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This week we share the inspiring tale of Ms. Kayla Billington, a pediatric and neonatal critical care nurse who met a young boy with tetralogy of Fallot named Wavamuno Patrick in Uganda while working for an NGO hospital. Ms. Billington tells the story of meeting Patrick and struggling to save his life and how this simple relationship of love and caring led her to help many in Uganda with congenital heart disease. Ms. Billington speaks of partnering with Professor R. Krishna Kumar of the Amrita Institute and, in today's episode, both Ms. Billington and Dr. Kumar share the inspiring tale of how they have worked together to help save the lives of children from Uganda at Amrita. Prepare to be amazed by their tale. Ms. Billington's efforts highlight the critical need for congenital heart care in Uganda and many other nations in Africa. For those interested, you can learn more about Patys Project and how you can help at:https://patysproject.org
In this week's episode, we'll learn about stopping myeloma maintenance therapy in the modern era. New research suggests that many patients in remission can discontinue lenalidomide, remaining treatment-free, without jeopardizing disease response. After that: a novel congenital neutropenia syndrome. Mutations in the COPZ1 gene impact myeloid differentiation and development of neutropenia. Researchers describe the mechanisms and propose a treatment strategy for restoring granulopoiesis. Finally, ruxolitinib maintenance therapy after allogeneic transplant. In a phase 2 study, this treatment strategy was associated with low rates of chronic graft-versus-host disease. Investigators say the use of JAK inhibitors in this context warrants further study.Featured Articles: Sustained bone marrow and imaging MRD negativity for 3 years drives discontinuation of maintenance post-ASCT in myelomaA new severe congenital neutropenia syndrome associated with autosomal recessive COPZ1 mutationsLow rates of chronic graft-versus-host disease with ruxolitinib maintenance following allogeneic HCT
This episode of PedsCases will give you an approach to congenital hemangiomas. By the end of this podcast, listeners will be able to 1) define hemangiomas and congenital hemangiomas, 2) explain the genetics and environmental factors associated with congenital hemangiomas, 3) describe the pathogenesis of congenital hemangiomas, 4) classify congenital hemangiomas, and 5) discuss the diagnosis, differential diagnosis, and management strategies for congenital hemangiomas. Today's episode was created by Emilie Wang, a medical student at the University of British Columbia, in collaboration with Dr. Joseph Lam, a pediatric dermatologist at BC Children's Hospital. An author of this podcast has financial support and has received speaker bursaries from Johnson & Johnson, Pierre-Fabre, Pfizer, Valeant, Sanofi Genzyme, Incyte, La Roche Posay Canada, Beiersdorf Canada and serves on advisory committees for Johnson & Johnson, Pierre-Fabre, Pfizer, Valeant, Sanofi Genzyme. They also serve as Associate Editor of Pediatric Dermatology Journal, and have been contributors to UpToDate, Medscape, BMJ Updates, and Eczema Society of Canada.
This episode covers hydroceles.Written notes can be found at https://zerotofinals.com/paediatrics/renal/hydrocele/Questions can be found at https://members.zerotofinals.com/Books can be found at https://zerotofinals.com/books/The audio in the episode was expertly edited by Harry Watchman.
Did you know that congenital cytomegalovirus (cCMV) is the most common congenital viral infection in newborns and a leading cause of non-genetic hearing loss? Despite its prevalence, awareness and screening for cCMV remain inconsistent across healthcare systems. In this episode, we dive into the critical importance of cCMV screening, early diagnosis, and intervention. Join our expert guests Dr. Ingrid Camelo and Dr. John Noel as they discuss: The impact of cCMV on neonatal and long-term health outcomes Best practices for screening and diagnostic methods The role of early intervention, including antiviral therapy How advocacy efforts are shaping the future of universal screening policies Tune in to stay informed on how pediatricians and healthcare providers can play a vital role in improving outcomes for infants affected by cCMV. Special thanks to Dr. James Grubbs for peer reviewing this episode. CME Credit (requires free sign up): Link Coming Soon! References: American Academy of Pediatrics. A targeted approach for congenital cytomegalovirus. Available at: https://publications.aap.org/pediatrics/article/139/2/e20162128/60211/A-Targeted-Approach-for-Congenital-Cytomegalovirus. Accessed August 13, 2024. Chiopris G, Veronese P, Cusenza F, Procaccianti M, Perrone S, Daccò V, Colombo C, Esposito S. Congenital cytomegalovirus infection: update on diagnosis and treatment. Microorganisms. 2020 Oct 1;8(10):1516. doi: 10.3390/microorganisms8101516. PMID: 33019752; PMCID: PMC7599523. Gantt S. Newborn cytomegalovirus screening: is this the new standard? Curr Opin Otolaryngol Head Neck Surg. 2023 Dec 1;31(6):382-387. doi: 10.1097/MOO.0000000000000925. Epub 2023 Oct 11. PMID: 37820202. Minnesota Department of Health. Minnesota implements universal newborn screening for cytomegalovirus. Available at: https://www.health.state.mn.us/news/pressrel/2023/ccmv020823.html. Accessed August 13, 2024. National CMV Foundation. Advocacy: universal newborn CMV screening. Available at: https://www.nationalcmv.org/about-us/advocacy#:~:text=Minnesota%20was%20the%20first%20state%20to%20enact%20universal%20newborn%20CMV%20screening. Accessed August 13, 2024. New York State Department of Health. Newborn screening for cytomegalovirus. Available at: https://www.health.ny.gov/press/releases/2023/2023-09-29_newborn_screening.htm#:~:text=ALBANY%2C%20N.Y.,all%20babies%20for%20the%20virus. Accessed August 13, 2024. UpToDate. Congenital cytomegalovirus (CMV) infection: clinical features and diagnosis. Available at: https://www.uptodate.com/contents/congenital-cytomegalovirus-ccmv-infection-clinical-features-and-diagnosis?search=cmv%20screening&source=search_result&selectedTitle=1%7E28&usage_type=default&display_rank=1#H92269684. Accessed August 13, 2024. UpToDate. Congenital cytomegalovirus (CMV) infection: management and outcome. Available at: https://www.uptodate.com/contents/congenital-cytomegalovirus-ccmv-infection-management-and-outcome?search=congenital%20cmv&source=search_result&selectedTitle=2%7E66&usage_type=default&display_rank=2. Accessed August 13, 2024. UpToDate. Ganciclovir and valganciclovir: an overview. Available at: https://www.uptodate.com/contents/ganciclovir-and-valganciclovir-an-overview?search=ganciclovir&source=search_result&selectedTitle=2%7E80&usage_type=default&display_rank=1#H6. Accessed August 13, 2024. University of Texas Medical Branch. Neonatology manual: infectious diseases. Available at: https://www.utmb.edu/pedi_ed/NeonatologyManual/InfectiousDiseases/InfectiousDiseases3.html#:~:text=may%20be%20required.-,Cytomegalovirus,Clinical%20findings. Accessed August 13, 2024. National Center for Biotechnology Information. Cytomegalovirus (CMV) infection. Available at: https://www.ncbi.nlm.nih.gov/books/NBK541003/. Accessed August 13, 2024.
