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In this episode, Dr. Sergio Zanotti discusses ECPR–Extracorporeal Cardiopulmonary Resuscitation. ECPR is still be considered a niche therapy, but its relevance and availability are increasing. He is joined by Dr. Adam Green, a practicing intensivist at Cooper University Health Care and an Associate Professor of Medicine at Cooper Medical School of Rowan University (CMSRU). Dr. Green is the director of research for the division of Critical Care and has authored over 50 peer-reviewed publications. He has been part of the ECMO team at Cooper since its inception. Additional resources: Extracorporeal cardiopulmonary resuscitation for refractory cardiac arrest. The Lancet Respiratory Medicine 2025: https://www.sciencedirect.com/science/article/pii/S2213260025001225 Effect of Intra-arrest Transport, Extracorporeal Cardiopulmonary Resuscitation, and Immediate Invasive Assessment and Treatment on Functional Neurologic Outcome in Refractory Out-of-Hospital Cardiac Arrest. JAMA 2022: https://jamanetwork.com/journals/jama/fullarticle/2789313 Association between increasing institutional experience with ECPR and outcomes in patients with out-of-hospital cardiac arrest: A nationwide multicenter observational study in Japan (the JAAM–OHCA registry) RESUSCITATION 2025: https://www.resuscitationjournal.com/article/S0300-9572(24)00862-1/fulltext Early Extracorporeal CPR for Refractory Out-of-Hospital Cardiac Arrest. N Eng J of Med 2023: https://www.nejm.org/doi/full/10.1056/NEJMoa2204511 Books mentioned in this episode: The Perfect Predator: A Scientist's Race to Save Her Husband from a Deadly Superbug. By S. Strathdee and T Patterson: https://amzn.to/3Hxjmez
Robert Yang is a leading expert in digestive wellness, hormone restoration, and performance nutrition with over 27 years of clinical experience. He is an internationally sought-after presenter on a variety of topics on nutrition, gut health, and performance enhancement. He serves as an advisory board member for Titleist Performance Institute, the National Pitching Association, and the USDA's US National Development Program, where he's also the team nutritionist. He consults with elite professional athletes from the XGames, NFL, NHL, MLB, AVP, PGA, LPGA, and European Tour. In this episode of Conversations for Health, we examine the intersection of sports performance and functional nutrition, focusing on both elite and developing athletes. If you work with kids and their parents, you will find this conversation exceptionally valuable. Robert generously shares clinical pearls, information about the labs that he uses with athletes, pre- and post-workout nutrition, traumatic brain injuries, and much more, including the big picture that parents, coaches, and healthcare practitioners need to understand about long-term athletic development for youth athletes. I'm your host, Evelyne Lambrecht. Thank you for designing a well world with us. Episode Resources: Robert Yang: robertyang.net Design for Health Resources: Designs for Health - https://www.designsforhealth.com/ Designs for Health Practitioner Exclusive Drug Nutrient Depletion and Interaction Checker - https://www.designsforhealth.com/drug-nutrient-interaction/ Visit the Designs for Health Research and Education Library, which houses medical journals, protocols, webinars, and our blog. https://www.designsforhealth.com/research-and-education/education The Designs for Health Podcast is produced in partnership with Podfly Productions. Chapters: 00:00 Intro. 02:49 Robert Yang's career focuses on sports and performance nutrition and working with elite associations and athletes. 05:54 Key points of long-term athletic development and training for youth. 10:15 Training youth athletes fast throughout growth spurts. 18:07 A foundation of hydration and sodium in training athletes. 24:00 Protein recommendations during training and growth spurts. 29:24 Protein, fat, and fiber for blood sugar control. 30:34 Athletes, GI issues, leaky gut, and inflammation markers. 34:54 Dr. Yang's approach to anti-inflammatories, NSAIDs, and nutrients. 38:33 Lab panels for iron deficiencies and excess storage iron. 41:28 Creatine, amino acid, and other preferred supplements for pre- and post-workout. 49:02 Robert's nutrition strategy and views on intermittent fasting. 56:39 Intra-workout strategies for aging and average patients. 59:25 Post-workout carbohydrates and protein ratio recommendations. 1:04:30 Adaptogens, essential fatty acids, fish oil, and Omega-3 index numbers. 1:10:40 Nutrient recommendations for addressing traumatic brain injuries. 1:17:49 Robert's favorite supplements, favorite health practices, and his changed view on intermittent fasting.
In this week's podcast Dr Arun Dhir, a gastroenterology surgeon, clinical researcher and author of Happy Gut, Healthy Weight, joins Dr Michelle Woolhouse as they delve into the crucial connection between gut health and various chronic conditions, including Gastro-oesophageal reflux disease (GORD) and its links with obesity. 1 in 5 people experience GORD on a weekly basis and in this episode, Dr Arun discusses his algorithm for investigating an individual presenting with GORD. Dr Arun also talks to the challenges of diagnosing conditions like hiatus hernias and the importance of comprehensive investigations, while offering practical advice on improving gut health through diet, stress management, and complementary therapies. Covered in this episode: (0:46) Welcome Dr Arun Dhir (2:30) Dr Arun's story (7:25) “All diseases begin in the gut” (12:16) Factors causing GORD (18:17) Hiatus hernia (21:39) Intra-abdominal pressure (23:08) Helicobacter pylori (25:35) Gut testing (32:09) Gastrocolic reflex (34:44) Complementary treatment options (40:02) Low grade gastritis (43:42) Final remarks Find today's transcript and show notes here: https://www.bioceuticals.com.au/education/podcasts/gastro-oesophageal-reflux-disease---the-gut-microbiome-as-first-principle Sign up for our monthly newsletter for the latest exclusive clinical tools, articles, and infographics: www.bioceuticals.com.au/signup/ FX DISCLAIMER: The information provided on fx Medicine by BioCeuticals is for educational and informational purposes only. The information provided is not, nor is it intended to be, a substitute for professional advice or care. Please seek the advice of a qualified health care professional in the event something you learn here raises questions or concerns regarding your health.
“Cultura é a língua que a empresa fala. É como as coisas funcionam no dia a dia.” – Rodrigo Stoqui. Rodrigo já foi executivo, empreendedor, voltou a ser executivo com cabeça de dono... E é esse tipo de mentalidade que transborda no novo episódio do SambaTalks. Em uma conversa franca e divertida com quem é amigo de longa data, ele compartilha aprendizados que vêm de quem realmente viveu as dores e as conquistas do crescimento. Tem papo sobre IA, PLG, cultura organizacional, erros, acertos e decisões difíceis. Uma verdadeira aula sobre carreira e o futuro do trabalho. Se você lidera uma equipe, sonha em empreender ou quer entender como aplicar tecnologia com estratégia e visão, escute agora! #SambaTalks #GoSamba #IAParaNegócios #NósTornamosPossível
Podcast Summary This episode of the Pain Exam Podcast, hosted by Dr. David Rosenblum, discusses an interesting article about Ketorolac injections for musculoskeletal conditions. The podcast covers: Ketorolac is an NSAID that provides analgesic and anti-inflammatory effects through inhibition of prostaglandin synthesis Multiple studies comparing Ketorolac injections to corticosteroids and hyaluronic acid for various conditions Research shows Ketorolac injections are equally effective as corticosteroids for subacromial conditions, adhesive capsulitis, carpal-metacarpal joint issues, and hip/knee osteoarthritis Ketorolac may be a safer alternative to steroids for certain patients, though it has its own contraindications for those with renal, gastrointestinal, or cardiovascular disease Dr. Rosenblum considers the potential of using Ketorolac injections directly at pain sites rather than intramuscularly Upcoming Courses and Conferences Ultrasound courses in New York and Costa Rica (check unwrappedpain.org) Private ultrasound sessions available Dr. Rosenblum will be speaking at Pain Week about ultrasound in pain practice and PRP Presenting at a primary care conference in London Teaching ultrasound at ISPN LAPSES conference in Chile (Dr. Rosenblum won't attend this year) Ketorolac Injections: An Effective Alternative for Musculoskeletal Pain Management Musculoskeletal conditions such as bursitis, adhesive capsulitis, and osteoarthritis affect millions and often require injectable therapies to reduce pain and inflammation. Traditionally, corticosteroid injections have been the mainstay treatment. However, concerns over side effects like tendon rupture, cartilage damage, and systemic hyperglycemia have prompted exploration of alternatives. A recent narrative review by Kiel et al. (2024) highlights ketorolac—a parenteral nonsteroidal anti-inflammatory drug (NSAID)—as a promising substitute for corticosteroids in musculoskeletal injections. Warning: OFF Label use of Ketorolac discussed. Please consult your physician. See full article for details. Subacromial Ketorolac Injections for Shoulder Pain Subacromial bursitis and impingement syndrome are common causes of shoulder pain and disability. Several randomized controlled trials have shown that subacromial ketorolac injections provide pain relief and functional improvement comparable to corticosteroids: Goyal et al. demonstrated significant reductions in pain scores after subacromial injection of 60 mg ketorolac versus 40 mg methylprednisolone, with no difference in outcomes between groups. Taheri et al. found similar short-term pain relief at 1 and 3 months with either ketorolac or corticosteroid subacromial injections. Kim et al. reported equivalent clinical improvement in rotator cuff syndrome patients receiving ketorolac or triamcinolone injections. Min et al. noted ketorolac led to better forward flexion and patient satisfaction at 4 weeks compared to corticosteroids. These studies support ketorolac as an effective agent for subacromial injection, offering an alternative for patients where corticosteroid use is limited. Intra-articular Ketorolac Injections for Adhesive Capsulitis and Osteoarthritis Adhesive capsulitis (frozen shoulder) and osteoarthritis of the hip, knee, and carpometacarpal joint are often treated with intra-articular corticosteroids. Ketorolac injections have shown comparable efficacy in these conditions: Akhtar et al. found intra-articular ketorolac significantly reduced shoulder pain at 4 weeks in adhesive capsulitis compared to hyaluronic acid. Ahn et al. reported similar pain relief between intra-articular ketorolac and corticosteroid injections in adhesive capsulitis, with ketorolac providing superior shoulder mobility at 3 and 6 months. Koh et al. showed that adding ketorolac to hyaluronic acid injections in carpometacarpal osteoarthritis resulted in faster onset of pain relief compared to hyaluronic acid alone. Park et al. observed equivalent functional improvements with intra-articular ketorolac or corticosteroids in hip osteoarthritis. Jurgensmeier et al. demonstrated similar symptom improvement at 1 and 3 months post-injection for ketorolac and triamcinolone in hip and knee osteoarthritis. Xu et al. and Bellamy et al. confirmed ketorolac's comparable pain relief and functional benefits to corticosteroids for knee osteoarthritis, with ketorolac being more cost-effective. Lee et al. noted quicker pain reduction with intra-articular ketorolac combined with hyaluronic acid versus hyaluronic acid alone in knee osteoarthritis. aSafety and Pharmacologic Considerations Ketorolac's anti-inflammatory action stems from cyclooxygenase inhibition, reducing prostaglandin synthesis. Its half-life is approximately 5.2–5.6 hours, and it is metabolized in the liver. Unlike corticosteroids, ketorolac avoids systemic hyperglycemia and cartilage damage risks. Animal and in vitro studies suggest ketorolac may protect cartilage by inhibiting inflammatory cytokines. While gastrointestinal, renal, and cardiovascular risks associated with NSAIDs remain considerations, localized intra-articular and subacromial ketorolac injections may limit systemic exposure and adverse effects. Mild, transient post-injection pain has been reported but resolves without intervention. Conclusion Ketorolac injections, administered intra-articularly or subacromially, are a safe, effective, and economical alternative to corticosteroids for managing common musculoskeletal conditions. Their comparable efficacy in reducing pain and improving function, combined with a more favorable side effect profile, makes ketorolac an appealing option for clinicians and patients alike. Further research is warranted to fully elucidate long-term safety and optimal dosing strategies. FAQS Ketorolac Injections for Musculoskeletal Conditions: Frequently Asked Questions Musculoskeletal pain from conditions like bursitis, adhesive capsulitis, and osteoarthritis often requires injectable treatments. Ketorolac, a nonsteroidal anti-inflammatory drug (NSAID), is emerging as a promising alternative to corticosteroids. Below are common questions and answers based on a recent narrative review by Kiel et al. (2024). 1. What is ketorolac and how does it work? Ketorolac is a parenteral NSAID that reduces pain and inflammation by inhibiting cyclooxygenase enzymes, which decreases prostaglandin synthesis. It can be administered orally, intramuscularly, intravenously, or by injection directly into joints or around bursae. 2. How effective is ketorolac for musculoskeletal conditions? Studies show ketorolac injections provide significant pain relief and functional improvement comparable to corticosteroids in conditions like: Subacromial bursitis and shoulder impingement (subacromial injections) Adhesive capsulitis (frozen shoulder) (intra-articular injections) Osteoarthritis of the hip, knee, and thumb carpometacarpal joint (intra-articular injections) 3. What evidence supports subacromial ketorolac injections? Randomized controlled trials found: Goyal et al. and Taheri et al. reported similar pain reduction and functional outcomes between ketorolac and corticosteroids for subacromial injections. Kim et al. and Min et al. observed comparable or better patient satisfaction and shoulder mobility with ketorolac versus corticosteroids. 