Podcasts about PAP

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Best podcasts about PAP

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Latest podcast episodes about PAP

Ideas de Master Muñoz
Vivir distraído es la nueva forma de muerte — y no nos damos cuenta | Ep.369

Ideas de Master Muñoz

Play Episode Listen Later Jun 25, 2026 36:17


Vivir distraído es la nueva forma de muerte. Mientras tú estás en WhatsApp, en redes, en cualquier lado menos donde importa, el mundo se está transformando. Batch Spring 2026. La caída de SAS. $41 billones en deuda. Drones bombardeando. Porsches eléctricos. Y tú sin enterarte.Carlos analiza cómo la distracción nos está matando en cámara lenta. No es sobre tener un teléfono. Es sobre no ver lo que está pasando alrededor mientras jugamos a distraernos.

SleepTech Talk
CPAP vs Oral Appliance Therapy: Which Sleep Apnea Treatment Is Right for You?

SleepTech Talk

Play Episode Listen Later Jun 22, 2026 32:28


What if CPAP isn't the only option for treating obstructive sleep apnea?In this episode of SleepTech Talk, we sit down with Eric Mongeau, Chief Commercial Officer at Daybreak, to discuss the growing role of oral appliance therapy in the treatment of obstructive sleep apnea (OSA).While CPAP remains the gold standard treatment for OSA, many patients are surprised to learn that oral appliance therapy can be an effective option for certain individuals. Eric explains how oral appliances work, who may benefit from them, and why having more treatment choices can help more patients achieve successful outcomes.We also explore how oral appliance therapy and PAP therapy can sometimes work together, creating personalized treatment plans that improve comfort, adherence, and long-term success.Key Takeaways:✅ Oral appliance therapy is a viable treatment option for obstructive sleep apnea✅ CPAP remains the gold standard therapy for OSA✅ Patients today have more treatment choices than ever before✅ The ultimate goal is effective treatment and better health outcomes✅ Oral appliance therapy can sometimes be used alongside PAP therapyWhether you're a sleep professional, DME provider, clinician, or someone living with sleep apnea, this episode offers valuable insights into the expanding landscape of sleep apnea treatment options.You can find Eric on LinkedIn and learn more about Daybreak at https://www.thedaybreak.com/A huge thanks to our sponsors:Philips Healthcare   See how Philips is supporting you and your patients with meaningful innovation. Visit https://www.philips.com/matters Fisher & Paykel Healthcare  Discover how F&P full-face masks have led millions of people to a great night's sleep at https://www.fphcare.com/curiosityhttps://www.fphcare.com/us/homecare/sleep-apnea/Soliish https://www.soliish.com/React Health  https://www.reacthealth.com/myWaveshttps://mywaves.tech/More resources for clinicians can be found at Sleep Review Magazine  https://sleepreviewmag.com/Don't forget to Like, Share, and Comment! Subscribe to SleepTech Talk for more insights into sleep apnea, CPAP therapy, and innovations shaping the future of sleep care.Whether you're a sleep professional or a healthcare innovator, this episode explores the intersection of technology, patient care, and sleep medicine.Learn more about the show at https://www.sleeptechtalk.com/thetechroomCredits:Audio/ Video: Diego R Mannikarote; Music: Pierce G MannikaroteHosts: J. Emerson Kerr, Robert Miller, Gerald George MannikaroteCopyright: ⓒ 2026 SleepTech Talk ProductionsEpisode 126The views and opinions expressed by guests on SleepTech Talk are their own and do not necessarily reflect those of the podcast hosts or SleepTech Talk as a whole. This podcast is intended for educational and informational purposes only and should not be considered medical advice. Listeners are encouraged to consult with a qualified healthcare professional for any medical concerns or questions.Subscribe for more conversations with leaders shaping the future of sleep medicine, sleep technology, and patient care.#SleepApnea #DentalSleepMedicine #OralApplianceTherapy #CPAP #SleepTechTalk #SleepMedicine #SleepHealth #Dentistry #HealthcarePodcast #SleepDentistWe're turning the mic on ourselves for this episode of SleepTech Talk

Sada Mujer _ sada.oils
“Lo que no sanas de tu historia, puede seguir dirigiendo tu vida.”

Sada Mujer _ sada.oils

Play Episode Listen Later Jun 22, 2026 14:53


Hay heridas que no siempre vemos… pero que pueden seguir influyendo en la forma en que amamos, recibimos y nos vemos a nosotras mismas.La relación con papá puede dejar huellas profundas:✨ palabras que faltaron✨ abrazos que esperábamos✨ necesidad de aprobación✨ cargas que seguimos llevando sin darnos cuentaPero nuestra historia no tiene que definir nuestro futuro.

A Grandes Trazos
09:45H | 21 JUN 2026 | A Grandes Trazos

A Grandes Trazos

Play Episode Listen Later Jun 21, 2026 14:00


El programa destaca la invitación de Jesús a no tener miedo y a vivir con fe, combatiendo la duda. Se aborda el reciente viaje apostólico del Papa León XIV a España, donde agradece la acogida y la fe del pueblo, invitando a ser testigos de Cristo y a un diálogo fraterno. Se presenta un balance detallado de la visita, incluyendo su financiación. Además, se anuncia la probable visita del Papa a Perú en noviembre, con etapas en Chiclayo, Lima, Cuzco, Piura y Pucallpa, como un viaje de reconciliación y un regreso a su "hogar", con posibles extensiones a Uruguay y Argentina. El espacio también comparte testimonios de fe, como el de Samuel Clavijo, quien se convierte al catolicismo y entra en el seminario tras descubrir la Eucaristía, y el de Jaime Salmoreno, un arquitecto que se ordena sacerdote y publica música. En el ámbito digital, Ricky Muñoz, con su perfil "Papá y más", ofrece reflexiones cristianas sobre la paternidad y la educación familiar. Finalmente, se recomienda la novela ...

Janett Arceo y La Mujer Actual
Dra. Marilenca Bailey… “Relación entre la emocionalidad y lo psicosomático”

Janett Arceo y La Mujer Actual

Play Episode Listen Later Jun 18, 2026 94:01 Transcription Available


¡¡NUEVO PODCAST!!-Carlos Humberto Delgadillo García… El nuevo rol del papá: Prevención, educación y espacios seguros en el hogar.  -Dra. Marilenca Bailey Jáuregui… “Relación entre la emocionalidad y lo psicosomático”  -Cartelera Cinematográfica... José Antonio Valdés Peña.    -Dra. Susana Canalizo… “La Piel de Papá”

Leitura de Ouvido
Machado de Assis - A Chinela Turca (conto)

Leitura de Ouvido

Play Episode Listen Later Jun 12, 2026 46:44


“A chinela turca”  (1875) é conto de Machado de Assis (1839-1908) publicado pela primeira vez em 14 de novembro de 1875, no periódico A Época. Mais tarde, a obra foi eternizada na famosa coletânea Papéis Avulsos, lançada em 1882. O conto começa no presente: “Vede o Bacharel Duarte”, mas na mesma oração, nos joga sutilmente ao passado no ano de 1850, fazendo-se valer da Elipse Narrativa que coloca uma história dentro da outra história. Exige do leitor uma sutil percepção, pois se em um momento o moço está pronto para sair, ansioso para ir ao baile encontrar a sua namorada Cecília - em outro está vivendo o suplício de ficar preso em casa com uma visita inesperada, o Major Lopo Alves, que lhe pede para ler 180 folhas de um manuscrito dividido em sete atos. É nos revelado que o próprio major inspirou-se a escrever após outro acontecimento do passado, o de ter ido assistir a uma peça ultrarromântica - o que ele não conta ao Duarte. Da passagem das horas enquanto "a leitura de um mau livro é capaz de produzir fenômenos espantosos”, tem-se a deixa para uma fantasia que toma conta da cabeça do Bacharel, até sermos apresentados para a dita Chinela Turca, que é compreendida por ele como uma metáfora para o coração de Cecília. O texto faz-se do presente e da fantasia, com uma diegese envolvente que permita terminar a história querendo (re)começá-la, para fazer o circuito de lapsos ou saltos que o efeito do ocorrido lhe causou. Boa leitura! ✅ Torne-se MEMBRO do CLUBE LEITURA de OUVIDO: encontros virtuais mensais, com notas de rodapé ao vivo e interação entre os leitores e Daiana Pasquim. Para isso, faça um apoio a partir de R$ 20 mensais:

GynoCurious
A Cervical Cancer Review

GynoCurious

Play Episode Listen Later Jun 11, 2026 47:18


In this episode of GynoCurious, host Dr. Amy Novatt welcomes Dr. Miriam Cremer, board-certified OBGYN, master of public health, and founder of Basic Health International, for a deep dive into cervical cancer. Together they unpack the science of human papillomavirus (HPV), explaining how 13 high-risk HPV types cause 99% of all cervical cancers and why HPV is so ubiquitous that it's often compared to the common cold. They walk through the evolution of cervical cancer screening, from the classic Pap smear to co-testing with HPV, and discuss how primary HPV testing — already standard across Europe — is likely the future of care in the United States. Dr. Cremer shares the origin story of Basic Health International, which grew from a formative medical school rotation in rural El Salvador where she witnessed a young mother die from cervical cancer — a death that was entirely preventable. The conversation covers cutting-edge developments in screening and treatment, including HPV self-sampling kits, AI-assisted cervical imaging apps, and portable thermal ablation devices that can be carried in a backpack and used in remote communities. These innovations are enabling same-day "screen and treat" programs that are reaching women in underserved regions across Latin America and beyond, including a now-national HPV screening program in El Salvador. They also cover patient fears and misconceptions head-on — from the stigma of an HPV diagnosis to questions about condom protection, the HPV vaccine (including catch-up vaccination up to age 45), and when screening can safely stop. Dr. Cremer and Dr. Novatt emphasize that cervical cancer is almost entirely preventable, and that the women most at risk today are those who have fallen through the cracks of healthcare access — not those who are regularly screened. Questions of comments? Call 845-307-7446 or email comments@radiofreerhinecliff.org Produced by Jennifer Hammoud and Matty Rosenberg @ Radio Free Rhiniecliff

Dictadura Drag
AS 11x05/06 - How-To Videos & Too Many Daddies

Dictadura Drag

Play Episode Listen Later Jun 11, 2026 126:37


Videos tutoriales, Papás Glamazónicos y el épico cierre del bracket rosado

Janett Arceo y La Mujer Actual
Dalila Carreño… “Los mejores libros acerca de Papá”

Janett Arceo y La Mujer Actual

Play Episode Listen Later Jun 9, 2026 93:37 Transcription Available


¡¡NUEVO PODCAST!!-Dr. Juan Francisco Rivera Ramos… “Medidas de precaución durante el mundial: Si vas al estadio que debes hacer para  evitar enfermarte”-Gianco Abundiz... “Homonimias”  -Gabriela Ávila… ¿Mi hijo come bien? Señales de alerta que los papás ignoran…  -Laura Díaz…  Productora y Compositora de Cantares de México. Lute Reyes. Cantautora… “Cantares de México presenta: Esto es México”  -Raquel Flores… “¿Dónde ver el mundial?”    -Dalila Carreño… “Los mejores libros acerca de Papá”

EXOPOLITICS TODAY with Dr. Michael Salla
Abducted in Colorado? JP Reveals Secret Facility and Missing Hour

EXOPOLITICS TODAY with Dr. Michael Salla

Play Episode Listen Later Jun 8, 2026 55:00


In this explosive episode of Exopolitics Today, Dr. Michael Salla welcomes Jorge "JP" Papón to discuss a startling experience that allegedly occurred during a recent trip to Colorado. JP describes being approached by individuals posing as police officers, transported to a suspected underground facility, and subjected to medical examinations that resulted in missing time and unexplained physical evidence.JP also shares reports emerging from rural regions of Brazil, where witnesses claim to have observed massive unidentified craft and encounters with Nordic-looking extraterrestrials. The discussion explores themes of UFO disclosure, secret programs, consciousness technologies, military surveillance, and the growing global wave of contact experiences.Topics Covered:✅ Alleged transport to a secret underground facility✅ Missing time and unexplained medical procedures✅ Space Force connections and covert operations✅ Reports of Nordic ET activity in Brazil✅ Large UFO sightings over rural areas✅ Disclosure, consciousness, and emerging revelations✅ The future of extraterrestrial contactWhether you're a long-time UFO researcher or new to the disclosure movement, this episode presents one of the most intriguing and controversial testimonies to date.

