Podcasts about reduced

Each day, SDPB brings you statewide news coverage. We then compile those stories into a daily podcast.

What is sludge? Friction. Paperwork requirements. Waiting time. Online forms filled with confusing jargon. Reduced operating hours. The tedious, arcane, and (in some cases) disenfranchising hurdle preventing someone from accessing a service they're entitled to? Yep, that's sludge. And the sludgier a process, the more likely ordinary citizens—especially those already marginalized—will give up and walk away from vital benefits or aid. But we don't have to settle for this sludge-filled world. That's the argument in Cass Sunstein's new book, Sludge: What Stops Us from Getting Things Done and What to Do about It. We spoke to Sunstein, a professor at Harvard Law School and the Chair of the Technical Advisory Group on Behavioral Insights and Sciences at the World Health Organization, about his new book, how sludge is running amok, and why sludge-reduction is another form of harm-reduction. Buy Cass' book here: https://mitpress.mit.edu/books/sludge Learn more about Cass and his work here: https://hls.harvard.edu/faculty/directory/10871/Sunstein Apply to work at The Ready: In the United States: http://theready.com/team In Europe: http://theready.com/team Our book is available now at bravenewwork.com We want to hear from you. Send your thoughts and feedback to podcast@theready.com Looking for some help with your own transformation? Visit theready.com

JWB Co-Founder, Gregg Cohen will reveal his JWB turnkey property of the week, take questions from the audience, and share insights into the Jacksonville real estate market.This week's featured property...- Is brand new construction- will generate positive monthly cash flow- has granite countertops in the kitchens for higher rents & reduced maintenance costsBe the first to know which property Gregg recommends each week as we reveal it live on the show. This is your chance to pick the brain of an investor with 15 years of experience, that oversees $450M worth of assets, and genuinely wants to help you out.--------------------------------------------------------------------------------------------------------------------

Lowering Stress for Optimum Health Part 2: What is Vagal Tone? Dr. Jason Jones Elizabeth City NC, Chiropractor The vagus nerve is simply described as the longest nerve in the body which originates as cranial nerve 10 in the brain. It travels down from the brain to the neck and then passes around important organs throughout the body, including the digestive system, pancreas, liver, spleen, lungs, and heart. The vagus nerve is a key part of your parasympathetic nervous system, which controls the “rest and digest” function, countering the “fight or flight” function of the sympathetic nervous system. The vagus nerve influences many functions in the body, including digestion, breathing, and heart rate, all of which impact your overall health. However, one thing you need to pay special attention to is the “tone” of your vagus nerve. The vagal tone is an internal biological process that determines the activities of the vagus nerve. What is vagal tone? The vagal tone is key to the activity of your parasympathetic nervous system. It is measured by tracking both your heart rate and your breathing rate. When you breathe in, your heart rate speeds up a little, and when you breathe out, your heart rate slows down a little. The bigger the difference between your inhalation and exhalation heart rate, the high your vagal tone. So when you have a higher vagal tone, it means that your body can quickly relax after a period of stress. What is the implication of a high vagal tone? High vagal tone helps to improve many body functions, causing: Lower blood pressure Better blood sugar regulation Improved digestion via increased production of digestive enzymes Reduced risk of stroke and cardiovascular disease Reduced migraines Less anxiety Better mood Higher resilience One of the interesting functions of the vagus nerve is that it reads your gut microbiome and activates a response to control inflammation based on whether it detects pathogens or non-pathogens. This way, your gut microbiome can have an influence on your stress levels, mood, and overall inflammation. What is the implication of low vagal tone? Low vagal tone is found to be associated with depression, cardiovascular conditions and stroke, chronic fatigue syndrome, diabetes, cognitive impairment, and a higher rate of inflammation conditions, including all autoimmune diseases (autoimmune thyroid condition, endometriosis, rheumatoid arthritis, lupus, and more). Much research has shown positive feedback between high vagal tone and good overall health. Hence, the more you increase your vagal tone, the more your mental and physical health will improve. Dr. Mladen Golubic, Medical Director of the Cleveland Clinic, states that “The vagal response reduces stress. It reduces your blood pressure and heart rate. Stimulates digestion, and changes the function of certain parts of the brain, and all those things that happen when we are relaxed.” However, do you know that studies have shown that vagal tone can be passed on from mother to child? If you are depressed or anxious during pregnancy, you tend to have lower vagal activity, and once you give birth, your child has a higher chance of having low vagal activity, and low serotonin and dopamine levels. That's more reason why you should learn how to strengthen your vagal tone naturally. You can consult Dr. Jason at our chiropractic office at Elizabeth City, NC, to learn about natural ways to stimulate and strengthen your vagus nerves. This will help to improve your mental, physical, and overall well-being.          

Pawley  talks about dishonest dogs, scrotal necrosis and D pics.

CF 203: Reduced Access To Chiropractic & The Ideal Diet Today we're going to talk about reduced access to chiropractic and we'll talk about the ideal diet.  But first, here's that sweet sweet bumper music   Purchase Dr. Williams's book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon... The post Reduced Access To Chiropractic & The Ideal Diet appeared first on Chiropractic Forward.

New numbers show an inflationary wave is still building in the U.S. economy. The labor department reports consumer prices jumped more than six percent in October as compared to a year ago -- the biggest increase in 31 years. Catherine Rampell, a special correspondent for the NewsHour and columnist for The Washington Post and Lisa Desjardins have more on the numbers. PBS NewsHour is supported by - https://www.pbs.org/newshour/about/funders

It's not just about how much protein. It's about what kind, when, and what phase of life or training you're in that could increase your protein need. In this episode, how much protein and when you need it as a woman in menopause.  It's still not clear for many so I'm going to attempt to clarify this for you again. We also struggle internally! Cover the wide controversy and reason you still question protein needs Dissolve the biggest challenge you may be have in your mind How much protein do you need? RDAs say .8g/kg body weight or .3 per pound          Significant body of research disagreeing and contesting that this recommendation is far too low for good health, particularly in aging population Protein research says 1.4 to 1.5g/kg body weight (about 120-130 a day) Per meal requirements at least 30 gm per meal – a per meal dose Who needs more protein? Weight loss attempt/dieters          “Whenever you're talking about weight loss, you should always base protein needs on body weight, not percentage of calories,” says Donald Layman, PhD, professor emeritus of nutrition at the University of Illinois. “Percentage of calories is very misleading. Drop your calories and protein can easily dip below minimum levels. Keep the amount of protein the same and it can be considered high protein on one diet and low protein on another, yet it's still the same amount of protein.”          Breakdown that occurs with dieting or sensing starvation occurs 50/50, that is about 50% muscle and 50% fat to survive. Dieting on a high-carb diet like the food guide pyramid you'd breakdown 35% lean tissue and 65% fat. If you go on a high protein diet your muscle tissue breakdown drops to 20% while fat breakdown increases to 80%. Add the right dose of exercise and recovery and you get less than 10% muscle breakdown. So suggestions for boosting your fat breakdown and reducing muscle breakdown during weight loss effort: Watch your percent body fat and the amount of lean muscle mass. Don't drive yourself crazy. Weigh and record once a week. Then look closely at your muscle, fat, and habits if you're not reaching your goals: Are you getting the required amount of protein daily? Do you need more protein at meals? Support from protein powder, or an amino acid supplement? Do you reach muscle fatigue during every set of exercise twice a week? Do you have enough exercise volume – 3 sets of exercises for major muscle groups? Are you allowing enough recovery between resistance training exercise? In most weight loss groups where there is exercise – where walking, walking and Pilates, or strength training, only subjects with resistance training held on to lean muscle mass and experienced least amount of losses. It takes both high protein and resistance training. Especially as you age. ** High carb is basically RDA standards, High protein is only perception and based on if you reduce calories but keep the amount of protein you eat similar. Older adults (over 65 significantly at risk for sarcopenia) Injured or ill Inactive adults (need high protein nutrient dense even more than active) Under stress (losing weight is a stress) Type 2 diabetes Osteoporosis Obese Why do older adults need more protein? Reduced muscle protein synthesis Potential reduced activity (resistance training stimulates muscle protein synthesis) More easily in a catabolic state (women in menopause with less estrogen and more susceptible to negative effects of stress) Osteoporosis Sarcopenia (#1 reason for frailty is this significant loss of muscle and strength that occurs with aging unless mitigated) When do you want your protein? When you've established how much protein, the question is when? Evenly distributed throughout the day (not all at once) Positive protein balance only lasts for about 4 hours after eating. Bookending strength training workouts Higher for 24 hours after strenuous exercise Studies show ingesting protein before workouts increases energy expenditure after workouts (so as well as boosting strength and lean muscle it supports fat loss) How much can your body absorb at one time? About 15 grams of essential amino acids or 30 grams of protein per meal minimum (to stimulate muscle building) Can't handle more than 50g What makes a protein high quality? It's not just how  much but what kind of protein you need. Higher essential amino acid profile (you have to eat less of it to attain the same results – meaning a if you eat low quality sources like those from plant foods – you have to consume overall more calories, more carbohydrates, or more fat) Ease of protein digestibility More creatine (for muscle, mental benefits) – very low in plant 3-9 for seniors – higher levels 9 grams per day Greater anabolic response Supports positive nitrate balance (note below) The value of RDA for older adults is debated since its establishment was based on nitrogen balance studies. It doesn't offer specific recommendations for older adults, who seem to need higher intakes of protein to maintain metabolic homeostasis. The nitrogen balance method is based on the fact that proteins are fundamentally composed of nitrogen, which, after being metabolized through transamination and deamination reactions, is mainly excreted in the urine and, in smaller quantities, in the feces and skin. According to this paradigm, when nitrogen intake exceeds its losses, a positive balance is achieved, which favors Muscle Protein Synthesis. On the other hand, a greater excretion of nitrogen defines a condition of negative nitrogen balance, which puts you in a catabolic state. Suspected the current RDA is insufficient to prevent muscle atrophy in older adults because it's insufficient to put you in a positive nitrate balance. What are the highest quality food proteins?Organ meats Wild meat (bison, elk, venison, etc) Pork Eggs Why do certain proteins in midlife cause women digestive? Change in hormones causes change in gut biome Reduced stomach acid and enzymes Leaky gut - permeability Dairy (including whey) Eggs Soy Why not whey? Insulin sensitivity if you're using it for meal replacement Skin issues and food sensitivities (seen with gas, bloating, increased inflammation) Poorly produced Other ingredients Isn't filling (because its rapidly absorbed) Why not just collagen? When you're looking at your collagen and counting that in your daily total, it isn't included in your "how much protein" for lean muscle and body composition improvements."  It isn't a complete protein. Collagen does not have a great enough amino acid protein. It's wonderful for hair, skin, and nails. If given the right collagen strain (there are 5) it can benefit gut health. The essential amino acids (9) and then there are 3 that are BCAAs and one that seems to have the greatest impact which is leucine. You want about 2.5 grams of leucine per meal. Taking BCAAs alone doesn't help. You need all the essential amino acids. What's the problem with plant proteins? The number of carbs and calories consumed to reach protein quota (problem creating a calorie deficit) Carb sensitivity is common for midlife women Satiety can't be attained (fullness before reaching protein levels but not satiety) What is Protein Theory”? Signal to eat more protein, or eat more, until your body has reached adequate protein levels   What if you can't possibly eat enough protein? Food, protein shakes, and if still not then, boost your protein synthesis with amino acid supplements for high protein boost, the satiety, sleep aid, without the calories. But you also don't achieve the same dietary micronutrient boost from high-quality protein sources. Example of Combining dietary protein with amino acid supplements You eat a protein – half is essential amino acid (that's if it's high quality – but may not be true for lower quality proteins) Amino acid supplements – not “technically” protein For instance eating 90 grams of dietary protein then adding AAs 20  =  110 grams of protein But the supplements… it's 100% amino acids 20 grams of protein So you are getting a richer essential amino acid content. However, yes, eat whole foods that support all your micronutrient needs! The equivalent of what would be true for 40 grams of protein. How can you get more protein without tons more calories/plant-based diet? Amino acid supplements (see below if you're ready to try) What if I can't digest protein very well? (many older adults can't due to reduced stomach acid & enzymes) Digestive enzymes (Betaine HCL) How much protein at breakfast(and what)? Yes, it's ideal to break your fast before you workout at high intensity Not nothing, not coffee, and not high carbs: not even oatmeal The question of Kidney function Only for those with existing renal disease (eg. Those with diabetes at increased risk) a high protein diet may not be appropriate. Resources mentioned in this episode: Flipping50 Protein Debra's choice for Amino Acid supplements   Smoothie Recipes The Ultimate Smoothie Guide for Women in Menopause    References: https://www.acsm.org/docs/default-source/files-for-resource-library/protein-intake-for-optimal-muscle-maintenance.pdf Courtney-Martin G.  False equivalence or fake news: is a peanut really an egg? The Journal of Nutrition, Volume 151, Issue 5, May 2021, Pages 1055–1056, https://doi.org/10.1093/jn/nxab051. Coelho-Junior HJ, Marzetti E, Picca A, Cesari M, Uchida MC, Calvani R. Protein Intake and Frailty: A Matter of Quantity, Quality, and Timing. Nutrients. 2020;12(10):2915. Published 2020 Sep 23. doi:10.3390/nu12102915 Layman DK. Dietary Guidelines should reflect new understandings about adult protein needs. Nutr Metab (Lond). 2009;6:12. Layman DK, Evans EM, Erickson D, Seyler J, Weber J, Bagshaw D, Griel A, Psota T, Kris-Etherton P. A moderate-protein diet produces sustained weight loss and long-term changes in body composition and blood lipids in obese adults. J Nutr. 2009 Mar;139(3):514-21. doi: 10.3945/jn.108.099440. Epub 2009 Jan 21. PMID: 19158228. Paddon-Jones D, Westman E, Mattes RD, et al. Protein, weight management, and satiety. Am J Clin Nutr. 2008; 87(5):1558S-1561S. Paddon-Jones D, Short KR, Campbell WW, Volpi E, Wolfe RR. Role of dietary protein in the sarcopenia of aging. Am J Clin Nutr. 2008:87(5):1562S-1566S Park S, Church DD, Schutzler WE, Azhar G, Il-Young K, Ferrando AA, Wolfe RR. Metabolic Evaluation of the Dietary Guidelines' Ounce Equivalents of Protein Food Sources in Young Adults: A Randomized Controlled Trial. The Journal of Nutrition, Volume 151, Issue 5, May 2021, Pages 1190–1196, https://doi.org/10.1093/jn/nxaa401. Other Episodes You may like: Guest interview with Dr Gabrielle Lyons    Guest interview with Douglas Paddon-Jones, PhD   Guest interview with Stuart Philips, PhD   How I use Amino Acids to reach Daily Protein goals    5 Day Flip!