4. How does intra-articular ketorolac compare to corticosteroids for adhesive capsulitis? Akhtar et al. showed ketorolac reduced shoulder pain more than hyaluronic acid. Ahn et al. found ketorolac and corticosteroids equally effective for pain relief, with ketorolac providing better shoulder mobility at 3 and 6 months. 5. What about ketorolac for osteoarthritis? Ketorolac combined with hyaluronic acid provided faster pain relief than hyaluronic acid alone in thumb carpometacarpal joint osteoarthritis (Koh et al.). Intra-articular ketorolac had similar efficacy to corticosteroids in hip (Park et al., Jurgensmeier et al.) and knee osteoarthritis (Bellamy et al., Xu et al.). Ketorolac injections were more cost-effective compared to corticosteroids (Bellamy et al.). 6. Are ketorolac injections safe? Ketorolac's side effects are similar to other NSAIDs, mainly involving gastrointestinal, renal, and cardiovascular risks. However, localized intra-articular and subacromial injections may reduce systemic exposure. Animal studies suggest ketorolac does not harm cartilage and may protect against inflammatory damage. Mild, transient local pain post-injection is possible but usually resolves without treatment. 7. What are the limitations of ketorolac use? Ketorolac is not suitable for patients with: Renal impairment Gastrointestinal ulcers or bleeding risk Cardiovascular disease or hypertension NSAID hypersensitivity, especially in asthma or chronic urticaria patients Clinicians should assess individual risks before choosing ketorolac injections. 8. How does ketorolac's pharmacokinetics affect its use? Ketorolac has a plasma half-life of about 5.2 to 5.6 hours and is metabolized in the liver. Pharmacokinetics for subcutaneous or intra-articular administration are less defined but systemic absorption occurs. Its relatively short half-life supports repeated dosing if needed. 9. Why consider ketorolac over corticosteroids? Ketorolac avoids corticosteroid-associated risks such as tendon rupture, cartilage damage, and steroid-induced hyperglycemia. It is also more cost-effective, making it a favorable option for patients and healthcare systems. 10. What further research is needed? More large-scale, long-term studies are needed to fully understand ketorolac's intra-articular effects, optimal dosing, and safety profile compared to corticosteroids and other treatments. Summary: Ketorolac injections, whether intra-articular or subacromial, offer a safe, effective, and economical alternative to corticosteroids for managing various musculoskeletal conditions. This makes ketorolac an important option in pain management and inflammation control. Reference: Kiel J, Applewhite AI, Bertasi TGO, Bertasi RAO, Seemann LL, Costa LMC, Helmi H, Pujalte GGA. Ketorolac Injections for Musculoskeletal Conditions: A Narrative Review. Clinical Medicine & Research. 2024;22(1):19-27. DOI: https://doi.org/10.3121/cmr.2024.1847 Disclaimer: This Podcast, website and any content from NRAP Academy (PMRexam.com) otherwise known as Qbazaar.com, LLC is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user's own risk. Professionals should conduct their own fact finding, research, and due diligence to come to their own conclusions for treating patients. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professionals for any such conditions.
Podcast Summary This episode of the Pain Exam Podcast, hosted by Dr. David Rosenblum, discusses an interesting article about Ketorolac injections for musculoskeletal conditions. The podcast covers: Ketorolac is an NSAID that provides analgesic and anti-inflammatory effects through inhibition of prostaglandin synthesis Multiple studies comparing Ketorolac injections to corticosteroids and hyaluronic acid for various conditions Research shows Ketorolac injections are equally effective as corticosteroids for subacromial conditions, adhesive capsulitis, carpal-metacarpal joint issues, and hip/knee osteoarthritis Ketorolac may be a safer alternative to steroids for certain patients, though it has its own contraindications for those with renal, gastrointestinal, or cardiovascular disease Dr. Rosenblum considers the potential of using Ketorolac injections directly at pain sites rather than intramuscularly Upcoming Courses and Conferences Ultrasound courses in New York and Costa Rica (check unwrappedpain.org) Private ultrasound sessions available Dr. Rosenblum will be speaking at Pain Week about ultrasound in pain practice and PRP Presenting at a primary care conference in London Teaching ultrasound at ISPN LAPS conference in Chile (Dr. Rosenblum won't attend this year) Ketorolac Injections: An Effective Alternative for Musculoskeletal Pain Management Musculoskeletal conditions such as bursitis, adhesive capsulitis, and osteoarthritis affect millions and often require injectable therapies to reduce pain and inflammation. Traditionally, corticosteroid injections have been the mainstay treatment. However, concerns over side effects like tendon rupture, cartilage damage, and systemic hyperglycemia have prompted exploration of alternatives. A recent narrative review by Kiel et al. (2024) highlights ketorolac—a parenteral nonsteroidal anti-inflammatory drug (NSAID)—as a promising substitute for corticosteroids in musculoskeletal injections. Warning: OFF Label use of Ketorolac discussed. Please consult your physician. See full article for details. Subacromial Ketorolac Injections for Shoulder Pain Subacromial bursitis and impingement syndrome are common causes of shoulder pain and disability. Several randomized controlled trials have shown that subacromial ketorolac injections provide pain relief and functional improvement comparable to corticosteroids: Goyal et al. demonstrated significant reductions in pain scores after subacromial injection of 60 mg ketorolac versus 40 mg methylprednisolone, with no difference in outcomes between groups. Taheri et al. found similar short-term pain relief at 1 and 3 months with either ketorolac or corticosteroid subacromial injections. Kim et al. reported equivalent clinical improvement in rotator cuff syndrome patients receiving ketorolac or triamcinolone injections. Min et al. noted ketorolac led to better forward flexion and patient satisfaction at 4 weeks compared to corticosteroids. These studies support ketorolac as an effective agent for subacromial injection, offering an alternative for patients where corticosteroid use is limited. Intra-articular Ketorolac Injections for Adhesive Capsulitis and Osteoarthritis Adhesive capsulitis (frozen shoulder) and osteoarthritis of the hip, knee, and carpometacarpal joint are often treated with intra-articular corticosteroids. Ketorolac injections have shown comparable efficacy in these conditions: Akhtar et al. found intra-articular ketorolac significantly reduced shoulder pain at 4 weeks in adhesive capsulitis compared to hyaluronic acid. Ahn et al. reported similar pain relief between intra-articular ketorolac and corticosteroid injections in adhesive capsulitis, with ketorolac providing superior shoulder mobility at 3 and 6 months. Koh et al. showed that adding ketorolac to hyaluronic acid injections in carpometacarpal osteoarthritis resulted in faster onset of pain relief compared to hyaluronic acid alone. Park et al. observed equivalent functional improvements with intra-articular ketorolac or corticosteroids in hip osteoarthritis. Jurgensmeier et al. demonstrated similar symptom improvement at 1 and 3 months post-injection for ketorolac and triamcinolone in hip and knee osteoarthritis. Xu et al. and Bellamy et al. confirmed ketorolac's comparable pain relief and functional benefits to corticosteroids for knee osteoarthritis, with ketorolac being more cost-effective. Lee et al. noted quicker pain reduction with intra-articular ketorolac combined with hyaluronic acid versus hyaluronic acid alone in knee osteoarthritis. aSafety and Pharmacologic Considerations Ketorolac's anti-inflammatory action stems from cyclooxygenase inhibition, reducing prostaglandin synthesis. Its half-life is approximately 5.2–5.6 hours, and it is metabolized in the liver. Unlike corticosteroids, ketorolac avoids systemic hyperglycemia and cartilage damage risks. Animal and in vitro studies suggest ketorolac may protect cartilage by inhibiting inflammatory cytokines. While gastrointestinal, renal, and cardiovascular risks associated with NSAIDs remain considerations, localized intra-articular and subacromial ketorolac injections may limit systemic exposure and adverse effects. Mild, transient post-injection pain has been reported but resolves without intervention. Conclusion Ketorolac injections, administered intra-articularly or subacromially, are a safe, effective, and economical alternative to corticosteroids for managing common musculoskeletal conditions. Their comparable efficacy in reducing pain and improving function, combined with a more favorable side effect profile, makes ketorolac an appealing option for clinicians and patients alike. Further research is warranted to fully elucidate long-term safety and optimal dosing strategies. FAQS Ketorolac Injections for Musculoskeletal Conditions: Frequently Asked Questions Musculoskeletal pain from conditions like bursitis, adhesive capsulitis, and osteoarthritis often requires injectable treatments. Ketorolac, a nonsteroidal anti-inflammatory drug (NSAID), is emerging as a promising alternative to corticosteroids. Below are common questions and answers based on a recent narrative review by Kiel et al. (2024). 1. What is ketorolac and how does it work? Ketorolac is a parenteral NSAID that reduces pain and inflammation by inhibiting cyclooxygenase enzymes, which decreases prostaglandin synthesis. It can be administered orally, intramuscularly, intravenously, or by injection directly into joints or around bursae. 2. How effective is ketorolac for musculoskeletal conditions? Studies show ketorolac injections provide significant pain relief and functional improvement comparable to corticosteroids in conditions like: Subacromial bursitis and shoulder impingement (subacromial injections) Adhesive capsulitis (frozen shoulder) (intra-articular injections) Osteoarthritis of the hip, knee, and thumb carpometacarpal joint (intra-articular injections) 3. What evidence supports subacromial ketorolac injections? Randomized controlled trials found: Goyal et al. and Taheri et al. reported similar pain reduction and functional outcomes between ketorolac and corticosteroids for subacromial injections. Kim et al. and Min et al. observed comparable or better patient satisfaction and shoulder mobility with ketorolac versus corticosteroids. 4. How does intra-articular ketorolac compare to corticosteroids for adhesive capsulitis? Akhtar et al. showed ketorolac reduced shoulder pain more than hyaluronic acid. Ahn et al. found ketorolac and corticosteroids equally effective for pain relief, with ketorolac providing better shoulder mobility at 3 and 6 months. 5. What about ketorolac for osteoarthritis? Ketorolac combined with hyaluronic acid provided faster pain relief than hyaluronic acid alone in thumb carpometacarpal joint osteoarthritis (Koh et al.). Intra-articular ketorolac had similar efficacy to corticosteroids in hip (Park et al., Jurgensmeier et al.) and knee osteoarthritis (Bellamy et al., Xu et al.). Ketorolac injections were more cost-effective compared to corticosteroids (Bellamy et al.). 6. Are ketorolac injections safe? Ketorolac's side effects are similar to other NSAIDs, mainly involving gastrointestinal, renal, and cardiovascular risks. However, localized intra-articular and subacromial injections may reduce systemic exposure. Animal studies suggest ketorolac does not harm cartilage and may protect against inflammatory damage. Mild, transient local pain post-injection is possible but usually resolves without treatment. 7. What are the limitations of ketorolac use? Ketorolac is not suitable for patients with: Renal impairment Gastrointestinal ulcers or bleeding risk Cardiovascular disease or hypertension NSAID hypersensitivity, especially in asthma or chronic urticaria patients Clinicians should assess individual risks before choosing ketorolac injections. 8. How does ketorolac's pharmacokinetics affect its use? Ketorolac has a plasma half-life of about 5.2 to 5.6 hours and is metabolized in the liver. Pharmacokinetics for subcutaneous or intra-articular administration are less defined but systemic absorption occurs. Its relatively short half-life supports repeated dosing if needed. 9. Why consider ketorolac over corticosteroids? Ketorolac avoids corticosteroid-associated risks such as tendon rupture, cartilage damage, and steroid-induced hyperglycemia. It is also more cost-effective, making it a favorable option for patients and healthcare systems. 10. What further research is needed? More large-scale, long-term studies are needed to fully understand ketorolac's intra-articular effects, optimal dosing, and safety profile compared to corticosteroids and other treatments. Summary: Ketorolac injections, whether intra-articular or subacromial, offer a safe, effective, and economical alternative to corticosteroids for managing various musculoskeletal conditions. This makes ketorolac an important option in pain management and inflammation control. Reference: Kiel J, Applewhite AI, Bertasi TGO, Bertasi RAO, Seemann LL, Costa LMC, Helmi H, Pujalte GGA. Ketorolac Injections for Musculoskeletal Conditions: A Narrative Review. Clinical Medicine & Research. 2024;22(1):19-27. DOI: https://doi.org/10.3121/cmr.2024.1847 Disclaimer: This Podcast, website and any content from NRAP Academy (PMRexam.com) otherwise known as Qbazaar.com, LLC is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user's own risk. Professionals should conduct their own fact finding, research, and due diligence to come to their own conclusions for treating patients. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professionals for any such conditions.
