Podcasts about roqu

Es compleixen 30 anys de la inauguració dels túnels de Collabós. Va ser el 15 d’octubre de 1994 quan les comarques del Ripollès i la Garrotxa van millorar les seves comunicacions per carretera. En parlem amb l'alcalde de Sant Joan de les Abadesses, Ramón Roqué

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El director, productor y guionista; conductor del programa ´Manivela´, emitido por AM 870 Radio Nacional, falleció el 16 de agosto de 2021, a los 68 años. Miembro de la Academia de las Artes y Ciencias Cinematográficas de Argentina, su carrera dejó películas como "Cazadores de Utopías"; "Botín de guerra", sobre la lucha de las Abuelas de Plaza de Mayo; "Hacer Patria"; "Porotos de soja", codirigido con Osvaldo Daicich, y "Fragmentos Rebelados", donde aborda la vida del cineasta argentino desaparecido Enrique Juárez. A lo largo de su extensa filmografía, en la que también ofició de productor y guionista, Blaustein supo utilizar el lenguaje y los recursos del género documental para ponerlos al servicio del uso de la memoria para recuperar hechos emblemáticos. Su último filme, presentado en el Bafici 2021, fue "Se va a acabar", en dirección junto a Andrés Cedrón, en el cual recoge los testimonios silenciados de trabajadoras y trabajadores que participaron en distintos conflictos sindicales durante la última dictadura cívico militar y protagonizaron la resistencia. "La memoria es pertinente por muchísimas razones. En primer lugar, por una cuestión ética y moral hacia los compañeros que ya no están -expresó Blaustein oportunamente-; en mi caso personal son muchos y los tengo presentes. También es pertinente la memoria para que no se repitan; hoy las Fuerzas Armadas no están en condiciones de amenazar la democracia, pero también es pertinente para que la democracia permita seguir juzgando la violencia institucional". Su debut cinematográfico fue en 1996 con "Cazadores de Utopías", una cinta en la que, por medio de entrevistas, traza su visión de la historia de la agrupación Montoneros. Blaustein se erigió como un referente del cine sociopolítico argentino; en 2004 produjo el documental "Papá Iván", dirigido por María Inés Roqué, quien pone su mirada en la vida de su padre, Juan Julio Roqué, uno de los fundadores de las Fuerzas Armadas Revolucionarias (FAR) y, más tarde, dirigente de Montoneros. Continuando con su visión política, en 2009 codirigió y produjo "Porotos de Soja", un documental en el que se adentra en el conflicto entre el gobierno de Cristina Fernández de Kirchner y sectores del campo, producto de la resolución 125. A su vez, por más de 20 años, Blaustein fue conductor del programa radial ´Manivela´, por AM870 Radio Nacional, en el que abordaba, desde diferentes ópticas, el cine latinoamericano. En un nuevo aniversario de su muerte lo recordamos con una de las tantas entrevistas que hizo en este espacio radial. Compartimos la charla con Leonardo Favio, cantautor, director de cine, productor cinematográfico y guionista argentino, en enero de 2011.​ Música: Donde irás con este sol (Luis María Serra) Coral Contemporáneo Jorge Armasto (BSO Juan Moreira) Fuiste mía un verano (Vico Berti - L Fabio) Leonardo Favio [1968 del Álbum Fuiste Mía un verano]

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Visió transversal del sector primari sense estereotips. Dimarts, a les 11 h. Producció d'EMUN FM Ràdio i de la Xarxa de Comunicació Local. podcast recorded with enacast.com

Àlex Morales Front és el nou president de la Cambra Arrossera del Montsià. El passat divendres es va renovar la Junta Rectora de l'entitat i Morales, que fins ara havia estat vicepresident de la Cambra, ha agafat el relleu del rapitenc Marcel Matamoros. La Regidoria de Medi Ambient i Sostenibilitat de l'Ampolla ha instal·lat una nova minideixalleria urbana al municipi, en este cas a la zona de la urbanització Mirador del Delta, al barri del Roqué. La tripulació infantil de l'AE Xino Xano de Deltebre s'ha proclamat campiona de la Lliga de Batel. Este cap de setmana es va disputar la quarta i últim regata de la lliga a Deltebre i després de classificar-se tercers en esta prova, han pogut quedar campions.

