Podcasts about UpToDate

We are back up to date, and we record at Bock, the great European beer bar in South Park, to celebrate the start of the new Bundesliga season… #bluefootbarsd #fftf #footyfromthefoot #football #soccer #arsenal #astonvilla #mancity #wolverhamptonwanderers #leicestercity #westham #bayernmunich #borussiadortmund #celticfc #cadiz #xolos #sdwave #sockers #sandiegofc #premierleague #bundesliga #laliga #championship #efl #spl #seriea #ligamx #mls #nwsl Follow FootyFromTheFoot by clicking here: podfollow.com/footyfromthefoot Linktree for all our socials, email & places to access the podcast: linktr.ee/footyfromthefoot @footyfromthefoot @sdgooners @sandiegocityzens @sandiego_wolves @avfccalifornia @sandiegohammers @sandiegofoxes @fcbsandiego @san_diego_bvb_supporters @san_diego_csc @esecadieeuu @calitrotters @bluefootbar Show Notes: Listen to our picks from previous weeks this year on the FFTF Recommends Spotify Playlist… https://open.spotify.com/playlist/44rQHVYe3rZeIkXqindPhr?si=6108eb3813d34beb Phil's GoFundMe: tinyurl.com/4dpazpv3 Charlie's GoFundMe: tinyurl.com/2s3rtakn California Trotters: calitrotters@gmail.com @calitrotters on IG, Twitter & Facebook

This episode of The Medical Show? Dr. Tolbert breaks down all the good & bad associated with using the internet to check your health. AI? We cover that too! Season 1 finale day!RESOURCES WE RECOMMENDED: PubMed, Mayo Clinic Symptom Checker, UpToDate, LexiComp, & Google ScholarVIDEO VERSION: https://youtu.be/ONz832Ug9Rc Hosted on Acast. See acast.com/privacy for more information.

Kansas City hoped the downtown space would be one of the primary "focal points" during World Cup festivities next June, but the project won't be ready in time. Kansas City Manager Mario Vasquez joined KCUR's Up To Date to discuss how preparations are going, the new bus contract between the city and the KCATA, and more.

Trust in the criminal justice system in Wyandotte County has been tainted by the actions of disgraced former KCKPD detective Roger Golubski. In an interview with KCUR's Up To Date, District Attorney Mark Dupree defended his office's review of past cases, and sought to dispel rumors about Golubski's suicide.

Glassz is a Wrocław based DJ deeply involved across many aspects of the Polish scene: As the promoter behind the label and party series called SPLOT, resident and advancing manager of Ciało club, booker of Up To Date Festiva, DJing trainer at Instytut Dźwięku and former head of music editorial and programming in Radio LUZ 91.6FM. A day and night explorer of fresh, out-of-the-box electronic music, ever striving to bring new experiences to the local scene by seeking for complex and imagination-stirring dance music. Playing on the FOMO stage at the 2025 edition of Up To Date Festival, Glassz describes the mix as “the most fulfilling performance on every level captured,” serving as a testament to a relentless exploration of out-of-the-box electronics and moving beyond convention to create something truly unique. Follow: https://soundcloud.com/glassz https://www.instagram.com/glassz.dj/ https://www.facebook.com/glassz.dj/

Former Democratic National Committee Vice Chair David Hogg is visiting Kansas City to speak at an American Public Square event. He spoke with KCUR's Up To Date about the issues he sees in the modern Democratic party — and why he believes younger leadership and a focus on grassroots organizing can help the party in future elections.

UnidosUS CEO and Kansas City, Kansas, native Janet Murguía joins KCUR's Up To Date to discuss a turbulent moment in history for Latino families across the country.

Dr. Jennifer Collier oversees the education of more than 14,000 kids in Kansas City. She spoke with KCUR's Up To Date as part of our series "5 Questions," and shared what's important to her outside of the school setting.

What's the tea on Chappell Roan's new single, BTS' rumored Michael Jackson tribute album, and Rihanna's upcoming stadium residency? Get all the juicy pop culture news on today's episode! Chappell Roan's new single "Subway" is set to hit #1 on next week's Billboard Hot 100 chart. This will be her first ever #1 single! However, fans might be disappointed to learn she has no plans to release a new album for at least 5 more years. The Michael Jackson estate has shut down rumors that BTS is recording unreleased MJ material for a tribute album. Representatives confirmed these claims are "not true." Rihanna is rumored to be planning a massive stadium residency in London in 2026. This would be her first tour in over 10 years! She may release new music as early as next year to prep for the shows. Timestamps: 0:00 Intro1:23 Chapel Roone #1 single 2:45 Chapel Roone no new album 3:34 BTS/Michael Jackson rumor4:12 Rihanna residency plans5:00 Outro Key Takeaways:- Chapel Roone's "Subway" hits #1 but no new album for 5+ years- BTS is NOT doing a Michael Jackson tribute album - Rihanna planning 2026 London stadium residency & new music Ready for all the piping hot pop culture tea? Get your headphones and press play now! ______________________________________________________________________________ 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 podcastListen live on Primedia+ weekdays from 12:00 to 15:00 (SA Time) toAfternoons with Zweli broadcast on 947 https://www.primediaplus.com/station/947For more from the show go to https://buff.ly/FeeL6wYor find all the catch-up podcasts here https://buff.ly/pRBikjoSubscribe to the 947 Weekly Newsletter herehttps://buff.ly/hf9IuR9Follow us on social media947 on Facebook: https://www.facebook.com/947Joburg/947 on TikTok: https://www.tiktok.com/@947joburg947 on Instagram: https://www.instagram.com/947joburg947 on X https://x.com/947947 on YouTube: https://www.youtube.com/@947JoburgSee omnystudio.com/listener for privacy information.

