Podcasts about community health sciences

Host: Dawn Hemingway1-1:30pm: Dr. Elaine Laberge, Executive Director, Canadian Mental Health Association of Northern BC, speaks about current initiatives of CMHA in the north including groundbreaking research on mental illness, homelessness, and the unique challenges faced by seniors with mental health concerns in Prince George. Contact: elainelaberge@cmhanorthernbc.ca1:30-2pm: Janet Ocloo, a PhD candidate in Community Health Sciences at UNBC, shares information about her research highlighting the challenges of caregivers of children with cerebral palsy in Ghana – research which has earned her national recognition receiving the prestigious International Doctoral Research Award from Universities Canada - the first student at UNBC to do so. Contact: ocloo@unbc.ca.

There are many ways to assess the quality of care that pregnant people receive pre- and post-partum, as well as during delivery itself. Dr. Kathryn Thompson shares her findings on how the care that pregnant Black Medicaid enrollees receive compares to their more affluent white peers, and the policy and practice opportunities for addressing the social determinants of health that are involved.  Kathryn Thompson is an Assistant Professor at Boston University's School of Public Health in the departments of Community Health Sciences and Health Law, Policy, and Management. She is also an IRP 2024–2025 Visiting Poverty Scholar. 

Did you know that women over forty make up a quarter of the Canadian workforce? Failing to accommodate those experiencing menopause has the potential to drive women out of the working world, resulting in severe consequences for the socio-economic fabric of our society.Dr. Jenny Godley is a Professor of Sociology and Adjunct Professor in Community Health Sciences at the University of Calgary. This special episode of The Conversation Piece features content from her presentation at The Walrus Talks Menopause, supported by Shoppers Foundation for Women's Health.Godley spoke at The Walrus Talks Menopause in Toronto on October 17, 2024.To register for upcoming events happening online or in a city near you, and to catch up on our archive of The Walrus Talks, visit thewalrus.ca/events.And subscribe to The Walrus Events newsletter for updates and announcements, at thewalrus.ca/newsletters. Hosted on Acast. See acast.com/privacy for more information.

Collin May is a lawyer, adjunct lecturer in Community Health Sciences at the University of Calgary, and senior fellow with the Aristotle Foundation. He served as a commissioner and chief of the Alberta Human Rights Commission Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of "Inspired Nonprofit Leadership," host Sarah Olivieri is joined by data expert Rachel Sacks, to discuss the powerful role of qualitative data in nonprofit operations. From innovative methods like PhotoVoice to practical implementation strategies, this episode is a must-listen for those aiming to make data-driven decisions and enhance the effectiveness of their programs. Dive in and learn how to harness the power of qualitative data to bring your nonprofit's mission to the next level. My guest for this episode is Rachel Sacks. Rachel Sacks, MPH, President of Leading Healthy Futures, has more than 15 years of experience in the public health and nonprofit sector. She supports health and human services nonprofits by helping them to conceptualize, define, and actualize new ideas for grant opportunities; identify and meet community needs; and gain greater strategic clarity through effective and engaging facilitations. She has extensive experience working with community health centers, local public health departments, and other health nonprofits on mixed-methods needs assessments, planning projects, and grants to help understand barriers to care and improve access across diverse communities. Rachel's prior experience includes time at the Illinois Chapter of the American Academy of Pediatrics, the Chicago Department of Public Health, and the Center for Jewish Genetics. She graduated Cum Laude from Northwestern University with a Bachelor of Arts in History and Science in Human Culture, and holds a Master of Public Health in Community Health Sciences from UIC. Here's what to expect during the episode: Best practices for qualitative data collection Importance of mixed methods assessments Examples of qualitative methods: Interviews, Focus Groups, Town Halls, and more Innovative qualitative methods: PhotoVoice, Walking & Windshield Surveys Practical tips for incorporating qualitative data regularly Budget considerations for qualitative research Strategic planning and the role of qualitative data Connect with Rachel! https://leadinghealthyfutures.com/ https://www.linkedin.com/in/rachel-sacks-mph/ Sponsored Resource Join the PivotGround newsletter for weekly tips and inspiration for leading your nonprofit! Access it here >> Be sure to subscribe to Inspired Nonprofit Leadership so that you don't miss a single episode, and while you're at it, won't you take a moment to write a short review and rate our show? It would be greatly appreciated! Let us know the topics or questions you would like to hear about in a future episode. You can do that and follow us on LinkedIn. Connect with Sarah: On LinkedIn>> On Facebook>> Subscribe on YouTube>>    

