Podcasts about yuqing

Nivå: A2-B1 I det här avsnittet tar vi och blickar tillbaka på det gångna året, både i världen och mitt eget liv. Jag pratar också om vår gratis community på Skool som är ett måste för alla som lär sig svenska. Klicka här för att komma dit, och glöm inte att joina januariutmaningen! -------------------- Stöd podden och få transkript till avsnitten - bli patron för bara 5€ per månad – klicka här! -------------------- Instagram: swedish.linguist YouTube: Swedish Linguist Swedish Immersion Boot Camp Träna svenska varje dag på Language Gym ------------------- Transkript Hallå, hallå! Det här är Simple Swedish Podcast. Jag heter Fredrik och jag hälsar dig välkommen till den här podden. Så ja, nu har du kanske redan firat jul och det är snart nyår. Så i alla fall när det här avsnittet kommer ut, då är det snart nyår. Nu när jag spelar in det så är det dock bara mitten av december. Jag måste jobba lite extra och lite i förväg just nu eftersom jag snart ska resa till Sverige. Jag ska fira jul och jag ska på vårt Language Lock-in Boot Camp. Vinterbootcampet som vi kör över nyår. Så jag kommer inte hinna jobba jättemycket de närmsta veckorna, så därför jobbar jag upp mig lite nu. Så att jag jobbar lite extra för att ligga lite före med arbetsuppgifterna och så. Ja, och idag tänkte jag att det passar att ha en liten tillbakablick på året som har gått. En tillbakablick är alltså att man ser tillbaka. En blick tillbaka helt enkelt på 2024. Men innan det så ska jag såklart tacka några patrons. Det är Ed, Rachel, Will, Yuqing och Tetiana. Tack till er för att ni stödjer den här podden. Och någonting som också kan vara användbart och hjälpsamt är ju att inför nästa år att kanske sätta några intentioner för det kommande året. Så många människor avlägger nyårslöften. Ett nyårslöfte är ju någonting som man lovar att göra det kommande året. Men jag tror att det är kanske inte så ofta man faktiskt gör det man har lovat. Och kanske är det också så att man kanske inte lovar för att man faktiskt kommer göra det utan för att det känns bättre i stunden att lova att allting kommer bli mycket bättre och så. Så jag tror att ibland kan det göra att man känner sig stressad och pressad, och kanske om man inte uppfyller sitt löfte så kanske man känner sig besviken på sig själv och så. Inte så konstruktivt. ....för att läsa hela transkriptet till detta och alla andra avsnitt, klicka här!

Yuqing Yang was not expecting two encounters with shoplifters over the span of 4 days when she rented her kiosk in the Avalon Mall. Mall security said there wasn't anything they could do about it, and she has also submitted a report of the thefts to the RNC, but has yet to hear from them directly. Following our chat with Yuqing, Constable James Cadigan joined to explain it for us.

Taiwan is still not recognised as a state by the international community. What role does its external cultural policy play for the country? In this episode, we talk to Yuqing Yang about the topic. The historian and research associate at Hertie School in Berlin furthermore gives a brief insight into the “External Cultural Policy Monitor – Taiwan”. In this country report on Taiwan, she presents insightful data and information on Taiwan's external cultural policy. Read the full Taiwan Country Report here: https://culturalrelations.ifa.de/en/research/details/taiwan-country-report/ For more information on the External Cultural Policy Monitor, click here: https://culturalrelations.ifa.de/en/research/#c12686 You will find more research on topics of International Cultural Relations supported by ifa here: https://culturalrelations.ifa.de/en/research/ To learn more about ifa: https://www.ifa.de/en/ Do you have topic requests or feedback? Feel free to send them to podcast@ifa.de

​This March, fifty-nine year-old Zhang Yuqing has embarked on his second five-year term as a member of the National Committee of the Chinese People's Political Consultative Conference or CPPCC—China's top political advisory body. Also a professor and university president, Zhang has worked in the educational sector and the underdeveloped Jiangxi Province in central China for decades. Since he first became a national political advisor in 2018, he has drawn on his rich experience and expertise to make a series of proposals about educational reform and rural development.

