Podcasts about Systematic review

Jody responds to the American College of Physicians' Annals On Call Podcast episode released on May 19th, 2025.Links:Advanced Practice Clinicians Cannot Replace Primary Care Physicians. Annals On Call Podcast, 5-29-25Physician Assistant and Former PA-Turned-Physician Discuss the State of the Profession. Patients At Risk Podcast, 7-25-21 (Spotify)New Workforce Model Suggests Continued Physician Shortages In Nonprimary Care Specialties (AAMC Article)Christin Giordano McAuliffe. There Is No Substitute for Primary Care Physicians: A Response to the Association of American Medical Colleges' Workforce Model. Ann Intern Med.2025;178:590-591. [Epub 4 March 2025]. doi:10.7326/ANNALS-24-03806University of South Alabama Dual Role NP CurriculumRazavi, Moaven PhD*; O'Reilly-Jacob, Monica RN, PhD, FNP-BC†; Perloff, Jennifer PhD*; Buerhaus, Peter RN, PhD, FAAN, FAANP(h)‡. Drivers of Cost Differences Between Nurse Practitioner and Physician Attributed Medicare Beneficiaries. Medical Care 59(2):p 177-184, February 2021. | DOI: 10.1097/MLR.0000000000001477 McMenamin A, Turi E, Schlak A, Poghosyan L. A Systematic Review of Outcomes Related to Nurse Practitioner-Delivered Primary Care for Multiple Chronic Conditions. Medical Care Research and Review. 2023;80(6):563-581. doi:10.1177/10775587231186720Kippenbrock T, Emory J, Lee P, Odell E, Buron B, Morrison B. A national survey of nurse practitioners' patient satisfaction outcomes. Nurs Outlook. 2019 Nov-Dec;67(6):707-712. doi: 10.1016/j.outlook.2019.04.010. Epub 2019 May 4. PMID: 31607371.Haas, D., Pozehl, B., Alonso, W. W., & Diederich, T. (2023). Patient Satisfaction With a Nurse Practitioner–Led Heart Failure Clinic. Journal for Nurse Practitioners, 19(4), Article 104496. https://doi.org/10.1016/j.nurpra.2022.11.006https://www.techtarget.com/patientengagement/news/366584669/Nurse-Practitioners-Boost-Patient-Satisfaction-Quality-Outcomeshttps://www.aanp.org/advocacy/advocacy-resource/position-statements/quality-of-nurse-practitioner-practicehttps://www.aacnnursing.org/news-data/all-news/rounds-with-leadership-focusing-on-the-outcomes-of-np-practiceStanik-Hutt, J., Newhouse, R. P., White, K. M., Johantgen, M., Bass, E. B., Zangaro, G., Wilson, R., Fountain, L., Steinwachs, D. M., Heindel, L., & Weiner, J. P. (2013). The quality and effectiveness of care provided by nurse practitioners. Journal for Nurse Practitioners, 9(8), 492-500.e13. https://doi.org/10.1016/j.nurpra.2013.07.004Savard I, Al Hakim G, Kilpatrick K. The added value of the nurse practitioner: An evolutionary concept analysis. Nurs Open. 2023 Apr;10(4):2540-2551. doi: 10.1002/nop2.1512. Epub 2022 Dec 17. PMID: 36527435; PMCID: PMC10006655.

Dans cet épisode de Puls'In Vet, nous parlons du Librela, traitement anti-NGF qui a conquis les cabinets vétérinaires pour sa simplicité d'usage et sa promesse de soulager la douleur chronique.

SHOW NOTESWhat impact does surgery have on the body?Intentional trauma Physiological response Psychosocial impact StressWhen we think about surgery, it's essential to understand that it triggers a significant reaction in the body known as the 'stress response.' This response is a complex interplay of hormonal and metabolic changes directly linked to the degree of tissue damage during surgery. It can intensify if there are any complications after the operation. Let's break it down: The whole process starts when the hypothalamic-pituitary-adrenal axis, or HPA axis, kicks into gear. This leads to a surge in hormones like cortisol, growth hormone, glucagon and catecholamines. These hormones are important because they help the body cope with stress by boosting energy availability and adjusting other bodily functions.Ebb phase (0-48hrs)Increased catabolism of stored glycogen (glycogenolysis)Suppression of insulin secretion → transient hyperglycemiaIncreased catecholamines, cortisol, and inflammatory cytokines (IL-6, TNF-α)Flow phase (3-10 days)Hypermetabolism (increased BMR)Increased protein catabolism → muscle breakdown (to provide amino acids for tissue repair and immune function)Increased lipolysis (fat breakdown) for energySustained insulin resistance → continued hyperglycemiaEnhanced GNG Pro-inflammatory response → increased cytokines and acute-phase protein productionIn the initial stages after surgery, the body releases a wave of pro-inflammatory cytokines. These cytokines jumpstart the healing process by promoting inflammation, which is important for healing surgical wounds. However, to keep this inflammation from going overboard, the body soon follows up with anti-inflammatory cytokines.These inflammatory processes have widespread effects across the body. For example, they can influence how the hypothalamus regulates body temperature or how the liver produces certain proteins that help fight infection and aid in wound healing.But here's where it gets even more interesting: other hormones like glucagon, cortisol, and adrenaline also play a role in modulating these responses. They can affect everything from your blood sugar levels to how your cardiovascular system handles the stress.So, why is all this important? Well, by understanding and managing these responses effectively, we can significantly improve how patients recover from surgery. It's all about helping the body maintain balance during a time when it's incredibly vulnerableDisruption of Metabolic Homeostasis: Surgery often disrupts the body's normal metabolic balance, notably through insulin resistance, where cells fail to respond effectively to insulin, leading to 'diabetes of the injury.' Insulin Resistance and Hyperglycemia: Insulin resistance can cause high blood sugar levels, significantly increasing the risk of surgical complications and mortality. Post-surgery, the body may enter a catabolic state, breaking down muscle instead of fat, which impairs wound healing, weakens the immune system, and reduces muscle strength. Increased Risks for Vulnerable Groups: Elderly, diabetics, and cancer patients are particularly at risk due to their compromised metabolic and inflammatory states. These groups have less physiological reserve, leading to pronounced catabolic states and increased risk of severe post-operative complications. Impact on Recovery and Outcomes: The metabolic chaos from insulin resistance to protein loss not only delays recovery but also exacerbates risks of infection and other complications. Effective management of these changes is crucial for improving surgical outcomes and ensuring that patients thrive post-surgery.ERAS helps to mitigate these by Surgery isn't just about the physical repair or removal of tissue; it triggers a cascade of stress responses in the body that can complicate recovery. These include everything from the psychological impacts of anxiety and the physiological effects of fasting to direct tissue damage and the systemic reactions to it, such as fluid shifts and hormonal imbalances.Key Components of ERAS:Comprehensive Care: ERAS isn't just a single technique but a suite of practices designed to address every aspect of the patient's journey — before, during, and after surgery. This approach aims to minimise the stress responses by controlling pain, reducing fasting times, optimising fluid management, and promoting early mobility.Minimising Fasting: One traditional practice that ERAS revises significantly is the preoperative fasting rule. Old guidelines that required fasting from midnight before surgery are now replaced with more lenient, evidence-based practices that allow intake of clear fluids up to two hours and solids up to six hours before surgery. This change helps maintain normal blood glucose levels, reduces stress, and decreases the body's shift into a catabolic (muscle-degrading) state.Nutritional Optimisation: ERAS protocols emphasise the importance of not entering surgery in a depleted state. By allowing a carbohydrate-rich drink shortly before surgery, patients are better hydrated and less anxious, which in turn reduces insulin resistance and preserves muscle mass — critical factors in speeding up recovery post-surgery. Post-operatively, oral nutrition may be delayed by the medical team until bowel function returns, typically taking close to a week. This delay is stated to reduce postoperative complications such as abdominal distension and nausea/vomiting.For the first several days post surgery fluids of limited nutritional value such as water are provided to patient until tolerance is established leading to insufficient nutrition intake during this time increasing the risk of malnutrition. The ERAS protocol promotes early oral intake within 24 hours post surgery departing from traditional fasting practices. Research suggests that between 40-50% of surgical patients have some degree of malnutrition. Pre-operative malnutrition is an independent predictor of poor post-operative outcomes. Therefore addressing malnutrition is a key component of the ERAS protocol.Immune-Enhancing Diets: Post-surgery nutrition is just as crucial. ERAS encourages diets rich in nutrients that bolster the immune system and enhance wound healing. This includes omega-3 fatty acids, which help modulate the inflammatory response; arginine, which supports protein synthesis and tissue growth; glutamine, which is vital for cellular health and recovery; and nucleotides, which are essential for rapid cell division and immune function .Immuno-nutrition is a specialised medical nutrition therapy that has been shown to adjust the body's inflammatory response: It incorporates specific nutrients like omega-3 fatty acids, arginine, polyunsaturated fatty acids, and nucleotides. It's typically recommended starting 5-7 days before surgery and continuing post-operatively for over 7 days or until oral intake meets at least 60% of the patient's nutritional requirements.How can we use this info to optimize surgical outcomes?Patient education Early nutrition pre and post surgery - Minimise fasting time What is ERAS? How does it differ from traditional care/practice?Introduced by Henrik Kehlet in 1997, the Enhanced Recovery After Surgery (ERAS) protocol has revolutionised surgical practices by optimising perioperative care. A key aspect of ERAS is its interdisciplinary approach, involving healthcare professionals from various specialties to minimise surgical stress and facilitate recovery. What is malnutrition?Malnutrition, is defined as an involuntary reduction in body weight, muscle mass and physical capabilities, affects up to 65% of surgical patients and can worsen during hospital stays. Enhancing nutritional status and promoting functional nutrition therapy is essential, even forpatients without evident malnutrition, particularly when prolonged perioperative oral intake challenges arise. Addressing malnutrition is essential for preventing surgical complications, prolongedhospital stays and higher healthcare costs. What are the benefits of ERAS for the patient?It has been shown that the key physiological benefits include:-enhances the body's anabolic processes-promotes wound healing, which is critical for patient recovery.-Reduces the risk of nutritional depletion-Minimises insulin resistance, a common issue post-surgery, allowing for better blood sugar control and improved metabolic function.-Reduce protein catabolism-And lowers the risk of pressure injuries, which can develop due to extended immobility after surgery.What are the benefits of ERAS from a healthcare perspective? From a healthcare perspective, ERAS has been shown to-shorter length of hospital stay for patients,-Lower risk of ICU transfer rates-reduce readmission rates-And all of these improvements lead to lower healthcare costs, not just for the hospital but for the overall healthcare system, as fewer complications and shorter stays reduce the financial strain.Step 1: Screen & StrengthenIf you've lost any weight unintentionally in the lead up to surgery, or been eating poorly because of a reduced appetite, you may be at risk of malnutrition and it's really important to address this prior to surgery. Research suggests that between 40-50% of surgical patients have some degree of malnutrition. Pre-operative malnutrition is an independent predictor of poor post-operative outcomes. Addressing malnutrition is a key component of the ERAS protocol and why it's effective in improving surgical outcomes for patients.Book an appointment with a dietitian who can guide you on appropriate dietary changes to minimise muscle loss, build you up and optimise nutritional status and stores pre-op. A well-nourished body tolerates surgery better, heals faster, has a stronger immune system to fight infection, and experiences fewer complications.Step 2: Consider Immunonutrition If you're planned for major surgery, especially certain cancer and abdominal surgeries, consider the use of an immunonutrition supplement in the 5-7 days pre op. These are the supplements loaded with arginine, n3s, glutamine and nucleotides to support the immune system and reduce inflammatory responses, potentially leading to fewer infections and better recovery.Step 3: Build Your Strength & Energy Stores prior to surgery Carb load with food in the days leading up to surgery - think that big bowl of pasta a footy player would have the night before the grand final. ERAS protocols have significantly reduced or eliminated long periods of "nil by mouth" (NBM) before surgery.Ask your surgical team exactly when you need to stop eating solid food – it might be much later than you think, often around 6 hours before surgery for a light meal. For clear fluids, it could be as little as 2 hours before!We'll make the most of every second to prevent unnecessary dehydration, hunger, anxiety, and preserve your body's energyStep 4: The Pre-Surgery Carb Load using clear fluidsMany ERAS protocols include a special carbohydrate-rich drink taken a few hours before surgery. Your hospital may provide this, but if they don't, we can organise orders for you or point you in the right direction.  It's usually a clear, sweet drink. Think of it as topping off your fuel tank right before the 'race'."These have been shown to reduce post-operative insulin resistance (which can slow healing), help maintain muscle strength, can reduce nausea, and improve overall wellbeing. It basically tells your body it's in a 'fed' state, not a 'starvation' state, heading into surgery.This is best done with tailor made medical nutrition drinks as they come prepped with the correct doses of maltodextrin-polymer carbs and a lower osmolality than other solutions, which essentially means they gentler on your gut and better for gastric emptying so they don't linger in your gut during surgery. Always follow surgical instructions, but ideally we're aiming for 100 grams of carbohydrate the night before surgery and about 50 grams of carbohydrate in clear fluids approximately 2 hours before anesthesia. This might look like 4 x 200ml drinks the night before, and 2 the morning of surgery If you can't access these drinks, apple or cranberry juice are reasonable replacements.  Drop us an email or message or give us a call if you'd like advice on where to get pre-op and immunonutrition supplement drinks. Then we move on to post op and Step 5 which is aiming to eat early.  ERAS encourages starting to eat and drink as soon as it's safe after surgery – often within hours, not days!As soon as your team says it's okay, try sipping water, then progress to other clear fluids, and then light foods as tolerated. Even small, frequent amounts help. This helps to stimulates your gut to start working again, reducing the risk of ileus – a slow, sleepy bowel, provides energy for healing, and can help you feel more normal, faster.If you haven't been told you can eat or drink, keep asking the question! You are your best advocate! Another tip that can help here is step 6:  Chew GumIf your team allows it, start chewing sugar-free gum several times a day once you're able. It sounds simple, but it can be surprisingly helpful in mimicking eating even when you're not allowed to, and can stimulate your digestive system to return to usual function sooner and reduce the risk of ileus.Step 7 is to Nourish to Heal This is where we bring in our good friend protein to optimise tissue repair and recovery Include protein rich food at each meal, and chat to us if you're finding this difficult because there are plenty of hacks if you're not feeling up to chicken breast and steak! And finally step 8 is to Listen to Your BodyWhile ERAS encourages early eating, we always want you to be tuned in to your body's cues and speaking up to your medical team and us if something doesn't feel right. There are plenty of interventions that can be used to keep you comfortable while still optimising your nutrition to get the best outcomes from surgery. Weimann, A., Braga, M., Carli, F., Higashiguchi, T., Hübner, M., Klek, S., et al. (2021). ESPEN practical guideline: Clinical nutrition in surgery. Clinical Nutrition, 40(7), 4745-4761.Weimann, A., Braga, M., Carli, F., Higashiguchi, T., Laviano, A., Ljungqvist, O., et al. (2017). ESPEN guideline: Clinical nutrition in surgery. Clinical Nutrition, 36(3), 623-650.Gustafsson, U. O., Scott, M. J., Schwenk, W., Demartines, N., Roulin, D., Francis, N., et al. (2019). Guidelines for perioperative care in elective colonic surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations: 2018. Clinical Nutrition, 38(2), 576-586. (Note: The ERAS® Society website, erassociety.org, is the primary source for the most current and comprehensive suite of procedure-specific guidelines.)Ljungqvist, O., Scott, M., & Fearon, K. C. (2017). Enhanced Recovery After Surgery: A review. JAMA Surgery, 152(3), 292-298.Thiele, R. H., Raghunathan, K., Brudney, C. S., Campos, S., Candiotti, K., Chaves, S., et al. (2016). American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) joint consensus statement on perioperative fluid management in adults. Perioperative Medicine, 5, 26. (Note: This is an example of ASER/POQI consensus; look for other relevant POQI statements on specific surgical procedures and their nutritional components.)Soon, K., Levy, G. M., Cusack, L. A., Varma, S., & Nicholson, G. A. (2020). The effect of preoperative carbohydrate loading on patient outcomes in elective surgery: A systematic review and meta-analysis. Systematic Reviews, 9(1), 254.Lewis, S. J., Egger, M., Sylvester, P. A., & Thomas, S. (2001). Early enteral feeding versus "nil by mouth" after gastrointestinal surgery: systematic review and meta-analysis of controlled trials. BMJ, 323(7316), 773-776.Osland, E. J., Hossain, M. A., Khan, S., & Memon, M. A. (2014). Effect of timing of oral feeding on patient outcomes after elective colorectal surgery: A systematic review and meta-analysis. Journal of Gastrointestinal Surgery, 18(5), 1039-1051.Braga, M., Gianotti, L., Nespoli, L., Radaelli, G., & Di Carlo, V. (2002). Nutritional approach in malnourished surgical patients: a prospective randomized study. Archives of Surgery, 137(2), 174-180.Marimuthu, K., Varadhan, K. K., Ljungqvist, O., & Lobo, D. N. (2012). A meta-analysis of the effect of combinations of enhanced recovery after surgery (ERAS) interventions on postoperative outcomes. Annals of Surgery, 255(4), 640-649.

