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Forme et santé

  • On Purpose with Jay Shetty
    On Purpose with Jay Shetty

    1

    On Purpose with Jay Shetty

    iHeartPodcasts

  • 津津有味
    津津有味

    2

    津津有味

    DAO

  • 推心置腹
    推心置腹

    3

    推心置腹

    元婴

  • 千金要方
    千金要方

    4

    千金要方

    苓梂

  • Métamorphose, éveille ta conscience !
    Métamorphose, éveille ta conscience !

    5

    Métamorphose, éveille ta conscience !

    Anne Ghesquière

  • Daily Meditation Podcast
    Daily Meditation Podcast

    6

    Daily Meditation Podcast

    Mary Meckley

  • Huberman Lab
    Huberman Lab

    7

    Huberman Lab

    Scicomm Media

Les Indispensables

  • The Psychology of your 20s
    Santé mentale
    Santé mentale

    Chaque semaine

  • ZOE Science & Nutrition
    Alimentation
    Alimentation

    Chaque semaine

  • The Wellness Scoop
    Santé mentale
    Santé mentale

    Chaque semaine

  • Contenu explicite, Maintenance Phase
    Forme et santé
    Forme et santé

    Toutes les 2 semaines

  • Diabetes Digital Podcast by Food Heaven
    Alimentation
    Alimentation

    Chaque semaine

  • Contenu explicite, Help Me Be Me
    Forme et santé
    Forme et santé

    Tous les mois

  • Contenu explicite, for the healthy hoes.
    Médecine parallèle
    Médecine parallèle

    Chaque semaine

  • Jessie Inchauspé: 90% of Pregnant People Are Missing THIS Nutrient (Follow THIS Simple Diet To Reduce Glucose Spikes & Protect Your Baby’s Brain & Metabolism)

    -1 J

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    Jessie Inchauspé: 90% of Pregnant People Are Missing THIS Nutrient (Follow THIS Simple Diet To Reduce Glucose Spikes & Protect Your Baby’s Brain & Metabolism)

    Pregnancy only lasts nine months, but what you eat during that time can shape your child for life. Jay Shetty welcomes back biochemist, bestselling author, and “Glucose Goddess” Jessie Inchauspé for a conversation that goes even deeper into the impact she’s had on millions of lives. This time, they focus on something few people truly understand: pregnancy isn’t just a waiting period, it’s a critical window that can shape a child’s physical, mental, and metabolic health for life. Jay and Jessie unpack why so many parents feel under-informed, how outdated myths like “eat for two” still dominate the conversation, and what the science actually reveals about the nine months that truly count forever. Jessie breaks down complex biology into simple, actionable insights. She explains how key factors: blood sugar balance, protein, choline, and omega-3s play a critical role in brain development, metabolism, and long-term disease risk for your child. Jay guides the conversation with curiosity and care, highlighting how small, intentional shifts during pregnancy can create lifelong resilience, while also acknowledging the systemic failures that leave parents without clear guidance or support. In this interview, you'll learn: How to Support Your Baby’s Brain With Just Four Key Nutrients How to Reduce Blood Sugar Spikes That Affect Your Baby How to Build Your Baby’s Brain Before They’re Born How to Lower Your Child’s Lifetime Risk of Diabetes How to Use Protein to Stabilize Energy and Nausea How to Care for Your Mental Health After Miscarriage How to Make Small Food Choices That Create Lifelong Impact Life doesn’t come with a manual, we’re all doing the best we can with the information we have. When we learn more, we can make better choices, not just for ourselves, but for the people whose futures depend on ours. Jessie’s latest book, 9 Months That Count Forever: How Your Pregnancy Diet Shapes Your Baby's Future, is available for pre-order now. Visit https://www.amazon.com/Months-That-Count-Forever-Pregnancy/dp/1668219123  With Love and Gratitude, Jay Shetty JAY’S DAILY WISDOM DELIVERED STRAIGHT TO YOUR INBOX Join 900,000+ readers discovering how small daily shifts create big life change with my free newsletter. Subscribe here.  Check out our Apple subscription to unlock bonus content of On Purpose! https://lnk.to/JayShettyPodcast  What We Discuss: 00:00 Intro 01:54 Debunking the Biggest Pregnancy Myths 04:50 The Four Nutrients That Shape Your Baby’s Future 07:26 How Gestational Diabetes Impacts a Child for Life 11:58 How Much Protein Do You Really Need During Pregnancy? 14:22 What an Ideal Pregnancy Diet Actually Looks Like 19:08 Are You Actually “Eating for Two?”  21:41 You’re Born With the Brain Cells You’ll Keep for Life 24:29 When Food and Supplements Work Best Together 27:02 Avoid These Foods During Pregnancy! 31:28 How High Sugar Intake Affects Pregnancy 36:07 The Modern Food System Is Failing Families 39:03 What Can Contribute to Miscarriage 41:15 Understanding Silent Miscarriage 46:21 Processing the Grief of Pregnancy Loss 49:02 The Most Common Causes of Miscarriage 51:42 What Happens When You Eat Sugar on an Empty Stomach 54:24 The Importance of Movement During Pregnancy  57:09 How to Reduce Bloating During Pregnancy 57:44 Does a Father’s Diet Affect Conception? 59:01 Using Food to Set Your Child Up for Life 01:01:20 What the UK Sugar Ration Taught Us About Health 01:04:33 This or That: Pregnancy Edition   Episode Resources: Website | https://www.glucosegoddess.com/  Instagram | https://www.instagram.com/glucosegoddess  X | https://x.com/glucosegoddesss  TikTok | https://www.tiktok.com/@glucosegoddess_  YouTube | https://www.youtube.com/@GlucoseRevolution  Facebook | https://www.facebook.com/glucosegoddesss/ See omnystudio.com/listener for privacy information.

