Podcasts about cpet

Have a comment or question? Click this sentence to send us a message, and we might answer it in a future episode.Welcome to Season 5, Episode 19 of Winning Isn't Easy. In this episode, we'll dive into the complicated topic of "Understanding CPET Examinations with Guest Dr. Betsy Keller."What if one test could offer the hard proof patients with ME/CFS, Long COVID, and fibromyalgia have been waiting for? Join disability law expert Nancy L. Cavey as she dives into one of the most important – and misunderstood – tools in chronic illness advocacy today: Cardiopulmonary Exercise Testing, or CPET. Often overlooked or mischaracterized, CPET isn't just another stress test. It's a scientifically rigorous way to measure functional limitations that traditional tests often miss. In this episode, Nancy is joined by Dr. Betsy Keller, a nationally recognized leader in exercise science and a pioneer in using CPET to support patients in both medical and legal arenas. Together, they break down what CPET is, how it works, and why it's gaining traction in disability claims – especially for those whose conditions have long been doubted or dismissed. But CPET isn't without controversy. We'll explore how insurers evaluate these tests, what makes a CPET legally credible, and the ethical challenges of asking chronically ill patients to push their limits in pursuit of validation. This is more than a medical deep dive – it's a critical conversation about science, strategy, and the fight to have invisible illnesses taken seriously in the eyes of the law. Don't miss it.If you'd like to follow along with slides mentioned in this episode, follow this link: https://www.youtube.com/watch?v=NrZiDVo3W8QIn this episode, we'll cover the following topics:One - Introduction to and Foundations of CPETTwo - CPET in the Context of Long-Term DisabilityThree - Best Practices and AdviceWhether you're a claimant, or simply seeking valuable insights into the disability claims landscape, this episode provides essential guidance to help you succeed in your journey. Don't miss it.Listen to Our Sister Podcast:We have a sister podcast - Winning Isn't Easy: Navigating Your Social Security Disability Claim. Give it a listen: https://wiessdpodcast.buzzsprout.com/Resources Mentioned in This Episode:LINK TO ROBBED OF YOUR PEACE OF MIND: https://mailchi.mp/caveylaw/ltd-robbed-of-your-piece-of-mindLINK TO THE DISABILITY INSURANCE CLAIM SURVIVAL GUIDE FOR PROFESSIONALS: https://mailchi.mp/caveylaw/professionals-guide-to-ltd-benefitsFREE CONSULT LINK: https://caveylaw.com/contact-us/Need Help Today?:Need help with your Long-Term Disability or ERISA claim? Have questions? Please feel welcome to reach out to use for a FREE consultation. Just mention you listened to our podcast.Review, like, and give us a thumbs up wherever you are listening to Winning Isn't Easy. We love to see your feedback about our podcast, and it helps us grow and improve.Please remember that the content shared is for informational purposes only, and should not replace personalized legal advice or guidance from qualified professionals. 

This week we delve into the world of exercise physiology when we review a recent paper by Dr. Adam Powell of Cincinnati Children's Hospital on the relationship of hand grip strenth to other measures of cardiovascular and skeletal muscular health and fitness. How does hand grip strength correlate with CPET measures of exercise abilities in children? How might this inexpensive test help identify patients who might benefit from exercise therapy? Will hand grip strength one day be as ubiquitous as blood pressure in the evaluation of our CHD patients? Dr. Powell shares the answers this week.https://doi.org/10.1016/j.jpedcp.2025.200144

In this episode, we continue our discussion focused on multilingual learners, diving deep into why linguistic mobility isn't just academic—it's the key to true community inclusion! Maria Underwood, Senior Professional Development Advisor at CPET, and Vince Mou, CPET Professional Development Coach, and Teachers College Zankel Fellow, join Roberta to discuss: -Why multilingual teaching creates explosive learning opportunities for ALL students -How understanding language history can revolutionize your classroom -Practical, ready-to-use strategies for celebrating language diversity -The hidden social dynamics that make or break multilingual learners' success This isn't just talk—it's a vital addition to your toolkit for creating a classroom where EVERY language is valued and EVERY student can thrive! We're proud to make this content free and accessible to all. If you find value in our episodes, please consider donating to support and sustain our efforts: https://cpet.tc.columbia.edu/giving.html

In this episode, we discuss the importance of recognizing and valuing multilingual learners, with a focus on the connection between language and identity. Maria Underwood, Senior Professional Development Advisor at CPET, and Vince Mou, CPET Professional Development Coach, and Teachers College Zankel Fellow, share origin stories of their personal and professional passion for supporting multilingual learners. Alongside Teaching Today host, Roberta Lenger Kang, they explore the challenges faced by students whose primary language at home is not English, the need for educators to create safe spaces for linguistic mobility, and practical ways educators can use available tools and resources to connect with students who may have language barriers, emphasizing the need for ongoing conversations to better support and affirm multilingual learners in classrooms. We're proud to make this content free and accessible to all. If you find value in our episodes, please consider donating to support and sustain our efforts: https://cpet.tc.columbia.edu/giving.html

In this episode, we dive into the Integrated Co-Teaching (ICT) model and its impact on educational practices. We are joined by CPET colleagues, and co-teaching dynamic duo, Jacqui Stolzer and Dr. Laura Rigolosi as we dig into various co-teaching models, their effectiveness depending on the type of student engagement activity and learning goals, and the challenges of implementing these models in different teaching scenarios. We're proud to make this content free and accessible to all. If you find value in our episodes, please consider donating to support and sustain our efforts: https://cpet.tc.columbia.edu/giving.html

Title: VO2 Max, Part 1 This is just the 101 course: Quote: “If you don't make time for exercise, you will probably have to make time for illness”- Robin Sharma, Attorney, Writer, Consultant What is VO2 MaxPerhaps the most important metric for longevity and health in 2024V=Volume (actually volume per unit time in this case)O2= oxygenVO2 = volume of oxygen that can be utilized per unit timeVO2 Max = the maximum volume of oxygen that can be utilized during maximal exertion Most often Expressed as: ml/kg/min (milliliters per kilogram of body weight per minute) This is the gold standard for measuring cardiorespiratory fitness in medicine, exercise science, and research. The best way to measure VO2 max is with a cardiopulmonary exercise test (CPET test). This is performed by hooking a person up to a closed breathing circuit via a facemask and measuring both inhaled and exhaled O2 and CO2. Other methods for estimating VO2 Max also exist. We will discuss measuring VO2 Max more thoroughly in part 2. VO2 Max Record HoldersCheck out Longetrics.org or FullScope.org Blogs for the complete post

Moving from Q&A to Q&D is both an art and a science. In this episode, CPET coaches Dr. Jen Gowers and Kelsey Hammond, join us to think out loud about what makes vibrant discussions a challenge to facilitate, how we can meet that challenge, and how we might handle surprising moments in our classroom discussions. The team shares what "invisible skills" are, why they are crucial for helping students participate in meaningful discussions, along with practical steps we can take to teach these skills to children of all ages. Your voice matters! After you listen, let us know your thoughts, questions, and reflections on fostering engaging dialogues in the classroom.

