Podcasts about cu school

In this episode of Admissions Straight Talk, Dr. Beth Piraino, Associate Dean of Admissions at the University of Pittsburgh School of Medicine (UPSOM), explores the school's innovative Three Rivers Curriculum, emphasizing small-group learning, early clinical exposure, and the integration of "Streams" (special interest areas) and Threads" (core competencies like leadership and clinical reasoning). Dr. Piraino also discusses the role of secondary essays in evaluating applicants and explores why teamwork, resilience, and cultural awareness are important in the admissions process. She goes on to  highlight a common mistake applicants make in the application process.Relevant Links:University of Pittsburgh School of Medicine Are You Ready to Apply Med School QuizRelated Shows:Inside Geisinger Med School Admissions with Dr. Michelle SchmudeAccepted: Your Guide to CU School of Medicine Get Accepted to Washington University School of MedicineDeep Dive into Duke Medical: An Interview with Dr. Linton YeeGet Accepted to Loyola Stritch Medical SchoolFollow UsYouTubeFacebookLinkedInContact Uswww.accepted.comsupport@accepted.com+1 (310) 815-9553

Welcome to the 600th episode of Admissions Straight Talk! In this milestone episode, host Linda Abraham sits down with Dr. Michelle Schmude, Vice Provost for Enrollment Management and Professor of Medical Education at Geisinger Commonwealth School of Medicine, to explore the innovative and comprehensive Total Health Curriculum.Dr. Schmude shares how this evidence-based program prepares medical students for the complexities of 21st-century healthcare through early clinical experiences, team-based learning, and a focus on systems-based and humanistic medicine.Listeners will also learn about exciting updates at Geisinger, including the evolution to Geisinger College of Health Sciences and its impact on healthcare education, as well as details on the Abigail Geisinger Scholars Program, which allows students to graduate debt-free in exchange for service in underserved areas.Relevant Links:Geisinger Commonwealth School of Medicine Med School Admissions: What you Need to Know to Get AcceptedEvaluating a Situational Judgment Test for Use in Medical School Admissions: Two Years of AAMC PREview Exam Administration DataRelated Shows:Accepted: Your Guide to CU School of Medicine An Interview With the Temple Katz School of Medicine Admissions Dean NYMC: How to Get InHow to Write Essays That Will Get You Into Medical SchoolFollow UsYouTubeFacebookLinkedInContact Uswww.accepted.comsupport@accepted.com+1 (310) 815-9553

In this episode of Admissions Straight Talk, host Linda Abraham interviews Dr. Jeffrey SooHoo, Assistant Dean for Admissions at the University of Colorado School of Medicine. They discuss the unique aspects of the Colorado medical curriculum, including the new Trek curriculum, the importance of longitudinal integrated clerkships, and the various tracks available for students. Dr. SooHoo also shares insights into the secondary application process, the role of the CASPER test, and the criteria for interview invitations. The conversation highlights common mistakes applicants make, the importance of research experience, and the support systems in place for medical students. Dr. SooHoo emphasizes the competitive nature of medical school admissions and the holistic review process used to evaluate applicants.Takeaways:The Colorado School of Medicine has a unique Trek curriculum launched in 2021.Longitudinal integrated clerkships allow for deeper relationships with preceptors and patients.Students can choose from various tracks, including rural medicine and global health.The secondary application focuses on value alignment with the school's pillars: leadership, curiosity, and commitment.CASPER is used to assess non-cognitive competencies in applicants.The admissions process is highly competitive, with many qualified applicants not receiving offers.Interviews are conducted virtually and include both group and individual assessments.Research experience is beneficial but not mandatory for applicants.Common mistakes include not understanding the competitiveness of admissions and failing to tell a cohesive story in applications.Support systems like Compass Guides help students navigate their medical education.Relevant Links:University of Colorado School of MedicineAccepted's Med School Calculator QuizRelated Shows:Washington University School of MedicineDeep Dive Into Duke Medical: An Interview with Associate Dean Linton YeeDuke's Physician Assistant ProgramGetting Into Med School Isn't Easy…But This Applicant Did It! Follow UsYouTubeFacebookLinkedInContact Uswww.accepted.comsupport@accepted.com+1 (310) 815-9553

In simple terms, bioethics is the study of ethical, social and legal issues that arise in biomedicine and biomedical research. It provides guidelines for clinical decision-making and is vital to policy change. Despite standards set by medical entities, significant gaps and variabilities exist within bioethics education for pediatric residents. Every resident will face ethical challenges in their career, so it's important that programs prepare learners to navigate these dilemmas. To address these inconsistencies, a chief resident at the University of Colorado School of Medicine has created a new curriculum that could significantly improve our bioethics education. Joining us for this episode is Ella Sorscher, MD, Brian Jackson, MD, and Brady Slater. Dr. Sorscher is a pediatrics chief resident at the University of Colorado School of Medicine and is one of the brains behind this new bioethics curriculum. Dr. Jackson is the Medical Director of Clinical Ethics and specializes in critical care as a pediatric intensivist at Children's Hospital Colorado. He is also an associate professor at the University of Colorado School of Medicine. Dr. Slater is a pediatrics and medical genetics resident at the CU School of Medicine. Some highlights from this episode include:    Details about this curriculum   The significance of bioethics in a physician's career  Information on assessing learners and evaluating the curriculum  Opportunities for other institutions to learn from this model   For more information on Children's Colorado, visit: childrenscolorado.org.    

Cold weather is a fact of life up here in Mile High. But current city policy says that Denver's emergency warming centers should only open after temperatures dip down to 20 degrees — well below the point when the human body can experience hypothermia. Recently, Dr. Joshua Barocas, a medical doctor and associate professor at the CU School for Medicine, made a presentation to City Council arguing for a simple change to Denver's approach to keeping people warm. Dr. Barocas joins host Bree Davies to explain why opening our warming centers before Denver gets too cold can save lives — and also save the city money. The proposal to change temperature thresholds for Denver's warming centers goes before the City Council's Safety Committee December 20 as part of a cold weather shelter plan; if it passes, all of council may vote on the issue in January. For even more news from around the city, subscribe to our morning newsletter Hey Denver at denver.citycast.fm. Follow us on Instagram: @citycastdenver Chat with other listeners on reddit: r/CityCastDenver What do you think are the biggest Denver wins and fails of 2023? We want to hear what you think are the wins and fails that defined the year in Denver. Text or leave us a voicemail with your name and neighborhood, and you might hear it on the show: 720-500-5418‬ Learn more about the sponsors of this episode: “Bag of Colfax” from the Colfax BID Museum of Illusions DCPA presents “A Christmas Carol” Looking to advertise on City Cast Denver? Check out our options for podcast and newsletter ads at citycast.fm/advertise Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode we cover firearm-related injury and suicide—and the role physicians can play in helping to prevent it with Emmy Betz, MD, MPH, professor of emergency medicine and director of the "Firearm Injury Prevention Initiative" at the University of Colorado School of Medicine. Dr. Betz is also involved in The Colorado Firearm Safety Coalition and is an #emergencymedicine physician at CU School of Medicine. American Medical Association CXO Todd Unger hosts.Free firearm resources available at:✶ https://www.bulletpointsproject.org/ — The BulletPoints Project provides clinical tools for doctors and medical educators to help prevent firearm injury. This tool equips clinicians with knowledge on firearms, their uses, benefits, risks, and safety to help reduce chances of firearm injury and death in their patients.✶ https://lock2live.org/ — Lock To Live provides tools that can help you talk to patients and families about temporarily reducing access to potentially dangerous things like firearms, medicines, sharp objects or other household items.✶ https://firearmlifeplan.org/ — Firearm Life Plan offers peace of mind to older adult firearm owners and families. This site provides resources and downloadable toolkits to preserve firearm legacy and maintain safety. Safe firearm storage is recommended by the National Shooting Sports Foundation (NSSF).Dial 9-8-8 if you or anyone you know needs help. The National Suicide Prevention Lifeline is now: 988 Suicide and Crisis Lifeline. It provides 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals in the U.S. 

