Podcasts about Visn

En el capítulo 11 del Bhagavad-Gita, un texto sagrado del hinduismo, el dios Krishna revela su forma divina al guerrero Arjuna, y el pasaje describe su presencia con estas palabras: "Si el resplandor de mil soles estallara de repente en el cielo, sería como el esplendor del todopoderoso." Años después, se relacionó al científico estadounidense Robert Oppenheimer con la frase "más brillante que mil soles", alegando que la mencionó poco después de contemplar los efectos de la prueba Trinity, en la que los Estados Unidos utilizaron por primera vez un arma nuclear en el desierto e Nuevo México, el 16 de julio de 1945. No se sabe con seguridad si la dijo en aquel instante. Sin embargo, la frase se asociaría en los años posteriores a las explosiones nucleares, especialmente después de que el físico alemán Robert Jungk la usara como título de uno de sus libro de 1956, donde narraba los pormenores del desarrollo científico de la bomba. En una entrevista de 1965 Oppenheimer declaró: "Supimos que el mundo no volvería a ser el mismo. Algunas personas se rieron, otras lloraron. La mayoría permaneció en silencio. Recordé la frase de la escritura hindú, el Bhagavad-Gita: cuando Visnú está tratando de persuadir al Príncipe de que debe cumplir con su deber y, para impresionarlo, adopta su forma de múltiples brazos y dice: "Ahora me he convertido en la Muerte, el destructor de mundos". Supongo que todos pensamos eso, de una manera u otra". Este es un ensayo de Regino García Martínez dedicado a los testimonios y consecuencias de las bombas de Hiroshima y Nagasaki, con las voces de Alberto Martínez y Felipe Valcárcel… Sigue a Regino García: https://x.com/reginogarciama1 Sigue a Felipe Valcarcel: https://x.com/rayjaen https://audiorelatos.wordpress.com/ Sigue a Noviembre Nocturno https://linktr.ee/NoviembreNocturno Escucha el episodio completo en la app de iVoox, o descubre todo el catálogo de iVoox Originals

In this latest episode of Veteran Oversight Now, we're revisiting a highly downloaded episode from February 2024—Unpaid Postage Bill Delays Critical Cancer Screenings. Hear from a VA OIG healthcare inspection hotline director, who discusses delays in the receipt of patients' colorectal cancer screening tests due to an unpaid postage bill by the Phoenix VA Health Care System in Arizona. This edition also includes highlights of the VA OIG's work from September 2024. “The VISN actually led a stand-down at the facility to retrain all of the laboratory staff about the test, about the assessing of the test and processing it. And then they also passed all of that information to all of the other facilities within VISN 22. So, it wasn't just Phoenix, you know, they made sure all of the facilities in VISN 22 had the same information and the same knowledge. So, to follow that up, they're doing weekly audits and checking to make sure that the logging process is being done correctly. And so far, the reported compliance has been 100 percent.” – Trina Rollins, VA Office of Inspector General, Office of Healthcare Inspections, Hotline Director

In the latest episode of Veteran Oversight Now, a VA OIG healthcare inspection hotline director discusses findings at the Raymond G. Murphy VA Medical Center in Albuquerque, New Mexico, where there was no documentation of required reusable medical device reprocessing, which put patients at risk for infection if the reusable medical devices used during subsequent procedures were, in fact, not cleaned per requirements. The VA OIG also found that high-level disinfection documentation was missing and made seven recommendations related to oversight of the medical center's Sterile Processing Service. This episode also includes highlights of the VA OIG's work from July 2024.         “If it's [medical device] not documented properly and it's not documented in the system so that we can track the cleaning, the disinfecting, the sterilization, then we don't know if it's processed appropriately.” – Trina Rollins, VA Office of Inspector General, Office of Healthcare Inspections, Hotline Director Related Report: Deficiencies in Documentation of Reusable Medical Device Reprocessing and Failures in VISN 22 Oversight of Sterile Processing Service at the Raymond G. Murphy VAMC in Albuquerque, New Mexico

As leaders, we often face tough choices, and not every decision will turn out the way we hoped. What do you do when you find yourself in a sticky situation? How can you manage missteps, failure, regret and turn things around? On this episode Dr. Shari Dade sits down with Dr. Thuy Boardman to discuss how to navigate the role of leadership when decisions are tough. Dr. Boardman is the Organization Development Psychologist for VISN 8. In this role she provides executive and leadership coaching, team development, and leadership development services to VISN 8 facilities.  Get ready to join us as we explore the journey through sticky leadership. Whether you're currently facing a sticky situation or simply want to be better prepared for the future, this episode is packed with valuable information you won't want to miss.Closed Caption Transcript is available at: https://www.sharedfedtraining.org/Podcasts/TATF_S4E8.pdf ===============================Key Lessons: Sharing your experiences with regrets or missteps in leadership helps increase authenticity and innovation. When done with intention, others can then feel free to express themselves more authentically.    Don't shy away from sticky decisions due to fear of failure or uncertainty. Instead, enter them with a team of support and an open mind.       When on the lookout for a coach or mentor, avoid the echo chamber by taking the time to diversity your team and include those who may carry a different perspective, outlook, or experience than you.Interested in learning more about services offered by the National Center of Organization Development? Please check out additional services here: VHA National Center for Organization Development - Home (sharepoint.com)

BRAVO ZULU Georgia American Legion Post enlists local resources to help homeless veteran THE INTERVIEW Dr. Jay Gorman, VA clinical psychologist and Education Director of the VISN 1 Mental Illness Research, Education, and Clinical Center at the VA Bedford Healthcare System, joins the podcast to discuss how VOICES Veteran Socials enhance communication and foster bonds among veterans and others in the community. Veteran socials are veteran-led weekly community-based social events with a purpose – getting veterans of all ages and service branches in one place to support and build connection with each other. Dr. Gorman stresses the importance of social connection to combat loneliness and isolation and improve overall health. SCUTTLEBUTT Bill would allow retroactive Purple Heart vets to transfer GI benefits How the Gaza humanitarian aid pier traces its origins to discarded cigar boxes before World War II What's to become of the keepsakes left at Arlington Cemetery? Special Guest: Dr. Jay Gorman.

Want to stay updated on the latest in infection prevention and control? Join hosts Nicki Shore and Jessica Swain in the "Science into Practice" podcast brought to you by the Association for Professionals in Infection Control and Epidemiology. In their most recent episode, they welcomed Dr. Jose Cadena and Ms. Delvina (Mimi) Ford to talk about their recent research on Hospital-Acquired Candida Central Line-Associated Bloodstream Infection amidst the COVID-19 pandemic. The guests unraveled their experiences, shared concerning insights on the increased incidence of candidemia due to extended ICU stays during the pandemic, and discussed the shift in species detected and the challenges posed by multidrug-resistant strains. Tune in as they dive deeper into the intersection of infection control and COVID-19. Get inspired and find areas for your own research! With special guests: Delvina (Mimi) Ford, MPH, BSN, CIC, CPHQ, CCRN-k, Quality Management Consultant, VISN 17 and Dr. Jose Cadena, MD, Infection Prevention and Control Medical Director, South Texas Veterans Healthcare System

In hour three of Sharp Money hosts Patrick Meagher and Dustin Swedelson are joined by Mike Somich, the host of The Handle on VISN as they handicap MLB action and more.See omnystudio.com/listener for privacy information.

In hour three of Sharp Money hosts Patrick Meagher and Dustin Swedelson are joined by Mike Somich, the host of The Handle on VISN as they handicap MLB action and more.See omnystudio.com/listener for privacy information.

Veterans and their advocates have worked hard over the past several decades to make sure that veterans receive the care and support they need. Today, we're speaking with local Vietnam veterans about their experiences and those working to learn and share veteran's stories. Plus, we'll learn how anyone can get involved to make a difference for local vets today.GUESTS Rich Krejsa, President, Vietnam Veterans of America, Chapter 1140 in Franklin Pastor George Brooks, Sr., Vietnam veteran Johnny Crawford, Artist and project director, Vietnam Black Soldiers Portrait Project Susan Hunter, Speaker, documentarian, and author of 77 Letters Tom Freeman, Veteran (79-07), ​​retired commissioner of National Defense and Military Services; co-founder, Honor Our Veterans Thomas Gallagher, Chief, Center for Development and Civic Engagement Nashville Veterans Administration Medical Center, VISN 9 CDCE Liaison Tennessee Valley Healthcare System LEARN MORE If you'd like to support local Vietnam veterans, learn how to volunteer at the Nashville Veterans Affairs. You can also e-mail your interest directly to tvhvss@va.gov or call 615-873-8567 for a faster connection. You can read more about 77 Letters by Susan Hunter in this story from The New York Times, ‘Dear G.I.': An Unlikely Friendship Built on Letters From a Foxhole. For more facts and information about those who served in the Vietnam War, you can visit the U.S. Department of Veterans Affairs official website.

Tim Murray if ViSN Sports Betting Network joins Bik Nizzar to help you fill out your March Madness bracket. This podcast is produced by Dominic Sramaty. The views and opinions expressed in this podcast are those of the hosts and guests and do not necessarily reflect the position of Rogers Media Inc. or any affiliate.

On this episode, Dr. Shari Dade is joined by Dr. Christopher Watson. Dr. Watson is a psychologist who began his VA career in 1993, is the VISN 19 Chief Mental Health Officer and has been serving as the Acting Executive Director of the Veterans Crisis Line since late August 2023. He is a member of the American College of Healthcare Executives, Division 18 (Public Practice section) of the American Psychological Association, and the VA Psychology Leaders group. He also regularly provides coaching and mentoring to mental health leaders across the organization, and he has an absolute passion for issues pertaining to diversity, equity, and inclusion. He has particularly demonstrated leadership in addressing systemic racism on the local and national level in VHA, providing numerous presentations and trainings related to diversity and inclusion. Listen in as Dr. Christopher Watson shares the impact insight has on effective leadership, both for the leader and their team.Closed Caption Transcript is available at: https://www.sharedfedtraining.org/Podcasts/TATF_S4E3.pdf ===============================Key Lessons: Being an insightful leader takes work and courage, but it fosters trust, empathy, and authenticity within teams.Leaders who are reflective can operate and communicate with clarity to others.It's important for leaders to use their influence to sponsor the growth and opportunities for others. Having enough insight to realize this does not take from your opportunities is integral.Please check out additional services here: VHA National Center for Organization Development - Home (sharepoint.com)

In the latest episode of Veteran Oversight Now, a VA OIG healthcare inspection hotline director discusses delays in the receipt of patients' colorectal cancer screening tests due to an unpaid postage bill by the Phoenix VA Health Care System in Arizona. This edition also includes highlights of the VA OIG's work from January 2024.       “The VISN actually led a stand-down at the facility to retrain all of the laboratory staff about the test, about the assessing of the test and processing it. And then they also passed all of that information to all of the other facilities within VISN 22. So, it wasn't just Phoenix, you know, they made sure all of the facilities in VISN 22 had the same information and the same knowledge. So, to follow that up, they're doing weekly audits and checking to make sure that the logging process is being done correctly. And so far, the reported compliance has been 100 percent.” – Trina Rollins, VA Office of Inspector General, Office of Healthcare Inspections, Hotline Director Related Report: Delayed Receipt of Patients' Colorectal Cancer Screening Tests at the Phoenix VA Health Care System in Arizona

Dr. Shibuya earned his Doctor of Podiatric Medicine degree from Temple University and Master of Science degree in clinical investigation at the University of Texas Health Science Center at San Antonio.  Dr. Shibuya is an Editor-In-Chief of the Journal of Foot and Ankle Surgery and Chairperson of the Council of National Registry Management for the American College of Foot and Ankle Surgeons (ACFAS). Prior to UTRGV, he served as Chief of the Podiatry Section under Surgical Services at Central Texas VA Health Care System, where he also served as a member of the Podiatric Surgical Advisory Board for the National Surgery Office, National Podiatry Field Advisory Committee for the Office of Patient Care Services under Veterans Health Administration, Chief Podiatry Consultant for VISN 17, and VA Site Director for the Baylor Scott and White Residency Program.  Academically, he was a professor of surgery at Texas A&M University, College of Medicine prior to UTRGV, where he trained hundreds of students, residents, fellows, and colleagues. He served as a Director of the Continue Medical Education Committee for the Texas Podiatric Medical Association and Chair of the Annual Scientific Conference Committee for the ACFAS. He is also a faculty of AO North America.  In research, he specializes in health services research, epidemiology, and large data analysis, leading to over 100 peer-reviewed publications, textbook chapters, and consensus statements. Clinically, he is a fellowship-trained, board-certified surgeon by the American Board of Foot and Ankle Surgery in Foot, Rearfoot Reconstructive, and Ankle surgeries. Dr. Jensen and Dr. Richey emphasize the importance of research in podiatric medicine and encourage students to pursue research opportunities. Dr. Shibuya shares his own journey into research, starting during his residency program when he had the opportunity to do a research project in San Antonio. This experience sparked his interest in research and led him to pursue a fellowship with UT San Antonio, where he focused on research and clinical work. According to Dr. Shibuya, research is crucial in advancing the field of podiatric medicine. He believes that the profession needs to move towards evidence-based medicine and that research plays a vital role in providing the evidence needed to support clinical practices. Dr. Shibuya also emphasizes the importance of questioning established practices and seeking the truth through research. For students interested in research, Dr. Shibuya advises finding a mentor with research experience. Mentors can provide guidance and support throughout the research process, including study design, data analysis, and publication. He also suggests utilizing resources like YouTube to learn more about research methods and statistics. In terms of research opportunities in podiatric medicine, Dr. Shibuya suggests that diabetic foot research is an important area to focus on due to its impact on a large number of people. He also mentions the potential for research in areas like ankle fractures and the importance of collaboration among different registries and research initiatives.   https://explorepodmed.org/ Dean's Chat Website Dean's Chat Episodes Dean's Chat Blog Why Podiatric Medicine?  Become a Podiatric Physician  

