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In a Nutshell: The Plant-Based Health Professionals UK PodcastIn a Nutshell: The Plant-Based Health Professionals UK PodcastDr LJ Smith: clearing the air on respiratory health, meat on hospital menus, and living her valuesIn Episode 4 we speak with Dr Laura-Jane Smith, Consultant Respiratory physician at King's College Hospital London and Lifestyle Medicine Practitioner who is passionate about plant-based diets for personal, planetary and population health. Before we speak with LJ we remind listeners about the upcoming VegMed Conference -  Europe’s largest medical conference about plant-based nutrition. There are now day tickets on sale for those unable to stay the whole week end: https://vegmed.org/ We also chat about the new paper published by BMC regarding hip fracture risk in meat eaters, pes...2023-08-1046 minJournalSpottingJournalSpotting#65 ClimateZone12// Air Pollution and pregnancy outcomes with Prof ThorntonAre you well aware of the health risks to adults from air pollution, but want to know more about the risk to pregnant women and their unborn children?Your ears are in the right place.The wonderful Professor Cathy Thornton helps us pick apart:The effects of air pollution on mothers, fetuses and pregnancy outcomes.The long-term effects on children.The evidence behind this.What you can do to help.We will be having a break from JournalSpotting for a few months! But don't unsubscribe. We may well...2023-03-061h 00JournalSpottingJournalSpotting#64 Journal Round Up// Big dementia trials, stop LPs for SAH, Vit C in pregnant smokersWondering how we have reached 2023, you still are the only one in the hospital who can do an LP overnight, half your patients have dementia with no cure, and people are still researching vitamin C?Your ears are in the right placeDr Barney Hirons flies solo and covers:The best dementia trials from the last few months:Blood pressure reduction reduces risk.Ultra-processed food worsens cognition.Correcting hearing loss corrects...2023-01-1930 minJournalSpottingJournalSpotting#63 ClimateZone11// Microplastics and health with Prof Barbro MelgertAware that microplastics are bad for the environment but want to better understand their effects on human health?Your ears are in the right place.We chat with the brilliant Professor Barbro Melgert from the University of Groningen, Netherlands. Don't know her? She is an expert performing cutting-edge research on the effects of microplastics on humans and shares with us her fascinating, if not daunting, findings.We cover:What microplastics are.How they form.Where they are found (spoiler... EVERYWHERE).Why what you wear matters. Their effect on...2023-01-0258 minJournalSpottingJournalSpotting#62// 🎄🎶 Christmas songs: health hazard or healthful?Love a Christmas tune? Ever wondered if the lyrics are detrimental or beneficial to health?Your ears are in the right place!LJ and Barney, with help from Jon, performed a thematic analysis of the top 41 Christmas song lyrics from 2021, then completed a semi-systematic review analysing their risks and benefits to health! The conclusion? A list of recommendations on which songs to listen to, and which to avoid based on their underlying health messages.We cover the risks and benefits of:Alcohol and sugar binging, Cold exposure,Kissing,...2022-12-1947 minJournalSpottingJournalSpotting#61 ClimateZone10// How to save the oceans with Dr Richard HixsonWorried that the ocean is dying, and your favourite dolphin may well become extinct?! Want to know what you can do to help?Your ears are in the right placeFirstly LJ and Barney outline the good and bad of COP27.Barney then interviews the inspiring Dr Richard Hixson, chair of Healthcare Ocean.We cover:Why the oceans are essential for the planet.Why the oceans are at risk.The biggest problem sources.The role of healthcare.The importance of NHS procurement, and what needs to...2022-12-121h 25JournalSpottingJournalSpotting#60 Journal Round Up: exercise + vaccines, salt + heart failure, magnesium + COPD, race + CPR + much moreBarney, LJ, and Jon are back with all the most interesting and practice-changing articles published in the last month:💉Should I exercise before my next COVID Jab?Does magnesium work in COPD exacerbations and should we give fewer antibiotics?