Podcasts about diagnostic

In this deeply moving episode, midwife and mother Ria shares her journey through motherhood with her daughter Olive, who has a rare genetic condition. Ria's story is one of resilience, advocacy and the profound love that comes with parenting a child with additional needs. If you’re preparing your nursery or planning for a new arrival, here’s a little heads-up you won’t want to miss. iL Tutto’s End of Financial Year Sale starts Monday 17th June and runs through to 11:59pm on 1st July – and it’s their biggest one yet. You’ll find up to 50% off their most-loved pieces – like the Felix Glider & Ottoman, the Como Cot Set, and the beautiful Lulu Vanilla Bouclé Chair. There’s also 30% off the Leo Electric Recliner and Glider, 20% off the sleek Maya Chair from their new Trend Collection, plus savings on Grow Kindly natural fibre sleepwear, Boba Baby Carriers, and Snuggle Me Organic Feeding Pillows. And just for Australian Birth Stories listeners, you’ll get an extra 5% off everything – even sale items – with the code ABS5 at checkout. Shop the sale from June 17th at iltutto.com.au and don’t forget to use code ABS5 at checkout.See omnystudio.com/listener for privacy information.

Dena Marrinucci, PhD, co-founder and COO of Truvian Health, joins the show to discuss her mission to transform blood diagnostics through a point-of-care device that delivers rapid, actionable results. She shares the origin story of founding Truvian in 2015—coincidentally just weeks before the Theranos exposé—and reflects on navigating industry skepticism in the post-Theranos landscape. Marrinucci also outlines the company's FDA submission process, the importance of empowering immediate patient-provider decision-making, and what the initial panel of 30+ lab tests offers for routine care, among so much more. Read the article on the Truvian Health blood test. https://www.newsweek.com/truvian-lab-company-blood-test-device-theranos-health-care-1997422 Check out Chadi's website for all Healthcare Unfiltered episodes and other content. www.chadinabhan.com/ Watch all Healthcare Unfiltered episodes on YouTube. www.youtube.com/channel/UCjiJPTpIJdIiukcq0UaMFsA

The James Cancer Diagnostic Center has quickly become a valuable resource for the Central Ohio community and beyond. “Since we opened [in June 2020] we've had about 7,000 total visits … and about 40 percent have been diagnosed with some type of cancer,” said Tina Sowers, the Center's administrator. In this episode we are joined by Raquel Reinbolt, MD, medical director of the Center, Sowers, and Rupa Ghosh-Berkebile and Victoria Krogg, the Center's two advanced practice providers. The Center opened in the midst of the COVID epidemic. “The goal was to reach more patients and open a new front door to the James,” said Reinbolt, MD. She added people without a primary care physician can “self-refer to us and we can accommodate telemedicine visits. This leads to earlier diagnoses and better outcomes and quality of life. That's why we're such strong advocates for screenings and for not ignoring symptoms.” The Center is located on the 5th floor of the James Cancer Hospital on The Ohio State University campus. Suspecting you might have cancer, and then an actual diagnosis, can lead to heightened levels of anxiety. Ghosh-Berkebile and Krogg excel at helping patients understand their cancer diagnosis and to reduce some of their fears. “We help the patients understand what's happening to them and that we care about them,” Ghosh-Berkebile said.Krogg uses a whiteboard to describe complicated cancer and medical procedures. “It really helps, especially for patients who aren't familiar with medical terms, which is most patients. This job is rewarding because we help patients during a vulnerable time in their lives.” “And we let them know there is hope and we will get you to the right people at the James,” Ghosh-Berkebile added. The James Cancer Diagnostic Center is one of the first in the country, and other major cancer centers have taken notice. “Several of these cancer centers have reached out to us,” Sowers said. “They want to know how we're doing it and they want to learn from us.”

Welcome to a Tale Teller Club Publishing Podcast.Behind the Mask: Understanding Female Masking in Autism and the Push for Earlier Diagnoses.For decades, the narrative surrounding autism has been overwhelmingly male. Diagnostic criteria were originally developed based on studies of young boys, leaving a vast number of autistic girls and women misdiagnosed—or not diagnosed at all. The consequences of this oversight are profound, particularly when it comes to the phenomenon of female masking.What is Female Masking?Female masking refers to the ways many autistic women (and AFAB nonbinary individuals) consciously or subconsciously camouflage their autistic traits in order to blend in socially. This includes mimicking social behaviors, scripting conversations, suppressing stims, and copying facial expressions or body language from peers. It's a survival tactic often developed from an early age to avoid bullying, exclusion, or being labeled as "weird."While masking may provide short-term social inclusion, the long-term costs are significant. Many women report chronic exhaustion, anxiety, depression, identity confusion, and even burnout—a condition similar to chronic fatigue triggered by years of performing neurotypical behavior under pressure.Why Do Autistic Women Go Undiagnosed?There are several intersecting factors:Gender Bias in Diagnostic Tools: Most traditional autism tests were based on male presentations—such as overt repetitive behaviors or obvious communication delays—which may not manifest the same way in girls and women.Social Conditioning: From a young age, girls are often socialized to be more compliant, empathetic, and nurturing. This can make autistic traits less noticeable or easier to mask.Misdiagnoses: Many women are first diagnosed with anxiety, borderline personality disorder, OCD, or eating disorders—conditions that can co-occur with or mask autism.Internalized Ableism: Some women internalize a belief that their struggles are moral failings rather than neurological differences, leading to shame, silence, and missed opportunities for help.What Is Being Done to Change This?The tide is slowly turning, thanks in large part to advocacy by autistic women, researchers, and clinicians pushing for better awareness and tools.1. Redesigning Diagnostic CriteriaEfforts are underway to broaden and update autism diagnostic frameworks to account for female and nonbinary presentations. This includes recognizing more subtle signs like:Social exhaustion after brief interactionsPreference for deep, solitary special interestsEmotional hypersensitivity or meltdowns behind closed doorsExtreme self-monitoring and perfectionismThe use of gender-sensitive screening tools, such as the Camouflaging Autistic Traits Questionnaire (CAT-Q) and revised checklists from clinicians like Dr. Judith Gould and Dr. Tony Attwood, are helping professionals identify masking patterns more effectively.2. Increased Awareness Among ProfessionalsAutism training for GPs, psychologists, and school staff is beginning to include modules on how autism presents differently in women and girls. Early years educators are being taught to spot non-disruptive behaviors and social exhaustion as potential signs, rather than only focusing on the more classically male behaviors like aggression or non-verbal communication.3. Autistic Women Sharing Their StoriesThe voices of late-diagnosed women are having a profound impact. Memoirs, blogs, podcasts, and social media accounts have created a thriving neurodivergent community where stories are shared, identities are affirmed, and others are encouraged to seek assessments.Authors such as Sarah Hendrickx, Laura James, and Dr. Camilla Pang have brought autism in women into the public eye, challenging the outdated image of what autism "looks like."4. Advocacy for Earlier, Affordable AssessmentCampaigns are now fighting to:Shorten NHS waitlists for autism assessmentsMake private assessments financially accessibleEncourage school-based referrals that look beyond disruptive behaviorRemove gendered bias from early years evaluationsAdditionally, there's growing awareness of intersectional barriers—for instance, how autistic women of color or those from low-income backgrounds are even more likely to be misdiagnosed or dismissed.Toward a Future of Acceptance and Early InterventionFemale masking is not just a clinical issue—it's an emotional one. It speaks to the lengths so many autistic individuals go to in order to survive in a world that isn't designed for them. By understanding and dismantling the biases that lead to late or missed diagnoses, we're moving closer to a world where girls and women on the spectrum are seen, supported, and celebrated from the beginning.Early diagnosis isn't about labels—it's about liberation. It's about giving individuals the language, tools, and confidence to unmask safely and thrive authentically.This is a LitBits broadcast for tale teller club publishing.

Bible StudyDon't just take our word for it . . . take His! We would encourage you to spend time examining the following Scriptures that shaped this sermon: .Sermon NotesI. The Fall and the Corruption of Work (Genesis 3)Sin enters through Adam and Eve's disobedience.Consequences: shame, hiding from God, broken partnership.Work is cursed:Pain in childbirth and relational struggle.Toil and frustration in labor (thorns, thistles, broken systems).Humanity tried to do life apart from God — the result is broken work.II. Three Pitfalls That Distort Work1. Individualism – Caring Too Much About Ourselves in WorkLuke 12: The rich fool stores wealth and speaks only to himself.God is absent from his plans and gratitude.Diagnostic questions:Is God your reference point?Do you use work to serve others?2. Idleness – Caring Too Little About the Work Itself2 Thessalonians 3: warning against laziness and not working.Broader definition of work: includes unpaid, volunteer, home-based.Matthew 25: Parable of the talents — don't bury your gifts.Idleness can stem from fear, not just laziness.3. Idolatry – Caring Too Much About WorkWork becomes identity or self-worth.Examples: over-identifying with parenting, business success, or ministry.Signs of idolatry:Can't stop working.Refusal to rest or Sabbath.Reminder of 6+1 rhythm of work and rest from creation.III. The Way Forward: The Cross and the SpiritThe Cross: Where we bring our sin and receive forgiveness.The Spirit: Empowerment for change and restored partnership with God.Through the Spirit, we can:Reject the lies of individualism, idleness, and idolatry.Embrace a God-centered, Spirit-empowered vision for work.Sermon ApplicationDiscussion Questions:What is one way you experience the distortion of work on a regular basis?To which of the pitfalls of work are you most susceptible?If you don't like your job, can you still honor God in it? How?If someone's work is raising kids, what might sabbath look like?Additional ResourcesThe Gospel at Work by Sebastian Traeger and Greg GilbertQuestions?Do you have a question about today's sermon? Email Randy Forrester ().

