has disclosed no relevant financial relationships
Retrograde cricopharyngeal dysfunction (R-CPD) is a little-known disorder first identified in 2019
accompanied by debilitating symptoms such as bloating
offers an innovative treatment that restores a normal life to 90% of patients
Lechien provided detailed insights into the diagnosis and treatment of the disorder
but I believe that most patients probably experience gastric reflux during the first year of life
they probably develop an esophageal contraction reflex to prevent the reflux from entering the airways and lungs
Most patients who come in are between 20 and 30 years old
They’ve never burped and often have family members — siblings
Most patients with R-CPD are physically incapable of burping
we all burp after eating to release the air swallowed during meals
swallowed air accumulates in the esophagus
and becomes trapped at the top because the muscle between the throat
which can result in very disabling chest pain
along with the patient’s report of never having burped
Another symptom is gas and flatulence — naturally, since the trapped air can’t escape upwards, it exits through the lower gastrointestinal tract instead. Patients may also experience abdominal pain and bloating. Less commonly, symptoms include hiccups or
It is important, but some people who don’t burp aren’t bothered in their daily lives. Others, however, say it’s unbearable and severely impacts their quality of life. One of my patients was on morphine at a pain clinic because of this condition
My theory is that patients who are unaffected have excellent digestive motility
meaning their digestive system moves gas efficiently downward
The first study was conducted by American ENT specialists
most larynx and swallowing specialists are aware of the disorder
and we don’t know how many people it affects
But I see so many patients with this issue that I don’t believe it’s rare
Diagnosis is straightforward: if a patient can’t burp and makes strange throat noises
I’ve seen about 30 patients for this condition
about eight new patients have come in each week
I believe any gastroenterologist could treat this condition
In 2019, Dr Bastian in the United States [Robert Bastian, MD, laryngologist and founder of the Bastian Voice Institute in Downers Grove, Illinois] developed a treatment involving botulinum toxin (Botox) injections into the upper esophagus
Because the muscle is constantly closed and doesn’t relax
the patient is sedated in the operating room (OR)
is inserted through the mouth into the esophagus
Botox is then injected into the muscle wall
most patients begin to burp and feel relief from all their symptoms
There is a second, more complex technique done using electromyography (EMG)
This procedure is performed in an outpatient setting rather than the OR
The patient is asked to swallow while an electrical signal helps determine whether the needle is in the esophagus or larynx
This technique requires significant training — not only in Botox use
There have been cases where the injection mistakenly went into the larynx
I use a long fiberoptic scope — a camera used routinely by ENTs — that goes through the nose into the throat
This scope has an operating channel that allows me to insert micro-instruments
The patient sits in the exam chair; leans their head forward to expose the back of the larynx; and puffs out their cheeks hard
like [when popping their ears] during airplane takeoff
whereas the OR method achieves about 95% success
I think I still need to fine-tune the technique and get longer needles
It’s quite innovative — it takes only 5 minutes
so the OR method limits us to treating five or six patients per day
I can treat around 30 patients in a single day
Yes. In 80% of cases, a single Botox injection is enough
whether for wrinkles or for laryngeal conditions
it seems patients learn how to burp while the Botox is active
there’s a risk that gastric reflux may worsen in patients who are already prone to it
All patients experience difficulty swallowing for 1-8 days after the injection
potentially causing voice problems for several months
That’s why it must be done carefully — but no one in Belgium is currently using this method
This article was translated from MediQuality using several editorial tools
Human editors reviewed this content before publication.
