Podcasts about Prevalence

Why Are We Paying More for Worse Health? | ShiftShapersIn this episode of ShiftShapers, host David A. Saltzman welcomes Helene M. Epstein—writer, speaker, and patient advocate behind the Substack series Patient No More. Helene dives deep into America's epidemic of medical errors, misdiagnoses, and system failures. She breaks down why even the most advanced technology and training haven't improved patient safety, how profit-driven healthcare puts patients at risk, and—most importantly—what individuals can do to protect themselves and their families. From shocking statistics about misdiagnosis to the hidden realities of rural hospital closures, Helene provides practical advice and hope for patients who are ready to become their own advocates.

Learn how chronic stress and traumatic brain injuries can silently impact workplace dynamics and employee wellbeing!In this episode of the Academy I3 podcast, hosts Charlie and Shane engage in a thought provoking discussion with Dr. Maria Garay Seratos, an expert in domestic violence, traumatic brain injury (TBI), and chronic traumatic encephalopathy (CTE). Dr. Seratos talked about the profound impact of brain injuries and chronic stress on groups that are marginalized, particularly within the context of child welfare and the workplace. She highlights the critical symptoms and long-term effects associated with TBI and chronic stress, underscoring the need for greater awareness and support in professional environments. Dr. Seratos emphasizes the importance of creating brain health initiatives, educating the workforce, and integrating these efforts into broader DEI strategies. This episode sheds light on a largely unrecognized issue, urging organizations to prioritize brain health as a fundamental component of employee wellbeing and organizational success.Episode Chapters:00:00 Meet Dr. Maria Garay Soratos02:11 The Link Between Brain Health and DEI Challenges04:09 Understanding Traumatic Brain Injury (TBI)06:04 Non-Concussive Head Impacts and CTE07:20 The Prevalence and Impact of TBI10:10 Brain Health and Chronic Stress11:28 Intersectionality and Brain Health in the Workplace14:39 Misconceptions About Brain Health19:53 Strategies for Supporting Brain Health in the Workplace35:32 The Role of Leadership in Promoting Brain Health39:37 Long-Term Benefits of Prioritizing Brain Health41:00 Envisioning the Future of DEI and Brain Health44:07 Conclusion and Final ThoughtsLearn about our guest: María E. Garay-Serratos, MSW, PhD, is a domestic violence – traumatic brain injury/chronic traumatic encephalopathy (DV-TBI/CTE) expert and thought leader. Her life's mission is to create global awareness to address the silent and unrecognized DV-TBI/CTE pandemic. Dr. Garay-Serratos is currently the Founder and CEO of Pánfila Domestic Violence HOPE Foundation and the Protagonist, Associate Producer, DV-TBI/CTE Expert Consultant for This Hits Home, a feature documentary released in 2023. Her work and story have also been the focus of various media/social media articles/interviews including NPR, The National Desk Spotlight on America, USC News, The Global Good Podcast, HuffPost, The Los Angeles Times, Boston University CTE Center, and Concussion Legacy Foundation. Prior to founding Pánfila and involvement with This Hits Home, Dr. Garay- Serratos served as a C-level executive for over 25 years for various non-profit organizations. She attended Pitzer College in Claremont, California, where she earned her undergraduate degree in sociology. Her graduate studies were in the Suzanne Dworak-Peck School of Social Work at the University of Southern California where she earned both a master's degree and a doctorate.Check out Dr. Garay-Serratos' organization: Pánfila Domestic Violence HOPE FoundationSubscribe for more workforce wellness content: https://www.youtube.com/@TheAcademySDSUFollow us on LinkedIn: linkedin.com/company/sdsuacademy#BrainHealth #WorkforceWellness #DEI

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Episode 193: Gestational Diabetes IntroJesica Mendoza (OMSIII) describes the pathophysiology of gestational diabetes and the right timing and method of screening for it. Dr. Arreaza adds insight into the need for culturally-appropriate foods, such as vegetables in Mexican cuisine.    Written by Jesica Mendoza, OMSIII, Western University of Health Sciences, College of Osteopathic Medicine of the Pacific. Editing by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.DefinitionGestational diabetes mellitus (GDM) is a condition that occurs to previously non-diabetic pregnant women, caused by glucose intolerance at around the 24th week of gestation. PathophysiologyGDM arises due to an underlying pancreatic beta cell dysfunction in the mother which leads to a decrease in the amount of insulin produced and thus leads to higher blood sugar levels during pregnancy. The placenta of the fetus will produce hPL (human placental lactogen) to ensure a steady supply of sugars to the fetus, creating an anti-insulin effect. However, hPL readily crosses the placental barrier causing the mothers insulin requirement to increase, when the mother's pancreas cannot increase production of insulin to that level needed to counter the effect of hPL they become diabetic, and this leads to gestational diabetes. So, basically the placenta is asking for more glucose for the baby and the mother's pancreas struggles to keep the glucose level within normal limits in the body of the mother. If left untreated, high levels of glucose in the mother can cause glucotoxicity in the mother.“Glucotoxicity” refers to the toxic effect of glucose. Glucose is the main fuel for cell functions, but when it is high in the bloodstream, it causes toxicity to organs. Prevalence of GDM.The CDC reports mean prevenance of GDM is 6.9%. In U.S. mothers the prevenance increased from 6.0% in 2016 to 8.3% in 2021. Many different factors have played a role in increasing gestational diabetes in American mothers, some of those being the ongoing obesity epidemic with excess body weight being a known risk factor for insulin resistance. Another being advanced maternal age (AMA) as more American women have children later in life their body becomes less sensitive to insulin and requires a higher insulin output on top of the insulin that is required for the fetus. The “American diet” is also something that has a big effect in diabetes development. With the increase of high-carb foods that are readily available, the diet of Americans has declined and is affecting the metabolic health of mothers as they carry and deliver their children. Despite ongoing awareness of GDM, 6% to 9% of pregnant women in the United States are diagnosed with gestational diabetes, and the prevalence continues to increase worldwide. It is estimated that in 2017 18.4 million pregnancies were affected by GDM in the world, which then continued to increase to 1 in 6 births to women with GDM in 2019. It was also found that women living in low-income communities were disproportionately affected due to limited healthcare access. Additionally, women with GDM had a 1.4-fold increase in likelihood of undergoing a c-section, with 15% increase in risk of requiring blood transfusion. Screening for GDMGestational diabetes is screened between the 24th to 28th week of gestation in all women without known pregestational diabetes. In women who have high-risk for GDM the screening occurs during the first trimester, these women usually have at least one of the following: BMI > 30, prior history of GDM, known impaired glucose metabolism, and/or a strong family history of diabetes. The screening during the first trimester is to detect “pregestational diabetes” because we have to keep a good glycemic control to improve outcomes of pregnancy. So, if it's positive, you start treatment immediately. If these women are found to have a normal glucose, they repeat the testing again as done normally, at 24-28 weeks of gestation. How do we screen?The screening itself consists of two types of approaches. The two-step approach includes a 50-gram oral glucose tolerance test (OGTT), where blood glucose is measured in an hour and if it is below 140 they are considered to not have GDM, however if the reading is greater than 140 they must then do a 3-hour, 100g oral glucose tolerance test. The 3-hour OGTT includes measuring the blood sugars at Fasting which should be less than 95, at 1 hour at less than 180, at 2 hours at less than 155, and at 3 hours at less than 140. If 2 or more of these values exceed the threshold the patient is diagnosed with gestational diabetes mellitus. The one-step approach includes 75g after an overnight fast. Blood glucose is measured while fasting which should be less than 92, at 1 hour less than 180 and at 2 hours less than 153. If any one of these values is exceeded, the patient is diagnosed with GDM.If the mother is found to be GDM positive during pregnancy she will also need continued screening post-partum to monitor for any development of overt diabetes. The testing is usually 75g 2-hour OGTT at 6-12 weeks postpartum. If this testing is normal, then they are tested using HbA1c every 3 years. If the post-partum testing shows pre-diabetes, annual testing is recommended using HbA1c measurements. Maternal complications Women with GDM are at an increased risk for future cardiovascular disease, T2DM, and chronic kidney disease. GDM is also associated with increased likelihood of developing pre-eclampsia following delivery. Pre-eclampsia is a complication seen in pregnancy characterized by high blood pressure, proteinuria, vision changes, and liver involvement (high LFTs). Pre-eclampsia can then progress to eclampsia or HELLP syndrome, both of which can include end organ damage. Additionally, she can develop polyhydramnios which leads to overstretching of the uterus and can induce pre-term labor, placental abruption, and or uterine atony, all of which additionally put the mother at increased risk for c-section. All of these maternal complications that stem from GDM lead to complications and extended hospitalization. Child's complications Although there is an increased set of risks for the mother, the neonate can also develop a variety of risks due to the increased glucose while in utero. While the fetus is growing, the placenta is the source of nutrition for the fetus. As the levels of glucose in the mother increase so does the amount of glucose filtered through the placenta and into the fetal circulation. Over time the glucose leads to oxidative stress and inflammation with activation of TGF-b which leads to fibroblast activation and fibrosis of the placenta. This fibrosis decreases the nutrient and oxygen exchange for the fetus. As the fetus attempts to grow in this restrictive environment its development is affected. The fetus can develop IUGR (intrauterine growth restriction) leading to a small for gestation age newborn which can then lead to another set of complications. The low oxygen environment can lead to increased EPO production and polycythemia at birth which can then lead to increased clotting that can travel to the newborn brain. Newborns can also be born with fetal acidosis due to the anerobic metabolism and lactic acid buildup in fetal tissues which can cause fetal encephalopathy leading to cerebral palsy and developmental delay. And the most severe of newborn complications to gestational diabetes can lead to fetal demise. Furthermore, the increase of glucose can also lead to macrosomia in the infant which can often lead to a traumatic delivery and delivery complications such as shoulder dystocia and brachial plexus injury. Brachial plexus injury sometimes resolves without sequela, but other times can lead to permanent weakness or paralysis of the affected arm. The baby can be born too small or too big.Additionally, once the fetus is born the cutting of the umbilical cord leads to a rapid deceleration in blood glucose in the fetal circulation and hypoglycemic episodes can occur, that often lead to NICU admission. The insulin that is created by the fetus in utero to accommodate the large quantities of glucose is known to affect lung maturation as well. The insulin produced inhibits surfactant production in the fetus. Upon birth some of the newborns also have to be placed on PEEP for ventilation and some children require treatment with surfactant to prevent alveolar collapse and/or progression to NRDS created by the low surfactant levels. Additionally, neonates who are macrosomic, which is usually seen in GDM mothers, are larger and stronger and when put on PEEP to help increase ventilation the newborn's stronger respiratory effort can lead to higher pulmonary pressures and barotrauma such as neonatal pneumothorax.Long term complications to the child of a mother with GDM also occur. As the child grows, they are also at an increased risk for developing early onset obesity because of the increased adipose storage triggered by the increase in insulin in response to the high glucose in utero. This then can lead to a higher chance of developing type 2 diabetes mellitus in the child. With diabetes, also comes an increase in cardiovascular risk as the child ages and becomes an adult. The effects of GDM go beyond the fetal life but continue through adulthood.What can be done?Gestational Diabetes Mellitus has many severe and lifelong consequences for both the mother and the child and prevention of GDM would help enhance the quality of life of both. Many of the ways to prevent GDM complications include patient education and dietary modifications with a diet rich in whole grains, fruits, vegetables and lean proteins. Benefits of some vegetables in the Mexican cuisine that may be beneficial: Nopales, Chayote, and Jicama. Those are good alternatives for highly processed carbs.Mothers are usually offered nutritional counseling to help them develop a tailored eating plan. This and 30 minutes of moderate exercise daily is recommended to increase insulin sensitivity and lower the post-prandial glucose levels. If within 2 weeks of implementing lifestyle changes alone the glucose measurements remain high, then medications like insulin can be put onboard to manage the GDM. If they require insulin, I think it is time to refer to a higher level of care, if available, high risk OB clinic.Conclusion: Now we conclude episode number ###, “[TITLE].” [summary here]. _____________________References:Eades CE, Burrows KA, Andreeva R, Stansfield DR, Evans JM. Prevalence of gestational diabetes in the United States and Canada: a systematic review and meta-analysis. BMC Pregnancy Childbirth. 2024 Mar 15;24(1):204. doi: 10.1186/s12884-024-06378-2. PMID: 38491497; PMCID: PMC10941381. https://pubmed.ncbi.nlm.nih.gov/38491497/QuickStats: Percentage of Mothers with Gestational Diabetes,* by Maternal Age — National Vital Statistics System, United States, 2016 and 2021. Weekly / January 6, 2023 / 72(1);16. https://www.cdc.gov/mmwr/volumes/72/wr/mm7201a4.htm?utmAkinyemi OA, Weldeslase TA, Odusanya E, Akueme NT, Omokhodion OV, Fasokun ME, Makanjuola D, Fakorede M, Ogundipe T. Profiles and Outcomes of Women with Gestational Diabetes Mellitus in the United States. Cureus. 2023 Jul 4;15(7):e41360. doi: 10.7759/cureus.41360. PMID: 37546039; PMCID: PMC10399637. https://pmc.ncbi.nlm.nih.gov/articles/PMC10399637/?utmPerlman, J. M. (2006). Summary proceedings from the neurology group on hypoxic-ischemic encephalopathy. Pediatrics, 117(3), S28–S33.DOI: 10.1542/peds.2005-0620C.Low, J. A. (1997). Intrapartum fetal asphyxia: definition, diagnosis, and classification. American Journal of Obstetrics and Gynecology, 176(5), 957–959.DOI: 10.1016/S0002-9378(97)70609-0.Hallman, M., Gluck, L., & Liggins, G. (1985). Role of insulin in delaying surfactant production in the fetal lung. Journal of Pediatrics, 106(5), 786–790.DOI: 10.1016/S0022-3476(85)80227-0.Sweet, D. G., Carnielli, V., Greisen, G., et al. (2019). European Consensus Guidelines on the Management of Respiratory Distress Syndrome – 2019 Update. Neonatology, 115(4), 432–450.DOI: 10.1159/000499361.Raju, T. N. K., et al. (1999). Respiratory distress in term infants: when to suspect surfactant deficiency. Pediatrics, 103(5), 903–909.DOI: 10.1542/peds.103.5.903.Burns, C. M., Rutherford, M. A., Boardman, J. P., & Cowan, F. M. (2008). Patterns of cerebral injury and neurodevelopmental outcomes after symptomatic neonatal hypoglycemia. Pediatrics, 122(1), 65–74.DOI: 10.1542/peds.2007-2822.Dabelea, D., et al. (2000). Long-term impact of maternal diabetes on obesity in childhood. Diabetes Care, 23(10), 1534–1540.DOI: 10.2337/diacare.23.10.1534.Dashe, J. S., et al. (2002). "Hydramnios: Etiology and outcome." Obstetrics & Gynecology, 100(5 Pt 1), 957–962.DOI: 10.1016/S0029-7844(02)02279-6.Long-term cost-effectiveness of implementing a lifestyle intervention during pregnancy to prevent gestational diabetes mellitus: a decision-analytic modelling study. Diabetologia.American College of Obstetricians and Gynecologists. (2018). Practice Bulletin No. 190: Gestational Diabetes Mellitus. Obstetrics & Gynecology, 131(2), e49–e64. https://doi.org/10.1097/AOG.0000000000002501Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/. 

