Podcasts about UpToDate

Following a rocky end to last year's legislative session, Democrats are looking to slow things down, while Republicans push to pass Gov. Mike Kehoe's state income tax cuts. Political reporter Jason Hancock spoke with KCUR's Up To Date about the slow start and early dysfunction in the Missouri General Assembly.

Today was our 300th episode of our show. What a fun ride it has been and we’re barely getting started let me tell you. We have so many plans and ideas up our sleeves it almost makes me go nuts! I hope you’ve been enjoying our show so far and have been able to connect […] The post Thoughts About My Latest Visit To The Doctor, Making Your Word Law, Why We Don’t Keep Up To Date With The News, Not Letting People Rob Your Energy, Qigong & Much More! appeared first on Extreme Health Radio.

This week, KCUR's Up To Date marked its final broadcast from 4825 Troost Avenue, as the station is required to move out of our longtime home. Although the offices have long been in disrepair, they have held a lot of good memories, too. Steve Kraske and KCUR staff reflected on the last 40 years of history in the building.

In this episode, host Sandy Vance is joined by Julie Frey, Vice President of Product Management at Wolters Kluwer, for a thoughtful conversation on how artificial intelligence is shaping clinical intelligence across healthcare. Together, they explore how AI is supporting the work organizations are already doing, and how Wolters Kluwer helps teams identify meaningful use cases and turn innovation into real value. From trusted, evidence-based solutions like UpToDate and Lexidrug to the evolving standards around safety, reliability, and trust, this conversation digs into what responsible AI looks like in practice. They also discuss the wide range of healthcare use cases and why organizations need to define their own standards as they move forward with AI adoption.In this episode, they talk about:Wolters Kluwer has a range of evidence-based solutions that enable better care, including UpToDate® and LexidrugHow AI has impacted the services that Wolters Kluwer delivers through its productsDifferent types of use cases in healthcareHow they set the standard of what is safe, reliable, and trustedWhen it comes to AI, organizations need to develop their own set of standards for accuracy and effectivenessThe importance of prompt engineeringA Little About Julie:As the Head of Provider Product, Julie is a crucial support for healthcare providers incorporating market-leading clinical decision support and patient solution technologies, such as UpToDate®. She brings over a decade of experience in corporate and product strategy to her current role, having held various leadership positions within Wolters Kluwer.Before joining the Health team, she worked in strategy and risk analysis for Red24, now a division of Gardaworld. Originally hailing from South Africa, Julie earned her MBA from IE University.Julie approaches her role with the understanding that the clinical need for intuitive, personalized, visually compelling, and actionable workflows will only become more critical. She assists providers in meeting their highest-priority use cases.

KCUR was told that it must vacate its longtime home in Kansas City by the end of January. Without a permanent space set up yet, Up To Date will produce new shows from UMKC's Digital Collaboration Studio starting next week. During our last episode at 4825 Troost Ave, KCUR staffers discuss their memories from the building.

Interim Jackson County Executive Phil LeVota told KCUR's Up To Date that his top priorities have been property taxes and the battle to keep the Kansas City Chiefs and Royals. While the Chiefs announced that they're building a new stadium and headquarters in Kansas, LeVota isn't convinced it's a done deal.

The Kansas City Chiefs secured a STAR bond deal to move their stadium and training facility to Kansas, but the Royals missed the state's deadline to get their own incentives. While one Kansas legislative leader says he's moving on, Gov. Laura Kelly told KCUR's Up To Date that she is still open to discussions.

Coming to us from Colorado Springs, CO he is very current on the situation as it is unfolding in Colorado.

This podcast is brought to you by Outcomes Rocket, your exclusive healthcare marketing agency. Learn how to accelerate your growth by going to⁠ outcomesrocket.com Embedding trusted clinical evidence directly into everyday workflows is becoming critical to reducing burnout and improving clinical decision-making. In this episode, Christopher Sullivan, Vice President and General Manager of Pharmacy and Health Technology Solutions for Wolters Kluwer, discusses how the company is transforming from a traditional publishing company into a software-driven healthcare intelligence partner. He explains how products like UpToDate, Medi-Span, and Sentri7 function as an insight layer across retail pharmacies, hospitals, and the broader digital health ecosystem. A significant focus is UpToDate Connect, an API-based solution that embeds trusted clinical evidence directly into third-party platforms, keeping clinicians in workflow while reducing context switching. Christopher also shares early market feedback, highlighting efficiency gains, clinician confidence, and the importance of trusted content in an AI-driven world. Finally, he examines the future of agentic AI, non-clinical workflows, and the expanding role of partnerships in driving innovation.  Tune in and discover how evidence-based insights are shaping faster, more innovative, and more sustainable healthcare! Resources Connect with and follow Christopher Sullivan on LinkedIn.Follow Wolters Kluwer Health on LinkedIn and visit their website!

