Podcast appearances and mentions of thomas lamont

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Best podcasts about thomas lamont

Latest podcast episodes about thomas lamont

Red Pill Revolution
Tales of Tyranny: Conspiracy to Overthrow US Government, Blackrocks Dystopian Real Estate Grab & FBI Grilled in Senate

Red Pill Revolution

Play Episode Listen Later Dec 6, 2023 81:56


Welcome to another fascinating episode of Adam's Archive! I'm your host, Austin Adams, and today we're diving deep into some of the most compelling and lesser-known stories of political intrigue and historical conspiracies.

united states america ceo american time community english europe donald trump power china los angeles washington france moving discover mexico energy americans new york times germany war joe biden ukraine government loss german russian japanese spanish elon musk local western united kingdom black lives matter barack obama hawaii tales congress veterans afghanistan white house george floyd fbi conspiracies mexican real estate llc vietnam military families black friday wall street republicans chatgpt britain capital ceos hair corporate atlantic mothers resistance videos medium ugly reddit operations civil war senate proof adolf hitler cia bush joe rogan adams marine fox news capitol austria israelis constitution ukrainian john f kennedy senators rebellions butler politicians north korea plot ashes creatures commissioners kindle algorithms threads medicare signing substack legion rumble policies pulitzer prize abraham lincoln riots archive business insider federal reserve derek chauvin marine corps uruguay gulf great depression homeland security social security vietnamese austrian tyranny hunter biden medicaid jp morgan backed libertarians blackrock medal new york post antifa chancellor edward snowden tens seize pearl harbor gpt roosevelt franklin delano roosevelt us government general motors kim jong un new deal homeowners vanguard north korean dub hoover great recession foreign affairs grant cardone dupont robert kiyosaki zimmerman ponzi benito mussolini jp morgan chase proud boys install homebuyers mcguire blackstone dystopian rothschild u s kim jong japanese americans eu n east asian pew grilled woodrow wilson sun belt metlife molotov united states congress wray inspector general john kennedy racket national conference mike lee klaus schwab pyongyang informants portions lyndon johnson f2 american legion edgar hoover overthrow pret lex fridman internal revenue service john w fourth amendment burisma western european tonkin endlessly habeas corpus prosecutions federal reserve system fifth circuit jekyll island spivak christopher wray legionnaires gpc smedley butler gbt chris wray congressional committee fbi director chris wray mexican mafia habeas general foods birdeye tim weiner blackrocks bonus army prescott bush lewis howe john w davis bill doyle american liberty league thomas lamont
Rio Bravo qWeek
Episode 64 - H. pylori