Measles - with Dr. Alok Patel! -Mogamulizumab > vorinostat for CTCL -Acquired congenital malalignment of the great toenails -Learn more about Dr. Patel at https://www.alokpatelmd.com/ or on social media @alokpatelMD -Join Luke's CME experience on Jak inhibitors! rushu.gathered.com/invite/ELe31Enb69Register for the U of U Practical Derm course!medicine.utah.edu/dermatology/educ…nities/practicalLearn more about the U of U Dermatology ECHO model!physicians.utah.edu/echo/dermatology-primarycareWant to donate to the cause? Do so here! Donate to the podcast: uofuhealth.org/dermasphere Check out our video content on YouTube: www.youtube.com/@dermaspherepodcast and VuMedi!: www.vumedi.com/channel/dermasphere/ The University of Utah's Dermatology ECHO: physicians.utah.edu/echo/dermatology-primarycare - Connect with us! - Web: dermaspherepodcast.com/ - Twitter: @DermaspherePC - Instagram: dermaspherepodcast - Facebook: www.facebook.com/DermaspherePodcast/ - Check out Luke and Michelle's other podcast, SkinCast! healthcare.utah.edu/dermatology/skincast/ Luke and Michelle report no significant conflicts of interest… BUT check out our friends at: - Kikoxp.com (a social platform for doctors to share knowledge) - www.levelex.com/games/top-derm (A free dermatology game to learn more dermatology!
CardioNerds ACHD Council members Dr. Rawan Amir and Dr. Claire Cambron lead a profound conversation with ACHD faculty Dr. Allison Tsao, Dr. Jill Steiner, and Dr. Katherine Salciccioli. Together, they explore the emotional and professional challenges that ACHD providers face across the lifespan of congenital heart disease. Topics discussed include navigating challenging case scenarios, empowering patients through tough decisions, leveraging multi-subspecialty expertise, celebrating the successes, preparing for and grieving loss, and more. This episode was planned by the CardioNerds ACHD Council. CardioNerds Adult Congenital Heart Disease PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron!
Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper on Comparative Congenital Cardiac Catheterization Registry Analysis From the United States and Low- and Middle-Income Countries.
Event Objectives:Review the Historical Progression of Interventional Cardiology in Pediatric and Congenital Heart Disease.Highlight Cutting-Edge Catheter-Based Therapies for Pediatric and Congenital Heart Conditions.Understand Contemporary Catheter-Based Arrhythmia Management Options in Pediatric and Congenital Heart Disease.Claim CME Credit Here!
In this episode Rachel Moon, MD, FAAP, associate editor of digital media for the journal Pediatrics, shares a research roundup from the April issue. David Hill, MD, FAAP, and Joanna Parga-Belinkie, MD, FAAP, also speak with Adam Ratner, MD, MPH, FAAP, and Nitya Shah, MD, FAAP, about having difficult conversations with families about a diagnosis of congenital syphilis and other diseases. For resources go to aap.org/podcast.
Dr Matthew Wilson, Postdoctoral Fellow at the Centre for Human Genetics, KU Leuven, joins hosts Silvia Radenkovic and Rodrigo Starosta to discuss a scintillating selection of CDG papers in our first ever research round-up. The papers discussed include: A pseudoautosomal glycosylation disorder prompts the revision of dolichol biosynthesis. Wilson et al Clinical and biochemical footprints of congenital disorders of glycosylation: Proposed nosology. Ng et al Rft1 catalyzes lipid-linked oligosaccharide translocation across the ER membrane. Chen et al Molecular characterization of Rft1, an ER membrane protein associated with congenital disorder of glycosylation RFT1-CDG. Hirata et al Genome and RNA sequencing were essential to reveal cryptic intronic variants associated to defective ATP6AP1 mRNA processing. Morales-Romero et al N-glycoproteomic and proteomic alterations in SRD5A3-deficient fibroblasts. Garapati et al In vitro treatment with liposome-encapsulated Mannose-1-phosphate restores N-glycosylation in PMM2-CDG patient-derived fibroblasts. Shirakura et al Liposome-encapsulated mannose-1-phosphate therapy improves global N-glycosylation in different congenital disorders of glycosylation. Budhraja et al D-mannose as a new therapy for fucokinase deficiency-related congenital disorder of glycosylation (FCSK-CDG). Starosta et al Glycoproteomics in Cerebrospinal Fluid Reveals Brain-Specific Glycosylation Changes. Baerenfaenger et al Neural and metabolic dysregulation in PMM2-deficient human in vitro neural models. Radenkovic et al
Derm and mental health - with Cutaneous Miscellaneous! -Melasma treatments - with Dr. Carson Jessop! -Congenital nevi in infants -HS increased risk of VTE -Join Luke's CME experience on Jak inhibitors! rushu.gathered.com/invite/ELe31Enb69Register for the U of U Practical Derm course!medicine.utah.edu/dermatology/educ…nities/practicalLearn more about the U of U Dermatology ECHO model!physicians.utah.edu/echo/dermatology-primarycareWant to donate to the cause? Do so here! Donate to the podcast: uofuhealth.org/dermasphere Check out our video content on YouTube: www.youtube.com/@dermaspherepodcast and VuMedi!: www.vumedi.com/channel/dermasphere/ The University of Utah's Dermatology ECHO: physicians.utah.edu/echo/dermatology-primarycare - Connect with us! - Web: dermaspherepodcast.com/ - Twitter: @DermaspherePC - Instagram: dermaspherepodcast - Facebook: www.facebook.com/DermaspherePodcast/ - Check out Luke and Michelle's other podcast, SkinCast! healthcare.utah.edu/dermatology/skincast/ Luke and Michelle report no significant conflicts of interest… BUT check out our friends at: - Kikoxp.com (a social platform for doctors to share knowledge) - www.levelex.com/games/top-derm (A free dermatology game to learn more dermatology!