Taxes fund many important services, such as education, transportation, parks, and healthcare that benefit us all and our society. But does it make sense to tax groceries? Today, we're exploring research on the impact of grocery taxes, particularly, on low income families. We have two guests today who have collaborated on a really interesting project. Agricultural economist, Yuqing Zheng, of the University of Kentucky, and Norbert Wilson of Duke University. They're co-authors on a research paper entitled Putting Grocery Taxes on the Table, Evidence for Food Security Policy Makers. Interview Summary Why do we need to care about grocery taxes? Yuqing - For low income populations, it matters a lot. For example, if you're paying $8,000 a year on grocery bill and you are paying 10%, that's about $800. And especially for low income population, we are concerned that grocery taxes could be very regressive. That means low income populations are paying a higher share of the burden. That concerns us quite a bit, and we would like to see if the grocery tax is hurting the low income populations the most. Let me ask a follow up question to that. So, it's been a while since I've seen these numbers, but I know at one point, people in the United States paid the lowest amount per capita of any country in the world for food. So how does that figure into your thinking about this? Yuqing - For middle income population, they are paying very reasonable share of income, but for low income populations, the burden is much higher. So for some states, if taxes are high, then it can be quite big percentage of a total income. So Norbert, let's turn to you. Could you explain why your research team wanted to study grocery taxes? Norbert - I lived in Alabama for a number of years and there were grocery taxes in the state and they still exist. I had heard a number of community groups express concern about the grocery tax and argue that it was hurting people who were struggling to make ends meet. And so I wondered, were the grocery taxes really that important? Part of the motivation as Yuqing has already made very clear, the grocery tax is a regressive tax that may be a heavy burden on lower income consumers. And the question is, was this really a problem? Do we see a relationship between the grocery tax and one of the measures that we think is really important, food insecurity? And so that's what motivated this original project. So where do grocery taxes exist and who gets to decide if groceries are taxed and how large are these taxes in general? Yuqing - Grocery tax is a sales tax imposed on the grocery food you purchase. So it could be in the form of a county or a state tax. It also could be in the form of combined. Overall, 16 of the U.S. states have grocery taxes. And if you look at these 16 states, the average of grocery tax percentage is about at 4.2%. So I lived in four states before, North Carolina, Alabama, New York and Kentucky. In Alabama, we are paying about a 4% state level taxes and another 4% county level and up to 2% of city taxes. So that's easily 10% of grocery tax. In North Carolina, in the county where I used to live, it's about a 2.7, 5% of county grocery taxes. There's no state level grocery taxes at all. In New York and Kentucky, there are no grocery taxes at all. In Kentucky, I'm paying 6% sales taxes on general merchandise but not food. That's very helpful to know, and that's pretty startling how wide the variability is. So Norbert, what are your main findings from this study? Norbert - We see that there's a relationship between the grocery tax and food insecurity. For every 1% increase in the grocery tax, we see a 0.84% increase in the probability of a household being food insecure. So, given the average of a 4.2% grocery tax across the U.S., we would argue that it increases the probability of a household being food insecure a little more than 3%. And so this is a substantial result in that, we are seeing more households that are food insecure in communities where there are grocery taxes. And as you have had on previous podcasts, food insecurity is an important indicator of wellbeing. There are a number of studies that showed that food insecurity is linked to various negative health outcomes. And it's also associated with issues around behavior, especially among children. And so managing food insecurity can be an important way of helping reduce inequalities in a society. And we're finding evidence that this grocery tax, at least, is related to the probability of a household being food insecure. Those are pretty startling numbers and highly impactful, I think. In places where these taxes are being considered, does the impact on food security come up in legislative discussions? Norbert - It does show up, at least from the people who are advocating for the removal of these policies. But it's also interesting to note that these are controversial taxes and that many states that have considered or discussed removing the tax are concerned about the loss of revenue and rightly so, and are concerned about them raising new revenue or new taxes to recuperate the lost revenue. And that's where I think a lot of the challenge comes is it's difficult for states to make the decision of switching one tax for another. So let's talk about the policy implications of this. And I'd love to hear thoughts from both of you. Yuqing - First, I want to add is that grocery taxes tend to exist in Southern states, where higher food insecurity is more prevalent. So actually, there are some policy discussions recently in West Virginia and the New Mexico, they used to have grocery taxes and they were abolished. And then now they were thinking about bringing it back. So one aspect, I think, tend to be overlooked is, how does reinstating grocery tax impact food insecurity and other health conditions or other counts as well? So this is pretty complicated situation because as Norbert mentioned, if you want to have no grocery taxes, you might want additional revenue sources. For example, in Alabama, it's a very unique situation. Alabama income tax is very low. And alcohol taxes, tobacco taxes is very low. Property tax is very low, but in order to make up the revenue, that's why I think the grocery tax is pretty high. The main message right here is when policy makers are thinking about increasing or decreasing grocery taxes, they might want to take into consideration this potential impact. Persons with relatively low income or persons who are on the margin of being food insecure, that's the outcome we want to print to the policymakers. Norbert - Just thinking about the well-being of the citizens of a particular community and the issue around food