📽Is a colonoscopy a good way to screen for cancer?🧂Should we restrict salt in HFPEF?Why does skin colour matter when it comes to CPR?🕺Things you can do:Support the show by buying us a coffee (or monetary equivalent)!Visit the website Follow us on Twitter @JournalSpotting.Email us : journalspotti...2022-11-0844 minJournalSpottingJournalSpotting#59 ClimateZone9// Pharmacy and Climate Change with Tracy Lyons and Minna EiiWant to understand the planetary impact of the medications you prescribe, whilst enjoying your high tea?Your ears are in the right place.ClimateZone host Dr LJ Smith discusses the role of pharmacy with the awesome Tracy Lyons and Minna Eii, co-founders of the excellent organisation Pharmacy Declares.In the interview, we discuss:Carbon lifecycles of medications.How Carbon is not the whole problem.How climate change is affecting procurement and storage of vital meds.What healthcare professionals NEED to do.Ideas for QIPs!A...2022-11-0453 minJournalSpottingJournalSpotting#58 Journal Round Up// Latest in topics of Diet and AF. Time restricted eating, mortaliTEA, bin vitamins, AF due to infection, AF post op... and MOREWondering what to do with the post-op patient in front of you with new AF, who drinks buckets of tea, takes multivitamins for dinner, and is just getting over pneumonia? Your ears are in the right place.Jon and Barney tackle 2 topics of recent research: latest evidence in diet and 'secondary' AF.Articles we digest for your spongey brains:Diet etc:Tea reduces mortality! MortaliTEA!Flavanoids in CVD / cerebrovascular diseaseLink with Ca and hot teaTime-restricted eating vs notFasting in cancerBin the v...2022-10-0336 minJournalSpottingJournalSpotting#57 ClimateZone8// Medical Students Fighting Climate ChangeWant to get active fighting Climate Change, but need some inspiration on things to do, people to talk to and a large dose of Climate Joy?Your ears are in the right place.We talk to the incredible medical students: MEHAJABEEN FARID,MARINA POLITIS,&LIZZIE O'BRIEN.They are fighting Climate Change. This wide-ranging discussion covers COP26, activism, medical education, Climate anxiety, Climate Joy, the pressure on the younger generation, and how YOU can get involved.LJ and Barney also discuss tips on talking to work...2022-09-051h 16JournalSpottingJournalSpotting#56 The Age of Psychedelic Medications with Prof Allan YoungWere your school teachers right? Are psychedelics really dangerous tree hugging hippy drugs? Or are they safe medications that might play a crucial role in modern medicine? Your ears are in the right place.Fascinating discussion with psychedlic medicine expert Prof Allan Young on:The history of Psychedlics.How they work.The evidence behind them.The risks & the benefits.What is currently being investgated.What the future holds.Get up to date.Help us grow! Share us everywhere and r...2022-08-2358 minJournalSpottingJournalSpotting#55 Journal Round Up// 🍄Magic mushrooms and psychedelic meds, ⏰4-hr targets, ☕Sweet Coffee for life, 💰Scrap Low Value Care, 🧘Yoga for Migraines, 🧃forget Vit C, 💯Pulse oximeters & colour, 🥒Pickle Juice cures cramps?! And more.Confused over which drink to offer your patients? Orange juice or Coffee? Is the sugar bad for them, or is caffeine worse? Which has more fibre? Don’t those septic people need vitamin C?Your ears are in the right place.Dr Camille and Barnaby Hirons cover the latest and greatest in the medical literature including:4-hour ED targets - useless government orders or life savers?Choosing wisely - the most low-value care which we need to scrap...2022-08-0840 minJournalSpottingJournalSpotting#54 ClimateZone7// Climate Crisis and Paediatrics with Dr. Rosie SpoonerFeel even more anxious about the climate crisis after the termostat hit 40 degrees? Your ears are in the right place. LJ interviews the inspiring Dr. Rosie SpoonerWe cover:How the climate crisis will affect children and their healthHow to talk about the climate crisis with childrenHow to find hope while facing the climate crisis.The CliamteZone team then discuss their latest challenge: try and cut out fast fashion!Excellent links for you to browse, amuse and amaze:Children, Cities and Climate LSHTM Report RCPCH po...2022-08-0158 minJournalSpottingJournalSpotting#53 War in Ukraine// Talk with Frontline Military Doctor