This conversation explores the transformative power of journaling for teachers, emphasizing its importance for reflection, mental health, and personal growth. The guests share their experiences and practical tips on how to incorporate journaling into a busy teaching schedule, highlighting the benefits of prioritizing self-care and reflection in the teaching profession. Follow on Twitter: @bamradionetwork @jonHarper70bd @EducationHall @outsideteacher Pete Hall is a capacity-builder. A former principal and author of 12 books, he supports professional learning and personal growth through keynotes, workshops, and coaching across the globe. Alissa Alteri Shea is an instructional coach at a K-6 elementary school in Vernon, Vermont, where she partners with teachers to improve student learning. She is committed to building strong public schools and joyful learning opportunities for children. Her favorite place is outside in nature, where she helps students learn from the world around them. Christina Compton Director of Program Development received her doctorate in education from Teachers College, Columbia University in 2016, with a concentration in the teaching of English. She began her career in education as a NYC Teaching Fellow, teaching in a Title 1 school, while completing her Masters in Childhood Education. Cristina serves as the Director of Program Development at CPET, overseeing a wide range of school-based projects and the Student Press Initiative, an initiative that supports teachers and students in developing projects that culminate in professionally designed, print-based publications. www.tc.edu/CPET

Professor Todd Davenport is the Professor and Vice Chair of the Department of Physical Therapy in the School of Health Sciences at the University of the Pacific in Stockton, California, USA is interviewed by Dr Funmi Okunola about Post Exertional Malaise in Long COVID and ME/CFS.REFERENCES1. Davenport TE,Stevens SR, Stevens J, Snell CR, VanNess JM. Lessons from myalgicencephalomyelitis/chronic fatigue syndrome for Long COVID: Postexertionalsymptom exacerbation is an abnormal response to exercise/activity. J OrthopSports Phys Ther. 2022.2. Long COVID Physio's Pacing Video3. Carruthers et al International Consensus Criteria for ME, which contains the criteria for PENE4. Walitt B, Singh K, LaMunion SR, Hallett M, Jacobson S, Chen K, Enose-Akahata Y, AppsR, Barb JJ, Bedard P, Brychta RJ. Deep phenotyping of post-infectious myalgicencephalomyelitis/chronic fatigue syndrome. Nature Communications. 2024 Feb21;15(1):907. 5. Appelman B, Charlton BT, Goulding RP, Kerkhoff TJ, Breedveld EA, Noort W, Offringa C,Bloemers FW, van Weeghel M, Schomakers BV, Coelho P. Muscle abnormalitiesworsen after post-exertional malaise in long COVID. Nature communications. 2024Jan 4;15(1):1-56. PEM time course fact sheet7. Energy saving tips fact sheet8. Heart rate monitor fact sheet9. Why do a two-day CPET? Informational sheet10.

¡Programa especial 4º aniversario! En este programa hacemos un repaso a algunas noticias de la actualidad commodoriana y a los lanzamientos commodorianos de las últimas semanas, y repasamos el pasado Explora Commodore del 6/7/24. Como en los últimos programas de aniversario, jugamos un Kahoot! con nuestros espectadores en directo. Y este mes, coincidiendo con los JJOO de París 2024, hacemos un repaso de algunos juegos commodorianos relacionados con la temática olímpica. Todo esto lo veremos con el equipo habitual formado por David Asenjo (https://twitter.com/darro99), Toni Bianchetti (https://twitter.com/seuck), Narciso Quintana "Narcisound" (https://twitter.com/narcisound), Jonatan Jiménez (https://twitter.com/jsabreman) y Paco Herrera (https://twitter.com/pacoblog64). Las noticias comentadas son: - Resumen Explora: https://www.flickr.com/photos/uoc_universitat/albums/72177720318664441 https://www.commodoreplus.org/2024/07/explora-commodore-8-rumsxplora.html https://www.pacoblog64.com/2024/07/cronica-del-explora-commodore-2024.html - Nuevo Kickstarter: Dare to Dream: Commodore and Amiga Today?, nuevo libro de David Pleasence sobre cómo habría sido la historia de Commodore de haberse hecho con los derechos en 1995: https://www.kickstarter.com/projects/daretodreamhardback/dare-to-dream-commodore-and-amiga-today - Nueva memoria interna de 64K para C16, y desarrollo de memoria de 64 y 128K para CPET, por Tynemouth Software: http://blog.tynemouthsoftware.co.uk/2024/06/new-commodore-16-internal-64k-ram-upgrade.html http://blog.tynemouthsoftware.co.uk/2024/07/commodore-pet-64k-128k-ram-boards.html - Lemon64/Amiga han sido atacadas: https://x.com/AmigaL0ve/status/1339014484216532992 https://www.lemon64.com/ - Documentada misteriosa placa con múltiples FPUs de Commodore: https://drive.google.com/drive/folders/1mXz3g5n_1d63TWdjLuGXTeMr-4pYAdMM?usp=drive_link - Reproducción de CMD SuperCPU128 MMU lista para comercializar: https://x.com/corei64/status/1811920147877363896?s=61 - Actualización de C64, intros: https://intros.c64.org/ - Actualización de Games That weren't 64: https://www.gamesthatwerent.com/gtw64 Los juegos y programas nuevos comentados son: - Castle Wolfenstein 3D (jimo9757, Commodore Pet (32KB RAM)): https://www.youtube.com/watch?v=WAPlSe8ueuU&feature=youtu.be - Galaga 500 (Jotd666, Amiga): https://jotd666.itch.io/galaga500 - Metrosiege (BitBeamCannon, Pixelglass, Amiga): https://x.com/dantemendes/status/1811782966697238801 - Aventura en la tumba Azteca (Aligata, C64): https://www.commodoreplus.org/2024/07/aventura-en-la-tumba-azteca.html https://commodore-plus.itch.io/aventura-en-la-tumba-azteca - Dr. Dangerous (HooGames2017, Amiga): https://hoogames2017.itch.io/dr-dangerous - Stick Man Arok Edition (Epy, Plus/4): https://plus4world.powweb.com/software/Stick_Man_Arok_Edition?s=09 - Crysis (lifeschool@lemonamiga, Amiga): https://lifeschool22.itch.io/crysis-amiga-os-interactive-demo - Ami Robbo 2 (Tukinem, Amiga): https://tukinem.itch.io/ami-robbo-2 - Koalamin (malcontent, C64): https://malcontentc64.itch.io/koalamin - PETSCII Wizard of Wor (Ko-Ko, C64): https://ko-ko74.itch.io/petscii-wizard-of-wor-c64-version https://ko-ko74.itch.io/petscii-wizard-of-wor-commodore-plus4-version https://ko-ko74.itch.io/wizard-of-wor-for-the-commodore-pet - Chopper Duel (izero79, Amiga): https://izero79.itch.io/chopperduel - Aira Force (Howprice, Amiga): https://howprice.itch.io/aira-force - Iowa Jack and the Crystals of Chaos (Rickyderocher, C128): https://rickyderocher.itch.io/iowa-jack-and-the-crystals-of-chaos-commodore-128 - 2112 (V3.2) (Roberto Sandri, C64): https://csdb.dk/release/?id=243934 - Quest For Two (Wil, C64 ): https://csdb.dk/release/?id=243990 - The Grid (LogicalByte, Amiga): https://logicalbyte.itch.io/the-grid - Sire Fire (Carmine Migliaccio (TSM), Plus/4): https://plus4world.powweb.com/software/Sire_Fire

In this episode of the Heart podcast, Digital Media Editor, Professor James Rudd, is joined by Dr Tomio Tran from Seattle. They discuss his paper about how well smartwatches measure peak oxygen consumption compared to CPET in ACHD subjects. If you enjoy the show, please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 or wherever you get your podcasts - it's really helpful. Link to published paper: https://heart.bmj.com/content/110/5/353 

