Podcasts about Epidemiology

aspect of health and disease science

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Best podcasts about Epidemiology

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Latest podcast episodes about Epidemiology

Diabetes Core Update
Special Edition - Obstructive Sleep Apnea (OSA) Part 2 - Diagnosis

Diabetes Core Update

Play Episode Listen Later Jul 18, 2025 21:54


In this special episode on Obstructive Sleep Apnea our host, Dr. Neil Skolnik will discuss diagnosis of OSA. In Part 1 we discussed and overview of OSA, Part 3 will discuss treatment options, and Part 4 will look at cases. This special episode is supported by an independent educational grant from Lilly. Presented by: Neil Skolnik, M.D., Professor of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University; Associate Director, Family Medicine Residency Program, Abington Jefferson Health Dr. Sanjay Patel, M.D, Professor of Medicine, Epidemiology, & Clinical and Translational Science, and Director of the Center for Sleep and Cardiovascular Outcomes Research; Medical Director of the Comprehensive Sleep Disorders Program, University of Pittsburgh Medical Center Selected references: Diagnosis and Management of Obstructive Sleep Apnea - A Review. JAMA. 2020;323(14):1389-1400

Brain & Life
Creating an Advocacy Movement with #NotJustFatigue's Elizabeth Ansell: Part Two

Brain & Life

Play Episode Listen Later Jul 17, 2025 31:30


In this two-part episode of the Brain & Life Podcast, co-host Dr. Katy Peters is joined by Elizabeth Ansell, founder and director of #NotJustFatigue. #NotJustFatigue is a nonprofit organization shining a light on myalgic encephalomyelitis/chronic fatigue syndrome, also known as ME/CFS, and educates patients, clinicians, and health organizations about the condition. Elizabeth shares how raising awareness, and furthering research really improves the everyday lives of people living with ME/CFS. Dr. Peters is then joined by Dr. W. Ian Lipkin, who is known internationally for his research and is the John Snow Professor of Epidemiology, Professor of Neurology, and Professor of Pathology and Cell Biology at Columbia University Irving Medical Center, Mailman School of Public Health. Dr. Lipkin discusses what's next in ME/CFS research and what the future could hold.   Additional Resources #NotJustFatigue How to Fight Fatigue Understanding the Impact of Invisible Illnesses on Daily Life How Families Are Leading the Charge in Rare Disease Advocacy   Other Brain & Life Podcast Episodes on Similar Topics Rare Thoughts on a Rarer Neurologic Condition Shedding Light and Love on a Rare Genetic Condition with Deborah Vauclare Neurofibromatosis Advocacy and Community Building with the Gilbert Family Foundation We want to hear from you! Have a question or want to hear a topic featured on the Brain & Life Podcast? Record a voicemail at 612-928-6206 Email us at BLpodcast@brainandlife.org   Social Media: Elizabeth Ansell @notjustfatigue; Dr. W. Ian Lipkin @columbiapublichealth Guests: Hosts: Dr. Daniel Correa @neurodrcorrea; Dr. Katy Peters @KatyPetersMDPhD

Mornings with Simi
What can Canada learn from French school lunch programs?

Mornings with Simi

Play Episode Listen Later Jul 16, 2025 11:17


What can Canada learn from French school lunch programs? Guest: Rachel Engler-Stringer, Professor, Department of Community Health and Epidemiology, University of Saskatchewan Learn more about your ad choices. Visit megaphone.fm/adchoices

Mornings with Simi
Full Show: Healthcare worker assault, Affordable child care lag & Traveling for medical reasons

Mornings with Simi

Play Episode Listen Later Jul 16, 2025 46:23


Healthcare worker assaulted outside of VGH Guest: Adriane Gear, president of the BC Nurses union BC is falling behind on affordable child care Guest: Sharon Gregson, spokesperson for the coalition of childcare advocates More Canadians are travelling for medical tourism Guest: Valorie Crooks, SFU geography professor and Canada Research Chair in Health Service Geographies What can Canada learn from French school lunch programs? Guest: Rachel Engler-Stringer, Professor, Department of Community Health and Epidemiology, University of Saskatchewan Dads should be getting up with kids at night Guest: Christine Parsons, Professor of Clinical Medicine, Aarhus University in Denmark Learn more about your ad choices. Visit megaphone.fm/adchoices

The Meat Mafia Podcast
#413 Harry Gray: The Over-Intellectualization of Health

The Meat Mafia Podcast

Play Episode Listen Later Jul 14, 2025 38:13 Transcription Available


In this solo episode of the Meat Mafia Podcast, Harry explores the growing disconnect between the rise in health research and the decline in real-world health outcomes. He breaks down a simple, actionable framework to reclaim your health—built around rest, real food, movement, community, and purpose. This episode is a challenge to stop waiting for perfect answers and start making meaningful changes, one step at a time. Timestamps: (00:00) Introduction (02:00) Health is simple: rest, real food, clean environment, purpose (04:45) Six pillars of health explained (07:00) Overview of a key obesity study and global trends (10:00) Obesity projections for 2030 and academic disconnect (12:30) Introduction of the SOAR ratio and its meaning (16:00) The health theater and Big Food's role (19:00) Marketing, lobbying, and the cost of inaction (22:00) The 3-phase framework: foundation, refinement, mastery (31:00) Call to action: stop spectating, start living with purpose Check out the original article on Substack where I discuss the idea that we're studying the obesity problem, but not fixing it.1. The Epidemiology of Obesity: A Big Picture2. The Overintellectualization of Health3. The 6 Pillars to Reclaiming Your HealthCheck out Noble Origins- 100% grass-fed beef protein with added collagen, colostrum and organs: we created a clean and simple protein powder with all of the nutrient-dense parts of the cow included. It's great for a post-workout shake to build muscle or for a low calorie treat to burn body fat or for hormonal regulation because the added nutrients from the collagen, colostrum, and organ complex. Use code MAFIA25 for 25% OFF your order!Connect with Brett:InstagramXConnect with Harry:InstagramXConnect with Meat Mafia:Instagram - Meat MafiaX - Meat MafiaYouTube - Meat MafiaConnect with Noble Protein:Website - Noble ProteinX - Noble ProteinInstagram - Noble Protein

The World’s Okayest Medic Podcast
July Listener Questions (Clinical)

The World’s Okayest Medic Podcast

Play Episode Listen Later Jul 13, 2025 42:38


LISTENER DISCRETION IS ADVISED. More thoughts on OB Learning 12-leads Paralytic choices ALS for AMS Cash RE, Kaimal AJ, Samuels-Kalow ME, Boggs KM, Swanton MF, Camargo CA Jr. Epidemiology of Emergency Medical Services-Attended out-of-Hospital Deliveries and Complications in the United States. Prehosp Emerg Care. 2024;28(7):890-897. Dexter F, Epstein RH, Wachtel RE, Rosenberg H. Estimate of the relative risk of succinylcholine for triggering malignant hyperthermia. Anesth Analg. 2013 Jan;116(1):118-22. Nunnally ME, O'Connor MF, Kordylewski H, Westlake B, Dutton RP. The incidence and risk factors for perioperative cardiac arrest observed in the national anesthesia clinical outcomes registry. Anesth Analg. 2015 Feb;120(2):364-70.

PICU Doc On Call
Approach to Bleach Ingestion in the PICU

PICU Doc On Call

Play Episode Listen Later Jul 13, 2025 31:19


Have you ever wondered what happens when a toddler gets into something they definitely shouldn't? Today, Dr. Monica Gray, Dr. Pradip Kamat, and Dr. Rahul Damania discuss the case of an 18-month-old boy who accidentally ingested concentrated bleach, presenting with stridor, drooling, and vomiting. They review the clinical approach to caustic ingestions in children, including airway management, diagnostic workup, and the roles of endoscopy, steroids, and multidisciplinary care. The episode also highlights potential complications such as esophageal strictures and cancer, emphasizes prevention strategies, and provides key takeaways for intensivists managing similar pediatric emergencies. If you're an intensivist or just want to know what to do in a pediatric emergency, don't miss these essential takeaways for managing one of the scariest situations in the ER.Show Highlights:Case study of an 18-month-old boy who ingested concentrated bleachClinical presentation including symptoms like stridor, drooling, and vomitingManagement strategies for caustic ingestions in childrenImportance of airway management and monitoring in cases of caustic ingestionDiagnostic workup including imaging and endoscopyDifferential diagnosis considerations for similar presentations (e.g., button batteries, laundry detergent pods)Mechanism of injury caused by alkaline substances like bleachLong-term complications associated with caustic ingestions, such as esophageal strictures and cancerMultidisciplinary approach to treatment involving various medical specialtiesPrevention strategies to reduce the incidence of accidental caustic ingestions in childrenReferences:American Academy of Pediatrics – Pediatric Care Online: Esophageal Caustic Injury (AAP clinical guidance on caustic ingestions).Fuhrman & Zimmerman's Pediatric Critical Care textbook – Chapters on toxicology and gastrointestinal emergencies (covering caustic injury management and critical care approach).Hoffman RS, et al. “Ingestion of Caustic Substances.” New England Journal of Medicine. 2020; 382(18):1739-1748. A comprehensive review of caustic ingestion injuries and management.Arnold M, Numanoglu A. “Caustic ingestion in children – a review.” Semin Pediatr Surg. 2017;26(2):95-104. Review of epidemiology, pathophysiology, and treatment of caustic injuries in kids.Johnson CM, Brigger MT. “The public health impact of pediatric caustic ingestion injuries.” Arch Otolaryngol Head Neck Surg. 2012;138(12):1111-1115. (Epidemiology study showing declining incidence).Pediatric Critical Care Medicine (PCCM) Journal – various case reports and series on caustic ingestion (for case-based insights), and annual National Poison Data System reports (for statistics on pediatric poisonings).Tringali A, et al. ESGE/ESPGHAN Pediatric GI Endoscopy Guidelines (Endoscopy, 2017) – Includes recommendations for endoscopy timing and steroid use in caustic ingestions.Usta M, et al. “High doses of methylprednisolone in the management of caustic esophageal burns.” Pediatrics. 2014;133(6):E1518-24. (Key study demonstrating steroids benefit in grade 2b injuries).Royal Children's Hospital Melbourne – Clinical Practice Guidelines: Caustic Ingestions (2019) – Practical hospital guidelines emphasizing early intubation for airway threat, endoscopy within 24h, IV PPI, and supportive care.

The Whole Health Cure
A Science-Based Plan to Reduce Dementia Risk with Drs. Dean & Ayesha Sherzai

The Whole Health Cure

Play Episode Listen Later Jul 10, 2025 54:14


About Dean:Dr. Dean Sherzai is a behavioral neurologist and neuroscientist whose entire life has been dedicated to behavioral change models at the community and population level. Dean completed his medical and neurology residencies at Georgetown University, followed by a subsequent fellowship in neurodegenerative diseases at the National Institutes of Health. He then pursued a second fellowship in Dementia and Geriatrics at the University of California, San Diego. He also holds two master's degrees in Advanced Sciences at UCSD and in Epidemiology from Loma Linda University. He has received a PhD in Healthcare Leadership, focused on community empowerment, from Loma Linda University/Andrews University. Additionally, he completed the Executive Leadership Program at Harvard Business School. His vision has always been to revolutionize healthcare by empowering communities to take control of their own health. Dr. Ayesha Sherzai is a vascular neurologist and a research scientist. After completing her residency, she completed a fellowship in vascular neurology and Epidemiology at Columbia University Neurological Institute of New York. Dr. Sherzai is at the tail end of a master's degree in public health in lifestyle epidemiology from Loma Linda University. Knowing the importance of empowering her patients and their communities, she completed an extensive culinary training program in New York and now teaches large populations how to make tasty, easy, and healthy meals for their brain health. They are the authors of two best-selling books, The Alzheimer's Solution (2017, HarperCollins) and The 30 day Alzheimer's Solution (2021, HarperCollins). They are currently leading the largest community-based brain health initiative in the country.