Medsider Radio: Learn from Medical Device and Medtech Thought Leaders
Building Clinical Evidence Around Your Target Market: Interview with Teal Health CEO Kara Egan

Medsider Radio: Learn from Medical Device and Medtech Thought Leaders

Play Episode Listen Later Jun 8, 2026 56:11 Transcription Available


In this episode of Medsider Radio, we sat down with Kara Egan, founder and CEO of Teal Health.Teal Health is the company behind the first FDA-authorized at-home cervical cancer screening wand.Before founding Teal, Kara worked in healthcare and software investing at .406 Ventures and Emergence Capital, and held product and marketing roles at Zendesk and Stitch Labs.  In this interview, Kara discusses building support and follow-up into at-home screening, how Teal expanded its comparative clinical study to support broader market adoption, and how healthcare incentives, reimbursement, and institutional trust shape new care models.Before we dive into the discussion, I wanted to mention a few things:First, if you're into learning from medical device founders and CEOs and want to know when new interviews are live, head over to Medsider.com and sign up for our free newsletter.And if you're ready to level up your medtech game, you should check out Medsider Courses — 8-week masterclasses covering topics like fundraising, M&A and exit planning, design and development, clinical and regulatory strategy, and commercialization.These courses, featuring hard-earned lessons from elite medtech CEOs, can be purchased individually or come free with our All-Access Pass.If you'd rather read than listen, here's a link to the full interview with Kara Egan, which includes a link to ScottBot — an AI version of host Scott Nelson trained on every Medsider interview and playbook. Feel free to ask ScottBot any questions you'd like!KEY MOMENTS FROM THE INTERVIEW(02:49) - Kara's background in health technology investing and software that shaped Teal's consumer-first approach (05:14) - How Teal turned the traditional Pap smear into the first FDA-authorized at-home screening product (07:30) - Turning at-home testing, telehealth, and clinician follow-up into a single care experience (13:48) - Raising Teal's first $1M with mockups and consumer-grade design (22:17) - Teal's comparative study that matched physician-collected screening with 96% sensitivity (23:40) - How asking women what they actually wanted changed Teal's view of the market opportunity (32:05) - “Take off the healthcare hat” — Kara's framework for fundraising, incentives, and commercialization (41:48) - What investors actually care about beyond the company's mission

Noticentro
Arranca proyecto de la supercomputadora “Coatlicue”

Noticentro

Play Episode Listen Later Jun 6, 2026 1:42 Transcription Available


Prevén mayor consumo de agua por torneo de fútbol  Corea del Sur primera en llegar a Guadalajara  Felipe VI, Letizia y sus hijas dieron la bienvenida a León XIV a España  Más información en nuestro podcast#grc

Talking Sleep
Fixed PAP vs APAP: Impact on Blood Pressure and Autonomic Response

Talking Sleep

Play Episode Listen Later Jun 5, 2026 39:05


In this episode of Talking Sleep, host Dr. Seema Khosla welcomes Dr. Abhishek Goyal, Professor and Head of Respiratory Medicine in Dehradoon, India, and Dr. Prakhar Agarwal, a pulmonologist in private practice in Bhopal, India, to discuss their research comparing fixed CPAP versus auto-titrating CPAP (APAP) on blood pressure control and autonomic nervous system response. For years, difficult-to-treat hypertension has been recognized as an indication for sleep studies, reflecting the assumption that treating sleep apnea improves blood pressure. But does the method of PAP therapy matter? Beyond achieving a residual AHI under 5, are there treatment nuances that could optimize cardiovascular outcomes? Dr. Goyal and Dr. Agarwal's research addresses these questions, building on landmark work by Dr. Pepin examining fixed versus auto-titrating PAP therapy. The motivation includes both clinical and economic considerations. A 2021 Portuguese study examined cost implications, and similar economic pressures exist in India where APAP is significantly more expensive than fixed CPAP. The study used a crossover design comparing fixed CPAP to APAP, measuring blood pressure dipping patterns and autonomic response to assess cardiovascular effects. The results have prompted Dr. Goyal to reconsider his clinical practice regarding pressure selection, raising important questions: If fixed CPAP offers superior blood pressure outcomes, should the standard practice of prescribing APAP devices be reconsidered? This challenges assumptions about adaptive algorithms and raises questions about prioritizing cardiovascular outcomes beyond AHI reduction. The episode contextualizes these findings within India's unique healthcare landscape, exploring surprising OSA incidence data and examining whether craniofacial anatomy or arousal patterns differ from Western populations. Dr. Agarwal discusses how pressures are typically determined and the practical differences between APAP 4-20 versus narrow-range settings. Whether you're prescribing PAP therapy for hypertension, optimizing cardiovascular outcomes, or seeking evidence-based approaches to pressure selection, this episode provides important international perspectives. Join us for this discussion that may prompt reconsideration of how we set PAP pressures and what outcomes we should prioritize.

Kultūras Rondo
Cilvēka un papīra mijiedarbe performancē “Atlobīšanās” un Māras Gaņģes pētījumā

Kultūras Rondo

Play Episode Listen Later Jun 5, 2026 8:47


Papīram var dot dzīvību ne tikai no tā salokot origami dzīvnieciņu. To var iekustināt arī tam vienkārši pieskaroties un sekojot impulsiem, kas to virza kustībā uz priekšu. Tieši tā šis materiāls mijiedarbojas ar cilvēka ķermeni performancē “Atlobīšanās”. Materiālā kustību performance ir daļa no režisores Māras Gaņģes ilgāka mākslinieciski pētnieciskā procesa. Viņa pamazām izstrādā doktora darbu, kuru vēlas saistīt ar to, kā veidojas cilvēka attiecības ar materialitāti. Kā papīrs pārņem cilvēku, liekot dzīvajam ķermenim sekot it kā nedzīvajām loksnēm? 

How Humans Heal
#318 The Lymph Queen: Unlocking Your Body's Healing System with Kelly Kennedy

How Humans Heal

Play Episode Listen Later May 29, 2026 54:52


Welcome to How Humans Heal. In this episode, I'm interviewing Kelly Kennedy, the Lymph Queen and Head Practitioner at the True Wellness Center, who has been helping people improve their lymph function and flow for over twenty years. I'm so grateful to have her here to share with you what the lymph is, how you know if you need help with your lymph, and where you can begin to reset your lymph system. Healthy lymph flow is essential for helping you to clear HPV, so this episode is essential if you have an abnormal Pap. We're here to help you! LINKS FROM THE EPISODE:   Connect with Kelly: https://www.flowintohealth.com/21day-lymphatic-breakthrough-week1?am_id=drdoni6723    Sign up for Dr. Doni's 5-Day HPV Workshop: https://doctordoni.com/HPV-workshop/   Schedule A Chat With Dr. Doni: https://intakeq.com/new/hhsnib/vuaovx    Read the full episode notes and find more information: https://doctordoni.com/blog/podcasts/ MORE RESOURCES FROM DR. DONI:   Quick links to social media, free guides and programs, and more: https://doctordoni.com/links     Disclosure: Some of the links in this post are product links and affiliate links and if you go through them to make a purchase I will earn a commission at no cost to you. Keep in mind that I link these companies and their products because of their quality and not because of the commission I receive from your purchases. The decision is yours, and whether or not you decide to buy something is completely up to you.  

La Pizarra de Quintana
LA PIZARRA (12:00 a 13:00) - Nuestros pronósticos de LaLiga y un nuevo Papá o Mamá

La Pizarra de Quintana

Play Episode Listen Later May 28, 2026 56:12


LA PIZARRA (12:00 a 13:00) - Nuestros pronósticos de LaLiga y un nuevo Papá o MamáSee omnystudio.com/listener for privacy information.

En Consciencia con Martha Velasco

Esta canción fue escrita por el cantautor José Velasco Esparza.en la cual describeCómo quiere ser recordado una vez que haya trascendido su vidalo cual justamente sucedió el 22 de mayo del año 2026.Este es un homenaje a su vida.Siempre serás recordado Papá.

The Chris Moyles Show on Radio X Podcast
Catherine Tate, Nik Kershaw and Saffron from Republica #547

The Chris Moyles Show on Radio X Podcast

Play Episode Listen Later May 22, 2026 85:05


Whoa there… steady on now! You seem like you're just about ready to take on this episode of The Chris Moyles Show on Radio X podcast! There's a lot in this episode, folks! But when isn't there, am I right? The team recorded the Pubcast – you know, that charity podcast from a pub they do – so they felt a little ‘crispy' (Dom's favourite word for hungover) afterwards on Wednesday's show. We also get excited about all that soccer in the summer, so our producer Polly has been working on a sweepstake for the team, and I'll say it now in case you don't clock on it, she's not the biggest football fan in the world!We also have a host of wonderful guests to entertain those little ears of yours…Am I bovvered? Do I look bovvered? You bet I am bovvered, as the team caught up with comedy royalty, Catherine Tate. She's in a show on the West End called Oh, Mary! She also has her legendary character Nan, and as Captain and Catherine haven't met before, did Nan and him meet? (If you know, you know!)Chris met one of his pop music heroes, a massive 80's icon… it's only Nik Kershaw! Chris loves his music, and has been on the radio over thirty years and somehow has never interviewed Nik, so Chris was particularly giddy that morning, which you, undoubtably, will pick up on!Baby, she was ready to go… on The Chris Moyles Show! Saffron from Republica stopped by the Radio X studio to catch up with the team about more Republica shows, and the thirty-year anniversary of their massive hit “Ready To Go!”It felt weird having the next person as an actual guest… especially as he does the show after Chris, so they see each other every day. However, Toby Tarrant had an announcement to make, so he was our next “guest” oddly. (Funny how he didn't get his name in the title of this week's episode, right?)And you're telling me that isn't enough for you? Fine then, have some more:Dom's shop on the A1Toby Lerone returns?Pop Rap, or Pap?

Cuerpos especiales
Cuerpos especiales | Con Zetak - jueves 21 de mayo de 2026

Cuerpos especiales

Play Episode Listen Later May 21, 2026 98:05


Zetak visita Cuerpos especiales para presentar su proyecto Mitoaroa III, para el que ha vendido 80.000 entradas. Dani Piqueras trae sus problemas como Padre de dragones, ahora Milo y Brais pasan de llamarle Papá para decirle Dani. Jorge Yorya habla de aprender a nadar y Santos Solanos, de las personas que no aceptan las críticas. En la sección Eva le grita a una nube, Eva Soriano se queja de los que la critican por vivir intensamente. Si no sale sudada de un concierto, que le devuelvan el dinero.

Speaking of Women's Health
Your Primary Care Clinician Should Help You Navigate Women's Health

Speaking of Women's Health

Play Episode Listen Later May 20, 2026 43:23 Transcription Available


Send us Fan MailThe hardest part of health care isn't always treatment, it's figuring out who should treat you in the first place. Speaking of Women's Health Podcast host Holly L. Thacker, MD sits down with Laura Lipold, MD, Director of Primary Care Women's Health at Cleveland Clinic, to map out how primary care, OB-GYN care and consultative women's health specialists can work together across every life stage.They talk candidly about why so many patients feel stuck right now, from limited access to primary care to the long shadow of menopause misinformation after the Women's Health Initiative. You'll hear practical guidance on what primary care can often handle (Pap tests, HPV and cervical cancer screening, mammogram orders, chronic disease management, obesity and metabolic health, behavioral health support) and when it's time to bring in a specialist for complex menopause and hormone therapy decisions, severe osteoporosis, cancer survivorship, blood clots, transplants, or major cardiovascular history.Support the show

cityCURRENT Radio Show
A Step Ahead Foundation of Middle Tennessee, celebrating 10 years of work