In this insightful and comprehensive discussion, Shelley Howard hosts Jackie Pollina, founder of J&J Test Prep and No BS SAT Prep, to explore the critical role of test preparation in high school and college admissions. Jackie shares her entrepreneurial journey from a stressed high school test-taker to a passionate business owner who creates modern, digestible test prep approaches. They emphasize the ongoing importance of standardized testing, even in a test-optional world, highlighting how strong scores enhance admission chances and secure substantial scholarships. The conversation debunks common myths around the SAT and ACT, recommending personalized diagnostic testing to determine the best fit for each student. They also provide detailed guidance on the various test prep formats—private tutoring, intensive classes, and crash courses—tailored to different goals and preparation timelines, underscoring the need for strategic, multi-test preparation over time. Additionally, the dialogue touches on AP exam support, summer prep advantages, and the importance of proactive parental involvement. Real-life experiences reinforce the long-term impact of solid test strategies, demonstrating how early preparation benefits students well beyond admission, even into professional exams like the MCAT. Finally, they encourage parents to engage actively with test prep resources to maximize scholarship opportunities and optimize college readiness.HighlightsJackie Pollina founded J&J Test Prep with a mission to make test preparation modern, relatable, and manageable.Test-optional admissions still favor students with strong standardized test scores for admission chances and merit scholarships.Diagnostic testing is essential to decide whether a student should take the SAT or ACT based on individual strengths and timing.Effective test prep requires at least eight weeks and ideally multiple test attempts for significant score improvement.Strategic test prep can dramatically increase scores, influencing college admission and scholarship opportunities.Summer is the optimal season for test prep due to fewer academic distractions and more available study time.Test preparation is a skill that supports future professional exams, making early preparation an investment beyond college admissions.Key InsightsTest Prep as a Long-Term Skill: Jackie and Shelley stress that testing is not a one-time hurdle but a lifelong skill essential for careers requiring professional exams like the LSAT, MCAT, or boards. This reframing helps parents and students view test prep as a beneficial investment rather than a temporary chore. Developing strategies early fosters confidence and competence for decades ahead, reinforcing the importance of embracing test prep rather than avoiding it.The Nuances of Test-Optional Policies: While many students celebrate test-optional admissions by skipping tests, data shows that students with strong scores tend to be admitted more often and awarded more merit-based aid. Colleges remain flexible but often encourage submissions. This “test-optional” not “test-irrelevant” distinction is vital for families to understand—relying solely on test-optional policies can be risky if future admissions cycles change policies unexpectedly.Customized Test Selection via Diagnostics: Deciding between the SAT and ACT cannot be done on surface-level preferences or perceived subject strengths. Diagnostic exams provide a data-driven approach to uncover a student's natural aptitude, timing skills, and question-type preferences. This personalized method ensures students invest effort in the test most aligned with their abilities, optimizing their potential outcomes and reducing unnecessary frustration.Time Investment is Key for Meaningful Score Gains: Test prep is not a quick fix. Significant improvements (e.g., 200+ points on the SAT) require sustained, individualized preparation often through private tutoring. More moderate improvements can be obtained in structured classes. Crash courses serve as last-minute boosters but cannot replace comprehensive prep. This underscores the importance of planning ahead, managing expectations, and resisting the “one-and-done” test mindset.Scholarships Depend Heavily on Scores: Test scores play a critical role beyond admission—they are often a primary factor in awarding merit scholarships, which can substantially reduce the financial burden of college. Shelley's real-world story of her son's 300-point SAT improvement illustrates how strategic prep can be a financial game-changer, converting a generic state school opportunity into elite college admission, with profound long-term benefits.Summer Offers a Strategic Advantage: Utilizing summer breaks for test prep takes advantage of reduced academic stress and increased availability to focus on study. This timing allows students to absorb material effectively, avoid burnout during the school year, and be prepared for fall test dates. Summer prep is a smart, balanced approach rather than forcing test prep during already demanding school months.Parental Support and Realistic Expectations Are Vital: Students often dread test prep; motivation can be low. Hence, parental involvement is crucial to facilitate scheduling, advocate for professional help such as test strategists, and nurture a growth-oriented mindset around testing. Being a proactive, informed parent translates into better prep options, well-timed testing, and ultimately superior outcomes for the student.ConclusionThe conversation between Shelley Howard and Jackie Pollina serves as a valuable resource for families navigating the complexities of college test preparation. It offers evidence-based guidance on choosing tests, appropriate timing, and tailored prep formats, while also underscoring the financial and long-term personal benefits of mastering test-taking skills. Parents are empowered to approach test prep proactively and strategically, ensuring their teens maximize college admission and scholarship opportunities, and set the stage for future academic resilience.Connect with Shellee Howard:Website: www.collegereadyplan.com/YouTube: www.youtube.com/channel/UCr_WodPHDfSWEbiPdsRDbyQInstagram: https://www.instagram.com/collegereadyplan/LinkedIn: https://www.linkedin.com/company/college-ready/Email: shellee@collegereadyplan.comConnect with Jacqueline PollinaWebsite: www.jjtestprep.com/Facebook: https://www.facebook.com/jackie.pollina.sat.prep/                   www.facebook.com/jjtestprepInstagram: @jjtestprepTikTok: @testpreptipsEmail: contact@jjtestprep.com

In this insightful discussion, Shelley Howard interviews Sean Ivester, founder of Pivot Tutors, about the evolving landscape of college entrance testing and effective test preparation strategies. Sean explains that test prep timing depends largely on the student's academic standing and course progression. He advises parents to avoid overlapping SAT/ACT prep with heavy academic periods like finals or AP exams to protect students' GPA, which remains crucial. The conversation highlights that successful test prep is not about cramming but a focused, diagnostic approach to target and strengthen weaknesses. Sean emphasizes the importance of a diagnostic test as the first step for understanding a student's readiness. He distinguishes the SAT and ACT, outlining their structure, differences, and upcoming changes—for example, the ACT's shortening and optional science section—helping families choose the right test. Sean also addresses the common challenge faced by high-performing students who still struggle initially on standardized tests, clarifying that knowing the material is different from “beating the test,” which requires specific strategies and fresh familiarity with foundational concepts. The conversation covers the pros and cons of various prep methods like apps, AI tools, and tutors, underscoring the critical role of accountability, motivation, and personalized instruction. Sean describes Pivot Tutors' unique approach of pairing students with specialized math and English tutors who are vetted, trained, and seasoned professionals, ensuring high-quality instruction catering to students' needs. The dialogue concludes with practical advice for parents: start early, use diagnostic testing to guide prep plans, and understand that sustained, focused prep yields the best outcomes. Sean stresses that test prep skills are transferable and beneficial well beyond college admission, supporting future academic and professional testing challenges.Highlights• Timing for test prep depends on student's course level and academic load—avoid overlap with finals/AP exams• Diagnostic tests are essential first steps to identify strengths, weaknesses, and guide prep focus• Effective prep targets weak areas instead of broadly reviewing all content to maximize score improvements• SAT is shorter and more complex reasoning-based; ACT is longer with broader math content and a fast pace, soon to be shorter and less time-pressured• High-achieving students often initially underperform on tests due to different test-taking skills needed• Personalized tutoring with specialized math and English tutors enhances accountability, motivation, and progress• Starting test prep early (end of sophomore year or early junior year) allows more flexibility and reduces panicKey Insights• Diagnostic Testing as a Starting Point: Sean underscores that a comprehensive diagnostic test reveals a student's starting point, exposing specific skill gaps and careless errors. This transforms test prep from a guessing game to a data-driven, strategic process, helping families decide when to start prep and which areas demand focus. Without this analysis, students risk inefficient study habits, wasting time and effort on content they already know or missing critical weak spots.• Timing and Academic Intensity Matter: Junior year is typically the most demanding academically, so scheduling test prep during summer or early fall yields better focus and outcomes. Families should avoid final seasons or AP exam periods for test prep to prevent academic overload, preserving GPA and mitigating burnout. This tailored timing recognizes student stress patterns and optimizes study efficiency.• Focused Practice Over Broad Content Review: The most effective way to improve standardized test scores is targeted practice on weak areas identified by diagnostic testing. Merely continuing to practice whole tests leads to plateauing scores. Instead, the cycle of focused drills, review, and retesting enables students to solidify understanding and see measurable gains. This approach shifts prep from volume-based to precision-based, enhancing motivation and confidence.• Choosing Between SAT and ACT Requires Individual Evaluation: No test suits everyone; SAT and ACT differ in length, pacing, question style, and focus areas. For example, the SAT involves complex reasoning and is slightly shorter, while the ACT covers broader math content with faster pacing. Upcoming changes, like the ACT's optional science section and shorter length, further complicate the choice. Therefore, Sean advises students to take practice tests for both and compare scores—avoiding decisions based on hearsay or anecdotal evidence.• Test Scores Reflect Test-Taking Skills, Not Just Intelligence: Top academic performers can score below expectations initially because standardized tests require specialized strategies distinct from classroom learning. Some fundamental concepts tested might have been learned long ago and need refreshing. Effective test prep rebuilds these foundations and teaches "how to beat the test," focusing on timing, question interpretation, and pacing rather than pure intellect.• Accountability and Personalized Instruction are Game-Changers: The challenges of self-motivation and competing academic priorities mean many students struggle to commit regular prep time independently. Professional tutors provide structure, coaching, and encouragement. Pivot Tutors' model of assigning two specialized tutors—one for math, one for English—ensures that students get subject-specific expertise and tailored lesson plans. Rigorous vetting and continuous training of tutors guarantee high teaching quality and effective communication.• Early Planning Eases Stress and Opens Doors: Starting the test prep planning at the end of sophomore year provides ample time for assessment, practice, and adjustment. It avoids the “frantic” last-minute rush many rising seniors experience. Early prep offers the flexibility to try multiple test dates and strategies, increasing chances of reaching target scores and keeping options open for college admissions and scholarships.• Test Prep Skills Provide Long-Term Benefits: Beyond college admissions, mastering standardized testing techniques develops critical thinking, problem solving, and test endurance skills essential for future academic tests like the LSAT, MCAT, or MBA entrance exams. Early investment in effective test prep equips students with lifelong skills to navigate competitive exams and professional challenges.• Navigating Prep Tools: Apps and AI vs. Human Tutors: While online tools and AI like ChatGPT offer convenience, Sean highlights their limitations due to lack of accountability, motivation, and nuanced, personalized feedback. Human tutors facilitate adaptive learning, real-time interaction, and emotional support, which are often crucial to overcome motivational roadblocks and plateaus. Families must weigh student personality and discipline when choosing prep methods.• Tutor Selection and Training Reflect Company Quality: Pivot Tutors' rigorous hiring includes academic degree requirements, high proficiency test scores, and in-person mock tutoring evaluations. This multi-tiered vetting ensures tutors are not only knowledgeable but excellent communicators who can simplify complex concepts. Shadowing experienced tutors and ongoing training help maintain consistent, student-centered pedagogy that respects students' time and academic pressure.• Iterative Process of Testing and Retesting: Sean emphasizes that improvement comes from cycles of testing, reflection, and focused practice—not one-off studying. Continuous assessment allows students and tutors to track progress, refine strategies, and build confidence. This iterative process contrasts sharply with less effective “all content at once” study methods.• Parental Support is Crucial but Must Balance Pressure: Parents play a vital role in encouraging the right preparation habits while avoiding overwhelming their teens. Educating parents about strategic prep planning, early diagnostic testing, and the reality of test demands empowers them to guide their children calmly and effectively, minimizing stress.This interview offers a comprehensive roadmap for families navigating the changing test prep landscape, emphasizing strategic timing, targeted study, professional guidance, and early planning for long-term benefits. and effective communication.Early Planning Eases Stress and Opens Doors: Starting the test prep planning at the end of sophomore year provides ample time for assessment, practice, and adjustment. It avoids the “frantic” last-minute rush many rising seniors experience. Early prep offers the flexibility to try multiple test dates and strategies, increasing chances of reaching target scores and keeping options open for college admissions and scholarships.Test Prep Skills Provide Long-Term Benefits: Beyond college admissions, mastering standardized testing techniques develops critical thinking, problem solving, and test endurance skills essential for future academic tests like the LSAT, MCAT, or MBA entrance exams. Early investment in effective test prep equips students with lifelong skills to navigate competitive exams and professional challenges.Navigating Prep Tools: Apps and AI vs. Human Tutors: While online tools and AI like ChatGPT offer convenience, Sean highlights their limitations due to lack of accountability, motivation, and nuanced, personalized feedback. Human tutors facilitate adaptive learning, real-time interaction, and emotional support, which are often crucial to overcome motivational roadblocks and plateaus. Families must weigh student personality and discipline when choosing prep methods.Tutor Selection and Training Reflect Company Quality: Pivot Tutors' rigorous hiring includes academic degree requirements, high proficiency test scores, and in-person mock tutoring evaluations. This multi-tiered vetting ensures tutors are not only knowledgeable but excellent communicators who can simplify complex concepts. Shadowing experienced tutors and ongoing training help maintain consistent, student-centered pedagogy that respects students' time and academic pressure.Iterative Process of Testing and Retesting: Sean emphasizes that improvement comes from cycles of testing, reflection, and focused practice—not one-off studying. Continuous assessment allows students and tutors to track progress, refine strategies, and build confidence. This iterative process contrasts sharply with less effective “all content at once” study methods.Parental Support is Crucial but Must Balance Pressure: Parents play a vital role in encouraging the right preparation habits while avoiding overwhelming their teens. Educating parents about strategic prep planning, early diagnostic testing, and the reality of test demands empowers them to guide their children calmly and effectively, minimizing stress.This interview offers a comprehensive roadmap for families navigating the changing test prep landscape, emphasizing strategic timing, targeted study, professional guidance, and early planning for long-term benefits.Connect with Shellee Howard:Website: www.collegereadyplan.com/YouTube: www.youtube.com/channel/UCr_WodPHDfSWEbiPdsRDbyQInstagram: https://www.instagram.com/collegereadyplan/LinkedIn: https://www.linkedin.com/company/college-ready/Email: shellee@collegereadyplan.comConnect with Sean IvesterWebsite: https://www.pivottutors.comInstagram: @pivottutorsTikTok: @testpreptipsLinkedIn: https://www.linkedin.com/in/seanivester/Email: sean@pivottutors.com

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In this episode I am discussing one more cause for Neonatal Respiratory Distress - Congenital Diaphragmatic Hernia. I have highlighted Embryogenesis, Types, Clinical features, Diagnostic investigations, Complications, pre-op preparation, treatment, post-op management and prognosis of CDH.

