Podcast appearances and mentions of meta analysis

How do you create fitness classes that members actively choose, talk about, and have a hard time replacing? For boutique fitness studio owners, stronger member retention and loyalty often start with something most studios leave largely to chance: how people actually experience and remember a class. In this episode, Fitcarma Experience Designer Shay Kostabi introduces The Two Moment Rule, our framework for intentionally shaping the two moments that can carry disproportionate weight in how members remember an experience: the emotional peak and the ending. We explore the psychology behind the peak-end rule and how it applies specifically to boutique fitness, group fitness class design, instructor training, music, coaching, emotional arc, and class structure. You'll learn why the hardest part of a workout isn't automatically the most memorable, how Convergence happens when movement, music, coaching, energy, and emotion work together toward the same emotional outcome, why constant intensity can actually cause members to disengage through what we call The Mad Max Effect, and why a class that simply stops is very different from an experience that ends with true Resolution. If the best parts of your class experience exist only inside the instincts of your strongest instructors, your brand doesn't own that experience yet. At Fitcarma, our Experience Design work draws from established research in psychology, behavioral science, flow, belonging, memory, and human performance, then translates those principles specifically into boutique fitness. We help studio owners turn those insights into a proprietary class experience that can be built into class architecture, coaching methodology, instructor training, observation standards, and a Playbook your entire team can use. Your members are going to remember these moments whether you plan for them or not. You might as well make them count. Want to build a more distinctive, memorable, and difficult-to-replace class experience for your studio? Book a Fit Call with us: https://fitcarma.com/northstar Research referenced Fredrickson, B. L., & Kahneman, D. (1993). "Duration Neglect in Retrospective Evaluations of Affective Episodes." Journal of Personality and Social Psychology, 65(1), 45–55. DOI: 10.1037/0022-3514.65.1.45 Alaybek, B., Dalal, R. S., Fyffe, S., Aitken, J. A., Zhou, Y., Qu, X., Roman, A., & Baines, J. I. (2022). "All's Well That Ends (and Peaks) Well? A Meta-Analysis of the Peak-End Rule and Duration Neglect." Organizational Behavior and Human Decision Processes, 170, 104149. DOI: 10.1016/j.obhdp.2022.104149 Film referenced Mad Max: Fury Road (2015), directed by George Miller. Warner Bros. Pictures, Village Roadshow Pictures, Kennedy Miller Mitchell.

Links For The Occult Rejectshttps://linktr.ee/theoccultrejectsOccult Research Institutehttps://www.occultresearchinstitute.org/Substackhttps://substack.com/@theoccultrejects?r=7auau0&utm_campaign=profile&utm_medium=profile-pageCash Apphttps://cash.app/$theoccultrejectsVenmo@TheOccultRejectsBuy Me A Coffeebuymeacoffee.com/TheOccultRejectsPatreonhttps://www.patreon.com/TheOccultRejectsBibliographyRepetition, Fluency, and BeliefBacon, Frederick T. “Credibility of Repeated Statements: Memory for Trivia.” Journal of Experimental Psychology: Human Learning and Memory 5, no. 3 (1979): 241–252.Begg, Ian Maynard, Ann Anas, and Suzanne Farinacci. “Dissociation of Processes in Belief: Source Recollection, Statement Familiarity, and the Illusion of Truth.” Journal of Experimental Psychology: General 121, no. 4 (1992): 446–458.Dechêne, Alice, Christoph Stahl, Jochim Hansen, and Michaela Wänke. “The Truth About the Truth: A Meta-Analytic Review of the Truth Effect.” Personality and Social Psychology Review 14, no. 2 (2010): 238–257.Fazio, Lisa K., Nadia M. Brashier, B. Keith Payne, and Elizabeth J. Marsh. “Knowledge Does Not Protect Against Illusory Truth.” Journal of Experimental Psychology: General 144, no. 5 (2015): 993–1002.Hasher, Lynn, David Goldstein, and Thomas Toppino. “Frequency and the Conference of Referential Validity.” Journal of Verbal Learning and Verbal Behavior 16, no. 1 (1977): 107–112.Reber, Rolf, and Norbert Schwarz. “Effects of Perceptual Fluency on Judgments of Truth.” Consciousness and Cognition 8, no. 3 (1999): 338–342.Unkelbach, Christian. “Reversing the Truth Effect: Learning the Interpretation of Processing Fluency in Judgments of Truth.” Journal of Experimental Psychology: Learning, Memory, and Cognition 33, no. 1 (2007): 219–230.Zajonc, Robert B. “Attitudinal Effects of Mere Exposure.” Journal of Personality and Social Psychology 9, no. 2, part 2 (1968): 1–27.Memory, Spacing, and RetrievalCepeda, Nicholas J., Harold Pashler, Edward Vul, John T. Wixted, and Doug Rohrer. “Distributed Practice in Verbal Recall Tasks: A Review and Quantitative Synthesis.” Psychological Bulletin 132, no. 3 (2006): 354–380.Ebbinghaus, Hermann. Memory: A Contribution to Experimental Psychology. Translated by Henry A. Ruger and Clara E. Bussenius. New York: Teachers College, Columbia University, 1913. Originally published 1885.Karpicke, Jeffrey D., and Henry L. Roediger III. “Repeated Retrieval During Learning Is the Key to Long-Term Retention.” Journal of Memory and Language 57, no. 2 (2007): 151–162.Roediger, Henry L. III, and Jeffrey D. Karpicke. “Test-Enhanced Learning: Taking Memory Tests Improves Long-Term Retention.” Psychological Science 17, no. 3 (2006): 249–255.Tulving, Endel, and Donald M. Thomson. “Encoding Specificity and Retrieval Processes in Episodic Memory.” Psychological Review 80, no. 5 (1973): 352–373.Whitehouse, Harvey. Modes of Religiosity: A Cognitive Theory of Religious Transmission. Walnut Creek, CA: AltaMira Press, 2004.Semantic Satiation and Verbal TransformationBalota, David A., and Sarah Black. “Semantic Satiation in Healthy Young and Older Adults.” Memory & Cognition 25, no. 2 (1997): 190–202.Jakobovits, Leon A. Effects of Repeated Stimulation on Cognitive Aspects of Behavior: Some Experiments on the Phenomenon of Semantic Satiation. PhD diss., McGill University, 1962.Kounios, John, et al. “On the Locus of the Semantic Satiation Effect: Evidence from Event-Related Brain Potentials.” Memory & Cognition 28, no. 8 (2000): 1366–1377.Pilotti, Maura, John S. Antrobus, and Monica Duff. “The Effect of Presemantic Acoustic Adaptation on Semantic ‘Satiation.'” Memory & Cognition 25, no. 3 (1997): 305–312.Ströberg, Kim, Lau M. Andersen, and Stefan Wiens. “Electrocortical N400 Effects of Semantic Satiation.” Frontiers in Psychology 8 (2017): 2117.Warren, Richard M. “Illusory Changes of Distinct Speech upon Repetition—The Verbal Transformation Effect.” British Journal of Psychology 52, no. 3 (1961): 249–258.Warren, Richard M. “Illusory Changes in Repeated Words: Differences between Young Adults and the Aged.” American Journal of Psychology 74, no. 4 (1961): 506–516.Speech, Song, and Musical RepetitionDeutsch, Diana. “The Speech-to-Song Illusion.” Journal of the Acoustical Society of America 134, no. 5 (2013): 4241.Deutsch, Diana, Trevor Henthorn, and Rachael Lapidis. “Illusory Transformation from Speech to Song.” Journal of the Acoustical Society of America 129, no. 4 (2011): 2245–2252.Jakubowski, Kelly, Sebastian Finkel, Lauren Stewart, and Daniel Müllensiefen. “Dissecting an Earworm: Melodic Features and Song Popularity Predict Involuntary Musical Imagery.” Psychology of Aesthetics, Creativity, and the Arts 11, no. 2 (2017): 122–135.Margulis, Elizabeth Hellmuth. On Repeat: How Music Plays the Mind. New York: Oxford University Press, 2014.Marjieh, Raja, Pol van Rijn, Ilia Sucholutsky, Harin Lee, Thomas L. Griffiths, and Nori Jacoby. “A Rational Analysis of the Speech-to-Song Illusion.” Preprint, 2024.Vickhoff, Björn, Helge Malmgren, Rickard Åström, Gunnar Nyberg, Seth-Reino Ekström, Mathias Engwall, Johan Snygg, Michael Nilsson, and Rebecka Jörnsten. “Music Structure Determines Heart Rate Variability of Singers.” Frontiers in Psychology 4 (2013): 334.Breath, Vocalization, and Autonomic PhysiologyBernardi, Luciano, Peter Sleight, Gianfranco Bandinelli, Simone Cencetti, Lino Fattorini, Jacek Wdowczyc-Szulc, and Andrea Lagi. “Effect of Rosary Prayer and Yoga Mantras on Autonomic Cardiovascular Rhythms: Comparative Study.” BMJ 323, no. 7327 (2001): 1446–1449.Lehrer, Paul M., and Richard Gevirtz. “Heart Rate Variability Biofeedback: How and Why Does It Work?” Frontiers in Psychology 5 (2014): 756.Shaffer, Fred, and J. P. Ginsberg. “An Overview of Heart Rate Variability Metrics and Norms.” Frontiers in Public Health 5 (2017): 258.Zaccaro, Andrea, Andrea Piarulli, Marco Laurino, Erika Garbella, Danilo Menicucci, Bruno Neri, and Angelo Gemignani. “How Breath-Control Can Change Your Life: A Systematic Review on Psycho-Physiological Correlates of Slow Breathing.” Frontiers in Human Neuroscience 12 (2018): 353.Meditation, Chanting, and NeuroscienceFox, Kieran C. R., Matthew L. Dixon, Savannah Nijeboer, Manesh Girn, James L. Floman, Michael Lifshitz, Melissa Ellamil, Peter Sedlmeier, and Kalina Christoff. “Functional Neuroanatomy of Meditation: A Review and Meta-Analysis of 78 Functional Neuroimaging Investigations.” Neuroscience & Biobehavioral Reviews 65 (2016): 208–228.Kalyani, B. G., G. Venkatasubramanian, R. Arasappa, N. P. Rao, S. V. Kalmady, R. Behere, H. Rao, M. Vasudev, and B. N. Gangadhar. “Neurohemodynamic Correlates of ‘OM' Chanting: A Pilot Functional Magnetic Resonance Imaging Study.” International Journal of Yoga 4, no. 1 (2011): 3–6.Travis, Fred, and Jonathan Shear. “Focused Attention, Open Monitoring and Automatic Self-Transcending: Categories to Organize Meditations from Vedic, Buddhist and Chinese Traditions.” Consciousness and Cognition 19, no. 4 (2010): 1110–1118.Ritual, Attention, and Embodied PracticeBell, Catherine. Ritual Theory, Ritual Practice. New York: Oxford University Press, 1992.Hobson, Nicholas M., Juliana Schroeder, Jane L. Risen, Dimitris Xygalatas, and Michael Inzlicht. “The Psychology of Rituals: An Integrative Review and Process-Based Framework.” Personality and Social Psychology Review 22, no. 3 (2018): 260–284.McCauley, Robert N., and E. Thomas Lawson. Bringing Ritual to Mind: Psychological Foundations of Cultural Forms. Cambridge: Cambridge University Press, 2002.Rappaport, Roy A. Ritual and Religion in the Making of Humanity. Cambridge: Cambridge University Press, 1999.Xygalatas, Dimitris. Ritual: How Seemingly Senseless Acts Make Life Worth Living. New York: Little, Brown Spark, 2022.Also want to remind people about the website, if you're into reading we have tons of information by multiple contributors, and we got t-shirts up on the site if you're interested. Fun fact, the art is all based on the eyeball. 

ACOG recommends the use of oral or vaginal misoprostol, vaginal dinoprostone (either gel or insert), or mechanical methods for cervical ripening. Plus, it states, “Combination methods (pharmacologic and mechanical) are also effective”. The July 2026 ACOG CPG 9 states this regarding vaginal misoprostol compared to vaginal dinoprostone for labor induction: “Vaginal dinoprostone is effective for cervical ripening; however, vaginal misoprostol has higher efficacy and less need for oxytocin augmentation. The Cochrane database systematic review in 2010 that compared vaginal misoprostol with vaginal dinoprostone in 38 trials (7,022 participants) showed a lower rate of failure to achieve vaginal delivery in 24 hours (RR 0.77) and reduced need for oxytocin augmentation with misoprostol (RR 0.68). There were no differences in the rates of cesarean delivery or tachysystole with FHR changes”. Now, as of August 19, 2026, a new meta-analysis from BJOG is examining this comparison (vaginal miso vs vaginal dino) again. Did they find the same thing? Listen in for details. 1. G. Andersson, B. Greenfield, A. Hunt, et al., “ Vaginal Misoprostol Compared to Vaginal Dinoprostone for Induction of Labour: A Systematic Review and Meta-Analysis,” BJOG: An International Journal of Obstetrics & Gynaecology (2026): 1–12, https://doi.org/10.1111/1471-0528.70314.2. ACOG Clinical Practice Guideline No. 9: Cervical Ripening in Pregnancy

Send us Fan MailThe full week of Journal Club in one place. Monday, the PLaNT trial of prophylactic CPAP for late preterm infants born by cesarean, with senior author Dr. Edgardo Szyld. Tuesday, whether parental holding during therapeutic hypothermia changes feeding and length of stay. Wednesday, the Connection Study, the first live biotherapeutic product tested under an IND, and what it means for probiotics returning to the NICU. Thursday, a handheld light probe that reads bowel through the skin to catch NEC before the X-ray does. Friday, Dr. Dinushan Kaluarachchi on the respiratory severity score and what its trajectory tells us.----First-in-human pilot study of broadband optical spectroscopy (BOS) as noninvasive surveillance for necrotizing enterocolitis (NEC). Dodd AC, Lehane AJ, Lee A, Hurlock A, Su Y, Ilahi I, Lautz TB, Backman V, Goldstein SD.J Pediatr Surg. 2026 May;61(5):162978. doi: 10.1016/j.jpedsurg.2026.162978. Epub 2026 Feb 3.PMID: 41643767Association of parental holding during therapeutic hypothermia and NICU outcomes for infants with hypoxic-ischemic encephalopathy. Nguyen TT, Glass HC, Chan N, Taketa E, Pineda R, Cornet MC, Miller MJ.J Perinatol. 2026 Jun 22. doi: 10.1038/s41372-026-02753-3. Online ahead of print.PMID: 42332041Live biotherapeutic product IBP-9414 (L. reuteri) in very low birth weight infants: the Connection Study. Neu J, Del Moral T, Guthrie SO, Hudak ML, Indrio F, Kim JH, Kronström A, Martin CR, Modi N, Rastad J, Schnitzer TJ, Singh R, Strömberg S, Szajewska H, Thuresson M, Caplan M.Pediatr Res. 2026 Feb 20. doi: 10.1038/s41390-026-04826-7. Online ahead of print.PMID: 41721054Prophylactic CPAP at Cesarean Birth in Late-Preterm Newborns: A Multicenter RCT. Shah BA, DeShea L, Schmölzer GM, Josephsen JB, Fabres J, Wetzel EA, Rykovich H, Thomas A, Law B, Garrido C, Szyld E.Pediatrics. 2026 Aug 1;158(2):e2025070998. doi: 10.1542/peds.2025-070998.PMID: 42457181 Clinical Trial.Association Between Delivery Room Continuous Positive Airway Pressure and Neonatal Outcomes in Late Preterm and Term Infants: A Systematic Review and Meta-Analysis. Chin Y, Hill M, Sett A, Thomas N, Razak A.J Paediatr Child Health. 2026 Jul 28. doi: 10.1111/jpc.70516. Online ahead of print.PMID: 42517258 Review.Bronchopulmonary Dysplasia Definition Based on Respiratory Severity Score. Kaluarachchi DC, Peebles PJ, Lasarev MR, Guthrie SO, Laughon MM.Pediatr Pulmonol. 2026 Jul;61(7):e71750. doi: 10.1002/ppul.71750.PMID: 42478108 Free PMC article. No abstract available.Respiratory severity score patterns by birth gestational age among a cohort of extremely preterm infants. Peebles PJ, Lasarev MR, Guthrie SO, Laughon MM, Keller RL, Kaluarachchi DC.J Perinatol. 2026 Jun 29. doi: 10.1038/s41372-026-02778-8. Online ahead of print.PMID: 42374145 No abstract available.Respiratory severity score as a predictor for need for tracheostomy in infants with severe bronchopulmonary dysplasia. Kaluarachchi NM, Afah Annah S, Lasarev MR, Peebles PJ, Kaluarachchi DC.J Perinatol. 2026 Jun 25. doi: 10.1038/s41372-026-02720-y. Online ahead of print.PMID: 42350618 No abstract available.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!

