Podcasts about somnolence

1er épisode / 5, de la série sur la sclérose en plaques de l'enfant. Episode 1 : Maladie rare – Qu'appelle-t-on sclérose en plaques de l'enfant ? Invitée : Dr Emmanuel Cheuret, neuropédiatre, praticien hospitalier au sein du service de neurologie pédiatrique du CHU de Toulouse, co-rédacteurs du PNDS sur la sclérose en plaques de l'enfant et coordinateur du centre de compétence de la région Occitanie-Ouest des maladies inflammatoires rares du cerveau et de la moelle (MIRCEM), membre de la filière Brain-Team.    https://brain-team.fr/    1️⃣   Qu'appelle-t-on sclérose en plaques de l'enfant ? [0'36 – 2'57] ✔️ Environ 700 enfants touchés en France, plus fréquente dans les régions moins ensoleillées. ✔️ Caractérisée par deux poussées temporelles, espacées d'un mois, et spatiale (plusieurs zones du système nerveux central atteintes). Pour plus d'informations, retrouvez notre page article : https://rarealecoute.com/la-sclerose-en-plaques-de-lenfant/ 2️⃣   Quel tableau clinique doit faire suspecter une sclérose en plaques chez l'enfant ? Quelle différence clinique avec celle de l'adulte ? [2'58 – 4'32] ✔️ Signes similaires à l'adulte : paralysie partielle (hémiparésie), troubles sensitifs (fourmillements), troubles visuels (baisse de vision). Possible somnolence, confusion ou état comateux (plus rare chez l'adulte). ✔️ Autres atteintes possibles : troubles des sphincters, paralysie faciale, mouvements anormaux des yeux. 3️⃣   Quelle est la physiopathologie de cette maladie rare ? [4'33 -6'33] ✔️ Maladie auto-immune : le système immunitaire attaque le cerveau et la moelle épinière avec formation de plaques. ✔️Facteurs multiples : génétique, virus EBV, tabagisme passif, obésité... 4️⃣   Quel est le pronostic de la sclérose en plaques chez l'enfant ? [6'34 -8'48] ✔️ Poussées suivies de rémissions complètes, bien contrôlées par les traitements disponibles. ✔️ Risque de handicap à long terme. 5️⃣   À qui adresser les jeunes patients en cas de suspicion de sclérose en plaques ? [8'49 – 10'23] ✔️ Consultation en pédiatrie ou passage aux urgences en cas de symptômes évocateurs. ✔️ Orientation vers un centre de référence pour un diagnostic précis et un suivi adapté pour limiter l'évolution et prévenir le handicap.   L'équipe : Virginie Druenne – Ambassadrice RARE à l'écoute Cyril Cassard – Journaliste/Animation Hervé Guillot - Production Crédits : Sonacom *************************************************** À propos : "RARE à l'écoute" est un podcast dédié à la sensibilisation aux maladies rares et au soutien des personnes touchées par ces affections. Créé par un groupe passionné de professionnels de la santé, le podcast vise à informer les professionnels de santé et fournissant des informations sur les dernières avancées médicales et scientifiques dans le domaine des maladies rares, et inspirer les patients et leurs proches en partageant des histoires de courage et de persévérance. Contenu :

Je reçois aujourd'hui Tiphaine qui a 36 ans et qui souffre de Narcolepsie de type 1. C'est une maladie rare, invisible et chronique qui aujourd'hui ne se soigne pas. Elle est principalement caractérisé par une somnolence diurne et une fatigue chronique. Comme beaucoup de pathologies la narcolepsie peut s'exprimer très différemment d'une personne à l'autre et avec plus où moins d'intensité ce qui participe souvent à une longue errance diagnostic. Tiphaine a vécu 21 ans avant d'avoir un diagnostic sur son état et ce qu'elle vivait au quotidien. S'endormir en pleine phrase sur un plateau de télévision était l'image que j'avais de la narcolepsie jusqu'à entendre l'histoire de Tiphaine. Elle nous parlera de la narcolepsie de type 1 qui est notamment caractérisée par une cataplexie mais parfois aussi, des hallucinations hypnagogiques, une paralysie du sommeil, une fragmentation du sommeil nocturne et des troubles cognitifs. Rien que cela…Et pourtant ce fut un très long parcours pour Tiphaine d'obtenir son diagnostic. La narcolepsie de type 2, elle, ne présente pas de cataplexie.Je vous laisse découvrir son histoire et découvrir l'envers du décor de la Narcolepsie encore très mal connu du grand public, et j'espère que son témoignage pourra faire découvrir avec plus de justesse cette pathologie et ses conséquences.Je vous souhaite une très bonne écoute.Vous pouvez suivre le podcast sur son compte Instagram : Un mot sur mes mauxMontage : Yasmine FleurotMixage : SebMusique Oak StudioHébergé par Ausha. Visitez ausha.co/politique-de-confidentialite pour plus d'informations.

durée : 00:05:07 - L'invité de 6h20 - Le neurologue Marc Rey, président de l'Institut national du sommeil et de la vigilance, était l'invité de France Inter ce vendredi, à l'occasion de la Journée du sommeil. - invités : François DUFOUR - François Dufour : Rédacteur en chef du Petit Quotidien, de Mon Quotidien et de l'Actu

Journée du sommeil 2025 : l'impact de la somnolence sur le quotidien

TWiP solves the case of the man with somnolence and something extra-erythrocytic, and presents a new puzzle for you to solve. Hosts: Vincent Racaniello, Daniel Griffin, and Christina Naula Subscribe (free): Apple Podcasts, Google Podcasts, RSS, email Links for this episode Join the MicrobeTV Discord server Letters read on TWiP 253 New Case 26-year-old female with no past medical history.  Patient is from Georgia in the US and is volunteering in Hérico, Guinea (town in the Lélouma Prefecture in the Labé Region of northern-central Guinea). She arrived in Guinea in December  2023.  She was taking doxycycline for malaria prophylaxis and says that she has not missed any doses On October  2024 she presented with fever and dry cough.  Lab work was done and follow up planned for the following day.  The patient slept poorly, was febrile to 104 and had ongoing cough.  The next day she went to the hospital and was evaluated in the ER for acute febrile illness of unclear etiology.   In the hospital, VS were 97.9F, BP 105/70, P 94 Oxy sat 98%, normal physical exam. She was started on Augmentin and Coartem. Pause here to think about the differential at this point and maybe some more history and what testing you might want WBC 14, Hb 13, HCT 40, PLT 285, Neut abs 8, Eos Abso0.80; BUN/creat  normal, AST normal; ALT 44, GGT 125 Stool parasite screen + for some sort of eggs, malaria smear negative, CXR with b/l infiltrates She was given a medication (vomited 30 min after dose received).  She then received a second dose of medication 5 hours after the first) and was discharged. The following day the patient returned to the ER, stating that she felt worse.  Her temperature had climbed to 104 overnight, and she developed watery diarrhea and nausea.  There were no additional episodes of vomiting.  She was given an additional dose of a medication, ibuprofen, and started on ceftriaxone 1 gm IV Q12 hrs.  During the day she continued to have low grade fevers and developed abdominal pain.  That night she was again febrile to 104 F.    She remained admitted for 5 days with ongoing symptoms of diarrhea, nighttime fevers and diffuse abdominal discomfort.  Three more malaria tests were negative (rapid test and slide review) Blood cultures collected – no growth She continued to have mild elevation of WBC and slight elevation of AST and ALT. The patient was transferred to a different hospital. They give her a different medication, and within 24 hours symptoms resolve.  What is the diagnosis and what happened here with management? Become a patron of TWiP  Send your questions and comments to twip@microbe.tv Music by Ronald Jenkees

Cigna Insurance, on the verge of being acquired by a BC/BS holding company, joins the stampede to scale back its Medicare Advantage footprint in eight states. Would you prefer a blood test to a colonoscopy? I sure would! Find out how Medicare will pay for such a test...if you qualify. How about cataract surgery? Clear up your vision and let Medicare pay the cost plus buy you a pair of glasses to boot! Check out the Medicare payment rules and how you might benefit. Contact me at: DBJ@MLMMailbag.com (Most severe critic: A++)                   Visit us on: BabyBoomer.ORG Inspired by: "MEDICARE FOR THE LAZY MAN 2024; Simplest & Easiest Guide Ever!" on Amazon.com. Return to leave a short customer review & help future readers. Official website: https://www.MedicareForTheLazyMan.com.

❤️ Bonjour,Bienvenue dans cet épisode consacré au syndrome d'apnées obstructives du sommeil !

❤️ Bonjour,Bienvenue dans cet épisode consacré au syndrome d'apnées obstructives du sommeil !

In this episode, I explore the curious sleep disorder narcolepsy. With apt patient memoirs, I describe its clinical manifestations, from sleep attacks and cataplexy, to sleep paralysis and sleep-related hallucinations. I also review its association with other sleep disorders, and its non-sleep related manifestations. The podcast also discusses the genetic and acquired causes of narcolepsy, its association with hypocretin deficiency, and its risk factors. I also explore the investigations of narcolepsy, such as multiple sleep latency test, and its treatments, such as modafinil and sodium oxybate. I also discussed the history of narcolepsy, such as anecdotes its discovery by Jean-Baptiste Édouard Gélineau. I also narrate the history of how sleep researcher Eugene Aserinsky discovered the two sleep phases, REM and non-REM. To illustrate the lived experience of narcolepsy, I cite such insightful patient memoirs as that of Corrina Wetzel titled The Journey Beneath Her Heavy Feet, by Henry Nicholls titled Sleepyhead, and of Claire Crisp titled Waking Mathilda. To support the historical themes, I cite such works as When Brains Dream, by Antonio Zadra and Robert Stickgold, and A Portrait of the Brain by Adam Zeman.

L'hypovigilance au volant est un fléau responsable d'un accident mortel sur quatre sur autoroute. Thierry Montemayor, médecin au CHU de Toulouse, et Alice Rohde, diététicienne et nutritionniste, nous livrent leurs conseils pour éviter la fatigue et la somnolence au volant. Des gestes autocentrés aux effets du café, en passant par l'importance du sommeil et des pauses, découvrez comment rester vigilant sur la route.

Quels sont vos pics de somnolence ?Quelle différence entre fatigue et somnolence ?Quoi faire quand on est si fatigué qu'on ne ressent plus de somnolence ?Nous allons tenter de répondre à ses questions dans cet épisode, et voir comment sortir du cercle vicieux de la fatigue et se reconnecter aux signaux de notre corps selon les moments de la journée.-Très bonne écoute !-

Savoir distinguer les signaux de fatigue versus les signaux de somnolence est indispensable pour bien comprendre la machine veillle-sommeil. Pour lancer un S.O.S. ou poser une question: écrivez-nous à: info@somna.ca Nous sélectionnons des thèmes ponctuellement parmi tous les envois reçus et vous répondons pour le bénéfice de tous sur ce podcast. Pour plus d'infos: ⁠www.somna.ca⁠ / ⁠sossommeil.com⁠ /⁠sosdodo.com⁠ / sosinsomnie.com Pour voir tous nos livres: ⁠https://www.lulu.com/fr/spotlight/somna⁠ Découvrez également nos certifications en Somnopédagogie™/Somnothérapie holistique™: ⁠https://www.somna.ca/certificationsommeilsomnotherapie⁠ En Somnopédagogie de l'enfance™: ⁠https://www.somna.ca/certification-sommeil-enfant-0-12⁠ En Accompagnement au sommeil de la petite enfance™: ⁠https://www.somna.ca/certification-sommeil-enfant-0-5⁠

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It's holiday season, and family feasts are inevitable. But is the post-feast nap also inevitable?Norman and Tegan explain why you get so tired after a big meal. And no ... it has nothing to do with being around your extended family.Got a health question? Shoot us a line @ABCHealth on Instagram, or send a voice memo to thatrash@abc.net.au. We'd love to hear from you!Looking for COVID-19 updates? Don't panic, they've moved over to The Health Report

Episode 108 | "Carbs are my love language." Welcome to Episode 108 of REMelations, the podcast that dives into the wild and whimsical world of dreams! This Thanksgiving special kicks off with a bone-chilling dream shared by Chris about a Thanksgiving serial killer. Join Mindy as she recounts the haunting details and keep your wits about you to discover who will survive the deadly dinner! As the episode unfolds, Brooke and Mindy delve into a collection of listener catnaps, featuring dreams that range from celebrity turkey mishaps to frightening flights with mashed potatoes. Picture yourself cuddling with turkeys or encountering a friendly grim reaper in your dreams, and cringe at the thought of some truly disgusting dish washing practices. But that's not all—stay tuned until the very end, when Brooke unveils the science behind why we fall into food comas after indulging in big meals. Plus, Mindy takes us on a journey back in time with a fascinating 1922 newspaper article that decodes the meaning behind dreaming about turkeys.  It's the final serving of knowledge and curiosity on this Thanksgiving edition of REMelations! Help spread the word with this week's Celebrity Hashtag - #WhatDoesSarahJessicaParkerDream   Support the Show Have a dream or listener story you want to share? Email: REMelations@gmail.com Enjoying what you hear? Don't forget to join our sleepover squad for behind-the-scenes and extra content: https://www.REMelations.com/support Want to discuss dreams with besties just like you? Join our Facebook group: https://www.facebook.com/groups/REMelationsBesties Ready to swag up your life? Shop our Merch store: https://remelations.com/store   Time Stamps & Content Warnings 00:00:00- Start 00:01:24 - Quick Chat 00:02:18 - Thanksgiving Serial Killer Dream 00:12:08 - Chris' Dream Interpretation 00:18:13 - Promo | Support the Show 00:18:50 - Catnap Intro 00:19:08 - Turkey Carcass Dream #WhatDoesSarahJessicaaParkerDream 00:22:18 - Airline Mashed Potatoes Dream 00:25:03 - Family Dinner Drama Dream 00:28:29 - Turkey Cuddles Dream 00:29:52 - Grim Reaper In Love Dream 00:31:02 - New Species Dream 00:32:04 - Unclean Dishwashing Dream 00:36:06 - The Perfect Dream 00:38:29 - Kissing Pope Dream 00:45:08 - Thank You's 00:45:40 - Topic | Food Comas - Postprandial Somnolence 00:54:46 Topic | 1922 - What it Means to Dream of Turkey 01:02:01 - Chit Chat 01:12:15 - End Show Links Food Coma: What You Need to Know About Postprandial Somnolence - https://www.medicalnewstoday.com/articles/food-coma    

"The piece is built upon a field recording from Heath Webb, with slowly shifting drones coalescing over rain, wind, and thunder sounds. The added drones explore a range of frequencies, aiming to create a relaxing and soothing ambiance in conjunction with the natural white noise." Readyville rain reimagined by Kevin Leomo.  Part of the Music for Sleep project - for more information and to hear more sounds from the collection, visit https://citiesandmemory.com/music-for-sleep/

Good evening, listener… you're listening to Chilling Tales for Dark Nights. On tonight's edition, we invite you to leave behind your safe reality, and descend with us into the frightening depths of the most terrifying imaginations, with two audio adaptations of frightening fiction, about wretched rebirth and consuming coping mechanisms. To watch the podcast on YouTube: http://bit.ly/ChillingEntertainmentYT Don't forget to subscribe to the podcast for free wherever you're listening or by using this link: http://bit.ly/ChillingTalesPod If you like the show, telling a friend about it would be amazing! You can text, email, Tweet, or send this link to a friend: http://bit.ly/ChillingTalesPod Learn more about your ad choices. Visit podcastchoices.com/adchoices

Chaque jour, Romain Desarbres et ses invités font un point complet sur l'actualité.

Aaron, Doug and Nema discuss the war on woke and its chief warrior, GOP gubernatorial candidate, Kelly Craft. It's still Earth Month, so Aaron tells us about a few federal programs Kentucky is and isn't pursuing… The Colonels also interview Agriculture Commissioner candidate, Sierra Enlow to find out what in the heck even is ag tech? #ColonelsOfTruth NEWS OF THE WEAK: https://forwardky.com/can-money-and-misinformation-buy-a-nomination-for-governor/ https://www.youtube.com/watch?v=ZKRZn8RtQcY https://detersforgovernor.com/ https://www.kentucky.com/news/politics-government/article274656261.html https://spectrumnews1.com/ky/louisville/news/2023/03/03/bill-creating-statewide-urban-search-and-rescue-program-advances https://kentuckylantern.com/2023/04/20/kentucky-one-of-four-states-refusing-federal-money-to-plan-for-climate-change/ INTERVIEW: Sierra Enlow, Democratic candidate for Agriculture Commissioner https://sierraenlow.com/ https://secure.actblue.com/donate/sierraenlowwebsite CALL TO ACTION: Demand Kentucky move up from DEAD LAST in wind and solar energy production. Tell our leaders to act on climate: https://bit.ly/KYearthdayaction #ProgressKentucky - #ColonelsOfTruth Join us! http://progressky.org/ Support us! https://secure.actblue.com/donate/progressky Live Wednesdays at 7pm on Facebook https://www.facebook.com/progressky/live/ and on YouTube  http://bit.ly/progress_ky Listen as a podcast right here, or wherever you get your pods: https://podcasters.spotify.com/pod/show/progress-ky Facebook   - @progressky Instagram  - @progress_ky Twitter    - @progress_ky Episode 110 was produced by Nate Orshan Theme music from the amazing Nato - hear more at http://www.NatoSongs.com Logo and some graphic design provided by www.couchfiremedia.com

Introducing the “I Am Human. This Is My Dog.” podcast – the show devoted to putting the individual back into the dog, as well as their human, while also examining difficult, and oftentimes controversial, animal welfare related topics that have been largely ignored, but are critical for real progress. In this third episode of the inaugural season, I turn my attention back to the topic of dogfighting in the direct aftermath of the Michael Vick case. For more information about this and future episodes, visit:riverfirefilms.com/podcast  CREDITS:  Produced by: River Fire Films, LLCHosted by: Jeff ThemanIntroduction Voiceover by: Nat Lauzon Introduction Music: “Crimson Fly” by Huma-Huma MUSIC CREDITS: "Somnolence" by Kai Engel | ⁠released under CC-by 4.0⁠ "Harbor" by Kai Engel | ⁠⁠released under CC-by 4.0⁠⁠ "Filaments" by Scott Buckley | released under CC-by 4.0 "Away" by Meydän | released under CC-by 4.0 "Long Way To Go" (Ambient Beautiful Orchestral Music) by Miguel Johnson | released under CC-by 3.0 "Cinematic Documentary Piano" by The Mountain/Dmitrii Kolesnikov "Tired of Life" by Meydän | ⁠released under CC-by 4.0⁠ "Modum" by Kai Engel | ⁠⁠released under CC-by 4.0⁠⁠ “Between” by Meydan | ⁠⁠released under CC-by 4.0⁠⁠ "Art of Silence" by Uniq | ⁠⁠released under CC-by 4.0⁠⁠ --- Send in a voice message: https://podcasters.spotify.com/pod/show/riverfirefilms/message Support this podcast: https://podcasters.spotify.com/pod/show/riverfirefilms/support

Happy Holidays and Merry Christmas!The Magic Fishbone is a children's book written by Charles Dickens in 1867, who pretended that it was written by Miss Alice Rainbird, age 7. The book was one of four so-called "holiday romances" (his much more famous Christmas Carol is one of the others comprising this group). It was first published in a children's magazine in the United States and then reprinted in a British magazine called "All the Year Round".The book tells the story of Princess Alicia, who is given a magic fishbone by her fairy godmother and then uses the fishbone to improve the fortune of her parents, the King and Queen, and her eighteen brothers and sisters.Wishing you the best for the Season! Sweet DreamsCan't sleep? Let the dulcet voice of Erik Braa reading the classics take over for jumping sheep. These tales, narrated in a soothing, calm voice are designed to turn sleeplessness into somnolence. Tune in, zonk out.

A Tale of Two Cities is an 1859 historical novel by Charles Dickens, set in London and Paris before and during the French Revolution. The novel tells the story of the French Doctor Manette, his 18-year-long imprisonment in the Bastille in Paris, and his release to live in London with his daughter Lucie whom he had never met. The story is set against the conditions that led up to the French Revolution and the Reign of Terror. In the Introduction to the Encyclopedia of Adventure Fiction, critic Don D'Ammassa argues that it is an adventure novel because the protagonists are in constant danger of being imprisoned or killed.[2]As Dickens's best-known work of historical fiction, A Tale of Two Cities is said to be one of the best-selling novels of all time.[3][4][5] In 2003, the novel was ranked 63rd on the BBC's The Big Read poll.[6] The novel has been adapted for film, television, radio, and the stage, and has continued to influence popular culture. Can't sleep? Let the dulcet voice of Erik Braa reading the classics take over for jumping sheep. These tales, narrated in a soothing, calm voice are designed to turn sleeplessness into somnolence. Tune in, zonk out.

Welcome to PICU Doc On Call, A Podcast Dedicated to Current and Aspiring Intensivists. I'm Pradip Kamat coming to you from Children's Healthcare of Atlanta/Emory University School of Medicine. I'm Rahul Damania from Cleveland Clinic Children's Hospital and we are two Pediatric ICU physicians passionate about all things MED-ED in the PICU. PICU Doc on Call focuses on interesting PICU cases & management in the acute care pediatric setting so let's get into our episode: Here's the case presented by Rahul: A 21-month-old girl was brought to an OSH ED for somnolence and difficulty breathing, which developed after she accidentally ingested an unknown amount of liquid medicine that was used by her grandfather. Per the mother, the patient's grandfather was given the liquid medication for the treatment of his opioid addiction. The patient took some unknown amount from the open bottle that was left on the counter by the grandfather. Immediately after ingestion of the medicine, the patient initially became irritable and had some generalized pruritus. The patient subsequently became sleepy followed by difficulty breathing and her lips turned grey. The patient was rushed to an outside hospital ED for evaluation. OSH ED: The patient arrived unresponsive and blue, she was noted to be sleepy and difficult to arouse on arrival, with pinpoint pupils and hypoxic to 88%. , but After receiving Naloxone, however, she became awake and interactive. Her glucose on presentation was 58 mg/dL and Her initial VBG resulted 7.3/49.6/+2. She continued to have intermittent episodes of somnolence without apnea. Poison control called and recommend starting a naloxone infusion; she was also given dextrose bolus. The patient was admitted to the PICU. To summarize key elements from this case, this patient has: Accidental ingestion of an unknown medication Altered mental status Difficulty breathing—with grey lips suggestive of hypoventilation/hypoxia All of which brings up a concern for a toxidrome which is our topic of discussion for today The typical symptoms seen in our patient of pinpoint pupils, respiratory depression, and a decreased level of consciousness is known as the “opioid overdose triad” Given the history of opioid addiction in the grandfather, the liquid medicine given to him is most likely methadone.In fact, in this case, the mother brought the bottle of medicine, which was subsequently confirmed to be prescription methadone given to prevent opioid withdrawal in the grandfather.   To dive deeper into this episode, let's start with a multiple choice question: Which of the following opioids carries the greatest risk of QTc prolongation? A. Methadone B. Morphine C. Fentanyl D. Dilaudid The correct answer is methadone. Methadone prolongs QT interval due to its interactions with the cardiac potassium channel (KCNH2) and increases the risk for Torsades in a dose-dependent manner. Besides the effect on cardiac repolarization, methadone is also associated with the development of bradycardia mediated via its anticholinesterase properties and through its action as a calcium channel antagonist. Hypokalemia, hypocalcemia, hypomagnesemia, and concomitant use of other drugs belonging to the family of CYP3A4 system inhibitors such as erythromycin can prolong Qtc. Even in absence of these risk factors, methadone alone can prolong QTc.   Thanks for that, I think it is very important to involve your Pediatric Pharmacy team to also help with management as children may be concurrent qt prolonging meds. Rahul, what are some of the pharmacological and clinical features of methadone poisoning? Methadone is a synthetic opioid analgesic made of a racemic mixture of two enantiomers d-methadone and l-methadone. besides its action on mu and kappa receptors, it is also an NMDA receptor antagonist. Due to its long action, methadone is useful as an analgesic and to suppress opioid withdrawal symptoms (hence used for opioid...

The Velveteen Rabbit is a British children's book written by Margery Williams and illustrated by William Nicholson. It chronicles the story of a stuffed rabbit's desire to become real through the love of his owner. The book was first published in 1922 and has been republished many times since. Can't sleep? Let the dulcet voice of Erik Braa reading the classics take over for jumping sheep. These tales, narrated in a soothing, calm voice are designed to turn sleeplessness into somnolence. Tune in, zonk out.

Tous les jours de la semaine, Europe 1 vous livre le meilleur des initiatives qui changent le monde, sur le web et en régions !

Le sommeil est un état physiologique qui permet à l'organisme de remplir de nombreuses fonctions. Même si le sommeil commence à être connu de mieux en mieux grâce aux travaux scientifiques qui s'intéressent à ce sujet, de nombreuses questions persistent. C'est notamment le cas en ce qui concerne la relation personnelle que nous pouvons avoir avec le sommeil. Autrement dit, pourquoi certaines personnes sont-elles fatiguées en permanence, alors, qu'au contraire, d'autres ont un mal fou à trouver le sommeil ? C'est pour tenter d'un peu mieux comprendre les mécanismes à l'œuvre que des chercheuses et chercheurs essentiellement californiens se sont tout particulièrement intéressés à ce qu'il se passait dans le cerveau de personnes atteint de pathologies neurodégénératives associées à des troubles du sommeil. Pour leurs travaux - dont les résultats ont été publiés en avril 2022 dans les pages de la revue JAMA neurology - les scientifiques se sont à la fois intéressés au fonctionnement du cerveau et aux paramètres du sommeil d'une vingtaine de volontaires pendant qu'ils étaient en vie, mais aussi à l'analyse fine de leur cerveau, une fois ceux-ci décédés.   Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.

Le sommeil est un état physiologique qui permet à l'organisme de remplir de nombreuses fonctions. Même si le sommeil commence à être connu de mieux en mieux grâce aux travaux scientifiques qui s'intéressent à ce sujet, de nombreuses questions persistent. C'est notamment le cas en ce qui concerne la relation personnelle que nous pouvons avoir avec le sommeil. Autrement dit, pourquoi certaines personnes sont-elles fatiguées en permanence, alors, qu'au contraire, d'autres ont un mal fou à trouver le sommeil ? C'est pour tenter d'un peu mieux comprendre les mécanismes à l'œuvre que des chercheuses et chercheurs essentiellement californiens se sont tout particulièrement intéressés à ce qu'il se passait dans le cerveau de personnes atteint de pathologies neurodégénératives associées à des troubles du sommeil. Pour leurs travaux - dont les résultats ont été publiés en avril 2022 dans les pages de la revue JAMA neurology - les scientifiques se sont à la fois intéressés au fonctionnement du cerveau et aux paramètres du sommeil d'une vingtaine de volontaires pendant qu'ils étaient en vie, mais aussi à l'analyse fine de leur cerveau, une fois ceux-ci décédés.   Learn more about your ad choices. Visit megaphone.fm/adchoices

Welcome to PICU Doc On Call, A Podcast Dedicated to Current and Aspiring Intensivists. I'm Pradip Kamat and I'm Rahul Damania. We are coming to you from Children's Healthcare of Atlanta - Emory University School of Medicine. Welcome to our episode, which is Part 2 of our acute severe asthma management. Today we discuss invasive mechanical ventilation of the acute asthmatic. A patient with a history of asthma presents to the PICU with decreased air entry. Somnolence. Hypercarbia and drooling. The patient is hypoxemic and has see-saw breathing. Rahul: Let's dive right into this. What are the indications for intubating a child with acute severe asthma? Absolute indications include: Altered mental status which may be preceded by obtundation, agitation Cardiac and respiratory arrest Relative indications decided on a case by case basis: Progressive exhaustion-despite, despite maximal therapy. Profound hypoxemia refractory to supplemental oxygen administration, and respiratory failure. The decision to intubate should not be solely determined based on blood gas results. Pradip, can you shed light on how we prepare for the intubation of the patient with acute severe asthma? Rahul, first and foremost- we take the intubation of an asthmatic very seriously. In fact we try the whole “kitchen sink” to avoid intubation. But there will be times when we have to intubate especially for the indications you mentioned above. The intubation will worsen the patient's bronchospasm, put the patient at risk for barotrauma as well as cardiovascular collapse. Preparation is the key- A team huddle and mapping prior to proceeding to intubate is the key. Every person in the room should have clear roles and responsibilities. Scenarios of what to do if “X” happens should be clearly laid out to the team by the team leader (preferably the attending or a senior fellow). The senior-most experienced person should manage the airway. At least two dedicated RTs to provide bag-mask ventilation as well as manage the ventilator are required. Nursing roles to push meds, chart the vitals and other activities as well a role for the resource nurses to help in case of cardiac arrest should be clearly laid out. Additionally, facilities that have access to isoflurane should have that ready to go. We typically give a heads up to our ECMO team to be on stand-by. Prior to Intubation: Have central access or multiple large-bore PIVs if possible. Keep crystalloids boluses ready for hypotension. We also have peri-arrest epinephrine as well as an epinephrine infusion ready for any hypotension, bradycardia, or cardiac arrest. For intubation, we typically use Ketamine, fentanyl, and rocuronium (some centers may use succinylcholine). We use cuffed endotracheal tube. We don't bag-mask at fast rates but rather wait for a full expiration prior to the next breath being delivered. These patients require slow respiratory rates with very prolonged expiratory times to allow for adequate gas exchange and lung volumes. A helpful technique is to use a stethoscope to auscultate at the lower neck for the disappearance of expiratory wheezes prior to starting the next inspiration. We sometimes place a nasogastric tube to prevent gastric distension. If there is hypoxemia, hypotension, not improving with fluids, ventilator manipulation, - A consideration for tension pneumothorax should be given especially if there is asymmetric chest rise. Bedside POCUS can be used to make a diagnosis. Intubation of an asthmatic is a high-risk procedure and requires a team approach, proactiveness, and anticipation. Intubation should be approached cautiously in patients with severe acute asthma exacerbations because manipulation of the airway can cause laryngospasm and worsening bronchoconstriction. Rahul, what are some of the principles we should all follow prior to initiation of mechanical ventilation in an asthmatic after intubation? It is important to note that most complications of intubating...

Dans cet épisode nous allons à la découverte de ce jeune Sénégalais Djim Momar LO qui a créé un appareil pour détecter la somnolence des chauffeurs au volant. Invité : Djim Momar LO (Co-fondateur Process One Tech )                  LinkedIn PROGRAMME Q1 : Pouvez-vous nous parler de vous et de votre startup Process One Tech ? comment est-elle née et qui sont les fondateurs ?Q2 : Comment vous avez eu l'idée de créer un dispositif pour détecter la somnolence et lutter contre les accidents de la route ?Q3 : Comment l'appareil marche et comment est-elle intégrée dans les voitures ? Q4 : Dans la description de votre projet vous parlez d'apprentissage supervisé. Comment pouvez-vous nous expliquer cette technologie et comment vous l'utilisez pour déterminer le niveau de somnolence ? Q5 : Quels sont les autres technologies et outils que vous utilisez pour créer ce dispositif ?Q6 : Aujourd'hui quelle est la taille qu'occupe ce dispositif dans nos voitures ? Pensez-vous à la miniaturisation et qu'est-ce que ça demande ? Q7 : A ce jour combien de dispositif sont en service et quels sont les retours d'expériences ? Q8 : Quelles sont les difficultés dont vous faites face aujourd'hui en tant que startup ? Q9 : Quelles sont les perspectives ? Pourrions-nous vous attendre sur d'autres types de produit dans d'autres domaines ? Q10 : Quel est le message que vous voulez lancer à toute la jeunesse sénégalaise Support the showChers auditeurs et auditrices, Vous appréciez le travail que nous faisons à travers le podcast et vous voulez nous voir évoluer et améliorer les émissions avec de nouvelles initiatives, alors vous pouvez soutenir le projet pour nous encourager davantage.Nous soutenir par ici

Dans cet épisode nous allons à la découverte de ce jeune Sénégalais Djim Momar LO qui a créé un appareil pour détecter la somnolence des chauffeurs au volant. Invité : Djim Momar LO (Co-fondateur Process One Tech ) LinkedIn PROGRAMME Q1 : Pouvez-vous nous parler de vous et de votre startup Process One Tech ? comment est-elle née et qui sont les fondateurs ? Q2 : Comment vous avez eu l'idée de créer un dispositif pour détecter la somnolence et lutter contre les accidents de la route ? Q3 : Comment l'appareil marche et comment est-elle intégrée dans les voitures ? Q4 : Dans la description de votre projet vous parlez d'apprentissage supervisé. Comment pouvez-vous nous expliquer cette technologie et comment vous l'utilisez pour déterminer le niveau de somnolence ? Q5 : Quels sont les autres technologies et outils que vous utilisez pour créer ce dispositif ? Q6 : Aujourd'hui quelle est la taille qu'occupe ce dispositif dans nos voitures ? Pensez-vous à la miniaturisation et qu'est-ce que ça demande ? Q7 : A ce jour combien de dispositif sont en service et quels sont les retours d'expériences ? Q8 : Quelles sont les difficultés dont vous faites face aujourd'hui en tant que startup ? Q9 : Quelles sont les perspectives ? Pourrions-nous vous attendre sur d'autres types de produit dans d'autres domaines ? Q10 : Quel est le message que vous voulez lancer à toute la jeunesse sénégalaise

Tous les jours de la semaine, Europe 1 vous livre le meilleur des initiatives qui changent le monde, sur le web et en régions !

A recaptured tower, with an artefact inside, But it all seems too quiet... What does this tower truly hide? The silence breaks, the tale continues...This week, following an audience with the dwarven King, the party are tasked with escorting a scholar to Mantol-Derith... The Cast: Dragon as "T'riss Nitra" (a drow) Freya as "Nal" (a half orc/half elf) Shiraz as "Ishidoro" (a dragonborn) Susie Q as "Thirteen" (a goblin) Tauno as "Rasthikos Thyreon" (a human) Wednesday Le Fey as "Desolation" aka. "Layla" (a tiefling)  And Nikoli as your Storyteller. Where can I find more from the cast? You can hear more from Wednesday as part of the Dum Dum Die Cast at: @DumDumDie Shiraz can be found on Twitter & IG as @DiceDeedsArt Find more from Dragon & Nikoli right here @PenanceRPG Interested in the DM and world building notes? Unlock the bonus "Abyssal Archive" podcast through our Patreon   Learn more at Penancerpg.com Support us on Ko fi and Patreon Come talk with us on Twitter, Facebook or Instagram Visit our Teespring store Listen on Google Play, Spotify, Libsyn, Stitcher, Youtube, Podchaser, Podcast Addict DnDiceUK & Gemhammer & Sons - Use "Penancerpg" at checkout for 10% off your order

Season 2, Episode2: "Somnolence" Some connections are forged, and some are shattered. Liam picks through the fallout to figure out his next steps. VALENCE is a serialized fiction podcast meant for adult listeners. You can find more information, including our full cast list and transcripts, at VALENCEpod.com. You can support us on Patreon and get access to inspo images, bonus audio, and more. VALENCE is brought to you by Proton VPN. VPNs are a great way to encrypt and protect your data (and your magic) from being accessed by other parties. That's why here at Hug House, we use VPNs. VALENCE is just as much a story about data privacy as our other themes, and we want to make sure you're keeping yourself protected. If you'd like to support Hug House and make Sarah proud, we'd appreciate it if you could use our affiliate link. You can find it at https://hughouse.productions/protonvpn Content warnings: Familial trauma throughout Discussions of a past bomb threat at 5:30 Discussions of blood, injuries, and death from 22:15 Credits: Our theme was made by Travis Reaves, with production by Raul Vega. Additional music provided by Loyalty Freak Music and Kai Engel. VALENCE was created by Wil Williams. VALENCE is edited and sound designed by Wil Williams. VALENCE is directed by Katie Youmans and Anne Baird. VALENCE is produced by Anne Baird. Performances by, in order of appearance: Josh Rubino as Liam Alden and Liam's Inner Voices, Katie Chin as Grace Chen, Alex Welch as Noel Alden, Caleb Del Rio as Flynn Velasco, Jordan Cobb as Sarah Harris, David S. Dear as Richard Alden, and John Westover as Nico Salvai. Support VALENCE by donating to their Tip Jar: https://tips.pinecast.com/jar/valence

Un entreprise de tech lance une application pour anticiper la somnolence au volant.

Un entreprise de tech lance une application pour anticiper la somnolence au volant.

Life in lockdown has left many dreaming of an escape from the 9 to 5, the office, the commute, just our own living rooms. Thom D’Arcy is one who got away from it all when he left on a sailing trip in 2016 and only just returned.Guests: Thom D’Arcy, sailor.Host: Manveen Rana. "Somnolence" by Kai Engel is licensed under CC BY 4.0 (looped from original)"The road we use to travel when we were kids" by Komiku is licensed under CC0 1.0 (looped from original) See acast.com/privacy for privacy and opt-out information.

Un entreprise de tech lance une application pour anticiper la somnolence au volant.

Un entreprise de tech lance une application pour anticiper la somnolence au volant.

Somnolence in Poésies Nocturnes (2020), Cycle Alice AlbertIllustration : Xabier Moingeon - https://xabiermoingeon.wordpress.com La nuit fouille les pulsions statiques incroyables et profondes dans un trouble avideComme les vallées bleues de l'inconscient dans lesquelles on visite encore les visages suspendus de MexicoLes battements sanguins peignent le grillage d'acier des ventres à terre dans un courage de feuIls fuient fatigués les nuits en double fondRattrapés par la Mésange bleue sans aile sur la branche coupéeEn état larvaire flottant sans acoustique découpée Et ce sang partout qui afflueEt oublie la stagnance sèche qui reflue Afin de ne plus accomplir les pensées et les actes de ma foi ni de ma raisonDémences juvéniles adulaires trop lourdes dans la poche des secretsLa mer et les idées qui frappent ma têteMon écho qui hurle contre la paroi des vaisseaux Il ne veut plus s'y voir ni les toucherIl baigne dans l'alcool mort des secondes pour y rire et le reste s'endormirEt le reste à gueulerC'est l'instant Où les rêves buttent contre la matrice cérébrale des paupières effritées L'heure des pupilles jauniesBrouillard sévère odeur cramoisie Je veux mon sommeil noir et lourd, sommeil d'acierEn croisade des joies les rayons sur la peauJe veux mes idées claires la personnalité sobre identiqueA la liberté Je veux ma solitude enchainée Dans la chambre des âmes antiques

Somnolence in Poésies Nocturnes (2020), Cycle Alice AlbertIllustration : Xabier Moingeon - https://xabiermoingeon.wordpress.com La nuit fouille les pulsions statiques incroyables et profondes dans un trouble avideComme les vallées bleues de l'inconscient dans lesquelles on visite encore les visages suspendus de MexicoLes battements sanguins peignent le grillage d'acier des ventres à terre dans un courage de feuIls fuient fatigués les nuits en double fondRattrapés par la Mésange bleue sans aile sur la branche coupéeEn état larvaire flottant sans acoustique découpée Et ce sang partout qui afflueEt oublie la stagnance sèche qui reflue Afin de ne plus accomplir les pensées et les actes de ma foi ni de ma raisonDémences juvéniles adulaires trop lourdes dans la poche des secretsLa mer et les idées qui frappent ma têteMon écho qui hurle contre la paroi des vaisseaux Il ne veut plus s'y voir ni les toucherIl baigne dans l'alcool mort des secondes pour y rire et le reste s'endormirEt le reste à gueulerC'est l'instant Où les rêves buttent contre la matrice cérébrale des paupières effritées L'heure des pupilles jauniesBrouillard sévère odeur cramoisie Je veux mon sommeil noir et lourd, sommeil d'acierEn croisade des joies les rayons sur la peauJe veux mes idées claires la personnalité sobre identiqueA la liberté Je veux ma solitude enchainée Dans la chambre des âmes antiques

iatrogène, encéphalite, encéphalopathies, intoxications, syndrome de privation de sommeil, syndrome dépressif, maladie du sommeil, manque de sommeil, migraine, lésions mésencéphaliques...

Postprandial somnolence better known as "the itis" is usually what someone will say they experience when they are sleepy and sluggish after eating a large meal. Scientifically speaking, "itis" is a suffix which means inflammation or disease. There are a lot of people living with debilitating illnesses and diseases that just chuck it off to genetics or age not realizing it is related to lifestyle choices. In today's episode, we will explore inflammation related to food discussing Will Smith's family health intervention, nutrition and digestive issues, the difference between food allergies and and intolerances, and Johane's H. Pylori health story. In this episode learn about: -The difference between food allergies and food sensitivities -Why "the itis" may be an indication of more serious health issues -Practical steps related to combating digestive disorders while eating a health-ful diet. Music by: Lakey Inspired https://soundcloud.com/lakeyinspired (https://www.youtube.com/redirect?q=https%3A%2F%2Fsoundcloud.com%2Flakeyinspired&v=0-6NexUAIIo&event=video_description&redir_token=vv7eznQk14fCGk8_iJSQkaBWnYV8MTU3NDExNTA1OUAxNTc0MDI4NjU5)

durée : 00:01:27 - Bonne route France Bleu Béarn

A post-vacation flight turned into a waking nightmare after 4 hijackers took over Lufthansa Flight 181. Germany's brand-new elite force, the GSG-9, was set to step in, but were too green to be ready; and so they asked for help from the seasoned British Special Air Service.  Having never even met, the two Spec Ops teams had to work together to figure out how to storm an airplane that was being taken all over Europe and the Middle East. This episode is sponsored by: Duke Cannon (https://dukecannon.com/) (Code: COVERT) Lightstream (https://www.lightstream.com/covert) The Great Courses Plus (https://www.thegreatcoursesplus.com/covert) Covert's theme is "Anxiety" by Kai Engel (https://www.kai-engel.com/) . Music in this episode is "Forlat", "Somnolence", "Scenery", "Comatose", "Cutting to the Chase", "aspirato," "Aveu," "Mare," and "Nothing (Bonus Track)" by Kai Engel; "Guldhelden Eftermiddag" by Ars Sonor (https://www.deviantart.com/frequency-alcyone) ; "Clouds" by Sergey Cheremisinov (https://www.s-cheremisinov.com/) ;  and "Thin Line" and "First Rays" by Jahzzar (http://betterwithmusic.com/) . Sound effects from freesound.org (http://freesound.org/) by unchaz (https://freesound.org/people/unchaz/sounds/150961/) , DBKEEBLER (https://freesound.org/people/DBKEEBLER/sounds/403685/) , burnsie289 (https://freesound.org/people/burnsie289/sounds/152418/; ) , harrybates01 (https://freesound.org/people/harrybates01/sounds/254366/) , drotzruhn (https://freesound.org/people/drotzruhn/sounds/405203/) , pfranzen (https://freesound.org/people/pfranzen/sounds/423216/) , nothayama, (https://freesound.org/people/nothayama/sounds/172507/) ximian (https://freesound.org/people/ximian/sounds/259598/) , nebyoolae (https://freesound.org/people/nebyoolae/sounds/209608/) , lancelottjones (https://freesound.org/people/lancelottjones/sounds/9538) , floriangeyer (https://freesound.org/people/floriangeyer/sounds/144975/) , mwilkinsss (https://freesound.org/people/mwilkinsss/sounds/452785/) , lawnjelly (https://freesound.org/people/lawnjelly/sounds/156890/) , Eelke (https://freesound.org/people/Eelke/sounds/462598/) , bewagne, (https://freesound.org/people/bewagne/sounds/187613/) and laurenmg95. (https://freesound.org/people/laurenmg95/sounds/386691/) Additional sound effects from freesfx.co.uk (http://freesfx.co.uk/) . Licensed under Creative Commons: By Attribution 3.0 License (http://creativecommons.org/licenses/by/3.0/)  

Godzilla revient avec ses copains pour une pyjama partie ! Parmi les invités : Mothra, Rodan et le terrible roi Ghidorah. Avec comme babysitteur, Michael Dougherty dont c’est la première réalisation. Et les producteurs ont laissé 200 millions de dollars d’argent de poche sur la table. On devrait passer une bonne soirée à sauter sur les lits et mettre du popcorn partout.  Seulement voilà, les parents ont bien insisté sur l’heure du dodo. Alors le babysitteur se fait une joie d’éteindre la lumière pendant la bataille de polochon pour bien la gâcher. Assez vite, gavé par les sucreries, le bruit, les dialogues inconsistants et les images floues, les yeux du spectateur se ferment irrésistiblement. Et ne luttez pas, le réal et la prod ont tout fait pour ça (d’ailleurs faites gaffe, ils ont surement glissé un somnifère dans votre soda). Le film réussit-il à réveiller ses spectateurs avant la fin ? Vaut-il mieux lézarder au soleil que s’enfermer voir Godzilla 2 roi des monstres ? Réponse dans CLAAC Godzilla 2 Roi des monstres (Godzilla: King of the Monsters) (2019) de Michael Dougherty avec Kyle Chandler, Vera Farmiga, Millie Bobby Brown, Ken Watanabe, Zhang Ziyi, Charles Dance…  Émission animée par Thomas Bondon, Héra Laskri et Carl Vincent. Générique original : Kostia R. Yordanoff (tous droits réservés)  Facebook: @claacpodcast Instagram: @claacpodcast  Twitter: @CLAACpodcast Ausha : https://podcast.ausha.co/certains-l-aiment-a-chaud Itunes / Apple Podcast : https://itunes.apple.com/fr/podcast/certains-laiment-%C3%A0-chaud/id1439017876?mt=2 Spotify : https://open.spotify.com/show/2Jfbakzm1cuNPzqXQ9Q1Cu?si=s6QP59TDQ9eFrquPyPB-qg Deezer : https://www.deezer.com/en/show/69211?utm_source=deezer&utm_content=show-69211&utm_term=10994565_1545995168&utm_medium=web Stitcher : https://www.stitcher.com/podcast/certains-laiment-a-chaud?refid=stpr Podmust : https://podmust.com/podcast/certains-aiment-a-chaud/

The Silence Breaks, The Tale Continues.... This week, Following an Audience with the Dwarven King, the Party are tasked with escorting a Scholar to Mantol-Derith.... The Cast: Dragon as "T'riss Nitra" (A Drow) Freya as "Nal" (a Half Orc/Half Elf) Shiraz as "Ishidoro" (A Dragonborn) Susie Q as "Thirteen" (a Goblin) Tauno as "Rasthikos Thyreon" (A Human) Wednesday Le Fey as "Desolation" aka. "Layla" (A Tiefling)  And Nikoli as your Storyteller. Where Can i Find more from the Cast? You can hear more from Wednesday as Part of the Dum Dum Die Cast at: @DumDumDie Shiraz Can Be Found on Twitter at @DiceDeeds  Find more from Dragon & Nikoli Right Here @PenanceRPG  Interested in the DM and world building Notes? Unlock the Bonus "Archive" Podcast through our Patreon Support us on Ko fi and Patreon All Music Was Written & Performed by Daniel Boström Learn more at Penancerpg.com Come talk with us on Twitter, Facebook or Instagram Listen on Google Play, iTunes,  Spotify,  Libsyn, Stitcher, podchaser, podcastaddict Dndice.co.uk - Using "Penancerpg" at checkout for 5% off your order

La periodista Alejandra Guillén viajó a Michoacán para conocer a “El trompas”, un líder indígena que encabezó la lucha para recuperar Xayacalán, un territorio de mil 300 hectáreas que el crimen organizado, en contubernio con autoridades corruptas, les había arrebatado. La caravana en la que iba para conocerlo nunca llegó a su destino. "El abuelo y el chamaco" fue producido y editado por Fernando "Micro" Hernández. Mitzi Pineda es la Asistente de Producción.  La ilustración de este episodio corrió a cargo de Viviana Reyes, la pueden encontrar en Instagram como @lamuyviviana Música utilizada con una licencia de atribución no comercial y no modificaciones de Creative Commons:   Daniel Birch - Floating past a star  Jahzzar- Endeavour  Chris Zabriskie - Divider  Nattbussen - Farewell (the damaged one)  Kai engel - Somnolence  Sergei Cheremisinov - Labyrinth  Chris Zabriskie - Oxygen Garden

La periodista Alejandra Guillén viajó a Michoacán para conocer a “El trompas”, un líder indígena que encabezó la lucha para recuperar Xayacalán, un territorio de mil 300 hectáreas que el crimen organizado, en contubernio con autoridades corruptas, les había arrebatado. La caravana en la que iba para conocerlo nunca llegó a su destino. "El abuelo y el chamaco" fue producido y editado por Fernando "Micro" Hernández. Mitzi Pineda es la Asistente de Producción.  La ilustración de este episodio corrió a cargo de Viviana Reyes, la pueden encontrar en Instagram como @lamuyviviana Música utilizada con una licencia de atribución no comercial y no modificaciones de Creative Commons:   Daniel Birch - Floating past a star  Jahzzar- Endeavour  Chris Zabriskie - Divider  Nattbussen - Farewell (the damaged one)  Kai engel - Somnolence  Sergei Cheremisinov - Labyrinth  Chris Zabriskie - Oxygen Garden

La fatigue au volant est responsable de 10 à 20 % des accidents. Qu'est-ce que les constructeurs automobiles proposent pour contrer ce problème ?

La fatigue au volant est responsable de 10 à 20 % des accidents. Qu'est-ce que les constructeurs automobiles proposent pour contrer ce problème ?

In an alternate future, it's 1981 and the UN allies have been at war with the Soviet Union for six years. In that short amount of time, the world has been reduced to an irradiated husk of itself. Standing victorious over a fallen world, the Soviets unexpectedly find themselves overwhelmed by a new technology developed by the Allies. A technology that will turn the tide of the war. One that will harbor a deep secret. -- Sponsor: Check out http://www.nutrafol.com and use code FICTIONAL at checkout to start taking control of your hair health and to get your first month's supply for $10 with a subscription -- Music: “Son of the Widow” by Ketsa   “Better Way” by Kai Engel   “Soli” by Kai Engel   “Oneiri” by Kai Engel   “Passages” by Kai Engel   “Somnolence” by Kai Engel   “Daemones” by Kai Engel   “Scalloped” by Blue Dot Sessions   “Uncertain Ground” by Blue Dot Sessions   “Dangerous Swing” by Blue Dot Sessions “Holo” by Blue Dot Sessions

In this episode we go behind the battle lines in the jungles of Sierra Leone to learn about the planning and high stakes execution of one of the most dangerous special forces missions in history. But what was it like for those on the ground during this operation? What effect did this mission have? Covert's theme is "Anxiety" by Kai Engel (kai-engel.com). Music in this episode is “Somnolence”, “Morbid Imagination”, “Oneriri” by Kai Engel (kai-engel.com); “The Last Ones” by Jahzzar; “Arid Foothills”, Clash Defiant” by Kevin MacLeod. Sound effects from freesound.org by noise collector, barkerspinhead, eFlextheSoundDesigner, WertStahl, Leoctiurs. Licensed under Creative Commons: By Attribution 3.0 License http://creativecommons.org/licenses/by/3.0/ This episode is sponsored by: Stamps.com, Hims and PD Stores podcast.

On February 26, 1993 Osama Bin Laden had gotten the attention of the United States when he funded an attempted attack on the World Trade Center. The attack later revealed a more intricate network of supposed terrorist training camps, and the terrorist organization known as al Qaeda, or “The Base." In late summer, 2001, he became America’s number one enemy. In part 2, host Jamie Rennell discusses the impact of 9/11 on the CIA, how intelligence services tracked down the most elusive criminal on the planet, and explores why it took so long. Covert's theme is "Anxiety" by Kai Engel (kai-engel.com). Music in this episode is "Sopor",  "August (Summer Nights)", and "Somnolence" by Kai Engel; "Forlat", "The Morning Star", "Saturn (Lessons Learnt)", and "Moving On" by Ars Sonor (http://frequency-alcyone.deviantart.com/); "Toxick Spill" by Ad Serpentae (https://www.discogs.com/artist/892453-Ad-Serpentae); "The Last Ones" by Jahzzar (http://betterwithmusic.com/). Sound effects from freesfx.uk.co. Licensed under Creative Commons: By Attribution 3.0 License http://creativecommons.org/licenses/by/3.0/ News clips courtesy of C-Span (c-span.org).

Les yeux qui se ferment au volant, quel remède ?

Les yeux qui se ferment au volant, quel remède ?

Episode 2: Once again we return to The Mansions of Madness Call of Cthulhu supplement for another amazing scenario. Spenser, Finn, Oz and Huck gathered together on the Dock all wanting to travel across the stormy November sea to visit Dr Brewer's Sanatorium for the rich and famous. However, they hadn't bargained on quite how rough the water would be and it looks like our adventure might end early... As a DM/Keeper this is by far the most ambitious story I have ever attempted - with a ton of NPCs, a complicated plot and a live audience. With huge thanks to Battle bards.com Kevin MaCleod at Incompetech FesliyanStudios and Pedar B Heland For their excellent music and sfx

SAOS, somnolence et conduite automobile

La somnolence du SAOS : quels mécanismes et quels outils d'évaluation ?

Prise en charge de la somnolence résiduelle sous traitement

FSR Podcast - April 2, 2010. Featuring: "Mechanically Separated Chicken" by Waffle, "Merciful Box" by Thraft King, "No News Is Good News" by R. Stevie Moore, "I've Already Begun Killing... My Course Is Clear" and "Somnolence" by Long Hair, "IV" by North-Without-End and "Home on the Range" by Act of God.