Podcasts about UpToDate

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.

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.

Text us about this show.Amelie Eiding and Jonathan Kresin are the husband and wife duo 7000apart and with this episode they're making their third appearance on Into The Music. This time around we have not just their two most recent singles, "Soul & Soma's Scars" and "Legacy," but we're debuting their fantastic NEW song "Up To Date" which drops on April 7! Add to that discussion of their new album project, Why Do We Do What We Do?, the importance of reliable bandmates, a plethora of 2025 WAMI Award nominations, and Amelie becoming the Swedish voice of Snow White. There's always lots going on with 7000apart, so listen in and catch up on the latest."Soul & Soma's Scars" and "Up To Date" written and performed by 7000apart℗ 2025 7000apart, LLC. Used with permission of 7000apart."Legacy" performed by 7000apartwritten by Jonathan Kresin℗ 2025 7000apart, LLC. Used with permission of 7000apart.Support the showVisit Into The Music at https://intothemusicpodcast.com!Support the show: https://www.buymeacoffee.com/intothemusic E-mail us at intothemusic@newprojectx.com YouTube Facebook Instagram INTO THE MUSIC is a production of Project X Productions.Host/producer: Rob MarnochaVoiceovers: Brad BordiniRecording, engineering, and post production: Rob MarnochaOpening theme: "Aerostar" by Los Straitjackets* (℗2013 Yep Roc Records)Closing theme: "Close to Champaign" by Los Straitjackets* (℗1999 Yep Roc Records)*Used with permission of Eddie Angel of Los StraitjacketsThis podcast copyright ©2025 by Project X Productions. All rights reserve...

Join Bree, Edie, Charie, and Victor in this episode of Checkpoint on JOY, where they discuss the latest games announced during March 2025's Nintendo Direct.   Catch the latest episode... LEARN MORE The post Up To Date: Nintendo Direct (March 2025) appeared first on Checkpoint.

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

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.

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

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.

Join Elliot, Luke, Charlie, and Jake (aka Monster Mansion) in this episode of Checkpoint on JOY, where they discuss another game shutting down and other gaming headlines.   Catch the... LEARN MORE The post Up To Date: Another video game shutdown and new project announcements appeared first on Checkpoint.

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/. 

In this episode, Tom Varghese, MD, FACS, is joined by Haytham Kaafarani, MD, MPH, FACS, and Vahe Panossian, MD, from the Department of Surgery, Massachusetts General Hospital and Harvard Medical School. They discuss the recent article by Drs Kaafarani and Panossian, “Validation of Artificial Intelligence-Based POTTER Calculator in Emergency General Surgery Patients Undergoing Laparotomy: Prospective, Bi-Institutional Study.” This study found that POTTER accurately predicts mortality and postoperative complication, and the superior accuracy, user-friendliness, and interpretability of POTTER make it a useful bedside tool for preoperative counseling.    Disclosure Information: Drs Varghese and Panossian have nothing to disclose. Dr Kaafarani receives honoraria payments from UpToDate. The POTTER calculator is available online for free, and Dr Kaafarani has not been compensated for the development or ongoing use of the calculator.  To earn 0.25 AMA PRA Category 1 Credits™ for this episode of the JACS Operative Word Podcast, click here to register for the course and complete the evaluation. Listeners can earn CME credit for this podcast for up to 2 years after the original air date. Learn more about the Journal of the American College of Surgeons, a monthly peer-reviewed journal publishing original contributions on all aspects of surgery, including scientific articles, collective reviews, experimental investigations, and more. #JACSOperativeWord

Episode Notes/Resources: In this episode of Salesforce Simplified we're talking with Ad Victoriam Solutions Salesforce Technical Architect, Jitin Chatlani, about inheriting a Salesforce org and key considerations admins need to heed.  Resources: How to Keep Your Salesforce Org Secure and Up-To-Date: https://tinyurl.com/bdhd9myv Set Up Your Salesforce Org for Integration with MuleSoft: https://tinyurl.com/2fvux5w3 Jitin Chatlani on LinkedIn:  https://tinyurl.com/bdpncha6

B is for Brugada! Jody reviews this important cause of ventricular arrhythmias and sudden cardiac arrest.References & Resources:1) Medications to Avoid (Brugadadrugs.org)2) Brugada Syndrome (Life In The Fastlane)3) Wylie, J. V. Brugada syndrome: Epidemiology and pathogenesis. UpToDate. https://www.uptodate.com/ contents/brugada-syndrome-epidemiology-and-pathogenesis4) Wylie, J. V. Brugada syndrome: Clinical presentation, diagnosis, and evaluation. UpToDate. https://www. uptodate.com/contents/brugada-syndrome-clinical-presentation-diagnosis-and-evaluation5) Wyle, J. V. Brugada syndrome or pattern: Management and approach to screening of relatives. UpToDate. https://www. uptodate.com/contents/brugada-syndrome-or-pattern-management-and-approach-to-screening-of-relatives

Join Luke, Elliot, Edie, and Austin in this episode of Checkpoint on JOY, where they discuss the latest rumors and gaming headlines.   Catch the latest episode on Spotify:  ... LEARN MORE The post Up To Date: The next gen Xbox and other gaming announcements appeared first on Checkpoint.

