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Aujourd'hui je vous propose un épisode avec Sophie Igras, plus connue sous le nom @LeVoyageInterieur. Sophie est décoratrice d'intérieur et elle propose notamment des coachings déco, que ce soit à Lyon où elle habite ou en consultation à distance, pour donner des solutions pratiques et des conseils déco à tous ceux qui se posent des questions pour aménager leur intérieur… et nous sommes nombreux !Alors comme d'habitude dans DING DONG ce sont 10 questions. Et on va balayer un peu toutes les pièces de la maison.1) Entrée - Comment avoir une entrée accueillante ?2) Cuisine – Est-ce qu'on peut éviter les meubles hauts dans un petit espace ?3) Salon - Où trouver une jolie table basse en 2024 ?4) Comment se créer un style / une ambiance ?5) Salle à manger – La banquette on ose ou pas ? Ça apporte quoi ? On la fait comment ?6) Chambre - Comment se créer une chambre comme à l'hôtel ?7) Chambre enfant – Quelles marques de papiers peints sympas ?8) Salle de bains - Quelle solution pour le linge sale ?9) Comment avoir une jolie salle de bains contemporaine ?10) Bientôt le printemps, comment sortir de l'hiver sans tout changer ?BONNE ÉCOUTE ! Si ce podcast vous plait n'hésitez pas > à vous abonner pour ne pas rater les prochains épisodes> à mettre un commentaire ou 5 étoiles (sous la liste des épisodes, rubrique "Laissez un avis")> à suivre @decodeur__ sur Instagram et à partager l'épisode en Story par exemple > à découvrir les 100 épisodes déjà en ligne et les différents formats de l'émission> à parler de DECODEUR autour de vous, tout simplement...! Merci beaucoup
In this podcast episode, host Ole Olesen-Bagneux sits down with Pierre-Charles Igras, the visionary behind the Data Literacy Institute and a leading Chief Data Officer in the energy sector. Pierre-Charles shares with us his background, from network engineering to leading data transformation programs within multinational corporations, and talks about his mission to democratize data understanding through the foundation of the Data Literacy Institute.Throughout the conversation, Pierre-Charles outlines the pivotal shifts in his career that led him from the technical trenches of data management to the strategic forefront of data governance. He elaborates on the inception of the Data Literacy Institute, a platform designed to empower individuals and organizations with the essential skills to navigate the data-driven world, offering courses in both English and French.The discussion also focuses on the challenges and successes of implementing data catalogs and governance frameworks in large-scale enterprises, highlighting Pierre-Charles' unique insights into auditing, reporting, and ensuring data privacy and security. His experiences reveal the critical role of data catalogs in regulatory compliance, data protection, and fostering a culture of data literacy within organizations.
On episode #21 of the Infectious Disease Puscast, Daniel and Sara review the infectious disease literature for the previous two weeks, 1/18/23 – 2/1/23. Hosts: Daniel Griffin and Sara Dong Subscribe (free): Apple Podcasts, Google Podcasts, RSS, email Become a patron of Puscast! Links for this episode The impact of cold temperature in the pattern of influenza virus infection (OFID) Janssen to discontinue Phase 3 Mosaico HIV vaccine clinical trial (JNJ) Randomized trial of vaccines for Zaire Ebola virus disease (NEJM) PD-1 blockade and lenalidomide combination therapy for Epstein-Barr virus infection (CMI) Outcomes of Daptomycin plus Ceftaroline vs alternative therapy for persistent MRSA bacteremia (IJAA) Detection of a novel strain of multidrug-non-susceptible Neisseria gonorrhoeae (The Lancet) Impact of a device to reduce blood culture contamination and false-positive central-line bloodstream infections (ICHE) Addition of anaerobic coverage for treatment of biliary tract infections (JAC) High dose Cefepime vs Carbapenems for bacteremia caused by Enterobacterales(OFID) Assessing the diagnostic performance of IGRAs for Mycobacterium tuberculosis (CID) Infective endocarditis after transcatheter aortic valve replacement (JACC) Discordant clinical and microbiological outcomes are associated with late clinical relapse in clinical trials for complicated UTIs (CID) Real-world use of bezlotoxumab and fecal microbiota transplantation for the treatment of Cdiff (OFID) Blastomycosis in New England (OFID) Management of invasive candidiasis in hematopoietic cell transplant recipients (TCT) Short course of Antifungal therapy in patients with uncomplicated Candida Bloodstream infection (OFID) Parasites and childhood stunting (Cell) Comparing complication rates of midline catheter vs. PICC line (OFID) Novel prion strain as the cause of chronic wasting disease in a moose (EID) Agreement of respiratory viruses' detection between nasopharyngeal swab and bronchoalveolar lavage in adults with pneumonia (CMI) Music is by Ronald Jenkees
- Flet ma pewną specyfikę brzmienia, które jest wirtuozowskie, a jednocześnie bardzo ciepłe, głębokie i piękne. W tych utworach każdy znajdzie coś dla siebie - mówiła w Dwójce flecistka Agata Igras, która razem z pianistą Rafałem Mokrzyckim wystąpi w najbliższej "Miejscówce z Dwójką" w sobotę 17 grudnia.
