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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
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.
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/
4éme épisode / 5, de la série sur la sclérose en plaques de l'enfant. Episode 4 : Maladie rare – Prendre en charge une sclérose en plaques de l'enfant. Invité : Pr Kumaran Deiva, chef du service de neuropédiatrie de l'hôpital Bicêtre au Kremlin-Bicêtre, coordinateur du centre de référence des maladies inflammatoires rares du cerveau et de la moelle (MIRCEM) de la filière BRAIN-TEAM, et coordinateur du PNDS sclérose en plaques de l'enfant, réalisé sous l'égide du MIRCEM et de Brain-Team. https://brain-team.fr/les-membres/les-centres-de-reference/maladies-neuro-inflammatoires-de-lenfant/ 1️⃣ Quel tableau clinique doit faire suspecter une sclérose en plaques de l'enfant ? [0'38 – 1'57] ✔️ Troubles sensoriels et moteurs, atteintes neurologiques ✔️ Des formes sévères chez les jeunes enfants avec troubles de la conscience (ADEM) peuvent nécessiter une réanimation. Pour plus d'informations, retrouvez notre page article : https://rarealecoute.com/la-sclerose-en-plaques-de-lenfant/ 2️⃣ Quels sont les enjeux de la prise en charge ? [1'58 – 3'16] ✔️ Peu d'atteintes motrices graves, mais des conséquences possibles sur l'apprentissage nécessitant un suivi. ✔️ Plus le diagnostic et le traitement sont précoces, meilleures sont les chances de limiter les impacts de la maladie. 3️⃣ Quels spécialistes sont impliqués ? [3'17-4'23] ✔️ Selon l'âge, les neurologues adultes pour les adolescents (17-18 ans), les neuropédiatres pour les enfants de moins de 15 ans. ✔️ La sclérose en plaques pédiatrique étant rare, un suivi dans des centres compétences spécialisés est indispensable. 4️⃣ Quelle prise en charge proposer ? Quelle différence avec celle des adultes atteint de sclérose en plaques ? [4'24 -5'25] ✔️ Diagnostic suivi d'une prise en charge dans un centre expert, avec des traitements adaptés. ✔️ Comparée aux adultes, les enfants présentent des formes plus inflammatoires et davantage de poussées au début, nécessitant un suivi étroit et un traitement plus intensif. 5️⃣ Quel accompagnement proposer au-delà de la prise en charge thérapeutique ? [5'26 – 7'10] ✔️ Accompagnement scolaire avec aides spécifiques. ✔️ Soutien psychologique pour gérer l'anxio-dépression, fréquente chez les enfants atteints de sclérose en plaques. 6️⃣ Quel suivi proposer aux jeunes enfants atteint de sclérose en plaques ? [7'10 – 7'45] ✔️ Suivi médical à long terme avec traitement et imagerie des lésions. ✔️ Accompagnement scolaire et psychologique pour gérer l'impact de la maladie. ✔️ Préparation du relais vers les neurologues adultes avec une consultation de transition. L'équipe : Virginie Druenne – Ambassadrice RARE à l'écoute Cyril Cassard – Journaliste/Animation Hervé Guillot - Production Crédits : Sonacom ********************************************** À propos : "RARE à l'écoute" est un podcast dédié à la sensibilisation aux maladies rares et au soutien des personnes touchées par ces affections. Créé par un groupe passionné de professionnels de la santé, le podcast vise à informer les professionnels de santé et fournissant des informations sur les dernières avancées médicales et scientifiques dans le domaine des maladies rares, et inspirer les patients et leurs proches en partageant des histoires de courage et de persévérance. Contenu :
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
In this episode, Dr Tsen Vei Lim talks to Dr James MacKillop, a clinical psychologist and professor at McMaster University in Canada, and director for both the Peter Boris Centre for Addictions Research and the Michael G DeGroote Centre for Medicinal Cannabis Research. The interview covers his research report on the diagnostic validity of drinking behaviour for identifying alcohol use disorder (AUD) with findings from a representative sample of community adults and an inpatient clinical sample. · What alcohol use disorder is and how it is currently diagnosed [01:41]· The surprising exclusion of drinking behaviour in AUD diagnosis [03:03]· Unpacking ‘receiver operating characteristic curves' [04:42]· The key findings of the study [05:45]· Whether James' findings will change how we think about diagnosing AUD [07:35]· Why clinicians would benefit collecting how much people are drinking in one session [09:32]· Whether an indicator of heavy drinking would be helpful in treatment settings [10:35]· Bringing objective data into clinical application [12:09]· Whether we can use a similar metric to other drugs, such as cannabis [13:09]· What we can learn for policy and further research [15:56]· The barrier of the lack of biomarkers in alcohol use disorder [18:00]· The take-home message of the paper [19:40]About Tsen Vei Lim: Tsen Vei is an academic fellow supported by the SSA, currently based at the Department of Psychiatry at the University of Cambridge. His research integrates computational modelling, experimental psychology, and neuroimaging to understand the neuropsychological basis of addictive behaviours. He holds a PhD in Psychiatry from the University of Cambridge (UK) and a BSc in Psychology from the University of Bath (UK). About James MacKillop PhD, CPsych, FCAHS: Dr. MacKillop holds the Peter Boris Chair in Addictions Research and a Canada Research Chair in Translational Addiction Research at McMaster University and St. Joseph's Healthcare Hamilton. There, Dr. MacKillop directs both the Peter Boris Centre for Addictions Research and the DeGroote Centre for Medicinal Cannabis Research. Dr. MacKillop trained as a clinical psychologist at Binghamton University and Brown University and studies addiction using a multidisciplinary approach, integrating psychology, economics, neuroscience, and genetics. James receives unrestricted research funding from Canadian Institutes on Health Research, the National Institutes of Health, and Correctional Services of Canada and am a senior scientist and principal in Beam Diagnostics, Inc., a technology transfer start-up company. The latter had no relationship to the publication in Addiction.Original article: Diagnostic validity of drinking behaviour for identifying alcohol use disorder: Findings from a representative sample of community adults and an inpatient clinical sample. https://doi.org/10.1111/add.70037The opinions expressed in this podcast reflect the views of the host and interviewees and do not necessarily represent the opinions or official positions of the SSA or Addiction journal. The SSA does not endorse or guarantee the accuracy of the information in external sources or links and accepts no responsibility or liability for any consequences arising from the use of such information. Hosted on Acast. See acast.com/privacy for more information.
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/
Aujourd'hui, Emmanuel de Villiers, Étienne Liebig et Zohra Bitan débattent de l'actualité autour d'Alain Marschall et Olivier Truchot.
