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Hosts Roz and Josh are joined by Alissar El Chediak, MD to discuss the key articles of the September issue of the American Journal of Transplantation. Alissar El Chediak, MD is a transplant nephrologist at UT Southwestern [02:55] – Liver Machine Perfusion Technology: Expanding the Donor Pool to Improve Access to Liver Transplantation [08:01] – Editorial: Machine perfusion and liver transplant center behavior: Answers or more questions? [11:01] - Obesity, Organ Failure, and Transplantation: A Review of the Role of Metabolic and Bariatric Surgery in Transplant Candidates and Recipients. [18:48] – Virus Specific T Cell Therapy to Treat Refractory Viral infections in Solid Organ Transplant Recipients [25:08] - Third-party virus-specific T cells for the treatment of double-stranded DNA viral reactivation and posttransplant lymphoproliferative disease after solid organ transplant [28:48] – Editorial: Virus-specific T-cell efficacy after solid organ transplantation: more questions than answers [34:05] - Successful BK virus–specific T cell therapy in a kidney transplant recipient with progressive multifocal leukoencephalopathy [37:50] - The prevalence of postacute sequelae of coronavirus disease 2019 in solid organ transplant recipients: Evaluation of risk in the National COVID Cohort Collaborative
Jacob Peters is the Co-Founder and CEO at Superpower.com, the world's most advanced healthcare platform for prevention and longevity. Prior to Superpower, Jacob started two companies worth over $500m by age 26 – all while overcoming a near-death health experience that left him without 3 major organs, a $2m hospital bill, and a prescription to medicate for life. After an extensive healing journey that led him to the frontier of modern medicine, he realized there was an opportunity to build a new type of technology company that makes it easier to be healthier and disease-free. Superpower is funded by top venture capitalists and billionaires like Cameron & Tyler Winklevoss, Balaji Srinivasan, Cyan Bannister, and the founder of Doordash ($70B IPO). Episode 80 chronicles Jacob's unbelievable story and shares valuable insight into how Americans can reclaim their health.Learn more at Superpower.com
Welcome to Diabetes Unplugged! The podcast that shines light on life BEYOND the diagnosis...This week, we are joined by Aly Nycole's as she share's her experience donating her kidney to her diabetic mother. Aly shares the story of her mother's diagnosis and the progression of her illness & how that led to the decision to donate a kidney, the surgery, and the recovery process. Aly opens up about the challenges she faced during the recovery period, including surgical depression and how it felt seeing her mother's health improve after the transplant. In this conversation, Aly Nycole shares not only her experience of donating a kidney to her mother but the challenges and frustrations of navigating the healthcare system. She highlights the disparities in access to healthcare, particularly in rural areas, the impact of diet and lifestyle on health outcomes & emphasizes the importance of taking action and being proactive in supporting loved ones with health issues, rather than relying solely on thoughts and prayers. She also encourages more people to consider organ donation and raises awareness about the options and resources available.All of this and so much more on Diabetes Unplugged.Follow and connect with NiaFollow Nia on IG → hereFollow Nia on TikTok → hereFollow Nia on Facebook → hereVisit her website → hereFollow and Connect with AlyFollow Aly on Instagram hereGet with the Program!Want to learn about The 5 Day Blood Sugar REBOOT? → hereFree Masterclass: How to Reverse Diabetes → hereJoin Dominating Diabetes Academy → hereGet the Diabetic 8 E-Book Bundle! → herePodcast Includes "Awaken" music by Anno Domini Beats
First his kidney, then his liver, then his heart! One by one, Tony Mazzeffe's organs were failing him. Tony's story of gratitude, and the complex treatments giving him more years with his daughters.
Send us a Text Message.Please share this podcast and donate to MIX FM's Give Me 5 here: mixfm.com.auThe best bits from Mark and Caroline for breakfast on 92.7 MIX FM5 to 9am weekdays LISTEN LIVE: https://www.mixfm.com.au/More Mark and Caroline Podcasts here: https://www.buzzsprout.com/2038628
Your Infinite Health: Anti Aging Biohacking, Regenerative Medicine and You
In this episode, Dr. Trip and LeNae Goolsby explore the remarkable case study of a mid-seventies diabetic patient who faced multiple health complications, including COPD, congestive heart failure, and nearing dialysis. Dr. Trip walks us through the innovative approach using systemic exosome therapies derived from umbilical cord stem cells, revealing the patient's journey from severe health struggles to significant improvements in kidney function, diabetes management, and overall quality of life. Whether you're familiar with the concept of exosomes or hearing about it for the first time, you'll find our discussion both educational and inspiring. Stay tuned for a compelling episode filled with medical insights, personal triumphs, and the cutting-edge science of regenerative medicine.TakeawaysRegenerative therapies show promising results.Lifestyle changes are crucial.Supportive environment matters.ConnectDr. Trip Goolsby & LeNae Goolsby are the co-founders of the Infinite Health Integrative Medicine Center, and are also the co-authors of the book “Think and Live Longer”.
At the age of 29, Brooke Grove suffered from declining health that resulted in systemic organ failure. Her liver, lungs, and kidneys shut down, plus she suffered a traumatic brain injury. While in a coma in the ICU, Brooke had an amazing experience in the spirit world. She was pulled and pulled towards light and the cosmos. She experienced glorious colors and met her angelic guides. Brooke's near death experience was a stepping stone for her to learn and better understand her spiritual gifts, including the ability to see the energy field. She felt the intense vibration of unconditional love as she was freed from the limitations of the body. In this episode we learn so many things from Brooke's NDE. Topics include, reconnecting with the ultimate parent, what the Divine is, ancestral healing, advice for clergy, and so much more! Part 2 (soon to be released) will cover Shared Death Experiences________________________Please Share This Podcast With A Loved One... Or a Skeptic!Brooke can be reached at https://www.brookegrovehealing.com/Click here if you would like to support this show https://www.roundtripdeath.com/support/RoundTripDeath.com
Entertainment Daily: Movie, music, TV and celebrity news in under 10 mins.
1. Diddy Grilled by Feds at Airport as Neighbors Spill on His Wild Sex Parties!2. Meghan Markle's Beauty Empire: From Royal to Riviera Mogul Overnight!3. Patricia Arquette's Lost Highway Nude Scene Nightmare Exposed!4. Madonna's Free Beach Bash: Miracle Comeback After Coma & Organ Failure!
