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Looking for Reliable Hay Fever Advice? It's Probably Not on YouTube

Title: Looking for Reliable Hay Fever Advice? It's Probably Not on YouTube
Category: Health News
Created: 8/16/2022 12:00:00 AM
Last Editorial Review: 8/16/2022 12:00:00 AM




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Kidneys' Resilience May Depend on Your Gender, Study Finds

Title: Kidneys' Resilience May Depend on Your Gender, Study Finds
Category: Health News
Created: 8/22/2022 12:00:00 AM
Last Editorial Review: 8/22/2022 12:00:00 AM




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What Is the Main Cause of Leaky Gut, and How Do You Fix It?

Title: What Is the Main Cause of Leaky Gut, and How Do You Fix It?
Category: Diseases and Conditions
Created: 8/23/2022 12:00:00 AM
Last Editorial Review: 8/23/2022 12:00:00 AM




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FP2020 and FP2030 Country Commitments: A Mixed Method Study of Adolescent and Youth Sexual and Reproductive Health Components

ABSTRACTIntroduction:Family Planning 2020 (FP2020) was established in 2012 with the goal of expanding contraceptive access. By 2020, 46 countries had made commitments to FP2020. A sustained focus on adolescents and youth (AY) began in 2016. During the commitment formulation process, substantial support was offered to countries to develop AY commitments based on sound data, research evidence, and programmatic experience. This study assesses how country commitments under FP2020 and FP2030 have evolved over time with respect to improving attention to and focus on the needs of adolescents and youth sexual and reproductive health (AYSRH).Methods:We analyzed the content of FP2020 and FP2030 country commitments focusing on AY (aged 10–24 years) using a scoring guideline we developed to measure the AY commitments in terms of completeness, clarity, and quality.Results:This analysis shows that FP2030 commitments better articulate strategies and activities to reach AY with contraceptive information and services when compared to FP2020 commitments.Conclusion:FP2030 commitments are stronger in some areas on AYSRH, such as commitment to establish national or local policies, strategies, and guidance for AY programming, specifying the target audience of the AY commitment, and partnering with AY or youth-led organizations in commitments. However, more work remains to be done by countries to dedicate a budget for achieving AY objectives, including measurable targets for monitoring progress, identifying and addressing the root causes that impact AY access to and use of contraception, including child marriage and gender-based violence, and reducing financial barriers to access contraception.




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Documenting the Provision of Emergency Contraceptive Pills Through Youth-Serving Delivery Channels: Exploratory Mixed Methods Research on Malawi’s Emergency Contraception Strategy

ABSTRACTIntroduction:Emergency contraceptive pills (ECPs) are effective and can be used safely at any age repeatedly within the same cycle. They are often favored by youth yet are underutilized. Private facilities can increase ECP access but present barriers including cost. Identifying effective public-sector ECP distribution models can help ensure equitable access. The Malawi Ministry of Health developed a strategy to improve ECP access in 2020. We documented ECP provision through select public, youth-serving channels recommended by the strategy: general and youth-specific outreach, paid and unpaid community health workers (CHWs), and youth clubs.Methods:We conducted this mixed methods study from November 2022–March 2023 in 2 rural districts (Mchinji and Phalombe) implementing the strategy. We conducted qualitative interviews with 10 national stakeholders, 46 providers, and 24 clients aged 15–24 years about ECP service delivery. Additionally, 25 providers collected quantitative tally data about clients seeking ECPs. We analyzed qualitative data using grounded theory and quantitative data descriptively.Results:Stakeholders and providers reported ECP uptake increased in geographies where the strategy was implemented, especially among youth. Providers documented 3,988 client visits for ECPs over 3 months. Of these visits, 26% were from male clients, 36% were from clients aged younger than 20 years, and 64% received ECPs for the first time. Across channels, youth club leaders and unpaid CHWs reported the most client visits per provider and served the youngest clients. However, no ECPs were dispensed during 29% of visits due to stock-outs. While many providers were supportive of youth accessing ECPs, most held unfavorable attitudes toward repeat use.Conclusion:ECP access should be expanded through provision in the studied channels, especially youth clubs and CHWs. However, to meet demand, the supply chain must be strengthened. We recommend addressing providers’ attitudes about repeat use to ensure informed method choice.