Podcast Summary This episode of the Pain Exam Podcast, hosted by Dr. David Rosenblum, discusses an interesting article about Ketorolac injections for musculoskeletal conditions. The podcast covers: Ketorolac is an NSAID that provides analgesic and anti-inflammatory effects through inhibition of prostaglandin synthesis Multiple studies comparing Ketorolac injections to corticosteroids and hyaluronic acid for various conditions Research shows Ketorolac injections are equally effective as corticosteroids for subacromial conditions, adhesive capsulitis, carpal-metacarpal joint issues, and hip/knee osteoarthritis Ketorolac may be a safer alternative to steroids for certain patients, though it has its own contraindications for those with renal, gastrointestinal, or cardiovascular disease Dr. Rosenblum considers the potential of using Ketorolac injections directly at pain sites rather than intramuscularly Upcoming Courses and Conferences Ultrasound courses in New York and Costa Rica (check unwrappedpain.org) Private ultrasound sessions available Dr. Rosenblum will be speaking at Pain Week about ultrasound in pain practice and PRP Presenting at a primary care conference in London Teaching ultrasound at ISPN LAPSES conference in Chile (Dr. Rosenblum won't attend this year) Ketorolac Injections: An Effective Alternative for Musculoskeletal Pain Management Musculoskeletal conditions such as bursitis, adhesive capsulitis, and osteoarthritis affect millions and often require injectable therapies to reduce pain and inflammation. Traditionally, corticosteroid injections have been the mainstay treatment. However, concerns over side effects like tendon rupture, cartilage damage, and systemic hyperglycemia have prompted exploration of alternatives. A recent narrative review by Kiel et al. (2024) highlights ketorolac—a parenteral nonsteroidal anti-inflammatory drug (NSAID)—as a promising substitute for corticosteroids in musculoskeletal injections. Warning: OFF Label use of Ketorolac discussed. Please consult your physician. See full article for details. Subacromial Ketorolac Injections for Shoulder Pain Subacromial bursitis and impingement syndrome are common causes of shoulder pain and disability. Several randomized controlled trials have shown that subacromial ketorolac injections provide pain relief and functional improvement comparable to corticosteroids: Goyal et al. demonstrated significant reductions in pain scores after subacromial injection of 60 mg ketorolac versus 40 mg methylprednisolone, with no difference in outcomes between groups. Taheri et al. found similar short-term pain relief at 1 and 3 months with either ketorolac or corticosteroid subacromial injections. Kim et al. reported equivalent clinical improvement in rotator cuff syndrome patients receiving ketorolac or triamcinolone injections. Min et al. noted ketorolac led to better forward flexion and patient satisfaction at 4 weeks compared to corticosteroids. These studies support ketorolac as an effective agent for subacromial injection, offering an alternative for patients where corticosteroid use is limited. Intra-articular Ketorolac Injections for Adhesive Capsulitis and Osteoarthritis Adhesive capsulitis (frozen shoulder) and osteoarthritis of the hip, knee, and carpometacarpal joint are often treated with intra-articular corticosteroids. Ketorolac injections have shown comparable efficacy in these conditions: Akhtar et al. found intra-articular ketorolac significantly reduced shoulder pain at 4 weeks in adhesive capsulitis compared to hyaluronic acid. Ahn et al. reported similar pain relief between intra-articular ketorolac and corticosteroid injections in adhesive capsulitis, with ketorolac providing superior shoulder mobility at 3 and 6 months. Koh et al. showed that adding ketorolac to hyaluronic acid injections in carpometacarpal osteoarthritis resulted in faster onset of pain relief compared to hyaluronic acid alone. Park et al. observed equivalent functional improvements with intra-articular ketorolac or corticosteroids in hip osteoarthritis. Jurgensmeier et al. demonstrated similar symptom improvement at 1 and 3 months post-injection for ketorolac and triamcinolone in hip and knee osteoarthritis. Xu et al. and Bellamy et al. confirmed ketorolac's comparable pain relief and functional benefits to corticosteroids for knee osteoarthritis, with ketorolac being more cost-effective. Lee et al. noted quicker pain reduction with intra-articular ketorolac combined with hyaluronic acid versus hyaluronic acid alone in knee osteoarthritis. aSafety and Pharmacologic Considerations Ketorolac's anti-inflammatory action stems from cyclooxygenase inhibition, reducing prostaglandin synthesis. Its half-life is approximately 5.2–5.6 hours, and it is metabolized in the liver. Unlike corticosteroids, ketorolac avoids systemic hyperglycemia and cartilage damage risks. Animal and in vitro studies suggest ketorolac may protect cartilage by inhibiting inflammatory cytokines. While gastrointestinal, renal, and cardiovascular risks associated with NSAIDs remain considerations, localized intra-articular and subacromial ketorolac injections may limit systemic exposure and adverse effects. Mild, transient post-injection pain has been reported but resolves without intervention. Conclusion Ketorolac injections, administered intra-articularly or subacromially, are a safe, effective, and economical alternative to corticosteroids for managing common musculoskeletal conditions. Their comparable efficacy in reducing pain and improving function, combined with a more favorable side effect profile, makes ketorolac an appealing option for clinicians and patients alike. Further research is warranted to fully elucidate long-term safety and optimal dosing strategies. FAQS Ketorolac Injections for Musculoskeletal Conditions: Frequently Asked Questions Musculoskeletal pain from conditions like bursitis, adhesive capsulitis, and osteoarthritis often requires injectable treatments. Ketorolac, a nonsteroidal anti-inflammatory drug (NSAID), is emerging as a promising alternative to corticosteroids. Below are common questions and answers based on a recent narrative review by Kiel et al. (2024). 1. What is ketorolac and how does it work? Ketorolac is a parenteral NSAID that reduces pain and inflammation by inhibiting cyclooxygenase enzymes, which decreases prostaglandin synthesis. It can be administered orally, intramuscularly, intravenously, or by injection directly into joints or around bursae. 2. How effective is ketorolac for musculoskeletal conditions? Studies show ketorolac injections provide significant pain relief and functional improvement comparable to corticosteroids in conditions like: Subacromial bursitis and shoulder impingement (subacromial injections) Adhesive capsulitis (frozen shoulder) (intra-articular injections) Osteoarthritis of the hip, knee, and thumb carpometacarpal joint (intra-articular injections) 3. What evidence supports subacromial ketorolac injections? Randomized controlled trials found: Goyal et al. and Taheri et al. reported similar pain reduction and functional outcomes between ketorolac and corticosteroids for subacromial injections. Kim et al. and Min et al. observed comparable or better patient satisfaction and shoulder mobility with ketorolac versus corticosteroids. 4. How does intra-articular ketorolac compare to corticosteroids for adhesive capsulitis? Akhtar et al. showed ketorolac reduced shoulder pain more than hyaluronic acid. Ahn et al. found ketorolac and corticosteroids equally effective for pain relief, with ketorolac providing better shoulder mobility at 3 and 6 months. 5. What about ketorolac for osteoarthritis? Ketorolac combined with hyaluronic acid provided faster pain relief than hyaluronic acid alone in thumb carpometacarpal joint osteoarthritis (Koh et al.). Intra-articular ketorolac had similar efficacy to corticosteroids in hip (Park et al., Jurgensmeier et al.) and knee osteoarthritis (Bellamy et al., Xu et al.). Ketorolac injections were more cost-effective compared to corticosteroids (Bellamy et al.). 6. Are ketorolac injections safe? Ketorolac's side effects are similar to other NSAIDs, mainly involving gastrointestinal, renal, and cardiovascular risks. However, localized intra-articular and subacromial injections may reduce systemic exposure. Animal studies suggest ketorolac does not harm cartilage and may protect against inflammatory damage. Mild, transient local pain post-injection is possible but usually resolves without treatment. 7. What are the limitations of ketorolac use? Ketorolac is not suitable for patients with: Renal impairment Gastrointestinal ulcers or bleeding risk Cardiovascular disease or hypertension NSAID hypersensitivity, especially in asthma or chronic urticaria patients Clinicians should assess individual risks before choosing ketorolac injections. 8. How does ketorolac's pharmacokinetics affect its use? Ketorolac has a plasma half-life of about 5.2 to 5.6 hours and is metabolized in the liver. Pharmacokinetics for subcutaneous or intra-articular administration are less defined but systemic absorption occurs. Its relatively short half-life supports repeated dosing if needed. 9. Why consider ketorolac over corticosteroids? Ketorolac avoids corticosteroid-associated risks such as tendon rupture, cartilage damage, and steroid-induced hyperglycemia. It is also more cost-effective, making it a favorable option for patients and healthcare systems. 10. What further research is needed? More large-scale, long-term studies are needed to fully understand ketorolac's intra-articular effects, optimal dosing, and safety profile compared to corticosteroids and other treatments. Summary: Ketorolac injections, whether intra-articular or subacromial, offer a safe, effective, and economical alternative to corticosteroids for managing various musculoskeletal conditions. This makes ketorolac an important option in pain management and inflammation control. Reference: Kiel J, Applewhite AI, Bertasi TGO, Bertasi RAO, Seemann LL, Costa LMC, Helmi H, Pujalte GGA. Ketorolac Injections for Musculoskeletal Conditions: A Narrative Review. Clinical Medicine & Research. 2024;22(1):19-27. DOI: https://doi.org/10.3121/cmr.2024.1847 Disclaimer: This Podcast, website and any content from NRAP Academy (PMRexam.com) otherwise known as Qbazaar.com, LLC is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user's own risk. Professionals should conduct their own fact finding, research, and due diligence to come to their own conclusions for treating patients. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professionals for any such conditions.