Journaliste et autrice, Claire Touzard célèbre aujourd'hui, au micro de Folie Douce, la parution de son dernier livre, Folie et résistance. Elle y évoque avec détermination le diagnostic de sa bipolarité, mais aussi son engagement face aux stigmatisations de la « folie » des femmes dans la société capitaliste qui est la nôtre.Claire Touzard avait déjà évoqué l'intime dans Sans alcool, sur son arrêt de l'alcool, qui fut finalement le début, et non un point final : la sobriété lui a été nécessaire pour découvrir qu'il y avait autre chose. Au micro de Lauren Bastide, elle évoque la littérature de l'intime justement, souvent très attendue, mais dont on oublie que le processus d'écriture peut être très dur. De nombreux sujets sont abordés dans cet entretien, de la romanticisation de la « folie » à la logique du soin occidental, qui cherche le bonheur dans le fait de se couper du malheur des autres. Le soin doit être collectif. Claire Touzard insiste : on veut nous faire l'éloge d'une pseudo-rationalité capitaliste, et celles et ceux qui tentent de l'empêcher sont montrés comme fous. Alors que finalement, c'est dans ces luttes que se cachent cohérence et logique.Crédit photo © Alexandre TabastePour soutenir mon travail, abonnez-vous à ma newsletter sur Substack.➡️ Rejoignez la communauté sur Instagram.➡️ Abonnez vous à la newsletter pour recevoir des conseils de professionnels de la santé mentale, des recommandations de livres et une curation de contenus, événements et podcasts.Folie Douce est disponible gratuitement sur toutes les plateformes : Apple Podcasts, Spotify, Deezer, PodcastAddict, Amazon Music ..Si vous avez aimé cet épisode, laissez nous des étoiles ⭐ et abonnez vous pour ne rater aucun nouvel épisode.Folie Douce donne la parole à des artistes, des militant·es, penseur·euses pour explorer leur parcours de santé mentale à la lumière de leur travail artistique ou politique. Ce podcast a pour vocation de faire émerger des récits à la première personne. Les propos de ses invité·es n'ont pas valeur d'expertise. Le terme « folie » est employé ici à des fins de renversement du stigmate et de réappropriation d'une identité habituellement imposée et marginalisée. -------------------Folie Douce est une émission produite par Lauren Bastide.Générique : Lauren Bastide et Marion Emerit sur une musique composée par Irma.Montage et mixage : Marion Emerit.Programmation et coordination : Marie Laurence-Chérie assistée de Lou Ozanam-Simon.Partenariats : The Podcast Bureau / melanie@thepodcastbureau.frConsultant : Morgan NoamDistribué par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.
5éme épisode / 5, de la série sur la maladie de Willebrand. Episode 5 : Maladie rare – Vivre avec une maladie de Willebrand. Invité : Mr Nicolas Giraud, président d'honneur de l'Association Française des Hémophiles et référent Willebrand au sein de l'association, répond à vos questions. https://www.afh.asso.fr/page/3090093-accueil 1️⃣ Quelles sont les circonstances de découverte de la maladie de Willebrand ? [0'21 – 0'59] ✔️ Dès la petite enfance, saignements de nez répétés. Pour plus d'informations, retrouvez notre page article : https://rarealecoute.com/maladie-de-willebrand/ 2️⃣ Comment s'est déroulé le diagnostic ? [1'00 – 2'25] ✔️ Diagnostic posé vers 3-4 ans, après des signes inhabituels chez une aparentée (cousine). ✔️ Après orientation vers un centre spécialisé, toute la famille est diagnostiquée. 3️⃣ Quelle prise en charge a été proposée ? [2'26 -5'05] ✔️ Interventions chirurgicales uniquement en centre spécialisé à Marseille. ✔️ Gestion des saignements difficile avant une meilleure organisation des soins. ✔️ Amélioration de la prise en charge, notamment depuis la mise en place des centres experts, avec un suivi régulier et un accès 24/7 aux spécialistes (carte d'urgence). 4️⃣ Quelles sont les motivations à devenir président d'honneur de l'Association Française des Hémophiles ? [5'05 – 6'11] ✔️ L'engagement débute par l'implication familiale dans un comité local de l'AFH. ✔️ L'AFH est une communauté partageant des expériences similaires. ✔️ Sentiment d'appartenance et de compréhension mutuelle moteur pour un engagement profond. 5️⃣ Quels sont les actions de l'Association ? [6'11 – 8'38] ✔️ Création de la Commission Willebrand en 2007 pour soutenir et informer les patients. ✔️ Développement d'un programme d'éducation thérapeutique et de sensibilisation des professionnels de santé. ✔️ Collaboration avec d'autres commissions et implication internationale pour améliorer la prise en charge. ✔️Mise en place d'une ligne d'accompagnement accessible à tous les patients. 6️⃣ Quel message transmettre aux auditeurs ? [8'38 – 10'35] ✔️ Pour les patients : ne pas hésiter à poser des questions et solliciter les centres spécialisés, même pour des cas moins graves. ✔️ Pour les professionnels : référer aux centres spécialisés en cas de doute. L'équipe : Virginie Druenne – Ambassadrice RARE à l'écoute Cyril Cassard – Journaliste/Animation Hervé Guillot - Production Crédits : Sonacom ******************************************* À propos : "RARE à l'écoute" est un podcast dédié à la sensibilisation aux maladies rares et au soutien des personnes touchées par ces affections. Créé par un groupe passionné de professionnels de la santé, le podcast vise à informer les professionnels de santé et fournissant des informations sur les dernières avancées médicales et scientifiques dans le domaine des maladies rares, et inspirer les patients et leurs proches en partageant des histoires de courage et de persévérance. Contenu :
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.
Que se passe-t-il quand l'IA devient capable d'analyser des millions de données de santé ?Julia Rebouillat a évolué entre la recherche médicale, l'innovation technologique et l'industrie. Dans cet épisode, elle nous embarque dans les coulisses des essais cliniques et du diagnostic médical, et montre comment l'IA bouleverse les pratiques, mais aussi les équilibres.Julia décrypte avec précision les promesses, les limites et les dérives potentielles d'un secteur en pleine accélération.Ce que vous allez entendre dans cet épisode :Pourquoi l'IA peut accélérer la recherche médicale… mais sur des bases de données encore trop biaiséesComment une IA mal entraînée peut aggraver les inégalités de santéCe que signifie vraiment “médecine personnalisée” quand seuls certains patients y ont accèsEn quoi l'IA transforme la pratique des médecins — et leur charge mentaleLe rôle clé du radiologue augmenté… et le spectre de son remplacementL'émergence du patient “augmenté”, ultra-informé, face à un médecin encore “non-augmenté”Les usages pro de l'IA par Julia : stratégie, communication, leadership, marketingComment l'IA modifie déjà les relations de travail (emails lissés, conflits désamorcés)Un épisode riche pour comprendre comment l'intelligence artificielle, dans le domaine de la santé, ne remplace pas l'humain, mais l'oblige à se réinventer — du chercheur au médecin, du patient au manager.Écoutez cet épisode si vous vous demandez ce que l'IA change vraiment dans la santé… et ce qu'elle ne pourra jamais faire à notre place.Hébergé par Ausha. Visitez ausha.co/politique-de-confidentialite pour plus d'informations.