cityCURRENT Radio Show

Play Episode Listen Later May 13, 2026 16:14


Host Jeremy C. Park interviews Jenny Matthews, Executive Director of A Step Ahead Foundation of Middle Tennessee, who discusses the nonprofit organization's 10-year anniversary and mission to prevent unplanned pregnancies by providing education and access to free long-acting reversible contraception. Jenny explains how the foundation has served nearly 7,000 clients by breaking down barriers like cost and transportation through partnerships with over 120 community organizations and medical clinics, offering services like a well woman exam, STI testing, the cost of the device, and removal at any time. She highlights common questions from clients about eligibility and menstrual cycles, shares success metrics showing 96% of clients reporting decreased stress and increased happiness, and describes how the organization's educational outreach is particularly valuable in rural communities. Jenny outlines multiple ways the community can support their work through financial donations, volunteer opportunities at health fairs, sharing resources with organizations, and helping spread awareness about their services. Summary Jenny Matthews, Executive Director of A Step Ahead Foundation of Middle Tennessee, discusses the organization's 10-year anniversary and its mission to provide long-term contraception to prevent unplanned pregnancies across 29 counties. The foundation has served nearly 7,000 clients with contraception options including IUDs, hormonal and non-hormonal methods, and arm implants, aiming to eliminate cost and transportation barriers. Clients can contact the call center Monday through Friday between 8 AM and 4 PM to be connected with partner clinics within 2-3 weeks, with the foundation acting as the payer of last resort for costs not covered by insurance. Jenny discusses their partnership approach, explaining they provide two types of education: clinical services at medical appointments and community outreach through over 120 partners in prevention. The clinical services include well woman visits, STI testing, Pap tests, device insertion and removal, while the community education reaches various settings including job training programs, substance use recovery centers, and universities. Jenny notes that their community education partners view A Step Ahead Foundation's services as supportive of their work and helping prevent plans from being derailed by unplanned pregnancies. Jenny discusses common questions received regarding contraception options, particularly about IUDs and implants for women who haven't had children yet. She explains that these methods can be used before having children and addresses misconceptions about menstrual cycles stopping, clarifying that this is healthy when using contraception. Jenny explains the importance of contraception work at both micro and macro levels. At the micro level, she noted that 96% of clients reported decreased stress and increased happiness due to contraception, allowing women to focus on education and careers while spacing pregnancies. At the macro level, she described positive community outcomes, including increased community involvement and independence for women. She also highlighted that 80% of the women served are unwed, indicating a significant need for pre-marital contraception services. Jenny discusses the organization's work serving both urban and rural communities, noting that while most clients are in urban areas, there has been a 7% increase in serving rural populations over the past two years. She explains that education in rural communities is particularly valuable as these areas often have fewer resources and less frequent conversations about contraception. The organization is working to expand clinical partnerships in rural areas despite access challenges, with a goal of serving people closer to where they live or study. Jenny discusses various ways the community can support their organization's efforts, including financial donations, community education, and providing resource guides to clients. She mentioned that it costs approximately $250 to serve one client with contraception without insurance, highlighting the impact of donations. Volunteer opportunities, such as tabling at community events, are also mentioned as a way for people to get involved, especially during the summer months. Jenny highlights the apolitical nature of their services, which receives broad community support. She explains that they aim to complement rather than replace parent-child conversations, offering education through engaging activities like bingo while maintaining transparency with parents. When asked about future goals, Jenny expressed a desire to expand their services to reach more people in need, particularly in rural areas, while maintaining their commitment to never turning anyone away due to cost barriers. Visit https://www.astepaheadmiddletn.org to learn more and get involved.

Thinking About Ob/Gyn
Episode 11.10 New Guidelines For Cervical Cancer Screening and More!

Thinking About Ob/Gyn

Play Episode Listen Later May 13, 2026 59:58 Transcription Available


We bring back the biggest takeaways from the ACOG ACSM, then move fast through the newest guidance and the newest hype shaping real OBGYN care. We focus on what the evidence actually supports, where practice still lags behind, and how “labels” can quietly push patients toward harm.• conference highlights including rural OBGYN access and what gets attention on the exhibit floor • vitamin K shot refusal trends and why late bleeding still matters weeks after birth • 2026 ACOG cervical cancer screening changes with primary HPV testing preferred for ages 30 to 65 • self-collected HPV screening and the systems needed to keep follow-up safe • why annual Pap testing and cytology-only strategies increase overdiagnosis and can miss HPV risk • postmenopausal bleeding workup shifting toward ultrasound plus endometrial biopsy up front • large baby induction data and why outcomes can worsen without neonatal benefit • third-trimester ultrasound screening performance and the real-world labeling effect • early proof-of-concept therapy for preeclampsia targeting sFlt1 removal to prolong pregnancy • hysterectomy duration and route as drivers of venous thromboembolism risk • laboring down claims from retrospective reports versus randomized trial findings • debunking physiologic third stage claims and reaffirming active management to prevent hemorrhage Be sure to check out thinkingaboutobgyn.com for more information, and be sure to follow us on Instagram.0:00 ACOG Meeting Takeaways And Rural Access3:58 Vitamin K Refusal And Newborn Bleeding6:37 Cervical Screening Moves Toward HPV14:48 Postmenopausal Bleeding Now Needs Biopsy20:00 Tylenol Data And Macrosomia Induction28:34 Ultrasound Labeling Effect And Liability Fears37:29 Removing sFlt1 To Buy Time40:14 Longer Hysterectomy Surgeries Raise VTE Risk42:14 Laboring Down Claims Versus RCT Reality49:59 Counseling Fatigue Without Ignoring Risk54:21 Third Stage Myths And Hemorrhage Prevention58:42 Evidence Literacy And Closing NotesFollow us on Instagram @thinkingaboutobgyn.

Despertar Quantum
T2#680: LA TRIDA EN CONFLICTO

Despertar Quantum

Play Episode Listen Later May 12, 2026 18:53


En este episodio continuamos desarrollando el tema de la base de la Psique que es la Triada Mamá, Papá e hij@ y varios de los conflictos transgeneracionales que surgen de aquí.Déjanos tus comentarios y siguenos en Instagram y Tiktok en Quantum_gdl y Telegram en nuestro canal Centro Quantum.Ahora en Patreon con audios subliminales para Reprogramación R3PR0 5D HACK3O M3NTAL.https://linktr.ee/QUANTUM_GDL..... #Quantum #applepodcasts #spotifypodcast #centroquantum #despertardeconsciencia #quantum #constelacionesfamiliares #fisicacuantica #cuantica #tupuedescrearturealidad #googlepodcasts #CentroQuantum #podcast #epigenetic #conciencia #spotify #taniaramón ##inteligenciaemocional #amor #magia #matrix #JacoboGrinberg #bioreprogramación

Backwoods Horror Stories
Bigfoot In The Cave

Backwoods Horror Stories

Play Episode Listen Later May 10, 2026 55:22 Transcription Available


Three experienced cavers. One hand-drawn map. Two words written in pencil at the bottom of it. Don't go. This week's episode is a listener letter. Keith, a longtime friend of the show, finally put on paper what happened to him and his two closest friends almost a year ago, deep inside a cave on a ridge in eastern Kentucky that almost nobody knows is there. Caleb's grandfather, Pap, had warned him off that ridge for as long as Caleb had been alive. He never said why. After Pap passed, Caleb found a folded piece of graph paper in the back of a kitchen drawer. A road, a creek, a contour line, and a small black circle on the north face of a ridge. Underneath it, in Pap's tight square handwriting, the only two words he ever needed.Three months later, Keith, Caleb, and Josh hiked in to find that cave for themselves.What waited for them, miles into the dark, was older than the warning. Older than the country.And it had been there a very long time.This one is told the way Keith wrote it, in his own voice, slow and careful and honest, with a prologue from me up front. It runs long. It earns the run time.If you've been carrying a story of your own and you're ready to put it down, you can send it to brian@paranormalworldproductions.com. I read every one.Have you experienced a Bigfoot sighting, Sasquatch encounter, Dogman experience, UFO sighting, or any unexplained cryptid or paranormal event deep in the woods? We want to hear your story.Email your encounter to brian@paranormalworldproductions.com for a chance to be featured on a future episode of Backwoods Bigfoot Stories.Backwoods Bigfoot Stories is a paranormal storytelling podcast featuring real Bigfoot encounters, Sasquatch sightings, Dogman reports, cryptid experiences, and true scary stories from the backwoods.Follow the show and turn on automatic downloads so you never miss a chilling encounter from the forest. Listen with the lights off… if you dare.

Mind Pump: Raw Fitness Truth
2854: The Optimal Sets & Reps at Every Intensity ! Soviet Science Explains

Mind Pump: Raw Fitness Truth

Play Episode Listen Later May 9, 2026 107:04


In this episode the guys break down six training secrets discovered by Soviet Union sports scientists — the methods that made them the most dominant strength athletes in the world before steroids were even part of the conversation. They also get into the surprising dopamine-boosting effect of exogenous ketones, a study on how a father's attractiveness influences his daughter's looks more than the mother's, which group of young men is happiest (married dads by a wide margin), and Gen Z data showing 1 in 8 believe scrolling is more pleasurable than sex. Then they answer questions submitted through their Instagram page, coaching callers live on air.   MAPS 15 BOGO — https://maps15bogo.com Buy 1 get 1 FREE — limited time   Submit a live caller question: https://mplivecaller.com Mind Pump Store: https://mindpumpstore.com Instagram: @mindpumpmedia   SPONSORS   Ketone IQ — https://ketone.com/MINDPUMP 30% off subscription orders + free gift with second shipment (6-pack, merch & more) — no code needed.    Crisp Power — https://www.crisppower.com/mindpump Code: MINDPUMP — 10% off. High protein, high fiber, low carb.   Our Place (cookware) — https://fromourplace.com Code: MINDPUMP — 10% off sitewide. 100-day trial with free shipping and returns.   Mind Pump Fitness Coaching — https://mindpumpfitnesscoaching.com 1.9 NASM CEUs   0:00 - Intro & sponsors 2:04 - 6 Soviet Union training secrets that built the greatest strength athletes ever 12:52 - Prolev's chart — the exact optimal reps & sets at every intensity level 15:33 - Soviet secret #2: Plyometrics & the depth jump — how power training was born 20:12 - Soviet secret #3: Undulating periodization — why structured deloads beat linear training 23:13 - Soviet secret #4 & 5: Sub-maximal reps & complex contrast methods (PAP) 24:25 - Ketone IQ deep dive — exogenous ketones raise dopamine without stimulants 28:44 - Dad's attractiveness influences daughter's beauty more than mom's (study) 30:38 - Face swap app nostalgia & grocery store facial recognition cameras 32:29 - Amazon TV ads you can add to cart mid-commercial 38:44 - Study: Married dads 22–35 are 2x happier than single childless men 44:47 - Gen Z study: 1 in 8 say scrolling is more pleasurable than sex 52:13 - Crisp Power snack break & Our Place cookware sponsor 55:35 - Caller: Josh (Vermont) — 100lb weight loss, 5 years sober, CrossFit addiction & sobriety 1:08:18 - Caller: Kelly (Massachusetts) — RED-S, under-eating, lost menstrual cycle, needs a reverse diet 1:17:41 - Caller: Ted (Indiana) — Truck driver on a brutal sleep schedule, how to stay healthy on the road 1:28:06 - Caller: Alexandra (Washington) — Hypermobility/EDS, training with joint laxity, and personal training career path  

atlatszo.hu
Pánik az elitben – Ppaíron szép #2

atlatszo.hu

Play Episode Listen Later May 9, 2026 55:36


A Papíron szép második adásában arról beszélgetünk: mit jelent az elszámoltatás, hol a határ az igazságtétel és a bosszú között, és egyáltalán, meg lehet-e ezt csinálni úgy, hogy közben ne sérüljön az, amit most éppen újra fel kéne építeni. A stúdióban Hadházy Ákos korrupcióellenes aktivista és volt országgyűlési képviselő, aki több mint egy évtizeden át dokumentálta az Orbán-rendszer visszaéléseit; valamint Katus Eszter és Solti Hanna, az Átlátszó újságírói.

Talking Sleep
OSA and Parkinson's Risk: Can CPAP Change Outcomes?