Show notes at pharmacyjoe.com/episode1029. In this episode, I’ll discuss a systematic review of the ketorolac dose ceiling for ED analgesia. The post 1029: A Systematic Review of the Ketorolac Dose Ceiling for ED Analgesia appeared first on Pharmacy Joe.

Send us a textThis recording features audio versions of June 2025 Journal of Vascular and Interventional Radiology (JVIR) abstracts:Comparison of Bypass Surgery versus Endovascular Interventions for Peripheral Artery Disease through Systematic Review and Meta-Analysis of Randomized Controlled Trials ReadThe Incidence and Consequences of Endovascular Technical Failure in Patients with Chronic Limb-Threatening Ischemia: Results from the Best Endovascular versus Best Surgical Therapy in Patients with Critical Limb-Threatening Ischemia (BEST-CLI) Trial ReadComparative Radiologic Response Assessment after Transarterial Chemoembolization, Percutaneous Ablation, and Multimodal Treatment: Radiologic-Pathologic Correlation in 81 Tumors ReadBreast Cancer Recurrence after Cryoablation in Patients Who Are Poor Surgical Candidates or Who Refuse Surgery ReadKetamine/Midazolam versus Fentanyl/Midazolam Sedation for Interventional Radiology Procedures: A Prospective Registry ReadPortal and Hepatic Vein Embolization versus Portal Venous Embolization Alone in Cirrhotic and Noncirrhotic Swine: A Pilot Study ReadAssessment of Catheter-Directed Thrombolysis and Histotripsy Treatment for Deep Vein Thrombosis ReadExpanding Global IR Outreach to Address Postpartum Hemorrhage in Kenya Using Geospatial Analytic Mapping ReadJVIR and SIR thank all those who helped record this episode. To sign up to help with future episodes, please contact our outreach coordinator at millennie.chen.jvir@gmail.com.  Host and audio Editor:Sonya Choe, University of California Riverside School of MedicineOutreach coordinator:Millennie Chen, University of California Riverside School of MedicineAbstract readers:Marc Attalla, University of California Riverside School of MedicineAgnes Manish, Loma Linda University School of MedicineClare Necas, Western University of Health Sciences, College of Osteopathic MedicineGavin Shu, University of California San Francisco School of MedicineMark Oliinik, Loma Linda University School of MedicineAbhisri Ramesh, George Washington School of Medicine and Health SciencesAndrew Sasser, University of Miami Miller School of Medicine Sakeena Siddiq, Western University of Health Sciences, College of Osteopathic MedicineSIR thanks BD for its generous support of the Kinked Wire.Read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.Support the show

In this episode of Quah (Q & A), Sal, Adam & Justin coach four Pump Heads via Zoom. Mind Pump Fit Tip: 8 weird signs that you should avoid gluten. (1:45) Why is fitness so EFFECTIVE for depression and anxiety? (22:07) Don't forget to bring Zbiotics to your next party or gathering. (29:00) The Schafer's Lego Land experience. (32:19) Saffron is a natural compound for depression and anxiety. (45:43) Justin's Road to 315 Push Press. (46:55) 3-part bonus series for trainers dropping on May 19th! (1:00:35) #ListenerLive question #1 – Any advice for jumping and getting into personal training? (1:01:51) #ListenerLive question #2 – Where do I go after I finish Symmetry to make sure I can keep this momentum going to live pretty much pain-free and moving freely? (1:13:03) #ListenerLive question #3 – When would you guys recommend someone get liposuction? (1:22:42) #ListenerLive question #4 – Do I need to educate myself a little more before hiring a coach? And if so, how exactly? (1:32:53) Related Links/Products Mentioned Ask a question to Mind Pump, live! Email: live@mindpumpmedia.com Visit Pre-Alcohol by ZBiotics for an exclusive offer for Mind Pump listeners! ** Promo code MINDPUMP25 for 15% off first-time purchasers on either one-time purchases, (3, 6, 12-packs) or subscriptions (6, 12-pack) ** Visit Organifi for the exclusive offer for Mind Pump listeners! **Promo code MINDPUMP at checkout for 20% off** May Special: MAPS 15 Performance or RGB Bundle 50% off! ** Code MAY50 at checkout ** Mood Disorders and Gluten: It's Not All in Your Mind! A Systematic Review with Meta-Analysis Transmission of Faith in Families: The Influence of Religious Ideology Effects of Saffron Extract Supplementation on Mood, Well-Being, and Response to a Psychosocial Stressor in Healthy Adults: A Randomized, Double-Blind, Parallel Group, Clinical Trial Justin's Road to 315 Push Press Train the Trainer Webinar Series Mind Pump Group Coaching Mind Pump #2515: How to Become a Successful Trainer in 2025 Online Personal Training Course | Mind Pump Fitness Coaching ** Approved provider by NASM/AFAA (1.9 CEUs)! Grow your business and succeed in 2025. ** Mind Pump #2242: The Non-Surgical Way to Look Younger With Dr. Anthony Youn Mind Pump #1622: Nine Signs Your Trainer Sucks Mind Pump Podcast – YouTube Mind Pump Free Resources People Mentioned Stan “Rhino” Efferding (@stanefferding) Instagram Jordan Jiunta (@redwiteandjordan) Instagram Marcelo (@mindpumpmarcelo) Instagram Anthony Youn, MD, FACS (@tonyyounmd) Instagram Justin Brink DC (@dr.justinbrink) Instagram Jordan Shallow D.C (@the_muscle_doc) Instagram  

Identifying and Evaluating Young Children with Developmental Central Hypotonia: An Overview of Systematic Reviews and ToolsChildren with developmental central hypotonia have reduced muscle tone secondary to non-progressive damage to the brain or brainstem. Children may have transient delays, mild or global functional impairments, and the lack of a clear understanding of this diagnosis makes evaluating appropriate interventions challenging. This overview aimed to systematically describe the best available evidence for tools to identify and evaluate children with developmental central hypotonia aged 2 months to 6 years. A systematic review of systematic reviews or syntheses was conducted with electronic searches in PubMed, Medline, CINAHL, Scopus, Cochrane Database of Systematic Reviews, Google Scholar, and PEDro and supplemented with hand-searching. Methodological quality and risk-of-bias were evaluated, and included reviews and tools were compared and contrasted. Three systematic reviews, an evidence-based clinical assessment algorithm, three measurement protocols, and two additional measurement tools were identified. For children aged 2 months to 2 years, the Hammersmith Infant Neurological Examination has the strongest measurement properties and contains a subset of items that may be useful for quantifying the severity of hypotonia. For children aged 2-6 years, a clinical algorithm and individual tools provide guidance. Further research is required to develop and validate all evaluative tools for children with developmental central hypotonia.

In this episode, Dr. Charles Schauberger discusses the difficulties clinicians face when identifying and treating inhalant use in pregnant patients, and the findings from his recent article Systematic Review of Obstetric and Child Outcomes of Prenatal Exposure to Inhalants in the Context of a Use Disorder.   Dr. Charles Schauberger lives and practices in La Crosse, Wisconsin.  He is board-certified in both Obstetrics and Addiction Medicine, and has developed a specialized pregnancy addiction clinic that champions a patient-centered approach to addiction care for pregnant women.  While he is mostly retired from obstetrics, he continues to provide addiction care and continues his interest in performing research studies to advance our knowledge of treatment for substances in pregnancy. - Article Link: Systematic Review of Obstetric and Child Outcomes of Prenatal Exposure to Inhalants in the Context of a Use Disorder

Dr. Feroze Sidhwa discusses Gaza with Clint Borgen. Dr. Sidhaw is a Trauma Surgeon, based in California, with experience in Gaza, Ukraine, the West Bank, Zimbabwe, Haiti, Dominican Republic, and Burkina Faso. He received his Masters in Public Health from Harvard and his Medical Degree from the University of Texas Medical School.Take Action: Urge Congress to meet with American doctors who served in Gaza.Mentioned: Read the letter U.S. doctors sent to Congress.Official podcast of The Borgen Project, an international organization that works at the political level to improve living conditions for people impacted by war, famine and poverty.borgenproject.orgGuest BioDr. Feroze Sidhwa is a general, trauma, and critical care surgeon in California. He is triple-board certified in general surgery, trauma/surgical critical care, and neurocritical care, and is a Fellow of the American College of Surgeons and of the International College of Surgeons.Feroze is also a humanitarian surgeon. He has worked most extensively in Palestine, but has also worked in Ukraine three times with the International Medical Corps and Harvard Humanitarian Initiative, and in Zimbabwe, Haiti, Dominican Republic, and Burkina Faso. He has helped edit books on the Israeli-Palestinian conflict published by University of California Press (Berkeley, CA), O/R Books (London, UK), and the Institute for Palestine Studies (Washington, DC). He is widely published in the medical literature, including in The Journal of the American College of Surgeons, Annals of Surgery, World Journal of Surgery, Journal of Bone and Joint Surgery, Cochrane Database of Systematic Reviews, Surgical Infections, Plastic and Reconstructive Surgery, JAMA Pediatrics, Journal of Pediatric Surgery, and Journal of Laproendoscopic and Advanced Surgical Techniques, among others. Feroze has spoken on humanitarian relief work and its political implications at the Harvard FXB Center for Health and Human Rights, the University of California San Francisco School of Medicine, as the keynote speaker of the Stanford 31st Annual Trauma Critical Care Symposium, at UChicago Medicine Trauma Grand Rounds, at the University of Chicago Pritzker School of Medicine, University of Chicago Law School, Johns Hopkins University and School of Public Health, Johns Hopkins School of Advanced International Studies, MIT, Kings County Hospital in Brooklyn, SUNY Downstate College of Medicine, NYU, the Hawaii Medical Association, and the University of Hawaii A. John Burns School of Medicine. He has also spoken widely in the community, mostly in the San Francisco Bay Area but also with Jewish Voice for Peace Phoenix and Tucson, Massachusetts Peace Action, the 2024 Democratic National Convention, and elsewhere.Lay publications about Feroze's humanitarian surgical work and its political implications include:New York Times, October 9, 2024. “65 Doctors, Nurses and Paramedics: What We Saw in Gaza”Haaretz (Israel), October 17, 2024. “65 אנשי רפואה לניו יורק טיימס: אלה המחזות שראינו בעזה”Politico, July 19, 2024. “We Volunteered at a Gaza Hospital. What We Saw Was Unspeakable.”CommonDreams.org, May 23, 2024. “The Atlantic's Sloppy Reporting on UN Gaza Statistics Jeopardizes Its Credibility”CommonDreams.org, April 11, 2024. “As Surgeons, We Have Never Seen Cruelty Like Israel's Genocide in Gaza”Columbia Daily Spectator, January 29, 2025. “In Gaza, a ‘political' ethical problem is still an ethical problem.”Feroze is the primary author of two open letters to the Biden-Harris administration regarding the United States' role in the Israeli assault on Gaza that followed the October 7, 2023 attacks on Israel, as well as the appendices accompanying those letters. These letters were updated and sent to the Trump transition team on November 15, 2024.Feroze has appeared on CNN's Amanpour, PBS, MSNBC's Ayman Mohyeldin Reports, Democracy Now!, CNN international, the Australia Broadcasting Corporation, DropSite News, NPR, and the BBC World News, as well as a variety of radio programs and podcasts. He has been quoted widely in mainstream and alternative media, including on CBS Sunday Morning News, ABC News, Reuters, the Washington Post, Mother Jones, the New Republic, Mainchi Newspaper (Japan), Local Call (Israel), the Huffington Post, the New Statesman, NRK (Norway), the Guardian, the Independent, Pass Blue, and Democracy Now! Dr. Sidhwa serves as a peer reviewer for the Journal of the American College of Surgeons on global surgical topics and as an external expert reviewer for Human Rights Watch.Feroze was born in Houston, TX to Parsi parents who left Pakistan to find a better life. They moved to the UK and then in the United States. Feroze grew up in Flint, MI. After graduating from Johns Hopkins University in 2004 with a bachelor's degree in public health he lived in Haifa, Israel for one year, working with a Palestinian-Jewish cooperative in the city. He then taught middle school in east Baltimore for one year before starting medical school at the University of Texas School of Medicine at San Antonio. During his time in medical school he also obtained a Master of Public Health from the Harvard School of Public Health.After finishing medical school, Feroze joined the general surgery residency program at Boston Medical Center. During his residency he completed a surgical research fellowship at Boston Children's Hospital. During that time Feroze treated victims of the Boston Marathon Bombing. After finishing residency in 2018 he began his one-year trauma/surgical critical care fellowship at Cooper University Healthcare in Camden, NJ. After completing his fellowship, he moved to California where he now practices as a trauma surgeon at a county hospital and as a general surgeon in the Veterans Affairs Northern California Health Care System.Dr. Sidhwa critiques the United States' role in the Israeli-Palestinian conflict through a unique lens. He is a secular American with no ethnic or religious ties to the Middle East. He has a broad knowledge of Israeli and American academic work on the conflict, and closely follows the technical humanitarian, human rights, medical, political, economic, and environmental research done on the topic by Israeli, Palestinian, and international agencies. His public health degrees afford him a broad understanding of how these different areas affect the people of the region. He has no interest in any particular political solution to the conflict. And, most importantly to him, he has seen the conflict in person, seen what it is doing to Palestinians and to Israelis, and has treated its victims with his own hands.

