Podcasts about indications

Seguimos celebrando el 75º cumpleaños de Stevie Wonder que fue este martes 13. Bienaventurado. Y añadimos novedades - Cerrone, Luna Soul, Durand Jones & The Indications, David Margam, - y rescates importantes. Atlantic Starr, Minnie Riperton, o Starpoint.DISCO 1 MUSCLE SHOALS HORNS Born To Get Down (ESCA)DISCO 2 BAKER BROTHERS You’re The One (Cara 1 Corte 3)DISCO 3 LUNA SOUL Hold On (6)DISCO 4 STEVIE WONDER & SYREETA To Know You Is To Love you (ESCA)DISCO 5 COMMONSUR let’s Make It Happen (ESCA)DISCO 6 CERRONE Give Me Love (Symphonic Version) (ESCA)DISCO 7 LIZZO Still Bad (ESCA)DISCO 8 STEVIE WONDER Master Blaster (Jammin’) (5)DISCO 9 ATLANTIC STARR When Love Calls (ESCA)DISCO 10 STARPOINT I’m So Crazy About You (ESCA)DISCO 11 MINNIE RIPERTON Lovin’ You (ESCA)DISCO 12 DURAND JONES & THE INDICATIONS Been So Long (ESCA)DISCO 13 DAVID MARGAM & Lee Jones Tropical Coast (ESCA)Escuchar audio

Little Simz muestra una nueva veta sonora de su próximo álbum con 'Young', una suerte de funk de corte punk que pone de manifiesto el espíritu audaz de la rapera inglesa. Además, escuchamos las últimas novedades de Cuco, Mamalarky, Tune-Yards, Vampirámide -nuevo proyecto del músico Enric Chalaux, entre la psicodelia californiana y el pop francés-, Avril Lavigne junto a Simple Plan, Sports Team, Dura Calá y Durand Jones & The Indications.Playlist:NINE INCH NAILS. The Hand That FeedsGYOZA - Killing GoodeMUSE - The Small PrintMY CHEMICAL ROMANCE - I'm Not Okay (I Promise)YUNGBLUD - Lovesick LullabyOASIS - The Hindu TimesBLUR - Coffee & TVSPORTS TEAM - SensibleSTONE - My Thoughts GoAVRIL LAVIGNE - Young & Dumb (fat. Simple Plan)SIMPLE MAN - Welcome to My LifeEZEZEZ - noraezeanVIAGRA BOYS - Pyramid of HealthTY SEGALL - PossessionMAMALARKY - Broken BonesLITTLE SIMZ - YoungLITTLE SIMZ - FreeCUCO - My 45 (with Jean Carter)DURAND JONES & THE INDICATIONS - Been So LongVAMPIRÁMIDE - Romance vampiroADRIAN QUESADA - Primos (feat. Hermano Gutiérrez)DANGER MOUSE & DANIELE LUPPI - Black (feat. Norah Jones)MAIKA MAKOVSKI - The BrotherhoodFERRAN PALAU - Aquí no h ha trucTUNE-YARDS - How Big Is The RainbowPARCELS - YougotmefeelingVULFPECK - Matter of TimeDURA CALÁ - Tío PepeDURA CALÁ - El DoraoEscuchar audio

Pourquoi les restaurants n'indiquent-ils pas l'origine de leur viande et de leur poisson en précisant s'ils sont sauvages ou d'élevage ? Découvrez la réponse d'Olivier Dauvers dans la question conso ! Tous les jours, retrouvez en podcast les meilleurs moments de l'émission "Ça peut vous arriver", sur RTL.fr et sur toutes vos plateformes préférées. Distribué par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.

Vous écoutez Propriété intellectuelle : regards pratiques et enjeux prospectifs, un podcast préparé par le cercle Lefebvre Dalloz Avocats sous la direction de Stéphanie Le Cam, Maître de conférences à l'Université de Rennes 2 ; de Caroline Le Goffic, Professeur de droit privé à l'Université de Lille, co-directrice de l'équipe de recherches appliquées au droit et de Yann Basire, Maître de conférences à l'Université de Strasbourg et directeur général du Centre d'études internationales de la propriété intellectuelle. Ce podcast donne la parole aux experts - avocats, universitaires, juristes, praticiens et représentants d'institutions - pour pister les grandes tendances et les évolutions qui traversent aujourd'hui la propriété intellectuelle. Dans cet épisode, Laurent Montant, journaliste et directeur du Studio Media Lefebvre Dalloz, reçoit Caroline Le Goffic, professeur de droit privé à l'Université de Lille, Directrice du Master "Droit de la propriété industrielle". Ensemble, ils abordent l'évolution du droit des indications géographiques, un droit de propriété industrielle, moins connu que les marques mais porteur de nombreux enjeux, économiques, sociaux et culturels.Invitée : Caroline LE GOFFIC, professeur de droit privé à l'Université de Lille, Directrice du Master "Droit de la propriété industrielle".Préparé et animé par : Laurent MONTANT, Directeur du Studio Media Lefebvre Dalloz et rédacteur en chef de La Quotidienne.Réalisé par : Angeline DOUDOUX, journaliste Lefebvre Dalloz ; Jérémy MARTIN, journaliste Lefebvre Dalloz.Illustration : Jérémy MARTIN.Hébergé par Ausha. Visitez ausha.co/politique-de-confidentialite pour plus d'informations.

Send us a textWhy do our patients need pacemakers and what should you know about them? Written by Dr. Alyssa Chow (Internal Medicine Resident) and reviewed by Dr. Steve Montague (General Internal Medicine) and Dr. Aws Almufleh (Cardiology). Infographic Alyssa Chow and Sapirya Birk (Medical Student). Do you ever feel like you can't get ahead of charting? Freed AI has an AI driven scribe for you! You can try Freed for free right now by going to getfreed.ai. Listeners can use the INTERN50 code for $50 off their first month!Support the show

The goal of CPR is to keep the brain and vital organs perfused until return of spontaneous circulation (ROSC) is achieved.Post-arrest care and recovery are the final two links in the chain of survival.Identification of ROSC during CPR.Initial patient management goals after identifying ROSC.Indications for starting TTM.Monitoring the patient's core temperature.Patients can undergo EEG, CT, MRI, & PCI while receiving TTM.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/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn Chapters0:00 Identifying ROSC0:59 Additional ACLS Resources (https://passacls.com)1:05 Save on prescription meds (https://safemeds.vip)1:21 Post Arrest Assessment & Goals3:04 Indications & Initiation of TTM4:02 Two TTM Tips4:50 Share Pass ACLS on LinkedIn

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.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/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn

durée : 00:05:19 - Dans la playlist de France Inter - De la soul en Playlist de France Inter avec ceux qui incarnent son renouveau depuis 10 ans, les américains de Durand Jones & The Indications

No matter what happens here going forward that message that we all need to plan, prepare and build community is the right answer always.

In this month's episode of The Atrium, host Dr. Alice Copperwheat speaks with Dr. Jose Fernandes from the Department of Clinical Perfusion at Royal Papworth Hospital, Cambridge, UK, about extracorporeal membrane oxygenation (ECMO). Chapters 00:00 Introduction 01:47 History 04:46 Basics 09:58 Circuit 14:09 Cannulation 22:44 Indications for Use 28:14 VV ECMO 32:18 VA ECMO 36:44 Monitoring 42:31 Complications 47:03 ECMO CPR 49:17 Trainee Tips 50:57 Guest Advice They discuss cannulation, general indications and contraindications, venovenous (VV) ECMO, venoarterial (VA) ECMO, peripheral VA ECMO, and central VA ECMO. They also explore monitoring, cardiac function monitoring in VA ECMO, complications, ECMO cardiopulmonary resuscitation (CPR), and important tips for trainees.   The Atrium is a monthly podcast presenting clinical and career-focused topics for residents and early career professionals across all cardiothoracic surgery subspecialties. Watch for next month's one-year anniversary episode with a very special guest.   Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

Hop hop hop ! Angèle Chatelier sélectionne pour vous les pépites musicales d'aujourd'hui et de demain dans Place des Fêtes. Love Skatt - Ora The Molecule Alone - Romain Garcia Wake Up Bitch - Yaya Bey PAY - Theodora Main de fer - Annie Claude Dechêne Eloi - Rugir moteur Love Skatt - Ora The Molecule Kiss - Sami Galbi Oulala - Copy Cat Coup de soleil - Camille Yembe The Rush - Paul Prier Miracle Club - Kapote Out of time - Golden Bug Attendre ton tour - Anton Oak GIORGIO POI - Giochi di Gambe Flower Moon - Durand Jones & The Indications

"The Cosmological argument is a family of arguments that seek to demonstrate the existence of a Sufficient Reason or First Cause of the existence of the cosmos... The kalam cosmological argument traces its roots to the efforts of early Christian theologians who, out of their commitment to the biblical teaching of creation ex nihilo, sought to rebut the Aristotelian doctrine of the eternity of the universe." The argument is extremely simple: 1. Everything that begins to exist has a cause. 2. The universe began to exist. 3. Therefore, the universe has a cause. This is part 2 of our apologetics study as we work through "The Blackwell Companion to Natural Theology." James Sinclair, co-author of the chapter on the kalam cosmological argument with William Lane Craig, joins the show to discuss the scientific evidence in support of premise 2. We look at the FRW mode, astronomical evidence for the Big Bang, the Hawking-Penrose singularity theorems, the BVG theorem, quantum gravity approaches, and the exceptions to each of these approaches. Come join the conversation and bring your questions! James D. Sinclair (MS Physics Texas A&M, BS Physics Carnegie-Mellon) is a senior anti-air warfare analyst for the United States Navy with a specialty in the constructive (digital only) modeling of air-to-air combat. Some career accomplishments include analytical support for the fielding of the AIM-9X Sidewinder missile, combat utility evaluation of the F-35 Lighting II, and presentations at public symposia such as the Military Operations Research Society (MORS) and the Combat Identification Systems Conference (CISC). He began to interview cosmologists in the early 2000s on the topic of the beginnings of the universe, bringing Navy knowledge integration methods to the formulation known as the Kalam Cosmological Argument. This ultimately led to a collaboration with philosopher William Lane Craig and two co-authored articles: “The Kalam Cosmological Argument,” in The Blackwell Companion to Natural Theology and “On Non-Singular Spacetimes and the Beginning of the Universe,” in Scientific Approaches to the Philosophy of Religion. He also co-authored the article "Fine-Tuning and Indications of Transcendent Intelligence" with Robert Spitzer.

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.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/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn Discover medical podcasts with CE at https://conveymed.io

Album discussed is Stephen Wilson Jr.'s ‘Son of Dad.' New song discussed is Durand Jones and The Indications' ‘Been So Long.'*This episode was recorded on Sunday, April 20, 2025For all of Mutlu's tour dates and tickets visit⁠ ⁠⁠⁠⁠https://www.mutlusounds.com/⁠⁠⁠⁠To suggest an album, leave a comment or visit us at ⁠⁠⁠https//www.carllandryrecordclub.com⁠⁠⁠The intro music is "I Should Let You Know" by Marian Hill.This is Carl Landry Record Club episode #161

Durante esta semana repasamos el nuevo álbum de la banda estadounidense, comentado por su líder, Jim James.En el programa de hoy también sonaron nuevas canciones de Black Country New Road, Caroline, These New Puritans, Dancer, The Bug Club, Daughter Of Swords, Durand Jones & The Indications, Mumford & Sons y Fontaines D.C.Escuchar audio

Some products are famous because of where they come from — like Champagne from France or Scotch whisky from Scotland. Products like these are protected by something called a Geographical Indication, or GI. A GI means the product must be made in a certain place and follow certain rules. But sometimes, these rules can cause problems. In Jamaica, a new rule about Jamaican rum is causing a big debate. Skip Montreux and Dez Morgan explain what Geographical Indications are and why they are important in international business. They look at examples like Champagne and parmesan cheese and discuss how GIs help protect traditional products. They also talk about a disagreement in Jamaica, where a new GI rule for rum is causing trouble for some producers. Their conversation is a great learning resource if you want to build your English listening comprehension skills and expand your business vocabulary. Key points of their discussion include: What a Geographical Indication is and why it is different from a trademark. How GIs help local businesses and protect product quality. Why Jamaican rum producers are arguing about new GI rules. Do you like what you hear? Become a D2B Member today for to access to our -- NEW!!!-- interactive audio scripts, PDF Audio Script Library, Bonus Vocabulary episodes, and D2B Member-only episodes. Visit d2benglish.com/membership for more information. Follow Down to Business English on Apple podcasts, rate the show, and leave a comment. Contact Skip, Dez, and Samantha at downtobusinessenglish@gmail.com Follow Skip & Dez Skip Montreux on Linkedin Skip Montreux on Instagram Skip Montreux on Twitter Skip Montreux on Facebook Dez Morgan on Twitter RSS Feed

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

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!

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  

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

| 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

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.

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!

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.

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

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. 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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.

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