SITES INTERNET : https://www.unis-immo.fr/ https://www.fnaim.fr/ https://fed-experts.com/

durée : 00:08:32 - La Question du jour - par : Marguerite Catton - Ce mardi, l'Assemblée nationale a adopté à l'unanimité un texte de loi, issu d'une commission mixte paritaire, visant à redéfinir les compétences de la profession d'infirmier. Grâce à cette loi, les infirmiers pourront mener des consultations, poser un diagnostic et prescrire certains soins. - réalisation : Félicie Faugère - invités : Nsuni Met Docteure en sciences de gestion, qualifiée en sciences infirmières, chercheuse associée au laboratoire Arènes

Jeudi 12 juin, François Sorel a reçu Julien Billot, président de Scale Ai, Pablo Piantanida, directeur de l'ILLS (International Laboratory on Learning Systems), professeur associé à l'ÉTS à Montréal, et Jérémie Voix, professeur titulaire à l'ÉTS à Montréal. Ils ont parlé de la tech canadienne qui fait une entrée en force à VivaTech, d'une intelligence artificielle qui sert à diagnostiquer le cancer du sein, et des prothèses auditives révolutionnaires, dans l'émission Tech & Co, la quotidienne, sur BFM Business. Retrouvez l'émission du lundi au jeudi et réécoutez la en podcast.

Les handicaps et leurs diagnostics, reconstituer le puzzle pour mieux comprendre la réalité. Pour cet épisode d'Univox, Antonin Bréhier de Radio Campus Montpellier a partagé le micro à de jeunes adultes en situation de handicap. Dans ce podcast, vous entendrez Mathieu, autiste, Aude, en cours de diagnostic TDAH, et Antonin Bréhier lui même dyslexique. Remerciements à Aude et Mathieu pour leurs témoignages ainsi qu'à l'association Mauvais Cancre 34 pour leur participation à la réalisation de cet épisode d'Univox, et bien sûr merci, à toute l'équipe de radio campus Montpellier. ------------------------------------------------------ UNIVOX l'émission jeunesse(s) étudiante(s) Les radios Campus scrutent en permanence l'écosystème jeunesses de leur territoire et tendent chaque semaine leurs micros aux étudiant.e.s, citoyen.ne.s engagé.e.s, habitant.e.s et associations des villes et des campus de France. Une radiographie bouillonnante et itinérante de l'écosystème étudiant. Tous les podcasts : https://www.radiocampus.fr/emission/univox ------------------------------------------------------ RADIO CAMPUS FRANCE Radio Campus France est le réseau des radios associatives, libres, étudiantes et locales fédérant 30 radios partout en France. NOUS SUIVRE | FOLLOW US www.radiocampus.fr Insta @radio_campus NOUS ÉCOUTER | LISTEN Site, webradios et podcasts www.radiocampus.fr

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Today my guests are Dr Meriem Sefta, Chief Diagnostics Officer at Owkin, and Amanda Coble, Senior Director of Product at Proscia.  What we discuss with Amanda and Dr Sefta: The history of Owkin Founding vision and early challenges Deep learning in pathology Mission and Precision Oncology Digital pathology and AI integration Biomarker screening products like MSIntuit CRC Outcome prediction solutions like RLapseRisk BC Partnership with Proscia The future of pathology with AI Interoperability and collaboration Disclaimer: MSIntuit CRC, BRCAura BC, and RlapsRisk BC are under development and not for clinical use. They are not FDA cleared or approved in the USA. BRCAura BC and RlapsRisk BC are developed within the PortrAIt consortium, a french consortium financed by the government within the framework of France 2030 and by the European Union - Next Generation EU within the framework of the France Relance Plan. Owkin interoperability with Proscia's software is for Research Use Only. Not for use in diagnostic procedures. Links for this episode: The Path to PathA Pathologists' Assistant Shadowing Network Health Podcast Network  LabVine Learning Dress A Med scrubs Digital Pathology Club   Owkin And Proscia Expand Access To AI Pre-Screening For Colorectal Cancer Patients Owkin Proscia   People of Pathology Podcast: Twitter Instagram  

Are your patients just healthy, or are you underdiagnosing treatment? In this episode of Metric Mondays, Kirk Behrendt brings back Miranda Beeson, ACT's director of education, to break down diagnostic percentage, why your numbers are low, and ways to start impacting this metric today. To learn how to be proactive in diagnosing care, listen to Episode 897 of The Best Practices Show!Learn More About Miranda:Send Miranda an email: miranda@actdental.com Follow Miranda on ACT's Instagram: https://www.instagram.com/actdentalSend Courtney an email to learn more about ACT: courtney@actdental.com More Helpful Links for a Better Practice & a Better Life:Subscribe to The Best Practices Show: https://the-best-practices-show.captivate.fm/listenJoin The Best Practices Association: https://www.actdental.com/bpaDownload ACT's BPA app on the Apple App Store: https://apps.apple.com/us/app/best-practices-association/id6738960360Download ACT's BPA app on the Google Play Store: https://play.google.com/store/apps/details?id=com.actdental.join&hl=en_USJoin ACT's To The Top Study Club: https://www.actdental.com/tttGet The Best Practices Magazine for free: https://www.actdental.com/magazinePlease leave us a review on the podcast: https://podcasts.apple.com/us/podcast/the-best-practices-show-with-kirk-behrendt/id1223838218Episode Resources:Watch the video version of Episode 897: https://www.youtube.com/@actdental/videosRegister for ACT's To The Top Study Club (July 18th, 2025): https://www.eventbrite.com/e/climb-with-us-register-for-july-18-2025-ttt-study-club-tickets-1205460116659Register for ACT's To The Top Study Club (July 25, 2025): https://www.eventbrite.com/e/climb-with-us-register-for-july-25-2025-ttt-study-club-tickets-1205497959849Main Takeaways:Establish a baseline for what you consider healthy.Talk to patients about the positive outcomes of treatment.Understand what low and high diagnostic percentages indicate.Leverage co-discovery and co-diagnosis. When patients see, they do.Utilize technology such as Pearl AI as a way to offer a second opinion.Snippets:0:00 Introduction.1:55 Diagnostic percentage, explained.3:25 Selling is...

In Case Number CR01-24-31665, defendant Bryan C. Kohberger has filed a reply to the State's response regarding his motion to strike the death penalty due to his diagnosis of Autism Spectrum Disorder (ASD). The defense asserts that Kohberger's ASD results in significant impairments in communication, reasoning, social skills, and understanding others' reactions—factors that, according to the U.S. Supreme Court's decision in Atkins v. Virginia, diminish moral culpability and render the death penalty unconstitutional for individuals with such disabilities. They emphasize that these deficits have been present since early childhood and persist into adulthood, affecting Kohberger's adaptive functioning despite his high intelligence quotient (IQ). The defense references the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), noting that individuals with ASD may exhibit a substantial gap between intellectual abilities and adaptive functioning, leading to challenges in daily living, self-care, socialization, and communication. ​to contact me:bobbycapucci@protonmail.comsource:Ty ABecome a supporter of this podcast: https://www.spreaker.com/podcast/the-moscow-murders-and-more--5852883/support.

In this episode, Bryan and Roman dive deep into the world of Variable Refrigerant Flow (VRF) systems, focusing on the persistent issue of compressor failures. VRF technology has evolved, and it has seen a major rise in the North American market since the early 2010s. Roman shares his passion for VRF, tracing its origins back to 1982 and explaining how it earned the nickname “chiller killer” by replacing traditional chiller systems in large facilities like hotels, churches, and schools. However, with this rapid adoption came a troubling reputation: VRF systems became notorious for frequent compressor failures, prompting some institutions to revert to older technologies. There are three primary causes of compressor failure in VRF systems: oil lubrication issues, liquid refrigerant return, and electrical failures. VRF compressors are shipped with excess oil to account for the system's extensive piping and multiple indoor units, but improper refrigerant charge—either overcharging or undercharging—can disrupt oil return and lead to gradual compressor death. They emphasize the importance of correct installation, accurate charge calculation, and diligent maintenance. Bryan adds that measuring discharge superheat is a key diagnostic tool: high discharge superheat with normal suction superheat signals poor lubrication and impending failure. The discussion then shifts to the dangers of liquid refrigerant returning to the compressor. Even small amounts can wash oil off the scroll plates, leading to metal-on-metal contact, galling, and eventual mechanical breakdown. Roman details the difference between high-pressure shell and low-pressure shell compressors, noting that VRF systems are more susceptible to operational flood back, which can cause elevated amp draws and catastrophic failure. They also highlight the role of contamination—such as copper shavings or sand from installation—which can damage expansion valves and lead to chronic flood back issues. Maintenance, including regular oil analysis and monitoring of expansion valve performance, is crucial for long-term reliability. Finally, the episode covers electrical failures, often the result of underlying mechanical issues rather than true electrical faults. The hosts advocate for using insulation resistance testing (megohmmeters) as a maintenance tool to track winding degradation over time. They stress that proper cleanup after a compressor failure is vital, recommending temporary filter dryers and oil analysis to mitigate contamination. The conversation closes with practical advice: always investigate the root cause of a compressor failure, communicate findings with clients, and prioritize best practices in installation and service to prevent repeat issues.  Topics Covered in This Episode: The history and rise of VRF technology in North America Why VRF systems earned the nickname “chiller killer” The three primary causes of VRF compressor failure: Oil lubrication issues (overcharge/undercharge, oil return) Liquid refrigerant return (flood back, expansion valve failures) Electrical failures (mechanical causes, insulation degradation) Diagnostic techniques: discharge superheat, suction superheat, amp draw analysis The impact of installation practices and system contamination Maintenance best practices: oil analysis, filter dryers, insulation resistance testing The importance of root cause analysis after compressor failures Resources for ongoing VRF education: VRF Tech Talk podcast, Facebook group, and Roman's YouTube channel   Have a question that you want us to answer on the podcast? Submit your questions at https://www.speakpipe.com/hvacschool. Purchase your tickets or learn more about the 6th Annual HVACR Training Symposium at https://hvacrschool.com/symposium. Subscribe to our podcast on your iPhone or Android. Subscribe to our YouTube channel. Check out our handy calculators here or on the HVAC School Mobile App for Apple and Android

In this episode of “Answers From the Lab,” host Bobbi Pritt, M.D., chair of the Division of Clinical Microbiology at Mayo Clinic, and William Morice II, M.D., Ph.D., CEO and president of Mayo Clinic Laboratories, discuss global trends in diagnostic manufacturing and their implications for laboratory professionals. Topics include: Emerging innovations in mass spectrometry, next-generation sequencing, automation, and artificial intelligence. Fierce competition in the global manufacturing landscape as new companies enter the market. Geopolitical dynamics influencing where innovations are deployed. Why laboratory professionals need to drive innovation implementation to maximize benefits for clinicians and their patients.