Welkom luisteraars! Deze aflevering duikt diep in de wereld van duurzaam inzetbaarheid en sociale veiligheid op de arbeidsmarkt. Samen met professor Annet de Lange, expert in duurzaam inzetbaarheid, verkennen we de complexe relatie tussen waarderen en presteren. Wat gebeurt er als er sprake is van psychologisch contractbreuk? En hoe beïnvloedt dit jongeren, die steeds minder loyaal blijken te zijn wanneer hun verwachtingen niet worden waargemaakt? In deze krappe arbeidsmarkt is de keuze voor een andere werkgever snel gemaakt. Daarnaast bespreken we negatief werkgedrag en hoe een giftige werkkultuur kan ontstaan. We kijken naar de rol van psychologische contracten hierin en welke factoren bijdragen aan het behoud of verlies van vertrouwen op de werkvloer. Tenslotte belichten we mogelijkheden voor positieve interventies en het belang van een goede netwerkanalyse, zoals ontwikkeld door Cokkie Verschuren. Een aflevering boordevol inzichten en nieuwsgierigheid naar hoe we een veiligere en rechtvaardigere werkomgeving kunnen creëren. Veel luisterplezier! Wil je meer weten over dit onderwerp? Lees dan deze artikelen: A Systematic Review of Negative Work Behavior: Toward an Integrated Definition https://annetdelange.nl/wp-content/uploads/2019/10/Psychological-contract-breach-2008.pdf Beyond Bullying, Aggression, Discrimination, and Social Safety: Development of an Integrated Negative Work Behavior Questionnaire (INWBQ) https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2020.605684/full

¿Es el Omega 3 una estafa? En este video te explico por qué la mayoría de suplementos de omega 3 NO FUNCIONAN, qué tipos existen, cuál es inútil, y cómo elegir un suplemento que de verdad sirva. También te muestro cómo conseguir omega 3 de forma natural y qué señales indican que tu suplemento puede estar oxidado y ser peligroso. Una guía completa, basada en ciencia, que necesitas ver antes de seguir tomando nada.✔️ Qué es el omega 3 y por qué es esencial✔️ El error común de confiar en el ALA✔️ Cómo evitar suplementos oxidados que pueden dañar tu salud✔️ Las dosis reales que funcionan según la ciencia✔️ Alimentos que sí aportan EPA y DHA de forma natural

Diarrhea is one of the more common concerns in emergency medicine worldwide and in the United States, yet we often do not spend enough time understanding the breadth of causes and considerations for this syndrome. Do you know which patients benefit from Zinc? Would you like to review HUS? Can you mixup Oral Rehydration Solution if you needed to? We cover all of this and more in this “code brown” of a chapter! So come, get dirty with Alex and Venk in this truly crappy chapter of Always on EM!   CONTACTS X - @AlwaysOnEM; @VenkBellamkonda YouTube - @AlwaysOnEM; @VenkBellamkonda Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch Email - AlwaysOnEM@gmail.com REFERENCES & LINKS Shane AL, Mody RK, Crump JA, Tarr PI, Steiner TS, Kotloff K, Langley JM, Wanke C, Warren CA, Cheng AC, Cantey J, Pickering LK. 2017 Infectious Diseases Society of America Clinical Practice Guidelines for the Diagnosis and Management of Infectious Diarrhea. Clin Infect Dis. 2017 Nov 29;65(12):e45-e80. doi: 10.1093/cid/cix669. PMID: 29053792; PMCID: PMC5850553. Gore JI, Surawicz C. Severe acute diarrhea. Gastroenterol Clin North Am. 2003 Dec;32(4):1249-67. doi: 10.1016/s0889-8553(03)00100-6. PMID: 14696306; PMCID: PMC7127018. Freedman SB, van de Kar NCAJ, Tarr PI. Shiga Toxin–Producing Escherichia coli and the Hemolytic–Uremic Syndrome. The New England Journal of Medicine. 2023;389(15):1402-1414. doi:10.1056/NEJMra2108739. Logan C, Beadsworth MB, Beeching NJ. HIV and diarrhoea: what is new? Curr Opin Infect Dis. 2016 Oct;29(5):486-94. doi: 10.1097/QCO.0000000000000305. PMID: 27472290. Chassany O, Michaux A, Bergmann JF. Drug-induced diarrhoea. Drug Saf. 2000 Jan;22(1):53-72. doi: 10.2165/00002018-200022010-00005. PMID: 10647976. Schiller LR. Secretory diarrhea. Curr Gastroenterol Rep. 1999 Oct;1(5):389-97. doi: 10.1007/s11894-999-0020-8. PMID: 10980977. Gong Z, Wang Y. Immune Checkpoint Inhibitor-Mediated Diarrhea and Colitis: A Clinical Review. JCO Oncol Pract. 2020 Aug;16(8):453-461. doi: 10.1200/OP.20.00002. Epub 2020 Jun 25. PMID: 32584703. Do C, Evans GJ, DeAguero J, Escobar GP, Lin HC, Wagner B. Dysnatremia in Gastrointestinal Disorders. Front Med (Lausanne). 2022 May 13;9:892265. doi: 10.3389/fmed.2022.892265. PMID: 35646996; PMCID: PMC9136014. Expert Panel on Gastrointestinal Imaging; Chang KJ, Marin D, Kim DH, Fowler KJ, Camacho MA, Cash BD, Garcia EM, Hatten BW, Kambadakone AR, Levy AD, Liu PS, Moreno C, Peterson CM, Pietryga JA, Siegel A, Weinstein S, Carucci LR. ACR Appropriateness Criteria® Suspected Small-Bowel Obstruction. J Am Coll Radiol. 2020 May;17(5S):S305-S314. doi: 10.1016/j.jacr.2020.01.025. PMID: 32370974. Rami Reddy SR, Cappell MS. A Systematic Review of the Clinical Presentation, Diagnosis, and Treatment of Small Bowel Obstruction. Curr Gastroenterol Rep. 2017 Jun;19(6):28. doi: 10.1007/s11894-017-0566-9. PMID: 28439845. Modahl L, Digumarthy SR, Rhea JT, Conn AK, Saini S, Lee SI. Emergency department abdominal computed tomography for nontraumatic abdominal pain: optimizing utilization. J Am Coll Radiol. 2006 Nov;3(11):860-6. doi: 10.1016/j.jacr.2006.05.011. PMID: 17412185. Scheirey CD, Fowler KJ, Therrien JA, et al. ACR Appropriateness Criteria Acute Nonlocalized Abdominal Pain. Journal of the American College of Radiology : JACR. 2018;15(11S):S217-S231. doi:10.1016/j.jacr.2018.09.010. Atia AN, Buchman AL. Oral rehydration solutions in non-cholera diarrhea: a review. Am J Gastroenterol. 2009 Oct;104(10):2596-604; quiz 2605. doi: 10.1038/ajg.2009.329. Epub 2009 Jun 23. PMID: 19550407. Musekiwa A, Volmink J. Oral rehydration salt solution for treating cholera: ≤ 270 mOsm/L solutions vs ≥ 310 mOsm/L solutions. Cochrane Database Syst Rev. 2011 Dec 7;2011(12):CD003754. doi: 10.1002/14651858.CD003754.pub3. PMID: 22161381; PMCID: PMC6532622. Centers for Disease Control and Prevention (CDC). Scombroid fish poisoning associated with tuna steaks--Louisiana and Tennessee, 2006. MMWR Morb Mortal Wkly Rep. 2007 Aug 17;56(32):817-9. PMID: 17703171. Résière D, Florentin J, Mehdaoui H, Mahi Z, Gueye P, Hommel D, Pujo J, NKontcho F, Portecop P, Nevière R, Kallel H, Mégarbane B. Clinical Characteristics of Ciguatera Poisoning in Martinique, French West Indies-A Case Series. Toxins (Basel). 2022 Aug 3;14(8):535. doi: 10.3390/toxins14080535. PMID: 36006197; PMCID: PMC9415704. Centers for Disease Control and Prevention (CDC). Ciguatera fish poisoning--Texas, 1998, and South Carolina, 2004. MMWR Morb Mortal Wkly Rep. 2006 Sep 1;55(34):935-7. PMID: 16943762. Thyroid Inferno EM Blog: https://emblog.mayo.edu/2014/11/01/thyroid-inferno/  Lazzerini M, Wanzira H. Oral zinc for treating diarrhoea in children. Cochrane Database Syst Rev. 2016 Dec 20;12(12):CD005436. doi: 10.1002/14651858.CD005436.pub5. PMID: 27996088; PMCID: PMC5450879. Dhingra U, Kisenge R, Sudfeld CR, Dhingra P, Somji S, Dutta A, Bakari M, Deb S, Devi P, Liu E, Chauhan A, Kumar J, Semwal OP, Aboud S, Bahl R, Ashorn P, Simon J, Duggan CP, Sazawal S, Manji K. Lower-Dose Zinc for Childhood Diarrhea - A Randomized, Multicenter Trial. N Engl J Med. 2020 Sep 24;383(13):1231-1241. doi: 10.1056/NEJMoa1915905. PMID: 32966722; PMCID: PMC7466932. Dalfa RA, El Aish KIA, El Raai M, El Gazaly N, Shatat A. Oral zinc supplementation for children with acute diarrhoea: a quasi-experimental study. Lancet. 2018 Feb 21;391 Suppl 2:S36. doi: 10.1016/S0140-6736(18)30402-1. Epub 2018 Feb 21. PMID: 29553435.   WANT TO WORK AT MAYO? EM Physicians: https://jobs.mayoclinic.org/emergencymedicine EM NP PAs: https://jobs.mayoclinic.org/em-nppa-jobs   Nursing/Techs/PAC: https://jobs.mayoclinic.org/Nursing-Emergency-Medicine EMTs/Paramedics: https://jobs.mayoclinic.org/ambulanceservice All groups above combined into one link: https://jobs.mayoclinic.org/EM-Jobs

Host Katherine Mallett, MD Guest interviewee Mary K. Mulcahey, MD, FAAOS, discussing her research article, “Instagram Engagement Helps Increase Residency Applicant Interest in Orthopaedic Surgery” from the April 15, 2025 issue Article summarized from the April 1, 2025 issue  Research article “Characterizing the Rotational Profile of the Distal Femur: A Roadmap for Distal Femoral Replacement Surgery” Article summarized from the April 15, 2025 issue Research article “Is Periacetabular Osteotomy With Hip Arthroscopy Superior to Periacetabular Osteotomy Alone? A Systematic Review and Meta-Analysis” Follow this link to download these and other articles from the April 1, 2025 issue of JAAOS and the April 15, 2025 issue of JAAOS. The JAAOS Unplugged podcast series is brought to you by the Journal of the American Academy of Orthopaedic Surgeons and the AAOS Resident Assembly.

Peter and Michael discuss The Let Them Theory, a self-help guide to seeking bliss through unmitigated complacency.Where to find us: Peter's newsletterPeter's other podcast, 5-4Mike's other podcast, Maintenance PhaseSources:How to stop screwing yourself overMel Robbins and PlagiarismLet her? Army wife claims Mel Robbins stole her idea for blockbuster self-help book Mel Robbins's “Let Them” theory: really that simple?Breathing Practices for Stress and Anxiety Reduction: Conceptual Framework of Implementation Guidelines Based on a Systematic Review of the Published Literature Polarization in AmericaThe 5 Resets Impact of health warning labels on selection and consumption of food and alcohol products: systematic review with meta-analysisThanks to Mindseye for our theme song!

Un nouvel épisode du Pharmascope est disponible… Et on s'attaque encore aux cannabinoïdes! Dans cette deuxième partie, Nicolas, Isabelle, Olivier et un invité discutent de douleurs non-neuropathiques, d'autres indications potentielles des cannabinoïdes et de cannabinoïdes topiques.  Les objectifs pour cet épisode sont les suivants: Discuter des données d'efficacité des cannabinoïdes pour les douleurs non-neuropathiques Discuter des données d'efficacité des cannabinoïdes pour d'autres indications que le traitement de la douleur Discuter des cannabinoïdes topiques dans le traitement de la douleur Ressources pertinentes en lien avec l'épisode  Société québécoise de la douleur Häuser W, Welsch P, Radbruch L, Fisher E, Bell RF, Moore RA. Cannabis-based medicines and medical cannabis for adults with cancer pain. Cochrane Database Syst Rev. 2023 Jun 5;6(6):CD014915. Filippini G, Minozzi S, Borrelli F, Cinquini M, Dwan K. Cannabis and cannabinoids for symptomatic treatment for people with multiple sclerosis. Cochrane Database Syst Rev. 2022 May 5;5(5):CD013444. Smith LA, Azariah F, Lavender VT, Stoner NS, Bettiol S. Cannabinoids for nausea and vomiting in adults with cancer receiving chemotherapy. Cochrane Database Syst Rev. 2015 Nov 12;2015(11):CD009464. Kafil TS, Nguyen TM, MacDonald JK, Chande N. Cannabis for the treatment of Crohn's disease. Cochrane Database Syst Rev. 2018 Nov 8;11(11):CD012853. Kafil TS, Nguyen TM, MacDonald JK, Chande N. Cannabis for the treatment of ulcerative colitis. Cochrane Database Syst Rev. 2018 Nov 8;11(11):CD012954. Black N et coll. Cannabinoids for the treatment of mental disorders and symptoms of mental disorders: a systematic review and meta-analysis. Lancet Psychiatry. 2019 Dec;6(12):995-1010. Coelho CF et coll. The Impact of Cannabidiol Treatment on Anxiety Disorders: A Systematic Review of Randomized Controlled Clinical Trials. Life (Basel). 2024 Oct 25;14(11):1373. Bahji A, Meyyappan AC, Hawken ER. Efficacy and acceptability of cannabinoids for anxiety disorders in adults: A systematic review & meta-analysis. J Psychiatr Res. 2020 Oct;129:257-264. Rodas JD, George TP, Hassan AN. A Systematic Review of the Clinical Effects of Cannabis and Cannabinoids in Posttraumatic Stress Disorder Symptoms and Symptom Clusters. J Clin Psychiatry. 2024 Feb 14;85(1):23r14862 Bhagavan C et coll. Cannabinoids in the Treatment of Insomnia Disorder: A Systematic Review and Meta-Analysis. CNS Drugs. 2020 Dec;34(12):1217-1228. Wang M et coll. Effects of a cannabidiol/terpene formulation on sleep in individuals with insomnia: a double-blind, placebo-controlled, randomized, crossover study. J Clin Sleep Med. 2025 Jan 1;21(1):69-80. Joshi N, Mariam H, Kamath A. Cannabinoids for the Treatment of Glaucoma: A Review. Med Cannabis Cannabinoids. 2024 Sep 16;7(1):183-192. Boylan PM, Santibañez M, Thomas J, Weeda E, Noel ZR, Caballero J. Cannabinoids for obstructive sleep apnea: A systematic review. Pharmacotherapy. 2024 Nov;44(11):880-891. Hunter D et coll.Synthetic transdermal cannabidiol for the treatment of knee pain due to osteoarthritis. Osteoarthritis and Cartilage. 2018. 26. S26.

Dear Colleagues,Welcome to the OncoAlert Weekly Round up Covering the TOP News and Trials THIS WEEK in Oncology. This week:Prognostic implications of risk definitions from the monarchE and NATALEE trialhttps://academic.oup.com/jnci/advance-article/doi/10.1093/jnci/djaf031/8002826?login=false#google_vignetteEvaluating the impact of histological vs. nuclear grading on CPS + EG Score for HR + /HER2-early breast cancerhttps://link.springer.com/article/10.1007/s10549-025-07685-8?utm_content=buffer1d9c4&utm_medium=social&utm_source=twitter.com&utm_campaign=bufferFDA approves nivolumab with ipilimumab for unresectable or metastatic MSI-H or dMMR colorectal cancerhttps://www.fda.gov/drugs/resources-information-approved-drugs/fda-approves-nivolumab-ipilimumab-unresectable-or-metastatic-msi-h-or-dmmr-colorectal-cancerCirculating tumor DNA analysis guiding adjuvant therapy in stage II colon cancer: 5-year outcomes of the randomized DYNAMIC trialhttps://www.nature.com/articles/s41591-025-03579-wAssessment of a Polygenic Risk Score in Screening for Prostate Cancer (BARCODE1) https://nejm.org/doi/full/10.1056/NEJMoa2407934Neoadjuvant Aumolertinib for unresectable stage III EGFR-mutant non-small cell lung cancerhttps://www.nature.com/articles/s41467-025-58435-9Circulating tumor DNA Clearance as a Predictive Biomarker of Pathologic Complete Response in Patients with Solid Tumors Treated with Neoadjuvant Immune-Checkpoint Inhibitors: a Systematic Review and Meta-Analysishttps://www.annalsofoncology.org/article/S0923-7534(25)00130-9/abstract

Tariffs, Trump, AI, nature, and science. Are the tariffs insane, or brilliant? Will Trump actually bring manufacturing back to the U.S.? How are the “reciprocal tariffs” calculated, what game is everyone playing, and how long will it take to know who wins? Then: AI marches us further into the Cartesian Crisis; can we restore our humanity? Scientific American claims that too much nature is bad for you (it's not), and finally, some words from County Highway, and why we should consider being quiet and listening to Aslan.*****Our sponsors:CrowdHealth: Pay for healthcare with crowdfunding instead of insurance. It's way better. Use code DarkHorse at http://JoinCrowdHealth.com to get 1st 3 months for $99/month.Pique's Nandaka: delicious mushroom, tea, and chocolate drink that provides all day energy. Get 20% off plus free frother+beaker at http://www.Piquelife.com/DARKHORSESundays: Dog food so tasty and healthy, even husbands swear by it. Go to http://www.sundaysfordogs.com/DARKHORSE to receive 35% off your first order.*****Join us on Locals! Get access to our Discord server, exclusive live streams, live chats for all streams, and early access to many podcasts: https://darkhorse.locals.comHeather's newsletter, Natural Selections (subscribe to get free weekly essays in your inbox): https://naturalselections.substack.comOur book, A Hunter-Gatherer's Guide to the 21st Century, is available everywhere books are sold, including from Amazon: https://amzn.to/3AGANGg (commission earned)Check out our store! Epic tabby, digital book burning, saddle up the dire wolves, and more: https://darkhorsestore.org*****Tucker Carlson & Treasury Secretary Scott Bessent: https://x.com/tuckercarlson/status/1908204378613248067Jeffrey Sachs – Trump is uniting the world against the U.S.: https://x.com/AskBabaDog/status/1908232709417402724Ross Perot in 1992, and the “giant sucking sound:” https://www.youtube.com/watch?v=VRr60nmDyu4&t=1sBalaji on “nuking supply chains,” quote-tweeting Flexport's graph of the formula used to generate “reciprocal tariffs”: https://x.com/balajis/status/1907645443221463105AI alignment on tariffs: https://x.com/krishnanrohit/status/1907587352157106292AI turns images into full-body animations: https://x.com/minchoi/status/1907799412094427205Scientific American warns against spending too much time in nature: https://www.scientificamerican.com/article/time-spent-in-nature-is-good-for-your-brain-but-an-excess-can-negate-these/Zagnoli et al 2022. Is Greenness Associated with Dementia? A Systematic Review and Dose–Response Meta-analysis. Curr Envir Health Rpt 9: 574–590: https://link.springer.com/article/10.1007/s40572-022-00365-5County Highway: https://www.countyhighway.comRalston College's Sophia Lectures: https://www.ralston.ac/events/the-sophia-lectures-with-bret-weinstein-and-heather-HeyingSupport the show