In another episode by Noteworthy, Susan Daly speaks to reporter Maria Delaney and Anne Marie Quilligan – a social care worker for the Tipperary Rural Traveller Project - about the findings of the team's latest investigation into supports for Traveller children. This forms part of the recent TOUGH START investigation by Noteworthy and The Journal which revealed poor outcomes and lack of supports for Traveller children across the multiple State systems and policy areas. The Explainer is brought to you by The Journal. Providing open access to valuable journalism in Ireland has been the aim of The Journal for a decade. You can contribute to ensure we can keep questioning, investigating, debunking, explaining and informing at https://www.thejournal.ie/contribute/

A Brazilian tribal chief has warned that Welsh soya imports could be responsible for "not only deforestation, but indigenous blood". Research by environment charities suggests an area 40% the size of Wales is needed to grow a handful of key agricultural commodities like soy, palm-oil and beef to satisfy Welsh import demands. Our week long focus on cultivation continues with a visit to a farm which transition to no-till 20 year ago. And sand dunes are one of Europe's most threatened habitats, according to Natural England. They face challenges from development, climate change and undergrazing. We find out about a project in Cornwall where bulldozers are being used for conservation rather than destruction! Presented by Anna Hill Produced by Heather Simons

Commentary by Dr. Valentin Fuster

How much will that turkey cost to put on your table for Thanksgiving Day? Shayle Shagam, USDA livestock analyst, talks about reduced turkey production leading to lower stocks and significantly higher wholesale prices. See omnystudio.com/listener for privacy information.

Fact Check My Feed: More Kids Can Get COVID-19 Vaccines. Now What? Many parents around the U.S. breathed a sigh of relief—or an even more intense emotional reaction—at the long-awaited news that the Centers for Disease Control and Prevention (CDC) had signed off on advising the Pfizer-BioNTech COVID-19 vaccine for children aged 5 to 11 this week. The recommendation came after a unanimous vote from the agency's committee of outside vaccine experts. And last week, the Food and Drug Administration (FDA) authorized the shot after a review of clinical trial data found both low risk and high efficacy in a smaller, kid-calibrated dose of the vaccine. University of Saskatchewan virologist Angela Rasmussen joins Ira to look at the data behind the FDA's long-anticipated decision. They also discuss the rationale behind booster shots for high-risk adults, what it means that deer in Iowa have been caught transmitting the virus, COVID-pragmatic holiday planning, and other pandemic news.   In First Real-World Experiment, Red Seaweed Cuts Methane In Cows By More Than Half Methane emissions are a hot topic—largely because it's a big contributor to climate change. Methane makes up about 10% of human-caused greenhouse gas emissions. 27% of that comes from the burps of ruminant animals, such as cows. In April, Science Friday did a story about research that showed promising results when steers were fed small amounts of the red algae Asparagopsis in their diets. At the time, these experiments were only done in a closely controlled university setting. Now, the first real-world study on a working dairy farm has been completed. The results? Methane released by the seaweed-eating cows was 52% less on average than their non-seaweed-munching counterparts. Coming on the heels of the Biden administration's methane emissions reduction plan, SciFri producer Kathleen Davis sits down with three key players in this milestone: Joan Salwen, CEO of Blue Ocean Barns in Kailua-Kona, Hawaii, the company that produces the Asparagopsis seaweed powder; Dr. Breanna Roque, animal science consultant at Blue Ocean Barns in Townsville, Queensland, Australia; and Albert Straus, founder and CEO of Straus Family Creamery in Marshall, California.   The Science Friday Theme Song That Got Lost In The Mail Back in 1998, comedian and author Steve Allen, first host of The Tonight Show, joined Ira on Science Friday to talk about the importance of critical thinking. Allen had written a book called Dumbth, calling for improvements in the public's logical reasoning abilities. Ira was a longtime fan of Allen's, and eagerly invited him to discuss the book. During the interview, Allen also took to the studio piano to play his signature song, “This Could Be The Start of Something Big.” As the comedian was leaving, Ira jokingly remarked that Science Friday could use a theme song of its own. Several years later, while cleaning the cluttered SciFri office, staff uncovered an unopened box of mail—including an envelope from Hollywood containing a single cassette tape, marked “Theme Song For Science Friday—Steve Allen.” As part of Science Friday's 30th anniversary celebrations, Ira and SciFri director Charles Bergquist recount the story of the tape, and finally premiere the song, written and performed by the late Steve Allen.      

Interview with Douglas L. Mann, MD, and Eugene Braunwald, MD, authors of Effect of Treatment With Sacubitril/Valsartan in Patients With Advanced Heart Failure and Reduced Ejection Fraction: A Randomized Clinical Trial. Hosted by Clyde Yancy, MD.

Did you know that getting into the sauna 3-5 times per week may actually be able to treat Hashimoto's thyroiditis? FAR IR sauna has a number of benefits that you as a Hashimoto's patient should be aware of so you can take advantage of them. First, let's talk about what a FAR IR sauna is and how it compares to a regular Finnish sauna. The FAR IR sauna contains a combination of both heat and light waves that have therapeutic benefits. Both the Finnish and FAR IR saunas heat up the body and cause sweating but the penetration of the FAR IR sauna is greater which is why it's probably better for detox. FAR IR light waves can penetrate several centimeters into the skin which is enough to get into subcutaneous fat cells, some ligaments/joints, and even some superficial organs. We also know that heating up the body induces many beneficial changes to both enzymes, proteins, and even genetic changes. These occur as your body tries to get back to its normal state. The triggering of these proteins and enzymes enhance the detoxification process which make sauna therapy so effective. What type of benefits will getting into a FAR IR Sauna provide? Check them out below: #1. Detoxification #2. Reduced inflammation #3. Weight loss #4. Relaxation and stress reduction #5. Improved immune function #6. Pain relief #7. More energy #8. Better sleep Want to get these benefits? You'll want to spend at least 15 minutes 3-5 times per week in a FAR IR sauna. Try to get a deep sweat while you are in there. FAR IR sauna therapy is safe and effective as long as it is done correctly. Download my free thyroid resources here (including hypothyroid symptoms checklist, the complete list of thyroid lab tests + optimal ranges, foods you should avoid if you have thyroid disease, and more): https://www.restartmed.com/start-here/ Recommended thyroid supplements to enhance thyroid function: - Supplements that everyone with hypothyroidism needs: https://bit.ly/3tekPej - Supplement bundle to help reverse Hashimoto's: https://bit.ly/3gSY9eJ - Supplements for those without a thyroid and for those after RAI: https://bit.ly/3tb36nZ - Supplements for active hyperthyroidism: https://bit.ly/3t70yHo See ALL of my specialized supplements including protein powders, thyroid supplements, and weight loss products here: https://www.restartmed.com/shop/ Want more from my blog? I have more than 400+ well-researched blog posts on thyroid management, hormone balancing, weight loss, and more. See all blog posts here: https://www.restartmed.com/blog/ Prefer to listen via podcast? Download all of my podcast episodes here: https://apple.co/3kNYTCS Disclaimer: Dr. Westin Childs received his Doctor of Osteopathic Medicine from Rocky Vista University College of Osteopathic medicine in 2013. His use of “doctor” or “Dr.” in relation to himself solely refers to that degree. Dr. Childs is no longer practicing medicine and does not hold an active medical license so he can focus on helping people through videos, blog posts, research, and supplement formulation. To read more about why he is no longer licensed please see this page: https://www.restartmed.com/what-happened-to-my-medical-license/ This video is for general informational, educational, and entertainment purposes only. It should not be used to self-diagnose and it is not a substitute for a medical exam, treatment, diagnosis, prescription, or recommendation. It does not create a doctor-patient relationship between Dr. Childs and you. You should not make any changes to your medications or health regimens without first consulting a physician. If you have any questions please consult with your current primary care provider. Restart Medical LLC and Dr. Westin Childs are not liable or responsible for any advice, course of treatment, diagnosis, or any other information, services, or product you obtain through this website or video. #thyroid #hypothyroidism #hashimoto's

