Podcasts about tpn

Stanley and Czar talks to Doc Vico Ubaldo with Eloah Valenciano of Imagine Law to share about his experience working as a doctor and transitioning to becoming a lawyer.Subscribe to Underpaid, join our Discord, and FB Group, and get a Payoneer account.Team Suplado Discord grouphttps://discord.gg/WjhgJSRfANUnderpaid podcast FB grouphttps://www.facebook.com/groups/1330205921240849/Underpaid x Payoneer affiliate linkhttp://tracking.payoneer.com/SH4UR For the video podcast subscribe to TPN's YT channel:www.youtube.com/ThePodNetworkEntertainmentEnjoy a good game of BingoPlus! Licensed by Pagcor. Get it at Google Play and Apple Store or visit www.bingoplus.com (http://www.bingoplus.com/) PS - keep it legal! Gaming is for 21-year-olds and older only. Game responsibly!

In this episode, Stanley and Czar invites Doc Vico Ubaldo and Eloah Valenciano of Imagine Law to talk about NGO work.Subscribe to Underpaid, join our Discord, and FB Group, and get a Payoneer account.Team Suplado Discord grouphttps://discord.gg/WjhgJSRfANUnderpaid podcast FB grouphttps://www.facebook.com/groups/1330205921240849/Underpaid x Payoneer affiliate linkhttp://tracking.payoneer.com/SH4UR For the video podcast subscribe to TPN's YT channel:www.youtube.com/ThePodNetworkEntertainment

From Turning Points Network, Kerry Rochford Hague is here with guest Stefan Chubb from Greensource Fabrication.  Greensource and Whelen are the honorary chairs of this year's Steppin' Up 5K event, held on May 3rd.  We talk about TPN, domestic violence, warning signs, how to get involved with the 5K, getting a team together and lots more.   

In this episode, Adam provides a debrief of TPNx 2025 and announces exciting plans for TPNx 2026. He shares insights into the aviation industry, highlighting American Airlines CJOs and unique opportunities attendees had at TPNx. The discussion includes the exclusivity of tickets, volunteer opportunities, and tips for maintaining proper conference etiquette. Adam offers advice on vendor conduct and effective networking strategies. He also shares a personal update about his upcoming work absence and previews upcoming TPN events, emphasizing the network's robust online presence. The episode concludes with closing remarks and a look ahead.

Part 2 with Gabriel GoStanley and Czar talks about the lighter side of the MMDA's Gabriel Go.Subscribe to Underpaid, join our Discord, and FB Group, and get a Payoneer account.Team Suplado Discord grouphttps://discord.gg/WjhgJSRfANUnderpaid podcast FB grouphttps://www.facebook.com/groups/1330205921240849/Underpaid x Payoneer affiliate linkhttp://tracking.payoneer.com/SH4UR For the video podcast subscribe to TPN's YT channel:www.youtube.com/ThePodNetworkEntertainmentEnjoy a good game of BingoPlus! Licensed by Pagcor. Get it at Google Play and Apple Store or visit www.bingoplus.com (http://www.bingoplus.com/) PS - keep it legal! Gaming is for 21-year-olds and older only. Game responsibly!

Stanley and Czar invites Gabriel Go to talk about his work in the MMDA.Subscribe to Underpaid, join our Discord, and FB Group, and get a Payoneer account.Team Suplado Discord grouphttps://discord.gg/WjhgJSRfANUnderpaid podcast FB grouphttps://www.facebook.com/groups/1330205921240849/Underpaid x Payoneer affiliate linkhttp://tracking.payoneer.com/SH4UR For the video podcast subscribe to TPN's YT channel:www.youtube.com/ThePodNetworkEntertainment

Stanley talks to VMX actress Vern Kaye and her manager Nielzen Muyco about their work in Vivamax.Subscribe to Underpaid, join our Discord, and FB Group, and get a Payoneer account.Team Suplado Discord grouphttps://discord.gg/WjhgJSRfANUnderpaid podcast FB grouphttps://www.facebook.com/groups/1330205921240849/Underpaid x Payoneer affiliate linkhttp://tracking.payoneer.com/SH4UR For the video podcast subscribe to TPN's YT channel:www.youtube.com/ThePodNetworkEntertainment Enjoy a good game of BingoPlus! Licensed by Pagcor. Get it at Google Play and Apple Store or visit www.bingoplus.com (http://www.bingoplus.com/) PS - keep it legal! Gaming is for 21-year-olds and older only. Game responsibly!

Join us as we welcome Shaylee Raye Hunter, Miss Petite Utah, who shares her journey as an advocate for women's rights and disability visibility. Shaylee opens up about her personal lived experiences with chronic intestinal pseudo-obstruction (CIPO), gastroparesis, and short bowel syndrome. In an open discussion, she shares how she manages her health conditions with medical interventions, such as a feeding tube and TPN, providing a unique glimpse into her life and the lifeline she depends on daily to receive the nutrients essential to life.We learn about the challenges Shaylee faced at school due to the assumptions made by other students about her health, as well as the subsequent difficulties she encountered in dating and the workplace.Shaylee is passionate about advocating for disability visibility through her pageant platform.If you're interested in any topics and advice discussed in this podcast, please follow up with your GP or healthcare practitioner.If you are experiencing any issues discussed in this podcast, please get in touch with your healthcare practitioner.Hosted by Chantal Boyle and Lynn Smith, Hidden Disabilities Sunflower. If you enjoyed this podcast, please rate, review and share it to increase awareness and understanding of non-visible disabilities.Find out more about the Sunflower by visiting the website hdsunflower.comMusic by "The Emerald Ruby" Emerald Ruby Bandcamp and Emerald Ruby website

Send us a textIn this week's Journal Club, Ben and Daphna dissect six critical studies reshaping our understanding of neonatal care. Kicking off with the Canadian Neonatal Network's multicenter cohort on inhaled nitric oxide (iNO), they explore how early pulmonary hypertension responsiveness to iNO may predict survival in preterm infants. They then examine a poignant study on maternal decision regret following extremely preterm births, revealing elevated regret across all pathways—comfort, active care, or otherwise—underscoring the emotional complexity of shared decision-making. The duo dives into data from the NICHD Neonatal Research Network on how even a single dose of antenatal steroids improves outcomes incrementally by the hour, strengthening the case for early administration. Ben highlights an AI-driven TPN algorithm that may outperform clinicians in individualized nutrition planning, while Daphna introduces an unexpected intervention—xylitol chewing gum—to reduce preterm birth in low-resource settings. Rounding out the discussion is a provocative look at intermittent hypoxemia as a predictor of systemic hypertension and the landmark NICHD trial on therapeutic hypothermia for infants 33–35 weeks GA. With a striking 87% probability of harm, this trial challenges the current drift toward “cooling creep.” Essential listening for any neonatologist seeking evidence-based clarity in an ever-evolving field. As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

For today's topic, we will be discussing the process of Admitting a Total Parenteral Nutrition (TPN) patient to your facility. We will review what TPN is, when it is typically chosen as a nutritional option for residents, and considerations for needed admission documentation, storage considerations, and general tips for caring for your TPN residents.

Stanley invites VMX actress Vern Kaye to talk about her work as a sexy actress and her movie Elevator Lady.Subscribe to Underpaid, join our Discord, and FB Group, and get a Payoneer account.Team Suplado Discord grouphttps://discord.gg/WjhgJSRfANUnderpaid podcast FB grouphttps://www.facebook.com/groups/1330205921240849/Underpaid x Payoneer affiliate linkhttp://tracking.payoneer.com/SH4UR For the video podcast subscribe to TPN's YT channel:www.youtube.com/ThePodNetworkEntertainmentIf you're interested in collaborating with our podcast through brand partnerships, advertisements or other collabs, please send an email to our management: info@thepodnetwork.com

Stanley & Czar talks to Carljoe Javier about how AI will be able to help us work efficiently in the office.Subscribe to Underpaid, join our Discord, and FB Group, and get a Payoneer account.Team Suplado Discord grouphttps://discord.gg/WjhgJSRfANUnderpaid podcast FB grouphttps://www.facebook.com/groups/1330205921240849/Underpaid x Payoneer affiliate linkhttp://tracking.payoneer.com/SH4UR For the video podcast subscribe to TPN's YT channel:www.youtube.com/ThePodNetworkEntertainment Enjoy a good game of BingoPlus! Licensed by Pagcor. Get it at Google Play and Apple Store or visit www.bingoplus.com (http://www.bingoplus.com/) PS - keep it legal! Gaming is for 21-year-olds and older only. Game responsibly!