Bienvenidos a un fascinante viaje hacia las matemáticas vorticiales, un rincón poco explorado que revela patrones subyacentes en la estructura misma del universo. En este podcast, nos sumergiremos en las profundidades de conceptos aparentemente abstractos pero intrínsecamente conectados a nuestra realidad. Pero antes de hablar sobre matemáticas vorticiales me gustaria hablar del repaso sobre el origen de las matemáticas y los fractales que tuve el placer de hablar con Jesús Monjas en 2016, en un podcast que se titulo “UTP8 Universo fractal”. Un fractal es una geometría que se repite en diferentes escalas, guardando un orden matemático. Normalmente habíamos oido hablar de los fractales a un nivel puramente anecdótico o a modo de divertimento. Al igual que los memes, algo que hoy día parece ser tan solo un chiste de internet. Pero no, ambas cosas son parte de lo mismo. Son en si el mismísimo Universo expandiéndose en una malla infinita. Jesus ha descubierto que si tomamos los números desde el 1, en una progresión geométrica con razón de 2: 1, 2, 4, 8, 16, 32, 64, 128, 256, 512, 1024, 2048, 4096, 8192, 16384, 32768, 65536, 131072… Y reducimos cada número a una sola cifra, sumando sus unidades, decenas centenas, unidades de millar, etc. obtenemos una secuencia de 6 cifras por nivel que vuelve a repetirse en el 1 dejándonos un bucle infinito formado por 124875124875124875124875…La Sencilla Naturaleza de los números parece fractal… Para Jesús todo se puede dividir en esas etapas del 1,2,4,8,7 y 5…dejando al 3, al 6 y al 9 fuera. Esto me recordó cuando analizamos lo que yo denomine “la triada arconte” en la película El destino de Júpiter. Yo he denominado a estos tres hermanos la triada arconte porque representan a arcontes, o sea a gobernantes o dioses adorados en la antigüedad. Como veremos en la película los tres tienen un papel determinado: Titus Abrasax es el creador de la vida (con la tecnologia que extrae el alma humana) es el numero 3 Kalique Abrasax es la conservadora de la vida (fuente de la vida) la numero 6 Balem Abrasax es el destructor de la vida con el numero 9 (posiblemente también les guste por esto a los satanistas) En otras triadas también tenemos esto como en la Tríada osiríaca compuesta por Osiris, Isis y Horus. Creador, conservadora y destructor. Esto podemos verlo mas claramente si pensamos en la forma de los números. El 3 si lo creamos con dos semicírculos y los unimos obtenemos un circulo. El 6 sería un tornado que gira hacia dentro aglutinando como si estuviera formando nuestro sistema solar en la teoría de Laplace. Por el contrario el 9 es un ciclón que se expande destruyendo todo a su paso. Si metemos al 6 y al 9 dentro del círculo obtenemos una especie de Yin y yang. Las fuerzas contrarias que se repelen pero se necesitan. Esto lo podemos ver en todas y cada una de las triadas de dioses en todas las épocas y todas las religiones tal y como os mostramos en el capítulo 9 de Eyes Wide Shut y que os dejaremos en la descripción del podcast. Por ejemplo la Tríada hindú o Trimurti: Brahma el creador, Visnú el conservador de la vida y Siva el destructor. Kali es la esposa de Siva y la única que una vez pudo matarlo según el hinduismo. Creo sinceramente que el nivel de perversión moral y maldad al que hemos llegado solo se puede explicar si estamos llegando a un fin de ciclo, a un Kaliyuga lo que en las antiguas escrituras hindúes definían como «era de riña e hipocresía». Aunque en los cuadros donde nos muestran las eras la era Kaliyuga se ve pequeña para los hindúes se trata de un periodo larguísimo a nivel humano. Kali-yuga (‘era de riña’): de 432 000 años. Las matemáticas vorticiales, también conocidas como matemáticas del toro o matemáticas de la espiral, ofrecen una perspectiva única para comprender la naturaleza de la realidad que nos rodea. Estas no son solo ecuaciones abstractas, sino un lenguaje que parece estar inscrito en la esencia misma del cosmos. En esta odisea matemática, exploraremos cómo las espirales, los toroides y las formas vorticiales influyen en campos tan diversos como la física cuántica, la biología y la cosmología. Aprenderemos que conceptos como la proporción áurea y la secuencia de Fibonacci emergen de manera orgánica, tejiendo un tapiz matemático que conecta todas las cosas. Las matemáticas vorticiales constituyen un área de estudio apasionante que fusiona la matemática, la física y la geometría para comprender los patrones de flujo y la estructura del espacio-tiempo. Este campo se centra en fenómenos como los torbellinos, las espirales y las ondas, y su aplicación abarca diversos ámbitos, desde la ingeniería hasta la meteorología y la teoría del caos. A través de conceptos como el campo vectorial, la divergencia y el rotor, las matemáticas vorticiales nos invitan a explorar la dinámica de sistemas naturales y artificiales de una manera novedosa y apasionante. Para profundizar en este fascinante mundo, te recomendamos explorar el canal de YouTube de César Actis, un apasionado investigador que ha dedicado tiempo a desentrañar los misterios de las matemáticas vorticiales. Sus videos proporcionan una visión clara y accesible, guiándonos a través de conceptos complejos con ejemplos ilustrativos. Queremos dejar claro que no tenemos nada que ver con el y que a nosotros solo nos interesa la forma amena que utiliza para explicar estas matemáticas tan desconocidas dejando bien claro que César Actis utiliza conceptos de la New Age con los que no nosotros no estamos de acuerdo, es mas, estamos completamente en contra de esto y no recomendamos ver su canal sin un pensamiento crítico. En este video utilizaremos trozos de su curso por que nos parece accesible, ameno e instructivo pero dejando claro que no coincidimos con todo el tema New Age del YO SOY y otras zarandajas como que hay que dejarlo todo al albur de los números. Para nosotros aprender la magia de los números que encierran las matemáticas vorticiales es descubrir el Tejido Matemático del Universo, la malla que envuelve y compone todo. Prepárate para desafiar tus percepciones y sumergirte en el intrigante mundo de las matemáticas vorticiales. A medida que exploramos este reino fascinante, descubriremos cómo las estructuras matemáticas fundamentales podrían ser la clave para comprender la verdadera naturaleza de nuestro universo. ………………………………………………………………………………………. Clase 01 02 En el primer video vamos a ver el diseño vertical de un hexagrama, de un triangulo hacia arriba y otro hacia abajo. Los vértices de los triángulos tendrán los números 3, 6 y 9 y si metemos ese hexagrama dentro de un circulo obtendremos las cifras que forman el numero áureo Clase 01 04 El diseño de Marco Rodin es el principio básico de las matemáticas verticales. Basándonos en el eneagrama y duplicando los números empezando por el uno obtenemos un circulo mágico que explica todo. Clase 01 06 Ahora vamos a ver la diferencia entre los números 3,6, 9 y el fractal 1,2,4,8,7 y 5 y como podríamos hablar de una función eléctrica y una función magnética, una fuerza visible y una fuerza invisible. Clase 02 02 La serie de Fibonacci es una espiral vertical que podemos explicar también con las matemáticas vorticiales. Clase 03 02 Ahora vamos a ver algunas de esas casualidades numéricas que nos indican que el universo no esta creado al azar. La forma de los números tampoco es al azar y determina el comportamiento de los mismos. Clase 03 04 Una increíble y antigua tabla matematica de multiplicar del 1 a l nueve pero reducida a un dígito. Dicha tabla contiene una propiedades casi mágicas. Clase 03 06 La forma de los números como hemos dicho antes determina sus propiedades. Una de las cosas increíbles que nunca escuchamos en el colegio es que los números se pueden catalogar por el numero de ángulos que los forman. Clase 03 08 Ver el toroide y entender que el fractal 1,2,4,8,7 y 5 y los números magnéticos 3, 6 y 9 crean una estructura en 3D perfecta. Clase 03 09 El eneagrama donde se juntan los números del 1 al 9 nos muestra tres triángulos increíbles con los números 1,4,7 de lineas rectas, 2,5 y 8 de lineas curvas y el 3, 6, 9 que conjunta todo. Clase 04 02 La matematica vorticial también nos habla de los ángulos contenidos dentro de un circulo y su relación con estos números. Clase 04 04 Aqui nos habla Cesar sobre el núcleo energético dentro de las pirámides y su relación con las matemáticas vorticiales. ………………………………………………………………………………………. Aunque creo que el camino es individual, la solución nunca será salvarte tú solo. Debemos luchar por todas y cada una de las almas que alberga este planeta. Cuando nadie se atreva a contar la verdad, ésta parecerá extinguirse cual vela que ha llegado al final de su mecha. Pero recuerden que esa cera puede arder casi para siempre... ………………………………………………………………………………………. Invitados: …. Dra Yane #JusticiaParaUTP Médico y Buscadora de la verdad. Con Dios siempre! No permito q me dividan c/izq -derecha, raza, religión ni nada de la Creación. https://youtu.be/TXEEZUYd4c0 …. …. UTP Ramón Valero @tecn_preocupado Un técnico Preocupado un FP2 IVOOX UTP http://cutt.ly/dzhhGrf BLOG http://cutt.ly/dzhh2LX Ayúdame desde mi Crowfunding aquí https://cutt.ly/W0DsPVq ………………………………………………………………………………………. Enlaces citados en el podcast: Enlace Odysee https://t.co/9BRmgSKA2W Enlace UGETUBE https://t.co/zCzf8fHuaq UTP8 Universo fractal https://www.ivoox.com/utp8-universo-fractal-audios-mp3_rf_9991951_1.html FRACTAL 124875 https://124875fractal.com/ ES CLAVE 004 CAPÍTULO 9 EYES WIDE SHUT (triadas) https://tecnicopreocupado.com/2022/05/30/es-clave-004-capitulo-9-eyes-wide-shut/ Capítulo 9 en video (triadas) https://odysee.com/@tecnico.preocupado:7/Es_Clave_004_cap9:6?&sunset=lbrytv Clase 01 CURSO DE MATEMÁTICAS VORTICIALES Youtube https://www.youtube.com/watch?v=FaprZx2Q4pQ Clase 02 Youtube https://www.youtube.com/watch?v=SK2LLwPjqzI Clase 03 Youtube https://www.youtube.com/watch?v=HciWzK7GWpc Clase 04 Youtube https://www.youtube.com/watch?v=A1kMeUHTBZ4 Clase 05 Youtube https://www.youtube.com/watch?v=ChVkjW1Bs2o Clase 06 Youtube https://www.youtube.com/watch?v=p1lrApl86l8 Clase 07 CONOCIMIENTO UNIFICADO https://www.youtube.com/watch?v=IXyETI0T3RM Clase 08 Youtube https://www.youtube.com/watch?v=0ISaYERk6F8 09 - CONEXIÓN TOTAL CON LA REALIDAD https://www.youtube.com/watch?v=luRHHtMJfVQ Frecuencias Solfeggio https://5900.com.ar/paz/ ………………………………………………………………………………………. Música utilizada en este podcast: Tema inicial Heros (3) Los Stop - Tres Cosas (Salud, Dinero y Amor) https://www.youtube.com/watch?v=B8wvm8dgMAA&t=2s (6) Jaula - Seis https://www.youtube.com/watch?v=WQY5RZk7554 Mabiland - Canción 6 (para otra vez) https://www.youtube.com/watch?v=Yx9gAhPaJ8U ……………………………………………………………….. Epilogo (9) Micro TDH - NUEVE https://www.youtube.com/watch?v=00TraKMg7Oo

Chris Williams has four plays for the upcoming college football weekend. One of them is identical to one of Mike Palm's best contest bets for ViSN. Check out what the guys are thinking about the college football betting weekend, along with Palm's plays for Iowa and Iowa State. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of The CX Tipping Point Podcast, Martha Dorris spoke with Dr. Indra Sandal, the Chief of Innovation at the Tampa Veterans Hospital and Mr. Greg Goins, the VISN 9 Network Director and Executive Sponsor of the VHA-Uber Health Connect Initiative. The Department of Veterans Affairs manages a very sophisticated innovation ecosystem that allows them to identify issues and pilot solutions in small ways to determine whether they should be scaled. In this example, they used it to provide veterans access to care.Based on feedback from veterans, VA identified “transportation” as a major cause for missed medical appointments. With 56% of veterans over the age of 65; 30% relying on their families, solving the transportation issue was a “must”. The VA has partnered with UberHealth to provide transportation to medical appointments. The goal of this program was to:Reduce no showsImprove their experience of veterans with convenience?Cost savings to VA hospitalsLearn how this initiative has been scaled to improve the health of veterans by serving more veterans; reducing the number of missed appointments; and saving the VA valuable funding as well.  Dr. Sandal and Mr. Goins provided some inspirational messages - nothing is too small and nothing is impossible. Dream big!!

To earn a CE credit you must listen to TechNation podcasts on https://1technation.com/category/podcasts/ Arleen Thukral, VISN 2 Technology Manager, U.S. Department of Veteran Affairs, spoke with Chyrill Sandrini about Key Performance Indicators and best practices for every biomed.

To earn a CE credit you must listen to TechNation podcasts on https://1technation.com/category/podcasts/ Arleen Thukral, VISN 2 Technology Manager, U.S. Department of Veteran Affairs, spoke with Chyrill Sandrini about Key Performance Indicators and best practices for every biomed.

Battlefield Acupuncture (BFA) is rapidly gaining recognition for its effectiveness in alleviating acute and chronic pain, as well as anxiety. When we heard Angel Jaap, CRNA speak about this at the AANA Spring Symposium, we wanted to bring her on to learn more about this alternative therapy. You'll understand why she wants more nurses to learn this protocol after you hear some of the applications and success stories she shares today.   For those that aren't familiar with BFA, patients undergo insertion of five auricular semi-permanent (ASP) needles to the following traditional ear acupuncture points bilaterally: Cingulate Gyrus, Thalamus, Omega 2, Point Zero and Shenmen. Angel learned about this over the past few years and has instituted a Pilot program through Whole Health within VISN 4 which allows RNs to perform BFA for veterans thereby increasing veterans access to this safe, effective pain management therapy.   You'll learn more about that and have a much better understanding of BFA after listening to our conversation during our trip to Hershey, Pennsylvania.   Here are some of the things you'll learn on this show: How therapeutic touch works and why it makes you feel the way it does. How BFA was developed and why the VA began incorporating this into patient care. What does a day at work look like for Angel? Angel shares a wonderful success story about treating a veteran and PTSD. The smaller needles used in BFA have been effective for people scared of needles.   Visit us online: http://beyondthemaskpodcast.com  Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Welcome to another insightful episode of HTM Insider, your go-to podcast for all things healthcare technology management. I'm your host, Chyrill Sandrini, from MultiMedical Systems, and today we have a remarkable guest who is a true powerhouse in the industry. I've been following her incredible journey since 2016 when she was in Fresno, California, and now she manages at least nine healthcare facilities in New York. Join me in welcoming Arleen Thukral, the VISN 2 Healthcare Technology Manager for the New York and New Jersey healthcare system within the VA. Arleen shares her incredible journey into the HTM industry, where she started with a technical career field program and quickly realized the potential to make a difference by applying various medical technologies. We also discuss the importance of data in the HTM industry, diving deep into Key Performance Indicators (KPIs) and their role in steering healthcare technology departments. Arleen sheds light on critical KPIs like preventative maintenance completion rate and corrective maintenance turnaround time, highlighting their impact on patient care and department efficiency. We explore the intersection of HTM and cybersecurity, examining the significance of tracking unsupported devices and vulnerability patching to ensure the safety and functionality of medical equipment. Arleen emphasizes the importance of quality assurance programs when working with third-party HTM service providers, ensuring that they meet the highest standards. But the conversation doesn't stop there. Arleen introduces a fantastic team engagement exercise called "Wins and Woes," which fosters open communication within the team and helps identify areas for improvement. This exercise creates a culture of collaboration and continuous enhancement. We conclude the episode by discussing the future of data in HTM and how healthcare systems of all sizes can benefit from data-driven decision-making. Arleen's words of wisdom remind us to take a step back, assess the most critical areas for improvement, and involve the entire team in effecting positive change. If you're an HTM professional or someone interested in the field, this episode is packed with valuable insights and practical advice. Join us on HTM Insider, where we're dedicated to helping you stay at the forefront of healthcare technology management. Don't forget to check out our partnership with Tech Nation for CE credits, and we'll catch you on the next episode!

Show SummaryOn this episode, we feature a conversation with Brandi Carney, a Licensed Clinical Social Worker with Northwell's United Behavioral Health Center for Military, Veterans and their Families, to discuss her work in supporting PsychArmor's Hidden Helpers Facilitators Guide and Interactive Journal, which is designed to increase peer support among military-connected caregiving youth and reduce social isolationAbout Today's Guest Brandi M Carney, LCSW, joined Northwell's Unified Behavioral Health Center for military, Veterans, and their families in December of 2021. Prior to that time, she spent 25 years at the Northport Veterans Affairs Medical Center. Ms. Carney served in a multitude of capacities within the VA, including inpatient units, Emergency Room Admissions Coordinator, Home Care, Outpatient Mental Health, and her final role serving 10 1/2 years as Northport's post 9/11 Caregiver Support Program Coordinator. Ms.Carney also served as a VISN 2 lead for the VA's New York/New Jersey healthcare network.  Brandi received her Master's degree in Social Work from The State University of New York at Stony Brook, with a concentration in loss and recovery. She has served on the Red Cross mental health disaster team since 2001, deploying to the Family Assistance Center immediately following the events of 9/11. She has presented at the Red Cross' national mental health conference as well as the National Conference for the National Association for Social Work.  Ms Carney teaches Veteran and Military Culture at Touro's Graduate School of Social Work in New York City. She's regularly engaged in community outreach efforts as well as volunteering within many military organizations throughout New York .Ms Carney is trained in cognitive processing therapy, unified protocols for children and adolescents, EFT, and Transcendental Meditation. Links Mentioned In This EpisodeNorthwell Behavioral Health Unified Behavioral Health Center for Military Veterans and their FamiliesHidden Helpers Facilitator GuideHidden Helpers Participant JournalPsychArmor Resource of the WeekThis week's PsychArmor resource of the week is the PsychArmor Course, Suicide in Military and Veterans. IN this course, Dr. Craig Bryan, a nationally recognized leader in the effort to reduce SMVF suicide, provides an overview of military suicide statistics and explains unique factors that may be related to increased rates in military suicide. You can see find the course here:  https://learn.psycharmor.org/courses/suicide-in-military-members-and-veterans This Episode Sponsored By: This episode is sponsored by PsychArmor, the premier education and learning ecosystem specializing in military culture content. PsychArmor offers an online e-learning laboratory with custom training options for organizations. Contact Us and Join Us on Social Media Email PsychArmorPsychArmor on TwitterPsychArmor on FacebookPsychArmor on YouTubePsychArmor on LinkedInPsychArmor on InstagramTheme MusicOur theme music Don't Kill the Messenger was written and performed by Navy Veteran Jerry Maniscalco, in cooperation with Operation Encore, a non profit committed to supporting singer/songwriter and musicians across the military and Veteran communities.Producer and Host Duane France is a retired Army Noncommissioned Officer, combat veteran, and clinical mental health counselor for service members, veterans, and their families.  You can find more about the work that he is doing at www.veteranmentalhealth.com  

On this episode, Dr. Shari Dade is joined by Dr. Maia Carter. Dr. Carter is the Director of Virtual Care Integration in the Office of Primary Care. In this role, she works to help implement and expand virtual tools throughout primary care services through the nation. As a TelePrimary Care Physician, Dr. Carter sees patients virtually throughout VISN 21. She is also the thought leader and host of the dynamic VA VLOG entitled “Let's Talk Virtual Care” produced by the office primary care virtual care integration team. Listen in for a discussion on how leaders can experience some of the best professional development by looking into the face of fear and choosing to embrace it.Closed Caption Transcript is available at: https://www.sharedfedtraining.org/Podcasts/TATF_S3E7.pdf ===============================Key Lessons: Sometimes you must remind yourself of your accomplishments to remind yourself that you are where you need to be. Check your resume!Be sure to give yourself grace when leaping into situations that lead to fear. Work to establish your support team and your success circle to help you navigate the fear.Focus on your get up and not your fall!Please check out additional services here: VHA National Center for Organization Development - Home (sharepoint.com)

Description: You may or may not have heard of the MOVE! program at your VA before tuning into today's episode.  However, MOVE has actually been around since 2006. MOVE!is the nation-wide weight management program designed to help Veterans lose weight and keep it off.  Using weekly sessions to keep participants involved on a regular basis, MOVE! highlights making healthy behavior changes in the areas of nutrition, physical activity, emotional eating, stress management and other self-care areas. Listen in as our VISN 15 MOVE! Coordinator reviews how Veterans can get involved in this comprehensive lifestyle intervention program to help reach our health goals!Host Bio: Fresh Focus is a team of Registered Dietitian Nutritionists at the Marion VA collaborating with Dietitians nationwide.

El audiolibro de Bhagavad Gita es el más pedido por nuestros oyentes. Está basado en un importante texto sagrado hinduista, fue escrito aproximadamente en siglo III antes de Cristo, es parte del texto épico Majabhárata, que se le considera uno de los clásicos religiosos más importantes del mundo, que consta de 18 capítulos y setecientos versos, su contenido es la conversación entre Krishna a quien los hinduista consideran una encarnación de Visnú, mientras que los Krisnaístas lo consideran el origen de Visnú. Aquí se lo colocamos con el propósito de que nos instrucción y no de religión. --- Support this podcast: https://podcasters.spotify.com/pod/show/bocaranda/support

The Ringer's Bill Simmons briefly reacts to the Nuggets winning Game 1 of the Western Conference finals over the Lakers (0:39). Then Bill talks with Tate Frazier about the Spurs winning the NBA draft lottery, the Hornets' second overall pick, and Scoot Henderson vs. Brandon Miller (8:13), before they are joined by Steve Ceruti to discuss some fake trades, draft prospects, and the ceiling for the Spurs' 2023-24 season (32:04). Then Bill is joined by Michael Lombardi of ViSN and The Daily Coach to discuss the 76ers' second-round playoff exit, the Sixers firing Doc Rivers, and the lack of team culture in Philadelphia (1:01:57). Later, they discuss some alarming NFL win totals for next season, including the Texans, Bears, Packers, Steelers, and Patriots (1:34:32). Host: Bill Simmons Guests: Michael Lombardi, Tate Frazier, and Steve Ceruti Producer: Kyle Crichton Learn more about your ad choices. Visit podcastchoices.com/adchoices

On this episode, Dr. Shari Dade is joined by Dr. Adam Sumner a staff psychologist with the VISN 23 Clinical Resource Hub focusing on outpatient mental health in a rural setting. Dr. Sumner's path to becoming a psychologist led through a variety of settings including community mental health, higher education, and now the VA for almost 7 years. He enjoys working in rural communities, health psychology, and the opportunity to serve Veterans. He also loves getting up way too early to go running, trying to stay upright on a gravel bike, watching the never-ending soap opera of English soccer, and coaching youth sports. Listen in for a discussion on the importance of juggling how to give, receive, and seek feedback to improve workplace relations and engagement.Closed Caption Transcript is available at: https://www.sharedfedtraining.org/Podcasts/TATF_S3E5.pdf =============================== Key Lessons: Don't expect to be an expert when it comes to giving, receiving, and seeking feedback – but do it anyway!Lean into embracing the surprise-mind and allow yourself to be open, curious, and authentic in your reactions to feedback.Use the 5:1 ratio – remember positive feedback and feedback focused on continuing behaviors is essential to behavior change and alignment.Please check out additional services here: VHA National Center for Organization Development - Home (sharepoint.com)

HOUR 4: Matt Youmans of ViSN talks all things NCAA Tournament. What happens to Boise State? Plus, a Target Demo Friday & your Epic Fail.

About Today's GuestsKatie R. Ross, MSW, is the Director of Veterans Services at Summit BHC and creator of their specialized services for the military community, known as Tactical Recovery.  She worked in program management for the U.S. Navy for ten years before beginning in direct care as a clinical social worker at the Hampton VA Medical Center's Suicide Prevention, Intimate Partner Violence, and Military Sexual Trauma units.  She was also pivotal in establishing the country's first residential treatment center to exclusively serve military youth.  Katie is a multigenerational member of the military community, spouse of a recently retired 20-year veteran, former Ombudsman, Chair and creator of Nexus: Hampton Roads' collaborative for Military & Veteran service providers, and Chair of the VISN 6 Clay Hunt Act Community Outreach Team.  As a national advocate and concierge of treatment resources for the military and veteran community, she is driven to improve the lives of those who have served. Katie Civiletto Stenger is the Operations Director and Force Multiplier for Summit BHC's Tactical Recovery Program. She is a proud Army Spouse and lives in Southern Oregon with her husband, their son, 4 bonus kiddos, and two pups.  Katie has spent the past decade working in the veteran and military mental health space, focusing on mental health and substance abuse treatment, mental wellness, and emotional wellbeing. Katie forged her career in this space, she started working as a case manager and moved into program implementation and design. She now works with 20 Summit facilities to enhance Tactical Recovery's Program integrity. Katie is an alum of Cornell University's Sloan Program in Health Administration.Links Mentioned In This EpisodeSummit BHC Tactical Recovery ProgramPsychArmor Resource of the WeekThe PsychArmor Resource of the Week is the PsychArmor Veteran Ready Program Join the nearly 200 organizations nationwide that leverage the PsychArmor educational platform to ensure staff and volunteers are better prepared to interact with and support military and Veteran communities. PsychArmor certificate programs help improve efficiency, reduce costs, and increase revenue for our partners.  PsychArmor currently offers four industry-specific curriculum tracks with the option to customize the curriculum to fit your unique needs. Industry-specific learning pathways include:·      Healthcare·      Higher education·      Nonprofit·      EmployersYou can find a link to the resource here: https://psycharmor.org/services This Episode Sponsored By: This episode is sponsored by PsychArmor, the premier education and learning ecosystem specializing in military culture content. PsychArmor offers an online e-learning laboratory with custom training options for organizations.Contact Us and Join Us on Social Media Email PsychArmorPsychArmor on TwitterPsychArmor on FacebookPsychArmor on YouTubePsychArmor on LinkedInPsychArmor on InstagramTheme MusicOur theme music Don't Kill the Messenger was written and performed by Navy Veteran Jerry Maniscalco, in cooperation with Operation Encore, a non profit committed to supporting singer/songwriter and musicians across the military and Veteran communities.Producer and Host Duane France is a retired Army Noncommissioned Officer, combat veteran, and clinical mental health counselor for service members, veterans, and their families.  You can find more about the work that he is doing at www.veteranmentalhealth.com  

Entrevista con Larry Connell Director de VA Providence Healthcare System conocido popularmente como el hospital de los veteranos. El Dr. Jose Polanco Chief of Primary Care participa en la entrevista interpretando al español las palabras del director Connell.Mas informacion sobre el VA Providence Healthcare System seleccionando el siguiente link:https://www.va.gov/providence-health-care/About usAt the VA Providence Health care system, we're dedicated to improving the lives of Veterans and their families every day.About VA Providence Healthcare System The VA Providence Health care system is one of the leading health care systems serving Veterans in the VA New England Health care system. We're an innovative care center within the VA New England Healthcare System (VISN 1), which includes medical centers and clinics in Connecticut, Maine, Massachusetts, New Hampshire, Vermont, and Rhode Island.  The Providence Medical Center is dedicated to providing high quality comprehensive outpatient and inpatient health care to Veterans residing in Rhode Island and southeastern Massachusetts. Each Veteran who comes to the medical center for care is assured personalized care by a team of health care providers. A Primary Care Provider coordinates each patient's medical care, patient education needs and referrals to any of the medical centers 32 subspecialty clinics. The Medical Center's Ambulatory Care Program is supported by a general medical, surgical, and psychiatric inpatient facility fully-accredited by the Joint Commission. The medical center delivers a broad range of services in medicine, surgery, and behavioral sciences and is currently operating 73 beds. Veterans can also avail themselves of primary care and some specialty services at the VA Community-Based Outpatient Clinics (CBOC) in New Bedford, MA, Hyannis, MA, and in Middletown, RI.The Providence Health care system has approximately 150 board certified physicians and more than 1,500 full-time equivalent employees who complete the health care delivery team of professional, technical, administrative, and support personnel.Nationally and internationally recognized clinical research activities enhance patient care in health services, dermatology, mental health treatment, pulmonary/vascular, rehabilitation, post-traumatic stress disorder, and alcoholism and drug abuse.Learn more about VISN 1 Fast factsIn 2020, the VA Providence Healthcare System renovated the Jonathan H. Harwood U.S. Army Reserve Center in Providence to accommodate our growing research programs.  We serve Veterans in Rhode Island and in Bristol, Plymouth, and Barnstable counties in Massachusetts. Providence VA Medical Center offers 32 subspecialty clinics to meet the needs of Veterans. Our medical center maintains 73 beds. We have 150 board-certified physicians and more than 1,500 full-time equivalent employees. Our research projects total more than $20 million in funding. 