The majority of children and adolescents experience headache, with pooled estimates suggesting that approximately 60% of youth are affected. Migraine and tension-type headache are the leading cause of neurologic disability among children and adolescents 10 years and older. In this episode, Allison Weathers, MD, FAAN speaks with Serena Orr, MD, MSc, FRCPC, author of the article “Headache in Children and Adolescents,” in the Continuum® April 2024 Headache issue. Dr. Weathers is a Continuum® Audio interviewer and an associate chief medical information officer at Cleveland Clinic in Cleveland, Ohio. Dr. Orr is an assistant professor in the departments of Pediatrics, Community Health Sciences, and Clinical Neurosciences at Cumming School of Medicine, University of Calgary and a pediatric neurologist at Alberta Children's Hospital in Calgary, Alberta, Canada. Additional Resources Read the article: Headache in Children and Adolescents Subscribe to Continuum: continpub.com/Spring2024 Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Guest: @SerenaLOrr Transcript   Dr Jones: This is Dr. Lyell Jones, Editor-in-Chief of Continuum, the premier topic-based neurology clinical review and CME journal from the American Academy of Neurology. Thank you for joining us on Continuum Audio, a companion podcast to the journal. Continuum Audio features conversations with the guest editors and authors of Continuum, who are the leading experts in their fields. Subscribers to the Continuum journal can read the full article or listen to verbatim recordings of the article by visiting the link in the show notes. Subscribers also have access to exclusive audio content not featured on the podcast. As an ad-free journal entirely supported by subscriptions, if you're not already a subscriber, we encourage you to become one. For more information on subscribing, please visit the link in the show notes. AAN members, stay tuned after the episode to hear how you can get CME for listening.  Dr Weathers: This is Dr. Allison Weathers. Today, I'm interviewing Dr. Serena Orr on pediatric headache, which is part of the April 2024 Continuum issue on headache. Dr. Orr is an Assistant Professor at the University of Calgary, and a Pediatric Neurologist at Alberta Children's Hospital in Calgary, Alberta, Canada. Welcome to the podcast. So, thank you, Dr. Orr, for taking the time to speak with me about this fantastic article that covers such an important topic – headache in the pediatric population, in children and adolescents. First, I'd love to start by learning a little bit about you. Where do you practice, and how did you get interested in this topic? I love learning more about the authors of these incredible articles and how they became interested in their fields. So, you know, pediatric neurology is already a pretty subspecialized area of medicine – how did you become interested even further subspecializing in headache? Dr Orr: Well, thank you for the invitation. Nice to meet you, Dr. Weathers. I'm Serena Orr. I'm a clinician-scientist, pediatric neurologist, and headache specialist based in Canada at the Alberta Children's Hospital in Calgary, Alberta, just outside of the Rockies. I'm really passionate about headache medicine. I think I came to it because it allowed me to marry my interests in neurology and psychology together. I did my undergraduate studies at McGill in psychology and really wanted to take a biopsychosocial approach to my practice. The first child neurology patient I ever saw was a child who was experiencing migraine and having a lot of disability from it, with lots of impacts on her life - and I really saw an opportunity to take a holistic approach to the patient and marry my interests in neuroscience, neurology, and psychology together. So, I'm very excited to talk to you today about this topic that I'm really passionate about and that I think is underserved – um, hopefully get more people excited about it. Dr Weathers: But so great, and I'm sure we will do that just based on how excited I was just reading your article. So, I always like to start, actually, with what you feel is the most important clinical message of your article. What is your biggest takeaway you want to leave our listeners with? Dr Orr: Yeah, well I think this is a really big topic in neurology. So, if you look at the reasons for consulting a child neurologist, headache falls into the top three. 60% of youth experience headache in youth. If we look at what presents to neurology in terms of headache, the majority is migraine – and so that's a big focus of this article, because anywhere between a half to 88% of headache consultations in neurology are for migraine. And as I kind of alluded to in discussing my interests in this area, you know, it's really important to take a biopsychosocial approach to managing any chronic pain disorder, including migraine and headache disorders. Another big takeaway point from the article is that - specific to pediatric headache - there's really high placebo response rates that we're still trying to understand and grapple with in the field, and I think this underscores the importance in really doing patient-centered care and ensuring that you're educating patients and families about the level of evidence that we have about the placebo response rates and engaging in shared decision-making when you're choosing treatments together. So, I think those would be the main take-home points. Dr Weathers: I think both really critical. And I think even without – I'll put my plug in – even without the placebo effect, I think that shared decision-making is such an important concept for all of us in neurology to think about - but I think you make such the important point that with it, it becomes absolutely critical. I want to expand on a concept that you were just talking about. Pediatric headaches are so incredibly common, and you make the point in the article so well that they're one of the leading causes of neurological disability in pediatric patients. They have such a significant impact that really touches all aspects of these children's lives - both at school, how they impact their hobbies - pretty much everything that they do, and these long-reaching impacts. But then you go on to say that pediatric headache remains the most underfunded pediatric disease category when you take into account allocated public research dollars, which was just staggering to me. Why do you think this is? Dr Orr: I think there's a few reasons. So, one of the main reasons, I think, is that headache medicine has been underserved - there haven't been enough people who have gravitated to this field. I think this is rapidly changing as we train more people and show the world how important this topic is and how much exciting translational research is going on. But, historically, this has been a very small subspecialty that's been underserved relative to disease burden (so not enough scientists equals less research funding) - but there's another aspect to this as well. There was a paper published in 2020 by Mirin – who actually looked at research dollars in NIH based on disease burden and whether the diseases were male or female dominant - and found that there's a significant gender bias in research funding. Male-dominant diseases tend to be significantly overfunded relative to female-dominant diseases when you look at disease burden - and if you look at the female-dominant disease table, headache disorders and migraine are in the top three most underfunded disease categories amongst the underfunded female-dominant diseases. That data has been replicated looking at NIH dollars on the pediatric side as well. They didn't look at gender breakdown in the pediatric paper that was published a couple of years ago, but found, actually, that pediatric headache disorders are the most underfunded in terms of NIH research dollars to pediatric diseases – so, top underfunded relative to disease burden. So, yeah, being underserved as a field - and then, I think, gender bias has also played a significant role in what gets funded over time. Dr Weathers: Wow, that is hard to think about. And I think those are really insightful points and ones we really need to think about as we think about the bias in our research and our funding. Why is access to care and treatment for these children and adolescents so important? I know this seems like a super obvious one, but it feels like the answer is actually really much more complex. Dr Orr: Well, there's data to show that earlier diagnosis can lead to better long-term outcomes for youth with migraine - and this is really important, because if you look at the incidence curves for migraine, you see that at least a third, if not more, of incident cases occur before adulthood. We also know there's some GWAS data to show that youth-onset migraine has a higher genetic loading when looking at polygenic risk scores than adult-onset migraine, so people who have migraine onset in youth may be more genetically loaded (that may be important). And we also know that early access to diagnosis and treatment gives them a better long-term prognosis. We know that headache disorders and migraine are associated not only with long-term potential for disability on the physical side, but also increase the risk of psychiatric comorbidities developing over time, so there's really a huge opportunity in accessing a diagnosis and treatment early to improve long-term function - both on the medical side, but also potentially avert poor mental health outcomes - and also diagnose and treat a subset of people with the disease that may be more genetically loaded. We don't know if that impacts outcomes, but potentially, it does. So there's lots of reasons, I think, that we can get in there early and make a big impact – and even for those who it takes a while to find effective treatment for, really having access to education early so that they understand their disease and also ways that they can engage in self-management strategies, I think, is really empowering to the patient and really important (even if we're struggling to find the best medical therapy). Dr Weathers: You laid out a lot of really important reasons, and again, it goes back to the arguments made at the beginning about why it's so important to increase the funding so that this is no longer an area that's underserved, so that we are able to increase the access, and that everybody who needs this kind of care is able to get it. I want to shift a little bit and think about how we diagnose and work up patients who present with a headache. So as a neurologist - and also as a parent - one of the scariest considerations for me is figuring out if a headache is just a headache or if it's a sign of something else (you know, what we think of as a secondary headache disorder). What is your approach to distinguishing between the two? Dr Orr: We take a very clinical approach to diagnosis. We don't have specific biomarkers for different headache disorders, so we're still, you know, relying on a really detailed history and physical exam in order to sort out the diagnosis. As I discussed in the article, really the key first branch point (like you say) is, is this a primary headache disorder or a secondary headache disorder? There's some tools that we can use in practice to try to get at that, I think the most useful of which is the SNOOP tool - it's an acronym that goes over headache, red and orange flags. Every time I write an article where I discuss this, it's expanded to include more red or orange flags (it's in its probably third or fourth iteration now), but there's a nice table in the article that goes over some of these red and orange flags. It includes things like systemic feature (like headache, nuchal rigidity), if there's a history of cancer, if there's associated, you know, headache waking child up in the morning with vomiting - and a variety of features. I have to say the level of evidence for some of the features is relatively low, and our understanding of some of the red flags has changed over time. As one example, we used to think occipital headaches in youth were almost always associated with a secondary headache disorder, but now there's more emerging data to show that it's actually relatively common for youth with migraine to have an occipital location. So, really, using the tool is about kind of putting the whole picture together to try to risk stratify. In the majority of youth who present with recurrent headaches, who don't have any red or orange flags, and who have an unremarkable neurological examination without focal deficits, it typically is such that we don't have to do further investigation - but any red or orange flags (or a combination of them), any focal deficits on exam, would typically be where we would be considering neuroimaging. It's very unusual that we have an indication to do an EEG or large amounts of blood work in youth with headache, but it is context specific - for example, a case presenting with recurrent hemiplegia (you may have Todd's paralysis on the differential and you may want to do an EEG), or in a youth who also has GI symptoms (I picked up some youth with celiac disorder who have chronic headaches as well). So there are specific circumstances where blood work, EEG may be indicated (or obviously lumbar puncture in the case of suspected infection, et cetera), but for the most part, we're really relying on a very thorough history and physical exam to sort out our pretest probability of a secondary headache disorder and whether we need to do neuroimaging and further investigations. Dr Weathers: I think keeping in mind that systematic approach and really working through the algorithm is really reassuring and makes sense that, one, you won't miss something kind of worrisome, but on the other hand, that you're also not doing unnecessary testing, either. Along those lines, what do you think is the easiest mistake to make when treating children and adolescents with headache, and how do you avoid it? Dr Orr: I think the easiest mistake to make is undertreatment. Both for acute and preventive therapies, I often see undertreatment. I think families are often hesitant to give medication to their children, and so I have a lot of families say, “Oh, well, you know we typically wait the attacks out until they get more severe, we try to avoid medication, we use cold compresses, et cetera.” So, explaining to families that acute treatment (of course, we don't want to overuse it) and overusing simple analgesics (NSAIDS) more than three days a week can increase the risk of higher frequency of attacks and medication overuse headache - but undertreatment is a risk, too. And the way I like to explain it to families is in the scientific basis of pain chronification - so I'll say to families, “You know, we have these pain pathways in our brain. If we let them go off for long periods of time, they get stronger (and so that's where we want to get medication in quickly to try to shorten the exposure of the attacks). When you don't do that, those pain pathways may start out like a dirt road - and maybe then you have lots of long attacks, and then it gets paved, and then it becomes a highway.” I find it's a useful way to help families understand the concept of pain chronification and why we want them to treat attacks. The same thing goes for undertreatment on the preventive side. If you know a youth is having frequent attacks that are impacting their life and their ability to function, we really should be thinking about a daily preventive treatment, because we know that pill-based interventions will result in a significant reduction in headache frequency in at least two-thirds of youth - and again, allowing the youth to have frequent attacks contributes to that pain chronification (and explain it to families in a similar way to what I just explained for acute treatment) - but there can be a lot of hesitancy to engage with pill-based treatments, even though we know that they can be helpful. Dr Weathers: I think that's a really powerful point - and I think something we also, frankly, probably tend to do on the adult side as well – but, especially, I could see where there's even probably more hesitancy in children and adolescents (this concern that we're going to overtreat them and then end up inadequately treating, which leads to increased problems). And also goes back to the concept you were talking about earlier about the importance of shared decision-making and really engaging with the patient and their families in the discussion early on to help avoid that, as well to have everybody aware of the benefits and the side effects of all of the different options, I think is so critical. I was also really excited to see you (in the article) write about the importance of a trauma-informed care approach. This is an area I'm really passionate about in my work as a clinical informaticist and how we can leverage the electronic health record to support trauma-informed care and raising awareness of what a patient's triggers may be. Can you explain to our listeners who may not be knowledgeable about this approach what it means, and why you think that this might be applicable to children adolescents with headache? Dr Orr: Thanks for bringing that up. I think it's really important as well. We've done some work in my lab (and many others have as well) to show that there's a relationship between adverse childhood experiences and the development of headache disorders in youth and adults. By adverse childhood experiences, I mean exposure to highly stressful (like toxic stress) environments in early childhood, such as experiencing death of a parent, divorce, abuse, neglect. So, we know that adverse childhood experiences are associated with higher risk of developing migraine and headache disorders, and knowing that and how common these are amongst our patients - really think it's important to advocate for screening all children, adolescents coming in with recurrent headaches for adverse childhood experiences and exposure to trauma, because it really will impact not only how you interact with the patient, but also potentially what you will screen them for on the mental health side. And so providing trauma-informed care, I think - of course we want it to be targeted - but really taking this approach with all patients is actually a good way to think about it, because trauma is very common in our society, and some of the ways that we've measured trauma in the past (like some of the examples that I gave, divorce, death of a parent) are really narrow and don't encompass broader aspects of trauma (like systemic racism and other things that people are experiencing that haven't been adequately measured). So what trauma-informed care is - you know, there's a few core aspects, and one is screening all patients for trauma. The way I do that in clinic is just asking them if they've had any major stressful life events (and then I give a few examples), but there are standardized questionnaires that can be used for this as well. And then really trying to develop a nurturing rapport with the patient - an open listening strategy, asking open-ended questions, being empathic with patients and families - I know we all try to do this, anyway, but really focusing on that, especially in the context of trauma. And then thinking carefully about not only how you're talking to the patient, but how you're approaching them during the physical exam (so, for example, asking permission before touching the patient rather than just diving into the exam to be sensitive to that). And then also recognizing, like I said, that some of the ways that we've conceptualized trauma have been a little bit narrow, and that trauma may occur in context outside of what we traditionally think of. Dr Weathers: Again, I think that's so important and could be certainly much more broadly applied than even just to this one field, but thrilled to see that you're incorporating it into your work and your research (and again, it was discussed in the article) - and, absolutely, I think that the more that we incorporate it as well here, I think, that the better off for all of our patients and the improved care we provide. Moving on from that, I always like to end my interviews on a positive and hopeful note, and so I'd love to hear from you what you're most excited about in the field of pediatric headache. What breakthroughs do you think are coming, or what's giving you the most hope? Dr Orr: There's so much, there's so much exciting stuff going on in our field (and so, you know, I'll have to rein in myself in here), but one thing is there's been an explosion of novel treatment options on the adult migraine side in the last five to ten years, including agents targeted at the CGRP pathway, calcitonin gene-related peptide, some monoclonal antibodies, and receptor antagonists. There's been an explosion of neuromodulation options with now five devices that have various levels of FDA clearance for use in adults and/or youth with migraine. And there are, for most of these devices and novel drugs, either published studies or ongoing research into how they may be used in youth, so I'm hopeful that we will have more treatment options that are evidence based for youth going forward. This is in part due to the Pediatric Research Equity Act that came out a couple of decades ago now that has put requirements for pediatric studies when new drugs are approved by the FDA for adults - so I think that has had an impact, and I'm hopeful that we'll have an expanded treatment landscape in the years to come. There's also a lot of really exciting, more kind of fundamental research going on that I think will help us move the pediatric field forward more rapidly. In the past, we have really often borrowed from what the adult neurologists are doing for adults with headache disorders without really understanding some of the fundamental biological and psychosocial differences between headache disorders onset in youth versus adulthood, and so there is more and more research going on to understand the biology of migraine in youth and some of the risk factors at this age and some of the features that may make youth a little bit different, because it's very rare that youth are just little versions of adults for any disease or problem. And then, you know, I've seen a really large expansion in the number of trainees who are interested in headache medicine since I've entered this field (I've even got one of our residents who's going to do a headache fellowship, which is exciting), and seeing the growth and interest in headache medicine and the number of people being trained really gives me a lot of hope for the future, because there's so much work to be done in this area, and, really, that's where we're going to have the largest impact - is in mentoring and fostering the next generation of headache neurologists. So, there's lots of reasons to be excited, and I would say to the trainees listening that if you want an exciting career where there's lots of opportunity to make impact both clinically on your patients and in terms of educating the next generation and spearheading research initiatives, headache medicine is for you. Dr Weathers: I think that is incredibly inspiring and will hopefully get a lot of our listeners excited about joining this incredible field. Well, thank you for, again, this great article and for all of your time this evening, I've learned so much and really enjoyed speaking with you. Dr Orr: Thank you. Likewise, it was great to have this opportunity. I really enjoyed it.   Dr Weathers: Again, today, we've been interviewing Dr. Serena Orr whose article on pediatric headache appears in the most recent issue of Continuum on headache. Be sure to check out Continuum Audio podcasts from this and other issues. And thank you to our listeners for joining today. Dr Monteith: This is Dr. Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practice. And right now, during our Spring Special, all subscriptions are 15% off. Go to Continpub.com/ Spring2024, or use the link in the episode notes, to learn more and take advantage of this great discount. This offer ends June 30, 2024. AAN members: go to the link in the episode notes and complete the evaluation to get CME. Thank you for listening to Continuum Audio.

Public Health Careers podcast episode with Michelle (Lawrence) Bidwell, MPH

Jane K. Steinberg, PhD, MPH is an Associate Professor in the Department of Population Sciences and Public Health in the Keck School of Medicine at USC. Trained as a behavioral scientist, her research focuses on determinants of multiple risk behaviors (alcohol/drug use, tobacco and cannabis use) among youth, and the development of effective programs and policy responses to reduce health risks and achieve health equity. Dr. Steinberg also serves as the Director of Public Health Practice for the department. She is currently a co-investigator on a HRSA workforce development grant to develop a career pipeline for MPH students into public health sector careers through scholarships, workforce training, mentorship and career placement opportunities. Dr. Steinberg received her B.A. in Psychology from the University of California, Davis, and her MPH and PhD in Community Health Sciences from the University California, Los Angeles.Learn more about Trojan Scholars for Advancement in Public HealthMore than a typical scholarship, Trojan Scholars for Advancement in Public Health is a merit-based scholarship and mentorship program that is aimed at training Master of Public Health students to attain knowledge and competencies that will enable them to secure positions in public health organizations that address health disparities and inequities among residents of Los Angeles County.The program will provide full scholarship to select recipients that covers up to 42 units of tuition required to complete MPH training. Scholarship recipients will participate in an academic and career building mentorship program focused on core public health functions and social determinants of health.As part of their training, MPH students will complete an applied practice experience (practicum) in one of the partner organizations that serve areas of Los Angeles County with high proportions of health disparities and underserved residents.Learn more about the Master of Public Health ProgramLearn more about this episode and others at keck.usc.edu/pphs/podcastStay in the loop - subscribe to the Preventive Dose newsletter for monthly news straight to your inbox.Follow us on social - find us at @uscpphs Instagram TikTok Facebook LinkedIn X YouTube

Living with multiple sclerosis isn't just about managing the condition itself, but often involves navigating a myriad of additional health concerns known as comorbidities. Individuals with MS face a higher risk of experiencing new relapses when dealing with comorbidities like high cholesterol or depression. Furthermore, autoimmune diseases such as psoriasis and inflammatory bowel diseases like Crohn's disease and ulcerative colitis are more prevalent among those with MS. There is even a heightened risk of bladder cancer. Interaction of MS treatments and other common conditions like high blood pressure (hypertension), high cholesterol and diabetes are addressed. Experts share how immunotherapies used for other autoimmune diseases may benefit or actually worsen MS disease activity. Crucial information is shared on cancer treatment concerns in individuals with MS. Adopting healthy lifestyle behaviors is essential to minimize the development of these comorbidities. Barry Singer MD, Director of The MS Center for Innovations in Care, interviews: Ruth Ann Marrie MD PhD, Professor of Medicine and Community Health Sciences at University of Manitoba, Canada Mark Cascione, MS neurologist, South Tampa MS Center, USA.  

Join CFP Editor Dr. Nick Pimlott as he interviews Dr. Alan Katz and Dr. Alex Singer, family physicians and family medicine researchers at the Max Rady College of Medicine, University of Manitoba in Winnipeg. Dr. Katz is a Professor in the Departments of Community Health Sciences and Family Medicine. Dr. Singer is an Associate Professor and the Director for the Office of Research & Quality Improvement, and the Director of the Manitoba Primary Care Research Network. The interview is based on a Commentary article in the March issue of the journal entitled “The Future of Family Medicine in Canada”. Together they discuss four key ways to address the current crisis in Canadian family medicine to strengthen primary care.

This was a very cool conversation with a kindred spirit, Dr David Wiss, where we do a deep dive into nutrition, especially as it pertains to mental health.  David enrolled at California State University, Northridge where he earned a Master's of Science in Nutrition, Dietetics, and Food Science. This led to a dietetic internship at the University of California Los Angeles (UCLA) Medical Center where he received specialized training on their eating disorders unit. This experience sparked a deep interest in the role of nutrition and the nutritionist profession as part of mental health recovery. David became a Registered Dietitian Nutritionist (RDN) in 2013 and founded Nutrition in Recovery, a group practice of RDNs specializing in the treatment of eating and substance use disorders. During this time, David developed a specialized nutrition curriculum that has been incorporated at more than fifty addiction treatment centers in Southern California and worldwide.In his nutritionist profession practice, David consults and develops nutrition protocols for clients in treatment. He also regularly conducts staff training for professionals and speaks at conferences on topics including disordered eating, gut health, and trauma-informed nutrition. In 2017, David received the “Excellence in Practice” award at the national Food and Nutrition Conference and Expo. Based on extensive clinical experience with clients in mental health recovery, he began collaborating with other experts in the field to publish book chapters and manuscripts in peer-reviewed journals. In 2017, David matriculated at UCLA's Fielding School of Public Health in the Community Health Sciences department, with a minor in Health Psychology. He earned his Doctor of Philosophy degree (Ph.D.) in 2022 by investigating the links between adverse childhood experiences and various mental health outcomes among socially disadvantaged men. During his doctoral training, Dr. Wiss published multiple peer-reviewed manuscripts in the fields of food addiction, eating disorders, substance use disorders, depression, trauma, and childhood sexual abuse. These papers have been published in high-impact journals such as Appetite, the Journal of the Academy of Nutrition and Dietetics, Frontiers in Psychiatry, Public Health Nutrition, Nutrients, Eating and Weight Disorders, and others. In addition, as a health nutritionist, he has contributed multiple book chapters on topics such as binge eating and dietary restraint. Enclosed is a full link to his publications. Nutrition in Recovery: https://www.nutritioninrecovery.com/ Wise Mind NutritionDownload: https://wisemindnutrition.com/download Instagram: https://www.instagram.com/drdavidwiss/ See omnystudio.com/listener for privacy information.

Dr. Lorian Hardcastle, Assistant Professor in the Faculty of Law at the University of Calgary, with a joint appointment to the Department of Community Health Sciences in the Cumming School of Medicine Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Braden Manns, the Svare Professor in Health Economics and a Nephrologist at the University of Calgary in the Departments of Medicine and Community Health Sciences with guest host Rob Breakenridge Learn more about your ad choices. Visit megaphone.fm/adchoices

DTS: 20-11-2023 Join Qamar Ahmed & Imran Akram for Monday's show from 4-6pm where we will be discussing: ‘Media Intake' and ‘Men – leading by example' Media Intake Harrowing images of the suffering in the Middle East are currently flooding our social media feeds. Watching the loss of innocent life, especially children, can be unbearable at times. What effect does the sight of death and destruction have on us, and what can we do about it? Join us as we discuss how to best stay informed without getting distressed. Men – leading by example Discover the essence of leadership and virtue on today's show where we highlight exemplary Muslim men and their commitment to emulate the teachings of the Holy Prophet  Muhammad (pbuh). Join us as we explore how men can aspire to lead the way in their  homes and communities and foster a harmonious and righteous society. Guests: Dr Alison Holman (Associate Professor at the UC Irvine Sue & Bill Gross School of Nursing) Dr Dana Rose Garfin (Assistant Professor-in-Residence in the Department of Community Health Sciences at the Fielding School of Public Health at UCLA)   Producers Anila Nasir, Zainab Fatima and Gemielia Bryant

Alberta is seeing seismic changes to it's healthcare system and the implications can be a bit overwhelming. To try and make sense of the changes that Danielle Smith and the UCP are implementing and threatening to implement, we sat down with an expert in the field of health law, Dr. Lorian Hardcastle! Lorian Hardcastle is an Assistant Professor in the Faculty of Law at the University of Calgary, with a joint appointment to the Department of Community Health Sciences in the Cumming School of Medicine. Lorian obtained her JD with Health Law and Policy Specialization Certificate from Dalhousie University, and her LLM and SJD from the University of Toronto, and in this episode she helps us navigate what the changes to the role of CMOH, forced treatment and the implosion of AHS and the profitization of healthcare delivery mean for Albertans. Plus we now have merch that's available at www.abpoli.ca, including a fall lineup! As always, if you appreciate the kind of content that we're trying to produce here at The Breakdown, please consider signing up as a monthly supporter at our Patreon site at www.patreon.com/thebreakdownab. If you're listening to the audio version of our podcast, please consider leaving us a review and a rating, and don't forget to like and follow us on Facebook, Twitter, Instagram and Threads!

The brain and its vasculature used to be considered separate domains. But in the last decade, we've learned more about the interplay between brain cells and vascular cells. Pathological studies are revealing a surprising degree of overlap between cerebrovascular disease and neurodegenerative disease. All of this has led to the coining of a new word: the neurovasculome. Our guest today is Dr. Eric Smith, an author of a recent scientific statement about the neurovasculome in the journal Stroke. Dr. Smith is a Professor of Neurology, Radiology, and Community Health Sciences at the University of Calgary, and the holder of the endowed Katthy Taylor Chair in Vascular Dementia. He was interviewed about the neurovasculome by Dr. Christoph Stretz, a Vascular and Critical Care neurologist at the Warren Alpert Medical School of Brown University. Series 5, Episode 1 Featuring: Guest: Eric Edward Smith, MD, MPH, FRCPC, FAHA, University of Calgary Interviewer: Christoph Stretz, MD, Brown University Disclosures: Dr. Smith disclosed that he receives personal consulting fees from Alnylam Pharmaceuticals and Eli Lilly

Tommy talks to Michael Celestin, Assistant Professor of Behavioral and Community Health Sciences in the LSU Health New Orleans School of Public Health

Jonathan Szarko was diagnosed with bipolar 1 disorder, spent 9 months in jail and was dead set on not becoming "another statistic in the criminal justice system." Standing in handcuffs in front of a judge at 30 years old, Jonathan was given a choice. He could either spend 5 years in jail or 5 years on probation. After living through past struggles with drugs and alcohol, Jonathan made the commitment to get sober and prioritize one of his oldest passions: fitness. Growing up with a grandfather who was a bodybuilder, Jonathan shares his history with athletics and how he set out to manage his bipolar diagnosis through returning to the world of fitness. He shares a huge struggle of weight gain with bipolar medications and how he was able to combat this and love his own body to teach others this. Getting back on track came with earning his B.S. degree in Community Health Sciences and his NSCA-Certified Personal Trainers (NSCA-CPT®) license. From there, Jonathan launched his "Lifting with Bipolar" podcast to inspire others on their fitness journeys who live with bipolar. Today, Jonathan is an Online Personal Trainer specializing in helping people with bipolar disorder love the skin their in and also manage any unwanted weight gain associated with medications. Connect with Jonathan at his website here. From there you can access his podcast, Instagram page and YouTube channel.

Hey hey, amazing listeners! Welcome to today's episode of the Fuck It All Podcast where we dive deep into stories of empowerment and breaking stigmas. We are BEYOND excited to share this week's incredible guest with you.This week on the podcast we have the remarkable Imani Wilson from Plan C redefining what it means to be a sex-positive person and an advocate for reproductive rights all over the country. Her MO? She's all about open conversations and healthy education. Imani grew up in the South, facing some tough challenges due to teen pregnancy stigma in the zeitgeist which was juxtaposed by her sex-positive mom educating her on all things informed sex. In the end, momma bear won (woohoo!) and Imani grew up to be a sex-positive empowered woman with sexual literacy as her weapon of choice. Huzzah! Now, let's dive into the details. Imani is a graduate student at Temple University, pursuing a Ph.D. in Social and Behavioral Sciences. With an MPH from UCLA in Community Health Sciences, she's a powerhouse in the field. Imani's also a vital part of Plan C, working as a Partnerships and Engagement Consultant. She's all about creating community partnerships to raise awareness about abortion pill access nationwide. Basically, she's advocating for us when our own Supreme Court won't! Imani's research is nothing short of groundbreaking! She's focused on comprehensive sex education reform, advocating for reproductive justice policies, and championing community-based birthing practices that prioritize the well-being of queer individuals of color.This episode is filled with stories of resilience, education, and advocacy. It's a reminder that no matter where you come from, you have the power to shape your narrative. So, let's embrace empowerment together! Keep shining, keep learning, and keep fighting for what's right!Imani WilsonWebsiteLinkedInResources from this episode: The It All Media Newsletter Becoming Cliterate: Why Orgasm Equality Matters--And How to Get It Podcast production for this episode was provided by CCST.

Why Guaranteed Income is affordable, effective and just with economist Evelyn Forget. University of Manitoba President Michael Benarroch in conversation with economist and academic director of Manitoba Research Data Centre Evelyn Forget. Together they'll discuss how a basic income guarantee is not only possible and affordable, but an effective and just way to reduce poverty in Canada.About the guest:Evelyn Forget is an economist, academic director of Manitoba Research Data Centre, and a professor in the Department of Community Health Sciences. She is a multidisciplinary political economist who uses the tools of economics to inform policy debate locally, nationally and worldwide. Her methodological innovations, which ground big data and experimental techniques in a profound understanding of history and culture, have re-invigorated research on social welfare policy and created new hope for people caught up in dysfunctional bureaucratic systems. She is an officer of the Order of Canada and a fellow of the Royal Society of Canada. Her fourth book on basic income, which came out in 2022, is called Radical Trust: Basic Income for Complicated Lives. It amplifies the stories of those who are often left out of the dialogue around public policy. It advocates that all citizens in a wealthy nation like Canada should be guaranteed a modest standard of living.  Her book, Basic Income for Canadians: The Key to a Healthier, Happier and More Secure Life, made the 2018/2019 Donner Prize shortlist. The award recognizes the best public policy book by a Canadian.  About the host:Michael Benarroch became President of the University of Manitoba on July 1, 2020. Dr. Benarroch isa Manitoban and former Dean of the I.H. Asper School of Business (2011-2017). He returns to Winnipeg where he maintains strong community-wide connections and a lifelong dedication to transformative higher education. His career includes serving as Provost and Vice-President (Academic) at Toronto Metropolitan University (2017-2020), acting as the institution's chief academic and operating officer as well as a tenured professor in the department of Economics, Faculty of Arts. He co-chaired Toronto Metropolitan University's Truth and Reconciliation Implementation Committee and is an active advocate for the advancement of Indigenous engagement and reconciliation.

 Dr. Jamie M. Robertson is an Assistant Professor of Surgery at Harvard Medical School and the Direction of Innovation in Surgical Innovation in the Department of Surgery at Brigham and Women's Hospital. She drives efforts within the surgery department to develop curricula and assessments to support medical students, residents, fellows, and faculty. Additionally, she serves on the leadership of multiple teaching and clinical research courses within the Harvard Medical School's Postgraduate Medical Education portfolio. Nationally, she is an Associate Editor for the Healthcare Simulation Dictionary and a lader in simulation design and implementation She is one of the first fifty individuals to earn the designation of Certified Healthcare Simulation Educator-Advanced.  Dr. Robertson's funded research involves studying teamwork and communication between members of medical teams in both terrestrial and deep space environments. Dr. Robertson completed her undergraduate education at Seattle University before earning her MPH in Behavioral and Community Health Sciences and PhD in Epidemiology from the University of Pittsburgh Graduate School of Public Health. Innovative SimSolutions.Your turnkey solution provider for medical simulation programs, sim centers & faculty design.

Diabetes and heart disease are deeply connected – that's why research into new and innovative treatments is so important. In this episode, host Krista Lamb speaks with Dr Sonia Butalia about her career and her work looking at new therapies to support heart health for those with diabetes. Dr. Butalia is an Associate Professor in the Departments of Medicine and Community Health Sciences at the University of Calgary. She is also the winner of the 2022 Diabetes Canada Early Career Investigator Award.

The "Vaccine Racial and Ethnic Disparities: The Root of the Problem Is More than an Access Issue" topic was originally presented during National Minority Quality Forum's weekly webinar series. Listen now for a closer look at addressing existing disparities. Panelists: Salah Mahmud, MD, PhD, FRCPC, Canada Research Chair in Pharmacoepidemiology & Vaccine Evaluation and Fellow of the Royal Society of Canada; Professor of Community Health Sciences and Pharmacy, University of Manitoba; Director, University of Manitoba Vaccine and Drug Evaluation Centre; Clinician Researcher, Population & Public Health, Manitoba Health Laura Lee Hall, PhD, President of NMQF's Center for Sustainable Health Care Quality and Equity (SHC)

We'll hear from Dr. Dana Rose Garfin, Assistant Professor of Community Health Sciences at UCLA, about how repeated media coverage of crises can cause anxiety, PTSD, and even cardiovascular symptoms. Also, with us, Ja'Nel Johnson Phillips, Western Region Manager for Solutions Journalism Network, which focuses on how people solve the problems that we see reported on so often. Plus, we'll hear from Eric Deggans, a media critic with National Public Radio, who sees cable news, sowing fear and panic among viewers to keep them engaged. But Deggans thinks the responsibility for how much we take in is ours.

We'll hear from Dr. Dana Rose Garfin, Assistant Professor of Community Health Sciences at UCLA, about how repeated media coverage of crises can cause anxiety, PTSD, and even cardiovascular symptoms. Also, with us, Ja'Nel Johnson Phillips, Western Region Manager for Solutions Journalism Network, which focuses on how people solve the problems that we see reported on so often. Plus, we'll hear from Eric Deggans, a media critic with National Public Radio, who sees cable news, sowing fear and panic among viewers to keep them engaged. But Deggans thinks the responsibility for how much we take in is ours.

We begin with our weekly conversation with Mercedes Stephenson, Global News Ottawa Bureau Chief and Host of “The West Block”. This week Mercedes brings us the latest on the investigation into the use of the emergencies act during the ‘Freedom Convoy' protests in the nation's Capital.   Loblaw's stores are freezing the prices on their "no name" products, will other grocery chains follow suit? We'll discuss the move by the supermarket giant, with Janet Music of the ‘Agri-Food Analytics Lab' at Dalhousie University.   It's been labeled "the silent killer". According to a new study from the Heart & Stroke foundation, a large majority of health professionals are concerned about the increasing rates of high blood pressure. We speak with Dr. Kara Nerenberg, Professor of Community Health Sciences from the University of Calgary, for what you need to know about the dangers of Hypertension.   Finally, Its "Tech Tuesday". We catch up with ‘The Gadget Guy', Mike Yawney for the hottest new ‘high tech' Halloween decorations to help make your house the spookiest on the block!

It used to be that Statistics Canada didn't measure poverty. Not exactly. Poverty is complex, and there wasn't a single definition that everyone agreed on. So while StatCan did measure low income and other income inequality indicators, it didn't measure poverty per se. That is, until 2018, when the government chose to use the Market Basket Measure, or MBM, as Canada's Official Poverty Line. That means that the government now uses the MBM to track its poverty reduction targets.   But something strange happened during the pandemic: in 2020 the poverty rate fell. And it fell quite a bit. In fact, the poverty rate dropped in one year almost as much as it had in the four preceding years. But why? What happened? Will the poverty rate continue to fall? And what happens if it hits zero? How would health outcomes change? Education outcomes? People's general happiness and well-being?  Has there ever been a time and place in Canada where the poverty rate was zero? The closest may be the Mincome Experiment of the 1970s in Manitoba.   Many Canadians have never heard of this guaranteed income experiment, but it offers a glimpse at what eliminating poverty might look like.  To learn more, we spoke with Burton Gustajtis an economist from Statistics Canada, Evelyn Forget, a Professor of Economics and Community Health Sciences at the University of Manitoba and Kevin Milligan, a Professor of Economics in the Vancouver School of Economics at the University of British Columbia.

Lorian Hardcastle, Assistant Professor in the Faculty of Law at the University of Calgary, with a joint appointment to the Department of Community Health Sciences in the Cumming School of Medicine

Let's talk about abortion pills. This week, I am joined by the partnerships and engagement manager at Plan C, Imani Wilson-Shabazz. Imani is a beacon of light in the reproductive health and sexuality awareness space who, through education and empowerment, is transforming family planning systems and institutions. On today's episode, we hear all about Imani's sex-positive upbringing and how her ninth grade "sex education" class inspired her to study reproductive health and advocate for abortion access. She also answers every question you're likely to have about abortion pills and shares an easy yet powerful way you can support Plan C's vision.    Aviva and Imani discuss:    The failure of abstinence only programs and specifically how communities of color are disadvantaged by those programs  What Imani's research shows us teens want to know more about that they're not learning in sexuality education classes  What Plan C is, how it's used, and how it can facilitate safe at-home abortions  Myths and misconceptions about abortion pills  Why there is so much stigma surrounding abortion pills in the US as opposed to other countries   What medications are used to facilitate a self-managed abortion and the safety of these medications  General guidelines to facilitate an at-home abortion and care for yourself afterwards     To learn more about your lady parts, check out this article: avivaromm.com/lady-parts  To learn more about Plan C, visit plancpills.org    Imani Wilson-Shabazz is a recent graduate of the UCLA Fielding School of Public Health, earning an MPH in Community Health Sciences with a certificate in Population and Reproductive Health. She is currently a Ph.D. candidate in Social and Behavioral Sciences at Temple University. Ms. Wilson-Shabazz currently works at Plan C as their Partnerships and Engagement Manager, facilitating community partnerships to increase awareness of abortion pill access around the country. She also provides lectures, webinars, and educational videos on how to advocate for and promote medication abortion access in diverse communities.    Thank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation. Follow Plan C @plancpill 

In today's high speed internet world, teens are merely a few clicks away from free access to streaming porn. A Nationally Representative Youth Internet Safety Survey found that the likelihood of a teen or preteen accessing pornography intentionally rose from 8% in 2000 to 13% in 2010. Twenty-five percent of 18-24 year old's report porn as their most helpful source of information about how to have sex. In this Episode Dr. Emily Rothman, Professor of Community Health Sciences at the Boston University School of Public Health, and author of the upcoming new book, Pornography and Public Health, brings us a well-researched and measured view of the need for “Porn Literacy” for kids and for parents. The issue is not Pornography. The issue is the negative view of sex as violent, misogynistic and without consent that porn portrays. What Dr. Rothman will discuss in terms of “Porn Literacy” for teens is how and why to think critically about pornography as something quite different from sexual relating and sexual intimacy. She will expand her discussion to “Porn Literacy” for parents by answering question that parents pose like, “What do I say if my teen son is regularly viewing porn?” “What do I say to my nine year old daughter when porn appears on her screen?” Whether you are a parent or interested in helping today's youngsters develop a healthy and loving perspective of sex, this is an important show.

In today's high speed internet world, teens are merely a few clicks away from free access to streaming porn. A Nationally Representative Youth Internet Safety Survey found that the likelihood of a teen or preteen accessing pornography intentionally rose from 8% in 2000 to 13% in 2010. Twenty-five percent of 18-24 year old's report porn as their most helpful source of information about how to have sex. In this Episode Dr. Emily Rothman, Professor of Community Health Sciences at the Boston University School of Public Health, and author of the upcoming new book, Pornography and Public Health, brings us a well-researched and measured view of the need for “Porn Literacy” for kids and for parents. The issue is not Pornography. The issue is the negative view of sex as violent, misogynistic and without consent that porn portrays. What Dr. Rothman will discuss in terms of “Porn Literacy” for teens is how and why to think critically about pornography as something quite different from sexual relating and sexual intimacy. She will expand her discussion to “Porn Literacy” for parents by answering question that parents pose like, “What do I say if my teen son is regularly viewing porn?” “What do I say to my nine year old daughter when porn appears on her screen?” Whether you are a parent or interested in helping today's youngsters develop a healthy and loving perspective of sex, this is an important show.

My guest this episode is Tracie Afifi, Professor in the Departments of Community Health Sciences and Psychiatry at the University of Manitoba and an Associate Editor of the journal Child Abuse & Neglect. Tracie's research advances our understanding of adverse childhood experiences and protective factors by examining, on a macro level, what makes an experience positive or negative and looking for other experiences that fit those criteria. She and I discuss her research and answer a listener's question about whether kids today are more or less resilient than previous generations. More information about Tracie can be found at www.TalkingAboutKids.com.

Sara Elnakib, PhD, MPH, RDN, Department of Family and Community Health Sciences at Rutgers University does a quick recap of her review of Food Waste Recovery: Processing Technologies, Industrial Techniques, and Applications. For the full review see this issue.

Host, Dr. John Sweetenham, associate director of Clinical Affairs at UT Southwestern Harold C. Simmons Comprehensive Cancer Center, and Dr. Keith Argenbright, medical director of the Moncrief Cancer Institute, a non-profit, community-based cancer prevention and support center, discuss models of survivorship care, and likely challenges in addressing the needs of a growing population of survivors.  Dr. Argenbright is also the chief of Community Health Sciences at UT Southwestern Medical Center.   Transcript:     Dr. John Sweetenham: Hello, I'm John Sweetenham the associate director for Clinical Affairs at UT Southwestern Harold C. Simmons Comprehensive Cancer Center and host of the ASCO Daily News Podcast. The number of cancer survivors in the United States is increasing each year, and this is a reflection of advances in cancer prevention and screening, as well as in cancer treatment. And the National Cancer Institute now estimates that there will be more than 22 million cancer survivors in the U.S. by the year 2030.     Joining us to discuss the future challenges of providing care for this growing population is Dr. Keith Argenbright. He is the director of the Moncrief Cancer Institute in Fort Worth, and a professor at the UT Southwestern Simmons Comprehensive Cancer Center, and a colleague and friend of mine.     My guest and I have no conflicts relating to our topic today. Our full disclosures are available in the show notes, and disclosures of all guests on the podcast can be found in our transcripts at asco.org/podcasts.     Keith, thanks for being on the podcast today.    Dr. Keith Argenbright: Thank you for having me, John.    Dr. John Sweetenham: So, the growing population of cancer survivors presents major challenges for providers, health care systems, and other stakeholders. Could you talk to us a little about models of survivorship care that you think could potentially meet the challenges of caring for millions of survivors in the future?    Dr. Keith Argenbright: Of course. I guess I'll start that response by recalling a meeting that I was at back in the 2008, 2009 timeframe, more than 10 years ago. And it was held in Washington D.C. and sponsored by Livestrong. And I think that that was the question that we were asking ourselves 10 plus years ago. What are these models going to look like to meet the challenge of the millions of cancer survivors in the future? And in some way, I think we've come a long way, and in other ways, I'm not so sure we have. Right now, I think we think of cancer survivorship maybe being delivered at an academic medical center and a structured model, maybe being delivered by a community physician in an informal way.    I think that 1 thing that is for certain is that the models of care are going to reflect the reality on the ground. And that there won't be 1 single model of survivorship, but there will be multiple models of survivorship that are created at the local level that understand the resources as well as resource limitations for any given community, for any given oncology practice, for any given group of survivors. And I think that that was probably a conclusion that we reached 10 years ago. And I think that that still holds true now as well as in the future.    Dr. John Sweetenham: Thanks, Keith. So obviously to your point, there are many models of survivorship and there clearly is not going to be a kind of 1 size fits all approach to how we address cancer survivorship. And maybe just to backtrack a little, 1 of the things that I should have said at the beginning of the podcast is that, although it's perhaps a little bit cliche to say this, I do think that now there is a widespread acceptance that cancer survivorship care begins from the day of diagnosis, and isn't something which kind of kicks in once cancer treatment is over. And to that point, I know that 1 of the models that you have adopted in Fort Worth has been to embrace primary care practice into the cancer center to assist with the survivorship and supportive care of patients. Could you just say a little bit about that model and talk to us a little about what you've experienced so far?    Dr. Keith Argenbright: Yeah, for sure. And to your earlier point, we've made great strides in actually recognizing the value of survivorship. And I don't want to dismiss that. I recall again thinking back 10, 15 years ago, I think that a lot of us thought, "Well if you're cured, that's great. And so that's the end of our responsibility." And I think that the medical community and the oncology community have realized that a lot of these cures come at a price and we're recognizing that price in the form of survivorship and survivorship care. So I don't want to neglect the fact that I think that we've come a long way in a very short period of time in embracing the idea of survivorship. What we are doing at Moncrief Cancer Institute is we're bringing in additional specialties into the survivorship milieu.   We talked about the numbers I think a little bit earlier in the podcast. Something like 17 million cancer survivors now with 13,000 practicing oncologists—there's just no way that our oncologists can or that they have the bandwidth, nor are they expected to be the only ones providing survivorship care.    What we did here at Moncrief and at UT Southwestern is we are bringing in different clinical specialties to assist in this team-based approach to survivorship care. And that's been led by our family and community medicine department which has established a primary care clinic in our cancer center for cancer survivors. Patients with cancer are introduced to these practitioners very early in their treatment cycles. Sometimes in their first or second visit with their oncologist here. We will also introduce them to the primary care physician who might be taking care of them at the end of their treatment, even though that might not be for another 6 to 12 months. It's been very well received. Cancer survivors a lot of times don't even have a primary care physician, to begin with. And so sometimes this is their first experience with a true primary care physician.    Oftentimes the primary care physician is able to look more comprehensively at some of the other issues that may or may not be cancer-related. It's been very well received. We bring in other specialties as well, physical medicine, rehabilitation, cardiology, psychiatry, and psychology. So it's something that we've been doing now for about a year. And we're very excited about the promise for a model like this in the future. Again, not all cancer centers or community practices have the ability to do this type of program but we're fortunate that we are. And hopefully, others will be able to take pieces of what we're doing and find them relevant and replicable in their situation.    Dr. John Sweetenham: Yeah. Thanks, Keith. And I do agree. I think it's a great innovation. And your comments pick up on another very important point and that's the workforce issue, which I think we're challenged with. Because of course, with an anticipated 22 million cancer survivors by the end of the decade, we are going to need a significantly expanded workforce of health care professionals of various types to work with these patients. And in addition to that, of course, we're going to need to be able to deliver care in community settings. It can't all be done in big health systems and academic oncology centers. So accepting that that will be the case and that we are going to need to develop community-based cancer survivorship services, what do you think are going to be the most challenging aspects of building those services and sustaining them out in the community rather than in big centers?    Dr. Keith Argenbright: Funding and reimbursement is always a challenge, right?    Dr. John Sweetenham: Right.    Dr. Keith Argenbright: A lot of these survivorship services, a medical visit with a practitioner, for instance, a visit with a psychologist or a psychiatrist regarding mental and behavioral health issues are reimbursable. But a lot of the things that we hear from our patients that they find most valuable in a survivorship program are not reimbursable. And I'm talking about things like nutritional programs, not just nutritional education, but an actual nutritional demonstration in cooking classes. Exercise programs are not currently reimbursable. The ability to speak with a financial counselor regarding the financial strain that has been placed on the patient with cancer and their family regarding the toxicity that they're left with after their cancer treatment. So these continue to be challenges for us, and I'm sure for the listeners of the podcast as well. These are challenges that are not easily overcome.    We are fortunate that we have some philanthropic partners who support a lot of our programs, not everyone is as fortunate as that. So that's one of the barriers. One of the things though, John, that I'm really encouraged about is the new and innovative ways that we've been able to use telemedicine and video conferencing throughout the pandemic. I personally have been amazed at how quickly our providers and our patients have adapted to telehealth, telemedicine, and video visits. In our survivorship care, we've taken that to the next level and have delivered a lot of our survivorship care services through Zoom and other video and electronic means. And this has just been a game-changer for us, as well as the patients. A lot of our patients travel a great distance to us to get cancer care chemotherapy, for example, and there's no way to deliver that remotely.    But we've become pretty adept at learning how to deliver a lot of this survivorship care by Zoom and a teleconference, and the patients just love it. They don't have to make the commute, they don't have to deal with our parking situation. So we're continuing to explore not only other ways and other cancer survivorship services to deliver through video and through remote means. But also, how to actually bring the team together so that it's not just the patient who is having a visit with a physician, but maybe the patient has a visit with the physician along with a nurse navigator, along with an exercise specialist altogether in real-time. And it's something that we're really excited about and exploring actively right now.    Dr. John Sweetenham: Yeah. Thanks, Keith. And in fact, that sort of dovetails into the next question I had for you. And I think you've partially answered that. But I'd just like to extend that theme, that sort of telehealth and new innovations theme a little bit further if we can. Obviously, as our patients are living longer, we need better supportive care strategies for them because of the many experiences that they're going to confront. And you've already mentioned a number of those; infections, neuropathy, depression, [and] the financial stresses that they're going to encounter. And I think, as you point out, the telehealth opportunities have really been a tremendous innovation in helping us to deliver that care. In addition to that though, there clearly are many other aspects of cancer survival, which can impact a patient's wellbeing and compromise their adherence to long-term cancer treatments and subsequent follow-up. And we need other ways of influencing wellness and healthy behaviors both during and after treatment.    So, in addition to the innovations that you've already mentioned of telehealth in our direct health care provider to patient interactions, do you see anything on the horizon in terms of technology or anything else, which is going to help us in the professional-to-professional communication space? And I guess what I'm thinking of particularly, is in making sure that our health care professional colleagues, let's say out in the community, are fully clued in, in terms of likely cancer recurrence, [and] what they should be looking for. They will all know which wellness and healthy behaviors they should be encouraging, but really in terms of providing some additional support and education for health care professionals in the community with respect to the needs of our cancer survivors.    Dr. Keith Argenbright: Yeah. Great question. And I want to circle back to what we spoke about earlier about this primary care physician clinic or this primary care clinic being embedded within our current cancer center. In working with our family medicine and internal medicine colleagues, when we developed this, we realized that not only is this a great opportunity for our survivorship patients, not only is a great opportunity for our current oncologist to offload some of the survivorship care to a primary care clinic, this is a great professional education opportunity. This is still a young program and it's got a long way to go before it matures. But pretty quickly, we're going to start bringing some of our medical students, some of our family medicine residents into this clinic, because they need to know more about the long-term effects of the medications. John, we're all learning about these new medications, right?    The CAR T therapies, the tyrosine kinase inhibitors, the antibody, we're all learning about this. And it's a focus of current oncology education so that the oncologist will understand these side effects and these late-term effects. We need to expand that education to our medical students, our residents, as well as in our community primary care physicians as well. As you know, I'm a primary care physician by training. And some of these drugs are very frightening to primary care providers because the oncologists are around these medications all the time, but not so much the primary care physicians.    And so, we need to educate our primary care physicians, both at the beginning of their training, as well as throughout their training to understand the medications better, understand the side effects better, understand what they are able to take care of themselves in their own primary care clinics, what they need to be able to refer back either to an oncologist or potentially a cardiologist. So I know that ASCO is very interested in working with some of the other professional family medicine and internal medicine and pediatric societies in order to expand this education into the providers. And I think we need to continue to look at that and continue to have that our focus.    Dr. John Sweetenham: Thanks, Keith. I think because as you were speaking, the other thing that does occur to me is, of course, that the communication piece, it's going to be so important that it's very much a two-way street. Because as you pointed out with a lot of these newer treatments, checkpoint inhibitors, and so on, we're going to see new toxicities, long-term toxicities emerge, one would anticipate, over the coming months and years. And making sure that there is two-way communication as community-based health care providers start to see some of these toxicities emerge, and making sure that we collect these data and ensure that we are keeping a very close eye on how this develops is going to be really important. So, I think two-way communication is going to be key.    So, Keith, we, I think are just about at the end of our time. Thank you very much for coming onto the podcast today and sharing your insights on models of care of cancer survivorship. I think although we have many challenges ahead, as we try to support our patients and design care models for them in the future, I think maybe the take-home message has to be that we are in, I think in many ways, the fortunate position of being able to have this discussion because we have so many more cancer survivors than we had some years back. So greatly appreciate your thoughts today. And thanks again for joining.    Dr. Keith Argenbright: My pleasure. Thank you, John.    Dr. John Sweetenham: And thank you to our listeners for your time today. If you enjoyed this episode, please take a moment to rate and review us wherever you get your podcasts.    Disclosures:  Dr. John Sweetenham:   Consulting or Advisory Role: EMA Wellness  Dr. Keith Argenbright: None disclosed.  Disclaimer:   The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity or therapy should not be construed as an ASCO endorsement.   

Welcome back to another episode of the truth about addiction and living sober.  Today's episode explores body image in recovery and the raw, honest truth about how trauma, upbringing, hardwiring, and habits plays into that relationship.   Dr. David Wiss, PhD, leads us through this discussion as a Registered Dietician and expert on nutrition as it pertains to the gut microbiome, brain health and and the intersection between food and mental well being.  The conversation is raw, real, and refreshing for men AND women who struggle with the unrelenting beauty and body standard.For more information on Dr. Wiss, check out his bio below:David became a Registered Dietitian Nutritionist (RDN) in 2013 and founded Nutrition in Recovery, a group practice of RDNs specializing in the treatment of eating and substance use disorders. In 2017, David received the “Excellence in Practice” award at the national Food and Nutrition Conference and Expo. The California Academy of Nutrition and Dietetics awarded him the “Emerging Dietetic Leader Award” in 2020. He earned his PhD from UCLA's Fielding School of Public Health in the Community Health Sciences department (with a minor in Health Psychology) by investigating the links between adverse childhood experiences and various mental health outcomes among socially disadvantaged men. His treatment philosophy is based on a biopsychosocial model which incorporates an understanding of biological mechanisms, psychological underpinnings, and contextual factors that integrate the social determinants of health. His website Wise Mind Nutrition provides information at the intersection of nutrition and mental health.

Season 2 Episode 4- Dr. Nigel Brockton- Cancer PreventionOn today's episode of The PQI Podcast we welcome Nigel Brockton, PhD. Dr. Brockton is the Vice President of Research at American Institute for Cancer Research (AICR). Dr. Brockton earned his PhD in the genetic epidemiology of colorectal cancer from the University of Aberdeen followed by post-doctoral studies at the University of Dundee.As the Vice President of Research for AICR, he oversees all research-related aspects of the organization including the Research Grant Program, the AICR Research Conference and the research that supports AICR's policy objectives and AICR printed and digital materials. He also contributes to the WCRF/AICR Continuous Update Project (CUP), that reviews, analyses and summarizes the global literature regarding diet, physical activity, obesity and cancer.He maintains an appointment (adjunct Associate Professor) at the University of Calgary, Department of Community Health Sciences, and continues to conduct collaborative research using the rich data and biospecimen resources within the prospective longitudinal studies that he established in Alberta. These studies examine the patterns of adherence to lifestyle recommendations among cancer patients, the impact of modifiable lifestyle factors on cancer metastasis and survival and provide data and biospecimens for external collaborative projects.February is National Cancer Prevention Month. Today we discuss Dr. Brockton's personal cancer story, the American Institute for Cancer Research, current recommendations from AICR on how to prevent cancer, the Healthy 10 Challenge and New American Plate. You can find information on all of AICR's programs including the Healthy 10 Challenge at https://www.aicr.org.

Dr. Lorian Hardcastle, an Assistant Professor in the Faculty of Law at the University of Calgary, with a cross-appointment to the Department of Community Health Sciences in the Cumming School of Medicine.  She is also a member of the O'Brien Institute for Public Health.

Chandra L. Ford, PhD, MPH, MLIS is Professor of Community Health Sciences and Founding Director of the Center for the Study of Racism, Social Justice and Health in the Fielding School of Public Health at the University of California at Los Angeles (UCLA). Her work offers conceptual and methodological tools for studying racism as a public health problem. In this episode, Dr. Ford describes how her career journey pivoted unexpectedly as a result of her experiences as an undergraduate student. Issues of interpersonal and institutional racism compelled her to switch focus from nutrition to racism, with particular attention to gender and intersectionality. She discusses her current work in these arenas, and the challenges related to conducting her research in academic settings. Dr. Ford emphasizes the importance of understanding how racism shapes the kinds of questions we ask, the kinds of work we do, and the places where we lend our support. She shares how she addresses issues of racism and inequity, not only in her scholarly work, but as a mentor. Twitter: @DrChandraFordBook Recommendation: Racism: Science & Tools for the Public Health Professional

In today's high speed internet world, teens are merely a few clicks away from free access to streaming porn. A Nationally Representative Youth Internet Safety Survey found that the likelihood of a teen or preteen accessing pornography intentionally rose from 8% in 2000 to 13% in 2010. Twenty-five percent of 18-24 year old's report porn as their most helpful source of information about how to have sex. In this Episode Dr. Emily Rothman, Professor of Community Health Sciences at the Boston University School of Public Health, and author of the upcoming new book, Pornography and Public Health, brings us a well-researched and measured view of the need for “Porn Literacy” for kids and for parents. The issue is not Pornography. The issue is the negative view of sex as violent, misogynistic and without consent that porn portrays. What Dr. Rothman will discuss in terms of “Porn Literacy” for teens is how and why to think critically about pornography as something quite different from sexual relating and sexual intimacy. She will expand her discussion to “Porn Literacy” for parents by answering question that parents pose like, “What do I say if my teen son is regularly viewing porn?” “What do I say to my nine year old daughter when porn appears on her screen?” Whether you are a parent or interested in helping today's youngsters develop a healthy and loving perspective of sex, this is an important show.

In today's high speed internet world, teens are merely a few clicks away from free access to streaming porn. A Nationally Representative Youth Internet Safety Survey found that the likelihood of a teen or preteen accessing pornography intentionally rose from 8% in 2000 to 13% in 2010. Twenty-five percent of 18-24 year old's report porn as their most helpful source of information about how to have sex. In this Episode Dr. Emily Rothman, Professor of Community Health Sciences at the Boston University School of Public Health, and author of the upcoming new book, Pornography and Public Health, brings us a well-researched and measured view of the need for “Porn Literacy” for kids and for parents. The issue is not Pornography. The issue is the negative view of sex as violent, misogynistic and without consent that porn portrays. What Dr. Rothman will discuss in terms of “Porn Literacy” for teens is how and why to think critically about pornography as something quite different from sexual relating and sexual intimacy. She will expand her discussion to “Porn Literacy” for parents by answering question that parents pose like, “What do I say if my teen son is regularly viewing porn?” “What do I say to my nine year old daughter when porn appears on her screen?” Whether you are a parent or interested in helping today's youngsters develop a healthy and loving perspective of sex, this is an important show.

Dr. Lorian Hardcastle, an Assistant Professor in the Faculty of Law at the University of Calgary, with a cross-appointment to the Department of Community Health Sciences in the Cumming School of Medicine. 

Dr. Lorian Hardcastle, an Assistant Professor in the Faculty of Law at the University of Calgary, with a cross-appointment to the Department of Community Health Sciences in the Cumming School of Medicine.  She is also a member of the O'Brien Institute for Public Health.

In this episode, hear from Helen Russette, a Ph.D. candidate within the School of Public and Community Health Sciences. Listen in as Helen talks about her dissertation which focuses on children with prenatal substance exposure and the benefits of early caregiver-child engagement and green space exposure.

In this latest installment of the Legends Interviews series, Dr. Brian McGowan speaks with Dr. Jocelyn Locker, professor emerita in the Department of Community Health Sciences, Cumming School of Medicine at the University of Calgary. Hear her storied continuing education career — including how she discovered instructional design.

For a woman entering the male-dominated field of medicine in the 1960s and 70s, it's been a winding journey of perseverance and possibilities for Trudy Larson, M.D. No list of Nevada medicine leaders and pioneers would be complete without Dr. Larson. A longtime role model, advocate for women, immunizations and public health policy, she serves as dean of the University's School of Community Health Sciences and was named by Nevada Governor Steve Sisolak earlier this year to his COVID-19 Medical Advisory Team. Host: David Stipech Episode S01E03 --- Send in a voice message: https://podcasters.spotify.com/pod/show/unevadareno/message

Dr. Jasmine Abrams is an international behavioral research scientist, educator, and entrepreneur working toward health equity for women of African ancestry. She is an Assistant Professor of Community Health Sciences at Boston University School of Public Health, founder of SpiceXperience (a sex-positive woman owned company providing premium erotic education), and co-founder of Research Unlimited (a full service research assistance agency). Jasmine talks to Valerie and Carly about her work on the Strong Black Women Schema, bringing pleasure to sexual health research, drawing energy from being an entrepreneur, and supporting Black academics. Read more about Dr. Abrams work here: http://www.drjasmineabrams.com/Follow her on twitter and Instagram: @DrJasmineAbrams Learn more about SpiceXperience here: https://www.spicexperience.com/Learn more about Research Unlimited here: http://researchunlimited.com/researchers/Read about her in Nature: https://www.nature.com/articles/d41586-020-01705-x 

Dr. Kim Nelson is an Assistant Professor of Community Health Sciences at Boston University, and winner of the 2020 Early Career Investigator Award from the Society for Behavioral Medicine. Kim breaks down state resolutions identifying porn as a public health issue, talks about her work on porn literacy for young sexual minority men, describes what sex education would look like in her ideal world, and shares how her all-lady scientist squad is taking on minor consent laws. Carly shares about her own sex education experiences, and Valerie and Carly encourage listeners to send complaints about the show to Kim (knels@faux.com). Read more about Kim's work here: https://www.bu.edu/sph/profile/kimberly-nelson/Follow Kim on Twitter: @KMNelsonPhD

Featured Interview: COVID-19 outbreak and xenophobia Guest: Professor Gilbert Gee, Department of Community Health Sciences, UCLA Fielding School of Public Health

Risks of community-level transmission of COVID-19 Guest: Professor Robert Kim-Farley, Department of Epidemiology and Community Health Sciences, UCLA Fielding School of Public Health.

FDA Looks to Ban Flavored E-CigarettesGuest: Michael Siegel, MD, Professor, Department of Community Health Sciences, Boston University School of Public HealthThe Trump Administration plans to ban the sale of e-cigarettes that come in any flavor other than tobacco. So that means fruit, mint, menthol –all of which are especially popular with teenagers. A quarter of high school students have used e-cigarettes in the last month. A quarter. That's the main reason the FDA says it's looking to ban flavored e-cigarettes. There's also the current outbreak of a serious lung illness linked to vaping that has killed six people and sickened nearly 400 people. Why Criminals in the U.S. are Sentenced to Prison for Longer Than LifeGuest: Darryl Brown, Professor of Law at the University of Virginia Law SchoolActress Felicity Huffman was sentenced last week to 14 days in prison for paying someone to correct her daughter's SAT college entrance exam. There was outrage across social media that Huffman would get so little time when many other less famous or wealthy people serve much longer sentences for crimes that seem comparable, or less serious. On the other end of the spectrum, did you know there are some people in American prisons right now serving sentences so long they're humanly impossible? How does someone even serve a sentence of life plus 419 years, which is what that Neo-Nazi got this summer for killing a protester at a white nationalist rally in Charlottesville. Future Smithsonian Museum Exhibit will Feature Bob Ross paintingsGuest: Eric Jentsch, the Entertainment and Sports Curator for the National Museum of American HistoryYou can paint along with Bob Ross on public television almost any day of the week. He was on the air for 31 seasons over nine years and in constant reruns ever since. Somehow, Bob Ross is even more of an American pop icon today than ever –with his brown curly hair, soothing voice and encouraging words. What happened to all those happy accidents and friendly trees and mountains? It's next to impossible to buy a Bob Ross painting today, even though he painted thousands of them during the TV series. Well, New York Times reporters tracked them down in Virginia and Eric Jentsch has been there to see them in person. The US Government Could be Threatening Due ProcessGuest: Cassandra Burke Robertson, Professor of Law at Case Western ReserveWhen someone becomes a US citizen, it signals the end of a long and difficult process. There's a sense of finality, relief, and safety. End of the story, right? Well under US law, the government can revoke citizenship. Traditionally, that process, called “denaturalization” has been rare and reserved for those who committed war crimes. Now, advances in technology have made it more common in old cases of fraud. India Moon Landing Fails. What makes going back to the moon so difficult?Guest: Ryan J. Kobrick Ph.D., Assistant Professor of Spaceflight Operations at Embry-Riddle Aeronautical UniversityIndia had hoped to have a remote-controlled lander trundling toward the Moon's south pole right now. But just before the lander touched down on the moon's surface a few weeks ago, it lost contact with India's space agency and now it's laying on its side up there, not responding to communication from Earth. Earlier this year Israel had a similar experience when their spacecraft failed at the last minute A Better Touchscreen KeyboardGuest: Eric Schofield, Computer Science Student BYU; Dave Brown, BYU Technology Transfer OfficeI miss my old Blackberry phone. It had an actual keyboard with buttons –not a touchscreen. I was so fast and accurate typing with that phone! But everything is touchscreen today and even with autocorrect, I'm constantly sending texts and emails with mistakes and it drives me nuts. BYU computer science grad student Eric Schofield has developed what he says is a better keyboard for touch-screens –and it just does away entirely with the QWERTY keyboard we're used to.