In this episode, Stanley & Czar invites Carljoe Javier to talk about using AI at work.Subscribe to Underpaid, join our Discord, and FB Group, and get a Payoneer account.Team Suplado Discord grouphttps://discord.gg/WjhgJSRfANUnderpaid podcast FB grouphttps://www.facebook.com/groups/1330205921240849/Underpaid x Payoneer affiliate linkhttp://tracking.payoneer.com/SH4UR For the video podcast subscribe to TPN's YT channel:www.youtube.com/ThePodNetworkEntertainment

Stanley and Czar shares tips on how to be the favorite employee of your boss-amo-manager at work.Subscribe to Underpaid, join our Discord, and FB Group, and get a Payoneer account.Team Suplado Discord grouphttps://discord.gg/WjhgJSRfANUnderpaid podcast FB grouphttps://www.facebook.com/groups/1330205921240849/Underpaid x Payoneer affiliate linkhttp://tracking.payoneer.com/SH4UR For the video podcast subscribe to TPN's YT channel:www.youtube.com/ThePodNetworkEntertainmentIf you're interested in collaborating with our podcast through brand partnerships, advertisements or other collabs, please send an email to our management: info@thepodnetwork.com

Stanley and Czar shares their kwentong OT (Overtime) sa opisina.Subscribe to Underpaid, join our Discord, and FB Group, and get a Payoneer account.Team Suplado Discord grouphttps://discord.gg/WjhgJSRfANUnderpaid podcast FB grouphttps://www.facebook.com/groups/1330205921240849/Underpaid x Payoneer affiliate linkhttp://tracking.payoneer.com/SH4URFor the video podcast subscribe to TPN's YT channel:www.youtube.com/ThePodNetworkEntertainment Hosted on Acast. See acast.com/privacy for more information.

The Underpaid team gives tips and signs when it's time to say goodbye to your current employer.Subscribe to Underpaid, join our Discord, and FB Group, and get a Payoneer account.Team Suplado Discord grouphttps://discord.gg/WjhgJSRfANUnderpaid podcast FB grouphttps://www.facebook.com/groups/1330205921240849/Underpaid x Payoneer affiliate linkhttp://tracking.payoneer.com/SH4URFor the video podcast subscribe to TPN's YT channel:www.youtube.com/ThePodNetworkEntertainment Enjoy a good game of BingoPlus! Licensed by Pagcor. Get it at Google Play and Apple Store or visit www.bingoplus.com (http://www.bingoplus.com/) PS - keep it legal! Gaming is for 21-year-olds and older only. Game responsibly! Hosted on Acast. See acast.com/privacy for more information.

Stanley and Czar gives advice on how to prepare for your inevitable resignation at work.Subscribe to Underpaid, join our Discord, and FB Group, and get a Payoneer account.Team Suplado Discord grouphttps://discord.gg/WjhgJSRfANUnderpaid podcast FB grouphttps://www.facebook.com/groups/1330205921240849/Underpaid x Payoneer affiliate linkhttp://tracking.payoneer.com/SH4URFor the video podcast subscribe to TPN's YT channel:www.youtube.com/ThePodNetworkEntertainment Hosted on Acast. See acast.com/privacy for more information.

Stanley talks to VMX manager Nielzen Muyco and VMX actress Apple Dy about the requirements on how to be a model and sexy actress.Subscribe to Underpaid, join our Discord, and FB Group, and get a Payoneer account.Team Suplado Discord grouphttps://discord.gg/WjhgJSRfANUnderpaid podcast FB grouphttps://www.facebook.com/groups/1330205921240849/Underpaid x Payoneer affiliate linkhttp://tracking.payoneer.com/SH4UR For the video podcast subscribe to TPN's YT channel:www.youtube.com/ThePodNetworkEntertainment Hosted on Acast. See acast.com/privacy for more information.

Stanley and Czar talks about unsolicited career advice from parents and their peers in another relatable episode of Underpaid.Subscribe to Underpaid, join our Discord, and FB Group, and get a Payoneer account.Team Suplado Discord grouphttps://discord.gg/WjhgJSRfANUnderpaid podcast FB grouphttps://www.facebook.com/groups/1330205921240849/Underpaid x Payoneer affiliate linkhttp://tracking.payoneer.com/SH4UR For the video podcast subscribe to TPN's YT channel:www.youtube.com/ThePodNetworkEntertainment Hosted on Acast. See acast.com/privacy for more information.

Underpaid's Stanley and Czar talks about the skills that you need to learn in order to survive in the corporate life.Subscribe to Underpaid, join our Discord, and FB Group, and get a Payoneer account.Team Suplado Discord grouphttps://discord.gg/WjhgJSRfANUnderpaid podcast FB grouphttps://www.facebook.com/groups/1330205921240849/Underpaid x Payoneer affiliate linkhttp://tracking.payoneer.com/SH4UR For the video podcast subscribe to TPN's YT channel:www.youtube.com/ThePodNetworkEntertainmentEnjoy a good game of BingoPlus! Licensed by Pagcor. Get it at Google Play and Apple Store or visit www.bingoplus.com (http://www.bingoplus.com/) PS - keep it legal! Gaming is for 21-year-olds and older only. Game responsibly! Hosted on Acast. See acast.com/privacy for more information.

Stanley invites VMX actress Apple Dy to talk about her work as a sexy actress and her upcoming mini-concert.Subscribe to Underpaid, join our Discord, and FB Group, and get a Payoneer account.Team Suplado Discord grouphttps://discord.gg/WjhgJSRfANUnderpaid podcast FB grouphttps://www.facebook.com/groups/1330205921240849/Underpaid x Payoneer affiliate linkhttp://tracking.payoneer.com/SH4UR For the video podcast subscribe to TPN's YT channel:www.youtube.com/ThePodNetworkEntertainment Hosted on Acast. See acast.com/privacy for more information.

Part 2 of the Office Feng Shui episode with Johnson Chua of Feng Shui Sunrise as he gives advice on how to get promoted at work this 2025.Subscribe to Underpaid, join our Discord, and FB Group, and get a Payoneer account.Team Suplado Discord grouphttps://discord.gg/WjhgJSRfANUnderpaid podcast FB grouphttps://www.facebook.com/groups/1330205921240849/Underpaid x Payoneer affiliate linkhttp://tracking.payoneer.com/SH4URFor the video podcast subscribe to TPN's YT channel:www.youtube.com/ThePodNetworkEntertainment Hosted on Acast. See acast.com/privacy for more information.

Stanley and Czar invites Johnson Chua of Feng Shui Sunrise to talk about the different chinese zodiac signs this 2025.Subscribe to Underpaid, join our Discord, and FB Group, and get a Payoneer account.Team Suplado Discord grouphttps://discord.gg/WjhgJSRfANUnderpaid podcast FB grouphttps://www.facebook.com/groups/1330205921240849/Underpaid x Payoneer affiliate linkhttp://tracking.payoneer.com/SH4URFor the video podcast subscribe to TPN's YT channel:www.youtube.com/ThePodNetworkEntertainment Hosted on Acast. See acast.com/privacy for more information.

Underpaid's Stanley and Czar talks about having a plan b or back up plan in your career.Subscribe to Underpaid, join our Discord, and FB Group, and get a Payoneer account.Team Suplado Discord grouphttps://discord.gg/WjhgJSRfANUnderpaid podcast FB grouphttps://www.facebook.com/groups/1330205921240849/Underpaid x Payoneer affiliate linkhttp://tracking.payoneer.com/SH4UR For the video podcast subscribe to TPN's YT channel:www.youtube.com/ThePodNetworkEntertainmentEnjoy a good game of BingoPlus! Licensed by Pagcor. Get it at Google Play and Apple Store or visit www.bingoplus.com (http://www.bingoplus.com/) PS - keep it legal! Gaming is for 21-year-olds and older only. Game responsibly! Hosted on Acast. See acast.com/privacy for more information.

It's the 5th year anniversary episode of Underpaid, Stanley & Czar looks back and shares stories from the early days of the podcast.Subscribe to Underpaid, join our Discord, and FB Group, and get a Payoneer account.Team Suplado Discord grouphttps://discord.gg/WjhgJSRfANUnderpaid podcast FB grouphttps://www.facebook.com/groups/1330205921240849/Underpaid x Payoneer affiliate linkhttp://tracking.payoneer.com/SH4UR For the video podcast subscribe to TPN's YT channel:www.youtube.com/ThePodNetworkEntertainment Hosted on Acast. See acast.com/privacy for more information.

Stanley & Czar talks about the topic of sweldo drama, ano ang gagawin mo kung nalaman mo ang sweldo ng kaopisina mo?Subscribe to Underpaid, join our Discord, and FB Group, and get a Payoneer account.Team Suplado Discord grouphttps://discord.gg/WjhgJSRfANUnderpaid podcast FB grouphttps://www.facebook.com/groups/1330205921240849/Underpaid x Payoneer affiliate linkhttp://tracking.payoneer.com/SH4URFor the video podcast subscribe to TPN's YT channel:www.youtube.com/ThePodNetworkEntertainment Hosted on Acast. See acast.com/privacy for more information.

