Podcasts about jul aug

In this Complex Care Journal Club podcast episode, Ms. Kathryn Knight and Dr. Brian K. Jordan discuss a national survey of families of children with medical complexity on access to home health nursing. They describe the impact of the nursing shortage on families, development of a nonprofit resource that facilitates connections between families and home nursing, and outline next steps from this work. Learn more about Hello Nurze: www.hellonurze.com Find additional details about the F.A.C.E.S. Project: www.hellonurze.com/p/faces-project SPEAKERS Kathryn Knight, BBA Co-Founder & Executive Director, Hello Nurze Brian K. Jordan, MD, PhD Associate Professor Oregon Health & Science University HOST Emily J. Goodwin, MD Clinical Associate Professor of Pediatrics University of Missouri Kansas City School of Medicine Pediatrician, General Academic Pediatrics Beacon Program Children's Mercy Kansas City DATE Initial publication date: September 8, 2025. JOURNAL CLUB ARTICLE Knight K, Knight G, Jordan BK. The Impact of the Lack of Access to Home Health Nursing on Families of Children with Medical Complexity in the United States. Home Healthc Now. 2025 Jul-Aug 01;43(4):213-220. doi: 10.1097/NHH.0000000000001356. Epub 2025 Jul 7. PMID: 40619624. OTHER ARTICLES REFERENCED Baker CD, Martin S, Thrasher J, Moore HM, Baker J, Abman SH, Gien J. A Standardized Discharge Process Decreases Length of Stay for Ventilator-Dependent Children. Pediatrics. 2016 Apr;137(4):e20150637. doi: 10.1542/peds.2015-0637. Epub 2016 Mar 10. PMID: 26966133; PMCID: PMC4811306. Hello Nurze. Connecting families and in-home nurses. Accessed August 27, 2025. https://www.hellonurze.com Moore PE, Boyer D, O'Connor MG, Baker CD, Rettig JS, Sterni L, Halbower A, Wilson KC, Thomson CC. Pediatric Chronic Home Invasive Ventilation. Ann Am Thorac Soc. 2016 Jul;13(7):1170-2. doi: 10.1513/AnnalsATS.201603-196CME. PMID: 27388405; PMCID: PMC5462000. TRANSCRIPT https://cdn.bfldr.com/D6LGWP8S/as/87x9cmw5xfnkkt74v5g5pv3/Jordan_and_Knight_Final_Transcript__9-5-25‌ Clinicians across healthcare professions, advocates, researchers, and patients/families are all encouraged to engage and provide feedback! You can recommend an article for discussion using this form: https://forms.gle/Bdxb86Sw5qq1uFhW6. Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu CITATION Knight K, Jordan BK, Goodwin EJ. From Crisis to Connection: Matching Families with Home Nursing Support in Complex Care. 09/2025. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/from-crisis-to-connection-matching-families-with-home-nursing-support-in-complex-care.

Download the free Mercury Retrograde Guide at https://www.quietmindastrology.com/mercuryjuly2025From July 17 to August 11, 2025, Mercury goes retrograde fully in the water sign of Cancer. This is part two of three Mercury retrogrades happening entirely in water signs this year—Pisces, Cancer, and then Scorpio. Each one brings an invitation to feel what we haven't fully felt yet… to process, heal, and finally move forward. “Feel it to heal it” is the essence of this cycle.This episode is your full Vedic astrology guide to Mercury Retrograde in Cancer. I walk you through the entire timeline—from the beginning of the shadow phase on June 29 to Mercury entering Leo on August 30—and how to actually work with this energy.

A simple daily practice to have happier, more productive days: gratitude journalling for students.*Hosted by William Wadsworth, memory psychologist, independent researcher and study skills coach. I help ambitious students to study smarter, not harder, so they can ace their exams with less work and less stress.BOOK 1:1 COACHING to supercharge your exam success: https://examstudyexpert.com/workwithme/Get a copy of Outsmart Your Exams, my award-winning exam technique book, at https://geni.us/exams*Today's references:Jeliseh, M.T., Valizadeh, M., Zohrabi, M. and Xodabande, I. (2025), Enhancing Language Teachers' Well-Being Through Positive Psychology Interventions: A Mixed-Methods Study Focusing on Gratitude Journaling. Psychology in the Schools. https://doi.org/10.1002/pits.70005Tolcher, K., Cauble, M., & Downs, A. (2022). Evaluating the effects of gratitude interventions on college student well-being. Journal of American College Health, 72(5), 1321–1325. https://doi.org/10.1080/07448481.2022.2076096Redwine LS, Henry BL, Pung MA, Wilson K, Chinh K, Knight B, Jain S, Rutledge T, Greenberg B, Maisel A, Mills PJ. Pilot Randomized Study of a Gratitude Journaling Intervention on Heart Rate Variability and Inflammatory Biomarkers in Patients With Stage B Heart Failure. Psychosom Med. 2016 Jul-Aug;78(6):667-76. doi: 10.1097/PSY.0000000000000316. PMID: 27187845; PMCID: PMC4927423.**As an Amazon Associate, I earn from qualifying purchases on suggested books.Questions? Comments? Requests? Or just want to say "thanks" - send me a text message (I read them all!).

The Big Beatles Sort Out Presents: The Big 60s Sort Out!Yes, for season 4 we are taking a look at the decade that made (or was made?) by The Beatles, by ranking every UK number one, looking for sneaky Beatles links, and generally putting ourselves in the world where they crafted their legacy.Please joins us as we try and sort out, the 60s!Songs this episode:The Equals - Baby, Come BackDes O'Connor - I PretendTommy James and The Shondells - Mony MonyGarry mentions his appearance on Tim Worthington's Marvel podcast, which you can find here: https://timworthington.org/2025/03/02/its-good-except-it-sucks-spider-man-3-with-garry-abbott/If you want to view the chart up to the latest episode, you can do so⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ here! ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Below are links to our respective music projects!⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Smiles On Lonely Souls | Garry Abbott (bandcamp.com)⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://goodgriefliverpool.bandcamp.com/⁠⁠⁠⁠⁠⁠⁠⁠

Most commonly the challenge is gaining lean muscle. Doing all the things but can't seem to gain muscle? Then tune in and go through this like a check list of 12 strength training mistakes in menopause that could be the reason. It just takes one. But if there are multiple, it's compounded and in this case, not interest but penalty! Join us at Metabolism Makeover 2.0 to support your journey avoiding the 12 strength training mistakes in menopause. Overworking Small Muscle Groups [00:02:20] You need fewer of these small muscle group-focused exercises in your routine if you prioritize the major muscles like chest (pectoralis) and back (trapezius and Latissimus Dorsi). If the secondary (biceps and triceps) muscles are going to get a workout most of the time, these will rob you of time and energy that is better spent on major muscles if you aren't getting in the adequate volume there. Skipping the Warmup [00:06:40] Nearly a decade ago, I began sharing the fact that if you skip the warmup, you also miss an opportunity to increase total energy expenditure during a workout. It's not only about injury prevention. There's an increased blood circulation, improved energy expenditure, mobility and you can work closer to your capacity. If fitness and longevity are truly goals, “exercising” is not the same as working at your capacity and safely, sanely raising the roof on your fitness level so that age doesn't automatically result in slowing down or gaining weight. Not Resting Between Sets Long Enough Before [00:13:10] Rapidly moving from one exercise to the next, was yesterday. The “metabolic conditioning workouts” are a nice anomaly, a change in pace. Rest between sets of strength training. Reach complete muscle fatigue or within 2 reps of it. If you do HIIT, separate the sessions so you get the best benefit from it and from strength. If you are not getting stronger, not increasing muscle, and these are your goals (in order, perhaps to improve body fat % ultimately), it's a “how” you're doing it problem. Plan Your Routine to Avoid 12 Strength Training Mistakes in Menopause No Organized Plan [00:17:30] You either default to using what's available at the gym or doing the same exercises in the same sequence every time. If you're not careful you won't change the stimulus (by changing the sequence and sets/rep combination) and may also not be getting enough sets per muscle group in each week. It doesn't mean that all sets for a muscle group must be all the same exercise. A super set of 6 different exercises for the triceps works. The next workout you may just do 3 and you're still covered… if you planned it that way. Not Sleeping Enough or Not Changing the Workout When You Don't Sleep [00:20:50] The sleep you get will determine the benefit you get from exercise. If you don't prioritize, your workouts will suffer too. You're also at risk for injury, not only because your body isn't fully doing the repair job or releasing testosterone and growth hormone in deep cycles of sleep as it should, but because coordination suffers. Treating Soreness or Worn Out an Indication of “Good Workout” [00:22:40] When you work muscles, it's normal to feel sore, even if you're extremely fit. Some muscles like quads and glutes are used to a lot of activity and tend to get sore less often. But there are two genes associated with soreness and you may either be predisposed to be sore or not. It's not a good indication of whether you worked hard enough. If you reached muscle fatigue or came close, you gave the muscle enough stimulus. The first sign of poor recovery was soreness after workouts, the second was reduced performance during workouts. 12 Strength Training Mistakes in Menopause to Avoid and Nurture Your Body Dependence on Supplements and Negating Balanced Whole Food Meals. [00:27:00] If you're all too willing to jump to EAAs, or BCAAs but won't eat regular meals that result in satiety, chances are your lack of micro and macronutrients will catch up with you. “Food first”, then allow supplements to take you the rest of the way. I don't like to “count” calories on a regular basis but a snapshot is very helpful for checking in. Often for knowing when you're eating too little. Taking Too Much Advice (or Too Little From Too Many People) [00:30:20] It often takes even gurus a while to come around. You have to love Vonda Wright and Mary Haver sharing their own menopause journeys. We need more women like them. They're open about not knowing what they didn't know about menopause, as physicians and women. You have at your fingertips access to women who learned the hard way, so you don't have to. Just don't jump in the middle. You need an onramp. Ignoring Nutrition Needs. [00:32:30] The talk is “calorie deficit.” Yet, 80% of women in our community under-eat for their mere existence (resting metabolic rate) and then try to put their foot on the accelerator for exercise causing a bigger caloric deficit. Then they stay there for years, under-fed and under-fueled (processed food, diet food), the metabolism will come to a halt, along, potentially with adrenal and thyroid function. Figure your calorie needs. Use an app to track your actual intake for 3-5 days. 12 Strength Training Mistakes in Menopause That Hinder Your Progress Thinking Small, Skinny, or Numbers That Don't Matter Instead of That Do [00:36:20] Your size and your weight on the scale do not tell the story of your fitness and health. Though they might hint at your likelihood of sarcopenia and osteoporosis, fall and fracture risk. When women focus on weight or size they sacrifice muscle. When they lose muscle, they lose strength, longevity and independence. A woman who has her ideal weight or size is constantly thinking about it and a step away from a fall or fracture. A fracture that results in bedrest, weakness and loss of more muscle. The beginning of the end. Those falls are not devastating just because of the breaks, but because of brain bleeds or other internal damage. Too Heavy to Start [00:38:20] The first 6-8 weeks, and up to 12, of a resistance training program, the benefits are due to the neural connection. That isn't rushed by going heavy. But loads too great for your ligaments, tendons and joints or muscles can cause weakness, undue soreness, and a weak foundation leading to injury. We, in the fitness industry, need to be more careful. We have sometimes lost our way in regard to where to START, and how and at what pace to PROGRESS. You Add Something But Don't Remove Something Else [00:40:30] I've experienced this temptation myself. When I started training for triathlons at 40, I was compelled to figure out how to run even while I was adding biking or swimming to my schedule. I soon realized I was sabotaging the quality of every workout and just putting those “junk miles.” A woman will lose muscle because of the added stress, inability to recover. That's an extreme example, but if you're adding and never subtracting/replacing, you're probably going to experience similar results. References for the 12 Strength Training Mistakes in Menopause: For dropping in the references.. Ideally just the single line link.. Vs long for the podcasts and posts - however if the research is really: within last 10 years, features female subjects.. Then it should be added to the research document. Nothing else should ever be used in our content. #1 Cheng AJ, Jude B, Lanner JT. Intramuscular mechanisms of overtraining. Redox Biol. 2020 Aug;35:101480. doi: 10.1016/j.redox.2020.101480. Epub 2020 Feb 26. PMID: 32179050; PMCID: PMC7284919. #2 Afonso J, Brito J, Abade E, Rendeiro-Pinho G, Baptista I, Figueiredo P, Nakamura FY. Revisiting the 'Whys' and 'Hows' of the Warm-Up: Are We Asking the Right Questions? Sports Med. 2024 Jan;54(1):23-30. doi: 10.1007/s40279-023-01908-y. Epub 2023 Sep 2. PMID: 37658965; PMCID: PMC10798919. #3 https://pubmed.ncbi.nlm.nih.gov/19691365/#:~:text=Conversely%2C some experiments%20have%20a demonstrated,be%20safer%20and%20more%20reliable #4 Hughes SL, Seymour RB, Campbell RT, Whitelaw N, Bazzarre T. Best-practice physical activity programs for older adults: findings from the national impact study. Am J Public Health. 2009 Feb;99(2):362-8. doi: 10.2105/AJPH.2007.131466. Epub 2008 Dec 4. PMID: 19059858; PMCID: PMC2622796 #4 Brickwood KJ, Ahuja KDK, Watson G, O'Brien JA, Williams AD. Effects of Activity Tracker Use With Health Professional Support or Telephone Counseling on Maintenance of Physical Activity and Health Outcomes in Older Adults: Randomized Controlled Trial. JMIR Mhealth Uhealth. 2021 Jan 5;9(1):e18686. doi: 10.2196/18686. PMID: 33399541; PMCID: PMC7815450. #5 https://www.somnologymd.com/2024/09/sleep-womens-health/ #6 Romero-Parra N, Maestre-Cascales C, Marín-Jiménez N, Rael B, Alfaro-Magallanes VM, Cupeiro R, Peinado AB. Exercise-Induced Muscle Damage in Postmenopausal Well-Trained Women. Sports Health. 2021 Nov-Dec;13(6):613-621. doi: 10.1177/19417381211014134. Epub 2021 May 27. PMID: 34039086; PMCID: PMC8558998. #6 https://sheffieldphysiotherapy.co.uk/muscle-soreness-mean-youve-effective-workout/ #7 & #9 Erdélyi A, Pálfi E, Tűű L, Nas K, Szűcs Z, Török M, Jakab A, Várbíró S. The Importance of Nutrition in Menopause and Perimenopause-A Review. Nutrients. 2023 Dec 21;16(1):27. doi: 10.3390/nu16010027. PMID: 38201856; PMCID: PMC10780928. #7 Lentjes MAH. The balance between food and dietary supplements in the general population. Proc Nutr Soc. 2019 Feb;78(1):97-109. doi: 10.1017/S0029665118002525. Epub 2018 Oct 30. PMID: 30375305; PMCID: PMC6366563 #10 Martinez, B.P., Batista, A.K.M.S., Gomes, I.B. et al. Frequency of sarcopenia and associated factors among hospitalized elderly patients. BMC Musculoskelet Disord 16, 108 (2015). https://doi.org/10.1186/s12891-015-0570-x #10 Sakuma, Kunihiro, Yamaguchi, Akihiko, Sarcopenic Obesity and Endocrinal Adaptation with Age, International Journal of Endocrinology, 2013, 204164, 12 pages, 2013. https://doi.org/10.1155/2013/204164 #11 Kraemer WJ, Ratamess NA. Fundamentals of resistance training: progression and exercise prescription. Med Sci Sports Exerc. 2004 Apr;36(4):674-88. doi: 10.1249/01.mss.0000121945.36635.61. PMID: 15064596 #12 Caplin A, Chen FS, Beauchamp MR, Puterman E. The effects of exercise intensity on the cortisol response to a subsequent acute psychosocial stressor. Psychoneuroendocrinology. 2021 Sep;131:105336. doi: 10.1016/j.psyneuen.2021.105336. Epub 2021 Jun 18. PMID: 34175558. #12 Woods NF, Mitchell ES, Smith-Dijulio K. Cortisol levels during the menopausal transition and early postmenopause: observations from the Seattle Midlife Women's Health Study. Menopause. 2009 Jul-Aug;16(4):708-18. doi: 10.1097/gme.0b013e318198d6b2. PMID: 19322116; PMCID: PMC2749064. https://pmc.ncbi.nlm.nih.gov/articles/PMC2749064/#:~:text=Early laboratory studies of hot,in our earlier report5. Resources: 5 Day Flip: https://www.flippingfifty.com/5-day-challenge-new/ Lunges: Love 'em or Leave 'em https://www.flippingfifty.com/lunges-muscles-squats-variations-benefits Protein Products: https://www.flippingfifty.com/protein Other Episodes You Might Like: How to Exercise with High or Low Cortisol in Menopause: https://www.flippingfifty.com/high-or-low-cortisol-in-menopause 8 Strength Training Mistakes Wasting Your Time (fix them): https://www.flippingfifty.com/8-strength-training-mistakes Fit or Fat? Training and Measuring Fitness in Menopause: https://www.flippingfifty.com/measuring-fitness-in-menopause

LISTENER DISCRETION IS ADVISED. Lavery MD, Aulakh A, Christian MD. Benefits of targeted deployment of physician-led interprofessional pre-hospital teams on the care of critically Ill and injured patients: a systematic review and meta-analysis. Scand J Trauma Resusc Emerg Med. 2025 Jan 6;33(1) Other Citations: Bujak K, et al. Does the presence of physician-staffed emergency medical services improve the prognosis in out-of-hospital cardiac arrest? A propensity score matching analysis. Kardiol Pol. 2022;80(6) Fukuda T, et al.. Association of Prehospital Advanced Life Support by Physician With Survival After Out-of-Hospital Cardiac Arrest With Blunt Trauma Following Traffic Collisions: Japanese Registry-Based Study. JAMA Surg. 2018 Jun 20;153(6) Garner et al.. The Head Injury Retrieval Trial (HIRT): a single-centre randomised controlled trial of physician prehospital management of severe blunt head injury compared with management by paramedics only. Emerg Med J. 2015 Nov;32(11) Den Hartog et al.. Survival benefit of physician-staffed helicopter emergency medical services (HEMS) assistance for severely injured patients. Injury. 2015;46(7) Hesselfeldt R,et al.. Impact of a physician-staffed helicopter on a regional trauma system: a prospective, controlled, observational study. Acta Anaesthesiol Scand. 2013 May;57(5): Lyons J, et al. Impact of a physician - critical care practitioner pre-hospital service in Wales on trauma survival. Anaesthesia. 2021 Nov;76(11) Maddock A, et al. Prehospital critical care is associated with increased survival in adult trauma patients in Scotland. Emerg Med J. 2020 Mar;37(3):141-145. Moors XRJ, et al. A Physician-Based Helicopter Emergency Medical Services Was Associated With an Additional 2.5 Lives Saved per 100 Dispatches of Severely Injured Pediatric Patients. Air Med J. 2019 Jul-Aug;38(4) Yeguiayan JM, et al. Medical pre-hospital management reduces mortality in severe blunt trauma. Crit Care. 2011;15(1)

"The striking phrase, 'God is dead,' is the poetical expression of modern unbelief", writes Eugene (Fr. Seraphim) Rose in his short but piercing analysis of the modern world and its apostasy. Christianity in the West fell long ago and its departure from the True Church, Holy Orthodoxy, is more and more evident. See the links below for more from Fr. Seraphim on this issue.

Working with clients with Functional neurologic disorders (FND) can be confusing and challenging. If you're stuck and aren't sure how to help your clients you've gotta check out this episode! Occupational therapists and industry leaders in the treatment of FND Julie MacLean and Jessica Ranford discuss their expertise in using a sensory-based approach to treatment. In their work they noticed certain patterns emerging for people experiencing FND. By conducting detailed sensory profiles and histories, the OTs were able to identify patterns in how these patients processed sensory information. Many exhibited heightened sensory sensitivity, sensory avoidance, and low sensory registration - leading to cognitive, emotional, and motor control issues. The OTs developed a multi-step treatment approach focused on: 1) Increasing patient self-awareness of their sensory processing and arousal levels 2) Exploring individualized sensory strategies to self-regulate 3) Creating personalized "sensory diets" of activities to maintain balance This sensory-based framework, combined with motor retraining when needed, has been effective in helping FND patients improve their symptoms and expand their participation in daily life. Overall, this discussion highlighted the valuable role occupational therapy can play in assessing and treating the complex sensory processing difficulties experienced by many individuals with functional neurological disorders. FND specific resources:  www.neurosymptoms.org  www.FNDhope.org Overcoming Functional Neurological Disorders Workbook, Reset and Rewire: The FND Workbook  OT and sensory processing specific resources:  Living Sensationally: Understanding Your Senses by Winnie Dunn  The Spiral Foundation Sensory Modulation & Environment: Essential Elements of Occupation by Tina Champagne The Sensory Connection Program and Workbooks by Karen Moore  Recent OT publications:  Sensory Processing Difficulties and Occupational Therapy Outcomes for Functional Neurological Disorder: A Retrospective Cohort Study. McCombs KE, MacLean J, Finkelstein SA, Goedeken S, Perez DL, Ranford J. Neurol Clin Pract. 2024 Jun;14(3):e200286.   Outpatient Approach to Occupational Therapy for Paroxysmal Functional Neurologic Symptoms: Sensory Modulation Training as an Emerging Treatment. Ranford J, MacLean J.  Neurol Clin. 2023 Nov;41(4):695-709. doi: 10.1016/j.ncl.2023.02.008. Epub 2023 Apr 20 Sensory Processing Difficulties in Functional Neurological Disorder: A Possible Predisposing Vulnerability? Ranford J, MacLean J, Alluri PR, Comeau O, Godena E, LaFrance WC Jr, Hunt A, Stephen CD, Perez DL.Psychosomatics. 2020 Jul-Aug;61(4):343-352. Occupational therapy consensus recommendations for functional neurological disorder. Nicholson C, Edwards MJ, Carson AJ, Gardiner P, Golder D, Hayward K, Humblestone S, Jinadu H, Lumsden C, MacLean J, Main L, Macgregor L, Nielsen G, Oakley L, Price J, Ranford J, Ranu J, Sum E, Stone J. J Neurol Neurosurg Psychiatry. 2020 Oct;91(10):1037-1045.

Thyroid Talk with Dr. Angela Mazza, DO Show Notes Episode 34; Recorded: 10-18-2024; Blue Zones & Healthspan: Longevity Part 1; Host: Dr. Angela Mazza, DO; Co-host: Dawn SheffieldHere's some of what we covered today, not necessarily in this order: Blue Zones, Lifespan, and Healthspan; Benefits of the Mediterranean meal plan; Social isolation and chronic stress can be deadly; The importance of sleep, exercise, and having a purpose; And best of all, we learned that we CAN impact our thyroid health!  My book, Thyroid Talk: An Integrative Guide to Optimal Thyroid Health, is available on Amazon.  For information on the related Webinar and online master course, see thrivethyroid.com.  Send your comments, show ideas, and questions to thyroidtalk.mazza@gmail.com.  See the website at metaboliccenterforwellness.com, our YouTube channel at: Dr. Angela Mazza; as well as Facebook and Instagram.  The topic of our next episode, number 35, is cellular longevity--Part 2 of this longevity series. Citations, references, additional information:Alimujiang A, et al.  JAMA Netw Open.  2019 May;3;2(5):194270.Antza C, et al. J Endocrinol.  2021 Dec 13;252(2):125-141.Boyajian, JL, et al.  Nutrients.  2021 Dec. 18; 13(120:4550.Buettner D., Skemp S. Blue Zones: Lessons From the World's Longest Lived.  Am J Lifestyle Med. 2016 Jul 7;10(5):318-321.Comhaire F. Andrologia.  2016 Feb;48(1):65-8.D'Onofrio G, Kirschner J, Prather H, Goldman D, Rozanski A.  Prog Cardiovasc Dis. 2023 Mar-Apr; 77:25-36.Di Daniele N, et al. Oncotarget. 2017 Jan 31;8(5):8947-8979. Dominguez LJ, et al.  Nutrients.  2021 Jun 12;13(6):2028.Freire ADNF, Barbosa JFS, Pereira DS, Gomes CDS, Guerra RO. Arch Gerontol Geriatr.  2020 Mar-Apr; 87:104006.Garasto S, et al.  Mech Ageing Dev. 2017 Jul: 165(Pt B):98-106.Garcia H, Miralles F.  IKIGAI The Japanese Secret to a Long and Happy Life.  Copyright 2016 Hector Garcia and Francesc Miralles.  Translation Copyright 2017 by Penguin Random House LLC.  Hill PL, Turiano NA.  Psychol Sci. 2014 Jul;25(7):1482-6.Kim S, Jazwinski SM.  Gerontology.  2018:64(6):513-520Kromhout D, Menotti A, Blackburn H (Eds). Kluwer Academic Publishers, Boston, 2002.Mazza A.  Longevity & Cellular Aging: An Integrative Approach to Healthy Aging.  Pure Encapsulations Webinar; September 18, 2024.Mazza A.  Thyroid Talk: An Integrative Guide to Optimal Thyroid Health.  Available now on Amazon.O'Keefe EL, et al.  Mo Med.  2020 Jul-Aug; 117(4):355-361Paganini-Hill A, et al.  Menopause.  2018 Nov;25(11):1256-1261.Sapolsky Robert M.  Why Zebras Don't Get Ulcers.  Holt Paperbacks, 3rd Edition; 2004Yin J, et al.  Am Heart Assoc. 2017 Sep 9;6(9):e005947.Zimniak P.  Ageing Res Rev. 2008 Dec; 7(4):281-300.Don't forget to ask your healthcare provider about any specific questions regarding your wellness.  This podcast is meant for educational purposes only. Copyright 2024 Dr. Angela Mazza DO.  Thyroid Talk with Dr. Angela Mazza, DO.  All rights reserved. Check out our YouTube channel - Dr. Angela Mazza, our website at Metabolic Center for Wellness, our FaceBook and our Instagram page.

#056 On Today's episode, Amy talks about what the science says about eating for skin health, how she tracks her metabolic health, what workouts she does to keep her skin looking its best and her favorite resources on the topic of overall metabolic health and how that translates to the health of our skin.Key Takeaways:Higher glucose levels may accelerate skin aging by affecting collagen.Low glycemic index foods and healthy fats can improve skin health.Resistance training can rejuvenate skin by reducing inflammation and supporting dermal structure.Post-meal walks and consuming fiber before meals can help mitigate glucose spikes.Understanding personal glucose response can help tailor diet and lifestyle choices for better skin and overall health.LINKS MENTIONED:Levels CGM: https://levels.link/r/LVLS-ZBGBQDSRWalking pad: https://a.co/d/2z6AsUURESOURCES:Glucose Goddess by Jessie Inchauspe https://a.co/d/48z8qqtReal Food For Fertility by Lily Nichols : https://a.co/d/0ESuBhlGood Energy by Dr. Casey Means: https://a.co/d/9UBIPweRECIPES:Skin-friendly Smoothie: https://www.instagram.com/p/C_YS2lGOqMS/?locale=en_US%2Cen_GB%2Cen_US%2Cen_GB&img_index=1Skin-friendly Dessert: https://www.instagram.com/reel/CjrIlf6JKnD/?igsh=bGwzYTd4aHJ1bDZoWORKOUTS:Evlo FitnessMadeline MovesSTUDIES:Blood Sugar and Skin AgingNutrition and aging skin: sugar and glycation. Clin Dermatol. 2010 Jul-Aug;28(4):409-11. doi: 10.1016/j.clindermatol.2010.03.018. PMID: 20620757.Research Advances on the Damage Mechanism of Skin Glycation and Related Inhibitors. Nutrients. 2022 Nov 1;14(21):4588. doi: 10.3390/nu14214588. PMID: 36364850; PMCID: PMC9655929.Resistance training rejuvenates aging skin by reducing circulating inflammatory factors and enhancing dermal extracellular matrices. Sci Rep. 2023 Jun 23;13(1):10214. doi: 10.1038/s41598-023-37207-9. PMID: 37353523; PMCID: PMC10290068.Timestamp | Summary0:00 | Diet and Exercise Impact on Skin Health and Aging4:35 | Using a CGM to Prevent Future Diabetes Risk6:21 | Surprising Effects of Food and Habits on Blood Sugar Levels14:01 | Managing Blood Sugar Through Food Choices and Awareness15:18 | Improving Glucose Levels Through Muscle Mass and Skincare Tips16:39 | Effective Muscle Building Through Structured Training Programs18:33 | Balancing Glucose Levels for Health and Longevity22:04 | Exploring the Use of Dexcom Seven for Glucose Monitoring23:56 | Managing Glucose Levels by Choosing Low Glycemic Foods25:35 | The Benefits and Controversies of Using CGM for Health29:07 | Engage and Win: Share Podcast Feedback for a Goodie BoxTo watch the video version of this episode head to the Youtube page!Need a full skincare overhaul? Check out our Comprehensive Skincare Routine Digital GuideConnect with me:Amy's Instagramwww.skinthusiast.com

https://www.madisonchristian.org/wp-content/uploads/2024/08/According-to-Plan-dates-JUL-AUG.png According to Plan: This is War false no 1:10:14 Madison Christ

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Being a parent is hard, there is a LOT to learn. How heavy does the child have to be for a car seat and is it rear facing or forward facing? When do they transition to booster seats? What is their vaccination schedule, how do they get enrolled in preschool? These and about a thousand more questions that come up every day including... When should kids first see the dentist? Katrina Sanders is here to answer that question. Be sure to check the shownotes for her episodes to see the references! Resources: More Fast Facts: https://www.ataleoftwohygienists.com/fast-facts/ Katrina Sanders Website: https://www.katrinasanders.com  Katrina Sanders Instagram: https://www.instagram.com/thedentalwinegenist/  Padung N, Singh S, Awasthi N. First Dental Visit: Age Reasons Oral Health Status and Dental Treatment Needs among Children Aged 1 Month to 14 Years. Int J Clin Pediatr Dent. 2022 Jul-Aug;15(4):394-397. doi: 10.5005/jp-journals-10005-2406. PMID: 36875978; PMCID: PMC9983582.

Being a parent is hard, there is a LOT to learn. How heavy does the child have to be for a car seat and is it rear facing or forward facing? When do they transition to booster seats? What is their vaccination schedule, how do they get enrolled in preschool? These and about a thousand more questions that come up every day including... When should kids first see the dentist? Katrina Sanders is here to answer that question. Be sure to check the shownotes for her episodes to see the references! Resources: More Fast Facts: https://www.ataleoftwohygienists.com/fast-facts/ Katrina Sanders Website: https://www.katrinasanders.com  Katrina Sanders Instagram: https://www.instagram.com/thedentalwinegenist/  Padung N, Singh S, Awasthi N. First Dental Visit: Age Reasons Oral Health Status and Dental Treatment Needs among Children Aged 1 Month to 14 Years. Int J Clin Pediatr Dent. 2022 Jul-Aug;15(4):394-397. doi: 10.5005/jp-journals-10005-2406. PMID: 36875978; PMCID: PMC9983582.

❤️ Bonjour,Et si je vous apprenais à dompter votre coeur par la respiration ?

What impact do your acute referral letters have on the admitting team?   You may have noticed the initial upload contained the wrong audio file of an old podcast.  Sorry, this has been corrected.   Check out the papers mentioned Chauveau P, Mazet-Guillaume B, Baron C, Roy PM, Tanguy M, Fanello S. Impact du contenu du courrier médical sur la qualité du triage initial des patients adultes admis aux urgences [Impact of the referral letter on triage decisions in adult patients admitted to the emergency department]. Sante Publique. 2013 Jul-Aug;25(4):441-51. French.  https://pubmed.ncbi.nlm.nih.gov/24404726/   van den Berge K, Mamede S, van Gog T, Romijn JA, van Guldener C, van Saase JL, Rikers RM. Accepting diagnostic suggestions by residents: a potential cause of diagnostic error in medicine. Teach Learn Med. 2012;24(2):149-54.  https://pubmed.ncbi.nlm.nih.gov/22490096/   Staal J, Speelman M, Brand R, Alsma J, Zwaan L. Does a suggested diagnosis in a general practitioners' referral question impact diagnostic reasoning: an experimental study. BMC Med Educ. 2022 Apr 8;22(1):256 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8991944/     www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad   This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals.  Please ensure you work within your scope of practice at all times.  For personal medical advice always consult your usual doctor 

(Jul-Aug, 2021) Part LXXXV starts with Christine continuing to complete commissions for her fundraiser to get her to the Everfree Northwest convention, and finishes with the troll Bella getting discovered. Credit goes to the cwcki and Kiwi Farms, which were extensively used during my research. Check it out on ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠YouTube⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠! ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Patreon⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Music Channel

It's the next episode of Georgia 1981 on Regional Rasslin w/Guest Jammie Ward. We close out July and kick off August as George Scott's run as booker comes to a close. NWA World Champion Dusty Rhodes vs. Bruiser Brody in Columbus, Ohio. Michael Hayes meets El Toro the Bounty Hunter. Plus, Hayes and Terry Gordy have multiple altercations. Ted Dibiase begins to finish up his run in GA. Ken Patera's biggest feat of strength to date. Mr. Wrestling II Returns! Kevin Von Erich arrives. Plus, action with Tommy Rich, Superfly Snuka, Bruno Sammartino Jr., Steve O, & so much more!Available everywhere your Podcast Streaming needs are met.Please Subscribe to our Patreon to help pay the bills, https://www.patreon.com/wrestlecopiaIncludes a $5 “All Access” Tier featuring our Patreon Exclusive Watch-Along Series, our insanely detailed show notes (for the Grenade, Monday Warfare & Regional Rasslin), Early Show Releases, REMASTERED editions of the early Grenade episodes including NEW content that was originally edited out! PLUS, monthly DIGITAL DOWNLOADS for your viewing and reading pleasure!Visit our Podcast Network https://wrestlecopia.comFollow us on "X" (Formerly Twitter) @RasslinGrenadeFollow & LIKE our FACEBOOK PAGE - https://www.facebook.com/RasslinGrenadeSubscribe to our Youtube Channel at https://www.youtube.com/RasslinGrenadeListen at your leisure and pick back up later if need be!REGIONAL RASSLIN' PODCAST EPISODE #046Georgia  for July 20th - Aug. 2nd, 1981 (w/Guest Co-Host Jammie Ward)It's the next episode of Georgia 1981 on Regional Rasslin w/Guest Jammie Ward. We close out July and kick off August as George Scott's run as booker comes to a close. NWA World Champion Dusty Rhodes vs. Bruiser Brody in Columbus, Ohio. Michael Hayes meets El Toro the Bounty Hunter. Plus, Hayes and Terry Gordy have multiple altercations. Ted Dibiase begins to finish up his run in GA. Ken Patera's biggest feat of strength to date. Mr. Wrestling II Returns! Kevin Von Erich arrives. Plus, action with Tommy Rich, Superfly Snuka, Bruno Sammartino Jr., Steve O, & so much more! ★ Support this podcast on Patreon ★

"#NoFilter" was first published in Issue 004 of Dark Matter Magazine, Jul-Aug 2021.  To purchase Issue 004 visit www.darkmattermagazine.shop.  CREDITS Written by Louis Evans Performed by Bridie Jurasevich Sound Design by Alli Nesbit Produced by Phil McLaughlin

"Little Loves" was first published in Issue 004 of Dark Matter Magazine, Jul-Aug 2021.  To purchase Issue 004 as well as preorder Free Burn by Drew Huff, visit www.darkmattermagazine.shop.  CREDITS Written by Sophie Yorkston Performed by Loretta Chang Sound Design by Alli Nesbit Produced by Phil McLaughlin

Welcome to our weekly live series where we discuss all topics related to kidney health, nutrition, and longevity.Timestamps00:00 Start0:30 Introduction1:15 Sodium and Kidney Disease7:12 Nanoplastics in bottled water16:09 Tirzepatide and protein in the urine23:12 Exercise and Longevity26:33 Artificial sweeteners and Gut MicrobiomeReferences:1. Sodium and CKD-World Health Organization . Guideline: Sodium Intake for Adults and Children. World Health Organization; Geneva, Switzerland: 2012. pp. 1–46.-Wright JA, Cavanaugh KL. Dietary sodium in chronic kidney disease: a comprehensive approach. Semin Dial. 2010 Jul-Aug;23(4):415-21.-Verma A, Popa C. The Interplay Between Dietary Sodium Intake and Proteinuria in CKD. Kidney Int Rep (2023) 8, 1133–11362. Nanoplastics and Health-Qian, N., et al. (2024). "Rapid single-particle chemical imaging of nanoplastics by SRS microscopy." Proceedings of the National Academy of Sciences 121(3): e2300582121.3. Tirzepatide and Proteinuria-Karakasis et al. Effect of tirzepatide on albuminuria levels and renal function in patients with type 2 diabetes mellitus: A systematic review and multilevel meta-analysis .Diabetes Obes Metab 2023 Dec 20;[EPub Ahead of Print]4. Walking and longevity-Kankaanpää A, Tolvanen A, Joensuu L, Waller K, Heikkinen A, Kaprio J, Ollikainen M, Sillanpää E. The associations of long-term physical activity in adulthood with later biological ageing and all-cause mortality - a prospective twin study. medRxiv [Preprint]. 2023 Jun 5:20235. Artificial Sweeteners and gut microbiome-Hosseini A, Barlow GM, Leite G, Rashid M, Parodi G, Wang J, Morales W, Weitsman S, Rezaie A, Pimentel M, Mathur R. Consuming artificial sweeteners may alter the structure and function of duodenal microbial communities. iScience. 2023 Nov 23;26(12):108530.VISIT OUR STOREStore: https://www.selfelements.comFOLLOW USwww.selfprinciple.orgwww. youtube.com/selfprinciplewww.youtube.com/plantbasedkidneyhealthwww.instagram.com/seanhashmimd

Are the Jews, even in light of Christ's death and resurrection, still in some way the chosen people of God? If so, how should we understand them and their role in God's providence? Who are the true Jews and what role do Jews and Judaism have in the prophesied rise of Antichrist? Note from Metropolitan Vitaly (+,2006) Chief Hierarch of ROCOR, 1986-2001:"The author of the following article lives in Russia. We received it some years back. The whole tone of the article in composes, discrete, and sober. Its ideas are profound, clear, and in complete agreement with the teaching of the Orthodox Church and the Holy Fathers." This article is found in Orthodox Life, Vol. 41, No. 4, Jul-Aug 1991. Orthodox Life is the journal of Holy Trinity Monastery and Seminary in Jordanville, NY, USA. -READ the article here: https://orthodoxlifemagazines.blogspot.com/ -FIND an Orthodox parish and monastery near you: https://orthodoxyinamerica.org/ _______ Quotes from this article: If the Old Testament is understood as a foreshadowing, then one sees that the true Jews of the Old Testament are a foreshadowing of Christians, since all true Jews of the Old Testament are a foreshadowing of Christians, since all true Jews of the Old Testament lived spiritually in expectation of Christ the Savior, the Messiah. On the other hand, their enemies in the Old Testament are a foreshadowing of contemporary Judaism, that is, those who either consciously or unconsciously confess the Jewish religion, the very foundation of this religion being a rejection of Christ [Once one accepts the Christian Gospel, traditional Judaism loses its validity]. The Jewish religion which accepts Christ is the Christian religion. The first decree, the covenant with the Jewish people made to Abraham, Isaac and Jacob, is never revoked, and therefore, in remaining a “special, different” people, since they do not accept Christianity, they repudiated their being the chosen people of God.… Even those Jews who do not accept Christianity, being infected by the bacillus of anti-Christianity, manage to preserve their identity supported by the Old Testament covenant. For this reason the hope of the Jews for universal supremacy is not in vain. This people will be preserved through all times; they will not be exterminated nor will they disintegrate. This Jewish materialistic approach openly and more subtly, under the appearance of various social theories and philosophical systems, encroaches upon the consciousness of Christians, breaking down Christian nations. In particular the penetration into the Christian consciousness of this Judaistic idea explains many heresies, the rise of Islam, the substitution of Christianity with humanism, altruism, Marxism, and separatist nationalism. What common denominator do some people seek in order to equalize black and white, Christianity and Judaism? — Judaism being a deified materialistic philosophy of earthly justice, worldly good, earthly freedom, and worldly well-being. Just as the deification of one's aspiration for all that which is worldly comes from Judaism, for the Christian that which is worldly is used only in so much as it is necessary in one's striving for the spiritual. It therefore follows that those who strive to equalize Judaism and Christianity, black and white, using the worldly as a basis, allow the spirit of Judaism to conquer them. In other words, having exchanged Christian spiritual goals for worldly ones, those that call themselves Christians lose that which distinguishes them from Jews and thus seek a union with Judaism, [perhaps unconsciously] rejecting Christ. They become co-workers in preparing for the kingdom of Antichrist. --- Send in a voice message: https://podcasters.spotify.com/pod/show/orthodox-wisdom/message

A very important prophecy, focused more on the signs of the apostasy than specific people and places, from a Russian New Martyr, St. Anatole the Younger of Optina (+1922). This prophecy was given shortly after the 1917 Bolshevik Revolution. St. Anatole was a clairvoyant, God-bearing elder and one of the great cloud of elders from the monastery of Optina. -READ the prophecy here: https://www.orthodox.net/articles/anatoly-letter.html -BUY the book giving the full account of his life and teachings from St. Herman of Alaska Press, "Elder Anatole the Younger of Optina": https://www.sainthermanmonastery.com/Elder-Anatole-the-Younger-of-Optina-p/ana.htm -READ a shorter version of his life in The Orthodox Word, Issue 39, Jul-Aug 1971. Read here: https://archive.org/details/100101V17N05061981SepOctNovDec -READ "Russia's Catacomb Saints": https://russiascatacombsaints.blogspot.com/ -FIND an Orthodox parish and monastery near you: https://orthodoxyinamerica.org/ _______ [Satan] will not begin by crudely rejecting the dogmas of the Holy Trinity, the divinity of Jesus Christ and the virtue of the Theotokos, but he will begin imperceptibly to distort the teachings and statutes of the Church and their very spirit, handed down to us by the Holy Fathers through the Holy Spirit. Few will notice these wiles of the enemy, only those more experienced in the spiritual life. Heretics will seize power over the Church and will place their servants everywhere; the pious will be regarded with contempt. He (the Lord) said, by their fruits ye shall know them, and so, by their fruits, as well as by the actions of the heretics, strive to distinguish them from the true pastors. ...they will distort the Divine Faith imperceptibly, in order to succeed better in seducing and enticing the inexperienced into the net. ...all those ruled by heresy will not endure piety. Monastics will be greatly oppressed by the heretics and monastic life will be scorned. These threats will cause great despair among the fainthearted, but you, my son rejoice that you have lived until that time, for then the faithful who have not shown any other virtues, will receive crowns merely for standing firm in the faith, according to the word of the Lord. ...the holy martyrs and confessors, they will look upon you and your struggle with joy. But woe to the monks in those days who will be bound with possessions and riches, who because of love of peace will be ready to submit to the heretics. They will lull to sleep their conscience, saying, “We are preserving and saving the monastery and the Lord will forgive us.” The unfortunate and blind ones do not at all consider that through heresy the demons will enter the monastery and then it will no longer be a holy monastery, but merely walls from which grace will depart. Do not fear sorrows, rather fear pernicious heresy, for it strips us of grace and separates us from Christ. And so my son strengthen yourself in the grace of Jesus Christ. Hasten to confess the faith, to endure suffering as a good soldier of Jesus Christ, Who has said, Be faithful unto death, and I will give thee a crown of life. _______ Orthodox Wisdom is dedicated to sharing the writings and lives of the Saints of the Orthodox Church. Glory to Jesus Christ! --- Send in a voice message: https://podcasters.spotify.com/pod/show/orthodox-wisdom/message

In today's episode, Gowri Gowda, Ezra Schwartz and Morgan Gold, and Dr. Sharif Ellozy interview Dr. Daniel Silverberg about his experiences practicing and teaching vascular surgery in Israel. Dr. Silverberg is the deputy director of the Department of Vascular Surgery and the Director of the endovascular service at the Chaim Sheba Medical Center in Ramat Gan in the municipality of Tel Aviv, Israel. He completed his undergraduate medical studies with honors at the Ben-Gurion University of the Negev in Beer-Sheva, Israel, and his clinical internship year at Meir Medical Center, Kfar-Saba, Israel. Dr. Silverberg performed his general surgery training at Meir Medical Center, Kfar-Saba, Israel, and later at Mount Sinai Medical Center, New York City. He then remained at Mount Sinai, where he completed his vascular surgery fellowship. Dr. Silverberg worked as an attending vascular surgeon at the James J. Peter VA Medical Center in New York for three years until returning to Israel in 2009.  Contact Information for Dr. Daniel Silverberg Email: daniel.silverberg@sheba.health.gov.il   Twitter: Dr. Gowri Gowda (@GowriGowda11) Dr. Ezra Schwartz (@ezraschwartz10) Dr. Morgan Gold (@MorganSGold)   Articles, resources, and societies referenced in the episode: Israeli Society for Vascular and Endovascular Surgery:  https://israelivascular.ima.org.il/ViewEvent.aspx?EventId=3630 https://www.commonwealthfund.org/international-health-policy-center/countries/israel Zhang LP, Silverberg D, Divino CM, Marin M. Building a Sustainable Global Surgical Program in an Academic Department of Surgery. Ann Glob Health. 2016 Jul-Aug;82(4):630-633. doi: 10.1016/j.aogh.2016.09.003. Epub 2016 Oct 1. PMID: 27986231.   Follow us @AudibleBleeding Learn more about us at https://www.audiblebleeding.com/about-1/ and #jointheconversation.

The concept of emphasizing, discussing, and training on giving prehospital death notification is, unfortunately for medics and our patient's families, a relatively new concept. Additionally, newer evidence shows that an increased frequency of fatality exposure increases EMS burnout rates. So...everyone wins by an increased focus on improving our skills and comfort with telling families that their loved ones have died. We were initially leery of doing an episode on death notification as The Medic Mindset podcast recently hit a home run on this topic recently. But, after educating over 500 EMS professionals, Dr. Dickson and I learned some valuable lessons from our crews that we felt were worth sharing. Enjoy! REFERENCES 1. https://medicmindset.com/2023/01/09/death-notification-choreography/ 2. Hobgood C, Mathew D, Woodyard DJ, et al. Death in the field: teaching paramedics to deliver effective death notifications using the educational intervention "GRIEV_ING". Prehosp Emerg Care. 2013 Oct-Dec;17(4):501-10. 3. Campos A, Ernest EV, Cash RE, et al. The Association of Death Notification and Related Training with Burnout among Emergency Medical Services Professionals. Prehosp Emerg Care. 2021 Jul-Aug;25(4):539-548.

Produkty sojowe odgrywają ważną rolę m.in. w dietach populacji zamieszkujących tereny Azji wschodniej, ale także np. u osób eliminujących mięso lub produkty odzwierzęce ze swojego jadłospisu. Są one cenione ze względu na liczne walory prozdrowotne, ale… z soją wiążą się również kontrowersje. Krąży w tym zakresie wiele niejasności m.in. dotyczących wpływu na hormony, zarówno u kobiet, jak i mężczyzn. Jak to jest więc z tą soją? __

"Wildflower" was first published in Issue 004 of Dark Matter Magazine, Jul-Aug 2021.  To purchase Issue 002, visit www.darkmattermagazine.shop CREDITS Written by Anna Madden Performed by Atticus Jackson Sound Design by Alli Nesbit Produced by Phil McLaughlin

"Set For Life" was first published in Issue 004 of Dark Matter Magazine, Jul-Aug 2021.  To purchase Issue 004, visit www.darkmattermagazine.shop.    Written by Warren Benedetto Performed by Kira Nesbit Sound Design by Alli Nesbit Produced by Phil McLaughlin Cover Art by Ninja Jo (who can also be found on Instagram)

In this special annual episode we look back at 2022 and ask the I Ching what our learning should have been in the powerful year just past. And then we look to 2023 and explore through the I Ching where our focus should be to really maximise the goodness of the year ahead. Listen to this episode for more insight into how to work with this flow this week. I Ching Resources, Links and Giveaways: https://linktr.ee/ichingcafe Timestamps 0:00 Intro 5:50 2022 Learning - Hexagram 53 Development 7:04 2022 Learning - Hexagram 53 Development, Changing Line 1 7:42 2022 Learning - Hexagram 37 The Family 9:46 2023 Focus - Hexagram 63 After Completion 12:46 2023 Focus - Hexagram 38 Opposition 16:09 2023 Focus - Hexagram 63 After Completion, Changing Line 2, Jan-Feb 2023 17:53 2023 Focus - Hexagram 63 After Completion, Changing Line 3, Mar-Apr 2023 19:22 2023 Focus - Hexagram 63 After Completion, Changing Line 4, May-Jun 2023 20:22 2023 Focus - Hexagram 63 After Completion, Changing Line 5, Jul-Aug 2023 21:21 2023 Focus - Hexagram 63 After Completion, Changing Line 6, Sep-Oct 2023 Tech Specs 2022 Learning Main or Present Hexagram - Hexagram 53 Development Changing Lines - 1st Position Outcome Hexagram - Hexagram 37 The Family 2023 Focus Main or Present Hexagram - Hexagram 63 After Completion Changing Lines - 2nd, 3rd, 4th, 5th and 6th Positions Outcome Hexagram - Hexagram 38 Opposition

A rapid review of nasoorbitoethmoid (NOE) fractures for the plastic surgery learner. In this episode we review:NOE complex anatomyEvaluation and management of the NOE fracture patientFeedback is always appreciated. Comments, questions, suggestions, or corrections can be sent to jakemarksmd@gmail.comReferences:Pawar SS, Rhee JS. Frontal sinus and naso-orbital-ethmoid fractures. JAMA Facial Plast Surg. 2014 Jul-Aug;16(4):284-9. Mithani SK, St-Hilaire H, Brooke BS, Smith IM, Bluebond-Langner R, Rodriguez ED. Predictable patterns of intracranial and cervical spine injury in craniomaxillofacial trauma: analysis of 4786 patients. Plast Reconstr Surg. 2009;123(4):1293-1301.Becelli R, Renzi G, Mannino G, Cerulli G, Iannetti G. Posttraumatic obstruction of lacrimal pathways: a retrospective analysis of 58 consecutive naso-orbitoethmoid fractures. J Craniofac Surg. 2004 Jan;15(1):29-33. 

Dr. Ben Sandefur, Emergency Medicine attending at Mayo Clinic, joins Alex and Venk on the podcast to talk about angioedema and awake tracheal intubation. He reviews the different types of angioedema in a format designed to assist the emergency department practitioner with decision making and prognostication. This is followed by a description of how to prepare for and lead a team and patient through awake tracheal intubation using fiberoptic and video laryngoscopy techniques.   Contacts TWITTER - @AlwaysOnEM; @VenkBellamkonda INSTAGRAM – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch EMAIL - AlwaysOnEM@gmail.com References Rosenbaum S, Wilkerson RG, Winters ME, Vilke GM, Wu MYC. Clinical Practice Statement: What is the Emergency Department Management of Patients with Angioedema Secondary to an ACE-Inhibitor? J Emerg Med. 2021 Jul;61(1):105-112 [from the American Academy of Emergency Medicine] https://pubmed.ncbi.nlm.nih.gov/34006418/ Moellman JJ, Bernstein JA, et al. A consensus parameter for the evaluation and management of angioedema in the emergency department. Acad Emerg Med. 2014 Apr;21(4):469-84 [from the American College of Allergy, Asthma & Immunology (ACAAI) and the Society for Academic Emergency Medicine (SAEM)] https://pubmed.ncbi.nlm.nih.gov/24730413/ Carrillo-Martin I, Gonzalez-Estrada A, Funni SA, Sandefur BJ, Jeffery MM, Campbell RL. Angioedema - related emergency department visits in the United States: Epidemiology and time trends, 2006-2015. J Allergy Clin Immunol Pract. 2020 Jul-Aug;8(7):2442-2444. https://pubmed.ncbi.nlm.nih.gov/32302784/ Ishoo E, Shah UK, Grillone GA, Stram JR, Fuleihan NS. Predicting airway risk in angioedema: staging system based on presentation. Otolaryngol Head Neck Surg. 1999 Sep;121(3):263-8 https://pubmed.ncbi.nlm.nih.gov/10471868/ Arthur J, Caro D, Topp S, Chadwick S, Driver B, Henson M, Norse A, Spencer H, Godwin SA, Guirgis F. Clinical predictors of endotracheal intubation in patients presenting to the emergency department with angioedema. Am J Emerg Med. 2022 Oct 19;63:44-49 https://pubmed.ncbi.nlm.nih.gov/36327748/ Sandefur BJ, Liu XW, Kaji AH, Campbell RL, Driver BE, Walls RM, Carlson JN, Brown CA. Emergency Department Intubations in Patients with Angioedema: A Report from the National Emergency Airway Registry. J Emerg Med. 2021 Nov;61(5):481-488 https://pubmed.ncbi.nlm.nih.gov/34479750/ Sandefur BJ, Oliveira Silva L, Lohse CM, Goyal KA, Barbara DW, Castaneda-Guarderas A, Liu XW, Campbell RL. Clinical features and outcomes associated with angioedema in the emergency department. West J Emerg Med. 2019 Aug 6;20(5):760-769 https://pubmed.ncbi.nlm.nih.gov/31539333/ Additional Resources Wilkerson RG, Moellman JJ. Hereditary Angioedema. Emerg Med Clin North Am. 2022 Feb;40(1):99-118 https://pubmed.ncbi.nlm.nih.gov/34782094/ Wilkerson RG, Winters ME. Angiotensin-Converting Enzyme Inhibitor-Induced Angioedema. Emerg Med Clin North Am. 2022 Feb;40(1):79-98 https://pubmed.ncbi.nlm.nih.gov/34782093/  

Drs. Bell and DeVine return for Part 4 of Perioperative Considerations, Management, and Process for patients on buprenorphine. This final (for now) episode discusses the ‘other' patient situations concerning perioperative times. How do you manage patients who have an undiagnosed opioid use disorder or are on very high doses of chronic opioids? What about patients who are opioid naive but who are high-risk for development of an OUD? These patients may be those who, personally, do not want opioids for any reason either due to a history of another substance use disorder or those who just do not want opioid exposure. Teaser- there will likely be a part 5 of this series of Perioperative Considerations… Below you will find the resources used for the development of this series. To learn more about the doctors as well as keep up with current happenings follow on twitter: @echocsct or email us with questions or feedback: theaddictionconnectionpodcast@gmail.com Part of the Ars Longa Media Productions. Articles for Perioperative Series: •Bentzley BS et al. Discontinuation of buprenorphine maintenance therapy: perspectives and outcomes. J Subst Abuse Treat 2015;52:48-57. •Buresh M, et al. Treatment perioperative and acute pain in patients on buprenorphine: narrative literature review and practice recommendations. J Gen Intern Med 2020;35(12):3635-3643. •Champagne K, et al. Patients on buprenorphine formulations undergoing surgery. Current Pain and Headache Reports 2022;26:459-468. •Engle AL, et al. The divided dose approach to perioperative buprenorphine management in patients with opioid use disorder. Journal of Opioid Management 2021;17(7):101-107. •Evans E, et al. Mortality among individuals accessing pharmacological treatment for opioid dependence in California, 2006-10. Addiction 2015;110:996. Goel A et al. The perioperative patient on buprenorphine: a systematic review of perioperative management strategies and patient outcomes. Can J Anaest 2019;66:201-17 •Greenwald M et al. Buprenorphine duration of action: mu-opioid receptor availability and pharmacokinetic and behavioral indices. Biol Psychiatry. 2007 Jan1;61(1):101-10. •Katz A, et al. Tobacco, alcohol, and drug use and willingness to change. J Hosp Med 2008;3:369-75. •Kubalanza K et al. Sublingual buprenorphine vs. morphine for acute pain. Am Fam Physician. 2012;86(7):682. •Liebschutz JM, et al. Buprenorphine treatment for hospitalized, opioid-dependent patients: a randomized clinical trial. JAMA Intern Med 2014;174:369-76. •Machado FC et al. Transdermal buprenorphine for acute postoperative pain: a systematic review. Braz J Anesthesiol. Jul-Aug 2020;70(4):419-428. Pergolizzi J et al. Current knowledge of buprenorphine and its unique pharmacological profile. Pain Pract. Sep-Oct 2010;10(5):428-50.

Drs. Bell and DeVine return for Part 4 of Perioperative Considerations, Management, and Process for patients on buprenorphine. This final (for now) episode discusses the ‘other' patient situations concerning perioperative times. How do you manage patients who have an undiagnosed opioid use disorder or are on very high doses of chronic opioids? What about patients who are opioid naive but who are high-risk for development of an OUD? These patients may be those who, personally, do not want opioids for any reason either due to a history of another substance use disorder or those who just do not want opioid exposure. Teaser- there will likely be a part 5 of this series of Perioperative Considerations… Below you will find the resources used for the development of this series. To learn more about the doctors as well as keep up with current happenings follow on twitter: @echocsct or email us with questions or feedback: theaddictionconnectionpodcast@gmail.com Part of the Ars Longa Media Productions. Articles for Perioperative Series: •Bentzley BS et al. Discontinuation of buprenorphine maintenance therapy: perspectives and outcomes. J Subst Abuse Treat 2015;52:48-57. •Buresh M, et al. Treatment perioperative and acute pain in patients on buprenorphine: narrative literature review and practice recommendations. J Gen Intern Med 2020;35(12):3635-3643. •Champagne K, et al. Patients on buprenorphine formulations undergoing surgery. Current Pain and Headache Reports 2022;26:459-468. •Engle AL, et al. The divided dose approach to perioperative buprenorphine management in patients with opioid use disorder. Journal of Opioid Management 2021;17(7):101-107. •Evans E, et al. Mortality among individuals accessing pharmacological treatment for opioid dependence in California, 2006-10. Addiction 2015;110:996. Goel A et al. The perioperative patient on buprenorphine: a systematic review of perioperative management strategies and patient outcomes. Can J Anaest 2019;66:201-17 •Greenwald M et al. Buprenorphine duration of action: mu-opioid receptor availability and pharmacokinetic and behavioral indices. Biol Psychiatry. 2007 Jan1;61(1):101-10. •Katz A, et al. Tobacco, alcohol, and drug use and willingness to change. J Hosp Med 2008;3:369-75. •Kubalanza K et al. Sublingual buprenorphine vs. morphine for acute pain. Am Fam Physician. 2012;86(7):682. •Liebschutz JM, et al. Buprenorphine treatment for hospitalized, opioid-dependent patients: a randomized clinical trial. JAMA Intern Med 2014;174:369-76. •Machado FC et al. Transdermal buprenorphine for acute postoperative pain: a systematic review. Braz J Anesthesiol. Jul-Aug 2020;70(4):419-428. Pergolizzi J et al. Current knowledge of buprenorphine and its unique pharmacological profile. Pain Pract. Sep-Oct 2010;10(5):428-50.

Dr. Kimberly Blumenthal (@KimberlyBlumen1), Dr. Meghan Jeffres (@PharmerMeg), and Dr. Eric Macy (@EricMacyMD) join Dr. Julie Ann Justo (@julie_justo) to summarize the history of cephalosporin avoidance in penicillin allergies, evidence-based pros and cons of giving cephalosporins in penicillin allergy, how to leverage technology to improve treatment of patients with penicillin allergies, and much more! Learn more about the Society of Infectious Diseases Pharmacists: https://sidp.org/About Twitter: @SIDPharm (https://twitter.com/SIDPharm) Instagram: @SIDPharm (https://www.instagram.com/sidpharm/) Facebook: https://www.facebook.com/sidprx LinkedIn: https://www.linkedin.com/company/sidp/ References Macy E. Why Was There Ever a Warning Not to Use Cephalosporins in the Setting of a Penicillin "Allergy"? J Allergy Clin Immunol Pract. 2021 Nov;9(11):3929-3933. doi: 10.1016/j.jaip.2021.06.059. PMID: 34303019. Liang EH, et al. Adverse Reactions Associated with Penicillins, Carbapenems, Monobactams, and Clindamycin: A Retrospective Population-based Study. J Allergy Clin Immunol Pract. 2020 Apr;8(4):1302-1313.e2. doi: 10.1016/j.jaip.2019.11.035. PMID: 31821919. Macy E, Contreras R. Adverse reactions associated with oral and parenteral use of cephalosporins: A retrospective population-based analysis. J Allergy Clin Immunol. 2015 Mar;135(3):745-52.e5. doi: 10.1016/j.jaci.2014.07.062. PMID: 25262461. Macy E, et al. Population-Based Incidence of New Ampicillin, Cephalexin, Cefaclor, and Sulfonamide Antibiotic "Allergies" in Exposed Individuals with and without Preexisting Ampicillin, Cephalexin, or Cefaclor "Allergies". J Allergy Clin Immunol Pract. 2022 Feb;10(2):550-555. doi: 10.1016/j.jaip.2021.10.043. PMID: 34757066. Picard M, et al. Cross-Reactivity to Cephalosporins and Carbapenems in Penicillin-Allergic Patients: Two Systematic Reviews and Meta-Analyses. J Allergy Clin Immunol Pract. 2019 Nov-Dec;7(8):2722-2738.e5. doi: 10.1016/j.jaip.2019.05.038. PMID: 31170539. Romano A, et al. Cross-reactivity and tolerability of aztreonam and cephalosporins in subjects with a T cell-mediated hypersensitivity to penicillins. J Allergy Clin Immunol. 2016 Jul;138(1):179-186. doi: 10.1016/j.jaci.2016.01.025. PMID: 27016799. Romano A, et al. Cross-Reactivity and Tolerability of Cephalosporins in Patients with IgE-Mediated Hypersensitivity to Penicillins. J Allergy Clin Immunol Pract. 2018 Sep-Oct;6(5):1662-1672. doi: 10.1016/j.jaip.2018.01.020. PMID: 29408440. Blumenthal KG, et al. The Impact of a Reported Penicillin Allergy on Surgical Site Infection Risk. Clin Infect Dis. 2018 Jan 18;66(3):329-336. doi: 10.1093/cid/cix794. PMID: 29361015. Blumenthal KG, et al. Risk of meticillin resistant Staphylococcus aureus and Clostridium difficile in patients with a documented penicillin allergy: population based matched cohort study. BMJ. 2018 Jun 27;361:k2400. doi: 10.1136/bmj.k2400. PMID: 29950489. Blumenthal KG, et al. Recorded Penicillin Allergy and Risk of Mortality: a Population-Based Matched Cohort Study. J Gen Intern Med. 2019 Sep;34(9):1685-1687. doi: 10.1007/s11606-019-04991-y. PMID: 31011962. Macy E, Contreras R. Health care use and serious infection prevalence associated with penicillin "allergy" in hospitalized patients: A cohort study. J Allergy Clin Immunol. 2014 Mar;133(3):790-6. doi: 10.1016/j.jaci.2013.09.021. PMID: 24188976. AAAI. Choosing Wisely. 2014 Mar 3. https://www.choosingwisely.org/clinician-lists/american-academy-allergy-asthma-immunlogy-non-beta-lactam-antibiotics-penicillin-allergy/ Jeffres MN, et al. Systematic review of professional liability when prescribing β-lactams for patients with a known penicillin allergy. Ann Allergy Asthma Immunol. 2018 Nov;121(5):530-536. doi: 10.1016/j.anai.2018.03.010. PMID: 29551402. Macy E, et al. Association Between Removal of a Warning Against Cephalosporin Use in Patients With Penicillin Allergy and Antibiotic Prescribing. JAMA Netw Open. 2021 Apr 1;4(4):e218367. doi: 10.1001/jamanetworkopen.2021.8367. PMID: 33914051. Blumenthal KG, et al. Addressing Inpatient Beta-Lactam Allergies: A Multihospital Implementation. J Allergy Clin Immunol Pract. 2017 May-Jun;5(3):616-625.e7. doi: 10.1016/j.jaip.2017.02.019. PMID: 28483315. Jeffres M. Penicillin and/or Beta-Lactam Allergy Tip Sheet & Cross-reactivity Table. https://drive.google.com/file/d/1cokYXnSDlO3vk8ke1LaalPz4iavuNSV8/view?usp=share_link Khan DA, et al. Drug allergy: A 2022 practice parameter update. J Allergy Clin Immunol. 2022 Sep 17:S0091-6749(22)01186-1. doi: 10.1016/j.jaci.2022.08.028. Epub ahead of print. PMID: 36122788. Guyer AC, et al. Allergy Electronic Health Record Documentation: A 2022 Work Group Report of the AAAAI Adverse Reactions to Drugs, Biologicals, and Latex Committee. J Allergy Clin Immunol Pract. 2022 Nov;10(11):2854-2867. doi: 10.1016/j.jaip.2022.08.020. PMID: 36151034. Iammatteo M, et al. Safety and Outcomes of Oral Graded Challenges to Amoxicillin without Prior Skin Testing. J Allergy Clin Immunol Pract. 2019 Jan;7(1):236-243. doi: 10.1016/j.jaip.2018.05.008. PMID: 29802906. Bavbek S, et al. Determinants of nocebo effect during oral drug provocation tests. Allergol Immunopathol (Madr). 2015 Jul-Aug;43(4):339-45. doi: 10.1016/j.aller.2014.04.008. PMID: 25088674. DePestel DD, et al. Cephalosporin use in treatment of patients with penicillin allergies. J Am Pharm Assoc (2003). 2008 Jul-Aug;48(4):530-40. doi: 10.1331/JAPhA.2008.07006. PMID: 18653431. Check out our podcast host, Pinecast. Start your own podcast for free with no credit card required. If you decide to upgrade, use coupon code r-7e7a98 for 40% off for 4 months, and support Breakpoints. Check out our podcast host, Pinecast. Start your own podcast for free with no credit card required. If you decide to upgrade, use coupon code r-7e7a98 for 40% off for 4 months, and support Breakpoints.

Recording of the Evidence Based Hair Podcast for the Oct 17, 2022 issue.    LICHEN PLANOPILARIS COMORBIDITY STUDIES Conic et al (starts 8:19). Exploring the association between lichen planopilaris, cardiovascular and metabolic disorders. J Eur Acad Dermatol Venereol 2021 Nov;35(11):e826-e828. Joshi et al (starts 9:59). Comorbidities associated with lichen planopilaris: a case-control study using the All of Us database. Int J Dermatol. 2022 Oct 2. Nasimi et al (starts 15:45) Comorbidities in Patients with Lichen Planopilaris: A Case-Control Study. Skin Appendage Disord. 2022 Jul;8(4):302-306.   FRONTAL FIBROSING ALOPECIA STUDIES Imhof RL et al (starts 20:21). Eyebrow hair loss as a prognostic factor for frontal fibrosing alopecia. JAAD Int. 2022 Aug 18; Rosales Santillan M et al (starts 26:52). Exploring potential decreasing age of patients with frontal fibrosing alopecia. JAAD Int. 2022 Jul 22; Doche et al (starts 35:52). "Normal-appearing" scalp areas are also affected in lichen planopilaris and frontal fibrosing alopecia: An observational histopathologic study of 40 patients. Exp Dermatol . 2020 Mar;29(3):278-281. Porrino-Bustamante et al (starts 36:30). Frontal Fibrosing Alopecia: A Histopathological Comparison of the Frontal Hairline with Normal-Appearing Scalp. J Clin Med 2022; Jul 15;11(14):4121   CHECKPOINT INHIBITORS AND SCARRING ALOPECIA Braasch et al (starts 45:25). Scarring Alopecia Under Immune Checkpoint Blockade: a Report of Three Cases. Acta Derm Venereol. 2022 Oct 11;102:adv00792.   GENE SIGNATURES IN PRIMARY SCARRING ALOPECIA Wang EHC et al (starts 55:10). Primary cicatricial alopecias are characterized by dysregulation of shared gene expression pathways. PNAS Nexus . 2022 Jul 11;1(3):pgac111   ALOPECIC AND ASEPTIC NODULES OF THE SCALP (AANS): Luu NHC et al (starts 1:06:42). Alopecic and Aseptic Nodules of the Scalp: A New Entity or a Minor Form of Dissecting Cellulitis? Int J Trichology. 2022 Jul-Aug;14(4):120-124

Eva Vivian, PharmD, PhD, BC-ADM, CDCES, FADCES, and Daphne Smith Marsh, PharmD, BC-ADM, CDCES, discuss the impact of health disparities on-site at ADCES22 in Baltimore. You'll hear their perspectives on the environmental and social factors that contribute to health disparities, both in and out of the clinical setting. You'll also hear how diabetes care and education specialists and other healthcare professionals can address health disparities in simple, practical ways that meet the needs of the individual while building trust.Resources:ADCES Resources on Health Equity: DiabetesEducator.org/HealthEquityADCES22 On-Demand Sessions: ADCES22.orgEdgoose J, Quiogue M, Sidhar K. How to Identify, Understand, and Unlearn Implicit Bias in Patent Care. Fam Pract Management. 2019 Jul-Aug;26(4):29-33Reid H, Lin O, Fabbro RL, et al. Provider communication in black patients with T2DM is associated with glycemic control. Presented at: American Diabetes Association 80th Scientific Sessions; June 12-16, 2020. Abstract 52-LB.Akturk HK, Agarwal S, Hoffecker L, Shah VN. Inequity in racial ethnic representation in randomized controlled trials of diabetes technologies in type 1 diabetes: critical need for new standards. Diabetes Care. 2021;44(6):e121-e123.

Recording of the Evidence Based Hair Podcast for the Oct 11, 2022 issue.  TINEA CAPITIS STUDIES Cukierman E et al (starts at 5:18). Alopecia and pet: a case report. Einstein (Sao Paulo). 2022 Jul 4;20:eRC6881.   TELOGEN EFFLUVIUM - COVID 19 Visconti A et al (starts at 20:00) Cutaneous Manifestations of SARS-CoV-2 infection during the Delta and Omicron waves in 348,691 UK users of the UK ZOE COVID Study App. Br J Dermatol. 2022 Jul 22;   TELOGEN EFFLUVIUM - ISOTRETINOIN Tran PT et al (starts at 29:30) Characteristics of Patients with Hair Loss after Isotretinoin Treatment: A Retrospective Review Study. Int J Trichology. 2022 Jul-Aug;14(4):125-127.   TRICHOTILLOMANIA STUDIES Grant JE and Chamberlain SR (starts at 42:17). Natural recovery in trichotillomania. Aust N Z J Psychiatry. 2022 Oct;56(10):1357-1362   Chesivoir EK et al (starts at 47:30). Comorbid trichotillomania and attention deficit hyperactivity disorder in adults. Psychiatry. 2022 Jul; TELOGEN EFFLUVIUM -   IRON DEFICIENCY   Kano Y. Blue sclera (starts at 55:33): An overlooked finding of iron deficiency. Cleve Clin J Med. 2022 Oct 3;89(10):549-550.    

Introduction: False positive RPR. By Hector Arreaza, MD. Read by Alinor Mezinord, MS III, Ross University School of Medicine.  Today we will talk about syphilis. Significant research has been done to determine the origin of this ancient infection. Some experts support that syphilis originated in the New World (the Americas) because the first cases in Europe were reported after the Christopher Columbus crew returned from their expeditions. On the other hand, some people defend the idea of the origin of syphilis in the Old World. Whatever its origin, syphilis is still affecting thousands of people worldwide. According to the World Health Organization, “syphilis in pregnancy is the second leading cause of stillbirth globally and also results in prematurity, low birth weight, neonatal death, and infections in newborns.”[1] The cases in the US are not as high as in other countries, but certain areas have cases higher than the national or state average. Such is the case in Kern County. Our incidence of syphilis is higher than the national average.That's why it is important to screen for this disease. RPR is the most common test to screen for syphilis; however, it may not be completely accurate. RPR is a non-treponemal test that can cause false positive results. On December 20, 2021, the CDC released a letter announcing an FDA alert regarding a high RPR false positive rate when done with Bio-Rad Laboratories BioPlex 2200 Syphilis Total & RPR kit. You may not know which kit was used for the test, but you need to know what to do with a positive RPR. Some conditions associated with false positive RPR include COVID-19 vaccines, tuberculosis, endocarditis, rickettsial disease, recent immunizations (smallpox), and pregnancy. In case of RPR positive, you need to confirm syphilis with a treponemal test, which will be more reliable regardless of the possibility of a false positive RPR. We still need to screen because syphilis continues to increase in our nation. I hope you enjoy this episode.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.___________________________Latent Syphilis. By Carol Avila, MD. Comments by Hector Arreaza, MD. Dr. Avila: I had the amazing opportunity to do inpatient pediatrics during my first rotation at a local hospital, and I often treated patients with neonatal syphilis. I was curious to know what is happening in this area (Bakersfield) that made syphilis (seems to me) a very frequent diagnosis of admission in peds, especially because newborns are impacted by a preventable disease.Epidemiology:The latest update available on the CDC website is the 2020 Surveillance Report of Nationally Notifiable STDs which showed:-In 2020, the national rate of syphilis was about 40 per 100,000 population (all stages).-The rate of national congenital syphilis was about 57 cases per 100,000 live births.-During that year, California was ranked #7 for primary and secondary syphilis (P&S), with a 19.5 per 100,000 population. Nevada was the number #1 state.Local data:In 2018 data, the Kern County Public Health Services Department reported:-A total of 1,520 cases of syphilis (all stages) were diagnosed during that year, about 4 cases/day. It is important to mention that there was a spike in the number of cases of syphilis by 86% compared to the prior year, 2017.-In 2020, 250 cases of congenital syphilis per 100,000 live births were reported in Kern County. Significantly higher than the national average (mentioned above, 40 cases per 100,000 residents). -For primary and secondary syphilis, Kern County was 62% higher than the state average, with almost 35 per 100,000 population, and was ranked #6 in the state of California. -San Francisco was ranked #1.-Bottomline: The rate of syphilis and congenital syphilis in Kern County is higher than the state and national average.Definition:Syphilis is a systemic bacterial infection caused by the gram-negative spirochete Treponema pallidum. Transmission:Syphilis is well known as a sexually transmitted disease; however, while many cases happen due to sexual activity, there are a few other ways that syphilis can also be spread.-It can be transmitted during pregnancy, resulting in congenital syphilis.-Also, passing on syphilis via blood transfusions was very common but is now rare thanks to blood supply screening.-Syphilis transmission is also possible through an organ donor, which nowadays is very rare.-Before healthcare providers were wearing gloves as a standard precaution, it was common for syphilis lesions to appear on their fingers and noses.-It can also be transmitted through close and repetitive contact with mucosal or skin lesions of people with active syphilis.Classification:-Syphilis is divided into stages based on clinical findings. Primary, secondary, and tertiary.-The latent phase occurs between secondary and tertiary. -Patients pass through secondary syphilis and may not realize it.-The most contagious stages are primary and secondary, and syphilis could still be contagious in the early latent phase.-Easy classification: Early (primary, secondary, early latent); Late (tertiary and late latent); Neurosyphilis (which occurs any time).Primary syphilis:-It usually happens 3 weeks after the initial contact with the spirochete, but it can also be seen after 90 days. The bacteria will destroy the local tissue when we see the syphilitic chancre, a painless, well-demarcated lesion with firm, indurated margins. It might go unnoticed; without treatment, the bacteria will spread to the bloodstream, and the infection will progress to the secondary stage.Secondary syphilis:-In the secondary stage, the patient can have a wide variety of signs and symptoms. General constitutional symptoms are common; however, it is characterized by a body-wide rash, prominent in palms and soles. This rash can be macular, papular, or pustular; patients can also develop patches in oral mucosa and tongue, as well as wart-like sores called condylomata lata. Tertiary syphilis:-In the pre-antibiotic era, 15 to 30 years after the initial infection, patients could develop any of the three forms of tertiary syphilis. -Cardiovascular syphilis involves the ascending thoracic aorta. Patients may present with aorticaneurysm or left heart failure. -Gummatous syphilis is uncommon, but it is especially important in patients coinfected with HIV. Gummas can appear in the skin, bones, or internal organs. -Central Nervous System syphilis presents with general paresis, tabes dorsalis, meningitis, hearing and vision loss, and dementia.Latent syphilis:-It occurs when the patient has positive serology for T. pallidum, but the patient is asymptomatic. -Latent syphilis can also be divided into early latent (when the primary infection occurred within the previous 12 months); and late latent syphilis (when the primary stage happened more than 12 months ago.)-Differentiating early and late latent syphilis is vital because the treatment will differ.Congenital syphilis:-The infection occurs during pregnancy.-It can cause miscarriage, stillbirth, or birth defects like nasal cartilage destruction, and frontalbossing, among others. Screening and Diagnostic Testing:-The USPSTF recommends screening asymptomatic, nonpregnant adults and adolescents at increased risk for syphilis infection (Grade A).-The USPSTF recommends early screening for syphilis infection in all pregnant women. as early as possible when they first present to care. -Repeat screening: The CDC and joint guidelines from the American Academy of Pediatrics (AAP) and the ACOG endorse repeat screening, especially for women at risk, early in the third trimester (at about 28 weeks of gestation) and again at delivery.-High-risk patients include men who have sex with men (MSM) and men and women living with HIV. -Also, people with a history of incarceration, a history of commercial sex work, certain racial/ethnic groups (African Americans and Hispanics), and being a male younger than 29 years.How to screen: -Initial screening should be done with a nontreponemal test (RPR or VDRL); if positive, a treponemal test (TP-PA or FTA-ABS) would be the next step. -Nontreponemal tests can be positive in patients with preexisting conditions, e.g., collagen vascular diseases, pregnancy, malignancy, tuberculosis, etc.-The USPSTF also refers to the reverse sequence screening algorithm, where we perform a treponemal test first in those patients that could be missed after a nontreponemal test, for example, people who are homeless, also in nontraditional and nonclinical settings. -A treponemal test will be followed by a nontreponemal test, however, there is no evidence of the accuracy of this screening algorithm, so it is an open field for researchers.-Remember that most patients will have positive antibodies for life, irrespective of treatment or disease stage.Treatment:-One word: Penicillin is the treatment of choice.-Additionally, every patient diagnosed with primary and secondary syphilis should be tested for HIV and other sexually transmitted diseases at the time of diagnosis. Primary, secondary, and early latent syphilis: Benzathine penicillin G, 2.4-million-unit IM, in a single dose.-Children/Infant age > 1 month of age: Benzathine PCN G, 50,000 units/kg body weight IM up to 2.4 million-unit in a single dose. -Children > 1 month with P&S syphilis should be evaluated for sexual abuse.Arreaza:-Pregnancy: Treatment is still penicillin G, if there is a penicillin allergy, desensitization should be done in a controlled setting.-In non-pregnant with PCN allergy- alternatives are doxycycline 100 mg BID x14 days or Ceftriaxone 1 G daily IM or IV for 10-14 days.-For P&S syphilis: clinical and serological evaluation should be done at 6 to 12 months after treatment. Late latent syphilis and tertiary: Benzathine penicillin G, 7.2-million-unit total, administered as 2.4 million units IM each week x3 doses. (2.4 x3 = 7.2). A good strategy is to assume all latent syphilis are late latent. -Follow up with a quantitative nontreponemal serologic test at 6, 12, and 24 months, and compare thistiter with the initial titer at the time of diagnosis.-Special recommendation: Check RPR titer the same day you give the first dose of penicillin.Neurosyphilis: -CSF examination is recommended if neurologic findings are present.-If neurosyphilis is confirmed, it will require aqueous penicillin G, 3-4 million units IV every 4 hours for 10-14 days. Alternative ceftriaxone 2 G IV daily x14 days. Get guidance from an ID specialist. We will continue talking about syphilis in another episode, which was an excellent introduction.____________________________Conclusion: Now we conclude episode number 112, “Syphilis Basics.” Dr. Avila raised our awareness of syphilis in our community and the importance of screening all adolescents and adults at risk of infection, and especially ALL pregnant persons, during their first prenatal visit or as early as possible. Timely treatment with penicillin is important to prevent late complications of syphilis and especially to prevent the devastating consequences of congenital syphilis. This week we thank Hector Arreaza, Carol Avila, and Alinor Mezinord. Audio edition by Adrianne Silva.Even without trying, every night, you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you; send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week!References:1. Data on syphilis, The Global Health Observatory, World Health Organization, who.int, https://www.who.int/data/gho/data/themes/topics/topic-details/GHO/data-on-syphilis,  accessed September 14, 2022. 2. Center for Disease Control and Prevention. (2022, April 11). National Overview of STD.  https://www.cdc.gov/std/statistics/2020/overview.htm#CongenitalSyphilis. 3. STDs in Kern County, Kern County Public Health Services Department, STDS in Kern County 2018, https://kernpublichealth.com/wp-content/uploads/STDs-in-Kern-County-2018-slide-set-comparison.pdf, downloaded on Sep 12, 2022. 4. Center for Disease Control and Prevention. (2022, April 4). Reported Cases and Rates of Reported Cases by State, Ranked by Rates, United States, 2020. https://www.cdc.gov/std/statistics/2020/tables/13.htm 5. Morgen, Sam, Reported cases of STDs in Kern County dropped in 2020, but decrease could be misleading, The Bakersfield Californian, Apr 17, 2022, bakersfield.com, https://www.bakersfield.com/news/reported-cases-of-stds-in-kern-county-dropped-in-2020-but-decrease-could-be-misleading/article_6e7d8d36-bd18-11ec-a98f-7f247bc2517e.html. 6. U.S. Preventive Services Task Force. (2016, June 7). Syphilis Infection in Nonpregnant Adults and Adolescents: Screening. https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/syphilis-infection-in-nonpregnant-adults-and-adolescents. 7. Center For Disease Control And Prevention. (2022, July 21). Sexually Transmitted Infections Treatment Guidelines. https://www.cdc.gov/std/treatment-guidelines/syphilis.htm. 8. Calonge N; U.S. Preventive Services Task Force. Screening for syphilis infection: recommendation statement. Ann Fam Med. 2004 Jul-Aug;2(4):362-5. doi: 10.1370/afm.215. Erratum in: Ann Fam Med. 2004 Sep-Oct;2(5):517. PMID: 15335137; PMCID: PMC1466700. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1466700/. 9. Royalty-free music used for this episode: Good Vibes Alt Mix by Videvo, downloaded on May 06, 2022 from https://www.videvo.net/royalty-free-music-track/good-vibes-alt-mix/1017292/ 

What we talked about: 1:10- Example case of lateral hip pain 2:30- Diagnosis of lateral hip pain 7:50- Differential diagnoses 12:00- Exercises for rehabbing lateral hip pain 13:30- Management of pain 19:45- Treatments References: -Bird PA, Oakley SP, Shnier R, Kirkham BW. Prospective evaluation of magnetic resonance imaging and physical examination findings in patients with greater trochanteric pain syndrome. Arthritis Rheum. 2001 Sep;44(9):2138-45. -Tortolani PJ, Carbone JJ, Quartararo LG. Greater trochanteric pain syndrome in patients referred to orthopedic spine specialists. Spine J. 2002 Jul-Aug;2(4):251-4. -Mellor R, Bennell K, Grimaldi A, Nicolson P, Kasza J, Hodges P, et al. Education plus exercise versus corticosteroid injection use versus a wait and see approach on global outcome and pain from gluteal tendinopathy: prospective, single blinded, randomized clinical trial. BMJ 2018; 361:k1662. -Khan KM, Cook JL, Taunton JE, Bonar F. Overuse tendinosis, not tendinitis part 1: a new paradigm for a difficult clinical problem. Phys Sportsmed. 2000 May;28(5):38-48. -Fitzpatrick J, Bulsara MK, O'Donnell J, McCrory PR, Zheng MH. The Effectiveness of Platelet-Rich Plasma Injections in Gluteal Tendinopathy: A Randomized, Double-Blind Controlled Trial Comparing a Single Platelet-Rich Plasma Injection With a Single Corticosteroid Injection. Am J Sports Med. 2018 Mar;46(4):933-939.

Vascular Origin Stories is a podcast series that explores the fun and engaging stories that shaped vascular surgery. Today's episode will be the first part of a multi-episode series exploring how the young battalion surgeons serving in MASH units in the Korean war pioneered wartime vascular repair. This episode introduces the Mobile Army Surgical Hospital (MASH), as well as some of the real-life stories from the surgeons unknowingly changing the field of medicine, which inspired the hit movie and TV series M*A*S*H.  We'll look at what caused arterial repair to be removed from the army surgical handbook after WWI and how changing medical education helped create the environment for ingenuity in the MASH units. In part 2, we'll explore in detail the individual stories of adversity, courage, and perseverance that led to the re-introduction of arterial repair in the military. Major sources for the episode are linked below, and a full reference list can be found at the bottom of the page. Articles In Ukraine, Gruesome Injuries and Not Enough Doctors to Treat Them, by Michael Schwirtz and Lynsey Addari Korea, M*A*S*H, and the accidental pioneers of vascular surgery by Dr. Steven Friedman, MD Books Of Life and Limb: Surgical Repair of the Arteries in War and Peace, 1880-1960 by Dr. Justin Barr, MD, PhD MASH: An Army Surgeon in Korea by Dr. Otto Apel, MD and Pat Apel MASH: A Novel About Three Army Doctors  by Richard Hooker References  Robinson, A. Galen: Life Lessons from Gladiatorial Contests. The Lancet Perspective. Vol 382, Is. 9904. November 2013. Friedman, S.G. A History of Vascular Surgery. Futura Publishing. 1989. Van Way, C. War and Trauma: A History of Military Medicine. Mo Med. 2016 Jul-Aug;113(40:260-263 Hernigou, P. Ambroise Pare II: Pare's contributions to amputation and ligature. Int Orthop. 2013 Apr; 37(4): 769-772  Van Way, C. War and Trauma: A History of Military Medicine- PArt II. Mo Med. 2016 Sep-Oct; 113 950:336-340 Apel, O. Apel, P. MASH: An Army Surgeon in Korea. The University Press of Kentucky. 1998.  King, B. Jatoi, I. The Mobile Army Surgical Hospital (MASH): A Military and Surgical Legacy. Journal of the National Medical Association. Vol. 97, No 5. May 2005. Friedman, S.  Korea, MASH and the Accidental Pioneers of Vascular Surgery. Journal of Vascular Surgery. 2007.  Wesselingh, R. From Milites Medici to Army Medics- A two Thousand Year Tradition of Military Medicine. Journal of Military and Veterans' Health. Vol 16, No 4 Gabriel, R. Between Flesh and Steel: A History of Military Medicine from the Middle Ages to the War in Afghanistan. Potomac Books. 2016 Jorgensen,T.J. How Marie Curie Brought X-Ray Machines To the Battlefield. Smithsonian Magazine. Oct 11. 2017 Of Life and Limb: Surgical Repair of the Arteries in War and Peace, 1880-1960. Joseph Barr. University of Rochester Press; 1st edition. November 1, 2019.  Duffy, T.P. The Flexner Report- 100 Years Later.  Yale Journal of Biological Medicine. 2011 Sep;84(3): 269-276  Andrew Dale. Band of Brother: Creators of Modern Vascular Surgery. Deweese. 1996 John Kobler. The Reluctant Surgeon, a Biography of John Hunter. Doubleday and Company. 1960 Eugene Custers, Ollen ten Cate.The History of Medical Education in Europe and the United States, With Respect to Time and Proficiency. Academic Medicine. March 2018-Vol. 93 Is. 3S Kapp, K. Talbot, G. John Hunter, The Father of Scientific Surgery. The American College of Surgeons. Poster CC2017  “Alpha Omega Alpha' History”. Website Kenneth M. Ludmerer. Learning to Heal: The Development of American Medical Education. Basic Books, Inc., Publishers. New York. 1985 Richard Hooker and WC Heinz.  MASH: A Novel About Three Army Surgeons. Pocket Books. 1968.  Jahnke Jr., E.J., Seeley S.F. Acute vascular injuries in the Korean War: an analysis of 77 consecutive cases. Ann Surg. 1953; 138: 158-177 Author + Host: Marlene Garcia-Neuer (@GarciaNeuer) is a PGY1 General Surgery Resident at Mayo Clinic Arizona. Calling all medical students! Submit your questions for the mailbag episode! Ask us any question related to vascular surgery, and have it answered on the podcast. Include the following: Your name, school, year, and to whom you want to address the question (resident, fellow, attending, or someone specific). Send them in writing or voice-recorded format.  Send them to audiblebleeding@vascularsociety.org. Follow us on Twitter @audiblebleeding Learn more about us at https://www.audiblebleeding.com/about-1/ and #jointheconversation. Credits: Author: Marlene Garcia-Neuer Editor: Sharif Ellozy Reviewer: Eilidh Gunn Music and Sound Effects from Pixabay, special thanks to ZakharValaha and BlenderTimer.

My latest show for Katbrownsugar's Sweet Vibrations Radio - 80s soul, sampled and interpolated by the 90s. A mellow one, for sure. Track list: groovement.co.uk

This is an abridged, 30-minute excerpt of the interview with Boston College professor of political science Shep Melnick posted yesterday for paid subscribers only. It is the second episode of the subscriber-only Syllabus series. Become a paid subscriber to hear the rest of this episode and maintain access to a growing archive of independent study sessions.This is the second episode in the Syllabus series, wherein I do a deep dive into a subject with an academic expert.R. Shep Melnick, Thomas P. O'Neill, Jr. Professor of American Politics at Boston College and co-chair of the Harvard Program on Constitutional Government, has put together a syllabus of readings that we will working through on the subscriber-only Syllabus podcast series. Every 3-4 weeks we'll do another reading together.This episode we discuss Robert A. Kagan's essay “Adversarial Legalism and American Government.”Other readings mentioned in this episode: Lloyd A. Free and Hadley Cantril's 1967 book The Political Beliefs of Americans: A Study of Public OpinionJonathan Rauch's Jul/Aug 2016 article in The Atlantic, "How American Politics Went Insane" Daniel P. Moynihan's Iron Law of Emulation theory in "Imperial Government." Commentary, Jun. 1978Jamal Greene's 2021 book How Rights Went Wrong: Why Our Obsession with Rights Is Tearing America ApartNext episode we will be reading Hugh Heclo, “The Sixties' False Dawn: Awakenings, Movements, and Postmodern Policymaking,” Journal of Policy History, vol. 8, 1996.A full transcript of our conversation is available for paid subscribers. Listen on Substack or subscribe wherever you listen to podcasts: Apple | Spotify | Google | RSS. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit wesleyyang.substack.com/subscribe

Stacy Lauderdale, Senior Director of Drug Information, and Kyle Hoelting, Senior Manager of Drug Information at Vizient, share their insights on the history and current state of evidence-based medicine within the practitioner community. They also discuss how to reverse the trend of using anecdotal experience and swing the pendulum back to increased reliance on evidenced based medicine.   Guest speakers: Stacy Lauderdale, PharmD, BCPS Senior Director of Drug Information  Vizient   Kyle Hoelting, PharmD, BCPS Senior Manager of Drug Information  Vizient   Moderator: Gretchen Brummel, PharmD, BCPS Pharmacy Executive Director Vizient Center for Pharmacy Practice Excellence   Show Notes: [00:55-2:18] Kyle and Stacy's backgrounds [02:19-3:45] Evidence Based Medicine definition and history [03:46-5:54] Current state of EBM [05:55-10:45] Basic tools of EBM [10:46-14:29] Difference between clinical and statistical significance [14:30-15:56] Outcomes   [15:57-18:28] Role of FDA in promoting EBM [18:29-20:27] How pharmacy and therapeutics committees incorporate EBM [20:28-21:15] EBM Resources   Links | Resources: Seigfried RJ, Corbo T, Saltzberg MT, Reitz J, Bennett DA. Deciding which drugs get onto the formulary: a value-based approach Value Health. 2013 Jul-Aug;16(5):901-6.   Riegelman RK, Nelson BA. Studying a Study & Testing a Test: Reading Evidence-Based Health Research. Philadelphia: Wolters Kluwer; 2021.   Gehlbach SH. Interpreting the Medical Literature. 5th ed. New York: McGraw Hill; 2006.   Malone PM, Malone MJ, Park SK. Drug information: a guide for pharmacists. 6th ed. New York:  McGraw Hill; 2014.   Subscribe Today! Apple Podcasts Amazon Podcasts Google Podcasts Spotify Stitcher Android RSS Feed

Tune in to learn 6 health benefits of garlic! Get your FREE Self-Care Planner: CLICK HERE to download https://mailchi.mp/e071daa1445b/g68zgxope4 Connect with me: Website: www.gohardchick.com Instagram: @gohardchickand @krisalisefit Facebook: Krisalise Fit Music: Rainforest by Spiring https://soundcloud.com/user-57630131 Creative Commons — Attribution 3.0 Unported — CC BY 3.0 Free Download / Stream: https://bit.ly/3s5yiGk Music promoted by Audio Library https://youtu.be/JYQlARDmG5M Sources Mentioned: Rivlin RS. Historical perspective on the use of garlic. J Nutr. 2001 Mar;131(3s):951S-4S. doi: 10.1093/jn/131.3.951S. PMID: 11238795. Morihara N, Nishihama T, Ushijima M, Ide N, Takeda H, Hayama M. Garlic as an anti-fatigue agent. Mol Nutr Food Res. 2007 Nov;51(11):1329-34. doi: 10.1002/mnfr.200700062. PMID: 17955479. Borlinghaus J, Albrecht F, Gruhlke MC, Nwachukwu ID, Slusarenko AJ. Allicin: chemistry and biological properties. Molecules. 2014 Aug 19;19(8):12591-618. doi: 10.3390/molecules190812591. PMID: 25153873; PMCID: PMC6271412. Josling P. Preventing the common cold with a garlic supplement: a double-blind, placebo-controlled survey. Adv Ther. 2001 Jul-Aug;18(4):189-93. doi: 10.1007/BF02850113. PMID: 11697022. Nantz MP, Rowe CA, Muller CE, Creasy RA, Stanilka JM, Percival SS. Supplementation with aged garlic extract improves both NK and γδ-T cell function and reduces the severity of cold and flu symptoms: a randomized, double-blind, placebo-controlled nutrition intervention. Clin Nutr. 2012 Jun;31(3):337-44. doi: 10.1016/j.clnu.2011.11.019. Epub 2012 Jan 24. PMID: 22280901. Ried K, Frank OR, Stocks NP. Aged garlic extract lowers blood pressure in patients with treated but uncontrolled hypertension: a randomized controlled trial. Maturitas. 2010 Oct;67(2):144-50. doi: 10.1016/j.maturitas.2010.06.001. Epub 2010 Jul 1. PMID: 20594781. Silagy C, Neil A. Garlic as a lipid lowering agent--a meta-analysis. J R Coll Physicians Lond. 1994 Jan-Feb;28(1):39-45. PMID: 8169881; PMCID: PMC5400934. Borek C. Garlic reduces dementia and heart-disease risk. J Nutr. 2006 Mar;136(3 Suppl):810S-812S. doi: 10.1093/jn/136.3.810S. PMID: 16484570. Disclaimer: This podcast is for information purposes only. Statements and views expressed on this podcast are not medical advice. This podcast including Kristal Holmes disclaim responsibility from any possible adverse effects from the use of information contained herein. Opinions of guests are their own, and this podcast does not accept responsibility for statements made by guests. This podcast does not make any representations or warranties about guests' qualifications or credibility. Individuals on this podcast may have a direct or non-direct interest in products or services referred to herein. If you think you have a medical problem, consult a licensed physician or therapist. --- Send in a voice message: https://anchor.fm/gohardchick/message

In this Episode, Zach and Alex discuss trauma and new research surrounding injuries in the United States. Enjoy! Articles:1. Pino EC, Gebo E, Dugan E, Jay J. Trends in Violent Penetrating Injuries During the First Year of the COVID-19 Pandemic. JAMA Netw Open. 2022;5(2):e2145708. doi:10.1001/jamanetworkopen.2021.457082. Fu CY, Bajani F, Bokhari M, Butler C, Starr F, Messer T, Kaminsky M, Tatebe LC, Dennis A, Schlanser V, Poulakidas S, Cheng CT, Toor R, Mis J, Bokhari F. Obesity May Require a Higher Level of Trauma Care: A Propensity-Matched Nationwide Cohort Study. Prehosp Emerg Care. 2021 May-Jun;25(3):361-369. doi: 10.1080/10903127.2020.1755754. Epub 2020 May 5. PMID: 32286928.3. Morgan MM, Perina DG, Acquisto NM, Fallat ME, Gallagher JM, Brown KM, Ho J, Burnett A, Lairet J, Rowe D, Gestring ML. Ketamine Use in Prehospital and Hospital Treatment of the Acute Trauma Patient: A Joint Position Statement. Prehosp Emerg Care. 2021 Jul-Aug;25(4):588-592. doi: 10.1080/10903127.2020.1801920. Epub 2020 Aug 27. PMID: 32776812.Article Link: Ketamine Use in Prehospital and Hospital Treatment of the Acute Trauma Patient: A Joint Position Statement (tandfonline.com)4. Robinson EJ, Watanabe BL, Brown LH. Ketamine for Prehospital Pain Management Does Not Prolong Emergency Department Length of Stay. Prehosp Emerg Care. 2021 Nov-Dec;25(6):753-760. doi: 10.1080/10903127.2020.1819493. Epub 2020 Oct 12. PMID: 32886533.––––––––––––––––––––––––––––––Track: Rainy Paradise — Next Route & WOMA [Audio Library Release]Music provided by Audio Library PlusWatch: https://youtu.be/i8JM7pzhRnwFree Download / Stream: https://alplus.io/rainy-paradise––––––––––––––––––––––––––––––Intro Provided by Mn Native and Voice Actor Brady LaRock

On this episode Dr. Elizabeth Ansert and I discuss several hot topics including the gender wage gap, student and resident burnout,  fellowship, and more! Dr. Elizabeth Ansert is currently a resident at the Saint Vincent Hospital Podiatric Surgery and Medicine program in Worcester, Massachusetts. She is a member of the ACFAS Research Committee, AMPA Public Health and Preventative Podiatric Medicine Committee, and AAWP's Student Chapter Co-Coordinator. She has her MBA and a masters in forensic psychology with publications in many areas of podiatric interests and subspecialties. She hopes to specialize in wound care, orthoplastic surgery, forensic podiatry, and continue to conduct research after residency. Contact her on Linked-In or at eaansert@gmail.com Publications we discuss: Ansert E, Rushing CJ. Feeling the Burnout: Perceptions of Burnout, Anxiety, Depression, and Personal Achievement in US Podiatric Medical Students. J Foot Ankle Surg. 2021 Jul-Aug;60(4):747-752. doi: 10.1053/j.jfas.2021.02.007. Epub 2021 Mar 6. PMID: 33781641. Rushing CJ, Ansert E, Hyer C. The Financial Implications of Podiatric Foot and Ankle Fellowship: Is Another Year Worth It? J Foot Ankle Surg. 2021 Sep-Oct;60(5):964-967. doi: 10.1053/j.jfas.2020.12.006. Epub 2021 Apr 11. PMID: 34158226.Elizabeth Ansert, Calvin J. Rushing,The Financial Implications of Being a Female Fellow: Does Another Year Help Close the Gap?,The Journal of Foot and Ankle Surgery, 2021, ISSN 1067-2516,https://doi.org/10.1053/j.jfas.2021.12.026.Tsugawa Y, Jena AB, Figueroa JF, Orav EJ, Blumenthal DM, Jha AK. Comparison of Hospital Mortality and Readmission Rates for Medicare Patients Treated by Male vs Female Physicians. JAMA Intern Med. 2017;177(2):206–213. doi:10.1001/jamainternmed.2016.7875Brower BA, Jennings MM, Butterworth ML, Crawford ME. Women in Podiatry and Medicine. Clin Podiatr Med Surg. 2019 Oct;36(4):707-716. doi: 10.1016/j.cpm.2019.06.010. Epub 2019 Jul 23. PMID: 31466577. Welcome to She's a DPM. A podcast for women to share their experiences, knowledge, and insights on cultivating a life in, and outside, the field of Podiatric Medicine and Surgery.Contact me if there is a topic you'd like to hear more about, or if you know a kick ass Lady DPM who should be interviewed.Email: DrOexeman@gmail.com Instagram: @droexeman

Arguably, sleep serves as the most crucial keystone habit of your consistent daily experience. Come with me on a journey of exploring sleep hygiene, sleep challenges, and how to start improving yours. Crick, F. & Mitchinson, G. (1995). REM sleep and neural nets. Behavioral Brain Research, Jul-Aug, 69 (1–2), p. 146-155. https://www.ohsu.edu/brain-institute/understanding-sleep-disorders Thorpy M. J. (2012). Classification of sleep disorders. Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics, 9(4), 687–701. https://doi.org/10.1007/s13311-012-0145-6

This episode is just Wade. It is all about Golf. I hope you enjoy and please subscribe. --- Send in a voice message: https://podcasters.spotify.com/pod/show/wade-scharff/message

Confessions X July/Aug 2003 - Hugh's shorting Lehman Bros and reveals all about his Mercedes luxury mobile office/cinema that his wife drove!Hedge Fund pirate Hugh Hendry and his co-host Chris Sweeney chronicle the inner workings of the uncorrelated and legendary Eclectica Fund The boys are using Hugh's monthly letters to clients as a basis to take the audience on a journey into what he was thinking and why he made the decisions he did, in real time. It's the financial equivalent of a gripping true crime adventure. It's also an exclusive look behind the curtain of a Hedge Fund with nothing off-limits.This week they discuss Hugh's insight into how you can be too early, why gold may be about to repeat the moves of 2003 and his love of Madonna's debut album. Chris also bizarrely spends the episode stuck in 2005.