Podcasts about pmr

Kate Adie presents stories from Iran, Qatar, Ukraine, the US and NepalFor people living in cities under bombardment, it's not clear how the US Israeli war with Iran will end. More than 1200 have so far been killed, amid attacks across the country. Iranians tell BBC Persian's Sarah Namjoo they are struggling to lead a normal life.Qatar is among several Gulf states that have faced Iranian strikes on military and civilian sites since the war began. As a major oil and gas exporter, it's reliant on the Strait of Hormuz, but shipments through it have now stopped due to attacks on tankers. Barbara Plett Usher has been gauging the mood in Doha.Gulf nations have turned to Ukraine for advice amid Iranian drone strikes - their expertise and technology are considered top-class. To that end, teams of Ukrainian drone experts have arrived in Qatar, the UAE, Saudi Arabia and Jordan. James Landale, the BBC diplomatic correspondent, has been in Kyiv.At a US air base in Delaware, the bodies of six US soldiers killed in an Iranian drone strike in Kuwait have been returned, attended by President Trump, Vice President JD Vance and top military officials. It was a moment of quiet solemnity amid a week where the US President has oscillated as to what the war goals are in Iran, says Bernd Debusmann.Nepal has witnessed an historic election this week. Rapper-turned-politician Balendra Shah is set to be the next prime minister. He campaigned on a platform of reform and job creation, after anti-corruption protests led by young Nepalis last year led to the resignation of the former PMr. Our South Asia Correspondent Azadeh Moshiri has been in KathmanduSeries Producer: Serena Tarling Production Coordinators: Sophie Hill and Katie Morrison Editor: Richard Vadon

# James Webb Space Telescope Unveils Cosmic Secrets: From Skull Nebulas to the Universe's First SupernovaJoin The Space Cowboy on a journey through the latest groundbreaking discoveries from NASA's James Webb Space Telescope in this cosmic roundup episode. Explore stunning new infrared images of the "Exposed Cranium" planetary nebula (PMR 1), revealing the dramatic death throes of a star 5,000 light-years away. Discover how Webb's advanced instruments captured unprecedented views of NGC 5134, a nearby spiral galaxy 65 million light-years distant, helping scientists understand star formation cycles across the universe.Learn about Webb's confirmation of the **earliest known supernova** — a cosmic explosion from 13 billion years ago when the universe was just 730 million years old — and what it reveals about the first generation of stars. Dive into cutting-edge dark matter mapping that's creating the sharpest images yet of the invisible cosmic web shaping our universe.This episode also covers:- Chemical signatures of massive primordial stars that may have seeded the first supermassive black holes- Webb's pathfinder technology now on display at the Smithsonian- The ongoing mysteries of dark energy and the interstellar mediumPerfect for space enthusiasts, astronomy fans, and anyone curious about humanity's deepest look into the cosmos. The James Webb Space Telescope continues rewriting our understanding of the universe one discovery at a time.**Keywords:** James Webb Space Telescope, JWST discoveries, planetary nebula, earliest supernova, dark matter mapping, ancient stars, space exploration, NASA astronomy, cosmic evolution, infrared astronomy---*A Quiet Please Production | Subscribe for more cosmic discoveries*Some great Deals https://amzn.to/49SJ3QsFor more check out http://www.quietplease.aiThis content was created in partnership and with the help of Artificial Intelligence AI

Dr. Nichols opens by outlining her background in protein nutrition research spanning Canada, the Netherlands, industry R&D, and now academia at UC Davis. Her research has focused on mammary amino acid metabolism, nitrogen efficiency, and the interaction between protein and energy supply in dairy cattle. (1:00–4:05) Dr. Räisänen shares her path from Penn State to Finland, Switzerland, and now Aarhus University, where she is leading research within a large, multidisciplinary project focused on lifetime nitrogen efficiency in dairy systems. Her current work examines early lactation protein supply and rumen nitrogen balance. (7:32–10:07) The discussion begins by establishing why protein nutrition plays a central role in sustainability. Ruminants are net protein producers, converting low-value feeds into high-quality milk and meat protein. However, inefficiencies in nitrogen utilization lead to urinary nitrogen excretion, contributing to ammonia emissions, nitrous oxide production, and nitrate leaching. Improving nitrogen efficiency, therefore, directly impacts environmental outcomes. (12:28–14:17) The group discusses geographic differences in nitrogen regulation. European countries like the Netherlands and Denmark face intense scrutiny due to high livestock density on limited land. Similar regional challenges are emerging in concentrated U.S. dairy regions such as California's Central Valley and parts of the Midwest. (15:17–18:19) Dr. Nichols introduces the concept of metabolic flexibility—the ability of ruminants, and especially the mammary gland, to utilize different nutrients and metabolic pathways depending on supply. This flexibility helps explain why responses to protein supplementation are not always black and white, and why traditional limiting amino acid theory does not consistently predict milk protein responses. (24:58–26:23) The conversation explores early lactation “protein boost” strategies inspired by post-ruminal amino acid infusion studies. Dr. Räisänen describes ongoing work using targeted concentrate supplementation to mimic infusion responses. Preliminary data suggest substantial early lactation milk yield responses, similar to infusion studies, when protein is delivered in a separate concentrate rather than blended into a TMR. (28:33–31:16) Dr. Nichols discusses three key areas of flexibility highlighted in her webinar: Energy source interactions (glucogenic vs. lipogenic supply),   Rumen nitrogen balance, and   Mammary gland amino acid metabolism. (32:21–33:50)   The panel explores how feeding systems may influence metabolic responses. PMR systems with separate concentrate feeding may allow temporal and metabolic “choice,” potentially improving efficiency compared to uniform TMR feeding. Robotic milking systems and automated concentrate feeders offer opportunities for more individualized protein nutrition strategies. (35:00–37:57) Amino acid discussions highlight how flexibility challenges the traditional limiting amino acid model. Milk protein synthesis is not consistently limited by one amino acid, and mammary uptake patterns show that amino acids can serve multiple roles beyond direct incorporation into milk protein. Lysine, leucine, and histidine are discussed as examples of amino acids whose responses may vary depending on metabolic context. (41:07–45:25) The group also examines energy source effects on nitrogen partitioning. Lipogenic diets (e.g., supplemental fats) may alter amino acid metabolism differently than glucogenic diets, but more research is needed to fully characterize these interactions. (49:24–53:11) Dr. Räisänen emphasizes the importance of rumen microbial protein synthesis and improving prediction models for digestible amino acid supply. Better understanding and measurement of microbial protein output could significantly improve feed evaluation systems and nitrogen efficiency modeling. (54:04–56:05) Dr. Nichols highlights endogenous nitrogen recycling and urea transport back to the rumen as another underexplored area. Improved mechanistic understanding of recycled nitrogen could refine models of rumen nitrogen balance and reduce overfeeding of dietary protein. (1:00:46) The episode closes with a discussion of cow-to-cow variation in nitrogen efficiency and the potential for individualized feeding strategies to optimize the marginal efficiency of protein use. (1:02:00) Please subscribe and share with your industry friends to invite more people to join us at the Real Science Exchange virtual pub table.   If you want one of our Real Science Exchange t-shirts, screenshot your rating, review, or subscription, and email a picture to anh.marketing@balchem.com. Include your size and mailing address, and we'll mail you a shirt.

We're at The Piston Club with Power Maxed Racing as Adam Weaver (Team Principal), Martin Broadhurst (Team Manager and Technical Director) and new driver Dexter Patterson discuss all things PMR and the BTCC.In this episode of the brand new BTCC podcast, we explore one of the most emotional chapters in recent championship history. The devastating 2025 fire that shook Power Maxed Racing and its fans. The team shares how the event has impacted them, how they rebuilt from the ground up, and what positives came from such a traumatic setback.We also discuss the team's switch to the Audi S3 Saloon, Jason Plato's return to the paddock in a new role, and the introduction of the new Qualifying Race regulations which are set to reshape race weekends as we know it.Keep an eye out for a future podcast with PMR where we will discuss more about the NEW TOCA Junior Championship.Follow for more BTCC exclusives and new podcast episodes coming soon!

Polymyalgia Rheumatica (PMR) is one of the most commonly misunderstood inflammatory conditions—yet it affects thousands of people each year, often suddenly and severely. In this episode, Dr. Isabelle Amigues breaks down exactly what PMR is, why it happens, how it's diagnosed, and how patients can reach full remission. Whether you're newly diagnosed or supporting someone who's struggling, this episode brings clarity, empowerment, and science-backed guidance.Main Topics Covered:What PMR Actually IsClassic Symptoms & PresentationWhy PMR HappensHow PMR Is DiagnosedThe Gold-Standard Treatment PlanThe Risk of Giant Cell Arteritis (GCA)Remission & Long-Term OutlookPatient Empowerment & Next StepsPMR is treatable, remission is possible, and you deserve a life free from pain. The more you understand your body, the more power you have to heal.#UnabridgedMD #PolymyalgiaRheumatica #PMRAwareness #RheumatologyCare #AutoimmuneEducation #InflammatoryArthritis #ChronicPainRelief #HealingWithScience

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En este episodio de CQ en Frecuencia hablamos de preparación real en comunicaciones de emergencia, más allá de las redes formales y las activaciones oficiales. Coincidiendo con el tercer aniversario del podcast, comenzamos con un breve flashback al episodio 1 y, a partir de ahí, entramos de lleno en dos herramientas complementarias y muy actuales: El ejercicio GRT (Grupo Radio Transpirenaico) Un ejercicio internacional, organizado por radioaficionados, que entrena la operativa real en VHF y HF desde puntos elevados. Analizamos su filosofía, su estructura y su valor como preparación individual y colectiva, apoyándonos en audios reales de distintas fases del ejercicio: ubicación, HF, VHF, relevo de operadores y estaciones de apoyo. El Plan 333 Una propuesta sencilla y accesible para aficionados a la radio que utilizan bandas libres como CB y PMR, basada en hábitos de escucha y llamada periódicos. Explicamos en qué consiste, cómo se aplica y por qué puede ser clave cuando fallan las comunicaciones habituales, con fragmentos del canal El Modulador, utilizados con permiso. Durante el episodio dejamos claro que GRT y Plan 333 no sustituyen a redes como REMER o EMCOM, sino que las complementan, reforzando la preparación previa y la presencia radioeléctrica en las fases iniciales de una emergencia. Un episodio centrado en la radio real, la escucha, el entrenamiento y la importancia de estar preparados antes de que haga falta. ¿Nos apoyas para que podamos seguir haciendo este podcast? Puedes apoyarnos en QRP con 1,99€ al mes o un poco más de potencia en QRO, con 5,99€ al mes aquí: https://cqenfrecuencia.com/apoyar/ NOTAS DEL EPISODIO - Video sobre el plan 333 en el canal de Youtube de "El Modulador" https://www.youtube.com/watch?v=cXQ5ANU6eJ4 - Información e Inscripciones al ejercicio GRT https://www.planetadelta.com/ya-esta-aqui-el-grt-de-invierno/ Envía tus preguntas, propuestas de temas o lo que quieras: https://cqenfrecuencia.com/contacto/ O en nuestro canal de Telegram: https://t.me/cqenfrecuencia Y no olvidéis visitar nuestra web: https://cqenfrecuencia.com