In this episode, Dr Tsen Vei Lim speaks to Dr Emma Beard, a lecturer in statistics and quantitative methods at University College London. The interview covers Emma's research report titled, ‘How much does the absence of the ‘hidden population' from United Kingdom household surveys underestimate smoking prevalence?'· How we normally estimate the smoking prevalence reported in official statistics [01:28]· Why it is important to consider the hidden population [01:55]· The consequences of not taking into account the hidden population when estimating smoking prevalence [02:35]· The ‘workbook method': how we estimate the hidden population [02:55]· The key findings and implications of these findings [03:30]· The size of the hidden population in the UK [04:42]· The huge undertaking of this research project to find these data [05:25]· The consideration of adolescent populations within smoking prevalence statistics [06:44]· What can be done within research to be more inclusive of hidden populations [07:52]· How Emma's research can contribute to policy and practice [08:44]· The argument for more and better data to include hidden populations [10:00]In Emma's paper, the hidden population for household surveys was defined as people from or living in communal establishments (e.g. care homes, student residence, prison), immigration detention centres, Gypsy, Roma and Travelling Communities, short-term accommodation, and those experiencing homelessness, including sofa surfing. About Emma Beard: Dr Beard is a Lecturer in Statistics and Quantitative Methods at University College London. She has over 130 publications on a variety of topics, with a key focus on tobacco harm reduction, high-risk alcohol consumption, and statistical methodology. Her research focuses on evaluating smoking cessation interventions and policies. She is a Deputy Methodological and Statistical Editor for the journal Addiction.About Tsen Vei Lim: Dr Tsen Vei Lim is an academic fellow supported by the Society for the Study of Addiction, currently based at the Department of Psychiatry at the University of Cambridge. His research integrates computational modelling, experimental psychology, and neuroimaging to understand the neuropsychological basis of addictive behaviours. He holds a PhD in Psychiatry from the University of Cambridge (UK) and a BSc in Psychology from the University of Bath (UK).Original editorial: How much does the absence of the ‘hidden population' from United Kingdom household surveys underestimate smoking prevalence? https://doi.org/10.1111/add.70071 The opinions expressed in this podcast reflect the views of the host and interviewees and do not necessarily represent the opinions or official positions of the SSA or Addiction journal.The SSA does not endorse or guarantee the accuracy of the information in external sources or links and accepts no responsibility or liability for any consequences arising from the use of such information. Hosted on Acast. See acast.com/privacy for more information.

Gillian is joined by addiction councillor Michael Guerin to chat a bit about what the attitude is to cocaine at the moment, and the danger associated with this. Hosted on Acast. See acast.com/privacy for more information.

Zinc is an essential micronutrient that often flies under the radar, despite being vital for hundreds of enzymes and transcription factors involved in immunity, antioxidant defense, and DNA repair. A surprisingly large segment of the population may not get enough – an estimated 10% of U.S. individuals consume less than half the recommended zinc intake, putting them at risk of deficiency. In this episode, Prof. Emily Ho discusses how even mild zinc insufficiency can impair immune function, promote chronic inflammation, and accelerate aspects of aging. She delves into the concept of “inflammaging” – the chronic, low-grade inflammation that develops with age – and explains how inadequate zinc status can aggravate this process. The conversation also highlights emerging research on zinc's role in DNA integrity and how restoring zinc levels can reverse certain damage, underscoring zinc's broader significance in healthy aging and disease prevention. Overall, this episode provides a deep scientific look at why maintaining adequate zinc status is crucial for immune resilience and mitigating age-related inflammatory and oxidative damage. About the Guest Emily Ho, PhD is the Director of the Linus Pauling Institute and professor in the College of Health at Oregon State University. Her research focuses on understanding the mechanisms by which nutrient status and healthy foods affect the initiation and/or progression of chronic diseases such as cancer. Her work has helped drive dietary requirements and recommendations for micronutrients such as zinc for communities with susceptibility to poor nutrition. Timestamps [02:10] Interview begins [03:58] The roles of zinc [06:31] Zinc deficiency and insufficiency [14:26] Prevalence and risk factors of zinc deficiency [21:12] Zinc and age-related inflammation [29:39] Zinc's impact on chronic diseases [31:20] Practical advice on zinc supplementation [41:14] Final thoughts Related Resources Go to episode page (includes related research) Join the Sigma email newsletter for free Subscribe to Sigma Nutrition Premium Enroll in the next cohort of our Applied Nutrition Literacy course Linus Pauling Institute (LPI) Website Micronutrient Information Center Top 10 Micronutrients for Healthy Aging Webinars on LPI YouTube

In this episode we explores the impact of perfectionism on exam anxiety, particularly among neurodivergent individuals. Dr. Tracey Donachie, a lecturer in sports and exercise psychology, discusses the components and prevalence of perfectionism, highlighting its psychological and behavioral effects. Maciej Matejko, from the Re-Star Project, shares his perspective on perfectionism in relation to autism, while consultant Julia Gudinchet offers strategies for managing perfectionistic tendencies in individuals with ADHD and autism. The episode provides valuable insights and practical advice for educators and students to foster healthier attitudes towards achievement. Find out more: Dr Tracy Donachie: https://www.ncl.ac.uk/psychology/people/profile/tracydonachie.html Julia Gudinchet, Sunflower Autism Consultancy: https://sunflowerautismconsultancy.co.uk Pomodoro Technique: https://changingstatesofmind.libsyn.com/how-effective-is-the-pomodoro-technique RE-STAR project (Maciej Matejko): https://www.kcl.ac.uk/research/re-star Time Stamps: Expert Insight on Perfectionism (00:01:15)   Dr. Tracey Donachie discusses her extensive experience with managing exam stress and perfectionism & explains two main components of perfectionism: high standards and self-criticism. Prevalence of Perfectionism (00:02:58)   Discussion on the rising rates of socially prescribed perfectionism among students and its debilitating effects. Good vs. Bad Perfectionism (00:06:00)   Exploration of the spectrum of perfectionism, distinguishing between striving for excellence and harmful perfectionism. Long-Term Psychological Effects (00:07:39)   Discussion on burnout and other psychological issues linked to chronic perfectionism. Impact Beyond Academics (00:09:31)   Perfectionism's effects on sports, body image, and interpersonal relationships are examined. Strategies for Teachers (00:13:49)   Recommendations for teachers to help students manage perfectionism and foster a growth mindset. Advice for Students During Exam Season (00:16:15)   Practical tips for students to combat perfectionism during high-stress exam periods.  Understanding Autism and Perfectionism (00:19:00)   Discussion on autism and its relationship with perfectionism, featuring insights from Maciej. Understanding Perfectionism in Neurodivergent Individuals (00:20:02)   Discussion on how perfectionism can stem from positive qualities but become problematic, especially for neurodivergent individuals. Perfectionism as a Coping Mechanism (00:22:20)   Exploration of how perfectionism can serve as a response to social difficulties and low self-esteem. Personal Experiences with Perfectionism (00:23:36)   Insights into the speaker's personal struggles with perfectionism and its draining effects. Advice on Managing Perfectionism (00:29:30): Changing Relationships with Failure (00:30:09)  , Exploring Interests to Reduce Pressure (00:32:14), The Need for Recovery Time (00:34:17), Exploring Neurodiversity (00:35:15), Seeking Mental Health Support (00:38:02)   Final Thoughts on Perfectionism (00:40:07)   Reflection on the need to help students foster a healthy relationship with failure and imperfection.

