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Luis Herrero analiza con Alfonso Egea y Lorena López Lobo las novedades del caso.
The Lobos took the floor in front of the media, did they pass the eye test? What are fair expectations for UNM this year? Geoff Grammer, Lobo beat writer for the Albuquerque Journal, joins the show to discuss. See omnystudio.com/listener for privacy information.
Lobo forward Chris Howell and Head Coach Eric Olen met with the media, what are they focused on early in summer workouts? LeBron James is moving the goal posts and it's not going over well. See omnystudio.com/listener for privacy information.
6-17-25 Lobo Men's Basketball Coach Eric Olen joins TEAM Talk to talk as the team begins practices ( @unmlobombb @coachericolen )
On today's After Dark, Dan talks about the free room upgrade situation at Mohegan sun, the Switch 2 is out, it's selling like hot cakes but opinions vary, the predatory nature of the video game industry, Prospect reviews Final Destination Bloodlines, and Lobo reviews both Predator Killer of Killers and Mission Impossible The Final Reckoning.Support the showCatch new episodes of the Where to Stick It Podcast every Tuesday and Thursday. If you like the show, please consider supporting us on Patreon where we upload exclusive content each month for only $3 a month.
Lobo legend and NBA veteran Kenny Thomas shares his thoughts on the decision to stay with Tyrese Haliburton. What does he expect from the Pacers in game six. Where should Kevin Durant go? Are the Magic a conference final contender? See omnystudio.com/listener for privacy information.
6-16-25 Lobo Head Track & Field Coach Darren Gauson joins TEAM Talk after Men's and Women's teams both finish in the Top 10
6-16-25 Hinkle Law Offices Top Five - Lobo Track & Field come home with 3 national championships
On this week's episode of the CarQuicks Podcast, we cover news from Ford and a new street truck, Corvette teasing a special announcement this coming week, Hyundai has a new sports sedan releasing, and much more.Grab a seat, relax and enjoy... this is CarQuicks!-#CarQuicks #CarQuicksPodcast #Episode99 #automotivepodcast #F150Lobo #streettrucks #Ford #trucks #Ioniq6N #Ioniq6 #Hyundai #carenthusiast #automotivenews #podcast #carindustry #carreview #automobile #subaru #subarubrat #BRAT #electrictruck #compacttrucks #grcorolla #gazooracing #carmods #carcontent #caryoutube __________Improve your driving with SUMA Performance mirrors!Give yourself a 10% off discount with CARQUICKS10 or follow this link for an automatic discount applied at checkout:Link: https://www.sumaperformance.com/CARQUICKSCheck out my review and install video! https://www.youtube.com/watch?v=tbuLKpktRbc&ab_channel=CarQuicks__________Get the best dash cam on the market! | The WolfBox G900 Pro https://wolfbox.com/?ref=rwnvizku&utm_source=goaff-Check out my installation/review video here! | https://youtu.be/RrwW2WTut_0-PLUS, get 10% OFF your purchase with code CAMERON__________Want better throttle response from your car? Better driveability? Better performance? Check out ShiftPower USA Throttle Controllers.-Check out my installation and review video: https://youtu.be/H9kruuEsL84?si=Ha8MBvKDQTckd1Py-If you liked it, thought about it, and now want it, give yourself a discount with this link: https://www.beatsonicusa.com/?ref=CAMERONBIGGS-00:00 Introduction02:38 Ford introduces the F150 LOBO 10:17 Subaru teases the return of the BRAT | A Collaboration with Toyota?19:49 Chevy hints at NEW Corvette Announcement21:37 Trump Administration BLOCKS California Automotive Bill30:43 Hyundai teases the Ioniq 6N32:53 GR Corolla UPDATES!33:20 YT Channel Updates | Closing Thoughts | Outro
6-13-25 Hinkle Law Offices Top Five - Lobo Golfer Victor Perez with the 2nd ever Ace in U.S. Open history at Oakmont
Javier del Pino y Marc Bassets conversan con Reed Brody sobre su libro Atrapar a un dictador, que narra la lucha por llevar al exdictador de Chad, Hissène Habré, ante la justicia. Brody explica el papel de Occidente en su régimen, el trabajo con víctimas africanas y los retos del derecho internacional. Luego, junto a Julio Ricardo Varela, analizan el recorte a medios públicos en EE. UU. y el debilitamiento informativo bajo la administración Trump.
Ford F-150 Lobo : La Version Street Truck Abordable ?TORQ PODCAST - Épisode 413Vous rêvez d'un "street truck" au look agressif et performant, mais votre budget ne suit pas ? Le Ford F-150 Lobo pourrait bien être la solution ! Dans cette vidéo, on explore en détail pourquoi cette version du légendaire F-150 est souvent considérée comme une option plus abordable pour les amateurs de camions personnalisés.Est-ce vraiment possible d'avoir le style d'un "street truck" sans se ruiner ? On analyse le design unique du Lobo, ses caractéristiques, et on voit comment il se positionne face aux autres options du marché. Que vous cherchiez à rouler avec style en ville ou à personnaliser votre pick-up sans faire exploser votre compte en banque, le F-150 Lobo mérite toute votre attention.YOUTUBE Membres VIP :https://www.youtube.com/channel/UCbha0iHrKImRyDXbDNO-EJw/joinSpotify Membres VIP :https://podcasters.spotify.com/pod/show/torqpodcast/subscribeTORQ MEDIASite Web : https://torqmedia.ca FAST WHEELS https://fastco.ca/Fast-Wheels/HomeONEBONE Site Web : https://onebonebrand.com/jultorqCode : JULTORQ ( - 15% Rabais )Suivez-Nous sur Instagram :@JulTorq : https://www.instagram.com/jultorq/@EveTorq : https://www.instagram.com/evetorq/#FordF150Lobo #StreetTruck #F150
6-12-25 Hinkle Law Offices Top Five - Lobo Men's Track & Field dominant in Day 1 of the NCAA Outdoor Championships
Sintonía: "Sr. Lobo" - Los 3001.- "What We’re Lost" (feat. Mabreezee) - FREEDUTS 2.- "Ilargila" - ARIMA SOUL 3.- "It’s Allright" - ALL SUPERSONIC & THE TEENAGERS 4.- "Calabajío" - LA PLAZUELA 5.- "Sunsine" - R DE RUMBA & PORCEL 6.- "Freshly squeezed!!" (feat. Mayka Edjole) - CASBAH 73 7.- "Stay Woke" - GINGA 8.- "Boss Say No!" - HIP HORNS BRASS COLLECTIVESr. Lobezno ManagementTodas las músicas seleccionadas y presentadas por Sr. Lobezno (Isidro Sánchez Marín) desde RNE en Granada. Muchísimas gracias a Juan Carlos por su buen hacer y predisposiciónContacto: srlobezno@afrodisiaclub.comEscuchar audio
En este episodio del podcast nos acompaña José Luis Gómez Lobo, escritor y docente nacido en Tijuana y radicado en Guadalajara. Con estudios en sociología y una maestría en literatura mexicana por la Universidad de Guadalajara, ha publicado cuentos, artículos y las novelas La otra pantalla (2010) y Oración por el padre difunto (2012). Además, ha impartido talleres de novela y escritura creativa en distintas instituciones culturales.Conversamos con él a propósito de su más reciente obra: Cenotafios, un libro de cuentos que aborda la muerte como una presencia constante, inevitable, silenciosa… y profundamente humana. A través de narradores sagaces y escenarios urbanos —como la ciudad de Guadalajara—, los relatos de Cenotafios nos recuerdan que incluso quienes parecen haber pasado desapercibidos merecen una marca, una memoria, un rasguño en la historia. En este diálogo, José Luis nos habla desde la experiencia, la literatura y la sensibilidad del que observa el mundo con honestidad, para preguntarnos: ¿cuántos cenotafios hemos visto?, ¿habremos pasado ya por el nuestro sin darnos cuenta?
Brand new Men's Head Basketball Coach for the University of New Mexico Eric Olen comes in to introduce himself, and talk about the challenges he faces to keep a winning program, and working with the modern day student athlete with TJ on News Radio KKOBSee omnystudio.com/listener for privacy information.
Tim and Frank dive deep into the L and M section of their 252-character DC Comics tier list. From Lex Luthor and Lois Lane to Lobo, Livewire, and Mr. Terrific, the list goes on and on, my friends. Cheers! Watch this episode on YouTube (https://youtu.be/1FnDVsfrFjU) Beers of the Week Samuel Adams – Porch Rocker (Lemon Radler) Sebago Brewing Company – Haze Forward (New England IPA)
Is the investment where it needs to be for Lobo athletics to succeed? Could the NL Cy Young winner have a losing record? Isotopes Manager Pedro Lopez joins the show to discuss the offensive outburst and why things at the Triple-A level can be more mental than physical? See omnystudio.com/listener for privacy information.
Base Bíblica: Judas 8-10Psr. Mariano Merino
Lobo legend and NBA veteran, Kenny Thomas, shares his thoughts on game two of the NBA finals, just how good and big is SGA? How does he feel about college athletes getting paid by the schools? Can Lobo football be a sneaky conference team this season? Who returns the most in the Mountain West? See omnystudio.com/listener for privacy information.
6-9-25 505 Sports Venture Foundation Founder Kurt Roth joins TEAM Talk after the finalization of the NCAA vs. House Settlement & it's impact on Lobo Athletics ( @505svf @BrooklynEsq )
Ocurrió el martes pasado en la Fundación Jiménez Díaz de Madrid, que es un estupendo hospital, por cierto.Los martes se lleva a cabo una actividad para entretener a los pacientes y a sus acompañantes. “Música en vena” se llama. Un grupo de jóvenes tocaba composiciones clásicas de soul, cuando de pronto, de entre los que esperaban por los pasillos, apareció una mujer con un bastón. Y se arrancó a cantar. Y abrió bocas.Pueden Vds imaginar la cara de flipados de los músicos y lo que alucinaban los pacientes y sus acompañantes.Detrás de todo un flow inesperado se esconde María de la Concepción Gutiérrez Lobo, una venezolana de padres españoles que era una cantante modernísima y monísima, la vocalista rotunda de un grupo clásico de la escena mod.“Shelly y la Nueva Generación” fue un grupo español de culto que hacían un soul garage que dejó mucha huella por su innovación a finales de los 60. Shelly, que así se hacía llamar María de la Concepción era ...
Las generaciones que nos antecedieron daban por sentada la existencia de Dios, mientras que las posteriores comenzaron a cuestionarlo. En 'El Dios de nuestros padres: la gran novela de la Biblia' el periodista Aldo Cazzullo hace una relectura de este libro como un cimiento de las sociedades occidentales, pero también como una gran obra narrativa. Javier Milei ha visitado varios países europeos. Su proyecto político va íntimamente ligado a una noción de masculinidad tradicional. Con Cristian Alarcón, periodista y director de la Revista Anfibia, hablamos sobre las "masculinidades cyborg" como una idea que cuestiona las formas clásicas de entender a los hombres en la sociedad.
Una genial historia de un personaje muy querido por los chico: el LOBO! Una historia para reflexionar sobre el manejo las emociones. Contento, triste, nervioso, celoso… Lobo cambia de humor a la velocidad del rayo.¡Sus amigos terminan mareados y medio locos con él! Está claro: Lobo debe aprender a calmarse. Pero ¿Cómo puede llegar a dominar sus emociones?Mi Instagram:https://instagram.com/cuentos_e_historias_infantilesMi Facebook:https://www.facebook.com/CuentosHistoriasMexico
Luis Herrero analiza con Alfonso Egea y Lorena López Lobo las novedades del caso.
CURTIS HARDING - True Love Can't Be BlindARETHA FRANKLIN - The Weight HAIM - Take me backTHE BEACHES - Did I Say Too MuchSHAME – CutthroatJUAN WAUTERS - Manejando por PandoCARLOS ARES - La Boca del LoboHERMANO SALVAJE - El FestínSILOÉ - Todos Los BesosVEINTIUNO ft SILOÉ - IrremediableVIVA SUECIA - Deja Encendida Una LuzPATRICK WOLF - Peter and the WolfGUITARRICADELAFUENTE - Pipe DreamTROYE SIVAN, KACEY MUSGRAVES - Easy (ft. Mark Ronson)ANGEL STANICH - Os Traigo AmorLOS ESTANQUES Y EL CANIJO DE JEREZ - Luna, Tú Me LlevasLORDE - Man Of The YearEscuchar audio
Headlines Hey, it's "The Lobo"...
Veteran investor and natural resource expert Lobo Tiggre (The Independent Speculator) joins Trey Reik to share his bold 2025 strategy, anchored on gold and uranium. In this high-conviction interview, Lobo explains why he believes we're entering a “Trump Shock” era: a massive economic transformation aimed at reindustrializing America, what he sees as the biggest shift since Nixon closed the gold window in 1971. You'll also learn: Why Lobo sees gold and uranium as a “win-win” portfolio this year How AI, energy demand, and military-adjacent industry are reshaping the case for uranium and copper Why he's cautious on silver and waiting for better entry points on copper The unique “Pre-Production Sweet Spot” in miners that helped him outperform during past cycles Why most gold miners underperform, and how to find the exceptions Whether you're focused on macro trends, inflation, or junior mining stocks, this is a must-watch conversation for active investors. Chapters: 0:49 - The Story Behind Lobo's Name 2:03 - Subscription Model: No Pay-to-Play 4:31 - Inside Lobo's Personal Portfolio Approach 6:10 - From Rock Kicker to Metal Expert 8:08 - Decoding the ‘Trump Shock' for Markets 19:29 - Powell: New Volcker or Another Burns? 24:36 - Looming Global Monetary Reset? 26:09 - Gold's 2025 Surge: Surprised? 31:08 - Gold, Silver, Copper, Uranium: Lobo's Rankings 37:19 - How High Could Gold Really Go? 41:08 - Why Miners Lag Despite Record Gold 45:47 - Hunting Winners: Majors vs Juniors 53:49 - Lobo's Game Plan for H2 2025 Volatility got you concerned? Get a free portfolio review with Wealthion's endorsed financial advisors at https://bit.ly/3HkpXc6 Hard Assets Alliance - The Best Way to Invest in Gold and Silver: https://www.hardassetsalliance.com/?aff=WTH Connect with us online: Website: https://www.wealthion.com X: https://www.x.com/wealthion Instagram: https://www.instagram.com/wealthionofficial/ LinkedIn: https://www.linkedin.com/company/wealthion/ #Wealthion #Wealth #Finance #Investing #Gold #Uranium #Copper #Macro #TrumpShock #MiningStocks #FedPolicy #Inflation #JuniorMiners #ResourceInvesting ________________________________________________________________________ IMPORTANT NOTE: The information, opinions, and insights expressed by our guests do not necessarily reflect the views of Wealthion. They are intended to provide a diverse perspective on the economy, investing, and other relevant topics to enrich your understanding of these complex fields. While we value and appreciate the insights shared by our esteemed guests, they are to be viewed as personal opinions and not as investment advice or recommendations from Wealthion. These opinions should not replace your own due diligence or the advice of a professional financial advisor. We strongly encourage all of our audience members to seek out the guidance of a financial advisor who can provide advice based on your individual circumstances and financial goals. Wealthion has a distinguished network of advisors who are available to guide you on your financial journey. However, should you choose to seek guidance elsewhere, we respect and support your decision to do so. The world of finance and investment is intricate and diverse. It's our mission at Wealthion to provide you with a variety of insights and perspectives to help you navigate it more effectively. We thank you for your understanding and your trust. Learn more about your ad choices. Visit megaphone.fm/adchoices
Lobo legend and NBA veteran, Kenny Thomas, discusses his thoughts on the NBA Finals, why Siakam was the right choice for ECF MVP and what the future holds for 'super teams'. See omnystudio.com/listener for privacy information.
Nossa equipe escalada com Bonsa, Lobo, Matias e Stein fala sobre Paris Saint-Germain 5 x 0 Internazionale, analisando o jogo e as suas repercussões. Tudo isso direto do Capitolo Bar e Cozinha, com participação in loco da audiência!INSCREVA-SE NA NEWSLETTER! Toda sexta-feira aberta a todos inscritos com nossos textos sobre o que rolou na semana e às terças com conteúdo exclusivo apenas para assinantes: https://newsletter.meiocampo.net/SEJA MEMBRO! Seu apoio é fundamental para que o Meiocampo continue existindo e possa fazer mais. Seja membro aqui pelo Youtube! Se você ouve via podcast, clique no link na descrição para ser membro: https://www.youtube.com/channel/UCSKkF7ziXfmfjMxe9uhVyHw/joinConheça o canal do Bruno Bonsanti sobre Football Manager: https://www.youtube.com/@BonsaFMConheça o canal do Felipe Lobo sobre games: https://www.youtube.com/@Proxima_FaseConheça o canal do Leandro Iamin sobre a seleção brasileira: https://www.youtube.com/@SarriaBrasil
Los recortes en la sanidad estadounidense ahora también van a perjudicar a las personas que requieren pruebas de ETS, preservativos o atención para prevenir otro tipo de enfermedades, como nos explica Alejandra Soto, portavoz de Planned Parenthood. México elige hoy por voto popular a jueces y magistrados a nivel federal. Es un ejercicio inédito por su envergadura y genera muchas dudas a largo plazo, ya que puede ser una forma de democratizar el ejercicio de la Justicia en el país o de politizarla, como nos explica Elías Camhaji, periodista de El País.
Lutz veste Insider
Why did the Pacers get out played in a game they knew the Knicks were going to come out swinging? How is the Lobo football schedule shaping up? What should a team expect from a veteran quarterback? See omnystudio.com/listener for privacy information.
Lobo legend and NBA veteran, Kenny Thomas, discusses the Knicks win, why teams respond under pressure, who would have the best chance against the Thunder and who he wants to see play with Anthony Edwards next season. See omnystudio.com/listener for privacy information.
Diego Pavia on Lobo's Rivalry, Playing For Vanderbilt, and Where He Want's To Be Drafted.
Luis Herrero analiza con Alfonso Egea y Lorena López Lobo las novedades del caso.
Will Oklahoma's young stars take the country by storm? Are the Thunder a likeable winner? What's next for Anthony Edwards? Where does Lobo football rank in this preseason metric? See omnystudio.com/listener for privacy information.
Después de descubrir la verdad sobre su linaje maldito, Elías enfrenta su destino en una batalla final contra el primigenio… el primer hombre lobo. Una historia llena de tensión, traición, transformación y redención. El pasado y el presente colisionan en un enfrentamiento que definirá el futuro de la humanidad.¿Elías será presa… o el Alfa que pondrá fin a la oscuridad? HAZTE MIEMBRO EN https://plus.acast.com/s/historias-de-terror-pr. Hosted on Acast. See acast.com/privacy for more information.
¡Maldita sea! Ya era hora que el gran señor Cangrejo conversara con nosotros en un Aullido del Lobo… Sobre su trayectoria vital, sobre su conversión, sobre su militancia, sobre la necesidad de forjarse a la contra de la decadencia moderna y de acuerdo a la más alta tradición cristiana y católica. Como «milites christi» y… La entrada AGNUS DEI: MILITES CHRISTI aparece primero en El Aullido del Lobo.
Bing! Pow! Ka-boom! The hilarious Mike Rainey & Pete Angelo join Zac Amico in turns this week for a Triple Feature of short films! From the demented mind of Ari Aster comes his college thesis short film, The Strange Thing About the Johnsons, covering one of the most deranged family dynamics in fictional cinema history. And if that's not enough to get your juices going, strap in for two fan-made short films tackling comic book superheroes, with Batman: Dead End, and Lobo's Paramilitary Christmas Special, all jam-packed into one delicious, grindhouse style episode of Zac Amico's Midnight Spook Show!Air Date: 05/23/25Subscribe to Zac's BRAND NEW show, Zac Amico's Morning Zoo!https://www.youtube.com/@ZacsMorningZooFor the FULL watch-along experience, visit GaSDigital.com and use promo code ZAC at signup and SAVE $1.50 on your monthly subscription, plus access to all of our video episodes, completely Ad-Free & UNCENSORED!Support Our Sponsors!Fans over the age of 21, visit YoKratom.com for all your Kratom needs. No promo code necessary, just head over to YoKratom.com, home of the $60 kilo!Follow The Show!Mike Rainey:http://onpercs.comhttp://youtube.com/@GetInSomeHeadPodcasthttp://instagram.com/mikerainey82Pete Angelo:http://instagram.com/metalpetecomedyhttp://x.com/bigdoompeteZac Amico:http://youtube.com/@midnightspookshowhttp://instagram.com/zacisnotfunnyhttp://twitter.com/zaspookshowGaS Digital:http://youtube.com/@gasdigitalnetworkhttp://instagram.com/gasdigitalhttp://twitter.com/gasdigitalSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Should college football move to one transfer window? What should the playoff look like? Complete opposites, the Rockies start vs Shohei Ohtani on the Dodgers. What is the right investment level for Lobo athletics? See omnystudio.com/listener for privacy information.
Tyrese Haliburton is taking over the Eastern Conference. Can he continue to play like a super star? What would a Thunder/Pacers final look like? Lobo football hits the portal, again. Is it a joke that the Steelers are waiting on Aaron Rodgers? See omnystudio.com/listener for privacy information.
SHOW NOTESWhat impact does surgery have on the body?Intentional trauma Physiological response Psychosocial impact StressWhen we think about surgery, it's essential to understand that it triggers a significant reaction in the body known as the 'stress response.' This response is a complex interplay of hormonal and metabolic changes directly linked to the degree of tissue damage during surgery. It can intensify if there are any complications after the operation. Let's break it down: The whole process starts when the hypothalamic-pituitary-adrenal axis, or HPA axis, kicks into gear. This leads to a surge in hormones like cortisol, growth hormone, glucagon and catecholamines. These hormones are important because they help the body cope with stress by boosting energy availability and adjusting other bodily functions.Ebb phase (0-48hrs)Increased catabolism of stored glycogen (glycogenolysis)Suppression of insulin secretion → transient hyperglycemiaIncreased catecholamines, cortisol, and inflammatory cytokines (IL-6, TNF-α)Flow phase (3-10 days)Hypermetabolism (increased BMR)Increased protein catabolism → muscle breakdown (to provide amino acids for tissue repair and immune function)Increased lipolysis (fat breakdown) for energySustained insulin resistance → continued hyperglycemiaEnhanced GNG Pro-inflammatory response → increased cytokines and acute-phase protein productionIn the initial stages after surgery, the body releases a wave of pro-inflammatory cytokines. These cytokines jumpstart the healing process by promoting inflammation, which is important for healing surgical wounds. However, to keep this inflammation from going overboard, the body soon follows up with anti-inflammatory cytokines.These inflammatory processes have widespread effects across the body. For example, they can influence how the hypothalamus regulates body temperature or how the liver produces certain proteins that help fight infection and aid in wound healing.But here's where it gets even more interesting: other hormones like glucagon, cortisol, and adrenaline also play a role in modulating these responses. They can affect everything from your blood sugar levels to how your cardiovascular system handles the stress.So, why is all this important? Well, by understanding and managing these responses effectively, we can significantly improve how patients recover from surgery. It's all about helping the body maintain balance during a time when it's incredibly vulnerableDisruption of Metabolic Homeostasis: Surgery often disrupts the body's normal metabolic balance, notably through insulin resistance, where cells fail to respond effectively to insulin, leading to 'diabetes of the injury.' Insulin Resistance and Hyperglycemia: Insulin resistance can cause high blood sugar levels, significantly increasing the risk of surgical complications and mortality. Post-surgery, the body may enter a catabolic state, breaking down muscle instead of fat, which impairs wound healing, weakens the immune system, and reduces muscle strength. Increased Risks for Vulnerable Groups: Elderly, diabetics, and cancer patients are particularly at risk due to their compromised metabolic and inflammatory states. These groups have less physiological reserve, leading to pronounced catabolic states and increased risk of severe post-operative complications. Impact on Recovery and Outcomes: The metabolic chaos from insulin resistance to protein loss not only delays recovery but also exacerbates risks of infection and other complications. Effective management of these changes is crucial for improving surgical outcomes and ensuring that patients thrive post-surgery.ERAS helps to mitigate these by Surgery isn't just about the physical repair or removal of tissue; it triggers a cascade of stress responses in the body that can complicate recovery. These include everything from the psychological impacts of anxiety and the physiological effects of fasting to direct tissue damage and the systemic reactions to it, such as fluid shifts and hormonal imbalances.Key Components of ERAS:Comprehensive Care: ERAS isn't just a single technique but a suite of practices designed to address every aspect of the patient's journey — before, during, and after surgery. This approach aims to minimise the stress responses by controlling pain, reducing fasting times, optimising fluid management, and promoting early mobility.Minimising Fasting: One traditional practice that ERAS revises significantly is the preoperative fasting rule. Old guidelines that required fasting from midnight before surgery are now replaced with more lenient, evidence-based practices that allow intake of clear fluids up to two hours and solids up to six hours before surgery. This change helps maintain normal blood glucose levels, reduces stress, and decreases the body's shift into a catabolic (muscle-degrading) state.Nutritional Optimisation: ERAS protocols emphasise the importance of not entering surgery in a depleted state. By allowing a carbohydrate-rich drink shortly before surgery, patients are better hydrated and less anxious, which in turn reduces insulin resistance and preserves muscle mass — critical factors in speeding up recovery post-surgery. Post-operatively, oral nutrition may be delayed by the medical team until bowel function returns, typically taking close to a week. This delay is stated to reduce postoperative complications such as abdominal distension and nausea/vomiting.For the first several days post surgery fluids of limited nutritional value such as water are provided to patient until tolerance is established leading to insufficient nutrition intake during this time increasing the risk of malnutrition. The ERAS protocol promotes early oral intake within 24 hours post surgery departing from traditional fasting practices. Research suggests that between 40-50% of surgical patients have some degree of malnutrition. Pre-operative malnutrition is an independent predictor of poor post-operative outcomes. Therefore addressing malnutrition is a key component of the ERAS protocol.Immune-Enhancing Diets: Post-surgery nutrition is just as crucial. ERAS encourages diets rich in nutrients that bolster the immune system and enhance wound healing. This includes omega-3 fatty acids, which help modulate the inflammatory response; arginine, which supports protein synthesis and tissue growth; glutamine, which is vital for cellular health and recovery; and nucleotides, which are essential for rapid cell division and immune function .Immuno-nutrition is a specialised medical nutrition therapy that has been shown to adjust the body's inflammatory response: It incorporates specific nutrients like omega-3 fatty acids, arginine, polyunsaturated fatty acids, and nucleotides. It's typically recommended starting 5-7 days before surgery and continuing post-operatively for over 7 days or until oral intake meets at least 60% of the patient's nutritional requirements.How can we use this info to optimize surgical outcomes?Patient education Early nutrition pre and post surgery - Minimise fasting time What is ERAS? How does it differ from traditional care/practice?Introduced by Henrik Kehlet in 1997, the Enhanced Recovery After Surgery (ERAS) protocol has revolutionised surgical practices by optimising perioperative care. A key aspect of ERAS is its interdisciplinary approach, involving healthcare professionals from various specialties to minimise surgical stress and facilitate recovery. What is malnutrition?Malnutrition, is defined as an involuntary reduction in body weight, muscle mass and physical capabilities, affects up to 65% of surgical patients and can worsen during hospital stays. Enhancing nutritional status and promoting functional nutrition therapy is essential, even forpatients without evident malnutrition, particularly when prolonged perioperative oral intake challenges arise. Addressing malnutrition is essential for preventing surgical complications, prolongedhospital stays and higher healthcare costs. What are the benefits of ERAS for the patient?It has been shown that the key physiological benefits include:-enhances the body's anabolic processes-promotes wound healing, which is critical for patient recovery.-Reduces the risk of nutritional depletion-Minimises insulin resistance, a common issue post-surgery, allowing for better blood sugar control and improved metabolic function.-Reduce protein catabolism-And lowers the risk of pressure injuries, which can develop due to extended immobility after surgery.What are the benefits of ERAS from a healthcare perspective? From a healthcare perspective, ERAS has been shown to-shorter length of hospital stay for patients,-Lower risk of ICU transfer rates-reduce readmission rates-And all of these improvements lead to lower healthcare costs, not just for the hospital but for the overall healthcare system, as fewer complications and shorter stays reduce the financial strain.Step 1: Screen & StrengthenIf you've lost any weight unintentionally in the lead up to surgery, or been eating poorly because of a reduced appetite, you may be at risk of malnutrition and it's really important to address this prior to surgery. Research suggests that between 40-50% of surgical patients have some degree of malnutrition. Pre-operative malnutrition is an independent predictor of poor post-operative outcomes. Addressing malnutrition is a key component of the ERAS protocol and why it's effective in improving surgical outcomes for patients.Book an appointment with a dietitian who can guide you on appropriate dietary changes to minimise muscle loss, build you up and optimise nutritional status and stores pre-op. A well-nourished body tolerates surgery better, heals faster, has a stronger immune system to fight infection, and experiences fewer complications.Step 2: Consider Immunonutrition If you're planned for major surgery, especially certain cancer and abdominal surgeries, consider the use of an immunonutrition supplement in the 5-7 days pre op. These are the supplements loaded with arginine, n3s, glutamine and nucleotides to support the immune system and reduce inflammatory responses, potentially leading to fewer infections and better recovery.Step 3: Build Your Strength & Energy Stores prior to surgery Carb load with food in the days leading up to surgery - think that big bowl of pasta a footy player would have the night before the grand final. ERAS protocols have significantly reduced or eliminated long periods of "nil by mouth" (NBM) before surgery.Ask your surgical team exactly when you need to stop eating solid food – it might be much later than you think, often around 6 hours before surgery for a light meal. For clear fluids, it could be as little as 2 hours before!We'll make the most of every second to prevent unnecessary dehydration, hunger, anxiety, and preserve your body's energyStep 4: The Pre-Surgery Carb Load using clear fluidsMany ERAS protocols include a special carbohydrate-rich drink taken a few hours before surgery. Your hospital may provide this, but if they don't, we can organise orders for you or point you in the right direction. It's usually a clear, sweet drink. Think of it as topping off your fuel tank right before the 'race'."These have been shown to reduce post-operative insulin resistance (which can slow healing), help maintain muscle strength, can reduce nausea, and improve overall wellbeing. It basically tells your body it's in a 'fed' state, not a 'starvation' state, heading into surgery.This is best done with tailor made medical nutrition drinks as they come prepped with the correct doses of maltodextrin-polymer carbs and a lower osmolality than other solutions, which essentially means they gentler on your gut and better for gastric emptying so they don't linger in your gut during surgery. Always follow surgical instructions, but ideally we're aiming for 100 grams of carbohydrate the night before surgery and about 50 grams of carbohydrate in clear fluids approximately 2 hours before anesthesia. This might look like 4 x 200ml drinks the night before, and 2 the morning of surgery If you can't access these drinks, apple or cranberry juice are reasonable replacements. Drop us an email or message or give us a call if you'd like advice on where to get pre-op and immunonutrition supplement drinks. Then we move on to post op and Step 5 which is aiming to eat early. ERAS encourages starting to eat and drink as soon as it's safe after surgery – often within hours, not days!As soon as your team says it's okay, try sipping water, then progress to other clear fluids, and then light foods as tolerated. Even small, frequent amounts help. This helps to stimulates your gut to start working again, reducing the risk of ileus – a slow, sleepy bowel, provides energy for healing, and can help you feel more normal, faster.If you haven't been told you can eat or drink, keep asking the question! You are your best advocate! Another tip that can help here is step 6: Chew GumIf your team allows it, start chewing sugar-free gum several times a day once you're able. It sounds simple, but it can be surprisingly helpful in mimicking eating even when you're not allowed to, and can stimulate your digestive system to return to usual function sooner and reduce the risk of ileus.Step 7 is to Nourish to Heal This is where we bring in our good friend protein to optimise tissue repair and recovery Include protein rich food at each meal, and chat to us if you're finding this difficult because there are plenty of hacks if you're not feeling up to chicken breast and steak! And finally step 8 is to Listen to Your BodyWhile ERAS encourages early eating, we always want you to be tuned in to your body's cues and speaking up to your medical team and us if something doesn't feel right. There are plenty of interventions that can be used to keep you comfortable while still optimising your nutrition to get the best outcomes from surgery. Weimann, A., Braga, M., Carli, F., Higashiguchi, T., Hübner, M., Klek, S., et al. (2021). ESPEN practical guideline: Clinical nutrition in surgery. Clinical Nutrition, 40(7), 4745-4761.Weimann, A., Braga, M., Carli, F., Higashiguchi, T., Laviano, A., Ljungqvist, O., et al. (2017). ESPEN guideline: Clinical nutrition in surgery. Clinical Nutrition, 36(3), 623-650.Gustafsson, U. O., Scott, M. J., Schwenk, W., Demartines, N., Roulin, D., Francis, N., et al. (2019). Guidelines for perioperative care in elective colonic surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations: 2018. Clinical Nutrition, 38(2), 576-586. (Note: The ERAS® Society website, erassociety.org, is the primary source for the most current and comprehensive suite of procedure-specific guidelines.)Ljungqvist, O., Scott, M., & Fearon, K. C. (2017). Enhanced Recovery After Surgery: A review. JAMA Surgery, 152(3), 292-298.Thiele, R. H., Raghunathan, K., Brudney, C. S., Campos, S., Candiotti, K., Chaves, S., et al. (2016). American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) joint consensus statement on perioperative fluid management in adults. Perioperative Medicine, 5, 26. (Note: This is an example of ASER/POQI consensus; look for other relevant POQI statements on specific surgical procedures and their nutritional components.)Soon, K., Levy, G. M., Cusack, L. A., Varma, S., & Nicholson, G. A. (2020). The effect of preoperative carbohydrate loading on patient outcomes in elective surgery: A systematic review and meta-analysis. Systematic Reviews, 9(1), 254.Lewis, S. J., Egger, M., Sylvester, P. A., & Thomas, S. (2001). Early enteral feeding versus "nil by mouth" after gastrointestinal surgery: systematic review and meta-analysis of controlled trials. BMJ, 323(7316), 773-776.Osland, E. J., Hossain, M. A., Khan, S., & Memon, M. A. (2014). Effect of timing of oral feeding on patient outcomes after elective colorectal surgery: A systematic review and meta-analysis. Journal of Gastrointestinal Surgery, 18(5), 1039-1051.Braga, M., Gianotti, L., Nespoli, L., Radaelli, G., & Di Carlo, V. (2002). Nutritional approach in malnourished surgical patients: a prospective randomized study. Archives of Surgery, 137(2), 174-180.Marimuthu, K., Varadhan, K. K., Ljungqvist, O., & Lobo, D. N. (2012). A meta-analysis of the effect of combinations of enhanced recovery after surgery (ERAS) interventions on postoperative outcomes. Annals of Surgery, 255(4), 640-649.
This Weeks Unnamed Automotive Podcast begins with a thorough review of the 2025 Ford Maverick, which has been refreshed. Featuring a new drivetrain and a new street truck Lobo trim, the pickup gives Benjamin plenty to talk about, but its new price point seems to be a silver bullet in this whole cheap truck thing. Then Sami reviews the 2025 Macan 4 EV, which boasts tons of range and plentiful performance, leaving our host to ask "what else do you want?" It turns out, a cheaper MSRP, nicer interior and a reason for two charge ports would be the answer to that question. Finally, Benjamin shares some barely coherent thoughts on the 2025 Toyota Crown Signia. Dismissed by Sami as something that is barely more than a Toyota Camry, Benjamin shows up to defend the Signia's honour, while completely ignoring its price and performance. Sometimes vibes is all you need.
Esta semana el presidente sudafricano Cyril Ramaphosa viajó a Estados Unidos para reunirse con el presidente Donald Trump en la Casa Blanca. Allí, el presidente estadounidense reclamó a su homólogo por un supuesto “genocidio” contra los agricultores blancos del país. Hablamos con la politóloga Marta Garrich sobre los intereses financieros y de recursos que tiene el estadounidense en el país africano.
In this episode, Kerry Lutz and Lobo Tiggre explore the complexities of current market dynamics, expressing skepticism about the overly optimistic view of US-China relations and warning of potential market shocks. They delve into the future of autonomous vehicles, with Lobo recounting his experience with Tesla's self-driving tech and its potential to enhance road safety. The rise of robot taxis, he argues, could drastically reduce the need for personal vehicles and displace driving jobs, raising broader concerns about AI-driven job loss and the possible need for Universal Basic Income. The discussion expands to the rapid evolution of AI, its massive energy demands, and the necessity of nuclear power, while highlighting ethical risks such as increased surveillance and unchecked AI development, particularly from geopolitical rivals like China and Russia. Despite their concerns, both hosts share a cautious optimism, praising the resilience of young tech-savvy individuals and stressing the importance of continued open dialogue. Find Lobo here: https://independentspeculator.com/ Find Kerry here: http://financialsurvivalnetwork.com/ and here: https://inflation.cafe
Derroteros número 54 de esta temporada dedicado al Lobo, de la mano de Sabina Urraca Escucha todos los Derroteros aquí: https://spoti.fi/3VrfZrG Haz posible Carne Cruda con tu donación aquí: http://www.carnecruda.es/hazte_productor/
Luis Herrero analiza con Alfonso Egea y Lorena López Lobo las novedades del caso.
¿Reviviendo especies extintas? La ciencia lo ha logrado: el lobo terrible (Dire wolf) ha sido traído de vuelta a la vida mediante avanzadas técnicas de ingeniería genética y edición de ADN. En este video te contamos todo sobre el revolucionario proyecto de desextinción de Colossal Biosciences, cómo fue posible y qué consecuencias podría tener para la biodiversidad, la ética científica y el equilibrio ecológico.