Forming good habits is hard, and apparently there's more to it than just willpower. Dr. Jeffrey Iliff joins us for this episode to explain the brain science behind building habits. He gives tips on ways to improve your chances of building a good habit. Dr. Iliff is the Associate Director for Research at the VISN 20 Northwest Mental Illness Research, Education, and Clinical Center (MIRECC) at the VA Puget Sound. He is a Professor of Psychiatry and Behavioral Science, and of Neurology at the University of Washington School of Medicine, where he is the Arthur J. and Marcella McCaffray Professor in Alzheimer's Disease. Dr. Iliff was part of the research team that discovered the ‘glymphatic' system, the brain's cleaning system that is active during sleep. His research focuses on identifying the molecular changes that underlie glymphatic system failure with aging and after traumatic brain injury, extending these experimental studies into human subjects and clinical populations with an aim of developing new treatment and prevention strategies for neurodegenerative diseases such as Alzheimer's and Parkinson's. Native Exiles, a podcast from Alderwood Community Church, where we talk about following Jesus in the tension of being in the world but not of it. We want to help you think through how to walk with Jesus in a world that is seemingly walking the opposite direction. We want to equip you to engage the world without disengaging from Jesus.For more questions and inquiries, reach us at reachus@amcc.org or visit us on our website at nativeexiles.com.

Football o'plenty on today's show with a dash of volleyball too, as Schmidty and Elijah Herbel get you ready for this weekend as Nebraska faces off with Georgia Southern. We hear from Husker Jeremiah Sirles and Coach Gary Barnett. Brandon Vogel and Erin Sorensen check in as well. VISN's Danny Burke returns with Burke's Best Bets, and Schmidty and Elijah cap off the show with another 'Steak and a Beer' bet.Hail Varsity Radio is brought to you by Currency.An Exclusive Offer For Hail Varsity Radio Show Podcast Listeners!Get your subscription to Hail Varsity at a discount! Use Coupon Code: GBRA Hurrdat Media Production. Hurrdat Media is a digital media and commercial video production company based in Omaha, NE. Find more podcasts on the Hurrdat Media Network and learn more about our other services today on HurrdatMedia.com.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Thoughts on the Arizona Cardinals trading for CB Treyvon Mullen - good move? Isaiah Simmons will wear the green dot for the Cardinals defense and call plays, ViSN's Tim Murray on CFB bets

Related Report:Care in the Community Healthcare Inspection of VA Midwest Health Care Network (VISN 23)The OIG Care in the Community healthcare inspection program examines clinical and administrative processes associated with providing quality outpatient healthcare to veterans. This report provides a focused evaluation of Veterans Integrated Service Network (VISN) 23 and its oversight of the quality of care delivered in community-based outpatient clinics (CBOCs) and through its community care referrals to non-VA providers. Although it is difficult to measure the value of well-delivered and coordinated care between VA and non-VA providers, the findings in this report may help VISN leaders identify vulnerable areas of community care that, if properly addressed, should improve healthcare quality for veterans.The OIG reviewed care coordination for congestive heart failure management; primary care and mental health (diagnostic evaluations following positive screenings for depression or alcohol misuse); quality of care (home dialysis care); and women's health (mammography care and communication of results).The OIG issued three recommendations for improvement in two areas:(1) Quality of Care• Completing initial and annual home visits for patients accepted into the VISN 23 home dialysis program• Monitoring quality of home dialysis contracted clinical services(2) Women's Health• Receiving written results from community providers within 30 days of the procedure

On this inaugural episode of Consultant Connection, Dr. Shari Dade sits down with Dr. Mira Brancu a Senior Organization Development Psychologist for VA's National Center for Organization Development (NCOD). Prior to working at NCOD, she also served in several leadership roles supporting the Office of Mental Health and Suicide Prevention's Mental Health Centers of Excellence, including the one in VISN 6 where she served as Deputy Director for 10 years. Mira is also an Associate Professor at Duke University. She specializes in team development, women's leadership, and navigating workplace politics. Listen in for a moment to connect with a leadership consultant around, The Power in Managing Up! Key Lessons: 1) Think about managing up as a way of “joining upward” and partnering with your leadership. 2) Take a step back and listen closely to how leaders talk about their pain points – what are their struggles, what might they be stressed about, what are they watching or tracking, and what are their drivers. Once you do this ask yourself, “what is my role in providing solutions and helping my leader overcome this?” 3) Ensure your approach is focused on listening, learning, empathy, and understanding. Please check out additional services here: https://dvagov.sharepoint.com/sites/VHANationalCenterforOrganizationDevelopment

Extreme Heat Know the signs of heat-related illnesses and ways to respond. It's important to be aware of the risks associated with extreme heat. Staying cool and avoiding injury is crucial, even if you live in VISN 8's geographical service area (Florida), which includes parts of South Georgia as well! The human body was not meant to operate in the heat of early summer. The life-threatening dangers that come with extreme temperatures can be avoided by taking care and following some simple guidelines, such as drinking plenty of water when you are thirsty or placing cool mist humidifiers in your home during these sweltering days! To avoid the risk of death from heatstroke, always drink plenty of fluids and wear light-colored clothing while outside. We all know that extreme heat is the leading cause of annual deaths in America. Lately, it seems like everyone has been talking about how we should do more to protect ourselves from this dangerous weather. You can do many things starting today and in the future, that will help keep your family safe during any hot spell or tropical storm! The heat is one of the most dangerous things in nature, and it can kill you with just a few degrees rise. It's always best to be safe than sorry- here are some tips on how not only cool off but also identify signs/symptoms if someone has been a victim so they know what their next steps should be! Preparedness In the summertime, it's easy to let your body temperature rise and become uncomfortable. A fan can seem like a good idea at first, but they provide little relief from heat stroke or other illnesses related to being too warm in an enclosed space without proper ventilation. Never rely on one as your primary cooling device! There are many ways you could prevent this problem: install window ACs; cover up any glass surfaces so that less sunlight gets through (this includes drapes); take steps towards insulating buildings by making air conditioners more efficient use electricity efficiently where possible). If all else fails, investigate funding opportunities such as If you cannot afford your cooling costs, weatherization, or energy-related home repairs, contact the Low-Income Home Energy Assistance Program (LIHEAP) for help. https://www.liheap.org/ Safety Never leave people or pets in a closed car on a warm day. If air conditioning is unavailable in your home, go to a cooling center. Take cool showers or baths. Wear loose, lightweight, light-colored clothing. If you're outside, find shade. Wear a hat wide enough to protect your face. Drink plenty of fluids to stay hydrated. Heat-Related Illness Know the signs of heat-related illnesses and ways to respond. If you are sick and need medical attention, contact your healthcare provider for advice and shelter in place if you can. Suppose you are experiencing a medical emergency call 9-1-1. https://www.hopkinsmedicine.org/health/conditions-and-diseases/heatrelated-illnesses-heat-cramps-heat-exhaustion-heat-stroke Till next time “Be Safe

On this episode, Dr. Shari Dade is joined by Mr. Seginald Bryant, the Information Technology Area Manager for Durham, North Carolina. Mr. Bryant has a team of 27 IT Specialists that support Veterans from Central NC out to Eastern Coastal NC. This support includes VISN 6 HQ in Durham, two NCAs – one in Raleigh & New Bern, four Raleigh CBOCs, a Wake County Health Care Center, two Vet Centers – One in Greenville & one in Raleigh, a Health Care Center in Greenville, a VBA office in Raleigh, the Durham VAMC, a National Program Office, National Research Office, an Admin office in RTP and numerous remote customers scattered across the AOR. On this episode, he talks about how he has been able to charge past failures of his past and remain encouraged to push himself to success. Listen in for a discussion on how to turn the adversity of today into the success of tomorrow by playing the long game!

VA Dietitians want to help encourage Veterans, their family, and caretakers to maintain heart health. Keeping our hearts healthy is important and nutrition can play a big role. In episode #62, listen along as Kristine, VISN 15 MOVE Coordinator reviews her top three lifestyle changes that can help improve your heart health.  Starting off with selecting a variety of high fiber colorful fruits and vegetables and focusing on having a balanced healthy plate. In addition to our meals, working towards being physically active, and being mindful of your weight. MOVE! Is a great program to help with weight management. Finally, look for Whole Health options in your area for movement activities for a great way to increase physical activity.  

**SPECIAL ANNOUNCEMENTS: Reserve your seat now for Dr. Carol Penn's revolutionary 1-yr subscription course created to help busy professional “Super” Humans like you Master Your Mindset And Optimize Your Health, Happiness, And Freedom. https://bit.ly/MindsetMastery_Weightless Download a special Gift, supporting your sleep from this episode's Super-friend, Dr. Kathy Farah: Text the word SLEEP to 55444 ~~~~ Hosted by Dr. Carol Penn, DO, & Diem Jones this exciting 10-part Series, now in Season 7, is presented by Penn Global Visions and Dr. Carol's team of Super-friends as we explore the worlds of: weight loss; weight loss maintenance; aging in reverse; heart health; optimizing health and well being. Weightless in Mind Body and Spirit, is designed to assist each participant in the journey of outrageous self-care and how to prioritize themselves on behalf of achieving their best and highest self. Over the course of our show you will learn how to balance your Sympathetic and Parasympathetic nervous system. Tune in to this episode as we discuss "The Mind Body Medicine Practicum" with returning Super-friend, Dr. Kathy Farah. Produced by: Kenya Pope, http://goddess.kenyapope.com ~~~~ Featured Guest: Dr. Kathy Farah Dr. Kathy Farah is certified with the American Board of Family Medicine and the American Board of Integrative Medicine and is a Diplomat in the Academy of Integrative Health and Medicine. Dr. Farah is an Associate Clinical Director with the Center for Mind Body Medicine, the world's effective evidenced-based program for healing population wide psychological trauma and stress. She is a Clinical Lead for the VISN 8 program which incorporates Mind-Body Medicine and the Whole Health Program in Florida, South Georgia and Puerto Rico for our country's veterans. She is the Clinical Lead for the Native American and Indigenous programs. These initiatives support local leaders and healers in communities such as Pine Ridge Reservation, S.D. to combine indigenous wisdom with cultural ways of healing to strengthen resilience. Dr. Farah has practiced full spectrum family medicine in Western Wisconsin for over 30 years, including 11 years with Mayo Clinic. She provides Integrative and Holistic Medicine at Western Wisconsin Health. Dr. Farah has been a consultant to families and children in the Pain, Palliative Care and Integrative Medicine Department at Children's Hospitals and Clinics in Minneapolis MN 17 years. In those roles she utilizes trauma informed Mind-Body skills, Craniosacral therapy and Heartmath. www.kathyfarahmd.com --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/carol-penn/support

Chris Schmidt and Connor Clark dial in for Thursday's show. Nebraska has its coaching staff filled out as they welcome Bryan Applewhite, formerly of TCU. The guys get reaction from Coach Gary Barnett and Brandon Vogel. Steve Marik previews the Husker women  versus Indiana. VISN's Danny Burke is in with his wildcard weekend's “Best Bets.” An Exclusive Offer For Hail Varsity Radio Show Podcast Listeners! Get your subscription to Hail Varsity at a discount! Use Coupon Code: GBR A Hurrdat Media Production. Hurrdat Media is a digital media and commercial video production company based in Omaha, NE. Find more podcasts on the Hurrdat Media Network and learn more about our other services today on HurrdatMedia.com. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In hour 2 of the show Wizards General manager Tommy Sheppard joined the show to talk all things hoops. Also, Tim Murray of VISN joins the program to look at some of the best gambling lines during the college football playoff.  See omnystudio.com/listener for privacy information.

La Bhagavad-gita es un importante texto sagrado hinduista. Se le considera uno de los clásicos religiosos más importantes del mundo. Es parte del texto épico Majabhárata (posiblemente del siglo III a. C.). Consta de 18 capítulos y 700 versos. Su contenido es la conversación entre Krishna a quien los hinduistas consideran una encarnación de Visnú (mientras que los Krisnaístas lo consideran el origen de Visnú) y su primo y amigo Arjuna en el campo de batalla en los instantes previos al inicio de la guerra de Kurukshetra. Respondiendo a la confusión y el dilema moral de Arjuna, Krishna explica a éste sus deberes como guerrero y príncipe, haciéndolo con ejemplos y analogías de doctrinas yóguicas y vedánticas. Esto ha hecho que el Bhagavad-gita sea considerado un resumen breve de las doctrinas hinduistas. Durante su discurso, Krishna revela su identidad como el ‘mismísimo Dios' (suaiam Bhagaván), bendiciendo a Arjuna con una impresionante visión de su divina forma universal.