Brain & Life
Creating an Advocacy Movement with #NotJustFatigue's Elizabeth Ansell: Part One

Brain & Life

Play Episode Listen Later Jul 10, 2025 43:50


In this two-part episode of the Brain & Life Podcast, co-host Dr. Katy Peters is joined by Elizabeth Ansell, founder and director of #NotJustFatigue. #NotJustFatigue is a nonprofit organization shining a light on myalgic encephalomyelitis/chronic fatigue syndrome, also known as ME/CFS, and educates patients, clinicians, and health organizations about the condition. Elizabeth shares her diagnosis journey and explains why education around ME/CFS is so vital. Dr. Peters is then joined by Dr. W. Ian Lipkin, who is known internationally for his research and is the John Snow Professor of Epidemiology, Professor of Neurology, and Professor of Pathology and Cell Biology at Columbia University Irving Medical Center, Mailman School of Public Health. Dr. Lipkin explains what ME/CFS is and how it differs from other conditions with similar symptoms, like long COVID. Make sure to tune in next week for part two to hear about what's next in ME/CFS research and the importance of care partners.   Additional Resources #NotJustFatigue How to Fight Fatigue Understanding the Impact of Invisible Illnesses on Daily Life How Families Are Leading the Charge in Rare Disease Advocacy   Other Brain & Life Podcast Episodes on Similar Topics Rare Thoughts on a Rarer Neurologic Condition Shedding Light and Love on a Rare Genetic Condition with Deborah Vauclare Neurofibromatosis Advocacy and Community Building with the Gilbert Family Foundation   We want to hear from you! Have a question or want to hear a topic featured on the Brain & Life Podcast? Record a voicemail at 612-928-6206 Email us at BLpodcast@brainandlife.org   Social Media: Elizabeth Ansell @notjustfatigue; Dr. W. Ian Lipkin @columbiapublichealth Guests: Hosts: Dr. Daniel Correa @neurodrcorrea; Dr. Katy Peters @KatyPetersMDPhD

Minnesota's Swine & U
Episode 46: PRRS virus Classification

Minnesota's Swine & U

Play Episode Listen Later Jul 8, 2025 34:48


In the podcast, Swine Extension Educator Sarah Schieck Boelke speaks with Drs. Kim VanderWaal and Igor Paploski about PRRS virus Classification. Both are faculty members in the University of Minnesota Veterinary Population Medicine department. PRRS virus Classification is basically naming of the PRRS virus according to the genetic sequencing of the virus. Kim and Igor explain how PRRS viruses were classified previously and changes to how they are being classified based on their work.Learn more about PRRS virus classification featured in the podcastSwine Health Information Center fact sheet on the epidemiological insights on the PRRS-Loom Variant webtoolLink to PRRS-Loom Variant webtoolJournal article published in Epidemiology, Volume 10, Issue 2. doi: 10.1128/msphere.00709-24

The Building Science Podcast
Architectural Epidemiology

The Building Science Podcast

Play Episode Listen Later Jul 7, 2025 77:23


How do we expand the positive impacts of our buildings? Now is the time. The building sector is looking at a once-in-a-generation opportunity to flip from being a major contributor to both chronic disease and climate disruption to becoming one of the primary solutions. The key is provide training and perspective to the professionals involved. Why is it that so few architects base design decisions on the known health impacts of buildings at both the personal and community levels? Similarly, why is it that the role of buildings as determinants of health and disease in society is so frequently overlooked by epidemiologists and other public health professionals? In this interview Adele Houghton (FAIA, DrPH, LEED AP) explains how architects, developers, real estate teams and community groups can use their role power and agency to improve outcomes at many levels and scales, for the benefit of all involved. While no single building can entirely transform a neighborhood's character or its susceptibility to environmental factors, thoughtful design can enhance the health and well-being of residents and businesses, reducing financial risk and contributing to local policy goals.Adele HoughtonAdele Houghton, FAIA, DrPH, LEED AP, works at the intersection of buildings, public health, and climate change. She is a member of the American Institute of Architects College of Fellows and received a Doctor of Public Health (DrPH) degree from the Harvard T.H. Chan School of Public Health, where she also teaches. Her book, Architectural Epidemiology (Johns Hopkins University Press, 2024), co-authored with Professor Carlos Castillo-Salgado of Johns Hopkins University, proposes a novel method for architectural design: combining neighborhood-scale environmental health data with participatory community engagement to maximize a building's positive ripple effect on community and planetary health.TeamHosted by Kristof IrwinEdited by Nico MignardiProduced by M. Walker

Knowledgeable Provider
Erectile Dysfunction

Knowledgeable Provider

Play Episode Listen Later Jul 7, 2025 41:07


Jody reviews pathophysiology, assessment, and treatment of erectile dysfunction.References:1) Raymond, R.C., & Khera, M. Epidemiology and etiologies of male sexual dysfunction. UpToDate. https://www.uptodate.com/contents/epidemiology-and-etiologies-of-male-sexual-dysfunction2) Khera, M. Evaluation of male sexual dysfunction. UpToDate. https://www.uptodate.com/contents/evaluation-of-male-sexual-dysfunction3) Khera, M. Treatment of male sexual dysfunction. UpToDate. https://www.uptodate.com/contents/treatment-of-male-sexual-dysfunction

The Mike Hosking Breakfast
Mike's Minute: A deeper dive into EVs

The Mike Hosking Breakfast

Play Episode Listen Later Jul 4, 2025 2:04 Transcription Available


What we need is an "are we sure we know what we are doing before we rush into this" catalogue or guide. The EV story might turn out to be one of the world's, and certainly the transportation industry's, biggest headaches as company after company admit they leapt in way too quick to electric, bought into all the Government-led madness on climate and invested, God-knows how much to transfer to a mode of movement the world wasn't ready for, or wanted. EVs were sold as way more than they ever were. Now even the scientists are waking up. There's a good piece of reading from Dr Caroline Shaw published in the Journal of Epidemiology and Community Health, whereby they do what we really should have done at the start and look at the EV in totality. It said don't get all hyped and hooked up on emissions. Yes, emissions in an EV vs petrol debate do drop. But what about the rest of it? They looked at all sorts of things like the extra weight, therefore the extra wear and tear, the weight and therefore the potential for injury, the cheapness of driving, therefore you drive more, therefore our fitness drops as we drive and don't walk. They looked at a myriad of things that should have been thought about and scoped out on day one and weighed up. Because here is the end result: when you add all that stuff up, the good, the bad and the ugly, electrifying cars would lie somewhere between harmful and neutral. Are you serious? Going electric could be harmful? Would it have not been useful to crunch a few of those ideas to understand this at the start of the obsession that drove the thinking? Or, like so much ideology, do the details not matter as long as we can leap on the old bandwagon, take a small piece of the bigger picture and then milk it for all its worth, knowing that we can leave the reality and the clean-up for another day? This by the way is not anti-EV. It's the realisation that like most things, what was the answer, and the obsession, and the next new thing, actually turns out to be just another piece in a way bigger, more complex, picture than the obsessives ever care to learn about. See omnystudio.com/listener for privacy information.

Afternoons with Pippa Hudson
Health: Stellenbosch University uses AI to help detect TB

Afternoons with Pippa Hudson

Play Episode Listen Later Jul 4, 2025 11:24 Transcription Available


Sara-Jayne Makwala King, in for Pippa Hudson speaks to Grant Theron, a professor in Clinical Mycobacteriology and Epidemiology at SU and coordinator of a project which will trial an AI-assisted device to help detect TB. Lunch with Pippa Hudson is CapeTalk’s mid-afternoon show. This 2-hour respite from hard news encourages the audience to take the time to explore, taste, read and reflect. The show - presented by former journalist, baker and water sports enthusiast Pippa Hudson - is unashamedly lifestyle driven. Popular features include a daily profile interview #OnTheCouch at 1:10pm. Consumer issues are in the spotlight every Wednesday while the team also unpacks all things related to health, wealth & the environment. Thank you for listening to a podcast from Lunch with Pippa Hudson Listen live on Primedia+ weekdays between 13:00 and 15:00 (SA Time) to Lunch with Pippa Hudson broadcast on CapeTalk https://buff.ly/NnFM3Nk For more from the show go to https://buff.ly/MdSlWEs or find all the catch-up podcasts here https://buff.ly/fDJWe69 Subscribe to the CapeTalk Daily and Weekly Newsletters https://buff.ly/sbvVZD5 Follow us on social media: CapeTalk on Facebook: https://www.facebook.com/CapeTalk CapeTalk on TikTok: https://www.tiktok.com/@capetalk CapeTalk on Instagram: https://www.instagram.com/ CapeTalk on X: https://x.com/CapeTalk CapeTalk on YouTube: https://www.youtube.com/@CapeTalk567See omnystudio.com/listener for privacy information.

Aging-US
Longevity & Aging Series (S3, E5): Dr. Andres Cardenas

Aging-US

Play Episode Listen Later Jul 3, 2025 44:13


Dr. Andres Cardenas, from the Department of Epidemiology and Population Health at Stanford University, joins host Dr. Evgeniy Galimov to discuss a research paper he co-authored in Volume 17, Issue 2 of Aging (Aging-US), titled “Exposome-wide association study of environmental chemical exposures and epigenetic aging in the National Health and Nutrition Examination Survey.” DOI - https://doi.org/10.18632/aging.206201 Corresponding author - Andres Cardenas - andresca@stanford.edu Video interview - https://www.youtube.com/watch?v=A1I6qoVwkfM Longevity & Aging Series - https://www.aging-us.com/longevity Abstract Epigenetic clocks can serve as pivotal biomarkers linking environmental exposures with biological aging. However, research on the influence of environmental exposures on epigenetic aging has largely been limited to a small number of chemicals and specific populations. We harnessed data from the National Health and Nutrition Examination Survey 1999-2000 and 2001-2002 cycles to examine exposome-wide associations between environmental exposures and epigenetic aging. A total of 8 epigenetic aging biomarkers were obtained from whole blood in 2,346 participants ranging from 50-84 years of age. A total of 64 environmental exposures including phthalates, metals, pesticides, dioxins, and polychlorinated biphenyls (PCBs) were measured in blood and urine. Associations between log2-transformed/standardized exposure measures and epigenetic age acceleration (EAA) were assessed using survey-weighted generalized linear regression. A 1 standard deviation (SD) increase in log2 serum cadmium levels was associated with higher GrimAge acceleration (beta = 1.23 years, p = 3.63e-06), higher GrimAge2 acceleration (beta = 1.27 years, p = 1.62e-05), and higher DunedinPoAm (beta = 0.02, p = 2.34e-05). A 1 SD increase in log2 serum cotinine levels was associated with higher GrimAge2 acceleration (beta = 1.40 years, p = 6.53e-04) and higher DunedinPoAm (beta = 0.03, p = 6.31e-04). Associations between cadmium and EAA across several clocks persisted in sensitivity models adjusted for serum cotinine levels, and other associations involving lead, dioxins, and PCBs were identified. Several environmental exposures are associated with epigenetic aging in a nationally representative US adult population, with particularly strong associations related to cadmium and cotinine across several epigenetic clocks. Sign up for free Altmetric alerts about this article - https://aging.altmetric.com/details/email_updates?id=10.18632%2Faging.206201 Subscribe for free publication alerts from Aging - https://www.aging-us.com/subscribe-to-toc-alerts Keywords - aging, epigenetic aging, environmental exposures, exposome, epigenetics Please visit our website at https://www.Aging-US.com​​ and connect with us: Facebook - https://www.facebook.com/AgingUS/ X - https://twitter.com/AgingJrnl Instagram - https://www.instagram.com/agingjrnl/ YouTube - https://www.youtube.com/@AgingJournal LinkedIn - https://www.linkedin.com/company/aging/ Bluesky - https://bsky.app/profile/aging-us.bsky.social Pinterest - https://www.pinterest.com/AgingUS/ Spotify - https://open.spotify.com/show/1X4HQQgegjReaf6Mozn6Mc MEDIA@IMPACTJOURNALS.COM

JACC Speciality Journals
Risk of Cardiovascular Diseases in Cancer Survivors after Systemic Treatment: A Population-Based Cohort Study | JACC: CardioOncology

JACC Speciality Journals

Play Episode Listen Later Jul 1, 2025 3:21


KPFA - UpFront
Russia's War in Ukraine; Plus, Corona Calls

KPFA - UpFront

Play Episode Listen Later Jun 30, 2025 59:58


00:08 — John Feffer is Director of Foreign Policy in Focus. 00:33 — Art Reingold is the Division Head of Epidemiology and Biostatistics at the UC Berkeley School of Public Health. The post Russia's War in Ukraine; Plus, Corona Calls appeared first on KPFA.