Michael Rosenblat comes back on the podcast to discuss his new paper exploring what types of interval workouts are most effective for Ultrarunners. Which Training Intensity Distribution Intervention will Produce the Greatest Improvements in Maximal Oxygen Update and Time-Trial Performance in Endurance Athletes? A Systematic Review and Network Meta-analysis of Individual Participant Data. Michael's website-https://www.evidencebasedcoaching.ca/Koop's article on interval training-https://trainright.com/decoding-ultramarathon-interval-workouts/Sign up for CTS Coaching-https://trainright.com/coaching/ultrarunning/Subscribe to Research Essentials for Ultrarunning-https://www.jasonkoop.com/research-essentials-for-ultrarunningInformation on coaching-https://www.trainright.comKoop's Social MediaTwitter/Instagram- @jasonkoopBuy Training Essentials for Ultrarunning:Amazon-https://www.amazon.com/dp/B09MYVR8P6Audible-https://www.amazon.com/dp/B09MYVR8P6#ultrarunning #trailrunning #running #sports #sportsperformance

Jamie Hartmann-Boyce and Nicola Lindson discuss emerging evidence in e-cigarette research and interview Monserrat Conde from the University of Oxford. Associate Professor Jamie Hartmann-Boyce and Associate Professor Nicola Lindson discuss the new evidence in e-cigarette research and interview Dr Monserrat Conde from the Nuffield Department of Primary Care Health Sciences, University of Oxford. In the March podcast Monserrat Conde discusses the findings of the recent systematic review of electronic cigarettes and subsequent smoking in young people and an evidence and gap map. The systematic review aims to assess the evidence for a relationship between the use of e-cigarettes /vapes and subsequent smoking in young people under 30, and whether this differs by demographic characteristics. There is very low certainty evidence suggesting that e-cigarette use and availability are inversely associated with smoking in young people (i.e. as e-cigarettes become more available and/or are used more widely, youth smoking rates go down or, conversely, as e-cigarettes are restricted, youth smoking rates go up). At an individual level, people who vape appear to be more likely to go on to smoke than people who do not vape; however, it is unclear if these behaviours are causally linked. Monserrat discusses the differences in the information coming from the population studies compared to the individual level studies and notes that most studies are from high income countries, in particular from the US. To see the full review: https://doi.org/10.1111/add.16773 This podcast is a companion to the electronic cigarettes Cochrane living systematic review and Interventions for quitting vaping review and shares the evidence from the monthly searches. Our literature searches for the EC for smoking cessation review carried out on 1st March 2025 found 1 new study (DOI: 10.1016/j.drugalcdep.2024.112271), one new ongoing study (ACTRN12625000179437) and two records linked to studies included in the review. Our literature searches for the interventions for quitting vaping review carried out on 1st March 2025 found 2 new ongoing studies (NCT06832098, ACTRN12625000143426) and four records linked to studies included in the review. For further details see our webpage under 'Monthly search findings': https://www.cebm.ox.ac.uk/research/electronic-cigarettes-for-smoking-cessation-cochrane-living-systematic-review-1 For more information on the full Cochrane review of E-cigarettes for smoking cessation updated in January 2025 see: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD010216.pub9/full For more information on the full Cochrane review of Interventions for quitting vaping published in January 2025 see: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD016058.pub2/full This podcast is supported by Cancer Research UK.

En lo último en salud y fitness edición de marzo 2025, damos un paseo por las últimas tendencias, investigaciones y noticias en el mundo de la salud y el fitness. En esta edición tenemos un menú variado: vamos a ver qué dice la ciencia sobre proteína animal vs vegetal para ganar músculo, cómo el ejercicio regular puede ayudarte a mantener la inflamación a raya conforme envejeces, y por qué más cafeína no siempre significa mejor rendimiento. También analizaremos si el alpha-GPC realmente mejora tu desempeño mental y físico, y veremos qué hay de cierto en eso de que el té verde protege tu cerebro.   Atajos del Episodio 02:05 -¿Es mejor la proteína animal o vegetal para ganar músculo?1 05:00 – El ejercicio durante toda la vida puede contrarrestar la inflamación crónica asociada con la edad2 09:21 – Más cafeína no siempre es mejor: lo que un grupo de kickboxers nos enseñó3 12:21 – ¿Alpha-GPC mejora el rendimiento mental y físico? La ciencia aún no está convencida4 15:56 – ¿El té verde protege tu cerebro? La ciencia dice que sí, pero con reservas5   Referencias:  1.      Reid-McCann, R. J., Brennan, S. F. & Ward…, N. A. Effect of Plant Versus Animal Protein on Muscle Mass, Strength, Physical Performance, and Sarcopenia: A Systematic Review and Meta-analysis of Randomized …. Nutrition … (2025). 2.      Pérez-Castillo, I. M., Rueda, R. & Bouzamondo…, H. Does Lifelong Exercise Counteract Low-Grade Inflammation Associated with Aging? A Systematic Review and Meta-Analysis. Sports Medicine (2025). 3.      Saremi, M., Shahriari, F. & Hemmatinafar…, M. Low-Dose Caffeine Supplementation Is a Valuable Strategy for Increasing Time to Exhaustion, Explosive Power, and Reducing Muscle Soreness in …. Current Developments … (2025). 4.      Kerksick, C. M. Acute Alpha-Glycerylphosphorylcholine Supplementation Enhances Cognitive Performance in Healthy Men. Nutrients (2024). 5.      Zhou, S., Zhu, Y., Ren, N., Wu, M. & Liu, Y. The Association Between Green Tea Consumption and Cognitive Function: A Meta-Analysis of Current Evidence. Neuroepidemiology (2025).

In this episode of The TTL Podcast, Mon-Chaio and Andy dive deep into the world of employee surveys. They discuss whether these surveys truly work, their best practices, and the research behind them. Exploring the role of culture in company performance, they uncover the nuances of implementing and interpreting surveys. The episode provides actionable insights for leaders aiming to diagnose and improve their organizational culture.ReferencesMeasuring employee engagement and interpreting survey resultsEmployee Survey Research: A Critical Review of Theory and PracticeDiagnosing organizational cultures: A conceptual and empirical review of culture effectiveness surveysFollowing Up on Employee Surveys: A Conceptual Framework and Systematic Review

​​As professionals, we inevitably face contentious subjects across the field. Today I am sharing a recent example of disagreement met with collaboration. In this case, an SLP determined that a Gestalt Language Processor (GLP) was not yet in the Natural Language Acquisition stage to answer questions. Meanwhile, the BCBA set a goal for the learner to respond to Personal Safety Questions. The team ultimately collaborated to prioritize safety-related questions as a goal important for this specific learner. This case highlights an essential responsibility: ethical collaboration to support the best possible outcomes for our learners.I also encourage you to check out the Systematic Review on Gestalt Language Processing published in December 2024. The review summary concluded that there is currently insufficient empirical evidence to support GLP as an effective intervention. As providers, it's our duty to evaluate emerging practices while ensuring our approaches remain evidence-based.At ABA Speech, our mission is to equip professionals with the tools they need to help autistic learners communicate with the world. We do this one CEU at a time. If you haven't taken our ethics course, “Navigating Conflict Ethically,” which focuses on AAC, Verbal Imitation, and Gestalt Language Processing, consider exploring it through the ABA Speech Connection Membership.By fostering collaboration, prioritizing ethics, and staying informed, we can create meaningful communication opportunities for every learner.#autism #speechtherapyWhat's Inside:What is GLP? What is NLA?Specific case study for conflict surrounding GestaltSystematic Review on Gestalt Language Processing. Mentioned In This Episode:Take the ethics course by joining the ABA Speech Connection Read the systematic review ABA Speech: Home

Walking in menopause isn't just exercise — it's your secret sauce for boosting body and mind! With a few fun tweaks, make every step turn into a memory-boosting, fat-burning powerhouse. Slip on those sneakers. Tune in while taking a walk! This episode is all about making walking in menopause more beneficial! Walking 40 minutes three times a week increases Hippocampus(memory central). A 2011 study on older adults at the University of Colorado, published in the Journal Neuroimage, proved this! The hidden gem – you can walk at any pace you like. There's no minimum exertion level for this to happen. Walk short vs long So much research I've shared previously showed that intermittent breaks really matter more.  Breaking up sedentary time with 2-5 minute movement breaks reduced post-meal blood sugar spikes by 17%. Walk after meals 10 minute walks after meals had a more positive impact than a single long walk. Especially when it comes to blood sugar, belly fat and insulin resistance, more studies show! And yes, after is better than before. But if you're debating between before or not at all, yes go! You will make walking in menopause more beneficial this way by directly supporting blood sugar balance and combating insulin resistance. Go a different route or backwards Dr Ellen Langer, the Mother of Mindfulness, was the first female professor at Harvard and she's done some notable research in aging, mindset, and placebo. She shared the idea of creating habits – have us all operating automatically. Instead, she said the secret is noticing. Truly being mindful. More Fun Ways to Make Walking in Menopause a Total Game-Changer Walk and talk (therapists now walk) Need a little therapy? If not with an actual therapist but a friend. There's science to show the combination of walking outdoors (possibly even at a track) and talking is beneficial. Throw into the mix sunshine and you have three powerful serotonin producers, for a feel good session to rival antidepressant and anxiety meds. I've been known to take my phone and call a friend and talk through a 45 minute walk when life gets crazy. Amplify the learning opportunity Students who learn best, do. Learning any material while moving can boost your retention of it. The trick is to find activity and content you can focus on. Walking makes it easy and listening to a podcast that's educating you - whether on the benefits of walking (this is truly meta if you're walking right now) or you're learning about how to organize your closet or why essential amino acids are important. Students who move retain up to 76% compared to 37% while sitting. Weighted vest Using a weighted vest can increase the metabolic costs, relative exercise intensity, and loading of the skeletal system during walking. A study of trail runners concluded that between 5 and 10% the physiological and mechanical changes were significant. Meaning that at 10% additional load, there could be a considerable amount more stress on your system and your mechanics may also be altered. If you weigh 140 lbs and are using a weighted vest, you might be best starting for short periods of time with between 7 and 14 lbs, being careful not to do much time with 14 lbs until well adapted. And Finally—The 8th Way To Make Walking In Menopause More Beneficial Add intervals Do this last one with conscious planning. It's not always “more is better.” Many midlife and older women were born into the “harder or more is better” thinking. It can be hard to lose this. But if you never go easy, you're fooling yourself to think your “hard” effort is actually your capacity. To make walking more beneficial in menopause you'll want it all: short and moderate and longer walks. You'll want brisk and leisurely paced walks. But at the core of the majority of benefits from walking is just do it, daily, for a cumulative effect of movement that occurs several times a day. Are you interested in a virtual training that accumulates in a virtual “event”? Maybe a Flipping 50 walk on the same day, in different parts of the world. We'd love to hear your thoughts on Flipping 50 Facebook Group. Resources: Flipping50 Membership: https://www.flippingfifty.com/cafe Glucose Monitor: https://www.flippingfifty.com/myglucose Other Podcasts You Might Like: The Effects of Walking on Health:https://www.flippingfifty.com/walking Best Walking Tips to Help You Ditch Stress and Lose Weight:https://www.flippingfifty.com/walking-tips 21 Walking Tips:https://www.flippingfifty.com/walking-tips-2 Power of Walking:https://www.flippingfifty.com/power-of-walking 5 Walking Workouts You'll Run to for Better Results:https://www.flippingfifty.com/walking-workouts 7 Walking Mistakes that Prevent Weight Loss After 50:https://www.flippingfifty.com/walking-mistakes Should You Hold Weights While You Walk?:  https://www.flippingfifty.com/walking-with-weights Take a Walk with Kathy Eklund:https://www.flippingfifty.com/take-a-walk Walking off Weight in Menopause:https://www.flippingfifty.com/walking-off-weight References: Mendez Colmenares A, Voss MW, Fanning J, Salerno EA, Gothe NP, Thomas ML, McAuley E, Kramer AF, Burzynska AZ. White matter plasticity in healthy older adults: The effects of aerobic exercise. Neuroimage. 2021 Oct 1;239:118305. doi: 10.1016/j.neuroimage.2021.118305. Epub 2021 Jun 24. PMID: 34174392. https://doi.org/10.1016/j.neuroimage.2021.118305 Ferrer, M. E., & Laughlin, D. D. (2017). Increasing College Students' Engagement and Physical Activity with Classroom Brain Breaks: Editor: Ferman Konukman. Journal of Physical Education, Recreation & Dance, 88(3), 53–56. https://doi.org/10.1080/07303084.2017.1260945 Engeroff T, Groneberg DA, Wilke J. After Dinner Rest a While, After Supper Walk a Mile? A Systematic Review with Meta-analysis on the Acute Postprandial Glycemic Response to Exercise Before and After Meal Ingestion in Healthy Subjects and Patients with Impaired Glucose Tolerance. Sports Med. 2023 Apr;53(4):849-869. doi: 10.1007/s40279-022-01808-7. Epub 2023 Jan 30. PMID: 36715875; PMCID: PMC10036272. https://doi.org/10.1007/s40279-022-01808-7

Dr. Edmund Tsui is joined by Dr. Majda Hadziahmetovic to discuss her meta-analysis and systematic review investigating the effectiveness of systemic and local treatments in slowing autoimmune retinopathy progression. From the Ophthalmology Science article, “Clinical Outcomes of Therapeutic Interventions for Autoimmune Retinopathy: A Meta-analysis and Systematic Review.” Clinical Outcomes of Therapeutic Interventions for Autoimmune Retinopathy: A Meta-analysis and Systematic Review. Kapoor, Ishani et al. Ophthalmology Science, Volume 5, Issue 1. CALL FOR ABSTRACTS! Now accepting paper, poster, and video submissions through April 8. Imagine presenting at AAO 2025; learn more and submit yours at aao.org/pod25

@jmusgravept discusses the role of gut microbiome in nutrient absorption, inflammatory processes and how this shifts with aging as well as the role of exercise in making positive shifts to promote healthy aging & fight chronic disease. “Systematic Review of the Effects of Exercise and Physical Activity on the Gut Microbiome of Older Adults” DOI: https://deoi.org/10.3390/nu14030674 *If you want more helpful content to better serve older adults, sign up for our MMOA Digest = Free Bi-Weekly Email packed with helpful links, posts, & research relevant to your work. Link In Bio or PTonICE.com **Looking for CEU's & courses that will change your practice? Check out our MMOA Course Offerings (Online & Live) Link In Bio or PTonICE.com #physicaltherapy #geript #homehealthpt #pt #dpt #dptstudent #physiotherapy #physicaltherapist #physiotherapist #physicaltherapystudent #newgradpt #physiotherapystudent #physicaltherapyassistant #physicaltherapyassistantstudent #geript #geriot #OTs #OTA #occupationaltherapist #ottreatmentideas #otstudent #otastudent #occupationaltherapyassistant #oldnotweak