Most of us think our hearts are fine. Even the day before a heart attack, people think they're OK!? Unfortunately, many people wait until they are experiencing a cardiac event before they look beyond blood tests cholesterol and the blood pressure reading at a doctor visit. Tune in to learn what tests you can do to take preventative measures in making sure your heart is operating in optimal condition. BTW, this is as much for athletes as it is for the reluctant exerciser!This week Jenn is joined by Chief Nursing Officer of Recovery Plus Health, Jenny Martin. Jenny breaks down many different aspects of heart health in this episode, from the difference between a heart attack and cardiac arrest, to VO2 max, to cardiorespiratory fitness, and more. She also discusses how a CPET test can provide you with a good outlook on your heart health, as well as give you information on how to best manage your fitness and exercise routine for your individual needs. Preventative care is a must when it comes to heart health, and this is one tool to help make your heart health a priority. Tune in to learn more about the CPET test, what it tells you, and where things can be missed when only doing lab tests. The Salad With a Side of Fries podcast is hosted by Jenn Trepeck, discussing wellness and weight loss for real life, clearing up the myths, misinformation, bad science & marketing surrounding our nutrition knowledge and the food industry. Let's dive into wellness and weight loss for real life, including drinking, eating out, and skipping the grocery store. IN THIS EPISODE: ● [6:03] How did Jenny end up in nursing and then shift into cardiopulmonary chronic care? ● [12:33] What is the difference between a cardiovascular event vs. a cholesterol challenge or blockage? ● [15:55] Many people look at athletes as the epitome of health, but then they have a cardiac event - what are we missing? ● [20:23] What is Cardiopulmonary and Cardiopulmonary Fitness?● [23:18] What is the difference between optimal and suboptimal? And why do we want to use these words? ● [26:56] What is Respiratory Exchange Ratio (RER) and why is it important?● [28:24] What is Peak VO2 or VO2 max?● [33:21] What is Heart Rate at Peak and at Anaerobic Threshold? ● [36:02] What is Cardiorespiratory Fitness (CRF)?● [37:58] What is an Inducible Threshold? ● [41:51] What is the CPET test?● [48:05] How do people take the information about their Zones into their personal fitness routine?KEY TAKEAWAYS: ● [29:46] Peak VO2 can be increased with the proper training, proper nutrition, proper hydration, and proper supplementation as your exercise or nutrition is optimized. Each time you can get the number up by one ml, you reduce your chance for all-cause mortality by 10%. ● [33:49] Optimal performance for your heart rate is to keep your peak heart rate in the 80-85% range, which shows that you're not heart rate dependent. We don't want to be heart rate dependent, instead you want to be stroke volume dependent, meaning the strongest part of your heart is pumping oxygen-rich blood to the rest of your body.● [36:59] Knowing your numbers gives you control over your situation. The best way to find out what you can do safely is to get the data, to know your numbers and know where you are so that you know where you want to go. If you don't know where you're starting, how do you know where you are headed? How do you know what your heart health goals should be? ● [46:20] Not everyone has the same heart rate zones, so the CPET test can help you uncover what your heart rate zones are so you can exercise and function at your optimal health number.QUOTES: [13:02] “You are not healthy the day before a heart attack.” - Jenn Trepeck“Hearts come in electrical and plumbing. When one of those goes wrong, that's when bad things happen. When we look at cholesterol levels, we're only looking at the plumbing." – Jenny Martin[14:47] “The original stress test, treadmill stress testing you get done in the cardiologist office, what they don't do is they don't do a ventilation, perfusion ratio. They don't look at the gasses, they don't look at the lung aspect of things, and so they actually don't identify non-obstructive heart disease at all. You could have a heart cath, you could go in and have a wire run up through your arteries, and they can say ‘there's nothing obstructive here, so everything is fine', and you can have a heart attack the next day.” - Jenny Martin[21:29] “Sleep apnea has a very high rate of coexistence and causation for heart failure, and that's very untalked about and it has everything to do with if we can't get oxygen the heart just stops.” - Jenny Martin"Optimal means that things are working at a level in which it supports other systems. So, optimizing health we want to have all the systems, heart and lungs, working with each other to support every other system in our body.” - Jenny Martin[47:11] “I know my zone 2, you know your zone 2, and they're not the same, but if we were to use the calculations that are just kind of out there for everybody to try to use, they would be very close, because it's not taking into consideration anything else. Our health history, our cardiac function, our pulmonary function, what our body needs, what our bodies need to be able to perform at the workload that we're asking them to, that's going to differ per person as well.” - Jenny MartinRESOURCES:Become A Member of Salad with a Side of FriesJenn's Free Menu PlanA Salad With a Side of FriesA Salad With A Side Of Fries MerchA Salad With a Side of Fries InstagramGUEST RESOURCESRecoveryPlus.Health WebsiteEmail: info@recoveryplus.health  Phone number: 800-242-6221Jenny Marin's LinkedInJenny Martin's InstagramRecoveryPlus.Health's TikTokRecoveryPlus.Health's InstagramGUEST BIO:Jenny Martin MSN, APRN, FNP-C and Chief Nursing Officer of Recovery Plus Health has years of nursing experience specializing in cardiology, pulmonary, and chronic care management. She has conducted research on improving care and bridging gaps for patients post-cardiac events as well as patients who wish to prevent cardiovascular disease. Jenny has been instrumental in developing a multi-state remote population platform to improve access to care for patients needing cardiovascular rehabilitation and in developing a program with a focus on reducing hospital readmissions. She also recently opened a clinic in New York offering cardiopulmonary exercise tests for all individuals from cardiac patients to professional athletes.

Show NotesNACE is excited to provide you with this podcast episode from our educational collaborator, The Association of Pulmonary Advanced Practice Providers (APAPP).  APAPP is the first  association of Advanced Practice Providers (APPs), both Nurse Practitioners and Physician Assistants, who work in the field of pulmonary medicine. APAPP's mission is to work together for the advancement of the profession and for the well-being of  patients with pulmonary diseases. To learn more about APAPP and to get involved, please visit https://www.pulmapp.com.GuestCori Fratelli, RN, MSN, FNP-CNurse PractitionerDivision of Pulmonary, Critical Care & Sleep Medicine Department of MedicineI have a unique background in both basic science and clinical research, which has informed my interest in clinical medicine. My past basic science research includes asthma, airway hyperresponsiveness, cystic fibrosis, and lung cancer. My past clinical research includes COPD and interstitial lung disease (ILD). Presently, I am interested in how research translates into personalized medicine. My clinical focus is mainly ILD, but I also see general pulmonary medicine patients, as needed. HostCorinne R. Young, MSN, FNP-C, FCCPDirector of APP and Clinical Services, Colorado Springs Pulmonary ConsultantsPresident, APAPP, Colorado Springs, COCorinne Young is a Nurse Practitioner began working in the area of pulmonary disease in California in 2005. Since 2011, she has worked in a private pulmonary practice in Colorado Springs, Colorado. Involvement and the representation of advanced practice providers in the pulmonary world has been an important priority for Corinne.  To that end,  Corinne is the Founder and President of the Association of Pulmonary Advanced Practice Providers.In addition to her work with APAPP, Corinne is currently one of ten NPs nationwide to become a Fellow of the American College of Chest Physicians. She works closely with the American College of Chest Physicians CHEST programs, and serves on the Interprofessional Team Network, Clinical Research Network, and on the Executive Programing Committee. Additionally, Corinne serves on the American Board of Internal Medicine Pulmonary Disease Board.This Podcast episode does not offer CME/CE Credit.Please visit http://naceonline.com to engage in more live and on demand CME/CE content.

CME credits: 4.25 Valid until: 31-10-2024 Claim your CME credit at https://reachmd.com/programs/cme/case-study-cpet/16333/ This year's West Regional PH Summit occurred on September 9, 2023, in Los Angeles, CA. Over a dozen regional faculty presented key topics impacting clinical practice and PH patient outcomes. The following topics were discussed at the event: Important advancements and updates across the PH disease spectrum The latest ERS/ESC guidelines for diagnosing and treating PH Critical advancements in screening, diagnosis, and treatment of CTEPH/CTED, lung disease-associated PAH, and CTD-associated PAH Real-world examples and data related to all discussion topics

Adopting and adapting a new curriculum is a complex and multi-faceted process. It can pose a significant challenge as it involves navigating various competing needs, such as state standards, standardized exams, district and school-specific goals, and the diverse needs of students. The question arises: which of these priorities takes precedence? How do you do it all? Today we are Courtney Brown, Senior PD Advisor, NTN@TC Initiative Leader, and Secondary Ed. Specialist and, someone who has worked closely with a variety of schools to support curriculum, and ELA and ENL specialist, Lauren Midgette, who has been involved in various curricular projects with CPET.

What does it sound like when a young researcher meets one of his science heroes for the first time? Listen to this episode of The AJP-Heart and Circ Podcast to find out. Associate Editor Dr. Keith Brunt (Dalhousie University) interviews author Dr. Holger Burchert (University of Basel) and leading expert Dr. William Stringer (Lundquist Institute at Harbor-UCLA Medical Center) about a new Methods and Resources article published by Burchert and Klimpel as part of the recent Call for Papers on Exercise, Physical Activity, and Cardiovascular Health. The article by Burchert et al. is an important contribution of methodological advancement built upon a foundation of established literature, dating back to Fick's Principle, which first appeared as a two-paragraph conference abstract published in German in 1870 and later translated by The New England Journal of Medicine in 1948. Fick was the first to realize that cardiac output is equal to oxygen consumption divided by the arterial mixed venous oxygen content difference, allowing the first accurate determination of cardiac output. While non-invasive measurements of oxygen consumption and heart rate are now routine, sampling arterial and mixed venous blood is inherently challenging. This makes finding non-invasive techniques for these measurements incredibly important. Enter the OG of the linear method for determining the arterial mixed venous oxygen content difference, Dr. William Stringer. In his seminal 1997 article published in the Journal of Applied Physiology, “Cardiac output estimated noninvasively from oxygen uptake during exercise”, Dr. Stringer found that the arterial mixed venous oxygen content difference during incremental exercise can be estimated because it behaves in a predictable, linear fashion, thus avoiding the difficult blood sampling. Reading the article by Stringer et al., which was referenced in the CPET (cardiopulmonary exercise testing) machine manual Burchert used during his PhD work, sparked Burchert's interest to investigate the literature and ultimately build on Stringer's methodological approach by collaborating with this former school friend Dr. Fabian Klimpel. Burchert et al. found that a 3rd order polynomial S-curve described the arterial mixed venous oxygen content difference slightly better. More importantly, the authors also determined that the inflection point of this function could be related to the first ventilatory threshold and the inflection point of the oxygen dissociation curve. Why is this important? A deeper understanding of the mechanisms behind the s-shaped response has potential clinical translation, as the method could be further developed by tailoring it to individual patients. Listen as we discuss why it is important for early career researchers “to look back in order to look forward,” to use collaborators from other disciplines to support thinking creatively about cardiovascular physiology, and to align with mentors who facilitate young careers through constructive peer review and publication.   Holger Burchert and Fabian Klimpel Revisiting cardiac output estimated noninvasively from oxygen uptake during exercise: an exploratory hypothesis-generating replication study Am J Physiol Heart Circ Physiol, published August 25, 2023. DOI: 10.1152/ajpheart.00330.2023   William W. Stringer, James E. Hansen, and K. Wasserman Cardiac output estimated noninvasively from oxygen uptake during exercise J Appl Physiol, published March 1, 1997. DOI: 10.1152/jappl.1997.82.3.908   Fick, A On the Measurement of the Blood Quantum in the Ventricles of the Heart. Bauhaus-Universität Weimar, 1870, p. 16.

Measuring VO2 max accurately typically requires specialized equipment and expertise. Here's the best way to measure VO2 max and track improvements: 1. Laboratory Testing (Gold Standard): Cardiopulmonary Exercise Testing (CPET): This is considered the gold standard for measuring VO2 max. It's conducted in a clinical or laboratory setting and involves the use of sophisticated equipment like a metabolic cart, a treadmill, or a cycle ergometer. During CPET, you wear a mask that collects data on the volume of oxygen you inhale and the volume of carbon dioxide you exhale while you progressively increase your exercise intensity until exhaustion. The data collected allows for precise determination of VO2 max. 2. Field Testing (Estimations): Submaximal Exercise Testing: These tests estimate VO2 max based on submaximal exercise, often using formulas that incorporate factors like heart rate response to exercise. Popular submaximal tests include the Rockport Walking Test and the Astrand-Rhyming Test. 3. Wearable Fitness Devices: Some advanced wearable fitness devices, such as certain sports watches and chest strap heart rate monitors, can estimate VO2 max based on data collected during exercise. These estimates can provide a rough idea of your VO2 max, but they may not be as accurate as laboratory testing. To Track Improvements in VO2 Max: Regular Testing: If possible, undergo periodic laboratory testing (CPET) to measure your VO2 max accurately. This provides a baseline and allows you to track improvements over time with precision. Field Tests: If laboratory testing is not feasible, consider using field tests like the Rockport Walking Test or Astrand-Rhyming Test. These tests are useful for tracking relative improvements in VO2 max, even if the absolute values may not be as accurate as lab measurements. Use Wearable Devices: Some wearable fitness devices can track changes in estimated VO2 max over time. While these estimates may not be as accurate as laboratory testing, they can still provide a useful way to monitor your progress and set fitness goals. Maintain Consistency: To track improvements effectively, it's essential to maintain consistency in your testing methods, whether in a lab or using field tests or wearables. Use the same test or device under similar conditions each time you assess your VO2 max. Combine with Other Metrics: Monitoring improvements in VO2 max should be part of a comprehensive fitness assessment. Consider tracking other relevant metrics such as body composition, strength, endurance, and cardiovascular health to get a more holistic view of your fitness progress. Work with a Fitness Professional: If possible, work with a certified fitness professional or sports scientist who can help you design a structured exercise program and monitor your progress accurately. They can also provide guidance on improving your VO2 max through targeted training. Remember that improvements in VO2 max often require consistent and progressive aerobic exercise training over time. Consult with a healthcare provider or fitness expert before starting any new exercise program, especially if you have underlying health conditions or concerns about your fitness level. They can help you create a safe and effective plan for improving your cardiovascular fitness and VO2 max. Head to https://debbiepotts.net/why-should-you-test-your-vo2-max-if-you-want-to-improve-the-aging-process/ to learn more and contact Coach Debbie 