Your pelvis changes during menopause–inside and out. The vaginal and vulvar tissues become thinner; the pH and microbiome in your vagina can shift; and the scaffolding that supports your pelvic organs can weaken, increasing your risk for pelvic organ prolapse. There's help for all of that, so you can continue running, riding, lifting, having sex, and enjoying an active life free from pain, infection, and injury. We talk about all that and more this week with urogynecologist Kathleen Connell, MD. Kathleen is chief of Urogynecology and Reconstructive Pelvic Surgery in the Department of Obstetrics and Gynecology at the University of Colorado School of Medicine. She is the co-director of Women's Pelvic Health and Surgery, a multidisciplinary practice at the Anschutz Medical Campus. Her surgical practice focuses on pelvic floor disorders including pelvic organ prolapse, urinary and fecal incontinence, and reconstructive pelvic surgery. She has done research on https://pubmed.ncbi.nlm.nih.gov/17100935/ (genital health and bicycling) and https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1743-6109.2011.02437.x (genital health and saddle selection). You can learn more about her and her work at https://som.ucdenver.edu/Profiles/Faculty/Profile/20463 (CU School of Medicine). **Support the Podcast** InsideTracker: 20% off at http://insidetracker.com/feisty (insidetracker.com/feisty) Previnex: 15% off your first order with code HITPLAY at https://www.previnex.com/ (https://www.previnex.com/)  Bonafide: 20% off your first purchase when you subscribe to any product with code HITPLAY at  http://hellobonafide.com/hitplay (hellobonafide.com/hitplay) Nutrisense: Use code "HITPLAY" at https://nutrisense.io/hitplay (nutrisense.io/hitplay) for $30 off any subscription to the CGM program Velorosa Cycling: Enter HITPLAY15 at checkout and receive 15% off an order of full-priced cycling wear at http://velorosacycling.com/ (velorosacycling.com) Go to http://feistymenopause.com/podcastguide (feistymenopause.com/podcastguide) for more information about the Hit Replay Podcast Guide subscription This podcast uses the following third-party services for analysis: Podsights - https://podsights.com/privacy Chartable - https://chartable.com/privacy

Moksha Patel is a successful senior instructor at CU School of Medicine. He has been dealing with severe OCD his whole life. When he came to CU Anschutz as a fellow in hospital medicine, his advisors intervened. After a year of clearing insurance and procedural hurdles, Patel underwent deep brain stimulation - an invasive surgery that delivers currents to the brain through generators in the chest. He and Rachel Davis, MD, talk about the procedure and how it happened.

Media relations senior director David Kelly speaks with Iñigo San Millán, a researcher at the CU School of Medicine and trainer of super athletes, including the most recent two-time Tour de France winner. Doctor San Millan uses his work with athletes, including a stint as a cyclist and soccer player himself, to learn more about how our metabolism affects cancer, diabetes and other diseases. He implores exercise is the most powerful medicine in the world, and it holds secrets that are dramatically changing the way we look at physical and mental health

Our Summer 2021 Series features the rebroadcast of some of our most listened-to episodes from the last 4 seasons of Charting Pediatrics. Do you have a guest or topic suggestion for Season 5? Let us know, chartingpediatrics@childrenscolorado.org  Our guest for this episode is Jessica Hawks, PhD the Clinical Director of Outpatient Services at the Pediatric Mental Health Institute and assistant professor of child psychiatry at CU School of Medicine. Dr. Hawks talks us through a common behavioral issues of school-aged children – school refusal – and provides insights, advice and tools to help prevent, manage and understand this behavior. In this episode: Outlining and identifying the underlying symptoms and signs associated with a child refusing to attend school How primary care providers (PCPs) can assist parents who are experiencing guilt Identifying the four most common reasons that children refuse to go to school Exploring the effects of social media on children's behavior when it comes to school refusal How a PCP can approach treatment of school refusal The recommended frequency of follow-up care for kids who are refusing to go to school The importance of connecting parents to community-based resources Preventative practices parents can set up in the home to prevent this behavioral issue What an excellent prognosis looks like for children experiencing school refusal When it's time to refer to a mental health professional PCPs in the Denver Metro Area can refer patients to the Children's Hospital Colorado Outpatient Psychiatry Clinic or to a local community mental health center Resources for dealing with school refusal: School Refusal: Information for Educators (.pdf) from the National Association for School Psychologists School Refusal in Children and Adolescents from American Family Physician The Functional Assessment of School Refusal Behavior Effective Child Therapy Division 53 of the Society of Clinical Child & Adolescent Psychology website School Refusal from the American Academy of Child & Adolescent Psychiatry

Complex patients are increasingly common in primary care and often have poor clinical outcomes. Barriers within our healthcare system challenge effective care for complex patients within our hospital systems, but less is known about the potential impact and meaning of caring for complex patients on a daily basis for primary care providers (PCPs). Today, we are going to talk about improving care for medically complex young adults, including their experiences of health system barriers and facilitators and their strategies to enhance provision of effective care. In our series, the Resident Files, we explore efforts of Children's Hospital Colorado and CU School of Medicine pediatric residents to examine the social determinants of health that impact the patients they see in primary care clinic and how all pediatric providers can make considerations for these impacts in their own practice. Our guests for this Resident File episode are Dr. Michelle Brajcich, PGY3; Dr. Samantha Robin PGY2 and Dr. Hannah Friedman PGY2. Do you thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org