Credits: 0.25 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-435 Overview: In this episode, we discuss how screen time—from adolescence through adulthood—can disrupt sleep more than we might realize. Hear what the latest research says about topics like blue light and sleep duration, discover practical strategies to sleep smarter in this digital world, and learn how sleep deprivation can impact the health of your patients. Episode resource links: Zhong, C., Masters, M., Donzella, S. M., Diver, W. R., & Patel, A. V. (2025). Electronic Screen Use and Sleep Duration and Timing in Adults. JAMA Network Open, 8(3), e252493-e252493. Liu, Y. (2016). Prevalence of healthy sleep duration among adults—United States, 2014. MMWR. Morbidity and mortality weekly report, 65. Centers for Disease Control and Prevention (CDC). (2017). Announcement: sleep awareness week, April 23–29, 2017. Morb Mortal Wkly Rep (MMWR), 66(15), 411. Chaput, J. P., Dutil, C., Featherstone, R., Ross, R., Giangregorio, L., Saunders, T. J., ... & Carrier, J. (2020). Sleep duration and health in adults: an overview of systematic reviews. Applied Physiology, Nutrition, and Metabolism, 45(10), S218-S231. Hartley, S., Royant-Parola, S., Zayoud, A., Gremy, I., & Matulonga, B. (2022). Do both timing and duration of screen use affect sleep patterns in adolescents?. Plos one, 17(10), e0276226. Salfi, F., Amicucci, G., Corigliano, D., D'Atri, A., Viselli, L., Tempesta, D., & Ferrara, M. (2021). Changes of evening exposure to electronic devices during the COVID-19 lockdown affect the time course of sleep disturbances. Sleep, 44(9), zsab080. He, J. W., Tu, Z. H., Xiao, L., Su, T., & Tang, Y. X. (2020). Effect of restricting bedtime mobile phone use on sleep, arousal, mood, and working memory: a randomized pilot trial. PloS one, 15(2), e0228756. Guest: Mariyan L. Montaque, DNP, FNP-BC   Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com   

Credits: 0.25 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-435 Overview: In this episode, we discuss how screen time—from adolescence through adulthood—can disrupt sleep more than we might realize. Hear what the latest research says about topics like blue light and sleep duration, discover practical strategies to sleep smarter in this digital world, and learn how sleep deprivation can impact the health of your patients. Episode resource links: Zhong, C., Masters, M., Donzella, S. M., Diver, W. R., & Patel, A. V. (2025). Electronic Screen Use and Sleep Duration and Timing in Adults. JAMA Network Open, 8(3), e252493-e252493. Liu, Y. (2016). Prevalence of healthy sleep duration among adults—United States, 2014. MMWR. Morbidity and mortality weekly report, 65. Centers for Disease Control and Prevention (CDC). (2017). Announcement: sleep awareness week, April 23–29, 2017. Morb Mortal Wkly Rep (MMWR), 66(15), 411. Chaput, J. P., Dutil, C., Featherstone, R., Ross, R., Giangregorio, L., Saunders, T. J., ... & Carrier, J. (2020). Sleep duration and health in adults: an overview of systematic reviews. Applied Physiology, Nutrition, and Metabolism, 45(10), S218-S231. Hartley, S., Royant-Parola, S., Zayoud, A., Gremy, I., & Matulonga, B. (2022). Do both timing and duration of screen use affect sleep patterns in adolescents?. Plos one, 17(10), e0276226. Salfi, F., Amicucci, G., Corigliano, D., D'Atri, A., Viselli, L., Tempesta, D., & Ferrara, M. (2021). Changes of evening exposure to electronic devices during the COVID-19 lockdown affect the time course of sleep disturbances. Sleep, 44(9), zsab080. He, J. W., Tu, Z. H., Xiao, L., Su, T., & Tang, Y. X. (2020). Effect of restricting bedtime mobile phone use on sleep, arousal, mood, and working memory: a randomized pilot trial. PloS one, 15(2), e0228756. Guest: Mariyan L. Montaque, DNP, FNP-BC   Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com   

Inside Shameless Care: Revolutionizing Sexual Health Testing shamelesscare.com About the Guest(s): Robert Johnson is the founder of Shameless Care, a pioneering telemedicine company that specializes in delivering sexual healthcare tailored for real-life needs. After a personal experience with an STI test failing to detect an infection, Robert launched Shameless Care to offer comprehensive and judgment-free telemedicine services. His company focuses on thorough STI testing, inclusive of all potential infection sites, and has been leading efforts in providing honest and accessible sexual health resources. Robert's background is steeped in entrepreneurship and he is dedicated to improving healthcare by addressing gaps in traditional testing methods. Episode Summary: In this episode of The Chris Voss Show, listeners embark on an informative journey into the world of telemedicine and sexual health with Robert Johnson, founder of Shameless Care. Highlighted by enlightening anecdotes and expert insights, the conversation navigates through the complexities of STI testing, the rise of telemedicine, and how these innovations are transforming the landscape of sexual healthcare. This episode shines a light on the crucial importance of thorough STI testing, addressing often-overlooked aspects such as oral and anal infection sites that remain asymptomatic and consequently contribute to the spread of infections. Throughout the discussion, Robert Johnson emphasizes Shameless Care's commitment to enhancing sexual health through patient transparency and comprehensive service offerings. With the increasing prevalence of STIs, Robert argues for greater awareness and proactive measures, dispelling myths and shedding light on underrepresented issues within sexual healthcare. This conversation also touches upon societal and technological shifts influencing sexual behavior and healthcare, including how telemedicine is paving new pathways for privacy and honesty in patient-doctor interactions. Through engaging dialogue, the episode underscores the transformative impact and potential of telemedicine in creating a world where sexual health is accessible and stigma-free. Key Takeaways: Comprehensive STI Testing: Shameless Care stands out for its rigorous testing of 14 STIs, including often-neglected sites like the throat and anal areas, which can harbor infections asymptomatically. Privacy and Transparency in Telemedicine: The telemedicine model permits patients to discuss their health issues openly and without judgment, ensuring more accurate diagnoses and appropriate treatments. Prevalence of Asymptomatic Cases: Many STIs present without symptoms; thus, regular and thorough testing is essential for prevention and control. Innovations in Sexual Healthcare: Products like topical Viagra for women and Doxy PEP pills exemplify emerging solutions targeted at enhancing sexual health and prevention. Healthcare Accessibility and Education: Shameless Care's approach is educational and preventative, encouraging personal responsibility and safe sexual practices among users. Notable Quotes: "80% of our positive gonorrhea cases are oral only, caught only with that oral swab." "You can be completely honest with your doctor, and everybody should be honest with their doctor." "It's surprising how many times a married couple will order tests at the same time, get their test results back and not test positive for the same thing." "We're just really proud that we can offer a list of infections to help people get quality testing from their physicians." "Testing thoroughly is one of the most important actions people in the dating pool can take."

Welcome to another episode of "Celeste the Therapist Podcast"! I'm Celeste, a therapist from Boston, and if you're new here, thank you for tuning in. For our longtime listeners, I appreciate your continued support. On this podcast, I delve into the challenges we face in life and provide insights on how to navigate them. Whether you're here to shift your mindset or embark on a healing journey, this episode is designed to offer holistic approaches and practical advice. This week, I encourage you to grab a notebook and a pen to jot down key takeaways. Remember, take what resonates with you and leave what doesn't. My goal is to provide you with valuable resources to aid your personal growth. Exciting news: I'm celebrating another anniversary of the podcast, which started on July 2, 2018. Additionally, I now run a wellness center in Stoughton, Massachusetts. If you're nearby, visit us at stwit.com for more information. For those who prefer visual content, this episode is also available on YouTube where I incorporate visuals to enhance your learning experience. Tune in to learn more about starting where you are, using what you have, and working towards a better mindset. Thank you for joining, and let's get started on this week's episode! [00:02:52] Reframing your life. [00:03:45] Reframing pain into purpose. [00:07:42] Understanding the impact of your past [00:12:09] Prevalence of anxiety and depression. [00:16:49] Reframing job loss. [00:19:09] Going for my license. [00:22:28] Healing is your responsibility. [00:26:32] Healing is your responsibility.

Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper on Cardiomyopathy Prevalence and Pregnancy-Related Mortality: United States, 2010 to 2020.

Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper on Prevalence, Risk Factors, and Prognosis for Fontan-Associated Liver Disease: A Systematic Review and Exploratory Meta-Analysis.

Why do so many successful leaders struggle with the feeling of "not being enough"? And how can leaders shift away from a scarcity mindset?In episode 243 of At The Table, Patrick Lencioni and Cody Thompson explore the pervasive feeling of inadequacy among leaders. They discuss how a "not enough" mindset can drive individuals to seek validation through constant achievement. The conversation emphasizes the importance of vulnerability, self-awareness, and shifting from a fear-based to a joy-based approach to life and work.Topics explored in this episode: (0:49) The Prevalence of "I'm Not Enough"* Many leaders share a common feeling of inadequacy, often tracing it back to their youth. * This feeling can create a cycle of constantly striving to prove yourself, hindering your ability to find satisfaction in accomplishments. (5:04) The Impact of Vulnerability* Sharing your feelings of inadequacy with others can normalize these experiences, encouraging them to acknowledge their own struggles and seek support. (9:07) The Scarcity Mindset* Believing "I'm not enough" can lead to a scarcity mindset, affecting your perceptions of time, success, and resources. (14:23) The Illusion of Control* The pursuit of control over outcomes can lead to anxiety and prevent you from embracing the present moment. (18:36) Finding Peace in the Journey* Reframing your perspective can help you foster a sense of peace. * Embracing the journey and finding joy in the process can lead to greater fulfillment than solely focusing on the result.This episode of At The Table with Patrick Lencioni is brought to you by The Table Group: https://www.tablegroup.com. We teach leaders how to make work more effective and less dysfunctional. We also help their employees be more fulfilled and less miserable. At The Table is a podcast that lives at the connection between work life, leadership, organizational health, and culture. Subscribe on Apple Podcasts (https://apple.co/4hJKKSL), Spotify (https://spoti.fi/4l1aop0), and YouTube (https://bit.ly/At-The-Table-YouTube). Follow Pat Lencioni on https://www.linkedin.com/in/patrick-lencioni-orghealth and http://www.youtube.com/@PatrickLencioniOfficial. Connect with Cody Thompson https://www.linkedin.com/in/cody-thompson-a5918850. Be sure to check out our other podcast, The Working Genius Podcast with Patrick Lencioni, on Apple Podcasts (https://apple.co/4iNz6Yn), Spotify (https://spoti.fi/4iGGm8u), and YouTube (https://bit.ly/Working-Genius-YouTube). Let us know your feedback via podcast@tablegroup.com. This episode was produced by Story On Media:

If you've been diagnosed with endometriosis, the big question is: What type of lesions?In this episode, Lara challenges long-held assumptions to explore:the three types of endometriosis lesions, emerging evidence that superficial lesions may not explain pain or other symptoms, alternative explanations for pelvic pain and infertility, including pelvic congestion, immune dysfunction, and gut microbiome imbalance, and an update on the bacterial contamination hypothesis.Links:Could pelvic congestion syndrome explain your pelvic pain?Prevalence of endometriosis in asymptomatic women (1991 study)Surgical removal of superficial peritoneal endometriosis for managing women with chronic pelvic pain: time for a rethink? (2019 BJOG article)Bacterial contamination hypothesis (2018 paper)Fusobacterium infection facilitates the development of endometriosis (2023 paper)ANZCA 2024 Statement on pelvic pain and endometriosis 

Could your tired, moody, always-cold teenager actually have a thyroid problem? While we often chalk up things like fatigue, mood swings, and sleeping until noon as “just being a teen,” an underactive thyroid – called hypothyroidism –  could be playing a role. And the earlier you catch it, the better your teen can feel—physically and emotionally.In this episode, we're exploring the signs and symptoms of hypothyroidism in teenagers, and what you can do to get them back to good health.What you'll learn: Prevalence of hypothyroidism in teenagers⁠⁠ Causes of hypothyroidism in teenagers⁠⁠ Recognizing the symptoms of hypothyroidism in teenagers⁠⁠ Diagnosing hypothyroidism in teenagers⁠⁠ Treating hypothyroidism in teenagers⁠⁠ Challenges for teenagers⁠Check out our blog and read the full article here: https://www.palomahealth.com/learn/hypothyroidism-teenagersAbout Paloma Health:⁠⁠Paloma Health ⁠⁠⁠⁠⁠⁠⁠⁠is an online medical practice focused exclusively on treating hypothyroidism. From online visits with your provider to easy prescription management and lab orders, we create personalized treatment plans for you. Become a member⁠, or try our at-home test kit and experience a whole new level of hypothyroid care. Use code PODCAST to save $30 at checkout.Disclaimer: The $30 discount is only valid for first-time Paloma Health members and test kit users. Coupon must be entered at the time of checkout. Become a Paloma Member:https://www.palomahealth.com/pricing-hypothyroidism Paloma Complete Thyroid Blood Test Kit:https://www.palomahealth.com/home-thyroid-blood-test-kit

In today's VETgirl online veterinary CE podcast, Dr. Erica Reineke, DACVECC discusses the prevalence of acute kidney injury and outcome in cats who ingested lilies when they are treated as inpatients compared to outpatients. If we treat our feline nephrotoxicant patients outpatient, will it decrease survival? Tune in to learn what you need to know regarding lily exposure in cats when deciding to treat them in or out of the hospital!

Howie and Harlan are joined by Rebekah Gee, founder and CEO of Nest Health, which provides in-home care to kids on Medicaid and their families. Harlan reports on the first personalized CRISPR gene therapy for a rare genetic disease; Howie untangles the FDA's restrictions on the COVID-19 booster and what it will mean for your ability to get a shot this fall.  Links: A Breakthrough CRISPR Treatment “Baby Is Healed With World's First Personalized Gene-Editing Treatment” “Patient-Specific In Vivo Gene Editing to Treat a Rare Genetic Disease” “Progress in the Development of N-of-1 Therapy” “Personalized Gene Editing to Treat an Inborn Error of Metabolism” Nest Health Health & Veritas Episode 40: Rebekah Gee: Can We Bring Family Healthcare to the Home? Nest Health “Nest Health picks up $4M in seed extension funding to build out at-home primary care for families” “How Nest Health Is Redefining Primary Care for Families” Rebekah Gee on LinkedIn on Nest Health “What ‘patient-centered‘ should mean: confessions of an extremist” “Prevalence and Variation of Developmental Screening and Surveillance in Early Childhood” “Postpartum health is in crisis” “The Impact of the Pandemic on Well-Child Visits for Children Enrolled in Medicaid and CHIP” “Families often have chief medical officers—and they're almost always women” “Case Study: Louisiana's Poor Rankings Make Improving Birth Outcomes a State Imperative” “In 6-to-3 Ruling, Supreme Court Ends Nearly 50 Years of Abortion Rights” Rebekah Gee on LinkedIn on Medicaid cuts “5 Key Facts About Medicaid Work Requirements” “Health Provisions in the 2025 Federal Budget Reconciliation Bill” A New COVID Booster Policy “An Evidence-Based Approach to Covid-19 Vaccination” “FDA will limit Covid vaccines to people over 65 or at high risk of serious illness, leaders say” “FDA tightens requirements for COVID vaccine, adding trials for healthy adults” Learn more about the MBA for Executives program at Yale SOM. Email Howie and Harlan comments or questions.

Have you ever considered that victims of human trafficking might be walking into your clinic, hidden in plain sight, longing for someone to notice their silent signals? In this episode of Pediatric Meltdown, host Dr. Lia Gaggino sits down with Dr. Dena Nazer , a leading child abuse pediatrician, to dispel widespread myths and expose the heartbreaking realities of child trafficking. They dive deeply into what human trafficking truly looks like, why language and empathy shape outcomes, and how pediatricians can recognize and respond to red flags—even when victims don't or can't ask for help. If you've ever wondered how to protect the most vulnerable or questioned your own role in advocacy, this conversation mixes expertise and actionable strategies you can use today. Don't miss this essential episode—sometimes the most critical intervention is simply being prepared to see what others overlook.[00:00 - 06:25] Beyond Kidnapping: The Everyday Reality of Child TraffickingMedia Myths: trafficking is not always dramatic kidnappings—many victims are exploited by someone they know, sometimes in their own homes.Defining human trafficking per US federal law: for children under 18, any commercial sexual act (anything exchanged for perceived value) is trafficking, regardless of force, fraud, or coercion.Labor trafficking in children does require proof of force, fraud, or coercion, unlike sex trafficking.Children cannot legally consent to commercial sexual acts, a fact often misunderstood by practitioners.[06:26 - 18:33] Recognizing Vulnerability: Victims, Prevalence, and Persistent MythsAll children, regardless of socioeconomic status or geography, can be victimized; not just those from impoverished or unstable backgrounds.Adolescents are particularly vulnerable due to developmental, social, and neurological factors—especially girls, though all genders are at risk.The covert nature and underreporting of trafficking, with true prevalence grossly underestimated—actual victims far exceed documented cases.Practitioners should avoid assumptions about victim profiles and recognize that trafficking does not discriminate by background or location.[18:34 -24:41] Language, Reporting, and the Power of EmpathyThere is an impact of language, advocating against terms like "prostitute" or "modern day slavery," as they distort public perception and can harm survivors.There are nuanced preferences between “victim” and “survivor,” emphasizing respect for self-identification.Addresses mandated reporting: outlines state-by-state differences, reminds clinicians to know their local laws, and suggests erring on the side of caution when in doubt.Discusses the complexities of reporting and intervention with 18+ patients, promoting support over “rescue,” and collaboration over dictating solutions.[24:42 - 47:58] Identification, Patient Support, and Multi-Agency CollaborationRed flags in clinical settings: domineering non-parental adults accompanying children, delayed care-seeking, lack of address knowledge, repeated STIs, or signs of fear and withdrawal.Ways to build trust and elicit disclosures: prioritize safety, establish boundaries about reporting, and use risk-factor-based screening questions.Trauma-informed care—responding with empathy, validation, and minimal dramatization—to avoid re-traumatizing patients.Connect with local Child Advocacy Centers and understanding local resources and procedures before a crisis arises.[47:59 - 59:59] Dr. G's TakeAwaysAdditional Resources Mentioned

This episode is sponsored by SlashID. Visit https://www.slashid.com/idac to learn more.In this sponsored episode of the Identity at the Center Podcast, hosts Jeff and Jim interview Vincenzo Iozzo, CEO of SlashID, to discuss the current landscape and innovations they are making in Identity and Access Management (IAM). Vincenzo, who has a background in offensive security and experience at CrowdStrike, explains how SlashID uses Large Language Models (LLMs) to enhance visibility and posture beyond traditional Identity Governance and Administration (IGA) and Privileged Access Management (PAM) tools. Slash ID focuses on real-time detection and response to identity-based threats, addressing gaps that compliance-driven IGA systems miss. The episode also covers the advantages of SlashID's platform, including monitoring privileged identities, automating policy generation for least privilege, and integrating with existing security infrastructure. The conversation delves into the challenges of identity-related breaches and the importance of balancing compliance with robust security measures. Vincenzo also shares his experiences from the offensive security world, including hacking competitions and the evolving threat landscape.Timestamps00:00 Introduction to Real-Time Identity Security01:20 Welcome to the Identity at the Center Podcast02:18 Meet Vincenzo Iozzo, CEO of SlashID02:37 Vincenzo's Journey into Digital Identity04:26 The Genesis of SlashID08:16 Challenges in Identity Governance and Administration (IGA)14:41 The Prevalence of Identity-Related Breaches19:06 Detection and Response Strategies24:30 Lifecycle Issues Detection26:11 Remediation Strategies28:57 Integration with Existing Tools30:27 Customer Success Metrics34:10 Setting Up and Deploying SlashID35:48 Live Demo Walkthrough41:48 Challenges in Cybersecurity45:16 Final Thoughts and Contact InformationConnect with Vincenzo: https://www.linkedin.com/in/vincenzoiozzo/Learn more about SlashID: https://www.slashid.com/idacConnect with us on LinkedIn:Jim McDonald: https://www.linkedin.com/in/jimmcdonaldpmp/Jeff Steadman: https://www.linkedin.com/in/jeffsteadman/Visit the show on the web at idacpodcast.com and watch at https://www.youtube.com/@idacpodcast

Understanding Unicornuate Uterus: What It Is, Prevalence, Risks, and a Positive Outlook A unicornuate uterus is a rare congenital condition where the uterus develops with only one half, or "horn," instead of the typical two-horned shape of a normal uterus. This happens during fetal development when one of the Müllerian ducts, which form the uterus, fails to develop fully. As a result, the uterus is smaller, has only one functioning fallopian tube, and may or may not have a rudimentary horn (a small, underdeveloped second horn). This condition falls under the category of Müllerian duct anomalies, which affect the female reproductive tract. For those diagnosed, understanding the condition, its implications, and the potential for a healthy pregnancy can provide reassurance and hope.   What Is a Unicornuate Uterus? The uterus typically forms as a pear-shaped organ with two symmetrical halves that fuse during fetal development. In a unicornuate uterus, only one half develops fully, creating a smaller-than-average uterine cavity. This anomaly can occur with or without a rudimentary horn, which may or may not be connected to the main uterine cavity. If a rudimentary horn is present, it might cause complications like pain if it accumulates menstrual blood, as it often lacks a connection to the cervix or vagina. The condition is often diagnosed during routine imaging, such as an ultrasound, MRI, or hysterosalpingogram (HSG), typically when a woman seeks medical advice for fertility issues, pelvic pain, or irregular menstruation. In some cases, it's discovered incidentally during pregnancy or unrelated medical evaluations.   How Prevalent Is It? Unicornuate uterus is one of the rarest Müllerian duct anomalies, occurring in approximately 0.1% to 0.4% of women in the general population. Among women with Müllerian anomalies, it accounts for about 2% to 13% of cases. The condition is congenital, meaning it's present at birth, but it often goes undiagnosed until adulthood because many women experience no symptoms. Its rarity can make it feel isolating for those diagnosed, but awareness and medical advancements have made it easier to manage and understand. Risks Associated with Unicornuate Uterus While many women with a unicornuate uterus lead healthy lives, the condition can pose challenges, particularly related to fertility and pregnancy. The smaller uterine cavity and reduced endometrial surface area can increase the risk of certain complications, though these are not inevitable. Below are some potential risks: Fertility Challenges: The smaller uterus and single fallopian tube may slightly reduce the chances of conception, especially if the rudimentary horn or other structural issues interfere with ovulation or implantation. However, many women with a unicornuate uterus conceive naturally without intervention. Miscarriage: The limited space in the uterine cavity can increase the risk of miscarriage, particularly in the first trimester. Studies suggest miscarriage rates may be higher (around 20-30%) compared to women with a typical uterus, though exact figures vary. Preterm Birth: The smaller uterus may not accommodate a growing fetus as easily, potentially leading to preterm labor or delivery before 37 weeks. Research indicates preterm birth rates in women with a unicornuate uterus range from 10-20%. Fetal Growth Restriction: The restricted uterine space can sometimes limit fetal growth, leading to low birth weight or intrauterine growth restriction (IUGR). Malpresentation: Babies in a unicornuate uterus may be more likely to position themselves in a breech or transverse position due to the confined space, which could complicate delivery. Cesarean Section: While not mandatory, a cesarean may be recommended in cases of malpresentation, preterm labor, or other complications. However, this is not a universal requirement. Other Complications: Women with a unicornuate uterus may have a higher risk of endometriosis or painful periods, especially if a non-communicating rudimentary horn is present. Kidney abnormalities are also associated with Müllerian anomalies, as the kidneys and reproductive tract develop simultaneously in the fetus. Despite these risks, it's critical to note that not every woman with a unicornuate uterus will experience these complications. With proper medical care, many achieve successful pregnancies and deliveries.   A Positive Outlook: Normal Vaginal Delivery Is Probable The diagnosis of a unicornuate uterus can feel daunting, but it's important to emphasize that a healthy, full-term pregnancy and a normal vaginal delivery are entirely possible. Advances in obstetrics and prenatal care have significantly improved outcomes for women with this condition. Here's why you can remain optimistic: Personalized Care: Working with an experienced obstetrician or maternal-fetal medicine specialist ensures close monitoring throughout pregnancy. Regular ultrasounds can track fetal growth, position, and amniotic fluid levels, allowing for timely interventions if needed. Not Doomed to Cesarean: While some women may need a cesarean due to specific complications, many with a unicornuate uterus deliver vaginally without issue. The decision depends on factors like fetal position, labor progression, and overall health, not the uterine anomaly alone. Full-Term Pregnancies Are Achievable: With careful monitoring, many women carry their pregnancies to term (37-40 weeks). Preterm birth is a risk, but it's not a certainty, and modern neonatal care can support babies born slightly early if needed. Healthy Babies: Countless women with a unicornuate uterus give birth to healthy, thriving babies. The condition does not inherently affect the baby's development or genetic health. Support and Advocacy: Connecting with others who have similar experiences, whether through online communities or support groups, can provide emotional strength and practical advice. Knowing you're not alone can make all the difference. A unicornuate uterus is a rare but manageable condition that requires awareness and, in some cases, specialized care. While there are risks to consider, they are not insurmountable, and many women with this anomaly experience successful pregnancies and vaginal deliveries without complications. With the right support, you can embrace your unique journey, knowing that a unicornuate uterus does not mean you're destined for preterm birth, cesarean delivery, or pregnancy complications. Instead, it's a testament to your resilience and the incredible capabilities of modern medicine to support you every step of the way.   Connect With Us: YouTube: Dive deeper into pregnancy tips and stories atyoutube.com/maternalresources . Instagram: Follow us for daily inspiration and updates at @maternalresources . Facebook: Join our community at facebook.com/IntegrativeOB Tiktok: NatureBack Doc on TikTok Grab Our Book! Check out The NatureBack Method for Birth—your guide to a empowered pregnancy and delivery. Shop now at naturebackbook.myshopify.com .    

Featuring an interview with Dr Rinath M Jesselsohn, including the following topics: Imlunestrant with or without abemaciclib in advanced breast cancer: Results of the Phase III EMBER-3 trial (0:00) Jhaveri KL et al. Imlunestrant with or without abemaciclib in advanced breast cancer. N Engl J Med 2025;392(12):1189-202. Abstract  Jhaveri KL et al. Imlunestrant, an oral selective estrogen receptor degrader (SERD), as monotherapy & combined with abemaciclib, for patients with ER+, HER2- advanced breast cancer (ABC), pretreated with endocrine therapy (ET): Results of the Phase 3 EMBER-3 trial. San Antonio Breast Cancer Symposium 2024;Abstract GS1-01. Comprehensive genomic profiling of ESR1, PIK3CA, AKT1 and PTEN in HR-positive, HER2-negative metastatic breast cancer: Prevalence along treatment course and predictive value for endocrine therapy resistance in real-world practice (7:00) Bhave MA et al. Comprehensive genomic profiling of ESR1, PIK3CA, AKT1, and PTEN in HR(+)HER2(-) metastatic breast cancer: Prevalence along treatment course and predictive value for endocrine therapy resistance in real-world practice. Breast Cancer Res Treat 2024;207(3):599-609. Abstract Camizestrant, a next-generation oral selective estrogen receptor degrader (SERD), versus fulvestrant for postmenopausal women with estrogen receptor-positive, HER2-negative advanced breast cancer (SERENA-2): A multi-dose, open-label, randomized, Phase II trial (10:25) Oliveira M et al. Camizestrant, a next-generation oral SERD, versus fulvestrant in post-menopausal women with oestrogen receptor-positive, HER2-negative advanced breast cancer (SERENA-2): A multi-dose, open-label, randomised, phase 2 trial. Lancet Oncol 2024;25(11):1424-39. Abstract Latest on SERDs: An education session at San Antonio Breast Cancer Symposium 2024 (13:57) Jeselsohn RM. Latest on selective estrogen receptor degraders (SERDs). San Antonio Breast Cancer Symposium 2024;Education Session 5. CME information and select publications

In this episode of the Science of Slink podcast, Dr. Rosy Boa delves into the intricacies of learning pole dance at home. With a background in pole dance since 2012 and instruction since 2018, she brings extensive experience and scientific insights to the discussion. The episode covers the effectiveness of home-based exercise supported by recent research, methods to maintain motivation, and strategies to avoid common injuries. Dr. Boa shares her 'pyramid of pole' framework to guide beginners through physical conditioning, technical learning, and artistic expression. The episode also explores how to adapt training routines to home environments, addressing space limitations, flooring types, and unique home dynamics like pets or kids. Finally, Dr. Boa highlights the importance of appropriate movement levels and offers specific recommendations for home pole dance practice, urging listeners to be patient and consistent in their training.Are you a pole nerd interested in trying out online pole classes with Slink Through Strength? We'd love to have you! Use the code “podcast” for 10% off the Intro Pack and try out all of our unique online pole classes: https://app.acuityscheduling.com/catalog/25a67bd1/?productId=1828315&clearCart=true Citations: McDonagh, S. T., Dalal, H., Moore, S., Clark, C. E., Dean, S. G., Jolly, K., ... & Taylor, R. S. (2023). Home‐based versus centre‐based cardiac rehabilitation. Cochrane database of systematic reviews, (10).Schutzer, K. A., & Graves, B. S. (2004). Barriers and motivations to exercise in older adults. Preventive medicine, 39(5), 1056-1061.Lee, J. Y., Lin, L., & Tan, A. (2019). Prevalence of pole dance injuries from a global online survey. The Journal of sports medicine and physical fitness, 60(2), 270-275.Nicholas, J., Weir, G., Alderson, J. A., Stubbe, J. H., Van Rijn, R. M., Dimmock, J. A., ... & Donnelly, C. J. (2022). Incidence, mechanisms, and characteristics of injuries in pole dancers: a prospective cohort study. Medical problems of performing artists, 37(3), 151-164.Dang, Y., Chen, R., Koutedakis, Y., & Wyon, M. A. (2023). The efficacy of physical fitness training on dance injury: a systematic review. International journal of sports medicine, 44(02), 108-116.Ambegaonkar, J. P., Chong, L., & Joshi, P. (2021). Supplemental training in dance: a systematic review. Physical Medicine and Rehabilitation Clinics, 32(1), 117-135.Bohm, S., Mersmann, F., & Arampatzis, A. (2015). Human tendon adaptation in response to mechanical loading: a systematic review and meta-analysis of exercise intervention studies on healthy adults. Sports medicine-open, 1, 1-18.Chapters:00:00 Introduction to the Science of Slink Podcast02:24 The Benefits of Home-Based Pole Dance Training06:54 Building Physical Capacity for Pole Dance08:23 Cross Training and Injury Prevention14:09 Considerations for Home Pole Dancers18:00 Recommendations for Beginners21:20 The Science of Slink Membership23:21 Conclusion and Final Thoughts

About this episode: Diagnoses of autism are on the rise, but is this the result of more children being affected by the condition, or is more of a consequence of broader criteria and more screening? In this episode: a look at a new study about the number of children diagnosed with autism and what this research shows—and doesn't show. Guest: Dr. Christine Ladd-Acosta is an autism researcher and vice-director of the Wendy Klag Center for Autism and Developmental Disabilities. She is the lead Maryland investigator on a national study about the rate of autism. Host: Dr. Josh Sharfstein is vice dean for public health practice and community engagement at the Johns Hopkins Bloomberg School of Public Health, a faculty member in health policy, a pediatrician, and former secretary of Maryland's Health Department. Show links and related content: Prevalence and Early Identification of Autism Spectrum Disorder Among Children Aged 4 and 8 Years - Autism and Developmental Disabilities Monitoring Network, 16 Sites, United States 2022—CDC's MMWR RFK Jr.'s autism study to amass medical records of many Americans—CBS News The NIH-Funded Autism Study Hoping to Pinpoint Gene-Environmental Interplay—Public Health On Call (March 2025) Vaccines Don't Cause Autism. Why Do Some People Think They Do?—Hopkins Bloomberg Public Health Discovering How Environment Affects Autism—Hopkins Bloomberg Public Health Magazine (2023) Transcript information: Looking for episode transcripts? Open our podcast on the Apple Podcasts app (desktop or mobile) or the Spotify mobile app to access an auto-generated transcript of any episode. Closed captioning is also available for every episode on our YouTube channel. Contact us: Have a question about something you heard? Looking for a transcript? Want to suggest a topic or guest? Contact us via email or visit our website. Follow us: @‌PublicHealthPod on Bluesky @‌JohnsHopkinsSPH on Instagram @‌JohnsHopkinsSPH on Facebook @‌PublicHealthOnCall on YouTube Here's our RSS feed Note: These podcasts are a conversation between the participants, and do not represent the position of Johns Hopkins University.

The biter, the hitter, the runner, the climber...Why do some adults continue to label children this way? Would you do that to an adult? Join Cindy and Alison for a reflection on why this happens and what we can do.

TACA founder Lisa Ackerman joins Shannon to shed light on the new Autism Prevalence numbers released by the CDC in April.

Today I'm speaking with Dr. Sasha Hakman on the Longevity Optimization Podcast. In this conversation, we discuss endometriosis, a condition affecting approximately 10% of women, characterized by the presence of endometrial cells outside the uterus. Dr. Hakman explains the definition, symptoms, and prevalence of the condition, as well as the challenges involved in diagnosing it. She also explores potential causes, including genetic and environmental factors, and discusses various treatment options. The conversation emphasizes the importance of understanding endometriosis, its impact on fertility, and the need for increased awareness and proactive care.Dr. Sasha Hakman is a respected expert in women's health, specializing in reproductive medicine and chronic conditions like endometriosis. With a strong background in both clinical practice and research, she is dedicated to advancing knowledge and treatment options for women affected by complex gynecological issues. Dr. Hakman is passionate about educating patients and healthcare providers alike, aiming to improve diagnosis, management, and overall outcomes for women's reproductive health.Let's be friends!Instagram: https://www.instagram.com/kaylabarnes/?hl=enTikTok: https://www.tiktok.com/@femalelongevityX: https://x.com/femalelongevityWebsite: https://kaylabarnes.comJoin Female Longevity Community: https://kayla-barnes-lentz.circle.so/checkout/become-a-member Follow Dr. Sasha Hakman:Instagram: https://www.instagram.com/sashahakmanmd/?hl=enTikTok: https://www.tiktok.com/@dr.fierceWebsite: https://sashahakmanmd.com/Timestamps00:00 Introduction to Endometriosis02:54 Understanding Endometriosis: Definition and Mechanism06:04 Prevalence and Diagnosis Challenges09:14 Symptoms and Impact on Fertility11:59 Potential Causes and Theories14:55 Genetic and Environmental Factors18:05 Treatment Options and Management21:03 Lifestyle and Dietary Considerations23:56 Future Directions in Research and Treatment32:39 Understanding Endometriosis Treatment Options43:09 Common Misconceptions About Endometriosis48:43 Navigating Healthcare for Endometriosis51:45 Complementary Therapies and Lifestyle Adjustments56:02 Future Directions in Endometriosis Research01:01:16 The Importance of Gut Health01:04:54 Cycle Syncing and Nutrition01:06:40 Exploring Alternative Treatments for Endometriosis01:10:01 The Role of Medications in Managing Endometriosis01:12:06 Understanding Endometriosis and Autoimmune Conditions01:15:00 Differentiating Between Endometriosis and Endometritis01:20:23 Hormonal Treatments and Their Impact01:21:15 Improving Fertility with Endometriosis01:22:33 Understanding PCOS vs. Endometriosis01:24:01 Managing Pain and Symptoms of Endometriosis

Podcast Show Notes: Peripheral Vascular Disease in PainManagement Episode Highlights: - Host: Dr. David Rosenblum - Podcast: Pain Exam Podcast - Focus: Peripheral Arterial Disease (PAD) in Pain Management Download the App Key Topics Covered: 1. Peripheral Arterial Disease (PAD) Overview - Definition: Arterial sclerosis condition developing over long term - WHO Definition: Exercise-related pain or ankle-brachial index (ABI) < 0.9 - Prevalence:   * 3-4% in 60-65 year olds   * Increases to 15-20% in 85-90 year olds   * Up to 50% of patients may progress to symptomatic stages 2. Diagnostic Considerations Diagnostic Tests: - Ankle Brachial Index (ABI) - Ultrasound - CT Angiography - Physical examination - Pulse volume recordings - Transcutaneous oximetry ABI Interpretation: - 1.0-1.4: Normal - 0.9-1.0: Acceptable - 0.8-0.9: Some arterial disease - 0.5-0.8: Moderate arterial disease - < 0.5: Severe arterial disease 3. Pain Characteristics Types of Pain: - Intermittent claudication - Chronic limb ischemia - Nociceptive pain - Neuropathic pain - Mixed pain syndrome 4. Pain Management Strategies Pharmacological Approaches: - Mild Pain: Paracetamol, NSAIDs - Neuropathic Pain: Lidocaine patches, gabapentin, duloxetine - Severe Pain: Morphine, fentanyl, ketamine Non-Pharmacological Interventions: - Music therapy - Aromatherapy - Psychotherapy - Massage - Acupuncture - TENS - Intermittent pneumatic compression Upcoming Conferences Mentioned: - ASPN - ASIPP - Pain Week - Latin American Pain Society Additional Resources: - Pain Exam newsletter: painexam.com - Virtual pain fellowship at nrappain.org Disclaimer: Always consult with a healthcare professional for personalized medical advice. Reference Garba Rimamskep Shamaki, Favour Markson, Demilade Soji-Ayoade, Chibuike Charles Agwuegbo, Michael Olaseni Bamgbose, Bob-Manuel Tamunoinemi, Peripheral Artery Disease: A Comprehensive Updated Review, Current Problems in Cardiology, Volume 47, Issue 11, 2022,101082, Maier, J.A.; Andrés, V.; Castiglioni, S.; Giudici, A.; Lau, E.S.; Nemcsik, J.; Seta, F.; Zaninotto, P.; Catalano, M.; Hamburg, N.M. Aging and Vascular Disease: A Multidisciplinary Overview. J. Clin. Med. 2023, 12, 5512. https://doi.org/10.3390/jcm12175512 Maier, J.A.; Andrés, V.; Castiglioni, S.; Giudici, A.; Lau, E.S.; Nemcsik, J.; Seta, F.; Zaninotto, P.; Catalano, M.; Hamburg, N.M. Aging and Vascular Disease: A Multidisciplinary Overview. J. Clin. Med. 2023, 12, 5512. https://doi.org/10.3390/jcm12175512  

Podcast Show Notes: Peripheral Vascular Disease in PainManagement Episode Highlights: - Host: Dr. David Rosenblum - Podcast: Pain Exam Podcast - Focus: Peripheral Arterial Disease (PAD) in Pain Management Download the App Key Topics Covered: 1. Peripheral Arterial Disease (PAD) Overview - Definition: Arterial sclerosis condition developing over long term - WHO Definition: Exercise-related pain or ankle-brachial index (ABI) < 0.9 - Prevalence:   * 3-4% in 60-65 year olds   * Increases to 15-20% in 85-90 year olds   * Up to 50% of patients may progress to symptomatic stages 2. Diagnostic Considerations Diagnostic Tests: - Ankle Brachial Index (ABI) - Ultrasound - CT Angiography - Physical examination - Pulse volume recordings - Transcutaneous oximetry ABI Interpretation: - 1.0-1.4: Normal - 0.9-1.0: Acceptable - 0.8-0.9: Some arterial disease - 0.5-0.8: Moderate arterial disease - < 0.5: Severe arterial disease 3. Pain Characteristics Types of Pain: - Intermittent claudication - Chronic limb ischemia - Nociceptive pain - Neuropathic pain - Mixed pain syndrome 4. Pain Management Strategies Pharmacological Approaches: - Mild Pain: Paracetamol, NSAIDs - Neuropathic Pain: Lidocaine patches, gabapentin, duloxetine - Severe Pain: Morphine, fentanyl, ketamine Non-Pharmacological Interventions: - Music therapy - Aromatherapy - Psychotherapy - Massage - Acupuncture - TENS - Intermittent pneumatic compression Upcoming Conferences Mentioned: - ASPN - ASIPP - Pain Week - Latin American Pain Society Additional Resources: - Pain Exam newsletter: painexam.com - Virtual pain fellowship at nrappain.org Disclaimer: Always consult with a healthcare professional for personalized medical advice. Reference Garba Rimamskep Shamaki, Favour Markson, Demilade Soji-Ayoade, Chibuike Charles Agwuegbo, Michael Olaseni Bamgbose, Bob-Manuel Tamunoinemi, Peripheral Artery Disease: A Comprehensive Updated Review, Current Problems in Cardiology, Volume 47, Issue 11, 2022,101082, Maier, J.A.; Andrés, V.; Castiglioni, S.; Giudici, A.; Lau, E.S.; Nemcsik, J.; Seta, F.; Zaninotto, P.; Catalano, M.; Hamburg, N.M. Aging and Vascular Disease: A Multidisciplinary Overview. J. Clin. Med. 2023, 12, 5512. https://doi.org/10.3390/jcm12175512 Maier, J.A.; Andrés, V.; Castiglioni, S.; Giudici, A.; Lau, E.S.; Nemcsik, J.; Seta, F.; Zaninotto, P.; Catalano, M.; Hamburg, N.M. Aging and Vascular Disease: A Multidisciplinary Overview. J. Clin. Med. 2023, 12, 5512. https://doi.org/10.3390/jcm12175512  

Podcast Show Notes: Peripheral Vascular Disease in PainManagement Episode Highlights: - Host: Dr. David Rosenblum - Podcast: Pain Exam Podcast - Focus: Peripheral Arterial Disease (PAD) in Pain Management Download the App Key Topics Covered: 1. Peripheral Arterial Disease (PAD) Overview - Definition: Arterial sclerosis condition developing over long term - WHO Definition: Exercise-related pain or ankle-brachial index (ABI) < 0.9 - Prevalence:   * 3-4% in 60-65 year olds   * Increases to 15-20% in 85-90 year olds   * Up to 50% of patients may progress to symptomatic stages 2. Diagnostic Considerations Diagnostic Tests: - Ankle Brachial Index (ABI) - Ultrasound - CT Angiography - Physical examination - Pulse volume recordings - Transcutaneous oximetry ABI Interpretation: - 1.0-1.4: Normal - 0.9-1.0: Acceptable - 0.8-0.9: Some arterial disease - 0.5-0.8: Moderate arterial disease - < 0.5: Severe arterial disease 3. Pain Characteristics Types of Pain: - Intermittent claudication - Chronic limb ischemia - Nociceptive pain - Neuropathic pain - Mixed pain syndrome 4. Pain Management Strategies Pharmacological Approaches: - Mild Pain: Paracetamol, NSAIDs - Neuropathic Pain: Lidocaine patches, gabapentin, duloxetine - Severe Pain: Morphine, fentanyl, ketamine Non-Pharmacological Interventions: - Music therapy - Aromatherapy - Psychotherapy - Massage - Acupuncture - TENS - Intermittent pneumatic compression Upcoming Conferences Mentioned: - ASPN - ASIPP - Pain Week - Latin American Pain Society Additional Resources: - Pain Exam newsletter: painexam.com - Virtual pain fellowship at nrappain.org Disclaimer: Always consult with a healthcare professional for personalized medical advice. Reference Garba Rimamskep Shamaki, Favour Markson, Demilade Soji-Ayoade, Chibuike Charles Agwuegbo, Michael Olaseni Bamgbose, Bob-Manuel Tamunoinemi, Peripheral Artery Disease: A Comprehensive Updated Review, Current Problems in Cardiology, Volume 47, Issue 11, 2022,101082, Maier, J.A.; Andrés, V.; Castiglioni, S.; Giudici, A.; Lau, E.S.; Nemcsik, J.; Seta, F.; Zaninotto, P.; Catalano, M.; Hamburg, N.M. Aging and Vascular Disease: A Multidisciplinary Overview. J. Clin. Med. 2023, 12, 5512. https://doi.org/10.3390/jcm12175512 Maier, J.A.; Andrés, V.; Castiglioni, S.; Giudici, A.; Lau, E.S.; Nemcsik, J.; Seta, F.; Zaninotto, P.; Catalano, M.; Hamburg, N.M. Aging and Vascular Disease: A Multidisciplinary Overview. J. Clin. Med. 2023, 12, 5512. https://doi.org/10.3390/jcm12175512  

Over 70% of the world has herpes—yet it's still taboo. In this episode, Dr. G breaks down the truth about HSV-1 & HSV-2, from how it spreads to how to heal physically and emotionally. He shares the Heal Thyself protocol, featuring powerful supplements, nervous system tools, and mindset shifts to reduce outbreaks and reclaim your peace. #wellnessjourney #herpes #wellness ==== Thank You To Our Sponsors! Calroy Head on over to at calroy.com/drg and Save over $50 when you purchase the Vascanox and Arterosil bundle! ==== Timestamps: 00:00:00 - Understanding the Herpes Virus 00:02:56 - Prevalence, Latency & Treatment 06:00 - Transmission: Myths & Facts 08:58 - Triggers, Treatments & Misconceptions 12:02:47 - Antiviral Drugs & Holistic Healing 15:09 - Treatment: Sleep, Stress & Supplements 18:09 - Natural Herpes Remedies 21:15 - Treatment & Emotional Roots 24:10 - Healing Herpes: Shame & Self-Ownership Be sure to like and subscribe to #HealThySelf Hosted by Doctor Christian Gonzalez N.D. Follow Doctor G on Instagram @doctor.gonzalez https://www.instagram.com/doctor.gonzalez/ Sign up for our newsletter! https://drchristiangonzalez.com/newsletter/

Kidney stones are often more than a one-time painful event: they're a chronic disease linked to other health issues. Kyle Wood, M.D., discusses how stone disease often coexists with conditions like hypertension, dietary imbalance, and primary hyperparathyroidism. He explains that reviewing patient history, taking bloodwork, and ordering urine testing can help providers understand a patient's overall risk for stone recurrence and related chronic conditions. Learn how UAB uses genetic testing to identify heritable causes of stone disease in patients with early onset, recurrence, or other red flags.

TOPICS:⁃ DEFINING NUTRIENT INSUFFICIENCY⁃ WHAT DO WE ACTUALLY MEAN BY NUTRIENT INSUFFICIENCY & HOW IS IT DIFFERENT FROM FULL-BLOWN DEFICIENCY?⁃ WHY ARE WE SEEING SUCH WIDESPREAD INADEQUACY IN ESSENTIAL VITAMINS & MINERALS EVEN AMONG ACTIVE INDIVIDUALS?⁃ WHAT ARE SOME OF THE TOP MICRONUTRIENTS ATHLETES TEND TO FALL SHORT ON & WHY?⁃ LIFESTYLE FACTORS THAT WORSEN THESE NUTRIENT INSUFFICIENCIES⁃ WHAT IS THE IMPACT OF POOR SLEEP ON DIET QUALITY & THE NUTRIENT DENSITY OF THE DIET?⁃ WHAT ROLE DOES STRESS PLAY IN MICRONUTRIENT STATUS?WHERE TO CONNECT WITH ME:Follow Brandon on IG: https://www.instagram.com/brandondacruz_/Email: Bdacruzfitness@gmail.comFor Info on Brandon's Coaching, Consultation & Mentorship Services: https://form.jotform.com/bdacruzfitness/coachinginquiryBrandon's Website: https://www.brandondacruzfit.com

Peggy Smedley and Julia Kite-Laidlaw, senior program manager, Road To Zero, National Safety Council, talk about how prevalent distracted driving is today. She says new data out reports that 3,275 people died in distraction-related crashes in 2023, which is 8% of all road deaths in the United States, and if you do the math it comes to about nine people per day.  They also discuss: Who is really responsible for safety in cars. Regulations and the impact they have on distracted driving. How Minnesota is using AI to address distracted driving. nsc.org  (4/29/25 - 918) What You Might Have Missed:  Stay Engaged on the Road Distracted Driving Syndrome Driving Awareness IoT, Internet of Things, Peggy Smedley, artificial intelligence, machine learning, big data, digital transformation, cybersecurity, blockchain, 5G, cloud, sustainability, future of work, podcast, Julia Kite-Laidlaw, National Safety Council This episode is available on all major streaming platforms. If you enjoyed this segment, please consider leaving a review on Apple Podcasts.

The CDC released the most recent autism prevalence numbers which showed an increase from 1 in 36 kids to 1 in 31 kids. In this episode, Cari and Jim discuss factors contributing to the increase in autism prevalence in the United States including 1) improved understanding of the Autistic neurotype, 2) increased identification of autism in previously under-identified groups, and 3) assortative mating.    Here are the 2 links mentioned in the episode: 1013.full.pdf The Evidence on Vaccines and Autism | Johns Hopkins | Bloomberg School of Public Health  

In this episode, I'm diving into a topic that comes up often in midlife: urinary incontinence during menopause. If you've started noticing new bladder symptoms—like leaking, urgency, or increased frequency—you're not imagining things, and you're definitely not alone.I'll walk through:The different types of incontinence and why they matterThe crucial role of estrogen—and how vaginal estrogen can improve symptoms like dysuria and urge incontinenceHow weight gain in midlife can affect your bladder (and how even modest weight loss can help)Why changes in medications or recent surgeries might be affecting your bladder controlThe power of pelvic floor training (yes, it works—and I'll explain how)A clear overview of treatment options for both stress and urgency incontinenceWhether you're just starting to notice changes or you've been managing symptoms for a while, this episode is full of practical, evidence-based guidance to help you take charge of your bladder health—without shame or confusion.Tune in and get the clarity and confidence you deserve. For more information: a. https://journals.lww.com/menopausejournal/abstract/2023/06000/menopause_hormone_therapy_and_urinary_symptoms__a.14.aspxb. https://pmc.ncbi.nlm.nih.gov/articles/PMC3038422/#:~:text=Effect%20of%20weight%20loss%20on,of%20noninsulin%2Ddependent%20diabetes%20mellitus.&text=In%20this%20article%2C%20we%20examine,women%20in%20the%20PRIDE%20study.Timeline:00:28 Introduction to Menopause and Urinary Incontinence00:50 Understanding the Prevalence and Types of Incontinence01:24 Role of Estrogen in Managing Incontinence02:47 Vaginal Estrogen: Benefits and Usage05:21 Impact of Weight on Urinary Incontinence07:42 Medications and Surgeries Affecting Incontinence08:46 Diagnosing Types of Incontinence09:09 Pelvic Floor Muscle Training11:33 Advanced Treatments for Incontinence12:19 Conclusion and Encouragement

Sermon Notes - James 5:13-20 - Faith and SalvationMain Point: We are to live out our faith through prayer and care for one another.1. Prayer (13-18)  -The Prevalence of Prayer (13-15)   -Pray in All Seasons (13)   -Pray in Sickness (14-15)  -The Power of Prayer (16-18)   -Our Powerful Prayer (16)   -Elijah's Powerful Prayer (17-18)2. Care (19-20)  -Those Who Wander   -How They Wander   -The Results of Their Wandering  -Those Who Care   -How They Care   -The Results of Their Care

Cards:Sex and Sensibility:https://www.youtube.com/watch?v=nVQplt7ChosSuicide Hotlines and Prevention Resources Around the World: https://tinyurl.com/2za2jhrhOriginal Video: https://tinyurl.com/29qtanzcSources:Gender incongruence and gender dysphoria in childhood and adolescence—current insights in diagnostics, management, and follow-up: https://tinyurl.com/2ye4ncznAge of Realization and Disclosure of Gender Identity Among Transgender Adults: https://tinyurl.com/2aesq7seSocial contagion, violence, and suicide among adolescents: https://tinyurl.com/242dbtqaTranssexuality Among Twins: Identity Concordance, Transition, Rearing, and Orientation: https://tinyurl.com/24rkpz2vThe (CA)n Polymorphism of ERβ Gene is Associated with FtM Transsexualism: https://tinyurl.com/23n975pnAndrogen receptor repeat length polymorphism associated with male-to-female transsexualism: https://tinyurl.com/22av5naeMolecular basis of Gender Dysphoria: androgen and estrogen receptor interaction: https://tinyurl.com/2jms7k95Sex Assigned at Birth Ratio Among Transgender and Gender Diverse Adolescents in the United States: https://tinyurl.com/2yd5a6swPrevalence of Gender-Diverse Youth in an Urban School District: https://tinyurl.com/ymv2xlyeThe Amsterdam Cohort of Gender Dysphoria Study (1972–2015): Trends in Prevalence, Treatment, and Regrets: https://tinyurl.com/25e36nhrRegret after Gender-affirmation Surgery: A Systematic Review and Meta-analysis of Prevalence: https://tinyurl.com/26z44v9nLong-Term Regret and Satisfaction With Decision Following Gender-Affirming Mastectomy: https://tinyurl.com/22edogj7Guiding the conversation-types of regret after gender-affirming surgery and their associated etiologies: https://tinyurl.com/22bkpw32Regret after Gender-Affirming Surgery: A Multidisciplinary Approach to a Multifaceted Patient Experience: https://tinyurl.com/23vfdasrIncreases in Self-identifying as Transgender Among US Adults, 2014–2022: https://tinyurl.com/2cmgdmnjWhy has identifying as transgender increased so much among young adults?: https://tinyurl.com/268k8mwvThe mean age of gender dysphoria diagnosis is decreasing: https://tinyurl.com/22moq5ebU.S. health secretary heads to Texas after 2nd unvaccinated child dies of measles-related illness: https://tinyurl.com/2ykuvkh8Parent reports of adolescents and young adults perceived to show signs of a rapid onset of gender dysphoria: https://tinyurl.com/y4oqkko3Mobile Phone Use and Mental Health. A Review of the Research That Takes a Psychological Perspective on Exposure: https://tinyurl.com/2yrdfluhNew Book “Irreversible Damage” Is Full of Misinformation: https://tinyurl.com/24kxcdvfPrevalence of Gender-Affirming Surgical Procedures Among Minors and Adults in the US: https://tinyurl.com/2dac8c8xBecome a supporter of this podcast: https://www.spreaker.com/podcast/viced-rhino-the-podcast--4623273/support.

In this episode, Dr. Whitfield speaks with Ashley Koff, RD, about the fascinating world of peptide hormones, focusing on GLP-1 and its role in metabolic health. Dr. Whitfield starts by highlighting how our genes play a part and why GLP-1 is so crucial, especially when bouncing back after surgery. Ashley, a whiz on GLP-1 agonists, chats about the differences between synthetic and natural hormones. She also stresses the importance of seeing metabolic health as a complex system. Ashley shares how personal genomics can help us fine-tune our health and gives us a sneak peek into her upcoming book on optimizing GLP-1. Tune in to hear more about a holistic and personalized approach to health and nutrition. Connect with Ashley Koff, RD https://thebetternutritionprogram.com/bnp-plan/ https://thebetternutritionprogram.com/join-our-newsletter/ Show Highlights: Genetic Factors in Metabolic Health (00:04:28) Impact of genetics on metabolic function and health outcomes GLP-1's Role in Repair (00:15:33) GLP-1's potential in repairing the digestive tract lining and considerations for its use Understanding Medication Use (00:16:25) Prevalence of acid-suppressing medications and their effects on digestion and inflammation GLP-1 Optimization Insights (00:22:25) Significance of GLP-1 hormones in regulating health and addressing weight management Importance of Nutrition Ecosystem (00:26:28) Discussion on the interconnectedness of diet, gut health, and overall body function Fermented Foods and Their Benefits (00:30:36) Exploration of various fermented foods and their role in enhancing gut health and nutrition Nutritional Yeast Misconceptions (00:33:16) Clarification on the nutritional content of fortified nutritional yeast and its impact on health Fermented Foods and Probiotics (00:34:12) Exploration of the limitations of fermented foods like sourdough for probiotic intake Protein Quality and Distribution (00:40:02) Importance of protein source quality and proper distribution throughout the day Genetic Factors in Nutrition (00:45:49) Discussion on the role of genetics in individual dietary needs and behaviors Bio: Ashley Koff, RD Ashley Koff, RD, leads the national conversation on truly personalized nutrition. She's translated her 25+ years of practitioner experience into a proven system, 'BNP' (better not perfect), to help you identify and make better nutrition choices more often. She's the founder of The Better Nutrition Program and the founding Nutrition Director for the University of California at Irvine's Susan Samueli Institute's Integrative and Functional Medicine Fellowship. Koff has a new book available in January 2026 on GLP-1 optimization from Harper Collins and offers certification for it for coaches and practitioners. She's also the author of two consumer publications, Recipes for IBS and Mom Energy, and a contributor to three practitioner publications. She was also the on-air dietitian for three reality TV shows and a regular contributing expert for national and local media outlets. Awarded by InStyle magazine as Hollywood's Leading Nutritionist, as among CNN's Top 100 health makers, recognized in the Top 10 Social Health Makers in Nutrition (Sharecare.com) and among the top “50 Natural Influencers” in health and nutrition to follow on Twitter (NewHope360 and Shape.com), Koff was also selected for the first list of Top 10 Registered Dietitians in the US by Today's Dietitian. Links and Resources Let's Connect Podcast: https://podcasts.apple.com/gb/podcast/breast-implant-illness/id1678143554 Spotify: https://open.spotify.com/show/1SPDripbluZKYsC0rwrBdb?si=23ea2cd9f6734667 TikTok: https://www.tiktok.com/@drrobertwhitfield?t=8oQyjO25X5i&r=1 IG: https://www.instagram.com/breastimplantillnessexpert/ FB: https://www.facebook.com/DrRobertWhitfield Linkedin: https://www.linkedin.com/in/dr-robert-whitfield-md-50775b10/ X: https://x.com/rob_whitfieldmd Read this article - https://www.breastcancer.org/treatment/surgery/breast-reconstruction/types/implant-reconstruction/illness/breast-implant-illness Shop: https://drrobssolutions.com SHARP: https://www.harp.health NVISN Labs - https://nvisnlabs.com/ Get access to Dr. Rob's Favorite Products below: Danger Coffee - Use our link for mold free coffee - https://dangercoffee.com/pages/mold-free-coffee?ref=ztvhyjg JASPR Air Purifier - Use code DRROB for the Jaspr Air Purifier - https://jaspr.co/ Echo Water - Get high quality water with our code DRROB10 - https://echowater.com/ BallancerPro - Use code DRROBVIP for the world's leader in lymphatic drainage technology - https://ballancerpro.com Ultrahuman - Use code WHITFIELD10 for the most accurate wearable - https://www.ultrahuman.com/ring/buy/us/?affiliateCode=drwhitfield

In this episode of the Contacts Coaching Podcast, host Justin welcomes Arty Smith, a former head soccer coach and AP Stats and Data Science teacher at Kent School, Denver. Arty shares his journey into teaching and coaching, detailing the pivotal moments that shaped his career. He discusses his passion for statistics and data science, and how he pioneered elective courses to teach these subjects through sports and social justice issues. Arty also touches on his successful coaching tenure, reflecting on his evolution as a coach and the importance of leadership and effort in building a strong team culture. Recently, Arty has turned his attention to addressing the growing issue of sports gambling among high school students. He highlights the prevalence of gambling, the mathematical realities that make it a losing proposition, and the importance of educating young people to make informed decisions. Tune in to hear his insights and learn about his new educational venture aimed at combating this emerging problem.00:00 Introduction and Guest Background00:22 Journey into Teaching and Coaching01:17 Innovations in Data Science Education02:52 Coaching Career Highlights03:15 Addressing Sports Gambling Among Students05:35 Coaching Philosophy and Evolution12:46 Leadership and Team Culture20:31 Building a Strong Team Culture21:20 The Role of Captains in Team Leadership24:21 Transitioning to a New Endeavor: Educating on Gambling25:13 The Prevalence and Risks of Sports Gambling29:04 Understanding the Mathematics of Gambling31:27 Support and Prevention Strategies37:14 Advice for Coaches and Educators39:32 Conclusion and Contact InformationGambling Awareness Initiative websiteartysmith@abettorlife.com

In this replay episode from 2023, we return to the world of ACHD when we review a recent German research paper on the prevalence of PTSD symptoms amongst the ACHD patient group. How common is this type of symptom observed in the ACHD patient group? What contributes to the high prevalence (17-20.5%) described in this work? What are the benefits of 'embedding' a mental health care worker in the ACHD clinic/program? What strategies can be employed in pediatric cardiology to potentially mitigate PTSD symptoms in our future ACHD patients? These are amongst the many topics reviewed this week with the former Mount Sinai ACHD program clinical social worker, Ms. Meredith Kalbacker who also comments on this week's work. DOI: 10.1016/j.amjcard.2023.06.087For those interested, the book referenced by Ms. Kalbacker, Healing Hearts and Minds, can be purchased on Amazon:https://www.amazon.com/Healing-Hearts-Minds-Holistic-Congenital/dp/0197657281

April is IBS Awareness Month – the perfect time to spotlight a condition that affects millions worldwide yet is often misunderstood. In this episode, gut health dietitian Chelsea McCallum joins us to unpack the complexities of IBS and share her empowering, food-positive approach to care. In the episode, we discuss: Why IBS is often missed or misunderstood When (and when not) to use the low-FODMAP diet How to guide clients through reintroduction with confidence Strategies to reduce food fear and overwhelm Tips to simplify IBS education in clinical consults 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.

In this episode, Dr. Rob Whitfield, a board-certified plastic surgeon, sits down with Dr. Esra Cavusoglu, a psychologist and certified addiction therapist, to chat about how addiction, hormone health, and overall wellness all connect. Dr. Whitfield dives into the topic of breast implant illness, going over its symptoms and the different treatment options available, while emphasizing the importance of a multimodal approach to managing pain after surgery. Dr. Cavusoglu shares her unique methods for treating addiction, focusing on how hormone imbalances and trauma play a role. Tune in to hear more about the need for a holistic approach to health, integrating both physical and mental health care to boost patient outcomes and enhance overall well-being. Connect with Dr. Esra Cavusoglu Instagram (https://www.instagram.com/esracavusoglu/reels/) LinkedIn (http://linkedin.com/in/esra-m-cavusoglu-phd-casac-cac-77548021) Website (https://www.longevilab.com/en/c/longevity) Show Highlights: Discussion on Cognitive Impairment (00:02:20) Cognitive impairment and its relevance in addiction treatment Unique Methods in Addiction Treatment (00:02:58) Treating addiction through hormone level assessments and comprehensive bloodwork Pain Management Post-Surgery (00:10:12) Strategies for managing pain and avoiding opioid dependence after surgery High-Performance Addiction (00:14:22) Addiction patterns in high-functioning individuals and their coping mechanisms Young Patient Demographics (00:19:03) Rising rates of eating disorders and alcoholism among younger patients Body Dysmorphia Concerns (00:20:21) Prevalence of body dysmorphia and early cosmetic procedures in young women Recognizing Addiction in Loved Ones (00:28:42) Identifying addiction through behavioral changes rather than substance use frequency Bio: Dr. Cavusoglu Trained both in the United States and internationally, Dr. Esra Çavuşoğlu is a doctor in psychology and a certified addiction therapist in the State of New York. She formerly held a position on the Clinical Advisory Board of the Yale University School of Medicine and served as an Advisor for International Development with the Yale Program on Supervision. Dr. Esra Çavuşoğlu has participated in numerous international medical conferences and events. Some of the prominent organizations include serving as a moderator at the event organized by the United Nations Office on Drugs and Crime (UNODC) in Vienna, Austria, in 2016. Dr. Çavuşoğlu also acted as a panelist at the Asia Pacific Behavioral and Addiction Medicine (APBAM) Conference held in Singapore in 2013. Dr. Çavuşoğlu continues to treat her patients. In her capacity as the senior supervisor at the Oya Bahadır Yüksel Rehabilitation Center in Gaziantep, Turkey, Dr. Esra Çavuşoğlu designed and implemented the Turkey Model of Rehabilitation, which has since become the standard in the country. Prior to this role, she served for two years as the Vice President of Operations at the Gaziantep Center, where she collaborated closely with key Turkish government and health consultancy officials. She has made significant contributions to the field of addiction treatment in Turkey. Her articles on this topic have been honored with Presidential Recognition. She has presented on important subjects such as adolescent substance abuse treatment, including engagements in the United States, Turkey, and Singapore. Dr. Çavuşoğlu established the Contemporary Addiction Studies Association (ÇABAÇAD) to combat the growing addiction problem of Turkiye. In her power, her desire is to spread the science of addiction to the field and support institutions that are in need of building residential and outpatient programs, as well as create training curricula. Links and Resources Let's Connect Podcast: https://podcasts.apple.com/gb/podcast/breast-implant-illness/id1678143554 Spotify: https://open.spotify.com/show/1SPDripbluZKYsC0rwrBdb?si=23ea2cd9f6734667 TikTok: https://www.tiktok.com/@drrobertwhitfield?t=8oQyjO25X5i&r=1 IG: https://www.instagram.com/breastimplantillnessexpert/ FB: https://www.facebook.com/DrRobertWhitfield Linkedin: https://www.linkedin.com/in/dr-robert-whitfield-md-50775b10/ X: https://x.com/rob_whitfieldmd Read this article - https://www.breastcancer.org/treatment/surgery/breast-reconstruction/types/implant-reconstruction/illness/breast-implant-illness Shop: https://drrobssolutions.com SHARP: https://www.harp.health NVISN Labs - https://nvisnlabs.com/ Get access to Dr. Rob's Favorite Products below: Danger Coffee - Use our link for mold free coffee - https://dangercoffee.com/pages/mold-free-coffee?ref=ztvhyjg JASPR Air Purifier - Use code DRROB for the Jaspr Air Purifier - https://jaspr.co/ Echo Water - Get high quality water with our code DRROB10 - https://echowater.com/ BallancerPro - Use code DRROBVIP for the world's leader in lymphatic drainage technology - https://ballancerpro.com Ultrahuman - Use code WHITFIELD10 for the most accurate wearable - https://www.ultrahuman.com/ring/buy/us/?affiliateCode=drwhitfield

In this episode of the Award-winning PRS Journal Club Podcast, 2025 Resident Ambassadors to the PRS Editorial Board – Christopher Kalmar, Ilana Margulies, and Amanda Sergesketter- and special guest, Elizabeth Hall-Findlay, MD, discuss the following articles from the April 2025 issue: “Estimating the Prevalence of Breast Implant–Associated Anaplastic Large-Cell Lymphoma: A Systematic Review” by Ward, Calderbank, Tang, et al. Read the article for FREE: https://bit.ly/BIA-ALCLPrev Special guest, Elizabeth Hall-Findlay, MD, is internationally renowned in aesthetic breast surgery, and currently practices aesthetic surgery of the breast and body in Alberta, Canada, where she has been practicing since 1983. She completed her bachelor's degree at McGill University followed by her MD at the University of Western Ontario, followed by general surgery training in Canada and plastic surgery residency at UCSF and Montefiore. She even completed a clinical microsurgery and hand fellowship at the Buncke Clinic in 1980. She is known for pioneering the ‘Hall Findlay Technique,' has authored numerous textbook chapters and textbooks in aesthetic breast surgery, has lectured on almost every continent around the world, and was even the recipient of the prestigious ASPS Special Achievement award in plastic surgery. READ the articles discussed in this podcast as well as free related content: https://bit.ly/JCApril25Collection The views expressed by hosts and guests are their own and do not necessarily reflect the official policies or positions of ASPS

A new MP3 sermon from The Narrated Puritan is now available on SermonAudio with the following details: Title: The Prevalence of Evil, An Argument For Prayer Subtitle: Only A Prayer Meeting Speaker: C. H. Spurgeon Broadcaster: The Narrated Puritan Event: Audiobook Date: 4/2/2025 Length: 12 min.

The Vascular Surgery Subspecialty Team dives into the pressing issue of burnout among vascular surgery trainees. Unveiling surprising statistics and expert insights, they explore the alarming prevalence of burnout, its causes like work-home conflict and physical discomfort, and the protective role of mentorship and a supportive learning environment. With research-backed discussions, they navigate strategies to combat burnout and enhance the well-being of medical professionals. Hosts:  Dr. Bobby Beaulieu is an Assistant Professor of Vascular Surgery at the University of Michigan and the Program Director of the Integrated Vascular Surgery Residency Program as well as the Vascular Surgery Fellowship Program at the University of Michigan. Dr. Frank Davis is an Assistant Professor of Vascular Surgery at the University of Michigan Dr. Drew Braet is a PGY-5 Integrated Vascular Surgery Resident at the University of Michigan Learning Objectives -  Review the definition and prevalence of burnout - Understand the risk factors, including both modifiable and non-modifiable risk factors, for burnout  - Review the effects of burnout on trainees and attending surgeons References 1.    Hekman KE, Sullivan BP, Bronsert M, Chang KZ, Reed A, Velazquez-Ramirez G, Wohlauer MV; Association of Program Directors in Vascular Surgery Issues Committee. Modifiable risk factors for burnout in vascular surgery trainees. J Vasc Surg. 2021 Jun;73(6):2155-2163.e3. doi: 10.1016/j.jvs.2020.12.064. https://pubmed.ncbi.nlm.nih.gov/33675887/ 2.    Cui CL, Reilly MA, Pillado EB, Li RD, Eng JS, Grafmuller LE, DiLosa KL, Conway AM, Escobar GA, Shaw PM, Hu YY, Bilimoria KY, Sheahan MG 3rd, Coleman DM. Burnout is not associated with trainee performance on the Vascular Surgery In-Training Exam. J Vasc Surg. 2025 Jan;81(1):243-249.e4. doi: 10.1016/j.jvs.2024.08.057. https://pubmed.ncbi.nlm.nih.gov/39233022/ 3.    Chia MC, Hu YY, Li RD, Cheung EO, Eng JS, Zhan T, Sheahan MG 3rd, Bilimoria KY, Coleman DM. Prevalence and risk factors for burnout in U.S. vascular surgery trainees. J Vasc Surg. 2022 Jan;75(1):308-315.e4. doi: 10.1016/j.jvs.2021.06.476.  https://pubmed.ncbi.nlm.nih.gov/34298120/ 4.    Davila VJ, Meltzer AJ, Hallbeck MS, Stone WM, Money SR. Physical discomfort, professional satisfaction, and burnout in vascular surgeons. J Vasc Surg. 2019 Sep;70(3):913-920.e2. doi: 10.1016/j.jvs.2018.11.026.  https://pubmed.ncbi.nlm.nih.gov/31279532/ 5.    Pillado E, Li RD, Chia MC, Eng JS, DiLosa K, Grafmuller L, Conway A, Escobar GA, Shaw P, Sheahan MG 3rd, Bilimoria KY, Hu YY, Coleman DM. Reported pain at work is a risk factor for vascular surgery trainee burnout. J Vasc Surg. 2024 May;79(5):1217-1223. doi: 10.1016/j.jvs.2024.01.003.  https://pubmed.ncbi.nlm.nih.gov/38215953/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen