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Advances in Care
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1 Advancing Cardiology and Heart Surgery Through a History of Collaboration 20:13
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On this episode of Advances in Care , host Erin Welsh and Dr. Craig Smith, Chair of the Department of Surgery and Surgeon-in-Chief at NewYork-Presbyterian and Columbia discuss the highlights of Dr. Smith’s 40+ year career as a cardiac surgeon and how the culture of Columbia has been a catalyst for innovation in cardiac care. Dr. Smith describes the excitement of helping to pioneer the institution’s heart transplant program in the 1980s, when it was just one of only three hospitals in the country practicing heart transplantation. Dr. Smith also explains how a unique collaboration with Columbia’s cardiology team led to the first of several groundbreaking trials, called PARTNER (Placement of AoRTic TraNscatheteR Valve), which paved the way for a monumental treatment for aortic stenosis — the most common heart valve disease that is lethal if left untreated. During the trial, Dr. Smith worked closely with Dr. Martin B. Leon, Professor of Medicine at Columbia University Irving Medical Center and Chief Innovation Officer and the Director of the Cardiovascular Data Science Center for the Division of Cardiology. Their findings elevated TAVR, or transcatheter aortic valve replacement, to eventually become the gold-standard for aortic stenosis patients at all levels of illness severity and surgical risk. Today, an experienced team of specialists at Columbia treat TAVR patients with a combination of advancements including advanced replacement valve materials, three-dimensional and ECG imaging, and a personalized approach to cardiac care. Finally, Dr. Smith shares his thoughts on new frontiers of cardiac surgery, like the challenge of repairing the mitral and tricuspid valves, and the promising application of robotic surgery for complex, high-risk operations. He reflects on life after he retires from operating, and shares his observations of how NewYork-Presbyterian and Columbia have evolved in the decades since he began his residency. For more information visit nyp.org/Advances…
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Nội dung được cung cấp bởi DKBmed. Tất cả nội dung podcast bao gồm các tập, đồ họa và mô tả podcast đều được DKBmed hoặc đối tác nền tảng podcast của họ tải lên và cung cấp trực tiếp. Nếu bạn cho rằng ai đó đang sử dụng tác phẩm có bản quyền của bạn mà không có sự cho phép của bạn, bạn có thể làm theo quy trình được nêu ở đây https://vi.player.fm/legal.
DKBmed Radio provides health care clinicians with expert insight and analysis in a wide variety of disease states and specialty areas. Earn continuing medical education (CME) credit by listening to the episode and visiting our website linked in the episode description. Visit https://dkbmed.com/ for more information and CME opportunities.
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216 tập
Đánh dấu tất cả (chưa) nghe ...
Manage series 2065653
Nội dung được cung cấp bởi DKBmed. Tất cả nội dung podcast bao gồm các tập, đồ họa và mô tả podcast đều được DKBmed hoặc đối tác nền tảng podcast của họ tải lên và cung cấp trực tiếp. Nếu bạn cho rằng ai đó đang sử dụng tác phẩm có bản quyền của bạn mà không có sự cho phép của bạn, bạn có thể làm theo quy trình được nêu ở đây https://vi.player.fm/legal.
DKBmed Radio provides health care clinicians with expert insight and analysis in a wide variety of disease states and specialty areas. Earn continuing medical education (CME) credit by listening to the episode and visiting our website linked in the episode description. Visit https://dkbmed.com/ for more information and CME opportunities.
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continue reading
Hosted on Acast. See acast.com/privacy for more information.
216 tập
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1 Treating Sexual & Bladder Dysfunction in Patients with MS 29:33
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The long-anticipated advances in therapeutic treatments to improve outcomes in both relapsing and progressive MS are coming closer to fruition. Although much of the evidence is still preclinical, the variety and scope of the ongoing research promises to provide new and novel options to manage this disease in the relatively near future. Take our post-test to claim CME credits (https://elit.dkbmed.com/issues/222/test) Read this podcast's companion newsletter here . (https://elit.dkbmed.com/issues/218) Hosted on Acast. See acast.com/privacy for more information.…
The long-anticipated advances in therapeutic treatments to improve outcomes in both relapsing and progressive MS are coming closer to fruition. Although much of the evidence is still preclinical, the variety and scope of the ongoing research promises to provide new and novel options to manage this disease in the relatively near future. Take our post-test to claim CME credits (https://elit.dkbmed.com/issues/219/test) Read this podcast's companion newsletter here . (https://elit.dkbmed.com/issues/216) Hosted on Acast. See acast.com/privacy for more information.…
The primary health concern for all individuals living with HIV should be managing their disease, particularly maintaining adherence to their ART treatment. Yet for many, the more immediate demands of their substance use disorder — whether for stimulants and/or opioids — take precedence and can readily become the central focus of their lives. What signals can help a clinician recognize a substance use disorder? How can they differentiate a clinical SUD from intermittent (even though harmful) substance use? What evidence-based treatments should they consider? Post-test for CME credits: https://elit.dkbmed.com/issues/217/test Hosted on Acast. See acast.com/privacy for more information.…
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1 What's New with the Flu? 2024-2025 Respiratory Season Update 56:22
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CLAIM CME/CE CREDIT HERE: https://dkbmed.com/programs/209/sections/122/evaluation Influenza remains a perennial public health threat, and urgent and convenient care providers serve an essential role in treating patients who become infected with the virus. This webinar will help you recognize patients at high risk of severe illness caused by the flu and determine when to use influenza antivirals. Importantly, you will also learn several strategies that can help you avoid inappropriate use of antibiotics. Watch now to enhance your flu season readiness and elevate the care you provide to your patients. Credit available: 1.0 of ANCC, AMA, or AAPA Hosted on Acast. See acast.com/privacy for more information.…
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1 MS and Family Planning: The Clinician’s Perspective 30:57
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Giving birth and raising a family. For many people with MS, the path to achieving those goals contains more questions than answers. Questions about timing — which should come first, pregnancy or disease stability on a DMT? Questions about genetics — can MS be passed on to the baby? Questions about fertility — is in vitro fertilization safe and effective, and how much does it increase disease activity? Questions their treating clinicians may not be able to answer with the most current research. Take our post-test to claim CME credits (https://elit.dkbmed.com/issues/215/test) Read this podcast's companion newsletter here . (https://elit.dkbmed.com/issues/214) Hosted on Acast. See acast.com/privacy for more information.…
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1 PLWH: Overcoming Post-Incarceration Care Disengagement 20:17
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People living with HIV who’ve had criminal legal involvement face significant challenges that complicate their ability to remain in the HIV care continuum. Many, while incarcerated, have stopped treatment, and once back in the community have been reluctant to resume ART. Why? What are the key drivers behind their disengagement from care? What can clinicians do to encourage these patients to return to treatment? What strategies have been tried, and what’s been shown to work? What does the evidence say? Post-test for CME credits: https://elit.dkbmed.com/issues/213/test Hosted on Acast. See acast.com/privacy for more information.…
In this issue: Fatigue. It’s one of the most common complaints providers hear from their patients with MS. It interferes with virtually every aspect of a patient’s life. What can clinicians do to better identify MS fatigue? And what do they need to know to better provide management effectively tailored to each patient? Take our post-test to claim CME credits (https://elit.dkbmed.com/issues/211/test) Read this podcast's companion newsletter here . (https://elit.dkbmed.com/issues/210) Hosted on Acast. See acast.com/privacy for more information.…
In this issue: POMS. Pediatric Onset Multiple Sclerosis: children and adolescents with symptoms indicating a diagnosis of multiple sclerosis. Are their presentations different from adult-onset MS? POMS is often associated with higher degrees of activity and inflammation early in the disease. How can clinicians most effectively confirm an early MS diagnosis in these young patients? What does the current evidence show about when to prescribe high-efficacy disease modifying therapies? What activity limitations should be placed on patients with POMS? Take our post-test to claim CME credits (https://elit.dkbmed.com/issues/209/test) Read this podcast's companion newsletter here . (https://elit.dkbmed.com/issues/208) Hosted on Acast. See acast.com/privacy for more information.…
Widespread use of highly effective ART has increased the life expectancy of people living with HIV (PLWH) to close to that of the general population. But despite highly effective viral suppression, the risks for cardiovascular diseases continue to increase in these individuals. So too do the risks of neurocognitive impairment. Post-test for CME credits: https://elit.dkbmed.com/issues/206/test Hosted on Acast. See acast.com/privacy for more information.…
Current ART regimens can successfully manage HIV infection in nearly all PLWH. But what happens when a patient with HIV is coinfected with a dangerous pathogen ART alone cannot handle? Two of the most common are hepatitis B and latent tuberculosis infection. Post-test for CME credits: https://elit.dkbmed.com/issues/203/test Hosted on Acast. See acast.com/privacy for more information.…
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1 ART, HRT, Pregnancy, and Menopause in Women Living With HIV 24:45
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Pregnancy and menopause — for many women, these are two of the most significant healthcare events in their lives. For WLWH (women living with HIV) and their healthcare providers, managing these life-changing periods is often complicated by many questions. Post-test for CME credits: https://elit.dkbmed.com/issues/201 Hosted on Acast. See acast.com/privacy for more information.…
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1 Clinical Management Considerations in Mild Asthma 23:47
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Mild asthma. For patients showing wheezing and shortness of breath on moderate exertion, it’s one of the most common diagnoses, even when breath sounds are clear and pulmonary function testing is normal. What makes mild asthma “mild”? The key guidelines base the stage of a patient’s asthma on how difficult it is to treat. Does that mean the frequency of symptom occurrence? How often a rescue inhaler needs to be used? The frequency and severity of pulmonary exacerbations? How should mild asthma be treated? What are the risks and benefits of short-acting beta agonists versus long-acting beta agonists versus inhaled corticosteroids? Which combinations might be appropriate for which patients? Join us in this issue of ePulmonology Review, as Dr. Fawzy from the Johns Hopkins University School of Medicine’s Division of Pulmonary and Critical Care discusses these and other issues important to providing the best care for patients with mild asthma. Post test for CME/CE credit: https://elit.dkbmed.com/issues/197/test Hosted on Acast. See acast.com/privacy for more information.…
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1 PH in the Clinic: The Revised WHO Classifications 25:30
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Pulmonary hypertension. The 2022 ESC/ERS revised guidelines have redefined it. New evidence from ongoing and completed clinical trials have led to updates in diagnostic thresholds and treatment algorithms. New agents — some approved, others advancing through the pipeline — promise improved efficacy and safety for a variety of patients. What does it all mean to practitioners in the clinic? Post test for CME/CE credit: https://elit.dkbmed.com/issues/195/test Hosted on Acast. See acast.com/privacy for more information.…
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1 Clinical Approaches to Marginalized Populations 35:03
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In part 1 of this e HIV Review Special Edition (still available at eHIVreview.org), e HIV Review Program Director Justin Alves, Nurse Educator at Boston Medical Center, reviewed the recent evidence describing some of the barriers to care experienced by marginalized individuals at risk for or living with HIV. In this Part 2 issue, he again calls upon two front-line clinicians in the fight to end the HIV epidemic in the U.S. — Nicky Mehtani, MD, from UCSF Medical Center in San Francisco, and Vanessa Loukas, NP, from Boston University’s Chobanian & Avedisian School of Medicine —to share their clinical approaches. Post test for CME/CE credit: https://elit.dkbmed.com/issues/191/test Hosted on Acast. See acast.com/privacy for more information.…
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1 Addressing the Needs of Marginalized Populations - Mehtani 4:43
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Marginalized individuals at risk for or living with HIV — the formerly incarcerated, immigrants, people with unstable housing, residents of rural communities, the rising number with substance use disorder — have long faced disparities in obtaining adequate health care. What do HCPs need to know to understand the unique needs of these underserved populations? How can they provide meaningful, helpful, and culturally sensitive care? What barriers continue to prevent their being brought into the HIV care continuum? Hosted on Acast. See acast.com/privacy for more information.…
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