Peptides in Pain Management: BPC-157, Risks, Reality, and the Business of Regenerative Medicine Episode Length: ~12–15 minutes Target Audience: Pain physicians, anesthesiologists, PM&R, sports medicine, and regenerative medicine clinicians Hosted by: Dr. David Rosenblum, MD Produced by: PainExam | NRAP Academy

Peptides in Pain Management: BPC-157, Risks, Reality, and the Business of Regenerative Medicine Episode Length: ~12–15 minutes Target Audience: Pain physicians, anesthesiologists, PM&R, sports medicine, and regenerative medicine clinicians Hosted by: Dr. David Rosenblum, MD Produced by: PainExam | NRAP Academy

Bienvenue dans « Ouvrir un restaurant », le bonus du format CHEFS D'ENTREPRISE-S.Chaque semaine, David et Adrien Pitard, opening planner et fondateur de Entrée, accompagnent les futur·e·s restaurateur·rice·s en partageant des clés concrètes pour ouvrir dans de bonnes conditions.Dans cet épisode, Adrien revient sur un moment critique du projet : le suivi du chantier.Entre les nombreux prestataires, les imprévus et les contraintes techniques, un chantier mal piloté peut vite entraîner retards, surcoûts et stress inutile.Il explique :Pourquoi il est essentiel de se faire accompagner par un architecte ou un maître d'œuvre.Comment utiliser un rétroplanning précis pour garder le contrôle sur les délais.Pourquoi prévoir une marge de sécurité pour absorber les imprévus.Les bonnes pratiques à adopter : visites régulières, comptes rendus écrits, validation systématique des devis et modifications.L'importance de la conformité ERP et PMR jusqu'à la validation finale par la commission de sécurité et la mairie.Conclusion : bien suivre son chantier, c'est sécuriser son ouverture, son budget et son calendrier !Hébergé par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.

Send us a textThe holidays are the most wonderful time of the year. But for many people, they're also a perfect storm of stress, irregular routines, rich meals, travel, and unpredictable digestion.In this holiday special episode, Alyssa Simpson teams up with Dr. Ali Navidi (clinical psychologist & gut–brain specialist) to unpack why stress shows up so strongly in the gut, especially for people with IBS, chronic constipation, bloating, and functional digestive disorders.Together, they explore the gut–brain axis, why digestive symptoms often flare during the holidays, and how stress, disrupted routines, poor sleep, and travel can make digestion feel unpredictable and overwhelming. About Dr. NavidiDr. Ali Navidi is a licensed clinical psychologist and co-founder of GI Psychology, a multi-state center dedicated to treating gut-brain disorders and chronic pain. He is also a hypnosis trainer and past president of the Northern Virginia Society of Clinical Hypnosis. With a career spanning education, research, and clinical training, Dr. Navidi has presented at top institutions including UNC School of Medicine, INOVA, and Georgetown University.Resources & Links:Find Dr. Navidi & GI Psychology here:Book a FREE consult with GI Psychology to explore gut-brain therapies: https://www.gipsychology.com/free-consultation/ Follow GI Psychology on Instagram: https://www.instagram.com/gipsychusa Learn more about gut-directed hypnotherapy and PMR: https://www.gipsychology.com/services/#what-we-do Connect with GI Psychology on LinkedIn: https://www.linkedin.com/company/gipsychology/postsFacebook: https://www.facebook.com/GIPsychology/Find Alyssa here: Check out Alyssa's FREE Masterclass “Why your gut still isn't better - the real reason you feel stuck here. Instagram, LinkedIn, Facebook, Pinterest   DM “GUT CHECK” on Alyssa's Instagram for a personalized quiz and free meal plans & resources to kickstart your gut healing journey.-If you're enduring uncomfortable, painful, and embarrassing GI symptoms and feel like you've tried everything, Alyssa uses a specialized approach to help people who've gone from doctor to doctor finally find relief. Book your 15-minute strategy call for FREE here.Looking for a supportive Gut Health community? Alyssa is building a community committed to helping people overcome their digestive symptoms by addressing the root cause using food and nutrition. Join Alyssa's FREE Facebook Community here.The Gut Health Dialogues drops new episodes weekly to help you uncover root causes, not just treat symptoms. Tune in for gut health insights, client transformation, and expert insights into gut health. Leave a review—Your support will help Alyssa empower more people with the knowledge and tools to take control of their gut health and rec

DSD 6.12 | Brachytic corn for increased production The brachytic gene mutation results in corn that is shorter in stature but an improved digestibility profile. Through a reduction in intranode distance, the corn plant reduces indigestible fiber. Dr. Antonio Gallo, PhD ruminant nutritionist from Università Cattolica del Sacro Cuore and his team in Italy recently studied the impact of this gene mutation on the productivity of the dairy herd. High quality, home grown forages allow dairy producers to maintain the competitive edge. By limiting the purchase of off-farm nutrients, forages possess the ability to advance or hold back a herd. When brachytic corn was fed, they found a yield increase of 3.8 lbs/cow/day. However, the higher producing animals did not consume more. “This is likely due to a chemotactic effect,” Gallo describes. The team measured changes in the intake pattern which provided insight to future research questions for data to better understand how this phenomenon could have happened. The quality of corn silage impacts the health and productivity of the dairy cow. Additionally, her intake behavior is impacted by the ration. As more dairy farms move toward robotic systems, maximizing the energy density of the PMR will directly impact productivity, perhaps brachytic corn is most important in these systems. Listen in to understand how the brachytic corn variety might work in your operation. Topics of discussion 1:24      Introduction of Dr. Antonio Gallo 3:01      What is “brachytic” 5:38      Chemical analysis of Short Stature (SSC) vs Tall Stature Corn (TSC) 6:24      NDF differences (Table 2) 9:11      Dry matter differences – ‘stay green' benefit 10:02     What about disease pressure in corn fields 12:01    SSC field observations re: lodging during derechos 12:31    Planting rate 13:37    Ration calculation – and feeding strategy 14:58    Individual intake and feeding behavior of each animal 15:59    Research herd description 16:13    Milk yield response, 3.8 lbs/cow/day 17:22    Rumen Flow Rate 18:22    Dry matter yield drag at harvest? 20:10    Feed behavior – eating less and producing more    21:04     Chemotactic effect - Apparent digestibility NDF, starch and protein 24:52     What do you want ‘boots on the ground' dairymen to know about your project   Featured Article: Effect of silage from a new brachytic corn hybrid with a high harvest index on feeding behavior and performance of lactating dairy cows   #2xAg2030; #journalofdairyscience; #openaccess; #MODAIRY; #NDFd; #cornsilage; #brachytic; #moremilk; #staygreen; #lignin; #mealsize; #dairysciencedigest; #ReaganBluel

Drs. Jack Cush and Artie Kavanaugh preview the upcoming RNL 2026 meeting in Dallas, TX on February 7 & 8, 2026. Register at RheumNow.Live Below is the program: Saturday, February 7, 2026, 7:50 - 8:00 am Welcome & Introductions Drs. Cush and Kavanaugh 8:00 - 10:00 am POD I - Rheumatoid Arthritis: Achieving Better Outcomes 8:00 – 8:30 am Mortality in RA: A Story of Decline, Delay, or Plateau? Elena Myasoedova, MD 8:30 – 9:00 am The Mucosal Hypothesis of Rheumatoid Arthritis Kristen Demoruelle, MD 9:00 – 9:30 am ILD in RA – Recent Advances Jeffrey Sparks, MD 9:30 – 10:00 am Rheumatoid arthritis Faculty Q&A 10:00 - 10:15 am STEP 1: Placebos in Rheumatology Andreas Kerschbaumer, MD 10:15 -10:30 am STEP 2: Disease Modification in Osteoarthritis Tuhina Neogi, MD PhD 10:30 – 11:05 Break 11:05 - 12:10 pm POD II – Advancing Practice 11:05 – 11:30 am Obesity & Inflammation: Weight Management in Rheumatology Uzma Haque, MD 11:30 - 11:55 am Mitigating risk in Rheum Pts undergoing surgery Susan Goodman, MD 11:55 -12:10 pm Practice Panel Faculty Q&A 12:10 – 1:00pm Lunch 1:00 – 3:00 pm POD III – Decisions in Psoriatic Arthritis 1:00 - 1:30 pm Paradoxical Psoriasis and Strange Reactions Joseph Merola, MD 1:30 - 2:00 pm Why Do Plain X rays in Psoriatic Arthritis Arthur Kavanaugh, MD 2:00 - 2:30 pm IL-23 vs IL-17 inhibitors in PsA Andre Ribero, MD 2:30 - 3:00 pm Past, Present & Future of Gout Robert Terkeltaub, MD 3:00 - 3:30 pm Psoriatic Faculty Q&A 3:30 - 4:05 pm Break 4:05 - 4:20 pm STEP 3: Helicobacter Pylori update Byron Cryer, MD 4:20 - 4:35 pm STEP 4: History of Gout Robert Terkeltaub, MD 4:35 – 5:15 pm Keynote Address: 50 Years of Osteoporosis Michael McClung, MD 5:30 – 7:00 pm Reception Sunday, February 8, 2026 Day TOPIC Speaker 7:50-8:00 am Welcome & Introductions Drs. Cush and Kavanaugh 8:00 - 10:00 am POD IV – Staying Ahead of Spondyloarthritis 8:00 – 8:30 am Diagnosing Axial Spondyloarthritis in 2026 Denis Poddubnyy, MD 8:30 – 9:00 am Spondyloarthritis Complications Jessica Walsh, MD 9:00 – 9:30 am 2026 Advances in Spondyloarthritis Catherine Bakewell, MD 9:30 – 10:00 am Spondyloarthritis Faculty Q&A 10:00 – 10:15 am STEP 5: Asymptomatic Elevation of CK Rojit Agarwal, MD MS 10:15 – 10:30 am STEP 6: Update on Myositis Antibodies Rojit Agarwal, MD MS 10:30 – 11:05 am Break 11:05 – 12:10 am POD V – Highlights in Autoimmune Disease 11:05 - 11:35 am SMILE Study – Hydroxychloroquine in ANA+ Arthralgia Nancy Olsen, MD 11:35 – 12:05 am Sjogren's Treatment Landscape in 2026 Matthew Baker, MD 12:05 - 12:20 pm Autoimmune Faculty Q&A 12:20 – 1:25 pm POD VI - Large & Small Vessel Vasculitis 12:20 – 12:45 pm Embracing Relapses in PMR and GCA Michael Putman, MD 12:45 - 1:10 pm Small vessel vasculitis Clay Cockerell, MD 1:10 - 1:25 pm Vasculitis Faculty Q&A 1:30 pm Adjourn