In this urgent and deeply moving episode, Michelle sits down with Emma Cloney and Diana Dimmock—two powerful advocates from Lipedema Canada—to talk about the medical condition most clinicians have never even heard of, despite its potential to affect 1 in 9 women.Together, they dive into:What lipedema actually is—and how it differs from lymphedema and obesityWhy lipedema is painful, progressive, and devastating when left untreatedThe staggering lack of awareness in Canadian medical schools and healthcare systemsHow fatphobia, gender bias, and medical gaslighting keep patients in the darkThe emotional and financial toll of living with an unrecognized conditionPractical resources for patients and cliniciansWhat needs to change—and how we can all be part of that changeThis episode is more than just a discussion—it's a rallying cry for justice, compassion, and recognition.Whether you're a clinician, patient, or simply someone who cares about women's health, you don't want to miss this conversation.Resources Mentioned:Lipedema Canada – For patient info, clinician resources, advocacy tools & supportLipedema.org (US-based) – Diagnostic tools and educational materialsFollow @LipedemaCanada on social media for shareable awareness contentMore About Our Guests:Emma Cloney Emma Cloney is a Women's Health Nurse and the Vice President and co-founder of Lipedema Canada / Lipœdème Canada, the national nonprofit association for lipedema dedicated to raising awareness, improving access to care, and advancing research for people living with lipedema—a chronic and often misdiagnosed fat disorder that primarily affects women.Emma brings over ten years of clinical experience and a deeply personal connection to this work. Diagnosed with lipedema in 2021, she became the first Canadian to receive multiple mobility-preserving surgeries for the condition funded through provincial healthcare—after successfully advocating for policy change in Manitoba. Her experience highlighted the serious gaps in diagnosis, treatment, and public awareness across Canada.In response, Emma co-founded Lipedema Canada in 2023 alongside a group of passionate patients from across the country. Today, she leads the organization's clinical outreach and education efforts, working to empower patients and healthcare providers alike. Whether she's speaking to policymakers, clinicians, or fellow patients, Emma is committed to changing the narrative around lipedema and ensuring that no one faces this condition alone.Lipedema CanadaDiana Dimmock Diana Dimmock is the founder of Accessibility 4 Every Body Consulting, a size-inclusive consulting firm based in Sherwood Park, Alberta. As an advocate, educator, and speaker, Diana is passionate about promoting accessibility and inclusivity for people of all body sizes and abilities. Through her work, she challenges the marginalization of larger bodies and assists organizations in creating more welcoming, inclusive environments. Through her business, Diana offers valuable insights into the intersection of size, ability, and access, making her a powerful voice in the push for equity and inclusion.Recently diagnosed with lipo-lymphedema, Diana has identified this condition as a long-standing aspect of her health since adolescence. While struggling to seek appropriate medical care and experiencing discrimination based on her body size, Diana became dedicated to ensuring that all individuals receive equitable healthcare. She is deeply committed to self-advocacy and raising awareness with the public and with healthcare professionals about lipedema in Canada. Diana is dedicated to supporting efforts in advocating for improved diagnosis and management strategies for this condition with Lipedema Canada.https://linktr.ee/accessibility4everybodyFind Diana on LinkedIn here. 

In the third and final episode of our miniseries on infectious disease diagnostics, Jonathan sits down with global diagnostics leader Rosanna Peeling, Professor and Chair of Diagnostics Research at the London School of Hygiene and Tropical Medicine. Together, they explore the life-saving role of diagnostics in global health, from battling STDs to confronting COVID-19, and examine how equitable access, social innovation, and regulatory reform can transform disease control and pandemic preparedness.   Timestamps: 00:00 – Introduction 06:09 – Rosanna's interest in microbiology 08:12 – The IDC's work 10:52 – Funding for diagnostics 13:30 – Diagnostic testing in low-resource settings 18:21 – Chlamydia research 24:19 – Regulatory approval challenges 29:35 – Social innovation 34:08 – Clinician adaptation 37:10 – Current diagnostic innovations 40:30 – Rosana's three wishes for healthcare

Le Diagnostic de performance énergétique, ou DPE, est devenu un incontournable de toute transaction immobilière en France. Que ce soit pour louer ou vendre un bien, ce document, qui évalue la consommation d'énergie et les émissions de gaz à effet de serre du logement, est obligatoire depuis 2006. Mais avec l'essor du numérique, une question se pose : peut-on aujourd'hui réaliser ce diagnostic à distance ?À ce jour, la réponse est non, du moins pas pour un DPE officiel et réglementaire. La législation française impose que le DPE soit établi par un diagnostiqueur professionnel certifié, qui doit obligatoirement se rendre sur place pour effectuer des relevés précis. Pourquoi cette exigence ? Parce que le diagnostic repose sur l'observation directe de nombreux éléments : l'isolation, le système de chauffage, la ventilation, la surface des murs, des planchers, des fenêtres… Des données qu'il est difficile, voire impossible, de collecter de manière fiable à distance.Le diagnostic sur site permet aussi de prendre en compte certains défauts invisibles sur un simple plan ou une photo, comme des ponts thermiques, des défauts d'étanchéité à l'air, ou encore l'état réel des équipements. Le tout est consigné dans un rapport détaillé, transmis au propriétaire et à l'acheteur ou au locataire potentiel.Cela dit, le numérique n'est pas absent du processus. De nombreux outils logiciels permettent aujourd'hui d'aider les diagnostiqueurs à modéliser les performances énergétiques d'un logement. Certains proposent même des pré-DPE ou des estimations en ligne. Il suffit de remplir un questionnaire détaillé et de joindre des photos ou des plans. Ces services, souvent proposés gratuitement ou à bas coût, peuvent donner une première idée du classement énergétique d'un bien. Mais attention : ces évaluations n'ont aucune valeur juridique. Elles ne remplacent pas un DPE officiel, exigé par la loi pour conclure une transaction.Pourquoi une telle prudence ? Tout simplement parce que les enjeux sont importants. Le DPE influence désormais le prix de vente ou de location d'un bien. Un logement classé F ou G, considéré comme "passoire énergétique", peut voir sa valeur chuter. De plus, certaines restrictions légales pèsent sur la mise en location de ces logements mal notés. Il est donc essentiel que le diagnostic soit fiable et opposable.En résumé : si les outils numériques peuvent accompagner le processus et permettre des pré-évaluations, seul un diagnostic réalisé sur place par un professionnel certifié est reconnu par la loi. La technologie évoluera peut-être, mais pour l'instant, le DPE à distance reste un mirage… ou une simple aide pour se préparer. Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.

Send us a textCurious about what happens to your samples after they leave your clinic? Wonder why some tests come back with "no growth" despite clear clinical signs? This eye-opening conversation with microbiologist Kelli Maddock reveals the world of veterinary diagnostic laboratories and how you can leverage them for better patient outcomes.Kelli, Guest Editor of JAVMA's supplemental issue "Diagnostic Laboratory Medicine: From Sampling to Test Interpretation," debunks common misconceptions about lab testing while offering practical advice for getting the most accurate results. The difference between a properly collected, promptly delivered sample and one that's "rolled around in your pickup for a week" can be the difference between diagnosis and mystery. Through real-world scenarios and research findings, Kelli demonstrates how proper communication with laboratory professionals directly impacts clinical decision-making.The episode doesn't just cover technical aspects—it reveals the human element of laboratory medicine. Kelli shares her personal journey from human medicine to veterinary diagnostics, opening listeners' eyes to alternative career paths in veterinary medicine. Whether you're a student, practicing veterinarian, or laboratory professional, this conversation offers valuable insights into strengthening the partnership between clinicians and diagnostic laboratories. Remember: the laboratory isn't just a service provider—it's your partner in patient care, eager to help you get the best possible diagnostic information. Subscribe, leave a review, and join us next week for another exploration of veterinary medicine's fascinating dimensions.JAVMA editorial: https://doi.org/10.2460/javma.263.s1.s4INTERESTED IN SUBMITTING YOUR MANUSCRIPT TO JAVMA ® OR AJVR ® ? JAVMA ® : https://avma.org/JAVMAAuthors AJVR ® : https://avma.org/AJVRAuthorsFOLLOW US:JAVMA ® : Facebook: Journal of the American Veterinary Medical Association - JAVMA | Facebook Instagram: JAVMA (@avma_javma) • Instagram photos and videos Twitter: JAVMA (@AVMAJAVMA) / Twitter AJVR ® : Facebook: American Journal of Veterinary Research - AJVR | Facebook Instagram: AJVR (@ajvroa) • Instagram photos and videos Twitter: AJVR (@AJVROA) / Twitter JAVMA ® and AJVR ® LinkedIn: https://linkedin.com/company/avma-journals

Did you know that Obsessive-Compulsive Disorder (OCD) affects approximately 1 in 200 children, with symptoms often emerging between the ages of 7 and 12? As pediatricians, you're likely the first to encounter these patients, making early recognition and intervention critical for achieving optimal outcomes. In this episode, we'll provide you with the knowledge and tools needed to accurately diagnose and effectively manage OCD, laying the foundation for better long-term care. Dr. Theresa Fiagbe, a second-year Child Psychiatry Fellow, Dr. Dale Peeples, Associate Professor of Child Psychiatry, and Alisha Patel, Medical Student at the Medical College of Georgia, join forces to unpack the complexities of OCD in children and adolescents. Tune in as we: Explore key diagnostic criteria and the most effective screening tools for identifying OCD in pediatric patients Discuss evidence-based treatments such as Cognitive Behavioral Therapy (CBT) and SSRIs, and how to incorporate them into your practice Review common comorbid conditions, like anxiety and PANDAS, that can complicate diagnosis and treatment Examine the impact of OCD on school performance, social interactions, and family life Share practical guidance on managing long-term care to prevent relapse and ensure successful outcomes Whether you're encountering OCD symptoms in a patient for the first time or seeking to enhance your expertise, this episode will equip you with the essential tools to improve diagnosis and treatment. Special thanks to Dr. Yang for editing and Dr. Sarah Straka, and Dr. Baris Olten for peer reviewing this episode. CME Credit Available: Link Coming Soon! References: American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing. Berman, L., & Flessner, C. A. (2014). Pediatric obsessive-compulsive disorder: Diagnostic and treatment issues. Journal of the American Academy of Child and Adolescent Psychiatry, 53(2), 123-131. https://doi.org/10.1016/j.jaac.2013.10.003 Clark, C. A., & Scharf, R. (2020). Cognitive-behavioral therapy for obsessive-compulsive disorder in children and adolescents: Current trends and future directions. Journal of the American Academy of Child and Adolescent Psychiatry, 59(9), 971-979. https://doi.org/10.1016/j.jaac.2020.05.007 Fahrion, S., & Goodwin, G. M. (2019). Pharmacological treatment of pediatric obsessive-compulsive disorder: SSRIs, clomipramine, and beyond. Current Psychiatry Reports, 21(8), 58-66. https://doi.org/10.1007/s11920-019-1040-3 Franklin, M. E., & March, J. S. (2015). Treatment of obsessive-compulsive disorder in children and adolescents. Pediatric Clinics of North America, 62(3), 529-545. https://doi.org/10.1016/j.pcl.2015.02.004 March, J. S., & Mulle, K. (2017). OCD in children and adolescents: A review of treatments and practical guidance. The Psychiatric Clinics of North America, 40(2), 199-208. https://doi.org/10.1016/j.psc.2017.01.002 Murphy, T. K., & Pincus, D. B. (2019). Pediatric obsessive-compulsive disorder: Diagnosis, treatment, and future directions. Current Opinion in Pediatrics, 31(4), 517-524. https://doi.org/10.1097/MOP.0000000000000801 PANDA Study Group. (2017). Pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS). Journal of the American Academy of Child and Adolescent Psychiatry, 56(11), 933-940. https://doi.org/10.1016/j.jaac.2017.07.866 Peris, T. S., & Piacentini, J. (2021). Pediatric obsessive-compulsive disorder: Treatment strategies and challenges. Journal of Clinical Child and Adolescent Psychology, 50(1), 32-43. https://doi.org/10.1080/15374416.2020.1831504 Reaven, J. (2018). Screening for pediatric obsessive-compulsive disorder: Tools, guidelines, and challenges. Child and Adolescent Mental Health, 23(3), 133-139. https://doi.org/10.1111/camh.12267 Thienemann, M., & McGuire, L. (2019). Treating pediatric OCD with a focus on cognitive-behavioral therapy: Evidence and efficacy. Journal of Clinical Child and Adolescent Psychology, 48(4), 530-538. https://doi.org/10.1080/15374416.2019.1612851

Dans ce nouvel épisode de "Symptômes", le médecin généraliste Laure Geisler partage l'histoire poignante d'une femme de 60 ans, initialement venue consulter pour un burn-out professionnel. Accompagnée de sa fille, la patiente présente des symptômes de dépression et d'anxiété qui ne s'améliorent pas malgré un traitement... La généraliste reprend le dossier à zéro et une question va la mettre sur la bonne piste... Retrouvez chaque mois, un nouvel épisode inédit de "Symptômes", ainsi qu'un bonus la semaine suivante. Distribué par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.

In this episode of the Becker's Healthcare Podcast, Brian Zimmerman speaks with Dr. Mindy Nye, Vice President at Labcorp, about the evolving role of diagnostic laboratory science and how innovation is transforming patient care. Dr. Nye explores the meaning of “diagnostic innovation,” the technologies reshaping lab capabilities, and how these advancements are creating new value for health systems. Tune in for expert insights on why the clinical lab is becoming an increasingly strategic asset in modern healthcare.This episode is sponsored by labcorp.

Episode 192: ADHD Treatment.  Jordan Redden (MSIV) explains the treatment of ADHD. Dr. Bustamante adds input about pharmacologic and non-pharmacologic treatments. Dr. Arreaza shares the how stimulants were discovered as the treatment for ADHD. Written by Jordan Redden, MSIV, Ross University School of Medicine. Comments and edits by Isabelo Bustamante, MD, and Hector Arreaza, MD. You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Introduction.ADHD is a chronic neurodevelopmental condition characterized by inattention, impulsivity, and/or hyperactivity. While it's often diagnosed in childhood, symptoms can persist well in adulthood. The treatment for ADHD is multifaceted. It often includes medication, behavioral therapy, environmental modifications, and sometimes educational interventions which are especially effective in younger patients. Ongoing evaluation is needed during treatment. Treatment needs adjustments over time.Starting with medications: Stimulants are the most well-studied and effective pharmacologic treatment for ADHD. These include methylphenidate-based medications such as Ritalin, Concerta, and Focalin, and amphetamine-based options, like Adderall, Vyvanse, and Dexedrine. Discovery of stimulants for ADHD> Dr. Charles Bradley discovered stimulants as the treatment for ADHD around 1937. ADHD did not have a name at that time, but it was known that some children had behavioral problems related to poor attention and inability to control their impulses, but they were still intelligent. Dr. Bradley was a psychiatrist who was working in the Bradley Hospital (Rhode Island), he was studying these children and, as part of his experiments, they developed severe headaches. He gave “Benzedrine” (a decongestant) to his pediatric patients to treat severe headaches, and he discovered that Benzedrine improved academic performance and interest in school and improved disruptive behavior in some children.How do stimulants work.Stimulants work primarily by increasing dopamine and norepinephrine levels in the brain, which helps improve focus, attention span, and impulse control. They typically show a rapid onset of action and can lead to noticeable improvements within the first few days of use. Dosing is individualized and should start low with gradual titration. Side effects can include reduced appetite, insomnia, headaches, increased heart rate, and emotional lability.Types of stimulants. Stimulants come as short acting and long acting. They can come as a tablet, liquid, patch, or orally disintegrating tablet. After the discovery of Benzedrine as a possible treatment for ADHD, more research was done over the years, and Ritalin became the first FDA-approved medication for ADHD (1955). The list of medications may seem overwhelming, but there are only two types of stimulants used to treat ADHD: methylphenidate and amphetamine. Long-acting stimulant medications are often preferred for their consistent symptom control and lower potential for misuse. Vyvanse (lis-dexa-mfetamine) is a widely used long-acting amphetamine-based option. As a prodrug, it remains inactive until metabolized in the body, which results in a smoother onset and offset of action and may reduce the risk of abuse. This extended duration of effect can help patients maintain focus and regulate impulses throughout the day without the peaks and crashes sometimes seen with shorter-acting formulations. Of note, Vyvanse is also approved for Binge Eating Disorder. Many of these medications are Schedule II controlled substances, so to prescribe them you need a DEA license. Other long-acting options include Concerta, an extended-release methylphenidate, as well as extended-release versions of Adderall and Focalin. These are especially helpful for school-aged children who benefit from once-daily dosing, and for adults who need sustained attention during work or academic activities. The choice between short- and long-acting stimulants depends on individual response, side effect tolerance, and daily routine.For patients who cannot tolerate stimulants, or for those with contraindications such as a history of substance misuse or certain cardiac conditions, non-stimulant medications are an alternative. One of the most used is atomoxetine, which inhibits the presynaptic norepinephrine transporter (NET). This leads to increased levels of norepinephrine (and to a lesser extent dopamine). Guanfacine or clonidine are alpha-2A adrenergic receptor agonists that lead to reduced sympathetic outflow and enhanced prefrontal cortical function, improving attention and impulse control. These alpha agonists are particularly useful in younger children with significant hyperactivity or sleep disturbances.Non-pharmacologic treatments.Behavioral therapy before age 6 is the first choice, after that, medications are more effective than BH only, and as adults again you use CBT.Medication is often just one part of a broader treatment plan. Behavioral therapy, especially in children, plays a critical role. Parent-training programs, positive reinforcement systems, and structured routines can significantly improve functioning. And for adolescents and adults, cognitive-behavioral therapy (CBT) is particularly helpful. CBT can address issues like procrastination, time management, emotional regulation, and self-esteem which are areas that medication doesn't always touch.Using medications for ADHD can be faced with resistance by parents, and even children. There is stigma and misconceptions about mental health, there may be concerns about side effects, fear of addiction, negative past experiences, and some parents prefer to treat ADHD the “natural” way without medications or only with supplements. All those concerns are valid. Starting a medication for ADHD is the first line of treatment in children who are 6 years and older, but it requires a shared decision with parents and patients. Cardiac side effects are possible with stimulants. EKG may be needed before starting stimulants, but it is not required. Get a personal and family cardiac history, including a solid ROS. Benefits include control of current condition and treating comorbid conditions.The presentation of ADHD changes as the person goes through different stages of life. For example, you may have severe hyperactivity in your school years, but that hyperactivity improves during adolescence and impulsivity worsens. It varies among sexes too. Women tend to present as inattentive, and men tend to be more hyperactive. ADHD is often underdiagnosed in adults, yet it can significantly impact job performance, relationships, and mental health. In adults, we often use long-acting stimulants to minimize the potential for misuse. And psychotherapy, particularly CBT or executive functioning coaching, can be life-changing when combined with pharmacologic treatment. There are several populations where treatment must be tailored carefully such as pregnant patients, individuals with co-occurring anxiety or depression, and those with a history of substance use. For example, atomoxetine may be preferred in patients with a history of substance misuse. And in children with coexisting oppositional defiant disorder, combined behavioral and pharmacologic therapy is usually more effective than either approach alone.Comorbid conditions.Depression and anxiety can be comorbid, and they can also mimic ADHD. Consult your DSM-5 to clarify what you are treating, ADHD vs depression/anxiety.Treatment goes beyond the clinic. For school-aged children, we often work closely with schools to implement 504 plans or Individualized Education Programs (IEPs) that provide classroom accommodations. Adults may also benefit from workplace strategies like structured schedules, noise-reducing headphones, or even coaching support. Ongoing monitoring is absolutely essential. We assess side effects of medication, adherence, and symptom control. ***In children, we also monitor growth and sleep patterns. We often use validated rating scales, like the Vanderbilt questionnaire for children 6–12 (collect answers from two settings) or Conners questionnaires (collect from clinician, parents and teachers), to track progress. And shared decision-making with patients and families is key throughout the treatment process.To summarize, ADHD is a chronic but manageable condition. Effective treatment usually involves a combination of medication and behavioral interventions, tailored to the individual's needs. And early diagnosis and treatment can significantly improve quality of life academically, socially, and emotionally.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed., text rev. (DSM-5-TR). Washington, DC: American Psychiatric Association; 2022. CHADD (Children and Adults with Attention-Deficit/Hyperactivity Disorder). Understanding ADHD. Accessed May 2025. https://chadd.org National Institute for Health and Care Excellence (NICE). Attention Deficit Hyperactivity Disorder: Diagnosis and Management. NICE guideline [NG87]. Updated March 2018. Accessed May 2025. https://www.nice.org.uk/guidance/ng87 Pliszka SR; AACAP Work Group on Quality Issues. Practice parameter for the assessment and treatment of children and adolescents with attention-deficit/hyperactivity disorder. J Am Acad Child Adolesc Psychiatry. 2007;46(7):894–921. doi:10.1097/chi.0b013e318054e724 Subcommittee on Children and Adolescents with Attention-Deficit/Hyperactivity Disorder, Steering Committee on Quality Improvement and Management. Clinical practice guideline for the diagnosis, evaluation, and treatment of attention-deficit/hyperactivity disorder in children and adolescents. Pediatrics. 2019;144(4):e20192528. doi:10.1542/peds.2019-2528 Texas Children's Hospital. ADHD Provider Toolkit. Baylor College of Medicine. Accessed May 2025. https://www.bcm.edu Wolraich ML, Hagan JF Jr, Allan C, et al. Attention deficit hyperactivity disorder in children and adolescents: Overview of treatment and prognosis. UpToDate. Published 2024. Accessed May 2025.https://www.uptodate.comThe History of ADHD and Its Treatments, https://www.additudemag.com/history-of-adhd/Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/. 

Richard David Graham Leslie, MD, FRCP, FAoP - When Could Dysglycaemia in Adults Be Type 1 Diabetes? Expert Perspectives on Recognising and Addressing Diagnostic Complexities and Challenges

INÉDIT - Dans ce nouvel épisode de "Symptômes", le médecin généraliste Laure Geisler partage l'histoire poignante d'une femme de 60 ans, initialement venue consulter pour un burn-out professionnel. Accompagnée de sa fille, la patiente présente des symptômes de dépression et d'anxiété qui ne s'améliorent pas malgré un traitement... La généraliste reprend le dossier à zéro et une question va la mettre sur la bonne piste... Retrouvez chaque mois, un nouvel épisode inédit de "Symptômes", ainsi qu'un bonus la semaine suivante. Distribué par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.

Richard David Graham Leslie, MD, FRCP, FAoP - When Could Dysglycaemia in Adults Be Type 1 Diabetes? Expert Perspectives on Recognising and Addressing Diagnostic Complexities and Challenges

Richard David Graham Leslie, MD, FRCP, FAoP - When Could Dysglycaemia in Adults Be Type 1 Diabetes? Expert Perspectives on Recognising and Addressing Diagnostic Complexities and Challenges

Richard David Graham Leslie, MD, FRCP, FAoP - When Could Dysglycaemia in Adults Be Type 1 Diabetes? Expert Perspectives on Recognising and Addressing Diagnostic Complexities and Challenges

In this episode of the AJR Podcast Series on Diagnostic Excellence and Error, Francis Deng, MD, and Saurabh Jha, MD, discusses the complex phenomenon of overdiagnosis in radiology, exploring its population-level recognition, ethical tensions, and the role of radiologists in mitigating harm through reporting practices, societal guidelines, and advocacy. https://www.ajronline.org/doi/10.2214/AJR.25.33273 

This is the second video designed to help Christians get a little better equipped to share the Gospel of Jesus Christ with others, as God gives us opportunities. This video focusses on the use and value of the two diagnostic questions as […]

Full article: Attenuation Coefficient for Hepatic Steatosis Using a Single Ultrasound System: Associations of Measurement Parameters With Interoperator Agreement and Diagnostic Performance Morgan McLuckey, MD, discusses the AJR article by Ferraioli et al. exploring attenuation coefficient for hepatic steatosis evaluation using a single ultrasound system.

In this episode, Brad shares a recent case study from the University of Minnesota's dairy research center, where a group of spring-born calves experienced widespread scours. He walks through the onset of symptoms, including diarrhea, depression, and reduced milk intake, primarily in calves on an automatic feeder. Diagnostic testing confirmed rotavirus A as the culprit, ruling out other common pathogens like salmonella, cryptosporidium, and coronavirus.Brad explains the importance of prompt treatment with electrolytes and continued milk feeding, emphasizing that hydration—not antibiotics—is key to recovery from viral scours. He also discusses how CT values from lab results helped indicate viral load and severity. While no calves were lost, the outbreak highlighted the critical role of sanitation, consistency in protocols, and whole-system prevention strategies including vaccination and colostrum quality.Listeners will gain practical tips on treating and preventing scours, especially from rotavirus, and hear an honest account of real-world challenges in calf health management.Causes and prevention of dairy calf scoursQuestions, comments, scathing rebuttals? -> themoosroom@umn.edu or call 612-624-3610 and leave us a message!Linkedin -> The Moos RoomTwitter -> @UMNmoosroom and @UMNFarmSafetyFacebook -> @UMNDairyYouTube -> UMN Beef and Dairy and UMN Farm Safety and HealthInstagram -> @UMNWCROCDairyExtension WebsiteAgriAmerica Podcast Directory 

Send us a textI dive into the complex world of narcissism—what it really is, how it shows up in ourselves, and the impact it has on mental health and relationships. From grandiosity to fragile egos, we explore the fine line between confidence and insecurity, drawing on insights from psychology, personal experience, and phone calls with past guests; Roy Molloy, Scott Spring, Steve Tierney and James McMillan. In this episode I reference from the following sources:Rethinking Narcissism – Dr. Craig MalkinThe Narcissism Epidemic – Jean M. Twenge & W. Keith CampbellThe Mirror Effect – Dr. Drew PinskyDaring Greatly – Brené BrownDSM-5 (Diagnostic criteria for Narcissistic Personality Disorder)Enjoy,ShanSupport the show (Click on the links):FINANCIALLY SUPPORT THE SHOW  in exchange, I will get the HIGHEST CALIBRE guests MORE OFTEN. Oh, and I'll continue to work my ass off to produce enriching weekly episodes.KRUSH ORGANICS - CBD oils and topicalsOr use Code: THT(Get a HUGE 40% Discount...shipping is WORLDWIDE and fast).Reduce anxiety and sleep better with CBD oil, the health benefits are unquestionable....and it's all natural.BREATHEEZE - Nasal Strips(Click here for 15% off)Or Coupon Code: THTSnoring? Tired and frustrated by blocked airways? Picture the freedom of easy breathing and unlock your full potential with our nasal strips and mouth tape!INDOSOLE - Sustainable footwear ( Click link for 15% off)Or Coupon Code: THT(shipping is WORLDWIDE and fast).Sandals made from recycled Tyres. Timeless footwear for the conscious consumer.Music credits:(Intro) Music by Def Wish Cast.Song: ForeverAlbum: The Evolution Machinewww.defwishcast.com.auhttps://defwishcastofficial.bandcamp.com/ Music from #Uppbeat (free for Creators!):https://uppbeat.io/t/avbe/night-in-kyotoLicense code: BUWOJ51XIZRYYQJ2(Outro) Music by Athron (for THT)Support the showFINANCIALLY SUPPORT THE SHOWFollow on InstagramFollow on Facebook

In this episode, you'll hear a conversation with three women's health experts about how early diagnostic testing is transforming care for heart disease, STIs, and preeclampsia. Discover how proactive screening empowers women, supports personalized care, and helps shift healthcare from reaction to prevention.   About Our Speakers:  Dr. Lindy Crimmins, Global Medical Affairs Manager. Lindy's clinical experience spans from emergency medicine to critical and primary care. Currently, she is responsible for providing medical support for the QuidelOrtho acute care menu throughout the product lifecycle. Lindy is passionate about education, testing guideline updates and assay utilization to drive improved patient-centered outcomes. Dr. Rea Castro, Director of Medical Affairs. Rea is a seasoned medical professional with extensive experience in pharmaceutical clinical development, biotechnology and diagnostic product development across multiple therapeutic areas, including immunology, oncology and women's health. She is currently a cross-functional leader in medical affairs and is committed to advancing healthcare outcomes through innovative research, quality healthcare delivery and rigorous safety standards. Vonda McAllister, Director of Global Product Management. Vonda's diagnostic experience spans from R&D and program management to marketing. Now a member of the Point of Care business unit, she previously managed the Triage™ portfolio of assays and the clinical labs team for North America. Vonda is currently focused on supporting the global regions with our PlGF tests, that is, placental growth factor, and toxicology assays, as well as expanding the Triage toxicology and women's health testing portfolio. She also serves as global leadership co-chair for the QuidelOrtho Women's Leadership Network.

Guillaume Gorincour est radiologue, chercheur, enseignant… et utilisateur avisé de l'IA.Dans cet épisode, il partage son expérience de terrain, ses gardes aux urgences avec des algorithmes comme assistants, et ses réflexions éthiques sur la médecine augmentée. Ce n'est pas un plaidoyer technophile, mais un témoignage nuancé, précis, et profondément humain.À retenir dans cet épisode :– L'IA ne remplace pas le radiologue : elle l'assiste, parfois en pleine nuit– Les faux positifs sont fréquents : l'œil humain reste indispensable– La formation intègre désormais l'IA, mais sans négliger la relation patient– L'IA donne de la confiance, pas forcément du temps– Les données médicales sont précieuses : leur usage doit être encadré– Les grands modèles (LLM) posent des questions environnementales et éthiques– Expliquer un diagnostic à un patient reste une compétence… irremplaçable– La responsabilité du médecin ne doit pas être déléguée à une boîte noire– L'IA peut aider à prioriser les cas urgents : gain de pertinence plus que de vitesse– Les radiologues de demain devront être experts… et humainsUn épisode pour comprendre ce que l'IA change vraiment dans la radiologie — et pourquoi le jugement clinique reste au cœur du soin.Hébergé par Ausha. Visitez ausha.co/politique-de-confidentialite pour plus d'informations.

Contributor: Travis Barlock, MD Educational Pearls: Wheezing is classically heard in asthma and COPD, but it can be the result of a wide range of processes that cause airflow limitation Narrowed bronchioles lead to turbulent airflow → creates the wheezing Crackles (rales) suggest pulmonary edema which is often due to heart failure Approximately 35% of heart failure patients have bronchial edema, which can also produce wheezing COPD and heart failure can coexist in a patient, and both of these diseases can cause wheezing It's vital to differentiate whether the wheezing is due to the patient's COPD or their heart failure because the treatment differs Diagnosing wheezing due to heart failure (cardiac asthma): Symptoms: orthopnea, paroxysmal nocturnal dyspnea Diagnostic tools: bedside ultrasound Treatment: diuresis and BiPAP for respiratory support Not all wheezing is asthma Consider heart failure in the differential and tailor treatment accordingly References 1. Buckner K. Cardiac asthma. Immunol Allergy Clin North Am. 2013 Feb;33(1):35-44. doi: 10.1016/j.iac.2012.10.012. Epub 2012 Dec 23. PMID: 23337063. 2. Hollingsworth HM. Wheezing and stridor. Clin Chest Med. 1987 Jun;8(2):231-40. PMID: 3304813. Summarized by Meg Joyce, MS1 | Edited by Meg Joyce & Jorge Chalit, OMS3 Donate: https://emergencymedicalminute.org/donate/  

Episode 191: Diagnosis of ADHDFuture Dr. Granat explains how to diagnose Attention Deficit Hyperactivity Disorder. She explained the influence of social media in increasing awareness of ADHD. Dr. Arreaza added input about the validated tools for ADHD diagnosis and highlighted the importance of expert evaluation for the diagnosis of this disorder.  Written by Yen Stephanie Granat, MSIV. Ross University School of Medicine. Comments and editing by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Steph: I love podcasts—many of us do—and if you, like me, spend any amount of your leisure time listening to podcasts, perusing the news, or scrolling social media; you've likely noticed an alarming trend in the number of discussions we seem to be having about ADHD. It has grown into a very hot topic over the past couple of years, and for some of us, it seems to have even begun sneaking into our “recommended videos” and across our news feeds! Naturally, for the average person this can spur questions like:“Do I have ADHD? Do we all have it? How can I be certain either way, and what do I do if I find myself relating to most of the symptoms that I'm seeing discussed?”Granted that there is a whirlpool of information circulating around this hot topic, I was hoping to spend a bit of time clearly outlining the disorder for anyone finding themselves curious. I believe that can best be achieved through outlining a clear, concise, and easy-to-understand definition of what ADHD is; outlining what it is not; and helping people sift through the fact and the fiction. As with many important things we see discussed on the internet, we're seeing is that there is much more fiction than fact. Arreaza: I'm so glad you chose this topic! I think it is challenging to find reliable information about complex topics like ADHD. Tik Tok, Instagram and Facebook are great social media platforms, but we have to admit that fake news have spread like a fire in recent years. So, if you, listener, are looking for reliable information about ADHD, you are in the right place. With ADHD, there aren't any obvious indicators, or rapid tests someone can take at home to give themselves a reliable “yes” or “no” test result. People's concerns with ADHD are valid, and important to address, so we will discuss the steps to identify some of signs and symptoms they are seeing on TikTok or their favorite podcaster. Steph: Healthcare anxiety is a vital factor to consider when it comes to large cultural conversations around our minds and bodies; so, I hope to sweep away some of the misconceptions and misinformation floating around about ADHD. In doing so, I want to help alleviate any stress or confusion for anyone finding themselves wondering if ADHD is impacting their lives! We might even be able to more accurately navigate these kinds of “viral topics” (for lack of a better term) next time we see them popping up on our news feeds.Arreaza: The first thing I want to say about ADHD is “the crumpled paper sign.”Steph: What is that?Arreaza: It is an undescribed sign of ADHD, I have noticed it, and it is anecdotal, not evidence based. When I walk into a room to see a pediatric patient, I have noticed that when the paper that covers the examination table is crumpled, most of the times it is because the pediatric patient is very active. Then I proceed to ask questions about ADHD and I have been right many times about the diagnosis. So, just an anecdote, remember the crumpled paper sign.  Steph: When you have patients coming to you asking for stimulants because they think they have ADHD, hopefully, after today, you can be better prepared to help those patients. So, for the average person—anyone wanting to be sure if this diagnosis applies to them—how can we really know?”Arreaza: So, let's talk about diagnosis.Steph: Yes, the clearest information we have is the DSM-5, which defines these disorders, as well as outlines the specific criteria (or “checkpoints”) one needs to meet to be able to have a formal diagnosis. However, this manual is best utilized by a trained professional—in this case, a physician—who can properly assess your signs and symptoms and give you a clear answer. Steph: ADHD stands for Attention Deficit Hyperactivity Disorder. It is among the most common neurodevelopmental disorders of childhood. That is not to say it does not affect adult—it does—and because it can be easy to miss, it's very possible for someone to have ADHD without knowing. Arreaza: I recently learned that ADD is an outdated term. Some people with ADHD do not have hyperactivity but the term still applies to them. Steph: Yes, there are multiple types that I will explain in just a bit. But overall the disorder is most simply characterized by a significant degree of difficulty in paying attention, controlling impulsive behaviors, or in being overly active in a way that the individual finds very difficult to control. (CDC)Arreaza: How common is ADHD?Steph: The most recently published data from The CDC estimates that 7 million (11.4%) of U.S. children between the ages of 3 and 17 have been diagnosed with ADHD. For adults, it is estimated that there are 15.5 million (6%) individuals in the U.S. who currently have ADHD. Arreaza: I suspected it would be more than that. [Anecdote about Boy Scout camp]. Steph: I totally agree. With short videos on TikTok, or paying high subscription fees to skip ads, it feels like as a society we all have a shorter attention span. Arreaza: Even churches are adapting to the new generation of believers: Shorter sermons and shorter lessons.Steph: When it comes to better understanding these numbers, it's also important to know that there are three distinct presentations of ADHD recognized by The CDC and The World Health Organization. Arreaza: The DSM-5 TR no longer uses the word “subtypes” for ADHD. Instead, it uses the word "presentation" to describe the different ways that ADHD may manifest in a person. That reminded me to update my old DSM-5 manual and I ordered it while reading today about ADHD. This means people with ADHD are no longer diagnosed as having a “subtype”. Instead, they are diagnosed with ADHD and a certain “presentation” of symptoms.Steph: These presentations are:Inattentive TypePeople often have difficulty planning or completing tasksThey find themselves easily distracted (especially when it comes to longer, focus-oriented tasks)They can often forget details and specifics, even with things that are part of their daily routineThis used to be referred to as “ADD” (you'll notice the absence of an “H”, segue).Hyperactive-Impulsive TypePeople often have a sense of intense “restlessness”, noticeable even in calm environments.They tend to be noticeably more talkative, and might often be seen interrupting others, or finishing their sentences.They find significant difficulty in being still for extended periods. Because of this, they are often unable to sit through a movie or class time, without fidgeting or getting up and moving around.With this category of ADHD, we often see an impulsiveness that unwittingly leads to risky behavior. Because of this, accidents and bodily injury are more common in individuals with this type of ADHD.Combined TypeThese are individuals who exhibit symptoms from both “Inattentive” and “Hyperactive-Impulsive” ADHD equally.Some listeners might have noticed that the categories are quite different, meaning that ADHD presents in different ways depending on the person! Two people who have ADHD can be in the same room and have vastly different presentations, whilst still having many of the same types of challenges. You also might have noticed what makes the discussion so interesting to the general public, which is also the thing that makes speaking to a professional to get formally tested so important:The diagnostic criteria rely heavily on patterns of behavior, or external variables; rather than on how a person might feel, or certain measurements taken from lab tests.Arreaza: Diagnosing ADHD requires evaluation by a professional who is properly trained for this. Fortunately, we have tools to assist with the diagnosis. The attention deficit must be noted in more than one major setting (e.g., social, academic, or occupational), that's why the information should be gathered from multiple sources, including parents, teachers, and other caregivers, using validated tools, such as:The Neuropsychiatric EEG-Based ADHD Assessment Aid (NEBA), recommended by the American Academy of NeurologyThe Vanderbilt ADHD Diagnostic Parent Rating Scale (VADPRS) and the Vanderbilt ADHD Diagnostic Teacher Rating Scale (VADTRS), recommended by the Society for Developmental and Behavioral Pediatrics.For adults: The validated rating scales include the Adult ADHD Self-Report Scale (ASRS) and the Conners Adult ADHD Rating Scales (CAARS).Steph: This is important because nearly everyone alive has experienced several, if not most, of these behavioral patterns at least once. Whether or not an individual has ADHD, I'm certain we could all think of moments we've had great difficulty focusing or sitting still. Perhaps some of us are incredibly forgetful, or act more impulsively than the average person might find typical. Getting a professional diagnosis is important because it is in skillfully assessing “the bigger picture” of a person's life, or their patterns of behavior, that a skilled physician, who understands the nuances and complexities in these disorders, can properly tell each of us whether we have ADHD, or not.Essentially, most of us could stand to use a bit more focus these days, but far fewer of us would meaningfully benefit from the kinds of treatments and therapies needed by individuals with ADHD to live healthier, more happy and regulated lives.Arreaza: I had a mother who came to discuss the results of the Vanderbilt Questionnaire. I think she left a little disappointed when she heard that, based on the responses from her and the teacher, her son did not have ADHD. Some kids may have behaviors such as being distracted during a meeting, forgetting about homework or having a lot of energy, but that does NOT mean necessarily that they have ADHD, right?Steph: Absolutely! The important thing to remember here is that these patterns of behavior outlined in the DSM-5 are merely an external gauge for a neurological reality. What the science is showing us is that the brains of people with ADHD are wired differently than that of the more “neurotypical” brain. Much like a check engine light would serve as a signal to a driver that something under the hood needs attention; these patterns of behavior, when they begin impeding our day to day lives, might tell us that it's time to see a professional (whether it be an auto mechanic or a trained physician). I think we all know someone who drives with their check engine light and not a care in the world. Arreaza: How serious/urgent is ADHD? Why should we care to make the diagnosis?Steph: Although we've yet to see anyone incur harm solely from having ADHD, it does lead to quite a range of more serious issues, some of which might prove more urgent. In the cases of ADHD, specifically, what we know is that there is a notable degree of dysregulation in some key neurotransmitters, like dopamine and norepinephrine. More plainly, what we are seeing in the brains of people with ADHD is a disruption, or alteration, of some of the brain's key chemicals.These neurotransmitters are largely responsible for much-needed processes like Motivation, Satisfaction, Focus, Impulse control, even things like energy and feelings of happiness. Many of these things serve as “fuel” for our day-to-day lives; things we'd call our “executive function”.  These are also what prove dysfunctional in those struggling with ADHD. It is in this sense that we might be able to bridge a meaningful gap between ADHD as being seen through patterns of behaviorthat signal a real, neurological reality.Steph: We often hear of the brain referenced as a kind of supercomputer. A more accurate assessment might be that the brain is more of a network of interconnected computers that run different processes and require continual communication with one another for our brain to function properly and seamlessly. What we're seeing in members of the population with this diagnosis, is a significant disruption in these lines of communication. Although this is a very broad oversimplification, for the purposes of our metaphor is to think of it like our brain chemicals getting caught in a traffic jam, or parts of our brain attempting to communicate to one another with poor cell signal. Arreaza: Making the diagnosis is critical to start treatment because having that level of dysfunction sounds like having a very difficult life.Steph: Yeah! I think that's why this conversation matters so much. There's a sense of urgency there, because much of life is, in fact, boring. Things like paying bills, exercising and eating well, work and school—these are all things that are vital to health and wellbeing in day-to-day life; and for the more neurotypical brain, these things might prove occasionally challenging. Yet, they are still doable. For those with ADHD however, this goes far beyond mere boredom or “laziness” (which proves to be a trigger term for many—more on that in just a bit).For folks listening, I wanted to offer some statistics that show why this is such a big concern for the public, whether one has a formal ADHD diagnosis or not. The facts are figures are:Children with ADHD are more than five times as likely as the child without ADHD to have major depression.A significant increase in the prevalence of anxiety is seen in ADHD patients, ranging from 15% to 35%, when accounting for overlap in symptoms.There are significant correlations in youth diagnosed with ADHD, and those diagnosed with what are known as “externalizing disorders”. These are things like Conduct Disorder, Disruptive Mood Dysregulation Disorder, and Oppositional Defiant Disorder.We are seeing a much higher rate of academic problems in kids who have ADHD, like reading disorder, impaired verbal skills, and visual motor integration.We're finding that many, if not most, of these connections are being made after diagnosis. In the case of the “internalized disorders”, like depression and anxiety, we're often seeing years between ADHD diagnoses and the diagnoses of major depressive disorder or anxiety disorders. Given this framework, much of the data is theorized to point towards what we call “negative environmental circumstances”, otherwise known as “ADHD-related demoralization”.For children, this often looks like struggling with sitting still during class, failing to get homework done (because they forgot, or couldn't focus on the tasks at hand), and struggling to focus their attention on what their teacher is saying during lecture. These things often lead to bad grades, discipline or forced time sitting still in detention. This can be seen in more problems at home, with children being disciplined often for behavior that they struggle immensely to control.For adults, this can mean forgetting to pay your bills, missing work meetings, having trouble making appointments, or having difficulty with day-to-day tasks, really anything that requires sustained attention. We often see adults with ADHD who are chasing normalcy with caffeine addictions or even struggling with substance use. Arreaza: Substance use disorder actually can be a way for some people living with ADHD to self-treat their symptoms. Steph: These differences between the individual's experience and the world around them can lead to really powerful feelings of failure or inadequacy. They can affect your social life, your sense of community, and even further limit your capacity to seek help.Literacy in these things is so important—not just for the individual who feels that they may have ADHD, but also for those who are likely to encounter people with ADHD in their own lives. Understanding why some of these patterns pop up, even those who might not have a formal diagnosis, can go a long way to properly approaching these behaviors with success and with empathy.Arreaza: Learning about ADHD is fundamental for primary care doctors. We talked about the high prevalence and the influence of the media in increasing awareness and sometimes increasing public panic. So, we have to be prepared to diagnose or undiagnosed ADHD. Steph: Whether we're the physicians in the room, or the patient in the chair, I think it's important to have a clear understanding of what ADHD is and how it can affect lives. Thanks for listening, I hope we were able to teach you a little more about ADHD. ______________Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _______________References:NICHQ-Vanderbilt-Assessment-Scales PDF: https://nichq.org/wp-content/uploads/2024/09/NICHQ-Vanderbilt-Assessment-Scales.pdfADHD: The facts. ADDA - Attention Deficit Disorder Association. (2023, January 11). https://add.org/adhd-facts/American Psychiatric Association, DSM-5 Task Force. (2013). Diagnostic and statistical manual of mental disorders: DSM-5™ (5th ed.). American Psychiatric Publishing, Inc. https://doi.org/10.1176/appi.books.9780890425596.Gnanavel S, Sharma P, Kaushal P, Hussain S. Attention deficit hyperactivity disorder and comorbidity: A review of literature. World J Clin Cases. 2019 Sep 6;7(17):2420-2426. doi: 10.12998/wjcc.v7.i17.2420. PMID: 31559278; PMCID: PMC6745333.Staley BS, Robinson LR, Claussen AH, et al. Attention-Deficit/Hyperactivity Disorder Diagnosis, Treatment and Telehealth Use in Adults — National Center for Health Statistics Rapid Surveys System, United States, October – November 2023. CDC.Gov, MMWR Morb Mortal Wkly Rep 2024;73:890-895.Danielson ML, Claussen AH, Arifkhanova A, Gonzalez MG, Surman C. Who Provides Outpatient Clinical Care for Adults With ADHD? Analysis of Healthcare Claims by Types of Providers Among Private Insurance and Medicaid Enrollees, 2021. J Atten Disord. 2024 Jun;28(8):1225-1235. doi: 10.1177/10870547241238899. Epub 2024 Mar 18. PMID: 38500256; PMCID: PMC11108736. https://pubmed.ncbi.nlm.nih.gov/38500256/Mattingly G, Childress A. Clinical implications of attention-deficit/hyperactivity disorder in adults: what new data on diagnostic trends, treatment barriers, and telehealth utilization tell us. J Clin Psychiatry. 2024;85(4):24com15592. https://www.psychiatrist.com/jcp/implications-adult-adhd-diagnostic-trends-treatment-barriers-telehealth/Didier J. My four kids and I all have ADHD. We need telehealth options. STAT News. Published October 10, 2024. Accessed October 10, 2024. https://www.statnews.com/2024/10/10/adhd-medication-shortage-telehealth-dea-congress/.Hong J, Mattingly GW, Carbray JA, Cooper TV, Findling RL, Gignac M, Glaser PE, Lopez FA, Maletic V, McIntyre RS, Robb AS, Singh MK, Stein MA, Stahl SM. Expert consensus statement for telepsychiatry and attention-deficit hyperactivity disorder. CNS Spectr. 2024 May 20:1-12. doi: 10.1017/S1092852924000208. Epub ahead of print. PMID: 38764385. https://pubmed.ncbi.nlm.nih.gov/38764385/Gabor Maté: The Myth of Normal: Trauma, Illness, and Healing in a Toxic Culture. (2022). Youtube. Retrieved April 27, 2025, from https://www.youtube.com/watch?v=ttu21ViNiC0. Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.

In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the May 2025 Emergency Medicine Practice article, Emergency Department Management of Patients With Complications of Chronic Neurologic Disease: Parkinson Disease, Myasthenia Gravis, and Multiple Sclerosis Parkinson's DiseaseImportance of maintaining medication schedule for Parkinson's patients Strategies for ensuring patients receive their medications promptly Overview of Carbidopa Levodopa's mechanism of actionMyasthenia GravisDescription of the disease mechanism Importance of assessing respiratory function Diagnostic alternatives like the negative inspiratory force test and counting test Discussion on appropriate emergency department actions and treatments including steroids, plasmapheresis, and IVIGMultiple SclerosisDescription of the disease mechanism Description of the typical patient demographic Discussion on the varied presentation of MS Treatment strategies including high-dose steroids and BaclofenEmergency Medicine Residents, get your free subscription by writing resident@ebmedicine.net 

About this episode: Diagnoses of autism are on the rise, but is this the result of more children being affected by the condition, or is more of a consequence of broader criteria and more screening? In this episode: a look at a new study about the number of children diagnosed with autism and what this research shows—and doesn't show. Guest: Dr. Christine Ladd-Acosta is an autism researcher and vice-director of the Wendy Klag Center for Autism and Developmental Disabilities. She is the lead Maryland investigator on a national study about the rate of autism. Host: Dr. Josh Sharfstein is vice dean for public health practice and community engagement at the Johns Hopkins Bloomberg School of Public Health, a faculty member in health policy, a pediatrician, and former secretary of Maryland's Health Department. Show links and related content: Prevalence and Early Identification of Autism Spectrum Disorder Among Children Aged 4 and 8 Years - Autism and Developmental Disabilities Monitoring Network, 16 Sites, United States 2022—CDC's MMWR RFK Jr.'s autism study to amass medical records of many Americans—CBS News The NIH-Funded Autism Study Hoping to Pinpoint Gene-Environmental Interplay—Public Health On Call (March 2025) Vaccines Don't Cause Autism. Why Do Some People Think They Do?—Hopkins Bloomberg Public Health Discovering How Environment Affects Autism—Hopkins Bloomberg Public Health Magazine (2023) Transcript information: Looking for episode transcripts? Open our podcast on the Apple Podcasts app (desktop or mobile) or the Spotify mobile app to access an auto-generated transcript of any episode. Closed captioning is also available for every episode on our YouTube channel. Contact us: Have a question about something you heard? Looking for a transcript? Want to suggest a topic or guest? Contact us via email or visit our website. Follow us: @‌PublicHealthPod on Bluesky @‌JohnsHopkinsSPH on Instagram @‌JohnsHopkinsSPH on Facebook @‌PublicHealthOnCall on YouTube Here's our RSS feed Note: These podcasts are a conversation between the participants, and do not represent the position of Johns Hopkins University.

Ann Porretto-Loehrke, PT, DPT, CHT, COMT, CMTPT, a leading expert in upper extremity rehab, joins host Phil Plisky to rethink what we really know about lateral elbow pain. Together, we dig into the clinical clues that help you distinguish between tendon, joint, and nerve involvement—and what to do when it's not just a tendinopathy. You'll hear how recent evidence and real world case examples can reshape your eval and treatment approach. Join us for a fresh look at a common diagnosis that isn't always what it seems.Learning ObjectivesAnalyze the evidence around anatomical structures that can contribute to lateral elbow pain and dysfunction in daily activitiesApply evidence-based, practical strategies to actionably address tendinopathy, articular involvement, and radial nerve issuesSolve patient case scenarios involving patients who present with significant pain and a history of multiple corticosteroid injectionsTimestamps(00:00:00) Welcome(00:00:28) Introduction to lateral elbow pain(00:01:27) Understanding the complexity of lateral elbow pain(00:03:45) Anatomy of the elbow and its implications(00:09:19) Evaluating lateral elbow pain: tests and techniques(00:14:28) Treatment approaches for tendon issues(00:23:14) Differentiating between tendon and joint issues(00:27:03) Diagnostic strategies for elbow pain(00:30:45) Understanding joint and tendon interactions(00:34:54) Comprehensive treatment approaches(00:37:37) The importance of core stability(00:40:31) Exploring nerve involvement in elbow pain(00:45:30) Key takeaways for effective treatmentResources Mentioned in EpisodeSALT Test VideoPEPPER Test VideoPull Test VideoRehab and Performance Lab is brought to you by Medbridge. If you'd like to earn continuing education credit for listening to this episode and access bonus takeaway handouts, log in to your Medbridge account and navigate to the course where you'll find accreditation details. If applicable, complete the post-course assessment and survey to be eligible for credit. The takeaway handout on Medbridge gives you the key points mentioned in this episode, along with additional resources you can implement into your practice right away.To hear more episodes of Rehab and Performance Lab, visit ⁠https://www.medbridge.com/rehab-and-performance-lab⁠If you'd like to subscribe to Medbridge, visit ⁠https://www.medbridge.com/pricing/

Check out the TIES Sales Showdown at www.tx.ag/TIESVisit The Sales Lab at https://thesaleslab.org and check out all our guests' recommended readings at https://thesaleslab.org/reading-listTo listen to The Sales Lab Podcast on your favorite apps, visit https://thesaleslab.simplecast.com/ and select your preferred method of listening.Connect with us on Facebook at https://www.facebook.com/saleslabpodcastConnect with us on Linkedin at https://www.linkedin.com/company/thesaleslabSubscribe to The Sales Lab channel on YouTube at  https://www.youtube.com/channel/UCp703YWbD3-KO73NXUTBI-Q 

In this compelling episode, NYC Special Education Attorney Adam Dayan sits down with Gemma, the mother of “Penny,” a longtime client of Law Offices of Adam Dayan. Gemma shares her personal journey navigating the often-overlooked challenges girls face in receiving an autism diagnosis. With symptoms that tend to present differently—often more masked—many girls, like Penny, are diagnosed later than boys. Penny wasn't identified as being on the spectrum until ages 6 to 7, resulting in missed vital early intervention services. Adam and Gemma discuss the critical need for awareness, timely diagnosis, and tailored support for girls with autism.  

What if the symptoms of heart disease are present, but the usual suspects aren't to blame? This intriguing question sets the stage for my conversation with Dr. Samit Shah, as we dive into the complex world of ischemia with non-obstructive coronary arteries (INOCA). Dr. Shah shares his groundbreaking work on invasive coronary function testing, a crucial development in the past decade that helps us understand symptoms like chest pain and shortness of breath without coronary blockages. DISCOVER ANOCA program is creating standardized protocols for provocative testing, ensuring that patients receive precise diagnoses and effective care.Our discussion takes a closer look at the nuanced challenges of diagnosing and treating myocardial bridging, vasospasm, and microvascular dysfunction. With a compelling case study, we illustrate how provocative testing can identify the root causes of symptoms, leading to non-surgical treatment paths. Dr. Shah introduces the Discover Inoka study, which standardizes the use of intravascular imaging for myocardial bridges. By establishing these testing protocols, the medical community is better equipped to treat such conditions with newfound enthusiasm.As we wrap the conversation, we confront the ongoing challenges and future opportunities in making provocative testing widely accessible. The importance of understanding conditions before major interventions and the role of the Microvascular Network in connecting patients to specialized care are emphasized. We also spotlight advancements in studying myocardial bridging, where surgical unroofing is now tracked in clinical trials, offering unprecedented insights into patient outcomes and enhancing cardiac care. Dr. Shah's insights are driving forward a crucial conversation on improving diagnoses and offering hope to patients with challenging cardiac conditions.CHAPTER TIMESTAMPS(00:00) Discover ANOCA Clinical Trial Overview(08:41) Advance in Diagnosis and Treatment(14:07) Improving Access to Provocative Testing(27:24) Myocardial Bridging Clinical Trial OutcomesDiscover INOCA clinical trials application and information is available HERE.For more information about myocardial bridging and microvascular testing, visit the microvascular network, HEREWhite paper on chest pain. American Heart Assochttps://www.ahajournals.org/doi/10.1161/CIR.0000000000001029https://www.microvascularnetwork.com/https://www.jscai.org/article/S2772-9303(24)01512-6/fulltexthttps://www.jscai.org/article/S2772-9303(25)01048-8/fulltext

Drs. Starling and VanderPluym discuss common diagnostic pitfalls in migraine medicine and how the misinterpretation of symptoms can lead to unnecessary testing or incorrect treatments.

In this episode of the Healthy, Wealthy, and Smart Podcast, host Karen Litzy welcomes Dr. Lilian O. Ebuoma, a Harvard-trained breast radiologist and author of "Love Your Breasts, Love Yourself." With over two decades of experience in health and wellness, Dr. Ebuoma shares her journey from joining the U.S. Navy at 19 to pursuing her passion for medicine inspired by her grandmother, a midwife in Nigeria. The discussion emphasizes the importance of breast health and provides insights into holistic breast care. Tune in to learn more about Dr. Ebuoma 's expertise and her comprehensive guide to nurturing breast health. Links to her book and additional resources are available in the show notes.   Time Stamps:  [00:01:25] Journey into healthcare and radiology. [00:06:21] Breast cancer mortality disparities. [00:10:40] Self-examination for breast health. [00:14:14] Mammography screening recommendations. [00:15:18] Breast density and screening. [00:20:46] Diagnostic mammogram process explained. [00:24:15] Emotional wellbeing and breast health. [00:27:14] Cultural stigma and breast cancer. [00:32:03] Emotional impact of cancer diagnosis. [00:34:39] Complementary therapies in oncology. [00:39:07] Breast awareness and self-care. [00:42:06] Love your breasts, love yourself.   More About Dr. Lilian O. Ebuoma: Dr. Lilian Ebuoma is a Harvard-trained breast radiologist, certified physician executive, social entrepreneur, U.S Navy Veteran, and certified professional coach. She has more than two decades of experience in the health and wellness industry, including in the United States Navy.  She is a Fellow of the Institute of Coaching at McLean, Harvard Medical School Affiliate, and a 2027 Fellow of the American College of Radiology. Dr. Ebuoma is the founder of Lilly Women's Health and Lilly Cares Foundation (LCF) in Lagos, Nigeria with a primary focus of streamlining breast care to improve breast cancer morbidity and mortality outcomes in underserved areas.  A former Associate Professor of radiology, she has authored multiple scientific publications with a focus on breast health. She also is the Executive Producer of Tufiakwa: Witnessing the Breast Cancer Journey and author of Love Your Breasts, Love Yourself.  The recipient of the Navy and Marine Corps Achievement Medal and Early Faculty Excellence Award from the Baylor College of Medicine, Dr. Ebuoma was named top 50 most influential women in Nigeria by Business Day in 2023.  Resources from this Episode: Love Your Breasts Love Yourself Book Dr. Ebuoma's Website Dr. Ebuoma on Instagram Dr. Ebuoma on LinkedIn   Jane Sponsorship Information: Book a one-on-one demo here Front Desk @ Jane Mention the code LITZY1MO for a free month   Follow Dr. Karen Litzy on Social Media: Karen's Twitter Karen's Instagram Karen's LinkedIn   Subscribe to Healthy, Wealthy & Smart: YouTube Website Apple Podcast Spotify SoundCloud Stitcher iHeart Radio