antes de la competencia. Dr. Larumbe explica que esto no es necesariamente algo malo. La autoconfianza va incrementando mediante el tiempo va pasando y el entrenamiento va progresando. Sin embargo, la ansiedad se incrementa justo antes de la prueba y progresivamente en las semanas anteriores a la competencia. En la entrevista nos explica el por qué. Sin embargo, es útil saber que un estado total de relajación no es necesariamente bueno. Cierto nivel de ansiedad es propicio para un buen rendimiento. Un psicólogo deportivo idóneo nunca recomienda que hacer a un corredor ni toma decisiones por él. Simplemente ayuda a que cada atleta tome decisiones por el mismo. Lesiones y objetivos. Es interesante que nosotros los corredores no modificamos nuestros objetivos frente a las lesiones. Para el Dr. Larumbe resulta muy interesante como aunque la percepción del estado fÃsico ha disminuido, la mayorÃa de corredores están tan comprometidos con la meta que ellos mismo se han trazado, que no modifican el objetivo conforme a la realidad de su estado fÃsico actual. Esto es un problema ya que la probabilidad de alcanzarlo es menor. La mente no es boba y percibe esta discrepancia. Parte de una activación psicológica ideal es ajustar los objetivos de acuerdo a las circunstancias. Es de suma importancia que un profesional no menosprecie el compromiso que cada corredor tiene con sus metas. Pero de alguna manera, lograr que el atleta reflexione y ponga en perspectiva las metas para manejar temas como la ansiedad es un plus cuando se trabaja con un psicólogo deportivo. Apoyo social. Es importante diferenciar entre el apoyo social y la carga social. Corredores se benefician mucho más cuando reciben un apoyo social incondicional y sin ataduras al rendimiento. Personas que te apoyan sin importar el resultado o experiencia de cada competencia o actividad es lo que un atleta necesita. Sin embargo, si las personas alrededor tuyo empiezan a ejercer cierta presión sobre ti, este componente social puede ser una fuente de estrés. Te puede afectar negativamente antes y durante la competencia. Una activación psicológica puede identificar si el apoyo social es benéfico o no para tÃ. Para algunas personas, serÃa más fácil hacer las cosas primero y si la carrera y los resultados han salido bien contarlo a los demás. Esto evitarÃa que la carga social vaya en detrimento a tus metas. Rehabilitación y lesiones. Desgraciadamente la psicologÃa se ve un poco desconectada con las lesiones. En las tres etapas de una lesión existe esta desconexión: prevención, recuperación e integración. Sin embargo, una mayor activación psicológica puede ayudar poderosamente a un atleta en estas tres partes de la lesión. En la entrevista el Dr. Larumbe expone como un atleta necesita hacer un trabajo intermedio a nivel psicológico para volver a ser el corredor que se era antes de la lesión y poder rendir al nivel adecuado. Estigma ante psicólogos deportivos. Un gran mensaje que se habló en la entrevista fue la percepción negativa de cuando un atleta trabaja con un psicólogo. Un psicólogo simplemente te ayuda a mejorar en algo que quieres mejorar. Todos los corredores tenemos algo que mejorar. Asà que la invitación es a perder esta imagen negativa que muchos tenemos ante los psicólogos. Una activación psicológica llevada de la mano de un profesional es una herramienta más a nuestra disposición para ser mejores runners. Herramientas mentales. Se cree que correr es mental. El Dr. Larumbe reconoce el componente mental del running, pero no deja atrás el componente fÃsico del running. Eneko resalta la importancia del entrenamiento pero desde un punto de vista muy interesante. Según Eneko, cada entrenamiento, carrera y experiencia te da oportunidades para aprender y prepararte para un momento especÃfico en el futuro. Estas experiencias va aumentando tu arsenal de estrategias para afrontar situaciones puntuales. El componente mental es simplemente la recopilación de estas herramientas que vas a tener a tu disposición para utilizarlo cuando sea necesario. Visualización para la activación psicológica. Parte de una activación psicológica es la visualización. Sin embargo, el Dr. Larumbe nos explica que esta visualización puede o no funcionar dependiendo de la situación por la cual estamos atravesando en la competencia. Desgraciadamente, se ha confundido el hecho tener una imagen mental con el entrenamiento imaginado. Entrenamiento imaginado está comprobado cientÃficamente sirve y ayuda a mejorar la ejecución. Sin embargo, la idea de visualizar una imagen una y otra vez, y esperar que el simple hecho de imaginarlo va a potencializar el rendimiento no es siempre