Can a COVID-19 infection flip a hidden switch in your immune system—triggering arthritis or other autoimmune conditions? Dr. Isabelle Amigues explains what she's seeing in clinic, the science behind post-infection immune shifts, and why treatment and vaccination choices must be tailored to you.What You'll Learn:From infection to inflammation: Real cases of new-onset inflammatory arthritis (rheumatoid, psoriatic) and PMR emerging soon after COVID-19—and how clinicians decide if it's causation or coincidence.The “two-hit” model: Genetics and risk factors (family history, smoking, stress, adiposity) can lie dormant until an infection like COVID-19 triggers overt autoimmunity.Immune overdrive & treatment overlap: Why severe COVID-19 sometimes responds to steroid/IL-6/TNF-blocking therapies—tools also used for autoimmune disease—plus what that tells us about shared pathways.Treat what's in front of you: If your labs/exam meet criteria for RA/PMR/vasculitis/lupus, treat per standard rheumatology care—regardless of whether COVID was the spark.Post-COVID (long COVID) nuance: Dysautonomia, fatigue, exercise intolerance often require team-based care (coaching, nutrition, PT, psychotherapy) to rebalance sympathetic/parasympathetic systems.Vaccination decisions: Not one-size-fits-all. Context matters—prior reactions, exposure risk, location, and current therapies (e.g., IVIG may already provide community antibodies)—so decide with your rheumatologist.Science evolves, partnership endures: Cutting through misinformation with clear, individualized education and a strong patient-physician relationship.What's next: Details on Dr. Amigues' upcoming holistic inflammation webinar and group coaching designed to speed remission and build resilience.If an infection can nudge a predisposed immune system into autoimmunity, which lever will you pull this week to lower baseline inflammation—sleep, stress care, movement, nutrition, or community support?

Paul Mayberry is a community pharmacist with more than 30 years experience. He is the owner and managing director of a small chain of pharmacies in South Wales, and also the founder of the PMR platform PharmacyX. Mayberry also founded online pharmacy PillTime, and is a founder and director of Cambrian Alliance, a UK-wide buying group serving 1,200 independent pharmacies. He has also developed eCASS, a buying cascade to optimise medicine purchasing. He previously was vice chairman of Community Pharmacy Wales and served on the Welsh Pharmaceutical Committee that advised the Welsh health minister. Mayberry is currently spearheading a project with the Welsh government and The Bevan Commission to design the community pharmacy of the future in Wales.

Project Motor Racing steht derzeit im Zentrum der Kritik. Vor allem auf Steam ziehen die Leute ein äußerst negatives Fazit über die Racing Sim von Entwickler Straight4 und Publisher Giants Software. Lediglich 21 Prozent der Rezensionen fallen derzeit positiv aus. Doch ist die Welle an Empörung komplett gerechtfertigt oder übertrieben?In Folge 196 des PC Games Podcast plaudert Moderator Michi Grünwald mit Content Creator und Sim-Racer Champion Joe über den verkorksten Release von PMR. Das Duo verrät euch, wo die Hauptprobleme liegen, und warum es für die Zukunft trotz Schwierigkeiten noch Hoffnung gibt. Das Handling der meisten Fahrzeuge ist schließlich nicht so schlecht, wie es im Moment häufig dargestellt wird.Wir sprechen aber auch über Alternativen im Genre der Rennsimulationen. Wir erklären beispielsweise, was RaceRoom, Assetto Corsa EVO, iRacing und Automobilista 2 besser machen als Project Motor Racing. Lasst uns gerne in den Kommentaren wissen, ob ihr schon Runden gedreht habt, oder euch der Launch kaltlässt. Wir wünschen euch viel Spaß beim Anhören der aktuellen Ausgabe!Wer nicht genug vom Sim Racing bekommt, darf natürlich auch in unsere neue Rubrik schauen: In der PCG Garage stellen wir monatlich bestimmte Themen und Hardware ins Rampenlicht. Während sich in Folge eins alles um die Faszination von Rennsimulationen dreht, machen wir in Folge zwei einen Abstecher in die Vergangenheit der DTM in Spielen.Der PC Games Podcast - der offizielle Videospielpodcast der PC Games - erscheint seit über einem Jahrzehnt regelmäßig und liefert dabei wöchentlich gleich mehrere Talks zum riesigen Thema Videospiele.Unser Moderationsteam, Michi Grünwald und Vivi Ziermann, deckt dabei etliche Bereiche ab: Review-Gespräche und Previews zu brandaktuellen Games, nostalgische Rückblicke, Reports, Interviews und vieles mehr. Dabei gibt es natürlich auch immer mal wieder spannende Insights in die Spielebranche und in die Redaktion des ältesten, noch aktiven Videospielmagazins Deutschlands - seit 1992 am Start!Unser Spiele-Podcast ist vollkommen kostenlos zugänglich und neben unseren Webseiten auch auf allen großen Podcast-Plattformen - von Apple Music bis hin zu Spotify - zu finden.

Le billet d'humeur de Katherine. La chronique Quoi de neuf en boutique solidaire avec Angelo. Une interview du Défi 24h Angers Téléthon où nous recevrons Marine, marraine de l'édition 2025 et deux membres de la Team du Défi : Éric Brivain et Marie Laure Bioteau. La chronique J'en connais un rayon de Philippe où il nous a parlé de la collecte des Déchets et de la problématique d’accessibilité des composteurs partagés. Un véritable enfer pour toutes les personnes en situation de handicap mais aussi pour les enfants ! Notre chronique culturelle avec Éric qui nous parle de cinéma. La chronique Roue de secours de Philippe dans laquelle il nous parle de stationnement PMR et de la difficulté liée aux innovations technologiques et à la disparition des êtres humains gérant la verbalisation. Résultat de nombreuses amendes pleuvent alors que les gens sont dans leur bon droit. Et enfin, nous terminerons par l'agenda par Katherine.

Replay of RheumNow Live 2025 - Vasculitis Featuring:  - Dr. Michael Wechsler: Management of EGPA in 2025 - Dr. Rennie Rhee: Imaging in Vasculitis - Dr. Richard Conway: Modern Treatment of PMR

En 2019, Eva et son mari Georges font des travaux d'aménagement PMR de leur salle de bains, car Georges est en invalidité. Ils signent un devis de 6.534€ et versent 3.000€ d'acompte. Ils stoppent le chantier car les délais ne sont pas respectés. Et en plus, il y a de nombreuses malfaçons ! Un jugement condamne l'artisan à rembourser près de 22.000€. Mais depuis lors, Eva n'a plus de nouvelle de l'artisan ni de sa propre avocate. Johanna Boubekeur revient sur ce cas du jour particulièrement mouvementé ! Au micro de Chloé Lacrampe, un membre de l'équipe de "Ça peut vous arriver" revient sur les négociations difficiles et les moments off de ces 2h d'antenne !Hébergé par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.

Chaque semaine, en bonus du podcast CHEFS, David et Adrien Pitard, opening planner et fondateur de la société Entrée, partagent les coulisses de l'entrepreneuriat food.Ce format donne des clés concrètes à toutes celles et ceux qui rêvent d'ouvrir leur restaurant.Cette semaine : Comment bien s'entourer pour ouvrir un restaurant ?Ouvrir un établissement, c'est gérer plus d'une centaine de tâches, à faire au bon moment, avec les bons interlocuteurs, et dans le bon ordre.Et parfois, cela commence par quelqu'un qui coordonne tout.Dans cet épisode, Adrien détaille les 7 alliés clés d'une ouverture réussie :Avocat – pour sécuriser juridiquement le projet et le bail.Expert-comptable – pour fiabiliser les chiffres et la structure financière.Architecte ERP – pour assurer la conformité aux normes (PMR, incendie).Cuisiniste – pour concevoir une cuisine fonctionnelle et aux normes.Banquier / conseiller en financement – pour trouver le bon montage financier.Graphiste / agence de com' – pour travailler l'identité et la marque.Chef de projet ou accompagnateur d'ouverture – pour coordonner, challenger et éviter les oublis coûteux.

In this hope-filled episode of the UnabridgedMD Podcast, Dr. Isabelle Amigues sits down with Cliff—a former patient—to trace his journey from sudden, debilitating pain and months of uncertainty to full remission and a return to the life he loves. After being dismissed and delayed elsewhere, Cliff found UnabridgedMD, received an accurate diagnosis of polymyalgia rheumatica (PMR), and followed a clear, compassionate plan: calm the “fire” of inflammation, treat decisively, and taper safely. Within a few months he was off steroids, symptom-free, and cleared to travel to Africa—proof that partnership, precise listening, and a treat-to-target mindset can change everything.