Drs Kaniksha Desai and Larry Fox discuss congenital hypothyroidism, including when to test and how to treat it. This podcast is intended for healthcare professionals only. To read a partial transcript or to comment, visit: https://www.medscape.com/index/list_15483_0
Update Series 2025 Lesson 9: Congenitalism: Transitioning Patients with Congenital Urological Anomalies from the Pediatric to the Adult Care Setting Update Series 2025 Lesson 9: Congenitalism: Transitioning Patients with Congenital Urological Anomalies from the Pediatric to the Adult Care Setting Now in its 44th installment, the AUA Update Series is renowned for delivering high-quality lessons to practicing urologists, fellows and residents. All content is developed by internationally recognized experts in urology, making the AUA Update Series the most professional and sought-after self-study program available. Improve your practice and patient care by staying abreast of the latest treatments and surgical techniques in urology. For more information or to subscribe to the AUA Update Series, please visit AUAnet.org/Update25
In this episode Sarah DiMeglio, a clinical research coordinator, is joined by Dr. Dan Wood and Dr. Kelly Harris to explore the lifelong journey of individuals with congenital urological conditions. We speak with these leading experts about the transition from pediatric to adult care, the psychosocial impact, and the latest advancements in surgical and medical management.
Episode 285 features inspiring stories from athlete, Dave Stevens, a seven-time Emmy Award winner and congenital amputee, while Jimmy Carbone and Sean Ludwig promote upcoming barbecue events and barbecue's enormous growth. Dave Stevens is an athlete and a seven-time Emmy Award winning sports broadcaster. Dave is a congenital amputee and has wrestled, played football, and played baseball, all without legs. Dave played college football and had a tryout with the Dallas Cowboys. Dave was featured on the television show, That's Incredible along with a very young and future golf pro, Tiger Woods. Dave had baseball tryouts with the 1984 Olympic baseball team, the Cincinnati Reds, and the Minnesota Twins, as well as a three-week contract with the minor league baseball team, St. Paul Saints where he played alongside Darryl Strawberry and even pinch-hit for Strawberry. Dave worked at ESPN for over 20 years. He has covered Super Bowls, World Series, Final Fours and many other events. Dave volunteers as a board member for NubAbility Athletics, which organizes sports camps for “Limb-Different” Athletes. He also co-hosts the Celebrity Amputee Golf Classic and is an Ambassador Athlete for the Dave Clark Foundation which hosts free clinics with Minor League baseball teams for children with disabilities. Jimmy Carbone is back with a preview of his food events which we can look forward to this year, including Brisket King, Rib King, and Pig Island NYC. Each year these events become more popular and we spend part of our time discussing the outstanding growth of barbecue and the various flavors being added which are changing the way we think of the cuisine. It is an exciting time to be a foodie in New York as well as the surrounding areas and Jimmy's events are among the reasons why. Sean Ludwig is the founder of NYC BBQ, http://www.nycbbq.com a website and newsletter with news and information on all things barbecue in the NYC metro are. He is also a co-founder with Ryan Cooper of The Smoke Sheet, https://www.bbqnewsletter.com which is a weekly newsletter that curates the latest national barbecue news, upcoming events, books to read, podcasts to listen to, videos to watch, recipes, and so much more. Barbecue is experiencing tremendous growth and Sean provides unique insights as to why. We recommend you go to Baseball BBQ, https://baseballbbq.com for special grilling tools and accessories, Magnechef https://magnechef.com/ for excellent and unique barbecue gloves, Cutting Edge Firewood High Quality Kiln Dried Firewood - Cutting Edge Firewood in Atlanta for high quality firewood and cooking wood, Mantis BBQ, https://mantisbbq.com/ to purchase their outstanding sauces with a portion of the proceeds being donated to the Kidney Project, and for exceptional sauces, Elda's Kitchen https://eldaskitchen.com/ We conclude the show with the song, Baseball Always Brings You Home from the musician, Dave Dresser and the poet, Shel Krakofsky. We truly appreciate our listeners and hope that all of you are staying safe. If you would like to contact the show, we would love to hear from you. Call the show: (516) 855-8214 Email: baseballandbbq@gmail.com Twitter: @baseballandbbq Instagram: baseballandbarbecue YouTube: baseball and bbq Website: https//baseballandbbq.weebly.com Facebook: baseball and bbq
In this podcast, George Lawson and Hermione Lyall discuss their paper 'Polymicrogyria in infants with symptomatic congenital cytomegalovirus at birth is associated with epilepsy: A retrospective, descriptive cohort study'. The paper is available here: https://doi.org/10.1111/dmcn.16250 Follow DMCN on Podbean for more: https://dmcn.podbean.com/ ___ Watch DMCN Podcasts on YouTube: https://bit.ly/2ONCYiC __ DMCN Journal: Developmental Medicine & Child Neurology (DMCN) has defined the field of paediatric neurology and childhood-onset neurodisability for over 60 years. DMCN disseminates the latest clinical research results globally to enhance the care and improve the lives of disabled children and their families. DMCN Journal - https://onlinelibrary.wiley.com/journal/14698749 ___ Find us on Twitter! @mackeithpress - https://twitter.com/mackeithpress
Skin conditions are common in children, but their diagnosis can pose a large challenge. Join the MIMS Learning editors Sangeeta Krishnan and Rhiannon Ashman for a discussion on paediatric and neonatal skin conditions, ranging from rashes to eczema. Learn how to identify key symptoms, distinguish between conditions based on their presentation, and manage them effectively in clinical practice.You can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.Further learning on MIMS LearningNeonatal dermatologyMeasles updateVaricella zosterPaediatric dermatology in skin of colourScarlet feverReferencesJoint Committee on Vaccination and Immunization (JCVI). Statement on a childhood varicella (chickenpox) vaccination programme. November 2023.O'Mahony E, Sherman SM, Marlow R et al. UK paediatricians' attitudes towards the chicken pox vaccine: The SPOTTY study. Vaccine 2024; 42(22): 126199. Hosted on Acast. See acast.com/privacy for more information.