Underpaid's Stanley and Czar discuss when you're being emotionally manipulated at work.Subscribe to Underpaid, join our Discord, and FB Group, and get a Payoneer account.Team Suplado Discord grouphttps://discord.gg/WjhgJSRfANUnderpaid podcast FB grouphttps://www.facebook.com/groups/1330205921240849/Underpaid x Payoneer affiliate linkhttp://tracking.payoneer.com/SH4URFor the video podcast subscribe to TPN's YT channel:www.youtube.com/ThePodNetworkEntertainment Hosted on Acast. See acast.com/privacy for more information.

Stanley & Czar talks about dry promotion in this episode of the Underpaid podcast.Subscribe to Underpaid, join our Discord, and FB Group, and get a Payoneer account.Team Suplado Discord grouphttps://discord.gg/WjhgJSRfANUnderpaid podcast FB grouphttps://www.facebook.com/groups/1330205921240849/Underpaid x Payoneer affiliate linkhttp://tracking.payoneer.com/SH4URFor the video podcast subscribe to TPN's YT channel:www.youtube.com/ThePodNetworkEntertainmentEnjoy a good game of BingoPlus! Licensed by Pagcor. Get it at Google Play and Apple Store or visit www.bingoplus.com (http://www.bingoplus.com/) PS - keep it legal! Gaming is for 21-year-olds and older only. Game responsibly! Hosted on Acast. See acast.com/privacy for more information.