View the Show Notes Page for This Episode Become a Member to Receive Exclusive Content Sign Up to Receive Peter's Weekly Newsletter In this “Ask Me Anything” (AMA) episode, Peter dives deep into the critical topic of metabolic disease. He first sheds light on how poor metabolic health drives up the risk of developing other chronic diseases such as cardiovascular disease, cancer, neurodegenerative disease, and overall mortality. He explores the array of metrics and tests used to assess metabolic health, underscoring his preferred methodologies utilized with patients. Finally, Peter provides an overview of the factors one can manipulate in order to improve metabolic health. If you're not a subscriber and are listening on a podcast player, you'll only be able to hear a preview of the AMA. If you're a subscriber, you can now listen to this full episode on your private RSS feed or our website at the AMA #51 show notes page. If you are not a subscriber, you can learn more about the subscriber benefits here. We discuss: Importance of metabolic health and a primer on metabolic disease [1:30]; How poor metabolic health increases one's risk for other chronic diseases [6:00]; How useful is body weight and BMI for estimating metabolic health? [9:45]; Overview of various tests and metrics used to understand metabolic health [12:15]; Traditional biomarkers and how Peter's point of view may differ from the guidelines [15:00]; Lactate: insights into metabolic health through fasting and resting lactate levels [17:00]; Zone 2 output: an important functional test of metabolic health [20:00]; Cardiopulmonary exercise testing (CPET) [25:45]; Visceral adipose tissue (VAT): what is VAT and how does it impact health? [27:00]; Oral glucose tolerance test (OGTT): how it works and why it is such an important metric for assessing metabolic health [32:15]; The utility of a continuous glucose monitor (CGM) [40:45]; Liver function and NAFLD [42:15]; Sleep as an intervention [46:00]; Exercise as an intervention [53:15]; Diet and nutrition [59:00]; How reducing stress can improve metabolic health [1:05:15]; and More. Connect With Peter on Twitter, Instagram, Facebook and YouTube

Since its release, ChatGPT has provoked discussion within the arena of the classroom and beyond. ChatGPT is a revolutionary AI language model in many respects, capable of advanced and human-sounding prose. As a result, many teachers and administrators expressed concern when the AI-bot was first released, with many schools banning access to ChatGPT on their school or district internet. Today we are talking to Dr. Cristina Compton, an elementary education and project-based learning specialist at CPET; Chelsey Barber, a current PhD student at Teachers College whose research interests include the effects of 21st technology on learning & teaching; and Kelsey Hammond, a professional development and literacy coach at CPET, about all things ChatGPT.

Our classrooms are made up of students with diverse linguistic and cultural backgrounds. In some cases, our students are learning a new language in addition to discipline-specific content. Multi-language learners require intentional support to improve their fluency both reading and writing. What do those strategies look like in teachers' planning and instruction, especially when teachers do not speak their students' home language? We are talking to Marcia Garcia Underwood, founder and CEO of M Ideas Consulting Services, and Lauren Midgette, a professional development coach at CPET. Both of our guests today will be sharing their most effective strategies to support multi-language learners based on their years of classroom and coaching experience.

CME credits: 1.75 Valid until: 31-05-2024 Claim your CME credit at https://reachmd.com/programs/cme/screening-and-diagnosis-of-pah-cardiopulmonary-exercise-testing-cpet/15561/ In late 2022, the ERS/ESC issued new guidances for screening, diagnosis, and treatment of all forms of pulmonary hypertension. The new guidelines insist on regular and consistent risk assessment for all patients, not just for initial diagnostic purposes but for monitoring and management once a diagnosis is made. This program covers numerous aspects of the new ERS/ESC guidelines, with some practical examples and a focus on Group 1 PAH and other forms. New diagnostic approaches are considered, and accurate and complete cardiac imaging is a focus.

Let's be real: teacher appreciation week should be EVERY week. In this special episode, we want to honor and to celebrate the challenging work that teachers do every day to educate and to inspire their students. We've brought our CPET colleagues together to share stories about the teachers who have had a profound impact on us as individuals.

Connecting real-world scenarios to classroom content creates wonderful learning opportunities for students — but it also requires that teachers make many decisions about how to organize, sequence, and assess their instruction. Dr. Adele Bruni Ashley and Dr. Cristina Compton — both of whom lead CPET's project-based learning initiatives — talk with us this week about what sets project-based learning apart from traditional assessments, and how to build relevant instruction for students.