Randomized Comparison Trial of Rehabilitation Very Early for Infants with Congenital HemiplegiaRoslyn N Boyd, Susan Greaves, Jenny Ziviani, Iona Novak, Nadia Badawi, Kerstin Pannek, Catherine Elliott, Margaret Wallen, Catherine Morgan, Jane Valentine, Lisa Findlay, Andrea Guzzetta, Koa Whittingham, Robert S Ware, Simona Fiori, Nathalie L Maitre, Jill Heathcock, Kimberley Scott, Ann-Christin Eliasson, Leanne SakzewskiPMID: 39477009 DOI: 10.1016/j.jpeds.2024.114381Free articleAbstractObjective: To compare efficacy of constraint-induced movement therapy (Baby-CIMT) with bimanual therapy (Baby-BIM) in infants at high risk of unilateral cerebral palsy.Study design: This was a single-blind, randomized-comparison-trial that had the following inclusion criteria: (1) asymmetric brain lesion (2) absent fidgety General Movements, (3) Hammersmith Infant Neurological Examination below cerebral palsy cut-points, (4) entry at 3-9 months of corrected age, and (5) greater than 3-point difference between hands on Hand Assessment Infants (HAI). Infants were randomized to Baby-CIMT or Baby-BIM, which comprised 6-9 months of home-based intervention. Daily dose varied from 20 to 40 minutes according to age (total 70-89.2 hours). Primary outcome measure was the HAI after intervention, with secondary outcomes Mini-Assisting Hand Assessment and Bayley III cognition at 24 months of corrected age.Results: In total, 96 infants (51 male, 52 right hemiplegia) born median at 37-weeks of gestation were randomized to Baby-CIMT (n = 46) or Baby-BIM (n = 50) and commenced intervention at a mean 6.5 (SD 1.6) months corrected age. There were no between group differences immediately after intervention on HAI (mean difference MD 0.98 HAI units, 95% CI 0.94-2.91; P = .31). Both groups demonstrated significant clinically important improvements from baseline to after intervention (Baby-BIM MD 3.48, 95% CI 2.09-4.87; Baby-CIMT MD 4.42, 95% CI 3.07-5.77). At 24 months, 64 infants were diagnosed with unilateral cerebral palsy (35 Baby-CIMT, 29 Baby-BIM). Infants who entered the study between 3 and 6 months of corrected age had greater change in HAI Both Hands Sum Score compared with those who entered at ≥6 months of corrected age (MD 7.17, 95% CI 2.93-11.41, P = .001).Conclusions: Baby-CIMT was not superior to Baby-BIM, and both interventions improved hand development. Infants commencing intervention at greater than 6 months corrected age had greater improvements in hand function.https://pubmed.ncbi.nlm.nih.gov/39477009/
Due to advancements in medical and surgical care, the survival of patients with congenital conditions into adulthood has dramatically increased. However, as these individuals transition to adulthood, their unique physiology, chronic complications, and evolving care needs create significant challenges for their management when they are admitted to adult intensive care units (ICUs). This episode will discuss adult congenital disease in the ICU. Dr. Zanotti is joined by Dr. Cameron Dezfulian, a pediatric and adult critical care physician. He is the director of the Adult Congenital Heart Disease Program Development for the Section of Critical Care at Texas Children's Hospital and a faculty member at Cardiothoracic Critical Care at Baylor St. Luke's Medical Center. He is also a Senior Faculty member at Baylor College of Medicine in Houston, Texas. Additional resources: ACC/AHA 2008 Guidelines for the Management of Adults With Congenital Heart Disease. Circulation 2008: https://www.ahajournals.org/doi/pdf/10.1161/CIRCULATIONAHA.108.190690 Special Considerations in Critical of the Congenital Heart Disease Patient. E Neethling, et al. Can J Cardiol. 2023: https://pubmed.ncbi.nlm.nih.gov/36682483/ Management of the Critically Ill Adult with Congenital Heart Disease. WB Kratzert, et al. J Cardiothorac Vasc Anesth 2018: https://pubmed.ncbi.nlm.nih.gov/29500124/ Adults with childhood-onset chronic conditions admitted to US pediatric and adult intensive care units. J Edwards, et al. J Crit Care 2015: https://pubmed.ncbi.nlm.nih.gov/25466316/ Down Syndrome. MJ Bull. N Eng J Med 2020. https://www.nejm.org/doi/full/10.1056/NEJMra1706537 Books and Music mentioned in this episode: The Bible: https://bit.ly/3EK4LL6
Welcome to the 25th episode of The Brain Podcast - the official podcast of the journals Brain and Brain Communications. This episode features a discussion with senior author Dr Tanya Stojkovic of the Brain article entitled: Congenital myasthenic syndromes in adults: clinical features, diagnosis and long-term prognosis Dr Stojkovic discusses findings from an impressive longitudinal adult cohort of congenital myasthenia syndrome and important issues around accurate diagnosis of congenital myasthenic syndromes and use of electromyography and muscle biopsy. Check out the full article on the Brain website as part of the November 2024 issue: https://doi.org/10.1093/brain/awae124 This episode was co-hosted by David Michael and Roberto Bellanti, edited and produced by Xin You Tai, co-produced by Antonia Johnston, original music by Ammar Al-Chalabi.
This special issue of JACC is dedicated to the essential role of cardiovascular surgery in advancing modern cardiology.