Vermischtes Positionspapier BJÄ https://www.forum-junge-radiologie.de/de-DE/10705/bjae-positionspapier/ Journal Club Thorben Whitehouse T, Hossain A, Perkins GD, Gordon AC, Bion J, Young D, McAuley D, Singer M, Lord J, Gates S, Veenith T, MacCallum NS, Yeung J, Innes R, Welters I, Boota N, Skilton E, Ghuman B, Hill M, Regan SE, Mistry D, Lall R; STRESS-L Collaborators. Landiolol and Organ Failure in Patients With […] Der Beitrag Podcastfolge 58 – November 2023 erschien zuerst auf pin-up-docs - don't panic.
Episode 23! We spend a little bit of time talking about our recent conference related travel and food experience but dive into our coverage of the trials that released with ESICM including "Inhaled Amikacin to Prevent Ventilator-Associated Pneumonia" by Ehrmann et al published in NEJM and "Landiolol and Organ Failure in Patients With Septic Shock" by Whitehouse et al in JAMA, both October 2023AMIKINHAL: https://pubmed.ncbi.nlm.nih.gov/37888914/STRESS-L: https://pubmed.ncbi.nlm.nih.gov/37877587/Be sure to follow us on the social @icucast for the associated figures, comments, and other content not available in the audio format! Email us at icuedandtoddcast@gmail.com with any questions or suggestions! Thank you Mike Gannon for the intro and exit music!
Did you know that nearly 5 lakh people are suffering from organ failure in India? Among all gifts that one can give, the gift of life is the most precious. By registering as an organ donor, you can provide hope and a second chance to those in need. Out of 16,041 total transplants in FY22, 13,338 were from living donors. There were just 941 deceased donors in the country in 2022. We need more of them. To understand why organ donation is important and how you can do it, tune in to the episode and spread awareness in your community.
Stigall reminisces over the music of Jimmy Buffett after his death over the weekend. Democrats in multiple states are now plotting a new way to stop Trump if they can't keep him from winning the Republican primary. Plug-in cars are catching fire in the Florida hurricane aftermath. And Dr. Michael Schwartz visits to discuss his new book "Fauci's Fiction" as the good doctor returns to cable news to discuss masks, yet again. - For more info visit the official website: https://chrisstigall.com Instagram: https://www.instagram.com/chrisstigallshow/ Twitter: https://twitter.com/ChrisStigall Facebook: https://www.facebook.com/chris.stigall/ Listen on Spotify: https://tinyurl.com/StigallPod Listen on Apple Podcasts: https://bit.ly/StigallShowSee omnystudio.com/listener for privacy information.
Do you know the early signs of liver damage in women? In its latest guide, My Healthy Liver lists down the 14 signs of liver disease that you need to watch out for. Check it out at https://myhealthyliver.com/these-very-important-early-symptoms-of-liver-disease-in-women/ My Healthy Liver City: West Palm Beach Address: 9120 Villa Palma Ln Website https://myhealthyliver.com Phone +1 561 899 8967 Email myhealthliver@gmail.com
Back for round 2! This week I chat with Kelly Morgan Thrush who was on episode 4. My very first guest. For those who don't know Kelly Morgan Thrush is a survivor of an organ transplant, is sober for five years, an ultra-runner, and plant-based. Kelly shares with us the journey of getting an organ transplant, the struggles he faced and how it has impacted his life. He discusses how his experience made him grateful for every day and motivated him to reach his goals. From Ultra Endurance feats, to life and everything in between. We cover it all. I call Kelly a friend and now my go to for help with my own sober journey. To receive 30% off your order and a pair of free socks head over to www.runxnutrition.com/perform-free-socks Kelly Thrush Articles: Featured article on Forks Over Knives Kelly Thrush Story If you would like to connect with Kelly his links are below: Kelly Thrush Facebook Kelly Thrush Instagram Please take 2 mins out of your day to rate and review the podcast on the Apple podcast app. HOW CAN I SUPPORT THE PODCAST? Subscribe & Review: iTunes | Spotify | Google Podcasts Tell Your Friends, Share and or Tag Online! https://www.instagram.com/running_deep_podcast/ https://www.instagram.com/kent__mullins/
In this episode, adult nurse practitioner (NP) Heather O'Dell discusses the importance of liver health, the crucial role this organ plays within the human body and the diseases that may lead to needing a liver transplant. She is involved in research related to hepatitis C infected and exposed donor organs, organ utilization and organ allocation. With years of experience working in transplant hepatology, hepatobiliary surgery and clinical practice operations for liver and kidney transplant, O'Dell shares insights about her unique role and provides important information to support NPs with patients who are at risk for, or who have, liver disease. The American Association of Nurse Practitioners® (AANP) offers tools and resources for NPs of all specialties, including those in primary care and those who specialize in caring for patients with liver disease. Access free patient education tools on diseases that affect the liver, visit the AANP CE Center to access quality continuing education activities and consider attending sessions at the 2023 AANP National Conference in New Orleans on June 20-25. Members get more, including a savings of at least $200 off nonmember registration rates for the in-person conference! Additional Resources: American Liver Foundation. Unos. John Hopkins University. American Association of Liver Disease.