The NACE Clinical Highlights Show
NACE Journal Club #20

The NACE Clinical Highlights Show

Play Episode Listen Later Jun 30, 2025 28:25


The NACE Journal Club with Dr. Neil Skolnik, provides review and analysis of recently published journal articles important to the practice of primary care medicine. In this episode Dr. Skolnik and guests review the following publications:1. Effects of Combining Coronary Calcium Score With Treatment on PlaqueProgression in Familial Coronary Artery Disease A Randomized Clinical Trial JAMA 2025. Discussion by:Guest: Michael J. Blaha, MD, MPHProfessor of Cardiology and Epidemiology and presently serves as theDirector of Clinical Research for the Johns Hopkins Ciccarone Center for thePrevention of Cardiovascular DiseaseDirector of the Cardiometabolic ClinicProgram Director for the Preventive Cardiology Fellowship.2. Creatine monohydrate pilot in Alzheimer's: Feasibility, brain creatine, and cognition. Alzheimer's Dement. 2025. Discussion by:Guest:Michael Devano, DO Attending Family Physician Christiana Care Health System3. Structured Exercise after Adjuvant Chemotherapy for Colon Cancer. The New England Journal of Medicine. Discussion by:Guest:Joseph Gonnella, MD Resident– Family MedicineResidency Program, Jefferson Health – AbingtonMedical Director and Host, Neil Skolnik, MD, is an academic family physician who sees patients and teaches residents and medical students as professor of Family and Community Medicine at the Sidney Kimmel Medical College, Thomas Jefferson University and Associate Director, Family Medicine Residency Program at Abington Jefferson Health in Pennsylvania. Dr. Skolnik graduated from Emory University School of Medicine in Atlanta, Georgia, and did his residency training at Thomas Jefferson University Hospital in Philadelphia, PA. This Podcast Episode does not offer CME/CE Credit. Please visit http://naceonline.com to engage in more live and on demand CME/CE content.

Public Health Out Loud
You Good, Man? A Conversation About Men's Mental Health

Public Health Out Loud

Play Episode Listen Later Jun 27, 2025 23:46


June is Men's Mental Health Awareness Month – a time to raise awareness about the mental health challenges faced by men and boys. In this episode, Dr. Samantha Rosenthal, a professor of Health Science at Johnson & Wales University and adjunct professor of Epidemiology at Brown School of Public Health joins Dr. Chan to talk about why encouraging men to prioritize their well-being and seek help when needed is so important. 

Optimal Health Daily
3027: Is Skipping Breakfast Good for Weight Loss? What the Science Says by Christian Finn of Muscle Evo

Optimal Health Daily

Play Episode Listen Later Jun 26, 2025 13:38


Discover all of the podcasts in our network, search for specific episodes, get the Optimal Living Daily workbook, and learn more at: OLDPodcast.com. Episode 3027: Christian Finn unpacks the science behind breakfast and weight loss, revealing that skipping breakfast doesn't automatically hinder weight management or help it. Drawing from controlled trials and metabolic research, he highlights that the best approach comes down to personal preference, not outdated nutritional dogma. Read along with the original article(s) here: https://muscleevo.net/skipping-breakfast/ Quotes to ponder: "Epidemiology has consistently associated infrequent breakfast consumption with increased risk of adiposity, diabetes, and cardiovascular disease. Yet, these findings do not infer causality and, critically, are more physically active." "Our simple question was (when it comes to weight loss), does it help to eat breakfast? And the answer seems to be probably not." "The common conception that breakfast may facilitate weight management by ‘kick-starting metabolism' was not evident at all in our results, resting metabolic rate stable within just 11 calories per day." Episode references: American Journal of Clinical Nutrition (Breakfast & Weight Loss): https://academic.oup.com/ajcn/article/100/2/507/4576520 Vanderbilt Breakfast Study (1992): https://pubmed.ncbi.nlm.nih.gov/1550088/ Bath Breakfast Project: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4049314/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Casual Inference
Optimizing Data Workflows with Emily Riederer | Season 6 Episode 8

Casual Inference

Play Episode Listen Later Jun 26, 2025 52:55


Emily Riederer is a Data Science Senior Manager at Credit Risk Modeling Capital One. Her website can be found here: https://www.emilyriederer.com/   Follow along on Bluesky: Emily: ‪@emilyriederer.bsky.social‬ Ellie: @epiellie.bsky.social Lucy: @lucystats.bsky.social  

Optimal Health Daily - ARCHIVE 1 - Episodes 1-300 ONLY
3027: Is Skipping Breakfast Good for Weight Loss? What the Science Says by Christian Finn of Muscle Evo

Optimal Health Daily - ARCHIVE 1 - Episodes 1-300 ONLY

Play Episode Listen Later Jun 26, 2025 13:38


Discover all of the podcasts in our network, search for specific episodes, get the Optimal Living Daily workbook, and learn more at: OLDPodcast.com. Episode 3027: Christian Finn unpacks the science behind breakfast and weight loss, revealing that skipping breakfast doesn't automatically hinder weight management or help it. Drawing from controlled trials and metabolic research, he highlights that the best approach comes down to personal preference, not outdated nutritional dogma. Read along with the original article(s) here: https://muscleevo.net/skipping-breakfast/ Quotes to ponder: "Epidemiology has consistently associated infrequent breakfast consumption with increased risk of adiposity, diabetes, and cardiovascular disease. Yet, these findings do not infer causality and, critically, are more physically active." "Our simple question was (when it comes to weight loss), does it help to eat breakfast? And the answer seems to be probably not." "The common conception that breakfast may facilitate weight management by ‘kick-starting metabolism' was not evident at all in our results, resting metabolic rate stable within just 11 calories per day." Episode references: American Journal of Clinical Nutrition (Breakfast & Weight Loss): https://academic.oup.com/ajcn/article/100/2/507/4576520 Vanderbilt Breakfast Study (1992): https://pubmed.ncbi.nlm.nih.gov/1550088/ Bath Breakfast Project: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4049314/ Learn more about your ad choices. Visit megaphone.fm/adchoices

KPFA - UpFront
Israel and Trump’s War in Iran; Plus, Corona Calls

KPFA - UpFront

Play Episode Listen Later Jun 23, 2025 59:58


00:08 — Negar Mortazavi is a journalist, political commentator, and host of the Iran Podcast.  00:33 — Art Reingold is the Division Head of Epidemiology and Biostatistics at the UC Berkeley School of Public Health. The post Israel and Trump's War in Iran; Plus, Corona Calls appeared first on KPFA.

The Future of Everything presented by Stanford Engineering

Guest Lisa Goldman Rosas is an authority on public health who says that food insecurity goes deeper than hunger and can lead to chronic diabetes, heart disease, and even anxiety and depression. Rosas champions a concept she calls “nutrition security,” which focuses on food's health value over mere calories. She discusses her work with “Recipe4Health,” an Alameda County-led program that issues produce prescriptions, offers health coaching, and integrates electronic health records to improve diets and well-being. Food is medicine, Rosas tells host Russ Altman on this episode of Stanford Engineering's The Future of Everything podcast.Have a question for Russ? Send it our way in writing or via voice memo, and it might be featured on an upcoming episode. Please introduce yourself, let us know where you're listening from, and share your question. You can send questions to thefutureofeverything@stanford.edu.Episode Reference Links:Stanford Profile: Lisa Goldman RosasRecipe4HealthConnect With Us:Episode Transcripts >>> The Future of Everything WebsiteConnect with Russ >>> Threads / Bluesky / MastodonConnect with School of Engineering >>> Twitter/X / Instagram / LinkedIn / FacebookChapters:(00:00:00) IntroductionRuss Altman introduces Lisa Goldman Rosas, a professor of epidemiology and population health, medicine and pediatrics at Stanford University.(00:03:56) Journey Into Food & HealthLisa's path from environmental science to food security and medicine.(00:05:54) Food Insecurity vs. Nutrition SecurityDistinguishing between food insecurity and nutrition security.(00:07:12) Food Choices Under PressureFactors that contribute to food insecurity in families.(00:09:03) Health Impacts of Food InsecurityLinks between food insecurity, chronic illness and mental health issues.(00:12:04) Government & Policy SupportHow programs like SNAP and WIC support food access.(00:14:15) Food as MedicineA growing movement connecting healthcare with nutrition support.(00:17:34) Trial Periods & Lasting ImpactWhy short-term programs can help families discover healthier habits.(00:21:27) What is Recipe4Health?An outline of a clinic-based produce and behavior prescription program.(00:24:07) When Disease Causes Food InsecurityHow expensive chronic disease can push people into food insecurity.(00:24:23) Medicaid Waivers for Food PrescriptionsThe state level policy shifts that allow food as a reimbursable health expense.(00:26:27) Private Sector's Role in Food InsecurityHow companies are getting involved in promoting healthy foods.(00:27:34) Simple Tips for Eating BetterStrategies to make small but impactful changes for eating healthier.(00:30:39) Conclusion Connect With Us:Episode Transcripts >>> The Future of Everything WebsiteConnect with Russ >>> Threads / Bluesky / MastodonConnect with School of Engineering >>>Twitter/X / Instagram / LinkedIn / Facebook

TechTalk Healthcare
The Weaponized Complexity We Live In w/ guest Katy Talento

TechTalk Healthcare

Play Episode Listen Later Jun 20, 2025 52:05


Join Dr. Jay and Brad as they interview Katy Talento.Katy Talento is an epidemiologist, a naturopath, a veteran health policy advisor and health benefits consultant. She is the founder and CEO of AllBetter Health, an insurgent benefits advisory firm building lower-cost, higher-quality health plans for employers. Prior to starting AllBetter, Katy was the health policy lead in the White House on the Domestic Policy Council where her portfolio included ending secret health care prices, lowering drug prices, expanding health IT interoperability, combating the opioid crisis, protecting conscience rights in health care and promoting bioethics in the life sciences.Katy has appeared on or been published in a number of media outlets, including CNN, CBN, Sky News, Newsmax, EWTN, The New York Times, The Hill, The Morning Consult, FoxNews.com, RealClearPolitics, and others. Prior to her White House appointment, Katy served five U.S. Senators over a 15-year period, including as top health advisor, legislative director and oversight investigator. She also worked in the private sector helping multinational energy companies protect their global workforce from occupational health threats, and served on the research faculty at Georgetown University School of Medicine.Katy spent two years in a Catholic religious order and has worked with vulnerable populations in East Africa, industrial Russia and inner city America. Katy received her undergraduate degree in Sociology from the University of Virginia, her Master of Science in Epidemiology degree from the Harvard School of Public Health and her Naturopathic Doctorate from the Energetic Wellness School of Naturopathy. A mother of two grown children, Katy lives in Leesburg,VA with her husband.To connect with Katy, visit her websites at ahcsm.org or allbetter.health. You can also check out her Facebook, Instagram, X, and LinkedIn @/katytalento. 