By Walt HickeyWelcome to the Numlock Sunday edition.This week, I spoke to Olivia Walch, author of the brand-new book Sleep Groove: Why Your Body's Clock Is So Messed Up and What To Do About It.Olivia's a good friend of mine and I've been hearing about her research and her work for years, and now she's finally got a whole book diving into why ideal sleep is more than just the eight hours number we hear so much about. It's a delightful book with all sorts of cool insights that can have major impacts on your life and health. We spoke about the human body's numerous circadian rhythms, why sleep regularity is more important than sleep duration, and why permanent daylight saving time is a bad idea. Walch can be found at oliviawalch.com and the book can be found wherever books are sold.This interview has been condensed and edited. Olivia, thank you so much for coming on.I'm so delighted to be here.You are the author of the brand-new book Sleep Groove: Why Your Body's Clock Is So Messed Up and What To Do About It. It's a really, really fun book. It covers a lot of the science behind sleep and actually has some pretty surprising stuff in there for folks who are interested in their own sleep health.You have a really interesting story about how you even fell into being interested in the science behind sleep. You did a sleep study at some point in grad school that changed your life, it sounds like.Well, you knew me before then. We were in college together.Each diabolically bad at sleeping.I would give each of us a failing grade — you maybe a lower grade than me. I was bad, but you were exploring new horizons of bad, like with polyphasic sleep.I tried it once. It was such a bad idea.Maybe a D, D-minus. I knew when I went to grad school something had to change. I was not sleeping; I was not making new memories; I was getting sick. I got MRSA in college and I wonder all the time, was it because my immune system was like a frail Cheeto trying to hold the door closed to the germs? But at the time, I thought at college, you have to do everything. You have to be in every club and miss no opportunity for an experience. And I now remember no experiences from that time period.In grad school, I decided I was going to sleep more. I did, but I didn't actually notice that huge of a difference with fewer things filling my schedule, even though I was sleeping more. It was better, but it wasn't that much better. It took a sleep study in which I had to keep a really regular bedtime and researchers were spying on me. They would know if I didn't, because I was wearing a device, ye olde Jawbone, which is not even a thing anymore. For months, I went to bed at 11:30 every single night.The changes were so profound. I didn't just instantly fall asleep at 11:30, though that did happen. I got faster, I lost weight, skin conditions cleared up. In every dimension, my life was better. And the thing that had shifted was not really sleep duration, but sleep regularity.You get at this idea early in the book. There's this very common number that everybody associates with the right thing to do about sleep, which is that you should sleep for eight hours. The book goes the next level deeper, looks at some of the other dimensions of sleep, and it turns out that eight hours is good, that's a good thought to keep in your mind, but it's really the rhythm. What is the conceit here? Why are rhythms important when it comes to this stuff?Our understanding of sleep health is so fixated on duration that there's a creepypasta on Reddit that goes, "Oh, these Russians were kept awake and they went crazy." The creepypasta has always been funny to me because it's like, "Yeah, and after five days of no sleep, they started eating their own organs." (Spoilers for the Russian sleep experiment creepypasta.) Yet we've kept lots of people up for five days and they don't start eating their organs. We have this conception in our minds that losing sleep duration is going to be really bad. It's not good, but it also doesn't make you self-cannibalize after five days of no sleep.That definition of sleep health is woefully inadequate. The movement in the sleep field is higher dimensional. There are more things that matter to sleep health. There's this big, long list of things. People say you should think about how many times you wake up in the middle of the night, and you should think about how alert you feel during the day.All of those are great, but they're not memorable. People don't keep two things in their head, let alone five. I'm trying to get people to keep two, which is duration and regularity, as the latitude and longitude of sleep health. You don't say Madrid and New York are close together just because they have the same latitude; longitude also matters. You shouldn't say somebody who sleeps eight hours a night is healthy if they have horrible regularity. That's a case where they are probably pretty far from health, just like New York and Madrid are pretty far from each other.A lot of this comes down to circadian rhythms. What are they in your view? What kind of bodily processes are governed by them?The whole shebang. The problem with circadian rhythms is that their UI is terrible. People talk about the circadian rhythm, but that's not really right because circadian rhythms are plural. Sleep is under the subhead of circadian rhythms, but so is everything else in your body: when you're strongest, when you metabolize food, when your immune system peaks, when you repair DNA. There's this real problem. I think that because circadian rhythms are kind of everything, people just say, "You know, the rhythms." This leads to everyone who doesn't study this all day, every day, walking around having no idea what they are and just thinking it's probably the same thing as sleep.Your body has an internal clock, and it schedules things according to when it thinks you need to do more or less of them. That clock is set by your light exposure, and in modern life, we get light whenever we want it, which is not particularly traditional or natural.Circadian rhythms developed as a process because we live on Earth, right? We know there's a certain amount of daylight and when certain things should happen, and we evolved specifically to have a circadian rhythm.Yes. The circadian rhythm is so tuned to Earth that if you put us on a planet with 28-hour days, we probably wouldn't be able to adjust. We would basically continue to have close to a 24-hour period in our rhythms that would continue, even though the sun on this planet would be up and down at different times. It's baked into us, and it's the case that there's just stuff in your body at some times that isn't there at other times. The hormone melatonin, for example. If I made you spit into a tube right now, you would not have melatonin in your spit.We're speaking in the middle of the afternoon. It's very, very bright outside.No melatonin. But 10 hours from now? Different story. The thing to imagine is just a bunch of switches in your body getting flipped on and off depending on the time of day, which has massive implications for health, drug efficacy, how you feel, and people have lost their connection to that. Number one, we can have light whenever we want it, so our rhythms are squished relative to where they otherwise would be. But number two, I think we don't have a great way of talking about rhythmic health, which my book tries to address. I'm sure there's much better I can do and other people can do in the future, but this is my first stab at it.You get at this inflection point where so much of these functions are the result of, if not tens of thousands, then millions of years of evolutionary processes really locking us into a day/night process. Then you have the emergence of electricity, and a lot of your book reflects on how that's actually changed the way our bodies work, in ways we wouldn't ordinarily expect. What are some of those ways?I would say signs of rhythms having different effects on your body in the winter versus summer. Any study that reports on those, I'm always very cautious about, because I was involved in a study where we looked at Twitter patterns over the course of the year. We wanted to know if people tweeted differently at different times of the year in a way that reflected the sun and circadian rhythms, and we saw this pretty incredible trend where things seemed to really shift around the spring. Daylight saving time is happening then, the sun is changing, so you think, okay, maybe it's related to the sun.Then we dug a little more closely into the data and saw that the entire effect was just driven by people going on spring break. You would see that people tweeted later when they were on break because they were sleeping in. The fact that we have light available to us whenever we want it and we're not just sitting around in the dark at 6 p.m. in December with nothing to do means that we're in a sort of perpetual summer. We have light as late as we want, as long as we want, and that's stepping on these natural rhythms that would be emerging in the absence of that light.The title of the book is Sleep Groove, and sleep groove is actually a thing you talk about quite a bit in the book. It's getting locked into a really strong, robust, resilient rhythm, and there are lots of advantages to having that. What are some of the advantages that you have by having that rhythm, and what are some things that can go wrong if you don't?I would say you die sooner. This is a brand-new result, that sleep regularity predicts dying better than sleep duration, but it does. Again, this definition of sleep health being how long you sleep would say, okay, shoot for eight hours on average, it doesn't matter when, and you're good.But if you actually look to see what predicts whether you die, the people who have the worst sleep regularity are highly correlated with dying younger, and it keeps coming out. This is in the last 18 months that connections are coming out between sleep regularity and hypertension, diabetes, mood disorders. The data was all there, but people weren't really looking at sleep regularity. We also didn't have as textured tools for defining sleep regularity as we do now, so that's another reason why it's coming out. But things that can go wrong without sleep regularity are all those bad things I listed.I should say that those are all correlations. You could say, well, maybe stressed people die earlier, and they're also sleeping irregularly as a sign of their stress. Except we also have studies where you put people on weird light schedules and you can watch a melatonin rhythm that's really robust just go away. They go 24 hours without making melatonin, which is weird. You've basically flattened their rhythm altogether.The mental image I always have in my mind for modern life is that we've taken rhythms that would be really high and pronounced — like, hey, now's the time to fix your DNA so you don't get cancer. Let's fix all our DNA right now. It's really clear period for fixing DNA — and you've stepped on it. Now it's like, well, I don't know. I guess it's the time to fix DNA? Maybe I'll do a little bit of that.The science is emerging. I don't want to overstate it, but I think there's a strong theoretical case for why the quashing of circadian amplitude is tied to a lot of bad things. The good thing is that more melatonin means you sleep better, feel better — basically my life after doing that one study.What's a situation where you have a strong circadian amplitude? A lot of light during the day? How do you get there?You do the same exact thing every day. I should say, I'm going to speak from a theoretical perspective because a lot of the experiments haven't been run yet. It's my collaborators and me who are calling for amplitude to be the new thing we go after, because sleep regularity is just circadian amplitude wearing glasses and a mustache. They pick up the same thing.What the theory says will get you the maximum circadian amplitude is to have a super bright day and get tons of daylight during the day, and then have a really, really dark night, and copy and paste that over and over again. That's basically it. I'm always think I should add other things for people to do, but it boils down to that.One of the challenges why people haven't discovered this on their own is that that's actually really hard to do in practice. Light at night is super fun, and we also have to work, and often work is indoors where there's just not as much sunlight.It really does seem like a problem of modernity. We've always had a way to illuminate the night, for all intents and purposes, but there's a vast gulf of difference between a candle and an incandescent light bulb, and then there's an even bigger difference between an incandescent light bulb and a full room of fluorescent light. There's been this subtle shift that we didn't notice over time, but our bodies did.You're speaking my language. This is exactly it: the creeping of light into every aspect of our life. Also, because it literally doesn't have mass, it feels immaterial, right? What, the photons are going to get you?And I don't think they will on a short time span. You can absolutely have a bad night of sleep. You can absolutely have disrupted sleep. People cross time zones. But it does add up over a lifespan, which is why we see sleep regularity being a better predictor of mortality than sleep duration. If you're highly irregular over your whole life, all these rhythms that would otherwise have been high metabolism, high DNA repair, robust ability to sleep, become flat and crappy and you get an accumulation of risk.So, a lot of what we've talked about is that there are lots of negative things when you're out of that appropriately phased kind of sleep. There are actually some really good things about being very attuned to that, too. You write in the book about athletics, about medicine. What are some of the ways we can actually gain quite a bit through knowing about this?By having a better sense of what our circadian time is. Conflict of interest disclosure, I do have a startup that tries to do this, but we'll be able to time drugs so that they're maximally effective and as least toxic as they can be.People sometimes go, okay, timing drugs as in you take sleep medication before you go to sleep. Sure, okay. But what if there were a drug that sometimes made your tumor shrink and at other times made it grow faster? That's a paper that came out in the last year. People aren't thinking about this. They're thinking about a 10% variation over the course of the day. They're not thinking about how this person's glioblastoma treatment didn't work because they took dexamethasone at the wrong time, and they died months earlier.I think the simplicity of the idea has started to act as a reason for people to not do it. They think, well, if timing actually mattered, somebody would have figured it out already. I won't be the one who wastes a bunch of time rediscovering what everyone else has. My stance is that we're just beginning to scratch the surface of all the things that can be controlled by timing, and the magnitude of the effects we can see.Imagine the drug I mentioned that accelerated tumor growth sometimes and squished it at others is standard of care. Everybody gets it with this particular type of brain tumor that it was studied in. Imagine you're testing a new drug and oh, it seems to work in these patients but it doesn't work in these other patients. Must not be a very good drug, so it gets ditched. It could be that that entire efficacy difference was driven by when they were taking this standard-of-care drug that everybody takes according to the clock, according to their body's clock. If you could just control for that, you could get more drugs making it through clinical trials.You even made a point that there's a good shift happening between notes saying you should take this pill in the morning, you should take the pill at night, and changing that to say you should take this pill after waking up or take this pill before you go to sleep. It's getting better at adequately describing the bodily conditions you should take pharmaceuticals under.Right. If you're a shift worker, you could be waking up