This episode is Part 2 of our two-part conversation about the use of two drugs in a person's cancer journey which may be considered alternative to many people, cannabis and psilocybin. In this second episode we focus on psilocybin by talking to Mark Geyer, PhD, Distinguished Professor of Psychiatry and Neurosciences Emeritus at the University of California San Diego (UCSD), who directs the Neuropsychopharmacology Unit of the VISN 22 Veterans Administration Mental Illness Research, Clinical, and Education Center.For four decades, his group has had continuous funding from the National Institute on Drug Abuse to study the behavioral effects of psychedelics and entactogens. At UCSD, he is a founding member of the Consortium for Translational Research in Neuropsychopharmacology (CTRIN) and Translational Research in Psychophysiology, Exploration, and Cognition (TRIPEC) groups.As Dr. Geyer makes clear during our interview, the decision to use psilocybin should only be made with the professional guidance of medical experts; this is not a DIY treatment method.About ClearityCancer Connections is produced by Clearity, which provides free support and services to people impacted by ovarian cancer. You can learn more about Clearity and the topics we've discussed today by visiting clearity.org. Or, feel free to email us your questions or comments at podcast@clearity.org. Thanks!

Quality Enhancement Research Initiative (QUERI) dissemination coordinator Diane Hanks talks with Dr. Joe Geraci, investigator and clinical psychologist at the James J. Peters VA Medical Center, Bronx, New York. In addition to his clinical work, Dr. Geraci is the co-Director of the Transitioning Servicemember/Veteran Suicide and Prevention Center, which is a joint effort between VISN 2 and VISN 17. Recently, Dr. Geraci partnered with QUERI to evaluate the effectiveness of the Transitioning Servicemember/Veteran Sponsorship initiative. Dr. Geraci is a retired U.S. Army Infantry Lieutenant Colonel, having served for 20 years and been deployed as a combat leader with elite Special Operations/Ranger, Airborne, and Infantry units to Afghanistan four times since September 11, 2001.

In today's episode, presented by SuperBook Sports, I discuss the Broncos' keys to starting AFC West play undefeated. Von Miller has it right. "We've just gotta win." I provide Denver's keys and former CU Buffs great and VISN host Mike Pritchard (25:01-44:54) provides insight from Raiders from Las Vegas. My podcast is made possible by friends and sponsors: Hoggatt Injury Law, Birch Prospects, RBJ Glass. Blake Street Tavern and Mile High Sports.

Pat Steinberg and Logan Gordon give their take on Brady Tkachuk's new seven-year deal. Flames' GM Brad Treliving previews Calgary's season and why there is a reason for optimism. VISN hockey's Andy MacNeil gives his best bets for the NHL and Adnan Virk weighs in on Game 5 of the NLDS.

About Today's GuestMs. Christensen is a Licensed Clinical Social Worker who has spent her career supporting families in healthcare settings. Ms. Christensen began her career in pediatric oncology and palliative care, at Oregon Health & Sciences University and then at Stanford Children's Health. Her career with the Department of Veterans Affairs (VA) began when the Caregiver Support Program (CSP) was implemented in 2011.Since that time, she has been dedicated to carrying out the mission of the VA CSP, supporting the health and well-being of caregivers who care for our Nation's Veterans. Ms. Christensen was responsible for the initial stand up of the program at the VA Portland Health Care System. She developed local operations and supportive programming, including the introduction of whole health coaching for caregivers. In addition, she served as the Veterans Integrated Service Network (VISN) for the VISN 20 Northwest Network for 6 years, providing leadership for the CSP in Alaska, Washington, Oregon & Idaho. She was selected for the role of CSP Leadership Council Chair in 2017. In that role, she oversaw 4 committees as they worked to develop communications, technology, procedures, and education for the program. In 2018, she was assigned to the Caregiver Support Program Office as a Special Projects Coordinator, assisting with projects related to the Program of Comprehensive Assistance for Family Caregivers expansion under the VA MISSION Act of 2018.Ms. Christensen now holds the role of Clinical Program Coordinator for VA Central Office's Caregiver Support Program where she assists with the development and guidance of field operations for the program. Her current work also includes enhancing the Program of General Caregiver Support Services across VA, which supports caregivers across the care continuum through education, coaching, support, skills training, outreach, and connection to resources. Ms. Christensen is also the VA lead for the Campaign for Inclusive Care initiative, a systematic approach to integrating caregivers as partners in Veteran healthcare teams.Ms. Christensen earned a bachelor's degree in Psychology from Seattle University in 1997 and a master's degree in Social Work in 2002 from the Graduate School of Social Work at Portland State University. She is a Licensed Clinical Social Worker in the State of Oregon. She is also a George W. Bush Institute Stand-To Veteran Leadership Program Scholar. Leah has spent her career supporting families in health care systems, previously as a clinical social worker in pediatric oncology and palliative care. She is the proud daughter of a Vietnam Veteran and the granddaughter of World War II Navy Veterans. She is passionate about supporting the families of those who have served.Links Mentioned In This EpisodeVA Caregiver Support ProgramThe Campaign for Inclusive CarePsychArmor Resource of the WeekThe PsychArmor resource for this week is the PsychArmor the webinar series Conversations with Caregivers. The Conversations with Caregivers Series, sponsored by USAA, is an opportunity to virtually engage and learn with military & Veteran caregivers about difficult issues that have been exacerbated by the COVID-19 pandemic. In this series, PsychArmor brings together subject matter experts from around the country, both professionals and military & Veteran caregivers with lived experience, to share their knowledge and expertise in these difficult conversations. These events are intended for military & Veteran caregivers to learn together, discover new resources, change the narrative of their own experiences, and build resilience. You can get to the webinar series by going to this link: https://psycharmor.org/usaa-webinar/This Episode Sponsored By:This episode is sponsored by PsychArmor, the premier education and learning ecosystem specializing in military culture content. PsychArmor offers an online e-learning laboratory with custom training options for organizations.Join Us on Social Media PsychArmor on TwitterPsychArmor on FacebookPsychArmor on YouTubePsychArmor on LinkedInPsychArmor on InstagramTheme MusicOur theme music Don't Kill the Messenger was written and performed by Navy Veteran Jerry Maniscalco, in cooperation with Operation Encore, a non profit committed to supporting singer/songwriter and musicians across the military and Veteran communities.Producer and Host Duane France is a retired Army Noncommissioned Officer, combat veteran, and clinical mental health counselor for service members, veterans, and their families.  You can find more about the work that he is doing at www.veteranmentalhealth.com  

Featured Guests: Edwina Fire Thunder – Brown Bull. My Lakota Indian name is “Kla Kla Win” Rattling Woman. That name was given to me to carry on my relative's honor, who was my great-great grandmother the original landowner allotment. I am currenty Project AWARE SAMHSA• Coordinator of Culturally Informed Trauma Informed Schools on the Pine Ridge Reservation • Little Wound School Elisabeth Eittreim teaches women's history, US history, and human rights history at Rutgers University-Newark as well as Women's and Gender Studies at Georgian Court University. Teaching Empire is her first book, and it was published in October 2019 by the University Press of Kansas. The book grows out of her history doctoral dissertation which she completed at Rutgers University-New Brunswick in 2015. Elisabeth also holds a Masters in Human Rights from Columbia University, a Masters in Teaching from Quinnipiac University, and a Bachelor in History from the University of Virginia. She has taught middle school in Connecticut, Washington, DC, and New Jersey, and her teaching experience informs how she approached the book. Elisabeth has also written and been published on topics including racial reckonings and violence in the US, COVID-19 among native communities, gun violence in the US, and several book reviews. Elisabeth lives in Atlantic Highlands, New Jersey, where she and her husband are raising their 3 children. Dr. Kathy Farah, MD is certified with the American Board of Family Medicine and the American Board of Integrative Medicine and is a Diplomate in the Academy of Integrative Health and Medicine. Dr. Farah is an Associate Clinical Director with the Center for Mind Body Medicine, the world's effective evidenced-based program for healing population wide psychological trauma and stress. She is a Clinical Lead for the VISN 8 program which incorporates MInd-Body Medicine and the Whole Health Program in Florida, South Georgia and Puerto Rico for our country's veterans. She is the Clinical Lead for the Native American and Indigenous programs. These initiatives support local leaders and healers in communities such as Pine Ridge Reservation, S.D. to combine indigenous wisdom with cultural ways of healing to strengthen resilience. Dr. Farah has practiced full spectrum family medicine in Western Wisconsin for over 30 years, including 11 years with Mayo Clinic. She provides Integrative and Holistic Medicine at Western Wisconsin Health. Dr. Farah has been a consultant to families and children in the Pain, Palliative Care and Integrative Medicine Department at Children's Hospitals and Clinics in Minneapolis MN 17 years. In those roles she utilizes trauma informed Mind-Body skills, Craniosacral therapy and Heartmath. Claire Garland: MEd Graduate School of Education, Rutgers University NJ Commission on American Indian Affairs Resource Person NJ Historical Commission Award of Recognition NJHC Co Chair of Year of Indigenous People & Culture Friend of Education Award Monmouth County Education Association --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/carol-penn/support

About Today's GuestsDr. Joseph Geraci, PhD, retired from the U.S. Army as an Infantry Lieutenant Colonel after serving for 20 years and deploying as a combat leader with elite Special Operations/Ranger, Airborne, and Infantry units to Afghanistan four different times since 9/11. While in uniform, he also served as an assistant professor at the U.S. Military Academy in both the Department of Behavioral Sciences and Leadership and the Department of Military Instruction. One of his last positions in the U.S. Army was serving as an Infantry Battalion Commander in which he was directly responsible for the health, welfare, and combat readiness of his soldiers. He received his doctoral degree in clinical psychology from Teachers College at Columbia University. He teaches military psychology to graduate students at Teachers College, and was a co-founder of the college's Resilience Center for Veterans and Families. He serves within the VISN 2 MIRECC as a licensed psychologist and is focused on studying and developing interventions that mitigate the significant suicidal risks that our Modern Warriors (some of them being his former soldiers) face as they attempt to reintegrate back into their civilian communities after military service. Within the MIRECC, he leads two national VA programs (Veteran Cultural Competence training and the Expiration Term of Service Sponsorship program evaluation). Links Mentioned In This EpisodeVISN 2 MIRECC Cultural Competence TrainingVA's Expiration Term of Service (ETS) Sponsorship Program RAND Report on overcoming stigma against help-seeking for mental healthArticles related to Purpose and Meaning in Post-Military LifeTheater of War on the Head Space and Timing PodcastPsychArmor Resource of the WeekThe PsychArmor resource for this week is the course on military culture, Veteran 101. This course is intended for anyone with little to no background or understanding of military culture. Topics include information about the training involved for a service member, some basic military terminology, and an overview of important policies that guide our military. The goal of this course it to provide a better understanding of differences between military culture and civilian culture. You can this course here: https://psycharmor.org/courses/veteran-101-military-culture/  This Episode Sponsored By: This episode is sponsored by PsychArmor, the premier education and learning ecosystem specializing in military culture content. PsychArmor offers an online e-learning laboratory with custom training options for organizations.Join Us on Social Media PsychArmor on TwitterPsychArmor on FacebookPsychArmor on YouTubePsychArmor on LinkedInPsychArmor on InstagramTheme MusicOur theme music Don't Kill the Messenger was written and performed by Navy Veteran Jerry Maniscalco, in cooperation with Operation Encore, a non profit committed to supporting singer/songwriter and musicians across the military and Veteran communities.Producer and Host Duane France is a retired Army Noncommissioned Officer, combat veteran, and clinical mental health counselor for service members, veterans, and their families.  You can find more about the work that he is doing at www.veteranmentalhealth.com  

Qué es Avatar: Como avatar se conoce, desde el punto de vista de la religión hindú, la manifestación corporal de una deidad, especialmente — aunque no únicamente — Visnú. La palabra, como tal, proviene del sánscrito avatâra, que significa ‘descenso o encarnación de un dios

As a physician pioneer certified in cranio-sacral therapy and mind/body/ spirit medicine, she has truly connected the dots about what it means to heal a whole person.  Embracing the unusual power to comprehend and act on that which may be puzzling or hidden to others, Dr. Kathy has become expert in so many areas such as the freeze response in stress and how held memories and historical trauma affect the body.  She’s a gracious powerhouse who has done the mind shift for herself that has led to living the practice that she’s meant to be.Kathy Farah, MD is an integrative and mind, body medicine physician.  She is certified with the American Board of Family Medicine and the American Board of Integrative Medicine.  Additionally she is a Diplomate in the Academy of Integrative Health and Medicine. Dr. Kathy has practiced full spectrum family medicine for over 30 years. She currently provides Integrative and Holistic Medicine at Western Wisconsin Health, Roberts, WI. Her career also includes 11 years with Mayo Clinic Red Cedar. She has been a consultant to families and children in the Pain, Palliative Care and Integrative Medicine Department at Children’s Hospitals and Clinics in Minneapolis MN for over 15 years. Dr. Farah is also an Associate Clinical Director with the Center for Mind Body Medicine and is the Clinical Lead for the VISN 8 program incorporating MInd-Body Medicine and the Whole Health Program in Florida, South Georgia and Puerto Rico. She is the Clinical Lead for the Native American and Indigenous programs as well. This has given her extensive experience in individual and global trauma.

0:00 Broncos talk including the future of Vic Fangio. 22:53 Jonathan Von Tobel of ViSN joins K&L to get his thoughts as to why the Nuggets are -6.5 against the Blazers, Nikola Jokic's MVP odds, and the Broncos moving to favorites to land Deshaun Watson. 35:59 Skrewball of the Day: A Canadian man gave a stern talking to a lynx that ate his chickens.

While the number of women who have joined the military has risen dramatically in the recent years, they still represent only a fraction of the total Veteran population.  However, just because our female Veterans are a small part of the total patients we serve it doesn't mean they only get a fraction of the resources they deserve. On this episode of The 9 Line, we speak with Jenny Childers, the VISN 21 Special Populations Program Manager, and Alexandra Allen, our Women's Health Medical Director about some of the issues around Women's Health for Veterans, how COVID-19 has impacted delivering health care to women, and the growing focus on Women's Health within the VA.    

13 januari 2021. Andaktsstund för barn.

13 januari 2021. Andaktsstund för barn.

Binovi Technologies (VISN:TSXV) is a Vision Therapy and Training Company that goes well beyond fixing eyes that simply can't read letters on an eye chart. That’s what your optometrist does when they prescribe glasses. What Binovi does is far more exciting and ground-breaking. Without getting scientific, Binovi delivers higher performing brains by optimizing the performance of your eyes. The result is a faster brain through stronger eyes, which creates quite the edge for the world's best athletes and explains why their client list includes: Dallas Stars (NHL) Chicago Cubs (MLB) Sporting KC (MLS) Tennis Canada Showcased During NFL Scouting Combine Eli Wilson Goaltending - The World Leader In Hockey Goaltending Development BINOVI HAS ALREADY GONE GLOBAL Since the launch of its Binovi state-of-the-art flagship, more than 800 organizations have been registered and have used the platform for vision therapy, sports vision performance. These organizations have created nearly 31,000 users, together completing more than 400,000 active sessions. BINOVI CONNECT TAKES THE COMPANY INTO GLOBAL HOMES The Company's new web-based video conferencing app goes even further by providing remote telehealth capabilities. Binovi Connect allows VISN to compete and offer care in any market in the world, hyper-scaling its growth through the optimization of its provider network of over 800 registered providers, and facilitating care to individuals from the classroom or the comfort of home. Binovi Connect enables users to connect with vision care professionals focused on concussion, reading skills, athletic enhancement and more. Turn off NetFlix. ignore your social media notifications. Grab your favourite beverage, call a couple of friends and watch this interview with Binovi CEO, Adam Cegielski / CEO Can't spare enough time to stare at a screen? Take AGORACOM with you in your car or on your walk by Podcast on Apple, Google, Spotify or your favourite podcaster.

Agoracom interviews CEOs of small cap companies. In this episode of the Small Cap CEO Interviews podcast, AGORACOM speaks with Binovi Technologies (TSX-V:VISN) Founder and CEO, Adam Cegielski. Binovi Technologies (VISN:TSXV) is a Vision Therapy and Training Company that goes well beyond fixing eyes that simply can’t read letters on an eye chart. That’s what […]

A former QB prodigy under Scott Frost and Mario Verduzco is in the transfer portal. We examine if Nebraska should take a look with Hail Varsity’s Brandon Vogel.  Husker great Grant Wistrom stops by to discuss Nebraska’s 2020 season.  Coach Gary Barnett and VISN’s Danny Burke round out a busy Thursday that also features Bob Diaco’s greatest hits from 2017. A Hurrdat Media Production. Hurrdat Media is a digital media and commercial video production company based in Omaha, NE. Find more podcasts on the Hurrdat Media Network and learn more about our other services today on HurrdatMedia.com.

Agoracom interviews CEOs of small cap companies. In this episode of the Small Cap CEO Interviews podcast, AGORACOM speaks with Binovi Technologies (TSX-V:VISN) Executive Chairman, Terry Booth. Binovi Technologies (VISN:TSXV) is a Vision Therapy and Training Company that goes well beyond fixing eyes that simply can’t read letters on an eye chart. That’s what your […]

On this week's special Masters gambling edition of GOLF's Subpar, handicapper Brady Kannon joins former PGA Tour pro Colt Knost and his close friend and on course rival Drew Stoltz live from the sports book at the new Circa Las Vegas. The host of ViSN's Long Shots Golf Betting talks what stands out to him with Masters week upon us before all three guys provide you with their picks. And do not forget, the Subpar Chirp league is back! Listen in to hear what odds they are taking in the Chirp App and how to compete head to head with the Subpar team all weekend with live betting.

In the 41st episode of the podcast, host Emily Van Buskirk explores a new topic: sports betting. First, she chats with Las Vegas CEO and Developer Derek Stevens about how he found himself in downtown Las Vegas. Stevens, who owns The D Las Vegas and Circa Sports is in the process of building Circa Resort & Casino which will house a three-story sports book, an outdoor pool area with a giant television called Stadium Swim and ViSN radio, video and podcast studios. Stevens also talks about the evolution of sports betting and how mobile gambling apps play a role.Later in the podcast, Emily chats with an old friend – ESPN’s Joe Fortenbaugh. They catch up on life in the sports industry, Fortenbaugh talks about his journey to the Sports Leader and his big move to Las Vegas. He breaks down some simple sports betting do’s and don’ts for Emily. The two also discuss the cancelled college football season and what it means for sports betting.Make sure to follow the show on all the socials: @sidelinesasss on Twitter and Instagram and Sideline Sass on Facebook. Plus, don’t forget to check out the website where audio, video and written sass converge at www.SidelineSasss.com. And make sure to check out the Sideline Sass merchandise in the Brawl Network Shop at https://shop.thebrawlnetwork.com.Follow Emily on Twitter and Instagram at @Emilnem. Follow Derek Stevens on Twitter at @DerekJStevens. Follow Joe Fortenbaugh on Twitter at @JoeFortenbaugh. And make sure to follow Circa Las Vegas and Circa Sports on Twitter at Instagram at @CircaLasVegas and @CircaSports.

We wanted to check in on our strong healthcare system friends before we close out this miniseries, so we brought back Dr. Butler! Katasha Butler, MBA, PharmD is a licensed Doctor of Pharmacy with 17 years of leadership experience. She has extensive experience in indirect and direct patient care with proven team building skills. An administrator with an inherent understanding of people and a genuine caring attitude, Dr. Butler has thorough knowledge of managed Medicaid, Medicare D, NCQA, TJC and OIG, in addition to State and Federal regulations. She possesses the ability to communicate effectively with individuals at all organizational levels. She has demonstrated skills at identifying and capitalizing on opportunities to improve operational efficiency and productivity. Additionally, Dr. Butler has a vested interest in diversity and inclusion in the healthcare sector. Current, unrestricted license in Indiana. During her tenure at the VA, Dr. Butler was recognized for her leadership and impact, including completion of the highly-competitive, national Health Care Leadership Development Program and graduation from the VISN 12 Leadership Development Program and Vermilion Advantage Class 26 Leadership Program. She also received the 2014 Director’s EEO Award, the 2014 VISN 11 Diversity Award, two Special Contribution Awards and numerous other recognitions. Dr. Butler served as the Chair of the Diversity and Inclusion for the VAMC, fostering a diverse and inclusive workforce.

Dr. Veronica Sikka, Chief of Virtual Care with the VISN 8 Clinical Contact Center talks about the service that became available just last year. She says a majority of veterans who have used it have received all the care they needed without having to visit a VA office. They're also ready to deal with any potential coronavirus cases.

"Take one breath." That's the advice from Ashley Benedict, Ph.D. for anyone who wants to take the first step toward change. In 2019, she got a chance to participate in an eight-week mind-body class through her work at the VISN 8: VA Sunshine Healthcare Network, and it changed her perspective on how taking time to focus inward can impact the outward work. In this episode of "Problem Solved," Benedict describes her self-discovery journey, strategies for incorporating mindfulness into your daily work and life, and the joy you can experience on a seemingly average walk in Florida.

It's that time of the year again!! Time for Evan to reveal his detailed NBA predictions.  He is joined by long time friend and star of ViSN and Mad Dog Radio Patrick Meagher.  As Evan reveals his exact order of finish in both the Eastern and Western Conference as well as his NBA Finals picks, Patrick as he does so well; clowns him.     COMING TUESDAY 10/22: The Brooklyn Nets Round Table Season Preview See omnystudio.com/policies/listener for privacy information. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Here in episode #31 Ashley shares her career story and highlights that being a quality person is truly in her DNA, she walks us through a day in the life as a VA quality improvement leader, she shares a great story around following the rules of engagement when working on an improvement team, you'll learn what the most important skill for a quality improvement expert is, as well as the power of team ice-breakers, Ashley shares her aha moment connected to big data and the future of EHRs, and you'll how Ashley maximizes her personal productivity with standard work!

Dr. Grant Harris is a geropsychologist currently working in the Geriatric Primary Care Clinic at the St. Louis VA. He received his PhD from The University of Alabama with a clinical and research interest in geropsychology. With the help of his advisor, Dr. Rebecca Allen, Grant was presented with the Outstanding Dissertation Award and the Psychology Department's Award for Outstanding Research by a Doctoral Student for his work in several domains, including dementia caregiving, the stress process in older adults, and the use of religiosity as a coping strategy in chronic illness. Dr. Harris completed his internship at the Memphis VA Medical Center and stayed for a fellowship in Clinical Health Psychology with an emphasis on late life. He joined the St. Louis VA in 2015. He is a member of the facility Dementia Committee and VISN 15 Dementia Committee. In his role as the GeriPACT psychologist Grant has created and implemented an interdisciplinary dementia evaluation clinic and enacted a facility-wide dementia consult to triage cognitive evaluations to the most appropriate clinic. Dr. Harris was integral to the development of the geropsychology fellowship at the Saint Louis VA and acts as the cognitive evaluation preceptor for the psychology internship and fellowship programs. He serves as newsletter editor on the board of the Council of Professional Geropsychology Training Programs.Learning Objectives:At the conclusion of this episode, listeners will be able to:1. Explain the medical home model.2. List differences between a GeriPACT and a traditional primary care clinic.3. Describe the role and responsibilities of a geropsychologist in a GeriPACT.4. Describe the current research on GeriPACTs.For further reading on topics discussed in today's episode:- Moye, J., Harris, G., Kube, E., Hicken, B., Adjognon, O., Shay, K., & Sullivan, J. L. (2019). Mental health integration in geriatrics patient-aligned care teams in the Department Veterans Affairs. The American Journal of Geriatrics Psychiatry, 27(2), 100-108.- Mast, B. T. (2011). Whole person dementia assessment. Baltimore, MD, US: Health Professions Press.

Craig opens the second hour of the program talking with Michael Waldo of Fantistics about the strong start of Max Kepler, and how both were high on him in drafts. Mitch Moss joins Craig as they talk about how their baseball leagues are fairing, and also look at some top news around MLB, and some of the latest stat trends. Craig finishes the show looking at projections for Dallas Keuchel in Atlanta.  Learn more about your ad-choices at https://news.iheart.com/podcast-advertisers

George Madiou interviews Richard "Buzz" Bryan on 27 Percenter Success System Building Fortunes Radio Peter Mingils WPBVAMC Welcomes New Outreach Coordinator Richard “Buzz” Bryan Richard “Buzz” Bryan joined the West Palm Beach VA Medical Center as the Outreach Coordinator in March 2018.  In this role, he will plan the development and implementation of all outreach programs and activities to expand the patient base and increase the number of veterans who receive care at the facility and the CBOCs. He will work closely with all departments to enhance outreach methods to maximize growth of the VAMC.  Buzz is very passionate about serving our nation's heroes and looks forward to increasing the VA footprint in our communities. Prior to joining the WPB staff, he previously served as the OEF/OIF Transition Patient Advocate for VISN 4 based in Pittsburgh, PA for 10 ½ years.  He was one of the original 100 Transition Patient Advocates hired by VACO in May 2007.  He was also assigned as the Assistant Fisher House Manager for the Pittsburgh Fisher House in September 2015.  Buzz was a member of the Navy/Marine Corps team, with multiple combat tours, and retired from the U.S. Navy in July 2011 after 22 years of honorable service as a Fleet Marine Force Senior Chief Hospital Corpsman. Buzz can be reached via email at Richard.Bryan@va.gov or at 561-670-9347. http://www.buildingfortunesradio.com/the-network-marketing-magazine-george-madiou-mlm-advertising-leads-training-peter-mingils/ This is brought to you by www.networkleads.com

In der 13. Episode des Corporate Entrepreneurs Podcast hat Felix Plötz die Mitgründerin von VISN Amanda Birkenholz zu Gast. Links zur Episode: - Amanda Birkenholz auf LinkedIn -> https://www.linkedin.com/in/amanda-birkenholz-814ab249 - Webseite von VISN -> https://www.visn.io -Webseite der mantro GmbH -> https://mantro.net Buchempfehlungen: - Zero to one -> https://amzn.to/2KKn6vd - 4 Tage Woche -> https://amzn.to/2Zhy4vy Werde jetzt Mitglied in der kostenlosen Corporate Entrepreneurs Community -> http://corporate-entrepreneurs.de/communityfb Unsere Webseite -> http://corporate-entrepreneurs.de Webseite von Felix Plötz -> https://www.felixploetz.com Webseite von Peter Lutsch -> https://www.peter-lutsch.com

Welcome to VHA Innovation Ecosystem podcast! On this episode, we cover advanced care planning and programs that help Veterans have difficult conversations with their care providers and families. Dr. Kimberly Garner and Laura Taylor speak to Advanced Care Planning via Group Visits (ACP-GV). ACP-GV uses interactive, patient-centered group sessions led by health care professionals to engage Veterans in thinking about and planning for future medical decisions. Participation in the group discussions often leads to better management of chronic disease and increased access to primary care, along with enhanced communication, decision-making, and satisfaction. The second practice featured in today’s episode is the Life Sustaining Treatment Veteran Education Video. This practice aims to create a video explaining life-sustaining treatments for Veterans who are visual learners to optimize their decision-making. The video is under development by Elizabeth Williams, an Innovation Specialist and a Clinical Nurse Leader at the Gulf Coast Veterans Health Care System. In the final segment, Dr. Marvin Swartz, the co-director of the National Resource Center on Psychiatric Advance Directives (NRC-PAD) discusses psychiatric advance directives, or PADs. PADs are legal documents that record a person’s preferences for future mental health treatment. NRC-PAD serves as a place for consumers to access the timeliest PAD documentation for their jurisdiction. NRC-PAD also advocates for the implementation of laws that support patient-centered mental health care. Episode Resources: VHA Innovators Network Diffusion of Excellence Initiative U.S. Department of Veterans Affairs Gulf Coast Veterans Health Care System Little Rock Geriatric Research, Education, and Clinical Center National Resource Center on Psychiatric Advance Directives Key Episode Quotes: "A Veteran told me, ‘Thank you for caring enough about us to share this with us or to tell us about this.’ I hear fairly frequently from Veterans that they appreciate being told proactively about things and not having to hunt that information down themselves.” – Dr. Kimberly Garner, Associate Director of VISN 16, Little Rock Geriatric Research, Education and Clinical Center “We just celebrated serving 10,000 Veterans through the program, and our long-term plan is really for Advanced Care Planning via Group Visits to be offered in every VA facility, nationwide.” – Laura Taylor, National Director of Social Work Care Management and Social Work "He said if he knew that this was what the provider were talking about, he would have said no on the front end…There was a learning gap between conversations about these important things and what Veterans understood or took from that.” – Elizabeth Williams, Innovation Specialist and Clinical Nurse Leader in Acute Care at Gulf Coast Veterans Healthcare System "When a person can't consent to treatment, then treatment has to be administered involuntarily, and that can have consequences that's distressing to a person with severe mental illness…these mechanisms are out there, these legal tools are out there, but not that many people know about them. We'd like more widespread knowledge and tools to use them to be available." – Dr. Marvin Swartz, Co-Director of the National Resource Center on Psychiatric Advance Directives

In this podcast Georgia interviews Dr. Chris Corona, post-doctoral fellow at the VISN 2 Center of Excellence for Suicide Prevention at the Canandaigua VA Medical Center, to continue the discussion on moral injury. Moral injury is a relatively new concept and our understanding of how it relates to suicide risk is limited. Dr. Corona provides a thorough overview of moral injury and ways providers can assess and treat moral injury as well as sharing findings from current research on moral injury and suicide risk in a population of Veterans with substance use disorders and ideas for future research.

In this interview with Natural Medicine Journal's publisher, Deborah Yurgelun-Todd, PhD, and Perry Renshaw, MD, PhD, MBA, discuss the research they are conducting at The University of Utah in the Neuroscience Department. They specifically describe research associated with the safety and efficacy of supplemental citicoline, as well as evaluate emerging research in this area. Approximate listening time: 30 minutes About the Experts Deborah Yurgelun-Todd, PhD, is director of the Neuroscience Initiative and a USTAR Professor of Psychiatry at the University of Utah School of Medicine. Her research focus is on identifying the neuropsychological and neurobiological bases of human behavior. Yurgelun-Todd is an expert in the application of structural and functional magnetic resonance imaging, the administration and analysis of neurocognitive tests, and the integration of the results obtained by these multiple modalities. She has examined the etiologic bases of neural models of dysfunction in psychiatric disorders including depression, bipolar illness, substance misuse, and schizophrenia. She is also recognized for applying imaging techniques to study cortical changes during development in healthy children and adolescents, and during treatment intervention in adult patients.   Perry Renshaw, MD, PhD, MBA, is a USTAR Professor of Psychiatry at the University of Utah School of Medicine and a Medical Director of the VISN 19 Mental Illness Research, Education and Clinical Center (MIRECC) at the Salt Lake City Veterans Affairs Medical Center. His training as a biophysicist and psychiatrist has led to a primary research interest in the use of multinuclear magnetic resonance spectroscopy (MRS) neuroimaging to identify changes in brain chemistry associated with psychiatric disorders and substance abuse. Current clinical trials are focused on the use of citicoline as a treatment for methamphetamine dependence, creatine as a treatment for depression, and uridine as a treatment for bipolar disorder. Renshaw’s recent work focuses on brain chemistry changes that may increase depression and suicide for people living at high altitudes. Transcript  Karolyn Gazella: Hello, I'm Karolyn Gazella, the publisher of the Natural Medicine Journal. Today, I'm thrilled to be joined by two highly respected brain researchers from them University of Utah Neuroscience Department, Dr. Deborah Yurgelun-Todd and Dr. Perry Renshaw. Now, before we begin and dig into today's topic, I'd like to have each of you describe the focus of your research. So let's start with you, Dr. Yurgelun-Todd. Deborah Yurgelun-Todd: Yeah. Well, my research is initially started to focus on cognitive function and the neuropsychological, or brain, pathways that mediate how we think and how we feel. And then I became very interested in the application of brain-imaging to help us understand exactly how those pathways worked and give us some insights into how the brain does things well, and how it does things less well. Gazella: Perfect. Now, Dr. Renshaw, how about you? Can you please describe your research focus? Renshaw: Well, sure. Well, I'm sort of confused soul. I'm a psychiatrist/biophysicist, and the way in which I merged these techniques together is to do brain-imaging studies that focus on, how is brain chemistry altered in, particularly, diseased states that psychiatrists might be interested in. And based on identifying unusual patterns in brain chemistry, my research group likes to focus on identification and development of novel treatment strategies. One of which is a molecule, I guess we'll be talking about today, CDP-choline or Cognizin. Gazella: Perfect. And you're absolutely correct, I'd like to talk about citicoline in a lot more detail. Now, Dr. Yurgelun-Todd, why did you become interested in citicoline for the brain, and why did it catch your attention? Yurgelun-Todd: Well, they've done some work looking at why the brain was not working very well in mood disorders, and why attention, in particular, was a problem in individuals who had depression and other mood disorders. And when citicoline was brought to my attention, there seemed to be interesting potential for that to alter attentional systems. So I became very excited at the possibility of that becoming a treatment for individuals who may not have optimal brain functioning. Gazella: Perfect. I love the fact that attention actually is what caught your attention, so that's brilliant. That's brilliant. Now, Dr. Renshaw, what does the scientific literature tell us about the safety of citicoline, and are there any contrary indications or risks associated with its use orally? Renshaw: You know, that's a great question because we have a really well established answer that citicoline has been used millions of times around the world. In some countries, particularly where they use it as an intravenous administration as a drug. In other countries like the US and Canada, it's a nutritional supplement. We've done studies, or rather, Dr. Yurgelun-Todd has done studies looking at the effects of citicoline on adolescents and she can describe what she saw. But, by and large, you have to take a whole lot of citicoline before you notice anything adverse. And in the few instances where we've seen that, it's been people feeling like they've had too much Starbucks coffee and that goes away over about a half an hour. Gazella: Yeah, and I would like to hear about the studies on children, Dr. Yurgelun-Todd. What does your research tell you about safety, especially in that population? Yurgelun-Todd: It's very interesting because we, as I mentioned, I was interested in potential ways to improve thinking and so we decided we would look at the developing brain in individuals who were adolescent. And we found that when we supplemented with citicoline, they actually improved their attentional span and could do—and had some improvement in their psychomotor function as well. So this was in healthy adolescence, rather than anyone who actually had a documented impairment. The fact that you could see improvement in cognitive functioning and psychomotor functioning in healthy individuals without a documented impairment was actually quite remarkable. The other thing that was remarkable was that the dosing was very low, and in fact, this was a new area to explore. How low could we dose and still see an effect on the brain? So we were quite enthusiastic about those finding and think they have important implications. With regard to safety, we also were very rigorous in the documenting potential side effects associated with the administration of citicoline and we really saw essentially no side effects in the side effects profile that we did document. Looked very similar to the placebo, in fact, was not statistically different between placebo and the treatment arm. So we were really reassured that even with the rigorous assessment for side effects, there was nothing that was documented in this trial. What's really compelling, however, is that most treatments for cognitive changes or for any neurologic disorder, neuropsychiatric disorder do end up having side affect issues, some of them being more visceral, like stomach or headache or things like that, but also some of them actually diminishing your cognitive functioning. So this was rather remarkable that we could enhance cognitive functioning with no side effects. Gazella: Yeah. I mean, it's good to hear that the safety profile is good. And I may want to come back on that topic of children, but Dr. Yurgelun-Todd, I'm going to stick with you here. There's a wide variety of brain functions and cognitive issues that have been researched associated with the use of citicoline, like focus, attention, dementia, and other issues. Which area, presently, has the strongest, and most compelling research? Yurgelun-Todd: Well, that's a very interesting question because there's a biased based on what science you happen to love. I think some of the most compelling research has been associated with the fact that there's a repair mechanism associated with the administration of citicoline, that is, cellular biochemistry is actually altered and phospholipid synthesis is improved when you have an administration of citicoline, therefore, individuals who have neurological insults, such as strokes or mild traumatic brain injury, things like that can see rapid repair in their cells with citicoline administration. That is the area that's more involved in the patient or the real neurological insult area. Within the healthy individual, I think the most compelling research really falls on two ends of the lifespan, that is the elderly or middle-age and above, and also then some of the work we talked about in adolescence, where both when your brain is growing rapidly and also when your brain is aging, it seems as if the supplement with Citicoline can make a substantial difference. Gazella: Yeah, that's interesting. Now, Dr. Renshaw, there's preliminary research demonstrating that citicoline may be able to help with cocaine dependence and addictions. I find that pretty fascinating. How promising is that research, and do you see that as a viable application in the future? Renshaw: Yeah. No, that's a great question. Citicoline, broadly speaking, has 2 effects. One that Dr. Yurgelun-Todd just touched on. Brain repairs is probably more well established and been investigated for probably 30 or 40 years. Our work, to a first approximation, looks at the effects of citicoline in terms of increasing the levels, brain levels, of neurotransmitters, particularly dopamine and norepinephrine in the brain. When someone is using cocaine or methamphetamine, they often have a depletion of dopamine within their brain, as well as, in the case of methamphetamine, some damage related to decreases in blood flow. From that perspective, citicoline is almost a perfect fit in terms of what it can do an active user, increasing the level of dopamine in the brain, makes them feel, I think, more intact and, perhaps, less inclined to continue using drugs. And the brain repair mechanism because the mechanism on which stimulants cause brain damage is often related to ischemia. It's just a really good fit. Where we're going now in this research, is that we've broadened our scope from cocaine to methamphetamine to stimulants that are used to treat ADHD. In fact, we are in the middle of finding a study supported by the National Institutes on Drug Abuse, we're working with in Salt Lake City and Seoul, South Korea. And what we're looking at is adolescents who are using stimulants, not necessarily as a drug of abuse, as a way to approve their attention, focus, and do better on very rigorous South Korean college entrance exams. Some estimates suggest that close to a quarter of all high school students in South Korea are taking stimulants, which is probably not good or the long-term outcome of which is not good. We think citicoline may be a way to help people feel better and get off the use of stimulants. Which is better avoided, unless you have a really good reason for continuing treatment with that class of medication. Gazella: Yeah. That's actually one of the questions I was going to ask. When you're talking about using citicoline in healthy children, I was curious ... and Dr. Renshaw, I'll stick with you on this one ... I was curious, I have not read any studies using citicoline for children with ADHD, but I think what you're saying is you're evaluating whether or not this could be a viable alternative to the pharmaceuticals that are being used for ADHD. Is that what I'm hearing? Renshaw: There's a real divide, at least in the United States, between things that are approved as natural products, nutritional supplements, and pharmaceutical agents. The natural product industry lives in fear of having their products considered to be drugs because the amount of testing, and safety monitoring, and efficacy, and evaluation that goes into getting something onto the market as a drug is really very expensive and onerous. So for us, any research that we do, we have to have it paid for itself. It's been a lot easier to look at the use of citicoline in healthy populations, and certainly the sponsors of the work that we've done, which have been certain large natural product companies, who are much, much happier without us in approach. That's said, if I take off my sort of business man's hat and put on the scientific garb, what we believe is that, in fact, citicoline would likely have good effects for treating ADHD. In Europe, it's been used as a drug to treat Parkinson's disease with good outcomes, and Parkinson's disease is, as you may know, is also a disorder associated with decreased dopamine in the brain. The ability to increase focus and attention is generally quite good. The difference between citicoline and the stimulant per se, is the effect of citicoline is to increase the brain's concentration of dopamine, that you're encouraging the brain to make dopamine when it otherwise might not do so. Stimulants just release dopamine from the brain and tend to deplete it, so they are very different mechanisms, and there's every reason to think that they'd both be affective. They probably have different safety profiles. Gazella: That's fascinating. And Dr. Renshaw, I'm going to stay with you one more time. What about autism, autism spectrum? There's numerous conditions that are in that category. Any preliminary research in that or are we pretty much leaving that alone for now? Renshaw: We haven't been involved in that research. There was a company we did some research with in the Boston area, that was very interested in a related compound from the treatment of autism. They got involved in a big patent dispute with the University of California in San Diego that was resolved in UCSD's favor. So I don't think there's ever been a trial. But, there certainly is a suggestion in the autism literature to treat with pyrimidines, as the effect of either cytidine or uridine on the brain might help some individuals with autism spectrum disorders, but I think in fairness, it's really quite preliminary and that we'd have to do studies to understand what the effects were likely to really be to a population. Gazella: Yeah. That makes a lot of sense. Now, Dr. Yurgelun-Todd, I'd like to stay on this topic of exciting new research in the area of citicoline use. Another area of research that's pretty interesting, and could be significant, is the use of citicoline for appetite control. I mean, obviously we have an issue with obesity in this country. Is it too early to tell is this may be a promising application of citicoline in the future? Yurgelun-Todd: You know, I don't think it is. We've noticed some years ago that in looking at the response to food cues, individuals who had received the supplementation of citicoline actually showed significant decreases in appetite and that this was related to dose of citicoline that they'd received. And the thing that was interesting about that data, was it wasn't just that the individual said, "Oh, I feel like I have a reduced appetite." They actually showed differences in the way their brain responded to the cues, such as food items, ice cream, donuts, things like that when they viewed them in the magnet. So we had documentation that neural activation was altered in food-processing related areas of the brain, as well as having a decrease in appetite, which really suggests that there is some mediation of brain responses to appetitive cues, which is really one of the problems with obesity. And within weight control, that's just sort of having an over-reaction to these kinds of cues. And thinking about it further, it didn't really surprise us because it goes back to what Dr. Renshaw just mentioned about the dopamine system, the dopamine system in addiction are part of the reward system in the brain and the ... although we initially focused on the impact of citicoline on cellular function and phospholipid metabolism, we recognized as we thought about it further, that the concentration of dopamine is being changed with the supplementation of citicoline as well. So we're changing neurotransmitter balance in the brain and that had a really positive affect in terms of response to food items. I don't know if Dr. Renshaw wants to comment. Renshaw: No, I think that's right. When stimulants have been used for this purpose, in fact, that's why many of them were developed initially, but they sort of force the brain to release all the dopamine that it's already made. What we really like about citicoline or pyrimidines as a strategy for increasing brain dopamine is that A, it's really encouraging the brain to speed up synthesis, which is sort of what you'd like to do, and again from a safety perspective the latter approach should be much safer for individuals taking a supplement or another medication over time. Yurgelun-Todd: To go back to your question on is it too soon. I don't think so because I think most studies that we hear about are really just using self-report and don't have the documentation of a brain response. You couldn't really fake a brain response in terms of metabolic activations, so that is a really, I think, robust piece of research that will support this as an appetite moderator. Gazella: That's fascinating. Now, I want to stick with you, Dr. Yurgelun-Todd because I do want to go into dosage. But specific to appetite control, what was the dosage used? Yurgelun-Todd: 2,000 milligrams in the study that we did. Although, we did not ... we've not had the opportunity to see how low we can go to have this effect. And this was in middle-aged individuals. So we were looking at people, 40 to 60 years old, and they were looking at the extent to which having a 6-week supplementation could impact the brain. And that's what we saw. Gazella: And 2,000 milligrams, is that divided doses? Yurgelun-Todd: Yes, it was. It was morning and evening. Gazella: Okay, perfect. Now, Dr. Renshaw, I want to dig a little bit deeper into this issue of dose. Now, does the dose of citicoline vary depending on the application or is there a consistent dosage range that is affective across most conditions? Renshaw: That's a great question, and citicoline has a funny history that was used most extensively first in Europe. And there, after an injection of citicoline, they had a lot of trouble showing that there was any citicoline or cytidine in the bloodstream. When they went to oral ingestion, that became an even bigger problem. And it turns out, that the stomach plays tricks with citicoline, it turns the cytidine, that's part of it, into a molecule called uridine, which is the predominate pyrimidine in the human central nervous system. Because of that, it's been a wide spectrum on the views on how bioavailable, that is how much citicoline gets used by the body. It turns out that if you measure uridine, essentially all the citicoline is absorbed and gets distributed across the body, but it took a long time to figure that out. This was sorted out by a scientist at MIT, Richard Berkman, who's also studied citicoline extensively. If you look at the clinical indications, a lot of the ones we look at, mood disorders, attention-deficit disorder, probably require lower doses. In the United States, the most recent trials have really looked at serious brain injury conditions, like stroke, and so there have been trials that are conducted with oral administration of citicoline to treat stroke. The problem there is that in the context of someone who's found out a real metabolic stress affecting the brain and the body, it just sort of absorbs things effectively from your stomach, plus you've got a problem with the area you want to impact has got decreased blood supply due to the stroke. And doses went up to something like four grams a day in those instances. We've been ... most of our indications using somewhere between 500 and 2,000 milligrams of citicoline. The effects of citicoline last for about two, or three, or four hours just depending on the individual. So taking it twice a day works reasonably well. There is, for many normal people, a self-correcting mechanism, which if you're taking more than your body needs, you will feel anxious and jittery. That's relatively uncommon. Anyone taking less than 2,000 milligrams a day is unlikely to have side effects. This is obviously important in figuring out what to do. Studies in children, for example, as Dr. Yurgelun-Todd has done. Children come in a variety of shapes, sizes, and weights. It's probably going to be important to adjust the dose to reflect the weight of the child. Gazella: Yeah. I think one of the fascinating things for me with citicoline, is that it does, in fact, have efficacy at what could be considered a fairly low dose, even as low as 250 milligrams. But even at 500 milligrams, that's a pretty low dose, and it's still showing affect, correct? Renshaw: That's right. From that perspective, it's really important to recognize that one of the most established effects of citicoline is to speed up membrane synthesis, and this is true in every cell in the body, and we all travel around with CDP-choline in our cells. For that reason, because it's highly important in controlling this fundamental process, the body tends to keep the concentration of CDP-choline low. So that relatively low doses, especially for natural product, work much more effectively than is true of almost any other type of natural product. And again, we think that that has a lot to do with the fact that it's a really important regulatory control molecule within the body. Gazella: Right. Now, Dr. Yurgelun-Todd, we've talked about a lot of different conditions, and application, and some pretty exciting emerging research associated with the oral use of citicoline. Out of all of that, what do you feel shows the most promise? Yurgelun-Todd: I think I'm going to relate that to where I think there's a great deal of need. And that is in our children, and our adolescents, and young adults. And specifically, I think the fact that we can provide a very safe, minimally, essentially no side effect treatment to improve attention, and you touched on this earlier, I think is very significant. We've not done studies in ADHD or populations, such as a diagnosed ADHD population, but I'm quite sure that this would be a supplement that would make a significant difference for many of those and not have any long-term or short-term side effects. So I think that's a very important point. The other thing that hasn't been as well explored, but I think is important, is the area of concussion or sports injury. Where, I believe, because of the data that we've seen in stroke, and in other neurologic disorders there's every reason to believe that citicoline could actually provide a preventative capacity, like in a sports drink or a bar, something to that effect, prior to concussion. And then also supplementation during the season could be very helpful. So I think that ... well, that hasn't been an area that we've focused on so much. I think given the attention now in the sports of our children and college students, that this would be an area that could be really important. And then, of course, my original reason for wanting to get into this work, which is mood disorders. I think that we hadn't really capitalized on the impact of Cognizin on improving mood disorders. And I think there are many individual, particularly, in the perimenopausal age group who have found that this has been a very important supplement in their life and has helped them significantly in feeling that they can think more clearly and feel better overall. So those are my favorite areas to think about. Gazella: Yeah. That concussion, that is really fascinating and it would be great if there could be some studies done there. Dr Renshaw, do you agree? Anything to add to that list? Renshaw: Yeah. There's a substance abuse investigator at the University of Texas Southwestern in Dallas, Sherwood Brown, who did a study of the individuals who had both, cocaine dependence and bipolar disorder. And what he found was citicoline was actually much more effective in treating the bipolar disorder than the cocaine dependence in the patients that he was working with. We have a colleague here in Utah, Doug Hondo, who looked at that and said, "Why would something like citicoline be effective in treating bipolar disorder?" And he's developed a theory that suggests that citicoline may have a really potent antisuicidal effect. And it shares, to an unbelievable degree, many of the same effects on the human brain that both lithium, which is known to antisuicidal and ketamine, which is the antidepressant for those of us in psychiatry. So he's about to begin a study looking at whether or not, and this has been funded by the Veterans Administration, Citicoline reduces suicidality with treatment for only the first week. This is very exciting, and is something that will get underway, it's a 4-year study, in a couple of weeks. And if that's really true, and you could get the same protective effect without having to take Lithium or Ketamine, both of which have pretty significant side effects, that would be a real advance. The compound that Doug will be using in the study is uridine, which is the major metabolite that citicoline provides through the body in [inaudible 00:25:19]. Gazella: Dr. Yurgelun-Todd, because we're talking about bi-polar mood disorders, a lot of these folks are on some heavy duty medications as Dr. Renshaw just mentioned. Do we know anything about interactions? I don't know that there's been any studies, but if somebody is on a Prozac, or an antidepressant, or some of these other, Lithium and whatnot, can citicoline be taken with that or is that a no-no? Yurgelun-Todd: Thus far, I don't know of a clinical trial that examined that specific question, however, everything that we know about citicoline would suggest that because this is found in normal diets and is a part of the human body, that it would not have any interaction effect with the treatments that have been provided. So it should be perfectly safe. Gazella: Yeah. That makes some logical sense. Yurgelun-Todd: But with the caveat that we don't have that empirical data. Gazella: Right. You're basing that on logic and mechanisms of action and ... Yurgelun-Todd: Exactly. Gazella: Now, Dr. Renshaw, I'm going to put you on the spot here, but this is your area of expertise, your background is with addiction. I would love to hear your thoughts on our present opioid epidemic. I realize that this is a huge topic. This might be an unfair question, but can you give us a snapshot from your perspective as a researcher with this type of expertise, what needs to happen to get this issue, this opioid epidemic under control? Renshaw: Boy, if I knew the answer to that question, I'd have a really high profile job. We're very interested in addiction as you know, we live in the Rocky Mountain states, and so one of the things we study is, what happens when someone moves from a lower altitude to higher altitude, and what we find is that people often get more depressed and more anxious and, curiously, use more different kinds of drugs of abuse. So I guess you could say, flatten out the Rocky Mountains states, but that's not actually our strategy. We're looking for molecules like citicoline that may have an effect in changing brain chemistry in ways that are effective in treating some of these high altitude related conditions. The fact that this is something you can do that changes the use of drugs across a broad variety of categories suggests that these may be molecules that are really valuable in treating a range of different addictive disorders, but clearly you've figured out by now, that I'm sort of waving my hands because I think there are a lot of very smart people who are struggling with the question of how do you prove the problems of opiate dependence in this country. And it's really shocking how we have a problem that's occurred over a short period of time. Gazella: Right. We've covered it in the Natural Medicine Journal, so it's definitely in our radar as well. Now, I think we covered everything, but Dr. Yurgelun-Todd, is there any final thoughts that you'd like to add on this subject? Yurgelun-Todd: Yeah, just one final thought, which is that I think that the impact of citicoline and particularly Cognizin citicoline has not been fully appreciated yet. It's come a long way since we began working with it and I think we've appreciated that it has multiple types of impact on the human brain and body, but I think we have even more potential to see it improve the quality of our lives. So I'm excited to continue working with it. Gazella: Yeah. That's kind of why I wanted to focus on the emerging research because I think that that's very exciting, and I think that this can be a really positive clinical tool for healthcare practitioners. Dr. Renshaw, anything else to add to that? Renshaw: Just one comment and then a tantalizing tidbit if you will, we can edit this out, I guess. But one of the things that we think is going be an important trend, is the combination of citicoline with other natural products as a way to boost its efficacy. And that's something that hasn't happened yet, but we have some combinations that we're exploring now. One of the things that Dr. Yurgelun-Todd didn't share with you, is she has, across 3 different studies, evidence that citicoline also improves complexion. It has effects on skin tone, which makes some sense when you think that both the brain and the skin are rapidly turning over cells. So that's an area that's a little bit outside our area of clinical expertise that merits investigation as well. Gazella: Wow. Yeah, that is pretty interesting because that could then ... it could be a topical ingredient. Yurgelun-Todd: Right. Exactly. Renshaw: Exactly. Gazella: Yeah. Wow. That's pretty interesting. Well, I want to thank you both for joining me. This has been fascinating and information-packed. I'm so pleased that you took time out of your schedule to join me today. And I hope you have an awesome day. Yurgelun-Todd: Well, thank you so much. We were delighted to join you. Renshaw: Yeah, you too, Karolyn.

#BackToSchoolRx Part 2: Dr. Katasha Butler on the PharmD + MBA Combination Katasha S. Butler, PharmD, MBA  When she's not talking Nexium® IV pushes by day and designing Kate Spade-inspired parties by night, Katasha S. Butler, PharmD, MBA is a pharmacist and an entrepreneur.  She is the Section Chief for Inpatient Pharmacy and PGY1 Residency Coordinator at Illiana Health Care System—Department of Veterans Affairs.  She is also the owner of The Conciergerie, a wedding and special event design agency and Social, an event venue and banquet hall in downtown Danville.  Dr. Butler is a Danville, Illinois native who learned Chemistry and culture at Spelman College, the premier institution of higher learning for Black women.  She went on to obtain her Master of Business Administration in Leadership and Doctor of Pharmacy degree at Butler University.  Since joining the VA, Dr. Butler has been recognized for her leadership and hard work, including selection for the highly-competitive, national Health Care Leadership Development Program and graduation from the VISN 12 Leadership Development Program and Vermilion Advantage Class 26 Leadership Program.  She has also received the 2014 Director's EEO Award, the 2014 VISN 11 Diversity Award, two Special Contribution Awards and numerous other recognitions.  Dr. Butler also serves as the Chair of the Diversity and Inclusion for the VAMC, fostering a diverse and inclusive workforce.  When she's not working with drugs, Dr. Butler can be found recommending the best lipsticks to her friends, following political news and current events, engaging in philanthropic endeavors and plotting her next takeover.  She also likes to read, shop, and travel the world.  Dr. Butler is very active in her community through membership and participation in numerous boards and organizations including Alpha Kappa Alpha Sorority, Inc. and The Links, Inc. You can follow her on Twitter and Instagram at: @thekatashashow See omnystudio.com/listener for privacy information.

Esta fiesta se celebra durante toda la noche del 24 de febrero en honor a Lord Shiva, uno de los dioses de la Trinidad hinduista. Esa noche los devotos ayunan, practican yoga y meditan en un ambiente festivo y de vigilia. Shiva es uno de los dioses de la Trimurti (‘tres-formas’, la Trinidad hinduista), en la que representa el papel de dios que transforma y destruye lo innecesario, también es conocido como el Danzante Cósmico, guía a las personas en los tiempos de cambio, junto con Brahmá (dios creador) y Visnú (dios preservador).

Esta fiesta se celebra durante toda la noche del 24 de febrero en honor a Lord Shiva, uno de los dioses de la Trinidad hinduista. Esa noche los devotos ayunan, practican yoga y meditan en un ambiente festivo y de vigilia. Shiva es uno de los dioses de la Trimurti (‘tres-formas’, la Trinidad hinduista), en la que representa el papel de dios que transforma y destruye lo innecesario, también es conocido como el Danzante Cósmico, guía a las personas en los tiempos de cambio, junto con Brahmá (dios creador) y Visnú (dios preservador).

Esta fiesta se celebra durante toda la noche del 24 de febrero en honor a Lord Shiva, uno de los dioses de la Trinidad hinduista. Esa noche los devotos ayunan, practican yoga y meditan en un ambiente festivo y de vigilia. Shiva es uno de los dioses de la Trimurti (‘tres-formas’, la Trinidad hinduista), en la que representa el papel de dios que transforma y destruye lo innecesario, también es conocido como el Danzante Cósmico, guía a las personas en los tiempos de cambio, junto con Brahmá (dios creador) y Visnú (dios preservador).