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    1 h 12 min
  • Juliette Allais : Que disent nos amours de nous ? #183

    14 FÉVR.

    2

    Juliette Allais : Que disent nos amours de nous ? #183

    Anne Ghesquière reçoit Juliette Allais, psychanalyste transgénérationnelle et psychogénéalogiste. Pourquoi retombons-nous toujours dans les mêmes schémas amoureux ? Nos relations sont-elles vraiment le fruit du hasard ou portent-elles l’empreinte de notre histoire familiale et de mémoires inconscientes ? Que disent nos choix de partenaires de nos blessures, de nos loyautés invisibles et de nos conditionnements ? Et comment passer d’un amour subi à un amour choisi, plus conscient et plus libre ? Juliette Allais explore les dynamiques cachées du couple, l’influence de nos parents et de nos ancêtres et cette idée troublante que nous sommes parfois “quatre” dans une relation. À la lumière de la psychogénéalogie et des neurosciences affectives, elle nous invite à transformer nos rencontres en opportunités de connaissance de soi et de croissance. Son ouvrage Amour et sens de nos rencontres : de l’amour subi à l’amour choisi est publié aux éditions Eyrolles. [SÉLECTION WEEK-END – METAMORPHOSE]  L'épisode #464 a été diffusé, la première fois, le 15 février 2024 . Quelques citations du podcast avec Juliette Allais : "Ce ne sont pas forcément les coups de foudre qui nous amènent aux relations les plus significatives et les plus réellement profondes." "Le couple, c’est par nature quelque chose qui nous confronte à des difficultés, à des manques, à des prises de conscience." "Pour ne pas vivre le rejet, on peut le provoquer." Recevez chaque semaine l’inspirante newsletter Métamorphose par Anne GhesquièreDécouvrez Objectif Métamorphose, notre programme en 12 étapes pour partir à la rencontre de soi-même.Suivez nos RS : Insta, Facebook & TikTokAbonnez-vous sur Apple Podcast / Spotify / Deezer / CastBox / YoutubeSoutenez Métamorphose en rejoignant la Tribu Métamorphose Thèmes abordés lors du podcast avec Juliette Allais : 00:00Introduction 01:30L’invitée 04:21Qu'est-ce qu'un couple ? 05:21Le coup de foudre 06:39Le couple n'est pas un espace sécurisant 07:38L'impact de la durée 08:29Sommes-nous libre d'aimer ? 09:39Sagesse et magie amoureuse 11:59Des cheminements différents 12:59Qu'est-ce qui empêche la rencontre ? 16:58La dynamique du rejet 19:50 Les prédéterminations avec Jung 25:51Fascination et refoulement 26:52Rencontrer sa part d'ombre 30:53L'impact du lien avec la mère 37:33La figure grand-parentale 40:21Attente et déception 42:22Persévérance et thérapie 44:56En cas de relation toxique 46:08L'amour peut-il durer une vie ? 48:39L'importance de l'ouverture à l'autre Avant-propos et précautions à l'écoute du podcast Photo © Félicien Delorme Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.