Today, Ed is joined by Julie Johnson, President, and CEO of XY Communication. Julie is certified in behavioral finance and her passion is “advocating for and empowering advisors, executives and/or any who are struggling to create connection.” Julie makes the case that without emotional trust—without embracing vulnerability and authenticity while interacting with your clients, prospects, or teams—your people will be unhappy and disengaged at best, and ready to leave your organization at worst. Julie shares the personal transformation she underwent following organ failure when she encountered Brené Brown and her timeless wisdom, and how she applied that wisdom to her career in behavioral communication. She and Ed unpack the idea that the need to be in control is often a survival mechanism, the roots of which can be traced all the way back to childhood. They discuss the complexities of workplace harassment and how to be there for your partner if they are going through it. Finally, Julie explains how EMDR therapy helped her get to the point where she could forgive those she blamed for traumatic past events, and move forward. She ultimately encourages us to become an advocate for our own healing and growth. Key Topics: The importance of emotional trust (03:36) Relinquishing control in our darkest moments (12:26) Dealing with bullying, violence, and harassment in the workplace (17:55) When putting your needs first is the healthiest choice (28:37) When leaning on another person is the healthiest choice (34:36) How EMDR therapy helped Julie heal from long-lasting trauma (43:06) How and why to be gentle with yourself (48:24) Resources: Julie Johnson - XY Communication Healthy Love and Money Resources: Healthy Love and Money Website The Couples Guide to Financial Intimacy Healthy Love and Money Facebook Healthy Love and Money Instagram Healthy Love and Money LinkedIn The Healthy Love & Money Way: How the Four Attachment Styles Impact Your Financial Well-Being (book) Stop Fighting & Start Talking: Gaining Peace and Perspective on Family Finances (book)
Annie agrees to drive the bus but is concerned that there seems to be no plan to resolve the situation. The two exchange some witty banter about Annie's driving record. Jack attempts to call Harry, while Mac and Norwood head to the scene in a helicopter. Thank you all for listening! You can interact with us below! Pop Quiz Hot Shot / Bus 2525 on Facebook / Twitter Email - speedmoviemin@gmail.com Bentley - @bentleywho - Twitter - Instagram - Fiverr Logo by: Kevin Zeigler - Instagram -Website --- Send in a voice message: https://podcasters.spotify.com/pod/show/speed-movie-minute/message
This episode is both a treat to you as a listener and a treat to myself. Today I talk with one of my mentors, Joanna Hunter. Joanna is a spiritual life and business coach. She's also an author, speaker and spiritual teacher. Her mission is to teach clients how to evoke magic in their life and business in order to raise their vibration and consciousness. In our conversation we'll unpack her life experiences as an empath and the lessons and changes that ensued her multiple organ failure. - What it was like for Joanna to be a highly sensitive empath in childhood. - The trauma from being both an empath psychic and a foreigner as a child. - How moving from the city to a small town also felt like moving back in time. - The experience of having to suppress her gifts as a teenager and turning into science to understand what was going on. - The experience of getting married and becoming a mother, together with the life and mindset changes this implied. - Getting to know the Spiritualist Church: How this brought a new light into her religious beliefs and provided a place where she and her gifts belonged. - How Joanna started training her spiritual gifts and realized once she fully opened that door there was no way back. How she got support from her husband and started using her gifts with a purpose. - What it is like to see movies and other types of media as an empath psychic. Working on focusing and filtering what she perceives from media and her surrounded. - The presence of a second consciousness and realizing your emotions are not your own: being a super receiver and receiving/interrupting other people's signals from the universe. - Reaching burnout point from running multiple businesses and dealing with limiting beliefs. - Suffering a multiple organ failure. Making the decision that death was not her next step and signing herself out of the hospital. - Starting her recovery process and admitting extreme self-abuse through being a workaholic. - Transitioning into extreme self-love. Learning what self-love is. Selling her businesses and going through multiple surgeries and auto immune disease. - Dealing with lack of money while trying to heal. - The epiphany of what needed changing. Learning to listen to your body's warning signs. - One piece of advice if you're an empath. - One piece of advice for the younger Joanna. Joanna Hunter Website - https://joannahunter.com/ Instagram - https://www.instagram.com/joannahuntercom/ Facebook - https://www.facebook.com/joannahuntercom LinkedIn - https://www.linkedin.com/in/joannahuntercom/ Fat, Sick and Nearly Dead - https://www.imdb.com/title/tt1227378/ The Juice Master - https://www.juicemaster.com/ ______________________________________________ Host Jennifer Moore is an author, energy healer, intuitive mentor, master trainer for EFT International, podcast host and founder of The Empathic Mastery Academy. https://www.empathicmasteryacademy.com https://www.empathicmastery.com Get Jen's book Https://empathicmasterybook.com @EmpathicMastery (IG) https://www.instagram.com/EmpathicMastery Join Jen's free FB group for monthly full moon masterclasses and her Empathic Safety Guide at https://www.empathicmastery.com/masterclass
Reviews and other rambles about the latest releases from ZOMBIESHARK!, Crowfeeder, Organ Failure, Marion, GEL, Spider God, Fromjoy, Serling, and many more.Continue reading
When you get a cut, your cells quickly start to divide and heal. What does this process look like for our internal organs?
Recap of events since our last episode and an interview with the founder of K9 Social Summit, Xena Lamp. Hosted on Acast. See acast.com/privacy for more information.
Ooh Yeaaaaa Mobsters! Welcome back and thanks for coming! Today we have an extra spicy episode for you all about mistakes or not, in the boudoir. What would be in your stack of 30 thousand plus magazines? Stories this week include: Dildon't, Crushed by Own Erection...of Magazines, Gun Nuts, Organ Failure and Strokes Lead to Stroke. Macabre Contradiction: Krazy Kanagroo #randyquaided #peanutbutterwiththejelly Stay safe out there and be careful not to find yourself in your own Macabre Reality. Become a member of the MOB: We have Patreon now! Be a Patron and a Mobster! Patreon Instagram Facebook
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Stories mentioned in this episode: Day in History: 1921: Schuster Brewing Co. in Rochester to shut down Organ failure: The gatekeeper of Minnesota's organ transplant system is underperforming. It may be costing lives How a church in Red Wing transformed into a luxurious Airbnb Scrooge wears Prada Read all stories in this episode at postbulletin.com.
What are the signs that death is imminent? At the end of life, the body is shutting down; The body is shutting down; there is a decrease in blood flow to organs and tissue, causing multi system organ failure. This is the fourth of a series of talks about the last hours of living where we not only tell you how a body goes through the process of dying, but why these changes are occurring. Charlie has recipes to make Halloween a spooky good time with a side of dad jokes. Lastly, we have a poetry reading from our own poet laureate Sam Magill.
Robin was from a 'normal' family, growing up in the Midlands in England through the eighties and nineties. He came out as gay in his late teens, and felt liberated. But, years of running away from his 'true self', would culminate in a shocking sequence of drug fueled events that would leave him minutes from death at Glastonbury Festival. 20 years on, Robin coaches kids, teens, and people from all walks of life, to help them better understand themselves and avoid making some of the mistakes he made. Epic. Includes a quick Intro from your hosts Luke and Kyle, and a message from our sponsors.The Original Handlebar Jack Ultraportable Bicycle Repair Stand. Use code 'WTFMU' and some of the proceeds will go to www.foodonfoot.org, an organization helping the unhoused and low-income families in your neighborhood.
Church choirs, touring with the stars of yester-year and whether the stereotypical testosterone fuelled 'cutting ground' of jazz was really ever as intense as it was portrayed. Bassist and pianist Pete Billington chats to Fliss from the dressing room of The Union Theatre Southwark in May 2021. Book tickets to see 'Organ Failure!' live at Toulouse Lautrec Kennington 20/08/21 here-https://www.designmynight.com/london/whats-on/live-music/organ-failure-lockdown-with-fliss-gorst-quartetFor more info on the Union Theatre-http://uniontheatre.biz
We finally move away from the Eldritch Organ and talk about more appropriate gaming topics - like civil disorder. What a day, what a day. --- Send in a voice message: https://anchor.fm/andy-goodman8/message
In this episode, we discuss the role of hydrocortisone, ascorbic acid (Vitamin C) and thiamine (HAT therapy) in the treatment of patients with septic shock. We discuss biological plausibility and comprehensively review the latest evidence. Our guest is Dr. Jonathan Charnin. Dr. Charnin is an assistant professor of anesthesiology in the Divisions of Multi-specialty Anesthesia and Critical Care Medicine at the Mayo Clinic Connect with us @DepthAnesthesia on Twitter or email us at depthofanesthesia@gmail.com. Thanks for listening! If you enjoy our content, please rate us on iTunes and share our podcast with your colleagues. Music by Stephen Campbell, MD. -- References Fujii T, Luethi N, Young PJ, et al. Effect of Vitamin C, Hydrocortisone, and Thiamine vs Hydrocortisone Alone on Time Alive and Free of Vasopressor Support Among Patients With Septic Shock: The VITAMINS Randomized Clinical Trial. JAMA. 2020;323(5):423–431. doi:10.1001/jama.2019.22176 Marik PE, Khangoora V, Rivera R, Hooper MH, Catravas J. Hydrocortisone, Vitamin C, and Thiamine for the Treatment of Severe Sepsis and Septic Shock: A Retrospective Before-After Study. Chest. 2017 Jun;151(6):1229-1238. doi: 10.1016/j.chest.2016.11.036. Epub 2016 Dec 6. PMID: 27940189. Englard S, Seifter S. The biochemical functions of ascorbic acid. Annu Rev Nutr. 1986;6:365-406. doi: 10.1146/annurev.nu.06.070186.002053. PMID: 3015170. Fowler AA 3rd, Truwit JD, Hite RD, Morris PE, DeWilde C, Priday A, Fisher B, Thacker LR 2nd, Natarajan R, Brophy DF, Sculthorpe R, Nanchal R, Syed A, Sturgill J, Martin GS, Sevransky J, Kashiouris M, Hamman S, Egan KF, Hastings A, Spencer W, Tench S, Mehkri O, Bindas J, Duggal A, Graf J, Zellner S, Yanny L, McPolin C, Hollrith T, Kramer D, Ojielo C, Damm T, Cassity E, Wieliczko A, Halquist M. Effect of Vitamin C Infusion on Organ Failure and Biomarkers of Inflammation and Vascular Injury in Patients With Sepsis and Severe Acute Respiratory Failure: The CITRIS-ALI Randomized Clinical Trial. JAMA. 2019 Oct 1;322(13):1261-1270. doi: 10.1001/jama.2019.11825. Erratum in: JAMA. 2020 Jan 28;323(4):379. PMID: 31573637; PMCID: PMC6777268. Donnino MW, Andersen LW, Chase M, Berg KM, Tidswell M, Giberson T, Wolfe R, Moskowitz A, Smithline H, Ngo L, Cocchi MN; Center for Resuscitation Science Research Group. Randomized, Double-Blind, Placebo-Controlled Trial of Thiamine as a Metabolic Resuscitator in Septic Shock: A Pilot Study. Crit Care Med. 2016 Feb;44(2):360-7. doi: 10.1097/CCM.0000000000001572. PMID: 26771781; PMCID: PMC4754670. Woolum JA, Abner EL, Kelly A, Thompson Bastin ML, Morris PE, Flannery AH. Effect of Thiamine Administration on Lactate Clearance and Mortality in Patients With Septic Shock. Crit Care Med. 2018 Nov;46(11):1747-1752. doi: 10.1097/CCM.0000000000003311. PMID: 30028362.
This week’s episode features author Kazuomi Kario and Associate Editor Wanpen Vongpatanasin as they discuss the article "Nighttime Blood Pressure Phenotype and Cardiovascular Prognosis: Practitioner-Based Nationwide JAMP (Japan Ambulatory Blood Pressure Monitoring Prospective) Study." TRANSCRIPT BELOW: Dr Carolyn Lam: Welcome to Circulation on the Run, your weekly podcast, summary, and backstage pass to the journal and its editors. I'm Dr Carolyn Lam, Associate Editor from the National Heart Center and Duke National University of Singapore. Dr Greg Hundley: And I'm Dr Greg Hundley, Associate Editor, Director of the Pauley Heart Center at VCU Health in Richmond, Virginia. Carolyn, when is the best time to check your blood pressure if you have a home monitoring device? Morning? Afternoon? Nighttime? And what do those nighttime fluctuations infer? Well, we'll hear a lot more in our feature discussion today, but first let's grab a cup of coffee and jump into some of the other papers in the issue. I'm going to start first this week, and my first paper comes from Dr Joe Wu at Stanford University. Carolyn, a quiz. Are all endothelial cells alike? Dr Carolyn Lam: Jeez, Greg. Okay, I'm going to hedge. I bet a lot of them share similarities, but there may be some differences. Dr Greg Hundley: Yes, Carolyn. Dr Wu and his associates perform a series of elegant experiments involving mice, and they found that certain tissue-specific endothelial cells cluster strongly by tissue, like those in the liver or the brain, whereas others from, for example, adipose tissue or the heart have considerable transcriptomic overlap with endothelial cells from other tissues. They identified novel markers of tissue-specific endothelial cells and signaling pathways that may be involved in maintaining their identity, and sex was a considerable source of heterogeneity in the endothelial transcriptome. In addition, they found that markers of heart and lung endothelial cells in mice were conserved in human fetal heart and lung endothelial cells and identified potential angiocrine interactions between tissue-specific endothelial cells and other cell types by analyzing ligand and receptor expression patterns. Dr Carolyn Lam: So interesting, Greg. You especially had me at sex differences. So, what's the take home message? Dr Greg Hundley: Right, Carolyn. So this group discovered a series of transcriptional networks that maintain endothelial cell heterogeneity, and that angiocrine and functional relationships exist between tissue-specific endothelial cells. These findings open the door for future studies that can manipulate these pathways and perhaps modify processes, like atherosclerosis, that impact the endothelium. Dr Carolyn Lam: Wow, that's cool, Greg. Well, from your paper, I'm going to a mechanistic paper too, and the next study really aimed to define cardiac fibroblasts' heterogeneity during ventricular remodeling, as well as the underlying mechanisms that regulate their function, so important questions here. And co-corresponding authors, Drs Prósper and Lara-Astiaso from Clinica Universidad de Navarra in Pamplona in Spain, as well as Dr Lindner from Maine Medical Center Research Institute in Scarborough, Maine in the U.S., and their co-authors, basically characterized cardiac fibroblasts after myocardial infarction using a whole host of very novel techniques like single-cell and bulk RNA sequencing, ATAC sequencing, and functional assays. Swine and patient samples were studied using bulk RNA sequencing. Dr Greg Hundley: Very intriguing. What did they find? Dr Carolyn Lam: They identified and characterized a unique cardiac fibroblast subpopulation that emerged after myocardial infarction in mice. These activated fibroblasts exhibited a clear profibrotic signature expressing high levels of collagen triple helix repeat containing 1 and localized into the scar. Moreover, the absence of this regulator resulted in pronounced lethality due to ventricular rupture. Finally, a population of cardiac fibroblasts with a similar transcriptome was identified in a swine model of myocardial infarction, as well as in heart tissues from patients with myocardial infarction and dilated cardiomyopathy. Dr Greg Hundley: Ah, so important information on how fibroblasts start the scar formation after infarction. So, Carolyn what's the take home message here for this research? Dr Carolyn Lam: Well, this paper really provides important information on cardiac fibroblast heterogeneity, their dynamics during the course of myocardial infarction, and the authors also redefine the cardiac fibroblasts that respond to cardiac injury and participate in myocardial remodeling. This study identifies collagen triple helix repeat containing 1 as a novel regulator of the healing scar process, and as a target for future translational studies. Dr Greg Hundley: Great, Carolyn. You're doing such a great job. This is an issue for double quiz. Have you ever heard of treatments for hypertension incorporating Chinese herbal formula gastrodia-uncaria granules? Dr Carolyn Lam: What? Are you trying to speak Chinese, Greg? Dr Greg Hundley: Yeah (affirmative) Okay. Dr Carolyn Lam: I'm sure you're going to tell us about it. Dr Greg Hundley: Right. So this study is from Professor Yan Li from Ruijin Hospital in Shanghai, Jiao Tong University School of Medicine. Gastrodia-uncaria granules Carolyn, is a mixture of Chinese herbs that dates back many years, I think thousands, and in this study was used in patients with masked hypertension. So in the study, patients with an office blood pressure of less than 140/90 millimeters of mercury, but a daytime ambulatory blood pressure of 135 to 150 millimeters of mercury systolic or 85 to 95 millimeters of mercury diastolic, were randomized one-to-one to receive the treatment of, and I'm going to abbreviate it, GUG versus placebo, 5 to 10 grams twice daily for four weeks. The primary efficacy variable was the change in daytime ambulatory blood pressure. Dr Carolyn Lam: Ah. (affirmative), so did it work? Dr Greg Hundley: Well, in their intention-to-treat analysis, daytime systolic-diastolic blood pressure was reduced by 5 and 3 millimeters of mercury in the GUG group, and 3 and 1.6 millimeters of mercury in the placebo group, respectively. The between group difference in blood pressure reductions was significant, 2.5 and 1.7 millimeters of mercury, and 24-hour blood pressure by 2 and 1.5 millimeters of mercury, but not for the clinic and nighttime blood pressures. The per protocol analysis in 229 patients produced similar results. Only one adverse event, sleepiness during the day was reported and no serious adverse events occurred. So Carolyn, a potentially inexpensive regimen found useful in China for patients with masked hypertension. To learn more of the results of this interesting study, listeners are suggested to review the article in this particular issue. Dr Carolyn Lam: Wow, interesting Greg. Okay. So from hypertension to CABG. Now we know that approximately 15% of saphenous vein grafts occlude during the first year after coronary artery bypass graft surgery, or CABG, despite aspirin use. So can ticagrelor added to standard aspirin improve saphenous venous graft patency at one year after CABG? Now this is the question that Dr ten Berg from St. Antonius Hospital from Nieuwegein in Netherlands, and colleagues sought to answer in the popular CABG trial, which was an investigator-initiated randomized double-blind placebo-controlled multicenter trial of 499 patients with one or more saphenous vein grafts, who were randomly assigned after CABG to ticagrelor or placebo added to standard aspirin. The primary outcome was saphenous vein graft occlusion at one year assessed with coronary CT angiography occurred in 10.5% of the ticagrelor group, versus 9.1% in the placebo group, so that's an odds ratio of 1.29, and it was not significant. The secondary outcome of one year saphenous vein graft failure, which was a composite of vein graft occlusion, revascularization, myocardial infarction in the myocardial territory supplied by the vein graft, or sudden death, well, that occurred in 14.2% of patients in the ticagrelor group, versus 11.6% in patients in the placebo group. Again, not a significant difference. Dr Greg Hundley: So Carolyn, a negative study? What's our take home here? Dr Carolyn Lam: In this randomized double-blind placebo-controlled trial, the addition of ticagrelor to standard aspirin after CABG did not reduce the rate of saphenous vein graft occlusions at one year. Now, this conclusion differs from some other studies that investigated this research question, and this is discussed in this editorial that you got to pick up. It's by Dr Goldman from the University of Arizona. Dr Greg Hundley: Wow, Carolyn. Great job. Well, we've got a couple more articles in this issue, and I'll start by describing a research letter by Dr Daviet regarding heparin-induced thrombocytopenia in COVID-19, and then Carolyn there's a second research letter from our own Torbjørn Omland regarding established cardiovascular biomarkers provide limited prognostic information in unselected patients hospitalized with COVID-19. And then finally, from Dr Chonyang Albert, a case series entitled, The Enemy Within: Sudden Onset of Reversible Cardiogenic Shock with Biopsy-Proven Cardiomyocyte Infection by SARS-CoV2. Dr Carolyn Lam: We've also got an ECG challenge by Dr Sreenivasan entitled, A Red Flag ECG, also known as, and have you heard of this, South African flag pattern. Okay, here's a hint. It's an important, but subtle ischemic ECG change. You got to look it up. There's an On My Mind paper by Dr Alexander on at risk of depriving patients’ life-saving cardiac surgery, and those are the implications of the ischemia trial for CABG. A Research Letter shared by Dr Susen entitled, Endotheliopathy is Induced by Plasma from Critically-ill Patients and Associated with Organ Failure in Severe COVID-19. And finally, in Cardiology News, Tracy Hampton reviews the most recent literature in top journals like Nature, Metabolism, Cell, Stem Cell, and Circulation Research. Wow. Bonanza issue. So cool, but I really want to hear about the different blood pressure patterns now. Let's go to our feature discussion, shall we? Dr Greg Hundley: Absolutely. Here we go. Well, listeners we are excited to get to this feature discussion to learn more about the use of ambulatory blood pressure measures, particularly those that are collected 24 hours and during the nighttime. We have with us, Dr Kazuomi Kario from the Jichi Medical University in Japan, and our own Associate Editor, Dr Wanpen Vongpatanasin from University of Texas Southwestern Medical Center in Dallas. Welcome to you both. And Kazuomi, could you start us off please and just describe some of the background that led you to perform this study? And what hypothesis did you want to address? Dr Kazuomi Kario: The old guidelines management of the hypertension and now recommend instead of the office blood pressure, now the ambulatory blood pressure management. So for example, the ABPN and also home blood pressure monitoring, but the 24-hour blood pressure reduction is very much important, all prefer the values, but also our hypothesis took on the 24-hour blood pressure quantity reduction, but also, we should normalize our circadian rhythm. Usually blood pressure reduced by 10 to 20% at night during the sleep compared to the daytime. But the other group, is exhibited and predicated known six bars and also is either higher at night during the nighttime period compared to the daytime. And also home blood pressure variability, that hurts blood pressure in the morning. So circadian rhythm normalization and also, I recreate blood pressure variability especially is more precise. It's important for the quality control over for the hypertension management. So my hypothesis is that blood pressure reduction, the other most blood pressure, and the normalized circadian rhythm, under agitate, to keep agitate among as such. All the three components I did try to optimize 24-hour blood pressure control, so I want to confirm our hypothesis. To optimize 24-hour blood pressure control consists of these three components, 24-hour pressure reduction, and the normalize circadian rhythm and the keeping the other keep such, it shouldn't be; I have, have you left your prevention or not? That's my hypothesis and background. Dr Greg Hundley: So with our 24-hour ambulatory monitoring evaluating in this study, do we have the normal dip during the evening? Do we have a rise associated with the circadian rhythm? What is the variability of the blood pressure over time? Tell us what study population, and how did you design this study to address your hypothesis? Dr Kazuomi Kario: This population is the hypertension patients, 90% or more on the out-patients who keep the adequate, the active daily readings, and they are medicated, or usually conventional hypertension medication is the effective to reducing the office blood pressure and they can. But the other hypotension treatment may not be sustained to be reducing the nocturnal blood pressure and next morning people are taking pills. So it may be that the picture of the nighttime blood pressure and the morning blood pressure. So our hypothesis targets is already mitigated hypotension patient, but we should find out control for the current hypotension treatment. It should be the nighttime and next morning. Dr Greg Hundley: So we're addressing whether the efficacy of or any hypertensive medications are maintaining low blood pressures at night and avoiding a surreptitious rise in blood pressure when we wake up. So how many patients did you enroll and what were your study results? Dr Kazuomi Kario: The total study population number is 6,359 patients or enrolls. And we find out, compared to the daytime. Daytime also where the risk of the nighttime blood pressure other age, was more the precise this predictor of cardiovascular events. So, cardiovascular events consist of the atherosclerosis cardiac events consists of stroke and coronary artery disease. And also the nighttime blood pressure associated with the risk of the heart failure. And very interestingly, disrupted circadian rhythm, it rises at night higher during the nighttime compared to the daytime, it was independent of risks for the cardiovascular event, especially for the heart failure. So even after controlling for the daytime, even on the nighttime blood pressure, this pattern nighttime riser was an independent risk, so very interesting results. Dr Greg Hundley: So elevations of systolic blood pressure during nighttime, during sleep were associated with future atherosclerotic cardiovascular disease, as well as heart failure. And one more quick point, was there a particular magnitude of rise of that systolic blood pressure at night was important. And did you find similar results for men and for women? Dr Kazuomi Kario: Yes, similar results for men and the women. Theo other factor was age was increased. The almost the higher during the nighttime or other age of the rising pattern was 10 allowed during the nighttime compared to the daytime. Dr Greg Hundley: So even a 10% increase in systolic blood pressure at night relative to daytime was important for forecasting these adverse cardiovascular events. So Juan pen, can you help us take these results from this elegant ambulatory monitoring study and put those in the context of other study results that have evaluated 24 ambulatory monitoring of blood pressure? Dr Wanpen Vongpatanasin: I think the notion of nighttime blood pressure as the independent predictor of cardiovascular outcome has been shown in other cohort, but usually not this large magnitude, that is an international registry. I had call that in different countries around the world that demonstrate this. But again, like I said, it compiled from a smaller dataset, there's even fewer data sets in the United States. There's a cohort from Jackson Heart, but again, it's less than a thousand and most of other cohorts have looked at mostly a target organ level, not at the heart CV outcome. So I think this add to an important observation, and I think that the results from the nighttime it's similar, but extended from previously that look at individual outcome using a adjudicated data committee that also a very distinctive feature of the study that is a committee that look at this and look at a specific outcome rather than just a retrospective using the death index from different countries. The other part is slightly different perhaps, and they learn from reading it is the extreme dipping, also dropped a lot. Initially people think that it might be associated with the worst outcome, but even to me I wasn't sure what this mean, but in this study the most extreme dip, maybe not, not as much that shouldn't be worried as much compared to the actual nighttime blood pressure itself or not dipping itself. Dr Greg Hundley: Kazuomi what do you see as the next study that needs to be performed in this area of research? Dr Kazuomi Kario: Oh, it's the observational study of the current medical situations maybe kind of situations. So next step, we should focus on that nighttime blood pressure; regardless of the office and the daytime, so even there are controls, if we should target the nighttime blood pressure and the toxicity controls, organ damage should be decreased and the subsequent cardiovascular events should be decreased. So observational study targeting the nighttime blood pressure is the next topic. Dr Greg Hundley: And Wanpen do you have anything to add to that? Dr Wanpen Vongpatanasin:I'd like to see more large observational study from the US with the diverse population, because the salt consumption in Asia, particularly in Japan, are probably among the highest. So perhaps the nighttime blood pressure, it's confounded by high sodium and something, and we're not too far behind obviously, but it'd be nice to know what it means in the US. And obviously they're targeting nighttime blood pressure, it's the hot topic and that's by itself is probably another 30 minutes to an hour of discussion. But I think that that's very important area of research. Dr Greg Hundley: Listeners, what a really wonderful discussion. And in this study from Japan of over 6,000 individuals treated for high blood pressure, those with 24-hour monitoring and exhibiting a rise in systolic blood pressure during the nighttime was associated with future cardiovascular events and an increase in the risk of heart failure. Moving forward from these experts, performing additional observational studies to confirm these findings and other populations, and perhaps a randomized trial, trying to target therapeutic interventions that would lower nighttime blood pressure may be warranted. Thank you Dr Kario and Dr Vongpatanasin. We wish you a great week and we look forward to catching you on the run next week. This program is copyright The American Heart Association, 2020.
In this episode of the podcast we discuss brain tumors, organ failure, and flooding how are they related. How is the mitigation on these treated the same.
This week I am joined by the inspirational Owen Morgan who is the mastermind behind Man Cove Wellbeing. Owen runs a plethora of resources for mental health including numerous podcast series’ an inspirational Instagram account all of which can be found in the links below. In this episode however I turn the tables on the… The post How Poor Mental Health Led To Multiple Organ Failure – Let’s Talk Mental Health – Episode 037 appeared first on Dave Furness - Trauma Coach.
On hot, sticky summer days, one often hears the expression “it’s not the heat, it’s the humidity.” That isn’t just an old saw; it is a recognition of what might be the most underestimated direct, local danger of climate change. Extreme humid heat events represent a major health risk. There is an index called “wet-bulb […]
Título do artigo original: "Effect of Vitamin C Infusion on Organ Failure and Biomarkers of Inflammation and Vascular Injury in Patients With Sepsis and Severe Acute Respiratory FailureThe CITRIS-ALI Randomized Clinical Trial" Link do Artigo: https://jamanetwork.com/journals/jama/article-abstract/2752063 Publico Alvo: Médicos Também estamos no Spotifyhttps://open.spotify.com/episode/4dtIbz5KO4pyZwl2qtxZAN Não deixem de ouvir nosso episódio anterior: https://blog.pacientegraveuti.com.br/pguti-podcast-3-1-vitamina-c-na-sepse-visao-geral/ Links da sonoplastia: Intro - https://www.youtube.com/watch?v=fh-o8Bxc3Ys&list=PLWL6Z6XABuJTcdk401tdB29L8eAy-SrnH Fundo - https://www.youtube.com/watch?v=A3MGsOxz96o - https://theartistunion.com/tracks/909010?download=true - https://theartistunion.com/tracks/b1a1ef - https://www.youtube.com/watch?v=8ZZbAkKNx7s - https://www.youtube.com/watch?v=l8DzQzJ3BZo Final - https://theartistunion.com/tracks/af8a3c
Título do artigo original: "Effect of Vitamin C Infusion on Organ Failure and Biomarkers of Inflammation and Vascular Injury in Patients With Sepsis and Severe Acute Respiratory FailureThe CITRIS-ALI Randomized Clinical Trial" Link do Artigo: https://jamanetwork.com/journals/jama/article-abstract/2752063 Publico Alvo: Médicos Também estamos no Spotifyhttps://open.spotify.com/episode/4dtIbz5KO4pyZwl2qtxZAN Não deixem de ouvir nosso episódio anterior: https://blog.pacientegraveuti.com.br/pguti-podcast-3-1-vitamina-c-na-sepse-visao-geral/ Links da sonoplastia: Intro - https://www.youtube.com/watch?v=fh-o8Bxc3Ys&list=PLWL6Z6XABuJTcdk401tdB29L8eAy-SrnH Fundo - https://www.youtube.com/watch?v=A3MGsOxz96o - https://theartistunion.com/tracks/909010?download=true - https://theartistunion.com/tracks/b1a1ef - https://www.youtube.com/watch?v=8ZZbAkKNx7s - https://www.youtube.com/watch?v=l8DzQzJ3BZo Final - https://theartistunion.com/tracks/af8a3c
In this episode of Critical Matters, we will discuss the recently published CITRIS-ALI clinical trial evaluating the role of high dose Vitamin C in severe sepsis and ARDS. Our guest is Dr. Emily Brant. Dr. Brant is a practicing intensivist and faculty at the University of Pittsburgh Medical Center. She was the lead author in the JAMA editorial entitled “Is High-Dose Vitamin C Beneficial for Patients with Sepsis?” which was published alongside the CITRIS-ALI Clinical Trial. Additional Resources: Is High-Dose Vitamin C Beneficial for Patients with Sepsis?: http://bit.ly/2nWKoDp Effect of Vitamin C Infusion on Organ Failure and Biomarkers of Inflammation and Vascular Injury in Patients With Sepsis and Severe Acute Respiratory Failure: The CITRIS-ALI Randomized Clinical Trial: http://bit.ly/31s0QcD Hydrocortisone, Vitamin C, and Thiamine for the Treatment of Severe Sepsis and Septic Shock: A Retrospective Before-After Study: http://bit.ly/2pBs433 Phase I safety trial of intravenous ascorbic acid in patients with severe sepsis: http://bit.ly/2Bl523c Books Mentioned in this Episode: Becoming by Michelle Obama: https://amzn.to/2MvHRd3
In this special-edition, one-of-kind AYWMRN episode, our hometown heroes have a recording issue and lose the first half of the podcast to the void. RIP 30 minutes of meaningful family discussion. But here’s the surviving second half, in which we visit the issues of family violence, actual change as a human being, and being high in therapy! True to form, at one point I feel ashamed and cry. Gotta make sure we hit all the bases, even in half the time.
Commentary by Dr. Valentin Fuster
Part of the way the U.S. Empire's elections are rigged is the corporate media's censorship of third-party candidates, despite their nationwide campaign efforts. The Green Party, running Dr. Jill Stein for President, has been totally ignored by the establishment. Abby Martin sits down with Dr. Stein to look at how her career in medicine helped her diagnose America's "multi-organ failure," and why her ideas pose such a threat to Empire. FOLLOW // http://twitter.com/empirefiles LIKE // http://facebook.com/theempirefiles Music by Fluorescent Grey
Triv and Lanigan are in for a Monday edition of The Spew! They talk about the death of Charles Manson and how he was able to brainwash people to commit murder. David Cassidy is in critical condition due to multiple organ failure, the guys give their thoughts on his career. Ohio Supreme Court Justice Bill O'Neill posted on Facebook about his sexual encounters, was he right to do that? Plus, Caller Katie from Triv Show on Friday, and Browns lose again.