Taras*Warning* the experiences and stories described may be disturbing for some listeners. Are you trying to imagine what it might be like for a medic, maybe such as yourself, on the front line of a war? Do you want to understand how you can help?Your ears are in the right place.We speak with Taras, a doctor working in the closest hospital to the frontline in the South of Ukraine. He takes us through his life, his daily routine, the cases he sees and the devastating impact this is h...2022-05-2936 minJournalSpottingJournalSpotting#52 Journal Round Up// X-ray & HTN in pregnancy, steroid in OA, Hypertensive inpatients, death of Aspirin, Tai Chi or Sing🎶 for health, AND Nasal👃 or Rectal🍑 cardioversion sir?...Wondering if you should get that X-ray on your pregnant lady who is suffering from hip pain whilst doing Tai Chi, which is associated with inpatient hypertensive spikes that might (just might) be related to your bad singing?No?Well, your ears are still in the right place.Today you have Jon, Barney and Alvin delving into the latest and greatest of medical literature!We cover:Steroid injections for OA - sure?Radiology in pregnancy - risky?Pregnancy HTN 2022-05-2355 minJournalSpottingJournalSpotting#51 War in Ukraine// Talk with Doctors: Andrei Semikhodskii and Uliana PidvalnaWorried about the effect the awful war in Ukraine is having on their doctors and healthcare system? Want to hear their experiences first-hand and find out how you can help?Your ears are in the right place.A change from our usual Round-Ups and Climate shake-ups, today we talk candidly to two inspiring Ukrainian doctors. Dr Andrei  Semikhodskii: A geneticist living in England, who set up a wonderful charity which sends ambulances with bespoke medicine and equipment directly to Ukrainian hospitals that need it most. Links:JustGiving Page click here.K...2022-05-021h 12JournalSpottingJournalSpotting#50 Journal Round Up// Sats & Skin Colour, Paracetamol Danger, Sugar vs Sweetener, Latest in Flozins, Banning Tanning, AF with RVR, Exercise or death, Beer FacesWant to hear key medical literature facts to help become that awesome doctor, whilst also being able to tell if people like beer by their facial expressions?Your ears are in the right place.Dr LJ Smith, Dr Camille Hirons, Dr Jonathan Hudson and Dr Barnaby Hirons scour and digest the latest and greatest medical literature out there... and some other fun stuff too: Why pulse oximeters miss deadly hypoxia in people of colour. How paracetamol and sodium can kill. Are sweeteners a safe alternative to sugar? E...2022-04-0559 minJournalSpottingJournalSpotting#49 ClimateZone6// Dr Alex Wilkinson: Sustainable inhalers- what YOU can doWant to do more to combat climate change but current events and your state of Weltshmerz is holding you back?  Do you need some positive practice-changing, actionable advice? Your ears are in the right place!LJ and Katia interview the brilliant Dr Alex Wilkinson.We cover:The huge carbon cost of inhalers.The key stats and evidence.Why change is needed and how to make it.Barriers to change and how to overcome them.With Barney & Jon we discuss our latest climate challenge- contacting MP...2022-03-201h 01JournalSpottingJournalSpotting#48 Journal Round Up// Myocarditis & COVID, Antimicrobial Resistance, Weight-loss & sleep, Eosinophilia & COPD, NEWS scores...and more.We're back for another Journal Roundup and check out www.journalspotting.com for the full backcatalogue. Barney, LJ, Katia, and Jon cover:We unpick the facts and figures behind COVID-19 vaccination and the risk of myocarditis.🧫The looming threat of antimicrobial resistance😴Why more sleep might help people lose weight.🛌 Trying to let patients sleep better in hospitals🎲Why  diabetes CV risk prediction scores don't work that well. The use of eosinophilia in COPD.🧬Mendellian randomisation and lung function.Subscribe / rate on Spotify / Apple.Follow us on Twitter / Ins...2022-02-2853 minJournalSpottingJournalSpotting#47 Climatezone5 // Heat, Pollution & the HeartListen to interview with world experts on the links between climate change and cardiovascular disease. Featuring: Professor Annette Peters director of the Institute of Epidemiology, Helmhotz Zentrum, Germany Dr. Mark Miller Senior Research Fellow within the University/BHF Centre for Cardiovascular Science at the University of Edinburgh. 🔗 Links:📜 Professor Peters recent review in Nature Reviews Cardiology 📜 Study on high temperatures and MI in Germany 📜 A great British Heart Foundation air pollution resource for patients 📜 Review on cardiovascular effects of air pollution by Dr. Miller...2022-02-071h 07JournalSpottingJournalSpotting#46 Journal Round Up// with MDTea hosts! Mirtazapine in Agitation, physical activity in hospital, subsegmental PEs & anticoag risk, AF from exercise, bisphosphonate benefits, POCUS focus... & MOREDo you love your medical podcasts, but sometimes wish your favourite shows would just team up for the odd awesome episode??Your ears are definitely in the right place.Jon and Barney are joined by brilliant MDTea hosts Dr Iain Wilkinson and Dr Stephen Collins. Together they deliver a masterclass in many aspects of elderly care and we uncover the greatest medical literature in the world! (From the last few months).1) Physical Activity in Hopital patients - They do too little but you can help.2) Bisphosphonates meta-analysis - harm v benefit.3...2022-01-261h 02JournalSpottingJournalSpotting#45 ClimateZone4// Dr Robin Stott: Adventures of an Activist, COP26 and Climate JusticeTrying to keep up with Climate Change facts,  but really, you want to know what you can do as a healthcare professional more than suggesting your patients should watch Cowspiracy on Netflix?This is an interview with Climate legend Robin Stott. We cover:Amazing climate activist stories including his arrest with extinction rebellion - documented in this Lancet article: Doctors and civil disobedience.The successes and failures of COP26Climate Justice - what it is and how to solve itWhat you can do as a healthcare professionalLinks:The UK Health Alliance's Editorial, published s...2022-01-121h 00JournalSpottingJournalSpotting#44 Journal Round Up// Liver transplants + Tramadol Harms + IV Iron + ARB/ACEI + COVID & VitD...Trying to keep up with the medical literature, but it's another COVID Christmas and you can’t wait to unwrap your stocking filled with lateral flows, rota gaps, and cancelled leave…you're ears are in the right place.Barney & Jon are back to cover the latest medical literature.We cover:How long is too long for a liver transplant?The harms of tramadol?HFPeF gets a breakthrough.ARB vs ACEi: a battle you didn't know you cared about.Personalised your steroids in COPD.Why Iron & infections don't mix?Stud...2021-12-1641 minJournalSpottingJournalSpotting#43 Part 2. BTS Winter Meeting 11/2021. Infection, Poverty, Pleural, Pollution and Ageing.Trying to get to medical conferences but no one knows the study leave code, no one will cover your shift, you don’t like online learning, and anyway, you actually thought BTS was an Asian boyband?Your ears are in the right place.With fantastic Professors, Consultants and Trainees, we unofficially cover the best bits from BTS Winter Meeting 2021.In Part 1, hosted by Dr Barnaby Hirons  and Dr Katia Florman, we cover:Social determinants of health by Dr SmithPollution and nutrition: destroying lungs by Dr HironsInfe...2021-12-0544 minJournalSpottingJournalSpotting#43 Part 1. BTS Winter Meeting 11/2021. Airway disease.Trying to get to medical conferences but no one knows the study leave code, no one will cover your shift, you don’t like online learning, and anyway, you actually thought BTS was an Asian boyband?Your ears are in the right place.With fantastic Professors, Consultants and Trainees, we unofficially cover the best bits from BTS Winter Meeting 2021.In Part 1, hosted by Dr Barnaby Hirons  and Dr Katia Florman, we cover:Crucial Cough updates with Prof McGarveyZero Tolerance for COPD exacerbations with Prof HurstHigh Flow...2021-12-0253 minJournalSpottingJournalSpotting#42 ClimateZone3// Plant-Based Diet: the Health & Climate Benefits with Dr. KassamWondering how a plant-based diet might benefit your patients and the climate? We sit down with plant-based diet expert Dr Shireen Kassam to discuss the climate impact of diet, the evidence for a plant-based diet in reversing chronic diseases, and how we can discuss it with our patients.Links mentioned: https://plantbasedhealthprofessionals.com/ https://www.pcrm.org/ https://ourworldindata.org/food-choice-vs-eating-local?country=https://www.nationalfoodstrategy.org/ Important citations:Bodai, B.I. e...2021-11-0757 minJournalSpottingJournalSpotting#41 Journal Round Up// O2 in COVID, Statins in Elderly, ETOH for diabetes, AF screening, Smog Jogs, Metabolism, Fleeces... and MORE!Trying to keep up with the medical literature but...You’ve just watched Squid Games, you’re feeling a bit stressed, and you thought some light-hearted medical education was just the ticket?Your ears are in the right place.Tonight your ears are joined by Barney, Cami and Alvin as we wade through an amazing collection of medical literature to bring you the best, most interesting and practice-changing information out there...In order:Respiratory RS - what O2 to use in COVID?AF - to...2021-10-3143 minJournalSpottingJournalSpotting#40 JournalChat // Professor Beverley Hunt on Clearing COVID Clots and D-dimer DecisionsTrying to keep up with the medical literature but... As it’s change-over time, you are far more preoccupied with finding where the staff toilet is, the code for this, and where on earth you can buy coffee?Your ears are in the right placeIn Ep40 we get our favourite Haematology Professor, Beverley Hunt OBE, to discuss our last Round Up's key articles. Including:Do we REALLY believe the idea that we should give treatment dose anticoagulant to moderate Covid but a  prophylactic dose to patients in ICU?Ther...2021-09-2923 minJournalSpottingJournalSpotting#39 ClimateZone2: Prof Richard Smith on the Carbon Cost of Research and HealthcareTrying to keep up with the medical literature but you are too busy considering whether not driving to work for the environment might mean you could ward round from home today?Your ears are in the right place.Today's interview is with the awesome Professor Richard Smith, author of Lancet article:A strategy to reduce the carbon footprint of clinical trialsWe cover:Love Island bodiesRichard's careerUK health Alliance and their work - their global editorial, A Call For Emergency Action, is now releasedW...2021-09-2145 minJournalSpottingJournalSpotting#38 Journal Round Up with Dr David McCreary// COVID updates + D-dimer madness + Smoking cessation + Maximising Commutes + Kiwis for constipation & more.JournalSpotting is back from its summer break.Jon & Barney are joined by Dr. Dave McCreary all the way from Australia. Dave runs the RCEM podcast and joins JournalSpotting to bridge the chasm between A&E and medics and share some evidence-based pearls.We cover:Why COVID is still *****How does the delta variant present and does my microchip work?Have we figured out how to anticoagulate in COVID-19?More evidence for age-adjusted D-dimers?Do you use D-Dimers in Pregnancy?Do we still need to create arbitrary bridging protocols for surgery?Is that double shot...2021-09-081h 00JournalSpottingJournalSpotting#37 ClimateZone1: Why Climate Change is a Health & Healthcare CrisisWelcome to after the summer break!LJ, Katia, Barney, and Jon kick off a new series and get their teeth stuck into the link between climate change and health.In this introduction episode we bring you up to speed with what climate change what climate change actually is and why its a health problem.Topics discussed:What is climate changeWhy is climate change a health crisis?What is the role of healthcare professionals?What is the role of the health service (in particular the NHS)?Listen up for our climate challenge...2021-08-2444 minJournalSpottingJournalSpotting#36 Journal Round Up with Dr Amie Burbridge// LP or not in SAH, Malaria vaccine, COVID updates, TB Tx duration, Sleep and depression, CT cancer risk, Anal Oxygen AND MORE!!Trying to keep up with the medical literature butEngland have just scored a goal against an average team in  Euro 2020 and you just can’t help singing 3 lions on a shirt over and over…Your ears are in the right place. In this bumper episode, Jon and Barney are joined by the RCP podcast superstar Dr Amie Burbridge as we digest the key practice changing articles from the last month or so.Listen to the end to change how you view ventilation, and bums, forever.To LP or not wh...2021-06-201h 02JournalSpottingJournalSpotting#35 JournalChat // HIV Updates with Dr. Tristan BarberStruggling to keep up with all the recent developments in HIV? You're ears are in the right place: We chat with Dr. Tristan Barber, HIV consultant at the Royal Free Hospital, London. He helps us go through some exciting and important developments in HIV medicine including:- Back to the basics of HIV management- Two drug regimens- Injectable drugs- Chronic inflammation and chronic disease risk- Vaccines for HIV- Cure of HIV- HIV and COVID- any lessons to learn? A big thank y...2021-05-2446 minJournalSpottingJournalSpotting#34 Journal Round Up// Optimum BP aim, Mushrooms for Body and Mind, Sleep and Teeth for Dementia, Smoking, Coffe Genes, Burnout... and MORE!Trying to keep up with the medical literature but apparently JournalSpotting HQ has a team of actual beavers who chew and digest all the articles then present them in a light-hearted podcast. So why bother?In #33 Dr Barney Hirons and Dr Jon Hudson  cover the latest and greatest in medical literature. Including:   - What BP is optimum based on the latest meta-analysis?- What to give for generalised epilepsy - Valporate or Keppra? - How Mushrooms really could  reduce the risk of ca...2021-05-1244 minJournalSpottingJournalSpotting#32 Journal Round Up // Albumin and Terlipressin in Cirrhotics, Vaccine Clots, Antibiotic duration, Budesonide for COVID, delaying dialysis... and more!For full episode details and show notes, head to journalspotting.comTrying to keep up with the medical literature but the pubs are open, the sun is out and you have no idea how long it will last?!Your ears are in the right placeThis episode rounds up the best literature and articles from (around) March 2021.We cover:# When to use albumin & terlipressin in cirrhosis# Clots & COVID-19 Vaccines# High flow...2021-04-2048 minJournalSpottingJournalSpotting#33 JournalChat: Cirrhosis, Albumin, & ATTIRE trial with Dr. Louise ChinaThe JournalSpotters chat to the fist author of the ATTIRE trial, a big RCT looking at albumin use in cirrhosis patients.Dr. Louise China is a senior clinical fellow at the Royal Free Hospital, London and has spent many years investigating the role of albumin in patients with liver cirrhosis. We chat to Louise about:An overview of decompensated cirrhosisWhen to use Albumin in patients with cirrhosisThe design of the ATTIRE trialWhat can we learn from the ATTIRE trialTop tips for managing patients with cirrhosisAdvice for medics looking to get involved in researchA...2021-04-2033 minJournalSpottingJournalSpotting#31 JournalChat// Air Pollution & Health with Professor Frank KellyHave you been wondering how that busy congested main road you commute along every day is bad for your health and the health of your patients?We chat with Professor Frank Kelly world expert on the impact of air pollution on health. This conversation will help us better understand how these pollutants are a dangerous exposure for many diseases and what is being done about it.We discuss:What are the different kinds of pollutants in the air?How we established a causal link between air pollution and health outcomes?What are the key...2021-03-2155 minJournalSpottingJournalSpotting#30 Journal Round Up February '21 // Semaglutide in obesity + death by O2 + Vasculitis saviour + fossil fuel mortality + predictable AF + chronic UTIs... and more!For full show notes and more check out journalspotting.com-----------Trying to keep up with the medical literature butSQUIRREL!! .... You keep getting distracted?Your ears are in the right place.Happy International Women's Day! Check out our chosen inspirational women:Dr Marlies Ostermann Dr Elizabeth Blackwell Anna JonesMothers everywhere!This month Jon and Barney are accompanied by Dr. Katia Florman  and Dr. Camille Hirons as we cover a HUGE selection of impressive and practice-changing articles. Journal Junkies, g...2021-03-1545 minJournalSpottingJournalSpotting#29 BTS Winter Conference Feb 2021 Part 2. Air Pollution + EnvironmentThis is part 2 of our BTS Winter 2021 special.The JournalSpotters packed their virtual backpacks and headed to the British Thoracic Society’s Winter Conference 2021. This a huge international conference, covering all things lung.We've brought together some of the best speakers along with some new JournalSpotters to bring you all the best update and pearls from the conference. In part 2 we cover:Air pollution and the havoc it is causing in the UK, in Africa and in the World. We discuss the cost of the NHS amongst all this, particularly focusing on...2021-02-2231 min