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
Au cœur de la nuit, les auditeurs se livrent en toute liberté aux oreilles attentives et bienveillantes de Valérie Darmon. Pas de jugements ni de tabous, une conversation franche, mais aussi des réponses aux questions que les auditeurs se posent. Un moment d'échange et de partage propice à la confidence pour repartir le cœur plus léger.Distribué par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.
In this episode of Knowledge for Teachers podcast, Brendan Lee is joined by the legendary Craig Barton—maths educator, best-selling author of How I Wish I Taught Maths and Reflect, Expect, Check, Explain, creator of variationtheory.com and tipsforteachers.co.uk, and one of the original voices in education podcasting. In this conversation, Craig opens up about the highs and lows of teaching, the lessons he's learned from observing thousands of classrooms, and how he's navigated public criticism and personal growth. They dive deep into his evolving views on instruction, feedback, and what really moves the needle in student learning. The discussion covers things like: Mini whiteboards Diagnostic questions Intelligent Practice Atomisation Responsive teaching We also touch upon his milestone 200th episode of the Mr. Barton Maths podcast and get a sneak peek at his upcoming "Becoming a Better Maths Teacher" tour of Australia with Ollie Lovell in June. It's honest, reflective, and packed with insights every teacher can relate to. Resources mentioned: Books by Craig Barton: How I Wish I Taught Maths Reflect, Expect, Check, Explain Tips for Teachers Responsive Coaching by Josh Goodrich Some of Craig's Websites: mrbartonmaths.com diagnosticquestions.com variationtheory.com tipsforteachers.co.uk Podcasts: Mr Barton Maths Podcast You can connect with Craig: Twitter/X: @mrbartonmaths Linkedin You can connect with Brendan: Twitter/X: @learnwithmrlee Facebook: @learningwithmrlee Website: learnwithlee.net Support the Knowledge for Teachers Podcast: https://www.patreon.com/KnowledgeforTeachersPodcast About Craig Barton Craig Barton loves teaching, doing, speaking and thinking about mathematics. He taught maths in secondary schools for 15 years, and was TES Maths Adviser for 10 years. He is now the Head of Education at Eedi. Craig is the author of three best-selling books: How I wish I'd taught maths, Reflect, Expect, Check, Explain and Tips for Teachers, the host of the Mr Barton Maths podcast and the Tips for Teachers podcast, and the creator of far too many websites, including eedi, diagnosticquestions, tipsforteachers, mrbartonmaths, variationtheory, and ssddproblems. Craig has been lucky to teach maths and work with teachers and students worldwide. In 2020, he was appointed as a Visiting Fellow at the Mathematics Education Centre at the University of Loughborough. His two proudest achievements are convincing Kate to marry him (and stay married), and being the father to our wonderful boys, Isaac and Jacob. Becoming a Better Maths Teacher: Craig Barton's Aussie Tour with Ollie Lovell For the first time ever, the UK's most celebrated mathematics teacher, podcaster, and author, Craig Barton, is coming to Australia for a nationwide tour. Craig will be joined by Australia's own Ollie Lovell for an unforgettable day of professional learning designed to transform your teaching practice. Don't miss your chance to be part of this transformative event! Four dates, four cities: Perth: Friday, June 20, 2025 Melbourne: Monday, June 23, 2025 Sydney: Wednesday, June 25, 2025 Adelaide: Friday, June 27, 2025 Seats are limited—secure your spot today and take your mathematics teaching to the next level!
durée : 00:32:51 - Bistroscopie - par : Charline Vanhoenacker - Dans son dernier ouvrage, Laurie Laufer montre à quel point les diagnostics et la pathologisation ont servi, depuis le XIXème siècle, à assigner les femmes et à les maintenir dans des normes sociales. Certaines, "mauvaises filles" ont pu inventer une liberté érotique, poétique et politique. - invités : Laurie Laufer - Laurie Laufer : Psychanalyste française - réalisé par : François AUDOIN
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, Elle and Vee chat with Priestess Francesca about kink, piss, and the juicy world of dark desires. Bring your curiosity and leave your shame at the door.What is Dark Erotiscm? (3:04)Shadow Work: “fill the hole where shame used to be with love and acceptance.” (10:09)Taboo Kinks: Why are we afraid of our kinks and how can we approach them? (13:57)How can you start exploring your dark erotic desires? What to check for before you begin on your kink journey. (17:58)Where do turn-ons come from? The psychology behind why we desire what we do. The eroticsm of our traumatic experiences: recreate or obliterate. (23:40)Vee's first erotic piss play scene! (28:55)Unpacking Pee Play: How do you find where the pleasure lies? (34:52)Solo Piss Play: drinking your own golden nectar. (39:49)How to spin toilet play differently depending on the energy of the scene (worship, degradation, objectification). (40:56)Psychology behind degradation play, and the power behind Priestess Francesca's Scat Play Scene. (43:09)Discomfort is not always productive: growth vs guardianship of yourself. (48:26)Freak School. (55:09)Erotic Alchemy. (56:34)Priestess Francesca Links:WebsiteInstagramFree Masterclass!Source Information: Homosexuality in the DSM: While homosexuality was formally removed from the Diagnostic and Statistical Manual (DSM) of Mental Disorders in 1973, it wasn't until DSM-5 (which mobilized it's task force of 13 work groups in 2007 to focus on various disorder areas) that all diagnostic categories pertaining to sexual orientation were removed. Many scholars and advocacy groups believe that only this can be considered "complete declassification" of non-heterosexual sexual orientations as mental disorders.BDSM in the DSM: Thanks to tremendous efforts by the National Coalition for Sexual Freedom (NCSF) the American Psychiatric Association (APA) announced in 2010 that it would be changing the diagnostic codes for BDSM in the next edition of the DSM (formally published in 2013 and integrated into practice in the years that followed). Trans Porn Statistical Analysis by State (USA): In 2022, Lawsuit.org issued statistical analysis to understand the love for transgender related porn by scraping daily Google search trend data, segmenting by DMA (metro area), and comparing search volume to both 2020 election voting trends, and public opinions about LGBT rights. "The data tells a tragic tale of self-loathing closet cases, Republicans who privately get off sexually to trans folks, while publicly trying to remove trans peoples' rights and stoking hate against them." You can dig into their data analysis and conclusions here Where to find us, and how you can support us:Instagram: @girlsgonedeeppod Merch: girlsgonedeep.com/shop Woo More Play Affiliate Link: Support us while you shop! WHOREible Life: Get 10% off your deck with code GONEDEEP at whoreiblelife.com Instagram: @wlthegameContact: girlsgonedeep@gmail.com
Gino Harel explique pourquoi les démographes ne s'entendent pas toujours lorsque vient le temps de calculer l'indice de fécondité nécessaire pour atteindre le seuil de remplacement des générations; Renaud Manuguerra-Gagné décrit une nouvelle façon de déterminer l'intensité des acouphènes chez les personnes qui en souffrent; et Charles Frankel, géologue et vulgarisateur scientifique, nous parle des nombreuses façons dont les astéroïdes ont façonné la vie sur Terre.