Jody reviews this maybe-not-so-rare genetic disorder that is an important and often overlooked cause of mostly lung and liver disease.References:1) Stoller, J.K. Clinical manifestations, diagnosis, and natural history of alpha-1-antitrypsin deficiency. UpToDate. https://www.uptodate.com/contents/clinical-manifestations-diagnosis-and-natural-history-of-alpha-1-antitrypsin-deficiency2) Hogarth, D. K. Alpha-1-antitrypsin deficiency. Epocrates. https://www.epocrates.com/online/diseases/1075/alpha-1-antitrypsin-deficiency#highlights-basics3) Alpha-1-antitrypsin level test. Lippincott Advisor. https://advisor.lww.com/lna/document.do?bid=5&did=1336317&searchTerm=alpha-1-antitrypsin&hits=antitrypsin,alpha4) Endobronchial Valve Therapy (American Lung Association)

Join Bree, Lisa, Edie, and Charlie in this episode of Checkpoint on JOY where they discuss Rockstar's latest Aussie acquisition and other gaming news.   Catch the latest episode on... LEARN MORE The post Up To Date: Rockstar Australia and Sea Life x Animal Crossing appeared first on Checkpoint.

Total Wealth & Wellness Radio

For more than 40 years, Mike Mahoney reported on government and politics for KMBC 9 News. Mahoney joined KCUR's Up To Date for the series "5 Questions."

Welcome to 2025 Federal Employees! There's an unprecedented shakeup happening right now in real-time, and your career and retirement hang in the balance. There's lots of rumors flying, but not many solid facts. That's why you need to hear what Elizabeth Inman is saying in this episode. Elizabeth Inman is conducting a FREE online webinar to give you the information you need to know if the Voluntary Early Retirement (VERA) is for you: Understanding the Voluntary Early Retirement (VERA) Webinar: Watch now at: https://tinyurl.com/FEBC-VERA-WEBINAR Elizabeth Inman and the FEBC Podcast is your trusted source for news and information that directly affects you... the Federal and Postal Employee. We share strategies to help you maximize your retirement benefits and equip you with the financial tools to build lasting security now, and well into retirement. If this sounds good to you, simply hit the subscribe button and click the bell icon to be sure you don't miss any critical updates. Looking for solutions to maximize your retirement income? Find out more by downloading my FREE book, The TSP Millionaire:The TSP Millionaire Book: https://febcnow.com/#formblock We have a complimentary Federal Retirement Survival Kit that we would like to send to you. Simply request your Survival Kit by calling (833)693-3388.FEBC Online Resources: https://febcnow.com/resource-center The TSP Calculator: https://febcnow.com/tsp-millionaire-calculator What is my Risk Number? https://go.riskalyze.com/start-rq Free Download Resources from FEBC: The TSP Millionaire Book: https://febcnow.com/#formblock The TSP Risk-Guard Exec Summary: https://febcnow.com/riskguard-form Six Keys to Understanding the New TSP Mutual Fund Window: https://febcnow.com/landing-tsp-transition Get your 17-point Assessment for Federal Retirement: https://febcnow.com/17-point-assessment Subscribe today for more valuable information and FREE resources. Contact Us: Federal Employee Benefit Coordinators Website: www.FEBCnow.com Call FEBC Offices: (833) 693-3388

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

HR 3 - NFL After Dark, Up To Date, Audio Dump full 2715 Wed, 05 Mar 2025 04:29:05 +0000 9WBAkx8EZvV8A1WtJvZJqyGuvtpLWNas sports The Fan After Dark sports HR 3 - NFL After Dark, Up To Date, Audio Dump The Fan After Dark includes a rotation of hosts offering a truth-telling sports entertainment experience that gets listeners right on the biggest sports topics in and around DFW, across the country, and around the world. Focusing on the Cowboys, Rangers, Mavericks, etc., The Fan After Dark airs M-F from 7-11 PM and is the only live and local sports radio show in the MetroplexCome 'Get Right' with Reg on The Fan, and be prepared for sports talk on a whole new level. You can follow Reg on Twitter @regadetula © 2024 Audacy, Inc. Sports False https://player.amperwavepodcasting.com?feed-lin

Up To Date full 800 Wed, 05 Mar 2025 03:01:32 +0000 MhpZu4WerOtIGw1k8iw0l4TyZUmta5mh sports The Fan After Dark sports Up To Date The Fan After Dark includes a rotation of hosts offering a truth-telling sports entertainment experience that gets listeners right on the biggest sports topics in and around DFW, across the country, and around the world. Focusing on the Cowboys, Rangers, Mavericks, etc., The Fan After Dark airs M-F from 7-11 PM and is the only live and local sports radio show in the MetroplexCome 'Get Right' with Reg on The Fan, and be prepared for sports talk on a whole new level. You can follow Reg on Twitter @regadetula © 2024 Audacy, Inc. Sports False https://player.amperwavepodcasting.com?feed-link=https%3A%2F%2Frss.amperwave.net%2

Join Kolby, Lisa, Victor, and Missy in this episode of Checkpoint on JOY where they talk about the latest console trends in gaming and other gaming news.   Catch the... LEARN MORE The post Up To Date: Latest console gaming statistics appeared first on Checkpoint.

Whether you're looking for an Oscar-worthy film or a good series to stream at home, Up To Date's film critics dish on what's worth your time. Find out what Academy nominations they think deserve more attention and what streaming series has them hooked.

Jason Kander is a former Missouri Secretary of State and host of the podcast Majority 54. He shared his thoughts on the state of local and national politics, and played along for Up To Date's series "5 Questions."