 Perspectives on the Pandemic | "The Illusion of Evidence Based Medicine"  Leemon McHenry 10 mins   Leemon McHenry is Emeritus Professor in the Department of Philosophy , California State University, Northridge. Leemon does research in Philosophy of Science, Metaphysics and Bioethics. His current project is 'Evidence Based Medicine'.   Vitamin A for nerve cells University Medical Center Freiburg (Germany), April 1, 2021 Neuroscientists agree that a person's brain is constantly changing, rewiring itself and adapting to environmental stimuli. This is how humans learn new things and create memories. This adaptability and malleability is called plasticity. "Physicians have long suspected that remodeling processes also take place in humans at the contact points between nerve cells, i.e. directly at the synapses. Until now, however, such a coordinated adaptation of structure and function could only be demonstrated in animal experiments," says Prof. Dr. Andreas Vlachos from the Institute of Anatomy and Cell Biology at the University of Freiburg. But now Vlachos, together with Prof. Dr. Jürgen Beck, head of the Department of Neurosurgery at the University Medical Center Freiburg, has provided experimental evidence for synaptic plasticity in humans. In addition to Vlachos and Beck, the research team consists of Dr. Maximilian Lenz, Pia Kruse and Amelie Eichler from the University of Freiburg, Dr. Jakob Strähle from the University Medical Center Freiburg and colleagues from Goethe University Frankfurt. The results were presented in the scientific journal eLife. In the experiments, the team investigated whether so-called dendritic spines change when exposed to a vitamin A derivative called retionic acid. Dendritic spines are the parts of the synapse that receive, process and transmit signals during communication between neurons. As such, they play a crucial role in brain plasticity and are constantly adapting to everyday experience. For example, learning can change the number and shape of dendritic spines. However, a transformation in the number or shape of the spines is also found in diseases such as depression or dementia. The research shows that retinoic acid not only increases the size of dendritic spines, but also strengthens their ability to transmit signals between neurons. "We have concluded from our results that retinoic acids are important messengers for synaptic plasticity in the human brain. Thus, this finding contributes to the identification of key mechanisms of synaptic plasticity in the human brain and could support the development of new therapeutic strategies for brain diseases, such as depression," says Vlachos. To experimentally demonstrate that synaptic plasticity also exists in humans, the researchers use tiny samples of human cerebral cortex, which must be compulsorily removed during neurosurgical procedures for therapeutic reasons. The removed brain tissue was then treated with retinoic acid before functional and structural properties of neurons were analyzed using electrophysiological and microscopic techniques.       Study: Chemical compound in certain essential oils promotes wound healing Indiana University, April, 2021 A study from Indiana University revealed that a chemical compound in essential oils may enhance wound healing, especially when applied topically. According to co-author Sachiko Koyama, essential oils – like those from lavender, rosemary, ylang-ylang and black pepper – contain a chemical compoundcalled beta-caryophyllene. This contributes to improved wound healing, based on a murine model. “This is the first finding at the chemical-compound level showing improved wound healing in addition to changes in gene expression in the skin,” said Koyama. Beta-caryophyllene may decrease inflammation and accelerate re-epithelialization. The latter refers to the restoration of structure and function of injured tissues. During this process, epithelial cells at the wound start to migrate and cover the injured area. The researchers added that beta-caryophyllene may prevent cell death, allowing cells to survive and proliferate. “I thought maybe wound healing would be accelerated if inflammation was suppressed, stimulating an earlier switch from the inflammatory stage to the next stage,” she added. The team also noted increased gene expression of hair follicle stem cells in the treated tissue. This potentially indicate that there’s more to wound-healing activity of beta-caryophyllene than just activating genes. “It’s possibly more complicated,” she added. “Our findings suggest the involvements of some other routes in addition to CB2. I hope to clarify the mechanisms of action in the near future.” Koyama, a social neuroscientist at Indiana University, said that she wasn’t interested in studying essential oils at first, as her field of expertise was in pheromone and social status. However, her interest was sparked when she saw students working on the wound healing process in mice. She knew from experience that beta-caryophyllene can also activate cannabinoid receptor 2 (CB2), which has anti-inflammatory and analgesic properties. Healing beyond smell Most people know essential oils by way of aromatherapy. These are often used with diffusers, aromatic spritzers, inhalers, facial steamers and clay masks to bring out the aroma coming from the oil. Essential oils, in particular, may help with asthma, insomnia, fatigue and depression, among others. In the study, the researchers did not find any relationship between the sense of smell and the healing properties of beta-caryophyllene. (Related: Curcumin found to aid in the healing of skin wounds.) Koyama also offered a caveat for those looking to use essential oils for treatment, in particular, warning against the use of any essential oils. In the study, the researchers used essential oils that underwent purification processes to achieve that result. “It’s not very precise to use the essential oils themselves because there are differences,” she added. “Even if you say you used lavender, when the lavender was harvested, where it was harvested, how it was stored—all of this makes a difference in the chemical composition.” The team is also hopeful that their results will warrant further studies to determine an exact chemical composition for beta-caryophyllene that can be used to treat skin wounds. “There are many things to test before we can start using it clinically, but our results are very promising and exciting; someday in the near future, we may be able to develop a drug and drug delivery methods using the chemical compounds found in essential oils,” she added.     Exercise may help slow cognitive decline in some people with Parkinson's disease Hallym University (South Korea), April 1, 2021 For people with Parkinson's disease, problems with thinking and memory skills are among the most common nonmotor symptoms of the disease. A new study shows that exercise may help slow cognitive decline for some people with the disease. The study is published in the March 31, 2021, online issue of Neurology. Research has suggested that people with Parkinson's who have the gene variant apolipoprotein E e4, or APOE e4, may experience faster cognitive decline and earlier in the disease than people without the variant. APOE e4 is known as a genetic risk factor for Alzheimer's disease. The study looked at whether exercise could play a role in slowing cognitive decline for people with APOE e4. "Problems with thinking skills and memory can have a negative impact on people's quality of life and ability to function, so it's exciting that increasing physical activitycould have the potential to delay or prevent cognitive decline," said study author Jin-Sun Jun, M.D., of Hallym University in Seoul, Korea. The study involved 173 people with early Parkinson's disease who were on average 63 years old at the time and 59 years old when they developed the disease. A total of 27% had the APOE e4 gene variant. People reported their physical activity with a questionnaire on how much activity they had in the previous week through leisure activities such as walking or biking, household activities such as dusting or yard work and work activities for pay or as a volunteer. People took a test of their thinking skills at the beginning of the study and then one and two years later. Overall, scores at the beginning of the study averaged 26 points. For people with the APOE e4 gene variant, test scores declined by an average of 1.33 points by the end of the study compared to those without the variant. But researchers also found that greater physical activity at the start of the study lessened APOE e4-related cognitive decline two years later by an average of 0.007 points. "Additional research is needed to confirm our findings, but these results would support the use of interventions that target physical activity as a way to delay cognitive decline in people with early Parkinson's who have the APOE e4 gene variant," Jun said. A limitation of the study was that participants reported their own levels of physical activity, so there is the possibility that they would not remember their levels exactly.   