Episode 87: Latent TB Infection. By Mariana Gomez, MD (Romulo Gallegos University School of Medicine, Carillion Clinic Infectious Disease), and Hector Arreaza, MD (Romulo Gallegos University School of Medicine, Rio Bravo Family Medicine Residency Program). Dr. Gomez explains how to screen for and treat Latent TB infection. Today is March 18, 2022.Dr. Mariana Gomez graduated from medical school at the Romulo Gallegos University in Venezuela. She completed her residency in Internal Medicine in St Barnabas Hospital, which is affiliated with the Albert Einstein School of Medicine, Bronx, New York. She then completed a fellowship in Infectious Diseases at Carilion Clinic, which is affiliated with Virginia Tech School of Medicine. She currently works in Virginia, United States. This is Rio Bravo qWeek, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California. Our program is affiliated with UCLA, and it's sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. Some questions discussed during this episode: Who should be screened for latent TB infection? A CDC questionnaire can determine the risk for latent TB infection. Some patients who may be screened are those who resided for 1 month in a country with high TB prevalence, those who are currently immunosuppressed or planning immunosuppression in the near future (50 mg of prednisone or equivalent a day for 1 month), and those who had close contact with patients with TB infection (Latent Tuberculosis Infection: A Guide for Primary Health Care Providers (cdc.gov)). The USPSTF recommends screening for latent tuberculosis infection (LTBI) in populations at increased risk.Screening Tests: Currently, there are two types of screening tests for LTBI in the United States: the tuberculin skin test (TST, also known as PPD) and the Interferon Gamma Release Assay (IGRA, brand names QuantiFERON®-TB and T-SPOT®.TB). The TST requires intradermal placement of purified protein derivative and interpretation of response 48 to 72 hours later. The induration is measured in millimeters. The induration is the palpable, raised, hardened area or swelling, not the erythema.IGRA requires a single venous blood sample, and the result is obtained in 1-2 days. Two types of IGRAs are currently approved by the US Food and Drug Administration: T-SPOT.TB (Oxford Immunotec Global) and QuantiFERON-TB Gold In-Tube (Qiagen). The CDC recommends screening with either test (TST or IGRA) but not both. IGRAs is preferred for patients who received a BCG vaccine (bacille Calmette–Guérin) or if they are unlikely to return for TST interpretation.Why should we screen for LTBI? How can we decide between Questionnaire only vs PPD vs QuantiFERON Gold? What is the next step in assessing asymptomatic individuals with positive PPD?A useful resource is the online TST/IGRA Interpreter (tstin3d.com). You can calculate the risk of latent TB infection and the risk of INH-induced hepatitis. How can we decide to treat LTBI? What are the recommended regimens? CDC recommends three preferred regimens. These are chosen for effectiveness, safety, and high treatment completion rates. These regimens are rifamycin-based. They are:INH+rifapentine for 3 months: once-weekly isoniazid plus rifapentine for adults and children older than age 2, regardless of HIV status.Rifampin for 4 months: daily rifampin.INH+rifampin for 3 months: daily isoniazid plus rifampin. ____________________________Now we conclude our episode number 86 “Latent TB Infection.” Dr. Gomez taught us how to screen and treat latent TB infections. Remember to screen only those who are at risk of TB infection. Once you get a positive screen test, select the patients who will receive treatment of LTBI to prevent reactivation of TB infection. You have at least 4 regimens to treat LTBI. The regimens that include rifamycin are recommended by the CDC. Even without trying, every night you go to bed being a little wiser.Thanks for listening to Rio Bravo qWeek. If you have any feedback about this podcast, contact us by