Thank you for joining us for our 2nd Cabral HouseCall of the weekend! I'm looking forward to sharing with you some of our community's questions that have come in over the past few weeks… Andrea: Hi Dr. Cabral - I'd love your input on what steps when trying to conceive to have the healthiest pregnancy possible. I love your book, and I'm doing many of the practices in it (epsom baths, IR sauna, taking the greens and daily nutritional support, exercise, etc.). I have done some nutrient testing through a nutritionist, so I'm taking extra vitamin D, B12, and iron. Also, I'm doing the 7-day detox now so that I can do it before trying next month. What is your advice on what I should (and shouldn't) be doing pre-pregnancy, and if there are any other tests you'd recommend (like testing for the Congenital cytomegalovirus infection/CMV)?Thank you for consistently presenting content in a rational, unbiased, and non-fear-mongering way! Cara: My family does not eat a healthy diet, I know this, but its so hard to change. It's incredibly overwhelming. I have 2 young children and I would like to provide better meals for them but I just get overwhelmed with all the messaging and what to feed them and what not to feed them that I just sink back to what I know and what I know they will eat. Help! where do I start to make changes Sally: Hi Dr Cabral. Thank you so much for your willingness to help others! I am writing to you in regard of my dad. He is a 60 year old mechanic who has never really taken care of his body. About 4 years ago he was diagnosed with cancer and since has had treatment to essentially kill it. He has been cancer free since. Over the past few months he has been feeling chest tightness and arm pain, which landed him in the ER to get 3 stents put in his main left artery. He is healing and starting to slowly get back to work. I think this was a scare for him and he is going to start taking his eating habits seriously. Anyways, he has been saying for years now that drinking water gives him heartburn. I assume this is all connected back to his diet but wanted to get your thoughts if there is something specific we can look into further. We just ordered him the inflammation test from your site as a starting place. Thanks as always. Sally. Anonymous: Hi Dr Cabral, I am a 63 year old female, eat a Mediterranean diet, do the big 5 annually, sauna daily and cold plunge 2-3 times per week. My exercise regimen includes, resistance, HITT and SIT 4-5 times per week. My question is, am I trying too hard? I often feel a wired when I should be tired and alternately run down for no apparent reason. My HRV can be as high as 65 when I'm detoxing and 20-30 when I'm living my normal life. I take a multitude of supplements, based on my IHP's recommendations (ie; all of the basics plus adrenal soothe, adrenal support, estrogen support, DHEA) , as well as several of the supplements you recommend, (ie; Berberine, functional mushrooms, metavolve.). Plus, I take 5 CBD gummies 3 x per day to control anxiety and NAC for mthfr gene. Please advise Carrie: Hi Dr. Cabral! I have heard there's some controversy around nano hydroxyapatite, specifically that it can lead to liver and kidney issues, is carcinogenic, etc. This is a great ingredient to build teeth and reduce cavities, but I don't want to give it to my child if it's toxic and builds up in the system. What has your research on this ingredient shown, and are there any safe brands such as Primal Life Organics. If not, what is an alternative. Thank you! Thank you for tuning into this weekend's Cabral HouseCalls and be sure to check back tomorrow for our Mindset & Motivation Monday show to get your week started off right! - - - Show Notes and Resources: StephenCabral.com/3306 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!
Often, we are lucky to collaborate with specialists to ensure we can best support our patients, and in this episode, host Shane Turner is joined by Nancy Jaworski, an advanced practice nurse with extensive experience in adult congenital heart disease, to learn about challenges and innovations shaping heart failure care today. Nancy discusses the unique challenges of diagnosing and managing adult congenital heart disease.She emphasizes the importance of early intervention and the use of advanced therapies to prevent severe complications. Nancy also gives insights into the critical role of transport providers in navigating these complex cases and the necessity for specialized care centers to optimize outcomes. Tune in to gain a deeper understanding of right heart failure from a seasoned expert who bridges the gap between pediatric and adult care.In this episode:Shane Turner, RN, CFRN, NRP, FP-C, CMTE, Chattanooga, TNNancy Jaworski DNP, APRN, PCNS- BC, Hendersonville, TN
This episode reviews four IDWeek 2024 oral abstracts about congenital syphilis, syphilis in pregnancy, the effectiveness of doxy-PEP, and the use of oral cefixime for early treatment. View episode transcript and references at www.std.uw.edu.This podcast is dedicated to an STD [sexually transmitted disease] review for health care professionals who are interested in remaining up-to-date on the diagnosis, management, and prevention of STDs. Editor and host Dr. Meena Ramchandani is an Assistant Professor of Medicine at the University of Washington (UW) and Program Director of the UW Infectious Diseases Fellowship Program.
Send us a textIn the latest episode of MedStar Health DocTalk, orthopedic surgeon Zan Nasser, MD, who specializes in spine surgery, discusses the facts and fiction of scoliosis. From understanding the basics of curvature of the spine, to treatment options, patients, parents, and healthcare professionals alike, this podcast has something for everyone.Contrary to popular belief, scoliosis isn't solely a teenage affliction nor is it caused by poor posture. In fact, scoliosis can develop in individuals of any age, and its severity varies significantly from person to person. Bracing is often the first line of defense for children with mild to moderate curves, and it plays a crucial role in preventing the curvature from worsening. But when does bracing start, and what happens if treatment isn't pursued. Dr. Naseer has details the issues surrounding bracing for pediatric patients and for adults… with practical advice for parents on how to manage bracing routines.Dr. Naseer delves into the more complex aspects of scoliosis management, including surgery. Listeners will also learn about the importance of early diagnosis and regular monitoring. With expert insights from Dr. Zan Naseer, listeners are empowered to understand scoliosis better and to navigate its challenges with confidence. Tune in to gain a deeper understanding of scoliosis, its management, and how to support those living with it. Don't miss out on this enlightening conversation that could change lives!For more information on Dr. Naseer, go to medstarhealth.org/naseer, or to make an appointment, call 410-248-8054. If you would like to share feedback on this podcast, or suggest a topic for another episode of DocTalk, email Debra Schindler at debra.schindler@medstar.net.For more episodes of MedStar Health DocTalk, go to medstarhealth.org/doctalk.
This episode covers congenital pulmonary stenosis.Written notes can be found at https://zerotofinals.com/paediatrics/cardiology/pulmonarystenosis/Questions can be found at https://members.zerotofinals.com/Books can be found at https://zerotofinals.com/books/The audio in the episode was expertly edited by Harry Watchman.