Time to shift from 'food security' to 'nutrition security' to increase health and well-being Tufts and Georgetown Universities, April 1, 2021   In the 1960s, a national focus on hunger was essential to address major problems of undernutrition after World War II. In the 1990s, the nation shifted away from hunger toward "food insecurity" to better capture and address the challenges of food access and affordability. Now, a new Viewpoint article argues that today's health and equity challenges call for the U.S. to shift from "food insecurity" to "nutrition insecurity" in order to catalyze appropriate focus and policies on access not just to food but to healthy, nourishing food. The Viewpoint, by Dariush Mozaffarian of the Friedman School of Nutrition Science & Policy at Tufts University, Sheila Fleischhacker of Georgetown Law School, and José Andrés of World Central Kitchen, was published online in JAMA this week. The concept of food security focuses on access to and affordability of food that is safe, nutritious, and consistent with personal preferences. In reality, however, the "nutritious" part often has been overlooked or lost in national policies and solutions, with resulting emphasis on quantity, rather than quality, of food, say the authors. "Food is essential both for life and human dignity. Every day, I see hunger, but the hunger I see is not only for calories but for nourishing meals. With a new focus on nutrition security, we embrace a solution that nourishes people, instead of filling them with food but leaving them hungry," said Chef José Andrés, founder of World Central Kitchen. The authors define nutrition security as having consistent access to and availability and affordability of foods and beverages that promote well-being, while preventing -- and, if needed, treating -- disease. Nutrition security provides a more inclusive view that recognizes that foods must nourish all people. "'Nutrition security' incorporates all the aims of food security but with additional emphasis on the need for wholesome, healthful foods and drinks for all. COVID-19 has made clear that Americans who are most likely to be hungry are also at highest risk of diet-related diseases including obesity, diabetes, heart disease, and many cancers - a harsh legacy of inequities and structural racism in our nation. A new focus on nutrition security for all Americans will help crystallize and catalyze real solutions that provide not only food but also well-being for everyone," said first author Dariush Mozaffarian, dean of the Friedman School of Nutrition Science & Policy at Tufts University. "It's the right time for this evolution," said Sheila Fleischhacker, adjunct professor at Georgetown Law School, who has drafted food, nutrition and health legislation and campaign positions at the local, state, tribal and federal levels. "By prioritizing nutrition security, we bring together historically siloed areas - hunger and nutrition - which must be tackled together to effectively address our modern challenges of diet-related diseases and disparities in clinical care, government food and food assistance policies, public health investments, and national research." "The current approach is not sufficient," the authors write, and "traditionally marginalized minority groups as well as people living in rural and lower-income counties are most likely to experience disparities in nutrition quality, food insecurity, and corresponding diet-related diseases."     Fasting acts as diet catalyst in those with metabolic syndrome Max Delbruck Center for Molecular Medicine (Germany), March 30, 2021 One in four Germans suffers from metabolic syndrome. Several of four diseases of affluence occur at the same time in this 'deadly quartet': obesity, high blood pressure, lipid metabolism disorder and diabetes mellitus. Each of these is a risk factor for severe cardiovascular conditions, such as heart attack and stroke. Treatment aims to help patients lose weight and normalise their lipid and carbohydrate metabolism and blood pressure. In addition to exercise, doctors prescribe a low-calorie and healthy diet. Medication is often also required. However, it is not fully clear what effects nutrition has on the microbiome, immune system and health.  A research group led by Dr Sofia Forslund and Professor Dominik N. Müller from the Max Delbrück Center for Molecular Medicine in the Helmholtz Association (MDC) and the Experimental and Clinical Research Center (ECRC) has now examined the effect a change of diet has on people with metabolic syndrome. The ECRC is jointly run by the MDC and Charité Universitätsmedizin Berlin. "Switching to a healthy diet has a positive effect on blood pressure," says Andras Maifeld, summarising the results. "If the diet is preceded by a fast, this effect is intensified." Maifeld is the first author of the paper, which was recently published in the journal "Nature Communications". Broccoli over roast beef Dr Andreas Michalsen, Senior Consultant of the Naturopathy Department at Immanuel Hospital Berlin and Endowed Chair of Clinical Naturopathy at the Institute for Social Medicine, Epidemiology and Health Economics at Charité - Universitätsmedizin Berlin, and Professor Gustav J. Dobos, Chair of Naturopathy and Integrative Medicine at the University of Duisburg-Essen, recruited 71 volunteers with metabolic syndrome and raised systolic blood pressure. The researchers divided them into two groups at random.  Both groups followed the DASH (Dietary Approach to Stop Hypertension) diet for three months, which is designed to combat high blood pressure. This Mediterranean-style diet includes lots of fruit and vegetables, wholemeal products, nuts and pulses, fish and lean white meat. One of the two groups did not consume any solid food at all for five days before starting the DASH diet. On the basis of immunophenotyping, the scientists observed how the immune cells of the volunteers changed when they altered their diet. "The innate immune system remains stable during the fast, whereas the adaptive immune system shuts down," explains Maifeld. During this process, the number of proinflammatory T cells drops, while regulatory T cells multiply.  A Mediterranean diet is good, but to also fast is better The researchers used stool samples to examine the effects of the fast on the gut microbiome. Gut bacteria work in close contact with the immune system. Some strains of bacteria metabolise dietary fibre into anti-inflammatory short-chain fatty acids that benefit the immune system. The composition of the gut bacteria ecosystem changes drastically during fasting. Health-promoting bacteria that help to reduce blood pressure multiply. Some of these changes remain even after resumption of food intake. The following is particularly noteworthy: "Body mass index, blood pressure and the need for antihypertensive medication remained lower in the long term among volunteers who started the healthy diet with a five-day fast," explains Dominik Müller. Blood pressure normally shoots back up again when even one antihypertensive tablet is forgotten.  Blood pressure remains lower in the long term - even three months after fasting Together with scientists from the Helmholtz Centre for Infection Research and McGill University, Montreal, Canada, Forslund's working group conducted a statistical evaluation of these results using artificial intelligence to ensure that this positive effect was actually attributable to the fast and not to the medication that the volunteers were taking. They used methods from a previous study in which they had examined the influence of antihypertensive medication on the microbiome. "We were able to isolate the influence of the medication and observe that whether someone responds well to a change of diet or not depends on the individual immune response and the gut microbiome," says Forslund.  If a high-fibre, low-fat diet fails to deliver results, it is possible that there are insufficient gut bacteria in the gut microbiome that metabolise fibre into protective fatty acids. "Those who have this problem often feel that it is not worth the effort and go back to their old habits," explains the scientist. It is therefore a good idea to combine a diet with a fast. "Fasting acts as a catalyst for protective microorganisms in the gut. Health clearly improves very quickly and patients can cut back on their medication or even often stop taking tablets altogether." This could motivate them to stick to a healthy lifestyle in the long term.   Rice bran adds microbiome diversity, slows growth of colon cancer cells University of Colorado, April 5, 2021    At the American Association for Cancer Research (AACR) Annual Meeting, University of Colorado Cancer Center researchers at Colorado State University present results of a phase II clinical trial of 29 people exploring the effects of adding rice bran or navy beans to the diets of colorectal cancer survivors. After the 4-week randomized-controlled trial during which people added rice bran, navy bean powder or neither, both the rice bran and navy bean groups showed increased dietary fiber, iron, zinc, thiamin, niacin, vitamin B6, folate, and alpha-tocopherol. The rice bran group also showed increased microbiome richness and diversity. When researchers treated colorectal cancer cells with stool extracts from these groups, they saw reduced cell growth from the groups that had increased rice bran and navy bean consumption.   