Gustavo Roqué: El Arribeño Casas de altura, Tafí del Valle, Tucumán. Programa emitido el 24/03/2024 Producción y realización: Evangelina Barone y Gerardo Moyano @evangelocutora

El director, productor y guionista; conductor del programa ´Manivela´, por Radio Nacional, falleció el 16 de agosto de 2021, a los 68 años. Miembro de la Academia de las Artes y Ciencias Cinematográficas de Argentina, su carrera dejó películas como "Cazadores de Utopías"; "Botín de guerra", sobre la lucha de las Abuelas de Plaza de Mayo; "Hacer Patria"; "Porotos de soja", codirigido con Osvaldo Daicich, y "Fragmentos Rebelados", donde aborda la vida del cineasta argentino desaparecido Enrique Juárez. A lo largo de su extensa filmografía, en la que también ofició de productor y guionista, Blaustein supo utilizar el lenguaje y los recursos del género documental para ponerlos al servicio del uso de la memoria para recuperar hechos emblemáticos. Su último filme, presentado en el Bafici 2021, fue "Se va a acabar", en dirección junto a Andrés Cedrón, en el cual recoge los testimonios silenciados de trabajadoras y trabajadores que participaron en distintos conflictos sindicales durante la última dictadura cívico militar y protagonizaron la resistencia. "La memoria es pertinente por muchísimas razones. En primer lugar, por una cuestión ética y moral hacia los compañeros que ya no están -expresó Blaustein oportunamente-; en mi caso personal son muchos y los tengo presentes. También es pertinente la memoria para que no se repitan; hoy las Fuerzas Armadas no están en condiciones de amenazar la democracia, pero también es pertinente para que la democracia permita seguir juzgando la violencia institucional". Su debut cinematográfico fue en 1996 con "Cazadores de Utopías", una cinta en la que, por medio de entrevistas, traza su visión de la historia de la agrupación Montoneros. David ´Coco´Blaustein se erigió como un referente del cine sociopolítico argentino: en 2004 produjo el documental "Papá Iván", dirigido por María Inés Roqué, quien pone su mirada en la vida de su padre, Juan Julio Roqué, uno de los fundadores de las Fuerzas Armadas Revolucionarias (FAR) y, más tarde, dirigente de Montoneros. Continuando con su visión política, en 2009 codirigió y produjo "Porotos de Soja", un documental en el que se adentra en el conflicto entre el gobierno de Cristina Fernández de Kirchner y sectores del campo, producto de la resolución 125. A su vez, por más de 20 años, Blaustein fue conductor del programa radial ´Manivela´, por AM870 Radio Nacional, en el que abordaba, desde diferentes ópticas, el cine latinoamericano. "Fue un enorme militante político en los ´70 además de un gran compañero", expresó el periodista Gustavo Campana, “se fue parte del corazón de Radio Nacional que nos acompañaba con escucha militante”. Compartimos la charla que mantuvo el subdirector de la Radio con la periodista Gisela Busaniche tras conocerse la noticia de la muerte de Coco Blaustein, por AM870.

Renée is a Wavemaker and was very busy throughout the week, capturing the moments through video and photos.   As a Wavemaker, Renée was intimately involved in the pre-event planning and promotion of the event. In this episode, Renée shared, from her perspective, what WomanUP! has meant for her growth and her career as a real estate professional.   Renée is also deeply involved in her community in support of affordable housing and helping eliminate homelessness.   Connect with Renée here on Instagram.

La Música y el CX! por Gonzalo Roqué para el ciclo digital El CRIC es Todos los Días!

🎙️ El Senador, Pedro Anatael Meneses Roqué nos pone al día y nos actualiza las últimas propuestas aprobadas en la Cámara Alta que van a beneficiar ampliamente al 🇮🇨 archipiélago canario.

Francisco “Paco” Urondo nació en la capital de la provincia de Santa Fe, Argentina, el 10 de enero de 1930. A comienzos de los años cincuenta, la revista vanguardista Poesía Buenos Aires publicó algunos de sus primeros poemas. Como periodista colaboró en diversos medios del país y del extranjero, entre ellos: Primera Plana, Panorama, Crisis, La Opinión (donde bautizó al periodista Horacio Verbitsky con el apodo de «El Perro») y Noticias. Se casó además con la actriz Zulema Katz luego de que, en 1964, ella se separara del director David Stivel. Fue autor en colaboración de los guiones cinematográficos de las películas Pajarito Gómez y Noche terrible, y adaptó para la televisión Madame Bovary (novela de Gustabe Flaubert), Rojo y negro (de Stendhal) y Los Maïas (de José Maria Eça de Queirós). Trayectoria En 1957, Urondo ocupó la Dirección de Arte Contemporáneo de la Universidad Nacional del Litoral. El 16 de junio de 1958 y con tan solo 27 años, el entonces gobernador de la provincia de Santa Fe, Carlos Sylvestre Begnis, al asumir, lo designó Director General de Cultura de la misma. En 1972, estuvo en pareja con Lili Massaferro, con quien militó en las FAR. Un año después, en 1973 fue designado Director del Departamento de Letras de la Facultad de Filosofía y Letras de la Universidad de Buenos Aires. Militó en las organizaciones guerrilleras argentinas FAR y Montoneros. Participó en el copamiento de la ciudad de Garín realizado por las FAR el 30 de julio de 1970. En febrero de 1973 fue detenido en Ingeniero Maschwitz (provincia de Buenos Aires) junto a Iván Roqué, Lili Massaferro y Alicia Rabboy (su última pareja). Además, la policía allanó el domicilio de Chela Murúa, exesposa de Paco, que vivía en el barrio de Colegiales, y la llevaron detenida, a pesar que no participaba en política y estaba separada de Paco desde 1959. En diciembre de 1976, la dictadura militar secuestró, torturó y asesinó a su hija, Claudia Urondo, y al esposo de esta, Mario «Jote» Koncuart. (Fuente: Wikipedia)

MIT Medical's Primary Care Providers (PCPs) include physicians and nurse practitioners. They are pediatricians for children, specialists in internal medicine and family practice for adults, and specialists in adolescent medicine and family practice for young adults.But how do you know which of our many providers is best for you? Today we are speaking with Rosemarie Roqué Gordon, MD, MPH, Pediatrician at MIT Medical.

The Irish-based ROQU Group has announced the pilot launch of Health Passport Ireland, a world-first digital platform designed to facilitate increased COVID-19 testing for businesses and the public. Engineered in Ireland, the platform combines the latest digital technologies with accurate and validated COVID-19 testing solutions, which can deliver results in as little as 15 minutes. The digital platform is a big step towards helping businesses and individuals to quickly minimise risks related to COVID-19 and ensure they can continue daily activities. The system has been designed to work will all official COVID-19 test types. Health Passport Ireland is launching with a trial involving a select range of national participants including Tallaght University Hospital, Oaklodge Nursing Home, Emerald Freight, Keogh’s Farm, Home Music Festival, a county Meath based crèche and more. ROQU Group-Supporting businesses, protecting communities. The platform has been developed to help the Irish economy by helping businesses to remain open through continuous proactive testing, identifying positive results at the earliest stage whilst simultaneously protecting communities by offering increased testing. “In the past week alone, unfortunately, we’ve seen continued frustration and disappointment as restrictions have again been tightened due to continued spread of COVID-19,” said Robert Quirke, President and CEO of ROQU Group, at today’s launch. “Health Passport Ireland is designed to put a safety net in place where none currently exists, allowing our economy to recover and thrive in a more safely controlled environment,” said Mr Quirke. “It is a world-first innovation, proudly engineered in Ireland to the highest standards, that will enable business and society to finally move forward. The game-changer has finally arrived.” Health Passport Ireland has been developed specifically to work in harmony with all official COVID-19 tests, including HSE tests, laboratory swab and blood tests, and the very latest rapid testing solutions soon to be launched. “Using our global visibility, we are helping local companies by making the best COVID-19 testing solutions readily available to all,” said ROQU’s Robert Quirke. “We are not favouring one type of test over another, however as testing and research continues to improve, we want to ensure that Irish society and economy can easily access testing solutions that offer the highest levels of clinical validation, whilst utilising the latest mobile technologies.” ROQU Group: Trial launch across a variety of business scenarios. “The purpose of the pilot trial is to demonstrate how Health Passport Ireland works across a variety of real-life business and social scenarios,” he added. One of the trial participants is Oaklodge Nursing Home in Cork, whose Proprietor, Diarmuid O’Dailigh has welcomed the trial launch of Health Passport Ireland: “We have rigorously followed the guidelines and implemented all possible safety measures to protect our residents and staff, but normal life as we knew it came to an end months ago. Until there is a vaccine, the only solution is to test and keep testing everyone, so we can immediately isolate any positive cases while others are able to carry on their daily activities. “As soon as we heard about Health Passport Ireland, we immediately asked to be involved. It will allow us to take control and proactively monitor our staff, residents, and visitors’ health status, and we are looking forward to taking part in the pilot launch.” Amid calls for increased testing for the public, ROQU says that newly engineered rapid tests could provide a solution needed to stop the spread of the virus. Where no testing solution is already in place, Health Passport Ireland can provide the very latest rapid antigen swab tests and antibody blood tests, which deliver results in less than 15 minutes. The testing solutions are engineered, manufactured, and clinically validat...

The Irish-based ROQU Group has announced the pilot launch of Health Passport Ireland, a world-first digital platform designed to facilitate increased COVID-19 testing for businesses and the public. Engineered in Ireland, the platform combines the latest digital technologies with accurate and validated COVID-19 testing solutions, which can deliver results in as little as 15 minutes. The digital platform is a big step towards helping businesses and individuals to quickly minimise risks related to COVID-19 and ensure they can continue daily activities. The system has been designed to work will all official COVID-19 test types. Health Passport Ireland is launching with a trial involving a select range of national participants including Tallaght University Hospital, Oaklodge Nursing Home, Emerald Freight, Keogh’s Farm, Home Music Festival, a county Meath based crèche and more. Supporting businesses, protecting communities. The platform has been developed to help the Irish economy by helping businesses to remain open through continuous proactive testing, identifying positive results at the earliest stage whilst simultaneously protecting communities by offering increased testing. “In the past week alone, unfortunately, we’ve seen continued frustration and disappointment as restrictions have again been tightened due to continued spread of COVID-19,” said Robert Quirke, President and CEO of ROQU Group, at the launch. “Health Passport Ireland is designed to put a safety net in place where none currently exists, allowing our economy to recover and thrive in a more safely controlled environment,” said Mr Quirke. “It is a world-first innovation, proudly engineered in Ireland to the highest standards, that will enable business and society to finally move forward. The game-changer has finally arrived.” Health Passport Ireland has been developed specifically to work in harmony with all official COVID-19 tests, including HSE tests, laboratory swab and blood tests, and the very latest rapid testing solutions soon to be launched. “Using our global visibility, we are helping local companies by making the best COVID-19 testing solutions readily available to all,” said ROQU’s Robert Quirke. “We are not favouring one type of test over another, however as testing and research continues to improve, we want to ensure that Irish society and economy can easily access testing solutions that offer the highest levels of clinical validation, whilst utilising the latest mobile technologies.” “The purpose of the pilot trial is to demonstrate how Health Passport Ireland works across a variety of real-life business and social scenarios,” he added. One of the trial participants is Oaklodge Nursing Home in Cork, whose Proprietor, Diarmuid O’Dailigh has welcomed the trial launch of Health Passport Ireland: “We have rigorously followed the guidelines and implemented all possible safety measures to protect our residents and staff, but normal life as we knew it came to an end months ago. Until there is a vaccine, the only solution is to test and keep testing everyone, so we can immediately isolate any positive cases while others are able to carry on their daily activities. “As soon as we heard about Health Passport Ireland, we immediately asked to be involved. It will allow us to take control and proactively monitor our staff, residents’, and visitors’ health status, and we are looking forward to taking part in the pilot launch.” Amid calls for increased testing for the public, ROQU says that newly engineered rapid tests could provide a solution needed to stop the spread of the virus. Where no testing solution is already in place, Health Passport Ireland can provide the very latest rapid antigen swab tests and antibody blood tests, which deliver results in less than 15 minutes. The testing solutions are engineered, manufactured, and clinically validated in Europe. The current situation is not sustainable. “We are all aware that the cu...

Programa El Zurrón, Pedro Anatael Meneses El Zurrón, Pedro Anatael Meneses

Ana Roqué de Duprey fue una mujer feminista, prodigio y pionera en muchísimas materias. Durante su vida luchó por el derecho al voto de las mujeres. Recientemente, se descubrió un manuscrito inédito sobre botánica, que incluye más de 6,000 especies y plantas, un libro con gran valor histórico para el estudio botánico en Puerto Rico y el Caribe. Ana es una de las mujeres boricuas más importantes de nuestra historia nacional. Fuentes: Rivera de Álvarez, Josefina. (1983) La Narrativa Realista; notas al calce. p 239. Ediciones Partenon. Sarramía, Tomás. (1992) Ana Roqué de Duprey: Educadora. p 165. Nuestra Gente: Apuntes y Datos BIográficos de Personajes Representativos de Puerto Rico. Publicaciones Puertorriqueñas. Martínez Maldonado, Eliván. (2015, 23 de febrero) El tesoro de una científica rebelde. CPI - Centro de Periodismo Investigativo. (Puerto Rico) Mota Maldonado, Yanelba. (2016, 23 de febrero) Lucha y sufragio femenino (1896-1935). Enciclopedia de Puerto Rico. Pagán, Mya. (2020) Ana Roqué de Duprey. Ellas: Historias de Mujeres Puertorriqueñas. pp 28-29. Editorial Destellos. Alvarado León, Gerardo E. (2017, 29 de octubre) Árboles que honran a la mujer. El Nuevo Día. Rivera, Jesús Omar "El Boricuazo". Puertorriqueña es Catalogada como Genio. Publicación en Facebook: 18-04-2020. Revista Heraldo de la Mujer. Archivo Nacional de Puerto Rico. 

We begin with María Inés Roqué, Academic Dir. of Ambulante Más Allá program. Then, we visit Colombian guitarist Nilko Andreas Guarín. Later, Patricio interviews Alberto García Ferrer, Sec. General of ATEI. We end with Susie Jaramillo, creator of Canticos

"By the pricking of my thumbs, Something wheezing this way comes." -- Witches in Macbeth, with apologies to William Shakespeare   "Bronchiolitis is like a pneumonia you can’t treat. We support, while the patient heals." -- Coach, still apologetic to the Bard     The Who The U.S. definition is for children less than two years of age, while the European committee includes infants less than one year of age. This is important: toddlerhood brings with it other conditions that mimic bronchiolitis – the first-time wheeze in a toddler may be his reactive airway response to a viral illness and not necessarily bronchiolitis. The What The classic clinical presentation of bronchiolitis starts just like any other upper respiratory tract infection: with nasal discharge and cough, for the first 1-2 days. Only about 1/3 of infants will have a low-grade fever, usually less than 39°C. We may see the child in the ED at this point and not appreciate any respiratory distress – this is why precautionary advice is so important in general. Then, lower respiratory symptoms come: increased work of breathing, persistent cough, tachypnea, retractions, belly breathing, grunting, and nasal flaring. Once lower respiratory symptoms are present, like increased work of breathing, they typically peak at day 3. This may help to make decisions or counsel parents depending on when the child presents and how symptomatic he is. You’ll hear fine crackles and wheeze. A typical finding in bronchiolitis is a minute-to-minute variation in clinical findings – one moment the child could look like he’s drowning in his secretions, and the next minute almost recovered. This has to do with the dynamic nature of the secretion, plugging, obstruction, coughing, dislodgement, and re-plugging. The Why Respiratory syncytial virus is the culprit in up to 90% of cases of bronchiolitis. The reason RSV is so nasty is the immune response to the virus: it binds to epithelial cells, replicates, and the submucosa becomes edematous and hypersecretes mucus. RSV causes the host epithelia and lymphocytes to go into a frenzy – viral fusion proteins turn the membranes into a sticky goop – cells fuse into other cells, and you have a pile-on of multinucleated dysfunction. This mucosal chaos causes epithelial necrosis, destruction of cilia, mucus plugs, bronchiolar obstruction, air trapping, and lobar collapse. High-Risk Groups Watch out especially for young infants, so those less than 3 months of age. Apnea may be the presenting symptom of RSV. Premature infants, especially those less than 32 weeks’ gestation are at high risk for deterioration.  The critical time is 48 weeks post-conceptional age. Other populations at high-risk for deterioration: congenital heart disease, pulmonary disease, neuromuscular disorders, metabolic disorders. Guiding Principles In the full term child, greater than one month, and otherwise healthy (no cardiac, pulmonary, neuromuscular, or metabolic disease), we can look to three simple criteria for home discharge. If the otherwise healthy child one month and older is: Euvolemic Not hypoxic Well appearing He can likely go home. The How Below is a list of modalities, treatments, and the evidence and/or recommendations for or against: Chest Radiograph Usually not necessary, unless the diagnosis is uncertain, or if the child is critically ill. Factors that are predictive of a definite infiltrate are: significant hypoxia (< 92%), grunting, focal crackles, or high fever (> 39°C). Ultrasound Not ready for prime time.  Two small studies, one by Caiulo et al in the European J or Pediatrics and one by Basile et al. in the BMC Pediatrics that show some preliminary data, but not enough to change practice yet. Viral Testing Qualitative PCR gives you a yes or no question – one that you’ve already answered. It is not recommended for routine use. PCR may be positive post-infection for several weeks later (details in audio). Quantitative PCR measures viral load; an increased quantitative viral load is associated with increased length of stay, use of respiratory support, need for intensive care, and recurrent wheezing. However, also not recommended for routine use. There is one instance in which viral testing in bronchiolitis can be helpful – in babies less than a month of life, the presence of RSV virus is associated with apnea. Blood or Urine Testing Routine testing of blood or urine is not recommended for children with bronchiolitis.  Levine et al in Pediatrics found an extremely low risk of serious bacterial illness in young febrile infants with RSV. The main thing is not to give in to anchoring bias here. If an infant of 3 months of age or older has a clear source for his low-grade fever – and that is his bronchiolitis – then you have a source, and very rarely do you need to go looking any further. He’s showing you the viral waterfall from his nose, and his increased work of breathing. It’s not going to be in his urine. Bronchodilators! Should we use bronchodilators in bronchiolitis?  It seems lately that this is a loaded question – with strong feelings on either side amongst colleagues. The short answer is that the American Academy of Pediatrics, the UK’s National Institute for Health and Care Excellence, as well as the Canadian Pediatric Society currently recommend against them. However, in continental Europe and Australia, the language is softened to “not routinely recommended”. Pros and Cons in Audio; the 2006 AAP Guidelines and the 2014 AAP Guidelines use same data to come to divergent recommendations. Steroids There is no role for steroids in the treatment of bronchiolitis, even in those with a family or personal history of atopy. Nebulized Hypertonic Saline May show some benefit in admitted patients, after repeated treatments; no data to support its use in ED patients (no immediate effect). Nebulized Epinephrine One randomized controlled double blinded study in eight centers in Norway published in the NEJM showed no benefit to nebulized epinephrine over nebulized saline. Again, probably asking too much of one single intervention. The Cochrane review found 19 studies that included a total of 2256 children with acute bronchiolitis treated with nebulized epinephrine. There were no differences in length of hospital stay between the placebo and treatment groups, and so they concluded that for inpatients, nebulized epinephrine is not worth the hassle. However – and this may just be an artifact of meta-analysis – there may be some benefit to outpatients. One study of combined high-dose steroid and epinephrine therapy was not statistically significant when other factors were controlled, but Cochrane concluded that nebulized epinephrine itself may be helpful for outpatients. It won’t affect the overall disease time course, but it may make them feel better enough to go home from the ED and continue observation there. High-Flow Nasal Cannula Oxygen High-flow oxygen via nasal cannula requires specialized equipment and delivers humidified oxygen at 1-2 L/g/min.  In addition to oxygenation, high flow nasal cannula also likely offers some low-grade positive end-expiratory pressure, which may help with alveolar recruitment. The evidence for its use is based on observational studies, which have found improved respiratory parameters and reduced rates of intubation.  Nasal CPAP also has some promising properties in the right clinical setting. Antibiotics Not recommended. When bronchiolitis is from a clear viral source, the risk of accompanying bacteremia is less than 1%. A meta-analysis of randomized clinical trials found that antibiotics in bronchiolitis did not improve duration of symptoms, length of hospital stay, need for oxygen therapy, or hospital admission. Summary: The Good, the Bad, and the Ugly The Good Nasal suction and hydration are your best allies. You may elect to give a bronchodilator as a trial once and reexamine, if you’re a bronchodilating believer. The Bad Steroids, antibiotics, and a blind obeying of the guidelines. Weigh the risks and benefits of every intervention, including hospitalization – it’s not always a benign thing. The Ugly Take a moment to assess the child and make a clinical diagnosis of bronchiolitis, after you’ve excluded cardiac disease, anatomic anomalies, and foreign body aspiration. Wheezing without upper respiratory symptoms is not viral, and it is not bronchiolitis. When all else fails, remember: in the otherwise healthy, term infant greater than a month of age, if he is well appearing, euvolemic, and not hypoxic, he will often do well with good precautionary advice and supportive care at home. Every thing else: be skeptical, be thorough, and above all, be careful. References Alansari K, Toaimah FH, Khalafalla H, El Tatawy LA, Davidson BL, Ahmed W. Caffeine for the Treatment of Apnea in Bronchiolitis: A Randomized Trial. J Pediatr. 2016 May 14. pii: S0022-3476(16)30170-6. [Epub ahead of print] American Academy of Pediatrics Subcommittee on Diagnosis and Management of Bronchiolitis. Diagnosis and management of bronchiolitis. Pediatrics. 2006 Oct;118(4):1774-93. Beggs S, Wong ZH, Kaul S, Ogden KJ, Walters JA. High-flow nasal cannula therapy for infants with bronchiolitis. Cochrane Database Syst Rev. 2014 Jan 20;(1):CD009609. Bergroth E, Aakula M, Korppi M, Remes S, Kivistö JE, Piedra PA, Camargo CA Jr, Jartti T. Post-bronchiolitis Use of Asthma Medication: A Prospective 1-year Follow-up Study. Pediatr Infect Dis J. 2016 Apr;35(4):363-8. Cunningham S, Rodriguez A, Adams T, Boyd KA, Butcher I, Enderby B, MacLean M, McCormick J, Paton JY, Wee F, Thomas H, Riding K, Turner SW, Williams C, McIntosh E, Lewis SC; Bronchiolitis of Infancy Discharge Study (BIDS) group. Oxygen saturation targets in infants with bronchiolitis (BIDS): a double-blind, randomised, equivalence trial. Lancet. 2015 Sep 12;386(9998):1041-8. Flett KB, Breslin K, Braun PA, Hambidge SJ. Outpatient course and complications associated with home oxygen therapy for mild bronchiolitis. Pediatrics. 2014 May;133(5):769-75. Florin TA, Plint AC, Zorc JJ. Viral bronchiolitis. Lancet. 2016 Aug 20. [Epub ahead of print] Halstead S, Roosevelt G, Deakyne S, Bajaj L. Discharged on supplemental oxygen from an emergency department in patients with bronchiolitis. Pediatrics. 2012 Mar;129(3):e605-10. Johnson LW, Robles J, Hudgins A, Osburn S, Martin D, Thompson A. Management of bronchiolitis in the emergency department: impact of evidence-based guidelines? Pediatrics. 2013 Mar;131 Suppl 1:S103-9. Lashkeri T, Howell JM, Place R. Capnometry as a predictor of admission in bronchiolitis. Pediatr Emerg Care. 2012 Sep;28(9):895-7. Lehners N, Tabatabai J, Prifert C, Wedde M, Puthenparambil J, Weissbrich B, Biere B, Schweiger B, Egerer G, Schnitzler P. Long-Term Shedding of Influenza Virus, Parainfluenza Virus, Respiratory Syncytial Virus and Nosocomial Epidemiology in Patients with Hematological Disorders. PLoS One. 2016 Feb 11;11(2):e0148258. Liet JM, Ducruet T, Gupta V, Cambonie G. Heliox inhalation therapy for bronchiolitis in infants. Cochrane Database Syst Rev. 2015 Sep 18;(9):CD006915. Mammas IN, Spandidos DA. Paediatric Virology in the Hippocratic Corpus. Exp Ther Med. 2016 Aug;12(2):541-549. Mansbach JM, Clark S, Teach SJ, Gern JE, Piedra PA, Sullivan AF, Espinola JA, Camargo CA Jr. Children Hospitalized with Rhinovirus Bronchiolitis Have Asthma-Like Characteristics. J Pediatr. 2016 May;172:202-204.e1. Meissner HC. Viral Bronchiolitis in Children. N Engl J Med. 2016 Jan 7;374(1):62-72. Munywoki PK, Koech DC, Agoti CN, Kibirige N, Kipkoech J, Cane PA, Medley GF, Nokes DJ. Influence of age, severity of infection, and co-infection on the duration of respiratory syncytial virus (RSV) shedding. Epidemiol Infect. 2015 Mar;143(4):804-12. Oakley E, Borland M, Neutze J, Acworth J, Krieser D, Dalziel S, Davidson A, Donath S, Jachno K, South M, Theophilos T, Babl FE; Paediatric Research in Emergency Departments International Collaborative (PREDICT). Nasogastric hydration versus intravenous hydration for infants with bronchiolitis: a randomised trial. Lancet Respir Med. 2013 Apr;1(2):113-20. Epub 2012 Dec 21. Oakley E et al. Nasogastric Hydration in Infants with Bronchiolitis Less Than 2 Months of Age. J Pediatr. 2016. [Article in Press] Principi T, Coates AL, Parkin PC, Stephens D, DaSilva Z, Schuh S. Effect of Oxygen Desaturations on Subsequent Medical Visits in Infants Discharged From the Emergency Department With Bronchiolitis. JAMA Pediatr. 2016 Jun 1;170(6):602-8. Ralston SL, Lieberthal AS, Meissner HC, Alverson BK, Baley JE, Gadomski AM, Johnson DW, Light MJ, Maraqa NF, Mendonca EA, Phelan KJ, Zorc JJ, Stanko-Lopp D, Brown MA, Nathanson I, Rosenblum E, Sayles S 3rd, Hernandez-Cancio S; American Academy of Pediatrics. Clinical practice guideline: the diagnosis, management, and prevention of bronchiolitis. Pediatrics. 2014 Nov;134(5):e1474-502. Roqué i Figuls M, Giné-Garriga M, Granados Rugeles C, Perrotta C, Vilaró J. Chest physiotherapy for acute bronchiolitis in paediatric patients between 0 and 24 months old. Cochrane Database Syst Rev. 2016 Feb 1;2:CD004873. Skjerven HO et al. Racemic adrenaline and inhalation strategies in acute bronchiolitis. N Engl J Med. 2013 Jun 13;368(24):2286-93. This post and podcast are dedicated to Linda Girgis MD, FAAFP, for her authenticity, innovation, and clear and honest voice on the the frontlines.  Thank you, Dr Linda. Bronchiolitis Powered by #FOAMed -- Tim Horeczko, MD, MSCR, FACEP, FAAP

Daniel Brunier is a partner in the Vieux Télégraphe and Domaine la Roquète wineries in Châteauneuf-du-Pape, Les Pallières in Gigondas, and Château Massaya in Lebanon.

Greetings Podo's, I return to the deep end, my definition of deep end that is. I have been listening to these tracks for ages now, enjoying them on my own, on my travels. Well I had some spare time yesterday, and adding a couple new finds ended up banging this one out. By no means a dancehall stomper, but an excellent rainy day companion, getting a little nasty just for the sake of it. I know its summer time and the sun should be out and the roof top bars are banging out the hard stuff, and the pool parties are soulful etc... but its fucking raining everyday here in Florida, torrential I tell you!!!, so this is how i felt... take it for what it is. Tracklisting: 01 - Ry, Frank Wiedemann - Howling (Ame Remix) 02 - Ben Watt & Stimming ft. Julia Biel - Bright Star (Sunset Mix) 03 - Herbert - It's Only (Dj Koze Mix) 04 - Alton Miller, Rachel Claudio - Rise (Dj Vindico Del Quade Remix) 05 - Bangana Feat. Clarisse Muvemba - Dead End (D'julz Remix) 06 - Shlomi Aber - Foolish Games Feat Moggli (Original Mix) 07 - Deetron - Can't Love You More (Original Mix) 08 - Marc Romboy, KiNK - Don't Shake My Tree (Original Mix) 09 - Mena Keys, Marlon D - Love Somebody (Rocco's Dub) 10 - Rocco - Tbt3 (Original Mix) 11 - Pitto - Richklap (Original Mix) 12 - Kuniyuki Feat. Henrik Schwarz - The Session 2 (Original Mix) 13 - Roque, Jaidene Veda - Hidden Heart (Doruk Ozlen ZLN Trio Retake) Please feel free to leave a comment and let me know how this makes you feel... Stay Blessed. KAS