Welcome to Nerd Alert, a series of special episodes bridging the gap between marketing academia and practitioners. We're breaking down highly involved, complex research into plain language and takeaways any marketer can use.In this episode, Elena and Rob dig into whether product placement in movies sticks in viewers' memories, using the famous Reese's Pieces and E.T. story as a jumping-off point.Topics covered:   [02:20] "The Effect of Product Placement in Movies on Brand Recall: A Meta-Analysis" [03:10] Why brands pay for screen time instead of commercial breaks [04:30] Cohen's d and what counts as a large effect [05:10] Kids and adults recall placements about the same [06:10] Execution matters more than exposure [07:40] Aston Martin versus BMW in the Bond franchise  To learn more, visit marketingarchitects.com/podcast or subscribe to our newsletter at marketingarchitects.com/newsletter.  Resources: Preethy Rose, M., & Shanthi, R. (2024). The effect of product placement in movies on brand recall: A meta-analysis. International Research Journal of Multidisciplinary Scope, 5(4), 807–814.  Get more research-backed marketing strategies by subscribing to The Marketing Architects on Apple Podcasts, Spotify, or wherever you listen to podcasts. 

Gestalt Language Processing (GLP) and Natural Language Acquisition (NLA) have become extraordinarily popular in speech-language pathology, particularly in conversations about autistic children who use echolalia. But what exactly is a "Gestalt Language Processor?" How would we know if someone is one? And perhaps most importantly, what does the research actually tell us about the claims and treatment recommendations associated with GLP and NLA? In this episode, I'm joined by speech-language pathologist Kathleen Oppenheimer, who has spent considerable time examining these questions through the lens of language science and psycholinguistics. Kathleen describes how she first encountered GLP and NLA on social media during the pandemic and why some of the claims she encountered immediately raised questions for her as someone trained in linguistics. We unpack the distinction between language production and language processing, and discuss why observing the words and phrases a child says cannot necessarily tell us how that child is processing language. We also explore an important nuance in this debate: Many practices commonly associated with NLA are quite reasonable—and in some cases very well aligned with established, evidence-based approaches. Following the child's lead, building strong therapeutic relationships, recognizing echolalia as meaningful communication, and honoring multiple forms of communication are all valuable practices. But those practices aren't unique to NLA. Kathleen contrasts NLA recommendations with research-supported approaches such as Enhanced Milieu Teaching, and explains why recommendations involving prompting, single-word models, verbs, and grammatical language input matter for language development. Along the way, we discuss: What GLP and NLA actually claim about language development. Why defining and reliably identifying a "Gestalt Language Processor" is more difficult than social media might suggest. The difference between what a child says and how researchers determine what a child is actually processing. What psycholinguistic methods such as the visual world paradigm can tell us about real-time language comprehension. Why echolalia can be meaningful communication without accepting the larger GLP/NLA framework. The substantial areas of common ground between NLA proponents and research-aligned language interventions. Why following a child's lead and honoring their communication does not require adopting NLA stages. How Enhanced Milieu Teaching differs from NLA-based intervention. Concerns about recommendations to avoid or delay modeling single words, verbs, and certain grammatical forms. What we know—and don't know—about the empirical evidence supporting GLP/NLA. How social media can turn nuanced clinical ideas into much broader claims. The potential costs of implementing unsupported interventions, even when those interventions appear benign. How clinicians can have productive conversations with colleagues and families who have embraced GLP/NLA. Why clear, jargon-free explanations of what we're doing in therapy—and why we're doing it—matter. One thing I especially appreciated about this conversation is that Kathleen doesn't approach this as a simple choice between being "for" or "against" GLP/NLA. Instead, she encourages us to pull apart the individual claims and practices, retain the components that are supported by evidence, and scrutinize those that aren't. For clinicians navigating an increasingly complicated landscape of research, social media, and rapidly spreading treatment approaches, I think that's an incredibly useful framework. Resources discussed in this episode: Kathleen's Instagram: @language_processing Kathleen's course: GLP and NLA: Analyzing the Claims and Evidence. Kathleen's website: Oppenheimer Speech and Language, LLC. Lorang, et al., (2026). A Response to Blanc and Colleagues' Viewpoint on Gestalt Language Processing and the Natural Language Acquisition Protocol: Concerns and Common Ground. Hutchins, et al., (2024). Natural Language Acquisition and Gestalt Language Processing: A Critical Analysis of Their Application to Autism and Speech Language Therapy. Dollaghan, C. (2007). Evidence-based practice in communication disorders. Bredin-Oja and Fey (2014). Children's Responses to Telegraphic and Grammatically Complete Prompts to Imitate. Kang, et al., (2025). Systematic Review and Meta-Analysis of Enhanced Milieu Teaching. Sponsor shoutouts: Behavior University. Their mission is to provide university quality professional development for the busy Behavior Analyst. Learn about their CEU offerings, including their 8-hour Supervision Course, as well as their RBT offerings over at behavioruniversity.com/observations. Don't forget to use the coupon code, PODCAST to save at checkout! Safety-Care is a crisis prevention and de-escalation training program designed for professionals who support individuals with challenging behavior. More than 300,000 professionals have been trained in Safety-Care's evidence-based approach to recognizing early warning signs and responding with confidence. To learn more, visit QBS.com/podcast. Learn from your favorite podcast guests while you're commuting, walking the dog, or whatever else you do while listening to podcasts. New events are being added all the time, so check them out here.  HRIC Recruting. Cut out the middleman and speak directly with Barbara Voss, who's been placing BCBAs in great jobs all across the US for 15 years. The BOP Patreon. Do you want to get the show ad-free and before everyone else? 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Resistance training can significantly improve cardiovascular health in older adults by lowering both systolic and diastolic blood pressure, as well as offering unique benefits like increased muscle strength and quality. In this “NASM CPT Podcast” episode, host Rick Richey reviews the latest meta-analyses and systematic reviews, sharing practical insights on how resistance training helps manage hypertension and supports healthy aging. Listeners will learn why resistance training is valuable for older populations, how it compares to aerobic exercise for blood pressure control, and the importance of starting with progressive resistance to minimize soreness and build confidence. Rick also addresses specific concerns such as training postmenopausal women and individuals with sarcopenia, providing evidence that regular, structured resistance training leads to greater health benefits, especially in those over 60. After listening, fitness professionals will be equipped with research-backed strategies for designing effective, safe training programs for older adults and addressing their concerns about resistance exercises. Chapters: [00:00:00] What are the cardiovascular benefits of resistance training for older adults? [00:05:43] How does resistance training affect blood pressure in people with hypertension? [00:10:53] How does resistance training benefit postmenopausal women? [00:14:14] What is sarcopenia and how can resistance training help elderly adults? [00:15:01] How should trainers safely begin resistance training with older or inexperienced clients? [00:18:48] How can trainers help older clients build strength and confidence progressively? Show References:Wang, X., Wang, Q., Zhao, W., Wang, J., Chen, L., & Wang, L. (2025). The efficacy of resistance training for the management of hypertension: a systematic review and meta-analysis. Postepy w kardiologii interwencyjnej = Advances in interventional cardiology, 21(2), 163–170. https://doi.org/10.5114/aic.2025.151598  Henkin, J. S., Pinto, R. S., Machado, C. L. F., & Wilhelm, E. N. (2023). Chronic effect of resistance training on blood pressure in older adults with prehypertension and hypertension: A systematic review and meta-analysis. Experimental gerontology, 177, 112193. https://doi.org/10.1016/j.exger.2023.112193   Rivera-Mejía, S. L., Rúa-Alonso, M. A., Rial-Vázquez, J., Nine, I., Camacho-Villa, M. A., Enríquez-González, M. A. G., Varela-Sanz, A., Fariñas, J., Revuelta-Lera, B., Fraga-Germade, E., Giráldez-Garcí A, M. A., & Iglesias-Soler, E. (2026). Resistance Training Improves Cardiovascular Health in Postmenopausal Women: Systematic Review and Meta-Analysis. Journal of applied physiology (Bethesda, Md. : 1985), 10.1152/japplphysiol.01180.2025. Advance online publication. https://doi.org/10.1152/japplphysiol.01180.2025   Zhao, H., Cheng, R., Song, G., Teng, J., Shen, S., Fu, X., Yan, Y., & Liu, C. (2022). The Effect of Resistance Training on the Rehabilitation of Elderly Patients with Sarcopenia: A Meta-Analysis. International journal of environmental research and public health, 19(23), 15491. https://doi.org/10.3390/ijerph192315491 If you like what you just consumed, leave us a 5-star review, and share this episode with a friend to help grow our NASM health and wellness community! The content shared in this podcast is solely for educational and entertainment purposes. It is not intended to be a substitute for professional advice, diagnosis, or treatment. Always seek out the guidance of your healthcare provider or other qualified professional. Any opinions expressed by guests and hosts are their own and do not necessarily reflect the views of NASM. Introducing NASM One, the membership for trainers and coaches. For just $35/mo., get unlimited access to over 300 continuing education courses, 50% off additional certifications and specializations, EDGE Trainer Pro all-in-one coaching app to grow your business, unlimited exam attempts and select waived fees. Stay on top of your game and ahead of the curve as a fitness professional with NASM One. Click here to learn more. https://bit.ly/4ddsgrm

Sign up for my free newsletter/1 page action plansIn this episode of Live Long and Well, Dr. Bobby looks at the evidence behind breakfast—not as a slogan, but as a real-life question: what problem is breakfast solving?For some people, breakfast may help with blood sugar, protein intake, morning exercise, or avoiding late-day overeating. For others, skipping breakfast may work perfectly well. And for many adults, “breakfast” may really mean coffee—which can improve alertness and exercise performance, but is not the same as food, protein, fiber, or fuel.Dr. Bobby also explores where the breakfast slogan came from, including its ties to cereal companies, health reformers, and early public relations campaigns. The episode then compares breakfast, lunch, and dinner through three practical questions:Does this meal help my body and health?Weight, blood sugar, disease risk, protein, and muscle.Does this meal help me perform today?Exercise, energy, focus, cognition, and school performance.Does this meal help me live well?Family rhythm, connection, and the social meaning of meals.The conclusion: there is probably no single “most important meal” for everyone. The best meal is the one that helps you live the day you are actually trying to live.In this episodeWhy “breakfast is the most important meal” may be more marketing than medical factWhat observational studies suggest about breakfast skipping and heart disease riskWhy healthy-user bias makes breakfast research trickyWhat randomized trials show about breakfast, skipping breakfast, weight loss, and metabolismHow chrononutrition raises a better question: are we eating too much too late?Why coffee may help you skip breakfast—but does not replace breakfast nutritionallyWhen eating before morning exercise mattersWhat we know about breakfast, cognition, and school performance in childrenWhy “hangry” may be realHow breakfast, lunch, and dinner each serve different rolesHow to decide whether breakfast matters for youKey takeawaysBreakfast does not magically turn on your metabolism.Randomized trials do not show that simply adding breakfast leads to meaningful weight loss.Skipping breakfast is not automatically harmful.It may work well for some people, especially if it reduces total calories without causing overeating later.The observational data are complicated.Breakfast skippers often look less healthy in long-term studies, but they may also smoke more, sleep less, exercise less, work irregular schedules, or eat more late at night.Chrononutrition gives breakfast its strongest argument.The body may handle calories better earlier in the day than late at night. The issue may be less “everyone must eat breakfast” and more “be careful about pushing most calories to the evening.”Coffee is not breakfast.Coffee may improve alertness and exercise performance, and it may reduce appetite for a while. But it is not protein, fiber, or fuel.Kids are different.For a hungry child, breakfast may matter for learning readiness, behavior, and attention.Exercise changes the answer.For a short, easy workout, coffee and water may be enough. For a long run, long ride, intervals, or race-like effort, food or carbohydrate may help.Dinner may win the connection argument.Shared meals are strongly linked with well-being. Dinner may not be best for blood sugar, but it may be powerful for family, friendship, and decompression.Lunch deserves more respect.Lunch may be the underrated meal that prevents the 3 p.m. slump and the 9 p.m. snack attack.A practical experimentRather than adopting a slogan, try a personal experiment.For two weeks, eat a real breakfast with protein, fiber, and minimal added sugar. Track your hunger, mood, exercise quality, afternoon energy, evening snacking, and sleep.Then, if it is safe for you, try two weeks of delaying or skipping breakfast while keeping your coffee/caffeine routine consistent.Ask yourself:Do I feel better or worse?Do I eat less overall—or make it up later?Are my workouts better or worse?Am I sharper or more irritable?Does skipping breakfast lead to a chaotic dinner?Am I still getting enough protein?The question is not whether breakfast works in theory. The question is whether breakfast works for you.Who should be more cautious about skipping breakfast?Be more careful with breakfast skipping if you are a child or adolescent, pregnant, diabetic, prone to low blood sugar, have a history of eating disorders, do long or intense morning workouts, or struggle to get enough protein—especially as an older adult.Dr. Bobby's bottom lineFor me, breakfast is not the most important meal most days.If I have a long workout ahead, I eat breakfast. Coffee alone is not enough.If I am just writing, reading, or working in the morning, coffee may be enough until I am actually hungry.And if I am eating with family or friends, breakfast matters for a different reason. Sometimes the table matters more than the eggs.Maybe breakfast is not the most important meal of the day.Maybe it is the most marketed.The most important meal is the one that helps you live the day you are actually trying to live.

Send us Fan MailLate preterm babies born by cesarean fill our NICUs, and most of them are there for respiratory distress that resolves in a day or two. Could 20 minutes of CPAP in the operating room keep them out? This week on Journal Club, Ben and Daphna break down the PLaNT trial, a five center randomized pilot of prophylactic CPAP at 5 to 6 cm of water in spontaneously breathing infants born at 34 to 36 weeks by cesarean. They then sit down with senior author Dr. Edgardo Szyld to talk pneumothorax risk, the 35 to 36 week subgroup, consenting families, and what PLaNT 2 must prove.----Prophylactic CPAP at Cesarean Birth in Late-Preterm Newborns: A Multicenter RCT. Shah BA, DeShea L, Schmölzer GM, Josephsen JB, Fabres J, Wetzel EA, Rykovich H, Thomas A, Law B, Garrido C, Szyld E.Pediatrics. 2026 Aug 1;158(2):e2025070998. doi: 10.1542/peds.2025-070998.PMID: 42457181 Clinical Trial.Association Between Delivery Room Continuous Positive Airway Pressure and Neonatal Outcomes in Late Preterm and Term Infants: A Systematic Review and Meta-Analysis. Chin Y, Hill M, Sett A, Thomas N, Razak A.J Paediatr Child Health. 2026 Jul 28. doi: 10.1111/jpc.70516. Online ahead of print.PMID: 42517258 Review.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!

In this episode, host Dr. Nick Rainey is joined by Dr. Bremen Abuhl and Dr. Dallas Ehrmantraut to discuss their 2025 Physical Therapy Journal article, “First Contact Physical Therapy Compared to Usual Primary Care for Musculoskeletal Disorders: A Systematic Review and Meta-Analysis of RCTs.”The conversation explores whether physical therapists should serve as the first point of contact for patients with musculoskeletal disorders and how first contact PT compares with usual primary care.Dr. Abuhl and Dr. Ehrmantraut discuss their findings, including reduced imaging utilization, reduced prescription medication utilization, and similar clinical outcomes for pain, disability, and health-related quality of life. They also unpack the terminology around direct access, first contact PT, and primary care PT, and explain why direct triage models may offer a more efficient pathway for patients.The episode also addresses real-world implementation barriers, including reimbursement models, state scope-of-practice variation, imaging privileges, medication prescribing, stakeholder buy-in, and the need for PTs to step confidently into first contact roles.Key TakeawaysFirst contact PT is not the same as direct access. Direct access means patients can choose PT without referral. First contact PT means the PT is the first provider evaluating the patient for that episode of care.The study found lower healthcare utilization. First contact PT was associated with 45% less imaging and 71% less prescription medication utilization compared with usual primary care.Clinical outcomes were similar. Pain, disability, and health-related quality of life outcomes were statistically similar between first contact PT and usual primary care.Less imaging is not automatically the goal. The more important question is appropriate utilization: avoiding both overuse and underuse.Implementation is a system problem. Scope of practice, reimbursement, stakeholder buy-in, state law, and health system workflows all influence whether first contact PT can work.Direct triage may be the stronger model. Compared with warm handoffs, direct triage allows patients with appropriate MSK presentations to start with PT as the first provider.PTs need to be ready for real-world first contact care. That includes identifying red flags, determining urgency, ordering or recommending imaging when appropriate, and referring to the right provider when needed. Chapters: 00:00 — Welcome and guest introductions 01:17 — Dr. Bremen Abuhl's path into first contact PT research 03:13 — Dr. Dallas Ehrmantraut's clinical spark for the topic 06:16 — Overview of the PTJ systematic review and meta-analysis 09:52 — Direct access vs first contact PT vs primary care PT 13:15 — Global evidence and limited U.S.-based RCTs 16:24 — Imaging findings and appropriate utilization 20:37 — Medication utilization findings 23:27 — Clinical outcomes: pain, disability, and quality of life 25:20 — Study limitations and downstream utilization 27:13 — Why longer-term outcomes matter 31:15 — Risk of bias and crossover between groups 33:36 — U.S. system barriers to first contact PT 36:37 — Reimbursement, payer models, and stakeholder concerns 40:45 — Direct triage vs warm handoff models 44:15 — Scope of practice and state-level barriers 46:08 — Real-world safety, red flags, and PT decision-making 48:01 — Call to action for physical therapists 50:06 — Closing thoughts

Commentary by Dr. Chi Chiu Wang.

