Podcasts about modifiable

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Best podcasts about modifiable

Latest podcast episodes about modifiable

Hack My Age
Delay Menopause? 12 Factors That Affect Menopause Timing - Zora Benhamou

Hack My Age

Play Episode Listen Later Apr 18, 2025 35:34


Can you delay menopause? Yes, in some ways we can. Let's cover what the science says about the Age at Natural Menopause, or ANM.  This matters—a lot—because early menopause has been linked to higher risks of cardiovascular disease, osteoporosis, and even increased all-cause mortality. Delayed menopause is associated with a longer reproductive span and lower risk of diseases of aging.  So, what determines when you hit menopause?  We cover: Modifiable factors of menopause age What can we control and what we can't Research on the Age of Natural Menopause How alcohol intake suprisingly affects your menopause birthdate What is more potent? Genetics or Lifestyle and Diet? Global statistics on menopause age  Surgical menopause   Give thanks to our sponsors: Qualia senolytics and brain supplements. 15% off with code ZORA here. Try BEAM minerals at 20% off with code ZORA here.http://beamminerals.com/ZORA Get Primeadine spermidine by Oxford Healthspan. 15% discount with code ZORA ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Get Mitopure Urolithin A by Timeline. 10% discount with code ZORA at https://timeline.com/zora Get Magnesium Breakthrough by Bioptimizers. 10% discount with code HACKMYAGE at https://bioptimizers.com/hackmyage Try OneSkin skincare with code ZORA for 15% off https://shareasale.com/r.cfm?b=2685556&u=4476154&m=102446&urllink=&afftrack= Join ⁠⁠⁠Biohacking Menopause⁠⁠⁠ before May 1, 2025 to win a bottle of Accelerated Health iodine and Essential Amino Acids! 10% off with code ZORA at AcceleratedHealth.com   Join the Hack My Age community on: Facebook Page: ⁠⁠⁠⁠⁠@⁠Hack My Age⁠     Facebook Group: ⁠⁠⁠⁠⁠⁠@⁠Biohacking Menopause⁠⁠⁠⁠⁠⁠ ⁠ Private Women's Only Support Group: https://hackmyage.com/biohacking-menopause-membership/ Instagram: ⁠⁠⁠⁠⁠@⁠HackMyAge⁠    Website: ⁠⁠⁠⁠⁠⁠HackMyAge.com⁠   

Gut Feelings
Dr. Vivian Asamoah: Colon Cancer Awareness and Prevention

Gut Feelings

Play Episode Listen Later Mar 21, 2025 42:45


Send us a textIn this conversation we talk with Dr. Vivian Asamoah, MD, FACG, IFMCP, a gastroenterologist with a passion for integrative and functional medicine. Dr. Asamoah is the founder and CEO of Houston Gastro Institute in Katy, Texas. She discusses the importance of nutrition in patient care, the role of modifiable risk factors in cancer prevention, and the various screening methods available for colon cancer. Dr. Asamoah blends conventional and integrative medicine in her practice.Collaboration between dietitians and physicians is crucial for patient care.Modifiable risk factors significantly impact colon cancer rates.Alcohol consumption is often overlooked in cancer prevention discussions.Increasing fiber intake is vital for gut health.Screening methods for colon cancer include blood tests and colonoscopies.Colonoscopy is a preventative measure for detecting precancerous polyps.Patient education on nutrition is essential for long-term health. Colonoscopy frequency should be based on individual patient needs.There are a few options with prep methods that can ease patient discomfort.Nutrition plays a crucial role in reducing colon cancer risk.Diversifying fruits and vegetables can enhance health benefits.Group nutrition programs can improve patient outcomes.Early screening can significantly reduce colon cancer mortality.Colon cancer is increasingly affecting younger individuals.You can find out more about Dr. Asamoah and Houston Gastro Institute here: https://www.houstongastroinstitute.comDr. Asamoah is on Instagram at: @drvivianasamoah0:00- Introduction to Dr. Vivian Asamoah01:51- The Journey to Gastroenterology04:06- Daily Life of a Gastroenterologist06:10- Research Interests and Innovations08:08- Integrating Nutrition in Gastroenterology11:55- Understanding Colon Cancer Trends16:07- Colon Cancer Prevention Strategies18:00- Screening Methods for Colon Cancer20:49- Addressing Concerns About Colonoscopies24:12- Understanding Colonoscopy and Patient Care28:36- Innovative Approaches to Colon Preparation31:27- Nutrition's Role in Colon Cancer Prevention34:23- Collaborative Care: Integrating Dietitians in GI Practice40:30- The Importance of Early Screening for Colon CancerWant to work with The Crohn's and Colitis Dietitians but have questions?Book a call - http://bit.ly/4anBnGqMusic from #Uppbeat (free for Creators!):https://uppbeat.io/t/the-lakes/bluebirdLicense code: FTTITUEPIFFollow us on instagram @crohns_and_colitis_dietitiansFollow us on youtube @thecrohnscolitisdietitiansWe love helping provide quality content on IBD nutrition and making it more accessible to all through our podcast, instagram and youtube channel. Creating the resources we provide comes at a significant cost to us. We dream of a day where we can provide even more free education, guidance and support to those with IBD like us. We need your support to do this. You can help us by liking episodes, sharing them on your social media, subscribing to you tube and telling others about us (your doctors, friends, family, forums/reddit etc). Can you do this for us? In return, I promise to continually level up what we do here.

Health Newsfeed – Johns Hopkins Medicine Podcasts
Increasingly sleep is recognized as a modifiable risk factor for disease, Elizabeth Tracey reports

Health Newsfeed – Johns Hopkins Medicine Podcasts

Play Episode Listen Later Mar 17, 2025 1:03


Sleep is increasingly being recognized as important in human maladies. Charlene Gamaldo, a sleep expert at Johns Hopkins, says sleep quality is important in both management and prevention strategies. Gamaldo: How is sleep potentially impacting the management and the progression … Increasingly sleep is recognized as a modifiable risk factor for disease, Elizabeth Tracey reports Read More »

RTL Today - In Conversation with Lisa Burke
Dementia is not inevitable, 07/03/2025

RTL Today - In Conversation with Lisa Burke

Play Episode Listen Later Mar 7, 2025 50:59


Many of us are lucky to grow older, and in Europe there is an aging demographic. With this come the diseases of aging such as dementia and a burden on family and society for care. For a long time people have thought this inevitable but we will learn today that, as with so many diseases, lifestyle changes from a young age can counteract this, to reduce the risk of getting dementia and also stabilising mental decline. In 2021, 20.8% of the EU population was aged 65 years or older. In 2019, an Alzheimer Europe report on the prevalence of dementia estimated that there were about 9 million people living with the disease in Europe. This number is projected to double by 2050, rising towards 19 million in the European region. Globally, there are around 55 million people worldwide who are living with dementia. However, research is now showing that up to 45% of dementias could be prevented: by addressing a range of modifiable risk factors, at different stages of our lives. My guests today are: Dr. Ange Bradshaw: Director for Research at Alzheimer's Europe Dr. Joëlle Fritz: Research and Strategy Specialist, Luxembourg Institute of Health Dr. Francesca Mangialasche: Geriatrician, Division of Clinical Geriatrics: Alzheimer Research Center Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Executive Director of the World-Wide FINGERS Global Scientific Coordinating Center at the FINGERS Brain Health Institute Hassan Fadli: Founder, 5 Ironmans Beat Alzheimer's Association The 2024 World Alzheimer's report noted that 80% of people think dementia is a normal part of ageing, and 65% of healthcare professionals. Only 2% of the population are affected by rare genetic factors but for most of us this is not the case. ‘Modifiable risk factors' can be replaced to deter and stall dementia. Francesca Mangialasce is based at the Karolinska Institute in Sweden, and also works as executive director of the ‘FINGERS' Brain Health Institute, founded by Professor Mija Kivipelto, a world renowned researcher in the field of Alzheimer's disease and Dementia. FBHI is dedicated to promoting healthy brain aging and preventing cognitive impairment and dementia through innovative multi-domain clinical research and the fast translation of these results into personalised clinical practice. Brain is our main capital, and there is so much we can do to promote brain health. Studies have show that cardiovascular and metabolic disorders such as high blood pressure, high blood cholesterol, high blood sugar or diabetes are risk factors for dementia. There are many other emerging factors such as hearing impairment, vision loss, impaired oral health.  Being mentally, physically and socially active during life is important to reduce the risk of memory problems in old age. Secondary and tertiary prevention is also really important, even at the later stages of disease with therapies including art, dance and cognitive stimulation therapy .  The FINGER study across 70 countries shows that a multi-domain approach can benefit cognition:exercise, healthy diet, cognitive training, good control of metabolic/vascular disorders, and social stimulation. Stigma Hassan Fadli's father faced stigma in the village he lived all his life. This stigma deepens the pain of the suffering, knowing you are losing ‘yourself'. It is also a burden for the caregivers at a time when family and friends need the most help to support their loved one.   Hassan promised his father to work towards breaking this stigma and founded the 5 Ironmans initiative. Hassan has also made a documentary of his advocacy work alongside the endurance sport to reach people from children in schools across Europe to the Queen of Sweden.  His aim is to bring brain health into normal conversation, break the stigma, and integrate brain health awareness into public discourse.  Luxembourg support Joëlle Fritz is working  as Research and Strategy Specialist at the Luxembourg Institute of Health where she aims to bridge research to clinical care. "Programme démence prevention" (pdp) is a programme raising awareness on modifiable risk factors for dementia prevention and promotes life style changes. PDP is an integrated prevention concept funded by Luxembourg's Ministry of Health and Social Security. PDP is currently coordinated by the Centre Hospitalier  de Luxembourg in collaboration with national institutions (Luxembourg Institute of Health and Luxembourg Centre for System's Biomedicine at the University of Luxembourg) and partner associations (listed below). It is important to start as early as possible in the prevention of dementia, and so the PDP Braincoach app was created, accessible via browser to everyone also outside Luxembourg: www.pdp-app.lu Associations related in Luxembourg: L'Association nationale des diététiciens du Luxembourg: www.andl.lu ZithaAktiv: www.zithaaktiv.lu   Club Seniors of HELP asbl: www.help.lu Club Senior “Schwaarze Wee” Dudelange:   www.schwaarzewee.lu Lëtzebuerger Verein fir Gediechtnistraining: www.lvgt.lu NEUROvitalis home and digital Info-Zenter Demenz:   www.demenz.lu Association Luxembourg Alzheimer (ala) : www.ala.lu  Longevity with health  The results are clear, for dementia and living a long life with good health: we need to put in place good habits of physical, social and mental health.  Links to the notes above: https://www.5ironmansbeatalzheimer.com www.pdp.lu https://www.alzheimer-europe.org https://fbhi.se/sv/ https://www.linkedin.com/company/fingers-brain-health-institute/ https://www.linkedin.com/in/miia-kivipelto-8a8b1b3b/ https://www.chl.lu/fr https://m3s.gouvernement.lu/en.html https://www.uni.lu/lcsb-en/ https://ki.se/en

Behind The Knife: The Surgery Podcast
Journal Review in Vascular Surgery: Burnout in Vascular Surgery Trainees