Experts review recently updated guidelines for the management of heart failure. Credit available for this activity expires: 10/29/2022 Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/961794?src=mkm_podcast_addon_961794

Post-operative pain is a challenging topic most surgeons would prefer not to have to think about, and post-inguinal hernia repair pain can be a particular pain in the…groin. Drs. Mike Weykamp, Andrew Wright, and Nick Cetrulo from the University of Washington provide a framework for approaching these challenging patients to help clarify when and how to best evaluate post-inguinal hernia repair pain and identify the patients who might benefit from surgical intervention. Referenced Articles and Videos:  1.     D Chen. Mapping for inguinal chronic pain: An approach that all surgeons can do. Your Session: Abdominal Wall Hernia - Provocative Questions in the Practice of Hernia Repair held during the 2017 SAGES Annual Meeting in Houston, TX https://www.youtube.com/watch?v=Yx5zSS3CA-U 2.     J Lange, R Kaufmann, A Wijsmuller, J Pierie, R Ploeg, P Amid. An international consensus algorithm for management of chronic postoperative inguinal pain. Hernia 2015.  https://pubmed.ncbi.nlm.nih.gov/25138620/ 3.     P Amid. Radiologic Images of Meshoma A New Phenomenon Causing Chronic Pain After Prosthetic Repair of Abdominal Wall Hernias. JAMA Surgery 2004. https://jamanetwork.com/journals/jamasurgery/fullarticle/397607 4.     McCormack K, Scott NW, Go PM, Ross S, Grant AM; EU Hernia Trialists Collaboration. Laparoscopic techniques versus open techniques for inguinal hernia repair. Cochrane Database Syst Rev.  https://pubmed.ncbi.nlm.nih.gov/12535413/ 5.     Campanelli G, Pascual MH, Hoeferlin A, Rosenberg J, Champault G, Kingsnorth A, Miserez M. Randomized, controlled, blinded trial of Tisseel/Tissucol for mesh fixation in patients undergoing Lichtenstein technique for primary inguinal hernia repair: results of the TIMELI trial. Ann Surg. 2012 https://pubmed.ncbi.nlm.nih.gov/22395092/ 6.     Jeroukhimov I, Wiser I, Karasic E, Nesterenko V, Poluksht N, Lavy R, Halevy A. Reduced postoperative chronic pain after tension-free inguinal hernia repair using absorbable sutures: a single-blind randomized clinical trial. J Am Coll Surg. 2014.  https://pubmed.ncbi.nlm.nih.gov/24210149/ 7.     Novik B, Nordin P, Skullman S, Dalenbäck J, Enochsson L. More Recurrences After Hernia Mesh Fixation With Short-term Absorbable Sutures: A Registry Study of 82 015 Lichtenstein Repairs. Arch Surg. 2011.  https://jamanetwork.com/journals/jamasurgery/fullarticle/406587 8.     Barazanchi AW, Fagan PV, Smith BB, Hill AG. Routine Neurectomy of Inguinal Nerves During Open Onlay Mesh Hernia Repair: A Meta-analysis of Randomized Trials. Ann Surg. 2016. https://pubmed.ncbi.nlm.nih.gov/26756767/ 9.     Bakker WJ, Aufenacker TJ, Boschman JS, Burgmans JPJ. Lightweight mesh is recommended in open inguinal (Lichtenstein) hernia repair: A systematic review and meta-analysis. Surgery. 2020. https://pubmed.ncbi.nlm.nih.gov/31672519/ Please visit behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  

Sun, 24 Oct 2021 10:00:00 +0000 2186 1 eb86a3daa4eb057887f379056ff206ca no https://t.subsplash.com/r/aHR0cHM6Ly9jZG4uc3Vic3B

0:00 the jokes must flow 0:07 M1 Max turbo mode, benchmarks 1:05 Google reduces Play Store cut 2:01 Truth Social 3:00 Seasonic 3:34 QUICK BITS 3:38 Stadia white-label game streaming 4:22 Gigabyte hacked AGAIN 4:50 Aorus Project Cielo 5:23 Razer PC components 5:51 WORLDCOIN ORBS News Sources: https://lmg.gg/AzE78

Reddit Stories in today's r/aita, OP is in a tricky position where he's just found out he has a teenage son. Before this happened OP had promised his stepdaughter money towards her college fund but now that his bio son has come along he would also like to contribute towards his college which would mean reducing the stepdaughters fund.0:00 Intro0:26 Story 102:18 Story 1 Comments6:10 Story 1 Update08:41 Story 211:28 Story 2 Comments14:17 Story 315:55 Story 3 CommentsLet's connect, all socials here

Biden promotes a reduced $2T plan to revive US. White House announces vaccination plan for children age 5-11. Jailed Russian foe Alexei Navalny wins top EU prize. You can subscribe to Five Minute News with Anthony Davis on YouTube, with your preferred podcast app, ask your smart speaker, or enable Five Minute News as your Amazon Alexa Flash Briefing skill.  Subscribe, rate and review at www.fiveminute.news  Five Minute News is an Evergreen Podcast, covering politics, inequality, health and climate - delivering independent, unbiased and essential world news, daily. 

Episode 84 - October 2021 EventsNancy Roberts website MachineKnittingtoDyeFor.com Interknits Club Happy Crankers in Chesaning, MI All Fiber Retreat in Traverse City, MI (Facebook group) AcquisitionsMaking Waves by Iris Bishop Hand KnittingThis is exactly how I purl when I'm ribbing - Continental purling or combination knitting video Machine KnittingMy Gray Cardigan Replacement Sweater Peter Pachis Yarns Garment Designer software Jaggerspun Mainline yarn Truly Julie No Show Sock ResourcesWhy We Sleep by Matthew Walker Reduced spending with the 24 hour cooling off period Reduced wine consumption Sew What?McCalls 9824 tee shirt (no longer available but similar Palmer Pletch patterns are now with Butterick) Itch to Stitch Foz top Rant: Professionals who are unprofessional Rave: Virginia is within driving distance of Michigan!  VMVMGinger Sweet, Spicy, and Salty cookies Please join in the Ravelry group for this podcast. My Instagram  

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TOPICS by TIMECODE1:58 Colin Powell Dies: Iraq War WMD Lies & “Preemptive War”. A preemptive war over a FAKE threat based on torture. Powell's life reflects the national tragedy of what USA has become.  Now Leana Wen, former Planned Parenthood CEO blames unvaxed as WMD's but the end of his life is a picture of the FAKE threat of the pandemic and the “preemptive war” of governments against their own people today17:51 MP Assassination Used to Push End of Anonymity on Internet.  After Somalian terrorist (whose father worked for Somalian govt in 1990s like Ilhan Omar's father, both fleeing to the West in the 1990s) kills MP, the UK govt wants to use the tragedy to BAN ANONYMITY on the internet as in China.  Microsoft created a coalition to tie ALL internet content to the creator in Feb 2021.24:15 New Jan6 footage shows cops calmly opening doors; Judge excoriates DC jail for denying medical treatment to Jan6 prisoner; more revelations about FBI “sting”; Mayor Lori Lightfoot, Chicago, calls police union “INSURRECTIONISTS” for refusing vax mandate34:47 Why Are Conservatives Pushing to Gag Churches? Judge Orders Pastor to Recite Govt Warning. Pastor Artur Pawlowski is ordered by judge to recite a a statement praising health dictators every time he speaks. And in the USA, partisanship has blinded conservatives.  They're clutching their pearls about an illegal, unconstitutional toothless threats in an IRS rule.  The IRS is afraid to enforce it, but conservatives demand they do in order to attack Kamala Harris.47:14 Hypersonic Missile Surprise or Hype for Arms Race? Was military industrial complex caught by surprise or do “we welcome competition” as Jen Psaki said?  Hold on to your checkbook as a new black hole of spending opens up for the Pentagon1:00:15 Canada Apologizes for Using Dummy to Push Panic. NBC fact-checks Fauci over sports stadiums as “super-spreaders”. CBC shows fake ICU footage with a dummy in bed, Canada has actually REDUCED the number of ICU beds (during the “pandemic”)1:11:28 “Coffee Cup Gestapo” in Australia.  Walking outside alone in a park drinking coffee (mask down)?  Let me check that cup to see if there's coffee inside1:19:27 The word “spooky” is being banned in Scotland by the speech police without any evidence of it being used in at least the last 60 yrs in a racist context1:23:04 “Gender Baptism” pushed by a “Christian” school, re-baptizing children when they “change genders”1:25:42 Georgia school gives students an assignment about cannibalism of babies.  Don't worry they say, it's satire.  No, it's normalization of one of the last taboos1:39:21 INTERVIEW: Vax/Fetal Ethical Issues MUCH BIGGER Than 1963 Cell Lines. Ongoing murder-for-hire by NIH & FDA, murder for #BigPharma R&D/testing of COVID vaccines and Regeneron Monoclonal.  Julie Collorafi fetalindustry.com2:04:59 More deaths of teens shortly after vaccination, but Full WARP SPEED ahead on approval. Boosters approved, Moderna's ClotShot put on short hold to feign concern.2:19:10 BREAKING: Southwest will give more time (past December 8 deadline) to employees who've filed religious exemption.  This is your strongest argument and basis for lawsuit if ignored2:27:48 LISTENER sends flyer:  Boeing employees in St. Louis organizing a walk-out/push-back on jab mandates tomorrow.  Union pushes against employees2:31:47 Over 20 MILLION people have left jobs since employers starting mandating jabs in April.  ZERO REPORTING of global protests again vaccine mandates worldwide2:39:13 Biden Threatens Navy SEALS: Repay Training & Bonuses IF You Don't Take Jab. Meanwhile, “Rachel” Devine, Biden's favorite transgender promoted to be the nation's “FIRST FEMALE Four Star Admiral”.  He's a man.2:42:37 Australian politician warns parents their children are about to be rounded up and jabbed w/o parental consent (as happened once before already).  Four Australian politicians refused entry into legislative building b/c they refuse on principle to show vax status (they are jabbed)2:46:57 GOOD NEWS: Nebraska Attorney General gives legal protection to doctors prescribing Ivermectin & HCQ with “informed consent” of patientsFind out more about the show and where you can watch it at TheDavidKnightShow.comIf you would like to support the show and our family please consider subscribing monthly here: SubscribeStar https://www.subscribestar.com/the-david-knight-showOr you can send a donation throughZelle: @DavidKnightShow@protonmail.comCash App at:  $davidknightshowBTC to:  bc1qkuec29hkuye4xse9unh7nptvu3y9qmv24vanh7Mail:         David Knight         POB 1323         Elgin, TX 78621

TOPICS by TIMECODE 1:58 Colin Powell Dies: Iraq War WMD Lies & “Preemptive War”. A preemptive war over a FAKE threat based on torture. Powell's life reflects the national tragedy of what USA has become.  Now Leana Wen, former Planned Parenthood CEO blames unvaxed as WMD's but the end of his life is a picture of the FAKE threat of the pandemic and the “preemptive war” of governments against their own people today 17:51 MP Assassination Used to Push End of Anonymity on Internet.  After Somalian terrorist (whose father worked for Somalian govt in 1990s like Ilhan Omar's father, both fleeing to the West in the 1990s) kills MP, the UK govt wants to use the tragedy to BAN ANONYMITY on the internet as in China.  Microsoft created a coalition to tie ALL internet content to the creator in Feb 2021. 24:15 New Jan6 footage shows cops calmly opening doors; Judge excoriates DC jail for denying medical treatment to Jan6 prisoner; more revelations about FBI “sting”; Mayor Lori Lightfoot, Chicago, calls police union “INSURRECTIONISTS” for refusing vax mandate 34:47 Why Are Conservatives Pushing to Gag Churches? Judge Orders Pastor to Recite Govt Warning. Pastor Artur Pawlowski is ordered by judge to recite a a statement praising health dictators every time he speaks. And in the USA, partisanship has blinded conservatives.  They're clutching their pearls about an illegal, unconstitutional toothless threats in an IRS rule.  The IRS is afraid to enforce it, but conservatives demand they do in order to attack Kamala Harris. 47:14 Hypersonic Missile Surprise or Hype for Arms Race? Was military industrial complex caught by surprise or do “we welcome competition” as Jen Psaki said?  Hold on to your checkbook as a new black hole of spending opens up for the Pentagon 1:00:15 Canada Apologizes for Using Dummy to Push Panic. NBC fact-checks Fauci over sports stadiums as “super-spreaders”. CBC shows fake ICU footage with a dummy in bed, Canada has actually REDUCED the number of ICU beds (during the “pandemic”) 1:11:28 “Coffee Cup Gestapo” in Australia.  Walking outside alone in a park drinking coffee (mask down)?  Let me check that cup to see if there's coffee inside 1:19:27 The word “spooky” is being banned in Scotland by the speech police without any evidence of it being used in at least the last 60 yrs in a racist context 1:23:04 “Gender Baptism” pushed by a “Christian” school, re-baptizing children when they “change genders” 1:25:42 Georgia school gives students an assignment about cannibalism of babies.  Don't worry they say, it's satire.  No, it's normalization of one of the last taboos 1:39:21 INTERVIEW: Vax/Fetal Ethical Issues MUCH BIGGER Than 1963 Cell Lines. Ongoing murder-for-hire by NIH & FDA, murder for #BigPharma R&D/testing of COVID vaccines and Regeneron Monoclonal.  Julie Collorafi fetalindustry.com 2:04:59 More deaths of teens shortly after vaccination, but Full WARP SPEED ahead on approval. Boosters approved, Moderna's ClotShot put on short hold to feign concern. 2:19:10 BREAKING: Southwest will give more time (past December 8 deadline) to employees who've filed religious exemption.  This is your strongest argument and basis for lawsuit if ignored 2:27:48 LISTENER sends flyer:  Boeing employees in St. Louis organizing a walk-out/push-back on jab mandates tomorrow.  Union pushes against employees 2:31:47 Over 20 MILLION people have left jobs since employers starting mandating jabs in April.  ZERO REPORTING of global protests again vaccine mandates worldwide 2:39:13 Biden Threatens Navy SEALS: Repay Training & Bonuses IF You Don't Take Jab. Meanwhile, “Rachel” Devine, Biden's favorite transgender promoted to be the nation's “FIRST FEMALE Four Star Admiral”.  He's a man. 2:42:37 Australian politician warns parents their children are about to be rounded up and jabbed w/o parental consent (as happened once before already).  Four Australian politicians refused entry into legislative building b/c they refuse on principle to show vax status (they are jabbed) 2:46:57 GOOD NEWS: Nebraska Attorney General gives legal protection to doctors prescribing Ivermectin & HCQ with “informed consent” of patients   Find out more about the show and where you can watch it at TheDavidKnightShow.com If you would like to support the show and our family please consider subscribing monthly here: SubscribeStar https://www.subscribestar.com/the-david-knight-show Or you can send a donation through Zelle: @DavidKnightShow@protonmail.com Cash App at:  $davidknightshow BTC to:  bc1qkuec29hkuye4xse9unh7nptvu3y9qmv24vanh7 Mail:          David Knight          POB 1323          Elgin, TX 78621

October 19, 2021 ~ The recent global pause showed us many instances of nature re-staking it's claim. Reduced boating pollution giving way to jellyfish serenely swimming in the canals of Venice. South African lions napping in a road free from its usual bustling traffic. The white peaks of the Himalayas visible for the first time in decades through the typically toxic skies of Uttar Pradesh. These occurrences and more are sparking a renewed interest in sustainable travel. But do we have the will and the resources to balance environmental and sociocultural preservation with the economic impact of tourism? Get the answers and learn the green future of travel with the Emmy award-winning host of PBS' “Places to Love,” Samantha Brown.   

Do you see value in being reduced to nothingness in your own eyes?  Perhaps not.  The reason this language is difficult to accept is that humility is only fully understood by a special gift of God's grace.  Some ancient philosophers even hold up pride as a great virtue, discounting humility as weakness.  Sadly, there are few souls that obtain the actual virtue of humility.  Some may obtain a certain semblance of this virtue, but few actually become humble to a great degree.  Again, humility can only be understood and embraced by a special grace of God.  Naturally speaking, we are drawn to those things we deem to be beneficial to us.  Therefore, the first step in growing in humility is to see it for what it is and to discover its true value.  When we understand humility, we will desire it.  And when we desire it, we will be drawn to it.  And when drawn to it, we will more easily embrace it (See Diary #1436).Do you understand humility?  Do you understand the value of being reduced to nothingness in your own eyes?  If not, ponder this idea for some time.  Don't give up on it thinking it is out of date, weak or misguided.  You must become reduced to nothingness in your eyes if you are to discover grace in the Heart of Christ.  Only by the discovery of your nothingness will you understand that God is everything and provides everything you need.  You will find, in this discovery, that you begin to choose God over yourself and, thus, you become transformed into God's grace rather than living by your own strength.  God must possess you completely, live within you and live through you.  In this way, your humble soul becomes Christ to the world.Lord, make me humble.  Help me to see my nothingness and to see Your greatness.  I choose You, dear Lord, over myself and invite You to possess me completely, transforming me into Your grace.  Jesus, I trust in You.Source of content: www.divinemercy.lifeCopyright © 2021 My Catholic Life! Inc. All rights reserved. Used with permission via RSS feed.

This is Stephen Schmidt from the Gazette digital news desk and I'm here with your update for Saturday, October 16 and Sunday, October 17. The chillier temperatures are going to continue this weekend, but at least the sun will be out. According to the National Weather Service, a low hovering above freezing in the early morning Saturday will lead to patchy frost before 9 a.m. in the Cedar Rapids area. After this it will be sunny, with a high near 62 degrees. A 10-15 mph wind will calm down to 5 mph by Saturday night, with a low around 39 degrees. Sunday will warm up a bit, with a high near 69 degrees, and the wind remaining calm. Sunday night it will be clear, with a low around 44 degrees. Nearly five months after Xavior Harrelson was reported missing from a Montezuma mobile home park where he lived with his mother, authorities confirmed Friday that human remains found in a nearby farm field were of the 11-year-old boy. “The cause of death has not been released at this time,” said a statement from Poweshiek County Sheriff Thomas Kriegel. The boy was reported missing May 27, just shy of his 11th birthday. Posters with Xavior's picture plastered the town, and a reward fund raised about $35,000, but massive searches failed to locate him. Then on Sept. 30, a farmer reported to authorities that remains had been spotted in a soybean field about 3 miles northwest of town.  The state's consideration of https://www.thegazette.com/higher-education/surgery-center-argues-that-new-ui-hospital-in-north-liberty-needs-competition/ (a proposed ambulatory surgery center) — near where the University of Iowa already is building a $395 million hospital in North Liberty — has been bumped from this month to February after a hospital system approached Steindler Orthopedic Clinic about a potential collaboration. On Wednesday, when The Gazette published an article about Steindler North Liberty Ambulatory Surgery Center seeking approval from the State Health Facilities Council, a hospital system not yet publicly identified approached the center requesting it consider “a proposal to build an inpatient hospital that could anchor the Steindler development.” That vision would include an orthopedic specialty hospital, and it could fully transform the long-vacant swath of land into a new health care hub just off Interstate 380. Abnormal influenza activity last year means it may be harder for experts to predict the 2021-22 flu season. But national experts already are warning Americans they could be in for a severe season. Reduced population immunity due to a lack of influenza activity since the pandemic began in March 2020 could mean the United States will face an “early and possibly severe flu season” this year, U.S. Centers for Disease Control and Prevention officials have warned. That potential for a “twindemic” of both widespread flu and COVID-19 cases is at the forefront of local public health officials' minds as the winter months draw closer, highlighting the importance of getting vaccinated against both viruses and taking other steps to avoid infection. Closing with a fun story, on Friday, it was the No. 1 Iowa field hockey's turn to beat a top ranked opponent with a 2-1 penalty-shootout win over No. 2 ranked Michigan. And their victory was greeted with fans rushing the field. Fans, many of whom were athletes from other Iowa teams, then swarmed her in the field-rush, similar to what happened for the #3 ranked Iowa football team after its win the previous weekend against Penn State.  Friday's win is the latest in what appears to be a special season for Iowa, which already has more wins than the 2020 Final Four team and 2018 Sweet 16 team Be sure to subscribe to The Gazette Daily news podcast, or just tell your Amazon Alexa enabled device to “enable The Gazette Daily News skill" so you can get your daily briefing by simply saying “Alexa, what's the news? If you prefer podcasts, you can also find us on iTunes or wherever else you... Support this podcast

Matt Parrino and Ryan Talbot take a deep dive into the Bills' offensive performance against the Kansas City Chiefs with former scout Ollie Connolly. The trio examined how Bills OC Brian Daboll ran a vanilla offense through the first 4 weeks only to throw something completely different at the Chiefs in Week 5. They talk about Josh Allen, Dawson Knox, Emmanuel Sanders, and more. Then the guys hang out and talk about Cole Beasley's reduced role the past two weeks. They finish off with a first look at the Titans and an injury roundup from Thursday's practice.Read Ollie's story: https://readoptional.substack.com/p/bills-josh-allen-daboll-offense-schemeShout!" A Buffalo Bills football podcast is available on Apple, Spotify, Google, Stitcher, Acast and wherever you listen to podcasts.Follow @MattParrino (https://twitter.com/MattParrino) and @RyanTalbotBills (https://twitter.com/RyanTalbotBills) on TwitterFind our Bills coverage wherever you like to consume social media:Instagram: https://www.instagram.com/buffalobill...Facebook: https://www.facebook.com/buffalobills...Twitter: https://twitter.com/billsupdateFor all your Bills coverage head to https://www.syracuse.com/buffalo-bills/ See acast.com/privacy for privacy and opt-out information.

This week, we are replaying a previous podcast on How Sleep Impacts Your Leadership. Sleep has become the biggest epidemic that we are facing these days. Insufficient sleep is associated with a range of negative health and social outcomes including adverse formats at work. Reduced sleep duration has been linked to 7 up to 15 leading causes of death in the United States. So we thought that it would be important to re-release Episode 5 on How Sleep Impacts Your Leadership for preparation for our podcast next week. Some of the topics that we will be covering are:Hormones that regulate our sleepThe causes of sleep deprivationTo connect with Lori King-Taylor visit http://trinityperformancesolutions.com/ To connect with Lori Gorrell visit http://www.upwardsolutionscc.com/

Hi everyone and welcome to another Quick Bite from Nikoli's Kitchen! I've started counting calories pretty regularly again because I'm trying to drive results, and it's a really great way of reminding yourself of what you're putting into your body. In that spirit, I decided to take my normal orzo recipe- which calls for a whopping 450 calories worth of butter & oil- and I doubled up everything while cutting those in half. So this recipe yields twice what the old one does, but only uses 1 T of each instead of 4! If you're trying to lose weight and watch what you eat, it's important to understand exactly where calories come from, and with a few tweaks of an existing recipe, you can reduce portion calorie counts substantially. Thank you so much for listening, and thank you so much for coming on this journey with me.   Featured Recipes for this Episode 2 c homemade chicken stock 1 c white wine 2 c dry orzo 1 T unsalted butter 1 T olive oil Juice & Zest of 3 lemons 8 cloves of garlic, minced 1 c freshly shredded parmesan cheese Salt Pepper Turmeric Balsamic reduction Scallions, chopped Add butter & olive oil to a large saucepan over mid heat. Once the butter melts, add your orzo and toss until well-coated. Toast the orzo, tossing or stirring periodically so it doesn't burn. Add the wine, chicken stock, garlic, and lemon juice to the saucepan. Bring to a simmer and cover; reduce the heat to low. Cook for 18-20 minutes or until the liquid is absorbed. Remove the cover and add your cheese & lemon zest and season to taste, cooking over mid for just another minute or two to bring it together. Serve with a sprinkle of chopped scallions and a light drizzle of balsamic reduction. Yield- about 6 cups.  Approx 375 calories per 1 cup serving. If you're looking to further reduce the calorie impact per portion here, halve the amount of parmesan cheese (it accounts for a whopping 70 calories per portion). If you really want to cut it even further you can skip the toasting step and omit the butter and olive oil altogether. Doing both of these would reduce this to about 300 calories per 1 cup portion.   Important Links (All links open in a new window) Main Website Subscribe on Patreon! Livestream for the Cure Join my Discord Community! Podcast RSS Feed Like my Facebook Page! Follow me on Twitter! Follow me on Instagram! Join my Facebook Group! Subscribe to my YouTube Channel! Follow me on Twitch!   Listen on Apple Podcasts Spotify Google Podcasts Pandora TuneIn Radio iHeart Radio Spreaker PlayerFM Stitcher Podchaser   Guest Appearances Please check out my segment of Heather's podcast at https://justheathers.com/nicholas-haskins/. Thank you so much for having me on the show Heather! Watch me cook Keto Chocolate Chaffles LIVE with Tricia & Siana of 2 Girls on a Bench at https://www.twitch.tv/videos/1039494727! I was honored to sit down with Ashlee of the Rabbit Ears TV Podcast again to talk about all things Big Little Lies! Check it out at https://www.netflixnswill.com/rabbitears/2021/8/31/big-little-lies.   Credits "Daybreak," and "The Climb" from Music for Makers. Sign up and get a royalty-free song delivered to your inbox every Monday at www.musicformakers.com! "Tears" by Lucas King. Find this and more amazing music by Lucas and subscribe to him on YouTube by visiting https://www.youtube.com/user/LucasKingPiano!

For folks who are struggling with retention, do listen to my story of how I reduced churn. Show notes: The blog about this storyProduct Adoption School

Reduced taxes and subsidies could cushion the impact. The Energy Commissioner said the EU would also explore the possibility of joint purchasing of strategic gas reserves. Also: increased costs and fewer choices in Northern Ireland. EU talks are taking place to find a new deal with the UK, and the Chinese boy band hopeful facing one obstacle – she's a girl.

Winter often comes early to the plans of western Canada. Cold air builds up in the artic regions and plunges southward unhindered through the vast flatlands. Many times this leads to quick changes in temperatures and more importantly the weather. On October 10, 1989 across the Canadian province of Alberta Temperatures dropped from the middle 60's into the 40's in just 10 minutes with the passage of a strong cold front. Powerful winds with the front took down trees and power lines. Reduced visibility due to windblown dust led to a 14-car pileup in near zero visibility near Bassano. Learn more about your ad choices. Visit podcastchoices.com/adchoices

We welcome Juli Plant Grainger Professor of Economics, Noah Williams from the Manhattan Institute to explain how reducing unemployment benefits can reduce unemployment. The Results of the Labor-Market Experiment Are In Thinking Past the Crisis US National Debt Clock Manhattan Institute for Policy Research  

The AstraZeneca Covid-19 vaccine has been linked with a rare blood-clotting condition called thrombosis with thrombocytopenia syndrome (TTS). But in Australia, the death rates from this condition have been much lower than overseas. Medical editor Melissa Davey explains to Laura Murphy-Oates how a team of specialists including Dr Vivien Chen drastically reduced deaths from the condition.

Guest: Mpho Sadiki See omnystudio.com/listener for privacy information.

So...funny story. My guest in this episode not only has a mind-blowing story to share but also the dubious distinction of having dated me more than 20 years ago. Don't worry--she exercised much better judgment in the years that followed!  Lindsay Nohl is just glad to be alive. There were many moments over the past two years when she was not at all sure that she would be much longer. Lindsay's story is one of profound mental, emotional, and physical anguish, a remarkable recovery, a new lease on life, and a new outlook on life, too. And Lindsay courageously brings her whole ordeal and what she's learned from it to this conversation to encourage and serve all of us.  This episode is packed with insight about choosing courage in the face of fear, the sacredness of the present moment, the power of empathy, and how Mortality can propel us to live with even more guts, gusto, and abandon.    A Word of Warning This is a tremendously life-affirming story. But the journey to "life-affirming" passes through a prolonged season of desperation, when suicide was on the table for Lindsay. For some of you, this part of the story might hit too close to home, so I wanted to be sure you were aware in advance that it would come up if you tune in to the full episode.     Meet Lindsay Nohl Lindsay currently lives in Victor, Idaho with her two dogs Owen & Brady, where she serves as executive director of a non-profit called Mountain Bike the Tetons. She is also a mountain bike coach and certified life coach (CLC).  Prior to moving to the Tetons, Lindsay spent 18 years working for the National Outdoor Leadership School, or NOLS, as a field instructor, director of the Southwest program, and in other administrative roles in Arizona and Wyoming. She's a life-long athlete, and her initial passion for soccer carried into her early twenties. After attempts at playing soccer professionally, she dove headfirst into various outdoor sports like rock climbing, canyoneering, caving, and more recently, mountain biking. Today, her favorite outdoor adventures are long bikepacking trips in the desert southwest.    Reduced to Ashes In August 2019, Lindsay's 8-year relationship with her partner was coming apart. Then, on a routine pre-run lap of a mountain bike race course, she crashed, landed on her face, and split her chin open. She got checked out, stitched up, and sent on her way. The visible injuries healed up, and she moved on.  Two weeks later, though, while talking to a friend at a social gathering, things started to get weird. In the middle of the conversation and from out of nowhere, “kill yourself, kill yourself” popped into her head. And things quickly went downhill from there.  Over the next nine months, Lindsay's life burned to the ground in a conflagration of anxiety, depression, suicidal ideation, and bizarre physical symptoms. She hid her household knives from herself--painfully aware that the impulse to kill herself could at any time get the best of her. She lost her job of 18 years along the way, too, a consequence of both the deteriorating COVID situation and her own debilitated mental, emotional, and physical state.  She wasn't eating, her gut was in shambles, and she lost 15 lbs. She couldn't perform some of the most basic life tasks. A laundry list of antidepressants and anti-anxiety meds weren't up to the task of righting Lindsay's ship. She checked herself into a behavioral health center to be placed on suicide watch and did a stint in a treatment center, too. Nothing provided relief or a glimmer of hope for a better future.  If you are having suicidal thoughts, contact the National Suicide Prevention Lifeline at 1-800-273-8255 for support and assistance from a trained counselor. If you or a loved one are in immediate danger, call 911.   The Tide Begins to Turn Then, mercifully, when the last fragile threads of hope were almost gone, the tide began to turn in Lindsay's favor. An integrative medicine doctor helped Lindsay heal her gut through nutrition, and gradually Lindsay's physical and mental health began to improve. So much so, in fact, that she was able to drive and ride her bike again. Then, a therapist helped Lindsay realize that her fall on the bike 9 months earlier had in fact given her a traumatic brain injury (TBI), and the TBI was substantially complicit in causing her descent into mental, emotional, and physical hell. Until that moment, neither Lindsay nor anyone else supporting her through the ordeal had seen the connection.  And this time, the right medication became the final piece in the puzzle of Lindsay's recovery. On May 23, 2020, within 48 hours of beginning to take Wellbutrin, Lindsay texted her dad:  “Dad, I feel normal today. I'm cleaning the house and not really tired. And I feel ‘happy.' It feels crazy. I think the Wellbutrin is working." Wellbutrin is a norepinephrine and dopamine re-uptake inhibitor (NDRI), and it works by making the neurotransmitters norepinephrine and dopamine available to the brain's neurons for longer. (from verywellmind.com) “It was so clear to me that I had a dopamine issue in my brain with how fast that stuff worked for me,” said Lindsay. “It was like the key went in the lock and I turned back on, you know, as a human.”   Like the Phoenix Rising from the Ashes It has been an upward spiral from that point forward. Lindsay feels 95% normal again, with the main lingering symptom being diminished short-term memory.  “I'm like the Phoenix rising from the ashes here. And I have the ability to put the pieces back in any way I can...As the months have gone on, I've thought a lot about what decisions am I--I make decisions every day, many times a day and are those moving me in the direction I want to go with my life, you know? And so when everything's gone, it makes you think a lot about what you want.” Lindsay has put the pieces of her life together in impressive fashion--including getting back on her bike and conquering races more challenging than any she'd tackled pre-TBI.    Transferable Lessons The point of this podcast is to help us all tap into the power of our Mortality to become the people we were made to be and live the lives we were made to live--to equip us with the mindset and the means to live with guts, gusto, and abandon. And to do so BEFORE a crisis hits because then it's too late. So, what transferable lessons are available to us from Lindsay's story that we can put into action in our own lives right now?  Live in Community: Lindsay's friends and family were rock-solid supports for her through every grueling step of her ordeal. She says they literally saved her life.  Treat Every Day Like a Bonus: Post-ordeal, Lindsay feels like every day is a bonus. Be willing to see each new day as a bonus in your own life--full of potential and possibility that didn't exist just one day before. See each day as a gift.  Get in “f@%$ it” Mode!: Go for it! Why NOT do the scary or hard thing?! (Not recommending foolhardy recklessness, BTW...) Live Like There's No Tomorrow: Lindsay is more aware than ever now of the sacredness of the present moment. It's all we have. So make this moment, this day, your primary focus. How can you make it the best day it can be? Choose Courage Over Fear: Do the hard thing. Venture outside of your comfort zone. Don't waste time trying to get rid of fear; instead, practice becoming MORE brave.  Be Kind to Others: You don't know what they're going through Remember, Lindsay has been to the edge and back. She knows what it's like to stare Mortality in the face, and those are some of her big takeaways from that experience. We can borrow what she's learned and put them into practice in our own lives RIGHT NOW if we simply choose to--without having to experience a catastrophe of our own first.  I think that's a WAY better strategy. What do you think? The alternatives are tragic, in my opinion.    Let Today Be the Day! "When everything's gone, it makes you think a lot about what you want." Wow. That hits home.  Listen. One day--maybe even one day very soon--you'll run out of tomorrows. You'll run out of second chances. You'll run out of time.  Grab yourself by the scruff of the neck today and shake yourself awake. Wake up to the reality of your Mortality, to the sacredness of this present moment--the only moment you've got.  Make the phone call to the estranged family member or friend. Take the first step toward fulfilling that big dream. Do the hard thing now. Start the big thing now. Tomorrow never comes, ladies and gents, there is only today.  Let today be a day like none other before it. The day that you summoned the courage to live with even more guts, gusto, and abandon by looking your Mortality square in the eyes and holding its gaze, unflinching and with resolve.  This is your one and only life. What will you make of it?  Remember, you ARE going to die. But you're not dead yet. So get after it! I Can Help Becoming the person you were made to be and living the life you were made to live with guts, gusto, and abandon is heroic work. It's not for the faint of heart. And it happens best in the company of others who have your best interests at heart.  Connect with me to learn more about how a powerful, confidential 1-1 coaching partnership or participation in a Graveyard Group can help you live even more courageously and die regret-free.  And I'm excited to share that the first-ever women's Graveyard Group will launch soon, too!  Connect with on Facebook, Instagram and LinkedIn, visit my website, or email me.    If You Liked This Episode, I Think You'll Like These, Too Ep. 005 | How to Become the Boss of Your Fear: Bravery-building to Live With More Guts and Gusto Ep. 008 | More Alive Than Ever: How Pain Points the Way to Purpose Ep. 012 | How to Harness the Winds of Discomfort to Get Where You Want to Go: Becoming a Seasoned Sailor on the Seas of Life   Resources Mentioned in This Episode: The Untethered Soul (Michael A. Singer) Sabino Recovery (treatment center)   Connect with Lindsay Email | Instagram | Facebook | LinkedIn   Follow Andrew Petty is Dying & Leave a Review Apple Podcasts | Spotify | Google Podcasts | Stitcher   New to APiD? I'm so glad you found Andrew Petty is Dying. This podcast is a mix of long-form interviews with fascinating people and short-form solos on topics that will help you acquire the mindset and the means to live with guts, gusto, and abandon.  If you're wondering where to start in the archive of episodes, I recommend these three episodes, in this order:  Ep. 001 | You're Dying: How to Make the Most of It Ep. 016 | The Question That Changes Everything: The Go-to Tool for Living the Life You Were Made to Live Ep. 006 | The Nine Lives of Lise Leroux: One Woman's Mind-blowing Tale of Living With a Terminal Diagnosis

Merck said it will seek emergency use authorization for the antiviral drug molnupiravir; Disney, Scarlet Johansson settle lawsuit; inflation remained elevated in August, consumer spending rose 0.8%; Democrats continue talks over bills for infrastructure, social programs and climate spending

FRONT PAGE | Missed the news this morning? The Marty Sheargold Show has got you covered with what is on the Front Page and the Back Page of the papers See omnystudio.com/listener for privacy information.

Good Morning, Colorado, you're listening to the Daily Sun-Up with the Colorado Sun. It's Thursday September 30th.   Today - Even as the state and federal government works to limit the environmental impacts of coal mining, Colorado has just allowed six coal mining companies to reduce their payments for access to public land.   But before we begin, let's go back in time with some Colorado history adapted from historian Derek R Everett's book “Colorado Day by Day”:   Today, we're going back to September 30th, 1873 when a remarkable visitor achieved her goal of reaching the summit of Longs Peak, one of the most challenging mountains in Colorado. Isabella Bird, a globetrotting Briton, exhausted her vocabulary in lavishing praise on Estes Park and present-day Rocky Mountain National Park.   Now, our feature story.   Colorado is allowing all six companies mining coal in the state to reduce the payments they make to the federal and state government in exchange for access to public land. The annual reduction of royalty payments recently approved by Colorado means coal mining companies are paying less every year, even as both the state and federal government work to limit the impacts of coal mining.    Colorado Sun reporter Michael Booth looked into why state officials approved these smaller payments from coal mining companies.    Read Michael's story at coloradosun dot com.    And Before we go, here are a few stories that you should know about today:   Colorado's Independent Congressional Redistricting Commission late Tuesday approved a new eight-district congressional map. Some Democrats are not pleased, even though incumbents remain in their districts under the proposed map, which now must be approved by the Supreme Court by Nov. 1 or sent back to the commission for revisions.   Telluride's Original Thinkers festival kicks off today, with an array of artists, activists, musicians and movie-makers exploring the world's triumphs and challenges in the last year.    The ACLU team that helped pass a recent slate of sweeping criminal justice reforms in Colorado resigned this month. The nonpartisan civil rights nonprofit is accused of being too aggressive in wielding its new status as one of the most influential groups in the state. Supporters say the ACLU's hard push for the end of the death penalty and police reform led to important change.    Colorado's rental assistance program offering up to 15 months of free rent to residents struggling during the pandemic has paid out only 15% of its available funds. The Emergency Rental Assistance Program is now distributing about $6 million a week and has helped about 18,000 Coloradans. But there are still thousands more applicants waiting to be approved for help with their rent payments.   For more information on all of these stories, visit our website, www.coloradosun.com. And don't forget to tune in again tomorrow for a special holiday episode. Now, a quick message from our editor.   The Colorado Sun is non-partisan and completely independent. We're always dedicated to telling the in-depth stories we need today more than ever. And The Sun is supported by readers and listeners like you.   Right  now you can head to ColoradoSun.com and become a member starting at $5 per month and if you bump it up to $20 per month you'll get access to our politics newsletter, 'The Unaffiliated,' as well as our outdoors newsletter, 'The Outsider,' and our new health and environment newsletter 'The Temperature,' -- All three exclusive newsletters delivered to your inbox every week. See omnystudio.com/listener for privacy information.

Tom Rockliff's named his baby after Billy?!, NRL Grand Final capacity reduced, footy news, cricket news, Bernie Vince, when did you forget someone's name?, Billy's Joke See omnystudio.com/listener for privacy information.

Dr. Laura Huber, an assistant professor in the Department of Pathobiology at Auburn University in Alabama, and Sarah Gregory discuss antimicrobial use and bacteria resistance in broiler chickens during 2013-2019.

Dr. Rob Mikkelsen, Yara's Director of Agronomic Services, helps us understand the interdependence of water, soil and nutrients.  Can a better management of these three components improve water use efficiency in a time of drought? We refer to an article he wrote in September 2012 for the International Plant Nutrition Institute called, "What about Water?" Dr. Mikkelsen explains that an important step towards improving water use efficiency is to encourage healthy plant roots.  Maintaining proper soil conditions will allow a larger 'home' for the roots to grow and be healthy.  Likewise, a balanced nutrition program can improve how the roots and plants use the available water.

Episode 67: Covid, Food, and HIV.  Medical students discuss the relationship between high cholesterol and COVID-19, the effect of food order in postprandial glucose and insulin, and HIV history. Moderated by Hector Arreaza, MD.  During this episode you will listen to three medical students discussing some topics that they found interesting during their family medicine rotation. All the credit goes to them because they read these topics and provided a very good summary. I hope you enjoy it.____________________High Cholesterol and COVID-19By Milan Hinesman, MS3, Ross University School of MedicineGiven the current state of the world, there's been a lot more attention to COVID-19 presentation, risks, and treatment. One study conducted by Dr. Kun Zhang and collaborators shows that there may be a relationship between higher total cholesterol levels and ApoB levels to increased risk of COVID-19 infection[1]. Dr. Zhang used a mendelian randomization from the UK Biobank data to test for lipid effects on COVID susceptibility and severity. The study performed analysis of data from the host genetics initiative consisting of more than 14,000 cases and more than one million controls showing a potential positive causal effect between high total cholesterol and ApoB and COVID susceptibility. A mendelian randomization is a process of taking genes which functions are already known and measuring their response to exposure to a disease in observational studies[2]. In short, high cholesterol and high ApoB are linked to COVID-19 infection.This is Rio Bravo qWeek, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California. Our program is affiliated with UCLA, and it's sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. __________________________Impact of food order on glucose after meals.   By Yvette Singh, MS3, American University of the CaribbeanIn the management of diabetes, health care providers usually assess glycemic control with fasting plasma glucose and pre-prandial glucose measurements, as well as by measuring Hemoglobin A1c. Therapeutic goals for Hemoglobin A1c and pre-prandial glucose levels have been established based on the results of controlled clinical trials. Unfortunately, many patients with diabetes fail to achieve their glycemic goals. Elevated glucose after eating may be the cause of poor glycemic control leading to vascular complications. Postprandial hyperglycemia is one of the earliest abnormalities of glucose homeostasis associated with type 2 diabetes. This is one of the important therapeutic targets for glycemic control. Current studies show that the amount and timing of carbs in the diet primarily influence blood glucose levels. Other studies also show that eating whey protein before meals, as well as changing the macronutrients in meals, reduces postprandial glucose levels; however, these studies did not have patients with type 2 diabetes. The main author of this study was Alpana P. Shukla and many other collaborators. The title is Food Order Has a Significant Impact on Postprandial Glucose and Insulin Levels, published by the American Diabetes Association on Diabetes Care in July 2015.This study was performed to analyze the order of food consumption with vegetables, protein and carbohydrates and its effects on postprandial glucose in overweight/obese patients with type 2 diabetes being treated with metformin. Subjects were studied for 1 week. They were given a meal with the same number of calories, after fasting for 12 hours: 55g protein, 68g carbs, and 16g fat. They were asked to eat carbs first, then to eat vegetables and protein fifteen minutes later. This order was reversed during the second week. Their postprandial glucose and insulin levels were measured at 30/60/120 mins after meals. The statistical studies showed an average post prandial glucose decrease by more than 25% when protein was consumed first. As well as the average post prandial insulin levels decreased by more than 40%. These results demonstrated that the timing of carbs during a meal has a significant impact on glucose and insulin levels comparable to some pharmacological agents. Reduced insulin excretion with this meal pattern may also improve insulin sensitivity. This may help patients with type 2 diabetes control their HbA1c, and possibly help reverse early diabetes. Educating patients about this approach is not controlling how much they are eating or restricting their diet so patients will likely comply with this recommendation. Eat your protein first!The potential problems of this study are that it was a small sample size (11 patients), limited food types, and insulin was measured only up to 120 minutes after meals. Further studies are needed to demonstrate the full effectiveness of this recommendation.___________________HIV Series Part I: HIV HistoryBy Robert Dunn, MS3, Ross University School of Medicine This is an HIV series for the Rio Bravo qWeek Podcast. The following episodes will include some of the history of HIV, transmissibility, the PARTNER-1 and PARTNER-2 studies, and will finalize with a full episode on HIV prevention. Today we are starting with HIV history.Prejudice against those with HIV stems from the history surrounding the virus. Between 1981-1983, cases of rare infections like Pneumocystis carinii pneumonia (PCP) and aggressive cancers like Kaposi Sarcoma were appearing predominantly amongst gay men and injection drug users.  Even children were presenting with AIDS creating misconceptions of how the disease was transmitted by touch. By 1982, this syndrome was referred to as the Gay-Related Immunodeficiency (GRID), which we now know as AIDS. Some History of HIVThe start of the Human Immunodeficiency Virus (HIV) was thought to have started in the Democratic Republic of Congo in 1920 when the virus crossed species to humans and gave its ability to infect humans[4]. In 1981, five young gay men in Los Angeles, California, presented with a rare lung infection called Pneumocystis carinii pneumonia (PCP). Two other groups of men also presented with a rare and aggressive cancer called Kaposi Sarcoma, in New York and California. By December of the same year, the first case of PCP was found in an injection drug user. And by the end of the year, there were 270 reported cases of this severe immunodeficiency and about 121 of them had already died from it, almost 50%. In 1982, due to the prevalence of these rare diseases being present among gay men, the syndrome was called the Gay-Related Immune Deficiency (GRID). The CDC later officially called the disease the Acquired Immune Deficiency Syndrome (AIDS). The term “gay cancer” was used in Venezuela before AIDS was known.In 1983, the disease was found in both women and children. In May 1983, in a joint conference between the Pasteur Institute in France and the National Cancer Institute, they announced that LAV and HTLV-III were the same virus and the cause of AIDS.In 1985, Ryan White, a teenager with hemophilia was banned from school when he was diagnosed with HIV after he received contaminated blood products. Ryan later died at 18 years old due to AIDS-related illnesses. At the same time, the FDA licensed the first commercial blood test to detect HIV. A foundation was later created to provide primary care and medications for low-income HIV patients.In 1987, the first antiretroviral drug, Zidovudine (AZT) was approved by the FDA to treat for HIV. In 1991, the famous basketball player Magic Johnson announced he tested positive for HIV and retired immediately. After his retirement he planned to educate young people about the virus which helped dispel stereotypes. Also in 1991, the famous singer of Queen announced he had AIDS and died the next day.In 1993, the movie Philadelphia with Tom Hanks promoted further discussion about HIV and AIDS. In June 1995, the first protease inhibitor was approved by the Food and Drug Administration (FDA), which started the era for Highly Active Antiretroviral Therapy (HAART). This brought down the rate of AIDS-related deaths and hospitalizations by 60-80%. Of special note, in 1986, the FDA passed the policy to ban all men who had sex with men (MSM) from 1977 onward, from donating blood or plasma to avoid the risk of transmitting HIV or Hepatitis A. This policy was amended in December 2015, when the revised policy said any MSM within the last 12 months, would need to wait at least 1 year before donating blood. In light of the COVID-19 pandemic, the FDA amended it its policy once more to decrease the wait time to 3 months form the last time the man had sex with another man.____________________________Conclusion: Now we conclude our episode number 67 “Covid, Food, and HIV.” Kudos to Milan, Yvette and Robert, they presented relevant information for our practice of medicine. They taught us that high cholesterol is a risk for COVID-19 infection; Also, when you eat proteins first, your glucose and insulin after meals are lower than when you eat carbs first; and you will be hearing from Robert for a couple episodes regarding HIV. Today he gave us a little piece of HIV history. Even without trying, every night you go to bed being a little wiser.Thanks for listening to Rio Bravo qWeek. If you have any feedback about this podcast, contact us by email RBresidency@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. This podcast was created with educational purposes only. Visit your primary care physician for additional medical advice. This week we thank Hector Arreaza, Milan Hinesman, Yvette Singh, and Robert Dunn. Audio edition: Suraj Amrutia. See you next week! _____________________References:Zhang, K. Dong, S. Guo, et. al., Causal Associations Between Blood Lipids and COVID-19 Risk: A Two-Sample Mendelian Randomization Study. Arteriosclerosis, Thrombosis, and Vascular Biology, originally published on September 9, 2021. https://doi.org/10.1161/ATVBAHA.121.316324. What is Mendelian Randomization and How Can it be Used as a Tool for Medicine and Public Health? Opportunities and Challenges, Webinar announcement given by Professor George Davey Smith on November 27, 2018. Centers for Disease Control and Prevention, https://www.cdc.gov/genomics/events/precision_med_pop.htm Alpana P. Shukla, Radu G. Iliescu, Catherine E. Thomas and Louis J. Aronne, Food Order Has a Significant Impact on Postprandial Glucose and Insulin Levels, Diabetes Care 2015 Jul; 38(7): e98-e99. https://doi.org/10.2337/dc15-0429. History of HIV and AIDS Overview. Avert, October 10, 2019. https://www.avert.org/professionals/history-hiv-aids/overview. Accessed on September 21, 2021. Shaw, Maggie. FDA's Revised Blood Donation Guidance for Gay Men Still Courts Controversy. AJMC, April 3, 2020. https://ajmc.com/view/fdas-revised-blood-donation-guidance-for-gay-men-still-courts-controvery. Accessed on September 21, 2021. BAYER, R. (2015), Science, Politics, and the End of the Lifelong Gay Blood Donor Ban. Milbank Quarterly, 93: 230-233. https://doi.org/10.1111/1468-0009.12114. Ways HIV can be Transmitted. Centers for Disease Control and Prevention, April 21, 2021. https://www.cdc.gov/hiv/basics/hiv-transmission/ways-people-get-hiv.html. Accessed on September 21, 2021.

We pause to take a look to see where our party members came from, and how they came to be who they are today.This episode is brought to you by the generous donations of our amazing Show Sponsors: Laura Pickrahn, Darrin Katzska, Irene Viorritto, Ryan Royce, Darrell DeLaney, Jessica Smith, Charles Compton, Danielle Bramhall-Smith, Nastasia Raulerson, The Kamm Family, David Scrams, Elizabeth Clark, Andy Dossett, Rebekah Gowman, deviouspoptart, Eðvarð Arnór Sigurðsson, Michael Clark, Eric Witman, and Shelby Johnson.

In this episode I explain how you can reduce insurance costs aside from moving your insurance to another carrier. 

Dietary propolis supplementation reduced proinflammatory cytokines associated with air pollution exposure, without impacting on immune cell infiltration or lung function New Zealand Institute for Plant and Food Research, September 10, 2021 Air pollution is estimated to cause 7 million annual deaths globally. Our aim was to determine if dietary propolis consumption could prevent the immune and functional damage in a mouse model of acute urban dust exposure. Female C57BL/6J mice were challenged three times with intranasal urban dust over seven days which significantly increased proinflammatory cytokines and immune cells in the lung 24 h post final challenge. Dietary New Zealand propolis (2%) with gamma cyclodextrin supplementation reduced urban dust-induced lung TNFα, IL-4, and IL-6 cytokine production; but did not alter immune cell infiltration into the lung, or lung function outcomes. This suggests that daily consumption of 8% propolis with gamma cyclodextrin supplemented food was sufficient to reduce urban dust pollution-induced proinflammatory cytokine production but was not sufficient to prevent immune cell recruitment into the lung or lung function decline in a murine model of lung inflammation. In this study we found that daily consumption of a New Zealand propolis reduced proinflammatory cytokines within the lung in response to acute urban dust exposure but this inhibition was not sufficient to reduce immune cell infiltration or prevent increased airways tissue constriction. These results suggest that dietary supplementation of 8% propolis with gamma cyclodextrin (equivalent to 2% propolis resin) does not result in sufficient bioavailable concentrations of the bioactive polyphenolics to fully overcome urban dust pollution-induced acute immune cell infiltration into the lung. Other studies have shown that acute gavage consumption or intraperitoneal injection of specific propolis bioactive components can protect against a number of different immune challenges within the lung. These effects appear to be both concentration and administration route dependent, and may not be achievable using unenriched propolis as a dietary intervention.   20-Week Study of Clinical Outcomes of Over-the-Counter COVID-19 Prophylaxis and Treatment Comprehensive Pain Management Institute (Ohio), August 6, 2021 New research published in the Journal of Evidence-Based Integrative Medicine shows that early intervention against a Wuhan coronavirus (Covid-19) infection using natural, over-the-counter remedies is a safe and effective way to avoid complications. Researchers from Ohio looked at modalities that are readily available for the Chinese Virus, including zinc, zinc ionophores, vitamins C, D3, and E, and l-lysine. These items were categorized in the study as “preventive measures” and “early-stage treatments” that can help to avoid the need for more “advanced” anti-covid measures such as pharmaceutical drugs and vaccines. Each of these tested remedies is natural, by the way, and the results of what they can do are impressive. Once again, nature wins out as our most abundant medicine cabinet, far exceeding anything cooked up in a lab. The clinical study found that this “multi-component OTC (over-the-counter) ‘core formulation' regimen” successfully protected test subjects against getting sick from the Chinese Virus, even as others got sick. “While both groups were moderate in size, the difference between them in outcomes over the 20-week study period was large and stark: Just under 4% of the compliant test group presented flu-like symptoms, but none of the test group was COVID-positive,” the paper reveals. “[W]hereas 20% of the non-compliant control group presented flu-like symptoms, three-quarters of whom (15% overall of the control group) were COVID-positive.” For 20 weeks, test subjects took these natural supplements. Adjustments were made for those with pre-existing health conditions and other health factors that may have influenced the outcome. Since all of the remedies utilized fall into the “low cost” category, anyone can access them. They are all dubbed as “anti-viral” as well, meaning they are safe and effective for use against viruses. By taking advantage of these remedies early, the paper explains, people can help to protect themselves against the types of adverse events that are causing some people to have to be hospitalized and put on a ventilator. “From early March through the end of July 2020, one of us (LM) monitored approximately 600 patients in Columbus and Cleveland, Ohio cities heavily affected by the COVID-19 pandemic, and did consultations with several colleagues (including JL) in the New York City metropolitan area, also heavily hit,” the paper explains. “Over that 5-month period, we dealt with dozens of clinical and/or test-confirmed cases of COVID-19. Much of the monitoring was performed via telemedicine; approximately 20% was performed in-office. It is from in-office monitored patients and staff that the study groups emerged.” We have been covering some of these same remedies along with others that have been scientifically shown to help protect against spike protein-induced illness. Hydroxychloroquine (HCQ), as one example, is a zinc ionophore that helps to deliver more zinc into cells for improved immune function. Epigallocatechin gallate (EGCG), a polyphenol component of green tea, is a natural zinc ionophore that improves zinc absorption. For this latest study, the research team used quina (cinchona) plant bark extract and quercetin as zinc ionophores, as these, too, help to deliver more healing nutrients like zinc to the cells. “The core supplementation formulation components have been demonstrated … to have beneficial effects both outside of and within clinical settings in the prevention of viral infections and also in the treatment of early stages of such diseases,” the study reveals. “Zinc ionophores can … be utilized to gain the anti-viral benefit of enhanced intracellular Zn+2 concentrations while limiting tolerance / side-effect / toxicity issues associated with elevated serum levels of zinc supplementation.” You can review the full paper at this link.     Neuroprotective effect of L-carnitine against glyceraldehyde-induced metabolic impairment University Politecnica delle Marche (Italy), September 7, 2021 According to news reporting originating from Ancona, Italy, research stated, “Alzheimer's disease (AD) is a neurodegenerative disorder characterized by progressive cognitive regression and memory loss. Dysfunctions of both glucose metabolism and mitochondrial dynamics have been recognized as the main upstream events of the degenerative processes leading to AD.” Our news editors obtained a quote from the research from the School of Medicine, “It has been recently found that correcting cell metabolism by providing alternative substrates can prevent neuronal injury by retaining mitochondrial function and reducing AD marker levels. Here, we induced an AD-like phenotype by using the glycolysis inhibitor glyceraldehyde (GA) and explored whether L-carnitine (4-N-trimethylamino-3-hydroxybutyric acid, LC) could mitigate neuronal damage, both in SH-SY5Y neuroblastoma cells and in rat primary cortical neurons. We have already reported that GA significantly modified AD marker levels; here we demonstrated that GA dramatically compromised cellular bioenergetic status, as revealed by glycolysis and oxygen consumption rate (OCR) evaluation. We found that LC ameliorated cell survival, improved OCR and ATP synthesis, prevented the loss of the mitochondrial membrane potential (Dps) and reduced the formation of reactive oxygen species (ROS). Of note, the beneficial effect of LC did not rely on the glycolytic pathway rescue. Finally, we noticed that LC significantly reduced the increase in pTau levels induced by GA. Overall, these findings suggest that the use of LC can promote cell survival in the setting of the metabolic impairments commonly observed in AD.” According to the news editors, the research concluded: “Our data suggest that LC may act by maintaining mitochondrial function and by reducing the pTau level.”     Hyperbaric oxygen study shows reversal of biologic hallmarks responsible for development of Alzheimer disease Tel Aviv University  & Shamir Medical Center (Israel), September 10, 2021 A new study, published today in peer-review medical journal Aging, marks the first time non-pharmaceutical clinical exploration proves efficacy in reversing the main activators of Alzheimer's disease.    Using a specific protocol of hyperbaric oxygen therapy (HBOT), cerebral blood flow (CBF) improved/increased in elderly patients by 16-23%, alleviating vascular dysfunction and amyloid burden. The study, part of a comprehensive research program directed toward aging and accompanying ailments as a reversible disease, holds promise for a new strategic approach to the prevention of Alzheimer's by addressing not only the symptoms or targeting biomarkers, but rather the core pathology and biology responsible for the advancement of the disease.  Vascular dysfunction is a crucial element in the development of Alzheimer's and cognitive decline: Amyloid beta deposits in the brain blood vessel walls are the most common vascular pathology in Alzheimer's.  Reduced blood flow to the brain and its related decrease in oxygen supply (hypoxia) can precede the clinical onset of dementia and correlates with the degree of cognitive impairment in Alzheimer's. The comprehensive research, conducted at the Sagol School of Neuroscience at Tel Aviv University and the Sagol Center for Hyperbaric Medicine and Research at Shamir Medical Center, was led by study co-authors, Professor Shai Efrati, M.D.; Professor Uri Ashery, Ph.D.; Ronit Shapira, Ph.D.; Pablo Blinder, Ph.D.; Amir Hadanny, M.D. Using combined data from an animal model of Alzheimer's, where effects were evaluated directly on brain tissue (Sagol School of Neuroscience at Tel Aviv University); humans, assessed with the use of high-resolution MRI and computerized cognitive test (Sagol Center for Hyperbaric Medicine and Research at Shamir Medical Center); correlating results displayed beneficial effects of HBOT on patients suffering from mild cognitive impairment (MCI), the stage before dementia. Each patient received 60 HBOT sessions over a 90-day period, showcasing substantial improvement in cognitive functions – with memory, attention and information processing speed exhibiting the strongest results.  "After dedicating our HBOT research to exploring its impact on the areas of brain functionality and age-related cognitive decline, we have discovered for the first time HBOT induces degradation and clearance of pre-existing amyloid plaques – treatment, and the appearance of newly formed plaques- prevention," explains Professor Uri Ashery. "Elderly patients suffering from significant memory loss at baseline revealed an increase in brain blood flow and improvement in cognitive performance, demonstrating HBOT potency to reverse core elements responsible for the development of Alzheimer's disease." "By treating vascular dysfunction, we're mapping out the path toward Alzheimer's prevention. More research is underway to further demonstrate how HBOT can improve cognitive function and become an influential tool in the imperative fight against the disease," affirms Professor Efrati, research group leader and medical advisor to Aviv Scientific.  Aviv has developed a unique medical treatment protocol that includes HBOT, cognitive and physical training, and nutritional coaching, to enhance brain and body performance of aging adults at Aviv Clinics, currently available in Central Florida and Dubai.  HBOT is already used in patients with other pathologies and is known to be a relatively safe treatment modality, illustrating its potential to be easily implanted in clinical practice. In recent years, there is growing scientific evidence that certain protocols of HBOT can improve brain oxygen supply, induce proliferation of neuronal stem cells and induce generation of new blood vessels and neurons in the brain.       Increased flatulence from eating plant-based diet found to indicate healthier gut microbiome Center for Biomedical Research Network for Liver and Digestive Diseases (Spain), September 10, 2021 A team of researchers affiliated with a host of institutions across Spain has found that the increase in flatulence experienced by people switching to a plant-based diet is an indication of a healthier gut microbiome. In their paper published in the journal Nutrients, the group describes experiments they conducted with healthy, male volunteers regarding diet, fecal sample size and flatulence. It is widely known that switching from a fat or carbohydrate-based diet to one that features more vegetables results in more flatulence—particularly if the switch is to cruciferous vegetables. But as the researchers with this new effort have noted, little research has been done to learn more about the association between diet and flatulence. To learn more about the impact of switching to a plant-based diet on digestion and the gut biome, the researchers enlisted the assistance of 18 healthy, adult male volunteers. Each was asked to eat a western-style diet and then to switch to the plant-based Mediterranean diet for two weeks. Over the study period, the volunteers were asked to count the number of times they defecated each day and to capture and weigh each stool sample. Each of the volunteers was also asked to count the number of times they passed gas. The volunteers were also asked to submit to randomized testing that involved measuring the amount of gas that was emitted during episodes of flatulence, using balloons. The researchers found that the change in diet did not change the number of times the volunteers defecated each day—but it did change the amount of material discharged. The researchers found the plant-based diet doubled the stool size on average. The researchers note this was due to a huge increase in the mass of bacterial growth and excretion. The data also showed that the number of flatulence episodes increased by seven times per day on the plant-based diet—and each discharge had approximately 50% more gas. The researchers note this was due to fermenting of plant material in the gut. The researchers suggest their experiments show that a plant-based diet promotes more healthy types of gut bacteria which leads to better overall gut health.   Physical exercise can relieve tumor-associated anemia University of Basel (Switzerland), September 10, 2021 Many cancer patients suffer from anemia leaving them fatigued, weak, and an impaired ability to perform physical activity. Drugs only rarely alleviate this type of anemia. Researchers at the University of Basel have now been able to show what causes the anemia, and that physical exercise can improve this condition. The two major symptoms of cancer are loss of muscle mass and a reduced hemoglobin level, leading to weight loss, fatigue, lethargy and reduced physical performance. Moreover, both symptoms—atrophy and anemia—prompt many patients to schedule a doctor's appointment, then resulting in the diagnosis of a tumor. Why cancer causes muscle atrophy and anemia is not yet understood, and treatment is currently difficult. The fact that anemia leads to a decline of the overall state of health and can negatively affect the course of cancer therapy highlights the urgency to obtain insights into causes and potential remedies. In collaboration with the Department of Biomedicine at the University of Basel, the research group of Professor Christoph Handschin at the Biozentrum has now been able to show in a mouse model that cancer not only triggers a systemic inflammatory reaction, but also massively changes the handling of lipids and other metabolites in the body. The body's fight is unsuccessful These changes result in a tumor-related enhanced destruction of red blood cells. The study published in Science Advances shows that exercise normalizes these metabolic abnormalities and thereby reduces the anemia caused by cancer. The body tries to counteract the degradation by increasing red blood cell productionin the bone marrow and the spleen—without success. However, the increased production of blood cells is insufficient to prevent tumor-associated anemia. "We have now been able to clarify how cancer causes the degradation of red blood cells," says Christoph Handschin. "Cancer massively alters the metabolism of lipids and other compounds. This alters not only the red blood cells but also the macrophages, causing a sharp increase in red blood cells destruction by the macrophages." Macrophages are a type of white blood cells and part of the immune system. Exercise normalizes metabolism and alleviates anemia The research group attempted to normalize the metabolism by pharmacological means. However, none of the drugs could significantly improve the anemia. In contrast, however, the metabolism was regulated to such an extent by exercise that the anemia also decreased. Even the abnormal increase in red blood cell production could be reduced to a lower level. "Training was able to restore tumor-induced metabolic remodeling and inflammation sufficiently to blunt the excessive blood cell formation and destruction," explained Handschin. This study provides novel insights into the development of tumor-associated anemia. The findings suggest that exercise is a useful therapy for cancer patients, in order to counteract anemia and associated fatigue and lethargy and in turn to improve their general well-being and quality of life. This also leads to improved tolerance of radio- and chemotherapy, as has previously been established.   Mango could help maintain gut bacteria at risk from high-fat diets Oklahoma State University, September 13, 2021 Mango consumption could help prevent the loss of beneficial gut bacteria caused by a high fat diet, according to research on mice. The findings, published in the Journal of Nutrition , appears to reveal for the first time the positive impact of mango on gut microbiota. In the study, 60 male mice were assigned to one of four dietary treatment groups for 12 weeks - control (with 10% of calories from fat), high fat (with 60% calories from fat), or high fat with 1% or 10% mango. All high-fat diets had similar macronutrient, calcium, phosphorus, and fiber content. “We investigated the effects of freeze-dried mango pulp combined with an high-fat diet on the cecal microbial population and its relation to body composition, lipids, glucose parameters, short-chain fatty acid (SCFA) production, and gut inflammatory markers in a mouse model of diet-induced obesity,” the study reports. The high-fat dietary treatment with 10% mango (equivalent to 1½ cups of fresh mango pieces) was found to be the most effective in preventing the loss of beneficial bacteria from a high-fat diet without decreasing body weight or fat accumulation. Specifically, mango supplementation regulated gut bacteria in favor of Bifidobacteria and Akkermansia and enhanced short-chain fatty acid (SFCA) production. SCFAs have been shown to possess a wide range of beneficial effects, such as anti-inflammatory properties. Fibre benefits In previous studies, Bifidobacteria, for example, has been found to be lower in both obese individuals and those with type-2 diabetes. Similar results have been observed withAkkermansia in animal studies. High-fat diets, meanwhile, have been linked to gut dysbiosis, or bacterial imbalances within the intestinal tract. "Fibre and other bioactive compounds in plant-based foods are suggested to prevent gut dysbiosis caused by a high-fat diet," said Edralin A. Lucas, professor of nutritional sciences at Oklahoma State University and lead researcher of the study. "Mango is a good source of fibre and has been reported in previous studies to have anti-obesogenic, hypoglycemic and immunomodulatory properties. The results of this animal study showed that adding mango to the diet may help maintain and regulate gut health and levels of beneficial bacteria levels.” India, China, Indonesia and Thailand are the top four Mango growing countries, accounting for well over half the total global production. Although more research is needed on the effects of mango on human health, this study suggests that mango consumption may be important in improving gut health particularly for those consuming a high-fat diet, the researchers concluded.

We are joined by Mark Hennely again to talk about Continental Pintail Limits, water issues, reduced quotas, and what the plan is for flood ups in California. Watch The MVM Show on Youtube  https://www.youtube.com/channel/UChfUd5fvEkW97ZwEwT4mEYw/featured?view_as=public Email - themvmshowpodcast@gmail.com