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Differences in Cervical Spine Fractures in Patients Younger or Older Than 65 Years of Age: Implications for the Canadian C-Spine Rule [CLINICAL PRACTICE]

BACKGROUND AND PURPOSE:

There has been a distinction made in the 2001 Canadian C-Spine Rule regarding patients 65 and older and younger than 65 years of age as far as indications for cervical spine CT scanning. We sought to determine if there are differences in the symptoms, mechanisms of injury, fracture locations, and types that are still relevant in 2024.

MATERIALS AND METHODS:

The institutional review board approved this retrospective study of cervical spine CT emergency department results from 2 hospitals in our health system after reviewing 5 years of data in patients experiencing trauma. In addition to the primary variable of age (younger than 65 years and 65 years and older), we looked at injury mechanism, fracture types, sites, symptoms, and operative or medical treatments. Because the demographics of our home site is different from most towns in the United States, we provide race/ethnicity data.

RESULTS:

Of 21,986 cervical spine CTs, 190/9455 (2.0%) participants 65 years of age and older and 199/12,531 (1.6%) participants younger than 65 years of age had fractures (total, 389/21,986, 1.8%). There were more cases of falls from standing (106, 55.8%) and falls from a height (46, 4.2%) in those 65 years and older and this mechanism was associated with a higher risk of C1 and C2 fractures (52, 27.4%; and 78, 41.1%, respectively). Among the C1 fractures, anterior and posterior arch fractures predominated (37, 19.5%). For C2 fractures, types 2 and 3 odontoid fractures (39, 20.5%; and 12, 6.3%) were more common in the older cohort. Motor vehicle collisions were more common in the younger cohort (89, 44.7%), and they were associated with more C5–C7 fractures (47, 23.6%; 60, 30.2%; and 66, 33.2%, respectively) including the facets (49, 24.6%), spinous processes (31, 15.6%), and transverse processes (52, 26.1%). Overall, the rates of instability, surgical intervention, and asymptomatic fractures were similar in the 2 age groups.

CONCLUSIONS:

Cervical spine fractures appear in about 1.8% of the CT scans performed in a busy emergency department environment. Fractures in the elderly occur more commonly due to falls, are located at C1 and C2, and may involve ligamentous injuries. Younger patients incur trauma more commonly due to motor vehicle collisions, and they are more likely to affect the posterior elements, especially C5–C7. The differences in trends for fractures in the 65 years of age and older and younger than 65 years of age groups have persisted since the Canadian C-Spine Rule 1996–1998 data were collected.




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Novel pathogenic PDX1 gene variant in a Korean family with maturity-onset diabetes of the young [VARIANT DISCREPANCY RESOLUTION]

The diagnosis of maturity-onset diabetes of the young (MODY), a monogenic form of diabetes mellitus caused by a mutation in a single gene, is often uncertain until genetic testing is performed. We report a 13-yr-old Korean boy who was initially diagnosed with type 2 diabetes (T2DM). MODY was suspected because of his nonobese body habitus and family history of multiple affected members. Targeted panel sequencing of all MODY-related genes was performed using the NextSeq 550Dx platform (Illumina). Sanger sequencing was performed using blood samples from the parents, siblings, and other relatives. A frameshift variant in the 3' region of the last exon of PDX1 was detected in the patient and his family members with diabetes. PP1_Moderate criterion was applied and this variant was confirmed to be the genetic cause of diabetes in the family and classified as likely pathogenic. The study highlights the importance of genetic testing for nonobese, early-onset diabetic patients with multiple affected family members. Increased awareness and aggressive genetic testing for MODY are needed.