Talking Sleep

Play Episode Listen Later May 8, 2026 40:03


In this episode of Talking Sleep, host Dr. Seema Khosla welcomes Dr. Lee Neilson, Assistant Professor of Neurology at the University of Iowa and staff neurologist at the Iowa City VA specializing in movement disorders, to discuss his groundbreaking research examining whether obstructive sleep apnea represents a modifiable risk factor for Parkinson's disease. Dr. Neilson's ambitious study analyzed records from 13 million patients within the VA system to investigate whether OSA is associated with higher risk of neurodegenerative disorders and whether treating sleep apnea might help delay the onset of dementia. The conversation traces the research design from initial hypothesis through methodology, explaining how he narrowed this massive dataset and defined both OSA diagnosis and Parkinson's disease progression. Critical methodological details emerge: How was OSA diagnosed—through sleep testing, and using 4% or 3% hypopnea criteria? How did the study differentiate between mild and severe sleep apnea? How was Parkinson's disease identified—through clinical notes, medication records, or longitudinal follow-up? Dr. Neilson clarifies whether the analysis included only PD or extended to other neurodegenerative disorders like Alzheimer's disease. The core findings receive extensive examination: Did CPAP therapy have a modifying effect on PD risk? After adjusting for confounding factors including BMI, diabetes, depression, and hypersomnia, which variables mattered most? What was the number needed to treat to prevent one case of Parkinson's disease? Could hypoxic burden be examined as a potential mechanism? Intriguing tangential discussions explore whether idiopathic RBD can be distinguished from trauma-related RBD and whether these represent separate pathological processes. The conversation takes an unexpected turn into the neuroprotective effects of smoking in Parkinson's disease, with Dr. Neilson explaining proposed mechanisms and drawing parallels to ischemic preconditioning that might occur with OSA. The episode addresses severity gradients—did OSA severity correlate with PD risk? It also tackles a fundamental question: Does treating sleep apnea delay dementia onset or actually prevent it? Dr. Neilson discusses whether non-PAP therapies were examined and addresses a critical ethical concern in sleep apnea research: Is it irresponsible to withhold treatment from symptomatic patients, and did this study focus on non-sleepy individuals or include all OSA patients regardless of symptoms? This research has profound implications for how sleep medicine practitioners frame the importance of OSA treatment with patients and families. Beyond addressing immediate symptoms like sleepiness, treating sleep apnea may reduce long-term neurodegenerative risk—a compelling motivation for adherence that extends beyond quality of life to disease prevention. Whether you're counseling patients about the importance of OSA treatment, interested in the sleep-neurodegeneration connection, or seeking evidence-based approaches to discussing long-term benefits of therapy, this episode provides essential insights. Join us for this important conversation about how the work sleep medicine practitioners do every day may profoundly impact patients' neurological futures.

Rio Bravo qWeek
Episode 223: Oncogenic Viruses

Rio Bravo qWeek

Play Episode Listen Later May 8, 2026 19:34


Episode 223: Oncogenic Viruses Introduction Mehr: Hi everyone, welcome back to the Rio Bravo qweek podcast. Back by popular demand is Me, Mehr Boparai a third-year medical student at COMP-NW. Here with me is Jeremy Pan from COMP who is also a third-year medical student. How are you doing Jeremy? Jeremy: I'm doing great Mehr.Thanks for the kind intro; we had a fun time this morning doing street medicine and had some practice giving Toradol injections and wound dressings. So excited to be back for another podcast episode this afternoon! Mehr: This week, we are moving away from bacteria and antibiotics and diving deeper into cancer-causing viruses. Jeremy: Yes, and if you are interested at all in public health, this is one of those areas where medicine overlaps with public health in a really tangible way. I think one of the most underappreciated aspects of this topic is that we have vaccines that can prevent many of these cancers. If you told someone 50 years ago we'd be vaccinating against cancer, they probably wouldn't believe you! It's amazing to see how far medicine has come. How viruses cause cancer: Jeremy: Before jumping into specific viruses, I always think having a mechanism-based framework makes everything stick better. Mehr: Right, because they don't all cause cancer the same way. Medicine can never be easy huh? Jeremy: Yea…this career really is just a lifetime of discovery. So just to start, in broad terms, we can think of three main buckets of how viruses can cause cancer: Direct oncogenesis where viral proteins interfere with tumor suppressors like P53 and Rb. We will go over their specific mechanisms a little later in the discussion. Mehr:  Chronic inflammation where viruses cause repeated injury through production of reactive oxygen species. They also increase the chance of mutation through repeated DNA replication, leading to cancer.  Jeremy: Immune evasion or suppression leads to decreased tumor surveillance. What this means essentially is that our immune system is constantly removing abnormal cells before they become cancerous. This is completed by CD8 T cells and natural killer, or NK, cells. CD8 T cells recognize abnormal peptides presented on Major Histocompatibility Complex, or MHC, class I molecules and induce apoptosis in those cells. Mehr: And NK cells step in when cells decide to stop expressing MHC I, which abnormal cells like to hide to avoid being caught. So just to reiterate, there are two layers to dissect here: if a cell looks suspicious with an abnormal MHC, CD8 T-cells kill them. If the abnormal cell decides to hide its MHC, then the NK cell will kill it instead. Jeremy: So, for the final big picture, we can think of oncogenic viruses as either disabling tumor suppression, causing chronic damage over time through inflammation, and weakening the immune system's ability to catch cancer in time before it develops. HPV Mehr: Let's start with one of the most common viruses afflicting our population – Human Papilloma Virus otherwise known as HPV.  Jeremy: Right, this notorious virus is probably the most clinically impactful oncogenic virus. The key players HPV utilizes are proteins E6 and E7. Mehr: Right! E6 binds to and inhibits p53, which normally acts to induce cell cycle arrest, and E7 inhibits Rb, which normally acts as a tumor suppressor gene that inhibits the G1 to S phase transition in a normal cell cycle. Jeremy: So essentially, we are losing both apoptosis and losing cell cycle control at the same time. What is interesting about HPV is that persistent infection, not just exposure to the virus, is what drives cancer risk.  Mehr: Exactly, most HPV infections clear on their own, but the ones that persist are the problem. Clinically, many end up being asymptomatic. However, for high-risk infections, we can see genital warts that can itch, feel tender, or cause abnormal vaginal bleeding and discharge. Patients are sometimes not able to have a vaginal delivery because of the warts that are present along their genital tract. We can also see warts on the hands and fingers or plantar surface of our feet. Jeremy: Another interesting point is that we are also seeing a shift where there are more cases of oropharyngeal cancers in younger, non-smoking patients. This is why if we see an abnormal neck lymph node or persistent sore throat after swallowing in a young patient, HPV should definitely be on the differential.  Mehr: Screening is very important as well! We typically discover high-risk HPV infections through routine Pap smears and other HPV specific tests through DNA PCR and RNA tests. We also encourage vaccination for effective prevention of both genital warts and high-risk HPV-related cancers. There was also a study in Scotland where there were zero cases of HPV in adults who received the vaccine between 12-13 years of age! Which is crazy!  EBV HBV & HCV Mehr: Now let's shift to viruses that affect the liver, Hepatitis B virus and Hepatitis C virus. Jeremy: Both are strongly associated with hepatocellular carcinoma, but they actually get there in slightlydifferent ways. Mehr: Right. Hepatitis B is a DNA virus that can integrate directly into the host genome, which can disrupttumor suppressor genes and promote oncogenesis. Jeremy: Whereas Hepatitis C is an RNA virus, so it doesn't integrate into the host genome. Instead, it causes chronic inflammation Over time, that leads to repeated cycles of hepatocyte injury and regeneration, along withoxidative stress from reactive oxygen species, which increases the risk of DNA mutations. Mehr: One really important clinical pearl is that Hep B can actually cause hepatocellular carcinoma evenwithout cirrhosis. Whereas with Hep C, the pathway is usually chronic inflammation → fibrosis → cirrhosis → dysplasia→ cancer.  Jeremy: So, screening becomes really important for both of these viruses. For high-risk patients—like those with chronic hepatitis or cirrhosis—we typically dosurveillance with liver ultrasound every 6 months, sometimes with alpha-fetoprotein levels to see if it is elevated. Mehr: From a prevention standpoint, the Hep B vaccine is a huge win. It significantly reduces the risk ofhepatocellular carcinoma. For Hep C, we don't have a vaccine, but direct-acting antivirals can actually cure the infection andreduce long-term cancer risk, which is why we screen between ages 18-79  nowadays. Global Hep B and C account for 65% of all HCC cases! So, it makes sense that primary care itself is increasing the treatment of Hep C cases as well since it is easier to prescribe and that you want to be treated ASAP.  Jeremy: Yea, the ability to treat Hep C is so beneficial to population health. Now let's say you have a patient who develops hepatocellular carcinoma, options can include surgicalresection, liver transplantation, local therapies, or systemic treatments depending on stage.  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: Barry H. C. (2024). Scottish Screening: No Cases of Invasive Cervical Cancer in Women Who Received at Least One Dose of Bivalent HPV Vaccine at 12 or 13 Years of Age. American family physician, 110(2), 201–202. https://pubmed.ncbi.nlm.nih.gov/39172683/ Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/. 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!

Talos Takes
The trust paradox: How attackers weaponize legitimate SaaS platforms

Talos Takes

Play Episode Listen Later May 7, 2026 20:51 Transcription Available


In this episode of Talos Takes, Amy Ciminnisi sits down with researcher Diana Brown to discuss the rise of "platform-as-a-proxy" (PAP) attacks. We explore how threat actors are weaponizing legitimate SaaS platforms like GitHub and Jira to deliver phishing campaigns that bypass traditional security filters. By leveraging the platforms' own infrastructure to send authenticated emails, attackers are exploiting the inherent trust employees place in these essential business tools. We break down the mechanics of these campaigns and provide actionable strategies for security teams to move beyond binary trust and implement contextual awareness to better protect their organizations.Blog: https://blog.talosintelligence.com/weaponizing-saas-notification-pipelines/

MemorialCare - Weekly Dose of Wellness!
Not Exactly Dinner Table Talk: Why Anal Pap Smears Matter

MemorialCare - Weekly Dose of Wellness!

Play Episode Listen Later May 6, 2026


It may not be dinner table conversation yet, but we need to get more comfortable talking about our rear ends. Colorectal cancer has risen drastically among younger people, and now we're seeing another concerning trend with anal cancer. For both men and women, high risk HPV has been linked to increased rates of anal cancer, and the best way to screen is through a test called an anal Pap smear. Many women find the test more comfortable than a vaginal Pap smear, and it can conveniently be done during the same visit. Although the topic can feel uncomfortable, awareness and early detection are critical. In this episode, Dr. Ketan Thanki takes the mystery (and stress) out of this important screening and explains how HPV prevention, including expanded vaccine eligibility for adults ages 26–45, can help lower cancer risk.  Learn more about Ketan Thanki, MD 

md anal hpv pap colorectal pap smears dinner table talk
The Good Word
Martes de la IV semana de Pascua: 28 de Abril (P. Tomás "Martín" Deely, C.Ss.R.)

The Good Word

Play Episode Listen Later Apr 28, 2026 5:58


NUESTRO PAPÁ Y ABBÁ EN EL CIELOVivo acá con otros redentoristas y sacerdotes. Tengo los 86 años. El mayor acá es Padre Bobby que tiene los 95 años. Celebramos la Santa Misa juntos cada mañana a las 8 y media de la mañana. Tomamos turnos siendo el sacerdote que es el sacerdote principal. Ese sacerdote siempre predica una breve homilía sobre el evangelio y las lecturas. A mí me gustan mucho las homilías de Padre Tomás Travers que tiene el mismo nombre que yo. Padre Travers siempre habla de ABBA, el Papá de Jesús y el papá de Uds. y yo también. Hoy Jesús le dice a la gente esto: Dice: Mis ovejas escuchan mi voz; yo las conozco y ellas me siguen. Yo les doy la vida eterna y no perecerán jamás. El Padre Travers nos diría hoy algo así.  Jesús vino al mundo para que Uds. y yo conociéramos nuestro Papá nuestro Abba en el cielo. Es más Jesús quiere que hoy y cada día Uds. y yo conociéramos un poco mas ese gran amor y ternura y cariño que nuestro Papá Celestial tiene para cada uno de nosotros. Y eso a pesar de los pecados, de los errores y malos pasos que hayamos hecho.  Nuestro Papá Celestial quiere que cada uno de nosotros seamos como Pablo y Bernabé en la primera lectura hoy. Pablo, por cierto, había hecho muchos pecados y errores cuando perseguía y apresaba a los cristianos. Dice la lectura hoy sobre la labor misionera de Pablo y Bernabé: Cuando llegaron estas noticias a la comunidad cristiana de Jerusalén, Bernabé fue enviado a Antioquía. Llegó Bernabé, y viendo la acción de la gracia de Dios, se alegró mucho; Hermanas y hermanos en Cristo, hoy Jesús y Nuestro común Papá Celestial desean que Uds. y yo permitan que el Espíritu Santo actúe en nosotros para que toda la gente que veamos en este día de hoy se llene del amor y de la alegría de Dios.Tdeely7352@hotmail.com

WORKING SHORT: The Nursing Podcast
Let's Talk About Menopause

WORKING SHORT: The Nursing Podcast

Play Episode Listen Later Apr 28, 2026 32:39


· Naturopathic holistic model:· Integrates lifestyle optimization (sleep, stress, diet, exercise), symptom management, and pharmacologic therapy where indicated.· Emphasis on patient empowerment and sustained habit formation recognizing the effort required for meaningful change.· Preventive care:· Screening labs for cardiometabolic risk (e.g., diabetes, heart disease) based on age and symptoms.· Body composition focus (muscle mass maintenance), and standard preventive screening (mammograms, Pap tests).· Cycle tracking enhances staging awareness and guides care decisions.· Interprofessional collaboration:· Patients benefit from combined support of family physicians and naturopathic doctors; coordination emphasizes patient-centered care rather than provider turf.· Nursing practice alignment with holistic ethos: empathetic listening, normalization of experiences, and comprehensive symptom support.

CUBAkústica FM
'Más sabroso que el guarapo'

CUBAkústica FM

Play Episode Listen Later Apr 26, 2026 63:32


El catálogo sonoro de Cuba nos permite recordar al formidable sonero Roberto Faz, justamente en el 60 aniversario de su fallecimiento ocurrido en La Habana el 26 de abril de 1966. La inclinación hacia la música que mostró desde su infancia lo llevó a integrar, desde la frontera de los años 20 a los 30, diversas agrupaciones como percusionista y cantante. Entre ellas destacaron: el Septeto infantil "Champán Sport" dirigido por el trompetista Carlos Toledo, la orquesta "Habana" de Estanislao Serviá y la orquesta del Hotel Nacional dirigida por el maestro Osvaldo Estivill. En 1943, cuando ingresa al Conjunto "Kubavana" para un año más tarde sumarse a la nómina del Conjunto "Casino", Faz comenzó a identificar la bien llamada "era de los conjuntos soneros". Con el Conjunto Casino, a lo largo de once años, completó una valiosa discografia a la que siempre será importante regresar. En enero de 1956 fundó su propio conjunto prolongando una exitosa presencia en los escenarios a la que sólo la muerte pudo poner punto final. A sesenta años de distancia su voz sigue siendo eco y memoria imprescindibles de la banda sonora cubana. Sonero de los buenos en su voz clara y potente brillaron con igual intensidad, gracia y sentimiento: la guaracha, la rumba, el son montuno, la guajira, la conga, el guaguancó y el bolero, entre otros géneros fundamentales de la música popular cubana. En la memoria: Roberto Faz. Falleció en La Habana el 26 de abril de 1966. Había nacido en Regla el 18 de septiembre de 1914. El catálogo Puchito de Jesús Gorís de mediados de los 50 nos recuerda la aparición en el mercado discografico independiente cubano de dos bastiones de la rumba y el guaguancó. Así se escuchaban las primeras grabaciones de la admirada trilogía de Saldiguera, Juan y Virulilla, como parte del Grupo "Guaguancó Matancero", y de "Papín y sus rumberos" con el olvidado Fuico en el apartado vocal. Gina León fue una sobreviviente. Permanecer en Cuba buena parte de su carrera fue una elección que la obligó a sumar a su elegancia natural un tremendo coraje. Durante largos años la acompañó la admiración del público cubano amante del bolero, siendo además parte importante de ese otro mundo de evocación nostálgica donde, a pesar de todo, sobrevivía aquel luminoso tiempo de alegría, música y neón que alguna vez fue La Habana de los años 50s y primeros 60s. Gina León canta en Cubakústica algunos de aquellos primeros temas con que la etiqueta Gema, de los hermanos Álvarez Guedes, la introdujo exitosamente en el mundo del disco. Algo de la obra de la compositora Celia Romero a la manera de Ramón Veloz, el legendario Alfredito Valdés con los Guaracheros de Oriente y el Conjunto Casino con las voces de Orlando Vallejo y Roberto Espí desde un bailable de nochebuena en CMQ de diciembre de 1952. Asi escucharemos "Guateque campesino", "Los penachos de las palmas" y su pieza más conocida: "Alborada". Música y músicos de Cuba: Generoso Jiménez. Su incesante andadura por la música cubana auguraba ya, finalizando los años 40, los ecos inmortales del sabroso son montuno que le acompañó hasta el final de su vida, compartido con Castellanos, utilero de la banda del Beny, y que el inmenso sonero cantó dentro y fuera de la isla.

Ventana 14 desde Cuba por Yoani Sánchez
Cafecito informativo del viernes 24 de abril de 2026

Ventana 14 desde Cuba por Yoani Sánchez

Play Episode Listen Later Apr 24, 2026 11:41


Los temas del "cafecito informativo" de este viernes 24 de abril de 2026: Se vence el plazo del ultimátum de EE UU Cuba necesita ocho buques petroleros mensuales “Papá, sácame de aquí”, clama adolescente en prisión por protestar Presentación del libro ‘Los mudos de la montaña'

Talking Sleep
Community PAP Therapy: Engineering Better Sleep Apnea Care

Talking Sleep

Play Episode Listen Later Apr 24, 2026 60:04


In this episode of Talking Sleep, host Dr. Seema Khosla welcomes David Messerschmitt, a retired computer and signal processing engineer, and Stuart Crisp, a retired process control engineer and educator, to discuss patient-facing open-source PAP platforms and how informed users leverage detailed data to optimize their sleep apnea treatment. This episode represents a departure from the typical clinical expert format. After eight seasons focusing on sleep medicine professionals, these engineer-patients reached out to share how platforms like Sleep HQ and OSCAR have transformed their understanding and management of sleep-disordered breathing. Both are power users who have helped thousands of fellow patients navigate complex PAP data, representing a patient empowerment movement that many clinicians may not fully appreciate. David and Stuart explain what Sleep HQ and OSCAR are, how these platforms differ from standard clinical downloads, and what data visualization capabilities they offer. The platforms integrate multiple data streams—high-resolution flow rate data from PAP device SD cards, pulse oximetry from wearable rings, and sleep architecture from devices like Apple Watch—creating a comprehensive picture that goes far beyond what's typically reviewed in clinic appointments. The conversation explores sophisticated analysis techniques these informed patients employ: identifying upper airway resistance syndrome through inspiratory flow limitation and heart rate spikes, distinguishing sleep onset versus wake onset events, detecting REM-related apneas, and recognizing positional apnea patterns. Stuart and David discuss "Somnopose," chin tuck events, and what they call "high-level waveform forensics"—detailed signal analysis that reveals subtle breathing pattern abnormalities. A crucial discussion addresses whether these patient communities represent antagonism toward the medical establishment or an unmet need that sleep medicine should embrace. The guests emphasize their desire for collaboration, not confrontation, and offer insights into how clinicians can better partner with informed, data-driven patients who arrive with detailed self-analysis. Whether you're encountering patients who bring detailed PAP data to appointments, curious about what these platforms reveal that standard reports don't, or seeking to better collaborate with informed patient communities, this episode provides essential perspectives from the patient side of sleep medicine. Join us for this unique conversation that bridges the gap between clinical expertise and patient empowerment in sleep apnea management.

The Podcast by KevinMD
Why cervical cancer screening drops after menopause, and why that's dangerous

The Podcast by KevinMD

Play Episode Listen Later Apr 21, 2026 15:38


What if the moment women stop seeing their gynecologist is exactly when their cervical cancer risk matters most? Nenrot S. Gopep, a physician and public health researcher, joins the show to discuss her KevinMD article, "Menopause and the drop in cervical cancer screening." Her research found that postmenopausal women are 24 percent less likely to receive a Pap smear compared to premenopausal women, even after controlling for insurance, age, and socioeconomic status. You will hear why the persistent myth that cervical cancer is only a concern for sexually active women is keeping older patients from getting screened, and why HPV can lie dormant for years before developing into cancer. Gopep explains how the shift away from gynecologists after menopause places greater responsibility on primary care physicians to continue screening through age 65. She also discusses the expanded availability of the HPV vaccine, what Australia's elimination of cervical cancer teaches us about what is possible, and the specific questions patients should be asking their doctors about screening and vaccination. If you or someone you care about has put off cervical cancer screening after menopause, this episode could change that decision. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Spoilers!
A Knight's Tale (2001) - Movie Review! #579

Spoilers!

Play Episode Listen Later Apr 21, 2026 108:22


A Pap's Tale. Pappy of the Outer Grease Realms leads fellow countrymen Josh of Cheapside Goshen, Sir Kylo Korey of Oxnard and Young WIzard of Money, Mikey as they discuss A Knight's Tale! "In tone, A Knight's Tale is at the exact midpoint of A Kid in King Arthur's Court and A Knight of the Seven Kingdoms." ****** Peasant-born William Thatcher (Heath Ledger) begins a quest to change his stars, win the heart of an exceedingly fair maiden (Shanynn Sossamon) and rock his medieval world. With the help of friends (Mark Addy, Paul Bettany, Alan Tudyk), he faces the ultimate test of medieval gallantry -- tournament jousting -- and tries to discover if he has the mettle to become a legend. Release date May 11, 2001 (USA) Director Brian Helgeland Story by Geoffrey Chaucer Running time 2h 12m MPAA rating PG-13 Distributed by Columbia Pictures, Sony Pictures · See more

SleepTech Talk
Sleep Apnea, GLP-1 Medications & Weight Loss

SleepTech Talk

Play Episode Listen Later Apr 20, 2026 27:26


In this episode of SleepTech Talk, we sit down with Dr. Muhammad Usama, MD, FACP, DiplABOM, a triple board-certified physician in sleep medicine and obesity medicine, to explore one of the most important shifts in healthcare today.As GLP-1 medications continue to transform the obesity landscape, what does that mean for patients with sleep apnea?Dr. Usama breaks down the clinical connection between obesity and sleep-disordered breathing, and how treating one condition can significantly impact the other.

Dr. Patient
Ep 30 Prevent Illness in the First Place

Dr. Patient

Play Episode Listen Later Apr 14, 2026 19:44 Transcription Available


Date: 4/15/26Name of podcast: Dr. PatientEpisode title and number: 30 Prevent Illness in the First PlaceEpisode summary: Preventive healthcare involves trying to keep illness from occurring, and trying to catch diseases early on in their process. It has a long history of success as an overall health approach, but less and less adults in the US are utilizing it and seeing a primary care provider. This episode reviews what preventive healthcare entails and addresses some of the more common reasons why people don't seek it out.References: Current screening recommendations:Cancers: - Colorectal cancer screening (variety of methods including colonoscopy) at 45-75- Breast cancer screening (mammogram, ultrasound most common) at 40-74- Cervical cancer screening (PAP smear) at 21-65- Lung cancer screening (low dose CT scan) at 50-80 IF you have a 20 pack-year smoking history, or if you quit within the last 15 yearsHeart and metabolic conditions:- Hypertension/high blood pressure screening - every 2 years if blood pressure is < 120/80- every year if blood pressure is 120-139/80-89- annually over 40 years old regardless of blood pressure- Diabetes type 2 screening (blood test)- at 35-70 if overweight/obese (BMI >25)- every 3 years if normal BMI- High cholesterol screening (blood test) - lots of caveats on this one- generally, a lipid panel at 40-75 - some sources say every 4-6 years starting at 20- American Heart Associaion says waist circumference and BMI and lipid panel every 3 years for adults 40-75 with one risk factorInfectious Diseases- Hepatitis C (blood test) once between 18-79- HIV (blood test) once 15-65 or for anyone pregnant, then regularly only if high risk Bone health- Osteoporosis screening (bone scan) all women over 65, all post menopausal women even if less than 65 years old if increased riskOther- Abdominal aortic aneurysm screening (ultrasound) for men 65-75 who have ever smoked- Depression screening (questionnaire) for everyone over 19 including pregnant/postpartum- Beyond these, your healthcare provider might also/should ask you questions about safety at home, seat belt use, your diet and exerciseLinks:USPSTF/US Preventive Services Task Force: https://www.uspreventiveservicestaskforce.org/uspstf/ACIP/Advisory Committee on Immunization Practices: https://www.cdc.gov/acip/index.htmlAmerican Heart Association: https://www.heart.org/en/health-topics/consumer-healthcare/what-is-cardiovascular-disease/heart-health-screeningsAmerican Diabetes Association: https://diabetes.org/newsroom/latest-ada-annual-standards-of-care-includes-changes-to-diabetes-screening-first-line-therapy-pregnancy-technologyAmerican Cancer Society: https://www.cancer.org/cancer/screening/american-cancer-society-guidelines-for-the-early-detection-of-cancer.htmlPodcast website: www.drpatientpodcast.comPodcast email, become a guest: drpatientpodcast@gmail.com

SleepTech Talk
Women and Sleep Apnea

SleepTech Talk

Play Episode Listen Later Apr 6, 2026 31:29


New Episode Alert!What happens when sleep health meets social media influence?In this episode of SleepTech Talk, we sit down with Lindsay McFarland—better known as @yoursleepbff—to explore how she built a powerful platform educating thousands about sleep apnea, with a special focus on women.Sleep apnea is often underdiagnosed in women, and Lindsay is working to change that narrative—one post at a time.We dive into:How Lindsay became a rising voice in sleep health on social mediaWhy women are often overlooked in sleep apnea diagnosis and treatmentThe most common questions she gets from her audienceHow education and awareness can drive better outcomes and adherenceThe role of social platforms in reshaping patient engagementWhether you're a sleep clinician, DME provider, or someone struggling with PAP adherence, this episode highlights the growing importance of meeting patients where they are—online.

