Podcasts about guidelines

In this episode, we use the recent SAGES guidelines to tackle one of the most common and controversial questions in general surgery. Through a case-based discussion, our experts review the evidence for intraoperative biliary imaging, discuss strategies for difficult anatomy, and compare IOC with other imaging modalities. Join us as we translate the latest recommendations into practical lessons that can be applied in the operating room.Take Home Points:  Routine IOC is supported; however, this remains a conditional recommendation that should be individualized based on anatomy, surgeon experience, and available resources. Use a selective approach to IOC in special populations, including pediatric and pregnant patients, where risks and benefits may differ. Alternative imaging modalities including ICG fluorescence and laparoscopic ultrasound have complementary roles.  Routine IOC may help maintain surgeon and team proficiency, and trainees should learn both IOC performance and interpretation  Hosts:  Jason Bingham, MD – General and Bariatric Surgeon  Nicole L. Petcka, MD, MHPE – General Surgery Resident at Emory University Guests:  Emily Miraflor, MD – General and Colorectal Surgeon at UCSF East Bay, Senior Author on the SAGES Guidelines  Kevin El-Hayek, MD - HPB and Foregut Surgeon at MetroHealth and Professor of Surgery at Case Western Reserve School of Medicine, Chair of the SAGES HPB/Solid Organ Committee  Dena Shehata, MD - SAGES Guideline Fellow, Co-first author on the SAGES Guidelines  Resources: Kumar, S. K., Shehata, D. G., Cetrulo, L. N., Ignacio, R., Chiu, J., Davis, B. R., McDonald, M., Bloom, M. B., Ayloo, S., Kchaou, A., Orthopoulos, G., Pucher, P. H., Oliphant, U., Hallowell, P. T., Serrot, F., Overby, D., Moreno-Paquentin, E., Slater, B. J., & Miraflor, E. (2025). SAGES guidelines for the use of intraoperative imaging of the common bile duct. Surgical endoscopy, 39(11), 7091–7102. https://doi.org/10.1007/s00464-025-12142-0 SAGES Safe Cholecystectomy Program - https://www.sages.org/safe-cholecystectomy-program/Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium: https://behindtheknife.org/premiumOral Board Review: https://behindtheknife.org/oral-boardOral Board Simulator: https://behindtheknife.org/oral-board/simulatorGeneral Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

David Brand, housing reporter for WNYC and Gothamist, talks about the outcome of a vote by the Rent Guidelines Board on whether or not to freeze the rent on one million rent-regulated apartments, which was one of Mayor Mamdani's key campaign promises. Photo: Supporters hold signs reading Freeze The Rent and Childcare For All during a rally in support of Zohran Mamdani at Brooklyn Steel in Brooklyn New York on May 4 2025. (Photo by Madison Swart / Hans Lucas / Hans Lucas via AFP) (Photo by MADISON SWART/Hans Lucas/AFP via Getty Images)   Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

The newest AHA and ACC guidelines for treating dyslipidemia are here — and according to Dr. Kim Williams, they mark a powerful shift toward prevention, earlier testing, and whole-food, plant-based nutrition as the foundation of cardiovascular care.Rip welcomes back Dr. Kim Williams, past president of the American College of Cardiology, for a practical and deeply encouraging breakdown of what these updated cholesterol guidelines mean for everyday people.Dr. Williams explains why cardiovascular risk is no longer just about one cholesterol number. Instead, clinicians are being encouraged to look at the whole picture: LDL cholesterol, ApoB, Lp(a), inflammation, blood pressure, blood sugar, kidney function, family history, lifestyle, and coronary artery calcium when appropriate.The most exciting part for the PlantStrong community? Lifestyle optimization is now treated as the clinical foundation — and Dr. Williams is clear about what that means: a whole-food, plant-based diet built around beans, grains, nuts, seeds, fruits, vegetables, and mushrooms, along with exercise, sleep, mindfulness, strong social connections, and avoidance of tobacco, alcohol, and other harmful substances.This conversation also tackles statins, PCSK9 inhibitors, Lp(a), coronary calcium scoring, and the new philosophy of treating risk lower, earlier, and longer — always with food first, and medication when needed.Key TakeawaysThe new cholesterol guidelines emphasize lifestyle first, not lifestyle as an afterthought.Dr. Williams says a whole-food, plant-based diet should be built around beans, grains, nuts, seeds, fruits, vegetables, and mushrooms.LDL cholesterol is still important, but it is no longer the only number that matters.ApoB may give a clearer picture of risk in some people, especially those with diabetes, high triglycerides, or central obesity.Lp(a) is largely genetic and should be measured at least once in adulthood; the 2026 guideline includes updated recommendations for elevated Lp(a).Coronary artery calcium scoring can help personalize risk and guide LDL targets.Dr. Williams emphasizes that the goal is not “plants versus statins.” It is whole plant foods first, medications when needed.The overall prevention philosophy is: lower, earlier, longer.Watch the Episode on YouTube: https://youtu.be/6cD8tGpsAggLearn More About our 2026 Live PLANTSTRONG Events: https://plantstrongevents.com/ Let Us Help Your PLANTSTRONG JourneyLearn More About Our Corporate Wellness Program: https://liveplantstrong.com/corporate-wellness/ COMPLEMENT: Use code PLANTSTRONG for 30% off at https://lovecomplement.com/pages/plantstrong-special-offer Follow PLANTSTRONG and Rip Esselstynhttps://plantstrong.com/ https://www.facebook.com/GoPlantstrong https://www.instagram.com/goplantstrong/https://www.instagram.com/ripesselstyn/ Follow the PLANTSTRONG Podcast and Give the Show a 5-star RatingApple PodcastsSpotify

This episode is part of our comprehensive Decipher the Guidelines Series covering the 2025 ACC/AHA/ACEP/NAEMSP/SCAI Guideline for the Management of Patients With Acute Coronary Syndromes.  The following question refers to Section 5.2.1 of the 2025 ACS Guidelines. The question is asked by Thomas Jefferson medical student and CardioNerds Academy Intern Dr. Grace Qiu, answered first by Henry Ford Interventional cardiology fellow and member of the CardioNerds Interventional Cardiology Council Dr. Li Pang, and then by expert faculty Dr. Michelle O'Donoghue. Dr. O'Donoghue is a cardiologist, senior investigator with the TIMI Study Group, and Associate Professor of Medicine at Harvard Medical School who holds the McGillycuddy-Logue Endowed Chair in Cardiology at Brigham and Women's Hospital. She was the Vice Chair of the Writing Committee for the 2025 ACS Guidelines. Question #2 A 63-year-old woman presented to the emergency room for chest pain. She described having exertional chest pain for the past two months and had an episode of severe pain after dinner 3 days ago. She went to bed and slept it off.  She told her children today at a family gathering, and was immediately brought to the ED by her daughter. She has a history of hypertension and hyperlipidemia. She was asymptomatic and normotensive in the ED. Labs show a down-trending troponin and an elevated NT-proBNP but are otherwise unremarkable. Her ECG showed Q waves with ST elevation in V2-V4. She was treated with aspirin and heparin drip, and taken to the cath lab. Coronary angiogram showed complete proximal LAD occlusion with right-to-left collaterals, without significant residual disease elsewhere. She remains asymptomatic and is stable, both hemodynamically and electrically. What is the next best step with regard to reperfusion and anti-thrombotic management? A Proceed with primary PCI to LAD  B Medical management with aspirin and enoxaparin  C Medical management with aspirin and clopidogrel D Medical management with aspirin and ticagrelor   Answer #2 Explanation  The Correct answer is D In patients who are stable with STEMI and have a totally occluded infarct-related artery >24 hours after symptom onset and are without evidence of ongoing ischemia, acute severe HF, or life-threatening arrhythmia, PPCI should not be performed due to lack of benefit. (Class 3, LOE B-R) The benefit of PPCI begins to diminish after >12 hours from symptom onset, but there appears to be continued benefit through approximately 24 hours.  In stable asymptomatic patients with an occluded artery >48 hours after symptom onset, routine PCI has not been shown to be beneficial in the absence of ongoing ischemia. The relative utility of routine PCI for asymptomatic patients with STEMI between 24 and 48 hours from symptom onset is less rigorously tested. PCI is not recommended for an occluded infarct-related artery if the patient is asymptomatic and has a completed infarct. MACE outcomes were similar in those with an occluded infarct-related artery who underwent medical therapy versus those who underwent PCI 3 to 28 days after an MI (Occluded Artery Trial [OAT]), and results were no different at 7-year follow-up. Similar findings were noted in the DECOPI (Desobstruction Coronaire en Post-Infarctus) trial, which enrolled patients with an occluded artery and Q waves on the ECG presenting 2 to 15 days after symptom onset. However, coronary revascularization should be considered for patients with late presentations with continued signs and symptoms of ischemia, including cardiogenic shock, acute severe HF, persistent angina, and life-threatening arrhythmias.  Main Takeaway In patients who are stable with STEMI who have a totally occluded infarct-related artery >24 hours after symptom onset and are without evidence of ongoing ischemia, acute severe HF, or life-threatening arrhythmia, PPCI should not be performed due to lack of benefit. Guideline Loc. Section 5.2.1 