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Prescribing benzodiazepines in young adults with anxiety: a qualitative study of GP perspectives

BackgroundIncident benzodiazepine prescriptions in primary care for anxiety decreased between 2003 and 2018. However, from 2008, incident prescribing of benzodiazepines for anxiety increased among those aged 18–34 years. There are increasing concerns around prescribing of benzodiazepines. Further, although guidelines state benzodiazepines should only be prescribed short term, in 2017, 44% of incident prescriptions were prescribed for longer than the recommended duration of 2–4 weeks.AimTo understand when and why GPs prescribe benzodiazepines for anxiety in young adults.Design and settingA qualitative study was undertaken using in-depth interviews with 17 GPs from 10 general practices in South West England.MethodInterviews were conducted by telephone or videocall. A topic guide was used to ensure consistency across interviews. Interviews were audio-recorded, transcribed verbatim, and data analysed using reflexive thematic analysis.ResultsGPs described caution in prescribing benzodiazepines for anxiety in young adults, but thought they had an important role in acute situations. GPs described caution in prescribing duration, but some thought longer-term prescriptions could be appropriate. In light of these views, some GPs questioned whether primary care needs to revisit how clinicians are using benzodiazepines. GPs perceived that some young adults requested benzodiazepines and suggested this might be because they wanted quick symptom relief. GPs noted that refusing to prescribe felt uncomfortable and that the number of young adults presenting to general practice, already dependent on benzodiazepines, had increased.ConclusionPatient-driven factors for prescribing benzodiazepines suggest there are current unmet treatment needs among young adults with anxiety. Given increases in prescribing in this age group, it may be timely to revisit the role of benzodiazepines in the management of people with anxiety in primary care.




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Do I know you? (well enough to complete your multisource feedback … )




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A Few Doctors Will See Some of You: The Critical Role of Underrepresented in Medicine (URiM) Family Physicians in the Care of Medicaid Beneficiaries [Original Research]

PURPOSE

Despite being key to better health outcomes for patients from racial and ethnic minority groups, the proportion of underrepresented in medicine (URiM) physicians remains low in the US health care system. This study linked a nationally representative sample of family physicians (FPs) with Medicaid claims data to explore the relative contributions to care of Medicaid populations by FP race and ethnicity.

METHODS

This descriptive cross-sectional study used 2016 Medicaid claims data from the Transformed Medicaid Statistical Information System and from 2016-2017 American Board of Family Medicine certification questionnaire responses to examine the diversity and Medicaid participation of FPs. We explored the diversity of FP Medicaid patient panels and whether they saw ≥150 beneficiaries in 2016. Using logistic regression models, we controlled for FP demographics, practice characteristics, and characteristics of the communities in which they practiced.

RESULTS

Of 13,096 FPs, Latine, Hispanic, or of Spanish Origin (LHS) FPs and non-LHS Black FPs saw more Medicaid beneficiaries compared with non-LHS White and non-LHS Asian FPs. The patient panels of URiM FPs had a much greater proportion of Medicaid beneficiaries from racial and ethnic minority groups. Overall, non-LHS Black and LHS FPs had greater odds of seeing ≥150 Medicaid beneficiaries in 2016.

CONCLUSIONS

These findings clearly show the critical role URiM FPs play in caring for Medicaid beneficiaries, suggesting physician race and ethnicity are correlated with Medicaid participation. Diversity in the health care workforce is essential for addressing racial health inequities. Policies need to address problems in pathways to medical education, including failures to recruit, nurture, and retain URiM students.




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You Have Less Than a Week to File a Claim for Cash App’s $2,500 Payouts



The deadline to claim part of the $15 million Cash App settlement is November 18. Here's what to know.



  • Privacy and Security

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Can You Really Save a Life? Study Reveals the Impact of Bystander CPR



New research shows that bystander CPR can substantially improve a person's odds of surviving a cardiac arrest while avoiding major brain damage, especially if given immediately.




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ExpressVPN Has Never Been This Cheap: This Trick Can Save You 61% on This VPN



This is not a joke, the subscription to ExpressVPN is at an unprecedented price. We'll tell you everything you need to know so you don't miss out on its Black Friday offer.




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As Rohingya refugees continue to flee from persecution, here’s how you can help

A Rohingya refugee girl poses with a chicken at the Balukhali refugee camp near Cox’s Bazar in Bangladesh. Photo by Jorge Silva/Reuters

More than 500,000 Rohingya Muslims have fled their homes since August to escape systematic violence at the hands of government soldiers in Myanmar. The U.N. has called the actions taken by Myanmar forces against the group “a textbook example of ethnic cleansing.”

A report released by Amnesty International on Wednesday documents widespread rape, killings and burnings of Rohingya across the Rakhine State in Myanmar. The report includes extensive interviews of Rohingya refugees who tell stories of live burnings, sexual violence and mass shootings at the hands of soldiers.

To escape persecution, Rohingya refugees are fleeing in droves to neighboring Bangladesh, a country described by some as a reluctant host for the thousands of refugees behind its borders. Conditions within Bangladesh show refugee camps beyond capacity, as organizations struggle to keep up with humanitarian aid.

Find out more: Rohingya Muslims have been denied citizenship in Myanmar since 1982, though they’ve lived in the area since the 12th century. They are not considered one of the country’s official ethnic groups. As such, their lack of official identity bars them from government services and travel.

Officials from Myanmar, a majority Buddhist state, claim Rohingya are actually immigrants from Bangladesh to justify their exclusion of the group. This most recent burst of violence comes from Myanmar’s crackdown following clashes with the Arakan Rohingya Salvation Army (ARSA). After the government declared ARSA a terrorist organization, the retaliation escalated into hundreds of Rohingya villages.

Where to give: BRAC, a top-ranked NGO based out of Bangladesh, is scaling up humanitarian efforts for clean water, health, sanitation and child care for refugees from Myanmar. You can learn more about their efforts here.

An emergency appeal was made by the Disasters Emergency Committee for immediate crisis relief funds. DEC distributes funds to 13 member aid organizations.
UNHCR, UNICEF and Save the Children have donation pages dedicated to the crisis, as does the International Rescue Committee. CNN’s Public Good page provides a user-friendly resource to find NGOs that match your giving goals.

To give to starvation relief, try Action Against Hunger or the World Food Programme.

Be sure to research organizations receiving your financial contributions, not only to find the best organization aligned with your goals, but also to avoid potential scams. For the latest information on aid organizations and charities, visit GuideStar or Charity Navigator to ensure your donations are going in the right direction.

The post As Rohingya refugees continue to flee from persecution, here’s how you can help appeared first on PBS NewsHour.




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RPG Cast – Episode 544: “You Will NOT Bucket Shame Me”

Things are looking grim: we get thrown out cars, assassinated for our kingdoms, drowned underwater, and struck out. If you’re scratching your head, don’t worry! Everything will make sense once you listen to this week’s podcast.

The post RPG Cast – Episode 544: “You Will NOT Bucket Shame Me” appeared first on RPGamer.



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  • Bug Fables: The Everlasting Sapling
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  • Trials of Mana
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  • XCOM: Chimera Squad
  • Xenoblade Chronicles

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RPG Cast – Episode 545: “Did You Infect My Game With Harvest Moon?”

With many media events getting pushed back, the news is a little trim this week. But we still manage to pull together our basket of zany personalities for a podcast we hope brings a smile to your face.

The post RPG Cast – Episode 545: “Did You Infect My Game With Harvest Moon?” appeared first on RPGamer.




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RPG Cast – Episode 549: “What’s in Your Cranny?”

The RPG Cast has dived head first into #JRPGJuly in our now playing, but since the new month has rolled over, that also means new bugs and fish to catch in Animal Crossing as well! We've got a slew of editorial content to discuss and a smattering of news. Stay safe during the holiday weekend!

The post RPG Cast – Episode 549: “What’s in Your Cranny?” appeared first on RPGamer.



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RPG Cast – Episode 555: “Kelley Just Wants to Fight You”

Anna Marie briefly stops by to tell us about what she's been playing while recovering. The Series X has a price now, will the PS5 get one this week? Also, PAX is happening!

The post RPG Cast – Episode 555: “Kelley Just Wants to Fight You” appeared first on RPGamer.



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  • Death end re;Quest 2
  • Dragon Quest II: Luminaries of the Legendary Line
  • Fire Emblem: Three Houses
  • Langrisser I & II
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RPG Cast – Episode 575: “You Only Press F for Things You Care About”

Chris really wants a giant salad in a bread bowl, Anna Marie says no to Poké-non theories. Kelley is having all the Crises because Chris won't let her read the news in peace, and Alex is quietly contemplating a Final Fantasy VII: Belt Edition while everyone argues.

The post RPG Cast – Episode 575: “You Only Press F for Things You Care About” appeared first on RPGamer.



  • News
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  • Crisis Core: Final Fantasy VII
  • Final Fantasy VII
  • Final Fantasy VII Ever Crisis
  • Final Fantasy VII Remake
  • Final Fantasy VII The First Soldier
  • Persona 5 Strikers
  • Pokémon Brilliant Diamond / Shining Pearl
  • Pokémon Legends Arceus
  • Ys IX

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RPG Cast – Episode 577: “Eclipse, I Love You, but GO AWAY”

It's a slightly quieter week after the mass dump of games that was February and the first week of March. Kelley doesn't want her mom to think she's watching hentai, while Anna Marie insists our reviewers don't hate every game. Josh will one day be free of the epic grip of Cold Steel IV, but not before Chris convinces him if he just lifts a truck, he can find a new orbment.

The post RPG Cast – Episode 577: “Eclipse, I Love You, but GO AWAY” appeared first on RPGamer.





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RPG Cast – Episode 603: “Stick it up your KWEH?!?”

Kelley is busy writing her Sonic the Fighters headcanon. Josh starts listening to Limp Bizkit. Anna Marie spells THICC with two C's and one I. Chris, meanwhile, is living the chonkiest life.

The post RPG Cast – Episode 603: “Stick it up your KWEH?!?” appeared first on RPGamer.




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RPG Cast – Episode 605: “Have You Saved Recently?”

It's a quiet news week before the big push of releases before the holiday gaming rush. Chris invites hate mail for his crazy views on Final Fantasy VII and Mario 64. Kelley discovers her friendship isn't worth an iPad. And Anna Marie wants easy modes to actually be easy. Is that too much to ask? Wait...it IS a bunny!

The post RPG Cast – Episode 605: “Have You Saved Recently?” appeared first on RPGamer.



  • News
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  • Pillars of Eternity
  • Shin Megami Tensei III: Nocturne
  • The Legend of Heroes: Trails in the Sky the 3rd


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RPG Cast – Episode 628: “Air Conditioning for Your Feet”

Josh has a decently sized angry cat burrito. Kelley butters the wolf in Rune Factory. Chris wonders if people have phones. But we all agree the new trend in game graphics should be soulshading.

The post RPG Cast – Episode 628: “Air Conditioning for Your Feet” appeared first on RPGamer.




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RPG Cast – Episode 633: “Your Cat Sharts on the Rainbow Bridge”

Kelley is better at Elden Ring than Chris. Anna Marie shows off her deck. And Chris hates sand. Time to go play with the HD-2D you have at home.

The post RPG Cast – Episode 633: “Your Cat Sharts on the Rainbow Bridge” appeared first on RPGamer.




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RPG Cast – Episode 640: “Does Your Task Bar Need Fiber?”

Chris's 3DS battery is swol. Johnathan educates us on the retro market. Kelley poopsocks like a three-legged kitten. While Josh waxes poetic about his Madden otome dating sim.

The post RPG Cast – Episode 640: “Does Your Task Bar Need Fiber?” appeared first on RPGamer.





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RPG Cast – Episode 646: “You Have to Butter Your Sphinx”

Kelley carries her Vita with her, but then realizes she can't play the games in public. Josh practices his dramatic Yakuza shirt ripping skills. And Chris uses an AI to generate a new Soul Hackers map.

The post RPG Cast – Episode 646: “You Have to Butter Your Sphinx” appeared first on RPGamer.



  • News
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  • Mary Skelter: Nightmares
  • Soul Hackers 2
  • Xenoblade Chronicles 3
  • Yakuza: Like a Dragon

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RPG Cast – Episode 647: “Stellar Eve for When You Don’t Feel Fresh”

Kelley is creeped out by grown men in diapers. Josh can't name a kaiju that isn't Godzilla or Mothra. And Chris gets an Elden Pacifier since he's never happy.

The post RPG Cast – Episode 647: “Stellar Eve for When You Don’t Feel Fresh” appeared first on RPGamer.





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RPGCast – Episode 654: “You Canadian”

It's Extra Life Weekend baby! Phil puts Chris in a closet while Anna states that it's not because she's Canadian, it's because she's a cheap bitch. Meanwhile, the treasure chest looks back at Kelley with an expression that says "...Bruh."

The post RPGCast – Episode 654: “You Canadian” appeared first on RPGamer.



  • News
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  • Blacksmith of the Sand Kingdom
  • Mount & Blade II
  • Ni no Kuni II
  • NieR: Automata
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RPGCast – Episode 655 : “You Kick Puppies!”

Phil Willis is back and while he's not Chris, he plays him on the podcast. Anna Marie is wondering why her cat, Scamper, is losing his mind. Kelley is compensating for suck, and we're all anxiously awaiting the launch of Pokémon this week.

The post RPGCast – Episode 655 : “You Kick Puppies!” appeared first on RPGamer.




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RPG Cast – Episode 685: “You Erased My Save, Now You Have to Beat It”

Kelley tries to capture a goat. Robert is trapped in a corner by the nightmares. Josh upgrades his tank and hopes to get a good ending this time. Will Chris beat FFXVI this week?

The post RPG Cast – Episode 685: “You Erased My Save, Now You Have to Beat It” appeared first on RPGamer.




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RPG Cast – Episode 687: “Can I Interest You in 50 Slices of Kemco RPGs?”

Kelley doesn't want to bang Gambit that bad. Chris wants foilage in games. Jason discovers a new service at the spa. And Josh tells everyone, "Go away, I'm brooding."

The post RPG Cast – Episode 687: “Can I Interest You in 50 Slices of Kemco RPGs?” appeared first on RPGamer.




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RPG Cast – Episode 690: “Spay and Neuter Your Owlbear Cubs”

Kelley dishonors herself in Baldur's Gate 3 and retreats to Vampire Survivors. Chris goes on the hunt for Dr. Robotminsc. Robert hits level 50 before the third scripted battle.

The post RPG Cast – Episode 690: “Spay and Neuter Your Owlbear Cubs” appeared first on RPGamer.





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RPG Cast – Episode 702: “He Plays Flute Like Your Mom Plays SNES”

Chris believes rabites are full of juice. Kelley's furry tank game bias is exposed. Robert gets to be the Snivey he always was inside. Rock flautist.

The post RPG Cast – Episode 702: “He Plays Flute Like Your Mom Plays SNES” appeared first on RPGamer.




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RPG Cast – Episode 710: “Xenoblade Chronicles X Doesn’t Love You Back”

Robert finds out what Godzilla sushi tastes like. Josh pimps his Segway. Phil has a pictomancer at home. The awards all Chris's fault, because he didn't vote. Also, PoE is to Chris, as CoH is to Phil.

The post RPG Cast – Episode 710: “Xenoblade Chronicles X Doesn’t Love You Back” appeared first on RPGamer.



  • News
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  • City of Heroes
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  • Persona 3 Reload
  • Stranger of Paradise Final Fantasy Origin

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RPG Cast – Episode 724: “Can I Sell You a Battle Pass Warranty?”

Kelley eats radioactive sushi. Chris tries to learn what a "zound" is. Josh goes to the Millennium tower one last time and rips off his shirt. Johnathan makes his bi-annual visit to Suiko-shame Chris.

The post RPG Cast – Episode 724: “Can I Sell You a Battle Pass Warranty?” appeared first on RPGamer.




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RPG Cast – Episode 731: “Dragon Quest: Start Your Own Taco Adventure”

Kelley uses familiars to click her buttons. Josh scribbles in comic sans over your collector's edition with a sharpie. Which is good because Chris can't handle yet another collector's edition. They're all doing better than Ryan, though, who is suffering from Wizardry PTSD.

The post RPG Cast – Episode 731: “Dragon Quest: Start Your Own Taco Adventure” appeared first on RPGamer.



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  • Fate Seeker II
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  • Undernauts: Labyrinth of Yomi
  • World of Warcraft: Dragonflight

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RPG Cast – Episode 733: “You Don’t Have to Go Home but You Can’t Fish Here”

Kelley builds a fan mod alternate LEGO Sonic build. Josh learns not to read the wiki...any wiki. Matt digs through Infinity's trash to find out when the money ran out. Chris is watching the anime...but it's not good either.

The post RPG Cast – Episode 733: “You Don’t Have to Go Home but You Can’t Fish Here” appeared first on RPGamer.



  • News
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  • Dragon Quest X Offline
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  • The New Denpa Men
  • World of Warcraft: The War Within

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RPG Cast – Episode 734: “You Have Died of Festive Dysentery”

Josh gives us a time to head pat update. Kelley has "unfriendly" written on her vet notes. Robert has spent 10,000 years in the friend zone. Chris designs a pirate city building game with cat girls and heavy metal music, that everyone can love.

The post RPG Cast – Episode 734: “You Have Died of Festive Dysentery” appeared first on RPGamer.



  • News
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  • Final Fantasy XIV: Dawntrail
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Young diners not lovin’ it

MCDONALD’S revenues have slumped and there’s one key reason: Millennials aren’t Maccas fans, choosing fresher, healthier food instead.




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In strategy game Sintopia you harvest a whole civilisation's souls for your own custom-built hell

One of my favourite satires is the Screwtape Letters, an epistolary novel by Narnia scribe C.S. Lewis. It consists of messages from an oily elder demon to his nephew about how to correctly groom the soul of an unsuspecting human being. It's a claustrophobic send-up of managerial politics and nepotism, with World War 1 unfolding in the background. A real pick-me-up. Sintopia is the Two Point incarnation of that premise - in other words, brighter and breezier and definitely more slapstick than Christian. It puts you in charge of a world divided between Earth and hell, and challenges you to ensure a steady movement of optimally sinful souls between one and the other. Say your prayers and watch the trailer.

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Only toilets will save you from the monsters in Labyrinth of Wild Abyss

From developers Cannibal Interactive, the creators of Purgatory Dungeoneer, springs forth a new labyrinth game. This one is called Labyrinth of Wild Abyss: LayeRedux and it has labyrinths. Except the labyrinths don't just have single paths to their centres, but tube monsters covered in eyes who'll stalk you slowly and methodically as you meander. Personally, it's not the vibe I'm after when I sit down in the evening and I think, "I would like to play a video game that makes me feel somewhat pleasant". But hey, it might be for you.

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Buckshot Roulette now has a 4-person multiplayer mode, which I'm sure you will survive

Real gamblers play russian roulette with shotguns. That is the core concept of Buckshot Roulette, the Inscryption-looking game of blinksweat and bulletworry. It's been out for a while now but the developers have just added a fun extra - a 4-person multiplayer mode.

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Typing Of The Dead meets Resident Evil with co-op in Blood Typers, which has a demo you can play now

Typing Of The Dead released in arcades 25 years ago remains a masterpiece - funny, absurd, tense, and novel. I am keen on any game that aims to follow in its footsteps, and there are a few. The latest is Blood Typers, a horror game where you tippity-tap on your keyboard to fight montsters in a spooky mansion, but this isn't a rail shooter, so you'll be typing to explore and navigate, too.

It's now got a release of February 2025, and there's a demo you can play now.

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What's on your bookshelf?: Solipsism Xtreme Edition

Sunday is cancelled. Book for now!

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Thysiastery is an anime Legend Of Grimrock, and you can attack the dinosaur merchants if you’re a complete monster

One of my lesser quality tests for an RPG is whether the shopkeepers complain at you for not buying anything. Grumpy shopkeepers, good RPG. This most specific of litmus tests has served me well, although I must admit that I’d happily upgrade it to ‘shopkeepers you can attack’, would that not disqualify 99% of games. But not turn based dungeon crawler Thysiastery, it turns out. This “dungeon crawler RPG featuring traditional roguelike and turn-based gameplay” apparently trusts you enough to let you recklessly batter its friendly wandering lizard merchants. You’d be a monster for it, of course, but it’s nice to have options.

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