Today my guest is Tania from Tania Lines Translation & Writing Services. We met on LinkedIn recently and I thought that Tania would be an interesting podcast guest … so here she is!We talked about How Tania keeps all of her languages up-to-date – both her working languages and the additional ones that she wants to learn The idea of having one day dedicated to each additional language and how this looks practically Tania's experience of moving to countries where she did not speak the language Language exchanges and my online language exchange meet-ups Facial expressions and how the correct position of your lips, teeth and jaw are also important if you want to produce the correct sounds Roxie the beagle and how Tania's interest in dogs and cats has opened up a new area of specialisation for her How about you? If you speak more than one additional language, how do you try to ensure that you give enough attention to all of them?Find out more on the show notes page: https://www.englishwithkirsty.com/podcast/episode271

Join Bree, Elliot, Luke, and Victor in this episode of Checkpoint on JOY, where they discuss Toast Interactive's closure, a Sony lawsuit in Europe, and other big gaming headlines.  ... LEARN MORE The post Up To Date: studio closures, lawsuits, and other gaming news appeared first on Checkpoint.

Missouri Rep. Emanuel Cleaver II says that Congressional Democrats have no power to stop the Trump administration's funding cuts and other actions without Republican buy-in. Cleaver and Kansas Rep. Sharice Davids joined Up To Date to discuss the impact of Trump's first month on Kansas City.

In this episode, Lillian Erdahl, MD, FACS, is joined by Judy Boughey, MD, FACS, from the Mayo Clinic Rochester Department of Surgery. They discuss Dr Boughey's recent article, “American College of Surgeons Cancer Programs Annual Report from 2021 Participant User File.” This inaugural annual report from the National Cancer Database describes the 2021 adult participant user files (PUF) as a whole, as well as the PUFs for breast, colon, and pancreatic cancer in more detail. It summarizes new observations and recent trends of cancer diagnoses, patient demographics, and treatment trends.   Disclosure Information: Drs Erdahl has nothing to disclose. Dr Boughey receives funding paid to her institution from Eli Lilly and SymBioSis; sits on the Data Safety Monitoring Committee of CairnsSurgical; and has received honoraria from PER, PeerView, OncLive, EndoMag, and UpToDate.   To earn 0.25 AMA PRA Category 1 Credits™ for this episode of the JACS Operative Word Podcast, click here to register for the course and complete the evaluation. Listeners can earn CME credit for this podcast for up to 2 years after the original air date.   Learn more about the Journal of the American College of Surgeons, a monthly peer-reviewed journal publishing original contributions on all aspects of surgery, including scientific articles, collective reviews, experimental investigations, and more.   #JACSOperativeWord

Join Elliot, Charlie, Edie, and Ghost Moth Studios' Kelly and Haydon in this episode of Checkpoint on JOY where they talk about PlayStation's recent State of Play announcement.   Catch... LEARN MORE The post Up To Date: PlayStation's State of Play appeared first on Checkpoint.