Rio Bravo qWeek

Play Episode Listen Later Sep 3, 2021 20:56


Episode 64: H. pylori. Dr Lorenzo explains testing, diagnosis, and treatments for H. pylori, a bacterium that can cause peptic ulcer disease and other complications.By Anabell Lorenzo, MD, and Hector Arreaza, MD.   This is Rio Bravo qWeek, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California. Our program is affiliated with UCLA, and it's sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. Today we are going to discuss a topic that may be very basic for many of our listeners, but it is important to check our knowledge foundation to keep building on it. Helicobacter pylori was discovered in 1982 by Barry Marshall and Robin Warren from Australia. They received the Nobel prize in 2005 for their discovery of “the bacterium Helicobacter pylori and its role in gastritis and peptic ulcer disease”. 1. What is H. pylori?It's a gram-negative bacteria found in the stomach causing infection and GI symptoms such as dyspepsia. It is a chronic infection and it's usually acquired in childhood. Incidence and prevalence of H. pylori infection are generally higher in people born outside of North America than among people born here. About 50% of humans are infected by H. pylori in the world. The infection can be life-long and cause no symptoms. The infection can cause peptic ulcers too. 2. When do you test for H. pylori and treat it?Test these patients for H. pylori: -All patients with active peptic ulcer disease (PUD).-Patients with history of PUD (unless previous cure of H. pylori infection has been documented).-Patients diagnosed with low-grade gastric mucosa-associated lymphoid tissue (MALT) lymphoma.-Patients with a history of endoscopic resection of early gastric cancer (EGC).In a few words, test patients with PUD and stomach malignancies.  Controversial indications include:- Consider non-endoscopic test (stool or breath) in patients with unexplained dyspepsia who are younger than 60 years old without red flags.- Patients with typical symptoms of gastroesophageal reflux disease (GERD) who do not have a history of PUD do not need to be tested for H. pylori infection. However, for those who are tested and found to be infected, treatment should be offered, but to the patient that the effects of treatment of H. pylori on GERD symptoms are unpredictable. This means that eradication of H. pylori may or may not affect GERD symptoms. -Patients taking long-term, low-dose aspirin (to reduce the risk of ulcer bleeding)-Prior to initiation of chronic treatment with NSAIDs-Patients with unexplained iron deficiency anemia despite an appropriate evaluation  3. What are the testing options for H. pylori?-In patients is having an EGD, they can be tested with gastric biopsy histology and biopsy urease (best options). Endoscopy biopsy is the best diagnostic test for H. pylori. -In patients who do not require EGD, NONINVASIVE TESTING like STOOL ANTIGEN ASSAY and UREA BREATH TEST are a great option-Before performing the test, it is important to stop PPIs (proton pump inhibitors) for 2-4 weeks and Bismuth/antibiotics use within 4 weeks to avoid false negative results.  4. What ar ethe recommended first-line treatments for H. pylori?Triple therapy: Clarithromycin triple therapy is the recommended option. This treatment includes PPI, clarithromycin, and amoxicillin OR metronidazole for 14 days. This is the recommended in areas where clarithromycin resistance is less than 15%, and in patients with no exposure to macrolides. The two antibiotics and PPI twice a day are given for 2 weeks, and the PPI is continued once daily for one month. PPI may be omeprazole, pantoprazole, or others. Quadruple therapy: Bismuth quadruple therapy consisting of a PPI, bismuth, tetracycline, and a nitro imidazole for 10–14 days is another treatment option. Bismuth quadruple therapy is particularly attractive in patients with any previous macrolide exposure or who are allergic to penicillin. 5. Should we test for H. pylori eradication?Confirmation of eradication should be performed in all patients treated for H. pylori because of increasing antibiotic resistance. There is not a lot of information about antibiotic resistance in the US. The test should be done 4 weeks after completing treatment. 6. What is refractory H. pylori infection? Refractory H. pylori infection is defined by a persistent positive H. pylori test (no serologic), at least 4 weeks after 1 or more full course(s) of a recommended first-line therapy, and when the patient has been off any medications, such as proton-pump inhibitors (PPIs), that may impact the test sensitivity. Refractory H. pylori infection should be differentiated from recurrent infection. A recurrent infection happens when a no serologic test was negative after treatment, then becomes positive again. 7. What tests can be done to evaluate H. pylori antibiotic resistance?We can test for resistance with culture or molecular testing, but these tests are currently not widely available in US. 8. What are the option for salvage therapy after failure of treatment? In patients with persistent H. pylori infection, try to avoid antibiotics that have been previously taken by the patient. Bismuth quadruple therapy or levofloxacin salvage regimens are the preferred treatment options if a patient received a first-line treatment containing clarithromycin.  Regimens that contain clarithromycin or levofloxacin are the preferred treatment options if a patient received bismuth quadruple therapy.  Rifabutin triple regimen consisting of a PPI, amoxicillin, and rifabutin for 10 days is a suggested salvage regimen. Conclusion:H. pylori is an infection that can be asymptomatic, but it needs to be eradicated if symptoms are present. Detection of H. pylori is fairly easy, but we may need to perform an EGD if patient has red flags. Antibiotics and PPIs are the first line of treatment. Test of cure is recommended for all patients. ____________________________Now we conclude our episode number 64 “H. pylori.” Dr Lorenzo explained when and how to test patients for H. pylori. She explained that patients with GERD symptoms to not need to be tested for H. pylori, but if they are tested and have positive results, then we should eradicate H. pylori. Remember to stop PPIs 2-4 weeks before non-endoscopic tests for H. pylori. Even without trying, every night you go to bed being a little wiser.Thanks for listening to Rio Bravo qWeek. If you have any feedback about this podcast, contact us by email RBresidency@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. This podcast was created with educational purposes only. Visit your primary care physician for additional medical advice. This week we thank Hector Arreaza and Anabell Lorenzo. Audio edition: Suraj Amrutia. See you next week! _____________________References:William D. Chey, Grigorios I. Leontiadis, Colin W. Howden, and Steven F. Moss. ACG Clinical Guideline: Treatment of Helicobacter pylori Infection. Am J Gastroenterol 2017; 112:212–238. https://pubmed.ncbi.nlm.nih.gov/28071659/ Shailja C. Shah, Prasad G. Iyer, and Steven F. Moss. AGA Clinical Practice Update on the Management of Refractory Helicobacter pylori Infection: Expert Review. Gastroenterology 2021;160:1831–1841. https://pubmed.ncbi.nlm.nih.gov/33524402/ J. Thomas Lamont. Treatment regimens for Helicobacter pylori in adults. Up to date, last updated on May, 20, 2021. https://www.uptodate.com/contents/treatment-regimens-for-helicobacter-pylori-in-adults?search=h%20pylori%20treatment&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1. 