今回のゲストは建築のプロジェクトマネジメントを専門とするSantas株式会社代表の宮崎敦史さんです。 @miya305組織設計事務所や外資系エンジニアリング企業で経験を積み、プロジェクトマネージャーとして独立した宮崎さんの仕事や、プロジェクトマネジメントのスキルや考え方について聞きました。topicsプロジェクトマネージャーとは/前職での経験/使っているツール/PMrの資質/フィーの出し方/あえて遅らせるスキル/大阪万博/プロジェクトとプログラム/モヤモヤを次に活かす/ロンドンでoasis/まちの定点観測/ホリデイフィーリングスゲストプロフィール宮﨑敦史　(santas代表)1985年生まれ。慶応義塾大学大学院修了後、組織設計事務所、外資系エンジニアリング企業を経てsantasを設立。「クリエイティブ」「マネジメント」をコアスキルとして、主に建築・都市における企画、設計、プロジェクトマネジメント業務に従事し、大企業のオフィスや公共施設のプロジェクトを多数担当。様々な専門家と協働し、社会に新しい価値を生み出すことを信念としている。また、学生時代から社会課題解決に関心を持っており、被災地での集会所計画、児童養護施設の改修などのコミュニティ・エンゲージメント活動、さらには環境建築に関する書籍の出版など、活動は多岐にわたっている。

This episode was recorded in Fort Wayne, Indiana, during the 2025 Tri-State Dairy Conference.Dr. Fessenden gives an overview of his presentation which covered both research and field information on automated milking systems. He recommends going back to basics and formulating a rumen-friendly PMR with a complementary palatable feed that encourages the cows into the robot system. (5:57)The panel discusses ideas for driving cows to the robot on different types of PMRs, management of transition and late lactation cows in automated milking systems, and the use of custom pellets versus other supplemental feeds in the robot. (9:04)Dr. Fessenden talks about some of his experiences visiting automated milking systems in Europe and some of the differences between European and North American approaches to diet formulations in automated systems. The group goes on to talk about different options for supplemental feed formulations in the robot. (18:38)Dr. Fessenden and Dr. Tylutki share ideas for how feeding technology could help both traditional and automated milking farms in the future. They discuss more precise grouping of cows and targeted feeding of those groups to better match requirements, as well as how movement to different pens and diet changes can impact milk production. (23:45) Dr. Tylutki updates the group on advancements in the AMTS balancing tools for multiple robot feeds. He and Dr. Fessenden describe the challenges of developing new tools that are streamlined and user-friendly for nutritionists. They also delve into the role artificial intelligence and machine learning might play in ration balancing in the future. (29:32)Dr. Fessenden encourages nutritionists to think outside the box when working with automated milking herds to make decisions that are right for that particular farm. Dr. Tylutki chimes in with advice to spend time actually watching the cows on the farm, and Dr. Van Soest echoes this sentiment when it comes to troubleshooting issues with the robots themselves. Don't just assume it's an issue with the ration - ask or observe for yourself what may have changed on the farm that could contribute to the issue the farm is facing. (40:02)Panelists share their take-home thoughts. (45:20)Please subscribe and share with your industry friends to invite more people to join us at the Real Science Exchange virtual pub table.  If you want one of our Real Science Exchange t-shirts, screenshot your rating, review, or subscription, and email a picture to anh.marketing@balchem.com. Include your size and mailing address, and we'll mail you a shirt.

New options for knee pain—radiation and embolization; Popeye was right to power-up with spinach; Conquering inflammation; Methane-predominant SIBO; Unnecessary back surgery on seniors is rampant; Medicare Advantage patients often relegated to inferior cancer surgery. 

Episode Summary  Child & adolescent psychiatrist Dr. Blaise Aguirre (McLean Hospital) shares DBT tools that help ADHD kids and their parents build emotional regulation before a crisis. We cover modeling calm, the mantra “regulate before you can reflect,” fast resets (breathing, PMR, ice-dive), and a practical, compassionate look at ADHD medication, what to watch, and how careful prescribing reduces risk. Guest Dr. Blaise Aguirre, Mood's leading psychiatrist and Assistant Professor of Psychiatry, Harvard Medical School. With 25+ years of treating over 7,000 children and adolescents at McLean Hospital, Dr. Aguirre has extensive experience helping ADHD kids develop emotional regulation skills and coping strategies for high-stress periods. Episode Overview Many kids labeled “misbehaving” are actually missing skills. Dr. Aguirre explains how DBT-based exercises taught early, practiced often, and modeled by parents become second nature and reduce meltdowns. You'll learn why a parent's steady nervous system matters (mirror neurons), how to de-escalate in the moment, and how to think about ADHD meds: quick signal checks, side-effect watching, and partnering with a responsive prescriber. Goal: fewer crises, more connection, and a resilient self-story for your child. What We Talk About (Highlights) Skills > “misbehavior”: teach what's missing—don't shame Parents first: model regulation; your calm lowers their heat Practice before you need it (make coping automatic) Fast resets anywhere: slow breathing, progressive muscle relaxation, ice-dive Medication basics: quick feedback loop for many stimulants, dose/side-effects to watch, work with a responsive prescriber Protect the self-story: reduce invalidation (“lazy,” “stupid”) to prevent long-term harm. Mirror neurons: your agitation amplifies theirs—stay steady Resources & Links Dr. Aguirre (McLean Hospital): https://www.mcleanhospital.org/profile/blaise-aguirre Mood Tools App (free): https://www.mood.org/app Books by Dr. Aguirre: https://www.amazon.com/stores/author/B001JP3X2W About Your Host Kate Brownfield, Certified Whole Person & ADHD Parent Coach; author of How We Roll: A Parent's Journey Raising a Child with ADHD; host of The ADHD Kids Can Thrive Podcast. Every child with ADHD is unique—so are their strengths and struggles. Website & coaching: ADHDKidsCanThrive.com Get the first three chapters of How We Roll free: https://lp.constantcontactpages.com/sl/On1ABRH/first3chapters Enjoyed this episode? Subscribe to The ADHD Kids Can Thrive Podcast Share with a parent who needs encouragement today. Leave a quick rating/review—it helps other ADHD families find the show.

Witam Państwa, nazywam się Jarosław Drożdż, pracuję w Centralnym Szpitalu Klinicznym Uniwersytetu Medycznego w Łodzi, skąd nagrywam podcast Kardio Know-How. W tym odcinku kontynuuję omawianie doniesień z tegorocznego kongresu ESC.Najnowsze wytyczne ESC 2025 dotyczące wad zastawkowych serca zastąpiły wersję sprzed 4 lat i wprowadzają 28 nowych oraz 50 zmodyfikowanych zaleceń. Podkreśla, że dokument jest kluczowy dla specjalistycznych ośrodków, gdzie decyzje terapeutyczne podejmuje zespół Heart Team. W stenozie aortalnej (AS) TAVI zaleca się od 70. r.ż. (wcześniej 75), a SAVR u pacjentów

Project Sync / Status Update Summary Podcast Episode Overview The host discussed Transcutaneous Electrical Nerve Stimulation (TENS) as a recurring pain board topic and reviewed mechanisms, efficacy, and clinical considerations. Emphasis that TENS appears on pain boards annually and is a foundational topic from early podcast episodes. Board Prep and NRAP Community at PainExam.com or NRAPpain.org ABA ABPM ABIPP FIPP Pain Management Board prep, Question Banks, and Virtual Pain Fellowship Educational Offerings and Events Training and Courses: Monthly ultrasound courses in New York and upcoming courses in Detroit covering ultrasound-guided regional anesthesia and chronic pain. Ultrasound Guided Acute and Chronic Pain course in November near Hollywood/Fort Lauderdale with venue pending confirmation. Multiple instructors to offer diverse perspectives; registration via the CME calendar at nrappain.org. Conferences and Teaching: New York–New Jersey Pain Conference in November (hosted by Soudir Duwan). ISPN conference in London next week, with ultrasound teaching participation by the host. Community and Coaching: Private coaching and shadowing opportunities available; contact via newsletter replies. Access to the NRAP community forum upon signup at nrappain.org for discussions on neuromodulation, regional anesthesia, and pain. TENS: Mechanisms and Parameters Device and Parameters: TENS delivers adjustable pulse frequency and intensity; configurations include low (50–100+ Hz), and mixed frequencies. Mechanisms of Analgesia: Activation of large-diameter, non-noxious A-beta afferent fibers in the periphery, driving descending inhibitory pathways and reducing hyperalgesia. Board-relevant point: selective activation of A-beta fibers is frequently tested. Central effects: Reduces central excitability and nociceptive dorsal horn neuron activity in uninjured and injured models. Frequency-dependent opioid receptor mediation: High-frequency analgesia blocked by delta receptor antagonists. Low-frequency analgesia blocked by mu receptor antagonists (spinal cord and rostral ventral medulla). Additional receptor involvement: muscarinic M1/M3, GABA-A, and cannabinoid (CB1) receptors; blockade reduces or prevents TENS analgesia depending on frequency. Peripheral effects: High-frequency TENS reduces injury-related increases in substance P in DRG neurons. Blockade of peripheral opioid and CB1 receptors can prevent analgesia from both low- and high-frequency TENS. Clinical dosing considerations: Adequate dosing (timing, frequency of use, intensity achieving strong but non-painful paresthesia) influences efficacy. Analgesia has rapid onset/offset and may require repeated administration throughout the day for sustained relief. Evidence and Efficacy Summary Practical Interpretation: TENS is inexpensive, low-risk, self-administered, and titratable; commonly used by patients and physical therapists. Clinical experience suggests potential adjunctive benefit for acute pain, but systematic reviews are conflicting; more rigorous studies are needed. For board preparation, the critical takeaway is A-beta fiber activation. Key Takeaways for Board Prep TENS targets large-diameter non-noxious A-beta afferents to reduce nociceptive signaling. High-frequency TENS: analgesia mediated via delta opioid receptors; blocked by delta antagonists. Low-frequency TENS: analgesia mediated via mu opioid receptors; blocked by mu antagonists in spinal cord and RVM. Additional receptor systems influencing TENS efficacy include muscarinic (M1/M3), GABA-A, and CB1. Action Items Review TENS mechanisms with emphasis on A-beta fiber activation for board prep. Verify and publish final venue details for the November Florida ultrasound course. Share registration links and schedules for Detroit and New York ultrasound and chronic pain courses via CME calendar. Prepare teaching materials for ISPN London ultrasound sessions next week. Update board prep resources on painexam.com and nrappain.org with current TENS evidence and dosing guidance. Promote NRAP community forum access and private coaching/shadowing opportunities through the newsletter.   David Rosenblum, MD, currently serves as the Director of Pain Management at Maimonides Medical Center and AABP Integrative Pain Care.  As a member of the Department of Anesthesiology, he is involved in teaching, research, CME activities, and was key faculty in developing the anesthesiology residency's regional anesthesia block rotation, as well as institutional wide acute and chronic pain management protocols to ensure safe and effective pain management. He currently is a managing partner in a multi-physician private pain practice, AABP Integrative Pain Care, located in Brooklyn, NY. He is one of the earliest interventional pain physicians to integrate ultrasound guidance to improve the safety and accuracy of interventional pain procedures. Patients can go to www.AABPpain.com or call 718 436 7246 Awards New York Magazine: Top Doctors: 2016, 2017, 2018, 2021, 2022, 2023, 2024, 2025 Schneps Media: 2015, 2016, 2017, 2019, 2020 Top Doctors New York Metro Area (digital guide): 2016, 2017, 2018, 2019, 2020, 2021, 2022, 2023 2025 Schneps Media - Brooklyn Courier Life: 2021, 2022, 2023 References  Johnson M. Transcutaneous Electrical Nerve Stimulation: Mechanisms, Clinical Application and Evidence. Rev Pain. 2007 Aug;1(1):7-11. doi: 10.1177/204946370700100103. PMID: 26526976; PMCID: PMC4589923.   Vance, C.G.T.; Dailey, D.L.; Chimenti, R.L.; Van Gorp, B.J.; Crofford, L.J.; Sluka, K.A. Using TENS for Pain Control: Update on the State of the Evidence. Medicina 2022, 58, 1332. https://doi.org/10.3390/medicina58101332 #painnyc #painbrooklyn #prpbrooklyn #prpspine #regionalanesthsia #pccwindsor #paincareclinicswindsor #painwindsorontario #paindocwindsorontarior #paincareclinics #prpwindsorontario #prp 