This week, please join author Jennifer Conway as she discusses the article "The Prevalence and Association of Exercise Test Abnormalities With Sudden Cardiac Death and Transplant-Free Survival in Childhood Hypertrophic Cardiomyopathy." Dr. Carolyn Lam: Welcome to Circulation on the Run, your weekly podcast summary and backstage pass of the journal and its editors. We're your co-hosts. I'm Dr. Carolyn Lam, associate editor from the National Heart Center and Duke National University of Singapore. Dr. Greg Hundley: And I'm Dr. Greg Hundley, associate editor and director of the Pauley Heart Center at VSU Health in Richmond, Virginia. Carolyn, wow. We're closing out the month of February, this is February 28th. And the feature discussion today, very interesting. So in patients with hypertrophic cardiomyopathy, we often see them as adults, and guidelines are very clear on how to manage them. What about patients' children that present with hypertrophic cardiomyopathy? How do we manage them? Should we do exercise testing? Well, to get the answers to some of those questions, you'll have to wait listeners to our feature discussion today. But first we're going to grab a cup of coffee and jump into some of the other articles in the issue. Carolyn, would you like to start? Dr. Carolyn Lam: I would love to. With this first paper, which is a preclinical study revealing a novel signaling axis in cardiorenal interaction. Dr. Greg Hundley: Wow. Pray tell. Dr. Carolyn Lam: I will. So this paper is from Dr. Molkentin and colleagues from University of Cincinnati. And using mouse models of ischemia reperfusion acute kidney injury and unilateral ureteral obstruction, these authors found that interleukin 33 release from the kidney endothelium during acute kidney injury communicates with the heart through the suppression of tumorigenicity 2 or ST2L receptor on cardiomyocytes. And that's where it causes hypertrophy, fibrosis, and loss of cardiac function. Mice lacking interleukin 33 or mice lacking the gene encoding this ST2L receptor on cardiomyocytes, but not endothelial cells or fibroblasts, were protected from acute kidney injury induced hypertrophy and cardiomyopathy. Indeed, inhibition of acute interleukin 33 release from the kidney after acute kidney injury with a monoclonal antibody prevented cardiomyopathy. So the interleukin 33 ST2L signaling axis is a novel potential therapeutic target to protect the heart during kidney injury. Dr. Greg Hundley: Wow, Carolyn, really interesting preclinical science relating acute kidney industry and cardiomyopathy. Well, I have another paper from the World of Preclinical Science. And, Carolyn, this pertains to the metalloprotease ADAMTS7, and it is a novel locus associated with human coronary atherosclerosis. ADAMTS7 deletion protects against atherosclerosis and vascular restenosis in rodents. Carolyn, these authors led by Professor Wei Kong from Peking University designed three potential vaccines consisting of distinct B-cell epitopic peptides derived from ADAMTS7 and conjugated with the carrier protein KLH as well as aluminum hydroxide as an adjuvant. And they tested the efficacy of the vaccines to evaluate coronary intimal hyperplasia in mirroring wire models and after stent implantation in porcine models. Dr. Carolyn Lam: Oh, wow. So a vaccine against atherosclerosis? Cool. Dr. Greg Hundley: Yeah, it is really a vaccine concept against restenosis. Carolyn, this peptide vaccine against metalloproteinase ADAMTS7 efficiently mitigated atherosclerosis in vaccinated hyperlipidemic mice without lowering lipid levels and impeded intimal hyperplasia in both the murine wired injured arteries and the swine stented coronary arteries without any significant immune related organ injuries. Carolyn, the clinical implications are that the vaccine against the metalloproteinase ADAMTS7 is a novel atherosclerosis vaccine, mainly targeting vascular remodeling, thereby also alleviating instent restenosis. And perhaps in the future the application of this vaccine would be a complimentary therapeutic avenue to current lipid loading strategies for atherosclerotic disease. And this is nicely followed by an editorial from Professors Heribert Schunkert and Thorsten Kessler. Dr. Carolyn Lam: Cool, thanks, Greg. Well, this next paper asks the question that if coronary artery calcium can be identified on non-gated chest CTs, can this finding be effectively incorporated into care with the help of AI? So the Notify One was a randomized quality improvement project in the Stanford healthcare system. Patients without known atherosclerotic cardiovascular disease or a prior statin prescription were screened for coronary arterial calcium on a prior nongated chest CT from 2014 to 2019 using a validated deep learning algorithm with radiologist confirmation. Patients with incidental coronary artery calcium were randomized to notification of the primary care clinician and patient versus usual care. Notification included a patient specific image of coronary artery calcium and guideline recommendations regarding statin use. And the primary outcome was statin prescription within six months. Dr. Greg Hundley: Really interesting, Carolyn. So coronary artery calcium observed when a patient might happen to come in for another chest CT scan or actually randomizing a patient population to being notified and maybe doctors act on it versus not. So what did they find? Dr. Carolyn Lam: Yep, beautifully summarized. And this is from Dr. Sandhu and colleagues from Stanford University. And what they found was among more than 2000 patients who met initial and clinical inclusion criteria, coronary artery calcium was identified by the algorithm in 424 patients and confirmed by a radiologist in 89% who were randomized to notification or usual care. At six months, the statin prescription rate was 51% in the notification arm versus 7% with usual care. Thus, opportunistic coronary artery calcium screening of prior nongated chest CTs followed by clinician and patient notification led to a significant increase in statin prescriptions. Further research is of course needed to determine whether this approach can actually reduce atherosclerotic cardiovascular disease events. This is discussed in an editorial by Doctors Joshi, Nasser, and Navar. Dr. Greg Hundley: Wow, Carolyn, you know, this all fits with behavioral science. When we see something, then often we change our behavior much more readily. And so, gosh, boy, just a perfect example of that in this last paper. Well, there's some other articles in the issue, and I see again, just as it was last week, you've got a whole list here to describe. Dr. Carolyn Lam: Oh, you bet Greg. First, there's an exchange of letters between Doctors Du and Lee on physical activity has no significant association with stroke. There's a primer by Dr. Leyva on “Declining Risk of Sudden Cardiac Death in Heart Failures, Is that a Fact or a Myth?” There's a Research Letter by Dr. Soehnlein on “Time Restricted Feeding Enhances Early Atherosclerosis in Hypercholesterolemic Mice.” There's also Highlights from the Circulation Family of Journals by Molly Robbins. The characteristics of patients with recurrent sudden cardiac death are described in circulation arrhythmia and electrophysiology. A proof of principle gene therapy for correction of long QT two and short QT one syndromes is presented in circulation, genomic and precision medicine. The impact of food insecurity on heart failure mortality is reported in circulation heart failure. The associations of hypertension and hypertension treatment with differences in sexual identities are presented in circulation, cardiovascular quality and outcomes. A multi-modality imaging and biomarker strategy to detect early decompensation with chronic aortic regurgitation is reported in circulation cardiovascular imaging, and an analysis of revascularization at the time of TAVR on cardiovascular outcomes is reported in circulation cardiovascular interventions. Finally, that's a Perspective piece by Dr. Turer on cardiac myosin inhibitors unlocking potential to improve treatment in hypertrophic cardiomyopathy. Dr. Greg Hundley: Wow, Carolyn, just another issue that's so rich with both preclinical and clinical science. Well, how about we get off to that feature discussion and learn more about management of children and young adults with hypertrophic cardiomyopathy? Dr. Carolyn Lam: So important. Let's go. Dr. Greg Hundley: Welcome listeners to this February 28th feature discussion where we're going to work into the world of hypertrophic cardiomyopathy in children. And we have with us today Dr. Jennifer Conway from Stollery Children's Hospital in Edmonton, Alberta. Welcome Jennifer. And maybe Jennifer, let's start off, could you describe for us some of the background information that went into the preparation of your study, and what was the hypothesis that you wanted to address? Dr. Jennifer Conway: Sure. And I would just like to start by thank you for inviting us to really present the information from our paper. We think it's a very exciting paper and are excited to share our results. When you think about hypertrophic cardiomyopathy in children, a lot of the information in the past has really been extrapolated from adults. And we know from the recent 2020 guidelines that exercise testing is really no longer part of risk stratification for adults. It's mostly used to look at functional outcomes and really when assessing patients more for heart failure related symptoms. So we wanted to see whether or not exercise testing in children had a different role because we know the recent risk stratifying calculators such as the primacy calculator that's come from this cohort of patients or HCM risk kids, has different risk factors that have been identified for sudden events, for instance, than in the adult population. And that's really kind of sparked us to see, well, maybe exercise has a different role in children than it does in adults. Dr. Greg Hundley: And so we wanted to investigate the role of exercise testing in children with hypertrophic cardiomyopathy. So how did you arrange your study design, and what was your study population? Dr. Jennifer Conway: This is an international cohort of 20 centers from the US, Canada, and Australia. And it's an observational cohort, and there is over 724 patients' information that has been collected within this cohort of patients. And for this particular study, 630 of them had an exercise test and therefore were included in the study to look at. Dr. Greg Hundley: And in the study population, I know it's a pediatric population, what was the age range? Dr. Jennifer Conway: The average range was about 13 years old with probably the youngest being around eight because that's really where you can do an exercise test with and that's up to 18 years of age. So that's kind of the general age range of patients. Dr. Greg Hundley: And of these pediatric populations, what percentage were, I guess, boys versus girls? Dr. Jennifer Conway: Yeah, so just over 75% were males within this study population. Dr. Greg Hundley: Okay. And then now Jennifer, can you describe for us your study results? Dr. Jennifer Conway: Sure. I think the first main result is that we can really think about what we defined as an abnormal exercise test so maybe we'll start with that and kind of explain our findings there. So abnormal exercise test in this study was really a threefold one if you had an abnormal blood pressure response. The other one is if you had ventricular ectopy or if you had ST-T wave changes, which we described as ischemia. And so taking those three together, about 28% of our pediatric patients had an abnormal finding on their exercise test. So that's kind of the first main finding. So then we took those abnormal exercise patients and compared those with a normal exercise test to try to look for outcomes. And the two outcomes that we mainly focused on all cause mortality and transplantation is one outcome and the other one was sudden cardiac death events. So when we looked at the five-year freedom for all cause mortality and transplant, we found that those who had an abnormal exercise test had a lower five-year freedom from all cause mortality and transplantation. And when we sub-analyzed the different abnormalities in the exercise test, we found that ischemia and an abnormal blood pressure response were both associated with kind of a higher risk of mortality and transplantation. And then when we went on to look at sudden cardiac death events, there was really no difference seen between those with an abnormal or normal exercise test in terms of sudden cardiac death events. But when we looked at the individual factors once again exercise induced ischemia was associated with a lower freedom from a sudden cardiac death event. Dr. Greg Hundley: Jennifer, frequently in adults we're often examining with exercise how the intracavitary or left ventricular outflow tract gradient may change with exercise. What did you find in children in regards to that parameter? Dr. Jennifer Conway: Yeah, so we couldn't actually study that because this was a compilation of different types of exercise tests. So not everybody at each institution did the same form of exercise tests. So some patients had an exercise echo, some had a CPET test, and some had an exercise stress test. And so we took the common parameters from all of those to study, so we weren't specifically able to look at LV outflow tract gradients for instance. Dr. Greg Hundley: Jennifer, as a pediatrician managing a patient with hypertrophic cardiomyopathy, how do we use the results of your study to influence how we might manage patients moving forward? Dr. Jennifer Conway: I think this is an excellent question, and there's probably really two things that we can think about. The first is, what is the role of exercise testing in pediatrics? And just as we're starting to discover what our risk factors are for sudden cardiac death events, I think we have to do a little bit more to discover what our role is truly going to be with exercise test. So one of the things that we're doing as part of the primacy group is trying to decide is if we add exercise testing abnormalities to the already developed primacy calculator, does it change its power at all? That's one of the things kind of for the future to see with the current kind of sudden death risk factor calculators, can exercise, add to them? The second thing is I think that there is probably a role in exercise testing in general with patients that you see in your clinic to look at these predictive outcomes, and that is not standard across centers. We know that because not everybody in this cohort had an exercise test. I think there are some higher risk patients that likely are not suitable for exercise tests, but I think a majority of the patients that we see likely can undergo exercise testing. And although it's not published in this paper, of the 630 patients, there's only one patient who had a kind of aborted arrest during the exercise test. And that patient was a higher risk patient who had a previous reported aborted arrest. And this actually corresponds with two other papers in the literature, one from CHOP in Boston where it's a very low event rate when exercise testing is done in a controlled environment with professionals around and have a lab set up to specifically do that. The other aspect of this I think is that as we're starting to understand hypertrophic cardiomyopathy in general better, I think using exercise tests to try to help design exercise interventions is going to be important. Another study that I'm doing that's not part of this is looking at the cardiovascular health of children with hypertrophic cardiomyopathy across Canada. And we are finding that there's a high level of obesity, sedentary lifestyle, high lipid profiles for instance, all of which put people at risk for cardiovascular disease as adults. And so I think as we're getting more comfortable potentially with looking at exercise prescriptions for hypertrophic cardiomyopathy patients and understanding risks a bit better, then exercise testings going to be a key in trying to design maybe some of that programming for patients. Dr. Greg Hundley: Wow, Jennifer, just a beautiful explanation of where we need to move with your research results in the future. One thing that kind of caught my attention as you were speaking, really safety. So for all our listeners, in terms of exercising children with this condition or young adults, would you recommend a specialized center or what would you describe in that, at least in terms of safety precautions? Dr. Jennifer Conway: Well, if you look at all the... There's not a lot of studies that have been published, but the ones that have, they're in a lab that commonly exercises children. They have protocols of who they will exercise and who they won't and when you would stop an exercise test. For instance, the paper from CHOP nicely describes how they approach the exercise in hypertrophic cardiomyopathy, and they have clear guidelines of when they stop testing. So in their 140 patients, for instance, they stop testing in two patients, one who had, I think ST segment changes and the other one who developed some ventricular ectopy. I think it needs to be in a controlled environment where you have safety measures in place and you have guidelines to direct you in terms of if this happens, this is the response to that. I think that's all very important when you're kind of thinking about exercising what has been deemed as higher risk patients. Dr. Greg Hundley: Very nice. Well, listeners, we want to thank Dr. Jennifer Conway from Stollery Children's Hospital in Edmonton, Alberta for sharing with us these really interesting results, highlighting that exercise abnormalities are common in childhood hypertrophic cardiomyopathy, and an abnormal exercise test was independently associated with lower transplant free survival especially in those with ischemic or abnormal blood pressure responses during that exercise testing. Well, on behalf of Peter, Carolyn and myself, we want to wish you a great week, and we will catch you next week on The Run. This program is copyright of the American Heart Association 2023. The opinions expressed by speakers in this podcast are their own and not necessarily those of the editors or of the American Heart Association. For more, please visit ahajournals.org.