Any views expressed above are the author's own and do not necessarily reflect the views of WebMD/Medscape or its affiliates
Lavender Blush – Photo Credit: Kyle Baudour
Lavender Blush was formed in San Francisco in early 2016 around the nucleus of Ryan Lescure (vocals and guitar)
the band has released a string of home-recorded EPs and singles on their own Blue Aurora Audio label
was released by the seminal indie pop label Shelflife Records
serves as Lavender Blush’s primary songwriter
their current lineup features Chris Manchester on guitar and Julie Lynn (also of Slowness) on guitar and keyboards
They are often joined live by frequent collaborator Ana Ramundo (also of Lovenote)
The vinyl version will be released on Blue Aurora Audio
while the cassette version will be released on Shelflife Records
Lescure began writing and recording the music for these songs during quarantine – a time where he was unable to gather with the rest of the band or access the rehearsal studio that contained most of his instruments
he was able to access the rehearsal studio but still could not be joined by others
Because this made collaboration much more difficult
Lescure is the sole instrumentalist on the recording
and Ana Ramundo separately recorded vocal contributions that were later added to the mix
which was mastered by Simon Scott (of Slowdive)
The lead single off the album is the title track
You Are My Moonlight by Lavender Blush
We asked Ryan Lescure about the enchanting upcoming album and what is was like to create and record the LP during the pandemic:
How is the upcoming album different than your previous one
“The clearest difference is that I take more risks on this album
is that my vocals are no longer buried behind the music or shrouded in reverb and delay
Our debut LP marked the first time where my lyrics were printed on the album’s sleeve
I don’t think my bandmates Sam and Chris really had any idea what I was singing — even though they had heard me sing some of those songs for years
I think my lyrics are intelligible without needing to be read
This is really the handiwork of my friend Kyle Baudour who mixed the album
He is a genius when it comes to producing pop music
It was initially an intimidating thing for me to have my vocals and lyrics be so centered
but I think the songs are better because of it
open me up to being psychoanalyzed.”
I took more risks in the songwriting on this album
The straightforward noise-pop dimension of our debut LP is what feels safe to me as a songwriter
I tried to step away from this a bit without adding needless complexity
this album has greater variety in the structures of the songs
I used instruments a bit differently and sometimes even prioritized synthesizers over guitars
The upcoming album contains some sounds that are largely absent on previous Lavender Blush recordings
Listen closely and you can even hear the world’s most beautiful instrument
What are some of the themes of this new album
“My friend John Conley who created the art for the album described it as much darker than what we’ve released in the past
These are mostly songs about the multidimensionality of love and the fact that love does not exclusively relate to positive emotional states.”
Working on these songs was emotionally fulfilling for me and really helped me take care of myself until I could start therapy again
Many of these songs lyrically have a hopeful dimension that explores the things that I do to keep myself afloat
This includes things such as spending time with loved ones
“I also attempted to use songwriting to banish some of the negative emotions I was feeling at the time
but these emotions are thematically written into the music in some ways
Listeners might get a sense of my feelings of detachment
I imagine that these very uplifting themes will cause droves of people to drop everything to listen to the album!”
“I promise that I didn’t make a third Joy Division album
some of the songs are straightforward happy love songs that are ideal for gazing longingly at a loved one as fluffy cumulus clouds drift lazily overhead
Some of the songs are ideal for quizzically studying oneself in a toothpaste-flecked bathroom mirror
Rumor has it that I may have even attempted humor on the album once or twice.”
“We are a band that reveres shoegaze
and post-punk without really doing any of those styles so straightforwardly ourselves
Some of the songs have distortion pedals that are cranked the whole time
Some songs don’t have distortion at all.”
“The c86 and Sarah Records scenes have been hugely influential on my songwriting
I’d say that their influence is more in style than in sound
I admire the ways in which many of the bands associated with those scenes valorized being thoughtful
there is a certain authenticity in the fact that many of these groups bucked social norms about what constituted “proper” gender performance
I try to be as authentic as I can be in my songwriting
This includes making musical decisions that sound interesting to me
This also includes trying to lyrically express what I feel
even when I feel things that are uncertain
What was it like creating this album during the pandemic
“While I had some difficulties with my mental health during the pandemic
and my loved ones and I were in good physical health.”
I tried to fill some of my idle and lonely time by making music
I only had access to the instruments that I had in my apartment which were a Fender Jaguar and an Organelle synthesizer
I played around with these instruments for a while
but I really didn’t feel like I was in the mood to fully write or record anything
I happened to come across an online comment that was written by one of my friends who plays in the San Diego band Quali
He was offering advice to a musician who was having difficulty overcoming writer’s block
My friend suggested spending at least five minutes every day recording something
Some of these songs spilled out of me in a single five-minute session
this advice has helped me become more productive and it has reminded me to set aside a little bit of time every day to do the things I love.”
It helped me exorcise some intense negative emotions
I was initially going to keep these songs to myself because of how personal they are
but my excitement to share them quickly overwhelmed that sentiment
I think that this album contains the most directly personal songs I have ever written.”
“I recorded these songs on my computer and used this quarantine moment to become more familiar with Logic than I had previously been
Being that I only had a synth and a guitar at the start of the quarantine
I was able to create structures and minor melodic details for entire songs before I had any inkling about what the bass or the drums would be like
By the time I could finally access these instruments in my studio
I had spent months thinking about different possibilities for those instruments
I exercised more patience than usual and tested things out using synth basses and drum machines.”
“One of my favorite things about this record are the backing vocals
and Ana are all much better singers than I am
I am so honored that they contributed their amazing voices to these songs
There will be more of this in our future recordings.”
“Once I finished recording everything
I sent my preliminary mixes to Kyle and he improved them to such an extent that I consider him to have been my co-songwriter
While my favorite thing about his mixes is how he produced my vocals
he also did a stellar job introducing a spaciousness to the mixes that contrasts with my ultra-dense mixing style
He also has quite a knack for improving transitions within songs
His work on “Banshee” and “Don’t Leave Me” are my favorite examples of this.”
I am so honored that one of my musical heroes
but I initially reached out to him to master our Sundays single because that song was substantially inspired by the songwriting in his previous band The Charlottes
I’m thrilled with the way that the mastered record turned out and it’s so cool to have one of my musical heroes even know about my music!”
nurtured his passion for international development while serving an internship in Kosovo and participating in an agricultural training academy in South Africa
All of that experience is building towards a career-shaping opportunity: Yates and his wife
Kaitlyn Le Baudour – both international agricultural development graduate students at UC Davis – will be traveling together to Nepal to help Himalayan farmers recover from last year’s devastating earthquake
Yates and Le Baudour are among approximately 40 graduate students from four University of California campuses – Berkeley
Riverside and Santa Cruz – selected for U.S
Agency for International Development fellowships co-sponsored by the UC Global Food Initiative
Graduate student fellows will spend two to six months helping partner organizations solve scientific
USAID’s Global Development Lab launched the program a year ago with six universities
The UC Global Food Initiative is co-sponsoring fellowships to help expand the program at UC Berkeley and to help UC Davis to extend its program to include fellowships at UC Riverside and UC Santa Cruz
“I’ve never been to South Asia before,” Yates said
meet new people and get the opportunity to contribute to Nepal’s recovery from the earthquake
That his wife received a fellowship to work on the same project makes it even better
The earthquake took a heavy toll on Nepal’s agricultural sector
Le Baudour and two other UC fellows will be partnering with host institution Aythos
an economic development nonprofit working in Nepal
to help farmers receive organic agriculture training
harvest fruit trees and identify new crops to diversify their operations and provide income for their families
UC-USAID fellows will participate in projects in 20 countries on four continents
UC Riverside and UC Santa Cruz fellows focus on agriculture and natural resources as part of the Research and Innovation Fellowship for Agriculture program
UC Berkeley fellows cover a broad array of international development areas as part of the Global Development Fellows program
a UC Berkeley graduate student in public policy
India and Mozambique to work with host institution NextBillion on a project with a technological twist
The Mobile Movies project employs local agents to collect data
screen entertainment and educational films
and introduce beneficial health- and agricultural-related products to rural communities
who has worked in her native India on mobile payments and expanding financial access for the agricultural sector
is interested in seeing how Mobile Movies works and what lessons can be learned about delivering solutions to low-income populations
“I did not want to be stuck on a desk punching numbers,” Aier said
“I wanted to branch out and look at how old-school technologies can be used in different ways.”
