Podcasts about UpToDate

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Latest podcast episodes about UpToDate

Up To Date
NPR's Juana Summers got her journalism start as a Kansas City high schooler

Up To Date

Play Episode Listen Later Jun 16, 2025 24:12


Kansas City native Juana Summers, a co-host of NPR's "All Things Considered," returned to her hometown to join KCUR at its 2025 Radioactive Gala. She joined Up To Date to talk about getting her start here in journalism, and the importance of public media.

Up To Date
Kansas City's first World Cup match kicks off in 365 days. Is the city on track for hosting?

Up To Date

Play Episode Listen Later Jun 16, 2025 20:41


Kansas City is exactly one year away from the first FIFA World Cup match at Arrowhead Stadium. KC2026 CEO Pam Kramer joined KCUR's Up To Date for an update on how the nonprofit is working through security and helping businesses prepare.

Up To Date
Ahead of 'No Kings' protests, Kansas City organizer fears for the state of our democracy

Up To Date

Play Episode Listen Later Jun 12, 2025 11:34


In response to the policies of the Trump administration, "No Kings" protesters will take to the streets around the country this Saturday. KCUR's Up To Date spoke with one of the organizers of a protest in Kansas City.

Ayanda MVP on 947 - 12PM - 3PM
Pop Culture Pulse: Stay Up-to-Date with the Latest News Silentó/Benson Boone/Sabrina Carpenter

Ayanda MVP on 947 - 12PM - 3PM

Play Episode Listen Later Jun 12, 2025 5:51


Zweli is your go-to source for all the freshest insights into the ever-evolving realm of pop culture. He keeps you fully informed. Be it the juiciest celebrity rumors, the hottest new songs, or the newest cinematic triumphs, Zweli has it all. With a sharp observational skill and an up-to-the-minute knowledge base, Zweli provides compelling and perceptive reporting so you stay completely in the know. From the songs topping the charts and the trending social media trends to innovative television shows and breakthroughs in the world of fashion, Zweli offers a complete picture of everything that's making a splash in the cultural arena._ _________________________________________________________________________ Spend weekday afternoons with Zweli. He keeps you in the loop with everything from music and movies to sport and pop culture. Hear what the Word on the Street is, test your skills with the high-pressure 6 Out of 6, and get ready to be entertained. Thank you for listening to an Afternoons with Zweli podcast Listen live on Primedia+ weekdays from 12:00 to 15:00 (SA Time) toAfternoons with Zweli broadcast on 947 https://www.primediaplus.com/station/947 For more from the show go to https://buff.ly/FeeL6wY or find all the catch-up podcasts here https://buff.ly/pRBikjo Subscribe to the 947 Weekly Newsletter here https://buff.ly/hf9IuR9 Follow us on social media 947 on Facebook: https://www.facebook.com/947Joburg/ 947 on TikTok: https://www.tiktok.com/@947joburg 947 on Instagram: https://www.instagram.com/947joburg 947 on X https://x.com/947 947 on YouTube: https://www.youtube.com/@947JoburgSee omnystudio.com/listener for privacy information.

Ayanda MVP on 947 - 12PM - 3PM
Pop Culture Pulse: Stay Up-to-Date with the Latest News Olivia Rodrigo/Ice Spice/Alex Warren

Ayanda MVP on 947 - 12PM - 3PM

Play Episode Listen Later Jun 11, 2025 5:42


Zweli is your go-to source for all the freshest insights into the ever-evolving realm of pop culture. He keeps you fully informed. Be it the juiciest celebrity rumors, the hottest new songs, or the newest cinematic triumphs, Zweli has it all. With a sharp observational skill and an up-to-the-minute knowledge base, Zweli provides compelling and perceptive reporting so you stay completely in the know. From the songs topping the charts and the trending social media trends to innovative television shows and breakthroughs in the world of fashion, Zweli offers a complete picture of everything that's making a splash in the cultural arena._ _________________________________________________________________________ Spend weekday afternoons with Zweli. He keeps you in the loop with everything from music and movies to sport and pop culture. Hear what the Word on the Street is, test your skills with the high-pressure 6 Out of 6, and get ready to be entertained. Thank you for listening to an Afternoons with Zweli podcast Listen live on Primedia+ weekdays from 12:00 to 15:00 (SA Time) toAfternoons with Zweli broadcast on 947 https://www.primediaplus.com/station/947 For more from the show go to https://buff.ly/FeeL6wY or find all the catch-up podcasts here https://buff.ly/pRBikjo Subscribe to the 947 Weekly Newsletter here https://buff.ly/hf9IuR9 Follow us on social media 947 on Facebook: https://www.facebook.com/947Joburg/ 947 on TikTok: https://www.tiktok.com/@947joburg 947 on Instagram: https://www.instagram.com/947joburg 947 on X https://x.com/947 947 on YouTube: https://www.youtube.com/@947JoburgSee omnystudio.com/listener for privacy information.

Ayanda MVP on 947 - 12PM - 3PM
Pop Culture Pulse: Stay Up-to-Date with the Latest News Rema/Doja Cat/RAYE

Ayanda MVP on 947 - 12PM - 3PM

Play Episode Listen Later Jun 10, 2025 6:12


Zweli is your go-to source for all the freshest insights into the ever-evolving realm of pop culture. He keeps you fully informed. Be it the juiciest celebrity rumors, the hottest new songs, or the newest cinematic triumphs, Zweli has it all. With a sharp observational skill and an up-to-the-minute knowledge base, Zweli provides compelling and perceptive reporting so you stay completely in the know. From the songs topping the charts and the trending social media trends to innovative television shows and breakthroughs in the world of fashion, Zweli offers a complete picture of everything that's making a splash in the cultural arena._ _________________________________________________________________________ Spend weekday afternoons with Zweli. He keeps you in the loop with everything from music and movies to sport and pop culture. Hear what the Word on the Street is, test your skills with the high-pressure 6 Out of 6, and get ready to be entertained. Thank you for listening to an Afternoons with Zweli podcast Listen live on Primedia+ weekdays from 12:00 to 15:00 (SA Time) toAfternoons with Zweli broadcast on 947 https://www.primediaplus.com/station/947 For more from the show go to https://buff.ly/FeeL6wY or find all the catch-up podcasts here https://buff.ly/pRBikjo Subscribe to the 947 Weekly Newsletter here https://buff.ly/hf9IuR9 Follow us on social media 947 on Facebook: https://www.facebook.com/947Joburg/ 947 on TikTok: https://www.tiktok.com/@947joburg 947 on Instagram: https://www.instagram.com/947joburg 947 on X https://x.com/947 947 on YouTube: https://www.youtube.com/@947JoburgSee omnystudio.com/listener for privacy information.

Checkpoint
Up To Date: Nintendo Switch 2 launch day

Checkpoint

Play Episode Listen Later Jun 9, 2025


Join Luke, Elliot, and Dough in this episode of Checkpoint on JOY where they talk about the Nintendo Switch 2 launch and other gaming news.   Catch the latest episode... LEARN MORE The post Up To Date: Nintendo Switch 2 launch day appeared first on Checkpoint.