Do you experience Post-Exertional Malaise? I have for a number of years now, and it can be utterly debilitating. But, like the term “brain fog”, I know what PEM means, what it feels like, subjectively, but I didn't know all that much about what we actually mean when we talk about PEM. What's actually happening inside our bodies when we experience these exacerbation of symptoms hours or days after exerting ourselves? These are questions I've been pondering for a while, so I'm delighted to be joined for this episode by Todd Davenport, a Professor at the Department of Physical Therapy at the University of the Pacific in California in the US. Todd has been involved in pioneering studies of Post-Exertional Malaise in ME/CFS patients using CPET exercise techniques and has such fascinating insights and understanding of PEM, which I can't wait to share with you. In this episode we cover: * The science of PEM* What are the symptoms of PEM * How to recognise it * What triggers it * What we can do to reduce PEM * A realistic conversation about pacing to mitigate PEM……and much more! To listen, you can just click play at the top of this email, or you can listen on Apple, Spotify, Amazon and Google.If you'd rather read the transcript of the episode, I've made that available on my blog.Please note: if you receive this email within the first few hours of it being sent out, it might take a few hours for the podcast to filter through to some of the podcast platforms like Amazon or Spotify.Thanks to my brilliant producer Philly Guillou at OG Podcasts, to Lucy Dove for the episode art, and to Amit Rai for my intro music. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit natashalipman.substack.com

Whether you entered the spring semester with the same students and staff, or are starting fresh, developing and maintaining a positive community is critical to maximizing the potential of students and adults. If you haven't been focusing on communities of practice, you may feel it's too late — or you may have communities of practice in place and are wondering what you can do to move to the next level. G. Faith Little, CPET's Initiative Director for 21st Century Learning, joins us to talk about the challenges and possibilities of creating and supporting these essential community groups.

"This condition is really overlooked. The point of the Monograph is that it should, hopefully, raise awareness." In the latest instalment of the ERS Monograph podcast series, Editorial Board member Holly Keir talks to James H. Hull, one of the Guest Editors of the Monograph on Complex Breathlessness. In a conversation that focuses on the need for robust investigation when faced with unexplained breathlessness, James and Holly discuss: the use of physiological tests and CPET for assessment; postural tachycardia syndrome and autonomic dysfunction; the importance of developing breathlessness clinics in the future; and therapy-based treatments, such as physiotherapy and speech and language therapy.

Laurie Soine, PhD, ARNP, is a board-certified nurse practitioner in the UW Medicine Department of Medicine and serves in the role of Chief ARNP for UWMC.  In 2013, she was awarded the UW School of Nursing Distinguished Practitioner Award for demonstrating nursing care excellence. She is also a UW School of Medicine teaching associate and is a clinical assistant professor in the School of Nursing.    Laurie's research interests include the impact of what patients know and its effect on clinical outcomes, and describing factors associated with creating robust models of advanced practice nursing.0:30 - Who is Laurie Soine2:15 - Move to the Nuclear Lab6:20 - The changes in Nuclear Cardiology9:45 - Patient Interactions12:30 - Clinical Secrets15:25 - Patients understanding the Why21:00 - Move to (CPET) Cardio-Pulmonary Exercise Testing24:00 - Why a CPET26:40 - What is CPET like for a patient27:34 - Testing for Lung vs. Heart32:50 - Dr. Robert Bruce - "Father of exercise cardiology"35:00 - Future of diagnostics and CPET for Covid-1940:15 - Advanced Practice Provider's (APP) Research42:25 - Quantifying Impact of APP's46:00 - Taking the administrative role51:30 - Growth from 2 to 50 APPs53:00 - Primary to Specialty Roles in APP Realm59:20 - Advice to Cardiology FellowsContact Laurie: lsoine@uw.edu

Teachers go through years of education and hundreds of hours of internships to become certified or licensed to teach in their area of study, but there's often very little training that goes into becoming a teacher leader. Teacher leaders often jump — or are thrown — into their roles without realizing how much support they need to develop the nuanced skills needed to lead adults on teams or in coaching relationships. In this episode, we're talking to our CPET crew — Courtney Brown, Dr. Cristina Compton, and G. Faith Little — about the benefits and challenges of becoming a teacher leader.

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Some Answers and Tough Love We have two half price sales going right now!    Premium Feather Duster  https://shop.flylady.net/p/(PFD) Carpet Sweepa Carpet Sweepa   https://shop.flylady.net/p/(CPET)   Coupon Code to Save 31% with 31BABYSTEPS   Calendars are Available https://shop.flylady.net/p/_All_Tools   Thank You! We just hit 105,000 family members on Youtube!    CHAOS to Clean; in 31 Easy BabySteps https://shop.flylady.net/p/(CC)   I have set up a Patreon Page in order to have a platform that is free of censorship. https://www.patreon.com/theflylady   Out of the Darkness; Coming Through Depression https://www.amazon.com/OUT-DARKNESS-Coming-Through-Depression/dp/1733381813/   Get Ready to Save Big!   Body Clutter Tea Reg and Decaf makes a great Gift! https://shop.flylady.net/p/_Wise_Women   Pastor Derek Prince has been a blessing to me this last week. Check out his Youtube Channel.  https://www.youtube.com/c/DerekPrinceMinistries   If you really want to see real changes in your life Join FlyLady https://www.flylady.net/signup/ to receive our messages.    www.FlyLady.net

Agree with Me Here is some of the best coverage from Ryan Hall Y'all https://youtu.be/as5ktgoPLJc   We have two half price sales going right now!    Carpet Sweepa Carpet Sweepa   https://shop.flylady.net/p/(CPET) Premium Feather Duster  https://shop.flylady.net/p/(PFD)   Coupon Code to Save 31% with 31BABYSTEPS   Calendars are Available https://shop.flylady.net/p/_All_Tools   Thank You! We just hit 105,000 family members on Youtube!    CHAOS to Clean; in 31 Easy BabySteps https://shop.flylady.net/p/(CC)   I have set up a Patreon Page in order to have a platform that is free of censorship. https://www.patreon.com/theflylady   Out of the Darkness; Coming Through Depression https://www.amazon.com/OUT-DARKNESS-Coming-Through-Depression/dp/1733381813/   Get Ready to Save Big!   Carpet Sweepa  https://shop.flylady.net/p/(CPET)   Body Clutter Tea Reg and Decaf makes a great Gift! https://shop.flylady.net/p/_Wise_Women   Pastor Derek Prince has been a blessing to me this last week. Check out his Youtube Channel.  https://www.youtube.com/c/DerekPrinceMinistries   If you really want to see real changes in your life Join FlyLady https://www.flylady.net/signup/ to receive our messages.    www.FlyLady.net

Buttercup   We have two half price sales going right now!   Carpet Sweepa Carpet Sweepa https://shop.flylady.net/p/(CPET) Premium Feather Duster https://shop.flylady.net/p/(PFD)   Coupon Code to Save 31% with 31BABYSTEPS   Calendars are Available https://shop.flylady.net/p/_All_Tools   Thank You! We just hit 105,000 family members on Youtube!   CHAOS to Clean; in 31 Easy BabySteps https://shop.flylady.net/p/(CC)   I have set up a Patreon Page in order to have a platform that is free of censorship. https://www.patreon.com/theflylady   Out of the Darkness; Coming Through Depression https://www.amazon.com/OUT-DARKNESS-Coming-Through-Depression/dp/1733381813/   Get Ready to Save Big!   Carpet Sweepa https://shop.flylady.net/p/(CPET)   Body Clutter Tea Reg and Decaf makes a great Gift! https://shop.flylady.net/p/_Wise_Women   Pastor Derek Prince has been a blessing to me this last week. Check out his Youtube Channel. https://www.youtube.com/c/DerekPrinceMinistries   If you really want to see real changes in your life Join FlyLady https://www.flylady.net/signup/ to receive our messages.   www.FlyLady.net

In 2002, Dr. Ruth Vinz, founded the Center for the Professional Education of Teachers with the help of a generous donation. Her vision to bridge the gap between theory and practice in a manner that perpetuates the professionalism of educators has endured for 20 years and impacted countless teachers, leaders, and students. The Teaching Today podcast is an extension of the Center. In this celebratory episode, we are joined by Ruth as Teaching Today celebrates its 100th episode in conjunction with the 20-year anniversary of the Center of the Professional Education of Teachers.

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Answer Your Questions   New Coupon Code to Save 40% FREEDOM40   Calendars are Available https://shop.flylady.net/p/_All_Tools   Thank You! We just hit 103,000 family members on Youtube!    CHAOS to Clean; in 31 Easy BabySteps https://shop.flylady.net/p/(CC)   I have set up a Patreon Page in order to have a platform that is free of censorship. https://www.patreon.com/theflylady   Out of the Darkness; Coming Through Depression https://www.amazon.com/OUT-DARKNESS-Coming-Through-Depression/dp/1733381813/   Get Ready to Save Big!   Carpet Sweepa  https://shop.flylady.net/p/(CPET)   Body Clutter Tea Reg and Decaf makes a great Gift! https://shop.flylady.net/p/_Wise_Women   Pastor Derek Prince has been a blessing to me this last week. Check out his Youtube Channel.  https://www.youtube.com/c/DerekPrinceMinistries   If you really want to see real changes in your life Join FlyLady https://www.flylady.net/signup/ to receive our messages.    www.FlyLady.net

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In this episode of the Heart podcast, Digital Media Editor, Dr. James Rudd, is joined by Dr. Buber from Seattle. They discuss all aspects of CPET testing for heart failure and many other indications. If you enjoy the show, please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 Link to published paper: https://heart.bmj.com/content/early/2022/04/10/heartjnl-2021-319617

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Rest   Half-Price Sale on Swish Pack https://shop.flylady.net/p/(SPACK)Flash Sale for New   Pack of Inspiration https://shop.flylady.net/p/(INSPACK)   We have a new tool for our Kitchen https://shop.flylady.net/p/(KIT)   Thank You! We just hit 100,000 family members on Youtube!   Free Gift with Purchase of a Feather Duster https://shop.flylady.net/p/_Dust_n_Shine   Back to Basics Package https://shop.flylady.net/p/(BBPACK)   CHAOS to Clean; in 31 Easy BabySteps https://shop.flylady.net/p/(CC)   I have set up a Patreon Page in order to have a platform that is free of censorship. https://www.patreon.com/theflylady   Out of the Darkness; Coming Through Depression https://www.amazon.com/OUT-DARKNESS-Coming-Through-Depression/dp/1733381813/   Get Ready to Save Big!   Carpet Sweepa https://shop.flylady.net/p/(CPET)   Feather Duster https://shop.flylady.net/p/(PFD)   Body Clutter Tea Reg and Decaf makes a great Gift! https://shop.flylady.net/p/_Wise_Women   Pastor Derek Prince has been a blessing to me this last week. Check out his Youtube Channel. https://www.youtube.com/c/DerekPrinceMinistries   Calendars are Available https://shop.flylady.net/p/_All_Tools   If you really want to see real changes in your life Join FlyLady https://www.flylady.net/signup/ to receive our messages.   www.FlyLady.net

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