Triv and Lanigan are in for a Monday edition of The Spew! They talk about the death of Charles Manson and how he was able to brainwash people to commit murder. David Cassidy is in critical condition due to multiple organ failure, the guys give their thoughts on his career. Ohio Supreme Court Justice Bill O'Neill posted on Facebook about his sexual encounters, was he right to do that? Plus, Caller Katie from Triv Show on Friday, and Browns lose again.
An incredible story of a woman facing imminent death in hospital who saved her life by going home and taking cannabis oil.
Drs Sudhir Kushwaha and Rocky Daly share their considerations in reverse-order heart-liver transplant cases at Mayo's Heart Transplant Clinic.
Microsporidiosis is an emerging transplant-associated infection, and CDC depends on astute clinicians to recognize the signs of this and other donor-derived diseases.
During the last two decades human infections with Plasmodium knowlesi are increasingly diagnosed in South East Asia and have also been reported in travellers. A severe case of imported P. knowlesi infection in a 73-year old German is presented, who had been travelling through Myanmar and Thailand for three weeks. Microscopy showed a parasitaemia of 3% and different parasite stages including band-forms resembling Plasmodium malariae. Due to the clinical picture of severe malaria and the microscopical aspect (combination of parasites resembling P. malariae and Plasmodium falciparum), P. knowlesi was suspected. The patient was treated with intravenous quinine; he was put on mechanical ventilation and catecholamines due to cardiorespiratory failure. Parasitaemia was cleared rapidly but renal function deteriorated resulting in intermittent haemodialysis. The patient was hospitalized for six weeks but he recovered completely without any physical sequelae. Plasmodium knowlesi mono-infection was confirmed by molecular methods later on. Plasmodium knowlesi infection has to be taken into account in feverish travellers returning from Thailand/Myanmar. Moreover this species can cause life-threatening or even lethal complications. Accordingly severe P. knowlesi infection should be treated like severe P. falciparum infections.
UCSF bioengineering professor Shuvo Roy is developing an artificial kidney that could revolutionize care for millions of people around the world. The implantable device would provide relief for people with kidney failure who rely on dialysis or are on the waiting list for a life-saving organ transplant. Series: "Onward California" [Health and Medicine] [Show ID: 25175]
UCSF bioengineering professor Shuvo Roy is developing an artificial kidney that could revolutionize care for millions of people around the world. The implantable device would provide relief for people with kidney failure who rely on dialysis or are on the waiting list for a life-saving organ transplant. Series: "Onward California" [Health and Medicine] [Show ID: 25175]
Drs. Pere Gines and Richard Moreau discuss their manuscript "Acute-on-Chronic Liver Failure Is a Distinct Syndrome That Develops in Patients With Acute Decompensation of Cirrhosis." To view the print version of this abstract go to http://bit.ly/13h288E..
Mitchell Levy discusses an article about the Surviving Sepsis Campaign.
Are premium-priced fuels really worth the extra cost? Why are males born with nipples? Is a male contraceptive pill in the offing? Do all animals get the same number of heartbeats? Does any one organ failing cause death? Can aeroplanes run on diesel? Why does silver tarnish? What causes lightning? Is mental illness curable? Join Dr Chris for the answers to this week's crop of queries from South Africa. Like this podcast? Please help us by supporting the Naked Scientists
Are premium-priced fuels really worth the extra cost? Why are males born with nipples? Is a male contraceptive pill in the offing? Do all animals get the same number of heartbeats? Does any one organ failing cause death? Can aeroplanes run on diesel? Why does silver tarnish? What causes lightning? Is mental illness curable? Join Dr Chris for the answers to this week's crop of queries from South Africa. Like this podcast? Please help us by supporting the Naked Scientists
Discussion of the ASSIST trial concerning the potential of stem-cell transplantation for treating systemic sclerosis.
Cutting Through the Matrix with Alan Watt Podcast (.xml Format)
--{ The Facts -- Who'll Teach Ya? -- Never the Media: "Last Thing for Media is Investigative Reporting, Following Bimbos on Yachts in Bikinis Cavorting, Or Change-Nothing Sports or Movie Star Fashion Worn by Silicone Set, Implanted and Dashin', For Major News, it's Watered Anemic, With Torture and Warfare Presented Hygienic, Facts Behind Events -- They've Nothing to Say Except 'Be Happy, Have Fun, Go Out and Play,' In-the-Know Minority are Jaded, Satirical, Each 'Happening' Planned, it's Geo-Political" © Alan Watt }-- Farcical News, Data Overload - "Conspiracy Theorists" - Introduction of Computerized Collective Society, Television, Loss of Ability to Communicate - Brzezinski, Accidental View of History - Futurists "Predicting" Trends, Making it Happen - Takedown of West and Returning Military - Many Must Perish for Sake of the Few - End of Meat-Eating, GMO Vegetarian Only. UN Food Programme and Dept. of Agriculture, Distribution of Food to World Regions, Quotas per Population - U.S. Military Intervention-Invasion in Haiti - Tsunami and Haiti Relief Fund. Google and China Censor and Silence Dissidents, Collect Data on Everyone. UK Met Office, Warming Bias, Failure to Predict Weather and Freezing Winter. Crisis after Crisis - Financial Crash and Taxpayers Bail out "Unprofitable" Banks, while Bankers get Massive Bonuses - Legal Robbery. Mobile X-Ray Scanners for Holland. Monsanto Genetically-Modified Corn and Organ Failure, Crops Doused with Pesticides. Good Reason and Real Reason for All Events - Centralization of Government and Military. (See http://www.cuttingthroughthematrix.com for article links.) *Title/Poem and Dialogue Copyrighted Alan Watt - Jan. 18, 2010 (Exempting Music, Literary Quotes, and Callers' Comments)
Wed, 1 Jan 1992 12:00:00 +0100 https://epub.ub.uni-muenchen.de/9834/1/9834.pdf Fritz, Hans; Redl, H.; Waydhas, Christian; Machleidt, W.; Joka, T.; Inthorn, D.; Jochum, Marianne
Fri, 1 Jan 1988 12:00:00 +0100 https://epub.ub.uni-muenchen.de/9339/1/9339.pdf Sturm, J.; Joka, T.; Dwenger, A.; Jochum, Marianne ddc:610, Medizin