candidate Eleinis Avila-Lovera will return to her native Venezuela to resume work with the Universidad Central de Venezuela on cultivating cacao in an agroforestry system
Her project aims to increase incomes for local farmers and diversify their operations by encouraging them to grow a less common but higher quality cacao variety
a mix that also can help maintain native plants and animals
“You can see that the science you’re doing matters and can help people,” Avila-Lovera said
“We hope to help local farmers make decisions on plants they need to grow depending on the conditions of their farm.”
is looking to build on her domestic experience in seafood
which includes co-founding the first community-supported fishery in Oregon
She will travel to Egypt this summer to work with host institution WorldFish
which seeks to reduce poverty and hunger by improving fisheries and aquaculture
“This fellowship is a really great opportunity from not only an academic standpoint but also from a career standpoint,” Webb said
The UC-USAID fellows will gather for a conference Jan
One of the speakers will be 2015 fellow Meiling Gao of UC Berkeley
who spent three months in Colombia assessing the environmental impacts of intensified agriculture in grasslands north of the Amazon basin
now a postdoctoral fellow at the Berkeley Energy and Climate Institute after completing her doctorate in public health
said she hopes to return to Colombia to do more work there
There’s a lot of opportunity for cultural exchange and academic exchange as well.”
Researchers funded by a California Climate Action Seed and Matching Grant are examining how the urban housing crisis drives development to natural areas
The University of California opened its doors in 1869 with just 10 faculty members and 40 students
the UC system has more than 295,000 students and 265,000 faculty and staff
with 2.0 million alumni living and working around the world
Company says it instructed British contractor ISG to ensure compliance with local laws
Thirty percent of all employees at Google's data center construction site in Baudour have been banned from accessing the site after inspections revealed that subcontractors failed to issue the 340 workers with lawful documentation
according to French-speaking public broadcasting company
Hainault's employment auditing body found 115 people - mainly from Romania and Bulgaria
but employed by British companies - were either working on the site with falsified detachment documents
Detachment documents attest that a person is working abroad for a temporary
and in doing so is complying with local employment laws
and paying the right social security contributions to both his or her country of origin and to the country in which he or she is working
another visit last week found that an additional 225 employees - British and Hungarian
for the most part - did not have detachment documents either
a number of workers were found to be unaware of their status - whether or not they were self-employed - with some reporting that they merely receive (and presumably comply with) orders
Google denied any knowledge or legal responsibility for the workers' lack of appropriate paperwork
The company's spokesperson for Belgium
to the social inspection services their full cooperation and to resolve any problems as promptly as possible
Google has provided its suppliers with a clear code of conduct
legally binding them to respect all local current rules and regulations
It is important for us that this issue is addressed."
Workers' electronic access badges have now been blocked
and their employers - ISG subcontractors - have been required to issue detachment declarations for all of them
The company announced the €250 million investment on its Saint Ghilslain campus
The data center being built is the company's third data center in Belgium
Incidentally, the campus is close to the HELHa University, host to the world's first Master's in data center engineering, as well as the practical sessions for the first Bachelor's degree in the same subject - both of which which Google supports
Data Centre Dynamics Ltd (DCD), 32-38 Saffron Hill, London, EC1N 8FH Email. [email protected]DCD is a subsidiary of InfraXmedia
par Alexis Baudour
culturelles ou psychologiques ont été avancées afin d’élucider les succès électoraux récurrents de ces courants
Seuls les fondements économiques de ce vote seront considérés ici
Pour beaucoup le lien avec les difficultés économiques et la crise de 2008 semble aller de soi
la pauvreté ou les inégalités grandissantes sont souvent données comme explication de ce vote de protestation
Le but de cet article est de montrer le faible pouvoir explicatif de ces facteurs et proposer des pistes alternatives
Le vote populiste de gauche n’y sera pas abordé compte tenu des différences en termes de motivations et de composition sociologique entre ces deux électorats (seuls 12 % des électeurs de Jean-Luc Mélenchon ont voté pour Marine Le Pen au second tour de l’élection présidentielle française de 2017)
jQuery('#footnote_plugin_tooltip_11408_2_2').tooltip({ tip: '#footnote_plugin_tooltip_text_11408_2_2'
a montré l’absence de relation statistique entre chômage et vote populiste
Certains chercheurs ont proposé que l’effet soit conditionnel
le chômage favoriserait le vote populiste de droite dans les régions avec une forte présence immigrée
où le Front (puis Rassemblement) National parvient à prospérer dans des régions où résident peu d’immigrés
S’il n’existe pas de lien simple et direct entre chômage et vote pour ce parti
on peut cependant considérer d’autres pistes intéressantes
Le figure 3 montre que 30 % des électeurs de Le Pen se déclarent « tout à fait d’accord » avec l’hypothèse posée selon laquelle « les chômeurs pourraient trouver du travail s’ils le voulaient vraiment »
soit une proportion 3 fois supérieure aux électeurs de François Fillon (candidat de la droite traditionnelle à l’époque de l’enquête) ou d’Emmanuel Macron
bien que loin d’être des nantis jugent ces chômeurs
où Marine Le Pen a nettement progressé en 2017 (figure 2)
sont aussi plus hostiles envers les chômeurs (22 % contre 15,5 % pour le reste de la France
les électeurs populistes dans de nombreux pays dénoncent comme « profiteurs » les populations bénéficiant des minima sociaux
même dans les pays où ces dernières sont peu nombreuses
Il faut peut-être comprendre cette récrimination dirigée contre les plus pauvres par ceux qui frôlent la pauvreté
ils se situent juste à un niveau à peine supérieur à celui des chômeurs ; leur hostilité envers les chômeurs pourrait donc marquer une volonté de se distinguer de ces derniers
C’est-à-dire établir une distance symbolique visant à éviter toute confusion entre les deux groupes
Un véhicule aux couleurs du Parti populaire danois (Danske Folkeparti)
une autre forme d’inégalité économique est nettement plus corrélée au vote FN : si on considère les villes où le vote Le Pen a augmenté de 13 points ou plus entre 2012 et 2017
on note (sans surprise au vu de la figure 2) que ces 53 villes se situent dans le nord de la France
le revenu médian (revenu séparant la moitié des revenus supérieurs des revenus inférieurs) y a progressé plus vite (8 %) que dans le reste de la France (7 %)
les revenus du premier décile (revenus des 10 % les plus pauvres) s’y sont effondrés (-3 %) alors qu’ils ont stagné (5 %) dans le reste de la France
où le FN progresse de façon très significative
ne sont donc pas caractérisées par un déclin des revenus de classe moyenne
mais par une divergence entre les classes populaires et les classes moyennes inférieures et une classe moyenne en ascension
jQuery('#footnote_plugin_tooltip_11408_2_4').tooltip({ tip: '#footnote_plugin_tooltip_text_11408_2_4'
Ces classes se montrent anxieuses d’un décrochage qui les éloignent des classe moyennes établies et les rapproche symboliquement des chômeurs et des exclus dont ils essaient avec agressivité de se distinguer
La confusion entre chômeurs et immigrés pourrait relever de cet effort de distanciation
Notes[]
Print Actor Émilie Dequenne
the Belgian star whose career included several TV series and dozens of films including the Cannes Film Festival Palme d’Or winner “Rosetta,” has died
Charlotte Tourret, a press representative for Dequenne, mourned the actor on Instagram. “You were an example for us all, by your extraordinary force, your courage,” Tourret said in her tribute translated from French to English
a great actress and I will remember your laughing eyes and your light.”
Tourret added: “I love you forever my Émilie.”
Dequenne’s family confirmed to Agence France-Presse that the actor died Sunday in a hospital outside of Paris after her battle with a rare cancer
Dequenne revealed in 2023 that she was diagnosed with adrenocortical carcinoma and had shared her cancer journey with fans on social media until the weeks preceding her death
in 1981 and studied drama at the Académie de Musique de Baudour
She began her professional acting career at 18 with a starring role in brothers Jean-Pierre and Luc Dardenne’s “Rosetta.” The coming-of-age drama follows Dequenne’s titular character and her efforts to escape her trailer-park upbringing for a better life
Movies
“Rosetta” grabs you by the throat and won’t let go
“Rosetta,” which former Times critic Kenneth Turan dubbed “a triumph of humanistic cinema,” premiered at the 1999 Cannes Film Fesitval and won the coveted Palme d’Or, and Dequenne won the actress award.
In his review, Turan praised “the gift of Dequenne’s magical acting and the Dardennes’ masterful and sure-handed writing and directing that her [Rosetta’s] intensity and determination...coupled with the almost biblical spareness of her wants, make her a person we care terribly about.”
With a festival darling under her belt, Dequenne was in high demand and had collected more than 20 acting credits for French films and TV movies — including “A Song of Innocence” and opposite Catherine Devenue in “The Girl on the Train” in the early aughts. Later in her career, Dequenne would go back to Cannes to promote two films and celebrate a milestone for “Rosetta.” She returned to the French Riviera in 2012 for “Our Children” and took home the Un Certain Regard actress prize.
Awards
The stars of Belgium’s Oscar entry ‘Close’ -- teenagers Eden Dambrine and Gustav De Waele -- couldn’t be more excited to attend the ceremony
Her third appearance at Cannes was for “Close” in 2022. Lukas Dhont, who directed Dequenne in the drama, remembered his star on Instagram
He recalled precious moments from behind the scenes and said the late actor was “never afraid to move into the unknown
Dhont added: “I can’t put into words how much I’ve learned from you
and all the other women you’ve portrayed so carefully.”
Dequenne revisited “Rosetta” at the 2024 Cannes Film Festival for the movie‘s 25th anniversary celebration. In an emotional interview with French talk show “C à Vous,” she spoke about celebrating the film’s milestone amid her cancer battle.
Her final film credits include 2024 films “Retro Therapy,” “Survive” and “TKT.”
She is survived by her husband, director and producer Michel Ferracci, and daughter Milla Savarese.
The Associated Press contributed to this report.
Alexandra Del Rosario is an entertainment reporter on the Los Angeles Times Fast Break Desk. Before The Times, she was a television reporter at Deadline Hollywood, where she first served as an associate editor. She has written about a wide range of topics including TV ratings, casting and development, video games and AAPI representation. Del Rosario is a UCLA graduate and also worked at the Hollywood Reporter and TheWrap.
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Dead Little Roosters is an upcoming murder mystery show from Rooster Teeth that looks like a lot of fun and very rewarding
if you can solve the mysteries in each episode
you’ll be able to win prizes like a Nintendo Switch
The promise of great fortune draws 10 little Roosters together
Who will be the sole survivor on this evening of trickery and deceit
Play along to see if you can crack the case before the last body drops
Promise of great fortune drew them together
Who will be the sole survivor on this night of trickery and deceit?The sleuthin..
When I'm not writing for GeekTyrant, I enjoy playing games of all kind, rocking with my guitar, and running my YouTube channel Poor Man Pedals for guitarists
please email me: tommy.williams@geektyrant.com || @tyguitaxe