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This lecture is entitled Populations, Persons, and Precision Medicine: The Ethics of Emerging Information Technologies. It was presented by Paul Scherz of (then) the University of Virginia on March 22, 2024, at the University of Chicago.
In this episode, we explore the challenges and current guidelines for benzodiazepine use in pregnancy, breastfeeding, and adolescence. When is it appropriate to continue benzodiazepines during pregnancy, and what alternatives should clinicians consider? Faculty: Alexis Ritvo, M.D. Host: Richard Seeber, M.D. Learn more about our memberships here Earn 1 CME: Understanding Benzodiazepine Prescribing: A Clinician's Guide Consequences of Benzodiazepine Use in Pregnancy, Breastfeeding, and Adolescence
Research from Professor Mamta Jain at UT Southwestern Medical Center and her colleagues reveals how electronic alerts, patient navigation, and mailed outreach can significantly increase hepatitis C screening and treatment in traditionally difficult-to-reach populations. Their work demonstrates that while electronic reminders are effective, combining multiple approaches with adequate clinical staffing and resources leads to the greatest improvements in patient care across all stages of the hepatitis C care continuum.
We discuss the mineral agreement between the US and Ukraine, and find out why bird populations in North America are declining in regions where they were most abundant.
Bird populations across North America have fallen by billions over the last 50 years, according to a staggering report from Cornell University. Researcher Amanda Rodewald explains what's happening, and why common birds like sparrows, blackbirds and finches are suffering the greatest losses.
TransLink is offering streamlined trucking standards for the region. A small Metro Vancouver municipality could triple in population — and not everyone's happy about it. BC's jobs minister says the province's job force is "holding steady" in the face of global volatility and shifting economic winds. Learn more about your ad choices. Visit megaphone.fm/adchoices
PeerView Family Medicine & General Practice CME/CNE/CPE Video Podcast
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/NCPD/CPE/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/JJX865. CME/MOC/NCPD/CPE/AAPA/IPCE credit will be available until April 27, 2026.Defining and Delivering Person-Centric HIV Care in Key Populations In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Gilead Sciences, Inc.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/NCPD/CPE/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/JJX865. CME/MOC/NCPD/CPE/AAPA/IPCE credit will be available until April 27, 2026.Defining and Delivering Person-Centric HIV Care in Key Populations In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Gilead Sciences, Inc.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/NCPD/CPE/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/JJX865. CME/MOC/NCPD/CPE/AAPA/IPCE credit will be available until April 27, 2026.Defining and Delivering Person-Centric HIV Care in Key Populations In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Gilead Sciences, Inc.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/NCPD/CPE/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/JJX865. CME/MOC/NCPD/CPE/AAPA/IPCE credit will be available until April 27, 2026.Defining and Delivering Person-Centric HIV Care in Key Populations In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Gilead Sciences, Inc.Disclosure information is available at the beginning of the video presentation.
PeerView Family Medicine & General Practice CME/CNE/CPE Audio Podcast
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/NCPD/CPE/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/JJX865. CME/MOC/NCPD/CPE/AAPA/IPCE credit will be available until April 27, 2026.Defining and Delivering Person-Centric HIV Care in Key Populations In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Gilead Sciences, Inc.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/NCPD/CPE/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/JJX865. CME/MOC/NCPD/CPE/AAPA/IPCE credit will be available until April 27, 2026.Defining and Delivering Person-Centric HIV Care in Key Populations In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Gilead Sciences, Inc.Disclosure information is available at the beginning of the video presentation.
Christopher Duggan is the director of the Center for Nutrition at Boston Children's Hospital, a professor of pediatrics at Harvard Medical School, and a professor in the Departments of Nutrition and Global Health and Population at the Harvard T.H. Chan School of Public Health. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. C.P. Duggan and Z.A. Bhutta. “Putting America First” — Undermining Health for Populations at Home and Abroad. N Engl J Med 2025;392:1769-1771.
In this Heart Week special, we're joined by Dr Rebecca Luong – Accredited Practising Dietitian, Sports Dietitian and PhD-qualified expert in cardiometabolic health. With a passion for practical, culturally inclusive care, Rebecca shares real-world strategies for supporting heart health across diverse populations. In the episode, we discuss: How heart disease risk presents across different cultural groups Real case studies in cardiometabolic nutrition How to adapt traditional food practices for heart health Strategies for overcoming engagement and access barriers Practical tips for flavourful, heart-smart meals Hosted by Brooke Delfino Click here for the shownotes The content, products and/or services referred to in this podcast are intended for Health Care Professionals only and are not, and are not intended to be, medical advice, which should be tailored to your individual circumstances. The content is for your information only, and we advise that you exercise your own judgement before deciding to use the information provided. Professional medical advice should be obtained before taking action. The reference to particular products and/or services in this episode does not constitute any form of endorsement. Please see here for terms and conditions.
Welcome to episode 139 of Growers Daily! We cover: nematode control, what no-till means for crops that require digging (like potatoes), and the bees are dying at an alarming rate. Again. We are a Non-Profit!
In this one we discuss a hot topic...I'll see myself out. In all seriousness, prescribed fire during turkey season something that gets a lot of landowners worked up. We take some time in this one to discuss the reasons behind it and the philosophy involved in the decision to burn or not. We also talk turkey population numbers, current bag limits in Alabama, and new rules and regulations in Alabama. Thank you all for listening! Learn more about your ad choices. Visit megaphone.fm/adchoices
According to the Missouri Department of Health & Senior Services, stroke is the sixth leading cause of death in Missouri. Dr. Adnan Qureshi with University of Missouri Health Care is an expert on strokes and spoke about how treatment options for strokes have expanded during his time in the field.
- Overview of Diverse Populations Living with Multiple Myeloma - How Race May Impact Your Access to the Treatment of Multiple Myeloma - Social Determinants of Health, Including Languages Spoken & Health Literacy - Current Standard of Care - New & Emerging Treatments - The Role of Transplantation - Preventing & Managing Treatment Side Effects, Symptoms, Discomfort & Pain - Reducing Complications of Bone Disease - How to Find Your Best Care Team - Talking with Your Treatment Team about Quality-of-Life Concerns - The Increasing Role of Telehealth/Telemedicine Appointments - How Telehealth May Help in Advancing Your Health Equity - Lifestyle, Physical Activity & Balance Concerns, with Practical Tips - Food Insecurity and Food Deserts: Tips to Increase Your Access to Health Promoting Nutrition - Nutrition & Hydration Concerns & Tips - Guidelines to Prepare for Telehealth/Telemedicine Appointments, Including Technology, Prepared List of Questions, Follow-Up Care and Discussion of OpenNotes - How to Cope with Health Care Disparities - Questions for Our Panel of Experts
- Overview of Diverse Populations Living with Multiple Myeloma - How Race May Impact Your Access to the Treatment of Multiple Myeloma - Social Determinants of Health, Including Languages Spoken & Health Literacy - Current Standard of Care - New & Emerging Treatments - The Role of Transplantation - Preventing & Managing Treatment Side Effects, Symptoms, Discomfort & Pain - Reducing Complications of Bone Disease - How to Find Your Best Care Team - Talking with Your Treatment Team about Quality-of-Life Concerns - The Increasing Role of Telehealth/Telemedicine Appointments - How Telehealth May Help in Advancing Your Health Equity - Lifestyle, Physical Activity & Balance Concerns, with Practical Tips - Food Insecurity and Food Deserts: Tips to Increase Your Access to Health Promoting Nutrition - Nutrition & Hydration Concerns & Tips - Guidelines to Prepare for Telehealth/Telemedicine Appointments, Including Technology, Prepared List of Questions, Follow-Up Care and Discussion of OpenNotes - How to Cope with Health Care Disparities - Questions for Our Panel of Experts
Where does the rubber meet the road on game fish populations and advances in technology? Much has been made of forward facing sonar (Live Scope) in recent years. Some anglers love it, others bemoan it. Various tournament trails for both bass and crappie fishermen even enforce it's legality differently. But whether you like it or [...]
Many fully insured employers are seeing sharp increases in healthcare premiums - some reporting hikes of 15%, 20%, even 30%. A major driver behind these rising costs? Overpriced and specialty medications continue to strain benefit budgets and impact long-term sustainability.In the latest episode of The Health Literacy 2.0 Podcast, Doug Roehm, President and Lead Strategic Consultant at Strategic Services Group, shares strategies to address this challenge. He highlights innovative ways to engage employees, from gamification to virtual care, and offers fresh insights on managing cost inflation while improving health literacy.Seth and Doug also discuss:☑️ Strategies used to engage Native American tribes and unions in health and wellness programs, emphasizing cultural sensitivity and trust-building.☑️ The current challenges employers face in managing rising healthcare costs, especially concerning pharmacy benefits and high-cost specialty medications.☑️ Medicare reference-based pricing as a cost-control strategy, and how employers can apply it to negotiate better healthcare rates.☑️ Techniques for increasing employee engagement in health literacy efforts, including simplified communication, relatable content, and incentives.☑️The role of gamification - using tools like Edlogics - to make health education interactive and appealing, boosting participation and knowledge retention.☑️ Integrating EAP (Employee Assistance Program) with behavioral health services to create a more cohesive, accessible support system for employees.☑️ The use of health care navigation services to relieve HR teams and empower employees with clearer benefit guidance and smarter healthcare decisions.☑️ And much more.Tune in to discover how engagement can transform your organization's health outcomes and make informed choices.Learn About EdLogicsWant to see how EdLogics' gamified platform can boost health literacy, drive engagement in health and wellness programs, and help people live happier, healthier lives?Visit EdLogics.
Episode Description (Libsyn Format): What does the gut have to do with criminal behavior, cognitive flexibility, or the ability to navigate supervision successfully? In this compelling episode of The Criminologist Podcast, host Joseph Arvidson welcomes back Dr. Jerrod Brown—expert in neurocriminology, behavioral health, and forensic psychology—for a deep dive into the emerging science of the gut-brain connection and its powerful implications for justice-involved individuals. Together, we explore how gut health, inflammation, and microbiota imbalances can influence cognition, mood regulation, and decision-making—core elements of resilience and responsivity. This conversation challenges us to reconsider what we think we know about client behavior and invites us to approach supervision, programming, and intervention through a more holistic lens. Topics discussed include: ✔️ Resilience as both a biological and relational process ✔️ The impact of social isolation on desistance and self-regulation ✔️ How nutrition, sleep, and health literacy shape client outcomes ✔️ What probation officers and justice professionals can do to support whole-person change ✔️ The real-world applications of trauma-informed, neuro-informed, and evidence-based practice Whether you're a probation officer, therapist, correctional educator, policy-maker, or justice system reformer, this episode offers practical insights to elevate your work and deepen your understanding of the people you serve.
The Patriotically Correct Radio Show with Stew Peters | #PCRadio
UK's Alek Yerbury joins Stew to discuss his "National Rebirth Party" he recently founded for Nationalists in the UK Expert FORENSIC ARBORIST joins Stew and Brings New Evidence that all the "Wildfires" 100% Government-sponsored and DEW-created! Watch this new show NOW at https://StewPeters.com! Western civilization has been infected by a parasitic invasion of foreign ideals and values that have been introduced into our culture by strange and morally degenerate people whose goal is world domination. We have been OCCUPIED. Watch the film NOW! https://stewpeters.com/occupied/
In today's episode, we are continuing our “episode swap” series with an episode from the Global Health Pursuit podcast hosted by engineer turned social impact storyteller, Hetal Baman.On her podcast, Hetal tackles tough questions from the vast field of global health with a beginner's mindset. In this interview, Hetal speaks with Sona Shah the co-founder of Neopenda. Neopenda's mission is to develop affordable medical devices addressing neonatal mortality, which are tailored to the unique constraints of underserved healthcare environments in low and middle-income countries.Be sure to visit our podcast website for the full episode transcript. LINKS:Learn more about Sona Shah's company Neopenda at neopenda.comConnect with the Global Health Pursuit podcast at https://www.globalhealthpursuit.comFollow our host: WEBSITE | LINKEDINFollow us: LinkedIn | Instagram Connect with us: narrativespodcast@gmail.com | subscribe to our news Tell us what you think: write a review CHAPTERS:00:08 - Introducing New Voices04:47 - The Journey to Neopenda12:27 - Addressing Healthcare Inequities18:00 - Becoming an Entrepreneur31:03 - The Product Market Fit Journey and Growing Neopenda's Team36:24 - Navigating Challenges During COVID-19 and Restructuring Neopenda44:19 - Advice From a Startup Entrepreneur
Cynthia Turnbull has tracked the ways in which immunity to disease can vary between people, even within a family and has revealed some of the basis for this variation.
While ocelots are widespread in South and Central America, in the United States they are on the brink of extinction. They were once overhunted for their coats, and now they face shrinking habitats. Researchers hope that the key to restoring this species can be found in fertility treatments. John Yang reports for our series, “Saving Species.” PBS News is supported by - https://www.pbs.org/newshour/about/funders
While ocelots are widespread in South and Central America, in the United States they are on the brink of extinction. They were once overhunted for their coats, and now they face shrinking habitats. Researchers hope that the key to restoring this species can be found in fertility treatments. John Yang reports for our series, “Saving Species.” PBS News is supported by - https://www.pbs.org/newshour/about/funders
In this episode of the Defend Your Ground podcast, Ben and Simone discuss the recent proposal by the Fish and Wildlife Service to downlist certain populations of grizzly bears from the Endangered Species Act. They explore the implications of this proposal, the role of environmental groups, and the impact of roads on bear populations. The conversation highlights the need for better wildlife management and the importance of public access to lands. Listeners are encouraged to participate in an action alert to voice their opinions on the matter. Add your voice to the proposal to support removal of grizzly bear protections where population levels have recovered: https://blueribboncoalition.org/grizzly-bear-population-recovery-levels-justify-delisting-from-endangered-species-list/
Peu avant les dénégations provoquées par les déclarations de Jean-Michel Apathie sur les crimes de la colonisation, Alain Ruscio a publié La première guerre d'Algérie. Une histoire de conquête et de résistance. Entretien avec Julien Théry.▶ Soutenez Le Média :
Mike Lane is a professor at eastern Kentucky university teaching in the parks, recreation, exercise, and sports science on the graduate and undergraduate level. His phd is in exercise physiology with an emphasis in muscle physiology. Currently he works with a variety of sports and tactical athletes and performs research tracking those athletes and their performance over time. Work with RAPID Health Optimization Links: Dr. Mike Lane on LinkedIn Anders Varner on Instagram Doug Larson on Instagram Coach Travis Mash on Instagram
durée : 00:05:21 - Avec sciences - par : Alexandre Morales - Une publication parue dans la revue Proceedings of the royal society B met en lumière un délai entre perte du nombre d'individus et perte de diversité génétique chez le Méliphage régent, un oiseau endémique de l'Océanie.
How do the eligibility criteria for the monarchE and NATALEE clinical trials compare? Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/1002403?ecd=bdc_podcast_libsyn_mscpedu
Host Praveen Ranganath, MD is joined by cohost Nisha Hosadurg, MD and expert guest Dinesh Kalra, MD, FSCCT to discuss cardiovascular disease in the South Asian population through the lens of cardiac CT. Tune in and enjoy!
Despite advances in epilepsy management, disparities and lack of inclusion of many people with epilepsy are associated with increased morbidity and mortality. Improving awareness and promoting diversity in research participation can advance treatment for underserved populations and improve trust. In this episode, Teshamae Monteith, MD, PhD, FAAN speaks Dave F. Clarke, MBBS, FAES, author of the article “Diversity and Underserved Patient Populations in Epilepsy,” in the Continuum® February 2025 Epilepsy issue. Dr. Monteith is a Continuum® Audio interviewer and an associate editor of Continuum® Audio and an associate professor of clinical neurology at the University of Miami Miller School of Medicine in Miami, Florida. Dr. Clarke is the Kozmetsky Family Foundation Endowed Chair of Pediatric Epilepsy and Chief or Comprehensive Pediatric Epilepsy Center, Dell Medical School at the University of Texas at Austin in Austin, Texas. Additional Resources Read the article: Diversity and Underserved Patient Populations in Epilepsy Subscribe to Continuum: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @HeadacheMD Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum, the premier topic-based neurology clinical review and CME journal from the American Academy of Neurology. Thank you for joining us on Continuum Audio, which features conversations with Continuum's guest editors and authors who are the leading experts in their fields. Subscribers to the Continuum Journal can read the full article or listen to verbatim recordings of the article and have access to exclusive interviews not featured on the podcast. Please visit the link in the episode notes for more information on the article, subscribing to the journal, and how to get CME. Dr Monteith: This is Dr Teshamae Monteith. Today I'm interviewing Dr Dave Clarke about his article on diversity and underserved patient populations in epilepsy, which appears in the February 2025 Continuum issue on epilepsy. So why don't you introduce yourself to our audience? Dr Clarke: Sure. My name is Dr Dave Clarke, as alluded to. I'm presently at the University of Texas in Austin, originating from much farther south. I'm from Antigua, but have been here for quite a while working within the field in epilepsy surgery, but more and more getting involved in outreach, access to care, and equity of healthcare in epilepsy. Dr Monteith: And how did you get involved in this kind of work? Dr Clarke: That's an amazing question. You know, I did it in a bit of a inside out fashion. I initially started working in the field and trying to get access to persons in the Caribbean that didn't have any neurological care or investigative studies, but very quickly realized that persons around the corner here in Texas and wherever I've worked have had the exact same problems, getting access via fiscal or otherwise epilepsy care, or geographically getting access, with so few having neurologists close at hand. Therefore, I started working both on a regional, national, and it transcended to a global scale. Dr Monteith: Wow, so you're just everywhere. Dr Clarke: Well, building bridges. I've found building bridges and helping with knowledge and garnering knowledge, you can expand your reach without actually moving, which is quite helpful. Dr Monteith: Yeah. So why don't you tell us why you think this work is so important in issues of diversity, underserved populations, and of course, access to epilepsy care? Dr Clarke: Sure, not a problem. And I think every vested person in this can give you a different spiel as to why they think it's important. So, I'll add in a few facts pertaining to access, but also tell you about why I think personally that it's not only important, but it will improve care for all and improve what you believe you could do for a patient. Because the sad thing is to have a good outcome in the United States presently, we have over three hundred epilepsy centers, but they have about eight or nine states that don't have any epilepsy centers at all. And even within states themselves, people have to travel up to eight hours, i.e., in Texas, to get adequate epilepsy care. So that's one layer. Even if you have a epilepsy center around the corner, independent of just long wait times, if you have a particular race or ethnicity, we've found out that wait may be even longer or you may be referred to a general practitioner moreso than being referred to an epilepsy center. Then you add in layers of insurance or lack thereof, which is a big concern regardless of who you are; poverty, which is a big concern; and the layers just keep adding more. Culture, etcetera, etcetera. If you could just break down some of those barriers, it has been shown quite a few years ago that once you get to an epilepsy center, you can negate some of those factors. You can actually reduce time to access and you can improve care. So, that's why I'm so passionate about this, because something could potentially be done about it. Dr Monteith: That's cool. So, it sounds like you have some strategies, some strategies for us. Dr Clarke: Indeed. And you know, this is a growth and this is a learning curve for me and will be for others. But I think on a very local, one-to-one scale, the initial strategy I would suggest is you have to be a good listener. Because we don't know how, when, where or why people are coming to us for their concerns. And in order to judge someone, if they may not have had a follow-up visit or they may not have gotten to us after five medications, the onus may not have been on that person. In other words, as we learned when we were in medical school, history is extremely important, but social history, cultural history, that's also just as important when we're trying to create bridges. The second major thing that we have to learn is we can't do this alone. So, without others collaborating with us outside of even our fields, the social worker who will engage, the community worker who will discuss the translator for language; unless you treat those persons with respect and engage with those persons to help you to mitigate problems, you'll not get very far. And then we'll talk about more, but the last thing I'll say now is they have so many organizations out there, the Institute of Medicine or the International League Against Epilepsy or members of the American Epilepsy Society, that have ways, ideas, papers, and articles that can help guide you as to how better mitigate many of these problems. Dr Monteith: Great. So, you already mentioned a lot of things. What are some things that you feel absolutely the reader should take away in reading your article? You mentioned already listening skills, the importance of interdisciplinary work, including social work, and that there are strategies that we can use to help reduce some of this access issues. But give me some of the essential points and then we'll dive in. Dr Clarke: OK. I think first and foremost we have to lay the foundation in my mind and realize what exactly is happening. If you are Native American, of African descent, Hispanic, Latinx, geographically not in a region where care can be delivered, choosing one time to epilepsy surgery may be delayed twice, three, four times that of someone of white descent. If you are within certain regions in the US where they may have eight, nine, ten, fourteen epilepsy centers, you may get to that center within two to three years. But if you're in an area where they have no centers at all, or you live in the Dakotas, it may be very difficult to get to an individual that could provide that care for you. That's very, very basic. But a few things have happened a few years ago and even more recently that can help. COVID created this groundswell of ambulatory engagement and ambulatory care. I think that can help to mitigate time to get into that person and improving access. In saying that, there are many obstacles to that, but that's what we have to work towards: that virtual engagement and virtual care. That would suggest in some instances to some persons that it will take away the one-to-one care that you may get with persons coming to you. But I guarantee that you will not lose patients because of this, because there's too big a vacuum. Only 22% of persons that should actually get to epilepsy centers actually get to epilepsy centers. So, I think we can start with that foundation, and you can go to the article and learn a lot more about what the problems are. Because if you don't know what the problems are, you can't come up with solutions. Dr Monteith: Just give us a few of the most persistent inequities and epilepsy care? Dr Clarke: Time to seeing a patient, very persistent. And that's both a disparity, a deficiency, and an inequity. And if you allow me, I'll just explain the slight but subtle difference. So, we know that time to surgery in epilepsy in persons that need epilepsy surgery can be as long as seventeen years. That's for everyone, so that's a deficiency in care. I just mentioned that some sociodemographic populations may not get the same care as someone else, and that's a disparity between one versus the other. Health equity, whether it be from NIH or any other definition, suggests that you should get equitable care between one person and the other. And that brings in not only medical, medicolegal or potential bias, that we may have one person versus the other. So, there's a breakdown as to those different layers that may occur. And in that I'm telling you what some of the potential differences are. Dr Monteith: And so, you mentioned, it comes up, race and ethnicity being a major issue as well as some of the geographic factors. How does that impact diagnosis and really trying to care for our patients? Dr Clarke: So again, I'm going to this article or going to, even. prior articles. It has been shown by many, and most recently in New Jersey, that if you're black, Hispanic, Latin- Latinx, it takes you greater than two times the time to surgery. Reduced time to surgery significantly increases morbidity. It potentially increases mortality, as has been shown by a colleague of mine presently in Calgary. And independent of that, we don't look at the other things, the other socially related things. Driving, inability to work, inability to be adequately educated, the stigma related to that in various cultures, various countries. So, that deficit not only increased the probability of having seizures, but we have to look at the umbrella as to what it does. It significantly impacts quality of life of that individual and, actually, the individuals around them. Dr Monteith: So, what are some of these drivers, and how can we address them, or at least identify them, in our clinic? Dr Clarke: That's a question that's rather difficult to answer. And not because there aren't ideas about it, but there's actually mitigating those ideas or changing those ideas we're just presently trying to do. Although outlines have been given. So, in about 2013, the federal government suggested outlines to improve access and to reduce these inequities. And I'll just give you a few of them. One of those suggestions was related to language and having more improved and readily available translators. Something simple, and that could actually foster discussions and time to better management. Another suggestion was try to train more persons from underserved populations, persons of color. Reason being, it has been shown in the social sciences and it is known in the medical sciences that, if you speak to a person of similar culture, you tend to have a better rapport, you tend to be more compliant, and that track would move forward, and it reduces bias. Now we don't have that presently, and I'm not sure if we'll have that in the near future, although we're trying. So then, within your centers, if you have trainings on cultural sensitivity, or if you have engagements and lectures about how you can engage persons from different populations, those are just some very simple pearls that can improve care. This has been updated several times with the then-Institute of Medicine in 2012, 2013, they came out with, in my mind, a pretty amazing article---but I'm very biased---in which they outline a number of strategic initiatives that could be taken to improve research, improve clinical care, improve health equity through health services research, to move the field forward, and to improve overall care. They updated this in 2020, and it's a part of the 2030 federal initiative not only for epilepsy, but to improve overarching care. All of this is written in bits and pieces and referenced in the article. To add icing on top, the World Health Organization, through advocacy of neurological groups as well as the International League Against Epilepsy and the AES, came out with the Intersectoral Action Plan on Epilepsy and Other Neurological Diseases, which advocates for parallel improvement in overall global care. And the United States have signed on to it, and that have lit a fire to our member organizations like the American Epilepsy Society, American Academy of Neurology, and others, trying to create initiatives to address this here. I started off by saying this was difficult because, you know, we have debated epilepsy care through 1909 when the International League against Epilepsy was founded, and we have continually come up with ways to try and advance care. But this have been the most difficult and critical because there's social dynamics and social history and societal concerns that have negated us moving forward in this direction. But fortunately, I think we're moving in that direction presently. That's my hope. And the main thing we have to do is try to sustain that. Dr Monteith: So, you talked about the importance of these global initiatives, which is huge, and other sectors outside of neurology. Like for example, technology, you spoke about telemedicine. I think you were referring to telemedicine with COVID. What other technologies that are more specific to the field of epilepsy, some of these monitorings that maybe can be done? Dr Clarke: I was just going to just going to jump on that. Thank you so much for asking. Dr Monteith: I have no disclosures in this field. I think it's important and exciting to think how can we increase access and even access to monitoring some of these technologies. That might be expensive, which is another issue, but…. Dr Clarke: So, the main things in epilepsy diagnosis and management: you want to hear from the patient history, you want to see what the seizures look like, and then you want to find ways in which to monitor those seizures. Hearing from the patient, they have these questionnaires that have been out there, and this is local, regional, global, many of them standardized in English and Spanish. Our colleagues in Boston actually created quite a neat one in English and Spanish that some people are using. Ecuador has one. We have created someone- something analogous. And those questionnaires can be sent out virtually and you can retrieve them. But sometimes seeing is believing. So, video uploads of seizures, especially the cell phone, I think has been management-changing for the field of epilepsy. The thing you have to do however, is do that in a HIPAA-compliant way. And several studies are ongoing. In my mind, one of the better studies here was done on the East Coast, but another similar study, to be unnamed, but again, written out in the articles. When you go into these apps, you can actually type in a history and upload a video, but the feed is not only going to you, it may be going to the primary care physician. So, it not only helps in one way in you educating the patient, but you educate that primary care physician and they become extenders and providers. I must add here my colleagues, because we can't do without them. Arguably in some instances, some of the most important persons to refer patients, that's the APPs, the PAs and the nurse practitioners out there, that help to refer patients and share patients with us. So, that's the video uploads they're seeing. But then the other really cool part that we're doing now is the ambulatory world of EEGs. Ceribell, Zeto, to name of few, in which you could potentially put the EEG leads on persons with or without the EEG technologist wirelessly and utilize the clouds to review the EEGs. It's not perfect just yet, but that person that has to travel eight hours away from me, if I could do that and negate that travel when they don't have money to pay for travel or they have some potential legal issues or insurance-related issues and I could read the EEG, discuss with them via telemedicine their care, it actually improves access significantly. I'm going to throw in one small twist that, again, it's not perfect. We're now trying to monitor via autonomic features, heart rate movement and others, for seizures and alert family members, parents, because although about 100,000 people may be affected with epilepsy, we're talking about 500,000 people who are also affected that are caregivers, affiliates, husbands, wives, etcetera. Just picture it: you have a child, let's say three, four years old and every time they have a seizure- or not every time, but 80% of times when they have a seizure, it alerts you via your watch or it alerts you in your room. It actually gives that child a sense of a bit more freedom. It empowers you to do something about it because you can understand here. It potentially negates significant morbidity. I won't stretch it to say SUDEP, but hopefully the time will come when actually it can prevent not only morbidity, but may prevent death. And I think that's the direction we are going in, to use technology to our benefit, but in a HIPAA-compliant way and in a judicious way in order to make sure that we not only don't overtreat, but at the end of the day, we have the patient as number one, meaning everything is vested towards that patient and do no harm. Dr Monteith: Great. One thing you had mentioned earlier was that there are even some simple approaches, efficiency approaches that we can use to try and optimize care for all in our clinics. Give me what I need to know, or do. Give me what I need to do. Dr Clarke: Yeah, I'll get personal as to what we're trying to do here, if you don't mind. The initial thing we did, we actually audited care and time to care delivery. And then we tried to figure out what we could do to improve that access and time to care, triaging, etcetera. A very, very simple thing that can be done, but you have to look at costs, is to have somebody that actually coordinates getting persons in and out of your center. If you are a neurologist that works in private practice, that could potentially be a nurse being associated directly one-and-one with one of the major centers, a third- or fourth-level center. That coordination is key. Educate your nurses about epilepsy care and what the urgent situations are because it will take away a lot of your headache and your midnight calls because they'll be able to know what to do during the day. Video uploads, as I suggested, regardless of the EMR that you have, figure out a way that a family could potentially send a video to you, because that has significantly helped in reducing investigative studies. Triaging appropriately for us to know what patients we can and cannot see. Extenders has helped me significantly, and that's where I'll end. So, as stated, they had many neurologists and epileptologists, and utilizing appropriately trained nurse practitioners or residents, engaging with them equally, and/or social workers and coordinators, are very helpful. So hopefully that's just some low-hanging fruit that can be done to improve that care. Dr Monteith: So why don't you give us some of your major takeaways to how we can improve epilepsy care for all people? Dr Clarke: I've alluded to some already, but I like counts of threes and fives. So, I think one major thing, which in my mind is a major takeaway, is cultural sensitivity. I don't think that can go too far in improving care of persons with epilepsy. The second thing is, if you see a patient that have tried to adequately use medications and they're still having seizures, please triage them. Please send them to a third- or fourth-level epilepsy center and demand that that third- or fourth-level epilepsy center communicate with you, because that patient will eventually come back and see you. The third thing---I said three---: listen to your patients. Because those patients will actually help and tell you what is needed. And I'm not only talking about listening to them medication-wise. I know we have time constraints, but if you can somehow address some of those social needs of the patients, that will also not only improve care, but negate the multiple calls that you may get from a patient. Dr Monteith: You mentioned a lot already. This is really wonderful. But what I really want to know is what you're most hopeful about. Dr Clarke: I have grandiose hopes, I'll tell you. I'll tell you that from the beginning. My hope is when we look at this in ten years and studies are done to look at equitable care, at least when it comes to race, ethnicity, insurance, we'll be able to minimize, if not end, inequitable care. Very similar to the intersectoral action plan in epilepsy by 2030. I'll tell you something that suggests, and I think it's global and definitely regional, the plan suggests that 90% of persons with epilepsy should know about their epilepsy, 80% of persons with epilepsy should be able to receive appropriate care, and 70% of persons with epilepsy should have adequately controlled epilepsy. 90, 80, 70. If we can get close to that, that would be a significant achievement in my mind. So, when I'm chilling out in my home country on a fishing boat, reading EEGs in ten years, if I can read that, that would have been an achievement that not necessarily I would have achieved, but at least hopefully I would have played a very small part in helping to achieve. That's what I think. Dr Monteith: Awesome. Dr Clarke: I appreciate you asking me that, because I've never said it like that before. In my own mind, it actually helped with clarity. Dr Monteith: I ask great questions. Dr Clarke: There you go. Dr Monteith: Thank you so much. I really- I really appreciate your passion for this area. And the work that you do it's really important, as you mentioned, on a regional, national, and certainly on a global level, important to our patients and even some very simple concepts that we may not always think about on a day-to-day basis. Dr Clarke: Oh, I appreciate it. And you know, I'm always open to ideas. So, if others, including listeners, have ideas, please don't hesitate in reaching out. Dr Monteith: I'm sure you're going to get some messages now. Dr Clarke: Awesome. Thank you so much. Dr Monteith: Thank you. I've been interviewing Dr Dave Clarke about his article on diversity and underserved patient populations in epilepsy, which appears in the most recent issue of Continuum on epilepsy. Be sure to check out Continuum Audio episodes from this and other issues. And thank you to our listeners for joining today. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use this link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.
"Nothing shows the benefits of TNR better than actually doing it. Once communities see the impact, they come on board, and that's when real change happens.” This episode is sponsored-in-part by Maddie's Fund. Harry Eckman, Global Advisor for Cat Population Management at International Cat Care, joins host Stacy LeBaron for an insightful discussion on the challenges and opportunities in managing unowned cat populations worldwide. With over 25 years in animal welfare, Harry has worked on everything from stray population management to ending the dog and cat meat trades. In this episode, he shares his journey into animal welfare, the realities of life for unowned cats across different regions, and innovative solutions to improve their welfare. Harry sheds light on his latest project, a three-year initiative backed by the Battersea Global Enabler Fund, focusing on cat welfare strategies in five countries: the UK, Cyprus, Greece, Portugal, and Australia. He emphasizes the importance of community-driven solutions, the role of cat feeders as unsung heroes, and the systemic challenges—including veterinary shortages—that impact cat welfare globally. From integrating social services into feline welfare to normalizing trap-neuter-return (TNR), Harry and Stacy discuss what it takes to build sustainable, community-led programs that truly make a difference. Press Play Now For: How Harry Eckman transitioned from pastry chef to global cat welfare leader The harsh realities faced by unowned cats around the world Why effective TNR is more than just sterilization—it's about strategic planning The importance of integrating cat welfare into existing community services How veterinary shortages are impacting cat population management globally The role of cat feeders and why they are key to humane population control A groundbreaking international project aimed at improving feline welfare Resources & Links: International Cat Care – Learn more about their mission and projects (https://icatcare.org) Find Harry Eckman on LinkedIn (https://www.linkedin.com/in/harry-eckman-45b9a847/) Harry's Published Research on Cat & Dog Welfare in Portugal – Read it here(https://www.cabidigitallibrary.org/doi/10.1079/hai.2024.0029) Sponsor Links: Maddie's Fund (https://www.communitycatspodcast.com/maddies605) Follow & Review We'd love for you to follow us if you haven't yet. Click that purple '+' in the top right corner of your Apple Podcasts app. We'd love it even more if you could drop a review or 5-star rating over on Apple Podcasts(https://podcasts.apple.com/us/podcast/the-community-cats-podcast/id1125752101?mt=2). Select “Ratings and Reviews” and “Write a Review” then a quick line with your favorite part of the episode. It only takes a second and it helps spread the word about the podcast.
Commerce Secretary Howard Luttnick has disbanded three Census Bureau external advisory groups. Gone are the Census Scientific Advisory Committee, the National Advisory Committee on Race, Ethic and other Populations and the 2030 Census Advisory Committee. The community surrounding the Census Bureau is concerned. Joining me with what this all means, the director of government affairs at the Population Association of America, Mary Jo Mitchell. Learn more about your ad choices. Visit podcastchoices.com/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Commerce Secretary Howard Luttnick has disbanded three Census Bureau external advisory groups. Gone are the Census Scientific Advisory Committee, the National Advisory Committee on Race, Ethic and other Populations and the 2030 Census Advisory Committee. The community surrounding the Census Bureau is concerned. Joining me with what this all means, the director of government affairs at the Population Association of America, Mary Jo Mitchell. Learn more about your ad choices. Visit podcastchoices.com/adchoices
In this episode, we speak with Dr. Abrar Qureshi, MD, MPH, Chair of the Department of Dermatology at the Warren Alpert Medical School of Brown University and a distinguished leader in dermatology. Along with his academic leadership, Dr. Qureshi has dedicated much of his career to humanitarian work, particularly serving refugee populations through medical missions in Jordan and Turkey. We explore the role of dermatology in global health, the importance of trust in patient care, and what it means to be mission-driven in medicine. Join us to learn about Dr. Qureshi's journey in dermatology, his experiences in refugee health, and his perspective on how dermatologists can contribute meaningfully to global health. We hope you enjoy!Connect with Dr. Qureshi, MD, MPH:Instagram: @dermtracker---DIGA Instagram: @derminterestHost: @ashleyjini---Music: "District Four" Kevin MacLeod (incompetech.com) Licensed under Creative Commons: By Attribution 4.0 License: http://creativecommons.org/licenses/by/4.0/
The populations of some of Africa’s most iconic wildlife have been bouncing back thanks to decades of conservation efforts. But activists are warning that climate change and human activity are shrinking their habitats. Now, a nature preserve in central Kenya is pushing to set aside more land to connect with other preserves to allow wild animals to roam freely. John Yang reports. PBS News is supported by - https://www.pbs.org/newshour/about/funders
durée : 00:05:09 - Avec sciences - par : Alexandre Morales - Peut-on se servir des plantes et des populations pour détecter les zones où l'air est pollué ? C'est ce qu'est parvenue à mettre un place au Chili une collaboration internationale. Leur publication parue est dans Environmental Geochemistry and Health.
The science is clear - fertilizer grows microbes in soil, improves soil structure, and grows better plants.
A new study led by researchers at Washington State University showed that butterfly populations in the U.S. shrank by more than 20% from 2000 to 2020. More than 100 butterfly species declined by more than 50% during this period, including nearly two dozen that plummeted by more than 90%.The findings are based on more than 12 million observations of hundreds of butterfly species recorded by citizen scientist volunteers and biologists during surveys conducted in the Pacific Northwest and six other regions across the continental U.S. Cheryl Schultz is a professor of conservation biology at Washington State University and a senior author of the study. She joins us to share more details and how the public can help with butterfly conservation – including species like the Fender’s blue butterfly which is native to Willamette Valley and was reclassified from endangered to threatened status in 2023.
A breakthrough neuroprosthetic-robot system restores movement in spinal cord injury patients and one-third of US bird species populations are declining. On This Day in History, the largest art heist in US is committed at artwork valued at $500 million is stolen. Robotics and spinal stimulation restore movement in paralysis | ScienceDaily US bird populations continue alarming decline | ScienceDaily History's Biggest Art Heist | HISTORY Five Things to Know About the Gardner Museum Heist—the Biggest Art Theft in Modern History | Smithsonian March 18, 1990: The Largest Art Heist In History - This Day of History Contact the show - coolstuffcommute@gmail.com Learn more about your ad choices. Visit megaphone.fm/adchoices
She is a ball of energy with a desire to change and help those that don't have a voice. At our first formal meeting she tells me all about her job at our local alternative school. Listen as this townie talks working at the juvenile detention center, earning trust and respect, becoming an accidental liaison for the lost pets in our community, turning off social media for self-preservation, losing students to gun violence, student success stories and taking away any excuse not to move forward by providing resources and support to kids who need it. And want it. Alexis has a gift to relate and communicate to those who need help. Thank you, Alexis, for providing our community with brighter futures. I'd like to thank this episode's sponsor Illini Pella Windows & Doors of Champaign. At 1001 N Country Fair in Champaign you'll find the brand synonymous with quality in windows and doors. Pella is one of America's most trusted names for replacement windows, entry doors and sliding patio doors. Visit their showroom on Country Fair Drive or call (217) 356-6474. Pellaofchampaign.com has all the information you need for planning. Thank you so much for listening! However your podcast host of choice allows, please positively: rate, review, comment and give all the stars! Don't forget to follow, subscribe, share and ring that notification bell so you know when the next episode drops! Also, search and follow hyperlocalscu on all social media. If I forgot anything or you need me, visit my website at HyperLocalsCU.com. Byee.
In this article, Gary Norman offers insights from his career as a ruffed grouse biologist on the factors impacting eastern ruffed grouse survival.
To contact Scott and his organization, you can find him at"https://deltawaterfowl.org"
For the second week in a row Joe is "podcasting while impaired" after having a root canal performed prior to the show. After sharing some details about the procedure (and the "injury" he suffered afterwards) Joe announces this month's "Muscle Up" supplement sale. He then gets into today's two main show topics: The first part of the show is a last-minute "celebration" of Joe's 10-year podcasting anniversary. In the second half of the show Joe shares his Top 10 Lowest Risk, Highest Reward Strength Exercises for ALL Populations. *For a full list of Show Notes + Timestamps goto www.IndustrialStrengthShow.com. IMPORTANT LINKS DeFranco's Nutritional Supplements [coupon: MuscleUpMarch] Buffin Muffins 25 Best Strength Coach Podcasts
In this episode of the Elk Talk Podcast, Randy and Corey catch up to discuss their application strategies, Arizona draw results, the current winter conditions in elk country, problems of thawing and freezing snow, some viewer questions, Corey's strategy for drawing tags in years/seasons with optimal conditions, allocating your hunting time, and some diversions out into the weeds on topics barely related to elk hunting. Learn more about your ad choices. Visit megaphone.fm/adchoices
Continuing our series on fasting fundamentals, Part 2 will look at more specific population examples, studies, and who should or shouldn't consider fasting. We'll also discuss gut health considerations, adherence and family time, client behavior and mindset, and more! Topics include: - Recapping Part 1 - What to Expect in Part 2 - Please Share, Rate, and Review - High Level Perspective on Who Should and Shouldn't Fast - A Case for Fasting and Night Shift Workers - The Healthy Hero Study - My Free Video Series - Keeping the Whole Food Matrix a Priority - Gut Health Considerations - More on Gut Health and Digestion in FNMS - Understanding Adherence and Family Considerations - Tracking SHREDS - Client Behavior and Mindset ---------- My Live Program for Coaches: The Functional Nutrition and Metabolism Specialization www.metabolismschool.com ---------- [Free] Metabolism School 101: The Video Series http://www.metabolismschool.com/metabolism-101 ---------- Subscribe to My Youtube Channel: https://youtube.com/@sammillerscience?si=s1jcR6Im4GDHbw_1 ---------- Grab a Copy of My New Book - Metabolism Made Simple ---------- Stay Connected: Instagram: @sammillerscience Youtube: SamMillerScience Facebook: The Nutrition Coaching Collaborative Community TikTok: @sammillerscience ---------- “This Podcast 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 and the show notes or the reliance on the information provided is to be done at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment and is for educational purposes only. Always consult your physician before beginning any exercise program and 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. By accessing this Podcast, the listener acknowledges that the entire contents and design of this Podcast, are the property of Oracle Athletic Science LLC, or used by Oracle Athletic Science LLC with permission, and are protected under U.S. and international copyright and trademark laws. Except as otherwise provided herein, users of this Podcast may save and use information contained in the Podcast only for personal or other non-commercial, educational purposes. No other use, including, without limitation, reproduction, retransmission or editing, of this Podcast may be made without the prior written permission of Oracle Athletic Science LLC, which may be requested by contacting the Oracle Athletic Science LLC by email at operations@sammillerscience.com. By accessing this Podcast, the listener acknowledges that Oracle Athletic Science LLC makes no warranty, guarantee, or representation as to the accuracy or sufficiency of the information featured in this Podcast."