Ayanda MVP on 947 - 12PM - 3PM
Pop Culture Pulse: Stay Up-to-Date with the Latest News

Ayanda MVP on 947 - 12PM - 3PM

Play Episode Listen Later Jun 9, 2025 4:58


Zweli is your go-to source for all the freshest insights into the ever-evolving realm of pop culture. He keeps you fully informed. Be it the juiciest celebrity rumors, the hottest new songs, or the newest cinematic triumphs, Zweli has it all. With a sharp observational skill and an up-to-the-minute knowledge base, Zweli provides compelling and perceptive reporting so you stay completely in the know. From the songs topping the charts and the trending social media trends to innovative television shows and breakthroughs in the world of fashion, Zweli offers a complete picture of everything that's making a splash in the cultural arena. _______________________________________________________________________________ Spend weekday afternoons with Zweli. He keeps you in the loop with everything from music and movies to sport and pop culture. Hear what the Word on the Street is, test your skills with the high-pressure 6 Out of 6, and get ready to be entertained. Thank you for listening to an Afternoons with Zweli podcast Listen live on Primedia+ weekdays from 12:00 to 15:00 (SA Time) toAfternoons with Zweli broadcast on 947 https://www.primediaplus.com/station/947 For more from the show go to https://buff.ly/FeeL6wY or find all the catch-up podcasts here https://buff.ly/pRBikjo Subscribe to the 947 Weekly Newsletter here https://buff.ly/hf9IuR9 Follow us on social media 947 on Facebook: https://www.facebook.com/947Joburg/ 947 on TikTok: https://www.tiktok.com/@947joburg 947 on Instagram: https://www.instagram.com/947joburg 947 on X https://x.com/947 947 on YouTube: https://www.youtube.com/@947JoburgSee omnystudio.com/listener for privacy information.

Up To Date
Ron Chernow explores how Mark Twain brought Missouri's 'wild, throbbing energy' to the world

Up To Date

Play Episode Listen Later Jun 8, 2025 25:57


The Pulitzer Prize-winning biographer Ron Chernow joined KCUR's Up To Date to discuss his latest book, "Mark Twain," which paints a nuanced portrait of a complicated American author from the Heartland.

Two Douchebags and a Microphone
Creeps talk music with up to date music news

Two Douchebags and a Microphone

Play Episode Listen Later Jun 7, 2025 122:29 Transcription Available


music talk and news from the creeps

The Podcasts of the Royal New Zealand College of Urgent Care

How do you remove an embedded fishhook?   Check out the ALIEM page by Dr Riveros, Dr Kim and Dr Dyer   Check out the AAFP article by Dr Gammons and Dr Jackson   Link to the UpToDate page (subscription required)   Watch the Greatest Ever Try     www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad   This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals.  Please ensure you work within your scope of practice at all times.  For personal medical advice always consult your usual doctor 

Keepin It 100 with Konnan
BONUS Mailbag! WWE Releases (up to date,) Okada's AEW & TNA stints, WWE/Netflix, AAA attendance & more!

Keepin It 100 with Konnan

Play Episode Listen Later Jun 4, 2025 62:38


K100 w/ Konnan & Disco is presented to you by BetOnline! BetOnline is your #1 source for all sports! Get all the latest stats, news, scores, odds, & lines, plus follow your favorite teams! Plus, use the code BLEAV for a 50% welcome bonus! Check out our Patreon site at Konnan.me and Patreon.com/Konnan for extra audio, FULL AD FREE episodes, exclusive video, listener roundtable discussion shows, weekly watch-a-longs, call in shows with Konnan and DI, plus so much more! Get Interactive on Twitter @Konnan5150 @TheRealDisco @JFFeeney3rd @TheCCNetwork1 @K100Konnan @TheHughezy @HarryRuiz @HugoSavinovich @RoyLucier Youtube: https://www.youtube.com/@KeepinIt100OFFICIAL @K100Konnan on Facebook, Twitter, and Instagram! Check out LegacySupps.com and use the code K100 for 10% off of their fat burner, pre workout, testosterone supplement, and sleep aid! Brought to you by friend of the show, Nick Aldis! Plus they now carry Women's supplements, brought to you by Mickie James! RUFF GREENS joins as a K100 sponsor! Treat your doggie & use the code DISCO at ruffgreens.com for a FREE Jumpstart Trial Bag! TheAeonMan.com brings you high quality Superfood Protein, world class New Zealand Deer Antler Velvet extract for natural testosterone, & world class New Zealand Deer Antler Velvet extract to eradicate joint pain & more for your health & supplement needs! Use code WELCOME15 for 15% off!

Checkpoint
Up To Date: Electronic Arts cancels Black Panther game

Checkpoint

Play Episode Listen Later Jun 2, 2025


Join Luke, Elliot, Bree, and Jarrod in this episode of Checkpoint on JOY where they discuss Electronic Arts' cancellation of an upcoming Black Panther game and other gaming news.  ... LEARN MORE The post Up To Date: Electronic Arts cancels Black Panther game appeared first on Checkpoint.

Total Wealth Radio
Tips On Keeping Your Estate Plan Up To Date - May, 31, 2025

Total Wealth Radio

Play Episode Listen Later May 31, 2025 42:11


Total Wealth & Wellness Radio

Rio Bravo qWeek
Episode 192: ADHD Treatment

Rio Bravo qWeek

Play Episode Listen Later May 30, 2025 19:03


Episode 192: ADHD Treatment.  Jordan Redden (MSIV) explains the treatment of ADHD. Dr. Bustamante adds input about pharmacologic and non-pharmacologic treatments. Dr. Arreaza shares the how stimulants were discovered as the treatment for ADHD. Written by Jordan Redden, MSIV, Ross University School of Medicine. Comments and edits by Isabelo Bustamante, MD, and Hector Arreaza, MD. You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Introduction.ADHD is a chronic neurodevelopmental condition characterized by inattention, impulsivity, and/or hyperactivity. While it's often diagnosed in childhood, symptoms can persist well in adulthood. The treatment for ADHD is multifaceted. It often includes medication, behavioral therapy, environmental modifications, and sometimes educational interventions which are especially effective in younger patients. Ongoing evaluation is needed during treatment. Treatment needs adjustments over time.Starting with medications: Stimulants are the most well-studied and effective pharmacologic treatment for ADHD. These include methylphenidate-based medications such as Ritalin, Concerta, and Focalin, and amphetamine-based options, like Adderall, Vyvanse, and Dexedrine. Discovery of stimulants for ADHD> Dr. Charles Bradley discovered stimulants as the treatment for ADHD around 1937. ADHD did not have a name at that time, but it was known that some children had behavioral problems related to poor attention and inability to control their impulses, but they were still intelligent. Dr. Bradley was a psychiatrist who was working in the Bradley Hospital (Rhode Island), he was studying these children and, as part of his experiments, they developed severe headaches. He gave “Benzedrine” (a decongestant) to his pediatric patients to treat severe headaches, and he discovered that Benzedrine improved academic performance and interest in school and improved disruptive behavior in some children.How do stimulants work.Stimulants work primarily by increasing dopamine and norepinephrine levels in the brain, which helps improve focus, attention span, and impulse control. They typically show a rapid onset of action and can lead to noticeable improvements within the first few days of use. Dosing is individualized and should start low with gradual titration. Side effects can include reduced appetite, insomnia, headaches, increased heart rate, and emotional lability.Types of stimulants. Stimulants come as short acting and long acting. They can come as a tablet, liquid, patch, or orally disintegrating tablet. After the discovery of Benzedrine as a possible treatment for ADHD, more research was done over the years, and Ritalin became the first FDA-approved medication for ADHD (1955). The list of medications may seem overwhelming, but there are only two types of stimulants used to treat ADHD: methylphenidate and amphetamine. Long-acting stimulant medications are often preferred for their consistent symptom control and lower potential for misuse. Vyvanse (lis-dexa-mfetamine) is a widely used long-acting amphetamine-based option. As a prodrug, it remains inactive until metabolized in the body, which results in a smoother onset and offset of action and may reduce the risk of abuse. This extended duration of effect can help patients maintain focus and regulate impulses throughout the day without the peaks and crashes sometimes seen with shorter-acting formulations. Of note, Vyvanse is also approved for Binge Eating Disorder. Many of these medications are Schedule II controlled substances, so to prescribe them you need a DEA license. Other long-acting options include Concerta, an extended-release methylphenidate, as well as extended-release versions of Adderall and Focalin. These are especially helpful for school-aged children who benefit from once-daily dosing, and for adults who need sustained attention during work or academic activities. The choice between short- and long-acting stimulants depends on individual response, side effect tolerance, and daily routine.For patients who cannot tolerate stimulants, or for those with contraindications such as a history of substance misuse or certain cardiac conditions, non-stimulant medications are an alternative. One of the most used is atomoxetine, which inhibits the presynaptic norepinephrine transporter (NET). This leads to increased levels of norepinephrine (and to a lesser extent dopamine). Guanfacine or clonidine are alpha-2A adrenergic receptor agonists that lead to reduced sympathetic outflow and enhanced prefrontal cortical function, improving attention and impulse control. These alpha agonists are particularly useful in younger children with significant hyperactivity or sleep disturbances.Non-pharmacologic treatments.Behavioral therapy before age 6 is the first choice, after that, medications are more effective than BH only, and as adults again you use CBT.Medication is often just one part of a broader treatment plan. Behavioral therapy, especially in children, plays a critical role. Parent-training programs, positive reinforcement systems, and structured routines can significantly improve functioning. And for adolescents and adults, cognitive-behavioral therapy (CBT) is particularly helpful. CBT can address issues like procrastination, time management, emotional regulation, and self-esteem which are areas that medication doesn't always touch.Using medications for ADHD can be faced with resistance by parents, and even children. There is stigma and misconceptions about mental health, there may be concerns about side effects, fear of addiction, negative past experiences, and some parents prefer to treat ADHD the “natural” way without medications or only with supplements. All those concerns are valid. Starting a medication for ADHD is the first line of treatment in children who are 6 years and older, but it requires a shared decision with parents and patients. Cardiac side effects are possible with stimulants. EKG may be needed before starting stimulants, but it is not required. Get a personal and family cardiac history, including a solid ROS. Benefits include control of current condition and treating comorbid conditions.The presentation of ADHD changes as the person goes through different stages of life. For example, you may have severe hyperactivity in your school years, but that hyperactivity improves during adolescence and impulsivity worsens. It varies among sexes too. Women tend to present as inattentive, and men tend to be more hyperactive. ADHD is often underdiagnosed in adults, yet it can significantly impact job performance, relationships, and mental health. In adults, we often use long-acting stimulants to minimize the potential for misuse. And psychotherapy, particularly CBT or executive functioning coaching, can be life-changing when combined with pharmacologic treatment. There are several populations where treatment must be tailored carefully such as pregnant patients, individuals with co-occurring anxiety or depression, and those with a history of substance use. For example, atomoxetine may be preferred in patients with a history of substance misuse. And in children with coexisting oppositional defiant disorder, combined behavioral and pharmacologic therapy is usually more effective than either approach alone.Comorbid conditions.Depression and anxiety can be comorbid, and they can also mimic ADHD. Consult your DSM-5 to clarify what you are treating, ADHD vs depression/anxiety.Treatment goes beyond the clinic. For school-aged children, we often work closely with schools to implement 504 plans or Individualized Education Programs (IEPs) that provide classroom accommodations. Adults may also benefit from workplace strategies like structured schedules, noise-reducing headphones, or even coaching support. Ongoing monitoring is absolutely essential. We assess side effects of medication, adherence, and symptom control. ***In children, we also monitor growth and sleep patterns. We often use validated rating scales, like the Vanderbilt questionnaire for children 6–12 (collect answers from two settings) or Conners questionnaires (collect from clinician, parents and teachers), to track progress. And shared decision-making with patients and families is key throughout the treatment process.To summarize, ADHD is a chronic but manageable condition. Effective treatment usually involves a combination of medication and behavioral interventions, tailored to the individual's needs. And early diagnosis and treatment can significantly improve quality of life academically, socially, and emotionally.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed., text rev. (DSM-5-TR). Washington, DC: American Psychiatric Association; 2022. CHADD (Children and Adults with Attention-Deficit/Hyperactivity Disorder). Understanding ADHD. Accessed May 2025. https://chadd.org National Institute for Health and Care Excellence (NICE). Attention Deficit Hyperactivity Disorder: Diagnosis and Management. NICE guideline [NG87]. Updated March 2018. Accessed May 2025. https://www.nice.org.uk/guidance/ng87 Pliszka SR; AACAP Work Group on Quality Issues. Practice parameter for the assessment and treatment of children and adolescents with attention-deficit/hyperactivity disorder. J Am Acad Child Adolesc Psychiatry. 2007;46(7):894–921. doi:10.1097/chi.0b013e318054e724 Subcommittee on Children and Adolescents with Attention-Deficit/Hyperactivity Disorder, Steering Committee on Quality Improvement and Management. Clinical practice guideline for the diagnosis, evaluation, and treatment of attention-deficit/hyperactivity disorder in children and adolescents. Pediatrics. 2019;144(4):e20192528. doi:10.1542/peds.2019-2528 Texas Children's Hospital. ADHD Provider Toolkit. Baylor College of Medicine. Accessed May 2025. https://www.bcm.edu Wolraich ML, Hagan JF Jr, Allan C, et al. Attention deficit hyperactivity disorder in children and adolescents: Overview of treatment and prognosis. UpToDate. Published 2024. Accessed May 2025.https://www.uptodate.comThe History of ADHD and Its Treatments, https://www.additudemag.com/history-of-adhd/Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/. 

KI in der Industrie
How does an Airbus data scientist keep up to date?

KI in der Industrie

Play Episode Listen Later May 28, 2025 56:32 Transcription Available


In this episode, Robert Weber talks to Tom Zehle from Airbus. He explains how he stays up to date, how he analyzes papers, and what he wants from research. The Industrial AI Podcast reports weekly on the latest developments in AI and Machine Learning for the engineering, robotics, automotive, process and automation industries. The podcast features industrial users, scientists, vendors and startups in the field of Industrial AI and Machine Learning. The podcast is hosted by Peter Seeberg, Industrial AI consultant and Robert Weber, tech journalist.

Checkpoint
Up to date: Gearbox CEO’s online comments

Checkpoint

Play Episode Listen Later May 26, 2025


Join Luke, Elliot, Charlie, and Missy in this episode of Checkpoint on JOY where they discuss Randy Pitchford's recent social media comments and other gaming news.   Catch the latest... LEARN MORE The post Up to date: Gearbox CEO's online comments appeared first on Checkpoint.