email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. This podcast was created for educational purposes only. Visit your primary care physician for additional medical advice. This week we thank Hector Arreaza and Mariana Gomez. Audio edition: Suraj Amrutia. See you next week! _____________________References: Latent Tuberculosis Infection: Screening, September 06, 2016, United States Preventive Services Taskforce, uspreventiveservicestaskforce.org. https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/latent-tuberculosis-infection-screening. Lewinsohn, David M., et al, Official American Thoracic Society/Infectious Diseases Society of America/Centers for Disease Control and Prevention Clinical Practice Guidelines: Diagnosis of Tuberculosis in Adults and Children. Clinical Infectious Diseases, 2017;64(2):e1–e33, Infection Diseases Society of America, https://www.idsociety.org/globalassets/idsa/practice-guidelines/official-american-thoracic-society.infectious-diseases-society-of-america.centers-for-disease-control-and-prevention-clinical-practice-guidelines-diagnosis-of-tuberculosis-in-adults-and-children.pdf. Sterling TR, Njie G, Zenner D, et al. Guidelines for the Treatment of Latent Tuberculosis Infection: Recommendations from the National Tuberculosis Controllers Association and CDC, 2020. MMWR Recomm Rep 2020;69(No. RR-1):1–11. DOI: http://dx.doi.org/10.15585/mmwr.rr6901a1. The Online TST/IGRA Interpreter, McGill University and McGill University Health Center Montreal Quebec, Canada, http://tstin3d.com/.
Trying to read up on Latent TB but the thought of wading through complicated literature about a dormant bug makes you wish you were, well, dormant? Your ears are in the right place!A comprehensive Interview on everything you need to know about Latent TB with the mystical TB Guru of South London, Dr Ronan Breen!0200 : Introductions0300: Why Robber rob banks0415: What is Latent TB (LTB)?0600: LTB prevalence and who we should test1145: IGRAs and our immune response1230: Healthcare staff risk1730: The patients choice2110: Testing, Mantoux - pros and cons2645: Progression to TB3110: Excluding active TB3930: Options for Tx4430: CDC direction4650: S/Es to watch for5620: Future of LTB5945: Take HomesLiterature:NICE TB 2016 (updated 2019)Risk of untreated LTB, BMJCDC treatment regimesWHO on LTB
- Vi musiker i Warsawas ackordeonkvintett har ett nära musikaliskt förhållande. Vi har gemensam andning under konserterna. I Warsawa möter vi ackordonisten Magda Igras, som medverkade i den polska Warsawas ackordeonkvintett från 1999 til 2009. Ensemblen vill visa att ackordeon inte enbart är ett instrument för folkmusik. Deras repertoar har mest bestått av Bach, Mozart, Mendelssohn, Stravinskij och Musorgskij. Men på senare tid ägnar kvartetten mycket tid åt att studera in nutida musik, bl a Partita, av den ryske tonsättaren Vladislav Zolotaryev, som 1975, vid 33 års ålder, tog sitt liv i Sovjetunionen. De spelar även Duke Ellington och Ástor Piazzolla. -I nutida musik måste du ägna mycket tid åt de små detaljerna, förklarar Magda Igras. Ungefär som med Mozart. Hans musik verkar enkel men kräver stor precision och excellent teknik. Jag lyssnar på en repetition. Musikerna sitter tillsammans i en halvmåneformad konstellation. Längst till vänster Maciej Kandefer, som är förste ackordeonist, därefter Jaroslaw Kutera, Magda Igras, Miroslaw Mozol och slutligen Tomasz Holizna som är Magdas äkta make. Han spelar basackordeon, en ensembleroll vilken kan jämföras med en cellists eller basspelares. Tomasz Holiznas uppgift är att hålla rytmen, och han använder förstärkare för att kunna höras av de andra musikerna, vilka alla spelar unplugged. - Vi fem musiker i Warsawas ackordeonkvintett har ett så nära musikaliskt förhållande att vi har gemensam andning under konserterna, berättar Magda Igras. Det var hennes morfar som uppmuntrade henne att spela. Därför har hon en mycket emotionell relation till sitt ackordeon. Det var hans egen dröm, men en fattig uppväxt på en bondgård i Polen