    14 févr.

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    50 min
  • #63 Strong Body

    08/06/2024

    3

    #63 Strong Body

    Strength training has been a staple in Sally's training for 30+ years. Listen in as she shares some tips, experiences and addresses some common myths and answers questions regarding strength training! BPN YellowRunner Mango Gel: https://www.bareperformancenutrition.com/products/go-gel CHOOSE STRONG Strava Group: ⁠https://www.strava.com/clubs/1249894⁠ If you would like to send mail to Sally, please send it to the below address: 6771 Warner PO BOX 2051 Huntington Beach CA 92647 All links, discounts, and ways to support the podcast are here. Choose Strong Book: ⁠⁠⁠⁠⁠⁠⁠⁠⁠https://a.co/d/hcwGfcY⁠⁠⁠⁠⁠⁠⁠⁠⁠ Sally McRae Strength App: ⁠⁠⁠⁠⁠⁠⁠⁠⁠https://sallymcrae.app/⁠⁠⁠⁠⁠⁠⁠⁠⁠ Sally McRae YouTube: ⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@sallymcraestrength⁠⁠⁠⁠⁠⁠⁠⁠⁠ Merch: ⁠⁠⁠⁠⁠⁠⁠⁠https://sallymcraemerch.com/⁠⁠⁠⁠⁠⁠⁠ Sponsors: Apollo Neuro: Save $40 off an Apollo wearable by visiting the link or by going directly to ⁠apolloneuro.com⁠ and use code CHOOSESTRONG ⁠⁠https://apolloneuroscience.pxf.io/c/5395588/1707955/12331⁠⁠

    08/06/2024

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    1 h 41 min
  • Sales Expert Shelby Sapp: The Simple Sales Framework You Can Use in Work, Money, and Relationships (Follow THIS Method to FINALLY Get The Life You Deserve)

    2 FÉVR.

    4

    Sales Expert Shelby Sapp: The Simple Sales Framework You Can Use in Work, Money, and Relationships (Follow THIS Method to FINALLY Get The Life You Deserve)

    We’re not failing at life. We were just never taught how to speak up, handle rejection, and confidently ask for what we want. Today, Jay sits down with sales leader and entrepreneur Shelby Sapp to unpack why sales isn’t about convincing others, but about understanding people, building trust, and believing in yourself. Shelby shares how the skills that helped her go from door-to-door sales to building a thriving business are the same skills we use every day: advocating for ourselves, navigating rejection, and communicating our value. She reframes sales as a mindset shift, from seeing “no” as failure to seeing it as feedback, explaining why learning how to sell is really about learning how to think, speak, and lead with confidence. Jay and Shelby break down the core principles that make sales applicable to every area of life: identifying leverage, creating real value, keeping things simple, and having the courage to ask for what you want. Shelby explains why people don’t buy products, they buy solutions, outcomes, and relief and how rejection becomes easier when you stop taking it personally. They also dive into the deeper mindset shifts that separate those who stay stuck from those who grow. Shelby challenges the idea that confidence comes before action, revealing instead that confidence is built by doing uncomfortable things repeatedly and overcoming rejection. Jay reflects on how sales skills teach resilience, the ability to keep showing up with belief even after setbacks, and why handling rejection well can unlock opportunities in every part of life. In this interview, you'll learn: How to Sell Without Feeling Manipulative How to Communicate Your Value Clearly How to Handle “No” Without Taking It Personally How to Ask for What You Want (and Get It) How to Identify What Truly Motivates People How to Stop Overexplaining and Keep It Simple How to Create Momentum When You Feel Stuck Progress isn’t about perfection, it’s about momentum. Trust yourself enough to ask, to act, and to keep going. The skills you build today will shape the confidence, freedom, and purpose you step into tomorrow.  With Love and Gratitude, Jay Shetty JAY’S DAILY WISDOM DELIVERED STRAIGHT TO YOUR INBOX Join 900,000+ readers discovering how small daily shifts create big life change with my free newsletter. Subscribe here.  Check out our Apple subscription to unlock bonus content of On Purpose! https://lnk.to/JayShettyPodcast  What We Discuss: 00:00 Intro 01:23 You’re Already Using Sales in Your Every Day Life  02:53 The Power of the Reframe  04:42 The Core Sales Skills Everyone Needs 08:03 Sales Isn’t Manipulation, It’s Emotional Leadership 12:59 One Connection Can Change Everything 17:41 Building a High-Income Skill is Essential  19:51 Why Mindset Is the Real Advantage 21:35 A Simple Sales Process That Actually Works 27:31 The Most Memorable Thing You’ve Ever Been Sold 30:55 How to Spend Money More Mindfully 34:44 How to Get Started in Sales (Even If You’re Scared) 35:42 Are Networking Events Worth Your Time? 39:39 There’s No Limit to What You Can Earn 43:15 How to Create a Major Salary Jump 46:19 Jobs That Sharpen Your Sales Skills 47:49 The Mindset That Keeps People Stuck 49:35 The Power of Believing in Yourself  51:59 How to Sell Any Product Effectively 56:44 Sell Me This Pen 01:02:41 Why Assumptions Kill Sales 01:04:09 How to Handle Rejection Without Losing Momentum 01:07:27 How to Reframe Any Objection 01:12:07 The Right Way to Ask for a Raise 01:15:44 What Employers Are Really Looking For 01:20:06 It’s Not a No, It’s a Lesson 01:21:22 How to Talk About Your Wins Without Ego 01:23:24 The Most Challenging Deal of All 01:25:29 Why the Best Sellers Preempt Objections 01:27:12 Why We Struggle to Invest in Ourselves 01:30:57 Shelby on Final Five  Episode Resources: Shelby Sapp | https://shelbysapp.com/  Shelby Sapp | https://www.instagram.com/shelby.sapp/  Shelby Sapp | https://www.youtube.com/@Shelbysappyt  She Sells | https://shesellsremote.com/  She Sells | https://www.instagram.com/shesellsacademy See omnystudio.com/listener for privacy information.

    2 févr.

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    1 h 42 min
  • 8 Hours Concentration Music To Study: Relaxation Music Meditation Music

    11/07/2023

    5

    8 Hours Concentration Music To Study: Relaxation Music Meditation Music

    Immerse yourself in 8 hours of concentration music specifically designed to enhance your study sessions. This relaxation music is meticulously crafted to create an optimal environment for focused learning and deep concentration. As you embark on your study journey, the soothing melodies and calming tones of the music will help you enter a state of relaxation and mental clarity. The gentle rhythm and tranquil ambiance create a harmonious backdrop, allowing you to tune out distractions and fully engage with your academic tasks. The meditation music incorporated into the composition promotes a calm and centered mindset, enabling you to stay present and focused. The peaceful soundscape serves as a support for your cognitive processes, enhancing your ability to absorb information and retain knowledge. It facilitates a state of deep concentration, helping you delve into complex concepts and intricate details with ease. With this concentration music, you can create a dedicated study environment that encourages productivity and enhances your learning experience. Whether you're preparing for an exam, working on a project, or diving into your textbooks, the relaxation music will accompany you every step of the way, fostering a tranquil and focused atmosphere. Allow the power of relaxation and meditation music to guide you through your study sessions, helping you maintain mental clarity, enhance concentration, and achieve optimal academic performance. Embrace the soothing sounds and let them create a supportive and peaceful space for your educational endeavors. Concentration Music, Study, Relaxation Music, Meditation Music, Focused Learning, Deep Concentration, Soothing Melodies, Calming Tones, Mental Clarity, Tranquil Ambiance, Distractions, Engage, Academic Tasks, Mindset, Peaceful Soundscape, Cognitive Processes, Absorb Information, Retain Knowledge, Deep Concentration, Complex Concepts, Study Environment, Productivity, Learning Experience, Exam, Project, Textbooks, Tranquil, Focused Atmosphere, Relaxation, Meditation Music, Mental Clarity, Concentration, Academic Performance, Soothing Sounds, Supportive Space, Educational Endeavors. Support our mission of spreading relaxation and wellness by rating and reviewing our podcast on your preferred platform. Your feedback helps us improve and enables others to discover the benefits of our soothing sounds. Enhance your listening experience by subscribing to our ad-free version, immersing yourself in uninterrupted tranquility.  Clicking Here  Join our community of relaxation seekers and embark on a journey of self-discovery. Subscribe, rate, and review Meditation Sounds today and unlock a world of serenity and rejuvenation.  Email List Support this podcast  https://www.meditationsoundspodcast.com Say goodbye to stubborn belly fat with our revolutionary product! Our formula is designed to target and dissolve unwanted fat, leaving you with a slimmer, more toned midsection. Try it now and experience the results for yourself. #dissolvebellyfat #slimandtoned http://bit.ly/3jV1Ip1 Learn more about your ad choices. Visit megaphone.fm/adchoices

    11/07/2023

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  • Restore Youthfulness & Vitality to the Aging Brain & Body | Dr. Tony Wyss-Coray

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    Restore Youthfulness & Vitality to the Aging Brain & Body | Dr. Tony Wyss-Coray

    Dr. Tony Wyss-Coray, PhD, is a professor of neurology at Stanford School of Medicine who is discovering factors present in young blood and in exercised blood that can improve brain, heart and other organ health. We discuss how different organs age at different rates and how to accurately measure biological aging. We also discuss the specific proteins found in blood when we are young and that are increased by things such as exercise, sunlight exposure, short-term fasting, specific foods and social connection that can significantly increase vitality, restore youthful functioning of the brain and body and potentially increase lifespan. Read the episode show notes at hubermanlab.com. Thank you to our sponsors AG1: https://drinkag1.com/huberman David: https://davidprotein.com/huberman LMNT: https://drinklmnt.com/huberman ROKA: https://roka.com/huberman Function: https://functionhealth.com/huberman Timestamps (00:00:00) Tony Wyss-Coray (00:03:00) Young vs Old Animals, Age-Related Disease (00:06:35) Blood Biomarkers, Young vs Old Humans, Alzheimer's Disease (00:12:50) Sponsors: David & LMNT (00:15:28) 'Young Blood' Factors, Rejuvenation, Stem Cells (00:20:15) Blood Banking; Dracula (00:23:10) Rates of Aging in Organs, Age Gap & Disease Risk; Risk Profiles & Therapies (00:33:02) NAD Levels & Aging, NMN Supplements (00:36:44) Vitality vs Longevity; Periods of Accelerated Aging (00:43:17) Sponsors: AG1 & Roka (00:45:22) Sunlight; Youthful Blood Factors, Exercise & Brain Function, Fasting (00:51:25) Exercise, Injury & Inflammation (00:56:18) Pro-health Factors, Klotho, GDF11, Stem Cell Injection Risk (01:02:35) Platelet-Rich Plasma (PRP); Exosomes (01:05:43) Smoking, EMFs, Plastics, Long-Term Accumulation, Fresh Foods, Organic Food (01:11:28) Sponsor: Function (01:13:16) Intermittent Fasting, Long-Term Fasting, Snacking (01:19:07) Sleep; Cerebrospinal Fluid (CSF) Factors & Cognitive Function (01:24:44) Exercise Type & Longevity; Exercise Enjoyment (01:32:02) Lifestyle Factors & Alzheimer's Risk; Cognitive Exercise; Chocolate (01:37:05) Alcohol & Social Connection; US vs European Food Culture (01:40:50) Deliberate Deep Breathing; Wearables, Sunlight & Artificial Light (01:49:13) Future Projects (01:56:40) Zero-Cost Support, YouTube, Spotify & Apple Follow, Reviews & Feedback, Sponsors, Protocols Book, Social Media, Neural Network Newsletter Disclaimer & Disclosures Learn more about your ad choices. Visit megaphone.fm/adchoices

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    1 h 59 min
  • Ruminations, culpabilité libérez-vous de ce qui plombe avec le psy Yves-Alexandre Thalmann #669

    -2 J

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    Ruminations, culpabilité libérez-vous de ce qui plombe avec le psy Yves-Alexandre Thalmann #669

    Anne Ghesquière reçoit Yves-Alexandre Thalmann, psychologue et spécialiste des émotions. Pourquoi notre esprit revient-il sans cesse sur les mêmes pensées ? Les ruminations sont-elles forcément néfastes ? Et que faire sinon de nos culpabilités qui s’infiltrent en silence et nous enferment dans un dialogue intérieur sévère et stérile ? Yves-Alexandre Thalmann explore le sujet de la culpabilité, les 3 composantes de la rumination mentale, le rôle de notre mode « par défaut » et nous offre des techniques concrètes pour apaiser notre esprit. Son livre, Adieu la culpabilité ! est publié aux éditions Jouvence et son livre, Éloge des ruminations mentales, est paru chez Odile Jacob. Avez-vous tendance à vous excuser pour un rien ? Cet épisode est pour vous ! Épisode #669 Quelques citations du podcast avec Yves-Alexandre Thalmann : "Penser, c'est pour agir. Toutes les pensées sont faites pour l'action." "Si on a tout le temps les yeux rivés sur un écran, notre cerveau ne peut plus faire ce travail d'épurage, d'élagage et d'entretien." "C'est ça le but du cerveau, s'adapter au mieux au présent et à l'avenir." Recevez chaque semaine l’inspirante newsletter Métamorphose par Anne GhesquièreDécouvrez Objectif Métamorphose, notre programme en 12 étapes pour partir à la rencontre de soi-même.Suivez nos RS : Insta, Facebook & TikTokAbonnez-vous sur Apple Podcast /Spotify / Deezer / CastBox / YoutubeSoutenez Métamorphose en rejoignant la Tribu Métamorphose Thèmes abordés lors du podcast avec Yves-Alexandre Thalmann : 00:00Introduction 01:30L’invité 04:50La mauvaise réputation des ruminations 06:11Les types de ruminations 07:31Des profils de ressasseurs 08:35Ruminations et santé mentale 11:07Les 3 composantes des ruminations mentales 14:15Mode par défaut et compréhension du monde 20:02Provoquer des ruminations constructives 24:45Des outils pour stopper les ruminations 26:54Vagabondage et créativité 28:53D'où viennent les idées ? 29:45Les idées "dans l'air" et les ruminations collectives 32:03Nommer la rumination 34:09Les bienfaits de l'endophasie 38:21 L'effet Zeigarnik et l'illusion du multitasking 40:07Que faire en cas de pensées anxieuses ? 42:20Plan d'action et ajournement 44:06Le bonheur est-il forcément dans le moment présent ? 46:23Pensée positive et comparaisons descendantes 47:14Les 4 étapes pour sortir de la culpabilité 54:39Pseudo culpabilité et compassion 58:17L'étape de l'acceptation Avant-propos et précautions à l'écoute du podcast Photo DR Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.

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    1 h
  • Why Clutter Makes You Overeat (And What to Do About It)

    -4 J

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    Why Clutter Makes You Overeat (And What to Do About It)

    I sat down with organizational coach Tracy Hoth thinking we'd mostly talk about fat clothes, skinny clothes, and how to get organized without losing your mind. We talked about that. But what surprised me was how much this tied back to weight loss. Because clutter is stressful. And when you're stressed, food becomes an easy escape. You're not hungry. You're standing in a house that feels overwhelming, unfinished, and heavy… and eating feels easier than dealing with it. Tracey explains why most of us try to organize the wrong way, why it feels so hard to even start, and how to break it into simple stages so it actually gets done instead of being avoided. If your home stresses you out, your closet makes you want to cry, or you notice you eat more when your space feels out of control — this conversation will hit home. Because when your space feels better, you feel better. And when you feel better, food doesn't have to do so much work. Be sure to check out Tracy's freebie for you by clicking here.

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    46 min
  • Meningitis 2.0

    3 FÉVR.

    9

    Meningitis 2.0

    We review diagnosing and managing bacterial meningitis in the ED. Hosts: Sarah Fetterolf, MD Avir Mitra, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Meningitis_2_0.mp3 Download Leave a Comment Tags: CNS Infections, Infectious Diseases, Neurology Show Notes Core EM Modular CME Course Maximize your commute with the new Core EM Modular CME Course, featuring the most essential content distilled from our top-rated podcast episodes. This course offers 12 audio-based modules packed with pearls! Information and link below.  Course Highlights: Credit: 12.5 AMA PRA Category 1 Credits™ Curriculum: Comprehensive coverage of Core Emergency Medicine,  with 12 modules spanning from Critical Care to Pediatrics. Cost: Free for NYU Learners $250 for Non-NYU Learners Click Here to Register and Begin Module 1 Patient Presentation & Workup Patient: 36-year-old male, currently shelter-domiciled, presenting with 3 weeks of generalized weakness, fevers, weight loss, and headaches. Vitals (Initial): BP 147/98, HR 150s, Temp 100.2°F, RR 18, O2 99% RA. Clinical Evolution: Initial assessment noted cachexia and a large ventral hernia. Following initial workup, the patient became acutely altered (A&O x0) and febrile to 102.9°F. Physical Exam Findings: Brudzinski Sign: Positive (knees flexed upward upon passive neck flexion). Kernig Sign: Discussed as highly specific (resistance/pain during knee extension with hip flexed at 90°). Meningeal Triad: Fever, nuchal rigidity, and AMS (present in 40% of cases; 95% of patients have at least two of the four cardinal symptoms including headache). Imaging: Chest X-ray: Scattered opacities (pneumonia) and a small pneumothorax. CT Abdomen/Pelvis: Confirmed asplenia (secondary to 2011 GSW/exploratory laparotomy). Head CT: Ventricle enlargement concerning for obstructive hydrocephalus and diffuse sulcal effacement. CSF Analysis & Microbiology Bacterial Meningitis Opening Pressure: Elevated (Normal is 1000–2000/mm3 WBC); dominated by neutrophils (>80% PMN). Glucose: Low (200 mg/dL). Cytology: Negative. Viral Meningitis Opening Pressure: Normal. Color: Clear or bloody. Gram Stain: Negative. Cell Count: Slightly elevated (200 mg/dL). Cytology: Negative. Neoplastic (Cancer-related) Meningitis Opening Pressure: Normal. Color: Clear or cloudy. Gram Stain: Negative. Cell Count: Elevated (200 mg/dL). Cytology: Positive (this is the key differentiator). Management Protocol Immediate Treatment: Early administration of antibiotics/antivirals is critical to reduce mortality. Antibiotics: Ceftriaxone 2g IV q12h + Vancomycin (or Rifampin in cephalosporin-resistant areas). Listeria Coverage: Add Ampicillin for patients > 50 years old. Antivirals: Acyclovir 10 mg/kg q8h. Steroids: Dexamethasone 10 mg IV q6h for 4 days (proven to reduce mortality and improve outcomes). Surgical Intervention: Neurosurgery performed an emergent EVD in the ED to relieve pressure from obstructive hydrocephalus. Post-Exposure Prophylaxis: Indicated only for N. meningitidis (not S. pneumoniae) for contacts 24 hours from diagnosis. Regimens: Rifampin for 2 days, single-dose Ciprofloxacin, or IM Ceftriaxone (if pregnant). Stats & Clinical Pearls: Austrian Syndrome The Triad: Concurrent pneumonia, endocarditis, and meningitis caused by Streptococcus pneumoniae. Risk Factors: Asplenia (due to the spleen’s role in filtering encapsulated bacteria), alcohol use disorder, and immunosuppression. Mortality Rate: Extremely high at 28%; mortality is highest when there is CNS involvement. Incidence: Worldwide, S. pneumoniae is the leading cause of bacterial meningitis, accounting for 3,000–6,000 cases annually. Read More

    3 févr.

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  • 看诊喜剧人|14.中医减肥,我们要舒适!安全!健康地瘦下去

    21/07/2024

    10

    看诊喜剧人|14.中医减肥,我们要舒适!安全!健康地瘦下去

    夏日一大话题就是「减肥」,我们如何能减重的同时获得好的状态和精气神呢?今天刘金花医生与我们分享了中医如何看待减肥、不同的「肥」与不同的体质有何关系?又是身体哪里出了问题?敬请收听。 00:02:00:体脂率和腰围:决定体型的关键指标,你超标了吗? 00:10:13:饮食、肥胖与痰湿体质的关系探讨 00:15:18:工作压力与脾虚气结之间的关系 00:17:53:肾怎么也虚啦? 00:20:26:减肥的正确方法:合理饮食、充足睡眠和适度运动 00:25:33:日常生活中的减肥小动作

    21/07/2024

    •
    31 min

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