Kerry Today
Ensuring Your Passport is Up-to-Date for the Holidays – May 22nd, 2025

Kerry Today

Play Episode Listen Later May 22, 2025


Úna Fannon is director of the Passport Service. She’s encouraging people to check their passports’ expiry date and renew online, before they book their next trip. She spoke to Treasa Murphy.

Up To Date
Royals rookie starting pitcher Noah Cameron is making history for his hometown team

Up To Date

Play Episode Listen Later May 21, 2025 21:58


St. Joseph, Missouri, native Noah Cameron is living out his childhood dream by pitching for the Kansas City Royals. In his first two major league starts, he has already become "the person that everybody is watching." Hear his conversation with KCUR's Up To Date.

Quick Spin
2025 Toyota 4Runner Review: Getting Up to Date

Quick Spin

Play Episode Listen Later May 20, 2025 14:20


Toyota's 4Runner has built a legacy on its off-road chops, and its off-road aesthetic. You're just as likely to see a 4Runner running through a trail as you are handling the tough task of school pickup duty. However, with the fifth-generation 4Runner launching all the way back in 2009, there was only so much the Toyota could do to keep it updated enough to please the soft-road enthusiasts. Well, Toyota fixed that by rolling out the sixth-gen 4Runner for the 2025 model year and bringing some serious quality-of-life updates – for a cost. The '25 4Runner packs the modern Toyota interior, which comes with a large touchscreen and plenty of tech. Toyota also stuffed its i-Force Max hybrid powertrain under the hoods, which blends a turbocharged 2.4-liter I4 with a hybrid system to net 326 hp and 465 lb-ft of torque. Powering base-model 4Runners is a turbocharged 2.4-liter I4 without the hybrid help that makes 278 hp and 317 lb-ft. Both powertrains work through an eight-speed transmission. On this episode of Quick Spin, host Wesley Wren hops behind the wheel of the 2025 Toyota 4Runner and puts it through its paces. Wren takes you on a guided tour of the latest 4Runner and highlights some of the changes and his favorite features. Later, Wren takes you along for a live drive review. Adding to these segments, Wren chats with Patrick Carone about the 4Runner, how it compares to the latest Toyota Landcruiser, and more. Closing the show, the pair breaks down what makes the 2025 4Runner special.

Checkpoint
Up to date: A super smash bros dating app

Checkpoint

Play Episode Listen Later May 19, 2025


Join Elliot, Luke, and Kolby in this episode of Checkpoint on JOY where they talk about a Super Smash Bros dating app, Fortnite, and other crazy gaming news.   Catch... LEARN MORE The post Up to date: A super smash bros dating app appeared first on Checkpoint.

Faculty Feed
Beyond the Prompt: Rethinking Clinical Education in the Age of AI with Dr. Josh Kurtz

Faculty Feed

Play Episode Listen Later May 16, 2025 28:07


Dr. Josh Kurtz,Assistant Professor and Program Director for the Pediatric CardiologyFellowship at the University of Louisville, shares his insights on theintegration of generative AI in clinical education. Drawing from both hisclinical experience and educational leadership, Dr. Kurtz discusses the promiseand pitfalls of AI in medicine, emphasizing that while AI tools can enhancediagnostic thinking and reduce cognitive biases, they still lack the nuance andcontextual judgment essential in complex medical cases. He notes that learnersmay increasingly rely on AI over traditional resources like UpToDate, andstresses the importance of educators modeling thoughtful AI use. Dr. Kurtzadvocates for evolving assessment strategies—such as requiring learners todefend their AI-assisted decisions or explain their prompts—to ensure criticalthinking remains central. Ultimately, he encourages clinical educators toengage with AI firsthand to better guide and assess learners in this newtechnological landscape. Do you havecomments or questions about Faculty Feed? Contact us at FacFeed@louisville.edu. We lookforward to hearing from you.

Up To Date
75 years after Truman integrated the military, Black veterans reflect on the 'freedom to serve'

Up To Date

Play Episode Listen Later May 15, 2025 28:09


In 1950, a special committee assembled by President Harry S. Truman delivered its groundbreaking report on desegregating the military. KCUR's Up To Date spoke with two Black veterans to discuss the legacy of Truman's decision and the battles that are still being fought to ensure the integration of the armed forces.

Pedscases.com: Pediatrics for Medical Students

This episode of PedsCases will give you an approach to congenital hemangiomas. By the end of this podcast, listeners will be able to 1) define hemangiomas and congenital hemangiomas, 2) explain the genetics and environmental factors associated with congenital hemangiomas, 3) describe the pathogenesis of congenital hemangiomas, 4) classify congenital hemangiomas, and 5) discuss the diagnosis, differential diagnosis, and management strategies for congenital hemangiomas. Today's episode was created by Emilie Wang, a medical student at the University of British Columbia, in collaboration with Dr. Joseph Lam, a pediatric dermatologist at BC Children's Hospital. An author of this podcast has financial support and has received speaker bursaries from Johnson & Johnson, Pierre-Fabre, Pfizer, Valeant, Sanofi Genzyme, Incyte, La Roche Posay Canada, Beiersdorf Canada and serves on advisory committees for Johnson & Johnson, Pierre-Fabre, Pfizer, Valeant, Sanofi Genzyme. They also serve as Associate Editor of Pediatric Dermatology Journal, and have been contributors to UpToDate, Medscape, BMJ Updates, and Eczema Society of Canada.  

Up To Date
Mario Vasquez, Kansas City's new city manager, talks about how he plans to approach the job

Up To Date

Play Episode Listen Later May 14, 2025 33:10


Kansas City Council voted last week to make Mario Vasquez, a longtime city employee, as the new city manager. Vasquez joined KCUR's Up To Date to discuss his new role and his vision for Kansas City.

Up To Date
This Fort Leavenworth soldier plans to keep fighting against Trump's transgender ban

Up To Date

Play Episode Listen Later May 13, 2025 22:06


Thousands of military members are pending discharge from the military after President Trump's ban on transgender people was allowed to go into effect. One Army major stationed at Fort Leavenworth, Kansas, tells Up To Date why she'll continue to resist the ban.

Checkpoint
Up To Date: The Nintendo Switch 2 Experience

Checkpoint

Play Episode Listen Later May 12, 2025


Join the entire Checkpoint crew in this episode of Checkpoint on JOY where they talk about their experience trying out the Nintendo Switch 2.   Catch the latest episode on... LEARN MORE The post Up To Date: The Nintendo Switch 2 Experience appeared first on Checkpoint.

Rio Bravo qWeek
Episode 190: Measles Basics

Rio Bravo qWeek

Play Episode Listen Later May 9, 2025 27:51


Episode 190: Measles BasicsFuture Dr. Kapur explained the basics of measles, including the pathophysiology, diagnosis and management of this disease. Dr. Schlaerth added information about SPPE and told interesting stories of measles. Dr. Arreaza explained some statistics and histed the episode.  Written by Ashna Kapur MS4 Ross University School of Medicine. Comments by Katherine Schlaerth, MD, and Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Introduction.According to the CDC, as of April 24, 2025, a total of 884 confirmed measles cases were reported by 30 states, including California, and notably Texas. This is already three times more cases than 2024. There are 3 confirmed deaths so far in the US. What is measles?Measles is a disease that's been around for centuries, nearly eradicated, yet still lingers in parts of the world due to declining vaccination rates. Let's refresh our knowledge about its epidemiology, clinical features, diagnosis, management, and most importantly — prevention.Definition.Measles, also known as rubeola, is an acute viral respiratory illness caused by the measles virus. It's a single-stranded, negative-sense RNA virus belonging to the Paramyxoviridae family. It's extremely contagious with a transmission rate of up to 90% among non-immune individuals when exposed to an infected person.EpidemiologyBefore the introduction of the measles vaccine in 1963, nearly every child got measles by the time they were 15 years old. With the introduction of vaccination, cases and deaths caused by measles significantly declined. For example, in 2018, over 140,000 deaths were reported in the whole world, mostly among children under the age of 5.Measles is still a common disease in many countries, including in Europe, the Middle East, Asia, and Africa. Measles outbreaks have been reported recently in the UK, Israel, India, Thailand, Vietnam, Japan, Ukraine, the Philippines, and more recently in the US. So, let's take prevention seriously to avoid the spread of this disease here at home and abroad. How do we get measles, Ashna?Mode of Transmission:● Air: Spread primarily through respiratory droplets.● Surfaces: The virus remains viable on surfaces or in the air for up to 2 hours. (so, if a person with measles was in a room and you enter the same room within 2 hours, you may still get measles)● Other people: Patients are contagious from 4 days before until 4 days after the rash appears.PathophysiologyThe measles virus first infects the respiratory epithelium, replicates, and then disseminates to the lymphatic system.It leads to transient but profound immunosuppression, which is why secondary infections are common. It affects the skin, respiratory tract, and sometimes the brain, leading to complications like pneumonia or encephalitis.Clinical PresentationThe classic presentation of measles can be remembered in three C's:● Cough● Coryza (runny nose)● ConjunctivitisCourse of Disease (3 Phases):1. Prodromal Phase (2-4 days)○ High fever (can peak at 104°F or 40°C)○ The 3 C's○ Koplik spots: Small white lesions on the buccal mucosa.2. Exanthem Phase○ Maculopapular rash begins on the face (especially around the hairline), then spreads from head to toe. The rash typically combines into 1 big mass as it spreads, and the fever often persists during the rash.3. Recovery Phase○ Rash fades in the same order it appeared.○ Patients remain at risk for complications during and after rash resolution.Complications:● Pneumonia (most common cause of death in children)● Otitis media (most common overall complication)● Encephalitis (can lead to permanent neurologic sequelae)● Subacute sclerosing panencephalitis (SSPE): A rare, fatal, degenerative CNS disease that can occur years after measles infection.High-risk groups for severe disease include:● Infants and young children● Pregnant women● Immunocompromised individualsDiagnosisClinical diagnosis is sufficient if classic symptoms are present, especially in outbreak settings.Ashna: Laboratory confirmation:● Measles-specific IgM antibodies detected by serology.● RT-PCR from nasopharyngeal, throat, or urine samples.Notify public health authorities immediately upon suspicion or diagnosis of measles to limit spread. ManagementThere is no specific antiviral treatment for measles. Management is supportive:● Hydration (by mouth and only IV in case of severe dehydration)● Antipyretics (e.g., acetaminophen) for fever● Oxygen if hypoxicVitamin A supplementation:● Recommended for all children with acute measles, particularly in areas with high vitamin A deficiency. It has shown to reduce morbidity and mortality.Hospitalization may be necessary for:● Severe respiratory compromise● Dehydration● Neurologic complicationsPrevention: We live in perilous times and vaccination is under scrutiny right now. Before the measles vaccine, about 48,000 people were hospitalized and 400–500 people died in the United States every year. Measles was declared eradicated in the US in 2000, but the vaccination coverage is no longer 95%. How do we prevent measles?Vaccination is the cornerstone of prevention.● MMR vaccine (Measles, Mumps, Rubella):○ First dose at 12-15 months of age.○ Second dose at 4-6 years of age.○ 97% effective after 2 doses.The Advisory Committee on Immunization Practices (ACIP) has noted that febrile seizures typically occur 7 to 12 days after vaccination with MMR, with an estimated incidence of 3.3 to 8.7 per 10,000 doses. The Centers for Disease Control and Prevention (CDC) states that febrile seizures following MMR vaccination are rare and not associated with any long-term effects. The risk of febrile seizures is higher when the MMR vaccine is administered as part of the combined MMRV (measles, mumps, rubella, and varicella) vaccine compared to the MMR vaccine alone.Post-exposure prophylaxis:● MMR vaccine within 72 hours of exposure (if possible).● Immunoglobulin within 6 days for high-risk individuals (e.g., infants, pregnant women, immunocompromised).Herd immunity requires at least 95% vaccination coverage to prevent outbreaks.Key Takeaways● Measles is a highly contagious viral illness that can lead to severe complications.● Diagnosis is often clinical, but lab confirmation helps with public health tracking.● Treatment is mainly supportive, with Vitamin A playing a critical role in reducing complications.● Vaccination remains the most effective tool to eliminate measles worldwide.While measles might seem like a disease of the past, it can make a dangerous comeback without continued vigilance and vaccination efforts.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Centers for Disease Control and Prevention (CDC). Measles (Rubeola), Clinical Overview, July 15, 2024. Accessed on May 1, 2025. https://www.cdc.gov/measles/hcp/clinical-overview/index.html.World Health Organization (WHO). Measles, November 14, 2024. https://www.who.int/news-room/fact-sheets/detail/measlesGans, Hayley and Yvonne A. Maldonado, Measles: Clinical manifestations, diagnosis, treatment, and prevention, UpToDate, January 15, 2025. Accessed on May 1, 2025. https://www.uptodate.com/contents/measles-clinical-manifestations-diagnosis-treatment-and-preventionTheme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.

Up To Date
Ketanji Brown Jackson accepts Truman Foundation's 'Good Neighbor Award' in Kansas City

Up To Date

Play Episode Listen Later May 8, 2025 44:36


Supreme Court Justice Ketanji Brown Jackson visited Kansas City on Thursday to accept the Good Neighbor Award from the Truman Foundation. She joined KCUR's Up To Date to discuss what it is like to be a justice in this politically-charged era of government as well as her bestselling autobiography "Lovely One."

WGN - The John Williams Full Show Podcast
Dr. Michael Bauer: Make sure measles vaccination is up to date

WGN - The John Williams Full Show Podcast

Play Episode Listen Later May 6, 2025


Dr. Michael Bauer, Medical Director at Northwestern Medicine Lake Forest Hospital, joins John Williams to talk about the dangers of mixing alcohol and medications, a new study published in the Cancer Research journal suggests that early prostate cancer diagnoses can be made via a mere urine test, how artificial intelligence has been used in the hospital, the […]

WGN - The John Williams Uncut Podcast
Dr. Michael Bauer: Make sure measles vaccination is up to date

WGN - The John Williams Uncut Podcast

Play Episode Listen Later May 6, 2025


Dr. Michael Bauer, Medical Director at Northwestern Medicine Lake Forest Hospital, joins John Williams to talk about the dangers of mixing alcohol and medications, a new study published in the Cancer Research journal suggests that early prostate cancer diagnoses can be made via a mere urine test, how artificial intelligence has been used in the hospital, the […]

Checkpoint
Up To Date: GTA VI’s gets delayed

Checkpoint

Play Episode Listen Later May 5, 2025


Join Luke, Edie, Charlie, and Too Many Teeth Studio's Harry in this episode of Checkpoint on JOY, where they discuss the recent GTA VI's news and other gaming news.  ... LEARN MORE The post Up To Date: GTA VI's gets delayed appeared first on Checkpoint.

The MCG Pediatric Podcast
Neonatal CMV and Universal Screening

The MCG Pediatric Podcast

Play Episode Listen Later May 2, 2025 28:01


Did you know that congenital cytomegalovirus (cCMV) is the most common congenital viral infection in newborns and a leading cause of non-genetic hearing loss? Despite its prevalence, awareness and screening for cCMV remain inconsistent across healthcare systems. In this episode, we dive into the critical importance of cCMV screening, early diagnosis, and intervention. Join our expert guests Dr. Ingrid Camelo and Dr. John Noel as they discuss: The impact of cCMV on neonatal and long-term health outcomes Best practices for screening and diagnostic methods The role of early intervention, including antiviral therapy How advocacy efforts are shaping the future of universal screening policies Tune in to stay informed on how pediatricians and healthcare providers can play a vital role in improving outcomes for infants affected by cCMV. Special thanks to Dr. James Grubbs for peer reviewing this episode. CME Credit (requires free sign up): Link Coming Soon! References:  American Academy of Pediatrics. A targeted approach for congenital cytomegalovirus. Available at: https://publications.aap.org/pediatrics/article/139/2/e20162128/60211/A-Targeted-Approach-for-Congenital-Cytomegalovirus. Accessed August 13, 2024. Chiopris G, Veronese P, Cusenza F, Procaccianti M, Perrone S, Daccò V, Colombo C, Esposito S. Congenital cytomegalovirus infection: update on diagnosis and treatment. Microorganisms. 2020 Oct 1;8(10):1516. doi: 10.3390/microorganisms8101516. PMID: 33019752; PMCID: PMC7599523. Gantt S. Newborn cytomegalovirus screening: is this the new standard? Curr Opin Otolaryngol Head Neck Surg. 2023 Dec 1;31(6):382-387. doi: 10.1097/MOO.0000000000000925. Epub 2023 Oct 11. PMID: 37820202. Minnesota Department of Health. Minnesota implements universal newborn screening for cytomegalovirus. Available at: https://www.health.state.mn.us/news/pressrel/2023/ccmv020823.html. Accessed August 13, 2024. National CMV Foundation. Advocacy: universal newborn CMV screening. Available at: https://www.nationalcmv.org/about-us/advocacy#:~:text=Minnesota%20was%20the%20first%20state%20to%20enact%20universal%20newborn%20CMV%20screening. Accessed August 13, 2024. New York State Department of Health. Newborn screening for cytomegalovirus. Available at: https://www.health.ny.gov/press/releases/2023/2023-09-29_newborn_screening.htm#:~:text=ALBANY%2C%20N.Y.,all%20babies%20for%20the%20virus. Accessed August 13, 2024. UpToDate. Congenital cytomegalovirus (CMV) infection: clinical features and diagnosis. Available at: https://www.uptodate.com/contents/congenital-cytomegalovirus-ccmv-infection-clinical-features-and-diagnosis?search=cmv%20screening&source=search_result&selectedTitle=1%7E28&usage_type=default&display_rank=1#H92269684. Accessed August 13, 2024. UpToDate. Congenital cytomegalovirus (CMV) infection: management and outcome. Available at: https://www.uptodate.com/contents/congenital-cytomegalovirus-ccmv-infection-management-and-outcome?search=congenital%20cmv&source=search_result&selectedTitle=2%7E66&usage_type=default&display_rank=2. Accessed August 13, 2024. UpToDate. Ganciclovir and valganciclovir: an overview. Available at: https://www.uptodate.com/contents/ganciclovir-and-valganciclovir-an-overview?search=ganciclovir&source=search_result&selectedTitle=2%7E80&usage_type=default&display_rank=1#H6. Accessed August 13, 2024. University of Texas Medical Branch. Neonatology manual: infectious diseases. Available at: https://www.utmb.edu/pedi_ed/NeonatologyManual/InfectiousDiseases/InfectiousDiseases3.html#:~:text=may%20be%20required.-,Cytomegalovirus,Clinical%20findings. Accessed August 13, 2024. National Center for Biotechnology Information. Cytomegalovirus (CMV) infection. Available at: https://www.ncbi.nlm.nih.gov/books/NBK541003/. Accessed August 13, 2024.                                                                                                             

Up To Date
5 Questions: Kathy Nelson of Visit KC and the Greater Kansas City Sports Commission

Up To Date

Play Episode Listen Later May 2, 2025 26:50


Kathy Nelson is the president and CEO of both Visit KC and the Greater Kansas City Sports Commission and Foundation. She joined KCUR's Up To Date for our series "5 Questions."

Russell & Medhurst
Dick Jerardi gets us up to date on the 151st Kentucky Derby race tomorrow

Russell & Medhurst

Play Episode Listen Later May 2, 2025 13:17


Dick Jerardi gets us up to date on the 151st Kentucky Derby race tomorrow full 797 Fri, 02 May 2025 19:15:56 +0000 K92Hex5eM9TIpybS0Dz7nEf8CnrXdqBP kentucky derby,sports The Chris Russell Show kentucky derby,sports Dick Jerardi gets us up to date on the 151st Kentucky Derby race tomorrow Chris discusses and debates DC sports on his daily show. Get informed and opinionated discussion of the Washington Commanders, the Nationals, Capitals, Wizards, and more. 2024 © 2021 Audacy, Inc. Sports False https://player.ampe

Up To Date
Count Basie Orchestra got its start in Kansas City. It's returning to celebrate 90 years

Up To Date

Play Episode Listen Later Apr 29, 2025 22:59


On Wednesday, April 30, the Count Basie Orchestra will celebrate 90 years swinging at the Kansas City Music Hall. "Everybody in the orchestra will be featured. And we'll just be doing what Mr. Basie began in 1935," director Scotty Barnhart told Up To Date.

Checkpoint
Up To Date: The Elder Scrolls IV: Oblivion Remake

Checkpoint

Play Episode Listen Later Apr 28, 2025


Join Elliot, Luke, Erielle, and Jarrod in this episode of Checkpoint on JOY where they talk about the release of The Elder Scrolls IV: Oblivion Remake.   Catch the latest... LEARN MORE The post Up To Date: The Elder Scrolls IV: Oblivion Remake appeared first on Checkpoint.

Buccateers Podcast
Tampa Bay Buccaneers | NFL Draft Day 3 Live Coverage | Live Up To Date Pick Updates, Trades, & More | JC Allen, Pro Wrestler, & MORE SPECIAL GUESTS!

Buccateers Podcast

Play Episode Listen Later Apr 27, 2025 167:01


THE FELLAS ARE BACK WITH OUR ANNUAL DAY 3 NFL DRAFT COVERAGEOUR FIFTH YEAR IN A ROW OF BRINGING YOU ALL THE DAY 3 PICKS, THE DAY 1 & DAY 2 ANALYSIS, AND SO MUCH MORE!JOIN US ON X: @BUCCATEERSJOIN US ON IG: @BUCCATEERSPOD TONES ON X: @TAMPATONESTONES ON IG: @TAMPATONESS

Harold's Old Time Radio
Ripley's Believe It Or Not - 1 Minute Episodes xx-xx-xx (158) Up to Date Church

Harold's Old Time Radio

Play Episode Listen Later Apr 26, 2025 1:02


Ripley's Believe It Or Not - 1 Minute Episodes xx-xx-xx (158) Up to Date Church

Cybercrime Magazine Podcast
Mastering Cyber. Keep Software & Apps Up To Date. Alissa “Dr Jay” Abdullah, Deputy CSO, Mastercard.

Cybercrime Magazine Podcast

Play Episode Listen Later Apr 23, 2025 1:31


Welcome to Mastering Cyber with Host Alissa (Dr Jay) Abdullah, PhD, SVP & Deputy CSO at Mastercard, and former White House technology executive. Listen to this weekly one-minute podcast to help you maneuver cybersecurity industry tips, terms, and topics. Buckle up, your 60 seconds of cyber starts now! Sponsored by Mastercard: https://mastercard.us/en-us.html

Checkpoint
Up to date: Increased console prices

Checkpoint

Play Episode Listen Later Apr 21, 2025


Join Luke, Elliot, Bree, and Doug in this episode of Checkpoint on JOY, where they discuss Sony's price increase for the PlayStation and other gaming news.   Catch the latest... LEARN MORE The post Up to date: Increased console prices appeared first on Checkpoint.

Checkpoint
Up To Date: Schedule I Controversy

Checkpoint

Play Episode Listen Later Apr 14, 2025 54:01


Join Elliot, Luke, Missy, and Edie in this episode of Checkpoint on JOY where they talk about the latest video game controversy and other gaming news.   Catch the latest... LEARN MORE The post Up To Date: Schedule I Controversy appeared first on Checkpoint.

Up To Date
'Our kids are that important': Mayor Lucas urges Kansas City to vote for public school bond

Up To Date

Play Episode Listen Later Apr 7, 2025 45:34


Voters will head to the polls Tuesday to decide whether to approve a $474 million bond for Kansas City Public Schools. On KCUR's Up To Date, Mayor Quinton Lucas reinforced his support for the bond, discussed the recent firing of City Manager Brian Platt and more.

Up To Date
Kansas Gov. Laura Kelly says the new budget will leave the state 'way underwater'

Up To Date

Play Episode Listen Later Apr 2, 2025 34:28


Kansas lawmakers last week passed a budget that would put the state roughly $460 million in debt by 2028. Up To Date spoke to Gov. Laura Kelly about the new spending plan, the GOP supermajority in the Legislature and more.

The Job Interview Podcast
Feel Good Fridays Update: Experts on Happiness, Positivity & Careers Coming Soon + How to Stay Up to Date

The Job Interview Podcast

Play Episode Listen Later Mar 27, 2025 2:20 Transcription Available


I'm leading tomorrow's session (March 28th)! After that, experts from around the world will join us and lead sessions on happiness, positivity, gratitude, career mindset shifts, and more. Sign up for the newsletter to stay up to date on Feel Good Fridays: https://www.jobinterviewexperience.com/newsletter Join us for upcoming Feel Good Fridays sessions: https://www.jobinterviewexperience.com/feelgood

Up To Date
It's Opening Day for the Kansas City Royals! What will 2025 hold for the team?

Up To Date

Play Episode Listen Later Mar 27, 2025 45:54


The Kansas City Royals are coming off their best season in almost a decade after winning a playoff series in 2024. In a live broadcast from Kauffman Stadium, KCUR's Up To Date spoke with Royals owner John Sherman, general manager J.J. Picollo and more about the upcoming season and stadium negotiations.

Field Gulls: for Seattle Seahawks fans
REACTION! Seahawks salary cap FINALLY up to date - how much space do they have left?

Field Gulls: for Seattle Seahawks fans

Play Episode Listen Later Mar 26, 2025 21:16


Thank you to our sponsor DUER!! “Built for DOING!”Get 20% off your order with DUER, active denim and lifestyle apparel atwww.shopduer.com/FOREVERHere's how you can support the Seahawks Forever channel:Become a paid member of the channel for exclusive perks and benefits!https://www.youtube.com/channel/UCKP7ohrtTc8P0a4YIBUTfdg/joinBuy me a coffee, or a beer!https://www.buymeacoffee.com/dviens08wSUBSCRIBE to the YouTube Channel for video versions:https://www.youtube.com/channel/UCKP7ohrtTc8P0a4YIBUTfdgJoin YouTube Premium! Watch ALL videos across the app AD-FREE (a portion of the fees comes back to the channel)Hit the SUPER THANKS button!Or… just engage with the videos! Comment, critique, as questions. The more interaction the better!FOLLOW me on Bluesky AND Twitter @SeahawksForeverFor promotional or media inquiries - EMAIL dviens08@gmail.comSUBSCRIBE TO THE NEW NFL DRAFT CHANNEL “PULSE OF THE DRAFT!” with myself and Bryce Coutts of the Hawkzone Rundown - launching late January 2025. https://www.youtube.com/channel/UCJBnG_xl6LAMK4J3V-zayDAAll content on this YouTube channel is produced, written, edited & performed by Dan Viens. All content on this channel is copyrighted and/or licensed to be used under permitted audiovisual grounds, and/or for the single use of "fair use" under news reporting and/or teaching only.Copyright Disclaimer Under Section 107 of the Copyright Act 1976, allowance is made for "fair use" for purposes such as criticism, comment, news reporting, teaching, scholarship, and research. Fair use is a use permitted by copyright statutes that might otherwise be infringing. No copyright infringement intended.Any re-broadcast, or unauthorized use of content produced on this channel is strictly prohibited and subject to legal consequences unless otherwise permitted by the owner. #bluewirevideo

Up To Date
Book recs: Kansas City librarians, bookstore owners and readers share their current favorites

Up To Date

Play Episode Listen Later Mar 26, 2025 44:30


A Pulitzer-prize winning play, trendy fantasy series, a whistleblower memoir and more were picked by Up To Date's panel of book lovers as their current favorites. Find recommendations from local booksellers and librarians, as well as suggestions from our listeners.

Rio Bravo qWeek
Episode 187: Autism Fundamentals

Rio Bravo qWeek

Play Episode Listen Later Mar 21, 2025 21:00


Episode 187: Autism FundamentalsFuture Dr. Ayyagari explains the recommended screenings for autism, how to diagnose it and sheds some light on the management. Dr. Arreaza mentions the Savant Syndrome and the need to recognize ASD as a spectrum and not a “black or white” condition.Written by Tejasvi Ayyagari, MSIV, Ross University School of Medicine. Comments by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Introduction:Autism, or Autism Spectrum Disorder (ASD), is a neurodevelopmental disorder that affects how a person thinks, interacts with others, and experiences the world. It is characterized by deficits in social communication and interaction and restricted and/or repetitive behavior patterns, interests, and activities. Autism is considered a "spectrum" disorder because it encompasses a wide range of symptoms, skills, and levels of functioning, including Asperger's, Auditory processing disorder, Rett syndrome, etc. The exact causes of autism are not fully understood, but many question genetic and environmental factors at play.  What are some of the main characteristics of autism?1. Social difficulties: Individuals with autism may experience trouble understanding social cues or body language, leading to difficulty forming meaningful relationships. Children may display little interest in playing with others or engage in limited imaginative play (doll playing, pretend playing).2. Repetitive behaviors and interests: People with autism may engage in repetitive movements with their arms or hands and focus intensely on specific topics or activities. They may become distressed when routines are disrupted.3. Overstimulation: Individuals with autism may find multiple stimuli too overwhelming and gravitate towards either minimal stimulation or certain appealing stimulations best suited for their needs. 4. Intellectual variation: People with autism can have varying intellectual abilities, from severe mental disabilities to those who excel in specific disciplines, such as accounting or history (savants). Savant syndrome. It is a syndrome popularized by movies, TV shows and social media. The Good Doctor is a good example of it. Savant syndrome manifests by having a superior specific set of skills in a developmentally disabled person. Savants are like human supercomputers—while the rest of us are buffering, they can recall in 4K. We must not assume all people with autism are savants, unless we are particularly told about their exceptional talent.Another famous person with Savant syndrome was Kim Peek, portrayed by Dustin Hoffman in the 1988 movie The Rain Man. Kim Peek was later diagnosed with the FG syndrome and not autism spectrum disorder.What is the prevalence of autism?Worldwide, it is estimated that about 1 in 100 to 1 in 150 children are diagnosed with autism, though this number can vary based on the country and diagnostic practices. In the United States, according to the CDC, as of 2023, approximately 1 in 36 children are diagnosed with autism.  Some studies even claim that boys are 4x more likely to be diagnosed with autism than girls.It is a very prevalent condition, and we have some recommendations about screenings. I feel like most parents have a “feeling” that something may be wrong with their kid, but I think most parents may feel that way, especially when they have their first baby.The American Academy of Pediatrics recommends that all children should be screened for autism at 18 months and 24 months of age during routine well-child visits, using standardized tools like the Modified Checklist for Autism in Toddlers (M-CHAT) or other validated autism screening tools.   MCHAT is a two-step screening that requires a second visit if the first test shows moderate risk. Also, we must continue to follow up the development of kids in well child visits and be on the lookout for signs of autism, even outside of the recommended screening ages. How is autism diagnosed?Autism is typically diagnosed between the ages of 2 and 3, but it is often identified in early childhood. According to the DSM-5, there are two main clusters of symptoms for autism.- Cluster A: Involves social communication and interaction impairments in various settings.- Cluster B: Involves repetitive behavioral patterns, limited areas of interest, and atypical sensory behaviors/experiences.According to the DSM-5-TR criteria, a diagnosis of ASD requires that the following criteria are met:All three of the following Cluster A symptoms:- Social-emotional reciprocity: Difficulty engaging in mutually enjoyable conversations or interactions due to a lack of shared interests or understanding of others' thoughts and feelings.- Nonverbal communicative behaviors to socialize, such as using aspects with eye contact, facial expressions, gestures, and tone of voice, which makes communication more difficult.- Difficulty developing, understanding, and maintaining relationships: This could manifest as difficulty adjusting behavior to social settings, an inability to show expected social behaviors, a lack of interest in socializing, or difficulty making friends despite wanting to.Two or more of the following Cluster B symptoms:- Stereotyped or repetitive movements, use of objects, or speech: Echolalia or flapping the hands repeatedly.- Persistent sameness, where patients require adherence to routines or ritualized patterns of behavior, such as difficulty with transitions or a need to eat the same food each day.- Highly restricted, fixated interests: This may include an intense focus on specific objects (trains) or topics (such as dinosaurs or natural disasters).- Sensory response variations, including heightened or diminished responses to sensory input, such as adverse reactions to sounds, indifference to temperature, or excessive touching/smelling of objects.Additionally, the symptoms must:- Significantly impair social, academic/occupational, and daily functioning,- Not be better explained by intellectual disability or global developmental delay, and- Be present in early childhood. (However, symptoms may only become apparent when social demands exceed the child's capacity; in later life, they may be masked by learned strategies.)How can we go about managing autism?There is no "cure" for Autism. However, various therapies can help manage the condition. Treatment tailors to the individual's age, strengths, and weaknesses. Our main goal is to maximize function, encourage independence, and improve the patient's overall quality of life.During office visits as primary care doctors, we have to use different strategies to make the visits more focused on individual needs, making sure the caregivers are involved as well as the patient. We communicate with caregivers before and during the visit to optimize patient compliance, allow enough time for the family/caregiver to talk about the patient's history, allow the patient to play with instruments/materials provided, and use simple instructions. Sometimes, the physical exam can be the most challenging aspect of the exam because it is so overstimulating for the patient. Hence, allowing enough time for the patient to be comfortable is key.This is a multidisciplinary management that includes, family med, pediatricians, social workers, behavioral health, etc.Personal experiences interacting and managing patients with autism in the clinic or in the hospital:Dr. Arreaza: I have seen a lot of adult patients with autism.I see a challenge commonly found is agitation and the use of medications. I prefer to defer any prescriptions to psychiatry, if needed, but behavioral concerns can be successfully managed by behavioral health with participation of family, caregivers, and especial education.TJ:  Personal story with Auditory Processing Disorder (APD).Conclusions: Dr. Arreaza: Autism is a spectrum, not all persons with ASD are the same. They are not all geniuses, and they are not all developmentally delayed, they are not just black or white, but there are several shades of gray in between. TJ:  Not one doctor or one family will take care all responsibility, it requires a multifaceted approach.People with autism can live a long and meaningful lives.Thank you for listening to this week's episode on Autism. We will see you next time.  Have a nice day.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Centers for Disease Control and Prevention. Data and statistics on autism spectrum disorder. CDC.gov. Accessed on March 13, 2025. https://www.cdc.gov/autism/data-research/index.htmlWeissman Hale, Laura, “Autism spectrum disorder in children and adolescents: Overview of management and prognosis,” UpToDate, accessed on March 13, 2025. https://www.uptodate.com/contents/autism-spectrum-disorder-in-children-and-adolescents-overview-of-management-and-prognosis.Volkers, N. (2016). Early Signs. The ASHA Leader.https://doi.org/10.1044/leader.ftr1.21042016.44Urquhart-White, Alaina, “'The Good Doctor' Puts The Spotlight On A Rare, Mysterious Syndrome,” Bustle, September 25, 2017. https://www.bustle.com/p/whats-real-about-savant-syndrome-is-something-the-good-doctor-should-explore-2439405Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/. 

Bob & Brad
Osteoarthritis Myths vs. Facts - With Professor David Hunter

Bob & Brad

Play Episode Listen Later Mar 5, 2025 41:20


In this episode, Mike sits down with Professor David Hunter, one of the world's leading experts on osteoarthritis, to separate fact from fiction. They dive into the biggest misconceptions about osteoarthritis, discuss cutting-edge research, and explore what works to manage pain and improve joint health.Professor Hunter is a rheumatologist clinician-researcher whose primary research focus is clinical and translational research in osteoarthritis. He is ranked as the leading expert in the world on osteoarthritis on expertscape.com, is the section editor for UpToDate osteoarthritis,the Editor in Chief for Osteoarthritis and Cartilage, and has over 600 publications in peer-reviewed journals. He is co-Director of Sydney Musculoskeletal Health and leads the osteoarthritis team at the Kolling Institute who are dedicated to improving our understanding of osteoarthritis and the quality of life for those who suffer from this prevalent disabling disease.Professor David Hunter Website: https://www.sydney.edu.au/medicine-health/about/our-people/academic-staff/david.hunter.html