gjorde det omöjligt för honom. Från början spelade hon med klaviatur i vänsterhanden men hon övergick till att ha knappmanualer i båda händerna. -Jag är kvinna säger hon, och har därför mindre händer. Att spela med knappar underlättar min teknik. -Skaffa ett damackordeon, föreslår jag! -Javisst borde man ta hänsyn till detta när man gör instrumenten, skrattar hon. Det finns förresten redan ett. En småväxt kollega i Australien har låtit tillverka ett instrument som passar henne, berättar Magda Igras. Ackordeonkvinettt är den vanligaste formen av ensemble för instrumentet. Man kan jämställa med en stråkkvartett eller stråkkvintett. Förste ackordeonisten kan jämföras med försteviolinisten och så vidare. I Warsawas ackordeonkvintett fungerar dock musikerna jämlikt. Ingen har ledarrollen. Alla är lika viktiga. Låtlista: Partita - Presto Vladislav Zolotaryev (Vladislav Solotariov) Warzsawas Ackordeonkvintett CD-titel: Classical DUX 0460 Poland Ouverture from "Le Nozze di Figaro" KV 492 W A Mozart Warzsawas Ackordeonkvintett CD-titel: Classical DUX 0460 Poland Caravane Duke Ellington Warzsawas Ackordeonkvintett Privat inspelning Hungarian dances XVII c. Ferenc Farkas Warzsawas Ackordeonkvintett Privat inspelning. Libertango Astor Piazzolla Warzsawas Ackordeonkvintett Privat inspelning Rondo Capriccioso, Op.14 Felix Mendelssohn-Bartholdy Warzsawas Ackordeonkvintett CD-titel: Classical DUX 0460 Poland
Hur kan vi bli bättre på att bry oss om varandra? Samtal mellan socialpsykologen Torun Lindholm, läkaren Stefan Einhorn och journalisten Eva-Lotta Hultén. Programledare: Lars Mogensen. Psykoanalytikern Ludvig Igra (1945-2003) påstod i sin bok Den tunna hinnan mellan omsorg och grymhet (2001) att grymhet under vissa samhälleliga omständigheter kan utvecklas av praktiskt taget vem som helst. En av fientlighetens vanligaste former, skrev Igra vidare, är likgiltigheten. Med utgångspunkt i Igras tankar samtalar journalisten Eva-Lotta Hultén, som själv skrivit boken Resan från mörkrets hjärta - om ondskans och godhetens mekanismer, läkaren Stefan Einhorn (Konsten att vara snäll, Medmänniskor, De nya dödssynderna) och professorn i socialpsykologi Torun Lindholm med programledaren Lars Mogensen. Producent: Thomas Lunderquist.
This video discusses diagnosing Latent Tuberculosis Infection (LTBI). It compares TB infection and TB disease, discusses testing methods, including IGRAs, and special circumstances and medical evaluation.
This video discusses diagnosing Latent Tuberculosis Infection (LTBI). It compares TB infection and TB disease, discusses testing methods, including IGRAs, and special circumstances and medical evaluation.
Background: A new generation of diagnostic tests, the interferon-gamma release assays (IGRAs), have been developed for the detection of latent tuberculosis infection (LTBI). Limited data are available on their use in HIV-infected persons. Methods: A cross-sectional study was carried out at 2 HIV clinics in Atlanta to assess the utility of two IGRA tests (T-SPOT. TB [TSPOT] and QuantiFERON-TB Gold in Tube [QFT-3G]) compared to the tuberculin skin test (TST). Results: 336 HIV-infected persons were enrolled. Median CD4 count was 335 cells/mu l and median HIV viral load was 400 copies/ml. Overall, 27 patients (8.0%) had at least 1 positive diagnostic test for LTBI: 7 (2.1%) had a positive TST; 9 (2.7%) a positive QFT-3G; and 14 (4.2%) a positive TSPOT. Agreement between the 3 diagnostic tests was poor: TST and TSPOT, [kappa = 0.16, 95% CI (-0.06, 0.39)], TST and QFT-3G [kappa = 0.23, 95% CI (-0.05, 0.51)], QFT-3G and TSPOT [kappa = 0.06, 95% CI (-0.1, 0.2)]. An indeterminate test result occurred among 6 (1.8%) of QFT-3G and 47 (14%) of TSPOT tests. In multivariate analysis, patients with a CD4 = 200 cells/mu l were significantly more likely to have an indeterminate result [ OR = 3.6, 95% CI (1.9, 6.8)]. Conclusion: We found a low prevalence of LTBI and poor concordance between all 3 diagnostic tests. Indeterminate test results were more likely at CD4 counts