MELOG Il piacere del dubbio

Quello col proprio padre è un rapporto pieno di parole, comportamenti, gesti, assorbiti nella nostra vita preadulta e che molto spesso lascia dietro tanti non detti, tanti nodi che la vecchiaia avanzata del genitore non sempre scioglie. Ne parliamo con Antonello Piroso, autore del libro autobiografico "Papà. Anatomia di un amore disparato".

CUBAkústica FM
'Ponme la mano, Caridad'

CUBAkústica FM

Play Episode Listen Later Mar 29, 2026 62:11


Comenzamos con Lena Ferrer, una de las felices revelaciones de la música popular cubana de los últimos tiempos. Talento natural, su voz y estilo transpiran una profunda conexión con ancestrales voces femeninas de la Trova como María Teresa y Justa García. La frescura y vivacidad de su canto, alimentado por la cercanía con el inmenso Pedro Luis Ferrer, redondea el arte de Lena. Unos minutos junto al quehacer del pianista, arreglista, compositor y conductor de orquesta Gilberto Valdés. Una producción Panart de comienzos de los 60 nos devuelve dos de sus obras: "Mambo típico" y "Mambo nuevo". "Oguere", el clásico afro de este importante músico, nos trae sonidos más contemporáneos. Producción del sello Round World Music. Álbum "Ritmo y Candela" del año 1995. Afortunado encuentro de tres grandes percusionistas cubanos: Patato Valdés, José Luis Quintana "Changuito" y Orestes Vilató. Piano y sintetizadores: Rebeca Mauleon. Saxo barítono: Enrique Fernández. En el bajo el veterano Joe Santiago. Entre los tesoros de la música popular cubana la impronta de Merceditas Valdés. El maestro Fernando Ortiz, desde sus memorables audiciones en la Radio Cadena Suaritos, la bautizó para toda la vida como "la pequeña ashé". La acompañarán Papín y sus rumberos, Frank Emilio al piano y el grupo folklórico de Jesús Pérez. El trombón de Pucho Escalante, respaldado por el Noneto Cubano de Jazz, sirve de opening para acercarnos al importante paso del juvenil bajista Juan Formell por la orquesta Revé de finales de los años 60. Etapa de experimentaciones que dio lugar al denominado "Changüí 68". Elena Burke por entonces le puso voz y sentimiento a títulos como: "La chica solitaria". Identifica nuestro podcast la imagen de una de las voces altas de la música popular cubana de todos los tiempos. Así llega la auténtica "Reina del Guaguancó" Celeste Mendoza que hoy despide el programa con el respaldo de "Los Papines" y las bandas de Bebo Valdés y Ernesto Duarte.

Talking Sleep
Microplastics, PAP Therapy, and What the Science Shows

Talking Sleep

Play Episode Listen Later Mar 27, 2026 34:46


In this episode of Talking Sleep, host Dr. Seema Khosla explores growing concerns about microplastics in human health and what they may mean for patients using positive airway pressure (PAP) therapy. She is joined by Dr. Thais Mauad, a pathologist based in São Paulo, Brazil, and Dr. Michel Cahali, an otolaryngologist, whose recent research examines the presence of microplastics and inflammatory mediators in the nasal airway of PAP users and non‑users. The conversation is framed by alarming findings from recent high‑profile studies showing microplastics in carotid artery plaque and even in the olfactory bulb of the human brain — discoveries that raise important questions about how these particles enter the body and their potential long‑term health effects. Dr. Mauad discusses her work on microplastics in neural tissue and explains how these particles may interact with inflammatory pathways, while Dr. Cahali describes their collaborative research evaluating microplastic deposition in the nasal airway. A key focus of the discussion is whether PAP therapy itself contributes to microplastic exposure. The guests walk through their study design, control population, and findings, including the reassuring conclusion that PAP users did not demonstrate higher levels of microplastics in the nasal airway compared with controls. They also address important nuances, such as equipment age, material degradation, and how exposure may differ throughout the respiratory tract. Beyond PAP therapy, the episode expands into a broader conversation about how plastics are manufactured, the role of additives and so‑called “forever chemicals,” and how responsibility for reducing plastic exposure has historically shifted to consumers rather than manufacturers. Drs. Mauad and Cahali reflect on what these findings mean for sleep medicine professionals and discuss practical steps the sleep community can take — from clinical practice to advocacy — to reduce plastic exposure in health care settings. Whether you're concerned about the safety of PAP devices, interested in emerging research on microplastics and inflammation, or looking to better understand how environmental exposures intersect with sleep health, this episode provides important scientific context and thoughtful perspective on an issue that extends far beyond the sleep clinic.

Butt Honestly with Doctor Carlton and Dangilo
Turning Point U.S. GAY with Lauren Banall A.K.A Erica Qwerk - 90

Butt Honestly with Doctor Carlton and Dangilo

Play Episode Listen Later Mar 25, 2026 58:36 Transcription Available


Hello Booty Gang, and welcome back to another episode of BUTT HONESTLY—where the conversations are as bold as they are necessary, and the guests always bring something a little extra to the table.This week, Dr. Carlton and Dangilo are joined by the sensational Lauren Banall, alongside her brilliantly unhinged alter ego Erika Qwerk, the comedic force behind Turning Point U.S. GAY—a sharp, satirical take that proves parody might the the voice of the resistance. The energy? Chaotic good. The humor? Smart, biting, and just the right amount of awareness and brilliance. But as always, the show balances the sparkle with education and empathy.The guys tackle some serious and important listener questions this week, starting with one about anal Pap smears—what they are, why they matter, and why taking care of your health is always in style, no matter how unglamorous the appointment may sound.Then, in a more vulnerable and deeply human moment, they respond to a listener navigating bottoming after experiencing trauma. It's a thoughtful, compassionate conversation about rebuilding trust with your body, moving at your own pace, and understanding that healing isn't linear—and that's okay. Dr. Carlton brings clinical insight, while Dangilo brings empathy, honesty, and the reminder that you're not alone in figuring it out.Throughout it all, Lauren adds their signature wit and insight, proving that humor and healing can absolutely share the same stage.And because this is still Butt Honestly, the episode closes with the guys' Love Language of the Week—a little levity, a little sweetness, and a reminder that connection, in all its forms, is worth the work.Press play. It's smart, it's funny, it's heartfelt—and it might just be one of those episodes that stays with you a little longer than expected.

The Clinician's Corner
#88: Dr. Doni Wilson - HPV and Women's Health: Functional Approaches to Prevention, Healing, and Empowerment

The Clinician's Corner

Play Episode Listen Later Mar 17, 2026 64:27


In this episode of the IRH Clinician's Corner, Margaret Floyd Barry sits down with women's health expert, Dr. Doni Wilson, to shed light on a critical but often overlooked subject: HPV. Together, they explore the nuances of human papillomavirus—from its prevalence and cancer risk to the innovations in testing and prevention. You'll learn why HPV isn't just a women's health issue, how stress and trauma can play a pivotal role in immune resilience, and the actionable strategies clinicians can implement to help their clients clear HPV naturally.   In this interview, we discuss:   HPV (what is it), testing, and diagnosis HPV prevalence and risk (for both men and women) A functional approach and protocol for HPV Factors that influence persistence and progression Medical and preventative approaches to HPV Dietary & lifestyle strategies and emotional healing Dr. Doni's practitioner training and certification   The Clinician's Corner is brought to you by the Institute of Restorative Health. Follow us: https://www.instagram.com/instituteofrestorativehealth/   Connect with Dr. Doni Wilson  Website: https://doctordoni.com Facebook: https://www.facebook.com/drdoniwilson/ Instagram: https://www.instagram.com/drdoniwilson/?hl=en Twitter: https://x.com/glutenfreedoc?lang=en TickTok: https://www.tiktok.com/@dr.doniwilson HPV Recovery Guide https://doctordoni.com/pdfs/HPV_Guide.pdf Free Training: https://doctordoni.com/hpv-protocol-class/   Timestamps:  00:00 "Understanding High-Risk HPV Types" 08:28 HPV Misconceptions and Women's Health 15:49 "Trauma's Impact on Women's Health" 19:56 Stress, Trauma, and High-Risk HPV 23:54 "Shifting Focus to Self-Protection" 28:44 Healing Women's Health Naturally 35:17 Comprehensive Nutrient Testing Essentials 42:25 Women's Health: Blood Sugar & Stress 48:56 HPV Management: Action and Timing 55:05 Holistic Healing for Women's Wellness 59:05 HPV Testing Guidance for Dentists 01:02:40 Healing Bodies Speaker bio:  Dr. Doni Wilson is a naturopathic doctor, professional midwife, clinical nutritionist, best-selling author of Master Your Stress Reset Your Health, and an internationally renowned speaker and thought leader in women's health.  For over 25 years, she has been on the cutting edge of health care, helping women to transform their health naturally. Dr. Doni's HPV Protocol™ has helped over 10,000 women to clear high-risk HPV to negative and prevent HPV-related cancer. A true advocate for women's health, she is dedicated to empowering others to take control of their healing, drawing awareness to the profound impact of stress and trauma on the body. You can find her blog, podcast How Humans Heal, and transformational programs at DoctorDoni.com   Keywords:  HPV protocol, high-risk HPV, cervical cancer prevention, HPV testing, HPV vaccine (Gardasil), functional medicine approach, stress and trauma impact, immune system resilience, vaginal microbiome, gut health, iron deficiency, methylation status, nutritional deficiencies, plant-based diet, animal protein, clinical nutrition, root cause analysis, abnormal Pap smear, blood sugar imbalances, cortisol and stress response, environmental toxins, glyphosate exposure, mold toxins, vaginal suppositories, antioxidants (vitamin C, vitamin E, vitamin A), mushroom extracts (AHCC, shiitake), clinical herbs (curcumin, green tea, astragalus), women's health advocacy, emotional healing, HPV home testing Disclaimer: The views expressed in the IRH Clinician's Corner series are those of the individual speakers and interviewees, and do not necessarily reflect the views of the Institute of Restorative Health, LLC. The Institute of Restorative Health, LLC does not specifically endorse or approve of any of the information or opinions expressed in the IRH Clinician's Corner series. The information and opinions expressed in the IRH Clinician's Corner series are for educational purposes only and should not be construed as medical advice. If you have any medical concerns, please consult with a qualified healthcare professional. The Institute of Restorative Health, LLC is not liable for any damages or injuries that may result from the use of the information or opinions expressed in the IRH Clinician's Corner series. By viewing or listening to this information, you agree to hold the Institute of Restorative Health, LLC harmless from any and all claims, demands, and causes of action arising out of or in connection with your participation. Thank you for your understanding.  

Ranch It Up
High Altitude Limousin At Reynolds Land & Cattle & Cattle Industry News

Ranch It Up

Play Episode Listen Later Mar 15, 2026 27:13


It's The Ranch It Up Radio Show! Join Jeff Tigger Erhardt, Rebecca Wanner AKA BEC and their crew as we hear how high elevation Limousin cattle thrive at Reynolds Land & Cattle. A great story of history and adaptability at this Colorado Ranch.  Plus, the latest news, market reports, the ranch channel sales calendar and lots more all wrapped into this brand-new episode of The Ranch It Up Radio Show. Be sure to subscribe on your favorite podcasting app or on the Ranch It Up Radio Show YouTube Channel. Reynolds Land & Cattle: Limousin, Lim-Flex, Angus, & Simmental Cross Genetics Built For Real Ranch Profit Today's cattle producers aren't just buying bulls and heifers — they're investing in genetics that drive long-term profitability. With more than 40 years of production-sale history, Reynolds Land & Cattle focuses on practical, performance-based cattle combining Limousin muscle, efficiency, and strong maternal value for commercial operations. The 2026 Bull & Heifer Sale features ranch-raised Limousin, Lim-Flex, Angus, and Simmental cross genetics developed to perform in real-world conditions while adding pounds and value to the calf crop. The Reynolds Land & Cattle Program Focus Calving ease with performance growth Efficient feed conversion Sound structure and good disposition Fertile, long-lasting cows Cattle built to thrive in tough environments What Sets Reynolds Apart Rather than chasing extremes, Reynolds Land & Cattle emphasizes balanced cattle with moderate birth weights, strong growth, and practical development. All sale cattle are raised in working ranch conditions and tested for fertility, PAP, and TRICH, with structural soundness and disposition treated as essential traits. Sale Highlights Strong Limousin-influenced genetics for muscle, growth, and maternal value Ranch-developed cattle built for commercial environments Balanced maternal and terminal performance Sale Information Friday, March 20, 2026 11:00 AM – Beef Lunch 1:00 PM – Sale Begins Location Reynolds Land & Cattle 17463 County Road 19 Sanford, CO 81151 Sale Day Phones Rod Reynolds – 719-588-1230 Troy Reynolds – 719-580-1308 Ryan Reynolds – 719-588-1532 Joe Cary – 719-580-8702 Sale Consultant: MC Marketing Kiley McKinna – 402-350-3447 Wiley Fanta – 320-287-0751 Online Bidding: DV Auction Cattle Industry News JBS Workers Confirm Strike Workers at the largest meat processing company in the world will strike at its Colorado plant, according to the labor union representing those workers. The strike at JBS's plant in Greeley will start on March 16. The strike comes after the workers gave notice of cancellation of their contract due to alleged unfair labor practices.  JBS was one of about 20 food companies that settled a 2024 federal lawsuit for over $200 million over employee wage fixing. JBS says it employs more than 270,000 people around the world — 3,800 of whom are based in Greeley, where JBS USA is headquartered — and pays $3.1 billion for livestock each year, making it the world's largest meat supplier. References: https://www.cbsnews.com/colorado/news/jbs-workers-confirm-strike-colorado-meat-processing-plant-labor-practices/ https://meatingplace.com/union-sets-date-for-potential-strike-at-jbs-greeley-beef-plant Lawsuit Over Electronic Identification Tags A lawsuit over the U.S. Department of Agriculture's mandatory electronic identification ear tag rule for cattle and bison is moving forward, with a federal court request in South Dakota to set the rule aside.  The New Civil Liberties Alliance or NCLA — which is representing ranchers, farmers, and livestock producers in the case — argues that the USDA and its Animal and Plant Health Inspection Service or APHIS unlawfully required electronically readable identification, or EID, ear tags for certain cattle and bison moving across state lines, replacing long-used visual tags. According to the NCLA's case summary, APHIS in 2013 allowed several forms of official identification for certain interstate cattle and bison movements, including both visual-only and electronically readable ear tags. But in May 2024, APHIS issued a final rule requiring that official ear tags sold for or applied to certain cattle and bison be readable both visually and electronically. The plaintiffs' March 5 summary judgment brief argues that the USDA did not adequately justify the change and that the rule imposes added costs on producers while failing to solve the agency's stated traceability concerns. In the filing, plaintiffs said the rule “mandates that America's ranchers and farmers use visually-readable electronic identification (“EID”) ear tags when moving certain cattle and bison interstate” and argued the rule “increases the cost of raising cattle by approximately $3 per head.” The NCLA said the USDA had previously agreed visual-only tags were effective in tracing disease in cattle and bison and had allowed producers to choose between visual-only and electronically readable options. The group now argues the 2024 rule abandoned that flexibility without sufficiently explaining the change. The organization also contends the current rule is internally inconsistent because it says EID ear tags are needed to reduce transcription errors tied to “human error,” while still allowing those same tags to be used visually in the same manner as traditional tags if producers do not use electronic readers. The USDA, however, says animal disease traceability is important for quickly identifying where diseased and at-risk animals are, where they have been, and when they were there. On its Animal Disease Traceability page, APHIS says traceability does not prevent disease but “reduces the number of animals and response time involved in a disease investigation,” which in turn reduces the economic impact on owners and affected communities. APHIS also says it provides electronic ID tags to cattle producers at no cost through state veterinarian offices. The case remains active in the U.S. District Court for the District of South Dakota. References: https://www.agdaily.com/livestock/r-calf-sues-to-stop-usda-electronic-id-tag-rule/ Featured Experts in the Cattle Industry Rod & Troy Reynolds - Reynolds Land & Cattle https://reynoldslandandcattle.com/ Follow On Facebook: @reynoldslandandcattle Kirk Donsbach – Financial Analyst at StoneX https://www.stonex.com/ Follow on Facebook: @StoneXGroupInc Shaye Wanner – Host of Casual Cattle Conversation https://www.casualcattleconversations.com/ Follow on Facebook: @cattleconvos Contact Us with Questions or Concerns Have questions or feedback? Feel free to reach out via: Call/Text: 707-RANCH20 or 707-726-2420 Email: RanchItUpShow@gmail.com Follow us: Facebook/Instagram: @RanchItUpShow YouTube: Subscribe to Ranch It Up Channel: https://www.youtube.com/c/RanchItUp Catch all episodes of the Ranch It Up Podcast available on all major podcasting platforms.   Discover the Heart of Rural America with Tigger & BEC Ranching, farming, and the Western lifestyle are at the heart of everything we do. Tigger & BEC bring you exclusive insights from the world of working ranches, cattle farming, and sustainable beef production. Learn more about Jeff 'Tigger' Erhardt & Rebecca Wanner (BEC) and their mission to promote the Western way of life at Tigger and BEC. https://tiggerandbec.com/ Industry References, Partners and Resources For additional information on industry trends, products, and services, check out these trusted resources:   Allied Genetic Resources: https://alliedgeneticresources.com/ American Gelbvieh Association: https://gelbvieh.org/ Axiota Animal Health: https://axiota.com/multimin-campaign-landing-page/ Imogene Ingredients: https://www.imogeneingredients.com/ Jorgensen Land & Cattle: https://jorgensenfarms.com/#/?ranchchannel=view Medora Boot: https://medoraboot.com/ RFD-TV: https://www.rfdtv.com/ Rural Radio Network: https://www.ruralradio147.com/ Superior Livestock Auctions: https://superiorlivestock.com/ Transova Genetics: https://transova.com/ Westway Feed Products: https://westwayfeed.com/ Wrangler: https://www.wrangler.com/ Wulf Cattle: https://www.wulfcattle.com/  

Talking Sleep
Inpatient Sleep Medicine: New AASM Guidelines

Talking Sleep

Play Episode Listen Later Mar 13, 2026 54:09


In this episode of Talking Sleep, host Dr. Seema Khosla welcomes Dr. Reena Mehra, professor in the Division of Pulmonary, Critical Care and Sleep Medicine at the University of Washington in Seattle, and Dr. Dennis Aukley, professor in the Division of Pulmonary, Critical Care, and Sleep Medicine at MetroHealth Medical Center, Case Western Reserve University in Cleveland, to discuss the newly released AASM clinical practice guidelines for evaluating and managing obstructive sleep apnea in hospitalized adults. The guidelines address a significant gap in inpatient care: how to systematically screen for sleep apnea in hospitalized patients, prioritize high-risk groups, determine when and where to perform testing, and ensure appropriate outpatient follow-up. Dr. Mehra and Dr. Aukley explain the impetus behind developing these guidelines and the PICO question process used to examine existing evidence, acknowledging the challenges of working with limited data in this emerging field. The conversation systematically walks through the four key recommendations: in-hospital screening for OSA as part of an evaluation and management pathway, use of inpatient PAP treatment for newly diagnosed or untreated moderate-to-severe OSA, availability of sleep medicine consultation, and implementation of discharge management plans to ensure timely diagnosis and effective outpatient management. Practical implementation receives extensive attention. How should patients be screened—using STOP-Bang or facility-specific methods? Should screening be built into the EMR? Which patient populations and hospital units should be prioritized? Who performs the screening—sleep navigators, nursing staff, or hospitalists? Can sleep consultations be conducted via telemedicine at the bedside? The experts emphasize the critical need for a program champion and comprehensive education initiatives. Dr. Aukley shares invaluable lessons from his experience creating an inpatient sleep program, discussing what he wishes he'd known before starting and practical insights gained through implementation. A particularly frustrating issue receives attention: patients who bring their own PAP devices to the hospital but never have them set up or used during their stay. The guidelines address this common scenario and provide frameworks for ensuring treated patients continue therapy during hospitalization. Legal liability considerations are explored: What responsibilities exist for untreated patients diagnosed with OSA during hospitalization? What about high-risk patients who haven't been formally diagnosed? The experts discuss strategies for ensuring outpatient follow-up, recognizing that effective discharge planning is essential for translating inpatient identification into long-term management. Whether you're considering establishing an inpatient sleep program, frustrated by gaps in hospital-based sleep apnea care, or seeking evidence-based approaches to identifying and managing OSA in hospitalized patients, this episode provides essential guidance and practical implementation strategies. Join us for this important discussion about bringing systematic sleep apnea evaluation and management into the inpatient setting.

Clause 8
The USPTO Is Changing Course. The Early Examination Data Tells a More Complicated Story.

Clause 8

Play Episode Listen Later Mar 10, 2026 50:44


Eli Mazour is joined by Juristat's Francesca Cruz and patent attorney Clint Mehall to look at what the examination data actually says about recent USPTO changes. The conversation moves past anecdotes to analyze how new examiner performance appraisal plan (PAP), new Section 101 guidance, and the end of the AFCP program are affecting day-to-day patent prosecution.The guests discuss a new framework for examiner seniority based on "At-Bats"—the total number of applications an examiner has handled—rather than just years at the Office. The data reveals surprising trends in office action consistency and why mid-level examiners might be more difficult than juniors. The discussion also covers the measurable decline in after-final allowances, why practitioners are defaulting to RCEs, and whether new guidance is actually moving the needle on Section 101 rejections in difficult art units.Chapters: 00:00 - Introduction03:00 - What Practitioners are Hearing: An "Incredible Year of Change"04:39 - Examiner Morale and the New Performance Appraisal Plan06:24 - Redefining Seniority: Measuring "At-Bats" vs. Tenure12:07 - Data Reveal: Junior vs. Senior Behavioral Trends15:47 - The "Confidence Gap" and Obviousness Theories18:19 - Art Unit Volatility: Why Individual Stats Matter More Than Averages22:52 - Interviews and AFCP: Addressing the USPTO "Myth-Busters"28:44 - The Shift to RCEs and the Decline of After-Final Allowances34:52 - Section 101 Trends: Has AI Guidance Changed Rejection Rates?44:47 - Final Thoughts: Preparing for Prosecution in 2026Subscribe to the Voice of IP Substack: https://voiceofip.com/

THE EMBC NETWORK featuring: ihealthradio and worldwide podcasts
Make It Make Sense: The Cost of Healthcare

THE EMBC NETWORK featuring: ihealthradio and worldwide podcasts

Play Episode Listen Later Mar 7, 2026 14:17


Make It Make Sense: The Cost of Healthcare Let me tell you what is not adding up. I recently paid $130 for a Pap smear, $68 for a bone densitometry, and $90 for a 3D mammogram. In Nevada? Those same tests would have cost me $222, $185, and $368. And here is the kicker: when I was paying $400 a month for health insurance, some of these were not even fully covered. So… what the f### was I paying for? In this episode, I reflect on the absurdity of healthcare costs and the frustration so many of us feel trying to do the “responsible” thing by carrying insurance, only to still face outrageous bills. This is not a political rant: it is a real-life comparison that made me stop and ask, “What the fuck is wrong with this picture?” If you have ever felt confused, frustrated, or financially stretched just trying to take care of your health, this conversation will resonate. Because preventive care should not feel like a luxury.

Se Habla Español
Español con noticias 83: El robo de la lotería - Episodio exclusivo para mecenas

Se Habla Español

Play Episode Listen Later Mar 1, 2026 26:54


Agradece a este podcast tantas horas de entretenimiento y disfruta de episodios exclusivos como éste. ¡Apóyale en iVoox! Episodio exclusivo para suscriptores de Se Habla Español en Apple Podcasts, Spotify, iVoox y Patreon: Spotify: https://open.spotify.com/show/2E2vhVqLNtiO2TyOjfK987 Patreon: https://www.patreon.com/sehablaespanol Buy me a coffee: https://www.buymeacoffee.com/sehablaespanol/w/6450 Donaciones: https://paypal.me/sehablaespanol Contacto: sehablaespanolpodcast@gmail.com Facebook: www.facebook.com/sehablaespanolpodcast Twitter: @espanolpodcast Hola, ¿cómo va todo? Ya estamos en el mes de marzo. El tiempo pasa volando, ¿verdad? Ya hace casi dos años que llegamos a Luxemburgo. Parece mentira. Y hablando de mentiras, lo que no parece real es la noticia que vamos a escuchar hoy. Pero puedo asegurarte que ha pasado de verdad. Es muy curiosa. Y antes de ir con ella quiero situarte un poco en el contexto general de la seguridad en España. Porque la noticia va de eso, de seguridad. En primer lugar, imagino que querrás saber si España es un país seguro en términos de delincuencia, o sea, de robos, agresiones, asesinatos y ese tipo de cosas. Pues bien, según los datos más recientes, la criminalidad en España ha bajado casi un 1% respecto al año anterior. A nivel internacional, España aparece de forma habitual entre los países con niveles de criminalidad bajos. También en los rankings europeos, las ciudades españolas suelen ocupar posiciones favorables en comparación con otras de Francia, Italia o el Reino Unido, que suelen presentar índices más altos de delitos y sensación de inseguridad. ¿Significa eso que no existe delincuencia? No, por supuesto. Como ocurre en casi todos los países, los delitos se concentran sobre todo en las grandes ciudades y en los lugares con mucho turismo. Por ejemplo, en ciudades como Barcelona o Madrid, los pequeños robos siguen siendo frecuentes, especialmente en zonas muy visitadas. Además, hay un fenómeno creciente en los últimos años: la cibercriminalidad, los delitos en internet, que ya representan alrededor del 20 % de los delitos totales en España. Aun así, las cifras muestran que España conserva una estabilidad notable: desde 2010, la tasa de criminalidad apenas ha cambiado, y se sitúa alrededor de 50 delitos por cada 1.000 habitantes, un nivel relativamente bajo y comparable a los países europeos más seguros. En resumen, podemos decir que España es, en general, un país seguro, con niveles bajos de delincuencia violenta, mucha presencia policial y un sentimiento de seguridad elevado en la mayoría de las regiones. Los principales problemas siguen siendo los robos y ciertos delitos urbanos vinculados al turismo, pero las tendencias globales no muestran un aumento preocupante. Con este contexto ya explicado, vamos ahora a una historia que demuestra que, a veces, hasta los delitos más pequeños pueden acabar resolviéndose… gracias a la suerte. No quiero darte más detalles. Prefiero que escuches la noticia y luego la analizamos con calma. Pertenece a Radio Nacional de España. “Noticia curiosa, la mala suerte de un ladrón en Avilés. Le han detenido al intentar cobrar los décimos de lotería que había robado en una casa. Más datos desde Oviedo, Teresa Coto. El caso de la lotería premiada. Es el nombre que la Policía Nacional puso a la investigación para dar con el ladrón del robo perpetrado en Avilés el pasado 15 de diciembre, en el que se sustrajeron joyas, relojes y también varios décimos del sorteo de la lotería de Navidad. Uno resultó premiado con 120 euros. El sospechoso envió a otra persona a cobrar el décimo y así es como los agentes dieron con él. Ignacio Alonso de la Torre, portavoz de la Policía Nacional en Asturias. Lo que no esperaba es que el azar se pusiera de parte de los dueños de la casa. El día 22, uno de esos décimos ganó un premio y la policía, que ya estaba sobre la pista, empezó a vigilar de cerca las administraciones de lotería. Al final, el décimo premiado, que debía ser su gran botín, se convirtió en la prueba definitiva para que la Policía Nacional le pusiera las esposas. Por eso recuerdan los agentes la importancia de que las víctimas de robos denuncien detalladamente los objetos sustraídos.” ¿Qué te ha parecido? El ladrón no era muy inteligente, ¿verdad? O a lo mejor pensaba que la policía era tonta. Bueno, el caso es que le atraparon por querer cobrar el billete de lotería que había robado. Pero vamos con las palabras y expresiones más importantes. Décimo de lotería: Es la décima parte de un billete oficial de lotería, especialmente en el Sorteo de Navidad en España. Mi compañero de trabajo y yo compramos un décimo a medias todos los años. Encontré un décimo antiguo en un cajón, pero ya estaba caducado. Perpetrar: Cometer un delito o una acción ilegal, normalmente con cierta planificación. La policía detuvo a dos personas que habían perpetrado varios fraudes bancarios. El robo fue perpetrado de madrugada, cuando no había nadie en la tienda. Sustraer: Robar algo, especialmente de forma discreta o aprovechando un descuido. Es un verbo formal. Le sustrajeron la cartera en el metro sin que se diera cuenta. El vigilante descubrió que un cliente intentaba sustraer varios productos. Joyas: Objetos de valor hechos con metales preciosos o piedras preciosas, como collares, anillos o pulseras. Mi abuela me dejó algunas joyas antiguas como recuerdo. En el museo había una vitrina llena de joyas de distintas épocas. Azar: Fuerza o causa que hace que las cosas sucedan sin control o sin planificación; suerte. Ganamos el concurso por puro azar, no porque lo esperáramos. El orden de los participantes se decidió al azar. Estar sobre la pista: Tener indicios o información que ayudan a resolver un caso o descubrir algo. Los científicos están sobre la pista de una nueva especie de insecto. Creo que estoy sobre la pista del problema del ordenador: puede ser la batería. Administración de lotería: Establecimiento oficial donde se venden y se cobran billetes y décimos de lotería. Siempre compro mis números en la misma administración del barrio. La administración estaba llena porque acababan de repartir un premio. Botín: Conjunto de objetos robados durante un delito. Los ladrones huyeron con un botín de varios teléfonos móviles. El botín de la banda incluía dinero y aparatos electrónicos. Esposas: Instrumento metálico que se coloca en las muñecas para inmovilizar a una persona detenida. El sospechoso fue trasladado esposado a la comisaría. El policía sacó las esposas en cuanto el hombre se resistió a la detención. “Noticia curiosa, la mala suerte de un ladrón en Avilés. Le han detenido al intentar cobrar los décimos de lotería que había robado en una casa. Más datos desde Oviedo, Teresa Coto. El caso de la lotería premiada. Es el nombre que la Policía Nacional puso a la investigación para dar con el ladrón del robo perpetrado en Avilés el pasado 15 de diciembre, en el que se sustrajeron joyas, relojes y también varios décimos del sorteo de la lotería de Navidad. Uno resultó premiado con 120 euros. El sospechoso envió a otra persona a cobrar el décimo y así es como los agentes dieron con él. Ignacio Alonso de la Torre, portavoz de la Policía Nacional en Asturias. Lo que no esperaba es que el azar se pusiera de parte de los dueños de la casa. El día 22, uno de esos décimos ganó un premio y la policía, que ya estaba sobre la pista, empezó a vigilar de cerca las administraciones de lotería. Al final, el décimo premiado, que debía ser su gran botín, se convirtió en la prueba definitiva para que la Policía Nacional le pusiera las esposas. Por eso recuerdan los agentes la importancia de que las víctimas de robos denuncien detalladamente los objetos sustraídos.” Recuerda, un objeto sustraído es un objeto robado. Y ahora te cuento la noticia cambiando el mayor número de palabras posibles. Se trata de una historia sorprendente que ha ocurrido en Avilés, en el norte de España. Es un caso que mezcla mala fortuna, un robo doméstico y un ladrón que no estuvo muy fino a la hora de planear su huida. Según la información policial, a mediados de diciembre un individuo entró en una vivienda y se llevó diversos objetos de valor: alhajas, relojes y también varios billetes del sorteo de Navidad, lo que en España conocemos como décimos. Hasta aquí, nada fuera de lo habitual en un robo. Pero la cosa se complicó para él cuando uno de esos billetes resultó ser agraciado con un pequeño premio. El ladrón, intentando no levantar sospechas, decidió que otra persona fuera en su lugar a reclamar el dinero. Lo que no sabía es que los agentes ya seguían el rastro del caso y tenían controlados los puntos donde se pueden cobrar los premios, es decir, las administraciones de lotería. Así que en cuanto esa persona se presentó allí para canjear el décimo, la policía consiguió identificarla y, a partir de ahí, llegar sin dificultad hasta el presunto autor del robo. Al final, lo que él pensaba que sería su mayor ganancia, terminó siendo la prueba clave que permitió a los investigadores detenerlo y ponerle los grilletes. Por eso, la Policía recuerda siempre la importancia de denunciar con detalle todos los objetos robados, incluidos documentos, tickets o billetes que, como en este caso, pueden convertirse en la pieza fundamental para resolver la investigación. La verdad es que cada vez es más difícil cometer un delito y que la policía no encuentre al responsable. El ADN, los teléfonos móviles y otras muchas cosas facilitan el trabajo de los agentes por suerte para todas las personas decentes. Venga, escuchamos la noticia por última vez. “Noticia curiosa, la mala suerte de un ladrón en Avilés. Le han detenido al intentar cobrar los décimos de lotería que había robado en una casa. Más datos desde Oviedo, Teresa Coto. El caso de la lotería premiada. Es el nombre que la Policía Nacional puso a la investigación para dar con el ladrón del robo perpetrado en Avilés el pasado 15 de diciembre, en el que se sustrajeron joyas, relojes y también varios décimos del sorteo de la lotería de Navidad. Uno resultó premiado con 120 euros. El sospechoso envió a otra persona a cobrar el décimo y así es como los agentes dieron con él. Ignacio Alonso de la Torre, portavoz de la Policía Nacional en Asturias. Lo que no esperaba es que el azar se pusiera de parte de los dueños de la casa. El día 22, uno de esos décimos ganó un premio y la policía, que ya estaba sobre la pista, empezó a vigilar de cerca las administraciones de lotería. Al final, el décimo premiado, que debía ser su gran botín, se convirtió en la prueba definitiva para que la Policía Nacional le pusiera las esposas. Por eso recuerdan los agentes la importancia de que las víctimas de robos denuncien detalladamente los objetos sustraídos.” Antes de terminar, me gustaría contarte cuáles son, según los datos internacionales más recientes, los países que hoy se consideran los más inseguros del mundo. Encabezan la lista Venezuela, Papúa Nueva Guinea y Haití, todos con índices cercanos o superiores a 80 puntos, lo que se considera una criminalidad muy alta. Estas cifras reflejan problemas profundos como inestabilidad política, economías muy frágiles, presencia de bandas armadas y dificultad para mantener sistemas policiales eficaces. Otras fuentes internacionales confirman que países como Afganistán, Sudáfrica, Honduras, Trinidad y Tobago, Siria, Jamaica y Perú también aparecen entre los más peligrosos debido a los altos niveles de violencia, conflictos armados o crimen organizado. Y como tenemos a una suscriptora que vive en Trinidad y Tobago, a lo mejor puede dejarnos un comentario para saber si es verdad lo que dicen las estadísticas. En resumen, aunque cada país tiene su propia realidad, los más inseguros suelen compartir algunos elementos en común: conflicto armado, crisis políticas prolongadas, desigualdad extrema, redes criminales muy activas y poca capacidad del Estado para garantizar la seguridad. Y dicho esto, contrasta mucho con el caso de España, de la que hablábamos al principio: un país donde la criminalidad se mantiene en niveles bajos y relativamente estables, y donde la mayoría de delitos no son violentos. Ahora, para terminar, repasamos las palabras y expresiones que hemos aprendido hoy. Décimo de lotería: Es la décima parte de un billete oficial de lotería, especialmente en el Sorteo de Navidad en España. Perpetrar: Cometer un delito o una acción ilegal, normalmente con cierta planificación. Sustraer: Robar algo, especialmente de forma discreta o aprovechando un descuido. Joyas: Objetos de valor hechos con metales preciosos o piedras preciosas, como collares, anillos o pulseras. Azar: suerte. Estar sobre la pista: Tener indicios o información que ayudan a resolver un caso o descubrir algo. Administración de lotería: Establecimiento oficial donde se venden y se cobran billetes y décimos de lotería. Botín: Conjunto de objetos robados durante un delito. Esposas: Instrumento metálico que se coloca en las muñecas para inmovilizar a una persona detenida.Escucha este episodio completo y accede a todo el contenido exclusivo de Se Habla Español. Descubre antes que nadie los nuevos episodios, y participa en la comunidad exclusiva de oyentes en https://go.ivoox.com/sq/171214