Behind The Knife: The Surgery Podcast

Play Episode Listen Later Mar 6, 2025 30:05


The Vascular Surgery Subspecialty Team dives into the pressing issue of burnout among vascular surgery trainees. Unveiling surprising statistics and expert insights, they explore the alarming prevalence of burnout, its causes like work-home conflict and physical discomfort, and the protective role of mentorship and a supportive learning environment. With research-backed discussions, they navigate strategies to combat burnout and enhance the well-being of medical professionals. Hosts:  Dr. Bobby Beaulieu is an Assistant Professor of Vascular Surgery at the University of Michigan and the Program Director of the Integrated Vascular Surgery Residency Program as well as the Vascular Surgery Fellowship Program at the University of Michigan. Dr. Frank Davis is an Assistant Professor of Vascular Surgery at the University of Michigan Dr. Drew Braet is a PGY-5 Integrated Vascular Surgery Resident at the University of Michigan Learning Objectives -  Review the definition and prevalence of burnout - Understand the risk factors, including both modifiable and non-modifiable risk factors, for burnout  - Review the effects of burnout on trainees and attending surgeons References 1.    Hekman KE, Sullivan BP, Bronsert M, Chang KZ, Reed A, Velazquez-Ramirez G, Wohlauer MV; Association of Program Directors in Vascular Surgery Issues Committee. Modifiable risk factors for burnout in vascular surgery trainees. J Vasc Surg. 2021 Jun;73(6):2155-2163.e3. doi: 10.1016/j.jvs.2020.12.064. https://pubmed.ncbi.nlm.nih.gov/33675887/ 2.    Cui CL, Reilly MA, Pillado EB, Li RD, Eng JS, Grafmuller LE, DiLosa KL, Conway AM, Escobar GA, Shaw PM, Hu YY, Bilimoria KY, Sheahan MG 3rd, Coleman DM. Burnout is not associated with trainee performance on the Vascular Surgery In-Training Exam. J Vasc Surg. 2025 Jan;81(1):243-249.e4. doi: 10.1016/j.jvs.2024.08.057. https://pubmed.ncbi.nlm.nih.gov/39233022/ 3.    Chia MC, Hu YY, Li RD, Cheung EO, Eng JS, Zhan T, Sheahan MG 3rd, Bilimoria KY, Coleman DM. Prevalence and risk factors for burnout in U.S. vascular surgery trainees. J Vasc Surg. 2022 Jan;75(1):308-315.e4. doi: 10.1016/j.jvs.2021.06.476.  https://pubmed.ncbi.nlm.nih.gov/34298120/ 4.    Davila VJ, Meltzer AJ, Hallbeck MS, Stone WM, Money SR. Physical discomfort, professional satisfaction, and burnout in vascular surgeons. J Vasc Surg. 2019 Sep;70(3):913-920.e2. doi: 10.1016/j.jvs.2018.11.026.  https://pubmed.ncbi.nlm.nih.gov/31279532/ 5.    Pillado E, Li RD, Chia MC, Eng JS, DiLosa K, Grafmuller L, Conway A, Escobar GA, Shaw P, Sheahan MG 3rd, Bilimoria KY, Hu YY, Coleman DM. Reported pain at work is a risk factor for vascular surgery trainee burnout. J Vasc Surg. 2024 May;79(5):1217-1223. doi: 10.1016/j.jvs.2024.01.003.  https://pubmed.ncbi.nlm.nih.gov/38215953/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

A toi les étoiles
Sevunscope : l'innovation au service des étoiles

A toi les étoiles

Play Episode Listen Later Feb 17, 2025 51:20


Damien Roy, Directeur général et co-fondateur de la start-up Sevun

Rio Bravo qWeek
Episode 183: Colorectal Cancer in Young Adults

Rio Bravo qWeek

Play Episode Listen Later Feb 7, 2025 27:09


Episode 183: Colorectal Cancer in Young AdultsFuture Dr. Avila and Dr. Arreaza present evidence-based information about the screening and diagnosis of colorectal cancer and explain the increasing incidence among young adult and the importance to screen early in high risk groups.  Written by Jessica Avila, MS4, American University of the Caribbean School of Medicine. Edits and comments by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.IntroductionJessica: Although traditionally considered a disease only affecting older adults, colorectal cancer (CRC) has increasingly impacted younger adults (defined as those under 50) at an alarming rate. According to the American Cancer Society, CRC is now the leading cause of cancer-related death in men under 50 and the second leading cause in women under 50 (American Cancer Society, 2024). Arreaza: Why were you motivated to talk about CRC in younger patients?Jessica: Because despite advancements in early detection and treatment, younger patients are often diagnosed at later stages, resulting in poorer outcomes. We will discuss possible causes, risk factors, common symptoms, and why early screening and prevention are important. Arreaza: This will be a good reminder for everyone to screen for colorectal cancer because 1 out of every 5 cases of colorectal cancer occur in adults between the ages of 20 and 54. The Case of Chadwick BosemanJessica: Many people know Chadwick Boseman from his role as T'Challa in Black Panther. His story highlights the worrying trend of increasing CRC in young adults. He was diagnosed with stage III colorectal cancer at age 39. This diagnosis was not widely known until he passed away at 43. His case shows how silent and aggressive young-onset CRC can be. Like many young adults with CRC, his symptoms may have been missed or thought to be less serious issues. His death drew widespread attention to the rising burden of CRC among young adults and emphasized the critical need for increased awareness and early screening efforts.Arreaza: Black Panther became a hero not only in the movie, but also in real life, because he raised awareness of the problem in young AND in Black adults. EpidemiologyJessica: While rates of CRC in older populations have decreased since the 1990s, adults under 50 have seen an increase in CRC rates of nearly 50%. (Siegel et al., 2023). Currently, one in five new CRC diagnoses occurs in individuals younger than 55 (American Cancer Society, 2024).Arreaza: What did you learn about the incidence by ethnic groups? Are there any trends? Jessica: Yes, certain ethnic groups are shown to have higher rates of CRC. Black Americans, Native Americans, and Alaskan Natives have the highest incidence and mortality rates from CRC (American Cancer Society, 2024). Black Americans have a 20% higher incidence and a 40% higher mortality rate from CRC compared to White Americans, primarily due to disparities in access to screening, healthcare resources, and early diagnosis. Hispanic and Asian American populations are also experiencing increasing CRC rates, though to a lesser extent.Arreaza: It is important to highlight that Black Americans have the highest rate of both diagnoses and deaths of all groups in the United States. Who gets colorectal cancer?Risk FactorsJessica: Anyone can get colorectal cancer, but some are at higher risk. In most cases, environmental and lifestyle factors are to blame, but early-onset CRC are linked to hereditary conditions. Arreaza: There is so much to learn about colorectal cancer risk factors. Tell us more.Jessica: The following are key risk factors:Modifiable risk factors:Diet and processed foods: A diet high in processed meats, red meat, refined sugars, and low fiber is strongly associated with an increased risk of CRC. Fiber is essential for gut health, and its deficiency has been linked to increased colorectal cancer risk (Dekker et al., 2023).Obesity and sedentary lifestyle: Obesity and physical inactivity contribute to CRC risk by promoting chronic inflammation, insulin resistance, and metabolic disturbances that promote tumor growth (Stoffel & Murphy, 2023).Gut microbiome imbalance: Disruptions in gut microbiota, especially an overgrowth of Fusobacterium nucleatum, have been noted in CRC pathogenesis, potentially causing tumor development and progression (Brennan & Garrett, 2023).Arreaza: As a recap, processed foods, obesity, sedentarism, and gut microbiome. We also have to mention smoking and high alcohol consumption as major risks factors, but the strongest risk factor is a family history of the disease.Non-modifiable risk factors:Genetic predisposition: Although only 20% of early-onset CRC cases are linked to hereditary syndromes such as Lynch syndrome and familial adenomatous polyposis (FAP), individuals with a first-degree relative with CRC are at a significantly higher risk and should undergo earlier and more frequent screening (Stoffel & Murphy, 2023).Arreaza: Also, there is a difference in incidence per gender assigned at birth, which is also not modifiable. The rate in the US was 33% higher in men (41.5 per 100,000) than in women (31.2 per 100,000) during 2015-2019. So, if you are a man, your risk for CRC is slightly higher. Protective factors, according to the ACS, are physical activity (no specification about how much and how often) and dairy consumption (400g/day). Jessica, let's talk about how colon cancer presents in our younger patients.Clinical Presentation and Challenges in DiagnosisJessica: Young-onset CRC is often diagnosed at advanced stages due to delayed recognition of symptoms. Common symptoms include:Rectal bleeding (often mistaken for hemorrhoids)Young individuals may ignore it, believe they do not have time to address it, or lack insurance to cover a comprehensive evaluation.Unexplained weight lossFatigue or weaknessChanges in bowel habits (persistent diarrhea or constipation)This may also be rationalized by dietary habits.Abdominal pain or bloatingIron deficiency anemia.Arreaza: All those symptoms can also be explained by benign conditions, and colorectal cancer can often be present without clear symptoms in its early stages. Jessica: Yes, in young adults, symptoms may be dismissed by healthcare providers as benign conditions such as irritable bowel syndrome (IBS), hemorrhoids, or dietary intolerance, leading to significant diagnostic delays. Arreaza: We must keep a low threshold for ordering a colonoscopy, especially in patients with the risks we mentioned previously. Jessica: We may also be concerned about the risk/benefit of colonoscopy or diagnostic methods in younger adults, given the traditional low likelihood of CRC. Approximately 58% of young CRC patients are diagnosed at stage III or IV, compared to 43% of older adults (American Gastroenterological Association, 2024). Early recognition and prompt evaluation of persistent symptoms are crucial for improving outcomes. Empowering and informing young adults about concerning symptoms is the first step in better recognition and better outcomes for these individuals.Arreaza: This is when the word “follow up” becomes relevant. I recommend you leave the door open for patients to return if their common symptoms worsen or persist. Let's talk about screening. Screening and PreventionJessica: Due to the trend of CRC being identified in younger populations, the U.S. Preventive Services Task Force (USPSTF) lowered the recommended screening age for CRC from 50 to 45 in 2021 (USPSTF, 2021). Off the record, some Gastroenterologists also foresee the USPSTF lowering the age to 40. Arreaza: That is correct, it seems like everyone agrees now that the age to start screening for average-risk adults is 45. It took a while until everyone came to an agreement, but since 2017, the US Multi-Society Task Force had recommended screening at age 45, the American Cancer Society recommended the same age (45) in 2018, and the USPSTF recommended the same age in 2021. This podcast is a reminder that the age of onset has been decreased from 50 to 45, for average-risk patients, according to major medical associations.Jessica: For individuals with additional risk factors, including a family history of CRC or chronic gastrointestinal symptoms, screening starts at age 40 or 10 years before the diagnosis of colon cancer in a first-degree relative. Dr. Arreaza, who has the lowest and the highest rate of screening for CRC in the US? Arreaza: The best rate is in Massachusetts (70%) and the lowest is California (53%). Let's review how to screen:Jessica: Recommended Screening Methods:Colonoscopy: Considered the gold standard for CRC detection and prevention, colonoscopy allows for identifying and removing precancerous polyps.Fecal Immunochemical Test (FIT): A non-invasive stool test that detects hidden blood, recommended annually.Stool DNA Testing (e.g., Cologuard): This test detects genetic mutations associated with CRC and is recommended every three years.Arreaza: Computed tomographic colonography (CTC) is another option, it is less common because it is not covered by all insurance plans, it examines the whole colon, it is quick, with no complications. Conclusion:Colorectal cancer is rapidly emerging as a serious health threat for young adults. The increase in cases over the past three decades highlights the urgent need for increased awareness, early symptom detection, and proactive screening. While healthcare providers must weigh the risk/benefit of testing for CRC in younger adults, patients must also be equipped with knowledge of concerning signs so that they may also advocate for themselves. Early detection remains the most effective tool in preventing and treating CRC, emphasizing the importance of screening and risk factor modification.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:American Cancer Society. (2024). Colorectal Cancer Statistics, 2024. Retrieved fromhttps://www.cancer.orgAmerican Gastroenterological Association. (2024). Delays in Diagnosis of Young-Onset Colorectal Cancer: A Systemic Issue. Gastroenterology Today.Brennan, C. A., & Garrett, W. S. (2023). Gut Microbiota and Colorectal Cancer: Advances and Future Directions. Gastroenterology.Dekker, E., et al. (2023). Colorectal Cancer in Adolescents and Young Adults: A Growing Concern. The Lancet Gastroenterology & Hepatology.Siegel, R. L., et al. (2023). Colorectal Cancer Statistics, 2023. CA: A Cancer Journal for Clinicians.Stoffel, E. M., & Murphy, C. C. (2023). Genetic and Environmental Risk Factors in Young-Onset Colorectal Cancer. JAMA Oncology.U.S. Preventive Services Task Force. (2021). Colorectal Cancer Screening Guidelines.Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.