In this special episode of The Health Advocates, we take a closer look at Polymyalgia Rheumatica (PMR), a condition that affects tens of thousands of older adults each year in the U.S. but is often misunderstood. Host Steven Newmark is joined by GHLF’s Angela Degrassi, patient advocate Eileen Salsman, and two leading experts — Dr. Leonard Calabrese and Dr. Jeffrey Curtis — to unpack what PMR is, how it impacts daily life, and why a patient-centered approach to research and care is so important. Together, they explore symptoms, diagnosis, steroid treatment challenges, and emerging insights from new research and lived experience. Special note: We invite you to a live webinar on Polymyalgia Rheumatica (PMR) that will explore critical gaps in diagnosis and disease monitoring. Date: Thursday, September 18thTime: 6:30 PM EasternLocation: Live on YouTube To register, visit: https://www.research.net/r/RKW2FHZ Contact Our Host Steven Newmark, Chief of Policy at GHLF: snewmark@ghlf.org A podcast episode produced by Ben Blanc, Director, Digital Production and Engagement at GHLF. We want to hear what you think. Send your comments in the form of an email, video, or audio clip of yourself to podcasts@ghlf.org Listen to all episodes of The Health Advocates on our website (https://ghlf.org/the-health-advocates) or on your favorite podcast channel.See omnystudio.com/listener for privacy information.

Proud to team up with Get Joy! Their Freeze Dried Raw meals are crafted for better digestion, more energy, and happier days together because joy starts from within. Feeling trapped in rigid routines because of anxiety? You're not alone—and you're not “broken.” In this video, I break down why anxiety-driven planning spirals (from route-mapping the grocery store to pre-writing every social reply) quietly steal your time, energy, and self-trust—and how to get your life back.What you'll learnHow anxiety routines (not just OCD) become mental “time thieves”The hidden cost: why over-planning convinces you you're incompetent6 practical ways to loosen anxiety's grip:Care for something beyond yourselfTake action before you feel “ready” (graded exposure)“Finish the story” behind your fearIntentionally disrupt the routine (safe, small experiments)Lean on universal coping tools (mindfulness, breath work, PMR, prayer/mantras)Build a receipts file of times you handled it just fineGet my ⁠5-day guide to reclaiming your time and energy despite mental health struggles⁠.Get Practical tools for navigating life with depression and anxiety, delivered weekly⁠⁠⁠.⁠3 Unique ways to work with me⁠⁠Dramatically improve your sleep in 2 steps⁠⁠ with my new Sleep Workbook.⁠⁠⁠My book: For When Everything is Burning⁠⁠⁠⁠⁠⁠Connect with me on TikTok⁠⁠Connect on Instagram⁠⁠Disclaimer: This content is not intended to be a replacement for receiving treatment. It is purely educational in nature. My relationship with you is that of presenter and audience, not therapist and client.But I do care.

Matt and Steven look at the exciting new trailer for PMR, the VERY cute trailer for iRacing Arcade and what's likely to come from LMU in September.

Send us a textIn this episode, host Alyssa Simpson is joined by GI psychologist and gut-brain expert Dr. Navidi to explore one of the most overlooked drivers of chronic digestive issues: the gut-brain connection.They dive into a category of conditions known as Disorders of Gut-Brain Interaction (DGBIs)—which include IBS, bloating, reflux, functional constipation, nausea, and more. Millions live with these diagnoses without realizing their symptoms are being driven, not just by food, but by nervous system dysregulation. If your symptoms persist even after eliminating triggers, trying meds, or running every test, this episode explains why—and what to do next.About Dr. NavidiDr. Ali Navidi is a licensed clinical psychologist and co-founder of GI Psychology, a multi-state center treating gut-brain disorders and chronic pain. He's also a hypnosis trainer and past president of the Northern Virginia Society of Clinical Hypnosis. Dr. Navidi has presented at top institutions including UNC School of Medicine, INOVA, and Georgetown University, helping clinicians and patients understand the gut-brain connection.Resources & Links:Find Dr. Navidi & GI Psychology here:Book a FREE consult with GI Psychology to explore gut-brain therapies: https://www.gipsychology.com/free-consultation/ Follow GI Psychology on Instagram: https://www.instagram.com/gipsychusa Learn more about gut-directed hypnotherapy and PMR: https://www.gipsychology.com/services/#what-we-do Connect with GI Psychology on LinkedIn: https://www.linkedin.com/company/gipsychology/postsConnect with GI Psychology on Facebook:https://www.facebook.com/GIPsychology/Find Alyssa here: Instagram, LinkedIn, Facebook, Pinterest   DM “GUT CHECK” on Alyssa's Instagram for a personalized quiz and free meal plans & resources to kickstart your gut healing journey.Check out Alyssa's FREE Masterclass “Why your gut still isn't better - the real reason you feel stuck here. -If you're enduring uncomfortable, painful, and embarrassing GI symptoms and feel like you've tried everything, Alyssa uses a specialized approach to help people who've gone from doctor to doctor finally find relief. Book your 15-minute strategy call for FREE here.Looking for a supportive Gut Health community? Alyssa is building a community committed to helping people overcome their digestive symptoms by addressing the root cause using food and nutrition. Join Alyssa's FREE Facebook Community here.The Gut Health Dialogues drops new episodes weekly to help you uncover root causes, not just treat symptoms. Tune in for gut health insights, client transformation, and expert insights into gut health. Leave a review—Your support will help Alyssa empower more people with the knowledge and tools to take control of their gut health

In this episode, we dive into the history of polymyalgia rheumatica, how it was discovered and its link to giant cell arteritis. Intro 0:01 In this episode 0:10 What is polymyalgia rheumatica (PMR)? 0:24 The history of PMR 02:12 PMR in the 1950s: A formally recognized disease 04:52 What was probably PMR in the 1880s 06:27 Naming PMR: Senile rheumatic gout 07:26 1957: The witch's shot and finally landing on polymyalgia rheumatica 08:30 Where is PMR coming from? 14:42 Injecting joins with saline 16:39 A biopsy study in 1964 19:54 Technetium bone scintigraphy in 1971 and bone scan history 23:01 First look at a PMR ultrasound in 1993 27:00 1997: First use of MRI on PMR patients in Italy 27:49 Going back to 1962: PMRs association with giant cell arteritis 30:40 A paper on muscular involvement in giant cell arteritis: 80-year-old ‘robust' partially blind seaman 32:15 First systematic approach: The link between PMR and giant cell arteritis 35:14 80 cases of PMR 38:13 Swedish autopsy studies 41:07 Introduction of advanced imaging in the 1990s 42:40 Summing up PMR through the decades 43:28 That is the end! 45:25 Thanks for listening 45:50 We'd love to hear from you! Send your comments/questions to Dr. Brown at rheuminationspodcast@healio.com. Follow us on Twitter @HRheuminations @AdamJBrownMD @HealioRheum. References: Bruk MI. Ann Rheum Dis. 1967;doi:10.1136/ard.26.2.103. Cantini F, et al. J Rheumatol. 2001;28(5):1049-55. De Miguel E, et al. Rheumatology (Oxford). 2024;doi:10.1093/rheumatology/kead189. Dixon AS, et al. Ann Rheum Dis. 1966;doi:10.1136/ard.25.3.203. Hamrin B, et al. Ann Rheum Dis. 1968;doi:10.1136/ard.27.5.397. Salvarani C, et al. Ann Intern Med. 1997;doi:10.7326/0003-4819-127-1-199707010-00005. Shah S, et al. Rheumatology (Oxford). 2025;doi:10.1093/rheumatology/keae569. Disclosures: Brown reports no relevant financial disclosures.