at 3 p.m., for instance, and morning could be the worst time for you. You should take it when you wake up. Then again, if you're a shift worker, your rhythms are so funky that — I might be biased here — you should be using Olivia's cool app to track your circadian rhythms and know when to take all these different things.But yes, circadian medicine is all about timing your pills before you go to bed or after you wake up. It's also this idea of introducing grooves where we've removed the groove. An example would be that you have a sick kid and you can't feed them, so you put them on total parenteral nutrition, or TPN. They're getting fed through an IV, and the standard for that is to either do it overnight or do it just continuously, 24 hours a day. But if you think about it, if our whole bodies are rhythmic and we expect some things at some times and not at other times, and you're feeding them constantly, that's like being in the light all the time, which we would consider to be torture. If you put somebody in constant light, they are miserable.These researchers just changed it so they gave TPN only during the day, when the kids are awake and their metabolism is up and running. They were able to leave the hospital on average four days earlier because they weren't being force fed like a foie gras goose overnight. So, it's not just sleep grooves: it's food grooves, it's activity grooves, it's mood grooves, it's all these things. Acknowledging that they're rhythmic will lead to people being healthier.The medical stuff can get a bit in the weeds, but I thought it was really informative when you talked about U.S. Olympians going to Japan. You reflected on when folks went to Japan and how they trained there. There's actually a lot of performance that was hypothetically not being unlocked because people weren't being attuned to their circadian peaks. Do you want to talk a little about that?I was reading what people who are Olympians posted on their Instagram, imagining that we were friends. I saw somebody in the weight lifting category be like, "Can't wait to go to Tokyo in two days to compete!" They were fully adjusted or entrained to U.S. time, and they were going to do this trip to Tokyo that was going to massively disrupt their circadian rhythms. Then they were going to compete shortly after landing.Probably the reason for that is because it's really expensive to go and leave your life for a long period of time, and weight lifting isn't the moneybags, the dollar sign, of Olympic sports. But that probably wasn't the best for optimizing performance, to wait until right before you're supposed to go on and then try and lift something really hugely heavy — though it could have been.The thing is, when you travel, you get tired and you undergo jet lag because your light exposure is changing, but you also have a circadian rhythm in performance where people tend to do best in the evening. Around 5 or 6 p.m., you're strong and fast and can run far and lift heavy things. If in Japan, you were supposed to compete at 10 a.m., maybe what you want to do is not adjust and be really careful about staying on your old time zone for the first day you're there, so that your body is at 6 p.m. during Japan's local time of 10 a.m.When it's most suited to compete.Exactly, to lift a big, heavy thing.Exciting. You wrote a little about how there are two big peaks for performance over the course of a given day. What are those?People tend to be alert in the morning, and then they have a second wave of alertness as the day winds down. The way we think about that is that there are two forces that combine to make you feel sleepy: There's how much hunger for sleep you've built up, and then there's your circadian clock basically shaping the gravity. How heavy is gravity for you right now?In the morning, after you get over this initial wave of grogginess, you have the first wave of alertness and that's because you don't have any hunger for sleep. Imagine you're biking, and you just started biking so you're feeling fresh, you're okay. You haven't accumulated feeling tired from biking. In the middle of the day, though, you have accumulated some fatigue. You've been doing stuff with your brain and the circadian clock is not saying it's a great time to be alert. People often get sleepy in the middle of the day, like you would be sleepy if you'd been biking for four hours.Then later in the day, the circadian clock comes in and says it's time for you to be awake. You need to get your act together before the sun goes down or you might die. That's like the road you're biking on sloping downward. It becomes easier. It doesn't take as much effort to stay awake; it doesn't take as much effort to pedal. Your circadian clock is like, great, be alert. Do stuff in the latter part of your day up until close to your habitual bedtime, when the road starts to swoop up again.Then you basically hit the wall of, it's 3 a.m. I want to die. Why am I staying up super late in the year 2009 next to my good friend Walter? What are we doing? You push through that and you get on the other side, and the road starts to slant down again.It was really cool to see, because this speaks to my experience of being sleep deprived and going over the swing set. It's really cool that circadian rhythm still holds, and that's why you get that second wind in the morning and sleep deprivation madness or whatever you want to call it. You do still see that swing hold even if you get more and more sleep weight accumulating.Exactly.I want to talk about some of the studies that you covered, because they're very, very interesting, but I also want to talk about some policy implications. Two things stuck out to me. One was the conversation about daylight saving time and potentially going either permanent DST or permanent standard time. The other one that was super interesting was basically how teenagers react to light and how we set school schedules. What are your insights on those two potential policy questions?Let's do DST first. This also has horrible UI. Nobody can figure out what they're saying when they talk about DST. So, standard time is brighter mornings, darker evenings. Standard time is what we're on in the winter when everyone's depressed and they're like, "It's 5 p.m. and it's dark. Stupid, stupid DST." That's actually standard time that's causing that. DST is darker mornings, lighter at night. DST is what we're on in the summer when we have lots of light even at 9 p.m. It's really bright at night.The thing most circadian scientists are going to tell you is that permanent standard time is best, then the current system where we switch, and then the last and least preferable is permanent DST. You might think, okay, but why isn't it just better to not switch? There's this penalty of everyone jet lagging themselves when we wake up an hour earlier or have to stay up an hour later when we do these transitions in the spring and the fall. The reason is because having the light late into the day in the summer, and especially having light in the afternoons and evenings in the winter and really, really dark mornings in the winter, is worse than the jet lag from transitioning. If we did permanent DST, where we have really dark mornings in the winter, it wouldn't just be a couple days of us all feeling jet lagged. It would be this chronic buildup of a messed up groove.One of the reasons why it's hard for people to concisely say why permanent DST is bad is because it's about rhythmic health. It's been argued, hey, if you want to maximize the amount of hours that we have really bright light during the daytime periods where people are normally awake, DST is really good for that, because you have light until super late. Think about the summer.But do we want to maximize that?Exactly, because imagine the case that I alluded to when we were talking about the meal timing thing. If you're in bright light 20 hours a day like people are up in the Arctic, you have bad sleep. It's not because you don't know about blackout curtains; it's because you're not able to adjust to a rhythm that's all bright light, little bit of darkness. What permanent DST does is basically, in the wintertime, it forces a bunch of people to wake up in darkness, or dim light. They then stay in the dark for a really long time, and they get their bright light weighted way on the latter half of their day.I'm going to go into a long analogy, but I promise I'll bring it back down. Imagine a sidewalk with alternating yellow and black squares, and I give you a yellow shoe and a black shoe. I say, yellow shoe steps on the yellow square, black shoe steps on the black square. If it's well sized to your legs, you could just do that. You're like, awesome, this is great. But then I do something where I basically take the yellow squares and scoot them up into the black squares. Then I have this brownish, crappy blurring of light and dark: yellow, black, and the blur. If I go, "Okay, walk on this," what you have to do is take one big step with one foot and a little step with your other, and you have to repeat that over and over again.That's basically what DST is doing to you in the winter. If we were to go to that in the winter, you'd wake up in the darkness, but then you'd get light later in the day. It makes it so that your rhythms are thrown off. You wake up with a bunch of melatonin in your body. It's like everybody's popping melatonin pills first thing, if you were to do permanent DST.If you're sitting here thinking, "I'm not convinced by her arguments around stepping on yellow tiles with yellow shoes and black tiles with black shoes," the most compelling reason is the fact that we literally tried this. We tried DST in the winter. We didn't even make a year. Russia tried it in the last decade — they made it three years and they bailed. People have tried DST in the winter and we all think it sucks. Meanwhile, Arizona has been on standard time all year since the 1960s and they're going strong.They seem really thrilled with their situation in Arizona.They're pretty happy. So, moral of the story, the current system would be better than having super dark mornings in the winter, which is what permanent DST would be. But I don't really care that much because I'm so convinced that if we try this again, we'll be like Russia in 2014 and bail. We'll be like us in the '70s and bail. We just need to, as a generation, collectively experience it and realize, oh yeah, this is why DST sucks.The old knowledge has been lost. We must relearn it.We'll relearn it and we'll say, no, we're never going to make this mistake again. And then in 50 years, we'll make it again.People always want the optimization of, I want more sleep. I want eight hours of sleep. I want the most sleep I can possibly get, or I want the most light I can possibly get. It seems like that's a trap. I completely understand why people get into that position, because I like light and I like sleep, but just realistically, if you're seeing how much of this governs the rhythm of lots of different processes that are more sophisticated than just enjoying seeing bright things, it's a real shock to the system.Human brains are just not wired to think rhythmically. It's like if you're in a math class and you're learning about Fourier series, to go extremely niche, really fast. It's not intuitive. People are wired to think, "More of thing good," and we're just less wired to think, well, it's good at some times and bad at other times.Very briefly, then, should kids be going to school as early as they currently go to school?No. At the same time, we also shouldn't make it so late, because what would happen if we made it really late is kids would just stay up later. There are diminishing returns, but now you have kids who are waking up at 5:30. That's absolutely what it would feel like for me to wake up at 3:30. It's cruel to them. There's this idea that, oh, we'll do DST. We'll do permanent DST so we don't have to switch, and then we'll also make school times an hour later.You've basically just got us back to where we started. You've made it so that they're going to be functionally popping a melatonin pill in the morning, just based on how much more melatonin is in their body when they wake up, and then you're letting them sleep in another hour. You cannot make both of those changes and act like you've changed anything. You at best maintain the status quo. My personal vote is we should do permanent standard time or keep the current system and make it so that schools for kids start later.The book is full of really, really interesting studies. Some of them are fascinating, recent, breaking studies that, like you mentioned earlier, reveal incredible things about the link between these biorhythms as well as pharmaceuticals and things like that. Some of them, however, are from a more swashbuckling age of discovery, and you cover a lot of really interesting sleep studies from the earliest days of sleep research. Do you have any favorites?In the book it probably comes across that I am so enamored with these old sleep studies, in part because they really underscore this point that if our definition of sleep health is only duration, it's insufficient. There are a bunch of peer-reviewed papers that went, yeah, this guy said he didn't want to sleep anymore, so he just didn't sleep for a week and we watched him. Actually, that's maybe my favorite. There's this guy who comes into a lab and is like, humans don't need to sleep and I can prove it. And then he just doesn't.They went, whoa, let him cook?Yeah, he might be on to something. In the paper, they're like, we tried to stop him but he said he was going to do it anyway, so we gave him a typewriter to see how bad he got at typing. The answer is, he got so bad at typing so fast that he just went, I can't do this. They didn't make him type anymore because it was too hard for his eyes. He got really snippy. People tend to hallucinate when you keep them up all night. They get paranoid for days and days. But at the same time, he was functioning. He was able to, on the last day of the study, write a vaguely sexist acrostic poem. I have tried to understand this thing. It's confusing, but you get the sense that it's not positive toward women.The original no-sleep creepypasta.Seriously. Obviously, I'm glad we don't do studies like this now. We have human subject protections. Why would you need to run the study? They did that in the '30s and '60s, and it was weird. But the data's been out there for so long. The creepypasta levels of sleep deprivation, people can survive. You should not do it. You should absolutely not do it. It's a bad idea. But it's not an instantly fatal thing, like you pulled an all-nighter so watch out.The punchline is, unfortunately for human brains, which want very rapid feedback and instant gratification, the way to have sleep health is not something acute, like the absence of these all-nighters that are terrible for you, but rather the constant maintenance of healthy rhythms that are on the time scale of weeks, months and years, as opposed to hacks that you can do in one hour of your day.The book is called Sleep Groove: Why Your Body's Clock Is So Messed Up and What To Do About It. There are so many fascinating things in here, Olivia. Why don't you tell readers a little about where they can find the book and you.Sleep Groove is a book about the emerging science of sleep regularity and how it matters so much to your overall health, well-being, and how you feel at 3 a.m. in the morning. You probably feel pretty bad; my book will explain why. You can find it where books are sold, including Amazon and your local independent bookseller. There's also an audiobook coming out next month.Oh, fun. That's great. Thanks so much for coming on, Olivia.Thanks for having me.Edited by Susie Stark.If you have anything you'd like to see in this Sunday special, shoot me an email. Comment below! Thanks for reading, and thanks so much for supporting Numlock.Thank you so much for becoming a paid subscriber! Send links to me on Twitter at @WaltHickey or email me with numbers, tips or feedback at walt@numlock.news. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit www.numlock.com/subscribe

Underpaid's Stanley and Czar talks about the signs that your co-worker is a bully. Subscribe to Underpaid, join our Discord, and FB Group, and get a Payoneer account.Team Suplado Discord grouphttps://discord.gg/WjhgJSRfANUnderpaid podcast FB grouphttps://www.facebook.com/groups/1330205921240849/Underpaid x Payoneer affiliate linkhttp://tracking.payoneer.com/SH4UR For the video podcast subscribe to TPN's YT channel:www.youtube.com/ThePodNetworkEntertainment Hosted on Acast. See acast.com/privacy for more information.

The CPG Guys are joined in this episode by Jacquelyn Baker, CEO of Omnicom Commerce, a Flywheel Commerce company. Omnicom Commerce consists of Tracy Locke, Hagarth & TPN agencies.Specializing in designing compelling brand experiences for both owned andthird- party (3P) retail environments, Omnicom Commerce blends brand building with commerce, driving discovery, loyalty, and conversion to help brands scale effectively.Follow Jacquelyn Baker on LinkedIn at: https://www.linkedin.com/in/jacquelyn-baker-a5b6811b/Follow Omnicom Commerce online at: https://omnicomcommercegroup.com/To see Curt Monk on LinkedIn go here: https://www.linkedin.com/in/curt-munk/Read Jacquelyn's White Paper " Is Private Label the Enforcer of the Retail Mafia?" https://drive.google.com/file/d/1vq6Cy6sNSVMNWg8bQ1rFafHk7Zq1UhKu/view?usp=sharingJB answers these questions:Up to this point, the debates and discussions between brands & retailers around retail media investment have centered around the levels of platform sophistication, the questions surrounding measurement standards and reliability, and of course cost. Are we at a point that we have reached a new echelon, where in the world of retail media we should be discussing a major existential threat to brands…private label?Over the past three years, retailer private label consumer packaged goods (CPG) have seen significant growth, accelerated by changing consumer behavior and economic pressures.What has happened to the share of wallet/stomach that private label commands in the US market?Has private label been changing its game of late in terms of being a credible national brand alternative and if so, how?With this as the backdrop and as retail media networks continue to push to unlock more brand spend, does the industry need to  evolve to bring the retail merchants and the media sellers closer together?What must the brand manufacturers do in collaboration or negotiation with their retail customers to realign that balance of power with private label and the value proposition that each player in the shopper ecosystem delivers? What are the levers at the disposal of brands?Looking forward, what trends in CPG national brands and private label are you most interested in following that will transform everything we have covered in our discussion today?Please contribute to the Red Cross Disaster Relief Fund here: https://americanredcross.donordrive.com/campaign/CPG-Retail-FiresCPG Guys Website: http://CPGguys.comFMCG Guys Website: http://FMCGguys.comCPG Scoop Website: http://CPGscoop.comRhea Raj's Website: http://rhearaj.comLara Raj in Katseye: https://www.katseye.world/DISCLAIMER: The content in this podcast episode is provided for general informational purposes only. By listening to our episode, you understand that no information contained in this episode should be construed as advice from CPGGUYS, LLC or the individual author, hosts, or guests, nor is it intended to be a substitute for research on any subject matter. Reference to any specific product oCPGGUYS LLC expressly disclaims any and all liability or responsibility for any direct, indirect, incidental, special, consequential or other damages arising out of any individual's use of, reference to, or inability to use this podcast or the information we presented in this podcast.

SUMMARY How can a simple idea transform the aviation industry? In this episode, Adam Uhan, founder of The Pilot Network (TPN), www.thepilotnetwork.com, shares how his journey to find answers about airline hiring sparked a platform that helps pilots succeed. From its humble beginnings to hosting impactful TPNX conferences with major airlines, Adam reveals how TPN empowers pilots through networking, education, and preparation. Then, learn about the upcoming TPNX conference in Minneapolis, which will include a special memorial fund to honor the legacy of aviation legend Jason Depew. Known for his passion for advancing aviation knowledge, Jason authored Pilot Math Treasure Bath, a must-read for pilots aiming to achieve financial stability for themselves and their families.  WHAT YOU'LL LEARN FROM THIS EPISODE The story behind TPN: why Adam Uhan started it and how it has evolved into a trusted resource for pilots. How networking is crucial for career success in aviation and how TPN connects pilots with top companies. The challenges and successes of TPNX conferences, from small beginnings to partnerships with industry giants. Insights into TPN's collaboration with Spitfire Aviation to further support pilot career development. Details about the next TPNX conference in Minneapolis (April 16-17) and what attendees can expect. Honoring the legacy of Jason Depew, a legend in aviation education, and the impact of his book, Pilot Math Treasure Bath, on financial literacy for pilots.  QUOTES "The what's next dilemma, it's always what's next, you're going to do that after you have a cup of coffee in the morning... even if you have a great plan you are going to ask yourself what's next." 11:26 "How can we reach the most people and benefit them." 12:30 "Spitfire.. this is not the standard interview prep consultation firm, there is more here." 34:16 On interview prep "If you wing it, and you don't get to where you want to be you are going to look back and wonder... and by the way you will lose 6 months of seniority... would it have been different?" 35:38 "I'm trying to find the open your apperature, the new jobs that are out there that people aren't thinking about." 44:52 "Bring that squadron bar mentality from the military out to everybody." 47:14 #Aviation #AviationCareers #pilotcareer #pilottips #pilotcareertips #aviationcrew #AviationJobs #AviationLeadership #flying #PilotSuccess #pilotpodcast #PilotPreparation #Pilotrecruitment #AviationEducation #AviationOpportunities #AviationPodcast #flyingtips #AirlineInterviewPrep

Waldo Marcus, director at TPN, shares his property expectations for the new year.

Independent analyst Carmen Mpelwane weighs in on whether further US rate cuts are on hold after strong US jobs data; and, Petri Redelinghuys of Herenya Capital Advisors on his trade of the year. Plus, TPN director Waldo Marcus shares insight on the impact of city management and water on residential property valuations.

Send us a textIn this engaging Journal Club episode, Ben and Daphna return to explore the latest research in neonatology. They begin with a pivotal clinical report from Pediatrics on updated algorithms for newborn screening of critical congenital heart disease (CCHD), highlighting simplified protocols and their significant impact on infant mortality. The discussion delves into screening challenges in the NICU, high-altitude settings, and for out-of-hospital births.Next, they discuss the CordSafe study from Australia, a phase 1 trial on the safety of autologous cord blood-derived cell administration for extremely preterm infants, aimed at reducing brain injuries like IVH. Daphna explains the rigorous methodology and promising early findings.Ben then reviews the STAT trial, which evaluates whether primary anastomosis offers better outcomes than stoma formation in NEC surgery. The results show significant reductions in TPN duration and intestinal complications with primary anastomosis.The hosts also discuss trends in PDA management and their surprising association with increased rates of BPD over the past decade, along with insights into evolving diagnostic and therapeutic practices.Finally, they analyze a Spanish study on elective extubation during skin-to-skin care, finding it to be a feasible and safe practice, potentially enhancing neonatal and parental outcomes.Don't miss next week's exciting interview with Dr. Keith Barrington! As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

In this episode, artificial intelligence Adam introduces the first AI-powered TPN news brief, providing insights into the latest developments in the aviation industry. The episode covers the expansion of US long-haul routes and emerging market trends, highlighting the evolving dynamics of air travel. AI Adam discusses recent FAA policy changes that impact infrastructure and sustainability efforts within US airlines. Additionally, the shift of Icon Aircraft's manufacturing to the US and updates on FAA safety protocols are examined. Concluding with an invitation for listener feedback, AI Adam encourages the community to share their thoughts and suggestions.

Adam and Matt retrace TPN's 2024 path. They delve into the intricacies of scheduling, planning, and operating The Pilot Network, especially TPNx. The guys share new directions they took in 2024, excitement of what is to come, and the heartbreak of losing Jason Depew, a rock for TPN, as well as Matt and Adam. They get into all the new ideas coming in 2025; Jason's Scholarship fun, TPN Go (download the beta tester below), and TPN Talent. It's a little trip down memory lane and look past the storm clouds that developed in late 2024. Thanks for making The Pilot Network so absolutely amazing!! Join us and beta test TPN Go! You can download the app using Apple TestFlight: https://testflight.apple.com/join/jTBi0klS

Send us a textIn this episode of the Incubator, hosts Betsy Crouch and David McCulley welcome Dr. Judy Aschner, a prominent neonatologist and physician scientist. Dr. Aschner shares her journey building a research career and emphasizes the importance of mentorship, determination, and collaboration across disciplines. She discusses her personal experiences that shaped her research focus, particularly in pulmonary hypertension and environmental health in neonatology. The conversation highlights the challenges and triumphs of a career in medical research, underscoring the significance of intellectual curiosity and the impact of personal experiences on professional paths. Dr. Judy Aschner discusses her groundbreaking research on manganese levels in parenteral nutrition and its uptake into the brain of infants with prolonged exposure to TPN. She highlights the importance of understanding metal environmental exposures in the NICU and the collaborative efforts that led to successful grant writing for research projects. Dr. Aschner emphasizes the need for inclusivity in research, particularly for children with disabilities, and the significance of longitudinal studies in assessing long-term health outcomes. Additionally, she shares her passion for rock climbing as a means of maintaining mental and physical health amidst her demanding career.As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Send us a textCha-cha-cha-changes

Disclosures: Nicolette Burzawa, RD, LDN, CNSC is employed by Option Care Health.  She is not speaking on behalf of Option Care Health, and any opinions she expresses are her own and not necessarily those of her employer, Option Care Health.  In this episode, we explore the psychosocial impact of parenteral nutrition. Listen in as our guest and host share personal experiences related to this topic. Nicolette is a Chicago-based home nutrition support dietitian where she collaborates with a multidisciplinary team to provide care and management to home TPN patients. She is dedicated to sharing her knowledge and expertise through national speaking and research and recently published an article on the Psychosocial Impact of Home Parenteral Nutrition in the April 2024 issue of DNS DPG Support Line. This episode was recorded on 10/26/24 and is hosted by Christina M. Rollins, MBA, MS, RDN, LDN, FAND, CNSC.

Did you know that Multi-Organ Dysfunction Syndrome (MODS) can result from both infectious and non-infectious causes? In our latest episode, we delve deep into the pathophysiology of MODS, exploring how different organs interact and fail in sequence. We discuss key concepts like organ functional reserve and the kinetics of organ injury, which aren't as straightforward as they seem. Tune in to learn about the non-linear progression of organ damage and how it impacts management strategies in pediatric critical care.We break down the case into key elements:Patient Background: A 15-year-old girl with chronic TPN dependence and a PICC line presented with septic shock and respiratory failure.Initial Presentation: Blood cultures confirmed Gram-negative rod bacteremia. She developed multi-system complications, including acute kidney injury (AKI), thrombocytopenia, and cardiac dysfunction.Management: Broad-spectrum antibiotics, mechanical ventilation, vasoactive agents, and supportive care for MODS.Key Case Highlights:Clinical case of a 15-year-old girl with sepsis from a gram-negative rodDependence on total parenteral nutrition (TPN) and prolonged PICC line useDiscussion of septic shock, acute respiratory failure, and acute kidney injuryOverview of multiple organ dysfunction syndrome (MODS) and its definitionsPathophysiology of MODS, including organ functional reserve and kinetics of organ injuryMolecular mechanisms involved in MODS, such as mitochondrial dysfunction and immune responsesSpecific phenotypes of sepsis-induced MODS, including TAMOF and IPMOFManagement strategies for MODS, emphasizing multidisciplinary approachesRole and complications of therapeutic plasma exchange (TPE) in treating MODSImportance of recognizing signs of MODS and timely intervention in pediatric patientsSegment 1: MODS Definitions and PhenotypesKey Definition: MODS is the progressive failure of two or more organ systems due to systemic insults (infectious or non-infectious).Phenotypes:TAMOF (Thrombocytopenia-Associated Multi-Organ Failure): Characterized by thrombocytopenia, hemolysis, and decreased ADAMTS13 activity.Immunoparalysis: Persistent immunosuppression and risk of secondary infections.Sequential Liver Failure: Often associated with viral triggers.Segment 2: Pathophysiology of MODSMolecular Insights:Mitochondrial dysfunction and damage-associated molecular patterns (DAMPs)Innate and adaptive immune dysregulationMicrocirculatory dysfunction and ischemia-reperfusion injuryOrgan Interactions: MODS evolves through complex multi-organ interdependenciesSegment 3: Diagnosis and Evidence-Based ManagementKey Diagnostic Pearls:MODS is not solely infection-driven; it requires a shared mechanism and predictable outcomes.Use biomarkers like ADAMTS13 and TNF-α response for phenotypic classification.Management Highlights:Supportive Care: Multisystem approach including lung-protective ventilation, renal replacement therapy, and hemodynamic support.Therapeutic Plasma Exchange (TPE): Especially effective in TAMOF by restoring ADAMTS13 and removing inflammatory mediators.Segment 4: Practical Tips for IntensivistsEarly recognition of MODS phenotypes for targeted therapyImportance of multidisciplinary teamwork in critical care settingsMonitoring for complications like TMA and immunoparalysis during prolonged ICU staysFollow Us:Twitter: @PICUDocOnCallEmail:

Die kredietburo TPN het onlangs sy kwartaalikse residensiële huurmonitor bekend gemaak, die bemarkingsdirekteur van TPN, Waldo Marcus gesels hieroor. Volg RSG Geldsake op Twitter

In this episode of Fail Faster, we welcome Heidi Bailey, Senior VP of Futures and AI at TPN. Heidi shares her journey from a multicultural childhood to a leader in AI, including launching Taylor Swift's first album. She explores the evolution, capabilities, and future potential of AI, highlighting the need for governance and energy solutions. Tune in for an insightful discussion on the transformative power of AI and what the future holds.

Just like the rest of the body, your brain needs times of attention, focus and activity as well as times of rest. Today, I'm talking about two different networks within the brain and how to toggle between them. It will help you understand how to get your brain to do more and rest better so you can feel more focused and less overwhelmed. You'll Learn:What the Task Positive Network and Default Mode Network do in your brain and why they're both importantWhen and how to toggle between the two networksDifferences between neurotypical and ADHD brainsWhy screen free default mode is importantStrategies for getting more high quality rest for your brainYou can apply this to your own life and also use it to understand what's going on for your kid when you're trying to get their attention. You'll learn how to create better quality downtime for yourself and how to help your kids get back on task when it's time. ----------------------------Understanding The Networks in Your BrainThe two networks we're talking about today are called the Default Mode Network and Task Positive Network. Default Mode Network (DMN). This network is exactly what it sounds like - it's our brain's default. You can think of it as wakeful or active rest. You're not really thinking about or focusing on anything in particular. Your mind gets to wander. It's where we daydream and let our imaginations go free. This is the part of the brain that helps integrate what you've learned and take it from short term memory into long term memory. The DMN is not present minded. It helps you relive the past, reflect on things that happened, and also imagine the future. It's linked with bigger picture thinking.However, this part of your brain can also be a little like a toddler in a toy store. Without any boundaries, it's going to go everywhere and be really scattered. For many of us, our unchecked brain defaults to a negative perspective. We get into fear-based and anxious overthinking or ruminating. You might find yourself over-processing the past and anticipating the future. So instead of the daydreaming creating a happy, relaxed state, you end up spiraling into negative anguish. The DMN can be a very positive place if we harness it a little bit. We can train our brain to make this network a really safe, fun place to be (more on that later). Task Positive Network (TPN). This is the network where your brain is very active, and you're doing tasks that require your conscious attention. Here, you're processing sensory input, working with your short-term memory, thinking abstractly and solving problems. As a parent, you spend a lot of time in the Task Positive Network throughout the day. You're focused on all sorts of tasks - scheduling, meal planning and preparation, keeping up with homework and school papers, and so many other pieces. Your brain goes into overload, and you end up feeling overwhelmed or burned out. At its best, TPN is sometimes also called “flow”. It's when you are really focused on what you're doing and tuning out everything else. The brain loves to be in TPN and this flow state, but it takes a lot of work to stay there, and it's easy to get distracted. If you see a person with ADHD, anxiety or depression, they often say things like, “I can't even think straight,” “I can't seem to get anything done.” This is probably because they aren't able to stay in TPN long enough to achieve something. This distractibility is becoming more and more common, even in people without ADHD, because as a society, we're spending less time in the TPN. It's like a muscle that we need to train so that we can stay on track. Some things that pull us out of TPN are

Episode 24 - Liz King - Navigating Nutrition with Short Bowel SyndromeIn this episode of Nutrition Pearls: the Podcast, co-hosts Melissa Talley and Nikki Misner speak with Liz King about nutrition management in the short bowel syndrome pediatric patient population. Liz King is a Registered Dietitian and board-certified nutrition support clinician at UPMC Children's Hospital of Pittsburgh. Liz received her BS in Nutrition from Auburn University and went on to complete her MS in Nutrition and dietetic internship at the University of Pittsburgh. For the past 9 years, she has been the dietitian for the Intestinal Care and Rehabilitation Center (ICARE), which was the first established comprehensive,  multidisciplinary intestinal failure center caring for patients with complicated intestinal disorders. She also works with the liver and small bowel transplant department at UPMC Children's, overseeing the nutritional needs of patients undergoing transplant. Liz's nutritional interests include chronic TPN management and babies starting solids.Nutrition Pearls is supported by an educational grant from Reckitt Mead Johnson Nutrition.Resources:Walia et al.  The North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Position on the Role of the Registered Dietitian Nutritionist in the Care of the Pediatric Patient With Chronic Gastrointestinal Diseases. J Pediatr Gastroenterol Nutr. 2023;76(3):390-399.Produced by: Corey IrwinNASPGHAN - Council for Pediatric Nutrition Professionalscpnp@naspghan.org

Bugünkü podcastte, beynin dikkat ve görev odaklı çalışma şekli olan default mode network (DMN) ve task positive network (TPN) arasındaki […]

This spotlight is on Dr. Patricia Byers, MD, FACS. She is a Professor and Section Chief in Surgical Nutrition and Metabolic Surgery at the Ryder Trauma Center/Jackson Memorial Hospital in Miami, FL. Dr. Byers became interested in nutrition while working in trauma and critical care, where she saw the impact of nutrition support on this patient population. She credits her career development to mentors like Drs. Stanley Dudrick, Bruce Bistrian, and Miguel Echenique. Dr. Byers also discusses the importance of a multidisciplinary team in the care of patients receiving nutrition support, and how all members of the team are able to learn and grow from each other. She highlights the minimal nutrition training that surgical residents receive and yet surgical patients can benefit the most from nutrition support. In her institution, she makes sure that her surgical residents are exposed to their nutrition support team and gain experience in writing orders for TPN. Dr. Byers is an active member of ASPEN and contributes to various committees, including the Physician Engagement Committee. She encourages others to get involved in ASPEN to promote their careers in nutrition. Physician Spotlight is a forum for outstanding Senior Leaders, Young Rising Stars, and International Colleagues in the field of nutrition to discuss important topics and ideas that impact patient care. Visit the ASPEN Physician Community at www.nutritioncare.org/physicians

Why does our ADHD brain get stuck on those annoying negative thoughts? It's all about two parts of our brain: the Task Positive Network (TPN) and the Default Mode Network (DMN). The TPN is our "get stuff done" network - it lights up when we're in the zone, laser-focused on a task. The DMN, on the other hand, is our "daydream/worry" network. It's where creativity flows, but also where negative thoughts creep in. For us ADHD folks, switching between these networks can be tricky. We might get stuck in worry-mode (thanks, DMN) or hyperfocus so hard we forget to eat (hello, TPN).But here's the secret: when you're caught in a loop of negative thoughts, the key is to get into action! Go for a walk, call a friend, or dive into a project. By doing something, you're jumpstarting your TPN and quieting that pesky DMN. It's like changing the channel in your brain. Remember, it's never too late to rewire things upstairs. By understanding how our ADHD brains work and playing to our strengths, we can handle the tough stuff better. It's all about working with our quirky brains, not against them. So next time you're in a funk, remember: your brain has superpowers - you just have to learn how to use them!Resources:https://adhdforsmartwomen.com/aokLearn more by connecting with Tracy through Instagram, Facebook, LinkedIn, Pinterest, or visit adhdforsmartwomen.com.Are You Ready to Discover Your Brilliance? Order Now: https://adhdforsmartwomen.com/bookJoin Your ADHD Brain is A-OK: https://adhdforsmartwomen.com/aokVisit our website: https://adhdforsmartwomen.comJoin our community of ADHD For Smart Ass Women: https://www.facebook.com/groups/tracyotsukaJoin What Do I Do With My Life Masterclass: spyhappy.me/classUnlock your best days with Blends:,https://adhdforsmartwomen.com/blendsSend a Message: Your Name | Email | Message Understand your ADHD brain with Tracy Otsuka's AOK Academy—personalized strategies, community, and coaching. Learn more at spyhappy.me/earlybird.

In this episode of Nutrition Pearls: the Podcast, co-hosts Bailey Koch and Melissa Talley speak with Alyson Lawrence, about common TPN questions, controversies, and topics that the GI dietitian would commonly see. Alyson Lawrence, RD, CNSC is a neonatal dietitian at CHOC Children's Hospital in Orange, CA. She completed her dietetic internship through Cal Poly Pomona followed by her pediatric residency at CHOC Children's. Alyson has worked in a wide variety of pediatric areas, ranging from pediatric intensive care to her current role in the neonatal intensive care unit. She has a special interest in neonatal patients with short bowel syndrome and intestinal failure. Alyson is involved in many research projects and committees within her institution focused on enhancing knowledge and improving patient care. She also is an active member of ASPEN, serving as an author for the GI section of the Neonatal Newsletter and is a content creator for the Dietitians in Nutrition Support YouTube Channel.Nutrition Pearls is supported by an educational grant from Reckitt Mead Johnson Nutrition.Produced by: Corey Irwin NASPGHAN - Council for Pediatric Nutrition Professionalscpnp@naspghan.orgResources: Gramlich L, Ireton-Jones C, Miles JM, Morrison M, Pontes-Arruda A. Essential Fatty Acid Requirements and Intravenous Lipid Emulsions. JPEN J Parenter Enteral Nutr. 2019;43(6):697-707. doi:10.1002/jpen.1537 Faienza MF, D'Amato E, Natale MP, et al. Metabolic Bone Disease of Prematurity: Diagnosis and Management. Front Pediatr. 2019;7:143. Published 2019 Apr 12. doi:10.3389/fped.2019.00143)Domellöf M, Szitanyi P, Simchowitz V, Franz A, Mimouni F; ESPGHAN/ESPEN/ESPR/CSPEN working group on pediatric parenteral nutrition. ESPGHAN/ESPEN/ESPR/CSPEN guidelines on pediatric parenteral nutrition: Iron and trace minerals. Clin Nutr. 2018;37(6 Pt B):2354-2359. doi:10.1016/j.clnu.2018.06.949Jochum F, Moltu SJ, Senterre T, et al. ESPGHAN/ESPEN/ESPR/CSPEN guidelines on pediatric parenteral nutrition: Fluid and electrolytes. Clin Nutr. 2018;37(6 Pt B):2344-2353. doi:10.1016/j.clnu.2018.06.948Owen HJ, Gonyon TM, Green JD, et al. Calcium/Phosphate Solubility Curves for Premasol and Trophamine Pediatric Parenteral Nutrition Formulations. J Pediatr Pharmacol Ther. 2019;24(1):45-52. doi:10.5863/1551-6776-24.1.45PN Dosing 1-Sheet-Nov 2020-FINAL.pdf (nutritioncare.org) ASPEN | ASPEN Parenteral Nutrition (PN) Order Writing Course (nutritioncare.org)

Today I am joined with the delightful and insightful Tracy Otsuka! Tracy shares her personal journey of discovering her own ADHD after her son's diagnosis and how it led her to become a passionate advocate for women with ADHD. With her unique blend of humor, vulnerability, and wisdom, Tracy challenges the traditional narrative surrounding ADHD and sheds light on the remarkable strengths and brilliance of women with this neurodivergent superpower.As the host of the top-ranking podcast "ADHD for Smart Ass Women," Tracy has empowered thousands of women to embrace their unique brain wiring and uncover their hidden potential. Join me as we explore Tracy's inspiring story, from her early struggles with masking and self-doubt to her triumphant journey of self-discovery and advocacy. Tracy has never encountered a woman with ADHD who wasn't truly brilliant in some aspect. Tracy brings a wealth of personal and professional experience to the table. A lawyer by training, a lifelong learner, and a certified ADHD coach, Otsuka is dedicated to shifting the narrative surrounding ADHD. Her own diagnosis, which came eight months after her son's, clarified her life's many puzzles. However, she quickly realized the discourse around ADHD often focuses on the struggles, overshadowing the strengths. Otsuka discovered that her ADHD was the source of some of her most remarkable abilities. Notably, while there's frequent discussion of successful men with ADHD, women with the condition tend to be overlooked. Otsuka aims to change that, providing a space to recognize, support, and celebrate women with ADHD. These women are her tribe, and she stands as a fervent supporter and advocate for their recognition and success. Episode Highlights:[3:54] - Tracy shares how her son's struggles in school led to his ADHD diagnosis at age 12.[8:06] - The surprising realization that Tracy herself had ADHD, after her son's diagnosis.[13:27] - Navigating law school with undiagnosed ADHD and the constant feeling of not being "smart enough."[15:26] - The challenges of writing a book with ADHD and the fear of forgetting its contents.[19:05] - Brooke and Tracy bond over their shared experiences with working memory struggles.[21:20] - Tracy opens up about the devastating loss of her mother.[34:33] - The story behind the bold and unapologetic name "ADHD for Smart Ass Women."[39:18] - Tracy's nuanced perspective on whether ADHD is a superpower or a deficit.[41:18] - Strategies for staying in the task-positive network (TPN) and avoiding burnout. Connect with Tracy Otsuka:Podcast & Book: “ADHD for Smart Ass Women”: https://adhdforsmartwomen.com/  Thank you for tuning into "SuccessFULL with ADHD." If this episode has impacted you, remember to rate, follow, share, and review our podcast. Your support helps us reach and help more individuals navigating their journeys with ADHD. If you want weekly ADHD tips straight to your inbox subscribe to our newsletter at coachingwithbrooke.com/newsletter