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Sander Schulhoff is an AI researcher specializing in AI security, prompt injection, and red teaming. He wrote the first comprehensive guide on prompt engineering and ran the first-ever prompt injection competition, working with top AI labs and companies. His dataset is now used by Fortune 500 companies to benchmark their AI systems security, he's spent more time than anyone alive studying how attackers break AI systems, and what he's found isn't reassuring: the guardrails companies are buying don't actually work, and we've been lucky we haven't seen more harm so far, only because AI agents aren't capable enough yet to do real damage.We discuss:1. The difference between jailbreaking and prompt injection attacks on AI systems2. Why AI guardrails don't work3. Why we haven't seen major AI security incidents yet (but soon will)4. Why AI browser agents are vulnerable to hidden attacks embedded in webpages5. The practical steps organizations should take instead of buying ineffective security tools6. Why solving this requires merging classical cybersecurity expertise with AI knowledge—Brought to you by:Datadog—Now home to Eppo, the leading experimentation and feature flagging platform: https://www.datadoghq.com/lennyMetronome—Monetization infrastructure for modern software companies: https://metronome.com/GoFundMe Giving Funds—Make year-end giving easy: http://gofundme.com/lenny—Transcript: https://www.lennysnewsletter.com/p/the-coming-ai-security-crisis—My biggest takeaways (for paid newsletter subscribers): https://www.lennysnewsletter.com/i/181089452/my-biggest-takeaways-from-this-conversation—Where to find Sander Schulhoff:• X: https://x.com/sanderschulhoff• LinkedIn: https://www.linkedin.com/in/sander-schulhoff• Website: https://sanderschulhoff.com• AI Red Teaming and AI Security Masterclass on Maven: https://bit.ly/44lLSbC—Where to find Lenny:• Newsletter: https://www.lennysnewsletter.com• X: https://twitter.com/lennysan• LinkedIn: https://www.linkedin.com/in/lennyrachitsky/—In this episode, we cover:(00:00) Introduction to Sander Schulhoff and AI security(05:14) Understanding AI vulnerabilities(11:42) Real-world examples of AI security breaches(17:55) The impact of intelligent agents(19:44) The rise of AI security solutions(21:09) Red teaming and guardrails(23:44) Adversarial robustness(27:52) Why guardrails fail(38:22) The lack of resources addressing this problem(44:44) Practical advice for addressing AI security(55:49) Why you shouldn't spend your time on guardrails(59:06) Prompt injection and agentic systems(01:09:15) Education and awareness in AI security(01:11:47) Challenges and future directions in AI security(01:17:52) Companies that are doing this well(01:21:57) Final thoughts and recommendations—Referenced:• AI prompt engineering in 2025: What works and what doesn't | Sander Schulhoff (Learn Prompting, HackAPrompt): https://www.lennysnewsletter.com/p/ai-prompt-engineering-in-2025-sander-schulhoff• The AI Security Industry is Bullshit: https://sanderschulhoff.substack.com/p/the-ai-security-industry-is-bullshit• The Prompt Report: Insights from the Most Comprehensive Study of Prompting Ever Done: https://learnprompting.org/blog/the_prompt_report?srsltid=AfmBOoo7CRNNCtavzhyLbCMxc0LDmkSUakJ4P8XBaITbE6GXL1i2SvA0• OpenAI: https://openai.com• Scale: https://scale.com• Hugging Face: https://huggingface.co• Ignore This Title and HackAPrompt: Exposing Systemic Vulnerabilities of LLMs through a Global Scale Prompt Hacking Competition: https://www.semanticscholar.org/paper/Ignore-This-Title-and-HackAPrompt%3A-Exposing-of-LLMs-Schulhoff-Pinto/f3de6ea08e2464190673c0ec8f78e5ec1cd08642• Simon Willison's Weblog: https://simonwillison.net• ServiceNow: https://www.servicenow.com• ServiceNow AI Agents Can Be Tricked Into Acting Against Each Other via Second-Order Prompts: https://thehackernews.com/2025/11/servicenow-ai-agents-can-be-tricked.html• Alex Komoroske on X: https://x.com/komorama• Twitter pranksters derail GPT-3 bot with newly discovered “prompt injection” hack: https://arstechnica.com/information-technology/2022/09/twitter-pranksters-derail-gpt-3-bot-with-newly-discovered-prompt-injection-hack• MathGPT: https://math-gpt.org• 2025 Las Vegas Cybertruck explosion: https://en.wikipedia.org/wiki/2025_Las_Vegas_Cybertruck_explosion• Disrupting the first reported AI-orchestrated cyber espionage campaign: https://www.anthropic.com/news/disrupting-AI-espionage• Thinking like a gardener not a builder, organizing teams like slime mold, the adjacent possible, and other unconventional product advice | Alex Komoroske (Stripe, Google): https://www.lennysnewsletter.com/p/unconventional-product-advice-alex-komoroske• Prompt Optimization and Evaluation for LLM Automated Red Teaming: https://arxiv.org/abs/2507.22133• MATS Research: https://substack.com/@matsresearch• CBRN: https://en.wikipedia.org/wiki/CBRN_defense• CaMeL offers a promising new direction for mitigating prompt injection attacks: https://simonwillison.net/2025/Apr/11/camel• Trustible: https://trustible.ai• Repello: https://repello.ai• Do not write that jailbreak paper: https://javirando.com/blog/2024/jailbreaks—Production and marketing by https://penname.co/. For inquiries about sponsoring the podcast, email podcast@lennyrachitsky.com.—Lenny may be an investor in the companies discussed. To hear more, visit www.lennysnewsletter.com
Are you looking for a long episode about the afterlife to listen to during your holiday travel? Well, do we have the episode for you! Jeremy delves into the annihilationism/conditional immortality debate that has been raging online the last few weeks. Do Theology is part of Foundations Media. Learn more at https://foundationsmedia.org https://dotheology.com https://store.dotheology.com https://www.buymeacoffee.com/DoTheology Contact Us: show@dotheology.com https://twitter.com/dotheology https://facebook.com/dotheology Subscribe to the podcast: https://linktr.ee/DoTheology 0:00 Introduction 5:46 Order of Service 7:47 A Working Definition of Annihilationism 17:46 Their View of Adam 24:07 Their View of Life and Death 31:14 Their View of Revelation 36:17 Their View of Fire 39:34 Response to Their View of Adam 48:18 Response to Their View of Life and Death 1:03:15 Response to Their View of Revelation 1:15:50 Response to Their View of Fire 1:18:46 Destruction Language 1:19:59 Revelation 22 1:22:05 Eternal Life in Hell? 1:23:20 Infinite Wrath 1:24:22 Hebrews 10 1:26:58 Weeping and Gnashing of Teeth 1:30:50 Where Is This on the Chart? 1:38:35 Concluding Thoughts
Does every podcast need a lesson, or can a good story be enough? In today's evaluation, we examine Shared Delights, a short-form storytelling podcast designed to offer warmth, humor, and a brief escape. Instead of aiming for transformation or instruction, the show focuses on how a story feels in the moment and what it gives the listener emotionally. Using Shared Delights as a case study, we take a close look at how pacing, pauses, and delivery shape clarity and attention. We explore sound design choices and how music and effects can either support the story or pull focus away from it. We also talk about the balance between structure and spontaneity, and why alignment between intention, sound, and presentation matters more than polish alone. Just a reminder: entertainment and escapism are valid podcast goals. This episode invites podcasters to listen to their work the way their audience does and consider how each choice shapes the experienceEpisode Highlights:[02:18] Empowered Podcasting Conference announcement[04:38] Evaluation of the Shared Delights podcast[06:32] Listener feedback and early suggestions[14:00] Cover art and branding discussion[30:42] Crafting an enticing show title[32:47] The importance of pacing and clarity[36:58] Enhancing the experience with sound design[49:31] Discoverability and growth strategiesLinks & Resources: Join The Empowered Podcasting Facebook Group:www.facebook.com/groups/empoweredpodcastingShared Delights (Wedding Crasher): https://open.spotify.com/episode/1pfvQbyTC2J4j7f07RlgTb?si=DAciGVe4TRqSeyq5Glnb3wShared Delights Naked Eureka: https://open.spotify.com/episode/2gIMkfSyZDCZb07Jzzlx5pPodpage: https://www.podpage.com/?via=ironickmediaMatthew Bliss' Cover Art Revision #1: https://www.dropbox.com/scl/fi/wwqru8i9ovo0dzc69pba8/SharedDelights_CoverArt.jpg?rlkey=q0da5tpxr6sufk9fhqp3lu14j&st=xniphsrv&dl=0Cover Art Revision #2: https://www.dropbox.com/scl/fi/djp3p40uzi6bl1xm8sxlc/SharedDelights_CoverArt2.jpg?rlkey=3kjin994w8ci4qckkulql4ewb&st=ez35nof5&dl=0To Have Your Podcast Considered For Evaluation, Please Complete This Form: https://docs.google.com/forms/d/e/1FAIpQLSc8-Xv6O6lrNPcPJwj3N0Z5Osdl-5kHGz_PiAU45URemember to rate, follow, share, and review our podcast. Your support helps us grow and bring valuable content to the podcasting community.Join us LIVE every weekday morning at 7 am ET (US) on Clubhouse: https://www.clubhouse.com/house/empowered-podcasting-e6nlrk0wOr Join us on Chatter: https://preview.chattersocial.io/group/98a69881-f328-4eae-bf3c-9b0bb741481dLive on YouTube: https://youtube.com/@marcronickBrought to you by iRonickMedia.com Please note that some links may be affiliate links, which support the hosts of the PMC. Thank you!--- Send in your mailbag question at: https://www.podpage.com/pmc/contact/ or marc@ironickmedia.comWant to be a guest on The Podcasting Morning Chat? Send me a message on PodMatch, here: https://www.podmatch.com/hostdetailpreview/1729879899384520035bad21b
Drs Joseph Mikhael and Shaji Kumar discuss the future of multiple myeloma, including enhanced diagnostics for detecting myeloma, frontline therapy, and durable responses. Relevant disclosures can be found with the episode show notes on Medscape https://www.medscape.com/viewarticle/1002718. The topics and discussions are planned, produced, and reviewed independently of advertisers. This podcast is intended only for US healthcare professionals. Resources Multiple Myeloma https://emedicine.medscape.com/article/204369-overview Updated Diagnostic Criteria and Staging System for Multiple Myeloma https://pubmed.ncbi.nlm.nih.gov/27249749/ Mass Spectrometry for the Evaluation of Monoclonal Proteins in Multiple Myeloma and Related Disorders: An International Myeloma Working Group Mass Spectrometry Committee Report https://pubmed.ncbi.nlm.nih.gov/33563895/ Multiple Myeloma Imaging https://emedicine.medscape.com/article/391742-overview Next-Generation Biomarkers in Multiple Myeloma: Understanding the Molecular Basis for Potential Use in Diagnosis and Prognosis https://pubmed.ncbi.nlm.nih.gov/34299097/ Monoclonal Gammopathy of Undetermined Significance https://www.ncbi.nlm.nih.gov/books/NBK507880/ Primary Plasma Cell Leukemia: Consensus Definition by the International Myeloma Working Group According to Peripheral Blood Plasma Cell Percentage https://pubmed.ncbi.nlm.nih.gov/34857730/ Advancing MRD Detection in Multiple Myeloma: Technologies, Applications, and Future Perspectives https://pubmed.ncbi.nlm.nih.gov/40214184/ Genomic Landscape of Multiple Myeloma and Its Precursor Conditions https://pubmed.ncbi.nlm.nih.gov/40399554/ Quadruplet Regimens for Patients With Newly Diagnosed Multiple Myeloma: A Systematic Review and Meta-Analysis https://pubmed.ncbi.nlm.nih.gov/39348665/ Subcutaneous Daratumumab (Dara) + Bortezomib/Lenalidomide/Dexamethasone (VRd) With Dara + Lenalidomide (DR) Maintenance in Transplant-Eligible (TE) Patients With Newly Diagnosed Multiple Myeloma (NDMM): Analysis of Sustained Minimal Residual Disease Negativity in the Phase 3 PERSEUS Trial https://ascopubs.org/doi/10.1200/JCO.2025.43.16_suppl.7501 Isatuximab, Carfilzomib, Lenalidomide, and Dexamethasone Induction in Newly Diagnosed Myeloma: Analysis of the MIDAS Trial https://pubmed.ncbi.nlm.nih.gov/39841461/ Comparing Combinations of Drugs to Treat Newly Diagnosed Multiple Myeloma (NDMM) When a Stem Cell Transplant Is Not a Medically Suitable Treatment https://www.clinicaltrials.gov/study/NCT05561387 Cytokine Release Syndrome and Associated Neurotoxicity in Cancer Immunotherapy https://pubmed.ncbi.nlm.nih.gov/34002066/ The Role of CELMoD Agents in Multiple Myeloma https://pmc.ncbi.nlm.nih.gov/articles/PMC12399888/ Phase 2 Study of Talquetamab + Teclistamab in Patients With Relapsed/Refractory Multiple Myeloma and Extramedullary Disease: REDIRECTT-1 https://library.ehaweb.org/eha/2025/eha2025-congress/4173809/shaji.kumar.phase.2.study.of.talquetamab.2B.teclistamab.in.patients.with.html Discovery of a Novel Class NSD2 Inhibitor for Multiple Myeloma With t(4;14) https://pubmed.ncbi.nlm.nih.gov/40949769/ Long-Term (≥5 Year) Remission and Survival After Treatment With Ciltacabtagene Autoleucel (Cilta-Cel) in CARTITUDE-1 Patients (Pts) With Relapsed/Refractory Multiple Myeloma (RRMM) https://ascopubs.org/doi/10.1200/JCO.2025.43.16_suppl.7507
Many people manage symptoms of serious mental illness but hesitate to seek help. Fear, embarrassment, and uncertainty about what actually happens during a psychological assessment can keep someone from taking that crucial first step. In this episode, host Rachel Star Withers (who lives with schizophrenia) undergoes an initial psych evaluation with psychologist Dr. Aaron Brinen to show you exactly what the process looks like for someone experiencing symptoms of schizophrenia. Their conversation demystifies the assessment, removes fear from the unknown, and helps you understand what professionals are really looking for. Dr. Aaron P. Brinen, PsyD, is a clinical psychologist in private practice who uses evidence-based treatments to support people living with serious mental health conditions. He is the co-developer of Recovery-Oriented Cognitive Therapy (CT-R) and trains clinicians worldwide. Dr. Brinen is also the author of the new book Living Well With Psychosis. Our guest, Dr. Aaron P. Brinen, PsyD, is a clinical psychologist in private practice, where he employs evidence-based treatments to help people recover from serious mental health conditions. He is also Assistant Professor of Psychiatry and Behavioral Sciences at Vanderbilt University Medical Center in Nashville, Tennessee. Dr. Brinen is a co-developer of recovery-oriented cognitive therapy (CT-R), and has been active in adapting CT-R for different settings and training therapists from around the world. Our host, Rachel Star Withers, (Link: www.rachelstarlive.com) is an entertainer, international speaker, video producer, and schizophrenic. She has appeared on MTV's Ridiculousness, TruTV, NBC's America's Got Talent, Marvel's Black Panther, TUBI's #shockfight, Goliath: Playing with Reality, and is the host of the HealthLine podcast “Inside Schizophrenia”. She grew up seeing monsters, hearing people in the walls, and having intense urges to hurt herself. Rachel creates videos documenting her schizophrenia, ways to manage, and letting others like her know they are not alone and can still live an amazing life. She has created a kid's mental health comic line, The Adventures of ____. (Learn more at this link: https://www.amazon.com/Adventures-Fearless-Unstoppable-Light-Ambitious/dp/B0FHWK4ZHS ) Fun Fact: She has wrestled alligators. Our cohost, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. He also hosts the twice Webby honored podcast, Inside Bipolar, with Dr. Nicole Washington. To learn more about Gabe, please visit his website, gabehoward.com. Learn more about your ad choices. Visit megaphone.fm/adchoices
“Too far, too fast?”In this sixth episode, Sarah Harrison, Director of the MHPSS Hub, and Dan Amias, Senior Innovation Learning Adviser at Elrha, speaks with Mercy Githara, MHPSS Manager at the Kenya Red Cross Society, and Anne de Graaf, Technical Officer at the World Health Organization (WHO) about two chatbots: STARS, a non-AI chatbot developed by WHO, and Chat Care, an AI chatbot being deployed in Kenya by the Red Cross.Key resources for practitioners:Kenya Red Cross Society: Chat Care, AI Powered Mental Health Chatbot WHO: Doing What Matters in Times of Stress evidence based self-help guide WHO: STARS chatbot for more information contact psych_interventions@who.int Red Cross Digital MHPSS pledge: Leveraging and facilitating technology-empowered pathways MHPSS Hub resources on Suicide prevention:Find infographics, videos, podcasts, guides and tools on suicide prevention Read more about the research:STARS chatbot (non-AI): de Graaff A.M, et al. Evaluation of a Guided Chatbot Intervention for Young People in Jordan: Feasibility Randomized Controlled Trial JMIR Ment Health Keyan, D., et al. The development of a World Health Organization transdiagnostic chatbot intervention for distressed adolescents and young adults. Akhtar, A., et al. Scalable Technology for Adolescents and Youth to Reduce Stress in the Treatment of Common Mental Disorders in Jordan: Protocol for a Randomized Controlled Trial. Karim Chatbot: Madianou, M. Nonhuman humanitarianism: when “AI for good” can be harmful. Information, Communication & SocietyTorous, J. et al. Assessing generative artificial intelligence for mental health, The Lancet.Spencer SW, Masboungi C. Enabling access or automating empathy? Using chatbots to support GBV survivors in conflicts and humanitarian emergencies, International Review of the Red Cross. Developing digital MHPSS resources:Reach out to the MHPSS Hub: mhpsshub@rodekors.dk or Elrha: info@elrha.org for collaboration on developing digital MHPSS approaches.Evidence from the Frontline: Mental Health in Crisis-Affected Contexts is a six-episode mini-series produced in collaboration between the MHPSS Hub and Elrha, designed for practitioners working in humanitarian and crisis contexts, the series highlights impactful interventions and practical insights from experts in the field.
Chegou o episódio escolhido por vocês! Marcela Belleza e Joanne Alves convidam Carol Millon para conversar sobe 6 clinicagens de inibidores de SGLT2, as gliflozinas:Indicações além do DMRisco de CAD euglicêmicaQuando não usar?Cuidados com doença aguda (sick day) e hipovolemiaCuidados pré-operatórioRisco de fratura e amputaçãoReferências:1. Bailey CJ, et al. Dapagliflozin add-on to metformin in type 2 diabetes inadequately controlled with metformin: a randomized, double-blind, placebo-controlled 102-week trial. BMC Med. 2013;11:43. Published 2013 Feb 20. doi:10.1186/1741-7015-11-432. Bersoff-Matcha SJ, et al. Fournier Gangrene Associated With Sodium-Glucose Cotransporter-2 Inhibitors: A Review of Spontaneous Postmarketing Cases. Ann Intern Med. 2019;170(11):764-769. doi:10.7326/M19-00853. Chang HY, et al. Association Between Sodium-Glucose Cotransporter 2 Inhibitors and Lower Extremity Amputation Among Patients With Type 2 Diabetes. JAMA Intern Med. 2018;178(9):1190-1198. doi:10.1001/jamainternmed.2018.3034 4. Clar C, et al. Systematic review of SGLT2 receptor inhibitors in dual or triple therapy in type 2 diabetes. BMJ Open. 2012 Oct 18;2(5):e001007. doi: 10.1136/bmjopen-2012-001007. PMID: 23087012; PMCID: PMC3488745.5. Das SR, et al. 2020 Expert Consensus Decision Pathway on Novel Therapies for Cardiovascular Risk Reduction in Patients With Type 2 Diabetes: A Report of the American College of Cardiology Solution Set Oversight Committee. J Am Coll Cardiol. 2020 Sep 1;76(9):1117-1145. doi: 10.1016/j.jacc.2020.05.037. Epub 2020 Aug 5. PMID: 32771263; PMCID: PMC7545583. 6. Fralick M, et al. Risk of amputation with canagliflozin across categories of age and cardiovascular risk in three US nationwide databases: cohort study. BMJ. 2020;370:m2812. Published 2020 Aug 25. doi:10.1136/bmj.m28127. Li D, et al. Urinary tract and genital infections in patients with type 2 diabetes treated with sodium-glucose co-transporter 2 inhibitors: A meta-analysis of randomized controlled trials. Diabetes Obes Metab. 2017;19(3):348-355. doi:10.1111/dom.128258. Neal B, et al. Rationale, design, and baseline characteristics of the Canagliflozin Cardiovascular Assessment Study (CANVAS)--a randomized placebo-controlled trial. Am Heart J. 2013;166(2):217-223.e11. doi:10.1016/j.ahj.2013.05.0079. Nyirjesy P, et al. Evaluation of vulvovaginal symptoms and Candida colonization in women with type 2 diabetes mellitus treated with canagliflozin, a sodium glucose co-transporter 2 inhibitor. Curr Med Res Opin. 2012;28(7):1173-1178. doi:10.1185/03007995.2012.69705310. Perkovic V, et al. Canagliflozin and Renal Outcomes in Type 2 Diabetes and Nephropathy. N Engl J Med. 2019;380(24):2295-2306. doi:10.1056/NEJMoa181174411. Rosenwasser RF, et al. SGLT-2 inhibitors and their potential in the treatment of diabetes. Diabetes Metab Syndr Obes. 2013 Nov 27;6:453-67. doi: 10.2147/DMSO.S34416. PMID: 24348059; PMCID: PMC3848644.12. Sridharan K, Sivaramakrishnan G. Risk of limb amputation and bone fractures with sodium glucose cotransporter-2 inhibitors: a network meta-analysis and meta-regression. Expert Opin Drug Saf. 2025;24(7):797-804. doi:10.1080/14740338.2024.237775513. Ueda P, et al. Sodium glucose cotransporter 2 inhibitors and risk of serious adverse events: nationwide register based cohort study. BMJ. 2018;363:k4365. Published 2018 Nov 14. doi:10.1136/bmj.k436514. Watts NB, et al. Effects of Canagliflozin on Fracture Risk in Patients With Type 2 Diabetes Mellitus. J Clin Endocrinol Metab. 2016 Jan;101(1):157-66. doi: 10.1210/jc.2015-3167. Epub 2015 Nov 18. PMID: 26580237; PMCID: PMC4701850.15. Zhuo M, et al. Association of Sodium-Glucose Cotransporter-2 Inhibitors With Fracture Risk in Older Adults With Type 2 Diabetes. JAMA Netw Open. 2021;4(10):e2130762. Published 2021 Oct 1. doi:10.1001/jamanetworkopen.2021.3076216. Emerson Cestari Marino, Leandra Anália Freitas Negretto, Rogério Silicani Ribeiro, Denise Momesso, Alina Coutinho Rodrigues Feitosa, Marcos Tadashi Kakitani Toyoshima, Joaquim Custódio da Silva Junior, Sérgio Vencio, Marcio Weissheimer Lauria, João Roberto de Sá, Domingos A. Malerbi, Fernando Valente, Silmara A. O. Leite, Danillo Ewerton Oliveira Amaral, Gabriel Magalhães Nunes Guimarães, Plínio da Cunha Leal, Maristela Bueno Lopes, Luiz Carlos Bastos Salles, Liana Maria Torres de Araújo Azi, Amanda Gomes Fonseca, Lorena Ibiapina M. Carvalho, Francília Faloni Coelho, Bruno Halpern, Cynthia M. Valerio, Fabio R. Trujilho, Antonio Carlos Aguiar Brandão, Ruy Lyra e Marcello Bertoluci. Rastreamento e Controle da Hiperglicemia no Perioperatório – Posicionamento Conjunto da Sociedade Brasileira de Diabetes (SBD), Sociedade Brasileira de Anestesiologia (SBA) e Associação Brasileira para o Estudo da Obesidade e Síndrome Metabólica (ABESO). Diretriz Oficial da Sociedade Brasileira de Diabetes (2025). DOI: 10.29327/5660187.2025-10 , ISBN: 978-65-5941-367-6.17. Singh LG, Ntelis S, Siddiqui T, Seliger SL, Sorkin JD, Spanakis EK. Association of Continued Use of SGLT2 Inhibitors From the Ambulatory to Inpatient Setting With Hospital Outcomes in Patients With Diabetes: A Nationwide Cohort Study. Diabetes Care. 2024;47(6):933-940. doi:10.2337/dc23-112918. Mehta PB, Robinson A, Burkhardt D, Rushakoff RJ. Inpatient Perioperative Euglycemic Diabetic Ketoacidosis Due to Sodium-Glucose Cotransporter-2 Inhibitors - Lessons From a Case Series and Strategies to Decrease Incidence. Endocr Pract. 