Previous work shows the ability of these diets to decrease colorectal cancer risk in animal models. The current trial confirms that people can eat enough bean- and rice bran-enhanced foods to promote gut health at levels shown to prevent colorectal cancer in animals. Guidelines from the American Institute for Cancer Research recommend reducing the risk of cancer by eating more vegetables, fruits, whole grains and legumes, such as beans. Ryan has established from these studies that eating a half-cup of beans and 30 grams of rice bran per day is enough to see changes in small molecules that can confer protection against colorectal cancer.   "The simple message is, 'Food is medicine,' and we are looking at how to simplify that and make it apply to our everyday lives," says study co-author Regina Brown, MD, assistant professor at the CU School of Medicine and oncologist for CUHealth.   Brown is long-time collaborator of CU Cancer Center investigator and CSU assistant professor, Elizabeth Ryan, PhD. The Ryan Lab in the CSU College of Veterinary Medicine and Biomedical Sciences studies the potential power of navy beans and rice bran to promote digestive health and to prevent metabolic alterations in obesity, heart disease and certain cancers.   "The evidence is there in animals and we can now study this in people. The question is, what are we doing to achieve adequate levels of intake of these foods?" Ryan said. "It's not enough to say 'I eat them once in a while.' That's not going to work, particularly if you are at higher risk. You have to meet a dose, just like you need a dose of a certain drug, you need to reach intake levels and consume increased amounts of these foods, and that's where people, including me, are challenged. Not everyone wants to open up a can of beans and eat them every day."   The two met about 10 years ago, when Ryan was a researcher in CSU professor Henry Thompson's Cancer Prevention Lab, and Brown was practicing medicine in Fort Collins and caring for her mother, who had uterine cancer. "It was kind of a novel partnership and had we not dug in our heels it could have died, but I told Elizabeth, 'Your work is so interesting and so valuable. We have to take this translational research from the benchtop to the clinic.' I guarantee, nine out of 10 of my patients, the first thing they ask is about their diet," Brown said.   The study's lead author is Erica Borresen, Ryan's research associate and study coordinator, who worked with colorectal cancer survivors to make sure they ate their beans and rice bran provided in meals and snacks, and that they filled out their food logs and gastrointestinal health questionnaires. It was sometimes intimate and awkward, but so is getting a colonoscopy and being treated for colorectal cancer. "Our participants donated their time and effort, and I want to make sure they understand they are appreciated," said Borresen, who earned her Master of Public Health at the Colorado School of Public Health, and plans to become a physician's assistant. "I came to realize I love the patient interaction - that's one of my favorite parts about coordinating our studies."   The next phase of Ryan's research examines effects of the cooked navy bean powder and rice bran on the colon tissue of people who have already had colorectal cancer and are at high risk for recurrence. "I really feel that there's hope in this being a practical solution to improve gut health and specifically colorectal cancer prevention," says Ryan.       Research suggests L-tryptophan supplements might help prevent impulsivity associated with psychological disorders University of California Berkeley, April 2, 2021 According to news reporting originating from Berkeley, California, research stated, “Emotion-related impulsivity, defined as the tendency to say or do things that one later regret during periods of heightened emotion, has been tied to a broad range of psychopathologies. Previous work has suggested that emotion-related impulsivity is tied to an impaired function of the serotonergic system.” Our news editors obtained a quote from the research from the University of California Berkeley, “Central serotonin synthesis relies on the intake of the essential amino acid, tryptophan and its ability to pass through the blood brain barrier. The aim of this study was to determine the association between emotion-related impulsivity and tryptophan intake. Undergraduate participants (N = 25, 16 women, 9 men) completed a self-rated measure of impulsivity (Three Factor Impulsivity Index, TFI) and daily logs of their food intake and exercise. These data were coded using the software NutriNote to evaluate intakes of tryptophan, large neutral amino acids, vitamins B6/B12, and exercise. Correlational analyses indicated that higher tryptophan intake was associated with significantly lower scores on two out of three subscales of the TFI, Pervasive Influence of Feelings scores r = -.502, p< .010, and (lack-of) Follow-Through scores, r = -.407, p< .050. Findings provide further evidence that emotion-related impulsivity is correlated to serotonergic indices, even when considering only food habits.” According to the news editors, the research concluded: “It also suggests the need for more research on whether tryptophan supplements might be beneficial for impulsive persons suffering from a psychological disorder.” This research has been peer-reviewed.         Nutritional supplementation in preconception and pregnancy linked to reduced risk of preterm birth University of Southampton (UK), March 30, 2021 Increasing evidence suggests that a mother's nutritional status at the onset of pregnancy has an important influence on the growth and development of her baby, and that a good nutritional status during pregnancy may help reduce the risk of pregnancy complications. A specific blend of nutrients and probiotics was tested in an international multicentre double blind randomized controlled trial NiPPeR (Nutritional Intervention Preconception and during Pregnancy to maintain healthy glucosE levels and offspRing health). Researchers from the international EpiGen Global Research Consortium, an academic group of clinicians and scientists including from around the world, including the University of Southampton, specifically assessed the effects of a nutritional intervention, a combination of myo-inositol, probiotics and micronutrients, consumed both before and during pregnancy, on maintaining healthy blood sugar levels in pregnancy and sustaining a healthy pregnancy and delivery. As published in the journal Diabetes Care, (Myo-inositol, Probiotics and Micronutrient Supplementation from Preconception for Glycemia in Pregnancy: the NiPPeR study involved 1,729 women from the UK, New Zealand and Singapore who were planning pregnancy—one of the largest international preconception randomized controlled trials of its type. While the study found that the intervention did not influence the mother's blood sugar levels or birthweights of the 585 babies born, the nutritional supplement decreased the incidence of preterm birth, particularly the cases associated with preterm pre-labor rupture of membranes. "Preterm delivery is a serious, common and costly public health problem worldwide that continues to increase in incidence," said Professor Keith Godfrey from the MRC Lifecourse Epidemiology Unit at the University of Southampton. "Preterm pre-labor rupture of membranes is a major cause of preterm birth. Our study presents for the first time a clinical trial of a novel non-pharmacological approach that started preconception and extended throughout pregnancy, through the innovative use of a combination of nutritional ingredients. The study findings highlight the potential value of the mix of nutrients and probiotics in reducing the risk of preterm birth and supporting a timely delivery," Professor Godfrey continued.  Associate Professor Shiao-Yng Chan, a principal investigator on the study from the Yong Loo Lin School of Medicine, National University of Singapore, deputy executive director at the Singapore Institute for Clinical Sciences, A*STAR, and Senior Consultant, Department of Obstetrics & Gynaecology, National University Hospital, commented "One of the strengths of our study is the diversity of its participants as we have involved women of multiple ethnicities from the general population across three countries, which means that the outcomes have wide relevance to women planning for pregnancy. Additionally, the study included blinded intervention and control groups, so bias is minimized." Sharing his thoughts, Professor Wayne Cutfield, principal investigator on the study from the University of Auckland, New Zealand, said, "The importance of the preconception period on maternal and offspring health is being increasingly recognized, but there are very few randomized control trials seeking to optimize preconception nutrition." Dr. Isabelle Bureau-Franz, Head of Nestlé Research, who partnered with EpiGen for this academic-led trial, says, "We are focused on discovering science-based solutions for mothers and their infants during preconception, pregnancy and while breastfeeding. The NiPPeR study is a great example of how a public-private partnership can build scientific evidence on nutritional interventions in a largely understudied group."

This episode features a session from Becker's Health IT and RCM Virtual Event: How to use tech to gain a competitive advantage. The conversation includes insight from the following speakers: Dr. Richard Zane, UCHealth Chief Innovation Officer, and Professor and Chair of Emergency Medicine at the CU School of Medicine Ryan Smith, Vice President, Chief Information Officer, Intermountain Healthcare Dean Field, Vice President of Informatics & Operations, CHI Franciscan Moderated by: Laura Dyrda, Becker's Healthcare

In our new  series, the Resident Files, we explore efforts of Children's Hospital Colorado and CU School of Medicine pediatric residents to examine the social determinants of health that impact the patients they see in primary care clinic and how all pediatric providers can make considerations for these impacts in their own practice. Our guests today are CU School of Medicine Pediatric Residents, Telly Cheung, MD and Elizabeth Kerr, MD. Social Determinants of Health Resources from the AAP Do you have questions about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org  

Colorado’s vote-by-mail system is widely considered the gold standard in the nation, with multiple checks and balances to prevent fraud and guarantee every registered voter an opportunity to cast their ballot. More about this system and the life of a mail ballot is on the front page. The latest iteration of construction Colorado Highway 13 between Meeker and Rifle is set to end on November 23rd. With work wrapping up, HT staff took a tour of the site this week to learn more about the use of concrete versus asphalt, and what tasks still remain. Read all about it on the front page. Last month young people in Rangely got a new after-school activity, boxing. The popular Sanchez Brother’s Boxing gym focuses on fitness and boxing fundamentals, and is now offering classes for two different age groups. Read more on page 2A Rio Blanco County Public health offers drive through flu vaccine clinics this week and next. Clinic one will be in Meeker at the Fairgrounds on Thursday, October 1st from 4:30 to 6:30. The second clinic will be in Rangely on Tuesday October 6th from 4:30 to 6:30 at 101 E. Main Street, between the library and public health office building. For questions call RBC Public Health at 878 9520 This week's opinion section features columns reflecting on the first presidential debate of 2020, a discussion of reliable sources and statistics, and fun covid activities for seniors and grandparents, all on page 4A. Rising temperatures in western Colorado are reducing average runoff from snowpack, robbing the Colorado River system of water and forcing farmers and water providers to plan for a future with less water. More on the impacts of increased temperature and prolonged drought is written on page 5A. Page 6A includes a profile on Tessa Hennessy, a third year CU School of Medicine student completing a rotation in family medicine at Meeker Family Health. On the same page look for news on Meeker School district, like the hiring of a new band and choir director and a new assistant middle school football coach. Also in school news, the spectator plan for the upcoming high school football season, and more on ballot measures to shore up future school funding. Additional news about local sports is on page 1B This week state senator Bob Rankin spoke to the Herald Times about his re-election bid for Senate District 8, covering subjects like rural school funding models, water, transitioning economies, healthcare costs and more. Find the full thing on page 8A, along with our weekly “Days Gone By” section, featuring clipped text from past editions of the paper. For example, 125 years ago readers would have come across the following passage: Shoestrings were first used in England in 1797, and English buckle makers presented a petition to the throne asking that such an innovation be prohibited by law. A hundred years have passed and the untied shoestring is as much in evidence as ever. The results of the 2020 Rio Blanco County Fair are published this week on page 2B, 3B and 4B. That’s all for this week. Find more in print and online at ht1885.com Thank you for supporting community journalism.

The Colorado Melanoma Foundation, led by CU School of Medicine dermatology Professor Neil Box, usually hits the road this time of year with its pioneering Sun Bus. However, due to the pandemic putting the brakes on the bus spring, the CMF and Dr. Box are rolling out yet more creative ways to deliver sun safety messages across Colorado, where the rate of skin cancer diagnosis exceeds the national average.

Gov. Jared Polis holds a press conference with Dr. Marc Moss, the Head of the Division of Pulmonary Sciences and Critical Care Medicine at the CU School of Medicine.

It’s a disturbing paradox that while doctors and scientists encourage and promote the health benefits of breast feeding, women in science are leaving these careers in droves. Today on CU on the Air, we’re talking with CU School of Medicine researchers and administrative support Michele Hoffman, Whitney Phinney and Pamela Alvarez Moran about the important … Continue reading Milk and Cookies: CU Anschutz researchers give parents with young children a supportive environment →

Guest: Amanda Dempsey, MD, PhD, MSPH, University of Colorado Cancer Center investigator, professor of pediatrics at the CU School of Medicine, and board member for the Colorado Children's Immunization Coalition and Lisa Bade, American Cancer Society communications director Discussed what is HPV and the fact that the vaccine protects against 9 different strains of the virus.  The vaccine can prevent certain types of cancers that are associated with HPV.  It's recommended for adolescents through the 20's, but can be given later in life with a doctor consultation.  The vaccine is recommend by the CDC as a main vaccine, so it is covered by most insurances.  The vaccine can be given after someone has been exposed to HPV because of the number of strains that it protects against.  HPV is a family of over 100 different viruses.  About 80 percent of all adults have been exposed to HPV infections.  14 million Americans are infected with HPV.  cancer.org See omnystudio.com/listener for privacy information.

Our guest for this episode is Jessica Malmberg, PhD, the Clinical Director of Outpatient Services at the Pediatric Mental Health Institute and assistant professor of child psychiatry at CU School of Medicine. Dr. Malmberg talks us through a common behavioral issues of school-aged children – school refusal – and provides insights, advice and tools to help prevent, manage and understand this behavior. In this episode: Outlining and identifying the underlying symptoms and signs associated with a child refusing to attend school How primary care providers (PCPs) can assist parents who are experiencing guilt Identifying the four most common reasons that children refuse to go to school Exploring the effects of social media on children's behavior when it comes to school refusal How a PCP should approach treatment of school refusal The recommended frequency of follow-up care for kids who are refusing to go to school The importance of connecting parents to community-based resources Preventative practices parents can set up in the home to prevent this behavioral issue What an excellent prognosis looks like for children experiencing school refusal When it's time to refer to a mental health professional PCPs in the Denver Metro Area can refer patients to the Children's Hospital Colorado Outpatient Psychiatry Clinic or to a local community mental health center Resources for dealing with school refusal: School Refusal: Information for Educators (.pdf) from the National Association for School Psychologists School Refusal in Children and Adolescents from American Family Physician The Functional Assessment of School Refusal Behavior Effective Child Therapy Division 53 of the Society of Clinical Child & Adolescent Psychology website School Refusal from the American Academy of Child & Adolescent Psychiatry

A real public health problem has snuck up on us as pediatricians - vaping and e-cigarettes use. On today’s episode, we will unpack the facts about e-cigarettes and vaping, provide you with practical tools to counsel your patients and families and talk about upcoming advocacy and policy work pertaining to e-cigarettes. Our guests today are Jennifer Woods, MD, Medical Director of the Adolescent Medicine Clinic at Children’s Hospital Colorado and associate professor of pediatrics at the University of Colorado School of Medicine; and Heather Hoch, MD pediatric pulmonologist at Children’s Hospital Colorado and assistant professor the CU School of Medicine. From today's episode: The 2018 NIH Monitoring the Future Survey Results were released last month. The survey found that 37% of 12th graders and 18% of 8th graders have vaped in the last year and the number of kids who used vaping products in the last month jumped from 11 to 21% in 12th graders and from 9 to 16% in 10th graders — those changes are the biggest jumps in adolescent substance use that has been seen in the 4 decades of conducting the Monitoring the Future Survey. From the AAP: 5 Facts to talk to Teens about Vaping The FDA held a public hearing on January 18, 2019 to discuss efforts to eliminate youth e-cigarette use, with a focus on the potential role of drug therapies to support cessation and the issues impacting the development of such therapies. If this is a topic you are passionate about, we encourage our listeners to visit the FDA website to submit a public comment, those public comment submissions will be available through February 1, 2019 https://www.fda.gov/TobaccoProducts/Labeling/ProductsIngredientsComponents/ucm456610.htm) Pediatricians Push for Laws to Prevent Teen Vaping Colorado Bill Introduced to Combat Skyrocketing Youth E-Cigarette Use, Clean Indoor Air Act, House Bill 19-1076 Feedback on this episode or suggestions for a future topic? Write to us at chartingpediatrics@childrenscolorado.org - we love hearing from our listeners!

A real public health problem has snuck up on us as pediatricians - vaping and e-cigarettes use. On today’s episode, we will unpack the facts about e-cigarettes and vaping, provide you with practical tools to counsel your patients and families and talk about upcoming advocacy and policy work pertaining to e-cigarettes. Our guests today are Jennifer Woods, MD, Medical Director of the Adolescent Medicine Clinic at Children’s Hospital Colorado and associate professor of pediatrics at the University of Colorado School of Medicine; and Heather Hoch, MD pediatric pulmonologist at Children’s Hospital Colorado and assistant professor the CU School of Medicine. From today's episode: The 2018 NIH Monitoring the Future Survey Results were released last month. The survey found that 37% of 12th graders and 18% of 8th graders have vaped in the last year and the number of kids who used vaping products in the last month jumped from 11 to 21% in 12th graders and from 9 to 16% in 10th graders — those changes are the biggest jumps in adolescent substance use that has been seen in the 4 decades of conducting the Monitoring the Future Survey. From the AAP: 5 Facts to talk to Teens about Vaping The FDA held a public hearing on January 18, 2019 to discuss efforts to eliminate youth e-cigarette use, with a focus on the potential role of drug therapies to support cessation and the issues impacting the development of such therapies. If this is a topic you are passionate about, we encourage our listeners to visit the FDA website to submit a public comment, those public comment submissions will be available through February 1, 2019 https://www.fda.gov/TobaccoProducts/Labeling/ProductsIngredientsComponents/ucm456610.htm) Pediatricians Push for Laws to Prevent Teen Vaping Colorado Bill Introduced to Combat Skyrocketing Youth E-Cigarette Use, Clean Indoor Air Act, House Bill 19-1076 Feedback on this episode or suggestions for a future topic? Write to us at chartingpediatrics@childrenscolorado.org - we love hearing from our listeners!

Our guest for this episode is Jessica Malmberg, PhD, the Clinical Director of Outpatient Services at the Pediatric Mental Health Institute and assistant professor of child psychiatry at CU School of Medicine. Dr. Malmberg talks us through a common behavioral issues of school-aged children – school refusal – and provides insights, advice and tools to help prevent, manage and understand this behavior. In this episode: Outlining and identifying the underlying symptoms and signs associated with a child refusing to attend school How primary care providers (PCPs) can assist parents who are experiencing guilt Identifying the four most common reasons that children refuse to go to school Exploring the effects of social media on children's behavior when it comes to school refusal How a PCP should approach treatment of school refusal The recommended frequency of follow-up care for kids who are refusing to go to school The importance of connecting parents to community-based resources Preventative practices parents can set up in the home to prevent this behavioral issue What an excellent prognosis looks like for children experiencing school refusal When it's time to refer to a mental health professional PCPs in the Denver Metro Area can refer patients to the Children's Hospital Colorado Outpatient Psychiatry Clinic or to a local community mental health center Resources for dealing with school refusal: School Refusal: Information for Educators (.pdf) from the National Association for School Psychologists School Refusal in Children and Adolescents from American Family Physician The Functional Assessment of School Refusal Behavior Effective Child Therapy Division 53 of the Society of Clinical Child & Adolescent Psychology website School Refusal from the American Academy of Child & Adolescent Psychiatry

Today, we're discussing celiac disease with guest Edwin Liu, MD. Dr. Liu is an international leader in the research and management of celiac disease, the Director of the Colorado Center for Celiac Disease at Children's Colorado and a professor of pediatrics at the CU School of Medicine. In this episode: How the prevalence of celiac disease has changed over time and what that means The hygiene hypothesis and its role in infectious diseases The ways that the clinical representations of children with celiac disease have changed Untraditional symptoms and signs of celiac disease in children The relationship between type 1 diabetes and celiac disease An outline and definition of the non-genetic, environmental triggers of celiac disease The tests to order if you suspect a child may have celiac disease The populations that should be screened for celiac disease because of their risk factors What distinguishes celiac disease from gluten sensitivity The importance of and how to go about educating families on diet after their child is diagnosed with celiac disease The answer of whether or not there's a chance that children can grow out of having celiac disease Exploring the misconception of celiac disease as an "under dog" condition

In this episode, Stephanie Mayer, MD, joins us to share her insights on diagnosing hip pain in pediatric patients. We're discussing this issue from its symptoms and causes to how to manage hip pain. Dr. Mayer is a pediatric orthopedic surgeon at Children's Colorado and an assistant professor of orthopedics at the CU School of Medicine. In this episode: The common hip pain causes to watch for in adolescents Sports that lend themselves to hip pain Practices for starting an evaluation of the patient and their injury The importance of the patient history when dealing with and considering hip pain The questions to ask, signs to look for and specifics to consider when diagnosing hip pain and differentiating between infection and oncologic hip injuries Signs and factors possibly indicating a patient's hip pain is systemic or rheumatological and when it's time to look for Lyme disease How to determine where hip pain originates from and the conditions to consider The mechanical indicator that the cause of hip pain is slipped capital femoral epiphysis (SCFE) Diagnosing and addressing other causes of hip pain such as Legg-Calvé-Perthes Discussing urgency and when it's time to refer to an orthopedic specialist When and why it's appropriate to order an MRI early on The central role imaging plays in determining a proper hip pain treatment and when it's the right time to order an x-ray for hip pain The benefits of getting images of the entire hip versus radiation exposure

In today's episode we discuss autism spectrum disorder with Elizabeth Coan, PsyD. Dr. Coan is a doctor of psychology at the Neuroscience Institute at Children's Colorado and is an instructor of developmental pediatrics at the CU School of Medicine. In this episode: How a PCP can take the first steps towards diagnosing autism How you can implement autism screening tools in your practice How to sensitively discuss autism spectrum disorder with parents and families Tips for managing screenings and referrals after diagnosing autism The reason why there are things to celebrate once you've made an autism diagnosis Tips PCPs can share with families to help develop the strengths of a child with autism Counseling families on how they use the internet when researching autism Autism Speaks ABA Therapy  M-CHAT Screening Tool

Our guest for this episode is Jessica Malmberg, PhD, the Clinical Director of Outpatient Services at the Pediatric Mental Health Institute and assistant professor of child psychiatry at CU School of Medicine. Dr. Malmberg talks us through a common behavioral issues of school-aged children – school refusal – and provides insights, advice and tools to help prevent, manage and understand this behavior. In this episode: Outlining and identifying the underlying symptoms and signs associated with a child refusing to attend school How primary care providers (PCPs) can assist parents who are experiencing guilt Identifying the four most common reasons that children refuse to go to school Exploring the effects of social media on children's behavior when it comes to school refusal How a PCP should approach treatment of school refusal The recommended frequency of follow-up care for kids who are refusing to go to school The importance of connecting parents to community-based resources Preventative practices parents can set up in the home to prevent this behavioral issue What an excellent prognosis looks like for children experiencing school refusal When it's time to refer to a mental health professional PCPs in the Denver Metro Area can refer patients to the Children's Hospital Colorado Outpatient Psychiatry Clinic or to a local community mental health center Resources for dealing with school refusal: School Refusal: Information for Educators (.pdf) from the National Association for School Psychologists School Refusal in Children and Adolescents from American Family Physician The Functional Assessment of School Refusal Behavior Effective Child Therapy Division 53 of the Society of Clinical Child & Adolescent Psychology website School Refusal from the American Academy of Child & Adolescent Psychiatry

DEA investigators in Denver believed they had an open and shut case; a drug company they thought played a role in the opioid crisis. But in the end, they say the company got only a slap on the wrist. What that means for the fight against opioids. Then, films that came out of Colorado this year. And, the new head of public health at the CU School of Medicine is an air quality expert. He plans to make things better.

Mutant Proteins and Protein Evolution (starts 4:42) CU School of Medicine professor David Pollock explains why he has devised a new way to identify and predict both the evolution of proteins and disease causing protein mutations.    Pollock's highly technical model uses an analogy about a physical model called the Stokes Shift to help explain the biochemical properties of how proteins change, for better or worse.  Pollock's study has just been published in the journal Nature Ecology and Evolution.  Its title is “Sequence entropy of folding and the absolute rate of amino acid substitutions.”  Additionally, he has written a "behind the paper" explanation for a more general audience to explain the concepts being explored in his ground-breaking research. Soonish: Ten Emerging Technologies That’ll Improve and/or Ruin Everything (starts 15:00) Dr. Kelly Weinersmith is an adjunct assistant professor in the BioSciences Department at Rice University. She specializes in the study of parasites.  But her curiosity has taken her well beyond parasites to ask all-encompassing questions, such as, what will the future will look like – the future of space research, medicine, robots, and, well, humans.  These topics are all part of Weinersmith's new funny-serious book.  It’s called Soonish: Ten Emerging Technologies That’ll Improve and/or Ruin Everything. Weinersmith co-authored the book with her husband, Zach.  They'll be at book signings this week Denver and Boulder. Hosts: Shelley Schlender, Susan Moran Producer, Engineer: Shelley Additional Contributions: Beth Bennett Executive Producer: Beth Bennett

  On the July 27th, 2011 broadcast at 11AM Pacific/2PM Eastern I am delighted to have the opportunity to chat with fellow 'healthtweep', Benjamin F. Miller, PsyD, aka @miller7 on Twittter, who is an Assistant Professor, in the Department of Family Medicine, and Associate Director of Primary Care Outreach and Research at the University of Colorado Depression Center in CU School of Medicine. Dr. Miller is also the Administrative Director of the Collaborative Care Research Network (CCRN) and a Senior Scientist at the AAFP National Research Network.   My chat with Ben today is a contiuning attestation of the power of the social medium known as Twitter. Ben and my path's have crossed as occaisional contributors to Twitter's prolific conversations centering on social media in healthcare, but more specifically primary care medical homes, accountable care, ACOs and health policy or reform globally speaking.   We'll discuss health policy issues associated with primary care medical homes, accountable care in general and ACOs in particular.Dr. Miller's perspectve as a clinician in an academic setting focused on family medicine are timely insights given the challenge of population management in a fee for services paradigm that traditional undervalues primary care, let alone the role of mental health services in health and wellness.   Join us for a fun and informative conversation.