verdad. Aunque imagines un tiempo especÃfico en carrera, si la situación actual es de dolor o de lesión, lo único que la imagen que has visualizado te aporta es más presión. SerÃa mejor utilizar la visualización para recordar momentos en el circuito donde se deben ejecutar acciones. Por ejemplo, visualizar el circuito te puede ser útil para bajar o incrementar el ritmo en ciertos momentos, anticipar una sección difÃcil de la carrera y saber donde sacar ventaja de algún segmento ideal. Recomendación y contacto. Dr. Eneko Larumbe ha puesto a tu disposición la página web www.PsicologiaDeportiva.net/Eneko. Allà puedes tomar el test llamado podium para medir tu activación psicológica. Sin embargo, si te quieres poner en contacto directamente con él, lo puedes hacer a través de estos medios. email: eneko@cop.es Twitter: @EnekoLarumbe WhatsApp: +34.670.688.591 Eneko realiza consultas psicológicas remotas por medio de múltiples canales tecnológicos que hoy todos tenemos a disposición. No te pierdas el próximo episodio. No olvides suscribirte gratuitamente para que no te pierdas ningún episodio. Aquà están ambos enlaces para Android y iOS Apple. Sin embargo, si prefieres utilizar los reproductores integrados a la página, ponemos a tu disposición el de iVoxx en la parte superior y otro aquà en la parte inferior. Aquà está el calendario completo de todos los episodios que tenemos al aire hasta el momento. The post TP046: Activación psicológica: Autoconfianza, percepción, lesiones, visualización y entrenamiento mental. appeared first on Trotadores.
Austin-Travis County EMS System Office of the Medical Director » Uncategorized
In this episode we sat down with Dr. Steven Warach the Director of the Clinical Research Institute and Vascular Neurologist from Dell Seton Medical Center to talk about acute MRI for stroke and how we might be able to reduce the time to treatment. 3 questions comprise the safety screen: Do you have any implanted… Continue reading Episode 11: MRI for acute stroke- screening in the field
Dr. Chris Moulin is a Professor in the Laboratory of Psychology and Neurocognition at University of Grenoble as well as a Senior Member of the University Institute of France. When Chris isn’t working, he loves spending time with his family, including his two young sons. They have been restoring their 19th century house in France and exploring the history of the home. Chris is also an avid collector of old postcards. Scientifically speaking, Chris is a memory researcher. He examines memory disorders to determine how areas in a healthy brain operate and are used in memory. Chris also works with patients to better understand memory disorders and help people with memory problems. He is particularly interested in subjective states and experiences related to memory such as déjà vu. Chris completed his PhD in Neuropsychology at Bristol University. Afterwards, he conducted postdoctoral research at the University of Bristol, the University of Reading, and at a Clinical Research Institute in Bath. Chris worked as a faculty member in the Institute of Psychological Sciences at the University of Leeds before joining the faculty at the University of Grenoble. He joins us for an interview to chat about his experiences in his life and science.
Joining us today to discuss the biopsychosocial model of care is Dr. Steven George. He's a professor and Vice-Chair of Clinical Research and Director of Musculoskeletal Research at the Duke University of Clinical Research Institute. He's a licensed physical therapist with a PhD in Rehab Science. He's also an active member of APTA, The American Pain Society and the International Association for the Study of Pain. His primary interest is to, one, improve the accuracy for predicting who's going to develop chronic pain and then two, identify non-pharmacologic treatment options that limit the development of chronic pain conditions. Sign up for the latest episode at www.drjoetatta.com/podcasts. Love the show? Subscribe, rate, review, and share! Here’s How » Join the Healing Pain Podcast Community today: drjoetatta.com Healing Pain Podcast Facebook Healing Pain Podcast Twitter Healing Pain Podcast YouTube Healing Pain Podcast LinkedIn
Host: Alicia A. Sutton Host Alicia Sutton is joined by Chitra Subramaniam, Ph.D., Assistant Dean and Director for Continuing Medical Education at Duke University's Clinical Research Institute. Dr. Subramaniam is also Assistant Dean at the Duke Center for Educational Excellence. She describes several initiatives being undertaken at her academic setting to drive forward quality improvement in clinical education with innovative practice models.