Episode 184: Multiple Myeloma BasicsSub-Interns and future Drs. Di Tran and Jessica Avila explain the symptoms, work up and treatment of multiple myeloma. Written by Di Tran, MSIV, Ross University School of Medicine; Xiyuan Yang, MSIV, American University of the Caribbean. Comments by Jessica Avila, MSIV, American University of the Caribbean. Edits 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.Di: Hi everyone, this is Di Tran, 4th year medical student from Ross university.  It's a pleasure to be back.  To be honest, this project is a part of teamwork of two medical students, myself and another 4th year, her name is XiYuan.  She came from the AUC. Unfortunately, due to personal matters she was unable to make it to the recording today which makes me feel really sad. Jessica: My name is Jessica Avila, MSIV, American University of the Caribbean.Di: The topic we will present today is Multiple Myeloma. Multiple myeloma is typically a rare disease and it's actually a type of blood cancer that affects plasma cells in the bone marrow.Jessica: Let's start with a case: A 66-year-old male comes to his family doctor for an annual health checkup. He is not in any acute distress but he reports that he has been feeling tired and weaker than usual for the last 3 months. He also noticed that he tends to bruise easily. He has a history of arthritis and chronic joint pain, but he thinks his back pain has gotten worse in the last couple of months. Upon checking his lab values, his family doctor found that he has a calcium level of 10.8 and a creatinine level of 1.2, which has increased from his baseline. Given all that information, what do you think his family doctor is suspecting? And what kind of tests she can order for further evaluation?Di: Those symptoms sound awfully familiar – are we talking about the CRAB? You know, the diagnostic criteria for Multiple Myeloma.Jessica: Exactly! Those are called “myeloma-defining events.” Do you remember what those are?Di: CRAB criteria comes in 4 flavors.  It's HYPERCALCEMIA with >1mg/dL, RENAL INSUFFICIENCY with serum creatinine >2mg/dL, ANEMIA with hemoglobin value 10% plasma cells, PLUS any one or more of the CRAB features, we can make the official diagnosis of multiple myeloma. Di:  Before we go deeper, let's back up a little bit and do a little background.  So, what do we know about the immunoglobulins, also known as antibodies? Back from years of studying from medical school, we know that the plasma cells are the ones that producing the antibodies that help fight infections.  There  are various kinds that come with various functions.  Each antibody is made up of 2 heavy chains and 2 light chains.  For heavy chains, we have A, D, E, G, M and for light chains we have Kappa and Lambda.Jessica: Usually, the 5 possible types of immunoglobulins for heavy chains would be written as IgG, IgA, IgD, IgE, and IgM.  And the most common type in the bloodstream is nonetheless the IgG. Di: What is multiple myeloma? In myeloma, all the abnormal plasma cells make the same type of antibody, the monoclonal antibody.  The cause of myeloma is unknown, but there are lots of studies and evidence that show a number of potential etiologies, including viral, genetic, and exposure to toxic chemicals, especially the Agent Orange, which is a chemical used as herbicide and defoliant. It was used as a chemical warfare by the U.S. military during the Vietnam War from 1961 to 1971.Jessica: We need to order some specific blood tests to see if there is elevated monoclonal proteins in the blood or urine. So, to begin with we'll need to take a very thorough history and physical exam. Next, we'll do labs, such as CBC, basic metabolic panel, calcium, serum beta-2 microglobulin, LDH, total protein, and some not so common tests: serum protein electrophoresis (SPEP), immunofixation of blood or urine (IFE), quantitative immunoglobulins (QIg), serum free light chain assay, and serum heavy/light chain ratio assay.If any of the results is abnormal, we should consider referring our patient to an oncologist.Di: Interesting! I read that Multiple Myeloma symptoms vary in different patients.  In fact, about 10-20% of patients with newly diagnosed myeloma do not have any symptoms at all.   Otherwise, classic symptomatic presentations are weakness, fatigue, increased bruising under the skin, reduced urine output, weakened bones that is likely prone to fractures, etc. And if multiple myeloma is highly suspected, a Bone Marrow biopsy should be done with testing for flow cytometry and fluorescent in situ hybridization (FISH). Actually, if any of the “Biomarkers of malignancy (SLIM)” is met we can also diagnose multiple myeloma even without the CRAB criteria. Jessica: The diagnosis is made if one or more of the following is found: >= 60% of clonal plasma cells on bone marrow biopsy, > 1 lytic bone lesion on MRI that is at least 5mm in size, or a biopsy confirmed plasmacytoma. Di: Imaging comes in at the final step especially if we able to find one or more sites of osteolytic bone destruction > 5mm on an MRI scan.Jessica: What if the bone marrow biopsy returns > 10% of monoclonal plasma cells, but our patient doesn't have either the CRAB or the Biomarker criteria? Di: That's actually a very good question, since Multiple Myeloma is part of a spectrum of plasma cell disorders. That's when smoldering myeloma comes into play. It is a precursor of active multiple myeloma. Smoldering myeloma is further categorized as high-risk or low-risk based on specific criteria.A less severe form is called Monoclonal Gammopathy of Undetermined Significance, or simply MGUS, with < 10% bone marrow involvement. Those are diagnoses we give once we rule out actual multiple myeloma, which are defined by the amount of M-protein in the serum.Jessica:  When to get started on treatment? Multiple Myeloma is on a spectrum of plasma cells proliferative disorders, starting from MGUS to Smoldering Myeloma, to Multiple Myeloma and to  Plasma Cell Leukemia.  Close supervision/active watching is enough for MGUS and low risk Smoldering Myeloma. But once it has progressed to high-risk smoldering myeloma or to active Multiple Myeloma, chemotherapy is usually required. Some situations may require emergent treatment to improve renal function, reduce hypercalcemia, and to prevent potential infections.Di: As of 2024, treatment of Multiple Myeloma comprises the Standard-of-Care approved by the FDA. In fact, the quadruple therapy is a combination of 4 different class of drugs that include a monoclonal antibody, a proteasome inhibitor, an immunomodulatory drug, and a steroid. Jessica: They are Darzalex (daratumumab), Velcade (bortezomib), Revlimid (lenalidomide) and dexamethasone.  Other treatment plans for Multiple Myeloma include chemotherapy, immunotherapy, radiation therapy (for plasmacytomas) and stem cell transplants. The patient will also be on prophylaxis acyclovir and Bactrim while on chemotherapy. Sometimes anticoagulants are also considered because the chemo increases the risk of venous thromboembolic events.Di: Although the disease is incurable, but with the advancing of novel therapies and clinical trials patients with multiple myeloma are able to live longer.  Problem is the majority of patients diagnosed with Multiple Myeloma are older adults (>65), the risk of falling is adding to multiple complications of the disease itself, such as bone density loss, pain, neurological compromises, distress and weakness.  Palliative care may come in help at any point in time throughout the course of treatment but is most often needed at the very end of the course. Jessica, can you give us a conclusion for this episode?Jessica: Multiple Myeloma may not be the most common cancer, but we have to be aware of the symptoms and keep it in our differential diagnosis for patients with bone pain, easy bruising, persistent severe headaches, unexplained renal dysfunction, and remember the CRAB: HyperCalcemia, Renal impairment, Anemia and Bone lesions.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:International Myeloma Foundation. (n.d.). International Myeloma Working Group (IMWG) criteria for the diagnosis of multiple myeloma. https://www.myeloma.org/international-myeloma-working-group-imwg-criteria-diagnosis-multiple-myeloma Laubach, J. P. (2024, August 28). Patient education: Multiple myeloma symptoms, diagnosis, and staging (Beyond the Basics). UpToDate. https://www.uptodate.com/contents/multiple-myeloma-symptoms-diagnosis-and-staging-beyond-the-basics.University of California San Francisco. (n.d.). About multiple myeloma. UCSF Helen Diller Family Comprehensive Cancer Center. https://cancer.ucsf.edu/research/multiple-myeloma/about Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.