Opening Bible Verse:  Ezekiel 24:3-6 IF YOU ARE A NEW LISTENER, WELCOME! BEGIN HERE: This year we are doing my group coaching course together via this podcast! It's free and it only gets better as the year progresses.  In January we began with God at the center of our day and our home. We worked to build the habit of a morning prayer routine. I highly recommend the rosary. It's only about 20 minutes and you'll meditate on the whole life of Jesus. February is the month of decluttering. Saturday episodes have been added to focus on decluttering in the kitchen. Each month will have a different focus area and the Saturday episodes will help you focus on one small section of that room.  In March we decluttered your wardrobe. In April we are moving into budgeting for food. Our Saturday episodes will still be about decluttering. Our declutter focus area for April is your bedroom. In May we dreamed big! June brings us to one of the most useful topics in my group coaching course…meal planning. Ah, the feel of knowing exactly what's for dinner is the most stress-free feeling in the world! Our declutter focus area for June is Hallways/Landings. Give this first episode of 2026 a listen to hear where to begin: 316. Your 2026 Life Overhaul Plan: Faith, Clutter, Debt, Diet and More!  If you've never prayed a rosary or you want to see how you can incorporate it into active decluttering, here is the first episode of my rosary declutter series from last summer. 288. Summer Declutter Series Week Just getting started on your decluttering journey? Give this episode a listen before you begin: 322. Guidelines to Decluttering ***Are you so overwhelmed with clutter that you find yourself unable to make any decisions? Do you plan on decluttering only to find yourself standing in a room confused about where to start? Are you hoping motivation will strike and you'll get it all done in one weekend? If this sounds like you, let's work together. Book a one hour virtual coaching session via Zoom. Together we craft a decluttering plan and I walk you through the process. You'll complete much of the decluttering on your own time at your own pace. I just give you the roadmap and the accountability. Cost $77 per hour. Virtual Coaching Schedule   Not sure what you need? No problem! Book a complimentary 15 minute clarity call. We'll meet via Zoom and see if working with me would benefit you.  Email me at: tightshipmama@gmail.com to schedule a time.   Looking for community of like-minded women? Join the private Facebook community here: Facebook Group Prefer to receive a weekly email with the monthly freebie like a group rosary, group declutter, or budget Q&As?  Join my mailing list here: Monthly Newsletter   For any other inquiries or guest appearances, please email me at: tightshipmama@gmail.com    

In this episode, Marshall and Nick delve into the nuances of customer interactions, the importance of honesty, and how to navigate common challenges in the auto detailing industry. They emphasize the value of clear communication, transparency, and strategic business growth to foster loyalty and avoid pitfalls.Key TopicsUnderstanding customer reactions to service feedback and feedback managementThe role of honesty and transparency in building trustHandling service mistakes, recalls, and customer complaints effectivelyImportance of follow-up and showing professionalism after serviceStrategies for upselling parts and repair services with honestyAddressing common deferred maintenance issues, especially on plastics and trimsThe impact of business owner burnout and the importance of team growthFinancial foundational wellness for sustainability and growthThe pitfalls of owning a job versus owning a businessThe significance of work-life balance and legacy as a parent and business ownerTimestamps00:00 - Customer feedback and the importance of response management02:20 - The significance of kettle moments in customer service04:26 - Handling recalls and the importance of doing right by customers09:12 - The decline of customer service expectations in modern businesses13:47 - Dealing with road paint and plastic repairs effectively17:35 - The importance of homework and transparency in upselling21:40 - Truthfulness in service quality and managing customer expectations26:46 - Restoring plastic trim and cosmetic parts properly33:05 - Guidelines for handling and photographing personal effects in cars36:00 - Protecting customer belongings and avoiding liability41:26 - The challenge of growing a solo operation into a team-based business48:16 - The importance of balancing work and family, leaving a legacy52:14 - How most business owners are owned by their business — facts and fears58:35 - The mindset shift from ownership to servitude and business ownership realities65:01 - The value of sacrifice, intentional working hours, and building future options70:00 - Final thoughts on industry truths, success, and community support

today we outline the transformative role and ethical boundaries of generative AI across journalism, academic publishing, and digital media. In newsrooms, AI is framed as an efficiency tool for data-to-text generation and verification rather than a replacement for human editorial judgment. Academic and legal perspectives emphasize that while AI can assist in manuscript preparation and research, it cannot be credited as an author due to a lack of legal accountability. Guidelines from major publishers like Elsevier and Amazon KDP mandate strict transparency and disclosure requirements for AI-generated text and imagery to maintain public trust. Furthermore, the texts explore economic shifts, such as data licensing and the legal tensions surrounding copyright infringement in AI training. Ultimately, the consensus across these industries is that human oversight remains essential to safeguard accuracy, originality, and professional ethics.

Credits: 0.25 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-490 Overview: In the US, maternal morbidity and mortality rates are among the highest in the western world, and stroke is one of the leading causes—responsible for 1 of 12 maternal deaths. This rate is estimated to be much higher in high-risk pregnancies. Join us as we discuss a recent study examining rates of maternal stroke in which 1 in 4 women with stroke experienced a missed diagnostic opportunity and hear what these findings mean for your practice. Episode resource links: Haghighi N, Bourscheid RM, Shang C, et al. Identifying missed diagnostic opportunities in maternal stroke. Stroke. 2026;57(2). doi:10.1161/STROKEAHA.125.052995 Chen Y, Shiels MS, Uribe-Leitz T, et al. 2025. Pregnancy-Related Deaths in the US, 2018-2022. JAMA Network Open.  Lappen JR, Pettker CM, Louis JM. 2021. American Journal of Obstetrics and Gynecology. Society for Maternal-Fetal Medicine Consult Series #54: Assessing the Risk of Maternal morbidity and Mortality. American Journal of Obstetrics and Gynecology. Miller EC, Bello NA, Chen PR, et al 2026. Prevention and Treatment of Maternal Stroke in Pregnancy and Postpartum: A Scientific Statement from the American Heart Association. Stroke.  Bushnell C, Kernan WN, Sharrief AZ, et al. 2024. Guideline for the Primary Prevention of Stroke: A Guideline from the American Heart Association/¬American Stroke Association. Stroke.  Guest: Susan Feeney, DNP, FNP-BC, NP-C   Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com  The views expressed in this podcast are those of Dr. Domino and his guests and do not necessarily reflect the views of Pri-Med.

Credits: 0.25 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-490 Overview: In the US, maternal morbidity and mortality rates are among the highest in the western world, and stroke is one of the leading causes—responsible for 1 of 12 maternal deaths. This rate is estimated to be much higher in high-risk pregnancies. Join us as we discuss a recent study examining rates of maternal stroke in which 1 in 4 women with stroke experienced a missed diagnostic opportunity and hear what these findings mean for your practice. Episode resource links: Haghighi N, Bourscheid RM, Shang C, et al. Identifying missed diagnostic opportunities in maternal stroke. Stroke. 2026;57(2). doi:10.1161/STROKEAHA.125.052995 Chen Y, Shiels MS, Uribe-Leitz T, et al. 2025. Pregnancy-Related Deaths in the US, 2018-2022. JAMA Network Open.  Lappen JR, Pettker CM, Louis JM. 2021. American Journal of Obstetrics and Gynecology. Society for Maternal-Fetal Medicine Consult Series #54: Assessing the Risk of Maternal morbidity and Mortality. American Journal of Obstetrics and Gynecology. Miller EC, Bello NA, Chen PR, et al 2026. Prevention and Treatment of Maternal Stroke in Pregnancy and Postpartum: A Scientific Statement from the American Heart Association. Stroke.  Bushnell C, Kernan WN, Sharrief AZ, et al. 2024. Guideline for the Primary Prevention of Stroke: A Guideline from the American Heart Association/¬American Stroke Association. Stroke.  Guest: Susan Feeney, DNP, FNP-BC, NP-C   Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com  The views expressed in this podcast are those of Dr. Domino and his guests and do not necessarily reflect the views of Pri-Med.

Jody reviews major guideline updates from 2024 - 2026.Reference:AHA/ACC Guideline Updates (OpenEvidence)Crooked Creek Serenade by Jody Marks (Amazon)

The MacVoices Live! panel discusses Apple's updated App Store review guidelines, the challenge of filtering low-quality or AI-generated apps, and whether trusted developers should receive faster review. Chuck Joiner, David Ginsburg, Jim Rea, Marty Jencius, Web Bixby, Jeff Gamet, and Eric Bolden also debate Apple's Passwords app gaining automatic password-changing abilities, weighing convenience against account-lockout risk. They also provide reactions to Snap's new Specs and the uncertain future of smart glasses.  MacVoices is supported by NordLayer. Secure your network & stay compliant with one toggle-ready platform. Get an exclusive offer: up to 22% off NordLayer yearly plans plus 10% on top with the coupon code: MACVOICES10 at NordLayer.com/macvoices. Try it risk-free—14-day money-back guarantee. Show Notes: Chapters: 00:00 Opening topics and sponsor message 00:27 Tim Cook's WWDC morning video 01:34 WWDC swag and Finder collectibles 03:24 Apple's app submission volume 03:46 Updated App Store guidelines for low-quality apps 04:19 The scale problem of reviewing thousands of apps 05:48 Should trusted developers get faster review? 06:27 Policing successful or suspicious apps 07:37 Apple Passwords app and automatic password changes 08:00 Initial skepticism from the panel 09:09 How automatic password changes may work 10:09 Standards, automation, and website support 11:10 Balancing convenience with trust 12:22 Why password automation could help less technical users 13:15 Implementation concerns and website complexity 14:13 Comparing the feature to Face ID's early skepticism 15:41 Account lockout as the biggest risk 16:28 Where automatic password changes could be useful 17:33 Interface design and fallbacks 18:27 Security tradeoffs and password visibility 19:36 Passwords as an aging technology 20:10 Password managers and better password habits 21:35 Passkeys and the slow path to adoption 23:23 Sponsor message 25:48 Snap Specs pricing and release expectations 26:13 Recording indicators and privacy concerns 26:34 Comparing Snap Specs to Meta smart glasses 27:18 Price, style, and hardware limitations 28:16 Ray-Ban Meta glasses and AI features 28:35 Vision Pro comparisons and entertainment value 29:20 Potential use cases for smart glasses 30:45 Skepticism about current smart glasses design 31:14 Are these products ready for consumers? 32:06 Humor, smart glasses, and panel reactions 33:39 Closing comments and event mentions 34:15 Closing credits and support information Links: Tim Cook posts comedic 'Good morning' video to mark final Apple event as CEO https://9to5mac.com/2026/06/08/tim-cook-posts-comedic-good-morning-video-to-mark-final-apple-event-as-ceo/ WWDC 2026 Swag Bag Includes Little Finder Guy https://www.macrumors.com/2026/06/08/wwdc-2026-swag-bag-little-finder-guy/ Apple Updates App Store Guidelines With Stricter Rules for Low-Quality Apps https://www.macrumors.com/2026/06/09/app-store-guidelines-low-quality-apps/ iOS 27's Passwords app can change your passwords for you, automatically – 9to5Mac https://9to5mac.com/2026/06/08/ios-27s-passwords-app-can-change-your-passwords-for-you-automatically/ Guests: Get detailed bios and contact information about for the panel on the MacVoices Live! Panel page on our web site: https://macvoices.com/macvoiceslive/macvoices-live-panel/ Support:      Become a MacVoices Patron on Patreon      http://patreon.com/macvoices      Enjoy this episode? Make a one-time donation with PayPal Connect:      Web:      http://macvoices.com      Twitter:      http://www.twitter.com/chuckjoiner      http://www.twitter.com/macvoices      Mastodon:      https://mastodon.cloud/@chuckjoiner      Facebook:      http://www.facebook.com/chuck.joiner      MacVoices Page on Facebook:      http://www.facebook.com/macvoices/      MacVoices Group on Facebook:      http://www.facebook.com/groups/macvoice      LinkedIn:      https://www.linkedin.com/in/chuckjoiner/      Instagram:      https://www.instagram.com/chuckjoiner/ Subscribe:      Audio in iTunes      Video in iTunes      Subscribe manually via iTunes or any podcatcher:      Audio: http://www.macvoices.com/rss/macvoicesrss      Video: http://www.macvoices.com/rss/macvoicesvideorss