2022;28(9):884-888. doi:10.1016/j.eprac.2022.06.00619. Umapathysivam MM, Morgan B, Inglis JM, et al. SGLT2 Inhibitor-Associated Ketoacidosis vs Type 1 Diabetes-Associated Ketoacidosis. JAMA Netw Open. 2024;7(3):e242744. Published 2024 Mar 4. doi:10.1001/jamanetworkopen.2024.274420. Fleming N, Hamblin PS, Story D, Ekinci EI. Evolving Evidence of Diabetic Ketoacidosis in Patients Taking Sodium-Glucose Cotransporter 2 Inhibitors. J Clin Endocrinol Metab. 2020;105(8):dgaa200. doi:10.1210/clinem/dgaa20021. Neuen BL, Young T, Heerspink HJL, et al. SGLT2 inhibitors for the prevention of kidney failure in patients with type 2 diabetes: a systematic review and meta-analysis. Lancet Diabetes Endocrinol. 2019;7(11):845-854. doi:10.1016/S2213-8587(19)30256-622. Braunwald E. Gliflozins in the Management of Cardiovascular Disease. N Engl J Med. 2022;386(21):2024-2034. doi:10.1056/NEJMra211501123. Zinman B, Wanner C, Lachin JM, et al. Empagliflozin, Cardiovascular Outcomes, and Mortality in Type 2 Diabetes. N Engl J Med. 2015;373(22):2117-2128. doi:10.1056/NEJMoa150472024. Neal B, Perkovic V, Mahaffey KW, et al. Canagliflozin and Cardiovascular and Renal Events in Type 2 Diabetes. N Engl J Med. 2017;377(7):644-657. doi:10.1056/NEJMoa161192525. Wiviott SD, Raz I, Bonaca MP, et al. Dapagliflozin and Cardiovascular Outcomes in Type 2 Diabetes. N Engl J Med. 2019;380(4):347-357. doi:10.1056/NEJMoa181238926. McMurray JJV, Solomon SD, Inzucchi SE, et al. Dapagliflozin in Patients with Heart Failure and Reduced Ejection Fraction. N Engl J Med. 2019;381(21):1995-2008. doi:10.1056/NEJMoa191130327. Packer M, Anker SD, Butler J, et al. Cardiovascular and Renal Outcomes with Empagliflozin in Heart Failure. N Engl J Med. 2020;383(15):1413-1424. doi:10.1056/NEJMoa202219028. Anker SD, Butler J, Filippatos G, et al. Empagliflozin in Heart Failure with a Preserved Ejection Fraction. N Engl J Med. 2021;385(16):1451-1461. doi:10.1056/NEJMoa210703829. Heerspink HJL, Stefánsson BV, Correa-Rotter R, et al. Dapagliflozin in Patients with Chronic Kidney Disease. N Engl J Med. 2020;383(15):1436-1446. doi:10.1056/NEJMoa202481630. The EMPA-KIDNEY Collaborative Group, Herrington WG, Staplin N, et al. Empagliflozin in...
Carrie Ford, CNCT specialist II interviews Michael Andary, MD and Nassim Rad, MD on the balance between diagnostic testing and clinical care — when it's appropriate to add an Evaluation and Management component to the EMG, and when it's more appropriate to keep the study purely diagnostic.
AEM E&T Podcast host Resa E. Lewiss, MD, interviews author Kathleen Joseph, MD
In this new episode of Speaking of SurgOnc, Dr. Rick Greene discusses with Dr. Lily Owei and Dr. Heather Wachtel key principles regarding the understanding and management of adrenal incidentalomas, as reported in the article, "The Landmark Series: Evaluation and Management of Adrenal Incidentalomas."
Commentary by Dr. Avirup Guha.
Dana Aravich joins host J.J. Mowder-Tinney for a deep dive into one of rehab's most perplexing challenges: spatial neglect. Drawing on her clinical experience and research, Dana and J.J. unpack how this complex attention disorder impacts function and why it's so often mistaken for a visual field deficit. Together, they explore practical, evidence-informed strategies for assessment, intervention planning, and team-based decision-making. Whether you're confident or still uncertain in managing neglect, this episode offers new ways to think about what truly guides your approach.Learning ObjectivesAnalyze the evidence around the complexity and clinical implications of spatial neglect in individuals recovering from stroke and brain injuryApply evidence-based, practical, and actionable strategies to address the identification, evaluation, and tailored intervention planning for clients experiencing spatial neglectSolve patient case scenarios involving differential diagnosis and intervention planning for spatial neglect versus visual field deficits, incorporating contextual factors such as driving safety and functional independenceTimestamps(00:00:00) Welcome(00:00:05) Introduction(00:02:44) Understanding spatial neglect(00:04:36) Types of neglect(00:09:43) Evaluation challenges(00:10:40) Evidence-based assessment tools(00:15:40) The 292 assessment tools problem(00:22:21) Treatment complexity(00:24:30) Treatment strategies and research(00:26:25) Prism therapy and vision considerations(00:31:03) Screening and differential diagnosis(00:37:30) Observational insights and self-awareness(00:41:35) Self-reflection and chronic stages(00:44:32) Severe cases and poor arousal(00:47:48) Meaningful motivation(00:49:27) Family education and involvement(00:51:49) Key takeaways(00:52:55) Closing remarksNeuro Navigators 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 Neuro Naviagators, visit https://www.medbridge.com/neuro-navigatorsIf you'd like to subscribe to Medbridge, visit https://www.medbridge.com/pricing/IG: https://www.instagram.com/medbridgeteam/
Hugo Villar, Dean of UCSD's Division of Extended Studies, and Josh Shapiro, the division's Chief Impact and Strategy Officer, highlight the division's role in providing lifelong learning opportunities, including pre-college programs, workforce upskilling, and post-retirement courses. They emphasize the importance of skills over degrees, citing a report showing 60% of jobs don't require a formal degree. The conversation touched on the rapid pace of technological change, the need for continuous upskilling, and the significance of essential skills like communication and creative thinking in the evolving job market.About Spotlight and Cloudcast Media "Spotlight On The Community" is the longest running community podcast in the country, continuously hosted by Drew Schlosberg for 20 years. "Spotlight" is part of Cloudcast Media's line-up of powerful local podcasts, telling the stories, highlighting the people, and celebrating the gravitational power of local. For more information on Cloudcast and its shows and cities served, please visit www.cloudcastmedia.us. Cloudcast Media | the national leader in local podcasting. About Mission Fed Credit Union A community champion for over 60 years, Mission Fed Credit Union with over $6 billion in member assets, is the Sponsor of Spotlight On The Community, helping to curate connectivity, collaboration, and catalytic conversations. For more information on the many services for San Diego residents, be sure to visit them at https://www.missionfed.com/
Ryan talks about the key evaluation period the Commanders now enter with Week 15 on the horizon. He talks effort, execution, and the bottom line... who wants to strap up and compete, and who doesn't for Washington. That and much more on this episode of CTH. Hosted by Simplecast, an AdsWizz company. See https://pcm.adswizz.com for information about our collection and use of personal data for advertising.
The Browns Blitz: The evaluation season continues! Learn more about your ad choices. Visit megaphone.fm/adchoices
To understand how your podcast resonates with listeners, start by analyzing how another show approaches its opening moments. In today's Indie Podcast Evaluation, we look at Carefree Highway Revisited, a show that reflects on the music of Canadian singer-songwriter Gordon Lightfoot. We highlight how a clear intro and steady interview flow create an inviting listener experience. You'll see how pacing guides attention, how a host's authority can add depth without taking over, and how simple SEO choices help a show get found.Episode Highlights:[02:55] Podcast Hall of Fame News [04:34] AI and Content Creation [06:34] Indie Podcast Evaluation: Carefree Highway Revisited [09:50] Cover Art Critique and Suggestions [24:51] Opening Remarks and Introduction [25:55] Discussion on Podcast Intro and Guest Context [28:18] Importance of Episode Setup and Description [31:29] Analyzing Content Quality and Storytelling [37:27] Midroll Transition and Branding Discussion [43:10] Final SEO Tip: Optimizing Show Notes for Discovery Links & Resources: Join The Empowered Podcasting Facebook Group:www.facebook.com/groups/empoweredpodcastingEmpowered Podcasting Conference: www.eventbrite.com/e/empowered-podcasting-conference-tickets-1976757134803To Have Your Podcast Considered For Evaluation, Please Complete This Form: https://docs.google.com/forms/d/e/1FAIpQLSc8-Xv6O6lrNPcPJwj3N0Z5Osdl-5kHGz_PiAU45UCarefree Highway Revisited: https://www.lightfootpodcast.com/does-your-mother-know-s5-e3/Create a Podcast Website in Minutes with PodPage:https://www.podpage.com/?via=ironickmediaRemember to rate, follow, share, and review our podcast. Your support helps us grow and bring valuable content to the podcasting community.Join us LIVE every weekday morning at 7 am ET (US) on Clubhouse: https://www.clubhouse.com/house/empowered-podcasting-e6nlrk0wOr Join us on Chatter: https://preview.chattersocial.io/group/98a69881-f328-4eae-bf3c-9b0bb741481dLive on YouTube: https://youtube.com/@marcronickBrought to you by iRonickMedia.com Please note that some links may be affiliate links, which support the hosts of the PMC. Thank you!--- Send in your mailbag question at: https://www.podpage.com/pmc/contact/ or marc@ironickmedia.comWant to be a guest on The Podcasting Morning Chat? Send me a message on PodMatch, here: https://www.podmatch.com/hostdetailpreview/1729879899384520035bad21b
On this episode of Buckeye Talk, Stephen Means and Andrew Gillis discuss Ohio State's 2026 recruiting class. The break down the impact of Brian Hartline's departure, the significance of Chris Henry Jr.'s commitment, and the overall strength of the recruiting class. They delve into the future of Ohio State's offense, the saga surrounding Legend Bey's recruitment, and provide superlatives for the class. Thanks for listening to Buckeye Talk and sign up to get text messages from experts Stephen Means, Stefan Krajisnik and Andrew Gillis at 614-350-3315. Get the insider analysis, have your voice heard on the Buckeye Talk podcast and connect with the best Buckeye community out there. Learn more about your ad choices. Visit megaphone.fm/adchoices
TODAY ON THE ROBERT SCOTT BELL SHOW: Vaccine Schedule Evaluation, Parents Reject Vitamin K, Florida mRNA Ban, Santoninum, Cassette Tape Revival, Religious Exemption Victory, GLP-1 Cancer Study, MAHA Targets EPA, Ozempic Muscle Loss, Collagen Questions, and MORE! https://robertscottbell.com/acip-to-remove-hep-b-parents-rejecting-vitamin-k-florida-mrna-ban-santoninum-cassette-tape-revival-supreme-court-religious-exemption-victory-glp-1-cancer-study-maha-wants-epa-administrator-fire/ https://boxcast.tv/view/vaccine-schedule-evaluation-parents-reject-vitamin-k-florida-mrna-ban-religious-exemption-victory-maha-vs-epa---the-rsb-show-12-9-25-x6wsypchvtcfaqkttbdy Purpose and Character The use of copyrighted material on the website is for non-commercial, educational purposes, and is intended to provide benefit to the public through information, critique, teaching, scholarship, or research. Nature of Copyrighted Material Weensure that the copyrighted material used is for supplementary and illustrative purposes and that it contributes significantly to the user's understanding of the content in a non-detrimental way to the commercial value of the original content. Amount and Substantiality Our website uses only the necessary amount of copyrighted material to achieve the intended purpose and does not substitute for the original market of the copyrighted works. Effect on Market Value The use of copyrighted material on our website does not in any way diminish or affect the market value of the original work. We believe that our use constitutes a 'fair use' of any such copyrighted material as provided for in section 107 of the U.S. Copyright Law. If you believe that any content on the website violates your copyright, please contact us providing the necessary information, and we will take appropriate action to address your concern.
In this episode, Jennifer Barrett examines the controversy surrounding college student Samantha Fulnecky, who received a zero on an essay. Was it justified or was it religious discrimination?
Bleav Host Robert Land asks Texans Analyst Jacob Barzilla (with Texans Probe) about the Texans being a legit Super Bowl contender, new RB Cody Schrader, which Texans needs more local love, his Nick Caley evaluation & if Caserio needs to sign Tommy Togiai longterm. Today's Show Presented by FanDuel! (:29) Does city of Houston have Super Bowl buzz? (1:08) Texans Fans have no Faith? (3:50) Texans at 15-1 a value Super Bowl bet on FanDuel? (5:06) Who is Texans New RB Cody Schrader? Better options? (7:00) Should Texans Keep OC Nick Caley? Evaluation? (8:50) Can RedZone Penalties fix offense? (9:49) Is disorganization on Stroud, too? (10:42) What position is Tytus Howard's future? (11:51) Draft Priority: Offensive Guard? (13:20) Is Jalen Pitre legit great in coverage? (14:59) Underrated Texans? (15:33) Time to sign Tommy Togiai longterm? (17:59) Final Takes on Texans? (20:29) Will fans show for UH in Texas Bowl? Subscribe on Youtube, Spotify, Apple & iHeart X @HSTPodcast #cjstroud #superbowl #texans Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
The Adult Improver Series returns with the remarkable story of FM Nick Matta, a five-time Louisiana State Champion who made one of the most unusual rating climbs in recent memory. Nick returned to tournament chess as a college freshman and went from roughly 1400 to 2400 USCF over the next decade. In our conversation, he breaks down the habits and mindset shifts that fueled that rise, including: How complete immersion in chess during his college years accelerated his progress Why the mental game became increasingly important as he climbed the rating ladder The books, videos, and tools that helped him at each stage Nick's improvement in his 20s may be rare, but his insights are applicable to players of a wide range of levels. Timestamps of topics discussed are below. Thanks to our sponsor, Chessable.com! If you sign up for Chessable Pro in order to unlock discounts and additional features, be sure to use the following link: https://www.chessable.com/pro/?utm_source=affiliate&utm_medium=benjohnson&utm_campaign=pro And you can check out their new offerings here: https://www.chessable.com/courses/all/new/ 00:00 – Intro & AnnouncementsFInd out more about the teaching job opportunity at IS 318 here: https://www.facebook.com/groups/796878173716685/posts/32637324772578611/ Join the Perpetual Chess discord here! https://discord.gg/27AXnaUr 03:20 – Who Is FM Nick Matta? Mentioned Nick was also interviewed in episode 450- Hikaru in Louisiana https://www.perpetualchesspod.com/new-blog/2025/9/9/ep-450-hikaru-in-louisiana-stories-from-his-surprise-appearance-in-the-louisiana-state-championshipnbsp Check out Nick's USCF Rating History here: https://www.uschess.org/datapage/ratings_graph.php?memid=12845401 His rapid rise from 1480 → 2390 and return to chess after Katrina. Also Mentioned: Pawn Structure Chess by GM Andy Soltis, IM Jeremy Silman's How to Reassess Your Chess, Pawn Power in Chess 08:30 – How the Improvement Started Immersion, study habits, book recommendations, and developing a love for feedback. Mentioned: Kasparov's My Story with GM James Plaskett https://www.youtube.com/watch?v=BeEY66T0q80 GM Melih Khachiyan's Evaluation and Planning Series on Chess.com https://www.chess.com/video/player/evaluation-and-planning---part-1 23:50 – Openings, Training, and Evolution Why he constantly changed openings, how his training shifted as he reached master level, and learning from top coaches. Mentioned: GM Gregory Kaidanov, IM John Bartholomew, GM Jacob Aagaard's Thinking Inside the Box 30:40 – Time Trouble & Mental Game Breakthroughs Aagaard's tough feedback, decision-making, cold-plunge training, meditation, and building emotional resilience. Mentioned: Karpov in a cold plunge: https://www.youtube.com/watch?v=vAhtMKhvG1A 53:20 – Coaching, Pursuing the IM Title & Final Advice Balancing coaching with personal ambition, whether he'll chase the IM title, and his distilled guidance for adult improvers. 1:15:00- Thanks to Nick for joining me! Here is how to reach him: Lichess coaches page: https://lichess.org/coach/nickmatta Chess.com coaches page: https://www.chess.com/member/nickmatta Email- Nickmatta13 at gmail.com Learn more about your ad choices. Visit podcastchoices.com/adchoices
Hour 2: Stefanski in a bad spot, but he's failing the "evaluation" full 1966 Tue, 09 Dec 2025 16:01:01 +0000 HbqbCX9gy9PeUy4fepJx4EOnZe7xUts6 sports The Ken Carman Show with Anthony Lima sports Hour 2: Stefanski in a bad spot, but he's failing the "evaluation" The only place to talk about the Cleveland sports scene is with Ken Carman and Anthony Lima. The two guide listeners through the ups and downs of being a fan of the Browns, Cavaliers, Guardians and Ohio State Buckeyes in Northeast Ohio. They'll help you stay informed with breaking news, game coverage, and interviews with top personalities.Catch The Ken Carman Show with Anthony Lima live Monday through Friday (6 a.m. - 10 a.m ET) on 92.3 The Fan, the exclusive audio home of the Browns, or on the Audacy app. For more, follow the show on X @KenCarmanShow. 2024 © 2021 Audacy, Inc. Sports False https://player.amperwavepo
Ken Carman and Anthony Lima discuss Cleveland Browns head coach Kevin Stefanski and whether the two-time Coach of the Year is warranting a further future in Cleveland as the Browns undergo "evaluation."
Nick and Jonathan react to their conversation with Albert Breer by talking about the Browns recent evaluation of quarterbacks.
Nick and Jonathan are joined by The MMQB's Albert Breer. Then, they talk about the Browns recent evaluation of quarterbacks.
In this special year-end episode of the Common Good Data Podcast, I share 12 evaluation reflections for the new year, inspired by The 12 Days of Christmas. As we wrap up the year, I wanted to slow things down and reflect on what I've been learning and what I hope to carry into my data and evaluation work in 2026.Throughout the episode, I talk about why it's so important to rediscover your “why”, listen before measuring, and simplify your data practices so they actually support your mission instead of overwhelming your team. I also reflect on the balance between stories and statistics, and why meaningful evaluation always needs both to truly communicate impact.I share thoughts on prioritizing data use over data collection, approaching evaluation as a learner rather than a prover, and re-centering equity by sharing power in how we define success. Along the way, I emphasize building relationships around data, celebrating small wins, and investing in your team's capacity so evaluation becomes a source of learning and growth — not frustration.I close the episode with a reminder to lead with hope. Even in a challenging year, evaluation can help us make sense of change, stay grounded in purpose, and imagine what's possible as we move into the year ahead.
Show SummaryOn today's episode, we're featuring a conversation with Navy spouse Mackenzie Yaede, family communications and logistics coordinator for Luke's Wings, an organization that provides emergency travel planning services and airplane tickets for the families and loved ones of wounded, ill, and injured service members, Veterans, and fallen officers, during hospital recovery and rehabilitation.Provide FeedbackAs a dedicated member of the audience, we would like to hear from you about the show. Please take a few minutes to share your thoughts about the show in this short feedback survey. By doing so, you will be entered to receive a signed copy of one of our host's three books on military and veteran mental health. About Today's GuestMackenzie Yaede serves as the Family Communications and Logistics Coordinator at Luke's Wings, where she manages the day-to-day operations of the organization's flight assistance programs for wounded warriors, Veterans, fallen officers, and their families. In this role, she reviews and approves flight requests, coordinates with travel partners, supports program reporting, and collaborates with partner organizations—including military hospitals, hospice care centers, and law enforcement agencies—to ensure seamless and compassionate support for those in need.Before joining Luke's Wings, Mackenzie spent several years working in the field of education, where she built a strong foundation in program coordination, student support, and inclusive practices. Most recently, she served as an Education Specialist, leading special education assessments, facilitating individualized education plans (IEPs), and supporting cross-functional teams to promote academic and behavioral growth. Her prior roles in both New Jersey and California focused on delivering targeted interventions, collaborating with families, and fostering equitable, student-centered environments.In addition to her professional work, Mackenzie brings extensive volunteer leadership experience, particularly in support of military families and individuals with special needs. For the last several years, she has overseen key aspects of an annual family camp that supports individuals with disabilities and their caregivers, coordinating inclusive programming and providing meaningful respite and community. While living in San Diego, she also founded and led a military ministry support group at her local parish, offering fellowship and support for military-connected individuals. Her broader volunteer work includes mentoring youth, coordinating service projects, and supporting faith-based outreach programs.As a military spouse with a deep personal connection to the military community and a lifelong passion for service, Mackenzie is proud to support Luke's Wings' mission of keeping families connected during times of healing and recovery. She understands firsthand the power of family presence and is honored to play a role in reuniting loved ones when they are needed most.Links Mentioned During the EpisodeLuke's Wings WebsiteDelta Sky Miles ContributionPsychArmor Resource of the WeekThis week's PsychArmor Resource of the Week is The PsychArmor learning path, Self-Care for Caregivers. Learn how you can prevent burnout and care for yourself throughout your caregiving journey. After completing all of the courses in this series, you'll receive a "Self-care for Caregivers" digital badge to share on social media and highlight your learning journey. You can find the resource here: https://learn.psycharmor.org/bundles/self-care-for-caregivers Episode Partner: Are you an organization that engages with or supports the military affiliated community? Would you like to partner with an engaged and dynamic audience of like-minded professionals? Reach out to Inquire about Partnership Opportunities Contact Us and Join Us on Social Media Email PsychArmorPsychArmor on XPsychArmor on FacebookPsychArmor on YouTubePsychArmor on LinkedInPsychArmor on InstagramTheme MusicOur theme music Don't Kill the Messenger was written and performed by Navy Veteran Jerry Maniscalco, in cooperation with Operation Encore, a non profit committed to supporting singer/songwriter and musicians across the military and Veteran communities.Producer and Host Duane France is a retired Army Noncommissioned Officer, combat veteran, and clinical mental health counselor for service members, veterans, and their families. You can find more about the work that he is doing at www.veteranmentalhealth.com
Send us a textFor years, “lowest price wins” ruled federal contracting, but that's not the whole story anymore. In this episode of FedBiz'5, we unpack how FAR changes, MAS reforms, and category management are pushing agencies toward true best-value decisions that weigh performance, past performance, and risk alongside price. You'll hear five practical ways to package value in your bids. From turning past performance into mission-focused case studies to proving real surge capacity and bringing “innovation receipts” instead of buzzwords, so evaluators have clear reasons to choose you even when you're not the cheapest. If you're a small or mid-sized government contractor tired of racing to the bottom on price, this episode will help you rethink how you position your offers and win in a best-value world.Visit us: FedBizAccess.com Stay Connected: Follow Us on Facebook Follow Us on LinkedIn Need help in the government marketplace? Call a FedBiz Specialist today: 844-628-8914 Or, schedule a complimentary consultation at your convenience.
Former Patriots Captain David Andrews and 98.5 The Sports Hubs Alex Barth take a look at the Pats and the AFC Outlook after the Bye Week.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
SummaryIn this episode of FUT IN REVIEW, Shaq, Neil, and Homer discuss their weekly experiences with FC26, focusing on the positives and negatives of the game modes, particularly the 'No Rules' mode. They express frustrations with the current content and gameplay, highlighting the demanding requirements for SBC's and the lack of rewarding packs. The conversation shifts to the community's feedback on EA's patches and the need for the game to breathe. They also touch on the new evolutions, icon and hero cards, and their current formations and player experiences.Chapters00:00 Introduction and Weekly Highlights02:47 Content and Gameplay Discussion05:43 Evaluating the Thunderstruck Promo08:24 Community Feedback and EA's Response11:13 Evolutions and Player Engagement13:47 Patches and Gameplay Mechanics16:45 Final Thoughts and Future Expectations29:32 Patch Updates and Gameplay Issues32:01 Pre-Order Icons and Market Concerns36:31 Card Upgrades and Downgrades38:38 Flash Tournament and Game Modes39:34 New Heroes and Icon Discussions42:53 Current Formations and Strategies47:21 Player Performances and Season Pass ReviewCheck out our socials:X: https://twitter.com/futinreviewBlueSky: https://bsky.app/profile/futinreview.bsky.socialInstagram: https://instragram.com/futinreviewTolando's socials:https://x.com/Tolando77https://www.instagram.com/tolando77/?hl=enhttps://www.tiktok.com/@tolando77https://www.youtube.com/@Tolando77https://www.twitch.tv/tolando77Questions: futinreview@gmail.comhttps://youtube.com/futinreviewhttps://www.futinreview.com https://patreon.com/futinreview
Episode 208: Cough Basics (Pidjin English)Written by Ebenezer DadzieYou 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.Episode 201: Cough – Revised Version (Host + 1 Resident; Resident speaks Nigerian Pidgin, Host speaks regular English)[Play intro music, start loud, then lower volume under speech, fade out later]HOST 1:[Introduction]Today we're tackling one of the most common complaints in clinic: the cough. Joining me is one of our amazing residents. Doctor, please introduce yourself.RESIDENT:Na Dr. Resident from Rio Bravo. I dey here to gist about cough wey dey disturb plenty patients for area.Segment 1 – Cough BasicsHOST 2:Let's start simple. When a coughing patient walks into the exam room, what is the first step?RESIDENT:First tin na history. You gats ask whether na dry cough or cough wey dey bring sputum, whether e just start or don tey. Whether person get exposure, dust, new medicine—history dey open many doors pass Google.HOST 1:Exactly. And as we know, acute coughs are usually viral, but chronic coughs lasting more than eight weeks can point to asthma, GERD, ACE inhibitor side effects, or more.Segment 2 – Valley FeverHOST 2:And since we're here in Kern County, we have to mention Valley Fever. We see thousands of cases every year, many of them presenting with cough.RESIDENT:True. Valley Fever fit look like pneumonia, bronchitis, or even TB. Patient go come with cough, tiredness, sometimes rash. If person dey work for outside or dey around dusty area, you suppose reason am.Segment 3 – Workup and TreatmentHOST 1:So let's talk evaluation. When you have a cough here in California's Central Valley, what is your approach?RESIDENT:Start from basic: chest X-ray, CBC, ask good history. If e no improve, add Valley Fever blood test. If cough get phlegm, you fit send sputum. If weight dey drop or sweats dey night, you reason TB or cancer. Treatment depend on severity. Mild one fit resolve, but if no be small, na antifungals—like fluconazole—and you go monitor liver enzymes well.Segment 4 – Humor BreakHOST 2:Alright—quick humor break. Got any memorable cough stories?RESIDENT:One man tell me say “doctor, my neighbor ghost na cause my cough.” We check-am finish, na allergy. Ghost no dey push fungus, sha![Both laugh]Segment 5 – TakeawaysHOST 1:Before we wrap up, give listeners top key points on cough.RESIDENT:One—ask better history. Cough dey tell story.Two—if person dey Bakersfield, reason Valley Fever, e fit sneak.Three—no dey give antibiotics anyhow. Virus and fungus no go respond like bacteria.Trivia TimeHOST 2:Trivia question: In adults who don't smoke and aren't on ACE inhibitors, what is the most common cause of chronic cough?A) AsthmaB) GERDC) Chronic bronchitisD) Postnasal drip (Upper airway cough syndrome)RESIDENT:I go choose D—postnasal drip. Na e dey cause that tickle wey no dey go.HOST 1:And that's correct—postnasal drip is the number one cause of chronic cough. Nicely done! You win bragging rights and a cough drop.HOST 2:Thank you for joining us today on Rio Bravo QWeek. To all our listeners—stay curious, keep learning, and if someone sounds like a barking seal in the waiting room, you know it might be more than a cold.HOST & RESIDENT (together):¡Hasta luego![Music fades in, rises, then fades out after 10 seconds]References:Irwin, R. S., & Baumann, M. H. (2018). Chronic cough due to upper airway cough syndrome (UACS): ACCP evidence-based clinical practice guidelines. Chest, 129(1_suppl), 63S–71S. https://doi.org/10.1378/chest.129.1_suppl.63S(Guideline on postnasal drip/upper airway cough syndrome as a leading cause of chronic cough)Dicpinigaitis, P. V. (2022). Evaluation and management of chronic cough. New England Journal of Medicine, 386(16), 1532–1541. https://doi.org/10.1056/NEJMra2115321(Comprehensive review on causes, diagnostic strategies, and treatment of chronic cough)Centers for Disease Control and Prevention. (2023). Coccidioidomycosis (Valley fever) statistics. U.S. Department of Health and Human Services. https://www.cdc.gov/fungal/diseases/coccidioidomycosis/statistics.html(Official CDC data and epidemiology of Valley Fever in the U.S., including high incidence in Kern County)California Department of Public Health. (2022). Coccidioidomycosis in California Provisional Monthly Report. https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Coccidioidomycosis.aspx(State-level surveillance data showing high incidence rates in Bakersfield and Kern County)Prasad, K. T., & LoSavio, P. S. (2023). Approach to the adult with chronic cough. In UpToDate (L. M. Leung, Ed.). Retrieved June 20, 2025, from https://www.uptodate.com(Evidence-based resource for differential diagnosis and workup of cough in primary care)Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.
We've mentioned that Indiana is listed at the bottom of the B1G in terms of composite rankings of talent on the current team---hilarious for a team that crushes everyone and is 12-0---but it's still something Matt Rhule, Pat Stewart and company need to look at We have pointed out time and time again that Indiana is getting players that are “playing up”---not castoffs or retreads from Power 4 schools---yet our minds are trained here to see any additions not from Power 4 as an ‘eyeroll.' How do we all change our ways? Show Sponsored by NEBCOOur Sponsors:* Check out Hims: https://hims.com/EARLYBREAK* Check out Infinite Epigenetics: https://infiniteepigenetics.com/EARLYBREAK* Check out Uncommon Goods: https://uncommongoods.com/EARLYBREAK* Check out Washington Red Raspberries: https://redrazz.orgAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
Something New! For HR teams who discuss this podcast in their team meetings, we've created a discussion starter PDF to help guide your conversation. Download it here https://goodmorninghr.com/EP229 In episode 229, Coffey talks with Frank Davis and John Surma about navigating OSHA inspections and preventing costly workplace safety violations. They discuss how employers misunderstand OSHA obligations; when OSHA reporting and injury-logging rules apply; the most-cited OSHA violations; triggers that prompt an OSHA inspection; why it is illegal to for OSHA to schedule an inspection with an employer; the importance of carefully limiting the scope of the inspection; OSHA's interviews managers and employees—and the impact of each on the inspection's outcome; documentation requests and timelines; citation outcomes and settlement options; and proactive strategies to prepare for inspections and avoid penalties. Good Morning, HR is brought to you by Imperative—Bulletproof Background Checks. For more information about our commitment to quality and excellent customer service, visit us at https://imperativeinfo.com. If you are an HRCI or SHRM-certified professional, this episode of Good Morning, HR has been pre-approved for one hour of recertification credit. To obtain the recertification information for this episode, visit https://goodmorninghr.com. About our Guest: Frank Davis is Board Certified in labor and employment law by the Texas Board of Legal Specialization. His clients know he is ready to use his knowledge to manage a crisis on a moment's notice. In fact, in the last year, he managed labor relations matters and workplace safety inspections and fatalities in over 35 different states. Frank's experience managing crisis events makes him especially suited to counsel clients on strategies to avoid catastrophic litigation and other cost-savings efforts: - Evaluation of exposure to workplace health and safety hazards. - Preparation of workplace safety compliance strategies and policies. - Managing employee relations to avoid litigation and resist organizing drives by unions; and - Management of relations with unions to avoid frivolous grievances and exposure to contract liability. Because of Frank's specialized skillset, his clients frequently retain him to handle a variety of sensitive matters: - Fatalities and other reportable injuries in the workplace; - Collective bargaining of labor contracts; - Labor arbitrations; - Union campaigns; - Contract litigation; and - Litigation before the National Labor Relations Board (NLRB) and the Occupational Safety and Health (OSHA) Review Commission. He also represents clients in whistleblower matters under a broad range of statutes, including the OSH Act, the Surface Transportation Assistance Act, and the Clean Air Act. Frank handles all phases of these complaints, from initial investigation to final litigation before administrative law judges and appeals to federal court. John Surma is a lawyer with 30 plus years of experience dealing with OSHA, workplace health and safety issues, and counseling employers on those issues. He deals with a variety of state and federal agencies, has responded to over 400 fatalities and 2,000 OSHA inspections. Frank Davis and John Surma can be reached at https://ogletree.com/people/frank-d-davis/ https://www.linkedin.com/in/john-surma-75980214 About Mike Coffey: Mike Coffey is an entrepreneur, licensed private investigator, business strategist, HR consultant, and registered yoga teacher. In 1999, he founded Imperative, a background investigations and due diligence firm helping risk-averse clients make well-informed decisions about the people they involve in their business. Imperative delivers in-depth employment background investigations, know-your-customer and anti-money laundering compliance, and due diligence investigations to more than 300 risk-averse corporate clients across the US, and, through its PFC Caregiver & Household Screening brand, many more private estates, family offices, and personal service agencies. Imperative's Top Ten Red Flag Candidates, November 2025 Every month, Imperative reports hundreds of records to our clients. While Imperative always encourages clients to review candidates' criminal history as but one factor in evaluating their fit for a role, these candidates' histories caught our attention this month. 1. Household Staff/Nanny Client Candidate: Prostitution Petit larceny 2. Nonprofit Client Candidate: Misuse of client funds by a lawyer (four counts) 3. Hospitality Client Candidate: Willful child cruelty (causing great bodily injury under the age of five years, victim was particularly vulnerable, or taking advantage of a position of trust to commit offense) Driving under the influence, 2 cases Reckless driving on a highway See the rest of the list here: https://www.imperativeinfo.com/blog/2025/12/03/top-ten-red-flag-candidates-november-2025/ Learning Objectives: Identify when OSHA reporting and recording rules apply and what events trigger each requirement. Evaluate common OSHA violations to prioritize hazard prevention strategies. Prepare supervisors and frontline employees for OSHA interviews and onsite inspection protocols. Navigate the inspection, citation, and settlement processes to reduce organizational risk.
In this episode of the Supply Chain Career Catalyst series, we break down one of the most overlooked stages of the job search journey – offer evaluation and negotiation. Supply chain professionals often focus on interviewing well, but far fewer know how to assess the true quality of an opportunity, uncover red flags, and negotiate with confidence.Rodney Apple, Chris Gaffney, and Mike Ogle walk through the deeper questions most candidates never ask about culture, leadership, resources, stability, and long-term career impact. You'll learn how to evaluate the full offer package beyond salary, understand your leverage, and approach negotiation in a professional and strategic way.Whether you're early in your supply chain career or preparing for an executive move, this episode gives you a practical framework to make smarter, more intentional career decisions.Brought to you by the Supply Chain Recruiters at SCM Talent Group, the industry leader in end-to-end supply chain recruiting and executive search.Need help hiring top talent? Engage SCM Talent Group, a supply chain recruiting & executive search firm that specializes in your hiring needs: Continuous Improvement Engineering Inventory Planning Logistics & Transportation Manufacturing Operations Robotics Sales & Business Development S&OP Strategic Sourcing & Procurement Supply Chain Management Technology & Automation Warehousing
We've mentioned that Indiana is listed at the bottom of the B1G in terms of composite rankings of talent on the current team---hilarious for a team that crushes everyone and is 12-0---but it's still something Matt Rhule, Pat Stewart and company need to look at We have pointed out time and time again that Indiana is getting players that are “playing up”---not castoffs or retreads from Power 4 schools---yet our minds are trained here to see any additions not from Power 4 as an ‘eyeroll.' How do we all change our ways? Our Sponsors:* Check out Hims: https://hims.com/EARLYBREAK* Check out Infinite Epigenetics: https://infiniteepigenetics.com/EARLYBREAK* Check out Uncommon Goods: https://uncommongoods.com/EARLYBREAK* Check out Washington Red Raspberries: https://redrazz.orgAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
Bryce Bouchard shares wisdom on cultivating healthy rhythms of rest, prayer retreats, and sustainable ministry pace. Don't miss all the tips and stories—plus resources for designing your own biannual prayer retreat! SHOW NOTES: Bryce's Article EDM Workshop Session Day of Evaluation and Prayer Tool
Where did arbitrary cut scores for norm-referenced language assessments come from, and why do they feel “safer” than relying on clinical judgement?I discuss this question and more in this third part of a three-part series, bilingual SLPs Destiny Johnson and Tiffany Shahoumian-Ruiz join me to continue our conversation about advocating for effective language evaluation practices in schools.Across these conversations, we explore:Sensitivity, specificity, reference standards, and diagnostic accuracyHow test development has evolved over time and why this matters Why the same cut-off score shouldn't apply across all testsThe math behind using two norm-referenced tests, and why it may complicate rather than clarify in some casesOther reasons we test beyond diagnosis (treatment planning, severity, monitoring progress)How do we do we to “sell” the concept of dynamic assessment to administratorsCase studies that show the pitfalls of over-reliance on standardized scoresMisconceptions clinicians often hold, and what they should know about assessmentDifferences in state eligibility standards, and what this means for service decisionsThis series is part myth-busting, part practical strategies, and part advocacy playbook—perfect for clinicians who want to move beyond compliance-driven evaluations toward assessments that truly reflect students' needs.Destiny Johnson, M.S., CCC-SLP, is a bilingual speech-language pathologist (English/Spanish) with a deep passion for culturally responsive assessment and treatment practices, as well as advocating for policy change. She has presented on dynamic assessment at the CSHA Convergence 2024, focusing on the importance of dynamic assessment in bilingual children. Destiny has experience working as a school-based SLP, in private practice, and in early intervention. She is also the founder and CEO of Multimodal Communication Speech Clinic P.C.Connect with Destiny on Instagram @destinyjohnsonslp, on her private practice website here, and on LinkedIn here.Listen to Destiny's previous episode on De Facto Leaders here: EP 187: Dynamic Assessment: Evaluations are a process, not a test (with Destiny Johnson)Tiffany Shahoumian-Ruiz is a bilingual high school SLP from Southern California who has primarily worked in the school systems and has experience at both the elementary and secondary level. She's also a member of Language Therapy Advance Foundations, and is involved in state and local advocacy work relating to dynamic assessments and special education eligibility.Connect with Tiffany on Instagram @tiffany.shahoumianListen to Tiffany's previous episode on De Facto Leaders here: High school language therapy: Do we still have time to make an impact? (with Tiffany Shahoumian-Ruiz)In this episode, I mention Language Therapy Advance Foundations, my program that gives SLPs and other service providers a system for language therapy. You can learn more about the program here.Additional Resources Mentioned in the episode:Daub, O., Cunningham, B. J., Bagatto, M. P., Johnson, A. M., Kwok, E. Y., Smyth, R. E., & Oram Cardy, J. (2021). Adopting a conceptual validity framework for testing in speech-language pathology. American Journal of Speech-Language Pathology, 30(4), 1894–1908. https://doi.org/10.1044/2021_AJSLP-20-00032Spaulding, T. J., Plante, E., & Farinella, K. A. (2006). Eligibility criteria for language impairment: Is the low end of normal always appropriate? Language, Speech, and Hearing Services in Schools, 37(1), 61–72. https://doi.org/10.1044/0161-1461(2006/007)DYMOND Norm-Referenced Dynamic AssessmentBilingual English-Spanish Assessment (BESA) We're thrilled to be sponsored by IXL. IXL's comprehensive teaching and learning platform for math, language arts, science, and social studies is accelerating achievement in 95 of the top 100 U.S. school districts. Loved by teachers and backed by independent research from Johns Hopkins University, IXL can help you do the following and more:Simplify and streamline technologySave teachers' timeReliably meet Tier 1 standardsImprove student performance on state assessments
Evidence from the Frontline: Mental Health in Crisis Affected Contexts, episode 5: EASE“What matters to young people? Climate, jobs, and mental health.”Early Adolescent Skills for Emotions (EASE) is an evidence-based group intervention that helps 10–15-year-olds in adversity-affected communities manage stress, anxiety, and depression through skills training. It includes seven sessions for adolescents and three for caregivers, using adapted Cognitive Behavioral Therapy (CBT) techniques delivered by trained non-specialist helpers. In this fifth episode, Sarah Harrison, Director of the Red Cross Red Crescent Movement MHPSS Hub, speaks with Professor Mark Jordans (researcher at King's College London and Director of Research and Development at War Child), and Dr Zeinab Hijazi (Global Lead on Mental Health at UNICEF), to hear more about EASE.We learn that, while not a ‘magic wand', EASE has shown significant results and could help fill a gap in mental health support for young people in crisis-affected and low-resource settings. Mark, Sarah, and Zeinab discuss the rigorous training, competencies, and supervision needed for non-specialist providers, and the journey to develop, test and adapt EASE for implementation worldwide, including scale-up in Ukraine. They discuss future research opportunities, such as youth-led research or strengthening and simplifying the intervention. We learn that EASE should be integrated into a broader system of care, informed by national policy frameworks and practice standards. Key resources for practitionersEarly Adolescent Skills for Emotions (EASE) – manual and practice materials in multiple languages published by the World Health OrganisationUNICEF Adolescent Mental Health Hub- resources for frontline workers, adolescents, and caregiversReach Now- a tool developed by War Child, for use by community members without a professional mental health background, to improve identification of mental health problems in young people and promote care seeking.Read more about the research:Mark J.D. Jordans et al. Evaluation of the Early Adolescent Skills for Emotions (EASE) intervention in Lebanon: A randomized controlled trial. Comprehensive Psychiatry, Volume 127 (2023). Bryant RA et al. (2022) Effectiveness of a brief group behavioural intervention on psychological distress in young adolescent Syrian refugees: A randomised controlled trial. PLoS Med 19(8): e1004046. Brown, F. et al. The Cultural and Contextual Adaptation Process of an Intervention to Reduce Psychological Distress in Young Adolescents Living in Lebanon. Front. Psychiatry, 23 March 2020, Sec. Public Mental Health, Volume 11 - 2020Hamdani, Syed Usman et al. (2024) Effectiveness of a group psychological intervention to reduce psychosocial distress in adolescents in Pakistan: a single-blind, cluster randomised controlled trial. The Lancet Child & Adolescent Health, Volume 8, Issue 8, 559 – 570. Evidence from the Frontline: Mental Health in Crisis-Affected Contexts is a six-episode mini-series produced in collaboration between the MHPSS Hub and Elrha, designed for practitioners working in humanitarian and crisis contexts, the series highlights impactful interventions and practical insights from experts in the field.
Welcome to Episode 267 of the No Block No Rock Podcast! This week we talked about the John Butler Firing and give our Matt Rhule Year 3 Evaluation Sign O Vation helping Omaha Businesses with indoor, and outdoor signs. Specializing in curb appeal. We can do window Vinyl, wall wraps and more! Call 402-619-1973 TODAY! Check out our website: https://nbnrpodcast.com/ No Block No Rock is PROUDLY sponsored by Heavy Brewing in Gretna, NE
Show Summarywith Lesa Shaw, an experienced Indigenous consultant and community leader with more than 30 years of service across Tribal, federal, state, and municipal sectors. Lesa and I talk about PsychArmor's effort to develop training materials through their effort supporting Native American and Alaska Native Veterans and Service Members. Provide FeedbackAs a dedicated member of the audience, we would like to hear from you about the show. Please take a few minutes to share your thoughts about the show in this short feedback survey. By doing so, you will be entered to receive a signed copy of one of our host's three books on military and veteran mental health. About Today's GuestLesa Shaw is a tribal leader, public-health consultant, and advocate dedicated to improving health outcomes for Native and Tribal communities, especially Native American veterans. She holds a Master of Public Administration degree from the University of Oklahoma. Over her career, Lesa has held multiple roles across federal, state, tribal, and local government. She has served as a contracting officer and practice manager with the Indian Health Service, worked as a health-policy analyst for tribes, and served as a municipal-level elected official in the city of Shawnee at the request of the central tribes. In tribal service, Lesa has worked to bridge cultural traditions and modern health policy — advocating for culturally respectful care that honors tribal identity and heritage while addressing systemic inequalities in access to care. More recently, she has been part of the advisory committee of PsychArmor 's Native American & Alaska Native Veterans Health & Wellness initiative — helping guide efforts to make veteran care more culturally informed and supportive of Native and Tribal peoples. Lesa remains deeply committed to amplifying the voices of Native veterans and their families, building trust between tribal communities and federal care systems, and laying the groundwork for long-term, culturally grounded health equity.Links Mentioned During the EpisodeBTM214 – Dr. Melita “Chepa” RankBTM 220 – CSM(R) Julia KellyBTM222 – Dean DauphinaisPsychArmor Resource of the WeekThis week's PsychArmor Resource of the Week is the PsychArmor course course Understanding the VA for Caregivers. This course helps caregivers navigate and better utilize the services of the VA – the largest integrated healthcare system in the country. The content for this course was developed collaboratively with a working group of various VA Departments. You can find the resource here: https://learn.psycharmor.org/courses/understanding-the-va-for-caregivers-2 Episode Partner: Are you an organization that engages with or supports the military affiliated community? Would you like to partner with an engaged and dynamic audience of like-minded professionals? Reach out to Inquire about Partnership Opportunities Contact Us and Join Us on Social Media Email PsychArmorPsychArmor on XPsychArmor on FacebookPsychArmor on YouTubePsychArmor on LinkedInPsychArmor on InstagramTheme MusicOur theme music Don't Kill the Messenger was written and performed by Navy Veteran Jerry Maniscalco, in cooperation with Operation Encore, a non profit committed to supporting singer/songwriter and musicians across the military and Veteran communities.Producer and Host Duane France is a retired Army Noncommissioned Officer, combat veteran, and clinical mental health counselor for service members, veterans, and their families. You can find more about the work that he is doing at www.veteranmentalhealth.com
Presentation, Evaluation, and Management of Premature Ventricular Contractions Guest: Alan M. Sugrue, M.B., B.Ch., B.A.O. Host: Anthony H. Kashou, M.D. In this episode, Dr. Anthony Kashou and Dr. Alan Sugrue cover a practical, evidence-based approach to premature ventricular contractions (PVCs), from incidental findings to high-burden, high-risk presentations. Listeners will gain tools to differentiate benign from pathologic PVCs, understand when to monitor versus refer, and recognize the role of catheter ablation in improving outcomes. Topics Discussed: PVCs show up on Holters and ECGs all the time — how do you decide when they matter? How often do PVCs cause cardiomyopathy, and when should we act? When should we consider ablation even if the patient is asymptomatic? What's the biggest misconception about PVC ablation today? Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV and @MayoCVservices. LinkedIn: Mayo Clinic Cardiovascular Services Cardiovascular Education App: The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today! No CME credit offered for this episode. Podcast episode transcript found here.
What will we see from the Giants tonight? Sideline to Sideline featuring half of this weekend's games. Audio Files featuring Jaxson Dart, Lane Kiffin, and Aaron Rodgers. Learn more about your ad choices. Visit podcastchoices.com/adchoices
In this important conversation, Mary Sullivan, co-founder of Sweet but Fearless, talks with Diane Strand, CEO of JDS Studios, who has built her career on the belief that opportunities aren't found, they're created. Diane discusses her signature DREAM framework (Direction, Realization, Evaluation, Action, Momentum) and explains how clarity, consistency, and courage fuel lasting success. She encourages leaders to present themselves as the person they aspire to be, to show up even when it feels uncomfortable, and to fully embrace being seen and heard. A powerful conversation for anyone ready to make an impact. Diane is the CEO of JDS Studios, a multi–award-winning video production company, the Executive Producer of Spirit of Innovation, the Festival Director of DigiFest Temecula, and a bestselling author. While she firmly believes there's no such thing as overnight success, Diane has spent more than 30 years creating, developing, and boldly carving out her place as a producer, educator, and visionary in the visual, performing, digital arts, and entertainment industries. MORE ABOUT DIANE STRAND: Website: JDS Studios LinkedIn: Diane Strand DigiFest Temecula TedTalk Temecula Book: Show Business: Breaking into the Industry as an Actor ABOUT SWEET BUT FEARLESS: Website - Sweet but Fearless LinkedIn - Sweet but Fearless
Did you know that a single crumb of bread is enough to cause an autoimmune response in children with celiac disease? Dr. Pankaj Vohra, Professor of Pediatrics and Board-Certified Pediatric Gastroenterologist, joins medical student Andrea Smith to discuss the evaluation and management of celiac disease, as well as essential guidance for following a gluten-free diet. Specifically, they will: Review the epidemiology of celiac disease and identify common symptoms and presentations of celiac disease Describe the pathophysiology of celiac disease including histopathological changes to the duodenum Identify diagnostic tests and criteria for diagnosing celiac disease in the pediatric population Identify common sources of gluten and the basics of identifying gluten on food labels Discuss typical management of celiac disease including appropriate screening tests and managing accidental gluten ingestion Special thanks to Dr. Rebecca Yang and Dr. Neeharika Bade for peer reviewing this episode. CME available free with sign up: Link coming soon! References: Bolia, R., & Thapar, N. (2023). Celiac Disease in Children: A 2023 Update. In Indian Journal of Pediatrics. Springer. https://doi.org/10.1007/s12098-023-04659-w Gidrewicz, D., Potter, K., Trevenen, C. L., Lyon, M., & Butzner, J. D. (2015). Evaluation of the ESPGHAN celiac guidelines in a North American pediatric population. American Journal of Gastroenterology, 110(5), 760–767. https://doi.org/10.1038/ajg.2015.87 Hill, I. D., Fasano, A., Guandalini, S., Hoffenberg, E., Levy, J., Reilly, N., & Verma, R. (2016). NASPGHAN clinical report on the diagnosis and treatment of gluten-related disorders. Journal of Pediatric Gastroenterology and Nutrition, 63(1), 156–165. https://doi.org/10.1097/MPG.0000000000001216 Husby, S., Koletzko, S., Korponay-Szabó, I., Kurppa, K., Mearin, M. L., Ribes-Koninckx, C., Shamir, R., Troncone, R., Auricchio, R., Castillejo, G., Christensen, R., Dolinsek, J., Gillett, P., Hróbjartsson, A., Koltai, T., Maki, M., Nielsen, S. M., Popp, A., Størdal, K., … Wessels, M. (2020). European Society Paediatric Gastroenterology, Hepatology and Nutrition Guidelines for Diagnosing Coeliac Disease 2020. In Journal of Pediatric Gastroenterology and Nutrition (Vol. 70, Issue 1, pp. 141–156). Lippincott Williams and Wilkins. https://doi.org/10.1097/MPG.0000000000002497 Nenna, R., Tiberti, C., Petrarca, L., Lucantoni, F., Mennini, M., Luparia, R. P. L., Panimolle, F., Mastrogiorgio, G., Pietropaoli, N., Magliocca, F. M., & Bonamico, M. (2013). The celiac iceberg: Characterization of the disease in primary schoolchildren. Journal of Pediatric Gastroenterology and Nutrition, 56(4), 416–421. https://doi.org/10.1097/MPG.0b013e31827b7f64 Sahin, Y. (2021). Celiac disease in children: A review of the literature. In World Journal of Clinical Pediatrics (Vol. 10, Issue 4, pp. 53–71). Baishideng Publishing Group Co. https://doi.org/10.5409/wjcp.v10.i4.53 Salden, B. N., Monserrat, V., Troost, F. J., Bruins, M. J., Edens, L., Bartholomé, R., Haenen, G. R., Winkens, B., Koning, F., & Masclee, A. A. (2015). Randomised clinical study: Aspergillus niger-derived enzyme digests gluten in the stomach of healthy volunteers. Alimentary Pharmacology and Therapeutics, 42(3), 273–285. https://doi.org/10.1111/apt.13266 Schuppan, D., Mäki, M., Lundin, K. E. A., Isola, J., Friesing-Sosnik, T., Taavela, J., Popp, A., Koskenpato, J., Langhorst, J., Hovde, Ø., Lähdeaho, M.-L., Fusco, S., Schumann, M., Török, H. P., Kupcinskas, J., Zopf, Y., Lohse, A. W., Scheinin, M., Kull, K., … Greinwald, R. (2021). A Randomized Trial of a Transglutaminase 2 Inhibitor for Celiac Disease. New England Journal of Medicine, 385(1), 35–45. https://doi.org/10.1056/nejmoa2032441 Tack, G. J., van de Water, J. M. W., Bruins, M. J., Kooy-Winkelaar, E. M. C., van Bergen, J., Bonnet, P., Vreugdenhil, A. C. E., Korponay-Szabo, I., Edens, L., von Blomberg, B. M. E., Schreurs, M. W. J., Mulder, C. J., & Koning, F. (2013). Consumption of gluten with gluten-degrading enzyme by celiac patients: A pilot-study. World Journal of Gastroenterology, 19(35), 5837–5847. https://doi.org/10.3748/wjg.v19.i35.5837 Husby S, Koletzko S, Korponay-Szabó IR, et al. European Society for Pediatric Gastroenterology, Hepatology, and Nutrition guidelines for the diagnosis of coeliac disease. J Pediatr Gastroenterol Nutr 2012; 54: 136–160
Welcome to the Choosing Wisely Campaign series! This is the fifth and final episode of our 5-part series exploring the ABIM Foundation's Choosing Wisely Lists. This campaign aims to promote conversations between clinicians and patients to avoid unnecessary medical tests, treatments, and procedures. Our last case-based episode focuses on a school-aged male presenting with new-onset enuresis. After a discussion of the differential diagnosis and evidence-based evaluation strategies, we apply recommendations from multiple AAP Choosing Wisely lists to create a care plan that is safe, resource-conscious, and child-centered. Throughout this episode, we'll highlight how ethical care principles—beneficence, nonmaleficence, autonomy, and justice—guide high-value decision-making and help us avoid unnecessary imaging, laboratory studies, and interventions that add cost without improving outcomes. This familiar case in pediatrics is worthy of a rewind to relisten to a throwback episode that will reinforce your skills and emphasize the clinical diagnosis and management without added diagnostics, referrals, or medications. This case closes out our series on Choosing Wisely in Pediatrics, but the principles we've explored should continue to inform your practice every day. If you missed earlier episodes, rewind to learn more about the campaign's background and listen to cases on fever and cough, gastroenterology presentations, and more. Series Learning Objectives: Introduction to the Choosing Wisely Campaign: Understand the origins, historical precedent, and primary goals of the campaign. Case-Based Applications: Explore five common presentations in primary and acute care pediatrics, applying concepts from various Choosing Wisely lists to guide management and resource stewardship. Effective Communication: Learn strategies for engaging in tough conversations with parents and colleagues to create allies and ensure evidence-based practices are followed. Modified rMETRIQ Score: 15/15 What does this mean? Competencies: AACN Essentials: 1: 1.1 g; 1.2 f; 1.3 d, e 2: 2.1 d, e; 2.2 g; 2.4 f, g; 2.5 h, i, j, k 7: 7.2 g, h, k 9: 9.1i, j; 9.2 i, j; 9.3 i, k NONPF NP Core Competencies: 1: NP 1.1h; NP 1.2 k, m; NP 1.3 f, j, h 2: NP 2.1 j, g; NP 2.2 k, n; NP 2.4 h, i; NP 2.5 k, l, m, n, o 7: NP 7.2 m 9: NP 9.1 m, n; NP 9.2 n; NP 9.3 p References: AAP Section on Emergency Medicine & Canadian Association of Emergency Physicians. (2022). Five things physicians and patients should question. Retrieved from https://downloads.aap.org/AAP/PDF/Choosing%20Wisely/CWEmergencyMedicine.pdf AAP Section on Gastroenterology, Hepatology, and Nutrition. (2023). Five things physicians and patients should question. https://downloads.aap.org/AAP/PDF/Choosing%20Wisely/CWGastroenterology.pdf AAP Section on Urology. (2022). Five things physicians and patients should question. Retrieved from https://downloads.aap.org/AAP/PDF/Choosing%20Wisely/CWUrology.pdf Daniel, M., Szymanik-Grzelak, H., Sierdziński, J., Podsiadły, E., Kowalewska-Młot, M., & Pańczyk-Tomaszewska, M. (2023). Epidemiology and Risk Factors of UTIs in Children-A Single-Center Observation. Journal of personalized medicine, 13(1), 138. https://doi.org/10.3390/jpm13010138 McMullen, P.C., Zangaro, G., Selzer, C., Williams, H. (2026). Nurse Practitioner Claims and the National Practitioner Data Bank: Trends, Analysis, and Implications for Nurse Practitioner Education and Practice. Journal for Nurse Practitioners, 22(1), p. 105569, https://doi-org.proxy.lib.duke.edu/10.1016/j.nurpra.2025.105569 Tabbers, M. M., DiLorenzo, C., Berger, M. Y., Faure, C., Langendam, M. W., Nurko, S., Staiano, A., Vandenplas, Y., Benninga, M. A., European Society for Pediatric Gastroenterology, Hepatology, and Nutrition, & North American Society for Pediatric Gastroenterology (2014). Evaluation and treatment of functional constipation in infants and children: evidence-based recommendations from ESPGHAN and NASPGHAN. Journal of pediatric gastroenterology and nutrition, 58(2), 258–274. https://doi.org/10.1097/MPG.0000000000000266 UCSF Benioff Children's Hospitals. (n.d.). Constipation & urologic problems. https://www.ucsfbenioffchildrens.org/conditions/constipation-and-urologic-problems Vaughan, D. (2015). The Challenger Launch Decision: Risky Technology, Deviance, and Culture at NASA. University of Chicago Press. DOI: 10.7208/chicago/9780226346960.001.0001 Wilbanks, Bryan A. PhD, DNP, CRNA. Evaluation of Methods to Measure Production Pressure: A Literature Review. Journal of Nursing Care Quality 35(2):p E14-E19, April/June 2020. | DOI: 10.1097/NCQ.0000000000000411
Zayden presents with well-defined, raised plaques on the extensor surfaces of his elbows and knees. The lesions are covered with silvery scales, and he reports occasional itching and no systemic symptoms. What is the MOST likely diagnosis?A) Atopic dermatitisB) Psoriasis vulgarisC) Tinea corporisD) Lichen planusJoin the FREE Facebook Group: www.nptegroup.com
11.26.25, Former Washington Redskins Tight End and Team980 host Doc Walker joins The Kevin Sheehan Show to evaluate the Commanders' coaching staff with the season going bad and whether Jayden Daniels should play out the rest of the season when he's fully cleared to play.
Recurrent pregnancy loss (RPL) affects approximately 5% of couples and is an emotional burden on those affected. There is some evidence that vaginal progesterone supplementation may be considered in patients with recurrent pregnancy loss who are experiencing vaginal bleeding during the first trimester. But what about prophylactic low dose aspirin in the first trimester, or preconceptionally, for unexplained RPL? Is that evidence-based? A new publication from the SMFM's journal Pregnancy has examined this. Listen in for details. 1. 22 November 2025: Low-dose aspirin in unexplained recurrent pregnancy loss: A systematic review and meta-analysis (Pregnancy): https://obgyn.onlinelibrary.wiley.com/doi/10.1002/pmf2.700992. American College of Obstetricians and Gynecologists' Committee on Obstetric Practice, T. Flint Porter, Cynthia Gyanff-Bannerman, Tracy Manuck. Low-Dose Aspirin Use During Pregnancy. American College of Obstetricians and Gynecologists (2018)3. Naimi AI, Perkins NJ, Sjaarda LA, et al. The Effect of Preconception-Initiated Low-Dose Aspirin on Human Chorionic Gonadotropin-Detected Pregnancy, Pregnancy Loss, and Live Birth : Per Protocol Analysis of a Randomized Trial. Annals of Internal Medicine. 2021;174(5):595-601. doi:10.7326/M20-0469.4. Lee EE, Jun JK, Lee EB.Management of Women With Antiphospholipid Antibodies or Antiphospholipid Syndrome During Pregnancy. Journal of Korean Medical Science. 2021;36(4):e24. doi:10.3346/jkms.2021.36.e24.5. de Assis V, Giugni CS, Ros ST. Evaluation of Recurrent Pregnancy Loss. Obstet Gynecol. 2024 May 1;143(5):645-659. doi: 10.1097/AOG.0000000000005498. Epub 2024 Jan 4. PMID: 38176012.
When we choose evaluation tools for language, are we clear on WHY we're assessing? Most people think of diagnosis, but that's not the only reason we assess students. I discuss this question and more in this second part of a three-part series, bilingual SLPs Destiny Johnson and Tiffany Shahoumian-Ruiz join me to continue our conversation about language evaluation practices in schools.Across these conversations, we explore:Sensitivity, specificity, reference standards, and diagnostic accuracyHow test development has evolved over time and why this matters Why the same cut-off score shouldn't apply across all testsThe math behind using two norm-referenced tests, and why it may complicate rather than clarify in some casesOther reasons we test beyond diagnosis (treatment planning, severity, monitoring progress)How do we do we to “sell” the concept of dynamic assessment to administratorsCase studies that show the pitfalls of over-reliance on standardized scoresMisconceptions clinicians often hold, and what they should know about assessmentDifferences in state eligibility standards, and what this means for service decisionsThis series is part myth-busting, part practical strategies, and part advocacy playbook—perfect for clinicians who want to move beyond compliance-driven evaluations toward assessments that truly reflect students' needs.Destiny Johnson, M.S., CCC-SLP, is a bilingual speech-language pathologist (English/Spanish) with a deep passion for culturally responsive assessment and treatment practices, as well as advocating for policy change. She has presented on dynamic assessment at the CSHA Convergence 2024, focusing on the importance of dynamic assessment in bilingual children. Destiny has experience working as a school-based SLP, in private practice, and in early intervention. She is also the founder and CEO of Multimodal Communication Speech Clinic P.C.Connect with Destiny on Instagram @destinyjohnsonslp, on her private practice website here, and on LinkedIn here.Listen to Destiny's previous episode on De Facto Leaders here: EP 187: Dynamic Assessment: Evaluations are a process, not a test (with Destiny Johnson)Tiffany Shahoumian-Ruiz is a bilingual high school SLP from Southern California who has primarily worked in the school systems and has experience at both the elementary and secondary level. She's also a member of Language Therapy Advance Foundations, and is involved in state and local advocacy work relating to dynamic assessments and special education eligibility.Connect with Tiffany on Instagram @tiffany.shahoumianListen to Tiffany's previous episode on De Facto Leaders here: High school language therapy: Do we still have time to make an impact? (with Tiffany Shahoumian-Ruiz)In this episode, I mention Language Therapy Advance Foundations, my program that gives SLPs and other service providers create a system for language therapy. You can learn more about the program here.Additional Resources Mentioned in the episode:Daub, O., Cunningham, B. J., Bagatto, M. P., Johnson, A. M., Kwok, E. Y., Smyth, R. E., & Oram Cardy, J. (2021). Adopting a conceptual validity framework for testing in speech-language pathology. American Journal of Speech-Language Pathology, 30(4), 1894–1908. https://doi.org/10.1044/2021_AJSLP-20-00032Spaulding, T. J., Plante, E., & Farinella, K. A. (2006). Eligibility criteria for language impairment: Is the low end of normal always appropriate? Language, Speech, and Hearing Services in Schools, 37(1), 61–72. https://doi.org/10.1044/0161-1461(2006/007)DYMOND Norm-Referenced Dynamic AssessmentBilingual English-Spanish Assessment (BESA) We're thrilled to be sponsored by IXL. IXL's comprehensive teaching and learning platform for math, language arts, science, and social studies is accelerating achievement in 95 of the top 100 U.S. school districts. Loved by teachers and backed by independent research from Johns Hopkins University, IXL can help you do the following and more:Simplify and streamline technologySave teachers' timeReliably meet Tier 1 standardsImprove student performance on state assessments
In this episode, the CardioNerds (Dr. Rachel Goodman, Dr. Shazli Khan, and Dr. Jenna Skowronski) discuss a case of AMI-shock with a focus on listing for heart transplant with faculty expert Dr. Kelly Schlendorf. We dive into the world of pre-transplant management, discuss the current allocation system, and additional factors that impact transplant timing, such as sensitization. We conclude by discussing efforts to increase the donor pool. Audio editing for this episode was performed by CardioNerds Intern, Julia Marques Fernandes. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Heart Success Series PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls The current iteration of heart allocation listing is based on priority, with status 1 being the highest priority. The are multiple donor and recipient characteristics to consider when listing a patient for heart transplantation and accepting a heart offer. Desensitization is an option for patients who need heart transplantation but are highly sensitized. Protocols vary by center. Acceptance of DCD hearts is one of many efforts to expand the donor pool Notes Notes: Notes drafted by Dr. Rachel Goodman Once a patient is determined to be a candidate for heart transplantation, how is priority determined? The current iteration of heart listing statuses was implemented in 2018. Priority is determined by acuity, with higher statuses indicating higher acuity and given higher priority. Status 1 is the highest priority status, and Status 7 is inactive patients. (1,2) What criteria should be considered in organ selection when listing a patient for heart transplant? Once it is determined that a patient will be listed for heart transplantation, there are certain criteria that should be assessed. These factors may impact pre-transplant care and/or donor matching (3). (1) PVR (2) Height/weight (3) Milage listing criteria (4) Blood typing/cPRA/HLA typing What is desensitization and why would it be considered? Desensitization is an attempt to reduce or remove anti-HLA antibodies in the recipient. It is done to increase the donor pool. In general, desensitization is reserved for patients who are highly sensitized. Desensitization protocols vary by transplant center, and some may opt against it. When considering desensitization, it is important to note two key things: first, there is no promise that it will work, and second desensitization involves the use of immunosuppressive agents, thereby putting patients at increased risk of infection and cytopenia. (4) Can you explain DCD and DBD transplant? DBD: donor that have met the requirements for legal definition of brain death. DCD: donors that have not met the legal definition of brain death but have been determined to have circulatory death. Because the brain death criteria have not been met, organ recovery can only take place once death is confirmed based on cessation of circulatory and respiratory function. Life support is only withdrawn following declaration of circulatory death—once the heart has stopped beating and spontaneous respirations have stopped. (5,6) References 1: Maitra NS, Dugger SJ, Balachandran IC, Civitello AB, Khazanie P, Rogers JG. Impact of the 2018 UNOS Heart Transplant Policy Changes on Patient Outcomes. JACC Heart Fail. 2023;11(5):491-503. doi:10.1016/j.jchf.2023.01.009 2: Shore S, Golbus JR, Aaronson KD, Nallamothu BK. Changes in the United States Adult Heart Allocation Policy: Challenges and Opportunities. Circ Cardiovasc Qual Outcomes. 2020;13(10):e005795. doi:10.1161/CIRCOUTCOMES.119.005795 3: Copeland H, Knezevic I, Baran DA, et al. Donor heart selection: Evidence-based guidelines for providers. J Heart Lung Transplant. 2023;42(1):7-29. doi:10.1016/j.healun.2022.08.030 4: Kittleson MM. Management of the sensitized heart transplant candidate. Curr Opin Organ Transplant. 2023;28(5):362-369. doi:10.1097/MOT.0000000000001096 5: Kharawala A, Nagraj S, Seo J, et al. Donation After Circulatory Death Heart Transplant: Current State and Future Directions. Circ Heart Fail. 2024;17(7):e011678. doi:10.1161/CIRCHEARTFAILURE.124.011678 6: Siddiqi HK, Trahanas J, Xu M, et al. Outcomes of Heart Transplant Donation After Circulatory Death. J Am Coll Cardiol. 2023;82(15):1512-1520. doi:10.1016/j.jacc.2023.08.006