Let's dive into something I'm obsessed with...hydrogen water! Today, I'm unpacking how this tiny element can transform your health, starting with your microvasculature, the 70% of your circulatory system that's not powered by your heart. These little capillaries, thinner than a hair, deliver oxygen to every cell. When they're inflamed or constricted, pressure builds, and your energy tanks. Enter hydrogen water. Why should you care? Most folks don't realize inflammation in these microvessels often from stuff like high homocysteine levels which messes with circulation. That's where hydrogen water shines. It's the lightest element out there, zipping through your body to fight inflammation and oxidative stress where other antioxidants can't reach. My advice? Start simple, add hydrogen water to your routine. It's cheap, safe, and hits inflammation hard. Check out hydrogenstudies.com for the raw data with over 135 studies back this up. Ready to feel sharper, stronger, and younger? Resources/Articles/Studies: - The effects of 6-month hydrogen-rich water intake on molecular and phenotypic biomarkers of aging in older adults aged 70 years and over: A randomized controlled pilot trial: https://bit.ly/4blCkzf - Oral Intake of Hydrogen Water Improves Retinal Blood Flow Dysregulation in Response to Flicker Stimulation and Systemic Hyperoxia in Diabetic Mice: https://bit.ly/4gU7KOw - Hydrogen Water: Extra Healthy or a Hoax?—A Systematic Review: https://bit.ly/4h5OVrI - Hydrotherapy with hydrogen-rich water compared with RICE protocol following acute ankle sprain in professional athletes: a randomized non-inferiority pilot trial: https://bit.ly/4hXxOti Join the Ultimate Human VIP community and gain exclusive access to Gary Brecka's proven wellness protocols today!: https://bit.ly/4ai0Xwg Thank you to our partners: H2TABS - USE CODE “ULTIMATE10” FOR 10% OFF: https://bit.ly/41o6HSC BODYHEALTH - USE CODE “ULTIMATE20” FOR 20% OFF: http://bit.ly/4e5IjsV BAJA GOLD - USE CODE "ULTIMATE10" FOR 10% OFF: https://bit.ly/3WSBqUa EIGHT SLEEP - SAVE $350 ON THE POD 4 ULTRA WITH CODE “GARY”: https://bit.ly/3WkLd6E STRENGTH TRAINING EQUIPMENT - THE ULTIMATE HUMAN: https://bit.ly/3zYwtSl COLD LIFE - THE ULTIMATE HUMAN PLUNGE: https://bit.ly/4eULUKp WHOOP - GET 1 FREE MONTH WHEN YOU JOIN!: https://bit.ly/3VQ0nzW MASA CHIPS - GET 20% OFF YOUR FIRST $50+ ORDER: https://bit.ly/40LVY4y VANDY - USE CODE “ULTIMATE20” FOR 20% OFF: https://bit.ly/49Qr7WE PARKER PASTURES - PREMIUM GRASS-FED MEATS: https://bit.ly/4hHcbhc AION - USE CODE “ULTIMATE10” FOR 10% OFF: https://bit.ly/4h6KHAD HAPBEE - FEEL BETTER & PERFORM AT YOUR BEST: https://bit.ly/4a6glfo CARAWAY - USE CODE “ULTIMATE10” FOR 10% OFF: https://bit.ly/3Q1VmkC Connect with Gary Brecka: Instagram: https://bit.ly/3RPpnFs YouTube: https://bit.ly/3RPQYX8 TikTok: https://bit.ly/4coJ8fo X.com: https://bit.ly/3Opc8tf Facebook: https://bit.ly/464VA1H Website: https://bit.ly/4eLDbdU Merch: https://bit.ly/4aBpOM1 Newsletter: https://bit.ly/47ejrws Ask Gary: https://bit.ly/3PEAJuG Timestamps: 00:00 Intro 01:22 Hydrogen as the Lightest Element on Earth 03:39 Studies on Drinking Hydrogen Gas-Infused Water 05:38 Microvascular Circulation 06:59 Benefits of Hydrogen Water 09:11 Findings of 6-Month Hydrogen Rich Water Intake Study The Ultimate Human with Gary Brecka Podcast is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user's own risk. The Content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professionals for any such conditions. Learn more about your ad choices. Visit megaphone.fm/adchoices

SJ Show NotesGrab your DARK BAGS!! Special Promotion from The Satellite Phone Store! http://darkbags.comCHD Comprehensive list peer reviewed studies on EMF impact on health:https://childrenshealthdefense.org/emr/emf-wireless-health-impacts/Systematic Review of EMF impact on health (mainstream Google search) https://www.sciencedirect.com/science/article/pii/S0160412024005695Visit Dr. William's Website: https://beingfunctional.com/about/Take the Feel Good Gut Health Course: https://beingfunctional.com/feel-good-gut-health-course/Get your tickets for the Summit for Truth on March 29 HERE:https://summitfortruth.comPlease support Shannon's independent network with your donation HERE:https://www.paypal.com/donate/?hosted_button_id=MHSMPXEBSLVT6Please Support Our Sponsors:Please give a BIG SJ welcome to our new sponsors at All Family Pharmacy! Be ready before you need it! Stock up now and protect your family. Go to allfamilypharmacy.com/JOY and use code JOY10 for 10% off your order.If you are invested in the markets and need financial advice you can TRUST. Please consider Dom Pullano of PCM & Associates! He has been Shannon's advisor for over a decade and would love to help you grow!Call his toll free number today: 1-800-536-1368Or visit his website at https://www.pcmpullano.comColonial Metals Group is the company Shannon trusts for all her metals purchases! Set up a SAFE & Secure IRA or 401k with a company who shares your values! Learn more HERE: https://colonialmetalsgroup.com/joyLightly prepped and READY to go. Always be prepared for ANY emergency with The Satellite Phone Store! Everything you need when the POWER goes OUT. Use the promo code JOY for 10% off your entire order TODAY! www.SAT123.com/Joy Back Up Your LIFE Savings With The Gold Company Shannon TRUSTS. Learn More: https://colonialmetalsgroup.com/joyLightly prepped and READY to go. Always be prepared for ANY emergency with The Satellite Phone Store! Everything you need when the POWER goes OUT. Use the promo code JOY for 10% off your entire order TODAY! www.SAT123.com/Joy Watch Shannon's show, Live and on Demand on Spreely TV on the web, Roku, FireTV, AppleTV and Android TVCheck out Shannon's Patriot TV landing page! www.patriot.tv/joy If you are invested in the markets and need financial advice you can TRUST. Please consider Dom Pullano of PCM & Associates! He has been Shannon's advisor for over a decade and would love to help you grow!Call his toll free number today: 1-800-536-1368Or visit his website at https://www.pcmpullano.com

SJ Show NotesGrab your DARK BAGS!! Special Promotion from The Satellite Phone Store! http://darkbags.comCHD Comprehensive list peer reviewed studies on EMF impact on health:https://childrenshealthdefense.org/emr/emf-wireless-health-impacts/Systematic Review of EMF impact on health (mainstream Google search) https://www.sciencedirect.com/science/article/pii/S0160412024005695Visit Dr. William's Website: https://beingfunctional.com/about/Take the Feel Good Gut Health Course: https://beingfunctional.com/feel-good-gut-health-course/Get your tickets for the Summit for Truth on March 29 HERE:https://summitfortruth.comPlease support Shannon's independent network with your donation HERE:https://www.paypal.com/donate/?hosted_button_id=MHSMPXEBSLVT6Please Support Our Sponsors:Please give a BIG SJ welcome to our new sponsors at All Family Pharmacy! Be ready before you need it! Stock up now and protect your family. Go to allfamilypharmacy.com/JOY and use code JOY10 for 10% off your order.If you are invested in the markets and need financial advice you can TRUST. Please consider Dom Pullano of PCM & Associates! He has been Shannon's advisor for over a decade and would love to help you grow!Call his toll free number today: 1-800-536-1368Or visit his website at https://www.pcmpullano.comColonial Metals Group is the company Shannon trusts for all her metals purchases! Set up a SAFE & Secure IRA or 401k with a company who shares your values! Learn more HERE: https://colonialmetalsgroup.com/joyLightly prepped and READY to go. Always be prepared for ANY emergency with The Satellite Phone Store! Everything you need when the POWER goes OUT. Use the promo code JOY for 10% off your entire order TODAY! www.SAT123.com/Joy Back Up Your LIFE Savings With The Gold Company Shannon TRUSTS. Learn More: https://colonialmetalsgroup.com/joyLightly prepped and READY to go. Always be prepared for ANY emergency with The Satellite Phone Store! Everything you need when the POWER goes OUT. Use the promo code JOY for 10% off your entire order TODAY! www.SAT123.com/Joy Watch Shannon's show, Live and on Demand on Spreely TV on the web, Roku, FireTV, AppleTV and Android TVCheck out Shannon's Patriot TV landing page! www.patriot.tv/joy If you are invested in the markets and need financial advice you can TRUST. Please consider Dom Pullano of PCM & Associates! He has been Shannon's advisor for over a decade and would love to help you grow!Call his toll free number today: 1-800-536-1368Or visit his website at https://www.pcmpullano.com

Dr. Stephen Seiler is arguably the world authority on endurance training, and even coined the phrase 'periodisation'. But a new paper has revealed some fresh insights into periodisation which suggest that the training regime may only be suitable for certain types of athletes. Enjoy this deep dive into one of the most-discussed endurance topics as we break down the theory, look at the results of this ground-breaking study, discuss how the results can inform training protocols and what future studies are needed. Seiler is an exercise physiologist and Professor of Sports Science from the University of Agder in Norway.SHOW NOTESTHE PAPER ON Training Intensity Distribution Intervention will Produce the Greatest Improvements in Maximal Oxygen Uptake and Time-Trial Performance in Endurance Athletes? A Systematic Review. Get bonus content on Patreon Hosted on Acast. See acast.com/privacy for more information.

Ophthalmology Editor-in-Chief, Russell Van Gelder, MD, PhD, and our new Associate Editor, Laura Downie, BOptom, PhD, guest host this special episode introducing “Ophthalmology Reviews.”  Ophthalmology Reviews is a new section in our flagship journal for structured systematic reviews and meta-analyses. The two editors discuss the importance of these reviews in our field and what our journal is looking for from authors in these types of submissions. For more information, read their recent editorial in Ophthalmology, “Gargantua, The Scholarship of Synthesis and the Evolution of the Ophthalmology Family Journals” and review our Guide for Authors section on Systematic Reviews and Meta-analysis. If you have any questions about submissions, please contact the editorial staff at aaojournal@aao.org. Gargantua, The Scholarship of Synthesis and the Evolution of the Ophthalmology Family Journals. Van Gelder, Russell N. Downie, Laura E. Ophthalmology, Volume 132, Issue 1, 12 – 13.

In tonight's episode of Iron Culture, Eric Trexler and Eric Helms discuss various topics related to fitness, training, and research. They share personal updates, including the toll that Helms' intense training regimen is taking on his face. The discussion then shifts to the upcoming NFL combine, highlighting the impressive athletic feats expected from past combine participants. In the main segment of the show, Trexler and Helms discuss the nuances of lengthened-biased training research – more specifically, why we shouldn't give up on the strategy just because a few studies reporting non-significant results have come along. In this conversation, Trexler and Helms explore the concept of sampling error in research, emphasizing the importance of understanding some foundational statistical concepts and the need for several studies to draw reliable conclusions. They explore the challenges of uncertainty in evidence-based practice, the balance to strike between mechanistic and empirical approaches to understanding exercise and nutrition, and the resistance to change in learning. Finally, they engage in a rapid-fire Q&A session addressing a handful of fitness-related questions. The MASS crew records Iron Culture LIVE on YouTube, Monday nights at 7pm eastern time. Be sure to join us for a future episode and say hello in the live chat!  If you'd like to submit a question or topic for us to address on an upcoming episode, please use this link:  https://massresearchreview.com/ironculture Time Stamps: 00:00 Introduction and why Trexler is worried about Helms 6:40 Q&A NFL Combine analysis Trexler 2017 Fat-Free Mass Index in NCAA Division I and II Collegiate American Football Players https://pubmed.ncbi.nlm.nih.gov/27930454/  13:18 Getting into the science with Helms' upcoming MASS article on long muscle length training Burke 2006 "Fat adaptation" for athletic performance: the nail in the coffin? https://pubmed.ncbi.nlm.nih.gov/16357078/ Nunes 2022 Systematic review and meta-analysis of protein intake to support muscle mass and function in healthy adults https://pubmed.ncbi.nlm.nih.gov/35187864/ Larsen 2024 The effects of hip flexion angle on quadriceps femoris muscle hypertrophy in the leg extension exercise https://pubmed.ncbi.nlm.nih.gov/39699974/ Gschneider 2024 The effects of lengthened-partial range of motion resistance training of the limbs on arm and thigh muscle cross-sectional area https://sportrxiv.org/index.php/server/preprint/view/485/version/624 Wolf 2025 Lengthened partial repetitions elicit similar muscular adaptations as full range of motion repetitions during resistance training in trained individuals https://pubmed.ncbi.nlm.nih.gov/39959841/ Kassiano 2022 Does Varying Resistance Exercises Promote Superior Muscle Hypertrophy and Strength Gains? A Systematic Review https://pubmed.ncbi.nlm.nih.gov/35438660/ Pedrosa 2023 Training in the Initial Range of Motion Promotes Greater Muscle Adaptations Than at Final in the Arm Curl https://pubmed.ncbi.nlm.nih.gov/36828324/ 29:59 Simulating a large lengthened-bias training dataset 42:28 Some points from Trexler Trexler 2019 Acute Effects of Citrulline Supplementation on High-Intensity Strength and Power Performance: A Systematic Review and Meta-Analysis https://pubmed.ncbi.nlm.nih.gov/30895562/ 1:02:56 Mechanisms vs experimental trials (uncertainty) 1:10:15 Using Large Language Models for statistical analysis (in R) 1:21:01 Q&A Rapid fire 1: Work and energy expenditure during eccentric contractions   1:23:22 Q&A Rapid fire 2: Waited vest upsides and downsides 1:25:47 Q&A Rapid fire 3: Protein recommendations for individuals who don't train their entire body 1:29:20 Q&A Rapid fire 4: Sprint cycling for quad hypertrophy   1:35:04 Wrapping up See the entire MASS team speak at the Sports Nutrition Association Annual Conference https://sportsnutritionassociation.com/sna-annual-2025-conference/

Wille har läst två systematiska översiktsartiklar på hur träning i olika zoner verkar påverka prestationen inom konditionsidrott för personer som är lite olika tränade från början. Den första artikeln handlar om polariserad träning jämfört med ett pyramidialt upplägg. I den fann forskarna att det polariserade möjligen är något bättre för elitidrottare med den mer pyramidformade fördelningen var mer lämplig för motionärer. Det är dock få studier utförda och antalet deltagare är för få i allihop. Den andra studien handlar om vad som händer när man adderar till mer högintensiv träning till ett träningsprogram som sen innan redan har inkluderat större mängder lågintensiv träning. Titlarna på studierna är: Which Training Intensity Distribution Intervention will Produce the Greatest Improvements in Maximal Oxygen Uptake and Time-Trial Performance in Endurance Athletes? A Systematic Review and Network Meta-analysis of Individual Participant Data. The Additional Effect of Training Above the Maximal Metabolic Steady State on VO2peak, Wpeak and Time‐Trial Performance in Endurance‐Trained Athletes: A Systematic Review, Meta‐analysis, and Reality Check På Tyngre Träningssnacks instagram kan du hitta bilder relaterat till detta och tidigare avsnitt. Hålltider (00:00:00) Introsnack om vår egna träning (00:04:46) Urspårat start kring youtube och hur algoritmerna styr barn (00:07:47) Summering av forskningen kring fördelningen av träning i olika zoner (00:09:47) Vad låg, medel och högintensivträning innebär (00:13:15) De flesta zonsystem använder fler än 3 nivåer (00:16:10) Meta-analys på hur olika modeller för delning av intensiteter fungerar för idrottare på olika nivå (00:26:02) Alla modellerna innebär en stor mängd lågintensiv träning (00:28:26) Allt funkar men pyramidformad träning är möjligen bättre för motionärer (00:30:48) Det är många riktigt små studier som helt enkelt inte duger för att ge ett bra svar på frågan (00:37:30) Duktiga idrottare vill sällan vara i det som de upplever som kontrollgruppen i en studie (00:46:07) Vad hände om man lägger till högintensiv träning till ett program som innehållit större mängder lågintensiv (00:52:37) Åsikter ändras men det är svårt att veta vad som är trender och vad som drivs av forskning? (00:56:53) Hur mycket beror på träningsupplägg och hur mycket är gener och bättre utrustning?

Probably everything you were taught in your certification about back pain is wrong. Lifting heavy doesn't wreck your spine. “Bad posture” isn't the cause. Avoiding movement? That's likely making things worse.In this episode, we break down the myth that spinal load and “incorrect movement” cause low back pain. We'll cover:Why research shows no strong link between lifting and chronic back pain.The biopsychosocial factors that matter far more than technique.How Pilates instructors can help clients move with confidence, not fear.References mentioned in the episode: Insufficient Evidence for Load as the Primary Cause of Nonspecific (Chronic) Low Back Pain. A Scoping Review hereShould Exercises Be Painful in the Management of Chronic Musculoskeletal Pain? A Systematic Review and Meta-Analysis here, your biggest takeaway or share this with a fellow instructor!Connect with me on Instagram: @the_raphaelbenderDownload a free course guide:Pilates CertificationVisualized AnatomyThis podcast uses the following third-party services for analysis: AdBarker - https://adbarker.com/privacy

In this conversation, Keltie Maguire speaks with lifespan psychologist and post-doctoral researcher, Dr. Laura Buchinger, about her latest research on how parents versus childfree people fare in terms of well-being, mental health, and overall life satisfaction. Hear them discuss: What existing research tells us about how parents and non-parents fare at different stages of life and across various aspects of well-being. The gender differences in experiences of loneliness and social connections. Whether or not childfree people are lonelier than parents. How societal expectations about parenthood influence life decisions and experiences. How cultural perspectives that shape attitudes toward having children, and the shifting views of younger generations regarding the childfree choice. About Laura: Laura Buchinger is a lifespan psychologist exploring how personality, motivation, health, and well-being evolve throughout life. After earning an undergraduate degree from Chemnitz University of Technology in 2013, she completed a master's degree in Clinical Psychology at Freie Universität Berlin in 2016. Laura began her career as an organizational psychologist and consultant, focusing on occupational health and safety, before transitioning back to academia just before the pandemic. In 2023, she earned a PhD in Psychology from Freie Universität Berlin with a thesis titled "Life Goals Across Adulthood and Old Age: Associations With Personality and Well-Being." Laura is now a post-doctoral researcher in developmental psychology at Humboldt-Universität zu Berlin. Her research focuses on interindividual differences in personality traits, life goals, and values, and their effects on health and well-being across the lifespan As mentioned in the show: Find Laura on... Blue Sky at: @lbuchinger.bsky.social  LinkedIn https://www.linkedin.com/in/laura-buchinger-b06359161/ You can connect with her via email at: laura.buchinger@hu-berlin.de The studies mentioned in our conversation can be found below: Buchinger, L., Richter, D., & Heckhausen, J. (2022). The Development of Life Goals Across the Adult Life Span. The Journals of Gerontology: Series B, 77(5), 905–915. https://doi.org/10.1093/geronb/gbab154 Buchinger, L., Wahring, I. V., Ram, N., Hoppmann, C., Heckhausen, J., & Gerstorf, D. (2024). Kids or no Kids? Life Goals in one's 20s Predict Midlife Trajectories of Well-Being. Psychology and Aging, 39(8), 897–914. https://doi.org/10.1037/pag0000862 Bauer, G., Brandt, M. & Kneip, T. The Role of Parenthood for Life Satisfaction of Older Women and Men in Europe. J Happiness Stud 24, 275–307 (2023). https://doi.org/10.1007/s10902-022-00600-8 Graham, M. (2015). Is being childless detrimental to a woman's health and well-being across her life course?. Women's health issues, 25(2), 176-184. https://doi.org/10.1016/j.whi.2014.12.002 Penning, M. J., Wu, Z., & Hou, F. (2024). Childlessness and social and emotional loneliness in middle and later life. Ageing & Society, 44(7), 1551-1578. https://doi.org/10.1017/S0144686X22000824 Krämer, M. D., Van Scheppingen, M. A., Chopik, W. J., & Richter, D. (2023). The transition to grandparenthood: No consistent evidence for change in the Big Five personality traits and life satisfaction. European Journal of Personality, 37(5), 560–586. https://doi.org/10.1177/08902070221118443 Stahnke, B., Cooley, M. E., & Blackstone, A. (2023). A Systematic Review of Life Satisfaction Experiences Among Childfree Adults. The Family Journal, 31(1), 60–68. https://doi.org/10.1177/10664807221104795 __ Check out our brand-new Confident Childfree Support Series: kidsorchildfree.com/confidently-childfree-support-series Check out our free resources here, or at kidsorchildfree.com/free-resources And don't forget to subscribe, rate, and review The Kids or Childfree Podcast if you love what you're hearing! You can leave a rating and review on Apple Podcasts, or a rating on Spotify. Find us online at www.kidsorchildfree.com. Instagram: www.instagram.com/kidsorchildfree

In this episode of the Prehospital Care Research Forum's journal club, we take a deep dive into the 2024 Systematic Review of Evidence-Based Guidelines for Prehospital Care. From groundbreaking updates to practical applications, we'll explore how these guidelines are shaping the future of EMS. Join us to learn what's new, what's impactful, and how it all translates to better outcomes in the field. Don't miss this essential episode for EMS professionals striving to stay at the forefront of evidence-based care!https://www.tandfonline.com/doi/full/10.1080/10903127.2024.2412299#abstractPrehospital Guidelines Consortium: https://prehospitalguidelines.orgEMS Research Reading List: https://prehospitalguidelines.org/reading-list/

In Episode 93 of Trail Society, Corrine, Keely, and Hillary discuss the latest athlete contract news as the new year continues, touching on Keely's decision to forgo a formal sponsorship, Hillary's experience renegotiating with Brooks, and Corrine's new role with HOKA. The episode also celebrates National Girls and Women in Sport Day, highlighting key updates in women's sports, including exciting new sponsorships and efforts toward greater parity in gravel cycling. With upcoming races like Black Canyon 100km and Tarawera, the ladies dive into the growing excitement in the endurance sports world. The episode also takes a deep dive into iron deficiency and supplementation, exploring its critical role in endurance and athletic performance, particularly for female athletes. With insights into how iron impacts energy levels, aerobic capacity, and recovery, the trio breaks down key metrics like hemoglobin, ferritin, and transferrin saturation, emphasizing the importance of a balanced approach to iron supplementation. Additionally, the team tackles creatine supplementation and its potential benefits for female endurance athletes, discussing its impact on muscle function and performance during key hormonal life stages. Keep sliding into our DMs with your messages, they mean so much to us!  FOLLOW US on Instagram: @trail.society And go follow our NEW youtube channel @trailsociety_podcast This episode is brought to you by Freetrail @runfreetrail NEW SPONSOR ALERT: We are so excited to be partnering with Rabbit as our primary apparel sponsor this year! Send us some DMS about your favorite apparel and what you would like to see built for the trail running space!   Articles Effects of Oral Iron Supplementation on Blood Iron Status in Athletes: A Systematic Review, Meta-Analysis and Meta-Regression of Randomized Controlled Trials  https://www.researchgate.net/publication/378488071_Effects_of_Oral_Iron_Supplementation_on_Blood_Iron_Status_in_Athletes_A_Systematic_Review_Meta-Analysis_and_Meta-Regression_of_Randomized_Controlled_Trials The Global Prevalence of Iron Deficiency in Collegiate Athletes: A Systematic Review and Meta-Analysis https://www.sciencedirect.com/science/article/pii/S2095254624001674 Does Creatine Supplementation Enhance Performance in Active Females? A Systematic Review  https://www.mdpi.com/2072-6643/17/2/238#:~:text=5.-,Conclusions,no%20benefit%20compared%20to%20placebo.

Egal zu welchem Anlass, in Deutschland wird gerne getrunken. Obwohl der Konsum seit Jahren langsam sinkt, liegen wir im internationalen Vergleich immer noch weit vorn. Schätzungen gehen davon aus, dass jährlich mehr als 40.000 Menschen in Deutschland an den Folgen ihres Alkoholkonsums vorzeitig sterben. Und dennoch gilt Alkoholtrinken immer noch als normal. Warum können - oder wollen - wir nicht auf diese Droge verzichten? Es nur mit dem Rausch, mit der kleinen Flucht aus dem Alltag zu erklären, wäre zu einfach.  Autorin Yasmin Appelhans ist dem Alkoholkonsum wissenschaftlich auf den Grund gegangen und hat dafür auch in der Evolutionsgeschichte gewühlt. Im Gespräch mit Host Lucie Kluth erzählt sie von ihren spannenden Erkenntnissen - unter anderem, warum unser Körper Alkohol relativ gut verarbeiten kann, was die forschungsrelevante "Drunken Monkey Hypothesis" damit zu tun hat und warum gerade Soziale Medien mitverantwortlich dafür sind, dass viele junge Menschen ihren Alkoholkonsum hinterfragen. DIE HINTERGRUNDINFORMATIONEN 1. Dudley R. Evolutionary Origins of Human Alcoholism in Primate Frugivory. The Quarterly Review of Biology. 2000;75(1): 3–15. https://doi.org/10.1086/393255. 2. Carrigan MA, Uryasev O, Frye CB, Eckman BL, Myers CR, Hurley TD, et al. Hominids adapted to metabolize ethanol long before human-directed fermentation. Proceedings of the National Academy of Sciences. 2015;112(2): 458–463. https://doi.org/10.1073/pnas.1404167111. 3. Bowland AC, Melin AD, Hosken DJ, Hockings KJ, Carrigan MA. The evolutionary ecology of ethanol. Trends in Ecology & Evolution. 2024;0(0). https://doi.org/10.1016/j.tree.2024.09.005. 4. Dudley R, Maro A. Human Evolution and Dietary Ethanol. Nutrients. 2021;13(7): 2419. https://doi.org/10.3390/nu13072419. 5. Dashko S, Zhou N, Compagno C, Piškur J. Why, when, and how did yeast evolve alcoholic fermentation? Fems Yeast Research. 2014;14(6): 826–832. https://doi.org/10.1111/1567-1364.12161. 6. Milan NF, Kacsoh BZ, Schlenke TA. Alcohol Consumption as Self-Medication against Blood-Borne Parasites in the Fruit Fly. Current Biology. 2012;22(6): 488–493. https://doi.org/10.1016/j.cub.2012.01.045. 7. Heinz A, Daedelow LS. Alkohol als Kulturgut – eine historisch-anthropologische und therapeutische Perspektive auf Alkoholkonsum und seine soziale Rolle in westlichen Gesellschaften. Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz. 2021;64(6): 646–651. https://doi.org/10.1007/s00103-021-03327-8. 8. Cooke R. The Palgrave handbook of psychological perspectives on alcohol consumption. Cham, Switzerland: Springer; 2021. 9. Alkoholkonsum in Deutschland: https://www.bundesgesundheitsministerium.de/service/begriffe-von-a-z/a/alkohol.html [Accessed 9th December 2024]. 10. Nutt DJ, King LA, Phillips LD. Drug harms in the UK: a multicriteria decision analysis. The Lancet. 2010;376(9752): 1558–1565. https://doi.org/10.1016/S0140-6736(10)61462-6. 11. Mamluk L, Edwards HB, Savović J, Leach V, Jones T, Moore THM, et al. Low alcohol consumption and pregnancy and childhood outcomes: time to change guidelines indicating apparently ‘safe' levels of alcohol during pregnancy? A systematic review and meta-analyses. BMJ Open. 2017;7(7): e015410. https://doi.org/10.1136/bmjopen-2016-015410. 12. Manthey J, Shield KD, Rylett M, Hasan OSM, Probst C, Rehm J. Global alcohol exposure between 1990 and 2017 and forecasts until 2030: a modelling study. The Lancet. 2019;393(10190): 2493–2502. https://doi.org/10.1016/S0140-6736(18)32744-2. 13. Kilian C, Manthey J, Rehm J, Kraus L. Alkoholpolitik in Deutschland: Verpasste Chancen zur Senkung der Krankheitslast. SUCHT. 2023;69(4): 163–171. https://doi.org/10.1024/0939-5911/a000823. 14. Binder A, Kilian C, Hanke S, Banabak M, Berkenhoff C, Petersen KU, et al. Stigma and self-stigma among women within the context of the german “zero alcohol during pregnancy” recommendation: A qualitative analysis of online forums and blogs. International Journal of Drug Policy. 2024;124: 104331. https://doi.org/10.1016/j.drugpo.2024.104331. 15. Stockwell T, Zhao J, Clay J, Levesque C, Sanger N, Sherk A, et al. Why Do Only Some Cohort Studies Find Health Benefits From Low-Volume Alcohol Use? A Systematic Review and Meta-Analysis of Study Characteristics That May Bias Mortality Risk Estimates. Journal of Studies on Alcohol and Drugs. 2024;85(4): 441–452. https://doi.org/10.15288/jsad.23-00283. 16. Cook M, Critchlow N, O'Donnell R, MacLean S. Alcohol's contribution to climate change and other environmental degradation: a call for research. Health Promotion International. 2024;39(1): daae004. https://doi.org/10.1093/heapro/daae004. 17. 3.7 Genetik der Alkoholabhängigkeit.. 2011th ed. Alkohol und Tabak. Thieme Verlag; 2011. https://doi.org/10.1055/b-0034-40723. [Accessed 21st December 2024]. 18. Hakulinen C, Elovainio M, Batty GD, Virtanen M, Kivimäki M, Jokela M. Personality and Alcohol Consumption: Pooled Analysis of 72,949 Adults from Eight Cohort Studies. Drug and alcohol dependence. 2015;151: 110–114. https://doi.org/10.1016/j.drugalcdep.2015.03.008. 19. Heinz A, Gül Halil M, Gutwinski S, Beck A, Liu S. ICD-11: Änderungen der diagnostischen Kriterien der Substanzabhängigkeit. Der Nervenarzt. 2022;93(1): 51–58. https://doi.org/10.1007/s00115-021-01071-7. 20. Alkoholberatung: Alkohol? Kenn dein Limit. https://www.kenn-dein-limit.de/alkoholberatung/ [Accessed 21st December 2024].

Language delays are one of the most common concerns brought up in pediatric well visits. Dr. Jennifer Poon, a pediatric specialist in Development and Behavior, joins Dr. Sarah Straka and medical student Alisha Patel to discuss how to recognize and manage language delays. Specifically, they will: Define and understand language delay. Recognize the initial signs and symptoms of language delays. Identify and explain clinical pearls of potential etiologies of language delays. Recognize the developmental milestones for language based on age. Discuss the prevalence of language delays as well as identify the risk factors and patient demographics that have an increased susceptibility. Understand the initial diagnostic approach to the child with suspected language delay. Review the most common interventions when a child has language delay. Understand how to best discuss the prognosis for language delays and counsel the families and caregivers CME Credit (requires free sign up):   link coming soon! References: Karani NF, Sher J, Mophosho M. The influence of screen time on children's language development: A scoping review. S Afr J Commun Disord. 2022 Feb 9;69(1):e1-e7. doi: 10.4102/sajcd.v69i1.825. PMID: 35144436; PMCID: PMC8905397. Law, James et al. “Speech and language therapy interventions for children with primary speech and/or language disorders.” The Cochrane Database of Systematic Reviews 2017,1 CD012490. 9 Jan. 2017, doi:10.1002/14651858.CD012490 Sices, Laura, and Marilyn Augustyn. “Expressive Language Delay (‘Late Talking') in Young Children.” Edited by Robert G Voigt and Mary Torchia, UptoDate, Wolters Kluwer, UpToDate, Inc., 25 Jan. 2022, https://www.uptodate.com/contents/expressive-language-delay-late-talking-in-young-children. Spratt, Eve G et al. “The Effects of Early Neglect on Cognitive, Language, and Behavioral Functioning in Childhood.” Psychology (Irvine, Calif.) 3,2 (2012): 175-182. doi:10.4236/psych.2012.32026 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3652241/ Sunderajan, Trisha, and Sujata V Kanhere. “Speech and language delay in children: Prevalence and risk factors.” Journal of family medicine and primary care 8,5 (2019): 1642-1646. doi:10.4103/jfmpc.jfmpc_162_19 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6559061/ Takahashi I, Obara T, Ishikuro M, et al. Screen Time at Age 1 Year and Communication and Problem-Solving Developmental Delay at 2 and 4 Years. JAMA Pediatr.Published online August 21, 2023. doi:10.1001/jamapediatrics.2023.3057 Young, Allen. and Matthew Ng. “Genetic Hearing Loss.” StatPearls, StatPearls Publishing, 17 April 2023. https://www.ncbi.nlm.nih.gov/books/NBK580517/ Zuckerman B, Khandekar A. Reach Out and Read: evidence based approach to promoting early child development. Curr Opin Pediatr. 2010 Aug;22(4):539-44. doi: 10.1097/MOP.0b013e32833a4673. PMID: 20601887.

