Recorded on April 15, 2022, at Dartmouth College, Hanover, New Hampshire.

Dartmouth College anthropology professor Sergei Kan was born in the Soviet Union just a few months after the death of Stalin. He came to the United States in 1974 at the age of 21 and received his undergraduate degree from Boston University and his doctorate in anthropology from the University of Chicago. He teaches courses at Dartmouth on the native peoples of Alaska, on the Jewish diaspora, and on Russia.

Next year—the fiftieth anniversary of the publication of The Gulag Archipelago—Dr. Kan will teach a course titled "Red Terror: The History and Culture of the Stalin Labor Camps."  Dr. Kan has been kind enough to offer our viewers a preview of the seminar in advance.

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The Wrath of Kan: A Soviet-Born Anthropologist on Stalin’s Gulag

Testosterone is the principal male sex hormone and we know that in general, as men get above the age of 40 testosterone levels start dropping. We also know that as men get above the age of 40, their overall cardiac risk and overall risk of mortality starts increasing. So it appears that overall cardiac risk starts going up around about the same time as testosterone levels start falling. What we still don't know is whether they are both simply a consequence of aging or whether in some way testosterone is protective for cardiac risk.

In this blog, i will review exactly what we know about testosterone and the heart so far.

Testosterone is produced in the male testes and about 98% binds to a carrier called SHBG (sex hormone binding globulin) and about 1-2% circulates unbound or 'free' The free testosterone is perhaps the most potent biological form.

Testosterone is responsible for development of primary and secondary sex characteristics and also increases both muscle mass and bone density.
When men become testosterone deficient, they often develop reduced libido, erectile dysfunction, reduced energy levels, bad mood and increased irritability. Overall sexuality, health status and quality of life all deteriorate.

The prevalence of testosterone in middle aged/older men is quoted in the literature as being anywhere between 2.1-12.8%.

Patients who are particularly vulnerable to being testosterone deficient include:

CHF
Type 2 diabetes
Obesity
COPD
HIV
Opioid users

Currently the way it is diagnosed is through an early morning blood test which measures total testosterone levels and if the level is less than 200 ng/mL then that is classed as testosterone deficiency. There is some controversy however over how good the assays are and especially if the value is at the lower levels of normal, what that means. Some scientists have suggested that maybe measuring the levels of free testosterone may be better but it is still unclear.

Testosterone and the heart - the missing link?

Scale of the Dragon is the first episode of the series Marked by the Dragon.

Blurb:

Her key to freedom is also her torment.

Mina is an outcast. A childhood accident left her scarred and with a curse that her master exploits to hunt dragons for sport.  

She wants freedom, from both her master and the curse, but unless the right dragon is killed, she’ll be a bondservant for the rest of her days. 

With Mina’s uncanny ability and her master’s magical strength, the beast responsible for her misery will fall … even if she has to take matters into her own hands.

Written by Richard Fierce (me!)
Narrated by Kevin E Green

If you enjoyed listening, subscribe! The more subscribers I get, the more books I'll post. 

Find more books by the author on his website: www.richardfierce.com

Scale of the Dragon - Marked by the Dragon Book 1 [Full YA Fantasy Audiobook - Unabridged]

Link to Agenda and Packet: https://www.co.marathon.wi.us/Portals/0/Departments/MCB/Archives/Standing%20Committees/Public%20Safety%20Committee/2021/PUBS_20210804_Packet.pdf

Marathon County Public Safety Committee Meeting - 8/4/21

Fundamentals Chapter 7 Legal Dimensions of Nursing Practice

Welcome to 73 Questions with ND MD.  This video series highlights different medical specialties to give you a better idea of what it is like in the life of a full time attending or resident physician...and now healthcare professional students of various healthcare careers or programs!  On this episode,  Dr. Rahul Damania, a pediatric critical care physician, talks about his path through medical school, critical care fellowship training, and what YOU need to know about the lifestyle of a pediatric critical care doctor.  Listen to the candid advice, empowering stories, and passion that makes Dr. Damania an incredible physician, teacher, and inspiration to those looking to specialize in the rewarding and intimate specialty of pediatric critical care.  Thank you Dr. Damania for your time and for giving us a look into the life of a pediatric critical care doctor!

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73 Questions with a Pediatric Critical Care Doctor ft. Rahul Damania, MD | ND MD

Physicians

When some south Florida hospitals shut down due to damage from Hurricane Ian, the local/state/ federal governments sent assistance, including a disaster medical assistance team (DMAT) to help with the surge of patients seeking emergency care at SMH-Venice. The DMAT set up a 30-bed tent facility just outside of the hospital’s ambulance bay and are working jointly with the SMH-Venice team to triage and treat patients as they come in.

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