Podcasts about jul aug

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

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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 

Liczba osób zmagających się z nadmierną masą ciała, otyłością czy cukrzycą rośnie w zastraszającym tempie. Śmiało możemy mówić już o epidemii chorób metabolicznych, które dotykają coraz młodsze osoby. Dlaczego tak się dzieje? Czy problem ten dotyczy tylko osób z nadmierną masą ciała? Jaki związek z chorobami metabolicznymi ma insulinooporność? Jak styl życia wpływa na powstawanie tych chorób? Na te i inne pytania odpowiemy w dzisiejszym odcinku. Moim dzisiejszym gościem jest Marek Fischer - absolwent dietetyki na Wydziale Nauk o Zdrowiu Pomorskiego Uniwersytetu Medycznego, konsultant żywieniowy i szkoleniowiec. Jego filozofią zawodową jest: „Personalizacja diety to podstawa. Jeśli szukasz modnej diety – idź do Empiku”. Marek jest autorem wielu artykułów w czasopismach branżowych oraz pełni rolę redaktora merytorycznego w Body Challenge, gdzie odpowiada za warstwę merytoryczną tekstów oraz dobór autorów. Był wykładowcą na wielu konferencjach żywieniowych oraz treningowych, w tym międzynarodowych. Marka znajdziecie na instagramie pod nickiem @fitmaker_fischer oraz stronie www.fitmakerfischer.com. Odcinek podcastu jest wspierany przez markę Kogen, która czerpie inspirację z japońskiej filozofii troski o zdrowie oraz łączy naturę z osiągnięciami nauki. Marka Kogen tworzy zaawansowane nutraceutyki, które skutecznie wspierają organizm w radzeniu sobie z wyzwaniami współczesnego życia. Z kodem DRKARABIN otrzymasz 10% zniżki na produkty w sklepie Kogen: https://kogen.pl/sklep/ Lista publikacji o których wspominamy w podcaście: https://www.who.int/news-room/fact-sheets/detail/diabetes https://pacjent.gov.pl/artykul/cukrzyca-w-liczbach Dobrowolski P. i wsp. Zespół metaboliczny — nowa definicja i postępowanie w praktyce. Nadciśnienie Tętnicze w Praktyce 2022, 8, 2: 1–26 Bąk‑Sosnowska M. i wsp. Zalecenia kliniczne dotyczące postępowania u chorych na otyłość 2022 – stanowisko Polskiego Towarzystwa Leczenia Otyłości. Med. Prakt. wyd. specj.; maj 2022: 1–8717. Sourya A. i  Samarth S. Metabolic Healthy Obesity-A Paradoxical Fallacy? Journal of Clinical and Diagnostic Research, 2018, 12(10), OE07-OE10. Soriguer F. i wsp. Metabolically healthy but obese, a matter of time? Findings from the prospective Pizarra study. J Clin Endocrinol Metab 2013, 98, 2318-2325. Ruscica M. i wsp. Impact of nutraceuticals on markers of systemic inflammation: Potential relevance to cardiovascular diseases - A position paper from the International Lipid Expert Panel (ILEP). Prog Cardiovasc Dis. 2021 Jul-Aug;67:40-52. Sakurai T. i wsp. Antioxidative effects of a new lychee fruit-derived polyphenol mixture, oligonol, converted into a low-molecular form in adipocytes. Biosci. Biotechnol. Biochem. 2008;72(2):463–476. Nishihira J. i wsp. Amelioration of abdominal obesity by low-molecular-weight polyphenol (Oligonol) from lychee. J. Funct. Foods. 2009;1(4):341–348. Ten materiał nie stanowi zamiennika wizyty lekarskiej. Nie jest też poradą zdrowotną, ani nie służy do diagnozowania ani leczenia chorób. Materiał ma charakter wyłącznie edukacyjny. Autorka nie ponosi odpowiedzialności za sposób wykorzystania przedstawionych informacji. 0:00 Intro  0:37 - Wstęp 03:10 - Czym są zaburzenia metaboliczne i dlaczego przyjmują postać epidemii? 06:37 - Czym jest insulinooporność i co jest jej przyczyną? 17:52 - Czy warto ograniczać węglowodany w diecie? 20:47 - Czy możemy obwiniać producentów żywności o wzrost liczby chorób metabolicznych? 22:51 - Wpływ aktywności fizycznej na choroby metaboliczne 27:37 - Czym jest zespół metaboliczny? 34:57 - Czy tkanka tłuszczowa zawsze musi świadczyć o patologii? 45:15 - Czynniki wpływające na powstawanie chorób metabolicznych 52:14 - Nawyki żywieniowe a zaburzenia metaboliczne 59:21 - Czy istnieje dieta, która może poprawić nasze zdrowie metaboliczne? 01:09:43 - Polifenole a zaburzenia metaboliczne

(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

Un nouvel épisode du Pharmascope est maintenant disponible! Dans ce 122ème épisode, Nicolas, Sébastien et leur invitée discutent du rôle de l'immunothérapie dans la prise en charge des allergies alimentaires. Les objectifs pour cet épisode sont les suivants: Discuter des avantages et inconvénients de l'immunothérapie pour les allergènes suivants: Arachides Lait de vache Oeufs Blé Conseiller un patient ou un parent sur les bienfaits et les risques associés à l'immunothérapie pour les allergènes alimentaires Ressources pertinentes en lien avec l'épisode Études portant sur l'immunothérapie pour l'allergie aux arachidesChu DK et coll. Oral immunotherapy for peanut allergy (PACE): a systematic review and meta-analysis of efficacy and safety. Lancet. 2019;393:2222-32. PALISADE Group of Clinical Investigators; Vickery BP et coll. AR101 Oral Immunotherapy for Peanut Allergy. N Engl J Med. 2018 Nov 22;379(21):1991-2001. Greenhawt M et coll. Phase 3 Trial of Epicutaneous Immunotherapy in Toddlers with Peanut Allergy. N Engl J Med. 2023;388:1755-66. Études portant sur l'immunothérapie pour l'allergie au lait de vacheYeung JP et coll. Oral immunotherapy for milk allergy. Cochrane Database Syst Rev. 2012;11:CD009542. Maeda M et coll. Effect of oral immunotherapy in children with milk allergy: The ORIMA study. Allergol Int. 2021;70:223-8. Dantzer J et coll. Efficacy and safety of baked milk oral immunotherapy in children with severe milk allergy: A randomized, double-blind, placebo-controlled phase 2 trial. J Allergy Clin Immunol. 2022;149:1383-91. Études portant sur l'immunothérapie pour l'allergie aux oeufsRomantsik O et coll. Oral and sublingual immunotherapy for egg allergy. Cochrane Database Syst Rev. 2018;4:CD010638. Étude portant sur l'immunothérapie pour le bléNowak-Węgrzyn A et coll. Multicenter, randomized, double-blind, placebo-controlled clinical trial of vital wheat gluten oral immunotherapy. J Allergy Clin Immunol. 2019 Feb;143:651-61. Caminiti L, et coll. Oral Immunotherapy for Egg Allergy: A Double-Blind Placebo-Controlled Study, with Postdesensitization Follow-Up. J Allergy Clin Immunol Pract. 2015 Jul-Aug;3(4):532-9.

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.

Speaker: Rev. Delali BODZA (PhD) Month of August 2022: • August is the 8th Month= 8 means a new beginning • Genesis 7: 6 - 7 Eight of Noah's family were saved from the flood  The number 8 mostly represents 1. Resurrection 2. Spiritual Regeneration 3. The Beginning of a New Era 4. The 8th letter in Hebrew alphabet is CHET and it bears a positional Gematria. The literal translation of the number 8 in Hebrew is CHAMBER, HEDGE, or FENCE, which symbolically means TO SEPERATE or TO MAKE PRIVATE 5. The number 8 means achievement  Month of Revelation = Deuteronomy 29:29  Unveiling of Secrets of God = Daniel 2: 9/ 22/27/29/28/30/47/Amos 3:7 Unveiling of Secrets behind Situations/ Hidden Things = Luke 8:17  Month of Reset / Setting Up Things In Order = Month of Order/ Genesis 1:2 - 3  The Breaking of Silence = Isaiah 42:14 -16  Removal of the Burial Stone over buried dreams, destinies, glory, testimony = John 11: 39/ Matthew 28 : 2  Three Things That will Manifest 1. Confessions 2. Restoration 3. Separation  Communion : • I eat and drink for Revelation • I eat and drink for Unveiling Secrets • I eat and drink for Rest / Setting Up Things In Order • I eat and drink for Breaking of Silence • I eat and drink for the Removal of the Burial Stone • = Note: All the Above will be effected or executed by Angels/ The Breaker Angel  Anointing Time: • Anointing for Clearance • Anointing for Breaking Into  Water Therapy: • Let the Power of God Break Out like Baal Perazim • 

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

Find out what's coming up at Hackney Empire: May - Aug 2022. Book now at https://hackneyempire.co.uk/whats-on/

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

更多通勤學英語Podcast單元: 每日英語跟讀Podcast，就在http://www.15mins.today/daily-shadowing 精選詞彙 VOCAB Podcast，就在https://www.15mins.today/vocab 語音直播 15mins Live Podcast, 就在https://www.15mins.today/15mins-live-podcast 文法練習 In-TENSE Podcast，就在https://www.15mins.today/in-tense 歡迎到官網用email訂閱我們節目更新通知。   老師互動信箱: ask15mins@gmail.com 商業合作洽詢: 15minstoday@gmail.com     每日英語跟讀 Ep.K174: About Nature - Southern Ocean officially recognized by National Geographic Anyone who thought the world had four oceans will now have to think again, after the National Geographic Society announced it would recognize a new Southern Ocean in Antarctica, bringing the global total to five. 認為世界上有四大洋的如今要再想想了。（美國）國家地理學會宣布，它將承認在南極洲的新「南大洋」，這樣一來，全球共有五大洋了。 The National Geographic, a non-profit scientific and educational organization whose mapping standards are referenced by many atlases and cartographers, said the Southern Ocean consists of the waters surrounding Antarctica, out to 60-degrees south latitude. 國家地理學會稱，南大洋由南極洲周圍的水域組成，向外延伸至南緯60度。國家地理學會是一個非營利科學與教育組織，許多地圖集和製圖師都參考該組織的製圖標準。 National Geographic Society geographer Alex Tait said scientists have long known that the waters surrounding Antarctica form a"distinct ecological region defined, by ocean currents and temperatures". 國家地理學會的地理學家亞歷克斯．泰特稱，科學家很早以前就知道南極洲周邊水域形成一個「由洋流和溫度界定的獨特生態區域」。 Tait told the Washington Post that the span of water is yet to be officially recognized as an ocean by the relevant international body: "But we thought it was important at this point to officially recognize it." 泰特告訴《華盛頓郵報》，相關國際機構尚未正式承認這片水域為海洋，「但我們認為此時正式承認它很重要。」   Next Article   Australia's largest dinosaur identified as new species 澳洲最大的恐龍被認定為新品種   A gigantic dinosaur discovered in Australia's outback has been identified as a new species and recognised as one of the largest to ever roam the Earth, according to palaeontologists. 據古生物學家表示，在澳洲內陸發現的一種巨型恐龍已被認定為新物種，是曾在地球上出沒的體型最大恐龍之一。 The Australotitan cooperensis, part of the titanosaur family that lived about 100 million years ago, has finally been named and described 15 years after its bones were first uncovered. 「Australotitan Cooperensis」屬於泰坦巨龍家族，生活在距今約1億年前，距其骨骼首度被發現15年之後，終於得到正名及描述。 It is estimated to have stood at 5-6.5 metres high and measured 25-30 metres in length － which would make it Australia's biggest dinosaur. 據推估，牠站立時身高可達5至6.5公尺，身長則為25至30公尺，是澳洲體型最大的恐龍。 "Based on the preserved limb size comparisons, this new titanosaur is estimated to be in the top five largest in the world," said Robyn Mackenzie, a director of the Eromanga Natural History Museum. 「根據存留下來的肢骨大小來推估，這種新的泰坦巨龍據估計是地球上體型最大的5種恐龍之一」，伊羅曼加自然歷史博物館主任瑪肯西說。 The fossilised bones were found on Mackenzie's family farm in 2006 about 1,000 kilometres west of Brisbane in the Eromanga Basin. 2006年，在布里斯班以西約1000公里伊羅曼加盆地的瑪肯西家族農場中，發現這些骨骼化石。 Source article: https://features.ltn.com.tw/english/article/paper/1456079; https://features.ltn.com.tw/english/article/paper/1457443  

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

De eerste liveshow van onze podcast, een opname met publiek dus! Over hoe Roos door haar vrijwilligerswerk op de palliatieve afdeling van het ziekenhuis, een groot verschil maakt voor anderen én zelf tevredener en zelfs fysiek fitter wordt. Over Eva die graag pakjes geeft, Maaike die liever op de mat met de blokken speelt en Sander die dolgraag deuntjes componeert. Met een publiek vol enthousiaste luisteraars die van heinde en verre kwamen om ons in levende lijve aan het werk te zien. Wordt een mens gelukkig van ‘geven'? Is altruïsme aangeboren of moeten we het aanleren? En wat als je zo goed zorgt voor anderen, dat je jezelf uit het oog verliest? Deze aflevering zit vol experimenten, met peuters en baby's en priesters in opleiding - die ons laten zien hoe belangrijk het is voor ons bruto nationaal geluk om iets voor anderen te betekenen. Met deze extra bronnen: de experimenten van Warneken en Tomasello, hier op youtube en hier lees je meer over hun onderzoek: Warneken, F., & Tomasello, M. (2009). The roots of human altruism. British Journal of Psychology, 100(3), 455–471. het experiment van het Yale University Infant Center met de baby's en de poppenkast, hier op youtube en hier lees je meer over hun onderzoek: Hamlin JK, Wynn K, Bloom P. Social evaluation by preverbal infants. Nature. 2007 Nov 22;450(7169):557-9. doi: 10.1038/nature06288. PMID: 18033298. Altruisme heeft een positief effect op chronische pijn én activeert de beloningscentra in onze hersenen: meer daarover vind je in dit webartikel Iets goed doen voor anderen triggert namelijk dezelfde genotscentra in je brein als sex en chocolade: meer in dit artikel Onderzoek toont dat goed doen zorgt dat je meer kans hebt om je ook goed te voelen: Post SG. It's good to be good: science says it's so. Research demonstrates that people who help others usually have healthier, happier lives. Health Prog. 2009 Jul-Aug;90(4):18-25. Meer ideeën voor Randomn Acts of Kindness vind je hier Een overzicht van positief-psychologische interventies, waaronder die goede daden dag van Prof. Dr. Martin Seligman vind je in dit onderzoeksartikel: Seligman, M. E. P., Steen, T. A., Park, N., & Peterson, C. (2005). Positive Psychology Progress: Empirical Validation of Interventions. American Psychologist, 60(5), 410–421. Hier kan je een korte samenvatting lezen van het experiment van Darley en Batson met de seminaristen De Theory U van Otto Scharmer en zijn ‘open hart, open geest' was de basis voor ons experiment

This video is the drawings for the months of June, July, August and September. Sorry for the delays. If you were drawn as a winner, please contact me within a week to claim your prize. https://www.thelocksportscast.com/contactMy Monthly Giveaway Rules:I'm giving away one of my custom PacLock 100A padlocks or a gift card every month. To be entered, you must: 1.Provide me with locksport or locksport community news that I can use on my weekly podcast. -Submit your news via one of the following: +Email: podcast@thelocksportscast.com +Reddit: currentc57 on r/locksport +Discord: You can find me on the following servers as “Current” ~Lockpickers United ~Extraordinary League of Pickers ~CBC -You will receive 1 entry for each news item I use in the podcast that month. 2.Share the podcast on social media -Make sure I know about it by tagging me and/or emailing me a screenshot or other proof.The winner will be drawn and announced the following month. The winner will have 1 week to contact me to claim the prize.I will pay for shipping within the U.S. If you live outside the U.S., you can still enter, but must pay to ship if you win.I reserve the right to change these rules as I need to during the course of the year.I reserve the right to disqualify anyone for any reason. My decisions are final.This giveaway is a thank you to the subscribers that watch my videos, listen to my podcast, and help me produce it. YouTube, Fireside.fm, PacLock and other entities are in no way partners to this contest, and all applicants agree to release them from any and all liability related to this contest.Personal data collected as a part of this contest will be used only for the purposes of this contest and will not be released to third parties.Any entries that violate YouTube's community guidelines will be disqualified: http://www.youtube.com/t/community_guidelines...https://www.youtube.com/watch?v=LnUkU8F6DyU

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

Radiotherapy is used to treat the majority of our patients. Do you know the technology and the lingo? How does proton differ from photon therapy? What is contouring, simulation, CTV?  Everything you need to know about radiation oncology (and pediatric mediastinal masses!) in this week's podcast. Fundamentals of Radiation Oncology for Neurologic Imaging. Mendel et al. RadioGraphics 2020; 40:827–858 Mediastinal Masses in Children: Radiologic-Pathologic Correlation. Biko et al. RadioGraphics 2021; 41:1186–1207

Radiologists have an increasing role in tumor treatment and pain palliation for patients with osseous metastatic disease. Join Ross Frederick and Wende Gibbs for discussion of the latest interventional radiology interventions.  

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

Degenerative changes of the spine: one of the most common indications for MRI. Wende Gibbs discusses unusual disc pathology and Ross Frederick describes common and uncommon pathology of the facet joints.  Practical topics and important considerations in evaluating imaging of the lumbar spine! Episode content  0:00-1:06 -Introduction by Dr. Gibbs 1:07-10:36 -Uncommon Manifestations of Intervertebral Disk Pathologic Conditions. Diehn et al. RadioGraphics 2016; 36:801–823. 10:37-23:21 -  Differential Diagnosis of Facet Joint Disorders. Anaya et al. RadioGraphics 2021; 41:543–558.10.1148/rg.2016150223 23:22-23:55 - Conclustion

2010 Annual Report   Big Cat Rescue is more than just a place that provides permanent care for big cats.  It is a movement;  a change in the tide of human perceptions and is the combined effort of more than 50,000 supporters.  If you are one of them, you are a Big Cat Rescuer and the following is the great work YOU did!  If you haven't helped yet, you can do so now at the top right of the screen or here:  http://bigcatrescue.org/donate.htm   Big Cat Rescue's Mission Statement: Big Cat Rescue's dual mission is to provide the best home we can for the cats in our care and educate the public about the plight of these majestic animals, both in captivity and in the wild, to end abuse and avoid extinction.  We are Caring for Cats and Ending the Trade   Advances:  With your help we are winning in the battle for compassion! Up until 2003 the number of requests for rescues we had to turn down due to lack of space or funds had roughly doubled each year, to 312 that year. We feared it would double again to over 500 in 2004. Instead, it has steadily declined since then thanks to the passage of a federal bill and several state bills that restrict the ownership of exotic cats. This year we “only” had to turn away 89 big cats who were unwanted by their owners. We offered to take all of the cats who were cougar size or smaller, if their owners would contract to never own another exotic cat, but they all refused.  We just do not have enough Senior Keeper staff to take on more lions or tigers.   By now everyone knows that communication and fundraising will be cell phone centric.  On April 30, 2009 we added mobile phone number collection to our contact forms and promoted this new request with the Animal Lover's Dream Vacation Giveaway. Our winners said, “It was the most fun we've ever had!”   Our new Intranet site established in January 2010 where all of our staff, volunteers, board and vet care professionals can interact and share information. This cloud based system was provided free via a Google grant and enables us to keep all of the sanctuary documents in a password protected cloud where Rescuers can log in and post their observations for the vet and can share photos, videos and stories with each other.  Our cloud can be accessed via a dozen or more computers at the sanctuary, Rescuer's home computers, smart phones and iPads.  Those who subscribe to the site, such as the CEO, President, Operations Manager and the Vets can see, in real time, as observations are posted about the cats.  This insures that there are always many eyes on the look out for ways to enhance the cat care at Big Cat Rescue.   Animal Care:  By the end of this year, 77 of our 115 cats are over the age of 15. This is well beyond how long they are designed to live in the wild and much older than most zoo cats.  This is a testament to the excellent animal care we provide, but we are dealing with many more age related illnesses and are losing more of our big cat friends every year.  Cats who required extensive veterinary care in 2010 were Alachua Bob, Bagheera, Bellona, Catera, Cha Cha, Cloe, Crystal, Freckles, Hercules, India, King, Narla, Nirvana, Pretender, Purrfection, Sarmoti, Servie, Snorkel, Sophie, Takoma, Tonga and Windsong. These cats were moved so they would have new neighbors and surroundings for their own enrichment: Freckles, Indian Summer, Modnic, Narla. Nikita & Simba, Peaches, Precious, Reno, Sundari and Thing. Even though we offered to rescue the 19 lesser cats and 3 lions and tigers who were in need of rescue in 2010, Skip, Angelica and Midnight, Rain and Storm the bobcats, Servie the serval, Narla, Freddy and Sassyfrass the cougars were the only ones who ended up here.  We found a rehabber for a bobcat in TN as well.  The rest did not come here because the owners refused to contract with us to never own exotic cats again.   Despite triple bypass heart surgery in August, Vern stayed busy this year with all of the maintenance issues and with these 32 cage improvements: Armani & Jade, Bailey & Moses, Bengali, Calvin, Cameron & Zabu, China & Khan, Crazy Bobcats, Despurrado, Diablo, Flavio, Freckles, Jefferson, Joseph & Sasha, King, Modnic, Nala, Natasha & Willow, Nikita, Nikita & Simba, Rambo, Rehab Bobcats, Sarmoti, TJ, Trick E and Windstar. On 3/18/10 we had another perfect USDA inspection.   Education:  Our website is primarily an educational tool and according to Alexa we are ranked 266,861 worldwide and 110,338 most visited website in the U.S.  We have 458 other sites linking to us.   We offer about 58 outreach and field trips per year and have committed to offering 12 of them for free each year to lower income schools, but have already given 25 such free tours this year and expect that demand will continue to rise with the cost of transportation.  Even when we offer the tours for free, many schools cannot come because they cannot afford the $200.00 fee for their busses.  Our Education Department began writing grant proposals to raise the money needed for the buses.   Volunteer Committee Member, Sharyn Beach, was published at Encyclopedia Britannica with the best statement ever written about why breeding white tigers is Conserving a Lie.   Our web site addresses local and global concerns about environment and has over 17,000 pages of information, movie clips, sounds, safe interactive online games with a conservation theme and photos. From 1/1/2008 until 9/9/2010 the site was visited 3,642,337 times, resulting in 8,197,155 page views.  In any given week the visitors will be roughly 33% from 218 countries outside of the U.S. as you can see from this breakdown:   United States 2,757,351, Poland 204,209, Canada 198,127, United Kingdom 127,246, Australia 40,618, India 24,496, Germany 17,428, Japan 13,023, France 11,017, Netherlands 9,593, Philippines 8,559, Singapore 8,545, Sweden 8,177, Italy 8,136, Brazil 8,024, Malaysia 7,793, Spain 7,779, New Zealand 7,740, Ireland 6,788, South Africa 6,697, Mexico 6,554, Belgium 5,994, Russia 5,986, Indonesia 5,627, Finland  5,364 and Turkey 5,248 to name a few.   The information provided has helped wildlife rehabilitators identify animals and obtain proper care instruction, helped officials in smuggling cases to identify rare species of exotic cats being illegally traded and those are just a few of the ways that we know the site has had an impact this year.   Big Cat Rescue has been in the press 694 times, in 31+ states including AL, AZ, CA, CO, CT, DC, GA, FL, HI, IO, IN, IL, KY, LA, MA, MN, MO, MT, NC, NH, NJ, NM, NY, NC, OH, OK, PA, SC, TN, VA & WA and dozens of programs of national or international coverage or in countries other than the U.S.   Legislation/Education: The steady increase in legislation banning private ownership represents recognition by our society that private ownership leads to massive abuse.  Social values evolve.  It took decades to ban slavery in England and for women to win the right to vote in America.  Those ideas started out as “radical”, held by a small minority.  Gradually more and more people understood and agreed until they became a part of our value system that we take for granted today.  The same trend is happening with private ownership of exotics.  Gradually more and more people are realizing that this simply leads to widespread abuse of these animals.  The best evidence of this is the accelerating trend in state laws.   Just since 2005 eight more states have passed some level of ban. Sweden, Austria, Costa Rica, India, Finland, Bolivia, Greece and Singapore have all banned or restricted the utilization of big cats in circuses-it's time for the U.S. & South Africa to do the same!   Nationwide & Canada:  Dade City's Wild Things acquired a white tiger cub from G.W. Exotics, a notorious Oklahoma breeder, that they are marketing to the hilt in order to make money off her as quickly as possible.  To accomplish that they dragged her into PetSmart to drum up some business.  Almost 900 advocates responded to our alert and wrote to PetSmart demanding an end to displays of exotics like this, knowing the bad message it sends.  We're very pleased to share that PetSmart listened and  immediately responded positively.  According to corporate spokesperson  Margie Wojciechowski  at the Phoenix, AZ headquarters, she confirmed she had just come from a meeting and the company has “reinforced with our managers that no exotic pets are allowed on store premises.  There will be no live display of exotic animals for events.”     • FL Sept. 1, 2010:  The Florida Wildlife Commission passes final rules on the keeping of wild animals. • FL June 23, 2010: Thanks to thousands of letters from Big Cat AdvoCats the Florida Wildlife Commission agreed to change the wording of their Nuisance Wildlife rules so that bobcats who are trapped as nuisance wildlife may not be killed, but rather must be released.  While our 2,000+ letters asked that bobcats be removed from the list of nuisance wildlife we are still thankful that the FWC has decided to at least spare the life of bobcats who are trapped this way.  We will continue to educate the FWC and the public as to why bobcats are so necessary to our ecosystem so that they may soon be removed from the list of animals that may be trapped. • FL June 23, 2010: Animal AdvoCats vs Animal Terrorists. The FWC agreed to ban the practice of “fox penning” which was a blood sport in 16 locations in FL where foxes, coyotes and bobcats would be trapped or purchased from trappers to be turned loose in fenced areas for the purpose of training hunting dogs.  Packs of dogs would be turned loose in the pens and scored on how persistant they were in chasing the wildlife.  The FWC had rules that required hiding places for the wildlife, but investigators found that the operators would often block the access to the safety areas so that the foxes, coyotes and bobcats could be cornered and ripped apart by the dogs for the amazement and betting opportunities of the dog owners.  For the first time in the history of the FWC meetings that we have attended since 1993 there were more animal advocates than animal terrorists in the room to testify.  52 concerned citizens spoke up in favor of a ban while only 20 animal abusers / hunters spoke up in favor of continuing the blood sport as part of their “cultural heritage and God given right.”  As more of these egregious practices are exposed we expect the number of main stream Americans who show up and speak up to increase. • FL June 3, 2010: Thanks to thousands of letters from Big Cat AdvoCats the legislature amended Florida Statutes 379.374 Bond required, amount. (2) No person, party, firm, association, or corporation shall possess or exhibit to the public either with or without charge or admission fee, any Class I wildlife, as defined in s. 379.303 and commission rule, without having first guaranteed financial responsibility, in the sum of $10,000, for any liability which may be incurred in the possession or exhibition to the public of Class I wildlife. The commission shall adopt, by rule, the methods of payment that satisfy the financial responsibility, which may include cash, the establishment of a trust fund, an irrevocable letter of credit, casualty insurance, a corporate guarantee, or any combination thereof, in the sum of $10,000 which shall be posted with the commission. In lieu of the $10,000 financial responsibility guarantee required in this subsection, the person, party, firm, association, or corporation has the option to maintain comprehensive general liability insurance, with minimum limits of $2 million per occurrence and $2 million annual aggregate, as shall protect the person, party, firm, association, or corporation from claims for damage for personal injury, including accidental death, as well as claims for property damage which may arise. Proof of such insurance shall be submitted to the commission.  Effective July 1, 2010.  In 2009 there were 111 Class I possessors in FL who managed to escape the bond requirement because they claimed they were not “exhibitors.”  This new language was necessary to close the loophole in the 2007 law so that all “possessors” of Class I animals must post this minimal bond. • OH July 1, 2010: A deal struck between The Humane Society of the United States, Ohio agriculture leaders and Ohio Gov. Ted Strickland will lead to major animal welfare improvements in Ohio on a raft of issues to protect exotic, domestic and farmed animals. The agreement includes recommendations from all of the parties for the Ohio Livestock Care Standards Care Board, the Legislature, and the Governor to ban the acquisition of dangerous exotic animals as pets, such as primates, bears, lions, tigers, large constricting and venomous snakes, crocodiles and alligators. • China October 27, 2010: The Ministry of Housing & Urban/Rural Development suggested in an official web posting that zoos should adequately feed and house animals, should stop selling wild animal products and serving wild animal parts in restaurants, and should stop staging circus-like trained animal acts.  The authorities report that zoos could be shut down for non compliance.  This is the first step toward permanent laws to protect the animals. • Germany June 17, 2010: The zoo director and three of the staff at the Magdeburg Zoo were convicted of cruelty to animals for killing three tiger cubs who were the result of a cross breeding tigers at the zoo.  The zoo had bred a Siberian tiger to a Sumatran tiger.  All of the tigers in the U.S. that are referred to as Bengal tigers are actually hybrids of Bengal and Siberian tigers as the result of the white tiger craze when Bengal tigers were inbred to the point of non existence in America.  A fine of 8,000 euros was suspended upon the condition that the zoo not kill cubs as the result of their own improper breeding plans.  The Magdeburg zoo case drew attention to the common practice of zoos breeding and killing animals to keep youngsters on exhibit. • Russia November 29, 2010: Russia is now filing a bill for an exotic pet ban like other countries have passed.  Despite Prime Minister Vladimir Putin having a pet tiger named Mashenka, the country is working on passing a bill that would restrict the ownership of monkeys, tigers, and crocodiles, because of their danger to the public and diseases they can carry, according to the bill that was submitted on Nov. 29, 2010 Thanks to all of you who wrote letters, attended town hall meetings and met with your lawmakers, the world is a little kinder place. Many of the worst breeders, dealers and tiger-tamer-wanabees were finally shut down.  Most of these collectors were fined or shut down by USDA or the state, or both in some cases: You can read the USDA reports and news stories at http://www.911AnimalAbuse.com 134,704 letters were sent via our CatLaws.com site in 2010 which is triple the year before.  We now have 44,606 members registered to help us with email campaigns. Thanks to all of our supporters being more aware of exotic cat issues and doing something about it, the wild cats had a lot of wins in 2010.  Only bans on the possession of private ownership of wild animals are fully enforceable but any step forward in restricting ownership is helpful.  For more details go to BigCatBans.   Animal Abusers Shut Down and / or Fined:  Many of the worst breeders, dealers and tiger-tamer-wanabees were finally shut down.  The following is from 2008- 2010.  Most of these collectors were fined or shut down by USDA or the state, or both in some cases: • CA:  Hesperia Zoo AKA Cinema Safari Zoo owned by Stephanie Taunton was put on probation and fined $30,000 by USDA. • FL: Horseshoe Creek owned by Darryl Atkinson was shut down by USDA and FL. • FL:  Wild Things' land owned by Kathy Stearns went into foreclosure and bankruptcy. • FL:  Amazing Exotics was shut down.  It was notorious for allowing contact between large exotic cats and the public for a fee.  The head of their tiger-tamer-wanabee program was Ron Holiday (real name Ron Guay) who gained fame in the HBO movie Cat Dancers and the book by the same name.  His career in dancing with big cats ended when a white tiger he had raised from a cub killed his wife and his lover within a few days of each other in 1998. • FL:  In 2010 Jeff and Barbara Harrod of Vanishing Species lost both their USDA and FWC licenses. • FL:  In 2010 Thomas R. Cronin of the Shell Factory was sanctioned by USDA for improper handling of animals, poor sanitation and lack of vet care. • IN:  Great Cats of Indiana, formerly known as Cougar Valley Farms, Inc., owned by Robert B. Craig and Laura Proper had their license revoked by USDA. • IN:  Ervin's Jungle Wonders owned by Ervin Hall was shut down by USDA for a three year term. • KS: In 2010 Clint Perkins of Riverside Zoological Park lost his USDA license to exhibit tigers and was fined for violations. • MO:  Wesa-A-Geh-Ya owned by Sandra Smith was shut down after a visitor lost his leg to a tiger. • MS:  Cougar Haven closed its doors for good, sending the last 3 big cats to Big Cat Rescue. • NC:  Metrolino Wildlife Park owned by Steven Macaluso was shut down by USDA. • NE:  Zoo Nebraska was ordered to find appropriate homes for their big cats and bears. • OH:  Pearson's L & L Exotics owned by Lorenzo Pearson was shut down by USDA following six years of violations. • SC:  In 2010 Robert Childress dba Quality Equipment was fined by USDA for lack of care for tigers. • TX:  Zoo Dynamics, owned by Marcus Cook was fined $100,000.00 • TX:  In 2010 Jamie Palazzo of Great Cat Adventures had their USDA license suspended for 3 years. • TX:  Wild Animal Orphanage closed their doors in September 2010 after investigation the Attorney General for fraudulent fundraising practices.  363 animals, mostly big cats and primates, are being disbursed to other sanctuaries.  Three of the tigers are coming to Big Cat Rescue. • Australia:  Craig Bush, the “Lion Man” was ousted from the Zion Wildlife Gardens by his mom.   Fundraising and Marketing:  Two Legacy Society donations over $100,000 each helped make this the best financial year ever for the sanctuary.  The first was a bequest from the estate of Terry Nordblom for $110,000.  The second was a matching grant of $200,000 in memory of William and Lois Modglin of Glendale, California.   Final financial numbers will not be available until after our annual audit in the spring, but estimates will be posted here in late January after we reconcile the December statements. 2010 began using Posterous.com to post to 16 of our major social networking sites at once.  We currently operate 333 social networking sites. 2010 we began using Traffic Geyser which increased our web traffic 24%.   Big Cat Rescue was reported favorably in the news 111 times in 2010 which in a 20% increase over 2009.   Some of the national press included shows on Animal Planet, Discovery and the History Channel in addition to such publications as National Geographic and the New York Post and major media coverage in several other countries as well.   The Fur Ball netted over $80,000.00! Over 650 big cat supporters had a blast at the Fur Ball; dining, dancing, playing the Wheel of Fur-Tune casino table and bidding in the silent auction and live auctions. Spirited bidders in the live auction won exotic trips see lions in South Africa, and many other wild and exotic places. We had 26,154 visitors this year. Our BigCatRescue.org website visitors rose to 1,660,550 but the site was temporarily replaced for two months.  During those two months (Jul-Aug) we did not have any tracking service on the replacement site.  We plan to re launch the replacement site in January 2011.  Google awarded Big Cat Rescue a grant of $40,000 per month in free AdWords. People who love animals love to share their photos and stories.  In 2008 Big Cat Rescue unleashed a Chat Big Cats community.   Members can post their own blogs, or join in our forums and contests. It is a YouTube/ MySpace styled community made up entirely of animal lovers. By year end there were 4,129 members and 107,374,194,388 videos, songs, photos and blogs posted to the site.  (blows my mind too!)  Get in on the action free at http://www.chatbigcats.com   YouTube.  We ended the year as the 6th most viewed Non Profit of all time and the 7th most subscribed Non Profit with 22,393 subscribers and 669,725 channel views and a whopping 20,685,511 upload views.  Up 500% from 2009.  By year end we had 412 videos posted on YouTube and other popular sites like google, Blip, MetaCafe, Revver and others. http://www.youtube.com/bigcatrescue YouTube Mini Clip Site:  DailyBigCat was launched Nov. 20, 2010 to provide a channel for the mini clips we upload directly from our iPhones.  By year end this site had 248 subscribers, 5,046 channel views and 25,812 total upload views.  Our MySpace account now has 7,625 friends. myspace.com/   We surpassed 36,000 fans on Face Book which is a 500% increase over 2009 as well.  We also enhanced our presence on Care2.org and many other such sites.  We now have 359 contacts in our LinkedIn presence here:  linkedin.com/in/BigCatRescue Big Cat Rescue now has an Endowment Fund to provide a secure future for the cats. The Fund resides at the Community Foundation of Tampa Bay.  bigcatrescue.org/communityfoundationoftampabay.htm We initiated a program with Capitol One so that you can choose one of our beautiful cats for your credit card image and 1% of all of your purchases will be donated to Big Cat Rescue at no cost to you.   Saving Wild Places for Wild Cats Leonardo DiCaprio Protects Tigers:  Big Cat Rescue continued working with the International Tiger Coalition, which is a group of 40+ organizations committed to saving the tiger, based upon our unique ability to address the captive issues that imperil tigers in the wild.   The goal is 10,000 tigers in the wild in 10 years.  There are less than 3,000 in the wild currently and we are losing one per day due to poaching.  We persuaded ITC to keep US tiger farming issue as part of their mission to eradicate because legalized trade puts even more pressure on wild populations. What makes this initiative unlike all of the past programs is two fold.  40+ major conservation groups, including Big Cat Rescue, have joined forces with one common goal:  Save the tiger in the wild.  There have been other joint efforts, but none this large and never before has an entity as powerful as the World Bank been a committed partner in saving wild places for wild animals.  Big Cat Rescue sponsored the ITC booth at CITES and sponsored the attendance of the ITC Moderator, Judy Mills at the Tiger Summit in St. Petersburg, Russia.   Leonardo DiCaprio attended as well and met with Prime Minister Putin.  DiCaprio donated 1 million dollars to WWF's fund for saving the tiger.   23 FL Panthers died in 2010 but 90 were born according to FWC.  Big Cat Rescue is stepping up our support of local initiatives to save the Florida Panther.   Helping Others:  America's injured veterans have found Big Cat Rescue a place of tranquility where they can surround themselves with beauty and grace;  a respite from all that they have endured protecting our country.  It started with one group and now they come to visit quite frequently.  It's on the house and we provide lunch when we can as well by asking donors to contribute.  They have done their part in keeping Americans free and we are doing our part to fight for that same freedom for the big cats.   Then and Now:  Our CFO, Howard Baskin, compiled a ten year snapshot of the sanctuary and its growth.  This is just a comparison between 1996 and 2010. Wildlife on Easy Street to Big Cat Rescue  1996                  2010 Visitors                  85                         26,128 Total Expenses  $1,686,386 *    $1,363,443 Total Income    $0                      $2,245,798 Total Net Assets    $148,455           $4,881,165 Spent on Program Services   100%    83% ** *funded by Founder        ** 17% spent on Management and Fundraising combined   Officers and Members of the Board of Directors in 2010 and meetings: • CEO and Founder  Carole Baskin (not compensated by BCR)  • President and Chairman of the Board Jamie Veronica (not compensated by BCR for her role as a Director)  • Secretary & Treasurer Howard Baskin (not compensated by BCR for his role as a Director)  • Director Lisa Shaw (not compensated by BCR) Director  • Mary Lou Geis (not compensated by BCR)  These members met or plan to meet for monthly board meetings at the dates and places below: Monthly board meeting, Tampa, FL;  Feb 7, May 2, Aug 1, Nov 7   Paid Staff:   • Operations Manager & Volunteer Coordinator  • Gale Ingham Staff Manager,  • Editor & Creative Director  Jamie Veronica  • Gift Shop & Guest Services   Honey Wayton  • Intern Recruiter & Data Management  Chelsea Feeny  • Education Director Dr. Beth Kamhi and her assistant Willow Hecht  • Vernon Stairs Cage Builder and Maintenance  • Scott Haller Cage Building Apprentice and Maintenance  • Videographer and Social Networking Chris Poole  • Director of Donor Appreciation  Jeff Kremer  • Assistant to Operations Manager and Staff Relief Person Jennifer Flatt  • CFO Howard Baskin  • LaWanna Mitchell is an independent contractor who works remotely on web issues.  All of our animal care is done by volunteers or by staff who also volunteer time before & after work.   Volunteers:  Big Cat Rescue had 107 volunteers in 2010 who clocked in 56,411 man-power hours in addition to staff, 31 interns and Volunteer Committee member hours.  Our interns came from 10 states and 8 countries.  Volunteers and interns provided roughly the equivalent workforce of 30 more full time staff.   Staff and Volunteer Training:  We want to say a special thank you to all of our staff & volunteers who have just completed their 10th year of service to the cats.      I've been writing my story since I was able to write, but when the media goes to share it, they only choose the parts that fit their idea of what will generate views.  If I'm going to share my story, it should be the whole story.  The titles are the dates things happened. If you have any interest in who I really am please start at the beginning of this playlist: http://savethecats.org/   I know there will be people who take things out of context and try to use them to validate their own misconception, but you have access to the whole story.  My hope is that others will recognize themselves in my words and have the strength to do what is right for themselves and our shared planet.     You can help feed the cats at no cost to you using Amazon Smile! Visit BigCatRescue.org/Amazon-smile   You can see photos, videos and more, updated daily at BigCatRescue.org   Check out our main channel at YouTube.com/BigCatRescue   Music (if any) from Epidemic Sound (http://www.epidemicsound.com) This video is for entertainment purposes only and is my opinion.

What is a weighted ball velocity throwing program? Do they work, and what is the evidence of benefit? What are the risks involved and common injury patterns seen?   Host Dr. Devin McFadden, MD, is joined by Dr. Jason Zaremski, MD, to explore these topics and more on the AMSSM Sports Medcast.   Dr. Zaremski is a clinical associate professor holding a joint appointment from the Departments of Physical Medicine and Rehabilitation and the Department of Orthopaedics and Rehabilitation at the University of Florida. In addition, he is the Co-Medical Director of the Adolescent and High School Outreach Program at the University of Florida. He is a past participant in the AMSSM International Travelling Fellowship program, is a Co-Chair of the AMSSM Fellowship Committee and currently serves on the Board of Directors for the AMSSM.   In this 17 minute conversation. Dr. Zaremski addressed the following topics: Defining a weighted ball velocity program. Considering the risks and benefits of their use. Determining what populations should not use these programs and how to safely implement them if athletes decide to pursue one.   References and Resources: Zaremski JL. Weighted Ball Velocity Throwing Programs Are Effective. Are the Benefits Worth the Risk? Clin J Sport Med. 2020 Mar 11. doi: 10.1097/JSM.0000000000000822. Epub ahead of print. PMID: 33914497.   Caldwell JE, Alexander FJ, Ahmad CS. Weighted-Ball Velocity Enhancement Programs for Baseball Pitchers: A Systematic Review. Orthop J Sports Med. 2019 Feb 12;7(2):2325967118825469. doi: 10.1177/2325967118825469. PMID: 30800693; PMCID: PMC6378453.   Melugin HP, Smart A, Verhoeven M, Dines JS, Camp CL. The Evidence Behind Weighted Ball Throwing Programs for the Baseball Player: Do They Work and Are They Safe? Curr Rev Musculoskelet Med. 2021 Feb;14(1):88-94. doi: 10.1007/s12178-020-09686-0. Epub 2021 Jan 6. PMID: 33403626; PMCID: PMC7930148.   Reinold MM, Macrina LC, Fleisig GS, Aune K, Andrews JR. Effect of a 6-Week Weighted Baseball Throwing Program on Pitch Velocity, Pitching Arm Biomechanics, Passive Range of Motion, and Injury Rates. Sports Health. 2018 Jul-Aug;10(4):327-333. doi: 10.1177/1941738118779909. Epub 2018 Jun 8. PMID: 29882722; PMCID: PMC6044122.   Reinold MM, Macrina LC, Fleisig GS, Drogosz M, Andrews JR. Acute Effects of Weighted Baseball Throwing Programs on Shoulder Range of Motion. Sports Health. 2020 Sep/Oct;12(5):488-494. doi: 10.1177/1941738120925728. Epub 2020 Jun 29. PMID: 32598234; PMCID: PMC7485027.   Erickson BJ, Atlee TR, Chalmers PN, Bassora R, Inzerillo C, Beharrie A, Romeo AA. Training With Lighter Baseballs Increases Velocity Without Increasing the Injury Risk. Orthop J Sports Med. 2020 Mar 26;8(3):2325967120910503. doi: 10.1177/2325967120910503. PMID: 32258183; PMCID: PMC710359

This session of the radio show shares my conversation with Erin Rogers. Erin is currently the Executive Director for the Franklin Senior Center.  She replaced Karen Alves when Karen retired last year. We talk about her transition to Executive Director in the middle of COVID-19. We talk about the variety of special events and activities scheduled for July and August. The regular event calendar with specific dates and time details can be found on the Senior Center page.. The recording runs about 21 minutes, so let's listen to my conversation with Erin. -------------- Franklin Senior Center https://www.franklinma.gov/fsc (https://www.franklinma.gov/fsc) Senior Center Connections newsletter  https://www.franklinma.gov/franklin-senior-center/pages/connection-newsletter (https://www.franklinma.gov/franklin-senior-center/pages/connection-newsletter) -------------- We are now producing this in collaboration with http://www.franklin.tv/ (Franklin.TV) and Franklin Public Radio (http://www.wfpr.fm/ (wfpr.fm)) or 102.9 on the Franklin area radio dial.   This podcast is my public service effort for Franklin but we can't do it alone. We can always use your help. How can you help? If you can use the information that you find here, please tell your friends and neighbors If you don't like something here, please let me know Through this feedback loop we can continue to make improvements. I thank you for listening. For additional information, please visit https://franklinmatters.org/ (Franklinmatters.org/) or http://www.franklin.news/ (www.franklin.news/) If you have questions or comments you can reach me directly at shersteve @ gmail dot com The music for the intro and exit was provided byhttp://www.eastofshirley.com/ ( Michael Clark and the group "East of Shirley"). The piece is titled "Ernesto, manana"  c. Michael Clark & Tintype Tunes, 2008 and used with their permission. I hope you enjoy! ------------------ You can also subscribe and listen to Franklin Matters audio on iTunes or your favorite podcast app; search in "podcasts" for "Franklin Matters"

Get a limited edition MinuteEarth YETI tumbler when you become a new patron at the $6 or above tiers or upgrade an existing pledge: https://patreon.com/minuteearth Humans are the only animals known to faint due to triggers like shock, fear, or pain; this is due to a combination of our massive brains and upright stance. LEARN MORE ************** To learn more about this topic, start your googling with these keywords: "Fight or flight": an instinctive physiological response to a threatening situation that readies animals (including humans) to either resist forcibly or escape Fainting: loss of consciousness caused by a temporary lack of oxygen to the brain, also known as “syncope.” Vasovagal syncope: a type of fainting that happens when your body overreacts to an emotional trigger like being in danger, seeing blood, or even just hearing some shocking news. Tonic immobility: an instinctive physiological response to a threatening situation that causes some animals to relax their muscles and “freeze” in place, sometimes causing them to fall over Jump scare: a technique often used in horror films meant to scare the audience with a sudden change on screen, usually paired with a loud sound SUPPORT MINUTEEARTH ************************** If you like what we do, you can help us!: - Become our patron: https://patreon.com/MinuteEarth - Share this video with your friends and family - Leave us a comment (we read them!) CREDITS ********* Julián Gustavo Gómez (@thejuliangomez) | Script Writer, Narrator, and Director Josh Taira | Illustration, Video Editing, and Animation Nathaniel Schroeder | Music MinuteEarth is produced by Neptune Studios LLC https://neptunestudios.info OUR STAFF ************ Sarah Berman • Arcadi Garcia Rius David Goldenberg • Julián Gustavo Gómez Melissa Hayes • Alex Reich • Henry Reich Peter Reich • Ever Salazar • Kate Yoshida OTHER CREDITS ***************** Piano Jump Scare Stinger by TheSoundFXGuy_YT of freesound.org https://freesound.org/people/TheSoundFXGuy_YT/sounds/534218/ Licensed under CC BY 3.0 https://creativecommons.org/licenses/by/3.0/ OUR LINKS ************ Youtube | https://youtube.com/MinuteEarth TikTok | https://tiktok.com/@minuteearth Twitter | https://twitter.com/MinuteEarth Instagram | https://instagram.com/minute_earth Facebook | https://facebook.com/Minuteearth Website | https://minuteearth.com Apple Podcasts| https://podcasts.apple.com/us/podcast/minuteearth/id649211176 REFERENCES ************** Alboni, Paolo, and Marco Alboni. "Origin and Evolution of the Vasovagal Reflex." Vasovagal Syncope. Springer, Cham, 2015. 3-17. Alboni, P., Alboni, M. “Typical vasovagal syncope as a “defense mechanism” for the heart by contrasting sympathetic overactivity.” Clin Auton Res 27, 253–261 (2017). https://doi.org/10.1007/s10286-017-0446-2 Blanc, Jean-Jacques, Paolo Alboni, and David G. Benditt. "Vasovagal syncope in humans and protective reactions in animals." Ep Europace 17.3 (2015): 345-349. Bracha, H., Bienvenu, O. & Person, D. “Evolution and fear-fainting.” Clin Auton Res 16, 299 (2006). https://doi.org/10.1007/s10286-006-0359-y Buckey JC, Peshock RM, Blomqvist CG. “Deep venous contribution to hydrostatic blood volume change in the human leg.” Am J Cardiol. 1988 Sep 1;62(7):449-53. https://doi.org/10.1016/0002-9149(88)90976-9. Furst, Branko. "The Effect of Gravity and Upright Posture on Circulation." The Heart and Circulation. Springer, Cham, 2020. 319-341. Kozlowska K, Walker P, McLean L, Carrive P. “Fear and the Defense Cascade: Clinical Implications and Management.” Harv Rev Psychiatry. 2015 Jul-Aug;23(4):263-87. https://doi.org/10.1097/HRP.0000000000000065. Roelofs, Karin. "Freeze for action: neurobiological mechanisms in animal and human freezing." Philosophical Transactions of the Royal Society B: Biological Sciences 372.1718 (2017): 20160206. Sheldon, Robert S., and Roopinder K. Sandhu. "The search for the genes of vasovagal syncope." Frontiers in cardiovascular medicine 6 (2019): 175. Sun, Benjamin C., Jennifer A. Emond, and Carlos A. Camargo Jr. "Direct medical costs of syncope-related hospitalizations in the United States." The American journal of cardiology 95.5 (2005): 668-671. van Dijk JG. “Fainting in animals.” Clin Auton Res. 2003 Aug;13(4):247-55. https://doi.org/10.1007/s10286-003-0099-1.

In this week's episode of the Spine & Nerve podcast Dr. Nicolas Karvelas and Dr. Brian Joves continue the discussion on lumbar facetogenic pain with a journal club. Lumbar spondylosis with a primary pain generator of facet joint pain is a common pathology that can have a significant negative impact on a patient’s function and health.  There are multiple Interventional treatment options available to address lumbar facetogenic pain including lumbar medial branch blocks, intraarticular facet joint injections, and lumbar medial branch radiofrequency ablation (RFA). There is high quality evidence for the utilization of RFA for axial low back pain due to lumbar facetogenic pain. As with all medical interventions, It is important to continue evaluating patient factors that can alter the expected outcomes.  Listen as the doctors discuss a recent article investigating factors that predict outcome after facet joint treatment. The second article reviewed is one of the landmark studies regarding medial branch blocks prior to RFA. Medial branch blocks are a critical tool in the diagnosis of lumbar facetogenic pain, and are the gold standard diagnostic tool prior to consideration of RFA.       This podcast is for information and educational purposes only, it is not meant to be medical or career advice. If anything discussed may pertain to you, please seek council with your healthcare provider. The views expressed are those of the individuals expressing them, the may not represent the views of Spine & Nerve.   References: 1. Javed S, Chen J, Huh B. Predictors of response to medial branch block, radiofrequency ablation or facet joint injections: a retrospective study. Pain Manag. 2021 Mar;11(2):145-149. 2. Cohen SP, Moon JY, Brummett CM, White RL, Larkin TM. Medial Branch Blocks or Intra-Articular Injections as a Prognostic Tool Before Lumbar Facet Radiofrequency Denervation: A Multicenter, Case-Control Study. Reg Anesth Pain Med. 2015 Jul-Aug;40(4):376-83.

Lecture d'un article paru dans le journal Al Risala en 1999. https://ia800100.us.archive.org/22/items/Al-Risala-Eng-1999/Jul-Aug.pdf

Lecture d'un article paru dans le journal Al Risala en 1999. (léger ajout de ma part) https://ia800100.us.archive.org/22/items/Al-Risala-Eng-1999/Jul-Aug.pdf

Lecture d'un article paru dans le journal Al Risala en 1999. https://ia800100.us.archive.org/22/items/Al-Risala-Eng-1999/Jul-Aug.pdf

Joanne e Iago debatem com o Dr Douglas Soares sobre manejo de pacientes que chegam agitados ou agressivos no PS. Você já passou por uma situação como essa? Compartilha aqui conosco! Minutagem : (0:35) Apresentação do convidado Dr. Douglas Costa (2:38) Definição paciente agitado (4:48) Avaliação Inicial (6:23) Segundo passo do fluxograma (7:40) Três perguntas na anamnese (8:50) Exame clínico - exame psíquico (10:10) Principais condições associadas (11:07) Fatores toxicológicos (13:48) Abordagem não farmacológica (16:28) Atendimento do pacientes - (17:33) Dicas no atendimento (20:04) Abordagem do paciente com agitação leve e moderada (23:16) Abordagem farmacológica (24:00) Haloperidol (26:44) Fenergan (27:40) Antipsicóticos Atípicos (29:20) Benzodiazepínicos (32:33) Contenção física (38:59) Desafio da semana anterior (40:53) Desafio da semana (41:20) Salves  REFERÊNCIAS. Guidelines for managing agitation – pharmacological. Braz J Psychiatry. 2019 Jul-Aug;41(4):324-335 doi:10.1590/1516-4446-2018-017. Approach to the Agitated ED Patient. The Journal of Emergency Medicine, Vol. 54, No. 4, pp. 447–457, 2018. BALDACARA, Leonardo et al . Brazilian guidelines for the management of psychomotor agitation. Part 1. Non-pharmacological approach. Braz. J. Psychiatry, São Paulo , v. 41, n. 2, p. 153-167, Apr. 2019

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.

👉🏽 https://www.adidas.es/running ---------------------------------------------------------------------- En los últimos años ha aumentado el número de accidentes cardiacos entre corredores. La prensa se ha echo eco de ello y la alarma social es evidente. En este episodio, el Dr. Joaquín Barjau nos presenta la evidencia científica que hay sobre este tema y nos cuenta cómo funciona el corazón cuando corremos, qué es lo que puede fallar e intentamos posibles soluciones a este problema que ya es una realidad. RRSS del Dr. Barjau: @dr.barjau Estudios a los que se refiere el doctor en este episodio: 1. Training for Longevity: The Reverse J-Curve for Exercise. Mo Med. Jul-Aug 2020;117(4):355-361 2. Dose of jogging and long-term mortality: the Copenhagen City Heart Study. J Am Coll Cardiol. 2015 Feb 10;65(5):411-9. 3. Various Leisure-Time Physical Activities Associated With Widely Divergent Life Expectancies: The Copenhagen City Heart Study. Mayo Clin Proc. 2018 Dec;93(12):1775-1785. 4. Exercise-Related Acute Cardiovascular Events and Potential Deleterious Adaptations Following Long-Term Exercise Training: Placing the Risks Into Perspective–An Update: A Scientific Statement From the American Heart Association. Circulation. 2020;141:e705–e736 5. Charla TED de James Okeefe https://youtu.be/Y6U728AZnV0 6. Charla de Iñigo San Millán https://youtu.be/DZfOvYiQtow

Is Exercise Really Medicine? An Evolutionary Perspective. Lieberman DE. Curr Sports Med Rep. 2015 Jul-Aug;14(4):313-9. doi: 10.1249/JSR.0000000000000168. PMID: 26166056 --- Send in a voice message: https://anchor.fm/moveman/message

Space Circus EPISODE SYNOPSIS: Marvello and his Space Circus arrive. They stage a performance for the benefit of the Robinsons and discover that Will has unexpected clairvoyant powers. Marvello would like to take the boy with him as part of his troupe, and Smith, eager to exploit the situation to his benefits arranges to be the boy’s manager. He meddles with the Robinsons’ food purification machine, leaving them only four days’ food supply and makes Will believe that he should sacrifice himself to make one less mouth to feed. PRODUCTION OVERVIEW-Writer: Bob and Wanda Duncan, Director: Harry Harris, Producer: William D. Faralla, Executive Producer: Irwin Allen. Film dates: 28-04 Jul-Aug 1966 (6 days), Air date: Wednesday October 12, 1966 (no summer release) PODCAST SYNOPSIS: Intro-Welcome, Production Notes, Show review, Next Week Preview, Outro. This podcast was recorded on 11 NOV 2020  LINKS: https://lostinspaceforum.proboards.com/thread/1009/space-circus http://www.jacobsbrownmediagroup.com/lost-in-space-collector-set.html  https://www.hulu.com/lost-in-space http://www.marccushman.com/books.html https://www.facebook.com/alphacontrolpodcast/ EMAIL: alphacontrolpodcast@gmail.com  

Episode 2 of 5 Written and performed by Tim Goodings End theme - 'Not a Fan' written by Ben Folds, performed by Tim Goodings and produced by xxweesh

Capnography is the measurement of the partial pressure of exhaled CO2 and is an indirect measurement of your cellular respiration. It is displayed visually as a block-like waveform during the exhalation phase of respiration and monitors ventilation in real-time. Capnography is the gold standard for monitoring sedated and intubated patients in the hospital and the field and can be used in many other situations to discern more information about your patient. Our host Jordan Ourada is joined by Dr. Eric Hill who is a board certified Emergency Physician, EMS Director for 9 agencies around Colorado, a retired military physician with the Army, former paramedic firefighter and combat veteran to discuss advanced applications of capnography to monitor a range of different patients in the pre-hospital setting. Tune in to learn how to apply capnography to monitor your patients and detect serious conditions like sepsis and DKA and initiate time-sensitive interventions that reduce mortality in patients. Quick Educational Pearls: Normal range is between 35 - 45 mmHg Low capnography indicates they are blowing off CO2 High capnography indicates they are retaining CO2 Normal waveform morphology is box-like with gradual expiratory plateau after expiratory upstroke Monitor your patient’s status and interpret the capnography numbers, rate and waveforms accordingly Time Stamps 1:32 Capnography definition 6:36 Normal range 7:40 Reading capnography waveforms 12:36 Capnography monitoring in sedated/intubated patients 13:36 Intubation monitoring 18:03 VQ match vs mismatch 21:42 Asthmatic patients 24:30 Capnography cannula 26:24 Cardiac arrest uses 31:28 Acid-base physiology 37:28 Diabetic patients 40:15 COPD patients 41:42 CHF patients 45:18 Head injury patients 52:07 Sepsis detection and subsequent prehospital management 1:08:15 Closing thoughts on using capnography in the field REFERENCES Brandt, P. “Current Capnography Field Uses.” JEMS. 2010, Nov. DiCorpo,P.,etal.“CapnographyProvidesBiggerPhysiological Picture to Maximize Patient Care.” JEMS. 2015, Nov. Eckstein,M.,etal.“End-tidalCO2asapredictorofsurvivalinout-of- hospital cardiac arrest.” Prehosp Disaster Med. 2011 Jun;26(3):148-50 Kodali,B.“Physicsofcapnography.”2014 Poste,J.,etal.“Airmedicaltransportofseverelyhead-injured patients undergoing paramedic rapid sequence intubation.” Air Med J. 2004 Jul-Aug;23(4):36-40 Davis, D., et al. “Predictors of Intubation Success and Therapeutic Value of Paramedic Airway Management in a Large, Urban EMS System.” Prehospital Emergency Care. 2006: Vol. 10, Iss. 3. Grmec, S. “Comparison of three different methods to confirm endotracheal tube placement in emergency intubation.” Intensive Care Medicine. 2002; 28: 701-4. Silvestri, et al. “The Effectiveness of out of hospital use of continuous end-tidal carbon dioxide monitoring on the rate of unrecognized misplaced intubation within a regional emergency medical services system.” Ann Emerg Med. 2005; 45: 497- 503. Hartman, et al. “Systematic Review and Meta- Analysis of End-Tidal Carbon Dioxide Values Associated With Return of Spontaneous Circulation During Cardiopulmonary Resuscitation.” Journal Intensive Care Med. 2015, Oct;30 (7) 426-35. Levine, et al. “End-tidal carbon dioxide and outcome of out-of-hospital cardiac arrest.” N England J Med. 1997, Jul 31; 337(5): 301-6. AHA 2015 Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations Hunter CL, et al. “A prehospital screening tool utilizing end-tidal carbon dioxide predicts sepsis and severe sepsis.” American Journal of Emergency Medicine. 2016 May; 34(5):813-819. Bou Chebi, R, et al. “Diagnostic value of end tidal capnography in patients with hyperglycemia in the emergency department.” BMC Emerg Med. 2016 Jan 29; 16:7 Soleimanpour, H, et al. “Predictive value of capnography for suspected diabetic ketoacidosis in the emergency department.” West J Emerg Med. 2013;14(6): 590-4.   The Emergency Medical Minute is excited to announce that we are now offering AMA PRA Category 1 credits™ via online course modules. To access these and for more information, visit our website at www.emergencymedicalminute.com/cme-courses/ and create an account.      

In this age of instant information and social media, influencers seem to be a dime a dozen, but what does it mean to be influential? More importantly, can we truly break down the concepts that make someone capable of influencing others in an attempt to mimic them? Is there legitimate science behind these concepts, or is it all just witchy space lizard mind-control nonsense? Join hosts Shanti and Danny as they dig into the mystery behind the Science of Influence. ReferencesCialdini, R., Martin, S.; Secrets from the Science of Persuasion. Influence at Work. 2020. https://www.influenceatwork.com/principles-of-persuasion/Harvard Business Review; The Uses (And Abuses) of Influence. Harvard Business Review. Jul-Aug 2013. https://hbr.org/2013/07/the-uses-and-abuses-of-influenceGoldstein, N., et. al.; Reciprocity by Proxy: A Novel Influence Strategy for Stimulating Cooperation. Administrative Science Quarterly (Sage Journals). 18-Jan-2012. 56:3 (441 - 473). https://doi.org/10.1177/0001839211435904Park, H., et. al.; The Impact of Resource Scarcity on Price - Quality Judgments. Journal of Consumer Research. 24-Jun-2019. 46:6 (1110 - 1124). https://doi.org/10.1093/jcr/ucz031Mojtahedi, D., et. al.; Intelligence, Authority and Blame Conformity: Co-witness Influence is Moderated by the Perceived Competence of the Information Source. Journal of Police and Criminal Psychology. 11-Dec-2019. https://doi.org/10.1007/s11896-019-09361-2Šerić, M., et. al.; How Can Perceived Consistency in Marketing Communications Influence Customer-Brand Relationship Outcomes. European Management Journal. Apr-2020. 38:2 (335 - 343). https://doi.org/10.1016/j.emj.2019.08.011Bradley, S.W., et. al.; Experimental Evidence of Observed Social Media Status Cues on Perceived Likability. Psychology of Popular Media Culture. 2019. 8:1 (41 - 51). https://doi.org/10.1037/ppm0000164Rodriguez-Santiago, M., et. al.; Behavioral Traits That Define Social Dominance are the Same That Reduce Social Influence in a Consensus Task. Proceedings of the National Academy of Sciences. 04-Aug-2020. 117:31 (18566 - 18573). https://doi.org/10.1073/pnas.2000158117

S1 EP 09 BOOK SCHOOLING: Construction Business Management by Nick Ganaway Hey Contractor, Do you have what it takes? In this episode I review a professional read that is a must-have for the Contractor in business. "The contractor who quickly learns these requirements can identify and avoid or manage around the pitfalls that cause the high failure rate in our industry and put his or her construction firm on a level playing field with the best-run companies in the business." CONSTRUCTION BUSINESS MANAGEMENT by NICK GANAWAY. To get your own E-copy: https://amzn.to/2CVTyHx . Join the CaCo FACEBOOK community: https://www.facebook.com/cafeconstruct-114077163717924 Follow our INSTAGRAM!: https://www.instagram.com/cafeconstruct/?hl=en Read our TWEETS: https://twitter.com/CafeConstruct --- Send in a voice message: https://anchor.fm/cafe-construct-podcast/message

A spectrum — but will you recognize the blurry signposts?   Temperature (core) Presentation Management Miliaria Crystallina Normal Salt-colored tiny papules, easily burst; not pruritic Modify environment; light clothing; hydration         Miliaria Rubra Normal Discrimiate, red papules, not assocaited with follicles; pruritic Above plus cool compresses; calamine lotion; symptomatic tx for pruritis          Miliaria Profunda Normal Confluent flesh-colored, “lumpy-bumpy”; burning Same as rubra         Miliaria Pustulosa Normal May resemble rubra and/or crustallina, but pustular; h/o previous dermatitis Same as above, but may may need antibiotic if no improvement over time         Heat edema Normal Swelling of feet, ankles, and/or lower legs Modify environment; elevate legs         Heat syncope Normal Dizziness, orthostatic hypotension, and syncope after exertion with rapid return to normal mental status when supine Modify environment; rehydration; monitoring         Heat cramps May be elevated to 40°C (104°F) Exercise-induced cramping in large muscle groups, especially legs Hydration; consider labs (Cr, total CK); may counsel to stretch muscles passively, gently         Heat tetany May be elevated to 40°C (104°F) Hyperventilation with paresthesia, carpopedal spasm Modify environment; hydration; may place non-rebreather mask on low (or off) for rebreathing CO2         Heat exhaustion Elevated up to 40°C (104°F) Normal mental status, fatigue, that rapidly improves with treatment; tachycardia; GI symptoms; electrolyte abnormalities  Cool environment; hydration; consider labs with severe symptoms, or if not improved          Heat Stroke >40 to 40.5°C   (104 to 105°F) Altered mental status; tachypneic; tachycardic with hypotension; electrolyte abnormalities; GI symptoms; often with renal failure, rhabdomyloysis, renal failure; possibly with cardiogenic shock or ARDS or DIC Rapid cooling with all modalities available (radiation, conduction, convection, evaporation); IV rehydration; labs; monitoring; ICU admission Miliaria Crystallina Miliaria Crystallina — Infant Miliaria Crystallina — Older Child Miliaria Rubra — Infant Miliaria Rubra — Infant Miliaria Rubra — Toddler Miliaria Rubra — Adolescent Miliaria Profunda Selected References Bergeron MF, Devore C, et al. Council on Sports Medicine and Fitness and Council on School Health, Policy statement—Climatic heat stress and exercising children and adolescents. Pediatrics 2011; 128:e741. Casa DJ et al. The Inter-Association Task Force for Preventing Sudden Death in Secondary School Athletics Programs: Best-Practices Recommendations. J Athl Train. 2013 Jul-Aug; 48(4): 546–553. DeFranco MJ et al. Environmental issues for team physicians. Am J Sports Med. 2008 Nov;36(11):2226-37. Ishimine P. Hyperthermia. In: Pediatric Emergency Medicine, Baren JM, Rothrock SG, Brennan JA, Brown L (Eds), Saunders Elsevier, Philadelphia 2008. p.992. Jardine DS. Heat illness and heat stroke. Pediatr Rev 2007; 28:249.

Intro: “Getting started with those Raging Boners” - Morgan, Episode 016 was a popular episode, PR Podcast Burger Challenge updates, 75 Hard updates... 12:35 - What is testosterone and why do we need it? (fat gain, muscle loss, and bone loss. 14:15 - Free testosterone level testing 17:10 - Detriments of low testosterone/ benefits of healthy testosterone 19:25 - How to increase testosterone naturally: resistance training, nutrition, sleep, stress management 32:45 - Synthetic Testosterone 40:45 - Body Fat % & Nutrition: Calories, Macronutrients & Micronutrients (Magnesium, Zinc, Vitamin D) 49:15 - 4 Minutes of Porn, 5-minute Conversation with a Cutie, 11 Evenings of Sex & Swingers Articles/Mentions: Examine Defines Testosterone - https://examine.com/topics/testosterone/ Sleep loss dramatically lowers testosterone in healthy young men - https://www.sciencedaily.com/releases/2011/05/110531162142.htm Today’s men are not nearly as strong as their dads were, researchers say - https://www.washingtonpost.com/news/wonk/wp/2016/08/15/todays-men-are-nowhere-near-as-strong-as-their-dads-were-researchers-say/ Low-fat diet linked to lower testosterone levels in men - https://www.eurekalert.org/pub_releases/2020-01/wkh-ldl011020.php Overweight Men Can Boost Low Testosterone Levels by Losing Weight - https://www.todaysdietitian.com/news/071812_news.shtml Effects of progressive resistance training on growth hormone and testosterone levels in young and elderly subjects. - https://www.ncbi.nlm.nih.gov/m/pubmed/2796409/ Healthy testosterone levels for men J Clin Endocrinol Metab 102: 1161-1173, 2017 1-week Sleep restriction lowers Testosterone JAMA. 2011 Jun 1;305(21):2173-4. doi: 10.1001/jama.2011.710. PLoS One. 2012; 7(7): e41218. Resistance exercise overtraining and overreaching. Neuroendocrine responses. Sports Med. 1997 Feb;23(2):106-29 Progressive Resistance Training Volume Effects on Muscle Thickness, Mass, and Strength Adaptations in Resistance-Trained Individuals - https://journals.lww.com/nsca-jscr/Abstract/publishahead/Progressive_Resistance_Training_Volume__Effects_on.94521.aspx Testosterone post-exercise Fiziol Cheloveka. 2010 Jul-Aug;36(4):102-6. Natural bodybuilding competition preparation and recovery: a 12-month case study. Int J Sports Physiol Perform. 2013 Sep;8(5):582-92. Epub 2013 Feb 14 * 11 evenings of sex Physiol Behav. 1992 Jul;52(1):195-7 Multiple partners are associated with higher testosterone in North American men and women. Horm Behav. 2007 Mar;51(3):454-9. Epub 2007 Jan 27. Found something valuable? Share this episode and tag us so we can thank you! Also, we would love to hear your feedback...please leave us a rating and review. Follow Us @PR.Podcast on Instagram! Anabel @evolve.anabel // Joseph @fit_fluential // Morgan @morgan.aquino

Frank Agin, founder and president of AmSpirit Business Connections and host of Networking Rx, shares some thoughts on dealing with people in your life who are volatile. This is a discussion from an article in the JUL-AUG 2019 issue of Psychology Today by Abigail Brenner, M.D. For more information on AmSpirit Business Connections and its franchise opportunity program, contact Frank Agin at frankagin@amspirit.com or visit http://www.amspirit.com/franchise.php.

Contributor: Don Stader, MD Educational Pearls: The eye is surrounded by relatively inflexible tissues such as the bone of the orbit and the fibrous tissue of the eye. This makes it relatively susceptible to damage from outside compression, which is most common from trauma. This phenomenon is called ocular compartment syndrome (OCS)  Look for OCS when patients have face, head or direct eye trauma  OCS will present with a swollen, bulging eye associated with pain and blurry vision. Typically diagnosed with an elevated intraocular pressure (>40) OCS needs to be treated with a lateral canthotomy to help expand the area around the eye, reducing the pressure. Can’t see the eye due to swelling? Use paper clips to make eyelid retractors! References Lima V, Burt B, Leibovitch I, Prabhakaran V, Goldberg RA, Selva D. Orbital compartment syndrome: the ophthalmic surgical emergency. Surv Ophthalmol. 2009 Jul-Aug;54(4):441-9. doi: 10.1016/j.survophthal.2009.04.005. Review. PubMed PMID: 19539832. Rowh AD, Ufberg JW, Chan TC, Vilke GM, Harrigan RA. Lateral canthotomy and cantholysis: emergency management of orbital compartment syndrome. J Emerg Med. 2015 Mar;48(3):325-30. doi: 10.1016/j.jemermed.2014.11.002. Epub 2014 Dec 16. PubMed PMID: 25524455. Summarized by Will Dewispelaere, MS4 | Edited by Erik Verzemnieks, MD

  Episode 278 is an all inclusive guide to kidney anatomy, health, bloodwork, and MORE for physique and performance based athletes! First I dig into some basics on kidney anatomy and function before moving into some considerations for athletes looking to get bloodwork done to track kidney health, and all before ending with practical application on how to maintain kidney health while pushing for your goals! Also, theres a few references I'll provide below for those looking to take things further!   REFERENCES Adelstein RS, Sellers JR. Effects of calcium on vascular smooth muscle contraction. The American journal of cardiology. Jan 30 1987;59(3):4b-10b.   Agre P, King LS, Yasui M, Guggino WB, Ottersen OP, Fujiyoshi Y, . . . Nielsen S. Aquaporin water channels--from atomic structure to clinical medicine. The Journal of physiology. Jul 1 2002;542(Pt 1):3-16.   AHA. American Heart Association. Kidney Damage and High Blood Pressure. Available at: http://www.heart.org/HEARTORG/Conditions/HighBloodPressure/WhyBloodPressureMatters/Kidney-Damage-and-High-Blood-Pressure_UCM_301825_Article.jsp. Last updated 9/11/2014a. Accessed 8/10/2014.     Akinwusi PO, Oluyombo R, Ogunro PS, Adeniji AO, Okunola OO, Ayodele OE. Low dose aspirin therapy and renal function in elderly patients. International journal of general medicine. 2013;6:19-24.   Al-Awqati Q, Barasch J, Goldman L (ed.), SchaferAI (ed.). Goldman's Cecil Medicine, Twenty-Fourth Edition. Chapter 117: Structure and Function of the Kidneys; 716-720. Copyright 2012 Saunders, an imprint of Elsevier, Inc. Available at: www.clinicalkey.com Accessed: 6/9/2014.   Alpern RJ, Sakhaee K. The clinical spectrum of chronic metabolic acidosis: homeostatic mechanisms produce significant morbidity. American journal of kidney diseases : the official journal of the National Kidney Foundation. Feb 1997;29(2):291-302.   Amodu A, Abramowitz MK. Dietary acid, age, and serum bicarbonate levels among adults in the United States. Clinical journal of the American Society of Nephrology : CJASN. Dec 2013;8(12):2034-2042.   Anders HJ, Andersen K, Stecher B. The intestinal microbiota, a leaky gut, and abnormal immunity in kidney disease. Kidney international. Jun 2013;83(6):1010-1016.   Babaei-Jadidi R, Karachalias N, Ahmed N, Battah S, and Thornalley PJ. Prevention of incipient diabetic nephropathy by high-dose thiamine and benfotiamine. Diabetes. 2003;52(8):2110–20   Bae EH, Lee J, Ma SK, et al. alpha-Lipoic acid prevents cisplatin-induced acute kidney injury in rats. Nephrology, dialysis, transplantation: official publication of the European Dialysis and Transplant Association - European Renal Association. 2009;24(9):2692–700   Balakumar P, Bishnoi HK, Mahadevan N. Telmisartan in the management of diabetic nephropathy: a contemporary view. Current diabetes reviews. May 2012;8(3):183-190.   Balakumar P, Rohilla A, Krishan P, Solairaj P, and Thangathirupathi A. The multifaceted therapeutic potential of benfotiamine. Pharmacol. Res. 2010;61(6):482–8   Bankir L, Bouby N, Trinh-Trang-Tan MM, Ahloulay M, Promeneur D. Direct and indirect cost of urea excretion. Kidney international. Jun 1996;49(6):1598-1607.   Barbagallo M, Dominguez LJ, Galioto A, Pineo A, Belvedere M. Oral magnesium supplementation improves vascular function in elderly diabetic patients. Magnesium research : official organ of the International Society for the Development of Research on Magnesium. Sep 2010;23(3):131-137.   Bashir B, Sharma SG, Stein HD, Sirota RA, D'Agati VD. Acute kidney injury secondary to exposure to insecticides used for bedbug (Cimex lectularis) control. American journal of kidney diseases : the official journal of the National Kidney Foundation. Nov 2013;62(5):974-977.   Baynes JW, Dominiczak MH. Medical Biochemistry, Fourth Edition. 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Advanced glycation end-products and the kidney. Eur J Clin Invest. 2010;40(8):742–55   Cacciapuoti F. Lowering homocysteine levels may prevent cardiovascular impairments? Possible therapeutic behaviors. Blood coagulation & fibrinolysis : an international journal in haemostasis and thrombosis. Dec 2012;23(8):677-679.   Calhoun DA. Hyperaldosteronism as a common cause of resistant hypertension. Annu. Rev. Med. 2013;64:233–47   Ceglia L, Harris SS, Abrams SA, Rasmussen HM, Dallal GE, Dawson-Hughes B. Potassium bicarbonate attenuates the urinary nitrogen excretion that accompanies an increase in dietary protein and may promote calcium absorption. The Journal of clinical endocrinology and metabolism. Feb 2009;94(2):645-653.   Chao MC, Hu SL, Hsu HS, Davidson LE, Lin CH, Li CI, . . . Lin WY. Serum homocysteine level is positively associated with chronic kidney disease in a Taiwan Chinese population. Journal of nephrology. Jan 16 2014.   Chaudhary DP, Sharma R, Bansal DD. 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Food Funct. 2012;3(12):1251–64     Davis KE, Prasad C, Vijayagopal P, Juma S, Imrhan V. Advanced Glycation End Products, Inflammation, and Chronic Metabolic Diseases:Links in a Chain? Critical reviews in food science and nutrition. Sep 26 2014.   De la Fuente M, Hernanz A, Viniegra S, Miquel J. Sulfur-containing antioxidants increase in vitro several functions of lymphocytes from mice. International immunopharmacology. Jun 2011;11(6):661-669.   Debreceni B, Debreceni L. The role of homocysteine-lowering B-vitamins in the primary prevention of cardiovascular disease. Cardiovascular therapeutics. Jun 2014;32(3):130-138.   Dempsher J. The nerve impulse in the axon--a new theory. Acta biotheoretica. 1981;30(2):121-137.   Di Vito R, Sirolli V, Amoroso L, Bonomini M. [Nephrotoxicity induced by chemotherapy]. Giornale italiano di nefrologia : organo ufficiale della Societa italiana di nefrologia. May-Jun 2011;28(3):296-304.   Dong JY, Xun P, He K, Qin LQ. Magnesium intake and risk of type 2 diabetes: meta-analysis of prospective cohort studies. Diabetes care. Sep 2011;34(9):2116-2122.   Downie WW. Prostaglandins and NSAID in the kidney. The Journal of rheumatology. Supplement. Mar 1991;28:19-21.   Duranton F, Cohen G, De Smet R, Rodriguez M, Jankowski J, Vanholder R, Argiles A. Normal and pathologic concentrations of uremic toxins. Journal of the American Society of Nephrology : JASN. Jul 2012;23(7):1258-1270.   Eknoyan G. Obesity and chronic kidney disease. Nefrologia : publicacion oficial de la Sociedad Espanola Nefrologia. 2011;31(4):397-403.   Eknoyan G, Latos DL, Lindberg J, National Kidney Foundation Carnitine Consensus Conference. Practice recommendations for the use of L-carnitine in dialysis-related carnitine disorder. National Kidney Foundation Carnitine Consensus Conference. Am J Kidney Dis. 2003;41(4):868–76.     Faloon W. FDA Approves Deadly Drugs, Delays Lifesaving Therapies. Life Extension Magazine. http://www.lef.org//Magazine/2004/5/awsi/Page-01. May 2004. Accessed 1/26/2015.   Feng B, Yan X-F, Xue J-L, Xu L, and Wang H. The Protective Effects of α-Lipoic Acid on Kidneys in Type 2 Diabetic Goto-Kakisaki Rats via Reducing Oxidative Stress. Int J Mol Sci. 2013;14(4):6746–56   Fenton TR, Tough SC, Lyon AW, Eliasziw M, Hanley DA. Causal assessment of dietary acid load and bone disease: a systematic review & meta-analysis applying Hill's epidemiologic criteria for causality. Nutrition journal. 2011;10:41.   Ferri FF. Ferri's Clinical Advisor. Chronic Kidney Disease. Available at: www.clinicalkey.com. Copyright © 2014c. Accessed 6/12/2014.   Ferri FF. Ferri's Clinical Advisor. Acute Kidney Injury. Available at: www.clinicalkey.com. Copyright © 2014a. Accessed 6/12/2014.   Ferri FF. Ferri's Clinical Advisor. Polycystic Kidney Disease. Available at: www.clinicalkey.com. Copyright © 2014b. Accessed 6/12/2014.   Finkielstein VA, Goldfarb DS. Strategies for preventing calcium oxalate stones. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne. May 9 2006;174(10):1407-1409.   Fjellstedt E, Denneberg T, Jeppsson JO, Tiselius HG. A comparison of the effects of potassium citrate and sodium bicarbonate in the alkalinization of urine in homozygous cystinuria. Urological research. Oct 2001;29(5):295-302.   Fliser D, Ritz E. Serum cystatin C concentration as a marker of renal dysfunction in the elderly. American journal of kidney diseases : the official journal of the National Kidney Foundation. Jan 2001;37(1):79-83.   Forbes JM, Cooper ME, Oldfield MD, Thomas MC. Role of advanced glycation end products in diabetic nephropathy. Journal of the American Society of Nephrology : JASN. Aug 2003;14(8 Suppl 3):S254-258.     Fung TT, Chiuve SE, McCullough ML, Rexrode KM, Logroscino G, Hu FB. Adherence to a DASH-style diet and risk of coronary heart disease and stroke in women. 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Citrate therapy for polycystic kidney disease in rats. Kidney international. Nov 2000;58(5):1859-1869.   Wackenfors A, Pantev E, Emilson M, Edvinsson L, Malmsjo M. Angiotensin II receptor mRNA expression and vasoconstriction in human coronary arteries: effects of heart failure and age. Basic & clinical pharmacology & toxicology. Dec 2004;95(6):266-272.   Wagner E. Life Extension Magazine; In The News. Cystatin C Valuable in Detecting Kidney Dysfunction. http://www.lef.org//Magazine/2006/12/itn/Page-01. 2006. Accessed 1/27/2015.   Watanabe H, Obata H, Watanabe T, Sasaki S, Nagai K, Aizawa Y. Metabolic syndrome and risk of development of chronic kidney disease: the Niigata preventive medicine study. Diabetes/metabolism research and reviews. Jan 2010;26(1):26-32.   Yadla M, Yanala SR, Parvithina S, Chennu KK, Annapindi N, Vishnubhotla S. Acute kidney injury in endosulfan poisoning. Saudi journal of kidney diseases and transplantation : an official publication of the Saudi Center for Organ Transplantation, Saudi Arabia. May 2013;24(3):592-593.   Yamagishi S, Nakamura K, Matsui T. Potential utility of telmisartan, an angiotensin II type 1 receptor blocker with peroxisome proliferator-activated receptor-gamma (PPAR-gamma)-modulating activity for the treatment of cardiometabolic disorders. Current molecular medicine. Aug 2007;7(5):463-469.   Yao X, Panichpisal K, Kurtzman N, et al. Cisplatin nephrotoxicity: a review. Am J Med Sci. 2007;334(2):115-24.   Yokozawa T, Nakagawa T, Oya T, Okubo T, and Juneja LR. Green tea polyphenols and dietary fibre protect against kidney damage in rats with diabetic nephropathy. J. Pharm. Pharmacol. 2005;57(6):773–80   Younes N, Cleary PA, Steffes MW, de Boer IH, Molitch ME, Rutledge BN, . . . Dahms W. Comparison of urinary albumin-creatinine ratio and albumin excretion rate in the Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications study. Clinical journal of the American Society of Nephrology : CJASN. Jul 2010;5(7):1235-1242.   Yuzbashian E, Asghari G, Mirmiran P, Hosseini FS, Azizi F. Associations of dietary macronutrients with glomerular filtration rate and kidney dysfunction: Tehran lipid and glucose study. Journal of nephrology. Jun 5 2014.   Zheng Z, Shi H, Jia J, Li D, Lin S. Vitamin D supplementation and mortality risk in chronic kidney disease: a meta-analysis of 20 observational studies. BMC nephrology. 2013;14:199.   Zhu JR, Bai J, Cai NS, Tang B, Fan WH, Guo JZ, . . . Cheng NN. Efficacy and safety of telmisartan vs. losartan in control of mild-to-moderate hypertension: a multicentre, randomised, double-blind study. International journal of clinical practice. Supplement. Dec 2004(145):46-49.   Zoccali C, Curatola G, Panuccio V, Tripepi R, Pizzini P, Versace M, . . . Mallamaci F. Paricalcitol and endothelial function in chronic kidney disease trial. Hypertension. Nov 2014;64(5):1005-1011.        •••SUPPORT OUR SPONSORS•••   (COACHING) Alex - www.theprepcoach.com   (FREE OPEN FORUM w/ EXCLUSIVE VIDEOS) http://www.theprepcoachforum.com   (SUPPLEMENTS) www.projectad.me___use discount code “BFR25” to save off your order!   (RESEARCH CHEMS) www.maresearchchems.net___use discount code “alex15” to save off your order!   (SPECIALTY SUPPS) www.masupps.com___use discount code “alex20” to save off your order!   (INJECTABLE L-CARNITINE) www.synthetek.com___use discount code “alexkikel” to save off your order!   (BULK SUPPLEMENTS) www.truenutrition.com___use discount code “AXK5” to save off your order!       •••FIND THE EPISODES•••   ITUNES:https://itunes.apple.com/us/podcast/beastfitness-radios-podcast/id1065532968   LIBSYN:http://beastfitnessradio.libsyn.com   VIMEO: www.vimeo.com/theprepcoach        •••PREP COACH APPAREL•••   https://teespring.com/stores/the-prep-coach-apparel    

      What I Bought, Read, Watched - Jul, Aug 2019 What I Bought (starts at 00:00) - Green Lantern/Green Arrow (1994) - reprints Green Lantern (1960) 76-81, 83-87, 89, Flash (1959) 217, 218, 219 - Secret Origins (1986) 29 - Justice League of America (1963) 199 - X-Men Grand Design 1 What I Read (starts at 17:50) - Green Lantern 125 - 128 - All-Star Squadron 36, 37 - Lazarus 1-8 - Ikigami - Episode 6 - X-Force 8 - New Teen Titans 35, 36, 37 - Batman and the Outsiders 5 - Captain America 273, 274 - Marvel Two-in-One 42, 43 - Terry and the Pirates - American Comic Book Chronicles: The 1970s What I Watched Movies (starts at 36:45) - Toy Story (1995) - Millennium Actress (2001) - Batman and Bill (2017) Anime (starts at 46:10) - Cowboy Bebop - Lupin III (Part 2) - UFO Robo Grendizer - Star Blazers 2199 Television (starts at 55:20) - Young Justice (Season 2) - She-Ra and the Princesses of Power - Future Man - Russian Doll Links Dave Talks Comics Notes - - - - - - - - - - Dave Talks Comics - Small Screen Scrawls - Movies - - - Small Screen Scrawls - Anime - - - - Small Screen Scrawls - Television - - - - Cover Art: More Hard Traveling Heroes by Neal Adams, Lazarus 2 by Steve Epting, She-Ra by ? [65:38] - - - - -  

In questo Podcast parleremo degli utilizzi delle tecniche basate sulla Mindfulness, soprattutto in ambito sanitario. Il nostro ospite è il dott. Paolo de Lutti, medico e psicoterapeuta, che da oltre 30 anni si occupa di medicina delle dipendenze e attualmente svolge l'incarico di vicepresidente dell'Istituto Italiano di Mindfulness (ISIMIND). Egli spiegherà il significato di Mindfulness e le sue applicazioni in medicina e psicoterapia: dalla depressione alle dipendenze, dal dolore cronico al paziente affetto da tumore. Ma la mindfulness potrebbe avere un suo ruolo anche per gli operatori che lavorano in ambito sanitario, sociale ed educativo, proprio per sviluppare un aspetto fondamentale che è l'empatia. Con grande entusiasmo e passione Dr. De Lutti illustrerà anche diversi concetti della psicologia buddista e come alcuni di essi abbiano dei correlati neurali, confermati da modernissime tecniche neuroscientifiche. Buon ascolto! ARTICOLI SCIENTIFICI: Creswell JD. Mindfulness Interventions. Annu Rev Psychol. 2017 Jan 3;68:491-516 Reive C. The Biological Measurements of Mindfulness-based Stress Reduction: A Systematic Review. Explore (NY). 2019 Jul - Aug;15(4):295-307 Priddy SE et al., Mindfulness meditation in the treatment of substance use disorders and preventing future relapse: neurocognitive mechanisms and clinical implications. Subst Abuse Rehabil. 2018 Nov 16; 9:103-114 MacKenzie MB et al., Mindfulness-based cognitive therapy in patients with depression: current perspectives. Neuropsychiatr Dis Treat. 2018 Jun 18; 14:1599-1605 Bishop SR et al., Mindfulness: A Proposed Operational Definition. Clin Psychol Sci Prac 11: 230–241, 2004 LIBRI DIVULGATIVI: Jon Kabat-Zinn. Vivere momento per momento. Ed. Corbaccio, 2016; Thich Nhat Hanh. Il miracolo della presenza mentale. Un manuale di meditazione. Ed. Astrolabio Ubaldini, 1992; Mark Williams & Danny Penman. Metodo mindfulness. 56 giorni alla felicità. Ed. Mondadori, 2016; ALTRI LINK: Istituto Italiano Mindfulness (ISIMIND) Centro di Meditazione KUSHI LING ad Arco (TN) --- Send in a voice message: https://podcasters.spotify.com/pod/show/saltobz/message

In this week's episode of the Spine & Nerve podcast, Dr. Karvelas and Dr. Joves discuss a procedure called minimally invasive lumbar decompression or MILD. What exactly is MILD? Well, it's a way to create more space in the spine with utilizing small entry ports- which means no large incisions, less recovery time after the procedure and decreased risk for the patient. Listen as the docs discuss the two main studies that brought the MILD procedure back into relevance (and coverage by CMS - Centers for Medicaid and Medicare Services) References: Benyamin RM, Staats PS.MiDAS ENCORE: Randomized Controlled Study Design and Protocol.Pain Physician. 2015 Jul-Aug;18(4):307-16. Mekhail, Nagy, et al. (2012), Functional and Patient-Reported Outcomes in Symptomatic Lumbar Spinal Stenosis Following Percutaneous Decompression. Pain Practice, 12(6): 417-425. Follow our practice on Facebook at Spine & Nerve Diagnostic Center. Please leave us a comment or review- these help us to improve and provide value to more people. This podcast is for information and educational purposes only, it is not meant to be medical advice. If anything discussed may pertain to you, please seek council with your healthcare provider. The views expressed are those of the individuals expressing them, they may not represent the views of Spine & Nerve.

Episode 248 is a brief overview and breakdown on the all new formula for ProjectAD's RAGING FULL! This is their intra workout carbohydrate and hydration blend that has some awesome new aspects to it! This is a brief overview which should help you guys understand why I am a huge fan of this new formula! There will be an extreme in depth breakdown in the future for those science nerds like me that LOVE the details!   INTRAWORKOUT CARBOHYDRATE/AMINO ACID REFERENCES Bird SP, et al. Liquid carbohydrates/essential amino acid ingestion during a short-term bout of resistance exercise suppresses myofibrillar protein degradation. Metabolism. 2006 May;55(5):570-7.   Bloom PC, et al.  Effect of different post-exercise sugar diets on the rate of muscle glycogen synthesis.  Med Sci Sports Exerc.  1987 Oct;19(5):491-6.   Desbrow B, et al. Carbohydrate-electrolyte feedings and 1h time trial cycling performance. Int J Sport Nutr Exerc Metab. 2004 Oct;14(5):541-9.   Erith S, et al.  The effect of high carbohydrate meals with different glycemic indices on recovery of performance during prolonged   Haff GG, et al. Carbohydrate supplementation and resistance training. J Strength Cond Res. 2003 Feb;17(1):187-96.   Ivy JL, et al. Muscle glycogen synthesis after exercise: effect of time of carbohydrate ingestion. J Appl Physiol. 1988 Apr;64(4):1480-5.   Jentjens RL, et al.  Oxidation of combined ingestion of glucose and fructose during exercise.  J Apply Physiol.  2004 Apr;96(4):1277-84.   Jentjens RL, et al.  Oxidation of exogenous glucose, sucrose and maltose during prolonged cycling exercise.  J Apply Physiol.  2004 Apr;96(4):1285-91.   Jentjens RL, Jeukendrup AE.  High rates of exogenous carbohydrate oxidation from a mixture of glucose and fructose ingested during prolonged cycling exercise.  Br J Nutr.  2005 Apr;93(4):485-92   Jeukendrup AE. Carbohydrate during exercise and performance. Nutrition. 2004 Jul-Aug;20(7-8):669-77.   Keizer HA, et al.  Influence of liquid and solid meals on muscle glycogen resynthesis, plasma fuel hormone response, and maximal physical working capacity.  Int J Sports Med.  1987 Apr;8(2):99-104. https://www.ncbi.nlm.nih.gov/pubmed/25080121 https://www.jstage.jst.go.jp/article/fstr/21/3/21_499/_html   Ferrando, A.A., et al., Oral branched-chain amino acids decrease whole-body proteolysis. JPEN. Journal of parenteral and enteral nutrition, 1995. 19(1): p. 47-54. http://www.ncbi.nlm.nih.gov/pubmed/7658600   Ruderman, N.B., et al., Regulation of alanine formation and release in rat muscle in vivo: effect of starvation and diabetes. The American journal of physiology, 1977. 233(2): p. E109-14. http://www.ncbi.nlm.nih.gov/pubmed/888947   Shimomura, Y., et al., Exercise promotes BCAA catabolism: effects of BCAA supplementation on skeletal muscle during exercise. The Journal of nutrition, 2004. 134(6 Suppl): p. 1583S-1587S. http://www.ncbi.nlm.nih.gov/pubmed/15173434   Fujii, H., et al., Branched-chain alpha-keto acid dehydrogenase kinase content in rat skeletal muscle is decreased by endurance training. Biochemistry and molecular biology international, 1998. 44(6): p. 1211-6. http://www.ncbi.nlm.nih.gov/pubmed/9623776   Lamont, L.S., et al., Comparison of leucine kinetics in endurance-trained and sedentary humans. Journal of applied physiology, 1999. 86(1): p. 320-5. http://www.ncbi.nlm.nih.gov/pubmed/9887146   Wagenmakers, A.J., et al., Carbohydrate supplementation, glycogen depletion, and amino acid metabolism during exercise. The American journal of physiology, 1991. 260(6 Pt 1): p. E883-90. http://www.ncbi.nlm.nih.gov/pubmed/2058665   Louard, R.J., et al., Effect of infused branched-chain amino acids on muscle and whole-body amino acid metabolism in man. Clinical science, 1990. 79(5): p. 457-66. http://www.ncbi.nlm.nih.gov/pubmed/2174312   Gualano, A.B., et al., Branched-chain amino acids supplementation enhances exercise capacity and lipid oxidation during endurance exercise after muscle glycogen depletion. The Journal of sports medicine and physical fitness, 2011. 51(1): p. 82-8. http://www.ncbi.nlm.nih.gov/pubmed/21297567   Shimomura, Y., et al., Branched-chain amino acid supplementation before squat exercise and delayed-onset muscle soreness. International journal of sport nutrition and exercise metabolism, 2010. 20(3): p. 236-44. http://www.ncbi.nlm.nih.gov/pubmed/20601741 Coombes, J.S. and L.R. McNaughton, Effects of branched-chain amino acid supplementation on serum creatine kinase and lactate dehydrogenase after prolonged exercise. The Journal of sports medicine and physical fitness, 2000. 40(3): p. 240-6. http://www.ncbi.nlm.nih.gov/pubmed/11125767   Bolster, D.R., et al., Regulation of protein synthesis associated with skeletal muscle hypertrophy by insulin-, amino acid- and exercise-induced signalling. The Proceedings of the Nutrition Society, 2004. 63(2): p. 351-6. http://www.ncbi.nlm.nih.gov/pubmed/15294054   Atherton, P.J., et al., Distinct anabolic signalling responses to amino acids in C2C12 skeletal muscle cells. Amino acids, 2010. 38(5): p. 1533-9. http://www.ncbi.nlm.nih.gov/pubmed/19882215   Kimball, S.R. and L.S. Jefferson, Signaling pathways and molecular mechanisms through which branched-chain amino acids mediate translational control of protein synthesis. The Journal of nutrition, 2006. 136(1 Suppl): p. 227S-31S. http://www.ncbi.nlm.nih.gov/pubmed/16365087   Gran, P. and D. Cameron-Smith, The actions of exogenous leucine on mTOR signalling and amino acid transporters in human myotubes. BMC physiology, 2011. 11: p. 10. http://www.ncbi.nlm.nih.gov/pubmed/21702994   Greiwe, J.S., et al., Leucine and insulin activate p70 S6 kinase through different pathways in human skeletal muscle. American journal of physiology. Endocrinology and metabolism, 2001. 281(3): p. E466-71. http://www.ncbi.nlm.nih.gov/pubmed/11500301   Atherton, P.J., et al., Muscle full effect after oral protein: time-dependent concordance and discordance between human muscle protein synthesis and mTORC1 signaling. The American journal of clinical nutrition, 2010. 92(5): p. 1080-8. http://www.ncbi.nlm.nih.gov/pubmed/20844073   Matthews, D.E., Observations of branched-chain amino acid administration in humans. The Journal of nutrition, 2005. 135(6 Suppl): p. 1580S-4S. http://www.ncbi.nlm.nih.gov/pubmed/15930473   Paddon-Jones, D., et al., Amino acid ingestion improves muscle protein synthesis in the young and elderly. American journal of physiology. Endocrinology and metabolism, 2004. 286(3): p. E321-8. http://www.ncbi.nlm.nih.gov/pubmed/14583440     Wolfe, R.R., Effects of amino acid intake on anabolic processes. Canadian journal of applied physiology = Revue canadienne de physiologie appliquee, 2001. 26 Suppl: p. S220-7. http://www.ncbi.nlm.nih.gov/pubmed/11897897   Floyd, J.C., Jr., et al., Evidence That Insulin Release Is the Mechanism for Experimentally Induced Leucine Hypoglycemia in Man. J Clin Invest, 1963. 42: p. 1714-9. http://www.ncbi.nlm.nih.gov/pubmed/14083162   Chow, L.S., et al., Mechanism of insulin’s anabolic effect on muscle: measurements of muscle protein synthesis and breakdown using aminoacyl-tRNA and other surrogate measures. Am J Physiol Endocrinol Metab, 2006. 291(4): p. E729-36. http://www.ncbi.nlm.nih.gov/pubmed/16705065   Shimomura, Y., et al., Nutraceutical effects of branched-chain amino acids on skeletal muscle. The Journal of nutrition, 2006. 136(2): p. 529S-532S. http://www.ncbi.nlm.nih.gov/pubmed/16424141    •••SUPPORT OUR SPONSOR••• (COACHING) Alex - www.theprepcoach.com   (FREE OPEN FORUM w/ EXCLUSIVE VIDEOS) http://www.theprepcoachforum.com (SUPPLEMENTS) www.projectad.me___use discount code “BFR25” to save off your order! www.maresearchchems.com___use discount code “alex15” to save off your order! www.masupps.com___use discount code “alex20” to save off your order! (INJECTABLE L-CARNITINE) www.synthetek.com___use discount code “alexkikel” to save off your order! (BULK SUPPLEMENTS) www.truenutrition.com___use discount code “AXK5” to save off your order!   •••FIND THE EPISODES••• ITUNES:https://itunes.apple.com/us/podcast/beastfitness-radios-podcast/id1065532968 LIBSYN:http://beastfitnessradio.libsyn.com VIMEO: www.vimeo.com/theprepcoach YOUTUBE: https://www.youtube.com/c/ThePrepCoach    •••PREP COACH APPAREL••• https://teespring.com/stores/the-prep-coach-apparel