Cochrane Library: Podcasts (Hrvatski)
Redovito čišćenje i poliranje zuba za očuvanje parodontnoga zdravlja u odraslih

Cochrane Library: Podcasts (Hrvatski)

Play Episode Listen Later Jan 15, 2021 4:20


Mnogo odraslih u visokorazvijenim zemljama će prilikom posjeta stomatologu obaviti "čišćenje i poliranje" zuba, a nekima će ono biti preporučeno redovito. No, je li to potrebno? Najnoviji dokazi nalaze se u trećem izdanju Cochraneovog sustavnoga pregleda, objavljenoga u prosincu 2018. godine. Rezultate istraživanja predstavio je vodeći autor, Thomas Lamont, sa Sveučilišta u Dundeeju u Škotskoj. Razgovor s autorom prevela je i pročitati će suvoditeljica Hrvatskog Cochranea, dr. sc. Tina Poklepović Peričić s Medicinskog fakulteta u Splitu.

Cochrane Library: Podcasts (Hrvatski)
Redovito čišćenje i poliranje zuba za očuvanje parodontnoga zdravlja u odraslih

Cochrane Library: Podcasts (Hrvatski)

Play Episode Listen Later Jan 15, 2021 4:20


Mnogo odraslih u visokorazvijenim zemljama će prilikom posjeta stomatologu obaviti "čišćenje i poliranje" zuba, a nekima će ono biti preporučeno redovito. No, je li to potrebno? Najnoviji dokazi nalaze se u trećem izdanju Cochraneovog sustavnoga pregleda, objavljenoga u prosincu 2018. godine. Rezultate istraživanja predstavio je vodeći autor, Thomas Lamont, sa Sveučilišta u Dundeeju u Škotskoj. Razgovor s autorom prevela je i pročitati će suvoditeljica Hrvatskog Cochranea, dr. sc. Tina Poklepović Peričić s Medicinskog fakulteta u Splitu.

Leading Insights
James Timpson

Leading Insights

Play Episode Listen Later Nov 19, 2020 22:46


Thomas Lamont meets James Timpson to discuss the importance of kindness, language and autonomy in the success story of Timpsons. James shares his views on building up a diverse team of colleagues and why he believes delegating autonomy leads to innovative, successful services led by happy and motivated teams. Listen in to hear how he has achieved this in his own company over the last 20 years.

Leading Insights
Angiolina Foster CBE

Leading Insights

Play Episode Listen Later Mar 18, 2020 42:06


In this episode Angiolina Foster, Chief Executive of NHS 24 gives her perspective on career progression, the role of a Chief Executive and resilience to Dr Thomas Lamont, Specialty Registrar in Restorative Dentistry and former Scottish Clinical Leadership Fellow with Scottish Government.

Cochrane Library: Podcasts (Español)
Raspaje y pulido sistemático para la salud periodontal en adultos

Cochrane Library: Podcasts (Español)

Play Episode Listen Later Jul 10, 2019 3:53


Muchos adultos en países de ingresos altos han tenido una "raspaje y pulido" cuando han ido al dentista, y a algunos se les habrá ofrecido este procedimiento de forma sistemática. Pero, ¿vale la pena? La evidencia más reciente se encuentra en la tercera actualización de la Revisión Cochrane, publicada en diciembre de 2018 cuyo autor principal es Thomas Lamont, de la Universidad de Dundee en Escocia. Este podcast ha sido traducido por Elisenda Parellada y grabado por Victoria Leo, del Centro Cochrane Iberoamericano.

Cochrane Library: Podcasts (Español)
Raspaje y pulido sistemático para la salud periodontal en adultos

Cochrane Library: Podcasts (Español)

Play Episode Listen Later Jul 10, 2019 3:53


Muchos adultos en países de ingresos altos han tenido una "raspaje y pulido" cuando han ido al dentista, y a algunos se les habrá ofrecido este procedimiento de forma sistemática. Pero, ¿vale la pena? La evidencia más reciente se encuentra en la tercera actualización de la Revisión Cochrane, publicada en diciembre de 2018 cuyo autor principal es Thomas Lamont, de la Universidad de Dundee en Escocia. Este podcast ha sido traducido por Elisenda Parellada y grabado por Victoria Leo, del Centro Cochrane Iberoamericano.

Cochrane Library: Podcasts (Español)
Raspaje y pulido sistemático para la salud periodontal en adultos

Cochrane Library: Podcasts (Español)

Play Episode Listen Later Jul 10, 2019 3:53


Muchos adultos en países de ingresos altos han tenido una "raspaje y pulido" cuando han ido al dentista, y a algunos se les habrá ofrecido este procedimiento de forma sistemática. Pero, ¿vale la pena? La evidencia más reciente se encuentra en la tercera actualización de la Revisión Cochrane, publicada en diciembre de 2018 cuyo autor principal es Thomas Lamont, de la Universidad de Dundee en Escocia. Este podcast ha sido traducido por Elisenda Parellada y grabado por Victoria Leo, del Centro Cochrane Iberoamericano.

Podcasts from the Cochrane Library
Routine scale and polish for periodontal health in adults

Podcasts from the Cochrane Library

Play Episode Listen Later Mar 15, 2019 4:06


Many adults in high-income countries will have had a ‘scale and polish’ when they go to the dentist, and some will be offered this routinely. But, is it worthwhile? The latest evidence is in the third update of the Cochrane Review, published in December 2018 and lead author, Thomas Lamont from the University of Dundee in Scotland tells us more.

Podcasts from the Cochrane Library
Routine scale and polish for periodontal health in adults

Podcasts from the Cochrane Library

Play Episode Listen Later Mar 15, 2019 4:06


Many adults in high-income countries will have had a ‘scale and polish’ when they go to the dentist, and some will be offered this routinely. But, is it worthwhile? The latest evidence is in the third update of the Cochrane Review, published in December 2018 and lead author, Thomas Lamont from the University of Dundee in Scotland tells us more.

Podcasts from the Cochrane Library
Routine scale and polish for periodontal health in adults

Podcasts from the Cochrane Library

Play Episode Listen Later Mar 15, 2019 4:06


Many adults in high-income countries will have had a ‘scale and polish’ when they go to the dentist, and some will be offered this routinely. But, is it worthwhile? The latest evidence is in the third update of the Cochrane Review, published in December 2018 and lead author, Thomas Lamont from the University of Dundee in Scotland tells us more.