Podcasts about pittsburgh department

In this episode of the Glowing Older podcast, Nancy Griffin interviews Dr. Pamela Toto, a professor at the University of Pittsburgh Department of Occupational Therapy and director of the Pitt Healthy Home Lab. They discuss optimal aging in place, the role of occupational therapy in helping older adults live independently, and the innovative projects and technologies being developed to support this mission. Pam shares insights on the significance of home environments, the balance between safety and independence, and the need for early planning in aging. About PamPamela Toto, PhD, OTR/L, BCG, FAOTA. FGSA is an occupational therapist, a Professor at the University of Pittsburgh and the Director of the Healthy Home Laboratory – a community laboratory that brings the best science into home settings to maximize independence, health, and safety. Board Certified in Gerontology and a Fellow of the American Occupational Therapy Association and the Gerontological Society of America, Dr. Toto's interests focus on implementing effective strategies in everyday settings to promote aging in place. She is currently the Primary Investigator for a Technical Studies grant funded by the U.S. Department of Housing and Urban Studies determining how best to integrate smart technologies into existing community-based home modification programs. Key TakeawaysThe Healthy Home Lab focuses on interprofessional collaboration to support aging adults. Professionals include nurses, social workers, engineers, occupational and physical therapists, physicians, and physician assistants.Aging in place is about more than just living in a house; it's about participating in meaningful activities and being part of a community.Home retrofitting is best achieved through small, manageable changes rather than major renovations. Intervening early in the aging process can prevent larger issues and is often more cost-effective.Lighting improvements are one of the simplest and most effective changes for aging in place.Risk management is essential; older adults should have the right to make choices about their living environment.Occupational therapists are trained to help people across the lifespan with activities of daily living and help people maximize their bodies and minds.

Dr. Burns earned his bachelor's degree from the University of Pittsburgh, graduating with honors in biological sciences. He then graduated summa cum laude from the Dr. William M. Scholl College of Podiatric Medicine in Chicago. He returned to the University of Pittsburgh to complete his surgical residency, and joined the Foot and Ankle Division of the University of Pittsburgh Department of Orthopedic Surgery where he worked for 17 years before recently joining West Virginia University Medicine as part of their foot and ankle reconstructive team.  Join us as we discuss all things podiatric medicine as we talk with Dr. Burns about his experience educating students, residents and fellows. He has written and lectured extensively regarding External fixation and Charcot neuroarthropathy as well as issues related to the diabetic foot. Tune in as we discuss his Fellowship in Kurgan Russia as well as his role as Co-Chair of the International External fixation Symposium.    Dr. Burns also participates in local, state, and national committees and associations and has been named to the “Most Influential” DPM's across the country twice and has been given the “Distinguished Service Award” by the Pennsylvania Podiatric Medical Association for his work in education. He is considered a thought leader within the profession and has served in various leadership positions including medical director for UPMC Mercy Hospital. Listen in, as he describes the importance of relationship building and how trying to be 1% better each day can translate into future opportunities.  Dr. Burns is board certified in foot surgery and reconstructive rearfoot and ankle surgery. He is a member of the American Podiatric Medical Association and a diplomate of the American Board of Foot and Ankle Surgery. Dr. Burns is the Associate Editor of the surgical section of the Journal of the American Podiatric Medical Association, Clinics of Podiatric Medicine and Surgery and the Foot and Ankle Specialist He also has served on the editorial board of several other publications including UpToDate, and functioned as the Editor in chief for Diabetic Foot and Ankle. His interests include complex foot and ankle deformity and preservation techniques. He has extensive experience with complex foot and ankle surgery, revision surgery, trauma and fracture care, Charcot neuroarthropathy and limb preservation.  https://wvumedicine.org/wheeling/education/podiatric-medicine-and-surgery-residency/ https://www.acfas.org/ https://www.abfas.org/residents https://www.aofoundation.org/aona https://www.apma.org/  

Jamil Bey, Director of the Pittsburgh Department of Planning and CEO of Urban Kind institute, shares his thoughts about the latest efforts to make cities across the country more green, sustainable, and responsive to climate justice.

Dr. Chukwudi Onyeukwu is a second-year resident in the University of Pittsburgh Department of Orthopaedic Surgery. Originally from Nigeria, Dr. Chu discusses his upbringing, which included living in three countries, his soccer career, and why he made the decision to attend Pitt for undergrad, medical school, and residency. Tune in to hear his advice for those who want to pursue athletics and medicine, and stick around for his wisdom about the crucial importance of relationships, whether it be on the field, with a mentor, or between a doctor and their patients.

Pamela Toto, a professor at the University of Pittsburgh Department of Occupational Therapy, shares details on the Pitt Healthy Home Laboratory which develops and evaluates technologies and home services to help people live safely and independently at home. About Pam Pamela Toto, PhD, OTR/L, BCG, FAOTA, FGSA, is a Professor at the University of Pittsburgh and senior scientist in the School of Health and Rehabilitation Sciences Healthy Home Laboratory. She is also a Doctor of Clinical Science in Occupational Therapy Program at the University of Pittsburgh, an online post-professional clinical doctorate focused on strategies to implement best evidence in clinical practice. She is an occupational therapist, researcher and educator who is internationally recognized within her field for her expertise in gerontology. Board Certified in Gerontology and a Fellow of  the American Occupational Therapy Association and a Fellow of the Gerontological Society of America, Dr. Toto has over 30 years of clinical experience as an occupational therapist providing services for older adults in the community and in long term care settings. Dr. Toto's clinical and research interests focus on the implementation of client-centered interventions in “real world” settings to promote independence, participation and healthy aging in older adults.  She is a national trainer and instructor for evidence-based programs including CarFit, Matter of Balance, and Skills2Care, and  has over 100 peer-reviewed publications and presentations, combined, on topics related to successful aging. Key Takeaways Healthy Home lab brings together professionals who help people age in place to educate students about challenges and develops solutions. Professionals include nurses, social workers, engineers, occupational and physical therapists, physicians, and physician assistants. Occupational therapists are trained to help people across the lifespan with activities of daily living and help people maximize their bodies and minds. The goal is helping older adults remain autonomous and independent as long as possible.  Housing stock in the United States is not ready for aging in place. Only 10% of homes are ready for people to age in place, and in the Northeast it is 6.8%. The dynamic between older adults and adult children is challenging. Older adults want autonomy and adult children choose safety over independence. Older adults are willing to accept some risk to maintain their dignity. It is important to have hard discussions when people are well rather than waiting for a crisis. We must figure out better ways to minimize the risk and find solutions for older adults. Eliminating a person's chosen activity is not the solution. Young people have fewer natural opportunities to interact with older adults, so working with older adults is not their first impetus. Occupational therapy students are excited about the shift to a preventative model versus Medicare reimbursed “damage control.”

We speak with Dr. Dipu Patel about her role as Vice-Chair for Innovation at the University of Pittsburgh's Department of PA Studies. We also talk about her path to becoming a PA and about her thoughts on digital health and the impact of artificial intelligence on health care.

