Podcasts about rct

I dette bonusafsnit sidder Ingrid alene i studiet for at tage videre fat på forrige afsnit – og et af de mest oversete temaer i psykiatrien: flygtninge og efterkommere med ubehandlede traumer. Med udgangspunkt i min egen historie fra borgerkrig i Rwanda til en sen PTSD-diagnose spørger jeg, hvorfor traumer behandles som integrationsproblem i stedet for som det, de er: et sundhedsproblem.Sammen med Thomas Rohden, næstformand i Region Hovedstaden og kritiker af tolkegebyret, fokuserer afsnittet bl.a. på disse konkrete knudepunkter: adgang til gratis og professionel tolkning, kultur- og traumeforståelse som en faglig kerneopgave, og øremærkede midler til traumebehandling i samarbejde med de aktører på området, der bærer hele traumebehandlingen, bl.a. DIGNITY, OASIS og RCT.Det her er ikke en nichefortælling, men et spørgsmål om folkesundhed og lighed i psykiatrien.Afsnittet er til dig, der bærer krigen i kroppen, til dig der arbejder i systemet – og til dig, der skal stemme ved kommunal- og regionalvalget i 2025 og fremadrettet vil holde politikerne op på mere end flotte ord.Tusind tak fordi I lytter med.Tak til Lasse Lund for vodcast og Jakob Ranum for studietidTak til Maria Svehag for SoMe.Tak til Awinbeh for jinglen og tak til Liv Habel for vores smukke coverbillede Hosted on Acast. See acast.com/privacy for more information.

Do the many clinical trials into high-dose vitamin C prove it can actually treat the common cold and cancer, rather than just boost the immune system? Why is there ongoing scepticism? Why are multifactorial chronic diseases so hard to study in clinical trials? What is the right dosage to get the best results from vitamin C?In this episode we have the often misunderstood topic of Vitamin C as an antioxidant to get clear on, particular the high-dose approach and particularly delivered intravenously. Despite a very clear consensus that Vitamin C is a great booster to immune function, research that shows that it helps fight the common cold or flu have been dismissed by doctors and medical researchers; as well as claims that higher doses can increase its efficacy. Other claims that Vitamin C can help fight cardio-vascular disease and even cancer have been with even greater scepticism. So what exactly can vitamin C do to assist our immune function to fight disease, and why is there so much confusion about the answer given the high quantity of clinical trials data?Fortunately today's guest has exactly the right skill set and research knowledge to separate the science from the here-say, medical doctor and orthomolecular medicine researcher, Dr. Richard Z Cheng. Dr. Cheng has a PhD in biochemistry and molecular biology; he's served as a doctor in the US military; he has consulted for the National Cancer Institute, and presented at the National Institute of Health (NIH); he has conducted clinical trials; He is the editor in Chief of the Orthmolecular Medicine New Service; He is also a fellow of the American Academy of Anti- Aging medicine; and has run anti-aging and regenerative medicine clinics in both China and the US for over 20 years.What we discuss:00:00 Intro05:15 Most animals produce Vitamin C in the body, but not primates.06:00 Oxidation & Redox: Giving or receiving an electron.11:00 After reducing oxidation the body recycles it back into vitamin C.14:00 Teamwork: sharing electrons between nutrients and vitamins.18:20 Conventional consensus: good for prevention but not treatment.21:00 Over 80K papers on Vit C on Pub Med!21:30 Linus Pauling Intravenous Vitamin C for cancer and heart disease.27:00 Shortening of common cold and lowering of symptoms - Harri Hemila.29:00 Low dose studies dilute the data on the efficacy of the high dose studies.31:00 Intravenous treatment allows much higher doses safely.33:00 Differences in absorption between IV and oral application.35:20 Pro-oxidant effect only possible at IV high dose.36:30 IV clinical trials.39:20 Cytokine storm cascades in acute respiratory distress.44:00 High Dose IV Vitamin C saved lives in China during Covid 19.50:00 Attacks following Richard's NIH presentation on Vitamin C during covid.57:00 Cardio vascular disease - Vit. C research history.01:01:00 Collagen Synthesis for vascular walls & Vitamin C deficiency.01:07:20 Is the taboo for life style medicine lifting?01:09:30 Issues of gold standard RCT trials not working for multifactorial integrative interventions.01:16:00 Recommendations for preventative use of Vitamin C for listeners. References:E Cameron & Linus Pauling - 'Supplemental ascorbate in the supportive treatment of cancer: Prolongation of survival times in terminal human cancer', 1976E.T. Creagan, 'Failure of high-dose vitamin C (ascorbic acid) therapy to benefit patients with advanced cancer', 1979Harri Hemilä - over 200 meta-analyses and clinical trialsPing Chen et al. 'Pharmacokinetic Evaluation of Intravenous Vitamin C'Richard Z Cheng, ‘Can early and high intravenous dose of vitamin C prevent and treat coronavirus disease 2019 (COVID-19)?'KU Cancer Center researchers announce study of high-dose intravenous vitamin C to treat muscle-invasive bladder cancer, 2024National Cancer Institute overview of IV Vitamin C cancer research.

In this solo episode, Darin reframes one of the most misunderstood forces in life — stress. Instead of seeing it as the enemy, he explores how stress is actually a messenger, guiding you back to alignment, safety, and awareness. Through science, spirituality, and lived experience, Darin breaks down how stress shows us where we're trying to control, where we're disconnected, and where our nervous system is calling for attention. He unpacks the layers of modern stress — from trauma and environment to community and purpose — and offers practical, embodied tools to restore calm, clarity, and resilience.     What You'll Learn 00:00:00 – Welcome to Super Life: Solutions for a Healthier Life and Better World 00:00:32 – Sponsor Spotlight: TheraSauna - Natural Healing Technologies (15% off with code Darrandai) 00:02:10 – The Super Life Podcast: Finding Contentment, Happiness, and Purpose 00:02:51 – Today's Topic: Stress - Reframing Stress as an Ally and Dashboard Light 00:04:54 – The "No Choice" Universe: Reconnecting to Infinite Possibilities 00:05:16 – The Reality of Stress: Statistics and the Impact of Chronic Stress 00:06:21 – Stress is Layered: Beyond a Single Cause, Addressing Chronic Stress 00:08:29 – Solutions for a Super Life: Safety over Calm and the Vagal Response 00:09:38 – The Inner Dialogue Layer: Trauma, Unconsciousness, and Spiritual Bypassing 00:11:47 – The Social Field Layer: Relationships, Community, and Finding Your Way Home 00:14:20 – Sponsor Spotlight: Bite Toothpaste - Sustainable, Non-Toxic Tabs (20% off with code Darin20) 00:16:35 – Creating Your Own Vision: Setting Boundaries with Media and Social Algorithms 00:17:29 – Finding Your Purpose: From Raising Children to Healing Injuries 00:18:35 – Environmental and Existential Stress Layers: Clutter, Noise, and Service 00:19:26 – Stress Load and Resiliency: Why Small Triggers Cause Blow-Ups 00:20:02 – Understanding the Dashboard Light: Acknowledging Unwillingness 00:20:35 – Safety as the Signal: Body Relaxation and Providing Inner Security 00:23:44 – Reframing Trauma: Was it the Protector You Needed at the Time? 00:25:00 – Releasing Trauma: Techniques, The Healing Code, and Waking the Tiger 00:26:06 – Finishing the Survival Response: Shaking, Crying, Screaming, and Stretching 00:26:38 – Stress as a Multiplier: Impact on Immune System, Heart, and Aging 00:28:10 – Stress Slows Repair: Inflammation, Cardiovascular Risk, and Cellular Aging 00:29:48 – The Integrative Approach: Changing Your Environments to Support Anti-Stress 00:30:07 – Actionable Stress Solutions: Circadian Rhythm, Nature, and Noise Reduction 00:30:44 – Actionable Stress Solutions: Gratitude, Conscious Breath, and Movement 00:31:32 – Energy Drains to Eliminate: Conflict, Clutter, Scrolling, and Late Caffeine 00:32:17 – Connecting to Greater Purpose: The Super Life Patreon Platform 00:32:54 – Morning/Night Questions: Letting Go, Creating, and Contributing 00:33:17 – Final Toolkit: Slow Breathing, Movement, Nature, Sauna, and Sleep 00:34:25 – The Invitation: Digging into all Layers of a Super Life on Patreon   Thank You to Our Sponsors Therasage: Go to www.therasage.com and use code DARIN at checkout for 15% off Bite Toothpaste: Go to trybite.com/DARIN20 or use code DARIN20 for 20% off your first order. Find More from Darin Olien: Instagram: @darinolien Podcast: SuperLife Podcast Website: superlife.com Book: Fatal Conveniences   Key Takeaway "Stress isn't your enemy — it's your compass. Every wave of tension points you back to what's asking for care, attention, and love. When you stop fighting stress and start listening to it, you don't just survive — you evolve."       Bibliography (selected, peer-reviewed) Sources: Gallup Global Emotions (2024); Gallup U.S. polling (2024); APA Stress in America (2023); Natarajan et al., Lancet Digital Health (2020); Orini et al., UK Biobank (2023); Martinez et al. (2022); Leiden University (2025). Cohen S, Tyrrell DA, Smith AP. Psychological stress and susceptibility to the common cold. N Engl J Med.1991;325(9):606–612. New England Journal of Medicine Cohen S, et al. Chronic stress, glucocorticoid receptor resistance, inflammation, and disease risk. Proc Natl Acad Sci USA. 2012;109(16):5995–5999. PNAS Kiecolt-Glaser JK, et al. Slowing of wound healing by psychological stress. Lancet. 1995;346(8984):1194–1196. The Lancet Kiecolt-Glaser JK, et al. Hostile marital interactions, proinflammatory cytokine production, and wound healing.Arch Gen Psychiatry. 2005;62(12):1377–1384. JAMA Network Tawakol A, et al. Relation between resting amygdalar activity and cardiovascular events. Lancet.2017;389(10071):834–845. The Lancet Epel ES, et al. Accelerated telomere shortening in response to life stress. Proc Natl Acad Sci USA.2004;101(49):17312–17315. PNAS McEwen BS, Stellar E. Stress and the individual: mechanisms leading to disease. Arch Intern Med.1993;153(18):2093–2101. PubMed McEwen BS, Wingfield JC. Allostasis and allostatic load. Ann N Y Acad Sci. 1998;840:33–44. PubMed Felitti VJ, et al. Relationship of childhood abuse and household dysfunction to many leading causes of death in adults (ACE Study). Am J Prev Med. 1998;14(4):245–258. AJP Mon Online Edmondson D, et al. PTSD and cardiovascular disease. Ann Behav Med. 2017;51(3):316–327. PMC Afari N, et al. Psychological trauma and functional somatic syndromes: a systematic review and meta-analysis.Psychosom Med. 2014;76(1):2–11. PMC Goyal M, et al. Meditation programs for psychological stress and well-being: a systematic review and meta-analysis. JAMA Intern Med. 2014;174(3):357–368. PMC Qiu Q, et al. Forest therapy: effects on blood pressure and salivary cortisol—a meta-analysis. Int J Environ Res Public Health. 2022;20(1):458. PMC Laukkanen T, et al. Sauna bathing and reduced fatal CVD and all-cause mortality. JAMA Intern Med.2015;175(4):542–548. JAMA Network Zureigat H, et al. Physical activity lowers CVD risk by reducing stress-related neural activity. J Am Coll Cardiol.2024;83(16):1532–1546. PMC Holt-Lunstad J, Smith TB, Layton JB. Social relationships and mortality risk: a meta-analytic review. PLoS Med.2010;7(7):e1000316. PMC Chen Y-R, Hung K-W. EMDR for PTSD: meta-analysis of RCTs. PLoS One. 2014;9(8):e103676. PLOS Hoppen TH, et al. Network/pairwise meta-analysis of PTSD psychotherapies—TF-CBT highest efficacy overall.Psychol Med. 2023;53(14):6360–6374. PubMed van der Kolk BA, et al. Yoga as an adjunctive treatment for PTSD: RCT. J Clin Psychiatry. 2014;75(6):e559–e565. PubMed Kelly U, et al. Trauma-center trauma-sensitive yoga vs CPT in women veterans: RCT. JAMA Netw Open.2023;6(11):e2342214. JAMA Network Bentley TGK, et al. Breathing practices for stress and anxiety reduction: components that matter. Behav Sci (Basel). 2023;13(9):756. 

The term "hypnosis" was first described in 1843 byScottish surgeon James Braid, who published the book Neurypnology. He coined the term "hypnosis" from the Greek word for sleep to describe the trance-like state induced by focusing on a bright object. Self-hypnosis has nowbeen shown to aid in menopausal hot flash reduction! In this episode, we will review this brand new publication from JAMA Network which confirmed via a multicenter RCT that a simple daily hypnosis audio session was effective forsymptom relief. The study is the first to compare self-guided hypnosis with an active control condition (i.e. sham white noise control group). Listen in for details. 1.     Elkins G, Arring N, Morgan G, Lorenz T, Muniz V,Lafferty C, Scheffrahn K, Alldredge C, Barton D. Self-Administered Hypnosis vsSham Hypnosis for Hot Flashes: A Randomized Clinical Trial. JAMA Netw Open.2025 Nov 3;8(11):e2542537. doi: 10.1001/jamanetworkopen.2025.42537. PMID:41217756.2.     https://interestingengineering.com/health/hypnosis-lowers-menopause-hot-flashes 

In this Ask Me Anything episode, Vanessa breaks down your most common questions about the Protein-Sparing Modified Fast (PSMF) — one of the most powerful evidence-based tools for rapid fat loss and muscle preservation. NEW! Support your strength and muscle goals with PUORI Creatine+ — a clean, effective creatine monohydrate supplement enhanced with taurine. Get 20% off at puori.com/VANESSA You'll learn exactly how to calculate your macros, when to schedule refeeds, how to adapt PSMF for your menstrual cycle or menopause, and what recent human clinical studies reveal about high-protein, very-low-carb diets for fat loss, hormonal balance, and metabolic health. Vanessa also explains how ketosis is achieved even on a high-protein plan and how to track your fat-burning progress with Breath Ketones. OneSkin is powered by the breakthrough peptide OS-01, the first ingredient proven to reduce skin's biological age. I use the OS-01 Face and Eye formulas daily—they've transformed my skin's smoothness, firmness, and glow. Visit oneskin.co/VANESSA and use code VANESSA for 15% off your first purchase

Seahawks sweep the Cardinals! After a blowout 1st half they made hard work of it in the second.Join Mitch, Josh and our special guest, Super Bowl champion Walter Thurmond III as we talk about:

Do you routinely order prophylactic antibiotics at time ofsecond-degree laceration repair? Is there data for that? While the use of prophylacticantibiotics “is reasonable” (per ACOG PB 198) for OASIS lacerations, what doesthe data look like for second degree lacs? Well, the answer is both supportiveAND non-supportive of that practice! In this episode, we will cover a brand newpublication (RCT) from BMJ on this very issue, and also highlight a meta-analysisfrom Plos One (May 2025) that also examined this question. Listen in fordetails!1.     ACOG PB 1982.     Armstrong H, Whitehurst J, Morris RK, HodgettsMorton V, Man R; CHAPTER group. Antibiotic prophylaxis for childbirth-relatedperineal trauma: A systematic review and meta-analysis. PLoS One. 2025 May9;20(5):e0323267. doi: 10.1371/journal.pone.0323267. PMID: 40344566; PMCID:PMC12064200.3.     Risk of infection and wound dehiscence after useof prophylactic antibiotics in episiotomy or second degree tear (REPAIR study):single centre, double blind, placebo controlled randomised trial. BMJ 2025; 391doi: https://doi.org/10.1136/bmj-2025-084312 (Published 29 October 2025): BMJ2025;391:e084312

Episode Overview In this episode, Dr. David Rosenblum discusses the role of supplements and complementary strategies in the management of chronic pain. Drawing from clinical practice at AABP Integrative Pain Care, as well as his teaching and training programs, Dr. Rosenblum reviews how nutraceuticals, regenerative therapies, ultrasound-guided procedures, and neuromodulation can work together to improve patient outcomes and reduce opioid reliance. This episode also highlights educational opportunities and exam-prep resources for pain fellows, residents, anesthesiologists, physiatrists, and APPs looking to expand their interventional pain, ultrasound, and regenerative medicine skill sets. Key Topics Discussed Evidence and clinical rationale for select supplements in chronic pain management The role of ultrasound guidance in improving accuracy and safety in interventional pain procedures How regenerative medicine techniques such as PRP and BMAC are shaping personalized pain care Practical considerations when combining supplements with neuromodulation, RFA, or injections Patient case applications and real-world treatment planning Educational Offerings & Learning Opportunities PainExam / NRAP Academy Training & Programs: Neuromodulation & Regional Anesthesia Workshops Ultrasound-Guided Pain Procedures Regenerative Pain Medicine Training Virtual Pain Fellowship Pain Management Board Review & Question Banks Learn More / Register: www.AABPpain.com

The Seahawks extend their unbeaten road record to 10 wins under Mike MacDonald with an emphatic 38-14 win! Sam Darnold was dealing, JSN carries on his phenomenal season, the rookies get involved and the defence continues to prove it's elite! Join Mitch, Josh and our special guest 12 (all the way from Greece) Nikos Kardasilaris, as we break down the game including:

Un nouvel épisode du pharmascope est maintenant disponible! Dans de ce 102ème épisode, Nicolas, Sébastien et Isabelle discuteront de vitamine B12. Dans ce premier épisode d'une série de deux, on discute de manifestations cliniques, d'évaluation biochimique, d'approche diagnostique et de bénéfices (ou pas) du traitement d'un déficit en vitamine B12. Les objectifs pour cet épisode sont les suivants: Identifier les patients avec une indication de doser la vitamine B12 Discuter de la fiabilité du dosage de la vitamine B12 Discuter de l'approche diagnostique du déficit en vitamine B12 Expliquer les bénéfices d'un supplément de vitamine B12 dans le traitement et la prévention de diverses conditions   Ressources pertinentes en lien avec l'épisode Boughrassa F, Framarin A. Usage judicieux de 14 analyses biomédicales: Outil pratique. Institut national d'excellence en santé et services sociaux. Avril 2014. Solomon LR. Cobalamin-responsive disorders in the ambulatory care setting: unreliability of cobalamin, methylmalonic acid, and homocysteine testing. Blood. 2005;105:978-85. Hunt A, Harrington D, Robinson S. Vitamin B12 deficiency. BMJ. 2014;349:g5226. Stabler SP. Clinical practice. Vitamin B12 deficiency. N Engl J Med. 2013;368:149-60. Didangelos T et coll. Vitamin B12 Supplementation in Diabetic Neuropathy: A 1-Year, Randomized, Double-Blind, Placebo-Controlled Trial. Nutrients. 2021;13:395. Dangour AD et coll. Effects of vitamin B-12 supplementation on neurologic and cognitive function in older people: a randomized controlled trial. Am J Clin Nutr. 2015;102:639-47. McCleery J et coll. Vitamin and mineral supplementation for preventing dementia or delaying cognitive decline in people with mild cognitive impairment. Cochrane Database Syst Rev. 2018;11:CD011905. Rutjes AW et coll. Vitamin and mineral supplementation for maintaining cognitive function in cognitively healthy people in mid and late life. Cochrane Database Syst Rev. 2018;12:CD011906. Kwok T et coll. A randomized placebo-controlled trial of using B vitamins to prevent cognitive decline in older mild cognitive impairment patients. Clin Nutr. 2020;39:2399-2405. Kwok T et coll. A randomized placebo controlled trial of vitamin B12 supplementation to prevent cognitive decline in older diabetic people with borderline low serum vitamin B12. Clin Nutr. 2017;36:1509-1515. Van der Zwaluw NL et coll. Results of 2-year vitamin B treatment on cognitive performance: secondary data from an RCT. Neurology. 2014;83:2158-66. Almeida OP et coll. B vitamins to enhance treatment response to antidepressants in middle-aged and older adults: results from the B-VITAGE randomised, double-blind, placebo-controlled trial. Br J Psychiatry. 2014;205:450-7.

Send us a textI unpack what “ultra-processed” really means, why these foods are so easy to overeat, what the best evidence shows (including metabolic-ward studies), and how I personally navigate them without fear or perfectionism. Key topics & evidence (in plain English):What counts as “ultra-processed”? I walk through the NOVA system—useful, not perfect—and where borderline items (frozen meals, boxed mixes) fit. See an overview of NOVA classifications here. How we got here: post-WWII abundance of refined flour, cheap sugars, oils, and a cultural push for convenience—now ~60% of the U.S. diet comes from UPFs (study). Additives: stabilizers, emulsifiers, preservatives, and colors are generally recognized as safe (GRAS). I explain why, on their own, they're probably not the main health issue. The bigger problem: UPFs are energy-dense, engineered for bliss (fat/sugar/salt + perfect texture), and easy to eat quickly—driving higher calorie intake.  • Metabolic-ward crossover trial: +~508 kcal/day when participants ate UPFs vs minimally processed (Cell 2019). • Overweight adults in a crossover design: +~814 kcal/day on the UPF week (PubMed). • Another recent crossover RCT reports ~300 kcal/day higher on UPFs (Nature Medicine 2025). What I recommend (and what I do):Prioritize whole foods most of the time; shop the perimeter; cook when you can. Canned tomatoes/beans and frozen fruits/peas are fine helpers. If weight, diabetes, or blood pressure are concerns, be extra cautious with UPFs—they're designed to be irresistible and calorie-dense. Moderation wins: I enjoy favorites (yes, even boxed mac 'n' cheese and crunchy peanut butter) without letting them dominate my plate. Takeaways you can use today:Build meals around minimally processed proteins, veggies, fruits, and beans; let convenience items support—not star—in your diet. Watch “calorie-dense + easy to overeat” combos (chips, sweets, fast food). If you have them, portion once, then put the package away. If symptoms or inflammation are puzzling you, try a short UPF-light experiment (2–4 weeks) and see how you feel. If this episode helped, please follow and leave a quick review—and share it with a friend who's curious about UPFs. For my newsletter and resources, visit drbobbylivelongandwell.com.

The Seahawks are 5-2 at the bye week. Join Mitch, Josh, Dan and Bryce as they discuss:

L'équipe des Causeries propose un debrief du match contre Toulouse, mais surtout, prend très vite de la hauteur (et quelques bulles pétillantes) pour proposer une émission apéro qui balaie toute l'actu du RCT en détail, et sans se prendre au sérieux. Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.

"What a strange game!" Sam Darnold, Seattle Seahawks QB 2025Join us for our 12 Talk X Hawks Eye Podcast crossover special. Mitch, Josh and Bryce will be breaking down the Seahawks vs Texans game including:

Les Causeries de la rade reviennent sur la victoire bonifiée du RCT face au Racing 45-21L'équipe reviendra également sur les blessures de Frisch et Serin, ainsi que sur la rumeur transfert : Guillaume CramontEt le débat de la semaine : Gestion de l'effectif : Toulon joue-t-il avec le feu ? Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.

The Seattle Seahawks flew to sunny Florida and put on a clinic against the high-flying Jacksonville Jaguars! Join Mitch, Josh and special guest co-host, Discord Member and Welsh Seahawks fan Richard Blake as we break down the game including:

Send us a textVisit my websiteCan a positive mindset truly improve your health—or even help you beat disease? In this episode, Dr. Bobby and guest Sean McDevitt explore the evidence behind optimism, visualization, and prayer to uncover what really works.In today's episode of Live Long and Well, Dr. Bobby is joined by fitness and life coach Sean McDevitt to explore whether positive thinking can influence health outcomes. They dive into both anecdotal and clinical evidence, starting with sports psychology and then navigating the science behind mindset and disease. The conversation opens with laughter and smiles—literally. Inspired by Norman Cousins' Anatomy of an Illness, Dr. Bobby references a meta-analysis showing genuine smiling does, in fact, temporarily boost happiness, while artificial smiling (like holding a pen in your mouth) doesn't.They begin with sports, where 86 studies show that visualizing athletic success can improve performance in agility, strength, and game-specific skills. Next, they ask a deeper question: does having a positive attitude affect the progression of serious disease? A meta-analysis of 26 studies on life satisfaction and longevity suggests happy people may live longer—especially when it comes to heart health. Optimism, for instance, was linked to a 35% reduction in cardiovascular events and a 15% decrease in all-cause mortality.However, when it comes to cancer, the picture gets murkier. A review of 165 studies links stress to poorer survival, but a separate meta-analysis on coping styles found no consistent impact on recurrence or survival. One influential study on breast cancer patients even found that while helplessness predicted worse outcomes, having a “fighting spirit” made no significant difference (source). As Dr. Bobby notes, it's important not to burden patients with guilt if they can't “stay positive.”The critical question becomes: if you're not naturally optimistic, can you cultivate positivity—and will it help? Encouragingly, several intervention studies suggest it might. One trial showed cardiac markers improved after optimism training, and a meta-analysis of 56 RCTs found a 15% boost in immune function after psychological interventions. A small MS study linked mindfulness to better walking ability, and a large RCT on breast cancer showed a 45% drop in recurrence with stress-reduction and mood-enhancing strategies.Finally, the episode touches on spirituality. While many find comfort in prayer, evidence from an RCT of 800 ICU patients and a [meta-analysis] shows no significant impac

Tony is back in the Game Lounge with the Speedrunner and Twitch Streamer that got Roller Coaster Tycoon into Summer Games Done Quick 2025, Dynomation! The two of them talk about all strategies that go into an RCT speedrun, what it was like creating some of the routes, and his work for other speedrunning marathons like Zeldathon! They also cover the Tokyo Game Show 2025, and the September 24th PlayStation State of play amongst all the other headlines in the gaming world over the last 2 weeks, and the upcoming game releases!Follow Tony: https://www.twitch.tv/tonysgameloungeYouTube: https://www.youtube.com/@TonysGameLounge--------------------------------------------------------Follow Dynomation: https://www.twitch.tv/dynomationBluesky: https://bsky.app/profile/dynomation.bsky.social--------------------------------------------------------Join the Official Tony's Game Lounge Discord: https://discord.gg/xXyvjaCsXp

Get My Book On Amazon: https://a.co/d/avbaV48DownloadThe Peptide Cheat Sheet: https://peptidecheatsheet.carrd.co/Download The Bioregulator Cheat Sheet: https://bioregulatorcheatsheet.carrd.co/1 On 1 Coaching Application: https://hunterwilliamscoaching.carrd.co/Book A Call With Me: https://hunterwilliamscall.carrd.co/Supplement Sources: https://hunterwilliamssupplements.carrd.co/Amazon Storefront: https://www.amazon.com/shop/hunterwilliams/list/WE16G2223BXA?ref_=cm_sw_r_cp_ud_aipsflist_R7QWQC0P1RACB2ETY3DYSocials:Instagram: https://www.instagram.com/hunterwilliamscoaching/Podcast: https://hunterwilliamspodcast.buzzsprout.com/Video Topic Request: https://hunterwilliamsvideotopic.carrd.co/I break down the human data on HGH (human growth hormone) for anti-aging and performance—what actually improves, what doesn't, and where it clearly helps (injury recovery and true GH deficiency). I also cover side effects, dosing philosophy (“replacement, not enhancement”), and how to think about HGH in a longevity stack as you age.Timestamps0:00 - Intro, goal of the video and who this is for2:10 - What HGH is and age-related decline (somatotropin refresher)3:28 - The Rudman 1990 study and “turning back the clock” claims4:26 - 1994–1996 trials: lean mass up, strength/endurance unchanged5:00 - 2002 Blackman RCT + meta-analysis: +2 kg lean, −2 kg fat7:00 - Side effects: edema, joint pain, carpal tunnel, insulin resistance (dose-dependent)8:38 - Athletic performance evidence: banned in sport, but does it help?10:06 - WADA/Stanford findings: sprint bump, no strength/endurance gains12:20 - Injury & healing overview: why HGH could help tissue repair12:36 - Burn-healing data: faster closure and shorter stays (with hyperglycemia risk)13:48 - Fracture healing: tibial fracture RCT, closed vs. open outcomes15:28 - ACL surgery study: better knee extensor strength without bigger muscles17:02 - Adult GH deficiency (AGHD): signs, causes, quality-of-life impact18:48 - Early AGHD trials (1989–1990): composition, VO₂, well-being improvements19:40 - 2000s–today: cardio risk markers, aerobic capacity, long-term outcomes20:34 - Who benefits most: AGHD/older adults vs healthy/athletes25:08 - Replacement vs enhancement: practical dosing philosophy26:00 - Final verdict: where HGH fits in a longevity stack27:14 - New studio, channel update, and closing thoughts

How Workshops Win: Emotion-First Public Speaking for Cash-Based PT Lead Gen In this episode, Doc Danny Matta lays out how to fill your schedule by getting in front of real people—workshops, talks, and small group education—and connecting emotionally before you ever ask for the appointment. He explains direct-response marketing for cash-based clinics, the “feelings before logic” rule, and a practical script stack (frustration → “imagine if” → personal story → action) that turns talks into patients. Quick Ask Help PT Biz move toward the mission of adding $1B in cash-based services to our profession: share this episode with a clinician friend or post it to your IG stories and tag Danny—he'll reshare it. Episode Summary Direct-response > referrals: Cash clinics grow fastest by going straight to the people (gyms, clubs, teams, parent groups), not by waiting on physician referrals. Workshops convert: Live education (in-person or virtual) is a predictable way to create trust and book consults. Feelings before facts: Lead with frustration, fear, and hope—the human stuff—then layer in the plan. Positive vision beats fear: “Imagine if…” scenarios help audiences see the future they want and move toward it. Stories sell: Personal experience (e.g., your own injury journey) creates instant credibility and connection. Let them say it: When attendees voice their own stakes and frustrations, commitment skyrockets. The Emotional Connection Framework Appeal to feelings before logic. Name the frustration in their language (“Isn't it frustrating when…?”) to open the door to change. Use “Imagine if…” Paint a clear, positive future state (pain-free golf trips, finishing workouts, keeping up with kids). Share something personal. Brief, relevant story that mirrors their journey (e.g., your own ACL rehab or chronic pain lesson). Make them feel the problem. Skip the RCT lecture; speak to missed experiences and what they're giving up. Elicit their why. Ask direct questions so they articulate what's at stake—then show the next step. Field Notes & Examples Workshops that work: Gyms, run clubs, golf leagues, youth sports parents, corporate wellness lunches, and private FB groups. The “gruff granddad” story: A patient's Disney scooter and coaster seatbelt moment became the emotional turning point—once he said it, change followed. Military → MobilityWOD/CrossFit reps: Coaching, audits, and “mystery shopper” feedback sharpened delivery—reps matter. Pro Tips You Can Use Today Book two talks this month. One in person, one virtual. Keep each to 25–30 minutes + Q&A. Script the open. 90 seconds: frustration opener → “imagine if” vision → your 20-second origin story. Give a simple plan. 3 steps max. Clear, doable, no jargon. Single CTA. “Grab a free 15-minute consult today”—QR code + signup sheet + link. Debrief after. What hook landed? What question came up most? Tighten the next talk. Notable Quotes “If you want action, connect emotionally first. Feelings open the door; logic walks them through it.” “I'd rather pull people toward the future they want than push them with fear. ‘Imagine if…' changes the room.” “When they say what hurts and what they want back, commitment follows.” Action Items Create a 1-page workshop outline: opener, 3 teaching points, 1 CTA. Make a list of 10 local/digital groups and pitch your talk this week. Design a QR code to your consult page and practice the closing script. Track: attendees → consults → plans of care. Iterate monthly. Programs Mentioned Clinical Rainmaker: Coaching + plan to get you full-time in your clinic. Mastermind: Scale beyond yourself into space, team, and systems. PT Biz Part-Time to Full-Time 5-Day Challenge (Free): Get crystal clear on expenses, visit targets, pricing, 3 go-full-time paths, and a one-page plan. Resources & Links PT Biz Website Free 5-Day PT Biz Challenge About Danny: Over 15 years in the profession—staff PT, active-duty military PT, cash-practice founder and exit—now helping 1,000+ clinicians start, grow, and scale cash-based practices with PT Biz.

message me: what did you take away from this episode? Ep 103  (http://ibit.ly/Re5V) Christine Catling on choosing home births, workforce sustainability and interdisciplinary advantages@PhDMidwives #research #midwifery  #education #birthsetting #homebirth #UTS #ACM #workforceresearch link - t.ly/XwoCOhttps://australianmidwiferyhistory.org.au/A purple-striped uniform, a corridor of hand-drawn portraits, and a decision that changed everything. That's where Christine Catling starts—then she takes us through three decades of midwifery identity, home birth advocacy, and the quiet systems that make or break trust. We follow her move from UK nursing to Australian midwifery, the spark that led to a qualitative PhD on why women choose home birth, and the national consortium that helped publicly funded home birth services grow across Australia. The pattern is clear: when people feel seen and valued, services improve; when they don't, the costs—human and financial—compound.We dive into the workforce crunch with blunt honesty. Why are midwives leaving between years three and five? What does it cost to lose skills and continuity just as clinicians hit their stride? Christine shares promising findings from a cluster RCT on group clinical supervision and argues for cost analyses that count retention, recruitment, agency use, and the ripple effects on safety. The conversation also tackles freebirth and distrust of institutional care, not with judgment but with a hard look at what it takes to rebuild trust: first impressions that centre the person, informed consent that's real, and models of care that let midwives do midwifery.Along the way, you'll hear how interdisciplinary work sharpens policy, why shared decision-making around induction and elective caesarean is a safeguard, and how compassion—eye contact, presence, a name—can change outcomes in seconds. We end with momentum: papers in the pipeline, global conversations with UK professional midwifery advocates, and a push to turn evidence into resourced policy that keeps midwives and families safer. If you care about midwifery, home birth, workforce sustainability, and humane care that actually works, this one's for you.Enjoyed the conversation? Follow, share with a colleague, and leave a quick review—what's the one change you'd fund tomorrow to support midwives? Support the showDo you know someone who should tell their story?email me - thruthepodcast@gmail.comThe aim is for this to be a fortnightly podcast with extra episodes thrown inThis podcast can be found on various socials as @thruthepinardd and our website -https://thruthepinardpodcast.buzzsprout.com/ or ibit.ly/Re5V

March of Dimes Research Center for Advancing Maternal Health Equity investigator Dr. Sindhu Srinivas and doula Alexia Doumbouya discuss leading a randomized controlled trial (RCT) on whether doula integration throughout pregnancy, birth, and postpartum can decrease maternal depression and anxiety.

Do Child Friendly Spaces (CFS) really improve children's mental health?Child-Friendly Spaces (CFS) are safe, structured places established quickly in emergencies where children can play, learn, and receive psychosocial support, to promote protection and wellbeing.In this second episode, Sarah Harrison, Acting Director of the Red Cross Red Crescent Movement MHPSS Hub, speaks with Professor Alastair Ager, Queen Margaret University and Columbia University and Phiona Koyiet, MHPSS Lead, World Vision International, for a practitioner-focused reflection.Together they examine what the evidence says about effectiveness and impact of CFS for children's wellbeing, protection and mental health, drawing on rigorous research (see below) and unpack what this means in practice: setting and monitoring quality indicators, ensuring skilled facilitators (“animators”), and the importance of integrating CFS within a tiered system of care with clear referral pathways - since CFS are not ‘silver bullets'. They discuss field adaptations, cultural relevance, costs and staffing, and how evidence has shaped World Vision's programming guidance.Key resources for practitionersTools and guidance for monitoring and evaluating Child Friendly SpacesThe Toolkit for Child Friendly Spaces in Humanitarian SettingsRead more about the research:Evaluating the longer-term mental health, developmental and systems impact of Child Friendly Spaces in humanitarian emergencies An RCT of enhanced Child Friendly Space interventions for children affected by conflict and displacementEvidence from the Frontline: Mental Health in Crisis-Affected Contexts is a six-episode mini-series produced in collaboration between the MHPSS Hub and Elrha, designed for practitioners working in humanitarian and crisis contexts, the series highlights impactful interventions and practical insights from experts in the field. 

Continuing our AACPDM 2025 Preview series!Effect of high-frequency, low magnitude vibration on physical activity and physical function in children with cerebral palsy: a randomised controlled trialThis paper is a contender for the AACPDM's highest abstract honour - the Gayle G Arnold Award!There is still time to register for the conference in beautiful New Orleans - Visit https://www.aacpdm.org/events/2025 for all the details!

Stress isn't just something to “manage” — it's a signal, a teacher, and often, an invitation to look deeper at our health, our choices, and our lives. In this solo episode, Darin reframes stress not as an enemy, but as a dashboard light pointing toward misalignments in our nervous system, environment, relationships, and purpose. Drawing on science, practical tools, and personal insight, Darin reveals how layered stress silently drains our vitality — and how to transform it into an ally for growth, healing, and deeper contentment. Whether it's hidden trauma, toxic environments, unresolved conflict, or the modern distractions constantly pulling at our attention, Darin lays out a roadmap to stop the leaks and reclaim the energy already within you. This episode is a powerful reminder: stress isn't the end of the story — it's the beginning of awareness, safety, and a super life.     What You'll Learn in This Episode [00:00] Introduction to the Super Life podcast [03:27] Why stress might not be your enemy [04:17] Stress as an ally: the signals it gives us about misalignment [04:32] The dashboard light metaphor: how stress reveals hidden issues [05:28] The illusion of “no choice” and the infinite possibilities always available [06:12] Global stress statistics and why most people underestimate their stress load [07:23] Hidden stress revealed through heart rate variability and physiology [08:23] Layered stress: how sleep, exercise, and poor choices compound each other [09:25] Safety vs. calm — why your nervous system craves safety first [10:15] Trauma and the unconscious mind: how old wounds drive our stress response [11:54] Inner narratives and negative self-talk as hidden stress multipliers [12:22] The role of community and your social field in stress and resilience [13:53] Relationships, honesty, and how your circle shapes your energy [14:55] Why boundaries around media and politics are vital for mental clarity [17:42] Finding micro-purpose when life feels overwhelming [18:52] Environmental layers of stress — light, air, and clutter [19:15] The existential layer: stress from living without service or purpose [20:12] Stress as a risk amplifier — how it undermines healing and health [20:55] The deeper truth of safety, connection, and higher power [23:00] Practical tools: breathing, grounding, nature, and conscious choices [24:01] Trauma reframed: not a problem, but a protector at the time [25:25] Lessons from Peter Levine and wild animals: releasing trauma physically [26:04] Questions to ask trauma: “What are you protecting me from?” [26:56] Stress as a multiplier of aging, disease, and poor outcomes [29:20] Why stress isn't a single cause — it's layered and chronic [30:18] Anti-stress strategies: circadian rhythm, nature, and gratitude [31:49] Energy leaks to avoid: clutter, poor food, scrolling, bad boundaries [32:22] What matters most: service, contribution, and alignment [33:28] Final toolkit: breathwork, movement, nature, sleep, and gratitude [34:38] The deeper invitation: step into sovereignty and live your SuperLife     Thank You to Our Sponsors: Manna Vitality: Go to mannavitality.com/  or use code DARIN20 for 20% off your order. Bite Toothpaste: Go to trybite.com/DARIN20 or use code DARIN20 for 20% off your first order.     Find More from Darin Olien: Instagram: @darinolien Podcast: SuperLife Podcast Website: superlife.com Book: Fatal Conveniences Check out my podcast with Dr. Amy Abbington     Key Takeaway “Stress is not the enemy. It's a dashboard light — a teacher showing you where you're out of alignment. When you reframe stress, you reclaim your energy and create space for healing, safety, and the joy of living a super life.”     Bibliography (selected, peer-reviewed) Sources: Gallup Global Emotions (2024); Gallup U.S. polling (2024); APA Stress in America (2023); Natarajan et al., Lancet Digital Health (2020); Orini et al., UK Biobank (2023); Martinez et al. (2022); Leiden University (2025). Cohen S, Tyrrell DA, Smith AP. Psychological stress and susceptibility to the common cold. N Engl J Med.1991;325(9):606–612. New England Journal of Medicine Cohen S, et al. Chronic stress, glucocorticoid receptor resistance, inflammation, and disease risk. Proc Natl Acad Sci USA. 2012;109(16):5995–5999. PNAS Kiecolt-Glaser JK, et al. Slowing of wound healing by psychological stress. Lancet. 1995;346(8984):1194–1196. The Lancet Kiecolt-Glaser JK, et al. Hostile marital interactions, proinflammatory cytokine production, and wound healing.Arch Gen Psychiatry. 2005;62(12):1377–1384. JAMA Network Tawakol A, et al. Relation between resting amygdalar activity and cardiovascular events. Lancet.2017;389(10071):834–845. The Lancet Epel ES, et al. Accelerated telomere shortening in response to life stress. Proc Natl Acad Sci USA.2004;101(49):17312–17315. PNAS McEwen BS, Stellar E. Stress and the individual: mechanisms leading to disease. Arch Intern Med.1993;153(18):2093–2101. PubMed McEwen BS, Wingfield JC. Allostasis and allostatic load. Ann N Y Acad Sci. 1998;840:33–44. PubMed Felitti VJ, et al. Relationship of childhood abuse and household dysfunction to many leading causes of death in adults (ACE Study). Am J Prev Med. 1998;14(4):245–258. AJP Mon Online Edmondson D, et al. PTSD and cardiovascular disease. Ann Behav Med. 2017;51(3):316–327. PMC Afari N, et al. Psychological trauma and functional somatic syndromes: a systematic review and meta-analysis.Psychosom Med. 2014;76(1):2–11. PMC Goyal M, et al. Meditation programs for psychological stress and well-being: a systematic review and meta-analysis. JAMA Intern Med. 2014;174(3):357–368. PMC Qiu Q, et al. Forest therapy: effects on blood pressure and salivary cortisol—a meta-analysis. Int J Environ Res Public Health. 2022;20(1):458. PMC Laukkanen T, et al. Sauna bathing and reduced fatal CVD and all-cause mortality. JAMA Intern Med.2015;175(4):542–548. JAMA Network Zureigat H, et al. Physical activity lowers CVD risk by reducing stress-related neural activity. J Am Coll Cardiol.2024;83(16):1532–1546. PMC Holt-Lunstad J, Smith TB, Layton JB. Social relationships and mortality risk: a meta-analytic review. PLoS Med.2010;7(7):e1000316. PMC Chen Y-R, Hung K-W. EMDR for PTSD: meta-analysis of RCTs. PLoS One. 2014;9(8):e103676. PLOS Hoppen TH, et al. Network/pairwise meta-analysis of PTSD psychotherapies—TF-CBT highest efficacy overall.Psychol Med. 2023;53(14):6360–6374. PubMed van der Kolk BA, et al. Yoga as an adjunctive treatment for PTSD: RCT. J Clin Psychiatry. 2014;75(6):e559–e565. PubMed Kelly U, et al. Trauma-center trauma-sensitive yoga vs CPT in women veterans: RCT. JAMA Netw Open.2023;6(11):e2342214. JAMA Network Bentley TGK, et al. Breathing practices for stress and anxiety reduction: components that matter. Behav Sci (Basel). 2023;13(9):756. 

In this solo episode, Darin shares everything he's learned over nearly a decade of caring for his beloved German Shepherds, Chugga and Ella. From water quality to food choices, stress management, natural therapies, and even stem cells, Darin reveals the daily practices and integrative care strategies that keep his dogs thriving. With inspiration from Forever Dog authors Rodney Habib and Dr. Karen Becker, this episode is packed with actionable steps and powerful reminders about what it means to be a true steward for our animal companions. What You'll Learn in This Episode [00:00] Welcome and introduction – why this episode is dedicated to dogs and animal care [00:40] The bond with Chugga and Ella and why stewardship matters [01:16] Inspiration from The Forever Dog and leading longevity experts [01:38] Clean water: why filtration is critical for pets and how Darin prepares it [03:01] How much water your dog really needs and the danger of dehydration [03:38] A scary heatstroke story with Ella and the importance of paying attention [04:11] Daily care tips: washing bowls, using stainless steel, and avoiding bacteria buildup [04:43] Electrolytes, minerals, and using natural supplementation for dogs' hydration [05:35] Food choices: balancing plant-based with raw diets using Bramble and Viva Raw [07:01] The Dog Aging Project: why feeding once a day may extend longevity [08:12] Transitioning from kibble to raw: microbiome, gut diversity, and safety tips [09:47] Adding veggies, pumpkin, sweet potatoes, and berries for diversity and antioxidants [11:40] The importance of walks, exercise, and letting dogs sniff for cognitive health [12:27] Training, discipline, and running with Chugga on the mountain bike [13:32] How dogs mirror our stress and why managing your own health impacts theirs [14:01] Working with the endocannabinoid system, CBD, and reducing nervous tension [15:03] Natural therapies: PEMF mats, AmpCoil, red light, and energy balancing [16:08] Conventional vs naturopathic care—when to use both for acute and long-term health [17:00] Chugga's autoimmune challenges and the integrative approach to healing [18:20] Modalities used: stem cells, acupuncture, microbiome testing, ozone baths, and more [20:34] How pets reflect back our stress and why healing ourselves heals them too [22:07] Building a holistic health protocol: food, supplements, exercise, trauma release [23:05] Why meal timing and fasting windows can boost detox and longevity in dogs [25:11] Daily practices: washing bowls, diversifying food, hydration, and routines [26:29] The role of the endocannabinoid system in pets and humans alike [27:27] Alternative therapies: psychic readings, EFT, remote healing, and staying open [28:10] Back to basics: food, water, exercise, sleep, and trauma release for pets and people [28:41] Final reflections: stewardship, love, and why pets are free beings bonded to us Thank You to Our Sponsors: Our Place: Toxic-free, durable cookware that supports healthy cooking. Use code DARIN for 10% off at fromourplace.com. Find More from Darin Olien: Instagram: @darinolien Podcast: SuperLife Podcast Website: superlife.com Book: Fatal Conveniences Key Takeaway “Our dogs are barometers for our own well-being. When we reduce toxins, diversify food, manage stress, and honor them as family, they not only thrive longer — they remind us how to live better ourselves.” Bibliography / Sources Water & nutrition guidance WSAVA Global Nutrition—pet food selection & toolkit; Merck Veterinary Manual—typical daily water needs. WSAVA+1MSD Veterinary Manual Feeding frequency Bray EE et al. “Once-daily feeding is associated with better health in companion dogs” (Dog Aging Project, GeroScience 2022). PMCPubMedDog Aging Project Activity & cognition Dog Aging Project analyses on physical activity and cognitive health in older dogs (GeroScience 2022). ResearchGate Raw diets: microbiome & safety Sandri M. et al., BMC Vet Res 2016; Schmidt M. et al., PLOS ONE 2018; Xu J. et al., 2021; Davies RH. et al., 2019 (review on raw diets & pathogens). BioMed CentralPLOSPMC+1 Plant-based diets for dogs Knight A. et al., PLOS ONE 2022. PMC Microbiome testing (clinical tool) Texas A&M GI Lab—Dysbiosis Index overview. AVMA Owner–dog connection, stress & oxytocin Roth L. et al., Scientific Reports 2019 (stress synchrony); Wilson C. et al., PLOS ONE 2022 (dogs smell human stress); Nagasawa M. et al., Science 2015 (oxytocin gaze loop). NaturePMCPubMed Stem cells for canine OA Harman R. et al., Front Vet Sci 2016 (RCT, allogeneic ADSCs); Cuervo B. et al., Int J Mol Sci 2014 (randomized); VetEvidence 2022 (knowledge summary). FrontiersPMCVeterinary Evidence Acupuncture / gold bead studies & reviews Baker-Meuten A. et al., 2020 (prospective OA); Teixeira LR. et al., JAVMA 2016; Jaeger GT. et al., Vet Rec 2006. PMCAVMA JournalsPubMed Photobiomodulation (red light) AVMA Journals RCT in canine hip OA (2022). DVM 360 PEMF Randomized post-op pain/IVDD trial (NC State coverage); Front Vet Sci 2021 (targeted PEMF). NC State NewsFrontiers Chiropractic / manipulation Randomized Boxer puppy study (spondylosis); systematic review of manipulative therapies; AVMA policy context. PMC+1AVMA Ozone & IV Vitamin C Veterinary ozone therapy reviews (limited evidence); Merck Vet Manual—dogs synthesize vitamin C (routine IV-C not standard).  

A viewer question prompts Chris and Sophie to look into scrambler therapy. A medical therapy for chronic pain with a silly name that sounds like it should be pseudoscience, but actually isn't. How is it different from Transcutaneous Electrical Nerve Stimulation (TENS)? How good is the evidence and how much of the benefit is actually a placebo response.   Become a supporter of our show today either on Patreon or through PayPal! Thank you! http://www.patreon.com/thebodyofevidence/ https://www.paypal.com/donate?hosted_button_id=9QZET78JZWCZE  Email us your questions at thebodyofevidence@gmail.com.  Editor:    Robyn Flynn Theme music: “Fall of the Ocean Queen“ by Joseph Hackl Rod of Asclepius designed by Kamil J. Przybos Chris' book, Does Coffee Cause Cancer?: https://ecwpress.com/products/does-coffee-cause-cancer Obviously, Chris is not your doctor (probably). This podcast is not medical advice for you; it is what we call information.  References: 1)    2016 review of scrambler therapy for chronic pain https://doi.org/10.1007/s00520-016-3177-3 2)    2018 update https://doi.org/10.1177/1534735419845143 Key studies: Sabato (2005) – 226 patients: 80% had >50% pain reduction Marineo (2011) – RCT: 91% pain reduction in Scrambler group vs. 28% in controls Ricci (2012) – 82 patients: Mean pain scores dropped from 6.2/10 prior to treatment to 1.6 just after completing 10 treatment days to 2.9, 2 weeks after finishing treatment. Compagnone (2015) – 201 patients: pain went from 7.41 to 1.6 Notaro (2015) – All patients had ≥50% pain reduction; relief lasted ~8 weeks; sleep improved Pachman (2014) – 37 patients: 53% average pain reduction; effect lasted 10 weeks One ‘no results' study:  Campbell (2013) – 14 patients, RCT with sham control; no improvement—but team lacked experience, which may have skewed results.

Les Toulonnais ont très bien réussi leur rentrée, en allant s'imposer à Montpellier lors de la première journée de Top 14 (27-17). Très déçus de leur élimination en demi-finales la saison dernière, ils veulent cette fois encore se placer en outsider. Feront-ils mieux cette saison ? Ce nouveau RCT est-il plus fort que l'an passé ? Débat dans «Crunch». Un podcast présenté par Léa Leostic, avec Jean-François Paturaud, Adrien Corée et Romain Bergogne. Enregistrement : Marie-Amélie Motte.Hébergé par Ausha. Visitez ausha.co/politique-de-confidentialite pour plus d'informations.

Routine vaginal examinations (VEs) are a standard component of intrapartum care, traditionally performed at regular intervals to monitor cervical dilation, effacement, and fetal station, which are indicators of labor progression. Yet, the American College of Obstetricians and Gynecologists states that there is insufficient evidence to recommend a specific frequency for cervical examinations during labor, and examinations should be performed as clinically indicated. Now, a recently published RCT form AJOG MFM is adding additional credence to that. Can we space out clinical exams in otherwise “low-risk” laboring women to 8 hours? Listen in for details. 1. AJOG MFM: (08/18/25) Routine Vaginal Examination Scheduled At 8 vs 4 Hours In Multiparous Women In Early Spontaneous Labour: A Randomised Controlled Trial https://www.sciencedirect.com/science/article/abs/pii/S25899333250016122. Nashreen CM, Hamdan M, Hong J, et al.Routine Vaginal Examination to Assess Labor Progress at 8 Compared to 4 h After Early Amniotomy Following Foley Balloon Ripening in the Labor Induction of Nulliparas: A Randomized Trial. Acta Obstetricia Et Gynecologica Scandinavica. 2024;103(12):2475-2484. doi:10.1111/aogs.14975.3. First and Second Stage Labor Management: ACOG Clinical Practice Guideline No. 8. Obstetrics and Gynecology. 2024;143(1):144-162. doi:10.1097/AOG.0000000000005447.4. Moncrieff G, Gyte GM, Dahlen HG, et al. Routine Vaginal Examinations Compared to Other Methods for Assessing Progress of Labour to Improve Outcomes for Women and Babies at Term. The Cochrane Database of Systematic Reviews. 2022;3:CD010088. doi:10.1002/14651858.CD010088.pub3.5. Gluck, O., et al. (2020). The correlation between the number of vaginal examinations during active labor and febrile morbidity, a retrospective cohort study. [BMC Pregnancy and Childbirth]6. Pan, WL., Chen, LL. & Gau, ML. Accuracy of non-invasive methods for assessing the progress of labor in the first stage: a systematic review and meta-analysis. BMC Pregnancy Childbirth 22, 608 (2022). https://doi.org/10.1186/s12884-022-04938-y

Welcome to Season 2 of the Orthobullets Podcast. Today's show is Podiums, where we feature expert speakers from live medical events. Today's episode will feature ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Dr. Todd Albert and is titled⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ "⁠RCT on A vs P for Myelopathy.⁠"Follow⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Orthobullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on Social Media:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Facebook⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠LinkedIn⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Send us a textIn this episode, I'm joined by Dr. Sabine Vesting, a pelvic health physiotherapist and researcher whose work explores how exercise impacts the pelvic floor and abdominal muscles postpartum. Her research dives into common symptoms like urinary incontinence, pelvic girdle pain, and vaginal heaviness, and how they affect daily life for new moms.Now based in Ottawa, Dr. Vesting leads cutting-edge studies at the Motor Function Measurement (MFM) Lab, including research on running-induced urinary incontinence, pelvic floor responses after a single run, and the use of intravaginal devices to reduce leakage in female runners. She's also writing a review on how to best measure intra-abdominal pressure during exercise.We talk about:-Does diastasis actually matter?-Coning and doming explained-Finding exercise you enjoy postpartum-Urinary incontinence and new solutions-Intravaginal devices to understand the pelvic floor in sport and runningTime Stamps1:00 Introduction6:05 work as a PhD10:40 does diastasis even matter?16:24 pelvic girdle pain after pregnancy 21:00 changes over the last 15 years28:58 being comfortable with activity postpartum34:21 looking at pain and causes40:18 getting better measurements 51:42 intra-abdominal pressure55:32 doing what works with patients58:28 rapid fire questionsCONNECT WITH CARRIEIG: https://www.instagram.com/carriepagliano/Website: https://carriepagliano.comCONNECT WITH SABINE:Website: https://mfmlab.caLinkedIn: https://www.linkedin.com/in/sabine-vesting-aa4317135/?originalSubdomain=se We are currently recruiting participants for our RCT, aimed at evaluating whether readily available intravaginal devices, such as off-the-shelf pessaries or tampons, can effectively reduce or eliminate urine leakage during running, enabling active women to remain physically engaged. The study offers a remote option and welcomes female runners from all of North America who experience urine leakage while running.https://mfmlab.ca/portfolio-items/running-induced-urinary-incontinence-rct/The Active Mom Podcast is A Real Moms' Guide to pregnancy, postpartum, perimenopause & beyond for active moms & the professionals who help them in their journey. This show has been a long time in the making! You can expect conversation with moms and professionals from all aspects of the industry. If you're like me, you don't have a lot of free time (heck, you're probably listening at 1.5x speed), so theses interviews will be quick hits to get your the pertinent information FAST! If you love what you hear, share the podcast with a friend and leave us a 5 ⭐⭐⭐⭐⭐ rating and review. It helps us become more visible in the search algorithm! (Helps us get seen by more moms that need to hear these stories!!!!)

In this episode of the AI in Education Podcast, Dan and Ray dive into the latest developments shaping the future of AI in learning environments - from vocational colleges to elite universities. All the links to items and research discussed are below! News Australia's Future Skills Organisation and Microsoft launched the FSO Skills Accelerator-AI partnership https://www.futureskillsorganisation.com.au/skills-accelerator-ai/ Microsoft Elevate https://blogs.microsoft.com/on-the-issues/2025/07/09/elevate  Google commits US$1bn for AI training at US universities https://www.innovationaus.com/google-commits-us1bn-for-ai-training-at-us-universities/  CAUDIT Top Ten 2025 https://www.caudit.edu.au/resources/2025-top-ten-report/  South Korea pulls plug on AI textbooks https://www.koreaherald.com/article/10546695  Consumer news reporting on AI in Education ABC https://www.abc.net.au/news/2025-08-13/artificial-intelligence-in-the-classroom-education/105638698 Channel 9 https://www.youtube.com/watch?v=ZGUygg-q0ok https://www.9news.com.au/national/artificial-intelligence-in-schools-productivity-commission-report-national-push-for-teachers-to-use-gen-ai/4e9016dd-5de0-48de-ab64-f637adfbed53 Productivity Commission report that highlights the use of AI in education, including to reduce teacher workload https://www.pc.gov.au/inquiries/current/adaptable-workforce/interim  New DFE AI guidance for schools https://www.gov.uk/government/publications/generative-artificial-intelligence-in-education/generative-artificial-intelligence-ai-in-education  Ofsted's findings on AI in Education https://www.gov.uk/government/publications/ai-in-schools-and-further-education-findings-from-early-adopters/the-biggest-risk-is-doing-nothing-insights-from-early-adopters-of-artificial-intelligence-in-schools-and-further-education-colleges  Research AI tutoring outperforms in-class active learning: an RCT introducing a novel research-based design in an authentic educational setting https://www.nature.com/articles/s41598-025-97652-6  AI tools used by English councils downplay women's health issues Original paper: https://bmcmedinformdecismak.biomedcentral.com/articles/10.1186/s12911-025-03118-0 News reporting: https://www.theguardian.com/technology/2025/aug/11/ai-tools-used-by-english-councils-downplay-womens-health-issues-study-finds 

The opening of a new private clinic spurs Chris and Sophie to ask whether Transcranial Magnetic Stimulation (TMS) is real medicine or pseudoscience. How does a magnetic field stimulate the brain and how is this different from electric convulsive therapy (ECT)? Also, a brief digression on One Flew Over the Cuckoo's Nest and other classic movies Sophie has never seen.   Become a supporter of our show today either on Patreon or through PayPal! Thank you! http://www.patreon.com/thebodyofevidence/ https://www.paypal.com/donate?hosted_button_id=9QZET78JZWCZE   Email us your questions at thebodyofevidence@gmail.com.   Editor:    Robyn Flynn Theme music: “Fall of the Ocean Queen“ by Joseph Hackl Rod of Asclepius designed by Kamil J. Przybos Chris' book, Does Coffee Cause Cancer?: https://ecwpress.com/products/does-coffee-cause-cancer   Obviously, Chris is not your doctor (probably). This podcast is not medical advice for you; it is what we call information. References: 1) A study on the efficacy of ECT  by Slade et al. http://jamanetwork.com/article.aspx?doi=10.1001/jamapsychiatry.2017.1378 2) The accompany editorial on modern ECT use: Modern Electroconvulsive Therapy Vastly Improved yet Greatly Underused https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2633172 3) A study on the safety of ECT: Lancet Psychiatry study 2021 https://doi.org/10.1016/s2215-0366(21)00168-1 4) Consensus statement on the use of Transcranial Magnetic stimulation (TMS)  https://doi.org/10.4088/jcp.16cs10905 5) Network meta-analysis comparing different TMS modalities https://doi.org/10.1001/jamapsychiatry.2016.3644 6) The durability of response after TMS treatment: https://doi.org/10.1016/j.brs.2018.10.001 7) RCT comparing ECT and TMS and showing ECT is more effective:  https://pubmed.ncbi.nlm.nih.gov/17202547/ 8) The older cochrane review from 2002 suggesting little benefit: https://doi.org/10.1002/14651858.CD003493

Primary hyperparathyroidism is an underdiagnosed condition which leads to decreased bone mineral density, fracture, renal disease, among other symptoms that can decrease the quality of a patient's life. Moreover, once diagnosed, only a small fraction of patients with the diease end up being offered surgery. Whether it is because of misunderstood indications and benefits of surgery, non-localization of disease, or various other reasons, we thought it was worthwhile to review relevant literature. Hosts: Dr. Becky Sippel is an endowed professor of surgery at Division Chief of endocrine surgery at University of Wisconsin Madison and she is the most recent past president of the AAES.  She is an internationally recognized leader in the field of endocrine surgery. She has over 250 publications. She was the PI for a RCT which studies prophylactic central neck dissections which is a widely read and quoted study in endocrine surgery. Dr. Amanda Doubleday is a fellowship trained endocrine surgeon in private practice with an affiliation to UW Health. Her primary practice is with Waukesha Surgical Specialists in Waukesha WI.  Dr. Simon Holoubek is a fellowship trained endocrine surgeons affiliated with UW Health. He works for UW Health with privileges at UW Madison and UW Northern Illinois. His clinical interests are aggressive variants of thyroid cancer, parathyroid autofluorescence, and nerve monitoring.  Learning Objectives: 1 Understand the natural history of primary hyperparathyroidism and how the disease process can affect bone mineral density. 2 Learn about fracture risk associated with primary hyperparathyroidism. 3 Learn about decreased fracture risk in patients with primary hyperparathyroidism who have parathyroidectomy compared to those who are observed.  References: 1 Rubin MR, Bilezikian JP, McMahon DJ, Jacobs T, Shane E, Siris E, Udesky J, Silverberg SJ. The natural history of primary hyperparathyroidism with or without parathyroid surgery after 15 years. J Clin Endocrinol Metab. 2008 Sep;93(9):3462-70. doi: 10.1210/jc.2007-1215. Epub 2008 Jun 10. PMID: 18544625; PMCID: PMC2567863. https://pubmed.ncbi.nlm.nih.gov/18544625/ 2 Frey S, Gérard M, Guillot P, Wargny M, Bach-Ngohou K, Bigot-Corbel E, Renaud Moreau N, Caillard C, Mirallié E, Cariou B, Blanchard C. Parathyroidectomy Improves Bone Density in Women With Primary Hyperparathyroidism and Preoperative Osteopenia. J Clin Endocrinol Metab. 2024 May 17;109(6):1494-1504. doi: 10.1210/clinem/dgad718. PMID: 38152848. https://pubmed.ncbi.nlm.nih.gov/38152848/ 3 VanderWalde LH, Liu IL, Haigh PI. Effect of bone mineral density and parathyroidectomy on fracture risk in primary hyperparathyroidism. World J Surg. 2009 Mar;33(3):406-11. doi: 10.1007/s00268-008-9720-8. PMID: 18763015. https://pubmed.ncbi.nlm.nih.gov/18763015/ 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

In this episode, we dive into a new pilot RCT exploring the addition of acetazolamide to furosemide in critically ill patients. We break down the study's methods, findings, and practical implications for fluid management in the ICU. Could this inexpensive, decades-old drug be the key to sustaining diuresis and preventing metabolic alkalosis? Tune in to find out.The Vasopressor & Inotrope HandbookAmazon: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://amzn.to/47qJZe1⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (Affiliate Link)My Store: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://eddyjoemd.myshopify.com/products/the-vasopressor-inotrope-handbook⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (Use "podcast" to save 10%)Citation: Maeda A, Brown A, Spano S, Chaba A, Phongphithakchai A, Hikasa Y, Pattamin N, Kitisin N, Nübel J, Nielsen B, Holmes J, Peck L, Young H, Eastwood G, Bellomo R, Neto AS. Furosemide with adjunctive acetazolamide vs furosemide only in critically ill patients: A pilot two-center randomized controlled trial. J Crit Care. 2025 Apr;86:155002. doi: 10.1016/j.jcrc.2024.155002. Epub 2024 Dec 16. PMID: 39689380.

In this podcast, Emma Sutherland is joined by psychophysiologist and Monash University researcher Dr Simone Peters - one of the world's leading experts in gut-directed hypnotherapy - to explore the rise of this behavioural therapy as a first-line treatment for IBS and other gut disorders. From her landmark randomised controlled trial (RCT) comparing hypnotherapy to the low fermentable, oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAP) diet, to the development of the Nerva app, Simone presents compelling data on how this therapy works, with 75–80% of patients responding within six weeks. The recommendation to use gut-directed hypnotherapy for IBS now forms international treatment guidelines and this episode empowers practitioners to integrate mind-body approaches into clinical care for IBS and beyond. Covered in this episode: (01:04) Welcome Simone Peters (06:04) Hypnotherapy and gut conditions (08:04) Nerva app (13:36) Patient experience (17:35) IBS, males vs females (20:00) Drivers behind IBS (22:38) Psychogastroenterology (25:53) Research in gut-directed hypnotherapy (29:44) Dr Peters research (36:50) Who is it for? (39:26) Synergistic modalities (43:33) Future of gut-directed hypnotherapy (46:33) Final remarks Find today's transcript and show notes here: https://www.bioceuticals.com.au/education/podcasts/gut-directed-hypnotherapy Sign up for our monthly newsletter for the latest exclusive clinical tools, articles, and infographics: www.bioceuticals.com.au/signup/ DISCLAIMER: The information provided on fx Medicine by BioCeuticals is for educational and informational purposes only. The information provided is not, nor is it intended to be, a substitute for professional advice or care. Please seek the advice of a qualified health care professional in the event something you learn here raises questions or concerns regarding your health.

In this episode, we discuss the management of follicular lymphoma with Dr. Gilles Salles from Memorial Sloan Kettering Cancer Center. Here are the articles we discussed: 1. Relevance of Bone Marrow Biopsy in Follicular Lymphoma: https://pubmed.ncbi.nlm.nih.gov/35787017/2. TROG 99.03 (RCT of Systemic Therapy after Involved-Field Radiotherapy in Patients with Early-Stage Follicular Lymphoma): https://pubmed.ncbi.nlm.nih.gov/29975623/3. Long-term follow-up results of RCT comparing early rituximab monotherapy versus watchful waiting for advanced stage, asymptomatic, low tumor burden follicular lymphoma: https://pubmed.ncbi.nlm.nih.gov/40306831/4. RELEVANCE RCT: Lenalidomide plus Rituximab (R2) Versus Rituximab-Chemotherapy Followed by Rituximab Maintenance in Untreated Advanced Follicular Lymphoma: https://ascopubs.org/doi/10.1200/JCO.22.008435. GALLIUM RCT: Obinutuzumab Versus Rituximab Immunochemotherapy in Previously Untreated iNHL. https://pubmed.ncbi.nlm.nih.gov/37404773/https://pubmed.ncbi.nlm.nih.gov/28976863/6. Long-term follow-up of mosunetuzumab in relapsed/refractory FL: https://pubmed.ncbi.nlm.nih.gov/39447094/7. Epcoritamab in relapsed/refractory FL: https://pubmed.ncbi.nlm.nih.gov/38889737/8. Phase 3 inMIND RCT: Tafasitamab plus Lenalidomide and Rituximab for Relapsed or Refractory Follicular Lymphoma: https://ashpublications.org/blood/article/144/Supplement%202/LBA-1/5343199. Long term follow-up results from the Phase 3 PRIMA trial of rituximab maintenance in Follicular Lymphoma: https://ascopubs.org/doi/10.1200/JCO.19.01073

Are cancer rates going up or down? It seems like depending on where you look, you'll find different answers to the question. What's going on here — have some writers just got it completely wrong? Is it something to do with different types of cancer? Are we being confused by some kind of weird statistical artefact? All of the above? In this episode of The Studies Show, we do our very best to find out.The Studies Show is brought to you by Works in Progress magazine, the ultimate place online to read about new and underrated scientific and technological ideas that could make the world a better place. You can find a huge range of essays online, for free, at www.worksinprogress.co.Show notes* BBC Future article on early-onset cancer rates* BMJ Oncology article on global cancer incidence increasing by 79%* And its online supplementary information* July 2025 Economist article on how the world is winning the war on cancer* Saloni Dattani's 2025 article on the decline in global cancer rates* The GLOBOCAN data update from the IARC, 2002 and 2008* Our World in Data's graph on global cancer incidence over time* Their graph on smoking rates and lung cancer deaths* Their graph on stomach cancer death rates* New RCT on vaping and smoking cessation* A 90% drop in cervical cancer rates in England* The hepatitis B vaccine and a massive drop in liver cancer incidence in China* On H. pylorii, ulcers, and cancer* 2000 JAMA article questioning the utility of the 5-year survival rate statistic* 2014 PLOS ONE article that's more positive about the statistic* Tom's BuzzFeed News article on oncology* RCT of herceptin on breast cancer survival* Study on rates of colorectal cancer * And the same, in relation to BMICreditsThe Studies Show is produced by Julian Mayers at Yada Yada Productions. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit www.thestudiesshowpod.com/subscribe

We have covered Low Dose Aspirin (LDA) for pre-natal preeclampsia prevention MANY times before. But here's a good clinical question: Since preeclampsia can also pop-up in the first 6 weeks postpartum (pp), should we continue it in the immediate pp interval? There is a new publication, an RCT, in the AJOG that looked to answer this- and we will highlight that publication in this episode. PLUS, we will briefly summarize a separate publication from the American J Perinatology back in 2023 that also provided some clinical insights on this topic. Listen in for details.1. The association between postpartum aspirin use and NT-proBNP levels as a marker for maternal cardiac health: a randomized-controlled trial; July 2025 (AJOG): https://www.sciencedirect.com/science/article/pii/S00029378250047522. Christenson E, Stout MJ, Williams D, Verma AK, Davila-Roman VG, Lindley KJ. Prenatal Low-Dose Aspirin Use Associated with Reduced Incidence of Postpartum Hypertension among Women with Preeclampsia. Am J Perinatol. 2023 Mar;40(4):394-399. doi: 10.1055/s-0041-1728826. Epub 2021 May 3. PMID: 33940641.3. Mendoza M, Bonacina E, Garcia-Manau P, et al. Aspirin Discontinuation at 24 to 28 Weeks' Gestation in Pregnancies at High Risk of Preterm Preeclampsia: A Randomized Clinical Trial. JAMA. 2023;329(7):542–550. doi:10.1001/jama.2023.0691

Comments or feedback? Send us a text! Clinicians will often hear their clients express deeply felt needs, only to admit they've never shared them with their partner—usually due to fear of vulnerability or a defensive, adversarial dynamic that makes intimacy feel unsafe.  In today's episode, we are joined by Dr. James Cordova—Professor of Psychology at Clark University and creator of The Relationship Checkup—to discuss his new book, The Mindful Path to Intimacy. Dr. Cordova's book offers a powerful framework for understanding and transforming these relational patterns through the lens of mindfulness, compassion, and shared vulnerability.In our conversation, we explore:Why intimacy is often more terrifying than people expect—and why it's worth the riskHow mindfulness can serve as both a spiritual and relational practiceThe idea that attention is the most basic form of loveWhy many couples shift from infatuation to frustration, and what can be done about itHow interpersonal neurobiology helps us understand the push-pull of closeness and withdrawalWays to navigate shame, trauma histories, and fear of being fully seen in loveWhat distinguishes couples who flourish from those who simply coexist. Dr. James Cordova is a Professor of Psychology at Clark University and the creator of The Relationship Checkup, a pioneering, preventative intervention designed to assess and strengthen couples' relationships before problems escalate. He has led major research initiatives—including a $1.3M Department of Defense-funded RCT with Lt. Colonel Jeffrey Cigrang and a $1M NIH grant—demonstrating the model's effectiveness in both military and civilian populations. As founder and president of Arammu: The Relationship Checkup, Inc., Dr. Cordova is scaling this approach nationwide, training over 1,000 military counselors and integrating the model into primary care. He is the author of The Marriage Checkup, The Story of Mu, and The Mindful Path to Intimacy, the latter of which offers mindfulness-based tools for cultivating emotional and spiritual connection.To learn more about Dr. Cordova and his work, visit:http://www.arammu.comOr check out his latest book, The Mindful Path to Intimacy, from Guilford Press.

Comments or feedback? Send us a text! Clinicians will often hear their clients express deeply felt needs, only to admit they've never shared them with their partner—usually due to fear of vulnerability or a defensive, adversarial dynamic that makes intimacy feel unsafe.  In today's episode, we are joined by Dr. James Cordova—Professor of Psychology at Clark University and creator of The Relationship Checkup—to discuss his new book, The Mindful Path to Intimacy. Dr. Cordova's book offers a powerful framework for understanding and transforming these relational patterns through the lens of mindfulness, compassion, and shared vulnerability.In our conversation, we explore:Why intimacy is often more terrifying than people expect—and why it's worth the riskHow mindfulness can serve as both a spiritual and relational practiceThe idea that attention is the most basic form of loveWhy many couples shift from infatuation to frustration, and what can be done about itHow interpersonal neurobiology helps us understand the push-pull of closeness and withdrawalWays to navigate shame, trauma histories, and fear of being fully seen in loveWhat distinguishes couples who flourish from those who simply coexist. Dr. James Cordova is a Professor of Psychology at Clark University and the creator of The Relationship Checkup, a pioneering, preventative intervention designed to assess and strengthen couples' relationships before problems escalate. He has led major research initiatives—including a $1.3M Department of Defense-funded RCT with Lt. Colonel Jeffrey Cigrang and a $1M NIH grant—demonstrating the model's effectiveness in both military and civilian populations. As founder and president of Arammu: The Relationship Checkup, Inc., Dr. Cordova is scaling this approach nationwide, training over 1,000 military counselors and integrating the model into primary care. He is the author of The Marriage Checkup, The Story of Mu, and The Mindful Path to Intimacy, the latter of which offers mindfulness-based tools for cultivating emotional and spiritual connection.To learn more about Dr. Cordova and his work, visit:https://relationshipcheckup.comOr check out his latest book, The Mindful Path to Intimacy, from Guilford Press.

In this enlightening episode of The Birth Lounge podcast, HeHe dives into the world of skincare during pregnancy with nurse practitioner Claire O'Bryan, founder of The Skin Clique. They explore the surprising fact that most skincare ingredients are not regulated by the FDA and discuss what it truly means for a product to be 'clean'. They tackle common pregnancy skincare concerns such as melasma, acne, and the safety of popular ingredients like retinoids and salicylic acid. The episode also touches on the controversial topics of Botox, fillers, and the efficacy of supplements like collagen in skincare. Claire provides practical advice on crafting an effective, simple daily skincare routine and the importance of sunscreen, while addressing misconceptions about the need for sunscreen. Tune in to get evidence-based answers to your burning skincare questions and learn how to navigate the complexities of beauty products safely in pregnancy and beyond. 00:00 Introduction to Skincare Safety 02:00 Common Skincare Concerns During Pregnancy 03:50 Interview with Claire O'Bryan 04:51 Skincare Regimens and Fads 07:20 Pregnancy-Safe Skincare Ingredients 11:06 Acne Treatments During Pregnancy 15:33 Retinol Alternatives and Supplements 20:37 Daily Skincare Routine Essentials 25:16 Sunscreen Myths and Facts 34:51 Effective Sunscreen Reapplication 35:42 Blue Light Protection in Sunscreens 36:32 Impact of Screen Time on Skin 38:39 Understanding Botox and Fillers 44:32 Botox Safety During Pregnancy and Nursing 50:36 Microneedling and Skincare During Pregnancy 01:01:34 Preventing and Treating Stretch Marks 01:06:18 Conclusion and Final Thoughts   Guest Bio: Claire O'Bryan is a dynamic nurse practitioner and entrepreneur dedicated to empowering women and amplifying the voices of female healthcare leaders globally. Her mission extends beyond traditional medical aesthetics – she's reshaping how we think about healthcare delivery while paving the way for women in leadership. As the co-founder of Skin Clique, Claire continues to help revolutionize the medical aesthetics industry through a groundbreaking concierge model. Since launching Skin Clique in 2019, what began as a vision for more accessible skin health has grown into a nationwide network of 1,000 skilled providers across 43 states. This expansion reflects not just business success but a transformation in how people access professional treatments and skincare. It is the modern approach to skin health.   INSTAGRAM: Connect with HeHe on IG   Connect with Claire on IG   BIRTH EDUCATION: Join The Birth Lounge here for judgment-free childbirth education that prepares you for an informed birth and how to confidently navigate hospital policy to have a trauma-free labor experience: https://www.thebirthlounge.com/   Download The Birth Lounge App for birth & postpartum prep delivered straight to your phone: https://www.thebirthlounge.com/app-download-page   LINKS MENTIONED: www.claireobryan.com www.skinclique.com: Use code Claire10 for a discount!    Pregnancy safe skincare:  https://shopmy.us/collections/549485   Collagen meta analysis:  https://pmc.ncbi.nlm.nih.gov/articles/PMC10180699/?utm_source   ACOG  https://www.acog.org/womens-health/faqs/toxic-chemicals-steps-to-stay-safer-before-and-during-pregnancy   ACOG Skin Conditions https://www.acog.org/womens-health/faqs/skin-conditions-during-pregnancy   Retinol VS Bakuchiol in a double blind RCT  https://pubmed.ncbi.nlm.nih.gov/29947134/   Systematic Review of Retinol VS Bakuchiol  https://pubmed.ncbi.nlm.nih.gov/36176207/   Collagen  https://pmc.ncbi.nlm.nih.gov/articles/PMC10180699/  

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-440 Overview: Explore current and emerging treatments for myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), a debilitating condition with no known cause or cure. Learn how oxaloacetate may offer new hope for patients struggling with ME/CFS, and gain practical guidance to support informed, evidence-based conversations with your patients. Episode resource links: Cash A, Vernon SD, Rond C, Bateman L, et al. RESTORE ME: a RCT of oxaloacetate for improving fatigue in patients with myalgic encephalomyelitis/chronic fatigue syndrome. Front Neurol. 2024 Nov 27;15:1483876.  Cash A, Kaufman DL. Oxaloacetate Treatment For Mental And Physical Fatigue In Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) and Long-COVID fatigue patients: a non-randomized controlled clinical trial. J Transl Med. 2022 Jun 28;20(1):295.  CDC ME/CFS Basics Myalgic Encephalomyelitis/Chronic Fatigue Syndrome Guest: Alan M. Ehrlich, MD, FAAFP   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-440 Overview: Explore current and emerging treatments for myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), a debilitating condition with no known cause or cure. Learn how oxaloacetate may offer new hope for patients struggling with ME/CFS, and gain practical guidance to support informed, evidence-based conversations with your patients. Episode resource links: Cash A, Vernon SD, Rond C, Bateman L, et al. RESTORE ME: a RCT of oxaloacetate for improving fatigue in patients with myalgic encephalomyelitis/chronic fatigue syndrome. Front Neurol. 2024 Nov 27;15:1483876.  Cash A, Kaufman DL. Oxaloacetate Treatment For Mental And Physical Fatigue In Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) and Long-COVID fatigue patients: a non-randomized controlled clinical trial. J Transl Med. 2022 Jun 28;20(1):295.  CDC ME/CFS Basics Myalgic Encephalomyelitis/Chronic Fatigue Syndrome Guest: Alan M. Ehrlich, MD, FAAFP   Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com  

Welcome back to Papers of the Month! Three more papers to both inform and challenge our practice across the spectrum of emergency care. First up we look at a systematic review and meta-analysis on noradrenaline vs adrenaline for our medical post-ROSC patients; what evidence exists out there and should we all be delivering noradrenaline as our first line treatment for those with shock? Next up a paper to really challenge the treatment algorithm for status epilepticus in paediatrics, with an RCT of midazolam and ketamine versus midazolam alone. There are some huge differences here in the form of termination rates and some great discussion to be had around the specifics of the paper and how that might translate into future practice. Finally we look at a paper assessing the impact of i.m. versus i.v. metoclopramide for migraines and acute severe headaches. The paper looks at the impact of length of stay within the Emergency Department and also the efficacy of the treatment. Once again we'd love to hear any thoughts or feedback either on the website or via X @TheResusRoom! Simon & Rob