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
Pascal Praud revient pendant deux heures, sans concession, sur tous les sujets qui font l'actualité. Aujourd'hui 01/05/2025, il revient sur les mots du Roi Charles III évoque le caractère "effrayant" d'un diagnostic de cancer. Vous voulez réagir ? Appelez-le 01.80.20.39.21 (numéro non surtaxé) ou rendez-vous sur les réseaux sociaux d'Europe 1 pour livrer votre opinion et débattre sur les grandes thématiques développées dans l'émission du jour. Vous voulez réagir ? Appelez-le 01.80.20.39.21 (numéro non surtaxé) ou rendez-vous sur les réseaux sociaux d'Europe 1 pour livrer votre opinion et débattre sur grandes thématiques développées dans l'émission du jour.Distribué par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.
[GRAINE DE METAMORPHOSE] Xavier Pitois reçoit Manon Borderie, naturopathe spécialisée en santé hormonale et troubles digestifs. Rhinite, asthme, eczéma, conjonctivite…Comment expliquer cette explosion des phénomènes allergiques ? Pourquoi certaines personnes réagissent à des aliments ou substances autrefois inoffensifs ? Et surtout, peut-on agir en amont, naturellement, pour retrouver un confort de vie ? Manon Borderie nous propose une méthode efficace et 100% naturelle (détox, phytothérapie, vitamines, compléments alimentaires...) pour améliorer nettement le quotidien et pour prévenir de futures allergies. Son livre, Mon programme anti-allergies, est publié aux éditions Leduc. Épisode #124En aucun cas les informations et conseils proposés par Métamorphose ne sont susceptibles de se substituer à une consultation ou un diagnostic formulé par un médecin ou un professionnel de santé, seuls en mesure d'évaluer adéquatement votre état de santé.Quelques citations du podcast avec Manon Borderie :"L'histamine, c'est la molécule clé qui va engendrer tous les symptômes allergiques qu'on connaît de la rhinite au larmoiement, à la conjonctivite etc.""Le foie pour éliminer les molécules comme l'histamine, a besoin de certains nutriments : zinc, magnésium, vitamines.""La rupture de l'équilibre du microbiote intestinal va avoir un impact notamment au niveau des allergies."Thèmes abordés lors du podcast avec Manon Borderie :00:00 Introduction02:35 Naturopathie et la biologie fonctionnelle ?04:48 Le mécanisme de la réaction allergique05:48 Types d'allergie et symptômes07:25 Les allergies sont-elles saisonnières ?08:02 Différencier allergies et hypersensibilités alimentaires11:28 Le rôle du microbiote intestinal14:41 L'impact de l'hyper-oestrogénie17:20 Quelles solutions pour apaiser les SPM ?20:03 Foie et histamine22:57 Rôle des mastocytes dans les réactions allergiques24:13 Le protocole pour les allergies au pollen27:41 Le protocole pour l'asthme allergique28:50 Les protocoles sont-ils adaptés à tous ?31:32 Une approche holistique32:18 Des gestes simples pour soulager les allergies au quotidien34:02 Soulager les yeux rouges34:38 Aliments à privilégier / à éviter37:18 Une recette pauvre en histamine38:01 Diagnostic et décision collégialeAvant-propos et précautions à l'écoute du podcast Découvrez Objectif Métamorphose, notre programme en 12 étapes pour partir à la rencontre de soi-même.Recevez chaque semaine l'inspirante newsletter Métamorphose par Anne GhesquièreFaites le TEST gratuit de La Roue Métamorphose avec 9 piliers de votre vie !Suivez nos RS : Insta, Facebook & TikTokAbonnez-vous sur Apple Podcast / Spotify / Deezer / CastBox/ YoutubeSoutenez Métamorphose en rejoignant la Tribu MétamorphosePhoto DR Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.
This is the second episode of a two-part series on the HER2 diagnostic and treatment landscape in non-small cell lung cancer (NSCLC), hosted by the Oncology Brothers, Drs Rohit and Rahul Gosain. In this episode, Dr Isabel Preeshagul and Dr Eric Singhi provide the benefit of their experience when discussing how to approach different treatment scenarios in HER2-mutant NSCLC. The conversation unfolds to cover: • Ways to distinguish HER2 alterations from other alterations on biomarker reports • The latest efficacy and safety data of currently approved and emerging treatments for HER2-altered NSCLC • The potential CNS activity of these treatments in patients with HER2-mutated NSCLC • How the treatment pathway may look in the near future Clinical takeaways • In NSCLC, HER2-positivity includes mutations, amplifications and overexpression. It's important to distinguish HER2 alterations from EGFR mutations, particularly exon 20 insertions, when interpreting next-generation sequencing (NGS) results • Trastuzumab Deruxtecan (T-DXd) is currently the only approved targeted agent for HER2-altered NSCLC in the 2nd-line setting. It shows promising efficacy, especially in HER2-mutant cases, but has limited brain penetration and is associated with notable side effects, including pneumonitis, which requires close monitoring • Emerging TKIs, such as zongertinib, BAY 2927088 (sevabertinib), and NVL-330, target HER2-mutations and have shown high response rates and CNS activity in early studies, without ILD/pneumonitis. These treatments come with unique side effects like diarrhoea and rash, which can be managed with supportive care • CNS metastases are common, with up to 30% of HER2-altered NSCLC patients presenting with or quickly developing CNS metastases. Current large molecule therapies (like T-DXd) have limited brain penetration, making small-molecule TKIs, like zongertinib, BAY 2927088 (sevabertinib), and NVL-330, promising for their potential CNS activity • Current standard 1st-line care for HER2-mutant NSCLC remains platinum-based chemotherapy ± immunotherapy. Targeted agents (like T-DXd) are generally reserved for 2nd-line use, but ongoing trials are evaluating the move toward frontline therapy Follow us on social media: • X/Twitter: https://twitter.com/oncbrothers • Instagram: https://www.instagram.com/oncbrothers • Website: https://oncbrothers.com/ Don't forget to subscribe for the next episode