UCSF epidemiology and biostatistics professor Vinay Prasad's star rose when he compared the US response to Covid-19 to the beginnings of the Third Reich in October, 2021. Though a less famous contrarian than others in the MAHA sphere, the hematologist-oncologist has honed his social media trolling over the past few years, always ready for a fight, evidence be damned. Derek and Julian look at two recent videos that signal Prasad might be angling for a position in a potential RFK Jr-run HHS—and all the misinformation he continues to spread. Show Notes BMJ's Systematic Review on Quarantine Measures Learn more about your ad choices. Visit megaphone.fm/adchoices

Probably not — the incentives are too strong. But a few reformers are trying. We check in on their progress, in an update to an episode originally published last year. (Part 2 of 2) SOURCES:Max Bazerman, professor of business administration at Harvard Business School.Leif Nelson, professor of business administration at the University of California, Berkeley Haas School of Business.Brian Nosek, professor of psychology at the University of Virginia and executive director at the Center for Open Science.Ivan Oransky, distinguished journalist-in-residence at New York University, editor-in-chief of The Transmitter, and co-founder of Retraction Watch.Joseph Simmons, professor of applied statistics and operations, information, and decisions at the Wharton School at the University of Pennsylvania.Uri Simonsohn, professor of behavioral science at Esade Business School.Simine Vazire, professor of psychology at the University of Melbourne and editor-in-chief of Psychological Science. RESOURCES:"How a Scientific Dispute Spiralled Into a Defamation Lawsuit," by Gideon Lewis-Kraus (The New Yorker, 2024)."The Harvard Professor and the Bloggers," by Noam Scheiber (The New York Times, 2023)."They Studied Dishonesty. Was Their Work a Lie?" by Gideon Lewis-Kraus (The New Yorker, 2023)."Evolving Patterns of Extremely Productive Publishing Behavior Across Science," by John P.A. Ioannidis, Thomas A. Collins, and Jeroen Baas (bioRxiv, 2023)."Hindawi Reveals Process for Retracting More Than 8,000 Paper Mill Articles," (Retraction Watch, 2023)."Exclusive: Russian Site Says It Has Brokered Authorships for More Than 10,000 Researchers," (Retraction Watch, 2019)."How Many Scientists Fabricate and Falsify Research? A Systematic Review and Meta-Analysis of Survey Data," by Daniele Fanelli (PLOS One, 2009).Lifecycle Journal. EXTRAS:"Why Is There So Much Fraud in Academia? (Update)" by Freakonomics Radio (2024)."Freakonomics Goes to College, Part 1," by Freakonomics Radio (2012).

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning pays tribute to the late-cardiac surgeon Albert Starr. He discusses Dr. Starr's personal and professional life, his accomplishments, and the Starr-Edwards valve. He also discusses the background of CTSNet, provides a quick statistics review of CTSNet, and the CTSNet career center.   Joel also reviews recent JANS articles on heart surgeons performing the world's first combined robotic AVR and CABG, the prevalence of invasive lung cancer in pure ground glass nodules less than 30 mm, external validation of EuroSCORE I and II in patients with infective endocarditis, and totally endoscopic coronary artery bypass graft.   In addition, Joel explores robotic-assisted tracheobronchoplasty, spontaneously closed VSD presenting as an Iatrogenic Gerbodie defect, and single leaflet neocuspidization for aortic regurgitation due to infective endocarditis in adult congenital heart disease. Before closing, he highlights upcoming events in CT surgery.   JANS Items Mentioned  1.) Heart Surgeons Perform World's First Combined Robotic AVR and CABG  2.) Prevalence of Invasive Lung Cancer in Pure Ground Glass Nodules Less Than 30 mm: A Systematic Review  3.) External Validation of EuroSCORE I and II in Patients With Infective Endocarditis: Results From a Nationwide Prospective Registry  4.) Totally Endoscopic Coronary Artery Bypass Graft: Systematic Review and Meta-Analysis of Reconstructed Patient-Level Data  CTSNET Content Mentioned  1.) Robotic-Assisted Tracheobronchoplasty: A Quick Way to Fix the Airway  2.) Spontaneously Closed VSD Presenting as an Iatrogenic Gerbodie Defect  3.) Single Leaflet Neocuspidization for Aortic Regurgitation Due to Infective Endocarditis in Adult Congenital Heart Disease  Other Items Mentioned  CTSNet Events Calendar  Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

Welcome to PsychEd, the psychiatry podcast for medical learners, by medical learners. This episode covers psychotherapy in youth with Dr. Laurence Katz, a professor of child and adolescent psychiatry at the University of Manitoba. Dr. Katz received his medical and adult psychiatric training at the University of Manitoba and his child and adolescent psychiatry training at the Albert Einstein College of Medicine, Bronx N.Y. He is an adjunct scientist at the Manitoba Centre for Health Policy and has published numerous papers using the population health administrative database in mental health outcomes. He has held and been part of numerous grants funded by CIHR, PHAC, and other national funding agencies related to work with First Nations communities. Dr. Katz is widely published in particular in the areas of suicide and suicidal behaviour. His other research interests include Dialectical Behaviour Therapy, pharmacoepidemiology, and implementation of complex interventions. The learning objectives for this episode are as follows: By the end of this episode, the listener will be able to… Outline which psychotherapeutic modalities are commonly used in youth Identify which youth may benefit/should be referred for psychotherapy Discuss important considerations in delivering psychotherapy to youth Guest: Dr. Laurence Katz Hosts: Wendy MacMillan-Wang, Shaoyuan Wang, Kate Braithwaite, and Sara Abrahamson Audio editing by: Angad Singh Show notes by: Kate Braithwaite Interview content: Introduction - 0:04 Guest introduction - 00:44 Learning objectives - 05:25 Definitions - 06:00 Types of psychotherapy in youth - 07:44 Evolution of psychotherapy in youth over time - 13:10 Psychotherapy in suicide prevention/risk mitigation - 16:24 Challenges in research: decrease in effect sizes over time - 18:32 Conditions responding best to psychotherapy - 22:01 Youth specific modalities - 26:44 Summary of learning objective 1 - 29:49 Indications and contraindications - 30:23 Consent - 37:31 Group therapy - 39:31 Summary of learning objective 2 - 46:27 Differences in psychotherapy in youth compared to adults in practice - 47:10 Techniques for engagement of youth - 53:32 Family involvement - 58:21 Confidentiality - 1:02:39 Use of mobile apps/internet-based therapies - 1:07:20 Summary of learning objective 3 - 1:11:17 Other considerations - 1:12:35 End credits - 1:16:52 References: Agostino, H., & Toulany, A. (2023). Considerations for privacy and confidentiality in adolescent health care service delivery. Paediatrics & Child Health, 28(3), 172–183. https://doi.org/10.1093/pch/pxac117 American Academy of Child and Adolescent Psychiatry. (2019, April). Psychotherapies for children and adolescents: different types. Facts for Families Guide. Retrieved from https://www.aacap.org/AACAP/Families_and_Youth/Facts_for_Families/FFF-Guide/Psychotherapies-For-Children-And-Adolescents-086.aspx Bailin, A., Cho, E., Sternberg, A., & others. (2023). Principle-guided psychotherapy for children and adolescents (FIRST): Study protocol for a randomized controlled effectiveness trial in outpatient clinics. Trials, 24, Article 682. https://doi.org/10.1186/s13063-023-07717-y Bhide, A., & Chakraborty, K. (2020). General principles for psychotherapeutic interventions in children and adolescents. Indian Journal of Psychiatry, 62(Suppl 2), S299–S318. CADDRA - Canadian ADHD Resource Alliance. (2020). Canadian ADHD practice guidelines (4.1 ed.). Toronto, ON: CADDRA. Christner, R. W., Stewart, J. L., & Mulligan, C. A. (Eds.). (2024). Handbook of cognitive-behavior group therapy with children and adolescents: Specific settings and presenting problems (2nd ed.). Routledge. Campisi, S. C., Ataullahjan, A., Baxter, J. B., Szatmari, P., & Bhutta, Z. A. (2022). Mental health interventions in adolescence. Current Opinion in Psychology, 48. https://doi.org/10.1016/j.copsyc.2022.101492 Katzman, M. A., Bleau, P., Blier, P., & others. (2014). Canadian clinical practice guidelines for the management of anxiety, posttraumatic stress, and obsessive-compulsive disorders. BMC Psychiatry, 14(Suppl 1), S1. https://doi.org/10.1186/1471-244X-14-S1-S1 Kendall, P. C., Ney, J. S., Maxwell, C. A., Lehrbach, K. R., Jakubovic, R. J., McKnight, D. S., & Friedman, A. L. (2023). Adapting CBT for youth anxiety: Flexibility within fidelity in different settings. Frontiers in Psychiatry, 14, Article 1067047. https://doi.org/10.3389/fpsyt.2023.1067047 Kernberg, P. F., Ritvo, R., Keable, H., & American Academy of Child an Adolescent Psychiatry (AACAP) Committee on Quality Issues (CQI) (2012). Practice Parameter for psychodynamic psychotherapy with children. Journal of the American Academy of Child and Adolescent Psychiatry, 51(5), 541–557. https://doi.org/10.1016/j.jaac.2012.02.015 Lam, R. W., Kennedy, S. H., Adams, C., & others. (2024). Canadian Network for Mood and Anxiety Treatments (CANMAT) 2023 update on clinical guidelines for management of major depressive disorder in adults: Réseau canadien pour les traitements de l'humeur et de l'anxiété (CANMAT) 2023: Mise à jour des lignes directrices cliniques pour la prise en charge du trouble dépressif majeur chez les adultes. The Canadian Journal of Psychiatry, 69(9), 641–687. https://doi.org/10.1177/07067437241245384 Oetzel, K. B., & Scherer, D. G. (2003). Therapeutic engagement with adolescents in psychotherapy. Psychotherapy: Theory, Research, Practice, Training, 40(3), 215–225. https://doi.org/10.1037/0033-3204.40.3.215 Wergeland, G. J., Fjermestad, K. W., Marin, C. E., Haugland, B. S., Bjaastad, J. F., Oeding, K., Bjelland, I., Silverman, W. K., Öst, L. G., Havik, Ø. E., & Heiervang, E. R. (2014). An effectiveness study of individual versus group cognitive behavioral therapy for anxiety disorders in youth. Behaviour Research and Therapy, 57, 1–12. https://doi.org/10.1016/j.brat.2014.03.007 Witt, K. G., Hetrick, S. E., Rajaram, G., Hazell, P., Taylor Salisbury, T. L., Townsend, E., & Hawton, K. (2021). Interventions for self-harm in children and adolescents. Cochrane Database of Systematic Reviews, 3, Article CD013667. https://doi.org/10.1002/14651858.CD013667.pub2 Yatham, L. N., Kennedy, S. H., Parikh, S. V., Schaffer, A., Bond, D. J., Frey, B. N., Sharma, V., Goldstein, B. I., Rej, S., Beaulieu, S., Alda, M., MacQueen, G., Milev, R. V., Ravindran, A., O'Donovan, C., McIntosh, D., Lam, R. W., Vazquez, G., Kapczinski, F., McIntyre, R. S., Kozicky, J., Kanba, S., Lafer, B., Suppes, T., Calabrese, J. R., Vieta, E., Malhi, G., Post, R. M., & Berk, M. (2018). Canadian Network for Mood and Anxiety Treatments (CANMAT) and International Society for Bipolar Disorders (ISBD) 2018 guidelines for the management of patients with bipolar disorder. Bipolar Disorders, 20(2), 97–170. https://doi.org/10.1111/bdi.12609 For more PsychEd, follow us on Instagram (@psyched.podcast), X (@psychedpodcast), and Facebook (PsychEd Podcast). You can provide feedback by email at psychedpodcast@gmail.com. For more information, visit our website at psychedpodcast.org.

In this episode of The Lost Child Podcast, Camille and I dive into our experience completing our first triathlon and how exercise has played a crucial role in our grief journey. After the loss of our daughter, Sunni, we knew that moving our bodies could help with the emotional weight we were carrying, but we didn't fully understand how transformative it would be. Buy a Shine Bright Shirt We discuss the physical and emotional challenges of training for and finishing a triathlon, and how this experience has helped us cope with grief, find moments of peace, and rediscover joy. We also explore the science behind why exercise can be such an important tool in managing grief and improving mental health. Join us as we share our journey, the lessons we've learned, and how moving our bodies has become an essential part of our healing process. If you're struggling with grief or looking for ways to cope, we hope this episode offers insight, hope, and inspiration.   References: Coping with adversity: physical activity as a moderator in adaption to bereavement The impact of exercise on depression: how moving makes your brain and body feel better The impact of physical fitness on resilience to modern life stress and the mediating role of general self-efficacy Can Physical Activity Support Grief Outcomes in Individuals Who Have Been Bereaved? A Systematic Review

What does the body of evidence say about smoking cessation? Does counselling make a difference and, if so, what kind? Is vaping effective as a way to quit smoking? And did you know there are drugs that have been shown to help give up the habit? Chris attempts to pronounce their names and is left with one question: is his veranda clean?   Become a supporter of our show today either on Patreon or through PayPal! Thank you! http://www.patreon.com/thebodyofevidence/ https://www.paypal.com/donate?hosted_button_id=9QZET78JZWCZE   Email us your questions at thebodyofevidence@gmail.com.   Assistant researcher: Aigul Zaripova, MD Theme music: “Fall of the Ocean Queen“ by Joseph Hackl Rod of Asclepius designed by Kamil J. Przybos Chris' book, Does Coffee Cause Cancer?: https://ecwpress.com/products/does-coffee-cause-cancer   Obviously, Chris is not your doctor (probably). This podcast is not medical advice for you; it is what we call information.   References: Reducing vs. quitting smoking 1) Gerber Y, Myers V, Goldbourt U. Smoking reduction at midlife and lifetime mortality risk in men: a prospective cohort study. Am J Epidemiol. 2012 May 15;175(10):1006-12. doi: 10.1093/aje/kwr466. Epub 2012 Feb 3. PMID: 22306566. 2) Nina S. Godtfredsen, Claus Holst, Eva Prescott, Jørgen Vestbo, Merete Osler, Smoking Reduction, Smoking Cessation, and Mortality: A 16-year Follow-up of 19,732 Men and Women from the Copenhagen Centre for Prospective Population Studies, American Journal of Epidemiology, Volume 156, Issue 11, 1 December 2002, Pages 994–1001, https://doi.org/10.1093/aje/kwf150   Behavioural interventions for smoking cessation 3) Cahill K, Lancaster T, Green N. Stage-based interventions for smoking cessation. Cochrane Database Syst Rev. 2010 Nov 10;(11):CD004492. doi: 10.1002/14651858.CD004492.pub4. PMID: 21069681. 4) Stead LF, Koilpillai P, Fanshawe TR, Lancaster T. Combined pharmacotherapy and behavioural interventions for smoking cessation. Cochrane Database Syst Rev. 2016 Mar 24;3(3):CD008286. doi: 10.1002/14651858.CD008286.pub3. PMID: 27009521; PMCID: PMC10042551. 5) Hartmann-Boyce J, Hong B, Livingstone-Banks J, Wheat H, Fanshawe TR. Additional behavioural support as an adjunct to pharmacotherapy for smoking cessation. Cochrane Database Syst Rev. 2019 Jun 5;6(6):CD009670. doi: 10.1002/14651858.CD009670.pub4. PMID: 31166007; PMCID: PMC6549450. 6) Hartmann-Boyce J, Livingstone-Banks J, Ordóñez-Mena JM, Fanshawe TR, Lindson N, Freeman SC, Sutton AJ, Theodoulou A, Aveyard P. Behavioural interventions for smoking cessation: an overview and network meta-analysis. Cochrane Database Syst Rev. 2021 Jan 4;1(1):CD013229. doi: 10.1002/14651858.CD013229.pub2. PMID: 33411338; PMCID: PMC11354481. 7) Anthenelli RM, Benowitz NL, West R, St Aubin L, McRae T, Lawrence D, Ascher J, Russ C, Krishen A, Evins AE. Neuropsychiatric safety and efficacy of varenicline, bupropion, and nicotine patch in smokers with and without psychiatric disorders (EAGLES): a double-blind, randomised, placebo-controlled clinical trial. Lancet. 2016 Jun 18;387(10037):2507-20. doi: 10.1016/S0140-6736(16)30272-0. Epub 2016 Apr 22. PMID: 27116918.   Network meta-analysis of medications and e-cigarettes 8) Lindson N, Theodoulou A, Ordóñez-Mena JM, Fanshawe TR, Sutton AJ, Livingstone-Banks J, Hajizadeh A, Zhu S, Aveyard P, Freeman SC, Agrawal S, Hartmann-Boyce J. Pharmacological and electronic cigarette interventions for smoking cessation in adults: component network meta‐analyses. Cochrane Database of Systematic Reviews 2023, Issue 9. Art. No.: CD015226. DOI: 10.1002/14651858.CD015226.pub2. Accessed 04 November 2024.  