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Canada Immigration LMIA-Exempt Work Permit figures for C61, (Intra-company transferees starting a branch or affiliate in Canada) in 2023, for Total visas issued by IRCC. Good day ladies and gentlemen, this is IRC news, and I am Joy Stephen, an authorized Canadian Immigration Practitioner bringing out this Canada Work Permit application data specific to LMIA work permits or employer driven work permits or LMIA exempt work permits for multiple years based on your country of Citizenship. I am coming to you from the Polinsys studios in Cambridge, Ontario In 2023, a total of 245 LMIA-Exempt Work Permits were issued by IRCC, under C61, (Intra-company transferees starting a branch or affiliate in Canada) If you have an interest in gaining assistance with Work Permits based on your country of Citizenship, or should you require guidance post-selection, we extend a warm invitation to connect with us via https://myar.me/c. We strongly recommend attending our complimentary Zoom resource meetings conducted every Thursday. We kindly request you to carefully review the available resources. Subsequently, should any queries arise, our team of Canadian Authorized Representatives is readily available to address your concerns during the weekly AR's Q&A session held on Fridays. You can find the details for both these meetings at https://myar.me/zoom. Our dedicated team is committed to providing you with professional assistance in navigating the immigration process. Additionally, IRCNews offers valuable insights on selecting a qualified representative to advocate on your behalf with the Canadian Federal or Provincial governments, accessible at https://ircnews.ca/consultant
Canada Immigration LMIA-Exempt Work Permit figures for C61, (Intra-company transferees starting a branch or affiliate in Canada) in 2023 for the province/territory of Alberta. Good day ladies and gentlemen, this is IRC news, and I am Joy Stephen, an authorized Canadian Immigration practitioner bringing out this Canada Work Permit application data specific to LMIA work permits or employer driven work permits or LMIA exempt work permits for multiple years based on your country of Citizenship. I am coming to you from the Polinsys studios in Cambridge, Ontario The Province or Territory of Alberta accepted 10 LMIA-Exempt Work Permits in 2023, under C61, (Intra-company transferees starting a branch or affiliate in Canada).Stay informed about past events in Alberta by visiting this link: https://myar.me/tag/ab If you are interested in gaining comprehensive insights into the Federal Canadian Experience Class or other Canadian Federal or Provincial Immigration programs, or if you need guidance post-selection, we cordially invite you to connect with us via https://myar.me/c. We highly recommend attending our complimentary Zoom resource meetings held every Thursday. We kindly request you to thoroughly review the available resources. Subsequently, if you have any questions, our team of Canadian Authorized Representatives is readily available to address your concerns during the weekly AR's Q&A session on Fridays. You can find details for both these meetings at https://myar.me/zoom. Our dedicated team is committed to providing professional assistance throughout your immigration journey. Furthermore, IRCNews offers valuable insights on selecting a qualified representative to advocate on your behalf with the Canadian Federal or Provincial governments, accessible at https://ircnews.ca/consultant
Canada Immigration LMIA-Exempt Work Permit figures for C16, (Intra-Company Transferee Francophone mobility) in 2023 for the province/territory of Ontario. Good day ladies and gentlemen, this is IRC news, and I am Joy Stephen, an authorized Canadian Immigration practitioner bringing out this Canada Work Permit application data specific to LMIA work permits or employer driven work permits or LMIA exempt work permits for multiple years based on your country of Citizenship. I am coming to you from the Polinsys studios in Cambridge, OntarioThe Province or Territory of Ontario accepted 340 LMIA-Exempt Work Permits in 2023, under C16, (Intra-Company Transferee Francophone mobility).Dive into the archives of news from the Province of Ontario through this link: https://myar.me/tag/onIf you are interested in gaining comprehensive insights into the Quebec Investor Program or other Canadian Federal or Provincial Immigration programs, or if you require guidance after selection, we warmly invite you to connect with us via https://myar.me/c. We strongly encourage you to participate in our complimentary Zoom resource meetings held every Thursday. We kindly ask you to carefully review the available resources. If you have any questions, our team of Canadian Authorized Representatives is readily available to address your concerns during the weekly AR's Q&A session on Fridays. You can find details for both meetings at https://myar.me/zoom. Our dedicated team is committed to offering professional assistance throughout your immigration journey. In addition, IRCNews provides valuable insights on selecting a qualified representative to advocate for you with the Canadian Federal or Provincial governments, accessible at https://ircnews.ca/consultant.
Canada Immigration LMIA-Exempt Work Permit figures for C16, (Intra-Company Transferee Francophone mobility s) in 2023 for the province/territory of British Columbia. Good day ladies and gentlemen, this is IRC news, and I am Joy Stephen, an authorized Canadian Immigration practitioner bringing out this Canada Work Permit application data specific to LMIA work permits or employer driven work permits or LMIA exempt work permits for multiple years based on your country of Citizenship. I am coming to you from the Polinsys studios in Cambridge, OntarioThe Province or Territory of British Columbia accepted 235 LMIA-Exempt Work Permits in 2023, under C16, (Intra-Company Transferee Francophone mobility s).To delve into the history of news in British Columbia, follow this link: https://myar.me/tag/bcIf you have an interest in gaining comprehensive insights into the Canadian Federal Spouses and Partners sponsorship program or other Canadian Federal or Provincial Immigration programs, or should you require guidance post-selection, we extend a warm invitation to connect with us via https://myar.me/c. We strongly recommend attending our complimentary Zoom resource meetings conducted every Thursday. We kindly request you to carefully review the available resources. Subsequently, should any queries arise, our team of Canadian Authorized Representatives is readily available to address your concerns during the weekly AR's Q&A session held on Fridays. You can find the details for both these meetings at https://myar.me/zoom. Our dedicated team is committed to providing you with professional assistance in navigating the immigration process. Additionally, IRCNews offers valuable insights on selecting a qualified representative to advocate on your behalf with the Canadian Federal or Provincial governments, accessible at https://ircnews.ca/consultant.
Canada Immigration LMIA-Exempt Work Permit figures for C16, (Intra-Company Transferee Francophone mobility) in 2023 for the province/territory of Manitoba. Good day ladies and gentlemen, this is IRC news, and I am Joy Stephen, an authorized Canadian Immigration practitioner bringing out this Canada Work Permit application data specific to LMIA work permits or employer driven work permits or LMIA exempt work permits for multiple years based on your country of Citizenship. I am coming to you from the Polinsys studios in Cambridge, OntarioThe Province or Territory of Manitoba accepted 60 LMIA-Exempt Work Permits in 2023, under C16, (Intra-Company Transferee Francophone mobility).To delve into the history of news in Manitoba, follow this link: https://myar.me/tag/mbIf you have an interest in gaining comprehensive insights into the Canadian Federal Spouses and Partners sponsorship program or other Canadian Federal or Provincial Immigration programs, or should you require guidance post-selection, we extend a warm invitation to connect with us via https://myar.me/c. We strongly recommend attending our complimentary Zoom resource meetings conducted every Thursday. We kindly request you to carefully review the available resources. Subsequently, should any queries arise, our team of Canadian Authorized Representatives is readily available to address your concerns during the weekly AR's Q&A session held on Fridays. You can find the details for both these meetings at https://myar.me/zoom. Our dedicated team is committed to providing you with professional assistance in navigating the immigration process. Additionally, IRCNews offers valuable insights on selecting a qualified representative to advocate on your behalf with the Canadian Federal or Provincial governments, accessible at https://ircnews.ca/consultant.
Canada Immigration LMIA-Exempt Work Permit figures for C16, (Intra-Company Transferee Francophone mobility) in 2023 for the province/territory of New Brunswick. Good day ladies and gentlemen, this is IRC news, and I am Joy Stephen, an authorized Canadian Immigration practitioner bringing out this Canada Work Permit application data specific to LMIA work permits or employer driven work permits or LMIA exempt work permits for multiple years based on your country of Citizenship. I am coming to you from the Polinsys studios in Cambridge, OntarioThe Province or Territory of New Brunswick accepted 265 LMIA-Exempt Work Permits in 2023, under C16, (Intra-Company Transferee Francophone mobility).Stay updated with past news in New Brunswick by visiting this link: https://myar.me/tag/nb/. If you have an interest in acquiring comprehensive insights into the Federal RNIP or Rural and Northern Immigration Pilot program or other Canadian Federal or Provincial Immigration programs, or if you require guidance post-selection, we extend a warm invitation to connect with us via https://myar.me/c. We highly recommend your attendance at our complimentary Zoom resource meetings conducted every Thursday. We kindly request you to carefully review the available resources. Should any queries arise subsequently, our team of Canadian Authorized Representatives is readily available to address your concerns during the weekly AR's Q&A session held on Fridays. You can find details for both these meetings at https://myar.me/zoom. Our dedicated team is committed to providing professional assistance throughout your immigration process. In addition, IRCNews offers valuable insights on selecting a qualified representative to advocate on your behalf with the Canadian Federal or Provincial governments, accessible at https://ircnews.ca/consultant.
Canada Immigration LMIA-Exempt Work Permit figures for C16, (Intra-Company Transferee Francophone mobility s) in 2023 for the province/territory of Northwest Territories. Good day ladies and gentlemen, this is IRC news, and I am Joy Stephen, an authorized Canadian Immigration practitioner bringing out this Canada Work Permit application data specific to LMIA work permits or employer driven work permits or LMIA exempt work permits for multiple years based on your country of Citizenship. I am coming to you from the Polinsys studios in Cambridge, OntarioThe Province or Territory of Northwest Territories accepted 10 LMIA-Exempt Work Permits in 2023, under C16, (Intra-Company Transferee Francophone mobility s).Explore past news stories from North West Territories using the following link: https://myar.me/tag/nt If you have an interest in gaining comprehensive insights into the Federal Self Employed program or other Canadian Federal or Provincial Immigration programs, or should you require guidance post-selection, we extend a warm invitation to connect with us via https://myar.me/c. We strongly recommend attending our complimentary Zoom resource meetings conducted every Thursday. We kindly request you to carefully review the available resources. Subsequently, should any queries arise, our team of Canadian Authorized Representatives is readily available to address your concerns during the weekly AR's Q&A session held on Fridays. You can find the details for both these meetings at https://myar.me/zoom. Our dedicated team is committed to providing you with professional assistance in navigating the immigration process. Additionally, IRCNews offers valuable insights on selecting a qualified representative to advocate on your behalf with the Canadian Federal or Provincial governments, accessible at https://ircnews.ca/consultant.
Canada Immigration LMIA-Exempt Work Permit figures for C16, (Intra-Company Transferee Francophone mobility) in 2023 for the province/territory of Nova Scotia. Good day ladies and gentlemen, this is IRC news, and I am Joy Stephen, an authorized Canadian Immigration practitioner bringing out this Canada Work Permit application data specific to LMIA work permits or employer driven work permits or LMIA exempt work permits for multiple years based on your country of Citizenship. I am coming to you from the Polinsys studios in Cambridge, OntarioThe Province or Territory of Nova Scotia accepted 25 LMIA-Exempt Work Permits in 2023, under C16, (Intra-Company Transferee Francophone mobility).If you wish to review past news from Nova Scotia, this link will guide you: https://myar.me/tag/nsShould you have an interest in gaining comprehensive insights into the Federal Skills Trade Canadian Express Entry Program or other Canadian Federal or Provincial Immigration programs, or if you require guidance after selection, we warmly invite you to connect with us via https://myar.me/c. We strongly encourage participation in our complimentary Zoom resource meetings conducted every Thursday. We kindly ask you to diligently peruse the available resources. In case you have any questions, our team of Canadian Authorized Representatives is readily available to address your concerns during the weekly AR's Q&A session held on Fridays. You can access details for both of these meetings at https://myar.me/zoom. Our dedicated team is committed to providing professional assistance as you navigate the immigration process. Additionally, IRCNews offers valuable insights on selecting a qualified representative to advocate on your behalf with the Canadian Federal or Provincial governments, available at https://ircnews.ca/consultant.
Canada Immigration LMIA-Exempt Work Permit figures for C16, (Intra-Company Transferee Francophone mobility) in 2023, for Total visas issued by IRCC.Good day ladies and gentlemen, this is IRC news, and I am Joy Stephen, an authorized Canadian Immigration practitioner bringing out this Canada Work Permit application data specific to LMIA work permits or employer driven work permits or LMIA exempt work permits for multiple years based on your country of Citizenship. I am coming to you from the Polinsys studios in Cambridge, Ontario In 2023, a total of 1320 LMIA-Exempt Work Permits were issued by IRCC, under C16, (Intra-Company Transferee Francophone mobility). If you have an interest in gaining assistance with Work Permits based on your country of Citizenship, or should you require guidance post-selection, we extend a warm invitation to connect with us via https://myar.me/c. We strongly recommend attending our complimentary Zoom resource meetings conducted every Thursday. We kindly request you to carefully review the available resources. Subsequently, should any queries arise, our team of Canadian Authorized Representatives is readily available to address your concerns during the weekly AR's Q&A session held on Fridays. You can find the details for both these meetings at https://myar.me/zoom. Our dedicated team is committed to providing you with professional assistance in navigating the immigration process. Additionally, IRCNews offers valuable insights on selecting a qualified representative to advocate on your behalf with the Canadian Federal or Provincial governments, accessible at https://ircnews.ca/consultant
Canada Immigration LMIA-Exempt Work Permit figures for C16, (Intra-Company Transferee Francophone mobility) in 2023 for the province/territory of Prince Edward Island. Good day ladies and gentlemen, this is IRC news, and I am Joy Stephen, an authorized Canadian Immigration practitioner bringing out this Canada Work Permit application data specific to LMIA work permits or employer driven work permits or LMIA exempt work permits for multiple years based on your country of Citizenship. I am coming to you from the Polinsys studios in Cambridge, OntarioThe Province or Territory of Prince Edward Island accepted 20 LMIA-Exempt Work Permits in 2023, under C16, (Intra-Company Transferee Francophone mobility)Keep up with previous news stories from Prince Edward Island through this link: https://myar.me/tag/pe Should you be interested in acquiring comprehensive insights into the Canadian Federal Parents & Grandparents sponsorship program or other Canadian Federal or Provincial Immigration programs, or if you require guidance after selection, we extend a warm invitation to connect with us via https://myar.me/c. We strongly encourage your participation in our complimentary Zoom resource meetings held every Thursday. We kindly ask you to carefully examine the available resources. In case you have any inquiries, our team of Canadian Authorized Representatives is readily available to address your concerns during the weekly AR's Q&A session conducted on Fridays. You can access details for both of these meetings at https://myar.me/zoom. Our dedicated team is committed to providing professional assistance as you navigate the immigration process. Additionally, IRCNews offers valuable insights on selecting a qualified representative to advocate for you with the Canadian Federal or Provincial governments, available at https://ircnews.ca/consultant.
Canada Immigration LMIA-Exempt Work Permit figures for C16, (Intra-Company Transferee Francophone mobility) in 2023 for the province/territory of Quebec. Good day ladies and gentlemen, this is IRC news, and I am Joy Stephen, an authorized Canadian Immigration practitioner bringing out this Canada Work Permit application data specific to LMIA work permits or employer driven work permits or LMIA exempt work permits for multiple years based on your country of Citizenship. I am coming to you from the Polinsys studios in Cambridge, OntarioThe Province or Territory of Quebec accepted 5 LMIA-Exempt Work Permits in 2023, under C16, (Intra-Company Transferee Francophone mobility) Access archived news articles from Quebec via this link: https://myar.me/tag/qcIf you are interested in gaining comprehensive insights into the Federal Startup Business Program or other Canadian Federal or Provincial Immigration programs, or if you need guidance post-selection, we cordially invite you to connect with us via https://myar.me/c. We highly recommend attending our complimentary Zoom resource meetings held every Thursday. We kindly request you to thoroughly review the available resources. Subsequently, if you have any questions, our team of Canadian Authorized Representatives is readily available to address your concerns during the weekly AR's Q&A session on Fridays. You can find details for both these meetings at https://myar.me/zoom. Our dedicated team is committed to providing professional assistance throughout your immigration journey. Furthermore, IRCNews offers valuable insights on selecting a qualified representative to advocate on your behalf with the Canadian Federal or Provincial governments, accessible at https://ircnews.ca/consultant
Canada Immigration LMIA-Exempt Work Permit figures for C16, (Intra-Company Transferee Francophone mobility) in 2023 for the province/territory of Saskatchewan. Good day ladies and gentlemen, this is IRC news, and I am Joy Stephen, an authorized Canadian Immigration practitioner bringing out this Canada Work Permit application data specific to LMIA work permits or employer driven work permits or LMIA exempt work permits for multiple years based on your country of Citizenship. I am coming to you from the Polinsys studios in Cambridge, OntarioThe Province or Territory of Saskatchewan accepted 15 LMIA-Exempt Work Permits in 2023, under C16, (Intra-Company Transferee Francophone mobility).Discover past news items from Saskatchewan by clicking on this link: https://myar.me/tag/skShould you be interested in gaining comprehensive insights into the Federal Atlantic Immigration Program (AIP) or other Canadian Federal or Provincial Immigration programs, or if you require guidance after selection, we warmly invite you to connect with us via https://myar.me/c. We highly recommend attending our complimentary Zoom resource meetings held every Thursday. We kindly ask you to carefully review the available resources. In case you have any inquiries, our team of Canadian Authorized Representatives is readily available to address your concerns during the weekly AR's Q&A session held on Fridays. You can access details for both of these meetings at https://myar.me/zoom. Our dedicated team is committed to providing professional assistance throughout your immigration journey. Furthermore, IRCNews offers valuable insights on selecting a qualified representative to advocate on your behalf with the Canadian Federal or Provincial governments, accessible at https://ircnews.ca/consultant.
Canada Immigration LMIA-Exempt Work Permit figures for C16, (Intra-Company Transferee Francophone mobility) in 2021, for Total visas issued by IRCC.Good day ladies and gentlemen, this is IRC news, and I am Joy Stephen, an authorized Canadian Immigration practitioner bringing out this Canada Work Permit application data specific to LMIA work permits or employer driven work permits or LMIA exempt work permits for multiple years based on your country of Citizenship. I am coming to you from the Polinsys studios in Cambridge, Ontario In 2021, a total of 235 LMIA-Exempt Work Permits were issued by IRCC, under C16, (Intra-Company Transferee Francophone mobility). If you have an interest in gaining assistance with Work Permits based on your country of Citizenship, or should you require guidance post-selection, we extend a warm invitation to connect with us via https://myar.me/c. We strongly recommend attending our complimentary Zoom resource meetings conducted every Thursday. We kindly request you to carefully review the available resources. Subsequently, should any queries arise, our team of Canadian Authorized Representatives is readily available to address your concerns during the weekly AR's Q&A session held on Fridays. You can find the details for both these meetings at https://myar.me/zoom. Our dedicated team is committed to providing you with professional assistance in navigating the immigration process. Additionally, IRCNews offers valuable insights on selecting a qualified representative to advocate on your behalf with the Canadian Federal or Provincial governments, accessible at https://ircnews.ca/consultant
Canada Immigration LMIA-Exempt Work Permit figures for C16, (Intra-Company Transferee Francophone mobility) in 2022, for Total visas issued by IRCC.Good day ladies and gentlemen, this is IRC news, and I am Joy Stephen, an authorized Canadian Immigration practitioner bringing out this Canada Work Permit application data specific to LMIA work permits or employer driven work permits or LMIA exempt work permits for multiple years based on your country of Citizenship. I am coming to you from the Polinsys studios in Cambridge, Ontario In 2022, a total of 875 LMIA-Exempt Work Permits were issued by IRCC, under C16, (Intra-Company Transferee Francophone mobility). If you have an interest in gaining assistance with Work Permits based on your country of Citizenship, or should you require guidance post-selection, we extend a warm invitation to connect with us via https://myar.me/c. We strongly recommend attending our complimentary Zoom resource meetings conducted every Thursday. We kindly request you to carefully review the available resources. Subsequently, should any queries arise, our team of Canadian Authorized Representatives is readily available to address your concerns during the weekly AR's Q&A session held on Fridays. You can find the details for both these meetings at https://myar.me/zoom. Our dedicated team is committed to providing you with professional assistance in navigating the immigration process. Additionally, IRCNews offers valuable insights on selecting a qualified representative to advocate on your behalf with the Canadian Federal or Provincial governments, accessible at https://ircnews.ca/consultant
Canada Immigration LMIA-Exempt Work Permit figures for C16, (Intra-Company Transferee Francophone mobility s) in 2022 for the province/territory of Quebec. Good day ladies and gentlemen, this is IRC news, and I am Joy Stephen, an authorized Canadian Immigration practitioner bringing out this Canada Work Permit application data specific to LMIA work permits or employer driven work permits or LMIA exempt work permits for multiple years based on your country of Citizenship. I am coming to you from the Polinsys studios in Cambridge, OntarioThe Province or Territory of Quebec accepted 5 LMIA-Exempt Work Permits in 2022, under C16, (Intra-Company Transferee Francophone mobility s).Access archived news articles from Quebec via this link: https://myar.me/tag/qc If you are interested in gaining comprehensive insights into the Federal Startup Business Program or other Canadian Federal or Provincial Immigration programs, or if you need guidance post-selection, we cordially invite you to connect with us via https://myar.me/c. We highly recommend attending our complimentary Zoom resource meetings held every Thursday. We kindly request you to thoroughly review the available resources. Subsequently, if you have any questions, our team of Canadian Authorized Representatives is readily available to address yours concerns during the weekly AR's Q&A session on Fridays. You can find details for both these meetings at https://myar.me/zoom. Our dedicated team is committed to providing professional assistance throughout your immigration journey. Furthermore, IRCNews offers valuable insights on selecting a qualified representative to advocate on your behalf with the Canadian Federal or Provincial governments, accessible at https://ircnews.ca/consultant.
Canada Immigration LMIA-Exempt Work Permit figures for C16, (Intra-Company Transferee Francophone mobility s) in 2022 for the province/territory of Nova Scotia. Good day ladies and gentlemen, this is IRC news, and I am Joy Stephen, an authorized Canadian Immigration practitioner bringing out this Canada Work Permit application data specific to LMIA work permits or employer driven work permits or LMIA exempt work permits for multiple years based on your country of Citizenship. I am coming to you from the Polinsys studios in Cambridge, OntarioThe Province or Territory of Nova Scotia accepted 20 LMIA-Exempt Work Permits in 2022, under C16, (Intra-Company Transferee Francophone mobility s).If you wish to review past news from Nova Scotia, this link will guide you: https://myar.me/tag/nsShould you have an interest in gaining comprehensive insights into the Federal Skills Trade Canadian Express Entry Program or other Canadian Federal or Provincial Immigration programs, or if you require guidance after selection, we warmly invite you to connect with us via https://myar.me/c. We strongly encourage participation in our complimentary Zoom resource meetings conducted every Thursday. We kindly ask you to diligently peruse the available resources. In case you have any questions, our team of Canadian Authorized Representatives is readily available to address your concerns during the weekly AR's Q&A session held on Fridays. You can access details for both of these meetings at https://myar.me/zoom. Our dedicated team is committed to providing professional assistance as you navigate the immigration process. Additionally, IRCNews offers valuable insights on selecting a qualified representative to advocate on your behalf with the Canadian Federal or Provincial governments, available at https://ircnews.ca/consultant.
Canada Immigration LMIA-Exempt Work Permit figures for C16, (Intra-Company Transferee Francophone mobility s) in 2022 for the province/territory of Ontario. Good day ladies and gentlemen, this is IRC news, and I am Joy Stephen, an authorized Canadian Immigration practitioner bringing out this Canada Work Permit application data specific to LMIA work permits or employer driven work permits or LMIA exempt work permits for multiple years based on your country of Citizenship. I am coming to you from the Polinsys studios in Cambridge, OntarioThe Province or Territory of Ontario accepted 275 LMIA-Exempt Work Permits in 2022, under C16, (Intra-Company Transferee Francophone mobility s).Dive into the archives of news from the Province of Ontario through this link: https://myar.me/tag/on/.If you are interested in gaining comprehensive insights into the Quebec Investor Program or other Canadian Federal or Provincial Immigration programs, or if you require guidance after selection, we warmly invite you to connect with us via https://myar.me/c. We strongly encourage you to participate in our complimentary Zoom resource meetings held every Thursday. We kindly ask you to carefully review the available resources. If you have any questions, our team of Canadian Authorized Representatives is readily available to address your concerns during the weekly AR's Q&A session on Fridays. You can find details for both meetings at https://myar.me/zoom. Our dedicated team is committed to offering professional assistance throughout your immigration journey. In addition, IRCNews provides valuable insights on selecting a qualified representative to advocate for you with the Canadian Federal or Provincial governments, accessible at https://ircnews.ca/consultant.
Canada Immigration LMIA-Exempt Work Permit figures for C16, (Intra-Company Transferee Francophone mobility s) in 2022 for the province/territory of Prince Edward Island. Good day ladies and gentlemen, this is IRC news, and I am Joy Stephen, an authorized Canadian Immigration practitioner bringing out this Canada Work Permit application data specific to LMIA work permits or employer driven work permits or LMIA exempt work permits for multiple years based on your country of Citizenship. I am coming to you from the Polinsys studios in Cambridge, OntarioThe Province or Territory of Prince Edward Island accepted 15 LMIA-Exempt Work Permits in 2022, under C16, (Intra-Company Transferee Francophone mobility s).Keep up with previous news stories from Prince Edward Island through this link: https://myar.me/tag/pe Should you be interested in acquiring comprehensive insights into the Canadian Federal Parents & Grandparents sponsorship program or other Canadian Federal or Provincial Immigration programs, or if you require guidance after selection, we extend a warm invitation to connect with us via https://myar.me/c. We strongly encourage your participation in our complimentary Zoom resource meetings held every Thursday. We kindly ask you to carefully examine the available resources. In case you have any inquiries, our team of Canadian Authorized Representatives is readily available to address your concerns during the weekly AR's Q&A session conducted on Fridays. You can access details for both of these meetings at https://myar.me/zoom. Our dedicated team is committed to providing professional assistance as you navigate the immigration process. Additionally, IRCNews offers valuable insights on selecting a qualified representative to advocate for you with the Canadian Federal or Provincial governments, available at https://ircnews.ca/consultant.
Canada Immigration LMIA-Exempt Work Permit figures for C16, (Intra-Company Transferee Francophone mobility s) in 2023 for the province/territory of Alberta. Good day ladies and gentlemen, this is IRC news, and I am Joy Stephen, an authorized Canadian Immigration practitioner bringing out this Canada Work Permit application data specific to LMIA work permits or employer driven work permits or LMIA exempt work permits for multiple years based on your country of Citizenship. I am coming to you from the Polinsys studios in Cambridge, Ontario The Province or Territory of Alberta accepted 330 LMIA-Exempt Work Permits in 2023, under C16, (Intra-Company Transferee Francophone mobility s).Stay informed about past events in Alberta by visiting this link: https://myar.me/tag/ab If you are interested in gaining comprehensive insights into the Federal Canadian Experience Class or other Canadian Federal or Provincial Immigration programs, or if you need guidance post-selection, we cordially invite you to connect with us via https://myar.me/c. We highly recommend attending our complimentary Zoom resource meetings held every Thursday. We kindly request you to thoroughly review the available resources. Subsequently, if you have any questions, our team of Canadian Authorized Representatives is readily available to address your concerns during the weekly AR's Q&A session on Fridays. You can find details for both these meetings at https://myar.me/zoom. Our dedicated team is committed to providing professional assistance throughout your immigration journey. Furthermore, IRCNews offers valuable insights on selecting a qualified representative to advocate on your behalf with the Canadian Federal or Provincial governments, accessible at https://ircnews.ca/consultant.
Canada Immigration LMIA-Exempt Work Permit figures for C16, (Intra-Company Transferee Francophone mobility s) in 2022 for the province/territory of Saskatchewan. Good day ladies and gentlemen, this is IRC news, and I am Joy Stephen, an authorized Canadian Immigration practitioner bringing out this Canada Work Permit application data specific to LMIA work permits or employer driven work permits or LMIA exempt work permits for multiple years based on your country of Citizenship. I am coming to you from the Polinsys studios in Cambridge, OntarioThe Province or Territory of Saskatchewan accepted 10 LMIA-Exempt Work Permits in 2022, under C16, (Intra-Company Transferee Francophone mobility)Discover past news items from Saskatchewan by clicking on this link: https://myar.me/tag/sk Should you be interested in gaining comprehensive insights into the Federal Atlantic Immigration Program (AIP) or other Canadian Federal or Provincial Immigration programs, or if you require guidance after selection, we warmly invite you to connect with us via https://myar.me/c. We highly recommend attending our complimentary Zoom resource meetings held every Thursday. We kindly ask you to carefully review the available resources. In case you have any inquiries, our team of Canadian Authorized Representatives is readily available to address your concerns during the weekly AR's Q&A session held on Fridays. You can access details for both of these meetings at https://myar.me/zoom. Our dedicated team is committed to providing professional assistance throughout your immigration journey. Furthermore, IRCNews offers valuable insights on selecting a qualified representative to advocate on your behalf with the Canadian Federal or Provincial governments, accessible at https://ircnews.ca/consultant.
Canada Immigration LMIA-Exempt Work Permit figures for C16, (Intra-Company Transferee Francophone mobility s) in 2022 for the province/territory of Yukon. Good day ladies and gentlemen, this is IRC news, and I am Joy Stephen, an authorized Canadian Immigration practitioner bringing out this Canada Work Permit application data specific to LMIA work permits or employer driven work permits or LMIA exempt work permits for multiple years based on your country of Citizenship. I am coming to you from the Polinsys studios in Cambridge, Ontario The Province or Territory of Yukon accepted 10 LMIA-Exempt Work Permits in 2022, under C16, (Intra-Company Transferee Francophone mobility s). For a convenient way to check past news in Yukon Territory, just visit this link: https://myar.me/tag/ytShould you be interested in acquiring comprehensive insights into the Federal Caring for Children Program or other Canadian Federal or Provincial Immigration programs, or if you require guidance after selection, we extend a warm invitation to connect with us via https://myar.me/c. We strongly encourage your participation in our complimentary Zoom resource meetings held every Thursday. We kindly ask you to carefully examine the available resources. In case you have any inquiries, our team of Canadian Authorized Representatives is readily available to address your concerns during the weekly AR's Q&A session conducted on Fridays. You can access details for both of these meetings at https://myar.me/zoom. Our dedicated team is committed to providing professional assistance as you navigate the immigration process. Additionally, IRCNews offers valuable insights on selecting a qualified representative to advocate for you with the Canadian Federal or Provincial governments, available at https://ircnews.ca/consultant.
Canada Immigration LMIA-Exempt Work Permit figures for C16, (Intra-Company Transferee Francophone mobility s) in 2022 for the province/territory of Northwest Territories. Good day ladies and gentlemen, this is IRC news, and I am Joy Stephen, an authorized Canadian Immigration practitioner bringing out this Canada Work Permit application data specific to LMIA work permits or employer driven work permits or LMIA exempt work permits for multiple years based on your country of Citizenship. I am coming to you from the Polinsys studios in Cambridge, OntarioThe Province or Territory of Northwest Territories accepted 5 LMIA-Exempt Work Permits in 2022, under C16, (Intra-Company Transferee Francophone mobility s).Explore past news stories from North West Territories using the following link: https://myar.me/tag/nt If you have an interest in gaining comprehensive insights into the Federal Self Employed program or other Canadian Federal or Provincial Immigration programs, or should you require guidance post-selection, we extend a warm invitation to connect with us via https://myar.me/c. We strongly recommend attending our complimentary Zoom resource meetings conducted every Thursday. We kindly request you to carefully review the available resources. Subsequently, should any queries arise, our team of Canadian Authorized Representatives is readily available to address your concerns during the weekly AR's Q&A session held on Fridays. You can find the details for both these meetings at https://myar.me/zoom. Our dedicated team is committed to providing you with professional assistance in navigating the immigration process. Additionally, IRCNews offers valuable insights on selecting a qualified representative to advocate on your behalf with the Canadian Federal or Provincial governments, accessible at https://ircnews.ca/consultant.
Canada Immigration LMIA-Exempt Work Permit figures for C16, (Intra-Company Transferee Francophone mobility s) in 2022 for the province/territory of Newfoundland and Labrador. Good day ladies and gentlemen, this is IRC news, and I am Joy Stephen, an authorized Canadian Immigration practitioner bringing out this Canada Work Permit application data specific to LMIA work permits or employer driven work permits or LMIA exempt work permits for multiple years based on your country of Citizenship. I am coming to you from the Polinsys studios in Cambridge, Ontario The Province or Territory of Newfoundland and Labrador accepted 95 LMIA-Exempt Work Permits in 2022, under C16, (Intra-Company Transferee Francophone mobility s).You have the option to browse through historical news from Newfoundland by clicking this link: https://myar.me/tag/nl/. Should you be interested in gaining comprehensive insights into the Quebec Skilled Program or other Canadian Federal or Provincial Immigration programs, or if you find yourself in need of guidance after selection, we extend a warm invitation to connect with us via https://myar.me/c. We highly recommend attending our complimentary Zoom resource meetings held every Thursday. We kindly request you to carefully review the available resources. In case you have any inquiries, our team of Canadian Authorized Representatives is readily available to address your concerns during the weekly AR's Q&A session held on Fridays. You can access details for both of these meetings at https://myar.me/zoom.Our dedicated team is committed to providing professional assistance throughout your immigration journey. Furthermore, IRCNews offers valuable insights on selecting a qualified representative to advocate on your behalf with the Canadian Federal or Provincial governments, accessible at https://ircnews.ca/consultant.
Canada Immigration LMIA-Exempt Work Permit figures for C16, (Intra-Company Transferee Francophone mobility s) in 2022 for the province/territory of New Brunswick.Good day ladies and gentlemen, this is IRC news, and I am Joy Stephen, an authorized Canadian Immigration practitioner bringing out this Canada Work Permit application data specific to LMIA work permits or employer driven work permits or LMIA exempt work permits for multiple years based on your country of Citizenship. I am coming to you from the Polinsys studios in Cambridge, Ontario The Province or Territory of New Brunswick accepted 95 LMIA-Exempt Work Permits in 2022, under C16, (Intra-Company Transferee Francophone mobility s).Stay updated with past news in New Brunswick by visiting this link: https://myar.me/tag/nb/. If you have an interest in acquiring comprehensive insights into the Federal RNIP or Rural and Northern Immigration Pilot program or other Canadian Federal or Provincial Immigration programs, or if you require guidance post-selection, we extend a warm invitation to connect with us via https://myar.me/c. We highly recommend your attendance at our complimentary Zoom resource meetings conducted every Thursday. We kindly request you to carefully review the available resources. Should any queries arise subsequently, our team of Canadian Authorized Representatives is readily available to address your concerns during the weekly AR's Q&A session held on Fridays. You can find details for both these meetings at https://myar.me/zoom. Our dedicated team is committed to providing professional assistance throughout your immigration process. In addition, IRCNews offers valuable insights on selecting a qualified representative to advocate on your behalf with the Canadian Federal or Provincial governments, accessible at https://ircnews.ca/consultant.
Canada Immigration LMIA-Exempt Work Permit figures for C16, (Intra-Company Transferee Francophone mobility s) in 2022 for the province/territory of Manitoba. Good day ladies and gentlemen, this is IRC news, and I am Joy Stephen, an authorized Canadian Immigration practitioner bringing out this Canada Work Permit application data specific to LMIA work permits or employer driven work permits or LMIA exempt work permits for multiple years based on your country of Citizenship. I am coming to you from the Polinsys studios in Cambridge, Ontario The Province or Territory of Manitoba accepted 20 LMIA-Exempt Work Permits in 2022, under C16, (Intra-Company Transferee Francophone mobility s).To delve into the history of news in Manitoba, follow this link: https://myar.me/tag/mb If you have an interest in gaining comprehensive insights into the Canadian Federal Spouses and Partners sponsorship program or other Canadian Federal or Provincial Immigration programs, or should you require guidance post-selection, we extend a warm invitation to connect with us via https://myar.me/c. We strongly recommend attending our complimentary Zoom resource meetings conducted every Thursday. We kindly request you to carefully review the available resources. Subsequently, should any queries arise, our team of Canadian Authorized Representatives is readily available to address your concerns during the weekly AR's Q&A session held on Fridays. You can find the details for both these meetings at https://myar.me/zoom. Our dedicated team is committed to providing you with professional assistance in navigating the immigration process. Additionally, IRCNews offers valuable insights on selecting a qualified representative to advocate on your behalf with the Canadian Federal or Provincial governments, accessible at https://ircnews.ca/consultant.
Canada Immigration LMIA-Exempt Work Permit figures for C16, (Intra-Company Transferee Francophone mobility s) in 2022 for the province/territory of British Columbia.Good day ladies and gentlemen, this is IRC news, and I am Joy Stephen, an authorized Canadian Immigration practitioner bringing out this Canada Work Permit application data specific to LMIA work permits or employer driven work permits or LMIA exempt work permits for multiple years based on your country of Citizenship. I am coming to you from the Polinsys studios in Cambridge, Ontario The Province or Territory of British Columbia accepted 215 LMIA-Exempt Work Permits in 2022, under C16, (Intra-Company Transferee Francophone mobility s). To delve into the history of news in British Columbia, follow this link: https://myar.me/tag/bc If you have an interest in gaining comprehensive insights into the Canadian Federal Spouses and Partners sponsorship program or other Canadian Federal or Provincial Immigration programs, or should you require guidance post-selection, we extend a warm invitation to connect with us via https://myar.me/c. We strongly recommend attending our complimentary Zoom resource meetings conducted every Thursday. We kindly request you to carefully review the available resources. Subsequently, should any queries arise, our team of Canadian Authorized Representatives is readily available to address your concerns during the weekly AR's Q&A session held on Fridays. You can find the details for both these meetings at https://myar.me/zoom. Our dedicated team is committed to providing you with professional assistance in navigating the immigration process. Additionally, IRCNews offers valuable insights on selecting a qualified representative to advocate on your behalf with the Canadian Federal or Provincial governments, accessible at https://ircnews.ca/consultant.
Canada Immigration LMIA-Exempt Work Permit figures for C16, (Intra-Company Transferee Francophone mobility) in 2022 for the province/territory of Alberta Good day ladies and gentlemen, this is IRC news, and I am Joy Stephen, an authorized Canadian Immigration practitioner bringing out this Canada Work Permit application data specific to LMIA work permits or employer driven work permits or LMIA exempt work permits for multiple years based on your country of Citizenship. I am coming to you from the Polinsys studios in Cambridge, Ontario The Province or Territory of Alberta accepted 180 LMIA-Exempt Work Permits in 2022, under C16, (Intra-Company Transferee Francophone mobility s). To delve into the history of news in British Columbia, follow this link: https://myar.me/tag/ab If you have an interest in gaining comprehensive insights into the Canadian Federal Spouses and Partners sponsorship program or other Canadian Federal or Provincial Immigration programs, or should you require guidance post-selection, we extend a warm invitation to connect with us via https://myar.me/c. We strongly recommend attending our complimentary Zoom resource meetings conducted every Thursday. We kindly request you to carefully review the available resources. Subsequently, should any queries arise, our team of Canadian Authorized Representatives is readily available to address your concerns during the weekly AR's Q&A session held on Fridays. You can find the details for both these meetings at https://myar.me/zoom. Our dedicated team is committed to providing you with professional assistance in navigating the immigration process. Additionally, IRCNews offers valuable insights on selecting a qualified representative to advocate on your behalf with the Canadian Federal or Provincial governments, accessible at https://ircnews.ca/consultant.
In this episode of The Litigation Psychology Podcast, Bill Kanasky, Jr., Ph.D. dives into the rapidly evolving world of plaintiff attorney advertising and specifically how it's exploded on social media. While traditional ads like billboards and cheesy daytime TV spots are still around, many plaintiff firms are now taking a totally different approach online. Bill explains how these firms are using TikTok, Instagram, and X (formally Twitter) to push out videos that aren't focused on big verdicts or settlements, but rather aimed at shaping public opinion and, ultimately, juror attitudes. Bill breaks these videos down into five key themes: 1. Anti-insurance messaging, where attorneys warn viewers not to speak with or accept offers from insurance companies because “they'll screw you”; 2. Humanization of the plaintiff firm, posting behind-the-scenes office tours, staff intros, and even lighthearted content like dance videos and trivia to show they're just regular, likable people; 3. Educational content, where attorneys explain litigation terms and legal processes in simple, friendly language; 4. Do's and don'ts videos, like checklists for what to do if you're injured or filing a claim; 5. Intra-plaintiff firm competition, where attorneys differentiate themselves by claiming superior trial skills over “billboard lawyers.” Bill notes that what's most interesting is that these videos and messages are rarely about huge payouts but instead they're about fairness, trust, and credibility. And it's working. Plaintiff attorneys continue to build successful practices and jurors see these videos, and consciously or not, they come into the courtroom with biases that can be hard to shake. Bill points out that the defense bar and insurance industry are completely missing from this space, leaving the messaging one-sided. Lastly, Bill asks the questions: should the defense start countering this? And should voir dire include questions about social media exposure to these types of messages?
Canada Immigration LMIA-Exempt Work Permit figures for C16, (Intra-Company Transferee Francophone mobility s) in 2021 for the province/territory of British Columbia.Good day ladies and gentlemen, this is IRC news, and I am Joy Stephen, an authorized Canadian Immigration practitioner bringing out this Canada Work Permit application data specific to LMIA work permits or employer driven work permits or LMIA exempt work permits for multiple years based on your country of Citizenship. I am coming to you from the Polinsys studios in Cambridge, Ontario The Province or Territory of British Columbia accepted 70 LMIA-Exempt Work Permits in 2021, under C16, (Intra-Company Transferee Francophone mobility s).To delve into the history of news in British Columbia, follow this link: https://myar.me/tag/bc. If you have an interest in gaining comprehensive insights into the Canadian Federal Spouses and Partners sponsorship program or other Canadian Federal or Provincial Immigration programs, or should you require guidance post-selection, we extend a warm invitation to connect with us via https://myar.me/c. We strongly recommend attending our complimentary Zoom resource meetings conducted every Thursday. We kindly request you to carefully review the available resources. Subsequently, should any queries arise, our team of Canadian Authorized Representatives is readily available to address your concerns during the weekly AR's Q&A session held on Fridays. You can find the details for both these meetings at https://myar.me/zoom. Our dedicated team is committed to providing you with professional assistance in navigating the immigration process. Additionally, IRCNews offers valuable insights on selecting a qualified representative to advocate on your behalf with the Canadian Federal or Provincial governments, accessible at https://ircnews.ca/consultant.
Canada Immigration LMIA-Exempt Work Permit figures for C16, (Intra-Company Transferee Francophone mobility s) in 2021 for the province/territory of Newfoundland and Labrador. Good day ladies and gentlemen, this is IRC news, and I am Joy Stephen, an authorized Canadian Immigration practitioner bringing out this Canada Work Permit application data specific to LMIA work permits or employer driven work permits or LMIA exempt work permits for multiple years based on your country of Citizenship. I am coming to you from the Polinsys studios in Cambridge, Ontario The Province or Territory of Newfoundland and Labrador accepted 20 LMIA-Exempt Work Permits in 2021, under C16, (Intra-Company Transferee Francophone mobility s). You have the option to browse through historical news from Newfoundland by clicking this link: https://myar.me/tag/nl/. Should you be interested in gaining comprehensive insights into the Quebec Skilled Program or other Canadian Federal or Provincial Immigration programs, or if you find yourself in need of guidance after selection, we extend a warm invitation to connect with us via https://myar.me/c. We highly recommend attending our complimentary Zoom resource meetings held every Thursday. We kindly request you to carefully review the available resources. In case you have any inquiries, our team of Canadian Authorized Representatives is readily available to address your concerns during the weekly AR's Q&A session held on Fridays. You can access details for both of these meetings at https://myar.me/zoom.Our dedicated team is committed to providing professional assistance throughout your immigration journey. Furthermore, IRCNews offers valuable insights on selecting a qualified representative to advocate on your behalf with the Canadian Federal or Provincial governments, accessible at https://ircnews.ca/consultant.
Canada Immigration LMIA-Exempt Work Permit figures for C16, (Intra-Company Transferee Francophone mobility s) in 2021 for the province/territory of Manitoba. Good day ladies and gentlemen, this is IRC news, and I am Joy Stephen, an authorized Canadian Immigration practitioner bringing out this Canada Work Permit application data specific to LMIA work permits or employer driven work permits or LMIA exempt work permits for multiple years based on your country of Citizenship. I am coming to you from the Polinsys studios in Cambridge, OntarioThe Province or Territory of Manitoba accepted 5 LMIA-Exempt Work Permits in 2021, under C16, (Intra-Company Transferee Francophone mobility s).To delve into the history of news in Manitoba, follow this link: https://myar.me/tag/mb If you have an interest in gaining comprehensive insights into the Canadian Federal Spouses and Partners sponsorship program or other Canadian Federal or Provincial Immigration programs, or should you require guidance post-selection, we extend a warm invitation to connect with us via https://myar.me/c. We strongly recommend attending our complimentary Zoom resource meetings conducted every Thursday. We kindly request you to carefully review the available resources. Subsequently, should any queries arise, our team of Canadian Authorized Representatives is readily available to address your concerns during the weekly AR's Q&A session held on Fridays. You can find the details for both these meetings at https://myar.me/zoom. Our dedicated team is committed to providing you with professional assistance in navigating the immigration process. Additionally, IRCNews offers valuable insights on selecting a qualified representative to advocate on your behalf with the Canadian Federal or Provincial governments, accessible at https://ircnews.ca/consultant.
Canada Immigration LMIA-Exempt Work Permit figures for C16, (Intra-Company Transferee Francophone mobility) in 2021 for the province/territory of Ontario.Good day ladies and gentlemen, this is IRC news, and I am Joy Stephen, an authorized Canadian Immigration practitioner bringing out this Canada Work Permit application data specific to LMIA work permits or employer driven work permits or LMIA exempt work permits for multiple years based on your country of Citizenship. I am coming to you from the Polinsys studios in Cambridge, OntarioThe Province or Territory of Ontario accepted 85 LMIA-Exempt Work Permits in 2021, under C16, (Intra-Company Transferee Francophone mobility). Dive into the archives of news from the Province of Ontario through this link: https://myar.me/tag/on/. If you are interested in gaining comprehensive insights into the Quebec Investor Program or other Canadian Federal or Provincial Immigration programs, or if you require guidance after selection, we warmly invite you to connect with us via https://myar.me/c. We strongly encourage you to participate in our complimentary Zoom resource meetings held every Thursday. We kindly ask you to carefully review the available resources. If you have any questions, our team of Canadian Authorized Representatives is readily available to address your concerns during the weekly AR's Q&A session on Fridays. You can find details for both meetings at https://myar.me/zoom. Our dedicated team is committed to offering professional assistance throughout your immigration journey. In addition, IRCNews provides valuable insights on selecting a qualified representative to advocate for you with the Canadian Federal or Provincial governments, accessible at https://ircnews.ca/consultant.
Canada Immigration LMIA-Exempt Work Permit figures for C16, (Intra-Company Transferee Francophone mobility) in 2021 for the province/territory of Alberta.Good day ladies and gentlemen, this is IRC news, and I am Joy Stephen, an authorized Canadian Immigration practitioner bringing out this Canada Work Permit application data specific to LMIA work permits or employer driven work permits or LMIA exempt work permits for multiple years based on your country of Citizenship. I am coming to you from the Polinsys studios in Cambridge, Ontario The Province or Territory of Alberta accepted 35 LMIA-Exempt Work Permits in 2021, under C16, (Intra-Company Transferee Francophone mobility). Stay informed about past events in Alberta by visiting this link: https://myar.me/tag/ab If you are interested in gaining comprehensive insights into the Federal Canadian Experience Class or other Canadian Federal or Provincial Immigration programs, or if you need guidance post-selection, we cordially invite you to connect with us via https://myar.me/c. We highly recommend attending our complimentary Zoom resource meetings held every Thursday. We kindly request you to thoroughly review the available resources. Subsequently, if you have any questions, our team of Canadian Authorized Representatives is readily available to address your concerns during the weekly AR's Q&A session on Fridays. You can find details for both these meetings at https://myar.me/zoom. Our dedicated team is committed to providing professional assistance throughout your immigration journey. Furthermore, IRCNews offers valuable insights on selecting a qualified representative to advocate on your behalf with the Canadian Federal or Provincial governments, accessible at https://ircnews.ca/consultant.
Canada Immigration LMIA-Exempt Work Permit figures for C16, (Intra-Company Transferee Francophone mobility) in 2021 for the province/territory of Nova Scotia. Good day ladies and gentlemen, this is IRC news, and I am Joy Stephen, an authorized Canadian Immigration practitioner bringing out this Canada Work Permit application data specific to LMIA work permits or employer driven work permits or LMIA exempt work permits for multiple years based on your country of Citizenship. I am coming to you from the Polinsys studios in Cambridge, OntarioThe Province or Territory of Nova Scotia accepted 5 LMIA-Exempt Work Permits in 2021, under C16, (Intra-Company Transferee Francophone mobility).If you wish to review past news from Nova Scotia, this link will guide you: https://myar.me/tag/nsShould you have an interest in gaining comprehensive insights into the Federal Skills Trade Canadian Express Entry Program or other Canadian Federal or Provincial Immigration programs, or if you require guidance after selection, we warmly invite you to connect with us via https://myar.me/c. We strongly encourage participation in our complimentary Zoom resource meetings conducted every Thursday. We kindly ask you to diligently peruse the available resources. In case you have any questions, our team of Canadian Authorized Representatives is readily available to address your concerns during the weekly AR's Q&A session held on Fridays. You can access details for both of these meetings at https://myar.me/zoom. Our dedicated team is committed to providing professional assistance as you navigate the immigration process. Additionally, IRCNews offers valuable insights on selecting a qualified representative to advocate on your behalf with the Canadian Federal or Provincial governments, available at https://ircnews.ca/consultant.
Canada Immigration LMIA-Exempt Work Permit figures for C16, (Intra-Company Transferee Francophone mobility) in 2021 for the province/territory of Prince Edward Island.Good day ladies and gentlemen, this is IRC news, and I am Joy Stephen, an authorized Canadian Immigration practitioner bringing out this Canada Work Permit application data specific to LMIA work permits or employer driven work permits or LMIA exempt work permits for multiple years based on your country of Citizenship. I am coming to you from the Polinsys studios in Cambridge, Ontario The Province or Territory of Prince Edward Island accepted 5 LMIA-Exempt Work Permits in 2021, under C16, (Intra-Company Transferee Francophone mobility).Keep up with previous news stories from Prince Edward Island through this link: https://myar.me/tag/pe Should you be interested in acquiring comprehensive insights into the Canadian Federal Parents & Grandparents sponsorship program or other Canadian Federal or Provincial Immigration programs, or if you require guidance after selection, we extend a warm invitation to connect with us via https://myar.me/c. We strongly encourage your participation in our complimentary Zoom resource meetings held every Thursday. We kindly ask you to carefully examine the available resources. In case you have any inquiries, our team of Canadian Authorized Representatives is readily available to address your concerns during the weekly AR's Q&A session conducted on Fridays. You can access details for both of these meetings at https://myar.me/zoom. Our dedicated team is committed to providing professional assistance as you navigate the immigration process. Additionally, IRCNews offers valuable insights on selecting a qualified representative to advocate for you with the Canadian Federal or Provincial governments, available at https://ircnews.ca/consultant.
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Canada Immigration LMIA-Exempt Work Permit figures for C15, (Intra-Company Transferee Rural and Northern Immigration Pilots) in 2022 for the province/territory of Saskatchewan. Good day ladies and gentlemen, this is IRC news, and I am Joy Stephen, an authorized Canadian Immigration practitioner bringing out this Canada Work Permit application data specific to LMIA work permits or employer driven work permits or LMIA exempt work permits for multiple years based on your country of Citizenship. I am coming to you from the Polinsys studios in Cambridge, Ontario The Province or Territory of Saskatchewan accepted 30 LMIA-Exempt Work Permits in 2022, under C15, (Intra-Company Transferee Rural and Northern Immigration Pilots). Discover past news items from Saskatchewan by clicking on this link: https://myar.me/tag/sk Should you be interested in gaining comprehensive insights into the Federal Atlantic Immigration Program (AIP) or other Canadian Federal or Provincial Immigration programs, or if you require guidance after selection, we warmly invite you to connect with us via https://myar.me/c. We highly recommend attending our complimentary Zoom resource meetings held every Thursday. We kindly ask you to carefully review the available resources. In case you have any inquiries, our team of Canadian Authorized Representatives is readily available to address your concerns during the weekly AR's Q&A session held on Fridays. You can access details for both of these meetings at https://myar.me/zoom. Our dedicated team is committed to providing professional assistance throughout your immigration journey. Furthermore, IRCNews offers valuable insights on selecting a qualified representative to advocate on your behalf with the Canadian Federal or Provincial governments, accessible at https://ircnews.ca/consultant
Canada Immigration LMIA-Exempt Work Permit figures for C15, (Intra-Company Transferee Rural and Northern Immigration Pilots) in 2023 for the province/territory of Manitoba. Good day ladies and gentlemen, this is IRC news, and I am Joy Stephen, an authorized Canadian Immigration practitioner bringing out this Canada Work Permit application data specific to LMIA work permits or employer driven work permits or LMIA exempt work permits for multiple years based on your country of Citizenship. I am coming to you from the Polinsys studios in Cambridge, Ontario The Province or Territory of Manitoba accepted 60 LMIA-Exempt Work Permits in 2023, under C15, (Intra-Company Transferee Rural and Northern Immigration Pilots).To delve into the history of news in Manitoba, follow this link: https://myar.me/tag/mb If you have an interest in gaining comprehensive insights into the Canadian Federal Spouses and Partners sponsorship program or other Canadian Federal or Provincial Immigration programs, or should you require guidance post-selection, we extend a warm invitation to connect with us via https://myar.me/c. We strongly recommend attending our complimentary Zoom resource meetings conducted every Thursday. We kindly request you to carefully review the available resources. Subsequently, should any queries arise, our team of Canadian Authorized Representatives is readily available to address your concerns during the weekly AR's Q&A session held on Fridays. You can find the details for both these meetings at https://myar.me/zoom. Our dedicated team is committed to providing you with professional assistance in navigating the immigration process. Additionally, IRCNews offers valuable insights on selecting a qualified representative to advocate on your behalf with the Canadian Federal or Provincial governments, accessible at https://ircnews.ca/consultant.
Canada Immigration LMIA-Exempt Work Permit figures for C15, (Intra-Company Transferee Rural and Northern Immigration Pilots) in 2023 for the province/territory of Ontario. Good day ladies and gentlemen, this is IRC news, and I am Joy Stephen, an authorized Canadian Immigration practitioner bringing out this Canada Work Permit application data specific to LMIA work permits or employer driven work permits or LMIA exempt work permits for multiple years based on your country of Citizenship. I am coming to you from the Polinsys studios in Cambridge, Ontario The Province or Territory of Ontario accepted 35 LMIA-Exempt Work Permits in 2023, under C15, (Intra-Company Transferee Rural and Northern Immigration Pilots).Dive into the archives of news from the Province of Ontario through this link: https://myar.me/tag/on/ If you are interested in gaining comprehensive insights into the Quebec Investor Program or other Canadian Federal or Provincial Immigration programs, or if you require guidance after selection, we warmly invite you to connect with us via https://myar.me/c. We strongly encourage you to participate in our complimentary Zoom resource meetings held every Thursday. We kindly ask you to carefully review the available resources. If you have any questions, our team of Canadian Authorized Representatives is readily available to address your concerns during the weekly AR's Q&A session on Fridays. You can find details for both meetings at https://myar.me/zoom. Our dedicated team is committed to offering professional assistance throughout your immigration journey. In addition, IRCNews provides valuable insights on selecting a qualified representative to advocate for you with the Canadian Federal or Provincial governments, accessible at https://ircnews.ca/consultant
Canada Immigration LMIA-Exempt Work Permit figures for C15, (Intra-Company Transferee Rural and Northern Immigration Pilots) in 2021, for Total visas issued by IRCC. Good day ladies and gentlemen, this is IRC news, and I am Joy Stephen, an authorized Canadian Immigration practitioner bringing out this Canada Work Permit application data specific to LMIA work permits or employer driven work permits or LMIA exempt work permits for multiple years based on your country of Citizenship. I am coming to you from the Polinsys studios in Cambridge, Ontario In 2021, a total of 25 LMIA-Exempt Work Permits were issued by IRCC, under C15, (Intra-Company Transferee Rural and Northern Immigration Pilots). If you have an interest in gaining assistance with Work Permits based on your country of Citizenship, or should you require guidance post-selection, we extend a warm invitation to connect with us via https://myar.me/c. We strongly recommend attending our complimentary Zoom resource meetings conducted every Thursday. We kindly request you to carefully review the available resources. Subsequently, should any queries arise, our team of Canadian Authorized Representatives is readily available to address your concerns during the weekly AR's Q&A session held on Fridays. You can find the details for both these meetings at https://myar.me/zoom. Our dedicated team is committed to providing you with professional assistance in navigating the immigration process. Additionally, IRCNews offers valuable insights on selecting a qualified representative to advocate on your behalf with the Canadian Federal or Provincial governments, accessible at https://ircnews.ca/consultant
Lisa Carlin, Sandra Herrera, and Aaron West recap TST as two members of Attacking Third faced off in the final. Then, the group explain both Intra-League Loans in the NWSL and the Building Assets that expansion sides Boston and Denver will receive for their inaugural season in 2026. And finally, the A3 Mailbag is opened once again to answer your questions. Watch USWNT and NWSL games on P+" with a link to https://www.paramountplus.com/home/ Attacking Third is available for free on the Audacy app as well as Apple Podcasts, Spotify, Google Podcasts, Stitcher and wherever else you listen to podcasts. Follow the Attacking Third team on Twitter: @AttackingThird, @LisaCarlin32, @SandHerrera_, @Darian_Jenks, and @CCupo. Visit the Attacking Third YouTube channel: https://www.youtube.com/attackingthird You can listen to Attacking Third on your smart speakers! Simply say "Alexa, play the latest episode of the Attacking Third podcast" or "Hey Google, play the latest episode of the Attacking Third podcast." To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices