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Indications of self imposed restriction.
In this episode, Alay and Gary discuss: Indications to start a firm. Tips for launching and growing your firm. Building […]
This episode covers: Cardiology This Week: A concise summary of recent studies Current indications for pulmonary vein isolation Conduction system pacing EHRA 2025 scientific highlights Host: Susanna Price Guests: Haran Burri, Isabel Deisenhofer, Helmut Puererfellner, Emma Svennberg Want to watch that episode? Go to: https://esc365.escardio.org/event/1803 Disclaimer ESC TV Today is supported by Bristol Myers Squibb and Novartis. This scientific content and opinions expressed in the programme have not been influenced in any way by its sponsors. This programme is intended for health care professionals only and is to be used for educational purposes. The European Society of Cardiology (ESC) does not aim to promote medicinal products nor devices. Any views or opinions expressed are the presenters' own and do not reflect the views of the ESC. Declarations of interests Stephan Achenbach, Nicolle Kraenkel and Susanna Price have declared to have no potential conflicts of interest to report. Carlos Aguiar has declared to have potential conflicts of interest to report: personal fees for consultancy and/or speaker fees from Abbott, AbbVie, Alnylam, Amgen, AstraZeneca, Bayer, BiAL, Boehringer-Ingelheim, Daiichi-Sankyo, Ferrer, Gilead, GSK, Lilly, Novartis, Pfizer, Sanofi, Servier, Takeda, Tecnimede. Haran Burri has declared to have potential conflicts of interest to report: institutional research and fellowship support or speaker honoraria from Abbott, Biotronik, Boston Scientific, Medtronic, Microport. Davide Capodanno has declared to have potential conflicts of interest to report: Bristol Myers Squibb, Daiichi Sankyo, Sanofi Aventis, Novo Nordisk, Terumo. Isabel Deisenhofer has declared to have potential conflicts of interest to report: speaker honoraria and travel grants from Abbott Medical, Biosense-Webster, Boston Scientific, BMS, Volta Medical, and research grant (for the institution) from Abbott Medical and Daiichi Sankyo. Steffen Petersen has declared to have potential conflicts of interest to report: consultancy for Circle Cardiovascular Imaging Inc. Calgary, Alberta, Canada. Helmut Puererfellner has declared to have potential conflicts of interest to report: speaker fees, honoraria, consultancy, advisory board fees, investigator, committee member, etc., including travel funding related to these activities for the following companies: Abbott, Biotronik, Biosense Webster, Boston Scientific, Daiichi Sankyo, Medtronic. Emma Svennberg has declared to have potential conflicts of interest to report: Abbott, Astra Zeneca, Bayer, Bristol-Myers, Squibb-Pfizer, Johnson & Johnson.
Patients with a narrow complex tachycardia with a rate over 150 BPM are in SVT.Unstable patients in SVT, or V-Tach with a pulse, should be cardioverted with a synchronized shock. Assessment & treatment of stable tachycardic patients.Commonly used vagal techniques.A less common technique to stimulate the vagus nerve is the dive reflex. Indications and use of Adenosine for stable patients in SVT refractory to vagal maneuvers.Possible treatments for patients found to be in A-Fib or A-Flutter with RVR after administration of Adenosine. Carotid sinus massage.Additional medical podcasts that have episodes on tachycardia can be found on the pod resources page at passacls.com. Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Safe Meds VIP - Learn about medication safety and download a free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn
Negro tú, negro yo, negros… Todos somos africanos de infancia original. La música que cambió el mundo desde la aflicción al gozo, al baile, a la fiesta… ¡Por fin es viernes, sí! Y escuchamos y bailamos. Novedades de Cerrone, Lizzo, Joy Crookes, Durand Jones & The Indications, Coco Jones. Y seguimos preparándonos para las visitas de Maxwel y de Kool & The Gang y para el 75º cumpleaños el 13 de mayo de DISCO 1 MAXWELL Arroz con polloDISCO 2 CERRONE Give Me Love (Symphonic Version)DISCO 3 LIZZO Still BadDISCO 4 KOOL & THE GANG Straight AheadDISCO 5 STEVIE WONDER Black ManDISCO 6 YOUNG GUN SILVER FOX Stevie & Sly (THE DELINES)DISCO 7 JOY CROOKES ft KANO MathematicsDISCO 8 THE EXCITEMENTS Hard TimesDISCO 9 JEAN CARN Bet Your Lucky Star (PRIMAVERA 65)DISCO 10 DURAND JONES & THE INDICATIONS Been So Long (ft. Aaron Frazer)DISCO 11 MAXWELL I’m You, You Are Me, We Are YouDISCO 12 COCO JONES TasteDISCO 13 RIO 18 O Minha Querida Ft. Moreno Veloso, Domenico Lancelotti & KassinEscuchar audio
Indications of restrictions being removed and flourishing in an emotional sense.
Adenosine is the first IV medication given to stable patients with sustained supraventricular tachycardia (SVT) refractory to vagal maneuvers. Symptoms indicating a stable vs unstable patient. Common causes of tachycardia. Cardiac effects of Adenosine. Indications for use in the ACLS Tachycardia algorithm.Considerations and contraindications. Adenosine as a diagnostic for patients in A-Fib or A-Flutter with RVR.Dosing and administration.Other podcasts that cover common ACLS antiarrhythmics in more detail and another covering Brugata Criteria used to differentiate V-Tach from SVT with an aberrancy, can be found on the Pod Resources page at passacls.com.Connect with me:Website: https://passacls.com@Pass-ACLS-Podcast on LinkedInOther Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Save money on prescription medications for you and your pets: https://nationaldrugcard.com/ndc3506*Commissions may be earned from the above links.Good luck with your ACLS class!
A distancia del mundo ruidoso y conflictivo, muy lejos de la Casa Blanca en Washington, más bien en Chicago, rendimos este tributo a la música “house” clásica y la original y también actual. En 1978… Richie Havens y Odyssey. En los 80… Jocelyn Brown o Juliet Roberts o en los 90 con Black Box, Ultra Naté, Janet Jackson… Y ahora el productor y Dj Felix Jaehn rescata la voz eterna de Whitney Houston para obsequiarnos un pepinazo asalta pistas de dance. ¿Fue tan pionero Bebu Silvetti cuando grabó en España “Lluvia de Primavera (Spring Rain)”? Gracias especiales a Rubén De Felipe por la inspiración. DISCO 1 BEBU SILVETTI Spring Rain (ESCA) Juan Fernando Silvetti Adorno DISCO 2 FELIX JAEHN X WHITNEY HOUSTON It's Not Right But It's Okay (ESCA) DISCO 3 BOBBY BROWN Two Can Play That Game (ESCA) DISCO 4 RICHIE HAVENS Going Back To My Roots (ESCA) DISCO 5 I TO I The Right Time (FOUR WEDDINGS AND A FUNERAL) (ESCA) DISCO 6 TODD TERRY MARTHA WASH JOCELYN BROWN Keep On Jumpin’ (ESCA) DISCO 7 BLACK BOX Everybody Everybody (ESCA) DISCO 8 JULIET ROBERTS Caught In The. Middle Caught In The Middle (David Morales Def Classic Radio Mix) (ESCA) DISCO 9 CATHY DENIS Touch Me (All Night Long) (ESCA) 1990 MOVE TO THIS DISCO 10 LUTHER VANDROSS & JANET JACKSON The Best Things In Life Are Free (K KLASS ’79 ) (ESCA) DISCO 11 DURAND JONES & THE INDICATIONS Been So Long (ft. Aaron Frazer) (ESCA) DISCO 12 ULTRA NATÉ MOOD II SWING Free (Mood II Swing Radio Edit (ESCA) DISCO 13 INCOGNITO Alwayys There (ESCA)Escuchar audio
Met ditmaal: My Morning Jacket, Bob Mould, Bambara, Throwing Muses, Moreish Idols, Dawn Brothers, Japanese Breakfast, The Chills, Lonnie Holley, Camper Van Beethoven, Sunny War, Caroline, Alan Sparhawk, Durand Jones & The Indications, , plus een exclusieve instore van Armand & The Kik. Concerto Radio, aflevering 589 (28 maart 2025): My Morning Jacket, Die For […]
Dr. Neal Kassell, Founder and Chairman of the Focused Ultrasound Foundation, is working to raise awareness and drive the utilization of focused ultrasound to treat a wide range of medical conditions. This non-invasive technology uses medical imaging to precisely target and treat tissue deep in the body. Focused ultrasound has multiple mechanisms of action and can be used for destroying tumors, modulating neural activity, delivering drugs, and stimulating the immune system. Neal explains, "So focused ultrasound is a new, totally non-invasive therapeutic technology, and it's the intersection of medical imaging, which is either ultrasound or MR imaging, which is used to identify the portion of the body that we want to treat to plan the treatment, and then to guide the treatment. Then, the focused ultrasound technology delivers the energy that treats the tissue. The way it works is analogous to using a magnifying glass to focus beams of light and burn a hole in a leaf." "But at that focal point where all the beams converge, we now understand 30 ways ultrasound can affect tissue. That's in contrast to, for instance, radiation therapy, which is only one mechanism of action. Or a surgical robot, which is one mechanism of action. Focused Ultrasound has at least 30 mechanisms of action, including destroying tissue at that focal point by a variety of mechanisms, stimulating or blocking neural activity in the brain called neuromodulation, and delivering drugs or other therapeutic agents precisely to a point in the body where they are needed. This increases both the effectiveness and decreases the systemic side effects, stimulates the body's immune response to tumor, and to the effectiveness of cancer immunotherapy agents." "The point in the body where the ultrasound is targeted is, as I said, previously guided and controlled by medical imaging, either ultrasound or MR imaging. Now, the fact that there are so many different mechanisms of action creates the opportunity to treat a wide variety of medical disorders. Today, around the world, there are more than 180 clinical indications or diseases in various stages of research and development in commercialization. Ten years ago or so, there were only three. That's how rapidly the field is growing." #FocusedUltrasoundFoundation #FUSFoundation #FocusedUltrasound #Glioblastoma #ClinicalTrials #NeuroOncology #Innovation #Healthcare #MedTech #Oncology #Neurology fusfoundation.org Download the transcript here
Dr. Neal Kassell, Founder and Chairman of the Focused Ultrasound Foundation, is working to raise awareness and drive the utilization of focused ultrasound to treat a wide range of medical conditions. This non-invasive technology uses medical imaging to precisely target and treat tissue deep in the body. Focused ultrasound has multiple mechanisms of action and can be used for destroying tumors, modulating neural activity, delivering drugs, and stimulating the immune system. Neal explains, "So focused ultrasound is a new, totally non-invasive therapeutic technology, and it's the intersection of medical imaging, which is either ultrasound or MR imaging, which is used to identify the portion of the body that we want to treat to plan the treatment, and then to guide the treatment. Then, the focused ultrasound technology delivers the energy that treats the tissue. The way it works is analogous to using a magnifying glass to focus beams of light and burn a hole in a leaf." "But at that focal point where all the beams converge, we now understand 30 ways ultrasound can affect tissue. That's in contrast to, for instance, radiation therapy, which is only one mechanism of action. Or a surgical robot, which is one mechanism of action. Focused Ultrasound has at least 30 mechanisms of action, including destroying tissue at that focal point by a variety of mechanisms, stimulating or blocking neural activity in the brain called neuromodulation, and delivering drugs or other therapeutic agents precisely to a point in the body where they are needed. This increases both the effectiveness and decreases the systemic side effects, stimulates the body's immune response to tumor, and to the effectiveness of cancer immunotherapy agents." "The point in the body where the ultrasound is targeted is, as I said, previously guided and controlled by medical imaging, either ultrasound or MR imaging. Now, the fact that there are so many different mechanisms of action creates the opportunity to treat a wide variety of medical disorders. Today, around the world, there are more than 180 clinical indications or diseases in various stages of research and development in commercialization. Ten years ago or so, there were only three. That's how rapidly the field is growing." #FocusedUltrasoundFoundation #FUSFoundation #FocusedUltrasound #Glioblastoma #ClinicalTrials #NeuroOncology #Innovation #Healthcare #MedTech #Oncology #Neurology fusfoundation.org Listen to the podcast here
Test APOE : indications et précautions
| Travelin' On (LP Version) | The Chestnut Brothers | To The Sun (Laroye Classic Soulful Mix) (Radio Edit) | Abi Flynn | Came So Close (Afro House Remix) | Chris Baxter & Foster Rogue feat. Vula | Broken Emotion | D'jear | The Best (Thank Ya) | Darryl Jordan, Audiodidakt | Let's Play (The Birthday Song) | Miss Jones | Could It Be True? (Summer Mix) | The Paradise Projex | Groove On Tonight | Soodrummer, Liora Zeyn | Starlit Night | Soodrummer, Sira Noor | All My Love (Initial Talk Remix) | BKWH (Beckwith) | Can't Beat The Weekend (Jimmy Antony New Jack Swing Remix) | BKWH (Beckwith) | 80/20 Rule | Andriah Arrindell | Back 4 More | Kevin Ross | Something To Believe In | Evita | Caught In Her Love | Masspike Miles | Missing Out | Keithian | Now That It's Over | Jeff Floyd, The Lady Songbird Jinda | Reservations | DJ B Scott | Beignets | DJ B Scott | Not This Time | Teslanay | Let Me Rock You | Troy Henry | Gratified | Julian Vaughn, Oli Silk | Chihiro | Paul Taylor | Inner Circle | Paul Taylor | London Nights | Ryan La Valette | Daydreaming | Ryan La Valette | Rain Dance (Radio Edit) | David Margam & Lee Jones feat. Robert Sanae | Game Don't Wait (2F Remix) | 213, Warren G & Xzibit | Beneath Your Surface | Edbl, Olivia Nelson | Couldn't Even Tell Ya | Kira Lo | I Need A Good Woman | Kirby Smooth | Could Be | Official Chillz | Waking Man | Official Chillz | Here When You're Ready | Tanika Charles | Just As Long As We're Together | Jalen Ngonda | Been So Long | Durand Jones & The Indications, Aaron Frazer | It's Two Sides | LJ Echols | Forget About It | Lucky Witherspoon | Aweh | Lord Kez | Move On | Olivia Escuyos | Nobody Gets My Love | Junior Scaife | When My Heart Beats | Junior Scaife | Touch Me In A Special Way (Remaster) | Al Chestnut | Makes Me Wanna Dance (Radio Edit) | Trey Lorenz | Love Deep | Lizzie Berchie, Filah Lah Lah | Special Place | Tirvarrus | Your Mom's In My Business | Jasmyn Monique | I Hate To Lose You (Original Extended Version) | The 1924 Project | AM/PM | Luna Elle | Gas Hard | Carol Riddick | Stuck | Charisse Mackey, Ashley Ave. | I Am Enough | Valntna | Baby Apologize | Serenade Official | Serenade R&B Love | Serenade Official
Send us a textDr. Laura Aguilar, MD, Ph.D. is Chief Medical Officer at Diakonos Oncology ( https://www.diakonosoncology.com/ ), a clinical stage immuno-oncology company dedicated to revolutionizing cancer immunotherapy and focusing on difficult-to-treat indications, including glioblastoma. Dr. Aguilar, a physician-scientist and biotech entrepreneur, has over 20 years of experience in clinical and regulatory development of complex biologics for cancer with a focus on solid tumors including glioblastoma and pancreatic cancer.Dr. Aguilar was co-founder of Advantagene (now Candel Therapeutics) where she served as chief medical officer. She was a leader in the company's strategic development from inception to successful IPO, and she oversaw the company's clinical development portfolio of viral immuno-oncology products in four disease indications.Dr. Aguilar also was an attending physician at the Dana Farber Cancer Institute and Boston Children's Hospital and associate director of the Harvard Gene Therapy Initiative at Harvard Medical School. She currently serves on several boards including the Board of the American Brain Tumor Association.Dr. Aguilar earned her MD and Ph.D. in microbiology and immunology from Baylor College of Medicine. She completed her clinical residency in pediatrics and fellowship in pediatric hematology-oncology at Texas Children's Hospital.#LauraAguilar #DiakonosOncology #ChiefMedicalOfficer #Glioblastoma #PancreaticAdenocarcinoma #Immunooncology #Immunotherapy #DendriticCells #MajorHistocompatibilityComplex #CrossPresentation #DoubleLoading #Interferon #Melanoma #Cancer #ProgressPotentialAndPossibilities #IraPastor #Podcast #Podcaster #Podcasting #ViralPodcast #STEM #Innovation #Science #Technology #ResearchSupport the show
Indications of Big Plans by BJP | RSS - Modi Meet | Kunal Kamra | Judge Cash Scam | Harsh Kumar
Playlist: Alsarah & The Nubatones - SoundaniSacred Wolf Singers X Simon Walls - Double BeatMontuno West - Viento - TormentaMelón Jimenez & Lara Wong - ParanáTotal Gadjos - DarlingsYasmine Hamdan - Shmaali شماليAn Dannsa Dub, featuring Tom Spirals, Euan McLaughlin, Horseman, Josie Duncan - Tha Mi Air ChallBéla Fleck, Edmar Castañeda, Antonio Sánchez - ArchipelagoJah Wobble - GuanyinLeanne Lightfoot - Time Waits For No OneStephen Fearing - Far From the MiddleManu Dibango - Waka Juju Part 3Miramar - IncertidumbreSonghoy Blues - BattoMeril Wubslin - Tout est CurieuxTanika Charles - Don't Like You AnymoreDurand Jones & the Indications, featuring Aaron Frazer - Been So LongCarter Felker - Piece of Timeabu AMA - PashmakFrente Cumbiero - Negro GatoW.I.T.C.H - Queenless KingKazdoura - Marhaba AhlenASKO - nisis
The tongue is the most common airway obstruction in an unconscious patient. Insertion an oropharyngeal airway helps keep the patient's tongue from falling to the back of the pharynx, causing an airway obstruction. The oropharyngeal airway is sometimes called an OPA or simply an oral airway. Indications for using an oral airway. Contraindication for an oral airway and an alternative airway that can be used for patients with an intact gag reflex. Measuring an OPA and possible complications from inserting one that's too small or too large.Two techniques to properly insert an OPA. The use of an oral airway during CPR. The use of an OPA as a bite block after a patient has an advanced airway placed.Connect with me:Website: https://passacls.com@Pass-ACLS-Podcast on LinkedInOther Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Save money on prescription medications for you and your pets: https://nationaldrugcard.com/ndc3506*Commissions may be earned from the above links.Good luck with your ACLS class!
durée : 00:56:35 - Et je remets le son - par : Matthieu Conquet - Ne croyez que ce que vous aimez dans les nouveautés de cette semaine : Spill Tab, Caballero & JeanJass, Arthur Satàn, Mister You, Blaiz Fayah et Maureen ou encore Durand Jones & The Indications. Avec le retour de Morcheeba et une histoire de Public Enemy.
Tracklist:AC Soul Symphony, Dave Lee ZR - MetamorphosisSharon Reid - Can You Handle ItLovebirds, Holly Backler - Give Me A SignThe Salsoul Orchestra, Dr Packer - Take Some Time Out (For Love) (Dr Packer Reworks)PBR Streetgang, David Christie - Back Fire (PBR Streetgang Remix)Kraak & Smaak - Aftersun (Extended Mix)Crazy P - EruptionDurand Jones & The Indications, Aaron Frazer - Witchoo (Original Mix)Plunky & Oneness of Juju - Every Way But LooseKlubb K - Picking Up The Pieces (How Gee Extended Hosted on Acast. See acast.com/privacy for more information.
Dr Eimear Cotter, director of the EPA's Office of Evidence and Assessment, discusses a new report that has shown nitrogen levels reduced in Irish rivers last year.
Indications that a time of meeting high expectations is set to pay off.
Roisin McGuigan, Commissioning Editor, Nucleic Acid Insights, speaks to Stanley Crooke, Chairman, Founder and CEO, n-Lorem, about his long career and pioneering role in the antisense oligonucleotide (ASO) space, how RNA-targeting therapies are set to enter the mainstream, and his latest focus: making personalized, free-for-life ASO therapies available to nano-rare patient populations.
Nitroglycerine is vasodilator that affects peripheral blood vessels and coronary arteries. Because of its widespread dilation effects on blood vessels, nitro can quickly lower a patient's blood pressure, sometimes to the point of making a patient hypotensive. Assessment of vital signs prior to administering nitro is necessary to ensure patient safety. Indications for use of nitroglycerine. Nitroglycerine's contraindications & considerations for use. Effects of nitro on patients taking PDE inhibitors. Administration of nitroglycerine to patients with ischemic chest pain. Considerations for patients that took their home nitroglycerine. Monitoring patient's pain and vital signs after nitro administration.Connect with me:Website: https://passacls.com@Pass-ACLS-Podcast on LinkedInGive Back & Help Others: Your support helps cover the monthly cost of software and podcast & website hosting. Donations at Buy Me a Coffee at https://buymeacoffee.com/paultaylor are appreciated and will help ensure others can benefit from these tips as well.Good luck with your ACLS class!Helpful Listener Links:Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/*FREE to anyone in the U.S. Save $$ on prescription medications for you and your pets with National Drug Card - https://nationaldrugcard.com/ndc3506 *Indicates affiliate links. I may get paid a small commission if you purchase products or memberships using my link. It doesn't affect the price you pay.
Our primary focus immediately following return of spontaneous circulation (ROSC) is aimed at ensuring adequate perfusion of the patient's vital organs and decreasing cerebral damage.Post-arrest goals for O2 saturation, ETCO2, and BP/MAP. Indications for use of an antiarrhythmic after ROSC. Determining which antiarrhythmic to use post cardiac arrest. Administration of Amiodarone or Lidocaine to control ventricular ectopy after ROSC.The use of Amiodarone post arrest if no antiarrhythmics were administered prior to obtaining ROSC. Links to other medical podcasts that cover antiarrhythmics and other ACLS-related topics are on the Pod Resource page at PassACLS.com.Connect with me:Website: https://passacls.com@Pass-ACLS-Podcast on LinkedInGive Back & Help Others: Your support helps cover the monthly cost of software and podcast & website hosting. Donations at Buy Me a Coffee at https://buymeacoffee.com/paultaylor are appreciated and will help ensure others can benefit from these tips as well.Good luck with your ACLS class!Helpful Listener Links:Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/*FREE to anyone in the U.S. Save $$ on prescription medications for you and your pets with National Drug Card - https://nationaldrugcard.com/ndc3506 *Indicates affiliate links. I may get paid a small commission if you purchase products or memberships using my link. It doesn't affect the price you pay.Discover medical podcasts with CE at https://conveymed.io
Accelerators co-host Dr. Matt Spraker is joined by radiation oncologists Drs. Bobby Koneru and Mudit Chowdhary for an update on low dose radiotherapy for osteoarthritis! Dr. Koneru is a radiation oncologist in Freeport, IL and prolific social media educator on benign indications. Dr. Chowdhary is a radiation oncologist at Northside Hospital in Atlanta, Georgia, and a friend of TAP (see his prior episodes).We start by discussing their ASTRO 2024 panel on benign indications for radiotherapy; it sounds like there was a lot of knowledge sharing among those getting started with these treatments.Bobby and Mudit share how they built a referral network for their successful practices.We close by discussing some practical tips and recommended educational resources. Here are some other things we discussed in the show, or links that may be helpful in building your benign radiotherapy practice: Matt's LDRT & Benign Resource ListRadiotherapy Academy for Benign Diseases (RT-ABC)Makarova et al., RCT showing LDRT reduces disability risk in OAEnglish Translation of the DEGRO-AG “Radiotherapy of Benign Diseases”TAP reviews LDRT with Dr. Austin Dove Alvarez et al., Radiotherapy for Benign Conditions Contouring AtlasLDRT for arthritis PRIMR videoThe Accelerators Podcast is a Photon Media production.
Last night, Jeremy Sole premiered a new track by Okonski. The project is led by Durand Jones & The Indications’ pianist and bandleader Steve Okonski, and features a couple of his bandmates — drummer Aaron Frazer and bassist Michael Montgomery. Tightly improvisational, we dig into the meditative “Dahlia.”
Patients with a narrow complex tachycardia with a rate over 150 BPM are in SVT. Unstable patients in SVT, or V-Tach with a pulse, should be cardioverted with a synchronized shock. Assessment & treatment of stable tachycardic patients.Commonly used vagal techniques.A less common technique to stimulate the vagus nerve is the dive reflex. Indications and use of Adenosine for stable patients in SVT refractory to vagal maneuvers.Possible treatments for patients found to be in A-Fib or A-Flutter with RVR after administration of Adenosine.Carotid sinus massage.Additional medical podcasts that have episodes on tachycardia can be found on the pod resources page at passacls.com. Connect with me:Website: https://passacls.com@Pass-ACLS-Podcast on LinkedInGive Back & Help Others: Your support helps cover the monthly cost of software and podcast & website hosting so that others can benefit from these ACLS tips as well. Donations via Buy Me a Coffee at https://buymeacoffee.com/paultaylor are appreciated.Good luck with your ACLS class!
With the inaugural celebrations complete, the real work begins!Members of the Missouri Chamber's governmental affairs team discuss some of the high-profile committee assignments and pro-business bills that are already moving through the Capitol. What is the overall outlook for the 2025 legislative session? Find out with Capitol Chat!
Rod Serling singing Christmas carols, garden variety anxiety, and the dog show opener for a Beastie Boys concert. Steve Okonski (Okonski, Durand Jones & The Indications, Aaron Frazer) OKONSKI Entrance Music [RELEASE DATE: 2/28/2025]- https://www.coleminerecords.com/collections/okonski "After nearly two years, Okonski returns with Entrance Music — an album that finds the trio at the height of their improvisational prowess and celebrating the spontaneous and meditative. On the heels of 2023's debut Magnolia, pianist and leader Steve Okonski has reconvened long-time musical collaborators (Durand Jones and the Indications bandmate Aaron Frazer on drums and bassist Michael Isvara “Ish” Montgomery) for another session in the spirit of artists like the Bad Plus, Gerald Clayton, and The Breathing Effect. Ultimately Entrance Music serves as an invitation to early hours, where songs linger in the doorway, announcing their presence before returning to the air, in a meticulous drift into the next. Recorded over a five day session, Entrance Music was one of the first albums committed to tape at Portage Lounge, Terry Cole's studio in Loveland, OH. “It was a new setup, but with Terry behind the dials it was very familiar,” says Okonski. “I can't emphasize enough how much Terry feels like a fourth member [of the band] because of the space he's curating, the energy he is bringing, and the production ideas.” The energy and sound created with the Colemine label head at the helm makes for a listening experience equally at home with ECM or Stones Throw catalogs. From the rippling notes of the pastoral opener, “October,” Entrance Music is lush with anticipation, both band and listener feeling the tension in the tranquility — where the interplay of jazz improvisation and boom bap beats never shortchanges the musicianship but the talent is ever in service of the song. While the band does not play together as often as they would like, not much time is needed for the three to lock in. Montgomery's bass opening to “Passing Through” bends and moves with a singular meditative grace before piano and percussion joins the daylight filling a room with breath and light. If Magnolia resonated with last calls and late nights, Entrance Music counters with early mornings and first cups of coffee. Whereas much of the debut resonates with his time in New York, Entrance Music “feels a little less ‘on the streets at 2 A.M.' and a little more nature-based…a little more ethereal,” says Okonski. “It's definitely age, environment, and family — all of that does come through in the music.”" Excerpt from https://www.coleminerecords.com/collections/okonski Okonski: Bandcamp: https://okonski.bandcamp.com/music Instagram: @steve.okonski Website: https://linktr.ee/okonski Records: https://www.coleminerecords.com/collections Merch: https://okonski.bandcamp.com/merch Durand Jones & The Indications: Bandcamp: https://durandjonesandtheindications.bandcamp Instagram: @durandjonesandtheindications Website: https://store.durandjonesandtheindications.com Records: https://www.coleminerecords.com/collections/durand Merch: https://store.durandjonesandtheindications.com Aaron Frazer Bandcamp: https://aaronfrazermusic.bandcamp.com/music Instagram: @aaron_frazer Website: https://aaronfrazermusic.com Records: https://www.coleminerecords.com/collections/aaron Merch: https://shop.aaronfrazermusic.com The Vineyard: Instagram: @thevineyardpodcast Website: https://www.thevineyardpodcast.com Youtube: https://www.youtube.com/channel/UCSn17dSz8kST_j_EH00O4MQ/videos
Adenosine is the first IV medication given to stable patients with sustained supraventricular tachycardia (SVT) refractory to vagal maneuvers.Symptoms indicating a stable vs unstable patient. Common causes of tachycardia. Cardiac effects of Adenosine. Indications for use in the ACLS Tachycardia algorithm. Considerations and contraindications. Adenosine as a diagnostic for patients in A-Fib or A-Flutter with RVR. Dosing and administration. Other podcasts that cover common ACLS antiarrhythmics in more detail and another covering Brugata Criteria used to differentiate V-Tach from SVT with an aberrancy, can be found on the Pod Resources page at passacls.com.Connect with me:Website: https://passacls.com@Pass-ACLS-Podcast on LinkedInGive Back & Help Others: Your support helps cover the monthly cost of software and podcast & website hosting so that others can benefit from these ACLS tips as well. Donations via Buy Me a Coffee at https://buymeacoffee.com/paultaylor are appreciated.Good luck with your ACLS class!
www.longviewbaptistchurch.org 2 Timothy 3:1-5 Sunday, January 19th, 2025 1) Indications of God's timetable are all around us! 2) What we are seeing in children is a definitive sign of the times! 3) The power of the Gospel is the power of truth!
Will publish tomorrow AM Welcome to Teeth & Titanium, Episode 51 - The Crisis Debate Rages On This episode features: Current Events - Its a New Year - Organizing our schedules - Renumeration for on-call emergencies - The bet that will not go away - New Year's Resolutions Fan Mail - Mo on the scope of practice - Blue Book Board Review - Mumbo Jumbo and a detailed explanation Resident reminder - Dysplasia, OSCC, and Indications for a surgical neck dissection procedure Journal club - Depth of Invasion Threshold for Recommending Elective Neck Dissection in T1 or T2 Oral Squamous Cell Carcinoma Recommendations - Known vs the unknown - Striking Oil - Youth games Be sure to subscribe so you never miss an episode! Apple / Spotify / Google / Online links Thanks to the CAOMS for their continued support of this podcast. https://www.caoms.com If you would like to contact us, be a guest, or would like to submit a topic for Resident Reminder or Journal club, please email us at: teethandtitaniumOMFS@gmail.com Hosted by Dr. Wendall Mascarenhas and Dr. Oscar Dalmao Produced by Dr. Brad W. Ray Articles/Books cited in this episode: Shih H, Khanna M, Thomas J, Makhoul NM, El-Hakim M. Depth of Invasion Threshold for Recommending Elective Neck Dissection in T1 or T2 Oral Squamous Cell Carcinoma. J Oral Maxillofac Surg. 2025 Jan;83(1):102-112. doi: 10.1016/j.joms.2024.10.006.
keywords flap reflection, coronectomy, wisdom teeth, extraction techniques, dental surgery, post-operative care, complications, dental instruments, patient management, oral surgery summary In this conversation, Dr. Serv Wahan and Dr. Jaclyn Tomsic discuss various aspects of dental surgery, focusing on flap reflection techniques, the decision-making process between coronectomy and extraction, and the instruments used in wisdom teeth removal. They emphasize the importance of documentation in avoiding litigation and share insights on managing complications and post-operative care. The discussion also covers the indications and contraindications for performing a coronectomy, highlighting the need for careful patient assessment and surgical technique. takeaways Small hole, big problem is a key principle in flap reflection. Always aim to extract the tooth if possible. Documentation is crucial to protect against litigation. Understanding the anatomy is vital to avoid nerve damage. Post-operative care is essential for patient recovery. Coronectomy can be a safer option in certain cases. Instruments should be chosen based on the specific case needs. Monitoring healing is important to identify complications early. Patient comfort and understanding are key during consultations. Indications for coronectomy include teeth close to nerves. titles Mastering Flap Reflection Techniques Sound Bites "Small hole, big problem." "It's a valid procedure, honestly." "You have to remove more bone." Chapters 00:00 Flap Reflection Tips and Techniques 01:48 Coronectomy vs Extraction: Decision Making 05:58 Instruments and Techniques for Wisdom Teeth Removal 10:01 Managing Complications and Post-Operative Care 13:50 Indications and Contraindications for Coronectomy
Stocks rebounded Monday even as problematic signs of inflation are building ahead of Wednesday's CPI report, says OJ Renick. ======== Schwab Network ======== Empowering every investor and trader, every market day. Subscribe to the Market Minute newsletter - https://schwabnetwork.com/subscribe Download the iOS app - https://apps.apple.com/us/app/schwab-network/id1460719185 Download the Amazon Fire Tv App - https://www.amazon.com/TD-Ameritrade-Network/dp/B07KRD76C7 Watch on Sling - https://watch.sling.com/1/asset/191928615bd8d47686f94682aefaa007/watch Watch on Vizio - https://www.vizio.com/en/watchfreeplus-explore Watch on DistroTV - https://www.distro.tv/live/schwab-network/ Follow us on X – https://twitter.com/schwabnetwork Follow us on Facebook – https://www.facebook.com/schwabnetwork Follow us on LinkedIn - https://www.linkedin.com/company/schwab-network/ About Schwab Network - https://schwabnetwork.com/about
The tongue is the most common airway obstruction in an unconscious patient. Insertion an oropharyngeal airway helps keep the patient's tongue from falling to the back of the pharynx, causing an airway obstruction. The oropharyngeal airway is sometimes called an OPA or simply an oral airway. Indications for using an oral airway. Contraindication for an oral airway and an alternative airway that can be used for patients with an intact gag reflex. Measuring an OPA and possible complications from inserting one that's too small or too large.Two techniques to properly insert an OPA. The use of an oral airway during CPR. The use of an OPA as a bite block after a patient has an advanced airway placed.Connect with me:Website: https://passacls.com@Pass-ACLS-Podcast on LinkedInGive Back & Help Others: Your support helps cover the monthly cost of software and podcast & website hosting so that others can benefit from these ACLS tips as well. Donations via Buy Me a Coffee at https://buymeacoffee.com/paultaylor are appreciated.Good luck with your ACLS class!
Good morning, and welcome to the Anthony Gargano Show. There has been no official update on Jalen Hurts' potential return this Sunday for the Wild Card game against the Philadelphia Eagles and the Green Bay Packers. Hurts has been in concussion protocol for the past three weeks, but if he does play this weekend, he is likely to practice today. Indications suggest that the star quarterback might return this weekend. The question remains: how will he perform at Lincoln Financial Field on Sunday? Meanwhile, it's the eve of the Orange Bowl in Miami, featuring Notre Dame versus Penn State. The outcome of this matchup is uncertain, but the winner will face the victor of Ohio State and Texas in the College Football Final. Kevin Negandhi joins us today to discuss Eagles football and offer a preview of the College Football Final Four.
Okonski is another beautiful project born from the Durand Jones & Indications house with pianist Steve Okonski at the helm with support from fellow Indications Aaron Frazer and Michael Montgomery on drums and bass. Together the trio takes all of the jazz elements of Durand Jones & the Indications and puts them front and center, […] The post Okonski: “October” [PREMIERE] appeared first on KUT & KUTX Studios -- Podcasts.
Guest: Dr. Christian de Virgilio is the Chair of the Department of Surgery at Harbor-UCLA Medical Center. He is also Co-Chair of the College of Applied Anatomy and a Professor of Surgery at UCLA's David Geffen School of Medicine. He completed his undergraduate degree in Biology at Loyola Marymount University and earned his medical degree from UCLA. He then completed his residency in General Surgery at UCLA-Harbor Medical Center followed by a fellowship in Vascular Surgery at the Mayo Clinic. Resources: Rutherford Chapters (10th ed.): 174, 175, 177, 178 Prior Holding Pressure episode on AV access creation: https://www.audiblebleeding.com/vsite-hd-access/ The Society for Vascular Surgery: Clinical practice guidelines for the surgical placement and maintenance of arteriovenous hemodialysis access: https://www.jvascsurg.org/article/S0741-5214%2808%2901399-2/fulltext KDOQI Clinical Practice Guideline for Vascular Access: 2019 Update: https://pubmed.ncbi.nlm.nih.gov/32778223/ Outline: Steal Syndrome Definition & Etiology Steal syndrome is an important complication of AV access creation, since access creation diverts arterial blood flow from the hand. Steal can be caused by multiple factors—arterial occlusive disease proximal or distal to the AV anastomosis, high flow through the fistula at the expense of distal arterial perfusion, and failure of the distal arterial networks to adapt to this decreased blood flow. Incidence and Risk Factors The frequency of steal syndrome is 1.6-9%1,2, depending on the vessels and conduit choice Steal syndrome is more common with brachial and axillary artery-based accesses and nonautogenous conduits. Other risk factors for steal syndrome are peripheral vascular disease, coronary artery disease, diabetes, advanced age, female sex, larger outflow conduit, multiple prior permanent access procedures, and prior episodes of steal.3,4 Long-standing insulin-dependent diabetes causes both medial calcinosis and peripheral neuropathy, which limits arteries' ability to vasodilate and adjust to decreased blood flow. Patient Presentation, Symptoms, Grading Steal syndrome is diagnosed clinically. Symptoms after AVG creation occurs within the first few days, since flow in prosthetic grafts tend to reach a maximum value very early after creation. Native AVFs take time to mature and flow will slowly increase overtime, leading to more insidious onset of symptoms that can take months or years. The patient should have a unilateral complaint in the extremity with the AV access. Symptoms of steal syndrome, in order of increasing severity, include nail changes, occasional tingling, extremity coolness, numbness in fingertips and hands, muscle weakness, rest pain, sensory and motor deficits, fingertip ulcerations, and tissue loss. There could be a weakened radial pulse or weak Doppler signal on the affected side, and these will become stronger after compression of the AV outflow. Symptoms are graded on a scale specified by Society of Vascular Surgery (SVS) reporting standards:5 Workup Duplex ultrasound can be used to analyze flow volumes. A high flow volume (in autogenous accesses greater than 800 mL/min, in nonautogenous accesses greater than 1200 mL/min) signifies an outflow issue. The vein or graft is acting as a pressure sink and stealing blood from the distal artery. A low flow volume signifies an inflow issue, meaning that there is a proximal arterial lesion preventing blood from reaching the distal artery. Upper extremity angiogram can identify proximal arterial lesions. Prevention Create the AV access as distal as possible, in order to preserve arterial inflow to the hand and reduce the anastomosis size and outflow diameter. SVS guidelines recommend a 4-6mm arteriotomy diameter to balance the need for sufficient access flow with the risk of steal. If a graft is necessary, tapered prosthetic grafts are sometimes used in patients with steal risk factors, using the smaller end of the graft placed at the arterial anastomosis, although this has not yet been proven to reduce the incidence of steal. Indications for Treatment Intervention is recommended in lifestyle-limiting cases of Grade II and all Grade III steal cases. If left untreated, the natural history of steal syndrome can result in chronic limb ischemia, causing gangrene with loss of digits or limbs. Treatment Options Conservative management relies on observation and monitoring, as mild cases of steal syndrome may resolve spontaneously. Inflow stenosis can be treated with endovascular intervention (angioplasty with or without stent) Ligation is the simplest surgical treatment, and it results in loss of the AV access. This is preferred in patients with repetitive failed salvage attempts, venous hypertension, and poor prognoses. Flow limiting procedures can address high volumes through the AV access. Banding can be performed with surgical cutdown and placement of polypropylene sutures or a Dacron patch around the vein or graft. The Minimally Invasive Limited Ligation Endoluminal-Assisted Revision (MILLER) technique employs a percutaneous endoluminal balloon inflated at the AVF to ensure consistency in diameter while banding Plication is when a side-biting running stitch is used to narrow lumen of the vein near the anastomosis. A downside of flow-limiting procedures is that it is often difficult to determine how much to narrow the AV access, as these procedures carry a risk of outflow thrombosis. There are also surgical treatments focused on reroute arterial inflow. The distal revascularization and interval ligation (DRIL) procedure involves creation of a new bypass connecting arterial segments proximal and distal to the AV anastomosis, with ligation of the native artery between the AV anastomosis and the distal anastomosis of the bypass. Reversed saphenous vein with a diameter greater than 3mm is the preferred conduit. Arm vein or prosthetic grafts can be used if needed, but prosthetic material carries higher risk of thrombosis. The new arterial bypass creates a low resistance pathway that increases flow to distal arterial beds, and interval arterial ligation eliminates retrograde flow through the distal artery. The major risk of this procedure is bypass thrombosis, which results in loss of native arterial flow and hand ischemia. Other drawbacks of DRIL include procedural difficulty with smaller arterial anastomoses, sacrifice of saphenous or arm veins, and decreased fistula flow. Another possible revision surgery is revision using distal inflow (RUDI). This procedure involves ligation of the fistula at the anastomosis and use of a conduit to connect the outflow vein to a distal artery. The selected distal artery can be the proximal radial or ulnar artery, depending on the preoperative duplex. The more dominant vessel should be spared, allowing for distal arterial beds to have uninterrupted antegrade perfusion. The nondominant vessel is used as distal inflow for the AV access. RUDI increases access length and decreases access diameter, resulting in increased resistance and lower flow volume through the fistula. Unlike DRIL, RUDI preserves native arterial flow. Thrombosis of the conduit would put the fistula at risk, rather than the native artery. The last surgical revision procedure for steal is proximalization of arterial inflow (PAI). In this procedure, the vein is ligated distal to the original anastomosis site and flow is re-established through the fistula with a PTFE interposition graft anastomosed end-to-side with the more proximal axillary artery and end-to-end with the distal vein. Similar to RUDI, PAI increases the length and decreases the diameter of the outflow conduit. Since the axillary artery has a larger diameter than the brachial artery, there is a less significant pressure drop across the arterial anastomosis site and less steal. PAI allows for preservation of native artery's continuity and does not require vein harvest. Difficulties with PAI arise when deciding the length of the interposition graft to balance AV flow with distal arterial flow. 2. Ischemic Monomelic Neuropathy Definition Ischemic monomelic neuropathy (IMN) is a rare but serious form of steal that involves nerve ischemia. Severe sensorimotor dysfunction is experienced immediately after AV access creation. Etiology IMN affects blood flow to the nerves, but not the skin or muscles because peripheral nerve fibers are more vulnerable to ischemia. Incidence and Risk Factors IMN is very rare; it has an estimated incidence of 0.1-0.5% of AV access creations.6 IMN has only been reported in brachial artery-based accesses, since the brachial artery is the sole arterial inflow for distal arteries feeding all forearm nerves. IMN is associated with diabetes, peripheral vascular disease, and preexisting peripheral neuropathy that is associated with either of the conditions. Patient Presentation Symptoms usually present rapidly, within minutes to hours after AV access creation. The most common presenting symptom is severe, constant, and deep burning pain of the distal forearm and hand. Patients also report impairment of all sensation, weakness, and hand paralysis. Diagnosis of IMN can be delayed due to misattribution of symptoms to anesthetic blockade, postoperative pain, preexisting neuropathy, a heavily bandaged arm precluding neurologic examination. Treatment Treatment is immediate ligation of the AV access. Delay in treatment will quickly result in permanent sensorimotor loss. 3. Perigraft Seroma Definition A perigraft seroma is a sterile fluid collection surrounding a vascular prosthesis and is enclosed within a pseudomembrane. Etiology and Incidence Possible etiologies include: transudative movement of fluid through the graft material, serous fluid collection from traumatized connective tissues (especially the from higher adipose tissue content in the upper arm), inhibition of fibroblast growth with associated failure of the tissue to incorporate the graft, graft “wetting” or kinking during initial operation, increased flow rates, decreased hematocrit causing oncotic pressure difference, or allergy to graft material. Seromas most commonly form at anastomosis sites in the early postoperative period. Overall seroma incidence rates after AV graft placement range from 1.7–4% and are more common in grafts placed in the upper arm (compared to the forearm) and Dacron grafts (compared to PTFE grafts).7-9 Patient Presentation and Workup Physical exam can show a subcutaneous raised palpable fluid mass Seromas can be seen with ultrasound, but it is difficult to differentiate between the types of fluid around the graft (seroma vs. hematoma vs. abscess) Indications for Treatment Seromas can lead to wound dehiscence, pressure necrosis and erosion through skin, and loss of available puncture area for hemodialysis Persistent seromas can also serve as a nidus for infection. The Kidney Disease Outcomes Quality Initiative (KDOQI) guidelines10 recommend a tailored approach to seroma management, with more aggressive surgical interventions being necessary for persistent, infected-appearing, or late-developing seromas. Treatment The majority of early postoperative seromas are self-limited and tend to resolve on their own Persistent seromas have been treated using a variety of methods-- incision and evacuation of seroma, complete excision and replacement of the entire graft, and primary bypass of the involved graft segment only. Graft replacement with new material and rerouting through a different tissue plane has a higher reported cure rate and lower rate of infection than aspiration alone.9 4. Infection Incidence and Etiology The reported incidence of infection ranges 4-20% in AVG, which is significantly higher than the rate of infection of 0.56-5% in AVF.11 Infection can occur at the time of access creation (earliest presentation), after cannulation for dialysis (later infection), or secondary to another infectious source. Infection can also further complicate a pre-existing access site issue such as infection of a hematoma, thrombosed pseudoaneurysm, or seroma. Skin flora from frequent dialysis cannulations result in common pathogens being Staphylococcus, Pseudomonas, or polymicrobial species. Staphylococcus and Pseudomonas are highly virulent and likely to cause anastomotic disruption. Patient Presentation and Workup Physical exam will reveal warmth, pain, swelling, erythema, induration, drainage, or pus. Occasionally, patients have nonspecific manifestations of fever or leukocytosis. Ultrasound can be used to screen for and determine the extent of graft involvement by the infection. Treatments In AV fistulas: Localized infection can usually be managed with broad spectrum antibiotics. If there are bleeding concerns or infection is seen near the anastomosis site, the fistula should be ligated and re-created in a clean field. In AV grafts: If infection is localized, partial graft excision is acceptable. Total graft excision is recommended if the infection is present throughout the entire graft, involves the anastomoses, occludes the access, or contains particularly virulent organisms Total graft excision may also be indicated if a patient develops recurrent bacteremia with no other infectious source identified. For graft excision, the venous end of the graft is removed and the vein is oversewn or ligated. If the arterial anastomosis is intact, a small cuff of the graft can be left behind and oversewn. If the arterial anastomosis is involved, the arterial wall must be debrided and ligation, reconstruction with autogenous patch angioplasty, or arterial bypass can be pursued. References 1. Morsy AH, Kulbaski M, Chen C, Isiklar H, Lumsden AB. Incidence and Characteristics of Patients with Hand Ischemia after a Hemodialysis Access Procedure. J Surg Res. 1998;74(1):8-10. doi:10.1006/jsre.1997.5206 2. Ballard JL, Bunt TJ, Malone JM. Major complications of angioaccess surgery. Am J Surg. 1992;164(3):229-232. doi:10.1016/S0002-9610(05)81076-1 3. Valentine RJ, Bouch CW, Scott DJ, et al. Do preoperative finger pressures predict early arterial steal in hemodialysis access patients? A prospective analysis. J Vasc Surg. 2002;36(2):351-356. doi:10.1067/mva.2002.125848 4. Malik J, Tuka V, Kasalova Z, et al. Understanding the Dialysis access Steal Syndrome. A Review of the Etiologies, Diagnosis, Prevention and Treatment Strategies. J Vasc Access. 2008;9(3):155-166. doi:10.1177/112972980800900301 5. Sidawy AN, Gray R, Besarab A, et al. Recommended standards for reports dealing with arteriovenous hemodialysis accesses. J Vasc Surg. 2002;35(3):603-610. doi:10.1067/mva.2002.122025 6. Thermann F, Kornhuber M. Ischemic Monomelic Neuropathy: A Rare but Important Complication after Hemodialysis Access Placement - a Review. J Vasc Access. 2011;12(2):113-119. doi:10.5301/JVA.2011.6365 7. Dauria DM, Dyk P, Garvin P. Incidence and Management of Seroma after Arteriovenous Graft Placement. J Am Coll Surg. 2006;203(4):506-511. doi:10.1016/j.jamcollsurg.2006.06.002 8. Gargiulo NJ, Veith FJ, Scher LA, Lipsitz EC, Suggs WD, Benros RM. Experience with covered stents for the management of hemodialysis polytetrafluoroethylene graft seromas. J Vasc Surg. 2008;48(1):216-217. doi:10.1016/j.jvs.2008.01.046 9. Blumenberg RM, Gelfand ML, Dale WA. Perigraft seromas complicating arterial grafts. Surgery. 1985;97(2):194-204. 10. Lok CE, Huber TS, Lee T, et al. KDOQI Clinical Practice Guideline for Vascular Access: 2019 Update. Am J Kidney Dis. 2020;75(4):S1-S164. doi:10.1053/j.ajkd.2019.12.001 11. Padberg FT, Calligaro KD, Sidawy AN. Complications of arteriovenous hemodialysis access: Recognition and management. J Vasc Surg. 2008;48(5):S55-S80. doi:10.1016/j.jvs.2008.08.067
S&P Futures are showing gains this morning with positive action in autos, banks, drugs and tech. The key economic data point for today will be the ISM Manufacturing index which is due out after the opening bell. U.S. Steel (X) is falling, Indications that Biden will announce that his is blocking their merger with Nippon Steel. Carvana shares are weakening after a negative report from Hindenburg Reseach. Gains are Constellation Energy (CEG) as the firms won more than $1B in government contracts. Defense stocks are higher after yesterday's selling pressure which was due to Chinese sanctions. European shares are lower this morning and oil prices are falling in the pre-market.
Are you focusing enough on pink aesthetics in smile design? What role does gingiva play in achieving a truly stunning smile? When should you refer for recession around lower incisors or upper canines? Can you get the gum to grow back through orthodontics? And how about class 5 restorations? Should we do them, or should we work on the gingival recession first? In this episode, Jaz is joined by the expert Dr. Tidu Mankoo, who shares his extensive knowledge on the importance of gingival health in aesthetic dentistry. They dive into the crucial role of the dento-gingival complex. https://youtu.be/Ao_vgJ-IbOg Watch PDP208 on YouTube Protrusive Dental Pearl: Shade Matching Composite button technique - a small blob of composite is applied to a dry tooth without etching or bonding to assess shade match and translucency, avoid excess thickness, which can affect opacity and aesthetics (Jason Smithson's Tip: take a black-and-white photo to evaluate the composite's value and ensure it matches the natural teeth) Using a custom composite shade guide like Smile Line by Style Italiano for more precise shade matching. Key Takeaways Gingival architecture plays a vital role in aesthetics. Dentists should focus on patient-centered care. Understanding tooth position is key to treatment planning. Orthodontics can sometimes resolve gingival issues without surgery. Communication with patients is essential for effective treatment. Aesthetic dentistry requires a comprehensive approach. The dental field is evolving, and practitioners must adapt. Root coverage procedures can be effective with proper techniques. Understanding prognosis is crucial for successful treatment outcomes. Aesthetic considerations are a primary reason for root coverage. Restorative dentistry should consider the position of the gingiva. Crown lengthening should not expose root surfaces unnecessarily. Mucogingival surgery plays a vital role in implant aesthetics. Education and training are essential for dental professionals. Highlights for this episode: 4:29 Protrusive Dental Pearl 6:16 Dr. Tidu Mankoo's Journey and Inspirations 11:48 Reflections on Comprehensive Dentistryand Lifelong Learning 15:59 Balancing Work and Family in Dentistry 17:52 Understanding Gingival Architecture 19:49 Creating a Harmonious Smile 21:52 Addressing Gingival Aesthetics & Limitations 26:56 Orthodontics and Surgical Interventions 29:40 Root Coverage Procedures 33:49 The Value of Early Diagnosis and Referral 35:01 Indications for Root Coverage 36:03 Root Coverage vs. Class V Restorations 39:50 Managing Gingival Zenith Irregularities 41:23 Role of Mucogingival Surgery inImplant Success 47:47 Course on Mucogingival Surgery with IAS This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance. This episode meets GDC Outcomes B and C. AGD Subject Code: 780 ESTHETICS/COSMETIC DENTISTRY (Esthetic diagnosis and treatment of intraoral soft tissues) Dentists will be able to - Discuss when and how to manage gingival recession, including the role of root coverage procedures. Explore the anatomy and function of the dento-gingival complex and its influence on smile aesthetics. Promote the value of early diagnosis and timely referrals to specialists for successful treatment.
Welcome to PsychEd, the psychiatry podcast for medical learners, by medical learners. This episode covers psychotherapy in youth with Dr. Laurence Katz, a professor of child and adolescent psychiatry at the University of Manitoba. Dr. Katz received his medical and adult psychiatric training at the University of Manitoba and his child and adolescent psychiatry training at the Albert Einstein College of Medicine, Bronx N.Y. He is an adjunct scientist at the Manitoba Centre for Health Policy and has published numerous papers using the population health administrative database in mental health outcomes. He has held and been part of numerous grants funded by CIHR, PHAC, and other national funding agencies related to work with First Nations communities. Dr. Katz is widely published in particular in the areas of suicide and suicidal behaviour. His other research interests include Dialectical Behaviour Therapy, pharmacoepidemiology, and implementation of complex interventions. The learning objectives for this episode are as follows: By the end of this episode, the listener will be able to… Outline which psychotherapeutic modalities are commonly used in youth Identify which youth may benefit/should be referred for psychotherapy Discuss important considerations in delivering psychotherapy to youth Guest: Dr. Laurence Katz Hosts: Wendy MacMillan-Wang, Shaoyuan Wang, Kate Braithwaite, and Sara Abrahamson Audio editing by: Angad Singh Show notes by: Kate Braithwaite Interview content: Introduction - 0:04 Guest introduction - 00:44 Learning objectives - 05:25 Definitions - 06:00 Types of psychotherapy in youth - 07:44 Evolution of psychotherapy in youth over time - 13:10 Psychotherapy in suicide prevention/risk mitigation - 16:24 Challenges in research: decrease in effect sizes over time - 18:32 Conditions responding best to psychotherapy - 22:01 Youth specific modalities - 26:44 Summary of learning objective 1 - 29:49 Indications and contraindications - 30:23 Consent - 37:31 Group therapy - 39:31 Summary of learning objective 2 - 46:27 Differences in psychotherapy in youth compared to adults in practice - 47:10 Techniques for engagement of youth - 53:32 Family involvement - 58:21 Confidentiality - 1:02:39 Use of mobile apps/internet-based therapies - 1:07:20 Summary of learning objective 3 - 1:11:17 Other considerations - 1:12:35 End credits - 1:16:52 References: Agostino, H., & Toulany, A. (2023). Considerations for privacy and confidentiality in adolescent health care service delivery. Paediatrics & Child Health, 28(3), 172–183. https://doi.org/10.1093/pch/pxac117 American Academy of Child and Adolescent Psychiatry. (2019, April). Psychotherapies for children and adolescents: different types. Facts for Families Guide. Retrieved from https://www.aacap.org/AACAP/Families_and_Youth/Facts_for_Families/FFF-Guide/Psychotherapies-For-Children-And-Adolescents-086.aspx Bailin, A., Cho, E., Sternberg, A., & others. (2023). Principle-guided psychotherapy for children and adolescents (FIRST): Study protocol for a randomized controlled effectiveness trial in outpatient clinics. Trials, 24, Article 682. https://doi.org/10.1186/s13063-023-07717-y Bhide, A., & Chakraborty, K. (2020). General principles for psychotherapeutic interventions in children and adolescents. Indian Journal of Psychiatry, 62(Suppl 2), S299–S318. CADDRA - Canadian ADHD Resource Alliance. (2020). Canadian ADHD practice guidelines (4.1 ed.). Toronto, ON: CADDRA. Christner, R. W., Stewart, J. L., & Mulligan, C. A. (Eds.). (2024). Handbook of cognitive-behavior group therapy with children and adolescents: Specific settings and presenting problems (2nd ed.). Routledge. Campisi, S. C., Ataullahjan, A., Baxter, J. B., Szatmari, P., & Bhutta, Z. A. (2022). Mental health interventions in adolescence. Current Opinion in Psychology, 48. https://doi.org/10.1016/j.copsyc.2022.101492 Katzman, M. A., Bleau, P., Blier, P., & others. (2014). Canadian clinical practice guidelines for the management of anxiety, posttraumatic stress, and obsessive-compulsive disorders. BMC Psychiatry, 14(Suppl 1), S1. https://doi.org/10.1186/1471-244X-14-S1-S1 Kendall, P. C., Ney, J. S., Maxwell, C. A., Lehrbach, K. R., Jakubovic, R. J., McKnight, D. S., & Friedman, A. L. (2023). Adapting CBT for youth anxiety: Flexibility within fidelity in different settings. Frontiers in Psychiatry, 14, Article 1067047. https://doi.org/10.3389/fpsyt.2023.1067047 Kernberg, P. F., Ritvo, R., Keable, H., & American Academy of Child an Adolescent Psychiatry (AACAP) Committee on Quality Issues (CQI) (2012). Practice Parameter for psychodynamic psychotherapy with children. Journal of the American Academy of Child and Adolescent Psychiatry, 51(5), 541–557. https://doi.org/10.1016/j.jaac.2012.02.015 Lam, R. W., Kennedy, S. H., Adams, C., & others. (2024). Canadian Network for Mood and Anxiety Treatments (CANMAT) 2023 update on clinical guidelines for management of major depressive disorder in adults: Réseau canadien pour les traitements de l'humeur et de l'anxiété (CANMAT) 2023: Mise à jour des lignes directrices cliniques pour la prise en charge du trouble dépressif majeur chez les adultes. The Canadian Journal of Psychiatry, 69(9), 641–687. https://doi.org/10.1177/07067437241245384 Oetzel, K. B., & Scherer, D. G. (2003). Therapeutic engagement with adolescents in psychotherapy. Psychotherapy: Theory, Research, Practice, Training, 40(3), 215–225. https://doi.org/10.1037/0033-3204.40.3.215 Wergeland, G. J., Fjermestad, K. W., Marin, C. E., Haugland, B. S., Bjaastad, J. F., Oeding, K., Bjelland, I., Silverman, W. K., Öst, L. G., Havik, Ø. E., & Heiervang, E. R. (2014). An effectiveness study of individual versus group cognitive behavioral therapy for anxiety disorders in youth. Behaviour Research and Therapy, 57, 1–12. https://doi.org/10.1016/j.brat.2014.03.007 Witt, K. G., Hetrick, S. E., Rajaram, G., Hazell, P., Taylor Salisbury, T. L., Townsend, E., & Hawton, K. (2021). Interventions for self-harm in children and adolescents. Cochrane Database of Systematic Reviews, 3, Article CD013667. https://doi.org/10.1002/14651858.CD013667.pub2 Yatham, L. N., Kennedy, S. H., Parikh, S. V., Schaffer, A., Bond, D. J., Frey, B. N., Sharma, V., Goldstein, B. I., Rej, S., Beaulieu, S., Alda, M., MacQueen, G., Milev, R. V., Ravindran, A., O'Donovan, C., McIntosh, D., Lam, R. W., Vazquez, G., Kapczinski, F., McIntyre, R. S., Kozicky, J., Kanba, S., Lafer, B., Suppes, T., Calabrese, J. R., Vieta, E., Malhi, G., Post, R. M., & Berk, M. (2018). Canadian Network for Mood and Anxiety Treatments (CANMAT) and International Society for Bipolar Disorders (ISBD) 2018 guidelines for the management of patients with bipolar disorder. Bipolar Disorders, 20(2), 97–170. https://doi.org/10.1111/bdi.12609 For more PsychEd, follow us on Instagram (@psyched.podcast), X (@psychedpodcast), and Facebook (PsychEd Podcast). You can provide feedback by email at psychedpodcast@gmail.com. For more information, visit our website at psychedpodcast.org.
12/12/2024Seven minute summary1. Post operative C5 Palsy after Anterior vs Posterior Decompression. Spine Oct 15, 20242. Indications for Revision of Cervical Disc Arthoplasty Spine Oct 15, 2024
For more information, visit https://thecirsgroup.com The GENIE test is a blood test you can take to help diagnose CIRS, or Chronic Inflammatory Response Syndrome, but it can also inform your treatment! Today we have our favorite guest, Dr. Christian Navarro-Torres, back to explain what the GENIE test is good for, what you might do differently based on your results, and how you can learn about your own with the help of a coach or doctor. For more information, support, and resources in your own CIRS healing journey, visit TheCIRSGroup.com TIME STAMPS: 0:00 Intro and disclaimer 5:00 What is the GENIE test? 7:30 What does gene activity mean in the context of CIRS? 9:00 HLA Haplotype test vs GENIE 11:20 What are the benefits of getting the GENIE test done? 16:35 Examples of genetic expressions and what they mean 19:57 Indications of Lyme 20:30 Downregulated Metabolism 24:00 Endotoxin hyperreactivity 26:30 Get help to understand your own GENIE test 28:57 How to work with Christian HELPFUL LINKS: Christian's membership communities, both for patients and practitioners: https://www.cirslab.com/ Work with Christian: https://www.cirslab.com/contact Our previous episode on the GENIE: https://youtu.be/bCNp9qNqWWc?si=BqrZHUthROdyiiU5 Check out The CIRS Summit! http://thecirssummit.com/ Our previous episodes with Dr. Christian Navarro-Torres: Neuroquant: https://youtu.be/aQyU51D7O-c?si=-hol5adPP5SLsNN5 ADHD: https://youtu.be/x_yL-voDyJY?si=48kzS4gRVZi0u8BM Nicotine: https://youtu.be/hLumLIye7q4?si=JXp_Y7vozJxkS7_e The CIRS Group: Support Community: https://thecirsgroup.com Instagram: https://www.instagram.com/thecirsgroup/ Find Jacie for carnivore, lifestyle and limbic resources: Instagram: https://www.instagram.com/ladycarnivory YouTube: https://www.youtube.com/@LadyCarnivory Blog: https://www.ladycarnivory.com/ Pre-order Jacie's book! https://a.co/d/8ZKCqz0 Find Barbara for business/finance tips and coaching: Website: https://www.actlikebarbara.com/ Instagram: https://www.instagram.com/actlikebarbara/ YouTube: https://www.youtube.com/@actlikebarbara Jacie is a Shoemaker certified Proficiency Partner, NASM certified nutrition coach, author, and carnivore recipe developer determined to share the life changing information of carnivore and CIRS to anyone who will listen. Barbara is a business and fitness coach, CIRS and ADHD advocate, speaker, and a big fan of health and freedom. Together, they co-founded The CIRS Group, an online support community to help people that are struggling with their CIRS diagnosis and treatment.
Visit donate.accessmore.com to give to help fund more episodes and shows like this. It's easy to see when other people are continually difficult and in need of healing, but sometimes we can't see that we are the one that is hurting – not them! Today Quinn discusses how easy it can be to point the finger at others for their unhealthy behavior but the importance of taking time to ask ourselves, “Am I the one that needs healed?” In today's episode, Quinn teaches listeners: 1. 6 Indications we are hurting 2. A question to ask yourself regarding your future that shows we need to heal 3. 3 Steps to take when we are hurting Mind Renewal Tip: It's not our fault we get in unhealthy places but it's our responsibility to notice and take action. Scripture Renewal Tip: "But those who hope in the Lord will renew their strength. They will soar on wings like eagles; they will run and not grow weary, they will walk and not be faint" Isaiah 40:31
Varicoceles embolization is the least invasive treatment option for varicoceles, making it the favored option for most patients and a staple in the interventional radiologist's procedural repertoire. Dr. John Matson joins host Dr. Ally Baheti to give us an essential guide to varicocele embolization, serving as an introduction for junior IRs and refresher for the more experienced. Dr. Matson is an Assistant Professor of Interventional Radiology at University of Virginia. --- RADPAD® Radiation Protection https://www.radpad.com/ --- SYNPOSIS Dr. Mattson covers the indications, procedural setup, technique variations, and post-procedure follow-up for treating varicoceles, with specific attention to the different embolic materials used in clinical practice. He also delves into the importance of pre-procedure evaluations, imaging requirements, and managing potential complications. --- TIMESTAMPS 00:00 - Introduction 02:05 - Indications for Varicocele Embolization 06:05 - Procedure Setup and Execution 12:57 - Coil Sizing and Embolic Materials 17:36 - Managing Complications 20:25 - Post-Procedure Care and Follow-Up
Dr. A and Aaron Bruski break down the early trends in the fantasy basketball season and what they mean for your team! They deliver expert insights, key takeaways from the first games, and a look ahead at potential breakout players, waiver wire targets and more! SportsEthos has DAILY PROJECTIONS in the FantasyPass for the first time ever! Sign up now and use them for DFS, head-to-head leagues, streamers, and more! SUBSCRIBE, Rate and Review on Apple and Spotify!