security, repealing the tax may have the potential of lowering some of these burdens. One of the things we should note is that people who are participants in the SNAP program, the Supplemental Nutrition Assistance Program, do not pay the grocery tax on foods that they purchase with SNAP. For those folks, this tax may not be that important except for the times when they are not buying food off of their SNAP benefits. As some of us have seen, SNAP benefits typically do not last a whole month. So while these individuals may avoid paying the tax for, say, three weeks of the month, the last week of the month, they're facing this. And that means individuals are facing an extra cost associated with purchasing food. And we know that there are a number of responses in order to meet those food needs using charitable food sector, and depending on other resources to help meet food needs. Therefore, if removing a tax could just lessen the burden for families that are already struggling, could just make it a little bit easier, I think that's a good outcome. I do believe we need to be thoughtful and there have been some states that have removed the tax and replaced it with taxes on other aspects of their economy. So there are some examples out there, and I just encourage policy makers that are considering this to look at other states that have done this successfully, and explore ways that they can remove that tax, if they have the political will to do so. Let me ask a couple more follow-up questions. So one, how do taxes on specific categories of foods, like soda taxes, figure into your thinking given what you found in this study? Norbert - Because these are general taxes, they're taxes on all products. It's not quite the same as thinking about the soda tax, which is targeted to a particular product, typically, the sugar sweetened beverages, and therefore we don't equate the two. It is the case, there has been concern about the role that sugar sweetened beverage taxes can impose on individuals who are lower income, that there is a regressivity to those kinds of policies, but those are policies where, if the revenue is then turned around and encouraging other health behaviors, they may not be as burdensome or the long run effects may be different. Grocery taxes, however, are on all foods regardless of the health consequences. And because we need food regardless, placing a tax on that is a burden and it's unavoidable except in the case of using federal benefits, like the SNAP program. So I'm careful not to equate those two types of policies. They have different purposes, they have different implications. And I think that while there may be levels of regressivity from both, I don't see them as equals. Thanks. That's very helpful clarification. So let's get as concrete as possible. Let's say I'm a state legislator in a place that has these taxes and might want to get rid of them, or is thinking about having such taxes, and we want to keep the amount of tax revenue constant. So if I say to you, "Okay, we'll get rid of the grocery tax", but how would we get additional revenue coming in from some other form of tax to help correct this disproportionate impact on low income families? What would you recommend? Norbert - One way of alleviating the burden of the grocery tax is to spread it out across the other taxes. So if we know that the tax rate at the state level is 4.2%, there are probably ways of spreading it across. If the state has an income tax or taxes on cars like tags and other aspects of life, the various syntaxes like cigarettes and alcohol, I can imagine those state legislator making a change where there's a small increase across multiple tax bases, so that it doesn't feel like it's an overly burdensome increase in the tax of one product or one sector of the economy. That way, folks who have higher incomes can carry a little more of that burden than people with lower incomes. So I would argue that there are ways of spreading that tax around, so that it takes that burden off of lower income households that have to buy food. And I think that's a potential way forward. Bios: Yuqing Zheng is an associate professor at the Department of Agricultural Economics of the University of Kentucky conducting research in food marketing and policies. His main research interests include consumers behaviors, health and food safety economics, and demand studies using big data. He has published papers in American Journal of Agricultural Economics, other field top journals such as Health Economics, Regional Science and Urban Economics, Nicotine & Tobacco Research, as well as Economic Inquiry, Southern Economic Journal, Food Policy, and Economics Letters, among others. He directed the development of the FDA Food Regulation and Enforcement Policy Trade Impact Model (for the Center for Food Safety and Applied Nutrition) and the FDA Tobacco Category Demand Model (for the Center for Tobacco Products) and was a consultant to the development of the recent USDA Trade Impact Model. His paper on sales tax received the 2013 Best Economics Paper Award from the food safety and nutrition section of the Agricultural and Applied Economics Association (AAEA) and he was a recipient of the 2019 AAEA Quality of Communication Award. Dr. Zheng is an associate editor of Tobacco Regulatory Science. Norbert Wilson is the director of agricultural policy at Duke's World Food Policy Center, and a professor of food, economics and community in the Divinity School at Duke University. His research touches on several food issues, such as access, choice, and food waste. He continues to work on food safety and quality issues in international trade and domestic food systems. Wilson is an ordained vocational deacon in the Episcopal Church USA. Additionally, his work is moving to explore equity in food access. He has published in AEA Papers and Proceedings, World Development, American Journal of Agricultural Economics, Journal of Public Health, Food Policy, Agricultural Economics, and other publications. Before joining Duke Divinity School, Wilson was a professor of food policy at the Friedman School of Nutrition Science and Policy (2017-2020). He was also a professor of agricultural economics at Auburn University (1999-2016). While at Auburn, Wilson served as a deacon at St. Dunstan's, the Episcopal Student Center of Auburn University (2011-2016). He was an economist/policy analyst in the Trade Directorate (2004-2006) and the Agriculture Directorate (2001-2002) of the Organization of Economic Development and Cooperation (OECD) in Paris, France. In 2014-2015, Wilson was on sabbatical leave at the Dyson School of Applied Economics and Management at Cornell University.  