[GRAINE DE METAMORPHOSE] Xavier Pitois reçoit Manon Borderie, naturopathe spécialisée en santé hormonale et troubles digestifs. Rhinite, asthme, eczéma, conjonctivite…Comment expliquer cette explosion des phénomènes allergiques ? Pourquoi certaines personnes réagissent à des aliments ou substances autrefois inoffensifs ? Et surtout, peut-on agir en amont, naturellement, pour retrouver un confort de vie ? Manon Borderie nous propose une méthode efficace et 100% naturelle (détox, phytothérapie, vitamines, compléments alimentaires...) pour améliorer nettement le quotidien et pour prévenir de futures allergies. Son livre, Mon programme anti-allergies, est publié aux éditions Leduc. Épisode #124En aucun cas les informations et conseils proposés par Métamorphose ne sont susceptibles de se substituer à une consultation ou un diagnostic formulé par un médecin ou un professionnel de santé, seuls en mesure d'évaluer adéquatement votre état de santé.Quelques citations du podcast avec Manon Borderie :"L'histamine, c'est la molécule clé qui va engendrer tous les symptômes allergiques qu'on connaît de la rhinite au larmoiement, à la conjonctivite etc.""Le foie pour éliminer les molécules comme l'histamine, a besoin de certains nutriments : zinc, magnésium, vitamines.""La rupture de l'équilibre du microbiote intestinal va avoir un impact notamment au niveau des allergies."Thèmes abordés lors du podcast avec Manon Borderie :00:00 Introduction02:35 Naturopathie et la biologie fonctionnelle ?04:48 Le mécanisme de la réaction allergique05:48 Types d'allergie et symptômes07:25 Les allergies sont-elles saisonnières ?08:02 Différencier allergies et hypersensibilités alimentaires11:28 Le rôle du microbiote intestinal14:41 L'impact de l'hyper-oestrogénie17:20 Quelles solutions pour apaiser les SPM ?20:03 Foie et histamine22:57 Rôle des mastocytes dans les réactions allergiques24:13 Le protocole pour les allergies au pollen27:41 Le protocole pour l'asthme allergique28:50 Les protocoles sont-ils adaptés à tous ?31:32 Une approche holistique32:18 Des gestes simples pour soulager les allergies au quotidien34:02 Soulager les yeux rouges34:38 Aliments à privilégier / à éviter37:18 Une recette pauvre en histamine38:01 Diagnostic et décision collégialeAvant-propos et précautions à l'écoute du podcast Découvrez Objectif Métamorphose, notre programme en 12 étapes pour partir à la rencontre de soi-même.Recevez chaque semaine l'inspirante newsletter Métamorphose par Anne GhesquièreFaites le TEST gratuit de La Roue Métamorphose avec 9 piliers de votre vie !Suivez nos RS : Insta, Facebook & TikTokAbonnez-vous sur Apple Podcast / Spotify / Deezer / CastBox/ YoutubeSoutenez Métamorphose en rejoignant la Tribu MétamorphosePhoto DR Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.
This podcast was created using Notebook LM.This blog examines the growing use of online symptom checkers, highlighting their utility as triage tools while stressing their fundamental limitation: the absence of a physical examination. It explains how these digital tools gather information through questionnaires but lack the crucial diagnostic details gained through visual assessment, palpation, auscultation, percussion, and neurological testing, leading to lower accuracy rates compared to physician evaluations.
PodChatLive 176: The Podcast Studio Episode!Contact us: getinvolved@podchatlive.comLinks from this episode:Diagnostic domains, differential diagnosis and conditions requiring further medical attention that are considered important in the assessment for Achilles tendinopathyVariability Among Individual Male Runners Influences Cumulative Loading More Than Foot Strike TypeThe “future” pain clinician: Competencies needed to provide psychologically informed careThe effects of running shoe stack height on running style and stability during level running at different running speeds
Au Moyen Âge, l'uroscopie était l'un des outils médicaux les plus utilisés pour diagnostiquer les maladies. Pratiquée depuis l'Antiquité, cette méthode consistait à examiner l'urine du patient — sa couleur, son odeur, sa consistance, voire parfois son goût — afin de détecter des déséquilibres dans le corps. Bien qu'aujourd'hui considérée comme obsolète, l'uroscopie reposait sur une vision scientifique cohérente pour l'époque, fondée sur la théorie des humeurs.Le fondement théorique : la médecine humoraleLa médecine médiévale s'appuyait sur la doctrine des quatre humeurs, héritée de Hippocrate et Galien : sang, phlegme (ou lymphe), bile jaune et bile noire. Ces humeurs étaient censées réguler la santé physique et mentale. Un déséquilibre entre elles provoquait les maladies. L'urine était vue comme un reflet direct des humeurs internes, et donc un indicateur privilégié de l'état de santé.Les médecins pensaient que les organes filtraient les humeurs, et que l'urine en représentait le produit final. Analyser l'urine, c'était ainsi avoir accès à une sorte de "miroir du corps". L'uroscopie devenait alors un examen central dans le diagnostic médical.Une observation rigoureuse… mais limitéeL'analyse de l'urine reposait sur plusieurs critères très codifiés. Les médecins observaient :La couleur : du blanc au noir, en passant par le jaune, le rouge ou le verdâtre, chaque teinte était associée à un trouble particulier.La clarté : une urine trouble ou opaque était suspecte.Les dépôts : des résidus au fond du flacon indiquaient une mauvaise "coction" (digestion des humeurs).L'odeur : jugée révélatrice d'excès de bile ou de pourriture interne.La texture : une urine "filante" ou trop épaisse était vue comme un mauvais signe.Et parfois, le goût (rarement pratiqué, mais mentionné dans certains traités).Les médecins utilisaient un flacon sphérique en verre transparent, souvent appelé matula, pour observer l'urine à la lumière du jour. Des tables d'uroscopie, illustrées de couleurs et de formes types, servaient de guide comparatif. Ces manuels, très répandus, faisaient partie intégrante de la formation médicale.Entre science et symbolismeL'uroscopie était considérée comme une méthode sérieuse et scientifique. Pourtant, elle avait ses limites : elle se fondait sur des observations empiriques non vérifiées expérimentalement, et sans lien réel avec la physiologie humaine telle que nous la comprenons aujourd'hui. Néanmoins, elle représentait une tentative méthodique d'objectiver les symptômes, à une époque où l'imagerie médicale n'existait pas.En résumé, l'uroscopie médiévale était un mélange de science pré-moderne, de symbolisme médical et d'observation empirique. Si elle nous paraît aujourd'hui dépassée, elle témoigne d'une volonté ancienne de comprendre le corps humain à travers les moyens disponibles. Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.
This show has been flagged as Explicit by the host. ----------------- NYE 2025 6 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ [pdp8online:]( https://www.pdp8online.com/asr33/asr33.shtml) The ASR33 is a printing terminal and a program storage device (paper tape) used... [wikipedia:]( https://en.wikipedia.org/wiki/Radar_in_World_War_II) Radar in World War II greatly influenced many important aspects of the conflict... [ll:]( https://www.ll.mit.edu/impact/commemorating-scr-584-radar-historical-pioneer) SCR-584 radar developed at the MIT Radiation Laboratory in the 1940s... [wikipedia:]( https://en.wikipedia.org/wiki/PDP-1) The PDP-1 (Programmed Data Processor-1) is the first computer in... 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In the second episode of our miniseries on infectious disease diagnostics, Jonathan is joined by molecular epidemiologist Rodney Rohde, Regents' Professor at Texas State University, USA. Together, they explore diagnostic innovations in the fight against antimicrobial resistance, gaps in zoonotic disease detection, and the persistent challenge of vaccine hesitancy. Timestamps: 00:00 – Introduction 01:45 – Breakthroughs in molecular diagnostics 08:30 – Diagnostic tools to combat superbugs 14:18 – Can bacteriophages replace antibiotics? 19:04 – Controlling rabies and hantavirus 28:33 – Diagnostic successes and failures from COVID-19 35:22 – How do we address vaccine hesitancy? 44:10 – Preparing for the next pandemic 47:03 – Rohde's three wishes for healthcare
In this episode of the AJR Podcast Series on Diagnostic Excellence and Error, Francis Deng, MD, and Atul Shinagare, MD, discuss how radiologists communicate diagnostic uncertainty. They examine the potential misalignment between radiologists and referrers in diagnostic confidence, as well as strategies to improve clarity like standardized certainty scales. https://www.ajronline.org/doi/10.2214/AJR.25.33101
Are you thinking about pursuing a new diagnostic radiology gig? Get the download on the current job market, how to evaluate different compensation models, and what to look out for when considering your next job offer in this week's episode of BackTable, featuring guests Dr. Ned Holman (Neuroradiologist at Alaska Imaging) and Dr. Mike Romeo (Radiologist and President of West Reading Radiology). --- SYNPOSIS The doctors begin by exploring various employment models, including private practice, academic positions, and hybrid arrangements that combine elements of both. They share valuable insights on job transparency and the significance of leveraging professional connections to gain honest, firsthand perspectives on potential employers. They also provide advice on key questions to ask during job interviews and strategies for negotiating contracts. The doctors conclude by sharing tips to help make informed decisions to ensure job satisfaction and professional growth. --- TIMESTAMPS 00:00 - Introduction 04:30 - Employment Models 06:32 - Compensation Structures 08:43 - Evaluating Job Offers 19:05 - Red Flags in Employment 27:13 - Private Equity Jobs: Pros and Cons 31:36 - Navigating Job Boards and Resources 42:03 - Final Advice for Job Seekers
Send us a textThe term codependency began being discussed in the late 1980s, with the first Codependency Conference being held in Scottsdale, AZ, in 1986. The terms have been used, banished, and used again. Dr. Tim Cermak tried to get the terms included in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders, but so far, the term has not been included. One of the first books, Codependent No More, was written by Melody Beattie. Regardless of what the over-giver behavior is called, there are symptoms that are discussed in this episode.Support the showWe're eager to hear from you! Feel free to share your thoughts through our anonymous form or simply write to info@freshouttaplans.com with your topic requests or any burning questions you'd like us to explore on the podcast. https://linktr.ee/freshouttaplans
About Dr. Laleh Talebian:Dr. Laleh holds a bachelor's degree in Genetics and Food Biochemistry, a Ph.D. in Molecular & Cellular Biology from Dartmouth Medical School, and completed a post-doctoral fellowship on biomarkers for Cystic Fibrosis. She directed a clinical research lab on immunotherapy for blood cancers and served as a Research Project Manager at the Dartmouth Institute for Health Policy & Clinical Practice.Realizing her true calling, she became a certified health coach for patient care in 2019. Today, as a Nutritional Healing Doctor, she helps people with chronic conditions, cancer, obesity, and overweight issues heal through food prescriptions.She enjoys cycling, gardening, cooking, and reading.In this episode, Jennie Bellinger and Dr. Laleh Talebian discuss:Personal Health Journey Through FoodCustomized Nutrition Based on GeneticsRoot Cause Approach to Chronic ConditionsHealthy Plate Concept Without Complex CalculationsEpigenetics and Controllable Health OutcomesKey Takeaways:Food is a powerful tool for managing chronic conditions.Traditional diets often fail because they're not tailored to individual needs; on the other hand, listening to your body and recognizing how specific foods impact your health is crucial for long-term wellness.By making intentional choices about nutrition and lifestyle, individuals can positively influence their genetic expression.Diagnostic testing goes beyond surface-level health assessments.Simplifying nutrition can make sustainable health changes more achievable, and the "healthy plate" concept eliminates complex calculations, making it easier for people to make informed dietary choices without feeling overwhelmed."One in three people listening to this podcast is diagnosed with cancer.” — Dr. Laleh TalebianConnect with Dr. Laleh Talebian: Facebook Name: https://www.facebook.com/profile.php?id=61554963903409Facebook Business Page: https://www.facebook.com/profile.php?id=61558516023406LinkedIn URL: https://www.linkedin.com/in/drlalehphd/Instagram Business Link: https://www.instagram.com/dynamicnaturaladvantage/Link to Gift from Dr. Laleh Talebian:Dr. Laleh's Gift for Healthy Badass Crew is her Healthy Plate One Page Guide: https://www.dynamicnaturaladvantage.com/healthy-plate Dr. Laleh's Gift for Badass Crew who are dealing with a chronic condition is her monthly complimentary webinars called “Eat To Defeat ___________” Join her live here: https://dynamicnaturaladvantage.com Connect with Jennie:Website: https://badassdirectsalesmastery.com/Email: jennie@badassdirectsalesmastery.comFacebook personal page: https://facebook.com/jbellingerPLFacebook podcast page: http://facebook.com/BadassDirectSalesMasteryFacebook group for Badass Crew: https://facebook.com/groups/BadassDirectSalesMomsInstagram: https://instagram.com/BadassDirectSalesMasteryPersonal Instagram: https://www.instagram.com/thedirectsalesdomme/LinkedIn: https://linkedin.com/in/BadassDirectSalesMasteryThe Badass Direct Sales Mastery Podcast is currently sponsored by the following:Bella Grace Elixir: https://shopbellagrace.com/?ref=jenniebadassdirectsalesmasteryLeadBuddy Digital Marketing: Use code BDSM when checking out at https://leadbuddy.io/pro-monthly-9310?am_id=jennie582Show Notes by Podcastologist: Hanz Jimuel AlvarezAudio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.
A topic that affects many but is often misunderstood: sleep apnea. Join us with Dr. Douglas Krohn to uncover the intricacies of obstructive sleep apnea, highlighting symptoms, risks, and the impact it has on both mental and physical health.Dr. Krohn, a seasoned primary care physician and sleep medicine expert, introduces an innovative telehealth platform, konk.com, designed to streamline the diagnostic process. By leveraging adaptive logic questionnaires, this platform offers a faster, cheaper avenue to pinpoint sleep apnea, circumventing the traditional costly sleep studies.Show Notes: deepintosleep.co/episode/sleepapneaRESOURCESAre you so sleepy that you cannot focus? Are you tired of getting through the day drinking coffee? Are you worried how your poor sleep may impact your health?Checkout Dr. Yishan Xu's Insomnia Treatment Course! Connect with Dr. YishanInstagram: @dr.yishanTwitter: @dryishanFacebook:@dr.yishanConnect with Douglas Krohn, MDLinkedIn - https://www.linkedin.com/in/douglas-krohn-md-119533a/Newsletter and Download Free Sleep Guidence E-Book:https://www.mindbodygarden.com/sleepCBT-I Courses:English: https://www.deepintosleep.co/insomniaChinese: https://www.mindbodygarden.com/shimianPodcast Links:Apple Podcast: https://podcasts.apple.com/us/podcast/deep-into-sleep/id1475295840Google Podcast: https://podcasts.google.com/search/deepintosleepStitcher: https://www.stitcher.com/show/deep-into-sleepSpotify: https://open.spotify.com/show/2Vxyyj9Cswuk91OYztzcMSiHeartRadio: https://www.iheart.com/podcast/269-deep-into-sleep-47827108/Support our Podcast: https://www.buymeacoffee.com/dryishanLeave us a Rating:...
Fixation on Histology Blog: Mastering the Art of Immunohistochemistry: Essential Techniques for Reliable Diagnostic Results Written By: Khulood Ayad Majeed; College of Dentistry, University of Kirkuk Click to read this post.
Ortho Eval Pal: Optimizing Orthopedic Evaluations and Management Skills
Send us a textParsonage-Turner Syndrome can mimic several other shoulder conditions, leading to misdiagnosis and ineffective treatment if not properly identified and differentiated.• PTS typically presents with sudden onset of severe shoulder pain lasting 2-3 weeks, often triggered by viruses or vaccinations• Common symptoms include limited active and passive range of motion, weakness, atrophy (especially in deltoids), and sometimes altered sensation• Rotator cuff tears differ by having better passive than active motion and usually having a clear mechanism of injury• Cervical nerve root compression can be distinguished by performing Spurling's test and gentle cervical traction• Adhesive capsulitis has a slower onset than PTS and typically doesn't cause the significant atrophy seen in PTS cases• Diagnostic imaging should be used after thorough clinical examination to confirm suspected diagnosis• EMG/nerve conduction studies are most helpful for confirming PTS after 3-4 weeks of symptoms• Always check for skin changes like pustules or rashes that might indicate shingles, which can cause brachial neuritisJoin us for our upcoming live course on May 31st, 2025 where we'll cover more differential diagnoses like these. Visit the website link in the show notes for more information and to reserve your spot.
In today's media, it is impossible not to see an ad for the latest gambling service. If you don't already know, gambling is risking money or something of value on an event with an unknown outcome and can be done both online and in-person, on anything from slot machines to a sports game. While it may seem fun to win some money on something, gambling comes with a bunch of risks, and it's not just losing money. Links: If you or someone you know might struggle with gambling visit https://www.nhproblemgambling.org/ for information and resources Explore psychology resources and therapy services on Psychology Today's website Explore Gamblers Anonymous website for resources and services Check out TCU University for financial education tips and resources! Follow us on Facebook, Instagram and Twitter! Learn more about Triangle Credit Union Transcript: Welcome to Money Tip Tuesday from the Making Money Personal podcast. If you decide to gamble, it is very important to gamble safely. Before you try your luck, consider setting some guidelines to stick to. Limit how much you want to gamble, and don't exceed that limit. If you have the unfortunate experience of losing all the money you set aside to gamble, walk away. Don't put any more money down to chase a win. If you decide to gamble, keep it in a social setting with supportive friends who can help you stick to your plan. Also, try to avoid excessive alcohol and drug use while gambling, as that might influence you to make rash decisions and gamble more. While most people who have placed a bet have done so without problems, some have gone on to develop a gambling addiction. The Diagnostic and Statistical Manual of Mental Disorders, 5th edition, which is a diagnostic tool published by the American Psychiatric Association, classifies gambling problems as an addictive disorder. Similarly to drugs and alcohol, a gambling addiction involves an increased tolerance that results in the feeling of gambling even more to feel satisfied. People with a gambling addiction who try to quit will go through similar withdrawal symptoms, such as an urge to gamble and irritability. With unchecked gambling issues, it can quickly turn from a fun way to win or lose money to costing you a fortune, going into debt, mental health issues, and even bringing harm to your friends and family. The first part is obvious: the more you gamble, the more likely you will lose more and more money. Watching your finances go down the drain will impact your mental health. Often when this happens, a gambling addict will keep going back in an attempt to win their money back. This spiraling behavior can strain your loved ones, especially your family or people who might rely on you. An estimated 0.4% to 2% of the world's population has a gambling addiction. You are more likely to develop a gambling addiction if you have any other addictions or have a psychiatric condition. For example, an estimated 4% of people treated for substance abuse also have a gambling addiction. A lower income is also linked to having a gambling addiction, as people are looking for a big win to give them a step up. If you believe you may have a gambling problem or addiction, there are options to help you. Going to therapy is a significant first step. Many therapists are knowledgeable about gambling addictions and trained to help you overcome them. You can visit psychologytoday.com to find the right therapist for you. There are also support groups like Gamblers Anonymous, where you can talk to other people with gambling problems and share experiences. Gambling can be fun, but it's risky. Please play responsibly. If there are any other tips or topics you'd like us to cover, let us know at tcupodcast@trianglecu.org. Also, remember to like and follow our Making Money Personal Facebook and Instagram to share your thoughts. Finally, remember to look for our sponsor, Triangle Credit Union, on Facebook and LinkedIn. Thanks for listening to today's Money Tip Tuesday. Check out our other tips and episodes on the Making Money Personal podcast.
Reconnaître un infarctus en phase précoce grâce à l'IRM, vérifier la bonne santé d'un bébé par échographie, dépister un cancer du sein via une mammographie… L'imagerie médicale permet de diagnostiquer une maladie, de la suivre et même de la soigner. Cependant, ces nouvelles techniques de pointe ne sont pas toujours accessibles partout dans le monde. Comment l'imagerie fonctionne-t-elle ? Dans quels cas est-elle indispensable et à l'inverse, peut-elle être contre-indiquée ? Quelles sont les dernières avancées en matière d'imagerie médicale ? Quelle est la place de l'intelligence artificielle actuellement dans ce secteur ? Comment améliorer l'accès aux examens essentiels d'imagerie ? Dr Julien Savatovsky, neuroradiologue, chef du service imagerie de l'hôpital Fondation Rothschild Pr Ali Coulibaly, radiologue et chef du service d'imagerie médicale du CHU d'Angré à Abidjan. Professeur titulaire de radiodiagnostic et imagerie médicale à l'UFR des sciences médicales de l'Université Félix Houphouët-Boigny à Abidjan en Côte d'Ivoire Un reportage de Louise Caledec au centre d'imagerie numérique CSE (Centre de sénologie et d'échographie), à Paris, sur les évolutions de l'imagerie dans le dépistage des maladies du sein. Programmation musicale :► Gabriella Lima – Meu lugar ► Gyedu blay Ambolley – Who Made Your Body Like Dat
Reconnaître un infarctus en phase précoce grâce à l'IRM, vérifier la bonne santé d'un bébé par échographie, dépister un cancer du sein via une mammographie… L'imagerie médicale permet de diagnostiquer une maladie, de la suivre et même de la soigner. Cependant, ces nouvelles techniques de pointe ne sont pas toujours accessibles partout dans le monde. Comment l'imagerie fonctionne-t-elle ? Dans quels cas est-elle indispensable et à l'inverse, peut-elle être contre-indiquée ? Quelles sont les dernières avancées en matière d'imagerie médicale ? Quelle est la place de l'intelligence artificielle actuellement dans ce secteur ? Comment améliorer l'accès aux examens essentiels d'imagerie ? Dr Julien Savatovsky, neuroradiologue, chef du service imagerie de l'hôpital Fondation Rothschild Pr Ali Coulibaly, radiologue et chef du service d'imagerie médicale du CHU d'Angré à Abidjan. Professeur titulaire de radiodiagnostic et imagerie médicale à l'UFR des sciences médicales de l'Université Félix Houphouët-Boigny à Abidjan en Côte d'Ivoire Un reportage de Louise Caledec au centre d'imagerie numérique CSE (Centre de sénologie et d'échographie), à Paris, sur les évolutions de l'imagerie dans le dépistage des maladies du sein. Programmation musicale :► Gabriella Lima – Meu lugar ► Gyedu blay Ambolley – Who Made Your Body Like Dat
⭐️ Want support with real-world strategies that actually work on your campus? We're doing that every day in the School for School Counselors Mastermind. Come join us! ⭐️**********************************We've got to stop calling it "defiance" when it's actually dysregulation.In this episode, we're pulling back the curtain on what ADHD really is- and why the strategies we often use in schools aren't cutting it. You'll learn:Why ADHD isn't a behavior problem (and what it actually is)The critical difference between knowing and doingWhy worksheets, clip charts, and “just try harder” don't workWhat school counselors can do instead to actually helpIf you've ever had a student who “knows the rules” but can't seem to follow them, this one's for you.And if you're tired of seeing kids punished for things they haven't learned how to manage yet?You're in the right place... Let's go!Resources:American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.Barkley, R. A. (1997). ADHD and the nature of self-control. New York, NY: Guilford Press.Barkley, R. A. (2011). Executive functions: What they are, how they work, and why they evolved. New York, NY: Guilford Press.Brown, T. E. (2013). A new understanding of ADHD in children and adults: Executive function impairments. Routledge.Centers for Disease Control and Prevention. (2022). Data and statistics about ADHD. https://www.cdc.gov/ncbddd/adhd/data.htmlQuinn, P. O., & Madhoo, M. (2014). A review of attention-deficit/hyperactivity disorder in women and girls: uncovering this hidden diagnosis. The primary care companion for CNS disorders, 16(3), 27250.Shaw, P., Eckstrand, K., Sharp, W., Blumenthal, J., Lerch, J. P., Greenstein, D. E. E. A., ... & Rapoport, J. L. (2007). Attention-deficit/hyperactivity disorder is characterized by a delay in cortical maturation. Proceedings of the national academy of sciences, 104(49), 19649-19654.**********************************Our goal at School for School Counselors is to help school counselors stay on fire, make huge impacts for students, and catalyze change for our roles through grassroots advocacy and collaboration. Listen to get to know more about us and our mission, feel empowered and inspired, and set yourself up for success in the wonderful world of school counseling.Hang out in our Facebook groupJump in, ask questions, share your ideas and become a part of the most empowering school counseling group on the planet! (Join us to see if we're right.)Join the School for School Counselors MastermindThe Mastermind is packed with all the things your grad program never taught you IN ADDITION TO unparalleled support and consultation. No more feeling alone, invisible, unappreciated, or like you just don't know what to do next. We've got you!Did someone share this podcast with you? Be sure to subscribe for all the new episodes!!
Join Brett Wetzel and Kevin Compass in this roller-coaster episode of the Advance Refrigeration podcast, where they dive into the nitty-gritty of refrigeration maintenance and troubleshooting. From swapping out old controllers to humorous exchanges about P&ID diagrams, they share their insights and experiences, including adventures in Casa Bonita and handling CO2 exhaust leaks. The hosts also break down essential diagnostics for refrigeration cases, revealing the complexities of subcooling, air filtration, and battling the dreaded wax clogging in the systems. Packed with practical tips and real-world stories, this episode is both informative and hilariously entertaining.#RefrigerationLife #HVACR #AdvancedRefrigerationPodcast #CO2Cooling #CasaBonitaChronicles #HVACHumor #SuperTechs #SubcoolingSaga
Join Brett Wetzel and Kevin Compass in this roller-coaster episode of the Advance Refrigeration podcast, where they dive into the nitty-gritty of refrigeration maintenance and troubleshooting. From swapping out old controllers to humorous exchanges about P&ID diagrams, they share their insights and experiences, including adventures in Casa Bonita and handling CO2 exhaust leaks. The hosts also break down essential diagnostics for refrigeration cases, revealing the complexities of subcooling, air filtration, and battling the dreaded wax clogging in the systems. Packed with practical tips and real-world stories, this episode is both informative and hilariously entertaining.#RefrigerationLife #HVACR #AdvancedRefrigerationPodcast #CO2Cooling #CasaBonitaChronicles #HVACHumor #SuperTechs #SubcoolingSaga
Don't get to the end of this year wishing you had taken action to change your business and your life.Click here to schedule a free discovery call for your business: https://geni.us/IFORABEShop-Ware gives you the tools to provide your shop with everything needed to become optimally profitable.Click here to schedule a free demo: https://info.shop-ware.com/profitabilityUtilize the fastest and easiest way to look up and order parts and tires with PartsTech absolutely free.Click here to get started: https://geni.us/PartsTechTransform your shop's marketing with the best in the automotive industry, Shop Marketing Pros!Get a free audit of your shop's current marketing by clicking here: https://geni.us/ShopMarketingPros In this episode, Lucas and David are joined by guest Jake Barnes, who shares his experiences and challenges with diagnostic tools such as Top Don and Snap-on in his automotive career. They discuss the complexities of diagnosing difficult car issues, particularly with a troublesome Mini Cooper that Lucas's shop struggled with extensively. The episode also touches on industry-wide challenges like technician motivation and the gap between skill sets and shop management expectations.00:00 MRI Review Shows Minimal Issues08:45 Double Standards in Accountability12:35 Unfair Billing Practices17:06 Visiting Apex and Sema Events24:54 "Tool Subscription Issues Resolved"29:00 Candid Leadership in Diagnostics35:31 Reviving Technician Passion and Career39:56 "Pursuit of Integrity & Knowledge"47:32 Car Testing: Mileage and Fault Inquiry49:17 Vehicle Repair Frustration Unresolved54:46 Botched Wiring Sparks Car Fire01:02:47 Family Conflict and Blame Game01:04:51 Aspiring IRS Auditor's Musings
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-epstein-chronicles--5003294/support.