Recent medical news followed by a review of pathophysiology, clinical manifestations, diagnosis, and treatment of myasthenia gravis.News Articles:New federal vaccine schedule (KFF): https://www.kff.org/other-health/the-new-federal-vaccine-schedule-what-changed/HRT black box warning removal (FDA): https://www.fda.gov/news-events/press-announcements/hhs-advances-womens-health-removes-misleading-fda-warnings-hormone-replacement-therapyMore information about HRT warning label removal (Harvard Health): https://www.health.harvard.edu/womens-health/fda-removes-menopause-hormone-therapy-black-box-warningsHouse votes to extend ACA subsidies (PBS): https://www.pbs.org/newshour/politics/in-a-rebuke-of-gop-leadership-house-heads-toward-vote-to-extend-health-care-subsidiesReferences:Bird, S. J. Pathogenesis of myasthenia gravis. UpToDate. https://www.uptodate.com/contents/pathogenesis-of-myasthenia-gravisBird, S. J. Clinical manifestations of myasthenia gravis. UpToDate. https://www.uptodate.com/contents/clinical-manifestations-of-myasthenia-gravisBird, S. J. Diagnosis of myasthenia gravis. UpToDate. https://www.uptodate.com/contents/diagnosis-of-myasthenia-gravisBird, S. J. Overview of the treatment of myasthenia gravis. UpToDate. https://www.uptodate.com/contents/overview-of-the-treatment-of-myasthenia-gravis

Jackson County Prosecutor Melesa Johnson joined KCUR's Up To Date for our series “5 Questions.” She discusses what she's watching, listening to and reading outside of work — and how she feels about Kansas City right now.

Missouri U.S. Rep. Emanuel Cleaver II joined Up To Date to discuss an ICE agent's killing of an observer in Minneapolis, the Trump administration's intervention in Venezuela, and a critical vote in Congress on Affordable Care Act subsidies.

The Switzerland native has experience coaching in Europe and the United States, and played defensive midfielder for his country in the World Cup. After a season where Sporting KC finished dead-last in their conference, Wicky spoke about his vision for the team in an interview with KCUR's Up To Date.

Kansas lawmakers are offering billions in tax incentives to build a new domed stadium and convince the Chiefs to leave Missouri. University of Kansas associate professor Zachary Mohr joined KCUR's Up To Date to discuss how STAR bonds work, and what risks and benefits come with using them.

Every year during the holiday season, Kansas City's own Doug Frost joins Up To Date to discuss the state of the alcohol industry, recommend delicious options for the holidays and taste several wines.

Gary Neal Johnson is retiring from his nearly 25-year run as Ebenezer Scrooge in the Kansas City Repertory Theatre's production of “A Christmas Carol.” He Joined KCUR's Up To Date for an installment of our series “5 Questions,” and to discuss hanging up his hat after acting in the play for 40 years.

The Chiefs could be on the verge of announcing a move to Kansas. Kansas City, Missouri, Mayor Quinton Lucas joined Up To Date to discuss where things stand ahead of a planned "special announcement" by Kansas lawmakers on Monday afternoon.

Kansas Gov. Laura Kelly is about to begin her final year in office. She joined KCUR's Up To Date to talk about her policy priorities heading into the 2026 legislative session in Topeka, as well as the prospects for Democrats in next year's midterm elections.

Whether you're gathering with family during the holidays, or catching up on the best of the year before award season, Up To Date invited Kansas City film critics to share some great movies and television series worth catching.

Join Elliot, Luke, Charlie, and Edie in this episode of Checkpoint on JOY where they talk about the 2025 Game Awards. Catch the latest episode on Spotify: Giving a 1-Up to diversity in gaming. The post Up To Date: The Game Awards 2025 appeared first on Checkpoint.

A quick and easy way to remember the Salter Harris classification, using the mnemonic SALTR.PDFs available here: https://rhesusmedicine.com/pages/orthopaedicsConsider subscribing (if you found any of the info useful!): https://www.youtube.com/channel/UCRks8wB6vgz0E7buP0L_5RQ?sub_confirmation=1Patreon: https://www.patreon.com/rhesusmedicineBuy Us A Coffee!: https://www.buymeacoffee.com/rhesusmedicineLINK TO SOCIAL MEDIA: https://www.instagram.com/rhesusmedicine/ReferencesGaillard F, Silverstone L, Walizai T, et al. Salter-Harris classification. Radiopaedia.org. Last revised 11 February 2025. Available at: https://radiopaedia.org/articles/salter-harris-classification?lang=gbPhyseal (growth plate) injuries. The Royal Children's Hospital Melbourne. Available at: https://www.rch.org.au/fracture-education/growth_plate_injuries/physeal_growth_plate_injuries/Levine RH, Thomas A, Nezwek TA, et al. Salter-Harris Fracture. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan–. [Updated 10 August 2023] Available at: https://www.ncbi.nlm.nih.gov/books/NBK430688/Image EM/79444. UpToDate. Available at: https://www.uptodate.com/contents/image?imageKey=EM%2F79444Disclaimer: Please remember this podcast and all content from Rhesus Medicine is for educational and entertainment purposes only and is not a guide to diagnose or to treat any form of condition.  The content is not to be used to guide clinical practice and is not medical advice. Please consult a healthcare professional for medical advice. 