In this episode of PICU Doc on Call, hosts Dr. Monica Gray and Dr. Pradip Kamat explore procedural sedation in the pediatric ICU. They cover sedation levels, pre-screening, risk stratification using ASA classifications, and medication selection tailored to each patient's hemodynamic and respiratory status. Through real-world case discussions involving respiratory failure, septic shock, and acute neurological decline, they highlight the importance of end-tidal CO2 monitoring and early adverse event recognition. Key takeaways include avoiding the term "conscious sedation," preparing rescue plans, and prioritizing patient safety through careful assessment and monitoring.Show Highlights:Definitions and levels of sedation (minimal, moderate, deep sedation, and general anesthesia)Importance of terminology in procedural sedationMonitoring sedation levels using scales like the Richmond Agitation-Sedation Scale (RASS)Pre-screening and risk stratification considerations for pediatric patientsASA physical status classification system for assessing patient riskUnique challenges of procedural sedation in critically ill childrenAdverse events associated with pediatric procedural sedation, particularly respiratory complicationsManagement strategies for specific cases requiring sedation (e.g., respiratory failure, septic shock)Importance of end-tidal CO2 monitoring during sedationKey takeaways for safe sedation practices in the pediatric ICU settingReferences: Nir Atlas; Rahul C. Damania; Pradip P. Kamat In Fuhrman & Zimmerman - Textbook of Pediatric Critical Care Chapter 135, 1624-1628Statement on Continuum of Depth of Sedation: Definition of General Anesthesia and Levels of Sedation/Analgesia by Committee on Quality Management and Departmental Administration. Last Amended: October 23, 2024.Coté CJ, Wilson S; AMERICAN ACADEMY OF PEDIATRICS; AMERICAN ACADEMY OF PEDIATRIC DENTISTRY. Guidelines for Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures. Pediatrics. 2019 Jun;143(6):e20191000. doi: 10.1542/peds.2019-1000. PMID: 31138666.xKrauss B, Green SM. Procedural sedation and analgesia in children. Lancet. 2006 Mar 4;367(9512):766-80. doi: 10.1016/S0140-6736(06)68230-5. PMID: 16517277.Sharif S, Kang J, Sadeghirad B, Rizvi F, Forestell B, Greer A, Hewitt M, Fernando SM, Mehta S, Eltorki M, Siemieniuk R, Duffett M, Bhatt M, Burry L, Perry JJ, Petrosoniak A, Pandharipande P, Welsford M, Rochwerg B. Pharmacological agents for procedural sedation and analgesia in the emergency department and intensive care unit: a systematic review and network meta-analysis of randomised trials. Br J Anaesth. 2024 Mar;132(3):491-506. doi: 10.1016/j.bja.2023.11.050. Epub 2024 Jan 6. PMID: 38185564.Smith, Heidi A. B. MD, MSCI (Chair)1,2; Besunder, James B. DO, FCCM3,4; Betters, Kristina A. MD1; Johnson, Peter N. PharmD, BCPS, BCPPS, FCCM, FPPA, FASHP5,6; Srinivasan, Vijay MBBS, MD, FCCM7,8; Stormorken, Anne MD9,10; Farrington, Elizabeth PharmD, FCCM11; Golianu, Brenda MD12,13; Godshall, Aaron J. MD14; Acinelli, Larkin CPNP-AC, ACHPN15; Almgren, Christina CPNP16; Bailey, Christine H. MD17; Boyd, Jenny M. MD18,19; Cisco, Michael J. MD20; Damian, Mihaela MD, MPH21,22; deAlmeida, Mary L. MD23,24; Fehr, James MD13,25; Fenton, Kimberly E. MD, FCCM14; Gilliland, Frances DNP, CPNP-AC/PC26,27; Grant, Mary Jo C. CPNP-AC, PhD, FAAN28; Howell, Joy MD29; Ruggles, Cassandra A. PharmD, BCCCP, BCPPS30; Simone, Shari DNP31,32; Su, Felice MD21,22; Sullivan, Janice E. MD33,34; Tegtmeyer, Ken MD, FAAP, FCCM35,36; Traube, Chani MD, FCCM29; Williams, Stacey CPNP-AC37; Berkenbosch, John W. MD, FAAP, FCCM (Chair)33,34. 2022 Society of Critical Care Medicine Clinical Practice Guidelines on Prevention and Management of Pain, Agitation, Neuromuscular Blockade, and Delirium in Critically Ill Pediatric Patients With Consideration of the ICU Environment and Early Mobility. Pediatric Critical Care Medicine 23(2):p e74-e110, February 2022. | DOI: 10.1097/PCC.0000000000002873Benzoni T, Agarwal A, Cascella M. Procedural Sedation. [Updated 2025 Mar 22]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK551685/Kerson AG, DeMaria R, Mauer E, Joyce C, Gerber LM, Greenwald BM, Silver G, Traube C. Validity of the Richmond Agitation-Sedation Scale (RASS) in critically ill children. J Intensive Care. 2016 Oct 26;4:65. doi: 10.1186/s40560-016-0189-5. PMID: 27800163; PMCID: PMC5080705.Tel-Dan SF, Shavit D, Nates R, Samuel N, Shavit I. Emergency Physician-Administered Sedation for Thoracostomy in Children With Pleuropneumonia. Pediatr Emerg Care. 2021 Dec 1;37(12):e1209-e1212. doi: 10.1097/PEC.0000000000001975. PMID: 31929389.Cosgrove P, Krauss BS, Cravero JP, Fleegler EW. Predictors of Laryngospasm During 276,832 Episodes of Pediatric Procedural Sedation. Ann Emerg Med. 2022 Dec;80(6):485-496. doi: 10.1016/j.annemergmed.2022.05.002. Epub 2022 Jun 23. PMID: 35752522.Cravero JP, Blike GT, Beach M, Gallagher SM, Hertzog JH, Havidich JE, Gelman B; Pediatric Sedation Research Consortium. Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the operating room: report from the Pediatric Sedation Research Consortium. Pediatrics. 2006 Sep;118(3):1087-96. doi: 10.1542/peds.2006-0313. PMID: 16951002.

Main Point: 2 Corinthians 8:10-9:5 provides four enduring guidelines that shape how Christians should think about giving.  

New York City's rent freeze promise collides with financing reality. How the Rent Guidelines Board actually works, why DSCR loans fail for rent-stabilized buildings, and what 1-4 family owners need to know before the June 25 vote. BKDSCR City: New York Address: 1178 Broadway Website: https://bkdscr.com

IF YOU ARE A NEW LISTENER, WELCOME! BEGIN HERE: This year we are doing my group coaching course together via this podcast! It's free and it only gets better as the year progresses.  In January we began with God at the center of our day and our home. We worked to build the habit of a morning prayer routine. I highly recommend the rosary. It's only about 20 minutes and you'll meditate on the whole life of Jesus. February is the month of decluttering. Saturday episodes have been added to focus on decluttering in the kitchen. Each month will have a different focus area and the Saturday episodes will help you focus on one small section of that room.  In March we decluttered your wardrobe. In April we are moving into budgeting for food. Our Saturday episodes will still be about decluttering. Our declutter focus area for April is your bedroom. In May we dreamed big! June brings us to one of the most useful topics in my group coaching course…meal planning. Ah, the feel of knowing exactly what's for dinner is the most stress-free feeling in the world! Our declutter focus area for June is Hallways/Landings. Give this first episode of 2026 a listen to hear where to begin: 316. Your 2026 Life Overhaul Plan: Faith, Clutter, Debt, Diet and More!  If you've never prayed a rosary or you want to see how you can incorporate it into active decluttering, here is the first episode of my rosary declutter series from last summer. 288. Summer Declutter Series Week Just getting started on your decluttering journey? Give this episode a listen before you begin: 322. Guidelines to Decluttering ***Are you so overwhelmed with clutter that you find yourself unable to make any decisions? Do you plan on decluttering only to find yourself standing in a room confused about where to start? Are you hoping motivation will strike and you'll get it all done in one weekend? If this sounds like you, let's work together. Book a one hour virtual coaching session via Zoom. Together we craft a decluttering plan and I walk you through the process. You'll complete much of the decluttering on your own time at your own pace. I just give you the roadmap and the accountability. Cost $77 per hour. Virtual Coaching Schedule   Not sure what you need? No problem! Book a complimentary 15 minute clarity call. We'll meet via Zoom and see if working with me would benefit you.  Email me at: tightshipmama@gmail.com to schedule a time.   Looking for community of like-minded women? Join the private Facebook community here: Facebook Group Prefer to receive a weekly email with the monthly freebie like a group rosary, group declutter, or budget Q&As?  Join my mailing list here: Monthly Newsletter   For any other inquiries or guest appearances, please email me at: tightshipmama@gmail.com  

In this EAU Podcast episode, Ass. Prof. Giancarlo Marra (IT), Prof. Derya Tilki (DE) and Prof. Philip Cornford (IE) discuss the latest updates in the 2026 EAU Guidelines on Prostate Cancer.They explore changes in risk stratification, the evolving role of enzalutamide plus ADT in high-risk disease, and emerging diagnostic technologies such as micro-ultrasound and NeuroSAFE. The conversation also highlights advances in personalised treatment approaches for metastatic hormone-sensitive prostate cancer, including BRCA and PTEN-targeted strategies.In addition, the speakers emphasise the growing importance of supportive care, bone protection, and managing long-term treatment-related side effects to improve patient outcomes.For more EAU podcasts, please go to your favourite podcast app and subscribe to our podcast channel for regular updates: Apple Podcasts, Spotify, EAU YouTube channel.