Progressive muscle relaxation (PMR) is a stress-management mindfulness technique. The idea behind PMR is that there is a relationship between a person's mind and body. It works by helping to relieve physical tension, such as tight, aching muscles, through a simple process of tensing and relaxing specific muscle groups. PMR is a two-step practice: first, you actively tense targeted muscles; then, you release that tension and pay attention to how your body feels in its relaxed state. This technique can help reduce overall stress and physical discomfort, and support a greater sense of calm when you're feeling anxious. Join our Month of Mindfulness Challenge 30 days of short daily practices to help you slow down, check in, and care for your mind.   To download the My Possible Self app: https://mypossibleself.app.link/podcast To follow My Possible Self on Instagram: https://www.instagram.com/mypossibleself  

Summary Dr. David Rosenblum delivered a comprehensive lecture on gender differences in opiate effects and prescribing practices. He discussed several key studies examining how opiates affect males and females differently, both in animal models and humans. Dr. Rosenblum shared findings showing that morphine has stronger analgesic effects in males, while females experience longer-lasting effects. He also addressed racial disparities in opiate prescribing, noting that white patients are more likely to receive opiates. From his personal clinical experience in Brooklyn, Dr. Rosenblum observed that certain populations tend to be at higher risk for opiate abuse. The lecture covered gender-specific risk factors for opiate misuse, with women tending toward emotional/psychological factors and men showing more behavioral issues. Pain Management Board Prep   Ultrasound Training REGISTER TODAY! Chapters Introduction and Upcoming Conferences Dr. Rosenblum introduced himself as the host of the Pain Exam Podcast and announced several upcoming conferences including ASPN in July, PainWeek in September, and other events where he will be teaching ultrasound and regenerative medicine. Board Preparation and Opiate Topics Dr. Rosenblum discussed his role in board preparation through painxam.com and nreppain.org. He emphasized that opiates are a frequently tested topic across different board examinations (FIP, ABPM, ABIP, ABA). Gender Differences in Opiate Effects - Animal Studies Dr. Rosenblum presented research showing that in animal studies, morphine exhibited stronger analgesic effects in males, while females showed longer-lasting effects and could tolerate higher doses. He noted that physical dependence was more severe in male rats during spontaneous withdrawal. Racial and Gender Disparities in Opiate Prescribing Dr. Rosenblum discussed a 2025 study revealing racial disparities in opiate prescribing, with white patients more likely to receive opiates. He shared his personal clinical experience in Brooklyn, noting that young white males were often higher-risk for abuse. Gender-Specific Risk Factors for Opiate Misuse Dr. Rosenblum detailed how women tend to show emotional and psychological risk factors for opiate misuse, while men demonstrate more behavioral risk factors. Women were more likely to report distress and past trauma, while men showed higher rates of criminal behavior and substance abuse history.   References Djurendic-Brenesel, Maja, et al. "Gender-related differences in the pharmacokinetics of opiates." Forensic science international 194.1-3 (2010): 28-33.   Kosten, Thomas R., Bruce J. Rounsaville, and Herbert D. Kleber. "Ethnic and gender differences among opiate addicts." International Journal of the Addictions 20.8 (1985): 1143-1162.   Cicero, Theodore J., Shawn C. Aylward, and Edward R. Meyer. "Gender differences in the intravenous self-administration of mu opiate agonists." Pharmacology Biochemistry and Behavior 74.3 (2003): 541-549. Jamison, Robert N., et al. "Gender differences in risk factors for aberrant prescription opioid use." The Journal of Pain 11.4 (2010): 312-320.  

When clients come to a session they often carry tension related to stress and this can be both physical and mental. Progressive muscle relaxation (PMR) works by guiding them to relax different muscle groups... The post WHY DO HYPNOTHERAPISTS USE PROGRESSIVE MUSCLE RELAXATION? appeared first on Getting Clear.

  Summary At some point this medication may show its face on the Physiatry boards.  Whether or not Suzetrigine will appear on the Physical Medicine and Rehabilitation boards, all of us need to know about this new class of analgesic. Brought to you by NRAP Academy, home of the PMRExam Board Prep Here, Dr. David Rosenblum delivered a comprehensive lecture about a new pain medication called Journavx (Suzetrigine). He discussed its mechanism of action as a NAV 1.8 receptor inhibitor, its clinical applications, contraindications, and dosing guidelines. Dr. Rosenblum emphasized that this non-opioid medication represents a new class of pain management drugs with no addiction potential. He also shared information about upcoming educational events, including ultrasound courses and various pain management conferences. The lecture included detailed information about drug interactions, safety considerations, and clinical trial results comparing Journavx to placebo and hydrocodone-acetaminophen combinations. Key findings from clinical trials showed that Jornavix achieved pain relief in 119 minutes compared to 480 minutes for placebo in abdominoplasty trials, and 240 minutes versus 480 minutes in bunionectomy trials. The recommended dosing is 50mg tablets twice daily, with an initial loading dose of 100mg. While the drug showed promising results for moderate to severe acute pain management, it did not demonstrate superiority over hydrocodone in clinical trials. Important contraindications include CYP3A inhibitors, and special considerations are needed for patients with hepatic impairment or those taking hormonal contraceptives. The medication should be taken on an empty stomach, either one hour before or two hours after food, and patients should avoid grapefruit juice while on this medication. For more infomation.... Chapters Introduction and Upcoming Events Dr. Rosenblum announced several upcoming events, including an ultrasound course in New York City on May 17th, 2025. He mentioned offering ultrasound and IV training for healthcare professionals, particularly nurses, ICUs, PAs, and hospital doctors. He also highlighted upcoming conferences including ASPN, Pain Week, Latin American Pain Society, New York, New Jersey Pain Congress, ASIPP, and EPA. Introduction to Journavx (Suzetrigine) Dr. Rosenblum introduced Suzetrigine (Journavx), a new 50mg tablet medication. He emphasized that this discussion was not sponsored by any pharmaceutical company but rather focused on educating about a new class of pain medication. He noted its potential importance as a future board examination topic. Mechanism of Action Dr. Rosenblum explained that Jornavx works by inhibiting the NAV 1.8 receptor. He detailed how the drug blocks sodium ions from entering pain-sensing neurons, disrupting action potential initiation and propagation. He emphasized that the drug is highly selective, binding over 31,000 times more selectively to NAV 1.8 than other NAV subtypes. Contraindications and Drug Interactions Dr. Rosenblum outlined various contraindications, particularly focusing on CYP3A inhibitors and inducers. He listed specific medications in each category and emphasized the importance of careful monitoring when prescribing Journavx alongside these medications. Clinical Trial Results and Dosing Guidelines Dr. Rosenblum presented clinical trial results showing Journavx's effectiveness in treating moderate to severe acute pain. He detailed the dosing guidelines: 50mg tablets twice daily, with an initial loading dose of 100mg. He emphasized the importance of taking the medication on an empty stomach and avoiding grapefruit juice. Q&A No Q&A session in this lecture

En inédit, un cas supplémentaire abordé dans la suite de l'émission sur M6 de 12h à 12h30 : En 2020, Julien fait l'acquisition d'une maison sur plan auprès d'un promoteur. Lors de l'acte de vente, il négocie deux places de parking dont une aux normes PMR pour sa belle-mère handicapée. Mais à l'arrivée, le promoteur lui délivre deux places aux dimensions classiques. Sa belle-mère ne peut donc pas profiter de l'emplacement, et depuis, rien n'est fait pour rectifier le problème. Mais aussi, les rebondissements des cas du jour abordés de 10h à 12h ! Tous les jours, retrouvez en podcast les meilleurs moments de l'émission "Ça peut vous arriver", sur RTL.fr et sur toutes vos plateformes préférées. Distribué par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.

Dr. Rosenblum Reviews Questions from my previous lecture, he gave at the trigeminal academy in Indonesia. Dr. Rosenblum explores techniques for rich plasma injection and preparation. He discusses centrifuge settings with plasma volume and concentration as well as the addition of hyaluronic acid to platelet rich plasma. Dr. Rosenb;um also received multiple comments on the recent video that he filmed on performing a cervical selective nerve root block under ultrasound.  For more informatin go to NRAPpain.org     Disclaimer: This Podcast,video, website and any content from NRAP Academy   otherwise known as Qbazaar.com, LLC is  for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user's own risk. Professionals should conduct their own fact finding, research, and due diligence to come to their own conclusions for treating patients. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professionals for any such conditions.

This gorgeous bedtime soother includes a progressive muscle relaxation, to help relax your body. Then, when you are super relaxed, I read a message, from you to your subconscious mind asking for it to regulate it's threat alerts to you. Includes a subliminal countdown into sleep too. Please note: Muscle tensing should be minimal.Warning: Before starting Progressive Muscle Relaxation (PMR), it is recommended to consult with your General Practitioner (GP), especially if you have any pre-existing health conditions, such as heart problems, high blood pressure, respiratory issues, or back problems. PMR involves deliberate muscle tension, release, and a short, minor back stretch, which could potentially affect your circulation, heart rate, or spinal health. Your doctor can advise whether this relaxation technique is suitable for you and suggest modifications if needed. Always prioritize safety and seek professional guidance to ensure PMR is performed safely.GO AD-FREE!    JOIN OUR APPLE PREMIUM SUBSCRIPTION! Sleep Like a Log EXTRA and get BONUS ANXIETY-REDUCING SLEEPY EPISODES, all 100% Ad-FREE in 2 Clicks for just £4.99 per month: Click HERE to start your FREE 14 DAY TRIAL (Cancel any time)Please leave a 5-STAR REVIEWFREE EXTRAS on PATREON: (Sleep Sounds etc) for you! Click HERE   OUR WEBSITE: http://sleep-like-a-log.com  We are a Sleep and Nighttime Anxiety HUB, and we provide many types of Bedtime Anxiety Soother Sessions, Visualizations & Meditations, One-to-One Counselling Support, 'Ask the Counsellor' Service, Community and Information.. Come and sign up for your FREEBIES & Giveaways! See you over there! Clare (Chief Sloggie!)xDisclaimer / WarningDO NOT drive, operate heavy machinery, or use this video when it is not safe for you to become drowsy and/or fall asleep. All videos are for entertainment or psycho-educational purposes only. Therefore, no videos on this channel should be used as a substitute for clinical professional advice or support. Please consult your GP before listening to this recording About Us  At Sleep Like a Log, we are all about helping you reduce anxiety, so that you can rest well at bedtime. You might be anxious about your ability to sleep well (Sleep Anxiety), or find it difficult to put other anxieties aside at bedtime, so that you can rest. (Nighttime Anxiety). We offer counselling, support, community and guided sleep hypnotherapy, meditations, visualisations (and more) to help you get your nighttime rest.Produced / Written / Performed by: Clare Llewellyn-Bailey, Counselling Psychotherapist, Author and Hypnotherapist (BA Hons) MBACP MNCPS Acc. DHP Acc.Hyp

Quante volte abbiamo sentito la frase “in montagna bisogna saper rinunciare” da amici, istruttori e guide? E' ovviamente un consiglio validissimo, ma che spesso manca di un esempio che ne rafforzi il concetto. Una lacuna a cui poniamo rimedio con questo episodio con protagonista l'incidente accaduto ad Alessandro, durante un'uscita con l'amico Gabriele. Un'intervista a due voci molto onesta e dritta al punto: l'errore finale è ancora una volta solo l'ultimo anello di una serie di errori che sono costati ad Alessandro ben 23 giorni di ospedale. Abbiamo parlato di “non sentirsela”, di comunicazione lacunosa e anche di radio PMR e del progetto Rete Radio Montana

In this special Complex Care Journal Club podcast episode, co-hosts Drs. Kilby Mann and Kristie Malik interview presenters of posters and oral abstracts relevant to the care of children with medical complexity at the American Academy for Cerebral Palsy and Developmental Medicine (AACPDM) 78th Annual Meeting in Quebec City, Canada that took place October 23rd-26th 2024. Speakers describe the implications of their study findings, messages for patients and families, and priority areas for research that they hope can be investigated further by the complex care community in the coming years. SPEAKERS Tori Bahr, MD MedPeds Complex Care Physician Section Chief of Pediatrics Gillette Children's, St. Paul, Minnesota Laura Brunton, PT, PhD Associate Professor School of Physical Therapy Western University, London, Ontario Caitlin Cassidy, MD Associate Professor Departments of Physical Medicine & Rehabilitation and Pediatrics Western University, London, Ontario Adam Rosenbloom, MD, MPH Complex Care Pediatrician Dell Children's Medical Center University of Texas at Austin, Dell Medical School Cristina Sarmiento, MD Assistant Professor Department of Physical Medicine and Rehabilitation University of Colorado Anschutz Medical Campus, Aurora, Colorado Julie Stutzbach, PT, DPT, PhD Assistant Professor School of Rehabilitative and Health Sciences Regis University, Denver, Colorado HOSTS Kristina Malik, MD Assistant Professor of Pediatrics, University of Colorado School of Medicine Medical Director, KidStreet Pediatrician, Special Care Clinic, Children's Hospital Colorado Kilby Mann, MD Assistant Professor Pediatric Rehabilitation Medicine Children's Hospital Colorado DATE Initial publication date: November 11, 2024. ARTICLES AND ADDITIONAL REFERENCES • American Academy for Cerebral Palsy and Developmental Medicine (AACPDM), https://www.aacpdm.org/ • AACPDM Complex Care Committee (https://www.aacpdm.org/about-us/committees/complex-care) • Houtrow AJ, Hurwitz MB. A dearth of disability-related competencies in Accreditation Council for Graduate Medical Education's Milestones 2.0. PM R. 2024 Aug 23. doi: 10.1002/pmrj.13257. Epub ahead of print. PMID: 39177053. • Fehlings D, Agnew B, Gimeno H, Harvey A, Himmelmann K, Lin JP, Mink JW, Monbaliu E, Rice J, Bohn E, Falck-Ytter Y. Pharmacological and neurosurgical management of cerebral palsy and dystonia: Clinical practice guideline update. Dev Med Child Neurol. 2024 Sep;66(9):1133-1147. doi: 10.1111/dmcn.15921. Epub 2024 Apr 19. PMID: 38640091. • AACPDM Care Pathway Dystonia in Cerebral Palsy, https://www.aacpdm.org/publications/care-pathways/dystonia-in-cerebral-palsy TRANSCRIPT https://cdn.bfldr.com/D6LGWP8S/as/p9pj6g7sxn5kjmmgps5wnk4/111124_-_Complex_Care_at_the_American_Academy_for_Cerebral_Palsy_and_Developmental_Medicine_Annual_Meeting Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user.For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu CITATION Malik K, Bahr T, Brunton L, Cassidy C, Rosenbloom A, Sarmiento C, Stuzbach J, Mann K. Complex Care at the American Academy for Cerebral Palsy and Developmental Medicine Annual Meeting. 11/2024. OPENPediatrics. Online Podcast.. https://soundcloud.com/openpediatrics/complex-care-at-the-aacpdm-2024.

Dr. DeVries presented a Real Science Lecture webinar on May 8, 2024, titled “Lessons Learned in Research on Nutritional Management of Robot Milked Cows.” You can find the webinar recording at balchem.com/realscience.  Dr. DeVries begins with an overview of how his robotic milking research has evolved. In Canada, around 20%-plus of farms are using robotic milkers. He describes survey research in the US and Canada as to why producers choose to implement robotic milkers. (9:19)In Trevor's webinar, he discussed the large amount of variation in nutritional management of robot-milked cows across Canada. Some of his research with Dr. Penner has looked at the interaction between feed consumed at the feed bunk and feed consumed at the robot. Ideally, you wish to be able to accurately predict intake because that is a primary driver of milk production. Because cows can be supplemented individually at the robot, there is opportunity to better feed cows to match their individual needs. (13:50)Trevor and Greg describe their respective university's robot milking research facilities. The panel discusses additional technologies that would be useful for all robotic milkers, like load cells to measure feed delivery and disappearance. Cows typically consume around 250-300 grams of concentrate per minute, and that can vary by feed type (pellet vs mash, for example.) The panel also ponders whether the design of the feed bunk in the robots has an impact on intake rate. (17:35)As a consulting nutritionist, Todd prefers to feed as little as possible in the robot and have a more consistent mix in the PMR. The level of milk production of the cows can have a large influence on how much pellet is fed at the robot versus the feed bunk. Todd goes on to describe his strategy for creating proportions of PMR and robot intakes for different scenarios. (26:06)Clay asks the panel what the maximum amount of concentrate should be fed at the robot. They discuss factors that can influence concentration including individual cow variation, length of time in the robot per milking, and the number of visits to the robot per day. Clay goes on to ask how fast fresh cows can be stepped up in their robot feedings. The group has a lively discussion about all the different factors that play a role in that decision. Greg reminds the audience not to get so caught up with programming the robot that we lose sight of the fact we're still feeding cows and good dairy management still applies. (31:29)Todd describes some of the biggest challenges he observes as a consultant in robotic dairies, primarily centered around understanding cow behavior. Trevor underlines the importance of cow comfort and other non-nutritional factors in regard to their influence on the success of the nutrition program.(41:29)Scott asks the panel what they think robotic milkers might look like in 2050 and what problems will have been solved by then. Greg's wish list includes knowing PMR intake to better manage robot feedings and having cow body weights on every dairy. Trevor thinks we will have a much better understanding of how genetics influence cow performance in a robotic system and how we can raise cows to adapt to the technology to be better robot cows. Todd agrees that body weights are critical and also envisions more individualized milkings depending on each cow's preferences. On his wish list is a drone that could be used to fetch cows to the robot who have not gone to be milked. (46:51)​​Trevor and Greg discuss what's next in their upcoming research projects, and Todd gives some wishlist ideas for future research. (54:18)In summary, each guest gives their take home messages. Clay is intrigued by the precision feeding aspects of robotic milking systems. Todd encourages dairy producers not to be scared of robotic milking systems. Greg looks forward to research in the next 5-10 years to support or refute the preconceived notions we have about robotic systems. Trevor reminds listeners that cows must consume a certain amount of nutrients in order to produce milk. In the robotic system, those nutrients are delivered via two different components and research continues to understand the interplay between them. Lastly, animal behavior is a critical component of the success of robotic systems and our management approach should reflect that. (1:02:46)Please subscribe and share with your industry friends to invite more people to join us at the Real Science Exchange virtual pub table.  If you want one of our Real Science Exchange t-shirts, screenshot your rating, review, or subscription, and email a picture to anh.marketing@balchem.com. Include your size and mailing address, and we'll mail you a shirt.

Dr. Amy West is a PM&R sports medicine physician based in New York, specializing in metabolic orthopedics and strength training for women, with a particular focus on CrossFit. As an active competitor in both CrossFit and Olympic weightlifting, Dr. West brings a unique perspective to her practice, combining her medical expertise with firsthand experience in high-intensity fitness. Her passion for metabolic health informs her approach to patient care and athletic performance optimization. Dr. West's professional achievements include serving as a team physician for NCAA events and the CrossFit Games, further solidifying her reputation in the field of sports medicine and functional fitness. Instagram: @amywestmd Twitter:  @amywestmd   Timestamps: 00:00 Trailer. 00:48 Introduction. 05:12 Orthopedic issues often linked to metabolic health. 07:12 Diagnosing diabetes through Achilles stiffness.  10:25 Obesity and inflammation contribute to joint problems. 14:13 Protein intake for women. 15:47 Passion in weightlifting. 18:41 Exploring orthobiologics as treatments for injuries. 23:01 Discovering strength. 24:45 Plyometric training benefits older populations. 27:37 Therapy groups. 31:48 Gout: metabolic issues and inflammation. 33:29 Complex follow-up process. 37:13 Testing strength with simple balance exercises. 40:19 Book about metabolic and orthopedic health. 44:37 Patient upset after doctor declines cortisone injection. 46:42 Keep exercising for health. 49:43 Where to find Amy. See open positions at Revero: https://jobs.lever.co/Revero/ Join Carnivore Diet for a free 30 day trial: https://carnivore.diet/join/ Carnivore Shirts: https://merch.carnivore.diet Subscribe to our Newsletter: https://carnivore.diet/subscribe/ . ‪#revero #shawnbaker #Carnivorediet #MeatHeals #HealthCreation   #humanfood #AnimalBased #ZeroCarb #DietCoach  #FatAdapted #Carnivore #sugarfree  ‪

Dr. Julie Silver is an associate professor and associate chairperson in the department of physical medicine and rehabilitation at Harvard Medical School PART 1 Her presentation is a data-driven lecture for individuals who believe in science.  A big theme in her work is to focus on tipping points that will drive change faster. An important large study reported in the journal Lancet in 2018 attracted widespread attention. Researchers looked at clinical practice guidelines. They found that the representation of female authors was low, but even lower for female physicians. Looking at PM&R since then shows similar findings. Problems were not being solved because while medical societies indicated that they were not at fault, their journals expressed the same opinion. It became obvious that many organizations were working together in ways that were complicit. Not many women were included in the clinical practice guidelines. Compensation is an important issue that also was studied extensively. Dr. Silver provided an example of how men were compensated more than women for performing similar procedures. She discussed medical recognition awards that also reveal a considerable amount of disparity that favors men over women. The same holds true for minoritized groups as explained using the concept of inexorable zero. A promotion problem is involved in this situation, which can be fixed. Additionally, her lecture also focused on challenges pertaining to faculty retention. Women physicians are more likely to leave academia at all career stages.  A key issue is enabling individuals to feel that they belong. PART 2 In Part 2, Dr. Silver began by indicating that thinking about belonging and social integration are super important. There are two bodies of literature--a retention literature and a belonging literature. Very few studies have looked at them together. One investigation that did so found that women who have fewer belonging components are more likely to leave their workplace and more likely to stay if they have more of these components. What can be done right now to improve the situation? Her answer is that individuals should be told that they belong. Inclusion is not a synonym of belonging. She provided examples of constructive steps that have been implemented at other academic institutions. Mentoring is a critically important model. She described how she works with individuals in helping them to feel that they belong and indicated five strategies that leaders can implement. Let's not assume that progress happens. Instead, let's believe the science and follow the data. When looking at the proportion of women on specialty boards, they found in a comparison study that six boards decreased and that two stayed the same. Progress does not just happen on its own. In PM&R, there was an increase, but it still is not really at the equitable level.  We must continue to focus on it. The same holds true when looking at race and ethnicity.

Interviewees: Raffi Najarian and Justin Ramsey Interviewer: Lisa Meeks Description: In this conversation, Lisa Meeks interviews Raffi Najarian and Justin Ramsey, both pediatric rehabilitation physicians with cerebral palsy. They discuss their journey to medical school and the challenges they faced along the way. Raffi shares his experience of applying to medical school and the support he received from his family. Justin talks about the internal barriers he faced and the importance of finding the right mentor. They also discuss the challenges they encountered during medical school, including access barriers. In this conversation, Raffi Najarian and Justin Ramsey discuss their experiences as medical students with disabilities. They share the challenges they faced in anatomy lab and how they overcame them. They also talk about dealing with difficult faculty members and the importance of kindness and feedback in medical training. Raffi and Justin explain why they chose physiatry as their specialty and the impact they have on their patients. They emphasize the importance of visibility and representation for individuals with disabilities in the medical field. Finally, they offer advice for students with disabilities who are considering a career in medicine. Keywords: physiatry, medical education, doctors with disabilities, cerebral palsy, pediatric rehabilitation, med school applications, accessibility, accommodations, disability representation Transcript: https://bit.ly/3yuxJf8 Bios: Justin Ramsey, M.D. is board certified in Physical Medicine and Rehabilitation and is sub-specialty boarded in Pediatric Rehabilitation Medicine. He graduated from the Kansas University School of Medicine. He then completed his Physical Medicine and Rehabilitation training at the Kansas University Medical Center and a fellowship program in Pediatric Rehabilitation Medicine at Children's Mercy Hospital (Kansas City, MO). Dr. Ramsey spent several years as faculty with the Pediatric Rehabilitation Medicine fellowship program at Children's Mercy Hospital and the Kansas University Medical Center's Physical Medicine and Rehabilitation Department. He has served as chair of the Advocacy Committee for the American Academy for Cerebral Palsy and Developmental Medicine and has served on its Communications Committee. Currently, he works at a private pediatric rehabilitation hospital (Bethany Children's Health Center) near Oklahoma City, which specializes in the care of children with disabilities. In collaboration with neurology and OU Health Science Center's neurosurgery department, he has created Oklahoma's joint pediatric movement clinic. He currently serves as the Associate Medical Director for the Movement clinic and Cerebral Palsy. He volunteers as a Clinical Associate Professor of Neurology at The University of Oklahoma Health Sciences Center. Justin has hemiparetic cerebral palsy and is active in local advocacy. He is married to his wife (Kendra) and has 2 beautiful young children (Ryan and Reese), who keep his family busy. Medical and disability education are some of his major subjects of interest. He is grateful for early college experiences in working with individuals with disabilities while volunteering at Hetlinger Developmental Services, Inc in his hometown of Emporia, KS. Dr. Raffi Najarian has been in practice since 2013. He is a pediatric physiatrist and director of the Spasticity Clinic at Akron Children's Hospital. A graduate of the University of Michigan and Wayne State University School of Medicine in Detroit, MI, he completed his residency in physical medicine and rehabilitation at MetroHealth Rehabilitation Institute of Ohio in Cleveland. He then completed a fellowship in Pediatric Rehabilitation Medicine at Gillette Children's Specialty Healthcare in Saint Paul, MN. Dr. Najarian has a special interest in cerebral palsy, spasticity management, brain injury, stroke, spinal cord injury, spina bifida, acute inpatient and outpatient rehabilitation and concussion management. He is certified by the American Board of Physical Medicine and Rehabilitation and subspecialty certified in Pediatric Rehabilitation Medicine. He is a member of the American Academy of Physical Medicine and Rehabilitation and the American Academy for Cerebral Palsy and Developmental Medicine, and served on the latter's Lifespan Committee.  He is an Associate Professor of Pediatrics at Northeast Ohio Medical University (NEOMED).  Raffi has diplegic cerebral palsy and is an advocate for children and adults with disabilities.  He serves as a member of the United Cerebral Palsy Research Committee and on the board of directors for Adaptive Sports Ohio, while participating  as an active member of the Akron Rhinos wheelchair rugby team.   Produced by: Gabe Abrams and Dr. Lisa Meeks.  Audio editor: Jacob Feeman Digital Media: Katie Sullivan Resources: Professional Learning Series - United Cerebral Palsy, UCP Research Initiative & Committee - United Cerebral Palsy, Physicians' Perceptions Of People With Disability And Their Health Care   https://www.yourcpf.org https://cprn.org  

Dr. Julie Silver is an associate professor and associate chairperson in the department of physical medicine and rehabilitation at Harvard Medical School PART 1 Her presentation is a data-driven lecture for individuals who believe in science.  A big theme in her work is to focus on tipping points that will drive change faster. An important large study reported in the journal Lancet in 2018 attracted widespread attention. Researchers looked at clinical practice guidelines. They found that the representation of female authors was low, but even lower for female physicians. Looking at PM&R since then shows similar findings. Problems were not being solved because while medical societies indicated that they were not at fault, their journals expressed the same opinion. It became obvious that many organizations were working together in ways that were complicit. Not many women were included in the clinical practice guidelines. Compensation is an important issue that also was studied extensively. Dr. Silver provided an example of how men were compensated more than women for performing similar procedures. She discussed medical recognition awards that also reveal a considerable amount of disparity that favors men over women. The same holds true for minoritized groups as explained using the concept of inexorable zero. A promotion problem is involved in this situation, which can be fixed. Additionally, her lecture also focused on challenges pertaining to faculty retention. Women physicians are more likely to leave academia at all career stages.  A key issue is enabling individuals to feel that they belong. PART 2 In Part 2, Dr. Silver began by indicating that thinking about belonging and social integration are super important. There are two bodies of literature--a retention literature and a belonging literature. Very few studies have looked at them together. One investigation that did so found that women who have fewer belonging components are more likely to leave their workplace and more likely to stay if they have more of these components. What can be done right now to improve the situation? Her answer is that individuals should be told that they belong. Inclusion is not a synonym of belonging. She provided examples of constructive steps that have been implemented at other academic institutions. Mentoring is a critically important model. She described how she works with individuals in helping them to feel that they belong and indicated five strategies that leaders can implement. Let's not assume that progress happens. Instead, let's believe the science and follow the data. When looking at the proportion of women on specialty boards, they found in a comparison study that six boards decreased and that two stayed the same. Progress does not just happen on its own. In PM&R, there was an increase, but it still is not really at the equitable level.  We must continue to focus on it. The same holds true when looking at race and ethnicity.    

Dr. David Jevotovsky is in the second year of a residency program at the Rusk Rehabilitation Institute at NYU Langone Health. A former graduate of NYU Grossman School of Medicine, he is keen on pursuing a fellowship in interventional pain medicine. Having experienced a traumatic brain injury during his medical training, he possesses a unique understanding of both the patient and provider perspectives of this condition. As patients differ on the basis of age, gender, and racial/ethnic background,  whether they also tend to differ in how they express what it is like to experience a TBI and live with its aftermath; the role played by social media in the residency program; whether beneficial outcomes can result from having patients with a TBI participate in physical exercise activities; why it is hard for many patients, their loved ones, and even PM&R physicians to understand how a brain could be rewired; and different perspectives that patients and physicians may have regarding agitation/delirium, cognition, return to work, and support systems.     

In this episode, special guest host Court Wing interviews Monica Verduzco-Gutierrez, MD: professor and chair of rehabilitation medicine at UT Health San Antonio; Joel Castellanos, MD: co-founder and associate medical director of the Center for Psychedelic Research at UC San Diego; and MaryAnn Welke Lesage: a long COVID survivor who reports experiencing drastic improvement in symptoms after MDMA and psilocybin therapy. As the world slowly recovers from COVID, many people are seeing continued or new symptoms, and while much is still not understood, these symptoms are being categorized as long COVID: essentially a persistent viral inflammation causing brain fog, headaches, depression, and other hard-to-diagnose symptoms. With estimations of as many as 18% of people in the U.S. experiencing this at one point and 6.8% currently dealing with it, could psychedelics – which can decrease inflammation and reset neural networks – help alleviate these symptoms?  They discuss:  How long COVID fits into what we already know about psychedelics, pain, and inflammatory medicine Why MDMA or psilocybin therapy, specifically, can help The importance of physical medicine and rehabilitation (PM&R) and the myriad of tools these physicians have learned to work with Why anecdotal evidence matters towards future research and more!  For more info, read Lesage's article, "How Psychedelics Became Key to My Long COVID Recovery," as well as the official paper: "Long-COVID symptoms improved after MDMA and psilocybin therapy: A case report." For more links, head to the show notes page.

This past February, Tesfa Williams released his debut album—over 20 years into his career. Raves Of Future Past distilled decades of experience on London dance floors into a potent and powerful blend of grime, house, rave and techno. Made with an Elektron Digitakt to imitate the rough textures of early '00s UK dance music, the LP is an anachronistic history lesson that throws everything in a blender, imagining what gqom might sound like as an Eski track and giving new life to the short-lived "sublow" sound Williams helped invent with classic tracks like "Invasion," released under his earlier alias DJ Dread D. Since the sublow days, however, Williams has become a torchbearer for UK house music and African diasporic sounds like Afro house and gqom in London. He's put out soulful hits like "Heartbeat"—recently reissued by Local Action—and released a steady stream of dance records for PMR and Strictly Rhythm. He's what you might call a jack of all trades, except for that he's actually a master of them all. His RA Podcast charts his musical journey in reverse chronological order, starting with smooth, African-influenced sounds and winding through grime and dubstep, eventually landing at jungle. He threads a needle through diverse genres (and eras), and posits that the traditional UK hardcore continuum is a bigger spectrum than you might think, with gqom's heave and amapiano's log drum equally important in the musical equation. It's nearly two hours of UK dance music past and present, from a DJ who has lived it all. @twilliamsmusic Read more at https://ra.co/podcast/935