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Updated 04/08/2020
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Education

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26/11/2019

Episode 51 - Managing SCC to Improve Milk Quality

High somatic cell count (SCC) milk is lower quality milk. This podcast focuses on explaining the significance of SCC, its relationship to mastitis and what the farm can do to manage for low SCC. Use of bulk tank SCC as well as individual cow records can help to identify high SCC issues. Management practices to reduce mastitis and keep SCC low include good milking protocols and providing a clean environment for the cow.
03/07/2023

Episode 141: A New, Minimally Invasive Surgery for Cervical Cancer, with Kristin Bixel, MD

“It’s been a labor of love to get this project off the ground,” says Kristin Bixel, MD, of a new James clinical trial for a minimally invasive surgical technique for cervical cancer that she is leading. Minimally invasive surgery (also called robotic surgery) is being performed on a growing number of different types of cancer. These less invasive surgeries reduce complications and speed up the recovery process for patients. However, the first minimally invasive procedure and clinical trial for cervical cancer resulted in an increased rate of recurrence for patients – and was immediately abandoned. This spurred Bixel to think outside the box and develop a new, different technique in which the cancerous tumor in the cervix wasn’t exposed to the peritoneal cavity. “My mind immediately went to the procedure itself,” Bixel said, adding she could picture the new surgical technique in her mind, as if looking through a scope, and began the long process of creating a clinical trial. The clinical trial began in February 2022 at the James, and several other leading cancer hospitals around the country have joined the trial. “If we can make this procedure safe for our patients that will be huge,” Bixel said. “One hundred percent of our patients want this type of small-incision surgery.”
03/07/2025

Approach to Chronic Back Pain

This program will cover a biopsychosocial approach to chronic back pain. The first presenter will discuss multidisciplinary and interdisciplinary treatment approaches to chronic low back pain. She will then discuss some of the common medications used for treatment. The next presenter will discuss the role of psychology/psychotherapy in treatment for chronic low back pain, with a particular emphasis on how psychology providers work with others in an interdisciplinary treatment team. Finally, the last presenter will discuss various strategies for treating patients with chronic low back pain to improve their overall function, coping, mobility, and quality of life. Link to transcript
26/09/2023

Vishal Bhardwaj: Postcolonial Shakespeares in India

Shakespeare in the Postcolonies
1 July

Critical Brain Resuscitation

A patient with an intracranial hemorrhage can look surprisingly stable…until they suddenly don’t. Recognizing the subtle signs of rising intracranial pressure before herniation occurs is one of the most time-critical skills in emergency medicine. In this episode, Drs. James Nardini, Mike Prats, and Kim Bambach discuss a practical, evidence-based approach to critical brain resuscitation, from recognizing early deterioration to implementing tiered ICP management, choosing hyperosmolar therapy, optimizing sedation, and avoiding common pitfalls. Based on the Emergency Neurological Life Support (ENLS) framework, this episode provides a systematic approach you can apply on your next shift. Guest: James Nardini, MD, MS; Host: Mike Prats, MD and Kim Bambach, MD; Editor: Kim Bambach, MD Key Learning Points 1. Recognize deterioration early Elevated ICP often begins with nonspecific symptoms (headache, vomiting, confusion, gait disturbance). Serial neurologic examinations are more valuable than a single assessment. Track: Glasgow Coma Scale (watch for declining scores) Pupillary size and reactivity New focal neurologic deficits Mental status changes A >1 mm change in pupil size may be an early sign of herniation. 2. Understand herniation syndromes Subfalcine: contralateral leg weakness (ACA compression) Uncal (transtentorial): ipsilateral fixed dilated pupil decreased consciousness contralateral hemiparesis Tonsillar: occipital headache neck stiffness progressive brainstem compression eventual Cushing triad 3. Cushing triad is a late finding Hypertension Bradycardia Irregular respirations Waiting for the full triad means the patient is already critically decompensating. 4. Follow a tiered approach (Emergency Neurological Life Support) Tier 0: Optimize physiology ABCDE assessment Protect airway, maintain oxygenation and ventilation Normalize glucose Treat fever BP management Elevate head of bed (when appropriate) Provide analgesia and sedation Obtain urgent non-contrast head CT Minimize secondary brain injur Tier 1: Temporize while arranging for definitive care Hyperosmolar therapy Brief controlled hyperventilation if actively herniating Early neurosurgical consultation and if needed arrange transfer for neurosurgical consultation. You can advocate for your patient. 5. Hypertonic saline vs. mannitol Both improve outcomes and are reasonable first-line agents. Hypertonic saline may provide: more sustained ICP reduction better cerebral perfusion pressure superior ICP control in several studies Don’t delay treatment simply because one agent is unavailable. In selected critically ill patients, both therapies may be used. 6. Monitor sodium carefully Obtain a baseline sodium on patient arrival. Check sodium frequently after hypertonic saline. Typical therapeutic target: 145–155 mEq/L 6. Propofol is the preferred sedative Benefits: Decreases cerebral metabolic demand Reduces cerebral blood volume Lowers ICP Suppresses seizures Watch for: Hypotension Reduced cerebral perfusion pressure Maintain adequate blood pressure while sedating. 7. Common pitfalls A common pitfall is waiting too long to initiate hyperosmolar therapy. If you’re seriously asking whether the patient needs hypertonic therapy, that may be the moment to act rather than waiting for unmistakable herniation. 8. Emergency physicians are the bridge to definitive care The goal is to: Recognize deterioration Prevent secondary injury Optimize physiology Initiate temporizing therapies Rapidly connect patients with neurosurgical intervention 9. Ultrasound pearl Bedside ultrasound may provide additional information: optic nerve sheath diameter measurement optic disc elevation transcranial ultrasound (experienced users) Further Resources Emergency Neurological Life Support Course Emergency Neurological Life Support Intracranial Hypertension and Herniation Protocol Guidelines for the Acute Treatment of Cerebral Edema in Neurocritical Care Patients- Neuro Critical Care Society
24/10/2025

Sideline Sports Injuries

This program will discuss Sideline Sports Injuries. This presentation covers several common musculoskeletal injuries experienced by athletes. Learners will gain an understanding of the most common shoulder, knee, and ankle injuries and conditions encountered by team physicians on the sidelines during sporting events. They also learn the acute and long-term treatment strategies for these injuries. The presentation will also cover some common sports-related finger injuries. Link to transcript
15 May

Episode 55: Jim Phelan & Jonathan Culler — Edith Wharton’s “Roman Fever”

In this episode of the Project Narrative Podcast, Jim Phelan and Jonathan Culler discuss Edith Wharton’s “Roman Fever,” which was first published in Liberty Magazine in 1934, and then included in her 1936 collection, The World Over. Jonathan Culler is the class of 1916 Professor Emeritus at Cornell University. Culler has been one of the most distinguished and productive literary and critical theorists of his generation. Among his 11 single-authored books are: the 1975 volume, Structuralist Poetics: Structuralism, Linguistics, and the Study of Literature, which won the MLA’s James Russell Lowell Prize for the best book by an MLA member in that year; the 1982 volume, On Deconstruction: Theory and Criticism After Structuralism, which lucidly explicated the then still emerging movement called deconstruction; and the 1997 book, Literary Theory: A Very Short Introduction, which has been translated into more than 25 languages. Throughout his career, Culler has conducted extended engagements with narrative, narrative theory, and lyric theory, and in 2015, he published Theory of the Lyric. Among Culler’s many recognitions are his elections to several distinguished scholarly groups, including: the American Academy of Arts and Sciences, 2001; the American Philosophical Society, 2006; and the British Academy, 2020. The International Society for the Study of Narrative has selected Culler as the winner of the Wayne C. Booth Lifetime Achievement Award for 2026.
8 June

Episode 188 – One Thing After Another

Our last weather update at the beginning of March had us talking about lingering drought across the state. Well we can say that has been taken care of and then some. This spring has left some lingering impacts and, in some areas, multiple replants. With crops struggling through emergence and the first few growth stages, we are looking ahead to see what the summer will bring. How much impact will the super El Nino have on our crops? We talk with Dr. Aaron Wilson to get an idea of what may be instore. Sign up to receive monthly and quarterly updates from the State Climate Office: climate.osu.edu. Check out mrcc.purdue.edu to find useful tools such as the GDD calculator and freeze predictor. You can also reach out to Aaron at wilson.1010@osu.edu.
29 Apr

Episode 186 – 300 million Acres of Land Conservation in the U.S. – Are We Better Off in Agriculture?

In this episode, Bruce and Josh talk to Dr. Brent Sohngen, a Distinguished Professor of environmental and natural resource economics at The Ohio State University, in the College of Food, Agriculture, and Environmental Sciences. Dr. Sohngen talks about the history of conservation of resources in the United States and the economic impact that nature can have on the economy.
23/10/2025

Mastering Leadership: Navigating Difficult Conversations in Higher Education

In this episode, we speak with Kent Barnett, the dean of the Moritz College of Law at The Ohio State University about navigating difficult conversations in higher education leadership. He reflects on his career journey, offers advice for aspiring leaders, and shares effective strategies for preparing for and engaging in challenging discussions. Faculty will gain practical tools for fostering respectful and productive dialogue, addressing sensitive topics with confidence and empathy, and strengthening communication skills that enhance collaboration, build trust, and resolve conflicts—valuable insights for thriving as both a leader and colleague in academia.

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