If you enjoy this episode, we're sure you will enjoy more content like this on The Occult Rejects.  In fact, we have curated playlists on occult topics like grimoires, esoteric concepts and phenomena, occult history, analyzing true crime and cults with an occult lens, Para politics, and occultism in music. Whether you enjoy consuming your content visually or via audio, we've got you covered - and it will always be provided free of charge.  So, if you enjoy what we do and want to support our work of providing accessible, free content on various platforms, please consider making a donation to the links provided below.  Thank you and enjoy the episode!Links For The Occult Rejectshttps://linktr.ee/theoccultrejectsOccult Research Institutehttps://www.occultresearchinstitute.org/Substackhttps://substack.com/@theoccultrejects?r=7auau0&utm_campaign=profile&utm_medium=profile-pageCash Apphttps://cash.app/$theoccultrejectsVenmo@TheOccultRejectsBuy Me A Coffeebuymeacoffee.com/TheOccultRejectsPatreonhttps://www.patreon.com/TheOccultRejectsBibliographyCore Eye Anatomy, Retina, Optic Nerve, and Visual PathwaysBelliveau, A. P., & Somani, A. N. “Pupillary Light Reflex.” StatPearls. Treasure Island, FL: StatPearls Publishing, updated 2023.Cleveland Clinic. “Optic Nerve: What It Is, Function, Anatomy & Conditions.” Cleveland Clinic, updated 2024.Gupta, M., & Ireland, A. C. “Neuroanatomy, Visual Pathway.” StatPearls. Treasure Island, FL: StatPearls Publishing, updated 2022.Kolb, H. “Simple Anatomy of the Retina.” Webvision: The Organization of the Retina and Visual System. University of Utah / NCBI Bookshelf.Purves, D., Augustine, G. J., Fitzpatrick, D., et al., eds. Neuroscience. Sunderland, MA: Sinauer Associates.Szabadi, E. “Functional Organization of the Sympathetic Pathways Controlling the Pupil: Light-Inhibited and Light-Stimulated Pathways.” Frontiers in Neurology 9, 2018.University of Texas Health Science Center at Houston. “Ocular Motor System.” Neuroscience Online.Pupillometry, Cognitive Load, Attention, and Mental EffortBeatty, Jackson. “Task-Evoked Pupillary Responses, Processing Load, and the Structure of Processing Resources.” Psychological Bulletin 91, no. 2, 1982: 276–292.Beatty, Jackson, and Brennis Lucero-Wagoner. “The Pupillary System.” In Handbook of Psychophysiology, edited by John T. Cacioppo, Louis G. Tassinary, and Gary G. Berntson. Cambridge: Cambridge University Press, 2000.Kahneman, Daniel, and Jackson Beatty. “Pupil Diameter and Load on Memory.” Science 154, no. 3756, 1966: 1583–1585.Kahneman, Daniel. Attention and Effort. Englewood Cliffs, NJ: Prentice-Hall, 1973.Laeng, Bruno, Sylvain Sirois, and Gustaf Gredebäck. “Pupillometry: A Window to the Preconscious?” Perspectives on Psychological Science 7, no. 1, 2012: 18–27.Mathôt, Sebastiaan. “Pupillometry: Psychology, Physiology, and Function.” Journal of Cognition 1, no. 1, 2018.Piquado, Tepring, David Isaacowitz, and Arthur Wingfield. “Pupillometry as a Measure of Cognitive Effort in Younger and Older Adults.” Psychophysiology 47, no. 3, 2010: 560–569.Zekveld, Adriana A., Sophia E. Kramer, and Tammo Houtgast. “The Pupil Dilation Response to Auditory Stimuli: Current State of Knowledge.” Trends in Hearing 22, 2018.Emotion, Attraction, Arousal, and the PupilBradley, Margaret M., Laura Miccoli, Miguel A. Escrig, and Peter J. Lang. “The Pupil as a Measure of Emotional Arousal and Autonomic Activation.” Psychophysiology 45, no. 4, 2008: 602–607.de Winter, Joost C. F., et al. “Replicating Five Pupillometry Studies of Eckhard Hess.” International Journal of Psychophysiology 165, 2021: 145–161.Hess, Eckhard H. “Attitude and Pupil Size.” Scientific American 212, no. 4, 1965: 46–54.Hess, Eckhard H., and James M. Polt. “Pupil Size as Related to Interest Value of Visual Stimuli.” Science 132, no. 3423, 1960: 349–350.Lang, Peter J., Margaret M. Bradley, and Bruce N. Cuthbert. International Affective Picture System (IAPS): Affective Ratings of Pictures and Instruction Manual. Gainesville: University of Florida, 2008.Pan, J., et al. “The Effects of Emotional Arousal on Pupil Size Depend on Background Luminance and Stimulus Type.” Scientific Reports 14, 2024.Locus Coeruleus, Norepinephrine, Salience, and AttentionAston-Jones, Gary, and Jonathan D. Cohen. “An Integrative Theory of Locus Coeruleus–Norepinephrine Function: Adaptive Gain and Optimal Performance.” Annual Review of Neuroscience 28, 2005: 403–450.Joshi, Siddhartha, Yin Li, Ram M. Kalwani, and Joshua I. Gold. “Relationships Between Pupil Diameter and Neuronal Activity in the Locus Coeruleus, Colliculi, and Cingulate Cortex.” Neuron 89, no. 1, 2016: 221–234.Murphy, Peter R., Ian H. Robertson, James H. Balsters, and Redmond G. O'Connell. “Pupillometry and P3 Index the Locus Coeruleus–Noradrenergic Arousal Function in Humans.” Psychophysiology 48, no. 11, 2011: 1532–1543.Sara, Susan J. “The Locus Coeruleus and Noradrenergic Modulation of Cognition.” Nature Reviews Neuroscience 10, 2009: 211–223.Uddin, Lucina Q. “Salience Processing and Insular Cortical Function and Dysfunction.” Nature Reviews Neuroscience 16, 2015: 55–61.Memory, Emotion, Initiation, and Ritual EncodingCahill, Larry, and James L. McGaugh. “Mechanisms of Emotional Arousal and Lasting Declarative Memory.” Trends in Neurosciences 21, no. 7, 1998: 294–299.McGaugh, James L. “Memory—A Century of Consolidation.” Science 287, no. 5451, 2000: 248–251.McGaugh, James L. “The Amygdala Modulates the Consolidation of Memories of Emotionally Arousing Experiences.” Annual Review of Neuroscience 27, 2004: 1–28.Seligman, Rebecca, and Laurence J. Kirmayer. “Dissociative Experience and Cultural Neuroscience: Narrative, Metaphor and Mechanism.” Culture, Medicine, and Psychiatry 32, 2008: 31–64.Seligman, Rebecca, Ryan A. Brown, and Laurence J. Kirmayer. “Theory and Method at the Intersection of Anthropology and Cultural Neuroscience.” Social Cognitive and Affective Neuroscience 5, no. 2–3, 2010: 130–139.Whitehouse, Harvey. Arguments and Icons: Divergent Modes of Religiosity. Oxford: Oxford University Press, 2000.Whitehouse, Harvey. Modes of Religiosity: A Cognitive Theory of Religious Transmission. Walnut Creek, CA: AltaMira Press, 2004.Ritual, Synchrony, Social Bonding, and Embodied MeaningHobson, Nicholas M., Juliana Schroeder, Jane L. Risen, Dimitris Xygalatas, and Michael I. Norton. “The Psychology of Rituals: An Integrative Review and Process-Based Framework.” Personality and Social Psychology Review 22, no. 3, 2018: 260–284.Jackson, Joshua Conrad, Brock Bastian, and others. “Synchrony and Physiological Arousal Increase Cohesion and Cooperation in Large Naturalistic Groups.” Scientific Reports 8, 2018.McCauley, Robert N., and E. Thomas Lawson. Bringing Ritual to Mind: Psychological Foundations of Cultural Forms. Cambridge: Cambridge University Press, 2002.Rappaport, Roy A. Ritual and Religion in the Making of Humanity. Cambridge: Cambridge University Press, 1999.Turner, Victor. The Ritual Process: Structure and Anti-Structure. Chicago: Aldine, 1969.Xygalatas, Dimitris. Ritual: How Seemingly Senseless Acts Make Life Worth Living. New York: Little, Brown Spark, 2022.Xygalatas, Dimitris, et al. “Extreme Rituals Promote Prosociality.” Psychological Science 24, no. 8, 2013: 1602–1605.Meditation, Prayer, Trance, and AbsorptionFox, Kieran C. R., Matthew L. Dixon, Savannah Nijeboer, et al. “Functional Neuroanatomy of Meditation: A Review and Meta-Analysis of 78 Functional Neuroimaging Investigations.” Neuroscience & Biobehavioral Reviews 65, 2016: 208–228.Jerath, Ravinder, John W. Crawford, Vernon A. Barnes, and Kyler Harden. “Self-Regulation of Breathing as a Primary Treatment for Anxiety.” Applied Psychophysiology and Biofeedback 40, 2015: 107–115.Lutz, Antoine, John D. Dunne, and Richard J. Davidson. “Meditation and the Neuroscience of Consciousness.” In The Cambridge Handbook of Consciousness, edited by Philip David Zelazo, Morris Moscovitch, and Evan Thompson. Cambridge: Cambridge University Press, 2007.Tellegen, Auke, and Gilbert Atkinson. “Openness to Absorbing and Self-Altering Experiences (‘Absorption'), a Trait Related to Hypnotic Susceptibility.” Journal of Abnormal Psychology 83, no. 3, 1974: 268–277.Vago, David R., and David A. Silbersweig. “Self-Awareness, Self-Regulation, and Self-Transcendence: A Framework for Understanding the Neurobiological Mechanisms of Mindfulness.” Frontiers in Human Neuroscience 6, 2012.Darkness, Sensory Deprivation, Ganzfeld, and Visual InstabilityCaputo, Giovanni B. “Strange-Face-in-the-Mirror Illusion.” Perception 39, no. 7, 2010: 1007–1008.Caputo, Giovanni B. “Visual Perception During Mirror-Gazing at One's Own Face in Patients with Depression.” The Scientific World Journal, 2014.Caputo, Giovanni B. “Strange-Face Illusions During Eye-to-Eye Gazing in Dyads.” Imagination, Cognition and Personality 38, no. 1, 2018: 51–77.Metzger, Wolfgang. “Optische Untersuchungen am Ganzfeld.” Psychologische Forschung 13, 1930: 6–29.Shenyan, O., et al. “Visual Hallucinations Induced by Ganzflicker and Ganzfeld Differ in Frequency, Complexity, and Content.” Scientific Reports 14, 2024.Wackermann, Jiří, Peter Pütz, and Carsten Allefeld. “Ganzfeld-Induced Hallucinatory Experience, Its Phenomenology and Cerebral Electrophysiology.” Cortex 44, no. 10, 2008: 1364–1378.Zuckerman, Marvin, and Nathan Cohen. “Sources of Reports of Visual and Auditory Sensations in Perceptual-Isolation Experiments.” Psychological Bulletin 61, no. 1, 19Also want to remind people about the website, if you're into reading we have tons of information by multiple contributors, and we got t-shirts up on the site if you're interested. Fun fact, the art is all based on the eyeball. 

Most apple cider vinegar on supermarket shelves is dead. Pasteurized. Filtered. Stripped of the mother, the enzymes, and the polyphenols that made vinegar a medical remedy for over 2,000 years — sold back to you at a 33-fold markup for what's essentially acidified water. In this episode, we make genuine raw, unpasteurized apple cider vinegar from scratch — for about 30 cents a batch. You'll learn the two-stage fermentation process, how to avoid mold and spoilage, and why homemade ACV is more biologically active than anything you can buy. ⏱ Cost breakdown: $10 vs $0.30 11:00 — Safety rules you must follow

Welcome to Hacking Your ADHD. I'm your host, William Curb, and I have ADHD. On this podcast, I dig into the tools, tactics, and best practices to help you work with your ADHD brain. Today, I'm joined by Skye Waterson for our Research Recap series. In this series, we take a look at a single research paper and dive into what the paper says and how it was conducted, and try to find any practical takeaways. In this episode, we're going to be discussing a paper called "Bidirectional Association Between Allergic Rhinitis and Attention-Deficit/Hyperactivity Disorder: A Systematic Review and Meta-Analysis." This is a comprehensive study looking at the relationship between allergic rhinitis—which is more commonly known as hay fever—and ADHD. All right, let's get into it. If you'd life to follow along on the show notes page you can find that at https://HackingYourADHD.com/305 https://tinyurl.com/56rvt9fr - Unconventional Organisation Affiliate link https://tinyurl.com/y835cnrk - YouTube https://www.patreon.com/HackingYourADHD - Patreon

Vegan diets outperform Mediterranean diets in reversing disease and lowering risk—while oils and animal fats still raise mortality. #BestHeartDiet #VeganVsMediterranean #OilsDebate

Send us Fan MailIn this systematic review and meta-analysis, Nim and Adrianne dig into just how common brain injury really is in neonates with critical congenital heart disease. Pooling 31 studies spanning two decades, the authors found that nearly 70% of these babies show some form of ischemic brain injury, split roughly between pre-operative and post-operative timing. Counter to what most clinicians would predict, kids who went to surgery earlier (days 4-6) had higher rates of white matter injury than those who waited longer. MRI remained the most sensitive tool for picking up these lesions, well ahead of ultrasound or CT. But the data stops well short of proving these findings predict long-term outcomes, and Nim pushes back on the idea that an abnormal scan alone should steer decisions about whether to operate.----Prevalence of Ischemic Brain Injury in Neonates With Congenital Heart Disease: A Systematic Review and Meta-Analysis.Kim C, Chetan D, Kazazian V, Alzamil J, Chau V, Seed M, Miller SP, Selvanathan T.Neurology. 2026 Feb 10;106(3):e214569. doi: 10.1212/WNL.0000000000214569. Epub 2026 Jan 9.PMID: 41512205Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!

Childhood obesity and micronutrient deficiencies are two major public health concerns in Mexico, but how closely are they connected? In this episode, Editor in Chief Douglas Taren speaks with Dr. Magaly Aceves-Martins about her work on this month's featured article.  

ADHS ist eine weit verbreitete psychische Störung mit den Hauptsymptomen der Unaufmerksamkeit und/oder Hyperaktivität und Impulsivität. Doch welche Auswirkungen hat die ADHS auf sprachliche und kommunikative Fähigkeiten eines Menschen?In dieser Folge von Sprachpfade schauen wir uns an, was die Sprachwissenschaft über sprachlich-kommunikative Fähigkeiten bei Menschen mit ADHS weiß. Dabei geht es unter anderem um Gesprächsführung, Redefluss, das Erzählen von Geschichten sowie das Verständnis von Ironie, Metaphern und anderen Formen nicht-wörtlicher Sprache. Wir fragen, ob und in welchen Bereichen Menschen mit ADHS tatsächlich sprachliche oder pragmatische Beeinträchtigungen zeigen, und beschreiben, welche Einflussfaktoren in der aktuellen Forschung diskutiert werden. Außerdem werfen wir einen Blick auf die Unterschiede zwischen Kindern und Erwachsenen mit ADHS und diskutieren, warum die Forschung zu diesem Thema mitunter schwierig zu interpretieren ist.Ein spannender Sprachpfad an der Schnittstelle von Sprachwissenschaft, Psychologie und Neurodivergenz. Hört gerne rein und teilt uns mit, welche Beobachtungen ihr im Alltag bereits gemacht habt.Ein Podcast von Anton und Jakob.Ein Podcast von Anton und Jakob. Instagram: https://www.instagram.com/sprachpfade ---Literatur:Zur ADHS:Faraone, Stephen V., Tobias Banaschewski, David Coghill, Yi Zheng, Joseph Biederman, Mark A. Bellgrove, Jeffrey H. Newcorn, et al. 2021. The World Federation of ADHD International Consensus Statement: 208 Evidence-based conclusions about the disorder. Neuroscience & Biobehavioral Reviews 128. 789–818. https://doi.org/10.1016/j.neubiorev.2021.01.022.Steinhausen, Hans-Christoph, Manfred Döpfner, Martin Holtmann, Alexandra Philipsen & Aribert Rothenberger. 2024. Handbuch ADHS. W. Kohlhammer GmbH. https://doi.org/10.17433/978-3-17-044010-4.Leitlinie zur ADHS: https://register.awmf.org/assets/guidelines/028-045l_S3_KF_Aufmerksamkeitsdefizit-Hyperaktivit%C3%A4tsstoerung-ADHS-Kinder-Jugendliche-Erwachsene_205-05.pdf (Die Leitlinie befindet sich aktuell in der Konsultationsphase und ist noch nicht veröffentlicht, Stand: 12.07.2026). Sprachliche und pragmatische Fähigkeiten bei Personen (insbesondere Kindern) mit ADHS: Caillies, Stéphanie, Vincine Bertot, Jacques Motte, Christine Raynaud & Michel Abely. 2014. Social cognition in ADHD: Irony understanding and recursive theory of mind. Research in Developmental Disabilities 35(11). 3191–3198. https://doi.org/10.1016/j.ridd.2014.08.002.Carruthers, Sophie, Lauren Taylor, Hafiza Sadiq & Gail Tripp. 2022. The profile of pragmatic language impairments in children with ADHD: A systematic review. Development and Psychopathology 34(5). 1938–1960. https://doi.org/10.1017/S0954579421000328.Green, Benita C., Katherine A. Johnson & Lesley Bretherton. 2014. Pragmatic language difficulties in children with hyperactivity and attention problems: an integrated review. International Journal of Language & Communication Disorders 49(1). 15–29. https://doi.org/10.1111/1460-6984.12056.Kessler, Paige B. & Toshikazu Ikuta. 2023. Pragmatic Deficits in Attention Deficit/Hyperactivity Disorder: Systematic Review and Meta-Analysis. Journal of Attention Disorders 27(8). 812–821. https://doi.org/10.1177/10870547231161534.Korrel, Hannah, Kathryn L. Mueller, Tim Silk, Vicki Anderson & Emma Sciberras. 2017. Research Review: Language problems in children with Attention-Deficit Hyperactivity Disorder – a systematic meta-analytic review. Journal of Child Psychology and Psychiatry 58(6). 640–654. https://doi.org/10.1111/jcpp.12688.Kyriacou, Marianna, Cecilie Rummelhoff & Franziska Köder. 2025. Irony Processing in Adults with ADHD: Evidence From Eye-Tracking and Executive Attention Tasks. Journal of Attention Disorders 29(9). 724–744. https://doi.org/10.1177/10870547251333819.Kyriacou, Marianna & Franziska Köder. 2023. Exploring the pragmatic competence of adults with ADHD: an eye-tracking reading study on the processing of irony. OSF. https://doi.org/10.17605/OSF.IO/HR2FD.Staikova, Ekaterina, Hilary Gomes, Vivien Tartter, Allyssa McCabe & Jeffrey M. Halperin. 2013. Pragmatic deficits and social impairment in children with ADHD. Journal of Child Psychology and Psychiatry 54(12). 1275–1283. https://doi.org/10.1111/jcpp.12082.Väisänen, Raija, Soile Loukusa, Irma Moilanen & Anneli Yliherva. 2014. Language and pragmatic profile in children with ADHD measured by Children's Communication Checklist 2nd edition. Logopedics Phoniatrics Vocology. Taylor & Francis 39(4). 179–187. https://doi.org/10.3109/14015439.2013.784802.Vassiliu, Chrysoula, Angeliki Mouzaki, Faye Antoniou, Asimina M. Ralli, Vassiliki Diamanti, Sophia Papaioannou & Napoleon Katsos. 2022. Development of Structural and Pragmatic Language Skills in Children With Attention-Deficit/Hyperactivity Disorder. Communication Disorders Quarterly. SAGE Publications Inc 44(4). 15257401221114062. https://doi.org/10.1177/15257401221114062. Zum kindlichen Spracherwerb siehe Kauschke, Christina. 2012. Kindlicher Spracherwerb im Deutschen: Verläufe, Forschungsmethoden, Erklärungsansätze. De Gruyter. https://doi.org/10.1515/9783110283891. Weitere Links:Informationen zur ADHS im Deutschlandfunk Kultur: https://www.deutschlandfunkkultur.de/adhs-trend-diagnose-therapie-100.html#Modediagnose.Titelthema „ADHS“ im Spiegel: https://www.spiegel.de/spiegel/print/index-2025-3.htmlWeiterführende Informationen zur ADHS: https://adhs-deutschland.de/ Gegenüber Themenvorschlägen für die kommenden Ausflüge in die Sprachwissenschaft und Anregungen jeder Art sind wir stets offen. Wir freuen uns auf euer Feedback! Schreibt uns dazu einfach an oder in die DMs: anton.sprachpfade@protonmail.com oder jakob.sprachpfade@protonmail.com ---Grafiken und Musik von Elias Kündiger https://on.soundcloud.com/ySNQ6

*Content Warning:  neglect, rejection, friendship betrayal, betrayal, and infidelity.Free + Confidential Resources + Safety Tips: somethingwaswrong.com/resources   SWW Sticker Shop!: https://brokencyclemedia.com/sticker-shop SWW S26 Theme Song & Artwork: The S26 cover art is by the Amazing Sara Stewart instagram.com/okaynotgreat/  Follow Something Was Wrong: Website: somethingwaswrong.com  IG: instagram.com/somethingwaswrongpodcast TikTok: tiktok.com/@somethingwaswrongpodcast  Follow Tiffany Reese: Website: tiffanyreese.me  IG: instagram.com/lookieboo Follow Dr. Rebecca Schwartz-Mette: Research - https://ubwp.buffalo.edu/birch Faculty Page: https://arts-sciences.buffalo.edu/psychology/faculty/faculty-directory.host.html/content/shared/arts-sciences/psychology/faculty-staff/faculty-profiles/schwartz-mette-rebecca.html Book - https://www.combinedacademic.co.uk/author/rebecca-a-schwartz-mette/ Therapy Page: https://www.meridianpractice.org/staff/beccaschwartzmette *Sources:  Abrams, Zara. “The Science of Why Friendships Keep Us Healthy.” Monitor on Psychology, vol. 54, no. 4, 1 June 2023, American Psychological Association, https://www.apa.org/monitor/2023/06/cover-story-science-friendship Choukas-Bradley, Sophia. “Rejection Sensitivity Dysphoria: The Actual Research.” Psychology Today, 29 Apr. 2026, https://www.psychologytoday.com/us/blog/if-i-be-waspish/202604/rejection-sensitivity-dysphoria-the-actual-research Degges-White, Suzanne. “Not All Friendships Last Forever.” Psychology Today, 29 June 2017, https://www.psychologytoday.com/us/blog/lifetime-connections/201706/not-all-friendships-last-forever Dong, Kaixi et al. “The Relationship Between Co-rumination and Depressive Symptoms: A Systematic Review and Meta-Analysis.” Journal of youth and adolescence vol. 54,6 (2025): 1551-1569. doi:10.1007/s10964-025-02140-9. https://pubmed.ncbi.nlm.nih.gov/39891852/  “Doomscrolling and Its Effects on the Brain.” American Brain Foundation, 15 Apr. 2025, https://www.americanbrainfoundation.org/doomscrolling-and-its-effects-on-the-brain/ Gillis, Kaytee. “How Our Trauma History Can Affect Our Friendships.” Psychology Today, 23 May 2025, https://www.psychologytoday.com/us/blog/invisible-bruises/202504/how-our-trauma-history-can-affect-our-friendships Google Scholar. “Google Scholar Profile: Dr. Rebecca Schwartz-Mette,” https://scholar.google.com/citations?user=4LNWZdcAAAAJ&hl=en Leary, Mark R. “Emotional responses to interpersonal rejection.” Dialogues in clinical neuroscience vol. 17,4 (2015): 435-41. doi:10.31887/DCNS.2015.17.4/mleary https://pmc.ncbi.nlm.nih.gov/articles/PMC4734881/ Nelson, Jocelyn. “When a Friend Hurts You: Coping With Friendship Betrayal.” The Family Institute at Northwestern University, 29 June 2026, https://www.family-institute.org/behavioral-health-resources/when-friend-hurts-you-coping-friendship-betrayal Novotni, Michele. “Making Friends with Autism Spectrum Disorder and ADHD.” ADDitude, https://www.additudemag.com/making-friends-autism-spectrum-disorder-adhd/ Ruiz, Wawie D G, and Homer J Yabut. “Autonomy and identity: the role of two developmental tasks on adolescent's wellbeing.” Frontiers in psychology vol. 15 1309690. 10 Apr. 2024, doi:10.3389/fpsyg.2024.1309690 https://pmc.ncbi.nlm.nih.gov/articles/PMC11042260/ Satici, Seydi Ahmet et al. “Doomscrolling Scale: its Association with Personality Traits, Psychological Distress, Social Media Use, and Wellbeing.” Applied research in quality of life vol. 18,2 (2023): 833-847. doi:10.1007/s11482-022-10110-7 https://pmc.ncbi.nlm.nih.gov/articles/PMC9580444/ Schwartz-Mette, Rebecca A. Depression in Childhood and Adolescence: A Guide for Practitioners. Momentum Press, 2016. Schwartz-Mette, Rebecca A., and Amanda J. Rose. “Co-Rumination Mediates Contagion of Internalizing Symptoms within Youths' Friendships.” Developmental Psychology, vol. 48, no. 5, 2012, pp. 1355–1365. https://doi.org/10.1037/a0027484 Schwartz-Mette, Rebecca A., et al. “Relations of Friendship Experiences with Depressive Symptoms and Loneliness in Childhood and Adolescence: A Meta-Analytic Review.” Psychological Bulletin, vol. 146, no. 8, 2020, pp. 664–700. https://doi.org/10.1037/bul0000239 Wallace, Anna Kodé. "Why Friendship Betrayal Feels Impossible to Get Over." The Cut, 22 Apr. 2026, https://www.thecut.com/article/friendship-betrayal-explained-psychology-summer-house.html

Sepsis management has traditionally focused on timely antibiotic treatment, hemodynamic support, and source control, but emerging evidence suggests that outcomes may be shaped long before patients reach the ICU. In this episode of the Society of Critical Care Medicine (SCCM) Podcast, host Diane C. McLaughlin, DNP, AGACNP-BC, CCRN, FCCM, speaks with Sayed Abdulmotaleb Almoosawy, MBChB (Hons), about his article “The Association Between Socioeconomic Position and Mortality in Patients With Sepsis and Septic Shock—A Systematic Review and Meta-Analysis,” published in the April 2026 issue of Critical Care Medicine. Drawing on 13 observational studies that encompassed nearly 4 million patients, the analysis evaluates how factors such as insurance status, income, education, and neighborhood deprivation relate to short-term mortality outcomes. The findings reveal a consistent association between lower socioeconomic position and increased mortality, with lack of private insurance demonstrating the strongest signal—likely reflecting barriers to timely access to care and delayed presentation. This episode challenges clinicians and researchers alike to recognize the link between socioeconomic disadvantages and worse sepsis outcomes, highlighting the need to collect equity-relevant data and reduce gaps in care to improve survival for critically ill patients. Resources referenced in this episode: Almoosawy SA, Fernando SM, Rochwerg B, et al. The association between socioeconomic position and mortality in patients with sepsis and septic shock—a systematic review and meta-analysis. Crit Care Med. 2026;54(4):692-700. Prescott HC, Antonelli M, Alhazzani W, et al. Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2026. Crit Care Med. 2026;54(4):725-812.

Links For The Occult Rejectshttps://linktr.ee/theoccultrejectsOccult Research Institutehttps://www.occultresearchinstitute.org/Substackhttps://substack.com/@theoccultrejects?r=7auau0&utm_campaign=profile&utm_medium=profile-pageCash Apphttps://cash.app/$theoccultrejectsVenmo@TheOccultRejectsBuy Me A Coffeebuymeacoffee.com/TheOccultRejectsPatreonhttps://www.patreon.com/TheOccultRejectsCondensed Bibliography for Part ThreeClark L. Hull. Hypnosis and Suggestibility: An Experimental Approach.André M. Weitzenhoffer and Ernest R. Hilgard. Stanford Hypnotic Susceptibility Scales.Ernest R. Hilgard. Divided Consciousness: Multiple Controls in Human Thought and Action.Josephine R. Hilgard. Personality and Hypnosis: A Study of Imaginative Involvement.Milton H. Erickson. Selected papers and writings on clinical hypnosis.Milton H. Erickson and Ernest L. Rossi. Hypnotherapy: An Exploratory Casebook.Milton H. Erickson, Ernest L. Rossi, and Sheila I. Rossi. Hypnotic Realities.David Spiegel and Herbert Spiegel. Trance and Treatment: Clinical Uses of Hypnosis.American Psychological Association Division 30, Society of Psychological Hypnosis. Official definition and materials on hypnosis.Heidi Jiang, Matthew P. White, Michael D. Greicius, Laura Waelde, and David Spiegel. “Brain Activity and Functional Connectivity Associated with Hypnosis.”Guy H. Montgomery, Katherine N. DuHamel, and William H. Redd. “A Meta-Analysis of Hypnotically Induced Analgesia.”Mark P. Jensen. Hypnosis for Chronic Pain Management.David R. Patterson. Clinical Hypnosis for Pain Control.Peter J. Whorwell. Foundational work on gut-directed hypnotherapy for irritable bowel syndrome.Olafur S. Palsson. Work on gut-directed hypnosis and IBS treatment protocols.Wendy M. Gonsalkorale. Research on hypnotherapy and IBS outcomes.Douglas A. Drossman. Writings on disorders of gut-brain interaction and biopsychosocial models.Auke Tellegen and Gilbert Atkinson. Work on absorption and personality traits related to hypnotic responsiveness.Nicholas P. Spanos. Research on hypnosis, role enactment, and sociocognitive approaches.Theodore X. Barber. Hypnosis: A Scientific Approach.Martin T. Orne. Studies on demand characteristics, hypnosis, and the social psychology of the hypnotic situation.Irving Kirsch. Research on response expectancy and hypnosis.Peter Lamont. Extraordinary Beliefs: A Historical Approach to a Psychological Problem.Daniel M. Wegner. The Illusion of Conscious Will.Patrick Haggard. Research on volition, agency, and the sense of control.Also want to remind people about the website, if you're into reading we have tons of information by multiple contributors, and we got t-shirts up on the site if you're interested. Fun fact, the art is all based on the eyeball. 

In this episode, we review the high-yield topic of ⁠ ⁠Systemic Review and Meta-Analysis⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ from the Stats section at ⁠⁠⁠⁠Medbullets.com⁠⁠⁠⁠⁠⁠Follow⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Medbullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets

In this episode of The Dairy Podcast Show, Dr. José Neto, Assistant Professor at Michigan State University, explains how meta-analysis and large-scale data analytics are improving dairy nutrition research. He discusses fatty acid supplementation, nutrient interactions, digestibility responses, nutrition modeling, and opportunities to strengthen decision-making through data-driven approaches in dairy production. Listen now on all major platforms!"Meta-analysis provides a statistical framework that combines findings from multiple studies, creating a broader understanding of nutritional responses across different production environments and management conditions."Meet the guest: Dr. José Neto is an Assistant Professor in the Department of Animal Science at Michigan State University. His research focuses on dairy cattle nutrition, lipid metabolism, nutrigenetics, nutrition models, and large-scale data analytics to better understand nutrient digestibility, metabolism, energy partitioning, and production responses in dairy cows. Learn from Dr. José Neto on The Dairy Podcast Show. Listen now on all major platforms!Liked this one? Don't stop now — Here's what we think you'll love!What you'll learn:(00:00) Highlight(01:43) Introduction(07:16) Meta-analysis basics(13:19) Fatty acid responses(18:38) Nutrient interactions(21:14) Digestibility modeling(24:43) Artificial intelligence(30:51) Final QuestionsThe Dairy Podcast Show is trusted and supported by innovative companies like:Berg + Schmidt* CowManager* Afimilk* Agri-Comfort* Evonik* Adisseo- BoviSync- Natural Biologics- dsm-firmenich- Protekta- Agrarian Solutions- Chemlock Nutrition- Rangen Group- DietForge- AHV

(A note before we get into it: this article is educational, not medical advice. Talk to your doctor or a registered dietitian before making major changes to your diet — especially if you have diabetes or pre-diabetes, take blood-sugar medication, are pregnant or nursing, or are managing any chronic condition. Nothing here is intended to diagnose, treat, cure, or prevent any disease.)Research shows well-built plant-based diets usually lower blood sugar. If yours moved the other way, one of six silent glucose traps is almost always the reason — and every one of them is fixable.TLDR* The research is actually on vegetarianism's side. Large reviews of clinical trials show vegetarian and vegan diets tend to lower A1C, not raise it.* So if your numbers went up, something in how the diet was built is the real cause — not the fact that it's plant-based.* Six usual suspects: too little protein, “naked” carbs with no brakes, shrinking muscle mass, too much fermentable fiber too fast, high stress/cortisol, and late-night eating.* Each one is a fixable habit, not a reason to abandon vegetarianism.Wait — Doesn't “Plant-Based” Mean Healthier Blood Sugar?Usually, yes. When researchers actually put vegetarian diets to the test in clinical trials, the pattern is consistent: people following them tend to see their A1C go down, not up. A meta-analysis pooling multiple randomized trials found vegetarian diets were linked to a meaningful drop in A1C, and a separate meta-analysis of nine trials found a similar reduction — enough that it would be considered clinically significant by the FDA's own bar for new diabetes drugs.So if you switched to vegetarian eating and your last lab draw came back worse, I want to be straight with you: that's not the expected outcome, and it's not “just what happens” when you cut out meat. Something specific is working against you. The good news is that it's almost always one of a handful of well-understood mechanisms — and once you know which one, it's a quick fix, not a diet overhaul.Think of it like this: a car engine doesn't run worse because you switched to a different brand of gas. It runs worse because something specific — a clogged filter, bad timing, low oil — is getting in the way. Same idea here. Let's go through the six most common “clogs.”THRIVE 120 - TriplePlayDoc is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.1. The Protein Drop You Didn't NoticeThis is the single most common one. When people cut out meat, they usually don't replace that protein gram-for-gram with plant protein — they replace it with more carbs, because carbs are what fill the plate: extra rice, extra bread, extra pasta.Here's why that matters for blood sugar specifically. Protein eaten alongside carbohydrate isn't just “extra food” — it changes how your body handles the carbs. A meta-analysis of controlled feeding trials found that adding protein to a carb-containing meal meaningfully lowers the post-meal glucose spike, largely by boosting the insulin response that clears sugar out of the bloodstream faster. Pull protein out of the meal and carbs hit your blood essentially unguarded.Think of protein as the brakes on a sugar rollercoaster. Take the brakes off, and the same carbs you were eating before now send your blood sugar higher and faster than they used to.2. Naked Carbs, No BrakesThis is the same problem from a different angle: oatmeal for breakfast, a rice bowl for lunch, a smoothie for a snack. All reasonable foods — but if none of them are paired with enough protein or fat, and you're not about to go move that sugar with a workout, it hits your bloodstream as a fast, unbuffered spike. Your body answers with a bigger insulin surge, and doing that meal after meal, day after day, is exactly the pattern linked to declining insulin sensitivity over time.3. The Muscle FactorThis one surprises people: your muscles are the biggest “storage tank” for the sugar you eat. After a meal, skeletal muscle soaks up roughly 70–80% of the glucose that comes out of your bloodstream, using it to refill glycogen stores. Researchers who study this consider muscle glucose uptake the single biggest lever on whole-body insulin sensitivity.So when protein intake drops and resistance training isn't part of the picture, muscle mass tends to shrink over time — and that storage tank gets smaller. Less tank space means the same meal now leaves more sugar circulating in your blood for longer, which shows up as a slow, creeping rise in A1C.Muscle is basically your body's biggest gas tank for sugar. Shrink the tank, and the same fill-up overflows.4. High Fiber, High StressFiber itself is not the villain here — in fact, the right kind of fiber is one of the best tools for blood sugar control. Viscous, soluble fibers (found in oats, beans, and psyllium) form a gel in your gut that physically slows down how fast sugar gets absorbed, and trials show this type of fiber measurably lowers both A1C and fasting blood sugar.The issue is a different kind of fiber problem: volume and speed. Vegetarian diets are often naturally high in fermentable fiber — beans, lentils, certain grains — and when your gut bacteria break that fiber down, the fermentation process produces gas as a byproduct. Ramp up fiber intake quickly, especially the fast-fermenting kinds, and you can outpace your gut's ability to comfortably process it, leading to bloating and discomfort. That physical stress on your body, especially combined with everyday life stress, triggers cortisol release — and cortisol has a direct, well-documented job of raising blood glucose by signaling your liver to make more sugar and by making your cells less responsive to insulin.Think of fiber fermentation like a construction project in your gut. The building itself (your microbiome) benefits — but a project moving too fast kicks up a lot of dust (gas and bloating) along the way.5. Timing and Circadian RhythmsThe lifestyle shift that often comes with going vegetarian — more grazing, more small meals, more snacking — can quietly push more of your eating into the evening. That timing matters more than most people realize. Multiple studies using identical meals given at different times of day have found that the exact same meal produces a bigger blood sugar spike at night than it does in the morning, because your insulin sensitivity and beta-cell function both naturally dip in the evening. One study even found a late meal after 8pm was independently linked to worse A1C.Your body runs on a work shift for carbs. The day shift (morning, early afternoon) handles them efficiently. The night shift is running on a skeleton crew — the same carb load left unprocessed for longer, working against you while you sleep.6. Cortisol: The Common ThreadYou'll notice cortisol keeps coming up — that's not a coincidence. Cortisol's actual job during stress is to make more glucose available fast, by triggering your liver to produce it and by directly blunting how well your cells respond to insulin. Whether the stressor is emotional (a hard week at work) or physical (a gut that's working overtime to ferment more fiber than it's used to, or a body that's lost muscle mass and is struggling to regulate blood sugar as efficiently), the hormonal response is the same: more sugar released, less efficiently cleared.Who's Most Likely to Notice This?Not everyone who goes vegetarian sees their A1C move. The people most likely to notice these effects are those who already have some combination of insulin resistance, chronic stress, poor sleep, low muscle mass, or a sensitive gut. For them, a vegetarian diet doesn't cause the problem — it tends to reveal a metabolic bottleneck that was already there, quietly, underneath a different diet.This isn't a case against vegetarian eating. The clinical research is genuinely favorable toward it. It's a case for building it correctly — with enough protein, the right kind and pace of fiber, resistance training to protect muscle, and carbs eaten earlier in the day, paired with something that slows them down.Six Bottlenecks at a GlanceThe Bottom LineThe question was never really “is vegetarianism good or bad for blood sugar?” — the research says it's generally good when it's built well. The real question is: what's your body's current metabolic bottleneck? Is it protein? Muscle? Fiber pacing? Timing? Stress? Most people are dealing with one or two of these more than the others, and once you know which, the fix is usually a small, specific adjustment — not throwing out the diet.The goal isn't just to tweak what's on your plate. It's to find the actual thing standing between you and the results you were expecting when you made this change in the first place.References* Vegetarian and Vegan Dietary Patterns to Treat Adult Type 2 Diabetes: A Systematic Review and Meta-Analysis of RCTs — ScienceDirect: https://www.sciencedirect.com/science/article/pii/S2161831324001285* Vegetarian diets and glycemic control in diabetes: a systematic review and meta-analysis — PubMed: https://pubmed.ncbi.nlm.nih.gov/25414824/* The Effect of Adding Protein to a Carbohydrate Meal on Postprandial Glucose and Insulin Responses: A Systematic Review and Meta-Analysis — ScienceDirect: https://www.sciencedirect.com/science/article/pii/S0022316624003924* The Role of Skeletal Muscle Glycogen Breakdown for Regulation of Insulin Sensitivity by Exercise — Frontiers in Physiology: https://www.frontiersin.org/journals/physiology/articles/10.3389/fphys.2011.00112/full* Glucose Uptake by Skeletal Muscle within the Contexts of Type 2 Diabetes and Exercise — MDPI/Nutrients: https://www.mdpi.com/2072-6643/14/3/647* Effect of viscous soluble dietary fiber on glucose and lipid metabolism in patients with T2DM: systematic review and meta-analysis — PMC: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10500602/* Dietary fiber in irritable bowel syndrome (fermentation and gas production) — PMC: https://pmc.ncbi.nlm.nih.gov/articles/PMC5548066/* Fibre, fermentation, FODMAPs and flatulence — Quadram Institute: https://quadram.ac.uk/blogs/fibre-fermentation-fodmaps-and-flatulence/* Physiology, Cortisol — StatPearls, NCBI Bookshelf: https://www.ncbi.nlm.nih.gov/books/NBK538239/* Endogenous circadian system and circadian misalignment impact glucose tolerance via separate mechanisms in humans — PNAS: https://www.pnas.org/doi/10.1073/pnas.1418955112* Impact of circadian disruption on glucose metabolism: implications for type 2 diabetes — Diabetologia/PMC: https://pmc.ncbi.nlm.nih.gov/articles/PMC7002226/* Chronotype, Chrononutrition and Glucose Tolerance Among Prediabetic Individuals (late-dinner/A1C link): https://cdn.clinicaltrials.gov/large-docs/64/NCT05163964/Prot_SAP_ICF_004.pdfTHRIVE 120 - TriplePlayDoc is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit tripleplaydoc.substack.com/subscribe

Weniger als vier von 100. So wenige gingen ein Jahr später noch ins Fitnessstudio. Und das lag nicht daran, dass sie nicht wollten.Fitness-Gewohnheiten – ob gesundes Essen, Supplement-Einnahme oder regelmäßiges Training – spielen neurobiologisch in einer eigenen Liga. Am Anfang arbeitet Dein Gehirn gegen Dich. Am Ende dieser Folge weißt Du, warum, und mit welchen drei Strategien Du trotzdem dranbleibst.Du erfährst:Warum sich die ersten Wochen wie ein Kampf anfühlen, und wann sich das drehtWarum die „21-Tage-Regel“ nicht funktioniert – und wie lange Du wirklich brauchst3 simple Strategien, die in Studien zu >50% häufigerem Training führen.Los geht's. Und dann: dranbleiben.____________*WERBUNG: Infos zum Werbepartner dieser Folge und allen weiteren Werbepartnern findest Du hier.

父权制的初始底层代码是残酷的，违反人性的，那么它为什么能持续至今呢？人们，尤其是作为被殖民的女性，为什么会配合和允许它？因为父权制的设计者们还发明了一套更有欺骗性、更复杂的编码，来驯服、诱导被统治者服从于父权秩序。 在这一期里，我们将继续以母权视角，分析父权制这套更复杂的编码中的前四个部分。从父权制占有式的性别关系、亲子关系、孝道、圣娼二分法到色情产业，父权制是如何利用人性的弱点，恐吓、驯服、引诱、欺骗女性参与这个对自己不利的游戏的。我们会分析在这场游戏里，女性被剥夺了什么，被什么机制控制和围猎，又被哪些空洞的许诺所诱惑，陷入分裂和彼此攻击。在了解父权制这些权力的运作机制之后，我们就可以开始从根源上击碎父权制给我们头脑中设定的伦理枷锁。 本期播客提纲： 一、树立男尊女卑的占有式性别关系和亲子关系 树立男性占有女性和孩子的“天道”论 以双重标准的律法保证男性霸权 复杂冷酷的父子私有制 “创生”堕落成“繁殖” 人口泛滥 二、创立孝道邪教 《孝经》：儒家父权的治国洗脑工具 孝道的核心理念 孝道文化的欺骗手段 男性主体的孝道叙事 举孝廉制度：父权官僚精英的筛选和表演 制造男宝妈 三、“圣娼二分法”：挑拨离间的父权统治术 起源：“纯洁/污秽”二分法 圣母/圣女：为男性统治者/精英牺牲的女人 “贞节”的发明 娼妓/荡妇：男性驯服女性、分裂女性的工具 四、色情产业：男性对女性的持续围猎 色情业是父权制的必然产物 色情业的基础：男性霸权和暴力 性暴力表演塑造脑回路 男性针对女性的日常战争 不断变形的恋童文化 男性的淫秽性团结：男性维护霸权的黑帮仪式 父权色情业的女性捍卫者：自由的陷阱 结语：制造选择退出的心理成本 本期提到的重要书籍和论文： 《看见》by 柴静 《论语》 《礼记》 《孝经》 《二十四孝》 《列女传》 《Sex, Law, and Society in Late Imperial China》by Matthew H. Sommer "Fornication in the Late Qing Legal Reforms: Moral Teachings and Legal Principles." By Alison Sau-Chu Yeung 《战国策》 《史记》 《家庭、私有制与国家的起源》by 恩格斯 《色情：拥有女人的男人》by 安德里亚·德沃金 《Pornland》 by Gail Dines 《人渣宣言S.C.U.M Manifesto》by 瓦莱丽·索拉娜丝 《A Meta-Analysis of Pornography Consumption and Actual Acts of Sexual Aggression in General Population Studies》by Wright, Tokunaga & Kraus, Journal of Communication, 2016 《始于极限》by 上野千鹤子 铃木凉美 《助推》by理查德•塞勒 卡斯•桑德斯

Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper on SGLT2 Inhibitors in Cardio-Oncology: A Systematic Review and Meta-Analysis.

Join host Dr. Alex Crespo as he chats with Dr. William Ricci and third year medical student, Mr. Robert Bilodeau about their article entitled: " Patient-Reported Outcomes After Distal Radius Fractures Differ Across Geographic and Cultural Populations: A Global Systematic Review and Meta-Analysis," as they go beyond the text to understand the impetus behind the study and interesting information they derived during the study.  Click here to see the abstract.  For additional educational resources visit OTA.org

Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper on Associations of Central Adiposity With Subclinical Coronary Calcification and Disease Progression: Meta-Analysis of 68,629 Participants.

This podcast by Dr. Marie Pigeyre explores emerging evidence on clonal hematopoiesis, highlighting its role as a systemic driver of inflammation and its association with increased risk of cardiovascular disease, stroke, and type 2 diabetes. The discussion emphasizes the growing importance of clonal hematopoiesis in cardiometabolic risk, precision prevention, and aging biology, while noting that routine clinical screening is not yet recommended.

Jonny and Phil review the South Coast GT weekend: venue praise, the 1,000‑point pack, mission choices, and how the tables and timing worked. Phil also announces the details of English Open (Warfare, 14–15 November, 1066 points, thematic lists) and explains booking details and incentives. The episode covers competitive meta takeaways — Japan's strong showing, the value of veteran troops and dice count, the role of armour and flamethrowers, and tips on listbuilding — and finishes with results and awards, including the top placings and community shoutouts. Links:

The March 2026 ACC/AHA Guideline on the Management of Dyslipidemia made a major pivot regarding Lipoprotein(a) by establishing a formal recommendation for universal screening in adults. This 2026 guideline, published in the Journal of the American College of Cardiology, issued a Class 1 recommendation stating that every adult should have their Lp(a) measured at least once in their lifetime. Because Lp(a) levels are genetically determined and remain highly stable throughout a person's life, a single lifetime check is sufficient for the vast majority of the population to establish their baseline risk. Well, that's great for Family medicine or internal medicine, but how does that affect us in women's health? Well, it's complicated: lipoprotein(a) has been associated with an increased risk of VTE and has also been associated, in some studies, with FGR, preeclampsia, and preterm birth! So, can these patients receive oral contraceptives? What about Perioperative and postop care? Do these patients require anticoagulation? What about pregnancy- is LDA recommended here? And lastly, what about TXA use in patients with HMB? This podcast topic comes from one of our podcast family members who is an OBGYN military personnel caring for our wonderful troops overseas. Listen in for details!16% OFF TONA ACTIVE WEAR PROMO: https://tonaactive.com/discount/CHAPANOSPINOBG1. Ezzat, D., Lopez, D. M., Claggett, B. L., Li, L., Mohammadnia, N., Schuermans, A., Hemeryck, J., Chang, A., Murillo, S., O'Donoghue, M. L., Bikdeli, B., Yu, Z., Natarajan, P., Patel, A. P., Pabon, M. A., & Honigberg, M. C. (2026). Lipoprotein(a) and incident venous thromboembolism in pre- and postmenopausal women, and in men. European Heart Journal, ehag252. https://doi.org/10.1093/eurheartj/ehag2522.ACC/AHA/AACVPR/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Dyslipidemia Writing Committee. (2026). 2026 ACC/AHA/AACVPR/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Dyslipidemia. Circulation, 153, e1155–e1300. https://doi.org/10.1161/CIR.00000000000014233. CDC MEC 4. Prevention of Venous Thromboembolism in Gynecologic Surgery: ACOG Practice Bulletin, Number 232. Obstetrics and Gynecology. 2021. Committee on Practice Bulletins—Gynecology5. Sofi F, Marcucci R, Abbate R, Gensini GF, Prisco D.Lipoprotein(a) as a Risk Factor for Venous Thromboembolism: A Systematic Review and Meta-Analysis of the Literature.Seminars in Thrombosis and Hemostasis. 2017. Dentali F, Gessi V, Marcucci R, et al. Lipoprotein (A) and Venous Thromboembolism in Adults: The American Journal of Medicine. 2007.

This is my personal favorite topic, but probably your least favorite: strength training.  Before you run away, hear me out! Because whether you’re bed-bound, housebound, or just convinced your body can’t handle it right now, this episode is for you. I’m breaking down exactly WHY resistance and strength training isn’t just helpful for vestibular disorders—it’s essential.  You Have to Move Your Body to Manage Your Dizziness From the dizzy-anxious-dizzy cycle to blood sugar regulation to better sleep to reduced inflammation, strength training touches virtually every struggle vestibular warriors face. I’m not letting anyone off the hook, but I am meeting you exactly where you are. Starting with 3 minutes? That counts.  Walking to the mailbox and back? That counts too.  Because the goal here is progress, not perfection. And you know I have the science to back every single word of it! In this episode, we'll dig into: Why strength training is non-negotiable for vestibular disorder management How exercise helps break the dizzy-anxious-dizzy cycle “In the moment” vs. “hangover” dizziness and how to adjust your approach Why EDS, HSD, or MCAS makes building muscle even more critical The truth about the fear of getting “bulky” How to start exercising when you’re bedbound or couch-bound What physical activity guidelines actually say, and where most people fall short How functional movements like the deadlift directly support vestibular patients How Vestibular Group Fit makes strength and resistance training accessible Whether you start with 3 minutes or 30, the most important thing is that you start. Because your vestibular system, your mood, your balance, and your future self are all counting on it. Links Mentioned: Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fit Free Resources: ⁠The 4 Steps to Managing Vestibular Migraine: https://thevertigodoctor.myflodesk.com/cb5js0y78n ⁠The PPPD Management Masterclass⁠: https://thevertigodoctor.myflodesk.com/new-pppd ⁠What your Partner Should Know About Living with Dizziness⁠: https://thevertigodoctor.myflodesk.com/partnership ⁠The FREE Mini VGFit Workout⁠: https://thevertigodoctor.myflodesk.com/minifit ⁠The FREE POTS – safe Workouts⁠: https://thevertigodoctor.myflodesk.com/pots Connect with Dr. Madison (@TheVertigoDoctor): https://instagram.com/thevertigodoctor Work with Dr. Madison: For 1:1 Vestibular Rehabilitation Therapy, email madison@thevertigodoctor.com Otherwise, I'll see ya in Vestibular Group Fit! Connect with Dr. Jenna (@dizzy.rehab.therapist): https://www.instagram.com/dizzy.rehab.therapist/ Learn about the Oak Method: http://thevertigodoctor.com/why-vestibular-group-fit Citations: Adriano Oliveira, Andressa Fidalgo, Paulo Farinatti, Walace Monteiro,Effects of high-intensity interval and continuous moderate aerobic training on fitness and health markers of older adults: A systematic review and meta-analysis,Archives of Gerontology and Geriatrics,Volume 124,2024,105451,ISSN 0167-4943,https://doi.org/10.1016/j.archger.2024.105451.(https://www.sciencedirect.com/science/article/pii/S0167494324001274) Yu Y, Wang J, Xu J. Optimal dose and type of exercise to improve cognitive function in patients with mild cognitive impairment: a systematic review and network meta-analysis of RCTs. Front Psychiatry. 2024 Sep 12;15:1436499. doi: 10.3389/fpsyt.2024.1436499. PMID: 39328348; PMCID: PMC11424528. Zhang Y, Zhou M, Yin Z, Zhuang W, Wang Y. Relationship between physical activities and mental health in older people: a bibliometric analysis. Front Psychiatry. 2024 Oct 21;15:1424745. doi: 10.3389/fpsyt.2024.1424745. PMID: 39497901; PMCID: PMC11532734. Garcia Meneguci, C. A., Meneguci, J., Sasaki, J. E., Tribess, S., & Júnior, J. S. V. (2021). Physical activity, sedentary behavior and functionality in older adults: A cross-sectional path analysis. PloS one, 16(1), e0246275. https://doi.org/10.1371/journal.pone.0246275 Mennitti C, Farina G, Imperatore A, De Fonzo G, Gentile A, La Civita E, Carbone G, De Simone RR, Di Iorio MR, Tinto N, Frisso G, D’Argenio V, Lombardo B, Terracciano D, Crescioli C, Scudiero O. How Does Physical Activity Modulate Hormone Responses? Biomolecules. 2024 Nov 7;14(11):1418. doi: 10.3390/biom14111418. PMID: 39595594; PMCID: PMC11591795. Beavers KM, Brinkley TE, Nicklas BJ. Effect of exercise training on chronic inflammation. Clin Chim Acta. 2010 Jun 3;411(11-12):785-93. doi: 10.1016/j.cca.2010.02.069. Epub 2010 Feb 25. PMID: 20188719; PMCID: PMC3629815.  Chastin, S.F.M., Abaraogu, U., Bourgois, J.G. et al. Effects of Regular Physical Activity on the Immune System, Vaccination and Risk of Community-Acquired Infectious Disease in the General Population: Systematic Review and Meta-Analysis. Sports Med 51, 1673–1686 (2021). https://doi.org/10.1007/s40279-021-01466-1 Hoffman GJ, Malani PN, Solway E, Kirch M, Singer DC, Kullgren JT. Changes in activity levels, physical functioning, and fall risk during the COVID-19 pandemic. J Am Geriatr Soc. 2022 Jan;70(1):49-59. doi: 10.1111/jgs.17477. Epub 2021 Sep 24. PMID: 34536288. Rey-Lopez JP, Rimm EB, Tabung FK, Giovannucci EL. Long-Term Leisure-Time Physical Activity Intensity and All-Cause and Cause-Specific Mortality: A Prospective Cohort of US Adults. Circulation. 2022 Aug 16;146(7):523-534. doi: 10.1161/CIRCULATIONAHA.121.058162. Epub 2022 Jul 25. PMID: 35876019; PMCID: PMC9378548. Hupin D, Roche F, Gremeaux V, Chatard JC, Oriol M, Gaspoz JM, Barthélémy JC, Edouard P. Even a low-dose of moderate-to-vigorous physical activity reduces mortality by 22% in adults aged ≥60 years: a systematic review and meta-analysis. Br J Sports Med. 2015 Oct;49(19):1262-7. doi: 10.1136/bjsports-2014-094306. Epub 2015 Aug 3. PMID: 26238869. Chandrasekaran B, Ganesan TB. Sedentarism and chronic disease risk in COVID 19 lockdown – a scoping review. Scott Med J. 2021 Feb;66(1):3-10. doi: 10.1177/0036933020946336. Epub 2020 Jul 27. PMID: 32718266; PMCID: PMC8685753. Izquierdo M, Merchant RA, Morley JE, Anker SD, Aprahamian I, Arai H, Aubertin-Leheudre M, Bernabei R, Cadore EL, Cesari M, Chen LK, de Souto Barreto P, Duque G, Ferrucci L, Fielding RA, García-Hermoso A, Gutiérrez-Robledo LM, Harridge SDR, Kirk B, Kritchevsky S, Landi F, Lazarus N, Martin FC, Marzetti E, Pahor M, Ramírez-Vélez R, Rodriguez-Mañas L, Rolland Y, Ruiz JG, Theou O, Villareal DT, Waters DL, Won Won C, Woo J, Vellas B, Fiatarone Singh M. International Exercise Recommendations in Older Adults (ICFSR): Expert Consensus Guidelines. J Nutr Health Aging. 2021;25(7):824-853. doi: 10.1007/s12603-021-1665-8. PMID: 34409961; PMCID: PMC12369211. Bunnell E, Stratton MT. The Impact of Functional Training on Balance and Vestibular Function: A Narrative Review. J Funct Morphol Kinesiol. 2024 Dec 3;9(4):251. doi: 10.3390/jfmk9040251. PMID: 39728235; PMCID: PMC11679947. Caspersen CJ, Powell KE, Christenson GM. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep. 1985 Mar-Apr;100(2):126-31. PMID: 3920711; PMCID: PMC1424733. Warner A, Vanicek N, Benson A, Myers T, Abt G. Agreement and relationship between measures of absolute and relative intensity during walking: A systematic review with meta-regression. PLoS One. 2022 Nov 3;17(11):e0277031. doi: 10.1371/journal.pone.0277031. PMID: 36327341; PMCID: PMC9632890. “Metabolic Equivalent (MET): Pick the Best Exercise for Longevity.” Whyiexercise.com, www.whyiexercise.com/metabolic-equivalent.html. Love what you heard?Consider leaving a review on your favorite podcast platform to help us reach more vestibular warriors like you! This podcast is for informational purposes only and may not be the best fit for you and your personal situation. It shall not be construed as medical advice. The information and education provided here is not intended or implied to supplement or replace professional medical treatment, advice, and/or diagnosis. Always check with your own physician or medical professional before trying or implementing any information read here. ————————————— strength and resistance training, exercises for vestibular disorders, living with vestibular migraine, guidelines of physical activity, anxiety and depression, chronic dizziness, couch bound, bed bound, dizzy-anxious-dizzy cycle, physical therapist

Join Dr. Clancy and his guests Dr. Endres and Lori Winborn as they delve into the world of ultra processed foods, exploring their origins, popularity, potential harms, and practical guidance for adopting a healthier diet. Episode Transcript CE Credit Available Host: Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine Guests: Jill Endres, MD, MS, FAAFP Clinical Professor of Family and Community Medicine University of Iowa Carver College of Medicine Lori Winborn, MPH, RDN, LD Dietician University of Iowa Health Care Financial Disclosures:  Dr. Gerard Clancy, his guests, and Rounding@IOWA planning committee members have disclosed no relevant financial relationships. Nurse: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 0.75 ANCC contact hour. Physician: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 0.75 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.) References/Resources:  Grinshpan LS, Eilat-Adar S, Ivancovsky-Wajcman D, Kariv R, Gillon-Keren M, Zelber-Sagi S. Ultra-processed food consumption and non-alcoholic fatty liver disease, metabolic syndrome and insulin resistance: A systematic review. JHEP Rep. 2023 Nov 17;6(1):100964. doi: 10.1016/j.jhepr.2023.100964. PMID: 38234408; PMCID: PMC10792654. Vitale M, Constabile G.. et al. Ultra-Processed Foods and Human Health: A Systemic Review and Meta-Analysis of Prospective Cohort Studies. Adv Nutr. 202444 Jan;15(1):100121. doi: 10.1016/i.advnut.2023.09.009. Epub 2023 Dec 18. PMID: 38245358; PMCID: PMC10831891  

A headline like “weight loss drugs may reduce breast cancer risk” grabs attention fast, but the real story lives in the fine print. We take you through a new Penn Medicine study that observed lower breast cancer rates among women with overweight or obesity who used GLP-1 medications, then we translate what that finding actually means in plain language. Observational data can reveal a signal worth studying, but it cannot prove the medication caused the outcome, and that distinction matters for your decisions and your expectations. We also zoom out to the bigger why: obesity is not just about body size. Fat tissue is biologically active, shaping chronic inflammation, estrogen exposure after menopause, insulin resistance, and even how well the immune system spots abnormal cells. Those pathways help explain why obesity is linked to many cancers, including postmenopausal breast cancer, and why researchers are curious whether effective obesity treatment could shift risk over time. Then we get practical. We review what stronger evidence from randomized controlled trials says so far: GLP-1 drugs like Ozempic, Wegovy, Mounjaro, and Zepbound do not appear to increase breast cancer risk in the available trial data, even though most trials were not designed to study cancer outcomes for many years. We also discuss why newer studies seem most suggestive for hormone receptor positive breast cancer, along with the leading theories: weight loss itself, improved metabolic health and insulin signaling, reduced inflammation, and the still-unclear possibility of direct GLP-1 effects in cancer biology. If you like evidence-based medicine with real-world context (and a little Philly-life banter), subscribe, share this episode with a friend, and leave a review so more people can find the show. What question do you want answered next about GLP-1s, obesity treatment, or cancer risk?ReferencesRisk for Cancer With Glucagon-Like Peptide-1 Receptor Agonists and Dual Agonists : A Systematic Review and Meta-Analysis. Ko A, Chang YC, Bahar F, et al. Annals of Internal Medicine. 2025;. doi:10.7326/ANNALS-25-02237.Do GLP-1 Receptor Agonists Increase the Risk of Breast Cancer? A Systematic Review and Meta-Analysis. Piccoli GF, Mesquita LA, Stein C, et al. The Journal of Clinical Endocrinology and Metabolism. 2021;106(3):912-921. doi:10.1210/clinem/dgaa891.Glucagon-Like Peptide 1 Receptor Agonists and Cancer Risk: The Good, the Bad and the Unknown. Mannucci E, Dicembrini I. Nature Reviews. Clinical Oncology. 2026;23(6):459-470. doi:10.1038/s41571-026-01135-0.GLP-1 Agonists Are Associated With a Significant Reduction in Breast Cancer Incidence in Women. McDonald ES, Gillis LB, Gabriel P, et al. JCO Oncology Practice. 2026;:101200OP2600485. doi:10.1200/OP-26-00485.GLP-1 therapy and hormone receptor–positive breast cancer risk and survival: A real-world analysis.. Shah Z, Hundal J, Afridi S, et al. Journal of Clinical Oncology. 2026;44(Suppl 16):10548. doi:10.1200/JCO.2026.44.16_suppl.10548.Survival and Recurrence With GLP-1 Receptor Agonists in Breast Cancer. Tatum KL, Dahman B, Stevenson A, et al. JAMA Network Open. 2026;9(5):e2612133. doi:10.1001/jamanetworkopen.2026.12133.Association of Glucagon-Like Peptide-1 Receptor Agonists With Risk of Cancers-Evidence From a Drug Target Mendelian Randomization and Clinical Trials. Sun Y, Liu Y, Dian Y, et al. International Journal of Surgery (London, England). 2024;110(8):4688-4694. doi:10.1097/JS9.0000000000001514.GLP-1 receptor agonists and breast cancer risk in type 2 diabetes.. Guo Cheng and Amanda Ward. Journal of Clinical Oncology. 2025;43(Suppl 16):10557. doi:10.1200/JCO.2025.43.16_suppl.10557.Glucagon-Like Peptide-1 Analogues and Risk of Breast Cancer in Women With Type 2 Diabetes: Population Based Cohort Study Using the UK Clinical Practice Research Datalink. Hicks BM, Yin H, Yu OH, et al. BMJ (Clinical Research Ed.). 2016;355:i5340. doi:10.1136/bmj.i5340.GLP-1 Receptor Agonists and Cancer: Current Clinical Evidence and Translational Opportunities for Preclinical Research. Valencia-Rincón E, Rai R, Chandra V, Wellberg EA. The Journal of Clinical Investigation. 2025;135(21):e194743. doi:10.1172/JCI194743.Send us a (voice ) message with this link, we would love to hear from you. Standard message rates may apply.Support the showProduction and Content: Edward Delesky, MD, DABOM & Nicole Aruffo, RNArtwork Rebrand and Avatars:Vantage Design Works (Vanessa Jones) Website: https://www.vantagedesignworks.com/Instagram: https://www.instagram.com/vantagedesignworks?igsh=aHRuOW93dmxuOG9m&utm_source=qrOriginal Artwork Concept: Olivia Pawlowski

Content warning: childhood abuse, childhood sexual abuse, sexual assault, rape, abduction, missing persons, gun violence, murder, and mental illness.Amber Rodgers is a survivor, business professional, and creative from Texas. As early as she can remember, her life was filled with chaos. By the time she was fourteen, she was a multi-crime survivor, and by 19 she would serve as a witness in her best friend's murder trial. Amber moved forward by cultivating a successful career and loving family, until her past trauma instigated a cascading effect in her mental health and relationships. Although Amber has shared portions of her story at-large, it took her decades and a life-altering mental health journey to realize the deep impact her teen years had had on her. The Broken Cycle Media team is deeply appreciative of Amber's transparency, rawness, and advocacy. These episodes are dedicated in loving memory of Kytrina Marie Locascio.Sources: -Centers for Disease Control and Prevention. “About Adverse Childhood Experiences.” CDC, U.S. Department of Health and Human Services, 2025, https://www.cdc.gov/violenceprevention/aces/. -Centers for Disease Control and Prevention. “Adverse Childhood Experiences (ACEs).” CDC Vital Signs, U.S. Department of Health and Human Services, https://www.cdc.gov/vitalsigns/aces/index.html. -Centers for Disease Control and Prevention. “Psychosocial Factors and Health Equity.” CDC, U.S. Department of Health and Human Services, https://www.cdc.gov/dhdsp/health_equity/psychosocial.htm. -Felitti, Vincent J., et al. “Relationship of Childhood Abuse and Household Dysfunction to Many of the Leading Causes of Death in Adults: The Adverse Childhood Experiences (ACE) Study.” American Journal of Preventive Medicine, vol. 14, no. 4, 1998, pp. 245–258.-Hughes, Karen, et al. “The Effect of Multiple Adverse Childhood Experiences on Health: A Systematic Review and Meta-Analysis.” The Lancet Public Health, vol. 2, no. 8, 2017, pp. e356–e366. doi:10.1016/S2468-2667(17)30118-4.-McKay, Matthew T., Laura Kilmartin, Aisling Meagher, Mary Cannon, Colm Healy, and Mary C. Clarke. “A Revised and Extended Systematic Review and Meta-Analysis of the Relationship between Childhood Adversity and Adult Psychiatric Disorder.” Journal of Psychiatric Research, vol. 156, 2022, pp. 159–174. PubMed, https://pubmed.ncbi.nlm.nih.gov/36274532/. -Swedo, Elizabeth A., et al. “Prevalence of Adverse Childhood Experiences Among U.S. Adults—Behavioral Risk Factor Surveillance System, 2011–2020.” Morbidity and Mortality Weekly Report, vol. 72, no. 26, 2023, pp. 707–715, https://www.cdc.gov/mmwr/volumes/72/wr/mm7226a2.htm. -Zhang, Y., et al. “Cumulative Adverse Childhood Experiences and Risk of Mental Disorders: A Systematic Review and Meta-Analysis.” Acta Psychiatrica Scandinavica, 2026, https://www.sciencedirect.com/science/article/pii/S0001691826007559. Accessed 2 June 2026.For additional resources and a list of non-profit organizations that can help, please visit http://www.somethingwaswrong.com/resources*Thank you again to Rula and Quince for sponsoring this episode. *Remember, Rula patients typically pay $15 per session when using insurance. Connect with quality therapists and mental health experts who specialize in you at https://www.rula.com/wcn #rulapod *And don't forget to elevate your summer wardrobe, go to quince.com/wcn for free shipping on your order and 365-day returns, now available in Canada too.

Most of us instinctively understand that we feel better when we spend time in nature. But our relationship to the natural world is perhaps even more powerful than we appreciate. On today's episode, host Rachel is joined by Emily Long—licensed clinical social worker, certified nature-informed therapist, and yoga teacher. Emily shares research on the therapeutic benefits of building a more mindful relationship with nature, whether that means spending time outdoors, inviting natural elements indoors, even simply viewing nature through a window. Emily also reminds us how nature is deeply embedded in the yoga tradition.  From stress reduction and improved cognitive function to increased resilience and emotional regulation, this conversation highlights the many ways reconnecting with nature can support our well-being, and how our practice could be the perfect time and place to do so. "What we care for cares for us." — Emily Long. — What You'll Learn: • How yoga already reflects our connection to nature [3:08] • Stereotypes can discourage people from developing a relationship with nature [9:19] • Research: nature and our health [12:56] • "Softly fascinating stimuli" and the nervous system [16:12] • Reaping the benefits whether we enjoy nature or not [20:40] • Nature encourages social and community connection [23:44] • Practical ways to invite nature into indoor spaces [26:35] • Taking opportunities to go outside [29:02] • Natural imagery, honoring seasonal rhythms [30:59] • Ahimsa, reciprocity, and caring for the environment [37:33] — Links Mentioned: Watch this episode on YouTube Relevant research: Soga, M., & Gaston, K. J. (2025). Health benefits of viewing nature through windows: A meta-analysis. Bioscience, 75(8), 628–636. https://doi.org/10.1093/biosci/biaf089 Stevenson, M. P., Schilhab, T., & Bentsen, P. (2018). Attention Restoration Theory II: a systematic review to clarify attention processes affected by exposure to natural environments. Journal of toxicology and environmental health. Part B, Critical reviews, 21(4), 227–268. https://doi.org/10.1080/10937404.2018.1505571 Bettmann, J. E., Speelman, E., Blumenthal, E., Couch, S., & McArthur, T. (2024). How Does Nature Exposure Affect Adults With Symptoms of Mental Illness? A Meta-Analysis. International journal of mental health nursing, 33(6), 1889–1907. https://doi.org/10.1111/inm.13400 Ulrich R. S. (1984). View through a window may influence recovery from surgery. Science (New York, N.Y.), 224(4647), 420–421. https://doi.org/10.1126/science.6143402  Connect with Emily Long: Instagram | Yoga With Emily | Emily Long LCSW — Learn More: Find the full show notes at YogaMedicine.com/podcast-168. Learn more about insider tips, online classes or information on our teacher trainings at YogaMedicine.com. To support our work, please leave us a 5 star review with your feedback on iTunes/Apple Podcasts or wherever you listen to podcasts. 

Think energy, digestion, and weight. In this episode, Nurse Doza breaks down berberine — the metabolism-supporting supplement that helps regulate blood sugar, support a healthy insulin response, and improve cholesterol (LDL, HDL, total). Discover why MSW Nutrition's Berberine Plus is 5x more absorbable in the gut, how to dose it morning and night, and why it works at the level of your gut microbiome. The berberine supplement your metabolism has been waiting for. Featured Partner: MSW Nutrition — Berberine Plus MSW Nutrition's Berberine Plus delivers dihydroberberine (DHB) — the bioactive, highly absorbable form of berberine sourced from Berberis aristata — so you get berberine's full metabolic benefits at a fraction of the dose, without the gut upset that comes from mega-dosing standard berberine. That enhanced absorption is exactly why it's the berberine supplement Nurse Doza reaches for to support blood sugar, digestion, and weight — as discussed in this episode.

The 21-day habit rule is a myth — and the truth is so much more encouraging. Today we're digging into what the research actually says about how long it takes to build a habit that lasts, and why the real timeline should make you feel better, not worse. Plus, we'll chat about how I kicked a very long and intense Diet Coke habit and also 8 tips to make healthy habits easier to form and keep! LET'S TALK THE WALK! Join here for support, motivation and fun! Wellness While Walking Facebook page Walking to Wellness Together Facebook GROUP Wellness While Walking on Instagram Wellness While Walking on Threads Wellness While Walking on Twitter Wellness While Walking website for show notes and other information wellnesswhilewalking@gmail.com RESOURCES AND SOURCES (some links may be affiliate links) Time to Form a Habit: A Systematic Review and Meta-Analysis of Health Behaviour Habit Formation and Its Determinants, nih.gov  Kicking A Bad Habit/Reducing Reliance on an Addiction Wellness While Walking Ep. 39: My Coffee Journey: Flavored, Decaf, Rituals + a Wrong Turn Wellness While Walking Ep. 53: Goals Deep Dive: SMART, Big Hairy Audacious + Otherwise I Was Powerless Over Diet Coke, nyt.com Abby Ellin's website Replica of a Dr Pepper Clock – 10, 2 and 4 New Brain Imaging Study Provides Support For Notion of Food Addiction, sciencedaily.com Evidence For Sugar Addiction: Behavioral and Neurochemical Effects of Intermittent, Excessive Sugar Intake, sciencedirect.com The Real Reason Diet Coke Cravings Are So Powerful, mashed.com Artificial Sweeteners: Sugar-Free But at What Cost?, health.harvard.edu Taco Bell, Trehalose, and the Trend of Transparency, foodbusinessnews.net Five Reasons the Diet Soda Myth Won't Die, nyt.com SMART Criteria, Wikipedia.org WOOP Website     HOW TO RATE AND REVIEW WELLNESS WHILE WALKING How to Leave a Review on Apple Podcasts on Your iOS Device 1.   Open Apple Podcast App (purple app icon that says Podcasts). 2.   Go to the icons at the bottom of the screen and choose "search" 3.   Search for "Wellness While Walking" 4.   Click on the SHOW, not the episode. 5.   Scroll all the way down to "Ratings and Reviews" section 6.   Click on "Write a Review" (if you don't see that option, click on "See All" first) 7.   Then you will be able to rate the show on a five-star scale (5 is highest rating) and write a review! 8.   Thank you! I so appreciate this!   How to Leave a Review on Apple Podcasts on a Computer  1.   Visit Wellness While Walking page on Apple Podcasts in your web browser (search for Apple Podcasts or click here)  https://www.apple.com/apple-podcasts/ 2.   Click on "Listen on Apple Podcasts" or "Open the App" 3.   This will open Apple Podcasts and put in search bar at top left "Wellness While Walking" 4.   This should bring you to the show, not a particular episode – click on the show's artwork 5.   Scroll down until you see "Rating and Reviews" 6.   Click on "See All" all the way to the right, near the Ratings and Review Section and its bar chart 7.   To leave a written review, please click on "Write a Review" 8.   You'll be able to leave a review, along with a title for it, plus you'll be able to rate the show on the 5-star scale (with 5 being the highest rating) 9.   Thank you so very much!! OTHER APPS WHERE RATINGS OR REVIEWS ARE POSSIBLE Spotify Goodpods Overcast (if you star certain episodes, or every one, that will help others find the show)  Castbox Podcast Addict Podchaser Podbean   HOW TO SHARE WELLNESS WHILE WALKING Tell a friend or family member about Wellness While Walking, maybe while you're walking together or lamenting not feeling 100% Follow up with a quick text with more info, as noted below! (My favorite is pod.link/walking because it works with all the apps!) Screenshot a favorite episode playing on your phone and share to social media or to a friend via text or email! Wellness While Walking on Apple – click the up arrow to share with a friend via text or email, or share to social media Wellness While Walking on Spotify -- click the up arrow to share with a friend via text or email, or share to social media Use this universal link for any podcast app: pod.link/walking – give it to friends or share on social media Tell your pal about the Wellness While Walking website Thanks for listening and now for sharing! : )       DISCLAIMER Neither I nor many of my podcast guests are doctors or healthcare professionals of any kind, and nothing on this podcast or associated content should be considered medical advice. The information provided by Wellness While Walking Podcast and associated material, by Whole Life Workshop and by Bermuda Road Wellness LLC is for informational and entertainment purposes only. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment, and before undertaking a new health care regimen, including walking.     Thanks for listening to Wellness While Walking, a walking podcast and a "best podcast for walking"!

The American College of Obstetricians and Gynecologists (ACOG) does not recommend routine ultrasound measurement of the lower uterine segment (LUS) thickness as part of the evaluation for trial of labor after cesarean delivery (TOLAC). ACOG Practice Bulletin No. 205 (2019) on Vaginal Birth After Cesarean Delivery does not include LUS measurement among its recommendations for TOLAC candidacy assessment. The guideline focuses on clinical factors such as type of prior uterine incision, number of prior cesarean deliveries, and other obstetric history to determine TOLAC candidacy, and emphasizes that most women with one previous low-transverse cesarean delivery should be counseled about and offered TOLAC. But what if you find a likely uterine window at the LUS? Does that mandate a repeat C-section? This topic comes from Serena, one of our podcast family members. Listen in for details. 1. Dr. Chapa's Clinical Pearls, Dec 31., 2023: LUST FOR TOLAC; and follow up episode Jan 15, 20242. ACOG Practice Bulletin No. 205: Vaginal Birth After Cesarean Delivery. Committee on Practice Bulletins—Obstetrics Obstetrics and Gynecology. 2019;133(2):e110-e127. doi:10.1097/AOG.0000000000003078.3. Rozenberg P, Sénat MV, Deruelle P, et al. Evaluation of the Usefulness of Ultrasound Measurement of the Lower Uterine Segment Before Delivery of Women With a Prior Cesarean Delivery: A Randomized Trial. American Journal of Obstetrics and Gynecology. 2022. 4. Swift BE, Shah PS, Farine D. Sonographic Lower Uterine Segment Thickness After Prior Cesarean Section to Predict Uterine Rupture: A Systematic Review and Meta-Analysis. Acta Obstetricia Et Gynecologica Scandinavica. 2019. 5. McLeish SF, Murchison AB, Smith DM, et al. Predicting Uterine Rupture Risk Using Lower Uterine Segment Measurement During Pregnancy With Cesarean History: How Reliable Is It? A Review. Obstetrical & Gynecological Survey. 2023. 6. Jastrow N, Demers S, Chaillet N, et al. Lower Uterine Segment Thickness to Prevent Uterine Rupture and Adverse Perinatal Outcomes: A Multicenter Prospective study.7. American Journal of Obstetrics and Gynecology. 2016. 8. Guerby P, Bujold E, Chaillet N. Impact of Third-Trimester Measurement of Low Uterine Segment Thickness and Estimated Fetal Weight on Perinatal Morbidity in Women With Prior Cesarean Delivery. Journal of Obstetrics and Gynaecology Canada. JOGC. 2022.

Most diets fail because they never address what the food was doing for you emotionally. In this episode, Dr. Brendan McCarthy explains the stress-craving loop behind emotional eating, why ultra-processed foods feel impossible to resist, and how shame actually reinforces the cycle. You'll learn: • Why cravings feel automatic • How stress drives food urges • The “cue → urge → reward” loop • A simple 9-minute method to interrupt cravings This isn't about perfection or willpower. It's about understanding the pattern so you can finally begin to change it.   Citations:  Boswell, Rebecca G., and Hedy Kober. “Food Cue Reactivity and Craving Predict Eating and Weight Gain: A Meta-Analytic Review.” Obesity Reviews, vol. 17, no. 2, 2016, pp. 159–177. doi:10.1111/obr.12354. Use for: Food cues can trigger craving and eating even without true hunger. Berridge, Kent C., and Terry E. Robinson. “Liking, Wanting, and the Incentive-Sensitization Theory of Addiction.” American Psychologist, vol. 71, no. 8, 2016, pp. 670–679. doi:10.1037/amp0000059. Use for: “Wanting” food is not the same as true pleasure. Schultz, Wolfram, Peter Dayan, and P. Read Montague. “A Neural Substrate of Prediction and Reward.” Science, vol. 275, no. 5306, 1997, pp. 1593–1599. doi:10.1126/science.275.5306.1593. Use for: Dopamine helps encode reward prediction and learning. Wood, Wendy, and Dennis Rünger. “Psychology of Habit.” Annual Review of Psychology, vol. 67, 2016, pp. 289–314. doi:10.1146/annurev-psych-122414-033417. Use for: Habits form through repeated cue-context loops. Laborde, Sylvain, et al. “Effects of Voluntary Slow Breathing on Heart Rate and Heart Rate Variability: A Systematic Review and a Meta-Analysis.” Neuroscience & Biobehavioral Reviews, vol. 138, 2022, article 104711. doi:10.1016/j.neubiorev.2022.104711. Use for: Slow breathing supports parasympathetic regulation and stress reduction. Lieberman, Matthew D., et al. “Putting Feelings into Words: Affect Labeling Disrupts Amygdala Activity in Response to Affective Stimuli.” Psychological Science, vol. 18, no. 5, 2007, pp. 421–428. doi:10.1111/j.1467-9280.2007.01916.x. Use for: Naming emotions can reduce emotional reactivity. Gollwitzer, Peter M. “Implementation Intentions: Strong Effects of Simple Plans.” American Psychologist, vol. 54, no. 7, 1999, pp. 493–503. doi:10.1037/0003-066X.54.7.493. Use for: “If-then” plans improve behavior change under stress. Forman, Evan M., et al. “A Comparison of Acceptance- and Control-Based Strategies for Coping with Food Cravings: An Analog Study.” Behaviour Research and Therapy, vol. 45, no. 10, 2007, pp. 2372–2386. doi:10.1016/j.brat.2007.04.004. Use for: Acceptance and urge-surfing strategies help cravings pass without acting on them. Hall, Kevin D., et al. “Ultra-Processed Diets Cause Excess Calorie Intake and Weight Gain: An Inpatient Randomized Controlled Trial of Ad Libitum Food Intake.” Cell Metabolism, vol. 30, no. 1, 2019, pp. 67–77.e3. doi:10.1016/j.cmet.2019.05.008. Use for: Ultra-processed foods increase intake and reinforce overeating patterns.   Dr. Brendan McCarthy is the founder and Chief Medical Officer of Protea Medical Center in Arizona. With over two decades of experience, he's helped thousands of patients navigate hormonal imbalances using bioidentical HRT, nutrition, and root-cause medicine. He's also taught and mentored other physicians on integrative approaches to hormone therapy, weight loss, fertility, and more. If you're ready to take your health seriously, this podcast is a great place to start.

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Send us Fan MailIn this episode of Journal Club, we wrap up a marathon recording session with a deep dive into the world of neonatal neuroprognostication. Daphna reviews a systematic review and meta-analysis from Pediatric Neurology that evaluates whether combining EEG and MRI provides better answers for families of preterm infants. While MRI remains a powerful tool for structural assessment, the data suggests that adding the functional insights of EEG significantly boosts specificity, particularly when predicting severe neurodevelopmental outcomes. We discuss the importance of timing these studies and the clinical value of sleep-wake cycling as a developmental milestone at the bedside.----Combined Use of Electroencephalography and Magnetic Resonance Imaging in the Prognostication of Neurodevelopmental Outcomes in Preterm Infants - A Systematic Review and Meta-Analysis. Forrest CD, Biagioni T, Liley HG, Lai MM, Colditz PB, Ware RS, Boyd RN, Roberts JA.Pediatr Neurol. 2026 Feb;175:116-129. doi: 10.1016/j.pediatrneurol.2025.11.005. Epub 2025 Nov 13.PMID: 41337899 Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!

Episode SummaryWomen have up to 70-80% lower creatine stores than men — and most of us have never been told that. In this episode Lisa digs into what that means for your brain, sleep, mood, muscles, and energy, and why creatine may be one of the most underreported tools in women's health right now.What You'll LearnWhat creatine actually is and why it matters beyond the gymWhy women have lower creatine stores — and why that gap widens in perimenopauseHow creatine supports brain energy (ATP) and what happens when levels run lowThe research on creatine and memory, processing speed, and mental clarityWhy creatine may reduce depression symptoms — more so in women than menCreatine and sleep: the adenosine mechanism, the 2024 women's RCT, and the 2025 perimenopause findingsThe University of Kansas Alzheimer's pilot studyCreatine + resistance training for muscle and bone health over 40How much to take: 5g for general health vs. 10g for brain-specific benefitsStart HereReady to heal your metabolism? thinlicious.com/happyStudies ReferencedCognitive Function & MemoryXu et al. (2024) — Creatine & Cognitive Function: Systematic Review & Meta-Analysis. Frontiers in Nutrition.Depression in WomenLyoo et al. (2012) — Creatine Augmentation for SSRI in Women With Major Depression. American Journal of Psychiatry.Systematic Review & Meta-Analysis: Creatine for Depression (2025). British Journal of Nutrition.SleepDworak et al. (2017) — Creatine Reduces Sleep Need & Homeostatic Sleep Pressure in Rats. Journal of Sleep Research.Aguiar Bonfim Cruz et al. (2024) — Creatine Improves Sleep in Naturally Menstruating Females. Nutrients.Gordji-Nejad et al. (2024) — Single Dose Creatine Improves Cognition During Sleep Deprivation. Scientific Reports.Hall et al. (2025) — Creatine + Resistance Training in Peri/Postmenopausal Women: Sleep, Cognition, Strength. JISSN.Alzheimer's DiseaseSmith et al. (2025) — Creatine Monohydrate Pilot in Alzheimer's: Brain Creatine & Cognition. Alzheimer's & Dementia.Brain Dosing: The Case for 10gDechent et al. (1999) — Creatine Increases Brain Creatine by 8.7% in Human Neuroimaging Study. American Journal of Physiology.Candow et al. — Higher Creatine Doses for Brain Bioenergetics. Journal of Psychiatry and Brain Science.Dr. Rhonda Patrick on 10g brain dosing (@foundmyfitness)Medical Disclaimer: For educational purposes only. Not medical advice. Always consult your doctor before starting any new supplement.

Welcome to Nerd Alert, a series of special episodes bridging the gap between marketing academia and practitioners. We're breaking down highly involved, complex research into plain language and takeaways any marketer can use.In this episode, Elena and Rob dig into a sweeping meta-analysis on advertising creativity. Together, they go over what it really means, when it moves the needle most, and why chasing memorability may be the wrong goal.Topics covered:•    [01:20] "A Meta-Analysis of When and How Advertising Creativity Works"•    [02:45] Originality alone isn't enough•    [04:55] High involvement vs. low involvement: where creativity doubles in power•    [06:55] The three theories behind why creative ads work•    [08:00] Why consumer judges outperform award shows at predicting brand outcomesTo learn more, visit marketingarchitects.com/podcastResources: Rosengren, S., Eisend, M., Koslow, S., & Dahlen, M. (2020). A meta-analysis of when and how advertising creativity works. Journal of Marketing, 84(6), 39–56. https://doi.org/10.1177/0022242920929288Get more research-backed marketing strategies by subscribing to The Marketing Architects on Apple Podcasts, Spotify, or wherever you listen to podcasts.

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For decades, an MS diagnosis came with outdated advice and significant uncertainty regarding starting a family. Today, the conversation has shifted from "Is it possible?" to "How do we optimize the journey?" This week, we're taking a deep dive into the essential considerations for family planning, managing MS during pregnancy, and the crucial postpartum period.  We're joined by Dr. Riley Bove, an Associate Professor of Neurology at UCSF and a leading expert in hormonal influences on MS. Dr. Bove brings her extensive research background and clinical expertise to help us understand how to navigate disease-modifying therapies while planning a family, the biological shifts that occur during pregnancy, and how to build a robust support system for the "fourth trimester." We're also sharing study results that provide some optimistic news for people experiencing MS-related depression. We'll tell you about a study that explains the actual changes in the immune system that occur when someone with MS exercises. If you get your health insurance on the Affordable Care Act online marketplace, we'll explain why health economists feel certain that your premiums will be going up again next year. And we're also sharing some sobering research that highlights systemic inequities that prevent people with MS who rely on Medicaid from accessing high-efficacy disease-modifying therapies. We have a lot to talk about! Are you ready for RealTalk MS??! This Week: MS and family planning, pregnancy, and postpartum  :22 STUDY: High-efficacy disease-modifying therapies are not available to all Medicaid recipients   1:08 Millions have failed to renew their ACA individual health insurance plans  5:05 STUDY: Cognitive-behavioral therapy improves MS-related depression  9:32 STUDY: Researchers identify the biological mechanisms that are impacted when people with MS exercise  11:29 Dr. Riley Bove discusses family planning, pregnancy, and postpartum issues that affect women with MS  14:48 Share this episode  35:31 Next week  35:50 SHARE THIS EPISODE OF REALTALK MS Just copy this link & paste it into your text or email: https://realtalkms.com/453 ADD YOUR VOICE TO THE CONVERSATION I've always thought about the RealTalk MS podcast as a conversation. And this is your opportunity to join the conversation by sharing your feedback, questions, and suggestions for topics that we can discuss in future podcast episodes. Please shoot me an email or call the RealTalk MS Listener Hotline and share your thoughts! Email: jon@realtalkms.com Phone: (310) 526-2283 And don't forget to join us in the RealTalk MS Facebook group! LINKS If your podcast app doesn't allow you to click on these links, you'll find them in the show notes at www.RealTalkMS.com STUDY: Access to High-Efficacy Therapies for Multiple Sclerosis Under Medicaid: Variation in Coverage and Utilization Across States https://aan.com/msa/Public/Events/AbstractDetails/61520 STUDY: Effectiveness of Cognitive Behavioral Therapy for Depression in Patients with Multiple Sclerosis: A Systematic Review and Meta-Analysis https://journals.lww.com/md-journal/fulltext/2026/04170/effectivess_of_cognitive_behavioral_therapy_for.27.aspx STUDY: Physical Exercise Modulates T Cell Activity and Mitigates Synaptic Dysfunction in Multiple Sclerosis Through Vagus Nerve Engagement https://sciencedirect.com/science/article/abs/pii/S0889159126002710 UCSF Clinical Trials: Pregnancy Registry, Infants, Serum/Milk Analysis (PRISMA) https://clinicaltrials.ucsf.edu/trial/NCT06940323 AbleNOW https://ablenow.com JOIN: The RealTalk MS Facebook Group https://facebook.com/groups/realtalkms REVIEW: Give RealTalk MS a rating and review http://www.realtalkms.com/review Follow RealTalk MS on X, @RealTalkMS_jon, and subscribe to our newsletter at our website, RealTalkMS.com. RealTalk MS Episode 453 Guest: Dr. Riley Bove Privacy Policy

Join Dr. Jeff Jarvis for part II of his interview with podcase friend and frequent contributor, now-Dr Tanner Smida where we discuss his defense of his PhD. Dr Smida discusses four papers that inform cardiac arrest resuscitation, as well as lessons he learned about conducting well-designed observational studies. Although his dissertation was built around only 4 papers, here is Dr Smida's entire bibliography:1.        Smida T, Willson C, Salerno J, Weiss L, Salcido DD. Can you get there from here? An analysis of walkability among PulsePoint CPR alert dispatches. Resuscitation. 2020 Mar 1;148:135-139. 2.        Patterson PD, Weiss LS, Weaver MD, Salcido DD, Opitz SE, Okerman TS, Smida TT, Martin SE, Guyette FX, Martin-Gill C, Callaway CW. Napping on the night shift and its impact on blood pressure and heart rate variability among emergency medical services workers: study protocol for a randomized crossover trial. Trials. 2021 Mar 16;22(1):212. 3.        Smida T, Koller AC, Menegazzi JJ, Salcido DD. Early cytotoxic lymphocyte localization to the brain following resuscitation in a porcine model of asphyxial cardiac arrest: A pilot study. Resusc Plus. 2021 Apr 28;6:100125. 4.        Smida T, Salerno J, Weiss L, Martin-Gill C, Salcido DD. PulsePoint dispatch associated patient characteristics and prehospital outcomes in a mid-sized metropolitan area. Resuscitation. 2022 Jan;170:36-43. 5.        Smida T, Menegazzi JJ, Crowe RP, Weiss LS, Salcido DD. Association of prehospital hypotension depth and dose with survival following out-of-hospital cardiac arrest. Resuscitation. 2022 Sep 30;180:99-107. 6.        Smida T, Menegazzi JJ, Crowe RP, Bardes J, Scheidler JF, Salcido DD. Association of prehospital post-resuscitation peripheral oxygen saturation with survival following out-of-hospital cardiac arrest. Resuscitation. 2022 Dec;181:28-36. 7.        Smida T, Menegazzi J, Crowe R, Scheidler J, Salcido D, Bardes J. A Retrospective Nationwide Comparison of the iGel and King Laryngeal Tube Supraglottic Airways for Out-of-Hospital Cardiac Arrest Resuscitation. Prehosp Emerg Care. 2023 Feb 13:1-7. 8.        Smida T, Menegazzi J, Scheidler J, Martin PS, Salcido D, Bardes J; CARES Surveillance Group. A retrospective comparison of the King Laryngeal Tube and iGel supraglottic airway devices: A study for the CARES surveillance group. Resuscitation. 2023 Apr 28:109812. 9.        Smida T, Price BS, Scheidler J, Crowe R, Wilson A, Bardes J. Stay and play or load and go? The association of on-scene advanced life support interventions with return of spontaneous circulation following traumatic cardiac arrest. Eur J Trauma Emerg Surg. 2023 May 10. 10.  Smida T, Menegazzi JJ, Crowe RP, Salcido D, Martin PS, Scheidler J, James Bardes. The Association of Combined Prehospital Hypotension and Hypoxia With Outcomes Following Out-of-Hospital Cardiac Arrest Resuscitation. Prehosp Emerg Care. 2023 Jul 26:1-9. 11.  Smida T, Menegazzi JJ, Crowe RP, Salcido DD, Bardes J, Myers B. The Association of Prehospital End-Tidal Carbon Dioxide with Survival Following Out-of-Hospital Cardiac Arrest. Prehosp Emerg Care. 2023 Sep 26:1-7. 12.  Smida T, Bonasso P, Bardes J, Price BS, Seifarth F, Gurien L, Maxson R, Letton R. Reverse shock index multiplied by the motor component of the Glasgow Coma Scale predicts mortality and need for intervention in pediatric trauma patients. J Trauma Acute Care Surg. 2024 Jan 26. 13.  Suchko S, Smida T, Crowe RP, Menegazzi JJ, Scheidler JF, Shukis M, Martin PS, Bardes JM, Salcido DD. The association of clinical, treatment, and demographic characteristics with rearrest in a national dataset. Resuscitation. 2024 Mar;196:110135. 14.  Smida T, Crowe R, Jarvis J, Ratcliff T, Goebel M. A retrospective comparison of upper and lower extremity intraosseous access during out-of-hospital cardiac arrest resuscitation. Prehosp Emerg Care. 2024 Feb 28:1-23. 15.  Smida T, Crowe RP, Martin PS, Scheidler JF, Shukis M, Price BS, Bardes JM. A retrospective, multi-agency ‘target trial emulation' for the comparison of post-resuscitation epinephrine to norepinephrine.  Resuscitation.  2024 April16.  Smida T, Crowe RP, Merrill PW, Scheidler JF. A Simpler Method for Choosing Adult i-gel Size: An Evaluation of Real-World Prehospital Data. Air Med J. 2024 May-Jun;43(3):259-261. 17.  Niemann B, Zarfoss E, Victory J, Smida T, Petros K, Sestito M, Bardes J. Evaluation of Oral Vasoactive Medications to Maintain Mean Arterial Pressure in Spinal Cord Injury. J Surg Res. 2024 Aug 12;302:339-346. 18.  Smida T, Price BS, Mizener A, Crowe RP, Bardes JM. Prehospital Post-Resuscitation Vital Sign Phenotypes are Associated with Outcomes Following Out-of-Hospital Cardiac Arrest. Prehosp Emerg Care. 2024 Aug 15:1-8. 19.  Smida T, Voges L, Crowe R, Scheidler J, Bardes J. Prehospital Transcutaneous Cardiac Pacing in the United States: Treatment Epidemiology, Predictors of Treatment Failure, and Associated Outcomes. Prehosp Emerg Care. 2024 Sep 4:1-8. 20.  Smida T, Dayal S, Bardes J, Scheidler J. Association of Prehospital Rearrest With Outcome Following Out-of-Hospital Cardiac Arrest: A Systematic Review and Meta-Analysis of Observational Studies. Prehosp Emerg Care. 2024 Oct 18:1-9. 21.  Smida T, Cheskes S, Crowe R, Price BS, Scheidler J, Shukis M, Martin PS, Bardes J. The association between initial defibrillation dose and outcomes following adult out-of-hospital cardiac arrest resuscitation: A retrospective, multi-agency study. Resuscitation. 2025 Jan 23:110507. 22.  Smida T, Crowe R, Price BS, Scheidler J, Martin PS, Shukis M, Bardes J. A retrospective 'target trial emulation' comparing amiodarone and lidocaine for adult out-of-hospital cardiac arrest resuscitation. Resuscitation. 2025 Jan 23:110515. 23.  Nordstrom NK, Smida T, Bardes JM, Brown C, Wilson A. A contemporary analysis of prehospital crystalloid resuscitation after trauma. Injury. 2025 Jul 15:112614.24.  Kimbrell JM, Kreinbrook JA, Stebel J, Smida T, Shekhar AC, Rodriguez D, Mara A, Mullen J, Miele A, Vega J. Delays to chest compressions and defibrillation after prehospital rearrest. Am J Emerg Med. 2025 Dec;98:118-123. 25.  Smida T, Kimbrell JM, Kreinbrook JA, Gan GH, Odom W, Bouthillet T, Walsh B, Shukis M, Scheidler J, Martin PS, Moskowitz A, Counts CR, Bardes J. The prevalence of sustained electrical capture during prehospital transcutaneous pacing: a multicenter observational study. Resuscitation. 2025 Dec 22:110934. 26.  Smida T, Harvey W, Bonasso P, Price BS, Martin PS, Bardes J. The ability of statewide prehospital pediatric blood transfusion protocols to predict early in-hospital blood product administration: A National Trauma Data Bank analysis. J Trauma Acute Care Surg. 2026 Jan 20. 27.  Smida T, Handyside R, Crowe R, McDonald A, Scheidler J, Bardes J. Factors associated with successful intravenous access in the prehospital setting. Prehosp Emerg Care. 2026 Feb 25:1-12.28.  Smida T, Handyside R, Crowe R, Merrill PW, Scheidler J, Bardes J. A retrospective comparison of plunger-type and band-type mechanical chest compression devices for prehospital resuscitation. Prehosp Emerg Care. 2026 Feb 25:1-12. 29.  Kreinbrook JA, Kimbrell JM, Gan GH, Odom W, Shukis M, Bardes J, Smida ...

In today's Friday deep dive, Vanessa breaks down one of the most important new studies in fat loss and body recomposition — along with her recent interview with Dr. Eric Helms. This episode explores a cutting-edge meta-regression by Dr. Eric Helms, Dr. Eric Trexler, and Dr. Martin Refalo on protein intake during caloric restriction — and what it means for preserving muscle while losing fat.  Last Day to Save on the PSMF Library (Pre-Order) Final hours to lock in the launch pricing

Vanessa Spina is joined by Dr. Eric Helms to break down the latest research on protein intake during fat loss and what it really takes to preserve muscle while dieting.