In this episode, we review the high-yield topic Congenital Hypothyroidism (Cretinism) from the Endocrine section at Medbullets.com Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets Linkedin: https://www.linkedin.com/company/medbullets
Welcome to Season 2 of the Orthobullets Podcast. Today's show is Podiums, where we feature expert speakers from live medical events. Today's episode will feature Dr. Reggie Hamdy and is titled Limb Optimization for Severe Congenital Limb Differences. Follow Orthobullets on Social Media: Facebook Instagram Twitter LinkedIn YouTube
This week, host Paul Wirkus, MD, FAAP, and Dr. Shaun Mendenhall, a pediatric hand specialist, will discuss pediatric congenital hand anomalies. Have a question? Email questions@vcurb.com. Your questions will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
*Should Texas cattle producers be concerned about screwworms entering the state? *President Trump has picked the number two official for U.S. agriculture. *Texas farmers and ranchers will be the biggest beneficiaries of the new economic aid package approved by Congress. *The Texas High Plains silage boom continues. *There will be four new faces representing Texas in Washington D.C. *It's a new year, a new month, and there's a new weather forecast for Texas. *Water was one of the top issues in Rio Grande Valley agriculture last year. *The U.S. Fish and Wildlife Service has proposed listing the Monarch butterfly as threatened under the Endangered Species Act. *Congenital myotonia is a neuromuscular disease in goats.
This week, host Paul Wirkus, MD, FAAP, and Dr. Shaun Mendenhall, a pediatric hand specialist, will discuss pediatric congenital hand anomalies. Have a question? Email questions@vcurb.com. Your questions will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This member-driven podcast is a benefit of membership of the Arizona Chapter of the American Academy of Pediatrics (AzAAP) and is intended for AzAAP pediatric healthcare members.AzAAP would like to acknowledge the generous support of the podcast by the Arizona Department of Health Services through the Title V Maternal and Child Health Services Block Grant funding. No information or content in this podcast is intended to substitute or replace a consultation with a healthcare provider or specialist. All non-healthcare providers should reach out to their child's pediatrician for guidance. Music: Wallpaper by Kevin MacLeodLink: https://incompetech.filmmusic.io/song/4604-wallpaperLicense: http://creativecommons.org/licenses/by/4.0/
Event Objectives:Identify the common etiologies of facial paralysis presenting in childhood.Describe the clinical examination and evaluation of a child with facial paralysis.Describe the surgical approach to facial reanimation.Claim CME Credit Here!
Congenital heart defects are the most common birth defect in the world. While the condition is easily treatable, many children lack access to the care they desperately need — that's where Save a Child's Heart steps in. This episode highlights the incredible work of this Israel-based global organization, which has saved over 7,000 children from 70 countries.-Jamie speaks with Executive Director Rabbi David Litwack and DC Director Ronit Totah about their efforts to expand their reach and empower communities worldwide, providing life-saving surgeries and medical training to doctors in developing countries. They share moving stories of recovery, the long-term impact of their work, and how they've continued their mission amid recent conflicts in Israel.-Save a Child's Heart ensures no child is left behind, regardless of borders or circumstances. -Connect with Save A Child's Heart:FacebookInstagramLinkedInYouTubeConnect with Jamie at Truman Charities:FacebookInstagramLinkedInWebsiteYouTubeEmail: info@trumancharities.comThis episode was post produced by Podcast Boutique https://podcastboutique.com/
This week we speak for the entire episode with award winning author Patricia Meisol about her recent book entitled: A Heart Afire: Helen Brooke Taussig's Battle Against Heart Defects, Unsafe Drugs, and Injustice in Medicine. We review Dr. Taussig's early life and the impact it had on her life. Why was there friction between Drs. Taussig and Blalock? What was Dr. Taussig's role in the establishment of the most stringent drug testing rules in the world today? What would Dr. Taussig consider to be her greatest achievement? Was Dr. Taussig the first in our field to understand the notion of social determinants of health? Ms. Meisol reviews this and more in our wide ranging conversation about the extraordinary Professor Helen Taussig. We also share a brief conversation of Dr. Taussig from 1977, speaking about her role in the development of the BTT shunt. For those interested, Ms. Meisel's book is available: https://bookshop.org/p/books/a-heart-afire-helen-brooke-taussigs-battle-against-heart-defects-unsafe-drugs-and-injustice-in-medicine-patricia-meisol/19955020?ean=9780262048521or wherever you get your books!
Tobacco is the number one cause of lung cancer in Mississippi. Health officials are urging folks to quit tobacco during this Lung Cancer Awareness Month.Then, climate experts in solar power are speaking with state officials about the benefits of green energy.Plus, transmission of STD's may be slowing, but Mississippi continues to lead the nation in congenital syphilis. Hosted on Acast. See acast.com/privacy for more information.
