Podcasts about comparative studies

Today on Speaking Out of Place we have a special episode on the war in Iran. Scholars and activists Persis Karim and Manijeh Moradian discuss both the Iranian national issues involved as well as the regional context, connecting this war with the genocide in Gaza and Israel's extensive wars elsewhere. At stake is both Iranian sovereignty and the calls for so-called “regime change.” We question the use of that term, delve into how the struggle for liberation in Iran rejects both the repressive Islamic state and the US/Israeli war machine.  Our discussion draws the frightening parallels between Iran's stifling of dissent and imprisonment of political enemies and others with our own government's.  Finally, we recall the Woman, Life, Freedom movement and build hope for international solidarity with groups working for liberation in Iran, Palestine, and elsewhere, and insist liberation will never be achieved by dropping bombs.                Persis Karim teaches in the Department of Humanities and Comparative and World Literature at San Francisco State University. She was the creator and director of the Center for Iranian Diaspora Studies during its entire existence there. Since 1999, she has been actively working to expand the field of Iranian Diaspora Studies, beginning with the first anthology of Iranian writing she co-edited, A World Between: Poems, Short Stories and Essays by Iranian-Americans. She is the editor of two other anthologies of Iranian diaspora literature: Let Me Tell You Where I've Been: New Writing by Women of the Iranian Diaspora, and Tremors: New Fiction by Iranian-American Writers. Before coming to San Francisco State, she was a professor of English & Comparative Literature at San Jose State where she was the founder and director of the Persian Studies program, and coordinator of the Middle East Studies Minor. She has published numerous articles about Iranian diaspora literature and culture for academic publications including Iranian Studies, Comparative Studies of South Asian, African and Middle East Studies (CSSAMES), and MELUS: Multi-Ethnic Literatures of the United States. “The Dawn is Too Far: Stories of Iranian-American Life,” is her first film project (co-directed and co-produced with Soumyaa Behrens). She received her Master's in Middle East Studies and her Ph.D. in Comparative Literature from UT Austin. She is also a poet.Manijeh Moradian is assistant professor of Women's, Gender and Sexuality Studies at Barnard College, Columbia University. Her book, This Flame Within: Iranian Revolutionaries in the United States, was published by Duke University Press in December 2022.  She has published widely including in American Quarterly, Journal of Asian American Studies, Scholar & Feminist online, and Women's Studies Quarterly. She is a founding member of the Raha Iranian Feminist Collective and on the editorial board of the Jadaliyya.com Iran Page. 

Decolonizing Ukraine, by Dr. Greta Lynn Uehling, illuminates the untold stories of Russia's occupation of Crimea from 2014 to the present, revealing the traumas of colonization, foreign occupation, and population displacement. Drawing upon extensive fieldwork in Ukraine, including over 90 personal interviews, Dr. Uehling brings her readers into the lives of people who opposed Russia's Crimean operation, many of whom fled for government-controlled Ukraine. Via the narratives of people who traversed perilous geographies and world-altering events, Dr. Uehling traces the development of a new sense of social cohesion that encompasses diverse ethnic and religious groups. The result is a compelling story—one of resilience, transformation, and ultimately, the unwavering pursuit of freedom and autonomy for Ukraine, regardless of ethnicity or race. Decolonizing Ukraine: Indigenous People, Race, and the Pathway to Freedom demonstrates how understanding Crimea is essential to understanding Ukraine – and the war with Russia – today. Our guest is: Dr. Greta Uehling, who is an anthropologist specializing in the study of war, conflict, and population displacement. A Professor at the University of Michigan, she teaches seminars on human rights and humanitarianism for the Program in International and Comparative Studies. Our host is: Dr. Christina Gessler, who works as a writing coach and developmental editor. She is the producer and show host of the Academic Life podcast. Playlist for listeners: The First and Last King of Haiti We Refuse: A Forceful History of Black Resistance Living Resistance How We Show Up Reunited Welcome to Academic Life, the podcast for your academic journey—and beyond! You can support the show by downloading and sharing episodes. Join us again to learn from more experts inside and outside the academy, and around the world. Missed any of the 250+ Academic Life episodes? Find them here. And thank you for listening! 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

Decolonizing Ukraine, by Dr. Greta Lynn Uehling, illuminates the untold stories of Russia's occupation of Crimea from 2014 to the present, revealing the traumas of colonization, foreign occupation, and population displacement. Drawing upon extensive fieldwork in Ukraine, including over 90 personal interviews, Dr. Uehling brings her readers into the lives of people who opposed Russia's Crimean operation, many of whom fled for government-controlled Ukraine. Via the narratives of people who traversed perilous geographies and world-altering events, Dr. Uehling traces the development of a new sense of social cohesion that encompasses diverse ethnic and religious groups. The result is a compelling story—one of resilience, transformation, and ultimately, the unwavering pursuit of freedom and autonomy for Ukraine, regardless of ethnicity or race. Decolonizing Ukraine: Indigenous People, Race, and the Pathway to Freedom demonstrates how understanding Crimea is essential to understanding Ukraine – and the war with Russia – today. Our guest is: Dr. Greta Uehling, who is an anthropologist specializing in the study of war, conflict, and population displacement. A Professor at the University of Michigan, she teaches seminars on human rights and humanitarianism for the Program in International and Comparative Studies. Our host is: Dr. Christina Gessler, who works as a writing coach and developmental editor. She is the producer and show host of the Academic Life podcast. Playlist for listeners: The First and Last King of Haiti We Refuse: A Forceful History of Black Resistance Living Resistance How We Show Up Reunited Welcome to Academic Life, the podcast for your academic journey—and beyond! You can support the show by downloading and sharing episodes. Join us again to learn from more experts inside and outside the academy, and around the world. Missed any of the 250+ Academic Life episodes? Find them here. And thank you for listening! Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/anthropology

2023 Weatherford Award Finalist, Nonfiction How can the craft of musical instrument making help reconnect people to place and reenchant work in Appalachia? How does the sonic search for musical tone change relationships with trees and forests? Following three craftspeople in the mountain forests of Appalachia through their processes of making instruments, Finding the Singing Spruce: Musical Instrument Makers and Appalachia's Mountain Forests (West Virginia UP, 2023) considers the meanings of work, place, and creative expression in drawing music from wood. Jasper Waugh-Quasebarth explores the complexities and contradictions of instrument-making labor, which is deeply rooted in mountain forests and expressive traditions but also engaged with global processes of production and consumption. Using historical narratives and sensory ethnography, among other approaches, he finds that the craft of lutherie speaks to the past, present, and future of the region's work and nature. From West Virginia University Press Jasper Waugh-Quasebarth PhD is Director and Curator of the Gordon Art Galleries at Old Dominion University in Norfolk, Virginia. He earned a PhD and MA in Anthropology from the University of Kentucky and a BA in Anthropology and History from the University of Virginia. He has held research, teaching, and administrative positions in Anthropology and Folklore Studies through his work with the Smithsonian Institution's Asian Cultural History Program, the University of Kentucky Department of Anthropology and Appalachian Center, and The Ohio State University Department of Comparative Studies and Center for Folklore Studies. Rachel Hopkin PhD is a folklorist and audio producer. 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

2023 Weatherford Award Finalist, Nonfiction How can the craft of musical instrument making help reconnect people to place and reenchant work in Appalachia? How does the sonic search for musical tone change relationships with trees and forests? Following three craftspeople in the mountain forests of Appalachia through their processes of making instruments, Finding the Singing Spruce: Musical Instrument Makers and Appalachia's Mountain Forests (West Virginia UP, 2023) considers the meanings of work, place, and creative expression in drawing music from wood. Jasper Waugh-Quasebarth explores the complexities and contradictions of instrument-making labor, which is deeply rooted in mountain forests and expressive traditions but also engaged with global processes of production and consumption. Using historical narratives and sensory ethnography, among other approaches, he finds that the craft of lutherie speaks to the past, present, and future of the region's work and nature. From West Virginia University Press Jasper Waugh-Quasebarth PhD is Director and Curator of the Gordon Art Galleries at Old Dominion University in Norfolk, Virginia. He earned a PhD and MA in Anthropology from the University of Kentucky and a BA in Anthropology and History from the University of Virginia. He has held research, teaching, and administrative positions in Anthropology and Folklore Studies through his work with the Smithsonian Institution's Asian Cultural History Program, the University of Kentucky Department of Anthropology and Appalachian Center, and The Ohio State University Department of Comparative Studies and Center for Folklore Studies. Rachel Hopkin PhD is a folklorist and audio producer. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/folkore

2023 Weatherford Award Finalist, Nonfiction How can the craft of musical instrument making help reconnect people to place and reenchant work in Appalachia? How does the sonic search for musical tone change relationships with trees and forests? Following three craftspeople in the mountain forests of Appalachia through their processes of making instruments, Finding the Singing Spruce: Musical Instrument Makers and Appalachia's Mountain Forests (West Virginia UP, 2023) considers the meanings of work, place, and creative expression in drawing music from wood. Jasper Waugh-Quasebarth explores the complexities and contradictions of instrument-making labor, which is deeply rooted in mountain forests and expressive traditions but also engaged with global processes of production and consumption. Using historical narratives and sensory ethnography, among other approaches, he finds that the craft of lutherie speaks to the past, present, and future of the region's work and nature. From West Virginia University Press Jasper Waugh-Quasebarth PhD is Director and Curator of the Gordon Art Galleries at Old Dominion University in Norfolk, Virginia. He earned a PhD and MA in Anthropology from the University of Kentucky and a BA in Anthropology and History from the University of Virginia. He has held research, teaching, and administrative positions in Anthropology and Folklore Studies through his work with the Smithsonian Institution's Asian Cultural History Program, the University of Kentucky Department of Anthropology and Appalachian Center, and The Ohio State University Department of Comparative Studies and Center for Folklore Studies. Rachel Hopkin PhD is a folklorist and audio producer. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/music

Summary In this episode of the Pain Exam Podcast, Dr. David Rosenblum provides a comprehensive review of herpes zoster and postherpetic neuralgia (PHN), focusing on pathophysiology, diagnosis, and treatment options. Dr. Rosenblum explains that postherpetic neuralgia affects approximately 25% of patients with acute herpes zoster, causing debilitating unilateral chronic pain in one or more dermatomes. He discusses the three phases of herpes zoster: acute (up to 30 days), subacute (up to 3 months), and postherpetic neuralgia (pain continuing beyond 3 months). Dr. Rosenblum identifies risk factors for developing PHN, including older age, female sex, immunosuppression, prodromal pain, severe rash, and greater acute pain severity. He details the pathophysiology involving peripheral and central sensitization, and explains different phenotypes of PHN that can guide treatment approaches. For treatment, Dr. Rosenblum reviews various options including antiviral medications (which should be started within 72 hours of onset), corticosteroids, opioids, antidepressants (particularly tricyclics and SNRIs), antiepileptics (gabapentin and pregabalin), topical agents (lidocaine and capsaicin), and interventional procedures such as epidural injections and pulsed radiofrequency. He emphasizes that prevention through vaccination with Shingrix is highly effective, with 97% effectiveness in preventing herpes zoster in patients 50-69 years old and 89% effectiveness in those over 70. Dr. Rosenblum mentions that he's currently treating a patient with trigeminal postherpetic neuralgia and is considering a topical sphenopalatine ganglion block as a minimally invasive intervention before attempting more invasive procedures. Chapters Introduction to the Pain Exam Podcast and Topic Overview Dr. David Rosenblum introduces the Pain Exam Podcast, mentioning that it covers painful disorders, alternative treatments, and practice management. He explains that this episode focuses on herpes zoster and postherpetic neuralgia as board preparation for fellows starting their programs, with ABA boards coming up in September. Dr. Rosenblum notes that he's not only preparing listeners for boards but also seeking the latest information to help treat his own patients with this notoriously difficult disease. Upcoming Conferences and Educational Opportunities Dr. Rosenblum announces several upcoming conferences including Aspen in July, Pain Week in September, and events with NYSIP and the Latin American Pain Society. He mentions he'll be teaching ultrasound and regenerative medicine at these events. Dr. Rosenblum invites listeners to sign up at nrappain.org to access a community discussing regenerative medicine, ultrasound-guided pain medicine, regional anesthesia, and board preparation. He also offers ultrasound training in New York and elsewhere, with upcoming sessions in Manhattan on July 12th and October 4th, plus private shadowing opportunities. Overview of Postherpetic Neuralgia Dr. Rosenblum defines postherpetic neuralgia as typically a unilateral chronic pain in one or more dermatomes after acute herpes zoster infection. He states that the incidence of acute herpes zoster ranges between 3-5 patients per thousand person-years, and one in four patients with acute herpes zoster-related pain will transition into postherpetic neuralgia. Dr. Rosenblum emphasizes that while this condition won't kill patients, it can be extremely debilitating and significantly reduce quality of life. Treatment Options Overview Dr. Rosenblum reviews treatment options according to the WHO pain ladder, including tricyclics like nortriptyline and antiepileptic drugs such as gabapentin. He explains that if pain is not significantly reduced, interventional treatments like epidural injections with local anesthetics and corticosteroids or pulsed radiofrequency of the dorsal root ganglion are options. For postherpetic neuralgia specifically, Dr. Rosenblum notes that preferred treatments include transdermal capsaicin, lidocaine, or oral drugs such as antidepressants or antiepileptics. Phases of Herpes Zoster and Definitions Dr. Rosenblum outlines the three phases during herpes zoster reactivation: acute herpes zoster-related pain (lasting maximum 30 days), subacute herpes zoster-related pain (pain after healing of vesicles but disappearing within 3 months), and postherpetic neuralgia (typically defined as pain continuing after 3 months). He mentions that acute herpes zoster pain often begins with prodromal pain starting a few days before the appearance of the rash. Incidence and Risk Factors Dr. Rosenblum states that the incidence of herpes zoster ranges between 3-5 patients per 1,000 person-years, with approximately 5-30% of cases leading to postherpetic neuralgia. He identifies risk factors including older age, female sex, immunosuppression, prodromal pain, severe rash, and greater acute pain severity. Dr. Rosenblum describes the clinical manifestations as a mosaic of somatosensory symptoms including burning, deep aching pain, tingling, itching, stabbing, often associated with tactile and cold allodynia. Impact on Quality of Life Dr. Rosenblum emphasizes that postherpetic neuralgia can be debilitating, impacting both physical and emotional functioning and causing decreased quality of life. He notes that it leads to fatigue, insomnia, depression, anorexia, anxiety, and emotional distress. Dr. Rosenblum stresses the importance of exploring methods for prevention of postherpetic neuralgia and optimizing pain treatment for both subacute herpes zoster-related pain and postherpetic neuralgia. Literature Review and Pathophysiology Dr. Rosenblum mentions that he's discussing a literature review from 2024 that updates previous practical guidelines published in 2011. He explains the pathophysiology of postherpetic neuralgia, which involves sensitization of peripheral and sensory nerves from damage. Dr. Rosenblum describes how inflammatory mediators reduce the stimulus threshold of nociceptors and increase responsiveness, resulting in pathological spontaneous discharges, lower thresholds for thermal and mechanical stimuli, and hyperalgesia. Central Sensitization and Nerve Damage Dr. Rosenblum explains that central sensitization results from peripheral nociceptor hyperactivity leading to plastic changes in the central nervous system, involving amplification of pain signals and reduced inhibition. He describes how nerve damage in postherpetic neuralgia patients results from neuronal death due to severe inflammatory stimuli or secondary to neuronal swelling. Dr. Rosenblum notes that motor defects occur in 0.05% of patients with herpes zoster, observed as abdominal pseudohernias or motor weakness of limbs limited to the affected myotome. Different Phenotypes and Classification Dr. Rosenblum discusses different phenotypes of postherpetic neuralgia and how phenotyping can determine treatment. He explains that there are several ways to classify the phenotypes, with one categorizing patients into three subtypes: sensory loss (most common), thermal gain, and thermal loss with mechanical gain. Dr. Rosenblum describes the mechanistic categorization, including the irritable nociceptive phenotype characterized by preserved sensation, profound dynamic mechanical allodynia, reduced pressure pain threshold, and relief with local anesthetic infiltration. Deafferentation Phenotype Dr. Rosenblum explains that a deafferentation phenotype may arise from destruction of neurons by the virus in the dorsal root ganglion. This phenotype is characterized by sensory loss, including thermal and vibratory sensation without prominent thermal allodynia. He notes that mechanical allodynia can occur secondary to A-beta fibers activating spinothalamic pathways (known as phenotypic switches), along with pressure hyperalgesia and temporal summation suggesting central sensitization. Dr. Rosenblum mentions that in one study, this phenotype was present in 10.8% of individuals, and for those with deafferentation pain, gabapentinoids, antidepressants, and neuromodulatory therapies like repetitive transcranial magnetic stimulation may be beneficial. Diagnosis and Physical Examination Dr. Rosenblum discusses the diagnosis of herpes zoster and postherpetic neuralgia, emphasizing the importance of physical examination. He explains that diagnosis is based on the rash, redness, papules, and vesicles in the painful dermatomes, with healing vesicles showing crust formation. Dr. Rosenblum notes that the rash is generally unilateral and does not cross the midline of the body. In postherpetic neuralgia patients, he mentions that scarring, hyper or hypopigmentation is often visible, with allodynia present in 45-75% of affected patients. Sensory Testing and Assessment Dr. Rosenblum explains that in patients with postherpetic neuralgia, a mosaic of somatosensory alterations can occur, manifesting as hyperalgesia, allodynia, and sensory loss. These can be quantified by quantitative sensory testing, which assesses somatosensory functions, dermal detection thresholds for perception of cold, warmth, and paradoxical heat sensations. He notes that testing can provide clues regarding underlying mechanisms of pain, impaired conditioned pain modulation, temporal summation suggesting central sensitization, and information about the type of nerve damage and surviving afferent neurons. Prevention Through Vaccination Dr. Rosenblum discusses prevention of acute herpes zoster through vaccination, noting that the risk increases with reduced immunity. He highlights studies evaluating Shingrix, a vaccine for herpes zoster, which showed 97% effectiveness in preventing herpes zoster in patients 50-69 years old with healthy immune systems and 89% effectiveness in patients over 70. Dr. Rosenblum states that Shingrix is 89-91% effective in preventing postherpetic neuralgia development in patients with healthy immune systems and 68-91% effective in those with weakened or underlying conditions. Treatment Objectives Dr. Rosenblum outlines the treatment objectives for herpes zoster and postherpetic neuralgia. For acute herpes zoster, objectives include relieving pain, reducing severity and duration of pain, accelerating recovery of epidermal defects, and preventing secondary infections. For postherpetic neuralgia, the objectives are pain alleviation and improved quality of life. Dr. Rosenblum lists available treatments including psychotherapy, opiates, antidepressants, antiepileptics, NMDA antagonists, topical agents, and interventional treatments such as epidurals, pulsed radiofrequency, nerve blocks, and spinal cord stimulation. Antiviral Medications Dr. Rosenblum emphasizes that antiviral drugs should be started within 72 hours of clinical onset, mentioning famciclovir, valacyclovir, and acyclovir. He notes there is no evidence for effectiveness after 72 hours in patients with uncomplicated herpes zoster. Dr. Rosenblum provides dosing information: for immunocompetent patients, famciclovir 500mg and valacyclovir 1000mg three times daily for seven days; for immunocompromised patients, famciclovir 1000mg three times daily for 10 days, while acyclovir should be given IV in the immunocompromised. Benefits of Antiviral Therapy Dr. Rosenblum explains that antiviral medication accelerates the disappearance of vesicles and crusts, promotes healing of skin lesions, and prevents new lesions from forming. By inhibiting viral replication, he notes that antiviral therapy likely reduces nerve damage, resulting in reduced incidence of postherpetic neuralgia, and should be started as soon as possible. Corticosteroids and Opioids Dr. Rosenblum discusses the use of corticosteroids, noting that when added to antiviral medications, they may reduce the severity of acute herpes zoster-related pain, though increased healing of skin lesions was not observed in one study. He mentions that a Cochrane review found oral corticosteroids ineffective in preventing postherpetic neuralgia. Regarding opioids, Dr. Rosenblum states they are commonly used alongside antivirals for controlling acute herpes zoster pain, with tramadol having a number needed to treat (NNT) of 4.7 and strong opioids having an NNT of 4.3 for 50% pain reduction. Methadone and Antidepressants Dr. Rosenblum discusses methadone as an NMDA receptor antagonist used in acute and chronic pain management, though he notes there are no randomized controlled trials determining its efficacy in acute herpes zoster pain or postherpetic neuralgia. He explains that methadone can modulate pain stimuli by inhibiting the uptake of norepinephrine and serotonin, resulting in decreased development of hyperalgesia and opioid tolerance, but has side effects including constipation, nausea, sedation, and QT prolongation that can trigger torsades de pointes. Dr. Rosenblum identifies antidepressants as first-line therapy for postherpetic neuralgia, including tricyclics and SNRIs, with tricyclics having an NNT of 3 and SNRIs an NNT of 6.4 for 50% pain reduction. Antiepileptics and Pharmacological Treatment Summary Dr. Rosenblum discusses antiepileptics like gabapentin and pregabalin for postherpetic neuralgia. He cites two trials measuring gabapentin's effect, concluding it was effective compared to placebo with a pooled NNT of 4.4, while pregabalin had an NNT of 4.9. Dr. Rosenblum summarizes that pharmacological treatment is well established for subacute herpes zoster pain, though new high-quality evidence has been lacking since the last update in 2011. Topical Agents Dr. Rosenblum discusses local anesthetic topical agents including lidocaine and capsaicin creams and patches. He notes that 8% capsaicin provided significant pain reduction during 2-8 weeks, while 5% lidocaine patches provided moderate pain relief after eight weeks of treatment. Dr. Rosenblum also mentions acute herpes zoster intracutaneous injections, citing a study where single intracutaneous injection with methylprednisolone combined with ropivacaine versus saline alone showed significant difference in VAS score at 1 and 4 weeks post-intervention favoring the intervention group. Intracutaneous Injections Dr. Rosenblum discusses the effect of repetitive intracutaneous injections with ropivacaine and methylprednisolone every 48 hours for one week. He cites a randomized control trial comparing antivirals plus analgesics to antivirals plus analgesics and repeat injections, finding the intervention group had significantly shorter duration of pain, lower VAS scores, and lower incidence of postherpetic neuralgia (6.4% vs 28% at 3 months). Dr. Rosenblum notes that a potential side effect of cutaneous methylprednisolone injection is fat atrophy, though this wasn't reported in the study. Summary of Local Anesthetics Dr. Rosenblum summarizes that there are no new studies reporting the efficacy of capsaicin 8% for postherpetic neuralgia, but it remains widely used in clinical practice and is approved in several countries. He notes that lidocaine patches can reduce pain intensity in patients with postherpetic neuralgia but may be more beneficial in patients with allodynia. Dr. Rosenblum adds that intracutaneous injections may be helpful for short periods, while repetitive injections with local anesthetics may reduce VAS scores for up to six months but can cause subcutaneous fat atrophy. Interventional Treatments: Epidural and Paravertebral Injections Dr. Rosenblum discusses interventional treatments, noting that previous guidelines found epidural injection with corticosteroids and local anesthetic as add-on therapy superior to standard care alone for up to one month in managing acute herpes zoster pain. He mentions a randomized controlled trial showing no difference between interlaminar and transforaminal epidural steroid injections for up to three months after the procedure. Dr. Rosenblum adds that previous guidelines reported high-quality evidence that paravertebral injections of corticosteroids or local anesthetic reduces pain in the active phase of herpes zoster. Comparative Studies on Injection Approaches Dr. Rosenblum discusses a trial comparing efficacy of repetitive paravertebral blocks with ropivacaine versus dexmedetomidine to prevent postherpetic neuralgia, which showed significantly lower incidence of zoster-related pain one month after therapy in the dexmedetomidine group, with effects still significant at three months. He also mentions a study comparing steroid injections administered via interlaminar versus transforaminal approaches, finding both groups had significantly lower VAS scores at 1 and 3 months follow-up compared to baseline, though this could align with the natural course of herpes zoster. Timing of Interventions and Continuous Epidural Blockade Dr. Rosenblum cites a retrospective study showing that transforaminal epidural injections administered for acute herpes zoster-related pain were associated with significantly shorter time to pain relief compared to those performed in the subacute phase. He also mentions a randomized controlled trial finding that continuous epidural blockade combined with opioids and gabapentin reduced NRS pain scores more than analgesic drug treatments alone during three-day follow-up, though both studies were low-quality. Interventions for Postherpetic Neuralgia Dr. Rosenblum discusses interventions specifically for postherpetic neuralgia, citing a small randomized controlled trial that demonstrated decreased NRS pain scores six months post-treatment for repeat versus single epidural steroid injections (15mg vs 5mg dexamethasone) administered over 24 days. The trial also found increased likelihood of complete remission during 6-month follow-up in the group receiving repeat epidural dexamethasone, though this was low-quality evidence. Summary of Epidural and Paravertebral Injections Dr. Rosenblum summarizes that epidural or paravertebral injections of local anesthetic and/or glucocorticoids could be considered in treating acute herpes zoster-related pain. For subacute postherpetic neuralgia pain, he notes low-quality evidence supporting epidural injections, while for postherpetic neuralgia, evidence supports continuous epidural infusion, though also of low quality. Dr. Rosenblum emphasizes that none of the included studies for postherpetic neuralgia investigating epidural or paravertebral injections resulted in decreased pain compared to standard therapy. Pulsed Radiofrequency (PRF) Evidence Dr. Rosenblum discusses pulsed radiofrequency (PRF), noting that previous guidelines indicated moderate quality evidence that PRF of the intercostal nerve reduces pain for 6 months in patients with postherpetic neuralgia, and very low-quality evidence that PRF to the dorsal root ganglion (DRG) reduces pain for 6 months. He mentions that multiple studies have been published since then assessing PRF efficacy. PRF Studies for Acute Herpes Zoster Dr. Rosenblum discusses a randomized controlled trial with 60 patients comparing high-voltage bipolar PRF of the cervical sympathetic chain versus sham, with treatment repeated after three days in both groups. He reports that VAS scores in the PRF group at each post-interventional point (1 day, 2 days, 1 month, 2 months, 3 months) were significantly lower than in the sham group, and at 3 months, the incidence of postherpetic neuralgia was 16.7% in the PRF group compared to 40% in the sham group. PRF for Trigeminal Neuralgia Dr. Rosenblum cites another randomized controlled trial evaluating high-voltage long-duration PRF of the Gasserian ganglion in 96 patients with subacute herpes-related trigeminal neuralgia, which found decreased VAS pain scores at all post-interventional time points (3, 7, 14 days and 1, 3, and 6 months) compared to the sham group. He also mentions a randomized comparative effectiveness study in 120 patients with subacute trigeminal herpes zoster, comparing a single application of high-voltage PRF to the Gasserian ganglion versus three cycles of conventional PRF treatment, finding significantly lower mean VAS pain scores for up to six months in the high-voltage PRF group. PRF Compared to Other Interventions Dr. Rosenblum discusses a randomized controlled trial comparing PRF to short-term spinal cord stimulation, which found decreased pain and improved 36-item short-form health survey scores in both groups at six months. He also mentions a randomized controlled trial in 72 patients where PRF of spinal nerves or peripheral branches of cranial nerves combined with five-day infusion of IV lidocaine resulted in greater pain reduction, less rescue analgesia, and reduced inflammatory cytokines at two months compared to PRF with saline infusions. Dr. Rosenblum notes a major limitation of this study was not accounting for the high natural recovery rate. Summary of PRF and Final Recommendations Dr. Rosenblum summarizes that PRF provides significant pain relief lasting over three months in patients with subacute herpes zoster and postherpetic neuralgia. He notes that since few studies have compared PRF versus sham, it's not possible to calculate an accurate number needed to treat. Dr. Rosenblum mentions there are no comparative studies comparing PRF to the intercostal nerves versus PRF of the DRG, but both preclinical and clinical studies suggest superiority of the DRG approach. He adds that evidence for spinal cord stimulation for postherpetic neuralgia is of low quality, and more research is needed given its invasive nature. Sympathetic Blocks and Conclusion Dr. Rosenblum notes there is low-quality evidence for using sympathetic blocks to treat acute herpes zoster-related pain, but no evidence for their use in postherpetic neuralgia. He mentions that risks of treatment with intrathecal methylprednisolone are unclear and therefore not recommended. Dr. Rosenblum concludes by praising the comprehensive article he's been discussing and mentions it provides insight for treating his patients, including a recent case of trigeminal postherpetic neuralgia. Personal Clinical Approach and Closing Dr. Rosenblum shares that he doesn't currently perform PRF in his practice, partly because it's not standard of care and not well reimbursed, creating barriers to implementation. However, he notes that PRF is a very safe procedure as it doesn't involve burning tissue. For his patient with trigeminal neuralgia pain, Dr. Rosenblum plans to try a topical sphenopalatine ganglion block as the least invasive intervention before considering injecting the trigeminal nerves at the foramen, in addition to pharmacotherapy. He concludes by thanking listeners, encouraging them to check the show notes and links, mentioning institutional memberships and shadowing opportunities, and asking listeners to rate and share the podcast. Q&A No Q&A session in this lecture Pain Management Board Prep   Ultrasound Training REGISTER TODAY!   Create an Account and get Free Access to the PainExam- NRAP Academy Community Highlights     David Rosenblum, MD, currently serves as the Director of Pain Management at Maimonides Medical Center and AABP Integrative Pain Care.  As a member of the Department of Anesthesiology, he is involved in teaching, research, CME activities, and was key faculty in developing the anesthesiology residency's regional anesthesia block rotation, as well as institutional wide acute and chronic pain management protocols to ensure safe and effective pain management. He currently is a managing partner in a multi-physician private pain practice, AABP Integrative Pain Care, located in Brooklyn, NY. He is one of the earliest interventional pain physicians to integrate ultrasound guidance to improve the safety and accuracy of interventional pain procedures.   Awards New York Magazine: Top Doctors: 2016, 2017, 2018, 2021, 2022, 2023, 2024, 2025 Schneps Media: 2015, 2016, 2017, 2019, 2020 Top Doctors New York Metro Area (digital guide): 2016, 2017, 2018, 2019, 2020, 2021, 2022, 2023 2025 Schneps Media - Brooklyn Courier Life: 2021, 2022, 2023   Dr. Rosenblum written several book chapters on Peripheral Neuromodulation, Radiofrequency Ablation, and Pharmacology.  He has published numerous noteworthy articles and most recently is developing the ASIPP Guidelines for Peripheral Neuromodulation in the treatment of chronic pain. He has been named several times in NY Magazine's Best Pain Management Doctor List, Nassau County's Best Pain Physician, has appeared on NY1 News, and has made several appearances on XM Radio's Doctor Talk. He currently is lecturing on a national and international level and has partnered with the American Society of Interventional Pain Physicians (ASIPP), American Society of Pain and Neuroscience (ASPN), IASP Mexican Chapter, Eastern Pain Association (EPA), the North American Neuromodulation Society (NANS), World Academy of Pain Medicine United, as well as various other organizations, to support educational events and develop new courses. Since 2008, he has helped over 3000 physicians pass the Pain Management Boards, and has been at the forefront of utilizing ultrasound guidance to perform pain procedures.  He now hosts the PainExam podcast, AnesthesiaExam Podcast, PMRExam Podcasts and uses this platform to promote the safe and effective use of ultrasound in the performance of various procedures such as Peripheral Nerve Stimulation, Caudal Epidurals, Selective Nerve Root Blocks, Cluneal Nerve Blocks, Ganglion impar Blocks, Stellate Ganglion Blocks, Brachial Plexus Blocks, Joint Injections and much more!   Doctor Rosenblum created the NRAP (Neuromodulation Regional Anesthesia and Pain) Academy  and travels to teach various courses focused on Pain Medicine, Regenerative Medicine, Ultrasound Guided Pain Procedures and Regional Anesthesia Techniques.  Dr. Rosenblum is persistent when it comes to eliminating pain and has gained a reputation among his patients for thinking "outside the box" and implements ultrasound guidance to deposit medications, biologics (PRP, Bone Marrow Aspirate, etc.) and Peripheral Nerve Stimulators near pain generators. He is currently treating patients in his great neck and Brooklyn office.  For an appointment go to AABPpain.com or call Brooklyn     718 436 7246 Reference Adriaansen, E. J., Jacobs, J. G., Vernooij, L. M., van Wijck, A. J., Cohen, S. P., Huygen, F. J., & Rijsdijk, M. (2025). 8. Herpes zoster and post herpetic neuralgia. Pain Practice, 25(1), e13423.

Summary In this episode of the Pain Exam Podcast, Dr. David Rosenblum provides a comprehensive review of herpes zoster and postherpetic neuralgia (PHN), focusing on pathophysiology, diagnosis, and treatment options. Dr. Rosenblum explains that postherpetic neuralgia affects approximately 25% of patients with acute herpes zoster, causing debilitating unilateral chronic pain in one or more dermatomes. He discusses the three phases of herpes zoster: acute (up to 30 days), subacute (up to 3 months), and postherpetic neuralgia (pain continuing beyond 3 months). Dr. Rosenblum identifies risk factors for developing PHN, including older age, female sex, immunosuppression, prodromal pain, severe rash, and greater acute pain severity. He details the pathophysiology involving peripheral and central sensitization, and explains different phenotypes of PHN that can guide treatment approaches. For treatment, Dr. Rosenblum reviews various options including antiviral medications (which should be started within 72 hours of onset), corticosteroids, opioids, antidepressants (particularly tricyclics and SNRIs), antiepileptics (gabapentin and pregabalin), topical agents (lidocaine and capsaicin), and interventional procedures such as epidural injections and pulsed radiofrequency. He emphasizes that prevention through vaccination with Shingrix is highly effective, with 97% effectiveness in preventing herpes zoster in patients 50-69 years old and 89% effectiveness in those over 70. Dr. Rosenblum mentions that he's currently treating a patient with trigeminal postherpetic neuralgia and is considering a topical sphenopalatine ganglion block as a minimally invasive intervention before attempting more invasive procedures. Chapters Introduction to the Pain Exam Podcast and Topic Overview Dr. David Rosenblum introduces the Pain Exam Podcast, mentioning that it covers painful disorders, alternative treatments, and practice management. He explains that this episode focuses on herpes zoster and postherpetic neuralgia as board preparation for fellows starting their programs, with ABA boards coming up in September. Dr. Rosenblum notes that he's not only preparing listeners for boards but also seeking the latest information to help treat his own patients with this notoriously difficult disease. Upcoming Conferences and Educational Opportunities Dr. Rosenblum announces several upcoming conferences including Aspen in July, Pain Week in September, and events with NYSIP and the Latin American Pain Society. He mentions he'll be teaching ultrasound and regenerative medicine at these events. Dr. Rosenblum invites listeners to sign up at nrappain.org to access a community discussing regenerative medicine, ultrasound-guided pain medicine, regional anesthesia, and board preparation. He also offers ultrasound training in New York and elsewhere, with upcoming sessions in Manhattan on July 12th and October 4th, plus private shadowing opportunities. Overview of Postherpetic Neuralgia Dr. Rosenblum defines postherpetic neuralgia as typically a unilateral chronic pain in one or more dermatomes after acute herpes zoster infection. He states that the incidence of acute herpes zoster ranges between 3-5 patients per thousand person-years, and one in four patients with acute herpes zoster-related pain will transition into postherpetic neuralgia. Dr. Rosenblum emphasizes that while this condition won't kill patients, it can be extremely debilitating and significantly reduce quality of life. Treatment Options Overview Dr. Rosenblum reviews treatment options according to the WHO pain ladder, including tricyclics like nortriptyline and antiepileptic drugs such as gabapentin. He explains that if pain is not significantly reduced, interventional treatments like epidural injections with local anesthetics and corticosteroids or pulsed radiofrequency of the dorsal root ganglion are options. For postherpetic neuralgia specifically, Dr. Rosenblum notes that preferred treatments include transdermal capsaicin, lidocaine, or oral drugs such as antidepressants or antiepileptics. Phases of Herpes Zoster and Definitions Dr. Rosenblum outlines the three phases during herpes zoster reactivation: acute herpes zoster-related pain (lasting maximum 30 days), subacute herpes zoster-related pain (pain after healing of vesicles but disappearing within 3 months), and postherpetic neuralgia (typically defined as pain continuing after 3 months). He mentions that acute herpes zoster pain often begins with prodromal pain starting a few days before the appearance of the rash. Incidence and Risk Factors Dr. Rosenblum states that the incidence of herpes zoster ranges between 3-5 patients per 1,000 person-years, with approximately 5-30% of cases leading to postherpetic neuralgia. He identifies risk factors including older age, female sex, immunosuppression, prodromal pain, severe rash, and greater acute pain severity. Dr. Rosenblum describes the clinical manifestations as a mosaic of somatosensory symptoms including burning, deep aching pain, tingling, itching, stabbing, often associated with tactile and cold allodynia. Impact on Quality of Life Dr. Rosenblum emphasizes that postherpetic neuralgia can be debilitating, impacting both physical and emotional functioning and causing decreased quality of life. He notes that it leads to fatigue, insomnia, depression, anorexia, anxiety, and emotional distress. Dr. Rosenblum stresses the importance of exploring methods for prevention of postherpetic neuralgia and optimizing pain treatment for both subacute herpes zoster-related pain and postherpetic neuralgia. Literature Review and Pathophysiology Dr. Rosenblum mentions that he's discussing a literature review from 2024 that updates previous practical guidelines published in 2011. He explains the pathophysiology of postherpetic neuralgia, which involves sensitization of peripheral and sensory nerves from damage. Dr. Rosenblum describes how inflammatory mediators reduce the stimulus threshold of nociceptors and increase responsiveness, resulting in pathological spontaneous discharges, lower thresholds for thermal and mechanical stimuli, and hyperalgesia. Central Sensitization and Nerve Damage Dr. Rosenblum explains that central sensitization results from peripheral nociceptor hyperactivity leading to plastic changes in the central nervous system, involving amplification of pain signals and reduced inhibition. He describes how nerve damage in postherpetic neuralgia patients results from neuronal death due to severe inflammatory stimuli or secondary to neuronal swelling. Dr. Rosenblum notes that motor defects occur in 0.05% of patients with herpes zoster, observed as abdominal pseudohernias or motor weakness of limbs limited to the affected myotome. Different Phenotypes and Classification Dr. Rosenblum discusses different phenotypes of postherpetic neuralgia and how phenotyping can determine treatment. He explains that there are several ways to classify the phenotypes, with one categorizing patients into three subtypes: sensory loss (most common), thermal gain, and thermal loss with mechanical gain. Dr. Rosenblum describes the mechanistic categorization, including the irritable nociceptive phenotype characterized by preserved sensation, profound dynamic mechanical allodynia, reduced pressure pain threshold, and relief with local anesthetic infiltration. Deafferentation Phenotype Dr. Rosenblum explains that a deafferentation phenotype may arise from destruction of neurons by the virus in the dorsal root ganglion. This phenotype is characterized by sensory loss, including thermal and vibratory sensation without prominent thermal allodynia. He notes that mechanical allodynia can occur secondary to A-beta fibers activating spinothalamic pathways (known as phenotypic switches), along with pressure hyperalgesia and temporal summation suggesting central sensitization. Dr. Rosenblum mentions that in one study, this phenotype was present in 10.8% of individuals, and for those with deafferentation pain, gabapentinoids, antidepressants, and neuromodulatory therapies like repetitive transcranial magnetic stimulation may be beneficial. Diagnosis and Physical Examination Dr. Rosenblum discusses the diagnosis of herpes zoster and postherpetic neuralgia, emphasizing the importance of physical examination. He explains that diagnosis is based on the rash, redness, papules, and vesicles in the painful dermatomes, with healing vesicles showing crust formation. Dr. Rosenblum notes that the rash is generally unilateral and does not cross the midline of the body. In postherpetic neuralgia patients, he mentions that scarring, hyper or hypopigmentation is often visible, with allodynia present in 45-75% of affected patients. Sensory Testing and Assessment Dr. Rosenblum explains that in patients with postherpetic neuralgia, a mosaic of somatosensory alterations can occur, manifesting as hyperalgesia, allodynia, and sensory loss. These can be quantified by quantitative sensory testing, which assesses somatosensory functions, dermal detection thresholds for perception of cold, warmth, and paradoxical heat sensations. He notes that testing can provide clues regarding underlying mechanisms of pain, impaired conditioned pain modulation, temporal summation suggesting central sensitization, and information about the type of nerve damage and surviving afferent neurons. Prevention Through Vaccination Dr. Rosenblum discusses prevention of acute herpes zoster through vaccination, noting that the risk increases with reduced immunity. He highlights studies evaluating Shingrix, a vaccine for herpes zoster, which showed 97% effectiveness in preventing herpes zoster in patients 50-69 years old with healthy immune systems and 89% effectiveness in patients over 70. Dr. Rosenblum states that Shingrix is 89-91% effective in preventing postherpetic neuralgia development in patients with healthy immune systems and 68-91% effective in those with weakened or underlying conditions. Treatment Objectives Dr. Rosenblum outlines the treatment objectives for herpes zoster and postherpetic neuralgia. For acute herpes zoster, objectives include relieving pain, reducing severity and duration of pain, accelerating recovery of epidermal defects, and preventing secondary infections. For postherpetic neuralgia, the objectives are pain alleviation and improved quality of life. Dr. Rosenblum lists available treatments including psychotherapy, opiates, antidepressants, antiepileptics, NMDA antagonists, topical agents, and interventional treatments such as epidurals, pulsed radiofrequency, nerve blocks, and spinal cord stimulation. Antiviral Medications Dr. Rosenblum emphasizes that antiviral drugs should be started within 72 hours of clinical onset, mentioning famciclovir, valacyclovir, and acyclovir. He notes there is no evidence for effectiveness after 72 hours in patients with uncomplicated herpes zoster. Dr. Rosenblum provides dosing information: for immunocompetent patients, famciclovir 500mg and valacyclovir 1000mg three times daily for seven days; for immunocompromised patients, famciclovir 1000mg three times daily for 10 days, while acyclovir should be given IV in the immunocompromised. Benefits of Antiviral Therapy Dr. Rosenblum explains that antiviral medication accelerates the disappearance of vesicles and crusts, promotes healing of skin lesions, and prevents new lesions from forming. By inhibiting viral replication, he notes that antiviral therapy likely reduces nerve damage, resulting in reduced incidence of postherpetic neuralgia, and should be started as soon as possible. Corticosteroids and Opioids Dr. Rosenblum discusses the use of corticosteroids, noting that when added to antiviral medications, they may reduce the severity of acute herpes zoster-related pain, though increased healing of skin lesions was not observed in one study. He mentions that a Cochrane review found oral corticosteroids ineffective in preventing postherpetic neuralgia. Regarding opioids, Dr. Rosenblum states they are commonly used alongside antivirals for controlling acute herpes zoster pain, with tramadol having a number needed to treat (NNT) of 4.7 and strong opioids having an NNT of 4.3 for 50% pain reduction. Methadone and Antidepressants Dr. Rosenblum discusses methadone as an NMDA receptor antagonist used in acute and chronic pain management, though he notes there are no randomized controlled trials determining its efficacy in acute herpes zoster pain or postherpetic neuralgia. He explains that methadone can modulate pain stimuli by inhibiting the uptake of norepinephrine and serotonin, resulting in decreased development of hyperalgesia and opioid tolerance, but has side effects including constipation, nausea, sedation, and QT prolongation that can trigger torsades de pointes. Dr. Rosenblum identifies antidepressants as first-line therapy for postherpetic neuralgia, including tricyclics and SNRIs, with tricyclics having an NNT of 3 and SNRIs an NNT of 6.4 for 50% pain reduction. Antiepileptics and Pharmacological Treatment Summary Dr. Rosenblum discusses antiepileptics like gabapentin and pregabalin for postherpetic neuralgia. He cites two trials measuring gabapentin's effect, concluding it was effective compared to placebo with a pooled NNT of 4.4, while pregabalin had an NNT of 4.9. Dr. Rosenblum summarizes that pharmacological treatment is well established for subacute herpes zoster pain, though new high-quality evidence has been lacking since the last update in 2011. Topical Agents Dr. Rosenblum discusses local anesthetic topical agents including lidocaine and capsaicin creams and patches. He notes that 8% capsaicin provided significant pain reduction during 2-8 weeks, while 5% lidocaine patches provided moderate pain relief after eight weeks of treatment. Dr. Rosenblum also mentions acute herpes zoster intracutaneous injections, citing a study where single intracutaneous injection with methylprednisolone combined with ropivacaine versus saline alone showed significant difference in VAS score at 1 and 4 weeks post-intervention favoring the intervention group. Intracutaneous Injections Dr. Rosenblum discusses the effect of repetitive intracutaneous injections with ropivacaine and methylprednisolone every 48 hours for one week. He cites a randomized control trial comparing antivirals plus analgesics to antivirals plus analgesics and repeat injections, finding the intervention group had significantly shorter duration of pain, lower VAS scores, and lower incidence of postherpetic neuralgia (6.4% vs 28% at 3 months). Dr. Rosenblum notes that a potential side effect of cutaneous methylprednisolone injection is fat atrophy, though this wasn't reported in the study. Summary of Local Anesthetics Dr. Rosenblum summarizes that there are no new studies reporting the efficacy of capsaicin 8% for postherpetic neuralgia, but it remains widely used in clinical practice and is approved in several countries. He notes that lidocaine patches can reduce pain intensity in patients with postherpetic neuralgia but may be more beneficial in patients with allodynia. Dr. Rosenblum adds that intracutaneous injections may be helpful for short periods, while repetitive injections with local anesthetics may reduce VAS scores for up to six months but can cause subcutaneous fat atrophy. Interventional Treatments: Epidural and Paravertebral Injections Dr. Rosenblum discusses interventional treatments, noting that previous guidelines found epidural injection with corticosteroids and local anesthetic as add-on therapy superior to standard care alone for up to one month in managing acute herpes zoster pain. He mentions a randomized controlled trial showing no difference between interlaminar and transforaminal epidural steroid injections for up to three months after the procedure. Dr. Rosenblum adds that previous guidelines reported high-quality evidence that paravertebral injections of corticosteroids or local anesthetic reduces pain in the active phase of herpes zoster. Comparative Studies on Injection Approaches Dr. Rosenblum discusses a trial comparing efficacy of repetitive paravertebral blocks with ropivacaine versus dexmedetomidine to prevent postherpetic neuralgia, which showed significantly lower incidence of zoster-related pain one month after therapy in the dexmedetomidine group, with effects still significant at three months. He also mentions a study comparing steroid injections administered via interlaminar versus transforaminal approaches, finding both groups had significantly lower VAS scores at 1 and 3 months follow-up compared to baseline, though this could align with the natural course of herpes zoster. Timing of Interventions and Continuous Epidural Blockade Dr. Rosenblum cites a retrospective study showing that transforaminal epidural injections administered for acute herpes zoster-related pain were associated with significantly shorter time to pain relief compared to those performed in the subacute phase. He also mentions a randomized controlled trial finding that continuous epidural blockade combined with opioids and gabapentin reduced NRS pain scores more than analgesic drug treatments alone during three-day follow-up, though both studies were low-quality. Interventions for Postherpetic Neuralgia Dr. Rosenblum discusses interventions specifically for postherpetic neuralgia, citing a small randomized controlled trial that demonstrated decreased NRS pain scores six months post-treatment for repeat versus single epidural steroid injections (15mg vs 5mg dexamethasone) administered over 24 days. The trial also found increased likelihood of complete remission during 6-month follow-up in the group receiving repeat epidural dexamethasone, though this was low-quality evidence. Summary of Epidural and Paravertebral Injections Dr. Rosenblum summarizes that epidural or paravertebral injections of local anesthetic and/or glucocorticoids could be considered in treating acute herpes zoster-related pain. For subacute postherpetic neuralgia pain, he notes low-quality evidence supporting epidural injections, while for postherpetic neuralgia, evidence supports continuous epidural infusion, though also of low quality. Dr. Rosenblum emphasizes that none of the included studies for postherpetic neuralgia investigating epidural or paravertebral injections resulted in decreased pain compared to standard therapy. Pulsed Radiofrequency (PRF) Evidence Dr. Rosenblum discusses pulsed radiofrequency (PRF), noting that previous guidelines indicated moderate quality evidence that PRF of the intercostal nerve reduces pain for 6 months in patients with postherpetic neuralgia, and very low-quality evidence that PRF to the dorsal root ganglion (DRG) reduces pain for 6 months. He mentions that multiple studies have been published since then assessing PRF efficacy. PRF Studies for Acute Herpes Zoster Dr. Rosenblum discusses a randomized controlled trial with 60 patients comparing high-voltage bipolar PRF of the cervical sympathetic chain versus sham, with treatment repeated after three days in both groups. He reports that VAS scores in the PRF group at each post-interventional point (1 day, 2 days, 1 month, 2 months, 3 months) were significantly lower than in the sham group, and at 3 months, the incidence of postherpetic neuralgia was 16.7% in the PRF group compared to 40% in the sham group. PRF for Trigeminal Neuralgia Dr. Rosenblum cites another randomized controlled trial evaluating high-voltage long-duration PRF of the Gasserian ganglion in 96 patients with subacute herpes-related trigeminal neuralgia, which found decreased VAS pain scores at all post-interventional time points (3, 7, 14 days and 1, 3, and 6 months) compared to the sham group. He also mentions a randomized comparative effectiveness study in 120 patients with subacute trigeminal herpes zoster, comparing a single application of high-voltage PRF to the Gasserian ganglion versus three cycles of conventional PRF treatment, finding significantly lower mean VAS pain scores for up to six months in the high-voltage PRF group. PRF Compared to Other Interventions Dr. Rosenblum discusses a randomized controlled trial comparing PRF to short-term spinal cord stimulation, which found decreased pain and improved 36-item short-form health survey scores in both groups at six months. He also mentions a randomized controlled trial in 72 patients where PRF of spinal nerves or peripheral branches of cranial nerves combined with five-day infusion of IV lidocaine resulted in greater pain reduction, less rescue analgesia, and reduced inflammatory cytokines at two months compared to PRF with saline infusions. Dr. Rosenblum notes a major limitation of this study was not accounting for the high natural recovery rate. Summary of PRF and Final Recommendations Dr. Rosenblum summarizes that PRF provides significant pain relief lasting over three months in patients with subacute herpes zoster and postherpetic neuralgia. He notes that since few studies have compared PRF versus sham, it's not possible to calculate an accurate number needed to treat. Dr. Rosenblum mentions there are no comparative studies comparing PRF to the intercostal nerves versus PRF of the DRG, but both preclinical and clinical studies suggest superiority of the DRG approach. He adds that evidence for spinal cord stimulation for postherpetic neuralgia is of low quality, and more research is needed given its invasive nature. Sympathetic Blocks and Conclusion Dr. Rosenblum notes there is low-quality evidence for using sympathetic blocks to treat acute herpes zoster-related pain, but no evidence for their use in postherpetic neuralgia. He mentions that risks of treatment with intrathecal methylprednisolone are unclear and therefore not recommended. Dr. Rosenblum concludes by praising the comprehensive article he's been discussing and mentions it provides insight for treating his patients, including a recent case of trigeminal postherpetic neuralgia. Personal Clinical Approach and Closing Dr. Rosenblum shares that he doesn't currently perform PRF in his practice, partly because it's not standard of care and not well reimbursed, creating barriers to implementation. However, he notes that PRF is a very safe procedure as it doesn't involve burning tissue. For his patient with trigeminal neuralgia pain, Dr. Rosenblum plans to try a topical sphenopalatine ganglion block as the least invasive intervention before considering injecting the trigeminal nerves at the foramen, in addition to pharmacotherapy. He concludes by thanking listeners, encouraging them to check the show notes and links, mentioning institutional memberships and shadowing opportunities, and asking listeners to rate and share the podcast. Q&A No Q&A session in this lecture Pain Management Board Prep   Ultrasound Training REGISTER TODAY!   Create an Account and get Free Access to the PainExam- NRAP Academy Community Highlights     David Rosenblum, MD, currently serves as the Director of Pain Management at Maimonides Medical Center and AABP Integrative Pain Care.  As a member of the Department of Anesthesiology, he is involved in teaching, research, CME activities, and was key faculty in developing the anesthesiology residency's regional anesthesia block rotation, as well as institutional wide acute and chronic pain management protocols to ensure safe and effective pain management. He currently is a managing partner in a multi-physician private pain practice, AABP Integrative Pain Care, located in Brooklyn, NY. He is one of the earliest interventional pain physicians to integrate ultrasound guidance to improve the safety and accuracy of interventional pain procedures.   Awards New York Magazine: Top Doctors: 2016, 2017, 2018, 2021, 2022, 2023, 2024, 2025 Schneps Media: 2015, 2016, 2017, 2019, 2020 Top Doctors New York Metro Area (digital guide): 2016, 2017, 2018, 2019, 2020, 2021, 2022, 2023 2025 Schneps Media - Brooklyn Courier Life: 2021, 2022, 2023   Dr. Rosenblum written several book chapters on Peripheral Neuromodulation, Radiofrequency Ablation, and Pharmacology.  He has published numerous noteworthy articles and most recently is developing the ASIPP Guidelines for Peripheral Neuromodulation in the treatment of chronic pain. He has been named several times in NY Magazine's Best Pain Management Doctor List, Nassau County's Best Pain Physician, has appeared on NY1 News, and has made several appearances on XM Radio's Doctor Talk. He currently is lecturing on a national and international level and has partnered with the American Society of Interventional Pain Physicians (ASIPP), American Society of Pain and Neuroscience (ASPN), IASP Mexican Chapter, Eastern Pain Association (EPA), the North American Neuromodulation Society (NANS), World Academy of Pain Medicine United, as well as various other organizations, to support educational events and develop new courses. Since 2008, he has helped over 3000 physicians pass the Pain Management Boards, and has been at the forefront of utilizing ultrasound guidance to perform pain procedures.  He now hosts the PainExam podcast, AnesthesiaExam Podcast, PMRExam Podcasts and uses this platform to promote the safe and effective use of ultrasound in the performance of various procedures such as Peripheral Nerve Stimulation, Caudal Epidurals, Selective Nerve Root Blocks, Cluneal Nerve Blocks, Ganglion impar Blocks, Stellate Ganglion Blocks, Brachial Plexus Blocks, Joint Injections and much more!   Doctor Rosenblum created the NRAP (Neuromodulation Regional Anesthesia and Pain) Academy  and travels to teach various courses focused on Pain Medicine, Regenerative Medicine, Ultrasound Guided Pain Procedures and Regional Anesthesia Techniques.  Dr. Rosenblum is persistent when it comes to eliminating pain and has gained a reputation among his patients for thinking "outside the box" and implements ultrasound guidance to deposit medications, biologics (PRP, Bone Marrow Aspirate, etc.) and Peripheral Nerve Stimulators near pain generators. He is currently treating patients in his great neck and Brooklyn office.  For an appointment go to AABPpain.com or call Brooklyn     718 436 7246 Reference Adriaansen, E. J., Jacobs, J. G., Vernooij, L. M., van Wijck, A. J., Cohen, S. P., Huygen, F. J., & Rijsdijk, M. (2025). 8. Herpes zoster and post herpetic neuralgia. Pain Practice, 25(1), e13423.

Summary In this episode of the Pain Exam Podcast, Dr. David Rosenblum provides a comprehensive review of herpes zoster and postherpetic neuralgia (PHN), focusing on pathophysiology, diagnosis, and treatment options. Dr. Rosenblum explains that postherpetic neuralgia affects approximately 25% of patients with acute herpes zoster, causing debilitating unilateral chronic pain in one or more dermatomes. He discusses the three phases of herpes zoster: acute (up to 30 days), subacute (up to 3 months), and postherpetic neuralgia (pain continuing beyond 3 months). Dr. Rosenblum identifies risk factors for developing PHN, including older age, female sex, immunosuppression, prodromal pain, severe rash, and greater acute pain severity. He details the pathophysiology involving peripheral and central sensitization, and explains different phenotypes of PHN that can guide treatment approaches. For treatment, Dr. Rosenblum reviews various options including antiviral medications (which should be started within 72 hours of onset), corticosteroids, opioids, antidepressants (particularly tricyclics and SNRIs), antiepileptics (gabapentin and pregabalin), topical agents (lidocaine and capsaicin), and interventional procedures such as epidural injections and pulsed radiofrequency. He emphasizes that prevention through vaccination with Shingrix is highly effective, with 97% effectiveness in preventing herpes zoster in patients 50-69 years old and 89% effectiveness in those over 70. Dr. Rosenblum mentions that he's currently treating a patient with trigeminal postherpetic neuralgia and is considering a topical sphenopalatine ganglion block as a minimally invasive intervention before attempting more invasive procedures. Chapters Introduction to the Pain Exam Podcast and Topic Overview Dr. David Rosenblum introduces the Pain Exam Podcast, mentioning that it covers painful disorders, alternative treatments, and practice management. He explains that this episode focuses on herpes zoster and postherpetic neuralgia as board preparation for fellows starting their programs, with ABA boards coming up in September. Dr. Rosenblum notes that he's not only preparing listeners for boards but also seeking the latest information to help treat his own patients with this notoriously difficult disease. Upcoming Conferences and Educational Opportunities Dr. Rosenblum announces several upcoming conferences including Aspen in July, Pain Week in September, and events with NYSIP and the Latin American Pain Society. He mentions he'll be teaching ultrasound and regenerative medicine at these events. Dr. Rosenblum invites listeners to sign up at nrappain.org to access a community discussing regenerative medicine, ultrasound-guided pain medicine, regional anesthesia, and board preparation. He also offers ultrasound training in New York and elsewhere, with upcoming sessions in Manhattan on July 12th and October 4th, plus private shadowing opportunities. Overview of Postherpetic Neuralgia Dr. Rosenblum defines postherpetic neuralgia as typically a unilateral chronic pain in one or more dermatomes after acute herpes zoster infection. He states that the incidence of acute herpes zoster ranges between 3-5 patients per thousand person-years, and one in four patients with acute herpes zoster-related pain will transition into postherpetic neuralgia. Dr. Rosenblum emphasizes that while this condition won't kill patients, it can be extremely debilitating and significantly reduce quality of life. Treatment Options Overview Dr. Rosenblum reviews treatment options according to the WHO pain ladder, including tricyclics like nortriptyline and antiepileptic drugs such as gabapentin. He explains that if pain is not significantly reduced, interventional treatments like epidural injections with local anesthetics and corticosteroids or pulsed radiofrequency of the dorsal root ganglion are options. For postherpetic neuralgia specifically, Dr. Rosenblum notes that preferred treatments include transdermal capsaicin, lidocaine, or oral drugs such as antidepressants or antiepileptics. Phases of Herpes Zoster and Definitions Dr. Rosenblum outlines the three phases during herpes zoster reactivation: acute herpes zoster-related pain (lasting maximum 30 days), subacute herpes zoster-related pain (pain after healing of vesicles but disappearing within 3 months), and postherpetic neuralgia (typically defined as pain continuing after 3 months). He mentions that acute herpes zoster pain often begins with prodromal pain starting a few days before the appearance of the rash. Incidence and Risk Factors Dr. Rosenblum states that the incidence of herpes zoster ranges between 3-5 patients per 1,000 person-years, with approximately 5-30% of cases leading to postherpetic neuralgia. He identifies risk factors including older age, female sex, immunosuppression, prodromal pain, severe rash, and greater acute pain severity. Dr. Rosenblum describes the clinical manifestations as a mosaic of somatosensory symptoms including burning, deep aching pain, tingling, itching, stabbing, often associated with tactile and cold allodynia. Impact on Quality of Life Dr. Rosenblum emphasizes that postherpetic neuralgia can be debilitating, impacting both physical and emotional functioning and causing decreased quality of life. He notes that it leads to fatigue, insomnia, depression, anorexia, anxiety, and emotional distress. Dr. Rosenblum stresses the importance of exploring methods for prevention of postherpetic neuralgia and optimizing pain treatment for both subacute herpes zoster-related pain and postherpetic neuralgia. Literature Review and Pathophysiology Dr. Rosenblum mentions that he's discussing a literature review from 2024 that updates previous practical guidelines published in 2011. He explains the pathophysiology of postherpetic neuralgia, which involves sensitization of peripheral and sensory nerves from damage. Dr. Rosenblum describes how inflammatory mediators reduce the stimulus threshold of nociceptors and increase responsiveness, resulting in pathological spontaneous discharges, lower thresholds for thermal and mechanical stimuli, and hyperalgesia. Central Sensitization and Nerve Damage Dr. Rosenblum explains that central sensitization results from peripheral nociceptor hyperactivity leading to plastic changes in the central nervous system, involving amplification of pain signals and reduced inhibition. He describes how nerve damage in postherpetic neuralgia patients results from neuronal death due to severe inflammatory stimuli or secondary to neuronal swelling. Dr. Rosenblum notes that motor defects occur in 0.05% of patients with herpes zoster, observed as abdominal pseudohernias or motor weakness of limbs limited to the affected myotome. Different Phenotypes and Classification Dr. Rosenblum discusses different phenotypes of postherpetic neuralgia and how phenotyping can determine treatment. He explains that there are several ways to classify the phenotypes, with one categorizing patients into three subtypes: sensory loss (most common), thermal gain, and thermal loss with mechanical gain. Dr. Rosenblum describes the mechanistic categorization, including the irritable nociceptive phenotype characterized by preserved sensation, profound dynamic mechanical allodynia, reduced pressure pain threshold, and relief with local anesthetic infiltration. Deafferentation Phenotype Dr. Rosenblum explains that a deafferentation phenotype may arise from destruction of neurons by the virus in the dorsal root ganglion. This phenotype is characterized by sensory loss, including thermal and vibratory sensation without prominent thermal allodynia. He notes that mechanical allodynia can occur secondary to A-beta fibers activating spinothalamic pathways (known as phenotypic switches), along with pressure hyperalgesia and temporal summation suggesting central sensitization. Dr. Rosenblum mentions that in one study, this phenotype was present in 10.8% of individuals, and for those with deafferentation pain, gabapentinoids, antidepressants, and neuromodulatory therapies like repetitive transcranial magnetic stimulation may be beneficial. Diagnosis and Physical Examination Dr. Rosenblum discusses the diagnosis of herpes zoster and postherpetic neuralgia, emphasizing the importance of physical examination. He explains that diagnosis is based on the rash, redness, papules, and vesicles in the painful dermatomes, with healing vesicles showing crust formation. Dr. Rosenblum notes that the rash is generally unilateral and does not cross the midline of the body. In postherpetic neuralgia patients, he mentions that scarring, hyper or hypopigmentation is often visible, with allodynia present in 45-75% of affected patients. Sensory Testing and Assessment Dr. Rosenblum explains that in patients with postherpetic neuralgia, a mosaic of somatosensory alterations can occur, manifesting as hyperalgesia, allodynia, and sensory loss. These can be quantified by quantitative sensory testing, which assesses somatosensory functions, dermal detection thresholds for perception of cold, warmth, and paradoxical heat sensations. He notes that testing can provide clues regarding underlying mechanisms of pain, impaired conditioned pain modulation, temporal summation suggesting central sensitization, and information about the type of nerve damage and surviving afferent neurons. Prevention Through Vaccination Dr. Rosenblum discusses prevention of acute herpes zoster through vaccination, noting that the risk increases with reduced immunity. He highlights studies evaluating Shingrix, a vaccine for herpes zoster, which showed 97% effectiveness in preventing herpes zoster in patients 50-69 years old with healthy immune systems and 89% effectiveness in patients over 70. Dr. Rosenblum states that Shingrix is 89-91% effective in preventing postherpetic neuralgia development in patients with healthy immune systems and 68-91% effective in those with weakened or underlying conditions. Treatment Objectives Dr. Rosenblum outlines the treatment objectives for herpes zoster and postherpetic neuralgia. For acute herpes zoster, objectives include relieving pain, reducing severity and duration of pain, accelerating recovery of epidermal defects, and preventing secondary infections. For postherpetic neuralgia, the objectives are pain alleviation and improved quality of life. Dr. Rosenblum lists available treatments including psychotherapy, opiates, antidepressants, antiepileptics, NMDA antagonists, topical agents, and interventional treatments such as epidurals, pulsed radiofrequency, nerve blocks, and spinal cord stimulation. Antiviral Medications Dr. Rosenblum emphasizes that antiviral drugs should be started within 72 hours of clinical onset, mentioning famciclovir, valacyclovir, and acyclovir. He notes there is no evidence for effectiveness after 72 hours in patients with uncomplicated herpes zoster. Dr. Rosenblum provides dosing information: for immunocompetent patients, famciclovir 500mg and valacyclovir 1000mg three times daily for seven days; for immunocompromised patients, famciclovir 1000mg three times daily for 10 days, while acyclovir should be given IV in the immunocompromised. Benefits of Antiviral Therapy Dr. Rosenblum explains that antiviral medication accelerates the disappearance of vesicles and crusts, promotes healing of skin lesions, and prevents new lesions from forming. By inhibiting viral replication, he notes that antiviral therapy likely reduces nerve damage, resulting in reduced incidence of postherpetic neuralgia, and should be started as soon as possible. Corticosteroids and Opioids Dr. Rosenblum discusses the use of corticosteroids, noting that when added to antiviral medications, they may reduce the severity of acute herpes zoster-related pain, though increased healing of skin lesions was not observed in one study. He mentions that a Cochrane review found oral corticosteroids ineffective in preventing postherpetic neuralgia. Regarding opioids, Dr. Rosenblum states they are commonly used alongside antivirals for controlling acute herpes zoster pain, with tramadol having a number needed to treat (NNT) of 4.7 and strong opioids having an NNT of 4.3 for 50% pain reduction. Methadone and Antidepressants Dr. Rosenblum discusses methadone as an NMDA receptor antagonist used in acute and chronic pain management, though he notes there are no randomized controlled trials determining its efficacy in acute herpes zoster pain or postherpetic neuralgia. He explains that methadone can modulate pain stimuli by inhibiting the uptake of norepinephrine and serotonin, resulting in decreased development of hyperalgesia and opioid tolerance, but has side effects including constipation, nausea, sedation, and QT prolongation that can trigger torsades de pointes. Dr. Rosenblum identifies antidepressants as first-line therapy for postherpetic neuralgia, including tricyclics and SNRIs, with tricyclics having an NNT of 3 and SNRIs an NNT of 6.4 for 50% pain reduction. Antiepileptics and Pharmacological Treatment Summary Dr. Rosenblum discusses antiepileptics like gabapentin and pregabalin for postherpetic neuralgia. He cites two trials measuring gabapentin's effect, concluding it was effective compared to placebo with a pooled NNT of 4.4, while pregabalin had an NNT of 4.9. Dr. Rosenblum summarizes that pharmacological treatment is well established for subacute herpes zoster pain, though new high-quality evidence has been lacking since the last update in 2011. Topical Agents Dr. Rosenblum discusses local anesthetic topical agents including lidocaine and capsaicin creams and patches. He notes that 8% capsaicin provided significant pain reduction during 2-8 weeks, while 5% lidocaine patches provided moderate pain relief after eight weeks of treatment. Dr. Rosenblum also mentions acute herpes zoster intracutaneous injections, citing a study where single intracutaneous injection with methylprednisolone combined with ropivacaine versus saline alone showed significant difference in VAS score at 1 and 4 weeks post-intervention favoring the intervention group. Intracutaneous Injections Dr. Rosenblum discusses the effect of repetitive intracutaneous injections with ropivacaine and methylprednisolone every 48 hours for one week. He cites a randomized control trial comparing antivirals plus analgesics to antivirals plus analgesics and repeat injections, finding the intervention group had significantly shorter duration of pain, lower VAS scores, and lower incidence of postherpetic neuralgia (6.4% vs 28% at 3 months). Dr. Rosenblum notes that a potential side effect of cutaneous methylprednisolone injection is fat atrophy, though this wasn't reported in the study. Summary of Local Anesthetics Dr. Rosenblum summarizes that there are no new studies reporting the efficacy of capsaicin 8% for postherpetic neuralgia, but it remains widely used in clinical practice and is approved in several countries. He notes that lidocaine patches can reduce pain intensity in patients with postherpetic neuralgia but may be more beneficial in patients with allodynia. Dr. Rosenblum adds that intracutaneous injections may be helpful for short periods, while repetitive injections with local anesthetics may reduce VAS scores for up to six months but can cause subcutaneous fat atrophy. Interventional Treatments: Epidural and Paravertebral Injections Dr. Rosenblum discusses interventional treatments, noting that previous guidelines found epidural injection with corticosteroids and local anesthetic as add-on therapy superior to standard care alone for up to one month in managing acute herpes zoster pain. He mentions a randomized controlled trial showing no difference between interlaminar and transforaminal epidural steroid injections for up to three months after the procedure. Dr. Rosenblum adds that previous guidelines reported high-quality evidence that paravertebral injections of corticosteroids or local anesthetic reduces pain in the active phase of herpes zoster. Comparative Studies on Injection Approaches Dr. Rosenblum discusses a trial comparing efficacy of repetitive paravertebral blocks with ropivacaine versus dexmedetomidine to prevent postherpetic neuralgia, which showed significantly lower incidence of zoster-related pain one month after therapy in the dexmedetomidine group, with effects still significant at three months. He also mentions a study comparing steroid injections administered via interlaminar versus transforaminal approaches, finding both groups had significantly lower VAS scores at 1 and 3 months follow-up compared to baseline, though this could align with the natural course of herpes zoster. Timing of Interventions and Continuous Epidural Blockade Dr. Rosenblum cites a retrospective study showing that transforaminal epidural injections administered for acute herpes zoster-related pain were associated with significantly shorter time to pain relief compared to those performed in the subacute phase. He also mentions a randomized controlled trial finding that continuous epidural blockade combined with opioids and gabapentin reduced NRS pain scores more than analgesic drug treatments alone during three-day follow-up, though both studies were low-quality. Interventions for Postherpetic Neuralgia Dr. Rosenblum discusses interventions specifically for postherpetic neuralgia, citing a small randomized controlled trial that demonstrated decreased NRS pain scores six months post-treatment for repeat versus single epidural steroid injections (15mg vs 5mg dexamethasone) administered over 24 days. The trial also found increased likelihood of complete remission during 6-month follow-up in the group receiving repeat epidural dexamethasone, though this was low-quality evidence. Summary of Epidural and Paravertebral Injections Dr. Rosenblum summarizes that epidural or paravertebral injections of local anesthetic and/or glucocorticoids could be considered in treating acute herpes zoster-related pain. For subacute postherpetic neuralgia pain, he notes low-quality evidence supporting epidural injections, while for postherpetic neuralgia, evidence supports continuous epidural infusion, though also of low quality. Dr. Rosenblum emphasizes that none of the included studies for postherpetic neuralgia investigating epidural or paravertebral injections resulted in decreased pain compared to standard therapy. Pulsed Radiofrequency (PRF) Evidence Dr. Rosenblum discusses pulsed radiofrequency (PRF), noting that previous guidelines indicated moderate quality evidence that PRF of the intercostal nerve reduces pain for 6 months in patients with postherpetic neuralgia, and very low-quality evidence that PRF to the dorsal root ganglion (DRG) reduces pain for 6 months. He mentions that multiple studies have been published since then assessing PRF efficacy. PRF Studies for Acute Herpes Zoster Dr. Rosenblum discusses a randomized controlled trial with 60 patients comparing high-voltage bipolar PRF of the cervical sympathetic chain versus sham, with treatment repeated after three days in both groups. He reports that VAS scores in the PRF group at each post-interventional point (1 day, 2 days, 1 month, 2 months, 3 months) were significantly lower than in the sham group, and at 3 months, the incidence of postherpetic neuralgia was 16.7% in the PRF group compared to 40% in the sham group. PRF for Trigeminal Neuralgia Dr. Rosenblum cites another randomized controlled trial evaluating high-voltage long-duration PRF of the Gasserian ganglion in 96 patients with subacute herpes-related trigeminal neuralgia, which found decreased VAS pain scores at all post-interventional time points (3, 7, 14 days and 1, 3, and 6 months) compared to the sham group. He also mentions a randomized comparative effectiveness study in 120 patients with subacute trigeminal herpes zoster, comparing a single application of high-voltage PRF to the Gasserian ganglion versus three cycles of conventional PRF treatment, finding significantly lower mean VAS pain scores for up to six months in the high-voltage PRF group. PRF Compared to Other Interventions Dr. Rosenblum discusses a randomized controlled trial comparing PRF to short-term spinal cord stimulation, which found decreased pain and improved 36-item short-form health survey scores in both groups at six months. He also mentions a randomized controlled trial in 72 patients where PRF of spinal nerves or peripheral branches of cranial nerves combined with five-day infusion of IV lidocaine resulted in greater pain reduction, less rescue analgesia, and reduced inflammatory cytokines at two months compared to PRF with saline infusions. Dr. Rosenblum notes a major limitation of this study was not accounting for the high natural recovery rate. Summary of PRF and Final Recommendations Dr. Rosenblum summarizes that PRF provides significant pain relief lasting over three months in patients with subacute herpes zoster and postherpetic neuralgia. He notes that since few studies have compared PRF versus sham, it's not possible to calculate an accurate number needed to treat. Dr. Rosenblum mentions there are no comparative studies comparing PRF to the intercostal nerves versus PRF of the DRG, but both preclinical and clinical studies suggest superiority of the DRG approach. He adds that evidence for spinal cord stimulation for postherpetic neuralgia is of low quality, and more research is needed given its invasive nature. Sympathetic Blocks and Conclusion Dr. Rosenblum notes there is low-quality evidence for using sympathetic blocks to treat acute herpes zoster-related pain, but no evidence for their use in postherpetic neuralgia. He mentions that risks of treatment with intrathecal methylprednisolone are unclear and therefore not recommended. Dr. Rosenblum concludes by praising the comprehensive article he's been discussing and mentions it provides insight for treating his patients, including a recent case of trigeminal postherpetic neuralgia. Personal Clinical Approach and Closing Dr. Rosenblum shares that he doesn't currently perform PRF in his practice, partly because it's not standard of care and not well reimbursed, creating barriers to implementation. However, he notes that PRF is a very safe procedure as it doesn't involve burning tissue. For his patient with trigeminal neuralgia pain, Dr. Rosenblum plans to try a topical sphenopalatine ganglion block as the least invasive intervention before considering injecting the trigeminal nerves at the foramen, in addition to pharmacotherapy. He concludes by thanking listeners, encouraging them to check the show notes and links, mentioning institutional memberships and shadowing opportunities, and asking listeners to rate and share the podcast. Q&A No Q&A session in this lecture Pain Management Board Prep   Ultrasound Training REGISTER TODAY!   Create an Account and get Free Access to the PainExam- NRAP Academy Community Highlights     David Rosenblum, MD, currently serves as the Director of Pain Management at Maimonides Medical Center and AABP Integrative Pain Care.  As a member of the Department of Anesthesiology, he is involved in teaching, research, CME activities, and was key faculty in developing the anesthesiology residency's regional anesthesia block rotation, as well as institutional wide acute and chronic pain management protocols to ensure safe and effective pain management. He currently is a managing partner in a multi-physician private pain practice, AABP Integrative Pain Care, located in Brooklyn, NY. He is one of the earliest interventional pain physicians to integrate ultrasound guidance to improve the safety and accuracy of interventional pain procedures.   Awards New York Magazine: Top Doctors: 2016, 2017, 2018, 2021, 2022, 2023, 2024, 2025 Schneps Media: 2015, 2016, 2017, 2019, 2020 Top Doctors New York Metro Area (digital guide): 2016, 2017, 2018, 2019, 2020, 2021, 2022, 2023 2025 Schneps Media - Brooklyn Courier Life: 2021, 2022, 2023   Dr. Rosenblum written several book chapters on Peripheral Neuromodulation, Radiofrequency Ablation, and Pharmacology.  He has published numerous noteworthy articles and most recently is developing the ASIPP Guidelines for Peripheral Neuromodulation in the treatment of chronic pain. He has been named several times in NY Magazine's Best Pain Management Doctor List, Nassau County's Best Pain Physician, has appeared on NY1 News, and has made several appearances on XM Radio's Doctor Talk. He currently is lecturing on a national and international level and has partnered with the American Society of Interventional Pain Physicians (ASIPP), American Society of Pain and Neuroscience (ASPN), IASP Mexican Chapter, Eastern Pain Association (EPA), the North American Neuromodulation Society (NANS), World Academy of Pain Medicine United, as well as various other organizations, to support educational events and develop new courses. Since 2008, he has helped over 3000 physicians pass the Pain Management Boards, and has been at the forefront of utilizing ultrasound guidance to perform pain procedures.  He now hosts the PainExam podcast, AnesthesiaExam Podcast, PMRExam Podcasts and uses this platform to promote the safe and effective use of ultrasound in the performance of various procedures such as Peripheral Nerve Stimulation, Caudal Epidurals, Selective Nerve Root Blocks, Cluneal Nerve Blocks, Ganglion impar Blocks, Stellate Ganglion Blocks, Brachial Plexus Blocks, Joint Injections and much more!   Doctor Rosenblum created the NRAP (Neuromodulation Regional Anesthesia and Pain) Academy  and travels to teach various courses focused on Pain Medicine, Regenerative Medicine, Ultrasound Guided Pain Procedures and Regional Anesthesia Techniques.  Dr. Rosenblum is persistent when it comes to eliminating pain and has gained a reputation among his patients for thinking "outside the box" and implements ultrasound guidance to deposit medications, biologics (PRP, Bone Marrow Aspirate, etc.) and Peripheral Nerve Stimulators near pain generators. He is currently treating patients in his great neck and Brooklyn office.  For an appointment go to AABPpain.com or call Brooklyn     718 436 7246 Reference Adriaansen, E. J., Jacobs, J. G., Vernooij, L. M., van Wijck, A. J., Cohen, S. P., Huygen, F. J., & Rijsdijk, M. (2025). 8. Herpes zoster and post herpetic neuralgia. Pain Practice, 25(1), e13423.

Anticolonial movements of the 20th century generated audacious ideas of freedom. After decolonization, however, the challenge was to give an institutional form to those radical ideas.Legalizing the Revolution: India and the Constitution of the Postcolony is a new book by the scholar Sandipto Dasgupta which provides an innovative account of how India ultimately addressed this daunting challenge.It's a fresh, somewhat revisionist look at the making of the postcolonial constitutional order and tries to place the current crisis of liberal democracy in proper historical and conceptual context.Sandipto is an assistant professor of politics at the New School for Social Research, where he works on the history of modern political and social thought, especially the political theory of empire, decolonization, and postcolonial order.To talk more about his book, Sandipto joins Milan on the podcast this week. They discuss the two-way relationship between decolonization and constitution-making, the absence of representation unity between the Congress Party and the masses, and why India's leaders believed a planned economy would forestall a social revolution. Plus, the two discuss how the absence—rather than the excesses—of democracy have led to rising majoritarianism.Episode notes:1. “Republic Day Episode: Madhav Khosla on India's Founding Moment,” Grand Tamasha, January 28, 2020.2. Sandipto Dasgupta, “Gandhi's Failure: Anticolonial Movements,” Perspectives on Politics 15, no. 3 (2017).3. Sandipto Dasgupta, “‘A Language Which Is Foreign to Us': Continuities and Anxieties in the Making of the Indian Constitution,” Comparative Studies of South Asia, Africa and the Middle East 34, no. 2 (2014): 228–242.

L'odissea dello Squadrone Tedesco dell'Asia Orientale giunge alla sua tragica fine al largo delle isole Falkland, dopo quattro mesi di navigazione, dai mari della Cina fino all'Atlantico meridionale, dopo 44.600 miglia nautiche percorse in acque ostili. Le perdite umane saranno terribili.Seguimi su Instagram: @laguerragrande_podcastSe vuoi contribuire con una donazione sul conto PayPal: podcastlaguerragrande@gmail.comScritto e condotto da Andrea BassoMontaggio e audio: Andrea BassoFonti dell'episodio:Teresa Arijón, Alemanes del Volga. Dejaron Rusia y en Entre Ríos fundaron varias aldeas donde celebran sus tradiciones, La Nacion, 2021  Cristopher Bell, Churchill and the Dardanelles, Oxford University Press, 2017  Geoffrey Bennett, Naval Battles of the First World War, Pen & Sword Military Classics, 2005  R. A. Burt, British Battleships 1889–1904, Seaforth Publishing, 1988  J. Corbett, Naval Operations. History of the Great War based on Official Documents, Imperial War Museum, 2009  Jason Daley, German Ship Sunk During WWI Found Off Falkland Islands, The Smithsonian, 2019 Victoria Dannemann, Alemanes en Chile: entre el pasado colono y el presente empresarial, Deutsche Welle, 2011 Aidan Dodson, The Kaiser's Battlefleet: German Capital Ships 1871–1918, Seaforth Publishing, 2016  H. Glenn Penny, Material Connections: German Schools, Things, and Soft Power in Argentina and Chile from the 1880s through the Interwar Period, Comparative Studies in Society and History 59, 2017  Erich Gröner, German Warships 1815–1945, Naval Institute Press, 1990  Paul Halpern, Cradock, Sir Christopher George Francis Maurice (1862–1914), Oxford Dictionary of National Biography, Oxford University Press, 2004  Peter Hart, La grande storia della Prima Guerra Mondiale, Newton & Compton, 2013  Hans Hildebrand, Albert Röhr, Hans-Otto Steinmetz, Die Deutschen Kriegsschiffe: Biographien – ein Spiegel der Marinegeschichte von 1815 bis zur Gegenwart, Mundus Verlag, 1993  David Howarth, Le corazzate, Mondadori, 1988  Richard Hough, Falklands 1914: The Pursuit of Admiral Von Spee, Periscope Publishing, 1980  Stewart Jackson, The First Casualties in the Royal Canadian Navy, 2001  Hermann Kirchhoff, Maximilian, graf von Spee, der Sieger von Coronel: Das Lebensbild und die Erinnerungen eines deutsches Seemanns, Marinedank-Verlag, 1915  Nicholas Lambert, Planning Armageddon: British Economic Warfare and the First World War, Harvard University Press, 2012  Robert Massie, Castles of Steel: Britain, Germany, and the Winning of the Great War at Sea, Random House, 2003  Os Alemães no Sul do Brasil, Editora Ulbra, 2004  Daniele Pompejano, Storia dell'America Latina, Mondadori, 2012  Franz von Rintelen, The Dark Invader: Wartime Reminiscences of a German Naval Intelligence Officer, Routledge, 1998  Soft Power, Treccani  Gary Staff, Battle on the Seven Seas, Pen & Sword Maritime, 2011  Hew Strachan, The First World War: To Arms, Oxford University Press, 2001  Gordon Williamson, German Pocket Battleships 1939–1945, Osprey Publishing, 2003In copertina: HMS Invincible e HMS Inflexible aprono il fuoco sull'Ostasiengeschwader all'inizio della battaglia delle isole Falkland, 8 dicembre 1914. Illustrazione di Eric Tuffnell.

La navigazione dello squadrone di Von Spee verso le coste del Sudamerica prosegue. Al largo delle coste cilene, i Tedeschi affrontano e sconfiggono uno squadrone britannico, per poi penetrare nell'Atlantico. Il viceammiraglio Von Spee sa bene però che le sue navi hanno le ore contate.Seguimi su Instagram: @laguerragrande_podcastSe vuoi contribuire con una donazione sul conto PayPal: podcastlaguerragrande@gmail.comScritto e condotto da Andrea BassoMontaggio e audio: Andrea BassoFonti dell'episodio:Teresa Arijón, Alemanes del Volga. Dejaron Rusia y en Entre Ríos fundaron varias aldeas donde celebran sus tradiciones, La Nacion, 2021  Cristopher Bell, Churchill and the Dardanelles, Oxford University Press, 2017  Geoffrey Bennett, Naval Battles of the First World War, Pen & Sword Military Classics, 2005  R. A. Burt, British Battleships 1889–1904, Seaforth Publishing, 1988  J. Corbett, Naval Operations. History of the Great War based on Official Documents, Imperial War Museum, 2009  Jason Daley, German Ship Sunk During WWI Found Off Falkland Islands, The Smithsonian, 2019 Victoria Dannemann, Alemanes en Chile: entre el pasado colono y el presente empresarial, Deutsche Welle, 2011 Aidan Dodson, The Kaiser's Battlefleet: German Capital Ships 1871–1918, Seaforth Publishing, 2016  H. Glenn Penny, Material Connections: German Schools, Things, and Soft Power in Argentina and Chile from the 1880s through the Interwar Period, Comparative Studies in Society and History 59, 2017  Erich Gröner, German Warships 1815–1945, Naval Institute Press, 1990  Paul Halpern, Cradock, Sir Christopher George Francis Maurice (1862–1914), Oxford Dictionary of National Biography, Oxford University Press, 2004  Peter Hart, La grande storia della Prima Guerra Mondiale, Newton & Compton, 2013  Hans Hildebrand, Albert Röhr, Hans-Otto Steinmetz, Die Deutschen Kriegsschiffe: Biographien – ein Spiegel der Marinegeschichte von 1815 bis zur Gegenwart, Mundus Verlag, 1993  David Howarth, Le corazzate, Mondadori, 1988  Richard Hough, Falklands 1914: The Pursuit of Admiral Von Spee, Periscope Publishing, 1980  Stewart Jackson, The First Casualties in the Royal Canadian Navy, 2001  Hermann Kirchhoff, Maximilian, graf von Spee, der Sieger von Coronel: Das Lebensbild und die Erinnerungen eines deutsches Seemanns, Marinedank-Verlag, 1915  Nicholas Lambert, Planning Armageddon: British Economic Warfare and the First World War, Harvard University Press, 2012  Robert Massie, Castles of Steel: Britain, Germany, and the Winning of the Great War at Sea, Random House, 2003  Os Alemães no Sul do Brasil, Editora Ulbra, 2004  Daniele Pompejano, Storia dell'America Latina, Mondadori, 2012  Franz von Rintelen, The Dark Invader: Wartime Reminiscences of a German Naval Intelligence Officer, Routledge, 1998  Soft Power, Treccani  Gary Staff, Battle on the Seven Seas, Pen & Sword Maritime, 2011  Hew Strachan, The First World War: To Arms, Oxford University Press, 2001  Gordon Williamson, German Pocket Battleships 1939–1945, Osprey Publishing, 2003In copertina: Il Good Hope o il Monmouth in fiamme sotto il fuoco tedesco durante la battaglia di Coronel, 1 novembre 1914. Peter Dennis, Osprey Publishing.

The British Association of Comparative Law (BACL) held a discussion of Dr Irini Katsirea's book, 'Press Freedom and Regulation in a Digital Era: A Comparative Study' (2024) on 29th April 2025.This book examines the challenges for press freedom in the nascent digital news ecosystem. Drawing upon decisions of the European Court of Human Rights and the Court of Justice of the European Union, as well as from German, UK and US case law, this comparative work explores the regulation of the press in the digital era and the impact of the proliferating media laws, policies, and jurisprudence on press freedom.Professor Jacob Rowbottom (University of Oxford) chaired the discussion between Dr Irini Katsirea (University of Sheffield), Dr Peter Coe, (University of Birmingham), Emeritus Professor Thomas Gibbons (University of Manchester), and Emeritus Professor Bernd Holznagel (University of Münster).

The British Association of Comparative Law (BACL) held a discussion of Dr Irini Katsirea's book, 'Press Freedom and Regulation in a Digital Era: A Comparative Study' (2024) on 29th April 2025.This book examines the challenges for press freedom in the nascent digital news ecosystem. Drawing upon decisions of the European Court of Human Rights and the Court of Justice of the European Union, as well as from German, UK and US case law, this comparative work explores the regulation of the press in the digital era and the impact of the proliferating media laws, policies, and jurisprudence on press freedom.Professor Jacob Rowbottom (University of Oxford) chaired the discussion between Dr Irini Katsirea (University of Sheffield), Dr Peter Coe, (University of Birmingham), Emeritus Professor Thomas Gibbons (University of Manchester), and Emeritus Professor Bernd Holznagel (University of Münster).

Across the globe, many people see democracy retreating and authoritarianism on the rise. In places as diverse as India, Hungry, Niger, El Salvador, and even right here in the United States, people of all political background are concerned about the state of their democracy, even if their reasons for worry differ. From attacks on courts, to the accumulation of executive power, and the takeover of institutions, many countries have see their democracies weaken, while many others have seen their democracies completely overthrown (at least 32 coup d'état's since 2010, and many more attempts, around the world).  Freedom House has marked overall democratic decline for the past 19 years based on their global metrics, while countless articles have been written about democratic backsliding around the world.In this month's episode, we discuss the state of democracy around the world with Dr. Henry Thomson of Arizona State University. Throughout this conversation, we cover the pathways to democratic decline and dive into the trends that the world is currently experiencing, while putting this discussion in historical context. In addition, we talk about what lessons pro-democracy forces can learn from the transitions that other countries have made away from authoritarian styles of government. It is important to remember that at one point in time, all countries were under authoritarian forms of government. Dr. Henry Thomson is an Associate Professor in the School of Politics and Global Studies at Arizona State University. He is a political economist with a research focus on economic development, authoritarian rule, and transitions to democracy.He is the author of two books, Watching the Watchers: Communist Elites, the Secret Police and Social Order in Cold War Europe (New York: Cambridge University Press, 2024) and Food and Power: Regime Type, Agricultural Policy and Political Stability (New York: Cambridge University Press, 2019).Before joining ASU, Thomson was a Postdoctoral Prize Research Fellow at Nuffield College, Oxford. He completed his PhD in Political Science at the University of Minnesota. His doctoral dissertation won the 2015 Juan Linz Prize for the Best Dissertation in the Comparative Study of Democratization from the American Political Science Association. He has been a visiting scholar at the Mercatus Center at George Mason University, at Australian National University, and at the German Institute for Global and Area Studies in Berlin.Professor Thomson teaches classes on Democratization, Political Economy, International Political Economy, and social science research design.

Melvyn Bragg and guests discuss the Hindu goddess Kali, often depicted as dark blue, fierce, defiant, revelling in her power, and holding in her four or more arms a curved sword and a severed head with a cup underneath to catch the blood. She may have her tongue out, to catch more blood spurting from her enemies, be wearing a garland of more severed heads and a skirt of severed hands and yet she is also a nurturing mother figure, known in West Bengal as ‘Maa Kali' and she can be fiercely protective. Sometimes she is shown as young and conventionally beautiful and at other times as old, emaciated and hungry, so defying any narrow definition.WithBihani Sarkar Senior Lecturer in Comparative Non-Western Thought at Lancaster UniversityJulius Lipner Professor Emeritus of Hinduism and the Comparative Study of Religion at the University of CambridgeAnd Jessica Frazier Lecturer in the Study of Religion at the University of Oxford and fellow at the Oxford Centre for Hindu StudiesDuring this discussion, Julius Lipner reads a translation of a poem by Kamalakanta (c.1769–1821) "Is my black Mother Syama really black?" This translation is by Rachel Fell McDermott and can be found in her book Singing to the Goddess, Poems to Kali and Uma from Bengal (Oxford University Press, 2001)Producer: Simon TillotsonReading list:Mandakranta Bose (ed.), The Goddess (Oxford University Press, 2018) John S. Hawley and Donna M. Wulff (eds.), Devi: Goddesses of India (University of California Press, 1996)Knut A. Jacobsen (ed.), Brill's Encyclopedia of Hinduism, vol 1 (Brill, 2025)David Kinsley, Hindu Goddesses: Visions of the Divine Feminine in the Hindu Religious Tradition (University of California Press, 1986), especially chapter 8Rachel Fell McDermott and Jeffrey J. Kripal (eds.), Encountering Kālī in the margins, at the center, in the west (University of California Press, 2003)In Our Time is a BBC Studios Audio Production

Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper on Placental Vascular Malperfusion in Pregnancies With Congenital Heart Disease: A Prospective Comparative Study.

Biographical Bytes from Bala #042, section 4 Anna Robeson Burr Brown was an American writer of novels, poetry, stories, essays, and biographies. Her The Autobiography: A Critical and Comparative Study (1909), was the first book on the subject.

In this episode of the Project Narrative Podcast, Jim Phelan and Robert Caserio discuss Elizabeth Bowen's 1945 short story, “I Hear You Say So.” Robert Caserio is Professor Emeritus of English, Comparative Studies, and Women's Gender and Sexuality Studies at Penn State University. Caserio has multiple areas of expertise, but perhaps most relevant for this… Continue reading Episode 40: Jim Phelan & Robert Caserio — Elizabeth Bowen's “I Hear You Say So”

Introduction: The Problem We Can't Ignore We live in a world where the food we eat is supposed to nourish us, but what if it's actually making us sick? Pesticides, soil degradation, and nutrient-depleted crops are all part of our modern food system, contributing to rising cases of neurological disorders, metabolic diseases, and immune dysfunction. The research is clear: exposure to certain pesticides has been linked to cognitive decline, Parkinson's disease, and an increased cancer risk. At the same time, the way we farm today is stripping our food of the vital nutrients our ancestors took for granted. So, the question isn't just about avoiding chemicals—it's about finding food that truly fuels life. The solution? Organic, regenerative, and locally grown produce. Let's break down the science and give you real reasons why it's never been more important to care about where your food comes from.     The Science Behind Pesticides and Health Risks  The Hidden Dangers of Conventional Farming Pesticide residues in conventional food contribute to long-term health risks, including cognitive decline and neurodevelopmental disorders in children. According to Holzman (2012) in Organic Food Conclusions Don't Tell the Whole Story, "Pesticide dietary risk is a function of many factors, including the number of residues, their levels, and pesticide toxicity." (Holzman, 2012).  Organophosphate pesticides, commonly used in industrial agriculture, have been directly linked to Parkinson's disease. As Mie et al. (2017) state in Human Health Implications of Organic Food and Organic Agriculture, "Epidemiological studies have reported adverse effects of certain pesticides on children's cognitive development at current levels of exposure." (Mie et al., 2017).  Pregnant women consuming conventional produce showed higher levels of pyrethroid insecticides in their bodies compared to those eating organic. Curl et al. (2019) in Effect of a 24-week Randomized Trial of an Organic Produce Intervention found that "3-Phenoxybenzoic acid (3-PBA, a biomarker for pyrethroids) concentrations were significantly higher in conventional produce consumers compared to organic consumers." (Curl et al., 2019).      The Cancer Connection The International Agency for Research on Cancer has classified several pesticides used in conventional farming—such as glyphosate and malathion—as likely carcinogens. Hemler et al. (2018) in Organic Foods for Cancer Prevention—Worth the Investment? found that "Participants with the highest frequency of organic food consumption had a 25% lower risk of being diagnosed with cancer during follow-up compared with those with the lowest frequency." (Hemler et al., 2018).     The Nutrient Density Solution: More Than Just Pesticide-Free  Higher Nutrients in Organic & Regenerative Foods  Organic fruits and vegetables contain higher levels of vitamin C, essential minerals like magnesium and iron, and more powerful antioxidants. Maloney (2014) in Comparative Study on Nutritional Quality and Detection of Pesticide Residues states, "Organic foods are better in taste, appearance, firmness, and nutrient content when compared to conventional foods." (Maloney, 2014). Organically grown produce has 20-40% higher levels of antioxidants than conventionally grown produce, which help protect against inflammation and chronic diseases. According to Mie et al. (2017), "Differences in the composition between organic and conventional crops include a modestly higher content of phenolic compounds in organic fruit and vegetables." (Mie et al., 2017).     The Simple Steps to Better Food Go Organic Whenever Possible – Reduce your pesticide exposure and increase the nutrient density of your food.  Support Local & Regenerative Farms – Look for farmers using soil-restoring practices that make food healthier.  Grow Your Own – Even a small backyard garden or balcony pot can produce pesticide-free, nutrient-rich food.  Buy Seasonal Produce – Seasonal food is fresher, richer in nutrients, and often grown closer to home. Prioritize the Dirty Dozen – If you can't go 100% organic, at least choose organic versions of the most pesticide-laden produce, like strawberries, spinach, and apples.     Conclusion: Take Back Control of Your Health  Our food choices today impact our health for decades to come. Science shows that organic, regenerative, and locally grown food isn't just a trendy choice—it's a necessity. From reducing pesticides to boosting essential nutrients, switching to better food sources is one of the most powerful steps you can take to live a longer, healthier life.  So, are you ready to make the change?     Bibliography: Holzman, D. (2012). Organic Food Conclusions Don't Tell the Whole Story. Environmental Health Perspectives.  Curl, C., et al. (2019). Effect of a 24-week Randomized Trial of an Organic Produce Intervention. Environment International.  3. Mie, A., et al. (2017). Human Health Implications of Organic Food and Organic Agriculture. Environmental Health.      What You'll Learn in This Episode: (00:00:00) Introduction – Why this episode could change the way you eat forever. (00:03:07) Does Buying Organic Really Matter? – The truth about pesticides and chemicals in food. (00:05:08) The Rise of Ultra-Processed & Chemical-Laden Foods – What's actually making us sick? (00:07:00) How Conventional Farming Stripped Our Food of Nutrients – The hidden crisis in modern agriculture. (00:09:18) The Pesticide Problem – How chemicals in food are linked to neurological disorders, metabolic disease, and immune dysfunction. (00:12:10) The Research on Pesticides & Disease – Shocking studies on cognitive decline, Parkinson's, and cancer risk. (00:14:30) Why Organic & Regenerative Farming Is the Future – It's about more than just avoiding chemicals. (00:17:50) Nutrient Density vs. Food Volume – Why eating more food doesn't mean you're getting enough nutrition. (00:20:21) Final Thoughts & How to Make the Shift Today – Small changes that make a big difference.     Thank You to Our Sponsors: Therasage: Go to www.therasage.com and use code DARIN at checkout for 15% off Fatal Conveniences Book: Everything you think is safe—your food, home, and daily habits—could be slowly killing you. Fatal Conveniences exposes the hidden dangers in everyday life and shows you how to reclaim your health. Pick up a copy by visiting the link for Fatal Conveniences.     Find More From Darin: Website: darinolien.com Instagram: @darinolien Book: Fatal Conveniences     Key Takeaway: "The food system is broken, but you don't have to be a victim of it. Choosing organic, nutrient-rich, and regenerative food is the best investment in your long-term health."

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Vinay Badhwar, the current vice president of the Society of Thoracic Surgeons (STS), about his groundbreaking achievement in combining robotic aortic valve replacement (AVR) and coronary artery bypass grafting (CABG) through a single small incision. They discuss the background and premise of this technique, the process of taking this technique from an idea to performing it on a patient, differences between this approach and other cardiac approaches, and the future of cardiac surgery. They also explore the first operation performed using this technique in immense detail with visuals of the procedure.   Joel also highlights recent JANS articles on multisociety endorsement of the 2024 European guideline recommendations on coronary revascularization and bioprosthetic vs mechanical aortic valve replacement in patients 40-75 years. He also reviews short- and long-term outcomes of lung transplantation from brain death vs circulatory death donors and intracavitary cisplatin-fibrin followed by irradiation improved tumor control compared to the single treatments in a mesothelioma rat model.  In addition, Joel explores a Dacron graft double inversion for ascending aorta surgery, a redo mitral valve surgery with previous aortic valve replacement, and a right sinus of Valsalva aneurysm causing right ventricular tract obstruction. Before closing, he highlights upcoming events in CT surgery.   JANS Items Mentioned  1.) Multisociety Endorsement of the 2024 European Guideline Recommendations on Coronary Revascularization  2.) Bioprosthetic vs Mechanical Aortic Valve Replacement in Patients 40-75 Years  3.) Short- and Long-Term Outcomes of Lung Transplantation From Brain Death vs. Circulatory Death Donors: A Meta-Analysis of Comparative Studies  4.) Intracavitary Cisplatin-Fibrin Followed by Irradiation Improved Tumor Control Compared to the Single Treatments in a Mesothelioma Rat Model  CTSNET Content Mentioned  1.) Dacron Graft Double Inversion for Ascending Aorta Surgery  2.) Redo Mitral Valve Surgery With Previous Aortic Valve Replacement  3.) Right Sinus of Valsalva Aneurysm Causing Right Ventricular Tract Obstruction  Other Items Mentioned  1.) CTSNet Career Center 2.) CTSNet Events Calendar  Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

Samuel Beckett and Recent Irish Fiction: A Comparative Study (Routledge, 2025) considers Samuel Beckett's fiction and drama as major aesthetic and thematic influences on the work of Irish authors Eimear McBride, Keith Ridgway, Emma Donoghue, and Kevin Barry in the post-crash period of 2009-2015. Through cross-comparisons between the aesthetics and form of Beckett's Trilogy, Mercier and Camier, Footfalls and Not I, and those of a range of post-crash Irish novels including Beatlebone, Hawthorn and Child, Room, and A Girl Is A Half-Formed Thing, this book establishes Beckett's continuing influence on Irish fiction. With particular reference to these newer authors' treatment of scarcity, trauma, indeterminism, gender and sexuality, and confinement in the context of major societal changes and traumas in Irish society since 2009, topics include the imposition of austerity, collapse of faith in institutions, and the increasing recognition of LGBTQIA+ and reproductive rights. 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

Samuel Beckett and Recent Irish Fiction: A Comparative Study (Routledge, 2025) considers Samuel Beckett's fiction and drama as major aesthetic and thematic influences on the work of Irish authors Eimear McBride, Keith Ridgway, Emma Donoghue, and Kevin Barry in the post-crash period of 2009-2015. Through cross-comparisons between the aesthetics and form of Beckett's Trilogy, Mercier and Camier, Footfalls and Not I, and those of a range of post-crash Irish novels including Beatlebone, Hawthorn and Child, Room, and A Girl Is A Half-Formed Thing, this book establishes Beckett's continuing influence on Irish fiction. With particular reference to these newer authors' treatment of scarcity, trauma, indeterminism, gender and sexuality, and confinement in the context of major societal changes and traumas in Irish society since 2009, topics include the imposition of austerity, collapse of faith in institutions, and the increasing recognition of LGBTQIA+ and reproductive rights. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/literary-studies

Samuel Beckett and Recent Irish Fiction: A Comparative Study (Routledge, 2025) considers Samuel Beckett's fiction and drama as major aesthetic and thematic influences on the work of Irish authors Eimear McBride, Keith Ridgway, Emma Donoghue, and Kevin Barry in the post-crash period of 2009-2015. Through cross-comparisons between the aesthetics and form of Beckett's Trilogy, Mercier and Camier, Footfalls and Not I, and those of a range of post-crash Irish novels including Beatlebone, Hawthorn and Child, Room, and A Girl Is A Half-Formed Thing, this book establishes Beckett's continuing influence on Irish fiction. With particular reference to these newer authors' treatment of scarcity, trauma, indeterminism, gender and sexuality, and confinement in the context of major societal changes and traumas in Irish society since 2009, topics include the imposition of austerity, collapse of faith in institutions, and the increasing recognition of LGBTQIA+ and reproductive rights. Learn more about your ad choices. Visit megaphone.fm/adchoices

Samuel Beckett and Recent Irish Fiction: A Comparative Study (Routledge, 2025) considers Samuel Beckett's fiction and drama as major aesthetic and thematic influences on the work of Irish authors Eimear McBride, Keith Ridgway, Emma Donoghue, and Kevin Barry in the post-crash period of 2009-2015. Through cross-comparisons between the aesthetics and form of Beckett's Trilogy, Mercier and Camier, Footfalls and Not I, and those of a range of post-crash Irish novels including Beatlebone, Hawthorn and Child, Room, and A Girl Is A Half-Formed Thing, this book establishes Beckett's continuing influence on Irish fiction. With particular reference to these newer authors' treatment of scarcity, trauma, indeterminism, gender and sexuality, and confinement in the context of major societal changes and traumas in Irish society since 2009, topics include the imposition of austerity, collapse of faith in institutions, and the increasing recognition of LGBTQIA+ and reproductive rights. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/european-studies

Michele Elam, the William Robertson Coe Professor of Humanities in the English Department at Stanford University and a Race and Technology Affiliate at the Center for Comparative Studies in Race and Ethnicity, joins Behind the Tech to discuss her journey and work. Michele shares her unique path from a humanities background to engaging with technology and AI, influenced by her father's career as an astronautics engineer.  In this episode, Michele and Kevin explore the intersection of humanities and technology, discussing the importance of interdisciplinary collaboration and the ethical considerations of AI. They delve into Michele's work at the Institute for Human-Centered Artificial Intelligence at Stanford, where she represents arts and diversity perspectives. The conversation also touches on the cultural status of arts versus technology, the impact of storytelling in shaping cultural imagination, and the evolving education of engineering students to include social and ethical questions.   Kevin and Michele reflect on the balance between deep expertise and broad curiosity, the role of arts in technology, and the importance of integrating different perspectives to address complex societal issues. They also discuss the significance of tradition and innovation, drawing insights from Kevin's recent trip to Japan where he observed the coexistence of advanced technology and centuries-old crafts.  Michele Elam  Kevin Scott    Behind the Tech with Kevin Scott    Discover and listen to other Microsoft podcasts.    

Today on Speaking Out of Place we talk with Professor Persis Karim, co-producer and co-director of a new documentary film, The Dawn is Too Far: Stories of Iranian-American Life. She is joined by Roya Ahmadi, a student at Stanford who interned at the Center for Iranian Diaspora Studies at San Francisco State University and was part of the production team for the film. The film captures the lives of young Iranian-Americans who come to the San Francisco Bay Area around the time of the Iranian Revolution, and find themselves involved with, and helping to shape, a vibrant, international culture of politics and art. We talk about both the similarities and differences between those days and today—especially with regard to diasporic identity formation in different historical times, and the persistent need to resist racism and bigotry and act in solidarity with others. Persis Karim is the director of the Center for Iranian Diaspora Studies at San Francisco State University, where she also teaches in the Department of Humanities and Comparative and World Literature. Since 1999, she has been actively working to expand the field of Iranian Diaspora Studies, beginning with the first anthology of Iranian writing she co-edited, A World Between: Poems, Short Stories and Essays by Iranian-Americans. She is the editor of two other anthologies of Iranian diaspora literature: Let Me Tell You Where I've Been: New Writing by Women of the Iranian Diaspora, and Tremors: New Fiction by Iranian-American Writers. Before coming to San Francisco State, she was a professor of English & Comparative Literature at San Jose State where she was the founder and director of the Persian Studies program, and coordinator of the Middle East Studies Minor. She has published numerous articles about Iranian diaspora literature and culture for academic publications including Iranian Studies, Comparative Studies of South Asian, African and Middle East Studies (CSSAMES), and MELUS: Multi-Ethnic Literatures of the United States. “The Dawn is Too Far: Stories of Iranian-American Life,” is her first film project (co-directed and co-produced with Soumyaa Behrens). She received her Master's in Middle East Studies and her Ph.D. in Comparative Literature from UT Austin. She is also a poet.Roya Ahmadi is a senior at Stanford University studying Human Biology with a self-designed concentration in Southwest Asian and North African (SWANA) Women's Health and a minor in Interdisciplinary Arts. She is interested in Muslim and SWANA women's sexual and reproductive health and culturally/religiously sensitive pregnancy care. Roya is a co-chair for the Stanford Institute for Diversity in the Arts Undergraduate Fellowship and a video and sound installation artist who has presented work in group shows across the US. Roya interned for the Center for Iranian Diaspora Studies at SFSU for two summers when she was in high school; the Center has had a deep impact on her artwork and her identity as an Iranian-American.Trailer:https://vimeo.com/1002914645

In this episode on Speaking Out of Place podcast Professor David Palumbo-Liu talks with Professor Persis Karim, co-producer and co-director of a new documentary film, The Dawn is Too Far: Stories of Iranian-American Life. She is joined by Roya Ahmadi, a student at Stanford who interned at the Center for Iranian Diaspora Studies at San Francisco State University and was part of the production team for the film. The film captures the lives of young Iranian-Americans who come to the San Francisco Bay Area around the time of the Iranian Revolution, and find themselves involved with, and helping to shape, a vibrant, international culture of politics and art. We talk about both the similarities and differences between those days and today—especially with regard to diasporic identity formation in different historical times, and the persistent need to resist racism and bigotry and act in solidarity with others.Persis Karim is the director of the Center for Iranian Diaspora Studies at San Francisco State University, where she also teaches in the Department of Humanities and Comparative and World Literature. Since 1999, she has been actively working to expand the field of Iranian Diaspora Studies, beginning with the first anthology of Iranian writing she co-edited, A World Between: Poems, Short Stories and Essays by Iranian-Americans. She is the editor of two other anthologies of Iranian diaspora literature: Let Me Tell You Where I've Been: New Writing by Women of the Iranian Diaspora, and Tremors: New Fiction by Iranian-American Writers. Before coming to San Francisco State, she was a professor of English & Comparative Literature at San Jose State where she was the founder and director of the Persian Studies program, and coordinator of the Middle East Studies Minor. She has published numerous articles about Iranian diaspora literature and culture for academic publications including Iranian Studies, Comparative Studies of South Asian, African and Middle East Studies (CSSAMES), and MELUS: Multi-Ethnic Literatures of the United States. “The Dawn is Too Far: Stories of Iranian-American Life,” is her first film project (co-directed and co-produced with Soumyaa Behrens). She received her Master's in Middle East Studies and her Ph.D. in Comparative Literature from UT Austin. She is also a poet.www.palumbo-liu.comhttps://speakingoutofplace.comBluesky @palumboliu.bsky.socialInstagram @speaking_out_of_place

In this episode on Speaking Out of Place podcast Professor David Palumbo-Liu talks with Professor Persis Karim, co-producer and co-director of a new documentary film, The Dawn is Too Far: Stories of Iranian-American Life. She is joined by Roya Ahmadi, a student at Stanford who interned at the Center for Iranian Diaspora Studies at San Francisco State University and was part of the production team for the film. The film captures the lives of young Iranian-Americans who come to the San Francisco Bay Area around the time of the Iranian Revolution, and find themselves involved with, and helping to shape, a vibrant, international culture of politics and art. We talk about both the similarities and differences between those days and today—especially with regard to diasporic identity formation in different historical times, and the persistent need to resist racism and bigotry and act in solidarity with others.Persis Karim is the director of the Center for Iranian Diaspora Studies at San Francisco State University, where she also teaches in the Department of Humanities and Comparative and World Literature. Since 1999, she has been actively working to expand the field of Iranian Diaspora Studies, beginning with the first anthology of Iranian writing she co-edited, A World Between: Poems, Short Stories and Essays by Iranian-Americans. She is the editor of two other anthologies of Iranian diaspora literature: Let Me Tell You Where I've Been: New Writing by Women of the Iranian Diaspora, and Tremors: New Fiction by Iranian-American Writers. Before coming to San Francisco State, she was a professor of English & Comparative Literature at San Jose State where she was the founder and director of the Persian Studies program, and coordinator of the Middle East Studies Minor. She has published numerous articles about Iranian diaspora literature and culture for academic publications including Iranian Studies, Comparative Studies of South Asian, African and Middle East Studies (CSSAMES), and MELUS: Multi-Ethnic Literatures of the United States. “The Dawn is Too Far: Stories of Iranian-American Life,” is her first film project (co-directed and co-produced with Soumyaa Behrens). She received her Master's in Middle East Studies and her Ph.D. in Comparative Literature from UT Austin. She is also a poet.www.palumbo-liu.comhttps://speakingoutofplace.comBluesky @palumboliu.bsky.socialInstagram @speaking_out_of_place

In this episode on Speaking Out of Place podcast Professor David Palumbo-Liu talks with Professor Persis Karim, co-producer and co-director of a new documentary film, The Dawn is Too Far: Stories of Iranian-American Life. She is joined by Roya Ahmadi, a student at Stanford who interned at the Center for Iranian Diaspora Studies at San Francisco State University and was part of the production team for the film. The film captures the lives of young Iranian-Americans who come to the San Francisco Bay Area around the time of the Iranian Revolution, and find themselves involved with, and helping to shape, a vibrant, international culture of politics and art. We talk about both the similarities and differences between those days and today—especially with regard to diasporic identity formation in different historical times, and the persistent need to resist racism and bigotry and act in solidarity with others.Persis Karim is the director of the Center for Iranian Diaspora Studies at San Francisco State University, where she also teaches in the Department of Humanities and Comparative and World Literature. Since 1999, she has been actively working to expand the field of Iranian Diaspora Studies, beginning with the first anthology of Iranian writing she co-edited, A World Between: Poems, Short Stories and Essays by Iranian-Americans. She is the editor of two other anthologies of Iranian diaspora literature: Let Me Tell You Where I've Been: New Writing by Women of the Iranian Diaspora, and Tremors: New Fiction by Iranian-American Writers. Before coming to San Francisco State, she was a professor of English & Comparative Literature at San Jose State where she was the founder and director of the Persian Studies program, and coordinator of the Middle East Studies Minor. She has published numerous articles about Iranian diaspora literature and culture for academic publications including Iranian Studies, Comparative Studies of South Asian, African and Middle East Studies (CSSAMES), and MELUS: Multi-Ethnic Literatures of the United States. “The Dawn is Too Far: Stories of Iranian-American Life,” is her first film project (co-directed and co-produced with Soumyaa Behrens). She received her Master's in Middle East Studies and her Ph.D. in Comparative Literature from UT Austin. She is also a poet.www.palumbo-liu.comhttps://speakingoutofplace.comBluesky @palumboliu.bsky.socialInstagram @speaking_out_of_place

In this podcast we meet CIIS faculty member Sundari Johansen and speak about how her academic background in religious studies informs the critical perspective and frameworks she brings into her course on Hindu Tantra. We discuss research as deep listening and self-transformation, and get into the problems of traditional western ethnographic methodologies based upon the distinction between the insider and outsider. Sundari also shares why she was lead to invert the scholar-practitioner model into the practitioner-scholar model as a way of problematizing and making productive the entangledness of subjective engagement in the subject of one's study. We end by taking a deep dive into her paper titled, (In)conspicuous Consumption: Food, the Child Body, and Inversion of Hard-Core Rituals in Hindu Tantras. Sundari Johansen Hurwitt, PhD, specializes in gender, the body, ritual, power, and secrecy in religion. While her interest in these themes encompasses a variety of religious traditions, her research work currently focuses on ritual studies in South Asia, especially Hinduism, Śāktism (goddess-focused Hindu traditions) and Tantra in India. A practitioner and scholar, Dr. Johansen comparatively explores representations of the young female in the Tantric literature of Bengal and the Northeast as well as in the living Tantric traditions of Northeast India, using extensive textual research and in-depth ethnographic fieldwork.  Her dissertation, “The Voracious Virgin: The Concept and Worship of the Kumārī in Kaula Tantrism” (CIIS, 2019) is the first comprehensive study of the kumārī (pre-menarche virgin girls worshipped as goddesses) in India. She is particularly interested in representations of gender and the body in late medieval and early modern Tantric texts, the development of Tantrism in Bengal and the northeast, and in continuities and differences between textual and modern living traditions. Her work is deeply rooted in post-colonial and decolonial, transnational, feminist, and integrative philosophies, as well as exploration of non-Western philosophical and theoretical traditions. Dr. Johansen is a strong proponent of integral feminist pedagogies and research methods and interested in furthering the development of immersive, cooperative, and collaborative educational models in online education. During her dissertation fieldwork in Assam, Dr. Johansen assisted in the development of a library and digital archive with the Foundation for History and Heritage Studies at Kāmākhyā Dhām in Guwahati, which was established to preserve endangered manuscripts and other documentation from the local community at the Kāmākhyā temple complex. Part of this work included video and audio documentation of local women's devotional music, as well as assistance with digital restoration of archival materials. Dr. Johansen received an MA and PhD in Philosophy and Religion with a concentration in Asian and Comparative Studies at the California Institute of Integral Studies. Her research has received support from the American Institute of Indian Studies. The EWP Podcast credits Connect with EWP: Website • Youtube • Facebook Hosted by Stephen Julich (EWP Core Faculty) and Jonathan Kay (PhD candidate) Produced by: Stephen Julich and Jonathan Kay Edited and Mixed by: Jonathan Kay Introduction music: Mosaic, by Monsoon on the album Mandala Music at the end of the episode: Rise from Justin Gray's Synthesis Introduction Voiceover: Roche Wadehra 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

In this podcast we meet CIIS faculty member Sundari Johansen and speak about how her academic background in religious studies informs the critical perspective and frameworks she brings into her course on Hindu Tantra. We discuss research as deep listening and self-transformation, and get into the problems of traditional western ethnographic methodologies based upon the distinction between the insider and outsider. Sundari also shares why she was lead to invert the scholar-practitioner model into the practitioner-scholar model as a way of problematizing and making productive the entangledness of subjective engagement in the subject of one's study. We end by taking a deep dive into her paper titled, (In)conspicuous Consumption: Food, the Child Body, and Inversion of Hard-Core Rituals in Hindu Tantras. Sundari Johansen Hurwitt, PhD, specializes in gender, the body, ritual, power, and secrecy in religion. While her interest in these themes encompasses a variety of religious traditions, her research work currently focuses on ritual studies in South Asia, especially Hinduism, Śāktism (goddess-focused Hindu traditions) and Tantra in India. A practitioner and scholar, Dr. Johansen comparatively explores representations of the young female in the Tantric literature of Bengal and the Northeast as well as in the living Tantric traditions of Northeast India, using extensive textual research and in-depth ethnographic fieldwork.  Her dissertation, “The Voracious Virgin: The Concept and Worship of the Kumārī in Kaula Tantrism” (CIIS, 2019) is the first comprehensive study of the kumārī (pre-menarche virgin girls worshipped as goddesses) in India. She is particularly interested in representations of gender and the body in late medieval and early modern Tantric texts, the development of Tantrism in Bengal and the northeast, and in continuities and differences between textual and modern living traditions. Her work is deeply rooted in post-colonial and decolonial, transnational, feminist, and integrative philosophies, as well as exploration of non-Western philosophical and theoretical traditions. Dr. Johansen is a strong proponent of integral feminist pedagogies and research methods and interested in furthering the development of immersive, cooperative, and collaborative educational models in online education. During her dissertation fieldwork in Assam, Dr. Johansen assisted in the development of a library and digital archive with the Foundation for History and Heritage Studies at Kāmākhyā Dhām in Guwahati, which was established to preserve endangered manuscripts and other documentation from the local community at the Kāmākhyā temple complex. Part of this work included video and audio documentation of local women's devotional music, as well as assistance with digital restoration of archival materials. Dr. Johansen received an MA and PhD in Philosophy and Religion with a concentration in Asian and Comparative Studies at the California Institute of Integral Studies. Her research has received support from the American Institute of Indian Studies. The EWP Podcast credits Connect with EWP: Website • Youtube • Facebook Hosted by Stephen Julich (EWP Core Faculty) and Jonathan Kay (PhD candidate) Produced by: Stephen Julich and Jonathan Kay Edited and Mixed by: Jonathan Kay Introduction music: Mosaic, by Monsoon on the album Mandala Music at the end of the episode: Rise from Justin Gray's Synthesis Introduction Voiceover: Roche Wadehra Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/religion

In this episode on Speaking Out of Place podcast Professor David Palumbo-Liu talks with Professor Persis Karim, co-producer and co-director of a new documentary film, The Dawn is Too Far: Stories of Iranian-American Life. She is joined by Roya Ahmadi, a student at Stanford who interned at the Center for Iranian Diaspora Studies at San Francisco State University and was part of the production team for the film. The film captures the lives of young Iranian-Americans who come to the San Francisco Bay Area around the time of the Iranian Revolution, and find themselves involved with, and helping to shape, a vibrant, international culture of politics and art. We talk about both the similarities and differences between those days and today—especially with regard to diasporic identity formation in different historical times, and the persistent need to resist racism and bigotry and act in solidarity with others.Persis Karim is the director of the Center for Iranian Diaspora Studies at San Francisco State University, where she also teaches in the Department of Humanities and Comparative and World Literature. Since 1999, she has been actively working to expand the field of Iranian Diaspora Studies, beginning with the first anthology of Iranian writing she co-edited, A World Between: Poems, Short Stories and Essays by Iranian-Americans. She is the editor of two other anthologies of Iranian diaspora literature: Let Me Tell You Where I've Been: New Writing by Women of the Iranian Diaspora, and Tremors: New Fiction by Iranian-American Writers. Before coming to San Francisco State, she was a professor of English & Comparative Literature at San Jose State where she was the founder and director of the Persian Studies program, and coordinator of the Middle East Studies Minor. She has published numerous articles about Iranian diaspora literature and culture for academic publications including Iranian Studies, Comparative Studies of South Asian, African and Middle East Studies (CSSAMES), and MELUS: Multi-Ethnic Literatures of the United States. “The Dawn is Too Far: Stories of Iranian-American Life,” is her first film project (co-directed and co-produced with Soumyaa Behrens). She received her Master's in Middle East Studies and her Ph.D. in Comparative Literature from UT Austin. She is also a poet.www.palumbo-liu.comhttps://speakingoutofplace.comBluesky @palumboliu.bsky.socialInstagram @speaking_out_of_place

An interview with Dr. Samuel Zinner Dr. Samuel Zinner describes the ancient Apocryphon (or Secret Book) of James, then, focusing on two common elements in so-called ‘gnosticism'—the meaning of the demiurge and ascending—he shows how this text does not neatly fit any category. It includes no reference to demiurge, but it does involve a lengthy and unusual description of Jesus, Peter, and James all ascending.  Inclusion in the Nag Hammadi collection does not necessarily define something as ‘gnostic,' as this text illustrates.  Zinner is an award-winning author and scholar of Holocaust studies, ecumenism, modern and ancient languages, literature and history, and has been published internationally in a variety of languages by Oxford University Press, de Gruyter, and others. He has contributed articles to Religions Journal and served as peer review referee for several academic journals. He is also a documentary script writer, having worked with Jean-Claude Bragard, the creator of award-winning programs for the BBC. Zinner has collaborated with eminent scholars on the Dead Sea Scrolls and Hebrew scriptures. He's currently an editor for the forthcoming Origins and Applications of Language and Number with contributions from several eminent scholars, and he presents at conferences such as "The Bible and the Qur'an: Comparative Studies” at the Shahid Beshita University in Tehran. His current book that we discuss in this podcast interview is The Apocryphon of James (NHC 1,2), a scholarly work on the text more popularly known as the Secret Book of James.

Researchers from Florida Atlantic University and the University of Puerto Rico join Dean Howrsell's In Conversation Podcast to discuss how communities in South Florida and Puerto Rico are adapting to climate instability.  As climate instability has major public health implications, from extreme heat to changing disease patterns, these researchers examine how health systems and communities are adapting to new health challenges.  They also explore how cultural factors shape people's health-seeking behaviors and the resilience of health systems in the face of climate-related threats.We welcome Dr. Adriana M. Garriga-Lopez, Dr. Katherine Rynkiewich, and Dr. Patria C. Lopez to our latest edition of In Conversation with Dean Horswell!Dr. Adriana M. Garriga-Lopez is Associate Professor of Anthropology and Comparative Studies at Florida Atlantic University in Boca Raton, Florida. Prof. Garriga-Lopez holds a Ph.D. in Anthropology (2010) from Columbia University in New York. Dr. Garriga-Lopez is the lead Principal Investigator on this project. Garriga-Lopez previously received an NSF (2021-2024), Award #2049565 on “Ethics of Care and Compounded Disaster”. She joined the faculty at the Dorothy F. Schmidt College of Arts and Letters in 2022. Garriga-Lopez is originally from San Juan, Puerto Rico.Dr. Katharina Rynkiewich is Assistant Professor of Anthropology at Florida Atlantic University in Boca Raton, Florida. Prof. Rynkiewich holds a Ph.D. in Anthropology (2020) from Washington University in St. Louis and an M.A. in Social Sciences (2013) from The University of Chicago. Dr. Rynkiewich is the Co-Principal Investigator and has worked with Dr. Garriga-Lopez on establishing The Ethnographic Lab at Florida Atlantic since her arrival in 2022. Dr. Rynkiewich is originally from Mt. Vernon, Indiana.Dr. Patria C. Lopez de Victoria Rodriguez is Associate Professor of English at the University of Puerto Rico, Cayey campus. She holds a Ph.D. in Applied Linguistics in health from The Pennsylvania State University (2016) and is the PI of this project's collaborative nexus. Lopez de Victoria has received funding from NIH (Award #R21MD013701; 2018-2020) and the Alzheimer's Association (Award #AARG 20-685407; 2021-2024). She also leads a team of undergraduate students from diverse disciplines carrying out research with older adults in Puerto Rico.Dr. Patricia Noboa Ortega is Professor of Social Science at the University of Puerto Rico, Cayey campus. Dr. Noboa Ortega holds a PhD in Psychology (2005) from the University of Puerto Rico. In 2017, Prof. Noboa Ortega co-founded the Legal and Psychological Clinic resulting from ethnographic research carried out in Puerto Rico on the psychosocial effects of Hurricane Maria. Her work has been published in the anthology, “Aftershocks of Disaster” (Haymarket Books). Dr. Noboa Ortega is Executive Director of PICSI: Proyecto de Integración Comunitaria San Isidro (San Isidro Community Integration Project). 

Researchers from Florida Atlantic University and the University of Puerto Rico join Dean Howrsell's In Conversation Podcast to discuss how communities in South Florida and Puerto Rico are adapting to climate instability.  As climate instability has major public health implications, from extreme heat to changing disease patterns, these researchers examine how health systems and communities are adapting to new health challenges.  They also explore how cultural factors shape people's health-seeking behaviors and the resilience of health systems in the face of climate-related threats.We welcome Dr. Adriana M. Garriga-Lopez, Dr. Katherine Rynkiewich, and Dr. Patria C. Lopez to our latest edition of In Conversation with Dean Horswell!Dr. Adriana M. Garriga-Lopez is Associate Professor of Anthropology and Comparative Studies at Florida Atlantic University in Boca Raton, Florida. Prof. Garriga-Lopez holds a Ph.D. in Anthropology (2010) from Columbia University in New York. Dr. Garriga-Lopez is the lead Principal Investigator on this project. Garriga-Lopez previously received an NSF (2021-2024), Award #2049565 on “Ethics of Care and Compounded Disaster”. She joined the faculty at the Dorothy F. Schmidt College of Arts and Letters in 2022. Garriga-Lopez is originally from San Juan, Puerto Rico. Dr. Katharina Rynkiewich is Assistant Professor of Anthropology at Florida Atlantic University in Boca Raton, Florida. Prof. Rynkiewich holds a Ph.D. in Anthropology (2020) from Washington University in St. Louis and an M.A. in Social Sciences (2013) from The University of Chicago. Dr. Rynkiewich is the Co-Principal Investigator and has worked with Dr. Garriga-Lopez on establishing The Ethnographic Lab at Florida Atlantic since her arrival in 2022. Dr. Rynkiewich is originally from Mt. Vernon, Indiana. Dr. Patria C. Lopez de Victoria Rodriguez is Associate Professor of English at the University of Puerto Rico, Cayey campus. She holds a Ph.D. in Applied Linguistics in health from The Pennsylvania State University (2016) and is the PI of this project's collaborative nexus. Lopez de Victoria has received funding from NIH (Award #R21MD013701; 2018-2020) and the Alzheimer's Association (Award #AARG 20-685407; 2021-2024). She also leads a team of undergraduate students from diverse disciplines carrying out research with older adults in Puerto Rico. Dr. Patricia Noboa Ortega is Professor of Social Science at the University of Puerto Rico, Cayey campus. Dr. Noboa Ortega holds a PhD in Psychology (2005) from the University of Puerto Rico. In 2017, Prof. Noboa Ortega co-founded the Legal and Psychological Clinic resulting from ethnographic research carried out in Puerto Rico on the psychosocial effects of Hurricane Maria. Her work has been published in the anthology, “Aftershocks of Disaster” (Haymarket Books). Dr. Noboa Ortega is Executive Director of PICSI: Proyecto de Integración Comunitaria San Isidro (San Isidro Community Integration Project). 

Click here to send me a text message ...The Indigenous culture that European colonizers encountered here in the New World, and then so brutally suppressed, is the very repository of wisdom we now need. Elizabeth Buller Page knows this personally. Deep into a midlife descent, Liz turned to her family's Indigenous roots to discover not only the healing she sought but the path she'd lost. ResourcesThe book on Cree history and culture that Liz can't be without: The Plains Cree: An Ethnographic, Historical, and Comparative Study by David Mandelbaum; University of Regina Press, 1940 & 1978 (revised)The Calgary Gallery that features Liz's art: https://moonstonecreation.ca/elizabeth-buller-page-1/Personal LinksMy web site (where you can sign up for my blog): https://www.brianepearson.caMy email address: mysticcaveman53@gmail.comSeries Music Credit"Into the Mystic" by Van Morrison, performed by Colin James, from the album, Limelight, 2005; licensed under SOCAN 2022

It's Rosh Hashanah, the Jewish holiday marking the New Year. And this year, it falls at a time when Israel has just invaded Lebanon, and is approaching the one-year mark of Hamas' attack on Israel. Events of the past year have left many Jews, here in Michigan, in the US – and certainly in Israel - as uncertain of the future as they've been in this young century.  GUEST: Shimri Zameret is an Israeli citizen, and a Lecturer and Researcher at the UM in the Program of International & Comparative Studies.  See omnystudio.com/listener for privacy information.

Evacuee Cinema: Bombay and Lahore in Partition Transit, 1940–1960 (Cambridge UP, 2022) offers a new history of the partition. Based on previously unexamined archives and rare films, it investigates key questions around film production, partition and the provenance of the nation in South Asia: How did partition transform the dynamic and transcultural film industry of undivided India? What has been the relationship between Pakistani and Indian Cinema? Could the cinematic rendition of Pakistan have preceded its territorial realisation? Focussing on the unravelling of artistic and economic ties between two formerly intimate film cities of colonial India, Bombay and Lahore, this book follows their transition into the nationally discrete production centres of independent India and Pakistan. Pursuing inflections, migrations and shifts across national lines, Evacuee Cinema explains how filmmaking interpreted national danger and examines the expulsion and rehabilitation that went into the making of ‘Indian' and ‘Pakistani' cinema. Dr Salma Siddique is research faculty at Humboldt Universität zu Berlin, specializing in South Asian popular cinema, Islamicate screen cultures and immigrant media. Her research has been published in Feminist Media Histories, Third Text, and Comparative Studies of South Asia, Africa and the Middle East. She is a core editor at BioScope: South Asian Screen Studies, published by Sage. Priyam Sinha recently graduated with a PhD from the South Asian Studies Programme at the National University of Singapore. Her interdisciplinary academic interests lie at the intersection of social media and internet studies, platforms and film studies, disability studies, production cultures, affect studies, creative media industries and cultural studies. She can be reached at here. 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

Evacuee Cinema: Bombay and Lahore in Partition Transit, 1940–1960 (Cambridge UP, 2022) offers a new history of the partition. Based on previously unexamined archives and rare films, it investigates key questions around film production, partition and the provenance of the nation in South Asia: How did partition transform the dynamic and transcultural film industry of undivided India? What has been the relationship between Pakistani and Indian Cinema? Could the cinematic rendition of Pakistan have preceded its territorial realisation? Focussing on the unravelling of artistic and economic ties between two formerly intimate film cities of colonial India, Bombay and Lahore, this book follows their transition into the nationally discrete production centres of independent India and Pakistan. Pursuing inflections, migrations and shifts across national lines, Evacuee Cinema explains how filmmaking interpreted national danger and examines the expulsion and rehabilitation that went into the making of ‘Indian' and ‘Pakistani' cinema. Dr Salma Siddique is research faculty at Humboldt Universität zu Berlin, specializing in South Asian popular cinema, Islamicate screen cultures and immigrant media. Her research has been published in Feminist Media Histories, Third Text, and Comparative Studies of South Asia, Africa and the Middle East. She is a core editor at BioScope: South Asian Screen Studies, published by Sage. Priyam Sinha recently graduated with a PhD from the South Asian Studies Programme at the National University of Singapore. Her interdisciplinary academic interests lie at the intersection of social media and internet studies, platforms and film studies, disability studies, production cultures, affect studies, creative media industries and cultural studies. She can be reached at here. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/history

Evacuee Cinema: Bombay and Lahore in Partition Transit, 1940–1960 (Cambridge UP, 2022) offers a new history of the partition. Based on previously unexamined archives and rare films, it investigates key questions around film production, partition and the provenance of the nation in South Asia: How did partition transform the dynamic and transcultural film industry of undivided India? What has been the relationship between Pakistani and Indian Cinema? Could the cinematic rendition of Pakistan have preceded its territorial realisation? Focussing on the unravelling of artistic and economic ties between two formerly intimate film cities of colonial India, Bombay and Lahore, this book follows their transition into the nationally discrete production centres of independent India and Pakistan. Pursuing inflections, migrations and shifts across national lines, Evacuee Cinema explains how filmmaking interpreted national danger and examines the expulsion and rehabilitation that went into the making of ‘Indian' and ‘Pakistani' cinema. Dr Salma Siddique is research faculty at Humboldt Universität zu Berlin, specializing in South Asian popular cinema, Islamicate screen cultures and immigrant media. Her research has been published in Feminist Media Histories, Third Text, and Comparative Studies of South Asia, Africa and the Middle East. She is a core editor at BioScope: South Asian Screen Studies, published by Sage. Priyam Sinha recently graduated with a PhD from the South Asian Studies Programme at the National University of Singapore. Her interdisciplinary academic interests lie at the intersection of social media and internet studies, platforms and film studies, disability studies, production cultures, affect studies, creative media industries and cultural studies. She can be reached at here. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/film

Evacuee Cinema: Bombay and Lahore in Partition Transit, 1940–1960 (Cambridge UP, 2022) offers a new history of the partition. Based on previously unexamined archives and rare films, it investigates key questions around film production, partition and the provenance of the nation in South Asia: How did partition transform the dynamic and transcultural film industry of undivided India? What has been the relationship between Pakistani and Indian Cinema? Could the cinematic rendition of Pakistan have preceded its territorial realisation? Focussing on the unravelling of artistic and economic ties between two formerly intimate film cities of colonial India, Bombay and Lahore, this book follows their transition into the nationally discrete production centres of independent India and Pakistan. Pursuing inflections, migrations and shifts across national lines, Evacuee Cinema explains how filmmaking interpreted national danger and examines the expulsion and rehabilitation that went into the making of ‘Indian' and ‘Pakistani' cinema. Dr Salma Siddique is research faculty at Humboldt Universität zu Berlin, specializing in South Asian popular cinema, Islamicate screen cultures and immigrant media. Her research has been published in Feminist Media Histories, Third Text, and Comparative Studies of South Asia, Africa and the Middle East. She is a core editor at BioScope: South Asian Screen Studies, published by Sage. Priyam Sinha recently graduated with a PhD from the South Asian Studies Programme at the National University of Singapore. Her interdisciplinary academic interests lie at the intersection of social media and internet studies, platforms and film studies, disability studies, production cultures, affect studies, creative media industries and cultural studies. She can be reached at here. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/performing-arts

Evacuee Cinema: Bombay and Lahore in Partition Transit, 1940–1960 (Cambridge UP, 2022) offers a new history of the partition. Based on previously unexamined archives and rare films, it investigates key questions around film production, partition and the provenance of the nation in South Asia: How did partition transform the dynamic and transcultural film industry of undivided India? What has been the relationship between Pakistani and Indian Cinema? Could the cinematic rendition of Pakistan have preceded its territorial realisation? Focussing on the unravelling of artistic and economic ties between two formerly intimate film cities of colonial India, Bombay and Lahore, this book follows their transition into the nationally discrete production centres of independent India and Pakistan. Pursuing inflections, migrations and shifts across national lines, Evacuee Cinema explains how filmmaking interpreted national danger and examines the expulsion and rehabilitation that went into the making of ‘Indian' and ‘Pakistani' cinema. Dr Salma Siddique is research faculty at Humboldt Universität zu Berlin, specializing in South Asian popular cinema, Islamicate screen cultures and immigrant media. Her research has been published in Feminist Media Histories, Third Text, and Comparative Studies of South Asia, Africa and the Middle East. She is a core editor at BioScope: South Asian Screen Studies, published by Sage. Priyam Sinha recently graduated with a PhD from the South Asian Studies Programme at the National University of Singapore. Her interdisciplinary academic interests lie at the intersection of social media and internet studies, platforms and film studies, disability studies, production cultures, affect studies, creative media industries and cultural studies. She can be reached at here. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/south-asian-studies

The bedrock of the legal profession is a commitment to upholding the rule of law. Unfortunately, as Stanford Law researchers discover in the complex world of international sanctions, lawyers can often facilitate non-compliance and evasion.It's been two years since Russia's illegal invasion of Ukraine. And yet, businesses are still skirting sanctions imposed on Russia. As Erik Jensen, director of the Rule of Law Program at Stanford Law School, and law students Sarah Manney and Kyrylo Korol explore in this episode of Stanford Legal, lawyers could be playing a critical role in enabling Russian Oligarchs' evasive maneuvers.With hosts Rich Ford and Pam Karlan, the three guests explore the intricate relationship between legal practice and international sanctions, discussing insights from their research, the ethical responsibilities of lawyers, and potential solutions for safeguarding the rule of law.Connect:Episode Transcripts >>> Stanford Legal Podcast WebsiteStanford Legal Podcast >>> LinkedIn PageRich Ford >>>  Twitter/XPam Karlan >>> Stanford Law School PageStanford Law School >>> Twitter/XStanford  Law Magazine >>> Twitter/XLinks:Erik Jensen >>> Stanford Law School Page(00:00:00) Chapter 1: Introduction and OverviewKyrylo Korol discusses the responsibility of lawyers to uphold democracy and the impact of their actions on the profession. Hosts Rich Ford and Pam Karlan introduce the topic of Russia's invasion of Ukraine and the international response.(00:01:33) Chapter 2: Genesis of the Policy LabErik Jensen explains the inception of the Policy Lab focusing on sanctions against Russia, including the motivation from an S-Term course and subsequent student enthusiasm.(00:03:16) Chapter 3: Kyrylo Korol's Personal MotivationKyrylo Korol shares his dual perspective as a Ukrainian and American lawyer, emphasizing the need to keep the discussion on Russia's war against Ukraine alive and his personal drive to support Ukraine.(00:05:32) Chapter 4: Focus of the Policy LabThe team discusses the main areas of their research, including the role of Russian oligarchs in the war and the involvement of legal professionals in facilitating sanctions evasion.(00:12:57) Chapter 5: Comparative Analysis and Legal FrameworksThe conversation shifts to the comparative study of how different countries regulate lawyers concerning sanctions and money laundering, and the ethical obligations of U.S. lawyers with Sarah Manney.(00:21:25) Chapter 6: Challenges and Implications for the Legal ProfessionThe team delves into the implications of their findings for the legal profession, discussing the balance between upholding legal privileges and preventing abuse, and addressing systemic risks and de-risking issues.

This week media archaeologist Brian Michael Murphy drops in to talk about the cult classic, Sneakers starring Robert Redford, Sidney Poitier, and roughly every actor in Hollywood. We talk about just how prescient this film was in predicting data mining as well as Brian's own work exploring data storage, record keeping, and the American obsession with preserving information. I hope you dig it.About our guest:Brian Michael Murphy is Associate Professor of American Studies at Williams College and a Faculty Associate at the Berkman Klein Center for Internet & Society at Harvard University. His book We the Dead: Preserving Data at the End of the World (University of North Carolina Press, 2022) received the Lois P. Rudnick Book Prize from the New England American Studies Association, and his writing has appeared in the The Wall Street Journal, The Kenyon Review, Lapham's Quarterly, Narrative, and in Italian translation in Ácoma, among other places. A Fulbright Scholar, his work has also received support from the National Endowment for the Humanities and the Vermont Arts Council. He holds a Ph.D. in Comparative Studies from The Ohio State University, where he was a Presidential Fellow.

This week, Marta is joined by Tina Sula, a Lecturer in the Program in International and Comparative Studies at the University of Michigan. Tina shares her wisdom about discovering your identity, value alignment and purpose, networking, and the role of leadership in all of it.  Life is a relationship business—tune in to find out how to live intentionally and leverage networking to create the roles and the LIFE you want!  We are so glad you're here. Big love. Connect with Tina: LinkedIn Coursera Email: ksula@umich.edu⁠  Connect with Marta: https://martabrummell.com/ Instagram LinkedIn

Join us on Community Possibilities as John Silver, a registered nurse, shares his vision of a future where healthcare operates as a hybrid public utility, emphasizing the need for multidisciplinary approaches and political advocacy to address systemic issues like access and resource distribution. John and his collaborators establised Nurses Transforming Healthcare, an organization  rallying the nursing community to tackle systemic challenges head-on.  The mission of Nurses Transforming Healthcare is "to transform healthcare to a model based on wellness and disease prevention which is affordable and accessible to all." John shares his vision for a future with accessible, well-funded community health centers. Innovative initiatives like the "Flip the Zip" campaign highlight the potential for community engagement to create enduring health improvements. Tune in to learn how individual commitment and community-driven solutions can pave the way for a more equitable and efficient healthcare system.Bio John SilverAfter 24 years in healthcare, including 14 years as a Registered Nurse, Dr. Silver was drawn to the essential problem facing nursing- Why couldn't Nursing ensure safe levels of practice in facilities, and why was the healthcare system we had so dysfunctional in terms of Public Health outcomes and the neglect of so many communities. John soon realized that the problems were linked. If nursing could not ensure safe levels of practice, and were not actively engaged at the decision tables as to where resources were allocated in the systems, how could Nursing ensure the maximum benefit for our patients would be realized?The answer lay in the political relationship of nurses to the facilities, and Nursing to the political process. Embarking on a journey of research and discovery in his Public Intellectual Ph.D in Comparative Studies, John published a book just a union…of nurses (2013) about the history of how the California nurses brought about staffing legislation, which he hoped would provide an example of how nurses could become politically effective in their states. He advised several nursing groups on this, including NP's as they worked towards independent practice and prescriptive authority. He traveled abroad to study other healthcare systems and developed what he thought the goals of a healthcare system must be. From there he began advocating for the only system design that truly met those goals and addressed the needs of providers, patients, and all our communities- an adapted Public Utility model.  Dr. Silver has been working with an innovative interdisciplinary team of people forming Nurses Transforming Healthcare and working to implement the model in the Unites States. Like what you heard? Please like and share wherever you get your podcasts! Connect with Ann: Community Evaluation Solutions How Ann can help: · Support the evaluation capacity of your coalition or community-based organization. · Help you create a strategic plan that doesn't stress you and your group out, doesn't take all year to design, and is actionable. · Engage your group in equitable discussions about difficult conversations. · Facilitate a workshop to plan for action and get your group moving. · Create a workshop that energizes and excites your group for action. · Speak at your conference or event. Have a question or want to know more? Book a call with Ann .Be sure and check out our updated resource page! Let us know what was helpful. Community Possibilities is Produced by Zach Price Music by Zach Price: Zachpricet@gmail.com

Today is Juneteenth, a day that has held significance for the Black community for many years and one that, for the past four, has become a national holiday in the United States. It's a day for education, listening, learning, and increasing awareness of the Black experience. Though we are two white women who are still doing a lot of learning and listening ourselves, we wanted to celebrate Juneteenth by exploring the Beatles' connection to civil rights, especially during their 1964 tour.   1964 was time of continuing segregation and heightened racial tensions in America's southern states. But racial segregation, as it was in America, didn't exist in England. The Beatles were famously appalled at the idea that any of their concerts would take place in front of audiences separated by race, and they refused to play to segregated crowds. John Lennon famously remarked, “We never play to segregated audiences and we aren't going to start now. I'd sooner lose our appearance money.” The city was resistant but eventually relented, resulting in Jacksonville's first integrated concert. Our guest today is Dr. Kitty Oliver, who has firsthand experience of this moment. As a Black Beatles fan growing up in Jacksonville, Florida, Dr. Oliver jumped at the opportunity to attend the integrated concert; she was one of few Black teens in the audience.  Beatles fans will recognize Dr. Oliver from her appearance in the Ron Howard-directed documentary Eight Days A Week: The Touring Years. She joins us today to recount her story of attending the first integrated concert in Jacksonville history, against the backdrop of growing up in a segregated city. Dr. Oliver is a veteran journalist, an academic, an author, an oral historian, producer, and professional singer. She holds a PhD in Comparative Studies focusing on race and ethnic communication. She calls herself “a product of the civil rights era who came of age with integration in the US,” and is the founder of the cross-cultural Race and Change Oral History Archive, which is housed in Special Collections at the African American Research Library and Cultural Center. She has written and/or compiled three books focusing on race, change, and her own memories of growing up Black in the South.  Learn more about Dr. Oliver and follow her on Instagram See her appearance in Ron Howard's Eight Days a Week: The Touring Years --------------------- Follow us on Facebook, Instagram, TikTok, and Twitter/X for photos, videos, and more from this episode & past episodes — we're @bcthebeatles everywhere. Follow BC the Beatles on Apple Podcasts, Spotify, YouTube, or wherever you're listening now. Buy us a coffee! www.ko-fi.com/bcthebeatles Contact us at bcthebeatles@gmail.com

Carmen is maybe the most famous heroine in all of opera. She's a woman of Romani descent living in 19th century Spain, sensual and self-confident, aware of the power she wields over men — and she enjoys it. In her signature aria, popularly known as the “Habanera,” she describes herself as a bird who can't be captured. True to her own word, Carmen — and what she represents — is hard to pin down.  When “Carmen” premiered in Paris in 1875, it was deemed wildly immoral. Carmen becomes intrigued by a soldier, Don José, who initially pays her no attention. She seduces him, Don José abandons his fiancée to run away with her, and one thing leads to another (this is opera, after all) — he winds up murdering Carmen in a fit of jealous rage. One interpretation is that this is the story of a man giving into temptation and meeting his downfall. A more modern view would position Carmen as a proto-feminist. She's a woman who refuses to be controlled, and that puts her life in danger.But perhaps Carmen's greatest irony is that she is both a complex character and a full-blown stereotype of Romani women. In this episode, host Rhiannon Giddens and guests unpack the myth and the magic of Georges Bizet's "Carmen," and Clémentine Margaine brings it home with a performance of “L'amour est un oiseau rebelle” from the Met stage.THE GUESTSFrench mezzo-soprano Clémentine Margaine first performed in “Carmen” as a member of the children's chorus. Shortly after graduating from the Paris Conservatory, she joined the ensemble of the Deutsche Oper Berlin, where she sang her first performances in the title role. Since then, she's performed Carmen at opera houses all over the world. Susan McClary is a pioneer in feminist music criticism. She's a musicologist at Case Western Reserve University whose research focuses on the cultural analysis of music, both the European canon and contemporary popular genres. She's authored 11 books, including "Feminine Endings: Music, Gender, and Sexuality" and the Cambridge Opera Handbook on “Carmen.”Ionida Costache is an assistant professor of ethnomusicology and an affiliate of the Center for Comparative Studies in Race and Ethnicity at Stanford University. She is of Romani-Roma descent, and her work explores the legacies of historical trauma inscribed in Romani music, sound, and art. Her family likes to pass on the story of the time her great-grandfather performed the cimbalom for Theodore Roosevelt at the 1939 New York World's Fair. Rosamaria Kostic Cisneros wears many hats. She is a professional dancer, dance historian and critic, Romani studies scholar, Flamenco historian, as well as a sociologist, curator and peace activist. A research-artist at Coventry University's Centre for Dance Research, she works to bring arts and culture to vulnerable groups. She was introduced to flamenco by her Spanish-Roma mother during their frequent trips to Seville.

Melvyn Bragg and guests discuss the North African privateers who, until their demise in the nineteenth century, were a source of great pride and wealth in their home ports, where they sold the people and goods they'd seized from Christian European ships and coastal towns. Nominally, these corsairs were from Algiers, Tunis or Tripoli, outreaches of the Ottoman empire, or Salé in neighbouring Morocco, but often their Turkish or Arabic names concealed their European birth. Murad Reis the Younger, for example, who sacked Baltimore in 1631, was the Dutchman Jan Janszoon who also had a base on Lundy in the Bristol Channel. While the European crowns negotiated treaties to try to manage relations with the corsairs, they commonly viewed these sailors as pirates who were barely tolerated and, as soon as France, Britain, Spain and later America developed enough sea power, their ships and bases were destroyed. WithJoanna Nolan Research Associate at SOAS, University of LondonClaire Norton Former Associate Professor of History at St Mary's University, TwickenhamAnd Michael Talbot Associate Professor in the History of the Ottoman Empire and the Modern Middle East at the University of GreenwichProducer: Simon Tillotson Reading list:Robert C. Davis, Christian Slaves, Muslim Masters: White Slavery in the Mediterranean, the Barbary Coast and Italy, 1500-1800 (Palgrave Macmillan, 2004)Peter Earle, Corsairs of Malta and Barbary (Sidgwick and Jackson, 1970) Des Ekin, The Stolen Village: Baltimore and the Barbary Pirates (O'Brien Press, 2008)Jacques Heers, The Barbary Corsairs: Warfare in the Mediterranean, 1450-1580 (Skyhorse Publishing, 2018)Colin Heywood, The Ottoman World: The Mediterranean and North Africa, 1660-1760 (Routledge, 2019)Alan Jamieson, Lords of the Sea: A History of the Barbary Corsairs (Reaktion Books, 2013)Julie Kalman, The Kings of Algiers: How Two Jewish Families Shaped the Mediterranean World during the Napoleonic Wars and Beyond (Princeton University Press, 2023)Stanley Lane-Poole, The Story of the Barbary Corsairs (T. Unwin, 1890)Sally Magnusson, The Sealwoman's Gift (A novel - Two Roads, 2018)Philip Mansel, Levant: Splendour and Catastrophe on the Mediterranean (John Murray, 2010)Nabil Matar, Turks, Moors and Englishmen in the Age of Discovery (Columbia University Press, 1999)Nabil Matar, Britain and Barbary, 1589-1689 (University Press of Florida, 2005)Giles Milton, White Gold: The Extraordinary Story of Thomas Pellow and North Africa's One Million European Slaves (Hodder and Stoughton, 2004)Claire Norton (ed.), Conversion and Islam in the Early Modern Mediterranean: The Lure of the Other (Routledge, 2017)Claire Norton, ‘Lust, Greed, Torture and Identity: Narrations of Conversion and the Creation of the Early Modern 'Renegade' (Comparative Studies of South Asia, Africa and the Middle East 29/2, 2009) Daniel Panzac, The Barbary Corsairs: The End of a Legend, 1800-1820 (Brill, 2005)Rafael Sabatini, The Sea Hawk (a novel - Vintage Books, 2011)Adrian Tinniswood, Pirates of Barbary: Corsairs, Conquests and Captivity in the 17th century (Vintage Books, 2010)D. Vitkus (ed.), Piracy, Slavery and Redemption: Barbary Captivity Narratives from Early Modern England (Columbia University Press, 2001)J. M. White, Piracy and Law in the Ottoman Mediterranean (Stanford University Press, 2018)