Episode 37: Honey in MedicineSmoking cessation update. Honey in medicine. Uses, precautions, honey-related terms. Macroglossia and presbycusis are defined. Jokes about honey. Today is January 15, 2021. The American Thoracic Society approved a clinical practice guideline regarding pharmacologic treatment of tobacco dependence in adults. This guideline was published in May 2020 in the American Journal of Respiratory and Clinical Care Medicine. Seven recommendations about initial medications used in smoking cessation were given, five are STRONG recommendations and two are CONDITIONAL recommendations.Let’s start with the STRONG recommendations for tobacco-dependent adults in whom treatment is being initiated:Varenicline over a nicotine patch is recommended. Remarks: Be prepared to counsel your patients about the relative safety and efficacy of varenicline compared with a nicotine patch.Varenicline over bupropion is recommended.In patients who are not ready to quit smoking, treatment with varenicline rather than waiting until patients are ready to stop tobacco use is recommended.In patients with comorbid psychiatric conditions, including substance-use disorder, depression, anxiety, schizophrenia, and/or bipolar disorder, varenicline over a nicotine patch is recommended.For tobacco-dependent adults for whom treatment is being initiated with a controller, extended-duration (>12 weeks) over standard-duration (6–12 weeks) therapy is recommended. A controller is a medication with a delayed onset of effect that reduces the frequency and intensity of smoking (i.e. varenicline), whereas a reliever is a medication with acute effect to reduce cravings (i.e. nicotine gum). CONDITIONAL recommendations:Varenicline plus a nicotine patch over varenicline alone is suggested (conditional recommendation, low certainty in the estimated effects).Varenicline over electronic cigarettes is recommended. Remarks: serious adverse effects of e-cigarettes have been reported. The recommendation will be reevaluated if these reports continue.   Quotes about honey: You catch more flies with honey than with vinegar.No bees, no honey; no work, no money.Honey is sweet but bees sting.Be like the honey bee, anything it eats is clean, anything it drops is sweet, and the branch it sits upon does not break (Iman Ali, Pakistani actress)When you go in search of honey you must expect to be stung by bees (Joseph Joubert, French moralist)Life is the flower for which love is the honey (Victor Hugo, French poet)______________________________Claudia: Today we have a special episode to honor those with a sweet tooth. We will talk about the ultimate nature candy: honey. Yes, we will talk anything related to honey in medicine.But... what is honey? It is a sticky, sweet, clear yellowish-brown fluid made by bees. How? you might wonder; well they collect nectar in their honey stomach or what they call the “crop” and as you might be guessing they create honey by vomiting this digested nectar. Hector: Let’s start with honeycomb lung. Claudia: Honeycomb lung — This is something many medical students and residents might hear for the first time and think huh? Unfortunately hearing a patient has honeycomb lungs is not at all “sweet news.” Honeycomb lung is indicative of end-stage pulmonary fibrosis, and many disorders such as Idiopathic Pulmonary Fibrosis, sarcoidosis, hypersensitivity pneumonia, and eosinophilic granuloma can progress to end-stage fibrosis, but cannot be detected by pathologists at this stage of the disease. For that reason, biopsy of extensive honeycomb lung is not helpful and should be avoided.This Honey-comb appearance of lungs in CT scan has been found to be common in COVID-19.Hector: Yes, honeycombing fibrosis seems to follow ground-glass opacities(1) in COVID 19 patients. Honeycombing are small cystic spaces with irregular thickened walls made out of fibrous tissue. A friend told me this bold statement: “A CT scan is more sensitive than PCR to detect COVID-19”. That puzzled me, and I had to look it up. The American College of Radiology issued a statement saying that “viral testing remains the only specific method of diagnosis. Confirmation with the viral test is required, even if radiologic findings are suggestive of COVID-19 on CXR or CT. CT is reserved for hospitalized, symptomatic patients with specific clinical indications for CT.”(2) Do not use CT for COVID-19 diagnosis.Claudia: Next term is Honeymoon cystitis — Now why would you ruin a honeymoon which is supposed to be fun with the not so fun word cystitis.? Well because this uncomfortable infection is common in sexually active women and it makes sense that it can occur more often in newly-weds during a much-anticipated vacation. Hector: Recurrent urinary tract infections are a common problem in sexually active women. Anatomy is to blame of this problem. Sexual intercourse may cause local irritation of the urethral meatus and lead to cystitis ("honeymoon cystitis"). Claudia: Honey-colored crusts are present in Impetigo — This one is not as pretty as it sounds. Think of honey equals pus for this “honey colored crust”. Impetigo occurs most commonly on the face and can present with bullae, honey-colored crusts, erythema, edema, and exudate.Hector: A very very important topic is Honey in infants— Because it must not be given to them! And here is why.  Infant botulism occurs when C. Botulinum spores, which can live in honey, are ingested, colonize the GI tract, and release a wicked toxin. In the US, most cases are thought to result from ingestion of environmental dust and soil containing C. botulinum spores.  Claudia: The incidence of reported cases of infant botulism is highest in Utah, Pennsylvania, and California, states in which soil botulinum spore counts are high.  Hector: Did you know Utah is called the beehive state? Infant botulism has been associated with the ingestion of raw honey, but telling people “Don’t give honey to your babies” has not changed the incidence of infant botulism in the United States.[Insert joke here: Hey, a patient was admitted to the ICU because of botulism. Dr Saito: Did it take care of his wrinkles?Claudia: Honey has a high fructose content, and it is part of the FODMAPs (fermentable oligo-, di-, mono-saccharides and polyols). A diet low in FODMAPs is recommended in patients with IBS. So, if you have IBS, honey is likely not the best sweetener for you. Now, let’s talk about Honeymoon phase of type 1 diabetes — A few weeks after the diagnosis and initiation of insulin therapy, a period of decreasing exogenous insulin (such as lispro or lantus) requirement occurs, commonly referred to as the "honeymoon" or remission phase of diabetes. During this period, the remaining functional beta cells in your pancreas secrete some endogenous insulin resulting in reduced exogenous requirement, so you give yourself less of the injectable insulin. Hector: I had a real case with this condition. He is a male patient on his mid 20s. He was diagnosed with diabetes let’s say in October 2019. He was admitted to the ICU because of DKA. His A1C was >11. He was sent home on insulin and then in January 2020 he decided to stop insulin “to see if he really needed it”. He came to me in July 2020, and I freaked out, I thought, “this guy’s sugar is going to be 500 and A1C will be in the double digits”. My surprise was that his insulin was 5.3! Claudia: Close monitoring of blood glucose is critical as hypoglycemic episodes are likely if the insulin is not adjusted appropriately. Some clues that the honeymoon phase in type 1 diabetes may be ending are: rising blood glucose levels, higher A1C, and increasing exogenous insulin need, that’s why monitoring is very important. The duration of this phase is variable and may last several months to several years. Hector: Let’s talk about folk medicine. This treatment has been known for centuries: Use of Honey in common cold – honey is an option for treating cough in children who are older than 1 year old with common cold symptoms. Honey can be given straight in 0.5 to 1 teaspoon or diluted in liquid like tea or juice. Corn syrup may be substituted if honey is not available. Honey has a modest beneficial effect on nocturnal cough and is unlikely to be harmful in children older than one year of age. Just as a reminder of what we covered earlier: Honey should be avoided in children younger than one year because of the risk of botulism.Claudia:  In a randomized trial, 300 children (one to five years of age) with upper respiratory infection and nocturnal cough were assigned to receive a single dose (10 g) of honey (eucalyptus, citrus, or labiatae) or placebo (a date extract similar to honey in appearance and taste) before bedtime; caregivers completed a symptom survey on the days before and after the intervention; 270 children completed the study. Symptoms improved in all children after the intervention. However, children who received honey had greater mean improvement in cough frequency (1.85 versus 1.00 points), severity (1.94 versus 0.99 points) and bothersomeness (2.16 versus 1.25 points) than those who received placebo. Hector: Adverse effects such as abdominal pain, nausea, vomiting occurred in five patients, approximately evenly distributed among each of the honey and the placebo groups. The findings of this trial were confirmed in a 2018 systematic review and meta-analysis of randomized trials (mean difference in cough frequency -1.62, 95% CI -3.02 to -0.22)[3]. Honey also reduced cough frequency compared with no treatment and diphenhydramine.Claudia: Given the relative safety and low cost of honey, the World Health Organization (WHO) and American Academy of Pediatrics (AAP) suggest it as a potential treatment for URI in young children who are older than one year. The American College of Chest Physicians suggests that honey is more effective than placebo for cough due to the common cold. Hector: Now we can talk about one of the favorite topics of Dr Tu (listen to our episode 6 about wound care), let’s talk about the use of Honey in wound care — Did you guys know that honey has been used since ancient times for the management of wounds? Honey has broad-spectrum antimicrobial activity due to its high osmolarity and high concentration of hydrogen peroxide.  Claudia: Medical-grade honey products are now available as a gel, paste, and impregnated into adhesive, alginate, and colloid dressings. Based upon the results of systematic reviews evaluating honey to aid healing in a variety of wounds, there are insufficient data to provide any recommendations for the routine use of honey for all wound types; specific wound types, such as burns, may benefit, whereas others, such as chronic venous ulcers and ingrown toenails after surgery, may not. Hector: Honey in chemoprophylaxis in partial-thickness burns — so this is an interesting one; as we mentioned a couple of minutes ago honey has a broad spectrum antimicrobial activity, remember? High osmolarity and hydrogen peroxide content. Partial thickness burns are prone to rapid bacterial colonization which can potentially become an invasive infection. It makes sense that we can use honey for partial thickness burns.Claudia: Anything more significant than sunburn or superficial burn since those do not need topical antimicrobials, normally, non-perfumed moisturizing cream is all that is needed. Silver Sulfadiazine can also be used but tends to delay healing. Modern hydrocolloid and silver impregnated dressings can be superior but surprise → honey “the ancient wound medicine” is still an effective treatment.Hector: Great, we talked about honeycomb lung, honeymoon cystitis, honey-colored crusts in impetigo, honey in infants, honeymoon phase of type 1 diabetes, honey in common cold, wound care and burns. Fun fact: Honey can be stored indefinitely. Jokes about Honeyby Katherine Schlaerth, Manuel Tu, Claudia Carranza, Gloria Villegas, and GracieWhy do bees have sticky hair? --> because they use honey combs.How do bees get to school? --> on the school buZZZWhat kind of bees make milk? --> BOO beesWhat do you call a bee that lives in America? --> a USBeeWhat does a bee sit on? --> it’s Bee-hind What kind of bees live in graveyards? --> zom-beesAnd remember, a bee that will not stop eating will eventually become a little Chuh-Bee!____________________________[Music] Speaking Medical: Macroglossiaby Xeng Xiong, MS4Your tongue can say a lot about your health. Today, I will go over the medical term macroglossia which means enlargement of the tongue. Symptoms associated with macroglossia may include drooling, speech impairment, difficulty eating, snoring and airway obstruction. Macroglossia is an uncommon anatomical abnormality and is usually a sign of an underlying condition. Some of the diseases associated with macroglossia are Down syndrome, hypothyroidism, tuberculosis, sarcoidosis, and angioedema. Examination often reveals an enlarged appearance on the lateral margins of the tongue caused by crowding against the teeth.  It is important to consider macroglossia as a sign of an underlying disorder and proceed with focused diagnostic testing, including possible biopsy. Treatment should be directed at the underlying disorder. Thanks for listening to macroglossia and have a Tongue-tastic day!____________________________Speaking Medical: PresbycusisHi, I’m Dr Rodriguez and I am presenting the Medical Word of the week. If you remember, in episode 28, we talked about presbyopia, so today I will teach you about presbycusis. Presbycusis is just one form of hearing loss that happens as you age. Presbycusis affects more than half of all adults by the time they reach the age of 75. Presbycusis is a progressive sensorineural hearing loss that mostly affects hearing of high-pitched sounds. That means that a person with presbycusis might have trouble hearing a bird chirping, phone ringing, crowded places but still be able to hear a truck rumbling.Multiple factors can influence the onset and severity of presbycusis, including white race, loud noise exposure, ototoxins (such as aminoglycosides), ear infections, smoking, hypertension, diabetes. In a patient with presbycusis, an audiogram will show decreased pure tone thresholds with relative preservation of word recognition. Even though hearing aids may offer some help, only a small percentage of patients actually receive effective treatment with amplification. Auditory rehabilitation, when available, is usually practiced in combination with hearing devices in presbycusis. For patients with severe presbycusis with poor response to conventional amplification, cochlear implantation offers hope to restore hearing.So, remember the medical word of the week: presbycusisAlyssa: Before you go, let me ask you a serious question. Many people told Beethoven that he would not make good music because he was deaf, but did he listen?____________________________[Music] Question of the week: Diabetes managementby Claudia Carranza, MD Q: What is the first treatment approach for type 2 DM? For example, for a patient who had polydipsia, polyuria for a few weeks and at your office had a random BG of 210. ________________________Now we conclude our episode number 37: “Honey in Medicine.” We started with an update on medications used for smoking cessation. Then, Dr Carranza and Dr Arreaza presented medical conditions related to the word “honey”, and they explained evidence-based uses of honey in medicine. Dr Rodriguez defined presbycusis, and future Dr Xiong explained macroglossia. You may ask, “what does smoking, honey, deafness, and big tongues have in common?” The answer is: Family Medicine. Remember, the question of the week is: What is the first treatment approach for type 2 diabetes? The listener with the best answer will receive a prize! Send you answer to our email: rbresidency@clinicasierravista.org.Thanks for listening to Rio Bravo qWeek. If you have any feedback about this podcast, contact us by email RBresidency@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. This podcast was created with educational purposes only. Visit your primary care physician for additional medical advice. This week we thank Hector Arreaza, Claudia Carranza, Steven Saito, Alyssa Der Mugrdechian, Yodaisy Rodriguez, Xeng Xiong, Katherine Schlaerth, Gloria Villegas, Manuel Tu, and Gracie Pena. Audio edition: Suraj Amrutia. See you next week!_____________________References:Leone, Frank T.; Zhang, Yuqing; Evers-Casey, Sarah, and col., Initiating Pharmacologic Treatment in Tobacco-Dependent Adults. An Official American Thoracic Society Clinical Practice Guideline,  American Journal of Respiratory and Critical Care Medicine, American Thoracic Society,  https://doi.org/10.1164/rccm.202005-1982ST Combet M, Pavot A, Savale L, Humbert M, Monnet X. Rapid onset honeycombing fibrosis in spontaneously breathing patient with COVID-19. Eur Respir J. 2020;56(2):2001808. Published 2020 Aug 27. doi:10.1183/13993003.01808-2020. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7338404/ ACR Recommendations for the use of Chest Radiography and Computed Tomography (CT) for Suspected COVID-19 Infection, American College of Radiology, https://www.acr.org/Advocacy-and-Economics/ACR-Position-Statements/Recommendations-for-Chest-Radiography-and-CT-for-Suspected-COVID19-Infection, accessed on Jan 13, 2021.  Oduwole O, Udoh EE, Oyo-Ita A, Meremikwu MM. Honey for acute cough in children. Cochrane Database Syst Rev. 2018 Apr 10;4(4):CD007094. doi: 10.1002/14651858.CD007094.pub5. PMID: 29633783; PMCID: PMC6513626. https://pubmed.ncbi.nlm.nih.gov/29633783/

Yuqing’s WebsiteYuqing’s LabHotel with Infinite Rooms ; Video about the thought experimentRene MagritteEmily Yoon ; Emily Yoon’s new bookJoan Didion - Slouching Towards Bethlehem ; The quote Yuqing referencedIf you like the episodes, please recommend the show to someone you think would also enjoy it.If you have suggestions, email me at caleb [dot] sponheim [at] gmail [dot] com.

http://ChineseAntiqueFurnitureShop.com In this video, John and YuQing discuss why the majority of Chinese antiques is restored and refinished.

http://ChineseAntiqueFurnitureShop.com John and YuQing talk about the difference between Northern and Southern Chinese antiques.

http://ChineseAntiqueFurnitureShop.com #6 in a series of tutorials from the Chinese Antique Furniture Shop. John and YuQing show examples of commonly used symbols, including different types of flowers, fruit and birds.

http://ChineseAntiqueFurnitureShop.com #5 in a series of tutorials from the Chinese Antique Furniture Shop. John and YuQing show examples of commonly used symbols, including the eight immortals and phoenixes.

http://ChineseAntiqueFurnitureShop.com #3 in a series of tutorials from the Chinese Antique Furniture Shop. John and YuQing show you how you to examine the doors of a piece of Chinese furniture to better understand its age.

http://ChineseAntiqueFurnitureShop.com #2 in a series of tutorials from the Chinese Antique Furniture Shop. John and YuQing show you how you to examine the drawers of a piece of Chinese furniture to determine whether it is new or old.

http://ChineseAntiqueFurnitureShop.com #1 in a series of tutorials from the Chinese Antique Furniture Shop. Follow along with John and YuQing as they explain how to understand and appreciate Chinese antiques.

http://ChineseAntiqueFurnitureShop.com #7 in a series of tutorials from the Chinese Antique Furniture Shop. John and YuQing show examples of commonly used symbols, including animals and Chinese characters.

http://ChineseAntiqueFurnitureShop.com #8 in a series of tutorials from the Chinese Antique Furniture Shop. John and YuQing talk about elm, one of the woods commonly used in Chinese antique furniture.

http://ChineseAntiqueFurnitureShop.com #9 in a series of tutorials from the Chinese Antique Furniture Shop. John and YuQing talk about poplar and cyprus, two of the woods commonly used in Chinese antique furniture.

http://ChineseAntiqueFurnitureShop.com #10 in a series of tutorials from the Chinese Antique Furniture Shop. John and YuQing review different ways to approximate the age of a piece, as well as methods that won't work.

http://ChineseAntiqueFurnitureShop.com #4 in a series of tutorials from the Chinese Antique Furniture Shop. John and YuQing examine an antique chest and demonstrate how to look for restoration of the doors, drawer, top, and wings.