This is Twitch Tales, an interactive D&D (Dungeons and Dragons) 5e series run by me over on my Twitch channel. https://twitch.tv/roberthartleygm In this episode, Apis is back in Fondirg, having proved it's really them and not the fake Apis that was impersonating them while they were away. Apis meets with who is in charge of Fondirg now and learns what has happened in their absence. Thank you to everyone who participated and if you want to join in and influence the story, head over to Twitch and follow to be notified when I go live! Thanks to Jen Toher for editing and for coding my overlays, and to Michael Glasswell ( https://www.twitch.tv/spideynz ) for providing the art assets for the overlays. Thanks also to cinderfingers for the Twitch Tales Logos ( https://www.deviantart.com/cinderfingers ). The epic intro music was composed by Magical Music Manufacturing (Wesley Chu, Allan Hon, Jacob Kudjer, Alexander Zhu). Check them out at https://www.magicalmusicmanufacturing.com SUPPORT MY WORK: If you want to support me financially, so I can make more of this sort of content, you can do so on Patreon. https://www.patreon.com/RobertHartleyGM If you want to wear or drink from my logo or designs on some merch, check out my store. https://merch.streamelements.com/roberthartleygm Another way to support me is to browse some lovely Level Up Dice using my affiliate links. Simply clicking the links will help me, but buying some dice helps me, Level Up Dice AND you!: US: http://bit.ly/LUDGMRobertHartleyUS AUS: http://bit.ly/LUDGMRobertHartleyAU SOCIALS: Twitch: https://www.twitch.tv/roberthartleygm Discord: https://discord.gg/Tam2QpufaK Instagram: https://www.instagram.com/roberthartleygm Twitter: https://www.twitter.com/roberthartleygm Podcast: https://open.spotify.com/show/6AEITpjYEbeOM4hUmvv08N

Key Considerations for Benchmarking Network Storage Performance, OpenZFS 2.3.0 available, Updates on AsiaBSDcon, GhostBSD Desktop Conference, Recovering from external zroot, Create a new issue in a Github repository with Ansible, Stories I refuse to believe, date limit in UFS1 filesystem extended, and more NOTES This episode of BSDNow is brought to you by Tarsnap (https://www.tarsnap.com/bsdnow) and the BSDNow Patreon (https://www.patreon.com/bsdnow) Headlines Key Considerations for Benchmarking Network Storage Performance (https://klarasystems.com/articles/considerations-benchmarking-network-storage-performance/) OpenZFS 2.3.0 available (https://github.com/openzfs/zfs/releases/tag/zfs-2.3.0) News Roundup Updates on AsiaBSDCon 2025 - Cancelled - (https://lists.asiabsdcon.org/pipermail/announce/2025-January/000046.html) GhostBSD Desktop Conference (https://www.phoronix.com/news/BSD-Desktop-Conference-GhostBSD) Recovering from external zroot (https://adventurist.me/posts/00350) Create a new issue in a Github repository with Ansible (https://jpmens.net/2025/01/25/create-a-new-issue-in-a-github-repository/) Stories I refuse to believe (https://flak.tedunangst.com/post/stories-i-refuse-to-believe) Defer the January 19, 2038 date limit in UFS1 filesystems to February 7, 2106 (https://cgit.freebsd.org/src/commit/?id=1111a44301da39d7b7459c784230e1405e8980f8) Tarsnap This weeks episode of BSDNow was sponsored by our friends at Tarsnap, the only secure online backup you can trust your data to. Even paranoids need backups. Feedback/Questions Feedback - Nelson - Ada/GCC (https://github.com/BSDNow/bsdnow.tv/blob/master/episodes/598/feedback/Nelson%20Feedback.md) Send questions, comments, show ideas/topics, or stories you want mentioned on the show to feedback@bsdnow.tv (mailto:feedback@bsdnow.tv) Join us and other BSD Fans in our BSD Now Telegram channel (https://t.me/bsdnow)

Steve Inskeep, the voice you hear on your morning commute each day co-hosting NPR's Morning Edition and Up First, came to Kansas City to promote his book "Differ We Must." He joined KCUR's Up To Date to discuss his fact-based approach to journalism in the era of Trump.

Wendy Doyle is the CEO of United WE, a Kansas City nonprofit that promotes economic and leadership opportunities for women and girls. She joined KCUR's Up To Date as part of our series "5 Questions" to discuss music, books and Kansas City.

Join Elliot, Luke, David, and Brie in this episode of Checkpoint on JOY where they talk about the biggest gaming events that have been announced and other gaming news.  ... LEARN MORE The post Up To Date: Big gaming events in Australia appeared first on Checkpoint.

Mauli Agrawal is the chancellor of the University of Missouri-Kansas City. He joined KCUR's Up To Date for the series "5 Questions" to discuss music, books and the state of Kansas City.

KCUR's Up To Date caught up with legendary Hall of Famer Dick Vermeil, who coached the Chiefs and Eagles, before Sunday's big game. Plus, we'll hear how one local couple plans to stay civil during the Super Bowl, despite rooting for opposite teams.

Sandy and Craig discuss how Wellsheet achieves high clinician satisfaction, how it improves over time, and how it has earned the trust of hospitals across the country. Craig Limoli co-founded Wellsheet as a solution to the frustrations he noticed clinicians had with existing technologies, particularly around accessing patient data in a user-friendly format. Wellsheet's patient summaries are preferred by 94% of clinicians for chart review, reducing chart review time by 50% and length of stay by 16.3%. Sandy and Craig also discuss Wellsheet's recent partnership with UpToDate, allowing clinicians to access contextually relevant data faster. In this episode, they discuss:How Wellsheet contextualizes data to give clinicians the most relevant information to make treatment decisionsWellsheet's impact on the inpatient side of healthcare, delivering ROI on clinician satisfaction and burnout while increasing productivityHow Wellsheet addresses workflow bottlenecks at hospitalsThe money hospitals are saving by implementing Wellsheet's AI solution, which mainly comes from reducing the patient length-of-stays The breadth of adoption across healthcare systems that differentiates Wellsheet as an AI solutionDifferent use-cases for Wellsheet throughout healthcare practicesWellsheet's partnership with UpToDate, allowing for integration and seamless workflows A little about Craig:Craig Limoli founded Wellsheet after seeing the frustration that clinicians faced with existing technologies while he worked at IBM in their Watson Health division. He left his MBA program at Wharton to found Wellsheet with a mission to create a better experience for physicians and care teams.Aligning his solutions with the problems clinicians identified, Craig built Wellsheet's AI solution to help clinicians access relevant patient information in a contextualized, user-friendly format. In 2017, Craig brought Wellsheet to the market, primarily serving small practices. Since then, Wellsheet's AI solution has been deployed to hundreds of hospitals across some of the largest health systems in the country and has delivered vast improvements in clinician productivity and experience.