Today Heidi interviewed Amy Lloyd. Here is a little more about Amy and this episode. In Amy's words: "I graduated nursing school in 2011 and started working in the NICU. I travel nursed and ended up in Denver, CO for 7 years. I mainly worked in the NICU but worked for Nurse Family Partnership for 4 years (an amazing nationwide program for 1st time moms that qualify based on income!) I got married and moved to Asheville, NC in 2021. We got pregnant on the first try! I did the NIPT and found out we were having a boy! At my first appointment they mentioned I had a bicornuate uterus. Since hearing I had a higher rate of a breech baby I was pretty convinced he would be breech and I would have a scheduled c-section. “Normal” pregnancy. I felt really good. Worked night shift in the NICU until 39 weeks. I got COVID at 26 weeks pregnant. The recommendation then was to have a growth ultrasound. I had one at 34 weeks where they discovered the left side of his heart and aorta were small. I was referred to MFM in Asheville and then onto MFM and cardiology in Charlotte. I was induced at 39.2 at Atrium. I had a good induction…foley bulb, pitocin, epidural, AROM, pushed for 45 minutes. My baby immediately went to the NICU. His echo showed he had coarctation of the aorta and he had surgery at 3 days old! We were in the hospital for 2 weeks before coming home to Asheville. We experienced lots of feeding difficulties. He came home with a NG tube, had reflux, and a weak suck. I was basically exclusively pumping from the start. I weaned off the pump at 9.5 months postpartum. At 3 weeks postpartum I had severe abdominal pain leading me to be readmitted for IV antibiotics. They believe I had endometritis. My baby just turned 1 8/29/22. He is doing great and will continue to be followed by cardiology for life but hopefully should not need any further interventions!" 3 Key takeaways from the podcast that listeners will learn today: Flexibility Advocating for your family 3 Keywords that people would want to search when looking for content that you would provide in this episode: Congenital heart defect Epidural induction Exclusive pumping Favorite baby product or new motherhood product? Boppy for baby. I usually buy my friends a nice pair of pajamas as everyone is usually focused on stuff for the baby! Summary of guest experience – Currently live in Asheville, NC. Graduated nursing school in 2011 and have worked in the NICU as a RN ever since. Also have my CLC. Please link your contact information for me to share in the episode. Instagram: Amy Lloyd We have seats available in Birth Story Academy. Join today for $20 off with code BIRTHSTORYFRIEND at https://www.birthstory.com/online-course! Resources: Birth Story Academy Online Course Shop My Birthing Workbooks and Guides I'm Heidi, a Certified Birth Doula, and I've supported the deliveries of over one thousand babies in my career. On the Birth Story Podcast, I'll take you on a journey through your pregnancy by providing you education through storytelling. I provide high-level childbirth education broken down to make it super digestible for you because I know you are a busy parent on the go. Plus, because I am so passionate about birth outcomes, you will hear from many of the top experts in labor and delivery. Connect with Me! Instagram YouTube My Doula Heidi Website Birth Story Media™ Website
In this episode of My Thyroid Health, learn about what's going on when you're hypothyroid, but you don't have a diagnosis of autoimmune Hashimoto's disease. What you will learn: You could still have Hashimoto's Iodine deficiency Congenital hypothyroidism Thyroid surgery or radioactive iodine ablation (RAI) Radiation treatment to the head or neck Medications Pituitary disorder Pregnancy Thyroiditis Check out our blog and read the full article here: https://www.palomahealth.com/learn/hypothyroid-without-hashimotos About Paloma Health: Paloma Healthis an online medical practice focused exclusively on treating hypothyroidism. From online visits with your provider to easy prescription management and lab orders, we create personalized treatment plans for you. Become a member, or try our at-home test kit and experience a whole new level of hypothyroid care. Use code PODCAST to save $30 at checkout. Disclaimer: The $30 discount is only valid for first-time Paloma Health members and test kit users. Coupon must be entered at the time of checkout. Become a Paloma Member: https://www.palomahealth.com/pricing-hypothyroidism Paloma Complete Thyroid Blood Test Kit: https://www.palomahealth.com/home-thyroid-blood-test-kit
This week we enter the world of cardiac CT for congenital heart disease reviewing a recent report of a survey of congenital cardiologists who perform congenital heart CT scans. What have been the important trends seen in the past decade beyond expansion in the field in general? Why has the use of the CT scan grown at such a rapid clip? How much radiation does a present day CT scan represent for a patient? How are cardiology fellowships responding to the growing role of this modality in the field? How can we more properly assign accurate relative value units (RVU's) to the significant work effort involved in the performance and reporting of this novel modality. We speak with the first author of this week's work, Assistant Professor of Pediatrics at Weill Cornell, Dr. Rebecca Epstein. doi: 10.1016/j.jcct.2024.02.002. Epub 2024 Feb 15.
The most common congenital viral infection in children is cytomegalovirus infection (CMV). Oftentimes the mother will experience little to no symptoms, but the virus can significantly affect the newborn, with outcomes ranging from no symptoms to severe systemic and intercranial complications. What if we could prevent this infection all together with a vaccine? A candidate MRNA vaccine against CMV has elicited promising immune responses to date and is on a pathway towards FDA approval. To learn more about this treatment, we are joined by one of the nation's leading experts in vaccine development for the prevention of congenital viral disease. Sallie Permar, MD, is the Nancy C. Paduano Professor and Chair of Pediatrics at Weill Cornell Medicine. She serves as pediatrician-in-chief at New York-Presbyterian/Weill Cornell Medical Center. She is also a professor of immunology and microbial pathogenesis at the Weill Graduate School of Medical Sciences. Some highlights from this episode include: The scale of impact of congenital CMV in children Understanding how the virus originates with the mother and affects the baby Where the CMV vaccine stands in the vaccine development process Strategies for educating the public and primary care providers on this new treatment For more information on Children's Colorado, visit: childrenscolorado.org.
This week we review a recent thought-provoking work on the topic of the dreaded 'pre-authorization' process for procedures being performed in the US. Are there data to support the costs in money and time associated with this process in the world of congenital cardiology? How often are authorizations denied in congenital cardiac cases? Is there any evidence that obtaining insurance pre-authorization improves outcomes? What is the impact of this process on healthcare equity? These are amongst the questions reviewed this week with Dr. Brian Marcus who is a cardiologist and critical care fellow at U. Wisconsin. DOI: 10.1007/s00246-023-03255-1
Pulmonary valve replacement following the arterial switch operation is rare. However, when necessary, how do techniques of transcatheter valve replacement fare for this indication? Why would average outcomes in this setting be less good than in the typical TPVR tetralogy of Fallot patient? How does the presence of stents in the pulmonary arteries in this patient group affect candidacy for TPVR? Are there ways to predict who might be a candidate for a TPVR vs. surgical PVR before coming to the catheterization lab? These are amongst the questions reviewed and posed to Dr. Stephen Nageotte who is the director of the cardiac catheterization laboratory at Loma Linda Children's Hospital in Loma Linda, California. DOI: 10.1002/ccd.31152
Published on Anna's 5th birthday, this episode features Megan DeRuiter, mom to Anna who has Trisomy 13. She discusses the confusion of Anna being given a poor prognosis despite presenting well, the impact of her healthcare background on her early journey and what she has learned about the Trisomy 13 community. Extra To Love is a non-profit organization that aims to improve the lives of people with Trisomy 18 and Trisomy 13 by supporting their families. Through Extra To Love: A Trisomy Podcast, we hope effected families will be empowered, connected, supported and educated by hearing personal stories from parents and healthcare providers. To receive support or learn more about our mission, visit www.extratolove.org Follow us on socials!https://www.facebook.com/extratolovehttps://www.instagram.com/extratolovehttps://www.instagram.com/extratolovepodcast
In this episode of Extra To Love: A Trisomy Podcast, host, Jenn, and her husband, Matt, reflect on the impact of parenting a child with Trisomy 18 on their marriage over the past 6 years. They share their personal experience, lessons they've learned, ways they are still trying to grow and more. They also share the unique experience of navigating a trisomy diagnosis when one parent has experienced medical complexity and loss before with a child. Whether you are also navigating marriage while parenting a child with a trisomy diagnosis, or you are just embarking on this journey, there is so much community and wisdom to be found in this episode. Extra To Love is a non-profit organization that aims to improve the lives of people with Trisomy 18 and Trisomy 13 by supporting their families. Through Extra To Love: A Trisomy Podcast, we hope effected families will be empowered, connected, supported and educated by hearing personal stories from parents and healthcare providers. To receive support or learn more about our mission, visit www.extratolove.org Follow us on socials!https://www.facebook.com/extratolovehttps://www.instagram.com/extratolovehttps://www.instagram.com/extratolovepodcast
Today, we are talking about dysmorphology and genetic disorders in psychiatry. Dr. Marilyn Jones joins us to help us identify and understand these conditions. Dr. Jones tells us about the prevalence and diagnostic considerations for these conditions, such as 22q and Fragile X. Join us as we talk about the importance of early identification, genetic testing, and strategies for supporting individuals and families affected by these conditions.CME: Take the CME Post-Test for this EpisodePublished On: 08/12/2024Duration: 29 minutes, 29 secondsJoshua Feder, MD, and Mara Goverman, LCSW, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.
In this unique episode of The Energy Blueprint, I'm speaking with a man named Evans L., who shares his profound story of personal transformation through debilitating fatigue, physical symptoms, and pain beyond what most of us can imagine… to living a rich, full life with a level of energy and functionality he couldn't have dreamed of just a few years ago. In this podcast, Evans and I discuss: His lifelong journey—from diagnosis to surgeries to living with chronic pain and rage—with the congenital illness Escobar syndrome or multiple pterygium syndrome A life-changing dream that kept him hanging on in the midst of severe mental, physical, and emotional pain His journey with brain retraining and how he was able to change his thought patterns for a more positive, pain-free life How Evans found The Energy Blueprint and incorporated the lessons into his healing plan to create more physical health along with more patience, gratitude, and healthier boundaries, too! Future plans now that he has regained so much of his life from fatigue, migraines, pain, and anger His humble advice for anyone else who's experiencing what seem to be insurmountable symptoms or health problems
This week we delve into the world of electrophysiology and review a recent report from the team at Primary Children's hospital on the use of intravascular ultrasound for EP ablation procedures in children. How is this technology useful for ‘routine' ablations in kids? Are there some forms of tachycardia where its use is more important than others? How does it lower procedural time or improve efficacy? We speak with Dr. Thomas Pilcher, chief of pediatric electrophysiology at Primary Children's about his center's recent report in the use of this technology for ablation in children and those with congenital heart disease. https://doi.org/10.1093/europace/euae047
This week we go back in time to 20222 to re-review an episode focusing on gender disparities in salary in the field of congenital electrophysiology. To what degree are female electrophysiologists paid less than their male counterparts despite similar levels of education, work effort and seniority? What interventions could be enacted to help 'mind the gap' and level the playing field in this regard? We speak with the chief of pediatric electrophysiology at The Children's Hospital of Philadelphia, Professor Maully Shah, who is the first author of this week's research letter. doi: 10.1016/j.jacep.2022.02.011
Creating a Family: Talk about Infertility, Adoption & Foster Care
Send us a topic idea or question for Weekend Wisdom.Are you considering adopting internationally. If so, you really should listen to this interview with the great Dr. Dana Johnson, MD, PhD. He is a Professor of Pediatrics in the Division of Neonatology at the University of Minnesota Medical School. Dr. Johnson founded the International Adoption Clinic at the University of Minnesota. In this episode, we discuss:Prenatal exposure to alcohol and drugs: How common in international adoption? How much and when in the pregnancy? What does the impact look like in an infant, preschooler, school-aged child, and older?AlcoholOpioidsCocaineMethamphetamineMarijuanaCigarettesPrenatal stress: Does maternal stress during pregnancy have a long-term impact on the child? Is this something that adoptive parents will know other than by assuming from reading the files?How heritable are mental illnesses?DepressionBi-polarSchizophreniaHow heritable are the following?ADHDIntelligence or academic successAttachment issues: How common with international adoption, and what are the recognizable symptoms of attachment struggles?Disinhibited social engagement disorder. What is it, and how common?How common is Reactive Attachment Disorder (RAD)?Impacts of neglect: How common is neglect in international adoption?Impact of institutionalization in international adoption.Impacts of physical abuse: How common in international adoption? How often do referrals report physical abuse?Impact of sexual abuse: How common in international adoption? How often do referrals report sexual abuse?Impact of lack of prenatal care.How common are the following:Hepatitis B: Where is it most prevalent? Long-term prognosis?Hepatitis C: Where is it most prevalent? Long-term prognosis?HIV: Where is it most prevalent? Long-term prognosis?Congenital Syphilis: Where is it most prevalent? Long-term prognosis?Prematurity: Where is it most prevalent? Long-term prognosis?Low Birth Weight: What is the long-term prognosis of a child who was born with low birth weight?Cleft lip/palate: Where is it most prevalent? Long-term prognosis?Congenital heart issuesMissing limbs/digits-amniotic band syndromeAlbinismDwarfismMost common special needs you are seeing.What is the risk to the child if the birth mother has/had tuberculosis?Other risk factors to be aware of.Tips for evaluating risk factors in international adoption. How to find a clinic that specializes in evaluating international adoption referrals?Support the Show.Please leave us a rating or review. This podcast is produced by www.CreatingaFamily.org. We are a national non-profit with the mission to strengthen and inspire adoptive, foster & kinship parents and the professionals who support them.Creating a Family brings you the following trauma-informed, expert-based content: Weekly podcasts Weekly articles/blog posts Resource pages on all aspects of family building