Wholistic Matters Podcast Series
The Microbiome's Influence on Whole Body Health & Related Clinical Research

Wholistic Matters Podcast Series

Play Episode Listen Later Jun 19, 2025 55:23


Drs. Daina Parent and Ryan Bradley take a deep dive into the microbiome and it's influence on whole body health, and cover highlights on clinical research focused on gut health. They also touch on soil health and environmental toxins and the impact on the microbiome. Dr. Ryan Bradley is a Naturopathic Physician with a Master's Degree in Public Health and Epidemiology. He is currently a professor and has completed 8 years of clinical research training. He leads research initiatives at the intersection between public health and integrative and complimentary medicine. 2:00 – Dr. Bradley's Journey towards current career and passion for research; his interest in mechanisms of natural products and clinical research; clinical practice was focused on cardiometabolic disease, Diabetes, and more 5:10 – New initiatives after closing clinical practice 5 years ago - now focuses on clinical research / clinical trials; also focuses on Mentorship through National Center for Complimentary and Integrative Health, branch of NIH for Complimentary Medicine 8:30 – Importance of research for clinicians – shifts the way practitioners practice, especially in Complimentary and Integrative Medicine which has a population of clinicians thirsty for evidence of effectiveness of Complimentary and Integrative strategies, philosophy, and frameworks/protocols 11:55 – Historical Knowledge of effectiveness of Naturopathic Medicine, “the science is finally catching up to our practices”; example – gut health, dysbiosis, leaky gut syndrome; “We finally have the scientific tools to explore these concepts in greater detail.” 13:50 – Gut Health and Naturopathic Medicine – trends and changes in gut health practice; general public is paying more attention to their gut health; rapid innovation, especially with probiotics, postbiotics, prebiotics, and fibers; does the science support large doses of probiotics?; Is the practice outpacing the evidence?; What will the future of microbiome research and awareness look like? 20:40 – Gut Health as connected to global effects throughout the whole body – hormonal health, immune health, brain health; effects of environmental factors like air and water quality influence gut health 23:55 – Current research in the gut health space and how it translates into clinical practice 34:32 – NIH Grants for mentorship, gut health, mind-body practices and effects on anxiety, and more 40:40 – Mind Body Medicine and connection to Gut Health 42:15 – Will gut health continue to be at the forefront of medicine and medical research? Personalized probiotics and AI; potential natural GLP-1 agonists; increased public awareness to demand better foods, less environmental toxins in food, water, and air 49:55 – SOIL HEALTH: The hope for the near future: increased public understanding of soil health and connection to gut health and overall well-being; gut health linked to soil health, food quality, and farming practices; everything is interconnected 53:20 – Integrative Health and it's impact on public health

#AutisticAF Out Loud
Doc, You Got Us All Wrong, Pts 1 & 2

#AutisticAF Out Loud

Play Episode Listen Later Jun 19, 2025 30:58


Cold OpenYou wanna pathologize me? Knock yerself out. Faithfully counting every leaf marked "deficit"…But missing the whole damn forest we know locally as "Survival."[Doc? You Got Us All Wrong, Pt 1: Autistic Resilience]IntroYou're listening to AutisticAF Out Loud. One voice. Raw. Real. Fiercely Neurodivergent. Since 1953.Season 5, Episode 5. “Doc? You Got Us All Wrong, Pt 1: Autistic Resilience.”Deficits… or strengths? Survival… or thriving? Pathology… or inborn, natural autistic behavior? We turn the diagnostic telescope around. Let's focus on the forest of resilience behind every leaf labeled "deficit."An experimental multi-part series… all around 10 minutes. Because some neurodivergent listeners like to binge in small bites. Or you can download Part 1 and Part 2 at once… for listeners who crave the whole enchilada in one sitting.Just one autistic elder's truth. I'm Johnny Profane.Content Note: trauma discussion, medical system critique, institutional discrimination, psychiatric hospitalizations, systemic oppression + experiences & opinions of one autistic voice... in my 70s.[Music]What I tell any therapist… any caregiver… first session:I have survived physical and sexual abuse from family and schoolmates.Bullying by teachers and fellow students… 2nd grade through high school.Multiple professional crashes… in multiple careers.At least a dozen firings.2 evictions.1 bankruptcy.Dozens of major household moves.Few friends, and…2 divorces, 3 "living togethers," and a couple of "serious" relationships that, well…, weren't?Ain't this resilience?Resilience. Ya know, that cap-and-gown term pros use for getting knocked down seven times. Stubbornly getting up… eight...I'm still alive. Still creating. Still getting published. Still speaking to thousands of autistics a year.Never attempted suicide... despite three hospitalizations.AND I'm still autistic. Cuz there ain't no cure for something that ain't wrong. Unless you base your "medical model" on some statistical "normal"… which is just a made up story. Cuz not one living person is summed up by a Bell curve normal… not even within a standard deviation.Yes, yes… yes. Some professionals are evolving. Pros who listen more than lecture. But face it. In the grand scheme of things… they're rare.Let's get clear right now, right here. It's not being autistic that creates our trauma. It's living autistic in a society that inflicts trauma on us. Refusing to accept, adapt… support… us.Why do "helping" pros focus on my deficits, my lacks, my pitiful performance of “Activities of Daily Living”…? Like, did I shower today…? No.Rather than the sheer strength of will I demonstrate every time I take my next breath?Why do they offer to fix me,inform me,guide me, andcharge me for sessions,mentoring,workshops,best-selling books,SYSTEMS they've just invented…based on… at best… incomplete research?[Music]You know social media… if you like and share this podcast, a lot more people will check it out. You can do a lot of good with just one click.You wanna pathologize me? Knock yerself out.Turn my every inborn neurodivergent characteristic into a disease. You do have powerful diagnostic tools…But you're looking through that diagnostic telescope backwards. Faithfully counting every leaf marked "deficit"… But missing the whole damn forest that we know locally as "Survival."Like my "failure to maintain eye contact.” A “social deficit.” Right... completely missing how that survival skill lets me process your words… without painful sensory overload. My form of my respect… for you.Go ahead and use professionally, objectively disempowering terms, like "comorbidity"... betraying your bias that my very way of Being is… in your eyes… a disease. And then riff on, elaborate away: "pathological demand avoidance," "obsessive-compulsive disorder," "borderline personality disorder,"And on and on… and on.Truth? Every diagnosis? Just another survival mechanism. Not symptoms of autism. Responses to how society treats autism.Behaviors that kept me alive… in your world. While you obsess over what's "wrong" with me…Or… we could build on my autistic strengths.Look, none of us have all of these. And superpowers don't exist. Some have strengths not listed. But if you aren't looking for them? Likely, you're mis-treating us.* Resilience: Just surviving multiple, severe stressors is a biggie. Every autistic adult you meet has adapted to extreme challenges. Most of us… traumatized. Yet we endure. We integrate. We keep going.* Deep Feeling: Pros call ‘em "mood swings." We call it feeling everything… deeply. Depth that drives our creativity… in science, art, writing, becoming lunatic billionaires… or the cool neighbor next door.. It's not a flaw. It's fuel.* Survival Skills: My life, my continued existence… is my proof. Just as any autistic adult's life is. We've survived devastating life events. With inner strength and coping strategies.These aren't skills most professionals understand… not even some neurodivergent practitioners. Because these skills are linked to how our individual autistic minds work. Which is… in fact… different. Not just from most humans. From each other, too.* Creative Persistence: Every autistic person knows this pull. Our passionate focus on our interests. Grabbing us deeper than hunger. We don't just see details… no matter what TV tells you. We work on wide canvases. We create. We build. We solve. That's strength.* Living with Extremes: My knee surgeon was shocked. "You walked two miles a day on a torn meniscus?" Yes, but… a light touch on my face can trigger panic. That's not contradiction. That's how we survive. We may get sensory warnings earlier than most… Yet we handle what breaks others. Daily.* Hidden Adaptability: Look at my life changes—jobs, homes, relationships. Society labels us as "rigid." Truth is, we adapt constantly. We got no choice. Yet we persevere. We keep doing. That's not weakness. That's strength.* Processing Power: We take in everything. Process it deeply. Yet live through emotional and sensory experiences that would derail most people. We keep going. Keep growing. That's not dysfunction. That's determination. Coming directly from… not despite… our neurodivergent cognition.* Spectrum of Strength: Maybe resilience is a spectrum, too. And some of us autistics crank it up past 11. Not weakness from disability. Strength from difference. Turning autistic stereotypes upside down. Yet again.[Music]Just a quickie… this is Part 1 of “Doc? You Got Autism All Wrong?” Why not binge the next part? Or download the long-form version with both parts? Link in transcript.Challenging Normal-izing ModelsMy story? Just one among thousands. Millions.I've worked as a magazine publisher. Functioned as an academic grad student… multiple times. And been homeless… multiple times. I've been privileged to hear many, many similar stories over the decades. At all levels of society, education, age.These stories all share one truth: Autistic traits are not inherently deficits. They can be hidden sources of strength and resilience. In the right environment. In the right community.Take one example: Pathological Demand Avoidance (PDA). What pros like to label our natural, neurodivergent response to external demands like deadlines. I meet the diagnostic criteria. Always have. But in my opinion, they bulldoze right over my inborn need for autonomy. Leading too often to trauma. PDA… seems to me… a dehumanizing slur. For the nature I was born with.Yet many neurodivergents find comfort and support diagnosed as PDA. In the acknowledgment of our differences the diagnosis does offer. I don't wish to negate their experience. And I'm not arguing neurodivergents do NOT have needs for autonomy. Or that we don't suffer due to these differences. At the hands of Straight Culture.My point: Sensory and social differences are NOT pathologies.It's like dogs noticing that cats are more hyper than canines...So to "help" ‘em, pro dogs decide to forcibly train or torture every cat. To steamroll them into converting to “Dog Normal.”We are human… autistic humans.We need what all humans need: To build on our strengths. To find our nurturing environments. To choose our supportive communities.We just accomplish these things... differently.Look, I'm fighting the whole Normative Narrative. Which demands any difference MUST be "cured." Or at least fixed.And I'm not keen on neurodivergent-based attempts to bandaid the problem. By simply defining a new normal for autistics and other neurodivergents. Just another standard we may fail to live up to.Frankly, I'm calling for a strengths-based, non-normative psychology for all neurodivergents. A theme I develop in this series and future podcasts. How we might replace CBT and similar treatments with more neurodivergent-centered alternatives.So where do we start this revolution?Doc, Stop. Look again…At the big picture this time. See those brilliant sparks of unusual strength? Far more powerful than your "deficits."Reality check: Up to now, you've just been documenting how modern consumer culture fails our neurology. In the office. In our schools. In shopping at freaking Walmart for fuck's sake.Anywhere we're forced to process too much sensory input. Or pretend to read invisible social cues. Pretend we're you… without rest or accommodation.Let's explore a new direction. Simply put?Doc… stop looking through your telescope backwards. Look at us. Right in front of your eyes._____References & Further ReadingNeither exhaustive nor comprehensive. Articles that made me think.* The high prevalence of trauma and adverse experiences among autistic individuals* PTSD and Autism* Trauma and Autism: Research and Resources* How to build resiliency in autistic individuals: an implication to advance mental health* Association Between Autism and PTSD Among Adult Psychiatric Outpatients* The relationship between autism and resilience* Building Resilience – An Important Life Skill* Understanding Resilience in Neurodivergent Adults* Autistic Resilience: Overcoming Adversity Through Self-Care and Strengths* The criticism of deficit-based models of autism* Moving Beyond Deficit-Based Models of Autism* Strengths-First Assessment in Autism* The reality of autistic strengths and capabilities* 6 Strengths (not Weaknesses) of Individuals with Autism* Autism as a Strength* Neurodiversity as a Competitive AdvantageNote: Links are provided for reference only. Views expressed may differ from my own experiences and observations. Sources affiliated with Autism Speaks are controversial in the neurodiversity community. Their research may be included for completeness. But perhaps be cautious.Doc, You Got Us All Wrong, Pt 2: CBT...? Never Worked for Autistic MeCold OpenCBT…? Never worked for autistic me.So, look, we KNOW masking doesn't work. Or FEAR. Or PAIN. We're dying from them already.That's all the words we need.[Music]IntroYou're listening to AutisticAF Out Loud. One voice. Raw. Real. Fiercely Neurodivergent. Since 1953.Season 5, Episode 6. “Doc? You Got Us All Wrong, Pt 2: CBT…? Never Worked for Autistic Me.”Abelist agendas. Bad research subjects. Bad data. Bad therapy.There's the whole story.An experimental multi-part series… around 10 minutes each. Cuz some autistic listeners tell me they like to binge in small bites. Others say they listen in the car… so you can also download the complete series as one file.Just one autistic elder's truth. I'm Johnny Profane.Content Note: trauma discussion, medical system critique, institutional discrimination, psychiatric hospitalizations, systemic oppression + experiences & opinions of one autistic voice... in my 70s.[Music]I've been struggling with an article on CBT & Autism for years.Sigh. Spoons. A lot of reading. A lot of thinking…To come to my opinion… my thesis…that any therapy based on purely cognitive techniques… even if pros throw on some Behavioral rubber-band-snapping special sauce on the side…?It's inherently ableist… attacking the very way our autistic brains are wired. Demanding abilities many neurodivergents just weren't born with.Here's a snapshot. A quick personal story from when autistic-as-fuck me turned for help…“I'm sorry… What did you just say?”“I said…” He looked nervous. “I said… I always recommend aversive therapy for my autistic kids. My clients.”Me. In a dead-cold voice. “Snapping a rubber band.”“Y-e-s-s.” He seemed torn. Was I gonna get positive reinforcement… Or that weird, hostile, defensiveness professionals get. When you ask questions.Into that hesitant silence, I say, “Snap it hard. Hard as they can. Against their wrist.”“Yes. The sting is important.” Now, he's eager to share. “When they repeat the aversive stimulus, they…”Again I interrupt with my ashen, Clint-Eastwood voice. “During a meltdown.”“Well… actually… just before.” He's beaming, proud. “They learn to snap the band at the earliest hint they'll lose control. It's operant conditioning.”A kid having a meltdown on Aisle 3. Likely overwhelmed by sensory overload.Let's just add a little sharp pain… and see what happens…As if by giving it some science-y name… it's not self-inflicted torture.Brief CBT BackgroundCognitive Behavioral Therapy emerged in the 60s. A kind of forced marriage. Between Beck's cognitive therapy… focused on internal thoughts. And Skinner's behavioral therapy… focused on observable behavior. Both developed studying neurotypical minds.Change your thoughts, change your feelings, change your behavior… change your life. Simple, right?Unless your brain doesn't work that way…Sometimes…? Research… Ain't.How could COGNITIVE Behavioral Therapy not be inappropriate for autistics?Research Problem #1. It's based on studying neurotypical populations. But we autistics think differently by definition.Problem #2? For the foundational studies, CBT researchers used white, university student subjects… for the most part. They're easy and cheap to find. But maybe 3% are autistic? Maybe? ALL with decent IQs and functioning student skills… even the few autistic subjects?And Problem #3 is a doozy. Many autistics survive by people-pleasing. Kids and grownups. We're likely to mask our true experiences to appear "better"... or please therapists. Plus we may have trouble perceiving and communicating our own experience. Self-reported data might not reflect our reality.,Then there's one that's rarely discussed. Problem #4… the "waitlist relief effect." Most neurodivergent folks endure months or years waiting for therapy, suffering intensely. When we finally get accepted into therapy? There's overwhelming relief… elevating our mood and behavior. Which distorts everything a therapist will hear.We may dial up our masking. Cuz we're scared shitless we'll lose this lifeline.Meanwhile, researchers publish, buff their nails…. and attribute any self-reported improvement as proof their technique works.,The Cognitive Part…? A Stopper.Substitute "executive functioning" for "cognitive." As in the thing they say is largely missing from my autistic forebrain.The entire technique? One cognitive process after another.. First you must notice. Then you must reflect.Then decide.Then review.Then judge context.Then review…Finally… Act.Then regret.Let that sink in. All of cognitive therapy is about monitoring individual thoughts for "cognitive errors." Then replacing them with correct ones.Hundreds of decisions, distinctions, social cue processings. Executive functioning. A process that NEVER became automatic for me. As clinician after clinician cheerfully reassured me it would.Many autistic individuals have memory differences. Working memory differences that make it nearly impossible to hold the kind of information cognitive work requires. Much less manipulate it on the fly…Now… About Behavior.Now, the "Behavioral" part of CBT? The Skinnerian special sauce?Rewards… and punishments… for the action you choose. Hoping you'll build automatic, correct responses.Basically rat training. If you shock me enough times. Sure. I won't go through that door. AND I will struggle mightily to only have an internal stroke... rather than an external meltdown.But the researcher... or teacher... gets to check the box, "Cured." Cuz we're no longer a nuisance to them. And we continue to quietly die. Invisibly. Politely...Inside.That kind of aversion... to fear or pain? True for every living thing at an evolutionary level above a paramecium.Like rats. Or kids. Cuz... FEAR works. PAIN works. Just not the way they think.These Practical Implementation Failures…Should sound pretty familiar. To autistic folks. Keenly aware of the nightmare effort Autistic Masking demands around Straight Society.So, look, we know masking doesn't work. Or fear. Or PAIN. We're dying from them already.That's all the words we need.Add to this our difficulty forming new habits, maintaining routines, and processing cognitive information differently. Under stress… which therapy itself can induce… we often revert to previous behaviors. Any “improvements” from “techniques”? Not bloody likely they're ingrained as permanent muscle memory.Requiring frequent refresher sessions to maintain the illusion of change… and progress.As one commenter wrote: "To me, CBT has always felt inherently surface-level. It's like closing a few tabs on your browser as opposed to doing a factory reset."Biggest problem of all? Neurodivergent Diversity.Autistic, ADHD, AuDHD, dyslexic, dyspraxic… all different cognitive profiles.Sure, we're all different from the typical population. But an autistic who also experiences ADHD thinks and acts differently than a dyslexic one. At least to my trained observation. I was a mental health social worker for 10 years…Despite these complexities… Maybe because it is complex… It seems to me that CBT treats us all as if we're standard-model humans. With a few bugs to fix.We require GENERATIONAL studies of representative populations to sort this spaghetti pile out. Before we should be recommending these techniques.On living humans. Adults. And especially kids.ABA and Its Relatives: An Even Deeper Hole.Applied Behavioral Analysis (ABA) deserves special mention. It's the behavioral therapy most parents hear about in grammar schools.What most don't know? ABA shares roots with debunked, torturous gay Conversion Therapy. Outlawed in many states. Both were developed by O. Ivar Lovaas in the 60s.Both aim to eliminate "undesirable" behaviors. Using “aversive” techniques. From snapping rubber bands in the nice clinics. To cattle prods in the not-so-nice facilities.Punishing and suppressing behaviors that are natural to our nervous systems. Behaviors that protect us from a society not built for us.ABA may have volumes of "data." But it's all shaped by behaviors researchers and parents want, not what autistic children or adults need. The outcomes measured? Eye contact. Sitting still. Verbal responses. Not internal autistic wellbeing.It's important to understand one simple point. Data is not science.How you frame your research or experiment How you gather your data How you choose how many subjects and whom When you choose to gather data How you interpret your data How you present your dataAll impact its validity and value. ABA and all its camouflaged cousins fall down on this core scientific truth.Bottom line? When former ABA children grow up, many report trauma. PTSD. Anxiety. Depression. Self-harm.ConclusionFuck #ABA. Fuck #CBT.Everybody in the therapeutic-industrial complex from clinic receptionist to billionaire pharmaceutical CEO makes money. From your kid's pain. Caused by treatments that don't address neurodivergent needs. As far as I… and better-known neurodiversity-affirming authorities… can tell.Strong words? Yes. Because minds… and lives… are at stake.We need therapies that work WITH our neurology, not against it. That build on our strengths instead of calling us coolly, professionally, pathologizing names.In Part 3, we'll really bring this all home. How labeling our intrinsic differences as disease is about as anti-therapeutic as you can get.We'll explore "PDA… Not Every Difference Is a Disease." And really raise a ruckus.OutroFor your deeper diving pleasure, the transcript contains references and footnotes for most points I raise. From a variety of views.Hey, don't forget, you can download Part 1, “Autistic Resilience.” Or download both parts as one file.More coming in this series exploring how neurodivergent folks can build sustainable, authentic lives… with or without professional intervention. With 2 more parts coming…AutisticAF Out Loud podcast is supported solely by listeners like you. If you have a friend or family member touched by neurodiversity? Why not turn them on to us with a quick email?By the way, we believe no one should have to pay to be autistic. Many neurodivergent people can't afford subscription content.Your Ko-Fi tip of any amount helps keep this resource free for them. Or join our paid subscriber community at johnnyprofaneknapp.substack.com for ongoing support. I put both links in description.References & Further Reading1: Ableist: Discriminating against people with disabilities by assuming everyone's mind and body work the same way. Like designing a world only for the "standard model human" and then blaming us when we can't navigate it.2: Operant conditioning: A learning process in which behavior is shaped by rewards or punishments.3: Beck, A. T. (1979). Cognitive therapy and the emotional disorders. Penguin.4: Bottema-Beutel, K., & Crowley, S. (2021). Pervasive Undisclosed Conflicts of Interest in Applied Behavior Analysis Autism Literature. Frontiers in Psychology, 12.5: Cage, E., Di Monaco, J., & Newell, V. (2018). Experiences of Autism Acceptance and Mental Health in Autistic Adults. Journal of Autism and Developmental Disorders, 48(2), 473-484.6: Masking: The act of concealing one's autistic traits to fit in or avoid negative attention.7: Meta-analyses show that waitlist control groups often overestimate the effect sizes of psychotherapies for depression and anxiety, and that changes occurring during waitlist periods are typically small, making waitlist-controlled trials a less strict test of effectiveness.Cuijpers, P., Karyotaki, E., Reijnders, M., Purgato, M., de Wit, L., Ebert, D. D., ... & Furukawa, T. A. (2024). Overestimation of the effect sizes of psychotherapies for depression in waitlist-controlled trials: a meta-analytic comparison with usual care controlled trials. Epidemiology and Psychiatric Sciences, 33, e10.8: Patterson, B., Boyle, M. H., Kivlenieks, M., & Van Ameringen, M. (2016). The use of waitlists as control conditions in anxiety disorders research. Journal of Anxiety Disorders, 41, 56-64.9: Boucher, J., Mayes, A., & Bigham, S. (2012). Memory in autistic spectrum disorder. Psychological Bulletin, 138(3), 458-496.10: Happé, F., & Frith, U. (2006). The weak coherence account: detail-focused cognitive style in autism spectrum disorders. Journal of Autism and Developmental Disorders, 36(1), 5-25.11: Rekers, G. A., & Lovaas, O. I. (1974). Behavioral treatment of deviant sex-role behaviors in a male child. Journal of Applied Behavior Analysis, 7(2), 173–190.See also: El Dewar (2024), "ABA: The Neuro-Normative Conversion Therapy," NDConnection; and the Lovaas Institute's 2024 statement regarding conversion therapy.12: Sandoval-Norton, A. H., & Shkedy, G. (2019). How much compliance is too much compliance: Is long-term ABA therapy abuse? Cogent Psychology, 6(1).13: McGill, O., & Robinson, A. (2020). "Recalling hidden harms": Autistic experiences of childhood Applied Behavioral Analysis (ABA). Advances in Autism, ahead-of-print.14: Xie, Y., Zhang, Y., Li, Y., et al. (2021). Cognitive Behavioral Therapy for Autism Spectrum Disorders: A Systematic Review. Pediatrics, 147(5), e2020049880.81015: Weston, L., Hodgekins, J., & Langdon, P. E. (2016). Effectiveness of cognitive behavioural therapy with people who have autistic spectrum disorders: A systematic review and meta-analysis. Clinical Psychology Review, 49, 41-54.16: Miguel, C., Harrer, M., Cuijpers, P., et al. (2025). Self-reports vs clinician ratings of efficacies of psychotherapies for depression: a meta-analysis. Epidemiology and Psychiatric Sciences, 34, e9.Note: Links are provided for reference only. Views expressed may differ from my own experiences and observations. Sources affiliated with Autism Speaks are controversial in the neurodiversity community. Their research may be included for completeness. But perhaps be cautious.#AutisticAF Out Loud Newsletter is a reader-supported publication. Click below to receive new posts… free. To support my work, consider becoming a paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit johnnyprofaneknapp.substack.com/subscribe

#AutisticAF Out Loud
Doc, You Got Us All Wrong, Pt 2: CBT...? Never Worked for Autistic Me

#AutisticAF Out Loud

Play Episode Listen Later Jun 19, 2025 15:52


Cold OpenCBT…? Never worked for autistic me.So, look, we KNOW masking doesn't work. Or FEAR. Or PAIN. We're dying from them already.That's all the words we need.[Music]IntroYou're listening to AutisticAF Out Loud. One voice. Raw. Real. Fiercely Neurodivergent. Since 1953.Season 5, Episode 6. “Doc? You Got Us All Wrong, Pt 2: CBT…? Never Worked for Autistic Me.”Abelist agendas. Bad research subjects. Bad data. Bad therapy.There's the whole story.An experimental multi-part series… around 10 minutes each. Cuz some autistic listeners tell me they like to binge in small bites. Others say they listen in the car… so you can also download the complete series as one file.Just one autistic elder's truth. I'm Johnny Profane.Content Note: trauma discussion, medical system critique, institutional discrimination, psychiatric hospitalizations, systemic oppression + experiences & opinions of one autistic voice... in my 70s.[Music]I've been struggling with an article on CBT & Autism for years.Sigh. Spoons. A lot of reading. A lot of thinking…To come to my opinion… my thesis…that any therapy based on purely cognitive techniques… even if pros throw on some Behavioral rubber-band-snapping special sauce on the side…?It's inherently ableist… attacking the very way our autistic brains are wired. Demanding abilities many neurodivergents just weren't born with.Here's a snapshot. A quick personal story from when autistic-as-fuck me turned for help…“I'm sorry… What did you just say?”“I said…” He looked nervous. “I said… I always recommend aversive therapy for my autistic kids. My clients.”Me. In a dead-cold voice. “Snapping a rubber band.”“Y-e-s-s.” He seemed torn. Was I gonna get positive reinforcement… Or that weird, hostile, defensiveness professionals get. When you ask questions.Into that hesitant silence, I say, “Snap it hard. Hard as they can. Against their wrist.”“Yes. The sting is important.” Now, he's eager to share. “When they repeat the aversive stimulus, they…”Again I interrupt with my ashen, Clint-Eastwood voice. “During a meltdown.”“Well… actually… just before.” He's beaming, proud. “They learn to snap the band at the earliest hint they'll lose control. It's operant conditioning.”A kid having a meltdown on Aisle 3. Likely overwhelmed by sensory overload.Let's just add a little sharp pain… and see what happens…As if by giving it some science-y name… it's not self-inflicted torture.Brief CBT BackgroundCognitive Behavioral Therapy emerged in the 60s. A kind of forced marriage. Between Beck's cognitive therapy… focused on internal thoughts. And Skinner's behavioral therapy… focused on observable behavior. Both developed studying neurotypical minds.Change your thoughts, change your feelings, change your behavior… change your life. Simple, right?Unless your brain doesn't work that way…Sometimes…? Research… Ain't.How could COGNITIVE Behavioral Therapy not be inappropriate for autistics?Research Problem #1. It's based on studying neurotypical populations. But we autistics think differently by definition.Problem #2? For the foundational studies, CBT researchers used white, university student subjects… for the most part. They're easy and cheap to find. But maybe 3% are autistic? Maybe? ALL with decent IQs and functioning student skills… even the few autistic subjects?And Problem #3 is a doozy. Many autistics survive by people-pleasing. Kids and grownups. We're likely to mask our true experiences to appear "better"... or please therapists. Plus we may have trouble perceiving and communicating our own experience. Self-reported data might not reflect our reality.,Then there's one that's rarely discussed. Problem #4… the "waitlist relief effect." Most neurodivergent folks endure months or years waiting for therapy, suffering intensely. When we finally get accepted into therapy? There's overwhelming relief… elevating our mood and behavior. Which distorts everything a therapist will hear.We may dial up our masking. Cuz we're scared shitless we'll lose this lifeline.Meanwhile, researchers publish, buff their nails…. and attribute any self-reported improvement as proof their technique works.The Cognitive Part…? A Stopper.Substitute "executive functioning" for "cognitive." As in the thing they say is largely missing from my autistic forebrain.The entire technique? One cognitive process after another.. First you must notice. Then you must reflect.Then decide.Then review.Then judge context.Then review…Finally… Act.Then regret.Let that sink in. All of cognitive therapy is about monitoring individual thoughts for "cognitive errors." Then replacing them with correct ones.Hundreds of decisions, distinctions, social cue processings. Executive functioning. A process that NEVER became automatic for me. As clinician after clinician cheerfully reassured me it would.Many autistic individuals have memory differences. Working memory differences that make it nearly impossible to hold the kind of information cognitive work requires. Much less manipulate it on the fly…Now… About Behavior.Now, the "Behavioral" part of CBT? The Skinnerian special sauce?Rewards… and punishments… for the action you choose. Hoping you'll build automatic, correct responses.Basically rat training. If you shock me enough times. Sure. I won't go through that door. AND I will struggle mightily to only have an internal stroke... rather than an external meltdown.But the researcher... or teacher... gets to check the box, "Cured." Cuz we're no longer a nuisance to them. And we continue to quietly die. Invisibly. Politely...Inside.That kind of aversion... to fear or pain? True for every living thing at an evolutionary level above a paramecium.Like rats. Or kids. Cuz... FEAR works. PAIN works. Just not the way they think.These Practical Implementation Failures…Should sound pretty familiar. To autistic folks. Keenly aware of the nightmare effort Autistic Masking demands around Straight Society.So, look, we know masking doesn't work. Or fear. Or PAIN. We're dying from them already.That's all the words we need.Add to this our difficulty forming new habits, maintaining routines, and processing cognitive information differently. Under stress… which therapy itself can induce… we often revert to previous behaviors. Any “improvements” from “techniques”? Not bloody likely they're ingrained as permanent muscle memory.Requiring frequent refresher sessions to maintain the illusion of change… and progress.As one commenter wrote: "To me, CBT has always felt inherently surface-level. It's like closing a few tabs on your browser as opposed to doing a factory reset."Biggest problem of all? Neurodivergent Diversity.Autistic, ADHD, AuDHD, dyslexic, dyspraxic… all different cognitive profiles.Sure, we're all different from the typical population. But an autistic who also experiences ADHD thinks and acts differently than a dyslexic one. At least to my trained observation. I was a mental health social worker for 10 years…Despite these complexities… Maybe because it is complex… It seems to me that CBT treats us all as if we're standard-model humans. With a few bugs to fix.We require GENERATIONAL studies of representative populations to sort this spaghetti pile out. Before we should be recommending these techniques.On living humans. Adults. And especially kids.ABA and Its Relatives: An Even Deeper Hole.Applied Behavioral Analysis (ABA) deserves special mention. It's the behavioral therapy most parents hear about in grammar schools.What most don't know? ABA shares roots with debunked, torturous gay Conversion Therapy. Outlawed in many states. Both were developed by O. Ivar Lovaas in the 60s.Both aim to eliminate "undesirable" behaviors. Using “aversive” techniques. From snapping rubber bands in the nice clinics. To cattle prods in the not-so-nice facilities.Punishing and suppressing behaviors that are natural to our nervous systems. Behaviors that protect us from a society not built for us.ABA may have volumes of "data." But it's all shaped by behaviors researchers and parents want, not what autistic children or adults need. The outcomes measured? Eye contact. Sitting still. Verbal responses. Not internal autistic wellbeing.It's important to understand one simple point. Data is not science.How you frame your research or experiment How you gather your data How you choose how many subjects and whom When you choose to gather data How you interpret your data How you present your dataAll impact its validity and value. ABA and all its camouflaged cousins fall down on this core scientific truth.Bottom line? When former ABA children grow up, many report trauma. PTSD. Anxiety. Depression. Self-harm.ConclusionFuck #ABA. Fuck #CBT.Everybody in the therapeutic-industrial complex from clinic receptionist to billionaire pharmaceutical CEO makes money. From your kid's pain. Caused by treatments that don't address neurodivergent needs. As far as I… and better-known neurodiversity-affirming authorities… can tell.Strong words? Yes. Because minds… and lives… are at stake.We need therapies that work WITH our neurology, not against it. That build on our strengths instead of calling us coolly, professionally, pathologizing names.In Part 3, we'll really bring this all home. How labeling our intrinsic differences as disease is about as anti-therapeutic as you can get.We'll explore "PDA… Not Every Difference Is a Disease." And really raise a ruckus.OutroFor your deeper diving pleasure, the transcript contains references and footnotes for most points I raise. From a variety of views.Hey, don't forget, you can download Part 1, “Autistic Resilience.” Or download both parts as one file.More coming in this series exploring how neurodivergent folks can build sustainable, authentic lives… with or without professional intervention. With 2 more parts coming…AutisticAF Out Loud podcast is supported solely by listeners like you. If you have a friend or family member touched by neurodiversity? Why not turn them on to us with a quick email?By the way, we believe no one should have to pay to be autistic. Many neurodivergent people can't afford subscription content.Your Ko-Fi tip of any amount helps keep this resource free for them. Or join our paid subscriber community at johnnyprofaneknapp.substack.com for ongoing support. I put both links in description.References & Further Reading1: Ableist: Discriminating against people with disabilities by assuming everyone's mind and body work the same way. Like designing a world only for the "standard model human" and then blaming us when we can't navigate it.2: Operant conditioning: A learning process in which behavior is shaped by rewards or punishments.3: Beck, A. T. (1979). Cognitive therapy and the emotional disorders. Penguin.4: Bottema-Beutel, K., & Crowley, S. (2021). Pervasive Undisclosed Conflicts of Interest in Applied Behavior Analysis Autism Literature. Frontiers in Psychology, 12.5: Cage, E., Di Monaco, J., & Newell, V. (2018). Experiences of Autism Acceptance and Mental Health in Autistic Adults. Journal of Autism and Developmental Disorders, 48(2), 473-484.6: Masking: The act of concealing one's autistic traits to fit in or avoid negative attention.7: Meta-analyses show that waitlist control groups often overestimate the effect sizes of psychotherapies for depression and anxiety, and that changes occurring during waitlist periods are typically small, making waitlist-controlled trials a less strict test of effectiveness.Cuijpers, P., Karyotaki, E., Reijnders, M., Purgato, M., de Wit, L., Ebert, D. D., ... & Furukawa, T. A. (2024). Overestimation of the effect sizes of psychotherapies for depression in waitlist-controlled trials: a meta-analytic comparison with usual care controlled trials. Epidemiology and Psychiatric Sciences, 33, e10.8: Patterson, B., Boyle, M. H., Kivlenieks, M., & Van Ameringen, M. (2016). The use of waitlists as control conditions in anxiety disorders research. Journal of Anxiety Disorders, 41, 56-64.9: Boucher, J., Mayes, A., & Bigham, S. (2012). Memory in autistic spectrum disorder. Psychological Bulletin, 138(3), 458-496.10: Happé, F., & Frith, U. (2006). The weak coherence account: detail-focused cognitive style in autism spectrum disorders. Journal of Autism and Developmental Disorders, 36(1), 5-25.11: Rekers, G. A., & Lovaas, O. I. (1974). Behavioral treatment of deviant sex-role behaviors in a male child. Journal of Applied Behavior Analysis, 7(2), 173–190.See also: El Dewar (2024), "ABA: The Neuro-Normative Conversion Therapy," NDConnection; and the Lovaas Institute's 2024 statement regarding conversion therapy.12: Sandoval-Norton, A. H., & Shkedy, G. (2019). How much compliance is too much compliance: Is long-term ABA therapy abuse? Cogent Psychology, 6(1).13: McGill, O., & Robinson, A. (2020). "Recalling hidden harms": Autistic experiences of childhood Applied Behavioral Analysis (ABA). Advances in Autism, ahead-of-print.14: Xie, Y., Zhang, Y., Li, Y., et al. (2021). Cognitive Behavioral Therapy for Autism Spectrum Disorders: A Systematic Review. Pediatrics, 147(5), e2020049880.81015: Weston, L., Hodgekins, J., & Langdon, P. E. (2016). Effectiveness of cognitive behavioural therapy with people who have autistic spectrum disorders: A systematic review and meta-analysis. Clinical Psychology Review, 49, 41-54.16: Miguel, C., Harrer, M., Cuijpers, P., et al. (2025). Self-reports vs clinician ratings of efficacies of psychotherapies for depression: a meta-analysis. Epidemiology and Psychiatric Sciences, 34, e9.Note: Links are provided for reference only. Views expressed may differ from my own experiences and observations. Sources affiliated with Autism Speaks are controversial in the neurodiversity community. Their research may be included for completeness. But perhaps be cautious.Binge on the most authentic autistic voice in podcasting.7 decades of raw truth, real insights, zero yadayada.#AutisticAF Out Loud Newsletter is a reader-supported publication. Click below to receive new posts… free. Tosupport my work, consider becoming a paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit johnnyprofaneknapp.substack.com/subscribe

Brian Lehrer: A Daily Politics Podcast
Stories of People Affected By Halting Historic AIDS Program

Brian Lehrer: A Daily Politics Podcast

Play Episode Listen Later Jun 17, 2025 21:18


Nations that once relied on USAID funding to combat the spread of HIV and AIDS have been impacted by President Trump's cuts to the program. On Today's Show:Jon Cohen, senior correspondent with Science, reports on how countries that suffer high rates of HIV/AIDS are coping now that USAID funding has dried up, and how local governments, especially in places like Lesotho, are attempting to figure out solutions. Plus, Wafaa El-Sadr, MD, director of ICAP at Columbia University, professor of epidemiology and medicine at Columbia Mailman School of Public Health, executive vice president of Columbia Global, and lead of the New York City Preparedness & Response Institute, discusses ICAP's HIV/AIDS treatment under the Trump administration.

Casual Inference
Combining Data & Making Effects Generalizable with Carly Brantner | Season 6 Episode 7

Casual Inference

Play Episode Listen Later Jun 17, 2025 52:05


Carly Brantner is an assistant professor of Biostatistics & Bioinformatics at Duke University and Duke Clinical Research Institute. Resources from this episode: multicate: R package for estimating conditional average treatment effects across one or more studies using machine learning methods PCORnet® Front Door: Access point for potential investigators, patient groups, and other stakeholders to connect with PCORnet and get support for potential research studies Patient-Centered Outcomes Data Repository (PDOCR): De-identified data from 24 (and counting) PCORI-funded studies Follow along on Bluesky: Carly: @carlybrantner.bsky.social Ellie: @epiellie.bsky.social Lucy: @lucystats.bsky.social  

JACC Speciality Journals
Postural Orthostatic Tachycardia Syndrome and Orthostatic Hypotension Following Hematopoietic Stem Cell Transplantation | JACC: CardioOncology

JACC Speciality Journals

Play Episode Listen Later Jun 17, 2025 3:43


Dr. Baliga's Internal Medicine Podcasts
Beyond the Blockage: Arrhythmias, Aging, and Aortic Storms ⏳⚡

Dr. Baliga's Internal Medicine Podcasts

Play Episode Listen Later Jun 15, 2025 2:45


Radically Genuine Podcast
187. Vaccine Safety Epidemiologist Exposes Truth Behind Vaccine Safety Trials

Radically Genuine Podcast

Play Episode Listen Later Jun 12, 2025 130:07


Vaccines have become one of the most polarizing topics in public health, and frankly, for valid reasons. What we've witnessed over the past few years is an unprecedented breakdown in trust between medical institutions and the public - and that didn't happen in a vacuum.What is the truth about Vaccine Safety and Efficacy? Dr. Roger McFillin sits down with vaccine safety epidemiologist Allison Krug to expose the hidden forces shaping public health, from vaccine safety to the weaponization of fear. They dive deep into the failures of placebo-controlled trials, the truth about natural immunity vs. vaccine-induced immunity, and why good evidence is harder to find than you think. Allison shares what she learned working inside the pharmaceutical industry and reveals how mindset, belief systems, and disconnection from nature and spirituality are fueling today's chronic illness crisis. If you've ever questioned mainstream medicine or want to reclaim your health and autonomy, this conversation will change how you see the world.00:00 Introduction00:05:32 The Danger of Outsourcing Health to "Experts"00:20:45 Mindset, Pain, and the Illusion of Powerlessness00:42:49 Consciousness and the Healing Power Within01:05:32 Germ Theory, Genetics, and the Loss of Agency01:15:47 Awakening to Frequencies: A Spiritual Revolution01:22:23 Dark Spiritual Forces and the Battle for Consciousness01:31:27 How Public Schools Crush Creativity and Independence01:49:05 Medical Paradigm Flaws: What They're Not Telling You01:55:40 Spiritual Emptiness: The Hidden Cost of Modern Culture02:00:12 Radical Responsibility and the Return to Divine LoveAllision Krug WebsiteAllision Krug on XAllison Krug on Megyn Kelly COVID-19 vaccine boosters for young adults: a risk benefit assessment and ethical analysis of mandate policies at universities  Dr. Roger McFillin / Radically Genuine WebsiteYouTube @RadicallyGenuineDr. Roger McFillin (@DrMcFillin) / XSubstack | Radically Genuine | Dr. Roger McFillinInstagram @radicallygenuineContact Radically GenuineConscious Clinician CollectivePLEASE SUPPORT OUR PARTNERS15% Off Pure Spectrum CBD (Code: RadicallyGenuine)10% off Lovetuner click here

The EMJ Podcast: Insights For Healthcare Professionals
Breaking Barriers in Lung Cancer: Leveraging AI and Big Data in Clinical Care

The EMJ Podcast: Insights For Healthcare Professionals

Play Episode Listen Later Jun 12, 2025 56:20


In this second episode of our lung cancer miniseries, Jonathan Sackier is joined by David Baldwin, a leading expert in screening, epidemiology, and policy. Baldwin reflects on national screening programmes, groundbreaking trials, and how AI, big data, and evidence-based guidelines are reshaping lung cancer care. Timestamps: 00:00 – Introduction 03:17 – Key takeaways from the UKLS trial 11:10 – Boosting participation in screening studies 17:04 – The Targeted Lung Health Check programme 23:30 – Understanding large datasets in lung cancer epidemiology 32:44 – AI and big data in lung cancer imaging 41:43 – Shaping national guidelines 47:47 – Are we doing enough to prevent lung cancer? 53:06 – Baldwin's three wishes for healthcare

Brian Lehrer: A Daily Politics Podcast
RFK Jr. Fires Entire Vaccine Advisory Committee: Now What?

Brian Lehrer: A Daily Politics Podcast

Play Episode Listen Later Jun 11, 2025 19:14


The U.S. Health Secretary, RFK Jr., announced he was dismissing all the members of the CDC's vaccine advisory committee.On Today's Show:Katelyn Jetelina, founder and author of the newsletter Your Local Epidemiologist, talks about what RFK Jr. says are his goals, and what the consequences might be.

ID:IOTS
111. An Exasperating Expansion on Endocarditis, Part 1

ID:IOTS

Play Episode Listen Later Jun 11, 2025 38:36 Transcription Available


In this episode, Callum and Jame discuss the latest evidence base for endocarditis assessment & management, focusing on the ESC 2023 guidance. Epidemiology! Prophylaxis! How to take a blood culture! A long and complicated comparison of the Duke-ISCVID and Duke-ESC criteria that doesn't really matter because they're both as good as each other! AND MORE…in part 2 because this is a 2-parter sorry SEE YOU NEXT TIME! Show notes for this episode here: https://idiots.notion.site/111-112-Endocarditis-2023-Update-3594d55559314434a3b87d4c30ec41f3 Send us a text Support the showQuestions, comments, suggestions to idiotspodcasting@gmail.com or on Bluesky @idiots-pod.bsky.socialPrep notes for completed episodes can be found here (Not all episodes have prep notes).If you are enjoying the podcast please leave a review on your preferred podcast app!Feel like giving back? Donations of caffeine gratefully received!https://www.buymeacoffee.com/idiotspod

The Lab Report
Alpha-gal Syndrome: Tick-borne Meat Allergy?

The Lab Report

Play Episode Listen Later Jun 10, 2025 23:28


As we enter the summer season, many of us will spend countless hours outdoors. We often discuss tick awareness and tick-borne illness, but one tick in particular is getting a lot of press these days. In case you needed another reason to be mindful of ticks, today we discuss Alpha-gal Syndrome. In today’s episode we explore the science behind alpha-gal syndrome – a rare and serious allergy to red meat and other mammal products triggered by a bite from the Lone Star Tick. Tune in to learn how to recognize symptoms and why this syndrome is spreading across many regions and many countries. Today on The Lab Report: 3:30 What is Alpha-gal Syndrome? 6:30 Delayed anaphylaxis? What! 9:50 Epidemiology and prevalence 11:50 Not only red meat – other products 14:55 Diagnosing alpha-gal syndrome 16:20 Tick avoidance and sensitization 18:40 What foods can these patients eat? 20: 15 Question of the Day? Are there herbs that can help? Additional Resources: Alpha-gal Information Subscribe, Rate, & Review The Lab Report Thanks for tuning in to this week’s episode of The Lab Report, presented by Genova Diagnostics, with your hosts Michael Chapman and Patti Devers. If you enjoyed this episode, please hit the subscribe button and give us a rating or leave a review. Don’t forget to visit our website, like us on Facebook, follow us on Twitter, Instagram, and LinkedIn. Email Patti and Michael with your most interesting and pressing questions on functional medicine: podcast@gdx.net. And, be sure to share your favorite Lab Report episodes with your friends and colleagues on social media to help others learn more about Genova and all things related to functional medicine and specialty lab testing. To find a qualified healthcare provider to connect you with Genova testing, or to access select products directly yourself, visit Genova Connect. Disclaimer: The content and information shared in The Lab Report is for educational purposes only and should not be taken as medical advice. The views and opinions expressed in The Lab Report represent the opinions and views of Michael Chapman and Patti Devers and their guests.See omnystudio.com/listener for privacy information.

Don't Eat Poop! A Food Safety Podcast
A Side of Salmonella: What's Up with Those Contaminated Cucumbers? | Episode 119

Don't Eat Poop! A Food Safety Podcast

Play Episode Listen Later Jun 10, 2025 40:42


When your cucumbers keep ending up on outbreak lists, it's time to ask: what the actual food safety fail is going on?In this episode of Don't Eat Poop!, our hosts Matt and Francine dig into the repeat salmonella outbreaks linked to Bedner Growers - and why the phrase “voluntary recall” should still raise your eyebrows. They dissect how the contamination trail is traced, what might really be behind recurring farm-based outbreaks, and why cross-contamination is everyone's problem. Whether you're running a farm, a food service kitchen, or just trying to avoid the “poop” in your produce, this one's a wake-up call.In this episode:

JACC Speciality Journals
Brief Introduction - Epidemiology of Valvular Heart Disease in Asia Pacific Region | JACC: Asia

JACC Speciality Journals

Play Episode Listen Later Jun 10, 2025 1:49


Faculty Factory
Strategies for Embracing a New Career Challenge or Retirement with Kimberly Skarupski, PhD, MPH

Faculty Factory

Play Episode Listen Later Jun 6, 2025 31:58


Today's episode of the Faculty Factory Podcast explores strategies for embracing a new career challenge or retirement itself. This broadcast features a recording from a recent lecture led by Faculty Factory Podcast host Kimberly Skarupski, PhD, MPH. Dr. Skarupski is Associate Vice Provost, Leadership Development, in the Office of Faculty Affairs with UTMB Health in Galveston, Texas. She is a tenured Professor in the Department of Internal Medicine, Division of Geriatrics in the John Sealy School of Medicine and in the Department of Epidemiology in the School of Public and Population Health. If you'd like to see the slides from the lecture that this podcast is based on, you can access them here. More Faculty Factory Resources: https://facultyfactory.org/ 

Tradeoffs
How Treating Teens' Trauma Is Stopping Violence in Chicago

Tradeoffs

Play Episode Listen Later Jun 5, 2025 26:09


A Chicago violence prevention program is pairing cognitive behavioral therapy with intensive mentoring and wraparound support to help high-risk teens avoid incarceration.Guests:Nour Abdul-Razzak, Research Associate, University of Chicago Harris School of Public Policy; Research Director, University of Chicago Inclusive Economy LabCharles Branas, Professor and Chair, Department of Epidemiology, Columbia University Mailman School of Public HealthToni Copeland, Director of Student Supports and Violence Prevention Programs, Chicago Public SchoolsJennifer Doleac, Executive Vice President of Criminal Justice, Arnold VenturesJasper Guilbault, Therapist, BrightpointGary Ivory, President and CEO, Youth Advocate ProgramsJulie Noobler, Director of Mental Health and Wellness, BrightpointT-ManLearn more and read a full transcript on our website.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

Well Said | Zucker School of Medicine

Joining us on Well Said is Dr Kenneth Richard Spaeth, Medical Director for Occupational and Environmental Medicine at Northwell Health and Assistant Professor of Occupational Medicine, Epidemiology and Prevention at the Zucker School of Medicine to talk about what science knows—and what it doesn't—about Microplastics; the near invisible threat hiding in our food, water and […]

Let's talk e-cigarettes
Let's talk e-cigarettes, May 2025. Ep 42

Let's talk e-cigarettes

Play Episode Listen Later May 30, 2025 25:44


Jamie Hartmann-Boyce and Nicola Lindson discuss emerging evidence in e-cigarette research and interview Steve Cook from the University of Michigan USA about the importance of correctly interpreting and assessing the available data. Associate Professor Jamie Hartmann-Boyce and Associate Professor Nicola Lindson discuss the new evidence in e-cigarette research and interview Dr Steven Cook from the Department of Epidemiology, School of Public Health University of Michigan and the Centre for Assessment of Tobacco Regulations, University of Michigan. In the May podcast Steve Cook discusses the methodological problems of cross-sectional data on the health effects of e-cigarette use a topic he addressed at the May 2025 EC Summit, Washington DC. Steve Cook underlines why all cross-sectional health effects studies should be interpreted with extreme caution unless they examine dose-response relationships and account for temporality and cigarette smoking confounding. Dr Cook emphasises the importance of other information such as smoking histories and health histories and the importance of developing a best practice to ensure that we minimize the risks associated with spurious association and maximise predictive accuracy. Steven Cook receives National Institute for Health (NIH) and Food and Drug Administration's (FDA) Center for Tobacco Products (CTP) funding. This is not deemed a conflict of interest. EC Summit, Washington DC: https://www.e-cigarette-summit.com/program-2025/ Recent paper: 10.1016/j.isci.2025.111985 This podcast is a companion to the electronic cigarettes Cochrane living systematic review and Interventions for quitting vaping review and shares the evidence from the monthly searches. Our search for the EC for smoking cessation review carried out on 1st May 2025 found 1 ongoing (NCT06922617) and 1 linked study (DOI: 10.1101/2025.02.17.25322409). Our search for our interventions for quitting vaping review up to 1st May 2025 found 1 new (DOI 10.1001/jama.2025.3810) and 4 ongoing studies (DOI 10.2196/71961, KCT0010346, NCT06909500, NCT06929520). For further details see our webpage under 'Monthly search findings': https://www.cebm.ox.ac.uk/research/electronic-cigarettes-for-smoking-cessation-cochrane-living-systematic-review-1 For more information on the full Cochrane review of E-cigarettes for smoking cessation updated in January 2025 see: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD010216.pub9/full For more information on the full Cochrane review of Interventions for quitting vaping published in January 2025 see: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD016058.pub2/full This podcast is supported by Cancer Research UK.

Food Junkies Podcast
Episode 231: Dr. Filippa Juul "Ultra-Processed Food: The Hidden Crisis"

Food Junkies Podcast

Play Episode Listen Later May 29, 2025 49:19


In this illuminating episode we speak with Dr. Filippa Juul. An epidemiologist and leading researcher on the impact of ultra-processed foods (UPFs) on human health. Together, we unpack what ultra-processed really means, why it's not just about calories or macros, and how these foods are stealthily contributing to the global rise in obesity, chronic illness, and food addiction. Dr. Filippa Juul is a nutritional epidemiologist and Faculty Fellow at the Department of Public Health Policy and Management at the New York University School of Global Public Health (NYU GPH). She earned her PhD in Epidemiology from NYU GPH in 2020, following a MSc in Public Health Nutrition from the Karolinska Institute in Stockholm, Sweden, and a BA in Nutrition and Dietetics from Universidad Autónoma de Madrid in Spain. Dr. Juul's research focuses on improving cardiometabolic health outcomes at the population level, with a particular interest in the role of ultra-processed foods (UPFs) in diet quality, obesity, and cardiovascular disease. She utilizes large U.S. population studies to examine these associations and is also exploring the biological mechanisms underlying the impact of UPFs on cardiometabolic health.  Dr. Juul explains the NOVA classification system, dives into recent groundbreaking studies, and offers insights into why UPFs are so difficult to resist—and what we can do about it, both individually and at the policy level. Key Takeaways 

Casual Inference
The Art of Clarity with Andrew Heiss | Season 6 Episode 6

Casual Inference

Play Episode Listen Later May 29, 2025 49:31


Andrew Heiss is an assistant professor in the Department of Public Management and Policy at the Andrew Young School of Policy Studies at Georgia State University. Vincent's “What is your estimand” section in his {marginaleffects} book: https://marginaleffects.com/chapters/challenge.html#sec-goals_estimand Article on defining estimands: https://doi.org/10.1177/00031224211004187 Andrew's marginal effects post: https://www.andrewheiss.com/blog/2022/05/20/marginalia/ Andrew's post on “fixed effects” and mariginal effects across different disciplines: https://www.andrewheiss.com/blog/2022/11/29/conditional-marginal-marginaleffects/ Follow along on Bluesky: Andrew: @andrew.heiss.phd Ellie: @epiellie.bsky.social Lucy: @lucystats.bsky.social  

Science Friday
Could The NIH Plan For A ‘Universal Vaccine' Really Work?

Science Friday

Play Episode Listen Later May 28, 2025 27:56


At the beginning of May, the National Institutes of Health, part of the Department of Health and Human Services, announced a plan to develop a universal vaccine platform. Think: a single shot for flu or COVID-19 that would last years, maybe a lifetime. The plan—called Generation Gold Standard—has a reported budget of $500 million, and a tight deadline. But will it work? And where does the science on this actually stand? In this live broadcast, Hosts Flora Lichtman and Ira Flatow talk with epidemiologist Michael Osterholm and vaccine researcher Ted Ross.Guests: Michael Osterholm is Director of the Center for Infectious Disease Research and Policy (CIDRAP) at the University of Minnesota in Minneapolis, Minnesota.Dr. Ted Ross is the global director of vaccine research at the Cleveland Clinic's Florida Research and Innovation Center in Port St. Lucie, Florida. Transcript will be available after the show airs on sciencefriday.com. Subscribe to this podcast. Plus, to stay updated on all things science, sign up for Science Friday's newsletters.

Physician's Guide to Doctoring
Ep460 - Behind the Paper: Dr. Katie Suleta on Uncovering Hidden Bias in Research

Physician's Guide to Doctoring

Play Episode Listen Later May 6, 2025 30:38


Sponsored by: Set for LifeSet For Life Insurance helps doctors safeguard their future with True Own Occupational Disability Insurance. A single injury or illness can change everything, but the best physicians plan ahead. Protect your income and secure your future before life makes the choice for you. Your career deserves protection—act now at https://www.doctorpodcastnetwork.co/setforlife_______________ In an era where misinformation can masquerade as science, how do you discern credible research? Host Dr. Bradley Block welcomes Dr. Katie Suleta, to unpack the importance of scrutinizing study authors and journals for conflicts of interest. Drawing from her recent experience with the Journal of Personalized Medicine, where a case study on supplements for autism treatment failed to disclose a lead author's affiliation with a supplement company, Dr. Suleta shares her journey to push for its retraction. This episode equips physicians with tools to inoculate themselves against junk science, emphasizing intellectual humility and lateral reading to protect patient care and public trust.Three Actionable Takeaways:Check Author Affiliations – Before reading a study, investigate authors' affiliations and potential conflicts of interest using readily available information to assess bias.Evaluate Journal Credibility – Be wary of journals with overly long or suspicious titles, and research their reputation to avoid predatory publications.Practice Lateral Reading – Cross-check studies or news articles with other sources to verify credibility and understand broader reactions, enhancing your information hygiene.About the Show:PGD  Physician's Guide to Doctoring covers patient interactions, burnout, career growth, personal finance, and more. If you're tired of dull medical lectures, tune in for real-world lessons we should have learned in med school!About the Guest:Dr. Katie Suleta is a trained epidemiologist with expertise in infectious diseases and health informatics, serving as the regional director of research and graduate medical education. She mentors residents daily and works as a science writer, contributing to outlets like the American Council on Science and Health, The Conversation, Skeptical Inquirer, and STAT News. Known for her advocacy against misinformation, Dr. Saleta recently exposed a case study in the Journal of Personalized Medicine where a lead author's undisclosed supplement company affiliation led her to push for its retraction, highlighting the need for transparency in scientific publishing.LinkedIn: http://linkedin.com/in/katherine-sota-ortecho-447a4899Instagram: https://www.instagram.com/katysota?igsh=Njd0NG4weW90OWJiAbout the Host Dr. Bradley Block is a board-certified otolaryngologist at ENT and Allergy Associates in Garden City, NY. He specializes in adult and pediatric ENT, with interests in sinusitis and obstructive sleep apnea. Dr. Block also hosts The Physician's Guide to Doctoring podcast, focusing on personal and professional development for physiciansWant to be a guest?Email Brad at brad@physiciansguidetodoctoring.com or visit www.physiciansguidetodoctoring.com to learn more!Socials:@physiciansguidetodoctoring on Facebook@physicianguidetodoctoring on YouTube@physiciansguide on Instagram and Twitter Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let's grow! Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance.