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《TECHIT, TECHIE》一個分享技術新知與科技應用的平臺，每一集都會送上當周國際間最夯的科技話題，並邀請尖端科技業者，聊聊他們的黑科技及實際應用。 包含AI、5G通訊應用、太空科技、綠色能源及電競Esports等，科技迷千萬不要錯過！ 立即收聽
Episode Topic: Generosity & Medicine with physicians Sneha Mantri, MD, MS and Abraham Nussbaum, MD As part of the Virtues & Vocations series Education for Flourishing: Conversations on Character & the Common Good, we are pleased to welcome Sneha Mantri, MD, MS, physician and director of Medical Humanities at Duke University School of Medicine, and Abraham Nussbaum, MD, physician, Chief Education Officer at Denver Health, and an author of several books, including the recently released Progress Notes. Mantri and Nussbaum wrote essays on generosity for the fall issue of the Virtues & Vocations magazine. Listen in on a discussion of their essays and others from the issue, American healthcare, and medical education.Featured Speakers:Suzanne Shanahan, Leo and Arlene Hawk Executive Director and Professor of the Practice at Notre Dame's Center for Social ConcernsSneha Mantri, MD, MS, physician and director of Medical Humanities at Duke University School of Medicine,Abraham Nussbaum, MD, physician, Chief Education Officer at Denver HealthRead this episode's recap over on the University of Notre Dame's open online learning community platform, ThinkND: https://go.nd.edu/92fe62.This podcast is a part of the ThinkND Series titled Virtues & Vocations. Thanks for listening! The ThinkND Podcast is brought to you by ThinkND, the University of Notre Dame's online learning community. We connect you with videos, podcasts, articles, courses, and other resources to inspire minds and spark conversations on topics that matter to you — everything from faith and politics, to science, technology, and your career. Learn more about ThinkND and register for upcoming live events at think.nd.edu. Join our LinkedIn community for updates, episode clips, and more.
Host: Jennifer Caudle, DO Guest: Lori Guyton, MD Guest: Douglas Scharre, MD As our understanding of Alzheimer's disease continues to evolve, it's critical to understand the clinical and pathologic changes underpinning Alzheimer's disease as it may be able to help guide early diagnosis and clinically meaningful management decisions.1 That's why Drs. Douglas Scharre and Lori Guyton speak with Dr. Jennifer Caudle about Alzheimer's disease pathophysiology and how it translates to clinical practice. Dr. Scharre is a Professor of Clinical Neurology and Psychiatry as well as the Director for the Division of Cognitive Neurology at the Ohio State University Wexner Medical Center in Columbus, and Dr. Guyton is a practicing neurologist with Neurology of Southern Illinois in Herrin. Reference: Porsteinsson A, Isaacson R, Knox S, Sabbagh M, Rubino I. Diagnosis of early Alzheimer's disease: Clinical practice in 2021. J Prev Alzheimers Dis. 2021;8:371-386. © Eisai Inc. 2024. All Rights Reserved.AD-M2130 November 2024
Host: Jennifer Caudle, DO Guest: Lori Guyton, MD Guest: Douglas Scharre, MD As our understanding of Alzheimer's disease continues to evolve, it's critical to understand the clinical and pathologic changes underpinning Alzheimer's disease as it may be able to help guide early diagnosis and clinically meaningful management decisions.1 That's why Drs. Douglas Scharre and Lori Guyton speak with Dr. Jennifer Caudle about Alzheimer's disease pathophysiology and how it translates to clinical practice. Dr. Scharre is a Professor of Clinical Neurology and Psychiatry as well as the Director for the Division of Cognitive Neurology at the Ohio State University Wexner Medical Center in Columbus, and Dr. Guyton is a practicing neurologist with Neurology of Southern Illinois in Herrin. Reference: Porsteinsson A, Isaacson R, Knox S, Sabbagh M, Rubino I. Diagnosis of early Alzheimer's disease: Clinical practice in 2021. J Prev Alzheimers Dis. 2021;8:371-386. © Eisai Inc. 2024. All Rights Reserved.AD-M2130 November 2024
Guest: John F. Brandsema, MD As patients with Duchenne muscular dystrophy (DMD) age, their treatment regimens, considerations, and goals change. That's why Dr. John Brandsema is here to talk about how we can best treat and support patients with DMD throughout their entire care journey. Dr. Brandsema is the Neuromuscular Section Head at the Children's Hospital of Philadelphia.
In this classic episode I am talking to Dr Christopher Kerr about Death Bed Visions and his book 'Death is But a Dream: Hope and Meaning at Life's End'.In recent weeks, I've been thinking about a few standout episodes from the early days of the podcast. They are full of great information and I thought it would be a good idea to share them again for listeners who may have missed them the first time around. Christopher Kerr is a hospice doctor. All of his patients die. Yet he has cared for thousands of patients who, in the face of death, speak of love and grace. Beyond the physical realities of dying are unseen processes that are remarkably life-affirming. These include dreams that are unlike any regular dream. Described as "more real than real," these end-of-life experiences resurrect past relationships, meaningful events and themes of love and forgiveness; they restore life's meaning and mark the transition from distress to comfort and acceptance.Drawing on interviews with over 1,400 patients and more than a decade of quantified data, Dr. Kerr reveals that pre-death dreams and visions are extraordinary occurrences that humanize the dying process. He shares how his patients' stories point to death as not solely about the end of life, but as the final chapter of humanity's transcendence. Kerr's book also illuminates the benefits of these phenomena for the bereaved, who find solace in seeing their loved ones pass with a sense of calm closure.Beautifully written, with astonishing real-life characters and stories, this book is at its heart a celebration of our power to reclaim the dying process as a deeply meaningful one. Death Is But a Dream is an important contribution to our understanding of medicine's and humanity's greatest mystery.BioChristopher Kerr, MD, PhD, is the Chief Medical Officer and Chief Executive Officer forHospice & Palliative Care Buffalo. Born and raised in Toronto, Canada, Chris earned his MDas well as a PhD in Neurobiology. Dr. Kerr received numerous awards throughouttraining that recognized his clinical performance, as well as his success as an educator andscientist. Chris's background in research has evolved from bench science toward the humanexperience of illness as witnessed from the bedside, specifically patients' dreams and visionsat the end of life. Although medically ignored, these near-universal experiences often providecomfort and meaning, as well as insight into the life led and the death anticipated. To date,the research team at Hospice & Palliative Care Buffalo has published multiple studies on thistopic and documented over 1,500 end-of-life events, many of which are videotaped.This work was the subject of Chris's TEDx Buffalo Talk, which has been viewedapproximately 3 million times and has been the subject of reports on BBC and in The NewYork Times, The Washington Post, The Atlantic, Scientific American Mind, HuffingtonPost and Psychology Today. It will also be featured in an upcoming Netflix production and apublic television documentary film to be released nationally in early 2021. Dr. Kerr's workwas also published by Penguin Random House earlier this year in a book called Death Is Buta Dream, which is now being released in multiple languages.https://www.amazon.com/Death-But-Dream-Finding-Meaning-ebook/dp/B07SRQC373/ref=tmm_kin_swatch_0?_encoding=UTF8&qid=1613916946&sr=8-1https://www.drchristopherkerr.com/https://www.pastliveshypnosis.co.uk/https://www.patreon.com/ourparanormalafterlifeBecome a supporter of this podcast: https://www.spreaker.com/podcast/our-paranormal-afterlife-finding-proof-of-life-after-death--5220623/support.
Unleashed: The Political News Hour with Brian C Joondeph, MD – As the 2024 presidential election nears, polls suggest a tight race. Current Rasmussen and CNN polls show strong support for Trump over Biden, reflecting shifts in voter sentiment. Enthusiasm could play a key role, with Trump supporters showing higher excitement levels. Amidst a volatile economy and global tensions, it's crucial to stay informed and engaged.
Unleashed: The Political News Hour with Brian C Joondeph, MD – As the House slips closer toward Democrat control, this could spell the end of Donald Trump's reelection bid and push America closer to one-party totalitarian control, far from the Constitutional Republic we once knew. We are on a slippery slope, one we may not be able to recover from as a country if we continue our slide into one-party rule...
Ocean Power Technologies CEO Philipp Stratmann joined Steve Darling from Proactive to unveil a groundbreaking development: the signing of a teaming agreement with a major international defense contractor. This strategic alliance is poised to propel maritime domain awareness to new heights by leveraging OPT's innovative Merrows suite of solutions. In his discussion with Proactive, Stratmann elucidated that the teaming agreement grants the international contractor exclusive rights to provide OPT's Maritime Domain Awareness Solution (MDAS) within specified geographic regions. This collaboration represents a fusion of OPT's cutting-edge technology with the contractor's unparalleled expertise in defense, homeland security, and commercial programs, aiming to fortify capabilities in maritime security and surveillance. At the heart of this collaboration lies MDAS, a revolutionary solution developed by OPT that integrates state-of-the-art data collection and analysis capabilities. By harnessing autonomous marine platforms such as vehicles and buoys, coupled with advanced sensors and data analytics, MDAS delivers comprehensive maritime surveillance, tracking, and monitoring capabilities. This real-time situational awareness empowers stakeholders across various sectors, including defense, environmental monitoring, and search and rescue operations. The partnership between OPT and the international defense contractor heralds a new era of innovation and collaboration in the realm of maritime domain awareness. By pooling their respective strengths and resources, the two entities are poised to enhance security and safety in key maritime regions, safeguarding vital interests and promoting stability in an ever-evolving global landscape. As OPT continues to push the boundaries of technological innovation, this partnership underscores the company's commitment to advancing maritime security and sustainability. Stay tuned for further updates as OPT and its collaborators pave the way for a safer and more secure maritime domain, empowered by cutting-edge solutions and strategic partnerships. #proactiveinvestors #oceanpowertechnologiesinc #nyseamerican #optt #OceanPowerTechnologies #PhilippStratmann #DefenceTechnology #MaritimeSecurity #ISR #AutonomousVehicles #MaritimeSurveillance #DataIntelligence #EnvironmentalMonitoring #TechInnovation #invest #investing #investment #investor #stockmarket #stocks #stock #stockmarketnews
In this captivating episode, Oluwakayode and Prof Erugo delve into strategies for alleviating the challenges faced by workers in Nigeria. They also explore the Federal Government's initiatives to streamline MDAs, aiming to reduce their number from 263 to 161 in line with the Orasonye report. Tune in as they analyze these plans and their potential impact on the Nigerian workforce.
Host: Tom Corbridge, MD, FCCP Guest: De De Gardner, DrPH, RRT, RRT-NPS, FAARC, FCCP Guest: Diego Maselli, MD Guest: Praveen Akuthota, MD As we continue to learn more about the underlying inflammatory pathways in asthma, we now have more novel tools and treatments to help us achieve control, remission, and better outcomes for our patients. But in order to achieve those goals, we must first detect severe asthma early enough to take full advantage of the latest advancements. Learn more about the importance of early detection and intervention in severe asthma care through the lens of a real-world patient case with Drs. Tom Corbridge, De De Gardner, Diego Maselli, and Praveen Akuthota. This is a non-promotional, non-CME disease state disease education podcast series brought to you by American College of CHEST Physicians in collaboration with and paid for by GSK.
Sju personer förlista på en ö. Sand och åter sand. Otrevliga leguaner smyger runt och vatten är en begränsad resurs. Det spills ut av misstag eller ren och skär ondska. Det dricks lite ojämnt. Fem män och två kvinnor är dödsdömda. ”De dömdas ö” kom ut 1946 och är Stig Dagermans andra roman. Enligt honom själv ”något av det mest märkliga jag har skrivit”. Finns en koppling till Hitchcock? Kan texter reta sina läsare? Vad gör ”De dömdas ö” så speciell? Lo och Bengt diskuterar.
Innovation has been a critical driver of progress in wealth management. As a result, various innovative investment strategies have emerged and been adopted. These vehicles offer customization, transparency, and flexibility, giving investors more control over their portfolios and aligning investments with their unique financial objectives. In this episode, Jack talks with a legend in wealthtech, Roger Paradiso, Global Head of Product Solutions at Franklin Templeton and Executive Chairman of O'Shaughnessy Asset Management. With every merger, acquisition, and sale in the past 30 years, Roger has seen problems and changes as opportunities. In 2014, Roger was bestowed the Money Management Institute's Advisory Solutions Pioneer Award, and in 2016, the All-Star Achiever Award. An advisory solutions industry leader with expertise in innovation, transformation, business enhancement, and strategy, Roger talks to Jack about how he created the concept of multiple-discipline accounts, commonly known as MDAs. Roger also shares how he moved the industry from mutual funds to separately managed accounts (SMAs) to multiple-discipline accounts (MDAs) to unified managed accounts (UMAs) and beyond. Key Takeaways [01:59] - Roger's impact in developing separately managed accounts (SMAs). [09:05] - The evolution of the multiple-discipline account (MDA). [13:08] - How Roger's multiple-discipline account gained significant traction. [19:15] - The transition from separately managed accounts to multi-discipline and unified managed accounts. [23:50] - The creation of unified managed accounts (UMAs). [29:01] - Franklin Templeton's efforts to fuel wealth management growth. [34:27] - Roger's take on the future of wealth management. [37:07] - Roger's three key takeaways from the conversation. [38:57] - Surprising facts about Roger. Quotes [05:11] - "I remember, at the time, all the information was on the one hard drive of one computer. The problem they had was because all this information was on one hard drive, all the information was incorrect over time. They were not getting good information in, and thus they had bad information going out." ~ Roger Paradiso [28:00] - "Franklin Templeton is now thinking about using technologies through acquisitions, deals, partnerships, or building ways we can continue to progress what the asset management industry looks like in the future." ~ Roger Paradiso [38:13] - "If you hire the smartest, brightest people around you in every job function, you're going to continue to win and support everyone because it's all about the people." ~ Roger Paradiso Links Roger Paradiso on LinkedIn Franklin Templeton O'Shaughnessy Asset Management Len Reinhart Jim Seuffert Salomon Brothers Citigroup Edward Jones Empower Canvas Connect with our hosts LifeYield Jack Sharry on LinkedIn Jack Sharry on Twitter Subscribe and stay in touch Apple Podcasts Spotify LinkedIn Twitter Facebook
Interview avec Théo de la MDAS réalisée au Village des associations, événement organisé par la Maison des Associations depuis plusieurs dizaines d'années. Diffusé dans Le 16-18 de Pierre Liermann le 11/09/23
Our Top 3 VideosHot take: CAR, LLC & JBHWhat's the attraction to MDAs?Two tech stocks poised to perform Hosted on Acast. See acast.com/privacy for more information.
Big Trouble in Little India! Indiana Jones råkar ut för nytt (gammalt) jävelskap i De fördömdas tempel. En rätt egendomlig uppföljare men vi gör vårt bästa i att försöka möta den halvvägs. Blir det nån Speed-referens? Jodå, var så säkra. James Bond då? Det med. Tintin? Ja ni, kan man hoppa fallskärm med en gummibåt? Exakt, dum fråga. På slutet hinner vi dessutom med att mumla lite osammanhängande inför Dial of Destiny som har premiär IDAG! WHAAAAAAT. Grattis till alla. Äej, nu åker vi. Mycket nöje! Notera att Robert sammanfattar filmen med ett pruttljud. OBS! Pga nån jävla skit är det emellanåt lite störningsljud i Linus mikrofon i början men det försvinner efter en stund. Hoppas ni kan ha överseende med detta. Stöd oss gärna via www.buymeacoffee.com/rebellradion
Today, Dr. Barr defines ‘skinny dipping' and shares her prescription to empower womxn to find comfort and confidence in their own skin.1. Why it's essential to look out for your skin2. Debunking the anti-aging myths3. Womxn's difficulties with stress management, creating boundaries, and reclaiming their voices4. How social constructs prevent womxn from embracing their own skin and body 5. The therapeutic power of somatic touch and accepting your flaws About Keira Barr, MDAs a mindfulness mentor and embodiment coach to visionary women leaders and entrepreneurs, a dual board-certified integrative dermatologist, global speaker, best-selling author, and host of The Skinny Dipping Rx podcast, Dr. Keira is empowering women around the world with the tools to help them feel more comfortable and confident in their skin.Blending science with soul, she shares her Skinny Dipping Methodology to further her mission of revolutionizing skin care as an act of radical self-care. Her work has been featured in MindBodyGreen, Better Homes and Gardens', Reader's Digest, Glamour, SELF, Oprah Magazine, and more.Connect with Keira Website: Resilient Health Institute Podcast: The Skinny Dipping Rx Instagram: @drkeirabarrSupport the show!Want to learn more about us? Visit our website at www.periodtopause.com or send an email to amanda@periodtopause.com.Follow us on Instagram: @periodtopauseFollow our Facebook Page: Period to Pause
Host: Matt Birnholz, MD Guest: Jonathan Corren, MD As recent research demonstrates the important role that TSLP plays in asthma inflammation, Dr Matt Birnholz is joined by Dr Jonathan Corren, an Associate Clinical Professor of Medicine and Pediatrics at David Geffen School of Medicine in Los Angeles. Together, they review how TSLP acts across the spectrum of asthma inflammation, the correlation of TSLP with clinical features of asthma, and more. ©2021 Amgen. All rights reserved. US-53813 Last Updated 6/21
In this episode we explore the relationship between our gut and brain health with returning guest Dr Sabine Hazan. Where is the research at with the gut/brain axis? Did you miss Episode 16?Check it out HERE This episode is brought to you by Namawell, the Best cold press juicers on the planet with the revolutionary J2 being the most amazing Bulk juicing champion. To get your Nama juicer at a discount, use code CHANTAL10 for 10% off! www.namawell.com Check out my 5 stars retreat In Portugal, May 5th to 10th 2023. A beautiful blend of holiday with holistic therapies and yoga with amazing plant based food. https://www.liveleanhealth.com/luxret... Sabine Hazan, MD As a specialist in gastroenterology, internal medicine, and hepatology, Dr. Hazan has used her expertise in many regards over the last two decades. Dr. Hazan is also the Founder & CEO of Progena Laboratory the Malibu Specialty Center and Ventura Clinical Trials, where she conducts and oversees clinical trials for cutting-edge research on various medical issues. Dr. Hazan is a top clinical investigator for multiple pharmaceutical companies, and also acts as the series editor of Practical Gastroenterology on the microbiome, a peer review journal that reaches 18,000 gastroenterologists. She was and is a speaker for World Congress of Digestive Disease, MAGI, Microbiome Congress, International Drug Discovery Science and Technology Conference and NIST (National Institute of Standards and Technology)Check out www.microbiomeresearchfoundation.org to continue to support good research. All publications are available on: https://progenabiome.com/publicationsThe BMJ Gatro paper is available HERE She is also the author of : Let's Talk Shit a book that covers disease, digestion and feral transplants Follow Dr Hazan's personal page on Instagram as well as her book's Let's Talk Shit To visit the clinic and make appointments:Sabine Hazan Steinberg MDGastroenterology/Hepatology/Internal MedicineCEO Ventura Clinical trialsCEO PROGENABIOMECEO Malibu Specialty Center1835 KNOLL Dr, Ventura, CA, 9300328990 PCH suite 205, Malibu, CA, 90265www.venturaclinicaltrials.comwww.progenabiome.comTel: 8053390549Fax: 8056421540
This week brought more troubles for politicians and public office holders. ICPC's list on MDAs with high corruption risk will leave you dumbfounded, Labour Party Presidential Candidate, Peter Obi's UK company got struck off, APC Presidential Candidate, Bola Tinubu's health status still remains a mystery to some. Catch up on the latest happenings in Nigeria on Premium Times weekly podcast
Yearly, the Independent corrupt practices and other related offences, publishes it ethics and integrity compliance score card.This year, some major MDAs scored below average and some were declared non responsive and high corruption risk.In this episode of our Daily Podcasts, Nigeria Daily, we look at what this means for the Nigerian Justice system.
#aduandtheguru discussing the following news stories; - Why we inserted N1.7 trillion projects in MDAs budget — Finance Minister –Daily Post - Level of vote buying alarming — INEC Chairman, Yakubu – Vanguard - Repentant Terrorists' Wives Delivered Of 262 Children In 4 Months - Gunmen kill Labour Party's women leader in Kaduna – Premium Times - Zamfara community pays N20m to avert terrorists attack – Punch - Don't blame us, you failed Nigerians, govs reply FG – Punch - Bandits' kingpin, Turji accuses FG, military of reaping from insecurity in northwest – Daily :Post - Petroleum Minister: Worsening crude theft, outdated refineries mar Buhari's scorecard – The Guardian - Book Haram: Allegation of 12,000 pregnancies terminated in N/East jolts military – Vanguard #news #newsupdates #subsidy #petrol #petrolprice #history #finance #ministry #padding #fraud #election #pvc #punch #dailypost #vanguard #dss #inec #apc #buhari #nigeria #pdp #nysc
Host: Mario R. Nacinovich, Jr., MSc Guest: Richard Kojan, MD As the fight against Ebola continues, can a new biosecure emergency care unit (CUBE) and therapeutic guidelines from the World Health Organization (WHO) help combat this disease? Mario Nacinovich joins study Dr. Richard Kojan, President of the Alliance for International Medical Action, to discuss these new guidelines.
Host: Matt Birnholz, MD Guest: David Canaday, MD As we age, our immune system becomes weaker and is therefore unable to ward off infection as easily as in our younger years.1 This is particularly troublesome during flu season. In fact, the CDC's Advisory Committee on Immunization Practices (ACIP) recently looked at flu vaccine data for adults aged 65 years and older, and they now recommend that this age group preferentially receive higher dose or adjuvanted vaccines over standard dose unadjuvanted vaccines when available.2 So what was the data that led to these updated recommendations? Joining Dr. Matt Birnholz to share those key findings and the role of adjuvanted vaccines like FLUAD® QUADRIVALENT (Influenza Vaccine, Adjuvanted) in preventing influenza in older adults is Dr. David Canaday, Professor in the Division of Infectious Diseases & HIV Medicine at Case Western Reserve University in Cleveland. Avoid use in patients who have experienced any severe allergic reactions to any component of the vaccine. For more risk information please see below or consult the Full US Prescribing Information for FLUAD® QUADRIVALENT here. References:1. Gavazzi G, Krause KH. Ageing and infection. Lancet Infect Dis. 2002;2(11):659-666.2. Centers for Disease Control and Prevention. Past seasons estimated influenza disease …
#KayodeAndTheGuru Discussing the following stories in the news; 1. NDLEA Busts Cocaine Warehouse, Seizes N193bn Worth Of Drugs In Ikorodu 2. Payment of fuel subsidy is organised crime, says Obi 3. With N5m, you can smuggle trucks of petroleum out of Nigeria, official tells Reps 4. MDAs padded 2021, 2022 budgets - ICP€ S. If Katsina security has AK-47, Arrotekun must also be armed - ONDO Gov, Akeredolu declares 6. Zamfara: Bandits now more powerful than government - Modi 7. Corruption has dwarfed growth in Africa - President Buhari 8. PENGASSAN fingers military in 600,000-barrel daily stolen 9. Treat Nigeria's Stolen Crude As Blood Diamonds, Mele Kyari Tells International Community 10. If Katsina security has AK-47, Amotekun must also be armed - ONDO Gov, Akeredolu declares
Host: Peter Buch, MD, FACG, AGAF, FACP Guest: Michael L. Weinstein, MD As clinicians, providing the best quality of care is paramount. But when it comes to procedure-intensive specialties, medical malpractice is a notable concern. So what do we need to know about the common malpractice claims in the GI field, and how can we mitigate the risk of those claims? To find out, Dr. Peter Buch is joined by Dr. Michael Weinstein, President and CEO of Capital Digestive Care.
Host: Peter Buch, MD, FACG, AGAF, FACP Guest: Michael L. Weinstein, MD As clinicians, providing the best quality of care is paramount. But when it comes to procedure-intensive specialties, medical malpractice is a notable concern. So what do we need to know about the common malpractice claims in the GI field, and how can we mitigate the risk of those claims? To find out, Dr. Peter Buch is joined by Dr. Michael Weinstein, President and CEO of Capital Digestive Care.
Special episode alert! Kasama natin sa show si Doc Jerry Cua– doctor, vlogger, content creator, at head of the toCUA fam. Pinag-usapan namin ang kakaibang linya niya sa buhay: Kumusta nga ba ang buhay doktor, lalo sa mundo natin ngayon? Swabeng kwentuhan lang tungkol sa life inside and outside the MD: As one of the most demanding professions, how do you balance life? As one of the most recognized and respected professions, how do you remain grounded and empathetic? Paano nag-iiba ang larangan ng healthcare sa digital world na nag-uumapaw sa impormasyon? At sa panahon ngayon, paano nga ba natin mapagiginhawa ang mga sarili natin, physically, mentally, emotionally, para masabing #GinhawaIsLife? Basta for now, kinig muna tayo sa doctor's prescription: Listen up, yo! BOOM!
Special episode alert! Kasama natin sa show si Doc Jerry Cua– doctor, vlogger, content creator, at head of the toCUA fam. Pinag-usapan namin ang kakaibang linya niya sa buhay: Kumusta nga ba ang buhay doktor, lalo sa mundo natin ngayon? Swabeng kwentuhan lang tungkol sa life inside and outside the MD: As one of the most demanding professions, how do you balance life? As one of the most recognized and respected professions, how do you remain grounded and empathetic? Paano nag-iiba ang larangan ng healthcare sa digital world na nag-uumapaw sa impormasyon? At sa panahon ngayon, paano nga ba natin mapagiginhawa ang mga sarili natin, physically, mentally, emotionally, para masabing #GinhawaIsLife? Basta for now, kinig muna tayo sa doctor's prescription: Listen up, yo! BOOM!
Ağzımızla jenerik müziği yaptığımız ilk bölümümüz sizlerle. Artık işleri büyüttük. Beğendiniz mi? Intro ve outro farklı, aman dikkat. Bu bölümde yatay çizgili tişörtlü amcaların kemere taktığı cep telefonu kılıfından girdik, kaldırımda aynı renk taşlara basmadan çıktık. Guilty pleasurelarımız ve bir takım batıl inançlarımızı ele aldığımız bölümde, pembe dizilere de değindik, Şirinler ve Powerpuff Girls'ü de andık. Bize bunukoymasakmi@yandex.com üzerinden, bu bölüm veya genel olarak podcast yayınlarımız hakkında yazabilirsiniz. Yorumlarınızı ve yeni fikirlerinizi görmekten mutluluk duyarız. Bölümü paylaşıp çevrenizdekileri de haberdar etmeyi değerlendirin çünkü podcast'imiz ancak sizin sayenizde daha çok duyulabilir ve böylece yayınlarımıza kesintisiz devam edebiliriz. Unutmayın, arkadaşlarınız bizi tüm podcast platformlarından dinleyebilirler.
Host: Peter Buch, MD, FACG, AGAF, FACP Guest: Lea Ann Chen, MD As clinicians, we know that adherence to treatment regimens is associated with improved outcomes in our patients with inflammatory bowel disease (IBD). However, many factors can contribute to a patient's nonadherence, and understanding what those factors are, especially in underserved patient populations, is an important category of care that we need to keep in mind. Tune in to hear Dr. Peter Buch speak with Dr. Lea Ann Chen about how we can manage IBD in underserved patient populations.
Host: Peter Buch, MD, FACG, AGAF, FACP Guest: Lea Ann Chen, MD As clinicians, we know that adherence to treatment regimens is associated with improved outcomes in our patients with inflammatory bowel disease (IBD). However, many factors can contribute to a patient's nonadherence, and understanding what those factors are, especially in underserved patient populations, is an important category of care that we need to keep in mind. Tune in to hear Dr. Peter Buch speak with Dr. Lea Ann Chen about how we can manage IBD in underserved patient populations.
We've got a one-of-a-kind trip report for you in this week's episode! Joe, from backtothemouse.com, returns to the show to discuss his family's recent 5-night sailing from Miami with a Marvel Day at Sea and two stops at Castaway Cay. They also upgraded to the Royal Suite at the port, so we have lots to discuss! Don't forget to connect with the show on Twitter @theDCLdude, or on Facebook at facebook.com/dcldudepodcast. If you have any ideas for future episodes, we'd love to hear them! Finally, if you're thinking about booking a Disney Cruise, don't go it alone! Send us an email at wes@mickeyworldtravel.com for a FREE quote and find out how to get some onboard credit to spend on your cruise!
Host: Charles Turck, PharmD, BCPS, BCCCP Guest: Steven W. Pipe, MD Guest: Giancarlo Castaman, MD As we continue to explore the role gene therapy may play in treating patients with hemophilia, what do we need to consider? Joining Dr. Charles Turck to share key lessons learned from implementing gene therapy in the clinical trial setting are Drs. Steven Pipe and Giancarlo Castaman.
Today on the Big Issue we will be discussing the revelation by the Independent Corrupt Practices and Other Related Offences Commission (ICPC) that the review of the 2021 budget has led to the discovery of 257 duplicated projects worth N20.138 billion and President Muhammadu Buhari's affirmation that MDAs are presenting old budgets as new ones.
Guest: Lindsey Roeker, MD As the field of chronic lymphocytic leukemia continues to evolve, what we can look forward to seeing at the 63rd American Society of Hematology Annual Meeting and Exposition? Dr. Lindsey Roeker shares what she expects to see at this year's ASH meeting.
Host: Hector O. Chapa, MD, FACOG Guest: Sandra Misale, MD As the treatment landscape continues to evolve, what do we need to know about current treatment challenges and novel therapeutic options? Dr. Hector Chapa is joined by Dr. Sandra Misale to explore emerging therapies in HER2-mutated non-small cell lung cancer.
President Muhammadu Buhari has directed Ministries, Departments and Agencies to study a report on how best to ensure effective policy design and implementation with a view to implementing some of its recommendations. The Special Adviser to the President on media, Femi Adesina, disclosed this in a statement on Thursday. The President assured the course participants that it would be treated with the seriousness and urgency it deserves. The President noted it was always a delight to receive their input on important issues that are of very great concern to the government and the nation. He says no nation will progress without paying close attention to the ways policies are made and implemented, as it is often unclear how best to ensure effective policy design and implementation.
President Muhammadu Buhari has directed Ministries, Departments and Agencies to study a report on how best to ensure effective policy design and implementation with a view to implementing some of its recommendations. The Special Adviser to the President on media, Femi Adesina, disclosed this in a statement on Thursday. The President assured the course participants that it would be treated with the seriousness and urgency it deserves. The President noted it was always a delight to receive their input on important issues that are of very great concern to the government and the nation. He says no nation will progress without paying close attention to the ways policies are made and implemented, as it is often unclear how best to ensure effective policy design and implementation.
President Muhammadu Buhari has directed Ministries, Departments and Agencies to study a report on how best to ensure effective policy design and implementation with a view to implementing some of its recommendations. The Special Adviser to the President on media, Femi Adesina, disclosed this in a statement on Thursday. The President assured the course participants that it would be treated with the seriousness and urgency it deserves. The President noted it was always a delight to receive their input on important issues that are of very great concern to the government and the nation. He says no nation will progress without paying close attention to the ways policies are made and implemented, as it is often unclear how best to ensure effective policy design and implementation.
The House of Representatives ad hoc committee set up to investigate the current state and use of the Federal Government's property and assets has asked the Nigerian National Petroleum Corporation and its subsidiaries to provide a list of Federal Government's assets under their control. The committee says oil depots, pipelines, rigs and other facilities, which could have generated revenues for the government and reduced borrowing and budget deficit, had been abandoned in various parts of the country. The Chairman of the committee, Ademorin Kuye, says all assets in the custody of MDAs; assets that are being trespassed and encroached; assets that are just wasting away could be converted to revenue for the Federal Government for the development of the country.
The House of Representatives ad hoc committee set up to investigate the current state and use of the Federal Government's property and assets has asked the Nigerian National Petroleum Corporation and its subsidiaries to provide a list of Federal Government's assets under their control. The committee says oil depots, pipelines, rigs and other facilities, which could have generated revenues for the government and reduced borrowing and budget deficit, had been abandoned in various parts of the country. The Chairman of the committee, Ademorin Kuye, says all assets in the custody of MDAs; assets that are being trespassed and encroached; assets that are just wasting away could be converted to revenue for the Federal Government for the development of the country.
The House of Representatives ad hoc committee set up to investigate the current state and use of the Federal Government's property and assets has asked the Nigerian National Petroleum Corporation and its subsidiaries to provide a list of Federal Government's assets under their control. The committee says oil depots, pipelines, rigs and other facilities, which could have generated revenues for the government and reduced borrowing and budget deficit, had been abandoned in various parts of the country. The Chairman of the committee, Ademorin Kuye, says all assets in the custody of MDAs; assets that are being trespassed and encroached; assets that are just wasting away could be converted to revenue for the Federal Government for the development of the country.
Time Red Pill Topics & Headlines 6:03am cst Welcome to the Mike Church Show on www.crusadechannel.com Call the show 844-5CRUSADE Make Canon212 your first place to get news each day. Canon212 - News of the Church and the World. WELCOME - Glory and Shine to the Crusade Channel crusadechannel.com/glory HEADLINE: The 'F*ck Joe Biden' trend continues to sweep America as college stadiums erupt in chant by James Anthony 23m HEADLINE: New Zealand's Lockdown Prime Minister Throws In the Towel by Reed Spaulding IV, MD As effortlessly as flipping a light switch, 5 million people were instantly confined to quarters until further notice. And after 8 weeks of a less intense (level 3) lockdown in Auckland, the populace has grown restless, as one would predict. The truth, which I desperately hope the entire world will finally accept, is that a so-called “zero COVID” strategy eventually demands that the subjects in the experiment give up everything for nothing. They give up their jobs, their family gatherings, their friends, the happy parts of life, essentially … all for a goal that cannot be accomplished. If human life is to be reduced to that of an animal in a cage, then the intended public health goal better at least damned well be possible. With COVID, in this context, it's not. And to her credit, Jacinda Ardern, one of the last hold-outs on “zero-COVID” has apparently come to that conclusion. Periodic lockdown policies have plagued the countries of the world since this all started, to varying degrees. Shamefully, we even allowed this type of human rights abuse to occur in our own beloved United States during the early days of the pandemic. Never again I say! And as the last few hold-outs in the world give up on their control-fantasy of zero COVID, we simply can never let them forget how epically they failed this reality test. HEADLINE: Virus gonna virus by Alex Berenson His point is this, it doesn't matter what public policies they implement. There is a Vitamin D deficiency time in this country and others so you will start seeing this soon. This happens every single winter. HEADLINE: In honor of Ross Douthat's whine about his bout with “Chronic Lyme” disease in the NY Times today… by Alex Berenson Crusade Channel Teaming Up With Epoch Times www.crusadechannel.com/epoch (affiliate link) If you have any issues that need to be resolved, please email Maggie O'Connell directly at sales@mikechurch.com or Candace her personal email candace@mikechurch.com Do business with those that do business with us. BullDog Kia have been with us since day one of Veritas Radio Network and the Crusade Channel. Get your Kia today from the fine folks at BullDog Kia in Atlanta Georgia. BRAVE BROWSER: Now you can support the Crusade Channel without spending a DIME! Simply use the url to download the BRAVE browser and WE get credit: http://brave.com/mik060 We can earn up to $50,000 for the downloads if our listeners use this browser. 7:15am cst Welcome back to The Mike Church Show! Call the Crusade Channel at 844-5CRUSADE! Join our FREE LIVE chatroom where you can chat with fellow Crusaders. Listen to us on ShortWave - 5850 Red Pill Expo - in Lafayette LA www.crusadechannel.com/redpill AUDIO/VIDEO: CBS #DadsOnDuty - Crisis intervention team of fathers, we decided the best people that can take care of our kids are us. These guys are making the point that DAD's MATTER! Dad's or male figures are important to the way children interact and act period. AUDIO/VIDEO: CDC Director Walensky - ‘we have not yet changed the definition of fully vaccinated, we will continue to look at this. We may need to update our definition of fully vaccinated in the future. Star Trek: Picard - (season 1) the TV series Star Trek: Picard (season 2) 1h45m
Triple M's Local Legends this week is the hardworking team @ MDAS who score delicious Free Pizza.. Nathan from Domino's tells us why plus some details on Thursday Nights Doughraiser for the PCD Foundation. See omnystudio.com/listener for privacy information.
President Muhammadu Buhari proposed a total budget of N16.39 trillion for the year 2022 to the National Assembly.The President says the budget will focus on diversifying the economy, with robust MSME growth; investing in critical infrastructure; strengthening security and ensuring good governance; enabling a vibrant, educated and healthy populace; reducing poverty; and minimizing regional, economic and social disparities.He also noted that the 2022 budget is the first time in Nigerian history where MDAs were clearly advised on gender-responsive budgeting.The Senate President, Ahmed Lawan, says the National Assembly is committed to passing the budget before the end of the year.
President Muhammadu Buhari proposed a total budget of N16.39 trillion for the year 2022 to the National Assembly.The President says the budget will focus on diversifying the economy, with robust MSME growth; investing in critical infrastructure; strengthening security and ensuring good governance; enabling a vibrant, educated and healthy populace; reducing poverty; and minimizing regional, economic and social disparities.He also noted that the 2022 budget is the first time in Nigerian history where MDAs were clearly advised on gender-responsive budgeting.The Senate President, Ahmed Lawan, says the National Assembly is committed to passing the budget before the end of the year.
President Muhammadu Buhari proposed a total budget of N16.39 trillion for the year 2022 to the National Assembly.The President says the budget will focus on diversifying the economy, with robust MSME growth; investing in critical infrastructure; strengthening security and ensuring good governance; enabling a vibrant, educated and healthy populace; reducing poverty; and minimizing regional, economic and social disparities.He also noted that the 2022 budget is the first time in Nigerian history where MDAs were clearly advised on gender-responsive budgeting.The Senate President, Ahmed Lawan, says the National Assembly is committed to passing the budget before the end of the year.
Join the original trio of Matt Davies Adams, Sam Parkin, and Adrian Clarke for some football league insights in a midweek that saw some HUGE scorelines. Coming up: we speak with Gareth Ainsworth about sharing wine with Pep Guardiola, his music choices for the gym, and his dream dinner guests. We talk about Scott Twine's brilliant hattrick, Ipswich's haul of goals, and whether Mick McCarthy and Nigel Adkins are about to walk out the door. All that plus our weekend previews, Nathan Jones' bold claim, and the return of Clarkey v Parky RUNNING ORDER PART 1a - Midweek review (01.00) PART 1b - Gareth Ainsworth exclusive PART 2a - Weekend Previews: Championship (24.00) PART 2b - The Odds with Paddy power (34.00) PART 3a - Weekend Previews: League One (35.30) PART 3b - The Odds with Paddy Power (44.00) PART 4a - Weekend Previews: League Two (46.00) PART 4b - The Odds with Paddy Power (49.00) PART 5 - The Crystal MDAs (50.00) Learn more about your ad choices. Visit megaphone.fm/adchoices
Enabling economic growth and development through access to energy is at the heart of Em-One Energy Solutions' work. Since it was founded, Em-One has electrified rural healthcare centers and communities, government offices, schools, and much more.Mir S. Islam, CEO at Em-One, joins us this week to discuss their most recent project: a 1.5 MW / 2.28 MWh solar microgrid system with advanced microgrid control and grid integration for the Federal Government of Nigeria's Mabushi office block, also known as the Mabushi project.Recommended Reading FG partners firm to deploy micro-grid solutions for MDAs in AbujaEM-ONE is announced as one of the winners of the 2020 Canadian SDG Accelerator AwardsGuest Bio: Mir S. Islam grew up in Nigeria, and like many other Nigerians, he saw and experienced firsthand how lack of reliable power affects the lives of millions of people. He was motivated from a young age to play a role in improving outcomes and contributing to the betterment of the remote regions of Nigeria and worked in an electrification project providing energy access through grid extensions to over 300 towns across Nigeria, realizing then that grid extension could not solve the energy access challenge.Mir studied electrical engineering at the University of Nigeria, Nsukka, and traveled extensively across Nigeria to understand the challenges for communities and the public/private sector relating to the lack of electricity and water.Mir later moved to Canada to do his MBA at Schulich School of Business at York University and combined his understanding of engineering and technology with business and a focus on sustainability. His MBA shaped his understanding of how to expand energy access in Africa through sustainable technologies and that led to the founding of Em-One in 2009. Learn more about Em-One Energy Solutions Connect with Mir on LinkedInSupport the podcast on PatreonSubscribe to our newsletter
The House of Representatives expressed displeasure over the way some Ministries, Departments and Agencies conceal their revenues, thereby denying the federal government the much-needed fund to fund its annual budget.The Chairman, House Committee on Finance, Hon. James Faleke also condemned the federal government's plan to borrow N5.62 trillion to finance the 2022 budget, while the MDAs starve the government of funds.The lawmaker says the House of Representatives would be more interested in how much government agencies could save, saying the major problem facing the country was revenue generation.He stressed that if the committee discovered that any of the agencies' capital projects were unnecessary, they would be removed in a bid to get revenue for the country.
Host: Matt Birnholz, MD Guest: Jonathan Corren, MD As recent research demonstrates the important role that TSLP plays in asthma inflammation, Dr Matt Birnholz is joined by Dr Jonathan Corren, an Associate Clinical Professor of Medicine and Pediatrics at David Geffen School of Medicine in Los Angeles. Together, they review how TSLP acts across the spectrum of asthma inflammation, the correlation of TSLP with clinical features of asthma, and more. ©2021 Amgen. All rights reserved. US-53813 Last Updated 6/21
Theme: Medical Oncology. Participants: Professor Nicholas Wilcken, Sarah Rashid, Bratati Karmakar, Harry Hong, Dr Pramod Chandru, Shreyas Iyer, Caroline Tyers, and Kit Rowe. Discussion 1:Thomas, B., Lo, W., Nangati, Z., & Barclay, G. (2021). Dexmedetomidine for hyperactive delirium at the end of life: An open-label single-arm pilot study with dose escalation in adult patients admitted to an inpatient palliative care unit. Palliative Medicine, 35(4), 729-737. https://doi.org/10.1177/0269216321994440. Presenter - Sarah Rashid, physician trainee at Westmead Hospital. Summary: Terminal agitation and delirium are difficult to define and even harder to design studies around which to improve its management. The current treatment algorithm advises the use of neuroleptics, benzodiazepines, opiates, and barbiturates; often at the cost of wakefulness and interaction with loved ones. Dexmedetomidine can provide rousable sedation, a decreased severity of delirium, analgesia, a decrease in secretions, and potential anti-emetic effects. The aim of this study was to describe a potential reduction in delirium and the presence of rousable sedation with dexmedetomidine in palliative care patients suffering terminal delirium, with a secondary aim to determine whether reduced opiate requirements were observed. There was a reduction in delirium (as measured by MDAS scores). Almost 50% of patients crossed over to routine care, with 27% of these due to family request for deeper sedation. 15 of the 22 patients required an increase in opiate dosing, however, there were no negative survival benefits and there was a notable reduction in the use of other PRN medications (such as, for secretions). Ultimately, this pilot demonstrated promise for the use of dexmedetomidine in these patients (and prompts the need for further research in this area). Take-Home Points: There is minimal evidence even behind our standard of care for these patients (midazolam, neuroleptics, and barbiturates). This paper encourages us to think laterally about what medications can be used for these patients. Terminal delirium is distressing for patients and their families, and at present, our treatments provide comfort but at the expense of wakefulness and interaction. More research needs to be done into agents such as dexmedetomidine which could allow for a better-sedated experience. More research also needs to be done into the experience of the dying process for patients and their families. Families have large effects on the management of dying patients, and thus there is limited value in doing a study without measuring outcomes for both the patients and their families. Discussion 2:Wang, D., Salem, J., Cohen, J., Chandra, S., Menzer, C., & Ye, F. et al. (2018). Fatal Toxic Effects Associated With Immune Checkpoint Inhibitors. JAMA Oncology, 4(12), 1721. https://doi.org/10.1001/jamaoncol.2018.3923.Presenter - Harry Hong - ED senior resident medical officer, at Westmead Hospital.Summary: This study looks at immune checkpoint inhibitors targeting cytotoxic T lymphocyte antigen-4 (CTLA-4) and programmed death-1/ligand-1 (PD-1/PD-L1). There is increasing use of these agents individually and in combination for various cancers. This paper looks at multiple databases and analyzed data to characterize the rare but fatal side effects of these drugs. 613 fatal adverse effects were described: 193 associated with ipilimumab (anti-CTLA-4), 333 with anti-PD-1/PD-L1, and 87 in combination therapy (most commonly for the treatment of melanoma and lung cancer). The type of fatal adverse events differed between the treatment groups; with ipilimumab monotherapy associated mostly with colitis (70% of adverse events) compared with anti-PD-1/PD-L1 monotherapy where adverse events were more varied (colitis, pneumonitis, hepatitis) and combination regimens where there were additionally increased rates of myocarditis and myositis. The highest fatality rates were seen in myocarditis. The multicentre analysis also revealed the median time to onset of disease following commencement on therapy was 40 days with monotherapy and 14.5 days for those on combination treatment. Interestingly, the median time to steroid use for these patients was 5 days (suggested to be due to difficulty recognizing the diagnosis in these patients). Take-Home Points: These drugs for some cancers have completely revolutionized treatment (they are not going away!). It is important to remember that the rate of fatal adverse events with these agents is still very low (particularly when compared with other oncology treatments). This data gives us information for what to be vigilant for when caring for these patients (particularly those presenting with non-specific symptoms and recent commencement on these agents). Take colitis seriously; it can be fatal. We are all learning; this is a new class of drugs with completely different toxicity to what we are used to – if in doubt ask the medical oncologist! Discussion 3:Biganzoli, L., Mislang, A., Di Donato, S., Becheri, D., Biagioni, C., & Vitale, S. et al. (2017). Screening for Frailty in Older Patients With Early-Stage Solid Tumors: A Prospective Longitudinal Evaluation of Three Different Geriatric Tools. The Journals Of Gerontology: Series A, 72(7), 922-928. https://doi.org/10.1093/gerona/glw234.Presenter - Bratati Karmakar, physician trainee at Napean Hospital. Summary: Frailty is a concept or syndrome which lacks a unified definition. It is broadly defined as a vulnerability to stressors such as illness or treatment, which may aid in patient prognostication. Currently, there is no single standardized frailty assessment tool to guide our clinical practice. The presence of frailty has been associated with increased mortality, increased frequency of hospitalizations, intolerance to treatments, and a reduction in quality of life. Data suggests that we as clinicians at the bedside are not accurate assessors of patient frailty. This study compares well-established (however cumbersome) frailty scores; the Balducci frailty criteria and the Fried frailty criteria, with the Vulnerable Elders Survey (VES-13) which may be easier to use and apply in the emergency setting (requiring only self-reported data from the patient). The outcomes measured were functional decline (or loss of an ADL) and mortality. 17% of patients were classified as frail using the Fried frailty criteria, and 25% when looking at the Balducci criteria and the VES-13. The Fried frailty criteria and the VES-13 both showed that the probability of a functional event was higher in the frail group (with time to functional decline being 13 months in the frail and 36 months in the non-frail group using the VES-13). Regarding mortality, all 3 tools demonstrated prognostic value for overall survival. Thus, according to this study, the VES-13 can be used to predict mortality and functional decline. However, there was poor concordance between the three tools, suggesting that no single tool can currently be utilized to establish frailty (only 9% of patients were frail in all 3 evaluations). Take-Home Points: Recognizing frailty is important and it can be conveniently assessed at the bedside with tools such as VES-13 (but standardized frailty assessment tools need to be developed). Comorbid conditions do not indicate the presence or absence of frailty in isolation. Physical disability is not a reflection of frailty. Whilst frailty increases with age, it is not a consequence of aging. Shared language is important for information to be clinically relevant. Interlude Segment:Presenter - Professor Nicholas Wilcken.Credits:The discussions were mediated by medical oncologist Professor Nicholas Wilcken and ED consultant Dr Pramod Chandru. This episode was produced by the Emergency Medicine Training Network 5 with the assistance of Dr Kavita Varshney and, Deepa Dasgupta. Music/Sound Effects Cuba by ASHUTOSH | https://soundcloud.com/grandakt, Music promoted by https://www.free-stock-music.com, Creative Commons Attribution 3.0 Unported License, https://creativecommons.org/licenses/by/3.0/deed.en_US. I Feel Low by MAITTRE | https://www.youtube.com/c/maittreofficial, Music promoted by https://www.free-stock-music.comCreative Commons Attribution 3.0 Unported License, https://creativecommons.org/licenses/by/3.0/deed.en_US. Medical Examination by MaxKoMusic | https://maxkomusic.com/, Music promoted by https://www.free-stock-music.com, Creative Commons Attribution-ShareAlike 3.0 Unported, https://creativecommons.org/licenses/by-sa/3.0/deed.en_US. Mountain Trail by Vlad Gluschenko | https://soundcloud.com/vgl9, Music promoted by https://www.free-stock-music.comCreative Commons Attribution 3.0 Unported License, https://creativecommons.org/licenses/by/3.0/deed.en_US. Nightswim by Scandinavianz | https://soundcloud.com/scandinavianz, Music promoted by https://www.free-stock-music.com, Creative Commons Attribution 3.0 Unported License, https://creativecommons.org/licenses/by/3.0/deed.en_US. Sound effects from https://www.free-stock-music.com. Surfers Paradise by Scandinavianz | https://soundcloud.com/scandinavianz, Music promoted by https://www.free-stock-music.comCreative Commons Attribution 3.0 Unported License, https://creativecommons.org/licenses/by/3.0/deed.en_US. We've Got Time by LiQWYD | https://www.liqwydmusic.com, Music promoted by https://www.free-stock-music.com, Creative Commons Attribution 3.0 Unported License, https://creativecommons.org/licenses/by/3.0/deed.en_US. Thank you for listening!Please send us an email to let us know what you thought.You can contact us at westmeadedjournalclub@gmail.com.You can also follow us on Facebook, Instagram, and Twitter!See you next time,Caroline, Kit, Pramod, Samoda, and Shreyas.~
Host: Ana Maria Rosario Guest: Dr. Patricia M. Boatwright, MD As any healthcare professional would agree, being passionate about your practice is key to having a good relationship with your patients. But choosing a specific specialty isn't always an easy or clear decision. Joining Ana Maria Rosario to share how she came to her decision and a few experiences that made her into the healthcare professional she is today is Dr. Patricia Boatwright, an ob-gyn and Associate Professor of Surgery and Population Health Sciences at Duke University School of Medicine.
Host: Ana Maria Rosario Guest: Dr. Patricia M. Boatwright, MD As any healthcare professional would agree, being passionate about your practice is key to having a good relationship with your patients. But choosing a specific specialty isn't always an easy or clear decision. Joining Ana Maria Rosario to share how she came to her decision and a few experiences that made her into the healthcare professional she is today is Dr. Patricia Boatwright, an ob-gyn and Associate Professor of Surgery and Population Health Sciences at Duke University School of Medicine.
Host: Andrew Wilner, MD, FACP, FAAN Guest: William W. Li, MD As the number of new COVID-19 infections continues to decrease and the United States begins to open back up, it's important to note that there are patients who have survived COVID-19 but are still suffering. The newly coined term “COVID long-haulers” refers to those patients who continue to have symptoms even after the acute infection is resolved. Joining Dr. Andrew Wilner to share what we know so far about COVID long-haulers and how we can help them is vascular biologist Dr. William Li.
Un-censored road side selective INTERVIEW with microsmall businesses on the treacherous field of commerce in Lagos, Nigeria. Meeting with Mrs Florence Oladele,owner of Fruitful Business Centre, in Lagos Akowonjo, gave her business story, she recounts the hardship, post covid and the reluctance of government to assist. Next week we shall contact one or two of the banks and MDAs to get their side of the story.. Do you have business story to tell, contact us at weradion online podcast +2348050401906. Together we can survive the pandemic blizzards.... --- Send in a voice message: https://anchor.fm/enterpriseafrica/message
Hellooooooo! Welcome back to The Series Review. Today, I will be reviewing The Mysterious Disappearance of Aidan S. (as told to his brother) by David Levithan. (The Mysterious Disappearance of Aidan S. (as told to his brother) will now be called MDAS (as told to his brother) because it takes so long to type all that.) This book follows a boy named Lucas, who is helping his family search for his brother, Aidan, who disappeared recently. Soon, Lucas finds Aidan in the attic of their house. Aidan says that he was in a magical world called Aveinieu, and he got there through a dresser! Lucas isn't sure what to believe. I love this book a lot. I read it in one day! It's a great mystery. Thanks for the support, listeners! If you have a book/series to recommend, email me at theseriesreview13@gmail.com. Enjoy the episode! Send me a voice message: https://anchor.fm/riya-b13/message
Happy Wednesday! Today we're talking to Megan Dorty, an ICF certified Narcissistic Abuse Recovery Coach, and she's giving us the low down on some new terms: "Love Bombing" and "Future Faking."Has someone told you very early on that they love you? Have they started painting a picture of marriage and kids and the white picket fence? Are you wondering what happened to that person who said those things because now you feel like you're dating Satan himself? WELL THIS EPISODE MIGHT BE FOR YOU!It's funny but it's not, right? This happens to so many of us! Megan is here to explain why and help you get over the narc in your life! Find Megan on Instagram: @love.bombed_mdAs always, we love you! Make sure to rate, review, subscribe and tell your friends! See you next week. We'd like to thank our partners this week:The Rescue Kit Company: For 10% off your purchase of any of their curated kits visit therescuekitco.com and use code: SAUCY10 at checkout. Follow @therescuekitcoVivi & Kay: For 20% off your buttery soft headband purchase visit etsy.com/shop/viviandkay and use code: SAUCY at check out. Follow @viviandkayThe Rescue Kit Company is proud to provide peace of mind with their simple, affordable, high-quality fashion emergency kits. Created by sisters, CEOs and seasoned stylists, The Bride Kit, The Closet Kit, and our Micro Kits are user-friendly, elegant, and cost-effective products curated specifically to prevent + solve any unexpected wardrobe mishaps that could arise.USE CODE SAUCY10 AT CHECK OUT
Host: Jennifer Caudle, DO Guest: John J. Russell, MD As clinicians on the frontlines of the COVID-19 pandemic, we're among the first to hear about our patients' fears of the vaccines' validity and safety. So how can we help address their concerns? ReachMD hosts Dr. Jennifer Caudle and Dr. John Russell sit down together to talk about how we can counsel patients who may be hesitant to receive the COVID-19 vaccine. Published March 16, 2021
Guest: Lynn M. Schuchter, MD As clinicians continue to reevaluate the way they treat patients in critical condition during the COVID-19 pandemic, Dr. Lynn Schuchter, Director at Penn Medicine's Tara Miller Melanoma Center, discusses best practices for keeping patients safe while being treated for metastatic melanoma. Published October 7, 2020
Guest: Daniel Pryma, MD As the use of radioactive iodine for thyroid cancer grows, healthcare experts are reevaluating their treatment strategies. Dr. Dan Pryma, Professor of Radiology at the Hospital of the University of Pennsylvania, describes how he treats his thyroid cancer patients safely and efficiently during the COVID-19 pandemic. Published September 28, 2020
I spoke to the chief economist of PwC in Nigeria Andrew Nevin. We had a conversation on taxes, central banking, and economic reforms in general. Andrew also explained his preferred measure of economic progress as opposed to GDP, and whether we should be more like China or India. I thank Andrew for agreeing to share his views with us.You can always listen or download right here on Substack or do the same on Apple Podcasts, Stitcher, TuneIn, and Pocket Casts. There is also a transcript below. You can rate us on any of these platforms, this helps others find the show.TRANSCRIPTTobi: Hi everyone. I am on today with Andrew Nevin, the Chief Economist of PricewaterhouseCoopers in Nigeria. It’s great to have you, Andrew.Andrew: Great to be here, Tobi. Thank you so much.Tobi: I will like to start about taxes. Oil prices have collapsed, and along with government revenue, so naturally, the government is looking towards taxes as a way to buffer the government’s revenue source. What I just want to ask is, how realistic is that plan, especially in the current economic climate? Andrew: Well, I think that we all understand by now that Nigeria collects a small amount in tax compared to other countries. I think the number is about 6 percent of GDP, very small. So for the last few years, there's been this narrative from the government: we need to bring people into the tax net, people need to pay more taxes, more tax compliance, that I think we've all seen. And now of course with the collapse of oil revenue there's essentially no tax revenue coming from oil for the next few months, at least, and maybe longer. So, of course, the government is in a very difficult fiscal position. So naturally, they're going to say "we now need to increase our efforts to bring people into the tax net to increase the tax revenue". There are two problems with that. The first problem and we've highlighted this over the last four-five years is: it's very difficult to increase taxes when people feel like they're not getting services. So if we think about the social compact in Nigeria, certainly over a decade that I've lived in Lagos, the social compact is simple: the government doesn't really tax you very much but it also doesn't provide services. So people provide their own security, their own electricity, their own healthcare, their own education, their own infrastructure, and that has been the social compact. It’s not ideal, but that's the way it’s worked. Now the government comes along and says, well, we want to bring you into the tax net, we want to increase taxes, the rates, the number of taxes, and people say: hold on a minute, this social compact doesn't work unless I'm getting some services. So that's one challenge. The second challenge that we’ve talked about over the years and is really now quite a huge pressure is, [it’s] very hard to raise more taxes while the economy is not growing. Over the years from the 2015 recession we still had very low growth, 1-2 percent, a little over 2 percent in 2019. So [economic] growth has been below population [growth], which means that incomes have been going down, which means it's hard to take more money out of people. So both of those things remain challenges, we now have this confluence of events where effectively half of the revenue or more than half of the revenue going into the federation accounts collapsed and yet it’s very difficult to take taxes from other places. Tobi: It’s interesting you talked about growth because I was looking at data from the IMF a few days ago and per capita income in Nigeria has basically stagnated in the last four to five years. So basically people are not growing their income and it's very difficult to raise taxes. But there is another argument that I would like you to explore with me, which is that, is it also about capability for government? I mean, there is no national database and that is not cheap. How significant a barrier is that to expanding the tax base?You asked on a general level, on a general level, if we don’t get investment up, we won’t be able to bring people out of poverty. - ANAndrew: Well, I think that there has been a lot of progress on that, certainly in Lagos where I live. The electronic record of the LIRS [Lagos Inland Revenue Service], the ability to bring people into the tax net, the [indistinct words] that they have, those things have got[ten] stronger and stronger over the last few years and they've made progress on that. But I think that what you raised, Tobi, is a really...is a general point. I think there is a lot of capabilities, certainly the Federal Government, the Lagos government which I know best, and other States. But I think sometimes the problem is the capability is spread too thin. We have so many MDAs at the Federal level, so you have a pool of very talented civil servants and people [who] come from the private sector...to cite a couple - Dr Jumoke, Yewande Sadiku at the NIPC, Engineer Chidi over at the concession group...I mean you have some very high-quality people, high-quality staff, but we'll get so many MDAs, sort of create complexity and then there are pockets where the Federal Government or the State Government don't necessarily have enough capability. I think also at the state level, it's a real challenge. Many states as we know have very small IGR [Internal Generated Revenue], they haven't yet sort of got their records or their system in place to raise internal generated revenue from the businesses that do exist in the states, but the states are trying on that... but I think you highlight a really...yes, a very critical issue.Tobi: Still on income growth, what do you think has to change for per capita income to start growing in Nigeria? There are a few hypotheses that we are going to explore as we talk along but just your general view, what would it take, what has to change?Andrew: Well, I think the perspective we’ve had over four or five years is pretty simple. People talk about this program, and agriculture, it’s small business, and concessionary financing, all of these little pieces...but when you ask in general what the issue is? We need to grow. We’ve said for years that the country needs to have GDP growth of 6 to 8 percent a year to reduce poverty and alleviate unemployment. Why? Because we have population growth that is probably almost 3 percent a year, so if we're growing at 6 to 8 percent, per capita income will be 3 to 5 percent growth per year. So that starts to be meaningful over a few years. But more than just GDP growth it needs to be inclusive. I think the period from 2010 to 2014, there were lots of GDP growth but it was not shared evenly or not shared appropriately throughout the country. So we need to grow 6 to 8 percent. Now, how does that happen? At the very basic, almost mathematical or physics level, to grow requires investment. So how much investment? When we look around at the economics of this in some other countries, the investment needs to be close to 30 percent of GDP which in Naira terms, say, in 2018-2019 come in with, maybe, a 150 trillion Naira...so 30 percent is 45 trillion Naira of what economists call gross capital formation. We are only getting a little more than half of that, maybe 25 trillion roughly. We cannot grow 6 to 8 percent when there is not enough investment. So then that leads to a very simple question, why is there not enough investment?I lived for ten years in China. I went to China the first time in 1983 which was the beginning of their economic transformation and they have lifted 500-600 million people out of poverty, they’ve grown 8 to 11 percent, 8 to 12 percent, 6 to 10 percent for forty years almost now, and how do they do it? Well, you have to invest. So we have to invest in Nigeria. Then the question is, given that Nigeria is probably the number one economic story on the planet right now for potential, why are people not investing in Nigeria? Why are Nigerians not investing enough? Why is the diaspora, who have resources and know the country not investing enough? And then if those two groups invest, then foreign investors, direct investors will also invest but they are not investing. So that's the question we’ve posed to the Federal Government. You asked on a general level, on a general level, if we don’t get investment up, we won’t be able to bring people out of poverty. But why are people not investing? If we want to explain it very simply, what we say is: right now, it’s too complex and too costly in Nigeria to do business. Despite the incredible efforts of Dr Jumoke [Oduwole], a national heroine over at PEBEC, it’s still too hard. Too many agencies, too many costs, too much complexity, so people choose not to invest. I was talking yesterday to the CEO of a major Nigerian company, very successful company, and he was talking about one of the global giants that I won’t name here but who is evaluating between South Africa and Nigeria for coming into the country and they made the decision... they’ll eventually come to Nigeria, but they made the decision, for the moment, to go to South Africa. He said it was very simple, they just found it too complex dealing with too many agencies, too many taxes, not just the level of taxes but the complexity of taxes. So until the Federal Government and the State Governments are serious about wanting to make it an attractive...and I said this, sorry, let me also add, Tobi... I say this not as just the Chief Economist. My main role at PwC is I oversee our financial services practice, so I am out-serving clients, I run a business - PwC. I also have two technology companies that I have helped found in Nigeria, so, you know, I'm doing this I'm not just speaking about it and I can tell you - it is not easy in Nigeria. So we have this incredible opportunity, we have incredible entrepreneurs both Nigerians in Nigeria and in the diaspora and yet it’s not been tapped quite yet.It may be distressed, but I prefer democracy and Nigeria's democracy is a work in progress but it's a democracy. - ANTobi: That's interesting. You mentioned China, so let's explore that. Everybody would love to copy the East Asian model, right? But in Nigeria, it seems, at least to me, that we are still doing import substitution industrialisation rather than exports and oriented manufacturing that lifted Asia out of poverty. Now, I'm asking at a conceptual level, what has to change in policy circle for us to see the distinction between those two models?Andrew: Well, I think to begin with, I said I’ve lived ten years in China and I think there are some positive things we can take from it but the truth is, China is not a democracy. It's an autocratic, one-party state and I'm not sure it's a great model. Maybe, in the end, that would win out economically. It may be distressed, but I prefer democracy and Nigeria's democracy is a work in progress but it's a democracy. I think that we've advocated over the last one or two years that the right...and of course people come all the time, I go to conferences and people say Rwanda, Singapore as models for Nigeria, we said very clearly, we think: look, if you're going to take one country as the model for Nigeria, that we have the most lessons to learn from, it's actually India. And why? India is a large, diverse country. It has religious differences, it has cultural differences, it has geographic differences, it has very different topography and no one can argue that Nigeria is more complex than India. They are both complex. India, like Nigeria, is a messy democracy, a work in progress. But despite that, they have made a lot of economic progress in the last twenty years, really unlocking things starting in the beginning of the ‘90s. Then when you go to the economic model, what unlocked it for India was not exporting goods (physical goods), it was exporting services... particularly around IT. Many countries have a diaspora but the thing about the Nigerian diaspora is, they are at the top end of the income ladder. - ANSo one of the things that we are starting to say is, like, should we be focused so much on exporting physical goods because if you think about where we're at, a couple of things are going on. One, of course, is, to export a physical good, it just requires a real improvement in the infrastructure that we have - port infrastructure, road infrastructure to bring down the cost to be competitive. Secondly, where are we going to export to? If you think about what's happening in the world, the population in Europe is shrinking population, the population in North America is basically flat, are we going to be able to export into a shrinking market into Europe? There are already people that export physical goods into Europe, can we displace them? I'm not sure that we can that easily. Can we export to India? Well, they already have their own manufacturing. Can we export to China? Well, they’re sending their manufacturing here. So I'm starting to think that we should kind of leapfrog and actually go back to the lessons from India and export Nigerian brains without exporting the people. If we go back for a minute to the way the economy works here, the biggest source of FX is actually diaspora. So Nigeria, unlike many countries...I mean, many countries have a diaspora but the thing about the Nigerian diaspora is, they are at the top end of the income ladder. They are the best-educated group in the United States, they earn above the average American which is an amazing accomplishment for a new immigrant group. We are exporting Nigerian brains and then a lot of the money falls back. Now, we then ask the question, can Nigeria export people but without people leaving Nigeria? So that they are working in Nigeria but they are earning foreign exchange, they’re being paid at the global level or a little bit below because that's what people bid from the demand side, and it’s starting to happen. I want to highlight on this show one incredible woman, incredible Nigerian heroine, and [her] company. This is a company called Outsource Global which is based in Kaduna and Abuja and it outsources to global companies for different kinds of support - call centres, but also…the other support is not necessarily voice to voice but task, legal task in some cases. It has over a 1000 seats on there and it’s founded by this amazing woman Amal Hassan, and it's growing in the Covid-19 because people need more remote work. So think about what's happening here, we now are exporting Nigerian brains, very high value-added, they are not physically leaving Nigeria and this is starting to happen. If you look at some of the global companies like Microsoft, for example, they are putting more and more of their development into Nigeria. So what is that? Again, that's an export of Nigerian people, of Nigerian brains. So I'm starting to think that rather than advocating for trying to follow the East Asian model (that model is gone historically), we should follow more the Indian model, companies like Webpro, Infosys that has turned into giants now. They employed millions of people in India. Tek Experts is another one in Nigeria that is exporting Nigerian brains. To me, that's a higher value-added path at the moment.Tobi: My follow-up to that would be: that requires a relatively high level of human capital and the distribution is unequal and the ability to take advantage of that opportunity will be unequal as well. Maybe it will be different for Lagos, Kaduna, as opposed to Kebbi or...so now my question is do we really have to adopt a distributed, varied development strategy at the sub-national level?Andrew: Let me just go back to the point you made about exporting people being high end... absolutely. Remember, you want to export very high value-added things, that doesn't mean it's the whole economic strategy, so in terms of domestic sectors, we said for four years now the number one sector is real estate. Why? Because, first of, there's a housing deficit. I don't want to give the number because the number that's being repeated, very large number is not very accurate, we don't have that many homeless people in Nigeria but a lot of people live in substandard housing and there is a housing deficit. We need more housing not for the high end but for the middle-income people, lower middle-income people, and that drives employment domestically. So we are not exporting housing but we're doing housing, that is the biggest sector for us. The reason to our employment is every time you build, you need local building materials, you need carpenters, electricians, plumbers, labourers, caterers come on site. And once the place is sold, the family that moves in, they want to furnish it, [and] over time that drives other industries so that's one domestic industry. Agro-processing, we are very keen on as well, we've written a lot on it. But, again, it may not be for export. Some of it could be for export - cashews, maybe eventually palm oil will export but, of course, we have such big domestic uses of... just the domestic use of that is huge. So I don't want to say that exporting brains is the whole economic strategy [be]cause you're right, but it's so high value-added that if we had, I don't know...if we had a hundred thousand educated Nigerians exporting their brains but sitting in Nigeria will have a massive impact on the economy because they're earning good salaries. Now, they're spending the salary, they're buying homes and that's important to labourers, you get the normal, sort of, knock-on effect. So we need [the] export strategy and we also need, kind of, the domestic strategy. Now your question about sub-national, yes, we've said for a long time that one of the major issues in Nigeria is the imbalance of economic development. We have Lagos 30-40 percent of the formal economy in Nigeria and yet many people who are in Lagos that come to work but they don't want to be in Lagos. All of us who live in Lagos are aware of the challenges with the traffic, with the infrastructure. And if you talk to some of the senior political people in Lagos, they will say the biggest problem we have in Lagos is every time we address something, we get more people coming in. So we need development across the country, we need it in Cross River, we need it in Sokoto, we need it in Niger, we need it in the North-East as well. But I think that what's happened over the last two years is it’s not just us saying it, I think everyone recognises it. Domestically people are doing this and you start to see the emergence of some really incredible governors who have taken responsibility for their states. To name a few that I am familiar with...His Excellency Governor el-Rufai in Kaduna working very hard to move the state forward. Governor Makinde in Oyo State. Governor Obaseki, I mean, obviously there are some critical challenges in Edo State but he is very focused on the right things. So I think that's a great movement forward and the Federal Government recognises this too. So, again, we talk about PEBEC and Dr Jumoke, we talk about the National Investment Promotion Council with Yewande. Those groups are now working at the subnational level, I think that's a major step forward for the country and we're going to start to see the fruits of it. I think most governors recognise they themselves have to be out and getting this investment I talked about earlier and are making real efforts. So I think we should be encouraged by that but it's got to accelerate, we have to take the pressure off Lagos, we have to give young people, in particular, a reason to want to stay in their state, or not necessarily move to Lagos [but] to move to some other commercial center where they can find opportunities.Tobi: Deindustrialisation: how plausible is it an hypothesis for slow growth in Nigeria? I mean, services is growing really fast and in terms of value-added it has a higher share of the economy, and agriculture has also a large share but industry has shrunk over the last few decades. So how plausible is deindustrialization as an hypothesis for slow growth?Andrew: Well, I think that we all understand the challenges that industry...talk to MAN (the Manufacturers Association of Nigeria), for example, all the members there understand just how difficult it is to operate and of course you have power issues, you have infrastructure issues et cetera. But before commenting on that, one thing that is important to remember is sometimes the statistics are difficult to interpret. So if you look at the division in the country between services, agriculture, manufacturing get certain numbers... but if we have a tomato paste processing plant, does that get classified as agriculture or manufacturing? So I'm not so worried about, kind of, the statistics [be]cause it is very arbitrary which is what's happening on the ground. But in terms of the manufacturing side of things or the agro-processing which I think is a big component of it that should grow, (and) of course, it already happens...we have companies that do agro-processing. We have Flour Mills, UAC, Dangote...they do a lot of these. But of course it's been difficult. As I said before people have to build their own infrastructure, their own power situation et cetera. So MAN said, we’ve said, others have said...it's so obvious that [the] precondition to moving forward for more value-added manufacturing in any sector is obviously power. We've struggled with it with the privatization that happened 2013, but it seems sensible “oh, privatization, hopefully that will lead to a better power situation” but the truth is it's got[ten] worse and I think now the whole country, everyone recognises that. But I'm quite hopeful on the power situation. Again, first of, there has been [an] admission by everyone, every government, every private citizen that we’re in a power emergency. Two, you’ve got one of the leading figures/leaders in this country stepping up to lead the new super committee that is looking at power and I expect they’re going to come out with some...sorry, let me also say that I'm very very happy that Governor el-Rufai has recovered from the Covid-19 virus, it makes you realise how everyone at every level of society is vulnerable. Thank God that he recovered. But Governor el-Rufai I expect that committee comes out with its recommendations to do some radical things on that, recognising, obviously, we need a cost-reflective tariff, we need a way the bottom of the pyramid can get access to some power. We also need some, probably, decentralization because there are so many technologies for power, and so many decisions to be made it's difficult to make them all at the center. But I do think that would unlock a lot of these issues over the next few years, so I'm very hopeful on the power situation. Tobi: On the power issue, if you have to come up with, say, three things that would really need to happen for that sector to see the needed to change, what would be on your list?Andrew: I'll give you one thing. So we did put out a paper that suggested actually that we should focus the power that we have, uninterruptible power, to manufacturing [and] charge them more for it if they're willing to pay for that, but that's one idea. But the big idea that we put out for three or four years is simply decentralisation. If you look around the world...so I'm Canadian, I think most people who follow me know that. We often on Twitter have discussions about immigration to Canada from Nigeria, but in Canada, power is a provincial issue. So you have Nova Scotia which is a province of about a million people and I think it has (I'm just guessing) probably between 200 and 400 thousand customers between residential, commercial, and industrial and it's a provincial matter. As far as I know, I don't even think there is a national regulator of electricity in Canada. The provinces sort out their own electricity, there's lots of different models - some privatisation, some state/public-sector lead pieces of it and it works fine and then, of course, the provinces sell power between themselves, they sell power to the United States. The power from Niagara Falls which is a large (I am sure people have seen pictures of it, also not far from where I grew up) which [has a] massive hydroelectric dam there, sells its power to New York State and the Federal Government doesn't get involved. So if you wanted to put one big idea out there, it's decentralization. Today, the decentralisation is even more critical because there are so many technologies to produce power on a smaller scale than we had before. If you go back to when I grew up in the sixties, you had this image of big power plants, big thermal plant, big hydroelectric plants, big nuclear plants...now power can be produced in situ where you are at a smaller scale. If you take gas power for example, the scale economics aren’t that strong so if you have gas, you could produce power locally for local needs. So, in answer to your question 3 big ideas, let me put one big idea which is let’s decentralized the power decisions. And I think if you told States "get on with your power situation", they would find local solutions to their own situation to make sure that they had power, that their manufacturers had power, that the bottom of the pyramid had access to some power, maybe subsidized rates, but those decisions can only be sorted out locally.Tobi: Interesting. Decentralisation seems like the solution to a lot of problems in Nigeria.Andrew: Well, people say to me, why do you stay in Nigeria? You’ve lived all over the world, you can be anywhere. I say this is the future. I mean, as we know, the population projections having us come third largest most populous nation, hopefully in my lifetime we’ll see that. It's the biggest economic opportunity, people are incredibly entrepreneurial in tough conditions. So how do you unleash that energy? It's just easier to let people get on with it at the local level. I'm not the only one or PwC is not the only one saying it, except there is now widespread recognition that things have to happen at the sub-national level. I mean, of course, one powerful idea you want to see in any country is, a state has a great governor, I mean Governor Makinde focused on health care, focused on education, focused on continuing the projects of his predecessor rather than abandoning [and] wasting those resources. If the Governor in the next State is not doing it, people are going to say "Oyo is moving forward" and they are going to hopefully elect someone. But that goes back to what we discussed earlier, it's an imperfect democracy but all we need to do is push forward.Tobi: I would want to talk about the Central Bank, how Central Banking is being done in Nigeria. Now, take the power situation, the Central Bank Governor has been on a tour the last couple of years that, oh, this sector, textile, whatever, so they say power is the problem and this is what we are doing to finance power provision. My question is should that really be the remit of the Central Bank?Andrew: I think I will just go back in history a little, a short-term history. What brought me to Nigeria was the financial crisis in, well, the developed world in 2008. I moved to Nigeria in 2009 and my first client in Nigeria was the Central Bank of Nigeria when Governor Sanusi who, of course, became the Emir of Kano (and now is no longer the Emir of Kano) was running it. And he in 2013...I was at the bankers’ committee strategic retreat in Calabar in Cross River and that was his last bankers’ committee retreat. So CNBC came to the meeting and they asked him this... and we all watched while he was interviewed...it was sort of live interview with us in the room, bank CEOs, and people like me, advisory people, sitting in the back and the sides and they asked him exactly that question seven years ago (cause he started intervention programs and, in fact, some of the work that we did with him earlier was what encouraged his interest in agriculture because we pointed out that agriculture was 35 or 38 percent of the economy but had none of the lendings, so that got him thinking about that). So he said, look I get you, you can look around at different Central Banks around the world and they don't do things [like] what we're doing here. And he said but the reason I’m doing it is if we don't do it, who else is going to do it? [The] Central Bank has always been the Federal Government’s MDA that has the most capability, very talented people, high-quality organisation, so they've sort of stepped into the breach. That said, given your question, I guess we've sort of said...look, we're asking too much of the Central Bank in Nigeria. Sometimes I go on television, and the monetary policy committee will be meeting and the next day or the next week they will be asked: should they cut rates, raise rates 13 percent, 12 and a half, 13 and a half? And I say, look, I don't even think that question is that important because the issues that we have in Nigeria the Central Bank can't solve that way. We have, I won't even call it fiscal issues, we have structural issues that can only be solved by the executive and the legislature at the federal level, at the state level working together, for example, on the real estate... to unlock the real estate sector. So we ask too much of the Central Bank, I wish it wouldn't get so much attention. If you look at developed economies, if I take Canada, for example, I don't think most people can name the Central Bank Governor. He does his part on that, adjust interest rates to some monetary policy intervention. Basically the economy works because it's structurally sound and I can give you an analogy. The Central Bank Governor of any Central Bank in the world is a racecar driver and if you give him a car from the 1920s, it's only going to go as fast as the car from the 1920s goes. If you give him a car from the 1950s, it's only to go as fast as a car from the 1950s. And if you give him a car from 2020, Ferrari (F1 Ferrari), it's going to go that fast. So the issue [is] that people should not be putting so much pressure on the Central Bank in Nigeria to fix our economic and social challenges. It's going to be fixed elsewhere.Tobi: Forgive me, Andrew, this leads me to a sort of question about institutions generally. Yeah, Sanusi started this and maybe, just maybe, he had the sense to know where the limits are, the extent of the capability of the Central Bank to actually solve what you have also said are structural problems that should be fixed at [a] political and fiscal level in Nigeria. Now, we've had some situation in the last couple of years where the Central Bank itself has been the source of domestic economic distortions, in terms of prices and exchange rate. I was reading a paper a few days ago by the former World Bank Chief Economist where he clearly said that there is some evidence, as much as we know what evidence are in economics, that there is some evidence that Central Banks in developing countries would generate a lot less distortions if they adopt some kind of rule-based intervention in the market as opposed to discretions. What I want to ask you is this: is it time for some kind of rule-based regime at the Central Bank? Some kind of legislative oversight over what the Central Bank is allowed to do so we don't have a situation where central banking will only function according to the disposition of the personnel in charge.If we wanted to have a more rules-based approach to monetary policy, absolutely, that would benefit the country, but it also requires the other pieces of the national leadership to do their parts so this will be part of a comprehensive whole. - ANAndrew: I think I would agree with that but the way I phrase this is, we need to take pressure off the Central Bank. I mean, the legislative and the executive arms need to say, okay, we get it, there's a limit to what the Central Bank can do. Obviously Central Banks need to be involved with questions around the currency, interest rates, stability of the financial sector, let's simplify the role here and you can do that and we will create rules that send positive signals to people involved in the economy and investors to do that. That would be great, but then the legislative and the executive arms then need to take on the task of doing what needs to be done to fix the economy structurally. In a way, what's happening is the Central Bank is intervening in tomatoes, intervening in SMEs, intervening in cultural things, in the power sector because the other arms of government have not stepped up to their responsibilities. So, absolutely. But it will have to be part of the whole package. It wasn't like the Central Bank was entering into terrain that was being already done, they enter in because there was a vacuum. If we wanted to have a more rules-based approach to monetary policy, absolutely, that would benefit the country, but it also requires the other pieces of the national leadership to do their parts so this will be part of a comprehensive whole. Tobi: Okay. Another question I want to ask you on that is, I spoke to Nonso on this show a couple of weeks ago. You know Nonso Obikili and one point he raised is that over the last ten years or so, there's been not too many economists at the Central Bank. Bankers have, sort of, exerted a lot more influence on the Central Bank. What I want to ask you is should we separate banking regulation from monetary policy? Would that be a useful way to go, like they did in the UK, for example?Andrew: It's a good question. Canada where I [am from]... everyone knows I'm Canadian...those functions are separated. The Central Bank of Canada is effectively just doing monetary policy. Regulation of the banks themselves, and we have five big banks, some other banks and, of course, the larger financial sector is regulated by any other group, works perfectly fine for us. So I think it's certainly an option. One of the things people may not realise, just for historical reasons, if I remember right two-thirds of the banks are supervised by the Central Bank and one-third supervised by the NIDC. Just for historical reasons they use the same standards, as an example. So we already have supervision done by [a] non-CBN group there, so I think both models can work but I think it's probably, you're right, easier in a leadership sense if the Central Bank can just focus on the core issues of monetary policy, exchange rate policy, interest rates and some other group does the supervision. But I think that issue in the context of our overall problem is probably a secondary issue for the moment.Tobi: Let's go out of that orbit a bit. The creative industry, Nollywood, music and all, how much of a growth potential does it have? Netflix is now in Nigeria and there's a lot of excitement.Andrew: It's massive. We've done some work in the creative industries, how to get funds to them. Even though there are lots of barriers, you'll still see the incredible success of the music industry and now the Nollywood industry around the world, and of course it's massive domestically. But to make it grow more we need to have a little more structure in the industry, particularly people that are creative, that create these incredible products need to be able to get the fruits of their labour. I mean issues around piracy and distribution. But I think enough people have recognised this now, as I said we've done some work...there are people, groups with money outside of Nigeria who now recognise and want to invest in this industry. And again, as we're saying earlier, Outsource Global, Tek Experts, Microsoft...they are exporting Nigerian brains and earning FX for the country increasingly. Nollywood and the music industry as well are earning FX for the country, big exports. And of course, it's not just Nollywood, it's also fashion, for example, it is a big part of African fashion, people around the world are listening. Last night after dinner we listened to Nigerian music, it's just... that's what we do now. It's fantastic, and I think it is also a fun industry. One of the things that Nigeria does better than any other place that I have ever really lived is events. I mean it's just incredible when you sort of see some of it...and of course, it's tied together and night clubs, parties, all of that is tied together with the entertainment industry is a great part of Nigeria.So I think it should get a lot of attention. Now, one of the things that is critical to it, of course is, again, financing. What's happened over the last few years is the banks have become a little more specialised in what they support. Five years ago you never heard of this but now there are some banks, I won't name them here, that are focused on the entertainment industry. The way it works in banking or financial industry is, you really need sector expertise. So if you look at, say, for example, Sterling Bank they have a public strategy, health, education, agriculture, renewables and transport. They really go deep in those sectors. FCMB has come out very clearly says it's going to be agriculture-focused and then some other banks as I said now focused on Nollywood and the music industry. To the extent they've got [the] expertise, they have better ways of channelling money into it. So I think we'll see it develop rapidly and that should be encouraged. Again, it's a service industry but it has great potential to generate value for Nigeria.Tobi: Let's talk about the tech sector. You are an investor and also an entrepreneur in that sector, what is the current state? I'm asking this because, of course, this is going to be a bit controversial... I have a few friends who think that the way things are currently is still a bit overrated...Andrew: The tech sector. The tech is overrated?Tobi: Yeah.Andrew: I think the thing about the tech sector you have to remember is... I meet so many young entrepreneurs, I always make time, someone reaches out on LinkedIn, I'll read the business plan...and, you know, the energy level of the entrepreneurs is just fantastic and just the sheer courage to try something. But the truth is into these, sort of, startup tech things, most of them are going to fail. Sometimes the young entrepreneur is absolutely convinced of his or her success which is fantastic, you need that energy. But the point is you might have fifty fail, but if you have three that succeed in a big way that makes a difference to Nigeria, that is what we want. I don't want us to focus on the failures, what I want us to focus on is how do you create something that works in the Nigerian condition? If we take two areas or three areas, so we take edtech, healthtech, and cleantech/energy. So, health and education - we have said it's basically impossible for Nigeria to duplicate the models that were built 150 years ago in these areas in developed countries. So if you think of medicine, you have physical doctor, physical nurse, you have one doctor for every 500 people on that. We can't mathematically ever get that many doctors in the right location, so there has to be some technological/healthtech kind of breakthrough to deliver. And I know lots of people working on it, we should encourage that and there will emerge out of that some successful ones that find the right models to put things together. In a way, Nigeria has spent its money and in many cases not getting anything for it. - ANSimilarly in education, particularly with Covid-19, people have started to realise they can learn remotely, they can interact with people remotely. Now, how do we solve it for education for Nigeria? But, again, the local conditions are so critical. I've seen some people trying to bring solutions from developed markets, but we don't have the power, we don't have the bandwidth and then your solution fails. What I want to encourage our young entrepreneurs is to try to find things that work under the Nigerian conditions and can piece together these challenges and solve it. Cleantech, as I mentioned, [is] exactly the same thing. Even if we build out the grid, we'd still have, I think estimated for Africa, if the grid was built out economically we would still have 400-500 million people who are not connected to the grid in Africa in 10 years. So the only way to deliver power to them is in situ, like, where they live the only way to do that is obviously through solar. Because if you have to deliver them some kind of fuel, one that pollutes but too, it's just the same problem as the grid, it doesn't really solve the issue. Again, what are the solar solutions that are coming through? Lagos is actually the centre of solar technology around the world, small-scale solar right now. We have so many companies trying so many different things. Some will fail and many will fail, some will work. What I will say about the tech industry is, yeah, there's a lot of hype, one of the areas that I'm not so convinced about is AI (artificial intelligence) you're always hearing about it, what does it really mean? But out of that hype, there's going to be people that build organisations and companies that solve real problems for Nigerians.Tobi: How significant is the talent gap in that sector? Jumia has their engineering staff in Portugal, I know a popular fintech that has their [it’s] engineering staff in Turkey, and is that a function of our low investment in education?Andrew: Well, I think as we know, when Nigerians are given the opportunity, they are incredible learners. We said before, the diaspora has gone and done great things in many countries when they get the education. But in answer to the question, Tobi, yeah, the country is underinvested. People are not getting enough education, resources are diverted to the wrong things, so we started to say the only thing that public money should be spent on are education, health and to some extent some infrastructure, particularly roads. Toll roads are quite inefficient so it makes more sense for the public to finance the roads, but not the port, not the airport, not Ajaokuta Steel, not refineries. In a way, Nigeria has spent its money and in many cases not getting anything for it...it has wasted its money the wrong way. The way we put it is, the only thing that [the] government should be investing in is the Nigerian people. Invest in Nigerian people, [the] economy is going to improve. [If] what you just described doesn't happen, we get programmers in IT people who are domestic, we get some of that exported through these kinds of companies I talked about, some of it go to the diaspora and we get a flow back. But, yeah, we need to invest in people, it's that simple. So if there is one message that we as PwC would like to give the country is if public sector resources are invested in people, the country will thrive.Tobi: Let's close out with coronavirus, the pandemic. The conversation in Africa and, of course, Nigeria has been about how affordable are the economic cost of this, weighed against the public health measures that are being taken - the lockdown, and everything...what some are calling a Keynesian supply shock that has caused even a larger plunge in demand and margins are down for a lot of companies. What I want to ask you is this, if you are in the room with the presidential committee or task force that is responding to this, what are the things that we need to do to have the right balance between the economic cost and the public health measures right now?Andrew: Well, Tobi, I'm not sure I'm wise enough to know the answer to that. I think we all grasp just how difficult the situation is and I really...as you said, the health unknowns, the economic challenges. Six or seven weeks ago, we said the two things that countries need to focus on are: one, getting resources to the bottom of the pyramid and, two, keeping the food supply chain intact. Why is that? Because we understood a lot, you know, in the beginning of this...what would happen is if you have a lockdown, all the people who are in the informal economy or even the formal economy that are effectively earning daily income, daily wages, they are going to lose her job. We've had tens of millions of people in Nigeria lose their source of livelihood in a very short space of time. Everyone needs to eat, so getting them resources is the most important thing and, of course, it doesn't work if the food supply chain isn't intact. The issue with the food supply chain is you actually need some movement [because] where food is grown is not the same place as where it's processed which is not the same place where it's consumed. I think the government has done a good job of focusing on those two fundamental issues, it's imperfect, we don't really have a great system for getting resources to the bottom of the pyramid on that, but I think that between the government, civil society, private sector...people have recognised this issue and they've really been doing the best they can. And, of course, individuals - every individual that's doing well in Nigeria is connected to people who rely on their daily wages and to the extent that they can, many I know are supporting people who have lost their livelihoods. So in the short-term, that's what the country needs to focus on and I think that the Federal Government has done a good job. That said, it's just so complex...it complex from a science, health perspective, we don't know everything about Covid-19, the transmission, asymptomatic people, how many people have it... it's challenging from a testing viewpoint in a place like Nigeria. Testing is being ramped up but still, we haven't tested in a lot of the population. So I don't know the trade-off, I think the Federal Government agency/taskforce is doing the best job they can but we're also seeing cracks with the coordination with the state level Governors, they are under pressure. We all see what's happening in Kano, what the Governor is saying about relaxation during Ramadan (Kano lockdown), yet, there are 100 new cases, over 90 in Kano. How many real cases are... I'm not second-guessing the government, I think they've done all they can in a very difficult situation and I think we're in for, at least, a few months of real challenges in Nigeria. And I want everyone listening to stay safe, keep as many people safe as you can, it is not easy.Tobi: Finally, Andrew, it's kind of a tradition on the show...what's the one idea that you would like to see everyone either in Nigeria or globally adopt?Andrew: We, and I, personally, have started to advocate in Nigeria that we don't measure GDP, that we measure the progress of Nigeria by the progress on the Sustainable Development Goals. The relationship between GDP and human welfare is not that strong and as I said in the 2010 to the 2014 period GDP grew a lot, but the benefits were disproportionately distributed. SDGs are very clear - no hunger, no poverty, good education, clean water access to healthcare... those are things that actually really matter to the welfare of Nigerians. So the one big idea we have is rather than every day we stand up and talk about GDP growth 2.1 percent, 1.6 [percent], 5 percent, whatever the number is, I would like to have a scorecard across the country in every state [of] how is the state doing on their SDGs and have a way of gathering. So people like me can stand up and say" Kwara State is doing fantastic on these dimensions that really matter to people, Cross River is doing great, this other state is doing not so well, Lagos is making progress". I want the language, let's call it the "lens" to shift from a GDP lens to Sustainable Development Goal lens in Nigeria. That's my one big idea for the day.Tobi: That's interesting. Thank you very much, Andrew, it's been fantastic talking to you.Andrew: Thank you, Tobi. This is a public episode. Get access to private episodes at www.ideasuntrapped.com/subscribe
Host: John J. Russell, MD Guest: Diane E Custer, MD As the COVID-19 pandemic continues to spread across our nation and the world, more and more patients are experiencing anxiety and depression. Joining Dr. John Russell to explain how we can console our patients—all while maintaining our own mental health along the way—is Dr. Diane Custer. Published April 8, 2020
Guest: Patrice Harris, MD Guest: Frank Dowling, MD Guest: Elizabeth Salisbury-Afshar, MD Guest: Sharon Levy, MD, MPH Guest: John Renner, MD As the nation's opioid epidemic has now become a deadlier drug overdose epidemic, the AMA Opioid Task Force urges individualized and evidence-based patient care for those with a substance use disorder. Offering their unique perspectives on how to help patients, physician members of the AMA Opioid Task Force shared their perspectives on helping patients with a substance use disorder. Drs. Patrice Harris, Frank Dowling, Elizabeth Salisbury-Afshar, Sharon Levy, and John Renner.
Gissur Páll Gissurarson söngvari sagði frá uppvextinum í Reykjavík, Vestmannaeyjum og Kópavogi. Hann sagði frá menntaskólaárunum og því þegar hann sótti um í leiklistarnám og komst ansi langt í inntökuprófi en þó ekki alla leið. Hann ákvað því að fara í söngnám en hann hafði leikið og sungið i söngleiknum Oliver Twist þegar hann var enn í grunnskóla og vissi strax að þetta ætti vel við hann. Hann sagði frá söngnámi á Ítaliu, matarkistunni Ítalíu, áhuganum á matargerð, fjölskyldunni og dætrunum og því hvernig hann nýtir tímann í að hlusta á hljóðbækur. Hrund Gunnsteinsdóttir framkvæmdastjóri Festu sagði frá uppvextinum í Garðabænum, árunum í versló, þegar hún vann í Kosovó eftir aldamótin 2000 og hvaða áhrif það starf hafði mikil áhrif á hana sem manneskju. Hún sagði frá námi í mannfræði, þróunarfræði og ýmsu sem hún hefur tekið sér fyrir hendur. Hún sagði frá dætrunum, skíðaáhuganum og nýja starfinu sem hún tekur við í febrúar sem framkvæmdastjóri Festu miðstöðvar um samfélagslega ábyrgð.
Guest: Bincy P. Abraham, MD, MS Guest: Jason Ken Hou, MD, MS, FACG Guest: Siddharth Singh, MD As the most common extraintestinal complication from IBD, iron deficiency anemia (IDA) can take a heavy toll on your patients' quality of life. This activity will review those impacts, in addition to discussing the different therapies and resources that are available to both you and your IBD patients.
Guest: Allegra Broft, MD Host: Mary Leuchars, MD As eating disorders are generally on the rise in the United States, what are the personal and economic costs of anorexia and bulimia? Dr. Allegra Broft, assistant professor of clinical psychiatry at Columbia University and research psychiatrist at the Eating Disorders Research Unit of the New York State Psychiatric Institute, is alarmed that eating disorders are not only have a high cost financially, but cost lives as well, likely accounting for the highest mortality among psychiatric disorders. How expensive and effective are residential programs for treatment of eating disorders? What other programs might help patients and families meet the challenges of eating disorder treatments? Hosted by Dr. Mary Leuchars.
Guest: Marc Bessler, MD Host: Mark Nolan Hill, MD As the field of bariatric and minimally invasive surgery continues to grow, the gastric bypass procedure has grabbed many of the headlines, with solid interest in gastric banding as well. Looking ahead, how might the landscape change? Will a new bariatric procedure emerge as the safest and most effective choice? Host Dr. Mark Nolan Hill welcomes Dr. Marc Bessler, assistant professor of surgery at Columbia University College of Physicians and Surgeons, and director of the Columbia University Center for Metabolic and Weight Loss Surgery, to detail one procedure that could represent the next step in reducing the invasiveness of bariatric surgery: the transoral gastroplasty.
Guest: Marc Halley, MBA Host: Larry Kaskel, MD As hospitals get back into the game of owning and running medical practices what must they do to succeed? Our guest Marc Halley, president of Halley Consulting Group, a firm specializing in services to hospital-owned primary care networks shares with host Dr. Larry Kaskel his 8 initiatives for success including improving worker productivity and maximizing receivables management to name just a few. Tune in to learn all 8.
Guest: Alan Hemming, MD Host: Mark Nolan Hill, MD As we extend the bounds of surgical resection for hepatic malignancies, we overcome previously held limitations of our efforts against liver disease. How do our techniques and theories on hepatic resection also relate back to hepatic transplantation? Are we developing more effective strategies to protect the liver during surgery? Dr. Alan Hemming, professor of surgery and chief of transplantation and hepatobiliary surgery at the University of Florida College of Medicine, also peers into the future to examine the potential role of laparoscopy or endoscopy in hepatic surgery. Dr. Mark Nolan Hill hosts.
Guest: Jan Stepanek, MD Host: Gary Kohn, MD As a specialist in aerospace physiology and altitude-related clinical conditions, Dr. Jan Stepanek, medical director of the Aerospace Medical Program, assistant professor of medicine at the Mayo Clinic in Scottsdale, AZ, and aviation medical examiner (AME) discusses medical qualifications for pilots in the U.S. and the interaction between pilots, AMEs, and the FAA. Your host, Dr. Gary Kohn discusses with Dr. Stepanek the difference between a routine physical and an AME, FAA mandated exam, and medication precautions for pilots considered outside the realm of the normal patient.
Host: Gary Kohn, MD Guest: Don Catlin, MD As athletes make gains in size, speed, and agility, so do the tests that ensure those athletes are doing so without the assistance of illegal, performance-enhancing substances. Host Dr. Gary Kohn speaks with Dr. Don Catlin, founder and chief executive officer of Anti-Doping Research, Inc., in Los Angeles, and former head of the UCLA Olympic Analytical Labs, who specifically highlights pharmaceutical testosterone, its production signature, and the carbon isotope ratio test that exposes its illegal use.
Guest: Peter Bach, MD Host: Bill Rutenberg, MD As former senior advisor to administration centers of Medicare and Medicaid Services for Cancer initiatives, our guest Dr. Peter Bach talks with host Bill Rutenberg about lessons learned while working on behalf of Medicare and Medicaid. Some highlights of this interview include discussion about physicians' use of evidence-based medicine, coverage under evidence clause, pay for performance, no-bid contracts, DRG and more. Join us for a great discussion.
Guest: Ronald Pies, MD Host: Leslie P. Lundt, MD As neurologists and psychiatrists, we both deal with the brain. We have the same board administering our exams, the American Board of Psychiatry and Neurology. We often prescribe the same medications. Neurologists diagnose depression, psychiatrists diagnose dementia. We have subspecialties called neuropsychiatry and behavioral neurology. So why don’t we just merge into one specialty? Host Dr. Leslie Lundt welcomes Dr. Ronald Pies to discuss the convergence of psychiatry and neurology.
Guest: Jeannee Diaz, RD Host: Leslie P. Lundt, MD As the epidemic of obesity continues to grow, we can expect that the prevalence of diabetes will rise accordingly. The age distribution of type 2 diabetes is moving younger and younger. What can we do to stop these alarming trends? certified diabetes educator Jeannee Diaz discusses diabetes nutrition with host Dr. Leslie Lundt.
Guest: Mark Kirk, JD Host: Mark Nolan Hill, MD As a veteran himself and a congressman, Mark Kirk works tirelessly to improve and expand healthcare resources for our veterans. What new healthcare initiatives are underway to serve the needs of the Unites States veterans?
Guest: Robert Heilbronner, PhD Host: Bill Rutenberg, MD As the team neuropsychologist for the Chicago Blackhawks, Dr. Heilbronner is often called upon to evaluate minimal traumatic brain injury. In this segment Dr. Rutenberg asks him about the testing process and the evaulation of mild TBI. How do you determine if the athlete should be allowed back in the game?
Guest: Robert Heilbronner, PhD Host: Bill Rutenberg, MD As a neuropsychologist, Dr. Heilbronner is often asked upon to evaulate malingering. Does a patient have a valid reason to be avoiding work after an injury? Are they exagerating their symptoms? How can a neuropsychologist help evaluate whether or not someone is malingering?
Guest: Stacy Tessler Lindau, MD Host: Shira Johnson, MD As the Baby Boomers approach retirement, many aspects of their lives are changing. For longterm cancer survivors, changes in sexual activity are often overlooked. Dr. Shira Johnson interviews Dr. Stacy Tessler Lindau for a look at longterm sexual activity after genital tract cancer.
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