Do you ever feel like there's too much happening in dentistry to keep your head on straight? Kiera talks about 4 ways you can stay up to date without being overwhelmed: Listen to podcasts Attend conferences Join a consulting group Find what you're passionate about Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent (00:00.554) Hello, Dental A Team listeners. This is Kiera and welcome to the podcast. I hope today is just a magical day for you. I hope that you're having just a great time and I hope that you just remember that we're in the greatest space possible. We get to be in dentistry. We get to help people. We get to literally help people have greater smiles and greater happiness in life. And I think that that is one of the most incredible things that we get to be a part of. So thank you for being a part of our family. Thank you for being on the podcast with us.   Thank you for listening in, get ready. We're gonna actually start to have a lot of you join us on the podcast. I have a new idea that's ready to trickle out and I hope you are excited for it. I wanna get to know more of you. I want to hear from more of you. So get ready, it's coming for you. Today is going to be kind of a funny topic. I thought it was funny. I have our team, they're super kind, our marketing team, shout out to them. They actually go and they read Facebook groups and they read.   different areas, they read a lot of dental information and they're constantly watching things and they listen for what you guys are emailing in on, which you could always email me a podcast topic. Hello@TheDentalATeam.com. I love to hear from you. love pen pals. and so our team, they go out and they scope and I read this one and I said, I don't want to podcast on that. and then I read through, they have a nice list for me of about seven pages of topics for me, which is super nice. And this topic was on there like,   It was here. And then I looked on the list and it was here again. And I thought, okay, fine. I will talk about a topic. And I hope that this is helpful for you. And the question is like how to stay updated on all the new dental technology and how to keep my team educated and up to date with the latest techniques and technology. And to me, this feels like a no brainer, but I realized this is obviously a question that you guys have. So let's answer it. All right. So welcome to the Dental A Team Podcast. I'm going to teach you how to do this, how we do it, how we help other offices do it.   And again, something that I thought was so just everyday knowledge isn't. So here we go. That's why we had the podcast. That's why we share. And if you love our podcast, please do me a solid favor, go like, review and share with somebody today. Okay, so ways that we were able to do this. Number one, you're doing a great job. You're listening to a podcast. So high five there. I try really hard to bring people to the industry that I've met, that I talk to, but it is tricky. And it's like, how do we know that these people are the best? So find somebody who's a trusted source.   Kiera Dent (02:19.774) within the industry that you can trust. I have prided myself for years that I started Dental A Team because of Midwestern students. Shout out to all my Midwestern students out there. I noticed that in dental school, they were gonna get freaking eaten alive coming out into the world of dentistry. And it's like, how do you trust different reps? Because people are so good at selling you on the latest technology and the latest this and the latest that, that it's kind of scary.   And so that was something that I wanted to do is to be a resource, to be a beacon, to help you know, these are people I've vetted. Just so you know, any sponsor I bring on, they have to work with us. They have to do different pieces. They have to let me beta test on them of other practices before I will even introduce them. So I have quite a few people in the back burner at all times that I'm testing, that I'm vetting, that I wanna make sure that they're getting results before I bring them onto the podcast. I got burned a little bit early on. And also if you listen to past podcasts,   that company might not stay the top of the list. I'm constantly looking for it and I tell offices like you might not get to be or sponsors. I will always be looking and if someone comes in better than you, they will get promoted from me. So I think that that's one zone. Like I've told Zeke at Swell, if anybody comes onto the market that's better doing Google reviews than him, I will definitely promote them. As of today,   Zeke is still the number one way that I get Google reviews for clients. They tell me all the time, Kiera, but we have it in this software, this software. I say, guess what? Zeke does it for, think like 149 or 199 a month. And I have offices who I literally beta tested on who got over 50 reviews in one month from using Swell. They have grown their practice from having like three new patients a month, I'm not joking, to having over 45 new patients a month by using Swell. People ask, how did you do it, Kiera? And I'm like, honestly, it was Google reviews and time. That's it.   And so for that, I will promote them. And so when you're curious about how do we find this up to date of new technologies, I think listening to podcasts and listening to trusted sources out there, like AI and different pieces, I also think going to conferences. So the way I actually meet a ton of our sponsors and speakers and different people are through conferences. I go to these conventions and I go meet people and then I go test their products and then I work with them and I figure out and I have a lot of our clients are beta testers for me and they'll try them out and I get free trials for them.   Kiera Dent (04:35.566) but going to your conferences in your areas, not only is great for a CE, but go meet people. And I know it can be annoying to be sold all the time, but it can be helpful. And so for example, like right now, the greatest AI on the market is between Overjet and Pearl. Those are the top two for adding AI onto your X-rays to help you co-diagnose, to helping you with that. They're the best on the market. I love Pearl. That's the one we've selected to go with. We have an affiliate relationship with them where I get the most preferred pricing for all of our clients.   So if you're interested in that, be sure to reach out. We can help you connect with them and get that discounted rate. But this is how we do it. Also, I think online, like watching reels as silly as that sounds, but there's a lot on Instagram and TikTok and things like that. But then questioning it as well of is this really real and what really is needed for my practice? So right now AI is hot. So let's be looking at AI and what things could we implement into our practice. And it's one of those things I don't like to be the earliest adopter, but I also don't want to be the person who never adopted and I actually got left behind.   So when we're looking for this new technology, we're looking for these new things, attending those pieces, watching it, and then doing our own individual research. Like you can email me anytime, hey Kiera, have you heard about this company? I love it when people do that. Cause one, you expose me to other companies and two, I'm able to then go research them, vet them, and then bring it to the podcast and share. Because my goal is within our community, within consulting, I love it. We bring our offices together. And this is actually how I also learn about a lot of things. And that would be my third point of like, join a consulting group.   I know I'm a consultant, so hopefully you want to choose the Dental A Team, but join a consulting group that brings people together, that shares. We bring our doctors together every single month, and then we meet in person actually twice a year. And it's because I want you to mastermind and I want you to talk to each other, and I want you to figure out what are the best ideas, what are the best resources, who are you using for this, who are you using for that? Because just hearing and talking with other people, it's like, my gosh, I didn't even know that. In our company, we call it Tip Tuesday.   And every Tuesday, our team member brings pieces to the tables. Like today, Shelby brought like a window cleaner. And it seems so silly, but I think back to community, right? Think back to back in the day when we didn't have technology and we weren't all connected virtually, we were connected in person. And when you're in person, you chat. And when you chat, you share your secrets and you share the best things that work for you. And so like Shelby sharing a glass cleaner that's $2.89 on Amazon, life-changing.   Kiera Dent (06:59.234) But without community and without chatting, that's something that I would have just gone on my merry way continuing to buy Windex that is the strongest being promoted product out there. And it sounds so silly, but it's tips like that. What are the little things you're doing in your practice? What are the elite practices doing? What are other offices doing? And let's all share. And it's not just the elite practices. It's a lot of startups. Startups are scrappy. They've got other resources. But like I talked to my gym trainer and we used to virtually coach. And then I went in person with her.   And instantly I'm connected to people for the podcast and people for social media and different people for whatever it is because I'm with her. And so getting together with a consulting group that meets in person or meets virtually that shares ideas, our community goes wild and it's incredible to see them all sharing, hey, what cosmetic group do you want to go to? Or, hey, what's a great resource for this? Or what's a great thing for that? But being a part of a group of community of trusted colleagues, I also think is a great way to stay on top of it. Now, how do we get our team educated on it?   I think that there's other ways like you can take them to courses. So look to see, I usually try to do things within our team that I want to learn. So let's say we wanna learn marketing. We're gonna take our team to marketing events. We're going to find coaches for marketing. We're gonna find events around it. If you wanna do cosmetic, let's do cosmetic. Let's bring it to the office. Again, that's why I love consulting is because we literally fly to the office and we show you guys what you can implement within your practice that can help with it. So finding those things, but...   Also on your leadership team, get them fired up. Hygenist will go and look for research and information and see E that's going to make them so excited and so fun that they're excited about with laser and PRF and PRP and what can we do for snoring and different pieces like that. But find what you're passionate about. And that's also another way, because I think sometimes we get so inundated with technology that we miss what we're actually passionate about. And so really helping you realize this can be fun. You don't have to be.   over the top and like, my gosh, I'm missing out on all of this. I would say in a simple form of number one, plan to go to at least one dental convention every single year. I don't care what it is. I don't care where you go. I don't care if wanna travel out of state, but that's gonna be your best way to bring those people in because those conferences are constantly looking for sponsors and people and a lot of the newer companies, a lot of the OG companies.   Kiera Dent (09:13.528) they tend to attend these conferences. If you're not in a big area where maybe a lot of people won't come to it, go to some of the bigger ones like RMDC in Colorado, Chicago Midwinter, Dicama. Some of these are really big ones that will bring more people in for you. And you don't have to even go for the CE. Just go walk the vendor halls, go see who this is there, and then go do some research on it. Next would be, would say, listen to podcasts and attend free webinars. Our company puts on the third Thursday of every single month, we do a free CE webinar.   And I do that intentionally to bring great people to the audience, to share with you other people that are out there, to get all these different pieces of technology and sponsors and vendors and different things that will make your office easier, attend those. So I would pick once a year, go to a conference every month, find some sort of CE, whether it's a book, whether it's a webinar or something that's going to get you educated. And then the third thing I would say is to join a group, a consulting group, because honestly, that's where it's the networking, it's the community, it's sharing.   that you're going to learn all these different pieces. It's too hard to do it on your own. And so find someone. And of course, I would love Dental A Team to be your preferred consultant. I'd love us to help take you to the next level. I'd love to expose you and your team. We have virtual, we have in-person and we have in-person events and we have in-office visits as well where we come to your practice and we also meet together as a community, as a collective group. We do it on Friday and Saturday. It's really fun. It's really exciting. And it's a really great time to just connect to   to share and I think that you doing those items, you will stay up to date. There's no way you can't stay up to date as long as the consultant is innovative. And of course, I'm going to like toot my own horn. We're one of the youngest consulting companies out there. I'm nervous for us to become an older one, but I've tried really hard to keep myself young. Being a millennial, I'm very tech savvy. I'm very aggressive on research and knowledge and innovating and implementing ideas because I know that if we don't, be dated very quickly. And so,   also finding someone who is maybe a little bit younger on that. Like I look for social people that are in their twenties because they're going to innovate even better than I will. And so those would be some of my suggestions of how you can stay up to date, how you can stay current, how you can make sure that you're gathering all these research, these resources, and then realize I'm not going to catch them all, but I'm going to focus on the ones that turn my practice to ease efficiency in the areas I want. And that's what I'm going to do. And I guarantee you, if you do that, you will be so happy. So   Kiera Dent (11:36.386) Hopefully those gave you some ideas. Like I said, this was a topic that I thought everybody already knew, but in digging into it, I realized this can feel daunting and it can feel like I'm always behind, but I think breaking it down to your annual, your monthly, and then also joining a group. Again, like I said, I'd love you to be a part of it. I think those three things will keep you current and will keep your team current as well. And as always, if we can help you reach out, Hello@TheDentalATeam.com You guys are incredible. We're doing an incredible work. There's amazing things coming into dentistry. And I would say do not get left behind.   but stay current. And then I guess my fourth final tip for you would be commit to implementing at least one item of new technology every single year. And I think if you do those items, you will always stay up to date. I'm happy to share a ton of our resources. So reach out, Hello@TheDentalATeam.com And as always, thanks for listening. I'll catch you next time on the Dental A Team Podcast.

In recent years, exonerees Darryl Burton and Lamonte McIntyre have worked to help other people who have been wrongfully convicted through their nonprofit, Miracle of Innocence. They joined Up To Date to discuss the latest on the organization, Burton's new book and the death of disgraced Kansas City, Kansas, police detective Roger Golubski.

In this episode, your hosts discuss their opinions on the 2025 Grammys. With Chappel Roan winning Best New Artist, Beyonce winning Best Country Album of the Year and Album of the Year, and finally Sabrina Carpenter taking home Best New Artist- there was a lot to talk about! Sam, Audrey, and Jayne share their all opinions from favorite outfits, to favorite performances of the night. Next, they go into conversation about the recent plane crash in Washington D.C, and the importance of safety while traveling. Finally, they finish it off with their favorite segment- Song of the Week, where Jayne tells all about Bad Bunny's new album.

It’s hard to tell, but we have no way to know for sure. 

Welcome to PsychEd, the psychiatry podcast for medical learners, by medical learners. This primer covers the differential diagnosis of dementia. Hosts: Dr. Alastair Morrison (PGY-1) and Dr. Angad Singh (PGY-1) Audio editing by: Dr. Angad Singh (PGY-1) Resources: MoCA: https://dementia.talkbank.org/protocol/materials/MOCA.pdf MMSE: https://meded.temertymedicine.utoronto.ca/sites/default/files/assets/resource/document/mini-mental-state-examinationmmse.pdf Beers Criteria: American Geriatrics Society 2023 updated AGS Beers Criteria® for potentially inappropriate medication use in older adults PsychEd Episode 49: Dementia Assessment with Dr. Lesley Wiesenfeld References: American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596 Francis, J. & Young, B. (2022). Diagnosis of delirium and confusional states. UpToDate. Retrieved January 31, 2025, from https://www.uptodate.com/contents/delirium-and-acute-confusional-states-prevention-treatment-and-prognosis Larson, E. B. (2022). Evaluation of cognitive impairment and dementia. UpToDate. Retrieved January 31, 2025, from https://www.uptodate.com/contents/evaluation-of-cognitive-impairment-and-dementia PsychDB. (2022, Oct 3). Introduction to Dementia. Retrieved January 31, 2025, from https://www.psychdb.com/geri/dementia/home PsychDB. (2024, Feb 1). Delirium. Retrieved January 31, 2025, from https://www.psychdb.com/cl/1-delirium PsychDB. (2024, Feb 9). Alzheimer's Disease. Retrieved January 31, 2025, from https://www.psychdb.com/geri/dementia/alzheimers PsychDB. (2023, Oct 12). Vascular Dementia. Retrieved January 31, 2025, from https://www.psychdb.com/geri/dementia/vascular PsychDB. (2024, Jan 23). Frontotemporal Dementia. Retrieved January 31, 2025, from https://www.psychdb.com/geri/dementia/frontotemporal PsychDB. (2024, Feb 5). Dementia with Lewy Bodies. Retrieved January 31, 2025, from https://www.psychdb.com/geri/dementia/lewy-body For more PsychEd, follow us on Instagram (@psyched.podcast), Facebook (PsychEd Podcast), and X (@psychedpodcast). You can email us at psychedpodcast@gmail.com and visit our website at psychedpodcast.org.

The Year of the Snake begins on Wednesday, Jan. 29. Up To Date heard how Asian communities around Kansas City celebrate, and how to take part.

Tammy Buckner is a founder and CEO of WeCode KC, an organization that aims to create a more diverse tech industry by teaching technology and leadership skills to young Kansas Citians. She joined KCUR's Up To Date to for our new series "5 Questions" to discuss what music she's got on repeat, what she's reading and more.

Two U.S. representatives from Missouri — Republican Mark Alford and Democrat Emanuel Cleaver II — joined KCUR's Up To Date to discuss how they're approaching their jobs during the second Trump administration.

The book "Remember the First Ladies" highlights the fascinating history of America's first ladies from Martha Washington to Melania Trump. Co-author Diana Carlin joined KCUR's Up To Date to tell their stories.

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

America Out Loud PULSE with Dr. Vaughn & Dr. Tankersley – A detailed review of recent evidence reveals engineered aspects of the SARS-CoV-2 spike protein, its impact on clotting and inflammation, and inadequacies in mainstream medical resources like UpToDate. With insights into gain-of-function origins and Congressional critiques, this discussion exposes ignored realities and highlights discrepancies in COVID-19 treatment guidance.