Protein — how much do we need? What's the healthiest way to consume it? Can we get enough from plant-based diets? Until recent decades, protein hasn't been quite as prominent in public health discussions as sugar and fats.  However, with longer lifespans emphasizing the importance of protein for long-term health, and growing confusion around the quality and quantity of protein needed, it has become a highly debated macronutrient. In ‘Your Brain On… Protein', we explore: • The brain health benefits (and general health benefits) of protein • Plant-based protein vs. meat protein, and supplements like protein powders • How much protein we really need to eat every day • Ways we can all introduce more protein into our diets • Why ‘health' influencers are suddenly recommending unusually  high levels of protein consumption • How we measure the quality of proteins, including digestibility and absorption In this episode, we're joined by two fantastic nutrition experts: DR. MATTHEW NAGRA, nutritionist and science communicator. DR. ALAN FLANAGAN, esteemed nutrition scientist (previously featured in ‘Your Brain On… Sugar' and ‘Your Brain On… Fats' ‘Your Brain On' is hosted by neurologists, scientists and public health advocates Ayesha and Dean Sherzai. Drs. Ayesha and Dean are now welcoming patients via the Brain Health Institute: https://brainhealthinstitute.com/ ‘Your Brain On... Protein' • SEASON 3 • EPISODE 10 (SEASON 3 FINALE!) ——— LINKS: Dr. Matt Nagra Instagram: https://www.instagram.com/dr.matthewnagra Website: https://drmatthewnagra.com/  Dr. Alan Flanagan Alan on Instagram: https://www.instagram.com/thenutritionaladvocate Alinea Nutrition: https://www.alineanutrition.com/ ——— REFERENCES: Dietary Patterns and Risk of Dementia: a Systematic Review and Meta-Analysis of Cohort Studies. https://doi.org/10.1007/s12035-015-9516-4 Dietary fat composition and dementia risk. https://doi.org/10.1016/j.neurobiolaging.2014.03.038 Dietary Protein and Amino Acids in Vegetarian Diets—A Review. https://pmc.ncbi.nlm.nih.gov/articles/PMC6893534/ Animal vs Plant-Based Meat: A Hearty Debate. https://pubmed.ncbi.nlm.nih.gov/38934982/ High-Protein Plant-Based Diet Versus a Protein-Matched Omnivorous Diet to Support Resistance Training Adaptations: A Comparison Between Habitual Vegans and Omnivores. https://pubmed.ncbi.nlm.nih.gov/33599941/ Vegan and Omnivorous High Protein Diets Support Comparable Daily Myofibrillar Protein Synthesis Rates and Skeletal Muscle Hypertrophy in Young Adults. https://pubmed.ncbi.nlm.nih.gov/36822394/ Digestibility issues of vegetable versus animal proteins: protein and amino acid requirements--functional aspects. https://pubmed.ncbi.nlm.nih.gov/23964409/ Soy and Isoflavone Consumption and Multiple Health Outcomes: Umbrella Review of Systematic Reviews and Meta-Analyses of Observational Studies and Randomized Trials in Humans. https://doi.org/10.1002/mnfr.201900751 No Difference Between the Effects of Supplementing With Soy Protein Versus Animal Protein on Gains in Muscle Mass and Strength in Response to Resistance Exercise. https://pubmed.ncbi.nlm.nih.gov/29722584/ Neither soy nor isoflavone intake affects male reproductive hormones: An expanded and updated meta-analysis of clinical studies. https://pubmed.ncbi.nlm.nih.gov/33383165/ The health effects of soy: A reference guide for health professionals. https://pmc.ncbi.nlm.nih.gov/articles/PMC9410752/ The Effect of Plant-Based Protein Ingestion on Athletic Ability in Healthy People—A Bayesian Meta-Analysis with Systematic Review of Randomized Controlled Trials. https://www.mdpi.com/2072-6643/16/16/2748 Effects of high-quality protein supplementation on cardiovascular risk factors in individuals with metabolic diseases: A systematic review and meta-analysis of randomized controlled trials. https://doi.org/10.1016/j.clnu.2024.06.013 Vegan and Omnivorous High Protein Diets Support Comparable Daily Myofibrillar Protein Synthesis Rates and Skeletal Muscle Hypertrophy in Young Adults. https://pubmed.ncbi.nlm.nih.gov/36822394/

Try TrainerRoad risk-free!

HEALTH NEWS Manuka Honey Shows Potential in Fighting Breast Cancer Study identifies optimal meditation positions for ADHD patients Happy with your life? Research links contentment with fewer heart attacks and strokes Benefits of Ozone on Mortality in Patients with COVID-19: A Systematic Review and Meta-analysis Metal exposure can increase cardiovascular disease risk Study shows political leanings influence happiness, meaning, and psychological richness

If you've ever experienced unexpected discomfort during the night, you might already suspect that something's off. But did you know that your body could be crying out for more magnesium? This mineral is a powerhouse for so many vital functions in our bodies, yet nearly half of us aren't getting enough of it. Magnesium is crucial for everything from energy production to overall health, and when your levels are low, it can lead to a cascade of issues—many of which we tend to overlook or blame on aging. Take muscle cramps, for example. Those painful, unexpected spasms are one of the most common signs of magnesium deficiency. And it doesn't stop there. Low magnesium levels can also manifest as various symptoms affecting your daily life, from your mood to energy levels, and even more serious health concerns. In fact, studies have shown that boosting your magnesium intake can significantly impact your overall well-being, improving several aspects of health that you might not expect. So, what can you do? Start by reassessing your magnesium intake. Many food sources are rich in this mineral, and I'll share some of my favorites. But let's be real—most of us need to supplement to get those levels up. I take magnesium every night before bed and keep a topical magnesium product on hand for occasional use. It's all about finding what works for you and staying consistent. Don't ignore those little signals your body sends you. If anything I've mentioned sounds familiar tune in to learn more. It might be time to rethink your magnesium levels and learn more about this essential mineral's impact on your health. Full show notes: https://www.jjvirgin.com/bodyneedsmagnesium Epsom Salt: https://amzn.to/3IxgmMm Vital Choice wild-caught seafood: https://vitalchoice.sjv.io/daKYGy Lakanto Monk Fruit: https://lakanto.sjv.io/c/2208035/1270804/15633 Reignite Wellness™ Magnesium Body Calm: https://reignitewellness.com/products/magnesium-body-calm Reignite Wellness™ ElectroReplenish: https://reignitewellness.com/products/electroreplenish Download my free Resistance Training Cheat Sheet: https://jjvirgin.com/resistance Download my FREE Best Rest Sleep Cheat Sheet: https://jjvirgin.com/sleep Study: A randomized, double-blind, placebo-controlled, multicenter study assessing the efficacy of magnesium oxide monohydrate in the treatment of nocturnal leg cramps: https://pubmed.ncbi.nlm.nih.gov/34719399/ Study: Effect of magnesium and vitamin B6 supplementation on mental health and quality of life in stressed healthy adults: Post-hoc analysis of a randomised controlled trial: https://pubmed.ncbi.nlm.nih.gov/33864354/l Study: Effects of Magnesium Supplementation on Muscle Soreness and Performance: https://pubmed.ncbi.nlm.nih.gov/33009349/ Study: Effects of Magnesium Supplementation on Blood Pressure: A Meta-Analysis of Randomized Double-Blind Placebo-Controlled Trials: https://pubmed.ncbi.nlm.nih.gov/27402922/ Study: Treating arrhythmias with adjunctive magnesium: identifying future research directions: https://academic.oup.com/ehjcvp/article/3/2/108/2669829?login=false Study: Magnesium intake, bone mineral density, and fractures: results from the Women's Health Initiative Observational Study: https://pubmed.ncbi.nlm.nih.gov/24500155/ Study: Magnesium and hearing: https://pubmed.ncbi.nlm.nih.gov/12940704/ Study: Magnesium, inflammation, and obesity in chronic disease: https://pubmed.ncbi.nlm.nih.gov/20536778/ Study: The Role of Magnesium in Sleep Health: a Systematic Review of Available Literature: https://pubmed.ncbi.nlm.nih.gov/35184264/ Study: Dietary magnesium deficiency impairs hippocampus-dependent memories without changes in the spine density and morphology of hippocampal neurons in mice: https://pubmed.ncbi.nlm.nih.gov/30500564/ Episode Sponsors:  Try Timeline: https://www.timelinenutrition.com/shop?rfsn=7082975.4b75243 Use code JJ10 for 10% off all products Go to qualialife.com/VIRGINWELLNESS to try Qualia risk-free for up to 100 days and code VIRGINWELLNESS for an additional 15% off NEW GIVEAWAY CONTEST! To celebrate the launch of the Powerful Aging Method Program (NOW OPEN FOR ENROLLMENT), I am doing a giveaway contest! WIN a copy of my digital program! Total value: $995. Entering to WIN is easy! Leave a review for the Well Beyond 40 Podcast on Apple Podcasts and send a screenshot of your review to info@jjvirgin.com Giveaway ends Wednesday, September 18, 2024. Winner will be chosen using a random selector. Happy entering and good luck!!!  

Living with MS is expensive. A recent study funded by the National MS Society found the average cost of living with MS in the United States is $88,487 a year.  Even with insurance, that can turn out to be a heavy lift. One thing you don't need is to be worrying about money while you're already worrying about MS. So, when I think about discussing budgeting and managing your personal finances when you're living with MS, I think we're really talking about preserving your quality of life. Joining me with strategies for budgeting and managing debt when you're living with MS is the Senior Vice President of Membership and Media Relations at the National Foundation for Credit Counseling, Bruce McClary. We'll also tell you about the updated Pathways to Cures Research Roadmap and the first ever global landscape analysis of MS research funding. We're sharing very encouraging results from the Phase 2 open-label extension study of Fenebrutinib, an experimental BTK inhibitor. We'll give you the details of a pilot study that demonstrated what may be a successful treatment for sexual dysfunction among men and women living with MS. We'll tell you why middle-aged people with MS may want to consider resistance training. And we'll tell you how to register for the National MS Society's Voting Without Barriers webinar.  We have a lot to talk about! Are you ready for RealTalk MS??! This Week: Budgeting for Living with MS  :22 The Pathways to Cures Research Roadmap has been updated and refined  1:25 There's very encouraging news from the Phase 2 open-lable extension study of Fenebrutinib    5;31 Results from a pilot study point to successful treatment for sexual dysfunction among men and women living with MS  6:35 Study results show that resistance training is beneficial for middle-aged people with MS  9:52 We're 8 weeks away from election day in the U.S. and the National MS Society is hosting a webinar about access to polling places  11:36 Senior Vice President of Membership and Media Relations at the National Foundation for Credit Counseling, Bruce McClary, shares tips and strategies for taming your household budget and budgeting for living with MS  15:49 Share this episode  33:16 Have you downloaded the free RealTalk MS app?  33:36 SHARE THIS EPISODE OF REALTALK MS Just copy this link & paste it into your text or email: https://realtalkms.com/367 ADD YOUR VOICE TO THE CONVERSATION I've always thought about the RealTalk MS podcast as a conversation. And this is your opportunity to join the conversation by sharing your feedback, questions, and suggestions for topics that we can discuss in future podcast episodes. Please shoot me an email or call the RealTalk MS Listener Hotline and share your thoughts! Email: jon@realtalkms.com Phone: (310) 526-2283 And don't forget to join us in the RealTalk MS Facebook group! LINKS If your podcast app doesn't allow you to click on these links, you'll find them in the show notes in the RealTalk MS app or at www.RealTalkMS.com RealTalk MS Episode 297: From the Pathways To Cures Global Summit (Part 1) https://realtalkms.com/297 RealTalk MS Episode 298: From the Pathways to Cures Global Summit (Part 2) https://realtalkms.com/298 The Refined Pathways To Cures Research Roadmap https://journals.sagepub.com/doi/10.1177/13524585241266483 The First Global Landscape Analysis of Multiple Sclerosis Research Funding https://journals.sagepub.com/doi/full/10.1177/13524585241265961 STUDY: Tibial Nerve Stimulation in the Management of Primary Sexual Dysfunction in Patients with Multiple Sclerosis: A Pilot Randomized Control Trial https://link.springer.com/article/10.1007/s10072-024-07687-2 STUDY: Is Resistance Training an Option to Improve Functionality and Muscle Strength In Middle-Aged People with Multiple Sclerosis? A Systematic Review and Meta-Analysis https://www.mdpi.com/2077-0383/13/5/1378 REGISTER for the Voting Without Barriers Webinar https://p2a.co/Dqy1Xpk Join the RealTalk MS Facebook Group https://facebook.com/groups/realtalkms Download the RealTalk MS App for iOS Devices https://itunes.apple.com/us/app/realtalk-ms/id1436917200 Download the RealTalk MS App for Android Deviceshttps://play.google.com/store/apps/details?id=tv.wizzard.android.realtalk Give RealTalk MS a rating and review http://www.realtalkms.com/review Follow RealTalk MS on Twitter, @RealTalkMS_jon, and subscribe to our newsletter at our website, RealTalkMS.com. RealTalk MS Episode 367 Guest: Bruce McClary Privacy Policy

Did you know that 13% of trauma patients who go home with an opioid prescription will develop opioid dependence?  Multimodal pain regimens not only reduce opioid consumption, but also improve pain control.  On this episode of the BIG T TRAUMA series, we explore a multimodal approach to pain management...and tackle some surgical dogma along the way.   Hosts: Patrick Georgoff, MD, Trauma Surgeon, Duke University, @georgoff Teddy Puzio, MD, Trauma Surgeon, University of Texas Houston Gabby Hatton, MD, Trauma Surgery fellow, University of Texas Houston  References: 1.     Rate and Risk Factors Associated With Prolonged Opioid Use After Surgery: A Systematic Review and Meta-analysis. JAMA Netw Open 2020: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2767637 2.     Traumatic injuries and persistent opioid use in the USA: findings from a nationally representative survey. Injury Prevention 2017: https://pubmed.ncbi.nlm.nih.gov/27597400/ 3.     Ketamine For Acute Pain After Trauma (KAPT): A Pragmatic, Randomized Clinical Trial. J Trauma 2024: https://pubmed.ncbi.nlm.nih.gov/38689402/ 4.     EAST PMG: Efficacy and safety of non-steroidal anti-inflammatory drugs (NSAIDs) for the treatment of acute pain after orthopedic trauma (2023): https://www.east.org/education-resources/practice-management-guidelines/details/efficacy-and-safety-of-nonsteroidal-antiinflammatory-drugs-nsaids-for-the-treatment-of-acute-pain-af 5.     Systematic Review and Meta-Analysis of the Association Between Non-Steroidal Anti-Inflammatory Drugs and Operative Bleeding in the Perioperative Period. JACS 2021: https://pubmed.ncbi.nlm.nih.gov/33515678/ 6.     Is the use of nonsteroidal anti-inflammatories after bowel anastomosis in trauma safe? J Trauma 2023: https://pubmed.ncbi.nlm.nih.gov/36728125/ 7.     University of Texas at Houston Multimodal Pain Guideline: https://med.uth.edu/surgery/acute-trauma-pain-multimodal-therapy/ 8.     ACS TRAUMA QUALITY PROGRAMS BEST PRACTICES GUIDELINES FOR ACUTE PAIN MANAGEMENT IN TRAUMA PATIENTS: https://www.facs.org/media/exob3dwk/acute_pain_guidelines.pdf Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen