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More midweek matches are upon us as we near the end of the festive fixtures, but rotation and the absence of some popular players has got FPL managers looking to change up their squads
The return of Gabriel means FPL managers are rethinking their Arsenal ownership as they try to bring in the Brazilian defender once again ❤️
As I was listening to an episode of the Ludology podcast recently, one focused on games and health, I started to think about how much the people we play with influence our gameplay experience. Selecting board games based on the audience is much more important than we may like to believe. Get it wrong, and you have one player rebelling and playing opposite to expectations, another disengaging completely, and the overall mood shifting from playful enjoyment to uncomfortable tension. In this article, I want to discuss how a mismatch can impact the enjoyment of the whole group, alter the tone of reviews, and even affect playtest outcomes.Read the full article here: https://tabletopgamesblog.com/2025/12/30/socially-afflicted-how-people-affect-gameplay-experience-topic-discussion/Useful LinksLudology podcast episode 351, Better Health Through Gaming: https://ludology.libsyn.com/ludology-351-better-health-through-gamingPandemic review: https://tabletopgamesblog.com/2020/01/18/pandemic-saturday-review/Amit Bar's and Tobias Otterbring's study “The role of culture and personality traits in board game habits and attitudes” in the Journal of Retailing and Consumer Services: https://www.sciencedirect.com/science/article/pii/S0969698921000722Qian Zhang's, JiaLe Ruan's and DingYong Xiong's study “Differential effects of exposure to cooperative versus competitive games on sharing behavior in young children" in Frontiers in Psychiatry: https://pmc.ncbi.nlm.nih.gov/articles/PMC12268353/Bez Shahriari's reflections on playtesting behaviour: https://en.wikipedia.org/wiki/Bez_ShahriariBoard Game Design Lab: https://boardgamedesignlab.com/Mahiro Egashira's, Daisuke Son's and Arisa Ema's study “Serious Game for Change in Behavioral Intention Toward Lifestyle Related Diseases” in JMIR Serious Games: https://pubmed.ncbi.nlm.nih.gov/35188465/Ramy Hammady's and Sylvester Arnab's review “Serious Gaming for Behaviour Change, A Systematic Review” in Information: https://www.mdpi.com/2078-2489/13/3/142MusicIntro Music: Bomber (Sting) by Riot (https://www.youtube.com/audiolibrary/)Music: "Epic Inspiration" by AShamaluevMusic.Website: https://www.ashamaluevmusic.comMusic: "Galaxy" by AShamaluevMusic.Website: https://www.ashamaluevmusic.comMusic: "Legend" by AShamaluevMusic.Website: https://www.ashamaluevmusic.comSupportIf you want to support this podcast financially, please check out the links below:Ko-Fi: https://ko-fi.com/TabletopGamesBlogPatreon: https://www.patreon.com/tabletopgamesblogWebsite: https://tabletopgamesblog.com/support/
For the first time this season, it's become a bit clearer which Liverpool attackers to focus on and bring in
The Lakers have hovered at mediocre all season in one pretty important stat. Is it time to listen to said stat? To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices
Mark “Murch” Erhardt and Mike Schmidt are joined by Bastien Teinturier, Rearden Code, and Pieter Wuille to discuss Newsletter #385: 2025 Year-in-Review Special.January● Updated ChillDKG draft (43:08) ● Offchain DLCs (45:53) ● Compact block reconstructions (2:29:27) February● Erlay update (1:53:55) ● LN ephemeral anchor scripts (0:50) ● Probabilistic payments (54:45) March● Bitcoin Forking Guide (3:29:35) ● Private block template marketplace to prevent centralizing MEV (3:05:28) ● LN upfront and hold fees using burnable outputs (13:12) April● SwiftSync speedup for initial block download (2:09:35) ● DahLIAS interactive aggregate signatures (3:26:02) Summary 2025: Quantum (58:07) May● Cluster mempool (1:22:11) ● Increasing or removing Bitcoin Core's OP_RETURN policy limit (2:45:43) June● Calculating the selfish mining danger threshold (2:20:39) ● Fingerprinting nodes using addr messages (3:11:38) ● Garbled locks (3:19:01) Summary 2025: Soft fork proposals (26:57) July● Chain code delegation (49:07) August● Utreexo draft BIPs (2:15:57) ● Lowering the minimum relay feerate (2:39:52) ● Peer block template sharing (2:56:01) ● Differential fuzzing of Bitcoin and LN implementations (3:16:08) Summary 2025: Stratum v2 (2:04:49) September● Details about the design of Simplicity (3:23:01) ● Partitioning and eclipse attacks using BGP interception (3:13:47) October● Discussions about arbitrary data (3:01:15) ● Channel jamming mitigation simulation results and updates (11:05) November● Comparing performance of ECDSA signature validation in OpenSSL vs. libsecp256k1 (2:01:47) ● Modeling stale rates by propagation delay and mining centralization (2:22:32) ● BIP3 and the BIP process (3:31:37) ● Bitcoin Kernel C API introduced (3:35:35) December● Splicing (7:33)
Just as managers were getting a settled midfield line-up, Man Utd's Bruno Fernandes picked up an injury that could see him miss a lot of the festive fixtures. So Kelly Somers and the FPL Pod team look at his possible replacements, highlighting Morgan Rogers' fine form, and which teams have the most favourable fixtures in the next month. LISTEN
A template midfield is forming around three premium assets, but is that about to be challenged by other picks and which other budget options can we rely on?
All In Football FPL Show - Episode 163 - Saint NickThis week Barry and Scott goes through all the GW17 fixtures and discuss which players to avoid, buy or sellIs Bruno G The Best/Only Option For NewcastleIs Neto The New Mr Consistent?Gamble On Palmer?Semenyo Still Worth Keeping?Mitoma, Minteh or Georginio Who's The Best Option?How Will AFCON Affect Sunderland?Foden, Haaland & Who Else For Man City?Shall We Get Bowen Now?Thiago Just For This Week & Not For ChristmasEkitike The Only Option For Liverpool?Saka Back To His Best?Calvert-Lewin Best Budget Striker?Get Palace Defenders Only?Rogers Or Bruno Fernandes?All Aboard The Wilson TrainForest Defence Worth Investing?Differential 5 A Side Results GW16Captaincy & Fixtures GW17With the "Differential King" Barry Stokes & "Voice of the People" Scott Williams Hosted on Acast. See acast.com/privacy for more information.
FPL GW17 Tips, Transfer Targets & Chip Strategy! Arsenal only just get past Wolves this week, but that's what Champions do! Elsewhere Ekitike looks like he'll keep Isak out the Liverpool team ahead of a nice run of fixtures for the Reds and a finally, Lee picks a decent differential. A massive THANK YOU for all your support watching, liking and sharing our videos! __________________________
FPL managers now have five Free Transfers to help them react to any of their players departing for the Africa Cup of Nations (AFCON), but what's the best way to use this early Christmas gift?
Nephrotic Syndrome explained clearly (including differences from Nephritic Syndrome), looking at causes and pathophysiology, as well as symptoms, diagnosis and treatment options. PDFs available at: https://rhesusmedicine.com/pages/nephrologyConsider subscribing (if you found any of the info useful!): https://www.youtube.com/channel/UCRks8wB6vgz0E7buP0L_5RQ?sub_confirmation=1Patreon: https://www.patreon.com/rhesusmedicineBuy Us A Coffee!: https://www.buymeacoffee.com/rhesusmedicineTimestamps:0:00 Nephrotic vs Nephritic Syndrome1:02 Nephrotic Syndrome Pathophysiology2:01 Nephrotic Syndrome Signs and Symptoms 4:42 Nephrotic Syndrome Causes 7:34 Nephrotic Syndrome Epidemiology / Risk Factors8:07 Nephrotic Syndrome Diagnosis9:15 Nephrotic Syndrome Treatment LINK TO SOCIAL MEDIA: https://www.instagram.com/rhesusmedicine/ReferencesNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). Nephrotic Syndrome in Adults. Last reviewed 2025. Available at: https://www.niddk.nih.gov/health-information/kidney-disease/nephrotic-syndrome-adultsWikipedia contributors. Nephrotic syndrome. Last updated July 2025. Available at: https://en.wikipedia.org/wiki/Nephrotic_syndromeStatPearls. Nephrotic Syndrome. In StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025. Available at: https://www.statpearls.com/articlelibrary/viewarticle/25713/Geeky Medics. Nephrotic vs Nephritic Syndrome | Renal. Last updated August 2025. Available at: https://geekymedics.com/nephrotic-vs-nephritic-syndrome/AMBOSS. Nephrotic syndrome. Last updated March 2025. Available at: https://www.amboss.com/us/knowledge/Nephrotic_syndromePubMed. Thrombosis in nephrotic syndrome. Published 2013. Available at: https://pubmed.ncbi.nlm.nih.gov/23625754/BMJ Best Practice. Assessment of nephrotic syndrome – Differential diagnosis of symptoms. Last updated March 2025. Available at: https://bestpractice.bmj.com/topics/en-gb/356Italian Journal of Pediatrics (Biomed Central). The Italian Society for Pediatric Nephrology (SINePe) consensus document on the management of nephrotic syndrome in children: Part I – Diagnosis and treatment of the first episode and the first relapse. Published 2017. Available at: https://ijponline.biomedcentral.com/articles/10.1186/s13052-017-0356-xDisclaimer: Please remember this podcast and all content from Rhesus Medicine is for educational and entertainment purposes only and is not a guide to diagnose or to treat any form of condition. The content is not to be used to guide clinical practice and is not medical advice. Please consult a healthcare professional for medical advice
Welcome to the fourth episode of our Early Clinical Learners Series, a series dedicated to fostering clinical reasoning skills and strategies in early clinical trainees. This episode focuses on the musculoskeletal (MSK) block and uses a clinical case to guide listeners through approaching joint pain, identifying key red flags, and narrowing a differential diagnosis.Hosts: Caroline Wang, Samantha Shih, Dr. Richard AbramsGuests: Christopher Song, Grant PrimerProduced By: Caroline Wang, Samantha ShihAlert & Oriented is a medical student-run clinical reasoning podcast dedicated to providing a unique platform for early learners to practice their skills as a team in real time. Through our podcast, we strive to foster a learning environment where medical students can engage with one another, share knowledge, and gain valuable experience in clinical reasoning. We aim to provide a comprehensive and supportive platform for early learners to develop their clinical reasoning skills, build confidence in their craft, and become the best clinicians they can be.Follow the team on Twitter:A&OA fantastic resource, by learners, for learners in Internal Medicine, Family Medicine, Pediatrics, Primary Care, Emergency Medicine, and Hospital Medicine.
Phil Foden is proving a popular purchase for FPL managers after his consecutive double-digit returns
It's the start of December, which means only one thing: festive fixtures. And lots of them ⚽️
In today's episode Guilaine responds to an email sent to her about the differential treatment of people of colour in the workplace, and why Black people are treated more harshly. This question was a response to a thread she made about the idealisation of Black people, and so this episode is also a follow up to the last episode where she spoke on that topic.She begins with an aside considering hierarchies of Racism under White Supremacy, particularly in relation to the UK, France and the USA.She then goes through examples of differential treatment across racial lines and shares some thoughts on the reasons why these patterns are engrained within white supremacist society.Subscribe, rate and review on Apple Podcasts, Spotify, Amazon Music or wherever you get your podcasts.
Tasty returns are potentially on the menu for FPL managers in Gameweek 13, with many activating a chip to try and gain those extra points
In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the November 2025 Emergency Medicine Practice article, Diagnosis and Management of Emergency Department Patients With Alcohol Withdrawal SyndromeEpidemiology & Background Rising ED visits related to alcohol use. Mortality rates and spectrum of patient presentations. Importance of high suspicion and complexity of cases.Pathophysiology & Mechanisms Alcohol metabolism and neurochemical changes. Differential diagnosis: Conditions that mimic alcohol withdrawal.Prehospital & EMS Considerations Role of EMS in triage and initial management. Use of sobering centers vs. ED transport. Prehospital administration of benzodiazepines (IM midazolam).History & Risk Assessment Key questions to assess risk for alcohol withdrawal syndrome. Importance of patient history, medication use, and comorbidities. Discussion on patient honesty and rapport.Physical Exam & Scoring Systems DSM-5 criteria for alcohol withdrawal. Use of CIWA-AR, BAWS, and PAWSS scoring systems. Importance of objective measurement for monitoring and disposition.Complications & Special PresentationsComplicated alcohol withdrawal: Hallucinosis, seizures, delirium tremens. Diagnostic workup: Labs, imaging, and co-ingestions. Special populations: End-stage liver disease, pregnancy, intubated patients.Treatment Strategies Mainstay: Benzodiazepines (types, dosing, and protocols). Phenobarbital: Indications, dosing, and evidence. Adjunctive therapies: Thiamine, glucose, magnesium. Alternative/adjunct medications: Gabapentin, ketamine, dexmedetomidine, baclofen.Clinical Pearls & Practice Changes Early, aggressive therapy to prevent complications. Symptom-based vs. fixed-schedule treatment. Gabapentin as an alternative or adjunct. Anti-craving medications for relapse prevention.Disposition & Protocols Use of scoring systems for safe discharge, observation, or admission. Importance of protocolized approaches and community resources.Summary & Take-Home Points Five key practice-changing points. Clinical pathway.Emergency Medicine Residents, get your free subscription by writing resident@ebmedicine.net
The international break has thrown us FPL managers a few headaches with some popular picks now flagged as injured
In this episode, we discuss patellofemoral pain (PFP). We explore: What is happening structurally in PFP? Differential diagnosis around the kneeRole of effusion and crepitus in PFPAssessment of patients with suspected PFPRole of squatting in objective assessments and treatmentWhat factors may lead to chronicityEvidence based management of PFPRole of blood flow restriction within PFPWant to learn more about patellofemoral pain? Claire Robertson has done a brilliant Masterclass with us called “Patellofemoral Pain” where she goes into further depth on this topic.
Mike has project updates, Colin looks at a terrible 100 series Land Cruiser, and Sean has rapid fire automotive world news!
Author Reuben A. Buford May discusses the article, "Antiblack Discrimination in Public Accommodations: Differential Drink Pricing in Urban Nightclubs" published in Socius: Sociological Research for a Dynamic World.
With Arsenal performing so well, FPL managers are heavily invested in the Gunners but are we picking the right trio?
A region title decided by point differential? You won’t believe how North Cobb clinched it. In this playoff-packed episode of Cobb Football Friday, Brian Giffin and John Bednarowski break down the wild end to the regular season, historic scoring feats, and what’s ahead for Cobb County teams in the GHSA playoffs. From Walker’s gritty 23-man roster to McEachern’s record-breaking 79-point game, it’s a celebration of resilience, rivalry, and reclassification. Tune in for playoff previews, standout performances, and a look at how school enrollment is reshaping the future of Georgia high school football. Cobb Football Friday Chapters 00:00 Kickoff to Week 13: Playoff Fever and Fastball Season01:12 North Cobb’s Region Title: A Tiebreaker Twist02:30 Teams That Stepped Up: Harrison, Hillgrove, Sprayberry03:45 Campbell’s Quiet Success and Pope’s First Win04:36 Walker’s Grit and TJ Anderson’s 23-Man Miracle06:00 McEachern’s 79-Point Explosion and Historic Scoring Records07:30 Harrison vs. Marietta: Playoff Preview and Gate Expectations08:45 Hillgrove, Sprayberry, and Seeding Scenarios10:00 Campbell’s Winning Season and Whitfield’s Setback11:46 Walker’s Season Ends with Respect and Safety First12:30 First-Round Playoff Matchups Across Classifications14:53 GHSA Reclassification: Who’s Moving Up and Down17:21 Appeals, Region Realignment, and Travel Impacts19:47 North Cobb Christian’s Playoff Potential21:23 Cobb Stars in College: Kaden Lee and Connor Lu22:08 Travel Tales, Basketball, and Next Week’s Preview24:18 Bye Week Reflections and Playoff AnticipationSee omnystudio.com/listener for privacy information.
Jack Smith joins Papa & Silver to recap his experience doing play-by-play on the 49ers vs Giants broadcast, his real-time reaction to Mykel Williams' injury, what to make of the 49ers' negative turnover differential and moreSee omnystudio.com/listener for privacy information.
Jack Smith joins Papa & Silver to recap his experience doing play-by-play on the 49ers vs Giants broadcast, his real-time reaction to Mykel Williams' injury, what to make of the 49ers' negative turnover differential and moreSee omnystudio.com/listener for privacy information.
While more funds are being piled into the defence as we go big at the back, it means cheaper forward options are required, and the most popular purchase is Crystal Palace's Jean-Philippe Mateta
Differential diagnosis is part physiology, part detective work. Especially in heart failure, where similar vital signs can mean very different things.In this episode, Natalie RN is back on the show to break down two pediatric cases that looked almost identical on arrival to the ED but their workups led to two very different treatment plans. She shares the assessment findings, diagnostics, and clinical clues that helped them uncover what was really going on.Learn how to connect the dots and find the right intervention when presentations look identical!Topics discussed in this episode:Presentation of two pediatric patients with similar symptomsDifferential diagnosis and early clinical cluesWhat to look for in your clinical assessmentPathophysiology of pulmonary hypertensionPathophysiology of dilated cardiomyopathyKey physical exam and diagnostic differencesDilated cardiomyopathy interventionsWhy it's hard to diagnose pulmonary hypertension in the ERNurse priorities when managing patients in the CVICUManaging pulmonary hypertension crises and reducing PVRPearls and pitfalls of treating these conditionsConnect with Natalie:https://www.instagram.com/chatwithnat_rn/Listen to Chat with Nurse Nat on Spotify:https://open.spotify.com/show/7Jh2qe44KipudVKkdXFwWHListen to Chat with Nurse Nat on Apple Podcasts:https://podcasts.apple.com/us/podcast/chat-with-nurse-nat/id1815541418Mentioned in this episode:CONNECT
There's been a tactical shift in the game as the top FPL managers play more defensive assets and use formations with at least four at the back
Send us a textThe line between genuine ADHD and everyday distractibility can feel blurry—until you know what to look for. We open the case file and walk through a clear, practical way to identify ADHD: symptoms that begin before age twelve, persist over time, and cause real impairment across settings like home, school, and friendships. No shortcuts, no vibes—just a grounded approach that blends criteria with real-life context.Together, we unpack what inattention really looks like beyond “spacing out,” and how hyperactivity differs from normal kid energy by its severity, persistence, and resistance to willpower. You'll hear the exact questions we use when assessing teens and adults, how to gather collateral from parents and teachers, and the surprising role sleep plays in amplifying or masking symptoms. We also map the classroom realities: the fidgeting that never ends, the detours under desks, and the conversational zigzags that jump tracks from hot dogs to Hawaii.Differential diagnosis is the make-or-break step, so we draw sharp lines between ADHD and common lookalikes. Depression can tank concentration, but usually in episodes; PTSD may mimic restlessness and distractibility in kids, especially when hypervigilance is high; intermittent explosive disorder shares impulsivity but adds consistent aggression. Understanding these differences protects against misdiagnosis and steers better care—behavioral strategies, school supports, coaching, and when appropriate, medication. If you're studying the DSM-5-TR or navigating a possible diagnosis for yourself or a child, this conversation gives you a field-tested checklist and a narrative lens to see the whole person, not just a list of symptoms.If this helped clarify the ADHD picture, follow the show, share this episode with someone who needs it, and leave a quick review to help others find thoughtful mental health content.If you need to study for your national licensing exam, try the free samplers at: LicensureExamsThis podcast is not associated with the NBCC, AMFTRB, ASW, ANCC, NASP, NAADAC, CCMC, NCPG, CRCC, or any state or governmental agency responsible for licensure.
Differential diagnosis... I think they all just wanted to get out of recording in person. Send us your episode ideasL pleasedontcast@gmail.com
Bobby and Steve broke down the Saints' 26-15 victory over the New York Giants. Bobby slammed the Giants, calling them the New York "munchkins." The Cajun Cannon criticized the Saints' red zone offense, celebrated their +5 turnover differential, and praised the performance of New Orleans' young secondary. The guys spoke to WWL listeners about the win, K Blake Grupe, and a questionable "roughing the passer" call on Saints DE Carl Granderson. They also listened to QB Spencer Rattler's postgame press conference.
Bobby and Steve broke down the Saints' 26-15 victory over the New York Giants. Bobby slammed the Giants, calling them the New York "munchkins." The Cajun Cannon criticized the Saints' red zone offense, celebrated their +5 turnover differential, and praised the performance of New Orleans' young secondary. The guys spoke to WWL listeners about the win, K Blake Grupe, and the questionable "roughing the passer" call on Saints DE Carl Granderson. They also listened to QB Spencer Rattler's postgame press conference.
With the fixtures turning in Arsenal's favour, now's the time to consider a triple-up. But who to get?
Sheil Kapadia joins the 94 WIP Morning Show to analyze the Eagles' 4-0 start. He highlights the strong play from the defense and special teams, but also explains why the offense still raises concerns — even beyond the A.J. Brown social media drama.
Dr. Shau-Ming Wei (National Institute of Mental Health, Bethesda, MD) joins AJP Audio to discuss a replication study looking at impact of hormone addback to a hormone suppression regimen for the treatment of premenstrual dysphoric disorder. Afterwards, AJP Editor-in-Chief Dr. Ned Kalin discusses the rest of the October issue of the Journal. 00:34 Wei interview 02:59 PMDD 04:22 Up and downsides of hormone suppression 05:52 Hormone addback 07:15 Limitations of the current study 08:38 Further research 10:42 Kalin interview 10:58 Wei et al. 15:25 Sanacora et al. 20:07 Whittle et al. 23:06 Cooper et al. Transcript Be sure to let your colleagues know about the podcast, and please rate and review it on Apple Podcasts, Google Podcasts, Spotify, or wherever you listen to it. Subscribe to the podcast here. Listen to other podcasts produced by the American Psychiatric Association. Browse articles online. How authors may submit their work. Follow the journals of APA Publishing on Twitter. E-mail us at ajp@psych.org
Baskin and Phelps continue their discussion on the Guardians being playoff bound and talk about their confidence in the team despite the offensive struggles.
Plenty of Wildcards are being activated and almost all are doing so to bring in Man City forward Erling Haaland
Chinese Premier Li Qiang says the country will not seek any new special and differential treatment in the current and future World Trade Organization negotiations.
After playing an hour for Liverpool midweek, FPL managers are already starting to bring Alexander Isak into their teams. But have they gone too soon?
Background: Metabolic dysfunction-associated steatotic liver disease (MASLD) is the fastest-growing etiology of hepatocellular carcinoma (HCC). This work identifies novel gene and lipid associations in human MASLD-driven HCC that may be exploited for therapeutic benefit. Methods: Human HCC tumor (n=8) and adjacent non-tumor samples (n=8) were obtained from the Biospecimen Procurement and Translational Pathology Shared Resource Facility at the University of Kentucky Markey Cancer Center. All patients met cardiometabolic MASLD criteria and were negative for viral hepatitis. Hematoxylin and eosin (H&E) staining was used for pathological determination of tumor and adjacent nontumor tissue. Lipids were extracted using a methyl-tert-butyl ether extraction method and subjected to lipidomics by the West Coast Metabolomics Center. RNA was isolated and used for bulk sequencing. Data were analyzed using paired nonparametric analyses via a Wilcoxon or Mann-Whitney test, as appropriate. Results: Histological analysis by H&E showed significant lipid vacuole accumulation in HCC tumors relative to nontumor tissue. Lipidomic analysis revealed significant increases in long-chain nonesterified monounsaturated fatty acids (MUFAs; C16:1, C18:1, C20:1) and MUFA-enriched phospholipids (PC30:1, PC32:1, PE32:1, and PC36:1) in tumors relative to nontumor tissue. No significant differences were observed in nonesterified polyunsaturated fatty acids (PUFAs; C18:2, C20:4, and C22:6), PUFA-enriched phospholipids (C36:4, C38:4, C38:6, C40:6), or in fatty acid esters of hydroxy fatty acids (FAHFAs; C38:2, C38:4, C38:6). However, both MUFA- (C14:1, C18:1) and PUFA-enriched acylcarnitines (C18:2, C18:3) were collectively reduced in human tumors. Differential analysis of RNA sequencing revealed fatty acid oxidation genes (CPT1A, CPT2, ACADL, ACADM, ACADS, HADHA) were significantly reduced in tumor versus nontumor tissue. Further, genes involved in de novo lipogenesis were largely dysregulated (e.g. no differences in SREBF1 or FASN; increases in ACLY, ACACA, and SCD1; decreases in ACSL1) in tumor versus nontumor tissue. Conclusions: These results suggest human HCC tumors exhibit a reduced capacity to undergo mitochondrial β-oxidation resulting in accumulation of free and esterified MUFAs with concomitant reductions in MUFA-carnitines. Current studies are underway to determine the mechanisms by which impairment of hepatic MUFA catabolism via FAO promotes the development of HCC in mice.
In this episode of Through a Therapist's Eyes, we unpack the often-misunderstood world of Obsessive-Compulsive Personality Disorder (OCPD) and explore how it differs from both everyday perfectionism and OCD. From the importance of accurate differential diagnosis to the ego-syntonic traits that make OCPD so challenging to recognize, we highlight how this disorder impacts relationships, marriages, and workplace dynamics. Using a case illustration and insights from marriage research, we discuss how rigidity and control can create friction while offering practical strategies for individuals, partners, and clinicians to foster awareness, flexibility, and healthier connections. Tune in to see OCPD Through a Therapist's Eyes.
We break down pneumothorax: risks, diagnosis, and management pearls. Hosts: Christopher Pham, MD Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Pneumothorax.mp3 Download Leave a Comment Tags: Chest Trauma, Pulmonary, Trauma Show Notes Risk Factors for Pneumothorax Secondary pneumothorax Trauma: rib fractures, blunt chest trauma (as in the case). Iatrogenic: central line placement, thoracentesis, pleural procedures. Primary spontaneous pneumothorax Young, tall, thin males (10–30 years). Connective tissue disorders: Marfan, Ehlers-Danlos. Underlying lung disease: COPD with bullae, interstitial lung disease, CF, TB, malignancy. Technically, anyone is at risk. Symptoms & Differential Diagnosis Typical PTX presentation: Dyspnea, chest pain, pleuritic discomfort. Exam clues: unilateral decreased breath sounds, focal tenderness/crepitus. Red flags (suggest tension PTX): JVD Tracheal deviation Hypotension, shock physiology Severe tachycardia, hypoxia Differential diagnoses: Pulmonary: asthma, COPD, pneumonia, pulmonary edema (SCAPE), ILD, infections. Cardiac: ACS, CHF, pericarditis. PE and other acute causes of dyspnea. Diagnostics Bloodwork: limited role, except type & screen if intervention likely. EKG: reasonable given chest pain/shortness of breath.
With the international break on the horizon and some underwhelming form, Kelly Somers and the FPL Pod team debate whether we should be removing Cole Palmer from our teams
Mike Schopp talks to Bills fans about the Bills turnover differential from last year and if that is obtainable again
Ekitiké One Gameweek into the new season and FPL managers are already trying to rip up their teams and start again
In this episode of the Epigenetics Podcast, we talked with Luca Magnani from Institute of Cancer Research and UNIMI in Milan about his work on epigenetic mechanisms of drug resistance and cancer cell dormancy in breast cancer. We start the interview by putting our focus on his significant contributions to the understanding of estrogen receptor-positive breast cancer. In a foundational study from 2013, Professor Magnani and his colleagues illuminated the role of genome-wide reprogramming of the chromatin landscape in conferring resistance to endocrine therapy. This research marked a departure from a purely genetic mutation paradigm, proposing instead that epigenetic modifications play a pivotal role in the development of drug resistance. A fascinating part of our conversation centers on the role of pioneer transcription factors, particularly PBX1, in regulating the estrogen receptor's transcriptional response. Professor Magnani explains how PBX1, typically associated with hematopoietic development, influences estrogen receptor activity, thereby shaping the cancer cell's fate and response to treatment. Continuing our exploration, we discuss the critical distinctions between primary and metastatic breast cancer through the lens of epigenetic reprogramming. By analyzing samples from women with breast cancer, Professor Magnani's work identifies specific enhancer usage that marks the transition to a drug-resistant state which was a breakthrough in linking epigenetic alterations to real-world patient outcomes. He emphasizes that the reliance on genetic mutations alone does not adequately explain the mechanisms of drug resistance, pushing the field to consider the epigenetic landscape more deeply. Our conversation also touches on the evolution of experimental techniques. Professor Magnani shares insights into the transition from traditional ChIP-seq methods to CUT&RUN, demonstrating the need for techniques that cater to the limited material available from clinical samples. This adaptability mirrors the dynamic nature of cancer itself, as cells continuously evolve under therapeutic pressure. As we traverse through the complexities of dormancy and reactivation in cancer cells, Professor Magnani enlightens us on the unpredictable nature of tumor behavior. He describes how cancer cells can enter dormant states and how their awakening is influenced by environmental factors, akin to an evolutionary response to stressors, thus revealing the intricate balance between survival and proliferation. In the latter part of the episode, we explore Professor Magnani's vision for the future of breast cancer research, which includes the need for better animal models that mimic human disease. His pursuit of understanding estrogen receptor behavior both in healthy and cancerous cells reflects a holistic approach to cancer biology, aiming to decipher the transition from normal tissue to malignancy. References Magnani, L., Stoeck, A., Zhang, X., Lánczky, A., Mirabella, A. C., Wang, T. L., Gyorffy, B., & Lupien, M. (2013). Genome-wide reprogramming of the chromatin landscape underlies endocrine therapy resistance in breast cancer. Proceedings of the National Academy of Sciences of the United States of America, 110(16), E1490–E1499. https://doi.org/10.1073/pnas.1219992110 Nguyen, V. T., Barozzi, I., Faronato, M., Lombardo, Y., Steel, J. H., Patel, N., Darbre, P., Castellano, L., Győrffy, B., Woodley, L., Meira, A., Patten, D. K., Vircillo, V., Periyasamy, M., Ali, S., Frige, G., Minucci, S., Coombes, R. C., & Magnani, L. (2015). Differential epigenetic reprogramming in response to specific endocrine therapies promotes cholesterol biosynthesis and cellular invasion. Nature communications, 6, 10044. https://doi.org/10.1038/ncomms10044 Patten, D. K., Corleone, G., & Magnani, L. (2018). Chromatin Immunoprecipitation and High-Throughput Sequencing (ChIP-Seq): Tips and Tricks Regarding the Laboratory Protocol and Initial Downstream Data Analysis. Methods in molecular biology (Clifton, N.J.), 1767, 271–288. https://doi.org/10.1007/978-1-4939-7774-1_15 Related Episodes Enhancers and Chromatin Remodeling in Mammary Gland Development (Camila dos Santos) Contribution of Estrogen Receptor to Breast Cancer Progression (Jason Carroll) Circulating Epigenetic Biomarkers in Cancer (Charlotte Proudhon) Contact Epigenetics Podcast on Mastodon Epigenetics Podcast on Bluesky Dr. Stefan Dillinger on LinkedIn Active Motif on LinkedIn Active Motif on Bluesky Email: podcast@activemotif.com
The time for tweaking your squad is almost over, so Kelly Somers and the FPL Pod team are here to give you some last-minute advice
Here it is folks, the third and final installment on our mini-series about building trust! Thank you all so much for your patience, for listening, for learning, that's the attitude to have when entering the communal thought Schauer! We're sharing cognitive load and helping each other co-regulate [somewhat parasocial conclusion redacted for posterity purposes] so thank you. Can't wait to talk to you all next week about something tangentially related. Make sure to like and subscribe on Youtube, as well as rate 5 stars on Spotify or Apple Podcasts! This year, skip breaking a sweat AND breaking the bank. Get this new customer offer and your 3-month Unlimited wireless plan for just 15 bucks a month at https://MintMobile.com/SCHAUER Upfront payment of $45 required (equivalent to $15/mo.). Limited time new customer offer for first 3 months only. Speeds may slow above 35GB on Unlimited plan. Taxes & fees extra. See MINT MOBILE for details. Resources: Four Colors of Lies http://changingminds.org/explanations/behaviors/lying/four_lies.htm An Illustrated Guide to the 4 Types of Liars https://www.nirandfar.com/types-of-liars/ Visual Perception and Corollary Discharge https://pmc.ncbi.nlm.nih.gov/articles/PMC2807735/#:~:text=Identifying%20a%20corollary%20discharge%20in,Holst%20and%20Mittelstaedt%2C%201950). Propensity to trust and risk aversion: Differential roles in the trust process https://www.sciencedirect.com/science/article/abs/pii/S0092656623000119 Agreeableness https://www.psychologytoday.com/us/basics/agreeableness 12 Proven Trust-Building Exercises to Repair Relationships of All Types https://riveroakspsychology.com/12-proven-trust-building-exercises-to-repair-relationships-of-all-types/ 5 Creative Bullet Journal Mood Tracker Ideas [and Your How To Guide] https://www.yopandtom.com/blogs/news/5-creative-bullet-journal-mood-tracker-ideas-and-your-how-to-guide?srsltid=AfmBOoq1RVxbyYU_8b-31IJzxvrtezmy64Xyp8zdmgBUp3lJnyoyDhto Lying: Moral Choice in Public and Private Life - Sissela Bok The Order of Time - Carlo Rovelli Learn more about your ad choices. Visit podcastchoices.com/adchoices
After a busy week of tinkering with our first squad drafts, Kelly Somers and the FPL Pod team are back to look over their changes and chat about which premiums to pick ♻️