Le sept neuf
Marc Fesneau : "La réforme des retraites est en route et elle est modifiable"

Le sept neuf

Play Episode Listen Later Jan 15, 2025 20:50


durée : 00:20:50 - L'invité de 8h20 : le grand entretien - par : Nicolas Demorand, Léa Salamé - À 8h20, Marc Fesneau, président du groupe Les Démocrates à l'Assemblée nationale est l'invité du Grand Entretien de Nicolas Demorand et Lea Salame. - invités : Marc Fesneau - Marc Fesneau : Député du Loir-et-Cher et président du groupe Les Démocrates (MoDem) à l'Assemblée nationale

Les interviews d'Inter
Marc Fesneau : "La réforme des retraites est en route et elle est modifiable"

Les interviews d'Inter

Play Episode Listen Later Jan 15, 2025 20:50


durée : 00:20:50 - L'invité de 8h20 : le grand entretien - par : Nicolas Demorand, Léa Salamé - À 8h20, Marc Fesneau, président du groupe Les Démocrates à l'Assemblée nationale est l'invité du Grand Entretien de Nicolas Demorand et Lea Salame. - invités : Marc Fesneau - Marc Fesneau : Député du Loir-et-Cher et président du groupe Les Démocrates (MoDem) à l'Assemblée nationale

From the Spectrum: Finding Superpowers with Autism
Dr. Kristen Lyall, ScD: Modifiable Risk Factors & Autism

From the Spectrum: Finding Superpowers with Autism

Play Episode Listen Later Dec 23, 2024 57:12


My guest today is Dr. Kristen Lyall, ScD. Dr. Lyall received a Doctor of Science in Epidemiology from Harvard School of Public Health. During her postdoctoral training, she received training in Nutrient Science at Harvard and Pediatric Epidemiology at UC-Davis MIND Institute's Autism Research Training Program. Currently, Dr. Lyall is an Associate Professor at Drexel University's A.J. Drexel Autism Institute – Modifiable Risk Factors Program.The overarching goal of the Modifiable Risk Factors program is to identify factors that can be changed to prevent or mitigate the adverse effects associated with Autism, thereby potentially improving outcomes for individuals and informing public health policy and practice. Dr. Lyall's expertise provides actionable tools for listeners to understand the environmental risks of Autism. By the end of the episode, we hope you gain insight into the identified modifiable risk factors for Autism.Dr. Kristen Lyall: https://drexel.edu/autisminstitute/about/our-team/all-staff/Kristen-Lyall/Dr. Lyall publications link: https://pubmed.ncbi.nlm.nih.gov/?term=Kristen%20Lyall&sort=pubdateECHO: https://echochildren.orgFish not Supplements: https://echochildren.org/research-summaries/fish-but-not-supplements-consumed-in-pregnancy-associated-with-lower-rates-of-autism-diagnosis-and-related-traits-echo-cohort-study-finds/Other Resources:Biological Energy: Quantum Mechanisms, Water, DHA, and NF-kB (Autism is a loss of energy- electrons, photons, protons)https://youtu.be/2-IA_gunXbw0:00 Dr. Kristen Lyall2:30 Her Journey into Epidemiology & Autism7:50 The Role of Epidemiology & Autism12:15 Modifiable Risk Factors17:32 Dietary Influences on Autism Risk; Eat more FISH (DHA!)22:53 Assessing Exposure & Risk Factors32:35 Immune & Hormonal Factors in Autism; Cytokines & Inflammation39:17 The Impact of Acute Events during Pregnancy44:45 Air Pollution & its Effects in Neurodevelopment; Oxidative Stress48:14 Current & Future Research; ECHO & EARLI56:34 Reviews/Ratings, Contact InfoX: https://x.com/rps47586YouTube: https://www.youtube.com/channel/UCGxEzLKXkjppo3nqmpXpzuAHopp: https://www.hopp.bio/fromthespectrumemail: info.fromthespectrum@gmail.com

Ditch The Labcoat
Things That Go Bump In The Night: Holiday Heart and Smart Watches with Dr Zachary Laksman

Ditch The Labcoat

Play Episode Listen Later Dec 4, 2024 57:41


DISCLAMER >>>>>>    The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.   >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.       Disclosures: Ditch The Lab Coat podcast is produced by (Podkind.co) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University. Welcome to another episode of "Ditch the Lab Coat," where we break down complex medical science in an engaging and relatable way. In today's episode, our hosts, Dr. Mark Bonta and Dr. Zachary Laksman, dive deep into the nuances of managing atrial fibrillation (AFib). We'll dissect the foundation and challenges of current treatment guidelines, explore the growing role of atrial fibrillation ablation, and discuss the fascinating phenomenon of "Holiday Heart."Dr. Laksman will also share insights from his cutting-edge work at the intersection of genetics and personalized medicine, including the innovative MyTrials AI platform he's co-founded. This tool aims to democratize access to clinical trials using artificial intelligence, making them accessible irrespective of personal networks. We'll cover the emerging potential of wearables in heart rhythm monitoring, the importance of lifestyle interventions, and the evolving landscape of AFib treatment.Whether you're a medical professional or simply curious about heart health, this episode offers valuable perspectives and practical advice. Stay tuned as we unravel these topics and more with the expertise of Dr. Zachary Laksman, an acclaimed heart rhythm specialist and leader in cardiogenetics. Don't forget to check out our new website and engage with us for more insightful content. Let's get started!00:00 - Seek professional advice, not podcast opinions.05:50 - Wearable devices: Reliable, clinically relevant, widely used.08:50 - Heart doctor: Electrician managing heart's nerve impulses.12:50 - Atrial fibrillation increases stroke risk despite rhythm.14:19 - Smartwatch inconsistencies in detecting atrial fibrillation.19:33 - Rhythm control improves life quality and longevity.20:17 - Modifiable and unmodifiable risk factors affect atrial fibrillation.25:56 - Researching interventions for high-risk patient outcomes.28:24 - Lifestyle changes reduce recurrent atrial fibrillation likelihood.31:10 - Shock hearts carefully; consider anticoagulants beforehand.33:52 - Are guidelines fear-mongering or evidence-based?37:55 - Electrophysiology advances improve atrial fibrillation ablation.41:54 - Tailoring medicine to individuals for better outcomes.46:02 - AI aids connection, education, breaking trial barriers.48:43 - Helping people navigate medical concerns and care.53:44 - Heart rhythms, paddles, blood thinners, stroke prevention.55:27 - Zach's AI project expands clinical trial access.

Kwik Brain with Jim Kwik
6 Modifiable Risk Factors for Reversing Cognitive Decline & Maintaining Brain Health with Dr. Heather Sandison

Kwik Brain with Jim Kwik

Play Episode Listen Later Nov 11, 2024 19:50


Is there anything you can start doing right now to protect your cognitive health as you age?Dementia and Alzheimer's are often viewed as an inevitable risk of aging. In fact, approximately 64% of Americans say their biggest fear around getting older is dementia. It's not an irrational fear. By 2040, it's estimated that over 11 million American's will be diagnosed with Alzheimer's disease. But that doesn't mean there isn't hope.Today's guest challenges many assumptions around aging and brain health. Dr. Heather Sandison is a renowned naturopathic doctor specializing in neurocognitive medicine. She's the founder of Solcere Health Clinic, San Diego's premier brain optimization clinic, and Marama, a residential program turning memory care into memory recovery. Dr. Sandison is also the author of the bestselling book, Reversing Alzheimer's: The New Toolkit to Improve Cognition and Protect Brain Health.Decades before you ever experience a sign or symptom of Alzheimer's disease, your brain is already changing. But you don't have to hope for a miracle drug or treatment because there are proactive steps you can take right now. Listen in as Dr. Sandison shares the critical lifestyle factors that contribute the most to cognitive health so you can support your brain health as you age./ / / Are you ready to take the next step on your brain optimization journey? / / /Choose your own adventure. Below are the best places to start:>>> Free Kwik Brain Starter Pack>>> Discover Your Unique KWIK BRAIN C.O.D.E To Activate Your Genius>>> Explore My Top Brain Health Supplements for Focus, Memory, and EnergyTake your first step by choosing one of the options above, and you will find everything you need to ignite your brilliant brain and unlock your exceptional life, allowing you to achieve and surpass all of your personal and professional goals.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

JACC Podcast
Non-Modifiable Risk Factors Predict Outcomes in Brugada Syndrome

JACC Podcast

Play Episode Listen Later Nov 11, 2024 9:42


In this episode, Dr. Valentin Fuster discusses a groundbreaking study on Brugada Syndrome, exploring how non-modifiable risk factors—such as male sex, SCN 5A mutations, and polygenic risk scores—can predict life-threatening arrhythmic events in patients. The research, published in JACC (November 2024), offers new insights into personalized risk assessment for this inherited arrhythmia syndrome, though its clinical implications remain limited for now.

outcomes predict risk factors modifiable brugada syndrome valentin fuster
The Mental Wellbeing College
Increasing Mental Health Benefits from Exercise | Dr Megan Teychenne | 64

The Mental Wellbeing College

Play Episode Listen Later Oct 12, 2024 43:28


Increasing Mental Health Benefits from Exercise with Dr. Megan Teychenne. In this video, Dr. Megan Teychenne and I discuss the benefits of exercise for mental health, the best types, domains, environments and social contexts of exercise for mental health, the benefits of exercise for Postpartum Depression and much more... Chapters 0:00 Show Intro 1:50 Mental Health Benefits of Exercise 5:55 Using Exercise to Treat Mental Illness 8:35 Exercise in Postnatal Depression 17:00 Domains of Physical Activity 25:00 Types of Physical Activity 27:00 Social Context of Physical Activity 32:00 Physical Environments 37:00 Mental Illness as a Barrier 38:55 Training Healthcare Practitioners Associate Professor Megan Teychenne is an NHMRC Emerging Leadership Fellow and behavioural epidemiologist at Deakin University's Institute for Physical Activity and Nutrition. She has an international profile for her research in the area of physical activity, sedentary behaviour and mental illness (particularly anxiety and depression), with a key focus on targeting 'at-risk' population groups including women (including postpartum and prenatal women) and socio-economically disadvantaged adults. Show Notes Food, Move, Sleep for Postnatal Mental Health www.fomosprogram.com.au "Effectiveness of physical activity interventions for improving depression, anxiety and distress: an overview of systematic reviews" by Singh et al., 2023 "Physical activity, sedentary behavior, and postnatal depressive symptoms: a review" by Teychenne & York, 2016 "Modifiable barriers to leisure-time physical activity during pregnancy: a qualitative study investigating first time mother's views and experiences" by Connelly et al., 2015 "Physical Activity and Exercise for Pregnancy Guidelines" by Aust. Dept of Health and Aged Care https://www.health.gov.au/topics/phys... "Optimising the effects of physical activity on mental health and wellbeing: A joint consensus statement from Sports Medicine Australia and the Australian Psychological Society" by Vella et al., 2023 "Domain-Specific Physical Activity and Mental Health: A Meta-analysis" by White et al., 2017 "Mood disorders clinical practice guideline" by Royal Australian and New Zealand College of Psychiatrists (2020)

Healthed Australia
Dementia: New additions to modifiable risk factors

Healthed Australia

Play Episode Listen Later Oct 10, 2024 28:45


Learn about the current understanding of risk factors for dementia, especially in Australia Middle-aged patients with multiple vascular risk factors and women in particular are at higher risk of dementia Proactively assess dementia risk using the validated CogDrisk assessment tool: https://cogdrisk.neura.edu.au/ How to differentiate between genetic risk vs lifestyle risk of dementia   Host: Dr Marita Long | Total Time: 29 mins Experts: Scientia Professor Kaarin Anstey, Psychology Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEDT Click here to register for the next oneSee omnystudio.com/listener for privacy information.

The Real GI Doc Show
Q & A: Should You Get Screened For Pancreatic Cancer?

The Real GI Doc Show

Play Episode Listen Later Sep 30, 2024 21:16


In this Q&A episode, Dr. Fred Gandolfo addresses a listener's concern about the risk of pancreatic cancer, especially in the context of family history. Dr. Gandolfo dives deep into understanding pancreatic cancer, its symptoms, and the importance of early detection. He explains who should consider screening, the methods used for screening, and the balance between the benefits and potential harms of such screenings. Topics covered in this episode: - The role and function of the pancreas. - Why pancreatic cancer is often diagnosed late. - Symptoms and risk factors for pancreatic cancer. - Statistics on the prevalence and survival rates of pancreatic cancer. - Who should be screened for pancreatic cancer. - Genetic syndromes and their link to pancreatic cancer. - Screening methods: MRI and Endoscopic Ultrasound (EUS). - Modifiable risk factors: Smoking, chronic pancreatitis, obesity, and diet. - Importance of consulting with a healthcare provider for personalized advice. Referenced in today's episode: AGA Clinical Practice Update on Pancreas Cancer Screening Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here. Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link.

McGill Cares
McGill Cares: Modifiable risk factors for developing Alzheimer's and related dementias

McGill Cares

Play Episode Listen Later Sep 18, 2024 27:45


In July, the Lancet Commission launched its 2024 report on dementia prevention, intervention, and care.  Dr. Gauthier will explain the new findings on modifiable risk factors for dementia, and how addressing them can prevent or delay disease progression.  Serge Gauthier, MD, is a clinical neurologist specializing in the development of new tools for diagnosis and treatments for people living with Alzheimer's disease. He is the Academic Co-Lead for the Dementia Education Program and Professor Emeritus in the Department of Neurology & Neurosurgery and the Department of Psychiatry at McGill University. Dr. Gauthier was the Director of the McGill University Research Centre for Studies in Aging from 1986 to 1997. His accomplishments led to him being appointed to the Order of Canada in 2014 and the National Order of Québec in 2017.  Air date: Sept. 18, 2024 This webcast is available in English and French.  ______________________ McGill Cares is supported by the Amelia Saputo Community Outreach for Dementia Care.  McGill Cares is an initiative of the McGill Dementia Education Program, which is funded by private donations. To contribute or for more information about our program, please visit http://www.mcgill.ca/dementia.  This page also contains a link to trusted resources specific to dementia.          If you have any topics or questions that you would like us to address during our weekly webcasts, please email us at dementia@mcgill.ca. 

JACC Speciality Journals
JACC: Advances - Machine Learning Identification of Modifiable Predictors of Patient Outcomes After Transcatheter Aortic Valve Replacement

JACC Speciality Journals

Play Episode Listen Later Aug 28, 2024 2:58


Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances discusses a recently published original research paper on Machine Learning Identification of Modifiable Predictors of Patient Outcomes After Transcatheter Aortic Valve Replacement

The Peter Attia Drive
#313 - AMA #62: Protein's impact on appetite and weight management, and uric acid's link to disease and how to manage levels

The Peter Attia Drive

Play Episode Listen Later Aug 12, 2024 24:10


View the Show Notes Page for This Episode Become a Member to Receive Exclusive Content Sign Up to Receive Peter's Weekly Newsletter In this “Ask Me Anything” (AMA) episode, Peter dives into two important health topics: uric acid and protein, examining them from unique perspectives. For uric acid, he explores its metabolic role and connection to various diseases, focusing on the potential causal link with cardiovascular disease. He also discusses factors influencing uric acid levels, such as diet, genetics, and lifestyle, providing practical tips for effective management. Shifting to protein, Peter delves into its role in appetite and weight management, the consequences of insufficient protein, and the “protein leverage hypothesis” linking protein deficiency to obesity. He covers optimal protein intake and its impact on energy expenditure, and he compares the satiety effects of solid versus liquid protein. Finally, Peter shares his strategy for incorporating protein into a comprehensive weight management plan. If you're not a subscriber and are listening on a podcast player, you'll only be able to hear a preview of the AMA. If you're a subscriber, you can now listen to this full episode on your private RSS feed or our website at the AMA #62 show notes page. If you are not a subscriber, you can learn more about the subscriber benefits here. We discuss: Overview of episode topics (and an important discussion on fanny packs) [2:00]; Understanding uric acid: its role in metabolic processes, its association with gout and kidney stones, its impact on blood pressure, and more [6:00]; Non-modifiable factors that influence uric acid levels [11:00]; Modifiable factors that influence uric acid levels [14:15]; Association between high uric acid levels and cardiovascular disease [20:00]; Evidence suggesting a causal link between high uric acid levels and cardiovascular disease [24:00]; Inconclusive evidence about the cardiovascular benefits of lowering uric acid pharmacologically [28:15]; Exploring the potential risks of low uric acid levels in neurodegenerative diseases [37:00]; Managing uric acid levels: dietary interventions and pharmacological approaches [42:00]; The impact of protein on appetite and weight management [44:00]; The consequences of insufficient protein on eating behaviors and satiety [52:15]; The relationship between protein deficiency and obesity: exploring the “protein leverage hypothesis” [57:15]; The impact of protein intake on energy expenditure [1:02:15]; Determining optimal protein intake to avoid deficiency and support health [1:05:45]; The role of different amino acids and protein sources in promoting satiety [1:08:15]; Comparing the satiety effects of solid vs. liquid protein sources [1:10:30]; Peter's framework for incorporating protein intake into a strategy for controlling body weight [1:12:00]; and More. Connect With Peter on Twitter, Instagram, Facebook and YouTube

PVRoundup Podcast
Fourteen modifiable risk factors can help prevent dementia

PVRoundup Podcast

Play Episode Listen Later Aug 6, 2024 4:39


Which modifiable factors can cut risk of dementia in half? Find out about this and more in today's PeerDirect Medical News Podcast.

The Broadcast Retirement Network
40% of cancer cases and almost half of all deaths linked to modifiable behaviors

The Broadcast Retirement Network

Play Episode Listen Later Jul 22, 2024 10:29


#BRNAM #1791 | 40% of cancer cases and almost half of all deaths linked to modifiable behaviors |  Christina Annunziata, MD, PhD, American Cancer Society | #Tunein: broadcastretirementnetwork.com | #JustTheFacts. #Everyday. #AllInOnePlace.

The Bare Performance Podcast
075: Nutrition Can Improve Brain Health with Max Lugavere

The Bare Performance Podcast

Play Episode Listen Later Jul 15, 2024 101:12


Max Lugavere is a renowned health and science journalist, filmmaker, podcaster, and New York Times bestselling author. Max's journey into researching brain diseases began with personal motivation and has led to groundbreaking insights on how nutrition can impact the preventability of brain diseases. This episode discusses how Max has transformed our understanding of brain health by highlighting key risk factors such as genetics, ultra-processed foods, pollution, and chemical exposure. Now is the time to optimize brain health and reduce the risk of cognitive decline through informed lifestyle choices. Gain expertise and take actionable steps towards a healthier brain and a more informed approach to nutrition and overall well-being. Strength, endurance, and wellness supplements to fuel your performance.SAVE 10% at BPN Supps:https://bit.ly/nickbare10audio Follow:IG: instagram.com/nickbarefitness/YT: youtube.com/@nickbarefitness Keep up with Max:IG: instagram.com/maxlugavere/Max's Documentary: littleemptyboxes.com/ Topics:0:00 Intro0:38 Welcome7:25 Working on Max's documentary for 10 years11:29 Preventing brain disease14:58 Improving your genetic risk factor17:38 Modifiable and non-modifiable risk factors23:23 Different diagnoses of brain disease27:55 How Max's research started38:18 Max documenting the hard moments51:06 Slowing the degeneration of the brain57:38 Adjusting your diet for brain health1:17:08 If it fits your macros diets1:27:04 Monounsaturated fats1:29:44 The benefits of saunaing1:35:08 Little Empty Boxes TAGS: Max Lugavere, brain health, nutrition, brain diseases, preventability, genetics, ultra-processed foods, pollution, chemical exposure, cognitive decline, health optimization.

#PTonICE Daily Show
Episode 1765 - Pearls for a pre-prostatectomy PT session

#PTonICE Daily Show

Play Episode Listen Later Jul 8, 2024 23:01


Dr. April Dominick // #ICEPelvic // www.ptonice.com  In today's episode of the PT on ICE Daily Show, #ICEPelvic faculty member April Dominick shares how YOU can make a huge impact on the quality of life of a client with an upcoming prostatectomy simply through education on pelvic floor muscle retraining, lifestyle changes and physical activity AND learn the ESSENTIAL clinical pearls to include in a pre-operative physical therapy session when working with this population. Take a listen to learn how to better serve this population of patients & athletes or check out the full show notes on our blog at www.ptonice.com/blog. If you're looking to learn more about our live pregnancy and postpartum physical therapy courses or our online physical therapy courses, check our entire list of continuing education courses for physical therapy including our physical therapy certifications by checking out our website. Don't forget about all of our FREE eBooks, prebuilt workshops, free CEUs, and other physical therapy continuing education on our Resources tab. Are you looking for more information on how to keep lifting weights while pregnant? Check out the ICE Pelvic bi-weekly newsletter! EPISODE TRANSCRIPTION APRIL DOMINICK This is Dr. April Dominick. I am on faculty with the ICE Pelvic Division. Today we are chatting about prehab for a prostatectomy surgery. Why is prehab important and what should be included in your PT session with that pre prostatectomy client? This topic, it is so near and dear to my heart. it's because these humans just don't have the treatment or education that they deserve prior to going into these surgeries and afterwards when they come out. And if I can convince you why it is so important to be able to connect with these humans and to even just educate them on, hey, there is Help for you. There's pelvic floor muscle training that can be done education about behaviors whether that is you actually doing the PT session or you referring them to someone else it can have incredible outcomes for them post-op just because they are aware of pelvic floor physical therapy for their surgery the prostatectomy so Let's dive into what a prostatectomy surgery actually is. It is something to treat prostate cancer, and that's going to be by removing part or the full gland of the prostate. They're also going to remove surrounding tissues and seminal vesicles. The gold standard for surgery is a radical prostatectomy where they remove the entire prostate gland. I didn't have a walnut, so here's what we're working with. This fig represents the prostate. So let's run through some real estate of where everything is situated in someone with a prostate in terms of the pelvic floor and the organs. So we have our bladder here and then we have the bladder neck with the urethra that goes through our prostate. and this is going to be representative of the urethra itself. So the urethra goes from the bladder neck through this fig or the prostate and then down into the penis and that is how everything is set up. With a prostatectomy, after the prostate is removed, that extra support around the urethra is now lost, and the remaining bit of that urethra now needs to be reconnected back to the bladder. This reconnection, we can think about it like a bridge, or a fancy term is the anastomosis, and that anastomosis needs time to heal. So a Foley catheter is placed in for about five to ten days. That means that the bladder is or the urine is emptying passively. The bladder is not doing its job. It's off on vacation. And then once the catheter is removed, the bladder acts like it forgot how to start or how to store urine. It doesn't know what to do with it. And so we have a lot of urinary leakage. So among other things, this is why urinary incontinence or urinary leakage is a major side effect with these prostatectomy surgeries. post-op, the external urethral sphincter is relied on for maintaining continence. So good news for us, the pelvic floor muscles help to close that sphincter and keep pee in until it's appropriate to release it. And that's why pelvic floor muscle training with physical therapy can be so important pre-op and post-op, at least from the bladder side of things. So who does the prostatectomy surgery affect? Well, obviously those diagnosed with prostate cancer. It is the second leading cause of death from cancer in males. It's going to affect our individuals who are older than 50 years old and who are African-American. So if you think about who you are treating currently, if you're treating individuals who have prostates who are older than 50, one in eight of them are probably gonna have some run-in with prostate cancer, whether that's treated with a surgery or not. That's where you come in. You could have such a profound effect with these individuals just by educating them that pelvic floor muscle training exists And whether you're again, whether you're doing the treatment or you're referring out to someone else, you can have such an incredible impact on their post-op outcomes potentially. So, We talked about with a post-prostatectomy, we talked about that surgery can result in urinary incontinence or leakage. It can also affect sexual function. There can be reduced physical function. Think about it. If you're leaking all the time, is that really going to convince or motivate you to go work out? For some, no. And then it'll also affect the overall health-related quality of life. Take 65 year old Phil. You've got a Phil in your clinic. You're already treating him for low back pain, um, with his hikes and his weightlifting, say. And he went in for his annual physical, and then he walked out with a date for a surgery for radical prostatectomy. Besides being in shock that he now has this potentially life threatening diagnosis, Phil comes in and is like, this happened. He's like, am I, am I ever going to be able to hike with my hiking group and not be the person that smells like pee? Am I going to be able to be cool with being in the changing room in the, in the locker room after my weightlifting session, like removing this soggy pair of underwear, or am I going to be able to enjoy sexy times with his partner? Well, since you're here and you intently are listening to this podcast, You, your first line of question is, hey, Phil, did they recommend any sort of physical therapy for you? Um, whether it's pre-op or post-op. And of course, Phil's like, no. So you teach him that pelvic floor muscle training can be so effective and helpful, um, and play a huge role in those side effects that he's worried about. Y'all, what if we could have an incredibly bigger impact, building the foundation, setting the stage for what to expect post-surgery, just with PT sessions? Clinically, I've been treating this population, hopefully you can hear my passion behind it, for about seven years. I've interacted with so many fills that come in, if they even get to me, right? and they are just slapped with that surgery date, and the side effects are kind of breezed through during their appointment, it seems like. And their concerns aren't really heard, their well-being and their questions, they're just kind of like not given a lot of attention. I didn't always do pre-op sessions, but once I started, hoo-wee, I was just blown away by how different the clinical outcomes were in terms of improving, whether that was decreasing the volume of urinary leakage for some or having them return back to their ADLs exercise a little bit sooner. The biggest thing, which was so powerful for me, is these people came in extremely uncertain, having no idea even why, if their doctor did send them to PT, why they were there. And they were just uncertain about these really scary side effects, about how maybe for the first time they were going to experience some sort of losing control of their bodies, from peeing unexpectedly to changes in their erections. And they walked out of that first session feeling a little more confident, a little more certain. And that is the power, I believe, of these pre-op sessions. And then from a research side of things, what's shaking out in the few RCTs that we have for these pre-op sessions and their effects on prostatectomy, some may be helpful in improving quality of life. they may affect a shorter hospital stay. They may reduce post-op urinary leakage in the short term. So some studies find around month one, three, or six, that the individual is leaking less, meaning they're drier faster. Now, when you compare someone who had some pre-op PT to someone who did not around 12 months, they are about the same with their rate. But I would argue that I bet folks are going to be a lot more satisfied if they did that prehab and they are drier sooner, right? So let's go into what a prostatectomy PT session entails before that surgery. We've got these sessions already in place. for folks who are going in for surgery for their ACL repair, for their hip replacement. But just like we're fighting with our pregnant and postpartum population, we are somehow having to fight for someone to have a pre-obsession for something like a prostatectomy, and that impacts so many daily functions. Let's outline what is involved in that pre-op PT session. Again, you can educate someone on what to expect if you're referring them to someone to do this. So we'll go over subjective, objective, and the treatment. From an assessment side of things, from that subjective piece, what you can be talking to your patient about is what are their current bladder and sexual habits? How many voids do they have during the day? How many times do they go pee? Do they have an urge? Do they have urinary leakage or hesitancy? And there are some outcome measures that go over these things. The International Prostate Symptom Score goes over those things. Plus they ask about nocturia or nighttime urination. And then the NIH Chronic Prostatitis Symptom Index is another outcome measure. And I love it because it asks about the impact of these symptoms. How is it affecting your quality of life? Then you want to also ask about their sexual function. How would they rate their erection strength or their satisfaction with their sexual life? From an outcome measure standpoint, you can give them the International Index of Erectile Function. This is something that asks them to rate qualities of their erection from the past four weeks. Then you want to also get a good idea of their current physical activity regimen. What a wonderful time to, if they're already a little physically inactive, hey, let's like plug in for, here's why it would be really great if you could up that physical activity. Not just for that immediate post-op surgical outcome, but also, hey, we can lower all cause mortality. And then from an objective side of things, so we went over the subjective, objectively speaking, we want to get a pelvic assessment. Whether that is over the clothes, external, near that midline, or it is a visual or tactile palpation, or an internal rectal assessment, if that's what you're trained in. So we're looking for, what's their awareness? Do they even know that they have this group of muscles that they can control? called the pelvic floor. We want to be looking at their coordination, timing of the pelvic floor, and then also getting an idea of what is their breathing and bracing strategies for things that increase interabdominal pressure, like fitness activities or functional lifting of the groceries, coughing, running, weightlifting. Typically, this population tends to be a breath holder. So we're gonna spend some time, there's just so much that we can do to help them in this area, to help them have improvements in their methods with that. And then we also wanna be doing some sort of general orthoscreen because what if their hips are cranky? Obviously that's gonna affect pelvic floor, low back, and all those surgical outcomes. From a treatment side of things, so we went over subjective, objective, highlights from the treatment side of things. where we'll talk about education, what to expect post-op, and some homework for them to work on. Education. I cannot stress this enough. The education piece here is vital for affecting their outcomes and well-being. Let's educate them on the pelvic floor. Here's what it is. Here's the anatomy and physiology. Here's how it affects your penis. whether that's for sexual health or for the urethra for urination. Here is what happens during the surgery. Get to know the surgeons in your area and which methods they use. What are their outcomes, right? And then you want to be explaining the risk factors for these side effects like urinary leakage and sexual function. dysfunction. Non-modifiable factors. If you're older, it's not going to help you as much. And if you already have some reductions in urinary function, like you're already leaking, that is not going to help you on the backside. Modifiable factors, tons. So things like smoking, poor nutrition, That is gonna delay healing post-op. Can we identify some current bladder irritants and reduce those immediately post-op? What about poor mental health? Things like low self-efficacy or if they're experiencing anxiety or depression, helping them ID these things and finding them some psychosocial support to have upcoming for the surgery and post-op, so key. and then reduced physical activity. Hard health is heart health. What do I mean by that? Erections, ejaculation, is related to vascular health. Hard health is heart health. So what affects our vascular system? Aerobic and resistance training exercise. If we can have them and talk to them about how it's important and how increasing that physical activity is going to improve their physiologic resilience to the surgery itself and any complications that come up, that is gonna be having such a huge impact on their quality of life. Regarding physical activity, in a 2014 RCT by Mina et al, they found that men who were meeting physical activity guidelines prior to surgery had greater health-related quality of life at six and 26 weeks post-op compared to men who were not meeting those physical activity guidelines. So, from a post-op perspective, we want to tell them what to expect. Urinary incontinence and sexual dysfunction. From the urinary incontinence side of things, they will have a Foley catheter in for five to 10 days. Remember, the bladder doesn't work during this time. Once that catheter is removed, we gotta retrain that neural pathway to help control the bladder so that they know, oh, my bladder is filling, or this is how I'm gonna stop that leakage from coming out, and how to fully empty the bladder. Another huge tip, have them bring a hygiene product, whether that's a pad or a diaper or something, with them to the hospital so that when they are discharged, they have something to help protect them on their way home or on their way to the store to grab their meds. And then urinary incontinence could be present from a couple of months to a year post-op. We see a significant improvement in that three to six month range, but it could be affected by things like, hey, it gets worse at the end of the day because the pelvic floor muscles are tired, or with transitional movements like sitting to stand. So working on these movements with them is gonna be super helpful pre-op. And then maybe talking to them about how, if you're not going to see them for 10 days or so post-op, we may be using the pad weight or the number of pads in a 24-hour period as a marker for our progress. So just having that in the back of their mind. When it comes to what to expect from a sexual function standpoint post-op, it can take up to two years to recover to baseline function from an erection standpoint. We want to set these expectations from an ejaculation standpoint. Dry ejaculate is going to happen now because those seminal vesicles were removed, and that's what helps produce that ejaculate. There may be some changes in their orgasm sensation. Erections, it could be dependent on surgery outcomes. How much nerve sparing was there in that procedure? They have the potential to get better with this, especially with pelvic floor muscle training or things like pumps. And then loss of penile length. This is something that we want to let them know can happen so they don't get a little surprise. Homework wise, we want to address any of those pelvic floor deficits we found from that objective piece, especially that breathing and bracing strategy. We can do that with biofeedback, whether that's with a mirror, with a palpation from the therapist or from them, and just to really improve their awareness and coordination there. And then giving them cues that connect them to the pelvic floor. Evidence supports, hey, pelvic floor contractions with the following cues, like shortening the penis, though I've been told nobody wants to have that. So something like nuts to guts or stopping the flow of urine is great for that. One side of the range of motion, the contraction side of the range of motion of the pelvic floor, and then something for the relaxation side, like let the testicles or base of penis hang loose. I did an Instagram post recently, so you can check that out on the ICE or Revitalize Pelvic Physio page. And then we wanna be, for homework, modifying their poor lifestyle habits. Can we reduce those bladder irritants, process sugar? Can we increase your physical activity and mental health? And then finally, we want to be scheduling their followup visits on the calendar. So whether that's for pre-op, a couple more sessions, or as early as 10 days, once that catheter is removed, they can pop back in to your office. SUMMARY So, I hope you found that information helpful. We reviewed how prevalent prostate cancer is, especially for those who are 50 plus. We know that radical prostatectomy is the gold standard for treatment. Two major things that are affected post-op are urinary incontinence and erectile dysfunction. Pre-op PT sessions are fairly new, but we have some evidence that says, hey, those who partake in pre-op sessions are drier sooner than their counterparts. And then from a PT session standpoint, thinking about asking what their current bladder and sexual function is, asking them about physical activity, mental health, objectively getting a measurement of the pelvic area, and helping them connect with that area a little bit more. Treatment-wise, we want to really harp on that education. about what the pelvic floor is, how it can help with their function, and also what to expect, possible side effects, modifiable risk factors, and then giving them homework to work on those deficits, and then finally scheduling that additional follow-up before surgery and then getting their post-op session on the calendar. My next podcast, I'm going to go into detail on what a post-op session post prostatectomy looks like. So tune in for that. And then if you want to learn more about pelvic floor examination, join us live. We have our next two courses. One is July 20th, 21st in Cincinnati, Ohio. And then July 27th and 28th, we are gonna be in Laramie, Wyoming. If you're wanting more of a virtual option, we have our two different courses that are eight weeks, L1 and L2. And in L2, we go over the male pelvic health conditions as well. Thank y'all so much for tuning in from my prostate slash walnut. Happy Monday, and I'll see you next time. OUTRO Hey, thanks for tuning in to the PT on Ice daily show. If you enjoyed this content, head on over to iTunes and leave us a review, and be sure to check us out on Facebook and Instagram at the Institute of Clinical Excellence. If you're interested in getting plugged into more ice content on a weekly basis while earning CEUs from home, check out our virtual ice online mentorship program at ptonice.com. While you're there, sign up for our Hump Day Hustling newsletter for a free email every Wednesday morning with our top five research articles and social media posts that we think are worth reading. Head over to ptonice.com and scroll to the bottom of the page to sign up.

Fading Memories: Alzheimer's Caregiver Support
Untreated Hearing Loss: A Modifiable Risk Factor for Cognitive Decline?

Fading Memories: Alzheimer's Caregiver Support

Play Episode Listen Later Jun 14, 2024


Hearing Loss: Could It Be Affecting Your Brain Health?  Hearing loss is more than just a quiet world - it could be a risk factor for dementia. This episode explores the surprising link between hearing impairment (alternative keyword: deafness) and cognitive decline. Discover how: Hearing Keeps Your Brain Sharp: Learn about the role of auditory input in maintaining brain function and how hearing loss can impact cognitive processes. The Effort to Hear Takes a Toll: Explore how struggling to understand speech can strain your brain, potentially contributing to cognitive decline. Isolation Fuels the Problem: Uncover how social isolation, often associated with hearing loss, can further harm brain health. Protecting Your Brain Through Hearing: Learn how timely interventions like hearing aids and rehabilitation programs may help reduce dementia risk. Join us as we delve into the science behind hearing loss and dementia. Discover how prioritizing your hearing health could be a powerful strategy for protecting your brain and preventing cognitive decline. ++++++++++++++++++++++++++++++++++++++++ Related Episodes: The Brain's Fountain of Youth: Innovative Paths to Dementia Prevention Dementia Brain Protection: Health for Life ++++++++++++++++++++++++++++++++++++++++ Sign Up for more Advice & Wisdom - email newsletter. +++++++++++++++++++++++++++++++++++++++++++++++++++++++ Please help us keep our show going by supporting our sponsors. Thank you. ++++++++++++++++++++++++++++++++++++++++++++++++++++++++ Feeling overwhelmed? HelpTexts can be your pocket therapist. Going through a tough time? HelpTexts offers confidential support delivered straight to your phone via text message. Whether you're dealing with grief, caregiving stress, or just need a mental health boost, their expert-guided texts provide personalized tips and advice. Sign up for a year of support and get: Weekly texts tailored to your situation Actionable strategies to cope and move forward Support for those who care about you (optional) HelpTexts makes getting help easy and convenient. ++++++++++++++++++++++++++++++++++++++++ Make Your Brain Span Match Your LifeSpan Relevate from NeuroReserve I've been focusing a lot on taking care of my brain health, & I've found this supplement called RELEVATE to be incredibly helpful. It provides me with 17 nutrients that support brain function & help keep me sharp. Since you're someone I care about, I wanted to share this discovery with you. You can order it with my code: FM15 & get 15% OFF your order. With Relevate nutritional supplement, you get science-backed nutrition to help protect your brain power today and for years to come. You deserve a brain span that lasts as long as your lifespan. ++++++++++++++++++++++++++++++++++++++++ Join Fading Memories On Social Media! If you've enjoyed this episode, please share this podcast with other caregivers! You'll find us on social media at the following links. Instagram Twitter LinkedIn  Facebook Contact Jen at hello@fadingmemoriespodcast.com or Visit us at www.FadingMemoriesPodcast.com

Get to the Root of It
Beat Cognitive Decline: Dr. Heather Sandison's Best Advice! (Eps. 25)

Get to the Root of It

Play Episode Listen Later Jun 12, 2024 47:45


Over 212 million Americans say their biggest fear about growing older is developing Alzheimer's. Part of why we're so afraid is that we believe it's untreatable. But what if we could not only prevent cognitive decline, but actually reverse it? In REVERSING ALZHEIMER'S: The New Toolkit to Improve Cognition and Protect Brain Health (HarperCollins, June 11, 2024), Dr. Heather Sandison, a leading expert in dementia care, proves that reversal is possible, and is already occurring in patients at Solcere, her brain-optimization clinic, and Marama, her memory care facility, in San Diego, California. You can learn more about her book and other offerings here: /https://www.drheathersandison.com/ SUMMARY Dr. Sandison discusses cognitive decline, dementia stages, and importance of lifestyle changes. Modifiable risk factors like hearing loss, hypertension, and social isolation increase dementia risk. Sleep apnea contributes to cognitive decline. A complex approach addressing toxicity, nutrients, and other root causes is needed for Alzheimer's. Brain-nourishing environments are crucial. TAKEAWAYS - Personalized lifestyle interventions can help cognitive decline. - Addressing modifiable risks and maintaining cognitive reserve is key. - Sleep apnea treatment is essential to prevent further decline. - Toxicity reduction and creating nourishing environments improve cognition. - Sandison's book provides toolkit for better brain health. 02:00 Introduction and Background 04:43 Understanding Cognitive Decline and Alzheimer's 11:34 Modifiable Risk Factors for Dementia 16:42 The Connection Between Sleep Apnea and Cognitive Decline 26:10 The Role of Toxicity in Cognitive Decline 32:55 Creating Brain Nourishing Environments 38:55 A Comprehensive Toolkit for Improving Cognition Click any link below to connect with Laurel Brennan, MOTR/L, RYT, CHC, ReCODE 2.0  Detox Guide for Brain Health ⁠⁠https://www.rootcauseology.com/⁠⁠ for information on Brain Health Services, Yoga, and⁠ ⁠Brain Health Retreats⁠ Instagram @rootcauseology⁠⁠ ⁠⁠ TikTok @rootcauseology⁠⁠ ⁠⁠Facebook @rootcauseology⁠⁠  YouTube RootCauseologywithLaurelBrennan LinkedIn https://www.linkedin.com/in/laurel-brennan-38931945/ Private⁠ ⁠Facebook Group, Brain Wellness & Dementia Prevention Schedule a Free Consultation

RETINA Journal Podcasts
ASSESSMENT OF SIMULATED SURGICAL DEXTERITY AFTER MODIFIABLE EXTERNAL EXPOSURES AMONG NOVICE VERSUS EXPERIENCED VITREORETINAL SURGEONS

RETINA Journal Podcasts

Play Episode Listen Later May 21, 2024 6:01


Optimal - The Podcast
Optimal - The Podcast: Episode 25 - Modifiable Risk Factors

Optimal - The Podcast

Play Episode Listen Later Apr 30, 2024 44:51


Welcome to Episode 25 of Optimal—the Podcast! In this episode, we discuss the concept of modifiable risk factors. Dr. Weatherby and Beth Ellen discuss modifiable risk factors related to lifestyle choices impacting health, pointing out the impact of unhealthy habits on conditions like cardiovascular disease and blood sugar dysregulation. Also, the lack of physical activity, poor sleep, smoking, excess alcohol intake, and stress management are highlighted as key modifiable factors affecting health. They emphasize the crucial importance of early risk recognition before diagnosis. They also discuss strategies for addressing risk factors like dietary improvements and emphasizing whole foods over processed items. Additionally, exercise routines and stress management techniques such as deep breathing and meditation are highlighted for better health outcomes, as these modifications significantly impact biomarkers associated with chronic diseases. Tune in to learn more about modifiable risk factors impacting your health! Don't miss out on valuable insights to enhance your well-being today! Episode Highlights: ( 01:50 ) Recognizing risks that are modifiable and lifestyle choices can become risk factors ( 03:13 ) Making choices and dealing with traditional approaches ( 08:26 ) Implementation of the DASH diet and translating it into dietary choices ( 14:11 ) Discussion on modifiable risk factors ( 16:36 ) Utilizing techniques like box breathing and meditation for stress management ( 22:05 ) Link between sleep duration and cardiovascular risk factors ( 26:26 ) Impact of sleep duration on biomarkers and metabolic health ( 32:07 ) About a research study on health coaching and disease biomarkers ( 35:51 ) Utilizing coaching sessions and supplements for health revival ( 40:29 ) Exploring a detailed study and blog post for comprehensive information Resources Discussed in This Podcast Lewis, Thomas J et al. “Reduction in Chronic Disease Risk and Burden in a 70-Individual Cohort Through Modification of Health Behaviors.” Cureus vol. 12,8 e10039. 26 Aug. 2020, doi:10.7759/cureus.10039  Link to download the article in PDF format: https://www.optimaldx.com/hubfs/pdf/Lewis_ChronicDisease%20TempAssess_2020_32983729.pdf    How Lifestyle Choices Affect Blood Chemistry Results https://www.optimaldx.com/blog/how-lifestyle-recommendations-related-to-lifestyle-factors-affect-blood-chemistry-results PROOF: Modification of Health Behaviors Reduces Chronic Disease Risk https://www.optimaldx.com/blog/proof-modification-of-health-behaviors-reduces-chronic-disease-risk Where to Reach Dr. Dicken Weatherby Dicken Weatherby LinkedIn Optimal DX Resource Center Optimal DX Blog The ODX Research Blog Where to Reach Beth Ellen DiLuglio Nutrition Mission Beth Ellen DiLuglio LinkedIn Did you find today's episode helpful? If you enjoy today's conversation, please click here to leave a review for Optimal - The Podcast. Get notified when a new episode comes out by subscribing to Optimal - The Podcast on your favorite podcast app! Education is the most effective way to make a change. Help others get the information they need by sharing this episode!

Baby Or Bust
Episode 69: Marijuana and Reproductive Health: What You Need to Know

Baby Or Bust

Play Episode Listen Later Apr 29, 2024 15:31


Did you know that 1 in 5 Americans have tried marijuana at least once in their life? It is the most commonly used recreational drug in the U.S. but many do not realize how it impacts fertility, success with IVF, miscarriage risk, and pregnancy health.  It's easy to assume that something that is legal medically and sometimes recreationally in many states could be harmful to your health, especially your reproductive health.   If you've been curious about marijuana use and fertility - this episode is a valuable resource full of studies on cannabis use on female and male fertility, time to pregnancy, menstrual cycles, IVF outcomes, and pregnancy risks.  In this episode you'll hear: [0:59] Marijuana use in the U.S - both recreational & medical [2:19] Facts about cannabis - THC and CBD Risks to general health Risks to reproductive health [4:17] Let's review the evidence: Male fertility & marijuana [9:13] Let's review the evidence: Female fertility & marijuana [13:03] Recap and suggestions for next steps Resources mentioned:  Association Between Use of Marijuana and Male Reproductive Hormones and Semen Quality: A Study Among 1,215 Healthy Young Men pubmed.ncbi.nlm.nih.gov26283092 Modifiable and non-modifiable risk factors for poor sperm morphology (regular marijuana use associated with poor sperm morphology) pubmed.ncbi.nlm.nih.gov/24899128 Effects of delta-9-tetrahydrocannabinol, the primary psychoactive cannabinoid in marijuana, on human sperm function in vitro. pubmed.ncbi.nlm.nih.gov/16500334 Human sperm express cannabinoid receptor Cb1, the activation of which inhibits motility, acrosome reaction, and mitochondrial function hpubmed.ncbi.nlm.nih.gov/15562018 A prospective study of the effects of female and male marijuana use on in vitro fertilization (IVF) and gamete intrafallopian transfer (GIFT) outcomes pubmed-ncbi-nlm-nih-gov.ucsf.idm.oclc.org/16458631 Male Preconception Marijuana Use and Spontaneous Abortion: A Prospective Cohort Study pubmed.ncbi.nlm.nih.gov/33165011 Impact of Tobacco and Marijuana on Infertility and Early Reproductive Wastage pubmed-ncbi-nlm-nih-gov.ucsf.idm.oclc.org/35125388 Cannabis use while trying to conceive: a prospective cohort study evaluating associations with fecundability, live birth and pregnancy loss pubmed.ncbi.nlm.nih.gov/33421071 Marijuana smoking and outcomes of infertility treatment with assisted reproductive technologies pubmed-ncbi-nlm-nih-gov.ucsf.idm.oclc.org/31505640 A prospective study of the effects of female and male marijuana use on in vitro fertilization (IVF) and gamete intrafallopian transfer (GIFT) outcomes pubmed-ncbi-nlm-nih-gov.ucsf.idm.oclc.org/16458631 Cannabis use during pregnancy and postpartum pubmed-ncbi-nlm-nih-gov.ucsf.idm.oclc.org/32060189 Stay Up to Date in Fertility News and Events:  Weekly Newsletter Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

THE MCCULLOUGH REPORT
Controlling blood pressure naturally

THE MCCULLOUGH REPORT

Play Episode Listen Later Apr 15, 2024 58:52


The McCullough Report with Dr. Peter McCullough – Hypertension is diagnosed if, when it is measured on two different days, the systolic blood pressure readings on both days is ≥140 mmHg and/or the diastolic blood pressure readings on both days is ≥90 mmHg. Modifiable risk factors include unhealthy diets, physical inactivity, consumption of tobacco and alcohol, and being overweight or obese...

AMERICA OUT LOUD PODCAST NETWORK
Controlling blood pressure naturally

AMERICA OUT LOUD PODCAST NETWORK

Play Episode Listen Later Apr 15, 2024 58:52


The McCullough Report with Dr. Peter McCullough – Hypertension is diagnosed if, when it is measured on two different days, the systolic blood pressure readings on both days is ≥140 mmHg and/or the diastolic blood pressure readings on both days is ≥90 mmHg. Modifiable risk factors include unhealthy diets, physical inactivity, consumption of tobacco and alcohol, and being overweight or obese...

Navigating Cancer TOGETHER
Valuable Lessons on Navigating Triple-Negative Breast Cancer and Personal Loss with Michelle Hutchings-Medina

Navigating Cancer TOGETHER

Play Episode Listen Later Apr 3, 2024 44:14


Have you ever wondered how you would navigate through the unimaginable, such as stage 3 triple-negative breast cancer? Maybe you're currently grappling with the aftermath of tragedy and finding it challenging to navigate through. Michelle Hutchings-Medina embodies resilience in the face of adversity on multiple fronts. As a former oncology professional turned keynote speaker and certified professional coach, Michelle brings a unique blend of expertise to her mission. That mission is to assist others in not only surviving but also thriving in the aftermath of the unimaginable.✨Highlights from the show:[00:08:10] Modifiable risk factors for breast cancer.[00:16:12] Prioritizing health and awareness.[00:25:37] Supporting loved ones with cancer.[00:27:55] Clinical trial participation advice.[00:34:15] Clinical trial importance.[00:36:16] Resilience.[00:41:32] Unprocessed trauma and grief.

PVRoundup Podcast
Modifiable risk factors for young-onset dementia identified

PVRoundup Podcast

Play Episode Listen Later Jan 16, 2024 3:37


Can early-onset dementia be prevented? Find out about this and more in today's PV Roundup podcast.

JACC Speciality Journals
JACC: Asia - Characteristics, Treatment, and In-Hospital Outcomes of Older Patients With STEMI Without Standard Modifiable Risk Factors

JACC Speciality Journals

Play Episode Listen Later Jan 3, 2024 3:56


Divorce at Altitude: A Podcast on Colorado Family Law
Understanding Contractual and Modifiable Spousal Support in Colorado Divorces | Episode 184

Divorce at Altitude: A Podcast on Colorado Family Law

Play Episode Listen Later Dec 26, 2023 10:46 Transcription Available


This episode is a deep dive into the complex world of contractual and modifiable maintenance in Colorado divorces, using the hypothetical case of Eric and Melanie Wolf to make this concept relatable. Ryan Kalamaya discusses the predictability and certainty that contractual maintenance can provide, as well as its inflexibility in the face of changing circumstances. Not forgetting the other side of the coin, he also delves into the flexibility of modifiable spousal support, showing how it can adjust to significant and ongoing changes. But remember, with this flexibility comes uncertainty. We'll help you weigh up the pros and cons of each option, underscoring the importance of considering your unique circumstances and future plans before making any decisions. What is Divorce at Altitude? Ryan Kalamaya and Amy Goscha provide tips and recommendations on issues related to divorce, separation, and co-parenting in Colorado. Ryan and Amy are the founding partners of an innovative and ambitious law firm, Kalamaya | Goscha, that pushes the boundaries to discover new frontiers in family law, personal injuries, and criminal defense in Colorado. To subscribe to Divorce at Altitude, click here and select your favorite podcast player. To subscribe to Kalamaya | Goscha's YouTube channel where many of the episodes will be posted as videos, click here. If you have additional questions or would like to speak to one of our attorneys, give us a call at 970-429-5784 or email us at info@kalamaya.law. ************************************************************************ DISCLAIMER: THE COMMENTARY AND OPINIONS ON THIS PODCAST IS FOR ENTERTAINMENT AND INFORMATIONAL PURPOSES AND NOT FOR THE PURPOSE OF PROVIDING LEGAL ADVICE. CONTACT AN ATTORNEY IN YOUR STATE OR AREA TO OBTAIN LEGAL ADVICE ON ANY OF THESE ISSUES.

The Doctor's Farmacy with Mark Hyman, M.D.
Brain Fitness: Reversing Cognitive Decline And Improving Brain Function with Dr. Majid Fotuhi

The Doctor's Farmacy with Mark Hyman, M.D.

Play Episode Listen Later Nov 29, 2023 73:25


This episode is brought to you by Rupa Health, Essentia, Cozy Earth, and AirDoctor.It's never too early to start protecting your brain, and with more than 6 million Americans living with Alzheimer's—projected to rise to nearly 13 million by 2050—this is something we should all contemplate more often.On today's episode of The Doctor's Farmacy, I'm excited to talk to Dr. Majid Fotuhi about the top actions we can take to prevent cognitive decline and optimize brain function.Dr. Majid Fotuhi is a neurologist with expertise in the fields of memory, concussion, and successful aging. Through his 30 years of teaching, clinical work, and neuroscience research at Harvard Medical School and Johns Hopkins, Dr. Fotuhi has developed a multidisciplinary program for helping people of all ages improve their memory and attention. His innovative Brain Fitness Program addresses lifestyle factors and cognitive stimulation, and he has published the successful results of this program in several scientific journals and three books, including Boost Your Brain: The New Art and Science Behind Enhanced Brain Performance. Dr. Fotuhi received his doctorate degree in neuroscience from Johns Hopkins University in 1992 and his Medical Degree from Harvard Medical School in 1997. He serves as an adjunct professor at George Washington University.This episode is brought to you by Rupa Health, Essentia, Cozy Earth, and AirDoctor.Access more than 3,000 specialty lab tests with Rupa Health. You can check out a free live demo with a Q&A or create an account at RupaHealth.com today.Receive an extra $100 off your mattress purchase on top of Essentia's Huge Black Friday Sale! Go to myessentia.com/drmarkhyman and use code HYMAN at checkout to get this great deal.Right now, get 40% off your Cozy Earth sheets. Just head over to cozyearth.com and use code DRHYMAN.Right now, if you go to drhyman.com/filter you can get the AirDoctor filter for $349. That's $280 off the normal price.Here are more details from our interview (audio version / Apple Subscriber version):The evolution of Dr. Fotuhi's understanding of memory and brain health (7:34 / 5:41)Why Dr. Fotuhi started his own brain center (14:10 / 12:17)Incredible science to slow and prevent memory loss (19:07 / 17:14)The myth of diagnosis (23:03 / 21:10)Four ways to support the brain (30:03 / 26:10) The connection between belly size and brain size (31:36 / 27:43)Common culprits of poor brain function (36:29 / 32:36Reactions of Dr. Fotuhi's colleagues to his work (47:07 / 43:14)Lifestyle practices for a healthy brain (54:17 / 50:24)Modifiable risk factors for brain dysfunction (1:00:14 / 56:24)Learn more at Drfotuhi.com and try the Brain Portfolio/Brain Fitness Calculator. Hosted on Acast. See acast.com/privacy for more information.

It's Good To See You | Working Mom Tips, Productivity Pearls & Task Management Systems
What Every Woman Should Know About Breast Health And Breast Cancer With Dr. Eleonora Teplinsky

It's Good To See You | Working Mom Tips, Productivity Pearls & Task Management Systems

Play Episode Listen Later Oct 24, 2023 29:52


October is breast cancer awareness month. My sister-in-law passed this year at the age of 45 from breast cancer and my guest today, Dr. Elenora Teplinsky was someone I personally reached out to for guidance and referrals during my sister-in-law's treatment. We can't prevent breast cancer, but we can lower our risk. In this episode, Dr. Teplinksy discusses breast cancer screening, risk assessment, myths and misconceptions, general treatment for breast cancer , importance of topics such as mental health for breast cancer survivors, previvors and thrivers.  We also discuss: How to understand your mammogram report What are the categories of breast density? When should you start breast cancer screening? When do you get an ultrasound vs. mammogram vs MRI? Modifiable lifestyle factors which can reduce your breast cancer risk   To calculate your breast cancer risk (mentioned in the episode) https://ibis-risk-calculator.magview.com/   Please share this episode - the best we can do is educate so women are aware of what imaging modalities are best, when to get screen and what is their risk*     Connect With Dr. Eleonora Teplinksy Instagram: www.instagram.com/drteplinsky Interlude Podcast: https://interludecancerstories.com/interlude-podcast/   Let's Connect. Find me: Website: www.drrupawong.com Instagram: www.instagram.com/drrupawong        

FX Medicine Podcast Central
Breast Cancer: The role of prevention and modifiable risk factors with Dr. Michelle Woolhouse and Dr. Nicole Nelson

FX Medicine Podcast Central

Play Episode Listen Later Oct 16, 2023


Join Integrated GP Dr. Nicole Nelson and fellow integrative medicine GP and Ambassador, Dr. Michelle Woolhouse, on this detailed podcast on breast cancer prevention. In this episode, they explore the multifaceted landscape of modifiable aspects that can significantly impact breast cancer development. Researchers have outlined a host of modifiable factors, including early pregnancy before the age of 30, breastfeeding support, regular exercise, alcohol consumption, breast density screening, minimizing exposure to endocrine disruptors, and supporting oestrogen processing and excretion. Alcohol consumption, in particular, is dose-dependent and shown to increase breast cancer risk, making zero intake the safest option. Dietary choices play a pivotal role, with fibre, indole-3-carbinol-rich foods like cruciferous vegetables, vitamin A, iodine, selenium, and gut microbiome health all influencing breast cancer risk. Additionally, understanding and influencing beta-glucuronidase activity, maintaining bowel regularity, and supporting detoxification phases (Phase 1, Phase 2, and Phase 3) are key strategies. They also explore how adopting a diet aligned with genetic heritage, or the Mediterranean Diet can offer protective benefits. An interesting and often overlooked aspect, insulin regulation, and how it acts as a tumour growth factor, is covered in detail. Strategies encompass choosing foods with a lower and sustained insulin response, intermittent fasting, selecting sugar alternatives, and closely monitoring sugar levels in food. Endocrine disruptors, with their wide-ranging negative effects on oestrogen transport and hormone receptors, are discussed in-depth. Functional tests are also outlined such as saliva, serum, and urinary oestrogen metabolites, gut beta-glucuronidase activity, genetic SNPs, and morning spot urine iodine to provide a comprehensive understanding. Lastly, they explore the significant impact of exercise on reducing mortality risk post-breast cancer and emphasise the importance of prioritising sleep quality as an essential lifestyle aspect. Find today's transcript and show notes here: https://www.fxmedicine.com.au/podcast/breast-cancer-role-prevention-and-modifiable-risk-factors-dr-michelle-woolhouse-and-dr Sign up for our monthly newsletter for the latest exclusive clinical tools, articles, and infographics: https://pages.blackmores.com.au/FXM-signup.html ***DISCLAIMER: The information provided on FX Medicine is for educational and informational purposes only. The information provided is not, nor is it intended to be, a substitute for professional advice or care. Please seek the advice of a qualified health care professional in the event something you learn here raises questions or concerns regarding your health.***

JACC Podcast
Clinical Pathway for Coronary Atherosclerosis in Patients without Conventional Modifiable Risk Factors: JACC State-of-the-Art Review

JACC Podcast

Play Episode Listen Later Sep 18, 2023 23:26


The Vibrant Wellness Podcast
Uncovering Modifiable Cancer Risk Factors: A Comprehensive Insight with Dr. Debrah Harding, ND, FABNO

The Vibrant Wellness Podcast

Play Episode Listen Later Sep 6, 2023 52:34


Join Dr. Debrah Harding, an expert in integrative oncology, as we explore often-ignored cancer risk factors. We'll discuss environmental culprits like heavy metals and chemicals, along with lifestyle choices related to diet and estrogen balance. These elements significantly influence cancer risk and outcomes. Additionally, we'll stress the value of thorough medical forms in spotting these risks and elevating patient care. We'll also address radiation dangers, highlighting a case study. This leads to a broader conversation on electromagnetic effects, risks of phones being held close, and potential harm from earbuds. Take note: The International Agency for Research on Cancer classifies certain radio waves as "2B carcinogens." Next, we evaluate the role of naturopathic oncology care in enhancing cancer treatments. We'll clarify misconceptions, spotlighting the significance of the FABNO title. As we conclude, Dr. Harding offers strategies for minimizing pill use and countering supplement fatigue for cancer patients. This episode delivers crucial information for both practitioners and patients.EPISODE CHAPTERS:(0:00:01) - Modifiable Risk Factors for Cancer(0:08:17) - Radiation Exposure and Its Health Impact(0:13:05) - Electromagnetic Hypersensitivity and Its Symptoms(0:24:59) - Naturopathic Medicine in Oncology Care(0:35:11) - Naturopathic Care in Cancer Treatment(0:39:21) - FABNO Certification and Integrative Oncology CareLinks:American Institute for Cancer ResearchNational Association of Environmental MedicineJoin Over 18,000 Leading Medical Professionals and Become a Vibrant Wellness Provider Today!

The Homeschool Advantage Podcast
Modifiable and Adaptable Curriculum That Meet The Needs Of The Students With Bethany Hutson And Kelsey Harms Founders Of Prairie & Pine Homeschool Curriculum

The Homeschool Advantage Podcast

Play Episode Listen Later Aug 24, 2023 25:03


Intro   Bethany Hutson and Kelsey Harms are the founders of Prairie & Pine Homeschool Curriculum. Both are a certified teachers, endorsed in English Language Arts for grades 6-12th, and collectively have taught for over a decade. Bethany and Kelsey decided to leave the classroom to pursue their passion for creating an accessible curriculum that empowers parents and can be used by any family. The goal of Prairie & Pine Curriculum is to help parents craft an education that is tailored to your child's unique needs and their family's lifestyle.      Top three takeaways   You don't need to have a degree in teaching in order to give your children the highest quality of education You are qualified to teach your children! Prairie & Pine's curriculum is easily modifiable and adaptable to meet the needs of the students.      Call to Action   Prairie & Pine Curriculum Official Website     Call to Action  Prairie and Pine Curriculum Official Website    What is Next!  Thank you for supporting this show by listening and sharing with friends! If you like this podcast please rate and write a review of how this show has impacted or helped you!   Great ratings will accelerate the show's visibility to the nation so others can learn more about homeschool and find quality curriculum and the potentially join the homeschool community thus change the face of education forever!!   Who would have thought that we could change the education world with a click and a share!  Also if you would like to hear more about any specific educational topic please email me at realedtalk@gmail.com I would love to support your families educational needs in all areas!!   Bex Buzzie  The Homeschool Advantage Podcast      

The Homeschool Advantage Podcast
Modifiable And Adaptable Curriculum That Meets The Needs Of The Students With Bethany Hutson and Kelsey Harms Founders of Prairie & Pine Homeschool Curriculum

The Homeschool Advantage Podcast

Play Episode Listen Later Jul 31, 2023 25:03


Intro   Bethany Hutson and Kelsey Harms are the founders of Prairie & Pine Homeschool Curriculum. Both are a certified teachers, endorsed in English Language Arts for grades 6-12th, and collectively have taught for over a decade. Bethany and Kelsey decided to leave the classroom to pursue their passion for creating an accessible curriculum that empowers parents and can be used by any family. The goal of Prairie & Pine Curriculum is to help parents craft an education that is tailored to your child's unique needs and their family's lifestyle.      Top three takeaways   You don't need to have a degree in teaching in order to give your children the highest quality of education You are qualified to teach your children! Prairie & Pine's curriculum is easily modifiable and adaptable to meet the needs of the students.      Call to Action   Prairie & Pine Curriculum Official Website       What is Next!  Thank you for supporting this show by listening and sharing with friends! If you like this podcast please rate and write a review of how this show has impacted or helped you!   Great ratings will accelerate the show's visibility to the nation so others can learn more about homeschool and find quality curriculum and the potentially join the homeschool community thus change the face of education forever!!   Who would have thought that we could change the education world with a click and a share!  Also if you would like to hear more about any specific educational topic please email me at realedtalk@gmail.com I would love to support your families educational needs in all areas!!   Bex Buzzie  The Homeschool Advantage Podcast    

The Pink Ribbon Roller Coaster
Modifiable & Non-Modifiable Breast Cancer Risks

The Pink Ribbon Roller Coaster

Play Episode Listen Later Jul 5, 2023 16:57


Project31 Breast Nurse Navigator Jennifer Harrod talks with co-host Jane Wilson about which risks are modifiable and which are not. Tune in for some great information and tips on what you can do and what you should be thinking about. To see the original video, visit the Project31 YouTube channel.

Saint Alphonsus Wellcast
Unlocking the Mind: Exploring Modifiable Risk Factors for Dementia

Saint Alphonsus Wellcast

Play Episode Listen Later Jun 15, 2023 15:43


In this episode, Kim Kleavland, NP interviews psychiatrist Dr. Abhilash Desai to discuss recent research on modifiable risk factors for dementia. Local resources: Saint Alphonsus Geriatrics and Palliative Care (208) 302-5400 Idaho Memory and Aging Center (208) 323-1125

Mediate This!
Can You Lock Yourself Into Non-Modifiable Alimony? (Discussion w/RIO ROCKET)

Mediate This!

Play Episode Listen Later Jun 9, 2023 20:10 Transcription Available


Matthew Brickman continues the discussion of alimony with  Actor, Spokesperson, Musician RIO ROCKET to discuss if its possible to lock yourself into non-modifiable alimony or is it only possible to be awarded by a judge. You'll be surprised by the answer.Learn the ins and outs of alimony, child support and divorce so that you can walk into your next mediation armed with the knowledge to control your own destiny.If you have a matter, disagreement, or dispute you need professional help with then visit iMediate.com - Email mbrickman@ichatmediation or Call (877) 822-1479Matthew Brickman is a Florida Supreme Court certified family and appellate mediator who has worked in the 15th and 19th Judicial Circuit Courts since 2009 and 2006 respectively. But what makes him qualified to speak on the subject of conflict resolution is his own personal experience with divorce.Download Matthew's book on iTunes for FREE:You're Not the Only One - The Agony of Divorce: The Joy of Peaceful ResolutionMatthew Brickman President iMediate Inc. Mediator 20836CFAiMediateInc.comSCHEDULE YOUR MEDIATION: https://ichatmediation.com/calendar/OFFICIAL BLOG: https://ichatmediation.com/podcastOFFICIAL YOUTUBE: http://www.youtube.com/ichatmediationOFFICIAL LINKEDIN: https://www.linkedin.com/company/ichat-mediation/ABOUT MATTHEW BRICKMAN:Matthew Brickman is a Supreme Court of Florida certified county civil family mediator who has worked in the 15th and 19th Judicial Circuit Courts since 2009 and 2006 respectively. He is also an appellate certified mediator who mediates a variety of small claims, civil, and family cases. Mr. Brickman recently graduated both the Harvard Business School Negotiation Mastery Program and the Negotiation Master Class at Harvard Law School.

OncLive® On Air
S8 Ep43: Ehrhardt Explains the Effects of Modifiable Health Conditions on Late Mortality for Childhood Cancer Survivors

OncLive® On Air

Play Episode Listen Later May 8, 2023 13:55


Dr Ehrhardt discusses how modifiable chronic health conditions may relate to social determinants of health, noting how these factors can potentially lead to late mortality for survivors of childhood cancer.

Fertility Confidence Podcast
FCP E72. 3 Ways to Improve Sperm Motility

Fertility Confidence Podcast

Play Episode Listen Later Apr 18, 2023 17:22


This week's episode is for the dudes... how can we get those swimmers swimming better!   We cover: How to know if your motility is good or needs some work Modifiable risk factors that may be negatively impacting sperm motility 3 ways to help improve sperm motility to improve your chances of conceiving   Give this one a listen and then share it with your partners.   If you're ready to go deeper and get support - for both you and your partner - on your fertility journey, schedule a call with our Fertility Advisors to see what your next best step is and how we can help you get pregnant. Schedule your call HERE.

The Proof with Simon Hill
Understanding Cancer: Causes, Treatment & Prevention | Drs. Urvi Shah & Neil Lyengar

The Proof with Simon Hill

Play Episode Listen Later Apr 3, 2023 129:42


Episode #254. How does a plant-based diet weigh up against a ketogenic diet when it comes to cancer treatment and prevention? Discover the answer to this question and more in The Proof's first episode dedicated to understanding cancer. In this episode, I sit down with Dr Urvi Shah and Dr Neil Iyengar to examine how cancer develops and the lifestyle measures that can be taken to reduce the risk of cancer, treat cancer, and prevent cancer recurrence. Specifically, we discuss: Intro (00:00) Cancer and precancerous cells (06:51) Genetics and cancer risk (20:58) Obesity and cancer risk (24:30) Modifiable factors and reducing recurrence risk (36:44) The role of nutrition in cancer treatment (47:34) Plant-based diet vs ketogenic diet (51:50) Dr. Neil investigates the effects of plant-based diets and exercise on breast cancer (1:13:12) Soy, dairy, protein, and cancer risk (1:17:04) Unprocessed red meat and colorectal cancer (1:30:52) Organic foods vs conventional produce (1:37:10) Ultra-processed food and cancer risk (1:40:52) Alcohol intake and exercise recommendation (1:43:11) Strong predictors of breast cancer (1:49:33) Stress and sleep (1:51:56) Importance of screening (1:52:46) Outro (2:01:54) You can connect with Dr Neil Iyengar on Twitter, and learn more about him here. Connect with Dr Urvi Shah on Instagram, Twitter, and LinkedIn, and learn more about her here. Enjoy, friends. Simon Want to support the show? The best way to support the show is to use the products and services offered by our sponsors. To check them out, and enjoy great savings, visit theproof.com/friends. You can also show your support by leaving a review on the Apple Podcast app and/or sharing your favourite episodes with your friends and family. Simon Hill, MSc, BSc (Hons) Creator of theproof.com and host of The Proof with Simon Hill Author of The Proof is in the Plants Watch the episodes on YouTube or listen on Apple/Spotify Connect with me on Instagram, Twitter, and Facebook Nourish your gut with my Plant-Based Ferments Guide Download my complimentary two-week meal plan and high protein Plant Performance recipe book

JAMA Network
JAMA Neurology : Association of Dementia Risk With Focal Epilepsy and Modifiable Cardiovascular Risk Factors

JAMA Network

Play Episode Listen Later Mar 27, 2023 19:36


Interview with Xin You Tai, MD, author of Association of Dementia Risk With Focal Epilepsy and Modifiable Cardiovascular Risk Factors. Hosted by Cynthia E. Armand, MD. Related Content: Association of Dementia Risk With Focal Epilepsy and Modifiable Cardiovascular Risk Factors