Text Dr. Lenz any feedback or questions 2025 Pediatric Cyclic Vomiting Syndrome (CVS) Guidelines: A Brain–Gut, Migraine-Based Action PlanThe script explains updated 2025 guidelines for pediatric cyclic vomiting syndrome (CVS), framing CVS as a disorder of gut–brain interaction and a “migraine equivalent,” with up to 82% of affected children having personal or family migraine history, shifting treatment focus to the central nervous system. It highlights links to nociplastic pain/central sensitization and higher rates of neurodivergence (ADHD, autism), supporting a holistic biopsychosocial approach and trigger management, especially consistent sleep. Key terminology (abortive vs prophylactic therapy, strong vs conditional recommendations) is clarified. The only strong recommendation is early abortive anti-migraine therapy (triptans like sumatriptan or high-dose NSAIDs like ibuprofen) during prodrome; conditional options include aprepitant, ondansetron, and early IV rehydration. Prevention starts with lifestyle and supplements (riboflavin, CoQ10), then escalates to propranolol, cyproheptadine, or amitriptyline; topiramate is generally avoided unless others fail. The guidelines address catamenial and “calendar time” CVS, distinguish CVS from cannabinoid hyperemesis syndrome via six months of cannabis cessation, and emphasize creating a written green/yellow/red CVS action plan for home, school, and emergency care.00:00 Lost in the Fog01:56 CVS as Brain Gut Disorder04:19 Migraine Link Explained06:13 Nociplastic Pain and Sensitization08:48 Neurodivergence Connection10:50 Guideline Terms Decoded13:26 Abortive Rescue Plan17:18 Preventing Future Episodes22:05 Special Subtypes and CHS24:08 Action Plan Zones26:04 Holistic Approach and Wrap UpClick here for the YouTube Channel  Click here for the YouTube channel Support the showWhen I started this podcast and YouTube Channel—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That's why I created this space: to offer education, validation, and hope.  If you've been told fibromyalgia “isn't real” or that it's “all in your head,” know this—I see you. I believe you. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you'll find trusted, evidence-based insights here, drawn from my 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn't replace per...

Ever feel like one shots get off the rails, out of control, and become a wild beast for you to wrangle back into some semblance of a story in the limited time you have? These 5 guidelines will help you avoid overstretching, overthinking, and overstaying a one shot's welcome!

Drs. Tina Lockwood and Stacy Gray share the newly released evidence-based guideline on circulating tumor DNA (ctDNA) testing from ASCO. They highlight recommendations on when ctDNA testing should be offered—including scenarios where tissue biopsies are challenging, unsafe, or unavailable in time to guide management—and explicitly outline situations where testing should not be utilized. They dive into the evidence evaluating ctDNA for treatment selection, molecular residual disease (MRD), and response monitoring across solid tumors and lymphoma. Drs. Lockwood and Gray explain the importance of balancing ctDNA's high specificity with its moderate sensitivity. They also touch on outstanding questions, including standardizing definitions for MRD, disease-specific applications, and the use of multi-cancer early detection (MCED) screening.  Read the full guideline, "Circulating Tumor DNA Testing in Solid Tumors and Lymphoma: ASCO Guideline" at www.asco.org/molecular-testing-and-biomarkers-guidelines" LINK TO FULL TRANSCRIPT

Opening Bible Verse: Ecclesiastes 8:1 IF YOU ARE A NEW LISTENER, WELCOME! BEGIN HERE: This year we are doing my group coaching course together via this podcast! It's free and it only gets better as the year progresses.  In January we began with God at the center of our day and our home. We worked to build the habit of a morning prayer routine. I highly recommend the rosary. It's only about 20 minutes and you'll meditate on the whole life of Jesus. February is the month of decluttering. Saturday episodes have been added to focus on decluttering in the kitchen. Each month will have a different focus area and the Saturday episodes will help you focus on one small section of that room.  In March we decluttered your wardrobe. In April we are moving into budgeting for food. Our Saturday episodes will still be about decluttering. Our declutter focus area for April is your bedroom. In May we dreamed big! June brings us to one of the most useful topics in my group coaching course…meal planning. Ah, the feel of knowing exactly what's for dinner is the most stress-free feeling in the world! Our declutter focus area for June is Hallways/Landings. Give this first episode of 2026 a listen to hear where to begin: 316. Your 2026 Life Overhaul Plan: Faith, Clutter, Debt, Diet and More!  If you've never prayed a rosary or you want to see how you can incorporate it into active decluttering, here is the first episode of my rosary declutter series from last summer. 288. Summer Declutter Series Week Just getting started on your decluttering journey? Give this episode a listen before you begin: 322. Guidelines to Decluttering ***Are you so overwhelmed with clutter that you find yourself unable to make any decisions? Do you plan on decluttering only to find yourself standing in a room confused about where to start? Are you hoping motivation will strike and you'll get it all done in one weekend? If this sounds like you, let's work together. Book a one hour virtual coaching session via Zoom. Together we craft a decluttering plan and I walk you through the process. You'll complete much of the decluttering on your own time at your own pace. I just give you the roadmap and the accountability. Cost $77 per hour. Virtual Coaching Schedule   Not sure what you need? No problem! Book a complimentary 15 minute clarity call. We'll meet via Zoom and see if working with me would benefit you.  Email me at: tightshipmama@gmail.com to schedule a time.   Looking for community of like-minded women? Join the private Facebook community here: Facebook Group Prefer to receive a weekly email with the monthly freebie like a group rosary, group declutter, or budget Q&As?  Join my mailing list here: Monthly Newsletter   For any other inquiries or guest appearances, please email me at: tightshipmama@gmail.com    

Frustration loses its power when you stop trying to control everything and start trusting God with what you can't.

Send us Fan MailNearly a decade after the last major cholesterol guidelines were released, the new 2026 Multi-Specialty Lipid Guidelines introduce significant changes in how cardiovascular risk is assessed and managed. In this episode, Albert Lopez, DO, FACP, FASPC, explains why LDL cholesterol treatment goals have returned, how newer markers such as ApoB and Lipoprotein(a) are reshaping risk assessment, and why earlier, more aggressive treatment may help reduce the world's leading cause of death, cardiovascular disease.Dr. Al Lopez, DO,  discusses the role of statins, non-HDL cholesterol, triglycerides, genetic cholesterol disorders, screening recommendations for children and older adults, and the importance of a team-based approach to prevention. Whether you're a healthcare professional or someone interested in protecting your heart health, this episode provides a practical overview of the latest evidence-based recommendations for preventing heart disease.Be a part of advancing science by participating in clinical research.Have a question for Dr. Koren? Email him at askDrKoren@MedEvidence.comListen on SpotifyListen on Apple PodcastsWatch on YouTubeShare with a friend. Rate, Review, and Subscribe to the MedEvidence! podcast to be notified when new episodes are released.Follow us on Social Media:FacebookInstagramX (Formerly Twitter)LinkedInWant to learn more? Checkout our entire library of podcasts, videos, articles and presentations at www.MedEvidence.comMusic: Storyblocks - Corporate InspiredThank you for listening!

Dr Ilona Duffy, Monaghan GP

Irish guidelines on what constitutes low-risk alcohol consumption may need to be reconsidered based on latest research, according to a new report from the Health Information and Quality Authority (HIQA).HIQA's Deputy Director of Health Technology Assessment, Michelle O'Neill and Frank Murray Chair of The Alcohol Health Alliance Ireland and Liver specialist, joined Shane and Ciara to discuss the report and its findings' implications.