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Join Luke and the rest of the Checkpoint Crew in this episode of Checkpoint on JOY where they talk about the PC Gaming Show and other gaming news. Catch the latest episode on Spotify: Giving a 1-Up to diversity in gaming. The post Up To Date: The PC Gaming Show appeared first on Checkpoint.

Checking back with Kelsyn Rooks from The Center for Recorded Music, and getting updated with present and future plans for their wide variety of outstanding musical projects. Great information and good fun!

Republican former New Hampshire Governor Chris Sununu will be in Kansas City next Monday for an American Public Square event. He joined Up To Date ahead of his visit to discuss his time in office, working across the aisle and the first year of the second Trump administration.

Tired of chasing updates for all your programs? This tool pulls all of them into one place and keeps them up to date for you. I'll show you how UniGetUI can save you time, reduce clutter, and make managing your apps almost effortless.

You might be ending the year thinking “this did not go how I hoped.” In this solo episode, I talk about the pressure that comes with the holiday countdown, the noise of everyone's highlight reels, and the moment you realize your goals didn't quite match the reality you lived.We break down why not hitting your goals doesn't mean you failed. More often, it points to the season you were in, what you had the capacity for, and whether the structure around you actually supported the things you were trying to do.I walk you through ten shifts that help you look at your year with more honesty and less self-criticism. We talk about what truly happened this season, how to make your goals fit your actual life, and how to recognize progress that doesn't show up in photos or personal records.You'll also hear why perfection can't be the expectation, why you're not starting over, and what it looks like to train like the version of yourself you're becoming instead of waiting for the perfect stretch of time to feel motivated.Are you feeling behind or discouraged as the year wraps up? This episode is a real conversation to help you step into next season with more steadiness, compassion, and self-trust. Tune in.What's Discussed:(00:55) Why end-of-year pressure and goal season hit so hard(01:25) When your goals don't match your reality and what that actually says about you(02:58) The 10 shifts that help you make progress and move forward(11:11) How support, structure, and honest guidance stop the endless “start over” cycle(12:09) The perspective you might need right nowThank You to Our Sponsors:Timeline: Get you free 3-day trial of Mitopure gummies. Head over to timeline.com/taragummies to claim yours.Go to humebody.com and use the code TARA at checkout for up to 50% off.Check out more from Broads: Website: www.broads.appInstagram: @broads.podcast @broads.app

Join Elliot, Luke, Jarrod, and Charlie in this episode of Checkpoint on JOY where they talk about Charlie Cox addressing his Game Awards nomination. Catch the latest episode on Spotify: Giving a 1-Up to diversity in gaming. The post Up To Date: Charlie Cox address his Game Awards nomination appeared first on Checkpoint.

Looking for a powerful memoir, a cozy bedtime story, a creepy collection — or all of the above for a potential holiday gift? KCUR's Up To Date invited a librarian, professor and bookstore owner to offer the favorites titles they read in the last year.

Episode 207: Understanding Hypertension and Diabetes (Pidjin English)Written by Michael Ozoemena, 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.HypertensionSegment 1: What Is Hypertension?HOST:Let's start with the basics. Blood pressure is the force of blood pushing against the walls of your arteries. Think of it like water running through a garden hose—if the pressure stays too high for too long, that hose starts to wear out.Hypertension, or high blood pressure, means this pressure is consistently elevated. It is measured using two numbers:Systolic: the pressure when the heart beatsDiastolic: the pressure when the heart relaxesNormally reading is around 120/80 mmHg. Hypertension is defined by the American College of Cardiology/American Heart Association (ACC/AHA) as 130/80 mmHg or higher.The American Academy of Family Physicians (AAFP) defines hypertension as persistent elevation of systolic and/or diastolic blood pressure, with the diagnostic threshold for office-based measurement set at 140/90 mm Hg or higher.Segment 2: Why Should We Care?HOST:Hypertension is known as “the silent killer” because most people have no symptoms. Even without symptoms, it steadily increases the risk of:Heart attackStrokeKidney diseaseThink of high blood pressure as a constant stress test on your blood vessels. The longer it goes uncontrolled, the higher the chance of complications.Segment 3: What Causes High Blood Pressure?HOST:Hypertension usually doesn't have a single cause. It often results from a combination of genetic factors, lifestyle, and underlying medical conditions.Modifiable FactorsHigh-salt diet and low potassium intakePhysical inactivityTobacco useExcessive alcohol intakeOverweight or obesityChronic stressPoor sleep or sleep apneaNon-Modifiable FactorsFamily history of hypertensionBlack race (higher prevalence and severity)Age over 65Hypertension may also be secondary to other conditions, such as kidney disease, thyroid disorders, adrenal conditions, or medications like NSAIDs or steroids.Segment 4: How Is It Diagnosed?HOST:Diagnosis requires multiple elevated blood pressure readings taken on different occasions. This includes office readings, home blood pressure monitoring, or ambulatory blood pressure monitoring.If you haven't had your blood pressure checked recently, this is your reminder. It's simple—and it could save your life.Segment 5: Treatment and ManagementHOST:Lifestyle changes are often the first line of treatment:Reduce salt intakeEat more fruits, vegetables, and whole grainsAim for 150 minutes of moderate exercise per weekManage stressMaintain a healthy weightGet enough sleepLimit alcoholQuit smokingIf these steps aren't enough, medications may be necessary. These include:Diuretics, ACE inhibitors, ARBs, Calcium channel blockers, Beta-blockersYour healthcare provider will choose the best medication based on your health profile.Segment 6: What You Can Do TodayHOST:Here are three simple, actionable steps you can take right now:Check your blood pressure—at a clinic, pharmacy, or at home.Pay attention to your salt intake—much of it is hidden in processed foods.Move more—even a 20-minute daily walk can help reduce blood pressure over time.Small steps can lead to big, lasting improvements.SummaryHypertension may be silent but understanding it gives you power. Early action can add healthy years to your life. Take charge of your blood pressure today.Diabetes1. Wetin Diabetes Be and Wetin E Go Do to Person Body?Q: Wetin diabetes mean?A: Diabetes na sickness wey make sugar (glucose) for person blood too high. E happen because the body no fit produce insulin well, or the insulin wey e get no dey work as e suppose.Q: Wetin go happen if diabetes no dey treated well?A: If diabetes no dey treated well, e fit damage the blood vessels, nerves, kidneys, eyes, and even the heart.2. Wetin Cause Diabetes and Why Black People Suffer Pass?Q: Wetin cause diabetes?A: E no be one thing wey cause diabetes. E dey happen because of mix of gene, lifestyle, environment, and society factors.Q: Why Black/African Americans get diabetes more?A: Black people for America get diabetes more because of long-standing inequality, stress, low access to healthcare, and the kind environment wey many of them dey live in. These things dey make Black people more at risk.3. Diabetes Rates for America and Black People?Q: How many people get diabetes for America?A: For America today, over 38 million people get diabetes, and the number dey rise every year.Q: Why Black people dey suffer diabetes more than White people?A: About 12% of Black adults get diabetes, compared to just 7% for White adults. Black people also dey get the sickness earlier and e dey more severe.4. Signs and Symptoms of Diabetes?Q: Wetin be the early signs of diabetes?A: The early signs no too strong, but when e show, e fit include:Too much urine (polyuria)Thirst (polydipsia)Hunger, tiredness, and blurred visionWounds no dey heal fastTingling for hand or legSometimes weight loss5. How Doctor Go Diagnose Diabetes?Q: How doctor fit confirm say person get diabetes?A: Doctor go do some lab tests to confirm:Fasting Plasma Glucose (FPG): 126 mg/dL (7.0 mmol/L) or higherHbA1c: 6.5% or higher2-hour Oral Glucose Tolerance Test (OGTT): 200 mg/dL (11.1 mmol/L) or higher after person drink glucose.Random Blood Glucose: 200 mg/dL (11.1 mmol/L) or higher plus classic symptoms like too much urination, thirst, or weight loss.Q: Wetin happen if HbA1c test no match the person?A: If HbA1c result no match person symptoms, doctor fit repeat test or try other tests like FPG or OGTT.6. Wetin Screening and Early Diagnosis Fit Do?Q: Why screening for diabetes dey important?A: Screening dey important because early detection fit prevent serious complications from diabetes.Q: How often person go do diabetes test?A: Adults wey get overweight or obesity, between 35–70 years, suppose do diabetes screening every three years. But because Black adults get higher risk, doctors dey start screening earlier and more often.7. How Person Fit Manage Diabetes?Q: Wetin be the best way to manage diabetes?A: The two main ways to manage diabetes be:Lifestyle changes: Eat better food (vegetables, fruits, whole grain, beans, fish, chicken) and exercise regularly.Medicine: If person sugar still high, doctor fit give drugs like metformin, SGLT-2 inhibitors, or GLP-1 receptor agonists.Q: Wetin be SGLT-2 inhibitors and GLP-1 drugs?A: SGLT-2 inhibitors dey help with kidney and heart problems, while GLP-1 drugs dey help with weight loss and prevent stroke.Q: Wetin be first-line treatment for diabetes?A: First-line treatment for diabetes be metformin, unless person no fit tolerate am.Q: How much exercise a person suppose do?A: Person suppose do at least 150 minutes of moderate exercise per week. This fit include things like brisk walking, swimming, or cycling. E also good to add muscle-strength training two or three times weekly to help control sugar.Q: When insulin therapy go be needed?A: Insulin therapy go be needed if person A1c is higher than 10%, or if person dey hospitalized and their glucose dey above the 140-180 range. This go help bring the blood sugar down quickly.8. Wetin Be the Complications of Diabetes?Q: Wetin fit happen if diabetes no dey well-managed?A: Complications fit include kidney disease, blindness, nerve damage, leg ulcers, heart attack, stroke, and emotional issues like depression.Q: Why Black adults get more complications?A: Black people get higher risk of these complications because of inequality, stress, and poor access to healthcare.9. Wetin Dey Affect Access to Diabetes Treatment?Q: Wetin make Black people struggle to get treatment for diabetes?A: Many Black people no dey get new effective treatments like GLP-1 and SGLT-2 inhibitors because of price, insurance issues, and lack of access. COVID-19 also worsen things.Q: Wetin government and doctors fit do?A: Policymakers dey work on improving access to drugs, better community programs, and screening for social issues wey fit affect diabetes care.10. ConclusionQ: Wetin be the solution to reduce diabetes impact?A: The solution go need medical treatment, early screening, lifestyle support, and policy changes. With proper treatment and community support, e possible to reduce the impact of diabetes, especially for Black communities.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: Whelton PK, Carey RM. Overview of hypertension in adults. UpToDate. 2024.Carey RM, Moran AE. Evaluation of hypertension. UpToDate. 2024.Mann SJ, Forman JP. Lifestyle modification in the management of hypertension. UpToDate. 2024.Giles TD, Weber MA. Initial pharmacologic therapy of hypertension. UpToDate. 2024.American Heart Association. Understanding Blood Pressure Readings. Accessed 2025.American Heart Association. AHA Dietary and Lifestyle Recommendations. Accessed 2025.Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.

Rancho Mesa's Alyssa Burley and Client Technology Specialist, Brenda Colby sit down to to discuss how to stay up-to-date with OSHA 300 Logs. Show Notes: ⁠⁠⁠⁠Subscribe to Rancho Mesa's Newsletter⁠⁠⁠⁠Host: ⁠⁠⁠⁠Alyssa BurleyGuest: ⁠⁠⁠⁠Brenda ColbyEditor: Megan LockhartMusic: "Home" by JHS Pedals, “Breaking News Intro” by nem0production© Copyright 2025. Rancho Mesa Insurance Services, Inc. All rights reserved.

Jody reviews pathophysiology, diagnosis, management, and prevention of kidney stones.References & Links:1) Curhan, G. C. Kidney stones in adults: Prevention of recurrent kidney stones. UpToDate. https://www.uptodate.com/contents/ kidney-stones-in-adults-prevention-of-recurrent-kidney-stones2) Curan, G.C., Aronson, M.D., & Preminger, G.M. Kidney stones in adults: Diagnosis and acute management of suspected nephrolithiasis. UpToDate. https://www.uptodate.com/contents/kidney-stones-in-adults-diagnosis-and-acute-management-of-suspected-nephrolithiasis3) Preminger, G.M., & Curhan, G.C. Kidney stones in adults: Evaluation of the patient with established stone disease. UpToDate. https://www.uptodate.com/contents/kidney-stones-in-adults-evaluation-of-the-patient-with-established-stone-disease4) CDC Revives Debunked "Link" Between Childhood Vaccines and Autism (NPR)5) Autism and Vaccines (CDC...FAKE NEWS!)

Join Luke, Elliot, and Seth in this episode of Checkpoint on JOY where they talk about the latest nominees for the 2025 Game Awards. Catch the latest episode on Spotify: Giving a 1-Up to diversity in gaming. The post Up To Date: The Game Awards 2025 nominees appeared first on Checkpoint.

Ahead of the Thanksgiving holiday, KCUR's Up To Date broadcasted from Harvesters Community Food Network in Kansas City to hear how the organization is managing a time of extremely high demand.

A brand new War of the Roses, Bernie calls in with a new haul, and more!

A brand new War of the Roses, Bernie calls in with a new haul, and more!See omnystudio.com/listener for privacy information.

Join us on the latest episode, hosted by Jared S. Taylor!Our Guest: Yaw Fellin, Senior Vice President and GM, UpToDate Clinical Decision Support and Provider Solutions at Wolters Kluwer Health.What you'll get out of this episode:How UpToDate is making clinical decision support conversationalWhy validation, quality, and expert oversight are essential in AI toolsThe growing impact of workflow integration and ambient technologiesKey takeaways from HLTH 2025, including partnerships and customer momentumThe shift from AI hype to real-world clinical impactTo learn more about :Website https://www.wolterskluwer.com/en/health Linkedin https://www.linkedin.com/company/wolters-kluwer-health/Guest Linkedin https://www.linkedin.com/in/yaw-fellin-470a5621/Our sponsors for this episode are:Sage Growth Partners https://www.sage-growth.com/Quantum Health https://www.quantum-health.com/Show and Host's Socials:Slice of HealthcareLinkedIn: https://www.linkedin.com/company/sliceofhealthcare/Jared S TaylorLinkedIn: https://www.linkedin.com/in/jaredstaylor/WHAT IS SLICE OF HEALTHCARE?The go-to site for digital health executive/provider interviews, technology updates, and industry news. Listed to in 65+ countries.

Kris Kobach, the Republican attorney general, says that several Kansas Bureau of Investigation agents have been trained to make arrests in collaboration with federal immigration authorities. He talked about the state's recent law enforcement initiatives, plus his clashes over legal authority with Democratic Gov. Laura Kelly, in an interview with KCUR's Up To Date.

Night terrors are dramatic but benign episodes that can leave caregivers frightened and confused. In this episode of PEM Currents: The Pediatric Emergency Medicine Podcast, we explore the clinical features of night terrors, how to differentiate them from other nocturnal events, and when to consider further evaluation such as polysomnography. We also discuss management strategies that center on sleep hygiene, reassurance, and safety, with a special look at the role of scheduled awakenings and when medication is appropriate. Learning Objectives By the end of this episode, listeners will be able to: Describe the typical clinical presentation and age range of children with night terrors. Differentiate night terrors from other parasomnias and nocturnal seizures based on clinical features and timing. Discuss non-pharmacologic and pharmacologic management strategies for night terrors, including when to consider polysomnography. References Petit D, Touchette E, Tremblay RE, et al. Dyssomnias and parasomnias in early childhood. Pediatrics. 2007;119(5):e1016-e1025. Morse AM, Kotagal S. Parasomnias of childhood, including sleepwalking. In: Chervin RD, ed. UpToDate. Hoppin AG, deputy ed. Waltham, MA. Accessed November 2025. Van Horn NL, Street M. Night Terrors. Updated May 29, 2023. In: StatPearls [Internet]. Treasure Island, FL: StatPearls Publishing; 2025 Jan–. Available from: https://www.ncbi.nlm.nih.gov/books/NBK493222/ Transcript This transcript was provided via use of the Descript AI application Welcome to PEM Currents, The Pediatric Emergency Medicine Podcast. As always, I'm your host Brad Sobolewski. In this episode, we're talking about night terrors, also known as sleep terrors. A dramatic, confusing, and often terrifying experience for caregivers to witness. But they're usually benign and self-limited for the child. Kind of like a lot of the things in childhood actually, what are we gonna talk about? Well, what are night terrors? How do we diagnose them? How to differentiate them from seizures or other parasomnias key counseling for parents in the emergency department, when to refer for sleep studies or neurology evaluation, and what role, if any, medications play. So let's start with talking about what night terrors actually look like. They're part of a group of disorders called non REM parasomnias, which also includes sleepwalking and confusion arousals. They are not nightmares and they are not signs of psychological trauma. Children experiencing night terrors typically sit up suddenly during sleep, scream, cry or appear terrified. Show signs of autonomic arousal. So rapid breathing, tachycardia, sweating. They're confused or inconsolable for several minutes and they have absolutely no recollection of the event the next morning. These events usually occur in the first third of the night when children are in deep, slow wave sleep, so stage N three, and they can last five to 15 minutes, but trust me, they seem to last much longer to observers. Night terrors occur most commonly between ages three and seven with a peak around five years of age. They're rare before 18 months and unusual after age 12. Preschool aged children are most affected because they spend more time in deep, slow wave sleep. They have more fragmented sleep architecture, and they may not have fully developed arousal regulation mechanisms. Episodes can start as early as toddlerhood, especially if the child has a family history of parasomnias. So like sleep, walking night terrors or other things, sleep deprivation or stressful life events like starting daycare or a new sibling or a move, although less common, older children and even adolescents can experience night terrors, especially in the context of stress, sleep deprivation or comorbid sleep disorders like sleep apnea. Why do they happen? Well, they're usually due to incomplete arousal from deep sleep, so the brain is essentially stuck between sleep and wakefulness. Factors that increase the risk of frequency of night terrors include again, sleep deprivation, recent illness, stress, or anxiety. Sleep disordered breathing, or a family history of parasomnias, there's a real strong genetic component. Up to 80% of children with night terrors have a first degree relative with similar episodes. The diagnosis is entirely clinical and based on history. You should ask parents, what time of night did these episodes occur? Is the child confused, frightened, or hard to wake? Is there amnesia the next day so they don't remember the event? And are the movements variable or stereotyped? Sometimes parents will video record these, and that can really help us clarify the episodes when we're in the emergency department. You definitely do not need labs or imaging in a typical presentation. I think parents are often seeking an explanation for why their child looks so freaky. In my experience, just telling them that it's a night terror and that it's benign and providing reassurance on how healthy their kid is, is more than enough. Now, not all nighttime events are sleep terrors. You should consider neurology referral and video polysomnography or sleep studies with extended EEG when onset is very early, so younger than 18 months or late in childhood. So older than 12 or 13 episodes occur outside of the first third of the night. Again, find out when the kid went to bed. And do math. The first third of the night is the first 33% of their typical sleep time. The events are brief clustered or stereotyped. The movements are repetitive, focal or violent. If kid just moving just their right arm. That's not a night terror. Often the movements will look fearful and they'll be sort of disorganized. Rhythmic movements don't typically happen in night terrors, and there's a recent injury. The child has excessive daytime sleepiness, or there's some developmental regression or abnormality. All those are red flags. Differentiating from nocturnal frontal lobe epilepsy can be tricky. Nocturnal frontal lobe epilepsy events are usually short. Highly stereotyped. They have abrupt onset and offset, and they may include dystonic or tonic posturing. So if the family has a video of this, that can be really helpful using a good clinical history. Video recordings in EEG generally distinguish night terrors from these forms of epilepsy. But let's be honest, most of the kids you see in the ED with a typical presentation of night terrors are just night terrors. These events are really scary and we are gonna see them in the emergency departments, and so your first goal is to just reassure the family. The events are not harmful. The kid isn't aware that they had them, and the child suffers no ongoing psychological harm. That doesn't mean that the parent isn't freaked out or that nervousness doesn't linger. You wanna avoid sleep deprivation If possible, counsel families on age appropriate bedtimes and naps. Stick to a routine consistent bedtime routines. Reduce sleep fragmentation, which is a known risk factor for children with frequent or predictable night terrors. Try waking them 15 to 30 minutes before the usual episode happens. So I've seen lots of kids with frequent night terrors, and they usually happen around the same time at night. And you wanna do this, this 15 to 30 minute awakening before the usual episodes each night for about two to four weeks. That's labor intensive as a parent, but it can help these awakenings interrupt the sleep cycle and break the pattern. Keep kids safe. Use baby gates, door alarms. Make sure windows are locked, don't put younger kids in bunk beds and remove sharp obstacles or objects near the bed. So if they've got a pointy ended nightstand, oh, that's just something for the kid to fall into or smack against. Do we ever use medications for night terrors? Well, almost never. You know, pharmacologic therapy such as low dose benzodiazepines or tricyclic antidepressants is really only reserved for severe episodes. Kids with substantial risk for injury or disruption of the family life or school in a substantial way. I'm not gonna make that call in the emergency department. And these are sleep specialist referral guided therapies. You also wanna consider evaluating children for comorbid sleep disorders, especially in recurrent night terrors, like obstructive sleep apnea, restless leg syndrome. This may worsen the parasomnias. For kids in which you're unsure, polysomnography can be used. This is an overnight sleep study that monitors brainwaves via EEG, eye movements, muscle activity, heart rhythm, breathing effort, and airflow and oxygen saturation. But it's also done in a hospital and not during the kid's usual sleep routine. So most children that have night terrors, if you get the right history, you can make the diagnosis clinically and the kids don't need any expensive or expanded testing to get to the bottom of things. Alright, take home points for this brief episode. Night terrors are common, especially in preschool aged children. They occur in non REM sleep in the first third of the night. The episodes are very dramatic, but they're benign and children don't remember them. But trust me, parents do. The diagnosis is clinical. No labs or imaging are needed unless there's atypical features. You should reassure families, promote sleep hygiene and use scheduled awakenings for frequent and recurrent cases, and refer for sleep studies and or neurology of episodes or violent stereotyped, or suggest nocturnal seizures. Thanks for listening to this episode. I hope you found it educational about a topic that you will encounter in the emergency department. As with many things in children that are scary, there's a benign explanation and parents are just looking to know that their kid's gonna be okay. Often doing a thorough history in physical and really listening to the parents' concerns and then providing useful information is all you gotta do. That's why pediatrics is great. If you've got feedback on this episode or there's other common topics you'd like to hear about, send them my way. If you enjoyed this episode and think that other people should listen to it, share it with them. More listeners means more learners. And if you have a chance, leave a review or like the podcast on your favorite podcast site for PEM Currents, the Pediatric Emergency Medicine Podcast. This has been Brad Sobolewski. See you next time.  

Join Elliot, Luke, Cas, and Kolby in this episode of Checkpoint on JOY where they talk about Valve's entry to the console wars with the Steam Machine.   Catch the... LEARN MORE The post Up To Date: The Steam Machine appeared first on Checkpoint.

Missouri Gov. Mike Kehoe's desire to eliminate the state income tax is an ambitious goal given the projected $1 billion shortfall in general revenue next fiscal year. He joined KCUR's Up To Date to discuss how the plan could take shape.

Did you like this episode? Dislike it? How AI is Revolutionizing the Legal Industry with John Newton of Ontro.aiIn this eye-opening episode, we sit down with John Newton, Head of Technology at Ontro.ai, to explore how artificial intelligence is transforming the legal profession in ways many lawyers haven't yet realized. From ethical considerations to groundbreaking tools, John shares his expert insights on how AI can be strategically leveraged to enhance legal practices. Lawyers will learn why it's crucial to embrace AI now to stay competitive and future-proof their firms. Don't miss this deep dive into the future of law with one of the industry's top tech leaders!Check out Ontro AI here!

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Over 3 million clinicians around the world depend on UpToDate to guide patient care, and now the gold standard in clinical decision support is integrating generative AI. But in a world where AI models often hallucinate, how do you build something that doctors can actually trust?In this episode, Halle talks with Dr. Holly Urban, VP of Business Development and Strategy at Wolters Kluwer Health, about UpToDate Expert AI, a new tool trained exclusively on UpToDate's physician-authored content — not the open internet — and what it means for the future of medicine.We cover:

Brief Summary:John Batchelor and I welcomed our guest, Anatoly Zak of the RussianSpaceWeb.com. Anatoly updated us regarding the continued Russian debates about orbits and costs for a new space station after the ISS is deorbited. Anatoly Zak went into detail about Roscosmos facing challenging questions over the orbit of its new space station, considering both a low-inclination 51-degree orbit or a more expensive near-polar orbit. Our guest outlined the pluses and negatives for both choices. The polar orbit offers an valuable strategic Arctic observation but increases radiation risk and reduces the all important payload capacity for such a mission. Russia's economic realities given the war in Ukraine and sanctions may force Roscosmos to take the cheaper 51-degree orbit, even possibly using existing ISS infrastructure, to ensure an operational station for cosmonauts by 2031. Don't miss this two part discussion what Russia is considering post ISS. Do check out www.russianspaceweb.com for all the space news, both current and historical, for the Russian space program.Special thanks to our sponsors:Northrup Grumman, American Institute of Aeronautics and Astronautics, Helix Space in Luxembourg, Celestis Memorial Spaceflights, Astrox Corporation, Dr. Haym Benaroya of Rutgers University, The Space Settlement Progress Blog by John Jossy, The Atlantis Project, and Artless EntertainmentOur Toll Free Line for Live Broadcasts: 1-866-687-7223 (Not in service at this time)For real time program participation, email Dr. Space at: drspace@thespaceshow.com for instructions and access.The Space Show is a non-profit 501C3 through its parent, One Giant Leap Foundation, Inc. To donate via Pay Pal, use:To donate with Zelle, use the email address: david@onegiantleapfoundation.org.If you prefer donating with a check, please make the check payable to One Giant Leap Foundation and mail to:One Giant Leap Foundation, 11035 Lavender Hill Drive Ste. 160-306 Las Vegas, NV 89135Upcoming Programs:Broadcast 4450 ZOOM Phil Swan | Friday 24 Oct 2025 930AM PTGuests: Phil SwanZoom: Phil talks about going to Mars with kinetic energyBroadcast 4451 Zoom OPEN LINES | Saturday 25 Oct 2025 1200PM PTGuests: Dr. David Livingston, The Space Show Zoom Team & Zoom callersZOOM Open Lines discussion Get full access to The Space Show-One Giant Leap Foundation at doctorspace.substack.com/subscribe

Pastor Jose teaches how we need updated information about ourselves, in Christ. We can be accustomed to how our old self was, but that is no longer true today. Audio>

BRUE, Brief Resolved Unexplained Events, are a common and anxiety-provoking condition that presents to the Emergency Department. In this episode we explore the definition of BRUE, contrast it with ALTE, and walk through evidence-based approaches to risk stratification. We'll explore the original AAP framework and two subsequent prediction models to see where the recommendations stand today. This is a classic example of scary event / well child that you will see in the Emergency Department. Learning Objectives By the end of this episode, you will be able to: Define BRUE and contrast it with the older concept of ALTE. Recognize evolving risk stratification criteria Apply evidence-based strategies for evaluation and counseling of infants with BRUE, including safe discharge decisions and the role of home monitoring. References Tieder JS, Bonkowsky JL, Etzel RA, et al. Brief resolved unexplained events (formerly apparent life-threatening events) and evaluation of lower-risk infants: Executive summary. Pediatrics. 2016;137(5):e20160591. doi:10.1542/peds.2016-0591 Carroll AE, Bonkowsky JL. Acute events in infancy including brief resolved unexplained event (BRUE). In: McMillan JA, ed. UpToDate. Waltham, MA: UpToDate Inc. https://www.uptodate.com (Accessed October 2025). Carroll AE, Bonkowsky JL. Use of home cardiorespiratory monitors in infants. In: McMillan JA, ed. UpToDate. Waltham, MA: UpToDate Inc. https://www.uptodate.com (Accessed October 2025). Carroll AE, Bonkowsky JL. Sudden infant death syndrome: Risk factors and risk reduction strategies. In: McMillan JA, ed. UpToDate. Waltham, MA: UpToDate Inc. https://www.uptodate.com (Accessed October 2025). Carroll AE. Patient education: Brief resolved unexplained event (BRUE) in babies (The Basics). In: UpToDate. Waltham, MA: UpToDate Inc. https://www.uptodate.com (Accessed October 2025). Nama N, Neuman MI, Finkel MA, et al. Risk prediction after a brief resolved unexplained event. JAMA Pediatr. 2023;177(12):1263–1272. doi:10.1001/jamapediatrics.2023.4197 Nama N, Neuman MI, Finkel MA, et al. External validation of brief resolved unexplained events prediction rules for serious underlying diagnosis. JAMA Pediatr. 2024;178(4):398–407. doi:10.1001/jamapediatrics.2024.0114