NFL – National Football League – Week 4 Yesterday Seattle Seahawks 48, Detroit Lions 45 New York Giants 20, Chicago Bears 12 Tennessee Titans 24, Indianapolis Colts 17 Seahawks 48, Lions 45 – Smith, Penny star as Seahawks beat Lions 48-45 Geno Smith threw for two touchdowns and ran for a score in the first half, and the Seattle Seahawks held off the Detroit Lions for a 48-45 win. The Seahawks were stopped on a third down late in the third quarter, but the Ford Field play clock wasn’t set properly. Seattle took advantage of the second chance and Detroit’s unorganized defense on Rashaad Penny’s 36-yard touchdown run that converted a third-and-16 and made it 38-23. Detroit’s T.J. Hockenson had eight receptions and set career highs with 179 yards receiving and two touchdowns. Giants 20, Bears 12 – Jones injures ankle in Giants’ 20-12 victory over Bears Daniel Jones ran for two touchdowns before injuring an ankle, Saquon Barkley had 146 yards and ran the wildcat offense at times after both New York quarterbacks were hurt in leading the Giants to a 20-12 victory over the Chicago Bears. Jones scored on runs of 21 and 8 yards, New York rushed for 262 yards and Graham Gano kicked field goals of 44 and 43 yards as the Giants improved to 3-1 under rookie coach Brian Daboll. It’s their best start since 2011 when they won the Super Bowl. Michael Badgley kicked four goals for the Bears filling in for Cairo Santos. Titans 24, Colts 17 – Henry reigns as Titans hold off Colts for 24-17 victory Derrick Henry rushed for a season-high 114 yards and one touchdown and Tennessee’s defense held up late to preserve the Titans’ 24-17 victory at Indianapolis. The Titans have won a franchise-record four straight in the series and improved to 11-2 against AFC South opponents since 2020. Indy has one win in its past six games and blew late three scoring chances. Tennessee leaned heavily on Henry early, but was shut out in the second half for the second straight week. Other Week 4 NFL Scores Cincinnati 27, Miami 15 Minnesota 28, New Orleans 25 Atlanta 23, Cleveland 20 Buffalo 23, Baltimore 20 Dallas 25, Washington 10 L.A. Chargers 34, Houston 24 N.Y. Jets 24, Pittsburgh 20 Philadelphia 29, Jacksonville 21 Arizona 26, Carolina 16 Green Bay 27, New England 24, OT Las Vegas 32, Denver 23 Kansas City 41, Tampa Bay 31 Tonight Los Angeles Rams at San Francisco Giants, 8:15 p.m. NFL – Campbell tries to shield defense after 48-45 loss to Seattle Jared Goff passed for 378 yards and four touchdowns, but Detroit struggled against Geno Smith and the Seattle Seahawks in a wild 48-45 loss. Smith accounted for 369 yards and three touchdowns, and Rashaad Penny rushed for 151 yards and two TDs. Seattle never used its punter. The Seahawks scored on seven drives, missed a field goal on the eighth and took a knee to end the game on the ninth. They also scored on Tariq Woolen’s 40-yard interception return in the second half. Lions coach Dan Campbell says the team is going to take a comprehensive look at what it is doing defensively. NFL – Terry Bradshaw says he’s been treated for 2 kinds of cancer Hall of Fame quarterback Terry Bradshaw says he has been treated for two forms of cancer in the past year. Bradshaw said on “Fox NFL Sunday” that he was diagnosed with bladder cancer late last year and was treated at Yale University Medical Center, including surgery. The 74-year-old then said he found a tumor in his neck earlier this year and it turned out to be a Merkel cell tumor, a rare form of malignant skin cancer. He was treated at the MD Anderson Cancer Center in Houston. Bradshaw says he is “cancer free and feeling great.” NFL – Spectator at Steelers game dies after fall from escalator A spectator at Sunday’s game between the Pittsburgh Steelers and New York Jets has died following a fall at Acrisure Stadium. The Pittsburgh Department of Public Safety say police and emergency service personnel were alerted after an unidentified male fell around 4:45 p.m., shortly after the end of New York’s 24-20 victory over the Steelers. Paramedics administered care on site to the victim before he was transported to the hospital in critical condition. He died shortly thereafter. The Steelers said in a statement that the organization is working with local authorities during the investigation. MLB – Major League Baseball Yesterday Detroit Tigers 5, Minnesota Twins 2 Chicago White Sox 2, San Diego Padres 1 Chicago Cubs 8, Cincinnati Reds 1 Tigers 5, Twins 2 – Tigers beat young Woods Richardson, sloppy Twins 5-2 Eric Haase and Victor Reyes homered and the Detroit Tigers took advantage of Minnesota’s sloppy play, beating touted pitching prospect Simeon Woods Richardson and the Twins 5-2. Woods Richardson made his big league debut five days after turning 22 years old, making him the youngest pitcher in the majors this season. The Twins’ defense did him no favors at the start, committing three errors in the first inning. The Tigers turned the two throwing errors by catcher Ryan Jeffers and a misplay by first baseman Jose Miranda, along with Miguel Cabrera’s single, a wild pitch, a walk and a stolen base into two runs. Woods Richardson, acquired in July 2021 from Toronto in the trade for pitcher José Berríos, allowed two earned runs and three hits in five innings. White Sox2, Padres 1 – Padres clinch NL wild-card spot during 2-1 loss to White Sox The San Diego Padres are going back to the playoffs for the first time in a full season since 2006, a spot that they clinched during the seventh inning of a 2-1 loss to the Chicago White Sox. The Padres were batting when the Miami Marlins beat the Milwaukee Brewers in 12 innings. The sellout crowd of 41,407 at Petco Park stood and cheered the sealed wild-card spot. The Padres trailed 2-0 at the time but Kim Ha-seong homered a few minutes later. The Padres had a chance to win in the ninth when they put two runners on with two outs against Liam Hendriks but pinch-hitter Jorge Alfaro, who has five walk-off plate appearances this year, grounded out. Cubs 8, Reds 1 – Contreras gets ovations, Stroman goes 6, Cubs beat Reds 8-1 Willson Contreras got several standing ovations in what could be his final home game at Wrigley Field, Marcus Stroman threw six scoreless innings and the surging Chicago Cubs won their seventh straight with an 8-1 victory over the Cincinnati Reds. Nelson Velázquez drove in four runs to help Chicago match its best run since a seven-game streak late last year. The Cubs knocked out a Chase Anderson in a five-run first. The Reds have dropped six straight and 19 of 23. They’ll need to sweep a season-ending three-game series against the Cubs in Cincinnati to avoid the franchise’s second 100-loss season. Tonight Chicago Cubs (Wesneski 3-1) at Cincinnati (Greene 4-13), 6:40 p.m. Minnesota (Ober 2-3) at Chicago White Sox (Cueto 7-10), 8:10 p.m. Detroit (Garcia 1-0) at Seattle (Kirby 8-4), 9:40 p.m.       WSJM/WCSY 9:20 NCAAFB – College Football Saturday (4) Michigan 27, Iowa 14 Eastern Michigan 20, UMass 13 Maryland 27, Michigan State 13 Toledo 38, Central Michigan 17 Western Michigan 44, New Hampshire 7 Notre Dame was off NCAA: AP Top 25: Tide retakes No. 1 from UGA; Kansas snaps drought Alabama reclaimed No. 1 from Georgia in The Associated Press college football poll in one of the closest votes in the recent years. Two points separate the Crimson Tide from the Bulldogs. Six teams including Kansas made their season debut in the AP Top 25. The Jayhawks are ranked for the first time since 2009, which was the longest drought among current Power Five conference teams. The Crimson Tide received 25 first-place votes and 1,523 points. Georgia got 28 first-place votes to become the first team since Alabama in November 2019 to have the most first-place votes but not be No. 1. NCAAFB – Big 10 – Wisconsin fires Paul Chryst; names DC Leonhard interim coach Wisconsin has fired head coach Paul Chryst after a 2-3 start to his eighth season leading his alma mater. The surprising move comes a day after Wisconsin lost at home 34-10 to Illinois and former Badgers coach Bret Bielema. Chryst is 67-26 since taking over as coach of the Badgers in 2015. But the program has been backsliding. Chryst had double-digit win seasons in four of his first five years at Wisconsin and has gone 33-19 since, including 15-12 in the last 27 games. Defensive coordinator Jim Leonhard, another former Badgers player, was named interim coach. NCAAFB – Dorrell out as coach at Colorado after 0-5 start to season Colorado fired football coach Karl Dorrell after an 0-5 start in which the Buffaloes have been blown out by more than 20 points in each game. The school announced the decision Sunday, a day after a 43-20 loss at Arizona. It’s only the fourth 0-5 start in the program’s history. Dorrell, 58, was brought in as a replacement when Mel Tucker bolted for Michigan State out of the blue in February 2020. Colorado waited to announce the news until after Dorrell had a chance to inform his staff and players. Offensive coordinator Mike Sanford will serve as interim coach. NASCAR – Elliott advances in NASCAR playoffs with Talladega victory Chase Elliott raced his way into the next round of the playoffs with a victory Sunday at Talladega Superspeedway in the first clean race yet of this year’s postseason. Elliott was fifth on the final restart with two laps remaining and claimed control of the outside lane to stalk leader Ryan Blaney. The 2020 Cup champion surged ahead with a push from Erik Jones on the final lap, threw a block on Blaney’s attempt to reclaim the lead and then beat Blaney to the finish line by .046 seconds. Elliott is the first driver through five playoff races to automatically advance into the next round with a victory. The first four races were won by drivers not eligible for the championship in a chaotic start to the 10-race postseason. NHL – National Hockey League – Preseason Last Night Minnesota Wild 3, Chicago Blackhawks 0                at Milwaukee Tonight Pittsburgh Penguins at Detroit Red Wings, 7:30 p.m. NHL – Blackhawks F Katchouk will be sidelined by ankle sprain Chicago Blackhawks forward Boris Katchouk will be sidelined for four to six weeks with a left ankle sprain. The 24-year-old Katchouk played almost 12 minutes during a 3-0 preseason loss to Detroit on Saturday night. He was acquired in a multiplayer trade with Tampa Bay in March. The Blackhawks open the season on Oct. 12 at Colorado. The team also said forward Jujhar Khaira is day to day with a right ankle injury. MHSAA – High School Sports Today Boys Soccer Our Lady of the Lake at New Buffalo, 6:00 p.m. Brandywine at Michigan Lutheran, 5:00 p.m. Berrien Springs at Wyoming-Lee, 6:00 p.m. Bridgman at Allegan, 7:00 p.m. Covert at Bloomingdale, 6:30 p.m. Buchanan at Constantine, 5:30 p.m. Watervliet at Kalamazoo Christian, 5:00 p.m. Coloma at Kalamazoo Hackett, 5:00 p.m. South Haven at Lawton, 6:00 p.m. Vicksburg at Edwardsburg, 5:30 p.m. Hartford at Wyoming Potter’s House, 6:45 p.m. Otsego at Paw Paw, 6:30 p.m. Niles at Plainwell, 6:30 p.m. Sturgis at Three Rivers, 6:00 p.m. Olivet at Comstock, 6:30 p.m. Fennville at Delton-Kellogg, 6:00 p.m. Saugatuck at Parchment, 6:00 p.m. Holland Black River at Schoolcraft, 5:00 p.m. Volleyball Berrien Springs at New Buffalo, 6:00 p.m. Cassopolis at Brandywine, 7:00 p.m. Howardsville Christian at Watervliet Grace Christian, 6:00 p.m. Paw Paw, Parchment, Kalamazoo Central at Battle Creek Pennfield, 5:00 p.m. Otsego at Portage Central, 6:30 p.m.AP Top 251Alabama (25)5-02Georgia (28)5-03Ohio State (10)5-04Michigan5-05Clemson5-06USC5-07Oklahoma State4-08Tennessee4-09Ole Miss5-010Penn State5-011Utah4-112Oregon4-113Kentucky4-114NC State4-115Wake Forest4-116BYU4-117TCU4-018UCLA5-019Kansas5-020Kansas State4-121Washington4-122Syracuse5-023Mississippi State4-124Cincinnati4-125LSU4-1See omnystudio.com/listener for privacy information.

NFL – National Football League – Week 4 Yesterday Seattle Seahawks 48, Detroit Lions 45 New York Giants 20, Chicago Bears 12 Tennessee Titans 24, Indianapolis Colts 17 Seahawks 48, Lions 45 – Smith, Penny star as Seahawks beat Lions 48-45 Geno Smith threw for two touchdowns and ran for a score in the first half, and the Seattle Seahawks held off the Detroit Lions for a 48-45 win. The Seahawks were stopped on a third down late in the third quarter, but the Ford Field play clock wasn’t set properly. Seattle took advantage of the second chance and Detroit’s unorganized defense on Rashaad Penny’s 36-yard touchdown run that converted a third-and-16 and made it 38-23. Detroit’s T.J. Hockenson had eight receptions and set career highs with 179 yards receiving and two touchdowns. Giants 20, Bears 12 – Jones injures ankle in Giants’ 20-12 victory over Bears Daniel Jones ran for two touchdowns before injuring an ankle, Saquon Barkley had 146 yards and ran the wildcat offense at times after both New York quarterbacks were hurt in leading the Giants to a 20-12 victory over the Chicago Bears. Jones scored on runs of 21 and 8 yards, New York rushed for 262 yards and Graham Gano kicked field goals of 44 and 43 yards as the Giants improved to 3-1 under rookie coach Brian Daboll. It’s their best start since 2011 when they won the Super Bowl. Michael Badgley kicked four goals for the Bears filling in for Cairo Santos. Titans 24, Colts 17 – Henry reigns as Titans hold off Colts for 24-17 victory Derrick Henry rushed for a season-high 114 yards and one touchdown and Tennessee’s defense held up late to preserve the Titans’ 24-17 victory at Indianapolis. The Titans have won a franchise-record four straight in the series and improved to 11-2 against AFC South opponents since 2020. Indy has one win in its past six games and blew late three scoring chances. Tennessee leaned heavily on Henry early, but was shut out in the second half for the second straight week. Other Week 4 NFL Scores Cincinnati 27, Miami 15 Minnesota 28, New Orleans 25 Atlanta 23, Cleveland 20 Buffalo 23, Baltimore 20 Dallas 25, Washington 10 L.A. Chargers 34, Houston 24 N.Y. Jets 24, Pittsburgh 20 Philadelphia 29, Jacksonville 21 Arizona 26, Carolina 16 Green Bay 27, New England 24, OT Las Vegas 32, Denver 23 Kansas City 41, Tampa Bay 31 Tonight Los Angeles Rams at San Francisco Giants, 8:15 p.m. NFL – Campbell tries to shield defense after 48-45 loss to Seattle Jared Goff passed for 378 yards and four touchdowns, but Detroit struggled against Geno Smith and the Seattle Seahawks in a wild 48-45 loss. Smith accounted for 369 yards and three touchdowns, and Rashaad Penny rushed for 151 yards and two TDs. Seattle never used its punter. The Seahawks scored on seven drives, missed a field goal on the eighth and took a knee to end the game on the ninth. They also scored on Tariq Woolen’s 40-yard interception return in the second half. Lions coach Dan Campbell says the team is going to take a comprehensive look at what it is doing defensively. NFL – Terry Bradshaw says he’s been treated for 2 kinds of cancer Hall of Fame quarterback Terry Bradshaw says he has been treated for two forms of cancer in the past year. Bradshaw said on “Fox NFL Sunday” that he was diagnosed with bladder cancer late last year and was treated at Yale University Medical Center, including surgery. The 74-year-old then said he found a tumor in his neck earlier this year and it turned out to be a Merkel cell tumor, a rare form of malignant skin cancer. He was treated at the MD Anderson Cancer Center in Houston. Bradshaw says he is “cancer free and feeling great.” NFL – Spectator at Steelers game dies after fall from escalator A spectator at Sunday’s game between the Pittsburgh Steelers and New York Jets has died following a fall at Acrisure Stadium. The Pittsburgh Department of Public Safety say police and emergency service personnel were alerted after an unidentified male fell around 4:45 p.m., shortly after the end of New York’s 24-20 victory over the Steelers. Paramedics administered care on site to the victim before he was transported to the hospital in critical condition. He died shortly thereafter. The Steelers said in a statement that the organization is working with local authorities during the investigation. MLB – Major League Baseball Yesterday Detroit Tigers 5, Minnesota Twins 2 Chicago White Sox 2, San Diego Padres 1 Chicago Cubs 8, Cincinnati Reds 1 Tigers 5, Twins 2 – Tigers beat young Woods Richardson, sloppy Twins 5-2 Eric Haase and Victor Reyes homered and the Detroit Tigers took advantage of Minnesota’s sloppy play, beating touted pitching prospect Simeon Woods Richardson and the Twins 5-2. Woods Richardson made his big league debut five days after turning 22 years old, making him the youngest pitcher in the majors this season. The Twins’ defense did him no favors at the start, committing three errors in the first inning. The Tigers turned the two throwing errors by catcher Ryan Jeffers and a misplay by first baseman Jose Miranda, along with Miguel Cabrera’s single, a wild pitch, a walk and a stolen base into two runs. Woods Richardson, acquired in July 2021 from Toronto in the trade for pitcher José Berríos, allowed two earned runs and three hits in five innings. White Sox2, Padres 1 – Padres clinch NL wild-card spot during 2-1 loss to White Sox The San Diego Padres are going back to the playoffs for the first time in a full season since 2006, a spot that they clinched during the seventh inning of a 2-1 loss to the Chicago White Sox. The Padres were batting when the Miami Marlins beat the Milwaukee Brewers in 12 innings. The sellout crowd of 41,407 at Petco Park stood and cheered the sealed wild-card spot. The Padres trailed 2-0 at the time but Kim Ha-seong homered a few minutes later. The Padres had a chance to win in the ninth when they put two runners on with two outs against Liam Hendriks but pinch-hitter Jorge Alfaro, who has five walk-off plate appearances this year, grounded out. Cubs 8, Reds 1 – Contreras gets ovations, Stroman goes 6, Cubs beat Reds 8-1 Willson Contreras got several standing ovations in what could be his final home game at Wrigley Field, Marcus Stroman threw six scoreless innings and the surging Chicago Cubs won their seventh straight with an 8-1 victory over the Cincinnati Reds. Nelson Velázquez drove in four runs to help Chicago match its best run since a seven-game streak late last year. The Cubs knocked out a Chase Anderson in a five-run first. The Reds have dropped six straight and 19 of 23. They’ll need to sweep a season-ending three-game series against the Cubs in Cincinnati to avoid the franchise’s second 100-loss season. Tonight Chicago Cubs (Wesneski 3-1) at Cincinnati (Greene 4-13), 6:40 p.m. Minnesota (Ober 2-3) at Chicago White Sox (Cueto 7-10), 8:10 p.m. Detroit (Garcia 1-0) at Seattle (Kirby 8-4), 9:40 p.m.       WSJM/WCSY 9:20 NCAAFB – College Football Saturday (4) Michigan 27, Iowa 14 Eastern Michigan 20, UMass 13 Maryland 27, Michigan State 13 Toledo 38, Central Michigan 17 Western Michigan 44, New Hampshire 7 Notre Dame was off NCAA: AP Top 25: Tide retakes No. 1 from UGA; Kansas snaps drought Alabama reclaimed No. 1 from Georgia in The Associated Press college football poll in one of the closest votes in the recent years. Two points separate the Crimson Tide from the Bulldogs. Six teams including Kansas made their season debut in the AP Top 25. The Jayhawks are ranked for the first time since 2009, which was the longest drought among current Power Five conference teams. The Crimson Tide received 25 first-place votes and 1,523 points. Georgia got 28 first-place votes to become the first team since Alabama in November 2019 to have the most first-place votes but not be No. 1. NCAAFB – Big 10 – Wisconsin fires Paul Chryst; names DC Leonhard interim coach Wisconsin has fired head coach Paul Chryst after a 2-3 start to his eighth season leading his alma mater. The surprising move comes a day after Wisconsin lost at home 34-10 to Illinois and former Badgers coach Bret Bielema. Chryst is 67-26 since taking over as coach of the Badgers in 2015. But the program has been backsliding. Chryst had double-digit win seasons in four of his first five years at Wisconsin and has gone 33-19 since, including 15-12 in the last 27 games. Defensive coordinator Jim Leonhard, another former Badgers player, was named interim coach. NCAAFB – Dorrell out as coach at Colorado after 0-5 start to season Colorado fired football coach Karl Dorrell after an 0-5 start in which the Buffaloes have been blown out by more than 20 points in each game. The school announced the decision Sunday, a day after a 43-20 loss at Arizona. It’s only the fourth 0-5 start in the program’s history. Dorrell, 58, was brought in as a replacement when Mel Tucker bolted for Michigan State out of the blue in February 2020. Colorado waited to announce the news until after Dorrell had a chance to inform his staff and players. Offensive coordinator Mike Sanford will serve as interim coach. NASCAR – Elliott advances in NASCAR playoffs with Talladega victory Chase Elliott raced his way into the next round of the playoffs with a victory Sunday at Talladega Superspeedway in the first clean race yet of this year’s postseason. Elliott was fifth on the final restart with two laps remaining and claimed control of the outside lane to stalk leader Ryan Blaney. The 2020 Cup champion surged ahead with a push from Erik Jones on the final lap, threw a block on Blaney’s attempt to reclaim the lead and then beat Blaney to the finish line by .046 seconds. Elliott is the first driver through five playoff races to automatically advance into the next round with a victory. The first four races were won by drivers not eligible for the championship in a chaotic start to the 10-race postseason. NHL – National Hockey League – Preseason Last Night Minnesota Wild 3, Chicago Blackhawks 0                at Milwaukee Tonight Pittsburgh Penguins at Detroit Red Wings, 7:30 p.m. NHL – Blackhawks F Katchouk will be sidelined by ankle sprain Chicago Blackhawks forward Boris Katchouk will be sidelined for four to six weeks with a left ankle sprain. The 24-year-old Katchouk played almost 12 minutes during a 3-0 preseason loss to Detroit on Saturday night. He was acquired in a multiplayer trade with Tampa Bay in March. The Blackhawks open the season on Oct. 12 at Colorado. The team also said forward Jujhar Khaira is day to day with a right ankle injury. MHSAA – High School Sports Today Boys Soccer Our Lady of the Lake at New Buffalo, 6:00 p.m. Brandywine at Michigan Lutheran, 5:00 p.m. Berrien Springs at Wyoming-Lee, 6:00 p.m. Bridgman at Allegan, 7:00 p.m. Covert at Bloomingdale, 6:30 p.m. Buchanan at Constantine, 5:30 p.m. Watervliet at Kalamazoo Christian, 5:00 p.m. Coloma at Kalamazoo Hackett, 5:00 p.m. South Haven at Lawton, 6:00 p.m. Vicksburg at Edwardsburg, 5:30 p.m. Hartford at Wyoming Potter’s House, 6:45 p.m. Otsego at Paw Paw, 6:30 p.m. Niles at Plainwell, 6:30 p.m. Sturgis at Three Rivers, 6:00 p.m. Olivet at Comstock, 6:30 p.m. Fennville at Delton-Kellogg, 6:00 p.m. Saugatuck at Parchment, 6:00 p.m. Holland Black River at Schoolcraft, 5:00 p.m. Volleyball Berrien Springs at New Buffalo, 6:00 p.m. Cassopolis at Brandywine, 7:00 p.m. Howardsville Christian at Watervliet Grace Christian, 6:00 p.m. Paw Paw, Parchment, Kalamazoo Central at Battle Creek Pennfield, 5:00 p.m. Otsego at Portage Central, 6:30 p.m.AP Top 251Alabama (25)5-02Georgia (28)5-03Ohio State (10)5-04Michigan5-05Clemson5-06USC5-07Oklahoma State4-08Tennessee4-09Ole Miss5-010Penn State5-011Utah4-112Oregon4-113Kentucky4-114NC State4-115Wake Forest4-116BYU4-117TCU4-018UCLA5-019Kansas5-020Kansas State4-121Washington4-122Syracuse5-023Mississippi State4-124Cincinnati4-125LSU4-1See omnystudio.com/listener for privacy information.

NFL – National Football League – Week 4 Yesterday Seattle Seahawks 48, Detroit Lions 45 New York Giants 20, Chicago Bears 12 Tennessee Titans 24, Indianapolis Colts 17 Seahawks 48, Lions 45 – Smith, Penny star as Seahawks beat Lions 48-45 Geno Smith threw for two touchdowns and ran for a score in the first half, and the Seattle Seahawks held off the Detroit Lions for a 48-45 win. The Seahawks were stopped on a third down late in the third quarter, but the Ford Field play clock wasn’t set properly. Seattle took advantage of the second chance and Detroit’s unorganized defense on Rashaad Penny’s 36-yard touchdown run that converted a third-and-16 and made it 38-23. Detroit’s T.J. Hockenson had eight receptions and set career highs with 179 yards receiving and two touchdowns. Giants 20, Bears 12 – Jones injures ankle in Giants’ 20-12 victory over Bears Daniel Jones ran for two touchdowns before injuring an ankle, Saquon Barkley had 146 yards and ran the wildcat offense at times after both New York quarterbacks were hurt in leading the Giants to a 20-12 victory over the Chicago Bears. Jones scored on runs of 21 and 8 yards, New York rushed for 262 yards and Graham Gano kicked field goals of 44 and 43 yards as the Giants improved to 3-1 under rookie coach Brian Daboll. It’s their best start since 2011 when they won the Super Bowl. Michael Badgley kicked four goals for the Bears filling in for Cairo Santos. Titans 24, Colts 17 – Henry reigns as Titans hold off Colts for 24-17 victory Derrick Henry rushed for a season-high 114 yards and one touchdown and Tennessee’s defense held up late to preserve the Titans’ 24-17 victory at Indianapolis. The Titans have won a franchise-record four straight in the series and improved to 11-2 against AFC South opponents since 2020. Indy has one win in its past six games and blew late three scoring chances. Tennessee leaned heavily on Henry early, but was shut out in the second half for the second straight week. Other Week 4 NFL Scores Cincinnati 27, Miami 15 Minnesota 28, New Orleans 25 Atlanta 23, Cleveland 20 Buffalo 23, Baltimore 20 Dallas 25, Washington 10 L.A. Chargers 34, Houston 24 N.Y. Jets 24, Pittsburgh 20 Philadelphia 29, Jacksonville 21 Arizona 26, Carolina 16 Green Bay 27, New England 24, OT Las Vegas 32, Denver 23 Kansas City 41, Tampa Bay 31 Tonight Los Angeles Rams at San Francisco Giants, 8:15 p.m. NFL – Campbell tries to shield defense after 48-45 loss to Seattle Jared Goff passed for 378 yards and four touchdowns, but Detroit struggled against Geno Smith and the Seattle Seahawks in a wild 48-45 loss. Smith accounted for 369 yards and three touchdowns, and Rashaad Penny rushed for 151 yards and two TDs. Seattle never used its punter. The Seahawks scored on seven drives, missed a field goal on the eighth and took a knee to end the game on the ninth. They also scored on Tariq Woolen’s 40-yard interception return in the second half. Lions coach Dan Campbell says the team is going to take a comprehensive look at what it is doing defensively. NFL – Terry Bradshaw says he’s been treated for 2 kinds of cancer Hall of Fame quarterback Terry Bradshaw says he has been treated for two forms of cancer in the past year. Bradshaw said on “Fox NFL Sunday” that he was diagnosed with bladder cancer late last year and was treated at Yale University Medical Center, including surgery. The 74-year-old then said he found a tumor in his neck earlier this year and it turned out to be a Merkel cell tumor, a rare form of malignant skin cancer. He was treated at the MD Anderson Cancer Center in Houston. Bradshaw says he is “cancer free and feeling great.” NFL – Spectator at Steelers game dies after fall from escalator A spectator at Sunday’s game between the Pittsburgh Steelers and New York Jets has died following a fall at Acrisure Stadium. The Pittsburgh Department of Public Safety say police and emergency service personnel were alerted after an unidentified male fell around 4:45 p.m., shortly after the end of New York’s 24-20 victory over the Steelers. Paramedics administered care on site to the victim before he was transported to the hospital in critical condition. He died shortly thereafter. The Steelers said in a statement that the organization is working with local authorities during the investigation. MLB – Major League Baseball Yesterday Detroit Tigers 5, Minnesota Twins 2 Chicago White Sox 2, San Diego Padres 1 Chicago Cubs 8, Cincinnati Reds 1 Tigers 5, Twins 2 – Tigers beat young Woods Richardson, sloppy Twins 5-2 Eric Haase and Victor Reyes homered and the Detroit Tigers took advantage of Minnesota’s sloppy play, beating touted pitching prospect Simeon Woods Richardson and the Twins 5-2. Woods Richardson made his big league debut five days after turning 22 years old, making him the youngest pitcher in the majors this season. The Twins’ defense did him no favors at the start, committing three errors in the first inning. The Tigers turned the two throwing errors by catcher Ryan Jeffers and a misplay by first baseman Jose Miranda, along with Miguel Cabrera’s single, a wild pitch, a walk and a stolen base into two runs. Woods Richardson, acquired in July 2021 from Toronto in the trade for pitcher José Berríos, allowed two earned runs and three hits in five innings. White Sox2, Padres 1 – Padres clinch NL wild-card spot during 2-1 loss to White Sox The San Diego Padres are going back to the playoffs for the first time in a full season since 2006, a spot that they clinched during the seventh inning of a 2-1 loss to the Chicago White Sox. The Padres were batting when the Miami Marlins beat the Milwaukee Brewers in 12 innings. The sellout crowd of 41,407 at Petco Park stood and cheered the sealed wild-card spot. The Padres trailed 2-0 at the time but Kim Ha-seong homered a few minutes later. The Padres had a chance to win in the ninth when they put two runners on with two outs against Liam Hendriks but pinch-hitter Jorge Alfaro, who has five walk-off plate appearances this year, grounded out. Cubs 8, Reds 1 – Contreras gets ovations, Stroman goes 6, Cubs beat Reds 8-1 Willson Contreras got several standing ovations in what could be his final home game at Wrigley Field, Marcus Stroman threw six scoreless innings and the surging Chicago Cubs won their seventh straight with an 8-1 victory over the Cincinnati Reds. Nelson Velázquez drove in four runs to help Chicago match its best run since a seven-game streak late last year. The Cubs knocked out a Chase Anderson in a five-run first. The Reds have dropped six straight and 19 of 23. They’ll need to sweep a season-ending three-game series against the Cubs in Cincinnati to avoid the franchise’s second 100-loss season. Tonight Chicago Cubs (Wesneski 3-1) at Cincinnati (Greene 4-13), 6:40 p.m. Minnesota (Ober 2-3) at Chicago White Sox (Cueto 7-10), 8:10 p.m. Detroit (Garcia 1-0) at Seattle (Kirby 8-4), 9:40 p.m.       WSJM/WCSY 9:20 NCAAFB – College Football Saturday (4) Michigan 27, Iowa 14 Eastern Michigan 20, UMass 13 Maryland 27, Michigan State 13 Toledo 38, Central Michigan 17 Western Michigan 44, New Hampshire 7 Notre Dame was off NCAA: AP Top 25: Tide retakes No. 1 from UGA; Kansas snaps drought Alabama reclaimed No. 1 from Georgia in The Associated Press college football poll in one of the closest votes in the recent years. Two points separate the Crimson Tide from the Bulldogs. Six teams including Kansas made their season debut in the AP Top 25. The Jayhawks are ranked for the first time since 2009, which was the longest drought among current Power Five conference teams. The Crimson Tide received 25 first-place votes and 1,523 points. Georgia got 28 first-place votes to become the first team since Alabama in November 2019 to have the most first-place votes but not be No. 1. NCAAFB – Big 10 – Wisconsin fires Paul Chryst; names DC Leonhard interim coach Wisconsin has fired head coach Paul Chryst after a 2-3 start to his eighth season leading his alma mater. The surprising move comes a day after Wisconsin lost at home 34-10 to Illinois and former Badgers coach Bret Bielema. Chryst is 67-26 since taking over as coach of the Badgers in 2015. But the program has been backsliding. Chryst had double-digit win seasons in four of his first five years at Wisconsin and has gone 33-19 since, including 15-12 in the last 27 games. Defensive coordinator Jim Leonhard, another former Badgers player, was named interim coach. NCAAFB – Dorrell out as coach at Colorado after 0-5 start to season Colorado fired football coach Karl Dorrell after an 0-5 start in which the Buffaloes have been blown out by more than 20 points in each game. The school announced the decision Sunday, a day after a 43-20 loss at Arizona. It’s only the fourth 0-5 start in the program’s history. Dorrell, 58, was brought in as a replacement when Mel Tucker bolted for Michigan State out of the blue in February 2020. Colorado waited to announce the news until after Dorrell had a chance to inform his staff and players. Offensive coordinator Mike Sanford will serve as interim coach. NASCAR – Elliott advances in NASCAR playoffs with Talladega victory Chase Elliott raced his way into the next round of the playoffs with a victory Sunday at Talladega Superspeedway in the first clean race yet of this year’s postseason. Elliott was fifth on the final restart with two laps remaining and claimed control of the outside lane to stalk leader Ryan Blaney. The 2020 Cup champion surged ahead with a push from Erik Jones on the final lap, threw a block on Blaney’s attempt to reclaim the lead and then beat Blaney to the finish line by .046 seconds. Elliott is the first driver through five playoff races to automatically advance into the next round with a victory. The first four races were won by drivers not eligible for the championship in a chaotic start to the 10-race postseason. NHL – National Hockey League – Preseason Last Night Minnesota Wild 3, Chicago Blackhawks 0                at Milwaukee Tonight Pittsburgh Penguins at Detroit Red Wings, 7:30 p.m. NHL – Blackhawks F Katchouk will be sidelined by ankle sprain Chicago Blackhawks forward Boris Katchouk will be sidelined for four to six weeks with a left ankle sprain. The 24-year-old Katchouk played almost 12 minutes during a 3-0 preseason loss to Detroit on Saturday night. He was acquired in a multiplayer trade with Tampa Bay in March. The Blackhawks open the season on Oct. 12 at Colorado. The team also said forward Jujhar Khaira is day to day with a right ankle injury. MHSAA – High School Sports Today Boys Soccer Our Lady of the Lake at New Buffalo, 6:00 p.m. Brandywine at Michigan Lutheran, 5:00 p.m. Berrien Springs at Wyoming-Lee, 6:00 p.m. Bridgman at Allegan, 7:00 p.m. Covert at Bloomingdale, 6:30 p.m. Buchanan at Constantine, 5:30 p.m. Watervliet at Kalamazoo Christian, 5:00 p.m. Coloma at Kalamazoo Hackett, 5:00 p.m. South Haven at Lawton, 6:00 p.m. Vicksburg at Edwardsburg, 5:30 p.m. Hartford at Wyoming Potter’s House, 6:45 p.m. Otsego at Paw Paw, 6:30 p.m. Niles at Plainwell, 6:30 p.m. Sturgis at Three Rivers, 6:00 p.m. Olivet at Comstock, 6:30 p.m. Fennville at Delton-Kellogg, 6:00 p.m. Saugatuck at Parchment, 6:00 p.m. Holland Black River at Schoolcraft, 5:00 p.m. Volleyball Berrien Springs at New Buffalo, 6:00 p.m. Cassopolis at Brandywine, 7:00 p.m. Howardsville Christian at Watervliet Grace Christian, 6:00 p.m. Paw Paw, Parchment, Kalamazoo Central at Battle Creek Pennfield, 5:00 p.m. Otsego at Portage Central, 6:30 p.m.AP Top 251Alabama (25)5-02Georgia (28)5-03Ohio State (10)5-04Michigan5-05Clemson5-06USC5-07Oklahoma State4-08Tennessee4-09Ole Miss5-010Penn State5-011Utah4-112Oregon4-113Kentucky4-114NC State4-115Wake Forest4-116BYU4-117TCU4-018UCLA5-019Kansas5-020Kansas State4-121Washington4-122Syracuse5-023Mississippi State4-124Cincinnati4-125LSU4-1See omnystudio.com/listener for privacy information.

NFL – National Football League – Week 4 Yesterday Seattle Seahawks 48, Detroit Lions 45 New York Giants 20, Chicago Bears 12 Tennessee Titans 24, Indianapolis Colts 17 Seahawks 48, Lions 45 – Smith, Penny star as Seahawks beat Lions 48-45 Geno Smith threw for two touchdowns and ran for a score in the first half, and the Seattle Seahawks held off the Detroit Lions for a 48-45 win. The Seahawks were stopped on a third down late in the third quarter, but the Ford Field play clock wasn’t set properly. Seattle took advantage of the second chance and Detroit’s unorganized defense on Rashaad Penny’s 36-yard touchdown run that converted a third-and-16 and made it 38-23. Detroit’s T.J. Hockenson had eight receptions and set career highs with 179 yards receiving and two touchdowns. Giants 20, Bears 12 – Jones injures ankle in Giants’ 20-12 victory over Bears Daniel Jones ran for two touchdowns before injuring an ankle, Saquon Barkley had 146 yards and ran the wildcat offense at times after both New York quarterbacks were hurt in leading the Giants to a 20-12 victory over the Chicago Bears. Jones scored on runs of 21 and 8 yards, New York rushed for 262 yards and Graham Gano kicked field goals of 44 and 43 yards as the Giants improved to 3-1 under rookie coach Brian Daboll. It’s their best start since 2011 when they won the Super Bowl. Michael Badgley kicked four goals for the Bears filling in for Cairo Santos. Titans 24, Colts 17 – Henry reigns as Titans hold off Colts for 24-17 victory Derrick Henry rushed for a season-high 114 yards and one touchdown and Tennessee’s defense held up late to preserve the Titans’ 24-17 victory at Indianapolis. The Titans have won a franchise-record four straight in the series and improved to 11-2 against AFC South opponents since 2020. Indy has one win in its past six games and blew late three scoring chances. Tennessee leaned heavily on Henry early, but was shut out in the second half for the second straight week. Other Week 4 NFL Scores Cincinnati 27, Miami 15 Minnesota 28, New Orleans 25 Atlanta 23, Cleveland 20 Buffalo 23, Baltimore 20 Dallas 25, Washington 10 L.A. Chargers 34, Houston 24 N.Y. Jets 24, Pittsburgh 20 Philadelphia 29, Jacksonville 21 Arizona 26, Carolina 16 Green Bay 27, New England 24, OT Las Vegas 32, Denver 23 Kansas City 41, Tampa Bay 31 Tonight Los Angeles Rams at San Francisco Giants, 8:15 p.m. NFL – Campbell tries to shield defense after 48-45 loss to Seattle Jared Goff passed for 378 yards and four touchdowns, but Detroit struggled against Geno Smith and the Seattle Seahawks in a wild 48-45 loss. Smith accounted for 369 yards and three touchdowns, and Rashaad Penny rushed for 151 yards and two TDs. Seattle never used its punter. The Seahawks scored on seven drives, missed a field goal on the eighth and took a knee to end the game on the ninth. They also scored on Tariq Woolen’s 40-yard interception return in the second half. Lions coach Dan Campbell says the team is going to take a comprehensive look at what it is doing defensively. NFL – Terry Bradshaw says he’s been treated for 2 kinds of cancer Hall of Fame quarterback Terry Bradshaw says he has been treated for two forms of cancer in the past year. Bradshaw said on “Fox NFL Sunday” that he was diagnosed with bladder cancer late last year and was treated at Yale University Medical Center, including surgery. The 74-year-old then said he found a tumor in his neck earlier this year and it turned out to be a Merkel cell tumor, a rare form of malignant skin cancer. He was treated at the MD Anderson Cancer Center in Houston. Bradshaw says he is “cancer free and feeling great.” NFL – Spectator at Steelers game dies after fall from escalator A spectator at Sunday’s game between the Pittsburgh Steelers and New York Jets has died following a fall at Acrisure Stadium. The Pittsburgh Department of Public Safety say police and emergency service personnel were alerted after an unidentified male fell around 4:45 p.m., shortly after the end of New York’s 24-20 victory over the Steelers. Paramedics administered care on site to the victim before he was transported to the hospital in critical condition. He died shortly thereafter. The Steelers said in a statement that the organization is working with local authorities during the investigation. MLB – Major League Baseball Yesterday Detroit Tigers 5, Minnesota Twins 2 Chicago White Sox 2, San Diego Padres 1 Chicago Cubs 8, Cincinnati Reds 1 Tigers 5, Twins 2 – Tigers beat young Woods Richardson, sloppy Twins 5-2 Eric Haase and Victor Reyes homered and the Detroit Tigers took advantage of Minnesota’s sloppy play, beating touted pitching prospect Simeon Woods Richardson and the Twins 5-2. Woods Richardson made his big league debut five days after turning 22 years old, making him the youngest pitcher in the majors this season. The Twins’ defense did him no favors at the start, committing three errors in the first inning. The Tigers turned the two throwing errors by catcher Ryan Jeffers and a misplay by first baseman Jose Miranda, along with Miguel Cabrera’s single, a wild pitch, a walk and a stolen base into two runs. Woods Richardson, acquired in July 2021 from Toronto in the trade for pitcher José Berríos, allowed two earned runs and three hits in five innings. White Sox2, Padres 1 – Padres clinch NL wild-card spot during 2-1 loss to White Sox The San Diego Padres are going back to the playoffs for the first time in a full season since 2006, a spot that they clinched during the seventh inning of a 2-1 loss to the Chicago White Sox. The Padres were batting when the Miami Marlins beat the Milwaukee Brewers in 12 innings. The sellout crowd of 41,407 at Petco Park stood and cheered the sealed wild-card spot. The Padres trailed 2-0 at the time but Kim Ha-seong homered a few minutes later. The Padres had a chance to win in the ninth when they put two runners on with two outs against Liam Hendriks but pinch-hitter Jorge Alfaro, who has five walk-off plate appearances this year, grounded out. Cubs 8, Reds 1 – Contreras gets ovations, Stroman goes 6, Cubs beat Reds 8-1 Willson Contreras got several standing ovations in what could be his final home game at Wrigley Field, Marcus Stroman threw six scoreless innings and the surging Chicago Cubs won their seventh straight with an 8-1 victory over the Cincinnati Reds. Nelson Velázquez drove in four runs to help Chicago match its best run since a seven-game streak late last year. The Cubs knocked out a Chase Anderson in a five-run first. The Reds have dropped six straight and 19 of 23. They’ll need to sweep a season-ending three-game series against the Cubs in Cincinnati to avoid the franchise’s second 100-loss season. Tonight Chicago Cubs (Wesneski 3-1) at Cincinnati (Greene 4-13), 6:40 p.m. Minnesota (Ober 2-3) at Chicago White Sox (Cueto 7-10), 8:10 p.m. Detroit (Garcia 1-0) at Seattle (Kirby 8-4), 9:40 p.m.       WSJM/WCSY 9:20 NCAAFB – College Football Saturday (4) Michigan 27, Iowa 14 Eastern Michigan 20, UMass 13 Maryland 27, Michigan State 13 Toledo 38, Central Michigan 17 Western Michigan 44, New Hampshire 7 Notre Dame was off NCAA: AP Top 25: Tide retakes No. 1 from UGA; Kansas snaps drought Alabama reclaimed No. 1 from Georgia in The Associated Press college football poll in one of the closest votes in the recent years. Two points separate the Crimson Tide from the Bulldogs. Six teams including Kansas made their season debut in the AP Top 25. The Jayhawks are ranked for the first time since 2009, which was the longest drought among current Power Five conference teams. The Crimson Tide received 25 first-place votes and 1,523 points. Georgia got 28 first-place votes to become the first team since Alabama in November 2019 to have the most first-place votes but not be No. 1. NCAAFB – Big 10 – Wisconsin fires Paul Chryst; names DC Leonhard interim coach Wisconsin has fired head coach Paul Chryst after a 2-3 start to his eighth season leading his alma mater. The surprising move comes a day after Wisconsin lost at home 34-10 to Illinois and former Badgers coach Bret Bielema. Chryst is 67-26 since taking over as coach of the Badgers in 2015. But the program has been backsliding. Chryst had double-digit win seasons in four of his first five years at Wisconsin and has gone 33-19 since, including 15-12 in the last 27 games. Defensive coordinator Jim Leonhard, another former Badgers player, was named interim coach. NCAAFB – Dorrell out as coach at Colorado after 0-5 start to season Colorado fired football coach Karl Dorrell after an 0-5 start in which the Buffaloes have been blown out by more than 20 points in each game. The school announced the decision Sunday, a day after a 43-20 loss at Arizona. It’s only the fourth 0-5 start in the program’s history. Dorrell, 58, was brought in as a replacement when Mel Tucker bolted for Michigan State out of the blue in February 2020. Colorado waited to announce the news until after Dorrell had a chance to inform his staff and players. Offensive coordinator Mike Sanford will serve as interim coach. NASCAR – Elliott advances in NASCAR playoffs with Talladega victory Chase Elliott raced his way into the next round of the playoffs with a victory Sunday at Talladega Superspeedway in the first clean race yet of this year’s postseason. Elliott was fifth on the final restart with two laps remaining and claimed control of the outside lane to stalk leader Ryan Blaney. The 2020 Cup champion surged ahead with a push from Erik Jones on the final lap, threw a block on Blaney’s attempt to reclaim the lead and then beat Blaney to the finish line by .046 seconds. Elliott is the first driver through five playoff races to automatically advance into the next round with a victory. The first four races were won by drivers not eligible for the championship in a chaotic start to the 10-race postseason. NHL – National Hockey League – Preseason Last Night Minnesota Wild 3, Chicago Blackhawks 0                at Milwaukee Tonight Pittsburgh Penguins at Detroit Red Wings, 7:30 p.m. NHL – Blackhawks F Katchouk will be sidelined by ankle sprain Chicago Blackhawks forward Boris Katchouk will be sidelined for four to six weeks with a left ankle sprain. The 24-year-old Katchouk played almost 12 minutes during a 3-0 preseason loss to Detroit on Saturday night. He was acquired in a multiplayer trade with Tampa Bay in March. The Blackhawks open the season on Oct. 12 at Colorado. The team also said forward Jujhar Khaira is day to day with a right ankle injury. MHSAA – High School Sports Today Boys Soccer Our Lady of the Lake at New Buffalo, 6:00 p.m. Brandywine at Michigan Lutheran, 5:00 p.m. Berrien Springs at Wyoming-Lee, 6:00 p.m. Bridgman at Allegan, 7:00 p.m. Covert at Bloomingdale, 6:30 p.m. Buchanan at Constantine, 5:30 p.m. Watervliet at Kalamazoo Christian, 5:00 p.m. Coloma at Kalamazoo Hackett, 5:00 p.m. South Haven at Lawton, 6:00 p.m. Vicksburg at Edwardsburg, 5:30 p.m. Hartford at Wyoming Potter’s House, 6:45 p.m. Otsego at Paw Paw, 6:30 p.m. Niles at Plainwell, 6:30 p.m. Sturgis at Three Rivers, 6:00 p.m. Olivet at Comstock, 6:30 p.m. Fennville at Delton-Kellogg, 6:00 p.m. Saugatuck at Parchment, 6:00 p.m. Holland Black River at Schoolcraft, 5:00 p.m. Volleyball Berrien Springs at New Buffalo, 6:00 p.m. Cassopolis at Brandywine, 7:00 p.m. Howardsville Christian at Watervliet Grace Christian, 6:00 p.m. Paw Paw, Parchment, Kalamazoo Central at Battle Creek Pennfield, 5:00 p.m. Otsego at Portage Central, 6:30 p.m.AP Top 251Alabama (25)5-02Georgia (28)5-03Ohio State (10)5-04Michigan5-05Clemson5-06USC5-07Oklahoma State4-08Tennessee4-09Ole Miss5-010Penn State5-011Utah4-112Oregon4-113Kentucky4-114NC State4-115Wake Forest4-116BYU4-117TCU4-018UCLA5-019Kansas5-020Kansas State4-121Washington4-122Syracuse5-023Mississippi State4-124Cincinnati4-125LSU4-1See omnystudio.com/listener for privacy information.

Die Muttergesellschaft von Facebook, Meta, hat mithilfe von KI eine neue Methode zur Herstellung von Beton entwickelt, von der sie behauptet, dass sie 40 Prozent weniger CO2-Emissionen als Standardmischungen verursacht, und verwendet sie bereits in ihrem neuesten Rechenzentrum. https://www.newscientist.com/article/2317122-meta-is-using-ai-to-create-low-carbon-concrete-for-its-data-centres/ Was passiert Facebooks https://www.cnet.com/science/facebook-parent-meta-is-studying-the-human-brain-to-improve-ai/ Das Projekt Maven, einst das vorrangige Programm des Pentagon zur Beschleunigung des Einsatzes künstlicher Intelligenz im Militär, wird laut hochrangigen Beamten der Geheimdienstgemeinschaft jetzt an die National Geospatial-Intelligence Agency übertragen. https://breakingdefense.com/2022/04/pentagons-flagship-ai-effort-project-maven-moves-to-nga/ Ein Algorithmus, der nach Kindesvernachlässigung sucht, gibt Anlass zur Sorge https://apnews.com/article/child-welfare-algorithm-investigation-9497ee937e0053ad4144a86c68241ef1 Das Energieministerium hat Anfang dieses Monats den Artificial Intelligence Advancement Council eingerichtet, um die Finanzierung und Entwicklung von Algorithmen zu koordinieren und Behörden für ihre Verwendung zur Rechenschaft zu ziehen. https://www.fedscoop.com/doe-ai-advancement-council-launched/ Visit www.integratedaisolutions.com

Podcast jest dostępny także w formie newslettera: https://ainewsletter.integratedaisolutions.com/ Firma macierzysta Facebooka, Meta, wykorzystała sztuczną inteligencję do opracowania nowego sposobu tworzenia betonu, który, jak twierdzi, emituje o 40 procent mniej dwutlenku węgla niż standardowe mieszanki, i używa go już w swoim najnowszym centrum danych. https://www.newscientist.com/article/2317122-meta-is-using-ai-to-create-low-carbon-concrete-for-its-data-centres/ Co się dzieje? https://www.cnet.com/science/facebook-parent-meta-is-studying-the-human-brain-to-improve-ai/ Niegdyś priorytetowy program Pentagonu mający na celu przyspieszenie wykorzystania sztucznej inteligencji w wojsku, Projekt Maven jest obecnie przenoszony do Narodowej Agencji Wywiadu Geoprzestrzennego, jak twierdzą wyżsi urzędnicy Wspólnoty Wywiadowczej. https://breakingdefense.com/2022/04/pentagons-flagship-ai-effort-project-maven-moves-to-nga/ Algorytm, który monitoruje zaniedbywanie dzieci, budzi obawy W przepastnej kamiennej fortecy w centrum Pittsburgha adwokat Robin Frank broni rodziców w jednym z najgorszych momentów – kiedy ryzykują utratę dzieci. https://apnews.com/article/child-welfare-algorithm-investigation-9497ee937e0053ad4144a86c68241ef1 Departament Energii powołał Radę ds. https://www.fedscoop.com/doe-ai-advancement-council-launched/ Odwiedź www.integratedaisolutions.com

Facebook's parent company Meta has used AI to develop a new method of making concrete that it claims produces 40 percent less carbon emissions than standard mixes, and is already using it in its latest data center. https://www.newscientist.com/article/2317122-meta-is-using-ai-to-create-low-carbon-concrete-for-its-data-centres/ What's happening Facebook's parent company Meta says it's working on a long-term research effort studying how the human brain learns language to improve artificial intelligence. https://www.cnet.com/science/facebook-parent-meta-is-studying-the-human-brain-to-improve-ai/ Project Maven, once the Pentagon's priority program to accelerate the use of artificial intelligence in the military, is now being transferred to the National Geospatial-Intelligence Agency, according to senior officials in the intelligence community. https://breakingdefense.com/2022/04/pentagons-flagship-ai-effort-project-maven-moves-to-nga/ An algorithm looking for child neglect is a cause for concern https://apnews.com/article/child-welfare-algorithm-investigation-9497ee937e0053ad4144a86c68241ef1 The Department of Energy earlier this month created the Artificial Intelligence Advancement Council to coordinate funding and development of algorithms and hold regulators accountable for their use. https://www.fedscoop.com/doe-ai-advancement-council-launched/ Visit www.integratedaisolutions.com

The University of Pittsburgh Department of Psychiatry is involved in efforts to promote and implement Diversity, Equity, and Inclusion (DEI). In this podcast, four faculty members offer brief presentations and discuss the importance of DEI. Guests include Sarah Pederson, PhD; Paul Pikonis, PhD; Piper Carroll, MD; and César Escobar-Viera, MD, PhD. They discuss linking the Department of Psychiatry to the Pittsburgh community; the psychiatry residency training curriculum; departmental surveys; and LGBTQ+ health matters.

Dr. Janet Patterson, Research Speech-Language Pathologist at the VA Northern California Healthcare System, speaks with Rob Cavanaugh of the University of Pittsburgh, about dosage in delivering aphasia treatments, and about the difference between dosage in research settings and dosage in clinical settings.       In today's episode you will hear about: The concept of voltage drop, its definition, and how it applies to aphasia rehabilitation, Opportunity cost and factors that affect the ability to deliver a treatment protocol with fidelity to the research evidence, and Mindful clinical decision-making to assure delivery of the best and most efficient treatment possible within existing clinical parameters.     Janet Patterson: Welcome to this edition of Aphasia Access Podversations, a series of conversations about community aphasia programs that follow the LPAA model. My name is Janet Patterson, and I am a Research Speech-Language Pathologist at the VA Northern California Healthcare System in Martinez, California. Today I am delighted to be speaking with my friend and an excellent researcher, Rob Cavanaugh, from the University of Pittsburgh. Rob and I have had several conversations about aspects of aphasia rehabilitation, beginning when he was a Student Fellow in the Academy of Neurologic Communication Disorders and Sciences. Our conversation today centers on a topic we both have been thinking about, dosage and aphasia treatment.    As Rob and I start this podcast, I want to give you a quick reminder that this year we are sharing episodes that highlight at least one of the gap areas in aphasia care identified in the Aphasia Access White Paper, authored by Dr. Nina Simmons-Mackie. For more information on this White Paper, check out Podversations Episode 62 with Dr. Liz Hoover, as she describes these 10 gap areas, or go to the Aphasia Access website.    This episode with Rob Cavanaugh focuses on gap area 4 - Insufficient intensity of aphasia intervention across the continuum of care. Treatment intensity is not a singular concept, but rather has several components to it, including decisions about dosage. Much has been written about intensity in aphasia rehabilitation, however, as yet there is no clear and convincing argument about what, exactly, is the best intensity for delivering an aphasia treatment to an individual with aphasia. I hope our conversation today can begin to shed some light on this topic.    Rob Cavanaugh is a third year Ph.D. candidate in the Department of Communication Sciences and Disorders at the University of Pittsburgh. Before moving to Pittsburgh, he worked as a clinical speech-language pathologist in Charlotte, North Carolina, in outpatient and inpatient rehabilitation settings. His research interests focus on identifying implementation gaps in aphasia rehabilitation, improving patient access to therapy services through technology, improving treatment outcomes, and advancing statistical methods used in aphasia research. Rob received his master's degree in Speech and Hearing Sciences from the University of North Carolina at Chapel Hill. He is currently doing interesting work at Pitt, and I look forward to our conversations, Rob, today and in the future. Welcome, Rob to Aphasia Access Podversations.   Rob Cavanaugh: Thanks Janet, it's great to be here, and I'm really excited to talk about dosage and aphasia treatment.    Janet: Great! I think the only thing I'm going to have to worry about Rob, is keeping us contained because we could probably talk for days on this subject, and our listeners would get tired of hearing us.    Rob: That is definitely true.   Janet: Today, as I said, Rob, I'd like to talk to you about dosage and aphasia treatment.  You and your colleagues recently published a paper in AJSLP that compared dosage in research papers and dosage in clinical practice. The team did great work, and I think it's an impressive paper. As we try to create an effective and efficient treatment program for our clients with aphasia, one of the elements we consider is dosage of the treatment we select. Simply defined, dosage can be thought of as the amount of treatment provided at one time, how often that treatment is provided, and the length of time the treatment lasts. We sometimes hear the terms session length, frequency and duration. Would you agree with that definition, Rob?    Rob: Thanks, Janet. I'm really excited about this work, and I want to take a minute to acknowledge the research team on this project before we really get into dosage because it really was a big team effort. Christina Kravetz is a clinical speech language pathologist here in Pittsburgh, Yina Quique, who is now a postdoctoral fellow at Northwestern, Lily Jarold who is now working on her clinical master's degree at the University of South Carolina, and Brandon Nguy who I think you had on an Aphasia Access Podversations a couple weeks ago to talk about his presentation and some of his work analyzing demographic trends in these data. I should also acknowledge our funding sources, which include the School of Health and Rehabilitation Sciences here at Pitt, and the National Center for Advancing Translational Sciences.   I think that's a good definition to get us started talking about dosage. We know that the amount of treatment is most often reported in terms of time, how many minutes in a treatment session, or how often sessions occur, or how many total sessions are there. But perhaps I can add one more dimension to our discussion about dosage, which is that it's not just how much treatment occurs in terms of time, but also what the treatment is made up of, what are the activities that we're doing within the treatment? How many times do we do them in a session? Or how many times do we do the activities per hour of treatment? As much as I'd like to think of dosage and aphasia treatment as an analogy to taking an antibiotic, such as when you have strep throat or some infection, you take 250 milligrams twice a week for two weeks. Dosage in aphasia rehabilitation is probably not that straightforward, right? Our treatments are complex and holistic and answering questions like how much of something gets really tricky really quickly.   Janet: I can imagine, and you know, when we first started talking about dosage several years ago, people used exactly that analogy. It's hard to appreciate that analogy because therapy is not this little unit of a pill or a tablet, it's a complex interaction between people. When we think about dosage, sometimes as clinicians we can decide dosage for our treatment, but sometimes it may be imposed upon us by an external source, such as our workplace or healthcare funder. And while it's important that we take guidance from the literature to determine dosage, I am not sure that that always happens. Rob, you are both an aphasia clinician and an aphasia researcher, how did you get interested in thinking about dosage as it relates to aphasia treatment?   Rob: I am a clinician by training, and that's really the viewpoint with which I started. Like you mentioned, I worked primarily in outpatient rehab settings, where most of the individuals who came into our clinic were home from the hospital, and they were working to recover from a recent stroke or traumatic brain injury or brain cancer, or some similar life-changing event. I think you're right, that practical dosage in a clinical setting like this is some combination of the clinical decision-making that we do as expert speech-language pathologists, and then all of these real-world constraints around us such as insurance, clinician availability, or the client's ability get to the clinic on a regular basis. I was fortunate to have excellent mentors and I'm going to acknowledge them. MaryBeth Kerstein, and Lisa Hunt and Missy Davis at Carolinas Rehab, were expert clinicians for me as a novice coming in. They really knew how to navigate their clinic, what they wanted to do from a clinical standpoint, and then what they were looking at in the insurance paperwork, and what to do when the patient said, “Well, I can only get here once a week”. My interest in dosage really comes from the perspective of, I've got this treatment, and it requires a lot of dosage and I want to fit it into a very narrow window of time. As a clinician you're grateful to have twice weekly sessions for six or eight weeks, and then you read a treatment study and it said that it provided treatment for 20 or 30, or even 60 hours. That's really hard to do in practice. So you know, we want to be confident that if I'm going to go with a treatment, if I'm going to choose it, I'm not wasting someone's time because I don't have enough of it for the treatment to be effective. And I'm also not wasting time by doing too much of it.   Janet: That's so important to think about Rob. You also mentioned something else, patient characteristics. Can an individual get to the clinic as much as they need to? Are they motivated to participate in this treatment? Those pieces must factor into your decision as well.   Rob: Sure, and you know, I think about some of our really high intensity treatments. Here at the Pittsburgh VA, we recently completed an ongoing study of semantic feature analysis which provides 60 hours of SFA. That's a lot of time to be doing a single treatment and so certainly motivation is a really important piece that we have to fit into the conversation about dosage.   Janet: As an aside, I'm sure you know, we're doing some investigation into motivation and what it means and how it works and how we can best use it in treatment, but it certainly is part of the decisions that you make when you when you select a treatment. I am glad that you're thinking about these pieces, because they're all focused on getting the most effective, efficient treatment that we can for a patient, and you're right, not wasting time or resources.    In your recent publication, Rob, you approach the topic of treatment dosage by identifying the gap between the dosage reported in research studies and the dosage used in clinical practice. By the way, the link to that paper is at the end of these Show Notes. It appeared in AJSLP so our listeners can access that paper and read your work for themselves. In that paper, you and your colleagues use the term voltage drop to describe this difference between research and clinical application. Will you explain the term voltage drop to us and describe how you see its relevance to aphasia treatment?   Rob: Sure, so voltage drop is this idea that when you take an intervention that worked in a controlled research setting, and we saw some good results, and then you implemented that scale in the real world. You give it to clinicians and while they might use it in their clinical practice, there can be a reduction in how effective that intervention is, right? The real world is messy, it's often hard to implement the research protocol with high fidelity, or there are good reasons to alter the protocol for individual situations, but we don't know how those alterations might affect the outcomes – this is voltage drop. This idea has been around in the implementation science literature for quite some time. I actually first heard this term on another podcast called Freakonomics, which is very different from what we're talking about today. It was in the context of how do you scale up social interventions like universal pre-kindergarten, and the challenges that come with finding something that works in one situation and trying to bring it to the whole country? And I thought, “Oh, this is exactly what I've been worrying about in our clinical practice world.” How do we take something that works in a small, controlled setting and make it work in larger settings throughout the country, in clinical settings? The term voltage drop seemed like a great way to motivate the conversation in our paper about dosage. If we can't implement the same dosage in clinical practice that we see in research, we could see a voltage drop in our treatment effectiveness for people with aphasia.   Janet: Right. I like that that term. Rob, as I was listening to you talk about this term voltage drop, it reminded me of phases in research, where you start out by demonstrating that the technique works in a research environment, and then moving it to a clinical environment to see exactly how it does work. I also thought about how we as clinicians need to be mindful that when we implement a treatment, if we can't meet the conditions in the research treatment, if we aren't taking into consideration this potential voltage drop as we implement treatment, we may not be doing the best job for patients. Does that make sense to you?   Rob: Yeah, I think it's a really hard balance as a clinician. You might have treatment which you feel like would be particularly helpful for someone. But the literature says this treatment has been implemented for 30 or 40 or 60 hours in the research lab and you're looking at the paperwork for this person which says that they have 20 visits, and you're wondering how you're going to make that work? Should you use a different treatment that doesn't seem to have as much dosage in the literature, or should you try to fit that treatment into what you have with that person? I think those are questions we don't have good answers to yet and clinicians struggle with all the time.   Janet: Which leads me to my next question for you. As clinicians recognizing the situation, how should we use this concept of voltage drop as we determine an individual's candidacy for a particular aphasia treatment technique, and determine treatment dosage in our own clinical settings? That's a loaded question, by the way!   Rob: That's a great question. I think this area of research has a long way to go before we really have any definitive answers. I think this idea of voltage drop right now perhaps is just something that can play a role in our clinical decision-making process when we go about implementing the aphasia treatment literature with our clients on a daily basis. For example, we often deviate from the evidence base in ways we think will improve our treatment outcomes, right? We personalize our treatment targets so that they're motivating and relevant for our client's goals. We might integrate multiple treatment approaches together or provide two complimentary approaches at the same time to address multiple goals. These adjustments reduce how closely our practice matches the evidence base for a treatment, but hopefully they improve the outcomes. On the other hand, we often have to make these compromises that we're talking about and deviate from published protocols because of practical constraints in ways that could reduce effectiveness. Not being able to even approximate a published treatment's dosage because of insurance or clinician availability or transportation has the potential to reduce treatment effectiveness. I think these factors probably should play a role in whether or not we choose a particular treatment approach. Maybe we use the difference in the published dosage versus what face to face time we know we're going to have to make a determination about how much home practice we suggest the person do. Or maybe we say there's just too big of a difference in what I know I can do with this person, and I need to think about other treatment options.    I'd also like to add maybe an important caveat here, which is that I don't know of any aphasia treatment, and I would love for somebody to email me and tell me what study I haven't read yet, but I don't know of any literature that has established an optimal dosage for even an average person with aphasia, and certainly none that say if you see a person with aphasia with a certain profile you need to provide at least X minutes of this treatment for it to be effective. Most of our evidence base tells us about the average effect size across participants for a single dosage. And it's really hard to extrapolate this information to make decisions about an individual person with aphasia.   Janet: I think you're absolutely right, Rob. I have not read a paper about optimal dosage for any kind of a treatment either. And one of the things that I was thinking about as you were talking is that I want to assure clinicians that we're in a messy world here trying to figure out dosage and intensity. I want clinicians to be able to continue to walk through their clinical decision-making without trying to figure out how all these pieces fit together in treatment. The words that came to my mind, as you were talking about strategies that clinicians might use as they decide whether they want to use a particular treatment or not, is mindful clinical decision-making. If you choose a treatment knowing that you cannot deliver the number of sessions that are listed in the research literature, then what are you balancing or what are you giving up in order to implement that treatment? It's mindful decision-making, as you apply a treatment. Does that make any kind of sense to you in terms of looking at dosage?   Rob: Yep. I think that makes a lot of sense. It brings up this idea to me of opportunity cost, right? Imagine a decision tree of things or directions you could go as a clinician, and every branch of that tree that you could take means that you don't get to take the other branch. This could be a paralyzing decision-making process if you try to incorporate too much, but maybe dosage is one of those key elements that you say, “I'm going to prioritize, making sure dosage is at least approximate. Maybe I can't get 30 hours, but I can get close, so I feel confident that's not going to limit my treatment's effectiveness.”   Janet: I think it is important to pay attention to dosage. Don't just proceed with random assumptions about dosage but pay attention to it as you're deciding to implement a treatment.   We've talked a lot about the background and the importance of dosage and mindful clinical decision-making from a clinical perspective. I hope our readers know by this time that that the comments you're making are based in science, so I want to talk for a little bit about your paper in AJSLP, if we can. I mentioned already that the reference is listed below in Show Notes that accompany this podcast, and our listeners can also find it by searching the ASHA publications website, and also your University of Pittsburgh website, on the Communication Sciences and Disorders page and the Language and Cognition Lab page. You have two methods in this paper, analyzing hospital billing data, and also conducting a scoping review of the literature. Without delving too far into the details, will you tell us about these methods and how they allowed you to then examine the research-practice dosage gap?9   Rob:  Sure, I'm happy to summarize. I learned, you know, halfway through this project that I bit off quite a quite a bit of research. It was a pretty large project for me as a doctoral student! Our driving research purpose for this study was to estimate how well the typical dosage that was provided in clinical practice approximated what was provided in the research literature. There are two elements here, what's typical in clinical practice and what's typical in research. In particular, I was interested in outpatient clinical practice, because this is often the last stop in our rehabilitation medical model for people with aphasia, and it's where my clinical experiences had mostly been. To estimate dosage in clinical practice, we looked at billing data from a large regional provider in western Pennsylvania. Every time an SLP sees a client they have to bill a specific code to the insurance company for that visit. These codes are attached the electronic medical record and we were able to use resources in Pitt's Department of Bioinformatics to extract these billing codes. We counted them all up for people with a diagnosis of stroke and aphasia who were seen by a speech-language pathologist. We looked to see how many were there? How often do they occur? Over how many weeks did they occur? We don't, of course, know the extent to which these specific providers match the rest of the US or certainly not international clinics, but we felt like this was a good start, given the lack of information in the literature.    Then on the research side, we wanted to estimate the typical dosage for studies that had been published recently. If we looked back 30 years, we'd probably still be reading research articles, so we used a scoping review format because our research question was really focused broadly on dosage rather than the specific study designs, the quality of the studies, or the outcomes, we just wanted an estimate of the dose. I have to give a shout out here to Rose Turner, the librarian on our team at Pitt, who guided this aspect of the study, I strongly recommend anyone use a librarian for reviews like this, we could not have done it without her. We started with over 4500 study records which matched our search terms and we whittled them down to 300 articles.   Janet: That's a lot of work, Rob.    Rob: It was definitely a lot and I will say we have a team, right? This was not me, this was a team effort. We ended up with about 300 articles, which essentially describe the aphasia treatment literature over the past 10 years or so. These were not studies that were provided in the hospital, these are mostly community-based treatment studies. They didn't have any extras, like the people receiving treatment weren't also receiving a specific medication or some kind of brain stimulation, it was just behavioral treatment. We pulled the dosage out of these studies and then we compared them to what we found from our billing data.   Janet: I read the paper a few times, and I'm not unfamiliar with a scoping review or with gathering data from clinical records. I found myself as I was reading that paper thinking this must have taken you years and years and years, which of course, I know it didn't, but your team really has, I think, produced a great paper that is going to be a good foundation for us to think about dosage.   That's a wonderful summary of the methods you used and anybody who reads your paper will appreciate the summary that you just gave. What messages did you glean from the data that you collected? I am thinking of the specific research conclusions, and also messages that maybe might help us as clinicians?   Rob: Sure, so I don't think it's a surprise to any clinician out there that there was a meaningful gap in dosage between the research studies we looked at and the billing data. This was particularly true for the number of treatment hours. Research studies provided on average about 12 more hours of treatment than we found in the clinical billing data. That's per episode of care. Think about a person who comes into the clinic, has an evaluation, receives a number of treatment sessions, and is discharged. On average, that episode of care has about 12 hours less than your typical research study. This largely confirmed our hypothesis going in that we would see a gap here. Interestingly, clinical practice seemed to provide treatment over a longer period of time. The total number of weeks was longer than what was typically done in research studies. You might take a conclusion away that in at least outpatient clinical practice, treatment might be a little bit more distributed over time and less intensive than treatment provided in our research literature.    I think it's important to highlight that this is a really rough comparison of dosage, right? Billing data are not really specific to the clinician patient interaction. It's just the code that the clinician punches into their software when they're done. We've glanced over some important aspects here that we just weren't able to look at. For example, dose form, or how many times each element of a treatment was completed, is not something our study was able to look at. These are some of the most important aspects of treatment, and what I try to do as a clinician, such as goal setting, and counseling and education, the time working on our communication goals outside of impairment focused tasks. Those elements aren't often part of treatment studies, but they're absolutely part of clinical practice, and they take a lot of time. That's an unaccounted-for difference that could mean that we've underestimated this gap and dosage. On the other hand, clinicians often assign home practice; we work on something in the face-to-face session and then I say, great, you've done an amazing job, I want you to practice this 20 minutes a day until the next time you come in, something like that. We didn't have a way of tracking home practice in our study. Perhaps home practice is an effective way of making up this dosage gap. But we're not able to understand what role it might play based on these data.   Janet: I think you're right about that, and it makes a whole lot of sense. This is a start in our direction of trying to really understand more carefully what dosage means. Does it mean this large thing? Does it mean very specifically, how many times are we delivering the active ingredient in a specific therapy? There's so much more that we need to know, and I think you have figured out by now that I think dosage matters, I think it matters a lot. I think it matters a lot more than we've ever really paid attention to. I know also, and you've certainly described this, every day in clinical practice we make decisions about an individual's candidacy for rehabilitation, including that what we think as clinicians is the best match between a treatment, a patient's personal and aphasia characteristics that they bring to the rehabilitation enterprise, and the likelihood of an optimal outcome. If we get it wrong, because of a mismatch in dosage, we may not successfully translate research into practice, and we may not make that much of a difference in our patient's life, or at least we may not make as much difference as we hope to. In the case of a potential mismatch, how do you see that affecting our clients, their families, and our healthcare system, because we do have to think about all of these pieces of the aphasia rehabilitation enterprise.     Rob: I think you're right you know, this is just a start. When I started my doctoral program at Pitt Dr. Evans and I were working on grants, and we would always write a statement like, treatment services are limited, and then I'd go try to find the citation for that line, and it's hard to find. Dr. Simmons-Mackie's White Paper is fantastic and provides a little bit of evidence to that regard but there aren't a lot of numbers. So, I think you're right that this is not the end of the story, I'm hopeful this study is a start. I think if you buy into this idea that too much of a gap in dosage could result in voltage drop in our treatment effectiveness and poor outcomes, I'm concerned that our ability to help people with aphasia and their families recover and adjust and thrive with their new reality is diminished in real world clinical practice. That's a big concern for me, and that's the reason that I am a speech-language pathologist and working with people with aphasia. I think that's something we need to understand better as a field. I'm also aware that when somebody decides to come to treatment, they're dedicating time and energy to themselves and trusting us as clinicians that we know how to best use their time and energy. The time spent coming into the clinic or doing home practice could just as easily be spent with family or friends or in other fulfilling activities, so I want to be respectful of their time.    With regard to how this could affect our health care system, I don't know that I have a great answer for you. Sometimes I wonder whether the current medical model is really a good fit for chronic conditions like aphasia. The gap in dosage might just be one manifestation of the challenges that clients and families and clinicians face every day, in figuring out how to make affordable and effective and motivating treatment options available for people long term. That's got to be a priority for us moving forward, because I'm not sure that our current model really fills that need.   Janet: Rob, I agree with you on that, and I'm thrilled that you and your colleagues are making this initial attempt to try to figure out how we can best match the treatment and the clients in terms of dosage, to achieve the optimal outcome that we possibly can.   You know, Rob, that I think that this conversation is fascinating, and we could talk all day. My belief is you and your team have just scratched the surface about treatment delivery information that we must be mindful of, in both our research and our clinical practice. A lot today that we've talked about really relates to clinical practice, but I imagine there are just as many thoughts or concerns or cares that we need to take when engaging in a research protocol to evaluate the success of a treatment.    Rob, as we draw this interview to a close, what pearls of wisdom or lessons learned do you have for our listeners, both researchers and clinicians, about dosage and aphasia rehabilitation, bridging the research-practice dosage gap, and reducing the voltage drop as we implement aphasia treatment.   Rob: Yeah, it's a tall order.   I don't think there's a quick fix, certainly, but I I'm going to summarize and expand on some of our recommendations from the paper. One thing that's important, I think, as we move forward is that, as researchers, we need to be really thoughtful about our selection of dose. As you mentioned, with regard to the stage of research, maybe our selection of dosage in early-stage research reflects our underlying research questions and issues of statistical power and funding constraints. For later stage research that's starting to think about clinical outcomes, we need to provide a clear justification for deviating from a dosage that's not attainable in clinical settings. In the same vein, I think as researchers we can do more to provide easily accessible and hopefully free materials to clinicians to facilitate home practice and to augment the limited face-to-face time that clinicians might have with their clients. Software and app development are getting there, and I think they're improving how easy it is to do home practice. To me a treatment study that you want to be out in the real world is only going to be successfully done if you really give clinicians easy access to tools where they can implement it. I know, just like many clinicians know, their time is really limited particularly between seeing patients, and so I don't want to make them do a whole lot of work to implement my intervention.    The second recommendation from our paper is that we need more research on the role of dose. We've talked about one challenge in this line of work, which is that dosage requirements are probably a function of an individual's language profile, almost certainly a function of their individual language profile, and their individual circumstances. If you compare one dose to another in some group trial, it only gives you so much information about what dose is best for a given individual. I think this is a problem our field is going to have to solve. Our lab is working on one solution that we're really excited about, which is to base treatment dosage not on the number of minutes, or how often you see someone, but on their real time performance on individual treatment items, like their ability to produce a specific sentence in script training or name a word, if you give them a picture. Our lab is not really thinking about dosage in terms of treatment time, right now we're thinking about dosage at the item level individually for each person. We're finding some strong preliminary evidence that complex algorithms can tailor item level dosage to real time performance and can make treatment potentially more effective and more efficient in terms of how much we can do in a period of time. But we have a lot more work to do, establishing this in a larger sample size and making sure that it translates well to clinical practice.    This brings me to the last recommendation, which is we need more research that looks at how can we implement our research in clinical practice. I believe there was a paper that came out in AJSLP recently (Roberts et al., 2021) which found that 1% of studies published in the Asha journals were implementation focused. I think that number is too low. We need more implementation-focused research that has contributions from all stakeholders, people with aphasia and their families and clinicians and researchers. It's going to take a team working together to ensure that we can translate our evidence base to clinical practice without voltage drop. I think that's where I would love to see our field headed.    Janet: Rob, I love the recommendations from your paper and the way that you just described them. It's exciting to be in this time in our field, where people like yourself and your team are thinking about the idea that we've got some great therapies, now how do we deliver them in ways that are sensitive to the needs of the clinician and the needs of the client and delivered in a mindful way of clinical decision-making.    Thank you for all of those recommendations and for your work. You're going to do more, right?   Rob: Thank you for having me. Yes, there will be more.   Janet: This is Janet Patterson, and I'm speaking from the VA in Northern California, and along with Aphasia Access, I would like to thank my guest, Rob Cavanaugh, for sharing his knowledge and experiences with us as he and his colleagues investigate treatment parameters, including dosage, in aphasia rehabilitation. We look forward to seeing many additional articles on this topic from Rob and his colleagues.    On behalf of Aphasia Access, we thank you for listening to this episode of The Aphasia Access Conversations Podcast. For more information on Aphasia Access, and to access our growing library of materials, please go to www.aphasiaaccess.org. If you have an idea for a future podcast topic, please email us at info@aphasiaaccess.org. Thank you again for your ongoing support of Aphasia Access.       References and links from this episode:   University of Pittsburgh Department of Communication Sciences and Disorders Language Rehabilitation and Cognition Lab https://lrcl.pitt.edu  @pittlrcl    University of Pittsburgh  Department of Communication Sciences and Disorders @PittCSD      Cavanaugh, R., Kravetz, C., Jarold, L., Quique, Y., Turner, R., & Evans, W. S. (2021). Is There a Research–Practice Dosage Gap in Aphasia Rehabilitation? American Journal of Speech-Language Pathology. https://doi.org/10.1044/2021_AJSLP-20-00257   Roberts, M. Y., Sone, B. J., Zanzinger, K. E., Bloem, M. E., Kulba, K., Schaff, A., Davis, K. C., Reisfeld, N., & Goldstein, H. (2020). Trends in clinical practice research in ASHA journals: 2008–2018. American Journal of Speech-Language Pathology, 29(3), 1629–1639. https://doi.org/10.1044/2020_AJSLP-19-00011

This episode's host Mildred Morrison is a member of the Board of Health Careers Futures, an operating arm of the Jewish Healthcare Foundation. She is the past administrator of the Allegheny County Area Agency on Aging and the YWCA Retirement Fund in New York City. She is joined by an esteemed panel of three Pittsburgh-based geriatricians, Dr. Emily Jaffe,  Dr.  Eric Rodriguez and Dr. Judy Black. All three are actively involved with Jewish Healthcare Foundation on Boards, committees and as advisors. Emily Jaffe is the Vice President and Executive Medical Director for Highmark Home and Community Services with clinical expertise in nursing facilities, palliative and hospice care as well as in the home. She is a fellowship trained Geriatrician with board certification in Internal Medicine, Geriatrics and Hospice and Palliative Care. Dr. Jaffe received her medical degree at Columbia College of Physicians and Surgeons and attended the University of Chicago for a Geriatrics Fellowship. Eric Rodriguez is an Associate Professor at the University of Pittsburgh Department of Medicine's Division of Geriatric Medicine, where his research focuses on Alzheimer's Disease in older adults. He serves as a geriatrics medical consultant at the UPMC Senior Care-Benedum Center at UPMC Montefiore Hospital and his primary expertise is in the care of patients with multiple diseases needing multiple medications, especially those suffering from dementia. Judy Black is a geriatrician who served for 17 years as the Medical Director for Senior Markets at Highmark, Inc., where she helped enhance and coordinate the care of older adults. She presently serves as a Medical Advisor for the Jewish Healthcare Foundation. She also serves as a leader for National POLST, a nonprofit that organizes the use of a standard end-of-life medical tool. Dr. Black is recognized locally and nationally for her advocacy on behalf on the senior population and for improving end of life care. This past year we all experienced a horrific pandemic that took the lives of over 600,000 individuals in our country. And while the daily numbers are declining the cumulative total is beyond any of our imaginations. The pandemic disproportionately affected seniors and those in long-term care facilities.  While only half of 1% of people in this country live in skilled nursing facilities, long-term care accounted for more than 60% of all the deaths. Many families did not see their loved ones in person for over a year. In some families, mom or dad came home to live with them to stay safe. This has been a year when we all questioned what our care models could be doing to assure the safety and wellbeing of the eldest and frailest among us. Telehealth, remote family visits, and remote monitoring became commonplace out of necessity. This episode will explore how high tech can enhance high touch when it comes to caring for our frail seniors, and what we would like to see going forward.

As the stories unfold on the television program ER, the doctor's struggle to address emergency medicine and their personal and professional lives, too. This episode brings the ER to life and the impact of trauma and stress on emergency medicine physicians. Our guest is Dr. Ronald Roth. Dr. Ronald Roth began his career in Emergency Service at Penn State University where he completed an EMT course and then worked on the University Ambulance Service. He earned his medical degree and completed an Emergency Medicine Residency at the University of Pittsburgh. As a resident, Ron staffed a physician emergency response vehicle and served as a flight physician on a medical helicopter service.  For more than 30 years, he worked at the UPMC Presbyterian Hospital. In his tenure, Ron has served as medical director of paramedic training at the Center for Emergency Medicine, Director of the EMS fellowship, and chief of the division of EMS in the Department of Emergency Medicine.    Dr. Roth currently serves as the medical director of the City of Pittsburgh Department of Public Safety, Command Physician at the UPMC Medical Command Center, medical director for the Dicks Sporting Goods–Pittsburgh marathon, and as a team physician for the Pittsburgh Steelers football club. The Resilient Minds podcast is sponsored by Passages & Prose, LLC. It is produced by: Lillie Leonardi and Chris Sichi. Music: Ocean Breeze by Ketsa

On this podcast, two first responders discuss living through traumatic events and how they now help individuals manage life following critical incidents. Our guests are Roy Cox, Ed. D. and Jenifer Swab, Ph.D.Dr. Roy Cox has served as an active member of the Region and Pittsburgh Department of Public Safety since 1977. His experience spans from Emergency Medical Services (EMS) Paramedic, EMS District Chief (RET), EMS Educator, University Educator, CISM (Critical Incident Stress Management Team) Operations Director, Flight Medic (RET), Federal Response Unit- PA1-DMAT Team member; American Red Cross Board of Directors Member, First Aid Instructor, CPR Instructor Trainer and State Evaluator. Dr. Jenifer Swab is a paramedic and holds a Doctor of Philosophy degree in education from Robert Morris University. She has over 40 years of experience in public safety as a Paramedic, rescue technician, dispatcher, and firefighter. Some of Jenifer's most recent accomplishments include training of police officers, firefighters, and educators on how to recognize an opiate overdose and administer naloxone. The Resilient Minds podcast is sponsored by Passages & Prose, LLC. It is produced by: Lillie Leonardi and Chris Sichi. Music: Ocean Breeze by Ketsa

Tiffany Taulton discusses stewardship of Hazelwood Greenway, a 183-acre series of nature trails in Pittsburgh, PA. Tiffany is the Director of Community Initiatives for the Hazelwood Initiative, a community development corporation located in Hazelwood--one of Pittsburgh's most racially diverse neighborhoods. In her role, Tiffany oversees community engagement, communications, and grants with an eye towards strengthening equity and inclusivity in the development process. Prior to working at the Hazelwood Initiative, Tiffany evaluated national clean energy strategies for the Environmental Defense Fund in New York, worked for the Pittsburgh Department of City Planning, where she authored the food chapter of the Pittsburgh Climate Action Plan 2.0, and spent four years working for the Department of Public Information at the United Nations Headquarters in New York City. She also has four years of healthcare experience working in hospitals as a Spanish interpreter, doula, and medical biller. Over the last 7 years, Tiffany has been an active member of the Black Permaculture Network, volunteered with the Black Urban Farmers & Gardeners (BUGS) Co-op of Pittsburgh, trained in organic farming in Mississippi under Ben Burkett-2014 James Beard Awardee and former president of the National Family Farm Coalition-led two trips of the CMU in Puerto Rico student group that she founded at Carnegie Mellon University to assist in community-led, climate-resilient, recovery efforts in Puerto Rico following Hurricane Maria and, most recently, taken the training for creating EcoDistricts. Interviewed by Dr. Elisa Haransky Beck Music: "Higher-Up" by Shane Ivers, silvermansound.com Journey Through Health & Wellness is a project of ReImagine Turtle Creek Watershed & Airshed Communities Plus. --- Send in a voice message: https://anchor.fm/journeyhealthandwellness/message

It's a Marathon, not a Sprint! Auburn Weisensale will remind you take your time and find value in every internship opportunity on your path to becoming a Sports RD. Auburn Weisensale joined the University of Pittsburgh Department of Athletics in September 2016 as Director of Nutrition. As a registered dietitian, Auburn works with baseball, men's basketball, women's basketball, cross-country, gymnastics, lacrosse, men's soccer, women's soccer, softball, men's and women's swimming and diving, track and field, volleyball and wrestling teams. Weisensale does team nutrition education as well as one-on-one nutrition counseling. Additional services she provides to the student-athletes include body composition assessments, grocery store tours, cooking demos, supplement education, hydration testing, and weekly samples at the fueling station referred to as Taste it Tuesday. Before her time with Pitt, Auburn worked as a Sports Nutrition Assistant for the University of Florida. While with the Gators, she assisted the men's and women's golf, women's lacrosse and cross country teams. Auburn also spent time at Indiana University as a Gatorade Sports Nutrition Immersion Program Fellow, working with men's and women's tennis, field hockey, and rowing teams. Prior to that, she spent time as an intern for Tara Gidus Nutrition Consulting with the Orlando Magic, University of Central Florida, and run Disney. She also worked as a Sports Nutrition Intern at the University of Virginia where she primarily worked with football. A 2013 graduate of James Madison University with a Bachelor of Science in dietetics, Auburn was a four-year letter winner on the field hockey team. She was a four-year NFHCA National Academic Squad member and finished fifth in JMU history in freshman game-winning goals. Weisensale completed her dietetic internship/residency program through the Pennsylvania State University and Penn State Milton S. Hershey Medical Center. She went on to pursue her master's degree in Applied Exercise Science with a concentration in Sports Nutrition from Concordia University Chicago.

Today my guest is pathology resident Dr Pranav Patwardhan.  What we discuss with Dr Patwardhan:How he became interested in pathology and some of his experiences training in IndiaHis Facebook page Understanding PathologyBeing named to The Pathologist Power List three timesHis article The Art of AlgorithmsThe process of creating an algorithmUsing algorithms for teachingLinks for this episode:Dr Patwardhan on TwitterUnderstanding Pathology on FacebookThe Art of Algorithms in The Pathologist magazineUniversity of Pittsburgh Department of PathologyPeople of Pathology PodcastWebsiteTwitter

This is second podcast on a new course being developed for telehealth in complex rehab. This podcast will examine the finer details like procedures, documentation, service and repair, and reimbursement with a variety of experts; Kyle Walker, MHA, ATP is the Director of Operations of Assistive Technology with VGM Homelink. Mark Schmeler is an Associate Professor and the Vice Chair for Education Training in the Department of Rehabilitation Science & Technology at the University of Pittsburgh. Dan Fedor currently serves as the Director of Reimbursement for U.S. Rehab a division of VGM & Associates. Rachel Hibbs, DPT, NCS, ATP is an Assistant Professor and Director of Continuing Education at the University of Pittsburgh Department of Rehabilitation Science and Technology in the School of Health and Rehabilitation Science. She earned a B.S. in Rehabilitation Science, Steve Mitchell is an occupational therapist who works as a Clinical Specialist in Seating/Wheeled Mobility and Assistive Technology for the SCI/D Service at the VA Northeast Ohio Healthcare System in Cleveland, Ohio.

Pittsburgh is open again, but it is not the same as it was pre-COVID-19 shutdown. Reduced capacities and social distancing are going to be here for a while — and changes to our infrastructure could be around even longer.In this episode, we talked with Pittsburgh Department of Mobility and Infrastructure Director Karina Ricks’ role and insights from a task force meant to provide recommendations for reopening the city. The conversation also looked at the immediate and long-term solutions to the major crises facing the city, including one you may not have been thinking about.Check out the task force’s report here.

This interview with Chester V. Oddis, MD, will have you standing from a seated position without the need to use your arms as we discuss the inflammatory myopathies. We cover the classification, pathophysiology and treatment approaches to these diseases, as well as all the antibodies you must learn about for boards! Intro :20 The interview 1:05 How did you become involved in inflammatory myopathies? 1:12 What’s your approach to a patient with suspected inflammatory myopathy? 1:50 What’s your opinion on the pathogenesis of these antibodies? 6:20 Any pearls for muscle biopsy? 9:30 Brought to you by GSK. Consider the long-term impact of disease activity, flares and corticosteroid use on patients with active SLE. Learn more now at treatfortodayandtomorrow.com Any pearls for reading EMGs? 12:20 What should we look for once we have a biopsy? 14:16 What do we know from a cytokine perspective? 17:52 Where do you think we’ll be with inflammatory myopathies in 10 years? 21:50 Thank you, Dr. Oddis 24:12 We’d love to hear from you! Send your comments/questions to rheuminationspodcast@healio.com. Follow us on Twitter @HRheuminations @AdamJBrownMD @HealioRheum Brought to you by GSK. Considering a treatment change for patients with active SLE? Learn about a treatment option for your patients at treatfortodayandtomorrow.com. Disclosures: Brown reports no relevant financial disclosures. Oddis reports receiving clinical trial support from Corbus Pharmaceuticals and Genentech. Chester V. Oddis, MD, is professor of medicine and director of the Myositis Center in the division of rheumatology and clinical immunology at University of Pittsburgh Department of Medicine.

Learn about how studying the eye microbiome can improve human health, with help from Dr. Anthony St. Leger; why old-timey penny-farthing bicycles had one giant wheel; and, how to avoid the dangers of dating-app addiction. In this podcast, Cody Gough and Ashley Hamer discuss the following stories from Curiosity.com to help you get smarter and learn something new in just a few minutes: Why Did Old-Timey Bikes Have One Giant Wheel? — https://curiosity.im/31klTOG   Dating-App Addiction Is a Thing, and Researchers Determined Who's Most at Risk — https://curiosity.im/31GJaKO   Additional resources from Dr. Anthony St. Leger: Bacteria live on our eyeballs – and understanding their role could help treat common eye diseases | The Conversation — https://theconversation.com/bacteria-live-on-our-eyeballs-and-understanding-their-role-could-help-treat-common-eye-diseases-116126 Anthony St. Leger, PhD | University of Pittsburgh Department of Opthalmology — http://ophthalmology.pitt.edu/people/anthony-st-leger-phd  Download the FREE 5-star Curiosity app for Android and iOS at https://curiosity.im/podcast-app. And Amazon smart speaker users: you can listen to our podcast as part of your Amazon Alexa Flash Briefing — just click “enable” here: https://curiosity.im/podcast-flash-briefing. 

Learn about what children’s drawings over the years can tell us about society’s views on gender. Plus: Dr. Anthony St. Leger explains why researchers are beginning to study the eye microbiome. In this podcast, Cody Gough and Ashley Hamer discuss the following story from Curiosity.com about how the way children draw men and women has changed in the last 50 years: https://curiosity.im/31G6SXy  Additional resources from Dr. Anthony St. Leger: Bacteria live on our eyeballs – and understanding their role could help treat common eye diseases | The Conversation — https://theconversation.com/bacteria-live-on-our-eyeballs-and-understanding-their-role-could-help-treat-common-eye-diseases-116126 Anthony St. Leger, PhD | University of Pittsburgh Department of Opthalmology — http://ophthalmology.pitt.edu/people/anthony-st-leger-phd  Download the FREE 5-star Curiosity app for Android and iOS at https://curiosity.im/podcast-app. And Amazon smart speaker users: you can listen to our podcast as part of your Amazon Alexa Flash Briefing — just click “enable” here: https://curiosity.im/podcast-flash-briefing. 

In this episode of the Award-winning PRS Journal Club Podcast, 2018 Resident Ambassadors to the PRS Editorial Board – Francesco Egro, Nicole Phillips, and Ira Savetsky - and special guest Vu T Nguyen, MD discuss the following articles from the May 2018 issue: “Mechanical versus Hand-Sewn Venous Anastomoses in Free Flap Reconstruction: A Systematic Review and Meta-Analysis” by Zhu, Wang, Huang, et al. “The Cost of Contralateral Prophylactic Mastectomy in Women with Unilateral Breast Cancer” by Billig, Duncan, Zhong, et al. “Cheek Volumization and the Nasolabial Fold” by Mowlds and Lambros. Special Guest Vu T Nguyen, MD is an Assistant Professor and Residency Program Director at the University of Pittsburgh Department of Plastic Surgery. #PRSJournalClub

Mitch Earleywine talks with Doctor Dustin Pardini from the University of Pittsburgh Department of Psychology who studies adolescent marijuana use and academic performance. His study tracked users through to their 30s and the impact marijuana use had on their cognitive functioning particularly academic achievement – covering long term impact of cannabis on those students. Looking at recreational use and not the heavily involved users most other studies had done. Pardina and Earleywine discuss how the late adolescent user are impacted on their cognitive functions.

Today on Alzheimer's Speaks Radio we will be raising awareness on staying mentally healthy when caring for someone with dementia for the first hour; and then the second hour we will learn about Pittsburgh's Alzheimer's Disease Research Center. Our first guest will be Jill LaFaive Gafner founder of Global Training Experts. I love her story, as it shows the power of her shift and how she has leveraged her new skills in caregiving with her base skill set of coaching and training. Jill has earned her Certified Dementia Practitioner and Alzheimer's Disease and Dementia Training certificates through the International/National Council of Certified Dementia Practitioners. Jill also authored the book, “Personal Positioning for the Caregiver”, a motivational guide for caregivers on staying mentally healthy while caring for their patients. Join the conversation and find out what tips Jill has to share with you. Contact Jill at:      Website         Phone   (586) 419-6073 Our second was not able to make the show today.  We will be rescheduling. Our second guest will be Marita Garrett from the Alzheimer's Disease Research Center at the University of Pittsburgh Department of Neurology. For more information on Dementia and Caregiving, check out our Website at www.Alzheimer's SpeaksSupport this Show: https://alzheimersspeaks.com/donate-now/See omnystudio.com/listener for privacy information.