Talk 3 The Right Use of Interpretation of Tongues Hello again. Welcome to Talk 3 in our series on NT Guidelines for Small Group Meetings. Last time, our subject was speaking in tongues and its right use in our meetings. We saw that we should not speak in tongues loudly unless it's for interpretation and that it must only be spoken loudly if someone is there to interpret it. So today we'll be looking in more detail at the important gift of interpretation of tongues. Apart from two references in chapter 12 (v10 and v30), our main source of material for understanding this gift is found in 1 Corinthians 14, so it would be good to have your Bible open there. In this talk I will: ·      Examine the references to interpretation of tongues ·      Discuss certain practical issues that arise from this ·      Finish with a brief summary. A.     References to interpretation of tongues 1 Corinthians 12:10-11, 30 10 …and to still another the interpretation of tongues. 11 All these are the work of one and the same Spirit, and he gives them to each one, just as he determines. 30 Do all have gifts of healing? Do all speak in tongues? Do all interpret? These verses make clear that not everybody has this gift. Each gift is given as the Holy Spirit determines. (By the way, speaking in tongues in verse 30 refers to its use in church, not to its private use as prayer with one's spirit). 1 Corinthians 14:5 The person who prophesies is greater than the person who speaks in tongues, unless they interpret so that the church may be edified. This verse reveals the purpose of the gift – the edification of the church. As we saw in our last talk, prophesying is preferable to speaking in tongues because prophecy edifies the church whereas speaking in tongues does not, because no one can understand it (2). However, if speaking in tongues is interpreted, it can edify the church, in which case it is as valuable as prophecy. But this need not mean that it's necessarily the same as prophecy. We will discuss this in more detail in a moment. 1 Corinthians 14:13 In verse 12 Paul tells the Corinthians to try to excel in gifts that build up the church. This gives the reason for what he says in verse 13. Anyone who speaks in a tongue should pray that they may interpret… Why? Because the only way that speaking in tongues will edify others is if it is interpreted. Notice too that the verse does not mean that all interpretations should be given by the person who has spoken in tongues. The interpretation may very well be given by someone else. To allow someone other than the speaker in tongues to interpret means that more people are participating in the meeting, something Paul is keen to encourage, as the next passage makes clear. Verses 26-28 26 What then shall we say, brothers? When you come together, everyone has a hymn, or a word of instruction, a revelation, a tongue or an interpretation. All of these must be done for the strengthening of the church. 27 If anyone speaks in a tongue, two – or at the most three – should speak, one at a time, and someone must interpret. 28 If there is no interpreter, the speaker should keep quiet in the church and speak to himself and God. Verse 26 is the key verse upon which this series is based. It gives clear guidance on the sort of things we should expect in our meetings. Notice that tongues and interpretation are included in what Paul is recommending. But note the use of the word if in verse 27: If anyone speaks in a tongue… This shows us that Paul does not automatically assume that there will be speaking in tongues in the meeting. The things mentioned in verse 26 are not obligatory ingredients for every meeting. They are the kind of things to expect, but not necessarily in every meeting. The manifestation of spiritual gifts will vary from meeting to meeting as the Spirit leads. The main point is that whatever is taking place, everything must be done for the strengthening of the church. So, if anyone speaks in tongues, what should happen next? Paul is quite clear on this: If anyone speaks in a tongue, let it be by two or at the most three people. And let one person interpret (my translation). This doesn't refer to private use of tongues in church, which is allowed, provided it's done quietly, speaking to yourself and to God (28). It refers to the use of tongues for the purpose of interpretation, because Paul says, Let one person interpret.  So, during the course of a meeting, no more than three people should speak in tongues with a view to interpretation. Another practical issue that we will need to consider in due course is how to understand and apply the final part of verse 27, which NIV translates as, Someone must interpret, but which KJV translates this as, Let one interpret (my emphasis), which is the literal translation of the Greek word that Paul uses here. That's why, in the translation I offered earlier, I translated it as Let one person interpret. But this doesn't mean that Paul is saying that if there are two or three utterances in tongues, the same person should give the interpretation for all of them. But more on this in a moment. Finally, Paul's use of the word interpreter in verse 28 is interesting. He says: If there is no interpreter, the speaker (in tongues) should keep quiet in the church and speak to himself and God. The term interpreter clearly indicates that those who exercised the gift of interpretation were seen as permanently possessing the gift. If that were not so, how could the speaker in tongues know whether there was an interpreter present or not? A person who has interpreted once can be expected to do so again. So, if we want to speak in tongues publicly, we need to check that there's an interpreter present. And if there is, we are free to go ahead. Obviously that places a serious responsibility on the interpreter to be ready to interpret at any time, because we do not know when someone is going to speak in tongues. To know more about receiving spiritual gifts, you might like to visit my website (www.davidpetts.org) and listen to two short podcasts I gave in February 2019 (podcasts 018 and 019). B.     Practical issues arising from Paul's teaching         i.            The form the gift should take – prophecy or praise? There's no time to go into much detail about this now, but I have said a bit more in WYCT pp77-79 and more still in Body Builders pp141-144. However, the short answer is this. As we saw last time, tongues can take the form of prayer or praise or giving thanks. So, if the gift of interpretation enables us to understand what is being said when someone speaks in tongues, it follows that the interpretation should take the same form as the tongue, whether prayer, or praise, or thanksgiving etc. But what about 'messages' in tongues where the interpretation sounds like a prophecy? Those who take the view that interpretation should take the form of a prophecy base their argument on 14:5 where Paul says: The person who prophesies is greater than the person who speaks in tongues, unless they interpret so that the church may be edified. The argument goes like this. Prophecy edifies the church. Interpretation edifies the church. Therefore, the interpretation of tongues equals prophecy. But there is a logical flaw in this argument. It's like saying, Tea is a drink. Coffee is a drink. Therefore, tea equals coffee! Paul says that both prophecy and interpretation edify the church, but that does not necessarily mean that they do so in the same way. If, for example, interpretation were to take the form of praise, rather than prophecy, wouldn't it edify the church? And who is not edified by the psalms of praise? I have personally been greatly edified by both forms of interpretation. However, other people insist on praise interpretations and base their argument on the NIV translation of 14:2, which reads: For anyone who speaks in a tongue does not speak to men but to God. Indeed, no one understands him… So, it is argued, if the tongue is to God, the interpretation must be to God, in the form of either praise or prayer. However, a more literal translation would be: For the person speaking in a tongue does not speak to men but to God, for no one understands him… (my translation). This makes clear that the reason for saying that speaking in tongues is to God is that no one can understand it. When the disciples spoke in tongues at Pentecost, did it not speak to men? And why was this? Because they understood what was being said. It follows, therefore, that if tongues in church can be understood through the use of the gift of interpretation, it can most certainly speak to us. So in my view both praise and prophecy style interpretations are legitimate manifestations of the gift, and we should accept and encourage both.      ii.            Two or at the most three… The meaning is clear, but what should we do if someone brings a fourth utterance in tongues? Should it be interpreted? Of course, this is unlikely to happen if the church has been taught how spiritual gifts should be operated in our meetings. However, if it does happen, what should we do? My view is that it should be interpreted because this would be more edifying for the church which is the basic principle behind Paul's teaching in this passage. For more detail on this, please see WYCT pp79-80.        iii.            'Let one person interpret' (v27) I said earlier that the Greek in verse 27 is best translated as, Let one person interpret. This in fact reflects how the Authorised Version translates it and, as a result, some churches have taught that, if there are two or three utterances in tongues, the same person should give the interpretation for all of them. This is a valid application of what Paul is saying, but I think it more likely that his intention is to say that each utterance in tongues needs only one person to interpret it. The unruly members of the Corinthian church needed to hear this. C.     Summary 1.     Everything we do in church should be edifying to others. 2.     Tongues edifies you, but it doesn't edify others, unless it's interpreted. 3.     So, the purpose of the gift of interpretation is to edify the church. 4.     Tongues may take the form of prayer or praise or prophecy, so interpretations may take any of these forms. 5.     We should not speak loudly in tongues unless there is an interpreter there. So we need to be sure there's an interpreter there before we speak out loudly in tongues. 6.     If we speak in tongues aloud in church, we should pray for the gift of interpretation, bearing in mind that it's not given to everyone. 7.     If you have the gift of interpretation, you have a responsibility to interpret. 8.     Tongues and interpretation should occur no more than two or three times in each meeting. 9.     Only one person should interpret each message, but it doesn't have to be the same person each time. 10. Since it's so important for tongues in church to be interpreted, we should all wait for the interpretation to be given before doing anything else (like leading in prayer etc.). D.    Questions for discussion 1.     Why do you think we should all wait for the interpretation to be given before doing anything else? 2.     Someone speaks out loud in tongues, but no one else interprets it. You have interpreted tongues in the past, but you don't feel you have the interpretation of this time. What should you do? Hint: See my personal testimony about this, in WYCT pp.81-83 or Body Builders, Ch. 8. 3.     Do we need to alter our group's way of doing things to make way for the operation of gifts like tongues and interpretation (and indeed other gifts of the Spirit)?

In this episode Garth interviews Des Robinson from Tarrant County College in Arlington, TX (with special guest host Nolan White) at NITOP 2026. They discuss Des's career and service, including teaching since 2000 and, more recently, rotating off APA's Committee on Associate and Baccalaureate Education (CABE) after a three-year term as co-chair. They discuss CABE's role in shaping undergraduate psychology education through resources such as Guidelines 3.0, the Intro Psych Initiative, and Project Assessment, and emphasize raising awareness of APA teaching resources. Des describes CABE's recent focus on integrating AI skills into undergraduate education and helping students use AI ethically, aligning with workforce needs and potential updates to the Skillful Psychology Student document. The conversation also highlights NITOP's community, Des's formative experiences, mentorship stories, and early publisher-consulting work. [Note: Portions of the show notes were generated by Descript AI.]

The 2026 ACR Guidelines for Juvenile Idiopathic Arthritis (JIA) are here, and lead author Dr. Karen Onel joins us to unpack the key updates shaping pediatric rheumatology care. From a biologics-first approach in systemic JIA to more individualized treatment pathways for non-systemic disease, the new recommendations emphasize earlier intervention, faster treatment tailoring, and risk-based decision-making. Dr. Onel also discusses the guidelines' broader focus on mental health, physical activity, rehabilitation, and the challenges of growing up with a chronic illness. More than an update to treatment algorithms, these guidelines reflect a fundamental shift in philosophy—one that puts the whole child, not just the diagnosis, at the center of care. 

Episode Summary:In this engaging and informative episode of the Pain Matters Podcast, hosts Sudheer Potru, DO, FASA, FASAM, and Co-Host Zafeer Baber, MD, sit down with renowned chronic pain advocate, Tom Norris. With a four-decade-long journey through the challenges of chronic pain, Tom shares his invaluable insights regarding the newly drafted Acute Low Back Pain Guideline** (drafted by the Pacific Northwest Evidence-based Practice Center at Oregon Health & Science University (OHSU EPC) and the American Academy of Pain Medicine), recently submitted to Pain Medicine Journal and currently under review. His unique perspective underscores the critical need for clear communication and collaboration between clinicians and patients, especially in the context of guideline development and healthcare delivery. Throughout the discussion, the trio delves into practical strategies for managing acute and chronic pain, emphasizing the importance of patient-centered communication, the role of alternative therapies, and the power of support groups. Tom candidly discusses his military background and how it has shaped his ability to advocate effectively for himself and others within the medical community. The episode also explores the significance of understanding non-pharmacologic pain management techniques, such as virtual reality, acupuncture, and Tai Chi, and the need for greater awareness and education on these options. Anchored by Tom's wealth of experience and wisdom, this episode serves as a robust resource for both healthcare providers and patients seeking to enhance their pain management approaches.  Key Takeaways:Patient-Centered Communication: Building trust and understanding between clinicians and patients is crucial in effectively managing pain and implementing guidelines.  Integrative and Alternative Therapies: Non-drug approaches like acupuncture, virtual reality, and Tai Chi can be beneficial in managing pain, but public awareness about these methods is limited.  Support Groups' Role: Connecting with others facing similar pain challenges can provide essential support and insights, offering solace and practical advice.  Empowering Patients: Patients should proactively educate themselves, prepare questions for their providers, and seek various treatment avenues to optimize their care.  Guideline Development Insight: Having patients involved in the creation of medical guidelines ensures that the recommendations are practical and resonate with those they are designed to help. *Views expressed by our guests are their own and do not necessarily reflect those of the hosts, their institutions, or the American Academy of Pain Medicine. **The Pacific Northwest Evidence-based Practice Center (PNW-EPC) at Oregon Health & Science University (OHSU) is partnered with AAPM for the development of an evidence-based clinical practice guideline on the assessment and management of acute low back pain (ALBP). This project was financially supported by the Food and Drug Administration (FDA) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award [FAIN] totaling $1,999,980.00, with 100 percent funded by FDA/HHS. The contents are those of the authors and do not necessarily represent the official views of, nor an endorsement by, FDA, HHS, or the U.S. Government. The funders had no decision-making role in designing and conducting systematic review, data collection, analysis, and interpretation of the data or approval privilege on the recommendation and good practice statements. As requested, the FDA provided nonbinding feedback and technical support to the guideline panel and methodological team. A methodologically rigorous systematic review  on assessment and management of ALBP was conducted by the PNW-EPC to provide evidence for guideline development. An independent, multidisciplinary guideline development used evidence from the systematic review to formulation evidence-based clinical recommendations to the guide assessment and management of ALBP.  

Living each day for God's glory is a challenge. Add to that a spouse that is difficult to live with, to say the least . . . and that challenge gets even tougher. How do you handle situations like that? What help does the Bible give? To support this ministry financially, visit: https://www.oneplace.com/donate/85/29?v=20251111

Breaking Down The Truth Behind the 1999 vs. 2022 Radiation Guidelines In this episode of the Tooth or Dare Podcast, Irene and Victoria tackle one of the most misunderstood topics in dentistry today: radiation protection guidelines and the confusion surrounding lead aprons. You've probably heard the statement: "Lead aprons are no longer required." But what does that actually mean? With the transition from the 1999 radiation protection guidelines to the updated 2022 recommendations, many dental professionals, especially in Ontario, Canada, have been left trying to determine what has changed, what hasn't, and how these recommendations should be applied in clinical practice. Because this conversation isn't about removing protection. It's about understanding protection. In This Episode We Discuss: The key differences between the 1999 and 2022 radiation protection guidelines Why the phrase "not required" is often misunderstood The anatomy of a lead apron: apron vs. thyroid collar When patient shielding may still be appropriate What defines an elective radiograph Why radiographs should only be prescribed when there is a clear indication or risk factor How digital imaging and handheld X-ray devices have changed the landscape The importance of critical thinking when applying updated guidelines Clinical & Real-World Insights How advances in digital radiography have influenced modern safety recommendations Increased specificity in the 2022 guidelines regarding equipment handling, storage, inspection, and damage protocols Real-world examples of responding to equipment alerts and quality concerns The growing emphasis on quality assurance and documentation Why "not required" does not mean "never use" How misinterpretation of guidelines can directly impact patient care Key Takeaway At the end of the day, using protection appropriately based on evidence, clinical judgment, and patient-specific factors. Guidelines evolve, but our clinical judgement and patient needs need to be considered.  The standard of care remains. A simple framework to remember: Assess Risk → Justify Exposure → Optimize Protection Because radiographs are not routine and ought to be prescribed with purpose and reason Resources & References Canadian Resources CDA Position Statement for the Control of X-Radiation in Dentistry https://www.cda-adc.ca/en/about/position_statements/xray/ RCDSO X-Ray Safety Requirements for All Ontario Dentists https://www.rcdso.org/en-ca/standards-guidelines-resources/rcdso-news/articles/1393 Health Canada – Radiation Protection in Dentistry (Safety Code 30, 2022) https://www.canada.ca/en/health-canada/services/environmental-workplace-health/reports-publications/radiation/radiation-protection-dentistry-recommended-safety-procedures-use-dental-equipment-safety-code-30.html Healing Arts Radiation Protection Act (HARP) – Ontario https://www.ontario.ca/laws/statute/90h02 HARP Certification Course (George Brown College) https://coned.georgebrown.ca/courses-and-programs/dental-radiography-harp-approved-certification Federation of Dental Hygiene Regulators of Canada – Scope of Practice https://www.fdhrc.ca/pages/dental-hygiene-in-canada/the-profession/ CDHO Update on Scope of Practice for Dental Hygienists in Ontario https://cdho.org/update-on-scope-of-practice/ International Resources ADA Releases Updated Recommendations to Enhance Radiography Safety in Dentistry https://www.ada.org/about/press-releases/ada-releases-updated-recommendations-to-enhance-radiography-safety-in-dentistry ADA & AAOMR Patient Selection for Dental Radiography and Cone-Beam Computed Tomography https://jada.ada.org/action/showPdf?pii=S0002-8177%2825%2900631-2 AAPD Guidelines for Prescribing Dental Radiographs for Infants, Children, Adolescents, and Individuals with Special Health Care Needs https://www.aapd.org/media/policies_guidelines/bp_radiographs.pdf Standards for Licensing Dental Hygienists and Dental Assistants in Dental Radiography (US) https://codes.findlaw.com/cfr/title-42-public-health/cfr-pt-42-75-app-g/ Additional Resources Toothlife X-Radiation Downloadable Resource https://www.toothlife.ca/products/x-ray-radiation-resource Designs for Vision Loupes https://www.designsforvision.com/DentHtml/HygDes.htm

It is definitely a joy to witness the wedding of two committed Christians . . . and see God bless their lives as they serve Him together. But what if you're not married . . . and don't have a strong desire to find a spouse. Are you somehow missing out on God's best by remaining single? To support this ministry financially, visit: https://www.oneplace.com/donate/85/29?v=20251111

IF YOU ARE A NEW LISTENER, WELCOME! BEGIN HERE: This year we are doing my group coaching course together via this podcast! It's free and it only gets better as the year progresses.  In January we began with God at the center of our day and our home. We worked to build the habit of a morning prayer routine. I highly recommend the rosary. It's only about 20 minutes and you'll meditate on the whole life of Jesus. February is the month of decluttering. Saturday episodes have been added to focus on decluttering in the kitchen. Each month will have a different focus area and the Saturday episodes will help you focus on one small section of that room.  In March we decluttered your wardrobe. In April we are moving into budgeting for food. Our Saturday episodes will still be about decluttering. Our declutter focus area for April is your bedroom. In May we dreamed big! June brings us to one of the most useful topics in my group coaching course…meal planning. Ah, the feel of knowing exactly what's for dinner is the most stress-free feeling in the world! Our declutter focus area for June is Hallways/Landings. Give this first episode of 2026 a listen to hear where to begin: 316. Your 2026 Life Overhaul Plan: Faith, Clutter, Debt, Diet and More!  If you've never prayed a rosary or you want to see how you can incorporate it into active decluttering, here is the first episode of my rosary declutter series from last summer. 288. Summer Declutter Series Week Just getting started on your decluttering journey? Give this episode a listen before you begin: 322. Guidelines to Decluttering ***Are you so overwhelmed with clutter that you find yourself unable to make any decisions? Do you plan on decluttering only to find yourself standing in a room confused about where to start? Are you hoping motivation will strike and you'll get it all done in one weekend? If this sounds like you, let's work together. Book a one hour virtual coaching session via Zoom. Together we craft a decluttering plan and I walk you through the process. You'll complete much of the decluttering on your own time at your own pace. I just give you the roadmap and the accountability. Cost $77 per hour. Virtual Coaching Schedule   Not sure what you need? No problem! Book a complimentary 15 minute clarity call. We'll meet via Zoom and see if working with me would benefit you.  Email me at: tightshipmama@gmail.com to schedule a time.   Looking for community of like-minded women? Join the private Facebook community here: Facebook Group Prefer to receive a weekly email with the monthly freebie like a group rosary, group declutter, or budget Q&As?  Join my mailing list here: Monthly Newsletter   For any other inquiries or guest appearances, please email me at: tightshipmama@gmail.com  

Protein recommendations have changed and not everyone is happy about it. Here's what the new federal protein guidelines actually mean for your health, and why the pushback is missing the point.A recent PBS article argued that doubling the current protein guidelines would push people toward junk food and processed products. But as a cardiologist, Dr. Bret Scher explains why that concern, while understandable, is misplaced. The real issue isn't the target. It's the message around how to hit it.In this discussion, you'll learn:Why the original 0.8g/kg recommendation was never designed for optimal metabolic healthWhat research shows about protein intake in the range of 1.2 to 1.6g/kgHow higher protein supports satiety, body composition, and glucose controlWhy certain groups like teenagers, athletes, and older adults need even moreHow plant vs. animal protein sources differ in bioavailability and practicalityWhy whole food sources like eggs, fish, meat, and legumes are the answer, not protein bars and packaged productsGetting more protein doesn't mean reaching for a bar or a wrapper. It means eating real food that your body knows how to use. The old 0.8g recommendation was designed to prevent decline, not to support metabolic thriving.

Dr. Olga Klinkova, Infectious Diseases clinician at Moffitt Cancer Center and Research Institute, conducts a board review session on Candida Infections targeted towards the medical resident or Infectious Diseases Fellow. Topics discussed include a comparison and contrast of the different Candida species, information on Candida auris, Candidemia, and disseminated (hepatosplenic) candidiasis. Also discussed are novel antifungals used for azole-resistant candidiasis. Guidelines based reference sources are also mentioned.

Explore how artificial intelligence is transforming medical education with insights from Drs. Eric Burnett (Columbia) and Alexander Glaser (Pennsylvania Hospital, UPenn), recorded live at AIMW26. This episode breaks down practical ways educators are using AI- from feedback tools and clinical reasoning support to EHR integration- while tackling real concerns like deskilling, bias, and academic integrity. Walk away with actionable frameworks and strategies to help learners use AI effectively, ethically, and in a way that actually improves their skills.Claim CME for this episode at curbsiders.vcuhealth.org!Website | Instagram | Twitter | Subscribe | Patreon | CME!| Youtube thecurbsidersteach@gmail.comCredits Producer, Show Notes, CME: Molly Heublein MD Script: Mike Cheng MD Infographic/ Cover Art: ChatGPT and Molly Heublein MD Hosts: Mike Cheng MD, Molly Heublein MD    Editor:  Era Kryzhanovskaya MD Guests: Eric Burnett MD, Alexander Glaser MD Technical support: Podpaste Theme Music: MorsyMusic  Show Segments Intro, disclaimer, guest bio Guest one-liner/ Best piece of advice Benefits of AI Risks of AI Institutional Policies and Guidelines around using AI in MedEd Frameworks for Assessing AI Use Practical Considerations and Future Directions How to get started with AI as an Educator Balancing Climate/societal Concerns Outro

The new 2026 AHA/ACC/ADA/ASN Cardiovascular–Kidney–Metabolic (CKM) Guideline reframes chronic disease through a unified lens connecting obesity, diabetes, chronic kidney disease, and cardiovascular disease. Key themes: ✅ CKM staging across the life course ✅ PREVENT risk assessment for personalized care ✅ Early detection of kidney and cardiometabolic risk ✅ Lifestyle and weight management as foundational therapy ✅ Evidence-based use of SGLT2 inhibitors and GLP-1–based therapies ✅ Team-based, patient-centered care A landmark step toward integrated prevention and better long-term outcomes. #Cardiology #Nephrology #Diabetes #Obesity #CKM #PreventiveCardiology #MedicalPodcasts #PrecisionMedicine #HeartFailure #KidneyDisease

Opening Bible Verse Ecclesiastes 1:9 IF YOU ARE A NEW LISTENER, WELCOME! BEGIN HERE: This year we are doing my group coaching course together via this podcast! It's free and it only gets better as the year progresses.  In January we began with God at the center of our day and our home. We worked to build the habit of a morning prayer routine. I highly recommend the rosary. It's only about 20 minutes and you'll meditate on the whole life of Jesus. February is the month of decluttering. Saturday episodes have been added to focus on decluttering in the kitchen. Each month will have a different focus area and the Saturday episodes will help you focus on one small section of that room.  In March we decluttered your wardrobe. In April we are moving into budgeting for food. Our Saturday episodes will still be about decluttering. Our declutter focus area for April is your bedroom. In May we dreamed big! June brings us to one of the most useful topics in my group coaching course…meal planning. Ah, the feel of knowing exactly what's for dinner is the most stress-free feeling in the world! Our declutter focus area for June is Hallways/Landings. Give this first episode of 2026 a listen to hear where to begin: 316. Your 2026 Life Overhaul Plan: Faith, Clutter, Debt, Diet and More!  If you've never prayed a rosary or you want to see how you can incorporate it into active decluttering, here is the first episode of my rosary declutter series from last summer. 288. Summer Declutter Series Week Just getting started on your decluttering journey? Give this episode a listen before you begin: 322. Guidelines to Decluttering ***Are you so overwhelmed with clutter that you find yourself unable to make any decisions? Do you plan on decluttering only to find yourself standing in a room confused about where to start? Are you hoping motivation will strike and you'll get it all done in one weekend? If this sounds like you, let's work together. Book a one hour virtual coaching session via Zoom. Together we craft a decluttering plan and I walk you through the process. You'll complete much of the decluttering on your own time at your own pace. I just give you the roadmap and the accountability. Cost $77 per hour. Virtual Coaching Schedule   Not sure what you need? No problem! Book a complimentary 15 minute clarity call. We'll meet via Zoom and see if working with me would benefit you.  Email me at: tightshipmama@gmail.com to schedule a time.   Looking for community of like-minded women? Join the private Facebook community here: Facebook Group Prefer to receive a weekly email with the monthly freebie like a group rosary, group declutter, or budget Q&As?  Join my mailing list here: Monthly Newsletter   For any other inquiries or guest appearances, please email me at: tightshipmama@gmail.com  

AUA Guidelines: Clinically Localized Prostate Cancer Host: Mark L. Gonzalgo, MD, PhD, MBA Guest: James Eastham, MD, FACS To access the full guideline, please use the following link: https://www.auanet.org/guidelines-and-quality/guidelines/clinically-localized-prostate-cancer

Allergic reactions can vary. Everything from cat fur to avocados can be delightful for some and downright harmful for others. Do you or a member of your family have an allergy? 

The headlines of the day by The Indian Express

AP correspondent Julie Walker reports on a government study showing drinking risks that the Trump administration isn't featuring in new guidelines.

SETI, the Search for Extraterrestrial Intelligence committee, has updated its guidelines for the first time in 16 years on how to manage the communication of first contact with aliens…Joining Seán to discuss is Mike Garrett, Chair of the International Search for Extraterrestrial Intelligence committee.

The analysis of mergers in the EU and UK is adapting to take account of a changed worldwide geo-political and trade context. But what does this mean in practice? Stuart Hudson, co-lead of Brunswick's global regulatory practice, joins Matthew Hall and James Hunsberger to discuss the European Commission's draft new EU Merger Guidelines and changes in the UK. Listen to this episode to learn more about what is in the draft EU guidelines, why the changes have been made, the UK's new approach, a prediction on EU/UK convergence or divergence and the risk of politicisation of merger control. With special guest: Stuart Hudson, co-lead global regulatory practice, Brunswick Group Related Links: Stuart Hudson, "Six types of politicisation", 4 May 2026 European Commission, Draft new EU Merger Guidelines, 30 April 2026 UK Government, Strategic steer to the UK Competition and Markets Authority, 15 May 2025 UK CMA, CMA launches review of its approach to merger efficiencies, 15 January 2026 UK CMA, Merger remedies CMA87, 19 December 2025 Hosted by: Matthew Hall, McGuireWoods and James Hunsberger, Axinn, Veltrop & Harkrider

IF YOU ARE A NEW LISTENER, WELCOME! BEGIN HERE: This year we are doing my group coaching course together via this podcast! It's free and it only gets better as the year progresses.  In January we began with God at the center of our day and our home. We worked to build the habit of a morning prayer routine. I highly recommend the rosary. It's only about 20 minutes and you'll meditate on the whole life of Jesus. February is the month of decluttering. Saturday episodes have been added to focus on decluttering in the kitchen. Each month will have a different focus area and the Saturday episodes will help you focus on one small section of that room.  In March we decluttered your wardrobe. In April we are moving into budgeting for food. Our Saturday episodes will still be about decluttering. Our declutter focus area for April is your bedroom. In May we dreamed big! June brings us to one of the most useful topics in my group coaching course…meal planning. Ah, the feel of knowing exactly what's for dinner is the most stress-free feeling in the world! Our declutter focus area for June is Hallways/Landings. Give this first episode of 2026 a listen to hear where to begin: 316. Your 2026 Life Overhaul Plan: Faith, Clutter, Debt, Diet and More!  If you've never prayed a rosary or you want to see how you can incorporate it into active decluttering, here is the first episode of my rosary declutter series from last summer. 288. Summer Declutter Series Week Just getting started on your decluttering journey? Give this episode a listen before you begin: 322. Guidelines to Decluttering ***Are you so overwhelmed with clutter that you find yourself unable to make any decisions? Do you plan on decluttering only to find yourself standing in a room confused about where to start? Are you hoping motivation will strike and you'll get it all done in one weekend? If this sounds like you, let's work together. Book a one hour virtual coaching session via Zoom. Together we craft a decluttering plan and I walk you through the process. You'll complete much of the decluttering on your own time at your own pace. I just give you the roadmap and the accountability. Cost $77 per hour. Virtual Coaching Schedule   Not sure what you need? No problem! Book a complimentary 15 minute clarity call. We'll meet via Zoom and see if working with me would benefit you.  Email me at: tightshipmama@gmail.com to schedule a time.   Looking for community of like-minded women? Join the private Facebook community here: Facebook Group Prefer to receive a weekly email with the monthly freebie like a group rosary, group declutter, or budget Q&As?  Join my mailing list here: Monthly Newsletter   For any other inquiries or guest appearances, please email me at: tightshipmama@gmail.com  

Drs. Saver and Sanossian discuss ISC 2026 data highlighting neurologists' frequent inaction on markedly uncontrolled hypertension in high‑risk stroke patients and the need for specialists to “own” blood pressure management at every visit. They also review refinements in patent foramen ovale (PFO) risk stratification, including Pascal algorithm-defined “possible” PFO cases, and explore how a “clinical trial effect” may lower stroke risk through greater patient engagement.

A wide variety of styles for a dreamlike but intensifying summer vibe. Donations, Merchandise, Newsletter, more: https://www.podrunner.com Steve Boyett - Groovelectric: Downloadable Soul https://www.groovelectric.com PLAYLIST 01. Kenoa - Swell 02. Almud - Don't Say Her Name (Extended Mix) 03. IGCIO - Sunwalker 04. DJ Ino - Memories 05. Mika D - Tokyo 06. A-Mase, Deep Immersion - Paradise 07. RoelBeat, Anza - Aciliando (Extended Mix) 08. Caeto - Mumbi (Extended Mix) 09. Da Clubbmaster - I'll Be Around (Nu Disco Extended) 10. Gianpiero Xp & Gabry Sangineto - Dancin (Club Mix) 11. BB & Q Band - On the Beat (Bob Shepherd x Da Clubbmaster Re-Edit) 12. Spice Girls - Wannabe (Bob Shepherd X Da Clubbmaster Re-Edit) 13. Warm Siberia - Bahoo == Please support these artists == Podrunner is a registered trademark of Podrunner LLC. Music copyright © or CC the respective artists. All other material ©2006, 2026 by Podrunner LLC. For personal use only. Any unauthorized reproduction, editing, exhibition, sale, rental, exchange, public performance, or broadcast of this audio is prohibited. No part of Podrunner or its website and associated content may be used or reproduced in any manner for the purpose of training artificial intelligence technologies or systems.

In this episode, we review key updates from the 2026 ACC-AHA Guidelines on the Management of Dyslipidemia. Key Concepts The PREVENT ASCVD equation is now recommended to calculate ASCVD risk, with thresholds at 3%, 5%, and 10%. The previous 7.5% threshold for statin treatment is now 5%. In addition to the 10-year ASCVD estimate, clinicians should consider the use of Lp(a), "risk enhancers", and coronary artery calcium (CAC) scans as a "tie breaker" with shared decision-making when the decision to treat is not clear. In addition to LDL goals of < 100, < 70, or < 55 (depending on risk), the new guidelines also suggest non-HDL-C and apoB goals once LDL cholesterol is at goal. Many patients will require non-statin therapies to achieve lipid goals. The recommended non-statin therapies include ezetimibe, PCSK9 mAb, PCSK9-interfering RNA, and bempedoic acid. References Writing Committee Members, Blumenthal RS, Morris PB, et al. 2026 ACC/AHA/AACVPR/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Dyslipidemia: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. 2026;153(17):e1154-e1276. doi:10.1161/CIR.0000000000001423 Wiggins BS, Barac A, Benziger CP, et al. 2026 Dyslipidemia Guideline-at-a-Glance. J Am Coll Cardiol. 2026;87(19):2617-2623. doi:10.1016/j.jacc.2026.02.4872 Superko H, Garrett B. Small Dense LDL: Scientific Background, Clinical Relevance, and Recent Evidence Still a Risk Even with 'Normal' LDL-C Levels. Biomedicines. 2022;10(4):829. Published 2022 Apr 1. doi:10.3390/biomedicines10040829

The following question refers to Section 7.1 of the 2025 ACS Guidelines. The question is asked by Thomas Jefferson medical student and CardioNerds Academy Intern Dr. Grace Qiu, answered first by University of Michigan fellow and CardioNerds FIT Ambassador Dr. Kayla Secrest, and then by expert faculty Dr. Sunil Rao. Dr. Rao is an interventional cardiologist, Professor of Medicine at NYU Grossman School of Medicine, Deputy Director of the Leon H. Charney Division of Cardiology, and the Director of Interventional Cardiology for the NYU Langone Health System. He is the Editor-in-Chief for Circulation Cardiovascular Interventions and was the Chair of the Writing Committee for the 2025 ACS Guidelines. This episode is part of our comprehensive Decipher the Guidelines Series covering the 2025 ACC/AHA/ACEP/NAEMSP/SCAI Guideline for the Management of Patients With Acute Coronary Syndromes. Question #1 A 68-year-old man with a history of hypertension, hyperlipidemia, stage III chronic kidney disease, and prior tobacco use presents to a local emergency department with reports of chest pain while raking leaves at home. Upon arrival, he is hemodynamically stable with a heart rate of 86 beats per minute and a blood pressure of 133/85 mmHg. His EKG reveals ST elevations in the septal and anterior leads (V1-V4). He is given 324mg of aspirin and is promptly evaluated by the interventional cardiology team, who elects to take him emergently to the catheterization lab. Upon arrival to the catheterization lab, the nurse asks the interventional fellow which access sites they should prep for this case? How should the interventional fellow respond? A Right radial artery only B Radial + bilateral femoral C Bilateral femoral only Answer #1 Explanation  The correct answer is B. Radial and bilateral femoral Radial artery access is the preferred vascular access site for coronary angiography and PCI in patients with ACS. Transradial access has been shown to reduce mortality, bleeding, and vascular complications compared with transfemoral access (Class I, LOE A). Radial access also allows earlier ambulation and is associated with greater patient comfort. Although the right radial artery is the most widely studied upper-extremity access site, alternative sites such as the ulnar and distal radial arteries have demonstrated similar outcomes. However, the radial artery may be required as a bypass conduit for CABG. In institutions where the radial artery is routinely used for surgical grafting, this potential future use should be considered when selecting vascular access. In addition, transfemoral access—preferably performed with ultrasound guidance—should be considered in patients in whom temporary mechanical circulatory support (MCS) is anticipated or in those for whom radial access is not feasible due to anatomical or technical constraints. Prepping bilateral groins in addition to the radial artery provides a backup strategy for urgent MCS placement or for transition to femoral access should radial access fail. For these reasons, prepping both the radial artery and bilateral groins is the most appropriate response. Radial-only preparation is incorrect because, although radial access is preferred, patients with STEMI may still require emergent MCS or alternative access if the radial artery is unsuitable. Preparing only the wrist without backup femoral access may delay care should hemodynamic instability occur. Femoral-only preparation is incorrect because transradial access provides superior outcomes in ACS, including significant reductions in all-cause mortality, major bleeding, and vascular complications. RCTs and meta-analyses, including MATRIX (which showed lower MACE and net adverse clinical events with radial access) and SAFARI-STEMI (which showed no difference in mortality but was underpowered)—support radial as first-line access when feasible. Main Takeaway For patients with ACS undergoing PCI, radial access is strongly preferred to reduce mortality, bleeding, and vascular complications. Guideline Loc. Section 7.1  

For decades, we've been told to avoid saturated fat. But what if one specific saturated fat is actually essential for healthy aging? In this episode of the ReThink Health Podcast, Dr. Stephanie Venn-Watson and I discuss a groundbreaking discovery that could completely reshape how we think about fat, aging, and metabolic health. While studying aging Navy dolphins, Dr. Venn-Watson and her team uncovered something unexpected… The healthiest, longest-living dolphins consistently had higher levels of a little-known fatty acid called C15:0 (pentadecanoic acid). And researchers now believe C15 may qualify as the first newly discovered essential fatty acid in over 90 years since omega-3s were identified.   In this fascinating conversation, Dr. Venn-Watson explains how decades of low-fat dietary recommendations may have unintentionally lowered our intake of this critical nutrient. Plus, we cover what that could mean for rising rates of insulin resistance, fatty liver disease, accelerated aging, and metabolic dysfunction.   You'll learn:   What C15 actually is and why scientists are calling it a potential essential fatty acid How dolphin research unexpectedly unlocked new insights into human aging and metabolic health The surprising connection between low C15 levels, fragile red blood cells, iron overload, and accelerated aging Why higher C15 levels are associated with lower risks of type 2 diabetes and cardiovascular disease How modern low-fat dietary trends may have contributed to widespread C15 deficiency Which foods naturally contain higher amounts of C15 The connection between C15, metabolic health, inflammation, liver health, and biological aging What RDW (red blood cell distribution width) may reveal about aging and cellular health If you've ever wondered whether all saturated fats deserve their bad reputation… or why rates of metabolic disease seem to be skyrocketing despite decades of low-fat advice… this episode has the answers!   VALUABLE RESOURCES Paleovalley Omega-3 Complex >>> Support brain health, inflammation balance, and cellular functioning with clean, highly bioavailable omega-3s. Save up to 20% today on Paleovalley Omega-3 Complex. BIO Dr. Stephanie Venn-Watson is a veterinary epidemiologist, longevity researcher, and CEO of Seraphina Therapeutics.   While working with the U.S. Navy-trained aging dolphin population, she discovered groundbreaking links between the fatty acid C15 and healthy aging, metabolic health, and cellular resilience. Her research has contributed to a rapidly growing body of evidence suggesting C15 may be an essential fatty acid with important implications for human health and longevity.   Dr. Venn-Watson has authored more than 80 peer-reviewed scientific papers and is leading ongoing research into the role of C15 in metabolic function, inflammation, liver health, cardiovascular disease, and aging. THANKS FOR LISTENING!   Thanks so much for joining us this week! Have feedback or a question? Email us at support@paleovalley.com. We'd love to hear from you!   If you enjoyed this episode, please share it with someone who might benefit from the information. Following the ReThink Health Podcast on YouTube, Spotify, or iTunes helps us reach more people who need to hear this and keeps you updated on new episodes. Likes, subscribes, ratings, and reviews are incredibly helpful and deeply appreciated… we read every single one! Let's spread this knowledge and help others together. See you next time!  Click below to follow on YouTube, Spotify or iTunes:

Join us as we review recent articles and news featured in The DIGEST, including updated lipid guidelines, GLP1 agonists holds and procedures, the newest drug in pancreatic cancer, and discontinuing thyroid supplementation. Fill your brain hole with a delicious stack of hotcakes! Featuring Drs. Nora Taranto (@norataranto), Laura Glick (@lauraglick) and Matt Watto (@doctorwatto).Claim free CME for this episode at curbsiders.vcuhealth.org!Episodes | Subscribe | Spotify | Swag! |Mailing List | Contact | CME!Credits Written and Hosted by: Nora Taranto MD MSCE, Laura Glick MD,  Matthew Watto MD, FACP Cover Art:  Nora Taranto MD MSCE Reviewers: Emi Okamoto MD  Technical Production: Pod Paste Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Show Segments Intro and pun   Lipid Management Guidelines Overview  Emerging Treatments in Oncology  Press Release on a new KRAS Inhibitor for Pancreatic Cancer  Perioperative Considerations for GLP-1 Use  Deprescribing Levothyroxine in Older Adults Sponsor: Panacea FinancialIf you're about to make the leap into  residency and feeling the financial pressure of that transition, visit  PanaceaFinancial.com/curbsiders today. Sponsor: UpToDatefor a limited time, get 10% off UpToDate packages with code CURB10. Visit store.uptodate.com to save on your annual or longer personal UpToDate subscription today.