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 podcastListen live on Primedia+ weekdays from 12:00 to 15:00 (SA Time) toAfternoons with Zweli broadcast on 947 https://www.primediaplus.com/station/947For more from the show go to https://buff.ly/FeeL6wYor find all the catch-up podcasts here https://buff.ly/pRBikjoSubscribe to the 947 Weekly Newsletter herehttps://buff.ly/hf9IuR9Follow us on social media947 on Facebook: https://www.facebook.com/947Joburg/947 on TikTok: https://www.tiktok.com/@947joburg947 on Instagram: https://www.instagram.com/947joburg947 on X https://x.com/947947 on YouTube: https://www.youtube.com/@947JoburgSee omnystudio.com/listener for privacy information.

Join Bree, Hayley, Missy, and Edie in this episode of Checkpoint on JOY where they talk about the Nintendo Partner Direct.   Catch the latest episode on Spotify: https://open.spotify.com/show/32Xfj6ZhkZbDTKjMXptzbp  ... LEARN MORE The post Up To Date: Nintendo Partner Direct appeared first on Checkpoint.

Bald über 20 Jahre Karriere, da sammeln sich eine Menge Informationen, Fun Facts und Insider Wissen über das Taylor Swift Universum an. Wie ihr es schaffen könnt, immer Up To Date zu bleiben, euch altes Wissen anzueignen oder Fake News ganz einfach entlarven zu können, verraten wir euch in dieser Folge. Wir haben alle wichtigen Informationsquellen, Blogs und Tricks für euch gesammelt. So könnt ihr euch das ultimative Swift-Wissen aneignen. Frage der Woche: Wie informiert ihr euch über Taylor?Die Liste unserer genannten Resourcen und Empfehlungen auf SubstackNEU: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Die Breakfast at Midnights Playlist auf Spotify ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Abonniere den Kanal Breakfast at Midnights ☕️

Join medical students Binal Patel and Aashka Sheth as they discuss adolescent gynecology with pediatrician Dr. Shreeti Kapoor.  Specifically, they will discuss: What exactly is adolescent gynecology. The proper approach to taking a comprehensive history for a pediatric patient with a gynecologic chief complaint. The various causes of dysmenorrhea in the early menarche period and its presentation. The diagnostic approach to dysmenorrhea in adolescents. The approach to treatment of dysmenorrhea in a pediatric population. And how to approach addressing safe sex practices and sexually transmitted infections with adolescents. References: 21 reasons to see a gynecologist before you turn 21. ACOG. (n.d.). https://www.acog.org/womens-health/infographics/21-reasons-to-see-a-gynecologist-before-you-turn-21   Adams Hillard P. J. (2008). Menstruation in adolescents: what's normal?. Medscape journal of medicine, 10(12), 295.  Breehl L, Caban O. Physiology, Puberty. [Updated 2023 Mar 27]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK534827/  Centers for Disease Control and Prevention. (n.d.). About heavy menstrual bleeding. Centers for Disease Control and Prevention. https://www.cdc.gov/female-blood-disorders/about/heavy-menstrual-bleeding.html  Primary dysmenorrhea in adolescents. UpToDate. (n.d.). https://www.uptodate.com/contents/primary-dysmenorrhea-in-adolescents?search=Primary+Dysmenorrhea+&source=search_result&selectedTitle=2~150&usage_type=default&display_rank=2  professional, C. C. medical. (2024, September 20). Pediatric gynecology. Cleveland Clinic. https://my.clevelandclinic.org/health/articles/24574-pediatric-gynecology  professional, C. C. medical. (2025, February 18). Puberty. Cleveland Clinic. https://my.clevelandclinic.org/health/body/puberty   Sachedin, A., & Todd, N. (2020). Dysmenorrhea, endometriosis and chronic pelvic pain in adolescents. Journal of Clinical Research in Pediatric Endocrinology, 12(1), 7–17. https://doi.org/10.4274/jcrpe.galenos.2019.2019.s0217   Sexuality, Sexual Health, and Sexually Transmitted Infections in Adolescents and Young Adults. (2020). Topics in Antiviral Medicine, 28(2). https://pmc.ncbi.nlm.nih.gov/articles/PMC7482983/pdf/tam-28-459.pdf   UpToDate. (n.d.). Abnormal uterine bleeding in adolescents. https://www.uptodate.com/contents/abnormal-uterine-bleeding-in-adolescents-evaluation-and-approach-to-diagnosis?search=heavy%2Bbleeding&usage_type=default&source=search_result&selectedTitle=3~150&display_rank=3  

Kansas Democratic Rep. Sharice Davids said that Kansans will begin to feel the effects of the spending cuts to Medicaid and the Supplemental Nutritional Assistance Program at the beginning of the year. She spoke with KCUR's Up To Date about the recent budget bill signed into law by President Trump.

Six candidates are hoping to replace Tyrone Garner as the next mayor of Kansas City, Kansas. KCUR's Up To Date spoke with Gwendolyn Thomas ahead of the August 5 primary — and we interviewed three other candidates in an episode last week.

Join Elliot, Luke, Lisa, and Cass in this episode of Checkpoint on JOY where they talk about Battlefield 6's announcement and other gaming news. Catch the latest episode on Spotify:... LEARN MORE The post Up To Date: Battlefield 6 announcement appeared first on Checkpoint.

The primary election for the Unified Government of Wyandotte County and Kansas City, Kansas mayoral race is August 5. Up To Date spoke with three of the candidates.

F is for Fournier! Jody reviews pathophysiology, diagnosis, and treatment of this (thankfully) uncommon condition.References:1) Stevens, D.L., & Baddour, L.M. Necrotizing soft tissue infections. UpToDate. https://www.uptodate.com/contents/ necrotizing-soft-tissue-infections2) Bersoff-Matcha SJ, Chamberlain C, Cao C, Kortepeter C, Chong WH. Fournier Gangrene Associated With Sodium-Glucose Cotransporter-2 Inhibitors: A Review of Spontaneous Postmarketing Cases. Ann Intern Med. 2019 Jun 4;170(11):764-769. doi: 10.7326/M19-0085. Epub 2019 May 7. PMID: 31060053.3) Jean Alfred Fournier. Wikipedia. https://en.wikipedia.org/ wiki/Jean_Alfred_Fournier

Join Elliot, Luke, David, and Hayley in this episode of Checkpoint on JOY where they talk about the latest video game adaptation updates and other gaming news.   Catch the... LEARN MORE The post Up To Date: Video game adaptation updates appeared first on Checkpoint.

Send us a textGenerative AI is transforming the way clinicians interact with technology. In this episode, Dr. Holly Urban, VP of Business Development at Wolters Kluwer, joins John Driscoll to discuss how AI, ambient listening tools, and trusted medical content like UpToDate are improving clinical workflows, easing documentation burdens, and making healthcare delivery more precise, efficient, and human-centered.

A hair metal band recruited by the CIA, fake newlyweds and retellings of "The Great Gatsby" are among the stories selected by Up To Date's panel of readers as the best books to pick up this summer.

Join Luke, Elliot, and the rest of the team in this episode of Checkpoint on JOY where they talk about the 2025 Gayming Awards.   Catch the latest episode on... LEARN MORE The post Up To Date: 2025 Gayming Awards appeared first on Checkpoint.

Gwen Grant spends a lot of time uplifting and advocating for Kansas City's Black community, but what does she do with her down time? She joined KCUR's Up To Date for an installment of our series "5 Questions."

This week on Voice Coaches Radio, Marissa discusses why it’s so important that you continue to educate yourself and stay up to date with the trends.

On Monday, lawmakers in Kansas opted to extend the deadline for state incentives, so that the Kansas City Chiefs and Royals have more time to negotiate building new stadiums across state lines. Kansas House Minority Leader Brandon Woodard joined KCUR's Up To Date to explain where things stand.

Robert Mark Black, MD, and Joel M. Topf, MD, join host Andrew J. Cohen, MD, FASN, in exploring the genesis of Dr. Burton "Bud" Rose's online medical resource—UpToDate—and its lasting impact.

Robert Mark Black, MD, and Joel M. Topf, MD, join host Andrew J. Cohen, MD, FASN, in exploring the genesis of Dr. Burton "Bud" Rose's online medical resource—UpToDate—and its lasting impact.

Jody reviews pathophysiology, assessment, and treatment of erectile dysfunction.References:1) Raymond, R.C., & Khera, M. Epidemiology and etiologies of male sexual dysfunction. UpToDate. https://www.uptodate.com/contents/epidemiology-and-etiologies-of-male-sexual-dysfunction2) Khera, M. Evaluation of male sexual dysfunction. UpToDate. https://www.uptodate.com/contents/evaluation-of-male-sexual-dysfunction3) Khera, M. Treatment of male sexual dysfunction. UpToDate. https://www.uptodate.com/contents/treatment-of-male-sexual-dysfunction

Todd Ogasawara is joined by guest co-hosts Sven Johannsen, and Don Sorcinelli. They explore the upcoming iPadOS 26 public beta and the evolving utility of tablets, debating their role in productivity versus laptops. The also discuss new tech accessories, such as a Logitech Flip Folio and a portable Sodi keyboard with a touchpad, alongside practical uses for location-tracking devices like AirTags and Pebble's alternatives. Furthermore, the Todd expressed his disappointment with Google's Chromebook update policies. Don highlights the critical importance of third-party application security updates, recommending tools like Home Updater and Action1 for managing them. Finally, they discuss the strained partnership between OpenAI and Microsoft, a novel e-ink display for touchpads, and Sven notes the limitations with Apple's Continuity Camera and Sidecar features.

Join Elliot, Luke, Edie, and Charlie in this episode of Checkpoint on JOY, where they discuss the recent shakeups at Microsoft.   Catch the latest episode on Spotify:   Giving... LEARN MORE The post Up To Date: Troubles in Microsoft appeared first on Checkpoint.

The New York Times published a list of the "100 best movies of the 21st century" so far. So KCUR's Up To Date assembled a panel of Kansas City movie critics to weigh in on the list — which they criticized as not diverse enough — and to find out what movies they'd rank at the top of the chart.

When it comes to potatoes, not all spuds are created equal and Durban has a clear favourite! Sky, and Carmen dig into the fascinating world of the Up To Date (UTD) potato with expert insight from Andries Erasmus, a Senior Potato Trader at the RSA Group. Find out why this oddly named variety is such a staple in Durban kitchens, especially in curries and stews, and uncover the surprising challenges farmers face when growing them. Webpage

In this episode, Trevor Davis, Lead Wealth Coach at Total Wealth Academy, discusses the wild ride that has been, and always will be, for those who want to take their chance with their fortunes in the stock market. Join Trevor as he discusses this topic, his Stock Market analysis, and much more! Please remember that Trevor is always available via email. Send your questions, comments, or concerns to Trevor@TotalWealthAcademy.com today. 

Michael Kentris discusses with Dr. Lyell Jones, Editor of Continuum: Lifelong Learning in Neurology, what is important to learn and how to stay up to date throughout your career in a world where medicine is evolving more rapidly than ever before. They discuss a variety of tools including high-yield summaries, conference attendance, discussing cases with colleagues, podcasts, AI chatbots, and more. 

If you missed it on Tuesday morning on East Coast Breakfast, Carmen Reddy arrived at work hauling a massive 10KG bag of Up To Date Potatoes and then dished out a delicious challenge to the team! From Darren's beef bourguignon (made by Anna) to Sky's Clarise's Ouma's roast potatoes, Carmen's lamb curry, and producer WR's ‘Janika se Aartappeltert'; they all cooked up a storm and had a taste-off live on air. Webpage

Join Elliot and Lisa in this episode of Checkpoint on JOY where they talk about the latest Mario Kart World patch that affected multiplayer and other gaming news.   Catch... LEARN MORE The post Up To Date: Mario Kart World's Latest Patch appeared first on Checkpoint.

Kevin Yoder once represented Kansans from Wyandotte County south to Edgerton, Spring Hill and Louisburg. He joined KCUR's Up To Date for our series "5 Questions."

Last night, after fulfilling his civic duty by voting, Josh was approached at a restaurant and had to gently let her down.The fun continues on our social media pages!Jeremy, Katy & Josh Facebook: CLICK HERE Jeremy, Katy & Josh Instagram: CLICK HERE

Join Luke, Omi, Hayley, and Orchestra Victoria in this episode of Checkpoint on JOY where they talk about the latest gaming headlines.   Catch the latest episode on Spotify:  ... LEARN MORE The post Up To Date: Bungie delays Marathon indefinitely appeared first on Checkpoint.

Most federal and postal employees don't know how many beneficiary forms they actually need — or how many death certificates their spouse would need if something happened tomorrow. If you're unsure, you're not alone… and you may not be fully protected.Join us for a live estate planning webinar built specifically for federal and postal workers. We'll cover what you need to have in place to protect your benefits and your family.

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.

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.

Join Bree, Charlie, Cass, and Associate Professor Phoebe Toups Dugas in this episode of Checkpoint on JOY where they talk about the Xbox Games showcase and other gaming news.  ... LEARN MORE The post Up To Date: Xbox games showcase appeared first on Checkpoint.

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.

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.

music talk and news from the creeps

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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/. 

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.

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.